User Manual

Special Notes to Operators and Maintenance Managers

★ Before using this system,be sure to throughly 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. 2008 - 2010. Ａll rights reserved.

Q2E-EA1222-3
About the ultrasound scanner display

Note that the ultrasound scanner display referred to

in this User manual might differ from the display
actually displayed.

Q2E-EA1222
A table of contents ※
option

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 9
Color Mode 10
Doppler Mode 11

Real-time Tissue Elastography ※

Display 12
Strain Ratio Measurement 13

ECG and Physiologic Module ※ 14

BodyMark 15
Comments and Annotations 16
Basic Measurement 17

Filing
Media Handling 20
Formatting 21
Recording and Loading Images 22
Image Search and Play 23
Copy to media and Edit 24

(i) Q2E-EA1222
A table of contents ※
option

Contrast Echo ※
Startup and Exit 25
Adjustment 26
MTI・TIC 27

Advanced Measurement
IMT ※ 28
%WT ※ 29
Color Tissue Tracking ※
31
LA Tracking ※ 34

WideView ※ 36

Picture in Picture (PinP) ※ 37

4D (Real-time 3D) ※
Preparation 38
Scanning 39
Function 40
Volume Data Save and Load 41
HI DEF 3D (Scanning) 42
HI DEF 3D (Function) 43
HI DEF 3D (Multi Slice mode) 44
HI DEF 3D (CFM 3D mode) 45

( ii ) Q2E-EA1222
Before starting examination
Turning the Power ON or OFF

Turning the Power ON

① Turn the Breaker switch ON

Breaker switch

* Alphanumeric keyboard is option.

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

The light of the operation panel goes out, and system
① Press the ON/STANDBY key
shutdown processing begins.

② Click the OK button in the message The LCD monitor goes 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

1 Q2E-EA1222
Before starting examination
Panel Key Description

『ON/STANDBY』 Key 『Elasto/TDI Mode』 Knob / Key

Powers on or shuts down the Activates Elasto or TDI mode.
device. Note that the activated mode
depends on the settings.

『PROBE』 Key 『Fine Flow / CFA Mode』 Key

Displays the probe switching dialog Switches Fine Flow or CFA on or off.
box. Note that the mode depends the
settings.

『End Exam』 Key

Prints data, notifies the DICOM work 『HI Zoom』 Key
list server of the completion of Turns high-definition zoom on or off.
examination, and deletes
measurement results.

『Patient』 Key 『PAN Zoom』 Key

Displays dialog boxes for entering or Turns PAN zoom on or off.
modifying patient information.

『PSS』 Knob
『READ』 Key
Switches between the image
Starts the Filing window.
adjustment parameter settings (data
registered from the PSS setup menu).

『Multi encoder』 knob 『UPDATE (NEXT)』 Key

Operates the function selected from Initiates the sweep of Doppler mode
the screen button area. or M mode.

『Image Menu』 Key

Reflects the image adjustment
parameters on screen buttons.

『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.

2 Q2E-EA1222
Before starting examination
Examination screen (Screen buttons)

Area to display tab menu

Area to display thumbnail

Screen button area

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.
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.
Encoder
- Use the Screen button keys on the operation Scrolls through functions when the
panel. button is pressed.
Rotation
Executes the selected function
when pressed.
Push
The actual buttons displayed vary depending on
the examination mode.

Multi encoder
Screen button keys
Performs operations related to the
Encoder Func. button selected from
the screen button area.
System Information Display

Displays the action triggered by

the Multi encoder.
*Possible to operate by screen buttons as well.

3 Q2E-EA1222
Before starting examination
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.

4 Q2E-EA1222
Before starting examination
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

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.

5 Q2E-EA1222
Examination of each mode
B Mode ①

B Mode image display Changing frequency

Brighter Higher
frequency

Press the center of the B

Mode Knob.
Lower
frequency
Darker
Turn the Knob 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 Knob 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.

6 Q2E-EA1222
Examination of each mode
B Mode ②

Display-related settings
To display the display-related screen buttons, press the Display Set. button.
Display Set. To go back to the general menu, press the Display Set. button again.

Left/right inversion Changing the depth

Up/Down Shift Deeper

Shallower
To invert the displayed image horizontally,
press the Invert L/R button.
To change the depth, activate the Up/Down Shift
button, and then use the trackball.

