CHI Section

CHI Section
This is an instruction manual for the optional Contrast

Harmonic Imaging software for the ARIETTA 70 Diagnostic
Ultrasound System. This manual, along with the “Instruction
for use” Section should be read before using the software.
©Hitachi, Ltd.
MN1-5889 rev.10 |1
Thank you for purchasing the Hitachi, Ltd. ARIETTA 70 Diagnostic Ultrasound System; we truly
appreciate your business.
Before using the instrument, please read this manual.
Be sure to keep this manual for future reference.
Note that the diagnostic ultrasound system windows referred to in this instruction manual might differ
from the windows actually displayed.
This manual is applicable to ARIETTA 70, ARIETTA 70a, ARIETTA S70, ARIETTA S70a, ARIETTA V70 and
ARIETTA V70a.
The word, ARIETTA 70 in the manual is deemed to be ARIETTA 70, ARIETTA 70a, ARIETTA S70, ARIETTA
S70a, ARIETTA V70 and ARIETTA V70a, if the case may be.
Trademarks and Registered Trademarks

Microsoft, Windows, Microsoft Excel, and Windows Media are either registered trademarks or trademarks of Microsoft
Corporation in the United States and other countries.
Adobe, Acrobat, and Reader are trademarks or registered trademarks of Adobe Systems Incorporated in the United
States and other countries.
The company name, product names, and logo of McAfee, in both English and Japanese, are trademarks or registered
trademarks of McAfee, Inc. or its affiliated companies.
Linux is a trademark or registered trademark of Mr. Linus Torvalds in Japan, and other countries.
Real-time Tissue Elastography, Real-time Virtual Sonography, HI REZ, and HdTHI are registered trademarks in Japan of
Hitachi, Ltd..
VS-FlexGrid Pro copyright© 1999-2000 Videosoft Corporation.
This software is based in part on the work of the Independent JPEG Group.
Other company names, product names and system names mentioned in the instruction manual of this instrument
may be the trademarks or registered trademarks of their respective organizations. This document omits symbols such
as ™ and ®.
©Hitachi, Ltd. 2013,2017. All rights reserved.
Precautions concerning the software incorporated into this instrument.

Regarding the software installed in this instrument, the following actions are prohibited.
(1) Reselling, assigning, or transferring the software itself
(2) Reverse engineering, reverse compiling, or reverse assembling
(3) Modification, alteration or translation
(4) Creating copies or duplicates
(5) Leasing to third parties
2| ©Hitachi, Ltd.
MN1-5889 rev.10
 Symbols Used in this Document
The terms below are used as follows in this manual, to prevent hazards and injuries to operators and
patients. The severity of a hazard and injury that can occur when failing to observe the displayed safety
information is indicated in four levels: Danger, Warning, Caution, and Note.
Indicates an imminently hazardous situation which, if not avoided, may result in death or
serious injury.
Indicates a potentially hazardous situation which, if not avoided, may result in death or serious
injury.
Indicates a potentially hazardous situation which, if not avoided, may result in minor or
moderate injury.
Indicates a strong request concerning an item that must be observed in order to prevent
damage or deterioration of the equipment, and also to ensure that it is used efficiently.
The safety symbols have the meanings shown below.
This kind of symbol means attention is required.
This symbol means the noted action is prohibited.
This symbol means the noted action is required.
©Hitachi, Ltd.
MN1-5889 rev.10 |3
ARIETTA70 Diagnostic Ultrasound System
ARIETTA70 Diagnostic Ultrasound System

This instrument is intended to be used by doctors and other qualified persons, who have a basic
knowledge of an ultrasound system and have received the required training, for performing
tomography and hemodynamics diagnosis of blood flow in the human body.
However, this instrument cannot be used for performing ultrasound examination of the eyes. The
acoustic power from this instrument exceeds the upper ophthalmologic limit indicated in the U.S. FDA
standards.
I) Precautions concerning the use and management of this instrument
 Only doctors and other qualified persons are allowed to perform operations for diagnostic purpose.
 Scan only for the minimum length of time necessary for the diagnosis, and at the lowest possible output.
 Do not disassemble, repair, or modify the instrument or its optional equipment without our permission.
Repair of the instrument will be carried out by our certified personnel. Allow us to handle any repair work.
NOTE: Disassembly means the use of tools to remove the casing or other parts.
NOTE: Modification means attachment of parts or devices to this instrument other than those specified by
the manufacturer. Replacement of a power cable counts as modification.
 Installation of the instrument and any optional equipment (mounting and connecting using tools) will be
performed by our certified partners. Allow us to handle any repair work.
 Perform periodical cleaning and inspection of this instrument. For details, refer to “Procedures After
Instrument Use” in the separate “Instructions for Use”.
 In the event of an instrument malfunction, immediately remove the probe from the patient and stop using
the instrument. Provide appropriate medical treatment immediately if the patient's condition is abnormal.
Perform the required measures for the instrument as described in “Message” in the separate “Instructions
for Use”. Be sure to contact our office if the abnormality is not described in “Message”.
II) Precautions on Instrument Installation
This instrument is medical electrical equipment intended for use in hospitals, research institutions
and similar facilities. Install this instrument as described below.
 Install the instrument according to the instructions given in “Setup Before Use” in the separate
“Instructions for Use”.
 Install it in an environment that satisfies the conditions described in “Ambient Conditions” in the separate
“Instructions for Use”.
 Install the instrument in an environment where electromagnetic compatibility can be maintained in

accordance with “Precautions for Maintaining Electromagnetic Compatibility” and “Guidelines for
Electromagnetic Compatibility” in the separate “Instructions for Use”.
NOTE: The electromagnetic compatibility (EMC) is ability of device to function satisfactorily in its
electromagnetic environment without introducing intolerable electromagnetic disturbance to anything in
that environment.
4| ©Hitachi, Ltd.
MN1-5889 rev.10
Classification of the ARIETTA70
Classification of the ARIETTA70

 Protection against electric shock: Class I · ME equipment
 Protection against electric shock (applied part): Type BF applied part
– Probes and scanner
Refer to the diagram below (or the probe and scanner diagrams) and table below for applied parts and
parts handled as such.
B C A
connector
connector
C A
The above is an example of probes for surface and intraoperative use. Below are examples of Endocavity
probes.
Applicable part of
body Applied part Parts treated as applied parts B - C length
Surface of body Ultrasonic irradiation area (D) A to B 100 cm
Intraoperative Ultrasonic irradiation area (D) A to B 20 cm
Endocavity A to C A to C —
– ECG, PCG, Pulse
Applied part can be used up to 2 m from each cable's electrodes (refer to image below).
e.g.: ECG
2 meters
ECG electrodes
connector
ECG patient lead
 Protection against electric shock (Defibrillation-proof applied parts): Not suitable
 Protection against harmful ingress of water or particulate matter
– equipment: IPX0 (Ordinary equipment)
– Probe applied part: IPX7 (Watertight equipment)
 Suitability for use in an oxygen rich environment: Not suitable
 Method (s) of sterilization: Not suitable for sterilization/disinfection with medicinal solution, gas or
radiation.
 Mode of operation: Continuous operation
©Hitachi, Ltd.
MN1-5889 rev.10 |5
Classification of the ARIETTA70
6| ©Hitachi, Ltd.
MN1-5889 rev.10
Contents
1 Contrast Harmonic Imaging (CHI) . . . . . . . . . . . . . . . . . . . . . . . . . . 9

1-1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
1-1-1 Precautions for use of ultrasound contrast agents. . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
1-2 Displaying in CHI Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

1-2-1 Displaying CHI-Color . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
1-2-2 Adjusting acoustic pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
1-2-3 Dual Screen (monitor mode) for displaying fundamental and
CHI mode images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
1-2-4 Using high acoustic pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
1-2-5 Accumulating maximum luminance values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
1-2-6 Recording CHI Mode images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
1-2-7 Ending CHI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
1-3 Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

1-3-1 Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
1-4 Preset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

1-4-1 Application parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
1-4-2 QSS preset parameters: CHI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
1-5 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
2 Contrast Harmonic Imaging (CHI) Analysis . . . . . . . . . . . . . . . . . 37

2-1 Outline of Contrast Echo analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
2-1-1 Procedure for Contrast Echo analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
2-1-2 Terms used in this chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
2-1-3 Configuring the analysis range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
2-1-4 Time Intensity Curve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
2-1-5 Subtraction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
2-1-6 Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
2-1-7 Saving and Outputting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
2-1-8 Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
2-1-9 Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
©Hitachi, Ltd.
MN1-5889 rev.10 |7
8| ©Hitachi, Ltd.
MN1-5889 rev.10
1 Contrast Harmonic
Imaging (CHI)
This chapter will explain the methods of displaying images

using Contrast Harmonic Imaging.
©Hitachi, Ltd.
MN1-5889 rev.10 Contrast Harmonic Imaging (CHI) |9
Overview
1-1 Overview
Contrast Harmonic Imaging (CHI) is a function that allows images that have been dyed with an
ultrasound contrast agent to be displayed more visibly. Use of this function requires the optional
CHM-ARIETTA70.
CHI for this instrument comprises the following characteristics.
 CHI Method for CHI mode
– Wide-band Contrast Harmonic Imaging (WbC)
The Pulse Inversion method enables retrieval of echoes from the ultrasound contrast agent across a broad
spectrum and display them in CHI mode at a high level of sensitivity.
– Tissue Reduction Contrast Harmonic Imaging (TrC)
The Amplitude Modulation method makes it possible to reduce signals from tissue to get clearer CHI mode
images.
 CHI Mode Image
– CHI-B/W
This function reproduces signals from the ultrasound contrast agent as black-and-white images
(black-and-white images displayed by the CHI mode).
– CHI-Color
This function reproduces signals from the ultrasound contrast agent as color images (color images
displayed by the CHI mode). Because color images are displayed on black-and-white fundamental images,
it's easier to visually grasp the locational relationship between the target organ and the image.
 Tx Mode
Aside from intermittent transmission, which can be used to adjust the interval of time and heart
rate, there are also Monitor Mode, Flash, and One-shot.
– Monitor Mode
This mode displays the monitor image and CHI mode image side by side. It allows you to check on the
condition of the subject while also monitoring the flow of the ultrasound contrast agent. The monitor
image is based on the same conditions as the fundamental image during CHI-Color.
– Flash
This mode sends high acoustic pressure transmissions at set intervals to destroy the ultrasound contrast
agent. After the destruction of the ultrasound contrast agent its reflux can be monitored.
– One-shot
A mode for a single manual high acoustic pressure transmission. It allows you to check for the presence of
ultrasound contrast agent.
 Counter
This measures and displays the amount of time since the ultrasound contrast agent was
administered. When the counter is at “00:00” , the moving image recording function is ready.
10 | Contrast Harmonic Imaging (CHI) ©Hitachi, Ltd.

MN1-5889 rev.10
Overview
1-1-1 Precautions for use of ultrasound contrast agents

The following are precautions for use in conjunction with ultrasound contrast agents.
Only use licensed medications for the ultrasound diagnostic contrast agents.
For information on the use, amount, precautions, storage, and disposal of ultrasound contrast agents,
refer to the separate manual included with the ultrasound contrast agent.
When using ultrasound contrast agents during examinations, always pay constant attention to the patient's condition.
In a perfusion examination using ultrasound contrast agent, the pulse rhythm of the heart may be disturbed even if
the mechanical index (MI) is within the diagnostic range.
Always perform examinations using the minimum required acoustic pressure for diagnosis.
Depending on the how the ultrasound contrast agent is used, its mechanical effect (cavitation) on the subject's body
could be increased.
©Hitachi, Ltd.
MN1-5889 rev.10 Contrast Harmonic Imaging (CHI) | 11
Displaying in CHI Mode
1-2 Displaying in CHI Mode

Preliminary check Before entering CHI Mode, check the following items.
 Probes
Observations in CHI Mode can only be performed with a probe intended for CHI. Please check the
documentation provided with the probe and the separate "Instruction for use" Section for CHI
compatibility.
 Application presets
An application that supports the use of the ultrasound contrast agents type has been built-in to the
instrument. Please select the application which applies towards the use of the ultrasound contrast
agent.
For powering on the instrument, changing the probe link-up, or other information on general handling,
refer to the separate "Instruction for use" Section.
Refer to the document accompanying the probe for handling information.
1 Press the [Probe/Preset] key and select the CHI Application.
2 Select [CHI] on the touch panel.

 Displays CHI-B/W
3 Adjust the image.
 Use the [CHI Method] on the touch panel to  Use [Frequency WbC (P.I.)] or [Frequency TrC
select CHI Method. (A.M.)] on the touch panel to select a
 Bring the region for observation into focus. frequency that suits the depth of
observation.
 Adjust the MI value with the [Acoustic
Power] key.
Display example Information about CHI Mode is displayed on-screen.

MN1-5889 rev.10
(1) (2) (3)
(4)
(5)
(6)
(1) Counter
(2) MI value
(3) Sync Settings
(4) Cine memory number
This becomes active when numbers in memory mode are shown in outline characters and an image can be
adjusted.
(5) Frequency, Depth Range, Gain Value, Dynamic Range
(6) Acquisition progress bar (indicates the time it takes to import Raw or a Video Clip/maximum acquisition time)
and Cine Memory area bar*1
The Cine Memory Area bar allows you to check whether the oldest Raw data remains in Cinema Memory.
NOTE: The Cinema Memory Area bar is fully visible only when the highest frame rate is set.
*1. This is not displayed while acquiring a Video Clip when Intermittent, Monitor Mode or RVS is used.
©Hitachi, Ltd.
1-2-1 Displaying CHI-Color

Displays color fundamental images created from signals reflected by the ultrasound contrast agent.
1 Press the [Probe/Preset] key and select the CHI Application.
2 Select [CHI] on the touch panel.

 Displays CHI-B/W
3 Press the [CF] key.

