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SONOACE X8
Diagnostic Ultrasound System
Operation Manual
Version 2.03.00
English
M345-E20300-01
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PROPRIETRAY INFORMATION AND SOFTWARE LICENSE
The Customer shall keep confidential all proprietary information furnished or disclosed to the
Customer by SAMSUNG MEDISON, unless such information has become part of the public
domain through no fault of the Customer. The Customer shall not use such proprietary
information, without the prior written consent of SAMSUNG MEDISON, for any purpose other
than the maintenance, repair or operation of the goods.
SAMSUNG MEDISONs systems contain SAMSUNG MEDISONs proprietary software in
machine-readable form. SAMSUNG MEDISON retains all its rights, title and interest in the
software except that purchase of this product includes a license to use the machine-readable
software contained in it. The Customer shall not copy, trace, disassemble or modify the software.
Transfer of this product by the Customer shall constitute a transfer of this license that shall not
be otherwise transferable. Upon cancellation or termination of this contract or return of the
goods for reasons other than repair or modification, the Customer shall return to SAMSUNG
MEDISON all such proprietary information.
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Safety Requirements
* Classifications:
- Type of protection against electrical shock: Class I
- Degree of safety of application in the presence of a flammable anesthetic material with air
or with oxygen or nitrous oxide: Equipment not suitable for use in the presence of a
flammable anesthetic mixture with air or with oxygen or nitrous oxide.
- Medical Electrical Equipment, Part 1: General Requirements for Basic Safety and
Essential Performance [IEC 60601-1:2005]
- Medical Electrical Equipment, Part 1-2: General Requirements for Basic Safety and
Essential Performance - Collateral Standard: Electromagnetic Compatibility -
Requirements and Tests [IEC 60601-1-2:2007]
- Medical Electrical Equipment, Part 1-6: General Requirements for Basic Safety and
Essential Performance- Collateral Standard: Usability [IEC 60601-1-6:2006]
- Medical Electrical Equipment, Part 2-37: Particular Requirements for the Basic Safety
and Essential Performance of Ultrasonic Medical Diagnostic and Monitoring Equipment
[IEC60601-2-37:2007]
- Medical Electrical Equipment, Part 1: General Requirements for Safety [IEC 60601-
1:1988 with A1:1991 and A2:1995]
- Medical Electrical Equipment - Part 1: General Requirements for Safety [CAN/CSA 22.2
No.601.1-M90:1990, with R2003, with R2005]
- Standard Means for the Reporting of the Acoustic Output of Medical Diagnostic
Ultrasonic Equipment [IEC61157:2007]
* Declarations
This manual does not include diagnosis results or opinions. Also, check the measurement
reference for each applications result measurement before the final diagnosis.
It is useless to make constant or complex adjustments to the equipment controls. The system
has been preset at the factory to produce an optimum image in the majority of patients. User
adjustments are not usually required. If the user wishes to change image settings, the variables
may be set as desired. Optimal images are obtained with little difficulty.
We are not responsible for errors that occur when the system is run on a users PC.
Please keep this user guide close to the product as a reference when using the system.
For safe use of this product, you should read Chapter1. Safety in this manual, prior to
starting to use this system.
Some features are not available in some countries. The features with options, and
NOTE specifications that this manual present can be changed without notice.
Government approval is still pending in some nations.
Conventions Used in This Manual
Used to indicate the presence of a hazard that can cause serious personal
WARNING
injury, or substantial property damage.
CAUTION Indicates the presence of a hazard that can cause equipment damage.
Verify that Check if this version of the manual is correct for the system version. If not, please
contact the Customer Service Department.
Table of Contents 1
Table of Contents
Chapter 1 - Safety
INDICATION FOR USE ............................................................................................... 1-2
SAFETY SIGNS .......................................................................................................... 1-3
SAFETY SYMBOLS ............................................................................................................. 1-3
LABELS ................................................................................................................................ 1-6
ELECTRICAL SAFETY ............................................................................................... 1-8
PREVENTATION OF ELECTRIC SHOCK ........................................................................... 1-8
ECG-RELATED INFORMATION ........................................................................................ 1-10
ESD..................................................................................................................................... 1-10
EMI.......................................................................................................................................1-11
EMC .....................................................................................................................................1-11
MECHANICAL SAFETY ............................................................................................ 1-18
MOVING THE EQUIPMENT............................................................................................... 1-18
SAFETY NOTE ................................................................................................................... 1-19
BIOLOGICAL SAFETY .............................................................................................. 1-20
ALARA PRINCIPLE ............................................................................................................ 1-20
ENVIRONMENTAL PROTECTION ........................................................................... 1-31
WASTE ELECTRICAL AND ELECTRONIC EQUIPMENT ................................................. 1-31
Chapter 3 Settings
PROBES & APPLICATIONS ....................................................................................... 3-3
PROBE SELECTION AND APPLICATION ........................................................................... 3-4
CHANGING APPLICATION................................................................................................... 3-4
EDITING PROBE PRESET VALUES .................................................................................... 3-4
PATIENT INFORMATION ............................................................................................ 3-6
PATIENT INFORMATION FOR APPLICATION..................................................................... 3-7
FINDING PATIENT INFORMATION .................................................................................... 3-13
MANAGING PATIENT EXAMS ........................................................................................... 3-15
CHANGING MEASUREMENTS ......................................................................................... 3-20
SYSTEM SETTINGS ................................................................................................. 3-23
GENERAL SYSTEM SETTINGS ........................................................................................ 3-24
DISPLAY SETTINGS .......................................................................................................... 3-27
PERIPHERALS SETUP ...................................................................................................... 3-30
SYSTEM INFORMATION.................................................................................................... 3-33
DICOM SETUP (OPTIONAL) .............................................................................................. 3-34
UTILITIES SETUP............................................................................................................... 3-47
OPTION SETUP. ................................................................................................................. 3-52
AUTO CALC. ....................................................................................................................... 3-54
MEASUREMENT SETUP .......................................................................................... 3-55
GENERAL MEASUREMENT SETUP ................................................................................. 3-56
OBSTERICS MEASUREMENT SETUP ............................................................................. 3-68
CARDIAC MEASUREMENT SETUP .................................................................................. 3-76
VASCULAR MEASUREMENT SETUP ............................................................................... 3-77
UROLOGY MEASUREMENT SETUP ................................................................................ 3-78
FETAL ECHO MEASUREMENT SETUP ............................................................................ 3-80
UTILITY ...................................................................................................................... 3-81
ECG ..................................................................................................................................... 3-82
BIOPSY ............................................................................................................................... 3-84
HISTOGRAM ....................................................................................................................... 3-85
POST CURVE ..................................................................................................................... 3-87
SETUP ................................................................................................................................ 3-92
MEASURE SETUP.............................................................................................................. 3-92
DEMO PLAY ........................................................................................................................ 3-92
Table of Contents 3
Chapter 7 Maintenance
SYSTEM MAINTENANCE........................................................................................... 7-2
INSTALLATION REQUIREMENTS....................................................................................... 7-2
CLEANING AND DISINFECTIONS ...................................................................................... 7-3
FUSE REPLACEMENT ........................................................................................................ 7-5
CLEANING AIR FILTERS ..................................................................................................... 7-6
ACCURACY CHECK ............................................................................................................ 7-7
6 SONOACE X8 Operation Manual
Chapter 8 Probes
PROBE ........................................................................................................................ 8-2
ULTRASOUND TRANSMISSION GEL ............................................................................... 8-10
SHEATHS ............................................................................................................................ 8-11
PROBE PRECAUTIONS ..................................................................................................... 8-12
CLIEANING AND DISINFECTING THE PROBE ................................................................ 8-13
MPTEE PROBE (OPTIONAL)............................................................................................. 8-22
BIOPSY...................................................................................................................... 8-26
BIOPSY KIT COMPONENT ................................................................................................ 8-26
USING THE BIOPSY KIT .................................................................................................... 8-27
CLEANING AND DISINFECTING OF BIOPSY KIT ............................................................ 8-29
ASSEMBLING THE BIOPSY KIT ........................................................................................ 8-31
** Reference Manual
SAMSUNG MEDISON is providing an additional SONOACE X8 Reference Manual (English).
GA tables and references for each application are included in the Reference Manual.
Chapter 1
Safety
The SONOACE X8 Diagnostic Ultrasound System and transducers are intended for diagnostic
ultrasound imaging and fluid analysis of the human body.
The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic,
Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esophageal, Muscular-Skeletal (conventional,
superficial), Cardiac Adult, Cardiac Pediatric and Peripheral-vessel.
Contraindications
The SONOACE X8 system is not intended for ophthalmic use or any use causing the acoustic
beam to pass through the eye.
Safety Signs
Please read this chapter before using the ultrasound system. It is relevant to the ultrasound
system, the probes, the recording devices, and any of the optional equipment.
SONOACE X8 is intended for use by, or by the order of, and under the supervision of, a
licensed physician who is qualified for direct use of the medical device.
Safety Symbols
The International Electro Technical Commission (IEC) has established a set of symbols for
medical electronic equipment, which classify a connection or warn of potential hazards. The
classifications and symbols are shown below.
Symbols Description
Caution
Symbols Description
ECG connector
USB connector
Microphone connector
Probe connector
Chapter 1. Safety 1-5
Symbols Description
Symbols
Symbols Description
Manufacturer
1-6 SONOACE X8 Operation Manual
Labels
To protect the system, you may see Warning or Caution marked on the surface of the product.
[Label 1. ID label]
Electrical Safety
This equipment has been verified as a Class I device with Type BF applied parts.
systems. Attention is drawn to the fact that local laws take priority over the above-mentioned
requirements. If in doubt, consult your local representative or the technical service department.
Electric shock may exist result if this system, including and all of its
externally mounted recording and monitoring devices, is not properly
grounded.
Do not remove the covers on the system; hazardous voltages are
present inside. Cabinet panels must be in place while the system is in
use. All internal adjustments and replacements must be made by a
qualified MEDISON Customer Service Department.
Check the face, housing, and cable before use. Do not use and
disconnect the power source, if the face is cracked, chipped, or torn,
WARNING the housing is damaged, or if the cable is abraded.
Always disconnect the system from the wall outlet prior to cleaning the
system.
All patient contact devices, such as probes and ECG leads, must be
removed from the patient prior to application of a high voltage
defibrillation pulse.
The use of flammable anesthetic gas or oxidizing gases (N2O) should
be avoided.
Avoid places where the system is likely to be difficult to operate the
disconnection device.
The system has been designed for 100-120VAC and 200-240VAC; you
should select the input voltage of printer and VCR. Prior to connecting
a peripheral power cord, verify that the voltage indicated on the power
cord matches the voltage rating of the peripheral device.
An isolation transformer protects the system from power surges. The
isolation transformer continues to operate when the system is in
standby.
CAUTION Do not immerse the cable in liquids. Cables are not waterproof.
The auxiliary socket outlets installed on this system are rated 100-
120V and 200-240V with maximum total load of 200W. Use these
outlets only for supplying power to equipment that is intended to be
part of the ultrasound system. Do not connect additional multiple-
socket outlets or extension cords to the system.
Do not touch SIP/SOP and the patient simultaneously. There is a risk
of electric shock from leakage current.
1 - 10 SONOACE X8 Operation Manual
ECG-Related Information
ESD
Electrostatic discharge (ESD), commonly referred to as a static shock, is a naturally occurring
phenomenon. ESD is most prevalent during conditions of low humidity, which can be caused by
heating or air conditioning. During low humidity conditions, electrical charges naturally build up
on individuals, creating static electricity. An ESD occurs when an individual with an electrical
energy build-up comes in contact with conductive objects such as metal doorknobs, file
cabinets, computer equipment, and even other individuals. The static shock or ESD is a
discharge of the electrical energy build-up from a charged individual to a lesser or non-charged
individual or object.
EMI
Although this system has been manufactured in compliance with existing EMI (Electromagnetic
Interference) requirements, use of this system in the presence of an electromagnetic field can
cause momentary degradation of the ultrasound image.
If this occurs often, MEDISON suggests a review of the environment in which the system is
being used, to identify possible sources of radiated emissions. These emissions could be from
other electrical devices used within the same room or an adjacent room. Communication
devices such as cellular phones and pagers can cause these emissions. The existence of
radios, TVs, or microwave transmission equipment nearby can also cause interference.
EMC
The testing for EMC(Electromagnetic Compatibility) of this system has been performed
according to the international standard for EMC with medical devices (IEC60601-1-2). This IEC
standard was adopted in Europe as the European norm (EN60601-1-2).
RF Emission
Class B
CISPR 11
The Ultrasound System is suitable for use in all
The probe listed in Chapter 8. Probes when used with this product, have been tested to
comply with the group1 class B emission as required by International Standard CISPR 11.
Electromagnetic
Immunity test IEC 60601 Test level Compliance level
environment -guidance
Surge 1KV differential mode 1KV differential mode Mains power quality should
be that of a typical commer-
IEC 61000-4-5 2KV common mode 2KV common mode cial or hospital environment.
NOTE U is the a.c. mains voltage prior to application of the test level.
1 - 14 SONOACE X8 Operation Manual
80MHz to 800MHZ
800MHz to 2.5GHz
Radiated RF 3 V/m 3V/m where P is the maximum output power rating of
IEC 61000-4-3 80 MHz the transmitter in watts (W) according to the
to 2.5GHz transmitter manufacturer and d is the recomm-
ended separation distance in meters (m).
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the measured field strength in
the location in which the Ultrasound System is used exceeds the applicable RF compliance level
above, the Ultrasound System should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or relocating
the Ultrasound System or using a shielded location with a higher RF shielding effectiveness and filter
attenuation.
b
Over the frequency range 150kHz to 80MHz, field strengths should be less than [V1] V/m.
Chapter 1. Safety 1 - 15
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where p is the maximum output power rating of the transmitter in watts (W) according to
the transmitter manufacturer.
NOTE 1) At 80MHz and 800MHz, the separation distance for the higher frequency range applies.
NOTE 2) These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
A medical device can either generate or receive electromagnetic interference. The EMC
standards describe tests for both emitted and received interference.
Medison Ultrasound Systems do not generate interference in excess of the referenced
standards.
An Ultrasound System is designed to receive signals at radio frequency and is therefore
Chapter 1. Safety 1 - 17
Mechanical Safety
Before transporting the product, check that the brakes on the front wheels are unlocked.
Also, make sure to retract the monitor arm completely so that it is secured in a stationary
position.
Always use the handles at the back of the console and move the product slowly.
This product is designed to resist shocks. However, excessive shock, for example if the product
falls over, may cause serious damage.
If the system operates abnormally after repositioning, please contact the MEDISON Customer
Service Department.
The Brakes
Brakes are mounted to the front wheels of the console only. To lock the brakes, press the top
part of the brake with your foot. To unlock them, press the part labelled OFF at the bottom of
the brake with your foot.
You can use the brakes to control the movement of the product. We recommend that you
lock the brakes when using the product.
Precautions on Ramps
Always make sure that the control panel is facing the direction of movement.
When moving the product down a ramp or resting it temporarily on a ramp, the product may
tilt over even with the brakes on depending on the direction of the product. Do not rest the
product on ramps.
Chapter 1. Safety 1 - 19
Safety Note
Do not press the control panel excessively.
Never attempt to modify the product in any way.
Check the operational safety when using the product after a prolonged
break in service.
Make sure that other objects, such as metal pieces, do not enter the
system.
CAUTION Do not block the ventilation slots.
To prevent damage to the power cord, be sure to grip the plug head not
the cord when unplugging.
Excessive bending or twisting of cables on patient-applied parts may
cause failure or intermittent operation of the system.
Improper cleaning or sterilization of a patient-applied part may cause
permanent damage.
Please refer to Chapter 7. Maintenance for detailed information on protecting, cleaning and
disinfecting the equipment.
Biological Safety
For more safety information on probes and biopsy, please refer to Chapter 8 'Probes.'
ALARA Principle
Guidance for the use of diagnostic ultrasound is defined by the as low as reasonably achievable (ALARA)
principle. The decision as to what is reasonable has been left to the judgment and insight of qualified
personnel. No set of rules can be formulated that would be sufficiently complete to dictate the correct
response for every circumstance. By keeping ultrasound exposure as low as possible, while obtaining
diagnostic images, users can minimize ultrasonic bioeffects.
Since the threshold for diagnostic ultrasound bioeffects is undetermined, it is the sonographers
responsibility to control the total energy transmitted into the patient. The sonographer must reconcile
exposure time with diagnostic image quality. To ensure diagnostic image quality and limit exposure time,
the ultrasound system provides controls that can be manipulated during the exam to optimize the results of
the exam.
The ability of the user to abide by the ALARA principle is important. Advances in diagnostic ultrasound not
only in the technology but also in the applications of the technology, have resulted in the need for more and
better information to guide the user. The output indices are designed to provide that important information
There are a number of variables, which affect the way in which the output display indices can be used to
implement the ALARA principle. These variables include mass, body size, location of the bone relative to
the focal point, attenuation in the body, and ultrasound exposure time. Exposure time is an especially
useful variable, because the user controls it. The ability to limit the index values over time support the
ALARA principle.
Chapter 1. Safety 1 - 21
Applying ALARA
The system-imaging mode used depends upon the information needed. 2D-mode and M-mode imaging
provide anatomical information, while Doppler, Power, and Color imaging provide information about
blood flow. Scanned modes, like 2D-mode, Power, or Color, disperse or scatter the ultrasonic energy
over an area, while an unscanned mode, like M-mode or Doppler, concentrates ultrasonic energy.
Understanding the nature of the imaging mode being used allows the sonographer to apply the ALARA
principle with informed judgment. The probe frequency, system set-up values, scanning techniques, and
operator experience aid the sonographer in meeting the definition of the ALARA principle.
The decision as to the amount of acoustic output is, in the final analysis, up to the system operator. This
decision must be based on the following factors: type of patient, type of exam, patient history, ease or
difficulty of obtaining diagnostically useful information, and the potential localized heating of the patient
due to probe surface temperatures. Prudent use of the system occurs when patient exposure is limited
to the lowest index reading for the shortest amount of time necessary to achieve acceptable diagnostic
results.
Although a high index reading does not mean that a bioeffect is actually occurring, a high index reading
should be taken seriously. Every effort should be made to reduce the possible effects of a high index
reading. Limiting exposure time is an effective way to accomplish this goal.
There are several system controls that the operator can use to adjust the image quality and limit the
acoustic intensity. These controls are related to the techniques that an operator might use to implement
ALARA. These controls can be divided into three categories: direct, indirect, and receiver control.
Direct Controls
Application selection and the output intensity control directly affect acoustic intensity. There are different
ranges of allowable intensity or output based on your selection. Selecting the correct range of acoustic
intensity for the application is one of the first things required during any exam. For example, peripheral
vascular intensity levels are not recommended for fetal exams. Some systems automatically select the
proper range for a particular procedure, while others require manual selection. Ultimately, the user
bears the responsibility for proper clinical use. The MEDISON system provides both automatic and
user-definable settings.
Output has direct impact on acoustic intensity. Once the application has been established, the output
control can be used to increase or decrease the intensity output. The output control allows you to select
intensity levels less than the defined maximum. Prudent use dictates that you select the lowest output
intensity consistent with good image quality.
Indirect Controls
The indirect controls are those that have an indirect effect on acoustic intensity. These controls affect
imaging mode, pulse repetition frequency, focus depth, pulse length, and probe selection.
The choice of imaging mode determines the nature of the ultrasound beam. 2D-mode is a scanning
mode, Doppler is a stationary or unscanned mode. A stationary ultrasound beam concentrates energy
on a single location. A moving or scanned ultrasound beam disperses the energy over a wide area and
the beam is only concentrated on a given area for a fraction of the time necessary in unscanned mode.
Pulse repetition frequency or rate refers to the number of ultrasound bursts of energy over a specific
period of time. The higher the pulse repetition frequency, the more pulses of energy in a given period of
1 - 22 SONOACE X8 Operation Manual
time. Several controls affect pulse repetition frequency: focal depth, display depth, sample volume depth,
color sensitivity, number of focal zones, and sector width controls.
Focus of the ultrasound beam affects the image resolution. To maintain or increase resolution at a
different focus requires a variation in output over the focal zone. This variation of output is a function of
system optimization. Different exams require different focal depths. Setting the focus to the proper
depth improves the resolution of the structure of interest.
Pulse length is the time during which the ultrasonic burst is turned on. The longer the pulse, the greater
the time-average intensity value. The greater the time-average intensity, the greater the likelihood of
temperature increase and cavitations. Pulse length or burst length or pulse duration is the output pulse
duration in pulsed Doppler. Increasing the Doppler sample volume increases the pulse length.
Probe selection affects intensity indirectly. Tissue attenuation changes with frequency. The higher the
probe operating frequency, the greater the attenuation of the ultrasonic energy. Higher probe operating
frequencies require higher output intensity to scan at a deeper depth. To scan deeper at the same
output intensity, a lower probe frequency is required. Using more gain and output beyond a point,
without corresponding increases in image quality, can mean that a lower frequency probe is needed.
Receiver Controls
Receiver controls are used by the operator to improve image quality. These controls have no
effect on output. Receiver controls only affect how the ultrasound echo is received. These
controls include gain, TGC, dynamic range, and image processing. The important thing to
remember, relative to output, is that receiver controls should be optimized before increasing
output. For example; before increasing output, optimize gain to improve image quality.
Additional Considerations
Ensure that scanning time is kept to a minimum, and ensure that only medically required
scanning is performed. Never compromise quality by rushing through an exam. A poor exam
will require a follow-up, which ultimately increases the time. Diagnostic ultrasound is an
important tool in medicine, and, like any tool, should be used efficiently and effectively.
The mechanical index is continuously displayed over the range of 0.0 to 1.9, in increments of 0.1.
The thermal index consists of the three indices, and only one of these is displayed at any one time.
Each probe application has a default selection that is appropriate for that combination. The TIb or TIs is
continuously displayed over the range of 0.0 to maximum output, based on the probe and application, in
increments of 0.1.
The application-specific nature of the default setting is also an important factor of index behavior. A
default setting is a system control state which is preset by the manufacturer or the operator. The system
has default index settings for the probe application. The default settings are invoked automatically by
the ultrasound system when power is turned on, new patient data is entered into the system database,
Chapter 1. Safety 1 - 23
The decision as to which of the three thermal indices to display should be based on the following
criteria:
Appropriate index for the application: TIs is used for imaging soft tissue; and TIb for a focus at or near
bone. Some factors might create artificially high or low thermal index readings e.g. presence of fluid or
bone, or the flow of blood. A highly attenuating tissue path, for example, will cause the potential for local
zone heating to be less than the thermal index displays.
Scanned modes versus unscanned modes of operation affect the thermal index. For scanned modes,
heating tends to be near the surface; for unscanned modes, the potential for heating tends to be deeper
in the focal zone.
Always limit ultrasound exposure time. Do not rush the exam. Ensure that the indices are kept to a
minimum and that exposure time is limited without compromising diagnostic sensitivity.
Mechanical bioeffects are threshold phenomena that occur when a certain level of
output is exceeded. The threshold level varies, however, with the type of tissue. The
potential for mechanical bioeffects varies with peak pressure and ultrasound frequency.
The MI accounts for these two factors. The higher the MI value, the greater the
likelihood of mechanical bioeffects occurring but there is no specific MI value that
means that a mechanical effect will actually occur. The MI should be used as a guide
for implementing the ALARA principle.
The Mechanical and Thermal Indices on the system are precise to 0.1 units.
The MI and TI display accuracy estimates for the system are given in the Acoustic Output Tables
manual. These accuracy estimates are based on the variability range of probes and systems,
inherent acoustic output modeling errors and measurement variability, as described below.
The displayed values should be interpreted as relative information to help the system operator
achieve the ALARA principle through prudent use of the system. The values should not be
1 - 24 SONOACE X8 Operation Manual
interpreted as actual physical values investigated tissue or organs. The initial data that is used to
support the output display is derived from laboratory measurements based on the AIUM
measurement standard. The measurements are then put into algorithms for calculating the
displayed output values.
Many of the assumptions used in the process of measurement and calculation are conservative in
nature. Over-estimation of actual in situ exposure, for the vast majority of tissue paths, is built into
the measurement and calculation process. For example:
The measured water tank values are de-rated using a conservative, industry standard, attenuation
coefficient of 0.3dB/cm-MHz.
Conservative values for tissue characteristics were selected for use in the TI models.
Conservative values for tissue or bone absorption rates, blood perfusion rates, blood heat
capacity, and tissue thermal conductivity were selected.
Steady state temperature rise is assumed in the industry standard TI models, and the assumption
is made that the ultrasound probe is held steady in one position long enough for steady state to
be reached.
A number of factors are considered when estimating the accuracy of display values: hardware
variations, algorithm accuracy estimation and measurement variability. Variability among probes
and systems is a significant factor. Probe variability results from piezoelectric crystal efficiencies,
process-related impedance differences, and sensitive lens focusing parameter variations.
Differences in the system pulse voltage control and efficiencies are also a contributor to variability.
There are inherent uncertainties in the algorithms used for estimating acoustic output values over
the range of possible system operating conditions and pulse voltages. Inaccuracies in laboratory
measurements are related to differences in hydrophone calibration and performance, positioning,
alignment and digitization tolerances, and variability among test operators.
The conservative assumptions of the output estimation algorithms of linear propagation, at all
depths, through a 0.3dB/cm-MHz attenuated medium are not taken into account in calculation of
the accuracy estimate displayed. Neither linear propagation, nor uniform attenuation at the
0.3dB/cm-MHz rate, occur in water tank measurements or in most tissue paths in the body. In the
body, different tissues and organs have dissimilar attenuation characteristics. In water, there is
almost no attenuation. In the body, and particularly in water tank measurements, non-linear
propagation and saturation losses occur as pulse voltages increase.
The display accuracy estimates take into account the variability ranges of probes and systems,
inherent acoustic output modeling errors, and measurement variability. Display accuracy
estimates are not based on errors in, or caused by measuring according to, the AIUM
measurement standards. They are also independent of the effects of non-linear loss on the
measured values.
Power
Power controls the system acoustic output. Two real-time output values are on the screen: a TI
Chapter 1. Safety 1 - 25
2D-mode Controls
2D-mode size
Narrowing the sector angle may increase the frame rate. This action will increase the TI. Pulse
voltage may be automatically adjusted down with software controls to keep the TI below the
system maximums. A decrease in pulse voltage will decrease MI.
Zoom
Increasing the zoom magnification may increase frame rate. This action will increase the TI. The
number of focal zones may also increase automatically to improve resolution. This action may
change MI since the peak intensity can occur at a different depth.
Persistence
A lower persistence will decrease the TI. Pulse voltage may be automatically increased. An
increase in pulse voltage will increase MI.
Focal no.
More focal zones may change both the TI and MI by changing frame rate or focal depth
automatically. Lower frame rates decrease the TI. MI displayed will correspond to the zone with
the largest peak intensity.
Focus
Changing the focal depth will change the MI. Generally, higher MI values will occur when the
focal depth is near the natural focus of the transducer.
Color Sensitivity
Increasing the color sensitivity may increase the TI. More time is spent scanning for color images.
Color pulses are the dominant pulse type in this mode.
Narrower color sector width will increase color frame rate and the TI will increase. The system
may automatically decrease pulse voltage to stay below the system maximum. A decrease in
1 - 26 SONOACE X8 Operation Manual
pulse voltage will decrease the MI. If pulsed Doppler is also enabled then pulsed Doppler will
remain the dominant mode and the TI change will be small.
Deeper color sector depth may automatically decrease color frame rate or select a new color focal
zone or color pulse length. The TI will change due to the combination of these effects. Generally,
the TI will decrease with increased color sector depth. MI will correspond to the peak intensity of
the dominant pulse type, which is a color pulse. However, if pulsed Doppler is also enabled then
pulsed Doppler will remain the dominant mode and the TI change will be small.
Scale
Using the SCALE control to increase the color velocity range may increase the TI. The system will
automatically adjust pulse voltage to stay below the system maximums. A decrease in pulse
voltage will also decrease MI.
Sec Width
A narrower 2D-mode sector width in Color imaging will increase color frame rate. The TI will
increase. MI will not change. If pulsed Doppler is also enabled, then pulsed Doppler will remain as
the primary mode and the TI change will be small.
Speed
M-mode and Doppler sweep speed adjustments will not affect the MI. When M-mode sweep
speed changes, TI changes.
Use of combination modes affects both the TI and MI through the combination of pulse types.
During simultaneous mode, the TI is additive. During auto-update and duplex, the TI will display
the dominant pulse type. The displayed MI will be from the mode with the largest peak pressure.
When Doppler sample volume depth is increased the Doppler PRF may automatically decrease.
A decrease in PRF will decrease the TI. The system may also automatically decrease the pulse
voltage to remain below the system maximum. A decrease in pulse voltage will decrease MI.
simultaneous modes, the TI is the sum of the contribution from the modes enabled and MI is the MI for
the focal zone and mode with the largest derated intensity. If a mode is turned off and then reselected,
the system will return to the previously selected settings.
Probe
Each probe model available has unique specifications for contact area, beam shape,
and center frequency. Defaults are initialized when you select a probe. MEDISON
factory defaults vary with probe, application, and selected mode. Defaults have been chosen
below the FDA limits for intended use.
Depth
An increase in 2D-mode depth will automatically decrease the 2D-mode frame rate. This would
decrease the TI. The system may also automatically choose a deeper 2D-mode focal depth. A
change of focal depth may change the MI. The MI displayed is that of the zone with the largest
peak intensity.
Application
Acoustic output defaults are set when you select an application. MEDISON factory defaults vary
with probe, application, and mode. Defaults have been chosen below the FDA limits for intended
use.
For more information about ultrasonic bioeffects and related topics refer to the following;
- AIUM Report, January 28, 1993, Bioeffects and Safety of Diagnostic Ultrasound
- Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1998:
Vol. 7, No. 9 Supplement
- Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment. (AIUM, NEMA.
1998)
- Acoustic Output Labeling Standard for Diagnostic Ultrasound Equipment (AIUM, 1998)
- Second Edition of the AIUM Output Display Standard Brochure, Dated March 10, 1994. (A copy
of this document is shipped with each system.)
- Information for Manufacturer Seeking Marketing Clearance of Diagnostic Ultrasound Systems
and Transducers. FDA. September 1997. FDA.
- Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on
Diagnostic Ultrasound Equipment. (Revision 1, AIUM, NEMA. 1998)
- WFUMB. Symposium on Safety of Ultrasound in Medicine: Conclusions and Recommendations
on Thermal and Non-Thermal Mechanisms for Biological Effects of Ultrasound, Ultrasound in
Medicine and Biology, 1998: Vol. 24, Supplement1.
the American Institute of Ultrasound in Medicine(AIUM) ratified a report prepared by its Bioeffects
Committee (Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept.
1988: Vol.7, No.9 Supplement), sometimes referred to as the Stowe Report, which reviewed available
data on possible effects of ultrasound exposure. Another report Bioeffects and Safety of Diagnostic
Ultrasound, dated January 28, 1993 provides more up to date information.
The acoustic output for this system has been measured and calculated in accordance with the
December 1985 510(K) Guide for Measuring and Reporting Acoustic Output of Diagnostic Ultrasound
Medical Devices, except that the hydrophone meets the requirements of Acoustic Output
Measurement Standard for Diagnostic Ultrasound Equipment (NEMA UD 2-1992)
Since the ultrasonic path during an examination is likely to pass through varying lengths and types of
tissue, it is difficult to estimate the true In Situ intensity. An attenuation factor of 0.3 is used for general
reporting purpose; therefore, the In Situ value which is commonly reported uses the formula:
( 0.069 lf )
In Situ (derated) = Water [ e ]
Since this value is not the true In Situ intensity, the term derated is used.
The maximum derated and the maximum water values do not always occur at the same operating
condition; therefore, the reported maximum water and derated values may not be related to the In Situ
(derated) formula. Take for example a multi-zone array transducer that has maximum water value
intensities in its deepest zone: the same transducer may have its largest derated intensity in one if its
shallowest focal zones.
ISPTA.3 The derated spatial-peak temporal-average intensity (milliwatts per square centimeter).
