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SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEM HM70A User Manual Volume 1 SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEM Version 1.01 HM70A User Manual English MI68-03033A PROPRIETRAY INFORMATION AND SOFTWARE LICENSE The Customer shall keep confidential all proprietary information furnished or disclosed to the Customer by Samsung Medison, unless such information has become part of the public domain through no fault of the Customer. The Customer shall not use such proprietary information, without the prior written consent of Samsung Medison, for any purpose other than the maintenance, repair or operation of the goods. Samsung Medison’s systems contain Samsung Medison’s proprietary software in machine-readable form. Samsung Medison retains all its rights, title and interest in the software except that purchase of this product includes a license to use the machine-readable software contained in it. The Customer shall not copy, trace, disassemble or modify the software. Transfer of this product by the Customer shall constitute a transfer of this license that shall not be otherwise transferable. Upon cancellation or termination of this contract or return of the goods for reasons other than repair or modification, the Customer shall return to Samsung Medison all such proprietary information. Safety Requirements Classifications: XX Type of protection against electrical shock: Class I XX Degree of protection against electrical shock (Patient connection): Type BF or CF Applied Part XX Degree of protection against harmful ingress of water: Ordinary equipment XX Degree of safety of application in the presence of a flammable anesthetic material with air or with oxygen or nitrous oxide: Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide. XX Mode of operation: Continuous operation Electromechanical safety standards met: XX Medical Electrical Equipment, Part 1: General Requirements for Basic Safety and Essential Performance [IEC 60601-1:2005/A1:2012] XX Medical Electrical Equipment, Part 1-2: General Requirements for Basic Safety and Essential Performance- Collateral Standard: Electromagnetic Compatibility - Requirements and Tests [IEC 60601-1-2:2007] XX Medical Electrical Equipment, Part 1-6: General Requirements for Basic Safety and Essential Performance- Collateral Standard: Usability [IEC 60601-1-6:2010] XX Medical Electrical Equipment, Part 2-37: Particular Requirements for the Basic Safety and Essential Performance of Ultrasonic Medical Diagnostic and Monitoring Equipment [IEC 606012-37:2007] XX Medical Electrical Equipment, Part 1: General Requirements for Safety [IEC 60601-1:1988 with A1:1991 and A2:1995] XX Medical Electrical Equipment, Part 1-1: General Requirements for Safety - Collateral Standard: safety Requirement for Medical Electrical Systems [IEC 60601-1-1:2000] XX Medical Electrical Equipment, Part 1-2: General Requirements for Safety - Collateral Standard: Electromagnetic Compatibility - Requirements and Test [IEC 60601-1-2:2001, A1:2004] XX Medical Electrical Equipment, Part 1-4 : General Requirements for Safety - Collateral Standard: Programmable Electrical Medical Systems [IEC 60601-1-4:1996, A1:1999] XX Medical Electrical Equipment, Part 2-37: Particular Requirements for Safety - Ultrasonic Medical Diagnostic and Monitoring Equipment [IEC 60601-2-37: 2001 with A1:2004, A2:2005] XX Medical Devices – Application of Risk Management to Medical Devices [ISO 14971:2007] XX Medical Electrical Equipment, Part 1: General Requirements for Safety [UL 60601-1:2003] XX Medical Electrical Equipment - Part 1: General Requirements for Safety [CAN/CSA C22.2 No. 601.1-M90:1990, with R2003, with R2005] XX Biological Evaluation of Medical Devices, Part 1:Evaluation and Testing within a risk management process [ISO 10993-1 : 2009] XX Standard Means for the Reporting of the Acoustic Output of Medical Diagnostic Ultrasonic Equipment [IEC 61157:2007] Declarations CSA mark with the indicators “C” and “US” means that the product is certified for both the U.S. and Canadian markets, to the applicable U.S. and Canadian standards. This is manufacturer’s declaration of product compliance with applicable EEC directive(s) and the European notified body. This is manufacturer’s declaration of product compliance with applicable EEC directive(s). This is the GMP symbol for Korean Good Manufacturing Practice quality system regulation. Precautions For Use You should be familiar with all of these areas before attempting to use this manual or your ultrasound system. Please keep this user guide close to the product as a reference when using the system. For safe use of this product, you should read ‘Chapter 1. Safety’ and ‘Chapter 4. Maintenance’ in this manual, prior to starting to use this system. This manual does not include diagnosis results or opinions. Also, check the measurement reference for each application’s result measurement before making the final diagnosis. This product is an ultrasound scanner and cannot be used from a user’s PC. We are not responsible for errors that occur when the system software is run on a user’s PC. Only medical doctors or persons supervised by medical doctors should use this system. Persons who are not qualified must not operate this product. The manufacturer is not responsible for any damage to this product caused by carelessness and/ or neglect by the user. Please note that orders are based on the individually agreed specifications and may not contain all features listed in the User Manual. It might be possible that some features, options or probes are NOT available in some countries. All references to standards / regulations and their revisions are valid for the time of publication of the User Manual. The figures in the User Manual for illustrational purposes only and may be different from what you see on the screen or device. Information contained in this User Manual is subject to change without prior notice. Products that are not manufactured by Samsung Medison are marked with the trademark of their respective copyright holders. The headings below describe vitally important precautions necessary to prevent hazards. DANGER: Describes precautions necessary to prevent user hazards of great urgency. Ignoring a DANGER warning will risk life-threatening injury. WARNING: Used to indicate the presence of a hazard that can cause serious personal injury, or substantial property damage. CAUTION: Indicates the presence of a hazard that can cause equipment damage. NOTE: A piece of information useful for installing, operating and maintaining a system. Not related to any hazard. Revision History The revision history of this User Manual is as follows: VERSION DATE NOTE v1.01.00-00 2014.11.20 Initial Release Product Upgrade and Manual Update Samsung Medison Ultrasound is committed to innovation and continued improvement. Upgrades may be announced that consist of hardware or software improvements. Updated manuals will accompany those system upgrades. Verify that Check if this version of the manual is correct for the system version. If not, please contact the Customer Service Department. If You Need Assistance If you need any assistance with the equipment, like the service manual, please contact the Samsung Medison Customer Service Department or one of their worldwide customer service representatives, immediately. Table of Contents Table of Contents – Volume 1 Chapter 1 Safety Purpose of Use............................................................................................................................. 1-3 Contraindications ............................................................................................................................................................... 1-3 Safety Information...................................................................................................................... 1-4 Safety Symbols..................................................................................................................................................................... 1-4 Symbols.................................................................................................................................................................................. 1-5 LABEL....................................................................................................................................................................................... 1-6 Electrical Safety........................................................................................................................... 1-7 Prevention of Electric Shocks......................................................................................................................................... 1-7 ECG-Related Information................................................................................................................................................. 1-8 ESD............................................................................................................................................................................................ 1-9 EMI............................................................................................................................................................................................ 1-9 EMC........................................................................................................................................................................................1-10 Mechanical Safety..................................................................................................................... 1-17 Precautions for Use...........................................................................................................................................................1-17 Moving the Equipment...................................................................................................................................................1-18 Biological Safety....................................................................................................................... 1-19 ALARA Principle.................................................................................................................................................................1-19 Protecting the Environment................................................................................................... 1-34 Correct Disposal of This Product (Waste Electrical & Electronic Equipment).............................................1-34 Battery Pack............................................................................................................................... 1-35 Extended Battery (Optional).................................................................................................. 1-36 Correct Disposal of Batteries in This Product.........................................................................................................1-37 Chapter 2 Introduction Specification................................................................................................................................ 2-3 Product Configuration .............................................................................................................. 2-6 Monitor................................................................................................................................................................................... 2-7 Control Panel........................................................................................................................................................................ 2-9 Console ................................................................................................................................................................................2-14 15 User Manual Peripheral Devices............................................................................................................................................................2-16 Video Out.............................................................................................................................................................................2-18 Battery Pack and Extended Battery............................................................................................................................2-21 Probes....................................................................................................................................................................................2-24 HM70A CART(Optional)..................................................................................................................................................2-25 Accessories..........................................................................................................................................................................2-26 Optional Functions...........................................................................................................................................................2-26 Chapter 3 Utilities Utilities ......................................................................................................................................... 3-3 HELP............................................................................................................................................... 3-5 EZ Exam........................................................................................................................................ 3-6 ECG................................................................................................................................................. 3-7 ADVR (Optional).......................................................................................................................... 3-9 Biopsy.......................................................................................................................................... 3-11 Setup........................................................................................................................................... 3-13 General..................................................................................................................................................................................3-13 Display...................................................................................................................................................................................3-18 Annotate...............................................................................................................................................................................3-21 Peripherals...........................................................................................................................................................................3-25 User Defined Key...............................................................................................................................................................3-27 Miscellaneous.....................................................................................................................................................................3-29 Option...................................................................................................................................................................................3-32 DICOM...................................................................................................................................................................................3-34 AutoCalc...............................................................................................................................................................................3-46 Power.....................................................................................................................................................................................3-47 About.....................................................................................................................................................................................3-49 Histogram................................................................................................................................... 3-50 Post Curve.................................................................................................................................. 3-52 Monitor Calibration..........................................................................................................................................................3-52 Gamma..................................................................................................................................................................................3-54 2D Post..................................................................................................................................................................................3-54 Color Map.............................................................................................................................................................................3-55 D Post.....................................................................................................................................................................................3-55 M Post....................................................................................................................................................................................3-55 16 Table of Contents Measurement Settings ........................................................................................................... 3-56 General..................................................................................................................................................................................3-57 OB............................................................................................................................................................................................3-70 Cardiac...................................................................................................................................................................................3-78 Vascular.................................................................................................................................................................................3-80 Urology.................................................................................................................................................................................3-82 Fetal Heart............................................................................................................................................................................3-84 EZ Exam Setup........................................................................................................................... 3-86 Storage Manager...................................................................................................................... 3-90 Userset Manager....................................................................................................................... 3-92 Menu Edit................................................................................................................................... 3-94 Chapter 4 Maintenance Operational Environment......................................................................................................... 4-3 Product Maintenance................................................................................................................ 4-4 Cleaning and disinfecting................................................................................................................................................ 4-4 Accuracy Checks.................................................................................................................................................................. 4-5 Battery Pack Management....................................................................................................... 4-6 Replacing the Battery Pack.............................................................................................................................................. 4-6 Recharging the Battery Pack........................................................................................................................................... 4-7 Storing the Battery Pack................................................................................................................................................... 4-8 Disposing of the Battery Pack........................................................................................................................................ 4-8 Extended Battery Management.............................................................................................. 4-9 Replacing the Extended Battery................................................................................................................................... 4-9 Charging the Extended Battery...................................................................................................................................4-10 Storing the Extended Battery.......................................................................................................................................4-11 Disposing of the Extended Battery............................................................................................................................4-11 Information Maintenance....................................................................................................... 4-12 Backing Up User Setting.................................................................................................................................................4-12 Backing Up Patient Information..................................................................................................................................4-12 Software...............................................................................................................................................................................4-12 17 User Manual Chapter 5 Probes Probes........................................................................................................................................... 5-3 Ultrasound transmission Gel........................................................................................................................................5-13 Using Sheaths.....................................................................................................................................................................5-14 Probe Safety Precautions...............................................................................................................................................5-15 Cleaning and Disinfecting the Probe........................................................................................................................5-17 Biopsy.......................................................................................................................................... 5-26 Biopsy Kit Components..................................................................................................................................................5-26 Using the Biopsy Kit.........................................................................................................................................................5-27 Assembling the Biopsy Kit.............................................................................................................................................5-30 Cleaning and Disinfecting the Biopsy Kit................................................................................................................5-34 **Reference Manual A Reference Manual (English) is supplied with this product. 18 Chapter 1 Safety Purpose of Use...................................................1-3 Contraindications ....................................................................1-3 Safety Information...........................................1-4 Safety Symbols..........................................................................1-4 Symbols........................................................................................1-5 LABEL............................................................................................1-6 Electrical Safety.................................................1-7 Prevention of Electric Shocks...............................................1-7 ECG-Related Information.......................................................1-8 ESD.................................................................................................1-9 EMI..................................................................................................1-9 EMC..............................................................................................1-10 Mechanical Safety......................................... 1-17 Precautions for Use................................................................1-17 Moving the Equipment........................................................1-18 Biological Safety............................................ 1-19 ALARA Principle......................................................................1-19 Protecting the Environment......................... 1-34 Correct Disposal of This Product (Waste Electrical & Electronic Equipment)...................1-34 Chapter 1 Battery Pack................................................... 1-35 Extended Battery (Optional)........................ 1-36 Correct Disposal of Batteries in This Product...............1-37 Chapter 1 Safety Purpose of Use Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and fluid analysis of the human body. The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (conventional, superficial), Cardiac Adult, Cardiac Pediatric and Peripheral-vessel. NOTE: For detailed information on applications and presets, please refer to ‘Chapter 2. Introduction’ and ‘Chapter 5. Probes’ in this user manual. Contraindications This product must not be used for ophthalmological applications, or any other use that involves the ultrasound beam passing through the eyeball. CAUTION: XX Federal law restricts this device to sale by or on the order of a physician. XX The method of application or use of the device is described in the manual ‘Chapter 6. Starting Diagnosis’ and ‘Chapter 7. Diagnosis Modes’. 1-3 User Manual Safety Information Please read the following safety information before using this product. It is relevant to the ultrasound system, the probes, the recording devices, and any of the optional equipment. This product is intended for use by, or by the order of, and under the supervision of, a licensed physician who is qualified for direct use of medical devices. Safety Symbols The International Electrotechnical Commission (IEC) has established a set of symbols for medical electronic equipment, which classify a connection or warn of potential hazards. The classifications and symbols are shown below. Symbols 1-4 Description Symbols Description WARNING: The accompanying information must be followed to prevent serious accidents and/or damage to property. Data Input/Output port CAUTION: The accompanying information helps to prevent minor accidents and/or damage to property. Input port Refer to the User Manual. Output port Follow the User Manual. Print remote output CAUTION: Risk of electric shock Foot Switch Port Type BF applied part (Classification based on degree of protection against electric hazard) ECG port Defibrillation-proof type CF applied part (Classification based on degree of protection against electric hazard) USB port Power on/off Network port Chapter 1 Safety Symbols Description Symbols Description Power on Microphone Port Power off Probe port Power ON for part of the product Protected against vertically falling water drops Power Off for part of the product Protected against the effects of temporary immersion in water Alternating current voltage source Protected against the effects of continuous immersion in water Direct current voltage source CAUTION: Electrostatic sensitive devices (ESD) Dangerous voltage (Indicates dangerous voltages over 1000V AC or 1500V DC) Do not sit on the product. Protective earth (ground) Do not push the product. Equipotentiality Do not lean against the product. Data output port Be mindful of the space. Do not place a finger, and or any part of your body in the space. Data input port Symbols Symbols Description Authorized Representative In The European Community Symbols Description Manufacturer 1-5 User Manual LABEL Phrases containing the words ‘warning’ and/or ‘caution’ are displayed on the product’s surface in order to protect it. 1-6 Chapter 1 Safety Electrical Safety This equipment is categorized as a Class I device with Type BF or Type CF (ECG) applied parts. Prevention of Electric Shocks WARNING: XX Electric shocks may result if this system, including all of its externally mounted recording and monitoring devices, is not properly grounded. XX Never open the cover of the product. This product uses levels of voltage that are potentially dangerous. All internal component repairs and part replacements must be performed by Samsung Medison’s service department. XX Always check the product’s casing, cables, cords, and plugs for damage before using the product. Disconnect the power source and do not use the equipment if the housing is damaged (for example cracked or chipped), or if the cable is worn. XX Always disconnect the system from the wall outlet prior to cleaning the system. XX All patient contact devices, such as the probe, must be detached from the patient prior to using a high-voltage defibrillator. XX Never use the product in the presence of flammable or anesthetic gas. There is a risk of explosion. XX Avoid installing the system in such a way that it is difficult for the operator to disconnect it from the power source. XX The AC Adapter and the Extended Battery are specified as part of this product. When using an AC Adapter and Extended Battery, only use an AC Adapter and an Extended Battery that are recommended by Samsung Medison. (AC Adapter: BridgePower Corp., BPM200S19F02; Extended Battery: Elentec Co., Ltd., EE1630SMA) XX Do not use together with HF surgical equipment. HF surgical equipment may be damaged, which may result in fire. XX The System must only be connected to a supply mains with protective earth to avoid risk of electric shock. 1-7 User Manual CAUTION: XX The system has been designed for 100-240VAC; you should select the input voltage of any connected printer and VCR. Prior to connecting a peripheral power cord, verify that the voltage indicated on the power cord matches the voltage rating of the peripheral device. XX An isolation transformer protects the system from power surges. The isolation transformer continues to operate when the system is in standby. XX Do not immerse the cable in liquids. The power cord is not waterproof. XX Do not allow the interior of the system to be exposed to, or immersed in, liquid. In such cases, fire, electric shock, injury, or damage to the product may occur. XX The auxiliary socket outlets installed on this system are rated 100-120VAC and 200-240VAC with a maximum total load of 450VA. Use these outlets only for supplying power to equipment that is intended to be part of the ultrasound system. Do not connect additional multiple-socket outlets or extension cords to the system. XX Connecting a device that is not listed in this manual to the auxiliary socket outlet may cause an electrical hazard. XX Do not touch the SIP/SOP terminal on the product while diagnosing the patient. There is a risk of electric shock from leakage current. Additional equipment connected to medical electrical equipment must comply with the respective IEC standards (e.g. IEC 60950/EN 60950 for data processing equipment, IEC 60601-1/EN 60601-1 for medical devices). Furthermore, all components of the product shall comply with the requirements for medical electrical systems (IEC 60601-1-1/EN 60601-1-1). All persons connecting accessory equipment to the signal input or output ports of medical electrical equipment should make sure that the accessory complies with IEC 60601-1-1/EN 60601-1-1. ECG-Related Information WARNING: XX This product does not provide an ECG monitoring function. Therefore, it does not recognize unsuitable ECG signals. XX Do not use ECG electrodes for HF surgical equipment. HF surgical equipment may be damaged, which may result in fire. XX Do not use ECG electrodes during cardiac pacemaker procedures or any procedures that involve other types of electrical stimulators. XX Do not use ECG leads and electrodes in an operating room. 1-8 Chapter 1 Safety ESD Electrostatic discharge (ESD), which is commonly referred to as static shock, is a naturally occurring phenomenon. ESD is most prevalent during conditions of low humidity, including during heater or airconditioner use. The static shock or ESD is a discharge of the electrical energy build-up from a charged individual to a lesser or non-charged individual or object. An ESD occurs when an individual with an electrical energy build-up comes in contact with conductive objects such as metal doorknobs, file cabinets, computer equipment, and even other individuals. CAUTION: XX The level of electrical energy discharged from a system user or patient to an ultrasound system can be significant enough to cause damage to the system or probes. XX Always perform the ESD preventive procedure before using connectors bearing the ESD warning symbol. −− Apply anti-static spray to carpets or linoleum. −− Use anti-static mats. −− Ground the product to the patient’s table or bed. XX It is highly recommended that the user be given training on ESD-related warning symbols and preventive procedures. EMI Although this system has been manufactured in compliance with existing EMI (ElectroMagnetic Interface) requirements, use of this system in the presence of an electromagnetic field can cause degradation of the ultrasound image or product damage. If this occurs often, Samsung Medison suggests a review of the environment in which the system is being used, to identify possible sources of electromagnetic emissions. These emissions could be from other electrical devices used within the same room or an adjacent room. Communication devices such as cellular phones and pagers can cause these emissions. The existence of radios, TVs, or microwave transmission equipment nearby can also cause interference. CAUTION: In cases where EMI is causing disturbances, it may be necessary to relocate this system. 