HI VISION Preirus User Manual - Q2E-ES1155-15 PDF

User Manual
Special Notes to Operators and Maintenance Managers
★ Before using this system, be sure to thoroughly read this manual and familiarize
yourself with the system.
★ After reading this manual, keep it near the system, in a handy location where you
can refer to it easily.
Tokyo, Japan
Copyright © Hitachi Medical Corporation. 2009-2014. Ａll rights reserved.
Q2E-ES1155-15
About the ultrasound scanner display
Note that the ultrasound scanner display referred

to in this User Manual might differ from the display
actually displayed.
A table of contents
Before starting examination

Turning the Power ON or OFF 1
Panel Key Description 2
Examination screen (Screen buttons) 3
Selecting the Examination Conditions 4
ID Input 5
Examination of each mode

B Mode 6
M Mode 10
Color Mode 11
Doppler Mode 12
Real-time Tissue Elastography ※

Display 14
Strain Graph 15
Strain Ratio, FLR, Strain Histogram Measurement 16
ECG and Physiologic Module ※ 17

BodyMark 19
Comments and Annotations 20
Basic Measurement 21
Filing
Media Handling 24
Formatting 25
Recording and Loading Images 26
Image Search and Play 27
Copy to media and Edit 28
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option
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A table of contents
Contrast Echo ※
Startup and Exit 29
Adjustment 30
MTI・TIC 31
Real-time Virtual Sonography ※

Preparation 32
Startup and Exit 34
Loading volume data 35
Volume data adjustment 36
Corresponding to the SYNAPSE 3D data 37
3D body mark 38
Marking function 39
RVS mode start 40
Adjust 41
Performing when RVS mode is executed 42
Combination of RVS and Contrast mode 43
Advanced Measurement ※
IMT 44
%WT 45
Color Tissue Tracking 47
LA Tracking 49
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A table of contents
4D (Real-time 3D) ※
Preparation 51
Scanning, Volume operation 52
Function 53
Volume Data Save and Load 54
HI DEF 3D (Scanning) 55
HI DEF 3D (Function) 56
HI DEF 3D (Multi Slice mode) 57
HI DEF 3D (CFM 3D mode) 58
STIC function ※ 59
3D (Freehand 3D) ※
Preparation 60
Scanning 61
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Turning the Power ON or OFF
Turning the Power ON

① Turn the Breaker switch ON.
Breaker switch
② Press the ON/STANDBY key.

The operation panel lights up, and the device starts up.
Start-up Examination
screen ready screen
③ Cancel the FREEZE key to start examination.
Turning the Power OFF

① Press the ON/STANDBY key.
② Click the OK button in the message.

The light of the operation panel goes out completely
black when the device shuts down.
Before turning the Breaker switch off, make sure

that the system has completely shut down.
③ Turn the Breaker switch OFF.
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Panel Key Description
『ON/STANDBY』 Key 『Elasto/TDI mode selection』 Key

Powers on or shuts down the Activates Elasto or TDI mode.
device. Note that the activated mode depends on
the settings.
『PROBE』 Key
Displays the probe switching dialog 『Dual Doppler Mode』 Key
box. Activates Dual Doppler.
『End Exam』 Key 『Fine Flow / CFA Mode』 Key

Image Print, transfer images to Switches Fine Flow or CFA on or off.
storage servers, and delete Note that the mode depends the
measurement results. settings.
『Patient』 Key
『HI Zoom』 Key
Displays dialog boxes for entering or
Turns high-definition zoom on or off.
modifying patient information.
『PSS』 encoder
Switches between the image 『PAN Zoom』 Key
adjustment parameter settings (data Turns PAN zoom on or off.
registered from the PSS setup menu).
『Multi』 encoder 『READ』 Key

Operates the function selected from Starts the Filing window.
the screen button area.
『Image Menu』 Key 『UPDATE (NEXT)』 Key

Reflects the image adjustment Initiates the sweep of Doppler Mode
parameters on screen buttons. or M mode.
『Function1』・『Function2』 Key
Activates the preset option functions or
displays a list of options in the form of
screen buttons.
Panel key colors

Illuminated in orange: The key is selected.
Illuminated in white: The key can be selected.
Not illuminated: The key cannot be selected.
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Examination screen (Screen buttons)
Area to display tab menu
Area to display thumbnail

Screen button area.
Can be operated by touching directly.
How to use the screen buttons Types of screen buttons

You can use the screen buttons in any of the Turns the selected
following ways:
function on or off.
- Directly touch the button. ON OFF
- Use the pointer by means of the trackball and the
ENTER key. Refreshes the screen buttons so
that they reflect the selected function
menu.
Menu
You can operate the selected
function using the Multi encoder.
Or, you can operate also by screen
Encoder button Up/Down.
- Use the Function keys on the operation panel. Scrolls through functions when the
button is pressed.
Rotation
Executes the selected function
when pressed.
Push
The actual buttons displayed vary depending on the examination mode.
Function keys
Multi encoder
Performs operations related to the
Encoder Func. button selected
from the screen button area.
System Information Display

Operating state of Multi encoder is
displayed here. *Possible to operate by screen buttons as well.
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Selecting the Examination Conditions
Selecting the probe and application

Press the PROBE key to display the Select Probe/Application window.
1 2
Use the trackball to move the pointer on the window.
Present application is displayed here.

① Select the probe to be used.
② Select the application, and then press the ENTER
key.
The selected application is activated,

and the probe is selected.
You are ready to scan the patient.
Selecting from the default application
The default application functionality allows you to assign frequently used application settings for each probe.
For details on how to assign application settings for each probe, see the instruction manual for the device.
① Use the trackball to move the pointer on the window.

② Place the pointer over the default application for the
desired probe, and then press the ENTER key to
select it.
The selected application is activated, and the probe

is directly selected.
You are ready to scan the patient.
Creating a new application (Editing)
You can add a new setting to the applications registered for each probe of the equipment, or edit the
registered application settings.
For further details, see the instruction manual.
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ID Input
Entering patient information

① Press the Patient key to display the Patient Information window.
② Enter the ID from the keyboard.
Use the trackball to move the pointer on the window, and then press the
ENTER key to select the next item to be entered.
Enter patient information, and then click the Save button to save
the data. The next time you don’t have to enter ID, you can
select from the list of IDs displayed in the lower part of the
window.
The item to be entered varies depending on the display format.

Standard
OB/GYN
The ID and name entry fields can be enlarged.

To do this, press the Patient key and the Setting button in the lower right corner of the Patient Information
window.
Select Large for Font size on page Item setting.
③ After you enter the necessary information or made the

necessary changes, place the pointer over the Start Exam
button, and then press the ENTER key.
Automatic assignment of ID number

① Press the Patient key.
② Press the Start Exam key without inputting ID.
③ Press the OK button from Confirmation screen.

ID number is automatically assigned.
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B Mode ①
B Mode image display Changing frequency
Brighter Higher
frequency
Press the center of the B

Mode encoder.
Lower
frequency
Darker
Turn the encoder to adjust the gain. * Frequency indication is not displayed
according to the mode used.
Use the HI-Support key to
optimize the B gain and depth-
specific gain.
Display depth Focus position
Shallower display depth Shallower
Deeper
Deeper display depth
Use the DEPTH (MAG.) encoder to change the

display size.
Focus settings
To display the focus-related screen buttons, press the Focus Set. button.
Focus Set.
To go back to the general menu, press the Focus Set. button again.
Focus step Focus width

# #
Focus Step Focus Width
Increase steps Increase width
Decrease steps Decrease width
Note: Enabled only if the focus width is greater

than 1.
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B Mode ②
Display settings
To display the display setting menu, press the Display Set. screen button.
Display Set. To go back to the general menu, press the Display Set. button again.
Left/Right inversion Up/Down inversion
To invert the displayed image horizontally, To invert the displayed image vertically,
press the Invert L/R button. press the Invert U/D button.
Changing the depth Steering images
Up/Down Shift Image Steering

Deeper
Shallower
To change the depth, activate the Up/Down Shift To steer the image, activate the Image Steering
button, and then use the trackball. button, and then use the trackball.
Image Size Viewing Angle/Display Width
# #
Image Size Angle
Increase size Wider
Decrease size Narrower
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B Mode ③
Selecting Harmonic Mode Spatial Compound (HI Com)
Compound imaging by multidirectional scanning

dTHI Use of HI Com
When dTHI is on, use the REF FREQ key to shift
HI Com ON
through the following modes:
HdTHI-R: High definition

(Standard) mode HI Com OFF
HI Com ON/OFF are switched with each pressing of

Up HdTHI-P: High definition
(Deep scan) mode
HI Com button.
Steering HI Com
dTHI-W-R: High resolution
(Standard) mode HI Com HI Com is on.
To change the compound direction, use the
Down dTHI-W-P: High resolution
(Deep scan) mode
OBLIQUE toggle. Changes can be made at a
maximum of 3 levels in each direction.
Left Steering Right
dTHI-R: Standard mode OFF
dTHI-P: Deep scan mode Level 3 Level 2 Level 1 Level 1 Level 2 Level 3
*Different by probes.
※ Level 3 can be selected only during a linear probe, with the
emphasized effect of a puncturing needle.
Oblique B Mode image
(for linear probe only)
HI Com HI Com is off. Trapezoid display (for linear probe only)
Trapezoid
B Mode
Image
To switch the trapezoid display mode ON or OFF,

press the Trapezoid button.
Select of needle guide bracket
Registration of a needle guideline needs to be When two or more needle guide brackets are
registered for every probe. registered, please choose from the Tool tab menu
Please carry out registration by the service and Bracket Select.
member.
GUIDE
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B Mode ④
HI Zoom PAN Zoom

This feature allows you to enlarge only the ROI You can enlarge an image and then move it to
(region of interest) and render it in high definition. change its display position.
This will also increase the frame rate.
Press the HI Zoom key.
ROI is displayed.
Press the PAN Zoom key.
Use the trackball to move the ROI
to the desired location.
Enlarge
To change the size of the ROI, press the ENTER key.

A dot (z) appears at the lower right corner of the ROI. Reduce
Use the trackball to change the size of the ROI.
If you press the ENTER key again, or do not touch Use the trackball to change the display position of
the trackball for over five seconds, the mark the image.
disappears, and the ROI can be moved again. Press the PAN Zoom key again to cancel the zoom
mode.
Press the UPDATE (NEXT) key
to the zoom mode.
.
Press the HI Zoom key again to
cancel the zoom mode.
Frame-by-frame playback of cine Dual display

memory To switch between single-window
Press the CINE key after freezing the image. and dual-window mode, use the
DUAL/SINGLE key. When use the
linear probe that can use Up/Down
display.
* To change Up/Down display, select a Setup-Application-Edit
Data-Application Data Setting-B item-Image split.
Real-time
Cine memory images can be played back by frame
Real-time Frozen
with a trackball. Frozen
Frozen
Frozen Real-time
Real-time
To switch between the Left(Up) and Right(Down)

windows, use the L(U) and R(D) keys.
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M Mode
M Mode display Omni-directional M Mode (ODM Mode)

display
Press the center of the M Mode encoder.
Press the M Mode encoder again to exit M To switch ODM Mode ON or OFF, press the ODM
Mode. button displayed during M Mode.
Brighter
Normal M Mode ODM Mode
Turn the encoder to adjust the gain.
Darker
To play the M Mode cine memory images frame by
frame, freeze the display, and then turn the M ODM ODM
Mode encoder.
(If this causes the gain to change, press the center
of the encoder and then turn it.)
Moving the M Mode cursor Rotating and moving the ODM cursor line
Use the trackball to move the cursor right or left. Turn the Angle encoder so that the cursor line rotates
around the { mark.
Press the center of the encoder to turn the cursor line
45 degrees at a time.
Use the trackball to move the cursor line position.
Dual ODM display
To switch between Single Directional ODM and Dual Directional ODM, press the Dual ODM button.
The ODM image indicated by
the ODM Symbols mark .
Dual ODM
The ODM image indicated by

the ODM Symbols mark .
Use the UNDO key to select the ODM cursor to be moved.