ISPPA.3 The derated spatial-peak pulse-average intensity (watts per square centimeter). The
value of IPA.3 at the position of global maximum MI (IPA.3@MI) may be reported
instead of ISPPA.3 if the global maximum MI is reported.
MI The Mechanical Index. The value of MI at the position of ISPPA.3, (MI@ISPPA.3) may
be reported instead of MI (global maximum value) if ISPPA.3 is 190W/cm2
Pr.3 The derated peak rarefactional pressure (megapascals) associated with the transmit
pattern giving rise to the reported MI value.
WO The ultrasonic power (milliwatts). For the operating condition giving rise to ISPTA.3,
WO is the total time-average power;. For operating conditions subject to reporting
under ISPPA.3, WO is the ultrasonic power associated with the transmit pattern giving
rise to the value reported under ISPPA.3
fc The center frequency (MHz). For MI and ISPPA.3, fc is the center frequency
associated with the transmit pattern giving rise to the global maximum value of the
respective parameter. For ISPTA.3, for combined modes involving beam types of
unequal center frequency, fc is defined as the overall ranges of center frequencies of
the respective transmit patterns.
ZSP The axial distance at which the reported parameter is measured (centimeters).
x-6,y-6 are respectively the in-plane (azimuth) and out-of-plane (elevation) -6 dimensions in
the x-y plane where ZSP is found (centimeters).
PD The pulse duration (microseconds) associated with the transmit pattern giving rise to
the reported value of the respective parameter.
PRF The pulse repetition frequency (Hz) associated with the transmit pattern giving rise to
the reported value of the respective parameter.
EBD The entrance beam dimensions for the azimuth and elevation planes (centimeters).
EDS The entrance dimensions of the scan for the azimuth and elevation planes (centimeters).
Systematic Uncertainties.
For the pulse intensity integral, derated rarefaction pressure Pr.3, center frequency and pulse
duration, the analysis includes considerations of the effects on accuracy of:
Hydrophone calibration drift or errors.
1 - 30 SONOACE X8 Operation Manual
The document includes analysis and discussion of the sources of error / measurement effects
due to:
Balance system calibration.
Absorbing (or reflecting) target suspension mechanisms.
Linearity of the balance system.
Extrapolation to the moment of switching the ultrasonic transducer (compensation for ringing
and thermal drift).
Target imperfections.
Absorbing (reflecting) target geometry and finite target size.
Target misalignment.
Ultrasonic transducer misalignment.
Water temperature.
Ultrasonic attenuation and acoustic streaming.
Coupling or shielding foil properties.
Plane-wave assumption.
Environmental influences.
Excitation voltage measurement.
Ultrasonic transducer temperature.
Effects due to nonlinear propagation and saturation loss.
The overall findings of the analysis give a rough Acoustic Power accuracy figure of +/- 10% for the
frequency range of 1 - 10 MHz.
Environmental Protection
Chapter 1. Safety 1 - 31
This symbol is applied in the European Union and other European countries.
This symbol on the product indicates that this product shall not be treated as household waste.
Instead it shall be handed over to the applicable collection point for the recycling of electrical
and electronic equipment. By ensuring this product is disposed of correctly, you will help
prevent potential negative consequences for the environment and human health, which could
otherwise be caused by inappropriate waste handling of this product. The recycling of materials
will help to conserve natural resources. For more detailed information about recycling of this
product, please contact your local city office, your electrical and electronic waste disposal
service or the shop where you purchased the product.
Chapter 2
Introduction
And Installation
What is SONOACE X8? ................................................................................................. 2
Features and Advantages of SONOACE X8 ............................................................................ 2
Specifications ................................................................................................................. 3
Product Configuration and Installation ........................................................................... 6
Monitor ...................................................................................................................................... 6
Console................................................................................................................................... 17
Peripheral Devices.................................................................................................................. 20
Probe ...................................................................................................................................... 22
Accessories ............................................................................................................................ 23
Optional Functions.................................................................................................................. 24
2-2 SONOACE X8 Operation manual
The SONOACE X8 is a high-resolution color ultrasound scanner with high penetration and a
variety of measurement functions.
Various diagnostic Modes - 2D Mode, M Mode, Color Doppler Mode, Power Doppler
Mode, PW Spectral Doppler Mode, CW Spectral Doppler Mode, ElastoScanTM Mode,
etc.
Measurement and Report Functions Besides the basic distance, area, circumference
and volume measurement functions, the SONOACE X8 also provides application-
specific measurement functions. The report function collates measurement data.
Specifications
2D imaging mode
M imaging mode
Color Doppler Imaging (CDI) mode
Power Doppler Imaging (PDI) mode
Directional Power Doppler Imaging (DPDI) mode
Power Pulse Inversion Imaging (PPII) mode
Pulse Wave (PW) Spectral Doppler imaging mode
Imaging modes Continuous Wave (CW) Spectral Doppler imaging mode
ElastoScanTM mode
3D imaging mode
Dual modes
Quad modes
Combined modes
Simultaneous mode
Zoom
Volume Probe
3D2-6ET, 3D4-8EK, 3D4-8ET, 3D4-9ES, 3D5-9EK, 3DC2-6
Probes
CW
CW2.0, CW4.0
ECG Type BF
TGC control
Mode-independent gain control
Acoustic power control (adjustable)
Signal processing Dynamic aperture
Dynamic apodization
(Pre-processing) Dynamic range control (adjustable)
Image view area control
M-mode sweep speed control
Chapter 2. Introduction And Installation 2-5
Frame average
Edge Enhancement / Blurring
Signal processing Gamma-scale windowing
Image orientation (left/right and up/down, rotation)
(Post-processing)
White on black/black on white
Zoom
VCR
Video Page Printer
Color Video Page Printer
USB Video Printer
USB Color Video Printer
Auxiliary Inkjet Printer
Laser Printer
USB MO Driver
Foot Switch(IPX1)
USB Flash Memory Media
Monitor
Operating: 10 OC ~ 35OC
Temperature Limits Storage & Shipping: -25OC ~ 60OC
2-6 SONOACE X8 Operation manual
Monitor
The monitor of this system is a color VGA monitor, which displays ultrasound images and
additional information. Use the monitor arm to adjust the height or position of the monitor.
Monitor Display
The monitor displays ultrasound images, operation menus and a variety of other information.
The screen is divided into six sections: Title, Menu, Image, Thumbnails, User
Information, and Flexible Softmenu.
Title Area
This section displays the Logo, Patient Name, Hospital Name, Application, Frame Rate &
Depth, Probe Information, Acoustic Output Information and Date & Time.
Menu
The menu is divided into 3 kinds: Image adjustment menu, Measurement menu, and
Utility menu. Use Menu dial-button to select an item from the menu.
Image Area
The ultrasound image, image information, annotation, and measurement are displayed in
the image area.
Thumbnails Area
Saved images, by pressing the Save button on the control panel, are displayed in the
thumbnails area.
Click a thumbnail with a pointer to enlarge.
User information area provides a variety of information necessary for system use e.g.
current system status, bodymarkers, and so on.
: Shows the total disk space and available disk space for the system.
: Shows whether a removable disk is connected to the system. Double-click the
icon to display the Storage Manager window.
: Shows Caps Lock On When user press the Caps Lock on the alphanumeric
keyboard. Under the Caps Lock On status, user can input text as large
character.
Flexible Softmenu
The items that appear in the menu vary depending on the current status of the system.
To set or change a Softmenu item, use the flexible softmenu button with the
corresponding number in the control panel.
2-8 SONOACE X8 Operation manual
Control Panel
The control panel can be used for controlling the system. It consists of the following four
sections:
Function keys for mode selection and scanning, located on the right side of the control
panel.
Function keys for annotation and measurements, located around the Trackball.
Menu selection buttons, located on the left side of the control panel.
An keyboard, located under the control panel.
The user can manipulate the control panel using Dial-Button, Button, Slide, Trackball,
Keyboards. The dial-button can be used both as a dial and a button.
Chapter 2. Introduction And Installation 2-9
Power On/Off
Pressing the On/Off button over five seconds turn off the power forcibly. It
CAUTION can cause hard disk damage.
2 - 10 SONOACE X8 Operation manual
This is used to appear the Patient Information window for patient selection
Patient
and information entry.
This is used to finish the exam of the currently selected patient and reset
End Exam.
the related data.
Pressing this dial-button while in other single image modes will return the
system to 2D Mode from other image modes. However, pressing this again
while in 2D mode does not turn it off.
Pressing this button while in combine modes will return the system to single
2D / Ref. Slice
image modes.
Turning this dial-button again when in 2D mode adjusts the 2D Gain. Also,
turning this dial-button when in 3D View adjusts the reference slice of the
image.
Press this button in Dual or Quad Mode to switch to Single Mode, in which
Single
only a single diagnosis mode is available.
Image Adjustment
Press this button to turn SRF function on / off. The SRF mark is
SRF
displayed on the top of the image.
2 - 12 SONOACE X8 Operation manual
Press this button to turn Quick Scan function on. The Q mark is displayed
on the top of the image.
QScan This button is activated for specific diagnostic applications with specific
probes only.
Press the Exit button to exit Quick Scan Mode.
This is used to adjust Wall Filter values in Color Doppler Mode, Power
Doppler Mode and Spectral Doppler Mode.
Filter
Turn this dial clockwise / counter clockwise to increase / decrease the
Wall Filter values.
This is used to adjust the speed of blood flow (or frequency) range in
Color Doppler Mode, Power Doppler Mode and Spectral Doppler Mode.
Scale
Turn this dial clockwise / counter clockwise to expands / reduces the
speed range (frequency).
When this is pressed, a Body Marker list appears. Select a specific Body
BodyMarker
Marker, and it appears on the selected display.
When this is pressed, an arrow marker appears to point to the parts of the
Indicator
displayed image.
When this is pressed, the text, Indicator, Body Marker, and measurement
Clear
data are erased from the displayed image.
This button is used to perform the special function as you set before.
User Key 1,2
Refer to Peripherals setup of Chapter 3. Setting.
This is used to move the cursor on the display and to scroll through CINE
Trackball
images.
Exit This is used to exit the current mode and return to initial settings.
This is used to change the current Trackball function. For example, you
Change can reset the position of the last point specified during measurement or
change the position of the cursor during text input.
Menu
Switch menus when using more than one menu. Each time the button is
Change Menu
pressed, the menu is toggled.
Utility
The Flexible Soft Menu is divided into top and bottom rows. Depending on the situation, you can
use two functions with one soft button.
- Soft Menu Top (): Turn the Soft Menu dial-button to select or adjust a function.
- Soft Menu Bottom (): Press the Soft Menu dial-button to select or adjust a function.
Keyboard
The alphanumeric keyboard is used to type in text. Some function keys are related to
measurement.
However, when the Quick Text checkbox under Setup is checked, you can
F2
enter text by using the Alphanumeric keyboards without pressing the
button
Each time this button is pressed, Image Data Gray Scale Bar / Color
Bar TGC disappear from the screen in that order. After they have
Space bar
disappeared, all three sets of data are displayed again if the Space Bar is
pressed.
Console
The console consists of two parts the inner unit and the outer unit. The interior of the console
mainly contains devices that produce ultrasound images. On the exterior of the console are
various connectors, probe holders, storage compartments, handles, wheels, etc.
Rear Panel
A monitor and other peripheral devices like printer, VCR, etc. are connected via the rear
panel at the back of the system.
VGA (Output)
The VGA signal is sent to the monitor.
Parallel (Output)
Devices such as standard PC printers are connected via the parallel port.
USB (Input/Output)
USB peripheral devices are connected via the USB port. There is another USB port in
the front panel to connect the USB storage device.
LAN (Input/Output)
DICOM can be connected via the LAN port. Patient information is transferred to another
server via the DICOM network.
AUDIO (Input/Output)
Use to Input or output Audio signals.
Chapter 2. Introduction And Installation 2 - 19
VHS (Input/Output)
Connect the VCR using the VHS method.
S-VHS (Input/Output)
Connect the VCR using the S-VHS method.
Printer (Output)
Echo printer connection.
Probe Holder
A probe holder is mounted at the left and right side of the control panel.
2 - 20 SONOACE X8 Operation manual
Peripheral Devices
NOTE Refer to the operation manual of peripheral device about its operating.
DVD-Multi
When using a peripheral device from a USB port, always turn the power
off before connecting/disconnecting the device. Connection/discon-
CAUTION nection of USB devices during power-on may lead to malfunction of the
system and USB devices.
When remove the removable disk, use Utility > Storage manager.
USB ports are located both on the front panel and the rear panel of
the console.
NOTE We recommend that you connect USB storage devices (MO drive,
flash memory media, etc.) to the ports on the front panel and other
USB peripheral devices to the rear panel for added convenience.
Foot Switch
Set the function of the foot switch in Utility > Setup > Peripherals > Foot Switch;
Freeze, Update, Record, Print, Store, or Volume Start.
Others
Flash Memory media
If you use the USB 1.1 flash memory, the system cannot
recognize it. In the case of this, delete the flash memory from
the console and quip again.
NOTE Regarding file formats that are not ordinarily saved: Please
check first to see if it is possible to save the file format on a
desktop PC before trying to save the file on a Flash Memory.
2 - 22 SONOACE X8 Operation manual
Probe
Probes are devices that generate ultrasound waves and process reflected wave data for the
purpose of image formation.
Connecting probes
Be sure to connect or disconnect probes when the power is off to ensure the safety of the
system and the probes.
1. Equip probes to the probe connectors on the front panel of the system. A maximum
of three probes can be connected at one time. The CW probe should only be
connected to its own connector.
2. Turn the connector-locking handle clockwise.
Accessories
An accessory box containing the items below is supplied with the product.
Optional Functions
This product has the following optional functions:
4D
XI STIC
3D XI
Auto IMT
CW Function
ElastoScan
Cardiac Measurement
Panoramic
Dynamic MR / Dynamic MR+
Stressecho
DICOM
Strain
Spatial Compound
For further information about optional functions, please refer to the relevant chapters in this
manual.
Chapter 3
Settings
PROBES & APPLICATIONS ...........................................................................................3
Probe Selection and Application ............................................................................................ 4
Changing Application ............................................................................................................. 4
Editing Probe Preset Values .................................................................................................. 4
PATIENT INFORMATION ...............................................................................................6
Patient Information for Application ......................................................................................... 7
Finding Patient Information .................................................................................................. 13
Managing Patient Exams ..................................................................................................... 15
Changing Measurements ..................................................................................................... 20
SYSTEM SETTINGS .....................................................................................................23
General System Settings ..................................................................................................... 24
Display Settings ................................................................................................................... 27
Peripherals Setup ................................................................................................................ 30
System Information .............................................................................................................. 33
DICOM Setup (Optional) ...................................................................................................... 34
Utilities Setup ....................................................................................................................... 47
Option Setup ........................................................................................................................ 52
Auto Calc ............................................................................................................................. 54
MEASUREMENT SETUP .............................................................................................55
General Measurement Setup ............................................................................................... 56
Obstetrics Measurement Setup ........................................................................................... 68
Cardiac Measurement Setup ............................................................................................... 76
Vascular Measurement Setup .............................................................................................. 77
Urology Measurement Setup ............................................................................................... 78
Fetal Echo Measurement Setup .......................................................................................... 80
3-2 SONOACE X8 Operation manual
UTILITY......................................................................................................................... 81
ECG ...................................................................................................................................... 82
Biopsy ................................................................................................................................... 84
Histogram ............................................................................................................................. 85
Post Curve ............................................................................................................................ 87
Setup .................................................................................................................................... 92
Measure Setup ..................................................................................................................... 92
Demo Play ............................................................................................................................ 92
Storage Manager .................................................................................................................. 93
Userset Manager .................................................................................................................. 95
Bodymarker Edit ................................................................................................................... 96
STRESS ECHO (OPTIONAL) ....................................................................................... 98
Protocol Screen .................................................................................................................... 98
Protocol Template Editor .................................................................................................... 102
Stress Echo Review ........................................................................................................... 105
Chapter 3. Settings 3-3
Please refer to Chapter 8 Probes for more information about the probes
CAUTION supported by this system.
Press the Probe button on the control panel and then the Probe Selection screen will appear.
In this window, you can select or change probes and applications and edit probe presets.
Changing Application
1. After checking the currently selected probe, select an application using the Trackball and
Set button.
2. Press the Flexible Soft dial-button [5] Ok on the screen. Press the Flexible Soft
dial-button [6] Cancel to cancel a selection.
- A userset such as User1 and User2 can be selected for each setting. Usersets are
available under Preset.
2. Press the Flexible Soft dial-button [5] Ok on the screen. Press the Flexible Soft
dial-button [6] Cancel to cancel a selection.
Chapter 3. Settings 3-5
To change the value for presets, press Utility. Refer to Utility in this
NOTE chapter for details.
3-6 SONOACE X8 Operation manual
Patient Information
Press the Patient button on the control panel and the Patient Information screen will appear on
the screen.
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.
ID
Enter a patient ID.
- To enter it manually, enter an ID in the ID field.
- To enter it automatically, select Auto ID Creation and press New. The icon is
changed to .
- If you enter an ID that exists already, the icon next to the ID field is changed to .
Name
Enter patients full name.
- Last Name: Enter the patients last name.
- First Name: Enter the patients first name.
- Middle Name: Enter the patients middle name.
The name that you have entered will appear in the title area and reports.
Representation
Specify how the names of Asian patients, including Korean, Chinese and Japanese
are displayed.
- Roman: Type in Roman letters.
- Ideographic: Type in ideographic letters.
- Phonetic: Type in phonetic letters.
Chapter 3. Settings 3-7
Birth
Enter the patients birth date in the specified format.
Age
Enter the patients 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.
Accession
When viewing the worklist for a patient via the DICOM server, this information is
automatically filled.
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 patients height in Inches (in.) or Centimetres (cm). Press the unit button to
change the unit. When the unit is changed, the entered number is automatically
recalculated and displayed in the changed unit.
Weight
Enter the patients weight in Ounces (oz), Pounds (lb) or Kilograms (Kg). Press the unit
to change it.
HR (Heart Rate)
Enter a heart rate.
Sonographer
Enter the name of the sonographer who scanned the patient. When there is more than
one sonographer available, 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.
Chapter 3. Settings 3-9
Indication
Enter a brief description of the symptom or disease.
OB
In Category, select OB. Enter additional information for OB.
GA (LMP)
It indicates the gestational age of a patient.
You can enter it manually in the specified format, or have it automatically calculated and
displayed with the LMP entered.
3 - 10 SONOACE X8 Operation manual
EDD (LMP)
With the LMP or GA entered, EDD (Expected Date of Delivery) is calculated and
displayed.
Ovul. Date
Enter an ovulation date in the specified format. LMP, GA, and EDD will be automatically
calculated and displayed.
Gestations
Enter the number of fetuses, up to maximum of 4.
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.
Para
Enter the number of deliveries.
Aborta
Enter the number of miscarriages.
Chapter 3. Settings 3 - 11
New Pregnancy
Delete previous OB data for this patient.
Gynecology
In Category, select Gynecology. Enter additional information for Gyn. This is the same
information as for OB.
Cardiac
In Category, select Cardiac. Enter additional information for Cardiac.
BP (Body Pressure)
Enter maximum/minimum blood pressures.
Urology
In Category, select Urology. Enter additional information for Urology.
Local Search
Search through the information stored in the system.
1. In Search Source, select Local.
3. In the search window, enter an ID or name and press Search. The list of patients
who meet the conditions will appear. Pressing Search All will show a list of all the
patients stored in the system.
Worklist Search
Perform a search by connecting to the DICOM Modality Worklist server in the hospital
network.
1. In Search Source, select Worklist.
2. Enter more than one item from among Patient ID, Last Name, Accession # or
Procedure ID, and then press Search. The list of patients who meet the condition will
appear.
- In the list, press Date/Time or Patient Name to sort the information alphabetically
or numerically by the selected item.
3. Select the desired patient and press Apply. The information on the selected patient will
be applied to the system.
The worklist server is configured under the DICOM tab on the Setup screen.
NOTE
Please refer to DICOM Setting in this chapter.
Chapter 3. Settings 3 - 15
The exam list appears only when a patient searches is completed and the
NOTE
related patient information is applied to the system.
In addition to the patient ID, Age and Gender, information such as the Exam Date, the number
of images stored (Images), the measurement status (Measure), the report creation status
(Structured Report, SR), the stress echo exam status (Stress Echo, SE), the exam transfer
status (Storage Commit, SC) and the lock status are displayed. You can press ID or Name to
sort the information alphabetically or numerically by the selected item.
To select more than one exam, press the Set button while holding down the Ctrl button on the
keyboard.
Executing Exam
Use the Trackball and the Set button to select an exam, and then press Review Exam or
Continue Exam on the screen. For an exam currently being executed, the button is
displayed as Current Exam and disabled.
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
NOTE exam was executed earlier than this, the button is displayed as
Review Exam.
3 - 16 SONOACE X8 Operation manual
Continue Exam
In addition to using the Resume Exam function, you can update the current scan with
the exam executed previously.
The selected exam appears on the screen and scanning is available. The initial
execution date for the corresponding exam (Exam Resumed) is displayed in the
feedback area.
Double-clicking a stored image in the thumbnail area in 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 in the right side of the screen retrieves the image and displays the initial
execution date for the corresponding exam (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 by using the Trackball and the Set button, and press Review on the
screen. Switch to the SONOVEIW screen.
Deleting Exam
Select an exam by using the Trackball and the Set button, and press Delete on the screen. All
images for the exam will be deleted. However, an exam in progress or a locked exam cannot be
deleted.
1. Select an exam(s) and then press Send on the screen. The DICOM Storage window
will appear.
- To check the connection between the server and DICOM before sending, press Test.
3. Pressing Transfer starts a transfer and displays the transfer progress (%). To cancel
the transfer, press Close.
Exporting Exam
You can save the selected exams in an external storage device.
1. Select exam(s) and then press Export on the screen. The Image Export window will
be displayed.
2. Under Drive, select a media where the selected exams will be saved. You can select
MO, CD-ROM or Flash Memory.
3. Under File Name, specify the file name. The same file name is assigned to all images
associated with an exam. When there is more than one image, a serial number is
automatically appended to the end of the file name.
4. Under File Format, specify a file format in which files will be saved. You can select
BMP, JPEG, TIFF or DICOM.
5. Under Export Option, select a file option(s). You can select more than one option.
- 3D Volume Data: Export the 3D volume data along with an image.
- 2D Cine: Convert the stored Cine image to an .AVI file before exporting.
- 3D and Live Cine: Convert the 3D Cine and Live Cine images to an .AVI file before
exporting.
- Hide Patient Information: Export an image without a patient ID and name.
6. Under Directories, select a location where the selected exams will be saved. To
create a new directory, press and specify a directory name. To delete a directory,
press . Under Files, files saved in the storage device are displayed.
7. Press Export to start saving. To cancel saving, press Close.
Chapter 3. Settings 3 - 19
Backing up Exam
You can back up the selected exams in an external storage device.
1. Connect a storage media for backup. MO, CD-ROM or Flash Memory can be used.
2. Select an exam(s) and then press Backup on the screen.
3. A confirmation window will appear asking whether to continue the backup. Press Yes
to continue. Press No to cancel.
4. The Select Drive window will appear. Under Drive, select the media where the
selected exams will be saved.
5. Press Ok to start the backup. Press Cancel to cancel.
Changing Measurements
In the Patient Information screen, press the Measure Data tab. Under the Measure Data tab,
you can enter obstetrics measurements for a patient or check the existing measurements. Press
the button, and the Insert screen will appear.
This option is available for obstetrics only and enabled only when a
patient ID is selected.
NOTE If OB data has been changed under New Pregnancy at Patient
Information > Study Information > OB, enter LMP before
measurement data can be changed.
Exam. Date
Enter the measurement date.
Fetus
If the fetus is a twin, identify each fetus. Up to 4 fetuses (A, B, C, D) can be specified.
Exam No.
Up to 8 exam numbers can be entered for each date. An exam number appears next to
the Fetus field.
New Data
Cancel all measurement data entered for other exams and enter new measurement
data.
Clear
Cancel entering the measurement data.
Insert
Complete entering the measurement data.
Page Browse
Use the [>>] or [<<] button.
Chapter 3. Settings 3 - 21
View
Switch to the View screen.
Package
Select a measurement package to display on the screen. Enter the measurement date.
Refresh
Update the measurement data. New measurements, or the measurements entered,
are added.
Save
The Save To Excel window appears, allowing you to save information on the screen in
an Excel file. By default, the Excel file name is set to the measurement ID.
After specifying the target path and file name, press Save to save the information. To
cancel saving, press Close.
Insert
Switch to the Insert screen.
3 - 22 SONOACE X8 Operation manual
System Settings
This mode is used for system settings. It does not affect image output. The setup may be
modified depending on specific needs or preferences.
1. Press the Utility button on the control panel and select Setup in the menu.
2. The Setup screen will appear. Select a tab that has items to specify.
Title
You can specify information displayed in the title area on the screen.
Institution
Enter the name of the hospital/institution where the product is installed.
Date
3. If it is properly set, press Apply to apply changes. Press OK to close the Date & Time
window. To cancel, press Cancel or the Exit button on the control panel.
Date Format
Specify the date format. Select a desired date format by pressing the combo button.
The date format that you specify will be applied to various date fields in Patient
Information.
Time
The current time is displayed.
Time Format
Specify the time format. Select a desired time format by pressing the combo button.
Prospective
When Store Clip is pressed during scanning, the subsequent images are saved.
Retrospective
When Store Clip is pressed during scanning, the previous images are saved.
Scan Mode
Simultaneous Mode
This determines whether to enable simultaneous mode in Spectral Doppler Mode.
- Off: Select this if you do not wish to use simultaneous mode.
- Allow B/PW: Select this if you do not wish to use simultaneous mode in 2D/C/PW
modes but do wish to use it in 2D/PW mode.
- Allow B/C/PW: Select this if you wish to use simultaneous mode for both 2D/PW and
for 2D/C/PW.
3 - 26 SONOACE X8 Operation manual
Doppler Axis
Select the axis scale unit in Spectral Doppler Mode.
- Velocity: Specify the Doppler axis scale unit in cm/s (mm/s).
- Frequency: Specify the Doppler axis scale unit in KHz.
Control
You can specify display-related options.
Display Settings
Select the Display tab in the Setup screen. Specify display-related options.
Display
Option
You can specify more than one item. Use the Trackball and the Set button to select a
desired item and check or uncheck it.
- Auto Freeze: If the product is unused for 10 minutes, the scan mode will be
automatically stopped.
- Post Map: This sets whether to display the Post Map in the feedback area on the
screen.
- TGC Line: This sets whether to display the TGC line.
- VCR Counter: This sets whether to show the VCR Counter on the screen when a
3 - 28 SONOACE X8 Operation manual
VCR is connected to a serial port. When the counter interferes with an image and is
turned off, it will appear during recording only.
- Image Info: This sets whether to display image information. When the image
information interferes with an image and is turned off, it will not be displayed.
- Name + Age: This sets whether to display the patient ID, name and age.
- Bodymarker after freeze: Bodymarker mode starts automatically after pressing
Freeze button.
- TI (Thermal Index) Display: Specify the TI to display on the screen as TIs (Soft tissue
Thermal Index), TIb (Bone Thermal Index) or TIc (Cranial bone Thermal Index).
Freeze Action
Select a function to execute when the Freeze button on the control panel is pressed.
Available options are Bodymarker, Caliper, Measure and None.
2D/C Live
Specify how Color Doppler Mode is displayed in 2D/C Live Mode. In the 2D menu, if
Horizontal Dual is On, it can be placed in the up/down positions, and if not, it can be
placed in the left/right positions.
- Left/Up: Color Doppler Mode is displayed in the left or up position.
- Right/Down: Color Doppler Mode is displayed in the right or down position.
- Disable Horizontal Format: Turn off the Horizontal Dual function in 2D/C Live Mode.
Font
Font
Select the font to use in.
Font Name
Select the font type to use.
Chapter 3. Settings 3 - 29
Font Size
Select the font size to use.
Font Color
Select the font colour to use.
Preview
Preview window displays the font you selected.
Default
Go back to the default setting like below.
Font Size 11 11
Peripherals Setup
Select the Peripherals tab in the Setup screen. You can configure keys, buttons and the
peripheral devices connected to the product.
Peripherals
VCR Model
Select the type of VCR Model from Panasonic MD 835, Sony DVO-1000MD, JVC BD-
X201 or Sony SVO 9500.
You should reboot the system before you can use the configured VCR.
COM
Configure a device to connect to a serial port. Available devices are VCR and Open
Line Transfer. If you select Reserve, the COM port will not be used.
Foot Switch
Set the function of the left and right pedals of the foot switch. You can select one of the following
functions for each pedal.
Freeze Print
Update Store
Record Volume Start
Print Setup
Printer Orientation
NOTE This option is available only for an Echo printer that uses roll paper.
Print Key
Set the functionality of the Print 1 and Print 2 buttons on the control panel. Select from
Analog Printer, Digital Printer or Record. Also set a printer or VCR to use when each
button is pressed.
System Information
Select the Infor tab in the Setup screen. Information about the system S/W version will be
displayed.
For more information, please refer to the user manual for the server
NOTE equipment or the DICOM Conformance Statement.
DICOM Configuration
The information on the DICOM server used by the system is displayed.
You can change the information, or add or delete a server. The server information is used
to identify DICOM for the system in a network. It is also used to transfer data between
other DICOM servers.
AE Title
Enter the name of the DICOM AE (Application Entity). The title is used to identify
devices that use DICOM in a network. (E.g. US1, US2, etc.)
Station Name
Enter the name of the system. Along with AE Title, it is often used to identify the
system in the DICOM network. (E.g. X81, X82, etc.)
Port No.
Enter the port number of the server being used.
The DICOM Send Format settings are applied at the time when an image
NOTE is saved. For example, when set to Gray, an image is saved as a
grayscale image.
DICOM Compression
Specify whether to compress the still (Cine) images for which DICOM services will be used.
Select either Uncompressed or JPEG Baseline by using the combo button. When
Uncompressed is selected, images are saved without being compressed.
Display Compensation
Configure the post curve settings for the images for which DICOM services will be used.
Click this button to display the Display Compensation window.
Adjust gamma, brightness, and contrast by using the slider for each option. Click Default to
revert to the system defaults.
Display Compensation
Adjusting the post curve settings for images allows other monitors to display them as
close as possible to the original images, which is convenient in diagnosis.
3 - 36 SONOACE X8 Operation manual
Services
Select the type of service to use via DICOM. The supported DICOM servers are
Storage, Print, Worklist, PPS, SC and Storage SR.
Alias
Enter the name of the DICOM server.
AE Title
Enter the AE title of the DICOM server. Consult your network administrator before
specifying this option.
Transfer Mode
Select a transfer method:
- Batch: Send all saved images when you click the End Exam button.
- Send As You Go: Send an image whenever you press the Save button to save it.
- Manual: Send the specified image in Exam List or SonoView.
Connect Timeout
Specify how long the system will wait until it receives a response from the DICOM
server. You can specify it in seconds.
IP Address
Enter the IP address of the server being used. Consult your network administrator
before specifying this option.
Chapter 3. Settings 3 - 37
Port No.
Enter the port number of the server being used. Consult your network administrator
before specifying this option.
Retry Interval
Specify how long the system will wait before it retries when transmission fails. You can
specify it in seconds.
Maximum Retries
Specify how many times the system will retry when transmission fails.
Include 3D Volume
Specify whether to transfer the 3D volume data when transferring a 3D image.
NOTE Depending on the printer, some of the following functions may not be
available. Before configuring a printer service, please refer to the user
manual for the printer or the DICOM Conformance Statement.
Color
Specify whether to use colors. Select Grayscale or RGB.
Format
Specify the paper layout. Select from 11, 12, 22, 23, 33, 34, 35, 44,
45 and 46.
Orientation
Specify the paper orientation. Select Landscape or Portrait.
Magnification
When resizing an image to print, specify the interpolation. Select from Replicate,
Bilinear, Cubic and None.
Border Density
Specify the border density of an image to print. Select Black or White.
Empty Density
Specify the background color of an image to print. Select Black or White.
Chapter 3. Settings 3 - 39
Min Density
Specify the minimum brightness of an image to print. If this option is not specified, the
default value is applied.
