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GE Logiq 9 User Manual

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    							Beginning an Exam
    LOGIQ E9 User Guide 1-31
    Direction 5180302-100 Rev. 1
    Patient Screen (continued)
    4.  Dataflow Selection–Select the appropriate dataflow.
    NOTE:  If you use a DVD-R or DVD-RAM, select DICOM CD Read 
    in Dataflow.
    If you place the cursor on the icon, the pop-up menu  
    displays disk capacity.
    Figure 1-16. Dataflow Pop-up
    5.  Exit–Used to exit Patient Menu.
    6. Patient Information
    •  Patient ID Number
    •  Patient Name–Last, First and Middle
    • DOB (Birthdate)
    •  Age (automatically calculated when birthdate is input)
    • Sex
    7. Category Selection
    Select from 8 exam application categories: Abdomen, 
    Obstetrics, Gynecology, Cardiology, Vascular, Urology, 
    Small Parts or Pediatrics.
    When a category is selected, the measurement and 
    category presets are displayed.
    WARNINGEnsure you have selected a dataflow. If No Archive is selected, 
    no patient data is saved. A Ø appears next to Dataflow if No 
    Archive is selected. 
    						
    							Getting Started
    1-32 LOGIQ E9 User Guide
    Direction 5180302-100 Rev. 1
    Patient Screen (continued)
    8. Exam Information
    Shows the Current/Active Exam information. Information 
    pertinent to the selected exam category appears in the 
    window. All possible information needs to be entered.
    •  Images–Displays the selected exam’s images.
    •  Clear–Clears existing data.
    •  Past Exam (only for OB)–Input past exam data (register 
    the patient before using).
    9.  Patient View–Lists the patients in the database.
    NOTE: Use Ctrl + A to select all from the Data Transfer list/Patient 
    view.
    NOTE:  When you double-click the patient on the patient list with the 
    Set key, the Review screen or New Exam entry screen 
    displays. Select Review or New Exam in Utility -> 
    Connectivity -> Miscellaneous -> Double click on patient list 
    to start preset.
    • Search key–select search item from Patient ID, Last 
    Name, First Name, Birthdate, Sex, Exam Date, Exam 
    Today, Accesstion Number, Exam Description, Exam 
    Date Before, Exam Date Between, Exam Date After, 
    Locked (Y, N) or Img. Archived (Y, N).
    NOTE:  If “Exam Date Between” is selected, the Input Dialog 
    displays and you can select the date from the displayed 
    calender.
    NOTE:  Img. Archived means that the exam was backed up to 
    external media by EZBackup or Export.
    • String–enter appropriate information.
    If you select Locked (Y, N) or Archived (Y,  N) for the 
    Search key, enter Y (Yes) or N (No).
    NOTE:  If “Exam Date Between” is used for the Search key, the 
    From and To dates are separated by a “-” (dash) in the 
    Search String. 
    						
    							Beginning an Exam
    LOGIQ E9 User Guide 1-33
    Direction 5180302-100 Rev. 1
    Patient Screen (continued)
    •  Clear–Clears the entered string.
    •  Listing XX of XXX -- Displays the quantity of patients in 
    the search window and the quantity of patients in the 
    database.
    •  Show XX/XX–Displays the searched (selected) patients 
    (number of patients currently displayed on the list/
    number of patients in the database). Displays a 
    maximum of 102 patients.
    •  Review–Select Patient/Exam for review.
    •  Resume Exam–Continues the exam for that patient if 
    you select the last exam of the day.
    •  New Exam–Creates a new exam on a current patient.
    • Delete–Deletes Patient/Exam.
    NOTE:  “Delete” is only displayed when you login as 
    Administrator.
    •  Hide–Hides the Patient List Section. 
    •  Lock/Unlock–Locks the exam/patient. Prevents move 
    and delete functions.
    10.  Scan Assistant Program. The Scan Assistant Program is 
    either selected automatically or manually, depending on the 
    preset as configured on the Utility--> System--> General 
    page. 
    CAUTIONTo avoid patient identification errors, always verify the 
    identification with the patient. Make sure the correct patient 
    identification appears on all screens and hard copy prints. 
    						
