Aplio iXXX TUS-AIxxx series Operation Manual Applications June 2017

Trademarks Windows® is a registered trademark of Microsoft Corporation in the United States and other countries. VirtuTRAX, Ultra-Pro ΙΙ, BX2, Verza, and AccuSITE are trademarks of CIVCO Medical Solutions. Aplio, ApliPure, Pulse Subtraction, and TwinView are trademarks of Toshiba Medical Systems Corporation. This manual may include trademarks or registered trademarks of other companies. Note that the trademark symbol "TM" and the registered trademark symbol "®" may or may not be used in this manual.

IMPORTANT! 1. No part of this manual may be copied or reprinted, in whole or in part, without written permission. 2. The contents of this manual are subject to change without prior notice and free of legal obligations. 3. We have made every effort to make the contents of this manual accurate and error-free. Please inform us of any ambiguous or erroneous descriptions, missing information, etc.

No. 2B771-173EN*L

Table of Contents 1.

Detailed Information Regarding the Patient Registration Screen ... 14

1.1

Functions of Each Part of the Patient Registration Screen ... 15

1.1.1

Database list ... 15

1.1.2

Exam type ... 27

1.1.3

Patient information... 29

1.1.4

Exam information ... 30

1.1.5

Operating switches ... 31

1.2

Operations From the Touch Panel ... 33

2.

Exam Data File Handling ... 34

2.1

Patient Browser Screen ... 36

2.1.1

Patient/exam display area ... 37

2.1.2

Data display area ... 42

2.2

Operations on the Patient Browser Screen ... 44

2.2.1

Loading data ... 44

2.2.2

Displaying data for review ... 45

2.2.3

Saving data... 46

2.2.4

Checking the execution status... 54

2.2.5

Deleting data ... 57

2.2.6

Printing data ... 58

2.3

Operations From the Touch Panel ... 71

2.3.1

Wireless network connection ... 72

No. 2B771-173EN*L 3

2.3.2

Windows File Browser ... 78

2.4

Operations From the Pop-Up Menu... 83

3.

Exam Review ... 85

3.1

Outline of Exam Review ... 85

3.2

Startup and Termination of Exam Review ... 86

3.2.1

Startup ... 86

3.2.2

Termination ... 87

3.3

Exam Review Operations ... 88

3.3.1

Changing the display layout ... 88

3.3.2

Selecting an image ... 89

3.3.3

Replacing an image ... 90

3.3.4

Operations from the pop-up menu ... 91

3.3.5

ER icon menu operations ... 93

3.3.6

Operation from the touch panel ... 94

4.

CHI Mode ... 97

4.1

Outline of CHI Mode ... 97

4.2

Operating Procedures ... 98

4.2.1

Starting up CHI mode ... 98

4.2.2

Selecting an imaging mode ... 98

4.2.3

Terminating CHI mode ... 99

4.3

Operations From the Touch Panel ... 100

4.3.1

TwinView/Quad view mode ... 104

4.3.2

MFI (Micro Flow Imaging) ... 108

4.3.3

Image Stabilizer ... 110

No. 2B771-173EN*L 4

5.

TCA ... 114

5.1

Outline of TCA... 114

5.2

Starting and Terminating TCA... 115

5.2.1

Starting up TCA ... 115

5.2.2

Terminating TCA ... 117

5.3

Operations on the TCA Screen ... 118

5.3.1

Image display area ... 120

5.3.2

Graph display area ... 124

5.3.3

Information display area ... 130

5.3.4

Cine control switches ... 132

5.3.5

Operations from the touch panel ... 133

5.3.6

TCA control switches ... 135

6.

Panoramic View ... 140

6.1

Outline of Panoramic View ... 140

6.2

Operations in Panoramic View Mode ... 141

6.2.1

Starting up Panoramic View mode ... 141

6.2.2

Acquiring a Panoramic View image ... 142

6.2.3

Adjusting the acquired image ... 144

6.2.4

Terminating Panoramic View mode ... 145

7.

4D Mode ... 146

7.1

Outline of 4D ... 146

7.2

4D Mode ... 147

7.2.1

Starting and terminating 4D mode... 148

7.2.2

Operations on the 4D screen on the monitor ... 151

No. 2B771-173EN*L 5

7.2.3

Operations from the touch panel ... 159

7.3

Cardiac 4D Mode (Outside the USA)... 223

7.3.1

Starting and terminating Cardiac 4D mode ... 223

7.3.2

Operations on the Cardiac 4D screen on the monitor ... 224

7.3.3

Operations from the touch panel ... 233

8.