The selected cursor is highlighted in yellow.
During Dual ODM you can use screen buttons to switch between the two cursor line control options.
Independent Both cursors have their own rotation center, and therefore move separately.
Independent Both cursors share the same rotation center, and therefore move together.
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Color Mode
Color Doppler (CFI Mode) display Tissue Doppler image (TDI Mode) display
Press the center of the CFI Mode encoder. Press the Elasto/TDI Mode encoder to switch TDI
To exit CFI Mode, press the CFI Mode encoder again. Mode ON or OFF.
Brighter Turn the encoder to adjust the
gain.
* Depending on the probe or
Turn the encoder to adjust the gain. application being executed,
this might cause the Elasto to
be activated. For details, see
Darker the Instruction Manual.
Switching between the Power Doppler Changing the position and size of the
(CFA Mode) and Fine Flow modes color box
Press the Fine Flow/CFA Mode key.
To exit Fine Flow mode, press the Fine Flow/CFA
Mode key again.
Turn the CFI Mode encoder to

adjust the gain.
Use the trackball to move
the color box.
Fine Flow and CFA are switched by each pressing

of a screen button.
To CFA To Fine Flow
Fine Flow mode is selected. CFA is selected. To change the size of the ROI, press the ENTER
(High-definition blood flow key. A dot (z) appears at the lower right corner of
power display) the ROI. Use the trackball to change the size of the
ROI.
Changing the velocity range Parallel display of colored and black-and-

Higher velocity
white images
To switch the parallel display ON or OFF, press

the Dual CFM button.
Lower velocity Dual CFM OFF Dual CFM ON
Oblique color box (for linear probe only)
Dual CFM Dual CFM
* Depending on the linear probe application being executed,

Tilt the OBLIQUE key in the direction to which you this might cause the Up/Down image be activated.
want to tilt the ROI.
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Doppler Mode ①
Doppler Mode display

To activate Pulse Doppler, press the PW Mode encoder.
To activate Continuous Wave Doppler, press the CW Mode key.
To exit the current mode, press the same encoder or key again.
When you cannot get the Doppler wave form just by Doppler cursor, press UPDATE (NEXT) key to start the sweep of Doppler wavform.
To adjust the gain, turn the PW Mode encoder.
Use the trackball to move the Doppler cursor.

If the Doppler cursor is not yellow, press the TRACKBALL key to turn it
yellow, and then move the cursor.
Pulse repetition frequency (PRF) Sample gate adjustment

adjustment
Greater Wider
PRF
Less Narrower
PRF
Wall filter Volume adjustment

Higher volume
You can change the signal removal level.
Remove higher frequency #

Sound Volume
Lower volume
Remove lower frequency Select the Sound Volume button, and then use the
Multi encoder to adjust the volume.
Switching of simultaneous Real-time Angle correction

display
Press the encoder to bring up the angle bar.
Slightly turn the encoder to adjust the bar so that it
Simult. Real-time Frozen is aligned with the direction of blood flow.
OFF
Frozen Real-time Clockwise
Simult.
blood flow.
Simult. Counterclockwise
ON Real-time
Every time the encoder is pushed, the display in
Real-time registered angle, reversing, and erasing of the angle
bar are repeated.
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Doppler Mode ②
Dual Doppler Mode display

Press the Dual Doppler Mode key.
Turn the PW Mode encoder to adjust the gain.
If only the Doppler cursor is displayed with no waveform shown, press the UPDATE (NEXT) key.
Moving and changing the Doppler cursor
Press UNDO key to switch the priority of Doppler cursor.
The cursor is displayed in yellow

when it is active.
Doppler image
corresponding to
Doppler cursor 1
Move yellow Doppler cursor with a trackball.
Doppler image
corresponding to
Doppler cursor 2
Once frozen, you can also change the Doppler cursor by
pressing the screen button marked Sel.Dop..
Sel. Dop.;D1 Sel. Dop.;D2
Doppler image of Doppler image of

the upper window is the lower window is
displayed displayed
Combinations of Dual Doppler images

Use screen buttons to switch between combinations of Dual Doppler images.
PW/PW PW/TDI TDI/TDI
PW PW TDI
PW TDI TDI
D1:PW D2:PW D1:PW D2:TDI D1:TDI D2:TDI
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Real-time Tissue Elastography
Display option
Display Elasto Mode

To turn the Elasto mode ON or OFF, press the Elasto/TDI Mode key.
* Depending on the probe or application that is being executed, the TDI is activated.
* When using mechanical compression unit (option) for intraluminal probe, select “E_Balloon_Urology” in
“Select Probe with Application” screen, and boot up the Elasto Mode.
Parallel display of the Elasto Mode and B Mode images
The Dual Elasto screen button switches the display.

* Depending on the linear probe application being executed,
this might cause the Up/Down image be activated.
Dual Elasto Dual Elasto
ROI adjustment
① Make sure that the mark is selected and illuminated in yellow in the trackball priority section in the
lower right of the examination window.
If not selected, press the TRACKBALL key to select the trackball.
② Use the trackball to move the ROI or change its size. To switch between the two functions, press the
ENTER key.
The ROI size is fixed. Use the trackball to move If the z mark appears in the lower right corner of
the ROI to the desired location. the ROI, you can change the size of the ROI. Use
the trackball to adjust the size of the ROI.
The ROI can be adjusted not only in real time image but also in frozen image.
Press the ROI ReConfig. button, and
then set the ROI as described in steps 1
ROI ReConfig. and 2 above. Pressing the ROI ReSet
button returns the ROI to its state
immediately after the freeze. Canceling
Frozen the freeze state causes the ROI to
Use the trackball to
select the frame. return to the location before the freeze.
Image quality adjustment

To adjust the Elasto frequency, use the REF FREQ key. High：Image quality priority
(Depending on the probe, the frequency might be fixed.)
Low：Sensitivity priority
To make other adjustments, press the Image Menu key, and then use the displayed screen buttons.
Prev.Page Next
E-Dyn. MapL MapR Frame Rata Frame Rej. Noize Rej. Persistence Density
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Strain Graph option
About Strain Graph
The strain graph displays the variation over time of tissue strain caused by compression in real time.
Pressing the tissue which you want to image so that the periods and amplitudes of the Strain Graph are
constant makes it possible to create a stable Elasto Mode image.
Pressing probe (applying pressure to tissue) → Positive value
Withdrawing probe (releasing pressure from tissue) → Negative value
* Stronger pressure increases the amplitude. Gentler pressure reduces the amplitude.
Display Strain Graph
【Freeze OFF】【Freeze ON】
Sector mode
Select Strain Graph Sector
Press the Sector button and use the encoder
to set the number of sectors.
If the frame is changed with the
# trackball, the sector box operates
Sector
synchronizing with the time phase bar.
* Sector mode is activated by specifying 1 or more

for the sector setting. Frame selection
Recording video image at the time of Sector mode

When Recording Multi Images using the REC2 key during the freeze, Multi Images in the Sector are
recorded automatically.
Frame Select Function

This function displays Elastography images under stable compression automatically. Each time the Frame
select button or UPDATE (NEXT) key is pressed, three candidate images extracted by the system are
displayed in rotation.
Frame select;#
* When executing by means of the
UPDATE (NEXT) key, before
executing change the trackball
priority to cine memory frame-by-
frame playback or to the pointer.
Stable pressure Unstable pressure

Image is selected
automatically.
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Strain Ratio, FLR, Strain Histogram Measurement option
About strain ratio and FLR measurement

The strain ratio measurement allows you to use an Elasto mode image to measure the “strain” and “compare
the strain”.
For the breast, setting the ROI as shown in the left figure allows you
ROI－B
to estimate the strain in both the fat and lesion regions and then
Fat calculate the FLR, or the fat-lesion ratio.
Lesion
A …The mean strain within the region surrounded by ROI-A

ROI－A B …The mean strain within the region surrounded by ROI-B
B/A…The comparison of strain within ROI-A to ROI-B (Strain Ratio)
Measurement results
* The strain is expressed as a percentage (%). For example, if a
100-mm object has a strain of 1 mm, the strain is expressed as 1%.
Strain Ratio
① Select a Str. Ratio from Measurement Menu.
② Move the cross cursor displayed in the center of the screen to
the desired starting point of ROI-A, and then press the ENTER
key.
③ Move the next displayed cross cursor to the desired end point
of the ROI-A, and then press the ENTER key to draw the ROI.
The measurement results are displayed when ROI-A is set.
④ A cross cursor appears outside ROI-A. Repeat steps 2 and 3
above to set ROI-B.
FLR * In Dual Elasto mode, ROI-A and ROI-B can be
specified in either the left or right (up or down)
① Select a FLR from Measurement Menu.
window.
② Move the cursor to the center of a lesion using the trackball, and
then press the ENTER key.
Lesion and Fat are detected automatically.
ROI size change and relocation

To change the ROI size, use the ENTER key and the trackball to ●:Partial size change
move the control point. The control point is displayed by placing (available only if Shape
the cursor on top of the ROI frame. If ROI Shape; Ellipse is Change; Part is selected)
selected, the size adjustment mode varies depending on the :Size change without
shape of the control point. changing the shape
To move the ROI, move the cursor to inside the ROI. The ROI + :Size change in the
can be moved after the cursor changes to a four-directional diagonal direction
arrow.
Strain Histogram measurement

Use an Elasto mode image to display the histograms of relative strain values (minimum:0, maximum:255)
within a given region and calculate feature values of Elasto mode images.
Frequency
C … Circumference of specified region

MEAN … Average relative strain value
SD … Standard deviation of relative strain value
Relative strain value
％AREA … Area ratio of low-strain region
Measurement results
COMP … Average complexity of each low-strain region
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ECG and Physiologic Module ① option
Attach an electrode to the patient's Control of the waveform

body To adjust the position of the waveform, press the
Case of Clip electrode; ECG Pos. button, and turn the Multi encoder.
Red (R) : right hand
Black (RF) : right leg
Green (LF) : left leg #
ECG Pos.
Case of disposable electrode;
Red (R) : right shoulder
Black (RF) : right waist
Green (LF) : left waist
Displaying an ECG trace

