GE Vivid 7 User Manual
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g GE Medical Systems Technical Publications Vivid 7/Vivid 7 PRO User’s Manual Volume 1 GEVU #: FC092326 GEVU Rev. 03 Operating Documentation Copyright © 2003 By General Electric Co. 0470
g GE Medical Systems MANUAL STATUS FC092326-03 28/08/03© GE Medical Systems. All rights reserved. No part of this manual may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of GE Medical Systems. COMPANY DATA GE VINGMED ULTRASOUND A/S Strandpromenaden 45, N-3191 Horten, Norway Tel.: (+47) 3302 1100 Fax: (+47) 3302 1350
Table of Contents Vivid7/Vivid7 PRO Users Manualiii FC092326-03 Table of Contents Table of Contents Introduction Attention ......................................................................................... 1 Safety .............................................................................................. 1 Interference caution ...................................................................... 1 Indications for use ........................................................................ 2 Contraindications .......................................................................... 2 Manual contents ............................................................................ 3 Contents: .............................................................................. 3 Finding information ............................................................... 5 Conventions used in this manual ................................................ 6 Contact information ...................................................................... 7 Chapter 1 Getting started Introduction.................................................................................. 10 Preparing the unit for use ........................................................... 11 Site requirements................................................................ 11 Connecting the unit ............................................................. 12 Switching On/Off ................................................................. 18 Moving and transporting the unit .............................................. 21 Wheels ................................................................................ 21 Moving the unit ................................................................... 23 Transporting the unit ........................................................... 24 Reinstalling at a new location ............................................. 24 Unit acclimation time........................................................... 25 System description ..................................................................... 26 System overview................................................................. 26 Control panel ...................................................................... 29 The Scanning screen .......................................................... 43 Footswitch operation........................................................... 46 Connecting and disconnecting probes ............................... 47
Table of Contents ivVivid7/Vivid7 PRO Users Manual FC092326-03 Adjusting the display monitor .............................................. 47 Starting an examination .............................................................. 49 Creating a new Patient record or starting an examination from an existing patient record .................................................... 49 Selecting a Probe and an Application ................................. 53 Chapter 2 Basic scanning operations Assignable keys and Soft Menu Rocker .................................... 57 Using the Soft Menu Rocker ............................................... 58 Trackball operation ...................................................................... 59 Trackball assignment .......................................................... 61 The system menu ................................................................ 61 Cineloop operation ...................................................................... 62 Cineloop overview ............................................................... 62 Cineloop controls................................................................. 64 Using cineloop ..................................................................... 65 Storing images and cineloops .................................................... 66 To store a single image ....................................................... 66 To store a cineloop .............................................................. 66 Using removable media ............................................................... 67 Recommendation concerning CD-R handling ..................... 67 Formatting removable media............................................... 67 Ejecting removable media ................................................... 67 Recording images on VCR .......................................................... 69 Zoom ............................................................................................. 70 To magnify an image (Display zoom) .................................. 71 To activate the HR zoom ..................................................... 71 Performing measurements.......................................................... 72 To perform measurements: ................................................. 72 Physiological traces .................................................................... 73 Connecting the ECG/Respiration ........................................ 74 Connecting the Phono ......................................................... 75 Connecting the Pulse pressure transducer ......................... 75 Physio overview .................................................................. 77 Physio controls .................................................................... 78 Displaying the physiological traces ..................................... 79
Table of Contents Vivid7/Vivid7 PRO Users Manualv FC092326-03 Adjusting the display of physiological traces ...................... 80 Annotations.................................................................................. 82 To insert an annotation ....................................................... 83 To edit annotation ............................................................... 83 To erase annotation ............................................................ 84 Configuration of the pre-defined annotation list .................. 84 Bodymarks .......................................................................... 86 Chapter 3 Scanning Modes Introduction.................................................................................. 91 2D-Mode ....................................................................................... 92 2D-Mode overview .............................................................. 92 2D-Mode controls ............................................................... 94 Using 2D ............................................................................. 97 Optimizing 2D ..................................................................... 97 M-Mode ......................................................................................... 98 M-Mode overview ............................................................... 98 M-Mode controls ............................................................... 100 Using M-Mode .................................................................. 102 Optimizing M-Mode........................................................... 103 Color Mode ................................................................................ 104 Color 2D Mode overview .................................................. 104 Color M-Mode overview .................................................... 105 Color Mode controls.......................................................... 107 Using Color Mode ............................................................. 110 Optimizing Color Mode ..................................................... 111 PW and CW Doppler .................................................................. 112 PW and CW Doppler overview ......................................... 112 PW and CW Doppler controls ........................................... 114 Using PW/CW Doppler modes ......................................... 117 Optimizing PW/CW Doppler modes.................................. 117 Tissue Velocity Imaging (TVI)................................................... 119 TVI overview ..................................................................... 119 TVI controls....................................................................... 121 Using TVI .......................................................................... 124 Optimizing TVI .................................................................. 124
Table of Contents viVivid7/Vivid7 PRO Users Manual FC092326-03 Tissue Tracking .......................................................................... 125 Tissue Tracking overview .................................................. 125 Tissue Tracking controls ................................................... 127 Using Tissue Tracking ....................................................... 129 Optimizing Tissue Tracking ............................................... 129 Strain rate ................................................................................... 130 Strain rate overview........................................................... 130 Strain rate controls ............................................................ 132 Using Strain rate................................................................ 135 Optimizing Strain rate ........................................................ 135 Strain ........................................................................................... 136 Strain overview .................................................................. 136 Strain controls ................................................................... 138 Using Strain ....................................................................... 141 Optimizing Strain ............................................................... 141 Tissue Synchronization Imaging (TSI) ..................................... 142 TSI overview...................................................................... 142 TSI controls ....................................................................... 144 Using TSI........................................................................... 146 Optimizing TSI ................................................................... 146 Chapter 4 Stress Echo Introduction ................................................................................ 148 Selection of a stress test protocol template............................ 149 Image acquisition ....................................................................... 150 Starting acquisition ............................................................ 151 Continuous capture mode ................................................. 155 Analysis ............................................................................. 163 Quantitative TVI Stress echo analysis ..................................... 169 Accessing QTVI Stress analysis tools ............................... 171 Vpeak measurement ......................................................... 171 Tissue Tracking ................................................................. 175 Quantitative analysis ......................................................... 176 References ........................................................................ 176 Editing/creating a template ....................................................... 177 Entering the Template editor screen ................................. 177
Table of Contents Vivid7/Vivid7 PRO Users Manualvii FC092326-03 Template editor screen overview ...................................... 178 Editing/Creating a template .............................................. 181 Chapter 5 Contrast Imaging Introduction................................................................................ 186 Data acquisition ................................................................ 186 Quantification .................................................................... 186 Data acquisition ......................................................................... 188 Left Ventricular Contrast Imaging ..................................... 188 Myocardial Contrast Imaging ............................................ 194 Real-Time Myocardial Contrast Imaging .......................... 202 Chapter 6 Cardiac Measurement and Analysis Introduction................................................................................ 210 The Assign and Measure modality .......................................... 211 Starting the Assign and Measure modality ....................... 211 Entering a study and performing measurements .............. 213 Measure and Assign modality .................................................. 215 Starting the Measure and Assign modality ....................... 215 Performing measurements ............................................... 216 Post-measurement assignment labels.............................. 227 Controlling the Measurement result table display ................. 229 Minimizing the Measurement result table ......................... 229 Moving the Measurement result table............................... 229 Worksheet .................................................................................. 230 Overview ........................................................................... 230 Using Worksheet .............................................................. 230 Chapter 7 Quantitative Analysis Introduction................................................................................ 235 For TVI: ............................................................................. 235 For Tissue Tracking: ......................................................... 235