 Displaying CHI-Color
4 Adjust the image.
 Use the [CHI Method] on the touch panel to  Use [Frequency WbC (P.I.)] or [Frequency TrC
select CHI Method. (A.M.)] on the touch panel to select a
 Bring the region for observation into focus. frequency that suits the depth of
observation.
 Adjust the MI value with the [Acoustic
Power] key.
5 Configure the color display area (ROI).

a Move the ROI to the detection range with the
trackball.
b Press the [Enter] key.
c Use the trackball to adjust the size of the ROI

so that the detection range fits into it.
d Press the [Enter] key.
e Configure the ROI by repeating steps a

through d.
6 Adjust the quality of the color image.
 You can adjust the CHI-Color gain by  Use [Blend] on the touch panel to adjust
rotating the [CF] key. color permeability.
 Use [Color Transparent] on the touch panel

to set color transparency.

MN1-5889 rev.10
1-2-2 Adjusting acoustic pressure

Acoustic pressure can be regulated by either % Control, where the acoustic pressure is switched when
the maximum output reaches a value of 100%, or MI Control, where the acoustic pressure is switched
directly using the MI (Mechanical index) value. You can use the presets to configure the method you
would like to use.
 Use the [Acoustic Power] key to adjust the acoustic pressure.

Adjusting the acoustic pressure while in Freeze
You can adjust the acoustic pressure even while in Freeze. Once Freeze has been released, transfer will
begin at the new acoustic pressure.
©Hitachi, Ltd.
1-2-3 Dual Screen (monitor mode) for displaying fundamental and

CHI mode images
Dual Screen is used to display fundamental and CHI mode images to monitor the target under
observation.
Before administering the ultrasound contrast agent, the subject may be hard to observe due to the low
lighting of CHI Mode rendered images. In Monitor Mode, both CHI Mode and the fundamental mode
images are displayed simultaneously, allowing you to monitor the subject on the fundamental image
while confirming the flow of the ultrasound contrast agent in the CHI Mode image.
1 Display the image in CHI Mode.
2 Select [Monitor Mode] on the touch panel.

 The fundamental image will be displayed on the left, and the CHI Mode image will be displayed on
the right of the dual screen.
The [Dual] key allows you to change the active screen. The active screen is displayed when cine
memory numbers are shown in outline characters. The MI or gain value of an active screen can be
adjusted. The [Single] key can display the active screen on one screen.
Changing synchronization of fundamental and CHI mode images
 Use [Sync.] on the touch panel to change synchronization.
 [Interval (Time)], [Interval (ECG)] or [Interval (Frame)] on the touch panel allow you to change
transmission intervals.

MN1-5889 rev.10
1-2-4 Using high acoustic pressure

High acoustic pressure destroys the ultrasound contrast agent.
Monitoring the reflux of ultrasound contrast agent (Flash)
2 Select [Flash] on the touch panel.

 The high acoustic pressure will be transmitted and the ultrasound contrast agents destroyed.
Changing Flash mode
 Set the number of flashes.

a Change [Flash Mode] on the touch panel to
“#of Flash” .
b Use [# of Flash] on the tough panel to set the

number of times.
 Set flash time interval.

a Change [Flash Mode] on the touch panel to
“Flash Time” .
b Use [Flash Time] on the touch panel to set

the time interval.
©Hitachi, Ltd.
Acquiring an image per frame using the high acoustic pressure of the
transmission and reception (One-shot)
Manually performing the high acoustic pressure of the transmission and reception once will display one
CHI Mode image.
2 Set the transmission interval to “Infinity” .

Change one of the following to “Infinity” .
 Menu corresponding to the touch panel’s

[Interval (Time)]

[Interval (ECG)]

[Interval (Frame)]
3 Select [One-shot] on the touch panel.

 Each time this function is selected, a single CHI mode image will be stored in Cine Memory using
high acoustic pressure oh the transmission and reception.
When [Monitor Mode] on the touch panel is On
The screen can be changed to dual screen or single screen CHI Mode.
NOTE: [One-shot] is not available when [Display Image] on the touch panel is “Fundamental” or Fundamental in
Monitor Mode is displayed on a single screen.

MN1-5889 rev.10
1-2-5 Accumulating maximum luminance values

This improves the visibility of the ultrasound contrast agent.
2 Set [Accumulation] to On.

 The maximum luminance values will be accumulated for each frame on a CHI Mode image.
When [Flash Link] on the touch panel is On
Select [Flash] on the touch panel and [Accumulation] will automatically go On.
3 Use [Motion Comp. Mode] on the touch panel to set motion compensation conditions.
Motion compensation
The motion artifact from the accumulation can be reduced.
©Hitachi, Ltd.
1-2-6 Recording CHI Mode images

The following provides an explanation of the steps between administering the ultrasound contrast
agent in CHI Mode and the end of the exam.
CHI Mode images can be saved to a location specified in [Store Media].
When capturing moving images, a progress bar will be displayed together with a Cine Memory area bar.
Settings Acquisition progress bar
Data Format (Movie) “Raw+RGB” Display*1

“Video Clip” Display
*1.When [Monitor Mode] is on, the Acquisition progress bar does not appear.
NOTE: Acquisition mode is locked at “Manual” in CHI mode.
Saving the CHI Mode image using the Counter (Counter Linkis set to “On” )
2 Check the offset value of the Counter.

a Select [Counter Set Up] on the touch panel.
b Check [Counter (A) Offset] on the touch

panel, and change if needed.
3 Select [Counter (A)] on the touch panel.
4 When Counter (A) is at “00:00” , administer the ultrasound contrast agent to the patient.
 The moving image capture process will begin.
5 When the examination is over, press the [Freeze/B Gain] key.

 The moving image capture process will end.
Switch the [Cine Search] key to On to use the trackball to search frozen images.

MN1-5889 rev.10
Saving CHI Mode images using the [Store] key (Counter Link is “Off” )
2 Press the [Store] key.

 The moving image capture process will begin.
3 Administer the ultrasound contrast agent to the patient.

Displaying the amount of time since the ultrasound contrast agent was administered.
Select [Counter (A)] on the touch panel after administering it.
4 When the examination is over, press the [Freeze/B Gain] key.

 The moving image capture process will end.
Switch the [Cine Search] key to On to use the trackball to search frozen images.
1-2-7 Ending CHI
 Set [CHI] to Off on the touch panel.
©Hitachi, Ltd.
Menu
1-3 Menu
1-3-1 Menu
[CHI]
“Off” Turns off CHI mode.

“On” Starts CHI mode.
[CHI Method]
“WbC (P.I.)” Changes CHI Method to Pulse Inversion Method in CHI Mode.
“TrC (A.M.)” Changes CHI Method to Amplitude Modulation Method in CHI Mode.
[Color Transparent]
“Off” Displays CHI-Color images without color transparency.

“On” Displays CHI-Color images with color transparency.
[Display Image]
“Contrast” Displays CHI Mode images.

“Fundamental” Displays a normal B mode image (fundamental image).
[Monitor Mode]
“Off” Displays only CHI Mode images.

“On” Displays fundamental and CHI mode images.
The fundamental image will be displayed on the left, and the CHI Mode image will be
displayed on the right of the dual screen.
[Color Map (CHI-Color)]
“A” to “O” You can select and switch the Color Map settings applied to CHI-Color using the A to O
settings in the presets.

MN1-5889 rev.10
Menu
[Color Map (CHI-B/W)]
“A” to “O” You can select and switch the Color Map settings applied to CHI-B/W using the A to O settings
in the presets.
[Sync.]
“Time”
Switches the synchronization of intermittent transmissions and [Monitor Mode]
“ECG”
synchronization.
“Frame”
[One-shot]
Retrieves a single frame and renders a CHI Mode image.
[Flash]
Destroys the ultrasound contrast agent using high acoustic pressure transmission.
[Flash Mode]
“#of Flash” The number of times that [Flash] will be performed.

“Flash Time” The time interval of [Flash] operation.
[Flash Link]
“Off” Turns automatic accumulation off after [Flash] has been selected.
“On” Turns automatic accumulation on after [Flash] has been selected.
[Accumulation]
“Off” Turns off accumulation.

“On” Turns on accumulation.
©Hitachi, Ltd.
Menu
[Counter Link]
“Off” Does not use [Counter (A)] and [Counter (B)] to start recording of moving images.
“On” Records a moving image when [Counter (A)] or [Counter (B)] is at 00:00. If the offset value is
00:00, the moving image will begin recording from the time [ Counter (A)] or [ Counter (B)] is
selected.
[Agent Type]
“Low” Changes the configuration to be ideal for low acoustic pressure ultrasound contrast agents.
“Mid” Changes the configuration to be ideal for acoustic pressure ultrasound contrast agents.
“High” Changes the configuration to be ideal for high acoustic pressure ultrasound contrast agents.
[Frequency WbC (P.I.)]
“x - y” Changes Tx frequency when [CHI Method] is “WbC (P.I.)” .
[Frequency TrC (A.M.)]
“x - y” Changes Tx frequency when [CHI Method] is “TrC (A.M.)” .
[Blend]
“0” to “100” Adjusts the color transparency ratio when [Color Transparent] is “On” .
[Frequency (FI)]
“x - y” Changes Tx frequency of fundamental images when [Display Image] is “Fundamental” or

[Monitor Mode] is “On” .
[Interval (Time)]
“0” to “15” , When [Sync.] is “Time” , time synchronization for intermittent transmission or monitor mode
“Infinity” changes.
When set to “0” , only the CHI Mode image is updated. In the “Infinity” setting only
fundamental images are updated.

MN1-5889 rev.10
Menu
[Interval (ECG)]
“0” to “32” When [Sync.] is “ECG” , ECG synchronization for intermittent transmission or monitor mode
“Infinity” changes.
When set to “0” , only the CHI Mode image is updated. In the “Infinity” setting only
fundamental images are updated.
[Interval (Frame)]
“0” When [Sync.] is “Frame” , Frame synchronization for monitor mode changes.
“Alternate” When set to “0” , only the CHI Mode image is updated.
“Infinity” When set to “Alternate” , the CHI Mode and fundamental images will be updated alternately
by frame.
In the “Infinity” setting only fundamental images are updated.
[# of Flash]
“1” , “2” , “4” , “8” , Changes the number of flashes when [Flash Mode] is set to “#of Flash” .
“16” , “32”
[Flash Time]
“0.5” to “3” Changes the flash time interval when [Flash Mode] is set to “Flash Time” .
[Motion Comp. Mode]
“Off” Displays an image without motion compensation when [Accumulation] is set to “On” .
“Temporal ” Displays an image that has undergone motion compensation using temporal resolution when
[Accumulation] is set to “On” .
“Moderate” Displays an image that has undergone moderate “Temporal” and “Spatial” resolution motion
compensation when [Accumulation] is set to “On” .
“Spatial” Displays an image that has undergone motion compensation using spatial resolution when
[Accumulation] is set to “On” .
[PRF (B/W)]
“L”
“M” Switches the PRF of CHI-B/W.
“H”
©Hitachi, Ltd.
Menu
[PRF (Color)]
“L”
“M” Switches the PRF of CHI-Color Mode.
“H”
[Graymap (CHI-B/W)]
“1” to “10” Switches the Graymap of CHI-B/W.
[Graymap (CHI-FI)]
“1” to “10” Switches the Graymap of fundamental images.
[Gamma Curve (CHI-B/W)], [Gamma Curve (CHI-FI)]
Displays the expanded menu for gamma curve.
Menu Description
Applies a Linear Type gamma curve.

[ ]
Applies a Window Type gamma curve.
[ ]
Applies a Parabolic Type gamma curve.
[ ]
Applies an S-Curve Type gamma curve.
[ ]
Menu Options Description
[Gamma] “-4.0” to “4.0” Changes the gamma value, in units of 0.1.
[Rejection] “0” to “255” Changes the position at which the curve rises.
[Center] “0” to “255” Changes the center position of the S-Curve Type.
[Saturation] “0” to “255” Changes the saturation position of the curve.
[R-Filter WbC (P.I.)]
“Reso.”
“Std.” Configures the R-Filter when the CHI Method is set to “WbC (P.I.)” .
“Pene.”

MN1-5889 rev.10
Menu
[R-Filter TrC (A.M.)]
“Reso.”
“Std.” Configures the R-Filter when the CHI Method is set to “TrC (A.M.)” .
“Pene.”
[R-Filter (FI)]
“Reso.”
“Std.” Sets R-Filter for fundamental images.
“Pene.”
[Echo Enh. (CHI-B/W)]
“0” to “7” Creates an image from a weak signal by filling gaps in the scan direction and applying a filter to
lower the brightness in low-bright areas and increasing it in high-bright areas in CHI-B/W
mode.
A “0” setting will not apply any filtering.
[Echo Enh. (CHI-FI)]
“0” to “7” Creates an image from a weak signal by filling gaps in the scan direction and applying a filter to
lower the brightness in low-bright areas and increasing it in high-bright areas in CHI-FI mode.
[LE Reduct. (CHI-B/W)]
“0” to “70” Sets the CHI-B/W low brightness compensation level.
[LE Reduct. (CHI-FI)]
“0” to “70” Sets the CHI-FI low brightness compensation level.
©Hitachi, Ltd.
Preset
1-4 Preset
The CHI presets will now be explained.

The CHI presets are divided as follows.
 CHI application preset categories

Allows you to configure the start conditions for this instrument.
 CHI QSS preset categories

A preset for changing the configurations to be optimal based on the patient's body type or organs
all at once. Consists mainly of parameters regarding image quality.
Please refer to the separate "Basic Operation Section" for information on how to configure the above
preset display and parameter settings.

MN1-5889 rev.10
Preset
1-4-1 Application parameters

The CHI application presets and parameters will now be explained.
Common tab
Parameters Options Description

Monitor Mode “On” Configures the Monitor Mode at CHI Mode start-up.
“Off”
Counter Link “On” Configures the moving image capture process for [Counter (A)] and
“Off” [Counter (B)] at CHI Mode start-up.
Motion “Off” Sets the motion compensation conditions for Accumulation.
Compensated Mode “Temporal
resolution”
“Moderate”
“Spatial resolution”
Synchronization “Time” Configures the synchronization for Monitor Mode and Intermittent
“ECG” Transmission.
“Frame”
Interval (Time) “0.0” to “15” Configures the transmission interval (in seconds) in CHI Mode when
“Infinity” Intermittent Transmission and Monitor Mode synchronization is set
to “Time” .
Interval (ECG) “0” to “32” Configures the transmission interval (by heart rate) in CHI Mode
“Infinity” when Intermittent Transmission and Monitor Mode synchronization
is set to “ECG” .
Interval (Frame) “0” Configures the transmission interval (by frame) in CHI Mode start-up
“Alternate” when Monitor Mode synchronization is set to “Frame” .
“Infinity”
Area Width “25” to “100” Configures the CHI-Color ROI width at CHI Mode start-up.
(CHI-Color)
Area Height “25” to “100” Configures the CHI-Color ROI height at CHI Mode start-up.
(CHI-Color)
Area Depth “1 (Shallow)” Configures the CHI-Color ROI depth at CHI Mode start-up.
(CHI-Color) “2 (Center)”
“3 (Deep)”
Flash
Flash Mode “# of Flash” Configures the Flash Mode at CHI Mode start-up.
“Flash Time”
# of Flash “1” , “2” , “4” , “8” , Configures the number of high acoustic pressure transmission at CHI
“16” , “32” Mode start-up when Flash Mode is set to “# of Flash” .
Flash Time “0.5” to “3.0” Sets the time interval (sec) of high acoustic pressure transmission at
CHI Mode start-up when Flash Mode is set to “Flash Time” .
Flash Link “On” Configures the Accumulation after [Flash] has been selected at CHI
“Off” Mode start-up.
©Hitachi, Ltd.
Preset
1-4-2 QSS preset parameters: CHI

The QSS preset parameters for CHI will now be explained.
CHI 1 Tabs
Sets the initial image quality parameters for CHI-B/W.

Gain (CHI-B/W) “0” to “80” Configures gain in units of 1 dB.
Dynamic Range “40” to “90” Configures the dynamic range.
(CHI-B/W)
Line Density “1” to “4” Sets Line Density.
(CHI-B/W) Raising the level raises Line Density, improving lateral resolution.
The lower the level, the lower the Line Density, which improves the
frame rate.
Line Density [HI “1” to “4” Set the Line Density to apply when HI Zoom starts.
Zoom] (CHI-B/W)
Persistence “0” to “7” Sets the level of correlation processing between image frames. A “0”
(CHI-B/W) setting will not apply correlation processing.
AGC (CHI-B/W) “0” to “3” Configure AGC (Auto Gain Control).
Color Map (CHI-B/W) “A” to “O” Configures the Color Map for CHI-B/W.
Low Echo Reduction “0” to “70” Sets the CHI-B/W low brightness compensation level. “0” indicates a
(CHI-B/W) setting without low brightness compensation.
CHI 2 Tabs

HI REZ (CHI-B/W) “On” Sets the level of the HI REZ image filter.
“Off”
Enhancement Level “1” to “4” Sets the level of edge enhancement.
(CHI-B/W)
HI REZ Level “1” to “8” Changes the level of the HI REZ image filter.
(CHI-B/W)
Echo Enhancement “0” to “7” Creates an image from a weak signal by filling gaps in the scan
(CHI-B/W) direction and applying a filter to lower the brightness in low-bright
areas and increasing it in high-bright areas.
Texture (CHI-B/W) “Smooth” Displays smoother image surfaces.
“Sharp”

MN1-5889 rev.10
Preset
CHI 3 Tabs

Gamma Type “Window Type” Configures the gamma type.
(CHI-B/W) “S-Curve Type”
“Parabolic Type”
“Linear Type”
Gamma (CHI-B/W) “-4.0” to “-1.0” , Configures the gamma value, in units of 0.1.
“0.9” to “4.0”
Rejection (CHI-B/W) “0” to “255” Configures the location of the rise of the curve.
Center (CHI-B/W) “0” to “255” Configures the location of the center for s-curve type curves.
Saturation (CHI-B/W) “0” to “255” Configures the saturation location of curves.
Graymap “1” to “10” Configures the Graymap.
CHI-Color Tabs
Sets the initial image quality parameters for CHI-Color.

Gain (CHI-Color) “0” to “80” Configures gain in units of 1 dB.
Blend [%] “0” to “100” This function allows you to configure the color transparency ratio.
Color Transparent “On” This function allows you to configure color transparency.
“Off”
(CHI-Color)
Line Density “1” to “4” Sets Line Density.
(CHI-Color) Raising the level raises Line Density, improving lateral resolution.
The lower the level, the lower the Line Density, which improves the
frame rate.
Line Density [HI “1” to “4” Set the Line Density to apply when HI Zoom starts.
Zoom] (CHI-Color)
AGC (CHI-Color) “0” to “3” Configure AGC (Auto Gain Control).
Color Map “A” to “O” Configures the Color Map for CHI-Color.
(CHI-Color)
©Hitachi, Ltd.
Preset
Common 1 tab
Sets the initial image quality parameters common to CHI mode.

Agent Type “Low” Configures the target ultrasound contrast agent for CHI Mode.
“Middle”
“High”
CHI Method “WbC (P.I.)” Configures the CHI Method for CHI Mode.
“TrC (A.M.)”
Gain Suppression “On” Sets gain suppression during high acoustic pressure transmissions of
“Off” the CHI Method.
Tx Frequency WbC “2 (High)” Configures the Transmit when the CHI Method is set to “WbC (P.I.)” .
(P.I.) “1 (Low)”
R-Filter WbC (P.I.) “Penetration” Configures the R-Filter when the CHI Method is set to “WbC (P.I.)” .
“Standard”
“Resolution”
Tx Frequency TrC “2 (High)” Configures Transmit when the CHI Method is set to “TrC (A.M.)” .
(A.M.) “1 (Low)”
R-Filter TrC (A.M.) “Penetration” Configures the R-Filter when the CHI Method is set to “TrC (A.M.)” .
“Standard”
“Resolution”
Tx Frequency (FI) “5 (High)” Sets Transmit for fundamental images.
“4”
“3 (Middle)”
“2”
“1 (Low)”
R-Filter (FI) “Penetration” Sets R-Filter for fundamental images.
“Standard”
“Resolution”
“Fine”

MN1-5889 rev.10
Preset
Common 2 tab
Sets the initial image quality parameters common to CHI mode.

PRF (B/W) “High” Sets CHI-B/W PRF.
“Middle”
“Low”
PRF (Color) “High” Sets CHI-Color PRF.
“Middle”
“Low”
Power Control “MI control” Restricts the change of MI value before and after changing
transmission parameters.
“% Control” Restricts the change of ultrasonic wave output before and after
changing transmission parameters.
MI Control (CHI) “0.00” to “1.85” Configures the CHI Mode MI value when the Power Control is set to
“MI control” .
MI Control (FI) “0.00” to “1.85” Configures the Fundamental MI value when Power Control is set to
“MI control” .
MI Control “0.00” to “1.85” Configures the MI value during One-shot or Flash when Power
(One-shot/Flash) Control is set to “MI control” .
% Control (CHI) “0” to “100” Configures the ultrasonic wave output value (%) of CHI Mode when
the Power Control is set to “% Control” .
% Control (FI) “0” to “100” Configures the ultrasonic wave output value (%) of Fundamental
when the Power Control is set to “% Control” .
% Control “0” to “100” Configures the ultrasonic wave output value (%) during One-shot or
(One-shot/Flash) Flash when Power Control is set to “% Control” .
©Hitachi, Ltd.
Preset
FI1 Tabs
Sets the initial image quality parameters of fundamental images.

Graymap “1” to “10” Configures the Graymap
Gain (CHI-FI) “0” to “80” Configures gain in units of 1 dB.
(CHI-FI)
AGC (CHI-FI) “0” to “3” Configure AGC (Auto Gain Control).
Gamma Type (CHI-FI) “Window Type” Configures the gamma type you want to apply.
“S-Curve Type”
“Parabolic Type”
“Linear Type”
Gamma (CHI-FI) “-4.0” to “-1.0” , Configures the gamma value, in units of 0.1.
“0.9” to “4.0”
Rejection (CHI-FI) “0” to “255” Configures the location of the rise of the curve.
Center (CHI-FI) “0” to “255” Configures the location of the center for s-curve type curves.
Saturation (CHI-FI) “0” to “255” Configures the saturation location of curves.
Low Echo Reduction “0” to “70” Sets the CHI-FI low brightness compensation level.
(CHI-FI) “0” indicates a setting without low brightness compensation.
FI2 Tabs
Sets the initial image quality parameters of fundamental images.

HI REZ (CHI-FI) “On” Sets the HI REZ image filter level.
“Off”
Enhancement Level “1” to “4” Sets the edge enhancement level.
(CHI-FI)
HI REZ Level (CHI-FI) “1” to “8” Changes the HI REZ image filter level.
Echo Enhancement “0” to “7” Creates an image from a weak signal by filling gaps in the scan
(CHI-FI) direction and applying a filter to lower the brightness in low-bright
areas and increasing it in high-bright areas in CHI-FI mode.
Texture (CHI-FI) “Smooth” Displays smoother image surfaces.
“Sharp”
Persistence (CHI-FI) “0” to “7” Sets the level of correlation processing between image frames.
A “0” setting will not apply correlation processing.
Color Map (CHI-FI) “A” to “O” Configures the Color Map for CHI-FI.

MN1-5889 rev.10
Messages
1-5 Messages
This section explains messages displayed in CHI Mode.
Messages Status, cause and solution

“Changed probe does not support contrast The [Agent Type] item will be displayed for “X” .
agent type: X.” Use [Agent Type] on the touch panel to select an Ultrasound contrast
agent Type that suits the selected probe.
“Changed probe does not support CHI.” The selected probe does not support CHI.
Switch to a probe that supports CHI.
©Hitachi, Ltd.
Messages

MN1-5889 rev.10
2 Contrast Harmonic
Imaging (CHI)
Analysis
©Hitachi, Ltd.
MN1-5889 rev.10 Contrast Harmonic Imaging (CHI) Analysis | 37
2-1 Outline of Contrast Echo analysis
Contrast Echo analysis is application software that enables you to analyze data collected using Contrast
Echo by viewing and analyzing the Time Intensity Curves or Subtraction images.
NOTE:This document describes operating procedures for instruments that include the optional alphanumeric
keyboard unit. (EU-9165)
• Time Intensity Curve

Graphically displays temporal changes in the Intensity averages (alternatively, median, maximum,
or mode value) in the specified area (ROI).
• Subtraction
Displays a subtraction image between frames.
38 | Contrast Harmonic Imaging (CHI) Analysis ©Hitachi, Ltd.

MN1-5889 rev.10
2-1-1 Procedure for Contrast Echo analysis
Follow the steps below to perform Contrast Echo analysis.
1. Select an image to analyze.

2. Analyze.
• Time Intensity Curve → p.49
• Subtraction → p.66
3. Take measurements.
• Measuring the distance between any two points: Point to Point → p.75
• Measuring the analysis data of a specified frame: SD → p.76
• Measuring the raising time of a graph: Raising Time → p.77
• Displaying a fitted curve: Fitting → p.78
• Measuring an image: Distance → p.79
• Inflow Time Mapping measurement: ITM measurement → p.80
4. Store the analysis data.
©Hitachi, Ltd.
2-1-2 Terms used in this chapter
In this chapter, the following operations are described as shown below.
Example Operating Procedures
1_Files > Preset > Select > Preset1 1 Use the trackball to move the pointer to 1_Files in the base menu.
2 Press the Enter key.
3 Use the trackball to move the pointer to Preset.
4 Use the trackball to move the pointer to Select.
5 Use the trackball to move the pointer to Preset1.
1 Select on the touch panel.
Select .
From the pop-up menu in the image 1 Move the pointer to the image display area.
display area, select Cancel. 2 Press the UNDO key.
3 Move the pointer to Cancel in the pop-up menu that opens.

MN1-5889 rev.10
2-1-3 Configuring the analysis range
2-1-3-1 Starting Contrast Echo analysis
Contrast Echo analysis allows you to analyze Raw moving images, Video Clips and images in cine memory.

To analyze images in cine memory
Capture a high quality tomographic image and press the Freeze/B Gain key.
Analyzing a stored image
Select an image in the thumbnail area or in Find View.
2. Select CHI Analysis on the touch panel.
→ The system starts loading the image, then displays the following analysis screen:
(1) (2) (3) (4) (5) (6)
Time Intensity Curve Subtraction (7) (8) (9) (10) (11)
(1) Patient Information, Date of Image Capture

(2) Contrast scan data
(A) Object image information: Group (Sequence) number and Group-Unit-Frame number
(B) Display frame number/total number of frames
(C) Contrast scan data: Name of ultrasound contrast agent, Volume of ultrasound contrast agent
(D) Time Intensity Curve: graph display method, Subtraction: subtraction mode
(3) Image display area
(4) Time Intensity Curve: graph display area, Subtraction: subtraction image display area
(5) Pop-up menu
(6) Tool bar
(7) Display frame data in the image display area
(8) Reference image
(9) Base menu
(10) Physiological signal display area
(11) Time phase at the time cursor position
©Hitachi, Ltd.
Loading a file that stores analyzed conditions
If the condition data from a previous analysis has been saved in a file, you can load it from the Analyzed
Condition List.
1. Select 1_Files > Load Analyzed Conditions.