Fusion (Smart Fusion) ... 256

8.1

Overview of the Fusion Function ... 256

8.2

Preparation for Fusion ... 261

8.2.1

Connecting the magnetic sensor cable ... 261

8.2.2

Mounting the magnetic sensor on the magnetic sensor bracket ... 263

8.2.3

Attaching Auto Track to the patient ... 264

8.2.4

Adjusting the position of the transmitter ... 265

8.3

Operating Procedures in Fusion Mode ... 267

8.3.1

Starting up Fusion mode ... 270

8.3.2

Setting the target ... 277

8.3.3

Position matching between the CT/MR/PET/US3D image and ultrasound image ... 279

8.3.4

Automatic position matching between the CT/MR image and ultrasound image using Auto Track ... 286

8.3.5

Automatic position matching between the CT/MR and US3D image using image analysis ... 287

8.3.6

Synchronizing the CT/MR/PET/US3D and ultrasound images ... 289

8.3.7

Terminating Fusion mode ... 290

8.4

Operations From the Touch Panel ... 291

9.

Stress Echo ... 296 No. 2B771-173EN*L 6

9.1

Overview of Stress Echo ... 297

9.2

Starting and Terminating Stress Echo ... 297

9.2.1

Starting Stress Echo mode ... 298

9.2.2

Protocol selection ... 300

9.2.3

Terminating Stress Echo mode ... 301

9.3

Screens and Operations in Stress Echo Mode ... 303

9.3.1

Acquisition screen ... 303

9.3.2

Image selection screen ... 310

9.3.3

Review screen ... 315

9.4

Operations From the Touch Panel ... 326

10.

Wall Motion Tracking ... 327

10.1

Overview of Wall Motion Tracking ... 327

10.2

3D Wall Motion Tracking (Outside the USA) ... 328

10.2.1

Starting and terminating 3D Wall Motion Tracking ... 328

10.2.2

3D Wall Motion Tracking screen and operating procedures ... 334

10.2.3

Right ventricle analysis ... 362

10.2.4

Simultaneous display of analysis results ... 366

10.3

2D Wall Motion Tracking ... 371

10.3.1

Starting and terminating 2D Wall Motion Tracking ... 371

10.3.2

2D Wall Motion Tracking screen and operating procedures ... 376

11.

Protocol Assistant ... 411

11.1

Outline of Protocol Assistant... 411

11.2

Starting Protocol Assistant ... 412

No. 2B771-173EN*L 7

11.2.1

Startup ... 412

11.2.2

Protocol selection ... 414

11.3

Workflow Operations ... 415

11.4

Recording Workflow Operations ... 421

11.5

Displaying Reference Images ... 424

12.

VI... 425

12.1

Outline of VI ... 425

12.2

VI Operations ... 425

12.2.1

Startup ... 425

12.2.2

Termination ... 426

12.3

VI Screen and Operations... 427

12.3.1

Image display area ... 429

12.3.2

VI Statistics area ... 429

12.3.3

Operations using the touch panel ... 430

13.

Report ... 431

13.1

Outline of the Report Function ... 431

13.2

Starting and Terminating the Report Function ... 432

13.3

Report Screen and Screen Operations ... 433

14.

Shear Wave Mode ... 454

14.1

Outline of Shear Wave Mode ... 456

14.2

Operations in Shear Wave Mode ... 456

14.2.1

Startup ... 456

14.2.2

Adjusting the acquired image ... 457

14.2.3

Termination ... 469 No. 2B771-173EN*L 8

14.3

Operations From the Touch Panel ... 470

14.4

Shear Wave Measurement Function ... 473

15.

Smart 3D ... 482

15.1

Outline of Smart 3D ... 484

15.2

Starting and Terminating Smart 3D Mode ... 484

15.2.1

Startup ... 484

15.2.2

Termination ... 486

15.3

Operations on the Smart 3D Screen on the Monitor ... 487

15.4

Operations From the Touch Panel ... 495

15.4.1

Volume View ... 500

15.4.2

MultiView mode ... 505

15.4.3

Omniview function ... 508

15.4.4

Volume Color ... 513

15.4.5

CHI function ... 517

15.4.6

Shear wave function ... 521

15.4.7

File output function for 3D printing ... 529

16.