    							Getting Started
    1-34 LOGIQ E9 User Guide
    Direction 5180302-100 Rev. 1
    Patient Screen (continued)
    1.  Before starting EZBackup, select “Unlock All” on the 
    Utility -> Admin -> Logon screen.
    Prepare the unformatted CD-R or DVD-R before EZBackup.  
    NOTE:  Formatted CD-R or DVD-R cannot be used for EZBackup.
    2.  First perform EZBackup and then Backup (Patient Archive 
    and Report Archive).
    3.  Go to the patient screen, select the patients/exams to 
    delete. Select “Delete” to delete the selected data.
    NOTE:  Removing image data with the “EZMove” function does not 
    reduce the patient number in the database.
    We recommend attaching the patient list to the EZBackup 
    media. Insert the media and select DICOM CD Read for 
    dataflow (if you use a USB drive, select DICOM USB Drive I 
    Read). Select any patient and press the programmable Set key 
    to print the patient list on the digital printer or PC printer. 
    CAUTIONTo maintain optimum performance and to safeguard patient 
    data, keep the total number of patients in the database below 
    1,000.
    To reduce the total number of patients in the database, perform 
    the following procedure. 
    						
    							LOGIQ E9 User Guide 2-1
    Direction 5180302-100 Rev. 1
    Chapter 2
    Performing an Exam
    Optimizing the Image and Measurement and Analysis 
    						
    							Performing an Exam
    2-2 LOGIQ E9 User Guide
    Direction 5180302-100 Rev. 1
    Optimizing the Image
    B-Mode Controls
    Table 2-1:  B-Mode Controls
    Control
    Possible
    BioeffectDescription/
    Benefit
    Depth Yes Depth controls the distance over which the B-Mode images anatomy. 
    To visualize deeper structures, increase the depth. If there is a large 
    part of the display which is unused at the bottom, decrease the 
    depth.
    Gain No B-Mode Gain increases or decreases the amount of echo 
    information displayed in an image. It may have the effect of 
    brightening or darkening the image if sufficient echo information is 
    generated.
    Focus Yes Increases the number of focal zones or moves the focal zone(s) so 
    that you can tighten up the beam for a specific area. A graphic caret 
    corresponding to the focal zone position(s) appears on the right 
    edge of the image.
    Auto Optimize No Auto Optimize (Auto) lets you optimize the image based upon a the 
    actual B Mode image data (Auto Tissue Optimize, ATO). The preset 
    levels (Low, Medium, and High) allow you to pick a preference for 
    the contrast enhancement in the resulting image. Low does the least 
    amount of contrast enhancement, high does the most. 
    Auto is available in single or multi image, on live, frozen or CINE 
    images (in B-Mode only), and while in zoom, in Color Flow Mode, 
    and in Spectral Doppler.
    Auto in Color Flow Mode automatically adjusts the overall color gain. 
    If you find that the gain adjustment that is automatically performed 
    consistently results in more or less gain than you expect, then the 
    Auto Optimize Adjustment allows you to adjust the result of the Auto 
    feature (-5 to 5 range) so that the result more consistently matches 
    your expectation.
    Auto in PW Doppler Mode optimizes the spectral data. Auto adjusts 
    the Velocity Scale (live imaging only), baseline shift, dynamic range, 
    and invert (if preset). Upon deactivation, the spectrum is still 
    optimized.
    Mode Cursor No Displays the M/D-Mode cursor on the B-Mode image. 
    						
