Measurements 1 PDF

Diagnostic Ultrasound System
Instruction Manual
Measurements 1
This is the instruction manual for the ALOKA ARIETTA 850 Diagnostic Ultrasound System.
Before using the instrument, please read this manual along with the separate “Instructions for Use”.
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Thank you for purchasing the Hitachi, Ltd. ALOKA ARIETTA 850 Diagnostic Ultrasound System; we truly
appreciate your business.
IMPORTANT
Before using the instrument, be sure to read this manual and the separate “Instructions for Use” volume.
Be sure to keep this manual handy for future reference.
Please note that actual screen displays (including icons and design) may differ from the Diagnostic
Ultrasound System screens reproduced in this manual.
Some of the messages described in this manual may not be displayed by the Diagnostic Ultrasound
System, depending on its configuration (including its options).
For information regarding functions not described in this manual, refer to the separate “Instructions for
Use”, “Acoustic Output Data”, “Basic Operations”, “Advanced Operations (1 to 3)” and “Measurements (2,
3)”.
The contents of this manual apply to both the ARIETTA 850 and the ARIETTA 850SE which are considered
to be equivalent models.
Any and all mentions of "ARIETTA 850" in this manual apply to both the ARIETTA 850 and the ARIETTA
850SE.
Trademarks and Registered Trademarks

Microsoft, Windows, Microsoft Excel and Windows Media are registered trademarks or trademarks of Microsoft
Corporation in the United States and/or other countries.
Adobe, Acrobat, and Reader are trademarks or registered trademarks of Adobe Systems Incorporated in the United
States or other countries.
The company name, product names, and logo of McAfee, in both English and Japanese, are trademarks or registered
trademarks of McAfee, Inc. or its affiliated companies.
Linux is a registered trademark of Linus Torvalds in Japan and other countries.
VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation.
This software is based in part on the work of the Independent JPEG Group.
Real-time Tissue Elastography, Real-time Virtual Sonography, 4Dshading, HI REZ and HdTHI are registered trademarks in
Japan of Hitachi, Ltd.
Oracle and Java are registered trademarks of Oracle and/or its affiliates. Other names may be trademarks of their
respective owners.
SYNAPSE is a trademark of FUJIFILM MEDICAL SYSTEMS U.S.A., INC.
OMNITRAX and VIRTUTRAX are trademarks of CIVCO.
4D LV-ANALYSIS©, 4D RV-FUNCTION©, and 4D MV-ASSESSMENT© are optional modules of TOMTEC-ARENA™.
TOMTEC-ARENA™ is a registered trademark of TOMTEC IMAGING SYSTEMS GMBH in Germany and the United States of
America.
Other company names, product names and system names mentioned in the instruction manual of this instrument
may be the trademarks or registered trademarks of their respective organizations. This document omits symbols such
as ™ and ®.
©Hitachi, Ltd. 2016, 2018. All rights reserved.
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 Symbols Used in this Document
The terms below are used as follows in this manual, to prevent hazards and injuries to operators and
patients. The severity of a hazard and injury that can occur when failing to observe the displayed safety
information is indicated in 4 levels: DANGER, WARNING, CAUTION, and NOTE.
Indicates an imminently hazardous situation which, if not avoided, will result in death or
serious injury.
Indicates a potentially hazardous situation which, if not avoided, could result in death or
serious injury.
Indicates a potentially hazardous situation which, if not avoided, may result in minor injury or
property damage.
Indicates a strong request concerning an item that must be observed in order to prevent
damage or deterioration of the equipment, and also to ensure that it is used efficiently.
The safety symbols have the meanings shown below.
This symbol means attention is required.
This symbol indicates a prohibition.
This symbol indicates a mandatory action.
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 About ALOKA ARIETTA 850 Diagnostic Ultrasound System
This device is intended to be used by doctors and other qualified persons to perform tomography and
hemodynamic diagnosis of blood flow in the human body.
However, this device cannot be used to perform an eye ultrasound. The acoustic power from this device
exceeds the upper ophthalmologic limit according to U.S. FDA standards.
I) Precautions concerning the use and management of this device
 Operations for diagnostic purposes are to be performed by doctors or other quality persons only.
 Perform scans for the minimum length of time and at the lowest output needed for diagnosis.
 Do not disassemble, repair, or modify the device or its optional equipment without the permission of this
company. Repair work will be handled by personnel certified by this company. Please notify us when repair
work is needed.
NOTE: Disassembly means the use of tools to remove the casing or other parts of the device.
NOTE: Modification means the attachment, to this device, of parts or devices other than those specified by
this company. Modification includes the replacement of the power cable.
 The device and any optional equipment will be installed (mounted and connected by using tools) by
certified partners of this company. Please notify us when the device or optional equipment needs to be
installed.
 The device will be transported (moved via vehicle or ship, etc.) will be performed by an authorized
representative of this company. Please notify us when the device needs to be transported.
 Periodically clean and inspect the device. For details, see “Instructions for Use”.
 If an abnormality occurs during the use of the device, immediately remove the probe from the patient and
stop using the device. If the patient exhibits unusual or abnormal symptoms, immediately provide the
appropriate medical treatment. Perform the appropriate measures for the device in accordance with
“Instructions for Use”. If the abnormality is not described in “Instructions for Use”, please contact us.
II) Precautions concerning device installation
This device is medical electrical equipment intended for use in hospitals, research institutions, and
other similar facilities. Install this device as described below.
 Install the device in accordance with “Instructions for Use”.
 Install the device in an environment that meets the conditions described in “Instructions for Use”.
 Install the device in an environment that can maintain electromagnetic compatibility according to
“Instructions for Use”.
Electromagnetic compatibility (EMC) means that the device can maintain basic performance and safety
within the relevant electromagnetic environment, without causing electromagnetic interference that
cannot be tolerated by other devices in that environment.
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III) External dimensions and weight of the device
External dimensions Width: 550 mm ±10%, Depth: 900 mm ±10%

Height: 1220 mm ±10% to 1695 mm ±10%
Weight 145 kg ±10% (main unit only), 163 kg ±10% (main unit and all optional equipment)
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 Device classification of ALOKA ARIETTA 850 Diagnostic
Ultrasound System
 Protection against electric shock: Class I and ME equipment
 Protection against electric shock (applied parts): Type BF applied part
– Probes and scanner
Refer to the diagram below (or the probe or scanner diagrams) and table below for applied parts and parts
handled as such.
B C A
connector
connector
C A
The above is an example of probes for surface or intraoperative use. Below are examples of body cavity probes.
Parts handled as applied Length between B

Using a Probe Applied part parts and C
Body surface Ultrasonic irradiation area (D) Between A and B 100 cm
Intraoperative Ultrasonic irradiation area (D) Between A and B 20 cm
Inside the body cavity Between A and C Between A and C –
– ECG, PCG, Pulse
Applied parts are regarded as such within a 2 m range from a physiological signal sensor (see drawing
below).
Example: ECG
2 meters
ECG electrodes
connector
ECG patient lead
 Protection against electric shock (Defibrillation-proof applied parts): Not suitable
 Protection against infiltration by water or particulate substances
– Probe applied part: IPX7 (rated for brief immersion in water)
– Foot switch
MP-2819: IPX7 (rated for brief immersion in water)
MP-2345B: IPX8 (rated for continuous immersion in water)
– Other Details: IPX0 (ordinary equipment)
 Suitability for use in an oxygen rich environment: Not suitable
– Method(s) of sterilization: Not suitable for sterilization/disinfection with medicinal solution, gas or
radiation.
 Operation mode: Continuous operation
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Table of Contents
1 Basic Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1-1 Overview of measurements using this instrument. . . . . . . . . . . . . . . . . . . . . . . .12
1-1-1 Operation panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
1-1-2 Touch panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
1-1-3 Starting Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
1-1-4 Switching Measurement Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
1-1-5 Recalculating a Measurement and Clearing + marks. . . . . . . . . . . . . . . . . . . . . . . . . . .22
1-1-6 Performing an Application Measurement Using the Transfer Function . . . . . . . .23
1-1-7 Ending Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
1-2 Measurement Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

1-2-1 Caliper Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
1-2-2 Ellipse Method. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
1-2-3 Circle Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
1-2-4 B Trace Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
1-2-5 Doppler Trace Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
1-3 Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

1-3-1 Entering Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
1-3-2 Calibration: B mode Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
1-3-3 Calibration: M mode Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
1-3-4 Calibration: D mode Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
2 Basic Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
2-1 Basic measurement function list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
2-2 B mode Measurements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

2-2-1 Distance Measurement: Dist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
2-2-2 Distance Measurement: Dist-trace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
2-2-3 Area and Circumference Measurement: Area-T. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
2-2-4 Area and Circumference Measurement: Area-E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
2-2-5 Area and Circumference Measurement: Area-C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
2-2-6 Volume Measurement: Volume1/ Volume2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
2-2-7 Angle Measurement: Angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
2-2-8 Histogram Measurement: Histogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
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2-2-9 Measurement of Congenital Dislocation of the Hip Joint: Hip J Angle . . . . . . . . . .56
2-2-10 General Purpose Index Measurement: B. Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
2-3 M mode Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

2-3-1 Amplitude (distance) measurement: M. Length . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
2-3-2 Time Measurement: Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
2-3-3 Heart Rate Measurement: Heart Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
2-3-4 Velocity Measurement: M.VEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
2-3-5 General Purpose Index Measurement: M. Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
2-4 D mode measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

2-4-1 Time Measurement: Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
2-4-2 Heart Rate Measurement: Heart Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
2-4-3 Blood Flow Velocity Measurement: D.VEL1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
2-4-4 Blood Flow Velocity Measurement: D.VEL2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
2-4-5 Acceleration (deceleration) Measurement: ACCEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
2-4-6 Resistance Index measurement: RI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
2-4-7 Pressure Half-Time Measurement: P1/2T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
2-4-8 Dop.Caliper measurement: D.Caliper1/D.Caliper2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
2-4-9 Measurement of Mean Velocity and Mean Pressure Gradient: Mean VEL. . . . . . . .75
2-4-10 Pulsatility Index Measurement: PI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77
2-4-11 Stenosis Flow Measurement: Steno Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
2-4-12 Regurgitant Flow Measurement: Regurg Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
2-4-13 Dop.Trace Measurement: D.Trace1/D.Trace2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
2-4-14 General Purpose Index Measurement: D. Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87
2-4-15 Real Time Doppler Auto Trace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
2-4-16 Blood flow volume measurement (steady flow) F. Volume (Vein) . . . . . . . . . . . . . .93
2-4-17 Blood flow volume measurement (pulsatile blood flow): F. Volume (Artery) . . . .95
2-4-18 Blood Flow Volume Measurement: SV/CO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99
2-5 CF mode measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

2-5-1 Blood Flow Volume Measurement: Flow Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
2-6 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

2-6-1 Formulas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
3 Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
3-1 Report display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
3-1-1 Displaying a Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
3-1-2 Switching the report page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
3-1-3 Switching the Header Block Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
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3-1-4 Displaying a Graph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
3-1-5 Displaying Past Examination Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
3-1-6 Displaying Trace Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
3-2 Report Editing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

3-2-1 Entering Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
3-2-2 Entering Findings in the Anatomy Check List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
3-2-3 Entering Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
3-2-4 Attaching an Ultrasonic Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
3-2-5 Editing the Measurement Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
3-3 Report Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

3-3-1 Printing a Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
3-3-2 Outputting the Report as a CSV file . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
3-3-3 Sending a DICOM SR File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
4 Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
4-1 Preset Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
4-2 Displaying Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
4-3 Measurement Settings: Create Measurement Tools . . . . . . . . . . . . . . . . . . . . 135

4-3-1 Measurement Method and Result Display Settings: Measured Method & Display
Items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
4-3-2 Caliper Mark Display Settings: Caliper Mark Control . . . . . . . . . . . . . . . . . . . . . . . . . 137
4-3-3 Displaying Unit Settings for Measurement Results: Unit Selection . . . . . . . . . . . 139
4-3-4 Caliper Mark and Measurement Result Display Settings for When Freeze Is
Canceled: Caliper Auto Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
4-3-5 Report Display Settings: Report Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
4-3-6 Settings for Measurement Result Display Style: Display Form . . . . . . . . . . . . . . . . 142
4-3-7 Menu Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
4-3-8 User Index Calculation Formula: User’s Calculation . . . . . . . . . . . . . . . . . . . . . . . . . . 144
4-4 Study Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

4-4-1 Measurement Study Registration and Display Settings: Study Assignment . . . 152
4-4-2 Measurement Menu Settings: Menu Assign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
4-4-3 Report Display Block Settings: Combined Report Display . . . . . . . . . . . . . . . . . . . . 156
4-4-4 Operational Guide Message Settings: Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
4-5 SW Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

4-5-1 Basic Measurement Menu Settings: +Mark Key Assignment . . . . . . . . . . . . . . . . . 159
4-5-2 Hot Key Settings: Hot Key Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
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4-5-3 Presetting Direct Switches: Measure SW Assignment . . . . . . . . . . . . . . . . . . . . . . . . 161
4-5-4 Measurement Control Menu Settings: Control Menu Assignment. . . . . . . . . . . . 162
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1 Basic Operations
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Overview of measurements using this instrument
1-1 Overview of measurements using this instrument
The measurement functions of this instrument comprise both basic and application measurements.
 Basic measurements (Basic Measurements)
 Basic measurements (Basic Measurements) in Application Measurements (Application

Measurements)
– Basic measurements to measure distances and areas
– Measurements that are part of all applications
– Basic measurement results can be used in application measurements.
 Application measurements (Application Measurements)
– Measurements tailored to the (clinical area) needs of all applications.( Refer to the table below).
– The instrument records and manages measurement values for each patient in the form of reports to
enable follow-up observations and other evaluations.
– Application measurements consist of Studies that compile measurement parameters by application.

When the objective of an examination requires the use of measurements other than those provided by
each application, select a different Study to make measurements.
Application Measurement study example

Abdom Basic
URO Prostate & SV Bladder & Testis Kidney
S.Parts Basic Breast Thyroid
OB Basic Early Twin Basic Twin Early
GYN GYN Follicles Bladder
Cardio Cardiac Func. Coronary TDI Asynchrony
Cardio Pediatrics P.Cardiac Func. P.Coronary P.TDI P.Asynchrony
Vascular Carotid Artery Lower Ext Artery Lower Ext Vein Upper Ext Artery
Upper Ext Veins TCD
The applied measurements above use measurement conditions and formulas based on references,
which presents their clinical validity. The references are stated at the end of each chapter.
The workflow for making measurements is as described below, regardless of the type of application or
study.
(1) Entry of patient data Once patient data has been entered, measurement values and calculated
index values can be recorded and managed for each patient. Reports and
graphs can be displayed for follow-up analysis (development assessment,
treatment evaluation, etc.).
Refer to the separate “Basic Operations” volume for details on patient data.
12 | Basic Operations MN1-6233 rev.3

(2) Application and Select from the ID screen or by using the touch panel during an examination.
measurement study The calculation formulas and patient management database are applied to
selection the selected application.
Measurement menus and reports of the selected study are applied.
(3) Take measurements The measurement values are updated in real time until the measurements are
finalized.
Up to 10 measurement results can be displayed on the screen.
(4) Reports Reports present the latest measurement results and average values.
NOTE: Reports are only displayed for patients whose data has been entered.
Use the report output function to output measurement results and reports.
 Output the Measurement Results Display screen or the Reports screen to a storage device
connected to the instrument.
 Print necessary parts of reports as hard copy.
 Output measurement results and findings from reports as CSV files.
 Create DICOM SR files and send them to a DICOM SR server.

