EPIQ 7 Ultrasound System Quick Guide

[Page 1] English Quick Guide EPIQ 7 Ultrasound System

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[Page 3] Image Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Color . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 2D Optimization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Tissue Harmonic Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Unlabeled Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Labeled Measurements and Calculations. . . . . . . . . . . . . .29 Image Optimization Measurements and Calculations Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Soft Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Trackball Controls and Icon. . . . . . . . . . . . . . . . . . . . . . . . . .9 Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Start Patient Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Select Transducer, Preset, and Imaging Mode. . . . . . . . . .12 Contrast Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Acquire Single Images and Loops . . . . . . . . . . . . . . . . . . . .19 Print Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Review Images and Loops . . . . . . . . . . . . . . . . . . . . . . . . . .20 End Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Export Exams and Images . . . . . . . . . . . . . . . . . . . . . . . . . .20 Contents For easy reference, each section is color-coded. The color of each section title correlates with the color band on each page in that section. Controls Perform an Exam

[Page 4] Move the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 System Setup After Moving . . . . . . . . . . . . . . . . . . . . . . . . .43 System Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Tips Type Annotations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Add Annotation Labels and Arrows. . . . . . . . . . . . . . . . . .32 Erase Labels and Arrows . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Use Body Markers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Start a Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Create a New Exam Protocol . . . . . . . . . . . . . . . . . . . . . . .35 Create a New Stress Echo Protocol . . . . . . . . . . . . . . . . .37 Viewing and Editing Reports . . . . . . . . . . . . . . . . . . . . . . . .39 Power Management Feature . . . . . . . . . . . . . . . . . . . . . . . .41 Battery and AC Power Status Indicators . . . . . . . . . . . . .41 Battery Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Sleep Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Annotation Protocols Reports Power Management

[Page 5] User Manual or the Description Description or Action : Quick Guide Quick Guide to help you perform an ultrasound exam step-by-step. For more information, see the system Ultrasound-scan area on the imaging display Information displayed on the screen of the monitor Move pointer or cursor to an item and press the left or right trackball button to activate or deactivate an item Indicates a system component or a display element Indicates a step and the control location or system component associated with the step shown in an illustration Indicates a step with no callout on an illustration Quick Guide Term 2 2 2 Style About This Guide Use this Conventions These terms are used in this Image/image area Imaging display Select, deselect These numbering styles are used in this

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[Page 7] 1 4 8 2 3 and Acquire 2 Erase , , and , and Focus ABC Label , controls Acquire 1 control , Depth control Touch screen On/Off button Sleep Mode control Soft key controls Imaging mode controls TCG slide controls Measure Pointer Trackball and trackball buttons iSCAN controls Zoom controls Dual Support 1 2 3 4 5 6 7 8 9 Control Panel 10 11 12 Controls

[Page 8] 2D Opt 2 1 soft key label, or 2D Opt soft key control. on and off, touch the 2D Opt 2D Opt For example: To turn press the To switch among available optimization settings, turn the soft key control. Touching a soft key label selects a function. You can also press a soft key control to switch among the available functions. Turning a soft key control sets the selected function’s value. Touching the page indicator displays the next page of touch controls for a function, if one is available. You can also swipe the touch screen with the tip of your finger to move between touch screens. Soft key controls Soft key labels Soft key screen page indicator Controls Soft Keys The soft key controls are located along the top of the control panel. Corresponding soft key labels are at the bottom of the touch screen. Labels indicate the available functions, which depend on the active mode, preset, and transducer. • • •

[Page 9] 3 1 setups.) Pressing the middle trackball button Trackball buttons have the functions indicated by the trackball arbitration icon on the imaging display. Functions change to match your current task. In menus, using the trackball to move the pointer to an item, and then pressing left or right trackball button, selects or deselects the item. During measurements, pressing the left and right trackball buttons switches between anchor points by default. (You can configure the left and right buttons for other functions in the Analysis completes measurements. Trackball and trackball buttons High-use controls Trackball arbitration icon (with button-function labels) Trackball Controls and Icon • • • Controls

[Page 10] Contrast Panoramic , or Workflow area Tabs Controls Soft key labels Transducers and presets Tools Sub-mode controls (such as Biopsy General-purpose soft keys Page indicator Dynamic imaging-mode soft keys 1 2 3 4 5 6 7 8 9 Controls Touch Screen 10

[Page 11] or batch export. For more Send as You Go End Exam to start the exam. You must complete patient data or use a temporary ID to acquire , and then enter any study-related patient history. Temporary ID . key, or use the trackball to move the cursor. Study Type . Help Tab Patient and verify the 1 . Now you can select the transducer and preset. See “Select Transducer, Preset, and Imaging Mode” on page 12. Procedure Done If patient data is unavailable, use and save images and loops. Patient data can be entered within 24 hours, unless the system is configured for information, see the system If the system is connected to a network information system that provides patient data, you can select the patient from the modality worklist provided. At the end of the exam, to save the study data and exit the exam, touch To begin an exam, touch For a new patient, enter patient data. The last name is required. Move between fields using the Select a Click • • • • Start Patient Exam Begin an exam by completing the patient data, selecting a transducer, and selecting a procedure and study type. NOTES Perform an Exam