Press the PHYSIO key to display the ECG screen
button.
ECG
Down Up
* You can
To adjust the amplitude of the waveform, press change the
the ECG Gain button, and then turn the Multi position even
encoder. after a freeze.
# To change the sweep speed of the waveform,

ECG Gain
press the SWEEP SPEED key.
Fast
Slow
Press the ECG Invert button, then ECG waveform

inverted.
Small Large
ECG Invert
Screen buttons
ECG display Adjust ECG Adjust ECG ECG Invert ECG Filter
ON/OFF wave amplitude Position
R-R Detection R-R unit Display R-R time ECG Auto gain
ON/OFF detect filter
* R-R Detection is a function of * S,M,L means display
Adjustment of RRp/RRpp ratio. Tachycardia/Brad
automatically analysis interval ycardia cut filter size of ECG wave.
time of R to R.
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ECG and Physiologic Module ② option
R-R Detection (for arrhythmia)

When freeze is engaged, the system automatically detects each R-R interval in the ECG waveform where the
ratio of the preceding R-R interval and second preceding R-R interval is 1.
R-R Detection procedure
①When ECG is on, record the image to cine memory
and turn freeze on.
②Press the R-R Detection button. The R-R intervals
which meets the condition will be detected. The The color changes of the R-R interval in the ECG
color of the detected intervals in the ECG waveform where (Preceding R-R interval) / (Second
waveform changes. preceding R-R interval) =1. (When selected a sector;2)
*If no interval is detected, the first frame button and last frame
button on the cine playback bar cannot be pressed.
③Use the RRp/RRpp button to adjust the detection
conditions.
* When the R-R Detection button is on, R-R detection is
performed automatically at the time when freeze is turned on.
The color changes of the R-R interval in the ECG
waveform where (Maximum R-R interval) / (Minimum
R-R Detection R-R interval) =1. (When selected a sector;3)
Details
In B mode, when the time bar reaches the detected interval, the details of the preceding R-R interval and
second preceding R-R interval are displayed.
(In M Mode or Doppler Mode, the details are displayed when the detected interval is shown on the screen.)
Time phase bar Number of the detected sector of Total detected sectors in the
the time phase bar position Ratio
cine memory
R-R interval time
Adjusting the interval detection Tachy/Brady Filter

The R-R intervals which are detected can be Tachy/Brady Filter button is only detected target heart
adjusted. rate within 60-100BPM.
Broader search
conditions Display R-R time
R-R Interval(ms) button is display R-R time under the
ECG.
Narrower search
conditions
* The conditions cannot be changed during measurement or
during real-time Doppler measurement.
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BodyMark
When using dual-window mode, you can use the L or R key to select the window in
which the body mark (probe mark) is to be set.
Adjusting the probe mark

Rotate
Turn the PROBE MARK encoder to rotate the probe mark.
Move
① Make sure the mark is selected in the trackball priority section in the lower part of the examination
window. If not selected, press the PROBE MARK encoder to select this mark.
② Use the trackball to move the probe mark to the desired location.
Changing the BodyMark

Selecting the BodyMark
① Clicking the BodyMark screen button displays screen buttons representing the pre-registered body marks.
② Select the target BodyMark.
Push the screen button of BodyMark In the ball of a finger. It is necessary to enlarge the contact area.
You can also select a body mark by pressing the PROBE MARK encoder.
You can scroll through the pre-registered body marks by pressing the
encoder.
(Example)
Clear
Screen buttons
BodyMark : Displays the body mark-related screen buttons.
Mark Move : Allows you to move the display position of the body mark by using the trackball.
Variable area (displays body marks as well as category

names indicating the specific section of the body)
c d : Scroll through the pages in the variable area.
BodyMark Region : Mark Display :

Displays the category name indicating a specific section of the body. Clears body marks displayed in
Abdomen / Breast / Head/Neck / Urology / Cardiovascular / Organ / the examination window.
Upper limb / Lower limb / Obstetrics / Gynecology
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Comments and Annotations
A comment can be entered directly from the keyboard.

An annotation can be selected from the menu showing a list of registered text entries.
Comments
Activation and input
Press the Char. key from the keyboard to display a cursor. Use
the trackball to move the cursor to the target location, and then cursor
enter the desired text. ABCD
Press the Char. key again to finish entering the comment.
Moving a comment Setting the home position of the comment

cursor
Place the cursor over the entered text, and then Move the cursor to any given location, and then
press the ENTER key. A yellow frame appears press the Home Posi. screen button to set the home
around the text. The text can then be moved. cursor location. From the next time on, the cursor will
automatically appear in this location.
ABCD Inputting arrows by using the keyboard

ABCD ABCD To input an arrow, hold down the Ctrl key and press
one of the following alphanumeric keys:
Press the ENTER key again to fix the location. A/N Key I O K L C V B N
Arrow
Annotations
Press the either ANNOTATION key on the operation panel or Annot. key on the keyboard.
From the displayed list, select the target text, use the trackball to move it to the desired location, and then
press the ENTER key.
Press the either ANNOTATION key or Annot. key again to finish entering the annotation.
Liver I Liver
or or
Liver
Both the cursor and the menu

disappear, and entering of the
annotation ends.
Deleting text
Deleting all text Deleting a single line
Press the CLEAR key from either the operation To delete a single line of text, place the cursor over
panel or the keyboard to delete all comments the text to be deleted, and then press the Shift and
(annotations) from the examination window. Del keys together.
or
* This will also cause the measurements to be deleted.
20 Q2E-ES1155
Basic Measurement ①
The basic measurement methods are caliper measurement and trace measurement.
Other special measurements are available by either pressing the MEAS. MENU key
or by selecting one of the screen buttons.
Caliper measurement
The measurement to be executed
B Mode : Distance
M Mode : Depth difference, time, and slope
D Mode : Speed (pressure gradient) and time
Measurement result
Measurement procedure
① Press the CALIP key to display the caliper mark .
② Press the ENTER key to set the start point, and then move the next caliper mark to the end point.
Press the UNDO key to set the end point and go back to moving the start point again.
③ Press the ENTER key to set the caliper. After a caliper mark has been set, a new caliper mark appears so
that the next measurement can be specified.
In Doppler Mode, press the CALIP key to switch between speed
measurement and time measurement. (Measurement mode can Caliper;Time Caliper;Velocity
also be changed by using the screen button.)
Trace measurement
Measurement that is executed
B Mode : Area
M Mode : Distance, circumference, and area
D Mode : Average flow velocity
Measurement result
In B mode, press the Trace key to switch between Manual

and Ellipse area measurement method. (Measurement Mode Trace;Manual Trace;Ellipse
can also be changed by using the screen button.)
Manual trace procedure
① Press the TRACE key to display the caliper mark .
② Press the ENTER key to fix the start point, and then use the trackball to trace the target region.
Press the UNDO key to erase the trace line in reverse.
③ Press the ENTER key to close the trace line and end the measurement. After an area has been set, a new
caliper mark appears so that the next measurement can be specified.
Ellipse trace procedure
(b)
① Press the TRACE key to display the caliper mark.
② Press the ENTER key to set the caliper, move the
next caliper mark to the next desired location, and (c)
then press the ENTER key to set the caliper mark. (a)
Adjust the frame size by using the trackball.
Press the UNDO key to readjust (a), (b), (c), and (d) (d)
in the figure to the right. (a) Frame size
③ Press the ENTER key to set the ellipse and end the
(b) Location of the 1st caliper mark
measurement. After an area has been set, a new
(c) Frame size
caliper mark appears so that the next measurement
can be specified. (d) Location of the 2nd caliper mark
Deleting measurements
Press the CLEAR key to delete the measurements displayed in the examination window.
*This will also cause the comments (annotations) to be deleted.
21 Q2E-ES1155
Basic Measurement ②
Real-time Doppler measurement

Starting and exiting the real-time measurement
Real-time Real-time Real-time
Measurement result
Press the TRACE key while In the case of Abdomen Press the CLEAR key
observing the Doppler waveform, application, measurement to end the processing.
trace processing starts up, the items are Vp, Vd, Vm, PI,
measurement results is updating RI ,VTI.
in real-time.
Editing a real-time trace

Press TRACKBALL key to change the display of trackball function.
Operate screen buttons when mark is selected (yellow highlighted) as trackball priority (displayed in the
lower right of examination window).
Threshold : Adjusts the threshold so that the Dir. : Available trace direction options include up,
trace line fits the waveform. down, and up/down.
Smooth Line : Performs smoothing processing Average. : Display measurement result by averaging
in the direction of temporal axis. heartbeats.
FlowVolume measurements
① Press MEAS. MENU key and start FlowVolume from the list that appears.
② Tracing starts automatically. If the trace line is correct, freeze the image. The
most recent single heartbeat is used as the section to measure. Move the
section to measure as required.
③ Use the UPDATE (NEXT) key to finalize the detection waveform.
④ Measure blood vessel diameter using the CSA measurement caliper that
appears next. FlowVolume is displayed.
Moving section to measure and cine memory for PW waveform
Turn the PW Mode encoder. The cine memory moves with the section to measure.
Moving cine memory

Turn the CINE key and use the trackball.
* During cine memory movement, the waveform on the right of
the screen is measured.
22 Q2E-ES1155
Basic Measurement ③
Continues FlowVolume measurement.
Specification of the section to measure

① Set trace type of screen button as Section.
② Set the displayed caliper on the contraction starting
point of subject waveform, and press ENTER key.
③ Move the line displayed next to end diastolic period,
and circle 1 waveform.
* To average heartbeats, press Average of screen button,

and designate average heartbeat.
* The up-and-down direction which traces can be chosen in a

caliper position.
Upper Lower Both
（Above a baseline）（Below a baseline）

（Near a baseline）
* Press ENTER key to plot Vp (peak velocity) and Vd (end diastolic
velocity) and display measurement value.
Angle measurement
Angle 3 point measurement
① Press the MEAS. MENU key and select

Angle3Point, then set the first caliper by
ENTER key.
② Position the second caliper to set an axis.
③ Use the third caliper to find the target angle and
press the ENTER key.
④ The measurement result shows the angle and 3
caliper distance.
1
Export/Import function for additional measurement

① Press the Pointer key ,then display a pointer.
② Select Setup tab menu.
③ Select Measure.
④ Select Measurement Export/Import button.
⑤ High light a measurement domain to import is
chosen from the system frame.
⑥ After choosing additional settings, select a
measurement to import , press the import
button.
* For the method for setting, see the Preirus Measurement
INSTRUCTION MANUAL.
23 Q2E-ES1155
Filing
Media Handling
Supported Media
Supported media: DVD-RAM, DVD-R*, USB memory devices, and USB hard disk (USB-HDD).
The use of reliable DVD-RAM media is recommended.
(For details on the model names of the recommended media, see the Instruction Manual HI VISION Preirus
~Preparation~.)
* Note that no additional data can be written to a DVD-R disk.
Disk ejection
Press the EJECT key.
* Do not eject the disk by pressing

the EJECT key on the drive.
USB (memory or hard disks) removal

Application
Manual
Edit Patient
Mode Adjust
① From the tab menu on the left side of the screen,
Media select Tool and then Remove Hardware.
Remove Har・・・
Tool
Simplified T・・・ * The Safely Remove Hardware window is displayed.