DICOM SR files can be created in the Cardio, Cardio Pediatrics, Vascular, Abdomen, GYN and OB
applications.
NOTE: The optional DICOM SR software (SOP-ARIETTA850-21) is necessary for creating DICOM SR files.

1-1-1 Operation panel
The following are the main keys used for measurements.
(1)
(2)
(3)
(4)
(5) (11)
(6)
(7)
(8) (12)
(9) (13)
(10)
(1) Touch panel The Measurement menu is displayed.
(2) [New Patient] key Open the ID input screen.
(3) [Probe/Preset] key Display menus for changing probes and applications used for
an examination.
(4) [T.B.F.] Key Changes the state of the trackball function.
(5) [Cine Search] key Changes the trackball function to Search.
(6) [Caliper] key The basic measurement corresponding to each display mode is
registered in preset directly. Press during a measurement to
display a new mark.
(7) [Measurement] key Open the measurement menu for the displayed mode.
(8) [UNDO] key Return to the immediately previous mark display state ( or the
initial state).
(9) [L] key Switches the active caliper.
(10) Trackball Used to move measurement marks.
(11) [Pointer] rotary encoder Trace line is removed gradually.
(12) [Freeze] key Freeze a real-time image. Or, cancel freeze status.
(13) [Enter] key Display the second and the third marks separately.

Trackball function information
(a)
(e)
(b) (f)
(c) (g)
(d)
(a) Track ball functional state (active state shown inside frame)
(b) [UNDO] key function
(c) [L] key function
(d) Trackball function
(e) [Pointer] rotary encoder function
(f ) [Enter] key function
(g) [R] key function
Function by color Status

Gray Inactive status
Blue Standby status
Orange Active status
B caliper, M caliper and D caliper methods
The keys around the trackball have the following functions.
Key Trackball Action

function
indications
[Enter] key Next The caliper mark is fixed and focus moves to the next caliper mark.
The next measurement channel is activated.
[UNDO] key Cancel Starts measurements again.
NOTE: Cancels measurement when pressed right after starting a
measurement.
[L] key Change Changes the caliper mark that can be moved.
B Trace and Doppler Trace methods
The keys around the trackball have the following functions.

Key Trackball Action

function
indications
[Enter] key Next The caliper mark is fixed and focus moves to the next caliper mark.
The next measurement channel is activated.
[UNDO] key Cancel Starts measurements again.
NOTE: Cancels measurement when pressed right after starting a
measurement.
[L] key Change Changes the caliper mark that can be moved.
[Pointer] rotary Go Back Cancels/redisplays the trace line.
encoder

1-1-2 Touch panel
The Measurement menu is displayed below.
NOTE: For details on menu assignment, refer to "Study Assignment" in this manual.
(2)
(3)
(1) (4)
(5)
(6)
(7)
(8)
(1) Measurement control menu
Clear : Exits the measurement function.
Beat Select : Select the heartbeat when multiple heartbeats are traced using the Doppler Auto Trace function.
Trace Manual : Switches to a manual trace directly from an auto trace of a Doppler waveform.
Locate : Changes the position of (move) the measurement results display area.
Mark Display : Caliper mark display can be turned On and Off.
Report : Report of application measurement is displayed.

Send : Transfers measurement results to the report.
Opens shared studies. They vary with the settings of the measurement application.
(2) Measurement menu tab
The measurement menus depend on display mode. If the measurement menu extends to two pages, press the
tab to turn to the next page.
(3) Measurement function control menu
A B C
A: Switches between basic and applied measurements. Selecting application measurements will display the
name of an application measurement field.
B: Switches between Study and Application.
C: Opens the measurement preset screen.
(4) Page turning button
If the measurement menu extends to two pages, press < to turn to the previous page, or press > to turn to the
next page.

(5) Measurement menu
Opens the basic measurement menu or the applied measurement menu.
(6) Measurement method/calculation method/switching of the left and right sides
Opens the measurement method, the calculation method and the menu switching the left and right sides,
depending on what measurement menu was selected in (5).
(7) Measurement channel number/measurement parameters/transfer menu/switching between the measurement

methods
Measurement channel number and transfer menu selected in (5) appears in basic measurement.
The measurement parameter opens depending on what measurement menu was selected in (5) in applied
measurement.
[Transfer] transfers the basic measurement results to applied measurements results. [Method] allows you to
change measurement methods.
(8) Measurement multi rotary encoder menu
A menu that can be adjusted using the multi rotary encoders is displayed during measurements.
Reference Presets → p.131

Information

1-1-3 Starting Measurements
You can use one of the following three methods to start a measurement.
 Press the [Caliper] key to perform a basic measurement.

You can transfer the results obtained here to each parameter of an application measurement.
 Press the [Measurement] key to display the measurement menu on the touch panel to perform the
selected measurement.
 Press an alphabet key (Hot Key) on the alphanumeric keyboard to perform a measurement.
Starting up using [Caliper] key
The basic measurement for the displayed mode is started. The measurement menu that appears on the touch panel
can be set in the preset. Use the preset to set frequently used basic measurement menus for each display mode.
Refer to “Presets” in this volume for information on setting the presets.
1 Press the [Caliper] key.

NOTE: When you press the [Caliper] key in hybrid mode (B/M, B/D mode, etc.), the basic measurement for the
mode with the highest priority will start. The order of priority is D mode> M mode > B mode. A caliper mark started
in hybrid mode can be moved to any other mode and will start up the basic measurement for the respective mode.
2 Select the basic measurement menu on the touch panel and start the measurement.
To move to the next measurement
Press the [Enter] key or the [Caliper] key.
To return to the previous measurement

Pressing the [UNDO] key after finalizing one caliper mark and the state prior to separating the measured
caliper mark. Press the [UNDO] key before finalizing a caliper mark.
Changing a caliper mark that can be moved.

Press the [L] key before finalizing the measurement.
3 Press the [Enter] key to confirm the measurement.
Starting up using [Measurement] key
The application measurement for the displayed mode is started. You can use the preset to select the measurement
menu that should appear on the touch panel. Use the preset to set frequently used application measurement
menus for each display mode. Refer to “Presets” in this volume for information on setting the presets.
1 Press the [Measurement] key.

2 Select the application measurement menu or measurement parameter on the touch panel,
and perform the measurement.
3 To clear the measurement menu from the touch panel, press the [Measurement] key again.
Starting up using Hot key
Pressing a letter key on the keyboard starts the measurement item or control function assigned to that key directly
without passing through the measurement menu. Use a preset to assign measurement parameters or control
functions to the keyboard. Refer to “Presets” in this volume for information on setting the presets.
1 Press the key on the Alphanumeric keyboard to which measurement has been assigned.
 The selected measurement starts.

1-1-4 Switching Measurement Menus
Use this function to switch measurement study or measurement application displayed on the touch panel.
(1)
(2)
(1) Change Application
(2) Change Study
Switching Measurement Study
2 Select [Study & Application] on the touch panel.
3 Select Study from Change Study.
Switching a Measurement Application
2 Select [Study & Application] on the touch panel.
3 Select Application from Change Application.
4 Select Study from Change Study.

1-1-5 Recalculating a Measurement and Clearing + marks
You can use this function in a basic measurement you have finalized and delete individual measurement
values.
Redoing a measurement
1 Select the number of the measurement you want to redo on the touch panel.
 This allows you to recalculate the selected + mark.
Deleting + marks
Deleting + marks After Completing a Measurement
 Select the number of a deleted measurement twice on the touch panel.

The selected + mark is deleted.
 Select [Clear] from the control menu.

All + marks and measurement results are cleared from the screen.
Deleting + marks During a Measurement
 To delete only the + marks after fixing the start point, press the [UNDO] key twice.

1-1-6 Performing an Application Measurement Using the Transfer Function
The transfer function transfers basic measurement results to an application measurement and records
them in reports. A basic measurement and the transfer function make it possible to complete an
application measurement.
The following example shows how a basic measurement result was transferred to a Pancreas abdominal
measurement.
1 Press the [Caliper] key to perform a distance measurement.

a Move the + mark to the start point and press the [Enter] key.
b Move the + mark to the end point and press the [Enter] key.
2 Select [Transfer] on the touch panel.
(1)
(1)
(2)
(2)
(1) Transfer Menu
(2) Transfer item list
 Displays the measurement menu (Transfer Menu) of Abdom/Rad (abdominal measurement).
3 Select [Pancreas] on the touch panel.

 The transfer item list appears on the touch panel. Measurement results that can be transferred are
shown in outline characters.

4 Select [Head] on the touch panel.

NOTE: A transfer is not possible, if you select basic measurements and transfer items whose
measurement methods differ. A message will be displayed if such measurement data is selected. Select
only data that can be transferred.
Processing multiple measurement results

Move the pointer to measurement results on the screen you want to transfer and select the transfer
destination on the touch panel.
 The measurement result in step 1 is transferred to Head in Pancreas measurement.
5 Use the same operation for Body and Tail to transfer basic measurements.
 The Pancreas measurement is finished.

1-1-7 Ending Measurements
Use the following operation to delete all measurement marks and measurement results.
 Select [Clear] on the touch panel.
 Press the [Measurement] key.
 Unfreeze the image.

When Caliper Auto Off is set to On, cancel freeze and end measurements.

Measurement Methods
1-2 Measurement Methods
The following describes the typical measurement methods.
The following methods are used for measurement.
 Caliper Method
 Ellipse Method
 Circle Method
 B Trace Method
 Doppler Trace Method

Measurement Methods
1-2-1 Caliper Method
Use this method to measure the distance, depth, and time between two points.
It is a general measurement method that is used not only in B mode measurements, but also in M mode
and D mode. Take measurements using the + mark or line cursor.
1 Set the start point.

a Use the trackball to move the + mark (or line cursor) to the start point.
b Press the [Enter] key.
2 Set the end point.
a Use the trackball to move the + mark (or line cursor) to the end point.
Each press of the [L] key, changes the mark that can be moved.

Measurement Methods
1-2-2 Ellipse Method
This recognizes the measurement target as an ellipse and measures area, circumference, etc.
This method uses the B mode measurement.
1 Setting the long axis.

a Move the + mark to the start point with the trackball.
c Use the trackball to move the + mark to the end point.
d Press the [Enter] key.
d
b
2 Setting the short axis.

a Adjust the length of the other axis using the trackball.
a b

Measurement Methods
1-2-3 Circle Method
This recognizes the measurement target as a circle and measures area, circumference, etc.
1 Specify the center of the circle.

a Use the trackball to move the + mark to the center of the measurement target.
2 Specify the size of circle.

a Adjust the size of the circle using the trackball.
a b
Each press of the [L] key, changes the position and the size of the area.

Measurement Methods
1-2-4 B Trace Method
The area, circumference, etc. are measured by moving + mark along the border of the target
measurement.
1 Move the + mark to the start point with the trackball.
2 Press the [Enter] key.
3 Trace along the border of the measurement target with a trackball.

To modify the start point location
Press the [UNDO] key to change the start point.
Revising the trace line
NOTE: You can use Go Back of the preset ([Create Measurement Tools > Basic Measurement > Caliper Mark Control
> B.Manual Trace]) to specify the operating method.
By specifying “Rotary Encoder or Track ball”, you can use the [Pointer] rotary encoder and the trackball.
If you specify “Rotary Encoder”, only the [Pointer] rotary encoder can be used.
 Using the [Pointer] rotary encoder
If you turn the [Pointer] rotary encoder to the left, the trace line is gradually erased from the present
location. If you erased too much, turn the [Pointer] rotary encoder to the right. The trace line
gradually reappears.
 Using the trackball
Roll the trackball to the direction that you want the trace line to be erased. Note that an erased trace
line cannot be redisplayed.
Correct with the trackball once the trace line is erased as far as the required location.
4 Stop using the track ball and close the trace.

 A line is automatically drawn and the trace is closed.

Measurement Methods
1-2-5 Doppler Trace Method
Trace the wave pattern of the frozen image in D mode.
Two types of trace methods are available: Auto Trace and Manual Trace.
The Peak method is the factory default setting for Auto Trace.
 Specify the trace range and tracing will start automatically.

a Use the trackball to move the line cursor to the start point.
c Use the trackball to move the line cursor to the end point.

 Peak flow velocity locations in Doppler waveforms in the specified range are automatically traced. At the
PSV (Peak Systolic Velocity) point, a line cursor accompanied by “S” is displayed. At the EDV (End Diastolic
Velocity) point, a line cursor accompanied by “D” is displayed.
e Adjust the trace line position with the [Pointer] rotary encoder.
NOTE: If adjustments do not go smoothly, select [Trace Manual] on the touch panel or press the [UNDO] key to
trace manually.
 Manual tracing (when [Trace Manual] is selected on the touch panel).

a Move the + mark to the start point with the trackball.
c Use the trackball to trace along the waveform.
d Press the [Enter] key when tracing reaches the end point.

Calibration
1-3 Calibration
To use images on an HD Video Recorder other than DICOM format images for measurements, you must
first enter the examination information (examination date, patient data, image data, etc.) for those
images. This is known as calibration. Performing measurements after calibration is referred to as a
playback measurement.
Assign the following functions prior to calibration.
 Touch panel
– Assign [EXT] to a direct switch on the touch panel.
– Assign [Video Calib] to the measurement control menu on the touch panel.
Observe the following safety measures when using this function.

(1) Image record and playback
Aspect ratio differences between images may result in distortion during playback. As a result, measured values
may differ slightly from the true values.
• A DVD recorded using ALOKA ARIETTA 850 must be played back using ALOKA ARIETTA 850 to perform playback
measurements.
• For information on recording, playback and ending procedures, refer to the separate “Basic Operations” volume.
• To record Doppler blood flow waveforms, you must first correct the angles of the images and set their baselines.
(2) Measurement requirements
Be sure to press the [New Patient] key and enter patient information for the patient for whom playback
measurement is to be performed before playing back images or performing calibration operations. The date on
which the playback measurement is performed is registered as the examination date.
A calibration is necessary to change display mode, range and image format.
(3) Measurements that cannot be used for playback measurements
Playback measurements cannot be performed for the following measurements and functions that require the
loading of data from image memory. Histogram measurements, flow profile measurements, PISA measurements,
M TDI measurements, IMT auto measurements, Doppler auto trace function for Doppler waveform in Doppler
measurements
(4) Playback measurements where some operations are subject to change
Doppler auto trace function for Doppler waveform in Doppler measurements cannot be performed.
Instead, the Manual Trace method is used.
(5) No vertical and horizontal scale is provided for 3D playback images.
For that reason, they do not provide reliable calibration information. 3D playback images should not be used for
measurements.

Calibration
1-3-1 Entering Patient Information
Enter patient information for image playback.
1 Enter patient information.

a Press the [New Patient] key.
 The patient data input screen is displayed.
b Enter patient data.

NOTE: Refer to the separate “Basic Operations” volume for the details on patient information.
c Select [OK] in the New Patient Screen.
NOTE: The date on which the playback measurement is performed is registered as the examination date.
2 Play back an image.

a Select [EXT] on the touch panel.
b Select [Play] on the touch panel. Or press the Play button on the HD Video Recorder.
c Select [Pause] on the touch panel. Or press the Pause button on the HD Video Recorder.

Calibration
1-3-2 Calibration: B mode Images
Setting depth information for a B mode image.
1 Select the menu.

a Press the [Measurement] key.
b Select [Video Calib] on the touch panel.