[Page 12] 1 c (Doppler) displays a spectrum of blood-flow CW displays directional color velocities with a 2D image. (Color Power Angio) provides color amplitude information (pulsed-wave Doppler) displays a spectrum of blood-flow displays a 2D image and returns to 2D from any other mode. displays a touch screen tab that lists the available 3D modes, Connect a transducer. Names of all connected transducers appear at the top of the touch screen. Touch the name of a transducer. Touch one of the displayed clinical applications/presets. On EPIQ 7C, information along an interrogation line. On EPIQ 7G and 7W, CPA (not blood-flow-direction or velocity). PW velocity information using a discrete sample volume at a specific location. 2D Color 3D which depend on the active transducer and preset. 1 2 3 1 2 3 4 5 Perform an Exam Select Transducer, Preset, and Imaging Mode Presets include default image optimization, calculation options, and mode settings. Available presets are transducer-dependent. During an exam, you can switch transducers and presets as needed. Imaging Modes Accessed from Control Panel

[Page 13] touch screen tab. 3D to display the 3D Press Touch a 3D mode. See “3D and xPlane Imaging Modes” on page 16 To optimize the image, use the soft keys. To start 3D imaging: and begin a CW 2D , or depending on your system configuration, CPA Color or (on cardiac systems only) or 2D PW Press press or touch In Color or CPA, adjust the ROI box size and position using the trackball. To optimize the image, use the soft keys. Press To position the PW sample volume (interrogation point), use the trackball. To activate the spectral display, press the middle trackball button. To optimize the display, use the soft keys. To perform measurements, press measurement. To exit Doppler, press 1 2 3 1 2 3 4 5 6 To use 2D, Color, or CPA imaging: To use PW or CW Doppler: Perform an Exam

[Page 14] and begin a M-mode Touch Use the trackball to move the M-line to the anatomy of interest. In noncardiac applications, press the middle trackball button to display the trace. In cardiac applications, the trace appears automatically. Use the trackball to adjust the M-line. To perform measurements, press measurement. To use M-mode: samples across the 2D image to display moving (strain and liver shear wave elastography) displays (Color Power Angio imaging) provides color amplitude (Tissue Doppler Imaging) displays tissue-motion Elasto information (an elastogram), about tissue stiffness or elasticity. Available only on certain transducers. For details and full procedures, see the system M-mode structures over time on a sweeping display. CPA information (not blood-flow-direction or velocity). CPA may be on the control panel, instead of the touch screen, depending on your system configuration. TDI information for 2D images. Can be used with PW Doppler or Color. Some imaging modes may be unavailable, depending on your system configuration. Perform an Exam Imaging Modes Accessed from Touch Screen NOTE

[Page 15] M-mode . Position the PW . TDI In 2D mode, touch To start PW TDI while in 2D TDI, press sample volume on myocardial tissue. To switch between 2D TDI and M-mode, touch To position the interrogation line, use the trackball. To optimize the image, use the soft keys. To perform measurements, press 1 2 3 4 5 6 To use TDI: CPA Res/Pen . For more information, , and adjust CPA gain by 2D Measure Elasto CPA Elasto Depending on your system configuration, touch or press Adjust the ROI box size and position by using the trackball. Adjust the 2D gain by turning turning Select a transducer that supports elastography. Touch Define the region of interest by using the trackball. To improve resolution or penetration, touch Use other touch screen controls as needed. In strain, compression feedback information appears in the bar to the right of the image. In shear wave, to complete a tissue- stiffness measurement, touch see the system To exit elastography, touch 1 2 3 1 2 3 4 5 6 7 To use CPA imaging: To use strain or liver shear wave elastography: Perform an Exam

[Page 16] 16 6 7 displays multiple fetal heart cycles in a single sweep 5 STIC acquired with a mechanical transducer. The system then processes the acquired data to calculate the fetal heart rate and create a volume cineloop sequence of a single composite heart cycle. Some 3D imaging modes may be unavailable, depending on the configuration of your system, the transducer, and the preset. NOTE displays the image in xPlane preview. Also displays an extended view of a 3D volume displays an uncalibrated series of 2D frames in displays a volume that is wide in both azimuth and / Preview displays two orthogonal simultaneous live images. displays multiple fetal heart cycles in a single sweep. The displays 3D volume data from a single sweep acquisition. displays a continuous acquisition of multiple 3D volumes that 3D Display formats include 4:1, 2:1, and 1:1. 4D captures 3D data as well as movement (4D). Display formats include 4:1, 2:1, and 1:1. iSTIC system then processes the acquired data to calculate the fetal heart rate and create a volume cineloop sequence of a single composite heart cycle. Requires an xMATRIX transducer. Panoramic 3D enabling acquisition of more anatomy in one volume. You can complete unlabeled measurements in the volume rendering view and labeled measurements in the multiplanar views. xPlane Requires an xMATRIX transducer. 3D Zoom be used to enter 3D Zoom from 2D zoom or xPlane zoom. Full Volume elevation, enabling capture of the entire heart in the volume. Freehand 3D cine memory for 3D volume rendering. After acquisition, the system renders a 3D volume image from the 2D frames. 1 2 3 4 5 6 7 8 Perform an Exam 3D and xPlane Imaging Modes

