PN B Mode Technologies June 09

B-Mode Technologies
Discover the Extraordinary

Clinical Benefit of B-Mode
Premium Technologies within the
Mid-End and Compact Ultrasound
Genoa, Italy (June 18, 2009) - Amongst ultrasound modalities, B-Mode imaging is the most
challenging area for industry to achieve user consensus and satisfaction. With the mid-end
and compact systems, B-Mode has increased its overall power delivering impressive
performance derived from premium end technologies. On top of these sophisticated and
complex algorithms, there is the ability to convert the potential outcome to an easy to
evaluate image; thanks to optimal processing that is capable of driving the system to obtain
the best possible imaging during the examination. In addition to well established tools based
on technologies treating the Frequency Domain features (both 1st and 2nd Harmonics) there
is currently available on the market ultrasound signal processing options targeting the
improvement of image quality in terms of speckle noise reduction and multi-angle compound
imaging.
XView Technology - Overview

MView Technology - Overview
A Deeper Look into XView & MView Technologies
Combined Use of MView & XView Technologies – Clinical Images
Esaote S.p.A.
International Activities: Via di Caciolle, 15 - 50127 Firenze, ITALY
Tel. +39 055 4229 1 - Fax +39 055 4229 208 - e-mail: info@esaote.com
Domestic Activities: Via A. Siffredi, 58 - 16153 Genova, ITALY
Website: www.esaote.com
The algorithm of processing the ultrasound signal to obtain
extraordinary results in diagnostic confidence improvement is
fundamental. It needs to perfectly combine the power of the
technology with “easy to use” and “user configurable” settings;
therefore, it must have a real time effect involving all available
functions in the scanner from the probe to the screen.
XView
XView Technology is a real-time algorithm
that provides a significant reduction in
speckle. It achieves speckle reduction
during each one of the stages that covers all
the ultrasound image formation process:
from the echo acquisition to the visualization
of the image on the screen.
XView Technology – Overview

Ultrasound suffers from an intrinsic imaging
artefact called speckle. Speckle is the
random grainy texture that obscures
anatomy in ultrasound images and is usually
described as “noise”, in order to indicate
something that dirties the image. Speckle
is created by a complex interference of
ultrasound echoes made by reflectors
spaced closer than the ultrasound system’s
resolution limit, degrading spatial and
contrast resolution and obscuring the
underlying anatomy.
XView gives the right boost to the US

XView OFF
scanner’s ability to reduce speckle,
enabling the system to consider the
acquisition, processing and
presentation functions of the image build
on the same common platform, linking each
for a better integrated result.
Different to other currently available

techniques (which treat speckle reduction
while only considering one of the three
stages: acquisition, image processing,
or presentation on the screen at the
time), XView breaks this limit and
provides the system with powerful X-View ON
technology that allows the speckle reduction
over all the imaging processing phases.
Esaote S.p.A.
In this extraordinary process, the dynamic information so diagnostic criteria is
integration of various stages is of paramount preserved: only “noise” is removed while
importance because every phase can be information is preserved and enhanced. A
influenced and can influence the others, significant increase in image quality is
with the target to obtain the best possible obtained and consequently leads to better
result. The XView Dynamic Optimization diagnostic confidence for the operator in all
Process can be described as follows: ultrasound applications from General
Imaging to Cardiovascular.
• Intelligent: the image is deeply analyzed;
the system recognizes the portion of the
image affected by speckle treating it in a
different way with respect to the part of the
image that carries information.
• Adaptive: the acquisition stage can be

adjusted in order to obtain the best possible
information that could be processed during
the following processing stages.
• Optimized: speckle is removed while the

information necessary for the diagnostic
image is conserved and enhanced in order
to optimize the result. Processed image
XView OFF
data from both the portion of the image
affected by speckle and the portion carrying
the necessary information are combined to
reconstruct the entire image. The result is
an image that preserves the original image
feature, while suppressing the speckle
contents.
The intelligent and adaptive nature of XView