 The following message is displayed: “Measurement results will be stored as patient ID which is decided
before EXT transition. Do you want to continue?”
c Select [OK].
NOTE: Select [Cancel] to return the moving image the state that it was in before you selected [Video Calib].
2 Specify the depth information.

a Move the line cursor to the top of the B scale and press the [Enter] key.
b Move the line cursor to the end point and select [Send] on the touch panel.
 Enter and set B depth information in Y axis direction.
c Input the distance from the start point to end point in the Dialog.
d Select [OK] in the dialog box.

 The B mode measurement menu is displayed on the touch panel. This makes the B mode ultrasound
measurement function available.

Calibration
1-3-3 Calibration: M mode Images
Use this function to set the depth and time information for an image.
1 Select the menu.


c Select [OK].
d Select [M mode] on the touch panel.
2 Specify the depth information.

a Move the line cursor to the start point and press the [Enter] key.
b Move the line cursor to the end point (in Y axis direction) and select [Send] on the touch panel.
 Enter and set M depth information in Y axis direction.
c Input the distance from the start point to end point in the Dialog.
d Select [OK] from the dialog box.
3 Specify the time period information.

b Move the line cursor to the end point (in X axis direction) and select [Send] on the touch panel.
 Enter and set time information in X axis direction.
c Input the time period from the start point to end point in the Dialog.
d Select [OK] in the dialog box.

 The M mode measurement menu is displayed on the touch panel. This makes the M mode ultrasound

Calibration
1-3-4 Calibration: D mode Images
Set a position for the base line, velocity and time information in that order on the D mode image.
1 Select the menu.


c Select [OK].
d Select [D mode] on the touch panel.
2 Set the baseline position and flow velocity.

a Align the line cursor with the baseline and press the [Enter] key.
b Move the line cursor to the end point (Dop scale top end) and select [Send].
c Enter flow velocity from step a. to step b. in the dialog box.
3 Specify the time period information.

b Move the line cursor to the end point and select [Send] on the touch panel.
 Enter and set time information in X axis direction.
c Input the time period from the start point to end point in the Dialog.

 The D mode measurement menu is displayed on the touch panel. This makes the D mode ultrasound

2 Basic Measurements
MN1-6233 rev.3 Basic Measurements | 37

Basic measurement function list
2-1 Basic measurement function list
Basic measurements comprise the following modes.
B Mode
Measurement Measurement Development
functions menu menu Display items
Distance Distance Dist
measurements Dist-trace Dist-trace
Area and Area/Circum Trace Area Circum
Circumference Circle Area Circum Diam
Measurements
Ellipse Area Circum x-ax y-ax
2 Caliper
Volume Volume 1 3 Caliper Vol. x-ax y-ax z-ax
measurements Volume 2 Area-Length Vol. Area Dist Circ
Ellipse+Caliper Vol. Area Circ x-ax y-ax z-ax
Ellipse Vol. Area Circ x-ax y-ax
Angle Angle 2 Caliper Angle1 Angle 2 D1 D2
measurements Point
Histogram Histogram Square T L M MN SD
measurements Circle * For B mode, eFlow mode or Elasto mode measurements
Rectangle
Trace
Histogram Square T CT R A
Circle * For CF mode, PD mode or TDI mode measurements
Rectangle
Trace
Bone angle Hip J Angle A B type
measurements
Index B.Index Caliper A B A/B B/A |A-B|/A
measurements Trace *A and B are distances when the Caliper method is used
Ellipse A and B are areas when the Trace, Ellipse, or Circle method is used
Circle
38 | Basic Measurements MN1-6233 rev.3

M Mode
functions menu Menu Display items
Distance M.Length d1 d2 d3 d4 d5
measurements
Time Time dt
measurements
Heart rate Heart Rate HR dt beat#
measurements * In the factory default settings, # is set to 2.
Velocity M.VEL. v dt dD
measurements
Index M.Index Length A B A/B B/A |A-B|/A
measurements Time * When A and B are used about length, they refer to distance and when they are
Velocity used about time, they refer to time interval.
When A and B are used about velocity, they refer to velocity.
D Mode
Blood flow D.VEL1 pV PG
velocity D.VEL2 v1 v2 dv dt v1/v2 PG1
measurements
PG2 dPG dPG/dt ACC (DEC)
Time Time dt
measurements
Heart rate Heart Rate HR dt beat#
measurements * In the factory default settings, # is set to 2.
Acceleration ACCEL v1 v2 dv dt v1/v2 PG1
(deceleration) PG2 dPG dPG/dt ACC (DEC)
measurements
RI measurements RI RI PSV EDV S/D D/S
Pressure P1/2T pV PG P1/2T VA
half-time
measurements
D. Caliper D.Caliper1 v1 v2 dv dt v1/v2 v2/v1
measurement D.Caliper2 PG1 PG2 dPG dPG/dt ACC (DEC) P1/2T
VA
Index D.Index (Caliper) Velocity A B B/A A/B |A-B|/A
measurements PG
Time
D.Index(Trace) MnVel A B B/A A/B |A-B|/A

MnPG
VTI

D Mode
Mean flow Mean VEL. MnV MPG pV PG VTI FlowT
velocity AccT ACC AccT/FT
measurements
PI measurements PI MnV MPG PSV EDV dv dt
PG1 PG2 dPG VTI PI RI
FlowT AccT ACC AccT/FT S/D D/S
Vm
Stenosis flow Steno Flow MnV MPG pV PG VTI FlowT
measurement AccT ACC AccT/FT P1/2T VA
Regurgitant flow Regurg Flow MnV MPG pV PG VTI FlowT
measurement P1/2T
D.Trace D.Trace1 MnV MPG PSV EDV dv dt
measurement D.Trace2 PG1 PG2 dPG VTI PI RI
FlowT AccT ACC Acc/FT S/D D/S
B/D Mode
Blood flow F.Volume MeanV MnV PSV EDV dv dt VTI
volume (Artery) PI RI FT AccT ACC AccT/FT
measurements
S/D Vm FV(MnV) FVm(MnV) CSD CSA
* For peripheral blood vessels
VTI MnV PSV EDV dv dt VTI
PI RI FT AccT ACC AccT/FT
S/D Vm FV(beat) FV(min) CSD CSA
HR * For peripheral blood vessels
F.Volume MnV pV VTI AccT ACC FV
(Vein) CSD CSA
SV/CO MnV pV VTI AccT ACC SV
CO CSD CSA HR
* For cardiovascular use

B mode Measurements
2-2 B mode Measurements
The following explains basic measurements, specifically, items measured in B mode and the B mode
measurement method.
The following menus are provided for making B mode measurements.
 Distance measurements
 Area and Circumference Measurements
 Volume measurements
 Angle measurements
 Histogram measurements
 Congenital dislocation of hip measurement
 B.Index measurement

B mode Measurements
2-2-1 Distance Measurement: Dist
Use this function to measure the distance between two points.
1 Select the measurement menu.

b Select [Distance] on the touch panel.
2 Measure length.
b Move the + mark to the end point.

c Press the [Enter] key.
Example of
measurement Dist: cm : Selected measurement name and measurement value
results display

B mode Measurements
2-2-2 Distance Measurement: Dist-trace
Use this function to measure the distance between two points (length of the trace line).

b Select [Dist-trace] on the touch panel.
2 Measure length.
C
b a
b Trace the boundary of an area to be measured.

Press the [UNDO] key to return to step a
c Move the + mark to the end point and press the [Enter] key.
Example of
measurement Dist-trace: cm : Selected measurement name and measurement value
results display

B mode Measurements
2-2-3 Area and Circumference Measurement: Area-T
Use the steps below to measure the area within the trace line and its circumference.

b Select [Area/Circum] on the touch panel.
c Select [Trace] on the touch panel.
2 Measure an area and its circumference.
C
a
b
b Trace the boundary of an area to be measured.

Press the [UNDO] key to return to step a
c Press the [Enter] key to close the trace line.
Example of
measurement Area-T : Selected measurement name
results display Area: cm2 : Area value

Circ: cm : Circumference

B mode Measurements
2-2-4 Area and Circumference Measurement: Area-E
Use this function to measure an area enclosed by an ellipse and its circumference.

c Select [Ellipse] on the touch panel.

b Move the + mark to the end point of the long axis and press the [Enter] key.
b
a
c Adjust the length of the other axis using the trackball.
c d
Example of
measurement Area-E : Selected measurement name

Circ: cm : Ellipse circumference
x-ax: cm : Long axis of ellipse
y-ax: cm : Short axis of ellipse

B mode Measurements
2-2-5 Area and Circumference Measurement: Area-C
Use this function to measure an area enclosed by a circle, its diameter and circumference.

c Select [Circle] on the touch panel.

a Use the trackball to move the circle mark to the center of the area to be measured and press the
[Enter] key.
a b
Each press of the [L] key, changes the position and the size of the area.
b Use the trackball to adjust the size of the circle and press the [Enter] key.
Example of
measurement Area-C : Selected measurement name

Circ: cm : Circumference
Diam: cm : Circle diameter

B mode Measurements
2-2-6 Volume Measurement: Volume1/ Volume2
Use this function to measure the volume of the target area.
Select a measurement method (Caliper, Ellipse, Trace) to determine the volume.
The following calculation methods are used for volume measurements.
 Spheroidal
Three diameters (long axis, short axis and the maximum cross-sectional diameter in the direction
perpendicular to the long axis (= intermediate axis diameter)) are measured from the image of two
orthogonally intersecting cross-sectional planes, and the volume of the rotating spheroid is
calculated.
 Prolate
Like measuring the area of an ellipse, calculate the volume using the long and short axes of the
ellipse and measure the hypothetical circle on the orthogonal cross-sectional plane intersecting the
short axis.
 Method of calculating volume from the traced area and long axis:
– Area-Length
Trace the long axis cross-section and calculate volume from this area and the long diameter.
– BP Simpson
The volume is computed using the basic principles of the Disk method (measurement with two cross
sections).
– SP Simpson
The volume is computed using the basic principles of the Disk method (measurement with one cross
section).
There are four types of measurement method. The following are the combinations of calculation
methods.
Measurement Spheroidal Prolate Area-Length BP Simpson SP Simpson

method/calculation
method
3 Caliper yes – – – –
Ellpse+Caliper yes – – – –
Area-Length – – yes yes yes
Ellipse – yes – – –
The volume measurements on the Measurement menu are [Volume1] and [Volume2]. Use the [Basic
Measurement > Measured Method & Display Items > B.Mode] presets to select a measurement method
and calculation method.

B mode Measurements
Volume Measurement: 3 Caliper Method
Use the Caliper method to calculate volumes.
1 Display the orthogonal long and short axis tomographic images as a B mode image on dual
screens.

b Select [Volume1 3 Caliper] on the touch panel.
3 Measure the long axis of the long-axis tomographic image.


4 Measure the short axis diameter of the long-axis tomographic image in the same way as step 3.
5 Measure the maximum diameter of the cross section orthogonal to the long-axis tomographic
image in the same way as step 3.
3 4 5
Example of
measurement Volume 1 : Selected measurement name
results display Vol.: cm3 : Volume value

1x-ax: cm : Long diameter of long-axis tomographic image
2y-ax: cm : Short diameter long-axis tomographic image
3z-ax: cm : Maximum diameter of the short-axis tomographic image

B mode Measurements
Volume Measurement: Ellipse+Caliper method
Use the Ellipse and Caliper methods to calculate volume.
1 Display the orthogonal long and short-axis tomographic images as a B mode image on dual
screens.

b Select [Volume1 E+Caliper] on the touch panel.
3 Use the Ellipse method to measure the area of a long-axis tomographic image.

4 Measure the maximum value of the diameter of the cross section orthogonal to the long-axis
tomographic image with the Caliper method.
3 4
Example of

1Area: cm2 : Area value of the long-axis tomographic image
x-ax: cm : Long diameter of the long-axis tomographic image
y-ax: cm : Short diameter of the long-axis tomographic image
2z-ax: cm : Maximum diameter of the short-axis tomographic image

B mode Measurements
Volume Measurement: Area-Length Method
Use the Trace method to trace the long axis cross-section and calculate the volume by determining the long
diameter.
The example below shows how to calculate left ventricular volume.

b Select [Volume1 Area-Length] on the touch panel.
2 Trace the left ventricular inner membrane.

When tracing the left ventricular inner membrane (Manual)
a Move the + mark to the mitral annulus and press the [Enter] key.
c
a
b Trace the left ventricular inner membrane.

Press the [UNDO] key to return to step a.
c Press the [Enter] key when the trace reaches the other side of the mitral annulus.
d Adjust the apex position using the trackball.
Example of

Area: cm2 : Area value
Dist: cm : Long axis diameter

B mode Measurements
Volume Measurement: Ellipse method
Use the Ellipse method to calculate the volume from the long and short axis of the ellipse and measure
the hypothetical circle on the orthogonal cross sectional plane intersecting the short axis.
1 Display the long axis tomographic image in B mode.

b Select [Volume1 Ellipse] on the touch panel.
3 Measure by using the long axis tomographic image.


Example of

Area: cm2 : Area value of the long-axis tomographic image
x-ax: cm : Long diameter of the long-axis tomographic image
y-ax: cm : Short diameter of the long-axis tomographic image

B mode Measurements
2-2-7 Angle Measurement: Angle
Use a pair of + marks to measure angles. There are two measurement methods.
 2 Caliper
Specify one side at a time and calculate the angle between them.
 Point
Specify three points and calculate the angle between the two connected sides.

b Select [Angle] on the touch panel.
2 Take measurements.
When specifying one side at a time (2Caliper)
a Select [2 Caliper] on the touch panel.
b Move the + mark to the start point on one side and press the [Enter] key.
c
e
b d
d Move the + mark to the start point on the other side and press the [Enter] key.
e Move the + mark to the end point and press the [Enter] key.
In step e, press the [L] key before the [Enter] key to change the mark that can be moved.
When specifying three points (Point)
a Select [Point] on the touch panel.
b Move the + mark to the start point on one side and press the [Enter] key.

B mode Measurements
b
d
c Move the + mark to the mid point and press the [Enter] key.
d Move the + mark to the end point and press the [Enter] key.
In step d, press the [L] key before the [Enter] key to change the mark that can be moved.
Example of
measurement Angle : Selected measurement name
results display Angle1: ° : Angle

D1: cm : Length of one side
D2: cm : Length of other side

B mode Measurements
2-2-8 Histogram Measurement: Histogram
You can measure pixel information within the region of interest (ROI) of a tomographic image.
The histogram shows brightness distribution in a B mode image of an ROI in B mode, eFlow mode, DFI
mode, or Elasto mode. In CF mode, PD mode or TDI mode, the number of color pixels in an ROI as well
as its area are calculated.
1 Show the measurement target in a B mode or CF mode image and freeze it.
When comparing multiple images
Instrument setting conditions such as TGC and Gain influence histogram measurement results.
Check the device configuration (e.g., TGC, Gain).

b Select [Histogram] on the touch panel.
3 Set up the ROI.

When the ROI shape is Square, or Circle (fixed size)
a Select [Square] or [Circle] on the touch panel.
b Select the size of the ROI.

NOTE: The ROI size setting value is displayed as a B mode value in the upper row and as a CF mode value in the
lower row.
c Use the trackball to move the ROI so that it surrounds the region of interest and press the [Enter] key.
Press the [L] key to move the ROI. Press the [Enter] key again after moving the ROI.
When using Free to draw a square or circle ROI
a Select [Square] or [Circle] on the touch panel.
b Select [Free] on the touch panel.
c Move the + mark to the start point and press the [Enter] key.
d Use the trackball to adjust the size of the ROI so that the region of interest is included, and press the
[Enter] key.
 ROI size is fixed but its position can be moved.
e Press the [Enter] key.