Max Density
Specify the maximum brightness of an image to print. If this option is not specified, the
default value is applied.
Medium Type
Specify the paper type. Select from Paper, Clear Film, Blue Film, Mammo Clear Film
and Mammo Blue Film.
Film Size
Specify the paper size. Select from 8 inch10 inch, 5 inch11 inch, 10 inch12 inch,
10 inch14 inch, 11 inch14 inch, 11 inch17 inch, 14 inch14 inch, 14 inch17
inch, 24cm24cm, 24cm30cm, A4 and A3.
Destination
Specify the paper pathway. Select Magazine or Processor.
Smoothing Type
This option is available only when Magnification is set to CUBIC. Enter a value
specified in the DICOM Conformance Statement for the printer.
Priority
Specify a priority for the print command. Select from High, Med and Low.
Copies
Enter the number of copies between 1 and 99.
Configuration Info
Specify the unique value for a printer. Please refer to the DICOM Conformance
Statement for the printer.
3 - 40 SONOACE X8 Operation manual
Update Method
Specify the update method for Worklist.
- Only on user Request: Update only when asked by the user.
Tip!
To update a worklist, in the Search tab on the Patient Information screen, select
Worklist for Search Source and press Search.
- On Startup and Every : Update automatically at a specified interval after the system
boots and Worklist is updated.
NOTE This option is available only when the Worklist server is enabled.
Chapter 3. Settings 3 - 41
Start Date
Specify the range of dates to search.
- Today: Retrieve the patient list for the current date.
- Range: Retrieve the patient list for n days before and n days after the current date.
- Past Week: Retrieve the patient list for 7 days before the current date.
- Past Month: Retrieve the patient list for a month before the current date.
- Custom Date: Specify a certain date and retrieve the patient list for that date.
SC Server Information
Select SC (Storage Commitment) under Services. Configure the Storage Commitment
3 - 42 SONOACE X8 Operation manual
Service using DICOM. The Storage Commitment Service is used after a diagnosis is finished
and all saved images and reports are transferred.
Managing DICOM
Click Queue on the screen to switch to the DICOM Job Status screen. You can review the
current job status using the Job ID, Patient ID, etc.
The following describes the elements of the DICOM Job Status screen.
Instances: Display the number of instances. What this denotes differs depending on
the job type. For Storage and Print, it means the number of images. For Storage
SR, it means the amount of measurement data. For MPPS Start, it is always
displayed as 0.
Data/Time: Display the date and time when the job was created.
Status: Display the current status of the job.
Status Description
Imperfect The job has been stopped during execution. It will be switched
to the Ready state immediately.
Hold The job is waiting for a retry. This occurs when the job has
failed but the maximum retry count is not yet reached.
Ready The job is waiting for execution. This occurs when the network
is not connected.
Not Ready The Ready state is not completed. This occurs before MPPS
(Modalith Performed Procedure Step) Start is completed or
the case that a Storage or Print batch job is not completed
Network Status
Display the network connection status. When connected, 'Connected' is displayed.
When disconnected, 'Disconnected' is displayed.
Number of Jobs
Display the number of jobs listed in the DICOM Job Status screen.
Log
Display the DICOM Log window.
Retry
Perform the selected job again. This button is enabled only when the status of the
selected job is Fail or Wait Resp.
Retry All
Retry all jobs for which the status is Fail.
Chapter 3. Settings 3 - 45
Delete
Delete the selected job. This button is enabled only when the status of the selected job
is Fail, Imperfect, Wait Resp, or Not Ready.
Clear
Delete all jobs.
DICOM Log
Click Log on the DICOM Job Status window to display the DICOM Log window. This is used
to manage the history of all DICOM services performed on this product.
Log Settings
Specify how log files will be managed.
- Delete archived log file after: Specify how long a log file will be archived. Enter a
number in days. If the specified time has elapsed after the log file was created, the
3 - 46 SONOACE X8 Operation manual
DICOM Log
Display a list of log files with their information.
- Select All: Select all log files.
- Delete Selected Files: Delete the selected log file.
- Copy Selected Files: Copy the selected log file to an external storage media.
- View Selected File: Display the details of the selected log file on the screen.
- Refresh: Update the information of a log file.
Chapter 3. Settings 3 - 47
Utilities Setup
Select the Utility tab in the Setup screen. You can configure settings for e-mail, text and
network status.
E-mail
You can specify a server through which you will send and receive e-mails.
Port No.
Enter a port number.
3 - 48 SONOACE X8 Operation manual
ID
Enter an ID for the e-mail server.
Password
Enter a password for the e-mail server.
Buzzer Control
Specify whether a buzzer sound will be generated when a button or dial-button is pressed.
Buzzer Sound
If Buzzer On is checked, a buzzer sound is generated whenever a button or dial-
button is pressed.
BodyMarker
BodyMarker Auto Active
If this checkbox is checked, the system automatically enters the BodyMarker input
mode when the Freeze button is pressed.
Text Setup
You can specify whether to use Autotext or Quick Text.
Autotext Setup
If an abbreviation is entered, the system retrieves and enters a full word automatically.
When this option is selected, you can enter text more easily and quickly.
For example, to enter the text Abdominal Circumference, you only need to enter AC
and the system will search the full word from the abbreviation list and automatically
enter it.
To enable Autotext, check the Autotext checkbox with the Trackball. Otherwise,
uncheck the checkbox.
If this option is selected, the abbreviation list appears on the screen when text is
entered.
- Add Word
1. Press the New button.
2. Enter words to add in the Abbreviation and Full Word fields at the bottom of the
screen. The entered words are added to the abbreviation list.
- Delete Word
1. Use the Trackball and the Set button to select a word to delete from the list. An
abbreviation for the selected word and its full word are displayed under Abbreviation
3 - 50 SONOACE X8 Operation manual
Quick Text
If the checkbox is selected, the Quick Text function is enabled. Quick Text switches
the system to the text input mode immediately after a character key in the
Alphanumeric Keyboard is pressed.
NOTE You can still enter text if this option is not enabled. If this is the
case, press the F2 key in the Alphanumeric Keyboard to switch
to the text mode.
Name Formatting
Specify the order in which patient names are displayed.
- Default: Names are displayed in the order last name, first name and middle name
Chapter 3. Settings 3 - 51
Representation Priority
Specify how patient names are displayed. Select the precedence of Roman,
Ideographic and Phonetic letters.
3 - 52 SONOACE X8 Operation manual
Option Setup
Select the Option tab in the Setup screen. You can enable or disable optional software and
hardware.
Options
The list of optional software is displayed on the screen.
Options
It shows the types of optional software that can be installed on the product. The
following table shows the list of optional software that is available with SONOACE X8:
4D XI STIC
3D XITM Auto IMT
CW Function Elastoscan
Cardiac Measurement Panoramic
Dynamic MRTM / Dynamic MR+ Stressecho
DICOM Strain
Spatial Compound
Chapter 3. Settings 3 - 53
Status
It shows the current status of optional software.
- Lock_Not Installed: No hardware is connected.
- Lock_Unregistered: The software is not registered.
- Lock_Installed: Hardware is installed but not registered.
- Unlock_Permanent: Ready for use without any time limitation.
- Unlock_Restricted: Ready for use for a certain period.
Hardware Configuration
The list of optional hardware is displayed on the screen. Currently, only ECG is
supported.
Check the checkbox for hardware that will be used. Reboot the system to finish
settings.
3 - 54 SONOACE X8 Operation manual
Auto Calc
Select the AutoCalc tab in the Setup screen. The Auto Calc function calculates specified
measurement items automatically with measurement data and is supported in Spectral Doppler
Mode.
The specified items will appear on the screen only when the Flexible Soft
NOTE dial-button [3] Auto Calc is on in Spectral Doppler Mode.
AutoCalc Setting
Enable or disable the following items for automatic calculation by checking their checkbox.
Peak Systolic Velocity Time Averaged Mean Velocity
End Diastolic Velocity Diastole / Systole Ratio
Time Averaged Peak Velocity Max Pressure Gradient
Resistive Index Mean Pressure Gradient
Pulsatility Index Velocity Time Integral
Systole / Diastole Ratio PeakA
When the Peak Systolic Velocity and End Diastolic Velocity values are 0, not all results for
the items will be displayed n the screen.
In addition, the result value for Timed Averaged Mean Velocity is displayed only when Mean
Trace is is On.
Chapter 3. Settings 3 - 55
Measurement Setup
Specify various setup options for measurement. The setup may be modified depending on
specific needs or preferences.
1. Press the Utility button on the control panel and select Measure Setup in the menu.
2. When the Measure Setup screen appears, select a tab that has items to configure.
General Settings
Select the sub tab General under the General tab. You can specify basic measurement options.
Line Type
From the following three options, select the line pattern to use when measuring a distance.
Dotted Line
Display with dotted line.
Display
Specify items to display during measurement by checking their checkbox.
Measure Unit
Specify the measurement unit. For a small object, it is more convenient to use mm in
Dist. When blood flow is fast, it is better to use m/s in Vel.
- Dist: Select either a cm- or mm-scale for the unit of distance, area and volume.
- Vel: Select either cm/s or m/s for the unit of velocity.
Packages
Select the Packages tab under the General tab. Specify the measurement packages that will be
used and the order in which they will appear on the screen when the Calculation button is
pressed.
Chapter 3. Settings 3 - 59
Menu Type
Specify the type of menu that will be displayed on the monitor screen.
Full Menu
Display the menu that contains all measurement items provided by this product.
Custom Menu
Display the custom menu you configured using Menu Customize.
Select a calculation package you want to use from the right list and then click on
the screen. The selected package will be moved to the left list.
3 - 60 SONOACE X8 Operation manual
on the screen. The selected package will be moved to the right list.
and then click or on the screen. The topmost package in the left list appears
first when you press the Calculation button.
The table below shows the probe presets and measurement menu items that are linked
with each other:
OB
OB
OB Early
Gynecology Gyn
Cardiac
Cardiac
PediatricCardiology
Fetal Heart Fetal Echo
Vascular
Carotid
Carotid
Venous LE Vein
Abdomen
Renal
Neonatal
Radiology
Pediatric Abdomen
Contrast Agent
Appendix
Chapter 3. Settings 3 - 61
Urology
Urology
Prostate
Pediatric Pediatric Hips
Breast Breast
Thyroid Thyroid
TCD TCD
Musculoskeletal Musculoskeletal
Menu Customize
Click this button to switch to the Custom Menu screen. In the Custom Menu screen, you
can set the menu items that appear when performing an application-specific
measurement according to your preferences.
Custom Menu
The Custom Menu screen appears when you click Menu Customize. Specify which
measurement items will appear on the custom menu according to your preferences.
To use custom menu, set it from Utility > Measure Setup >
General > Package > Menu Type.
NOTE You can create up to five tab menus.
You cannot delete or change the default tab menus provided by
the product.
Package List
The calculation packages set in the Package screen appear in this list. If you select a
calculation package, it is outlined in orange.
Tab List
Display the tab menus that belong to the list of calculation packages selected in
3 - 62 SONOACE X8 Operation manual
Package List.
The selected tab menu appears outlined in orange.
- Changing the order of tab menus: Select the tab menu and use or
located to the right of the list.
Chapter 3. Settings 3 - 63
- Setting whether to use a tab menu: Select the checkbox of the tab menu you
want to use. You should select at least one
- Creating a new tab menu: To create a new tab menu, click New. If you want to
create a new tab menu by copying an existing tab menu, select it from Tab List
and then click Copy.
- Deleting a tab menu: Select the tab menu and click Delete.
- Resetting tab menus: click Reset. Tab menu settings are reset.
4. Configure a list of the measurement items.
- Changing the order of measurement items: Select the measurement item and
Tip!
In the Available Menu List, if you select an item with the "+" symbol to the
left of it, its sub items are also selected. However you can not add whole
measurement package.
Report
Select the sub tab Report under the General tab. You can specify options for measurement
reports and printing.
Use SonoReport
Select whether or not to use SonoReport. If you select this check box, the SonoReport
screen appears when the Report button is pressed during the OB or GYN
measurements. This feature can be used only when you use the report tool, Sonoultra.
Report Header
Specify header options for reports. You can specify more than one item and the specified
items appear in all measurement reports.
Hospital Info.
Shows information on the hospital where the product is installed.
3 - 64 SONOACE X8 Operation manual
Patient Info.
Shows patient information.
Others
Shows other information.
Measure Result
Measure Result
Specify the measurement results output format for reports.
- Average: Shows the average of the last three measurement values.
- Last: Shows the last measurement value.
- Max: Shows the largest measurement value.
- Min: Shows the smallest measurement value.
Print Action
Select the report page(s) to print.
OB Trend Graph
Specify the print format for trend graphs in obstetrics reports.
Select from Only Current Page (the current screen), All Pages (1x1) and All Pages
(3x2). If 1x1 is selected, only one graph is printed per side of paper. If 3x2 is selected, 6
graphs are printed per side of paper.
Save Action
Set the report page(s) to save by selecting one out of the following two options.
OB / FH Header Layout
Specify item(s) to display under the header of obstetrics or fetal echo measurement reports.
You can specify more than one item.
Print
Enter additional information for the header, title and footer to display when printing measurements.
Data Transfer
Select the sub tab Transfer under the General tab. Specify the data transfer method.
Save to file
Specify the file format in which files will be saved. You can select from a text format
and an XML format.
Serial Transfer
Specify the data format in which data will be transferred. You can select from a text
3 - 66 SONOACE X8 Operation manual
Before setting, make sure that COM is set to Open Line Transfer
NOTE
under the Peripherals tab in the Setup screen.
Measured Data
When the Write to file checkbox is selected, the Write to file button is created in the
report screen. The Write to file function allows you to convert a measurement report to a
file and save it in a storage media.
Caliper
Select the Caliper sub-tab under the General tab.
Specify whether additional information will be shown along with basic measurement values
when basic measurements are taken by pressing the Caliper button on the control panel. If this
option is selected, the additional information will be also saved and output along with
measurement results.
If Application is set to Cardiac, the D Velocity, D A/B and D Trace items are changed.
Chapter 3. Settings 3 - 67
The Cardiac setting can be used only when probe preset is Cardiac or
NOTE
Pediatric Cardiology.
General Settings
Select the sub tab General under the OB tab. You can specify basic options for obstetrics
measurement.
Percentile Info.
Show Percentile Info.
Specify whether to use Percentile Info. by using this checkbox.
Percentile Criteria
Select a value that will be used for percentile calculation.
- GA by LMP: GA is calculated based on the maternal LMP.
- Estab. Due Date: GA is calculated based on the Estab. Due Date that is entered in
the Patient Information.
- Average US GA: GA is calculated using the average value of several ultrasound
measurements.
Chapter 3. Settings 3 - 69
lb +oz is a unit combining pounds and ounces, and None indicates that no unit is used.
Display
Num of Measure Result Box
Specify the number of lines for OB measurement results that are displayed on the
screen.
Table Settings
Select the sub tab Tables under the OB tab. You can specify references such as reference
tables and equations that will be used by each measurement item.
3 - 70 SONOACE X8 Operation manual
Specify the order of measurement items when measuring EFW using the User 1 or User
2 button. Select the measurement item using trackball and the Set button and Change
the order of measurement item using arrow buttons.
Items
This setting is intended for measurement of the gestational age (GA) and fetal size
(Growth). Select items in the following order:
1. Select a measurement item in the list on the left.
2. Select a reference type from the GA table and Growth table.
3. Select a reference in the list on the right.
Fetal Weight
This setting is intended for measurement of the estimated fetal weight (EFW). Select
items in the following order:
1. Select the EFW measurement method from EFW equation and EFW growth.
2. Select a reference in the list on the below.
Chapter 3. Settings 3 - 71
Add Reference
EFW Equation can set only Equation and EFW Growth can set
NOTE
only Table as the reference type.
4. Press OK to go to the next step. The system will switch to the Editor screen.
Table
Enter a reference table.
- You should make over two rows; use [+] or [-] button to add or delete a row.
- Press the Tab or Enter key on the Alphanumeric keyboard to save the current state
and move to next item.
Unit Information
The various units for the selected reference (Input, Output, SD) are displayed.
Table type
Specify the table type and SD (Standard Deviation) for the selected reference.
- Range Type: The Min and Max values for the selected reference are shown in a
table. The SD value varies depending on the range specified by the user.
- Value Type: Only measurements entered by the user are shown, regardless of Min,
Max or SD.
For Growth Table, SD (Standard Deviation) is displayed.
Chapter 3. Settings 3 - 73
Misc.
- Show In Days: When the checkbox is selected, the table unit is changed from wd (Week-
day) to d (day).
- Cursor Movement for the Enter key: Specify the direction of cursor movement when the
Enter key on the alphanumeric keyboard is pressed while a table is being edited. Select
from Right, Down and Edit.
Tolerance Information
Select the tolerance from w, d and %.
Delete Reference
1. Under Selection, select a preset to delete.
Auto calculations
Specify an item that will be calculated automatically. For example, if the MAD checkbox is
selected as shown below, when APD and TAD are measured, the measurements are used
to calculate MAD automatically and display the result on the screen. The results of
Chapter 3. Settings 3 - 75
Ratio calculations
Specify a measurement item for which a ratio will be calculated. For example, if the FL/BPD
checkbox is selected, when FL and BPD are measured, the ratio between them is
calculated and displayed on the screen. This ratio also appears in a report.
Trend graph
Specify whether to include a graph for a certain item or ratio in an obstetrics report. Press
, and the Editor screen for the selected graph will appear.
LV Volume Method
Specify how the volume of the left ventricle is measured. Teichholz, Cubed or Gibson
can be selected. For more information on calculation formulae, please refer to
Chapter 5 Fetal Echo Measurement.
Display
Num of Measure Result Box
Specify the number of lines for measurement results that are displayed on the screen.
A/B Ratio
Specify each individual peak velocity for which a ratio between A and B will be calculated.
ICA/CCA Ratio
Specify each individual measurement item that will be used for the ICA/CCA ratio.
Display
Num of Measure Result Box
Specify the number of lines for measurement results that are displayed on the screen.
Volume Method
Specify an equation that will be used for volume calculation.
- 3 Distance: The volume is calculated using three diameters in the longitudinal and
transverse planes (4 / 3 x x A/2 x B/2 x C/2).
- 3 Distance x Factor: The volume is calculated using three diameters in the longitudinal
and transversal planes, and a factor (F) value entered by the user (A x B x C x Factor).
- Ellipsoid: The volume is calculated using the length of the Main and Beside axes (4 / 3
x x Main / 2 x (Beside / 2)2).
- Sum of 20 Disks: The volume is calculated by summing the areas in the 20 parallel
planes (d / 20 x (A1 + A2 + ... A20), d : the sum of the distances between disks).
Display
Num of Measure Result Box
Specify the number of lines for measurement results that are displayed on the screen.
3 - 80 SONOACE X8 Operation manual
LV Volume Method
Specify how the volume of the left ventricle is measured. For more information on
calculation formulae, please refer to reference manual.
Display
Num of Measure Result Box
Specify the number of lines for measurement results that are displayed on the screen.
Utility
[2] Presets
Use the Flexible Soft dial-button [2]. Rotate the dial-button to select a preset for the
probe.
3 - 82 SONOACE X8 Operation manual
[4] Save
Use the Flexible Soft dial-button [4]. This option appears in the menu only when User
Preset is not Default. Press the dial-button to save the settings of the current screen.
ECG
Select the ECG in the Utility menu. The ECG (echocardiogram) function allows viewing of the
cardiac pulsation. It shows an image of the heart beat and appears in the menu for cardiac
application only.
In Multi Image Mode such as Dual or Quad, ECG CINE can be used for each image.
In Loop Mode, you can press the dial-button to move to and specify a loop.
ECG Setup
Trigger
Use the Flexible Soft dial-button [2] Trigger to set the Trigger interval or Off. Turn
the dial-button set the value from 1 to 5 or off.
Trigger Time
Use the Flexible Soft dial-button [3] Trigger Time to set the Trigger time. Turn the
dial-button set the value from 0 to 1000msec.
Size
Use the Flexible Soft dial-button [4] Size to set the Trigger size. Turn the dial-button
Chapter 3. Settings 3 - 83
Position
Use the Flexible Soft dial-button [5] Position to set the position of ECG. When its
number is large, ECG will be displayed in upper side of screen.
In the Loop mode, press the dial-button to move to Loop and its setup.
If the ECG is less then 30Hz, the Heart Rate (HR) is not displayed.
CAUTION In CW Mode, when ECG is active, the error ratio of the Heart Rate
(HR) should be within 2%.
Biopsy
Press Biopsy in the Utility menu.
CAUTION Before performing biopsy, you should specify the Biopsy Guide Line.
Note that the Biopsy Guide Line cannot be edited when the
Trapezoidal function is in use for the Linear Probe.
NOTE
If the system is rebooted, the Biopsy Guide Line settings are
restored to the default.
1. Press the Flexible Soft dial-button [2] Edit. The warning message will appear.
Chapter 3. Settings 3 - 85
2. If you press OK, a screen will appear allowing you to edit the Guide Line.
3. Use the Trackball and the Set button to edit the Biopsy Guide Line.
4. Press the Flexible Soft dial-button [3] Save to save settings. A confirmation
message appears.
- Press the Flexible Soft dial-button [2] Edit to specify new settings.
5. Press the OK button on the message to apply the changed Biopsy Guide Line. Press
Cancel to cancel saving.
1. Press the Flexible Soft dial-button [1] Biopsy On/Off. The warning message will
appear.
2. Press OK, and the Biopsy Guide Line will appear on the screen.
- If the Biopsy Guide Line displayed is not correct, press the Flexible Soft dial-
button [2] Edit to edit it.
3. Insert a needle along the Guide Line. And then perform biopsy as desired.
4. When finished, press the Flexible Soft dial-button [1] Biopsy On/Off again. The
biopsy is completed.
Histogram
A histogram is a type of graph representing the distribution of echoes.
1. Press Histogram in the Utility menu.
2. Specify an area that a histogram is to cover. Use the Trackball and the Set button to
specify area 1, 2 and 3.
3. Histogram 1, 2 and 3 will appear on the left side of the screen.
Setting Histogram
Specify the position or type of a histogram.
Move Hist. 1
Use the Flexible Soft dial-button [1]. After pressing the dial-button, use the Trackball
to move the histogram position. Press the Set button to confirm the position.
3 - 86 SONOACE X8 Operation manual
Move Hist. 2
Use the Flexible Soft dial-button [2]. After pressing the dial-button, use the Trackball
to move the histogram position. Press the Set button to confirm the position.
Move Hist. 3
Use the Flexible Soft dial-button [3]. After pressing the dial-button, use the Trackball
to move the histogram position. Press the Set button to confirm the position.
Histogram Type
Use the Flexible Soft dial-button [6]. Determine the shape of the box specifying the
area by rotating the dial-button. Either Ellipse or Rectangle can be selected.
Post Curve
Press Post Curve in the Utility menu. Specify various post map and Gamma values.
2D Post
Select 2D Post in the Post Curve menu. The 2D Post Menu appears.
Post Curve
Use the Menu dial-button to select a post curve. The 9 types of post curve predefined
by the system and the 2 user type post curves the user can define are supported.
Edit
Adjust a post curve. The adjusted post curve is also applied to post curve of 2D, M,
and PW spectral Doppler mode.
When you select this, the following item is enabled in the Flexible Soft Menu.
- Flexible Soft dial-button [1] Picker Pos: Select a point on a curve. Rotating the
button changes the position of the point.
- Flexible Soft dial-button [2] Insert: Add a point to a curve. It is added between the
current point and the next point.
- Flexible Soft dial-button [3] Delete: Delete a point from a curve.
- Flexible Soft dial-button [4] Save: Save a curve.
- Flexible Soft dial-button [6] Exit: Finish and exit from the edit mode.
Pseudo
Rotate the Menu dial-button to turn it on/off. When turned on, random color are applied
to an image displayed on the screen.
Pseudo Color
Use the Menu dial-button to select a pseudo color. Select an item from Type 1-9 or
User 1-3. When you select a User type, Pseudo Edit is enabled in the 2D Post Menu.
Pseudo Edit
You can select a Pseudo color as you want. The selection is available in each
diagnosis mode.
1. Select the user type you want to set by using Pseudo Color.
2. Adjust the color by using Red, Green, and Blue in the Flexible Soft Menu.
You can set a value between 0 and 255.
3. When you change the setting, Pseudo Save is enabled in the 2D Post
Menu. Press Pseudo Save to save the setting.
Return
Save the current setting of Post Map and return to the previous step of the menu.
Chapter 3. Settings 3 - 89
Color Map
Select Color Map in the Post Curve menu.
Color Map
Use the Menu dial-button to select the type of color map. 14 types of post curves are
supported.
Tag
Rotate the Menu dial-button to turn it on/off. When turned on, a random color is applied
to a certain area in an image.
Tag Width
Use the Menu dial-button to select the range of tags, from between 8~256. Tag Width
affect to Tag Pos.
Tag Pos
Use the Menu dial-button to select the position of tags, from between 0~248. Tag Pos
affect to Tag Width.
Capture
Rotate the Menu dial-button to turn it on/off. When turned on, a one-second image can
be acquired with Capture Frame.
Capture Frame
Use the Menu dial-button to select a value between 5~100. Capture Frame allows you
to capture an image with a user-defined frame for better observation of the image.
Return
When the current post map is configured, return to the previous step in the current
menu.
D Post
Select D Post in the Post Curve menu. The settings can be specified in the same way as
for 2D Post.
For the post curve of D Post, you can select one from Type 1 to 8 or
NOTE User 1 to 2.
M Post
Select M Post in the Post Curve menu. The settings can be specified in the same way as
for 2D Post.
For the post curve of M Post, you can select one from Type 1 to 8 or
NOTE User 1 to 2.
Monitor Calibration
Select Monitor Calibration in the Post Curve menu.
Curve
With the Menu dial-button, specify a curve type between Type 1 Type 5 or User 1
User 3. If you select User 1 User 3, you can edit the post curve.
Brightness
With the Menu dial-button, specify a screen brightness between 0 100. The changed
setting only affects images on the screen.
Contrast
With the Menu dial-button, specify a screen contrast between 0 100. The changed
setting only affects images on the screen.
Edit
With the Flexible soft dial-button, adjust the RGB Curve.
- Flexible soft dial-button [1] Picker Pos: Select a point in a curve. Rotating the
button selects a different point in the curve.
- Flexible soft dial-button [2] Insert: Add a point to a curve. A point is added between
the current point and the next point.
- Flexible soft dial-button [3] Delete: Delete a point from a curve.
- Flexible soft dial-button [4] Save: Save a curve.
- Flexible soft dial-button [5] Colour: Select a curve. Select one from red, green or
blue curves.
- Flexible soft dial-button [6] Exit: Finish editing and exit from the edit mode.
3 - 92 SONOACE X8 Operation manual
Gamma
Select Gamma in the Post Curve menu. Use the Menu dial-button to specify the
brightness and contrast. Off, Weak, Medium or Hard can be selected.
- Weak: Make the image brighter.
Setup
Press Setup in the Utility menu. You can specify system settings. Please refer to System
Setup in this chapter.
Measure Setup
Press Measurement in the Utility menu. You can specify measurement settings. Please refer
to Measurement Setup in this chapter.
Demo Play
Press Demo Play in the Utility menu. The best images scanned with the product are presented.
You can use the Menu dial-button or the icon button in the lower right corner of the screen to
review images.
To finish the demo play, press the Exit button on the control panel.
Chapter 3. Settings 3 - 93
Storage Manager
Press Storage Manager in the Utility menu. All disk drives mounted in the system will be
shown. The drive type, available space and total space for each drive are displayed.
Storage Manager is a program that lets you manage various storage devices connected to the
system. You can remove, format or update a drive for which the checkbox in front of the drive
symbol is checked.
You may not remove, format or update a drive mounted in the computer
NOTE within the system.
Press Exit on the screen or on the control panel to exit Storage Manager.
3 - 94 SONOACE X8 Operation manual
Eject / Remove
Disconnect the selected drive.
Format
Initialize the selected drive. Under the Format window, you can initialize various
settings. Press Start to start initialization. Press Close to cancel.
In the case of DVD+RW or DVD-RW, its free space can be
NOTE displayed as O bytes after formatting. Because it is an error of
WindowsTM, there is no problem to use that media.
Refresh
Update the display of drives currently connected to the system.
Userset Manager
Select Userset Manager in the Utility menu. The User Export /Import window will be
displayed.
This option appears in the menu only when flash memory media is
NOTE
connected to the system and User Preset is not Default.
A folder list appears to the left and files appear to the right.
Export
Save the userset for the current probe in flash memory media.
Select a folder to copy from the folder list and then press Export.
NOTE Flash memory media is the only storage device that is supported.
Import
Copy a userset from flash memory media into the current userset in the system.
Select a file to copy from the folder list and then press Import.
Bodymarker Edit
Select Bodymarker Edit in the Utility menu. The Bodymarker Edit window appears.
- Bodymarker List: This varies by the group selected in Group. The current
page/total pages appear below the list. If there is more than one page, you can
change the page by using Prev or Next.
- Bodymarker list of currently used probe or preset: The current page/total pages
appear below the list. If there is more than one page, you can change the page by
using Prev or Next.
Adding a Bodymarker
Select and double click a bodymarker in the left list (). The selected bodymarker is
added to the right list (). Already existing bodymarkers cannot be added, and a
message appears when you try to add an existing bodymarker.
Removing a Bodymarker
Select and double-click a bodymarker in the right list ().
Chapter 3. Settings 3 - 97
Select Stress Echo in the Utility menu. The Protocol Screen will appear. Stress Echo is a
function that imposes stress on a patient's heart by making them exercise, or by using
medication, and monitors and diagnoses any changes in their heart accordingly.
Protocol Screen
The Protocol Screen is the initial screen that appears when you start Stress Echo. You can
review an acquired Stress Echo image or select a protocol to start an examination.
If you start Stress Echo when the Phased Array probe is not being used or
NOTE the patient ID has not been registered, the Protocol Template Editor screen
appears.
Stage: Select a stage. If you click the combo button, a list of stages is displayed. Select
the stage you want to use from the list using the trackball and the Set button. The
image displayed in the Thumbnail list differs depending on the selected stage.
Tip!
To change to a different stage and acquire an image, press the Flexible soft dial-
button [5], Next Stage. The stage at which an image is being acquired is shown by a
green line in the Stage area of the Protocol Screen.
Stress Echo image area: Display a Stress Echo image that matches the horizontal axis,
view, and the vertical axis, stage.
Thumbnail list: Display a list of thumbnails of the acquired Stress Echo images for the
selected stage. If an image has been assigned to a stage or view, it is not displayed in
the Thumbnail list.
Chapter 3. Settings 3 - 99
Icon list: Display the icons for the functions you can use with the Protocol Screen.
Stress Echo information area: Display the Stress Echo setup information.
Icon List
Select All: Select all images in the Stress Echo Image area.
Unselect All: Unselect all images in the Stress Echo Image area. Then you can select a
stage you want to use using the trackball and the Set button.
Resume Protocol
Pause Protocol
Review
This appears on the menu only if an image is selected. Press the Flexible soft dial-
button [4] to switch to the Stress Echo Review screen.
Change View
This appears on the menu only if the Auto Assign function is selected. Rotate the
Flexible soft dial-button [5] to change the current View. The view in which an image is
being acquired is shown by a green line in the View area at the top of the screen.
Next Stage
Press the Flexible soft dial-button [5] to change to the next stage. The stage at which
an image is being acquired is shown by a green line in the Stage area at the left of the
screen.
Thumb Scroll
This appears on the menu only if four or more images have been acquired. Press the
Flexible soft dial-button [6] to change the current Thumbnail list page.
Chapter 3. Settings 3 - 101
Protocol Templates
Two Stage
PLAX, PSAX, A4C, A2C Rest, Peak
Exercise Stress
Three Stage
PLAX, PSAX, A4C, A2C Rest, Peak, Post
Bicycle Stress
Four Stage
Pharmacological Stress PLAX, PSAX, A4C, A2C Stage 1 to 4
(TBD)
Baseline, Legs UP, 25W,
MV-PW, TDI, LVOT-PW, TR,
50W, 75W, 100W,
Diastolic Stress PSAX-BASE, PSAX-Mid, PSAX-
125W, REC2, REC5,
APEX, 4CH, 2CH, MR
REC10
PLAX, PSAX, 4CH, APLAX, 2CH, Baseline, 5, 10, 20, 30,
Dobutamine Stress
MV-PW, TDI, LVOT-PW, TR-CW 40, atropine, recovery
To add or change a protocol, click the Template Editor icon. Protocol Template Editor
Screen will be displayed.