[Page 17] 2D Acquire 2 or Acquire 1 , touch one of the 3D acquisition controls, and go 3D Press to step 3. Begin scanning. The X7-2t and the X5-1 transducers begin 3D scanning automatically when you select a preset. Select a 3D transducer and preset. (This and your system configuration affect which 3D acquisition modes are available.) Do one of the following: • • Use the 3D touch screen controls to optimize and manipulate the 3D data. To save the 3D data, depending on how you have configured your system, press To exit 3D and return to live 2D imaging, press To use Live 3D cardiac Imaging: Start 2D Stop 3D touch screen controls to optimize and manipulate and touch one of the 3D acquisition controls. 3D 3D Select a 3D transducer and preset. (This and your system configuration affect which 3D acquisition modes are available.) Press When you are ready to begin 3D imaging, touch To freeze or stop 3D imaging, touch Use the the 3D data. Save 3D data using the controls on the touch screen or control panel. To exit 3D and return to live 2D imaging, press 1 2 3 4 5 6 7 To use Live 3D general imaging: Perform an Exam

[Page 18] settings on Volume Flash and the TGC gain only as . Flash Power and again. touch screen, touch Output Power touch screen. . Contrast Timer . MPR Flash Frames 3D or or Flash 2D Contrast Contrast Timer Touch Adjust the the Using the X5-1 or X6-1 transducer, on the Render Touch Begin imaging. Adjust needed. After the contrast agent is injected and the saline flush is complete, touch To use Flash, do one of the following to trigger the flash frames: • • • To reset the timer during a new injection of contrast agent, touch Contrast Imaging Color xPlane again. Lateral , position the zoom box at Zoom or Zoom Rotate Elevation to select Tilt Select an xMATRIX transducer and touch Touch To place the tilt indicator along the anatomy of interest, use the trackball. To apply the tilt to a color-flow image, press To rotate the image, turn To magnify the image, press the anatomy of interest, and press 1 2 3 4 5 6 Perform an Exam To use xPlane imaging:

[Page 19] controls Alt Print , and . controls to start and stop Acquire 2 Acquire , Acquire 2 or Acquire 1 Acquire 1 Press Touch Alt Print or another touch screen printing control. Configure the in the setups. Display the live or frozen image that you want to print. Do one of the following: • • You can also configure the DVD recording. Print Images To print still images: NOTE . control that you have Acquire , depending upon how you have buttons can be configured to print, save soft key to set the loop duration. Acquire 2 Acquire 2 or Loop Length and Press Use the trackball to scroll to the frame that you want to acquire. To acquire the image, press the configured for image acquisition. Use the In live imaging or while reviewing a cineloop sequence, press Acquire 1 configured your system. 1 2 3 1 2 Acquire Single Images and Loops You can acquire and save a single frame or a cineloop sequence. The frame or sequence is saved in the patient study, and a thumbnail is available in the live imaging display and the Review display. Acquire 1 images to the hard drive, and to send to PACS in the setups. For configuration instructions, see the system To acquire a still image: To acquire image loops: Perform an Exam

[Page 20] . . . . (JPEG or AVI). OK OK PC Format Deidentify DICOM Data Deidentify DICOM Data , or dialog box, select one or more destinations: dialog box, select one or more destinations: Select All . display, select one or more images. . Media or Send To Send To Review Send To Send To In the Patient Directory, select one or more exams. To select all exams, click Click In the Network To remove identifying information from the DICOM data sent with the exam, select To send the selected exams, click In the Click In the Network, Media To remove identifying information from the DICOM data sent with the image, select To send the selected images, click 1 2 3 4 5 1 2 3 4 5 Export Exams and Images To export an exam in DICOM: To export an image: to adjust the speed of a loop. again to close review and return to live . to stop playing a loop. . End Exam to cycle through available thumbnails. Review Review Patient Page Cine Speed Touch Use Display a single image full screen or 4 images by touching Layout. Press Use Touch imaging. Touch Update the patient data, if necessary. Click or touch 1 2 3 4 5 6 1 2 3 Perform an Exam Review Images and Loops To review the acquired images and loops of an exam: End Exam To end an exam: