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Ultrasound machine

knobology

Copyright © 2010 Academy of Veterinary Imaging


Ultrasound machine knobology…

In other words, what the heck do all of those


knobs and buttons do, and how can adjusting
them affect image quality?!?!
GE ultrasound
• Image optimization
– Presets, depth, frequency, auto-optimize, focal
points, gain/TGC
• Features
– Archiving, transducers, SRI, compounding,
harmonics, 3-D, LOGIQView, Doppler
GE ultrasound
GE features: Go to:
Archiving Image optimization:
LOGIQ 7
Transducers Presets
SRI Depth LOGIQ 5
CrossXBeam Frequency
LOGIQ P5
Harmonics Auto-optimize
3-D Focal points LOGIQ e
LOGIQView Gain/TGC
LOGIQ Book
% affected

In this presentation, click on the Home button


as pictured here to return to this page
Image optimization

• Image quality is comprised of many


L7
things
• During an ultrasound exam, the L5
ultrasound machine settings should P5
be changed as needed to optimize Le
image quality
LB
• Understanding just a few of the
knobs can accomplish this for most
scans
Presets
• Settings can be saved as presets
• Viewed in Application or Preset L7
screen L5
• Different presets for different P5
transducers/structures/patient
Le
species/sizes
• The more ‘complicated’ machine LB

settings are saved in presets, so


these do not need to be adjusted
during every scan
Depth
• Adjust as needed throughout scan
L7

L5

P5

Le

LB

Optimal
Frequency
• High frequency
• Better resolution L7
• Less depth
L5

• Lower frequency P5

• Lower resolution Le
• Better for depth LB
Auto optimize
• ‘Personal preference’ button.
L7
• Adds more contrast…Whites are
whiter, blacks are blacker L5

• Try on or off. Chose the setting P5

that looks better to you. Le

• Auto optimize must be deselected LB


then reselected for every new
structure imaged.
Focal points

• Improved resolution is seen


L7
where the focal points are.
L5
• Place focal points at the region
P5
of interest.
Le

LB
Gain
• Overall gain
L7
– Amplification of received signal
L5

P5
• TGC
Le
– Time Gain Compensation
LB
– Compensates for beam
attenuation (loss of energy as it
passes through tissue)
LOGIQ 7 L5
P5
(touch screen) Le
LB
Frequency
Focal points
TGC

Depth
Gain
Auto
optimize
LOGIQ 5 L7

P5

Le
Frequency
LB

Focal points
Depth
Gain

Auto
TGC optimize
LOGIQ P5 L7

L5

LB

Le

Focal
Frequency
points

Depth
TGC
Gain
Auto optimize
LOGIQ e L7

L5

Frequency P5
Focal LB
points
TGC

Depth
Gain
Auto optimize
LOGIQ Book L7

L5
Frequency P5
Focal
(toggle) Le
points

TGC

Depth

Gain Auto optimize


Archiving
• ‘P’ buttons can be
programmed
• Default settings:
– P1: Saves as raw dicom clip or
still image (image appearance,
M-mode, 3-D can be done on a
raw dicom clip, but it is a very
large file, thus too large to
send)
– P2: Print on the thermal printer
– P3: Save as dicom
Archiving
• Images can be transferred to a CD or
USB flash drive.
• Depending on GE model, media must
be formatted first
– Press Utilities button
– Select Connectivity, then removable media
• To eject media after saving images,
press F3
– Select the media to eject, then finalize
Some GE transducers
Rectal

8C 12L

i739

3S
4C
SRI
• Speckle Reduction Imaging:
– Improved contrast resolution
– Improved overall clarity
– Smoothes regions where no feature or edges
appear
– Maintains or enhances edges and borders
– Does not eliminate any information
– Increased Signal-to-Noise ratio
SRI
• Always is on in the LOGIQ e
• Can adjust to have different levels in the
LOGIQ 7 and LOGIQ P5
– Level is set within the preset (Application)
settings
Spatial compounding
• CrossXBeam
– = GE’s spatial compounding
– Available on the LOGIQ e and LOGIQ P5
• Interrogates tissue at multiple angles
• Introduces new tissue info
• Averages out speckle
• SRI and CrossXBeam together can have
complimentary and additive effects
CrossXBeam
• Perpendicular angle of insonation generates
higher signal
• Images generated with compounding have
more angles that are perpendicular to
structures

CrossXBeam CrossXBeam
OFF ON
CrossXBeam
• Improved border definition
• Improved contrast resolution
• Reduced angle dependence
• Reduced speckle and noise
• Increased visualization of biopsy needles
• Can reduce helpful artifact
• Can reduce frame rate

LOGIQ P5 LOGIQ e
CrossXBeam: P5

Press X Beam to turn on

Press L and R buttons simultaneously to see side-by-side


display of CrossXBeam on and CrossXBeam off
CrossXBeam: Le

F9 or ‘Comp’ to turn on

Press L and R buttons simultaneously to see side-by-side


display of CrossXBeam on and CrossXBeam off
Harmonics (THI)

Display is from echos of a frequency different from the


transmitted frequency (i.e. 2x transmitted frequency)
•Reduced artifact
•Improved axial and lateral resolution
•Better margin definition and increased contrast
Harmonics (THI)

Press THI or Harmonics


button to turn on

Press L and R buttons simultaneously


to see side-by-side display of
harmonics on and harmonics off
3-D
• Volume imaging
– Volume vs. area affected can be assessed
• Appears more ‘life-like’
• Infinite viewing planes
• May approximate CT or MRI imaging
• Scan parallel* or sweep (fan)
• Angle of imaging less operator dependent

LOGIQ P5 LOGIQ e
3-D: P5

Press 3D to turn on

Click arrow to go to images

Press Left button to start. Scan anatomy. Press Right button


to stop.
3-D: Le

Press F7 to turn on

Click arrow to go to images

Press Left button to start. Scan anatomy. Press Right button


to stop.
3-D
Use set button to alternate
hand and rotate tools

Drag image to corner


3-D
Use set button to alternate
hand and rotate tools

Rotate image
3-D
Use set button to alternate
hand and rotate tools

Slice through
3-D
Use set button to alternate
hand and rotate tools

Rotate again
3-D
Use set button to alternate
hand and rotate tools

Slice through
another plane
LOGIQView
• Extended field of view
• Better demonstration of anatomical
relationships
• Ability to measure large structures

LOGIQ P5

LOGIQ e
LOGIQView: P5

Press LOGIQ View to turn on

Press Left button to start, scan anatomy. Press Right button


to stop.
LOGIQView: Le

Press F8 View to turn on

Press Left button to start, scan anatomy. Press Right button


to stop.
LOGIQView

Scan in a straight
plane or image will
‘bend’
% affected
• Measure % of tendon affected by the lesion
– Press Measure button
– Select % stenosis folder
– Select % sten (area)
– Trace around entire tendon
– Press set
– Trace around lesion
– Press set
– % affected = 100 - %sten