1-9 User Manual EMC The testing for EMC(Electromagnetic Compatibility) of this system has been performed according to the international standard for EMC with medical devices (IEC 60601-1-2). In Europe, the IEC standard was adopted as the European norm (EN 60601-1-2). Guidance and Manufacturer’s Declaration - Electromagnetic Emission This product is intended for use in the electromagnetic environment specified below. The user is to ensure that the product is used in the following environment. Emission test Compliance Electromagnetic environment - guidance RF Emission CISPR 11 Group 1 The Ultrasound System uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF Emission CISPR 11 Class A Harmonic Emission IEC 61000-3-2 Class A Flicker Emission IEC 61000-3-3 1-10 Complies The Ultrasound System is suitable for use in all establishments other than domestic, and may be used in domestic establishments and those directly connected to the public lowvoltage power supply network that supplies buildings used for domestic purposes, provided the following warning is heeded: Warning: This system is intended for use by healthcare professionals only. This system may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures, such as re-orienting or relocating the Ultrasound System or shielding the location. Chapter 1 Safety Approved Cables, Probes and Peripherals for EMC Cables Cables connected to this product may affect its emissions; use only the cable types and lengths listed in the table below. Cable Type Length DVI Shielded Normal USB Shielded Normal LAN(RJ45) Twisted pair Any MIC Unshielded Any Printer Remote Unshielded Any Audio R.L Shielded Normal Foot Switch Shielded 2.99m Probes The image probe used with this product may affect its emission. The probe listed in ‘Chapter 5. Probes’ when used with this product, have been tested to comply with the group1 Class A emission as required by International Standard CISPR 11. Peripherals Peripherals used with this product may affect its emissions. CAUTION: When connecting other customer-supplied accessories to the system, it is the user’s responsibility to ensure the electromagnetic compatibility of the system. WARNING: The use of cables, probes, and peripherals other than those specified may result in increased emission or decreased Immunity of the Ultrasound System. 1-11 User Manual Immunity test Electrostatic discharge (ESD) IEC 60601 Test level Compliance level ±6KV Contact ±6KV Contact ±8KV air ±8KV air IEC 61000-4-4 ±2KV for power supply lines ±1KV for input/output lines ±2KV for power supply lines ±1KV for input/output lines Surge ±1KV differential mode ±1KV differential mode IEC 61000-4-5 ±2KV common mode ±2KV common mode <5% Uт for 0.5 cycles (>95% dip in Uт) <5% Uт for 0.5 cycles (>95% dip in Uт) 40% Uт for 5 cycles (60% dip in Uт) 40% Uт for 5 cycles (60% dip in Uт) 70% Uт for 25 cycles (30% dip in Uт) 70% Uт for 25 cycles (30% dip in Uт) <5% Uт for 5 s (<95% dip in Uт) <5% Uт for 5 s (<95% dip in Uт) 3 A/m 3 A/m IEC 61000-4-2 Electrical fast transient/burst Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11 Power frequency (50/60Hz) magnetic field IEC 61000-4-8 NOTE: Uт is the A.C. mains voltage prior to application of the test level. 1-12 Electromagnetic environment - guidance Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Mains power quality should be that of a typical commercial or hospital environment. Mains power quality should be that of a typical commercial or hospital environment. Mains power quality should be that of a typical commercial or hospital environment. If the user of this product requires continued operation during power mains interruptions, it is recommended that this product be powered from an uninterruptible power supply or a battery. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Chapter 1 Safety Immunity test Conducted RF IEC 61000-4-6 IEC 60601 test level 3 Vrms 150 kHz to 80 MHz Compliance level 3V Electromagnetic environment - guidance Portable and mobile RF communications equipment should be used no closer to any part of the Ultrasound System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance 1.2 Radiated RF IEC 61000-4-3 3 V/m 80 MHz to 2.5 GHz 3 V/m 1.2 80MHz to 800MHz 2.3 800MHz to 2.5GHz Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, a should be less than the compliance level in each frequency range. b Interference may occur in the vicinity of equipment marked with the following symbol : NOTE 1: At 80MHz and 800MHz, the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. F ield strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Ultrasound System is used exceeds the applicable RF compliance level above, the Ultrasound System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the Ultrasound System, or using a shielded location with a higher RF shielding effectiveness and filter attenuation. b Over the frequency range 150kHz to 80MHz, field strengths should be less than 3 V/m. a 1-13 User Manual Recommended distance between wireless communication device and this product This product is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this product can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and this product as recommended below, according to the maximum output power of the communications equipment. Separation distance according to frequency of transmitter [m] Rated maximum output power of transmitter [W] 150kHz to 80MHz 80MHz to 800MHz 800MHz to 2.5GHz 1.2 1.2 2.3 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where p is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1: At 80MHz and 800MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Electromagnetic environment – Guidance It is recommended to use ultrasound systems in shielded locations offering RF shielding effectiveness, with shielded cables. Field strengths outside the location shielded from fixed RF transmitters, as determined by an electromagnetic site survey, should be less than 3V/m. It is essential to verify that the actual shielding effectiveness and filter attenuation of the shielded location meet the minimum specifications. CAUTION: If the system is connected to other customer-supplied equipment, such as a local area network (LAN), Samsung Medison cannot guarantee that the remote equipment will work correctly in the presence of electromagnetic emission phenomena. 1-14 Chapter 1 Safety Avoiding Electromagnetic Interference Typical interference on Ultrasound Imaging Systems varies depending on Electromagnetic phenomena. Please refer to the following table: Imaging Mode ESD1 For sector imaging probes, white radial bands or flashes in the centerlines of the image. 2D M Change of operating mode, system settings, or system reset. Brief flashes in the displayed or recorded image. Color Doppler RF2 For linear imaging probes, white vertical bands, sometimes more pronounced on the sides of the image. Power Line3 White dots, dashes, diagonal lines, or diagonal lines near the center of the image. Increase in the image background noise or white M mode lines. White dots, dashes, diagonal lines, or increase in image background noise. Color flashes, radial or vertical bands, increase in background noise, or changes in color image. Color flashes, dots, dashes, or changes in the color noise level. Horizontal lines in the spectral display or tones, abnormal noise in the audio, or both. Vertical lines in the spectral display, popping type noise in the audio, or both. 1. ESD caused by discharging of electric charge build-up on insulated surfaces or persons. 2. RF energy from RF transmitting equipment such as portable phones, hand-held radios, wireless devices, commercial radio and TV, and so on. 3. Conducted interference on powerlines or connected cables caused by other equipment, such as switching power supplies, electrical controls, and natural phenomena such as lightning. A medical device can either generate or receive electromagnetic interference. The EMC standards describe tests for both emitted and received interference. Samsung Medison’s ultrasound systems do not generate electromagnetic interference in excess of the referenced standards. An Ultrasound System is designed to receive signals at radio frequency and is therefore susceptible to interference generated by RF energy sources. Examples of other sources of interference are medical devices, information technology products, and radio and television transmission towers. Tracing the source of radiated interference can be a difficult task. Customers should consider the following in an attempt to locate the source: 1-15 User Manual XX Is the interference intermittent or constant? XX Does the interference show up only with one transducer operating at the same frequency or with several transducers? XX Do two different transducers operating at the same frequency have the same problem? XX Is the interference present if the system is moved to a different location in the facility? The answers to these questions will help determine if the problem resides with the system or the scanning environment. Please answer each question, and then contact the Samsung Medison service department. 1-16 Chapter 1 Safety Mechanical Safety Precautions for Use CAUTION: XX Do not apply excessive force to the product. XX Install and use the product at a stable location. Use of the Samsung Medison cart (sold separately) is recommended. XX Do not use the product with it placed on your lap. You might get burned. XX Never attempt to modify the product in any way. XX Read the instructions on safe operation of the product if using the product after a prolonged period of non-use. XX Make sure that other objects, such as pieces of metal, do not enter the system. XX Do not block the ventilation slots. XX Do not store the product inside a bag or any other enclosed space while it is powered on. XX Do not pull on the power cord to unplug the product. Doing so might damage the cord and cause the product to short-circuit, or the cord itself to break. Unplug the cord by pulling on the plug itself. XX Excessive bending or twisting of cables, or parts that are applied to the patient, may cause failure or intermittent operation of the system. XX Improper cleaning or sterilization of parts that are applied to the patient may cause permanent damage. XX Servicing the product, including repairs and the replacement of parts, must be done by qualified Samsung Medison service personnel. Assuming that the product is used in accordance with the guidelines contained in this manual and maintained by qualified service personnel, the expected lifespan of the product is approximately 7 years. Please refer to ‘Chapter 4. Maintenance’ for detailed information on protection, cleaning, and disinfecting the equipment. 1-17 User Manual Moving the Equipment Firmly grip the handle on the front of the product and move the product slowly. Alternatively, you can use the Samsung Medison cart (sold separately). CAUTION: Power off the product and disconnect all cables before moving it. NOTE: If using the recommended cart, avoid leaving the cart unattended on an uneven surface. If you must leave the cart on an uneven surface, engage the brakes attached to the casters. 1-18 Chapter 1 Safety Biological Safety WARNING: XX Ultrasound waves may have damaging effects on cells and, therefore, may be harmful to the patient. If there is no medical benefit, minimize the exposure time and maintain the ultrasound wave output level at low. Please refer to the ALARA principle. XX Do not use the system if an error message appears on the video display indicating that a hazardous condition exists. Note the error code, turn off the power to the system, and call the Samsung Medison service department in your area. XX Do not use a system that exhibits erratic or inconsistent updating. Discontinuities in the scanning sequence are an indication of a hardware failure that should be corrected before use. XX The system limits the maximum contact temperature to 43 degree Celsius, and the ultrasonic waves output observes American FDA regulations. ALARA Principle Performing diagnoses using an ultrasound device is defined by the “As Low As Reasonably Achievable” (ALARA) principle. The decision as to what is reasonable should be left to the judgment and insight of qualified personnel. No set of rules can be formulated that would be sufficiently complete to dictate the correct response for every circumstance. By keeping ultrasound exposure as low as possible while obtaining diagnostic images, users can minimize ultrasonic bioeffects. Since the threshold for diagnostic ultrasound bioeffects is undetermined, it is the sonographer’s responsibility to control the total energy transmitted into the patient. The sonographer must reconcile exposure time with diagnostic image quality. To ensure diagnostic image quality and limit exposure time, the ultrasound system provides controls that can be manipulated during the exam to optimize the results of the exam. The ability of the user to abide by the ALARA principle is important. Advances in diagnostic ultrasound, not only in the technology but also in the applications of the technology, have resulted in the need for more and better information to guide the user. This important information is based on a variety of ultrasound output data, and plays an important role in putting the ALARA principle into effect. There are numerous variables that affect the way in which the output display indices can be used to implement the ALARA principle. These variables include mass, body size, location of the bone relative to the focal point, attenuation in the body, and ultrasound exposure time. Among these, exposure time is the variable that one must pay the most attention to. For, unlike other variables, exposure time is entirely controlled by the operator of the ultrasound system. 1-19 User Manual Applying ALARA The system-imaging mode used depends upon the information needed. 2D-mode and M-mode imaging provide anatomical information, while Doppler, Power, and Color imaging provide information about blood flow. Scanned modes like 2D-mode, Power, or Color, disperse or scatter the ultrasonic energy over an area, while unscanned modes like M-mode or Doppler concentrate ultrasonic energy. Understanding the nature of the imaging mode being used allows the sonographer to apply the ALARA principle with informed judgment. The probe frequency, system set-up values, scanning techniques, and operator experience aid the sonographer in meeting the definition of the ALARA principle. The decision as to the amount of acoustic output is, in the final analysis, up to the system operator. This decision must be based on the following factors: type of patient, type of exam, patient history, ease or difficulty of obtaining diagnostically useful information, and the potential localized heating of the patient due to probe surface temperatures. Prudent use of the system occurs when patient exposure is limited to the lowest index reading for the shortest amount of time necessary to achieve acceptable diagnostic results. Although a high index reading does not mean that a bioeffect is actually occurring, a high index reading should be taken seriously. Every effort should be made to reduce the possible effects of a high index reading. Limiting exposure time is an effective way to accomplish this goal. There are several system controls that the operator can use to adjust the image quality and limit the acoustic intensity. These controls are related to the techniques that an operator might use to implement ALARA. These controls can be divided into three categories: direct, indirect, and receiver controls. Direct Controls Application selection and the output intensity control directly affect acoustic intensity. There are different ranges of allowable intensity or output based on your selection. Selecting the correct range of acoustic intensity for the application is one of the priorities required during any exam. For example, peripheral vascular intensity levels are not recommended for fetal exams. Some systems automatically select the proper range for a particular procedure, while others require manual selection. Ultimately, the user bears the responsibility for proper clinical use. This Samsung Medison system provides both automatic and user-definable settings. Output has a direct impact on acoustic intensity. Once the application has been established, the output control can be used to increase or decrease the intensity output. The output control allows you to select intensity levels less than the defined maximum. Prudent use dictates that you select the lowest output intensity consistent with good image quality. 1-20 Chapter 1 Safety Indirect Controls The indirect controls are those that have an indirect effect on the acoustic intensity. These controls affect the imaging mode, pulse repetition frequency, focus depth, pulse length, and probe selection. The choice of imaging mode determines the nature of the ultrasound beam. 2D-mode is a scanned mode; Doppler is a stationary or unscanned mode. A stationary ultrasound beam concentrates energy on a single location. A moving or scanned ultrasound beam disperses the energy over a wide area and the beam is only concentrated on a given area for a fraction of the time necessary in unscanned mode. The pulse repetition frequency or rate refers to the number of ultrasound bursts of energy over a specific period of time. The higher the pulse repetition frequency, the more pulses of energy in a given period of time. Several controls affect pulse repetition frequency: Focal depth, display depth, sample volume depth, color sensitivity, number of focal zones, and sector width controls. The focus of the ultrasound beam affects the image resolution. Maintaining or increasing the resolution at a different focal zone involves the adjustment of numerous outputs from the focal zone. This output adjustment is one of the system’s optimization features. Different exams require different focal depths. Setting the focus to the proper depth improves the resolution of the structure of interest. Pulse length is the time during which the ultrasonic burst is turned on. The longer the pulse, the greater the time-average intensity value. The greater the time-average intensity, the greater the likelihood of temperature increase and cavitations. Pulse length, burst length, and pulse duration refer to the output pulse duration in pulsed Doppler mode. Increasing the Doppler sample volume increases the pulse length. Probe selection affects intensity indirectly. Tissue attenuation changes with frequency. The higher the probe operating frequency, the greater the attenuation of the ultrasonic energy. Higher probe operating frequencies require greater output intensity to scan at a deeper depth. To scan deeper at the same output intensity, a lower probe frequency is required. Using more gain and output beyond a point, without corresponding increases in image quality, can mean that a lower frequency probe is needed. Receiver Controls Receiver controls are used by the operator to improve image quality. These controls have no effect on output. Receiver controls only affect how the ultrasound echo is received. These controls include gain, TGC, dynamic range, and image processing. The important thing to remember, relative to output, is that receiver controls should be optimized before increasing output. For example; before increasing output, optimize gain to improve image quality. 1-21 User Manual Additional Considerations Ensure that scanning time is kept to a minimum, and ensure that only medically required scanning is performed. Never compromise quality by rushing an exam. A poor exam will require a followup, which ultimately increases the scanning time. Diagnostic ultrasound is an important tool in medicine, and, like any tool, should be used efficiently and effectively. Output Display Features The system output display comprises two basic indices: a mechanical index and a thermal index. The thermal index consists of the following indices: soft tissue (TIs), bone (TIb) and cranial bone (TIc). One of these three thermal indices will be displayed at all times. Which one is determined by the system preset or user choice, depending upon the application at hand. The mechanical index is continuously displayed over the range of 0.0 to 1.9, in increments of 0.1. The thermal index consists of the three indices, and only one of these is displayed all the time. Each probe application has an appropriate default selection. The TIb or TIs is continuously displayed over the range of 0.0 to maximum output, based on the probe and application, in increments of 0.1. The default setting of the application-specific nature is also an important factor of index selection. A default setting is a system control state which is preset by the manufacturer or the operator. The system has default index settings for the probe application. The default settings are applied automatically by the ultrasound system when the power is turned on, new patient data is entered into the system database, or a change of application takes place. The decision as to which of the three thermal indices to display should be based on the following criteria: Appropriate index for the application: TIs is used for imaging soft tissue, and TIb for a focus at or near a bone. Elements such as fluid, bone, and blood flow may act as artifacts that increase or decrease the TI. A highly attenuating tissue path, for example, may cause the potential for local zone heating to be lower than the thermal index displays. The selection of scanned modes or unscanned modes of operation also affect the thermal index. For scanned modes, heating tends to be near the surface; for unscanned modes, the potential for heating tends to be deeper in the focal zone. Always limit ultrasound exposure time. Do not rush the exam. Ensure that the indices are kept to a minimum, and that exposure time is limited without compromising diagnostic sensitivity. 1-22 Chapter 1 Safety Mechanical Index (MI) Display Mechanical bioeffects are threshold phenomena that occur when a certain level of output is exceeded. The threshold level varies, however, with the type of tissue. The potential for mechanical bioeffects varies with peak pressure and ultrasound frequency. The MI accounts for these two factors. The higher the MI value, the greater the likelihood of mechanical bioeffects occurring. However, there is no specific MI value that means that a mechanical effect will actually occur. The MI should be used as a guide for implementing the ALARA principle. Thermal Index (TI) Display The TI informs the user of the potential for temperature increase occurring at the body surface, within body tissue, or at the point of focus of the ultrasound beam on bone. The TI is an estimate of the temperature increase in specific body tissues. The actual amount of any temperature rise is influenced by factors such as tissue type, vascularity, and mode of operation. The TI should be used as a guide for implementing the ALARA principle. The bone thermal index (TIb) informs the user about potential heating at or near the focus after the ultrasound beam has passed through soft tissue or fluid, such as the skeletal structure of a 2-3 month old fetus. The cranial bone thermal index (TIc) informs the user about the potential heating of bone at or near the surface, for example, the cranial bone. The soft tissue thermal index (TIs) informs the user about the potential for heating within soft homogeneous tissue. TIc is displayed when you select a trans-cranial application. You can select whether to display the TI at Setup > Display > Display > Option > TI Display. Mechanical and Thermal indices Display Precision and Accuracy The Mechanical and Thermal Indices on the system are precise to 0.1 units. The MI and TI display accuracy estimates for the system are given in the Acoustic Output Tables section of this manual. These accuracy estimates are based on the variability ranges of probes and systems, inherent acoustic output modeling errors, and the measurement variability, as described below. The displayed values should be interpreted as relative information to help the system operator achieve the ALARA principle through prudent use of the system. The values should not be interpreted as actual physical values of investigated tissue or organs. The initial data that is used to support the output display is derived from laboratory measurements based on the AIUM measurement standard. The measurements are then put into algorithms to calculate the displayed output values. 1-23 User Manual Many of the assumptions used in the process of measurement and calculation are conservative in nature. Over-estimation of actual in situ exposure, for the vast majority of tissue paths, is built into the measurement and calculation process. For example, the acoustic output values measured underwater are de-rated using a conservative, industry standard, attenuation coefficient of 0.3dB/ cm-MHz. Conservative values for tissue characteristics were selected for use in the TI models. Conservative values for tissue or bone absorption rates, blood perfusion rates, blood heat capacity, and tissue thermal conductivity were selected. A steady state temperature rise is assumed in the industry standard TI models, and the assumption is made that the ultrasound probe is held steady in one position long enough for a steady state to be reached. A number of factors are considered when estimating the accuracy of display values: Hardware variations, algorithm accuracy estimation, measurement variability and variability among probes and systems are significant factors. Probe deviation results from piezoelectric crystal efficiencies, process-related impedance differences, and sensitive lens focusing parameter variations. Differences in the system pulse voltage control and efficiencies are also a contributor to variability. There are inherent uncertainties in the algorithms used for estimating acoustic output values over the range of possible system operating conditions and pulse voltages. Inaccuracies in laboratory measurements are related to differences in hydrophone calibration and performance, positioning, alignment and digitization tolerances, and variability among test operators. The conservative assumptions of the output estimation algorithms of linear propagation, at all depths, through a 0.3dB/cm-MHz attenuated medium are not taken into account in the calculation of the accuracy estimate displayed. Neither linear propagation nor uniform attenuation at the 0.3dB/cm-MHz rate occurs in underwater measurements, or in most tissue paths in the body. In the body, different tissues and organs have dissimilar attenuation characteristics. In water, there is almost no attenuation. (In the body, and particularly in underwater measurements, non-linear propagation and saturation losses occur as pulse voltages increase. The display accuracy estimates take into account the variability ranges of probes and systems, inherent acoustic output modeling errors, and the measurement variability. Display accuracy estimates are measured according to AIUM measurement standards but not based on errors caused during the measurement or inherent errors. They are also independent of the effects of non-linear loss on the measured values. 1-24 Chapter 1 Safety Control Effect – Controls Affecting the Indices As various system controls are adjusted, the TI and MI values may change. This will be most apparent as the Power control is adjusted; however, other system controls will also affect the on-screen output values. Power The power controls the system’s acoustic output. Two real-time output values are on the screen: a TI and a MI. They change as the system responds to Power adjustments. In combined modes, such as simultaneous Color, 2D-mode, and pulsed Doppler, the individual modes each add to the total TI. Each mode is a vital contributor to this total; the displayed MI will be from the mode with the largest peak pressure. 2D Mode Controls 2D-mode size Narrowing the sector angle may increase the frame rate. This will increase the TI. The pulse voltage may be automatically adjusted down by the software controls to keep the TI below the system maximum. A decrease in pulse voltage will decrease MI. Zoom Increasing the zoom magnification may increase frame rate. This will increase the TI. The number of focal zones may also increase automatically to improve the resolution. This action may change the MI, since the peak intensity can occur at a different depth. Number of Focal Zones Increasing the number of focal zones may change both the TI and MI by changing the frame rate or focal depth automatically. Lower frame rates decrease the TI. The MI displayed will correspond to the focal zone with the largest peak intensity. Focus Changing the focal depth will change the MI. Generally, higher MI values will occur when the focal depth is near the natural focus of the probe (transducer). 1-25 User Manual Color and Power Controls Color Sensitivity Increasing the color sensitivity increases the TI and the time spent for scanning color images. Color pulses are the dominant pulse type in this mode. Color Sector Width Narrower color sector width will increase the color frame rate, and so the TI will increase. The system may automatically decrease the pulse voltage to stay below the system maximum. A decrease in pulse voltage will decrease the MI. If pulsed Doppler is also enabled, then pulsed Doppler will remain as the primary mode and the TI change will be small. Color Sector Depth Deeper color sector depth may automatically decrease color frame rate, or select a new color focal zone or color pulse length. The TI will change due to the combination of these effects. Generally, the TI will decrease with increased color sector depth. The MI will correspond to the peak intensity of the dominant pulse type, which is a color pulse. If pulsed Doppler is also enabled, then pulsed Doppler will remain as the primary mode and the TI change will be small. Scale Using the SCALE control to increase the color velocity range may increase the TI. The system will automatically adjust the pulse voltage to stay below the system maximum. A decrease in pulse voltage will also decrease MI. 2D-mode size A narrower 2D-mode sector width in Color imaging will increase color frame rate. The TI will increase. MI will not change. If pulsed Doppler is also enabled, then pulsed Doppler will remain as the primary mode and the TI change will be small. M Mode and Doppler Controls Simultaneous and Update Methods Use of combination modes affects both the TI and MI through the combination of pulse types. During Simultaneous mode, the TI is an ancillary element. During Auto-update and Duplex, the TI will display the dominant pulse type. The displayed MI will be from the mode with the largest peak pressure. 