B mode Measurements
For rectangles
a Select [Rectangle] on the touch panel.
b Move the + mark to the start point and press the [Enter] key.
c Use the trackball to adjust the size of the ROI so that the region of interest is included, and press the
[Enter] key.
 ROI size is fixed but its position can be moved.

For Trace
a Select [Trace] on the touch panel.
c Trace the perimeter of the region of interest using the trackball.

Press the [UNDO] key to return to step a.
d Press the [Enter] key to close the trace line.
Example of For B mode images

measurement Hist-Box 10 : Selected measurement name (ROI shape and size)
results display T: : Total number of pixels sample inside the ROI
L: : The brightness level with the highest frequency in the ROI
M: : The number of pixels with the highest frequency brightness level in the ROI
MN: : The average brightness level sampled within the ROI
SD: : Standard deviation of brightness level in the ROI
1.0 : Example of histogram display
The X-axis shows the brightness level in the ROI (1 to 63).
The Y axis shows the frequency of appearance of the brightness level against the total
0.5 number of pixels.
0 50
For CF mode images

Hist-Box : Selected measurement name (ROI shape)
T: : Total number of pixels sampled inside the ROI
CT: : Number of color pixels inside the ROI
R: : Ratio of color pixels inside the ROI
A: : Area occupied by color pixels

B mode Measurements
2-2-9 Measurement of Congenital Dislocation of the Hip Joint: Hip J Angle
Use this function to measure α and β are angles from three auxiliary lines.
Measurement is based on Graf's ultrasound classification using the echo of the hip joint for neonates or
infants by means of a lateral approach. This measurement is an aid for diagnosing the degree of
congenital dislocation of the hip joint in a patient.
α 1. Base line
2
2. Bony roof line
a 3. Cartilage roof line
α. Bony roof angle
b β. Cartilage roof angle
a.The point where the acetabular perichondrium and the iliac wall
d c meet
b. Bony acetabular rostrum
3 c. Lower iliac margin
β d. The main echo of the acetabular labrum

1
1 Enter patient data.

NOTE: The patient’s age (less than three months, or otherwise) may be used when classifying the degree of
dislocation. If the age is input directly, 12 weeks or 84 days or more is treated as 3 months.
2 Display the hip joint image in the 1B mode and freeze.
Congenital dislocation of the hip joint can be measured using the pattern above. In either case, it is
assumed that the active mark (●) indicates the direction of the head, and that the lack of this mark
indicates the direction of the feet.
NOTE: Image Direction, Rotation and depth/range change at this stage. Do not make changes once
measurement has started.
The measurement data up to that point will be reset.

B mode Measurements

b Select [Hip J Angle] on the touch panel.
c Select [Left] on the touch panel for the left side and [Right] for the right side.
4 Set the Baseline.

a Move the + mark to the start point using the trackball, and press the [Enter] key.

5 Set the bony roof line.


 The bony roof line and angle α are confirmed.

B mode Measurements
6 Set the cartilage roof line.


 Confirm the cartilage roof line and β angle.
Three auxiliary lines are drawn in enlarged form.
Example of
measurement Rt.Hip Angle : Selected measurement name
results display 1Baseline
2A(1-2): ° : Bony roof angle (the angle formed by auxiliary lines 1 - 2: α)

3B(1-3): ° : Cartilage roof angle (the angle formed by auxiliary lines 1 - 3: β)
Graf’s Ultrasound Hip type is classified into the following categories based α and β angles and patient age.
Classification Hip Type based on Graf’s classification
Sub Classification Hip Type Assessment Standard Dislocation Type

TYPE α β Patient age Displayed
I α ≥ 60 every I
II a 50 ≤ α ≤ 59 Age < 3 months II a
II b 50 ≤ α ≤ 59 Age ≥ 3 months II b
II c 43 ≤ α ≤ 49 β ≤ 77 every II c
D 43 ≤ α ≤ 49 β > 77 every D
III α < 43 every III, IV
IV α < 43 every III, IV
50 ≤ α ≤ 59 Age unknown II a, II b
43 ≤ α ≤ 49 every II c, D
other cases other cases ??

B mode Measurements
2-2-10 General Purpose Index Measurement: B. Index
This is a general purpose index measurement for obtaining A/B, B/A, |A-B|/A from the two measurement
values A and B. Use the Caliper, Ellipse or Trace method to measure.

b Select [B. Index] on the touch panel.
c Select the [Caliper], [Ellipse], [Circle] or [Trace] method from the touch panel.
2 Measure the measurement target.

NOTE: For information on how to use different operating methods, refer to the “Caliper Method”, “Ellipse Method”,
“Circle Method” and “B Trace Method” elsewhere in this volume.
3 Measure the control target in the same way as step 2.
Example of
measurement B.Index(Calp) : Selected measurement name (measurement method in parentheses)
results display A/B:
1A: cm : Measured value

2B: cm : Measured value

M mode Measurement
2-3 M mode Measurement
The following explains basic measurements, specifically, items measured in M mode and the M
measurement method.
The M mode menu contains the following measurement items.
 Amplitude (distance) measurement:
 Time measurements
 Heart rate measurements
 Velocity measurements
 General purpose index measurement

M mode Measurement
2-3-1 Amplitude (distance) measurement: M. Length
Use this function to measure the distance between two points for up to five locations in the same time
phase.

b Select [M. Length] on the touch panel.

 + mark is displayed on the line cursor (vertical).
2 Measure the distance.
c
d

 The distance between the + marks is displayed.
d Move the next + mark to the end point and press the [Enter] key if continuing measurements.
NOTE: If you press the [UNDO] key before finalizing the fifth point, you return to step a.
NOTE: If you press the [L] key after finalizing the fifth point, the + mark that can be moved changes.
Example of
measurement M.Length : Selected measurement name
results display d1: cm : Distance (between a and b)

d2: cm : Distance (between b and c)

M mode Measurement
2-3-2 Time Measurement: Time
Use the steps below to measure the time between two points on an M mode image.

b Select [Time] on the touch panel.
2 Measure the time.
a c
b Move the line cursor to the end point.

Each press of the [L] key, changes the line cursor that can be moved.
Example of
measurement dt: ms : Selected measurement name and measurement value
results display

M mode Measurement
2-3-3 Heart Rate Measurement: Heart Rate
Measures the heart rate from the time between two points on the M mode image.

b Select [Heart Rate] on the touch panel.
2 Measure the time of the set number of heartbeats.

a Select [Beats] on the touch panel to set the heart rate.
b Move the line cursor to the start point and press the [Enter] key.
d
b
c Move the line cursor to the end point.

Example of
measurement HR: BPM : Selected measurement name and measurement value
results display dt: ms : Time between two points

every 2 beats : Number of heart rates between two points

M mode Measurement
2-3-4 Velocity Measurement: M.VEL
Use the following steps to measure the time, amplitude and velocity from the inclination between two
points on an M mode image.

b Select [M.VEL.] on the touch panel.
2 Measure velocity.

Example of
measurement M.VEL : Selected measurement name
results display v: cm/s : Velocity

dD: cm : Amplitude
dt: ms : Time

M mode Measurement
2-3-5 General Purpose Index Measurement: M. Index
values A and B.

b Select [M. Index] on the touch panel.
c Select the measurement items from [Time], [Length] and [Velocity] on the touch panel.

NOTE: For information on how to make measurements, refer to “Amplitude (distance) measurement: M. Length”,
“Time measurement: Time” and “Velocity measurement: M.VEL” elsewhere in this volume.
Example of
measurement M.Index(Leng) : Selected measurement name (measurement method in parentheses)
results display A/B:
1A: cm : Measured value

2B: cm : Measured value

D mode measurement
2-4 D mode measurement
The following explains basic measurements, specifically, items measured in D mode and the D mode
measurement method.
The D mode measurement items menu is as follows.
 Time measurements
 Heart rate measurements
 Blood flow velocity measurement
 Acceleration (deceleration) measurements
 RI measurements
 Pressure half-time measurements
 Dop.Caliper measurement:
 Measurement of mean velocity and mean pressure gradient
 PI measurements
 Stenosis flow measurement
 Regurgitant flow measurement
 D.Trace measurements
 General purpose index measurement
 Real-time Auto Doppler measurement
NOTE: Record the arterial blood flow Doppler waveform (pulse method) by setting the Doppler angle of incidence
as low as possible. Errors in blood flow velocity measurement increase when the Doppler angle of incidence is
above 60°.
NOTE: Use the same blood flow waveform conditions (forward reverse flow direction) to measure blood flow velocity
in an image showing multiple blood flow velocity waveforms. The instrument's blood flow measurement values are
recorded as real numbers but the ± sign is not displayed.
Completely different values may be displayed, particularly if the measurement values of the report are shown as
averages.

D mode measurement
2-4-1 Time Measurement: Time
Use the steps below to measure the time between two points on an D mode image.

b Select [Time] on the touch panel.
2 Measure the time.
c
b Move the line cursor to the end point.

Example of
measurement dt: ms : Selected measurement name and measurement value
results display

D mode measurement
2-4-2 Heart Rate Measurement: Heart Rate
Measure the heart rate from the time between two points on the D mode image.

b Select [Heart Rate] on the touch panel.
2 Measure the time of the set number of heartbeats.

a Select [Beats] on the touch panel to set the heart rate.
d
c Move the line cursor to the end point.
Example of
measurement HR: BPM : Selected measurement name and measurement value
results display dt: ms : Time between two points

every 2 beats : Number of heart rates between two points

D mode measurement
2-4-3 Blood Flow Velocity Measurement: D.VEL1
Use the steps below to measure the peak blood flow velocity and the peak pressure gradient.

b Select [D.VEL1] on the touch panel.
2 Measuring the peak blood flow velocity.

a Move the + mark to peak blood flow velocity and press the [Enter] key.
Example of
measurement D.VEL1 : Selected measurement name
results display pV: cm/s : Peak Blood Velocity

PG: mmHg : Peak pressure gradient

D mode measurement
2-4-4 Blood Flow Velocity Measurement: D.VEL2
Use the steps below to measure the blood flow velocity and blood flow velocity ratio between two
points.

b Select [D.VEL2] on the touch panel.
2 Measure blood velocity.
a Move the + mark to the first measurement point and press the [Enter] key.
b Move the + mark to the second measurement point.

Example of
measurement D.VEL2 : Selected measurement name
results display v1: cm/s : Blood flow velocity at the 1st measurement point
v2: cm/s : Blood flow velocity at the 2nd measurement point
dv: cm/s : Blood velocity difference
v1/v2: : Blood velocity ratio

D mode measurement
2-4-5 Acceleration (deceleration) Measurement: ACCEL
Use the steps below to measure the acceleration (deceleration) and time between the two points.

b Select [ACCEL] on the touch panel.
2 Measure the acceleration.

Example of
measurement ACCEL : Selected measurement name
results display ACC: cm/s2 : Acceleration*1
v1: cm/s : Blood flow velocity at the start point

v2: cm/s : Blood flow velocity at the end point
dt: ms : Time between two points
*1. “DEC” is displayed during deceleration.

D mode measurement
2-4-6 Resistance Index measurement: RI
Use this function to measure the RI from the peak systolic velocity and end diastolic velocity of the blood
flow velocity waveform.
1 Display a blood flow waveform.

b Select [RI] on the touch panel.
3 Measure blood velocity.
a Move the + mark to peak systolic flow velocity and press the [Enter] key.
b Move the + mark to the end-diastolic flow velocity.

Example of
measurement RI : Selected measurement name
results display RI: : RI

S/D: : PSV/EDV
PSV: cm/s : Peak Systolic Velocity
EDV: cm/s : End Diastolic Velocity

D mode measurement
2-4-7 Pressure Half-Time Measurement: P1/2T
Use this function to measure the pressure half-time.

b Select [P1/2T] on the touch panel.
3 Measure the pressure half-time.
a Move the + mark to peak velocity and press the [Enter] key.
b Move the + mark along the deceleration waveform to draw a tangential line.
Example of
measurement P1/2T : Selected measurement name
results display P1/2T: ms : Pressure half-time

VA: cm2 : Valve area
pV: cm/s : Peak velocity at stenosis
PG: mmHg : Pressure gradient corresponding to pV

D mode measurement
2-4-8 Dop.Caliper measurement: D.Caliper1/D.Caliper2
Use the steps below to measure the blood flow velocity, time, etc. between two points.
Prior confirmation The menu name can be set with the preset.

b Select [D.Caliper1] or [D.Caliper2] on the touch panel.
2 Take measurements.

Example of
measurement D.Caliper1 : Selected measurement name
results display v1: cm/s : Blood flow velocity at the start point
v2: cm/s : Blood flow velocity at the end point
dt: ms : Time between two points
PG1: mmHg : Pressure gradient at start point
PG2: mmHg : Pressure gradient at end point
ACC: cm/s2 : Acceleration*1
*1. “DEC” is displayed during deceleration.

D mode measurement
2-4-9 Measurement of Mean Velocity and Mean Pressure Gradient: Mean VEL.
Use this function to trace a blood flow waveform and measure blood flow information such as mean
velocity, mean pressure gradient and time.

b Select [Mean VEL.] on the touch panel.

 The line cursor is displayed.
3 Set a trace section to measure blood flow information.

For Auto (Doppler Trace method) measurements
b
b Move the line cursor to the end point and press the [Enter] key.
 A trace line is automatically drawn.
If the trace line is not drawn properly, press the [UNDO] key or select [Trace Manual] on the touch panel to
switch to Manual.
Adjusting the trace line

Use the [Pointer] rotary encoder key to adjust the detection level.

D mode measurement
For Manual (Doppler Trace method) measurements
b
c
a
b Trace a blood flow waveform.
Example of
measurement Mean VEL : Selected measurement name
results display MnV: cm/s : Mean velocity

MPG: mmHg : Mean pressure gradient
VTI: cm : Velocity-time integral value
FlowT: ms : Flow time

D mode measurement
2-4-10 Pulsatility Index Measurement: PI
Use this function to trace the blood flow waveform to measure PI, RI, S/D and other hemodynamic status
data.
NOTE: It has been reported that minimum diastolic blood flow velocity is also used to calculate this index.
End-diastolic flow velocity and minimum diastolic blood flow velocity are not necessarily identical. If required,
adjust the EDV phase to the end-diastolic or minimum diastolic blood flow velocity point.

b Select [PI] on the touch panel.

