Home

USER MANU Echo Wave II USER MANUAL

1. 1 2 3 4 5 6 7 8 9 10 ele a eeee es 4 S GE a Ei Tol x 11 SS Q 48 a 2 A B o C3 5 60 128 P F2 F3 F4 FS 6 F7 F8 Fg F10 F11 F12 Menu 4 12 FirstName LastName Hospital clinic Sonographer 2013 01 04 17 35 54 1976 05 20 ID 123456789 General EEN 260 LIB Measurements 13 Measurements Focus 68 mm Calculations Kd 5 Aen 7 8 X Cine Distance Length Body marks 5 O oi GO Depth 150 mm Annotations Area Atea lt gt v Se 4 m Frm vg 4 Angle ngle Dynamic Bange 80 d ER namic Range ImEnh 3 Vill VO NVO Volume y Volume ZS lt gt v Zoom 100 li K Stenosis Stenosis Power 77 ABI ABO A B Ratio AJB Ratio B Area Ellipse Show Results Gain 92 M Area M Circumference T Long Axis Co Sen T Short Axis Change Scan Direction Wi Frequency 4 MHz dJ i i 15 D 17 18 19 20 21 22 23 24 25 26 27 Num Description 1 Button that shows currently selected probe If a system has several connected probes click this button in order to activate next probe 2 Buttons for selecting scanning mode B M B B and others depending on the used ultrasound scanner 3 Display or activate left side ControlBar with ultrasound image zoom controls 4 Display or activate right side ControlBar of general measurements 5 Display or activate right side ControlBar of examination specific m
2. 2 In the right side ToolBar click on the Annotations button This opens the right side Annotations ControlBar TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 134 of 182 13 1 Using Text Annotations To add a text annotation freeze the ultrasound image and perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear 2 In the right side ToolBar click on the Annotations button This opens the right side Annotations ControlBar 3 In the Annotations ControlBar select the text annotation tool by clicking on the Text button T Text The text annotation tool is selected and in the Annotations ControlBar you will see the following tool options Font Arial ro a 4 Optionally select the font and the font size using the appropriate ComboBoxes and select the font style bold italic underlined by clicking on the appropriate buttons 5 Move the mouse cursor over the ultrasound image to where you wish to add the text annotation 6 Click using the left mouse button to add the text annotation field 7 Use the keyboard to type in the desired annotation text inside the added field 8 Optionally change the position of the annotation text move text field To change the position of the text field move the mouse cursor to the edge of the text field When the mouse cursor appearance changes to a Move
3. osseeeeeeeseoeeeeernressseeeteststrrterrnttssttrettrnttssttrtttrnnssscerneennnessertnnen 86 11 1 General B B B 4B Mode Measurement cccccccccccceeecceeeueeeeecaueeceeeueeceeeaueeeeesaeeeeeeaueneeneanes 86 11 1 1 IR 87 11 1 2 Rue LEET 88 11 1 3 Area and Circumference using Ellipse Tool 89 11 1 4 Area and Circumference using Trace Togo 90 TETS e ER USING TWO LINES sinisesse aee NEER E TEE TE dite ceva dle cane OTE 91 TELS Anges using Three IDEA 92 11 1 7 Volume using Three Distances cece i EEEE EEEE EEE 93 11 1 8 Volume using One Ellpse 94 11 1 9 Volume using One Distance 95 11 1 10 Volume using Two Distances AAA 96 11 1 11 Volume using One Trace Simpson s Single Plane Method 97 TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 3 of 182 11 1 12 Volume using Two Traces Simpson s Biplane Method 98 11 1 13 Stenosis using TWO Distances 100 11 1 14 Stenosis using Two Aaen rer eaea aada aai a a sage 101 11 1 15 A B Ratio using Two Distances 102 11 1 16 A B Ratio using Two Areas or Clroumtferences 103 11 2 General M Mode Measurements 104 11 2 1 Distance Mme Mellt degen ee Sees aes ee Sage on tae anaes EENS e 105 A222 Heart Rate HRJ ter weaved ee leew EENS ENEE 106 11 2 3 Stenosis using Two Distances 107 11 2 4 A B Ratio using Two Distances Times or Velocities 2 0 ccccccccceceeeeeeeeeeeeeeeeeeeeeeetenss 108 11 3 General PW CW Mode Measurements
4. presets delete_presets must be single or last command in command line Beamformer codes E1C EchoBlaster 128 Rev C L1B LS128 Rev B CLA ClarUs Rev A L6B LS64 Rev B E6A EchoBlater 64 Rev A SMB SmartUs new_patient start examination of new patient new_exam start new exam set_exam_type exam_type change exam type Human exam types general ob_gyn cardiology urology endocrinology vascular abdominal Veterinary exam types vet_general vet_cardiology vet_canine_ob vet_feline_ob vet_ovine_ob vet_bovine_ob vet_equine_ob vet_llama_ob vet_goat_ob Exam type is changed only if it corresponds to application category humans veterinary that is selected at software options apply_preset preset_name apply preset with passed name Sample command apply_preset Default clear_thumbnails delete all thumbnail images TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 176 of 182 set_patient_name patient_name set patient name set_patient_id patient_id set patient id set_patient_birth_date birth_date set patient birth date Date format YYYYMMDD e g 19991120 set_patient_gender gender_id set patient gender Gender id male female set_patient_responsible_person responsible_person set responsible person name or owner name for veterinary set_patient_heart_rate heart_rate set patient heart rate Parameter format integer beats min e g 60
5. 29 2 Retaining data scanning presets during software upgrades Question How to transfer settings from one installation of Echo Wave II to another installation of Echo Wave II software and keep old settings when upgrading to new Echo Wave II version Answer If you wish to preserve completely everything then you should save a copy of Echo Wave II software Config folder usually C Program Files TELEMED Echo Wave II Config and its subfolders into some backup folder e g My Documents After that uninstall old Echo Wave II version install new Echo Wave II version and overwrite Config folder of newly installed version with a backup copy of previously saved Config folder Please check software readme file for possible data format changes If you wish to save only several scanning presets that are visible on left side ControlBar when you click hotkey 7 then go to Menu gt Tools gt Options gt Scanning Control gt Presets gt Import and Export Using left mouse button and keyboard Shift Ctrl keys select desired to save presets only the ones that you created because Default presets will be installed with new software version then click Export button and save these presets to some backup folder e g My Documents After installation of new Echo Wave II version go to the same Import and Export tab page inside options Then click Open Import button at right side of Import and Export tab page EXTERN
6. 2 Ultrasound scanner is connected to the USB port but is not powered on or batteries are discharged or the power supply does not use a valid voltage 3 The ultrasound scanner driver is not installed or not properly installed in the Windows operating system Ultrasound scanner initialization error xi LogicScan Beamformer Not enough power for starting ultrasound scanner 1 Check if the ultrasound scanner is properly connected 2 Check if the scanner s power is turned on 3 Press Retry in order to retry scanner s initialization 4 Press Cancel in order to close this dialog i Cancel This message box is displayed if the ultrasound scanner is not powered on or if the power supply does not use a valid voltage Ultrasound scanner initialization error xi LogicScan Beamformer Ultrasound scanner initialization error 1 Check if the ultrasound scanner is properly connected and its power is turned on 2 Check if the drivers of the ultrasound scanner are installed properly This message box is displayed if the ultrasound scanner is not powered on or if an error took place during initialization TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 17 of 182 5 Starting Examination of New Patient In order to start the examination of new patient please perform the following actions 1 Click the Patient button that is located at the bottom ToolBar or click its keyboard hotkey 8 2 In the
7. Software will enter Quad mode Left top image will be running and other images will be frozen Od ce F3 5 To freeze one image and run other image change active image click on the Quad button on the software top ToolBar or on the F3 hotkey Selected activated images are indicated by a small rectangle around the scanning direction marker Perform this operation any number of times in order to get desired ultrasound images L i 6 Click on the Freeze Run button nm or on the SpaceBar key to freeze ultrasound scanning 7 Optionally perform measurements and add annotations 8 Optionally print out and or save ultrasound images 9 Optionally use the Quad button or the F3 hotkey to select the desired frozen image pid 10 Optionally click on the Freeze Run button or on the SpaceBar key to start scanning on selected images 11 Optionally repeat steps 5 10 to scan more Quad mode images Note If selected at options selection and freezing running of appropriate images can be performed by clicking on the right mouse button on that particular image TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 27 of 182 7 4 B M mode In order to enter B M mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key amp FI 2 If the current mode is not B mode click on the B mode button or
8. 0 3 kHz Use the PRF control to change the PRF and HPRF values Relations to other controls Changes to pulse repetition frequency may affect the frame rate the Power and the Wall Filter When the pulse repetition frequency is changed the cine memory is cleared To perform automatic PW CW PRF and Baseline adjustments use the Automatic adjustment button on the software top ToolBar F12 hotkey Hints Always optimize the acoustical Power output after increasing pulse repetition frequency Bioeffects The change to the pulse repetition frequency range may change the TI and or MI Observe the output display for possible effects TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 73 of 182 10 4 5 Gain Description Gain adjustments increase or decrease the amplification of the returning ultrasound echo signal The Gain should be set high enough in order to achieve a sufficiently bright spectral waveform but not too high in order to avoid Doppler image noise Values Gain values available are usually in the interval 10 100 Measurement units used percentages Adjustment Gain 31 Use the Gain control to change the values Relations to other controls After adjusting the Gain you may need to adjust the Power If you increase the gain the power level can usually be reduced to produce equivalent image quality Hints Always optimize gain before increasing the power Bioeffects Gain has no
9. 1 8 0 2013 12 03 Page 7 of 182 3 Software User Interface Structure 3 1 Main window C3 5 60 128 lt 2 H D Focus 68 mm i H 1 1 Depth 150 mm lt gt v Dynamic Range 80 dB lt gt v Power 77 1 1 D 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Gain 92 1 1 1 1 i I Change Scan Direction 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i Frequency 4 MHz 1976 05 20 ID 123456789 General B Measurements 2 e Length o i All Angle vo Volume 0 Stenosis ABO A B Ratio B Area Ellipse Show Results M Area Distance Vill Volume Zoom 100 l Stenosis ABII A B Ratio 1 1 1 1 1 1 1 1 1 1 M Circumference e T Long Axis 1 I Short Axis i I Volume 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 8 Jee k Del Selected Delete All 2 11 52 cm2 P 124 5 mm Num Component Description 1 Top The most important buttons are located on the top ToolBar and have hotkeys F1 ToolBar wy FN e Scanning mode changing buttons B M e Buttons for opening measurements and calculations ControlBars e Buttons for minimizing and closing software 2 Left side Left side ControlBars contain controls for adjusting image quality ultrasound ControlBar scanning parameters Controls of ap
10. 4 From the first A ComboBox inside ratio tool options select the number of measurement object that will correspond to the first distance based measurement numerator A 5 From the second B ComboBox inside ratio tool options select the number of measurement object that will correspond to the second distance based measurement denominator B 6 Click Finish button inside ratio tool options in order to calculate ratio of selected measurements 7 Optionally perform more calculations of the same type by repeating steps 2 6 Pw A B Ratio Distances IV Velocity differences ratio PG differences ratio Time differences ratio I Accelerations ratio I Resistivity Indexes ratio 4 ff g WE Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 113 of 182 11 3 5 Velocity min max mean Pressure Gradient PG min max mean Velocity Time Integral VTI Resistivity Index RI and Pulsatility Index PI using Trace measurement The PW CW Trace measurement mode automatic or manual is selected under the software options Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings option Use automatic PW CW trace detection To perform a PW CW trace based measurement perform the following actions 1 Select the Trace measurement tool by clicking on the Trace button e Trace in the PW CW Measurements ControlBar 2 Tick with mouse the CheckBo
11. 6 Typical Ultrasound Examination VWorktlow sssssssseeeeseesseiirrttttsstttnrttttttttttrtttsssstttrrunnstsnttnnnnnnnnent 23 7 Selecting Ultrasound Scanning Mode ttnet tttt ttt tttt ttr EEEE nsntEEEEn Ennast ennn Ennen ant 24 7 1 B mode standard trapezoid Gompound 25 7 2 RTE Be E E 26 7 3 OTe eine 27 7 4 BMI OCG oai ooa a A E 28 7 5 One EE 29 7 6 Color Doppler mode optional 30 7 7 B PW mode Duplex optional 31 7 8 PW mode optional ars te Ee 32 7 9 Color Doppler PW mode Triplex optional 33 7 10 Color Doppler and PW mode optional 34 TAT BECW IMOde Optional RE 35 LAZS CW mode Optional vier eee ia TEE OEA gus cecaacexsdess tus linn cexsdeee dieses 36 7 13 Color Doppler CW mode optional 37 7 14 Color Doppler and CW mode optional 38 8 Using Ultrasound Scanning Presets A 39 Ox bUSING KEE 42 10 Adjusting Ultrasound Image Quality cccccccceccceeccceeeeeeeeeccceeeeeeeeeeeeeeccaeeeeeeeeeseeccaeeeeeeeeeeteeniaaes 44 10 1 Adjusting B Mode Contros ttt tttttttkr rnn tsttttEE EEEn n at tnrEEEEn enne nn nenene nnnt 45 10 1 1 BOGUS NEE E E A 46 Ae ee E 47 10 1 3 Dynamic RAnG 2 23 3ss secssscssccseseaecccaceseceseeedececgeedeeedaaedgaecadedededadedacedeaedeeedaaedacesaeedeeneueendae 47 10 1 4 POWGMs 2 2 2 23eseghe2deehsechaeebsecdesedsdsdesedsnsdesebesedenedenedenedenedenedenedene dees dea ae a ie 48 AE EE E ET 48 10 1 6 Change Scan Direction eieiei iiaee oh eege EENEG 49 10 1
12. Color Doppler Mode Zoom To perform a zoom of the ultrasound image B or Color Doppler mode carry out the following actions F7 1 Select the zoom tool by clicking on the Zoom button on the software top ToolBar or on the F7 hotkey You can omit this step if the zoom tool has already been selected A pictogram of the selected tool is Tool l displayed on the software right top corner 2 Select a rectangular region of interest that needs to be zoomed In order to do this move the mouse cursor to a position on the ultrasound image where you wish to place the first corner of the rectangle that will contain the anatomy of interest Press on the left mouse button and keeping it pressed move the mouse to position of the second corner of the rectangle While the mouse is moved the rectangle containing the anatomy of interest for zooming will be drawn Finally release the mouse button and the software will zoom the selected rectangular area if a valid area on the ultrasound image was selected 3 When the ultrasound image is zoomed or shifted the zoom tool starts to work as an image shifting tool You can center a zoomed ultrasound image To perform an image shift press the left mouse button on the ultrasound image at a point that needs to be shifted Keep the mouse button pressed and move the mouse cursor to the position where it needs to be shifted During the mouse movement an arrow of shift direction and position is drawn Fin
13. D E Collate Selection Borin Help OK Cancel E To print an image select the desired printer and click the OK button of the Print dialog Or click the Cancel button to cancel printing 4 Report Quick Save will save the report image to the folder of quick saved images as defined in the software options The image file name will be generated automatically and depends on the software customization options 5 Report Save As will open the file saving dialog TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 154 of 182 Save As 2 Eg Save in S images DI Ier ES Fe My Recent Documents Desktop i My Documents E BE My Computer om a EE File name image ipd D Places Save as type JPEG file ipa sl Cancel E In the Save As dialog select the folder where you wish to save the report image enter a file name select the file type and press the Save button to save report image Or press the Cancel button to cancel the report saving operation 6 Import Ultrasound Data shows the file opening dialog and allows you to load from TPD TVD file only ultrasound data without overriding the existing patient data and calculations This feature is used for the creation of reports from multiple previously saved TPD TVD files and is described in section Using Reports with Multiple Images 6 Report will open the advanced report creation window that
14. FA 15 Click on the B mode button or on the F1 hotkey to enter B mode Depending on your selected software options and the ultrasound scanner used the CFM PW mode button F6 hotkey may loop through the following states CFM running PW running Triplex CFM frozen PW running If the scanner does not support Triplex or this feature has been turned off at options the following states are used CFM running PW frozen CFM frozen PW running TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 33 of 182 7 10 Color Doppler and PW mode optional The software supports switching between the Color Doppler and PW modes In order to switch between the Color Doppler and PW modes perform the following actions pid 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key O F1 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B mode controls on the software left side ControlBar 4 Select the desired Color Doppler mode as described in the Color Doppler mode section adjust the Color Doppler window size and position Adjust the Color Doppler mode parameters using the Color Doppler mode controls on the left side Color Doppler ControlBar FR 5 Click on the CFM PW mode PDI PW mode DPDI PW mode button on the software top ToolBar or on the F6 hot
15. Responsible Person Add patient information to daily list Exam start 2013 01 10 11 20 Comments Templates editor ES Templates list Template name General template 1 name Template text General template 1 text gt Delete selected template Create new template OK Cancel The comments area at the bottom of Patient dialog allows you to enter comments that will be visible at the bottom of saved printed reports In order to show hide controls of pre defined comments templates click on the Templates button The controls on the right side of the Comments tab allow you to select from the list and insert button lt pre defined texts Comment templates into the comments field For creating a new template use the New button and then enter the template name and template text In order to change the arrangement of template names in the list drag and drop list items using the mouse press left mouse button on desired item to move this item move mouse cursor to new desired item location and then release the mouse button Please note that some software features are available only when is connected ultrasound scanner and probe or opened TPD TVD file If you want to edit templates of comments without connected ultrasound scanner you can do this by at first opening TPD TVD file and then using Patient window TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 18 of 182 The button Edit son
16. VAS Volume Simpson changed to volume calculation using two traces 2 Move mouse cursor to position on the ultrasound image first plane where should be placed first point of a first trace and click left mouse button in order to start measurement 3 Move mouse cursor in order to paint trace of desired to measure volume 4 Click left mouse button in order to finish trace painting 5 Move mouse cursor in order to set direction of long axis During this movement on the screen will be visible how the trace will be divided into disks perpendicular to long axis 6 Click left mouse button in order to finish adjustment of long axis 7 Move mouse cursor to position on the ultrasound image second plane where should be placed first point of a second trace and click left mouse button in order to start measurement 8 Move mouse cursor in order to paint trace of desired to measure volume 9 Click left mouse button in order to finish trace painting 10 Move mouse cursor in order to set direction of long axis During this movement on the screen will be visible how the trace will be divided into disks perpendicular to long axis 11 Click left mouse button in order to finish volume measurement using two traces 12 Optionally perform another measurement of the same type by repeating steps 2 11 In order to calculate volume using two previously measured traces please note that here are used special traces divided to disks
17. and third vectors Please note that at line s vector s starting point is painted its number the number of measurement object Measurement objects three vectors Results lengths of vectors and angles between vectors RB Angle 3 Lines A ff By at DK IR Finish 1 18 8 mm 2 24 8 mm 3 23 2 mm lt AB 1 2 41 8 AT 2 b i In order to calculate angles between three previously measured distances perform the following actions 1 Select measurement tool by clicking appropriate Angle button ControlBar 2 From the first ComboBox inside angle tool options select the number of measurement object that will correspond to the first vector for angle calculation 3 From the second ComboBox inside angle tool options select the number of measurement object that will correspond to the second vector for angle calculation 4 From the third ComboBox inside angle tool options select the number of measurement object that will correspond to the second vector for angle calculation 5 Click Finish button inside angle tool options in order to calculate angles between first and second and between first and third vectors 6 Optionally calculate more angles by repeating steps 2 5 Note This tool can be used for measuring hip angles Alll Angle inside B Measurem ents TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 92 of 182 11 1 7 Volume using Three Distanc
18. control Sa from the OB GYN calculations ControlBar to open the study page containing the control measurement field with the name of the parameter you wish to enter e g AC if it is not included in the Seat study page 0 mm 3 Click on the button v of the desired to fill measurement field control win El If the ultrasound image contains measurement objects of the appropriate type e g ellipse and trace objects for the AC field then ihg menu will be opened with the numbers of that measurement AC D mm objects 4 If a menu with the numbers of the measurement object was opened select the number of object whose data you want transferred to the selected measurement field The field data will be updated and this field will AC 267 2 mm de be linked together with the chosen measurement object 5 Optionally repeat steps 3 4 in order to fill other fields with data All OB calculations are performed automatically when you perform OB measurements Some of the most important calculation results are displayed directly in the OB calculations ControlBar Calculations Average Estimated Fetal Weight AvgEFW AvgEPW 1797 g Average Ultrasound Age AUA AUA 3146 Estimated Delivery Date that was calculated using AUA Estimated Delivery Date that was calculated using LMP EDD AUA 3 1 2007 EDD LMP 2 18 2007 To see more results of OB calculations or to select what calculation results should be used for averaging perform the
19. s sssesessssssessrrtttesestttrrttttttttttrtrttttsttttrrunnttsnttnnnnnnnennt 109 11 3 1 Velocity and Pressure Gradient PG using One Point ccccceeeceeeeeeeeteeeeeeeeeeeeeeetaaes 110 11 3 2 A B Ratio of Point based measurements Velocities Pressure Gradients 006 111 11 3 3 Velocities difference Pressure Gradients PG difference Times difference Acceleration and Resistivity Index RI using One Distance Two Pointet 112 11 3 4 A B Ratio of Distance Two Points based measurements sseeeeeeesssrreeeeeeerrrrereeeesee 113 11 3 5 Velocity min max mean Pressure Gradient PG min max mean Velocity Time Integral VTI Resistivity Index RI and Pulsatility Index Pl using Trace measureMent ceeeeeeeeees 114 11 3 6 A B Ratio of Trace based measurements ccccceceeeeeeeeeeeeeeeeeeteaeeeeeeeeeeeetttieeeeeeeeeeees 115 TES ResistivityINdex legen ee EE han sete th ta tava EENS EES 116 11 3 8 VRulsatility IMASX Pl esis ee EE 116 11 3 9 Velocity Time Integral OTI 116 11 3 10 Heart Rate HR using Distance based measurement 117 11 4 Modifying and Deleting Performed Measurements ssessssserieeseeserrirrrrsssstttrrrrttssstrrrrrnnsessnt 118 11 5 Human Obstetrics Gynecology OB GYN Examination Measurements and Calculations 120 11 6 Human Cardiology Examination Measurements and Calculations eseeeeeseeeeeee errereen 127 11 7 Measurements and Calc
20. set_patient_weight patient_weight set patient weight Parameter format float kg with dot as decimal separator e g 75 5 set_patient_height patient_height set patient height Parameter format float cm with dot as decimal separator e g 178 0 set_patient_ob_Imp_ date Imp_date set LMP date Date format YYYYMMDD e g 19991120 set_patient_ob_gravida text set the value of OB gravida set_patient_ob_para text set the value of OB para set_patient_ob_ab text set the value of OB AB set_patient_ob_ ectopic text set the value of OB ectopic set_hospital_name hospital_name set hospital clinic name set_hospital_image image_file_name set hospital clinic logo image Sample command set_hospital_image c temp img1 png If file name is not passed current logo image is deleted set_sonographer_name sonographer_name set sonographer name set_sonographer_image image_file_name set sonographer logo image Sample command set_sonographer_image c temp img2 png If file name is not passed current logo image is deleted set_images images_short_directory change images of buttons Directories of button images must correspond to the ones from Config Images Sample commands set_images SimpleBlue set_images Default set_skin skin_short_directory change user interface skin Skin directories must correspond to the ones from Config Skins Sample commands set_ski
21. 1 Thumbnail images Most recently saved images are added to the left side of the list 2 Report images area In order to add an image to a report click the left mouse button on the desired thumbnail image in the thumbnail images area keep the mouse button pressed down drag the image to the report images area and then release the left mouse button The image will be copied to the report images area The same drag and drop operation can be used in order to change the location of an image and its comment inside report images area 3 Button for deleting appropriate image and its comment from the report images area 4 Button for adding image to a report from the previously saved file shows File Open dialog 5 Scroller control for scrolling through multiple rows of report images 6 Comment below report image Each image can have its own comment 7 Tab control for switching between report images calculation results available if were performed exam specific calculations report preview 8 Tab control for switching between thumbnails and report control last saved images comments report options 9 Report action buttons Click Close button in order to close Report window TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 157 of 182 To add thumbnail images to a report drag them with the mouse from the Thumbnail images tab to the appropriate placeholder inside the report images area Report im
22. 12 03 Page 63 of 182 Adjustment Color Averagina 2 Use the Color Averaging control to change the values lt gt Hints Make a trade off between color quality and color changing rate in the Color Doppler Image 10 3 8 Dynamic Range Description Dynamic Range adjustments increase or decrease the range of power visualized in the Power Doppler and Directional Power Doppler modes Values Dynamic Range values available are usually in the interval 2 40 dB Measurement units used decibels dB Adjustment f Use the Dynamic Range control to change the values This control Dynamic Range 12 dB is available under the software options Menu gt Tools gt Options gt Scanning Control gt Color Doppler mode Relations to other controls After adjusting the Dynamic Range you may need to adjust the Gain or the Scale If you increase the Dynamic Range you may need to decrease the Gain or Scale in the case of noisy Doppler images 10 3 9 Wall Filter Description Wall Filter adjustments increase or decrease the cut off frequency of the Wall Filter High Pass Frequency Filter which eliminates the unwanted low frequency high intensity signals from tissues or wall motion Increasing the wall filter reduces the display of low velocity tissue motion Lowering the wall filter displays more information but more wall tissue motion will also be displayed however Values The Wall Filter values available are usually in t
23. 4 Tick the Allow Calibration CheckBox if it is not already ticked 5 Tick the Show 1 and Show Central CheckBoxes if they are not already ticked to show the guidelines 6 To calibrate the 1st side biopsy guideline click the 1 button inside the Biopsy ControlBar If the 1st guideline was defined previously it will now be cleared 7 Move the mouse cursor to a position on the ultrasound image where you want to position the starting point of the 1st side guideline 8 Click using the left mouse button to start the calibration of the 1st guideline 9 Move the mouse cursor to a position where you want to position the endpoint of the 1st side guideline 10 Click using the left mouse button to finish calibration of the 1st side guideline 11 To calibrate the 2nd side biopsy guideline click the 2 button in the Biopsy ControlBar If the 2nd guideline was defined previously it will now be cleared Click using the mouse on the ultrasound image where you want to position the starting and ending points of the 2nd guideline 12 Optionally to calibrate the central biopsy guideline click on the C button in the Biopsy ControlBar If the central guideline was defined previously then it will now be cleared Click using the mouse on the ultrasound image where you want to position the starting and ending points of the central guideline 13 Optionally to edit any defined guideline move the mouse cursor over its endpoint and click using the rig
24. 5 To change the values use the Lines Density control This control is available under the software options Menu gt Tools gt Options gt Scanning lt gt v Control gt Color Doppler mode Relations to other controls Lines Density changes the frame rate Bioeffects Adjusting the Lines Density may change the TI and or MI Observe the output display for possible effects TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 62 of 182 10 3 6 Color Doppler Window Size and Position Description When using the Color Doppler mode you need to adjust the Color Doppler window size and position in order to place it at position where is located the anatomical structure of interest Please note that smaller window sizes allow you to achieve higher frame rates Adjustment M Doppler Window Window Size Small SES Position C Size Baie Bs ES To select a pre defined size of Color Doppler window use the Window Size control It will select window size depending on the current B mode image size To adjust the window position place a tick on to the Position control if not already ticked and use the buttons that are located below this control To adjust the window size place a tick on the Size control if not already ticked and use the buttons that are located below this control An alternative way of changing the position of the active Doppler window is to select the Color Doppler window tool 3 ho
25. 9 Click on the Freeze Run button nm or on the SpaceBar key to freeze ultrasound scanning 10 Optionally perform measurements and add annotations 11 Optionally print out and or save ultrasound images pid 12 Click on the Freeze Run button nm or on the SpaceBar key to re start ultrasound scanning 13 Optionally repeat steps 4 12 in order to scan more B CW images FA 14 Click on the B mode button al or on the F1 hotkey to enter B mode The B CW mode button F6 hotkey loops through the following states B running CW frozen B frozen CW running When button with hotkey F6 loops through CW PW states hotkey F2 can be used for entering PW CW states Layout for B and PW CW images left right or top bottom can be selected using the software options Menu gt Tools gt Options gt Appearance gt General TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 35 of 182 7 12 CW mode optional In order to enter CW mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key lt gt Fi 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode BAD mode B CW mode 3 Open menu of the B PW mode button on the software top ToolBar and select B CW mode menu item to show the running B mode image with the CW line on it and the frozen
26. Appearance gt Skins remove check from CheckBox Use advanced skinization mode Select tabs Scanning Control gt Cine and choose minimal available cine size 20 MB Then close Options dialog by clicking OK button and restart software 2 Turn off ultrasound processing filters e g PureView that require many CPU resources 3 When computer is started instead of starting closing software many times start software only once and after that minimize software when it is not required for some time and maximize software when it is required again In such case you will not need to wait for software startup every time you need it Minimized software freezes ultrasound scanning and does not use CPU resources 4 If you use laptop computer before starting software open Windows Power Options dialog Start gt Settings gt Control Panel gt Power Options and select Home Office Desk or Performance power scheme depending on your computer configuration Also you can use any other power scheme selection method e g using power scheme icon at system tray if it is available depending on operating system and its configuration For more information about power saving please read user manuals of your operating system and computer 5 If you use Windows XP operating system open Windows System Properties dialog Start gt Settings gt Control Panel gt System select Advanced tab inside Performance group click Setings button inside ope
27. CW mode image If B CW mode was selected before and button stored this selection then B CW mode can also be selected by clicking on the F6 hotkey 4 Click using left mouse button on the B mode ultrasound image to select the CW cursor position An alternative way of selecting CW line is by using the CW Cursor Position control on the left side CW mode ControlBar Adjust the CW cursor position using the controls on the left side CW mode ControlBar F4 5 Click the CW mode button Ld on the software top ToolBar or on the F4 hotkey to show the CW mode image F4 6 Optionally click the B with CW line CW line button on the software top ToolBar or on the F4 hotkey to show the B mode image Si the On line displayed adjust the CW cursor position and once again click on the CW mode button H or on the F4 hotkey to show the CW mode image 7 Optionally adjust the CW image using the CW mode controls on the software left ControlBar L i 8 Click on the Freeze Run button nm or on the SpaceBar key to freeze ultrasound scanning 9 Optionally perform measurements and add annotations 10 Optionally print out and or save ultrasound images pid 11 Click on the Freeze Run button nm or on the SpaceBar key to re start ultrasound scanning 12 Optionally repeat steps 4 11 in order to scan more CW mode images F1 13 Click on the B mode button L or on the F1 hotkey to enter B mode TELEMED Echo Wave II Software Use
28. F4 5 Click the PW mode button on the software top ToolBar or on the F4 hotkey to show the PW mode image F4 6 Optionally click the B with PW line PW line button on the software top ToolBar or on the F4 hotkey to show the B mode image with the PW line displayed adjust the PW sample volume size and F4 position and once again click on the PW mode button or on the F4 hotkey to show the PW mode image 7 Optionally adjust the PW image using the PW mode controls on the software left ControlBar L i 8 Click on the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 9 Optionally perform measurements and add annotations 10 Optionally print out and or save ultrasound images gt H 11 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning 12 Optionally repeat steps 4 11 in order to scan more PW mode images F1 13 Click on the B mode button or on the F1 hotkey to enter B mode TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 32 of 182 7 9 Color Doppler PW mode Triplex optional In order to enter Color Doppler PW mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key F1 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B m
29. If required refer to the user manual of the appropriate plug in 6 Finish work with the plug in software by clicking on its Close button X on the software right top corner 7 Optionally perform steps 1 6 in order to create more 3D images or panoramic images TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 165 of 182 23 Using 4DView Plug in optional If you have purchased a device and probe that supports real time 4D scanning you can perform 4D scanning in the following way using the connected device and probe 1 Using the B mode ultrasound scanning controls adjust the B mode scanning parameters in order to obtain the desired image quality and a sufficient high B mode frame rate 2 On the software top ToolBar click on the Menu button and from the displayed menu select 4DView This will open the user interface of the 4DView Plug in software AD View 3 Optionally using the B mode scanning controls perform additional adjustment of the B mode parameters 4 Use the 4D mode controls to adjust the 4D scanning parameters Volume Size 0 Volume Size control adjusts the 4D scanning angle in the same way as in B mode the scanning angle of the 2D image is adjusted using the y View Area control Volume Density 0 Volume Density control adjusts 4D scanning density in the same way as in B mode the density of the 2D image is adjusted using the Lines Density control Smaller volume density means
30. Jordaan83 1676 g GA Clav Yarkoni85 O EFWAC Warsof 7 1515g GA FL Hadlock84 56 8 2945 2013 02 21 EFWIAC BPD Hadlock4 14399 GA UL Jeanty84 DI EFWIAC BPD Jordaan83 1587 g GA TAPD Hansmann76 DI EFW AC BPD Merz88 16139 GA TTD Hansmann85 DI EFWIAC BPD Shephard82 13699 GA FTA Osaka88 DI EFWIAC BPD Warsof 7 1291 g GA TL Jeanty84 C EFWIFL Warsot86 1607 g C Gatti Hansmanne5 56 8 29 5 2013 02 21 EFWIAC FL Hadlock85 1461 g GA ATD Merz91 DI EFWAC FL Warsof86 1555g GA BOD Jeanty84 EFWIAC BPD FL Hadlock85 1425g GA GS Hellman69 EFWI AC HC Hadlock84 1383 g DAC Hadlock82 2525 29 3 2013 02 23 EFWIAC FLHC Hadlock85 1400 g GA HC Hadlock84 265 6 28 6 2013 02 27 EFWIAC BPD FL HC Hadlock84 1406 g GA HL Jeanty84 DI EFWIAC BPD HC Jordaan83 1674g C GAGS Rempen91 EFW BPD FLFTA Osaka88 GA CRL Hadlock92 EFW BPD ATD Eik Nes Grottum82 GA HC AC Hadlock82 1 05 3240 2013 02 05 EFW BPD TTD Hansmann86 EFWIBPD TAPD TTD Tokyo87 EFW BPD FL TAPD TTD Tokyo87 GA LMP 2942 EDD LMP 2013 02 24 Average EFW 1439g Average Ultrasound Age AUA 29 6 EDD AUA 2013 02 20 OK Cancel The software allows you to enter the measurement results of previous examinations and to view the results of previous and current examinations on the chosen growth curve Calculations Growth Curves 123456789 2012 12 11 FirstName LastName 1978 08 24 Previous exams data exam date result Import AC mm Table AC GA Jea
31. Priority 255 Use the B Color Priority control to change the values 10 3 12 Color Threshold Description Color Threshold adjustments increase or decrease the color data level below which color information is not shown Using low values displays more color while using high values displays more B Mode data TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 65 of 182 Values The Color Threshold values available are usually in the interval 1 64 This value is non dimensional Adjustment Color Threshold 1 ee Use the Color Threshold control to change the values 10 3 13 Baseline Description Baseline adjustments increase or decrease the part of the Color Doppler data that is displayed as corresponding to positive forward flow or negative reverse flow velocity By changing the Baseline it is possible to minimize aliasing by displaying a greater range of forward flow with respect to reverse flow or vice versa Values Baseline values available are usually in the interval 0 255 This value is non dimensional Adjustment Baseline 127 i f Use the Baseline control to change the values Hints An alternative way of adjusting CFM baseline is by clicking on its image using the right mouse button 10 3 14 Frequency Description Frequency is a characteristic that defines a resolution of ultrasonic signal Higher frequencies increase the resolution of the incoming ultrasonic signal but reduce the visibili
32. T ools gt Options gt Appearance gt General TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 28 of 182 7 5 M mode In order to enter M mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key lt gt Fi 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode F2 3 Click on the B with M line M line button on the software top ToolBar or on the F2 hotkey to display the B mode image with the M line on it 4 Click using the left mouse button on the B mode ultrasound image to select the M line position An alternative way of selecting M line is by using the Line Position control on the left side M mode ControlBar F4 5 Click on the M mode button on the software top ToolBar or on the F4 hotkey to show the M mode image F4 6 Optionally click on the B with M line M line button on the software top ToolBar or on the F4 hotkey to show the B mode image with the M line on it adjust the M line position and once again click F4 on the M mode button or on the F4 hotkey to show the M mode image 7 Optionally adjust M image using the M mode controls on the software left ControlBar pid 8 Click on the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 9 Optionally perform measurements and add annotations