Table of Contents viiiVivid7/Vivid7 PRO Users Manual FC092326-03 For Strain rate: .................................................................. 235 For Strain:.......................................................................... 235 For Contrast: ..................................................................... 235 Accessing the Quantitative analysis package ........................ 236 In replay mode:.................................................................. 236 In live ................................................................................. 236 Quantitative Analysis window .................................................. 237 Overview ........................................................................... 237 Generation of a trace ................................................................. 244 About the sample area ...................................................... 244 To generate a trace ........................................................... 244 Manual tracking of the sample area (dynamic anchored sample area) ..................................................................... 245 Zooming in the Analysis window ....................................... 246 Deletion of a trace ...................................................................... 247 To delete all traces ............................................................ 247 To delete one specific trace .............................................. 247 Frame disabling.......................................................................... 248 Disabling frames from the frame marker ........................... 248 Disabling frames in the cineloop windows......................... 248 Re-enabling all frames ...................................................... 249 Optimizing sample area ............................................................. 250 Reshaping a sample area ................................................. 250 Labelling a sample area .................................................... 251 Optimizing the trace display ..................................................... 252 Optimizing the Y-axis ........................................................ 252 Trace smoothing................................................................ 253 Switching modes or traces ....................................................... 255 To switch mode ................................................................. 255 To switch trace .................................................................. 255 Curve fitting analysis ................................................................. 256 Wash-in curve fitting analysis ............................................ 258 Wash-out curve fitting analysis.......................................... 263 Anatomical M-Mode ................................................................... 265 Introduction........................................................................ 265 Using Anatomical M-Mode ................................................ 265 Optimizing Anatomical M-Mode ........................................ 267
Table of Contents Vivid7/Vivid7 PRO Users Manualix FC092326-03 Chapter 8 Archiving Introduction................................................................................ 270 Storing images and cineloops ................................................. 271 Storing an image............................................................... 273 Storing a cineloop ............................................................. 273 Saving stored images and cineloops to a standard format274 Retrieving and editing archived information .......................... 279 Locating a patient record .................................................. 279 Selecting a patient record and editing data in the archive 283 Deleting archived information ........................................... 288 Moving examinations ........................................................ 290 Review images in archive ......................................................... 293 Review the images from a selected examination ............. 293 Select images from the Image list screen ......................... 294 Connectivity ............................................................................... 298 The dataflow concept........................................................ 298 Stand-alone scanner......................................................... 301 A scanner and EchoPAC PC in a sneaker net environment ...................................................................... 303 A scanner and EchoPAC PC in a direct connect environment ...................................................................... 307 A scanner and a DICOM server in a network ................... 310 Export/Import patient records/examinations .......................... 315 Exporting patient records/examinations............................ 315 Importing patient records/examinations ............................ 321 DICOM spooler........................................................................... 325 Starting the DICOM spooler.............................................. 325 Data Backup and restore .......................................................... 328 Backup procedure............................................................. 329 Restore procedure ............................................................ 332
Table of Contents xVivid7/Vivid7 PRO Users Manual FC092326-03 Chapter 9 Report Introduction ................................................................................ 336 Creating a report ........................................................................ 337 Working with the report function ........................................ 337 To print a report ................................................................. 339 To save a report ................................................................ 339 Retrieving an archived report ............................................ 340 Direct report................................................................................ 341 Creating comments ........................................................... 341 Creating pre-defined text inputs ........................................ 343 Report designer.......................................................................... 344 Accessing the Report designer ......................................... 344 Report designer overview.................................................. 345 Designing a report template .............................................. 348 Saving the report template ................................................ 353 Chapter 10 Probes Probe overview........................................................................... 356 Supported probes .............................................................. 356 Probe orientation ............................................................... 362 Probe labelling................................................................... 362 Probe Integration ....................................................................... 364 Connecting the probe ........................................................ 364 Activating the probe........................................................... 366 Disconnecting the probe.................................................... 367 Care and Maintenance ............................................................... 368 Planned maintenance........................................................ 368 Inspecting the probe ...................................................... 369 Cleaning and disinfecting probes ...................................... 370 Probe safety................................................................................ 373 Electrical hazards .............................................................. 373 Mechanical hazards .......................................................... 373 Biological hazards ............................................................. 374