→ The Load Analyzed Condition dialog box is displayed.
2. Move the pointer to the name of a file that is ready to load and press the Enter key.
3. Move the pointer to Select and press the Enter key.
→ The system uses the saved analysis conditions and displays the Contrast Echo analysis screen.
Canceling loading of an image file
The progress bar below is displayed during image loading.
To cancel loading, move the pointer to Cancel, then press the Enter key.
If you want to reload the same image, select 1_Files > Load Previous or .
Selecting another image file
• To display the next image file after the file being displayed
→ Select 1_Files > Load Next or .
• To display the image file before the file being displayed
→ Select 1_Files > Load Previous or .

MN1-5889 rev.10
2-1-3-2 Searching for an image
Playing back images
Starting/pausing image playback

Select 4_Search > Loop Start/Stop. Alternatively, select . Each press of the Space key will toggle
between the Loop Start and Loop Stop operations.
Changing playback speed
• Increasing Playback Speed

→ Select 4_Search > Loop Speed > Up. Or select .
• Reducing playback speed
→ Select 4_Search > Loop Speed > Down. Or select .
• Reverting to the original playback speed
→ Select 4_Search > Loop Speed > Default. Or select .
Selecting and displaying a frame
While image playback is paused, you can display the next or previous frame, or select a frame to display.
• Displaying the previous frame

→ Select 4_Search > Previous Frame. Or select .
• Displaying the next frame
→ Select 4_Search > Next Frame. Or select .
©Hitachi, Ltd.
• Displaying previous or next images by Group (Sequence), Unit or Frame

a Move the pointer to the display area of the target image and press the Enter key.
Previous/Next Group
Previous/Next Unit
Previous/Next Frame
• Selecting a frame from the physiological signal display area.

a Move the pointer to the time cursor in the physiological signal display area.
→ The pointer is displayed by .
b Press the Enter key.
c Move the cursor to the desired location.
→ The frame that corresponds to the cursor position appears in the image display area.
d Press the Enter key once a satisfactory image has been obtained.

MN1-5889 rev.10
2-1-3-3 Configuring the analysis frame range
You can use one of the following two methods to set the analysis frame range.
• Specifying the frames

• Specifying the frame range from the physiological signal display
Specifying the frames
Specify displayed frames as the beginning and ending frames.
• Specifying the beginning frame

a Move the pointer to the time cursor in the physiological signal display area.
→ The pointer is displayed by .
b Press the Enter key.
c Move the time cursor to the frame you want to specify as the beginning frame, then press the Enter key.
d Select 4_Search > Beginning Frame or .
• Specifying the ending frame

a Like specifying the beginning frame, use steps a to c.
b Select 4_Search > Ending Frame or .
Setting the frame range in the physiological waveform display
The physiological signal display area shows the ECG, PCG, Pulse and respiration (Resp) waveforms,
analysis target range and frame scale. In addition, you can change the display scale.
(1) (2) (3)
(5) (4) (6)
(1) Frame currently displayed

(2) Analysis range
(3) Frame scale
(4) Physiological signal
(5) Beginning frame of the analysis target range
(6) Ending frame of the analysis target range
©Hitachi, Ltd.
• Configuring the analysis frame range

Displaying the full frame range included in the image
a From the pop-up menu in the physiological signal display area, select Scale > Normal.
→ The analysis frame range is displayed against a dark gray background. This range is the target of
Loop playback.
Displaying only the analysis frame range

a From the pop-up menu in the physiological signal display area, select Scale > Loop Range.
→ Only the specified range is displayed in the physiological signal display area.
• Switching the waveform display

a From the pop-up menu in the physiological signal display area, select a waveform to display.
• Displaying the Beat Separate Line
a Select 7_Display > Beat Separate Line.
→ R-wave frame is displayed as a brown line in the graph display area and physiological signal display
area.

MN1-5889 rev.10
• Changing the scale of the physiological signal display area

Switching the waveform display
From the pop-up menu in the physiological waveform display area, select a waveform.
Displaying the position of the Beat Separate Line
Select 7_Display > Beat Separate Line.
Displaying the full frame range included in the image
• In the case of Scale > Normal
When you place the pointer on the lower scale on one end of the background color (far left: start point,
far right: end point), it changes to a double-arrow ( ). Press the Enter key to move the background
color range. Press the Enter key again to set the range.
• In the case of Scale > Loop Range

Move the time bar and set the beginning/ending frame by following the steps described above in the
"Specifying the frame"section. Only the set range is displayed in the physiological signals.
a b
a: Time cursor
b: Beginning frame
• Canceling the analysis frame range

Select 4_Search > Loop Range Reset.
If you cancel the analysis frame range setting, all frames will be set as the analysis frame range.
©Hitachi, Ltd.
To enlarge the image
• To enlarge the image

a Press the UNDO key in the image display area.
b Select Image Request.
→ The image is enlarged. You can also set ROI on this enlarged image.
• Returning to the original size from the enlarged image
b Select Image Request.
→ The image returns to its original size.
Image
Request
• Switching the enlarged image

b Select Exchange Requested Image.
→ Alternately displays a magnified contrast-enhanced image and the monitor image.
Switching the upper and lower images
In Time Intensity Curve analysis, if the upper image is a contrast-enhanced image and the lower image is a
monitor image, the display of the upper image and lower image can be switched.
1. Select 7_Display > Exchange Upper/Lower Image or .

→ The upper image and lower image are switched.
If the upper and lower images are switched during analysis, the dialog box below is displayed. Select OK
to erase the analysis results.

MN1-5889 rev.10
2-1-4 Time Intensity Curve
Temporal changes in brightness (average) within the specified area (ROI) can be displayed graphically.
There are two types of graphs: By ROI, and By Frame Number.
Follow the steps below for the Time Intensity Curve.

2. Select CHI Analysis on the touch panel.
3. Select 2_Analysis > Time Intensity Curve. You can also select on the touch panel.
4. Select the graph type.
Displaying temporal changes for all frames
Select 7_Display > Plot Group > By ROI.
Displaying graphs for each frame number within a unit (only the images acquired in Intermittent mode)
Select 7_Display > Plot Group > By Frame Number.
5. Specify the analysis target frame range.
6. Set up the ROI.
7. Perform measurement on the graph.
8. Output the measurement results or images.
©Hitachi, Ltd.
The following two graphs are available.
• By ROI: Displays all frames in a file in chronological order.
• By Frame Number: Displays frames by frame number in the Unit.

Only the images acquired in Intermittent mode can be selected. The graph of each frame number is
displayed with different line types, such as solid line for Frame No. 1, broken line for No. 2 and
dotted line for No. 3.
Intermittent mode : Using a contrast agent for high acoustic pressure to capture images will prevent the agent
from being broken down by ultrasound irradiation.
Unit : The number of frames captured by one trigger in Intermittent mode.
Group : Intermittent time set in Intermittent mode. Time required to capture the number of
frames (Unit) by one trigger. Depending on the model of the diagnostic ultrasound
system, this time may be defined as Sequence.

MN1-5889 rev.10
2-1-4-1 Setting up the ROI
Use the ROI to specify the area for which you want to display the Time Intensity Curve.
The ROI is displayed in the same position in the upper and lower images. Use the upper image display area
to make settings in the pop-up menu.
1. Select 2_Analysis > Time Intensity Curve. You can also select on the touch panel.
2. Specify the analysis position (ROI).
a Move the pointer to the image display area.
→ An ROI with a green frame is displayed.
b Move the ROI to the position you want to analyze, then press the Enter key.
→ The ROI is colored, and the Time Intensity Curve for that position is displayed in the graph display
area.
c If you want to set a different ROI, repeat steps a to b.
Changing the ROI shape

Select 5_ROI > ROI Type to display a dialog box.
Change the item settings.
©Hitachi, Ltd.
Shape: Changes the ROI shape. (Select Square, Draw, Ellipse, or Circle.)
Size: Sets the ROI size within the range of 0.1 to 50 mm. In the case of Ellipse, you can set the size
horizontally (X) and vertically (Y).
Changing the ROI size

Press up and down keys ( ↑↓ ) on the keyboard.
If you have selected the Ellipse shape, you can change the size vertically with the up and down keys ( ↑↓ )
and horizontally with the right and left keys ( ←→ ).
Rotating the ROI
a From the pop-up menu in the image display area, select ROI Rotate.
b Use the up and down keys ( ↑↓ ) to rotate the ROI.
Changing the ROI position
a Place the pointer on the ROI you want to move.
b Press the Enter key when the + mark appears.
c Move the ROI to the desired location, then press the Enter key at the new location.
→ The ROI position is confirmed.
Deleting the ROI
a Move the pointer to the ROI you want to delete.
b Press the UNDO key when the + mark appears.
c Select Delete.
→ Alphabetical sequencing for the ROIs that follow the deleted ROI will be updated.
d To delete all ROIs, select All Delete.
ROI Mark functions

You can store frames where an ROI is moved, to move the ROI during loop playback. Use this function to move
the ROI to follow an image that moves due to respiratory variations and other factors.
a Use the search function to display the frame for the ROI you want to move.
b Move the pointer to the ROI and press the UNDO key when the + mark appears.
c Select ROI Mark.
→ "ROI" is displayed in bold.
d Move the ROI to a new location and press the Enter key.
e Then, display another frame and repeat steps a to d.
f Perform loop playback.
→ The ROI moves between the "marked" frames.
Temporarily deletes ROIs
You can temporarily delete an ROI from the upper image when you want to observe the image without the ROI.
a From the pop-up menu in the image display area, select Erase on B.
→ The ROI is deleted from the upper image.
b To display the ROI again, select Erase on B again.

MN1-5889 rev.10
2-1-4-2 Display Graph
A graph is displayed every time you set an ROI.
The following items are also displayed in the graph area.
(1) Graph information

(2) Time cursor
(3) Time cursor position
Time : Time elapsed from the beginning frame
Timer : Time from the start of the timer
Time from R : Time elapsed from the R-wave of the heartbeat on which the time
cursor is positioned
Changing the graph
• Changing the calculation method

You can change the method of calculating data to be displayed in a graph.
Select 7_Display > Data Calc.
Average : Average value of the data in the ROI
Median : Median value of the data in the ROI
Max : Maximum value of the data in the ROI
Mode : Most frequent gradation in the ROI
• Displaying standard deviation

If the graph type is By ROI, you can display the SD (standard deviation) graph.
Select 7_Display > SD.
©Hitachi, Ltd.
• Changing the time phrase for plotting

You can specify the time intervals for plotting a graph. This function is convenient for images
acquired over a long period of time.
Select 7_Display > Time Scale Analysis Interval to display the following dialog box.
All : Plots all frames.

***ms after R Wave : Plots only the data of frames within a certain period of time following the R-wave
(***ms).
Every***s : Plots only the data of frames at an interval that is defined by a duration from the
beginning frame.
• Removing frames from the graph

You can specify unnecessary frames in the graph as those outside the target range.
1. Select 8_View > Image or select Image from the pop-up menu in the graph display area.
→ Images are displayed in Tile View.

MN1-5889 rev.10
2. Move the pointer to the frame you want to remove and press the Enter key.
→ A green frame is displayed.
To switch pages, move the pointer to located next to the Series Time Graph at the bottom of the
screen, then press the Enter key.
3. Select Unselect at the bottom of the screen.
→ A red × mark is displayed on the frame. The frame data is erased from the graph. To display the frame
data again, select Select.
To select all images, select Select All.
4. Select 8_View > Graph to return to the Graph display.
→ The plot of the graph for these frames disappears.
Adjusting a graph
• Displaying marked points

The display of marked points on the graph can be switched ON/OFF.
a Move the pointer to the graph display area.
b Press the UNDO key and select the Point Mark.
→ Marked points are displayed on the graph.
©Hitachi, Ltd.
• Smoothing a graph
This function takes a moving average of each of the marked point values on the graph and smoothes
out the graph.
a Press the UNDO key in the graph display area.
b Select Smoothing.
c Select from Off, 3 to 11, Filter 1 to 3.
→ The graph line is smoothed out.
• Changing the horizontal axis
For CHI analysis, you can select time or frame as the unit on the horizontal axis.
a Move the pointer to the graph's horizontal axis (numeric display area) and press the UNDO key.
b Select a unit.
Time [sec] : Indicates time in time units.

Frame [F] : Indicates time in frame units.
From Timer [s] : Indicates time in time units from 0 timer starting time.
• Changing the scale of the vertical axis

The units that are used on the vertical axis vary depending on the data displayed in the graph. The
settings used for the range of the scale can be changed.
a Move the pointer to the vertical axis (scale display area) and press the UNDO key.
→ The following dialog box is displayed.

MN1-5889 rev.10
b Select the display setting for the scale.
Turning Auto Scale on

a Move the pointer to the Auto Scale field.
b Enter a check mark and press the Enter key.
c Adjust the scale so that the maximum and minimum values from the analysis results will be displayed
within 90% of the graph.
Setting manually
a Move the pointer to the Auto Scale field.
b Press the Enter key and enter a check mark.
c Enter maximum and minimum values for the scale.
Displaying with the maximum brightness

a Move the pointer to the Full Range field.
b Enter a check mark and press the Enter key.
→ The maximum value for the scale is displayed with the maximum brightness level.
Setting in units
a Select a unit in the Unit field.
b Move the pointer to OK and press the Enter key.
©Hitachi, Ltd.
Hiding a graph
If multiple ROIs are set, the graphs may overlap and be difficult to view. If this happens, an ROI and its
corresponding graph can be hidden. When analysis is performed on multiple ROIs, the ROI show/hide
setting is applied to the analysis results.
Hiding ROIs individually
• Select the ROI button for the ROI and graph that you want to hide.
→ The selected ROI and graph are hidden.
The analysis results are calculated excluding the hidden ROI.
Example: Hiding ROI B
Before selecting B button After selecting B button
Hiding all ROIs
• Select the All button.