Selecting Harmonic Mode Spatial Compound (HI Com)

dTHI Compound imaging by multidirectional scanning
Use of HI Com
When dTHI is on, use the REF FREQ key to shift
through the following modes: ON
HI Com
HdTHI-R: High definition
(Standard) mode
HI Com OFF

Up HdTHI-P: High definition HI Com ON/OFF are switched with each pressing of
(Deep scan) mode
HI Com button.

dTHI-W-R: High resolution

(Standard) mode Steering HI Com

HI Com HI Com is on.

Down dTHI-W-P: High resolution
(Deep scan) mode To change the compound direction, use the
OBLIQUE key.
dTHI-R: Standard mode

dTHI-P: Deep scan mode

*Different by probes.
Left Steering OFF Right

Oblique B Mode image

(for linear probe only)
Trapezoid display (for linear probe only)
HI Com HI Com is off.

Trapezoid

B Mode
Image To switch the trapezoid display mode on or off, press
the Trapezoid button.

7 Q2E-EA1222
Examination of each mode
B Mode ③

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 memory Dual display

Press the CINE key after freezing the image. To switch between single-window
and dual-window mode, use the
DUAL/SINGLE key.

Cine memory images can be played back by frame Real-time Frozen Frozen Real-time
with a trackball.

To switch between the left and right windows, use

the L(U) and R(D) keys.

8 Q2E-EA1222
Examination of each mode
M Mode

M-Mode display Omni-directional M Mode (ODM Mode)

display * option
Press the M Mode Knob.
Press the M Mode Knob again to exit M Mode. To switch ODM Mode ON or OFF, press the ODM
button displayed during M Mode.
Brighter
Normal M Mode ODM Mode

Turn the Knob 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 Knob.
(If this causes the gain to change, press the center
of M Mode Knob and then turn it.)

Moving the M Mode cursor
Use the trackball to move the cursor right or left.
Rotating and moving the ODM cursor line
Turn the Angle Knob so that the cursor line rotates
around the { mark.
Press the center of the Knob 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.

9 Q2E-EA1222
Examination of each mode
Color Mode

Color Doppler (CFI Mode) display
Press the center of the CFI Mode Knob.
To exit CFI mode, press the CFI Mode Knob again.
Brighter
Turn the Knob to adjust the gain.
Darker
Tissue Doppler image (TDI Mode) display
Press the Elasto/TDI Mode Knob to switch TDI Mode
ON or OFF.
(Turn the Knob to adjust the image.)
* Depending on the probe or
application being executed,
this might cause the Elasto to
be activated. For details, see
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 Knob.
To exit Fine Flow mode, press the Fine Flow/CFA
Mode Knob again.

Turn the CFI Mode Knob 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

Tilt the OBLIQUE key in the direction to which you

want to tilt the ROI.

10 Q2E-EA1222
Examination of each mode
Doppler Mode

Doppler Mode display

To activate Pulse Doppler, press the PW Mode Knob.
To activate Continuous Wave Doppler, press the CW Mode key.
To exit the current mode, press the same Knob 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 Knob.

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 Knob to bring up the angle bar. Slightly
turn the Knob to adjust the bar so that it is aligned
Simult. Real-time Frozen with the direction of blood flow.
OFF
Frozen Real-time Clockwise

Simult.
blood flow.

Simult. Counterclockwise
ON Real-time
Every time the Knob is pushed, the display in
Real-time registered angle, reversing, and erasing of the angle
bar are repeated.

11 Q2E-EA1222
Real-time Tissue Elastography
Display option

Display Elasto Mode

To turn the Elasto mode on or off, press the Elasto/TDI Mode Knob.
* Depending on the probe or application that is being executed, the TDI is activated.
* When using mechanical compression unit (Option) for transrectal 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.

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

12 Q2E-EA1222
Real-time Tissue Elastography
Strain Ratio Measurement option

About strain ratio 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%.

Procedure for measuring strain ration

① After pushing the FREEZE key, select the

appropriate Elasto mode image, and then start
“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.
* In Dual Elasto mode, ROI-A and ROI-B can be specified in either the left or right window.