You cannot transfer, delete, or change the five default protocols provided in
NOTE
the product.
Stage
Set a stage. You can add or delete a stage using the buttons.
Use the combo button to select in default stage. Use the keyboard to enter a stage
directly.
NOTE You must create at least two stages. You can add up to 10 stages.
View
Set a view. You can add or delete a view using the buttons.
Use the combo button to select in default view. Use the keyboard to enter a view
directly.
NOTE You must create at least two views. You can add up to 10 views.
Capture Unit
Set the image acquisition method that will be used when acquiring an image by
pressing the Store Clip button on the control panel.
- Beat: Acquire images based on the heart rate.
- Time: Acquire images based on the specified interval of seconds.
Cycle Time
Set the interval at which images are acquired when acquiring images by pressing the
Store Clip button on the control panel. Select from 1 to 4 seconds.
Capture Method
Set the range of images that will be acquired when acquiring images by pressing the
Store Clip button on the control panel.
- Prospective: Saves images after the time when the button is pressed.
- Retrospective: Saves images before the time when the button is pressed.
3 - 104 SONOACE X8 Operation manual
Auto Assign
When checked, each time an image is acquired, it is automatically assigned to each
stage and view.
Export
Click this button to display the Protocol Export window. You can save the protocols
you added in an external storage device.
Import
Click this button to display the Protocol Import window. The protocols of an external
storage device are displayed.
Chapter 3. Settings 3 - 105
Save
Press the Flexible soft dial-button [2]. This button is unavailable when a default
protocol is selected.
Save As
Press the Flexible soft dial-button [3] to display the New Protocol Name window. You
can save the protocol under a new name.
Delete
Press the Flexible soft dial-button [4]. The currently selected protocol is deleted and a
new protocol template is displayed. This button is unavailable when a default protocol
is selected.
Close
Press the Flexible soft dial-button [6] to exit the Protocol Template Editor screen.
NOTE You can review up to four Stress Echo images in one screen.
3 - 106 SONOACE X8 Operation manual
Image information area: Display the probe type, application, frame rate, depth, frequency,
TI, and image saving time, etc.
WMS diagram area: Display four WMS diagrams. WMS stands for Wall Motion Scoring. At
the top of this area, there is a combo box from which you can select a stage. At the bottom
of the area, the WMSI value and the value selected in the current Score menu are displayed.
You can perform the measurement using the Caliper and Calc buttons. If
NOTE you press the Calc button, the cardiac measurement menu is displayed
and the current stage is displayed on the menu title bar.
Chapter 3. Settings 3 - 107
WMS
Display four WMS diagrams. Each diagram is divided into 16 segments numbered from 1 to
16. After selecting a stage, enter WMS.
- PLAX: Parasternal Long Axis
Entering WMS
Select the segment for which you want to enter WMS using the trackball and Set
button. The Score menu appears.
Select a value in the menu. The color of the segment changes and WMS is displayed.
Or,
1. Select the value you want to use in the Score menu at the bottom of the screen.
2. Place your mouse pointer on the segment for which you want to enter a value and
press the Set button. The color of the segment changes and WMS is displayed.
Tip!
If WMS is entered for a segment, the same value is applied to all segments that
have the same segment number.
Deleting WMS
To delete an entered value, click N-NotScored in the score menu and then click the
segment for which you want to delete the value. The color of the selected segment is
initialized.
Tip!
To delete all WMS entered at the current stage, press the Flexible soft dial-button
[1], Delete WMS.
WMSI
This is the average of the WMS entered at the current stage. WMSI stands for Wall
Chapter 3. Settings 3 - 109
Run / Stop
Press the Flexible soft dial-button [2]. All the cine images in the Stress Echo image
area are played or stopped.
Change Play
Select either Acquired or R-R as the cine image playback method by rotating the
Flexible soft dial-button [5].
R to R
As Acquired
Systole
Change Sync
Select Short, Long, or End to End as the synchronization method by rotating the
Flexible soft dial-button [6].
- Short: Playback images based on the shortest of four cine images.
Protocol Screen
Press the Flexible soft dial-button [6]. The Stress Echo Review screen is closed and
you are switched to the Protocol Screen.
Diagnosis Modes
INFORMATION .............................................................................................................. 3
2D MODE.........................................................................................................................................................................................................7
M MODE........................................................................................................................................................................................................28
COLOR DOPPLER MODE ...........................................................................................................................................................................31
POWER DOPPLER MODE ..........................................................................................................................................................................36
PW SPECTRAL DOPPLER MODE.............................................................................................................................................................38
CW SPECTRAL DOPPLER MODE.............................................................................................................................................................43
ELASTOSCANTM MODE..............................................................................................................................................................................45
2D/C/PW MODE.........................................................................................................................................................................................52
2D/PD/PW MODE .....................................................................................................................................................................................52
2D/C/CW MODE ........................................................................................................................................................................................52
2D/PD/CW MODE.....................................................................................................................................................................................52
2D/C/M MODE ............................................................................................................................................................................................52
2D/C LIVE MODE.........................................................................................................................................................................................53
3D / 4D MODE ..............................................................................................................56
Information
Diagnosis Mode Type
This product supports a variety of diagnosis modes including Basic Mode, Combined Mode,
Multi-Image Mode, and 3D Mode.
Basic Mode: Consists of different modes, each of which has a specific usage and function.
By default, 2D Mode is applied together with other mode.
Combined Mode: For an image, two or three Basic Modes are applied at the same time.
By default, 2D Mode is applied together with other mode. An image is viewed in a single
screen.
Multi-Image Mode: The screen is divided into two (dual) or four (quad) sub screens,
each of which is used to view an image. Since each sub screen can display a different
image, it can be a very useful feature, allowing multilateral views of an organ.
3D / 4D Mode: 3D images can be obtained. Consist of Freehand 3D, Static 3D Mode and
4D Modes.
The types of diagnosis mode that are available with the product are shown below:
Mode Type
2D Mode
Color Doppler Mode
Power Doppler Mode
Basic Mode M Mode
PW Spectral Doppler Mode
CW Spectral Doppler Mode
ElastoScan Mode
2D/C/PW Mode
2D/PD/PW Mode
2D/C/CW Mode
Combined Mode 2D/PD/CW Mode
2D/C/M Mode
2D/C Live Mode
Dual Mode
Multi-Image Mode
Quad Mode
Freehand 3D Mode
3D / 4D Mode Static 3D Mode
4D Mode
NOTE The functionalities for each mode may be restricted by the selected probe.
4-4 SONOACE X8 Operation Manual
Basic Use
The items that can be used commonly in each diagnosis mode are shown below:
Gain
Use the dial-button on the control panel. The Gain button appears differently
depending on the diagnosis mode, and 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.
Frequency
Focus
Depth
Zoom
Use the Zoom dial-button on the control panel.
You can magnify an image. An image can be magnified by either Read Zoom or Write
Zoom.
- Read Zoom
This function allows you to zoom an image saved in a hard disk.
1. Rotate the Zoom dial-button on the control panel .
2. Use the Trackball to move the Zoom box. You can locate the Zoom box in
an image with the Zoom Navigation box on the left side of the screen.
3. View the magnified image. If you rotate the dial-button clockwise, the image
is magnified.
- Write Zoom
This function allows you to magnify and scan an image in real time.
1. Use the Zoom dial-button on the control panel. The Write Zoom box will
appear on the screen.
2. Use the Change button to move and resize the Zoom box. 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: You can move the Zoom box. Use the Trackball to
move the Zoom box and press the Set button to specify its position.
- PreZoom size: You can resize the Zoom box. Use the Trackball to resize
the Zoom box and press the Set button to specify its size.
3. Press the Set button to start the Write Zoom function. Magnify an image and
scan it.
Press the Exit button to exit Zoom Mode. In Write Zoom Mode, changing the depth
also exits Zoom Mode automatically.
QuickScan
Use the Quick Scan button on the control panel. The Q Scan mark will appear at 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.
Harmonic
Use the Harmonic button on the control panel. HAR mark is displayed in the image
information area.
This product provides the OHI (Optimal Harmonic Imaging) function that optimizes an
image with high frequencies.
Using Menu
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.
1. In a diagnosis mode, press the Menu dial-button on the control panel. The menu for
the current diagnosis mode will appear.
You can move up or down through items by rotating the dial-button.
2. Press the Menu dial-button to select an item to adjust. The item becomes ready for
adjustment. To adjust the setting, rotate the dial-button.
Or, press the Pointer button to appear an arrow. Select an item and adjust the
setting with the arrow using the Trackball.
3. Once done, press the Menu dial-button again to adjust another item. Press the Exit
button to start scanning.
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.
Entering 2D Mode
Because 2D Mode is applied by default for all diagnosis modes, it cannot
NOTE
be terminated.
If you press the 2D dial-button in other diagnosis modes, it will switch to the basic 2D Mode.
4-8 SONOACE X8 Operation Manual
2D Mode Menu
Power
2D Image Size
Focus
Select Focus in the menu.
Use the Menu dial-button to set the number of focusing points, from between 1 - 4.
View Area
Density
Edge Enhance
Tissue
Frame Rate
The frame rate is the number of images generated per second. Use the Menu dial-
button to select from Fast, Normal or Slow.
It is recommended to set a high frame rate for objects that are highly active or fast-
moving.
U/D Flip
Pseudo
Click Pseudo in the menu to turn the function on/off. When turned on, the colors of the
image displayed on the screen will be changed arbitrarily. Pseudo Color will be
enabled in the menu.
Pseudo Color
PPI
PPI stands for Power Pulse Inversion. If it is turned on, power pulses are inverted for a
clear view of images.
Low MI
In the menu, press Low MI to select On/Off. The monitor changes to Low MI screen.
Refer to LOW MI Mode in this chapter for detail.
DynamicMR (Optional)
If it is turned on, the DMR Index appears in the menu. Use the Menu dial-button to set
the index between 1 - 5.
SRF
Panoramic (Optional)
The Panoramic Imaging function is available only in 2D mode with
NOTE
Linear and Convex probes.
Tap Panoramic in the menu. The Panoramic Ready screen appears. For more
information, see Panoramic Imaging in this chapter.
Change Window
Tap Change Window in the menu. Each time the button is tapped the location of the
image being scanned is changed to left or right. The image being scanned is marked
by a yellow line in the upper part of the screen.
- Rotation: Turning the dial-button clockwise rotates the image in the same direction.
The rotation angle is 90.
- L/R Flip: Press the dial-button to flip the left and right sides of an image. The M mark
above an image indicates the current direction of the image.
- Frame Avg: When an image is updated, the current and previous images are
averaged. Rotate the dial-button to select a value between 0 and 15. Speckles may
appear when the same diagnosis area is scanned continuously. This function is used
to minimize such speckles.
- 2D/C Live: Press the dial-button. The 2D and Color Doppler images for the scan area
can be observed in real time.
- M Line: Press the dial-button. M Line indicates where the target image appears in a
2D image when M Mode or PW Spectral Doppler Mode is used along with 2D Mode.
- Reject Level: This function is used to eliminate noise or low level echoes for a clear
view of images. Rotate the dial-button to select a value between 0 and 32.
- Spatial Compound: Rotate the dial-button to select from Off, Low, Middle or High.
This item appears in the Flexible Soft menu only when a Linear
NOTE
Probe is used.
- Pulse Inversion: Press the dial-button to turn it on or off. If it is turned on, pulses are
inverted for a clear view of images.
FSI stands for Full Spectrum Imaging. This function synthesizes an image in 2D
mode with data obtained from frequencies that have various characteristics.
Therefore, resolution is improved where the depth of display is shallow and
penetration is improved where the depth of display is deep.
- ElastoScan: When you press this dial-button, the ElastoScan mode is activated.
Low MI
Low MI function will be displayed in the 2D menu under following conditions;
- Probe: C2-5EL , C2-5EP
NOTE
- Application: Abdomen
- Preset: ContrastAgent
Low MI Menu
- Low MI: Press the Menu dial-button to select On or Off. If you select Off, you will be
returned to the 2D menu.
- MI Control: Select the MI value by rotating the Menu dial-button. You can select from
1 to 60.
Meaning of MI Control
1~60 in MI Control are user-controlled steps that reflect 0.01~0.60 of actual low MI
value. MI Control refers to the adjustment of TX voltage and the actual MI value is
usually MI control value * 0.01, so it does not exceed a maximum of 0.6.
Because of the resolution of the TX voltage adjustment, when the TX voltage does
not change from the control step, MI value is expressed in MAX Hold format.
- Pseudo: Press the Menu dial-button to select On or Off. When turned on, the colors
of the image displayed on the screen will be changed arbitrarily. Pseudo Color will
be enabled in the menu.
- Pseudo Color: Select from Type 1 to Type 9 or from User 1 to User 3 by rotating the
Menu dial-button. You can change the settings for the user types in Utility > Post
Curve > 2D Post > Pseudo Color. For more information, refer to Post Curve in
Chapter 3. Settings'.
- Post Curve: Select from Type 1 to Type 9 or from User 1 to User 2 by rotating the
Menu dial-button.
- Flash: Press Flexible soft dial-button [1]. The image will be displayed brightly for the
period of time set in Flash Time.
- Flash Time: Set a value between 1 and 10 by rotating Flexible soft dial-button [2] to
specify the period of time for which the Flash function will operate.
- Start / Stop: Press Flexible soft dial-button [2] to start or stop the Low MI timer.
4 - 14 SONOACE X8 Operation Manual
- Reset: Press Flexible soft dial-button [3] to reset the Low MI timer.
- Dynamic Range: Select a value between 50 and 170 by rotating Flexible soft dial-
button [3]. This is used to adjust the contrast of the image by changing the minimum
and maximum ratios for input signals.
- Reject Level: Select a value between 1 and 32 by rotating Flexible soft dial-button [4].
This is used to eliminate noise and echoes from the image
In the Panoramic Review screen, you can review the Cine of the panoramic image
with the trackball. But, it is not available when Layout is set to Full Screen.
- Layout: Turn the Flexible soft dial-button [1] to select a layout of images displayed on
the screen.
Full Screen: Display the panoramic image in full screen mode.
Left/Right: Display the 2D and panoramic images at the left and right of the screen,
respectively.
Top/Down: Display the 2D and panoramic images at the upper and lower parts of the
screen, respectively.
- Return: Press the Flexible soft dial-button [1] to return to the Panoramic Ready screen.
- Rotation: Turn the Flexible soft dial-button [2] to rotate the panoramic image.
- L/R Flip: Press the Flexible soft dial-button [2] to reverse the left and right of the
4 - 16 SONOACE X8 Operation Manual
panoramic image.
- Magnifying: Turn the Flexible soft dial-button [3] to enlarge the panoramic image.
- U/D Flip: Turn the Flexible soft dial-button [3] to reverse the top and bottom of the
panoramic image.
- Ruler: Press the Flexible soft dial-button [4] to turn on/off the ruler. When you turn it on,
a ruler appears in the panoramic image.
- Cine Save: Press the Flexible soft dial-button [5] to save the Cine image.
- Exit: Press the Flexible soft dial-button [6] to exit Panoramic Imaging.
You can review a panoramic image using a VCR. However, when measuring
CAUTION a panoramic image using a VCR, the measurement values may not be
accurate.
The Strain Image function quantitatively displays cardiac motion using motion vectors and
diagnoses cardiac dysynchrony based on this motion.
Selecting an Image
Select the image you want to analyze using the trackball and the Set button.
Tip!
Quantification
Press Flexible soft dial-button [1] Quantification to switch to the Quantification screen.
In the Quantification screen, draw a contour line on the image and then select the diagnosis
method.
If the selected image is not appropriate, you will not be switched to the
NOTE
Quantification screen.
The view type of the image is displayed in Current View Type. To change the view type,
select either Apical or Short Axis View using the trackball and Set button.
4 - 18 SONOACE X8 Operation Manual
Contouring
Draw a cardiac contour line by marking 4 to 12 points using the trackball and Set button.
To cancel the most recently marked point, specify another area around the point or
press the Exit button.
The method for drawing the contour line differs depending on the view type.
- Apical View: Draw the contour line in a direction from the left
of the base of the mitral valve Apex the right of the
base.
- Short Axis View: Draw the contour line clockwise starting from
12 o'clock.
Chapter 4. Diagnosis Mode 4 - 19
Auto EF
In the Quantification screen, press Flexible soft dial-button [4] Auto EF to switch to the Auto
EF screen.
Calculation Results: The Stroke Volume (SV) and Ejection Fraction (EF) are displayed.
If you change the location of the cine frame, the calculation results change accordingly. To
change the location of a cine frame, use Flexible soft dial-button [4] ES or [5] ED. To reset
the location of ED or ES, use Reset Systolic or Reset Diastolic.
Strain
In the Quantification screen, press Flexible soft dial-button [5] Strain to switch to the Strain
screen.
The Save, Print, and Store Clip buttons are available. To view a saved
NOTE
video, click SONOVIEW in the Quantification screen.
Resizing Areas
To magnify an image or graph that you want to analyze, drag in the lower right corner
of the image or graph area.
Parametric Image: Display the image using the method selected in the Image Type
area.
Image Type: Click a button on the screen or use Flexible soft dial-button [3] Change
Image to change the image display method. You can select one of the following four
methods:
- Endocardial Vector: Display the vector direction, speed, strain, and moving
position of the inner wall.
- Endo+Epicardial Vector: Display the vector direction, speed, strain, and moving
position of the inner and outer walls.
- Trajectory: Sample and display some speckles.
- Contour Only: Display the motions of the contour line.
Segment Color
Each segment of the contour line has a different color. This is also applied to the
Segmental Graph and M Mode Graph in the same way.
Graph: Display the graph selected in the Graph Type area. This is a graph in which
every segment of the contour line is analyzed. The white dotted line means Global
Strain and the orange line denotes the current position. If you select Strain
(Longitudinal) (or Strain (Circumference)) or Velocity for the graph type, a range
bar is displayed on the graph.
4 - 22 SONOACE X8 Operation Manual
Range Bar
To resize the width of the range bar, place the cursor at the end of the range bar, hold
down the Set button and move the cursor to the left or right.
Graph Type: Click a button on the screen or use Flexible soft dial-button [4] Change
Graph to select the graph you want to analyze. You can select one of the following
four graphs:
- Strain (Longitudinal) / Strain (Circumference): Display Longitudinal / Circumference
Strain Graph and M Mode Graph.
In Strain Graph, if a peak analysis can be made, white circles are displayed. In
addition, if you move the pointer on Strain Graph, the frame time and strain value are
displayed for a short while.
On the graph in the Graph Analysis area, the peak value (minimum value) of each
interval is displayed. For each interval, the time taken to reach the peak is shown as
a relative number and the color of each interval shows whether it is normal. In
Maximum Wall Delay, the difference between the smallest peak value and the
largest peak value is displayed.
Strain (Longitudinal)
In Apical View, the name of this button is displayed as Strain (Longitudinal) but, in
Short Axis View, it is displayed as Strain (Circumferential).
M Mode Graph
Display the elements of the contour line using different color. A white dotted line
means the position of M line. An orange dotted line denotes the current position. The
position of M line is also displayed as white dots on the contour line of the parametric
image. If you change the position of M line, the corresponding segments and a graph
of mean values are displayed on the Strain Graph for a specific period of time.
You can change the color of M Mode Graph by using User Preset > Color Map
Setting in the screen. The upper part of the color map denotes + values and the
lower part denotes - values.
- Velocity: Display the velocity in the longitudinal / rotational direction and the velocity
in the radial direction.
Chapter 4. Diagnosis Mode 4 - 23
Velocity
In Apical View, the velocities in the rotational and radial directions are displayed as a
graph. In Short Axis View, the velocities in the longitudinal and radial directions are
displayed as a graph.
On the graph in the Graph Analysis area, the peak value (maximum value) of each
interval is displayed. Other details are the same as for the descriptions of 'Strain
Time To Peak.
- Volume / Area: Display a graph that shows the changes in the overall volume / area
and the changes for each segment.
Volume / Area
In Apical View, the name of this button is displayed as Volume, but in Short Axis
View it is displayed as Area.
- Strain (Radial): Display Radial Strain Graph and M Mode Graph. The Graph
Analysis area will not be used.
Measure Result & User Preset: Click Measure Result on the screen to review and
approve the measurement results. Click User Preset on the screen to change the
settings.
- Measure Result: Display the measurement results. Check the Approval checkboxes
to approve the measurement results.
Strain data will be created only if you approve the measurement
NOTE results. The Compare function is available only after strain data has
been created
- User Preset: Display the tabs and items for various settings. You can change the
settings related to the strain image.
Delay Setting: Set a period of time (ms) to be used as the Time To Peak time.
Color Map Setting: Set the color for M Mode Graph.
Misc. Setting: Set the ECG display method.
Save / Load: Save a user preset or apply a saved user preset to the system. You
can save up to three user presets.
- Close: Press Flexible soft dial-button [1] to close the Strain screen. If there are any
items approved in Measure Result, a dialog box where you can set whether to add
4 - 24 SONOACE X8 Operation Manual
- Run / Stop: Press Flexible soft dial-button [2] to play or stop playing Cine image.
- Position: Rotate Flexible soft dial-button [2] to select a Cine image frame.
- Change Image: Press Flexible soft dial-button [3] to change the image type.
- Change Graph: Press Flexible soft dial-button [4] to change the graph type.
- Default / User Layout: Press Flexible soft dial-button [5] to apply the user layout or
to cancel applying the user layout.
- Layout Setting: Press Flexible soft dial-button [6] to display a screen where you can
set the user layout.
User Layout
1. In the Strain screen, press Flexible soft dial-button [6]. The User Layout screen
appears.
2. Select the check boxes of the items you want to use and then arrange the
elements on the screen.
- To adjust the size of an element that will be displayed on the screen, drag it using
the trackball and the Set button.
3. Click Save Layout to save the current settings. Click Cancel to cancel the current
settings.
Compare
In the Quantification screen, press Flexible soft dial-button [6] Compare to compare and
observe two strain images.
You can compare only Apical View strain data for which you have
NOTE
approved the measurement results.
Select the strain images you want to compare from the lists on the left and right.
Strain Data
The data selected from the list on the left is displayed in the Before section of the
Compare screen, and the data selected from the list on the right in the After section.
After selecting the strain images, click Compare to proceed, or click Close to cancel.
4 - 26 SONOACE X8 Operation Manual
Compare / Result
The two selected strain images are displayed in the Before and After sections. The
comparison results for the EF and strain values are displayed in the Compare / Result
section. The improvement ratio of the 'After' image is displayed as a graph in the
Compare EF and Compare Strain sections. Click X in the upper left corner of the
screen to close the Compare screen.
You can change the settings using the following buttons on the screen:
- Change Parametric Image: Change the parametric image. Pressing this button
toggles between Endocardial Vector images and Trajectory images.
Chapter 4. Diagnosis Mode 4 - 27
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.
M Mode Screen
M Line
Use the trackball on the control panel to move to the right or left. The M Line indicates
the relative position of the M Mode image in the 2D image. Therefore, you can move
the M Line to change the observation area.
M Mode Menu
Loop Format
Loop Size
Press Loop Size in the menu.
Resize the M image. Select a value between 30 70.
M Edge Enhance
- Sweep Speed: Rotate the dial-button to adjust the progression speed of M images.
Available options are 60Hz, 120Hz, 180Hz, 240Hz, 300Hz and 360Hz.
- Negative: Press the dial-button to turn it on or off. This function is used to reverse the
colors of M images.
- Pseudo: Press the dial-button to turn it on or off. If it is turned on, Pseudo Color
appears in the menu.
4 - 30 SONOACE X8 Operation Manual
- Pseudo Color: Rotate the dial-button to set Pseudo Color Type to Type1 9.
[6] FreeAngle M
This item appears in the Flexible Soft menu only when a Phase
NOTE Array Probe is used.
Free Angle M allows you to specify M Line for image observation. Use the Change
button on the control panel to specify the length, position and angle of the M Line.
1. Press the Flexible Soft dial-button [6] FreeAngle M. In the user information
area, M Point1 is displayed, indicating that the start point for the M Line can be
set.
2. Use the Trackball to specify the start point of the M Line (M Point 1) for the 2D
image.
3. Press the Change button to save the start point. M Point2 will appear in the
user information area.
4. Use the Trackball to specify the end point of the M Line (M Point 2) for the 2D
image.
5. To finish, press the Flexible Soft dial-button [6] again to turn off the
FreeAngle M function. If the system is switched to Combined Mode or Multi
Image Mode, FreeAngle M turns off automatically.
C Mode Screen
ROI Box
ROI stands for Region of Interest. The ROI Box outlines the area of the 2D image
where color (blood flow) information is displayed in Color Doppler Mode.
Use the Change button to move and resize the ROI box. Each time you press the
Change button, the current state of the ROI box is displayed in the lower left of the
screen.
- ROI Position: You can move the ROI box. Use the Trackball to move the ROI box
and press the Set button to specify its position.
- ROI Size: You can resize the ROI box. Use the Trackball to resize the ROI box and
press the Set button to specify its size.
Color Bar
In Color Doppler Mode, the color bar indicates the direction and speed of blood flow.
Relative to the baseline in the centre, the red color indicates the direction and speed of
the blood flow towards a probe. By contrast, the blue color indicates the direction and
speed of the blood flow away from a probe.
- Adjusting the color bar baseline: Use the Baseline dial-button on the control panel. If
you rotate the Baseline dial-button clockwise, the baseline on the color bar rises.
The baseline cannot be adjusted only when the Color Doppler Mode value is set to
Varience.
Scale (PRF)
Use the Scale dial-button on the control panel. Rotating the Scale dial clockwise
makes the PRF (Pulse Repetition Frequency) increase so that the speed range of
the blood flow is widened, and vice versa.
Wall Filter
C Mode Menu
Display Mode
Press Display Mode in the menu.
Color Doppler Mode supports Color + B/W, Color Only and B/W Only displays.
Color Mode
Color Map
Tag
Select Tag in the menu. Each time you press the button, the Tag function turns on and
off.
You can change the color of a tag within an image as desired. Use Tag Pos. and Tag
Width to set the position and range of a tag.
Tag Pos
Select Tag Pos in the menu.
You can select a value between 0~248. However, the sum of Tag Pos. and Tag
Width may not exceed 256.
Tag Width
You can select a value between 8~256. However, the sum of Tag Pos. and Tag Width
may not exceed 256.
Capture
Select Capture in the menu. Each time you press the button; this function turns on and
off.
4 - 34 SONOACE X8 Operation Manual
Capture Frame
You can select a value between 5~100. You can capture an image for 1 second with
Capture Frame. Capture Frame allows you to capture an image with a user-defined
frame, for better observation of an image.
- Steer
The Steer function appears in the Flexible Soft menu only when
NOTE a Linear Probe is used.
Rotate the dial-button to adjust the angle of the ultrasound beam. This can minimize
loss of color information based on the angle of the ultrasound beam. Select ROI from
Left, None or Right.
- Invert
Press the dial-button to invert the color bar. Inverting the color bar also inverts the
colors displayed on the image.
- Multi Frequency
Adjust the frequencies within the ROI box. Select from Pen and Gen.
- M Line
Turn the display of M Line in a color image On/Off. Use the trackball to change the
position of the M Line.
[4] Density
[5] Balance
It is available in Color Doppler Mode, Power Doppler Mode and PW Spectral Doppler
Mode. In TDI for Color Doppler Mode and Power Doppler Mode, cardiac tissues can
be checked with color information. In PW Spectral Doppler Mode, Color Doppler or
Power Doppler Mode can be used together to obtain changes in cardiac tissue over
time.
PD Mode Screen
Color Bar
In Power Doppler Mode, the colour bar varies depending on the screen display for
Power Doppler Mode that is selected in the PD Mode menu.
- PD Mode: The colour bar indicates the presence of blood flow and its amount. The
top of the colour bar is the brightest section, where the amount of blood flow is at its
highest.
- DPDI Mode: The colour bar indicates the direction and speed of blood flow. With the
baseline in the centre, the red colour represents the direction and speed of blood flow
moving toward the probe, and the blue colour represents the direction and speed 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 Menu
PD Mode
Press PD Mode in the menu.
Select the screen display for Power Doppler Mode from PD Mode or DPDI Mode.
- PD Mode: Shows only the power of the blood flow.
- DPDI Mode: Directional Power Doppler Imaging (DPDI) shows the power, velocity
and direction of blood flow.
[1] Invert
Use the Flexible soft dial-button [1]. This button is enabled only when DPDI Mode is
selected for the screen display for Power Doppler Mode in the PD Mode menu.
Pressing the dial-button inverts the colour bar. If the colour bar is inverted, the colours
in an image are also inverted.
Use of the menu and Flexible soft menu items is the same as in Color
NOTE Doppler Mode.
4 - 38 SONOACE X8 Operation Manual
Sample Volume
When Sample Volume is on the blood flow of the 2D image, it represents Doppler
Spectrum. 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 format
means that a Sample Volume of xx.xx mm size is located at a depth of yy.yy mm.
For example, 2.00@16.70 mm means that a Sample Volume of 2.00mm size is located
at a depth of 16.07mm.
- Moving Sample Volume: Use the Trackball on the control panel.
- Resizing Sample Volume: Adjust the Sample Volume size by pressing the Change
button and using the Trackball on the control panel. Press the Change button again
to return to the Sample Volume Position Control screen. The icon showing the two
Trackball functions (SV Pos/SV Size) is shown for a second and then disappears.
- Adjusting the angle of Sample Volume: Use the Angle dial-button on the control
panel. If you rotate the dial-button clockwise, the angle increases from between 70
~ +70. Pressing the dial-button changes the angle as 60, 0 +60. Adjusting the
angle of Sample Volume allows more accurate speed measurement.
Use the Baseline dial-button on the control panel. If you rotate the dial-button clockwise,
the baseline goes up.
This function measures blood flow for which the speed exceeds the specified limit at a
specified depth. It expands the scale into double the size of the original scale. This
function is available only in PW Spectral Doppler Mode (D Only).
Activating HPRF
To activate HPRF, increase the Scale values at the required depth. A 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
While HPRF is in use, decrease the scale value by one step to finish HPRF. The
maximum PRF values in PW Spectral Doppler Mode are shown.
Moving Sample Volume
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.
4 - 40 SONOACE X8 Operation Manual
When Sample Volume is moved in the 2D Only state, the PRF values dont change.
The Phantom Gate position can be located outside the 2D image area in
Zoom Mode.
Make sure that sample volume and Phantom Gate are not placed
CAUTION 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.
Loop Format
Select Loop Format in the menu. Refer to Loop Format in the M mode.
Loop Size
Select Loop Size in the menu. You can change the size of the PW Spectral Doppler
image for the 2D image. You can select a value between 30 70.
Spectrum Type
Select Spectrum Type in the menu. You can select the spectrum type from Type 1 to
Type 3.
Post Curve
Select Post Curve in the menu. Then, select from Type 1 - 8 or User1 2.
Simultaneous
Select Simultaneous in the menu. Each time you press the button, the Simultaneous
function turns on and off.
It appears in the PW menu only when Utility > Setup > General >
NOTE Simultaneous Mode is set to Allow.
If the Simultaneous function is enabled, you can view the 2D image and Spectral
Doppler image simultaneously in real time. If it is disabled, you can view only one of the
two images.
The Simultaneous function decreases Doppler PRF, thus decreasing the measurable
speed range.
Chapter 4. Diagnosis Mode 4 - 41
AutoCalc Direction
Select AutoCalc Direction in the menu. You can select the part of spectrum to use
AutoCalc from Up, Down, or All.
Spectrum Enhancement
Select Spectrum enh in the menu. This function controls brightness and sensitivity of
Spectral Doppler images. You can select a value between 1-4.
Doppler Average
[1] Invert
[4] SV Size
Use the Flexible Soft button [4] to set the sample volume size between 0.5 and 15.
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. Peak Trace is interrupted due to abnormal Doppler noise or artifact, and the heart rate
is above approximately 140 bpm.