→ All ROIs and graphs are hidden.
Analysis cannot be performed because no ROI is set.
Example: Hiding all ROIs
Before selecting the All button After selecting the All button

MN1-5889 rev.10
Emphasizing the ROI

This function emphasizes the display of an ROI and its graph for greater visibility.
• Align the pointer with the ROI.

→ The graph corresponding to the ROI is displayed with bolder lines.
• Align the pointer with the graph.
→ The corresponding ROI appears with a green frame.
Capture
Capture is a function that tracks the contrast agent and displays affected areas at a higher level of brightness
relative to the previous frame.
The section that is captured is automatically set. To change the section, set by following the procedure
below.
1) Move the time cursor to the start frame in the graph display area, and then press the UNDO key on
the time cursor.
2) Select Set ITM Capture > Beginning Frame.
3) Move the time cursor to the end frame, and then press the UNDO key.
4) Select Set ITM Capture > Ending Frame.
©Hitachi, Ltd.
1. Set the Capture function to On.

Select 7_Display > Capture.
→ The progress bar below is displayed during image loading.
The captured image is displayed in the upper section of the image display area.
Beginning Frame
Ending Frame
If the section setting was changed or canceled, the message below is displayed. Select OK to exit the
Capture function.
2. Exiting the Capture function

Select 7_Display > Capture.

MN1-5889 rev.10
Using motion correction
If the image moves due to the heartbeat or body movement, the image can be tracked to display a captured
image using motion correction.
1. Select 7_Display > Tissue Motion Correction.

→ Every image is captured using motion correction.
©Hitachi, Ltd.
2-1-4-3 Inflow Time Mapping (ITM)
This function focuses on the ultrasound contrast agent inflow time difference and assigns colors based on
changes in brightness across the entire moving image range.
1. Determining the section for analysis

• Using automatic settings
The image start frame (or Timer: 0 frame) is set as the start frame, and the time of the 16th color on the
ITM color map is set as the end frame. To change the section for analysis, follow the procedure below.
• Changing the captured section
a Move the time cursor to the beginning frame in the graph display area, and then press the UNDO key on
the time cursor.
b Select Set ITM Capture > Beginning Frame.
c Move the time cursor to the end frame, and then press the UNDO key.
d Select Set ITM Capture > Ending Frame.
2. Turning on the ITM function

Select 7_Display > ITM Process. You can also select on the touch panel.
The ITM image is displayed in the upper section of the image display area.
If the section setting was changed or canceled, the message below is displayed. Select OK to exit the
ITM function.
3. Exiting the ITM function

Select 7_Display > ITM Process.

MN1-5889 rev.10
Adjusting the ITM image
You can change the coloring, coloring interval, and other aspects of the appearance of the ITM image while
viewing it.
1. Select 7_Display > ITM Control Menu.

→ The ITM control menu is displayed.
2. Change the settings while viewing the ITM image.

Changing the coloration of the ITM image
a Select the color that you want to change from Color Map in the control menu.
→ A color adjustment screen is displayed.
©Hitachi, Ltd.
b Change the color and select OK.

→ The color bar is replaced with the modified color, and the ITM image is displayed with the modified
color.
Changing the coloring interval
a Change the settings in the Coloring Int. pull-down menu.
Select from among five options: 0.5, 1.0, 2.0, 4.0, User[s].
User[s] is a preset that can be set to any user-selected value. The factory default setting is 0.25.
→ The ITM image is displayed in the modified color scale.
Removing noise
a Adjust the Filtering slide bar.
→ Noise is removed at the adjusted value.
The setting can be adjusted between 0% to 100%.
Filtering: 10% Filtering: 30%
Blending
Adjust the blending of color images of ITM analysis results and background B mode images to enable checking
them in a single screen.
a Adjust the Blending slide bar.
→ The image is blended at the adjusted value.
The setting can be adjusted between 0% to 100%.
Blending: 0% Blending: 60%
Applying gradations
The changing appearance of the coloring can be continually checked by applying gradations.
a Select the Gradation Map check box, and insert a check mark.
→ The color map on the image and the ITM image are displayed with gradations.
Gradation Map: Check mark removed Gradation Map: Check mark inserted

MN1-5889 rev.10
Hiding the color image of ITM analysis results

a Select the Color Overlay check box, and remove the check mark.
→ The color image is hidden, and only the B mode image is displayed.
3. Select Close.
→ The ITM screen is displayed using the modified settings.
©Hitachi, Ltd.
2-1-5 Subtraction
Displays a subtraction image between frames. There are five ways to display a subtraction image.
Fixed Reference:
Creates subtraction images for all frames against
one specified Reference frame.
Any 2 Frames:
Creates a subtraction image by using a specified
Reference frame and an Object frame.
By Unit:
A Reference frame and an Object frame are
specified by the frame number in the unit.
One subtraction image is created for each unit.
By Group:
A Reference frame and an Object frame are
specified in one unit within a Group.
One subtraction image is created for each Group
(Sequence).
Same Reference:
Creates subtraction images using frames from
each unit that use the same frame number as the
Reference frame.
Creates one subtraction image for each unit

(excluding the unit that contains the Reference
frame).
Follow the steps below to create a subtraction image.
1. Select 2_Analysis > Subtraction. You can also select on the touch panel.

MN1-5889 rev.10
2. Select a mode to create a subtraction image by selecting 7_Display > Mode.
Mode Explanation
Fixed Reference Creates subtraction images for all frames against one specified Reference frame.
Any 2 Frames Creates a subtraction image by using a specified Reference frame and an Object frame.
By Unit A Reference frame and an Object frame are specified by the frame number in the unit.
One subtraction image is created for each unit.
By Group A Reference frame and an Object frame are specified in one unit within a Group. One
subtraction image is created for each Group (Sequence).
Same Reference Creates subtraction images using frames from each unit that use the same frame number
as the Reference frame. Creates one subtraction image for each unit (excluding the unit
that contains the Reference frame).
3. Configure the Reference frame.

a Display the desired frame in the image display area.
b From the pop-up menu in the image display area, select Select Reference Image or 6_Image > Set
Reference.
4. Specify the Object frame (in Any 2 Frame, By Unit, or By Group mode).
a Display the desired frame in the image display area.
b From the pop-up menu in the image display area, select Select Object Image or 6_Image > Set
Object.
5. Select 8_Process > Subtraction.

→ A subtraction image is displayed. When you place the pointer on the subtraction image, a green frame
appears around the subtraction image at the top and the Reference image is displayed below it.
6. Output and save the displayed subtraction image. (Saving and Outputting → p.82)
You can create a Time Intensity Curve from the subtraction image that was created in Fixed Reference
mode. (Time Intensity Curve → p.49)
©Hitachi, Ltd.
2-1-5-1 Switching the subtraction display
Displaying a single subtraction image
1. Move the pointer to the target subtraction image and press the Enter key.
2. Move the pointer to the Single button and press the Enter key.
To switch to the Tile View, move the pointer to the Thumbnail button and press the Enter key.
Select the Thumbnail button. Select the Single button.

MN1-5889 rev.10
Color overlay
In the Fixed Reference mode, you can overlay images by coloring subtraction images within the analysis
frame range. Up to 64 colors can be displayed for overlaying in time units. Set the time in preset.
1. Set 7_Display > Overlay to On.

To cancel loading, move the pointer to Cancel, then press the Enter key.
If you want to reload the same image, select 1_Files > Load Previous or .
©Hitachi, Ltd.
2-1-5-2 Adjusting subtraction images
Deleting unnecessary subtraction images
1. Move the pointer to the target subtraction image and press the Enter key.
2. Move the pointer to Unselect and press the Enter key.
→ An × mark will be displayed on the image number.
Specifying the Reference frame or Object frame again (only in Any 2 Frame, By
Unit, or By Group mode)
1. Display the target Reference or Object frame in the image display area.
2. Select 6_Image > Reselect.
→ The subtraction image is displayed in a red frame.

MN1-5889 rev.10
3. Specify the frame as the Reference frame or Object frame.

Specifying the frame as the Reference frame
a From the pop-up menu in the image display area, select Select Reference image.
Specifying the frame as the Object frame
a From the pop-up menu in the image display area, select Select Object image.
Adjusting the position of the Reference or Object frame.
After specifying the Reference frame or Object frame, you can adjust its position. If you have created the
subtraction image in Fixed Reference mode, you can adjust the position after the subtraction image is
displayed.
1. Select a frame and specify it as the Reference frame.

2. Select a frame and specify it as the Object frame.
3. Select 5_ROI > Set.
→ An ROI is displayed on the Reference frame image.
4. Modify the ROI position using the trackball and press the Enter key.
→ The ROI of the Reference frame is superimposed on the Object frame.
5. Change the ROI size.
a Select ROI > Size.
→ A pointer is displayed in the lower-right corner of the ROI on the Reference frame.
b Adjust the ROI size using the cursor, and when the desired size is achieved, press the Enter key.
→ The ROI size for the Reference frame and Object frame changes.
6. Adjust the ROI position.
Adjusting the ROI position on the Object frame
a Select 5_ROI > Move on Object.
b Adjust the ROI position on the Object frame, then press the Enter key.
Adjusting the ROI position on the Reference frame

a Select 5_ROI > Move on Reference.
b Adjust the ROI position, then press the Enter key.
©Hitachi, Ltd.
Changing the subtraction interval
In Fixed Reference mode, you can create subtraction images using only the data captured at specific time
intervals.
1. Select 7_Display > Subtraction Interval.

→ The following dialog box is displayed.
All: Displays the subtraction image for all frames.
Every***s: Creates a subtraction image using only the data from frames at specified time intervals,
starting with the beginning frame.
2-1-5-3 Displaying a graph of subtraction images
In Fixed Reference mode, you can display only subtraction images in a graph.
1. Select 8. Process > Time Intensity Curve.

→ With the subtraction image being displayed in the image display area, the screen switches to Time
Intensity Curve.
The operation method is the same as that for Time Intensity Curve.
2. To return to the subtraction image display, select 8_View > Subtraction.
Subtraction screen Time Intensity Curve screen

MN1-5889 rev.10
2-1-5-4 Performing loop playback of a subtraction image
1. Move the pointer to the subtraction image and press the Enter key.
2. Move the pointer to Single and press the Enter key.
3. Move the pointer to the LOOP button and press the Enter key.
Playback starts. To pause playback, move the cursor to the FREEZE button and press the Enter key.
©Hitachi, Ltd.
2-1-6 Measurements
You can measure the distance on a displayed graph or image. The following measurements are available.
• Point to Point:
Measures the difference between two points on a graph
• SD:
Measures analysis data (Time, Max, Average, Medium, Mode, SD) of a specified time phrase.
• Raising Time:
Measures the raising time of a graph based on the minimum and maximum values.
• Fitting:
Displays a fitted curve by determining the start and end points and measures the degree of increase
in signal intensity.
• Distance:
Measures the distance between any two points on an image.
• ITM:
Measures the numbers and proportions of color pixels in the Inflow Time Mapping image at each
time interval.
Measurement results are displayed below the image display area. You can output the measurement results
to a CSV file. (Saving and Outputting → p.82)

MN1-5889 rev.10
2-1-6-1 Measuring the distance between any two points: Point to Point
You can measure the difference between any two points on a graph. You can not only measure it on a graph
with one analysis line but also compare it with a graph with two analysis lines. You can set up to 18
measurement points.
1. Select 3_Measure > Point to Point.

→ A cross line cursor is displayed.
2. Move the cursor to the reference point and press the ENTER key. (Point 1)
3. Move the cursor to the reference point and press the ENTER key. (Point 2)
4. Repeat steps 2 and 3 to set up to measurement locations (up to 18 points).
→ The measurement results are displayed.
l1 [Lev] : Level value (brightness) at Point 1
T1 [s] : Time of Point 1
l2 [Lev] : Level value (brightness) at Point 2
T2 [s] : Time of Point 2
l2 - l1 [Lev] : (L2) - (L1)
T2 - T1 [s] : Time difference between Point 1 and 2
dl/dT [Lev/s] : Inclination of a straight line connecting Point 1 and 2 {(L2) -

(L1)}/(T2 - T1)
The units in parentheses [ ] vary depending on the UNIT settings.

When the horizontal axis is set to From Timer, T1 and T2 indicate the time counted from the start of the
timer.
To modify the point position, move the cross line cursor to the point you want to modify, and press Enter
key to move it. The point is set by pressing the Enter key once more.
©Hitachi, Ltd.
2-1-6-2 Measuring the analysis data of a specified frame: SD
This function measures the analysis data of a specified time phase.

You can measure the time, maximum value, average value, median value, mode value and standard
deviation of a specified point (line) on the graph.
1. Select 3_Measure > SD.

→ A line cursor and results are displayed. When there are multiple ROIs, measurement results equal to the
number of ROIs are displayed.
E.g.) When there are 3 ROIs, the results are displayed as 1-A, 1-B, and 1-C.
2. Press the Enter key to confirm the measurement.
The next line cursor is displayed, allowing you to continue the measurement.
Time [s] : Time at the line cursor position
Max [Lev] : Maximum level value (brightness)
Avg [Lev] : Average level value (brightness)
Med [Lev] : Median level value (brightness)
Mode [Lev] : Mode level value (brightness)
SD : Standard Deviation of level value (brightness)

When the horizontal axis is set to From Timer, Time indicates the time counted from the start of the timer.

MN1-5889 rev.10
2-1-6-3 Measuring the raising time of a graph: Raising Time
This function detects the minimum and maximum values of a graph and measures the raising time.
1. Select 3_Measure > Raising Time > Base.

→ A × mark is displayed at the position of the minimum value in the graph.
Modifying the position of the minimum value
Move the pointer to the × mark and press the Enter key. Move the pointer, which changes to a cross line
cursor, and press the Enter key.
2. Select 3_Measure > Raising Time > Peak.
→ A × mark is displayed at the position of the maximum value in the graph.
Modifying the position of the maximum value
Move the pointer to the × mark and press the Enter key. Move the pointer, which changes to a cross line
cursor, and press the Enter key.
The following results are displayed.