33. Use the Depth control to change the values lt gt Relations to other controls After adjusting the Depth you may need to adjust the Gain TGC Time Gain Compensation and the Focus controls Smaller scanning depths usually allow you to achieve higher frame rates Bioeffects Depth adjustment may change the TI and MI values 10 1 3 Dynamic Range Description Dynamic range is a measure of the ultrasonic device s ability to display both very weak and very strong signals at the same time while ensuring their levels can still be visually distinguished The greater the dynamic range the better the above mentioned ability As a rule every observation should be started using the maximum possible dynamic range since it provides you with the most complete diagnostic information Narrowing or reducing the dynamic range leads to the echo image displaying more contrast Dynamic Range is useful for optimizing tissue texture for different anatomical structures Values The values available depend on the type of probe used Measurement units used decibels dB Adjustment Dynamic Range 80 dB H To change the values use the Dynamic Range control lt gt TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 47 of 182 Hints In order to perform automatic B mode Gain TGC and Dynamic Range adjustment use the Automatic adjustment button on the software top ToolBar F12 hotkey During image optimizati
34. Velocities ensure that Velocities ratio CheckBox inside ratio tool options is checked If it is not checked then check it 3 Optionally if you wish to calculate the ratio of two Pressure Gradients PG check Pressure Gradients ratio CheckBox inside ratio tool options 4 From the first A ComboBox inside ratio tool options select the number of measurement object that will correspond to the first measurement numerator A 5 From the second B ComboBox inside ratio tool options select the number of measurement object that will correspond to the second measurement denominator B 6 Click Finish button inside ratio tool options in order to calculate ratio of two measurements 7 Optionally perform more calculations of the same type by repeating steps 2 6 Pw A B Ratio Points Iw Velocities ratio Pressure Gradients ratio TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 111 of 182 11 3 3 Velocities difference Pressure Gradients PG difference Times difference Acceleration and Resistivity Index RI using One Distance Two Points In order to measure Velocities difference Pressure Gradients PG difference Times difference Acceleration or Resistivity Index RI perform the following actions 1 Select distance measurement tool by clicking Distance button Dinanca inside PW CW Measurements ControlBar 2 If you wish to measure Velocities difference
35. Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 170 of 182 27 System Requirements Hardware requirements e IBM PC compatible desktop notebook or Tablet PC computer e ntel chipset based motherboard with integrated USB 2 0 controller i845 i855 i865 i875 and etc e CPU Pentium 4 2 4 3 0 GHz Core Duo 2 0 2 2 GHz or better e1 GB DDR RAM or more e2 GB free hard disk space e SVGA monitor with 1024x768 resolution and 32 bit color depth or better eAGP display adapter with 8 MB video memory For 4D is required support of Pixel Shaders 2 0 and Vertex Shaders 1 0 e Medical grade computer power supply Software requirements e Microsoft Windows XP operating system with installed Service Pack 3 or more recent Microsoft Windows operating system Windows Vista Windows 7 Windows 8 with latest service packs updates and hotfixes e Installed Microsoft NET Framework 2 0 Redistributable Package with Service Pack 2 or Microsoft NET Framework 3 5 Redistributable Package with Service Pack 1 if operating system is Microsoft Windows XP or Windows 8 http msdn2 microsoft com en us netframework aa731542 aspx http msdn2 microsoft com en us netframework aa569263 aspx TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 171 of 182 28 Troubleshooting In the event of any problems when using the Echo Wave II software please start the Ultrasound System Information tool that is distributed together with
36. by clicking on the Calculations button Study 1 11 OB EFW GA v lt gt 2 Use the Study control H from the OB GYN calculations ControlBar to open the study page that contains the LMP button if the current study page does not have a LMP button Study can be changed by clicking on the lt and gt buttons from the Study control or by clicking on the v button and from the opened menu selecting the desired study If the calculations ControlBar is active the Study control can be activated by clicking on the appropriate hotkey that is indicated as an underlined letter in the control caption underlined S for Study If the calculations ControlBar is active the studies also can be changed by clicking on the Page Up and Page Down keys LMP 3 Click on the LMP button to open the LMP input window If a button has a hotkey that is indicated with an underlined letter e g underlined for LMP button and the button ControlBar is active the button action also can be invoked by clicking on the relevant hotkey Date EN LMP date May 2006 5 1 4 2006 KE bed H Sun Mon Tue Wed Thu Fri Sat Today s date 1 3 2007 0 1 2 3 4 5 6 7 8 9 10 11 12 13 4E 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 4 5 6 7 8 9 10 4 Inside the opened window select the LMP date year month and day using the calendar or enter the date manually using the LMP date field The date format should correspond wi
37. cursor press using the left mouse button and keep it pressed down Move the mouse cursor to the desired position without releasing the mouse button and this will move the annotation text field Now release the mouse button 9 Click using the left mouse button on the ultrasound image outside the text field or click on the Text button T Text 2 Ss to finish editing the annotation text 10 Optionally repeat steps 5 9 in order to add more texts To modify delete the text of the text annotation perform the following 1 If the Annotations ControlBar is not visible move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear In this ToolBar click on the Annotations button This opens the right side Annotations ControlBar Text 2 If the text annotations tool is not selected select it by clicking the Text button 3 Move the mouse cursor over the desired to edit text label on the ultrasound image 4 Click using the right mouse button in order to start editing the text field 5 Use the arrow keys for navigation inside the text field and use the Delete key to delete some part of the text or all of the text and then type in the desired text 6 Optionally change the position of the annotation text move text field To change the position of text field move the mouse cursor to the edge of the text field When the mouse cursor appearance changes to a Move cursor p press the
38. ensure that CheckBox Velocity difference inside distance tool options is checked If it is not checked then check it 3 Optionally if you wish to measure other parameters then check appropriate CheckBoxes inside distance tool options Please note that you can check several CheckBoxes 4 Move mouse cursor to position on the ultrasound image where you wish to stat measurement and click left mouse button in order to start measurement 5 Move mouse cursor to position on the ultrasound image where you wish to finish measurement and click left mouse button in order to finish measurement 6 Optionally perform another measurement of the same type by repeating steps 4 5 DA Distance Difference Show Results I Velocity difference l PG difference V Time Acceleration I Velocity min Velocity max Pressure Gradient min IT Pressure Gradient max IT Resistivity Index Rl TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 112 of 182 11 3 4 A B Ratio of Distance Two Points based measurements In order to measure the ratio of two distance two points based measurements perform the following actions AB I DF e 4 B Ratio 1 Select measurement tool by clicking A B Ratio button inside PW CW Measurements ControlBar 2 If you wish to calculate ratio between two Velocity differences ensure that Velocity differences ratio CheckBox inside ratio tool options is checked If it
39. eo HR Field data will p HR 0 bemin du be cleared and this field will be selected for measurement 5 Optionally repeat steps 3 4 in order to clear data from other fields TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 129 of 182 Please note that the measurement parameter measurement field clearing operation does not delete measurement object ellipse trace or line that was painted when measuring this parameter To clear data from all measurement fields and delete all measurement objects drawings at the same time start a new examination new patient by using the Patient Information window that is opened by 8 clicking on the Patient button In some cases you may want to perform general measurements and then decide to transfer the results of these general measurements measurement objects to different fields of the Cardiology parameters To transfer measurement result from a measurement object ellipse trace or line to some Cardiology field perform the following 1 Open the Cardiology calculations ControlBar if not already opened by clicking on the Calculations i Fg button Study 1 2 Left Ventricle 2 Use the Study control HEE of the Cardiology calculations ControlBar to open the study page containing the control measurement field with the name of the parameter e g HR to be measured if not already included on He current study page HR 0 b min BD 3 Cl
40. following actions 1 Select the distance measurement tool by clicking on the Distance button A Dist sance inside the B Measurements ControlBar If the measurement tool button has a hotkey shown as an underlined letter e g an underlined D for Distance and the measurements ControlBar is active then the tool can be selected by pressing this hotkey on the keyboard 2 Ensure that the CheckBox Distance is ticked 3 Optionally if you wish to measure the area or circumference of a circle with measured diameter or volume of a sphere tick the appropriate CheckBoxes Please note that you can tick several CheckBoxes 4 Move the mouse cursor to a position on the ultrasound image from where you wish to start measuring and click using the left mouse button to start the measurement process 5 Move the mouse cursor to the position on the ultrasound image where you wish to finish the measurement and click using the left mouse button in order to finish the measurement process 6 Optionally perform another measurement of the same type by repeating steps 4 5 Measurement object Result distance 1 13 5 mm mB Distance Show Results Jh Distance l Area Circumference Volume TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 87 of 182 11 1 2 Length To measure the length of a curvilinear object perform the following actions 1 Select the length measurement tool by clicking on the
41. for conducting ultrasound examinations This guide does not provide guidelines for clinical aspects of performing the examination or for interpreting medical ultrasound images In addition before using this software you must be familiar with the use of laptop or desktop computers and the Microsoft Windows XP Windows Vista Windows 7 or Windows 8 operating system TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 5 of 182 2 System Startup and Shutdown 2 1 System startup If the system was properly installed and connected perform the following actions in order to start the system 1 If needed power on ultrasound scanner 2 If needed power on the computer start the Windows XP Windows Vista Windows 7 Windows 8 operating system if it does not start automatically and log on to the operating system if required 3 After that you should see the Windows operating system desktop image like the image presented below Please note that desktop image of your system may look different depending on the chosen Windows Theme and installed software A start E EE 4 If your system was not pre configured for automatic software startup locate the Echo Wave II software icon on the desktop move your mouse cursor over this icon and double click on it using the left mouse button in order to start the Echo Wave II ultrasound scanning software An alternative way to start the Echo Wave II software is to click
42. if it is not ticked or to hide a biopsy target marker remove the tick from the Show Target CheckBox 6 Optionally to hide all biopsy guidelines and biopsy target markers click the Hide All button 7 Optionally repeat steps 3 6 in order to show hide the appropriate biopsy guidelines If biopsy guidelines and target marker have been defined and are visible the maximum distance from the starting point s of the visible guideline s to the target marker Target distance will be displayed This distance can help you determine the minimum needle length required in order to reach the target Please note that this distance depends on the accuracy of the guideline calibration Also please note that calculations and defined biopsy guidelines do not take into account mechanical needle bending when the needle passes through the body Biopsy guidelines Num Description 1 1st side biopsy guideline 2 2nd side biopsy guideline 3 Central biopsy guideline 4 Biopsy target marker To calibrate biopsy guidelines perform the following 1 Attach the biopsy adapter to the probe immerse the probe in the bath of water use the maximum needle length and scan and freeze the image of the biopsy needle 2 Move the mouse cursor to the far right side of the screen and wait for the appearance of the right side autohide ToolBar 3 In the right side ToolBar click on the Biopsy button This will open the right side Biopsy ControlBar
43. increases or decreases the amplification of the returning ultrasound echo signal Use this control to increase or decrease the amount of echo information displayed in the ultrasound image Gain adjustment allows you to balance echo contrast so that cystic structures appear echo free and reflecting tissues are filled in Gain adjustment may brighten or darken the ultrasound image if sufficient echo information is generated TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 48 of 182 Values Gain values available are usually found in the interval 10 100 Measurement units used percentages Adjustment in 76 Gain 76 Use the Gain control to change the value Relations to other controls After adjusting the Gain you may need to adjust the Power level If you increase the gain then you may need to decrease the power level If you increase the power level you may need to decrease the gain Please note that adjustments of the Gain control do not change the shape of the TGC Time Gain Compensation curve Gain control adjusts overall gain while TGC controls adjust the gain at appropriate depths Hints To perform automatic B mode Gain TGC and Dynamic Range adjustment use the Automatic adjustment button on the software top ToolBar F12 hotkey During image optimization hold the probe on an anatomical structure of interest and do not move it Please note that availability of automatic image optimization depen
44. is described in the section Using Reports with Multiple Images Reports usually contain examination specific measurements and calculations of currently selected exam type and the change of examination type will erase all examination specific measurements and calculations If you want to have measurements and calculations using different examination types all in a single report go to the Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings enable the option designated as Merge data of different exam types into single report and close the options dialog with the OK button In such case using the right side calculations ControlBar you will be able to change not only the study type but also select an examination type that will change the calculations package IMPORTANT When starting the examination of new patient always go to Patient Information window click on the New Patient button in order to clear the data from the previous exam select the desired exam type enter the patient s data and close the window with the OK button TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 155 of 182 If you have a network printer that supports DICOM format reports to such printer can be sent by clicking the Send button on the bottom ToolBar and selecting the menu item Send Report to DICOM Printer with the name of the appropriate printer Send Image by E mail Send Report by E mail Send Ima
45. is not checked then check it 3 Optionally if you wish to calculate ratio between other parameters check appropriate CheckBoxes inside ratio tool options 4 Move mouse cursor to position on the PW CW mode ultrasound image where should be started first distance based measurement numerator A and click left mouse button in order to start measurement 5 Move mouse cursor to position on the PW CW mode ultrasound image where should be ended first distance based measurement and click left mouse button 6 Move mouse cursor to position where should be started second distance based measurement denominator B and click left mouse button 7 Move mouse cursor to position where should be ended second distance based measurement and click left mouse button in order to finish ratio measurement 8 Optionally perform another measurement of the same type by repeating steps 4 7 In order to calculate ratio using two previously measured distance based measurements perform the following actions 1 Select measurement tool by clicking appropriate A B Ratio button ABI A B Rati See inside PW CW Measurements ControlBar 2 If you wish to calculate ratio between two Velocity differences ensure that Velocity differences ratio CheckBox inside ratio tool options is checked If it is not checked then check it 3 Optionally if you wish to calculate ratio between other parameters check appropriate CheckBoxes inside ratio tool options
46. keyboards TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 151 of 182 17 Printing Images To print the currently visible ultrasound image to the operating system s default printer click the Quick Print button on the image printing control To use other printing options click the small v button form the image printing control and from the Quick Print Print Preview Print displayed menu select the desired printing option 1 Quick Print will immediately print the current image to the operating system default printer 2 Print Preview will open the print preview window Inside this window you can print previewed images or close the window without printing 3 Print will open the printer selection dialog Print 71x Printer Name Gena HP Laselet 5000 Series PCLE Properties Status Ready Type HP Laselet 5000 Series PCL6 Where LPT1 Comment I Print to file rm Print range Copies Ge All Number of copies 1 ci Pages from to i Jl 3 T Collate e Selection 2 3 Help Cancel To print an image select the desired printer and click the OK button from the Print dialog Or click on the Cancel button in order to cancel printing You may also wish to adjust printer specific options using the Properties dialog After the selection of any menu item using image printing control it will remember the last selected H H item a
47. left mouse button and keep it pressed down Move the mouse cursor to the desired position without releasing the mouse button and this will move the annotation text field Now release the mouse button TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 135 of 182 7 Click using the left mouse button on the ultrasound image outside of the text field or click on the Text Text button to finish editing the annotation text 8 Optionally repeat steps 3 7 in order to modify delete other text fields TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 136 of 182 13 2 Using Pre Defined Text Labels To add a pre defined text annotation freeze the ultrasound image and perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear Abr 2 In the right side ToolBar click on the Annotations button This opens the right side Annotations ControlBar E abe 3 In the Annotations ControlBar select the Label button This selects the pre defined text label tool and in the Annotations ControlBar you will see the tool options displayed Font Arial X c el a Annotations OB annotation 2 ls ca 4 Optionally select the font and font size using the appropriate ComboBoxes and then select the font style bold italic or underlined by clicking the appropriate buttons 5 From the lis
48. mouse cursor to position on the M mode ultrasound image where should be started first distance and click left mouse button in order to start measurement 3 Move mouse cursor to position on the M mode ultrasound image where should be ended first distance and click left mouse button 4 Move mouse cursor to position where should be started second distance and click left mouse button 5 Move mouse cursor to position where should be ended second distance and click left mouse button in order to finish stenosis measurement 6 Optionally perform another measurement of the same type by repeating steps 2 5 In order to calculate stenosis using two previously measured distances perform the following actions 1 Select measurement tool by clicking Stenosis button l Stenosis a inside M Measurements ControlBar 2 From the first ComboBox inside stenosis tool options select the number of measurement object that will correspond to the first distance 3 From the second ComboBox inside stenosis tool options select the number of measurement object that will correspond to the second distance 4 Click Finish button inside stenosis tool options in order to calculate stenosis using two distances 5 Optionally perform more calculations of the same type by repeating steps 2 4 M Stenosis 2 Distances 1 2 Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 107 of 182 11
49. not used if the level 1 is selected the brightness correction is not used if the level 0 is used and the contrast correction is not used if the level 0 is used 1 0 0 TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 58 of 182 10 3 Adjusting Color Doppler Mode Controls To adjust the Color Doppler mode controls open the left side Color Doppler controls ControlBar by D 3 clicking on the Color Doppler controls button on the software bottom ToolBar or on the 3 hotkey This button can also be used for selection of the Color Doppler window positioning tool the active tool is shown at top ToolBar s top right corner Inside the Color Doppler ControlBar the controls are divided into the following 2 pages PRE 1 2 kHz Steering Angle 0 Doppler Window Window Size Small lt gt Ze Position Size p EE SS Color Averaging 4 lt Wall Filter 10 lt B Color Priority 221 _ Color Threshold 6 Baseline 127 Frequency 3 1 MHz lt gt Please note that the Color Doppler mode is optional and may therefore not be available TELEMED Echo Wave II Software User Manual 2013 12 03 Page 59 of 182 Ver 1 8 0 10 3 1 PRF Pulse Repetition Frequency Description The Pulse Repetition Frequency PRF adjustment changes the displayed velocity range The velocity range is shown in kHz The PRF should be set high enough in
50. of the linked TGC controls the software tries to keep the shape of TGC curve unchanged Hints To perform automatic B mode Gain TGC and Dynamic Range adjustments use the Automatic adjustment button on the software top ToolBar F12 hotkey During image optimization hold the probe on the anatomy of interest and do not move it Please note that availability of the automatic image optimization depends on the ultrasound scanner used Relations to other controls To adjust the overall gain use the B mode Gain control After adjusting the Depth you may need to adjust the TGC TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 81 of 182 10 6 Adjusting Palette and Color Map Controls To adjust the palette or color map of a current scanning mode B M CFM PDI DPDI PW open e 6 the left side Palette ControlBar by clicking on the Palette controls button on the software bottom ToolBar or on the 6 hotkey Inside the opened left side ControlBar use the palette gamma brightness wE contrast or color map controls of the appropriate mode and perform the adjustments CFM Palette Map 1 0 83 0 lt gt Advanced PDI Palette M Palette Default LH M DPDI Palette gt fy PW Palette Map 1 ER Invert TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 82 of 182 10 7 Using B
51. on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B mode controls on the software left side ControlBar F2 4 Click on the B with M line M line button on the software top ToolBar or on the F2 hotkey to display the B mode image with the M line on it 5 Click using the left mouse button on the B mode ultrasound image to select the M line position An alternative way of selecting M line is by using the Line Position control on the left side M mode ControlBar Ak F2 6 Click on the B M mode button on the software top ToolBar or on the F2 hotkey to show the B M mode image 7 Optionally adjust the M line position by clicking the left mouse button on the B mode image or by using the Line Position control on the left side M mode ControlBar 8 Optionally adjust the M image using the M mode controls on the software left side ControlBar L i 9 Click on the Freeze Run button nm or on the SpaceBar key to freeze ultrasound scanning 10 Optionally perform measurements and add annotations 11 Optionally print out and or save ultrasound images pid 12 Click on the Freeze Run button nm or on the SpaceBar key to re start ultrasound scanning 13 Optionally repeat steps 4 12 in order to scan more B M images FA 14 Click on the B mode button al or on the F1 hotkey to enter B mode The layout of the B and M images left right or top bottom can be selected at software options Menu gt
52. opened Patient Information window click on the New patient button This will clear previously entered patient name and other data New exam clears everything with exception of the patient name ID and date of birth 3 Choose the type of examination application 4 Enter the patient name and any other information e g date of birth ID gender LMP for OB exam 5 Enter or select from the list sonographer name 6 Optionally select desired to use ultrasound scanning preset 7 Click on the OK button that closes the Patient Information window Previously performed measurements and calculations will be discarded and the system will be prepared for the examination of the new patient Patient Information Daily List m Human application New patient HEEN D OB GYN C Abdominal Urology Cardiology Vascular Endocrinology M Scanning preset Patient information Exam information Select patient from DICOM worklist Height cm Hospitalclinic name and logo TI kidney 3 Load patient information from file Weight ka Edit hospitals clinics list if a Kerg 18cm Name First Middle Last IT BSA via Weight only Hospital clinic e TI Pancreas 2 TI Pancreas 3 BSA m2 Sonographer name and logo TI THI Today s date date format 2013 01 10 Heart Rate beats min Edit sonographers list meee Birth date Sonographer sl ID ieee eee Sex C Male Female
53. perform the following actions 1 Inside B Measurements ControlBar select measurement tool by clicking Vill Volume small v button of Volume control that will open menu Volume using Two Traces Simpson s Biplane Method B Yolume 2 Traces 2 d Finish TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 98 of 182 Epes 1 Distance 2 Distances 3 Distances 1 Ellipse 1 Trace Simpson 2 Traces Simpson and inside opened menu click 2 Traces Simpson Then menu will be closed and Volume control s mode will be VAS Volume changed to volume calculation using two traces 2 From the first ComboBox inside volume tool options select the number of measurement object that will correspond to a trace on first plane 3 From the second ComboBox inside volume tool options select the number of measurement object that will correspond to a trace on second plane 4 Click Finish button inside volume tool options in order to calculate volume using two selected traces 5 Optionally calculate more volumes by repeating steps 2 4 Please note that for volume calculation are used special traces divided to disks and it is not possible to do this calculation using any other traces TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 99 of 182 11 1 13 Stenosis using Two Distances In order to measure stenosis using two distances per
54. placed first point of a trace and click left mouse button in order to start measurement 3 Move mouse cursor in order to paint trace of desired to measure volume 4 Click left mouse button in order to finish trace painting 5 Move mouse cursor in order to set direction of long axis During this movement on the screen will be visible how the trace will be divided into disks perpendicular to long axis 6 Click left mouse button in order to finish volume measurement 7 Optionally perform another measurement of the same type by repeating steps 2 6 Measurement object and results trace area long axis length and calculated volume m A ER aa m we 1 1 6 13 cm2 L 27 7 mm Y 11 169 cm3 The number of used disks for Simpson s method can be changed at Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 97 of 182 11 1 12 In order to measure volume using two traces perform the following actions usually in B B or 4B mode with perpendicular scans of measured object 1 Inside B Measurements ControlBar select measurement tool by clicking Vill Volume small v button of Volume control that will open menu E 1 Distance 2 Distances 3 Distances 1 Ellipse 1 Trace Simpson 2 Traces Simpson and inside opened menu click 2 Traces Then menu will be closed and Volume control s mode will be
55. ratio and the resolution THI uses two different frequencies for transmitting and receiving the ultrasound signal The receiving frequency is twice the size of the transmitting frequency The THI feature is optional Values The frequency values available depend on the type of probe and beamformer used Measurement units used megahertz MHz Adjustment Frequency 6 MHz Use the Frequency control to change the values If the THI feature lt gt H is available it can be turned on by selecting the appropriate frequency with THI label Bioeffects Frequency adjustments may change the TI and MI values 10 1 8 Angle optional Description Angle control if available allows you to change the ultrasound beam steering angle if a linear probe and a B mode standard scanning type is used and also to change the trapezoid angle if a B mode trapezoid scanning type is used Values The angle values available depend on the B mode scanning type used the probe and on the beamformer Measurement units used degrees Adjustment Angle Use the Angle control to change the values 10 1 9 Frame Averaging Description Frame averaging is an image processing technique that allows you to obtain smoother softer images and reduces ultrasound image noise by averaging several sequential ultrasound image frames together Use higher frame averaging values to obtain smoother images Values The values available may differ depen
56. red icons in the Windows system tray A red indicator means that you must turn on the beamformer power supply or connect it to the mains in order to continue using the system In cases of LS64 FLT 1T and ClarUs systems a red indicator also indicates that the scanner beamformer batteries are discharged and you need to re charge the batteries A left side icon represents the beamformer and a right side icon represents the computer Percentages displayed below the icons indicate the status of the beamformer and computer batteries The presence of icons and text indication below them depends on the used hardware and software configuration TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 16 of 182 During initialization of the ultrasound system the software may display error message boxes that depend on the used hardware and software revisions These message boxes are explained below Ultrasound scanner initialization error xi Ultrasound scanner not found 1 Check if the ultrasound scanner is properly connected 2 Check if the ultrasound scanner s power is turned on 3 Check if the drivers of the ultrasound scanner are installed properly 4 Restart software or click probe selection button This message box is displayed during software startup if software cannot find a valid beamformer within the system This usually happens in the following situations 1 Ultrasound scanner is not connected to computer USB port
57. relevant mode button or appropriate keyboard F1 Fn hotkey using the software top ToolBar 3 If scanning is performed in M mode adjust the M line position If scanning is performed in Color Doppler mode adjust the Doppler window size and position If scanning is performed in PW mode adjust the PW sample volume position and size 4 If necessary adjust the image quality of the selected mode using the mode controls 5 Use proper medical protocols to perform the ultrasound examination pid 6 Press the Freeze Run button or the SpaceBar key to freeze the ultrasound image currently displayed 7 Perform any measurements and calculations if required 8 Add annotations and body marks pictograms if required 9 Save and or print out the ultrasound image and report pid 10 Press the Freeze Run button or the SpaceBar key to re start the ultrasound scanning 11 Optionally repeat steps 2 10 in order to perform an examination using different scanning positions and modes Please note that the software may stop ultrasound scanning not only upon user requests but also automatically following a period of inactivity e g 15 minutes This automatic freeze feature is implemented in order to prolong the lifetime of the ultrasound probe If you want to turn off this feature open the Options window Menu gt Tools gt Options then select the tabs Scanning Control gt General and then in the Automatic freeze GroupBox remove check f
58. starting marker 6 Click using the left mouse button to start drawing an arrow 7 Move the mouse cursor over the ultrasound image to the location where you wish to finish the arrow 6 Click using the left mouse button to finish the arrow drawing process 7 Optionally repeat steps 4 6 in order to draw more arrows To edit delete arrow drawings perform the following 1 If the Annotations ControlBar is not visible move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear In this ToolBar click on the Annotations button This opens the right side Annotations ControlBar 4 Arrow 2 If the arrow tool is not yet selected select this tool by clicking on the Arrow button ECH 3 Move the mouse cursor over endpoint of the arrow on the ultrasound image that you wish to edit 4 Click using the right mouse button to start editing the arrow drawing 5 Move the mouse cursor and arrow endpoint to the desired location 6 Click using the right mouse button to finish the editing or click on the Delete button to delete arrow object 7 Optionally repeat steps 3 6 in order to edit delete other arrows TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 140 of 182 13 4 Drawing Curves To draw a curve on the ultrasound image freeze the ultrasound image and perform the following 1 Move the mouse cursor to the far right side of the screen and wait
59. the Open button TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 41 of 182 9 Using Cine By default the software automatically records the most recent scanned ultrasound image frames to cine memory buffer Cine memory status is displayed on the software bottom right corner using the progress indicator 50 The progress bar filling graphically indicates how much cine memory has been used for recorded frames in comparison with the total cine memory size The number in the centre of the progress bar indicates the number of frames recorded the number of frames that are currently stored in cine memory When the cine memory is full new scanned frames replace the oldest frames and this is indicated by a moving vertical graphical line It is important to note that cine memory is organized in a specific manner so that the user will always see the most recently scanned recorded frames Generally speaking you do not need to bother whether the cine buffer is full or not since the cine will always store the most recently scanned frames A red circle inside the progress bar indicates that live scanning is currently in progress and recording to cine memory Cine is usually used in the following way 1 Select the desired scanning mode and scan the anatomy of interest bid 2 Click on the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 3 Select the desired ultrasound frame using the cine ste
60. the Echo Wave II software In order to start this tool go to the Windows start menu and click on Start gt Programs gt TELEMED gt Echo Wave Il gt Ultrasound System Information Then wait for a short period while this tool collects system information and then send this system info to technical support together with a problem description and the required steps in order to reproduce the problem s Echo Wave II 2 4 0 Echo Wave II Reference Manual P Echo Wave II Software 4D Plugin User Manual P Echo Wave II Software DICOM Conformance Statement E p J s TELEMED D E Clearview plug in activation Echo Wave II User Manual m Programs E ae e ei Teleview b P LogicBoard Ultrasound Keyboard User Manual 3 ei Echo Wave 3 59 D D Settings TELEMED Drivers Package 1 12 11 gt g Search D D Help and Support lt amp Run O ShutDown B Start A Ultrasound System Information oj x Send E mail Save As Copy to Clipboard SYSTEM INFORMATION tr Operating System OS Windows XP Professional Version 5 1 Build 2600 Service Pack 2 CPU support Multiprocessor Free CPU x86 32 rr Microsoft NET Framework Pre Installed versions HKLM SOFTWARE Microsoft NETFramework policy MET 1 1 3706 4322 Setup versions HKLM SOFTWARE Microsoft NET Framework Setup NDP NET 1 1 1 1 4322 NET 2 0 2 0 50727 E DirectX Tit Version x major minor build 4 09 00 090
61. the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 11 Optionally perform measurements and add annotations 12 Optionally print out and or save ultrasound images pid 13 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning again 14 Optionally repeat steps 4 13 in order to scan more CW mode images amp F1 15 Click on the B mode button or on the F1 hotkey to enter B mode TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 38 of 182 8 Using Ultrasound Scanning Presets Available presets Pancreas TI Liver 4MHz 18cm Tl Pancreas 1 Tl Pancreas 2 Tl Pancreas 3 TI THI i gt l Delete Rename Save Save applied settings to file Apply settings from file In order to apply ultrasound scanning preset perform the following actions 1 Open the left side Presets ControlBar if not already open by clicking on the Presets button on the software bottom ToolBar 2 Move the mouse cursor over the name of the preset you want to use from the list of available presets 3 Click using the left mouse button in order to activate this preset 4 Optionally repeat steps 2 3 to use another preset When you activate presets the software at first enters the appropriate scanning mode that was used during the preset saving and then sets the scanning parameters for the controls of that particular mode The name of used preset is sh
62. the Label button The pre defined text label tool is selected and in the Annotations ControlBar the options for this tool are displayed 3 In the list of pre defined annotation texts select the text that you wish to edit by moving the mouse cursor over this text and clicking using the left mouse button 4 Click on the Edit button at the bottom of the Annotations ControlBar This opens a window for editing the annotation text Annotation Ea Annotation OB annotation 2 omen 5 Use the arrow keys the Delete key and type the modified annotation text 6 Click on the OK button or on the Enter key in order to finish editing 7 Optionally repeat steps 3 6 in order to modify other annotation texts To delete an annotation text from the list of pre defined annotations perform the following 1 If the Annotations ControlBar is not visible move the mouse cursor to the far right side of the screen and _ wait for the right side autohide ToolBar to appear In this ToolBar click on the Annotations button This opens the right side Annotations ControlBar 2 If the pre defined text label tool is not selected its options are not visible select this tool by clicking on E abe the Label button The pre defined text label tool is now selected and in the Annotations ControlBar you will see the options for this tool 3 In the list of pre defined annotation texts select the text that you wish to delete by moving the m
63. the Scale in the case of noisy Doppler images 10 4 12 Wall Filter Description Wall Filter adjustments increase or decrease the cut off frequency of the Wall Filter High Pass Frequency Filter which eliminates the unwanted low frequency high intensity signals from tissues or wall motion Increasing the wall filter reduces the display of low velocity tissue motion Lowering the wall filter displays more information but more wall tissue motion will however be displayed Values Wall Filter available values are usually in the interval 2 20 of PRF Measurement units used percentages of PRF Adjustment Wall Filter 4 Hints Use the Wall Filter control to change the values Use a wall filter level that is high enough to remove clutter but low enough to display sufficient Doppler information 10 4 13 Sweep Speed Description Sweep speed determines how fast the PW CW mode image timeline is swept and changes the frequency of acquisition of PW CW mode beams Smaller time values mean that the PW CW image will be filled at a faster rate and larger time values mean that the PW CW image will be filled at a slower rate Fast speeds display fewer waveforms over time but waves with more detail Values Values depend on the scanner and software options used Measurement units used seconds s Adjustment Sweep Speed 4s In order to change sweep speed values use the Sweep Speed lt gt control Smaller values mean f