Sensor 3D ... 530

16.1

Outline of Sensor 3D ... 530

16.2

Adjusting the Position of the Transmitter ... 534

16.3

Starting Up and Terminating Sensor 3D Mode... 536

16.3.1

Startup ... 536

16.3.2

Termination ... 537

16.4

Operations on the Sensor 3D Screen on the Monitor ... 538

No. 2B771-173EN*L 9

16.5

Operations From the Touch Panel ... 546

16.5.1

Volume View ... 555

16.5.2

MultiView mode ... 560

16.5.3

Omniview function ... 563

16.5.4

FlyThru mode ... 568

16.5.5

Volume Color ... 573

16.5.6

CHI function ... 577

16.5.7

Shear wave function ... 581

16.5.8

Manual Volume Measurement function ... 585

16.5.9

ECG Sync Construction function ... 589

16.5.10

File output function for 3D printing ... 592

17.

Attenuation Imaging (ATI) Mode ... 593

17.1

Outline of ATI Mode ... 593

17.2

Operating Procedures for ATI Mode ... 594

17.2.1

Startup ... 594

17.2.2

Adjusting the acquired image ... 594

17.2.3

Termination ... 596

17.3

Operations From the Touch Panel ... 597

17.4

ATI Measurement Function ... 599

18.

Reference Mode ... 603

18.1

Outline of Reference Mode ... 603

18.2

Operating Procedures for Reference Mode ... 604

18.2.1

Startup ... 604

18.2.2

Adjusting the acquired image ... 605

18.2.3

Termination ... 607 No. 2B771-173EN*L 10

19.

Using the Transducers ... 608

19.1

PET-508MA, PET-512MA, PET-512MC, PET-512MD, and PEI-512VX ... 608

19.1.1

Types of TEE transducers supported ... 609

19.1.2

Indication of the rotation angle ... 609

19.1.3

Temperature control of TEE transducers ... 613

19.1.4

Temperature detection function check procedure... 615

19.1.5

Other messages ... 616

19.2

PVL-715RST ... 618

19.3

PVT-681MVL ... 619

19.4

PEI-512VX, PSI-30VX, PSI-40VX, and PSI-50VX ... 620

19.4.1

Display of rotation angle... 624

19.4.2

Temperature control ... 626

20.

Peripheral Units ... 629

20.1

CD/DVD Unit ... 629

20.1.1

Name and function of each section ... 629

20.1.2

Recommended media ... 630

20.1.3

Basic operations ... 630

20.1.4

Handling of media ... 634

20.1.5

Troubleshooting ... 635

20.2

Printers ... 637

20.2.1

Printing from the printer ... 638

20.2.2

Replacing printer sheets and the ink sheet rolls ... 638

20.2.3

Troubleshooting ... 639

20.3

Video Recording Device ... 640

20.3.1

Recommended media ... 641 No. 2B771-173EN*L 11

20.3.2

Recording to the video recording device ... 641

20.3.3

Playing back images from the video recording device ... 642

20.3.4

Troubleshooting ... 644

20.4

2nd Console... 645

20.4.1

Overview... 646

20.4.2

Charging the battery of the tablet ... 647

20.4.3

Turning ON the tablet ... 647

20.4.4

Connecting the 2nd Console to the system ... 648

20.4.5

Operating the tablet ... 653

20.4.6

Disconnecting from the system... 662

20.4.7

Turn OFF the tablet ... 663

21.

Other Functions ... 664

21.1

Editing User Presets... 664

21.2

Editing a Sub-Preset... 670

21.3

Changing the System Time ... 680

21.4

Security Management ... 682

21.4.1

Login ... 683

21.4.2

Changing the password ... 685

21.4.3

Logoff ... 686

21.4.4

Account management ... 687

21.4.5

User management ... 694

21.4.6

Audit log tool ... 697

21.5

Online Help ... 703

22.

Presets ... 707

22.1

Outline of Presets ... 707 No. 2B771-173EN*L 12

22.2

Operations on the Preset Screen ... 708

22.2.1

Changing a System Preset ... 709

22.2.2

Changing an Exam Preset... 762

No. 2B771-173EN*L 13

1. Detailed Information Regarding the Patient Registration Screen This section describes the details of the Patient Registration screen. Refer to the Operation Manual <<Fundamentals volume>> for an outline of the patient registration procedures.