allows it to smooth regions where no feature
or edges appear and maintain or enhance
edges and borders. XView increases
contrast resolution by increasing the signal
to noise ratio. It does not eliminate any X-View ON
MView
MView Technology consists of an
ultrasound technique that uses electronic
beam steering of a transducer array to
acquire several coplanar scans of an object
from different view angles: pulses are
transmitted both perpendicular to the
transducer array and in oblique directions.
Different pulses from different angles are
correlated to form one final image.
Esaote S.p.A.
MView Technology – Overview
Ultrasound imaging is affected by a number Adding these independent frames to form a
of undesired elements such as speckle, single final image, suppresses speckle and
artefacts, shadowing, improperly insonated reinforces real structures.
structures, etc. The capability to built up an
image integrating several multi-angle beam MView Technology provides extraordinary
lines, commonly called compound imaging advantages for the operator in all General
is a great help to reduce the impact of the Imaging applications such as Abdomen,
discussed spurious elements. Small Parts, Breast, Obstetric,
MView is a spatial compounding technique: Gynaecology, Vascular and
pulses are transmitted both perpendicular to Musculoskeletal.
the transducer array and in oblique
directions. Different pulses from different
angles are correlated to form one final
image. The technique gives the user the
possibility to obtain enhanced contrast
resolution with better tissue differentiation
and clear organ borders and structure
margins visualization.
Tissue layers and vessel walls are

more clearly differentiated for an
enhanced visualization; nodules appear with
less acoustic shadowing and higher
definition of borders.
The ability of MView Technology to improve

image quality is mainly due to suppression
of image artefacts. Scanning from different
angles produces different artefact patterns. .
A Deeper Look into XView Technology

The XView algorithm function gives the user obtain the best possible image depending
the option to choose between three different on the application and the particular image
levels of image optimization in order to considered (Fig.1).
Fig.1: XView Technology Symbol present on screen when XView is active
In addition to the settings provided by the XSmooth, XDetail and XEnhancement. For
system, the operator can make use of the each of these parameters it is possible to
User Optimization “C” Setting, which set the level within a certain range (Fig. 2).
operates on three parameters of the image:
Esaote S.p.A.
Fig.2: XView “C” Soft Key with XSmooth, XDetail and XEnhancement sublevels
By modifying these levels the user will XView “C” (Custom) gives the user the
change the characteristics of the image possibility to completely customize the
displayed on the screen according to the XView technology in order to get the best
following guideline: possible diagnostic evidence from the
• XSmooth regulation flattens the “noise” acquired images. This overcomes the
that affects the image. problem of having a beautiful image but
poor quality in terms of diagnostic content.
• XDetail enhances the details of the
The possibility to set XSmooth, XDetail and
contours, curves, edges and structures
XEnhancement maximizes user confidence
present in the information that constitutes
in the acquired images. It represents an
the image, enabling the end user to view
extreme added value, an exclusive feature
even the minimum characteristics and
in the mid-end and compact Ultrasound
particulars.
Market segment.
• XEnhancement maximizes the information
that enables the end user to visualize in the
best possible way the information related to
the structures already emphasized with the
previous steps.
X-View OFF
X-View OFF
X-View ON
Especially valuable to applications such as
Obstetric, Gynaecology, Abdominal,
Vascular, Breast, Thyroid and
Musculoskeletal, the quality of image
X-View ON improvement obtained by the use of
Different to other currently available
solutions, Esaote’s XView solution for
speckle reduction is not affected by the
problem of a significant drop in frame rate.
Esaote S.p.A.
XView Technology gives the end user an Strain Rate post processing algorithm within
impressive plus with respect to the the LV cardiac quantification package.
readability of the image and to the
diagnostic confidence. Moreover, XView XView Technology is available within all
Technology can significantly assist the end applications (including Stress Echo, 3D-4D
user in the definition of the endocardial acquisitions) and all transducers.
borders for the utilization of the Strain &
A Deeper Look into MView Technology