Measuring with the Auto (Doppler Trace method)
Set a trace section to measure blood flow information.
1 Move the line cursor to the start point and press the [Enter] key.
2 Move the line cursor to the end point and press the [Enter] key.
 A trace line, S (Peak Systolic Velocity Point), D (End Diastolic Velocity Point) and the waveform rise
position are automatically drawn.
 Adjusting the trace line
 When the trace line cannot be smoothly drawn
Press the [UNDO] key or select [Trace Manual] on the touch panel to switch to Manual.
3 Use the trackball and the [Enter] key to adjust S, D and waveform rise position.
Each press of the [L] key, changes the adjustment of the S, D and waveform rise position.
D
a
1

D mode measurement
4 Select a heartbeat from a number of traced heartbeats.

a Select [Beat Select] on the touch panel.
b Turn the [Pointer] rotary encoder to select a heartbeat.
c Use the trackball and the [Enter] key to adjust the blood flow velocity point.
To select several heartbeats

Each data item displays the average heart rate detected within the trace section in the measurement
results. A line cursor indicating PSV, EDV and waveform rise position for each detected heartbeat
appears.
Example of
measurement PI : Selected measurement menu
PI: : PI
results display
RI: : RI
MnV: cm/s : Mean velocity
[ 1Beat avg.] : Detected Heartbeats
Measuring with the Manual (Doppler Trace method)
Measures the blood flow information using the manually traced waveform.
1 Move the + mark to the start point and press the [Enter] key.
2 Trace a blood flow waveform.
3 Move the + mark to the end point and press the [Enter] key.
 The end point mark is fixed, and S, D and waveform rise time positions are drawn.
4 Use the trackball and the [Enter] key to adjust S, D and waveform rise position.
Each press of the [L] key, changes the adjustment of the S, D and waveform rise position.
D
3

D mode measurement
5 Select a heartbeat from a number of traced heartbeats.

a Select [Beat Select] on the touch panel.
b Turn the [Pointer] rotary encoder to select a heartbeat.
c Use the trackball and the [Enter] key to adjust the blood flow velocity point.
To select several heart rates

Each data displays the average heart rate detected within the trace section in the measurement results.
A line cursor indicating PSV, EDV and waveform rise position for each detected heartbeat appears.
Example of
measurement PI : Selected measurement menu
PI: : PI
results display
RI: : RI
FlowT ms : Flow time

D mode measurement
2-4-11 Stenosis Flow Measurement: Steno Flow
You can trace the stenosis blood flow waveform and measure blood flow information such as peak
blood flow velocity across a stenotic valve and mean pressure gradient.
1 The blood velocity waveform is displayed in D mode.

b Select [Steno Flow] on the touch panel.
3 Set a cardiac cycle to measure blood flow information.

b
 A trace line and the peak flow velocity point are automatically drawn.
switch to Manual.

a c

D mode measurement
4 Adjust the peak blood flow velocity point.

a Adjust the peak flow velocity point with the trackball and press the [Enter] key
Example of
measurement Steno flow : Selected measurement name

pV: cm/s : Peak blood flow velocity
VTI: cm : Velocity-time integral value
P1/2T: ms : Pressure half-time
VA: cm2 : Valve area

D mode measurement
2-4-12 Regurgitant Flow Measurement: Regurg Flow
Use the steps below to trace the regurgitant flow waveform and measure the peak valve regurgitation
blood flow velocity, the peak pressure gradient, etc.

b Select [Regurg Flow] on the touch panel.

3 Set a cardiac cycle to measure blood flow information.

a
 A trace line and the peak flow velocity point are automatically drawn.
switch to Manual.

a c
b

D mode measurement
4 Adjust the peak blood flow velocity point.

a Adjust the peak flow velocity point with the trackball and press the [Enter] key
Example of
measurement Regurg flow : Selected measurement name

pV: cm/s : Peak blood flow velocity
PG: mmHg : Pressure gradient at the peak blood flow velocity

D mode measurement
2-4-13 Dop.Trace Measurement: D.Trace1/D.Trace2
Use the steps below to measure the blood flow information from the traced waveform.
Prior confirmation The menu name can be set with the preset.

b Select [D.Trace1] or [D.Trace2] on the touch panel.
Measuring with the Auto (Doppler Trace method)
Set a trace section to measure blood flow information.
1 Move the line cursor to the start point and press the [Enter] key.
2 Move the line cursor to the end point and press the [Enter] key.
 A trace line, S (Peak Systolic Velocity Point), D (End Diastolic Velocity Point) and the waveform rise
position are automatically drawn.
 Adjusting the trace line
 When the trace line cannot be smoothly drawn
Press the [UNDO] key or select [Trace Manual] on the touch panel to switch to Manual.

D mode measurement
3 Use the [Enter] key and the trackball to adjust S and D location.
D
a
Example of
measurement D.Trace : Selected measurement menu
results display
dV cm/s : Difference between peak-systolic flow velocity and end-diastolic flow velocity
PG1: mmHg : Pressure gradient at peak-systolic flow velocity point
PG2: mmHg : Pressure gradient at end-diastolic flow velocity point
MPG : Mean pressure gradient
dPG mmHg : Difference in pressure gradient between PG1 and PG2
VTI: cm : Velocity time integral

D mode measurement
Measuring with the Manual (Doppler Trace method)
Measures the blood flow information using the manually traced waveform.
2 Trace a blood flow waveform.
4 Use the [Enter] key and the trackball to adjust S and D location.
D
c
Example of
measurement D.Trace : Selected measurement menu
results display
dV cm/s : Difference between peak-systolic flow velocity and end-diastolic flow velocity
PG1: mmHg : Pressure gradient at peak-systolic flow velocity point
PG2: mmHg : Pressure gradient at end-diastolic flow velocity point
MPG : Mean pressure gradient
dPG mmHg : Difference in pressure gradient between PG1 and PG2
VTI: cm : Velocity time integral

D mode measurement
2-4-14 General Purpose Index Measurement: D. Index
values A and B.

b Select [D.Index(Caliper)] or [D.Index(Trace)] on the touch panel.
For [D.Index (Caliper)]
1 Select a measurement parameter from [Velocity], [PG] or [Time] on the touch panel.
4 Use steps 2 to 3 to measure the control target.
Example of
measurement D.Index(Vel.) : Selected measurement name (measurement method in parentheses)
results display B/A:
1A: cm/s : Measured value

2B: cm/s : Measured value
For [D.Index (Trace)]
1 Select a measurement parameter from [MnVel], [MnPG] or [VTI] on the touch panel.
2 Measure bloodstream information.

 A trace line is automatically drawn. If the trace line is not drawn properly, press the [UNDO] key or select
[Trace Manual] on the touch panel to switch to Manual.

D mode measurement

Example of
measurement D.Index(Vel.) : Selected measurement name (measurement method in parentheses)
results display B/A:
1A: cm/s : Measured value

2B: cm/s : Measured value

D mode measurement
2-4-15 Real Time Doppler Auto Trace
This function automatically traces the Doppler waveform in real-time and displays the Doppler
information for the most recent single heartbeat. You can also perform tracing immediately after the
image is frozen without tracing in real time. The calculated Doppler information can be transferred to
an application measurement.
This is suitable for use with the pulsatile waveform of peripheral arteries, such as the carotid artery.
1) 1) Most recent single heartbeat

2) 2) Trace Line
3) 1 Heartbeat detection line cursor
3) 4) Measurement Results Display
4)
When PI and RI are calculated using Real Time Doppler Auto Trace measurement, the minimum blood
flow velocity point during a single heartbeat is the EDV. In waveforms whose blood flow polarity
changes during the interval between the systole and the diastole, like the arteries in the lower
extremities, the peak of the waveform that has undergone a polarity change is detected as EDV.
NOTE: For details on menu presets, refer to the separate “Basic Operations” volume.
The following presets must be set before starting Real Time Doppler Auto Trace measurements. Assign
Doppler Auto Trace to the touch panel.
Settings Presets Setting item

Measurement Results Display Auto Trace tab in [Preset Setup > Display Item
Application > Edit Data > Doppler]
Function menu settings Use Select Item in [Preset Setup > Input • Doppler Auto Trace
Device > Function SW] to make • Trace Threshold
assignments. • Freeze Trigger
• Trace Direction
• Trace Smooth
• Trace Locate

D mode measurement
Tracing the Doppler Waveform in Real-time
This function traces a Doppler waveform in real-time display.
Prior confirmation Adjust the Doppler waveform using flow velocity and Wall Filter (D).
1 Display a satisfactory D mode image in real-time.

Precautions for the image display
Velocity range: Set to avoid aliasing.
D Gain: Adjust D mode gain so that the interference is not distracting.
Angle correction: Match the angle mark to the direction of the flow of blood.
2 Select [Doppler Auto Trace] on the touch panel.

NOTE: Dual Gate Doppler traces active Doppler waveforms.
 The measurement results for the most recent heartbeat are displayed. The result is displayed as “***”
if a Doppler waveform required for the measurement cannot be captured.
3 Set the target trace region.

a Select [Trace Direction] on the touch panel.
b Select the trace direction.
 [Toward]: Upward baseline
 [Away]: Downward baseline
 [Both]: Upward and downward baseline direction
 [Auto]: The baseline located from the center to the bottom of the image is the upward baseline. The
baseline is downward is located from the center to the top of the image.
4 Adjust the trace line.
 Adjusting the detection level of the trace line:
Select [Trace Threshold] on the touch panel and adjust.
 Smoothing the trace line:
Select [Trace Smooth] on the touch panel and adjust.
NOTE: When the image conditions change as a result of the search function or a change in the sweep
velocity, the trace line and the measurement results are updated accordingly. If there is no valid heart-
beat on the screen, no measurement values are displayed.

D mode measurement
Example of
D.Trace calc:
measurement
PI: . : PI
results display
RI: . : RI
S/D: . : PSV/EDV ratio
After measurement results are confirmed, they can be measured again using the Doppler Trace method
(Auto Trace or Manual Trace).
Tracing the Doppler Waveform after Freezing
You can perform automatic tracing immediately after an image is frozen, without tracing it in real time,
and then display the Doppler information.
Prior confirmation Set the Freeze Trigger to On in the Auto Trace tab in [Preset Setup > Application > Edit Data > Doppler].
1 Display a satisfactory D mode image in real-time.
2 Press the [Freeze] key to freeze the image.

 Displays the measurement results.
The active screen results are displayed with Dual Gate Doppler. When Active is switched, the
measurement results are also switched.
When the image conditions change as a result of the search function or a change in the sweep
velocity, the trace line and the measurement results are updated accordingly. If there is no valid
heartbeat on the screen, no measurement values are displayed.
 Trace line adjustment: Adjusts the detection level using [Trace Threshold] and smooths it using
[Trace Smooth].
 Transferring measurement results to application measurement parameters: Select measurement

parameters to transfer from the menu for transferring application measurements. When the menu
for transferring application measurements is not displayed, select [Trans. Menu Auto Display] or
[Transfer].

D mode measurement
Transferring Measurement Results to Application Measurements
Use this function after tracing a Doppler waveform to transfer measurement results to application
measurements they can be transferred to.
NOTE: However, basic measurements cannot be transferred.
Prior confirmation Use the preset to set when the menu for transferring applied measurements should appear. Use the
Auto Trace tab in [Preset Setup > Application > Edit Data > Doppler].
Measurement Transfer List Conditions for displaying measurement results

Displayed when setting on screen
When the [Freeze] key is pressed Freeze is set to “Auto” • Set the Freeze Trigger to On in the Auto Trace
tab in [Preset Setup > Application > Edit Data >
Doppler]
• Set Trackball Priority When Frozen (Color On)
and Trackball Priority When Frozen (Color Off) to
“Measurement+Search” in the Operation tab in
[Preset Setup > Region > General]
• Set Basic measurements are displayed together.
in [Application Measurement > Display Form] to
[No]
When [Doppler Auto Trace] is Doppler Auto Trace is set to Set Basic measurements are displayed together. in
selected on the touch panel “Auto” [Application Measurement > Display Form] to [No]
during freeze
When the [Measurement] key is Measurement is set to “Auto” Set Basic measurements are displayed together. in
pressed while an Auto Doppler [Application Measurement > Display Form] to [No]
Trace result is displayed
1 Press the [Freeze] key to freeze an image.

NOTE: Make sure that the trace result is appropriate.
2 Select measurement items to transfer from the menu for transferring application
measurements.
When no menu is displayed for transferring application measurements
a Press the [Menu] key.
b Select [Trans. Menu Auto Display] on the touch panel.
3 Select [Flow Trace].
Erasing the Trace Line / Measurement Results
 Select [Doppler Auto Trace] on the touch panel.

D mode measurement
2-4-16 Blood flow volume measurement (steady flow) F. Volume (Vein)
You can calculate the blood flow volume from the mean velocity obtained with the Dop. Trace method
and the cross-sectional area (CSA) obtained using the Caliper method.
To obtain the mean velocity, select Peak and Mean in the Trace Position in the preset to calculate the
mean velocity. The following will describe the temporal average of peak blood flow velocity obtained
by Peak.
Prior confirmation Set coefficients using the preset or select [COEF] on the touch panel. The factory default is 1.00.
NOTE: Settings using animals or phantoms are around 0.5 to 0.7. There are reports of portal vein blood flow volume
of 0.57.
1 In B/D mode, display the blood flow Doppler waveform for the target blood vessel.

b Select [F.Volume(Vein)] on the touch panel.
3 Trace the blood flow Doppler waveform.

a b
 The line cursor separates into two at a point 1 sec away.



D mode measurement
4 Measure the flow path diameter.

a Press the [Caliper] key.
c Move the + mark to the end point.

Example of
measurement FV(Vein) : Selected measurement name
1MnV: : Mean velocity
results display
cm/s
2CSA: cm2 : Cross-sectional area
CSD: cm : Cross-sectional diameter
FV: ml/m : Blood flow volume
COEF: : Coefficient
In addition, the Trace, Ellipse or Circle method may also be used to obtain the cross sectional area. You
can set these functions using the preset function.

D mode measurement
2-4-17 Blood flow volume measurement (pulsatile blood flow): F. Volume (Artery)
Use this function to measure the blood flow volume of the pulsatile blood flow waveform.
Calculation methods include methods to calculate from MeanV (temporal average of peak blood flow
velocity) and VTI (velocity time integral value).
Mean V calculation
Calculate blood flow volume from (temporal average of peak blood flow velocity (Mean V) obtained
using the Dop. Trace method and the cross-sectional area (CSA) using the Caliper method.
Prior confirmation Set coefficients using the preset or select [COEF] on the touch panel. The factory default is 1.00.

b Select [F.Volume (Artery)] on the touch panel.
c Select [Mean V] on the touch panel.

3 Set the trace section (for one heartbeat) and trace the blood flow Doppler waveform.
D
a
b
 A trace line, S, D and waveform rise time positions are automatically drawn. If the trace line is not drawn
properly, press the [UNDO] key or select [Trace Manual] on the touch panel to switch to Manual.


D mode measurement
D
c


Example of
measurement FV(Artery)MnV : Selected measurement menu
1MnV: : Mean velocity
results display
cm/s
FV(MnV): : Blood flow volume calculated based on MnV
ml/m
COEF: : Coefficient
VTI calculation
Calculate blood flow volume from velocity time integral value (VTI) obtained using theDop. Trace
method and the cross-sectional area (CSA) obtained using the Caliper method.

D mode measurement

b Select [F.Volume (Artery)] on the touch panel.
c Select [VTI] on the touch panel.

D
a
b
 A trace line, S, D and waveform rise time positions are automatically drawn. If the trace line is not drawn
properly, press the [UNDO] key or select [Trace Manual] on the touch panel to switch to Manual.

D
c
a
NOTE: HR is automatically calculated using the start point and end point times on the trace line. To revise, select
the [ch*] number for the touch panel and revise.
NOTE: When an ECG is displayed, the HR is automatically displayed when measurements start.

D mode measurement


Example of
measurement FV(Artery)VTI : Selected measurement name
1VTI: cm : Velocity time integral
results display
2HR: BPM : Heart rate
FV: ml/b : Blood flow volume corresponding to one beat
FV: ml/m : Blood flow volume corresponding to one minute

D mode measurement
2-4-18 Blood Flow Volume Measurement: SV/CO
Measures the blood flow volume of the pulsatile blood flow waveform.

b Select [SV/CO] on the touch panel.


a c
b

D mode measurement
4 Measure the time of one heartbeat.

When no ECG is displayed
c Move the line cursor to the end point and press the [Enter] key.
NOTE: When ECG is displayed, the HR is automatically displayed when measurements start.


