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GE Logiq P5 User Manual

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    							Optimizing B-Mode
    LOGIQ 5 Basic User Manual 5-7
    Direction 2300002-100 Rev. 2
    Gain
    DescriptionB-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. 
    AdjustingGain values vary depending on the probe; they are not 
    associated with a particular position of the knob. 
    NOTE:  B-Mode gain is independent of M-Mode and Doppler and Color 
    Flow Gain. Changing the gain while in M-Mode does not affect 
    the B-Mode image gain. 
    To decrease/increase Gain, adjust dial to the left/right. 
    Va l u e sGain displays on the monitor in G (dB). Gain increments by 1 
    dB. Maximum gain varies by probe. The current gain value is 
    displayed. Gain values vary by probe, application, and 
    frequency setting. 
    NOTE:  Maximum gain is factory preset to an optimum setting to 
    eliminate noise in the display. 
    Gain values are returned to the factory or user preset value 
    when you change the following: Probe, Exam Category/Exam 
    Calc, New Patient, or Frequency. 
    BenefitsGain allows you to balance echo contrast so that cystic 
    structures appear echo-free and reflecting tissue fills in. 
    Affect on other 
    controlsAfter you adjust the Power Output, you may need to adjust the 
    gain. Generally speaking, if you increase the Power Output, you 
    need to decrease the gain; if you decrease the Power Output, 
    you need to increase the gain. Gain and TGC interact by adding 
    together. 
    BioeffectsGain has no affect on Power Output. However, with increased 
    gain, the output level can usually be reduced to produce an 
    equivalent image quality. 
    NOTE:  Always optimize gain before increasing the Power Output.  
    						
    							Optimizing the Image
    5-8 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Focus
    DescriptionIncreases 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. 
    AdjustingTo increase/decrease the number of focal zones, adjust Focus 
    Number. 
    NOTE:  Focus Position and Focus Number share the same control. 
    Press the control to toggle between Focus Position and Focus 
    Number. 
    To move the focal zone to the near/far field, adjust Focus 
    Position. 
    NOTE:  Each adjustment cycles you to the next setting.
    Va l u e sEight focal zones over twelve focal positions. In B Flow only one 
    focus zone. Focus zone number and position vary depending on 
    the depth, zoom, probe, application, and frequency setting 
    selected. 
    Focal zone number values are returned to the factory or user 
    preset value when you change the following: Probe, Exam 
    Category, Exam Calc, or New Patient. 
    BenefitsFocus optimizes the image by increasing the resolution for a 
    specific area. 
    Affect on other 
    controlsChanging the focal number affects the frame rate. The greater 
    number of focal zones, the slower the frame rate. 
    BioeffectsChanging the focal zone may change the TI and/or MI. Observe 
    the output display for possible effects. 
    						
    							Optimizing B-Mode
    LOGIQ 5 Basic User Manual 5-9
    Direction 2300002-100 Rev. 2
    Auto Optimize (Auto)
    DescriptionAuto lets you optimize the image based upon a specified region 
    of interest or anatomy within the B-Mode image or Spectral 
    Doppler in order to improve the contrast of the displayed image 
    data. Auto Optimize is available in B-Mode, specifically in single 
    or multi image, on live, frozen or CINE images, and while in 
    zoom and in Spectral Doppler. However, it is not available in 
    Display Zoom or while CINE is playing a CINE Loop. 
    Auto in Doppler Mode optimizes the spectral data. Auto adjusts 
    the Velocity Scale/PRF, baseline shift, dynamic range, gray 
    maps, and invert (if preset). The benefit of Auto can be found in 
    reduced optimization time and a more consistent and accurate 
    optimization process. Upon deactivation, the spectrum is 
    returned to the original map and dynamic range; however, the 
    velocity scale, baseline, and angle is still optimized. 
    AdjustingTo activate, press the left Auto control. 
    Va l u e sAuto Optimize is active until you deactivate it. However, Auto 
    Optimize values are returned to the factory or user preset value 
    when you change the following: Probe, Exam Category, Exam 
    Calc, New Patient, or Multi Frequency. 
    Affect on other 
    controlsYou may need to adjust the Gain.  
    						