1-26 Chapter 1 Safety Sample Volume Depth When Doppler sample volume depth is increased, the Doppler PRF may automatically decrease. A decrease in PRF will decrease the TI. The system may also decrease the pulse voltage to remain below the system maximum. A decrease in pulse voltage will decrease MI. Other 2D, Color, M-Mode, PW and CW Modes When a new imaging mode is selected, both the TI and the MI will change to their default settings. Each mode has a corresponding pulse repetition frequency and maximum intensity point. In combined or simultaneous modes, the TI is the sum of the contribution from the modes enabled, and the MI is the value for the focal zone of the mode with the largest de-rated intensity. If a mode is turned off and then reselected, the system will return to the previously selected settings. Probes Each probe model available has unique specifications for the contact area, beam shape, and center frequency. Settings are initialized when you select a probe. Samsung Medison’s factory defaults vary with probe, application and mode. Defaults that are below the FDA limits have been chosen for intended use. Depth An increase in the 2D-mode depth will automatically decrease the 2D-mode frame rate. This would decrease the TI. The system may also automatically choose a deeper 2D-mode focal depth. A change of focal depth may change the MI. The MI displayed is that of the zone with the largest peak intensity. Application Acoustic output defaults are set when you select an application. Samsung Medison’s factory defaults vary with probe, application and mode. Defaults that are below the FDA limits have been chosen for intended use. 1-27 User Manual Related Guidance Documents For more information on ultrasonic bioeffects and related topics, refer to the following: XX Medical Ultrasound Safety (AIUM, 2009). (A copy of this AIUM Clinical User Education Brochure is shipped with each system.) XX AIUM Consensus Report on Potential Bioeffects of Diagnostic Ultrasound: Executive Summary, J. Ultrasound in Medicine, 2008, Vol. 27, Num. 4. XX WFUMB. Symposium on Safety of Ultrasound in Medicine: Conclusions and Recommendations on Thermal and Non-thermal Mechanisms for Biological Effects. Ultrasound in Med. & Biol; 1998, 24: Supplement 1. XX Bioeffects and Safety of Diagnostic Ultrasound (AIUM, 1993) XX Guidelines for the safe use of diagnostic ultrasound equipment. (BMUS, 2009) XX Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers (U.S. FDA – 2008) XX Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment. (IEC, 2007) XX Acoustic Output Labeling Standard for Diagnostic Ultrasound Equipment (AIUM, 2008) XX Standard Means for the Reporting of the Acoustic Output of Medical Diagnostic Ultrasonic Equipment. (IEC, 2007) XX Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices On Diagnostic Ultrasound Equipment (AIUM / NEMA, 2004) XX Ultrasonics - Field characterization - Test methods for the determination of thermal and mechanical indices related to medical diagnostic ultrasonic fields (IEC, 2005) XX Measurement and Characterization of Medical Ultrasonic Fields up to 40 MHz. (IEC, 2007) XX Ultrasonics-Power Measurements - Radiation Force Balances and Performance Requirements. (IEC, 2006) XX Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment. (AIUM / NEMA, 2004) 1-28 Chapter 1 Safety Acoustic Output and Measurement Since the first usage of diagnostic ultrasound, the possible human biological effects (bioeffects) of ultrasound exposure have been studied by various scientific and medical institutions. In October 1987, the American Institute of Ultrasound in Medicine(AIUM) ratified a report prepared by its Bioeffects Committee (Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1988: 1988: Vol.7, No.9 Supplement), sometimes referred to as the Stowe Report, which reviewed available data on possible effects of ultrasound exposure. Another report, “Bioeffects and Safety of Diagnostic Ultrasound”, dated January 28, 1993, provides more up to date information. In addition, periodically updated reports on biological effects, results, and guidelines on safe usage have been published by groups such as WFUMB (World Federation of Ultrasound in Medicine and Biology), AIUM, and BMUS. The Acoustic output for this system has been measured and calculated in accordance with the Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices On Diagnostic Ultrasound Equipment (AIUM / NEMA, 2004) and the Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment (AIUM / NEMA, 2004). In Situ, De-rated, and Water Value Intensities All intensity parameters are measured in water. Since water does not absorb acoustic energy, these water measurements represent the largest possible value. Biological tissue absorbs acoustic energy. The true value of the intensity at any point depends on the amount and type of tissue, and the frequency of the ultrasound that passes through the tissue. The intensity value in the tissue, In Situ has been estimated using the following formula: In Situ = Water [e - (0,23 alf)] where: In Situ = In Situ Intensity Value Water = Water Value Intensity e = 2.7183 a = Attenuation Factor Tissuea(dB/cm-MHz) Brain.53 Heart.66 Kidney.79 Liver .43 Muscle.55 l = skin line to measurement depth (cm) f = Center frequency of the transducer/system/mode combination(MHz) 1-29 User Manual Since the ultrasonic path during an examination is likely to pass through varying lengths and types of tissue, it is difficult to estimate the true In Situ intensity. A 0.3 de-rating factor is used for general reporting purposes. Therefore, the commonly reported In Situ value uses the following formula: In Situ (derated) = Water [e -(0,069 lf)] Since this value is not the true In Situ intensity, the term “de-rated” is used. The maximum de-rated and maximum water values do not always occur under the same operating conditions. Therefore, the reported maximum water and de-rated values may not be related to the In Situ (de-rated) formula. For example, a multi-zone array transducer has the greatest water value intensities in its deepest zone. The same transducer may have its largest de-rated intensity in one of its shallowest focal zones. Terms and Symbols Related to Acoustic Output and Measurement The terms and symbols used in the acoustic output tables are defined in the following paragraphs. Aaprt -12dB OUTPUT BEAM AREA, ultrasonic beam area induced by -12dB output beam size (unit: cm2) deq at max. Ipi EQUIVALENT BEAM DIAMETER, the acoustic beam’s diameter at the location where the PULSE-INTENSITY INTEGRAL is maximal, expressed as an equivalent beam area (unit: cm) deq(zb) EQUIVALENT BEAM DIAMETER, the acoustic beam’s diameter at Zb location, expressed as an equivalent beam area (unit: cm2) Dim of Aaprt -12dB OUTPUT BEAM DIMENSIONS, the dimensions of an ultrasound beam (whose pulse beam width is -12dB) from a specific direction that is perpendicular to the transducer output plane and the beam alignment axis (unit: cm) fawf ACOUSTIC WORKING FREQUENCY, the arithmetic average of f1 and f2 that are farthest from each other among the frequencies of the pressure spectrum of the acoustic signal whose amplitudes are lower than the peak amplitude, i.e. maximum amplitude, by 3dB (unit: MHz) Focal Length The focal length in a direction parallel to the beam alignment axis in the defined operational state of the ultrasound system (unit: cm). Ipa,a at max. MI The average attenuated pulse strength at the location where Mechanical Index (MI) is maximal (unit: W/cm2) Ita, a (z) Attenuated time average strength at a specific focal length (z) (unit: mW/cm2) 1-30 Chapter 1 Safety MI MECHANICAL INDEX, a variable representing potential cavitations within the human body (unit: N/A) P OUTPUT POWER, time average power of an ultrasonic transducer’s emissions into a free field through specified media such as water (unit: mW) Pα(z) ATTENUATED OUTPUT POWER, the power of ultrasonic output calculated at a specific distance from the transducer after attenuation occurs (unit: mW) Pr,α ATTENUATED PEAK-RAREFACTIONAL ACOUSTIC PRESSURE, the peak rarefactional acoustic pressure calculated at a specific distance after attenuation occurs (unit: MPa) Pr at max. Ipi The peak rarefactional acoustic pressure at the location where PULSE-INTENSITY INTEGRAL is maximal (unit: MPa) prr PULSE REPETITION RATE, the inverse number of the time interval between two contiguous acoustic pulse (unit: Hz) TIB BONE THERMAL INDEX, a thermal index for a focal zone formed near a bone after the ultrasound beam passes through soft tissue, e.g. applied to a fetus (2nd or 3rd trimester) or to the head of a neonate (through the fontanel) (unit: N/A) TIC CRANIAL BONE THERMAL INDEX, a thermal index for an ultrasound beam entering the body and passing through a bone, e.g. skull of children or adults (unit: N/A) TISscan Soft tissue thermal index in scanning mode (unit: N/A) TISnon-scan Soft tissue thermal index in non-scanning mode (unit: N/A) td PULSE DURATION (unit: us) z_at_max_Ipi,a The location where PULSE-INTENSITY INTEGRAL is maximal (unit: cm) zb DEPTH FOR BONE THERMAL INDEX (unit: cm) zbp BREAK-POINT DEPTH, which is EQUIVALENT APERTURE DIAMETER multiplied by 1.5 (unit: cm) zs DEPTH FOR SOFT-TISSUE THERMAL INDEX, the distance from a plane where the product of minimum attenuated output power, ATTENUATED SPATIAL-PEAK TEMPORAL-AVERAGE INTENSITY, and 1cm2 is maximal at the distance range that is equal to, or greater than, the equivalent aperture diameter multiplied by 1.5, when the beam dimension of -12dB output is defined along the beam alignment axis (unit: cm) 1-31 User Manual Acoustic Measurement Precision and Uncertainty The Acoustic Measurement Precision and Acoustic Measurement Uncertainty are described below. Quantity Precision Total Uncertainty Ipi, a (attenuated pulse intensity integral) 3.2% +21% to -24% P (acoustic power) 6.2% +/- 19% Pr,a (attenuated rarefaction pressure) 5.4% +/- 15% fawf (acoustic working frequency) < 1% +/- 4.5% Systematic Uncertainties For the pulse intensity integral, de-rated rarefaction pressure (Pr.3), center frequency and pulse duration, the analysis includes considerations of the effects on accuracy of: Hydrophone calibration drift or errors. Hydrophone / Amp frequency response. Spatial averaging. Alignment errors. Voltage measurement accuracy, including. XX Oscilloscope vertical accuracy. XX Oscilloscope offset accuracy. XX Oscilloscope clock accuracy. XX Oscilloscope Digitization rates. XX Noise. The acoustic power is measured using a Radiation Force for systematic uncertainties through the use of calibrated NIST acoustic power sources. We also refer to a September 1993 analysis carried out by a working group of the IEC technical committee 87 and prepared by K. Beissner, as a first supplement to IEC publication 1161. The document includes analysis and discussion of the sources of error/measurement effects due to: XX Balance system calibration. XX Absorbing (or reflecting) target suspension mechanisms. 1-32 Chapter 1 Safety XX Linearity of the balance system. XX Extrapolation to the moment of switching the ultrasonic transducer (compensation for ringing and thermal drift). XX Target imperfections. XX Absorbing (reflecting ) target geometry and finite target size. XX Target misalignment. XX Ultrasonic transducer misalignment. XX Water temperature. XX Ultrasonic attenuation and acoustic streaming. XX Coupling or shielding foil properties. XX Plane-wave assumption. XX Environmental influences. XX Excitation voltage measurement. XX Ultrasonic transducer temperature. XX Effects due to nonlinear propagation and saturation loss. Training The users of this ultrasound system must familiarize themselves with the ultrasound system to optimize the performance of the device and to detect possible malfunctions. It is recommended that all users receive proper training before using the device. You can receive training on the use of the product from the Samsung Medison service department, or any of the customer support centers worldwide. 1-33 User Manual Protecting the Environment CAUTION: XX To dispose of the system or accessories that have come to the end of their lifespan, contact the vendor or follow appropriate disposal procedures. XX You are responsible for complying with the relevant regulations for waste disposal. XX The lithium ion battery used in the product must be replaced by a Samsung Medison service engineer or an authorized dealer. Correct Disposal of This Product (Waste Electrical & Electronic Equipment) Applicable in countries with separate collection systems This marking on the product, accessories or literature indicates that the product and its electronic accessories (e.g. charger, headset, USB cable) should not be disposed of with other household waste at the end of their working life. To prevent possible harm to the environment or human health from uncontrolled waste disposal, please separate these items from other types of waste and recycle them responsibly to promote the sustainable reuse of material resources. Household users should contact either the retailer where they purchased this product, or their local government office, for details of where and how they can take these items for environmentally safe recycling. Business users should contact their supplier and check the terms and conditions of the purchase contract. This product and its electronic accessories should not be mixed with other commercial wastes for disposal. 1-34 Chapter 1 Safety Battery Pack Familiarize yourself with the instructions below before using the battery pack: WARNING: XX Comply with all instructions concerning charging and discharging the battery pack and the temperature at which it should be stored. For details on temperature range, refer to 'Chapter 4. Maintenance'. XX When connecting the battery pack, be aware of the polarity of the electrodes. Mixing up the polarity can cause the battery pack to short-circuit. XX Do not allow the battery pack’s electrodes to come into contact with metallic objects. XX Do not disassemble or modify the battery pack. XX Do not expose the battery pack to heat or set it on fire. XX Do not store or use the battery pack in the vicinity of a heat-generating device or an open flame. Make sure not to subject the battery pack to temperatures in excess of 60°C. XX Do not leave the battery pack in direct sunlight. XX Do not handle the battery pack using sharp objects. XX Do not subject the battery pack to impact. Do not step on the battery pack. XX If the battery pack has been damaged, do not use it. XX Do not try to solder or repair the battery pack. XX Do not connect the battery pack to an electrical outlet. XX If you are planning not to use this product for more than a month, remove the battery pack from the system and store it separately. CAUTION: The battery pack can damage the product if it explodes, catches on fire, or starts to produce smoke. See below for more information. XX Do not submerge the battery pack in water or allow it to get wet. XX Do not place the battery pack inside a microwave oven, an electric oven, or a pressurized container. XX If the battery pack begins to leak, produce an odor, or generate heat, do not store or use it in the vicinity of an inflammable material. XX Do not use the battery pack if you notice abnormal signs such as an odor, heat, or deformation. 1-35 User Manual Extended Battery (Optional) Familiarize yourself with the following information before using the Extended Battery: WARNING: XX When using the Extended Battery, be sure to comply with the battery’s charging, discharging, and storage temperatures. For details on the temperature range, refer to ‘Chapter 4. Maintenance and Storage’. XX When connecting the Extended Battery, pay attention to the polarity of the electrodes. Mixing up the polarity can cause the battery to short-circuit. XX Do not allow the Extended Battery’s electrodes to come into contact with metallic objects. XX Do not disassemble or modify the Extended Battery. XX Do not expose the Extended Battery to heat or set it on fire. XX Do not store or use the Extended Battery in the vicinity of a heating appliance or an open flame. Make sure not to subject the Extended Battery to temperatures in excess of 60°C. XX Do not leave the Extended Battery in direct sunlight. XX Do not handle the Extended Battery while using sharp objects. XX Do not subject the Extended Battery to impact, or step on the battery. XX If the Extended Battery has been damaged, do not use it. XX Do not attempt to solder or repair the Extended Battery. XX Do not connect the Extended Battery directly to an electrical outlet. XX If you are planning to not use this product for more than a month, remove the Extended Battery from the system and store it separately. CAUTION: The Extended Battery can damage the product if it explodes, catches on fire, or starts to produce smoke. For related information, refer to the following. XX Do not submerge the Extended Battery in water, or allow it to get wet. XX Do not place the Extended Battery inside a microwave oven, an electric oven, or a pressurized container. XX If the Extended Battery begins to leak, produce an odor, or generate heat, do not store it or use it in the vicinity of flammable materials. XX Do not use the Extended Battery if you notice suspicious signs such as an odor, heat, or deformation. For more information on the care of the battery pack and the Extended Battery, refer to ‘Chapter 4. Maintenance and Storage’. For instructions on connecting the Extended Battery to CART, please refer to the installation guide supplied with HM70A. 1-36 Chapter 1 Safety Correct Disposal of Batteries in This Product Applicable in countries with separate collection systems This marking on the battery, manual or packaging indicates that the batteries in this product should not be disposed of with other household waste at the end of their working life. Where marked, the chemical symbols Hg, Cd or Pb indicate that the battery contains mercury, cadmium or lead above the reference levels in EC Directive 2006/66. If batteries are not properly disposed of, these substances can cause harm to human health or the environment. To protect natural resources and to promote material reuse, please separate batteries from other types of waste and recycle them through your local, free battery return system. State of California Proposition 65 Warning (US only) WARNING: This product contains chemicals known to the State of California to cause cancer and reproductive toxicity. 1-37 Chapter 2 Introduction Specification......................................................2-3 Product Configuration ....................................2-6 Monitor.........................................................................................2-7 Control Panel..............................................................................2-9 Console ......................................................................................2-14 Peripheral Devices..................................................................2-16 Video Out...................................................................................2-18 Battery Pack and Extended Battery.................................2-21 Probes.........................................................................................2-24 HM70A CART(Optional).......................................................2-25 Accessories................................................................................2-26 Optional Functions................................................................2-26 Chapter 2 Introduction Specification SYSTEM : Height: 63.8mm, Width: 383.5mm, Depth: 355mm Weight: 6.1kg (Including battery) Physical Dimensions Imaging modes Gray Scale Focusing Probes (Type BF / IPX7) Probe connections CART : Height: 823.8 mm (Maximum 1003.8 mm), Width: 541.4 mm, Depth: 526 mm Weight: 30 kg Weight: Approx. 55kg (with Safe Working Load) 2D Imaging mode M Imaging mode Color Doppler Imaging (CDI) mode Power Doppler Imaging (PDI) mode S-Flow mode Power Pulse Inversion Imaging Pulse Wave (PW) Spectral Doppler imaging mode Continuous Wave (CW) Doppler imaging mode Tissue Doppler Imaging (TDI) mode Tissue Doppler Wave (TDW) mode Elastoscan(E) mode 3D imaging mode 4D imaging mode Dual modes Quad Modes Combined modes Simultaneous mode 256 (8 bits) Transmit focusing, maximum of eight points (four points simultaneously selectable) Digital dynamic receive focusing (continuous) Curved Linear Array: C2-6, CF4-9, SC1-6, CA1-7AD, CA2-8AD Linear Array: L4-7, L5-13, L7-16, LA3-16AD, LA5-18B Phased Array: PE2-4, P3-8 Endocavity Curved Linear Array: EVN4-9 Volume Probe: VN4-8 CW Probe: CW2.0, CW4.0, DP2B 3 (Three probe connector) Battery Pack Width: 130mm, Length: 251mm, Height: 12mm, Weight: 450 g AC Adapter Width: 81mm, Length: 218mm, Height: 47mm, Weight: 1.1 kg Extended Battery Width: 208mm, Length: 326.3mm, Height: 84mm, Weight: 3.87kg 2-3 User Manual Monitor ECG Input / Output Connections Image Storage Application Electrical Parameters 15 inch LCD monitor (LED Backlight unit) called "LCD monitor" henceforth Type CF Video (DVI-I) port Network port USB port Maximum 2,030 frames for CINE memory Maximum 8,192 Lines for LOOP memory Image filing system Abdomen, Obstetrics, Gynecology, Musculoskeletal, Small Parts, Vascular, Cardiac, Pediatric, TCD, Urology Input: 100-240VAC, 3.5A, 50-60Hz Output: 19VDC, 10.5A, 200VA Battery: 14.8VDC, 5000mAh, Min. 30 Extended Battery: 19VDC, 10.5A, 28.5Ah Measurement Packages Signal processing (Pre-processing) TGC control Mode-independent gain control Acoustic power control (adjustable) Dynamic aperture Dynamic apodization Dynamic range control (adjustable) Image view area control M-mode sweep speed control Signal processing (Post-processing) Frame average Edge Enhancement / Blurring Gamma-scale windowing Image orientation (left/right and up/down, rotation) White on black/black on white Zoom Measurement 2-4 Obstetrics, Gynecology, Cardiology, Carotid, Fetal Echo, UE Artery, LE Artery, UE Vein, LE Vein, Radiology, TCD, Thyroid, Breast, Testicle, Superficial, Pediatric Hips, MSK * Refer to Chapter 8 for additional information Trackball operation of multiple cursors 2D mode: Linear measurements and area measurements using elliptical approximation or trace M mode: Continuous readout of distance, time, and slope rate Doppler mode: Velocity and trace Chapter 2 Introduction Auxiliary USB ECG USB Foot Switch (IPX 8) External Monitor External DVD Multi USB Video Printer USB Laser Printer USB Hard Disk Drive USB Flash Memory Media User Interface English, German, French, Italian, Spanish, Russian, Chinese, Portuguese Pressure Limits Operating: 700 - 1060hPa Storage: 700 - 1060hPa Humidity Limits Operating: 30 - 75% Storage & Shipping: 20 - 90% Temperature Limits Operating: 10 - 35°C Storage & Shipping: -25 - 60°C 2-5 User Manual Product Configuration This product consists of monitor, control panel, console, peripheral devices, and probes. 1 1 Monitor 2 Control Panel 3 Console 4 Probe Port 3 2 4 [Figure 2.1 Product Components] Tips! Principles of Operation Medical ultrasound images are created by computer and digital memory from the transmission and reception of mechanical high-frequency waves applied through a probe. The mechanical ultrasound waves spread through the body, producing an echo where density changes occur. For example, in the case of tissue, an echo is created where a signal passes from an adipose tissue region to a muscular tissue region. The echoes return to the probe where they are converted back into electrical signals. These echo signals are highly amplified and processed by analog and digital circuits having filters with many frequency and time response options, transforming the high-frequency electrical signals into a series of digital image signals which are stored in memory. Once in memory, the image can be displayed in real-time on the image monitor. All signal transmission, reception and processing characteristics are controlled by computer. 2-6 Chapter 2 Introduction Monitor Ultrasound images and other information are displayed on the color LCD monitor. Screen Layout The monitor displays ultrasound images, operation menus and a variety of other information. As shown below, the screen consists of 1 Title area, 2 Image Information area, 3 Image area, 4 Preview area, 5 User Information area, and 6 Soft Menu. 1 4 2 3 5 6 [Figure 2.2 Monitor Display] Title Area Displays patient name, hospital name, application, frame rate and depth, probe information, and date and time. Image Information Area Displays information for the image in each diagnostic mode such as Gain and Frame Average, as well as Post Curve and User Key. If the Utility key on the keyboard is pressed, the Utility menu is displayed. In BodyMarker mode, the BodyMarkers are displayed. 2-7 User Manual Image Area This is where the ultrasound image is displayed. In addition, TGC, Annotation, and various measurements are displayed. Preview Area Thumbnail images are displayed here. Up to 14 thumbnails can be displayed per page. Click a thumbnail to enlarge. User Information Area The user information area provides a variety of information necessary for system use. Information such as current system status, image information, selectable items, etc. are displayed. Tips! When there are two Soft Menus Indicates that the battery is not installed, and the AC power is connected. For more information on battery status, refer to the ‘Battery Pack’ section in this chapter. Displays the network status. Displays the connection status of portable disks. Double-clicking the icon will display the Storage Manager screen. Shows the system's total hard disk space and the available disk space. Shows Caps Lock status. Pressing the Caps Lock key on the keyboard will alternate between engaged and disengaged states, which will allow you to enter text in capital or lowercase letters, respectively. Soft Menu The menu options that are displayed change depending on the status of the system. To add or remove a soft menu item, press the corresponding dial-button on the control panel. Screen Brightness Adjustment Use the up and down arrow keys on the keyboard. However, you cannot adjust the screen brightness in text mode. 2-8 Chapter 2 Introduction Control Panel The control panel is used to operate the system. [Figure 2.3 Control Panel] The control panel consists of a keyboard, soft menus, buttons, dials, dial-buttons, sliders, and a trackball. A dial-button can be used as both a dial and a button. 2-9 User Manual Functions of the Control Panel The following are the descriptions and instructions for the controls on the control panel. For more information on controls with multiple functions, see Chapter 3 and later in this manual. Button Turns the system on/off. Patient Button Displays the Patient Information screen for patient selection and information entry. Probe Button Displays the Probe Selection screen to select or change the probe and application. SonoView Button Launches SonoView, an image filing program. Report Button Displays the report screen that shows the measurement results of the current application and other information. End Exam Button Finishes the exam of the currently selected patient and resets the related data. Button Changes to Single mode. Available in Dual or Quad mode Button Launches Dual mode, in which two independent images may be compared. Button Launches Quad mode, in which four independent images may be compared. On/Off Single Dual Quad XX Menu: Pressing the dial-button changes the soft menu page. Press the button while the measurement or utility menu is shown. XX Angle: Adjusts the angle of the sample volume in Spectral Doppler Menu / Angle Dial-button mode. It is also used to adjust the BodyMarker’s probe cursor, or the angle of an arrow. XX Quick Preset : You can press the dial-button before starting an exam to use the Quick Preset feature. You can quickly set up applications that are supported by the currently connected probe. 2-10 2D Button Press this button to start 2D mode. Color Button Press this button to start/stop Color Doppler mode. PW Button Press this button to start/stop PW Spectral Doppler mode. M Button Start or end M Mode. Chapter 2 Introduction CW Button Press this button to start/stop CW Spectral Doppler mode. Available only with the phased array probe. 3D/4D Button Starts or ends 3D/4D mode. PD Button Press this button to start/stop Power Doppler mode. Active Mode Button In combined mode, pressing this button changes the soft menu. Each press of the button changes the soft menu to the one that relates to the next diagnosis mode in the set. Button Select the item or value by using the trackball. Assign Exit feature to the button, then pressing the button will exit the current function and return to the previous function. Button Deletes text, Indicator, BodyMarker, measurement result, etc. from the image. Button An arrow marker appears to point to parts of the displayed image in scan mode. Button This is used to change the current trackball function. Button Start measurements for the application. Button Start taking basic measurements such as distance, circumference, area, and volume. Set/Exit Clear Pointer Change Calculator Caliper XX Q Scan: Pressing the dial-button activates Quick Scan. The Q Scan Q Scan / Gain Dial-button mark will appear at the top of an image. It can be used only in specific applications of specific probes. XX Gain: Rotating the dial-button adjusts the gain under the current diagnosis mode. Depth Button Adjusts the scanning depth of the image. Focus Button You can adjust the focus point. Zoom Button You can magnify an image. U2/U3 Button This button is used to assign user-defined functions. The function of each button can be set in Setup > User Defined Key. Button Prints an image on the screen using the printer connected to the system. The function of each button can be assigned in Setup > Peripherals. Print 1/2 2-11 User Manual Save Freeze Button Saves the displayed image or report to the database. Button Pauses/resumes scanning. Trackball Trackball TGC Slider Moves the cursor on the screen. Also scrolls through Cine images. Allows you to adjust TGC values for each depth by using 8 sliders. TGC stands for Time Gain Compensation. CAUTION: Too great a difference in the gain value settings of adjacent TGC sliders may cause stripes in an image. Soft Menu Soft Menu 1~7 Tips! Dial-button Executes the function assigned to the relevant number in the current soft menu. Items displayed in the menu will vary depending on the current status of the system. Rotate or press the dial-button to adjust the items. Using the Soft Menu Dial-Button The soft menu consists of a top menu at the top of the screen and a sub-menu at the bottom of the screen. XX Top Menu (1): Rotate the dial-button to select an option. XX Sub Menu (2): Press the dial-button to select the option. 1 2 [Figure 2.4 Soft Menu] Tips! Soft Menu Dial-Buttons 4 through 6 Soft menu dial-buttons 4 through 6 perform the following in 3D view: XX Soft Menu Dial-Button 4: Rotates the image in the direction of the X-axis. XX Soft Menu Dial-Button 5: Rotates the image in the direction of the Y-axis. XX Soft Menu Dial-Button 6: Rotates the image in the direction of the Z-axis. 2-12 Chapter 2 Introduction Keyboard The keyboard lets the user input text and use function keys to execute various functions directly. [Figure 2.5 Keyboard] Help Displays the Help Manual on the screen. Text Activates text mode. However, with the check box under Utility > Setup > Annotate > Text Setup > Quick Text selected, you can enter text right away without pressing this button. Arrow BodyMarker Initiates Arrow mode. Start BodyMarker mode. Undo Undo the last task. Only available in Text and Arrow modes. Utility Displays the Utility menu on the screen. Setup The Setup screen will be displayed. BPD Start BPD measurement. AC Start AC measurement. FL Start FL measurement. CRL Start CRL measurement. GS Start GS measurement. Space Bar , Each press of the bar removes items from the screen in the order of TGC Gray Scale Bar/Color Bar. When all of the items have been removed from the screen, pressing the space bar once more will display both items on the screen. Used to adjust the monitor’s brightness level. , Used to adjust the volume while in spectral Doppler mode. 2-13 User Manual Console The console is made up mostly of ultrasound imaging components on the inside, and various connectors and a handle on the outside. The console’s sections and components are described below: [Figure 2.6 Console Configuration] Console – Front 1 1 Monitor lock Battery indicator Power indicator 2-14 Chapter 2 Introduction Console – Left Side Power Port Console – Right Side 2 Probe Port Probe Lock Switch 2 3 3 CW probe port USB port 4 Network Port Video (DVI-I) port 4 Trig Port: Not used Console – Rear Security Lock Port (Kensington Lock) NOTE: For instructions on connecting an AC adapter to the power port, refer to ‘Chapter 6. Starting Diagnosis’. 2-15 User Manual Peripheral Devices Peripheral devices can be connected to their corresponding ports on the left or rear sides of the product. CAUTION: XX Do not install peripheral devices that are not listed in this manual within the patient environment. If you install an unlisted device in the patient environment, it may cause an electrical hazard. XX Do not connect additional peripheral devices to socket of the auxiliary socket. Doing so may decrease the safety level. 1.5m 1.5m 1.5m [Figure 2.7 Patient Environment] CAUTION: XX When using a peripheral device via a USB port, always turn the power off before connecting/ disconnecting the device. Connection/disconnection of USB devices while the power is on may lead to malfunction of the system and the USB devices. XX Do not connect additional Peripheral Devices to the auxiliary socket outlets. Connecting to the auxiliary socket outlet may decrease safety level. NOTE: For instructions on using a specific peripheral, refer to the device's User Manual. 2-16 Chapter 2 Introduction The following products are recommended: DVD-Multi Samsung SE-208AB Video Printer XX Color: SONY UP-D25MD XX Black and White: Mitsubishi P95DE, SONY UP-D897 Laser printer XX Color: Samsung CLP-615ND XX Black and White: Samsung ML-2955DW CAUTION: XX You must install a printer and drivers that are compatible with the English version of Microsoft Windows 7TM . Contact Samsung Medison customer support division for inquiries about printer driver installation. XX When connecting the printer, ensure that the printer is configured under Microsoft WindowsTM or system setup, and has been chosen as the default printer. USB to Serial (RS-232C) Converter USB to Serial Converter (RS-232C) with FTDI Chipset (FTDI FT232BM Compatible) ECG ECG-USB1, USB Type Foot Switch 3 Button, USB Type WLAN Card Wireless LAN Card: Netis WF2120 Driver NOTE: For detailed information on connecting to a wireless network, please refer to ‘Setup > DICOM > Network Configuration’ in ‘Chapter 3. Utilties’. 2-17 User Manual Other Removable Flash Memory media NOTE: XX If you are using USB 1.1 flash memory, the system may fail to recognize the device. Remove the flash memory from the console and equip again with an appropriate device. XX To remove a USB storage device from the system, go to Utility > Storage Manager. XX When using a flash memory device which supports functions other than saving files, please check first to see if it is possible to save the file on a desktop PC. XX Do not use flash memory media which contain anti-virus programs or are defective. Otherwise, the product may fail to work properly. Video Out The optional Video Out device connects to the system to provide digital and analog video outputs. The Video Out device features the AC adapter input and the DVI video input port on the right side, and the VHS, S-VHS, B/W, IMAGE DVI, and DVI signal output ports on the front. The Video Out device is categorized as follows: [Figure 2.8 Configuration of Video Out] 2-18 Chapter 2 Introduction Video Out – Front VHS S-VHS B/W IMAGE DVI DVI Composite video output port S-VHS video output port Black and White video output port (Not recommended) IMAGE DVI video output port DVI video output port Video Out – Right Side AC adapter connection port Video input port Connect the Video Out device in the following order: 1. Connect the AC adapter to the AC adapter connection port on the right side of the Video Out device. 2. Connect the video port on the right side of the console to the video input port on the right side of Video Out with a DVI cable. 