The trace and/or results of Real Time Automatic Doppler Trace may not be accurate in the
above situations. Furthermore, during auto calculation, results will not be displayed if the
Freeze function is run against inaccurate values.
For information on the menu and other items in the Flexible Soft menu,
please refer to 2D Mode and Color Doppler Mode.
NOTE
For information on TDW, please refer to the TDI topic in Color Doppler
Mode.
Chapter 4. Diagnosis Mode 4 - 43
CW stands for Continuous Wave. PW Spectral Doppler Mode gives information on the
speed/direction of blood flow at a specific site in the form of a spectral trace and audio signal.
Unlike PW Spectral Doppler Mode, it does not provide Sample Volume.
ElastoScanTM Mode
The elasticity of ROI in a 2D image is shown in color. A scanned 2D image is also displayed to
indicate the relative position of ROI and allow the user to change the position.
ElastoScanTM
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.
NOTE Or press the 2D / Ref. Slice button on the control panel to exit E Mode.
4 - 46 SONOACE X8 Operation Manual
E Mode Screen
E Dual Mode
E Single Mode
ROI Mode
ROI stands for Region of Interest. In E Mode, the ROI Box represents the area where
elasticity information is shown. Press the Flexible soft dial button [2] ROI Mode to
enter or exit ROI Mode.
The position and size of the ROI Box can be adjusted 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 confirm the new position.
- E ROI Size: The size of the ROI Box can be changed. Resize the ROI Box with the
Trackball and press the Change button to confirm the new size.
4 - 48 SONOACE X8 Operation Manual
Scanning
When using ElastoScan, 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
Prostate
The prostate consists of tissues simpler than a breast, and there are relatively less
unintended movements.
The following figure shows an image of the prostate with a tumor.
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
4 - 50 SONOACE X8 Operation Manual
tissues, and the upper section indicates that the target area is less stiff than the
surrounding tissues.
[1] E Gain
Use the Flexible soft dial-button [1]. Adjust the brightness of E image between 1 - 100%.
Rotate the dial-button to increase the gain.
- Contrast
Select the contrast for an E image between Type 1 - Type 5.
- ROI Mode
Pressing the dial-button enters or exits ROI Mode.
- Enhancement
Control brightness and sensitivity of E image between 0 100%. A higher value
provides more accurate images of boundaries. However noise may increase according
to the value.
- Single / Dual
Pressing the dial button switches to the E Single mode or to E Dual mode.
- Blending Level
Select the ratio of Alpha Blending. You can adjust the ratio in 5% steps between 0 -
100%. Setting it to 0% shows an E image only and setting it to 100% shows a 2D image
only.
- Alpha Blending
Pressing the dial button enables or disables Alpha Blending.
Alpha Blending blends 2D and E images so that they appear to overlap with each other.
Use Blending Level to adjust the blending ratio.
- ElastoScan
Pressing the dial button terminates E mode and enter to 2D mode.
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/x dial-button on the control panel. Or, in PW Spectral
Doppler Mode, press the Color/y dial-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/x dial-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 button on the control panel. Or, in CW Spectral Doppler
Mode, press the Color/y dial-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 button on the control panel. Or, in CW Spectral Doppler
Mode, press the PD button on the control panel.
2D/C/M Mode
Color Doppler Mode and M Mode are displayed simultaneously.
In Color Doppler Mode, press the M dial-button on the control panel. Or, in M Mode, press the
Chapter 4. Diagnosis Mode 4 - 53
Color/y dial-button on the control panel. (This button is enabled for specific diagnostic
applications with specific probes only.)
In Combined Mode, more than two image modes are used at the same time. The
image mode currently in use is called Active Image Mode. For example, if Sample
Volume is moved with the Trackball in 2D/C/PW Mode, PW Spectral Doppler Mode
becomes the current active image mode.
Because the menu and button options vary depending on the active image mode, use
the Update button change the active image mode.
Note that the active image mode cannot be changed with the Update button when the
Freeze function is in effect.
Changing menu
Multi-Image Mode
Dual Mode
Press the Dual button on the control panel.
You can compare two different images at the same time. Each time you press the Dual button,
one of the two images is selected. The current active image mode is displayed as a yellow line
at the top. Button and menu items for the current image mode are displayed.
Press the Single button on the control panel to exit Dual Mode.
Quad Mode
Press the Quad button on the control panel.
You can compare four different images at the same time. Each time you press the Quad button,
one of the four images is selected. The current active image mode is displayed as a yellow line
at the top. Button and menu items for the current image mode are displayed.
Press the Single button on the control panel to exit Quad Mode.
3D / 4D Mode
3D/4D Mode
3D Mode
In this mode, 3D or standard probes are used to obtain 3D images.
Depending on the probe used and how images are obtained, 3D Mode can be divided into
the following:
2D/3D
Tip!
XI STIC
In this mode, a 3D probe is used to obtain a fetal cardiac pulsation cycle and STIC
image.
In addition to the above modes, the following two modes are supported depending on what
is observed in 3D Mode:
- Color 3D Mode (3D/C): Press the 3D/4D button in Color Doppler Mode. Along with
3D images of the observation area, the speed and direction of blood flow are shown
in color.
- Power Doppler 3D Mode (3D/PD): Press the 3D/4D button in Power Doppler Mode.
Along with 3D images of the observation area, the presence of blood flow is shown in
color.
4 - 58 SONOACE X8 Operation Manual
4D Mode
In this mode, a 3D probe is used to obtain 3D images in real time. It is also called Live 3D
Mode.
NOTE 4D Mode is not available in Color 3D Mode and Power Doppler 3D Mode.
ROI Box
In 3D/4D Mode, the ROI box is also called the Volume Box, which indicates an area in a
2D image to be converted into a 3D/4D image.
The location and size of the ROI box can be adjusted with the Change button on the
control panel. Each time the Change button is pressed, the state of the ROI box is
shown in the lower left corner of the screen as below:
- ROI Position: The ROI Box can be relocated. Use the Trackball to move the ROI box
to another location, and then press the Set button to set the new location.
- ROI Size: The ROI Box can be resized. Use the Trackball to change the size of the
ROI box, and then press the Set button to set the new size.
4 - 60 SONOACE X8 Operation Manual
3D StandBy Mode
In this mode, various parameters can be set before 3D or 4D images are obtained.
Auto ROI
This option appears only when the application for a 3D probe is set
NOTE to OB or OB Early.
Select Auto ROI in the menu. Press the button to turn it on or off. If it is turned on, the
Volume Box is automatically placed over an area that will be converted to a 3D image.
Chapter 4. Diagnosis Mode 4 - 61
Scan Mode
Use the Flexible Soft dial-button [1]. Rotate the dial-button to select the desired 3D
Mode from 2D/3D, 4D and XI STIC.
When a standard probe is used, 2D/3D is displayed, and this may not be changed.
View Mode
Use the Flexible Soft dial-button [2]. Rotate the dial-button to select the desired View
Mode from MPR, MSV and Oblique View.
- MPR (Multi Planar Rendering): A standard 3D mode. Once 3D images are obtained,
the 3D View screen appears.
- MSV (Multi Slice View): A type of 3D XI. Once 3D images are obtained, the 3D Xi
screen appears.
- Oblique View: A type of 3D XI. Once 3D images are obtained, the Oblique View
screen of 3D Xi appears.
When a standard probe is used, MPR is displayed, and this may not be changed.
Scan Angle
Use the Flexible Soft dial-button [3]. Rotate the dial-button to adjust the scan angle.
The desired scan angle varies depending on the probe used.
4 - 62 SONOACE X8 Operation Manual
Scan Quality
Use the Flexible Soft dial-button [4]. Rotate the dial-button to select the scan speed
from Slow, Normal, Fast and Fastest.
- Fastest: The image quality is low but the 3D image speed (or rendering speed) is fast.
- Fast: The image quality is better than Fastest but the speed is slower than Fastest.
- Normal: The image quality is better than Fast but the speed is slower than Fast.
Slow: The image quality is excellent. Use this option to observe detailed images.
Load Preset
Use the Flexible Soft dial-button [6]. Rotate the dial-button to select the desired
preset.
When a standard probe is used, available options are Default or User1 - User5.
Scan Time
Use the Flexible Soft dial-button [4]. Use the dial-button to specify the image
acquisition duration between 7 and 15 seconds.
Trimester
Use the Flexible Soft dial-button [5]. Use the dial-button to specify the
pregnancy trimester. Available options are 1st, 2nd, 3rd or User Set. If it is specified
to between 1st and 3rd, the recommended Scan Time and STIC Angle for the
specified trimester are automatically set. Please see the following table:
If Scan Time or STIC Angle is set to a value other than those listed in the table,
Trimester is switched to User Set.
Acquiring 3D Images
1. Select the desired 3D Mode in the Flexible Soft menu [1].
3. Use the Menu button and the Flexible Soft dial-buttons [2] - [6] to set various
parameters.
Chapter 4. Diagnosis Mode 4 - 63
4. Once done, press the Freeze or Set button. The system will start acquiring 3D images.
- Consider the direction, division and size of the viewpoint, as well as the visibility of an
object.
- If the ROI box is bigger, it takes more time to acquire 3D images. Therefore, set the ROI
box to an appropriate size.
- To see the 3D scan of a fetus in a frontal view, position the fetal head in the direction of
Direction Mark, putting it in the coronal plane. Then scan the fetus from back to
abdomen.
- The 3D image of the fetal face can be more easily found in the coronal plane than in the sagital plane.
- In case echo is not generated (ex. amniotic fluid), to determine surface contour, the
surfaces of objects should be insulated with hypo-echoic textures.
- To obtain a high quality 3D surface, adjust Low-Threshold. As a general rule, do not adjust
High-Threshold; set it to the maximum value of 255.
4 - 64 SONOACE X8 Operation Manual
3D View-MPR
This screen appears after 3D images are acquired when View Mode is set to MPR in 3D
StandBy Mode. 3D View is displayed in the upper left corner of the screen.
After optimizing the acquired 3D images, proceed with diagnosis and measurement.
When 3D images are acquired with a standard probe, 3D View is
NOTE automatically enabled.
3D View Screen
Screen Layout
The main 3D View screen consists of Axial Section, Sagital Section and Coronal
Section surface images which are volume data cut by anatomical locations and 3D
images.
For the purpose of convenience, Axial Section is displayed as A plane, Sagital Section
Chapter 4. Diagnosis Mode 4 - 65
A B
Trackball Mode
The current Trackball mode is displayed in the user information area. You can choose
Trackball mode from Cursor, Move and ROI. To change the Trackball mode, press the
Change button on the control panel. Each time the button is pressed, the Trackball
mode is toggled.
- Cursor: The Trackball can be used to position the cursor. Use the Trackball and Set
button to select the icon menu on the screen. Press the Pointer button on the
control panel to switch to the cursor mode.
- Move: The Trackball can be used to move 3D images. The acquired 3D image is
moved around according to the movement of the Trackball.
- ROI: The Trackball can be used to resize the ROI box. The size of the ROI box over
a 3D image is changed according to the Trackball movement. The ROI mode is
available only when Basic in the icon menu is set to ROI.
Moving Images
Place the Trackball pointer over an image to move, and then move it while pressing the
Set button. Alternatively, use the Trackball to move an image when Trackball mode is
set to Move.
- Set Button: An image can be rotated around the center.
- Exit Button: An image can be moved up/down/left/right.
Resizing ROI
When the Trackball mode is set to ROI, move the Trackball to resize the ROI box.
When the Trackball mode is set to Cursor, place the cursor over the ROI box and then
use the Trackball and Set button to resize it.
4 - 66 SONOACE X8 Operation Manual
Zooming Images
Use the Zoom dial-button on the control panel to adjust the value.
Showing/Hiding Menu
Press the Menu dial-button to show the menu on the screen. Press the Exit button to
hide the menu.
Use the Trackball and the Set button to move a tab in the menu. The Change button
can also be used.
Selecting Items
Entering Text
Press the [F2] button on the alphanumeric keyboard.
Chapter 4. Diagnosis Mode 4 - 67
NOTE The Autotext and Quick Text features are not available in 3D View.
Entering Indicator
Saving Images
Press the Save button on the control panel. The 3D Data Save window will appear.
Select Image under Save Type and then press the Save button to save images
Press the Save button on the control panel and then the 3D Data Save window will
appear.
Select Volume under Select Item and then press the Save button again to save
images along with volume data. If volume data contains Cine images, they are also
saved together.
If images are saved with volume data, they can be converted to 3D rendering images
with SonoView.
Printing Image
Display Format
Select Display Format in the menu to specify the desired display format.
2D
Axial, Sagital or Coronal plane images and Orientation Help (OH) are displayed on the
screen. OH shows the relative position of the selected plane in reference to volume
data.
Tips!
2D / 3D
Axial, Sagital or Coronal plane images and 3D images are displayed on the screen.
Axial, Sagital or Coronal plane images and the actual combination of them are
displayed on the screen. The boundary of each plane is shown in a different color.
ROI 3D
Axial, Sagital or Coronal plane images and 3D images are displayed on the screen.
The ROI Box can be changed for better observation.
Fixed 3D
Axial, Sagital or Coronal plane images and the 3D image that is set within the ROI box
in ROI 3D Mode are displayed on the screen. The ROI Box does not appear.
This is the default mode when 3D View is enabled. Axial, Sagital or Coronal plane
images and 3D images are displayed on the screen. The ROI Box can be changed for
better observation.
Axial, Sagital or Coronal plane images and the 3D image that is set within the ROI box
in ROI 3D Mode are displayed on the screen. The ROI Box does not appear. This
mode is not available in Live 3D.
Chapter 4. Diagnosis Mode 4 - 69
Tips!
The following buttons in the control panel can be used to change Display Format:
- Single Button: Switches to the full screen in A3D Mode.
- Dual Button: Switches to A3D Mode.
- Quad Button: Switches to ROI Mode.
Ref. Image
Use the Menu dial-button to select a reference image from A, B and C. Depending on the
reference image selected, the direction of the arrow changes.
Transparency
Use the Menu dial-button to set transparency between 20 and 250.
The lowest value (20) is for complete transparency, and the highest value (250) is for complete
opacity.
NOTE This function is only available in 2D/3D, ROI 3D and Fixed 3D.
Auto Contour
Press the Menu dial-button to turn it on or off.
This function automatically locates the fetal face area in a fetus image scanned for Sagital. If
it is turned on, a contour line appears and a 3D image is contoured in the ROI box on A Plane.
Contour Edit
Press the Menu dial-button to turn it on or off. Contour Edit appears in the menu only when
Auto Contour is turned on. If it is turned on, use the Trackball and Set button to change the
contour line.
3D Cine
Use the Menu dial-button to select 3D Cine in the 3D View menu. Then 3D Cine Mode will
be enabled.
4 - 70 SONOACE X8 Operation Manual
3D Cine Define
Rotation Angle
Use the Flexible Soft dial-button [1] to set all of the rotation angles for an image.
Valid values are 30, 45, 60, 90, 180 and 360.
Step Angle
Use the Flexible Soft dial-button [2] to set the rotation angle by step for an image.
Valid values are 1, 3, 5 and 15.
Rotate Axis
Use the Flexible Soft dial-button [3] to set the rotation direction to X or Y.
Start Pos.
Use the Flexible Soft dial-button [4] to set the start point of a Cine image. Valid
values are -180 to -1. If Start Pos. is set, Rotation Angle is disabled.
End Pos.
Use the Flexible Soft dial-button [5] to set the end point of a Cine image. Valid values
are 1 - 180. If End Pos. is set, Rotation Angle is disabled.
Mix
Use the Flexible Soft dial-button [6] to set the rendering mix. Valid values are 0 - 100.
Calculate
Press the Flexible Soft dial-button [6]. Start configuring a Cine image with the
specified settings.
3D Cine
Play Mode
Use the Flexible Soft dial-button [1] to select how 3D Cine is played.
Speed
Use the Flexible Soft dial-button [2] to set the playback speed of a Cine image. Valid
options are 25, 50,100, 200, 300 and 400%.
Mix
Use the Flexible Soft dial-button [4] to set the rendering mix. Valid values are 0 - 100.
Start / Pause
New Cine
Use the Flexible Soft dial-button [5] to enable New Cine Mode. Return to the 3D Cine
Define screen.
Clear Cine
Use the Flexible Soft dial-button [6] to delete the current Cine image. Return to the
3D Cine Define screen.
4D Cine
Use the Menu dial-button to select 4D Cine in the 3D View menu. Then 4D Cine Mode will
be enabled.
NOTE 4D Cine can also be enabled by pressing the Freeze button in 4D Mode.
Chapter 4. Diagnosis Mode 4 - 73
After specifying the playback mode and Cine type, press the Play button to start playing a
Cine image.
Cine Type
In the menu on the screen, use the Menu dial-button to select Cine type.
- Image: The standard Cine playback mode. Start Pos., End Pos., Speed(%) and
Position appear in the Flexible Soft menu.
- Volume: While a Cine image is being played, the MPR screen appears on the touch
screen. The display format can be changed to optimize Cine image playback. Vol.
Indexs appears in the Flexible Soft menu.
Start Pos.
Use the Flexible Soft dial-button [1] to set the start point of a Cine image. This option
appears only when Cine Type is Image.
End Pos.
Use the Flexible Soft dial-button [2] to set the end point of a Cine image. This option
appears only when Cine Type is Image.
Speed (%)
Use the Flexible Soft dial-button [3] to set the playback speed of a Cine image. Valid
values are 25 - 400%. This option appears only when Cine Type is Image.
Position
Use the Flexible Soft dial-button [4] to select a Cine image that will be shown on the
current screen. This option appears only when Cine Type is Image.
Play Mode
Use the Flexible Soft dial-button [5] to select the playback mode of a Cine image.
Vol. Index
Use the Flexible Soft dial-button [6] to select volume data that will be shown on the
current screen. This option appears only when Cine Type is Volume.
4 - 74 SONOACE X8 Operation Manual
Play
Press the Flexible Soft dial-button [6]. 4D Cine will then be played.
Preset
Use the Menu dial-button to select Preset in the 3D View menu. Set or rename a preset as
desired.
Preset
Use the Flexible Soft dial-button [6] to select a preset from Default or User1 5.
Press Default to revert to the initial preset value.
Load Preset
Press the Flexible Soft dial-button [6]. The selected preset will be applied to the
system.
User Rename
Press the Flexible Soft dial-button [4]. In the Name popup window, rename a User
Preset.
Save Preset
Press the Flexible Soft dial-button [5]. The changes to the preset will be saved.
Render Setup
Use the Menu dial-button to select Render Setup in the 3D View menu. Select the rendering
method from Gray, Color and SeeThru.
Gray
This mode shows volume data acquired by the gray method as a 3D rendering image.
Render Mode 1
- Max: Represents a 3D image in maximum intensity. This option can be useful for
Chapter 4. Diagnosis Mode 4 - 75
- Min: Represents a 3D image in minimum intensity. This option can be useful for
observation of vessels or cavities in the human body.
Render Mode 2
Use the Flexible Soft dial-button [2] to set Render Mode 2. Available options are the
same as for Render Mode 1.
Mix
Use the Flexible Soft dial-button [3] to set the render modes mix ratio. Valid values
are 0 - 100.
TH. Low
Use the Flexible Soft dial-button [4] to set the minimum threshold range. Valid values
are 0 - 254.
Tip! Threshold
A threshold is used to eliminate unnecessary data from an image. If it is
increased, more cyst components are shown. If it is decreased, more bone
components are shown.
TH.High
Use the Flexible Soft dial-button [5] to set the maximum threshold range. Valid values
are 1 - 255.
Render Direction
Use the Flexible Soft dial-button [6] to set the rendering direction. + indicates the
currently set direction. - indicates the opposite of the currently set direction.
Color
This mode shows volume data acquired by the Angio/CFM method as a 3D rendering
image. Available settings are the same as with Gray Render Mode.
See Thru.
This mode shows a Gray + Angio or Gray + CFM combination of data as a 3D rendering
image.
Use the Flexible Soft dial-buttons [1] and [2] to set the combination of Transp-Surface,
Transp-Transp, Max-Surface or Max-Transp rendering modes. Other settings are the same
as with Gray Render Mode.
Transp-Surface
View color data within gray data by adjusting the transparency of gray data. Parts
hidden by gray data may appear slightly darker.
Use the Flexible Soft dial-button [3] to adjust transparency. Use the Flexible Soft
dial-buttons [4] or [5] to set the threshold range.
Transp-Transp
View color data within gray data by adjusting the transparency of both gray and color
data. Parts hidden by gray data may appear slightly darker.
Use the Flexible Soft dial-button [3] to adjust transparency.
Max-Surface
View color data by setting gray data to Max and color data to Surface. Parts hidden
by the gray data may appear slightly brighter.
Use the Flexible Soft dial-button [3] to adjust the combination of two sets of data. Use
the Flexible Soft dial-buttons [4] or [5] to set the threshold range.
Max-Transp
View color data by setting gray data to Max and color data to Transp. Parts hidden by
the gray data may appear slightly brighter.
Use the Flexible Soft dial-button [3] to adjust the combination of two sets of data.
Chapter 4. Diagnosis Mode 4 - 77
MagiCut
Use the Menu dial-button to select MagiCut in the 3D View menu. MagiCut can be used to
eliminate parts in a 3D image that are irrelevant for diagnosis.
CutMode
Depth
1. Use the Trackball and the Set button to define an area to cut.
2. Use the Flexible Soft dial-button [1] Depth to set the cutting depth. Valid values
are 1 - 100.
- Flexible Soft dial-button [3] Redo: After restoring an image by pressing the
Undo button or the Undo All button, select the Redo button to cut the same
area again.
- Flexible Soft dial-button [4] Undo: Cancel the cutting of the selected area.
- Flexible Soft dial-button [5] Undo All: Cancel all cutting.
3. Press the Flexible Soft dial-button [6] Apply to complete the setting.
Palette
Use the Menu dial-button to select Palette in the 3D View menu. Then set the colors for 2D
and 3D images.
2D Palette
Use the Flexible Soft dial-button [1] to set the color of a 2D image. Valid options are
Palettes 0 - 9.
3D Palette
Use the Flexible Soft dial-button [2] to set the color of a 3D image. Valid options are
Palettes 0 - 9.
Select
Use the Flexible Soft dial-button [1] to select a Post Curve to change the settings for.
Init
Press the Flexible Soft dial-button [1]. The initial 3D image and settings will be
Chapter 4. Diagnosis Mode 4 - 79
restored.
Position
Use the Flexible Soft button [2] to change the location of a Post Curve that is
selected under Select. Valid values are 0 100.
Full
Press the Flexible Soft dial-button [2]. A 3D image will be displayed in the full screen
mode. Press the button again to return to the previous screen.
Bias
Use the Flexible Soft button [3] to change the bias of a Post Curve that is selected
under Select. Valid values are -100 to 100.
Mix
Use the Flexible Soft dial-button [4] to set the rendering mix between 0 and 100.
Th.Low
Use the Flexible Soft dial-button [5] to set the value between 0 and 254.
Tip! Threshold
A threshold is used to eliminate unnecessary data from an image. If it is
increased, more cyst components are shown. If it is decreased, more bone
components are shown.
Orientation
Use the Flexible Soft dial-button [6] to select from 0, 90, 180 and 270. Here, the
coordinate system rotates by the Z-axis in the 3D Standard Coordinate System.
U/D Flip
Press the Flexible Soft dial-button [6]. An image is flipped upside down.
4 - 80 SONOACE X8 Operation Manual
VOCAL Mode
Select the VOCAL tab in the menu. VOCAL stands for Virtual Organ Computer Aided anaLysis,
which is used to measure the volume of internal tissues in the human body.
VOCAL Mode proceeds in the order of Contour Edit Contour Accept Contour Shell
Histogram.
Contour
After setting various parameters, VOCAL data can be acquired.
Contour Type
Use the Menu dial-button to select Contour Type in the VOCAL menu.
Chapter 4. Diagnosis Mode 4 - 81
- Solid: Use this option when there are many echoes within an object.
- General: Create a contour based on the nature of a general object. This option is
faster but less accurate than other automatic contour types.
- Prostate: Use this option for prostate-related data.
- Cystic: Use this option when there are few echoes within an object.
- Sphere: After creating a spherical object, modify its contour to obtain the desired
shape.
- Manual: Create the shape of an object manually.
Ref. Image
Use the Flexible Soft dial-button [1] to select a reference image from A, B and C.
Init
Press the Flexible Soft dial-button [1] to restore the initial 3D image and settings.
Ref. Angle
Use the Flexible Soft dial-button [2] to set the rotation angle to 12, 18 or 30.
Pole 1
Use the Flexible Soft dial-button [4] to set the location of Pole 1.
Pole 2
Use the Flexible Soft dial-button [5] to set the location of Pole 2.
Next
Press the Flexible Soft dial-button [6]. VOCAL data will then be created.
Once data is created, volume information will be displayed on the screen.
4 - 82 SONOACE X8 Operation Manual
- Press the Flexible Soft dial-button [3] New Contour to perform the VOCAL
process again.
Edit Contour
When contouring is complete, the system is switched to the Edit Contour screen. Modify
the existing contour or create a new contour.
Shell Mode
Use the Menu dial-button to select Shell Mode in the VOCAL menu.
- Off: The shell is drawn on the created contour.
- Inside: The shell is drawn inside the created contour by the Shell Thickness
specified.
- Outside: The shell is drawn outside the created contour by the Shell Thickness
specified.
- Symmetric: A half of the shell is drawn inside the contour by half the Shell
Thickness specified and the other half of the shell is drawn outside the contour by
half the Shell Thickness specified.
Chapter 4. Diagnosis Mode 4 - 83
Previous Image
Press the Flexible Soft dial-button [1] to go to the previous page.
Next Image
Press the Flexible Soft dial-button [2] to go to the next page.
Thickness
Use the Flexible Soft dial-button [2] to set the shell thickness to a value between 1
and 20 mm. This option is not available when Shell Mode is OFF.
New Contour
Press the Flexible Soft dial-button [4] to delete the current contour and return to the
initial VOCAL screen.
Clear Contour
Press the Flexible Soft dial-button [5] to delete all VOCAL data and return to the initial
VOCAL screen.
Accept Contour
Press the Flexible Soft dial-button [6] to save the shell contour. The Accept Contour
screen will appear.
Accept Contour
Perform various tasks with the accepted image.
Display Format
Use the Menu dial-button to select Display Format in the VOCAL menu.
- ROI 3D: Press the ROI 3D button on the touch screen. Along with Axial, Sagital and
Coronal plane images, a VOCAL image will be displayed on the screen.
- Fixed 3D: Press the Fixed 3D button on the touch screen. Along with Axial, Sagital
and Coronal plane images, the 3D image of the contoured area will be displayed on
the screen.
- Volume CT: Press the VCT button on the touch screen. The contour areas in the
Axial, Sagital and Coronal planes and the actual combination of them will be
displayed on the screen. The boundary of each plane is shown in a different color.
4 - 84 SONOACE X8 Operation Manual
Ref. Image
Use the Flexible Soft dial-button [1] to select a reference image from A, B and C.
Init
Press the Flexible Soft dial-button [1] to return to the Contour screen
Mode
Use the Flexible Soft dial-button [1] to select either Surface or Wireframe mode.
This option appears only when the Display Format is ROI 3D.
- Surface: Represent VOCAL data using the Ray-casting method where the surface
of an image is expressed with curves.
Niche
Use the Flexible Soft dial-button [3] to set a value between 1 8. This option
appears only when the Display Format is Volume CT.
Full
Press the Flexible Soft dial-button [3]. A 3D image will be displayed in full screen
mode. Press the button again to return to the previous screen.
Histogram
Press the Flexible Soft dial-button [4]. A shell histogram will be calculated.
The shell histogram represents the distribution of gray values in 2D and Power
Doppler images within an object for which a VOCAL process is performed. It also
shows Mean Gray (MG), Vascularization Index (VI), Flow Index (FI) and
Vascularization Flow Index (VFI) based on the distribution.
VOCAL Edit
Press the Flexible Soft dial-button [5]. The system will switch to the Edit Contour
screen.
Chapter 4. Diagnosis Mode 4 - 85
- VI: the ratio of color voxels against all voxels within the shell
VI = the number of color voxels / the number of all voxels
- FI: the average value of brightness (color) for color voxels within the shell
FI = total brightness (color) / the number of color voxels
- VFI: the average value of brightness (color) for all voxels within the shell
VFI = total brightness (color) / the total number of voxels
3D XI Mode (Optional)
If View Mode is set to MSV or Oblique View in 3D StandBy Mode, this screen appears when a
3D image is acquired. 3D XI is displayed in the upper left corner of the screen.
3D XI Mode also appears if MSV, Oblique View or Volume CT is selected in the 3D View
screen. 3D XI is displayed in the upper left corner of the screen.
In 3D XI Mode, the plane of an image is divided into several sections and displayed to
enhance the effectiveness of diagnosis. It has three sub-modes as below.
MSV Mode
Press the MSV tab in the menu. MSV stands for Multi-Slice View, which allows you to divide
an image into several slices for better observation.
Layout
Set the screen layout by selecting one out of the [1x1], [2x1], [3x2], [3x3], [4x3] and
[6x4] buttons on the touch screen.
Tips!
- If 11 is selected, one image can be viewed at a time. - If 64 is selected, 24 slice
images can be viewed at a time.
- Each time a new layout is selected, the currently selected image moves to the first
position on the screen.
Ref. Image
Choose a plane in which to view multi-slice images by selecting from A, B and C planes.
Ref. OH
Select a plane to be used as Reference OH.
- If Ref. OH is 3D: Indicates the location of the selected slice in relation to volume
data.
- If Ref. OH is A, B or C: Indicates the location of the selected slice.
Orientation Dot
Press the Menu dial-button to turn it on or off. If it is turned on, a dot symbol appears in
the center of an image.
Ruler
Use the Flexible Soft dial-button [1] to specify where the ruler will be placed on the
screen. Available options are None, Right, Left, Top, Bottom and All.
Init
Press the Flexible Soft dial-button [1] to return to the initial screen in MSV Mode.
Position
Use the Flexible Soft dial-button [2] to adjust the location of a Post Curve. Valid
values are 0 100.
4 - 88 SONOACE X8 Operation Manual
Bias
Use the Flexible Soft dial-button [3] to adjust the bias of a Post Curve. Valid values are
-100 to 100.
Index Change
Use the Flexible Soft dial-button [4] to change index. The selected index is shown in
a yellow frame.
Page Change
Use the Flexible Soft dial-button [5] to change page. This option is used when there
is more than one page due to multiple indices.
Cut Depth
Use the Flexible Soft dial-button [6] to set the cut depth for multi-slices. Valid values
are 0.5, 1.0, 2.0, 3.0, 4.0 and 5.0 mm.
The Cut Depth represents the width of each slice in volume data
NOTE and not the actual anatomical location.
Rotation
If a reference plane is rotated, the rotation is applied to all planes.
Rotating by X-axis
Use the PW / x dial-button on the control panel. Alternatively, when the Trackball mode
is Cursor, place the cursor near the X-axis in an image and then move the Trackball
while pressing the Set button.
Rotating by Y-axis
Use the Color / y dial-button on the control panel. Alternatively, when the Trackball
mode is Cursor, place the cursor near the Y-axis in an image and then move the
Trackball while pressing the Set button.
Rotating by Z-axis
Use the M / z dial-button on the control panel. Alternatively, when the Trackball mode
is Cursor, place the cursor near the Z-axis in an image and then move the Trackball
while pressing the Set button.
Translation
Move multi-slice images. Use the Change button on the control panel and the Trackball.
Alternatively, move the Trackball in an image while pressing the Exit button. Move it to the X-
or Y-axis in the coordinate system.
Chapter 4. Diagnosis Mode 4 - 89
Post Processing
Use the Menu dial-button to select Post Processing in the 3D XI menu. The Post
Processing menu will appear.
This function allows you to perform post-processing on multi-slice images, and it is not
available in Volume CT.
Invert
Press the Menu dial-button to turn it on or off. If it is turned on, the brightness of multi-
slice images is inverted.
Auto Contrast
Press the Menu dial-button to turn it on or off. If it is turned on, the brightness of multi-
slice images is automatically adjusted.