DVD-RAM
USB Memory ② Select the hardware to be removed, and then
USB HDD
press the Stop button.
Measure
Filing
Cine Memory * The Stop a Hardware device window is displayed.
Display
Account Menu ③ Click the OK button.
Annotation
Physiology
Video/ORIG
* Hardware can be removed.
PinP ④ Click the Close button.
24 Q2E-ES1155
Filing
Formatting
Formatting media
① Select an image in the filing window, and then click Copy.
The menu shown in the figure to the right is displayed.
② Click d under Destination, select the media, and then
select Format. A message is displayed.
③ Click the Yes button if you agree with the message. Select the media to
be formatted.
④ Follow the following message to start formatting.
You can also format media by selecting Tool and then

Media from the tab menu. 【Copy menu window】
Select the Media Formatting in the Media Window and then
Media Format button.
There is no need to format a DVD-R. For details on how to
copy to DVD-R, see the instruction manual HI VISION
Preirus ~Operation~.
Formatting a DVD-RAM Formatting USB memory (USB-HDD)
1) Enter the name of DVD

into Volume Label. 1) Select FAT32.
* The Volume Label can use
only the alphanumeric only
by 11 characters.
2) Enter the name of USB

into Volume Label.
2) Select the check box.
3) Clear the check box.
【Format window】
【Format window】 Click the Start button.
Click the Start button.
Click OK butt0n if you agree with the message, and then execute formatting.
* Do not operate the device

or shut the power off until When the message
the message is displayed. indicating the completion
of formatting is displayed,
click the OK button.
Click Close button of the Format window
If you want to proceed to copying images, click OK button in the copy

menu window to initiate image transfer.
25 Q2E-ES1155
Filing
Recording and Loading Images
Recording single and multi image

Recording single image
Press the REC1 key.
※Measurement on review image of the Elasto Mode image is possible by saving the
Strain data at the same time.
To save the strain data, tick the checkbox Save strain data with a Single Image in
the Image Filling tab under General items in the Region Data Setting window.
Recording multi images

① Press the REC2 key after the freeze.
② Follow the instructions. Use the trackball to select the first frame you
want to display as a multi image, and then press the ENTER key.
Next, select the last frame.
* The assignment of keys and the method of loading might vary depending on the settings. (For details, see
the instruction manual HI VISION Preirus ~Operation~.)
Recording multi image real-time (option)

Recording multi image * While recording the multi image, the transfer
Press the REC2 key during observation. progress is displayed in the lower part of the
screen (system information display area).
Stopping multi image recording
To stop recording, either press the REC2
key again or press the FREEZE key. multi images
Prolonged multi image recording * In prolonged multi image recording mode, you
Press the assigned REC# key. can record multi images even during the freeze.
* The image can be recorded either directly to the
Stopping prolonged multi image recording DVD-RAM or to the device's HDD.
* The assigned key might vary depending on the
Press the assigned REC# key again to stop settings.
recording.
Displaying the Filing window

① Press the READ key during the freeze to display the Filing window.
* Start searching for images from 2,

2 3 4 3, and 4 in the Filing window above.
* Images selected from 3 and 4 are

displayed in 5 (List View).
② Select Location. ③ Select Patient. ④ Select the Study Date.
⑤ Images are displayed

in List View.
2 3 4
26 Q2E-ES1155
Filing
Image Search and Play
Searching images
① Press the READ key during the freeze to display Example: Searching by Study Term
the Filing window. ① Click ▼ in the Search field and select
Study Term.
② Click d in the Search field of the Filing window to

② Click ▼ and select start and end dates of
select the search method.
search from the calendar and press the
Search button.
③ The thumbnails display the found data.
Playing images
Selecting and playing images
① Using the trackball and the ENTER key, select the
thumbnail representing the image you want to play.
* Press the ENTER key to select the
② Click the Retrieve button to play the image. image. A check mark is displayed
on the selected image.
Switching between the Retrieve window and

Filing window
Press the Filing button to go back to the Filing
window.
Filing
Filing
Switching between multi-window and single- Switching the images (pages)

window views
Press the screen button to switch images(pages).
Press the screen button to switch views.
To Single Prev. Page Next Page
To Multi
To the previous To the next
image(page) image(page)
Playing and stopping multi images Switching between the Retrieve window and
(AVI/MPEG2) Examination window
Use the screen button to play or stop the Press either the READ or FREEZE key to go back to
multi image. the examination window.
■
Play Stop
27 Q2E-ES1155
Filing
Copy to media and Edit
Copying an image (examination data) to media

Press the READ key during the freeze to display the Filing window.
① Select the image or ② Click the Copy button. ③ Select the transfer destination
examination data to and click the OK button.
be transferred.
Trimming multi image

① Play the multi image to be edited in the Filing
window in single-window mode.
② Using the trackball, display the first frame of the

segment to be cut out.
③ Click the Select Start button.

Select Start
④ Similarly, display the last frame, and then press

the Select End button.
Select End
⑤ Click the File Operation button.

File Operation
Select Start Select End
⑥ Press the Trim button, and then select the

transfer destination to save as a new file.
Trim
Masking patient information

① From the Filing window, select the images whose information
you want to masking, and then click the Convert button.
② Click d under Destination, select the media.
③ Select the Without personal information check box, and

then select the OK button. A message is displayed.
④ Select the Yes button if you agree with the message.
28 Q2E-ES1155
Contrast Echo
Startup and Exit option
Selecting an application
For SonazoidⓇ, Hitachi recommends selecting an application whose name starts with Contrast-Mid.
For SonoVueⓇ, Hitachi recommends selecting an application whose name starts with Contrast-Low.
Select an application for contrast.

1 2 ① Select a probe.
② Select an application.
(There is no need to press OK
button.)
Starting up contrast option

Press the F1(Function1) or F2(Function2) key to display the following menu, and contrast echo operations
become possible:
Body Mark Contrast T.Start User Define
Measurement Menu;Contrast
If the above menu is not displayed, select the Contrast button to display the menu.
Starting up contrast harmonic

Press the Contrast button to change to the contrast harmonic mode.
Contrast Contrast
* Make the screen button OFF to turn OFF contrast harmonic mode.
Contrast harmonic OFF Contrast harmonic ON
Body Mark Contrast T.Start Alternate I.Flash MTI To FI User Define * Display of screen buttons would change.
M
M
Contents of buttons differ according to the
Measurement UCI Flash Frame Rate Menu;Contrast
situation.
Color Contrast images (CWPI: Color Wideband Pulse Inversion)

When both the Contrast button and the Color Mode encoder are turned ON, the mode becomes CWPI
(Color Contrast mode).
CWPI is color display of contrast enhanced signal, it means easy to

Contrast get visual reorganization of contrast agent.
CFI ON
When a Contrast mode is turn on, it will change

three kind of display mode by push the CFI key.
Color overlay mode Color stand-alone mode B mode
Exiting Contrast Echo Option

Press same keys as used for starting up (F1 or F2) to exit Contrast Echo Option.
* In case Contrast Echo Option is not exited, press the Contrast button.
29 Q2E-ES1155
Contrast Echo
Adjustment option
Changing Alternate mode (monitor mode)

This is a function for displaying, in real-time and in parallel,
both a contrast harmonic image that effectively extracts the
contrast agent and a fundamental image with low MI (monitor
image) that extracts the tissues of a living body. Fundamental
Contrast
image image
Press the Alternate button. (Monitor image)
Alternate Alternate
Alternate OFF Alternate ON

【Alternate Window】
Choices during dual-window display (alternate mode)
You can independently adjust MI and gain for the left (Contrast image) and the right (Monitor image).
① Select the window you want to adjust by using

the L(U) key or the R(D) key.
Contrast Fundamental
Contrast image Monitor image image image
(Monitor image)
② Adjust MI and gain by using their respective keys. MI gain of MI gain of

Contrast image Monitor image
* Setting like MI, gain, etc of each
window can be checked at the
bottom of examination window.
(Refer to the right image)
【Alternate Window】
Changing contrast harmonic frequency How to adjust MI

You can change frequencies by using the REF You can change MI by using the US POWER key.
FREQ key.
Increase MI
dCHI-W-R: Priority given to high resolution
Reduce MI
dCHI-W-P: Priority given to depth sensitivity
Starting up the timer

This is a useful function for monitoring the time elapsed after the injection of a contrast agent.
Press the T.Start(Timer Start) button to

T.Start T.Clear display the elapsed time in the bottom
right of the window.
T.Clear T.Start
Press the T.Clear(Timer Clear) button to
reset the counter to 00:00.
30 Q2E-ES1155
Contrast Echo
MTI・TIC option
MTI (Micro Bubble Trace Imaging)
MTI improves the visibility of the effects of a contrast agent and the visibility of where blood vessels
architecture by displaying, per frame and through superposition, the shadowed parts of a contrast image.
① Press the MTI button to start superposition.

② Press the Flash button, system transmit to destroy the contrast agent by high MI and you can observe to
reperfusion.
MTI MTI Flash
MTI OFF MTI ON
TIC (Time Intensity Curve)
TIC is a function for drawing, based on recorded an AVI file, a time brightness level curve that shows the
relationship between contrast brightness level and time.
It is helpful in observing the changes in brightness level over time.
① On the Filing window, play an AVI file for TIC.

② Select the TIC button.
Image TIC ROI

playback setting
window window
TIC
【Filing window】【Image playback window】【TIC ROI setting window】
③ Select an ROI shape from the following and place an ROI where you want to watch the changes in
brightness level .
④ Select the Analysis button in the bottom right of the window.
ダミー
【TIC ROI setting window】【TIC analysis window】
31 Q2E-ES1155
Real-time Virtual Sonography
Preparation ① option
Real-time Virtual Sonography (RVS) allows the real-time creation of cross-section (virtual) images that match the
ultrasonic image reflecting the position and inclination of the probe. Cross-section images are retrieved out of the
volume data (CT/MR/US) that has been captured beforehand.
Virtual images are intended only for reference purposes. No puncture procedure or diagnosis must be determined
based solely on the observation of the virtual image.
Attaching the magnetic sensor

EUP-C715/C514, EUP-C532, EUP-L65 and EUP-L73S/L74M/L75
The attachment to fix the magnetic sensor is different in each probe.
Raised line
Orientation marks
Raised line
Attachment L73S
（For C715） Orientation mark of C715 L74M
the magnetic sensor C514 C532 L65 L75
When attaching the magnetic sensor, make sure that the orientation mark of the sensor
is aligned with the raised line of the attachment.
Connect the attachment to the probe, with its raised line aligned with the orientation
mark of the probe.
In EUP-L65, hang hook of the attachment on raised line of the probe and fix.
Attachment installation of L65
EUP-B512, EUP-B514
Orientation mark of Orientation mark of

the magnetic the magnetic
sensor sensor
B512 B514
Attach the orientation mark of the magnetic sensor facing towards the outer side of the probe.
* The color and shape of the sensor is different depending on the specification.
32 Q2E-ES1155
Preparation ② option
Attaching the magnetic sensor
EUP-B712, EUP-B715, EUP-C511,

EUP-O732T, EUP-U533, EUP-CC531, EUP-CC531S, EUP-V53W, EUP-V73W
Orientation mark of Orientation mark of Orientation mark of
the magnetic sensor the magnetic sensor the magnetic sensor
Attachment
B712 B715 C511
Orientation mark of the magnetic sensor
Orientation mark of
the magnetic sensor
U533
Orientation mark of
the magnetic sensor
Slide the
attachment.
Attachment
O732T
U533 CC531 V53W V73W

CC531S
Attach the orientation mark of the magnetic sensor facing towards the inner side of the probe.
* The color and shape of the sensor is different depending on the specification.
Positioning
Set the transmitter to the stable position so that the distance

between transmitter and magnetic sensor is kept to 20~76cm.
Transmitter
Transmitter flexible stand

33 Q2E-ES1155
Startup and Exit option
Use the RVS compatible probe.

To use RVS in combination with Contrast*, execute the probe application for Contrast (for example,
Contrast-Mid-Abd) before starting RVS.
* The contrast function is required.
RVS Startup
① Make sure that the RVS sensor unit and that the lamp is
illuminated in green.
② Press the key ( F1 or F2 ) to which the RVS is assigned.
Press the F2 key to which list is allocated, and then use the screen button.
Options list menu

3D 4D Contrast Wide View Stress RVS
【Image Library window】【RVS Setting window】
④ ⑤ ⑥
③ Check the warning message.