I10 [Lev] : Level value at I10% (brightness)
I90 [Lev] : Level value at I90% (brightness)
R.I. [Lev] : Raising Intensity (Value at I90% - I10%)
T10 [s] : Time at I10%
T90 [s] : Time at I90%
R.T. [s] : Raising Time (Value at T90% - T10%)
RaiseR [Lev/s] : R.I. / R.T. (divide Raising Intensity by Raising Time)

When the horizontal axis is set to From Timer, T10 and T90 indicate the time counted from the start of the
timer.
©Hitachi, Ltd.
2-1-6-4 Displaying a fitted curve: Fitting
You can display a fitted curve by specifying the start and end points.
1. Select 3_Measure > Fitting.

→ A cross line cursor is displayed.
2. Move the pointer to the start point press the Enter key.
3. Then, use the displayed line cursor to move the pointer to the end point and press the Enter key.
→ A fitted curve is displayed between the start and end points, and measurement results are displayed.
A [Lev] : Maximum intensity of the plateaued area
beta : Degree of increase in signal intensity (β)
B [Lev] : Level value (brightness) at start point
MSE : Mean square error

The fitted curve is created by using the formula A × (1 − e ) + B .
− βt

MN1-5889 rev.10
2-1-6-5 Measuring an image: Distance
You can measure the distance between two points on the B (2D) mode image. A maximum of 18 locations
can be measured.
1. Select 3_Measure > Distance.

2. Move the pointer to the opposite measurement point (start point) and press the Enter key.
3. Move the pointer to the other end and press the Enter key.
→ The distance between the two points is displayed, and results are displayed.
Distance [mm] : Distance value
©Hitachi, Ltd.
2-1-6-6 Inflow Time Mapping measurement: ITM measurement
You can display the brightness distribution as a percentage (%) on the Inflow Time Mapping image at each
time interval.
1. Select 3_Measure > ITM.

Coloring Interval : Time interval
Begin:*****[F] : Analysis frame range (beginning frame)
End:*****[F] : Analysis frame range (ending frame)
Total Pixels : Total number of pixels colored
Time[s] : Time for one color
Pixels : Number of pixels for one color

Ratio[%] : Ratio (%) = (No. of pixels for each time interval)/(Total No. of
pixels)×100

MN1-5889 rev.10
2-1-6-7 Modifying measurement results
Switching the display of measurement results
Because the measurement results are displayed over the image, the image may become hard to see. To show
or hide measurement results, select Measurement > Erase from the pop-up menu in the graph display
area.
Deleting specified measurement locations
When a location is deleted, the numbering of subsequent measurement points resumes with the next
number.
1. Select 3_Measure > Delete.

2. Use the pointer or arrow keys ( ↑↓ ) to move the highlight to the measurement results you want to
delete.
3. Move the pointer to an appropriate location and press the Enter key.
→ The measurement point is deleted.
Deleting all the measurement results
1. Select 3_Measure > Delete or Measurement > All Clear from the pop-up menu in the image
display area.
→ A message opens prompting to save the measurement results temporarily.
2. To output the results later, move the cursor to Yes and press the ENTER key.
→ This concludes the measurement. If you select Cancel, the measurement screen reappears without
deleting the measurement results.
©Hitachi, Ltd.
2-1-7 Saving and Outputting
You can make selections such as store media and file format and save or output analysis images and data.
2-1-7-1 Saving in the DICOM format
You can save the CHI analysis screen that is currently displayed as a still image or moving image in the
DICOM format.
Saved images can be searched by parameters such as patient.
Saving a displayed screen as still image in the DICOM format
The following three patterns are available for saving as still images.
• Saving screen as a still image

a Select 1_Files > Store Full Screen or Store Full Screen from the pop-up menu in the image display
area.
b Select the storage destination from Local HD, CD-R Buffer, USB, or DVD.
If selecting from the pop-up menu, select Local HD, CD-R Buffer, USB or DVD.
• Saving an image screen as a still image

a Select 1_Files > Store Image or Store Image from the pop-up menu in the image display area.
b Select the storage destination from Local HD, CD-R Buffer, USB or DVD.
• To store a graph screen as a still image

a Select 1_Files > Store Graph or Store Graph from the pop-up menu in the graph display area.
Saving displayed screens as moving images in the DICOM format
When it is saved as a moving image, the entire CHI analysis screen is saved, including analyzed images, as
a moving image in the DICOM format.
• Saving the entire screen as a moving image

a Select 1_Files > Store Full Screen Movie.

MN1-5889 rev.10
Saving only the analysis image as a moving image in the DICOM format
You can save analysis images as moving images in the DICOM format in the specified location. Images can
be searched by parameters such as patient.
1. Select 1_Files > Store Images Movie.

2. Select the storage destination from Local HD, CD-R Buffer, USB or DVD.
Canceling saving a moving image
To cancel saving a moving image, press the UNDO key to display the following dialog box. To continue
saving the image, press Continue. To cancel, move the pointer to Cancel and press the Enter key.
©Hitachi, Ltd.
2-1-7-2 Selecting the file format to save
Saving the display screen
You can save the CHI analysis screen that is currently displayed as a still image or moving image.
Like saving in the DICOM format, the CHI screen including display frames are saved as a still image. When
saved as a moving image, the entire CHI analysis screen including analyzed images are saved as a moving
image in the AVI format or WMV format.
(Use Copy/Save Setup or other Tile View settings to select still image and moving image formats.)
• Saving a screen as a still image

a Select 1_Files > Save Full Screen as and select the storage destination from CD-R Buffer, USB or
DVD.
b Enter the file name and select OK.
• Saving a screen as a moving image

a Select 1_Files > Save Full Screen Movie as and select the storage destination from CD-R Buffer,
USB or DVD.
Saving a tomographic image
• Saving a screen as a still image

a Select 1_Files > Save Full Screen as and select the storage destination from CD-R Buffer, USB or
DVD.
• Saving a screen as a moving image

You can save captured images, ITM images, and subtraction images as moving images.
a Select 1_Files > Save Full Screen Movie as and select the storage destination from CD-R Buffer,
USB or DVD.
Canceling saving a moving image
To cancel saving a moving image, press the UNDO key to display the following dialog box. To continue
saving the image, select Continue. To stop saving the image, select Cancel.

MN1-5889 rev.10
2-1-7-3 Saving analyzed conditions
You can save the image conditions during an analysis as Analyzed Conditions. Saved analyzed conditions
allow you to apply previously set image conditions to an image when the CHI analysis is started up.
The created Analyzed Conditions can be recalled or deleted during analysis.
Saving as Analyzed Conditions Data
1. Select 1_Files > Save Analyzed Conditions.

2. To save as a new file, select Save as and select OK after entering the file name. To overwrite the
existing setting information, select Save.
Deleting Analyzed Conditions Data
1. Select 1_Files > Delete Analyzed Conditions.

2. Select the Analyzed Conditions to delete.
3. Select Delete.
©Hitachi, Ltd.
2-1-7-4 Output
Printing
• Printing the entire screen including display frames

a Select 1_Files > Store Full Screen > Local Printer or DICOM Printer.
b Specify the printer and the printer properties.
c Move the pointer to OK and press the Enter key.
• Printing an image screen

a Select 1_Files > Store Image > Local Printer or DICOM Printer.
• Printing the graph screen

a Select 1_Files > Store Graph > Local Printer or DICOM Printer.
Outputting measurement results
You can output the analysis results displayed in the graph information to a CSV file.
1. Select 1_Files > Save Analyzed Data as and select the storage destination from CD-R Buffer,
USB or DVD.
2. Enter the file name and select OK.
First line (header) : ID (Patient ID), NAME (Patient name), DATA (Date of
data acquisition), TIME (Time of data acquisition), UNIT
(Brightness unit)
Second line : Shape and size of each ROI
Third line : Header for data on the fourth and subsequent lines
Fourth and
subsequent lines:
Time : Time duration elapsed from the start frame (ms). Start
value is 0.
Data : Displays data acquired at the same time in the order of ROI
numbers.

MN1-5889 rev.10
Outputting measurement results
You can output temporarily saved measurement results to a CSV file. If multiple measurement results are
temporarily saved, they are output in one file.
1. Save measurement results temporarily.

a Select Measurement > All Clear from the pop-up menu in the image display area.
→ The following message is displayed.
b Move the pointer to Yes and press the Enter key.

→ The measurement results are saved.
2. Select 1_Files > Save Measured Data as.
3. Select the output destination.
4. Enter the file name and select OK.
→ Use Excel or other software to open the saved CSV file.
First line (header) : ID (Patient ID), NAME (Patient name), DATA (Date of data
acquisition), TIME (Time of data acquisition), UNIT (Brightness
unit)
Second line : Measurement results and units
Third and : Number of measurement points and measurement results
subsequent lines
©Hitachi, Ltd.
2-1-8 Presets
The preset function can store set conditions and recall them as necessary.
Users can configure and recall up to ten presets for this analysis.
(1) Select preset name
(2) Import settings
(3) Copy a preset
(4) Initialize tab content
(5) Initialize of all items

MN1-5889 rev.10
2-1-8-1 Recalling a preset
1. Select 1_Files > Preset > Select and select the name of preset that you want to recall.
→ The selected preset is reflected in the image.
2-1-8-2 Changing the preset settings
1. Select 1_Files > Preset > Set up.

→ The Preset Set up dialog is displayed.
You can select the preset, change its name, import and copy the settings. You can also make advanced
settings by selecting the tab for each analysis.
Selecting a preset and changing its name
You can select the number of the preset you want to change from the pull-down menu. To change the preset
name, type it from the keyboard.
Importing the settings of a displayed image to a preset
To import the settings of the image that is currently displayed to the preset settings, press Current Setting.
Copying preset settings
To copy other preset settings, select the preset name you want to copy from Copy From Other Preset, and
press Copy.
©Hitachi, Ltd.
2-1-8-3 Initializing presets
Initializing all preset settings
1. Select 1_Files > Preset > Factory Default. Or select Default from the preset screen.
→ A message opens asking you to confirm the initialization process.
2. Select OK.
→ All presets are restored to their factory defaults.
Initializing preset settings in a displayed tab
1. Select Default in the preset screen.

→ A message opens asking you to confirm the initialization process.
2. Select OK.
→ The preset settings in the displayed tab return to their factory defaults.
2-1-8-4 Various settings
The following advanced setting tabs are available:

Common : Changes the settings that are common to all analyses.
Time Intensity Curve : Changes the settings related to the Time Intensity Curve function.
Inflow Time Mapping : Changes the settings related to the Inflow Time Mapping function.
Subtraction : Changes the settings related to the Subtraction function.
Tool Bar : Customizes the icons displayed in the tool bar.
2-1-8-5 Common tab
Item Options Function

Start Method Subtraction Starts up the analysis in the Subtraction function.
Time Intensity Curve Starts up the analysis in the Time Intensity Curve function.
Contrast On Turns on the display of contract information.

Information Off Turns off the display of contract information.
Load Data Last Analyzed Reproduces the last saved conditions when starting an analysis.
Conditions
Analyzed Conditions Turns on the display of the list of files where analyzed conditions are
List saved.

MN1-5889 rev.10
2-1-8-6 Time Intensity Curve tab

Data Calc. Average Sets the ROI data calculation method to the average
value.
Median Sets the ROI data calculation method to the median
value.
Max Sets the ROI data calculation method to the maximum
value.
Mode Sets the ROI data calculation method to the mode
value.
Time Scale Analysis Interval All Sets the display of a graph using data of all time
phases.
After R Wave Sets the display of a graph using data of frames within
a specified period of time following the R-wave.
Every Time Sets the display of a graph using data at specified time
intervals.
After R Wave 1 ms to 999 ms Sets the display of a graph using data of frames within
a specified period of time following the R-wave.
Every Time 0.2 s to 30.0 s Sets the display of a graph using data at specified time
intervals.
Loop Stop Return to Stop Frame Returns to the frame where loop playback was started
when loop playback is stopped.
Pause Frame Continues to display the frame where loop playback
was stopped when loop playback is stopped.
Exchange Upper/Lower On Switches the images displayed in the upper section
Image (image display area) and lower section (reference
image area).
Off Does not switch the images displayed in the upper
section (image display area) and lower section
(reference image area).
Table: ROI
Type Shape Square Sets the shape of the ROI to a square.
Draw Sets the shape of the ROI to a rectangle.
Ellipse Sets the shape of the ROI to an Ellipse.
Circle Sets the shape of the ROI to a circle.
Type Size 0.1 mm to 50 mm Sets the width or side of ROI.
Type Size X 0.1 mm to 50 mm Sets the width when the shape is an Ellipse.
Type Size Y 0.1 mm to 50 mm Sets the width of the other side when the shape is an Ellipse.
Table: Graph
Plot Group By ROI Sets the graph type to By ROI.
By Frame Sets the graph type to By Frame Number.

Number
©Hitachi, Ltd.

SD Display On Turns on the display of the SD graph.
Off Turns off the display of the SD graph.
Smoothing Off, 1, 3, 5, 7, 9, Sets graph smoothing.

11, Filter 1,
Filter 2, Filter 3
Time Scale Time Sets the scale of the horizontal axis to time [s].
Frame Sets the scale of the horizontal axis to frame [F].
From Timer Sets the horizontal axis scale to the time from the start of the timer
[s].
Vertical Scale Auto Sets automatic adjustment and display of the vertical axis scale.
Manual Manually sets the scale of the vertical axis.
Full Range Displays the scale of the vertical axis at the maximum brightness
level of a black-and-white image or Power image.
Unit (B/W) Level Sets the unit of the scale of the vertical axis when data is in a
black-and-white image.
dB
AU2
AU
Unit (Power) Level Sets the unit of the scale of the vertical axis when data is in a Power
image.
dB
AU2
AU
Point Mark þ Turns on the display of marked points on a graph.
¨ Turns off the display of marked points.
Zero Fixed þ Sets the fixed display of the origin.
¨ Turns off the display of the origin depending on analysis results.
Beat Separate Line þ Turns on the display of brown lines at the R-wave positions.
¨ Turns off the display of the R-wave positions.
Temporal Graphic þ Displays an orange line to indicate data at the ROI starting point
Display Indicator when the pointer is placed on a graph.
¨ Turns off the display of an orange line.
Tissue Motion On Creates a capture image using motion correction.
Correction Off Creates a capture image without using motion correction.