64. the description of this tool TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 116 of 182 11 3 10 Heart Rate HR using Distance based measurement To measure the Heart Rate HR perform the following actions 1 Select the Heart Rate HR measurement tool by clicking on the Heart Heart Rat Rate button E in the PW CW Measurements ControlBar 2 If you wish to measure the heart rate using a two heart beats interval ensure that RadioButton 2 Beats in the heart rate tool options is ticked Tick this if not already ticked 3 If you wish to measure heart rate using a one heart beat interval ensure that RadioButton 1 Beat in heart rate tool options is ticked Tick this if not already ticked 4 Move the mouse cursor to the position on the ultrasound image where you wish to start the measurement and click using the left mouse button to start measurement 5 Move the mouse cursor to the position on the ultrasound image where you want to finish the measurement and click using the left mouse button to finish measurement 6 Optionally perform another measurement of the same type by repeating steps 4 5 To calculate the Heart Rate HR using a previously measured time interval perform the following actions 1 Select the Heart Rate HR measurement tool by clicking on the Heart Heart Rat Rate button roles in the PW CW Measurements ControlBar 2 If you wish to calculate the heart rate using a two hear
65. the desired font or line style for the selected object if the object support font or line style changes by using the appropriate ComboBoxes and Buttons 8 Move the mouse cursor over the ultrasound image to a position where there are no painted objects drawings measurements 9 Click using the left mouse button to deselect all of the selected objects 10 Optionally repeat steps 4 9 in order to change the style of other drawings To move a previously created drawing annotation or graphical object to another location perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the appearance of the right side autohide ToolBar TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 143 of 182 y 2 In the right side ToolBar click on the Annotations button This will open the right side Annotations ControlBar 3 In the Annotations ControlBar select the selection neutral tool by clicking on the Select button Select The selection neutral tool will be selected and in the Annotations ControlBar you will see the options for this tool 4 Move the mouse cursor over the endpoint or contour of the object that is to be moved 5 Press using the left mouse button and move the mouse cursor without releasing the left mouse button Please note that movement operations affect all selected objects if you previously selected several graphical objects 6 Release the left mouse bu
66. the following Windows menu items Start gt Programs gt TELEMED gt Echo Wave II gt Echo Wave II NH Accessories L Documents gt I Administrative Tools gt Settings gt Games Search CH Startup Help and Support e Run bo Wave II Reference Manual Echo Wave II User Manual di System Information Shut Down P start m EAA 12 86 TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 6 of 182 Please note that in order to use the software you must be logged in to the user account that has operating system Administrator rights If you use either of the Windows Vista Windows 7 or Windows 8 operating systems and User Account Control UAC is turned on then before software startup you will see a warning message that this software EchoWave exe wants access to your computer Click on the Allow button I trust this program know where it s from or I ve used it before in order to start the program 2 2 System shutdown In order to exit the Echo Wave II software simply move the mouse cursor over the software closing x button that is located at the top right corner of the software and click the left mouse button After that you may wish to shut down the Windows operating system by clicking the Windows menu items Start gt Shut Down turn off computer if it does not turn off automatically and the ultrasound scanner TELEMED Echo Wave Il Software User Manual Ver
67. the gain If you increase power however you may need to decrease the gain Hints Always optimize the Gain before increasing the Power Bioeffects Changing the Power may change the TI and or MI Observe the output display for possible effects 10 3 4 Scale Description Scale adjustments increase or decrease the level of power visualized in the Power Doppler PDI and the Directional Power Doppler DPDI modes TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 61 of 182 Values Scale values available are usually in the interval 1 10 This value is non dimensional Adjustment Use the Scale control to change the values This control is available under the software options Menu gt Tools gt Options gt Scanning Control gt Color Doppler mode Scale 19 Relations to other controls After adjusting the Scale you may need to adjust the Gain If you decrease the Scale you may need to increase the gain If you increase the Scale however you may need to decrease the gain 10 3 5 Lines Density Description Lines density adjustments optimize the Color Doppler frame rate or the spatial resolution for the best possible color image Higher density values produce images with better spatial resolution and lower lines density values produce images with higher frame rates Values The lines density values usually available are in the interval 1 7 This value is non dimensional Adjustment Lines Density
68. then check it 3 Optionally if you wish to measure ratio between two circumferences check Circumference CheckBox inside ratio tool options 4 Optionally from the ratio tool options select tool A for defining first OO area Tool is selected by clicking menu button v and from Ce Ellipse Trace appeared menu ae 5 Draw on the ultrasound image first area numerator A using selected tool For detailed instructions on using selected tool see sections about area measurement using ellipse and trace tools If in previous step the tool was not changed then by default is used ellipse tool 6 Optionally from the ratio tool options select tool B for defining second area 7 Draw on the ultrasound image second area denominator B using selected tool For detailed instructions on using selected tool see sections about area measurement using ellipse and trace tools If in previous step the tool was not changed then by default is used ellipse tool A B ratio will be calculated automatically 8 Optionally perform another measurement of the same type by repeating steps 4 7 selecting desired tool eg trace In order to calculate ratio using two previously measured areas perform the following actions 1 Select measurement tool by clicking appropriate A B Ratio button ABO A B Ratio inside B Measurements ControlBar 2 If you wish to measure ratio between two areas ensure that Area CheckBox inside ratio
69. third button displayed E T L B The letters E T L and B indicate what measurement tool is used for measuring the selected parameter E ellipse tool T trace L line B trace with heart beat detection The software selects this tool automatically and waits while the measurement is performed If a measurement field has a hotkey indicated as an underlined letter e g an underlined A for AC and the calculations ControlBar is active then the desired to measure parameter can be selected by clicking on the relevant hotkey Also the field you want to measure can be selected from the activated ControlBar using the Up and Down arrow keys and then clicking on the Enter key 4 Optionally if you wish to change the measurement tool for the selected field e g measure AC not using ellipse E but using the trace T tool click on this third button and another available tool will be selected KSE e g trace T d 5 Move the mouse cursor over the ultrasound image and measure the desired parameter by performing the mouse clicks required in order to perform the measurement using the selected tool Measurement results will be transferred automatically to the measurement field i 6 Optionally measure other desired parameters by repeating steps 3 5 Please note that after the measurement of the selected parameter its field is linked to the measurement object painted ellipse trace or line If you modify the size
70. tool options is checked If it is not checked then check it 3 Optionally if you wish to measure ratio between two circumferences check Circumference CheckBox inside ratio tool options 4 From the first A ComboBox inside ratio tool options select the number of measurement object that defines first area numerator A 5 From the second B ComboBox inside ratio tool options select the number of measurement object that defines second area denominator B 6 Click Finish button inside ratio tool options in order to calculate ratio using two areas 7 Optionally perform more calculations of the same type by repeating steps 4 6 MB A B Ratio 2 Areas IV Area Circumference el a o a Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 103 of 182 11 2 General M Mode Measurements In order to perform M mode measurements perform the following actions 1 Scan desired M mode image and Freeze it 2 Click Measurements button side measurements ControlBar in order to open right M Measurements Da Distance 3 If opened measurements ControlBar is other than M 2 H a R Heart Rate Measurements use controls for changing General Measurements pages in order to open M Measurements li page 3 Stenosis 4 Inside this ControlBar select desired measurement tool choose options of this tool and perform desired number of
71. vice versa you can use the Negative control Adjustment J Negative To invert the palette place a tick on the Negative CheckBox Relations to other controls Changing the Negative value affects how the palette is displayed on the other controls e g Palette control 10 1 16 Rotate Image Description For some types of examinations e g gynecological examinations you may wish to see ultrasound image rotated by for example 180 degrees This can be done using the image rotation control Values The rotation angles available are 0 90 180 270 Measurement units used degrees Adjustment TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 53 of 182 m Rotate Image In order to rotate an ultrasound image counter clockwise by a gp 90 180 270 particular angle place a tick on the appropriate Rotate Image CheckBox If J the ultrasound image is not to be rotated tick the 0 CheckBox Relations to other controls In some cases after using the rotation angle adjustment you may wish to adjust the ultrasound scanning direction using the Change Scan Direction control Caution When scanning please observe the scan direction marker on the ultrasound image in order to avoid possible confusion 10 1 17 Palette Description The software allows you to adjust the ultrasound image palette using gamma brightness and contrast controls Gamma adjustment changes the gray scale valu
72. was used during the thumbnail creation For example even if a thumbnail is created in B mode it will also store and load parameters for all the available modes B M CFM PDI DPDI PW CW To resize the thumbnails panel press using the left mouse button on the edge of the panel drag it and then release it To move the panel press using the left mouse button inside the panel where there are no thumbnail placeholders or buttons drag the panel and release the mouse button Please note that the software will not allow you to move or resize thumbnails panel if the borders become hidden by other panels TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 148 of 182 16 Saving and Loading Images and Cines To save a currently visible ultrasound image to a pre defined folder of quick saved images click on NM NI a 2 the Image Quick Save button on the image cine saving control To use the other image cine saving options click on the small v menu button on the image cine Image Quick Save Image Save As Cine Quick Save Cine Save 4s saving control and from the menu displayed option select the desired saving 1 Image Quick Save will save the currently visible ultrasound image to the folder of quick saved images defined in software options The image file name will be generated automatically and depends on the software customization options 2 Image Save As will open the file saving di
73. will start recording new scanned frames 8 Optionally perform steps 1 7 in order to scan more images An alternative way of controlling cine frame selection playback is by using the right side Cine EI ControlBar that can be opened by clicking on the Cine button on the software top ToolBar or F11 hotkey TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 42 of 182 Current frame 1 1 Current frame 50 50 Current frame 10 50 E E Play Pause Play Pause Play Pause Record Stop Record Stop Record y Stop Cine ControlBar during live scanning After freeze After 10th frame selection During live scanning the only function available is using the Record Stop button that allows you to manually select when recording of ultrasound frames is started or finished The first click on this button clears the cine buffer and starts recording A second click of the Record Stop button freezes the ultrasound scanning and the recording In order to start ultrasound scanning again click on the Freeze Run button or on the SpaceBar key When ultrasound images are frozen we can use the frame selection TrackBar Current frame in the Cine ControlBar to select desired frames Frames can be selected by dragging the TrackBar thumb using the mouse or by moving the mouse cursor over the TrackBar and rotating the mouse wheel if present If the Current frame TrackBar is activ
74. 0 32 The value means at what level the gray scale values are rejected A value of 0 means that no rejection is performed Higher values mean that more data is rejected Adjustment Rejection 10 Use the Rejection control to change rejection values TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 51 of 182 10 1 12 Image Enhancement Description Ultrasound images can be enhanced by using smoothing filters that remove noise or by using sharpening filters that enhance the tissue boundary visibility e g for vessels Values The software displays indexes of the image enhancement methods available Adjustment M Image Enhancement Enabl In order to enable image enhancement place a tick on the NI Enable CheckBox Then select the desired enhancement method using the Method control Method 3 lt gt Y Relations to other controls Enabled image enhancement may reduce frame rate If your want higher frame rates you may need to disable the image enhancement 10 1 13 Speckle Reduction PureView ClearView optional plug in Description PureView ClearView optional and other methods are image enhancement techniques that can be used in order to reduce speckle noise and view smoother ultrasound images Values Available values depend on the software hardware configuration used and on the ultrasound probes Displayed values mean speckle filtration level Adjustment M Speckle Re
75. 0 of 182 11 1 5 Angle using Two Lines In order to measure angle between two lines vectors perform the following actions 1 Select measurement tool by clicking appropriate Angle button n Ms inside B Measurements ControlBar 2 Move mouse cursor to position on the ultrasound image where first vector should start and click left mouse button in order to start measurement 3 Move mouse cursor to position where first vector should end and click left mouse button 4 Move mouse cursor to position where second vector should start and click left mouse button 5 Move mouse cursor to position where second vector should end and click left mouse button in order to finish angle measurement 6 Optionally perform another measurement of the same type by repeating steps 2 5 Please note that at line s vector s starting point is painted its number the number of measurement object Measurement objects two vectors Results lengths of vectors and angle between vectors 1 18mm 2 21 7 mm lt AB 1 2 43 6 In order to calculate angle between two previously measured distances perform the following actions 1 Select measurement tool by clicking appropriate Angle button Angle e Ze inside B Measurements ControlBar 2 From the first ComboBox inside angle tool options select the number of measurement object that will correspond to the first vector for angle calculation 3 From the second ComboBox inside angle too
76. 10 Optionally print out and or save ultrasound images pid 11 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning 12 Optionally repeat steps 4 11 in order to scan more M mode images Fi 13 Click on the B mode button or on the F1 hotkey to enter B mode TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 29 of 182 7 6 Color Doppler mode optional In order to enter Color Doppler mode perform the following actions L i 1 If the ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key amp F1 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B mode controls on the software left side ControlBar FR 4 Click on the CFM mode button on the software top ToolBar or click on the F5 hotkey to enter CFM mode F4 5 Optionally click on the mode change button on the software top ToolBar or click on the F4 hotkey to loop through the Color Doppler modes PDI gt DPDI gt CFM 6 Optionally select the desired Color Doppler mode CFM PDI DPDI from the menu by clicking on the v F5 button of the Color Doppler button followed by clicking on the desired menu item CFM HIV DD 7 Adjust the Color Doppler window position and size by using the Doppler Window controls on the left side Color Doppler Contr
77. 2 BSA via Weight only BSA m2 1 89 Heart Rate beats min ei OK 5 Close the Patient Information window by clicking on the OK button EA To measure a Cardiology parameter perform the following actions 1 Open the Cardiology calculations ControlBar if not already opened by clicking on the Calculations button Study 1 2 Left Ventricle 2 Use the Study control Les from the Cardiology calculations ControlBar to open the study page that contains the control measurement field with the name of the parameter to be measured e g HR if not already included in the GE study page ie study can be changed by clicking on the lt and gt buttons of the Study control or by clicking on the v button and from the opened menu then selecting the desired study Abbreviations of measurements e g HR meaning Heart Rate and for calculations used formulas can be found in the software reference manual HR 0 b min gt 3 Click on the button of the desired to measure parameter e g HR If the field contains measurement data this data will be deleted and on the right side of the v button you will see a e HR 0 bdmm v L K third button displayed E T L or B The letters E T L and B indicate what measurement tool is used for measuring the selected parameter E ellipse tool T trace L line B trace with heart beat detection The software selects this tool automatically and waits while th
78. 2 4 A B Ratio using Two Distances Times or Velocities In order to measure the ratio of two distances times or velocities perform the following actions 1 Select measurement tool by clicking A B Ratio button ABI A B Ratio Gg inside M Measurements ControlBar 2 If you wish to calculate ratio between two distances ensure that Distance CheckBox inside ratio tool options is checked If it is not checked then check it 3 Optionally if you wish to calculate ratio between two time intervals check Time CheckBox inside ratio tool options 4 Optionally if you wish to calculate ratio between two velocities check Velocity CheckBox inside ratio tool options 5 Move mouse cursor to position on the M mode ultrasound image where should be started first distance numerator A and click left mouse button in order to start measurement 6 Move mouse cursor to position on the M mode ultrasound image where should be ended first distance and click left mouse button 7 Move mouse cursor to position where should be started second distance denominator B and click left mouse button 8 Move mouse cursor to position where should be ended second distance and click left mouse button in order to finish ratio measurement 9 Optionally perform another measurement of the same type by repeating steps 5 8 In order to calculate ratio using two previously measured distances perform the following actions 1 Select measurement t
79. 4 Internet Explorer Version major minor build subbuild 6 0 2900 2180 Windows Installer MSI Installer Version major minor build subbuild 3 1 4000 4039 tr Logical Disks HDD c gt Size 152617 MB Free 44856 MB kk Memory kk RAM Total 1024 MB RAM Free 702 MB RAM swap Total 2465 MB If Ultrasound System Information is unable to collect system information in some cases of incorrect Windows registry entries then please send the following files if present to technical support e C Program Files TELEMED Echo Wave II sysinfo log e C Program Files TELEMED Echo Wave II log txt e And also log file that is generated when you click using the right mouse button on the Ultrasound Scanner Monitor icon in Windows system tray at the right bottom corner of the screen and select the menu item designated as Show Log Show Log TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 172 of 182 29 Frequently Asked Questions FAQ This section contains answers to the most commonly asked questions regarding the Echo Wave II software 29 1 Changing hospital clinic names Question How to change hospital clinic name Answer When ultrasound scanner and probe are connected open Patient information window enter desired name to field Hospital clinic close window by clicking OK button For other available customizations please read section Customizing Your System
80. 6 Palettes and Color Maps 7 Presets Alternatively you can move the mouse cursor to the left side of the screen wait for a short period and then inside the autohide left side ToolBar displayed click on the button of the desired scanning mode to adjust 2 Each ControlBar may have several pages of controls Optionally inside the open ControlBar select the page of controls where the desired controls are found for the appropriate parameter by clicking on the lt and gt buttons at the bottom of the selected ControlBar If the ControlBar is active the pages can be changed by clicking on the Page Up and Page Down keys 3 Move the mouse cursor over the appropriate control and perform adjustments by rotating the mouse wheel if your mouse has a wheel or by clicking using the left mouse button at appropriate control location depending on control type ControlBars for each mode also support keyboard navigation This means that if a ControlBar is active then the active controls can be selected by clicking on the Up and Down arrow keys and the values of active controls can be changed by clicking on the Left and Right arrow keys Optionally active controls can be indicated by different caption colors or by colored rectangles displayed on the left and right sides of the control 4 Optionally repeat steps 1 3 in order to adjust all necessary parameters Parameters for each mode that can be adjusted are described in the following s
81. 7 Frequency and Tissue Harmonic Imaging CTHI 49 101 8 Angle Optional sa aada sec acpadedchecaedegesasdeade OEE EELEE 50 10 1 9 Frames AVELAGING D 50 10 1 10 KA ANO PEE PEE EE EEE EEE EEEEEEEEEEEEEEEEEEECEEELEEEEEEEEEEEEEEEEEEEE EEE EEE EEE EEE EEE EEC EEEEEE EEL EEEEEECLEEEEEECLEEEEEEPEEEe 51 10 1 11 KEE 51 10 1 12 Image Enhancement asoini 52 10 1 13 Speckle Reduction PureView ClearView optional Gug in 52 10 1 14 Lines Density optional 53 10 1 15 Negative See E EE EE RECEP CE CECE EE EE E E EE ER 53 10 1 16 Ralt te E 53 10 1 17 Palettes eege aude iuaideliuaial tut al ia as tetas 54 10 2 Adjusting M Mode Controls ccccccceccceceeeeeeeeeecccneeeeeeeeeeeeccceeeeeeeeeeseccaaeeeeeeeeesesncneeeeeeeeetees 55 10 2 1 MAine Le 56 10 2 2 E E E E E PE N TE A aaa aaalantt 56 102 37 gt GAIN EE 56 TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 2 of 182 10 2 4 KEE 57 10 2 5 BrIQhtnGSs i se 2ec feccfecsfacedac E E E ansiueeh E 57 10 2 6 KEELT 57 10 2 7 SEU 58 10 28 EE 58 10 3 Adjusting Color Doppler Mode Control 59 10 3 1 PRF Pulse Repetition Freouency 60 10 32 25 Gai einai ce ee ae a ae a ie ee ae i ee 60 10 3 3 POW AE AE ME MEAN AAA EME ege ME ME ME ME ME ME ME ME ee lela de 61 10 3 4 Eeer eebe erer 61 10 3 5 Hnes DEE 62 10 3 6 Color Doppler Window Size and Position 63 10 3 7 Color Averaging E 63 10 3 8 EV MANIC ERAN OC oR a ee ra E A A A A AAAA 64 10 3 9 EK ea
82. ABI measurements using this tool 4 A B Ratio 5 If needed choose another measurement tool choose its vu Di F Distance d tv options and again perform desired number of measurements i using selected tool Show Results M Distance General M mode measurements ControlBar lr SE Ime Num Description i 1 Distance time velocity measurement tool button T Velocity 2 Heart Rate measurement tool button 3 Stenosis measurement using two distances tool i button e A A A B ratio of two distances measurement tool button 5 Options of selected tool 6 Neutral tool button Neutral tool is used in order to select edit and delete measurement objects 7 Button for deletion of selected measurement and drawing objects 8 Button for deletion of all measurement and drawing objects 9 Controls for changing pages of General Measurements 6 7 8 d TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 104 of 182 11 2 1 Distance Time Velocity In order to measure distance time or velocity perform the following actions 1 Select distance measurement tool by clicking Distance button ga Distance e inside M Measurements ControlBar 2 If you wish to measure distance ensure that CheckBox Distance inside distance tool options is checked If it is not checked then check it 3 Optionally if you wish to measure time or velocity then check appropriate CheckBoxes Time Velocity inside distance t
83. AL open file with previously saved presets select desired presets and move them using lt lt button to the left side INTERNAL Then click the OK button in order to close options window Please note that for operations with presets the appropriate ultrasound scanner and probe must be connected for which you want to manage presets If you want to copy or make back up of other data here is the list of most important files and folders inside the Echo Wave II installation folder or configuration folder if software was configured for multiuser environment e Ultrasound scanning presets Config Presets e Last used ultrasound scanning parameters Config hw_state dat e Options Options Window Config Options options dat e OB tables Config Options ob_ga_tables dat e Hotkeys Config Options hotkeys dat e Templates of comments Patient Window Config CommentsTemplates e Texts of annotations Annotations at right side ControlBar Config Annotations e Body mark images Config BodyMarks TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 173 of 182 For information about data format changes if any check the software readme txt file Software settings also can be saved restored using Backup Restore utility that is available at Echo Wave II Menu gt Tools gt Backup Restore 29 3 Video playback frame rate Question During live scanning and rec
84. B ratio of two trace based measurements tool button 9 Del Selected 10 7 Heart Rate measurement tool button 8 Options of selected tool 11 Delete All 9 Neutral tool button Neutral tool is used in order to select edit and delete measurement objects i 10 Button for deletion of selected measurement and Wee drawing objects KR 11 Button for deletion of all measurement and drawing objects 12 Controls for changing pages of General Measurements TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 109 of 182 11 3 1 Velocity and Pressure Gradient PG using One Point In order to measure Velocity or Pressure Gradient PG perform the following actions 1 Select point based measurement tool by clicking Point button Point inside PW CW Measurements ControlBar 2 If you wish to measure Velocity ensure that CheckBox Velocity inside point based measurement tool options is checked If it is not checked then check it 3 Optionally if you wish to measure Pressure Gradient PG then check appropriate CheckBox Pressure Gradient DG inside point based measurement tool options Please note that you can check several CheckBoxes 4 Move mouse cursor to position on the ultrasound image where you wish to perform measurement and click left mouse button in order to perform measurement 5 Optionally perform another measurement of the same type by repeating step 4 PW Point Show Results IV Velocity Press
85. Bars and ControlBars In order to see the autohide software components move the mouse cursor to appropriate edge of the screen left right top or bottom edge and hold the mouse cursor there for a few seconds until the autohide component is displayed Autohide components disappear when the mouse is moved away from these components Autohide components react to mouse movement only when the main window of this software is active Num Component Description 1 Left ToolBar Autohide Left ToolBar contains buttons that are used for opening and activation of appropriate left side ControlBars B mode controls M mode controls TGC controls e Palettes e Presets 2 Right ToolBar Autohide Right ToolBar contains buttons that are used for opening and activation of appropriate right side ControlBars e Measurements e Calculations e Body Marks e Annotations e Biopsy Guidelines 3 Pure ultrasound Pure ultrasound image contains ultrasound image data and painted image information scale lines TGC curve measurement lines and curves on it 4 Ultrasound image Ultrasound image area contains pure ultrasound image in the centre of it and area ultrasound surrounding data image header measurement results palettes and scanning parameters that is printed or saved depending on the user request TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 9 of 182 3 3 Components of the Ultrasound Image Area Hospital clin
86. C 174 29 4 Why ultrasound scanning is stopped after period of inactivity eecceeeeeeeeeeeeeeeeetteeeeeeeeeeees 174 29 5 Using software in multiuser Environment ccccceeeeeeeeeeeecceeeeeeeeeeeeecccneeeeeeeeeteeeecneeeeeeeeetees 174 29 6 Software control using Command Wine 176 29 7 Playback and processing of AVI video files on Apple Macintosh computers with Mac OS operating system and on UNIX like systems and using software with limited video format support sssssseeeeesss 178 29 8 Speeding up software startups ANd operation 179 30 eebe 180 31 PREVEO FUON ATOTO OO OOTO OOOO EOE 181 TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 4 of 182 1 Introduction This document Echo Blaster 64 Echo Blaster 128 LS64 LS128 ClarUs and SmartUs Series Ultrasound Systems Echo Wave II Software User Manual describes the TELEMED Ultrasound Systems based on Echo Blaster LS64 LS128 ClarUs or SmartUs series of ultrasound scanners and Echo Wave II ultrasound scanning software This document describes the Echo Wave II software user interface its structure controls and how to use this software for ultrasound processing Please note that in this manual the software screenshots shown may look slightly different from the actual software user interface because user interface can be customized and depends on the chosen options Before using this software you must be trained in clinical procedures
87. E comsdupd wins F autochk exe PP cisvc exe E conime ex Desktop xircom f Jautocony exe P ckenv exe E control ex actmovie exe Jautofmt exe 4 cleanmgr exe PIconvert e gt ey i ahui exe Jautolfn exe P CleanUp exe W cscript exe alg exe P Iblastcln exe 8 ciconfg exe Pass eg My Documents append exe bootcfa exe EX clipbrd exe PP ctfmon ex ep arp exe Ibootok exe H Arer ee Pldcomenfg jg ast_Fmt exe P bootvrFy exe PP lclspack exe E ddeshare bs ast_ldm exe P Icacls exe cmd exe debug exe My Computer ast_pfu exe calc exe Ef cmdi32 exe Pldefrag exe e Es DI VE My Network File name ER D Open Places Files of type Executable files exe Cancel 5 To store changes close the Options window by clicking on the OK button at the bottom of this window Alternatively click on the Cancel button from the Options window to close this window without saving any modifications TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 163 of 182 22 Using 3D Lite Easy 3D and PanoView Plug ins optional If you have purchased and installed optional plug ins and inserted the appropriate USB dongle key only one key before software startup you must perform the following actions in order to start the desired plug in software 1 On the software top ToolBar click on the Menu button li 2 From the displayed menu select the plug in application you wish to start 3D Lite Eas
88. In the event of the DICOM Worklist server returned an incorrect patient name ID or any other information you will need to perform database corrections using the database server software which is not part of Echo Wave II When inside a DICOM Worklist panel are clicked buttons Start exam Finish exam Discontinue exam software sends information about the changed examination status to the MPPS server if configured sends a query to the MWL server updates the worklist and invokes the New patient command TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 21 of 182 5 2 Using Daily List The daily list of patients seen is usually used as a control report to ensure that the results have been dictated for every case Patient information to daily list is added by clicking Patient window button Add patient information to daily list Daily list is opened by clicking Daily List tab control at the top of Patient window Patient Informatio Num Patientname Age fio Sex M Shown columns Daily list date Delete selected list item IV Patient name Tl Responsible person 2012m kovas 23d x T Birth date I Exam date and time M Age I Hospital clinic _Pintpreview M ID I Sonographer M Sex T Automatically add information to daily list when Patient window is closed with OK button OK Cancel Controls in Shown columns group allow to select what patient information is shown in a l
89. Length button Aa Length inside the B Measurements ControlBar If the measurement tool button has a hotkey shown as an underlined letter e g an underlined L for Length and the measurements ControlBar is active the tool can be selected by pressing this hotkey on the keyboard 2 Move the mouse cursor to the position on the ultrasound image where you wish to start the measurement and click using the left mouse button in order to start the measurement process 3 Move the mouse cursor along the contour of the object you want to measure on the ultrasound image 4 Click using the left mouse button in order to finish the measurement process 5 Optionally perform another measurement of the same type by repeating steps 2 4 Measurement object Result length 1 36 2 mm MB Length 1 Trace TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 88 of 182 11 1 3 Area and Circumference using Ellipse Tool In order to measure area and or circumference using ellipse tool perform the following actions O Area 1 Select measurement tool by clicking appropriate Area button inside B Measurements ControlBar 2 If you wish to measure area ensure that Area CheckBox inside tool options is checked 3 If you wish to measure circumference ensure that Circumference CheckBox is checked 4 Optionally if you wish to measure long axis short axis of an ellipse or ellipsoid volume place checks on app
90. Measurements button in order to open right A B Ratio side measurements ControlBar 3 If opened measurements ControlBar is other than PW CW 3 e 4 a atio Measurements use controls for changing General Measurements pages in order to open PW CW ABS Measurements page 5 A B Ratio 6 4 Inside this ControlBar select desired measurement tool choose options of this tool and perform desired number of measurements using this tool 7 Heart Rate 5 If needed choose another measurement tool choose its options and again perform desired number of measurements d using selected tool Auto trace General PW CW mode measurements ControlBar M Use beat detector Num Description Show Results 1 Point based Velocity Pressure Gradient IV Heart Rate measurement tool button E 2 A B ratio of two point based measurements tool i i button oe J Pressure Gradient PSV 3 Distance two points based Velocities difference gt Pressure Gradient EDV Pressure Gradients PG difference Times difference I Pressure Graciant min Acceleration and Resistivity Index RI measurement 3 tool button J Pressure Gradient mean 4 AIB ratio of two distance based measurements tool M Resistivity Index Rl gt button Lat Vel _ 5 1 LG Pulsatility Index PI race base elocity min max mean ressure SCH Gradient PG min max mean Velocity Time Integral H M MLM ill VTI Resistivity Index RI Pulsatility Index PI N measurements tool button Edit 6 A
91. Measurements ControlBar select measurement tool by clicking Vill Volume i small v button of Volume control that will open menu Vill 1 Distance 2 Distances 3 Distances 1 Ellipse and inside opened menu click 2 Distances Then menu will be closed and Volume control s mode will be changed to volume V Volume calculation using two distances 2 Move mouse cursor to position on the ultrasound image where should be placed first point of an ellipsoid long axis and click left mouse button in order to start measurement 3 Move mouse cursor to position on the ultrasound image where should be placed second point of an ellipsoid long axis and click left mouse button 4 Move mouse cursor to position where should be placed first point of an ellipsoid short axis and click left mouse button 5 Move mouse cursor to position where should be placed second point of an ellipsoid short axis and click left mouse button in order to finish volume measurement 6 Optionally perform another measurement of the same type by repeating steps 2 5 Please note that for calculations it is assumed that third ellipsoid axis is equal to the second axis In order to calculate volume using two previously measured distances perform the following actions 1 Inside B Measurements ControlBar select measurement tool by clicking Vill Volume small v button of Volume control that will open menu 1 Distance Distances 3 Distances 1 Ellip
92. Most controls of PW and CW modes are common If some controls are different this is described in this text below TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 70 of 182 10 4 1 PW Sample Volume position and size Description The sample volume position and size controls allow you to adjust the location and size of the PW Doppler region being examined so that you can place it at position where the anatomical structure of interest is located The sample volume is displayed along the scan line as two parallel lines Smaller sample volume gates produce accurate sampling results because it is more sensitive You can also enlarge the gate to hear the Doppler audio better or for sampling large vessels or areas Values Sample volume size values are usually in the interval 1 10 mm but this may vary depending on the beamformer and probe used Sample volume size measurement units used millimeters mm Adjustment m Sample Volume ee To set the position of the PW sample volume select the PW line lt gt tool by clicking on the 4 hotkey or on the appropriate button on the bottom ToolBar click using the left mouse button on B or Color Doppler Position image when the PW line is visible and the PW sample volume PW line adjustment tool is active ese Es An alternative method of adjusting the position and size of the PW sample volume is to use the Sample Volume Size and Position controls
93. P 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 AC 252 5 mm GA AC 30 4 EDD AC 2013 02 15 AC 252 5 mm GA AC 30 4 EDD AC 2013 02 15 The software also allows you to plot different measured parameters AC BPD HC FL and others on the growth curves of different authors Calculations Growth Curves FirstName LastName 123456789 d lini 2012 12 11 1978 08 24 AC mm AC GA Jeanty84 S 95 AC mm 5 BPD mm BPD GA Jeanty84 v 95 BPD mm 5 3504 1004 30047 SIb e E 2004 1504 1004 xi Ze Age weeks Age weeks Errr torrir rttr reok ease Fritter ee ores eee eerste pal 12 16 20 24 28 32 36 40 12 16 20 24 28 32 36 40 Present Past Present LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 AC 252 5 mm GA AC 30 6 EDD AC 2013 02 13 BPD 73mm GA BPD 28 2 EDD BPD 2013 03 03 HC mm HC GA Jeanty82 he 95 HC mm 5 FL mm FL GA Jeanty84 x 95 FL mm 5 4004 804 3504 7047 300 d 604 250 50 2004 404 1504 3047 1004 207 504 Age weeks 104 Age weeks D 12 16 20 24 28 32 36 40 Ae 16 20 24 28 32 36 40 Present Present LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 HC 265 6 mm GA HC 28 3 EDD HC 2013 03 02 FL 56 8 mm GA FL 30 2 EDD FL 2013 02 17 Cancel Save Print TELEMED Echo Wav
94. Relations to other controls Changes to the PW sample volume size and position may automatically change the Power value and the available PRF values When a sample volume position or size is changed the cine memory is cleared Bioeffects Changing the sample volume gate size and position may change the TI and or MI 10 4 2 CW Cursor position Description The cursor position control allows you to adjust the location of the CW Doppler region being examined so that you can place it at position where the anatomical structure of interest is located The CW focusing point is displayed along the scan line as small circle TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 71 of 182 Adjustment M CW Cursor Position To set the position of the CW cursor select the CW line tool by clicking on the 4 hotkey or on the appropriate button on the bottom ToolBar click using the left mouse button on B or Color Doppler image when the CW line is visible and the CW line adjustment tool is active x An alternative method of adjusting the position of the CW line is to use the CW Cursor Position controls ES A Relations to other controls Changes to the CW cursor position may automatically change the Power value When a CW cursor position is changed the cine memory is cleared Bioeffects Changing the CW cursor position may change the TI and or MI 10 4 3 PRF Pulse Repetition Frequency Description P
95. TELEMED Ultrasound medical systems TELEMED SmartUs ClarUs LS128 LS64 Echo Blaster 64 Echo Blaster 128 Ultrasound Systems Echo Wave II SOFTWARE USER MANUAL Telemed Medical Systems web www telemedultrasound com TELEMED Telemed Office mail info telemeditalia com Ultrasound Medical Customer Care mail customercare telemeditalia com Systems Telemed Vilnius web www telemed t Content er RE 5 2 System Startup and Shutdown cece ee eeeeccceeeeeeeeeeeecccaeeeeeeeeesecccceeeeeeeeeseedcsaeeeeeeeeetee 6 2 1 System statu piaia eee ae iaa A e E AE AE E EA T E EAA 6 2 2 System SNUtdOWN WEE 7 3 Software User Interface Structure iieii reiii iii ina E AEE deg deg AE 8 3 1 MAIN WINK e EE 8 3 2 Autohide ToolBars and Ultrasound Image Areza nn nnn En nn nn nniiniininnies 9 3 3 Components of the Ultrasound Image Area 10 3 4 Main Window Controls and Control Groups 11 3 5 Types Ett ett ecttintleteledetsiidedededeledetedsdetededetedetetedeledaditededetadeladileletetald dedtdelediees 13 4 Indication of Ultrasound System Status ccccceececeeeeeecceeeeeeeeeeeecccaeeeeeeeeeeeecccaeeeeeeeeeeesecneeeeeeeeetee 16 5 Starting Examination of New Patient ccccccccccceeeeeececceeeeeeeeeeeeecaeeeeeeeeeeeeeccaeeeeeeeeeteeesieeeeeeenenee 18 5 1 Using DICOM Modality Worklist 0 ccccccceccccceeeeeeeeeeeecccnneeeeeeeeeeeccccaeeeeeeeeeeecccieeeeeeseeeeeenaaes 20 5 2 Using Dally LASt EE 22