3. Connect the video output port for the video signal you need on the front of the Video Out device to an external device (such as a monitor). WARNING: XX The interior of the product contains high-voltage components; to reduce the risk of electric shock, do not disassemble or modify the Video Out device. XX While the Video Out device is durable, it needs to be protected from mechanical impacts. Exposing the device to severe impacts, such as dropping it, may damage the circuits. XX Only use the AC adapter specified by Samsung Medison (BridgePower Corp., BPM010S05N04) for the Video Out device. 2-19 User Manual CAUTION: XX Always turn off the system before connecting or disconnecting the Video Out device. Otherwise, you may damage the Video Out device. XX Do not manipulate the Video Out device while you are examining a patient. There is a risk of electric shock from leakage current. XX Disconnect and safely store the AC adapter while the Video Out device is not in use. NOTE: XX This device only provides input and output of video signals; input or output of audio signals is not provided. XX Using the Video Out device may degrade the imaging performance. 2-20 Chapter 2 Introduction Battery Pack and Extended Battery The Battery Pack and the Extended Battery for this product are lithium ion batteries. Use the Battery Pack and the Extended Battery if you are not using the AC Adapter to power the product, or the power supply is not reliable. WARNING: XX If the low battery message appears while you are using the product, immediately save the diagnosis information and connect the AC Adapter. If you continue to use the system without connecting it to an AC power source, it will display a warning message and automatically shut down. XX If the AC power source is not reliable or the product has not been grounded properly, you should use the Battery Pack and the Extended Battery. XX The Battery Pack and the Extended Battery have been manufactured specifically for HM70A. Be sure to use only the Battery Pack and the Extended Battery recommended by Samsung Medison. (Battery Pack: Elentec Co., Ltd., MS105; Extended Battery: Elentec Co., Ltd.) XX When using the Extended Battery, make sure to mount it on the CART. The length of the time the product can run on the Battery Pack and the Extended Battery will vary depending on the diagnostic mode and the peripherals connected. If the battery level runs low while using the product, connect the AC Adapter to recharge the Battery Pack and the Extended Battery. If you want to replace the Battery Pack or the Extended Battery with a spare, shut down the system before replacing the battery. NOTE: XX 4D Mode can only be used when the AC Adapter is connected. XX Before using the Battery Pack and the Extended Battery, be sure to read the battery safety information in ‘Chapter 1. Safety’. XX The battery will continue to discharge even when the power is turned off. You should therefore remove the Battery Pack and the Extended Battery from the product or connect the AC Adapter when the product is not in use. XX For more information on replacing and maintaining the Battery Pack and the Extended Battery, refer to ‘Chapter 4. Maintenance and Storage’. XX If you use both the Battery Pack and the Extended Battery at the same time to operate the product, the power from the Extended Battery will be used first. 2-21 User Manual Battery Icons Battery icons indicate the status of the battery pack and are shown in the user information area of the screen. While using the battery pack as the power source, use the battery icons to check the remaining battery level. See below for more information on battery icons: Icon State Note Battery level is between 81 and 100% Battery level is between 61 and 80%. Battery level is between 41 and 60%. Battery level is between 21 and 40%. Battery level is between 11 and 20%. Battery level is between 1 and 10%. Battery level is 0%. (Charging battery to safe level) 2-22 AC adapter is connected (Battery pack is being recharged) Chapter 2 Introduction Icon State Note Battery level is between 81 and 100%. Battery level is between 61 and 80%. Battery level is between 41 and 60%. Battery level is between 21 and 40%. AC adapter is not connected Battery level is between 11 and 20%. Battery level is between 0 and 10%. Indicates that neither the AC adapter nor the battery pack is connected, or there is a battery-related error. The meaning of each Extended Battery icon is as follows: Display Blinking green LED Green LED is lit Status Charging Charging complete 4 LEDs are lit 90 to 100% charge remaining 3 LEDs are lit 60 to 89% charge remaining 2 LEDs are lit 40 to 59% charge remaining 1 LED is lit 15 to 39% charge remaining 1 blinking LED Note AC Adapter is connected (charging Extended Battery) The AC Adapter is not connected (discharging Extended Battery) Remaining charge is 15% or less 2-23 User Manual Probes Probes are devices that generate ultrasound waves and process reflected wave data for the purpose of image formation. NOTE: For information on probes, refer to 'Chapter 5. Probes' and the 'Reference Manual'. Be sure to connect or disconnect probes when the power is off to ensure the safety of the system and the probes. 1. Lift up the probe’s lockdown switch and disconnect the probe. 2. Connect the probe to the probe port. 3. Push down the probe’s lockdown switch to lock it in place. 2-24 Chapter 2 Introduction HM70A CART(Optional) NOTE: The HM70A CART is an optional feature of this product. The HM70A CART is a convenient platform for transportation and operation of the product. This CART is only intended to be used with the HM70A. For instructions on transporting or installing the cart, please refer to the installation guide supplied with HM70A. [Figure 2.9 HM70A CART] 2-25 User Manual Accessories An accessory box containing the items below is supplied with the product. We recommend that you use the accessory that comes with this product. [Figure 2.10 Accessories] Optional Functions This product has the following optional functions: XX 4D XX Auto IMT XX 3D XI XX Elastoscan XX CW Function XX Panoramic XX Cardiac Measurement XX HDVI XX DICOM XX VolumeNT/IT XX Spatial Compound XX ADVR XX XI STIC For further information about the above options, please refer to the relevant chapters in this manual. 2-26 Chapter 3 Utilities Utilities ..............................................................3-3 HELP....................................................................3-5 EZ Exam..............................................................3-6 ECG.....................................................................3-7 ADVR (Optional)...............................................3-9 Biopsy.............................................................. 3-11 Setup............................................................... 3-13 General.......................................................................................3-13 Display........................................................................................3-18 Annotate....................................................................................3-21 Peripherals................................................................................3-25 User Defined Key....................................................................3-27 Miscellaneous..........................................................................3-29 Option.........................................................................................3-32 DICOM.........................................................................................3-34 AutoCalc.....................................................................................3-46 Power..........................................................................................3-47 About..........................................................................................3-49 Chapter 3 Histogram....................................................... 3-50 Post Curve....................................................... 3-52 Monitor Calibration...............................................................3-52 Gamma.......................................................................................3-54 2D Post........................................................................................3-54 Color Map..................................................................................3-55 D Post..........................................................................................3-55 M Post.........................................................................................3-55 Measurement Settings ................................. 3-56 General.......................................................................................3-57 OB.................................................................................................3-70 Cardiac........................................................................................3-78 Vascular......................................................................................3-80 Urology.......................................................................................3-82 Fetal Heart.................................................................................3-84 EZ Exam Setup................................................ 3-86 Storage Manager........................................... 3-90 Userset Manager............................................ 3-92 Menu Edit........................................................ 3-94 Chapter 3 Utilities Utilities Press the Utility key on the keyboard. The Utility Menu and its associated soft menus appear on the screen. With these menus, you can configure the system and use the Biopsy and Histogram functions. Utility Menu Use the Menu/Angle dial-button to select the item you want to use from the Utility Menu. [Figure 3.1 Utility Menu] Utility Soft Menu Used to change the application or preset. [Figure 3.2 Utility Soft Menu] Applications A list of applications supported for the current probe is displayed. Rotate the Soft Menu dialbutton 1 to select the application that you wish to change. 3-3 User Manual App. Load Press the Soft Menu dial-button 1 to load the selected application. Presets Displays the supported presets for the current application. Select a preset by rotating the Soft Menu dial-button 2. User preset Displays the supported User preset for the current application. Rotate the dial-button 3 to select a User preset. Pre. Load Pressing the Soft Menu dial-button 2 applies the selected userset to the system. 3-4 Chapter 3 Utilities HELP Select Help from the Utility Menu. The help text stored in the system will be displayed on the monitor screen. 3-5 User Manual EZ Exam Select EZ Exam from the Utility menu. The screen will switch to the EZ Exam screen. You may save the exams you use frequently, so you can load them quickly for easy use. For instructions on setting up EZ Exam, refer to EZ Exam Setup in this chapter. [Figure 3.3 EZ Exam] 3-6 Chapter 3 Utilities ECG Select ECG from the Utility menu. The image of cardiac pulsation will be displayed; this will be displayed in the menu only if the application is set to Cardiac. In a Multi Image Mode such as Dual or Quad, ECG Cine can be used for each image. Starting and Ending ECG Press the Soft Menu dial-button 1 to turn ECG on or off. ECG Setup Trigger Rotate the Soft Menu dial-button 2 to select a value between 0 and 5. ECG Invert Press the Soft Menu dial-button 2 to turn ECG Invert on or off. Size Select a value between 50 and 200 by rotating the Soft Menu dial-button 3. Loop In Loop mode, you may press the Soft Menu dial-button 3 to go to Loop and configure settings. Position Rotate the Soft Menu dial-button 4 to change the position; selecting a higher value will place the ECG higher on the screen. Auto Gain Press the Soft Menu dial-button 4 to set up. Gain Adjust the brightness of an image. Rotate the dial-button clockwise to increase the gain. Rotate the Soft Menu dial-button 5 to select a value between 10 and 100. 3-7 User Manual Trigger Time Select a value between 0 and 1000 msec by rotating the Soft Menu dial-button 6. Exit Press the Soft Menu dial-button 7 to finish configuring the settings. CAUTION: XX If the ECG is less then 30Hz, the Heart Rate (HR) may not be displayed. XX In CW Mode, when ECG is active, the error ratio of the Heart Rate (HR) should be within 2%. 3-8 Chapter 3 Utilities ADVR (Optional) Select VCR from the Utility Menu. The screen will switch to the VCR screen. CAUTION: Check the capacity of the media before recording. Recording Records a video in USB or DVD format. A USB storage device or an ODD, respectively, is required; the default setting is DVD. Recording to DVD XX Record 1. Select DVD as the Recording Method, and select VCR from the Utility menu. 2. Select the Rec button from the soft menu; the message ‘Preparing to Record’ will be displayed, and recording will begin. 3. The recording file will be saved to the DVD; a file with the extension *.mpg will be created whenever recording starts. NOTE: XX You can use User 1, User 2, and User 3 on the control panel to perform the record function. XX In Setup > User Defined Key > User Key Setup > User Key 1, User Key 2, User Key 3, you may select Record. XX Stop Pressing the Stop Rec button will stop the recording and open a window asking whether you want to write the saved file. Select Yes to export the recording file to DVD; select No to stop recording without exporting the file. XX Export Once DVD recording is complete, you can press Export to save the recording file to a DVD; this can be done only when an external DVD-ROM is connected. 3-9 User Manual XX DVD Reset You can delete a recording file. Recording to USB XX Record 1. Select USB as the Recording Method, and select VCR from the Utility menu. 2. Select the Rec button from the soft menu to specify the folder to save your recording file in. After selecting the path, press the Save button to start recording. XX Stop Press the Stop Rec button to stop recording. NOTE: XX For more information on the recommended media, refer to ‘Peripheral Devices’ in ‘Chapter 2 Introduction’. XX In Setup > User Defined Key > ADVR Recording Method > Recording To, you may select DVD or USB as the Media Type for real-time recording. XX When exporting after recording the ADVR DVD, DVDs are only supported; CDs are not supported. XX The type of DVD media is not limited when performing a DVD Export. 3-10 Chapter 3 Utilities Biopsy Select Biopsy from the utility menu. NOTE: The biopsy option is not available with the phased array probe. Editing the Biopsy Guideline Before using the biopsy option, you must specify the biopsy guideline. This is to ensure accurate results. NOTE: XX Note that the biopsy guideline cannot be edited when the Trapezoidal function is in use for the Linear Probe. XX If the system is rebooted, the biopsy guideline settings are restored to the default. Starting and Finishing a Biopsy NOTE: Make sure to adjust the biopsy guideline before using the biopsy feature. 1. Press the Soft Menu dial-button 1 Biopsy On/Off. A warning message will appear. 2. Click OK and the biopsy guideline will appear on the screen. XX If the guideline shown on the screen is not correct, press the Soft Menu dial-button 2 Edit to change it. 3. Insert a needle along the guideline. And then perform the biopsy as desired. 4. When you have finished the biopsy, press the Soft Menu dial-button 1 Biopsy On/Off again. The biopsy is complete. 3-11 User Manual [Figure 3.4 Biopsy] 3-12 Chapter 3 Utilities Setup This mode is used for system settings. It does not affect image output. The setup may be modified depending on specific needs or preferences. 1. Select Setup from the utility menu or on the keyboard. 2. The Setup screen will be displayed. Select a tab that has items to specify. Tips! Selecting a tab You can select a desired tab in either one of two ways. Select the method that suits you. XX Rotate the Menu/Angle dial-button to make a selection. XX Use the trackball and the Set button to select a tab. 3. Specify settings for each item. 4. When you have finished, press Exit. General In the Setup screen, select the General tab. From this tab, you can configure the general system settings. Title You can specify the information that is displayed in the title area on the screen. Institute Enter the name of the hospital/institution where the product is installed. NOTE: These special characters cannot be entered: # [ “ : ? | ₩ Department Enter the name of the department of the hospital/institution where the product is installed. 3-13 User Manual Date The current date is displayed. To change the date, click . NOTE: XX You cannot change the date and time when a patient ID has been registered. To change the date and time, you should finish the current examination by pressing the End Exam button on the control panel. XX You can select a year from 2006 to 2027. Tips! How to set the date and time 1. Click next to the Date (or Time) field. 2. Use the trackball and the Set button to configure the date and time. 3. When the date and time have been properly set, click Apply to apply changes. Click OK to close the Date and Time window. Click Cancel or the Exit button to cancel. Date Format Used to configure the date format. Select a format by using the combo button. The selected date format will be applied to various date fields in Patient Information. Time The current time is displayed. Time Format Select a time display format. Select a format by using the combo button. Store Clip Store Clip Method Specify the method and range in which an image is acquired and saved. You can select ECG Beat, Time or Manual. Note that ECG Beat can be selected only when ECG is on. XX ECG Beat: Specify the heart beat as 1–8 beats. XX Time: Specify it as 1–4 seconds. XX Manual: Saves images until press the Save button again. 3-14 Chapter 3 Utilities Cine Loop Period XX Retrospective: When the Save button on the control panel is pressed during scanning, the preceding images are saved. XX Prospective: When the Save button on the control panel is pressed during scanning, the subsequent images are saved. NOTE: To set up the Store Clip function for the foot switch, go to Utility > Setup > Peripherals > Foot Switch. Control Trackball Speed for Scan Mode Used to specify the trackball’s speed in scan mode. Select Slow, Normal, or Fast. Trackball Speed for Measurement Used to specify the trackball’s speed during measurement. Select Slow, Normal, or Fast. Slower speeds allow more precise measurements. Scan Mode Simultaneous Mode You can decide whether to enable Simultaneous Mode in Spectral Doppler Mode, using the following three options: XX Allow B/PW: Select this if you do not wish to use Simultaneous Mode in 2D/C/PW Modes, but do wish to use it in 2D/PW Mode. XX Allow B/C/PW: Select this if you wish to use simultaneous mode for both 2D/PW and for 2D/C/ PW. XX Off: Select this if you do not wish to use Simultaneous Mode. Dual Mode Select whether to activate the selected area in Dual Mode. When you select ‘Change Window’, the selected screen is always activated in Dual Mode. 3-15 User Manual Dual Live Select the position of the Color Doppler Mode in Dual Live Mode. XX Left / Top: Color Doppler Mode is positioned at the upper left corner. XX Right / Bottom: Color Doppler Mode is positioned at the lower right corner. XX Dual Live Left-Right Dual Only: The Top-Bottom Dual button disappears if you select this checkbox. Freeze Action Select a function to execute when the Freeze button on the control panel is pressed. Available options are BodyMarker, Caliper, Measure and None. End Exam Action Used to assign a task to the control panel’s End Exam button. XX End Exam Only: Pressing the End Exam button exits Exam Mode and switches to the B Mode Scan screen. XX End Exam + Patient: Pressing the End Exam button switches to the Patient Information screen. Option Used to determine which options will be used in Scan Mode. Use the trackball and the Set button to select and check or uncheck an item. XX HPRF: Select whether to activate HPRF (High Pulse Repetition Frequency), which is supported in PW Spectral Doppler Mode. Check the checkbox to use the HPRF function. XX Color Map Auto invert: Check this checkbox to automatically highlight the Color Map. This is only applied when you change Steer in 2D/C/D Mode, C Mode, or DPDI Mode in PD Mode. XX M/PW Loop Side By Side: Add Loop Side By Side display in M Mode or Power Spectral Doppler Mode. XX Width scale: Automatically fit the image size to the screen size when the depth of a 2D image is adjusted. Please note that this can be only used with linear probes. 3-16 Chapter 3 Utilities [Figure 3.5 Setup - General] 3-17 User Manual Display Select the Display tab in the Setup screen. Configure the settings for displaying images. Display Option Select the items that you wish to have displayed on the screen. Use the trackball and the Set button to select and check or uncheck an item. XX Post Map: Choose whether to display the Post Map. XX TGC Line: Select whether or not to display the TGC Line. When TGC Line is Off, the TGC line appears when you set the TGC line, but then disappears after three seconds. XX Name + Birthday: Select whether to display the name and date of birth underneath the patient ID. XX Image Info: Show or hide the image information. If the image information intrudes too much on the screen, disable this option to hide it. XX Name + Age: Select whether to display the name and age under the patient ID. XX Name + Age+ Gender: Select whether to display the patient ID, name, age and gender. XX TI(Thermal Index) Display: Specify the TI to display on the screen as TIs (Soft tissue Thermal Index), TIb (Bone Thermal Index), or TIc (Cranial Bone Thermal Index). Doppler Axis Select the units of measurement for the axis scale in Spectral Doppler Mode. XX Velocity: Specify the Doppler axis scale unit as cm/s (m/s). XX Frequency: Specify the Doppler axis scale unit as kHz. LMP / GA / EDD Display Specify how the LMP, GA and EDD entered in the Patient Information screen will be displayed on the monitor screen. Select two from LMP, GA, and EDD. XX Information Bar (Replace ID): Replace the ID in the title area. XX Information Bar (Replace Name): Show the patient name in the title area. 3-18 Chapter 3 Utilities XX Information Bar (Replace App.): Show the application in the title area. XX Measure Result: Display the measurement result along with the selected LMP, GA or EDD. XX None: None of the options are displayed on the screen. Font Font Specify the target for which you want to set the font. Choose from Document Font and Measure Result Font. Font Name Select the font type to use. Font Size Select the font size to use. Font Color Select the font color to use. Preview Previews the font selection. Default Uses the system’s default fonts. The default settings are as follows: Document Font Measure Result Font Font Name Arial Arial Font Size 11 11 Font Color White Yellow NOTE: Certain fonts may not appear correctly on the screen. 3-19 User Manual [Figure 3.6 Setup - Display] 3-20 Chapter 3 Utilities Annotate Select the Annotate tab in the Setup screen. Specify display-related options. BodyMarker Size Used to specify the BodyMarker picture size. Select Small, Medium, or Large. Option BodyMarker Auto Active: Select whether to activate the BodyMarker mode automatically when the active image area is changed. BodyMarker Edit XX BodyMarker list The list varies depending on the group selected from Group. ‘Current page/Total pages’ is displayed below. If there are two or more pages in total, you can change pages by using or . XX BodyMarker list for the probe or preset currently being used ‘Current page/Total pages’ is displayed below. If there are two or more pages in total, you can change pages by using or . NOTE: You can add or save between 1 and 100 BodyMarkers in each list. XX Adding a BodyMarker Select a BodyMarker from the left list and double-click it. The selected BodyMarker will be added to the right list. The right list cannot have duplicated BodyMarkers. If this occurs, a warning message will pop-up. XX Removing a BodyMarker Select a BodyMarker from the right list and double-click it. XX Saving and Canceling the BodyMarker list Click Save to save the list. Click Close to cancel. XX Resetting the BodyMarker list Click Reset. This restores the system’s default settings. 3-21 User Manual Text Setup Used to configure text input-related options. Quick Text If the checkbox is selected, the Quick Text function is enabled. With Quick Text enabled, pressing any keyboard key immediately activates text input mode. NOTE: XX The Quick Text checkbox is checked by system default. XX With Quick Text disabled, pressing the keyboard’s Text button activates text input mode. Auto Text Erase If this checkbox is checked, all of the text that has been entered is deleted at once when you return to scan mode by pressing the Freeze button. Boot up Caps Lock on If this checkbox is checked, Boot up Caps Lock On is turned on. This means that when text is entered, it is entered in capital letters. Autotext If an abbreviation is entered, the system retrieves and enters a full word automatically. When this option is selected, you can enter text more easily and quickly. For example, if you input “AC”, the system will search for the full word and display it on the screen as “Abdominal Circumference”. To enable Auto Text, check the AutoText checkbox by using the trackball. Otherwise, uncheck the checkbox. If this option is selected, an abbreviation list appears on the screen when text is entered. A list of abbreviations for this function is stored on the system. You can add a new abbreviation or edit the existing abbreviations as desired. 3-22 Chapter 3 Utilities Tips! Editing the Abbreviation List To enable the abbreviation list stored in the system, click the Autotext Edit button. The system will switch to the Autotext Edit screen. To save the changes and finish editing, click the Close button. XX Modifying a word 1. Use the trackball and the Set button to select a word to modify from the list. An abbreviation for the selected word and its full version are displayed under Abbreviation and Full Word at the bottom of the screen. 2. Modify the word in the Abbreviation and Full Word columns. The abbreviation list is updated in real time. XX Adding a word 1. Click the New button. 2. Enter the words that you wish to add in the Abbreviation and Full Word fields at the bottom of the screen. The word will be added to the abbreviation list. XX Deleting a word 1. Use the trackball and the Set button to select a word to delete from the list. An abbreviation for the selected word and its full version are displayed under Abbreviation and Full Word at the bottom of the screen. 2. Click the Delete button. The following warning message will appear 3. To delete the selected word, click OK. The word will be deleted from the abbreviation list. Click Cancel to cancel. XX Selecting Autotext Delay Time Specify the time taken by the system to automatically convert an abbreviation into a full word and display it on the screen. Set the delay time from 0.1 to 5 seconds in Autotext Delay Time at the bottom of the screen. Clear Annotation Check this checkbox to delete the entered annotation when you change the mode. 3-23 User Manual [Figure 3.7 Setup - Annotate] 3-24 Chapter 3 Utilities Peripherals Select the Peripherals tab on the Setup screen. You can configure the settings for the mounted peripherals, keys, and buttons. Print Setup Printer Orientation NOTE: This option is available only for an Echo printer that uses roll paper. Set the type and page orientation of the Echo printer. XX Printer Settings: Select the printer to use by using the combo button. XX Portrait: When printed, the long side of the page is vertical. XX Landscape: When printed, the long side of the page is horizontal. Print Key Used to assign printers to the control panel’s Print 1 and Print 2 buttons. Measure Report print Select the relevant check box to print the measurement report in an A4/ Letter format. Local Printing Area Set the area that will be printed. XX Video Out (640*610): Prints the full monitor screen (640x610). XX Image Only: Prints the image area only. Printing Image Adjustment Used to adjust the image print quality. Select the image type and adjust Gamma, Brightness, and Contrast. NOTE: This is only supported by some digital printers. 3-25 User Manual Foot Switch Set the functions of the left and right pedals of the foot switch. The functions that can be set are shown below. Freeze, Update, Record, Print1, Save, Store Clip, Volume Start. Peripherals COM Configure a device to connect to a serial port. Choose between Open Line Transfer and Reserved. If you select Reserved, the COM port will not be used. To complete the device connection after selecting Open Line Transfer, you need to reboot the system. [Figure 3.8 Setup - Peripherals] NOTE: The Samsung ML_2955 printer shares the drive with the Samsung ML_2950 and is displayed as Samsung ML_2950. Also, as before, the Samsung CLP615ND is displayed as Samsung CLP620ND. 3-26 Chapter 3 Utilities User Defined Key Select the User defined Key tab in the Setup screen. You can set the functions of the keys and buttons on the product. Set / Exit Key Setup Set / Exit Key Switch Set the functions of the buttons to the left and right of the trackball on the control panel. XX Set / Exit: The left button is set to Set and the right button is set to Exit. XX Exit / Set: The left button is set to Exit and the right button is set to Set. Set Key Action Change Window: Select the checkbox to set the Change window function. Printer Key Printer Key XX Print Only: Prints the image. XX Print + Image Save: Prints and saves the image. Save Key Setup Save Key XX Image Save: Performs Image Save; does not perform Store Clip. XX Store Clip: Performs Store Clip; does not perform Image Save. XX Image Save / Store Clip: Saves the image in Freeze state; sets the Store Clip function in Live mode. User Key Setup User Key Assign functions to the User key1, User key2, and User key3 buttons on the control panel. 3-27 User Manual The functions that can be set are shown below. None, EZ Exam, Full Screen, TDI Mode, TDW Mode, Store Clip, Save, Record, M Line, Dual, Quad, Dual Live, Change Window, Probe Change, Application Change, Biopsy, Annotaion, BodyMarker, Simultaneous, EFW Measure, EFW Result, BPD, HC, AC, FL, APTD, TTD, FTA, GS, CRL. Zoom Navigation Box Setup Read-Zoom Box Reference Position Select the position of the Read-Zoom Box Reference. You may select either Image or Read-Zoom Box. ADVR Recording Method Recording To Select a media type for real-time recording. You may select either DVD or USB. [Figure 3.9 Setup - User Defined Key] 3-28 Chapter 3 Utilities Miscellaneous Select the Miscellaneous tab on the Setup screen. You can set E-mail, Text, Network Status, etc. E-mail Enter the details of the server that this product should use to send/receive e-mails. Mail (SMTP) Server Configure the e-mail server. Port No. Enter the port number. ID Enter the log-on ID for the e-mail server to use. Password Enter the log-on password for the e-mail server to use. Buzzer Control Set the volume of the buzzer, dial-button and battery sound. Buzzer Sound Generate a buzzer sound when a button or dial-button is used. Set this to on or off using the trackball. When this is set to on, the buzzer sounds each time a button or dial-button is used. Select a volume between 0 and 100. Battery Sound Beeps when the battery power is low. Use the trackball to select the volume between Low, Mid and High. 3-29 User Manual System Login Control User Account: XX User must enter a password to use this system: Select the checkbox to set a password. If the user account is set, the login window is displayed when the system boots. XX Current password: Enter the current password. XX New password (4-character minimum): Enter a new password of at least 4 characters length. XX Confirm new password: Enter the new password again. RMS Control Tips! Service Application This is the application for RMS; it is divided into Log, Service, Transfer, Diagnostics, and Utility tabs. When the application is first run, the user may only view the Log and Service tabs. The Transfer, Diagnostics, and Utility tabs can be viewed by a logged-in Service Engineer; they are not available to users. Log The various logs generated by the equipment, pertaining to the frequency of use, errors, system information, etc., can be viewed. XX DICOM: A separate log pertaining to DICOM is also kept; logs pertaining to DICOM transmission may not be viewed at present. XX Diagnostics: You may view the Error Log which is generated when performing a hardware diagnosis. XX Error: Information is provided on errors that have occurred in the equipment; you may select Error Image to view the circumstances in which the errors have occurred. XX Utilization: Specific utilization information such as Application, Probe, and Preset may be viewed. Service Provides a Remote Desktop feature, which allows a remote connection to a Service Engineer. The user clicks on a Service Engineer displayed on the screen to select the engineer. If the user cannot find a Service Engineer upon logging on, the user may press the Refresh button to refresh the screen and find a Service Engineer who has logged on since then. 3-30 Chapter 3 Utilities Transfer Shows how to remotely download the log data and other information saved on the device. Diagnostics XX PC Status: Shows the system information such as CPU load and temperature. XX Self Diagnostics: Run a diagnostic of the system hardware. The system needs to shut down before the diagnostic can be run. XX Verify the system’s test pattern. Utility This is the preparatory stage for starting a Remote Service; inspections, upgrades, and the system are controlled from this tab. XX Control Panel: Press the button to move to the control panel. XX Virtual Key: Use the button to control the device and the touch panel. XX Upgrade: Perform a version upgrade by using the RMS software file. Alternatively, you may perform a remote software upgrade by accessing the RMS Server. [Figure 3.10 Setup - Miscellaneous] 3-31 User Manual Option Select the Option tab on the Setup screen. Sets or releases the use of the optional software or hardware. Options The list of optional software will appear. NOTE: To purchase optional software, please contact the software’s distributor. Option This shows the types of optional software that can be installed on the product. Status This shows the current status of optional software. XX Not Installed: Hardware is not connected. XX Unregistered: The software license has not been registered yet. XX Installed: Hardware is installed but cannot be used yet. XX Permanent: The hardware or software can be used for an unlimited period. XX Restricted: The hardware or software can be used only for a certain period of time. XX Expired: Use of the software is restricted, and it cannot be used because the specified period of use has expired. HW Configuration The list of optional hardware will appear. Currently, only ECG is supported. Select a hardware item to use by using the checkbox. Reboot the system to complete the settings. 