Thres.
Sharp
3D CI
XI MR
Press the Menu dial-button to turn it on or off. XI MR is used to improve the image
quality by stressing the contrast and edges of images. When it is turned on, it only
affects the index image in a yellow frame.
Gradient Mask
Press the Menu dial-button to turn it on or off. This function is used to adjust the
brightness of a specific area in multi-slice images. The selected area becomes brighter.
L/R Flip
Use the Flexible Soft dial-button [1]. When the button is pressed, the left and right
sides of an image are flipped.
U/D Flip
Use the Flexible Soft dial-button [2]. When the button is pressed, an image is flipped
upside down.
Oblique View
Press the Oblique View tab in the menu. Perpendicular plane images can be viewed by
applying a line or contour on Coronal, Sagital and Axial images.
Dynamic Line
This allows you to draw a straight line and view a plane that is perpendicular to the line.
- Use the Trackball and the Set button to draw a straight line. For the line drawn, the
start point is marked with S and the end point is marked with E.
- Use the Change button on the control panel to move the line. Use the Trackball to
4 - 92 SONOACE X8 Operation Manual
place the line at the desired location and then press the Set button to set the new
location.
- Use the Angle dial-button on the control panel or the Flexible Soft dial-button [2]
Line Rotation to change the angle of the line.
Contour
This allows you to contour a straight line or curve and view a plane that is perpendicular
to it. The contouring, moving and modifying of a line are the same as in Dynamic Line.
Multi- Line
This allows you to draw a straight line and view a plane that is perpendicular to the line.
The drawing, moving and modifying of a line are the same as in Dynamic Line.
Multi Contour
This allows you to contour a straight line or curve and view a plane that is perpendicular
to it. The contouring, moving and modifying of a line are the same as in Dynamic Line.
Multi Parallel
If you draw a straight line, four lines parallel to it are applied to a reference image to
display an oblique image.
- After pressing Multi-Parallel, use the Trackball and the Set button to draw a
reference line. Parallel lines are then automatically drawn.
- Use the Flexible Soft dial-button [3] Line Offset to adjust the spaces between
parallel lines.
Multi Plumb
If you draw a straight line, four lines perpendicular to it are applied to a reference image
to display an oblique image.
- After pressing Multi-Plumb, use the Trackball and the Set button to draw a reference
line. Perpendicular lines are then automatically drawn.
- Use the Line Offset on the touch screen to adjust the spaces between perpendicular
lines.
Select Line
Use the Flexible Soft dial-button [1] to select a line. This option is available only
when Multi-Line or Multi-Contour is selected in the Oblique View Mode menu.
Line Rotation
Use the Flexible Soft dial-button [2] to adjust the location of a line. This option is not
available when Contour or Multi-Contour is selected in the Oblique View Mode
menu.
Line Offset
Use the Flexible Soft dial-button [3] to adjust the spaces between parallel lines. This
option is available only when Multi-Parallel or Multi-Plumb is selected in the Oblique
View Mode menu.
Auto Increase
Press the Flexible Soft button [4] to turn it on or off. If it is turned on, more than one
line can be drawn. This option is available only when Multi-Parallel or Multi-Plumb is
selected in the Oblique View Mode menu.
Position
Use the Flexible Soft dial-button [5] to adjust the location of a Post Curve. Valid
values are 0 100.
Bias
Use the Flexible Soft dial-button [6] to adjust the bias of a Post Curve. Valid values are
-100 to 100.
Volume CT Mode
Press the Volume CT tab in the menu. In this mode, an image is divided into Axial, Sagital
and Coronal images, which are then recombined in 3D for display. This mode provides
information on surface images.
Volume CT Mode has two sub-modes: Cube VolumeCT and Cross VolumeCT.
Cube Volume CT
Press the Cube in the Volume CT menu. This mode provides information on neighboring
external surface images in a cube.
Select Surface
Use the Menu dial-button to select a reference surface to view. Available options are
Front, Back, Left, Right, Up and Down. The selected surface appears in frontal view.
The orientation of the current cube is shown in the lower right corner of the screen.
Use the Flexible Soft dial-buttons [1] [6] to change the location of the selected
reference surface.
Init
Press the Flexible Soft dial-button [1] to return to the initial screen in Volume CT
Mode.
Chapter 4. Diagnosis Mode 4 - 95
Boundary
Press the Flexible Soft button [3] to turn it on or off. This option allows you to show or
hide additional boundary lines in Cube Volume CT. Additional boundary lines indicate
the external area of the entire volume.
Rotation
Use the PW/X, Color/Y and M/Z dial-button on the control panel to rotate a Cube
Volume CT image by the X-, Y- or Z-axis.
Zoom
Use the Zoom dial-button on the control panel to zoom an image by 25 400 times.
Cross Volume CT
Press the Cross in the Volume CT menu. This mode provides information on images within
the planes intersecting each other.
A Plane
Use the Flexible Soft dial-button [1] to set the location of the Front Surface from
between -127 and 127. It will be displayed in blue frames on the screen.
B Plane
Use the Flexible Soft dial-button [2] to set the location of the Upper Surface from
between -127 and 127. It will be displayed in red frames on the screen.
C Plane
Use the Flexible Soft dial-button [3] to set the location of the Left Surface from
between -127 and 127. It will be displayed in frames on the screen.
NOTE Other usages are the same as for Cube Volume CT.
XI STIC (Optional)
STIC stands for Spatio-Temporal Image Correlation. XI STIC obtains a fetal cardiac pulsation
cycle with 3D images of the fetal heart, reorganizes images, and represents like 4D image.
1. In the 3D StandBy screen, use the Flexible Soft dial-button [1] to select XI STIC.
If Scan Time or STIC Angle is set to a value other than those listed in the table,
Trimester is set to User Set.
- Flexible Soft dial-button [6] Preset: Select a preset.
4. Once setting is done, press the Freeze button. The system will start acquiring STIC
images.
5. The STIC Confirm window appears on the screen. The fetal heart rate will be
calculated and displayed on the screen. Press Yes to proceed. Press No to cancel
and scan again.
If the heart rate is not available or there are too many motion
NOTE artifacts to calculate the heart rate, the system returns to the very
first XI STIC screen.
NOTE - Fetal heart rate far to low or far to high compared with the value
from other measurement.
- Asynchronous movement in different parts of the image: for
example, the right part of the image is contracting and the left part
is expanding at the same time.
In all of the above cases the data has to be discarded and the
acquisition has to be repeated.
STIC Speed
Adjust the speed of image playback. Use the Menu dial-button to set it to All Cine, 25%,
33%, 50% or 100%.
If it is set to All CINE, all of the Volume CINE saved are reviewed regardless of their
speed. If it is set to a percent value, Volume CINE is played at the specified speed based
on the fatal heart rate (100%).
Measurements and
Calculations
Measurement Accuracy...................................................................................................3
THYROID CALCULATION.............................................................................................................. 90
BREAST CALCULATION ............................................................................................................... 91
TESTICLE CALCULATION ............................................................................................................. 93
SUPERFICIAL CALCULATION ....................................................................................................... 94
PEDIATRIC HIPS CALCULATION ................................................................................................... 95
MUSCULOSKELETAL CALCULATION ............................................................................................. 97
Report ........................................................................................................................... 98
Measurement Accuracy
Measurement values can vary, depending on the nature of the ultrasound, the bodys response
to ultrasound, the measurement tools, algorithms, product settings, probe type and user
operation.
Before using this product, make sure to read and understand the following information regarding
the causes of measurement errors, and measurement optimization.
Pixel Size
- An ultrasound images in the product consist of pixels.
- Since a single pixel represents the basic unit of an image, a measurement error may
result in the displacement of approximately 1 pixel when compared to the original
image size.
- However, this error becomes significant only when a narrow area in an image is
measured.
Ultrasound Velocity
- The velocity of ultrasound used during measurement is usually 1,540 m/s on average.
- The velocity of ultrasound may vary depending on the cell type.
- The possible range of error is between approximately 2-5% depending on the structure
of cells (about 2% for typical cells and about 5% for fatty cells).
Aliasing
- PW Spectral Doppler Mode uses a signal sampling technique to calculate the frequency
(or velocity) spectrum.
- Adjust the baseline or the velocity scale to minimize aliasing. A lower frequency probe
can also be used to reduce aliasing.
- Aliasing is dramatically reduced in CW Spectral Doppler Mode.
Calculation Equation
- Some of the calculation equations used for clinical purposes originate from hypotheses
and approximation.
- All calculation equations are based on medical reports and articles.
Human Error
- Human error may occur due to inappropriate use or lack of experience.
- This can be minimized through compliance with and thorough understanding of the
manuals.
M Mode
- The accuracy of time measurements can be increased when the sweep velocity and the
display format are set to high values.
- The accuracy of distance measurements can be increased when the display format is
set to higher values.
Doppler Mode
- It is recommended to use lower frequency ultrasound for measurement of faster blood
flows.
- The size of the sample volume is limited by the axial direction of the ultrasound.
- Using lower frequency ultrasound increases penetration.
- The accuracy of time measurements can be increased when the sweep velocity is
increased.
- The accuracy of velocity measurements can be increased when the vertical scale is set
to smaller values.
- It is most important to use an optimal Doppler angle to enhance the accuracy of velocity
measurements.
Cursor Position
- All measurements are affected by input data.
- To ensure accurate positioning of the cursor:
Adjust the images on the screen so that they are displayed at maximum granularity.
Use the front edge or boundary point of a probe to make the start and end points of a
measurement object more distinct.
Make sure that the probe direction is always aligned during measurement.
5-6 SONOACE X8 Operation Manual
Modes Performance
Specification
Modes Test Accuracy(1)
Description
performance Methodology Based on
Frequency Depth
2D Mode
(1)
System Tolerance: Test Accuracy
Measurements: Range(2)
(Whichever is greater) Methodology Based on
M Mode
System Tolerance: Test Accuracy (1)
Measurements: Range (2)
(whichever is greater) Methodology Based on
(2) Distance is displayed with cm and with the second digit. Velocity is displayed with cm/s and with
the second digit.
(2) Distance is displayed with cm and with the second digit. Velocity is displayed with cm/s and with
the second digit.
5-8 SONOACE X8 Operation Manual
Basic Measurements
Press the Caliper button on the control panel.
The available measurement methods vary depending on the current diagnosis mode. Please
refer to the following table:
Distance
Line Trace
2D, M, D, E Angle
%StD
Distance Measurement
M M Distance
D Velocity
D D A/B
D Trace
Ellipse
Circumference and Area
2D, M, D, E Trace
Measurement %StA
3 Distance
1 Distance
Volume Measurement 2D, M, D, E Distance + Ellipse
Ellipse
MOD
The measurements taken in E Mode may not reflect the size of the actual
tissues. Possible reasons for this discrepancy are described in the following:
- The shape or size of tissue can be altered by the pressure exerted
CAUTION during E Mode scanning.
- Measurements are affected by the hardness of the tissues at the
measurement site.
Chapter 5. Measurements and Calculations 5-9
Distance Measurement
Distance
This is a basic measurement that is available in all diagnosis modes. You can specify two
points in a 2D image and measure the straight distance between them.
1. Select Distance in the Flexible Soft menu [1]. Distance will appear in the user
information area.
2. Use the Trackball and the Set button on the control panel to specify both end points
of the measurement area.
- Use the Trackball to place the cursor at the desired position and press the Set
button.
3. Specify both end points and then the distance between them will be measured.
Line Trace
It is a basic measurement that is available in all diagnosis modes. You can specify a point
in a 2D image and trace a curve from that point to measure the distance between them.
1. Select Line Trace in the Flexible Soft menu [1]. Line Trace will appear in the user
information area.
2. Use the Trackball and the Set button on the control panel to specify the start point of
the measurement area.
- Use the Trackball to place the cursor at the desired position and press the Set
button.
3. Use the Trackball to draw the desired curve and then press the Set button to set the end point.
4. Specify both end points and then the length of the curve will be automatically
measured.
Chapter 5. Measurements and Calculations 5 - 11
Angle
A basic measurement that is available in all diagnosis modes. Specify two straight lines in
a 2D image and measure the angle between them.
1. Select Angle in the Flexible Soft menu [1]. Angle will appear in the user information
area.
2. Draw two straight lines. For information on drawing a straight line, please refer to
Distance.
3. The angle between two lines will be calculated and displayed on the screen.
- When two angles are calculated, the smaller angle is displayed.
%StD
StD stands for Stenosis Distance, which is a basic measurement available in all diagnosis
modes. In a 2D image, the diameter of a vessel is measured and the stenosis ratio
calculated.
1. Select %StD in the Flexible Soft menu [1]. %StD will appear in the user information
area.
2. Measure the total diameter of a vessel using the Distance measurement method.
3. When a new cursor appears, measure the inner wall diameter of the vessel under stenosis.
4. Calculate %StD with the following equation:
%StD = (Outer Distance Inner Distance) / Outer Distance 100
M Distance
This is a basic measurement that is available in M Mode only. You can specify two points
in an M image and measure the distance, elapsed time and velocity between them.
1. Select M Distance in the Flexible Soft menu [1]. M Distance will appear in the user
information area.
2. Specify two points and then measure the shortest distance between them. The way that
it is measured is the same as in Distance.
3. Once measurement is done, the result is displayed on the screen.
D Velocity
This is a basic measurement that is available in Spectral Doppler Mode only. You can
specify two points in a Spectral Doppler image and measure the distance between them,
and the velocity at each point to calculate the velocity change, time change and
acceleration.
1. Select D Velocity in the Flexible Soft menu [1]. D Velocity will appear in the user
information area.
2. Specify two points and then measure the shortest distance between them. The way
that it is measured is the same as in Distance.
3. Once measurement is done, the result is displayed on the screen.
- V1: Velocity at Point 1 - Time: Change in Time
- V2: Velocity at Point 2 - Acc: Acceleration
- PGmax: Max Pressure Gradient - RI: Resistivity Index
- V2-V1: Change in Velocity - S/D: Systolic to Diastolic Ratio
V1 V2
- RI =
V1
- dV = V2 V1
(V2 V1 ) dV
- Acceleration = =
(T2 T1 ) dT
If Application is set to Cardiac at Utility > Measure Setup >
NOTE General > Caliper, the results including Vmax, PGmax, PGmean,
VTI, PHT, Acc, AccT, Dec and DecT will be shown on the screen.
D A/B
This is a basic measurement that is available in Spectral Doppler Mode only. You can
specify two points in a Spectral Doppler image and measure the velocity at each point to
calculate the ratio of the velocity between them.
1. Select D A/B in the Flexible Soft menu [1]. D A/B will appear in the user information
area.
2. Specify two points for which to measure velocity.
- Use the Trackball to place the cursor at the desired position and press the Set
button.
3. Once measurement is done, the result is displayed on the screen.
D Trace
This is a basic measurement that is available in Spectral Doppler Mode only. You can
specify a point in a Spectral Doppler image and trace a curve from that point to calculate
the velocity, integral value and average velocity of blood flow.
1. Select the Flexible Soft button [1] D Trace. D Trace is displayed in the user
information area.
2. Trace a curve. The method for measuring a curve is the same as in 2D Line Trace.
3. When the measurement is finished, its result is shown on the screen.
- PSV: Peak Systolic Velocity - RI: Resistivity Index
- EDV: Edn Diastolic Velocity - PI: Pulsatility Index
- Vmean: Average Velocity - S/D: Ratio of PSV to EDV
1 A B
2 2
Trace
This is a basic measurement that is available in all diagnosis modes. You can measure the
circumference and area of an irregular object in a 2D image.
1. Select the Flexible Soft button [2] Trace. Trace is displayed in the user information
area.
2. Use the Trackball and the Set button on the control panel to specify the start point for
tracing over the contour of the measurement area.
- Place the cursor at a desired position with the Trackball, and press the Set button.
3. Trace the curve so that the measurement cursor returns to the start point, and then
press the Set button.
Trace lines must be closed. If you press the Set button before
NOTE tracing is complete, tracing may be done over a straight line between
the current point and the start point, resulting in a significant error.
%StA
StA stands for Stenosis Area, which is a basic measurement available in all diagnosis
modes. In a 2D image, the area of a vessel is measured and the stenosis ratio (%)
calculated.
1. Select %StA in the Flexible Soft menu [2]. %StA will appear in the user information
area.
2. Measure the area of the vessel outer wall using the Area measurement method.
3. When a new cursor appears, measure the inner wall area of the vessel under stenosis.
4. Calculate %StA with the following equation:
%StA = (Outer Area Inner Area) / Outer Area 100
5 - 16 SONOACE X8 Operation Manual
Volume Measurement
Since Dual Mode simultaneously displays two images on the screen, you
NOTE 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. You can measure the
volume of an object in a 2D image by using 3 straight lines.
1. Select the Flexible Soft button [3] 3 Distance. 3 Distance is displayed in the user
information area.
2. Specify two points and measure the straight distance between them. The method for
measuring a line is the same as in Distance.
3. Measure the length of the remaining two straight lines as in the above. Measure other
two distance using the same method with 2.
4. When the measurement is finished, its result is shown on the screen. The volume of
the object along with the length of each straight line are calculated.
4 D D D
- Vol = 1 2 3 , (D: distance)
3 2 2 2
1 Distance
This is a basic measurement that is available in all diagnosis modes. You can measure the
volume of an object in a 2D image by using only one straight line.
1. Select the Flexible Soft button [3] 1 Distance. 1 Distance is displayed in the user
information area.
2. Specify two points and measure the straight distance between them. The method for
measuring a line is the same as in Distance.
3. When the measurement is finished, its result is shown on the screen. The volume of
the object along with the length of the straight line are calculated.
Distance + Ellipse
This is a basic measurement that is available in all diagnosis modes. You can measure the
volume of an object in a 2D image by using one straight line and one circle (ellipse).
1. Select the Flexible Soft button [3] Distance + Ellipse. Distance + Ellipse is
displayed in the user information area.
2. Specify two points and measure the straight distance between them. The method for
measuring a line is the same as in Distance.
3. Specify the size of the circle (ellipse). The method for measuring a circle (ellipse) is the
same as in Ellipse.
4. When the measurement is finished, its result is shown on the screen.
Ellipse
A basic measurement that is available in all diagnosis modes. In a 2D image, the volume of
a conical object is measured using an ellipse.
1. Select Ellipse in the Flexible Soft menu [3]. Ellipse will appear in the user information
area.
2. Set the size of the ellipse. The way it is measured is the same as in Ellipse.
3. Once measurement is done, the result is displayed on the screen.
MOD
A basic measurement that is available in all diagnosis modes. In a 2D image, the area of
an irregular object and the length of its long axis are obtained to calculate its volume. MOD
is an abbreviation for Method of Disk.
1. Select MOD in the Flexible Soft menu [3]. MOD will appear in the user information
area.
2. Draw a contour to measure. The way it is measured is the same as in Trace.
3. Measure the length of the long axis. The way it is measured is the same as in
Distance.
4. Once measurement is done, the result is displayed on the screen.
Chapter 5. Measurements and Calculations 5 - 19
Calculations by Application
Things to note
Before Taking Measurements
Register Patient
Make sure that the currently registered patient information is correct. If the patient is
not registered, press the Patient button on the control panel.
Measurement Operations
The following gives information on the common button operations for measurements:
Change/Select Application
Use the Calculator button on the control panel. Each time the Calculator button is
pressed, the application toggles in the order determined under Measure Setup. The
order in which applications appear can be specified at Utility > Measure Setup >
General > Packages.
[Figure 5.1 The Flexible Soft Menu for Measurement Result Display]
- [1] HR Cycle: Enabled when a heart rate is measured in M/D Mode. You can
specify the frequency of the heart beat to 1 20 beats.
- [2] Trace Direction: Enabled after Auto or Limited Trace is performed in Spectral
Doppler Mode. Select the direction as Up, Dn, or All.
Up: Trace only positive part on the Doppler spectrum.
Dn: Trace only negative part on the Doppler spectrum.
All: Trace all Doppler spectrum.
- [3] Threshold: Enabled after Auto or Limited Trace is performed in Spectral
Doppler Mode. Adjusting the threshold value helps the contouring of a Doppler
spectrum.
- [4] Result Action: Specify the position where the measurement results are
displayed.
Move: Change the position where the measurement results are displayed. After
changing the position, press the Set button.
When there are too many measurement data and they cannot all
NOTE be displayed on the screen at one time, the Move button can be
used to navigate through the measurement data.
Reset: Press the Flexible Soft dial-button to initialise the position where the
measurement results are displayed.
- [5] Delete: Enabled during Trace measurement. Rotate the Flexible Soft dial-button to
delete some of the curve being traced.
- [6] Font Size: Rotate the dial-button to select the font size for measurement result
from 10 to 30.
- [6] Undo: Cancel the last measurement.
NOTE The measurement results are deleted from the screen but still
shown on the report for the corresponding application.
Exit Measurement
Press the Exit button on the control panel.
End Diagnosis
Press the End Exam button on the control panel. The diagnosis for the current patient
ends and all measurement results are saved.
Auto Trace
A spectrum is traced automatically. It is enabled in the Measurement menu in
Spectral Doppler Mode.
1. Press Auto Trace in the Measurement menu.
2. The system traces a spectrum automatically.
3. When Trace is complete, the measurement results are displayed on the screen.
The state of a Doppler spectrum may affect measurement results. Please see the following:
Misc.
- Use of the CW Probe may result in measurement error(s).
- Limited Trace is supported only for two-peak spectrums such as Mitral Valve
Inflow and Tricuspid Valve Inflow in the cardiology application.
Limited Trace
If you specify a measurement range, a spectrum is traced automatically. It is enabled
in the menu in Spectral Doppler Mode.
1. Press Limited Trace in the Measurement menu. A bar appears allowing you to
specify a measurement area.
Manual Trace
A spectrum is traced manually. It is enabled in the menu in Spectral Doppler Mode.
1. Press Manual Trace in the Measurement menu. A measurement cursor appears
over a spectrum.
2. Trace the spectrum. The measuring method is the same as in D Trace.
3. When Trace is complete, the measurement results are displayed on the screen.
Itemized Measurement
In the Measurement menu, select an individual item and take a measurement.
Chapter 5. Measurements and Calculations 5 - 23
1. Press the Calculator button on the control panel after obtaining a desired image.
2. Select a desired item in the Measurement menu. The + cursor appears over a
spectral waveform.
3. Position the + cursor and press the Set button.
4. The measurement results for the selected item are displayed on the screen.
Items measured are as follows. For information on setting measurement item(s), please refer
to "Auto Calc" in Chapter 3 Setting.
Stenosis Measurement
You can measure the stenosis of each blood vessel system by measuring and calculating
an area or distance.
% StA
Measure the area of the inner and outer walls of a blood vessel. StA stands for
Stenosis Area.
1. Select the %StA menu and the first cursor will appear in 2D Mode.
2. Measure the area of the vessels outer wall using the Circ/Area measurement
method.
3. When the second cursor appears, measure the area of the vessels inner wall
under stenosis.
%Stenosis Area. = (Outer Area Inner Area) / Outer Area 100
% StD
Measure the diameter of a blood vessel. StD stands for Stenosis Distance.
1. Select the %StD menu and the first cursor will appear in 2D Mode.
2. Measure the total diameter of a blood vessel using the Distance measurement
method.
3. When the second cursor appears, measure the diameter of the vessels inner wall
under stenosis.
%Stenosis Dist. = (Outer Distance Inner Distance) / Outer Distance 100
Chapter 5. Measurements and Calculations 5 - 25
OB Calculation
A maximum of four fetuses can be entered in the Gestations menu. 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 3 Setting.
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.
Measurement
Items Mode Methods Unit
Menu
GS All Distance cm, mm
CRL All Distance cm, mm
YS All Distance cm, mm
BPD, HC All Distance cm, mm
Fetal Biometry
BPD All Distance cm, mm
OFD All Distance cm, mm
Circumference or
HC All cm, mm
automatic calculation
5 - 28 SONOACE X8 Operation Manual
Measurement
Items Mode Methods Unit
Menu
Measurement
Items Mode Methods Unit
Menu
Q4 All Distance cm, mm
AFI
MVP All Circumference cm, mm
Cervix Cervix Length All Distance cm, mm
Calculated after
All (D) All %
distance measurement
ThD ap All Distance cm, mm
ThD trans All Distance cm, mm
HrtD ap All Distance cm, mm
CTAR
HrtD trans All Distance cm, mm
Calculated after
All (A) All %
area measurement
ThA All Area cm2, mm2
2 2
HrtA All Area cm , mm
Calculated after
All PW
velocity measurement
PLI Sys Flow PW Velocity cm/s, m/s
A. Rev Flow PW Velocity cm/s, m/s
Dias Flow PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Umb. Artery Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
MCA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
5 - 30 SONOACE X8 Operation Manual
Measurement
Items Mode Methods Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Rt. / Lt.
EDV PW Velocity cm/s, m/s
Uterine Artery Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Plac. Artery Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt.
Calculated after
Fetal Carotids %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Fetal Aorta
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Chapter 5. Measurements and Calculations 5 - 31
Measurement
Items Mode Methods Unit
Menu
Vesl. Area All Area cm2, mm2
Fetal Aorta
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Ductus Venosus Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Renal Artery Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Volume Flow(Auto) PW Automatic calculation ml/m
Volume Flow(D) PW Automatic calculation ml/m
Volume Flow TAMV PW Doppler spectrum trace cm/s or m/s
Vesl. Dist. All Distance cm, mm
Vesl. Area. All Area cm2, mm2
Fetal HR Fetal Heart Rate PW Heart Rate bpm
Automatic Calculation
Some items in the measurement menu are automatically calculated based on measurements of
other items.
HC
This is automatically calculated using the following formula, provided there are measured BPD
and OFD values.
5 - 32 SONOACE X8 Operation Manual
HC = ( BPD 2 + OFD 2 ) / 2
AC
This is automatically calculated using the following formula, provided there are measured APD
and TAD values.
AC = ( APD 2 + TAD 2 ) / 2
Exception: when you use Merz reference, AC = ( APD + TAD ) / 2
FTA
This is automatically calculated using the following formula, provided there are measured APD
and TAD values.
FTA = ( APD TAD) / 4
ThC
This is automatically calculated using the following formula, provided there are measured APTD
and TTD values.
For reference, the Osaka University /Tokyo University methods are mainly
NOTE used in Asia, the Merz method in Europe, and the Shepard/ Hadlock
methods on the American continent.
Before Measurement
1. Confirm User key setup in Utility > Setup > Peripherals > User Key.
2. Confirm current EFW reference. If you want to change EFW equation, select it in
Utility > Measure Setup > OB > Tables.
How to measure
1. Press the User Key1 (or User Key 2) on the control panel. OB menu and measure
items are displayed on the screen.
2. Measure the items for EFW calculation using trackball and the Set button.
3. Press the Freeze button to finish the first measurement.
Campbell AC
Hadlock BPDAC
Hadlock1 ACFL
Hadlock2 BPDACFL
Hadlock3 HCACFL
Hadlock4 BPD, HCACFL
Hansmann BPDTTD
Merz BPDAC
Osaka BPDFTAFL
Shepard BPDAC
5 - 34 SONOACE X8 Operation Manual
Shinozuka1 BPDACFL
Shinozuka2 BPDAPTD, TTDSL
Shinozuka3 BPDAPTD, TTDFL
Ferrero ACFL
Higginbottom AC
Thurnau BPDAC
Warsof BPDAC
Weiner1 HCAC
Weiner2 HCACFL
Woo BPDACFL
Gynecology Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Calculated after
Vol. All ml
distance measurement
Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Uterus
Endo. Thickness All Distance cm, mm
Cervix Vol. All Volume ml
Cervix Length All Distance cm, mm
Cervix Height All Distance cm, mm
Cervix Width All Distance cm, mm
Calculated after
Vol. All ml
distance measurement
Rt. / Lt. Cyst Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Calculated after
Vol. All ml
distance measurement
Rt. / Lt. Ovary Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Volume calculated after
Rt. / Lt. Follicles 1 ~ 12 All cm, mm and ml
distance measurement
Calculated after
Vol. All ml
distance measurement
Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Mass 1~3
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. / Lt. Ovarian A Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. / Lt. Uterine A Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Pericystic Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Chapter 5. Measurements and Calculations 5 - 37
Measurement
Item Mode Method Unit
Menu
PSV PW Velocity cm/s, m/s
Pericystic
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Endometrial Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Vol. All ml
distance measurement
Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Endo. Polyp
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Vol. All ml
distance measurement
Length All Distance cm, mm
Height All Distance cm, mm
Rt. / Lt. Ovarian Width All Distance cm, mm
Mass Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Vol. All ml
distance measurement
Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Uterine Tumor 1~3
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Vol. All ml
distance measurement
Cervical Tumor Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
5 - 38 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Cervical Tumor Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Vol. All ml
distance measurement
Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Ectopic Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Fetal Heart Rate PW Heart Rate bpm
Cardiac Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Dist20
Traces the cardiac circumference and then draw the cardiac axis. The system
automatically draws 20 straight lines perpendicular to the axis and calculates its
volume.
