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							Contrast Imaging
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Running RTMC
The RTMC Contrast application works only with the M3S and 
3S probes.
To select RTMC ap-
plication without 
changing the cur-
rent probe, press 
APPL. on the control 
panel.
1. Press PROBE on the control panel.
A list of the connected probes is displayed.
2. Trackball to the desired probe supporting the RTMC 
application.
The Application menu for the selected probe is listed.
3. Trackball to Real Time MC application.
4. Press 
SELECT to launch the application.
5. Press the assignable 
ANGIO.
6. Adjust the Active Gain from the Control Panel.
7. Acquire the baseline images.
To go back to single 
screen, press 
SIMULTANEOUS 
again.
8. Press STORE to save the baseline acquisition.
9. If desired, press the 
SIMULTANEOUS assignable to prompt a 
dual screen for side by side display 2D B-mode and 2D 
Angio mode.
The contrast solu-
tion should be pre-
pared just before 
injection.10. Prepare the Contrast agent as described by the 
manufacturer.
11. Administrate the contrast agent.
12. Press 
FLASH when the contrast agent has reached a stable 
level (infusion) or just before peak (bolus injection).
The contrast agent is destroyed in the myocardium.
13. Wait approximately ten heartbeats observing contrast 
wash-in.
14. Press 
FREEZE.
15. Press 
CINELOOP.
See also page 62 
about cineloop oper-
ation.16. Select Left marker and Right marker frames to define the 
cineloop to transfer.
Storage of real time 
data takes consider-
able space digitally. 
Be aware of this 
when selecting 
more than one 
cineloop for storage.17. Press STORE to save the contrast acquisition. 
						

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Optimizing RTMC
RTMC is by default scanning in low power mode to avoid 
destruction of slow moving contrast in the myocardium. This 
setting is required for real time contrast imaging, but is sub-
optimal for tissue imaging.
•  To obtain good baseline images, the power may be 
increased prior to contrast injection, but must be reset to its 
default value before contrast injection or infusion to avoid 
destruction of the contrast agent.
•  If the patient is difficult to image, the power may be slightly 
increased to get sufficient signal from the contrast agent. 
						

							Cardiac Measurement and Analysis
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Chapter 6 
Cardiac Measurement and 
Analysis
This chapter includes the following information:
• 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 
						

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Introduction
The Vivid 7/Vivid 7 PRO Ultrasound unit provides functionality 
for two measurement conventions:
A study is a set of 
related measure-
ments, or measure-
ments that are 
logically grouped 
together. The mea-
surements in a 
study are some-
times used in a for-
mula to calculate 
new parameters 
(e.g. biplane volume 
with EF, SV and 
CO).• Assign and Measure (Measure Protocols): the user 
selects a study consisting in a set of pre-labeled 
measurements related to the active scanning mode and 
clinical application. The user is prompted through the 
measurements in the order of the measurements labels. 
This convention is started from the 
MEASURE button on the 
control panel. A set of tools is implemented to make the 
measurement process as fast and easy as possible for the 
user:
•  The user is guided through the study: an auto-sequence 
functionality automatically selects the next 
measurement in a study.
•  The selected measurement is highlighted in the 
Measurement menu.
•  The performed measurement is indicated in the 
Measurement menu.
• The 
MENU key on the control panel enables quick access 
to the Measurement menu.
The studies and their parameters are user-configurable. The 
user can create its own studies containing the relevant 
measurements only (see page 406).
• Measure and Assign (Free style): the user performs a 
measurement and assigns a label. This convention is 
started either from 
MEASURE or CALIPER button on the 
Control panel.
CAUTIONOnly assigned measurements will be saved. Measurements 
without assignment will be lost when scanning is resumed. 
						

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The Assign and Measure modality
In this measurement modality, the user selects a study 
consisting in a set of related pre-labelled measurements.
Star ting the Assign and Measure 
modality
1. Press MEASURE on the control panel.
The Measurement Menu is displayed in the Parameters 
window (see example Figure 6-3).
The trackball cursor is in the scanning window, ready for 
starting measurement.
In Freeze mode, the 
UPDATE MENU key 
on the trackball area 
has the same func-
tion as the 
MENU 
key.
2. For fast access to the Measurement menu, press MENU.
The cursor is moved to the Measurement menu. After 
selection of a measurement the cursor is automatically 
moved back to the scanning window, ready for 
measurement.
 Figure 6-1: Launching the Measurement conventions
1. Menu: fast access to 
the Measurement 
menu (when in 
measure mode)
2. Measure: assign and 
measure
3. Caliper: measure 
and assign (see 
page 215) 
						