3-32 Chapter 3 Utilities [Figure 3.11 Setup - Option] * Actual options may vary. 3-33 User Manual DICOM Select the DICOM tab on the Setup screen. Used to configure DICOM (Digital Imaging and Communication in Medicine) operation and server. NOTE: XX DICOM is an optional feature in this product. XX For more information, please refer to the server’s user manual, or the DICOM Conformance Statement. DICOM Configuration Information about the DICOM server used by the system is displayed. You can change the information, or add or delete a server. The server information is used to identify the DICOM for the system within a network. It is also used to transfer data to other DICOM servers. NOTE: For the IP Address, AE Title, and Port No. settings, contact your organization’s network administrator. AE Title Enter the name of the DICOM AE (Application Entity). The title is used to identify devices that use DICOM within a network. (e.g.: US1, US2, etc.) Station Name Enter the name of the system. Along with AE Title, it is often used to identify the system in the DICOM network. (e.g.: Q31, Q32, etc.) Port No. Enter the port number on the server being used. DICOM Send Format Specify the storage format for the 2D or Color Mode images for which the DICOM services will be used. Select either Color or Gray using the Combo button. If you select Gray, images are saved in grayscale format. 3-34 Chapter 3 Utilities NOTE: DICOM Send Format settings begin to apply when an image is saved. For example, if it is set to Gray, saving an image will save it in grayscale format. DICOM Compression Select whether to compress the still images for the DICOM service. Select Uncompressed or JPEG Baseline using the Combo button. When you select Uncompressed, the images are saved without compression. NOTE: The DICOM Compression setting is applied when the image is saved. For example, if it is set to JPEG Baseline, saving the image will compress it. Store SR at End of Exam Select whether to store SR at the end of the exam. When you select this checkbox, SR is automatically stored at the end of the exam. Otherwise, it is not stored. Network Configuration Local Area Connection The TCP/IP Properties window will open to allow you to configure the IP. Wireless Network Connection Use a USB adapter to connect the system to a wireless network. Click the icon screen. Turn the wireless network function on or off. on the NOTE: The Wireless Network Connection settings window is enabled only when the system is connected to a wireless USB adapter. XX SSID: Displays the name of the connected wireless network. SSID stands for Service Set IDentifier. XX Authentication: Displays the authentication method for the wireless network. XX Encryption: Displays the data encryption method for communicating with the wireless network. 3-35 User Manual XX Security Key: Enter the password for the network if one is required. XX Show characters: Select the checkbox to show characters when you enter the password for the network. Tips! Connecting to a Wireless Network 1. Use the trackball and the Set button to press the Scan button. 2. Select a wireless network to connect to. 3. Press the Connect button to connect the system to the wireless network. 4. Press the Disconnect button to disconnect the system from the wireless network. 5. Press the Close button to complete the setup. Adding DICOM Services Click Add on the screen. A screen is displayed where you can enter a DICOM service to add. After adding a service, click Save to save the information. Click Cancel to cancel. Services Select the type of service to use via DICOM. The supported DICOM servers are Storage, Print, Worklist, PPS, SC and Storage SR. Alias Enter the name of the DICOM server. AE Title Enter the AE title of the DICOM server. Consult your network administrator before specifying this option. Transfer Mode Select a transfer method: XX Batch: Send all saved images when you click the End Exam key. XX Send As You Go: Send an image whenever you press the Save button to save it. XX Manual: Send an image selected from the Exam List or in SonoView. 3-36 Chapter 3 Utilities Connect Timeout The connection will time out if there is no response within the configured time period. You can specify this time period in seconds. IP Address Enter the IP address of the server being used. Consult your network administrator before specifying this option. Port No. Enter the port number on the server being used. Consult your network administrator before specifying this option. Retry Interval Specify how many seconds the system will wait before it retries a failed transmission. You can specify this time period in seconds. Maximum Retries Specify how many times a failed transmission will be retried. [Figure 3.12 Setup - DICOM] 3-37 User Manual Storage Server Information Select STORAGE under Services. Configure the Image Storage Service using DICOM. Storage Options XX Send Cine Loops: Check this checkbox to send Cine Loops. XX Include Pixel Spacing: In addition to the area information used in ultrasonography, the area information used in CT or radiography is also included. Measurements can be taken from a PACS system that does not support ultrasonic area information. NOTE: However, only 2D and 2D Color Mode images are supported. In Dual and Quad Mode, the depths of the included images must be identical. XX Include 3D Volume: Select whether to send 3D volume data together with the 3D images. NOTE: Only select this option if you use a storage service that supports the 3D volume data format used by Samsung Medison Co., Ltd. VOI LUT Setup Configure VOI LUT (Value Of Interest, Look Up Table). Adjust the brightness and contrast of a DICOM image when saving it. The saved image can be viewed with any PACS device that has DICOM VOI LUT implemented. XX Window Center: Enter a value for the DICOM Tag (0028, 1050) setting. The setting value indicates the brightness of the image that is displayed by the storage service. The image will get darker if the value is set to 128 or higher. Note that this function can be used only when it is supported by the storage service. XX Window Width: Enter a value for the DICOM Tag (0028, 1051) setting. The setting value indicates the contrast of an image that is displayed by the storage service. Relative to 256, higher values result in lower contrast. Note that this function is available only when it is supported by the storage service. 3-38 Chapter 3 Utilities Print Server Information Select ‘PRINT’ under Services. Configure the Print Service using DICOM. NOTE: XX You can configure a printer connected to the DICOM network only. XX Depending on the printer, some of the following functions may not be available. Before configuring a printer, please refer to the printer’s user manual, or the DICOM Conformance Statement. Color Specify whether to use color for printing. Select Grayscale or RGB. Format Specify the paper layout. Select 1x1, 1x2, 2x2, 2x3, 3x3, 3x4, 3x5, 4x4, 4x5, or 4x6. Orientation Specify the orientation of the paper. Select either Landscape or Portrait. Magnification Specify the type of interpolation to use to resize an image to print. Select Replicate, Bilinear, Cubic, or None. Border Density Select the border color of the printed image. Select Black or White. Empty Density Select the background color for the printed area. Select Black or White. Min Density Specify the minimum brightness of an image to print. If this option is not specified, the default value is applied. Max Density Specify the maximum brightness of an image to print. If this option is not specified, the default value is applied. 3-39 User Manual Medium Type Specify the material type for the printout. Select Paper, Clear Film, Blue Film, Mammo Clear Film, or Mammo Blue Film. Film Size Specify the paper size. Select from 8 inch x 10 inch, 5 inch x 11 inch, 10 inch x 12 inch, 10 inch x 14 inch, 11 inch x 14 inch, 11 inch x 17 inch, 14 inch x 14 inch, 14 inch x 17 inch, 24cm x 24cm, 24cm x 30cm, A4 and A3. Destination Specify the paper pathway. Select Magazine or Processor. Smoothing Type This option is available only when Magnification is set to CUBIC. Enter a value for the printer which is specified in the DICOM Conformance Statement. Priority Specify a priority for the print command. Select High, Med, or Low. Copies Enter the number of copies between 1 and 99. Configuration Info Enter the configuration information of the printer. Please refer to the DICOM Conformance Statement for the printer. 3-40 Chapter 3 Utilities Worklist Server Information Select WORKLIST under Services. Configure the Modality Worklist Service using DICOM. Show Worklist first when the patient screen opens. When you check this checkbox, the Worklist window appears when you press the control panel’s Patient button. Otherwise, the Study Information window appears. Update Method Specify the update method for Worklist. XX Only on user Request: Update the worklist only when the user wishes to. Tips! To update a worklist, set Search Source to Worklist in the Search tab on the Patient Information screen, and then click Search. XX On Startup and Every: Update the worklist when the system boots up, and then automatically update it at specified intervals. Scheduled Station AE Title Specify the range of AE Titles to retrieve from the Worklist server in a hospital. XX Any: Retrieve the patient list stored in all AE Titles in the server. XX This System: Retrieve the patient list in the AE Title specified under the DICOM tab. XX Another: Retrieve the patient list stored in the AE Title specified by the user. NOTE: This option is available only when the Worklist server is enabled. Start Date Specify the range of dates to search. XX Today: Retrieve the patient list for the current date. XX Range: Retrieve the patient list for ‘n’ days before and ‘n’ days after the current date. XX Past Week: Retrieve the patient list for 7 days before the current date. 3-41 User Manual XX Past Month: Retrieve the patient list for a month before the current date. XX Custom Date: Specify a certain date and retrieve the patient list for that date. Study Description Prioirity Specify the sorting order for when an exam is retrieved from the worklist server under Patient Information > Patient > Description. The list is sorted in order of high to low priority. Select an item that you wish to rearrange, and change its position by using the Up and Dn buttons. Modality Type These options are used to specify the modality of exams retrieved from the worklist server. XX Any: Retrieves all registered worklist exams, regardless of their modality. XX US: Retrieves ultrasound exams only. XX Another: Allows you to specify the modality and retrieve matching exams only. Leaving it blank means “Any”. PPS Server Information Select PPS (Performed Procedure Step) under Services. Configure the Modality Performed Procedure Step Service using DICOM. The configuration options are the same as those for the storage server. Always complete exams. When you check this checkbox, exams are always reported in complete condition. If you click the Cancel button without checking this checkbox, the cancel message is sent to the RIS server. SC Server Information Select SC (Storage Commitment) under Services. Configure the Storage Commitment Service using DICOM. The Storage Commitment Service is used after a diagnosis is finished and all saved images and reports are transferred. Associated Storage Server Select an Image Storage server to connect to. 3-42 Chapter 3 Utilities Storage SR Server Information Select Storage SR (Storage Structured Report) under Services. Configure the Report Storage Service using DICOM. The configuration options are the same as those for the storage server. Editing DICOM Information Select a service and click Edit on the screen. The information on the selected service will appear. After changing the information, click Save to save the changes. Click Cancel to cancel. Deleting DICOM Services Select a service and click Delete on the screen. You will be prompted with a confirmation message. Click OK to delete the selected service. Click Cancel to cancel. Testing DICOM Servers Select a service and click Test on the screen. The connection with the selected service is tested and the results are shown under Ping and Verify. If the result is Normal, it indicates that the connection is functioning as it should be. Managing DICOM Click Queue on the screen to switch to the DICOM Job Status screen. You can review the current job status using the Job ID, Patient ID, etc. The following describes the elements of the DICOM Job Status screen. XX Job ID: Displays the job ID. XX Patient ID: Displays the patient ID. XX Alias: Displays the alias set in the DICOM Configuration screen. XX Type: Displays the job type. The available job types are Storage, Print, Storage SR, MPPS Start, MPPS End, and Storage CMT. 3-43 User Manual XX Instances: Displays the number of instances. What this denotes differs depending on the job type. For Storage and Print, it means the number of images. For Storage SR, it means the amount of measurement data. For MPPS Start, it is always displayed as 0. XX Data/Time: Displays the date and time when the job was created. XX Status: Displays the current status of the job. Status Fail Transfer Imperfect Description The job failed. The job is in progress. Job suspended while being processed. The status will be switched to the Ready state immediately. Wait The job is waiting for execution. Wait Resp The job is waiting for a response. Hold The job is waiting for a retry. This occurs when the job has failed, but the maximum retry count has not yet been reached. Ready The job is waiting for execution. There is no connection to the network. Not Ready The Ready state is not complete. This occurs when MPPS (Modality Performed Procedure Step) End occurs before MPPS Start has been completed. Or when a Storage or Print batch job has not completed. Network Status The network connection status is displayed. When connected, ‘Connected’ is displayed. When disconnected, ‘Disconnected’ is displayed. Number of Jobs Displays the number of jobs listed in the DICOM Job Status screen. Log Displays the DICOM Log window. Retry Performs the selected job again. This button is enabled only when the status of the selected job is Fail or Wait Resp. 3-44 Chapter 3 Utilities Retry All Retries all jobs for which the status is Fail. Delete Deletes the selected job. This button is enabled only when the status of the selected job is Fail, Imperfect, Wait Resp, or Not Ready. Clear Deletes all jobs. DICOM Log Click Log on the DICOM Job Status window to display the DICOM Log window. This is used to manage the history of all DICOM services performed on this product. Log Settings Used to specify the log file management method. XX Delete Archived Log Afterwards: Used to specify how long to keep the log file. Enter the required number of days. If the specified time has elapsed after the log file was created, the file is deleted from the system. XX Log File Maximum Size: Specify the maximum size of a log file that can be archived. The entered value must be a number in units of Kilobytes. A log file that is larger than the specified size is not archived on the system and is deleted immediately. DICOM Log Displays a list of log files with their information. XX Select All: Selects all log files. XX Delete Selected Files: Deletes the selected log files. XX Copy Selected Files: Copies the selected log files to external storage media. XX View Selected File: Displays the details of the selected log file on the screen. XX Refresh: Updates the information of a log file. 3-45 User Manual AutoCalc Select the AutoCalc tab on the Setup screen. AutoCalc is a Spectral Doppler Mode feature that automatically performs specific calculations based on measured values. NOTE: The specified items will appear on the screen only when the AutoCalc button on the soft menu is pressed in Spectral Doppler Mode. AutoCalc. Setting Add and remove automatic calculations by using the check boxes. You can select up to six values. When the Peak Systolic Velocity and End Diastolic Velocity values are 0, not all the results are displayed on the screen. In addition, the result value for Time Averaged Mean Velocity is displayed only when Mean Trace is turned on. [Figure 3.13 Setup - AutoCalc.] 3-46 Chapter 3 Utilities Power Power Plan Setting Power Plan Selection Select Balanced (recommended), High Performance, or Power Saver. Your choice will affect the timer settings for the system to Dim the display, Turn off the display, and Put the computer to sleep while the system is plugged in or running on the battery. XX Dim the Display : You can adjust monitor to decrease brightness automatically when the product is not used for a specified duration. XX Turn off the display : The system is powered off automatically when the product is not used for a specified duration. XX Put the computer to sleep : You may put the system into sleep mode when the product is not used for a specified duration. Operation Setting Power Button Setting Configure settings for the Power button. XX Show Selection Dialog : Press the Power button and then select Shut Down, Sleep, or Cancel by using the cursor. XX Shut Down : Press the Power button, shut down the system. XX Sleep : Press the Power button, you may put the system into sleep mode. Lid Setting Select which action to perform when the lid is closed. Select from Do Nothing, Shut Down, or Sleep. XX Auto Freeze: The Scan Mode is frozen automatically when the product is not used for a specified duration. Select a duration between 1 and 60 minutes. 3-47 User Manual LCD Brightness Select a screen brightness between 5-100. [Figure 3.14 Setup - Power] 3-48 Chapter 3 Utilities About Select the About tab on the Setup screen. Information about the system software version and licence will be displayed. Information Type Click the combo button to select the information. Version Information Click Detail to view more detailed information about the product version. Licence Information Select Licence Information to display licence information. [Figure 3.15 Setup - Information] * The actual system version may differ from the software version shown in the above image. 3-49 User Manual Histogram A histogram is a type of graph representing the distribution of echoes. 1. Select Histogram from the utility menu. 2. Specify an area that the histogram is to cover. Use the trackball and the Set button to select the area. 3. The histogram is shown on the left side of the screen. [Figure 3.16 Histogram] 3-50 Chapter 3 Utilities Histogram Settings Specify the position or type of a histogram. Move Hist. Press the Soft Menu dial-button 1 and then change the position of the histogram by using the trackball. Press Set to move the histogram to its new position. Histogram Type Rotate the Soft Menu dial-button 1 and select the histogram type. Select either Ellipse or Rectangle. 3-51 User Manual Post Curve Select Post Curve from the Utility Menu. Here you can set various post maps and gamma values. [Figure 3.17 Post Curve] Monitor Calibration Select Monitor Calibration from the post curve menu to access the related settings. Brigthness Used to adjust the screen brightness. Use the Menu/Angle dial-button to select a value between 0 and 100. The selected value applies only to the image shown on the screen. Contrast Used to adjust the screen contrast. Use the Menu/Angle dial-button to select a value between 0 and 100. The selected value applies only to the image shown on the screen. Default Pressing the Menu/Angle dial-button resets the setting to Type 1. 3-52 Chapter 3 Utilities Edit Used to adjust the user type RGB curve. NOTE: Activated only when Curve is set to User1 through 3. Selecting this option changes the soft menu. Picker Pos Used to specify a point on the curve. Rotate the Soft Menu dial-button 1 to reposition the point. The point is yellow in color. Insert Pressing the Soft Menu dial-button 1 inserts a new point between the current point and the next point. Delete Pressing the Soft Menu dial-button 2 deletes the selected point. Save Pressing the Soft Menu dial-button 3 saves the current RGB curve. Color Select a curve. Rotate the Soft Men dial-button 2 to select Red, Green, or Blue. Return Press the Soft Menu dial-button 6 to finish setting up the current Post Map and return to the previous stage of the current menu. Exit Pressing the Soft Menu dial-button 7 finalizes the current task and exits the Edit screen. Curve Select the type of curve. Use the Menu/Angle dial-button to select Type 1–5, or User 1–3. You can edit user type curves by using the menu’s Edit option. 3-53 User Manual Gamma Select Gamma from the post curve menu. Use the Menu/Angle dial-button to adjust the brightness and contrast levels. Select Off, Weak, Medium, or Hard. Weak makes the screen brighter and Hard makes it darker. 2D Post Select 2D Post from the post curve menu. Post Curve Select a post curve. Use the Menu/Angle dial-button to select a value between 0 and 9. Chroma Map Press the Menu/Angle dial-button to turn the Chroma Map on or off. When turned on, the colors of the image displayed on the screen can be changed to meet individual preferences. Chroma Map Configure the Chroma Map; use the Menu/Angle dial-button to select Type 1–13, or User 1–3. Selecting a user type activates the Chroma Edit option on the 2D post menu. Chroma Edit Used to customize chroma colors. To adjust the colors, use the Soft Menu dial-buttons 2, 3 and 4. You can select a value between 0 and 255. Return Returns to the previous step of the current menu, after the current Post Map setting has been completed. 3-54 Chapter 3 Utilities Color Map Select Color Map from the post curve menu. Color Map Select a color map type. Use the Menu/Angle dial-button to select a value between 0 and 15. Tag Press the Menu/Angle dial-button to turn this function on or off. When turned on, the colors at a specific part (tag) of the image displayed on the screen can be changed to meet individual preferences. Tag Pos Select the position of the Tag; use the Menu/Angle dial-button to select a value between 0 and 248. Changing the Tag Pos may change the Tag Width. Tag Width Used to specify the width of the tag. Use the Menu/Angle dial-button to select a value between 8 and 256. Changing the Tag Width may change the Tag Pos. D Post Select D Post from the post curve menu. Configuration options are the same as with 2D Post. M Post Select M Post from the post curve menu. Configuration options are the same as with 2D Post. 3-55 User Manual Measurement Settings Select Measure Setup from the utility menu. Specify the various setup options for taking measurements. The setup may be modified depending on specific needs or preferences. 1. Select Measure Setup from the utility menu. 2. When the Measure Setup screen appears, select the tab that contains the setting you wish to configure. 3. Specify settings for each item. 4. Press Close or Exit to finish. Tips! Selecting a tab You can select a desired tab in either one of two ways. Select the method that suits you. XX Use the trackball and the Set button to select a tab. XX Rotate the Menu/Angle dial-button to make a selection. 3-56 Chapter 3 Utilities General Select the General tab on the Measure Setup screen. You can specify basic measurement options. General Select the sub-tab General under the General tab. You can specify basic measurement options. Cursor & Method Line Marker Type Specify the shape of the caliper cursor displayed on the screen. Either Cross Hair or Arrow Head can be selected. Circ. and area method Specify the method for measuring circumference and area. Either Ellipse or Trace can be selected. By default, the selected method appears when the Caliper button is pressed. Therefore, you can start measurement more easily by specifying the most commonly used measurement method. For more information on Ellipse and Trace, refer to the Circumference and Area Measurement section in ‘Chapter 8. Measurements and Calculations’. Apply Auto Resizing Line Marker Select whether to automatically reduce the marker cursor size when the distance between the start point and the moving point is 50 pixels or less at the time of measurement. Line Type From the following three options, select the line pattern to use when measuring a distance. Dotted Line Displays a dotted line. Hidden Dotted Line Displays only the start and end points of the line. 3-57 User Manual Hidden Dotted line after Set Displays a dotted line while measuring, then after the line has been finalized with the Set button, the dotted line will disappear. Tips! Selecting Line Type If you select Hidden Dotted Line or Hidden Dotted Line after SET, you can keep images from being interfered with by a measurement line. Start Point of Measurement Select the position at which the measurement cursor appears. Set the start point for measurement. XX End Point of the Last: The cursor appears at the end point of the last measurement. XX Start Point of the Last: The cursor appears at the start point of the last measurement. XX Center of the Region: The cursor appears in the center of the image area. Display Specify items to display on screen during measurement. Select the checkboxes of the items you wish to use. General XX Show Enlarged Image Box: Doubles the size of an image, shows it during measurement and displays the current position. In Color Doppler mode, you can select between 2D mode image and Color Doppler mode image by pressing the space bar on the keyboard. XX Show Measured Value in Menu: Choose whether or not to display the measured value in the Measurement menu. Guideline XX Display the Doppler Guideline: Choose whether or not to display the Cross Line while measuring various items on a frozen spectrum. This function is useful for estimating a rough value. XX Display the M-Mode Guideline: Choose whether or not to display the Cross Line while measuring various items in the Freeze state of M mode. This function is useful for estimating a rough value. 3-58 Chapter 3 Utilities Clear Function on UnFreeze XX Clear Measure 2D Mode Result On Unfreeze: Specify whether or not to clear measurement results from the screen when switching to Scan Mode after performing measurements in 2D mode. XX Clear Measure M/D Mode Result On Unfreeze: Specify whether or not to clear measurement results from the screen when switching to Scan Mode after performing measurements in M mode and Doppler mode. Measurement Unit Specify the measurement units. For a small object, it is more convenient to use ‘mm’ for Dist. When blood flow is fast, it is better to use ‘m/s’ for Vel. XX Dist: Select either a cm or mm scale for the unit of distance, area and volume. XX Vel: Selects the units of velocity – cm/s or m/s. NOTE: Changing the measurement unit erases all measurements that may have been taken. Measurement Results XX Transparent BK color: Sets a transparent background. XX Number of Measure Results Displayed: Specify the number of lines for measurement results that are displayed on the screen. This is applied to the basic measurement results for all applications except for obstetrics, cardiac, vascular, urology, and fetal heart. NOTE: Use the setting tab of each application to set the Number of Measure Results Displayed for obstetrics, cardiac, vascular, urology, and fetal heart. 3-59 User Manual [Figure 3.18 Measure Setup - General - General] Calc Menu Select the sub-tab Calc Menu under the General tab. From this tab, you can customize the calculation menu. NOTE: XX You can create up to 4 new menu tabs. XXDefault tab menus cannot be deleted or changed. Menu Customize Press the Menu Customize button. The Menu Customize screen consists of the following: Select Calc Package Calculation packages are shown in the dropdown list. Select the calculation package that you wish to edit. 3-60 Chapter 3 Utilities Check Calc Tabs Displays the menu tabs of the calculation package that was selected under Select Calc Package. Selecting a menu tab places an orange border around it. Calc Menu Preview Displays the calculations that are currently available on the menu tab that was selected under Check Calc. Click + to display any sub-measurement items. Available Menu List Displays all calculations that are supported by the selected calculation package. Click + to display any sub-measurement items. Configure the calculation menu as follows: 1. Select an application under Select Calc Package. 2. Select a menu tab under Check Calc Tabs. A yellow border is placed around the selected menu tab. The selected menu tab’s content is shown in Calc Menu Preview. 3. Configure the menu tab. XX Changing Menu Tab Order: Select a menu tab and change the order by using the buttons to the right of the list. or XX Show/Hide Menu Tab: Select the check boxes of the menu tabs you wish to use. You must select at least one menu tab. XX New Menu Tab: To create a copy of the selected menu tab, click Copy. To create a new menu tab, click New. XX Rename Menu Tab: Click Rename. XX Delete Menu Tab: Click Delete. 4. Configure calculations. XX Changing Calculation Order: Click the or buttons on the right. XX Add Calculation: Select a calculation from Available Menu List and click XX Delete Calculation: Select a calculation item and click Tips! . . Selecting a calculation from Available Menu List that has the ‘+’ symbol also selects all subcalculations belonging to that calculation. However, you cannot add whole calculation packages. 3-61 User Manual Package Order Press the Package Order button. The Package Order screen consists of the following: Calc. Package(s) Order XX All Calc. Package List: Select the check mark to select all calculation package lists. XX Select Calculation Item: Select a calculation item and click . XX Deselect Calculation Item: Select a calculation item and click XX Changing Calculation Order: Click the or . buttons on the right. Menu Type XX Full Menu: Select the entire menu. The Menu Customize button will not be enabled. XXCustom Menu: Select the user-customized menu. [Figure 3.19 Measure Setup - General - Calc Menu] 3-62 Chapter 3 Utilities Report Select the Report tab under the General tab. Here you can set items related to the measurement report and printing. Report Header Specify header options for reports. You can specify multiple items, which will appear in all measurement reports. Patient Info. This is information about the patient. Hospital Info. This is information about the hospital in which the product is installed. Others This is the information about miscellaneous comments (Description) and Accession #. OB / FH Header Layout Specify item(s) to display under the header of obstetrics or fetal echo measurement reports. You can select multiple items. Save Action Save All Report Pages Save all pages. Save Current Page Save the current page. 3-63 User Manual Measurement Result Measurement Result Type Used to specify the method of calculating measurement values in the reports. XX Average: Produces the average value of the three most recent measurements. XX Last: Shows the value measured last. XX Max: Shows the largest measurement value. XX Min: Shows the smallest measurement value. [Figure 3.20 Measure Setup - General - Report] 3-64 Chapter 3 Utilities Data Transfer Select the sub-tab Data Transfer under the General tab. Here you can set the data transfer method, etc. Serial Transfer Specify the format in which data will be transferred. Select Text Format or XML Format. This product uses an RS-232C USB serial cable to transfer data. Select XML format to transfer data with reporting tools such as Sonoultra or ViewPoint. User Table Backup and Restore Back up a table created by the user, or save a backed up table to the system. Click BackUp or specify your desired options. DICOM SR Format General Report This is the default data format. ViewPoint This is the ViewPoint data format. 3-65 User Manual [Figure 3.21 Measure Setup - General - Data Transfer] 3-66 Chapter 3 Utilities Caliper Select the Caliper sub-tab under the General tab. Specify whether additional information will be shown along with the basic measurement values when basic measurements are taken by pressing the Caliper button. If this option is selected, the additional information will also be saved and output along with the measurement results. If Application is set to Cardiac, the D Velocity, D A/B, D Trace items are changed. NOTE: The 'Cardiac' setting can be used only when the probe preset is Cardiac or Pediatric Cardiology. Display Used to specify the number of lines to use for displaying measurement results on screen when basic measurements are taken in 2D, M, or D mode. [Figure 3.22 Measure Setup - General - Caliper] 3-67 User Manual Print Select the sub-tab Print under the General tab. Print Action Print All Report Pages Prints all pages. Print Current Page Prints the current page. OB Trend Graph Prints the OB Trend Graph. XX Only Current Page: Prints the current page. XX All pages(1x1): The selected graph is printed in a 1 x 1 format. XX All pages(3x2): The selected graph is printed in a 3 x 2 format. XX Screenshot: Capture the screen to print the graph. 