    							Optimizing the Image
    LOGIQ E9 User Guide 2-3
    Direction 5180302-100 Rev. 1
    SRI-HD No SRI-HD (Speckle Reduction Imaging High Definition) is an adaptive 
    algorithm to reduce the unwanted effects of speckle in the 
    ultrasound image. Image speckle usually appears as a grainy 
    texture in otherwise uniform areas of tissue. Its appearance is 
    related to image system characteristics, rather than tissue 
    characteristics, so that changes in system settings, such as probe 
    type, frequency, depth, and others, can cange the appearance of the 
    speckle. Too  much speckle can impair image quality and make it 
    difficult to see the desired detail in the image. Likewise, too much 
    filtering of speckle can mask or obscure desired image detail. Extra 
    care must be taken to select the optimal SRI-HD level. SRI-HD is 
    available in B-Mode imaging and may be used with any transducer 
    or clinical application when image speckle appears to interfere with 
    the desired image detail.
    CrossBeam No CrossBeam is the process of combining three or more frames from 
    different steering angles into a single frame. CrossXBeam is 
    available on Convex and Linear probes. 
    CrossBeam combines multiple co-planar images from different view 
    angles into a single image at real-time frame rates, using bi-cubic 
    interpolation.
    Coded Harmonic 
    Imaging (CHI)Yes Harmonic imaging utilizes Digitally Encoded Ultrasound (DEU). 
    Coded Harmonics enhances near field resolution for improved small 
    parts imaging as well as far field penetration. 
    Frequency Yes Multi Frequency mode lets you downshift to the probes next lower 
    frequency or shift up to a higher frequency. 
    Steer Yes You can slant the B-Mode or Color Flow linear image left or right to 
    get more information without moving the probe. The angle steer 
    function only applies to linear probes.
    Virtual Convex Yes On Linear and Sector probes, Virtual Convex provides a larger field 
    of view in the far field. Virtual Convex is always active with Sector 
    probes.
    TGC No TGC amplifies returning signals to correct for the attenuation caused 
    by tissues at increasing depths. TGC slide pots are spaced 
    proportionately to the depth. The area each pot amplifies varies as 
    well. A TGC curve may appear on the display (if preset), matching 
    the controls that you have set (except during zoom). You can choose 
    to deactivate the TGC curve on the image. 
    Width Yes You can widen or narrow the size of the sector angle to maximize the 
    images region of interest (ROI). 
    Tilt Yes You can steer the sector angle to get more information without 
    moving the probe while in B-Mode, M-Mode, Doppler Mode, and 
    Color Flow Mode. Tilt is not available on Linear probes.  
    Table 2-1:  B-Mode Controls (Continued)
    Control
    Possible
    BioeffectDescription/
    Benefit 
    						
    							Performing an Exam
    2-4 LOGIQ E9 User Guide
    Direction 5180302-100 Rev. 1
    Dynamic Range No Dynamic Range controls how echo intensities are converted to 
    shades of gray, thereby increasing the adjustable range of contrast. 
    The Dynamic Range control name changes to Compression on 
    frozen images. 
    Reverse (if Preset) No Flips the image 180 degrees left/right. 
    Line Density Yes Optimizes B-Mode frame rate or spatial resolution for the best 
    possible image. 
    Maps No The system supplies B, M, and Doppler Mode system maps.
    Frame Average No Temporal filter that averages frames together, thereby using more 
    pixels to make up one image. This has the effect of presenting a 
    smoother, softer image. 
    Colorize No Colorize is the colorization of a conventional B-Mode image or 
    Doppler Spectrum to enhance the users ability to discern B, M, and 
    Doppler Mode intensity valuations. Colorize is NOT a Doppler Mode.
    NOTE: You can colorize realtime or CINE images or Timeline CINE, 
    but not DVR images. 
    Colorizes the gray scale image to enhance the eyes discrimination 
    capability.  Spectrum Colorize colorizes the spectrum as a function of 
    power using the inverse of the Colorize map for the signal intensity in 
    each Doppler line. Colorize enhances the visibility of the spectrums 
    characteristics and enhances your ability to identify spectral 
    broadening and the edge contours of the spectrum used to define 
    the peak frequency/velocity.
    The gray bar displays while Colorize is activated. 
    Rotation No Flips the image 180 degrees up/down. 
    CAUTION: When reading a rotated image, be careful to observe the 
    probe orientation to avoid possible confusion over scan direction or 
    left/right image reversal. 
    Rejection No Selects a level below which echoes will not be amplified (an echo 
    must have a certain minimum amplitude before it will be processed).
    Suppression No Suppresses the noise in the image. 
    LOGIQView No LOGIQView provides the ability to construct and view a static 2D 
    image which is wider than the field of view of a given transducer. 
    This feature allows viewing and measurements of anatomy that is 
    larger than what would fit in a single image. Examples include 
    scanning of vascular structures and connective tissues in the arms 
    and legs. 
    LOGIQView constructs the extended image from individual image 
    frames as the operator slides the transducer along the surface of the 
    skin in the direction of the scan plane. The quality of the resulting 
    image is somewhat user-dependent and requires some additional 
    skill and practice to develop proper technique and become fully 
    proficient. 
    LOGIQView is not available for the following: Multi Image, Timeline 
    Modes, Color Flow Mode or PDI Mode.
    Table 2-1:  B-Mode Controls (Continued)
    Control
    Possible
    BioeffectDescription/
    Benefit 
    						