Example of
measurement SV/CO : Selected measurement menu
1VTI: cm : Velocity time integral
results display
2HR BPM : Heart rate
SV: ml : 1 stroke volume
CO: l/m : Cardiac output

CF mode measurement
2-5 CF mode measurement
The following explains basic measurements, specifically, items measured in the CF mode measurement
method.
The CF mode menu contains the following measurement items.
 Blood flow volume measurements

CF mode measurement
2-5-1 Blood Flow Volume Measurement: Flow Profile
Use this function to measure the blood flow volume of the tubular peripheral vascular system (including
the carotid artery).
These measurements can be applied to the peripheral vascular system throughout the body. It is not
applicable to non-circular vessels such as veins or for measuring blood flow in the heart cavities.
The one-dimensional flow rate profile detected by the Color Doppler method is expanded to a
two-dimensional profile. The individual flow values from the two-dimensional profile are multiplied by
the areas of the respective micro-area elements to obtain the individual flow volumes, which are totaled
in order to quantify the instantaneous blood flow. The blood flow volume which flows for any given time
in an region of interest can be calculated with the integration processes of instantaneous blood flow in
a longitudinal direction.
The target of this measurement is successive multiple B/Color Flow images.
The optional SOP-ARIETTA850-7 is required for this measurement.
1 Display a good quality continuous long-axis tomographic image passing through the center of
a blood vessel with the Color Doppler method.
Color image display settings
Related items Description

Velocity range There must be no aliasing caused by the range being too low. Nor must there be any
frames without color in end-diastole by being set too high.
Wall Filter (Color) Set the filter to the lowest value that prevents the display of unwanted signals.
Gain (Color Flow) Adjust so that the blood vessel lumen is well integrated within the color signal and
the interference is not distracting.
Persist. Level (Color) Set at the lowest value.
Line Density (Color) Set as high as possible. A lower frame rate means fewer frames per heartbeat, and
thus a higher error rate.
Smoothing (Color) Set to Off.
Wall Motion Reduction Set as low as possible.
2 Set the target interval for flow volume measurement.

a If the trackball function is not set to Search, press the [Cine Search].
b Use the trackball to display the start frame and press the [Enter] key.
c Use the trackball to display the end frame and press the [Enter] key.

b Select [Flow Profile] on the touch panel.

CF mode measurement
4 Set the profile line.

For [Auto]
a Move Mark A close to the anterior vessel wall and press the [Enter] key.
b Move Mark A close to the back of the posterior vessel wall so that the profile line passes through the
center of the blood vessel and is perpendicular to the vascular wall.
NOTE: Align the profile line A-B horizontal bar parallel with the anterior and posterior vessel walls. Refer to the
diagram below.
NOTE: Exclude other vessels (color information) from the profile line.
For [Manual]
a Move Mark A close to the inner wall of the anterior vessel wall and press the [Enter] key.
b Move Mark A close to the inner wall of the posterior vessel wall.

 The blood flow volume and the minute blood flow volume corresponding to the target sector are
displayed. The flow volume change curve is displayed at the bottom of the screen.
(1) Profile line A-B

(2) Blood flow velocity profile
graph
(2)
(1) (3) Flow volume change curve
(4) Search mark
(3)
(4)

CF mode measurement
6 If necessary, reset the arbitrary section flow volume.

a Move the Search Mark to the starting frame of the Flow volume change curve using the trackball.
c Move the search mark to the end frame position of the flow volume change curve.
 The blood flow volume (FV ml/p) corresponding to the interval set is displayed.
Example of
measurement Flow Profile : Selected measurement name
Diam: mm : Internal vessel diameter on the profile line
results display
MnV: cm/s : Mean velocity on the profile line
FV: ml/f : Blood flow volume per frame
FV: ml/p : Blood flow volume per interval
FV: ml/m : Blood flow volume per minute
Angle: ° : The angle between the ultrasound beam at the center of the blood vessel and flow direction

References
2-6 References
2-6-1 Formulas
B Mode
Dist Distance = √{(X2 - X1)2 + (Y2 - Y1)2}
Area-E Area (cm2) = π / 4 × major × minor
Circumference (cm) = π √{(major2 + minor2) / 2}

Axes (cm) = √{(X2 - X1)2 + (Y2 - Y1)2}
Area-C Area (cm2) = π / 4 × Diameter2

Circumference (cm) = π × Diameter
Diameter (cm) = √{(X2 - X1)2 + (Y2 - Y1)2}
Volume Area-Length = 0.85× Area2 / Dist

BP Simpson = π × H / 4 Σai2 × bi
SP Simpson = π × H / 4 Σai2
3 Caliper = π / 6 × (x-ax) × (y-ax) × (z-ax)

Ellipse = π / 6 × (x-ax) × (y-ax)2
Histogram T = Σfi
MN = 1/T Σ (Xi × fi)
S2 = 1/T Σ (Xi - MN)2 × fi
SD = √S2
fi: Number of pixels in brightness gradation i, Xi : Brightness gradation i,
Σ : i =0 - 63
Color T = Σfi
Histogram
CT = Σfi
CT: Total number of color Doppler samples,
fi: Number of pixels in flow memory
R = CT / T × 100
A = CT / T × Area
Area: ROI area
B.Index A/B = A/B
|A - B| /A = |A - B| / A

References
M Mode
M.Length distance (depth) = Y2 - Y1

M. VEL Velocity = Distance / dt
Heart Rate HR = 60 × @ / dt (sec)
@: cardiac cycle
M.Index A/B = A/B
|A - B| /A = |A - B| / A
D Mode
PG PG (mmHg) = = 4 × (Peak V (m/s))2

P1/2T P1/2T (ms) = Vmax × (1 - 0.707) / (Dec slope)
VA (cm2) = 220 / (P1/2T)
P1/2T (ms) = |tb - ta| D.trace method
a: Maximum blood flow velocity point, b: 1/√2 point of maximum blood

flow velocity
Heart Rate HR = 60 × @ / dt (sec)
@: cardiac cycle
ACCEL ACC = |(peak V2 - Peak V1) / (dT or AccT)|
PI, RI PI = |(PSV - EDV) / MnV | |PSV| ≥ |EDV|

RI = |(PSV - EDV) / PSV | |PSV| ≥ |EDV|
S/D = |PSV / EDV|
D.Index A/B = A/B
|A - B| /A = |A - B| / A
MnV (m/s) = ∫V(t) dt/FT
MPG (mmHg) = (4 / FT)∫V(t)2 dt
VTI (cm) = ∫V(t) dt
dV = |V2 - V1|
FT (ms) = tb - ta
dT (ms) = |TV1 - TV2|
V1 and V2 time difference
AccT (ms) Time from the trace starting point to the peak blood flow velocity value
ACC (m/s2) = | max velocity / AccT|
AccT/FT = AccT / FT
Flow Volume (MnV) FV (MnV) (ml/min) = MnV (cm/s) × CSA (cm2) × 60 (sec) × COEF
= MnV (cm/s) × π/4 × Diameter2 × 60 (sec) × COEF

FVm (MnV) (ml/min) = Vm (cm/s) × CSA (cm2) × 60 (sec)

References
= Vm (cm/s) × π/4 × Diameter2 × 60 (sec)

Flow Volume (VTI) FV (ml/beat) = VTI (cm) × CSA (cm2)
= VTI (cm) × π/4 × Diameter2

FV (ml/min) = FV (ml/beat) × HR (BPM)
SV/CO SV (ml) = VTI (cm) × CSA (cm2)
= VTI (cm) × π/4 × Diameter2

CO (l/min) = SV (ml) × HR (BPM)

References

3 Reports
MN1-6233 rev.3 Reports | 109

Report display
3-1 Report display
Displays a summary of the application measurement results and findings, etc.
Application measurement results and patient data are shown in the report. Related items can be
consolidated into data blocks.
The block title is displayed inside “< >”. Please refer to the chapters on the individual application
measurements for the contents of the block.
I)
YYYY/MM/DD
II)
III)
IV)
I) Button
II) Patient data
III) Facility information
IV) Measurement results block
110 | Reports MN1-6233 rev.3

Report display
3-1-1 Displaying a Report
Switch to the report screens from the measurement screens.
Prior confirmation Reports are only displayed for patients whose data has been entered.
For details on entering patient data, refer to the separate “Basic Operations” volume.
2 Select [Report] on the touch panel.
Display example
YYYY/MM/DD
Report screen example
Returning to the measurement screen
 Select [Report] on the touch panel.
 Select [Return].
 The Measurement screen reappears.

Report display
3-1-2 Switching the report page
Use this function to switch the report page.
 Select [Prev.] or [Next].
YYYY/MM/DD
YYYY/MM/DD

Report display
3-1-3 Switching the Header Block Display
Use this function to turn the header (patient data) block into a compact display.
 Select [Header].
 The header block changes to show only the patient ID and patient name. Select [Header] again to
return to the original display format.
YYYY/MM/DD
YYYY/MM/DD
In gynecology and obstetric measurements, the display switches to show only the patient ID,
patient name and a few other items.
YYYY/MM/DD
Example of a compact header block (gynecology report)
YYYY/MM/DD
Example of a compact header block (obstetric measurement report)

Report display
3-1-4 Displaying a Graph
Use this function to confirm progress with a graph based on past examination results.
Progress can be shown on a graph of measurement results for patients with previous examination
results.
Reports capable of displaying

graphs Options Application Measurements
Abdominal region measurement SOL Area, SOL Volume Space-occupying lesion measurement (SOL1,
report SOL2)
Urology measurement report Prostate Prostate measurement (PSA Volume)

Rt./Lt.Testis Testicular measurement (Testis Volume)
Bladder Bladder measurement (Bladder Volume)
Rt./Lt.Kidney Renal measurement (Renal Volume)
NOTE: Please refer to the separate "Measurements 3" volume for obstetric graph display.
1 Display the report.
2 Select the graphs.
YYYY/MM/DD b
a Select [Graph].
b Select the measurement results from the Display Graph list in the dialog box.
c Select [OK] from the dialog box.
Display example SOL(Volume) is selected for abdominal measurement reports.

Report display
Return to the Report
 Select [Graph].
 Go back to the report.

Report display
3-1-5 Displaying Past Examination Reports
Previous examination information for a patient can be referred to if available.
2 Select the examination date from the list in the date field.
YYYY/MM/DD
YYYY/MM/DD
YYYY/MM/DD
YYYY/MM/DD
YYYY/MM/DD
YYYY/MM/DD
YYYY/MM/DD
YYYY/MM/DD
YYYY/MM/DD
 Reports for the selected examination date are displayed.
NOTE: Past examination result information cannot be edited.

Report display
3-1-6 Displaying Trace Waveforms
Use the Doppler Trace method to display trace waveforms from blood flow measurements.
The trace lines in Doppler Trace method measurements are displayed side by side. The waveform
patterns before and after a stenosis area can be compared.
Application measurements that can display trace waveforms:
 Abdominal region measurement report
 Vascular measurement report
2 Select [W.Trace].
3 Select the blood vessel name.
a
b
a Select a blood vessel group from the list.
b Select [RIGHT] or [LEFT] for the display position.
c Select the blood vessel name from the list.

Report display
Display example
YYYY/MM/DD
When Left is selected
When Right is selected
NOTE: The display width may change according to the screen settings at the time of measurement (B/D Format).
The screen settings from the top are U/D Normal, U/D Wide and L/R.
Returning to the report
 Select [Return].

Report Editing
3-2 Report Editing
3-2-1 Entering Comments
Use this function to enter ultrasound findings, etc.
2 Move the pointer to [<Comments>] and press the [Enter].

 A text box for entering a comment is displayed.
3 Enter a comment.
4 Select [OK] in the dialog box.
Display example The screen is displayed as follows during comment input.
YYYY/MM/DD

Report Editing
3-2-2 Entering Findings in the Anatomy Check List
Use this function to enter anatomical findings or ultrasound findings in the checklist.
Application measurements with an anatomy check list:
 Obstetric measurement report: Fetal anatomy checklist
 Gynecology measurement report: Anatomical checklist for uteruses and ovaries
 Vascular measurement report A check list that displays the state of the carotid artery and the blood
vessels in the upper and lower limbs and Doppler findings.
2 Display the Anatomy Check List block.
3 Select the findings from the list.

 Move to the next item.
Display example Vascular measurement report after entering all necessary data
Please refer to the separate "Measurements 3" volume for obstetric BPP scoring of obstetric
measurements.

Report Editing
3-2-3 Entering Findings
Use the steps below to enter ultrasound findings, etc. in the Findings field.
Direct entry is possible for findings that are not included in the Findings field list.
2 Display the Findings field block.
3 Select the findings from the Findings list.
Entering findings directly

Enter directly into the field using the keyboard. Entered content will be added to the list from the next
time on.
Highlight the selection and press the [Delete] key to delete content that was added to the list.

Report Editing
3-2-4 Attaching an Ultrasonic Image
You can attach ultrasound images from an ongoing examination to a report. They are added to the US
Image block.
Use the report review function to select thumbnails of a patient from images of the same patient stored
on the instrument hard disk or USB flash drive to display in a report.
Use the preset settings to set the number of ultrasonic images and the display format of images added
to a report.
Select one of the following two methods for attaching ultrasonic images.
 Auto Paste
The number of images set in the preset settings is automatically selected from the latest images
stored on the hard disk or a USB flash drive and displayed in the US Image block in the report.
 Manual Paste
Use this function to edit an automatically attached image or to manually add an image.
The following describes how to use the Manual Paste function.
NOTE: Press the [New Patient] key to delete the attached images.
2 Select [US Image].
 The US Image block (the page showing ultrasonic images attached to the report) is displayed. The
most recent ultrasonic image from an examination is displayed at top left.
3 Select [Review] at the bottom of the screen.
4 Select an image to attach.

a Move the pointer to the attached image, and press the [ENTER] key.
 A blue frame is displayed.

Report Editing
a Indicates whether the displayed image is from a current or past

examination.
b Press to select only images from the current examination or to also include
images from past examinations.
Selecting multiple images

Repeat step a.
Canceling a selection
Move the pointer to the image you want to deselect, and press the [ENTER] key.
Selecting from previous images

Selecting [Change View] at the bottom of the thumbnail display screen displays thumbnails of past
images for the same patient.
Each press of [Change View] will toggle the display between images from current examinations and past
examinations.
A thumbnail is displayed on the right side of the screen.
5 Select [Paste Desired US].

 Only the selected images are displayed in the US Image block.

Report Editing
3-2-5 Editing the Measurement Results
The measurement results displayed in a report can be deleted or modified.
Prior confirmation Measured values that can be edited are shown in a different color.
NOTE: Be sure to edit indicators (PI, RI) for blood flow information (PSV, EDV) for one cardiac cycle so that their
time-phase relationship is maintained.
2 Display blocks for editing.
3 Move the pointer to the measured value to be edited and press the [Enter] key.
The figures in the area enclosed in the dialog box are those shown in the report.
4 Edit measurement results.

Deleting
Move the pointer to the measured value to delete and press the [Enter] key, then select [Delete] in the
dialog box.
To modify
Move the pointer to the measured value to modify and press the [Enter] key and enter a new value.
Selecting other measured values

If the measurement values displayed in the report are set to the latest value, the value displayed at the
top is the latest. Move the pointer to the measured value to be displayed and press the [Enter] key.

Report Editing

 The measured values and related index values are updated.
Display example A “#” sign indicates the modified measurement items.

Report Output
3-3 Report Output
A report can be output as a CSV file to a local printer.
3-3-1 Printing a Report
Print the indicated report blocks on a local printer.
2 Select [Output].
3 Select [to Printer] and select [OK] in the dialog box.
4 Specify the print properties.
b
c
d
a Select the blocks you want to print.