④ Set the angle of transmitter against the body position and body axis of the patient, and press OK button.
⑤ Select the target data from the Image Library window and press the Load button.
* A list of DICOM volume data saved on the internal hard disk is displayed.
⑥ Assign volume data from the RVS Setting window, set a probe point and press the Start button.
The RVS mode window opens and the RVS top menu screen buttons are displayed.
BodyMark Create US Volume US Capture Volume;# Icon Menu Virtual Freeze US Freeze User Define
Measurement To Contrast RVS Setting Registration Reset Settings 1st Point Connection Menu;RVS
RVS top menu
* You can also use the Close button in the Image Library window and the RVS Setting window to change
the RVS mode with the RVS top menu screen buttons.
Detailed descriptions of operations ⑤ and ⑥ are provided on the following pages.
RVS Exit
RVS can be terminated by pressing the same key ( F1 or F2 ) that has been used to start up RVS.
Just as with the startup process, if this does not directly cause the RVS to shut down, press the screen button
marked RVS to terminate RVS.
34 Q2E-ES1155
Loading volume data option
Saving volume data to and deleting volume data from the internal hard disk
【Image Library window】【Import window】
RVS Setting
① Press the Import button of the Image Library window to open the Import window.
② Select the folder in which the volume data is stored from the Import window.
③ Click the Import button, the volume data is stored the hard disk.
④ When the required folders have been imported, press the Close button to return to the Image Library
window. The imported data is added to the list.
Saving volume data from DICOM server (Q/R Viewer option required)
① Press the Q/R button in 【Image Library window】【Q/R Viewer window】
the Image Library
window to open the Q/R ①
Viewer window. ②
② Select the target DICOM
data from the Q/R Viewer
③ ④
window.
③ Press the Save button to store the data on the internal hard disk.
④ When data has been saved, press the X button in the top right corner
to close the Q/R Viewer window and return to the Image Library
window. The saved data is added to the list.
Deleting volume data
Delete no longer needed volume data from the internal hard disk as necessary.
Perform deleting and backup operations by pressing the Image Library Manager button at the bottom of the
Image Library window.
* For details refer to the separate instruction manual entitled "Real-time Virtual Sonography Software EZU-RV8 Position Sensor Unit
(Magnetic Sensor Unit for Real-time Virtual Sonography) EZU-RV3S."
Loading volume data

【Image Library window】【RVS Setting window】 ① Select the target data from the Image
Library window and press the Load
button.
The RVS Setting window opens.
Switch the examination to
② Double-click the ENTER key on the
display different thumbnails.
target DICOM folder displayed as a
thumbnail to load volumes in order of
Vol. 1 to 4.
When an icon like the one
shown at right appears beside
a thumbnail, select the icon to
Pressing the Save button in the RVS
display the image files. This
Setting window will save the currently
allows you to select files
displayed settings as a data set.
separately and load the
The saved data set can be loaded from
volume data using only the
the Dataset tab.
required files.
35 Q2E-ES1155
Volume data adjustment option
Position alignment between volumes

To display all the loaded volume data on a single screen, select the Multi tab.
① Set the misalignment volume to “Async”. ③ Adjust the vertical and horizontal directions of the
② Adjust the depth direction of the volume. volume.
Place the pointer over the image, press the Set the adjustment point +A at the same locations
ENTER key, and then roll the trackball up and of each volume. The point appears whenever
down to switch to different cross-sections in the clicking the Adjustment point button.
* If the volumes are “Sync”, set the adjustment points at only
depth direction. Press the ENTER key again to one of the volumes.
fix the position. ④ Click the Adjust button.
+A +A
+A
+A
Image adjustment
Click a target icon from the trackball priority column. Move the pointer over the image and push the ENTER
key. Then, the adjustment with the trackball becomes possible. Press the ENTER key again to fix.
* To make adjustment by volume, sever the links between volumes.
Slice by slice advance Movement of image
Outward Arbitrary direction
Inward
Adjusting the image display size Adjusting the Window width and level
Reduce Window level ↓
Window Window
width ↑ width ↓
Enlarge Window level ↑

Initialization of image setting
WW/WL value and display position can
be initialized from pop up menu.
Put the pointer on the image and press
the UNDO key to display popup menu.
36 Q2E-ES1155
Corresponding to the SYNAPSE 3D data option
The SYNAPSE 3D analysis image can be fused with the CT base image etc.
Fusion Reading
① Like normal volume data, import the SYNAPSE 3D analysis image (DICOM image) to the system hard disk
as well, and select the image from the list in the Image Library window.
② Double click the thumbnail display of the RVS Setting window to read the normal volume data.
③ Drag and drop the thumbnail of the Thumbnail
SYNAPSE 3D analysis result onto the
data that you wish to fuse with in the
volume data already read in ②.
④ The Parts color setting window is displayed. Make
adjustments where necessary and then press the OK button.
⑤ The Fusion registration window is displayed. Make
adjustments where necessary and then close the screen
with the Registration button and Close button.
⇒Refer to the various screen explanations below for the
adjustments in ④ and ⑤.
Parts color setting window Fusion registration window
Adjust the color of each part Adjust the relationship between the position of the
and the transparency level to base image and the position of the fusion color image
be used in the MPR image from the Fusion registration window.
display from the Parts color
setting window.
Base image Color image Fusion image
Select the button to open the display area display area display area
color setting dialog box.
Adjust the transparency level.
The Parts color ① Align the display positions in the depth direction of
setting window can the base image and color image.
also be opened from Change the slicing by moving the trackball
the icon in the Fusion up and down in the respective image display
registration window.
areas.
Press the OK button to transit ② Set the adjustment point at the same
to the Fusion registration position of the base image and color image.
window. Or move the image positions so that both
images are aligned.
③ Press the Registration button and then the Close
button.
Parts Selection
【Parts select window】
Select the parts for the fusion from
the Parts select window.
Select the fusion items from the list
with the ENTER key and tick off the
items.
Up to 8 types of parts can be
selected.
37 Q2E-ES1155
3D body mark option
3D body mark
From the RVS Settings window, click the 3D Object Setting button to bring up the 3D Object Setting
window.
Overview of how to create a 3D body mark
Select the volume to make the body mark from the
pull-down menu.
To create a body mark, several parameters must be
set from both Body Surface and Internal Body tabs.
Internal Body Superimposed
Ex.） Body Surface
Image
＋＝
Volume MIP Opacity

rendering （Cutting） Surface:70 /
Internal:100
When fusing the SYNAPSE 3D analysis

image, the adjustable items in the Internal
Body tab differ from those in the Body
Parameters of image quality Surface tab.
Parameters can be set individually for Body Surface
and Internal Body.
Select the type of rendering

mode.
Enter the threshold value
and opacity figure.
Adjust the WW/WL by
scrolling the slider with the
trackball while pressing
down the Enter key. Adjust the transparency level of each part by
scrolling the slider.
Parameters of adjustment
Select the icon of your choice from the dialog (left fig.)
Move the pointer over the image and press the ENTER
key.
Rotate Pan Zoom Cut Inside Cut Outside
This rotation icon rotates the 3D in any given direction.

To position the image in one of the general orientations,
select one of the view angles listed in the pull-down menu.
It is necessary to display the pop-up menu to return the area cut by the cut icon.
Place the pointer over the image and press the UNDO key to display it.
Click Undo Cutting.
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Marking function option
Function to set a marker to the region where users would like to mark (e.g. tumor on the volume data.)
3 types of markers (Sphere, Line, and Target). Sphere marker and Line marker disappear when going
out of the marking region. On the other hand, Target marker is displayed bigger in same situation, and
users can tell how much the marker is away from the target from its extent.
Marker settings
Marker setting from RVS settings window
Pick out one center section of the area (ex. Mass) that tries to be marked.
Move the pointer over the image and push the ENTER key to pick out the cross section. Then, it becomes
possible with trackball.
① Click the icon of the marker to set.

② The pointer changes to a cursor shape in the image
Sphere display area.
＋＋
Move this caliper to the position to mark.

Sphere, Target: Move to the center of region to mark.
Target
Line: Move to the edge of region to mark.
③ Press the ENTER key, and then move the trackball to
adjust the size of the marker.
＋＋ Line
* No need to adjust the size in the use of target marker.
④ Press the ENTER key again to fix the marker.
In case of putting multiple markers, repeat the procedure of
①～④.
Marker setting while RVS mode is performed
Icon menu Select the type of marker from icon menu and follow the same procedure as the above
mentioned one.
Movement and size change of marker

Put the pointer on the marker, press ENTER key, and display squares on 4 corners of the marker.
By dragging, it is possible to move the marker, and change the size of it (hold the squares).
Display, Nondisplay, Delete of marker

Delete of marker Display/Nondisplay of marker
Put the pointer on the image display area, press Display of marker on US image can be switched
UNDO key to display the popup menus to delete from icon menu.
the marker, and select it.
Put the pointer on the marker and press UNDO

key to display the popup menu to delete a marker
one by one.
To change of display switch of marker on US image

can be set Disp. US Marker.
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RVS mode start option
Initial alignment
According to the probe point setting, the volume data taken beforehand is correlated with the body
position of the patient during real-time ultrasound examination.
There are Plane Start, Point Start, and 3 Point Start in the method.
For example, ideal reference points are the xiphoid process for the abdomen, nipple for the breast,
or internal urethral orifice for the prostate.
Plane Start and Point Start
① Pick out the cross section of the Xiphoid process.
Confirm the Paging button has been selected, and
move the trackball to adjust the depth position.
Xiphoid process
Xiphoid process
* If multiple series have been loaded, align their display
positions with one another and keep them linked.
② Click the Probe point button, move the cursor

over the skin image directly above the xiphoid
process, and then press the ENTER key to fix.
RVS mode ③ Click the Start button to proceed to the RVS mode.
* Virtual plane during ④ Put the center of probe on the xiphoid process of
Plane Start depending
on the settings. patient to display the same section as the one of
virtual image.
⑤ Press screen button Plane Start to start RVS.
Freeze
In case of Plane Start, no need to display same
section image in the step of ④. The screen button in
Plane Start
⑤ is displayed as Point Start.
Xiphoid process
3 Point Start
Follow the procedure described above for Plane
Patient Start and Point Start to set three probe points to
Real-time serve as guides, and then proceed to the RVS mode.
Press screen button 3 Point Start to set the center
of the probe over the position indicated by the three
The RVS starts. To go back to the RVS Settings probe points following the instructions given in the
window, press the RVS Setting screen button. message
Switching the screen button menu