CAUTION: 1. Before starting an examination for a new patient, confirm that the patient ID matches the patient to be examined. Otherwise, the images may be recorded under an incorrect patient ID. In addition, data for two different patients may be inadvertently combined, leading to incorrect diagnosis. 2. Enter the patient’s correct height and weight. Otherwise, the BSA will not be calculated correctly. 3. Check the date format before entering the date of birth. If the date is entered in an incorrect format, the age or other information based on the date of birth may be displayed incorrectly.

NOTE:

1. Be sure to register and save the patient ID before starting an examination for a new patient. If measurement is performed for a new patient for whom the patient ID has not been registered or saved, the measurement results and other data cannot be saved in the system, and the examination may need to be repeated. 2. Do not enter a patient ID consisting of spaces only. The data for the patient may not be read from or written to media correctly or DICOM transfer of the data may not be performed correctly. 3. Once the patient information is registered and

is then

selected, the live image will generally appear within 10 seconds. However, if a relatively high-load process (such as saving, loading, copying, or conversion of a large amount of data) has just been executed, it may take approximately 30 seconds to display the live image. If the live image does not appear after 30 seconds, an error message is displayed. Check the message and reboot the system.

No. 2B771-173EN*L 14

1.1

Functions of Each Part of the Patient Registration Screen NOTE:

The field in focus for input or selection can be moved with the cursor operations,

key,

operations, or switch operations on the touch panel

(refer to subsection 1.2).

Displayed automatically when the system starts up.

Database list (Refer to 1.1.1.) Exam Type (Refer to 1.1.2.)

Operating switches (Refer to 1.1.5.)

Patient information (Refer to 1.1.3.) Exam information (Refer to 1.1.4.)

1.1.1 Database list Select the desired tab. 

The 

information is displayed here.

Item

Description

Scheduled

Scheduled examinations registered through the hospital information system (refer to 1.1.1.2)

Exams

Patient information for previous exams (refer to 1.1.1.1)

No. 2B771-173EN*L 15

1.1.1.1

Reusing patient information saved for previous exams

Patient information saved for previous exams can be reused. The patient information for the selected exam is copied to the patient information area.

 The search results are displayed.

 Select

.

 Select

.

 Enter the search conditions.

NOTE:

The patient ID, patient name, accession number, or date of birth can be used as the search key.

No. 2B771-173EN*L 16

1.1.1.2

Downloading scheduled examinations

Scheduled examinations can be downloaded from the HIS/RIS server, and the desired examination can be selected from those downloaded. The patient information in the selected examination is copied to the patient information area.

 Select

 Select

.

.

* Or on the touch panel

 The search

results are displayed here.

CAUTION: 1. Do not create data for a new patient by editing the downloaded scheduled examination data for another patient. The images for the new patient may be stored under an incorrect patient ID. In addition, the data for two different patients may be inadvertently combined, leading to incorrect diagnosis. 2. To enter patient information for a new patient, press . The currently displayed patient information is cleared, after which the patient information for a new patient can be entered.

No. 2B771-173EN*L 17

NOTE:

1. Refer to section 22 for information on the timing for downloading the scheduled examinations from the HIS/RIS server. 2. To narrow the selection of downloaded examinations, search with the patient ID, patient name, or accession number set as the search key. 3. The system can be preset to display the Get Worklist screen. From the Get Worklist screen, the examination schedule (worklist) matching the entered search conditions can be retrieved from the HIS/RIS server. Refer to section 22 for details.

 Select

 Select

.

.

* Or on the touch panel

 The Get Worklist

screen is displayed.

<1>

<2>

<3>

No. 2B771-173EN*L 18

<4>

NOTE: No.

Item

<1>

Search conditions

Description Enter the desired conditions.

*1

<2>

Clears the entered search conditions.

<3>

Retrieves the examination schedule matching the entered search conditions.

<4>

Cancels retrieval of the examination schedule.

*1: To perform a fuzzy search for Patient Name, enter the last name, the first name, or the middle name as a search key. Note that combinations of the last name, first name, and middle name cannot be used as a search key.

No. 2B771-173EN*L 19

NOTE:

4. The system can be preset to display the new information confirmation screen (New Protocol screen) when updating the examination schedule. Refer to section 22 for details.

 Select

 Select

.

.

* Or on the touch panel



The confirmation screen is displayed.

<1>

<2>

No.

Item

<1>

Newly obtained examination schedule information

<3>

Description Details of the obtained information are displayed.

<2>

The newly obtained examination schedule information is added to the schedule list.

<3>

The newly obtained examination schedule information is not added to the schedule list.

No. 2B771-173EN*L 20