MN1-5889 rev.10
2-1-8-7 Inflow Time Mapping tab

Color Map - Changes the coloration of the Color Map.
Select a button on the right side of the color bar to specify the color to be
changed, and then change the color in the dialog box.
Filtering 0 % to 100% Specifies the percentage for removal of noise.
Blending 0 % to 100% Specifies the percentage for blending an ITM image and B mode image.
Coloring Int. 0.5, 1.0, 2.0, 4.0, Specifies the coloring interval in increments of 1 second.
User User can be set to any user-selected value. The factory default setting is
0.25.
Gradation Map On Displays gradations.
Off Does not display gradations.
ITM Smoothing Same as Graph Applies the same smoothing as that applied to the Time Intensity Curve
graph.
Fixed Sets the smoothing value applied to the ITM image.
The setting values are Off, 3, 5, 7, 9, 11, Filter 1, Filter 2, and Filter 3. This
is not dependent on the smoothing value of the Time Intensity Curve graph.
©Hitachi, Ltd.
2-1-8-8 Subtraction tab

Reference Show On Turns on the display of the Reference image superimposed on a subtraction
image.
Off Turns off the display of the Reference image superimposed on a subtraction
image.
Display Mode Fixed Reference Sets the Subtraction type to Fixed Reference.
Any 2 Frames Sets the Subtraction type to Any 2 Frames.
Table: Subtraction Image

View Gamma Liner, A, B, C, D Selects the gamma setting.
Color Map Default Selects the color map setting.
ABDOM
CARDIO
POWER
Subtraction
Type A, B, C, D, E Selects the gamma setting. (Excluding the case where Color Map is
(When Color Map is set set to Default)
to ABDOM, CARDIO
or POWER)
Type A, B, C
(When Color Map is set
to Subtraction)
Table: Fixed Reference

Subtraction Interval All Turns on the display of subtraction for all frames.
Every Time Turns on the display of subtraction using frames at set time intervals.
Every Time 0.5 s to 30 s Turns on the display of subtraction using frames at set time intervals.
Overlay Interval 0.5 s to 30 s Sets the time interval of one color during overlay display.
Beat Separate Line þ Turns on the display of brown lines at the R-wave positions.
¨ Turns off the display of the R-wave positions.

MN1-5889 rev.10
2-1-8-9 Tool bar tab
1. Select the location to display the tool bar from the Position pull-down menu.
2. Add, delete or change the order of the icons on the tool bar.
Changing icons
a Select the icon you want to add from the All list and press the Enter key.
b Move the pointer to the Add button and press the Enter key.
Deleting an icon
a Select one icon you want to delete from the Tool Bar list and press the Enter key.
b Move the pointer to the Delete button and press the Enter key.
Moving the position of an icon

a Select one icon you want to move from the Tool Bar list and press the Enter key.
b To raise or lower the icon, move the pointer to the Up or Down button and press the Enter key.
Returning to the default settings of icon display and tool bar display position
Move the pointer to Default and press the Enter key.
3. Move the pointer to OK and press the Enter key.
©Hitachi, Ltd.
2-1-8-10 Copying and moving preset data
You can save set data for each preset to media, recall it or move it.
• Export: Saves the preset settings in external media.

a Select 1_Files > Preset > Export.
b Select Media Type in the dialog box and select the preset from the Analysis field.
c → Move the pointer to a button and press the Enter key.
• Import: Recalls the preset settings saved in external media.

a Select 1_Files > Preset > Import.
b Select Media Type in the dialog box and select the preset from the Analysis field.
c → Move the pointer to a button and press the Enter key.
• Move: Replaces preset settings

a Select 1_Files > Preset > Move.
b Select Media Type in the dialog box and select the preset you want to move from the left Analysis field.
c Then, select the destination preset from the right Analysis field.
d → Move the pointer to a button and press the Enter key.
• Initializing preset data

a Select Factory Default
→ The following message is displayed.
All preset data will be reset to factory default.
Do you want to continue?
b Move the pointer to OK and press the Enter key.

MN1-5889 rev.10
2-1-9 Reference
2-1-9-1 Base menu
1_Files
├ : When multiple images are selected and a CHI analysis launched, this function
Load Next
│ displays the next selected image after the currently displayed image.
├ Load Previous : When multiple images are selected and a CHI analysis launched, this function
│ displays the previously selected image after the currently displayed image.
├ Preset ├ Select ┬ Preset1 : Select preset number.
│ │ ├ to
│ │ └ Preset10
│ ├ Setup : Configures advanced settings of presets.
│ ├ Import : Imports preset information from external media.

│ │
│ ├ Export : Saves preset information to external media.
│ │
│ ├ Move : Moves presets within the same media.
│ └ Factory Default : Return to the factory default presets.
├ Store Full Screen : Saves the entire display screen in the DICOM format (still image).
│
├ Store Full Screen Movie : Saves the entire display screen in the DICOM format (moving
│ image).
├ Store Image : Saves image screens in the DICOM format (still image).
├ Store Images Movie : Saves analysis screens in the DICOM format (movie).
├ Store Graph : Saves the graph screen in the DICOM format (still image).
│
├ Save Full Screen as : Saves the entire display screen as a BMP, JPEG or TIFF file.
├ Save Full Screen Movie as : Saves the entire display screen in the AVI or WMV format.
│
├ Save Image as : Saves tomographic images in the BMP, JPEG or TIFF format.
├ Save Images Movie as : Saves tomographic images in the AVI or WMV format.
├ Save Analyzed Data as : Saves analysis results in the CSV file format.
├ Save Measured Data as : Saves measurement results in the CSV format.
├ Save Analyzed Conditions

│ ├ Save : Saves a file where analyzed conditions are saved overwriting the
previous file.
│ └ Save as : Saves a file where analyzed conditions are saved as a new file.
├ Load Analyzed Conditions : Recalls a file where analyzed conditions are saved.
└ Delete Analyzed Conditions : Deletes a file where analyzed conditions are saved.
©Hitachi, Ltd.
2_Analysis
├ Time Intensity Curve : Switches to the Time Intensity Curve screen.
└ Subtraction : Switches to the Subtraction screen or displays a subtraction image.
3_Measure
├ Point to Point : Displays the measurement value between two points.
├ SD : Displays the analysis data of the three specified time phases.
├ Raising Time : Measures the raising time of a graph based on the minimum and maximum
values.
├ Fitting : Displays a fitted curve by determining the start and end points and measures
│ the degree of increase in signal intensity.
├ Distance : Measures the distance between any two points on an image
├ ITM : Measures the brightness distribution on the ITM image at each time interval
├ Delete : Deletes a measurement value
├ All Clear : Deletes all measurement values
└ Erase : Erases measurement results temporarily
4_Search
├ Next Frame : Displays the next frame
├ Previous Frame : Displays the previous frame
├ Loop Start/Stop : Starts or pauses the playback of a moving image
├ Loop Speed ┬ Up : Increasing Playback Speed
│ ├ Down : Reducing playback speed
│ └ Default : Restores the playback speed to its default

├ Beginning Frame : Specifies the start frame of the range to be analyzed
├ Ending Frame : Specifies the end frame of the range to be analyzed
└ Loop Range Reset : Sets the display area or range to be analyzed to all frames
5_ROI: Time Intensity Curve screen

├ ROI Type : Sets the shape and size of ROIs
└ Erase on B : Temporarily deletes ROIs
5_ROI: Subtraction screen

├ Set : Displays the ROI for limiting the difference computation range or the ROI for
│ adjusting the object image computation position.
├ Size : Changes the size of the ROI for limiting the difference computation range or
│ the ROI for adjusting the object image computation position.
├ Move on Object : Adjusts the ROI position of the Object frame.
├ Move on Reference : Adjusts the ROI position in the Reference frame.
└ Delete : Deletes the ROI for limiting the difference computation range or the ROI for
adjusting the object image computation position.

MN1-5889 rev.10
6_Image: Time Intensity Curve screen

No menu can be selected.
6_Image: Subtraction screen

├ Set Reference : Sets the Reference frame as the display frame.
├ Set Object : Sets the Object frame as the display frame.
└ Reselect : Reselects the Object frame and Reference frame settings.
7_Display: Time Intensity Curve screen

├ Set ITM ┬ Beginning : Selects the start frame of ITM and Capture.
│ Capture │ Frame
│ ├ Ending : Resets the start frame of ITM and Capture.
│ │ Frame
│ └ Reset : Resets the ITM and Capture range.
├ ITM : Starts ITM analysis.

│ Process
├ ITM : Displays the ITM analysis control menu.

│ Control
│ Menu
├ Capture : Starts capture.
├ Tissue : Uses motion correction during capture.

│ Motion
│ Correction
├ Plot Group ┬ By ROI : Displays a graph of all frames in chronological order.
│ └ By Frame : Displays graphs for each frame number within a unit.

│ Number
├ SD : Displays the SD line.
├ Time Scale Analysis Interval : Sets the time intervals for plotting a graph.
├ Temporal Graphic Display : Displays data at the start point of the ROI with an orange line.
│ Indicator
├ Beat Separate line : Displays brown lines at the R-wave positions.
├ Data Calc. ┬ Average : Calculates data as average values.
│ ├ Median : Calculates data as median values.
│ ├ Max : Calculates data as maximum values.
│ └ Mode : Calculates data as mode values.
├ Image Request : Displays the image display area in single screen mode.
├ Exchange Requested : Switches the image displayed on a single screen.

Image
└ Exchange Upper/Lower : Switches the images displayed in the upper section and lower section.
Image
©Hitachi, Ltd.
7_Display: Subtraction screen

├ Mode ┬ Any 2 : Creates one subtraction image from each Reference and Object frame.
│ │ Frame
│ ├ Fixed : Creates subtraction images for all frames against one Reference frame.
│ │ Reference
│ ├ By Unit : Specifies a Reference frame and an Object frame by the frame number in the
│ │ unit. Creates one subtraction image for each unit.
│ │
│ ├ By Group : Specifies a Reference frame and an Object frame by the frame number in the
│ │ unit. Creates one subtraction image for each group.
│ │
│ └ Same : Creates subtraction images using frames that use the same frame number as
│ Reference the Reference frame. Creates one subtraction image for each unit, excluding
│ the unit that contains the Reference frame.
├ Overlay : Turns on the Overlay function.
├ Subtraction Interval : Sets the time interval for creating subtraction images.
(This is applied when the next time analysis is started.)
├ Beat Separate line : Displays brown lines at the R-wave positions.
└ Image Request : Displays the image display area in single screen mode.
8_view: Time Intensity Curve screen

├ Image : Displays all frames of the object image area in Tile View.
└ Graph : Displays the Time Intensity Curve graph.
8_Process: Subtraction screen

├ Time Intensity Curve : Displays Time Intensity Curve with subtraction images when the subtraction
│ images were created with Fixed Reference.
└ Subtraction : Displays the subtraction image.

MN1-5889 rev.10
2-1-9-2 Pop-up menu
Time Intensity Curve
(4) (1)
(6)
(2)
(3)
(5)
(1) Display setting for the vertical axis of a graph

(2) Display setting for the horizontal axis of a graph
Time, Frame, From Timer: Horizontal axis units. Displays with the selected unit.
(3) Physiological signal display settings
(4), (5) and (6): See the table below.

(4) (5) (6) Description
ROI Rotate －－ Rotates an ROI (in the case of Ellipse)
ROI Mark －－ Memorizes the ROI positions
Delete －－ Deletes the selected ROI
All Delete －－ Deletes all ROIs
Erase on B －－ Temporarily deletes ROIs
－ Enlarges the image

Image Request
Image Request
－ Switches the enlarged image
Exchange
Exchange
Requested
Requested
Image
Image
Set ITM/Capture － Set ITM/Capture Sets the time phase for ITM and Capture
ITM Process － ITM Process Turns on and off the ITM function
Capture Capture Turns on and off the Capture function
Measurement Measurement Selects the measurement function
－ Image Displays all frames in Tile View
－ Point Mark Displays or hides marks at existing data points
－ Clear Profile Deletes the displayed graph
©Hitachi, Ltd.

－ Smoothing Performs the graph smoothing process
Store Full Store Full Store Full Saves the entire display screen in the DICOM format (still
Screen Screen Screen image) to the specified media. Saved images can be
searched by parameters such as patient.
Store Image Store Image － Saves the image screen in the DICOM format (still image)
to the specified media. Saved images can be searched by
parameters such as patient.
－ Store Graph Saves a graph in the DICOM format to the specified
media
Cancel Cancel Cancel Closes the pop-up menu
Subtraction
(3)
(1)
(2)
(1) - (3): Refer to the table below.

Select －－ Sets the Reference frame as the display frame.
Reference
Image
Select Object －－ Sets the Object frame as the display frame.
Image
Subtraction －－ Displays the subtraction image.
ROI Set ROI Set － Displays the ROI for limiting the difference computation
range or the ROI for adjusting the object image
computation position.
ROI Size ROI Size － Changes the size of the ROI for limiting the difference
Change Change computation range or the ROI for adjusting the object
image computation position.
Object ROI －－ Adjusts the ROI position of the Object frame by
Move adjusting frame position.
－ Reference ROI － Adjusts the ROI position of the Reference frame by

Move adjusting frame position.

