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GE Logiq P5 User Manual

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    							LOGIQ 5 Basic User Manual 11-1
    Direction 2300002-100 Rev. 2
    Chapter 11
    Vascular
    Describes how to perform Vascular measurements and 
    calculations. 
    						
    							Vascular
    11-2 LOGIQ 5 Basic User Manual
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    Vascular Exam Preparation
    Introduction
    Measurements and calculations derived from ultrasound images 
    are intended to supplement other clinical procedures available 
    to the attending physician. The accuracy of measurements is not 
    only determined by the system accuracy, but also by use of 
    proper medical protocols by the user. When appropriate, be sure 
    to note any protocols associated with a particular measurement 
    or calculation. Formulas and databases used within the system 
    software that are associated with specific investigators are so 
    noted. Be sure to refer to the original article describing the 
    investigators recommended clinical procedures.
    General Guidelines
    New Patient information must be entered before beginning an 
    exam. See ‘Beginning a New Patient’ for more information.
    Any measurement can be repeated by selecting that 
    measurement again from the Touch Panel Menu. 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-3
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    Vascular Measurements
    Introduction
    Vascular measurements offer several different types of 
    measurement studies:
     Figure 11-1. Vascular Exam Category Touch Panel
    •  Generic – Common to all applications. See ‘Generic 
    Measurements’ for more information.
    • Carotid
    •  LEA (Lower Extremity Artery)
    •  LEV (Lower Extremity Vein)
    •  TCD (Trans Cranial Doppler)
    •  UEA (Upper Extremity Artery)
    •  UEV (Upper Extremity Vein)
    • Renal 
    						
    							Vascular
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    Introduction (continued)
    To change an exam calc:
    1. Select Exam Calcs.
    The Vascular exam category allows you to choose from the 
    displayed exam calcs.
    2.  To select another exam calcs, press the desired exam calcs 
    folder.
    A vascular study is a group of the particular vessels. You can 
    customize the vessel exam calcs in the configuration menu.
    When you use Auto Vascular calculation, you use the vessel 
    keys on the Touch Panel to post-assign vascular calculations. 
    When you are not using Auto Vascular calculation, the vessel 
    key is used for manual measurement. 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-5
    Direction 2300002-100 Rev. 2
    B-Mode Measurements
     Figure 11-2. B-Mode Touch Panel
    NOTE:  The following instructions assume that you first scan the patient 
    and then press Freeze. 
    						
    							Vascular
    11-6 LOGIQ 5 Basic User Manual
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    %Stenosis
    You can calculate % Stenosis by diameter or by area.
    Diameter
    NOTE:  When you use diameter to calculate the %stenosis, always take 
    the measurement from a cross-sectional view of the vessel.
    To calculate percent stenosis by diameter:
    1.  From the Generic Touch Panel, select % Stenosis. 
    2. Select %sten(Diam).
    The system displays an active caliper.
    3.  Make a distance measurement of the inner area of the blood 
    vessel. 
    The system displays an active caliper for the second 
    distance measurement.
    4.  Make a distance measurement of the outer area of the blood 
    vessel. 
    The system displays each distance measurement and the  
    % Stenosis in the Results Window.
    For information about how to make a distance measurement, 
    See ‘Distance measurement’ for more information.
    NOTE:  For the diameter calculation, do NOT take a distance 
    measurement from a longitudinal view. This may lead to an 
    inaccurate assessment of % stenosis. 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-7
    Direction 2300002-100 Rev. 2
    % Stenosis (continued)
    AreaTo calculate percent stenosis by area:
    1.  From the Generic Touch Panel, select % Stenosis. 
    2. Select %sten(Area).
    The system displays a trace caliper.
    3.  Make a trace measurement of the inner area of the blood 
    vessel.
    NOTE:  To erase an open trace, move the Trackball.
    The system displays a second trace caliper. 
    4.  Make a trace measurement of the outer area of the blood 
    vessel.
    The system displays the two area measurements and 
    percent stenosis in the Results Window.
    See ‘Circumference and area (trace) measurement’ for more 
    information. 
    						
    							Vascular
    11-8 LOGIQ 5 Basic User Manual
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    Vo l u m e
    The volume calculation can be made from any of the following 
    measurements: 
    • One distance
    • Two distances
    • Three distances
    • One ellipse
    •  One distance and one ellipse
    For details on how to make a distance measurement, See 
    ‘Distance measurement’ for more information.
    For details on how to make an ellipse measurement, See 
    ‘Circumference and area (ellipse) measurement’ for more 
    information.
    NOTE:  IMPORTANT! If you want to make a volume calculation using 
    one or two distances, you must select Volume BEFORE you 
    make the measurements.
    To make a volume calculation using one or two distances: 
    1. Select Volume.
    2.  Make one or two distance measurements.
    3. Select Volume.
    The system displays the distances and the volume in the 
    Results Window.
    To make a volume calculation using three distances:
    1.  Make three distance measurements.
    NOTE:  Three distances should be done in the dual format mode 
    (side by side images). One measurement is usually made in 
    the sagittal plane and two measurements in the axial plane. 
    To use the dual format mode, press the L or R key on front 
    panel.
    2. Select Volume.
    The system displays the distances and the volume in the 
    Results Window. 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-9
    Direction 2300002-100 Rev. 2
    Volume (continued)
    To make a volume calculation using one ellipse: 
    1. Select Volume.
    2.  Make one ellipse measurement.
    3. Select Volume.
    The system displays the ellipse measurement and the 
    volume in the Results Window.
    To make a volume calculation using one ellipse and one 
    distance: 
    1. Select Volume.
    2.  Make one distance measurement and one ellipse 
    measurement.
    3. Select Volume.
    The system displays the distance and ellipse measurement 
    and the volume in the Results Window.
    Calculation formulas are available in the Advanced Reference 
    Manual.
    HINTS•  Volumes are most accurate when measurements are taken 
    in the sagittal and axial scan planes.
    •  To display sagittal and axial plane images simultaneously, 
    use the side-by-side dual format option. 
    						
    							Vascular
    11-10 LOGIQ 5 Basic User Manual
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    Volume (continued)
     Figure 11-3. Volume Calculation Examples
    1. One distance
    2. Two distances
    3. Three distances
    4. One ellipse
    5.  One distance and one ellipseTable 11-1: Volume Calculations 
    Calc NameInput Measurements
    Volume (spherical) One distance
    Volume (prolate spheroidal) Two distances, d1>d2
    Volume (spheroidal) Three distances
    Volume (prolate spheroidal) One ellipse: (d1 major axis, d2 minor axis)
    Volume (spheroidal) One distance d1, and one ellipse (d2 major axis, d3 minor axis)
    12 3
    45 
    						
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