96. Ver 1 8 0 2013 12 03 Page 54 of 182 10 2 Adjusting M Mode Controls To adjust the M mode controls open the left side M controls ControlBar by clicking on the M Eh 2 controls button on the software bottom ToolBar or on the 2 hotkey Line Position lt Sweep Speed 2s lt Rejection 14 1 Brightness 0 1 I Negative Frequency 4 MHz lt gt TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 55 of 182 10 2 1 M line Position Description The M line M cursor position determines which scan line is used for M mode information obtained Adjustment Line Position To adjust the M line position use the Line Position control or click lt gt using the left mouse button on the ultrasound image when the M line is active Hints The active tool is visible at the top right corner of the top ToolBar If the M line tool has not been selected for example because the Zoom or other tool was used you am 2 can select the M line tool by clicking on the M controls button on the software bottom ToolBar or on the 2 hotkey 10 2 2 Sweep Speed Description Sweep speed determines how fast the M mode image timeline sweeps and changes the frequency of acquisition of the M mode beams Smaller time values mean that the M image will be filled at a faster rate while greater time values mean that the M image will be filled at a slower rate Values Values depend on th
97. W mode optional In order to enter B CW mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key FI 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the Es mode controls on the software left side ControlBar BAD mode B CW mode 4 Open menu of the B PW mode button on the software top ToolBar and select B CW mode menu item to show the running B mode image with the CW line on it and the frozen CW mode image If B CW mode was selected before and button stored this selection then B CW mode can also be selected by clicking on the F6 hotkey 5 Click using the left mouse button on the B mode ultrasound image to select the CW cursor position An alternative way of selecting the CW line is by using the CW Cursor Position control on the left side CW mode ControlBar Adjust the CW cursor position using the controls on the left side CW mode ControlBar A FB 6 Click on the B CW mode button or on the F6 hotkey to freeze the B image and run the CW image 7 Optionally adjust the CW cursor position by clicking the left mouse button on the B mode image and by using the appropriate controls on the left side CW mode ControlBar 8 Optionally adjust the CW image using the CW mode controls on the software left side ControlBar L i
98. WM_COPYDATA in order to avoid multiple startups of ultrasound application process In order to pass multilanguage parameters e g patient name must be used Unicode string format In one command line can be passed several commands for example EchoWave exe set_patient_name John Smith set_patient_id 123 When are used command line commands software must be run in single instance mode That is must be turned off option that allows to start several software instances because otherwise each executed command line will start new software instance 29 7 Playback and processing of AVI video files on Apple Macintosh computers with Mac OS operating system and on UNIX like systems and using software with limited video format support Question How can save AVI video files for playing and processing on Apple Macintosh computers with Mac OS operating system and on UNIX like systems and make AVI files compatible with software that has limited support of video formats Answer We cannot guarantee that saved AVI video files will be properly shown on operating systems other than Microsoft Windows because other operating systems have their own video storing formats and compression methods We can only give you some hints that may be helpful 1 In Echo Wave II options Menu gt Tools gt Options gt Saving and Printing group Video saving turn OFF option Save video using reduced color depth when possible 2 When saving video in AVI forma
99. Windows registry tree at HKEY_CURRENT_USER SOFTWARE TELEMED Echo Wave II Create Expandable String Value named ConfigDir that contains path to Echo Wave II Config directory that must be used by Echo Wave TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 174 of 182 Il software for this logged in Windows user For example C Program Files TELEMED Echo Wave II Config_user2 or ProgramFiles TELEMED Echo Wave II Config_user2 Also create a copy of Echo Wave Il Config folder that corresponds to path in Windows registry When C Program Files TELEMED Echo Wave Il EchoWave exe is executed it will read appropriate path from Windows registry If the user does not have permissions to write to C Program Files copy Config folders to another location where the user has appropriate permissions In order to start software using standard user account that does not have Administrator rights at first operating system must be appropriately configured If you use Windows Vista or Windows 7 operating system turn off Windows User Account Control UAC Then using Administrator account set permissions for the desired users for Echo Wave Il Config folder s and to Windows registry key HKEY_LOCAL_MACHINE SOFTWARE TELEMED on 64 bit Windows registry key is HKEY_LOCAL_MACHINE SOFTWARE Wow6432Node TELEMED In order to adjust permissions of folders click right mouse button on folder from appeared menu select Properties in
100. adjust the focusing depth using the Focus control Focus Set 1 AES Hints In order to achieve a higher frame rates use static focusing untick the Dynamic Focus CheckBox with a small number of focuses set the Focuses Number as 1 Relations to other controls After adjusting Depth you may need to adjust the Focus controls The behaviour of the focuses in the different scanning modes B CFM PW can be adjusted under the software options Menu gt Tools gt Options gt Scanning Control sub tabs B mode Color Doppler mode PW Doppler mode Bioeffects Focus adjustments may change the TI Thermal Index and MI Mechanical Index values TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 46 of 182 10 1 2 Depth Description Depth adjusts the field of view Increase the depth to look at larger or deeper structures Decrease depth in order to look at structures near the skin surface Additionally you may wish to decrease the depth if there is a large part of unnecessary ultrasound image below the displayed anatomical structures of interest You may also need to change the depth in order to see anatomical structures of interest in the centre of the screen Values The list of available depth values depends on the type of probe used Measurement units used millimeters mm The painted depth scale on the ultrasound image displays tick marks at 10 mm intervals Adjustment Depth 60 mm
101. ages tab Please note that thumbnail images only contain pure ultrasound image without any accompanying information header palettes scanning parameters measurement results If you want to create a report from the ultrasound images that contain ultrasound image header palettes scanning parameters measurement results then you must first scan the desired ultrasound image optionally perform measurements and then save or quick save this image Such saved images will appear in the Last saved images tab of the Report window If you perform measurements and calculations using an opened TPD TVD file and want to add an image with performed measurements to the report you must first save this image then open the Report window and drag the image with the mouse from the Last saved images list to the report images area The Calculations tab allows you to see the results of calculations At the same time you can open the Comments tab and write report comments The Preview tab allows you to see the print preview of report pages and if required increase decrease the size of report font and spacing between report data groups If during an examination you saved multiple TPD TVD files and later want to perform measurements and calculations on these files and merge everything into one single report containing calculations based on these different TPD TVD files then you must first open using file opening button or 0 hotkey at software s bot
102. ally release the mouse button and the software will perform the image shift 4 In order to reset ultrasound image to its default position and scale click on the left mouse button on the ultrasound image ensure that the zoom tool is selected 5 Optionally repeat steps 1 4 in order to zoom other areas of the ultrasound image If your computer keyboard has a numerical pad keys with numbers on them located on the right side of main keyboard then you can perform zoom in and zoom out operations using the and keys on this numerical pad In order to perform measurements or other operations such as Doppler Window positioning on a zoomed ultrasound image select the desired measurement or control tool and perform the measurement or other operations as described in the appropriate sections of this manual In order to control zoom again select the zoom tool When the Zoom button on the software top ToolBar is clicked this not only selects the zoom tool but also opens the Zoom controls on the Se software left side ControlBar Zoom 100 Using these controls you can zoom in up to 600 or zoom out up le to 60 the ultrasound images the default zoom is 100 J You can reset the zoom level and image shifting to the default values by clicking on the Default button Default The positioning controls allow you to shift the ultrasound image and E move the anatomical structure of interest to the centre of the ultrasound i
103. alog Save As RE Save in S images DI EI cr ES My Recent Documents Desktop Gi My Documents pe My Computer K My R File name Joel nd zs SC Save as type Leeenrng zd Cancel In the Save As dialog select the folder where you wish to save the ultrasound image enter the file name select the file type and click the Save button to save image Alternatively click on the Cancel button to cancel the saving operation 3 Cine Quick Save will save current cine to the folder of quick saved images defined in the software options The file name will be generated automatically and depends on the software customization options 4 Cine Save As will open the file saving dialog in a similar manner to Image Save As but with file types that can store cines In the cine saving dialog you can also enter the desired to save cine frames interval Please note that if you are using the M or PW CW mode and the entered frames interval is shorter than the width of the ultrasound output rectangle at the start of the interval the software will automatically save additional ultrasound data TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 149 of 182 After the selection of a menu item using the image saving control the last selected item will be stored and the large button icon will change accordingly Next time you can invoke the same image saving action by simply clicking on this large button The qu
104. already available language files and translating them After the next startup the software should allow you to select the newly added language if you kept the same file naming rules and internal data format If you cannot see the symbols of any East Asian language activate the support for these languages on the Windows Control Panel In order to do this go to Windows Start gt Settings gt Control Panel open Regional and Language Options dialog select a Languages tab tick Install files for East Asian languages and then close the dialogs using the OK button If requested restart Windows Regional and Language Options 2 xi Regional Options Languages Advanced M Text services and input languages To view or change the lanquages and methods you can use to enter text click Details M Supplemental language support Most languages are installed by default To install additional languages select the appropriate check box below Je Install files for complex script and right to left languages including Thai IV Install files for East Asian languages Apply OK Cancel TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 167 of 182 25 Customizing Your System Menu To customize your system select the software main menu by clicking on the menu button on the software top ToolBar and on the sub menu Tools gt Options In the displayed Options dialog you can perfo
105. an ellipse short axis and click left mouse button in order to finish measurement 5 Optionally perform another measurement of the same type by repeating steps 2 4 Please note that for calculations it is assumed that third axis of an ellipsoid is equal to the second short axis In order to calculate volume using previously measured ellipse perform the following actions 1 Select measurement tool by clicking appropriate Volume button VO Volume J inside B Measurements ControlBar 2 From the ComboBox inside volume tool options select the number of measurement object ellipse that will be used for volume calculation 3 Click Finish button inside volume tool options in order to calculate volume of an ellipsoid 4 Optionally calculate more volumes by repeating steps 2 3 MB Volume 1 Ellipse e Fa Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 94 of 182 11 1 9 Volume using One Distance In order to measure volume of a sphere using one distance sphere diameter perform the following actions 1 Inside B Measurements ControlBar select measurement tool by clicking Vill Volume small v button of Volume control that will open menu 1 Distance 2 Distances 3 Distances 1 Ellipse and inside opened menu click 1 Distance Then menu will be closed and Volume control s mode will be changed to volume Vi Volume calculation using one distance 2 Move mous
106. areas perform the following actions 1 Select measurement tool by clicking appropriate Stenosis button 0 Stenosis i inside B Measurements ControlBar 2 From the first ComboBox inside stenosis tool options select the number of measurement object that defines first area 3 From the second ComboBox inside stenosis tool options select the number of measurement object that defines second area 4 Click Finish button inside stenosis tool options in order to calculate stenosis using two areas 5 Optionally perform more calculations of the same type by repeating steps MB Stenosis 2 Areas e a_o a Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 101 of 182 11 1 15 A B Ratio using Two Distances In order to measure the ratio of two distances perform the following actions 1 Select measurement tool by clicking appropriate A B Ratio button AB I A B Ratio inside B Measurements ControlBar 2 Move mouse cursor to position on the ultrasound image where should be started first distance numerator A and click left mouse button in order to start measurement 3 Move mouse cursor to position on the ultrasound image where should be ended first distance and click left mouse button 4 Move mouse cursor to position where should be started second distance denominator B and click left mouse button 5 Move mouse cursor to position where should be ended se
107. aster updating of PW CW image Relations to other controls When the Sweep Speed value is changed the cine memory is cleared Bioeffects Sweep speed adjustments may change the TI and MI values TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 77 of 182 10 4 14 Scale Description Scale adjustments increase or decrease the level of power that is visualized Values Scale values available are usually in the interval 0 4 This value is non dimensional Adjustment Scale 0 Use the Scale control to change the values lt gt Relations to other controls After adjusting the Scale you may need to adjust the Gain If you reduce the scale you may need to increase the gain If you increase scale you may need to reduce the gain 10 4 15 Sound Description The sound control allows you to adjust the level of audio output In order to hear sound you must have computer speakers and these must be turned on Values The Sound Volume values available are in the interval 10 100 Measurement units used percentages Adjustment Sound Volume 59 10 4 16 Frequency Use the Sound Volume control to adjust the audio output level Description Frequency is a characteristic that defines the resolution of an ultrasonic signal Higher frequencies increase the resolution of the incoming ultrasonic signal but reduce visibility of examined tissues at greater depths To examine tissues at smaller
108. at is written on button e g F2 Please note that buttons and other controls look different when they are enabled and disabled Disabled controls are usually gray It is not possible to invoke button control action if that button control is disabled Value change control with menu 3 buttons Two large buttons lt and gt are used for selecting values from the pre defined value list Control displays the name of parameter that it controls e g Depth current value e g 80 measurement units e g mm Click the control button lt in order to select previous list value Click the control button gt in order to select next list value One smaller button v is used for opening the menu with a list of values In order to see the menu with a values list click the control v button using your mouse From the menu displayed Depth 80 mm select the desired value and click on it using your mouse The control current value will change to the selected one An alternative lt gt v method of selecting a desired value from an opened menu is by using the keyboard arrows Up and Down in order to navigate to the desired menu item and then by pressing the Enter key in Depth 80 mm order to select this item 7 Values also can be changed by moving your mouse cursor lt gt over this control and then by rotating the mouse wheel if available i without pressing any mouse button Another way to change values
109. ated not for one detected beat but for a full drawn trace between the dashed endpoint lines If software detects that PW CW data is aliased PW CW trace is painted using red color and calculations are not performed Here PSV Peak Systole Velocity EDV End Diastole Velocity Pw Trace Auto trace IV Use beat detector Show Results IV Heart Rate MV Time T Pressure Gradient PSY T Pressure Gradient EDV IT Pressure Gradient min Pressure Gradient mean IV Resistivity Index Rl k Pulsatility Index Pl k Velocity Time Integral MII TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 114 of 182 11 3 6 A B Ratio of Trace based measurements To measure the ratio of two trace based measurements perform the following actions 1 Select the measurement tool by clicking on the A B Ratio button ABS A B Ratio in the PW CW Measurements ControlBar 2 If you wish to calculate the ratio between two Velocity means ensure that Velocity means ratio CheckBox is ticked in the ratio tool options Tick this CheckBox if not already ticked 3 Optionally if you wish to calculate the ratio between other parameters tick the appropriate CheckBoxes in the ratio tool options 4 Optionally using the menu v of the A button select whether you want to measure a standard trace or a trace with automatically detected heart beat 5 Perform the measurement of the first trace numerator A 6 O
110. aved printed report and are used for the entire report This is the same comments field that is visible in the Patient Information window TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 158 of 182 The controls on the right side of the Comments tab allow you to select from the list and insert button lt pre defined texts templates of comments into the comments field For creating a new template use the New button enter the template name and then enter the template text After creating and saving printing a report close the Report window by clicking the Close button in the Report controls tab If images were added to the report images area the software will ask if you want to delete these images or not Clear images xi 2 ei Clear manually added report images If you have finished working with the current report and saved printed it and do not plan to add more images to it click the Yes button If instead you plan to scan more images and add them to the same report then click on No The list of available images and other data is cleared when selecting a new patient by clicking the appropriate button in the Patient dialog For more information read the section about starting examinations of a new patient and the typical exam workflow The Options tab allows you to select which data must be saved printed inside the report how many columns of images the report will contain and the mi
111. ck left mouse button in order to finish measurement 6 Optionally perform another measurement of the same type by repeating steps 4 5 In order to calculate Heart Rate HR using previously measured time interval perform the following actions 1 Select Heart Rate HR measurement tool by clicking Heart Rate button Heart Rate Res inside M Measurements ControlBar 2 If you wish to calculate heart rate using two heart beats interval ensure that RadioButton 2 Beats inside heart rate tool options is checked If it is not checked then check it 3 If you wish to calculate heart rate using one heart beat interval ensure that RadioButton 1 Beat inside heart rate tool options is checked If it is not checked then check it 4 From the ComboBox inside heart rate tool options select the number of measurement object that will be used for calculating heart rate 5 Click Finish button inside heart rate tool options in order to calculate heart rate 6 Optionally perform more calculations of the same type by repeating steps 2 5 M Heart Rate HR C 1Beat 2Beats 2 a Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 106 of 182 11 2 3 Stenosis using Two Distances In order to measure stenosis using two distances perform the following actions 1 Select measurement tool by clicking Stenosis button l Stenosis GEN inside M Measurements ControlBar 2 Move
112. clear is selected is visible third button AC 267 2 mm f click on this measurement field e g AC button to deselect it the third button AC 267 2 mm will then disappear f AC 267 2 4 Click on the measurement field button you want cleared e g AC asi The field AC 0 mm Y data will be cleared and this field will be selected for measurement s d 5 Optionally repeat steps 3 4 in order to clear data from other fields TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 122 of 182 Please note that this measurement parameter measurement field clearing operation does not delete measurement object ellipse trace or line that was painted when measuring this parameter To clear data from all the measurement fields and delete all the measurement drawing objects at once start a new examination new patient by using the Patient Information window that is opened after 8 clicking on the Patient button In some cases you may want to perform general measurements and then decide to transfer the results from these general measurements measurement objects to different fields of OB GYN parameters To transfer measurement result from some measurement object ellipse trace or line to a OB GYN field perform the following actions 1 Open the OB GYN calculations ControlBar if not already opened by clicking on the Calculations button Study 1 117 OB EFW GA 2 Use the Study
113. cond distance and click left mouse button in order to finish ratio measurement 6 Optionally perform another measurement of the same type by repeating steps 2 5 In order to calculate ratio using two previously measured distances perform the following actions 1 Select measurement tool by clicking appropriate A B Ratio button ABli A B Ratio inside B Measurements ControlBar 2 From the first A ComboBox inside ratio tool options select the number of measurement object that will correspond to the first distance numerator A 3 From the second B ComboBox inside ratio tool options select the number of measurement object that will correspond to the second distance denominator B 4 Click Finish button inside ratio tool options in order to calculate ratio using two distances 5 Optionally perform more calculations of the same type by repeating steps 2 4 MB A B Ratio 2 Distances A B 4 a Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 102 of 182 11 1 16 A B Ratio using Two Areas or Circumferences In order to measure A B Ratio using two areas or circumferences perform the following actions 1 Select measurement tool by clicking appropriate A B Ratio button ABO A B Ratio inside B Measurements ControlBar 2 If you wish to measure ratio between two areas ensure that Area CheckBox inside ratio tool options is checked If it is not checked
114. d with the type of object selected using the menu v of A button Trace or Trace and Beat If you want to change the type of objects do this by selecting the appropriate menu item using menu button v 5 From the second B ComboBox in the ratio tool options select the number of second trace measurement object denominator B 6 Click on the Finish button in ratio tool options to calculate the selected ratios 7 Optionally perform more calculations of the same type by repeating steps 2 6 Pw A B Ratio Traces IV Velocity means ratio T PG means ratio T Pulsatility Indexes ratio T Velocity Time Integrals ratio 4 d Trace Trace and Beat Finish TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 115 of 182 11 3 7 Resistivity Index RI The Resistivity Index RI can be measured manually using the PW CW distance tool or automatically using the PW CW trace tool and by selecting the appropriate options for these tools For more information see the descriptions of these tools 11 3 8 Pulsatility Index PI The Pulsatility Index PI is measured using the PW CW trace tool and by selecting the appropriate option of this tool For more information see the description of this tool 11 3 9 Velocity Time Integral VTI The Velocity Time Integral VTI is measured using the PW CW trace tool and by selecting the appropriate option of this tool For more information see
115. de ControlBar L i 3 Click on the Freeze Run button or on the SpaceBar key to freeze the ultrasound scanning 4 Optionally perform measurements and add annotations 5 Optionally print out and or save ultrasound images L i 6 Click on the Freeze Run button or on the SpaceBar key to re start the ultrasound scanning 7 Optionally repeat steps 2 6 in order to scan more B mode images TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 25 of 182 7 2 Dual mode B B In order to enter Dual mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it first by clicking on the Freeze Run button nm or on the SpaceBar key amp F1 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey in order to enter B mode 3 Optionally adjust the B image using the B mode controls on the software left side ControlBar ES Se F3 4 Click on the Dual button on the software top ToolBar or on the F3 hotkey to enter Dual mode and see two ultrasound images The left side image will be running and right side image will be frozen 5 In order to freeze one image while running the other image change active image click on the Dual e oy F3 button on the software top ToolBar or on the F3 hotkey The selected active image is denoted by a small rectangle around the scanning direction marker Perform this operation any number of times
116. depths use greater frequencies and to examine tissues which are at greater depths use smaller frequencies Values Available frequency values depend on the type of probe and beamformer used Measurement units used megahertz MHz TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 78 of 182 Adjustment Frequency 6 MHz Use the Frequency control to change the values lt gt v Bioeffects Frequency adjustments may change the TI and MI values 10 4 17 Smoothing Description Smoothing allows you to obtain smoother Doppler images Larger values mean smoother images Values The values available depend on the beamformer and probe used This value is non dimensional Adjustment apoo To adjust the smoothing level use the Smoothing control under the lt a software options Menu gt Tools gt Options gt Scanning Control gt PW Doppler mode 10 4 18 Color Map Description Allows you to select a specific PW CW color map Adjustment m Fw Palette To adjust the PW CW color map open the left side Palettes Map 1 e 6 z ControlBar by clicking on the Palette controls button on the software bottom ToolBar or on the 6 hotkey Inside the opened left side Invert ControlBar you will find the color map control To invert colors of a current color map use the Invert control TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 79 of 182 10 5 Adjusti
117. ding on customization options values can be changed immediately by clicking the appropriate hotkey that is displayed as an underlined letter in the control caption e g C for Change Scan Direction control Hotkeys will work if the ControlBar of this control is active Button with menu An action that is assigned to a large control button can be invoked by clicking on the large button using the mouse oO An alternative method is to use the keyboard hotkey that is displayed Alea as an underlined letter in the control caption e g A for Area control Other actions that are assigned to this control can be invoked by clicking the button v using the mouse and from the appeared menu i selecting desired item Depending on the button style an action that was Ellipse selected from menu may become default action for that button and next Trace time it can be invoked by simply clicking on the large control button without having to select it from the menu again TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 14 of 182 Control Description ComboBox control ComboBox controls usually contain a list of numerical or text values In order to select any one of these values move the mouse cursor to the small button with an up down triangle and click on this button From the appeared list of values you can select the desired one by clicking on it using the left mouse button Then the list will be closed and the sel
118. ding on the type of probe but the following values are usually available 0 2 3 8 These values mean the number of averaged frames The value designated as 0 means that frame averaging is not used TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 50 of 182 Adjustment Frame Averaging 0 None level lt gt Y Caution Use the Frame Averaging control to change the frame averaging Please note that higher frame averaging values not only make ultrasound images smoother but may also hide small image details Frame averaging may slightly decrease the frame rate 10 1 10 View Area Description The View Area control adjusts the width of the field of view scanning angle Increase the view area to look at larger objects You may reduce view area in order to obtain higher frame rates when observing fast moving tissues such as the heart Values The range of values normally available is 50 100 Measurement units used percentages Adjustment View Area 100 Use the View Area control to change the view area lt gt Bioeffects View Area adjustments may change the TI and MI values 10 1 11 Rejection Description Ultrasonic signal rejection is a processing that changes a range of the values of the ultrasonic signal received Generally speaking this processing is used to reduce visibility of noises on ultrasonic images Values The range of values usually available is
119. ds on the ultrasound scanner used Always optimize gain before increasing the power level 10 1 6 Change Scan Direction Description The Change Scan Direction Reverse control allows you to change the ultrasound scanning direction without rotating the probe Use this feature when you wish to scan an anatomically correct ultrasound image without rotating the probe Adjustment ak To change the scan direction place tick the Change Scan Change Scan Direction Direction CheckBox control Relations to other controls In some cases e g for gynecological examinations you may also want to rotate the ultrasound image using the Rotate Image control Caution When scanning please observe the scan direction marker on the ultrasound image in order to avoid any possible confusion 10 1 7 Frequency and Tissue Harmonic Imaging THI Description Frequency is a characteristic that defines the resolution of ultrasonic signal Higher frequencies increase resolution of the incoming ultrasonic signal but reduce the visibility of examined tissues at greater TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 49 of 182 depths In order to examine tissues found at small depths use larger frequencies and when examining tissues at greater depths it is better to use small frequencies Tissue Harmonic Imaging THI is a B mode imaging technique that reduces ultrasound image noise and clutter by improving the signal to noise
120. duction lV DEE In order to enable Speckle Reduction image enhancement place J a tick on the Enable CheckBox Then select the desired filtering level and A method using the Level control EE The ClearView feature is optional requiring an additional plug in a module lt gt Relations to other controls Enabled speckle reduction may greatly reduce frame rate and slow down software operation adjustment of scanning parameters change of scanning modes If you want greater frame rates you may need to disable speckle reduction remove tick from the Enable CheckBox TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 52 of 182 Caution Please note that speckle reduction filters not only make ultrasound images smoother but they may also hide small image details 10 1 14 Lines Density optional Description Lines density adjusts the number of ultrasonic beams used in order to scan ultrasound images Use a higher density when you are viewing small objects A lower density allows you to increase the frame rate and can be used when viewing fast moving objects for example the heart Adjustment Lines Density High Use the Lines Density control to change lines density lt gt Bioeffects Lines density adjustments may change TI and MI values 10 1 15 Negative Description In order to invert the palette of the ultrasound image change the dark gray scale values to light and
121. e its format must correspond with the one that is currently used by the Windows operating system software converts it to DICOM format Inside the query fields of accession number patient name patient ID and physician name can be used wildcard symbols symbol means any number of any symbols This Application Entity name is specified at software options Menu gt Tools gt Options gt DICOM The Worklist query is sent to the server if inside active query field is clicked Enter keyboard key or Send query button If the DICOM Worklist is opened and the user has not performed any action item selection clicking of buttons within the worklist for 5 minutes the software automatically sends the query to the server and updates the worklist Communication with servers and query processing may take some time Worklist query results received if any are displayed in the multicolumn DICOM worklist control By default the worklist items are displayed in the order that they are returned by server In order to change list ordering click using the mouse on the headers of the desired to reorder columns In order to start a patient examination select his name in the DICOM worklist control read information about patient in the Selected DICOM worklist item information control enter the protocol name using the Protocol name textbox click on the Start exam button close the worklist by clicking on the Close worklist button select the type
122. e II Software User Manual Ver 1 8 0 2013 12 03 Page 126 of 182 11 6 Human Cardiology Examination Measurements and Calculations To perform examination specific measurements and calculations freeze the ultrasound image or open the thumbnail image and on the software top ToolBar click on the Calculations button Ha Cardiology examination was selected in the Patient Information window that can be opened by clicking on 8 the Patient button this will open the right side ControlBar of Cardiology measurements and calculations Cardiology Study 1 8 Left Ventricle Y lt HR 0 b min v IvSd 0 mm Y L IDd 0 mm LY PWwd 0 mm I Ss 0 mm L IDs 0 mm Y L VPW s 0 mm EDY 0 ml ESY 0 ml GV 0 ml EF 0 CO 0 l min STIVS 0 FS 0 STPw 0 LVM 0 g TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 127 of 182 To enter the patient height weight and heart rate HR perform the following actions 8 1 Open the Patient Information window by clicking on the Patient button H 2 If a Cardiology examination is not already selected select H if you wish to perform Cardiology examination 3 Enter the patient height optional weight and heart rate optional if it is going to be measured on the ultrasound image 4 If the patient Body Surface Area BSA is to be calculated using only his weight tick the BSA via Weight only CheckBox Height cm IS Weight kg 7
123. e cursor to position on the ultrasound image where should be placed first point of a sphere axis and click left mouse button in order to start measurement 3 Move mouse cursor to position on the ultrasound image where should be placed second point of a sphere axis and click left mouse button in order to finish volume measurement 4 Optionally perform another measurement of the same type by repeating steps 2 3 In order to calculate volume using previously measured distance perform the following actions 1 Inside B Measurements ControlBar select measurement tool by clicking Vill WW Ww Volume 7 small v button of Volume control that will open menu Will 1 Distance Distances 3 Distances 1 Ellipse and inside opened menu click 1 Distance Then menu will be closed and Volume control s mode will be changed to volume Vi Volume calculation using one distance 2 From the ComboBox inside volume tool options select the number of measurement object that will be used for volume calculation 3 Click Finish button inside volume tool options in order to calculate volume of a sphere 4 Optionally calculate more volumes by repeating steps 2 3 MB Yolume 1 Distance Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 95 of 182 11 1 10 Volume using Two Distances In order to measure volume of an ellipsoid using two distances perform the following actions 1 Inside B
124. e ec terrcercenercrrt teriierrconececet aren coerce are 64 10 3 10 Steering Heen 65 10 3 11 Eed e 65 10 3 12 Color heel 65 10 3 13 GE AALE 66 10 3 14 Weer 66 10 3 15 Packet Size Color Ouslttv 67 10 3 16 Spatial Filtering EE EEN 67 10 3 17 Pulse Lengtes rta ENEE ENEE E ENEAN ENTONAR 68 10 3 18 CFM PDI DPDI Color Maps 68 10 3 19 CFM PDI DPDI Color Transparency cccceeeeeeeececeeeeeeeeeeeeccneeeeeeeeeeesceneeeeeeeeetees 69 10 4 Adjusting Pulsed Wave PW or Continuous Wave CW Doppler Mode Controls ssssesss1 70 10 4 1 PW Sample Volume position and setze 71 10 4 2 CN Cursor POSITION EE 71 10 4 3 PRF Pulse Repetition FEreouency 72 10 4 4 HPRF High Pulse Repetition Freouency 73 10 4 5 ET EE 74 10 4 6 e E 74 10 4 7 CR ne EE 75 10 4 8 Steering ANG ET 75 10 4 9 PIVEN dE 76 10 4 10 SE ea T TORE 76 10 4 11 DyYNaAMICIRANGE a aE EEEE AEAEE 76 10 4 12 E E 77 10 4 13 Sweep OP O Ea aa aaa aa Sa 77 10 4 14 oe E TT T E E e E ET 78 10 4 15 ole WEE 78 10 4 16 SE er 78 10 4 17 SMOOthinG BE 79 10 4 18 Color M e hee ee 79 10 5 Adjusting TGC Time Gain Compensation Controls 80 10 6 Adjusting Palette and Color Map Contra 82 10 7 Using B Color Doppler Mode ZOOM cccccccceccccneeeeeeeeeeecccceeeeeeeeeeecccaeeeeeeeeeeeesisieeeeeeeeetees 83 UR E Using M M d ZOOM WEE 84 10 9 Using Fullscreen Mode saint iti aan E ade EEA E EEE AEE EEEE EAEE E adil 85 11 Measurements and Calculations
125. e measurement is being performed If a measurement field has a hotkey indicated as an underlined letter e g H representing HR and the calculations ControlBar is active the desired to measure parameter can be selected by clicking on the relevant hotkey In addition the desired to measure field on the active ControlBar can be selected using the Up and Down arrow keys and then clicking on the Enter key 4 Optionally if you wish to change the measurement tool for a selected field and if the selected parameter can be measured using different tools click on this third button and another available tool if available will be selected 5 Move the mouse cursor over the ultrasound image and measure the desired parameter by performing the required mouse clicks in order to perform the measurement using the selected tool Measurement results will be automatically transferred to the measurement field 6 Optionally scan another image using the desired mode and freeze it 7 Optionally measure other desired parameters by repeating steps 3 6 TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 128 of 182 If in Cardiology calculations package is selected mitral aortic tricuspid or pulmonary regurgitation study using Proximal Isovelocity Surface Area PISA method available only for scanners with Continuous Wave CW Doppler mode for calculations is required appropriate sequence of operations At first must be scanned CFM ima
126. e not only the type of study but also select the type of examination that will change the calculations package TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 130 of 182 11 7 Measurements and Calculations of Other Examination Types To perform examination specific measurements and calculations of any other type of examinations freeze the ultrasound image or open the thumbnail image and on the software top ToolBar click on the Calculations button If the appropriate type of examination was selected in the Patient Information 8 window opened by clicking on the Patient button the right side measurements and calculations ControlBar will be displayed for that particular type of examination The same mechanism for controlling measurements and calculations is used for all types of examinations and for a detailed description on how to perform examination specific measurements and calculations the users should refer to the sections that describe examination specific OB GYN and Cardiology measurements The equations used for the various types of examinations can be found in the software measurements and calculations reference manual To see save print out all examination specific results of measurements and calculations please use Y the Report button g or one of its menu items located on the software bottom ToolBar A report usually contains examination specific measurements and calculations for t