Measurement
Item Mode Method Unit
Menu
LVd All Continuous measurement
IVSd All Distance cm, mm
LVIDd All Distance cm, mm
LVPWd All Distance cm, mm
RVAWd All Distance cm, mm
RVIIDd All Distance cm, mm
LV
LVs All Continuous measurement
IVSs All Distance cm, mm
LVIDs All Distance cm, mm
LVPWs All Distance cm, mm
RVAWs All Distance cm, mm
RVIDs All Distance cm, mm
Chapter 5. Measurements and Calculations 5 - 41
Measurement
Item Mode Method Unit
Menu
LV M Continuous measurement
IVSd M Distance cm, mm
LVIDd M Distance cm, mm
LVPWd M Distance cm, mm
RVAWd M Distance cm, mm
LV(M) RVIIDd M Distance cm, mm
IVSs M Distance cm, mm
LVIDs M Distance cm, mm
LVPWs M Distance cm, mm
RVAWs M Distance cm, mm
RVIDs M Distance cm, mm
A2C Vol.d All Dist20 ml
LV Vol. A2C Vol.s All Dist20 ml
(Simpson) A4C Vol.d All Dist20 ml
A4C Vol.s All Dist20 ml
Vol. d All Volume ml
LV Vol. (A/L)
Vol. s All Volume ml
cm , mm2
2
LVAd sax All Area
LVAs sax All Area cm2, mm2
LV Vol. (Bullet)
LVLd apical All Distance cm, mm
LVLs apical All Distance cm, mm
Calculated after
All All g
area measurement
LV Mass LVAd sax epi All Area cm2, mm2
LVAd sax endo All Area cm2, mm2
LVLd apical All Distance cm, mm
RVAWd All Distance cm, mm
RVIDd All Distance cm, mm
RVAd All Area cm2, mm2
RVAWs All Distance cm, mm
RVIDs All Distance cm, mm
RV RVAs All Area cm2, mm2
RV Major All Distance cm, mm
RV Minor All Distance cm, mm
LPA Diam All Distance cm, mm
MPA Diam All Distance cm, mm
RPA Diam All Distance cm, mm
RVAWd M Distance cm, mm
RV (M) RVIDd M Distance cm, mm
RVAWs M Distance cm, mm
5 - 42 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
RVIDs M Distance cm, mm
RV (M) RVPEP M Time ms
RVET M Time ms
Calculated after
All All ml
distance measurement
LA Vol. LA Major All Distance cm, mm
LA Minor All Distance cm, mm
LA Diam All Distance cm, mm
LA EDV A2C All Dist 20 ml
LA Vol. LA ESV A2C All Dist 20 ml
(Simpson) LA EDV A4C All Dist 20 ml
LA ESV A4C All Dist 20 ml
All All Continuous measurement
Ao Root All Distance cm, mm
LA Diam All Distance cm, mm
LVOT Diam All Distance cm, mm
Ao Arch All Distance cm, mm
Ao / LA
Asc Ao All Distance cm, mm
Desc Ao All Distance cm, mm
Ao Isth Diam All Distance cm, mm
Ao ST Junct Diam All Distance cm, mm
Ao Sinus Diam All Distance cm, mm
All M Continuous measurement
Ao Root M Distance cm, mm
AV Cusp Sep M Distance cm, mm
Ao / LA (M)
LA Diam M Distance cm, mm
LVPEP M Time ms
LVET M Time ms
RA Major All Distance cm, mm
RA Minor All Distance cm, mm
RAAd All Area cm2, mm2
RA RAAs All Area cm2, mm2
RAEDV All Dist20 Ml
RAESV All Dist20 Ml
IVC Diam Exp. All Distance cm, mm
IVC Diam Ins. All Distance cm, mm
RA SVC Diam Exp. All Distance cm, mm
SVC Diam Ins. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
LVOT
Limited Trace PW Doppler spectrum trace
Chapter 5. Measurements and Calculations 5 - 43
Measurement
Item Mode Method Unit
Menu
Manual Trace PW Doppler spectrum trace
LVOT Diam All Distance cm, mm
Vmax PW Velocity cm/s, m/s
LVOT
VTI PW Distance cm, mm
AccT PW Time ms
ET PW Time ms
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
RVOT RVOT Diam All Distance cm, mm
Vmax PW Velocity cm/s, m/s
VTI PW Distance cm, mm
ET PW Time ms
AV Auto Trace PW Doppler spectrum trace
AV Limited Trace PW Doppler spectrum trace
AV Manual Trace PW Doppler spectrum trace
AV Cusp All Distance cm, mm
AV Diam All Distance cm, mm
AVA Planimetry All Area cm2, mm2
AV Vmax PW Velocity cm/s, m/s
AV PHT PW Time ms
AV VTI PW Distance cm, mm
AV AccT PW Time ms
AV DecT PW Time ms
AV ET PW Time ms
R-R Interval M, PW Heart Rate Bpm
AV AR Auto Trace PW Doppler spectrum trace
AR Limited Trace PW Doppler spectrum trace
AR Manual Trace PW Doppler spectrum trace
AR VC Diam All Distance cm, mm
AR Vmax PW Velocity cm/s, m/s
AR ed Vmax PW Velocity cm/s, m/s
AR PHT PW Time ms
AR VTI PW Distance cm, mm
AR AccT PW Time ms
AR DecT PW Time ms
AR IVRT PW Time ms
AR IVCT PW Time ms
AR PISA-Rad. C Distance cm, mm
AR Alias Vel. C Velocity m/s
5 - 44 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
All Points M Continuous measurement
D-E M Distance cm, mm
E-F Slope M Velocity cm/s, m/s
MV (M)
A-C Interval M Time ms
EPSS M Distance cm, mm
Propagation Vel. M Velocity cm/s, m/s
MV Ann Diam All Distance cm, mm
MV Diam 1 All Distance cm, mm
MV Diam 2 All Distance cm, mm
MVA Planimetry All Area cm2, mm2
MV Limited Trace PW Doppler spectrum trace
MV Manual Trace PW Doppler spectrum trace
E-DT-A PW Time-Velocity-Time ms and m/s
MV Peak E PW Velocity cm/s, m/s
MV Peak A PW Velocity cm/s, m/s
MV Vmax PW Velocity cm/s, m/s
MV PHT PW Time ms
MV VTI PW Distance cm, mm
MV AccT PW Time ms
MV DecT PW Time ms
MV MV A Dur. PW Time ms
MV ET PW Time ms
MV IVRT PW Time ms
MV IVCT PW Time ms
R-R Interval M, PW Heart Rate bpm
MR VC Diam All Distance cm, mm
MR Auto Trace PW Doppler spectrum trace
MR Limited Trace PW Doppler spectrum trace
MR Manual Trace PW Doppler spectrum trace
MR Vmax PW Velocity cm/s, m/s
MR VTI PW Distance cm, mm
Calculated after
MR dp / dt PW mmHg/s
time measurement
MR PISA-Rad. C Distance cm, mm
MR Alias Vel. C Velocity m/s
TV Limited Trace PW Doppler spectrum trace
TV Manual Trace PW Doppler spectrum trace
TV TV Ann Diam All Distance cm, mm
TV Diam 1 All Distance cm, mm
TV Diam 2 All Distance cm, mm
Chapter 5. Measurements and Calculations 5 - 45
Measurement
Item Mode Method Unit
Menu
TVA Planimetry All Area cm2, mm2
TV Vmax PW Velocity cm/s, m/s
TV Peak E PW Velocity cm/s, m/s
TV Peak A PW Velocity cm/s, m/s
TV PHT PW Time ms
TV VTI PW Distance cm, mm
TV AccT PW Time ms
TV DecT PW Time ms
TV A Dur. PW Time ms
Q to TV Open PW Time ms
TV R-R Interval M, PW Heart Rate bpm
TR Auto Trace PW Doppler spectrum trace
TR Limited Trace PW Doppler spectrum trace
TR Manual Trace PW Doppler spectrum trace
TR VC Diam All Distance cm, mm
TR Vmax PW Velocity cm/s, m/s
TR VTI PW Distance cm, mm
Calculated after
TR dp / dt PW mmHg/s
time measurement
TR PISA-Rad. C Distance cm, mm
TR Alias Vel. C Velocity m/s
PV Auto Trace PW Doppler spectrum trace
PV Limited Trace PW Doppler spectrum trace
PV Manual Trace PW Doppler spectrum trace
PV Ann Diam All Distance cm, mm
PVA Planimetry All Area cm2, mm2
PV Vmax PW Velocity cm/s, m/s
PV PHT PW Time ms
PV AccT PW Time ms
PV DecT PW Time ms
PV PV ET PW Time ms
R-R Interval M, PW Heart Rate Bpm
Q to PV Close PW Time ms
PR Auto Trace PW Doppler spectrum trace
PR Limited Trace PW Doppler spectrum trace
PR Manual Trace PW Doppler spectrum trace
PR VC Diam All Distance cm, mm
PR Vmax PW Velocity cm/s, m/s
MPA Vmax PW Velocity cm/s, m/s
PR PHT PW Time ms
5 - 46 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
PR AccT PW Time ms
PV
PR DecT PW Time ms
Calculated after
All
continuous measurement
MV TST PW Time ms
Tei Index
MV ET PW Time ms
MV IVCT PW Time ms
MV IVRT PW Time ms
All PW Continuous measurement
Sys Vel. PW Velocity cm/s, m/s
Pulm. Veins Dias Vel. PW Velocity cm/s, m/s
A. Rev Vel. PW Velocity cm/s, m/s
A. Rev Dur. PW Time ms
All PW Continuous measurement
Sys Vel. PW Velocity cm/s, m/s
Hepatic Veins Dias Vel. PW Velocity cm/s, m/s
A. Rev Vel. PW Velocity cm/s, m/s
A. Rev Dur. PW Time ms
All PW Continuous measurement
Peak E PW Velocity cm/s, m/s
Peak A PW Velocity cm/s, m/s
Tissue Doppler
Peak S PW Velocity cm/s, m/s
AccT PW Time ms
DecT PW Time ms
LVOT Diam All Distance cm, mm
Sys.HR PW Heart Rate bpm
Sys.VTI PW Distance cm, mm
Qp: Qs
RVOT Diam All Distance cm, mm
Plum. HR PW Heart Rate bpm
Plum. VTI PW Distance cm, mm
PEd All Distance cm, mm
PE
PEs All Distance cm, mm
HR HR M, PW Heart Rate bpm
Chapter 5. Measurements and Calculations 5 - 47
Carotid Calculation
Measurement Menu
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt.
Calculated after
Subclavian A %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Rt. / Lt. Prox CCA %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Rt. / Lt. Mid CCA %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
5 - 50 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. / Lt. Distal CCA Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Calculated after
%StD All %
Rt. / Lt. Distal CCA distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Rt. / Lt. Bulb %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Rt. / Lt. Prox ICA %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. / Lt. Mid ICA
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Chapter 5. Measurements and Calculations 5 - 51
Measurement
Item Mode Method Unit
Menu
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Calculated after
Rt. / Lt. Mid ICA %StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Rt. / Lt.. Distal ICA %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Rt. / Lt. ECA %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
IMT All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. Vetebral A PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
5 - 52 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Calculated after
%StD All %
distance measurement
Rt. / Lt. Vetebral A
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
General Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Volume Flow(Auto) PW Automatic calculation ml/m
Volume Flow(D) PW Automatic calculation ml/m
Volume Flow TAMV PW Doppler spectrum trace cm/s or m/s
Vesl. Dist. All Distance cm, mm
Vesl. Area. All Area cm2, mm2
HR HR PW Heart Rate bpm
- If the vessel image quality is poor, select an area that is close to the Intima to
be measured.
- If a detailed area has to be selected, use Range Bar.
- Press Space Bar in the keyboard to turn on/off the Intima and Adventitia Marker.
5. Once the measurement location is set, measurement values are listed in a table.
3. Press the Flexible Soft dial-button [6] Analysis again to complete analysis.
The following materials were referred to when analyzing the measurements of Auto IMT.
Framingham
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
5 - 56 SONOACE X8 Operation Manual
Urology Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
5 - 58 SONOACE X8 Operation Manual
3Distance
Calculate a volume by measuring three distances.
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace cm, mm
Limited Trace PW Doppler spectrum trace cm, mm
Manual Trace PW Doppler spectrum trace cm, mm
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Urology Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl.Area All Area cm2, mm2
Vesl.Dist. All Distance cm, mm
Calculated after
All All ml
distance measurement
Bladder Vol. Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Calculated after
All All ml
distance measurement
WG Prostate Vol. Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Calculated after
All All ml
distance measurement
T-Zone Vol. Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Calculated after
Pre Vol. All ml
Residual Vol. distance measurement
Pre Length All Distance cm, mm
Chapter 5. Measurements and Calculations 5 - 59
Measurement
Item Mode Method Unit
Menu
Pre Height All Distance cm, mm
Pre Width All Distance cm, mm
Calculated after
Post Vol. All ml
Residual Vol. distance measurement
Post Length All Distance cm, mm
Post Height All Distance cm, mm
Post Width All Distance cm, mm
Calculated after
All All ml
distance measurement
Length All Distance cm, mm
Rt. / Lt. Renal Vol.
Height All Distance cm, mm
Width All Distance cm, mm
Renal Pelvis All Distance cm, mm
3 Distance * Factor
The same as for 3 Distance.
Ellipsoid
Calculate a volume by using the Main Diameter and Beside Diameter values.
Measurement
Item Mode Method Unit
Menu
Calculated after
Vol. All ml
distance measurement
Bladder Vol.
Main Dia. All Distance cm, mm
Beside Dia. All Distance cm, mm
Calculated after
Vol. All ml
distance measurement
WG Prostate Vol.
Main Dia. All Distance cm, mm
Beside Dia. All Distance cm, mm
Calculated after
Vol. All ml
distance measurement
T-Zone Vol.
Main Dia. All Distance cm, mm
Beside Dia. All Distance cm, mm
Calculated after
Pre All All ml
distance measurement
Residual Vol.
Pre Main Dia. All Distance cm, mm
Pre Beside Dia. All Distance cm, mm
5 - 60 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Calculated after
Post All All ml
distance measurement
Residual Vol.
Post Main Dia. All Distance cm, mm
Post Beside Dia. All Distance cm, mm
Calculated after
All All ml
distance measurement
Rt. / Lt. Renal Vol. Main Dia. All Distance cm, mm
Beside Dia. All Distance cm, mm
Renal Pelvis All Distance cm, mm
Sum of 20 Disks
After measuring the circumference of a prostate, use the Trackball and the Set
button to calculate the volume by measuring the axis of the prostate.
Measurement
Item Mode Method Unit
Menu
Bladder Vol. Vol. All Dist20 ml
WG Prostate Vol. Vol. All Dist20 ml
T-Zone Vol. Vol. All Dist20 ml
Pre Vol. All Dist20 ml
Residual Vol.
Post Vol. All Dist20 ml
Vol. All Dist20 ml
cm,
Rt. / Lt. Renal Vol.
Renal Pelvis All Distance m
m
Chapter 5. Measurements and Calculations 5 - 61
Measurement Menu
The measurement method for each item is the same as for basic measurement. In addition,
measurement items are similar to those for cardiac calculation.
Measured items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
A2C Vol.d All Dist20 ml
LV Vol. A2C Vol.s All Dist20 ml
(Simpson) A4C Vol.d All Dist20 ml
A4C Vol.s All Dist20 ml
Asc Ao All Distance cm, mm
MPA Diam All Distance cm, mm
Duct Art All Distance cm, mm
LA Diam All Distance cm, mm
RA Diam All Distance cm, mm
RV Diam All Distance cm, mm
2D Echo
IVS All Distance cm, mm
LVIDd All Distance cm, mm
LVIDs All Distance cm, mm
LVPW All Distance cm, mm
HrtC All Circumference cm, mm
ThC All Circumference cm, mm
All (D) Calculated after %
All
distance measurement
ThD ap All Distance cm, mm
ThD trans All Distance cm, mm
HrtD ap All Distance cm, mm
CTAR
HrtD trans All Distance cm, mm
All (A) Calculated after %
All
area measurement
ThA All Area cm2, mm2
HrtA All Area cm2, mm2
All M Continuous measurement cm, mm
IVSd M Distance cm, mm
LVIDd M Distance cm, mm
LVPWd M Distance cm, mm
Fetal M-mode
IVSs M Distance cm, mm
LVIDs M Distance cm, mm
LVPWs M Distance cm, mm
RVDd M Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
MPA Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Chapter 5. Measurements and Calculations 5 - 63
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Duct Artriosus Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
IVC Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Duct Venosus Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Asc Aorta Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Dsc Aorta Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Peak E PW Velocity cm/s, m/s
MV Inflow
Peak A PW Velocity cm/s, m/s
MV Regurg Vel. PW Velocity cm/s, m/s
Peak E PW Velocity cm/s, m/s
TV Inflow
Peak A PW Velocity cm/s, m/s
TV Regurg Vel. PW Velocity cm/s, m/s
Calculated after
All PW
PLI velocity measurement
Sys Flow PW Velocity cm/s, m/s
5 - 64 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
A. Rev Flow PW Velocity cm/s, m/s
PLI
Dias Flow PW Velocity cm/s, m/s
Calculated after
All PW
continuous measurement
Tei Index
TST PW Time ms
Eject T PW Time ms
Fetal HR Fetal Heart Rate M, PW Heart Rate bpm
LE Artery Calculation
Measurement Menu
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. CIA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. IIA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. EIA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Chapter 5. Measurements and Calculations 5 - 67
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. CFA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt.. SFA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. DFA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. Pop A PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
5 - 68 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Calculated after
%StD All %
distance measurement
Rt. / Lt. Pop A
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt.. ATA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt.. PTA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt..
Calculated after
Peroneal A %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Rt. / Lt. DPA Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Chapter 5. Measurements and Calculations 5 - 69
Measurement
Item Mode Method Unit
Menu
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Rt. / Lt. DPA
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. MPA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. LPA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt.
Calculated after
Metatarsal A %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
5 - 70 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Digital A Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
General Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Volume Flow(Auto) PW Automatic calculation ml/m
Volume Flow(D) PW Automatic calculation ml/m
Volume Flow TAMV PW Doppler spectrum trace cm/s or m/s
Vesl. Dist. All Distance cm, mm
Vesl. Area. All Area cm2, mm2
HR HR M. PW Heart Rate bpm
Chapter 5. Measurements and Calculations 5 - 71
UE Artery Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Rt. / Lt. EDV PW Velocity cm/s, m/s
Subclabian A Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Axillary A Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Brachial A Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Rt. / Lt. Radial A
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Chapter 5. Measurements and Calculations 5 - 73
Measurement
Item Mode Method Unit
Menu
Vesl. Area All Area cm2, mm2
Rt. / Lt. Radial A
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Ulnar A Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. SPA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
General Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Volume Flow(Auto) PW Automatic calculation ml/m
Volume Flow(D) PW Automatic calculation ml/m
Volume Flow TAMV PW Doppler spectrum trace cm/s or m/s
Vesl. Dist. All Distance cm, mm
2 2
Vesl. Area. All Area cm , mm
HR HR M. PW Heart Rate bpm
5 - 74 SONOACE X8 Operation Manual
LE Vein Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. FV
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. GSV
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. POP V
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt.. SSV
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. MPV
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. LPV
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. / Lt. Metatarsal V
Manual Trace PW Doppler spectrum trace
Vmax PW Velocity cm/s, m/s
5 - 76 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Dur T PW Time ms
Rt. / Lt. Metatarsal V
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. Digital V
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
General
Vmax PW Velocity cm/s, m/s
Dur T PW Time ms
Vesl. Dist. All Distance cm, mm
Chapter 5. Measurements and Calculations 5 - 77
UE Vein Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
Rt. / Lt. %StA All %
area measurement
Internal Jugular
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
Rt. / Lt. Innominate V area measurement
Calculated after
%StD All %
distance measurement
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
Rt. / Lt. Subclavian V area measurement
Calculated after
%StD All %
distance measurement
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Rt. / Lt. Axillary V
Limited Trace PW Doppler spectrum trace
Chapter 5. Measurements and Calculations 5 - 79
Measurement
Item Mode Method Unit
Menu
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Rt. / Lt. Axillary V Calculated after
%StD All %
distance measurement
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
Rt. / Lt. Brachial V area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
Rt. / Lt. Cephalic V area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. / Lt. Basilic V
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
5 - 80 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Calculated after
%StD All %
Rt. / Lt. Basilic V distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
Rt. / Lt. Radial V area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
Rt. / Lt. Ulnar V area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
General PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Chapter 5. Measurements and Calculations 5 - 81
Measurement
Item Mode Method Unit
Menu
Calculated after
%StD All %
distance measurement
cm , mm2
2
Vesl. Area All Area
General
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
5 - 82 SONOACE X8 Operation Manual
Radiology Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Aorta Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Celiac A Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Splenic A Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Calculated after
Vol. All ml
distance measurement
Splenic Vol. Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Hepatic A Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
5 - 84 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
Hepatic A
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
SMA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
IMA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
IVC Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Chapter 5. Measurements and Calculations 5 - 85
Measurement
Item Mode Method Unit
Menu
Calculated after
Vol. All ml
distance measurement
Rt. / Lt. Renal Vol. Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Renal A
Calculated after
%StA All area measurement %
Calculated after
%StD All distance measurement %
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Arcuate A
Calculated after
%StA All area measurement %
Calculated after
%StD All distance measurement %
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
Calculated after
Vol. All ml
distance measurement
Bladder Vol. Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
General
Calculated after
%StA All area measurement %
Calculated after
%StD All distance measurement %
cm , mm2
2
Vesl. Area All Area
Vesl. Dist All Distance cm, mm
HR Fetal Heart Rate M, PW Heart Rate bpm
5 - 86 SONOACE X8 Operation Manual
TCD Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. ACA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. MCA Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. PCA(P1) Calculated after
%StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Rt. / Lt. PCA(P2) PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
5 - 88 SONOACE X8 Operation Manual
Measurement
Item Mode Method Unit
Menu
Calculated after
%StD All %
distance measurement
Rt. / Lt. PCA(P2)
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Distal
Calculated after
Basilar A %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Mid
Calculated after
Basilar A %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Rt. / Lt. Prox
Calculated after
Basilar A %StA All %
area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Auto Trace PW Doppler spectrum trace
General Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
Chapter 5. Measurements and Calculations 5 - 89
Measurement
Item Mode Method Unit
Menu
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
area measurement
General
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Volume
PW Automatic calculation ml/m
Flow(Auto)
Volume Flow(D) PW Automatic calculation ml/m
Volume Flow
TAMV PW Doppler spectrum trace cm/s or m/s
Vesl. Dist. All Distance cm, mm
Vesl. Area. All Area cm2, mm2
5 - 90 SONOACE X8 Operation Manual
Thyroid Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Calculated after
Vol. All ml
distance measurement
Rt. / Lt. Vol. Length All Distance cm, mm
Height All Distance cm, mm
Width All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Rt. / Lt. Flow EDV PW Velocity cm/s, m/s
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Chapter 5. Measurements and Calculations 5 - 91
Breast Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Calculated after
Vol. All ml
distance measurement
Rt. / Lt. Mass 1-10 Length All Distance cm, mm
Depth All Distance cm, mm
Width All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Rt. / Lt. Flow EDV PW Velocity cm/s, m/s
2 2
Vesl. Area All Area cm , mm
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
.
Chapter 5. Measurements and Calculations 5 - 93
Testicle Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Calculated after
Vol. All ml
distance measurement
Rt. / Lt. Vol. Length All Distance cm, mm
Depth All Distance cm, mm
Width All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
Rt. / Lt. Flow EDV PW Velocity cm/s, m/s
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
5 - 94 SONOACE X8 Operation Manual
Superficial Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Mode Method Unit
Menu
Calculated after
Vol. All ml
distance measurement
Vol. Length All Distance cm, mm
Depth All Distance cm, mm
Width All Distance cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity cm/s, m/s
EDV PW Velocity cm/s, m/s
Calculated after
%StA All %
Flow area measurement
Calculated after
%StD All %
distance measurement
Vesl. Area All Area cm2, mm2
Vesl. Dist All Distance cm, mm
Vel A PW Velocity cm/s, m/s
Vel B PW Velocity cm/s, m/s
Chapter 5. Measurements and Calculations 5 - 95
Measurement Menu
Measured items are automatically recorded in a report.
Measurement
Item Method Unit
Menu
Three Distance
Hip Angle Type
Measurement
Measurement Method
1. Use the Trackball and the Set button on the control panel to specify the first straight
line.
- Place the cursor at a desired position with the Trackball, and press the Set button.
Please refer to the table below for Hip Joint Type information:
Type
1a 60 90 0 55
1b 60 90 55 90
2a/b 50 60 0 90
2c 43 50 77 90
d 43 50 0 77
3/4 0 43
Musculoskeletal Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Measurement
Item Method Unit
Menu
Rt. / Lt. Shoulder 1~10 Distance Measurement cm, mm
Report
Measurement results are arranged by application and displayed on the screen in the form of a
report.
Viewing Report
Press the Report button on the control panel. The system switches to the Ultrasound Report
screen.
When measurement results cannot be displayed in a screen, they can be moved into the upper
and lower portions of the screen in three ways as below:
- Use the scroll bar on the right side of the screen.
- Rotate the Menu dial-button on the control panel.
- The measurement menus saved in the current application report are displayed in the
left side of the screen. Select a menu to review from them.
To view a report for another application, press Next App. on the screen. Each time Next App.
is pressed, reports for other applications are shown.
NOTE Reports for applications in which no measurements have been made will
not be shown.
Chapter 5. Measurements and Calculations 5 - 99
SonoReport
When you set the Use SonoReport checkbox at Utility > Measure Setup > General >
Report, press the Report button on the control panel to view to the SonoReport screen. To
view the Ultrasound Report screen, press the F3 key on the keyboards during
measurement.
Editing Report
Press Edit on the Ultrasound Report screen to switch to a screen where the report can be
edited. You can edit measurement results or change the way that measurements are displayed.
Press OK on the screen or the Exit button on the control panel to save the changes and close
the edit screen. Press Cancel to close the edit screen without saving the changes.
Modify Measurements
Use the Trackball, the Set button and the alphanumeric keyboard on the control panel to
modify measurements. The values are displayed in grey, indicating that they are modified.
5 - 100 SONOACE X8 Operation Manual
Avg.
Obtain the average of measurements and display it on the screen.
Last
Max
Display the largest value of the measurements on the screen.
Min
Adding Comment
Press Comment on the Ultrasound Report screen to switch to a screen where text can be
entered. You can enter a comment or opinion. You can also modify existing comments.
Press OK on the screen or the Exit button on the control panel to save the changes and close
the edit screen. Press Cancel to close the edit screen without saving the changes.
Chapter 5. Measurements and Calculations 5 - 101
Printing Report
Press Print in the report screen. If there is no connection with a printer, this button will not be
displayed.
You can change the settings for printing measurement reports in Utility >
NOTE Setup > Peripherals > Print Setup > Measure Report Print. For more
information, refer to "Peripherals Setup" in Chapter 3. Setting".
Saving Report
Press Write to file on the report screen. You can save reports into a file.
NOTE If Utility > Measure Setup > General > Data Transfer > Measured Data is
checked, this button will be displayed.
When the settings window appears, specify the directory, drive, filename and file type. When
using an external storage media, make sure to connect to or disconnect from the storage media
by using Storage Manager.
Press OK to save the report. Press Cancel to cancel.
5 - 102 SONOACE X8 Operation Manual
Transferring Report
Press Transfer on the report screen. Transfer the report data using an RS232C cable. A button
is created when a measurement is completed.
To use this button,
1. Connect the RS232C cable with the console.
2. Set Utility > Setup > Peripherals > COM as Open Line Transfer.
Stress Echo
Click StressEcho on the Ultrasound Report screen to switch to the Template Report screen. You
can review the Stress Echo report.
If you press the Report button on the control panel during Stress
Echo mode, the Template Report Screen will be displayed.
NOTE The StressEcho button appears on the screen only if there are any
Stress Echo (optional) measurement data.
For more information on Stress Echo, refer to Chapter 3. Settings.
Chapter 5. Measurements and Calculations 5 - 103
Cardiac Report
Press Flexible soft dial-button [1] to exit the Template Report screen and switch to the
general Cardiac Report screen.
Scroll
Rotate Flexible soft dial-button [2] to scroll the report page up and down.
Zoom
Rotate Flexible soft dial-button [3] to zoom in/out of the report.
Fit
Press Flexible soft dial-button [3]. Pressing this button toggles the current zoom mode
between Fit Width, Fit Height and Fit Dual.
Fit Width: Fit to the width of the report page.
Fit Height: Fit to the height of the report page.
Fit Dual: Display two report pages on the screen at the same time.
5 - 104 SONOACE X8 Operation Manual
Change Template
Press Flexible soft dial-button [4] to display a screen where you can change the report
template.
Change Logo
Press Flexible soft dial-button [5]. Change the logo file to insert into the report. You
can select the logo image files from an external storage device.
Exit
Press Flexible soft dial-button [6] to exit the Template Report screen and switch to the
general Cardiac Report screen.
Graph Function
On the Ultrasound Report screen, pressing Graph switches to the graph screen, where you can
review graphs and history.
Graph
The list of measured items appears in the left side of the screen. If you select an item, a
graph for the selected item will appear on the screen.
Chapter 5. Measurements and Calculations 5 - 105
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
NOTE enabled.
A graph is created based on the patient ID, LMP and measurement date.
Select 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 in a screen.
Specify a desired graph by checking the checkbox for a measurement item.
Percentile Criteria
Select from LMP, EstabDD and Avg.US GA.
- GA by LMP: GA is calculated based on the maternal LMP.
- Estab. Due Date: GA is calculated based on the Estab. Due Date that is entered
in the Patient Information.
- Average US GA: GA is calculated using the average value of several ultrasound
measurements.
- GA View: If the checkbox is checked, the current GA instead of the current date is
shown under History.
5 - 106 SONOACE X8 Operation Manual
History
The current and past measurements for a fetus are displayed in a concise format.
History
Press History in the left menu on the graph screen. The current and past measurements for
a fetus are displayed in a tabular format. You can change the percentile criteria as desired.
[Figure 5.28 The distribution of the Growth Table for the selected number of weeks (m:
Average, : Standard Deviation)]
When represented by SD, a point near the average indicates a value closer to 0 SD and a
point away from the average indicates a value closer to the maximum or minimum value. The
greater part of the range falls within 3 SD, and 1 SD represents 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
5 - 108 SONOACE X8 Operation Manual
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.
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:
-2.0 SD - +2.0 SD (when converted to Percentile: 2.28 Percentile - 97.72 Percentile)
-1.5 SD - +1.5 SD (when converted to Percentile: 6.68 Percentile - 93.32 Percentile)
-1.0 SD - +1.0 SD (when converted to Percentile: 15.87 Percentile - 84.13 Percentile)
Closing Report
Press Exit on the Ultrasound Report screen or on the control panel. The system will return to
the previous diagnosis mode screen.
Chapter 6
Image Management
REVIEWING IMAGES (CINE / LOOP) ........................................................................... 2
TEXT .......................................................................................................................................... 5
BODY MARKER............................................................................................................................ 9
INDICATOR ................................................................................................................................ 11
SONOVIEWTM .............................................................................................................. 17
Images are automatically saved in the memory during scanning. The saved images can be
useful when a patient is diagnosed and reviewed.
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 Spectral Mode.
- LOOP: Images that are saved in M Mode and Spectral Mode.
Auto Run
Use the Flexible Soft dial-button [2]. You can adjust the automatic playback speed
for CINE or LOOP by rotating the dial-button. The allowable range for adjustment is
10-200% in increments/decrements of 10%.
Run / Stop
Use the Flexible Soft dial-button [2]. You can stop or resume playback of an image
by pressing the dial-button.
CINE / LOOP
Use the Flexible Soft dial-button [3]. This option appears only when both CINE and
LOOP are available, as in M Mode or Spectral Doppler Mode. You can select an
image to play in CINE and LOOP by pressing the dial-button. The selection is
displayed in the left side of the user information area.
First Pos
Use the Flexible Soft dial-button [4]. You can specify the first frame in the range in
which CINE or LOOP will be saved. After specifying the position of the first frame by
rotating the dial-button or using the Trackball, press the dial-button to save it.
Last Pos
Use the Flexible Soft dial-button [5]. You can specify the last frame in the range in
which CINE or LOOP will be saved. After specifying the position of the last frame by
rotating the dial-button or using the Trackball, press the dial-button to save it.
CINE Save
Use the Flexible Soft dial-button [6]. This has the same function as when the Clip
Store button on the control is pressed. You can save the specified image area by
pressing the dial-button.
The saved image appears in the thumbnail list on the screen, and can be reloaded or
replayed in scan mode or SONOVIEW.
You can select CINE or LOOP.
6-4 SONOACE X8 Operation Manual
Annotating Images
Text
You can enter comments or text over an image. This function can be useful when the diagnosis
area is differentiated or displayed.
When Quick Text is enabled, the system switches to text input mode
NOTE immediately after the Alphanumeric Keyboard is pressed.
Typing Text
Use the Alphanumeric Keyboard. Use the Document menu or the Flexible soft dial-button
[3] to enter text automatically. You can move the cursor by using the Trackball or the arrow
keys on the keyboard.
Home Position
Use the Flexible Soft dial-button [2]. Home Position represents the default position of
the cursor in the text mode.
Select Load or Set by rotating the dial-button. When Load is selected, press the dial-
button to return the cursor to the default position. When Set is selected, press the dial-
button to the default position of the cursor can be reset.
Text / Input
Use the Flexible Soft dial-button [3]. You can select a predefined text and enter it
into an image.
Select a text to enter from Text 1 10 by rotating the dial-button.
Press the dial-button to enter the selected text in an image.
Application
Applications displayed on the Flexible soft menu in Text Mode are used to search
text that is to be entered automatically. This has no relationship to the applications
set in the Probe Selection screen.
Press the dial-button to display the Text Edit window. Edit Text 1 to 10 using the
keyboard. Press OK to complete editing. Press Cancel to cancel
Chapter 6. Image Managements 6 - 7
Change App.
Use the Flexible Soft dial-button [5]. Change the application by rotating the dial-
button. As the application changes, the details of the Document menu change too.
The applications change in the following order: Userset 3D OB Gynecology
Cardiac Pediatric Cardiology Urology TCD Smallparts Abdomen
Vascular Pediatric Musculoskeletal.
Autotext
This function allows you to enter text automatically by using an abbreviation. In this way,
you can enter text easily and quickly. When Autotext is enabled, the autotext list appears on
the screen.
NOTE Select Utility > Setup > Utility > Autotext Setup > Autotext.
Deleting Text
Press the Clear button on the control panel. All the text entered on the screen will be
deleted.
6-8 SONOACE X8 Operation Manual
Body Marker
You can place a Body Marker over an image. This function can be useful when the diagnosis
area is differentiated or displayed.
3. Press the Change button on the control panel again to confirm the new position.
Indicator
You can place an Indicator over an image. This function can be useful when the diagnosis area
is differentiated or displayed. You can place one or more Indicators on specific positions.
Entering Indicator
1. Press the Indicator button on the control panel and an Indicator will appear on the
screen.
2. Select the size and type of indicator with the flexible soft dial-button [1] and [2].
6 - 12 SONOACE X8 Operation Manual
Deleting Indicator
Press the Clear button on the control panel and all Indicators displayed on the screen will
be deleted.
Press the Flexible Soft dial-button [1] Undo to delete the last entered indicator only.