 The selected blocks are highlighted.
b Select [Property] and specify the printer properties (if necessary).
c Specify the number of copies to print in the Num.of Copies field.
d Select [Print].

Report Output
Print Properties
The printer properties can be set when [Property] is selected in step 4 on the previous page.
Item Selections Description
Printer Name Select the printer model.
Paper Sizes US Letter Prints on US letter size paper.
A4 Prints on A4 size paper.
Orientation Portrait Sets the direction of the paper to the vertical orientation (there is no
other option).
US Image Form 1×2 Prints a US Image block with 1 row of 2 images per sheet.
1×3 Prints a US Image block with 1 row of 3 images per sheet.
2×2 Prints a US Image block with 2 rows of 2 images per sheet.

2×4 Prints a US Image block with 2 rows of 4 images per sheet.
Signature Physician Sets the Physician signature field.
Phys. & Sonographer Sets the Physician and Sonographer signature fields.
None Hides the signature field.
Title Inform Allows you to enter a report title of up to 80 characters.
Site Inform Enter the facilities information (department, address, telephone No.,
FAX No., etc.).

Report Output
3-3-2 Outputting the Report as a CSV file
Output the measurement values, index values, and comments shown in the report as a CSV file.
2 Select [Output].
3 Select [Export CSV File] in the dialog box and select [OK].
 A dialog box for selecting a medium (Target Medium) is displayed.
4 Select the save destination.
5 Enter the file name.

File name
Use “ID_DATE_APPLICATION” to display the file name. Use the keyboard to change the file name.

If a CSV file is displayed
CSV files display data in the following order: patient data, numerical values and comments.

Report Output
3-3-3 Sending a DICOM SR File
Prior confirmation Assign [Send SR] to a direct switch or custom switch to send DICOM SR files during measurements.
If required, assign [End Exam.] to a direct switch or custom switch.
 Select [Send SR].

 A DICOM SR file is created during an examination and this DICOM SR file is sent to the DICOM SR
server.
 When [System Preset > DICOM > SR > SR Auto Creation] is On, press the [New Patient] key or
[End Exam.] key.
 A DICOM SR file is created and sent to the DICOM SR server when the examination ends.
Reference Measurement Control Menu Settings: Control Menu Assignment → p.162

Information

Report Output

4 Presets
MN1-6233 rev.3 Presets | 131

Preset Configuration
4-1 Preset Configuration
Preset configuration is common across all applications (clinical fields). Abdom/Rad Preset is used here
as an example.
I) Create Measurement Tools
Use the following functions to make measurement method, mark size and report display settings
for basic and application measurements.
Basic Measurement Sets the basic measurement method, mark style and result display items.
├ Measured Method & Display Sets the measurement method, mark style and result display items, for each
│ Items measurement type.
│ ├ B.Mode B mode measurement settings.
│ ├ M.Mode M mode measurement settings.
│ ├ D.Mode D mode measurement settings.
│ └ F.Mode Color Doppler mode measurement settings.
├ Caliper Mark Control Sets the measurement mark size, the dotted lines, the correction function
│ when tracing, and the trace modification method.
├ Unit Selection Display unit settings for taking measurements.
├ Caliper Auto Off Settings for automatically erasing measurement marks and results when the
│ image is unfrozen.
└ Display Form Settings for the basic measurement result display style.
└ Mark Display Settings for caliper mark display.
Application Measurement Settings for the application measurement method, mark style and result display.
├ Measured Method & Display Settings for the measurement method, mark style and result display items of
│ Items*1 application measurements.
│ ├ B.Mode B mode measurement settings.
│ ├ M.Mode M mode measurement settings.
│ ├ D.Mode D mode measurement settings.
│ └ F.Mode Color Doppler mode measurement settings.
├ Caliper Mark Control*1 Settings for application measurement mark sizes and dot lines.
├ Unit Selection*1 Settings for the display units for taking application measurements.
├ Caliper Auto Off Settings for automatically erasing measurement marks and results when the
│ image is unfrozen.
├ Report Data*1 Settings for displaying measurement values in reports.
├ Display Form Settings for the application measurement result display style.
│ └ Mark Display Settings for caliper mark display.
├ Menu Classification*2 Settings for grouping in the measurement menu.
└ User’s Calculation Settings for the formulas for user-registered indices.
└ Reserved Word Settings for index names (reserved words) registered by the user.
*1. Application (clinical field) is not displayed under Other.

*2. Displayed only when the Application (diagnostic field) is Cardio and Cardio Pediatrics.
132 | Presets MN1-6233 rev.3

Preset Configuration
II) Study Assignment
Settings for menu and report display layout and other items by Study unit.
Defined study name

├ Menu Assign Function for creating and editing measurement menus.
├ Combined Report Display*1 Settings for the information presented in reports.
└ Other Settings for the display of measurement operational guide messages.
*1. Application (clinical field) is not displayed under Other.
III) SW Assignment
Assignment of measurement functions to keys or the touch panel.
SW Assignment Starts a measurement function when a key or button is pressed.

├ +Mark Key Assignment Starts a measurement function when a [Caliper] is pressed.
├ Hot Key Assignment Starts a measurement function when a keyboard key is pressed.
├ Measure SW Assignment Assigns a measurement function to a direct switch.
└ Control Menu Assignment Assigns the control menu to the touch panel.

Displaying Presets
4-2 Displaying Presets
Use the steps below to display measurement presets.
2 Select [Preset] on the touch panel.
3 Select an application.
4 Select the target item from the Tree view.
5 Change the parameter.

To initialize all parameters
Select the top level of the tree. Select [No] on the screen and when the button changes to [Yes], select
[All Initialize]. The parameters for the displayed application changes to the factory default settings.
Once [All Initialize] is selected, you cannot restore the state prior to the factory default settings, even by
selecting [Cancel].
Select [Exit] to save the displayed settings.
Select [Cancel] to close the Preset screen and return to the Scanning screen.

Measurement Settings: Create Measurement Tools
4-3 Measurement Settings: Create Measurement Tools
Use this function to set measurement methods, mark sizes, report displays, etc.
Create Measurement Tools consist of Basic Measurements (basic measurement settings) and
Application Measurements (application measurement settings). Each type of measurement contains
the following items.
Preset items Preset content

Measured Method & Display Items Measurement methods and result display settings
Caliper Mark Control Caliper mark display settings
Unit Selection Result display unit settings
Caliper Auto Off Display settings for measurement results and caliper marks after freeze is
canceled
Report Data Report display settings (Application Measurement only)
Display Form Display settings for measurement results, and for caliper marks during
measurement
Menu Classification Settings for grouping in the measurement menu (only for Cardio and
Cardio Pediatrics application measurements)
User’s Calculation Settings for calculation formulas for indexes (application measurements
only)
The Basic Measurement top page has a function for copying basic measurement settings in other
applications (diagnostic fields).
Copy From Copy from Application list

Copy Copies all the basic measurement settings for the application selected using [Copy From].

4-3-1 Measurement Method and Result Display Settings: Measured Method &
Display Items
This function enables you to set the working environment for measurement methods, mark types, result
display, units, etc. that are used when making basic measurements.
a
b
a Displayed page/total pages

b Return to the previous page/ proceed to the next page
c Measurement method selection, sorting the touch panel display sequence
d Measurement method selection
Alternative selection: Area-Length method/Ellipse+Caliper method/3 Caliper method/Ellipse
method
e Selection buttons for result display items
If there are multiple measurement methods, you can select the order they are displayed on the touch
panel.
Use the pull-down menu to set the order they are displayed. Fields whose data are not needed can be
left blank.
Presets for other basic measurement functions have the same configuration, layout and are set up in the
same way as those above.

4-3-2 Caliper Mark Display Settings: Caliper Mark Control
Use this function to set caliper mark size, dotted line display patterns, etc.
Caliper Mark Control
Sets the size and method for displaying caliper marks.
Setting item Options Description

Size Small Displays small caliper marks.
Medium Displays medium caliper marks.
Large Displays large caliper marks.
Caliper Mark Display in Single Displays caliper marks only in 1 of the two screens in dual screen
Dual display.
Dual Displays caliper marks in both screens in dual screen display. Moving a
caliper mark in one screen will similarly move the caliper mark in the
other screen.
Dotted Line
Sets how the line that connects the start and end points of the caliper mark are displayed. Caliper mark
and for trace line settings are made separately.
[B Caliper], [M Caliper], [D Caliper]
Options Display example Description

mm “+ • • • +” (B mode only) Displays the line between the start and end points with
a dotted line.
Sets the space between points in mm units.
Pixels “+ • • • +” Displays the line between the start and end points with a dotted line.
Set the space between points in pixel units.
Line “+——+” Displays the line between the start and end points with a straight line.
NA “+ +” Does not display any line between the start and end points.

B Trace “———————” Displays a line between the start and end points.
D Trace “- - - -” Displays a broken line between the start and end points.
“• • • • • •” Displays a dotted line between the start and end points.

Mark Indicator
Options Display example Description

ON “+ • • • • +”1 Displays the measurement number to the lower right of the caliper
marks (for the measurement result).
OFF “+ • • • • +” Displays only the caliper marks.
Small 1 Displays the measurement number in a small size font to the lower
right of the caliper marks.
Medium 1 Displays the measurement number in a medium size font to the lower
right of the caliper marks.
B. Manual Trace

Manual Trace Type Strict Corrects the trace line during a manual trace of a B mode image.
Smooth Corrects the trace line to make it smoother during a manual trace of a
B mode image.
Go Back Rotary Encoder or Modifies the trace line by using the [Pointer] rotary encoder or the
Track ball track ball during a manual trace of a B mode image.
Rotary Encoder Modifies the trace line by using the [Pointer] rotary encoder during a
manual trace of a B mode image.

4-3-3 Displaying Unit Settings for Measurement Results: Unit Selection
This function sets the units for displaying measurement results.
Select the display units from the list for both basic measurements and application measurements.
a B, M Mode Sets units for basic measurement results for B mode and M mode.
b Volume Sets units for basic volume measurement results for B mode and D
Measurement mode.
c Dop Sets the unit in which blood velocity and myocardial movement
Measurement*1 velocity are to be displayed in the basic Doppler measurement
results.
*1. If the Cardio and Cardio Pediatrics applications, in the TDI measurement results, myocardial movement
velocity is displayed in units of cm/s (fixed).

4-3-4 Caliper Mark and Measurement Result Display Settings for When Freeze Is
Canceled: Caliper Auto Off
Use this function to show or hide caliper marks and measurement results when freeze is canceled.
The options for basic measurements and application measurements differ.
Basic Measurement
Measurement OFF Keeps displaying caliper marks and measurement results even after freeze
parameters is canceled.
ON Clears the display of caliper marks and measurement results when freeze is
canceled.
ON: Active Clears the caliper marks of the active image and measurement results.
Search Clear ON Clears caliper marks when using image search.
OFF Leaves caliper marks displayed when using image search.
Application Measurement
Measurement OFF Keeps displaying caliper marks and measurement results even after freeze
parameters is canceled.
ON Clears the display of caliper marks and measurement results when freeze is
canceled.
All Mark Erase Clears all caliper marks when freeze is canceled.
Remain Active Clears all caliper marks other than those currently active when freeze is
Mark canceled.
Mark Erase: Active (Only GA Measured, FW Measured and FW Ratio in the OB Preset) When
freeze is canceled, the measurement results are displayed without
modification and the caliper marks in the active screen are cleared.

4-3-5 Report Display Settings: Report Data
This function is used to set the conditions for displaying screens and number of data items in reports
when performing application measurements.
NOTE: This preset is not for basic measurements or application measurements that cannot display reports.

Display Data Current Displays the latest measurement results.
Average Displays average values for measurement results.
Transfer from Report ON Uses data from reports when making other measurements.
Data*1 OFF Does not use data from reports when making other measurements.
Storage Data Number 1 to 6 Sets the number of measurement results to display in the report if the
same measurement is performed repeatedly.
Save Wave Trace ON Saves Doppler waveform trace lines.
OFF Does not save Doppler waveform trace lines.
Transfer List Display Manual Opens the Transfer Menu manually after performing a basic measurement.
Auto Opens the Transfer Menu automatically after performing a basic
measurement.
*1. For Cardio or Cardio Pediatrics application, you can separately specify the ON or OFF setting for some measurement menus.
Pasted US Image Screen
 Display Pasted US Image Form on the Screen

Settings for the layout of ultrasound images displayed in reports.
Options Description
1×1 Displays one image on the report screen.
2×2 Displays images on the report screen in two rows x two columns.
3×2 Displays images on the report screen in three rows x two columns.
3×3 Display images on the report screen in three rows x three columns.
 Automatically be Displayed US Images Number

Sets the number of images to display in the US Image Block of reports.

4-3-6 Settings for Measurement Result Display Style: Display Form
Sets the display orientation to show measurement results.

Result Display Sideways Displays measurement results sideways.
Window Style Lengthwise Displays measurement results lengthwise.
Package Result Display Multi Displays multiple measurement results.
Single Displays only the current measurement result.
Basic measurements No Displays only basic measurement results or applied measurement
are displayed results.
together. Yes Displays both basic measurement results and application
measurement results.
Mark Display
Displays caliper marks during measurements.

Basic measurement Mark Display Displays all caliper marks.
items
Application Mark Active Displays only the caliper marks currently used for measurement.
measurement items

4-3-7 Menu Classification
Use this setting for grouping measurement items.
This preset is only displayed for Cardio and Cardio Pediatrics application measurements.
When measurement items are grouped, they can be registered to measurement menus with grouping
names. Select a grouping name in a measurement menu to display grouped measurements.
1 Display the Menu Classification.
2 Select the mode you want to use for measurement.
3 Input the grouping name.

a Select the target grouping name.
b Input the grouping name.
c Select [Insert].
4 Select the measurement functions you want to group.

a Select the locations you want to change under Priority.
b Select the measurement from the list.
c Select [Insert].
5 Select [Exit] on the touch panel.

4-3-8 User Index Calculation Formula: User’s Calculation
Use this function to combine basic measurement functions such as distance, area and flow velocity to
create index calculation formulas for measurement packages.
Up to four index calculation formulas can be combined to create one measurement package.
You can create measurement packages that contain a total of 30 calculations per application.
In addition, if measurement parameters for every application built into the instrument are incorporated
into formulas and if reserved words registered by the user are saved, these parameters and words can
be used in multiple formulas.

Equation Program Create User’s Create measurement packages for index calculation.
Calculation
Delete User’s Measurement package is deleted.
Calculation
User index calculation U-Calc.1 to 30 Select a user index calculation formula you want to create or delete.
formula If a registered user index calculation formula has a name, the name at
the time of registration is displayed.
b e
c
d f
a Registering measurement packages

Enter a name for the measurement package you want to create consisting of
up to 12 characters. This name will appear in measurement menus.
b Calculated values and index values
Enter a value consisting of up to 12 characters. The initial character must be an
alphabetic character and subsequent characters can be alphanumeric
characters.

c This field is mainly for calculation formulas consisting of variables

(measurement parameter names).
A total of seven variables (measurement parameter names) can be entered for
four index calculation formulas.
An index calculation formula can be up to 180 characters long.
A variable can consist of up to 13 characters.
A constant can consist of up to 20 characters.
Items on the left side of the formula can be used on the right side. But then,
they must be placed inside < >.
Example: If the first formula is A=B+C ; then the second formula should be
D=<A>/F.
d Select operators for the calculation formula.
e Call measurement parameters for application measurements supported by
each mode.
f Call registered reserved words.
Deleting User Index Calculation Formulas
1 Display the [User’s Calculation].
2 Select [Delete User’s Calculation].
3 Select a user index calculation formula you want to delete.
Registering User Index Calculation Formulas
1 Display the [User’s Calculation].
2 Select [Create User’s Calculation].
3 Select a user index calculation formula.