127. e option For each exam type remember last used body mark If this option is turned on and a new patient is selected new examination is selected or is changed the type of examination the software will add to the active ultrasound image the body mark that was last used with that particular type of examination Body mark images are located on the software Config BodyMarks folder subfolders by examination type and can be added or modified depending on user requirements The default installation folder containing Config and other subfolders for the ultrasound scanning software is usually C Program Files TELEMED Echo Wave II To add a new body mark or copy a desired body mark image file to a new file with a different name open the new file with the image editor that supports the PNG file format draw the body mark image and save it When next time you will open the ultrasound scanning software for the selected type of examination it will load all images including newly created images located in the appropriate exam folder TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 133 of 182 13 Annotations Selec Select Del Selected Delete All To use annotations freeze the ultrasound image and open the right side Annotations ControlBar by performing the following 1 Move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear
128. e option called Merge data of different exam types into single report and close the options dialog with the OK button In such case on the right side calculations ControlBar you will now be able to change not only the study type but also select an examination type that changes the calculations package The list of thumbnail images and last saved images is cleared when a new patient is selected manually or automatically during file opening or if the software is restarted If images that you want to add to a report are not available in the list of last saved images on the Report window but you have them saved on the computer hard drive you can insert such images into the report using buttons near image deletion buttons x that show the File Open dialog for image file selection When printing reports the software automatically fits report images if required to suit page width and height Printing margins can be changed on the software main menu Menu gt File gt Page Setup The layout of printed report images the number of rows and columns can be changed under report Options tab To add comments to the end of a report select the Comments tab at the bottom of Report window Comments Main report comments about examination results E General template 1 name General template 1 text New Delete Comments entered on the left side edit box of the Comments tab will be displayed at the bottom of the s
129. e scanner and software options used Measurement units used seconds s Adjustment Sweep Speed 2s To change sweep speed values use the Sweep Speed control lt 5 D Smaller values mean faster updating of M image Relations to other controls When the Sweep Speed value is changed the cine memory is cleared Bioeffects Sweep speed adjustments may change the TI and MI values 10 2 3 Gain Adjusts B mode Gain See description of the B mode Gain control TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 56 of 182 10 2 4 Rejection Description Ultrasonic signal rejection is a type of processing that changes a range of values of the ultrasonic signal received Generally speaking this processing is used to reduce the visibility of ultrasonic image noise Values The range of values normally available is 0 32 The level 0 means that rejection is not used Adjustment Rejection 0 jo 10 2 5 Brightness To change the rejection values use the Rejection control Description To make the M mode ultrasound image appear lighter you can increase the brightness value Adjustment Brightness 0 e ele To adjust brightness use the Brightness control Brightness correction is not used if the value is set at 0 Relations to other controls Brightness also can be adjusted using the Palette controls 10 2 6 Negative Description To invert the palette of the M mode ultrasound image you can use
130. e the desired frame can be selected using the Left Right arrow keys and the first frame can be fast selected by clicking on the Home key and the last frame visible when we performed the freeze can be fast selected by clicking on the End key To play recorded frames or to pause playing click on the Play Pause button An alternative way of playing cine or pausing play is by using the multimedia keyboard keys if available When the final frame is reached the playback automatically returns to the first frame Cine size capacity can be adjusted at software options Menu gt Tools gt Options gt Scanning Control gt Cine After changing cine size close the options dialog by clicking on the OK button and then restart the software TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 43 of 182 10 Adjusting Ultrasound Image Quality To change scanning mode click on the desired mode B M CFM button displayed at the top ToolBar using your mouse or change the scanning mode using the appropriate mode F1 F7 hotkeys To adjust the desired parameter of the selected mode please perform the following actions 1 Open activate the left side ControlBar of the desired mode by clicking on the appropriate button on the software bottom ToolBar or corresponding hotkey 1 7 BD Wee i 4 F Here 1 B mode 2 M mode 3 Color Doppler mode optional 4 Pulsed Wave Doppler mode optional 5 TGC controls
131. easurements and calculations 6 Thumbnail images panel show hide button 7 Display or activate right side ControlBar with MovieClip Cine controls 8 Perform automatic image adjustment optimization if this feature is available in selected scanning mode 9 Main software menu access button 10 Indicator of currently selected measurement or control tool 11 Exit software 12 Minimize software window 13 Menu of ControlBar header that is opened by clicking header button This menu allows you to open the desired right side ControlBar measurements calculations cine body marks annotations biopsy Similar button and menu is also available at headers of left side ControlBars 14 Select page of controls that control scanning parameters image quality Each ControlBar may have several pages of controls 15 Select page of measurement controls 16 Freeze Run button that pauses starts ultrasound scanning 17 Buttons for activation of left side ControlBars of B M and other ultrasound scanning modes that TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 11 of 182 Num Description contain controls for changing scanning parameters of these modes 18 Activate left side TGC ControlBar 19 Activate left side ControlBar with Palette or color map controls 20 Activate left side ultrasound scanning Presets ControlBar 21 Open Patient Information window 22 Save image or video fi
132. econd ComboBox inside volume tool options select the number of measurement object that will correspond to the second axis of an ellipsoid 4 From the third ComboBox inside volume tool options select the number of measurement object that will correspond to the third axis of an ellipsoid 5 Click Finish button inside volume tool options in order to calculate volume of an ellipsoid with selected three axes 6 Optionally calculate more volumes by repeating steps 2 5 Note In some cases in order to measure volume you may need at first to scan the anatomy of interest at several different planes and only then perform volume measurement For this purpose you must use Dual B B or Quad 4B mode TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 93 of 182 11 1 8 Volume using One Ellipse In order to measure volume of an ellipsoid using ellipse tool perform the following actions 1 Select measurement tool by clicking appropriate Volume button VO Volume inside B Measurements ControlBar 2 Move mouse cursor to position on the ultrasound image where should be placed first point of an ellipse long axis and click left mouse button in order to start measurement 3 Move mouse cursor to position on the ultrasound image where should be placed second point of an ellipse long axis and click left mouse button 4 Move mouse cursor to position on the ultrasound image where should be placed first point of
133. ected value will be visible in the left side part of the ComboBox control If the list contains several values the opened list will be shown with a vertical scroller near it Then in order to select a list value that is not currently displayed you will at first need to navigate to it by clicking on the scroller navigation buttons using the left mouse button or by dragging the scroller thumb Now you can select the desired value by clicking on it using the left mouse button Appearance Please note that disabled software controls or hidden menu items mean that some feature is not available for the currently connected ultrasound scanner or probe selected ultrasound scanning or software operation mode used configuration options of software or its modules Some software modules are optional or need to be purchased separately TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 15 of 182 4 Indication of Ultrasound System Status The status of the ultrasound system is indicated using different user interface elements If the ultrasound scanning software has not been started a green or red icon in the Windows system tray indicates the status of the ultrasound system a 9 48AM op 9 47AM A green icon means that the system is connected and powered on and you are ready to start the ultrasound scanning software A red icon means that you should check to see if the ultrasound scanner is powered on connected po
134. ections Adjustments are only allowed for the currently selected scanning mode that means that some buttons and controls may be disabled TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 44 of 182 10 1 Adjusting B Mode Controls To adjust the B mode controls open the left side B controls ControlBar by clicking on the B controls es 7 button on the software bottom ToolBar or on the 1 hotkey Inside this ControlBar the B mode controls are divided into the following 3 pages Focus 68 mm Focus Image Enhancement S MV Dynamic Focus IV Enable Depth 150 mm Focuses Number 1 Method 3 lt lt gt y lt gt Dynamic Range 68 dB Focus Set 1 lt gt 2 Speckle Reduction IV Enable Power 77 Level 7 NeatView Frame Averaging 4 lt gt k lt gt View Area 100 Lines Density Standard lt gt lt gt A Rejection 9 I Negative I Change Scan Direction Frequency 4 MHz lt gt Rotate Image 180 270 Angle 0 DU 30 KI TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 45 of 182 10 1 1 Focus Description Focus optimizes the ultrasound image by increasing the resolution of specific areas The hardware supports both dynamic optional and static focusing modes In the dynamic focusing mode an ultrasonic beam is focused full length In the static focusing mode the ultras
135. effect on acoustical Power Output Increasing Gain usually allows you to reduce the output level to produce an equivalent image quality 10 4 6 Power Description Power adjustments increase or decrease the acoustic power of the ultrasound signal Values Power values available are usually in the interval 10 100 Measurement units used percentages For SmartUs scanners power values are in the interval 20 0 dB decibels Adjustment Power 14 l Use the Power control to change the values Relations to other controls After adjusting the Power you may need to adjust the Gain If you decrease the power you may need to increase the gain If you increase the power you may need to decrease the gain Hints Always optimize the gain before increasing the power Use Power values that are as low as possible TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 74 of 182 Bioeffects Changing the Power may change the TI and or MI Observe the output display for possible effects 10 4 7 Correction Angle Description The Correction Angle adjusts the accuracy of the displayed flow velocity values The direction of the correction angle marker must correspond with the blood flow direction Before performing any PW CW measurements you must at first set the correct Correction Angle value Values Values are in the interval 85 85 Measurement units used degrees Adjustment Correction Angle 0 See
136. election region should be started keep the mouse button pressed down move the mouse cursor to the point where the rectangular region should end and then release the mouse button All measurement objects whose key points were inside this selection rectangle will now be selected or deselected 9 Click on the Delete Selected button to delete the selected measurement objects Alternatively click on the Delete Del keyboard button 10 Optionally repeat steps 4 9 in order to delete other measurements or drawings TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 142 of 182 To modify a font or line style of an annotation or drawing perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the appearance of the right side autohide ToolBar 2 In the right side ToolBar click on the Annotations button This will open the right side Annotations ControlBar 3 In the Annotations ControlBar select the selection neutral tool by clicking on the Select button Selec The selection neutral tool will be selected and in the Annotations ControlBar you will see the options for this tool Select h Del Selected Delete All 5 Click using the left mouse button to select drawing object 6 In the event of a selection error click on the endpoint key point of the same object in order to deselect it 7 In the Annotations ControlBar select
137. elete other presets If Presets ControlBar is active a preset also can be selected using the Up and Down arrow keys and deleted by clicking on the Delete button TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 40 of 182 To save current ultrasound scanning parameters as a settings file for future use or for copying to another ultrasound scanner please perform the following actions i 1 Open the left side Presets ControlBar if not already open by clicking on the Presets button on the software bottom ToolBar i Save applied settings to file 2 Click on the Save applied settings to file button located at the bottom of the Presets ControlBar Then a file saving window for entering the file name will appear 3 Inside the opened Save file as window enter the file name and click on the Save button To load ultrasound scanning parameters from a settings file e g one that was copied from another ultrasound scanner or previously saved TPD TVD image file please perform the following actions 1 Open the left side Presets ControlBar if not already open by clicking on the Presets button on the software bottom ToolBar Apply settings from file 2 Click on the Apply settings from file button located at the bottom of the Presets ControlBar Then a file opening window will be displayed 3 Inside the opened Open window select the file name for the desired to apply settings and click on
138. end Report to DICOM Server Send Cine to DICOM Server Send Image to DICOM Printer PAMI Send Image to DICOM Printer PENZ Send Report to DICOM Printer PANI Send Report to DICOM Printer PENZ To see DICOM printers in this menu at first you need to configure printers at Menu gt Tools gt Options gt DICOM group DICOM Printers Before starting to use DICOM printing we strongly recommend that you read the Echo Wave H DICOM Conformance Statement and Conformance Statements and the manuals of the used DICOM printers and perform thorough compatibility testing TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 153 of 182 18 Working with Reports To save or print a Report results of performed calculations comments use the Report button H the software bottom ToolBar and select the desired item from menu v of this button 1 Report Quick Print will immediately print the report using the operating system default printer 2 Report Print Preview will open the print preview window Inside this window you can print previewed report image or close the window without printing 3 Report Print will open the printer selection dialog Print KE Printer Name GenasHP Laselet 5000 Series PELE Properties Status Ready Type HP Lasenet 5000 Series PCL6 Where LPT1 Comment J Print to file m Print range Copies Ge Al Number of copies 1 Le Pages ron
139. er sets you can also specify a character set under the Echo Wave II options Menu gt Tools gt Options gt DICOM For the list of languages that correspond to appropriate character set please see the Echo Wave II DICOM Conformance Statement TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 161 of 182 21 Starting External Applications To start external application from pre defined list 29 e perform the following 1 On the software top ToolBar click the Menu button L 2 From the displayed menu select the SE you want to start and click on its name Liveview Guided Imaging Software Calculator Paint Explorer Customize 3 To continue working with the ultrasound scanning software minimize or close the external application or use the Alt Tab key combination to switch between the different applications If needed you can also minimize the Echo Wave II software by moving the mouse cursor over the software minimize button located on the software right top corner and clicking it using the left mouse button To restore a minimized software window click on the icon on the Windows TaskBar To define or manage an external applications list paron the following 1 On the software top ToolBar click the Menu button i i 2 Inside the displayed menu click the Customize menu item This will open the Options window and will select its tab where a list of Gei applications can be def
140. es In order to measure volume using three distances three axes of an ellipsoid perform the following actions 1 Select measurement tool by clicking appropriate Volume button MI Volume inside B Measurements ControlBar 2 Move mouse cursor to position on the ultrasound image where first distance should start and click left mouse button in order to start measurement 3 Move mouse cursor to position where first distance should end and click left mouse button 4 Move mouse cursor to position where second distance should start and click left mouse button 5 Move mouse cursor to position where second distance should end and click left mouse button 6 Move mouse cursor to position where third distance should start and click left mouse button 7 Move mouse cursor to position where third distance should end and click left mouse button in order to finish volume measurement MB Volume 3 Distances 8 Optionally perform another measurement of the same type by repeating steps 2 7 1 Fa DI In order to calculate volume using three previously measured a ei E distances perform the following actions 3 D 1 Select measurement tool by clicking appropriate Volume button ea Mu Volume inside B Measurements ControlBar Finish 2 From the first ComboBox inside volume tool options select the number of measurement object that will correspond to the first axis of an ellipsoid 3 From the s
141. es of the ultrasound image in a non linear manner by raising the normalized values to the power of the chosen gamma value To make the entire ultrasound image appear lighter you can increase the brightness value By increasing the contrast value you can increase the difference between the image gray scale values and make the ultrasound image appear sharper Adjustment In order to adjust the palette of the B mode image open the left E Palette Deiat side Palettes ControlBar by clicking on the Palette controls button 1 Ke F f a on the software bottom ToolBar or on the 6 hotkey Inside the opened left side ControlBar you will find the palette control Using this control you can adjust image gamma brightness HE contrast or i click on the Default button to use the default palette Gamma correction E l is not used if the level 1 is selected brightness correction is not used if the 1 0x ox level 0 is selected and contrast correction is not used if the level 0 is selected Advanced The Advanced button opens a dialog window that allows you to create and activate the desired gamma curves To continue working the Advanced dialog window must be closed Hints Before adjusting the ultrasound image Gamma Brightness or Contrast it is recommended that you perform the correct ultrasound image adjustment using the Gain TGC Power and Dynamic Range controls TELEMED Echo Wave Il Software User Manual
142. esses and other options for DICOM servers printers Options page DICOM e Edit a list of external applications that can be started from Echo Wave II software Options page External Applications e Customize measurements and calculations allow to measure only in Freeze mode or also allow to measure during live scanning show field names near measurement results automatic activation of measurement fields Options page Measurements and Calculations gt Common Settings eCustomize Obstetrical OB Gestational Age GA and Growth tables You can modify existing tables add new tables import export tables select what tables will be used for calculations from a very large number of available tables Options page Measurements and Calculations gt OB Tables e Select what method should be used for Cardiology Left Ventricle volume calculation Options page Measurements and Calculations gt Cardiology e Customize Auto Freeze automatic freeze timeout interval enable or disable automatic freeze Options page Scanning Control gt General e Select when measurements should be erased on freeze on unfreeze on cine frame change Options page Scanning Control gt General e Adjust automatic focusing options Options page Scanning Control gt B mode e Adjust operation of Automatic adjustment automatic image optimization button Options page Scanning Control gt PW CW Doppler mode Options page Scanning Control
143. etion of the curve 5 Click on the Delete button to delete the curve or click using the right mouse button in order to cancel the deletion 6 Optionally repeat steps 3 5 in order to delete other curves TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 141 of 182 13 5 Modifying and Deleting Annotations and Drawings To delete several annotations or drawings at once perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the appearance of the right side autohide ToolBar 2 In the right side ToolBar click on the Annotations button This will open the right side Annotations ControlBar 3 In the Annotations ControlBar select the selection neutral tool by clicking on the Select button Selec The selection neutral tool will be selected and in the Annotations ControlBar you will see the options for this tool Select k Del Selected Delete All 4 Move the mouse cursor over the endpoint key point of drawing you want to delete 5 Click using the left mouse button to select the drawing 6 In the event of a selection error click the endpoint key point of the same object in order to deselect it 7 Perform steps 4 6 in order to select all the objects that you wish to delete 8 Optionally to select multiple measurement objects all at once using a rectangular selection region press the left mouse button at a point where s
144. fetal growth using Growth Curves and measurement results of current and previous examinations perform the following actions View 1 Click on the View button to open the OB Results window 2 In the opened window click using the with left mouse button on the Growth Curves tab 3 Using the View ComboBox set the number of simultaneously visible charts to 1 if the current value is not 1 4 Using the Table ComboBox select the parameter and the table that will be used for analysis 5 Optionally in the Previous exams data field enter the dates of the previous examinations and measured values of the selected parameter using the following format date1 result1 date2 result2 Please use the same date format that is used for displaying the current examination date Another way to add previous exams data is to use Import button that allows to import previously stored trending data and measurement results from TPD TVD files Software imports data that corresponds to all used OB parameters AC BPD no matter what growth curve is currently visible That is you need to import file only once and then can view curve s of desired measurement s In order to view what trending data after import is available for some measurement select growth table that corresponds to this measurement Please note that during import is performed checking and sorting of dates and removal of duplicate and incorrect entries if present 6 Optiona
145. following actions TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 123 of 182 View 1 Click on the View button ew to open the OB Results window 2 In the opened window use Calculations tab to view the results of the Estimated Fetal Weight and Gestational Age calculations using different methods 3 If needed mark the desired methods with ticks indicating which results should be used for averaging 4 Click on the OK button to close this dialog Please note that in order to see all calculation results you should save print the report of the performed examination using the Report button Y or one of its menu items located on the software bottom ToolBar Report usually contains examination specific measurements and calculations for currently selected examination type and the change of the type of examination clears all examination specific measurements and calculations If you want to have measurements and calculations of several different examination types in one single report go to the Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings enable the option designated as Merge data of different exam types into single report and close the options dialog with the OK button In such case on the right side calculations ControlBar you will be able to change both the study type and also select the examination type that will change the calculations package To analyze
146. for the appearance of the right side autohide ToolBar 2 In the right side ToolBar click on the Annotations button This will open the right side Annotations ControlBar ZA Curve 3 In Annotations ControlBar select the curve tool by clicking on the Curve button BECH The curve tool will be selected and in the Annotations ControlBar you will see the options for this tool M Line Style 4 Optionally select the line style and line thickness by clicking the appropriate buttons 5 Move the mouse cursor over ultrasound image to where you wish to start curve drawing 6 Click using the left mouse button in order to start the curve drawing 7 Move the mouse cursor and draw the desired shape of the curve 6 Click using the left mouse button to finish curve drawing 7 Optionally repeat steps 4 6 in order to draw more curves To delete a curve perform the following 1 If the Annotations ControlBar is not visible move the mouse cursor to the far right side of the screen and wait for the appearance of the right side autohide ToolBar In this ToolBar click on the Annotations button This opens the right side Annotations ControlBar ZA Curve 2 If the curve tool is not already selected select this tool by clicking on the Curve button el 3 Move the mouse cursor over the endpoint of curve object you want to delete on the ultrasound image 4 Click using the right mouse button in order to start the del
147. form the following actions 1 Select measurement tool by clicking appropriate Stenosis button II Stenosis inside B Measurements ControlBar 2 Move mouse cursor to position on the ultrasound image where should be started first distance and click left mouse button in order to start measurement 3 Move mouse cursor to position on the ultrasound image where should be ended first distance and click left mouse button 4 Move mouse cursor to position where should be started second distance and click left mouse button 5 Move mouse cursor to position where should be ended second distance and click left mouse button in order to finish stenosis measurement 6 Optionally perform another measurement of the same type by repeating steps 2 5 In order to calculate stenosis using two previously measured distances perform the following actions 1 Select measurement tool by clicking appropriate Stenosis button II Stenosis inside B Measurements ControlBar 2 From the first ComboBox inside stenosis tool options select the number of measurement object that will correspond to the first distance 3 From the second ComboBox inside stenosis tool options select the number of measurement object that will correspond to the second distance 4 Click Finish button inside stenosis tool options in order to calculate stenosis using two distances 5 Optionally perform more calculations of the same type by repea
148. ge 84 of 182 10 9 Using Full Screen Mode The software allows you to hide the ultrasound scanning controls and display the ultrasound image using a full screen To hide the controls and if selected in options enter the full screen mode double click using the mouse on the company logo image on the left side of the ultrasound image header Alternative way to turn full screen mode on off is to use hotkey default hotkey is Ctrl L To exit the full screen mode click on the Esc key If you not only want to hide the scanning controls but also show the ultrasound image using the full screen go to Menu gt Tools gt Options gt Appearance gt General and turn on option When logo is double clicked show full screen ultrasound If during full screen mode you want to adjust a scanning parameter open the desired left side ControlBar using the appropriate button on autohide left or bottom ToolBar or using the appropriate hotkey To hide the opened left side or right side ControlBar click using the right mouse button on the header of this ControlBar or click the Tab key IMPORTANT If drawings or measurements on time based ultrasound images M PW are used in full screen mode these images with the drawings measurements must be printed or saved to JPG PNG BMP also in full screen mode because after exiting from full screen mode some of these drawings measurements may become invisible due to the reduced horizontal space for time based ultras
149. ge and adjusted CFM baeline Then must be activated clicked radius R measurement Fi 0 mm vi L 7 i field and on CFM image measured PISA radius When is measured radius software will automatically get aliasing velocity Va from CFM image palette After that must be scanned CW f VII 0 cm J T R mode image activated VTI measurement field and measured trace on CW image Software will perform PISA related calculations RFlow EROA RVol Please note that after measurement of the selected parameter its field becomes linked to the measurement object painted ellipse trace or line If you modify the size or shape of this measurement object the updated results will be automatically transferred to the linked measurement field For example modification of a line object will change the HR field data if that line was used for measuring the HR To modify field data you should modify the corresponding measurement object This modification is usually performed by moving the key points of that object For detailed instructions please see the corresponding section about modification of performed measurements Please note also that deletion of measurement object breaks the link between the measurement field and the object but field data is not erased If the circumference or area fields are measured using the line tool L it is assumed that this line corresponds to the diameter of the circle and the result of calculation is based on the circu
150. ge to DICOM Server Send Report to DICOM Server Send Cine to DICOM Server Send Image to DICOM Printer PAMI Send Image to DICOM Printer PENZ Send Report to DICOM Printer PANI Send Report to DICOM Printer PENZ To see DICOM printers in this menu you must first configure the printers at Menu gt Tools gt Options gt DICOM group DICOM Printers Before starting to use DICOM printing we strongly recommend you to read the Echo Wave Il DICOM Conformance Statement and Conformance Statements and manuals of the used DICOM printers and perform thorough compatibility testing TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 156 of 182 18 1 Using Reports with Multiple Images To create a report using the multiple thumbnail images or multiple recently during current patient exam saved images on the software bottom ToolBar select the Report menu item from the v menu y from the multifunctional Report button This will open the advanced report creation window CFM mode image comment B M mode image comment Dual mode image comment Quad mode image comment 7 gt Report images Calculations Preview 8 P Thumbnail images and Report control Last saved images Comments Options Report action Quick Print Quick Save Print Save As Print Preview Close H Main elements of Report window Num Description
151. gt Color Doppler mode TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 168 of 182 e Customize various Color Doppler Pulsed Wave Continuous Wave Doppler scanning parameters Options page Scanning Control gt Color Doppler mode Options page Scanning Control gt PW CW Doppler mode e import export and organize ultrasound scanning presets Options page Scanning Control gt Presets gt Import and Export e Select cine buffer size capacity Options page Scanning Control gt Cine e Define or edit keyboard hotkeys for ultrasound scanning controls Options page Keyboard and mouse gt Keyboard e Customize interaction between mouse wheel if present and ultrasound scanning controls Options page Keyboard and mouse gt Mouse TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 169 of 182 26 Monitor Calibration Before using the ultrasound scanning software it is recommended that you calibrate your computer monitor or ensure that it is calibrated correctly in order to achieve the best imaging quality To perform Menu monitor calibration select the software main menu by clicking on the menu button on the software top ToolBar and the sub menu Tools gt Monitor Calibration This will show the calibration pattern s that can be used for monitor adjustment Follow the on screen instructions and perform any required adjustments Brightn TELEMED Echo
152. hanges the displayed velocity range The velocity range is shown in kHz The pulse repetition frequency should be set high enough to prevent aliasing If the blood is moving faster than the pulse repetition rate the Doppler display will alias or wraparound the baseline If the pulse repetition frequency is set too high low velocity flows may not be displayed It may be necessary to vary the pulse repetition frequency during an examination depending on the speed of the blood flow The HPRF pulse repetition frequency can be chosen manually using the PRF control or it can be activated when you are operating in PW Doppler Mode and conditions activate HPRF when the velocity scale factor or sample volume gate depth exceeds certain limits When HPRF is active multiple sample volume gates appear along the Doppler mode cursor Doppler information can be received from any of the several sample volume gates The Doppler signals from all of the gates are added together and displayed in one spectrum When HPRF is activated and the second PW sample volume phantom volume is displayed in order to get a clearer PW signal it is recommended that you perform ultrasound scanning in such a way so as to ensure that the phantom volume contains no moving tissues Values If the HPRF feature is available the PRF values are in the interval 1 15 kHz Values available depend on the scanning mode and depth used Measurement units used kilohertz kHz Adjustment PRE
153. he currently selected type of examination and changing the type of examination clears all examination specific measurements and calculations If you want to have measurements and calculations of different types of examinations in a single report go to the Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings and enable the option designated as Merge data of different exam types into single report and then close the options dialog using the OK button In such case the right side calculations ControlBar will enable you to change not only the type of study but also select the type of examination that will change the calculations package TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 131 of 182 12 Body Marks Show Probe Position Rotate Probe Marker 0 To add a body mark freeze the ultrasound image and perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear 2 In the right side ToolBar click on the Body Marks button This opens the right side Body Marks ControlBar 3 Choose the desired body mark from the appeared list move the mouse cursor over it and then click using the left mouse button The clicked body mark will appear on the body mark adjustment area at the top of the Body Marks ControlBar where you can then select the position of the probe marker TELEMED Echo Wave Il Softwa
154. he interval 5 15 of PRF Measurement units used percentages of PRF Adjustment wall Filter 5 Use the Wall Filter control to change the values TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 64 of 182 Hints Use a wall filter level that is high enough to remove clutter but low enough to display the required Color Doppler information 10 3 10 Steering Angle Description Steering Angle adjustment for linear probes steers the Doppler cursor left right 10 degrees This control can be used to achieve the desired angle between the Color Doppler beam and the flow Values Steering Angle values available are 0 10 degrees Measurement units used degrees Adjustment Steering Angle 0 Use the Steering Angle control to change the values Bioeffects Adjusting the Steering Angle may change the TI and or MI Observe the output display for possible effects 10 3 11 B Color Priority Description B Color Priority adjustments increase or decrease the level of the B mode image at which color information overwrites the B Mode information If you want to see more color flow in an area of significant B mode brightness increase the B Color Priority If you want improved containment of the display of flow within the vessels decrease the B Color Priority Values The B Color Priority values available are usually in the interval 0 255 This value is non dimensional Adjustment B Color
155. he part of the PW CW Doppler data displayed as corresponding to positive forward flow or negative reverse flow velocity The change to the Baseline allows you to minimize aliasing by displaying a greater range of forward flow with respect to reverse flow or vice versa The default baseline is at the midpoint of the spectrum Baseline is displayed as a horizontal line along the PW CW waveform Values Baseline values available are usually in the interval 0 255 This value is non dimensional Adjustment Baseline 127 5 Use the Baseline control to change the values Relations to other controls To perform automatic PW CW PRF and Baseline adjustment use the Automatic adjustment button on the software top ToolBar F12 hotkey 10 4 11 Dynamic Range Description Dynamic Range controls how echo intensities are converted into various shades of gray Values Available Dynamic Range values are usually in the interval 10 80 dB Measurement units used decibels dB Adjustment Dynamic Range 50 dB To change values use the Dynamic Range control This control is z available under the software options Menu gt Tools gt Options gt Scanning Control gt PW CW Doppler mode TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 76 of 182 Relations to other controls After adjusting the Dynamic Range you may need to adjust the Gain or the Scale If you increase the Dynamic Range you may need to decrease the Gain or
156. hoose another measurement tool choose the 7 Volume desired options and once again perform the desired number of measurements using the selected tool e li SH Stenosis 4 Stenosis 4 General B mode measurements ControlBar ABli ABO Num Description e A B Ratio A B Ratio 1 Distance measurement tool button 2 Length measurement tool button TR Distance 3 Area circumference measurement ellipse tool button Show Results 4 Area circumference measurement trace tool button vi 5 Angle measurement using two distances tool button Pie 6 Angle measurement using three distances tool button 7 Volume measurement using three distances tool ul Circumference button 135 F Volume 8 Volume measurement using one ellipse tool button 9 Stenosis measurement using two distances tool button 10 Stenosis measurement using two areas tool button d 11 AIB ratio of two distances measurement tool button 12 A B ratio of two areas or circumferences measurement tool button 14 13 Options of selected tool Del Selected 14 Neutral tool button Neutral tool is used in order to select edit and delete measurement objects 16 Delete All 15 Button for deletion of selected measurement and drawing objects 16 Button for deletion of all measurements and drawings Ri 17 Controls for changing pages of General Measurements TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 86 of 182 11 1 1 Distance To measure distances perform the
157. ht mouse button to start editing Move the mouse cursor to the desired new endpoint position and click using the left mouse button to finish the guideline editing TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 146 of 182 14 Remove the tick from the Allow Calibration box to disable the calibration and accidental clearing of biopsy guidelines Do not use the same needle for calibration and biopsy procedures Sterile needles must always be used To define a biopsy target marker perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the appearance of the right side autohide ToolBar 2 In the right side ToolBar click on the Biopsy button This will open the right side Biopsy ControlBar 3 Tick the Show Target CheckBox if it is not already ticked to show the biopsy target marker 4 To define a biopsy target marker click the T button in the Biopsy ControlBar If the biopsy target marker was defined previously then it will now be cleared 5 Move the mouse cursor to a position on the ultrasound image where you want to position the biopsy target marker 6 Click using the left mouse button to set the target position 7 Optionally repeat step 6 to define the target more exactly 8 Optionally to change the position of a biopsy target marker move the mouse cursor over the center of the marker and click using the right mouse button to start editing Move