3-68 Chapter 3 Utilities Print Enter additional information for the header, title, and footer to be displayed when the measurements are printed. [Figure 3.23 Measure Setup - General - Print] 3-69 User Manual OB Select the OB tab in the Measure Setup screen. Here you can set items related to obstetrics measurement. General Select the sub-tab General under the OB tab. You can specify basic OB measurement options. Percentile Information Show Percentile Information Select the check box if you wish to use percentile information. Percentile Criteria Select a value that will be used for percentile calculation. XX GA by LMP: The GA is calculated based on the maternal LMP. XX Estab. Due Date: The GA is calculated based on the Estab. Due Date under Patient Information. XX AUA: The GA is calculated using the average values (Average US GA) of several ultrasound measurements. Rank Information Method Specify how the growth range information will be displayed. The growth range information can be used to observe fetal development and abnormality. XX Standard Deviation: International standard deviation is used to indicate the fetal development. Fetal development and abnormality are observed on the basis of SD = 0 indicating the standard development. XX Pctl.: Fetal development is indicated in percentile. Fetal development and abnormality are observed on the basis of 50%, which indicates the standard development. XX Bar(Graph): The percentile is shown in a bar graph. This option is available with OB reports only. The green color indicates normal development range, while the red color indicates abnormal development range. 3-70 Chapter 3 Utilities Fetal Weight Unit Specify the units for fetal weight measurement. You can select the primary unit and the secondary unit to display measurement results. The primary unit can be either Grams g or lb + oz on the left. The secondary unit can be selected on the right. A unit already specified as the primary unit cannot be used. ‘lb + oz’ is a unit combining pounds and ounces, and ‘None’ indicates that no units are used. OB Doppler Results Specify which Doppler measurement results to display when the OB measurement is taken in Doppler mode. Use the check boxes to select the OB items you want. PSV and EDV, however, cannot be unselected. Clear Function on UnFreeze This function is applied to obstetrics only. Clear Measure 2D Mode Result On UnFreeze Choose whether or not to delete the results of 2D mode when you use the checkbox to unfreeze. Clear Measure M/D Mode Result On UnFreeze Check the checkbox to delete M or D mode results when UnFreeze is selected after measurement. OB Measurement Result Measurement Result Type Used to specify the measurement result type. Select the average (Avg), the last measurement taken (Last), the maximum (Max), or the minimum (Min). Number of Results Displayed Specify the number of lines for OB measurement results that are displayed on the screen. EDD Selecting the checkbox will display EDD when measuring an OB item. 3-71 User Manual MVP Caliper Select the Maximum Vertical Pocket (MVP) Caliper method. Distance Measure the MVP by using the straight linear distance. Circle Measure the MVP by selecting Circle. [Figure 3.24 Measure Setup - OB - General] 3-72 Chapter 3 Utilities Tables Select the sub-tab Tables under the OB tab. You can specify references such as reference tables and equations that will be used by each measurement item. [Figure 3.25 Measure Setup - OB - Tables] Items This setting is intended for the measurement of the gestational age (GA) and the fetal size (Growth). Select items in the following order: 1. Select measurement items from the list on the left. 2. Select whether to use either the GA table or the Growth table. 3. Select a reference from the list on the right. 3-73 User Manual Fetal Weight This setting is intended for the measurement of the estimated fetal weight (EFW). Select items in the following order: 1. Select the EFW measurement method from EFW equation and EFW growth. 2. Select a reference from the list. Add a Reference NOTE: Observe the following directions when adding a table reference. If these conditions are not met, a warning message appears and the reference is not saved. XX Input at least three types of data. XX If there are no Min and Max values, select Value Only for Table Type. 1. Click . The User reference window will appear. 2. Enter a name and description for a new reference. 3. Specify the reference type as Table or Equation. NOTE: EFW Equation can only set Equation, and EFW Growth can only set Table as the reference type. 4. Click OK to go to the next step. The Editor screen will appear. Click Cancel to cancel. 5. Enter a reference. 6. Click Save to save the information. Click Cancel to cancel. 7. Click OK to finish. Click Cancel to cancel. 3-74 Chapter 3 Utilities Tips! Add Reference Table Clicking the Question Mark button shows the sources of the references. Clicking the question mark button a second time hides the sources again. Unit Information The unit of the selected reference, such as Input, Output, SD, etc., is displayed. Table type Select the table type for the selected reference. For the Growth Table, SD (Standard Deviation) is displayed. XX Range Type: Set the Min. and Max. values of the selected reference and display them in a table. The SD value varies according to the range selected by the user. XX Value Type: Only the measurement values entered by the user are displayed, regardless of the range of Min., Max., and SD. Other XX Show In Days: When the checkbox is selected, the table unit is changed from wd (week-day) to d (day). XX Cursor Movement for Enter key: Specify the direction of cursor movement when the Enter key on the keyboard is pressed while a table is being edited. Select from Right, Down and Edit. Adding Reference Equation If a reference appears in an equation, the following should be entered: Equation Enter a reference equation. Use the measurement calculator shown in the lower right corner. Input Value Ranges Enter the minimum (Low) and maximum (High) ranges for the selected reference. Tolerance Information Select the tolerance from w or d. View & Modify References 1. Under Selection, select a preset to delete. 2. Click and the Editor screen will appear. 3. View or edit the references. 3-75 User Manual EFW Sequential Measurement NOTE: This setting is necessary when you set EFW Measure for User Key in Utility > Setup > User Defined key > User Key Setup. Settings are applied when EFW is measured by pressing the User button. Configure the order of EFW measurements to be taken when the User button is pressed. Select a measurement by using the trackball and the Set button, and change its position by using the arrows. Calc & Graph Select the sub-tab Calc & Graph under the OB tab. You can specify settings for calculation and graphs. Auto calculations Specify an item that will be calculated automatically. For example, if the MAD checkbox is selected, when APD and TAD are measured, the measurements are used to calculate MAD automatically and display the result on the screen. The results of automatic calculation may affect GA and EDD information. Ratio calculations Specify a measurement item for which a ratio will be calculated. For example, if the FL/BPD checkbox is selected, when FL and BPD are measured, the ratio between them is calculated and displayed on the screen. This ratio also appears in a report. Trend graph Specify whether to include a graph for a certain item or ratio in an obstetrics report. Click the Editor screen for the selected graph will appear. 3-76 and Chapter 3 Utilities [Figure 3.26 Measure Setup - Calc & Graph] 3-77 User Manual Cardiac Select the Cardiac tab from the Measure Setup screen, and then configure cardiac measurement-related settings. Cursor & Method Circ. and Area method Choose the method for measuring the circumference and area of a 2D image of the heart. Either Ellipse or Trace can be selected. LV Volume Method Select Teichholz, Cubed, or Gibson as the method of measuring the volume of the left ventricle. For more information on calculation formulae, please refer to the reference manual. Cardiac Measurement Result Measurement Result Type Used to specify the measurement result type. Select the average (Avg), the last measurement taken (Last), the maximum (Max), or the minimum (Min). Number of Results Displayed Specify the number of lines for measurement results that are displayed on the screen. 3-78 Chapter 3 Utilities Type of Derived Calc Results Displayed Used to specify the measurement result display method. Select Brief for a brief display and Detailed for a detailed display. [Figure 3.27 Measure Setup - Cardiac] 3-79 User Manual Vascular Select the Vascular tab on the Measure Setup screen. You can specify settings for vascular measurement. A/B Ratio Specify each individual peak velocity for which a ratio between A and B will be calculated. Vascular Measurement Result Measurement Result Type Specify the measurement method. Select the average (Avg), the last measurement taken (Last), the maximum (Max), or the minimum (Min). Number of Results Displayed Specify the number of lines for measurement results that are displayed on the screen. Doppler Results Set the Doppler measurement items that will be displayed with the measurement results. ICA/CCA Ratio Configure each measurement item that will be used for the ICA/CCA ratio. 3-80 Chapter 3 Utilities [Figure 3.28 Measure Setup - Vascular] 3-81 User Manual Urology Select the Urology tab on the Measure Setup screen. You can specify settings for urology measurement. Volume Method Specify an equation that will be used for volume calculation. 3 Distance The volume is calculated by using three diameters in the longitudinal and transverse planes. (4 / 3 x π x A/2 x B/2 x C/2) 3 Distance x Factor The volume is calculated by using three diameters in the longitudinal and transversal planes and a factor (F) value entered by the user. ( A x B x C x Factor) Ellipsoid The volume is calculated by using the length of the Main and Beside axes. (4 / 3 x π x Main / 2 x (Beside / 2)2) Sum of 20 Disks The volume is calculated by adding together the areas in the 20 parallel planes. (d / 20 x (A1 + A2 + ... A20), d: the sum of the distances between disks) NOTE: 3 Distances: A = 1st Dia., B = 2nd Dia., C = 3rd Dia. Factor is set to ‘0.523’ by default. When the value needs to be changed, a value between 0 and 1 (0 < factor <= 1) is recommended. Predicted PSA correction factor Specify the predicted Prostate Specific Antigen (PSA) correction factor for the measurement of WG and T-Zone volumes. The default value is 0.12. 3-82 Chapter 3 Utilities Urology Measurement Result Measurement Result Type Specify the measurement method. Select the average (Avg), the last measurement taken (Last), the maximum (Max), or the minimum (Min). Number of Measure Results Displayed Number of Results Displayed Set the number of lines in which to display the urology measurement results on the screen. [Figure 3.29 Measure Setup - Urology] 3-83 User Manual Fetal Heart Select the Fetal Heart tab on the Measure Setup screen. Here you can set items related to fetal heart measurement. [Figure 3.30 Measure Setup - Fetal Heart] Cursor & Method Circ. And area method Specify how a circumference and area is measured in a 2D fetal cardiac image. Either Ellipse or Trace can be selected. LV Volume Method Specify how the volume of the left ventricle is measured. For more information on calculation formulae, please refer to the reference manual. 3-84 Chapter 3 Utilities FH Measurement Result Measurement Result Type Specify the measurement method. Select the average (Avg), the last measurement taken (Last), the maximum (Max), or the minimum (Min). Number of Measure Results Displayed Number of Results Displayed Specify the number of lines for measurement results that are displayed on the screen. 3-85 User Manual EZ Exam Setup Click EZ Exam Setup in the Utility menu. The EZ Exam Setup window is then shown on the monitor screen. EZ Exam Setup allows you to specify exam items and their order. This feature streamlines the diagnosis process. Application List A list of available applications is shown. If previously configured EZ Exams are available, they will be shown in the EZ Exam List when an application is selected. Default Reset the exam of the selected application. All exams contained in the EZ Exam List’s User List are removed. EZ Exam List Displays the EZ Exam list. Default List Displays basic EZ Exams supported by the product. Available only for Gynecology, Vascular, and Small Parts. You cannot delete or rename EZ Exams in the Default List. You cannot add new EZ Exams to the Default List, either. User List Displays a list of user-defined EZ Exams. You are free to rename, delete, and copy the EZ Exams in the User List; you may also add new EZ Exams to this list. Add EZ Exam Click New on the monitor screen. Once the New Tap window appears, enter a name and click OK. Click Cancel to cancel. 3-86 Chapter 3 Utilities Copy EZ Exam Select the EZ Exam you wish to copy and click Copy on the monitor screen. Once the Copy Tap window appears, enter a name and click OK. Click Cancel to cancel. Rename EZ Exam Select the EZ Exam that you wish to rename, and click Rename on the monitor screen. Once the Copy Tap window appears, enter a name and click OK. Click Cancel to cancel. Delete EZ Exam Select the EZ Exam you wish to delete and click Delete on the monitor screen. When the Warning window appears, click OK. Click Cancel to cancel. Reorder EZ Exam Select the EZ Exam that you wish to reorder and then click or on the monitor screen. EZ Exam Preview Displays the selected EZ Exam’s group and details. Groups associated with the EZ Exam are displayed as . To view the group’s details, click . Add Group Add a new group. Click the button on the monitor screen. When the New Group window appears, enter a name and click OK. Click Cancel to cancel. NOTE: You can add groups to EZ Exams included in the User List only. Edit Setting This is used to change the properties of items selected in the Action List’s Misc. tab. XX Text: Used to select the text that you wish to enter on the screen. Select Text and click Edit Settings to display the Text window. Enter text and click OK. Click Cancel to cancel. XX Caliper: Used to set up the basic measurements to use. Select Caliper and click Edit Setting, and the Caliper Selection screen will be displayed. Select the items you wish to use and click OK. Click Cancel to cancel. 3-87 User Manual XX Mode Change: Used to select the diagnosis mode to use. Select Mode Change and click Edit Setting, and the Mode Selection screen will be displayed. Select the items you wish to use and click OK. Click Cancel to cancel. Edit Name Change a group’s name. Select a group and click Edit Name. When the Edit MacroName window is displayed, enter a name and click OK. Click Cancel to cancel. Reorder Select the group or item you wish to reorder, and click or on the monitor screen. Action List Displays the items that you can add to the selected EZ Exam. Select the tab you want, and then select items. To view the items, click . Add Select items in the Action List, and click . The selected item is added to the EZ Exam and shown in the EZ Exam Preview. Up to 40 items can be added to a single group. Remove Select an item in the EZ Exam Preview and click Exam. 3-88 . The selected item is removed from the EZ Chapter 3 Utilities [Figure 3.31 EZ Exam Setup] 3-89 User Manual Storage Manager Select Storage Manager from the utility menu. All disk drives mounted in the system will be shown. The drive type, available space, and total space for each drive are displayed. Storage Manager is a program that lets you manage various storage devices connected to the system. You can remove, format or update a drive, if you check the checkbox in front of the drive’s symbol. NOTE: You may not remove, format or update a drive mounted within the system itself. Click Exit on the screen or press Exit on the control panel to exit Storage Manager. Refresh Updates the display on the touch screen to show the drives currently connected to the system. NOTE: When using Storage Manager, you should click Refresh to update the information. Eject / Remove Disconnects the selected drive. NOTE: Before unplugging a USB Flash memory drive, make sure to disconnect it by using the Eject/ Remove button. Format Initializes the selected drive. Under the Format window, you can initialize various settings. Press Start to start initialization. Press Close to cancel. NOTE: In the case of DVD+RW or DVD-RW, its free space can be displayed as ‘0 bytes’ after formatting. This is an error in Windows™, and does not mean that the currently inserted media cannot be used. 3-90 Chapter 3 Utilities [Figure 3.32 Storage Manager] 3-91 User Manual Userset Manager Select Userset Manager from the Utility menu. The item will only be visible if you have created a Userset by pressing the Probe button. The Probe, Application, Preset, Userset Name, and Date saved by the user will be displayed. For more information on creating a Userset, refer to ‘Chapter 6. Starting Diagnosis’. Select Probe The probes supported by the product will be displayed. Multi Select You can select multiple items by placing check marks on them. Import Click Import on the monitor screen. The Userset Import window will be displayed; select a drive and click Import to import. Export Click Export on the monitor screen. The Userset Export window will be displayed; select a drive and click Export to export. Refresh Click Refresh on the monitor screen to refresh the screen. Delete Click Delete on the monitor screen to delete the selected item. Delete All Click Delete All on the monitor screen to delete all items. Close Click Close on the monitor screen to exit Userset Manager. 3-92 Chapter 3 Utilities [Figure 3.33 Userset Manager] 3-93 User Manual Menu Edit Select Menu Edit from the Utility menu. The Menu Edit screen will be displayed. From this screen, you can configure the soft menu layout for each mode. Menu Edit Screen The Menu Edit screen consists of the following: 1 2 3 4 [Figure 3.34 Menu Edit] 1Mode Tab: Configurable modes are displayed in tab format. Select the tab you wish to configure by using the trackball and the Set button on the control panel. The selected tab is highlighted in yellow. 2 Menu Item List: Displays menu options that are available in the selected mode. Use the trackball and the Set button to select an item from the list. The selected item is highlighted in yellow. Following items can be selected for each mode. 3-94 Chapter 3 Utilities Mode 2D Frozen 2D Color Frozen Color PD Item DMR+ Spatial Comp Harmonic Pulse Inversion Needle Mate NM Enhance NM Clipping Depth ElastoScan Panoramic Trapezoidal Dual Live Preset Frequency Dynamic Range Frame Avg Reject Level Gray Map M Line U/D Flip L/R Flip Focus Number Change Window Top-Bottom Dual View Angle 2D Image Size Line Density Scan Area FSI Edge Enhance Power Tissue Gamma Chroma Map 2D Image Size Rotation Post Curve Active Mode Next Page Previous Page Cine Save Cine Play Trim First Trim Last Cine Speed Auto IMT U/D Flip L/R Flip Change Window Edge Enhance Gray Map Frame Rate Post Curve DMR+ Needle Mate Needle Enhance Needle ROI Active Mode Next Page Previous Page TDI Color Invert Dual Live Freqeuncy Filter Scale Baseline Display Mode Color Hide M Line Change Window Color Mode Balance Line Density Color Map Sensitivity Frame Avg Preset Alpha Blending Blending Level Dynamic Range Smooth Power Active Mode Next Page Previous Page Color Invert Dual Live Cine Save Cine Play Trim First Trim Last Cine Speed Baseline Display Mode Color Hide Balance Color Map Alpha Blending Blending Level Active Mode Next Page Previous Page TDI Color Invert Dual Live Steer Frequency Filter Scale Baseline Display Mode Color Hide Baseline Display Mode Color Hide M Line Change Window PD Mode Balance Line Density Color Map Sensitivity Frame Avg Preset Alpha Blending Blending Level Dynamic Range Smooth Power Active Mode Next Page Previous Page 3-95 User Manual Mode Frozen PD TDI Frozen TDI PW Frozen PW 3-96 Item TDI Color Invert Dual Live Steer Frequency Filter Scale Baseline Display Mode Color Hide Change Window Balance Color Map Alpha Blending Blending Level Active Mode Next Page Previous Page TDI Color Invert Dual Live Steer Frequency Filter Scale Baseline Display Mode Color Hide M Line Change Mode Color Mode Balance Line Density Color Map Sensitivity Frame Avg Alpha Blending Blending Level Dynamic Range Smooth Power Active Mode Next Page Previous Page TDI Color Invert Dual Live Cine Save Cine Play Trim First Trim Last Cine Speed Baseline Display Mode Color Hide Change Window Balance Color Map Alpha Blending Blending Level Active Mode Next Page Previous Page TDW Doppler Invert Simultaneous Mean Trace AutoCalc Sweep Speed Steer AutoCalc Direction Angle SV Size Frequency Filter Scale Baseline Gray Map Change Window Spectrum Enh. Spectrum Type Chroma Map Display Mode Loop Size Dynamic Range Power Active Mode Next Page Previous Page TDW Doppler Invert Mean Trace AutoCalc Cine/Loop Cine Save Cine Play Trim First Trim Last Cine Speed AutoCalc Direction Baseline Change Window Sweep Speed Display Mode Loop Size Chroma Map Gray Map Active Mode Next Page Previous Page Chapter 3 Utilities Mode Item TDW Doppler Invert Simultaneous Mean Trace AutoCalc Sweep Speed Steer AutoCalc Direction Angle SV Size Filter Scale Baseline Gray Map Change Window Spectrum Enh. Spectrum Type Display Mode Loop Size Dynamic Range Power Active Mode Next Page Previous Page TDW Doppler Invert Mean Trace AutoCalc Cine / Loop Cine Save Cine Play Trim First Trim Last Cine Speed AutoCalc Direction Baseline Change Window Sweep Speed Chroma Map Gray Map Spectrum Enh. Spectrum Type Display Mode Loop Size Dynamic Range Power Active Mode Next Page Previous Page TDW Doppler Invert Simultaneous Mean Trace AutoCalc Sweep Speed Steer AutoCalc Direction SV Size Frequency Filter Scale Baseline Gray Map Change Window Spectrum Enh. Spectrum Type Loop Size Display Mode Dynamic Range Power Active Mode Next Page Previous Page Frozen TDW TDW Doppler Invert Mean Trace AutoCalc Cine / Loop Cine Save Cine Play Trim First Trim Last Cine Speed AutoCalc Direction Baseline Change Window Sweep Speed Loop Size Display Mode Chroma Map Gray Map Active Mode Next Page Previous Page M Anatomical M Sweep Speed Frequency Dynamic Range Reject Level Gray Map Negative Chroma Map Display Mode Loop Size M Edge Enhance Power Active Mode Next Page Previous Page Cine / Loop Cine Save Cine Play Trim First Trim Last Cine Speed Negative Change Window Sweep Speed Display Mode Loop Size Chroma Map Gray Map Active Mode Next Page Previous Page CW Frozen CW TDW Frozen M 3-97 User Manual 3 Edit and Preview Area: Used to position the item that was selected from the menu item list. Select a button or dial that becomes activated upon its selection. 4 Soft Menu XX Mode Selection: Used to change the mode tab. Select a mode by rotating the Soft Menu dialbutton 1. XX Initial: Press the Soft Menu dial-button 1 to restore default settings. XX Delete: Press the Soft Menu dial-button 2 to delete the selected item. Available only when a button or dial from the edit and preview area is selected. XX Apply: Press the Soft Menu dial-button 6 to apply the configured menu to the system. To finalize the settings, the system needs to reboot. XX Preset: Press the soft menu dial-button 3, and the Usersets List will be displayed. XX Close: Press the Soft Menu dial-button 7 to exit Menu Edit. NOTE: The user may back up or restore the current menu configured by the user. 3-98 Chapter 4 Maintenance Operational Environment................................4-3 Product Maintenance.......................................4-4 Cleaning and disinfecting.....................................................4-4 Accuracy Checks.......................................................................4-5 Battery Pack Management..............................4-6 Replacing the Battery Pack...................................................4-6 Recharging the Battery Pack................................................4-7 Storing the Battery Pack........................................................4-8 Disposing of the Battery Pack..............................................4-8 Extended Battery Management.....................4-9 Replacing the Extended Battery.........................................4-9 Charging the Extended Battery........................................4-10 Storing the Extended Battery............................................4-11 Disposing of the Extended Battery..................................4-11 Information Maintenance............................ 4-12 Backing Up User Setting......................................................4-12 Backing Up Patient Information.......................................4-12 Software.....................................................................................4-12 Chapter 4 Maintenance Operational Environment When installing the product, please pay attention to the following: CAUTION: XX Placing the system near generators, X-ray machines or broadcast cables may result in screen noise and abnormal visual images. Sharing the power source with other electrical devices may also cause noise. XX If an AC source is used to power the system, make sure to use a designated adapter only. NOTE: It is recommended that an AC adapter is used to ensure a steady power supply. Avoid excess humidity. Avoid direct sunlight. Avoid excessive fluctuations in temperature. Optimal conditions for the system are temperatures of 10-35°C and humidity of 30-75%. Avoid installing the product near a heating appliance. Avoid dusty and/or poorly ventilated locations. Avoid locations that are subject to vibration. Avoid a location where chemical substances or harmful gases are present. 4-3 User Manual Product Maintenance Cleaning and disinfecting Using an inappropriate cleaning or sterilizing agent may damage the product. Pay attention to the following: WARNING: XX Turn off the system and disconnect the power cord from the wall outlet before cleaning and disinfecting, Otherwise, there is a risk of electric shock or fire. XX Always use protective eyewear and gloves when cleaning and disinfecting the product. Cleaning CAUTION: XX Do not spray detergent directly onto the product’s exterior. Doing so may discolor or crack the surface. XX Do not use chemical substances such as wax, benzene, alcohol, paint thinner, insecticide, aerosol deodorant, lubricant. Console Use a soft cloth lightly dampened with a mild soap to clean the exterior surfaces of the system. Cleaning Monitor Gently wipe the LCD surface with a soft, dry cloth. NOTE: For information on cleaning and disinfecting probes and the biopsy kit, please refer to ‘Chapter 5. Probes’ in this manual. 4-4 Chapter 4 Maintenance Disinfecting CAUTION: When disinfecting the surface, be sure to use disinfectants recommended by Samsung Medison. A disinfectant certified by the FDA 510(k) process is recommended. For more information, please refer to the information about detergents, disinfectants, and ultrasound gels in 'Chapter 5. Probes'. 1. Turn off the system and disconnect the power cord from the wall outlet. 2. Mix the disinfectant solution that is compatible with your system to the solution strength specified on the instruction label. 3. Clean the exterior surface of the product in compliance with the instructions provided with the disinfectant. 4. Air dry or towel dry the surface with a sterile cloth according to the instructions on the disinfectant label. Accuracy Checks NOTE: The user must ensure that safety inspections are performed every 2 years according to the requirements of safety standard EN60601-1. Only trained personnel are allowed to perform these safety inspections. The product’s maintenance status may affect the measurements obtained when using the product. The product should be maintained in an optimal state to ensure reliable measurements. To ensure optimal operation of the product, perform an accuracy check every year. The equations and table related to measurement accuracy are included in ‘Chapter 8. Measurements and Calculations’ in this manual. 4-5 User Manual Battery Pack Management The battery pack is a consumable, and will lose performance over time. If the battery life becomes less than half of what it was when first purchased, it is time for a replacement. CAUTION: XX The warranty period for battery packs is six months. XX Samsung Medison recommends that you replace the battery pack once a year. NOTE: For battery pack purchase inquiries, please contact Samsung Medison’s service department. Replacing the Battery Pack Battery Pack Removal Remove the battery pack as follows: 1. Turn off the system and disconnect the power cord from the wall outlet. 2. Unlock the battery locking device at the bottom of the product and remove the battery pack. WARNING: Remove the battery pack if you are not planning to use the product. Leaving the product unused and not plugged into a power outlet for an extended period of time may deplete the battery pack completely, making it impossible to recharge the batteries. In addition, allowing the battery pack to become completely depleted may cause communication problems for the product. Connecting a Battery Pack Connect the battery pack as follows: 1. Turn off the system and disconnect the power cord from the wall outlet. 2. Unlock the battery locking device at the bottom of the product and insert the battery pack. 4-6 Chapter 4 Maintenance CAUTION: Make sure not to mix up the battery terminals. 3. Once the battery pack has been inserted, wait ten seconds before powering on the system. Recharging the Battery Pack Connecting the AC adapter automatically begins charging the battery pack. The battery pack will be charged faster if HM70A is powered off or in power saving mode. WARNING: XX If the low battery message appears while you are using the product, immediately save the diagnosis information and connect the AC adapter. XX Before connecting the AC adapter, make sure it’s the right way up. Forcing the adapter into the product in the wrong way can damage the product. XX Do not recharge the battery pack using a method other than that described in this manual. Doing so may lead to a fire or an explosion. The battery pack must be charged and discharged within the following temperature ranges: State Ambient Temperature Charge 0 ~ 45°C Discharge -10 ~ 50°C CAUTION: The ideal charging temperature is between 0°C and 40°C. The battery pack can overheat if the ambient temperature is too high, or can take much longer than normal to recharge if the temperature is too low. NOTE: If using the battery pack as the power source, check the battery icon shown on the screen to find out how much battery charge is left. For more information on battery icons, refer to the ‘Battery’ section of ’Chapter 2. Introduction’. 4-7 User Manual Storing the Battery Pack If you are not planning on using your HM70A, remove the battery pack from the unit and store it separately. Storage temperature ranges are as follows: Duration of Storage Ambient Temperature Less than 1 month -10 ~ 60°C 1 – 3 months -10 ~ 45°C 4 – 12 months -10 ~ 30°C For more information on storing and using the battery pack, refer to the ‘Operational Environment’ section in this chapter. CAUTION: If you are using your battery pack for the first time, or using a battery pack that has not been used for more than three months, completely charge and discharge the battery pack a few times before using it. Tips! Complete Charge and Discharge 1. Insert a fully charged battery pack into HM70A and wait until the batteries completely discharge and shut down the system. XX A fully charged battery pack will take about half an hour to fully discharge. XX The battery status indicator will turn from green to orange as the battery pack discharges. 2. Connect the AC adapter and fully recharge the battery pack. Once fully recharged, the battery status indicator will turn green. XX It takes approximately two hours to fully recharge a fully discharged battery pack. (It takes approximately three hours if the system is in use while the battery pack is being recharged.) 3. Discharge the battery pack once more until the system shuts down. Disposing of the Battery Pack A service representative of Samsung Medison or an authorized dealer must replace and dispose of the battery pack. WARNING: Do not dispose of the battery pack yourself. Do not incinerate the battery pack, as this may cause an explosion or a fire. 4-8 Chapter 4 Maintenance Extended Battery Management The Extended Battery is a consumable, and will gradually lose its maximum energy capacity over time. If you find that the system runs only half as long or less on the battery than when it was first purchased, replace it with a new Extended Battery. CAUTION: XX The general warranty for an Extended Battery is valid for 6 months. XX Samsung Medison recommends that you replace the Extended Battery once a year. NOTE: XX The Extended Battery is an optional feature of this product. XX To purchase an Extended Battery, please contact Samsung Medison’s service department. Replacing the Extended Battery Disconnecting the Extended Battery Disconnect the Extended Battery following these steps. 1. Turn off the system and disconnect the power cord from the wall outlet. 2. Press the Power button on the Extended Battery to turn it off, and then disconnect the Extended Battery. WARNING: Remove the Extended Battery if you are not planning to use the product. Leaving the product unused and not plugged in to a power outlet for an extended period of time may deplete the battery completely, making it impossible to recharge the batteries. In addition, allowing the battery to become completely depleted may cause communication problems for the product. Connecting the Extended Battery Connect the Extended Battery following these steps. 1. Turn off the system and disconnect the power cord from the wall outlet. 2. Connect the Extended Battery to the product, and then turn on the power on the battery. 4-9 User Manual CAUTION: Before connecting the Extended Battery, make sure that the connecting parts are aligned correctly. Forcing the battery into the product in the wrong way can damage the product. 