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 Figure 6-2: Example of a measurement study
1. Active application
2. Study
3. Selected study
4. Opened study
5. Measurements 
related to the area 
study for the cardiac 
application 
						

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Entering a study and perfor ming 
measurements
1. Press MEASURE on the front panel to enter the Assign and 
Measure modality.
The Measurement menu with a list of studies is displayed 
in the Parameters window (see example Figure 6-3).
When entering the Measurement mode for the first time, 
the Caliper tool is selected by default. When re-entering 
the Measurement mode, the first measurement in the 
actual study that has not been performed is selected by 
default.
To perform a measurement from another 
study:
Alternative: Press 
MENU to access to 
the Measurement 
menu and track-
ball to the actual 
study
1. Trackball to the required study.
2. Press 
SELECT on the trackball area.
The study folder is opened displaying the measurements 
related to this study. Other related studies may also be 
available from within the study.
3. Trackball to the measurement to perform.
4. Press 
SELECT on the trackball area to activate the 
measurement tool.
The cursor is moved back to the scanning window.
5. Perform the measurement.
Completed measurements are marked with a check mark 
Figure 6-3).
When the measurement operation is completed the next 
measurement on the list is automatically selected.
To skip a measurement in a study
Alternative: Press 
MENU to access to 
the Measurement 
menu and track-
ball to the actual 
study
1. Trackball to the desired measurement
2. Press 
SELECT to activate the measurement tool. 
						

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 Figure 6-3: Display of a performed measurement (example)
1. Performed 
measurement
2. Next measurement 
is automatically 
selected 
						

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Measure and Assign modality
In this measurement modality, the user performs a 
measurement and assign a label.
Star ting the Measure and Assign 
modality
Alternative: Press 
CALIPER on the con-
trol panel and select 
the measurement 
tool from the as-
signables.
1. Press MEASURE on the control panel.
The Measurement Menu is displayed in the Parameters 
window (see example Figure 6-4).
2. If not selected, trackball to the actual measurement tool.
3. Press 
SELECT on the trackball area to activate the 
measurement tool.
The cursor is moved back to the scanning window, ready 
for measurement.
 Figure 6-4: The 2D Mode Measurement tools (Cardiac application)
CAUTIONOnly assigned measurements will be saved.
1.  Measurement tools 
						

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Perfor ming measurements
2D Measurements
2D Length measurements
1. Generate the 2D image.
2. Press 
FREEZE to stop the cineloop.
Alternative: Press 
CALIPER on the con-
trol panel and press 
CALIPER assignable.
3. Press MEASURE on the Control Panel.
4. Select Caliper in the Measurement Menu (see Figure 6-2).
5. Trackball the cursor to the start point of the measurement.
6. Press 
SELECT to anchor the start point of the measurement.
See the Status bar 
to get the next step 
to perform.7. Trackball the cursor to the measurement end point.
The current distance value is displayed in the 
Measurement result table and is instantaneously updated 
when moving the cursor.
The measurement 
display color on the 
2D image changes 
from green to red af-
ter completion of 
the measurement.8. Press SELECT to anchor the end point of the measurement.
The measurement result is displayed in the Measurement 
result table.
9. To assign a label to the measurement, see page 227.
10. Repeat steps 5 through 8 to make additional length 
measurements.
The measurements 
displayed on the 2D 
image and the cor-
responding results 
are numbered.2D length measurement ratio
1. Generate the 2D image.
2. Press 
FREEZE to stop the cineloop.
3. Press 
MEASURE on the Control Panel.
Alternative: Press 
CALIPER and DIST 
RATIO assignable.
4. Select Dist. ratio in the Measurement Menu (see Figure 6-
2).
5. Perform two length measurements as described in steps 5 
through 8 in the above section.
The measurement results including the ratio (%) of the two 
measured lengths are displayed in the Measurement result 
table.
Editing 2D Length measurements
1. Trackball the cursor to one of the anchor points of the 
measurement to modify.
2. Double-click the 
SELECT key to select the anchor point.
The selected marker turns green and is unanchored.
3. With the Trackball, reposition the marker.
4. Press 
SELECT to anchor.