    							Optimizing the Image
    5-10 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    B Flow 
    DescriptionB Flow is intended to provide a more intuitive representation of 
    non-quantitative hemodynamics in vascular structures. B Flow is 
    available on the 10L probe.
    All B-Mode measurements are available with B Flow active: 
    depth, distance along a straight line, % stenosis, volume, trace, 
    circumference, and enclosed area. 
    ActivatingTo activate/deactivate B Flow, press B Flow. Doppler Mode is 
    available while in B Flow; however, M-Mode and Color Flow/PDI 
    Modes are not available. See Chapter 17 for probe availability. 
    Using B FlowTo optimize the image:
    Scanning HintsB Flow is especially intuitive when viewing blood flow, for acute 
    thrombosis, parenchymal flow, and jets. B Flow helps you 
    visualize complex hemodynamics and highlights moving blood 
    and tissue. B Flow was implemented using Digitally Encoded 
    Ultrasound (DEU). There are no artifacts such as bleeding, 
    blooming, or aliasing. 
    The greater the speed, the better the image scatter density and 
    size. If the scan direction is the same as the flow direction, then 
    the image scatter is elongated; if the scan direction is the 
    opposite as the flow direction, then the image scatter is tighter. 
    Therefore, have  the scan direction opposite to that of flow 
    direction. Switch the way you hold the probe, with the probe 
    orientation marker inferior to maintain correct orientation on the 
    monitor. Flow starts from where the focal zone is located. 
    Turn off the background when imaging the kidney, liver, and 
    spleen. Keep the focal zone as close to flow as possible. It is 
    beneficial to narrow the sector width and increase the frame 
    rate.Table 5-2: B Flow Instructions
    StepInstructions
    1. Adjust the gain, optimize the image for frame rate/resolution via Line 
    Density, adjust the focal zone, zoom the image, colorize the image, 
    adjust the field of view via Scan Area, select Auto.  
    						
    							Optimizing B-Mode
    LOGIQ 5 Basic User Manual 5-11
    Direction 2300002-100 Rev. 2
    B Flow (continued)
    BenefitsB Flow is less angle-independent, no velocity-aliasing artifacts, 
    and provides better resolution when compared with Color 
    Doppler Mode, and displays a full field of view. B Flow is 
    therefore a more realistic (intuitive) representation of flow 
    information, allowing you to view both high and low velocity flow 
    at the same time. 
    Affect on other 
    controlsWhen you activate B Flow, the image remembers the imaging 
    parameters set while in B-Mode. When you optimize the frame 
    rate via Line Density, you compromise the resolution and when 
    you optimize the resolution, you compromise the frame rate. B 
    Flow is not available in 3DView. 
    BioeffectsWhen you select B Flow, the PRF increases. Adjusting the 
    following controls may affect the Power Output: Focal Zone 
    Position, Depth, Zoom, Line Density, Scan Area, Frequency, or 
    angle steer. Observe the output display for possible effects. 
    						
    							Optimizing the Image
    5-12 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Coded Harmonic Imaging (CHI)
    DescriptionHarmonic imaging utilizes Digitally Encoded Ultrasound (DEU). 
    Coded Harmonics enhances near field resolution for improved 
    small parts imaging as well as far field penetration. 
    AdjustingTo activate Coded Harmonic imaging, 
    Press Harmonics. 
    NOTE:  Multi frequency is not active when the image is frozen. 
    Va l u e sOn/Off. See Chapter 17 for probe availability. `CHI appears next 
    to the active probe indicator. 
    NOTE:  Changing multi frequency resets those parameters which are 
    presettable by frequency to their preset values for the current 
    harmonic frequency. 
    Multi frequency values are returned to the factory or user preset 
    value when you change the following: Probe, Exam Category, 
    Application, or New Patient. 
    BenefitsCoded Harmonics diminishes low frequency high amplitude 
    noise and improves imaging technically difficult patients. Coded 
    Harmonics may be especially beneficial when imaging isoechoic 
    lesions in shallow-depth anatomy in the breast, liver, and hard-
    to-visualize fetal anatomy. Coded Harmonics may improve B-
    Mode image quality without introducing a contrast agent. 
    Affect on other 
    controlsYou may need to change the field of view (Depth). DO NOT use 
    contrast agents while in Coded Tissue Harmonics. 
    BioeffectsActivating multi frequency mode may change the TI and/or MI. 
    Observe the output display for possible effects.  
    						
    							Optimizing B-Mode
    LOGIQ 5 Basic User Manual 5-13
    Direction 2300002-100 Rev. 2
    Frequency
    DescriptionMulti Frequency mode lets you downshift to the probes next 
    lower frequency or shift up to a higher frequency. 
    AdjustingTo select a new frequency, 
    1. Select Frequency.   
    2.  Select the desired frequency. Harmonic frequencies are 
    currently available via Frequency. 
    NOTE:  Frequency change is not active when the image is frozen. 
    The selected frequency appears in the upper, right-hand portion 
    of the monitor display.
    NOTE:  Changing frequency resets those parameters which are 
    presettable by frequency to their preset values for the current 
    frequency. 
    Va l u e sVary, depending on the probe and application. 
    Frequency values are returned to the factory or user preset 
    value when you change the following: Probe, Exam Category, 
    Exam Calcs, or New Patient. 
    BenefitsThis optimizes the probes wide band imaging capabilities at 
    multiple frequencies to image at greater depths. 
    BioeffectsActivating multi frequency mode may change the TI and/or MI. 
    Observe the output display for possible effects.  
    						