3. Wait 10 seconds after connecting the Extended Battery before powering on the product. Charging the Extended Battery Connecting the AC adapter automatically begins the charging of the Extended Battery. The Extended Battery will be recharged faster if HM70A is turned off or in power saving mode. WARNING: XX If you see one blinking LED on the Extended Battery, connect the AC Adapter. XX Before connecting the AC Adapter, make sure that the connecting parts are aligned correctly. Forcing the adapter into the product in the wrong way can damage the product. XX Do not recharge the Extended Battery using a method other than the one described in this manual. Doing so may lead to a fire or an explosion. The Extended Battery must be charged and discharged within the following temperature ranges: State Ambient Temperature Charging 0 ~ 45°C Discharging -10 ~ 45°C CAUTION: The ideal charging temperature is between 0°C and 40°C. Charging the Extended Battery in an excessively hot environment may cause the battery to overheat; charging the battery in an excessively cold environment may increase the amount of time needed for recharging. NOTE: When using the Extended Battery as the power source, use the battery icons to check the remaining battery level. For more information on battery icons, Refer to the ‘Battery’ section in ‘Chapter 2. Introduction’. 4-10 Chapter 4 Maintenance Storing the Extended Battery If you are planning not to use HM70A for longer than a month, remove the Extended Battery from the system and store it separately. Storage temperature ranges are as follows: Duration of Storage Ambient Temperature Up to 1 month -20 ~ 50°C 1 to 3 months -20 ~ 45°C 4 to 12 months -20 ~ 25°C For more information on storage and usage environments, refer to the ‘Operational Environment’ section in this chapter. CAUTION: XX If you are planning to not use the Extended Battery for a long period of time, remove the Extended Battery from the system and store it separately. XX If you disconnect the Extended Battery for storage, it needs to be recharged at least once every 3 months. Disposing of the Extended Battery A service representative of Samsung Medison or an authorized dealer must replace and dispose of the battery. WARNING: Do not dispose of the Extended Battery yourself. Do not incinerate the battery, as this may cause an explosion or a fire. 4-11 User Manual Information Maintenance CAUTION: You may lose user settings or patient information files because of physical shocks to the product or internal errors. Therefore, you should back up this information on a regular basis. Backing Up User Setting Always keep a backup copy of all information related to the user settings in case of data loss. Clients cannot back up the user settings of the product. Please contact the servicing department to obtain support for backup. However, clients can back up user settings of the GA table used in OB measurements. For a more detailed description, refer to ‘Chapter 3. Utilities’, and ‘Measure Setup > General > Data Transfer’ in particular. Backing Up Patient Information You can back up patients’ basic information and scanned images. You can save the backup manually; backups can only be saved externally, either to USB device or DVD. For more information, please refer to 'Chapter 6. Starting Diagnosis'. If you need to reinstall the system because of a problem with the product, a member of the Samsung Medison service staff will restore the basic information and images of patients you have saved. Software The software may be changed to improve the product’s performance. You cannot modify the software on your own; a service representative will help you with any software modifications. CAUTION: Minor software updates may be carried out without prior notice from the manufacturer. If errors occur in the operating system (WindowsTM), or you wish to upgrade the operating system, please follow the instructions provided by the operating system manufacturer. NOTE: This product uses the Windows firewall to prevent any hacker or malicious software from accessing the system through the internet or network. 4-12 Chapter 5 Probes Probes.................................................................5-3 Ultrasound transmission Gel..............................................5-13 Using Sheaths..........................................................................5-14 Probe Safety Precautions.....................................................5-15 Cleaning and Disinfecting the Probe..............................5-17 Biopsy.............................................................. 5-26 Biopsy Kit Components........................................................5-26 Using the Biopsy Kit...............................................................5-27 Assembling the Biopsy Kit..................................................5-30 Cleaning and Disinfecting the Biopsy Kit......................5-34 Chapter 5 Probes Probes The probe is a device that sends and receives ultrasound for acquiring image data. It is also called a transducer or scanhead. The system limits patient contact temperature to 43 degrees Celsius, and acoustic output values to their respective U.S. FDA limits. A power protection fuse circuit protects against over-current conditions. If the power monitor protection circuit senses an over-current condition, then the drive current to the probe is shut off immediately, preventing the probe surfaces from overheating and limiting acoustic output. Probe List The ultrasound image scanner uses probes to obtain graphic data of the human body, and then displays it on the screen. Always use application-specific probes in order to obtain the best quality images. It is also important to configure the preset with the best settings for the particular organ being scanned. Probe Applications and Presets Probes, applications and presets available for this product are as follows: Probes C2-6 CF4-9 SC1-6 CA1-7AD Application Preset Abdomen General, Aorta, Renal OB 1st Trimester, 2nd Trimester, 3rd Trimester, Fetal Heart Gynecology General, Adnexa Pediatric Abdomen, NeoHead Vascular Carotid, Arterial, Venous Abdomen General, Aorta, Renal OB 1st Trimester, 2nd Trimester, 3rd Trimester, Fetal Heart Gynecology General, Adnexa Abdomen General, Aorta, Renal, Penetration OB 1st Trimester, 2nd Trimester, 3rd Trimester, Fetal Heart Gynecology General, Adnexa 5-3 User Manual Probes CA2-8AD L4-7 L5-13 L7-16 LA3-16AD LA5-18B PE2-4 P3-8 EVN4-9 5-4 Application Preset Abdomen General, Aorta, Renal OB 1st Trimester, 2nd Trimester, 3rd Trimester, Fetal Heart Gynecology General, Adnexa Small Parts Bowel, Breast, Testicle, Thyroid Vascular Carotid, Arterial, Venous MSK General Abdomen General Small Parts Bowel, Breast, Testicle, Thyroid Vascular Carotid, Arterial, Venous MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist, MSK-FAR, MSK-NEAR Small Parts Breast, Testicle, Thyroid Vascular Carotid, Superficial MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist, Penetration, MSK-Enhanced Small Parts Bowel, Breast, Testicle, Thyroid Vascular Carotid, Arterial, Venous MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist, Penetration, Anesthesia Small Parts Breast, Testicle, Thyroid Vascular Carotid, Superficial MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist Abdomen General, Aorta, Renal Cardiac Aortic Arch, Adult Echo, Ped Echo TCD General Abdomen General, Aorta, Renal Cardiac Aortic Arch, Adult Echo, Ped Echo OB 1st Trimester Gynecology Uterus, Adnexa Urology Prostate Chapter 5 Probes Probes Application Preset Abdomen General, Aorta, Renal OB 1st Trimester, 2nd Trimester, 3rd Trimester, Fetal Heart Gynecology General, Adnexa CW2.0 Cardiac Adult Echo CW4.0 Cardiac Adult Echo, Ped Echo DP2B Cardiac Adult Echo VN4-8 NOTE: XX In addition to the settings optimized by the system, you may save your preferred settings as User Set. XX For information on presets, refer to ‘Chapter 6. Starting Diagnosis’. 5-5 User Manual Function list The functions you can use on HM70A for each probe and application are as follows: Probes C2-6 CF4-9 SC1-6 CA1-7AD CA2-8AD L4-7 L5-13 L7-16 5-6 Application HAR PI SCI SDMR Q-SCAN ECG Biopsy Abdomen O O X O O X O OB O O X O O X O Gynecology O O X O O X O Pediatric X X X O O X X Vascular X X X O O O X Abdomen O O X O O X O OB O O X O O X O Gynecology O O X O O X O Abdomen O O X O O X O OB O O X O O X O Gynecology O O X O O X O Abdomen O O X O O X O OB O O X O O X O Gynecology O O X O O X O Small Parts O X O O O O O Vascular O X O O O O O MSK O X O O O O O Abdomen O X O O O O O Small Parts O X O O O O O Vascular O X O O O O O MSK O X O O O O O Small Parts O X O O O O O Vascular O X O O O O O MSK O X O O O O O Chapter 5 Probes Probes Application HAR PI SCI SDMR Q-SCAN ECG Biopsy Small Parts O X O O O O O Vascular O X O O O O O MSK O X O O O O O Small Parts O X O O O O O Vascular O X O O O O O MSK O X O O O O O Abdomen O O X O O X X Cardiac O O X O O O X TCD O O X O O X X Abdomen O O X O O X X Cardiac O O X O O O X OB O X O O O X O Gynecology O X O O O X O Urology O X O O O X O Abdomen O O X O O X O OB O O X O O X O Gynecology O O X O O X O CW2.0 Cardiac X X X X O O X CW4.0 Cardiac X X X X O O X DP2B Cardiac X X X X O O X LA3-16AD LA5-18B PE2-4 P3-8 EVN4-9 VN4-8 5-7 User Manual Probes C2-6 CF4-9 SC1-6 CA1-7AD CA2-8AD L4-7 L5-13 L7-16 LA3-16AD 5-8 Application Elasto Scan CM TDI PD S-Flow TDW CW 3D/4D Abdomen X X X O O X X X OB X O** X X** O X X X Gynecology X X X O O X X X Pediatric X X X O O X X X Vascular X X X O O X X X Abdomen X X X O O X X X OB X O** X X** O X X X Gynecology X X X O O X X X Abdomen X X X O O X X X OB X O** X X** O X X X Gynecology X X X O O X X X Abdomen X X X O O X X X OB X O** X X** O X X X Gynecology X X X O O X X X Small Parts X X X O O X X X Vascular X X X O O X X X MSK X X X O O X X X Abdomen X X X O O X X X Small Parts O* X X O O X X X Vascular X X X O O X X X MSK X X X O O X X X Small Parts X X X O O X X X Vascular X X X O O X X X MSK X X X O O X X X Small Parts O* X X O O X X X Vascular X X X O O X X X MSK X X X O O X X X Chapter 5 Probes Probes Application Elasto Scan CM TDI PD S-Flow TDW CW 3D/4D Small Parts X X X O O X X X Vascular X X X O O X X X MSK X X X O O X X X Abdomen X X X O O X O X Cardiac X O O X X O O X TCD X X X O O X O X Abdomen X X X O O X O X Cardiac X O O X X O O X OB X X X O O X X X Gynecology O X X O O X X X Urology O X X O O X X X Abdomen X X X O O X X O OB X O** X O O X X O Gynecology X X X O O X X O CW2.0 Cardiac X X X X X X O X CW4.0 Cardiac X X X X X X O X DP2B Cardiac X X X X X X O X LA5-18B PE2-4 P3-8 EVN4-9 VN4-8 NOTE: Legend XX Har: Harmonic imaging XX PD: Power Doppler XX PI: PuIse Inversion XX S-Flow: Directional Power Doppler Imaging XX SCI: Spatial Compound Imaging XX TDW: Tissue Doppler Wave XX Q Scan: Quick Scan XX CW: Continuous Wave XX ECG: Electro Cardio Graph Imaging XX *: Only Breast XX CM: Color M XX **: Only Fetal Heart XX TDI: Tissue Doppler 5-9 User Manual Thermal Index (TI) Tables TI values displayed on the screen title bar can change depending on probes and applications. Depending on body parts, thermal indices are categorized as soft tissue thermal index (TIs), bone thermal index (TIb), and cranial bone thermal index (TIc). This product automatically displays an appropriate thermal index for the current probe and application. Refer to the following table: Probes Application TIs 1st Trimester TIs 2nd Trimester, 3rd Trimester TIb Fetal Heart TIb General, Adnexa TIs Abdomen TIs NeoHead TIc Vascular Carotid, Arterial, Venous TIs Abdomen General, Aorta, Renal TIs 1st Trimester TIs 2nd Trimester, 3rd Trimester TIb Fetal Heart TIb Gynecology General, Adnexa TIs Abdomen General, Aorta, Renal, Penetration TIs 1st Trimester TIs 2nd Trimester, 3rd Trimester TIb Fetal Heart TIb General, Adnexa TIs OB Gynecology CF4-9 SC1-6 CA1-7AD Pediatric OB OB Gynecology 5-10 Thermal Index General, Aorta, Renal Abdomen C2-6 Preset Chapter 5 Probes Probes Application L4-7 L5-13 L7-16 LA3-16AD LA5-18B PE2-4 Thermal Index General, Aorta, Renal TIs 1st Trimester TIs 2nd Trimester, 3rd Trimester TIb Fetal Heart TIb Gynecology General, Adnexa TIs Small Parts Bowel, Breast, Testicle, Thyroid TIs Vascular Carotid, Arterial, Venous TIs MSK General TIs Abdomen General TIs Small Parts Bowel, Breast, Testicle, Thyroid TIs Vascular Arterial, Carotid, Venous TIs MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist, MSK-FAR, MSK-NEAR TIs Small Parts Breast, Testicle, Thyroid TIs Vascular Carotid, Superficial TIs MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist, Penetration, MSK-Enhanced TIs Small Parts Bowel, Breast, Testicle, Thyroid TIs Vascular Arterial, Carotid, Venous TIs MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist, Penetration, Anesthesia TIs Small Parts Breast, Testicle, Thyroid TIs Vascular Carotid, Superficial TIs MSK Shoulder/Knee, Hand/Foot, Elbow/Wrist, TIs Abdomen General, Aorta, Renal TIs Cardiac Aortic Arch, Adult Echo, Ped Echo TIs TCD General TIc Abdomen CA2-8AD Preset OB 5-11 User Manual Probes Application Preset Abdomen General, Aorta, Renal TIs Cardiac Aortic Arch, Adult Echo, Ped Echo TIs OB 1st Trimester TIs Gynecology Uterus, Adnexa TIs Urology Prostate TIs Abdomen General, Aorta, Renal TIs 1st Trimester TIs 2nd Trimester, 3rd Trimester, Fetal Heart TIb Gynecology General, Adnexa TIs CW2.0 Cardiac Adult Echo TIs CW4.0 Cardiac Adult Echo, Ped Echo TIs DP2B Cardiac Adult Echo TIs P3-8 EVN4-9 VN4-8 OB NOTE: XX The default thermal index may vary by preset. XX You may change the thermal index at Setup > Display > Display > TI Display. 5-12 Thermal Index Chapter 5 Probes Ultrasound transmission Gel For proper transmission of the acoustic beam, only use ultrasound transmission gel approved by Samsung Medison. WARNING: XX The use of inappropriate ultrasound gels could result in damages in the probe. Using damaged probe could cause injuries such as electric shock in users or patients. XX Do not use ultrasound gels or contact media that contain the following contents. −− Oils such as mineral oil, cooking oil, gasoline, solvents, rust inhibitors, lanolin, paraffin-based grease, ester and excessive silicon-based release agent. −− Alcohols such as acetone, methanol, plasticizer (dioctylphtalate) or denatured alcohols. −− Glacial acetic acid and iodine. −− All types of lotions or gels that contain aromatic substances 5-13 User Manual Using Sheaths Sheaths are recommended for clinical applications of an invasive nature, including intraoperative, transrectal, transvaginal, and biopsy procedures. Using a sheath also prevents contamination from blood or other bodily fluids during operations or biopsy. Samsung Medison does not supply sheaths, so appropriate sheaths should be purchased independently. WARNING: XX Always keep sheaths in a sterile state. XX Sheaths are disposable. Do not reuse them. XX If sheaths are torn or soiled after use, clean and disinfect the probe. XX In neurosurgical applications, a disinfected probe must be used with sterile gel and a sterile pyrogen-free sheath. XX If the sterile sheath becomes compromised during neurosurgical applications involving a patient with Creutzfeldt-Jakob disease, the probe cannot be successfully sterilized by any disinfection method. XX Some sheaths contain natural rubber latex and talc, which can cause allergic reactions in some individuals. Please refer to the FDA Medical Alert released on March 29, 1991. NOTE: Probes for this system are not indicated for intraoperative and neurosurgical use. Installing the Sheath 1. Put on sterile gloves. Unpack the sheath and fill it with ultrasound gel. 2. Insert the probe into the sheath and pull the latex tip to cover the probe completely. If possible, cover the probe cable as well. 3. Ensure that there are no air bubbles trapped within the ultrasound gel. If necessary, secure the sheath to the probe and the probe cable. 4. Dispose of the sheath after use. 5-14 Chapter 5 Probes Probe Safety Precautions CAUTION: XX Do not apply mechanical shock to the probe. XX Do not place the probe cable on the floor where the cable can be run over by equipment wheels, etc. Do not apply excessive force to bend or pull the cable. XX Do not immerse the probe into any inappropriate substances such as alcohol, bleach, ammonium chloride, and hydrogen peroxide. XX Do not expose the probe to temperatures of +50°C or higher. The probe can easily be damaged by improper use or by coming into contact with certain chemical substances. Always follow the instructions in the user manual to inspect the probe cable, case and lens before and after each use. Check the probe for cracks, broken parts, leaks, and sharp edges. If there is any damage, stop using the probe immediately and contact the Samsung Medison Customer Support Department. Using damaged probes may result in electric shocks and other hazards to the patients and/or users. Use and Infection Control of the Probe WARNING: No neurosurgical treatments or examinations should be carried out on a patient with Creutzfeldt-Jakob disease (a critical brain disease caused by a virus). If the probe has been used on such a patient, it cannot be sterilized by any method whatsoever. CAUTION: Sufficient washing and disinfecting must be carried out to prevent infection. This is the responsibility of the user who manages and maintains the disinfection procedures for the equipment. Always use legally approved detergents and sheaths. The ultrasonographic image scanner uses ultrasound, and makes direct contact with the patient when in use. Depending on the types of examinations, such contact can be made to a wide variety of locations, including the ordinary skin or the location of blood transfusion during a surgical procedure. The most effective method of preventing infection among patients is to use each probe only once. However, probes may need to be reused, as they are complex in design and expensive. Accordingly, use sheaths and other protective items and follow all safety instructions in order to minimize the risk of infection among patients. 5-15 User Manual Electric Shocks The probe uses electrical energy. If it touches conductive materials, there are risks of electric shocks to the patient or the user. WARNING: XX The equipment should regularly be checked for electrical leakage by the Samsung Medison service department. XX Do not immerse the probe into liquid. XX Do not drop the probe or apply mechanical shocks. XX Inspect the housing, strain relief, lens, and seal for damage, and check for any functional problem before and after each use. XX Do not apply excessive force to twist, pull or bend the probe cable. XX The power protection fuse protects the probe and the product from excess current. If the power monitoring protection circuit detects excess current, it immediately shuts off the current to the probe in order to prevent the probe surface from overheating and to restrict the ultrasound power output. XX The temperature of the product for making contact with patients is limited to below 43°C. The ultrasound power output (AP&I) is in compliance with US FDA standards. 5-16 Chapter 5 Probes Cleaning and Disinfecting the Probe Using an inappropriate cleaning or sterilizing agent may damage the product. WARNING: XX Always use protective eyewear and gloves when cleaning and disinfecting probes. XX Inspect the housing, strain relief, lens and seal for damage, and check for any functional problem after cleaning and disinfecting the probe. NOTE: Only use the disinfect and disinfectants approved by the country's government in Canada. Information of Detergent, Disinfectant, and Ultrasound Gel An appropriate detergent, disinfectant or ultrasound gel should be selected based on the following tables. All probes are tested in accordance with IPX 7 Criteria. ◆ ◆ ◎ L S S W W W W W W L ▣ ▲ ● IPA Active Ingredient SC1-6 Cidex 2% CF4-9 W Glutaraldehyde ● MetriWipes ● CaviWipes 7) ● Asepti-Wipes II C2-6 Asepti-Wipes W Sani-Cloth Germicidal W Super Sani-Cloth Septiwipes W Incidin Foam Sani-Cloth Active W Transeptic Spray Sani-Cloth Plus S Ster-Bac Blu Sani-Cloth HB S Cleanisept Wipes T-Spray Type Quaternary Ammonium (N-Alkyl) Names T-Spray II Disinfectants ▣ ● 5-17 5-18 Active Ingredient LA3-16AD CW2.0 DP2B CA1-7AD ● ● ● CA2-8AD ● ● ● L4-7 ◆ PE2-4 ● ● ● ● ● P3-8 ● ● ● ● ● EVN4-9 ● ● VN4-8 ● ● ● ● ● ◆ ◆ ● ◆ ◎ ◎ ▣ ▣ ▲ L5-13 ● ● ● L7-16 ● ● ● ● LA5-18B CW4.0 ▲ Glutaraldehyde IPA Quaternary Ammonium (N-Alkyl) Names T-Spray II T-Spray Sani-Cloth HB Sani-Cloth Plus Sani-Cloth Active Septiwipes Cleanisept Wipes Ster-Bac Blu Transeptic Spray Incidin Foam Super Sani-Cloth Sani-Cloth Germicidal Asepti-Wipes Asepti-Wipes II CaviWipes 7) MetriWipes Cidex 2% User Manual Disinfectants Type S S W W W W W L S S W W W W W W L ▣ ● ● ● ● ▣ Omnicide 14NS Omnicide - FG2 Nuclean Wavicide-01 3) Sekusept Extra Salvanios pH 7 Salvanios pH10 Steranios 2% Surfaces Hautes Sekusept Plus Milton Bleach 5.25% L L L L L L L L L L L L S L L L ★ ● ● ● CF4-9 ▲ ◇ SC1-6 ● ● CA1-7AD ● ● ● ● ● CA2-8AD ● ● x ● ● L4-7 ▲ ◇ L5-13 ● ● ● L7-16 ● ● ● LA3-16AD ● ● LA5-18B ● PE2-4 ● ● ● ● ● ● ● ● ● P3-8 ● ● ● ● ● ● ● ● ● EVN4-9 ● ● ● VN4-8 ● ● ● CW2.0 ★ ● CW4.0 ● DP2B ▲ ◇ ▣ ● ● ● ● ● ● Sodium Hypochlorite Nonionic surfactant Glutaraldehyde Omnicide (28) C2-6 Metricide 2), 7) Active Ingredient Cidex Plus 2), 7) Names CideⅩ OPA 2), 3), 6), 7) Type Ortho-phthalaldehyde Chapter 5 Probes Disinfectants ★ ● ● ● ● ● ● ● ● ● ▣ 5-19 5-20 Virkon Sporox Sporox II Gigasept Type L L L L Active Ingredient C2-6 x LA3-16AD VN4-8 CW2.0 EVN4-9 PE2-4 ● ● ● P3-8 ● ● ● ● ● ● ● ● ● ● x DP2B ● SC1-6 x CF4-9 L4-7 LA5-18B CA1-7AD ● ● ● ● CA2-8AD ● ● ● ● ● ● ● ● ● L5-13 ● ● L7-16 ● ● x Hibitane PeraSafe L L P x ★ ◎ ◎ ◎ x ◎ ◎ ◎ ◎ ◎ ● CW4.0 ◎ ▲ Bersteinsaure Chlorhexidine gluconate solution Peracetic Acid x ● ● ● ● Isopropyl alcohol(80%) L L L L ● x Alcohol Proteolytic Enzymes Isopropyl alcohol(70%) ● Klenzyme Alkazyme Disinfectants Cidezyme N/A Enzol Gigasept FF L Dodecylphenolethoxylate, Sodium Xylene Sulfonate Gigasept AF 3) Succindialdehyde, formaldehyde Hydrogen Peroxide Names N/A User Manual Cleaner ▲ ● ● ▲ ● Chapter 5 Probes Metrizyme McKesson Natural Image Aquasonics 100 3) GE Ultrasound Contact Gel Clear Image Kendall Scan Wavelength Sonogel Type L L L G G G G G G G G Active Ingredient Propylene Glycol PCMX (Chloroxylenol) Ammonium Chlorides Names C2-6 N/A Ethanol 75% Gel Alcohol Cleaner ● ● ● CF4-9 ● CA1-7AD ● ● ● CA2-8AD ● ● ● L4-7 ● L5-13 ● L7-16 ● ● ● ● ● ● ● ● SC1-6 LA3-16AD ● ● ● LA5-18B PE2-4 ● ● P3-8 ● ● EVN4-9 ● ● VN4-8 ● ● CW2.0 ● ● ● CW4.0 ● DP2B ● 5-21 User Manual Tips! 5-22 Symbols Legend (1) Compatible, but no EPA Registration (2) FDA 510(k) cleared (3) Has CE mark (4) Discontinued (5) Under Development (6) ANVISA Registered (7) Health Canada Approved; CaviWipes (DIN: 02242209), Cidex OPA (DIN: 02239732), Cidex Plus (DIN: 02158396), Metricide (DIN: 01963996) S Spray W Wipe L Liquid P Powder G Gel X Not compatible (DO NOT USE) ● Compatible ★ Staining may occur on housing parts; however, the acoustic performance and image quality are not affected. ■ Must not be used for longer than 5 minutes. ◐ Must not be used for longer than 10 minutes. ▲ Must not be used for longer than 15 minutes. ◆ Must not be used for longer than 20 minutes. ◇ Must not be used for longer than 25 minutes. ◎ Must not be used for longer than 30 minutes. ▣ Must not be used for longer than 50 minutes. Blank Untested (DO NOT USE) Chapter 5 Probes The following is information about the manufacturers (or Distributors) of detergents, disinfectants, and ultrasound gels. Product Manufacturer or Distributor Telephone number Aquasonics Parker Co. +1-800-631-8888(USA) Cidex CIVCO Co. +1-800-445-6741 (USA) +1-319-656-4447 (Worldwide) Enzol CIVCO Co. +1-800-445-6741(USA) +1-319-656-4447 (Worldwide) GIgasept AF S&M(Schulke&Mayr) Co. +44-114-254-3500 (UK) Gigasept FF S&M(Schulke&Mayr) Co. +44-114-254-3500 (UK) Isoproppyl alcohol (70%) Local drugstore None Klenzyme Steris Co. +1-800-548-4873(USA) Metricide CIVCO Co. +1-800-445-6741(USA) +1-319-656-4447 (Worldwide) Metrizyme Metrex Research Corp. +1-800-841-1428(USA) Milton Procter & Gamble Australia Pty. Ltd. +61-1800-028-280(Australia) Nuclean National Diagnostics Co. +1-800-526-3867(USA) +44(0)-148-264-6020(UK) Omnicide Cottrell Ltd. +1-800-843-3343(USA) Sani-cloth PDI/Nice-Pak Products Co. +1-914-365-1602(USA) Sekusept Extra Henkel Hygiene GmbH. +49-0211-797-0(Germany) Sporox II Sultan Chemist Inc. +1-800-637-8582(USA) T-Spray CIVCO Co. +1-800-445-6741(USA) +1-319-656-4447 (Worldwide) Virkon Antec International LTD. +1-403-286-1771(USA) Wavicide Wave Energy System Inc. +1-800-252-1125(USA) 5-23 User Manual Cleaning Cleaning is an important procedure that is carried out before disinfecting the probe. The probe must be cleaned after each use. CAUTION: XX Do not use a surgical brush when cleaning probes. Even the use of soft brushes can damage the probe. XX During cleaning and disinfection, keep the parts of the probe that must remain dry higher than the other parts during wetting, until all parts are dry. 1. Disconnect the probe from the system. 2. Remove any biopsy adapters or biopsy needle guides. (Biopsy adapters are re-usable and can be disinfected). 3. Remove the sheath. (Sheaths are single-use items.) 4. Wipe foreign material off the probe with a soft cloth soaked with soap or cleansing fluid. 5. To remove remaining particulates, rinse with water up to the immersion point. 6. Wipe moisture off with a dry cloth. 7. If necessary, wipe first with a water-dampened cloth to remove soap residue, and wipe again with a dry cloth. 5-24 Chapter 5 Probes Disinfecting A 10-6 reduction in pathogens should be reached following the disinfection procedures in this manual and using the following Samsung Medison recommended solutions. The disinfection method applies to the vaginal and rectal probes only. WARNING: XX If a pre-mixed solution is used, be sure to observe the solution expiration date. XX The type of tissue it will contact during use dictates the level of disinfection required for a device. Ensure that the solution strength and duration of contact are appropriate for disinfection. CAUTION: XX Using a non-recommended disinfectant or not following the recommended disinfection method can damage and/or discolor the probe. This could also void the probe warranty. XX Do not immerse probes for longer than one hour, unless they are sterilizable. XX Only use liquid solutions to sterilize probes. Avoid using autoclave, gas (EtO), or other nonSamsung Medison-approved methods. 1. Please refer to the user instructions of the disinfectant for details of proper storage, use, and disposal of the disinfectant. 2. Mix the disinfectant compatible with your probe according to label instructions for solution strength. 3. Immerse the probe into the disinfectant as shown in the illustration below. 4. Follow the instructions on the disinfectant to complete the immersion procedure of the probe, and rinse the probe afterwards. 5. Air dry the probe or towel it dry with a clean cloth. [Figure 5.1 Disinfecting a Probe] 5-25 User Manual Biopsy A biopsy is an examination method that surgically extracts tissue from the patient for examination. The probe and the biopsy kit are used together when conducting a biopsy with the ultrasonographic image scanner. The ultrasound system shows the needle, which penetrates through the skin surface and veins, along with the examination location, minimizing the risk to the patient. Biopsy Kit Components The biopsy kit consists of the adapter, needle guide and needle. The components vary depending on the probe type. Needle Needle Guide Biopsy Adapter [Figure 5.2 Biopsy Kit Components] XX Adapter: Secures the needle guide to the probe tightly. XX Needle Guide: Guides the angle (direction) of the needle so that it can reach the examination location accurately. It also secures the needle so that the needle is not loose. XX Needle: This is the needle that is inserted into the patient’s body. Biopsy kits supplied by Samsung Medison do not include needles. XX Sheath: Prevents the probe and adapter from getting soiled by any unwanted substances during the examination (blood and other bodily fluids). XX Gel: The space between the probe and the sheath is filled with the ultrasound gel to obtain images of the best quality. 5-26 Chapter 5 Probes Using the Biopsy Kit WARNING: XX Only use the needles approved by the country’s government. XX Verify the condition of the biopsy needle before use. Do not use a bent biopsy needle. XX The biopsy needle may bend during tissue penetration. The precise location of the needle must be checked by monitoring the echo generated from the needle. XX Never use the biopsy kit to biopsy prostate tissue. Preparations Before Using the Biopsy Kit Ultrasonographic scanning using the biopsy kit must be conducted by medical doctors or experienced medical staff with appropriate qualifications. Always, without fail, verify all safety procedures and disinfection. Other brands of biopsy kit may not properly fit Samsung Medison probes. Use only Samsung Medison-approved biopsy kits. Improper installation may adversely affect the patient. Inspect all components. Ensure that the biopsy kit you are using is the correct one for the probe, the system, and the system software. WARNING: XX Do not attempt to use the biopsy kit until you have read the instructions for installing the sheath and verifying alignment of the needle guide. XX Always ensure that the probe and the needle guide are secured on both the left and the right. XX Do not use in IVF, CVS, or PUBS procedures. 5-27 User Manual Biopsy Procedure The system generates a needle guideline though the displayed real-time ultrasound images to indicate the anticipated path of the needle. You can use this guideline to ensure that the needle or instrument is following the correct path. 1. Ready the patient according to the procedure appropriate for the examination objectives. 2. Install the sheath and the biopsy kit. 3. Set the system controls for the biopsy procedure. If necessary, apply acoustic gel to the patient. 4. Scan the patient. Adjust the patient so that the location for examination fits into the needle guideline on the screen. 5. Insert the needle into the needle guide. Insert the needle until it reaches the examination site. To keep the needle securely in the needle guide, press down on the top of the biopsy adapter with your index finger. 6. When the examination location is reached, take the needle out of the needle guide. 7. Detach the needle guide, adapter and sheath from the probe. 8. Discard all disposable items following use. 5-28 Chapter 5 Probes Needle Guide Alignment Alignment of the needle guide displayed on the system is for the purpose of verifying whether the needle and the needle guide are properly installed. This must be done prior to the biopsy examination. If the needle fails to follow the accurate path while verifying the alignment of needle guide, stop using the product and contact the Samsung Medison Customer Support Department. Reverberation or other tissue artifacts may produce false needle images, which can cause confusion. Ensure that the needle path is along the guideline, and that you are not using a false needle image to locate the needle. WARNING: XX The needle used for this alignment verification must not be used for the actual procedure. Always use a new, sterile needle for each biopsy procedure. XX To assist in accurate projection of the needle, use a straight, new needle for each alignment procedure. 1. Attach the biopsy kit. 2. Set the system depth for the procedure to be performed and select the Biopsy menu. 3. Immerse the probe into the water bath, and insert the needle into the needle guide. 4. Confirm that the needle image is on the needle guidelines. If so, the needle guide is properly aligned. 5. If the needle image is out of the needle guideline, check the needle guide or the probe adapter. 5-29 User Manual Assembling the Biopsy Kit Disposable Biopsy KIT 1. Place a sheath up to the top of the probe’s handle. 2. Mount the biopsy adapter onto the probe. If the surface of probe is fluted, mount the adapter in accordance with it. 3. Insert the needle into the needle guide and start the exam. 5-30 Chapter 5 Probes Reusable Biopsy KIT 1. Mount the adapter on the probe. 2. Cover the adaptor and probe completely with the sheath. 3. Install the needle guide onto the adapter. 5-31 User Manual 4. Installing the Needle Guide Clip if it is included in the components. 5. Insert the needle into the needle guide and start the exam. Tips! 5-32 Using Multi Angle Use the angle adjuster. Chapter 5 Probes Biopsy Kit Specifications Biopsy Probe Model C2-6 BP-KIT-009 CA1-7AD BP-KIT-058 CA2-8AD BP-KIT-054 SC1-6 BP-KIT-052 L4-7 BP-KIT-043 L5-13 L7-16 BP-KIT-012 LA3-16AD BP-KIT-055 LA5-18B BP-KIT-040-1 EVN4-9 VN4-8 Component Biopsy Adapter Needle Guide Biopsy Adapter Needle Guide Biopsy Adapter Needle Guide Biopsy Adapter Needle Guide Biopsy Adapter Needle Guide Biopsy Adapter Needle Guide Biopsy Adapter Needle Guide Biopsy Adapter Material of adapter Acetal Copolymer Acetal Copolymer Acetal Copolymer Acetal Copolymer Acetal Copolymer Acetal Copolymer Acetal Copolymer Reusable / Disposable Reusable Disposable Reusable Disposable Reusable Disposable Reusable Disposable Reusable Disposable Reusable Disposable Reusable Disposable Reusable Needle Gauge Multi Angle Depth 14, 15, 16, 17, 18, 20, 21, 22, 23G, 8.5FR NA 14, 16, 18, 20, 22, 25G 1.969, 3.937, 5.906, 7.874 (in) 16, 18, 22, 25G 2.362, 3.150, 3.937 (in) 16, 18, 22, 25G 1.575, 2.362, 3.150 (in) 14, 15, 16, 17, 18, 20, 21, 22, 23G, 8.5FR 0.591, 0.984, 1.575 (in) 14, 15, 16, 17, 18, 20, 21, 22, 23G, 8.5FR 1.5, 2.5, 4 (cm) 16, 18, 20, 22G 0.591, 0.984, 1.575 (in) 16, 18, 22G 0.984 (in) Needle Guide Acetal Copolymer Disposable BP-KIT-024 Needle guide Stainless Reusable 16G NA BP-KIT-046 Needle guide LEXAN Disposable 16G NA 20, 21, 22, 25G 1.181, 1.969, 3.150, 3.937, 4.724 (in) BP-KIT-049 Biopsy Adapter Needle guide Acetal Copolymer Reusable Disposable 5-33 User Manual Cleaning and Disinfecting the Biopsy Kit Wash and disinfect the biopsy kit to reduce pathogens to the level of 10-6. Some components of the biopsy kit may be disposable. Please read the biopsy kit user manual carefully before use. WARNING: Always use protective eyewear and gloves when cleaning and disinfecting biopsy kit. Cleaning and Disinfection of Stainless Steel Biopsy Kit Cleaning 1. After use, remove the biopsy kit from the probe. 