Strain ratio measurement and ROI adjustment

Selecting the ROI shape
Use the screen buttons to select one of the following shapes:
Press the Shape Change button
ROI Shape;Ellipse ShapeChange;All
to switch between overall and
Press the ROI Shape button to partial adjustment. Partial
switch between elliptical and adjustment allows you to form the
rectangular shapes. ROI into an asymmetric shape.
ROI Shape;Rect ShapeChange;Part
* This button is enabled only if ROI Shape;
Ellipse is selected.
ROI size change and relocation
To adjust the ROI size, use the ENTER key and the trackball to move the control point. The control point is
displayed by placing the cursor on top of the ROI frame. If ROI Shape; Ellipse is selected, the size
adjustment mode varies depending on the shape of the control point.
„:Size change without changing the shape
+ :Size change in the diagonal direction
z:Partial size change (available only if Shape Change; Part is selected)

To move the ROI, move the cursor to inside the ROI. The ROI can be moved after the cursor changes to a
four-directional arrow.

13 Q2E-EA1222
ECG and Physiologic Module option

Attach an electrode to the patient's Control of the waveform

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

Press the ECG A. Gain button, then ECG

waveform automatically adjust.

14 Q2E-EA1222
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 Knob 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 Knob 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.

You can also select a body mark by pressing the PROBE MARK Knob.
You can scroll through the pre-registered body marks by pressing the Knob.
(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

15 Q2E-EA1222
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.
* If an alphanumeric keyboard (optional) is not attached, use the on-screen keyboard.
For details of the usage, see the instruction manual HI VISION Avius-operation-.

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 Comment key again to finish entering the comment.

Moving a comment Setting the home position of the comment

Place the cursor over the entered text, and then
press the ENTER key. A yellow frame appears
around the text. The text can then be moved.
cursor
Move the cursor to any given location, and then
press the Home Posi. screen button to set the home
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 Annotation key on either the operation panel or 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 ANNOTATION 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.

16 Q2E-EA1222
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 Caliper;Time Caliper;Velocity
mode can 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

17 Q2E-EA1222
Basic Measurement ②

Measurement correction

After a new caliper for the next measurement Select the measurement result frame containing the
appears, press the UNDO key, and then select measurement you want to redo. The color of the
a previously measured item. frame will change to yellow. Press the ENTER key to
redo the measurement.
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.

Real-time Doppler measurement

Starting and exiting the real-time measurement
Real-time Real-time Real-time

Measurement result

If you press the TRACE key while observing the

Press the CLEAR key to end the
Doppler waveform, trace processing starts up,
processing.
updating, in real-time, the measurement results.

You can also perform real-time measurement by selecting measurement from the
MEAS.MENU. The preset measurement items are displayed.

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.

*Possible to adjust by screen buttons as well.

18 Q2E-EA1222
Basic Measurement ③
Continuation of Real-time Doppler Measurement

Selecting the waveform after a frozen

Auto trace

Display the last one heartbeat just after freezing the image.
Turn PW mode knob to move measurement cursor.
Use TRACKBALL to move cine memory.

To average heartbeats, press Average of screen

button, and designate average heartbeat.

If trace measurement is selected from measurement menu, press UPDATE(NEXT) key or Store button.

Section trace

Set trace type of screen as Section.

Set the displayed caliper on the contraction starting point
of subject waveform, and press ENTER key.
Move the line displayed next to end diastolic period, and
circle 1 waveform.
Select up and down direction of wave form by + mark.
Press ENTER key to plot Vp (peak velocity) and Vd (end
diastolic velocity) and display measurement value.

To average heartbeats, press Average of screen

button, and designate average heartbeat.
Circle the waveform of designated heartbeat.

If trace measurement is selected from measurement menu, press UPDATE(NEXT) key or Store button.

*Possible to adjust by screen buttons as well.

19 Q2E-EA1222
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 Avius ~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 button 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.

20 Q2E-EA1222
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.

【Copy menu window】

You can also format media by selecting Tool and then
Media from the tab menu. There is no need to format a
DVD-R. For details on how to copy to DVD-R , see the
instruction manual HI VISION Avius ~Operation~.

Formatting a DVD-RAM Formatting USB memory (USB-HDD)

1) Enter the name of DVD 1) Select FAT32.

into Volume label.
*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 if you agree with the message, and then execute formatting.

When the Finished message indicating the completion of formatting is

displayed, click the Close button.

If you want to proceed to copying images, click OK in the copy menu

window to initiate image transfer.

21 Q2E-EA1222
Filing
Recording and Loading Images

Recording still and live image

Press the REC1 key. Indications displayed while recording
still and live images

Recording live images

① Press the REC2 key after the freeze. still images live images

② Follow the instructions. Use the trackball to select the first frame you
want to display as a live image, and then press the ENTER key.
Next, select the last frame.