    							Optimizing the Image
    5-14 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Virtual Convex
    DescriptionOn Linear and Sector probes, Virtual Convex provides a larger 
    field of view in the far field.
    NOTE:  Color Flow can be steered when in straight fire, but not in Virtual 
    Convex. 
    AdjustingTo activate/deactivate Virtual Convex, select Virtual Convex. 
    Va l u e sOn/Off. 
    BenefitsVirtual Convex can be especially helpful in Obstetrics. Available 
    in B-Mode, Color Flow Mode, and Doppler Mode. 
    BioeffectsActivating Virtual Convex may change the TI and/or MI. Observe 
    the output display for possible effects. 
    TGC
    DescriptionTGC 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 and 90 degrees and 270 degrees rotate). You can 
    choose to deactivate the TGC curve on the image. 
    AdjustingTo decrease/increase TGC, move slide pot to the left/right. 
    NOTE:  On some systems, active slide pots backlight. TGC adjusts 
    automatically when using zoom. The TGC curve does not 
    change while in CINE. 
    Va l u e sWhen you change the depth, TGC is rescaled across the new 
    depth range. Each pot is proportionately scaled across the 
    depth. 
    BenefitsTGC balances the image so that the density of echoes is the 
    same throughout the image.  
    						
    							Optimizing B-Mode
    LOGIQ 5 Basic User Manual 5-15
    Direction 2300002-100 Rev. 2
    Scan Area
    DescriptionYou can widen or narrow the size of the sector angle to 
    maximize the images region of interest (ROI). 
    AdjustingTo narrow/widen the angle, press Scan Area and move the 
    Trackball. 
    Va l u e sVaries, depending upon the probe (not applicable to linear 
    probes) and application. 
    BenefitsIncrease the sector angle to see a wide field of view; decrease 
    the sector angle when you need to have a faster frame rate, as 
    in fetal heartbeat. 
    Affect on other 
    controlsChanging the sector angle affects the frame rate. The narrower 
    the sector angle, the faster the frame rate. 
    BioeffectsChanging the sector angle may change the TI and/or MI. 
    Observe the output display for possible effects. 
    Angle Steer
    DescriptionYou can steer the B-Mode, B-Mode Doppler, M-Mode, or B-
    Mode Color Flow sector angle to get more information without 
    moving the probe.  
    AdjustingTo steer the angle to the left/right, press Scan Area, then move 
    the Trackball to the left/right. 
    Va l u e sVaries, depending on the probe. 
    BenefitsAllows you to move a reduced sector angle laterally, without 
    moving the probe. Beneficial in GYN. And it allows you to vary 
    the angle so the scan is not perpendicular to the direction of the 
    flow. 
    BioeffectsSteering the sector angle may change the TI and/or MI. Observe 
    the output display for possible effects.  
    						
    							Optimizing the Image
    5-16 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Reverse
    DescriptionFlips the image 180 degrees left/right. 
    AdjustingTo flip the image 180 degrees, press Rotate. Linear probes do 
    not rotate. 
    Va l u e sThe image rotates in 180 degrees left/right. Rotation settings 
    vary by probe and application. 
    Rotation settings are returned to the factory or user preset value 
    when you change the following: Probe, Exam Category, Exam 
    Calcs, or New Patient. 
    BenefitsUsed for anatomical correctness. 
    Dynamic Range (Compression)
    DescriptionDynamic 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. 
    AdjustingTo increase/decrease, adjust Dynamic Range. 
    Va l u e sThe settings cycle in 3dB steps from 30 dB to 120 dB. The 
    current value displays on the display and on the Touch Panel. 
    Dynamic Range values vary by probe, application, and 
    frequency setting. 
    Dynamic Range levels are returned to the factory or user preset 
    value when you change the following: Probe, Exam Category, 
    Exam Calcs, New Patient, or Multi Frequency. 
    BenefitsDynamic Range is useful for optimizing tissue texture for 
    different anatomy. Dynamic Range should be adjusted so that 
    the highest amplitude edges appear as white while lowest levels 
    (such as blood) are just visible. 
    Affect on other 
    controlsDynamic range operates only in realtime, not  in Freeze, CINE, 
    CINE Timeline, or VCR playback and affects Gain. 
    CAUTIONWhen reading a rotated image, be careful to observe the probe 
    orientation to avoid possible confusion over scan direction or 
    left/right image reversal.  
    						
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