Menu;RVS
While in contrast mode, you can switch between the three screen-button menus by
pressing the Menu;### button. Switch to the menu appropriate for performing the
necessary operation. Menu;ModeDepend
BodyMark Create US Volume US Capture Volume;# Icon Menu Virtual Freeze US Freeze User Define
RVS menu Measurement To Contrast RVS Setting Registration Reset Settings 1st Point Plane Start Menu;RVS
Menu;Contrast
Switching the displayed volume

If multiple volumes have been loaded, you can switch between virtual images for observation.
Volume;# Click the Volume button to scroll through images starting from 1.
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Adjust option
Function to adjust the section when a gap appears between the virtual image and US image in scanning.
To make adjustments, you can use either Plane Adjust or, for positioning using internal or external
marks, use Point Adjust.
Plane Adjust
Adjustment by Virtual Freeze Adjustments of virtual image cross-sectional
and display positions can be performed
① Press the Virtual Freeze button
Virtual Freeze through probe scanning and also by using the
to freeze the virtual image.
trackball.
② Take US image which matches the frozen virtual
image. Select the type of movement from icon menu,
and make adjustment by trackball.
③ Press the Plane Adjust button to
release frozen image, and Plane Adjust
Inward and outward
synchronize the virtual image and
US image.
Adjustment by US freeze Vertically and horizontally
① Press the US Freeze button to
US Freeze
freeze US image. When either of above icons is selected,
② Move the probe to display the virtual image which rotation of virtual image is possible.
matches the frozen US image.
Virtual image rotates around
③ Press the Plane Adjust button to Z axis by M Mode encoder
release frozen image, and Plane Adjust
synchronize the virtual image and * This operation can be performed not only in virtual
US image. freeze image, but also in real-time image.
Point Adjust
Simple Adjust
Place a point mark on the same section of a virtual
image and US image and press the ENTER key
respectively to lock it in place (in any order).
Press the UNDO key before companion to the point mark
is locked, the adjust point can be canceled.
* The point mark is displayed as a pointer outside of the examination
window. When a pointer moved inside the examination window does
not turn into a point mark, select the 1st Point screen button.
Adding adjustment points 1st Point

The screen buttons allow you to
increase adjustment points. Like 2nd Point
during Simple Adjust, set a 2nd
and 3rd adjustment points to
3rd Point
ensure more accurate alignment.
To return to Simple Adjust state,
press the To Simple Adjust screen To Simple Adjust
button. Indicates current adjustment state.
Use of Simple Adjust is recommended for alignment when Blank indicates Plane Adjust state.
the observation region is changed or probe position is
largely moved.
To return to the initial location state, press the Registration Reset screen button. Registration Reset
To reset the probe points, press the RVS Setting. RVS Setting
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Performing when RVS mode is executed option
Registration Function
This function allows you to save and load misalignment data.
Store: Press this icon to save the current misalignment data (sync
data) of the virtual image and US image.
Restore: Press this icon to display thumbnails showing saved

misalignment data in the lower part of the screen.
Clicking a thumbnail loads the misalignment data and this
data is used to start synchronizing virtual and US images.
Last Registration: The instrument automatically stores the most recent

adjustment. Click this thumbnail to load misalignment data.
Independent scale adjustment
Virtual images and US images can be displayed at different depths.
Press the screen button the Settings and turn off the Depth Sync.
Depth Sync. Enables both screens sharing

changes in depth.
Settings
Depth Sync.
Enables independent display of depth
in each screen.
Use the L(U)/R(D) keys to select the
image whose size you want to adjust.
Capturing the US volume

*Digital Capture Card Unit is needed to capture US volume data.
US Capture
① Press the US Capture button. The probe moves and scans at constant speed.
Capturing operation can be canceled by pressing the Cancel button, which is
displayed during the capture.
② The data captured up until the US Capture button is pressed the second time
will be loaded.
③ After reconstruction, the virtual image of the US volume data is displayed
US Volume automatically.
US image
Virtual image
In case of replacing the current volume
data by the US volume data to be captured
newly, delete the previous data from pop
up menu and perform the US Capture.
Volume data storage

Not only the volume data which is displayed as the present virtual image, but
all data sets used for examination are to be stored.
① Select Save Volume icon from icon menu, and display the dialogue.
*The Save Volume icon has the same function as the Save button in the RVS Setting window.
② Input data set name, and press OK button.

* When US volume data is saved independently and there are no other data sets, the window for
setting the transmitter angle of patient posture and body axis appears. Make correct settings,
enter the name of the data set and press the OK button.
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Combination of RVS and Contrast mode option
To use RVS in combination with Contrast, execute the probe application for Contrast (for example,
Contrast-Mid-Abd) before starting RVS.
Screen buttons
The following screen buttons are available for RVS and Contrast, respectively:
RVS menu BodyMark Create US Volume US Capture Volume;# Icon Menu Virtual Freeze US Freeze User Define
Measurement To Contrast RVS Setting Registration Reset Settings 1st Point Plane Start Menu;RVS
Contrast menu BodyMark Contrast T.Start Alternate I.Flash MTI To FI User Define
Measurement To Virtual UCI Flash Frame Rate Menu;Contrast
* The layout of the buttons varies depending on the settings.
Switching between the RVS mode window and Contrast mode window
During alternate mode (monitor mode)
To switch between the RVS mode and Contrast mode windows, use the To Virtual/To Contrast buttons.
Contrast mode window RVS mode window

To Virtual
Contrast image Monitor image

Virtual Image US image
(US image of
extremely low To Contrast
MI)
The image selected during Contrast mode is displayed as the US image (right side) in the RVS mode window.
During non-alternate mode (non-monitor mode)
The To Virtual/To Contrast buttons are disabled.
Disabling alternate mode (monitor mode) from the Contrast mode window causes the Contrast image to be
displayed in single-window state.
To return to the RVS mode window, press the DUAL/SINGLE key.
Contrast mode window RVS mode window
Contrast image Virtual Image US image

Contrast image
Alternate
Alternate mode (monitor mode) disabled
43 Q2E-ES1155
Advanced Measurement
IMT option
IMT measurement is the measurement to calculate the thickness of the internal media complex (IMC)
of a carotid artery through automatic trace processing.
“Trace method” and “three-point method”, which calculate only the mean value of three points are
available.
How to set an ROI

Press Measurement Menu, and start L-IMT/R-IMT
L-IMT
from the items displayed.
① Move and set the ROI to the position where R-IMT
IMC is placed lower than the center of ROI.
② Set the positions A, B, and C of the three-point
measurement to the position where the blood
vessel has no noise in its inside, and the IMC
and tunica externa can be distinguished
clearly.
③ Press ENTER key to fix the position of ROI.
Measurement result is displayed when ENTER
key is pressed again.
Moving the ROI Rotate
Move the cursor into the ROI and Turn the Angle key while
press the ENTER key, and the the ROI is displayed with a
ROI becomes movable. Press solid line for rotation.
ENTER again to fix the ROI.
Resize
Move the cursor on the vertical line of either
sides of ROI, or either of horizontal lines (top or
bottom of ROI), and press ENTER key to resize
the ROI.
Correction of trace method

Correction of trace line Manual correction
Each of the red line (intima trace line) ① Select the Manual Correction button, the OK
and the blue line (externa trace line) button is pressed after checking the displayed
can be moved up and down. message.
② Move the cursor over a control point you want

to correct and press the ENTER key, and the
control point becomes movable.
③ After moving the point , again push the ENTER

key to put on that point.
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%WT ① option
This performs measurement by using B Mode video (moving images). Pixels of two points (left ventricular
wall) specified by the user are automatically traced, and based on the results of that tracing, changes in
the distance between the two points are calculated. From the distance between the two specified points
and from the distance of the maximum wall thickness, the rate of wall thickness increase (%WT) will be
calculated.
Acquisition image data for Starting %WT measurement

measurement (%WT/CTT/LAT) Press the Measurement Menu key, select %WT
* Need a real time archive unit and ECG. from the displayed items, and start %WT.
Set the acquiring image parameter of filing

menu.
① Press TAB MENU, Setup→Filing→Cardiac
② Select R-R out, Number 1, then close a menu.
Saving dynamic images
Placing tracing points

Press the REC2 key after the freeze.
The latest R-R interval frame is automatically
captured.
First frame Last frame
* Set measurement pairs on the top frame of the recorded

This measurement is possible only for data video of one heartbeat.
recorded in AVI file format, and not possible for
real-time or cine memory images.
① Specify two points for the endocardial wall and
Selecting an image to be measured epicardial wall as a pair by using the cursor.
② Specify all the regions you want to measure

and press Start button to start the analysis.
Start
Re-measurement
Move the cursor over the position of a
Press the READ key to open the Image Filing
measurement point, and the cursor's shape
window.
changes to the following. If you press the UNDO
Select a AVI file used for measurement from the
key, the measurement pair is deleted and new
image list and press the Retrieve button or
positions can be specified. (It is possible to correct
directly press double click on the image.
multiple pairs)
45 Q2E-ES1155
%WT ② option
Checking the locus image

The playback function allows you to evaluate
the movement of measured points.
Stopping playback Starting playback
Press Speed button
to change the
Review playback speed.
#
Speed
Displaying graphs
Select a suitable tab to change

graphs. (Distance, Strain and
Graph Data)
Change the graphs

only for the List All.
Saving data
Saving the locus image
RevCapture
The video is automatically played back (traced and displayed)

from its measurement start frame to the measurement end
frame, and saved as a new video.
(This requires optional digital video recording software.)
Outputting measurement data
You can output the following measurement data in CSV file format
• Distance per pixel [mm/pixel]
• %WT [%] of each measurement pair
• Maximum thickness [mm] of each measurement pair
• Initial thickness [mm] of each measurement pair
• Thickness [mm] of each frame for each measurement pair
• Coordinates on the window of each frame for each measurement value
① Press the Save file button.

② Select the drive on which the data is to be saved.
46 Q2E-ES1155
Color Tissue Tracking ① option
Color Tissue Tracking (hereafter CTT) is a function for calculating the radial strain of a cardiac short axis
image. CTT automatically determines a tracing point from the ROI specified on an AVI file. Calculated
strain and strain values will be displayed by using color images and time sequence graphs.
Acquire image data used for measurement
Configure the same save settings as %WT.