* When setting up for the Cardiac region, the last three heartbeats immediately before
the freeze are automatically loaded as a live image.
* The assignment of keys and the method of loading might vary depending on the
settings. (For details, see the instruction manual HI VISION Avius ~Operation~.)

Recording live image real-time (option)

Recording live image
Press the REC2 key during observation.
Stopping live image recording
To stop recording, either press the REC2
key again or press the FREEZE key.
* While recording the live image, the transfer
progress is displayed in the lower part of the
screen (system information display area).
live images

Prolonged live image recording * In prolonged live image recording mode, you can
Press the assigned REC# key. record live images even during the freeze.
* The image can be recorded either directly to the
Stopping prolonged live 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

22 Q2E-EA1222
Filing
Image Search and Play

Searching images

① Press the READ key during the freeze to display (Example) How to search by keyword
the Filing window. ① Enter the keyword.

② Click d in the Search field of the Filing window to ② Click the Search button.
select the search method.
③A thumbnail representing the
corresponding data is displayed.

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 live 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
live image. the examination window.

■
Play Stop

23 Q2E-EA1222
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 live image

① Play the live 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.

24 Q2E-EA1222
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(Function 1) or F2(Function 2) key to display the following menu, and contrast echo operations
become possible:

Body Mark Contrast T.Start User Define

Mesurement 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
Mesurement UCI Flash Frame Rate Menu;Contrast
situation.

When both the Contrast button and the Color Mode Knob are turned
ON, the mode becomes CWPI (color contrast mode).
Contrast

Window display in the contrast mode

dCHI-W-#: Wideband Pulse Inversion (black and white contrast images)
CWPI-#: Color Wideband Pulse Inversion (color contrast images)
FI: Fundamental Image (fundamental wave images, monitor images)
The description in # varies depending on the frequency.

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.

25 Q2E-EA1222
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.

26 Q2E-EA1222
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 run by
displaying, per frame and through superposition, the shadowed parts of a contrast image.

Press the MTI button to start superposition.

MTI MTI

MTI OFF MTI ON

Press the Flash button to destroy the contrast agent, clear the superposed
images, and observe the reperfusion by performing superposition again.
Flash

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】

27 Q2E-EA1222
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 R-IMT/L-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 automatic trace method
Change the threshold of red line (tunica intima) and green line (tunia externa) so that
they can be moved to the position users like.
Number of threshold is displayed.
Three-point method
When three point method is selected in measurement setting, measurement marker
like the right one is displayed.
Move the cursor over the detection mark and press the ENTER key, and the
detection mark becomes movable. Move the detection mark to any position and press
the ENTER key again to fix that position.
Manual correction
Click Manual Correction to display control points
on the trace line.
Move the cursor over the correction point you want
to correct, push the ENTER key, and again push
the ENTER key to put on that point.

28 Q2E-EA1222
Advanced Measurement
%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 from
* Need a real time archive unit and ECG. 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

This measurement is possible only for data recorded 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 Retrive button or
positions can be specified. (It is possible to correct
directly press double click on the image.
multiple pairs)

29 Q2E-EA1222
Advanced Measurement
%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.

30 Q2E-EA1222
Advanced Measurement
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.

Press the Meas. Menu key, select CTT

from the items displayed, and start CTT.

Select a short axis level to be analyzed.

You can change the thickness of the ROI.

The default value is 0.8 cm.

・ Press the ENTER key to show the ROI.

・ You can set the ROI while the video is being
played back.
・ Check that the ROI is set on the top frame.

31 Q2E-EA1222
Advanced Measurement
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.

Correcting the ROI

Correcting partially
Click the light blue point on the ROI for Resetting
correction. You can reset the ROI setting by using the
Reset button.

Command functions
Changing the image and graph positions Changing the %WT value and color

You can change the display positions of video
images and graphs.
*Measurement on graphs is enabled only when
graphs are displayed in large size on the right
side.
To change the %WT value, retype the value in the
dialog box. To change the color, click the color box
to display the color palette. Choose a color you
prefer.

32 Q2E-EA1222
Advanced Measurement
Color Tissue Tracking ③ option

Command functions

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.

*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.

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.

33 Q2E-EA1222
Advanced Measurement
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- * For P-P capturing, use the
chamber (hereafter A4C) or the apex 2-chamber manual transfer to capture
(A2C) and save the images for one heartbeat. images by specifying any
For Bi plane measurement, save images in the single heartbeat.
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 Trackin from the items
displayed, and start LAT.

When the cursor exists the image area, tracing is

always possible.
Click 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.
Check 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.

34 Q2E-EA1222
Advanced Measurement
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
You can change the display
positions of video images and
graphs by using the icons.
Changing the graph type
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

For a AVI file, you can save all frames
analyzed image. You can check the created
synchronized with a graph's time bar.
video from the Filing window.

35 Q2E-EA1222
Wide View option

Starting the wide view and capturing an image

Pressing the key ( F1 or F2 ) to which the Wide View is assigned brings up the appropriate screen buttons.
* Depending on the system configuration, this can either directly display the Wide View menu or require pressing the screen button
marked Wide View first to display the wide view menu.

Wide View operation conditions

・Freeze OFF ・Pan zoom, Hi zoom, and other optional functions not used
・Linear or convex scan type probe used ・B Mode or Color Mode single-image display

Options menu
Contrast WideView Stress

* The layout of the buttons varies

depending on the configuration.
BodyMark User Define Wide View menu
Measurement Cine Review Start Menu;WideView (for PAUSE)

Stop

Start Stop
PAUSE window REC window STOP window

Place the probe on the scanning
beginning point.
* In order to correctly obtain a wide view,
the details of the deepest level of an
image must be precisely extracted and
displayed in this window.
Press the Start button, and scan
along a range over which you
want to obtain continuous images.
* Care must be taken so as not to let the
probe shift in the short axis direction.
When your target range has
been completely scanned,
press the Stop button or the
FREEZE key to finish.
* When the Freeze mode is released,
the window returns to PAUSE.

Exiting Wide View

Wide view can be terminated by pressing the same key ( F1 or F2 ) that was used to start up the Wide View.
Just as with the startup process, if this does not directly cause the Wide View to shut down, press the screen
button marked Wide View to terminate the Wide View.

Manipulating a Wide View image (when on the STOP window)

Rotate Enlarge or reduce

Press the PAN Zoom key to

enable enlargement or reduction.
Change the magnification ratio by
Turn the Angle/ODM Knob. using the DEPTH (MAG) Knob.

Playing captured original images

Original The captured original image is displayed to the right of the

Cine
image window. Use the trackball to perform playback of cine
memory for the original image.

36 Q2E-EA1222
Picture in Picture (PinP) option

Executing Picture in Picture (PinP)

Application
Manual
Edit Patient
Mode Adjust
Media
① From the tab menu on the left side of the screen, Remove Har・・・

Tool
Simplified T・・・
select the Tool tab. DVD-RAM
USB Memory
USB HDD

Measure
② Select PinP to execute imaging through the S- Filing
Cine Memory
terminal (camera images) on the Examination Display
Account Menu
window as shown below.

Annotation
Physiology
Video/ORIG
PinP
When PinP is activated, the following screen
buttons are displayed on the window:

Body Mark Freeze Location;LT Size; Small CCD Window User Define

Setup
Mesurement Menu;PinP

Display position of the camera image

While the Size; small button is selected,
press the Location; LT button to move the
camera image.

Location;LT Location;RT

* Each time the button is pressed, the

camera image moves around 4 corners on
the examination window in turn.
LT- top left RT- top right
LB- bottom left RB- bottom right

Display size of the camera image Freezing the camera image

Press the Size;Small button to display the size of Press the Freeze button to stop the camera image
the camera image. only.
Size;Small Size;Full Freeze Freeze

* When a dual image display supporting probe is Camera image not Camera image
connected, press Size;Small button to frozen frozen
display dual images（Size;Half）.

Hiding a camera image

Press the CCD Window button to temporarily hide
the camera image.

CCD Window CCD Window

Camera image Camera image

displayed hidden

37 Q2E-EA1222
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 figure
on the right, and set the View Line and the 3D ROI.

The View Line is a useful function that lets you specify which surface to start
with when observing a 3D image.
3D ROI Setting window
Adjusting the View Line
Adjust rotation
Set the View Line as close to the fetal nose and mouth as
possible.

① Use the Angle Knob to adjust the rotation and curvature

of the View Line .
② Use the trackball to adjust the position of the View Line. Adjust curvature

Press the Angle Knob to change functions.

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 Select the Select the
trackball. View Line 3D ROI
③ Press the ENTER key to enable size adjustments.

Press the ENTER key to change trackball functions.

Move the 3D ROI Resize the 3D ROI

38 Q2E-EA1222
4D (Real-time 3D)
Scanning option

Setting the top of the 3D

Select which side of the window, right or left, is to display
the head side of the fetus.
A 3D image is displayed with the selected side as its top.
Top;R
In the 3D ROI Setting window, select a screen button for the
head side of the fetus.