158. i Values can be changed using the Correction Angle control Relations to other controls Changes to the Correction Angle values also change the velocity scale line of the PW CW image The Correction Angle must be adjusted before performing any PW CW measurements Hints It is recommended that you use probe positions that require that you use absolute correction angle values less than 60 degrees in order to get more accurate measurement and calculation results 10 4 8 Steering Angle Description Steering Angle adjustment for linear probe steers the Doppler cursor 10 degrees to the left right This steering may be used to achieve the desired angle between the Doppler beam and the flow Values Steering Angle values available are 0 10 degrees Measurement units used degrees e Adjustment Steering Angle 0 Use the Steering Angle control to change the values Bioeffects Adjusting the Steering Angle may change the TI and or MI Observe the output display for possible effects TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 75 of 182 10 4 9 Invert Description Invert performs vertical inversion of the spectral waveform After inversion positive velocities will be displayed below the baseline and negative velocities will be displayed above the baseline Adjustment T Invert Use the Invert control to change the values 10 4 10 Baseline Description Baseline adjustments increase or decrease t
159. ic Sonographer C3 5 60 128 General Depth 150 mm lt gt v Dynamic Range 80 dB lt gt v Power 77 l E SS B Area Ellipse ae H Show Results M Area M Circumference T Long Axis T Short Axis T Volume Gain 92 I Change Scan Direction Frequency 4 MHz Components of the ultrasound image area Num Component Description 1 Pure ultrasound Pure ultrasound image contains ultrasound image data and painted image information scale lines TGC curve measurement lines and curves on it 2 Header of the Ultrasound image header contains patient examination and hospital clinic ultrasound image information In addition the header displays the name of the used probe the current date and the time 3 Left side of the On the left side of the ultrasound image palettes and body marks ultrasound image pictograms are displayed 4 Right side of the On the right side of the ultrasound image the current values of the most ultrasound image important scanning parameters of the appropriate scanning modes are displayed 5 Measurement Measurement results area contains measurement results of currently visible results area on the ultrasound image measurement lines and shapes TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 10 of 182 3 4 Main Window Controls and Control Groups
160. ick saving folder by default C Echo Images file folder name generation rules file saving format can be changed using the software options Menu gt Tools gt Options gt Saving and Printing To open a saved image or video file perform the following actions U 1 On the software bottom ToolBar click on the Open button This will activate the file opening window Open H E4 Look in o images DI EI cx ES My Recent Documents Desktop Gi My Documents Br My Computer zm Je Show Preview IO File name Insel ipg Places Files of type Image files A 2 Inside the Open window select a folder and a file that you wish to open If the Show Preview CheckBox is ticked you will see a preview image of selected file 3 Click on the Open button to open the selected file or click on the Cancel button to cancel the opening operation When the file is opened the Probe button displays the text FILE instead of the probe name 4 Optionally perform steps 1 3 in order to open other images 5 To close an opened image and to continue ultrasound scanning click on the Freeze Run button pid or on the SpaceBar key The software supports BMP JPG PNG TIF DCM TPD image file formats and AVI TVD video file formats For information about data fields and formats stored by Echo Wave II in the DICOM DCM file please read the Echo Wave II DICOM Conformance Statement If yo
161. ick the button v of the desired to fill measurement field control If the ultrasound image includes the measurement objects of appropriate type e g ine for HR field a menu with HR D b min he the numbers of those measurement objects will be opened 4 If the menu with the numbers of the measurement object was opened select the number of the object whose data needs to be transferred to the selected measurement field Field data will be updated and this f f i HR 61 b min du field will be linked with the chosen measurement object 5 Optionally repeat steps 3 4 in order to fill other fields with data To see save print out all examination specific results of measurements and calculations please use v the Report button or one of its menu items located on the software bottom ToolBar Report usually contains examination specific measurements and calculations for the currently selected type of examination and changing the type of examination clears all examination specific measurements and calculations If you want to have measurements and calculations of different types of examinations included in a single report go to the Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings and enable the option designated as Merge data of different exam types into single report and then close the options dialog using the OK button In such case the right side calculation ControlBar will enable you to chang
162. in order to get desired ultrasound images pid 6 Click on the Freeze Run button or on the SpaceBar key to freeze the ultrasound scanning 7 Optionally perform measurements and add annotations 8 Optionally print out and or save ultrasound images 9 Optionally use the Dual button or the F3 hotkey to select the desired frozen image pid 10 Optionally click on the Freeze Run button or on the SpaceBar key to start scanning at the selected image 11 Optionally repeat steps 5 10 to scan more Dual mode images Note If selected at options the selection and freezing running of appropriate images can be performed by clicking on the right mouse button on that image TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 26 of 182 7 3 Quad mode 4B In order to enter the Quad mode perform the following actions gt H 1 If an ultrasound image is frozen unfreeze it by clicking the Freeze Run button nm or on the SpaceBar key O F1 2 If the current mode is not the B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B mode controls on the software left side ControlBar G Fa Dual mode Quad mode 4 Click on the v button on the right side of the Dual button and select Quad mode form the menu that is displayed The appearance and operation of the Dual button will OS change to Quad
163. ined Liveview Guided Imaging Software Calculator Paint Explorer Customize 3 Fill the opened list with the names of the applications that will be shown in the menu of the software Menu button and also the names or paths of their corresponding executable files Select the appropriate CheckBoxes if before starting an external application automatically must be stopped ultrasound scanning and minimized the Echo Wave II software TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 162 of 182 Measurements and Calculations Scanning Control Keyboard and Mouse Technical General Appearance Saving and Printing i Applications list Application name Application path Ultrasound application actions Calculator eacee IT Freeze J Minimize ban mspaintere IT Freeze J Minimize Explorer fesplrerene IT Freeze J Minimize Po OoOO i O J Freeze J Minimize 4 Alternatively to select an application path click on the Browse button E and using the displayed dialog select the desired executable file and click on the Open button of this dialog Look in S system32 DI rh PS Fe SoftwareDistribution Jat exe Dcharmap exe cmmon32 1 Ae spool Jatmadm exe E chkdsk exe Se cmstp exe My Recent URTTemp atb se PI chkntfs exe P Icomp exe Documents usmt J auditusr exe Icidaemon exe Icompact e wbem amp AUTMGR32 EXE E cipher exe
164. ion about automatic B mode Gain and V Perlibakas TGC adjustment changed some terms TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 181 of 182 Revision Revision Date Description of Revision Revision Author 1 3 2 2010 01 08 Updated section Using Reports with Multiple Images V Perlibakas 1 3 3 2010 01 22 Added information about arrangement of annotations V Perlibakas and comments templates 1 3 4 2010 04 21 Updated information about reports updated FAQ V Perlibakas section 1 3 5 2010 05 18 Added information about possibility to invert Color V Perlibakas Doppler palette by clicking it with mouse 1 3 6 2010 05 24 Added section Using Full Screen Mode V Perlibakas Added section Indication of Ultrasound System Status 1 3 7 2010 08 03 Updated sections Software control using command V Perlibakas line and Using Reports with Multiple Images 1 3 8 2010 09 09 Added information that ultrasound image must be V Perlibakas frozen in order to perform different kinds of annotations 1 3 9 2010 10 25 Updated information about PW mode measurements V Perlibakas 1 4 0 2010 11 23 Added information about possibility to measure exam V Perlibakas specific area and circumference measurement fields using single line as a diameter of a circle 1 4 1 2010 12 09 Added information about po
165. is by selecting activating this control and changing values using the keyboard Left Right arrows The control can be selected activated by pressing keyboard hotkey that is displayed as an underlined letter in the control caption e g D for Depth control Please note that hotkeys allow you to select only controls from the ControlBar last activated For navigation inside an activated ControlBar you can use the Up and Down keyboard arrows if the ControlBar supports such navigation Pages of controls inside active ControlBar can be changed using the Page Up and Page Down keyboard keys TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 13 of 182 Control Description Appearance TrackBar slider control Control displays the name of the parameter that it controls e g Power the current value e g 47 and measurement units e g In order to change parameter value using this control move the mouse cursor over the TrackBar thumb press the left mouse button and then drag the thumb without releasing the mouse button Release the mouse button only when the parameter value reaches the desired value Alternatively the value can be changed by repeatedly clicking on the left mouse button on the control track near its left or right side if the Power 47 control is horizontal The TrackBar thumb will move to the side where the a mouse cursor is placed Another way to change values is to move the
166. ist Daily list date control allows to select the date of some previous day in order to see its daily list Delete selected list item button allows to delete accidently added or incorrect list entries Print preview button allows to see how will look printed list Print button allows to print the list to selected printer If is checked option Automatically add information to daily list when Patient window is closed with OK button then software adds patient information if it differs from previously added information every time when Patient window is closed with OK button and there is no need to click button Add patient information to daily list When new information is added software always automatically selects today s list and adds information to it no matter what date was previously selected using Daily list date control TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 22 of 182 6 Typical Ultrasound Examination Workflow In order to perform an ultrasound examination please follow these steps 8 1 Open the Patient Information window by clicking on the Patient button or corresponding keyboard hotkey 8 Click the New Patient button to clear the patient data Choose the type of examination and enter the patient information manually or from another source Close the Patient window OK by clicking on the OK button F 2 Select the desired ultrasound scanning mode by clicking on the
167. key to show the running Color Doppler mode image with the PW line displayed and the frozen PW mode image 6 Click using the left mouse button on the ultrasound image to select the PW sample volume position Adjust the PW sample volume size and position using the controls on the left side PW mode ControlBar F4 7 Click on the PW mode button on the software s top ToolBar or on the F4 hotkey to show the PW mode image 8 Optionally click on the Color Doppler with PW line PW line CFM PW line PDI PW line DPDI F4 button on the software top ToolBar or on the F4 hotkey to show the Color Doppler mode image with PW line on it adjust the PW sample volume size and position and then once again click on the PW F4 mode button or on the F4 hotkey to show the PW mode image 9 Optionally adjust the PW image using the PW mode controls on the software left ControlBar gt H 10 Click on the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 11 Optionally perform measurements and add annotations 12 Optionally print out and or save ultrasound images pid 13 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning again 14 Optionally repeat steps 4 13 in order to scan more PW mode images F1 15 Click on the B mode button or on the F1 hotkey to enter B mode TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 34 of 182 7 11 B C
168. l options select the number of measurement object that will correspond to the second vector for angle calculation 4 Click Finish button inside angle tool options in order to calculate angle 5 Optionally calculate more angles by repeating steps 2 4 B Angle 2 Lines _ A Pa v B 4 a Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 91 of 182 11 1 6 Angles using Three Lines In order to measure angles between three lines vectors perform the following actions 1 Select measurement tool by clicking appropriate Angle button Alll Angle inside B Measurements ControlBar 2 Move mouse cursor to position on the ultrasound image where first vector should start and click left mouse button in order to start measurement 3 Move mouse cursor to position where first vector should end and click left mouse button 4 Move mouse cursor to position where second vector should start and click left mouse button 5 Move mouse cursor to position where second vector should end and click left mouse button 6 Move mouse cursor to position where third vector should start and click left mouse button 7 Move mouse cursor to position where third vector should end and click left mouse button in order to finish angle measurement 8 Optionally perform another measurement of the same type by repeating steps 2 7 Angles will be measured between first and second and between first
169. le depending on last used function from this button menu 23 Open image or video file 24 Save Print report with measurements and calculations or perform other report operation depending on last function used from this button menu 25 Print currently visible image or perform other image related operation depending on last function used from this button menu 26 Send image or report by E mail using system default E mail client software if this software is available and configured 27 MovieClip Cine control buttons that in Freeze mode allow you to step through recorded cine frames TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 12 of 182 3 5 Types of Controls This section describes the main types of software controls that are used for the control of the scanning parameters measurements and other operations The software may have some controls that look slightly different from the controls presented in this section but the main principles regarding their use are identical Most of them are standard Microsoft Windows operating system controls or operate similar to standard operating system controls Control Description Appearance Button control In order to invoke an action that is assigned to a specific button press that button with your mouse move mouse cursor over button and click on the left mouse button The same action can be invoked by pressing a keyboard key if that button has assigned a hotkey th
170. libakas 1 1 6 2008 01 28 Updated information about M mode and Color Doppler V Perlibakas mode controls 1 1 7 2008 01 29 Updated information about PW mode controls V Perlibakas 1 1 8 2008 06 17 Updated information about BtPW CFM PW modes in V Perlibakas subsections of section Selecting Ultrasound Scanning Mode 1 1 9 2008 06 27 Updated user interface screenshots V Perlibakas 1 2 0 2008 09 10 Updated information about Duplex and Triplex modes V Perlibakas 1 2 1 2008 11 07 Updated information about Speckle Reduction Added V Perlibakas information about Tissue Harmonic Imaging 1 2 2 2009 01 08 Updated section Color Averaging Updated FAQ V Perlibakas about presets backup and import 1 2 3 2009 01 21 Added section CFM PDI DPDI Color Transparency V Perlibakas 1 2 4 2009 03 16 Added information about software control using V Perlibakas command line Added section Sending Data to DICOM Server 1 2 5 2009 03 20 Updated FAQ section V Perlibakas 1 2 6 2009 04 17 Added section Using Reports with Multiple Images V Perlibakas 1 2 7 2009 06 01 Added section Using Thumbnail Images Updated V Perlibakas information related to main menu 1 2 8 2009 09 07 Added section Changing User Interface Language V Perlibakas 1 2 9 2009 10 05 Added section HPRF High Pulse Repetition H Alenkovich Frequency V Perlibakas 1 3 0 2009 10 29 Updated information about ultrasound scanning V Perlibakas controls 1 3 1 2009 12 24 Added informat
171. lly perform steps 4 5 for other desired to analyze parameters 7 Optionally using the View ComboBox select the number of simultaneously visible charts 1 2 3 or 4 and then using the Table ComboBox for each chart select the parameters and tables that will be used for analysis 8 Optionally save or print out the images of the desired curves 9 Click on the OK button to close this dialog Please note that fetal growth analysis requires the entry of the LMP date LMP Last Menstrual Period The LMP can be entered by clicking on the LMP button on the OB GYN measurements ControlBar and selecting LMP from the calendar or entering manually The LMP can also be entered in the Patient 8 Information window that is opened by clicking on the Patient button that is located on the software bottom ToolBar TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 124 of 182 The software OB GYN package allows you to use multiple EFW and GA calculation methods and select what methods are to be used for the calculation of the averaged results Tables that are immediately available for calculations can be selected in the software options window for details see the section that describes system customization Estimated Fetal Weight EFW Gestational Age GA alue 73 EFWIAC Campbell75 1562 g GA BPD Hadlock97 29 2 2013 02 24 C EFWIAC Hadlock84 1525 9 GA Cereb HO OF EF WAC
172. lor Doppler image smoother but the resolution of the Color Doppler image is decreased Values The number of spatial filters available depends on the beamformer and probe Adjustment m Spatial filtering Spatial filtering can be enabled disabled and the filtering method IV Enabled can be selected under the software options Menu gt Tools gt Options gt Scanning Control gt Color Doppler mode Method 1 ESIE TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 67 of 182 10 3 17 Pulse Length Description The Pulse length control allows you to adjust the resolution of the Color Doppler image The increase of the pulse length increases both the sensitivity and the image quality but also increases the TI and MI The Increase of the pulse length may involve an automatic power reduction Values The pulse length values available depend on the beamformer and probe used Pulse length values are usually found in the range 2 8 Adjustment Pulse Length 4 The Pulse length can be adjusted under the software options Menu gt Tools gt Options gt Scanning Control gt Color Doppler mode lt gt 10 3 18 CFM PDI DPDI Color Maps Description These controls allow you to select a specific color map In the CFM and Directional Power Doppler modes the flow is shown as blue travelling away from the probe and red travelling towards the probe In the CFM mode the range of displayed velocities i
173. mage Position area TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 83 of 182 10 8 Using M Mode Zoom To perform zooming of the M mode ultrasound image when scanning is performed in B M or M mode carry out the following actions F 1 Select the zoom tool by clicking on the Zoom button on the software top ToolBar or on the F7 hotkey Omit this step if the zoom tool is already selected A pictogram of the selected tool is displayed on Tool l the software right top corner 2 2 Select a depths interval on the M mode image that needs to be zoomed To do this move the mouse cursor to the position on the ultrasound image where you want to start the zoom stripe Press on the left mouse button and keeping it pressed move the mouse to the position where you want the zoom stripe to end During the movement of the mouse two horizontal lines will be drawn that should contain the desired to zoom M mode data Finally release the mouse button and the software will zoom a selected depths interval 3 When an ultrasound image is zoomed or shifted the zoom tool starts working as an image shifting tool This lets you perform centering of zoomed M mode ultrasound images To perform image shifting press the left mouse button on the ultrasound image at a point that you want to be shifted Keep the mouse button pressed and move the mouse cursor to the position where must be shifted selected point During the mouse mo
174. ment tool is selected or if a tool such as the M line is selected click on the Measurements F8 button E to open the right side measurements ControlBar and click on the Neutral tool button al 2 Move the mouse cursor over the key point of the measurement object you want to modify 3 Click using the right mouse button to start the key point modification Please note that some computers may not have an external mouse but have a built in touch pad or touch screen To find out how to perform right mouse button click on such computer please read the user manual for this particular computer or for its pointing device In the case of the ClarUs system with touch pads clicks using the right mouse button can be performed by very gently touching the touch pad with two fingers at once 4 Move the mouse cursor to the new desired key point location 5 Click using the right mouse button to finish key point modification 6 Optionally repeat steps 2 5 for all measurement objects and their key points that you want to modify Please note that if a particular measurement object was connected with an examination specific measurement field the modification of the measurement object also affects the value that resides in the connected examination specific measurement field To delete a measurement or a drawing object after finishing measurement perform the following actions 1 If no measurement tool is selected or if a tool such as the M line is selec
175. mference or area of this circle For some fields of Cardiology calculations package are defined hint images Hint image if defined appears when a field is activated Hint image appears on the left side of the ultrasound image area For example the HR field has the following hint image 2 ANAL This means that in order to calculate the heart rate a 2 beats interval must be measured For more detailed images and explanations of field meaning please read the appropriate sections of the reference manual To hide the hint image move the mouse cursor over it and click on it To clear data for a particular Cardiology parameter measured clear measurement field perform the following actions 1 Open the Cardiology calculations ControlBar if not already opened by clicking on the Calculations button Study 1 2 Left Ventricle 2 Use the Study control Bless of the Cardiology calculations ControlBar to open the study page that contains the control measurement field with the name of the parameter that needs to be cleared e g HR if it is not included in Aah current study page 3 Optionally if the measurement field that needs to be cleared is already selected is visible third button HR 61 b min L f f f E click on this measurement field e g HR button to deselect it the third button f HR 61 b min gt will now disappear HR 61 b min t 4 Click on the desired to clear measurement field button
176. mode image and the running CW mode image 8 Optionally adjust the CW cursor position 9 Optionally adjust the CW image using the CW mode controls on the software left side ControlBar gt K 10 Click on the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 11 Optionally perform measurements and add annotations 12 Optionally print out and or save ultrasound images pid 13 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning 14 Optionally repeat steps 4 13 in order to scan more CFM CW images FA 15 Click on the B mode button or on the F1 hotkey to enter B mode The CFM CW mode button F6 hotkey loops through the following states CFM running CW frozen CFM frozen CW running When button with hotkey F6 loops through CW PW states hotkey F2 can be used for entering PW CW states TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 37 of 182 7 14 Color Doppler and CW mode optional The software supports switching between the Color Doppler and CW modes In order to switch between the Color Doppler and CW modes perform the following actions pid 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key O F1 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B m
177. mouse cursor over this control and then rotate the mouse wheel if available without clicking on the mouse In order to change values using the keyboard at first select activate this control and then change values using the Left Right keyboard arrows The control can be selected activated by pressing the keyboard hotkey that is shown as an underlined letter in the control caption e g P for Power control Please note that hotkeys allow you to select only controls of last activated ControlBar For navigation inside an activated ControlBar can be used the Up and Down keyboard arrows if the ControlBar supports navigation The pages of controls inside an active ControlBar can be changed using the Page Up and Page Down keyboard keys Power 43 CheckBox control The CheckBox control usually indicates whether a_ particular option has been activated or not The option is activated e g scan direction is changed if the corresponding CheckBox is checked x ON Control values are changed by clicking with mouse on the CheckBox square Change Scan Direction Values also can be changed by moving the mouse cursor over this control and then by rotating the mouse wheel if available forwards backwards without clicking on the mouse IW Change Scan Direction In order to change values using the keyboard at first select activate this control and then change the values using the Left Right keyboard arrows Depen
178. n Amazonite set_skin DarkBlue set_language language_id change user interface language Language codes en It must correspond to codes in appropriate language files e g lang_code EN inside texts en txt at Config Languages Sample commands set_language en set_language It Before starting ultrasound software control from some other application ultrasound scanning software must be running So start ultrasound software using any method you know CreateProcess ShellExecute wait while software will be started and will finish its initialization find main window by its name search globally or only windows of concrete process send WM_COPYDATA commands to main window dwData 1 lpData some_commanad in ANSI dwData 100001 IpData some_commana in Unicode If the command is passed using WM_COPYDATA its arguments must be separated by symbols AAT and quotes must not be used for example save4 file_name In Windows command line quotes must be used to specify arguments that have spaces For WM_COPYDATA description see Microsoft documentation on MSDN http msdn microsoft com en us library windows desktop ms648710 v vs 85 aspx Initial parameters to ultrasound scanning application can be passed as a set of command line arguments without separators when application is launched but during run time must be used TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 177 of 182
179. n about software control using V Perlibakas command line 1 7 1 2013 05 30 Added information about sending of multiple previously V Perlibakas saved DICOM files to DICOM server 1 8 0 2013 12 03 Added information about support of SmartUs V Perlibakas beamformer information about Continuous Wave CW Doppler mode and information about PISA calculation of cardiology package TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 182 of 182
180. n and wait for the right side autohide ToolBar to appear In this ToolBar click on the Annotations button This opens the right side Annotations ControlBar 2 If the text annotations tool or pre defined text tool is not selected select any of these tools by clicking on Text Label the Text button or Label button 3 Move the mouse cursor over text label on the ultrasound image you want to edit 4 Click using the right mouse button to start editing the text field 5 Use the keyboard arrows for navigation inside the text field and the Delete key to delete some part of the text or all of the text and type in the desired text 6 Optionally change the position of the annotation text move text field To change the position of the text field move the mouse cursor to the edge of the text field When the mouse cursor appearance changes to a Move cursor p press the left mouse button and keep it pressed down Move the mouse cursor to the desired position without releasing the mouse button and this will move the annotation text field Now release the mouse button 7 Click using the left mouse button on the ultrasound image outside the text field or click on the Text T Text Label WW Get or Label button to finish the editing of the annotation text 8 Optionally repeat steps 3 7 in order to modify delete other text fields To add annotation text to the list of pre defined annotations perform the following 1 If the Ann
181. n ultrasound software fits hospital clinic logo image to report header the image is resized to 40 pixels height so relatively small logo image details and texts may become invisible TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 19 of 182 5 1 Using DICOM Modality Worklist This software allows communication with the DICOM Modality Worklist MWL and the DICOM Modality Performed Procedure Step MPPS servers in your HIS RIS Hospital Radiology Information System and send images to DICOM PACS Picture Archiving and Communication System Application entity titles IP addresses and ports of the desired to use servers must be entered using the Echo Wave II options Menu gt Tools gt Options gt DICOM The title of this Application Entity must also be selected using options In order to find out how to configure a concrete DICOM server another computer with third party DICOM server application that is not a part of Echo Wave II please read its manual If your DICOM server supports different character sets you can also specify character sets using Echo Wave II options Menu gt Tools gt Options gt DICOM For the list of languages that correspond to appropriate character set please see Echo Wave II DICOM Conformance Statement Before starting to use any DICOM features we strongly recommend that you read the Echo Wave H DICOM Conformance Statement and Conformance Statements of the used third party ser
182. nd will change the icon of its large button to Quick Print Print Preview or Print amp Next time you can invoke the same printing action by simply clicking on this large button Before printing to the system default printer ensure that it is properly installed and turned on Printing margins and the page layout portrait landscape can be adjusted at Menu gt File gt Page Setup To remove a dark background from saved and printed images at Menu gt Tools gt Options gt Saving and Printing turn on the option designated as Remove dark background from saved and printed images When printing images or reports the software automatically fits if required images to page width and resizes images proportionally In some cases in order to reduce the height of printed image you may need to increase the horizontal printing margins on the software main menu Menu gt File gt Page Setup If TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 152 of 182 due to page width reduction the software needs to reduce horizontal width of the image then the image height will also be reduced accordingly If you have a network printer that supports DICOM format images for this printer can be sent by clicking the Send button on the bottom ToolBar and selecting the menu item Send Image to DICOM Printer with the name of the appropriate printer Send Image by E mail Send Report by E mail Send Image to DICOM Server S
183. ned Performance Options dialog select Visual Effects tab and click RadioButton option Adjust for best performance After that close all dialogs by clicking OK buttons 6 Open Windows Display Properties dialog Start gt Settings gt Control Panel gt Display select Themes tab choose Windows Classic theme Then select Desktop tab and inside Background ListBox select None Close dialog with OK button 7 Inside video card configuration options select Performance mode if available For more information read your computer s and video card s user manual or help 8 Adjust Windows file indexing and other services or always running applications automatic updates of Windows and installed applications 9 If your computer has installed antivirus software disable real time checking of Echo Wave II files Read antivirus software user manual in order to find out how to configure scanning exceptions 10 If your laptop computer has switch Stamina Speed select Speed mode and restart computer For more information read your computer s user manual 11 If your computer s BIOS has CPU speed selection option Low Adaptive Fast select fastest available option For more information read your computer s user manual If you are using a laptop notebook computer and it is running on batteries meaning it is not connected to 220 V 110 V mains supply please note that the operating system may configure the computer hardwa
184. ng TGC Time Gain Compensation Controls E FPS 26 De 90 mm Pw 47 Gn 34 DR 68 dB Frq 3 5 MHz ImEnh 0 IT Link TGC Controls The Time Gain Compensation TGC controls adjust how returning signals are amplified in order to correct the attenuation that varies depending on the scanning depth and the tissue being observed Using the TGC controls you can equalize amplification of the returning echo signal so that the density of echoes at different depths is similar TGC allows you to control the gain level in several depth zones independently TGC TrackBar controls are spaced proportionally to the current scanning depth Current TGC values at appropriate depths are displayed on the TGC controls The vertical TGC curve is shown on the right side of the ultrasound image Small markers on this curve correspond to the depths of the TGC controls Values TGC values available are usually in the interval 0 100 Measurement units used percentages TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 80 of 182 Adjustment To change the TGC values open the software left side TGC ControlBar by clicking on the TGC ver 5 controls button on the software bottom ToolBar or on the 5 hotkey Then adjust the TGC using the TrackBar controls located on this ControlBar If the Link TGC Controls has been selected movement of one of the TGC controls causes movement of all the other TGC controls During adjustment
185. nimum number of rows of images that will be printed on each single page report images view layout Saved and printed report data m Report action M Ultrasound image s M Calculations Report images view layout rows x columns Quick Print Quick Save I Comment I Sonographer s name 3x3 EI I Add sonagrapher s name and logo only if comment is not empty Print Save As E a UE Close Print Preview lil TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 159 of 182 19 Direct E mail Sending To send a currently visible ultrasound image by E mail perform the following Send 1 On the software bottom ToolBar click the Send button Send Image by E mail Send Report by E mail Send Image to DICOM Server Send Report ta DICOM Server 2 From the displayed menu i i choose what image or report you wish to send by E mail and click on the appropriate menu item The software will open the Windows default E mail client and will attach the current image to the E mail Want to know your opinion Baltic w B lsl E File Edit ew Insert Format Tools gt a 4 ERR IO 19 Send Cut Copy Paste Undo From vperib telemed lt telemed yperlib DI To jinfo telemed E Ee Subject vant to know your opinion Attach ps 20070108 142939 bmp 803 KB Dear Colleague Can you see attached image and say your opinion about it Tha
186. nks 3 Enter the E mail address of the recipient using the To field enter the subject into the Subject field and also write your E mail text To send your E mail click on the Send button This will close the E mail composing window and will return you to the ultrasound scanning software 4 Alternatively you can close the E mail composing window to return to the ultrasound scanning software without sending an E mail Please note that in order to use the direct E mail sending feature you must have properly configured Windows default E mail client that supports MAPI Messaging Application Programming Interface Depending on the E mail client used its appearance the field names and controls may be different from that described above TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 160 of 182 20 Sending Data to DICOM Server To send currently visible ultrasound image to a DICOM server perform the following Send 1 On the software bottom ToolBar click the Send button Send Image by E mail Send Report by E mail Send Image to DICOM Server Send Report to DICOM Server Send Cine to DICOM Server Send Saved DICOM Files to Server 2 From the displayed menu choose the object you want to send image report or cine to the DICOM server and click on the appropriate menu item The software will start the sending operation Please wait for the operation to be completed 3 After the data is sent to
187. nty84 E 3504 Age weeks AC 252 5 mm GA AC 30 6 105 OK Cancel Save Print DS 16 20 24 28 32 36 40 Present Past LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 EDD AC 2013 02 13 TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 125 of 182 The software allows you to plot the same measured parameter on the growth curves of different authors and view the desired number of plots simultaneously Calculations Growth Curves FirstName LastName 123456789 Hospital clinic 1978 08 24 Sonographer View AC mm AC GA Jeanty34 Dd 95 AC mm 5 AC mm AC GA Hadlock84 k os 3504 f P 300 5 V a 300 4 i l EN Age weeks Age weeks EE EEN pa apna pon a ap ap a al 12 16 20 24 28 32 36 40 12 16 20 24 28 32 36 40 Present Past Present Past LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 AC 252 5 mm GA AC 30 6 EDD AC 2013 02 13 AC 252 5 mm GA AC 29 1 EDD AC 2013 02 25 AC mm AC GA Merz96 be 95 AC mm 5 AC mm AC GA Tokyo96 ba 95 AC mm 5 400 4 4004 3504 3504 3004 250 200 4 i 1504 1 504 i Age weeks 1004 Age weeks d 16 20 24 28 32 36 40 16 20 24 28 32 36 40 Present Past Present Past LMP 2012 05 20 GA LMP 29 2 EDD LMP 2013 02 24 LM
188. ode controls on the software left side ControlBar 4 Select the desired Color Doppler mode as described in the Color Doppler mode section adjust the Color Doppler window size and position Adjust the Color Doppler mode parameters using the Color Doppler mode controls on the left side Color Doppler ControlBar FR 5 Click on the CFM PW mode PDI PW mode DPDI PW mode button on the software top ToolBar or on the F6 hotkey to show the running Color Doppler mode image with the PW line displayed and the frozen PW mode image 6 Click using the left mouse button on the ultrasound image to select the PW sample volume position Adjust the PW sample volume size and position using the controls on the left side PW mode ControlBar FB 7 Click on the CFM PW mode PDI PW mode DPDI PW mode button or on the F6 hotkey once again to show the frozen Color Doppler mode image and the running PW mode image 8 Optionally adjust the PW sample volume position and size 9 Optionally adjust the PW image using the PW mode controls on the software left side ControlBar L i 10 Click on the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 11 Optionally perform measurements and add annotations 12 Optionally print out and or save ultrasound images pid 13 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning 14 Optionally repeat steps 4 13 in order to scan more CFM PW images
189. ode controls on the software left side ControlBar 4 Select the desired Color Doppler mode as described in the Color Doppler mode section adjust the Color Doppler window size and position Adjust the Color Doppler mode parameters using the Color Doppler mode controls on the left side Color Doppler ControlBar 5 Open menu of the CFM PW mode PDI PW mode DPDI PW mode button ERNE on the software top ToolBar and select CFM CW mode menu item to show the running Color Doppler mode image with the CW line on it and the frozen CW mode image If CFM CW mode was selected before and button stored this selection then CFM CW mode can also be selected by clicking on the F6 hotkey 6 Click using the left mouse button on the ultrasound image to select the CW cursor position Adjust the CW cursor position using the controls on the left side CW mode ControlBar F4 7 Click on the CW mode button on the software s top ToolBar or on the F4 hotkey to show the CW mode image 8 Optionally click on the Color Doppler with CW line CW line CFM CW line PDI CW line DPDI F4 button on the software top ToolBar or on the F4 hotkey to show the Color Doppler mode image with CW line on it adjust the CW cursor position and then once again click on the CW mode button F4 or on the F4 hotkey to show the CW mode image 9 Optionally adjust the CW image using the CW mode controls on the software left ControlBar L i 10 Click on