Extract a short axis image of BASAL, MID, or APICAL
and save a short axis level as close to a perfect circle
as possible as an image for Bull’s eyes display.
Selecting an image to be measured

Press the READ key to open the Image Filing
window.
Select a moving image used for measurement from
the image list and press the Retrieve button to play
back that video. For a Bull's Eye display, review the
three sections simultaneously.
Select CTT measurement
①Press the Meas. Menu key, select CTT from

the items displayed, and start CTT.
② Select a short axis level to be analyzed.
③You can change the thickness of the ROI.

The default value is 0.8 cm.
Press the ENTER key to show the ROI.
47 Q2E-ES1155
Color Tissue Tracking ② option
Adjusting the ROI
① Align the measurement cursor with ② Move the trackball to adjust ③ Press the Start button.
the intima, click the ENTER key, the intima elliptically and
align the measurement cursor also click the ENTER key.
with the intima on the opposite
side, and click the ENTER key.
Command functions
Changing the image and graph positions Changing the %WT value and color
You can change the display positions of video To change the %WT value, retype the value in the
images and graphs. dialog box. To change the color, click the color box
*Measurement on graphs is enabled only when to display the color palette. Choose a color you
graphs are displayed in large size on the right side. prefer.
Analysis of trimming
For a AVI file of two heartbeats or more, you can perform an analysis between the specific frames of each
heartbeat.
Use the frame bar (frame 1 to frame 45 in the figure) to specify a start point and an end point. Use the pointer
to move the frame bar.
Saving measurement data Resetting the ROI
Press the Save button to save the measurement You can correct the ROI.
result data (used for Bull's Eye) in CSV file format. The ROI returns to the pre-analysis status.
Saving a AVI file on basic area Saving AVI file on full area
A CTT video (moving images) is created from For a AVI file, you can save all frames synchronized
the analyzed video. You can check the created with a graph's time bar.
video from the Image Filing window.
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LA Tracking ① option
LA Tracking (hereafter LAT) is tracking system of traced line on an B-mode AVI file. LAT calculates the
area and volume from the analyzed result, and displays the change graph of time.
Acquire image data used for measurement

Configure the same save settings as %WT.
Extract short axis images of the apex 4-chamber
* For P-P capturing, use the manual
(hereafter A4C) or the apex 2-chamber (A2C) and
transfer to capture images by
save the images for one heartbeat. For Bi plane specifying any single heartbeat.
measurement, save images in the order A2C to A4C.
Selecting an image to be measured

Press the READ key to open the Image Filing window.
Select the AVI file to be used for measurement from
the image list and press the Retrieve button or
double click to play back that file. For Bi plane
measurements, play back the two sections
simultaneously.
LAT measurement
Press the MEAS. MENU key, select LA Tracking from the
items displayed, and start LAT.
①When the cursor exists the image area, tracing

is always possible.
②Click at the start point and repeat clicking at

several points along the curve. Fit the trace
line into the left atrium and double-click at the
end point.
③Check that the ROI is set on the top frame.

You can set two ROIs (A and B) in a single
window.
For Bi plane measurement, select between A4C and

A2C for the type of cross-section.
49 Q2E-ES1155
LA Tracking ② option
Command functions
Start analyze
Press the Start button to perform LAT analysis.
For Bi plane measurements, switch between
A4C and A2C for AVI file.
Analysis of trimming
For a AVI file of two heartbeats or more, you can perform an analysis between the specific frames
of each heartbeat.
Use the frame bar (frame 1 to frame 45 in the figure) to specify a start point and an end point. Use
the pointer to move the frame bar.
Changing the image and graph positions Changing the graph type
You can change the display positions of video

images and graphs by using the icons.
The graph type can be changed to such types as
volume, area, and volume change speed. Also, use
check boxes to change the graph display type as you
wish.
Saving measurement data
Press Save button to output the measurement

result data in CSV file format. Select a drive to
save the data.
(Data saved here can be loaded in graph form
again.)
Saving AVI file on full area Saving a AVI file on basic area
A LAT moving images is created from the analyzed

For a AVI file, you can save all frames
image. You can check the created video from the
synchronized with a graph's time bar. Filing window.
50 Q2E-ES1155
4D (Real-time 3D)
Preparation option
Starting up the 4D software

① Select a 3D-specific probe and an application.
② Press the F1 or F2 key to start the 4D software.
If the 4D software is not started, select the 4D screen
button to display the menu.
Exiting the 4D software

Press the F1 or F2 key again while the 4D software
is active to exit.
In case 4D Option is not exited, press 4D screen button.
Setting the 3D region

Extract a sagittal section of the fetus by using the 3D ROI Setting window in the ViewLine
figure, and set the ViewLine and the 3D ROI.
* The ViewLine is a useful function that lets you specify which surface to start with when observing
a 3D image.
* ViewLine is set up to bring close to an fetus nose and mouth as much as possible. 3D ROI
Adjusting the ViewLine

The position of ViewLine is adjusted with a trackball. 【3D ROI Setting window】
Turn the Angle encoder to adjust rotation and curvature of the ViewLine.
* Each press of the Angle

encoder switches the function
between rotation and curvature.
Adjust Adjust
rotation curvature
Press the HI-Support key to start the ISTracking function for the
system to automatically set the ViewLine (broken line).
The type of ISTracking can be switched between Assist and
FullAuto with the screen button.
IST Type;Assist IST Type;FullAuto

Performs 3D image cuts Performs 3D image cuts with
with both manual and automatic ViewLine only.
automatic ViewLine.
Adjusting the 3D ROI

① Press the TRACKBALL key to change the trackball
function to 3D ROI.
② Adjust the position of the 3D ROI by using the trackball.
Select the Select the Assigned
③ Press the ENTER key to enable size adjustments. ViewLine 3D ROI trackball function
Press the ENTER key to change trackball functions.
Move the 3D ROI Resize the 3D ROI
51 Q2E-ES1155
4D (Real-time 3D)
Scanning, Volume operation option
Setting the direction of head

In the 3D ROI Setting window, select a screen button for the head side of the fetus.
Top;Right Top;Left
* Select which side of the window, right or left, is to display the head side of the fetus.
【 3D ROI Setting window 】 * A 3D image is displayed with the selected side as its top.
Top;Right Top;Front
Top;Back Top;Left
* The orientation of the 3D image changes with each press of the screen button.
Starting 4D scanning
Press the UPDATE (NEXT) key, 4D scanning is started.
【3D ROI Setting window】【2D-3D window】

* When the fetus has moved, returning to the 3D ROI Setting window
makes position adjustments easy.
Removing the noise of a 3D image 3D single image display

Turn the B Mode encoder to the right while the Press the R(D) key to change to the 3D single
real-time 3D image is being displayed to remove image display (3D window).
image signals of a certain brightness level or
lower.
Threshold ;20 Threshold ;65

【2D-3D window】【3D window】
Check that the B Mode encoder priority is as
shown in the figure on the left. Press the B Mode
key to change functions.
Rotating a 3D image
Use the following encoder to rotate a 4D (3D) image:
X direction Y direction Z direction
52 Q2E-ES1155
4D (Real-time 3D)
Function option
How to find a good image among 3D cine images

Press the CINE key and you can select a good image
by using the trackball among the 3D cine images,
immediately before the freeze.
Adjusting the light position

When the rendering mode is set to 4Dshading, move the trackball to move the position of the light.
If the trackball function is set to a different function, press

the TRACKBALL key to select Light Position Adjustment.
Select the Select the Light Assigned

ViewLine Position Adjustment trackball function
Light position: Left lateral Light position: Right lateral
Shade: Right lateral Shade: Left lateral
Cutting out the unnecessary part of a 3D image

① After the freeze, select the Cut Menu screen button to display the menu.
Cut Reset Cut;Inside
Cut Menu Trace;Manual Cut Menu
Cut Menu
② Move the cursor, press the ENTER key to start tracing, specify the range of the
unnecessary part by using the trackball, and then press the ENTER key to exit.
The volume data within the specified range will be cut out.
You can also remain the region
Cut;Inside Cut;Outside
surrounding the specified range by
using the screen button.
Trace;Manual Trace;Plot Please set several points that are linked

together to specify the cut region. Manual Plot
How to reset the cut-out part

Press the UNDO key to restore the You can also restore the original state of the
Cut Reset
cut-out region by using a screen button.
previous state.
Finish cutting and close the cut menu
Cut Menu Press the Cut Menu screen button again to finish cutting and close the menu related to cutting.
53 Q2E-ES1155
4D (Real-time 3D)
Volume Data Save and Load option
Saving 3D Volume data

Press the Save Volume screen button during the freeze.
Save Volume
You can save the currently displayed 3D Volume data.
Load 3D Volume data

① Press the Read key during the freeze to display the Filing window.
Hereafter, the procedure is explained based on thumbnails.
② Select a volume data and select the Retrieve button.
Filing menu
【Ｆｉｌｉｎｇ window】
The 3D Volume data is marked

with the icon on the left.
③ Press the Edit Volume screen button to edit or process the volume data.
Edit Volume
By using saved volume data, you can perform various

operations such as 3D image quality adjustments, the
cut function, and MPR display, and Multi Slice display.
Switching from the 3D Edit window to the Filing window
Press the Edit Volume screen button and press the Filing button.
Edit Volume Filing
Edit Volume menu Filing menu

【3D Edit window】【Ｆｉｌｉｎｇ window】
54 Q2E-ES1155
4D (Real-time 3D)
HI DEF 3D (Scanning) option
HI DEF 3D is a 3D mode in which observation of still 3D images and MPR images with a higher definition
than the real-time 3D mode is made possible through a slow single-swing.
Switching between the “Real-time 3D” and “HI DEF 3D”

From the screen buttons displayed, Select HI DEF 3D in the 3D ROI Setting window.
Note that the screen buttons might

differ from the display actually
【3D ROI Setting window】【3D ROI Setting window】 displayed depends on option.
HI DEF 3D HI DEF 3D
Real-time 3D HI DEF 3D
mode mode
STIC HI DEF Scan
Image quality adjustment in the HI DEF 3D mode

From the screen buttons displayed, select Swing Speed and make adjustments
by using the Multi encoder.
L High image quality
L M
Swing Speed
H High speed
Swing angle adjustment in the HI DEF 3D mode

From the screen buttons displayed, select Swing Angle and make adjustments
by using the Multi encoder.
45
Swing Angle
Starting and stopping scan

Start scanning * When scanning is completed, MPR window or 3D
Single image window are displayed.
Press the UPDATE (NEXT) key to start
capturing.
* Progress bar is displayed.
Stop scanning (cancel) 【MPR window】【3D Single image window】

Press the UPDATE (NEXT) key while capturing (While the progress bar is displayed) to stop capturing and
return to the 3D ROI Setting window.
* The 3D ROI Setting window appears again.
Selecting rendering mode

Select the Rendering Menu screen button and select a rendering mode.
Rendering Menu
Opacity Opac.Invert Opac.Advanced Orthogonal 4Dshading
55 Q2E-ES1155
4D (Real-time 3D)
HI DEF 3D (Function) option
The MPR window's functions

Switching between the MPR window and 3D
Single Image window
Press the MPR Display screen button to perform
switching.
【MPR window】【3D Single image window】
MPR Display MPR Display
Adjusting a Single Cross Section on the MPR window