Top;L Top;R

Top;L
Starting 4D scanning
Press the UPDATE key, 4D scanning is started.

3D ROI Setting window 2D-3D window

Switching between the 2D-3D window and the 3D ROI Setting window.
Press the UPDATE key.
When the fetus has moved, returning to the 3D ROI Setting window
makes position adjustments easy.

Removing the artifact (noise) of a 3D image

Turn the B-mode Knob to the right while the real-time 3D
image is being displayed to remove image signals of a
certain brightness level or lower.
Check that the B-Mode Knob priority is as shown
in the figure on the left. Press the B Mode Knob
to change functions.

For a fetus age 20 weeks or less, adjustments are not

usually needed.
You can also make adjustments by using the Threshold
screen button displayed when the Image Menu key is
pressed and by the Multi encoder.

3D single image display

Press the Right key to change to the 3D single image display (3D window).

2D-3D window 3D window

39 Q2E-EA1222
4D (Real-time 3D)
Function option

Rotating a 4D (3D) image

Use the following Knob to rotate a 4D (3D) image:

X direction Y direction Z direction

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.

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.

Cut;Inside
You can also remain the region surrounding the specified range
Cut;Outside
by using the screen button.

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
previous state. cut-out region by using a screen button.

Press the Cut Menu button again to close the menu related to cutting.

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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.

Playing 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.

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.

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

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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.

【3D ROI Setting window 】 【3D ROI Setting window】

HI DEF 3D HI DEF 3D

Real-time 3D mode HI DEF 3D mode

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 HI DEF 3D scanning

Press the HI DEF Scan screen button to start capturing. * When scanning is completed, 【3D window】,
【MPR window】, etc are displayed.
Capturing can be started also by UPDATE key.

HI DEF Scan HI DEF Scan

Before scanning During scanning

* Progress bar is displayed. 【MPR ｗindow】 【3D ｗindow】

Stopping HI DEF 3D scanning (cancel)
Press the HI DEF Scan screen button while capturing
(While the progress bar is displayed) to stop capturing
and return to the 3D ROI Setting window.

HI DEF Scan HI DEF Scan

Inversion mode display

Select Rendering Menu and then Opac.Invert from
Screen buttons.

Rendering Menu Opac.Invert

【Opacity mode】 【Inversion mode】
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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 screen button to perform switching.

MPR Display MPR Display

Adjusting a cross-section on the MPR window

①Use the ENTER key to select a cross-section you want to change.
(The selected view is enclosed in a solid frame.)

② Adjust the cross-section by using the trackball. Use the X, Y, and Z knobs to change the cross-section
through 3D image rotation.
You can rotate an image and save 3D Volume data in the same manner as the 4D mode.

Displaying a single cross-section on the MPR window

Press the Left key to change the selected view into the single cross-section display.

Use the screen buttons to

change cross-sections.
MPR_X MPR_Z MPR_X

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

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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
knob similarly to 4D.

Reference;X Reference;Y Reference;Z

Slice position adjustment

Adjust the position of slice line with a track ball. If track ball priority is different,
make adjustment after
selecting the right mark with Assigned ｔrackball ｆunction
TRACK BALL key.
Press ENTER key or TRACK
BALL key to fix slice line.
Select the Slice Line

Slice window display shift Slice interval adjustment

Press Screen Shift screen button, and shift
window by window with Multi encoder. Press Slice Setting screen button, and adjust by Slice
interval screen button and Multi encoder.
Increase interval
To + side
2.0
Slice Setting Slice Interval
Screen Shift

Unit of value is mm.

Single window display of Multi Slice window

The section with blue color selected by Enter key
is displayed in single window. If track ball priority is different, make adjustment
after pressing TRACK BALL key to switch the
Screen;Multiple Screen;Single function to image selection.

Assigned Select the Select the

ｔrackball ｆunction Slice Line Image Select

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4D（Real-time 3D）
HI DEF 3D （CFM 3D mode）

Blood flow 3D image (CFM 3D mode)

①Press CFI mode knob or Fine Flow/CFA 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)
②Adjust color gain, color box, velocity range (PRF), etc
③Press HI DEF Scan to start capturing.
Capturing can be started also by UPDATE key.

HI DEF Scan HI DEF Scan

Before the start of scan During the scan

* Progress bar is displayed.

* 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 knob.

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.

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