190. of examination in the Patient window and enter any additional patient information before closing the Patient window by clicking the OK button During examination perform scanning of images measurements calculations saving printing and send desired images to the PACS server In order to finish the examination of a patient selected from the DICOM Worklist open the Patient window open the DICOM Worklist select the name of the patient that you wish to finish the examination for if is selected other patient and then click on the Finish exam button In order to discontinue an examination of a patient that was selected from the DICOM Worklist open the Patient window open the DICOM Worklist select the patient that you wish to discontinue examination for if is selected other patient select a reason for this discontinuation using the Discontinuation reason ComboBox and then click on the Discontinue exam button After the completion discontinuation of an examination you can select another patient from the worklist and start a new examination or you can close the worklist and in the Patient window start an examination of new patient not listed in the worklist Important If you start an examination of a patient from the DICOM Worklist do not edit any names or ID manually because this will change the patient identity information and this may result in adding incorrectly formatted or duplicate data items to your database server
191. oftware User Manual Ver 1 8 0 2013 12 03 Page 60 of 182 Relations to other controls After adjusting the Gain you may need to adjust the Power If you increase the gain the output level can usually be reduced to produce an equivalent image quality To perform automatic Color Doppler Gain adjustment use the Automatic adjustment button on the software top ToolBar F12 hotkey During image optimization hold the probe still on a vessel and do not move it Hints Always optimize Gain before increasing the Power If the adjusted Color Doppler Gain value does not produce the desired color sensitivity you may want to increase the Color Doppler Packet Size value under the software options Menu gt Tools gt Options gt Scanning Control gt Color Doppler mode Bioeffects Gain has no affect on the acoustical power output Once you have increased the Gain the output power level can usually be reduced to produce an equivalent image quality 10 3 3 Power Description Power adjustment increases or decreases the acoustic power of the ultrasound signal Values Power values available are usually in the interval 10 100 Measurement units used percentages For SmartUs scanners power values are in the interval 20 0 dB decibels Adjustment Power 19 SS Use the Power control to change the values Relations to other controls After adjusting Power you may need to adjust the Gain If you decrease power you may need to increase
192. ographers list opens user interface that allows you to enter and save a pre defined list of sonographer names and logos that can then be used to select from the drop down list that is shown when clicking on the arrow button v on the right side of the sonographer name field ComboBox When you click on the Edit sonographers list button and is opened list editing inteface add new sonographers by clicking Create new item button and entering sonographer name to Sonographer name field Optionally by clicking button at Logo image field and selecting image file for each sonographer in the list you can select logo image that will be printed in report with sonographer name In order to delete sonographer from the list select its name in the list and click Delete selected item button In order to finish modification of the list and save changes click Save list button After that you can select entered or modified sonographer names from sonographer name ComboBox The button Edit hospitals clinics list opens user interface that allows you to enter and save a pre defined list of hospitals clinics names and their logo images The list is edited using similar interface like previously described sonographer names editing interface If for hospital clinic is selected logo image it will be printed in report header Recommended format for logo image files is PNG or BMP The height of logo images should not be larger than 200 pixels Whe
193. olBar 2 Click on the Neutral tool button 8 3 Move the mouse cursor over the endpoint or contour of the object you want to move 4 Press the left mouse button and move the mouse cursor without releasing the left mouse button Please note that this movement operation affects all selected objects if you previously selected multiple objects 5 Release the left mouse button to finish the movement operation TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 119 of 182 11 5 Human Obstetrics Gynecology OB GYN Examination Measurements and Calculations To perform examination specific measurements and calculations freeze the ultrasound image or open the thumbnail image and at software top ToolBar click on the Calculations button OB GYN exam type was selected in the Patient Information window that is opened by clicking on the H Patient button the OB GYN measurements and calculations right side ControlBar will be opened OB GYN Study 1 12 OB EFW GA gt AC 0 mm BPD 0 mm D FL 0 mm D HC 0 mm FTA 0 cm2 SAPD 0 mm D ATD 0 mm TAPD 0 mm TTD 0 mm Calculations Aw bw 0 g GA LMP 0 0 AUA 0 0 EDD LMP EDD AUA View TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 120 of 182 To enter the LMP Last Menstrual Period date perform the following actions Open the OB GYN calculations ControlBar if not already opened
194. olBar An alternative way of changing the Doppler window position is to move the mouse cursor over the Doppler window and then click using the left mouse button drag the window to the desired location and then click using the left mouse button again to finish window positioning The size of the Doppler window also can be changed with the mouse To change the window size you can move the mouse cursor over the desired change border of the Doppler window and then click using the left mouse button drag the border to desired location and finally click using the left mouse button once again to complete the resizing 8 Optionally adjust the Color Doppler mode parameters using the Color Doppler mode controls on the left side of the Color Doppler ControlBar pid 9 Click on the Freeze Run button or on the SpaceBar key to freeze ultrasound scanning 10 Optionally perform measurements and add annotations 11 Optionally print out and or save ultrasound images pi 12 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning 13 Optionally repeat steps 6 12 in order to scan more Color Doppler mode images O Fi 14 Click on the B mode button or on the F1 hotkey to enter B mode TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 30 of 182 7 7 B PW mode Duplex optional In order to enter B PW mode perform the following actions L i 1 If an ultrasound image is frozen unfree
195. on Revision Author 0 0 1 2006 07 24 Draft V Perlibakas 1 0 0 2007 01 11 Initial Release V Perlibakas 1 0 1 2007 01 12 Added description of Color Doppler controls H Alenkovich 1 0 2 2007 02 28 To System Startup and Shutdown section added V Perlibakas comments about Windows Vista operating system 1 0 3 2007 05 14 Added information about Dual and Quad modes V Perlibakas 1 0 4 2007 06 11 Updated information about B mode measurement V Perlibakas tools 1 0 5 2007 06 27 Added section Using Cine V Perlibakas 1 0 6 2007 10 17 Added information about B PW and PW modes V Perlibakas Updated information about Color Doppler controls Added section Frequently Asked Questions 1 0 7 2007 10 18 Added section General PW Mode Measurements V Perlibakas Added section Adjusting Pulsed Wave PW Doppler Mode Controls 1 0 8 2007 11 05 Added more information about PW controls H Alenkovich 1 0 9 2007 11 09 Added section Using 3D Lite Easy 3D and PanoView V Perlibakas plug ins 1 0 2007 12 04 Added information about Doppler Frequency control V Perlibakas 1 1 1 2007 12 28 Added section Monitor Calibration V Perlibakas 1 2 2007 12 28 Updated information about PW Sample Volume V Perlibakas control 1 1 3 2008 01 08 Updated information about control of 3D and PanoView V Perlibakas plug ins 1 1 4 2008 01 15 Added section Using B Color Doppler Mode Zoom V Perlibakas 1 1 5 2008 01 18 Added section Using M Mode Zoom V Per
196. on hold the probe on an anatomical structure of interest and do not move it Please note that availability of the automatic image optimization depends on the ultrasound scanner used Adjust the Dynamic Range so that the highest amplitude edges appear as white while the lowest levels such as for blood are only just visible 10 1 4 Power Description Power adjustment increases or decreases the acoustic power of the transmitted ultrasound signal Larger power values allow you to increase the penetration depth and can help to achieve better image quality when observing tissues at greater depths Values Available power values usually are in the interval 10 100 Measurement units used percentages For SmartUs scanners power values are in the interval 20 0 dB decibels Adjustment Power 46 To change the values use the Power control Relations to other controls After adjusting the Power level you may need to adjust the Gain If you decrease the power level you may need to increase the gain If you increase the power level you may need to decrease the gain Hints Always optimize gain before increasing power levels Bioeffects Power adjustments may change the TI and MI values Caution Always use the lowest possible power value in order to reduce any possible negative effects on the patient This is especially important when observing pregnant women and children 10 1 5 Gain Description B mode Gain adjustment
197. onic beam is only focused at selected areas or focusing zones In the static focusing mode it is possible to select a number of focusing areas called the focus number Please note that selecting a larger number of focuses or active focusing zones reduces the frame rate You must select a focusing depth see the triangular focusing markers near the depth scale in both the static and dynamic focusing modes In the static focusing mode you may need to select the set of focuses that also determine which depths are used for the focusing zones before you adjust the focusing depth Always try to adjust focuses so that focusing markers are at the center of the anatomical structure which is of most interest Values The available list of focusing depth values depends on the beamformer and probe used Focusing depth measurement units used millimeters mm Adjustment Focus 15 mm To use the dynamic focusing mode optional tick the Dynamic lt gt Focus CheckBox and then adjust the focusing depth using the Focus Focus 15 mm Focus z control MV Dynamic Focus To use the static focusing mode untick the Dynamic Focus Focuses Number 1 CheckBox Then select the focusing set depending on the desired focusing depth Focusing sets with small identifiers are located at small depths while sets with large identifiers are located at greater depths Alternatively select the number of focuses active focusing zones Then
198. ool by clicking appropriate A B Ratio button ABli A B Ratio D inside M Measurements ControlBar 2 If you wish to calculate ratio between two distances ensure that Distance CheckBox inside ratio tool options is checked If it is not checked then check it 3 Optionally if you wish to calculate ratio between two time intervals check Time CheckBox inside ratio tool options 4 Optionally if you wish to calculate ratio between two velocities check Velocity CheckBox inside ratio tool options 5 From the first A ComboBox inside ratio tool options select the number of measurement object that will correspond to the first distance numerator A 6 From the second B ComboBox inside ratio tool options select the number of measurement object that will correspond to the second distance denominator B 7 Click Finish button inside ratio tool options in order to calculate ratio using two distances 8 Optionally perform more calculations of the same type by repeating steps 2 7 M A B Ratio d t v IV Distance IT Time T Velocity A B o Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 108 of 182 11 3 In order to perform PW CW mode measurements perform the following actions 1 Scan desired PW CW mode image and Freeze it General PW CW Mode Measurements DA Measurements ABH F8 1 2 2 Click
199. ool options Please note that you can check several CheckBoxes 4 Move mouse cursor to position on the ultrasound image where you wish to start measurement and click left mouse button in order to start measurement 5 Move mouse cursor to position on the ultrasound image where you wish to finish measurement and click left mouse button in order to finish measurement 6 Optionally perform another measurement of the same type by repeating steps 4 5 mMM Distance dtv Show Results MV Distance l Time IT Velocity TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 105 of 182 11 2 2 Heart Rate HR In order to measure Heart Rate HR perform the following actions 1 Select Heart Rate HR measurement tool by clicking Heart Rate button Heart Rate Let inside M Measurements ControlBar 2 If you wish to measure heart rate using two heart beats interval ensure that RadioButton 2 Beats inside heart rate tool options is checked If it is not checked then check it 3 If you wish to measure heart rate using one heart beat interval ensure that RadioButton 1 Beat inside heart rate tool options is checked If it is not checked then check it 4 Move mouse cursor to position on the ultrasound image where you wish to start measurement and click left mouse button in order to start measurement 5 Move mouse cursor to position on the ultrasound image where you wish to finish measurement and cli
200. or shape of this measurement object the updated results will be automatically transferred to the linked measurement field For example modification of an elliptical object will change the AC field data if that ellipse was used for measuring AC To modify the field data you should modify the corresponding measurement object This modification is usually performed by moving the key points for that particular object For detailed instructions please see the corresponding section about modification of performed measurements Please note also that deletion of measurement object breaks the link between the measurement field and this object but the field data is not erased If a circumference or an area field is measured using the line tool L it is assumed that this line corresponds to the diameter of a circle and the result of the field is calculated based on the circumference or area of this circle To clear data of a measured OB GYN parameter clear measurement field perform the following actions 1 Open the OB GYN calculation ControlBar if not already opened by clicking on the Calculations button i Fg Study 1 117 OB EFW GA 2 Use the Study control GES from the OB GYN calculations ControlBar to open the study page containing the control measurement field with the name of the parameter that you want to clear e g AC if it is not included in SE current study page 3 If the measurement field which you want to
201. order to prevent aliasing If the blood is moving faster than the pulse repetition rate the Doppler display will alias in CFM or Directional Power Doppler mode Aliasing does not occur if the Power Doppler mode is used If the PRF is set too high low velocity flow may not be visible Changing the PRF may affect the frame rate and the wall filter Values PRF values are available in the interval 0 5 10 kHz Measurement units used kilohertz KHz Adjustment PRE 1 9 kHz Use the PRF control to change the values Relations to other controls Changing the PRF may affect the frame rate and the wall filter When the PRF value is changed the cine memory is cleared Hints Always optimize the acoustical Power Output after increasing PRF Bioeffects Changing the PRF range may change the TI and or MI Observe the output display for possible effects 10 3 2 Gain Description The Color Gain adjustment increases or decreases the amplification of the returning ultrasound echo signal in the Color Doppler mode Color Gain adjustment allows you to control the amount of color within a vessel The Gain should be set high enough to achieve good filling of color within a vessel but not too high either in order to avoid noise in Doppler image Values Gain values available are usually in the interval 10 100 Measurement units used percentages Adjustment Gain 64 f Use the Gain control to change the values TELEMED Echo Wave II S
202. ording ultrasound frames are shown at one frame rate but if we save these frames to AVI file and perform playback of this AVI file then we see frames at different frame rate Why this happens and how to avoid this Answer AVI file format does not support variable frame rate It stores only single FPS frames per second value If during live scanning and cine recording FPS will not change scanning parameters will not be changed then such FPS average FPS of all recorded frames will be stored inside AVI file So in order to have the same FPS in all cine click Freeze Unfreeze or Record Stop buttons in order to clear cine and perform recording and then stop recording During recording do not change scanning parameters and after record stopping save cine to AVI file If scanning frame rate was larger than 25 FPS then for playback of saved AVI file must be used Echo Wave II software that loads AVI file into memory if computer has enough free physical memory RAM If AVI file is large or you will use other players then playback may be slower because of continuous AVI file reading from hard drive 29 4 Why ultrasound scanning is stopped after period of inactivity Question Why is the ultrasound scanning stopped after some time of inactivity Answer In order to prolong lifetime of the ultrasound probe by default software enters into freeze mode and turns off ultrasound output after 15 minutes of inactivity If you want to turn off
203. otations ControlBar is not visible move the mouse cursor to the far right side of the screen and a wait for the right side autohide ToolBar to appear In this ToolBar click on the Annotations button This opens the right side Annotations ControlBar 2 If the pre defined text label tool is not selected its options are not visible select this tool by clicking on Label the Label button The pre defined text label tool will appear and in the Annotations ControlBar you will see the options for this tool displayed 3 Click on the Add button at the bottom of the Annotations ControlBar This opens a window for entering the annotation text Annotation 4 Enter the annotation text and click on the OK button or on the Enter key The annotation text will now be added to the end of the list 5 Optionally repeat steps 3 4 to add more pre defined annotation texts TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 138 of 182 To modify an annotation text in the list of pre defined annotations perform the following 1 If the Annotations ControlBar is not visible move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear In this ToolBar click on the Annotations button This opens the right side Annotations ControlBar 2 If the pre defined text label tool is not selected its options are not visible select this tool by clicking on Label d S
204. ound data TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 85 of 182 11 Measurements and Calculations This section describes the user interface for measurements and calculations For equations and references please see the Echo Wave II Software Reference Manual Depending on software options measurements and calculations may only be available when the ultrasound scanning is frozen Measurements and calculations also can be performed on opened TPD Telemed Picture Data and TVD Telemed Video Data files 11 1 General B B B 4B Mode Measurements In order to perform B B B 4B mode measurements carry out the following actions 1 Scan the desired B B B 4B mode image s and Freeze it by clicking on the Freeze Run button or on the Spacebar key FB B Measurements 2 Click on the Measurements button to open activate the right side measurements ControlBar 1 ae 3 If the opened measurements ControlBar is not identical to Distance eng the B Measurements use the controls for changing General Measurements pages buttons lt and gt to open the B 3 Measurements page Pages also can be changed by clicking on the Page Up and Page Down keys 4 Inside this ControlBar select the desired measurement tool 5 choose options for this tool and perform the desired number of measurements using this tool Vill 5 If needed c
205. ouse cursor over this text and clicking using the left mouse button 4 Click on the Del button at the bottom of Annotations ControlBar This deletes the selected annotation from the list 5 Optionally repeat steps 3 4 in order to delete other annotation texts from the list of pre defined annotation texts To change the arrangement of the pre defined annotations in the list drag and drop them with the mouse press the left mouse button on the item to be moved then move the mouse cursor to new desired location and then release the mouse button TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 139 of 182 13 3 Drawing Arrows To draw an arrow on the ultrasound image freeze the ultrasound image and perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear 2 In the right side ToolBar click on the Annotations button This opens the right side Annotations ControlBar t Arrow 3 In the Annotations ControlBar select the arrow tool by clicking on the Arrow button el The arrow tool will now be selected and in the Annotations ControlBar you will see the options for this tool Line Style 4 Optionally select a line style a starting marker and line thickness by clicking on the appropriate buttons 5 Move the mouse cursor over the ultrasound image to the location where you wish to start the arrow and to see
206. own at the top of left side ControlBars If after preset invocation were modified any scanning parameters this is indicated by text modified TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 39 of 182 In order to apply an ultrasound scanning preset using the keyboard please perform the following actions 1 Open activate the left side Presets ControlBar by clicking on the 7 key hotkey of Presets button 2 Use the keyboard Up and Down arrow keys to select the desired preset 3 Click on the Enter key to activate the selected preset 4 Optionally repeat steps 2 3 in order to apply another preset In order to save the current ultrasound scanning parameters as a preset for future use please perform the following actions H 1 Open the left side Presets ControlBar if not already open by clicking on the Presets button on the software bottom ToolBar Save 2 Click on the Save button that is located at the bottom of the Presets ControlBar After this a window will be displayed for entering the preset name Pereset name Preset 4 co 3 Inside the open window enter the desired preset name must be different from the other preset names that will be displayed in the list of presets and click on the OK button The window will then be closed and the preset will then appear in the preset list Please note that preset stores and loads all ultrasound scanning parameters for all modes rega
207. pping buttons Previous Frame Next Frame on the software bottom right corner Wi NM Buttons can be clicked using the mouse hold button down for a short period to perform fast stepping You can also move the mouse over these buttons and select cine previous next frames by rotating the mouse wheel if present without clicking An alternative way of selecting frames is to use the keyboard keys lt and gt located near the SpaceBar key or use the multimedia keys if present If the Previous Frame or Next Frame buttons are activated focused for cine stepping can be used the Left Right arrow keys Home End keys and for playing pausing can be used the Up Down arrow keys The cine preview playback indicator 1050 shows how many frames have been recorded in the cine memory and what frame frame with what number we are currently viewing For example 10 50 means that we are viewing the 10th frame of 50 frames The current frame position is also indicated using a vertical graphical line The last frame e g 50 50 is the frame that we saw when the freeze was performed 4 Optionally perform post processing of selected frames image enhancement gamma correction brightness and contrast adjustment 5 Optionally perform measurements and calculations 6 Optionally print out or save current images 7 Click on the Freeze Run button or on the SpaceBar key to re start ultrasound scanning This will clear the cine buffer and
208. propriate scanning mode B M TGC controls Palettes Presets 3 Right side ControlBar Right side ControlBars contain controls that do not change scanning parameters General measurements of appropriate scanning mode Exam specific measurements and calculations Body Marks default hotkey Ctrl B Annotations default hotkey Ctrl A Biopsy Guidelines default hotkey Ctrl I 4 Bottom ToolBar Bottom ToolBar contains buttons for fast access to the following features ControlBars panels with controls of scanning modes Palettes TGC controls Presets Patient Information window Image and report saving loading printing Buttons of bottom ToolBar have assigned keyboard hotkeys 1 0 TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 8 of 182 3 2 Autohide ToolBars and Ultrasound Image Area LG S 3 5760 128 Fi F S a E al SSS SS EE ES SSS a SSS So SS SSS ee See H ES 47 34 40 General C3 5 60 128 26 0 LIB TISO 96 M055 E H BEIS FEI Ay De 150mm DR80dB Pwr7 bng Fq 4 MHz LnDens St lt lt 2 A B Ratio B Area Ellipse Show Results M Area M Circumference T Long Axis T Short Axis T Volume 4 ff ER H hk Del Se i D Delete All gt t 3 4 Depending on your customization options this software may have autohide Tool
209. ptionally using the menu v of the B button select whether you want to measure a standard trace or a trace with automatically detected heart beat 7 Perform the measurement of the second trace denominator B The software will calculate the selected ratios 8 Optionally perform another measurement of the same type by repeating steps 2 7 IMPORTANT If a trace with heart beat detection Trace and Beat is used then Velocity mean PG mean and Pulsatility Index are all calculated for detected beat interval drawn using different color The Velocity Time Integral is always calculated for a full trace between dashed vertical endpoint markers regardless of whether a heart beat is detected or not To calculate a ratio using two previously measured traces perform the following actions 1 Select the measurement tool by clicking on the appropriate A B Ratio ABS B Ratio button in the PW CW Measurements ControlBar 2 If you wish to calculate the ratio between two Velocity means ensure that the Velocity means ratio CheckBox in the ratio tool options is ticked Tick this CheckBox if not already ticked 3 Optionally if you wish to calculate the ratio between other parameters tick the appropriate CheckBoxes inside the ratio tool options 4 From the first A ComboBox in ratio tool options select the number of first trace measurement object numerator A The ComboBox only shows the numbers of objects that correspon
210. r Manual Ver 1 8 0 2013 12 03 Page 36 of 182 7 13 Color Doppler CW mode optional In order to enter Color Doppler CW mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key F1 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B mode controls on the software left side ControlBar 4 Select the desired Color Doppler mode as described in the Color Doppler mode section adjust the Color Doppler window size and position Adjust the Color Doppler mode parameters using the Color Doppler mode controls on the left side Color Doppler ControlBar 5 Open menu of the CFM PW mode PDI PW mode DPDI PW mode button FEAE on the software top ToolBar and select CFM CW mode menu item to show the running Color Doppler mode image with the CW line on it and the frozen CW mode image If CFM CW mode was selected before and button stored this selection then CFM CW mode can also be selected by clicking on the F6 hotkey 6 Click using the left mouse button on the ultrasound image to select the CW cursor position Adjust the CW cursor position using the controls on the left side CW mode ControlBar AN FB 7 Click on the CFM CW mode PDI CW mode DPDI CW mode button or on the F6 hotkey once again to show the frozen Color Doppler
211. rdless of which mode was used during the preset creation That means that even if a preset is created in B mode it will also store and load parameters for all available modes B M CFM PDI DPDI PW CW Presets are stored for currently selected beamformer probe If you want to perform a presets backup you need to use the presets import export tool at software options Menu gt Tools gt Options gt Scanning Control gt Presets gt Import and Export or backup restore tool Menu gt Tools gt Backup Restore More information about backup is presented in the section Frequently Asked Questions In order to delete an ultrasound scanning preset please perform the following actions 1 Open the left side Presets ControlBar if not already open by clicking on the Presets button on the software bottom ToolBar 2 Move the mouse cursor over the name of the desired to delete preset from the list of available presets 3 Click on the left mouse button to select a preset This will apply the selected preset Delete 4 Click on the Delete button located at the bottom of the Presets ControlBar After that a window will be displayed where you can confirm the preset deletion instruction Delete Preset ok Delete preset Preset 3 5 To delete a preset click the Yes button inside the window displayed In order to cancel preset deletion operation click on the No button or on the Cancel button 6 Optionally repeat steps 2 5 to d
212. re User Manual Ver 1 8 0 2013 12 03 Page 132 of 182 MV Show Probe Position Rotate Probe Marker 90 Add Remove 4 Optionally to select the position of the probe marker move the mouse cursor over the body mark at the body mark adjustment area and click using the left mouse button at the point where probe marker should be drawn 5 Optionally to adjust the orientation of the probe marker move the mouse cursor over the body mark adjustment area and rotate the mouse wheel if present or adjust the probe marker orientation by using the Rotate Probe Marker TrackBar 6 Optionally repeat steps 4 5 to perform more accurate positioning of the probe marker 7 Optionally remove the tick in the Show Probe Position CheckBox to hide the probe marker 8 Click on the Add button on the Body Marks ControlBar to add the selected body mark to the ultrasound image To remove a body mark perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the right side autohide ToolBar to appear 2 In the right side ToolBar click on the Body Marks button This opens the right side Body Marks ControlBar 3 Click on the Remove button on the Body Marks ControlBar to remove the body mark from the ultrasound image To remember and restore the last body marks used when the type of examination is changed at the Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings select th
213. re to save power and the computer may run slower than when connected to 220 V 110 V When the computer battery charge status gets too low e g lt 10 some computer features may stop working e g video acceleration and this may cause the Echo Wave II software to be unable to perform some of its functions Therefore if your computer is running on batteries meaning not connected to 220 V 110 V mains supply please ensure that they are sufficiently charged at least 30 for normal software operation Please note that if computer was started and was running on batteries before you connected it to a mains power supply you may need to restart the computer after this change because not all computers and operating systems properly react to these power source changes TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 179 of 182 30 References 1 Echo Wave II Software Reference Manual File EchoWavell_Software_Reference_Manual 2 Echo Wave II DICOM Conformance Statement File EchoWavell_Software_DICOM_Conformance_Statement 3 Echo Wave II Software 4DView Plug in User Manual File EchoWavell_Software_4DView_Plugin_User_Manual TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 180 of 182 31 Revision History Revision Revision Date Description of Revisi
214. rence CheckBox is checked 4 Move mouse cursor to position on the ultrasound image where the trace should be started and click left mouse button in order to start measurement 5 Move mouse cursor along desired contour in order to form closed curve 6 In order to finish measurement click left mouse button again Last curve s point will be connected with the first curve s point and the measurement will be finished 7 Optionally perform another measurement of the same type by repeating steps 4 6 Measurement object Result area circumference 1 0 6 cm2 P 31 6 mm B Area Trace Show Results IV Area MV Circumference It is important to note that painted closed trace must not have intersections If during painting software detects that mouse cursor is moved over already painted trace part the trace is automatically truncated to mouse cursor position Also during painting software displays the line that connects last mouse cursor position with first trace point showing what trace we would get if we would click left mouse button for finishing trace painting Before finishing trace painting please make sure that the line that connects its last and first points does not intersect any other trace points because otherwise the trace will be truncated and closed at intersection point Intersection point if present is indicated with red marker TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 9
215. rent Adjustment To adjust the color transparency of current scanning mode CFM M CFM Transparency PDI DPDI open the left side Palettes ControlBar by clicking on the V Enable Level 0 3 S Palette controls button on the software bottom ToolBar or on i the 6 hotkey Inside the opened left side ControlBar you will find the controls for enabling color transparency and selecting the transparency level for the appropriate scanning mode CFM PDI DPDI TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 69 of 182 10 4 Adjusting Pulsed Wave PW or Continuous Wave CW Doppler Mode Controls To adjust the Pulsed Wave PW or Continuous Wave CW Doppler mode controls open the left side PW CW mode controls ControlBar by clicking on the PW Doppler controls CW Doppler controls BS 4 button on the software bottom ToolBar or on the 4 hotkey This button also selects the PW line CW line tool for changing the PW CW line position Inside the PW CW Doppler mode ControlBar the controls are divided into the following 2 pages PRE 4 kHz Gain 70 Wall Filter 3 n Power 58 Sound Volume 91 i ee L Steering Angle 0 Frequency 3 1 MHz lt gt Correction Angle 64 Sample Volume Size 2 mm Baseline 134 IV Invert Sweep Speed 8s Please note that the PW and CW Doppler modes are optional and may be not available
216. rm the following customizations e Choose application type humans or animals Options page General e Choose what Thermal Index TIS TIB TIC must be displayed for the currently used beamformer probe and examination Options page Scanning Control gt General e Select screen layout of B M B PW CW mode side by side or B above M and screen division ratio Options page Appearance gt General e Select Skin appearance of graphical user interface Options page Appearance gt Skins eSelect the size of the ultrasound output area for Wide Screen systems and systems with large screen resolution Options page Appearance gt General e Adjust the size of some user interface fonts Options page Appearance gt General e Select what control panels ControlBars and ToolBars should automatically be hidden when not being used and reappear when the mouse cursor moves over some region of the screen Options page Appearance gt General e Select the size of the application s main window Options page Appearance gt General e Select Quick Saving folder image format compression and dimensions rules for generating folder and file names select E mail image format Options page Saving and Printing e Select image and report printing options that include being able to remove dark background around ultrasound image add current visible ultrasound image to report Options page Saving and Printing e Set IP addr
217. rom the Enable Auto Freeze CheckBox and close the dialog using the OK button TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 23 of 182 7 Selecting Ultrasound Scanning Mode i In order to freeze run ultrasound scanning in any mode click the Freeze Run button ER that is located at the software left bottom corner or click on the SpaceBar key Before selecting any scanning mode the ultrasound image must be unfrozen If an ultrasound image pid is frozen then click on the Freeze Run button or on the SpaceBar key to start ultrasound scanning In order to enter B 2D mode from any other mode click on the B mode button on the software top ToolBar or click the F1 hotkey In general in order to enter a particular scanning mode from the current mode you need to look at the software top ToolBar and click on the buttons or F1 F6 hotkeys written on these buttons with the pictograms of your desired mode Button Pictogram Description mode B 2D standard mode B Brightness B mode trapezoid scanning type optional B mode compound scanning type optional Dual mode B B Quad mode 4B B mode image with M line M mode M Motion B M mode Color Doppler CFM mode CFM Color Flow Mapping Color Doppler PDI mode PDI Power Doppler Imaging Color Doppler DPDI Directional PDI mode B mode image with PW line B mode image with CW line PW mode PW Pulsed Wave CW mode CW Con
218. ropriate options 5 Move mouse cursor to position on the ultrasound image where should be placed first point of an ellipse long axis and click left mouse button in order to start measurement 6 Move mouse cursor to position on the ultrasound image where should be placed second point of an ellipse long axis and click left mouse button 7 Move mouse cursor to position on the ultrasound image where should be placed first point of an ellipse short axis and click left mouse button in order to finish measurement 8 Optionally perform another measurement of the same type by repeating steps 5 7 Measurement object ellipse Result area circumference 1 2 3 cm2 P 56 9 mm Please note that both ends of ellipse long axis first axis are marked with small circles key points while short axis second axis has marked one endpoint mB Area Ellipse Show Results V Area MV Circumference T Long Axis Short Axis T Volume TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 89 of 182 11 1 4 Area and Circumference using Trace Tool In order to measure area and or circumference using trace tool perform the following actions 1 Select measurement tool by clicking appropriate Area button Area inside B Measurements ControlBar 2 If you wish to measure area ensure that Area CheckBox inside tool options is checked 3 If you wish to measure circumference ensure that Circumfe
219. s shown on the Color Map In Power Doppler the map indicates the power values independently of the flow direction In Directional Power Doppler the map indicates the power values and also indicates the flow direction the red part of the map corresponds to the flow towards the probe and the blue part corresponds to the flow away from the probe In the Power Doppler and Directional Power Doppler modes the minimum velocity corresponding to the Wall Filter cut off frequency is displayed Adjustment To adjust the color map of current scanning mode CFM PDI M CFM Palette DPDI open the left side Palettes ControlBar by clicking on the Palette Map 3 lt gt controls button on the software bottom ToolBar or on the 6 J Invert hotkey Inside the opened left side ControlBar you will find the color map control for the appropriate mode CFM PDI DPDI To invert the CFM or DPDI color map tick on the Invert CheckBox Hints An alternative way of inverting the CFM or DPDI color map is by clicking on the CFM or DPDI palette using the left mouse button TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 68 of 182 10 3 19 CFM PDI DPDI Color Transparency Description The Color Transparency control allows you to adjust the transparency of the displayed Color Doppler information Values Color transparency values are usually in the range 0 0 9 Larger values mean that the color information is more transpa
220. se and inside opened menu click 2 Distances Then menu will be closed and Volume control s mode will be changed to volume II Volume calculation using two distances 2 From the first ComboBox inside volume tool options select the number of measurement object that will correspond to an ellipsoid s long axis 3 From the second ComboBox inside volume tool options select the number of measurement object that will correspond to an ellipsoid s short axis 4 Click Finish button inside volume tool options in order to calculate volume of an ellipsoid 5 Optionally calculate more volumes by repeating steps 2 4 MB Volume 2 Distances feed HS SE lee IR Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 96 of 182 11 1 11 Volume using One Trace Simpson s Single Plane Method In order to measure volume using one trace perform the following actions 1 Inside B Measurements ControlBar select measurement tool by clicking ill Volume i Small v button of Volume control that will open menu 1 Distance Distances 3 Distances B Volume 1 Trace 1 Ellipse 1 Trace Simpson 2 Traces Simpson Hy H and inside opened menu click 1 Trace Simpson Then menu will be closed and Volume control s mode will be V Volume changed to volume calculation using one trace 2 Move mouse cursor to position on the ultrasound image where should be