 The Equation input screen is displayed.
4 Enter the Calculation Name.

a Enter up to 12 characters for the name of the measurement package you want to create.
 The name entered for the measurement package will appear in measurement menus.

5 Enter the first equation.

a Enter up to 12 characters for the left side of the first formula (answer variable) from the keyboard.
Validation rules for the left side
The initial character must be an alphabetic character. Subsequent characters can be alphanumeric characters.
b Enter up to 180 characters for the right side of the first equation (the calculation equation). You can
also select operators from a list of operators in the screen.
Validation rules for the right side
Enter a variable consisting of up to 13 characters. Enter a constant consisting of up to 20 characters.
Enter the measurement parameter name of the application measurement or the user-registered
measurement name (reserved word).
Reserved words are measurement parameter names for application measurements, or user-registered
measurement names. Select from [B], [M], [D], [Reserved], and select measurement items from the
displayed list.
Some application measurements may not display a list of measurement parameter names for the
application measurement.
6 Enter the second and subsequent equations in the same way as the first.
The left side of the previous formula is used for calculating the formula.
Enclose the left side with < >. Example: First formula A =B+C, second formula D =<A>/F
7 After entering all formulas, select [Method & Unit].

 Method & Unit is displayed.
8 Set the answer variables.

To set the display of an answer variable.

Turn ON the Display field to display it. Turn the field OFF to avoid displaying it.
To select an answer variable unit.

Select from the Unit list. If the unit is not on the Unit list, select [Type-in] from the Unit list and enter up
to five characters for the unit in the field displayed on the right.
9 Make settings for measurement variables.

a Select measurement sequence from the Order list.
b Select measurement mode from the Mode list.
c Select the measurement method from the Method list.
d Select the parameters to use if the measurement method provides multiple parameters.
10 Select [Exit].
 The calculation is then registered.
Reference Registration of Reserved Words: Reserved Word → p.150

Information
Methods and Parameters Used in User Calculations
B Mode Method Parameter Meaning Unit

Dist. No options Distance cm
Area-T Area Area cm2
Circ Circumference cm
Area-C Area Area cm2
Diam Diameter cm
Area-E Area Area cm2
x-ax x-axis cm
y-ax y-axis cm
Volume-3 Vol. Volume cm3
x-ax x-axis cm
y-ax y-axis cm
z-ax z-axis cm
Volume-AL Vol. Volume cm3
Area Area cm2
Dist Distance cm

B Mode Method Parameter Meaning Unit

Volume-EC Vol. Volume cm 3
Area Area cm2

x-ax x-axis cm
y-ax y-axis cm
z-ax z-axis cm
Volume-E Vol. Volume cm3
Area Area cm2
x-ax x-axis cm
y-ax y-axis cm
Type-in – Key Input Select from menus or
enter from the keyboard
M Mode Method Parameter Meaning Unit

M Length No options Distance cm
Time No options Time s
Heart rate No options Heart rate BPM
M.VEL v Velocity cm/s
dD Distance cm
dt Time s
D Mode Method Parameter Meaning Unit

Time No options Time s
Heart rate No options Heart rate BPM
D.VEL No options Velocity cm/s
ACCEL v1 Velocity1 cm/s
v2 Velocity2 cm/s
dt Time s
ACC Accel cm/s2
RI RI Resistance Index
PSV Peak Systolic Velocity cm/s
EDV End Diastolic Velocity cm/s
S/D S/D Ratio
P1/2T No options Pressure half time s

D Mode Method Parameter Meaning Unit

D.Caliper 1 and 2 v1 Velocity1 cm/s
v2 Velocity2 cm/s
dv v1 - v2 cm/s
dt Time s
PG1 Peak pressure gradient 1 mmHg
dPG PG1 - PG2 mmHg
ACC Acceleration cm/s2
P1/2T Pressure half time s
VA Valve Area cm2
Mean VEL MnV Mean Velocity cm/s
VTI Velocity Time Integral cm
PI PI Pulsatility Index
RI Resistance Index
S/D S/D Ratio
PSV Peak Systolic Velocity cm/s
MnV Mean Velocity cm/s
Vm Mean Velocity cm/s
D.Trace1 and 2 PI Pulsatility Index
Steno Flow RI Resistance Index
Regurg Flow PSV Peak Systolic Velocity cm/s
MnV Mean Velocity cm/s
MPG Mean pressure gradient mmHg
VTI Velocity Time Integral cm
ACC Acceleration cm/s2
FlowT Flow Time s
dt Time s
AccT Acceleration Time s

Registration of Reserved Words: Reserved Word
Set the reserved words that the user’s calculation permits. A total of 60 reserved words can be registered
for each application.
Register reserved words in advance to create formulas with User's Calculation.
NOTE: The measurement parameter names and measurement methods for application measurements cannot be
registered or changed.

Reserved Word Create Reserved word Creates a reserved word.
Registration Delete Reserved word Deletes a reserved word.
(Edit reserved words) Reserved Word 1 Selects reserved words to create or delete.
When there is a reserved word, the name assigned during registration
is displayed.
Deleting Registered Reserved Words
1 Display the preset Reserved Word.
2 Select [Delete Reserved Word].
3 Select the reserved word you want to delete from the list.
To register reserved words
1 Display the preset Reserved Word.

2 Select [Create Reserved Word].
3 Select the Reserved Word you want to register.

 Display the Reserved Word Registration.
4 Enter up to seven characters starting with an initial alphabetic character for the name of the
variable in the Variable field.
5 Select mode for finding the variables from Mode.
6 Select the measurement method from Method.
7 You can select up to four measurement parameters in the Parameter fields for a User’s
Calculation.
 Available reserved words are listed in the Reserved Name list.
8 Select [Exit].
 The reserved word is registered.

Study Assignment
4-4 Study Assignment
In study assignments, settings are made for each measurement study unit.
Preset items Preset content

Study Assignment Sets menu, report display layout and other items by Study unit.
└ Basic Displays the selected study content for Menu Assign, Combined
(Defined study name) Report Display and Other presets.
├ Menu Assign Creates and edits measurement menus.

├ Combined Report Display Sets information presented in reports.
└ Other Sets for the display of measurement operational guide messages.
4-4-1 Measurement Study Registration and Display Settings: Study Assignment
NOTE: Studies installed on the instrument cannot be deleted or renamed.
Making a New Measurement Study
1 Input the study name in Select Study field.
Copying and Registering an Existing Study:
1 Enter the copied study name in the Select Study field.

The study will be newly added if that study name does not exist.
2 Select a study of a copy source from the Copy from Other Study list.
3 Select [Copy].
Deleting a Measurement Study
1 Select the study to delete from the Select Study list.
2 Select [Delete].

Study Assignment
Setting the Study to be displayed in the tree view
1 Select a blank field from Select Display Study on the Left Tree View list.
2 Select the Study to be displayed from Selected Items list.

Study Assignment
4-4-2 Measurement Menu Settings: Menu Assign
Assign the measurement menu that should be displayed when the [Measurement] key is pressed.
Assign a menu for each Study.
Adding/swapping Measurement Menus
1 Display Menu Assign for the set study.
2 Select the measurement target mode.
3 Select the menu position to change.
4 Select measurement classification from the Selected Mode Items list.
5 Select the measurement name to register from the Select Mode Items list.
If items are grouped under Menu Classification (Cardio and Cardio Pediatrics only)
The grouping name displayed in Select Mode Items can be registered as a measurement menu.
Measurement items within groupings can also be registered directly to measurement menus.
Deleting Menus
1 Display the Menu Assign study.
2 Select the measurement target mode.

Study Assignment
3 Select the target measurement name.
4 Select [Delete].

Study Assignment
4-4-3 Report Display Block Settings: Combined Report Display
Set the composition and display order of blocks to present in reports.
1 Display Combined Report Display for the set study.
2 Select [▼] on the right side of the location you want to change.
3 Select the report block to set.

To make no settings (leave blank)
Select highest blank space in the list.
4 Repeat steps 2 and 3 to set the composition and display order data will be presented in reports.

Study Assignment
4-4-4 Operational Guide Message Settings: Other
Set the display of operational guide messages (assist messages) during measurement.

Operational guide ON Displays operational guide messages during measurement.
message display OFF Does not display operational guide messages during measurement.

SW Assignment
4-5 SW Assignment
Assign the measurement shortcut function to control panel switches, keyboard or touch panel.
SW Assignment is a setting that is common to all studies within an application.
SW Assignment has the following presets.
Preset name Assigned to Setting item

+Mark Key Assignment [Caliper] key Basic measurement menu
Hot Key Assignment Keyboard Basic Measurements
(including function keys) Application Measurements
Measure SW Assignment Candidates for assignment to direct switches Reports
([Measure 1], [Measure 2], [Measure 3], [Measure Presets
4])
Control Menu Assignment Measurement Control Menu of the touch panel Delete
Switch trace method
Switch application
Shift result display location

SW Assignment
4-5-1 Basic Measurement Menu Settings: +Mark Key Assignment
Assign the measurement menu you want to display by pressing the [Caliper] key.
The basic measurement menu allows you to set up to 8 items for each mode.
NOTE: It cannot be set for each study.
1 Display +Mark Key Assignment.
2 Select the menu location.

 The dialog box for setting the measurement menu appears.
3 Select measurement.
 The selected basic measurement is highlighted.
4 Select [Insert].

SW Assignment
4-5-2 Hot Key Settings: Hot Key Assignment
Use this function to assign basic measurements, application measurements, reports, presets and other
functions to the alphabetic keys on the keyboard.
1 Select Hot Key Assignment.
2 Select the key you want to assign.

 A dialog box is displayed.
3 Select a measurement function you want to assign as a shortcut.

a Select [Appl.Meas], [Bas.Meas] or [Control] from Select Application.
b To select [Appl.Meas] or [Bas.Meas], select a mode from Select Target View Mode.
c Select the measurement function from the Select Mode Items list.
 The selected measurement is highlighted.
4 Select [Insert].

SW Assignment
4-5-3 Presetting Direct Switches: Measure SW Assignment
Register in advance the measurement item with a direct switch.
1 Display the Measure SW Assignment.
2 Select a switch to change.

 A dialog box is displayed.
3 Select the menu you want to assign.

a Select [Appl.Meas], [Bas.Meas] or [Control] from Select Application.
b To select [Appl.Meas] or [Bas.Meas], select a mode from Select Target View Mode.
c Select the measurement function from the Select Mode Items list.
 The selected measurement is highlighted.
4 Select [Insert].
5 Assign it to Direct Switch.

NOTE: For details on how to make direct switch registrations, refer to the separate “Basic Operations” volume.

SW Assignment
4-5-4 Measurement Control Menu Settings: Control Menu Assignment
Sets functions to run in parallel during measurement to the Measurement Control Menu on the touch
panel.
The Measurement Control menu allows you to select from the following functions.
Clear Clears all measurement results.

Video Calib Calibrates VCR playback measurements.
Trace Smooth Smooths the Doppler trace line.
Trace Manual Switches Doppler auto trace to manual trace.
Locate Moves the location that displays measurement results.
Data Shift Shifts the window that displays measurement results horizontally or vertically.
Beat Select Select a heartbeat when multiple heartbeats are traced using the Doppler Auto
Trace function.
Search Activates the search function.
Graph Displays an obstetric graph (only for gynecological measurements).
Report Displays reports.
Send SR Creates and sends SRs.
Mark Display Select to display multiple caliper marks or display marks only during measurement.
1 Displays the Control Menu Assignment.
2 Select the menu location.
3 Select the assigned menu from the Select Control Items list.
 The selected menu is highlighted.
4 Select [Insert].

Recycling or Disposal
Recycle or dispose of this equipment properly according to your organizational rules and your
local laws.
This symbol on the equipment or on its packaging indicates that this equipment 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 products. By ensuring this equipment 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
equipment. The recycling of materials will help to conserve natural resources.
The equipment contains a primary battery (lithium battery). You should recycle or dispose of this
equipment properly according to your organizational rules and your local laws. For more detailed
information about recycling of this equipment, please contact one of our offices as listed on the back
cover, or your household waste disposal service.
MN1-6233 rev.3
Manufacturer
Hitachi, Ltd.
2-16-1, Higashi-Ueno, Taito-ku, Tokyo, 110-0015, Japan
Contact
+81-3-6284-3668
http://www.hitachi.com/businesses/healthcare/index.html
Hitachi Medical Systems GmbH

Otto-von-Guericke-Ring 3
D-65205 Wiesbaden, Germany
”EC REP” means the name and address of the authorized representative in the
European Community.
Revision: 3
Revision Date: 2018.03.16
MN1-6233 rev.3 020100 20180316

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Diagnostic Ultrasound System

Trademarks and Registered Trademarks

The safety symbols have the meanings shown below.

This symbol means attention is required.

This symbol indicates a prohibition.

This symbol indicates a mandatory action.

I) Precautions concerning the use and management of this device

II) Precautions concerning device installation

 Install the device in accordance with “Instructions for Use”.

External dimensions Width: 550 mm ±10%, Depth: 900 mm ±10%

 Protection against electric shock (applied parts): Type BF applied part

– Probes and scanner

Parts handled as applied Length between B

Body surface Ultrasonic irradiation area (D) Between A and B 100 cm

Intraoperative Ultrasonic irradiation area (D) Between A and B 20 cm

Inside the body cavity Between A and C Between A and C –

– ECG, PCG, Pulse

ECG patient lead

 Protection against electric shock (Defibrillation-proof applied parts): Not suitable

 Protection against infiltration by water or particulate substances

– Probe applied part: IPX7 (rated for brief immersion in water)

MP-2345B: IPX8 (rated for continuous immersion in water)

– Other Details: IPX0 (ordinary equipment)

 Suitability for use in an oxygen rich environment: Not suitable

 Operation mode: Continuous operation

1-2 Measurement Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

1-3 Calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

2-2 B mode Measurements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

2-3 M mode Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

2-4 D mode measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

2-5 CF mode measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

2-6 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

3-2 Report Editing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

3-3 Report Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

4-2 Displaying Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

4-3 Measurement Settings: Create Measurement Tools . . . . . . . . . . . . . . . . . . . . 135

4-4 Study Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

4-5 SW Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

MN1-6233 rev.3 Basic Operations | 11

1-1 Overview of measurements using this instrument

 Basic measurements (Basic Measurements)

 Basic measurements (Basic Measurements) in Application Measurements (Application

– Basic measurements to measure distances and areas

– Measurements that are part of all applications

– Basic measurement results can be used in application measurements.

 Application measurements (Application Measurements)

– Application measurements consist of Studies that compile measurement parameters by application.

Application Measurement study example

12 | Basic Operations MN1-6233 rev.3

 Print necessary parts of reports as hard copy.

 Output measurement results and findings from reports as CSV files.

 Create DICOM SR files and send them to a DICOM SR server.

MN1-6233 rev.3 Basic Operations | 13

1-1-1 Operation panel

The following are the main keys used for measurements.

(1) Touch panel The Measurement menu is displayed.

(2) [New Patient] key Open the ID input screen.

(4) [T.B.F.] Key Changes the state of the trackball function.

(5) [Cine Search] key Changes the trackball function to Search.

(9) [L] key Switches the active caliper.

(10) Trackball Used to move measurement marks.

(11) [Pointer] rotary encoder Trace line is removed gradually.

14 | Basic Operations MN1-6233 rev.3