MView boosts the compound imaging competitors ultrasound system to a higher
capabilities already present in other level (Fig.3).
Fig.3: MView Technology Symbol present on screen when MView is active
Coplanar, tomographic images from Variable steering angles can be chosen by

different viewing angles are combined into a the user changing the MView level using the
single compounded image. Up to 15 proper Soft Key (Fig.4).
different viewing angles can be combined in
the same image.
Fig.4: MView Soft Key
The higher the level of MView, the higher is the average criteria which can be optimised
the number of the coplanar viewing angles in terms of grey scale by the operator with
used for the imaging compound. The another dedicated control. With such a key
combination of multi-angle beam lines (up to factor, the compound image can be
15) and their relevant steering angle range enhanced for the greatest spatial resolution
represents the key factor for the MView or for the best speckle reduction.
algorithm to work out the best image quality
result. Such a flexible, user configurable
approach provides an excellent result in the
many different areas the operator
investigates; for example, angle values
greater than 12 deg are optimal for
superficial structures where it is required to
achieve the maximum spatial accuracy and
speckle reduction.
On top of the combination of the number of

lines/value of angles, another sophisticated
MView algorithm correlates the integration
of the selected combination and determines
Esaote S.p.A.
Combined Use of MView and XView Technologies
MView Technology adds to the XView Real- generation (transducer level) to the display
Time Algorithm providing empowerment at presentation (monitor). MView acts at the
the level of the insonation performed by the level of the ultrasound beam generation;
probe. MView is the complementary feature XView operates in all of the following
to XView needed to optimize the whole processing phases (Fig.5).
ultrasound imaging process; from the beam
Fig.5: Logical architecture of Esaote XView platform (where: the arrow “ Æ “ indicates the
direction of data flow) plus MView Technology that generates multiple directive ultrasound
beams to acquire several coplanar scans of an object from different view angles
The combined, concurrent use of XView superior ultrasound imaging quality that
Technology - Adaptive Multistage Image increases diagnostic confidence and image
Enhancement - and MView Technology – readability.
Spatial Compound Imaging, gives the user
The image quality generated with XView Enhanced diagnostic confidence and higher
and MView Technologies helps the user to readability of the ultrasound diagnostic
diagnose with greater confidence. images is guaranteed (Fig.6)
Fig.6: Relative Comparison between the level of True Diagnostic Information and “Noise”
created by the presence of speckle and artifacts on the image, obtained with or without the
use of MView and XView Esaote Ultrasound Technologies
Esaote S.p.A.
Combined Use of MView and XView Technologies -
Clinical Images
Some echographic images of tendons are best body structure in order to clearly show
shown in the following Figures (Fig.10 to the capabilities offered to the user by the
13). Due to its particular echogenicity combined use of MView and XView
(tendons are completely visible only if Technologies.
insonated perpendicularly), tendon is the
Fig.10: Echographic image of a tendon with Fig.12: Echographic image of a tendon with
XView and MView Technologies OFF XView Technology active and MView OFF
Fig.11: Echographic image of a tendon with Fig.13: Echographic image of a tendon with
XView Technology OFF and MView active XView and MView Technologies active
Esaote is a leading European manufacturer of medical diagnostic equipment, the worldwide leader in dedicated MRI
and one of the main players in information technology.
Information about Esaote and its products is available on the Internet: www.esaote.com
© 2009 - Esaote S.p.A.

All rights are reserved.
Technology and features are system/configuration dependent.

Specifications subject to change without notice.
For further details, please contact your Esaote sales
representative: international.sales@esaote.com
Esaote S.p.A.

PN B Mode Technologies June 09

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B-Mode Technologies

Discover the Extraordinary

XView Technology - Overview

XView Technology – Overview

XView gives the right boost to the US

Different to other currently available

• Adaptive: the acquisition stage can be

• Optimized: speckle is removed while the

The intelligent and adaptive nature of XView

Tissue layers and vessel walls are

The ability of MView Technology to improve

A Deeper Look into XView Technology

Fig.1: XView Technology Symbol present on screen when XView is active

A Deeper Look into MView Technology

Fig.3: MView Technology Symbol present on screen when MView is active

Coplanar, tomographic images from Variable steering angles can be chosen by

Fig.4: MView Soft Key

On top of the combination of the number of

© 2009 - Esaote S.p.A.

Technology and features are system/configuration dependent.

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