221. side dialog select Security tab and allow Full control to desired users In order to adjust permissions of registry key start regedit exe software navigate to HKEY_LOCAL_MACHINE SOFTWARE TELEMED on 64 bit Windows to HKEY_LOCAL_MACHINE SOFTWARE Wow6432Node TELEMED registry key click on it right mouse button from appeared menu select Permissions and inside Security tab allow Full control to desired users If the user is not visible in the list use Add button in order to add desired users or groups General Sharing Security Customize Group or user names Administrators WYTAUTAS Administrator d GH Si CREATOR OWNER i SYSTEM CB Users WYTAUTAS Users Lg Yytautas Perlibakas YYTAUTAS Wytautas Perlibakas Add Remove Permissions for Administrators Allow Deny Full Control oO Modify oO Read amp Execute o List Folder Contents o Read oO Write oO Cranial Darminniana m m For special permissions or for advanced settings Advanced click Advanced Cancel Apply TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 175 of 182 29 6 Software control using command line Question Is it possible to control software using command line commands Answer Yes Software supports the following command line and main windows s WM_COPYDATA commands freeze stop ultrasound scanning run start ultrasound scanning freezerun stop start ul
222. ssibility to move graphical V Perlibakas objects 1 4 2 2011 01 04 Updated section Indication of Ultrasound System V Perlibakas Status 1 4 3 2011 02 10 Added section Using DICOM Workilist V Perlibakas 1 4 4 2011 02 18 Added section Using 4DView Plug in V Perlibakas 1 4 5 2011 03 30 Added information about printing to DICOM printers V Perlibakas 1 4 6 2011 04 06 Added information about DICOM character sets V Perlibakas 1 4 7 2011 05 03 Added more information about creation of reports with V Perlibakas multiple images 1 4 8 2011 06 29 Updated information about printing of reports V Perlibakas 1 4 9 2011 09 14 Updated information about presets reports TGC V Perlibakas 1 5 0 2011 10 13 Added information about menus of ControlBars V Perlibakas headers information about B Angle control B scanning types updated B closed trace measurement information 1 5 1 2011 11 18 Added sections Volume using One Trace and V Perlibakas Volume using Two Traces 1 5 2 2012 03 14 Updated information about storing of presets entering V Perlibakas hospital clinic name data backup during software update 1 5 3 2012 03 23 Added section Using Daily List V Perlibakas 1 5 4 2012 12 11 Added information about import of previous growth V Perlibakas data OB exam 1 6 0 2013 01 07 Updated images of main software window and V Perlibakas ControlBars updated Patient window information 1 7 0 2013 04 26 Added more informatio
223. t in Save file as dialog s Save as type ComboBox choose Uncompressed video file 3 On Mac OS or UNIX like operating systems open these uncompressed AVI files using latest version of Apple QuickTime based video player Another way to exchange video files between different operating systems could be the use of DICOM cine format but before its use you should check if for your operating system is available DICOM viewer that satisfies your needs and that could open Echo Wave II DICOM cines JPEG compressed RGB or YBR Also please note that most viewers cannot open large DICOM video files if all decompressed frames cannot be fit to memory at once TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 178 of 182 29 8 Speeding up software startups and operation Question Is it possible to make the software startup and operation faster Answer It is normally possible to make the Echo Wave II software the operating system and your computer run faster but some actions may require advanced knowledge of the operating system and your computer hardware Before performing any below described actions please carefully read user manual help of your operating system video card and computer and understand how these actions will affect your computer In order to make software and computer start and run faster you can perform the following actions 1 Open software Options window Menu gt Tools gt Options select tabs
224. t beats interval ensure that RadioButton 2 Beats in the heart rate tool options is ticked Tick this if not already ticked 3 If you wish to calculate the heart rate using a one heart beat interval ensure that RadioButton 1 Beat in the heart rate tool options is ticked Tick this if not already ticked 4 From the ComboBox in the heart rate tool options select the number of measurement object that will be used for calculating the heart rate 5 Click on the Finish button in heart rate tool options to calculate the heart rate 6 Optionally perform more calculations of the same type by repeating steps 2 5 A Heart Rate also can be entered in the Patient Information window Pw Heart Rate HR _ C 1Beat 2Beats a Finish Another way of measuring a heart rate is by using the PW CW trace with selected beat detection and Heart Rate options For more information see the trace tool description TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 117 of 182 11 4 Modifying and Deleting Performed Measurements Each measurement object has defined key points that can be used for modifying this measurement object These key points are usually marked with small circles and are located at points which are the start and or end of the measurement object and at some other points To modify the measurement or drawing after finishing measurement perform the following actions 1 If no measure
225. t of pre defined annotation labels select the one you want to use by moving the mouse cursor over it and clicking using the left mouse button on it 6 Move the mouse cursor over the ultrasound image to the place where you wish to add the text annotation 7 Click using the left mouse button to add the text annotation field 8 Optionally use the keyboard and edit the annotation text inside the added field Use arrows for navigation inside the text field and the Delete key to delete some part of the text or all of the text 9 Optionally change the position of the annotation text move text field To change the position of text field move the mouse cursor to the edge of the text field When the mouse cursor appearance changes to a Move cursor p press the left mouse button and keep it pressed down Move the mouse cursor to the desired position without releasing the mouse button and this will move the annotation text field Now release the mouse button TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 137 of 182 10 Click using the left mouse button on the ultrasound image outside the text field or click on the Label Label ae e button to finish editing the annotation text 11 Optionally repeat steps 5 10 in order to add more texts To modify delete the text of the text annotation perform the following 1 If the Annotations ControlBar is not visible move the mouse cursor to the far right side of the scree
226. ted click on the Measurements F8 button to open the right side measurements ControlBar and click on the Neutral tool button e 2 Move the mouse cursor over the key point of the measurement object you want to delete 3 Click using the right mouse button to start the key point modification 4 Click on the Delete Del key to delete the measurement object 5 Optionally repeat steps 2 4 for all measurement objects that you wish to delete Please note that the deletion of a measurement object does not affect the values contained in the examination specific measurement fields TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 118 of 182 To delete all measurements and drawings annotations perform the following actions F8 1 If the right side measurement ControlBar is not opened click on the Measurements button E to open the right side Measurements ControlBar Delete All 2 Click on the Delete All button at the bottom of the Measurements ControlBar to delete all measurement objects Please note that deletion of measurement objects does not affect the values contained in the examination specific measurement fields To delete several measurements or drawings annotations at once please perform the following actions F8 1 If the right side Measurement ControlBar is not open click on the Measurements button ES to open the right side Measurement ControlBar 2 Click on the Neutral tool b
227. th the format shown by the Today s date label 5 Click on the OK button to confirm the entered date or on the Cancel button to cancel a date input operation This will close the date input window LMP 5 18 2006 f 6 Ensure that the LMP date on the LMP button is the one you wish to enter 7 Optionally repeat steps 3 6 to modify correct the LMP date To measure a OB GYN parameter perform the following actions 1 Open the OB GYN calculations ControlBar if not already opened by clicking on the Calculations button Study 1 11 OB EFW GA 2 Use the Study control teas of the OB GYN calculations ControlBar to open the study page containing the control measurement field with the name of the desired to measure parameter e g AC if the current study page ae not already SECH it The study can be changed by clicking on the lt and gt buttons from the Study control or by clicking on the v button and from the opened menu selecting the desired study Measurement abbreviations e g AC meaning Abdominal Circumference and for calculations used formulas can be found in the software reference manual TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 121 of 182 X AC 0 mm i 3 Click on the button of the desired to measure parameter e g AC If the field contains any measurement data this data will be deleted and at the right side of the v button you will see a AC 0 mm vi E
228. that scanned 3D volume contains a smaller number of 2D images Using a smaller density you can achieve faster 4D scanning but scanned 3D volumes are less accurate contain a smaller number of 2D images 5 Use the 4DView Plug in controls in order to adjust the rendering parameters These controls are described in the Echo Wave II Software 4DView Plug in User Manual pid 6 To freeze run the ultrasound scanning use the Freeze Run button ER 7 You can create cine perform measurements and annotations using the 4DView Plug in controls 8 Save print out images 9 Optionally you can scan more 3D 4D images by unfreezing the ultrasound and repeating steps 3 8 FI 10 Return to B mode by clicking on the B mode button If the 4DView Plug in software is opened without being connected to an ultrasound scanner it can be closed by clicking on the Probe button on the software left top corner TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 166 of 182 24 Changing User Interface Language To change the user interface language select the software main menu by clicking on the menu Menu button on the software top ToolBar and the Language sub menu if available In the displayed sub menu select the desired user interface language File Tools F Help a English Language files are available in the software configuration folder Config Languages New languages can be added by copying
229. the DICOM server the software will display a message box that informs about the completed operation Click on the OK button in order to close the message box DICOM DICOM send complete In order to send multiple previously saved DICOM files to DICOM server select menu item Send Saved DICOM Files to Server in the opened dialog select folder of saved files put checks near file names of desired to send files and click Send button If in this dialog is checked option that all selected files correspond to currently examined patient identifiers of sent images at the end of exam when exam is finished by clicking Finish exam button in MWL list of Patient window will be added to DICOM MPPS referenced images sequence if is used MPPS server Please note that to be able to send data to a DICOM server and to see the appropriate menu items you must select the IP address and port of your DICOM server in the Echo Wave II options Menu gt Tools gt Options gt DICOM group DICOM Storage You can also specify a DICOM sending format at the same location For DICOM server configuration another computer with third party DICOM server application that is not a part of Echo Wave II please read the relevant manual and DICOM Conformance Statement For information about data fields and formats stored in the Echo Wave II DICOM file please read the Echo Wave II DICOM Conformance Statement If your DICOM server supports different charact
230. the Negative control Adjustment I Negative To invert the palette place a tick on the Negative CheckBox Relations to other controls Changes to the Negative value affect how the palette is displayed on the other controls e g Palette control TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 57 of 182 10 2 7 Frequency The Frequency control adjusts the B mode Frequency See description of the B mode Frequency control 10 2 8 Palette Description The software allows you to adjust the ultrasound image palette using the gamma brightness and contrast controls Gamma adjustments change the gray scale values of the ultrasound image in a non linear manner by raising the normalized values to the power of the chosen gamma value To make the entire ultrasound image appear lighter you can increase the brightness value By increasing the contrast value you can increase the difference between the image gray scale values and make the ultrasound image appear sharper Adjustment M Palette Geen To adjust the palette of the M mode image open the left side D At P a 6 S 3 S Palettes ControlBar by clicking on the Palette controls button on the software bottom ToolBar or on the 6 hotkey Inside the opened left side ControlBar you will find a palette control Using this control you can adjust the image gamma brightness 28 contrast or click on the Default button to use the default palette Gamma correction is
231. the mouse cursor to the desired new position of the center of the marker and click using the left mouse button to finish marker editing TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 147 of 182 15 Using Thumbnail Images When an ultrasound image is fully frozen by clicking on the Freeze button or the appropriate keyboard key the software stores a single frame of the last visible ultrasound data A panel with thumbnail F10 images of the stored data can be shown hidden by clicking on the Thumbnail Images button on the software top ToolBar or on the F10 hotkey The thumbnail images panel looks like this Wee New images are added on the left side of panel In order to load ultrasound data from thumbnail image click on it using the mouse The most recently opened visible image is indicated by green markers at the image corners On the opened image you can perform measurements or image processing tasks and then save the image to the file for permanent storage or to include it into report or print it out The lt and gt buttons are used for scrolling through images The Del button deletes all thumbnail images The X button closes the panel of thumbnail images Thumbnail images are deleted when a probe is changed or when a new patient is selected Please note that thumbnails store and load all ultrasound scanning parameters for all modes like during preset saving regardless of what mode
232. this feature open the Options window Menu gt Tools gt Options select tabs Scanning Control gt General then inside Automatic freeze group box remove tick from Enable Auto Freeze CheckBox and close dialog with the OK button 29 5 Using software in multiuser environment Question How can configure and use software in a multiuser environment Answer At first you must create a copy of Echo Wave II Config folder for each user e g Config and Config_user2 Then you must set which of these folders software must use when it is started Please note that each user must have Administrator rights If all users use single Windows user account then during software startup you will need to use config_dir command line option followed by path to appropriate Config directory You can implement this by for example creating different software shortcuts for each user on Windows Desktop that use different command line parameters For example if inside C Program Files TELEMED Echo Wave II folder we have two copies of config folder Config and Config_user2 then two shortcuts will have the following targets C Program Files TELEMED Echo Wave _ Il EchoWave exe config_dir C Program Files TELEMED Echo Wave II Config C Program Files TELEMED Echo Wave _ Il EchoWave exe config_dir C Program Files TELEMED Echo Wave II Config_user2 If each user uses different Windows account then Config folder can be set in
233. ting steps 2 4 B Stenosis 2 Distances 1 o a 2 Finish TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 100 of 182 11 1 14 Stenosis using Two Areas In order to measure stenosis using two areas perform the following actions 1 Select measurement tool by clicking appropriate Stenosis button Stenosis a inside B Measurements ControlBar 2 Optionally from stenosis tool options select tool 1 for defining first OO y area Tool is selected by clicking menu button v and from Da HIE Ellipse Trace appeared menu Ci Y 3 Draw on the ultrasound image first area using selected tool For detailed instructions on using selected tool see sections about area measurement using ellipse and trace tools If in previous step the tool was not changed then by default is used ellipse tool 4 Optionally from stenosis tool options select tool 2 for defining second area 5 Draw on the ultrasound image second area using selected tool For detailed instructions on using selected tool see sections about area measurement using ellipse and trace tools If in previous step the tool was not changed then by default is used ellipse tool Stenosis will be calculated automatically 6 Optionally perform another measurement of the same type by repeating steps 2 5 selecting desired tool e g trace In order to calculate stenosis using two previously measured
234. tinuous Wave B PW mode running B PW or both Duplex B CW mode running B or CW Color Doppler mode image with PW line Color Doppler mode image with CW line Color Doppler PW mode running Color Doppler PW or both Triplex GN Color Doppler CW mode running Color Doppler or CW Please note that the hotkey positions are fixed but the actions scanning modes that are invoked by these hotkeys may differ depending on current scanning mode and the last used button command Available scanning modes depend on the ultrasound scanner type used Disabled buttons of some scanning modes mean that these are scanning modes that are either not available for connected ultrasound scanner or cannot be selected directly from the current scanning mode for example they can only be selected from B mode OOZLEECOOOOSEOSSEEDO TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 24 of 182 7 1 B mode standard trapezoid compound In order to enter B mode perform the following actions F1 1 Click on the B mode button on the software top ToolBar or click the F1 hotkey Depending on which beamformer and probe are connected using the v button if available from the displayed menu you are able to select B mode standard trapezoid optional and compound optional scanning 2 Optionally adjust the B image using the B mode controls on the software left si
235. tkey move the mouse cursor over the Doppler window click using the left mouse button drag the window to the desired location and click using the left mouse button again to finish window positioning The size of the Doppler window also can be changed with the mouse To change the window size move the mouse cursor over the desired border of the Doppler window click using the left mouse button drag the border to the desired location and click using the left mouse button again in order to finish resizing Pre defined Color Doppler window sizes can be added or changed under the software options Menu gt Tools gt Options gt Scanning Control gt Color Doppler mode where the Color Doppler window size is defined as a percentage of the B mode image dimensions Relations to other controls Changing the Color Doppler window size affects the frame rate When the Color Doppler window size or position is changed the cine memory is cleared Bioeffects Doppler window size adjustments may change the TI and MI values 10 3 7 Color Averaging Description Color Averaging adjustments increase or decrease the time of color displayed in the Color Doppler image Higher averaging levels mean that color is displayed longer while lower averaging levels provide greater color changes Values Color Averaging values available are usually in the interval 0 7 This value is non dimensional TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013
236. tom ToolBar one TPD TVD file that will act as the starting point for your report This file opening operation will clear current patient data measurements and calculations and will load corresponding data from selected file Now you can perform measurements calculations using opened file save images with measurements n order to load other TPD TVD files that you want to use in the same report you must not use the general file opening button that clears current patient data measurements calculations and loads everything from file but from menu of Report button on the software bottom ToolBar select the item Import Ultrasound Data and import data from desired TPD TVD file This operation will load ultrasound images without discarding any current patient data and calculations Now you can once again perform measurements calculations using opened file save images with measurements Then you can add saved images to the report by dragging them with the mouse from the Last saved images list to the report images area on the Report window or insert images from external files using buttons in the report images area Finally you can save print created report using corresponding items of the Report button s menu on the software bottom ToolBar If you want to have measurements and calculations using different examination types in one single report at Menu gt Tools gt Options gt Measurements and Calculations gt Common Settings enable th
237. ton nm or on the SpaceBar key to re start ultrasound scanning 13 Optionally repeat steps 4 12 in order to scan more B PW images FA 14 Click on the B mode button D or on the F1 hotkey to enter B mode Depending on your selected software options the B PW mode button F6 hotkey may loop through the following states B running PW running Duplex B frozen PW running Layout for B and PW images left right or top bottom can be selected using the software options Menu gt T ools gt Options gt Appearance gt General TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 31 of 182 7 8 PW mode optional In order to enter PW mode perform the following actions L i 1 If an ultrasound image is frozen unfreeze it by clicking on the Freeze Run button nm or on the SpaceBar key lt gt Fi 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode AM FR 3 Click on the B PW mode button on the software top ToolBar or on the F6 hotkey to show the running B mode image with the PW line on it and the frozen PW mode image 4 Click using left mouse button on the B mode ultrasound image to select the PW sample volume position An alternative way of selecting PW line is by using the PW Line Position control on the left side PW mode ControlBar Adjust the PW sample volume size and position using the controls on the left side PW mode ControlBar
238. trasound scanning quicksave quick save current ultrasound image save file_name save current ultrasound image to file play_file file_name open and play passed file minimize minimize main window maximize maximize main window topmost_on set main window s topmost property to true topmost_off set main window s topmost property to false app_show show software window app_hide hide software window mouse_show show mouse cursor mouse_hide hide mouse cursor exit close software convert_directory convert TVD to AVI and TPD to BMP PNG JPG TIF DCM files in a specified directory and its subdirectories Command line syntax EchoWave exe convert_directory directory_name input_format output_format Video input format tvd Video output formats avi_comp avi avi_cust avi_wmv9 Formats avi_cust and avi_wmv9 are optional Image input format tpd Image output formats bmp png jpg tif dem dcm jpeg Important Do not add slash symbol at the end of directory name Command line samples EchoWave exe convert_directory C Echo Images tvd avi_comp EchoWave exe convert_directory C Echo Images tpd jpg import_presets beamformer_code import_dat_file probe_name preset_name probe_name preset_name import presets import_presets must be single or last command in command line delete_presets beamformer_code probe_name preset_name probe_name Dreset name delete
239. tton to finish the movement operation TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 144 of 182 14 Biopsy Guidelines Biopsy Guidelines MV Show 1 V Show Central MV Show 2 IV Allow Calibration Biopsy Target IV Show Target T Target distance 120 mm Hide All To show the biopsy guidelines and biopsy target perform the following 1 Move the mouse cursor to the far right side of the screen and wait for the appearance of the right side autohide ToolBar 2 In the right side ToolBar click on the Biopsy button This opens the right side Biopsy ControlBar 3 If you are using a biopsy needle tick the Show 1 CheckBox if not already ticked in order to show the 1st and 2nd side biopsy guidelines and remove the tick from the Show Central CheckBox if it is ticked to hide the central guideline If guidelines were previously calibrated they will now be displayed on the ultrasound image TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 145 of 182 4 Optionally if you are using the biopsy gun tick the Show Central CheckBox if it is not ticked to show the central biopsy guideline and remove the tick from the Show 1 CheckBox if it is ticked to hide the 1st and 2nd guidelines If the guideline has already been calibrated it will be displayed on the ultrasound image 5 Optionally to show a biopsy target marker tick the Show Target CheckBox
240. ty of examined tissues at greater depths In order to examine tissues at smaller depths use larger frequencies and to examine tissues at greater depths use smaller frequencies Values The frequency values available depend on the type of probe and beamformer used Measurement units used megahertz MHz Adjustment Frequency 6 MHz Use the Frequency control to change the values lt gt v TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 66 of 182 Bioeffects Frequency adjustments may change TI and MI values 10 3 15 Packet Size Color Quality Description Packet Size controls allow you to change the intensity of the colors in the Color Doppler mode Larger values increase Color Doppler sensitivity but the frame rate is reduced After changing this parameter you may need to adjust the Color Doppler Gain Values Packet Size values available depend on the type of beamformer used and are in the interval 8 16 This value is non dimensional Adjustment CFM Packet Size 10 Packet size can be selected under the software options Menu lt gt gt Tools gt Options gt Scanning Control gt Color Doppler mode PDI DPDI Packet Size 10 lt gt V Relations to other controls Packet Size adjustment affects the frame rate 10 3 16 Spatial Filtering Description Spatial filtering allows you to obtain smoother Color Doppler images Higher values of this parameter make the Co
241. u need to be able to open saved images videos and perform measurements and calculations using these save them using the TPD Telemed Picture Data or TVD Telemed Video Data file formats For permanent long time data storage and exchange we strongly recommend that you do not use TPD TVD but use another file formats because the results visible after opening TPD TVD depend on the current software configuration installed processing filters ultrasound area resolution installed OB tables etc To remove a dark background from saved and printed images at the Menu gt Tools gt Options gt Saving and Printing turn on the option designated as Remove dark background from saved and printed images IMPORTANT When working with opened TPD Telemed Picture Data or TVD Telemed Video Data files performing measurements calculations etc ou must always remember that closin TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Page 150 of 182 the file will discard the performed measurements calculations and any information that was entered when this file was opened So after modification please save your current changes to another TPD TVD file before closing the current TPD TVD file The file is closed when you open any other file or when you start live scanning using any method Freeze button spacebar keyboard key Probe button scanning mode button or the corresponding hotkey or appropriate buttons on external ultrasound
242. ulations of Other Examination Types esssseeeeeesseeererereeeesrerrrrresessee 131 12 BOT I E 132 13 ANNOLALIONS E E E E suanouen EE 134 13 1 Using WE Al EE 135 13 2 Using Pre Defined Text Labels A 137 E E Wl lee We EE 140 E ERT le er DT 141 13 5 Modifying and Deleting Annotations and Drawings 142 14 Biopsy G idelineS minina onene aa n e a e a a E E E 145 15 Usmo humina mages nanei AE 148 16 Saving and Loading Images and Clnes 149 17 PUn Mages E 152 18 VV OFKIPG KE Ee CEET 154 18 1 Using Reports with Multiple Images nininini iiie 157 19 Direct E mail Sending EE 160 20 Sending Data to DICOM Sem OF iere deed 161 21 Starting External Applcatons nn nn nn nn nnn nnn nnn nn nn nn nannan anann nenna nenna nannaa 162 22 Using 3D Lite Easy 3D and PanoView Plug ins optional 164 23 Using 4DView Plug in Optlonall iiaiai dee deed gedet 166 24 Changing User Interface Language a a 167 25 CUSLOMIZING Y OUP Systemi 8 8 i Pilates Leas fete edtete led A E E EEEE AEE E 168 26 Monitor Calibrations i0200 2220 aiie ae iaa AEE EE atin enue EET EE aerate 170 27 System REQUIFEMEMS sssrds dadedeladudenedetaladeladnlecededsladeladatededetulnetadeluledetel ieiudalasadents 171 28 Troubleshooting EE 172 29 Frequently Asked Questions EA 173 29 1 Changing hospital clinic names a seen eee E E E E T 173 29 2 Retaining data scanning presets during software upgorades 173 29 3 Video playback frame Tateno Peas edd edeee seet AC
243. ulse Repetition Frequency PRF adjustments change the displayed velocity range The velocity range is shown in kHz The PRF should be set high enough to prevent aliasing If the blood is moving faster than the pulse repetition rate the Doppler display will alias or wraparound the baseline If the PRF is set too high low velocity flows may not be visible It may be necessary to vary the PRF during an examination depending on the speed of the blood flow Values PRF values available are in the interval 1 10 kHz The values available depend on the scanning mode and depth Measurement units used kilohertz KHz Adjustment PRE 0 3 kHz Use the PRF control to change the values Relations to other controls Changing the PRF may affect the frame rate the Power and the Wall Filter When the PRF is changed the cine memory is cleared To perform automatic PW CW PRF and Baseline adjustment use the Automatic adjustment button on the software top ToolBar F12 hotkey During image optimization hold the probe still on a vessel and do not move it Hints Always optimize acoustical Power output after increasing the PRF TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 72 of 182 Bioeffects Changing the PRF range may change the TI and or MI Observe the output display for possible effects 10 4 4 HPREF High Pulse Repetition Frequency Description The High Pulse Repetition Frequency HPRF adjustment c
244. ure Gradient PG TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 110 of 182 11 3 2 A B Ratio of Point based measurements Velocities Pressure Gradients In order to measure the ratio of two point based measurements perform the following actions AB SE A B Ratio 1 Select measurement tool by clicking A B Ratio button inside PW CW Measurements ControlBar 2 If you wish to calculate ratio between two Velocities ensure that Velocities ratio CheckBox inside ratio tool options is checked If it is not checked then check it 3 Optionally if you wish to calculate the ratio of two Pressure Gradients PG check Pressure Gradients ratio CheckBox inside ratio tool options 4 Move mouse cursor to position on the PW mode ultrasound image where should be performed first measurement numerator A and click left mouse button in order to perform measurement 5 Move mouse cursor to position where should be performed second measurement denominator B and click left mouse button in order to perform measurement and calculate ratio 6 Optionally perform another measurement of the same type by repeating steps 4 5 In order to calculate ratio using two previously measured point based measurements perform the following actions 1 Select measurement tool by clicking appropriate A B Ratio button AB A B Rati ae inside PW CW Measurements ControlBar 2 If you wish to calculate ratio between two
245. utton H 3 Move the mouse cursor over the key point of the measurement object you want to delete 4 Click using the left mouse button to select the measurement object 5 In case of a selection error click the key point of the same measurement object to cancel selection 6 Perform steps 3 5 to select all the objects that you wish to delete 7 Optionally in order to select multiple measurement objects at the same time using a rectangular selection region press the left mouse button at the point where the selection region should start and keep this mouse button pressed while moving the mouse cursor to the point where rectangular region should end and then release this mouse button All measurement objects with key points inside this selection rectangle will be selected Del Selected 8 Click on the Delete Selected button at the bottom of the measurement ControlBar to delete the selected measurement objects Alternatively click on the Delete Del key 9 Optionally repeat steps 3 8 in order to delete other measurements or drawings Please note that the deletion of measurement objects does not affect the values contained in the examination specific measurement fields To move previously created measurement drawing annotation graphical object to another location perform the following actions F8 1 If the right side measurements ControlBar is not opened click on the Measurements button 4 to open the right side measurements Contr
246. vement an arrow of shift direction and position are drawn Finally release the mouse button and the software will perform an image shift Using the zoom tool the M mode image is shifted vertically To perform horizontal shifts of M mode data please use the Cine controls 4 To reset an ultrasound image to its default position and scale click on the left mouse button on the M mode ultrasound image ensure that the zoom tool is selected 5 Optionally repeat steps 1 4 in order to zoom other areas of the ultrasound image To perform measurements or other operations on a zoomed M mode image select the desired measurement or control tool and perform the measurement or operation as described in the appropriate sections of this manual To control zoom once again select the zoom tool M Zoom When clicking the Zoom button on the software top ToolBar you not only select the zoom tool but you also open the Zoom controls on the software left side ControlBar Using the M mode zoom controls you can zoom an ultrasound image up to 600 the default zoom is 100 Zoom 100 d Default You can reset the zoom factor and image shifting to the default values by clicking on the Default button Position The positioning controls allow you to shift the M mode ultrasound image up and down and move M mode data of interest to the centre of the ultrasound image area i TELEMED Echo Wave II Software User Manual Ver 1 8 0 2013 12 03 Pa
247. vers and perform thorough compatibility testing If you have a DICOM Worklist server and its parameters were set in software using options then examination patients can be selected from a DICOM Worklist that is opened by clicking on the Select patient from DICOM worklist button inside the Patient window M DICOM worklist query Scheduled date from to Scheduled time from to ear 2011 05 03 Get only scheduled for this application entity has Acc num Patient name ID Birth date from to Physician name Al L DICOM worklist Scheduled Patientname ID Bithdas Lpsg Status Physicinname Selected DICOM worklist item information Protocol name Discontinuation reason Start exam Doctor cancelled procedure E Finish exam Discontinue exam Close worklist Controls inside DICOM worklist query group allow you to set the following parameters of a query that is sent to DICOM Worklist server e Scheduled date interval e Scheduled time interval e Accession number e Patient name e Patient ID TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 20 of 182 e Patient date of birth interval e Performing physician name e Select so that the worklist server only returns the items that were scheduled for this Application Entity If query fields are left empty the server does not use the values of these fields for filtering If is entered date tim
248. wering cable power button is turned on and if the USB Universal Serial Bus cable is connected to the computer USB port If after proper system installation connection and powering on this indicator still remains red please contact technical support and send them your system information as described in the Troubleshooting section of this manual When you start to use the ultrasound scanning software the status of the system is indicated on a button at the software top left corner ates ae C3 5 40 128 No Probe If an ultrasound probe is connected and the system can be used for ultrasound scanning this button displays the probe name or Unsupported probe if the connected probe is not supported If an ultrasound probe is disconnected the beamformer power is turned off or if the USB cable has been disconnected the text displayed in this button changes to No Probe This means some user actions are required in order to start scanning again such as connecting the probe if it was disconnected checking the beamformer power cable battery and checking replacing the USB cable If your computer that is used with the ultrasound system is equipped with batteries optional the software can display the status of the computer batteries and the status of the beamformer at the bottom right corner near the cine progress indicator A green or red indicator shows the status of the beamformer exactly as shown by the above mentioned green or
249. xes of the parameters that you want to measure e g Heart Rate Time Resistivity Index Pulsatility Index Velocity Time Integral and untick the CheckBoxes of the parameters that you do not want to measure 3 Move the mouse cursor to a position on the ultrasound image where you wish to start the trace measurement and click using the left mouse button to start the measurement 4 Move the mouse to the position where you want to end the trace measurement and click using the left mouse button to finish the measurement If you are using the automatic PW CW trace detection the software will automatically detect trace contour and will perform the selected measurements If automatic detection is not being used you will need to draw the trace curve by moving the mouse on the ultrasound image along the contour of the PW CW trace you want to measure 5 Optionally perform another measurement of the same type by repeating steps 2 4 IMPORTANT Some parameters Heart Rate Resistivity Index RI Pressure Gradient EDV are only calculated if is the option Use beat detector is used and the software is able to detect heart beat interval After detection it is drawn using a different color than the rest of the trace If the option Use beat detector is used all parameters with the exception of the Time and Velocity Time Integral are calculated for detected heart beat part drawn using a different color Time and Velocity Time Integral are calcul
250. y 3D PanoView and click on its name 3D Lite Pano View Easy 3D After that the plug in initialization progress window will appear 3D iew Pano iew Initialization in progress Please wait Please wait for a short period while the plug in is initialized and will display message that it is ready for data transfer 3D iew Pano iew Click left mouse button in order to START data TRANSFER Click lt Esc gt keyboard key in order to cancel processing 3 Click using the left mouse button on the ultrasound image or in the displayed window to start the transfer of the ultrasound frames to the plug in software Then move or rotate the probe according to the user instructions for the chosen plug in The software will then display the data transfer progress 3D iew Pano iew Click left mouse button in order to STOP data TRANSFER TELEMED Echo Wave Il Software User Manual Ver 1 8 0 2013 12 03 Page 164 of 182 4 Click using the left mouse button on the ultrasound image or in the transfer progress window to stop the data transfer and see the user interface for the plug in software After clicking on the mouse you may hear a sound signal and the plug in software user interface will automatically appear on the top of Echo Wave II user interface 5 Perform the desired operations render save print or measure with the transferred ultrasound data using the plug in software user interface
251. ze it by clicking on the Freeze Run button nm or on the SpaceBar key FI 2 If the current mode is not B mode click on the B mode button or on the F1 hotkey to enter B mode 3 Optionally adjust the B image using the B mode controls on the software left side ControlBar FB 4 Click on the B PW mode button EI on the software top ToolBar or on the F6 hotkey to show the running B mode image with the PW line on it and the frozen PW mode image 5 Click using the left mouse button on the B mode ultrasound image to select the PW sample volume position An alternative way of selecting the PW line is by using the PW Line Position control on the left side PW mode ControlBar Adjust the PW sample volume size and position using the controls on the left side PW mode ControlBar FE 6 Click on the B PW mode button EI or on the F6 hotkey once again to freeze the B image and run the PW image 7 Optionally adjust the PW sample volume position and size by clicking the left mouse button on the B mode image and by using the appropriate controls on the left side PW mode ControlBar 8 Optionally adjust the PW image using the PW mode controls on the software left side ControlBar L i 9 Click on the Freeze Run button nm or on the SpaceBar key to freeze ultrasound scanning 10 Optionally perform measurements and add annotations 11 Optionally print out and or save ultrasound images pid 12 Click on the Freeze Run but

USER MANU Echo Wave II USER MANUAL

Contents

Download Pdf Manuals

Related Search

Related Contents