Chapter 6. Image Managements 6 - 13
Saving Images
Saving Still Images
Press the Save button on the control panel.
Images are stored and managed on a patient basis. Therefore, if you press the Save button
without entering patient information, the Patient Information screen will appear first. The
saved images can be edited and managed with SONOVIEW.
You must enter the patient ID because all images are saved
WARNING according to patient ID. Failure to enter a patient ID may result in a
loss of and/or critical error(s) in previously saved images.
Method
- Manual: Specify the start and end of an image by using the Store Clip button.
That is, the image that is displayed when Clip Store is pressed for the first time is
saved, through to the image displayed when it is pressed for the second time.
- ECG Beat: The images for the specified beat count are saved and the saving
process is automatically finished. Up to 8 beats can be specified.
- Time: The images for the specified time duration are saved and the saving
process is automatically finished. Up to 50 seconds can be specified.
If there is no basic patient information, the Patient Information screen appears when a
Cine image is saved in Freeze Mode, but an image cannot be saved in Live Mode.
If all frames are saved in Live Mode, the saving process is automatically finished
regardless of the settings.
The saved images are added to the thumbnail list in the right.
6 - 14 SONOACE X8 Operation Manual
Playing Images
The saved images can be played in SONOVIEW or in a diagnosis mode.
Transferring Images
SONOACE X8 allows you to transfer images to the PACS system supporting 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 Setting
DICOM in Chapter 3 Setting.
Sending Exam
Send all images for an exam.
1. Select an exam in the Exam List
2. Press the Send button at the bottom of the screen. All images for the selected
exam will be sent.
Printing Images
Press the Print 1 (or Print 2) button on the control panel. Images are printed via an echo printer.
For information on how to setup a printer, please refer to Chapter 3 Setting.
Recording Images
Select VCR in the Utility menu.
NOTE Please make sure that a VCR is properly connected to the product.
SONOVIEWTM
SONOVIEWTM is an integrated image management program. It provides a range of functions
including: saving/filing of images, image preview, deleting of images, and exporting files to a
standard PC.
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 in the SonoAce X8 without any additional costs,
and its easy to exchange image files with other hospitals or equipment.
This product supports the Bitmap file format (the .BMP extension), which is most commonly
used on standard PCs, ensuring easier exchange of image data.
Starting SONOVIEWTM
Press the SONOVIEW button on the control panel. The system will switch to the
SONOVIEW screen.
If there are the saved images available for the current exam, the information and saved
images for the exam appear when SONOVIEW starts.
Exam Mode
Press Exam in the upper left corner of the screen. The button will appear in yellow.
In the Exam Mode, you can review the current or saved exam.
Image Scroll
The image of the previous or next page is displayed on the screen. Use the Flexible Soft
dial-button [2] Image Scroll or the Menu dial-button. Rotating the dial-button to the left
displays the previous page image and 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 in a page under the current layout.
Selecting Exam
Use the trackball and the Set button to select a desired exam from the list in the left side of
the screen. The selected exam appears in the list and the saved images for it are displayed
on the screen.
Compare Mode
Press Compare in the upper left corner of the screen. The button will appear in yellow.
In Compare Mode, you can select the images relating to an exam to compare and review them.
Thumb Scroll
The image of the previous or next page is displayed on the thumbnail list. Use the Flexible
Soft dial-button [3] Thumb Scroll. Rotating the dial-button to the left displays the previous
page image and rotating it to the right displays the next page image.
6 - 20 SONOACE X8 Operation Manual
Selecting Images
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.
NOTE Only scanned data can be loaded into the image area.
Layouts
You can adjust the number of images displayed on the screen. Use the Flexible Soft dial-
button [1] Layout or the button 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 this setting to configure various layouts.
Press the Select All Images ( ) icon on the screen. All images saved for the current
exam are selected and highlighted in yellow.
Press the Deselect All Images ( ) icon on the screen. All images are deselected and
unhighlighted.
Post-Processing
Press in the lower left corner of an image, and the post-processing menu will appear.
Use the menu to adjust the image for diagnosis. The effects of post-processing are not
saved into the image.
Reviewing 3D Images
If the saved image is 3D, the 3D indication ( ) appears at the bottom of the image. Press
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 with the scroll bar.
Searching Exam
1. Press the Exam Search ( ) icon on the screen. The Exam List screen will appear.
2. Select a desired exam and press the Review button. The system will switch to the
SONOVIEW window showing the selected exam.
Measuring 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 measurements, please refer to
Basic Measurements in Chapter 5 Measurements.
3. Press the icon again to finish measuring.
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.
1. Place the cursor over an image and press the Set button. The image will be resized to
its original size.
Chapter 6. Image Managements 6 - 23
2. Measure the circumference and area of the desired area. For information on
measurements, please refer to Basic Measurements in Chapter 5 Measurements.
3. Press the icon again to finish measuring.
Typing Text
Press the Text Annotation ( ) icon on the screen. You can enter text into an image.
1. Place the cursor over an image and press the Set button. The image will be resized to
its original size.
2. Position the cursor on the desired area and enter text.
- To change the font color, use the Flexible Soft dial-button [4] Color.
- To change the font size, use the Flexible Soft dial-button [5] Size.
3. Press the Set button to confirm the text. Press the icon again to finish the text input mode.
Printing Images
1. Press the Print Image ( ) icon on the screen. The Image Print window will appear.
2. Specify Setup and Comment.
3. Press the Print button to print the image. Press Close to cancel.
1. After selecting an image, press the Send Image to DICOM Storage ( ) icon on
the screen. The DICOM Storage window will appear.
2. Press the Send button to transfer the selected image to the DICOM server. To
cancel saving, press Close.
1. After selecting an image, press the Send Image to DICOM Print ( ) icon on the
6 - 24 SONOACE X8 Operation Manual
Transferring Images
1. Press the Export Image ( ) icon on the screen. The Image Export window will
appear.
2. Specify various parameters such as directory, drive, filename and file format.
3. Press the Export button to start a transfer. Press the Close button to cancel.
The Export function is not activated when the file name and directory are
NOTE
not entered.
Sending in E-mail
1. Press the Send E-mail ( ) icon on the screen. The E-mail window will appear.
2. Specify various parameters such as sender and recipient.
3. After selecting an image to attach in the thumbnail list, enter a message.
4. Press the Send button to transfer the selected image. Press the Close button to
cancel.
- If ICMP (ping) is open for the corresponding Mail Server. If ICMP (ping) is closed,
the E-mail function may not work properly.
Deleting Images
Press the Delete Image ( ) icon on the screen. Press OK to delete the selected image.
Please note that images for the current patient under diagnosis cannot be deleted.
Chapter 6. Image Managements 6 - 25
Storage Manager
Press the Device ( ) icon on the screen. The Storage Manager window will appear. For
information on Storage Manager, please refer to Chapter 3 Setting in this manual.
Closing SONOVIEW
Press the Exit ( ) icon on the screen. Alternatively, you can press the SONOVIEW
button or the Exit button on the control panel to close SONOVIEW.
Chapter 7
Maintenance
System Maintenance .....................................................................................................2
Fuse Replacement................................................................................................................5
Administration of Information.........................................................................................8
Software ................................................................................................................................8
7-2 SONOACE X8 Operation Manual
System Maintenance
The user must ensure that safety inspections are performed every
two years according to the requirements of safety standard EN
NOTE 60601-1. Only trained persons are allowed to perform the safety
inspections mentioned above.
The expected service life of this equipment is 7 years.
Installation Requirements
When installing:
Avoid humidity.
Avoid places where the system is likely to be exposed to chemical substances or gases.
Turn off the system and disconnect the system power cord from the
wall outlet. Otherwise, it may result in electric shock or fire.
WARNING
Always use protective eyewear and gloves when cleaning and
disinfecting the equipment.
Cleaning
Do not use a spray directly on the product exterior. It may cause
cracks in the appliance, or the color to deteriorate.
CAUTION
Do not use chemical substances such as wax, benzene, alcohol,
thinner, mosquito repellant, deodorant, lubricant or detergent.
Console
Use a soft cloth lightly dampened in a mild soap or detergent solution to clean exterior
surfaces on the system.
Cleaning Monitor
Wipe the LCD surface with a soft dry cloth. When the LCD panel has dirt on it, wipe it
2 - 3 times or more in one direction.
For information on cleaning and disinfection of the probe & biopsy kit, please
NOTE refer to Chapter 8 Probes.
7-4 SONOACE X8 Operation Manual
Disinfections
1. Turn off the system and disconnect the system power cord from the wall outlet.
2. Mix the disinfection solution compatible with your system according to label instructions
for solution strength.
3. Wipe the system surfaces with the disinfectant solution, following the disinfectant label
instructions for wipe durations, solution strength, and disinfectant contact duration.
4. Air dry or towel dry with a sterile cloth according to the instructions on the disinfectant
label.
Chapter 7. Maintenance 7 -5
Fuse Replacement
The power protection fuse protects the product from excess current. If the power monitoring
protection circuit detects excess current, it shuts off the current to the equipment in order to
prevent overheating and to restrict the ultrasound power output.
If the fuse blows, replace it as shown below.
To avoid risk of electric shock, always disconnect the plug from the system prior
DANGER to fuse replacement.
1. Turn off the system and disconnect the system power cord from the wall outlet. (See )
2. Press the fuse holder in the direction of the arrow and pull it out. (See )
3. Remove the old fuse and replace it with a new one.
4. After installing the new fuse, connect the plug to the system.
Be sure to lock the brakes on the front wheels before cleaning the air filters
CAUTION to avoid injury by any unexpected movement of the product.
Allow the wet filter to dry thoroughly before installing. The wet filter can
NOTE cause the malfunction.
Chapter 7. Maintenance 7 -7
Accuracy Check
The products maintenance status may affect the measurements obtained using the product.
The product should be maintained in an optimal state to ensure reliable measurements.
To ensure optimal operation of the product, perform an accuracy check every year. The
equations and table related to measurement accuracy are included in Chapter 5
Measurements in this manual.
7-8 SONOACE X8 Operation Manual
Administration of Information
Software
The product software may be updated to enhance performance. The user cannot make any changes to
the software. Please contact the MEDISON customer support for help in software changes.
Minor software updates may be carried out without the prior notice from the
CAUTION manufacturer.
Should errors occur in the operating system (Windows XPTM), and should you desire to upgrade
the operating system, please follow the instructions of the operating system manufacturer.
Chapter 8
Probes
Probes .............................................................................................................................2
Sheaths ................................................................................................................................. 11
Biopsy............................................................................................................................26
Probes
The probe is a device that sends and receives ultrasound for acquiring image data. It is also
called a Transducer or Scanhead.
The system limits patient contact temperature to 43 degrees Celsius, and acoustic output
values to their respective U.S. FDA limits. A power protection fuse circuit protects against over-
current conditions. If the power monitor protection circuit senses an over-current condition, then
the drive current to the probe is shut off immediately, preventing overheating of the probe
surfaces and limiting acoustic output. Validation of the power protection fuse circuit is performed
under normal system operation. For invasive probes, additional protections are designed to
keep patient contact surface temperature under 43 degrees Celsius in the event of a single fault
failure.
Probe List
The ultrasound image scanner uses probes to obtain graphic data of the human body and
then displays it on the screen. Always use application-specific probes in order to obtain the
best quality images. It is also important to configure the probe with the best settings for the
particular organ being scanned.
Probes, applications and settings available for this product are as follows:
TCD General
TCD General
TCD General
TCD General
Cardiac General
CW4.0
Pediatric Cardiology General
Function list
Some functions depend on probe and its application. See following table.
Abdomen
C2-5EL Gynecology x x x x
OB
Abdomen
C2-5EP Gynecology x x x x
OB
Abdomen
C2-8 Gynecology x x x
OB
Abdomen
C3-7EP Gynecology x x x x
OB
Pediatric
C4-9/10ED Appendix x x x x x x x
Vascular x
Musculoskeletal x
Pediatric x
L4-7EL x x x x x x
Small Parts
Vascular
Musculoskeletal x
Pediatric x
HL5-12ED x x x x x
Small Parts
Vascular
Musculoskeletal x
Pediatric x
L5-12EC x x x x x
Small Parts
Vascular
L5-12EP Musculoskeletal x x x x x x
Chapter 8. Probes 8-7
Pediatric x x x x
L5-12EP Small Parts x x x
Vascular x x
Musculoskeletal x
Pediatric x
L5-12/50EP x x x x x
Small Parts
Vascular
Musculoskeletal x x x x
Pediatric x x x x
LN5-12 x x
Small Parts x x x
Vascular x x
Abdomen x x x x
Cardiac
P2-4AH x
Pediatric Cardiology x
TCD x x x x
Abdomen x x x x
Cardiac
P2-4AA x
Pediatric Cardiology x
TCD x x x x
Abdomen x x x x
Cardiac
P3-5AC x
Pediatric Cardiology x
TCD x x x x
Abdomen x x x x
Cardiac x
P3-7AC x
Pediatric Cardiology
TCD x x x x
MPT4-7 Cardiac x
Gynecology x x x
ER4-9/10ED OB x x x x x x
Urology x x x x
8-8 SONOACE X8 Operation Manual
Gynecology x x x
EV4-9/10ED OB x x x x x x
Urology x x x x
Gynecology
NER4-9ES OB x x x x x x x
Urology x
Gynecology
NEV4-9ES OB x x x x x x x
Urology x
Abdomen
3D2-6ET Gynecology x x x x x
OB
Abdomen
3D4-8EK Gynecology x x x x x
OB
Abdomen
3D4-8ET Gynecology x x x x x
OB
Gynecology
3D4-9ES OB X X X X X
Urology
Gynecology
3D5-9EK OB x x x x x
Urology x
Abdomen
3DC2-6 Gynecology x x x x
OB
CW2.0 Cardiac x x x x x x x x
Cardiac x
CW4.0 x x x x x x x
Pediatric Cardiology x
Chapter 8. Probes 8-9
Application
PediatricCardiology
Musculoskeletal
Gynecology
Small Parts
Obstetrics
Abdomen
Appendix
Pediatric
Vascular
Urology
Cardiac
Probe
TCD
C2-5EL TIb TIs TIs
MPT4-7 TIs
Application
PediatricCardiology
Musculoskeletal
Gynecology
Small Parts
Obstetrics
Abdomen
Appendix
Pediatric
Vascular
Urology
Cardiac
Probe
TCD
NEV4-9ES TIb TIs TIs
CW2.0 TIs
Using an inappropriate ultrasound gel may damage the probe. For proper transmission of the
acoustic beam, only use ultrasound transmission gel only approved by MEDISON.
Sheaths
Sheaths are recommended for clinical applications of an invasive nature, including
intraoperative, transrectal, transvaginal, and biopsy procedures.
MEDISON does not supply sheaths so that you should purchase appropriate ones on your own.
If sheaths are torn or soiled after use, clean and disinfect the probe.
Some sheaths contain natural rubber latex and talc, which can cause
allergic reactions in some individuals. Please refer to the FDA Medical Alert
released on March 29, 1991.
1. Put on sterile gloves. Unpack the sheath and fill it with acoustic coupling gel.
2. Insert the probe into the sheath and pull the latex tip to cover the probe completely. If
possible, cover the probe cable as well.
3. Ensure that there is no air bubble within the ultrasound gel. If necessary, secure the
sheath to the probe and the probe cable.
4. Dispose of the sheath after use.
8 - 12 SONOACE X8 Operation Manual
Probe Precautions
Do not apply mechanical shock to the probe.
Do not place the probe cable on the floor where the cable can be run over by
equipment wheels, etc. Do not apply excessive force to bend or pull the
CAUTION cable.
The probe can easily be damaged by improper use or by contacting certain chemical
substances. Always follow the instructions in the user manual to inspect the probe cable, case
and lens before and after each use.
Check for cracks, broken parts, leaks and sharp edges. If there is any damage, immediately
stop using the probe and contact the MEDISON Customer Support Department. Using
damaged probes may result in electric shocks and other hazards to the patients and/or users.
Sufficient washing and disinfecting must be carried out for preventing infection.
This is the responsibility of the user who manages and maintains the disinfection
CAUTION
procedures for the equipment. Always use legally approved detergents and
sheaths.
The ultrasonographic image scanner uses ultrasound, and it makes direct contact with the
patient when in use. Depending on the types of examinations, such contact can be made to a
wide variety of locations including the ordinary skin or the location of blood transfusion during
a surgery.
The most effective method to prevent infection among patients is to use each probe only once.
However, probes may need to be reused, as they are complex in design and expensive.
Consequently, protective devices such as sheaths must be used, and the safety instructions
must be followed carefully in order to minimize the risk of infection among patients.
Chapter 8. Probes 8 - 13
Electric Shocks
The probe uses electrical energy. If it touches conductive materials, there are risks of electric
shocks to the patient or the user.
The temperature of the product for making contact with patients is limited
under 43C. The ultrasound power output (AP&I) is in compliance with US
FDA standards.
Disinfectants
Clieanisept Wipes
Sani-Cloth Active
Trasneptic Spray
Super Sani-Cloth
Sani-Cloth Plus
Asepti-Wipes II
Sani-Cloth HB
Asepti-Wipes
Incidin Foam
Ster-Bac Blu
Setptiwipes
MetriWipes
Germicidal
CaviWipes
Sani-Cloth
T-Spray II
Cidex 2%
T-Spray
Names
Type S S W W W W W L S S W W W W W W L
Ammonium
Quaternary
(N-Alkyl)
IPA
NA
Active Ingredient
C2-5EL
C2-5EP
C2-8
C3-7EP
C4-9/10ED
L4-7EL
HL5-12D
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET x
3D4-8EK
3D4-8ET x
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
Chapter 8. Probes 8 - 15
Disinfectants
Surfaces Hautes
Omnicide - FG2
Salvanios pH10
Omnicide 14NS
Sekusept Extra
Salvanios pH 7
Sekusept Plus
3)
Cidex OPA 2,3)
Bleach 5.25%
Steranios 2%
Cidex Plus 2)
Metricide 2)
Wavicide-01
Omnicide
Nuclean
Milton
Names
Type L L L L L L L L L L L L S L L L
Glutaraldehyde
Hypochlorite
surfactant
Nonionic
Sodium
Active Ingredient
C2-5EL
C2-5EP
C2-8
C3-7EP
C4-9/10ED
L4-7EL
HL5-12D
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC x
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
3D4-8EK
3D4-8ET
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
8 - 16 SONOACE X8 Operation Manual
Disinfectants Cleaner
Gigasept AF 3)
alcohol(70%)
alcohol(80%)
Gigasept FF
Isoproppyl
Isoproppyl
Sporox
Cidezyme
Klenzyme
Alkazyme
Gigasept
PeraSafe
Hibitane
Sporox
Virkon
Names
Enzol
Type L L L L L L L P L L L L
Succindialdehyde,
Dodecylphenoleth
Xylene Sulfonate
oxylate, Sodium
Peracetic Acid
Chlorhexidine
Bersteinsaure
formaldehyde
Proteolytic
gluconate
Hydrogen
Enzymes
Peroxide
solution
Alcohol
NA
NA
Active Ingredient
C2-5EL
C2-5EP
C2-8
C3-7EP x
C4-9/10ED x x
L4-7EL
HL5-12D
L5-12EC x x x x
L5-12EP
L5-12/50EP x x
LN5-12
P2-4AH
P2-4AA
P3-5AC x x x x
P3-7AC x x x x
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET x
3D4-8EK
3D4-8ET x
3D4-9ES
3D5-9EK
3DC2-6
CW2.0 x x x
CW4.0
Chapter 8. Probes 8 - 17
Cleaner Gel
Aquasonics 100 3)
GE Ultrasound
Natural Image
Ethanol 75%
Clear Image
Contact Gel
Wavelength
KcKesson
Metrizyme
Sonogel
Kendall
Names
Scan
Type L L L G G G G G G G G
Propylene Glycol
(Chloroxylenol)
Ammonium
Chlorides
Alcohol
PCMX
NA
Active Ingredient
C2-5EL
C2-5EP
C2-8
C3-7EP
C4-9/10ED
L4-7EL
HL5-12D
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
3D4-8EK
3D4-8ET
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
8 - 18 SONOACE X8 Operation Manual
Symbols
(1) Compatible but no EPA Registration
(2) FDA 510(k) qualified
(3) Has CE mark
(4) Discontinued
(5) Under Development
S Spray
W Wipe
L Liquid
P Powder
G Gel
x Not compatible(DO NOT USE)
Compatible
Staining may occur on housing parts; however, the acoustic performance
and image quality are not affected.
Must not be used longer than 5 minutes.
Must not be used longer than 10 minutes.
Must not be used longer than 15 minutes.
Must not be used longer than 20 minutes.
Must not be used longer than 25 minutes.
Must not be used longer than 30 minutes.
Must not be used longer than 50minutes.
Blank Untested (DO NOT USE)
Chapter 8. Probes 8 - 19
Cleaning
Cleaning is an important procedure that is carried out before disinfecting the probe. The
probe must be cleaned after each use.
Do not use a surgical brush when cleaning probes. The use of even soft
brushes can damage the probe.
During cleaning and disinfection, keep the parts of the probe that must
CAUTION
remain dry higher than the other parts during wetting until all parts are dry.
This will help prevent liquid from entering non-liquid-tight areas of the
probe.
8 - 20 SONOACE X8 Operation Manual
2. Remove any biopsy adapters or biopsy needle guides. (Biopsy adapters are re-usable
and can be disinfected).
4. Use a soft cloth lightly dampened with mild soap or compatible cleaning solution to
remove any particulate matter and body fluid that remain on the probe or cable.
Disinfection
Only disinfect vaginal and rectal probes. A 10-6 reduction in pathogens should be reached
following the disinfection procedures in this Manual and using the following MEDISON
recommended solutions.
1. Follow the instructions on the disinfectant label for storage, use and disposition of the
disinfectant.
2. Mix the disinfectant compatible with your probe according to lavel instructions for
solution strength.
3. Immerse the probe into the disinfectant as shown in the illustration below.
4. Using the instructions on the disinfectant, rinse the probe after the immersion process
Chapter 8. Probes 8 - 21
is complete.
Multi planr transesophageal echocardiography (MPTEE) probe is one of the intracavity probes.
You should read the following information before you use the MPTEE probe.
- Scan Head Tilting: Use dial . Clockwise rotation makes scan head bend to
forward of the lens. Counterclockwise rotation makes scan head bend to backward
of the lens. If you make the white line meet the centerline of the handle, the scan
head become a straight line.
Chapter 8. Probes 8 - 23
- Locked Mode: It makes the action of the Head and lens unnaturally while using the
probe. To Lock the probe, turn the silver handle until the red sign is displayed.
Safety precautions
Do not move the system with MPTEE probe on the probe holder.
MPTEE probe can fall down because it is not set.
WARNING
To protect the patient and the probe, unlock the deflection control when
inserting or withdrawing the probe.
8 - 24 SONOACE X8 Operation Manual
If the temperature of surface temperature is over 40, the warning message will be appeared.
Keep MPTEE probe clean because this is intracavity probe. Do not put
CAUTION MPTEE probe on the floor.
Put MPTEE probe on the left holder of system. The right probe holder is
NOTE not fit for MPTEE probe.
A pyrogen-free sheath is recommended to use with MPTEE probe.
Maintenance
Adequate cleaning and, if necessary disinfection are carried out to prevent disease transmission.
It is the responsibility of the user to verify and maintain the effectiveness of the procedure used.
Keep the handle and probe connector out of any cleaning or disinfection
solutions. The handle and cable may be cleaned with a damp cloth, but only
CAUTION the end of the probe up to the 100cm marker on the shaft may be placed into
a disinfection solution.
Cleaning
Do not clean any portion of the probe with methanol or ethanol. Such
CAUTION substance can cause irreparable damage to the probe.
1. Clean the scan head and flexible shaft with gauze pads soaked in mild soapy
lukewarm water (below 26C is recommended). Remove any materials that could
interfere with the disinfection procedure.
2. Rinse the scan head and shaft with lukewarm water, in which one can hold one's
hand without pain. Proceed until all visible soap residue has been removed.
Disinfection
WARNING Do not use other disinfection methods like ethanol, Iodine, Steam, Heat or
Ethylene Oxide.
The probe should never be left in the disinfection solution for more than
CAUTION 1 hour.
Do not forget to rinse the probe directly after disinfection.
1. Place the cleaned and dried probe surface (the end of probe and up to the
100cm marker only) in contact with the disinfection solution.
2. Rinse the scan head and shaft with water and dry prior to storage.
8 - 26 SONOACE X8 Operation Manual
Biopsy
A biopsy is an examination method that surgically extracts tissue from the patient for
examination. The probe and the biopsy kit are used together when conducting a biopsy with the
ultrasonographic image scanner.
The ultrasound system shows the needle, which penetrates through the skin surface and veins,
along with the examination location, minimizing the risk to the patient.
- Needle Guide: Guides the angle (direction) of the needle so that it can reach the
examination location accurately. It also secures the needle so that the needle is not loose.
- Needle: This is the needle that is inserted into the patients body.
- Sheath: Prevents the probe and adapter from getting soiled by any unwanted substances
during the examination (blood and other body fluids).
- Ultrasound Gel: The space between the probe and the sheath is filled with the ultrasound
gel to obtain images of the best quality.
Chapter 8. Probes 8 - 27
Verify the condition of the biopsy needle before use. Do not use a bent
biopsy needle.
The biopsy needle may bend during tissue penetration. The precise
WARNING location of the needle must be checked by monitoring the echo
generated from the needle.
Never use the biopsy kit to biopsy prostate tissue.
Do not attempt to use the biopsy until you read the instructions for
installing the sheath and verifying alignment of the needle guide.
WARNING Always ensure that the probe and the needle guide are secured on both
the left and the right.
Do not use in IVF, CVS, or PUBS procedures.
Biopsy Procedure
The system generates a needle guideline though the displayed real-time ultrasound images
to indicate the anticipated path of the needle. You can use this guideline to ensure that the
needle or instrument is following the correct path.
1. Ready the patient according to the procedure appropriate for the examination
objectives.
3. Set the system controls for the biopsy procedure.If necessary, apply acoustic gel to
the patient.
8 - 28 SONOACE X8 Operation Manual
4. Begin scanning the patient. Adjust the patient so that the location for examination fits
into the needle guideline on the screen.
5. Insert the needle into the needle guide. Perform the puncture by sliding the needle
through the groove in the guide until the needle intercepts the target.
To keep the needle securely in the needle guide, press down on the top of the biopsy
adapter with your index finger.
6. When the examination location is reached, take the needle out of the needle guide.
7. Detach the needle guide, adapter and sheath from the probe.
The needle used for this alignment verification must not be used for the
actual procedure. Always use a new, sterile needle for each biopsy
procedure.
WARNING
To assist in accurate projection of the needle, use a straight, new needle
for each alignment procedure.
2. Set the system depth for the procedure to be performed and select the Biopsy menu.
3. Immerse the probe into the water bath, and insert the needle into the needle guide.
4. Confirm that the needle image is on the needle guidelines. If so, the needle guide is
properly aligned.
5. If the needle image is out of the needle guideline, check the needle guide or the probe adapter.
Chapter 8. Probes 8 - 29
Wash and disinfect the biopsy kit to reduce pathogens to the level of 10-6. Some components of
the biopsy kit may be disposable. Please read the biopsy kit user manual carefully before use.
Refer to the table of Cleaning and Disinfecting the Probe section in this chapter for detail.
Always use protective eyewear and gloves when cleaning and disinfecting
WARNING
biopsy kit.
3. Using a small brush and water, scrub each part to remove trapped material from
the biopsy kit.
Disinfection
2. After disinfection, follow the proper post-disinfection procedure for the disinfection
method used. (Please refer to the disinfection user manual, etc.)
3. Inspect the biopsy kit for damage such as cracks, rust or breakage. If damage is
evident, discontinue use of the biopsy kit and contact MEDISON Customer
Service Department.
8 - 30 SONOACE X8 Operation Manual
2. Disassemble the biopsy kit into its component parts, if applicable. Discard the
single-use parts. These parts cannot be disinfected.
3. Using a small brush and water, scrub each part to remove trapped material from
the reusable components.
Disinfection
Please refer to the user manual of the disinfectant for storage, use, and disposition of
the disinfectant.
2. After disinfection, follow the proper post-disinfection procedure for the disinfection
method used.
3. Inspect the components for damage such as cracks, rust or breakage. If damage
is evident, discontinue use of the biopsy kit and contact MEDISON Customer
Service Department.
Chapter 8. Probes 8 - 31
Specifications
Installation
1. Mount the Biopsy Adapter onto the probe.
2. Place the Probe Cover all the way down to the Adapter.
(a) (b)
8 - 32 SONOACE X8 Operation Manual
Biopsy Adapter 1 EA
Component
Needle Guide 8 EA
Material Polyurethane
Installation
1. Mount the Biopsy Adapter onto the probe.
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter.
4. Choose a needle guide of the desired gauge and secure it to the adapter.
C2-8Biopsy Guide
Specification
Biopsy Bracket 1 EA
Component
Needle Guide 24 EA
Installation
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter.
Specifications
Installation
2. Fill the sheath with the ultrasound gel and place the sheath all the way
down to the Adapter.
Specifications
Installation
2. Fill the sheath with ultrasound gel and insert the adapter fully into it.
8 - 38 SONOACE X8 Operation Manual
4. Mount the needle guide clip on the adapter to provide a desired gauge.
Biopsy Adapter 1 EA
Component
Needle Guide 8 EA
Material Polyurethane
Installation
1. Mount the adapter onto the probe.
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
adapter.
4. Choose a needle guide of the desired gauge and secure it to the adapter.
Adapters and the needle guide kits (24 different gauge types per pack) are available for
sale in packs.
Installation
1. Mount the Biopsy adapter onto the probe.
Chapter 8. Probes 8 - 41
3. Choose a needle guide of the desired gauge and secure it to the adapter.
4. Lock the needle guide like following (a), (b). and (c)
Biopsyadapter 1EA
Component
Box 1EA
Material Stainless (re-usable)
Available Gauges 8G, 14G, 16G, 18G, 20G, 22G
Installation
1. Mount the adapter onto the probe.
2. Choose a needle guide of the desired gauge and secure it to the adapter.
NOTE To purchase this biopsy kit, please contact the local office.
Specification
Material Polyurethane
Installation
1. Insert gel into the cover for the Kit and cover the adapter completely.
8 - 44 SONOACE X8 Operation Manual
2. Mount the needle guide for the desired gauge onto the adapter.
Specification
Biopsy Adapter 1 EA
16Ga disposable needle guide/probe cover KIT 8EA
Component
18Ga disposable needle guide/probe cover KIT 8EA
22Ga disposable needle guide/probe cover KIT 8EA
Installation
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter.
Specifications
Biopsy Adapter 1 EA
Component
Sheath 2 EA
Material Stainless
Installation
1. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter. And then tie with rubber band.
3. Place the sheath again and tie with the rubber band again. Tie the lower part than 1.
Specification
Installation
1. Fill the sheath with ultrasound gel and insert the probe.
3. Place the thin sheath on the adapter again and insert the needle into the needle guide
for use.
8 - 48 SONOACE X8 Operation Manual
Specification
Biopsy Adapter 1 EA
Component
Cleaning Brush 5 EA
Material Stainless
Installation
1. Fill the sheath with ultrasound gel and insert the probe.
Specification
Biopsy Adapter 1 EA
Component
Needle Guide 1 EA
Material Ticona-Acetal
Installation
2. Fill the sheath with ultrasound gel and insert the probe.
Component Adapter 1 EA
Material Stainless
Installation
1. Fill the sheath with ultrasound gel and insert the probe.
Specifications
Adapter 1 EA
Guide 1 EA
Component
Case 1 EA
User Manual 1 EA
Material Stainless
Installation
1. Mount the Biopsy adapter onto the probe.
Adapter 1 EA
Guide 1 EA
Component
Case 1 EA
User Manual 1 EA
Material Stainless
Available Gauges 16G, 18G, 22G
8 - 52 SONOACE X8 Operation Manual
Installation
1. Mount the Biopsy adapter onto the probe.
Biopsy Adapter 1 EA
Component
Needle Guide 24 EA
Installation
1. Place the biopsy adapter onto the probe.
2. Fill the sheath with ultrasound gel and insert the probe.