Press the ENTER key to select the Single Cross Section you want to change, and use the trackball to adjust.
* The selected Single Cross Section is enclosed in a solid frame.
* You can rotate the image and save the volume data in the same way as 4D.
* Press the UNDO key to

switch between Single
Cross Section and
Intersection Point
operation.
Displaying a Single Cross Section on the MPR window

Displaying a Single Cross Section on the MPR window selected view from the screen button.
MPR_Z MPR_X Use the screen buttons to change
Single Cross Sections.
MPR_Z MPR_Z MPR_X
MPR_Y MPR_Y
Rescanning Adjusting the brightness of an MPR cross-

sectional image
Press the FREEZE key to return to the 3D ROI
Setting window. Press the Image Menu key and use the screen
button and the Multi encoder to change.
2
MPR Bright
【MPR window】【3D ROI Setting window】
56 Q2E-ES1155
4D (Real-time 3D)
HI DEF 3D (Multi Slice mode) option
Multi Slice mode

Switch of MPR window and Multi Slice window
Press screen button Multi Slice Display to switch
the window.
Multi Slice Display Multi Slice Display
【MPR window】【Multi Slice window】
Switch of the section to observe (X, Y, Z section)

Every time screen button Reference ；# is pushed, the section to observe is switched.
Images can be
rotated with each
encoder similarly
to 4D.
Reference;X Reference;Y Reference;Z
Slice position adjustment

Adjust the position of slice line with a trackball.
If trackball priority is different, make
adjustment after selecting the right
mark with TRACKBALL key. Assigned trackball function
Press ENTER key or TRACKBALL
key to fix slice line.
Select the Slice Line
Slice window display shift
Press Screen Shift screen button, and shift
window by window with Multi encoder.
Screen Shift
Slice interval adjustment
Press Slice Setting screen button, and adjust by Increase interval
Slice interval screen button and Multi encoder.
2.0
* Unit of value is mm. Slice Setting Slice Interval
Slice Thickness Adjustment
Thick, cross-sectional images can be displayed in
MPR and multi-slice images using the Volume Slice Becomes thicker
Imaging function. 2.0
Press the Image Menu key and use the screen Slice Thick.(mm)
button and the Multi encoder to change.
Single window display of Multi Slice window
The section with blue color selected by ENTER key
is displayed in single window. If trackball priority is different, make adjustment after
pressing TRACKBALL key to switch the function to
Screen;Multiple Screen;Single image selection.
Assigned Select the Select the

trackball function Slice Line Image Select
57 Q2E-ES1155
4D (Real-time 3D)
HI DEF 3D (CFM 3D mode) option
Blood flow 3D image (CFM 3D mode)

① Press CFI mode encoder or Fine Flow/CFA Mode key.
Every time screen button is pressed, Fine Flow
and CFA (Power mode) are switched.
To CFA To Fine Flow
Fine Flow mode CFA mode

(High definition (High sensitivity
【3D ROI Setting Window】 blood flow display) blood flow display)
② Adjust color gain, color box, velocity range (PRF), etc
③ Press UPDATE(NEXT) key to start capturing.
* When scanning is completed, 3D window,
MPR window, etc are displayed.
Switch of B/W & blood flow 3D image and Blood flow 3D image
Press B mode encoder.
It is also possible to turn the color

signal on and off similarly pushing
Fine Flow/CFA Mode key.
【 B/W & blood flow 3D image 】【 Blood flow 3D image 】
Plane Cut function Blend adjustment of B/W & Blood flow 3D image
Select the object to cut by screen button, and move Press Image Menu key, select CFM 3D Blend
trackball pressing ENTER key to cut the 3D image to make adjustment.
from a plane.
Increase
50
CFM ３D Blend
Plane Cut;Both Plane Cut;BW
When the blend is high, Color 3D image

is displayed preferentially.
Press UNDO key to restore the cut plane.
58 Q2E-ES1155
4D (Real-time 3D)
STIC function option
It is a function to display an arbitrary section as a movie of 1 heartbeat.

Ex.MPR display, Multi Slice display.
Switching between the “Real-time 3D” and “STIC”

From the screen buttons displayed, Select STIC in the 3D ROI Setting window.
【3D ROI Setting window 】【3D ROI Setting window 】

* To view images in STIC mode
HI DEF 3D STIC Scan using Color Doppler or Fine Flow,
Real-time 3D STIC mode press the respective mode key.
mode
STIC STIC
Image quality adjustment Swing angle adjustment

From the screen buttons displayed, select From the screen buttons displayed, select
Scan Time and make adjustments by using Swing Angle and make adjustments by
the Multi encoder. using the Multi encoder.
Time：Long High image quality
10 45
Scan Time Swing Angle
Time：Short High speed
Starting STIC scanning

* When scanning is completed, MPR window, Multi Slice
Start scanning window, etc are displayed.
Press the UPDATE (NEXT) key to start

capturing.
【MPR window】【Multi Slice window】

Stop scanning (cancel)
Press the UPDATE (NEXT) key while capturing (While the progress bar is displayed) to stop capturing and
return to the 3D ROI Setting window.
* The 3D ROI Setting window appears again.
3D image display
Select Display Setting and then Display 3D
from screen buttons.
Display Set. Display 3D
3D image display OFF 3D image display ON
Saving STIC Volume data

Press the Save STIC screen button * The STIC data is marked
after STIC scan is finished. with the icon on the left.
* You can save the currently * The load method of STIC data
Save STIC
displayed STIC data. is the same as the 4D data.
* For review and edit of STIC data, see the HI VISION Preirus Three-dimensional Display Software (Real-Time) INSTRUCTION
MANUAL.
59 Q2E-ES1155
3D (Freehand 3D)
Preparation option
Starting up the 3D software

① Select a 3D-specific probe and an application.
② Press the F1 or F2 key to start the 3D software.
If the 3D software is not started, select the 3D screen
button to display the menu.
Exiting the 3D software

Press the F1 or F2 key again while the 3D software is active to exit.
In case 3D Option is not exited, press 3D screen button.
Setting the 3D region ViewLine

Extract a sagittal section of the fetus by using the 3D ROI Setting window in the
figure on the right, and set the ViewLine and the 3D ROI.
The ViewLine is a useful function that lets you specify which surface to start
3D ROI
with when observing a 3D image.
Please refer to Preparation of 4D(Real-time 3D).
【3D ROI Setting window】
Adjusting the scan distance
Specify the distance in the depth direction (the z-direction) of the 3D. Increase
30mm
From the screen buttons displayed, select Scan Distance and make Scan Distance
adjustments by using the Multi encoder.
Specify the scan direction

Specify the direction in which the probe will move during the scan.
From the screen buttons displayed, select Move Dir and make adjustment.
You can select either frontward or backward against the direction of view.
Move Dir;Frontward Move Dir;Backward

direction
direction
Monitor Monitor
Orientation Mark Orientation Mark
:direction of view.
60 Q2E-ES1155
3D (Freehand 3D)
Scanning option
Starting and stopping scan

Press the UPDATE (NEXT) key to start capturing. Once images have started to be collected, move probe
in the specified direction. After scanning for the specified distance, press the UPDATE (NEXT) key or
Freeze key to stop capturing.
* When scanning is completed, MPR window or 3D

Starting and ending scan Single image window are displayed.
① Press the UPDATE (NEXT) key to start capturing.
② Press the UPDATE (NEXT) key to end capturing.
* A progress bar appeared with remaining time. Please scan complete 【MPR window】【3D Single image window】
in time.
* You can also use the FREEZE key to end capturing.
※NOTICE
If you move the probe in a direction that is not the specified direction, a mirror 3D image will be created.
Stopping scan and Fresh start

① Press the FREEZE key to end capturing.
② Press the FREEZE key to cancel freeze.
* Press the 3D Scan Cancel screen button while capturing (While the progress bar is displayed) to stop
capturing and return to the 3D ROI Setting window.
3D Scan Cancel
Switching the screen button menu in contrast

When the optional contrast imaging function is used, under the following conditions, 3D images can also be
created from the Contrast Image 1 screen in wideband pulse inversion mode.
If any of the following conditions are not satisfied, 3DROI

Menu;3D and ViewLine are not displayed and the 3D scan button
By pressing the Menu;### cannot be used.
screen button, You can
Menu;Contrast change between contrast ･ In either Middle or Low Acoustic Pressure Transmission Mode.
menu and 3D menu. ・ CWPI (color wideband pulse inversion) mode is not enabled.
Menu;Mode Depended
・ Alternative mode is not enabled.
・ MTI (Micro bubble Trace Imaging) mode is not enabled.
30mm
Body Mark Move Dir;# Scan Distance Top;# ViewLine;# 3D Scan Cancel User Define
Mesurement 3D Scan Menu;#
* The layout of the buttons varies

depending on the settings.
61 Q2E-ES1155

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User Manual

Special Notes to Operators and Maintenance Managers

Note that the ultrasound scanner display referred

Before starting examination

Examination of each mode

Real-time Tissue Elastography ※

ECG and Physiologic Module ※ 17

Real-time Virtual Sonography ※

Turning the Power ON

② Press the ON/STANDBY key.

Turning the Power OFF

② Click the OK button in the message.

Before turning the Breaker switch off, make sure

『ON/STANDBY』 Key 『Elasto/TDI mode selection』 Key

『End Exam』 Key 『Fine Flow / CFA Mode』 Key

『Multi』 encoder 『READ』 Key

『Image Menu』 Key 『UPDATE (NEXT)』 Key

Panel key colors

Area to display tab menu

Area to display thumbnail

How to use the screen buttons Types of screen buttons

System Information Display

Selecting the probe and application

Use the trackball to move the pointer on the window.

Present application is displayed here.

The selected application is activated,

Selecting from the default application

① Use the trackball to move the pointer on the window.

The selected application is activated, and the probe

Creating a new application (Editing)

Entering patient information

② Enter the ID from the keyboard.

The item to be entered varies depending on the display format.

The ID and name entry fields can be enlarged.

③ After you enter the necessary information or made the

Automatic assignment of ID number

② Press the Start Exam key without inputting ID.

③ Press the OK button from Confirmation screen.

B Mode image display Changing frequency

Press the center of the B

Display depth Focus position

Shallower display depth Shallower

Deeper display depth

Use the DEPTH (MAG.) encoder to change the

Focus step Focus width

Increase steps Increase width

Decrease steps Decrease width

Note: Enabled only if the focus width is greater

Left/Right inversion Up/Down inversion

Changing the depth Steering images

Up/Down Shift Image Steering

Image Size Viewing Angle/Display Width

Increase size Wider

Decrease size Narrower

Selecting Harmonic Mode Spatial Compound (HI Com)

Compound imaging by multidirectional scanning

HdTHI-R: High definition

HI Com ON/OFF are switched with each pressing of

To switch the trapezoid display mode ON or OFF,

HI Zoom PAN Zoom

To change the size of the ROI, press the ENTER key.

Frame-by-frame playback of cine Dual display

To switch between the Left(Up) and Right(Down)

【Freeze OFF】【Freeze ON】