MN1-5889 rev.10

ROI Delete ROI Delete － Deletes the ROI for limiting the difference computation
range or the ROI for adjusting the object image
Image Request Image Request － Enlarges the frame of the area.
Exchange Exchange － Switches from the enlarged Object frame to the

Requested Requested Reference frame. Or switches from the Reference frame
Image Image to the Object frame.
－－ REFER SHOW Displays the Reference image superimposed on (added

to) a subtraction image.
－－ Sub View Enables you to change the View Gamma of a subtraction
Gamma image.
－－ Sub Color Map Enables you to change the Color Map of a subtraction
image.
Measurement －－ Selects the measurement function.
Store Full Store Full Store Full Saves the entire screen display in the DICOM format
Screen Screen Screen (still image) to the specified media. Saved images can be
Store Image － Store Image Saves the image screen in the DICOM format (still
image) to the specified media. Saved images can be
Cancel Cancel Cancel Closes the pop-up menu.
©Hitachi, Ltd.
2-1-9-3 Touch panel
The following menu items can be displayed on the touch panel. These menu items can also be displayed by
placing the pointer in the menu at the bottom of the screen and pressing the Enter key.
To register in the function menu on the touch panel, set (Preset setup > Input Device > CHI Analysis
Menu).
Touch panel Description
Load Next 1_Files > Load Next

Switches to the next selected image when multiple images are selected and CHI analysis is
being performed.
Load Prev 1_Files > Load Previous

Switches to the previously selected image when multiple images are selected and CHI
analysis is being performed.
Store Full S HD 1_Files > Store Full Screen > Local HDD
Saves the entire display screen in the DICOM format (still image) to the internal HDD.
Store Full S USB 1_Files > Store Full Screen > USB
Saves the entire screen display in the DICOM format (still image) to USB flash memory.
T.I.C 2_ Analysis > Time Intensity Curve

Switches to the Time Intensity Curve screen.
Subtract 2_ Analysis > Subtraction

Switches to the Subtraction screen.
Next Frame 4_ Search > Next Frame

If this option is selected while a moving image is paused, displays the frame after the current
frame.
Prev Frame 4_ Search > Previous Frame

If this option is selected while a moving image is paused, displays the frame before the
current frame.
Start/Stop 4_ Search > Loop Start/Stop

Plays a moving image.
If this option is selected during playback, the image is paused.
Loop S UP 4_ Search > Loop Speed > Up

Increases the playback speed.
Loop S Down 4_ Search > Loop Speed > Down

Reduces the playback speed.
Loop S Default 4_ Search > Loop Speed > Default

Resets the playback speed to the default.
Begin Frame 4_ Search > Beginning Frame

Sets the displayed frame as the display start frame and as the start frame in the analysis
range.
End Frame 4_ Search > Ending Frame

Sets the displayed frame as the display end frame and as the end frame in the analysis range.

MN1-5889 rev.10
ROI Set 5_ROI > Set

Displays the ROI for limiting the difference computation range or the ROI for adjusting the
object image computation position.
ROI Size 5_ROI > Size

Changes the size of the ROI for limiting the difference computation range or the ROI for
adjusting the object image computation position.
Move on Object 5_ROI > Move on Object

Adjusts the ROI position of the Object frame with the trackball.
Move on Reference 5_ROI > Move on Reference

Adjusts the ROI position of the Reference frame with the trackball.
ROI Delete 5_ROI > Delete

Deletes the ROI for limiting the difference computation range or the ROI for adjusting the
Set Reference 6_Image > Set Reference

Sets the Reference frame as the display frame.
Set Object 6_Image > Set Object

Sets the Object frame as the display frame.
Image Reselect 6_Image > Reselect

Resets the Reference frame and the Object frame.
Any 2 Frames 7_Display > Mode > Any 2 Frames

Creates a subtraction image by using a specified Reference frame and an Object frame.
Fixed Reference 7_Display > Mode > Fixed Reference

Creates subtraction images for all frames against one specified Reference frame.
By Unit 7_Display > Mode > By Unit

A Reference frame and an Object frame are specified by the frame number in the unit. One
subtraction image is created for each unit.
By Group 7_Display > Mode > By Group

A Reference frame and an Object frame are specified in one unit within a Group. One
subtraction image is created for each Group (Sequence).
Process Subtract 8_Process > Subtraction

Displays the subtraction image.
Process Sub+TIC 8_Process > Time Intensity Curve

Displays the Time Intensity Curve of a subtraction image.
If the Time Intensity Curve of a difference image is displayed, the difference image appears.
Image Request Popup menu > Image Request in the image display area
Enlarges the image.
Exchange Request Popup menu > Exchange Requested Image in the image display area
Switches the image to be enlarged between the Object frame and Reference frame.
Exchange U/L 7_Display > Exchange Upper/Lower Image

Switches the image displayed in the upper section (Object frame) and lower section
(Reference frame).
©Hitachi, Ltd.
ITM Process 7_Display > ITM Process

Starts ITM analysis.
ITM Menu 7_Display > ITM Control Menu

Displays the ITM analysis control menu.
Capture 7_Display > Capture

Starts Capture.
Measure Delete 3_Measure > Delete

Deletes the measurement values one at a time.
Measure All Clear 3_Measure > All Clear

Deletes all measurement values.

MN1-5889 rev.10
2-1-9-4 Toolbar icons
The tool icons that can be displayed when using CHI analysis are shown in the following list.
Description
Displays the next selected image after the displayed image.
Displays the previous selected image before the displayed image.
Switches to the Time Intensity Curve screen.
Switches to the Subtraction screen or displays a subtraction image.
Performs playback. Or pauses playback.
Advances one frame from the paused image.
Goes back one frame from the paused image.
Increases playback speed.
Reduces playback speed.
Restores the playback speed to its default.
Sets the displayed frame as the start frame for loop playback or in the frame range to be analyzed.
Sets the displayed frame as the end frame for loop playback or in the frame range to be analyzed.
Set: Displays the ROI for limiting the difference computation range or the ROI for adjusting the object image
Size: Changes the size of the ROI for limiting the difference computation range or the ROI for adjusting the
Move on Object: Adjusts the ROI position of the Object frame.
Move on Reference: Adjusts the ROI position of the Reference frame.
Deletes the ROI for limiting the difference computation range or the ROI for adjusting the object image
Sets the Reference frame as the display frame.
Sets the Object frame as the display frame.
Reselects the Object frame and Reference frame settings.
Any 2 Frame: Creates one subtraction image from each Reference and Object frame.
Fixed Reference: Creates subtraction images for all frames against one Reference frame.
By Unit: Specifies a Reference frame and an Object frame by the frame number in the unit. Creates one
subtraction image for each unit.
By Group: A Reference frame and an Object frame are specified in one unit within a Group. Creates one
subtraction image for each group.
Subtraction: Displays the subtraction image.
Time Intensity Curve: Displays Time Intensity Curve with subtraction images when the subtraction images
were created with Fixed Reference images.
Image: Displays all frames of the object image area in Tile View.
©Hitachi, Ltd.
Description
Graph: Displays Time Intensity Curve in a graph.
Subtraction: Switches to the subtraction image display (when Time Intensity Curve display is applied after
creating subtraction images using Fixed Reference images).
Enlarges the image.
Exchange Requested Image: Switches the image to be enlarged between the Object frame and Reference
frame.
Saves the entire display screen in the DICOM format (still image) to the internal HDD.
Saves the entire screen display in the DICOM format (still image) to USB flash memory.
Switches the enlarged image.
Switches the images displayed in the upper section and lower section.
Display the ITM analysis control menu.
Starts Capture.
Starts ITM analysis.
Deletes the measurement values one at a time.
Deletes all measurement values.

MN1-5889 rev.10
2-1-9-5 Messages
This instrument provides warnings when there is an error with the instrument and displays messages about
proper operating procedures.
Messages Function/Cause Countermeasure

A file name cannot The file name contains characters that 1 Select OK.
contain any of the cannot be used. 2 Change the file name.
following
characters:¥ / . : ; *
? “ < >
Contrast preset file The preset file cannot be found. Check the location of the file.
not found.
• OK
　 Returns to the previous screen.
Disk full. There is insufficient disk space. Make sure that there is enough free space in the storage
destination by deleting unnecessary files, etc.
• OK
Disk Not ready. The media cannot be found. Check the status of media connection.
• OK
File access error File reading or writing failed. Try again. If the message is displayed even after a media
occurred. change, make a note of what the message says and contact our
office.
Analysis will be
interrupted.
• OK
Insufficient space on There is not enough available HDD Delete unnecessary files.
hard disk. space.
• OK
Delete unnecessary
images.
Could not open the The file cannot be open. Check whether the file is correct.
image.
• OK
The file being copied There is not enough free space at the Please delete unnecessary files to free up space on the storage
is too large for the specified media (including HDD). destination.
destination drive.
• OK
The file could not be The file format is not compatible with Check the instruction manual and information on the image
loaded. the application. (storage format, display mode, etc.).
• OK
©Hitachi, Ltd.
Messages Function/Cause Countermeasure

The image could not Saving the file failed. Try again. If the message is displayed even after a media
be saved to the file. change, make a note of what message says and contact our
office.
Error: The file cannot be saved since the Please check the settings of the storage destination media.
Disk write protected. media is write-protected.
• OK
This file cannot be The file format is not compatible with Check the instruction manual and information on the image
analyzed. the application. (storage format, display mode, etc.).
Files that cannot be

• OK
analyzed are
excluded.
Next time, this
message is not
displayed.
The file could not be The file cannot be open. Check whether the file is correct.
opened.
• OK
Writing failed. Saving the file failed. Try again. If the message is displayed even after a media
change, make a note of what the message says and contact our
office.
• OK

MN1-5889 rev.10
Recycling or Disposal
Recycle or dispose of this equipment properly according to your organizational rules and your
local laws.
This symbol on the equipment or on its packaging indicates that this equipment shall not be
treated as household waste. Instead it shall be handed over to the applicable collection point
for the recycling of electrical and electronic products. By ensuring this equipment is disposed
of correctly, you will help prevent potential negative consequences for the environment and
human health, which could otherwise be caused by inappropriate waste handling of this
equipment. The recycling of materials will help to conserve natural resources.
The equipment contains a primary battery (lithium battery). You should recycle or dispose of this
equipment properly according to your organizational rules and your local laws. For more detailed
information about recycling of this equipment, please contact one of our offices as listed on the back
cover, or your household waste disposal service.
©Hitachi, Ltd.
MN1-5889 rev.10 | 111
Manufacturer
Hitachi, Ltd.
2-16-1, Higashi-Ueno, Taito-ku, Tokyo, 110-0015, Japan
Contact
+81-3-6284-3668
http://www.hitachi.com/businesses/healthcare/index.html
Hitachi Medical Systems GmbH

Otto-von-Guericke-Ring 3
D-65205 Wiesbaden, Germany
“EC REP” means the name and address of the authorized representative in the
European Community.
Revision: 10
Created date: 2017.9.5
©Hitachi, Ltd.
MN1-5889 rev.10 050200 20170905

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CHI Section

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CHI Section

This is an instruction manual for the optional Contrast

Be sure to keep this manual for future reference.

Trademarks and Registered Trademarks

Precautions concerning the software incorporated into this instrument.

The safety symbols have the meanings shown below.

This kind of symbol means attention is required.

This symbol means the noted action is prohibited.

This symbol means the noted action is required.

ARIETTA70 Diagnostic Ultrasound System

I) Precautions concerning the use and management of this instrument

II) Precautions on Instrument Installation

 Install the instrument in an environment where electromagnetic compatibility can be maintained in

Classification of the ARIETTA70

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

– Probes and scanner

Surface of body Ultrasonic irradiation area (D) A to B 100 cm

Intraoperative Ultrasonic irradiation area (D) A to B 20 cm

– ECG, PCG, Pulse

ECG patient lead

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

 Protection against harmful ingress of water or particulate matter

– equipment: IPX0 (Ordinary equipment)

– Probe applied part: IPX7 (Watertight equipment)

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

 Mode of operation: Continuous operation

1 Contrast Harmonic Imaging (CHI) . . . . . . . . . . . . . . . . . . . . . . . . . . 9

1-2 Displaying in CHI Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

1-3 Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

1-4 Preset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

1-5 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

2 Contrast Harmonic Imaging (CHI) Analysis . . . . . . . . . . . . . . . . . 37

This chapter will explain the methods of displaying images

 CHI Method for CHI mode

– Wide-band Contrast Harmonic Imaging (WbC)

– Tissue Reduction Contrast Harmonic Imaging (TrC)

 CHI Mode Image

10 | Contrast Harmonic Imaging (CHI) ©Hitachi, Ltd.

1-1-1 Precautions for use of ultrasound contrast agents

1-2 Displaying in CHI Mode

1 Press the [Probe/Preset] key and select the CHI Application.

2 Select [CHI] on the touch panel.

3 Adjust the image.

Display example Information about CHI Mode is displayed on-screen.

12 | Contrast Harmonic Imaging (CHI) ©Hitachi, Ltd.

(1) (2) (3)

1-2-1 Displaying CHI-Color

1 Press the [Probe/Preset] key and select the CHI Application.

2 Select [CHI] on the touch panel.

3 Press the [CF] key.

4 Adjust the image.

5 Configure the color display area (ROI).

b Press the [Enter] key.

c Use the trackball to adjust the size of the ROI

d Press the [Enter] key.

e Configure the ROI by repeating steps a

6 Adjust the quality of the color image.

 Use [Color Transparent] on the touch panel

14 | Contrast Harmonic Imaging (CHI) ©Hitachi, Ltd.

1-2-2 Adjusting acoustic pressure

 Use the [Acoustic Power] key to adjust the acoustic pressure.

1-2-3 Dual Screen (monitor mode) for displaying fundamental and

1 Display the image in CHI Mode.

2 Select [Monitor Mode] on the touch panel.