    							Optimizing the Image
    LOGIQ E9 User Guide 2-5
    Direction 5180302-100 Rev. 1
    M-Mode Controls
    Table 2-2:  M-Mode Controls
    Control
    Possible
    BioeffectDescription/
    Benefit
    Sweep Speed Yes Changes the speed at which the timeline is swept. 
    Available in M-Mode, Doppler Mode and M Color Flow Mode.
    Anatomical M-Mode Yes Anatomical M-Mode gives you the ability to manipulate the cursor at 
    different angles and positions. The M-Mode display changes 
    according to a motion of the M cursor. 
    						
    							Performing an Exam
    2-6 LOGIQ E9 User Guide
    Direction 5180302-100 Rev. 1
    Color Flow Mode Controls
    Table 2-3:  Color Flow Mode Controls
    Control
    Possible
    BioeffectDescription/
    Benefit
    Gain No Gain amplifies the overall strength of echoes processed in the Color 
    Flow window or spectral Doppler timeline.
    Scale (Velocity 
    Scale)Yes Increases/decreases the Scale on the color bar. 
    Wall Filter No Filters out low flow velocity signals. It helps get rid of motion artifacts 
    caused from breathing and other patient motion. 
    Color Width Yes Color Width sizes and positions the color window.
    Invert (Color Invert) No Lets you view blood flow from a different perspective, e.g., red away 
    (negative velocities) and blue toward (positive velocities). You can 
    invert a real-time or frozen image. 
    NOTE: Invert reverses the color map, NOT the color Scale. 
    Baseline No Changes the Color Flow or Doppler spectrum baseline to 
    accommodate higher velocity blood flow. Minimizes aliasing by 
    displaying a greater range of forward flow with respect to reverse 
    flow, or vice versa. 
    Baseline adjusts the alias point. The default baseline is at the 
    midpoint of the color display and at the midpoint of the color bar 
    reference display. 
    Angle Steer Yes You can slant the ROI of the Color Flow linear image left or right to 
    get more information without moving the probe. The Angle Steer 
    function only applies to linear probes. 
    Accumulation No Accumulation enhances the flow in an image.
    Available in Contrast, Color Flow, and PDI. 
    Color Flow Line 
    DensityYes Optimizes the Color Flow frame rate or spatial resolution for the best 
    possible color image. 
    Map No Allows you to select a specific color map.  After you have made your 
    selection, the color bar displays the resultant map.
    Threshold No Threshold assigns the gray scale level at which color information 
    stops. 
    Frame Average No Averages color frames. 
    Transparency Map No Brings out the tissue behind the color map. 
    Spatial Filter No Smooths out the color, makes it look less pixely. 
    Flash Suppression No Activates/deactivates Flash Suppression, a motion artifact 
    elimination process. 
    Sample Vol (Sample 
    Vo l u m e )Yes Places the sample volume gate on the Color Flow image. The gate is 
    positioned over a specific position within the vessel.  
    						
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