2. Disassemble the biopsy kit into its component parts, if applicable. 3. Using a small brush and water, scrub each part to remove trapped material from the biopsy kit. 4. Rinse with water to remove remaining particulates. Disinfecting 1. Disinfect the adapter by autoclaving (Steam) or using gas (Ethylene Oxide). 2. After disinfection, follow the proper post-disinfection procedure for the disinfection method used. (Please refer to the disinfection user manual, etc.) 3. Inspect the components for damage such as cracks, rust or breakage. If damage is discovered, contact Samsung Medison’s service department. 5-34 Chapter 5 Probes Cleaning and Disinfecting of Plastic Biopsy Kit Cleaning 1. After use, remove the biopsy kit from the probe. 2. Disassemble the biopsy kit into its component parts, if applicable. Discard the single-use parts. These parts cannot be disinfected. 3. Using a small brush and water, scrub each part to remove trapped material from the reusable components. 4. Rinse with water to remove remaining particulates. Disinfecting CAUTION: Plastic biopsy kits can only be disinfected by using a chemically compatible colddisinfectant. Disinfection by autoclaving, or by using gas or radiation, will cause damage to these parts. Please refer to the user instructions of the disinfectant for details of proper storage, use, and disposal of the disinfectant. 1. Check the disinfection duration (generally 10 hours) and temperature of the disinfectant. 2. After disinfection, follow the proper post-disinfection procedure for the disinfection method used. 3. Inspect the components for damage such as cracks, rust or breakage. If damage is discovered, contact Samsung Medison’s service department. Sterilization CAUTION: XX If the material of the biopsy needle guide is plastic, only single use is possible. XX Do not gas sterilize or autoclave biopsy adapter. Plastic biopsy adapter is reusable. Refer to the user instructions of the biopsy kit for details of sterilization. 5-35 SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEM HM70A User Manual Volume 2 SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEM Version 1.01 HM70A User Manual English MI68-03033A Table of Contents Table of Contents – Volume 2 Chapter 6 Starting Diagnosis System Power.............................................................................................................................. 6-3 AC Adapter Connection.................................................................................................................................................... 6-3 Turning the Power On ...................................................................................................................................................... 6-3 Shutting Down the System............................................................................................................................................. 6-4 Monitor and Audio .................................................................................................................... 6-5 Monitor Brightness Adjustment.................................................................................................................................... 6-5 Adjusting Audio Volume.................................................................................................................................................. 6-5 Probes and Applications .......................................................................................................... 6-6 Probe Connection............................................................................................................................................................... 6-7 Application Selection........................................................................................................................................................ 6-7 Changing Probe Preset..................................................................................................................................................... 6-7 Patient Information.................................................................................................................... 6-9 Basic Patient Information Entry..................................................................................................................................... 6-9 Patient Information for Each Application................................................................................................................6-11 Searching Patient Information.....................................................................................................................................6-18 Managing Patient Exams...............................................................................................................................................6-21 Changing Measurements..............................................................................................................................................6-28 Sleep Mode................................................................................................................................ 6-31 5 User Manual Chapter 7 Diagnosis Mode Information.................................................................................................................................. 7-3 Types of Diagnosis Modes............................................................................................................................................... 7-3 Basic Operating Instructions.......................................................................................................................................... 7-4 Basic Mode................................................................................................................................... 7-6 2D Mode................................................................................................................................................................................. 7-6 M Mode.................................................................................................................................................................................7-14 Color Doppler Mode........................................................................................................................................................7-17 Power Doppler Mode......................................................................................................................................................7-21 PW Spectral Doppler Mode...........................................................................................................................................7-23 CW Spectral Doppler Mode .........................................................................................................................................7-28 TDI Mode..............................................................................................................................................................................7-30 TDW Mode...........................................................................................................................................................................7-31 ElastoScan Mode...............................................................................................................................................................7-32 Combined Mode....................................................................................................................... 7-37 2D/C/PW Mode..................................................................................................................................................................7-37 2D/PD/PW Mode...............................................................................................................................................................7-37 2D/C/CW Mode..................................................................................................................................................................7-37 2D/PD/CW Mode...............................................................................................................................................................7-37 2D/C/M Mode.....................................................................................................................................................................7-38 Dual Live Mode..................................................................................................................................................................7-38 2D/TDI/TDW Mode...........................................................................................................................................................7-38 Dual Mode.................................................................................................................................. 7-40 Quad Mode................................................................................................................................ 7-41 3D/4D Mode............................................................................................................................... 7-42 3D Stand By.........................................................................................................................................................................7-43 3D View-MPR.......................................................................................................................................................................7-46 VOCAL...................................................................................................................................................................................7-64 3D XI.......................................................................................................................................................................................7-71 XI VOCAL...............................................................................................................................................................................7-80 4D............................................................................................................................................................................................7-85 XI STIC....................................................................................................................................................................................7-87 6 Table of Contents Chapter 8 Measurements and Calculations Measurement Accuracy............................................................................................................. 8-3 Causes of Measurement Errors...................................................................................................................................... 8-3 Optimization of Measurement Accuracy................................................................................................................... 8-5 Measurement Accuracy Table........................................................................................................................................ 8-7 Basic Measurements.................................................................................................................. 8-8 Distance Measurement...................................................................................................................................................8-10 Circumference and Area Measurement...................................................................................................................8-15 Volume measurement.....................................................................................................................................................8-17 Calculations by Application ................................................................................................... 8-20 Things to Note....................................................................................................................................................................8-20 Common Measurement Methods .............................................................................................................................8-24 OB Calculations..................................................................................................................................................................8-29 Gynecology Calculations ..............................................................................................................................................8-36 Cardiac Calculations.........................................................................................................................................................8-39 Carotid Calculations.........................................................................................................................................................8-53 Upper Extremity (UE) Artery Calculations ..............................................................................................................8-59 Lower Extremity (LE) Artery Calculations................................................................................................................8-60 Upper Extremity (UE) Vein Calculations ..................................................................................................................8-61 Lower Extremity (LE) Vein Calculation......................................................................................................................8-63 Fetal Echo Calculations...................................................................................................................................................8-65 Urology Calculations........................................................................................................................................................8-68 Abdomen Calculations...................................................................................................................................................8-71 Small Parts Calculations..................................................................................................................................................8-72 TCD Calculations...............................................................................................................................................................8-77 Pediatric Hips Calculations............................................................................................................................................8-78 MSK Measurement (Musculoskeletal Calculations).............................................................................................8-79 Report......................................................................................................................................... 8-81 Viewing Reports ...............................................................................................................................................................8-81 Editing Report....................................................................................................................................................................8-82 Fetal Description...............................................................................................................................................................8-84 Adding Comments...........................................................................................................................................................8-85 Printing Reports.................................................................................................................................................................8-86 Saving Reports...................................................................................................................................................................8-86 Transferring Report..........................................................................................................................................................8-87 Graphs...................................................................................................................................................................................8-87 Closing Report....................................................................................................................................................................8-92 7 User Manual Chapter 9 Image Management Cine / Loop................................................................................................................................... 9-3 Annotating Images..................................................................................................................... 9-6 Text........................................................................................................................................................................................... 9-6 BodyMarker........................................................................................................................................................................... 9-9 Arrow.....................................................................................................................................................................................9-11 Saving, Playing and Transferring Images...........................................................................................9-12 Saving Images....................................................................................................................................................................9-12 Playing Images...................................................................................................................................................................9-13 Transferring Images.........................................................................................................................................................9-14 Printing and Recording Images............................................................................................. 9-15 Printing Images..................................................................................................................................................................9-15 Recording Images.............................................................................................................................................................9-15 SonoView.................................................................................................................................... 9-16 Exam Mode..........................................................................................................................................................................9-17 Compare Mode..................................................................................................................................................................9-19 Managing Exam Images ................................................................................................................................................9-20 **Reference Manual A Reference Manual (English) is supplied with this product. 8 Chapter 6 Starting Diagnosis System Power....................................................6-3 AC Adapter Connection.........................................................6-3 Turning the Power On ...........................................................6-3 Shutting Down the System...................................................6-4 Monitor and Audio ...........................................6-5 Monitor Brightness Adjustment.........................................6-5 Adjusting Audio Volume........................................................6-5 Probes and Applications .................................6-6 Probe Connection....................................................................6-7 Application Selection..............................................................6-7 Changing Probe Preset...........................................................6-7 Patient Information..........................................6-9 Basic Patient Information Entry..........................................6-9 Patient Information for Each Application......................6-11 Searching Patient Information..........................................6-18 Managing Patient Exams.....................................................6-21 Changing Measurements....................................................6-28 Sleep Mode..................................................... 6-31 Chapter 6 Starting Diagnosis System Power Boot up the system for use. CAUTION: Make sure to connect the probes and peripheral devices that will be used before powering on the system. If you attempt to connect them during system use, it may lead to patient injury or irreparable damage to the console. NOTE: Samsung Medison recommends that you use an AC power source whenever possible. AC Adapter Connection Use the power port located on the rear of the product. Connecting the AC adapter automatically begins to recharge the battery pack. WARNING: Before connecting the AC adapter, make sure it’s the right way up. Forcing the adapter into the product in the wrong way can damage the product. NOTE: XX Do not connect the AC adapter while using the Battery Pack and the extended battery as a power source. XX For more information on replacing and maintaining the Battery Pack and the extended battery, refer to ‘Chapter 4. Maintenance and Storage’. Turning the Power On Press the On/Off button when the power is off. Booting begins, and the product logo appears on the screen. When booting is completed, the 2D mode screen appears in End Exam status. CAUTION: Before starting the diagnosis, you must register the patient information. 6-3 User Manual Shutting Down the System Press the On/Off button while using the system to initiate shutdown. You can use Show Selection Dialog, Shutdown, or Sleep functions by pressing the On/Off button for less than 4 seconds depending on the settings in Setup > Power > Power Button Setting. CAUTION: Holding down the On/Off button for four seconds or longer forces the product to power off, and might cause hard disk damage. NOTE: XX Do not press keyboard keys or buttons while booting is in progress. Doing so may cause the system to malfunction. XX If you turn on the power after a forced shutdown, the system might turn on and then immediately turn off. This is a characteristic of the Intel® PC main board, and not a system error. XX Disconnect the AC adapter mains plug from the outlet to ensure the system is disconnected from the power source. 6-4 Chapter 6 Starting Diagnosis Monitor and Audio You can adjust monitor and audio settings while performing a diagnosis. Monitor Brightness Adjustment Use the up and down arrows on the keyboard. Press to decrease brightness and to increase it. Adjusting Audio Volume Use the left and right arrows on the keyboard. Press to increase volume and to decrease it. These controls are used to adjust the Doppler sound level while in Spectral Doppler Mode. NOTE: For information on miscellaneous settings, refer to ‘Chapter 3. Utilities’. 6-5 User Manual Probes and Applications Before scanning, you need to select a probe and an application. NOTE: Refer to ‘Chapter 5. Probes’ for more information on probes and applications supported by the system. 1 2 3 4 [Figure 6.1 Probe Selection] Probe Selection Screen Press the Probe button on the control panel to load the Probe Selection screen. From this screen, you can select an application and change the probe settings. The Probe Selection screen consists of the following: 1Probe list: Displays a list of probes currently connected to the system. 2Application list: Displays a list of applications the selected probe supports. 3Preset list: Display a list of presets the selected application supports. 4Userset list: Displays a list of presets you can configure according to your preferences. 6-6 Chapter 6 Starting Diagnosis Probe Connection Be sure to connect or disconnect probes when the power is off to ensure the safety of the system and the probes. 1. Lower the probe’s lockdown switch and disconnect the probe. 2. Connect the probe to the probe port. 3. Lift the probe’s lockdown switch to lock it in place. NOTE: Debris trapped between the probe and the port can cause connection problems. If you experience a connection problem, attempt to remove any debris and try again. Application Selection Select an application from the Probe Selection screen’s application list. 1. Use the trackball and the Set button to select an application. 2. Click OK at the bottom of the screen. Click Cancel to cancel. Changing Probe Preset Change the probe preset from the Probe Selection screen’s preset or userset list. The optimal preset for the probe and the selected application is loaded by default. However, the user can choose to change the preset. Creating a Userset 1. Click Add on the screen to create a Userset. 2. The Name window is then shown on the monitor. 3. Enter the name you want to use and click OK. Click Cancel to cancel. 6-7 User Manual Overwriting a Userset You can save the current probe settings to the selected Userset. 1. Click Overwrite on the screen. 2. Click OK at the bottom of the screen again to complete the deletion. Renaming a Userset NOTE: You cannot rename Usersets that are currently in use. 1. Click User Rename on the screen. 2. The Rename window will be displayed. Change a Userset name using this screen. You cannot change an application shown with the Userset name. 3. Change the name and click OK. Click Cancel to cancel. 4. Click OK at the bottom of the screen again to complete the deletion. Deleting a Userset NOTE: You cannot delete Usersets that are currently in use. 1. After selecting the Userset to delete, select and click Delete on the screen. 2. Click OK at the bottom of the screen again to complete the deletion. 6-8 Chapter 6 Starting Diagnosis Patient Information Press the Patient key on the control panel and the Patient Information screen will appear. In this screen, you can enter, search, or change patient information. Patient information includes basic information such as the patient ID, name, DOB, and gender, together with additional information for applications. NOTE: The ID and name fields are required. Basic Patient Information Entry You may enter or change basic patient information at the top of the Patient Information screen. Use the trackball and the Set button to select the desired field. ID Enter a patient ID. XX To enter a patient ID manually, type the appropriate ID into the ID field. XX To enter a patient ID automatically, select Auto ID Creation and click New. The icon is changed to . Name Enter the patient’s full name. The name that you have entered will appear in the title area and reports. XX Last (Family): Enter the patient’s last name. XX First (Given): Enter the patient’s first name. XX Middle: Enter the patient’s middle names if they have any. 6-9 User Manual Accession When viewing the worklist for a patient via the DICOM server, this information is automatically displayed in the appropriate fields. Date of Birth Enter the patient’s date of birth in the specified format. Age Enter the patient’s age in “yy-mm” format. When a birth date is specified in the Birth field, this information is automatically calculated and displayed. Gender Select the patient’s gender. [Figure 6.2 General Patient Information] 6-10 Chapter 6 Starting Diagnosis Patient Information for Each Application You can add or change application-specific patient information. 1. In the Patient Information screen, click the Study Information tab. 2. Select an application under Category. 3. Enter additional information required for diagnosis. To delete all past measurement values, click Clear Measure on the screen. General In Category, select General. Enter additional information. The items in General are also included in the patient information screen for other applications. Height Enter the patient’s height. Height can be specified in inches (in.) or centimeters (cm). Tap on the Unit button to change units. When the unit is changed, the entered number is automatically recalculated and displayed in the new unit of measurement. Weight Enter the patient’s weight. Supported units are ounces (oz), pounds (lb), and kilograms (Kg). Click the corresponding unit button to change the unit of measurement. BSA When the height and weight are entered, the BSA (Body Surface Area) is automatically calculated and displayed. HR Enter a heart rate. Diag. Physician Enter the name of the physician who diagnosed the patient. When there is more than one physician involved, you can use the combo button to make a selection. 6-11 User Manual Ref. Physician Enter the referring physician’s name. When there is more than one physician involved, you can use the combo button to make a selection. Sonographer Enter the name of the sonographer who scanned the patient. When there is more than one sonographer involved, you can use the combo button to make a selection. Description Enter a description of the diagnosis. If a description is entered, it can be searched for and viewed under Description in SonoView. [Figure 6.3 Patient Information – General] 6-12 Chapter 6 Starting Diagnosis OB Select OB under Category. Enter the additional obstetrical information. LMP Enter the last menstrual period for a patient. You can enter it manually or have it automatically calculated and displayed with the GA entered. Ovul. Date Enter the expected ovulation date in accordance with the entry format. LMP, GA, and EDD will be automatically calculated and displayed. Tips! Ovul. Calculating LMP and EDD (LMP) with Ovul. Date The following formulae are used: XX LMP = Ovul. Date - 14 XX EDD = (280 -14) + Ovul. Date NOTE: Values that have been calculated and entered cannot be changed. GA (LMP) Indicates the gestational age of a patient. You can enter it manually or have it automatically calculated and displayed with the LMP entered. EDD (LMP) With the LMP or GA entered, EDD (expected date of delivery) is calculated and displayed. Tips! Calculating EDD (LMP) EDD can be calculated by entering LMP or GA. XX When LMP is entered: GA and EDD are automatically calculated and displayed on the screen. XX When GA is entered: LMP and EDD are automatically calculated and displayed on the screen. Estab. Due Date Enter the established due date using the proper format. Once the expected delivery date is entered, LMP, GA (LMP), and EDD (LMP) are automatically calculated and displayed. 6-13 User Manual Number of Fetuses Enter the number of fetuses. Up to four may be entered. Day of Cycle Enter a menstrual period in number of days (dd). Ectopic Enter the number of ectopic pregnancies. Gravida Enter the number of pregnancies. Aborta Enter the number of miscarriages. Para Enter the number of deliveries. New Pregnancy Deletes the patient’s existing OB information. Gynecology In Category, select Gynecology. NOTE: XX In the GYN information input screen, even if Ovul. Date is entered, LMP and EDD will not be calculated automatically. XX For other gynecological information, refer to the OB section. 6-14 Chapter 6 Starting Diagnosis Adult Echo In Category, select Adult Echo. Enter additional information for Cardiac. BP Enter systolic/diastolic pressure (Blood Pressure). Additional Information Select the applicable check boxes. Smoker Hypertension Angina Hyperlipidemia Surgery History Heart Failure Coronary Heart Disease Diabetes Jugular Venous Distension Family History Myocardial Infarction Murmur Rheumatic Heart Disease Dyspnea Congenital Heart Disease Syncope Heart Valve Disease Arrhythmia Angina : Angina pectoris Heart Valve Disease : Valvular heart disease Syncope : Fainting XX Bioprosthetic: Bioprosthetic valve XX Mechanical: Artificial heart XX Repair: Valve reconstruction 6-15 User Manual Ped Echo In Category, select Ped Echo. Enter pediatric cardiac information. Additional Information Select the applicable check boxes. Murmur Pacemaker Fever ASD Fainting TOF Dextrocardia TGA VSD Palpitation COA Paroxysm AS Cardiomegaly Dyspnea Family History Cyanosis PDA Chest Pain PS VSD : Ventricular Septal Defect COA : Coarctation of the Aorta AS : Aortic Stenosis ASD : Atrial Septal Defect TOF : Tetralogy of Fallot TGA : Transposition of the Great Arteries Fetal Heart In Category, select Fetal Heart. Enter fetal heart-related information. Vascular In Category, select Vascular. Enter vascular information. Additional Information Select the applicable check boxes. 6-16 Smoker Headache Hyperlipidemia Peripheral Neuropathy Dizziness Diabetes Chapter 6 Starting Diagnosis Stroke Surgery History Hypertension Migraine Family History TCD In Category, select TCD. Enter additional information for Transcranial Doppler (TCD). Additional Information Select the applicable check boxes. Smoker Headache Family History Dysphagia Migraine Numbness Dysarthria TIA Stroke Diabetes Peripheral Neuropathy Vertigo Paralysis Diplopia Hypertension Tinnitus Dizziness XX Monoplegia: Paralysis of a single limb XX Hemiplegia: Total paralysis on one side of the body XX Paraplegia: Paralysis of lower extremities Urology In Category, select Urology. Enter additional information for Urology. PSA Enter the Prostate Specific Antigen (PSA) value. 6-17 User Manual Searching Patient Information In the Patient Information screen, select the Search and Worklist tabs. You can search for patient information by using the following two methods: Search Search through the information stored in the system. 1. In Search, select a search condition. XX Select ID To search by patient ID, or select a patient’s name under Name to search by name. 2. Enter the ID or name in the search field and click Search. The list of patients who match the criteria will be displayed. Tips! XX To display a list of all the patients that are available in the system, click Search All. XX Clicking items such as ID or Name sorts entries in alphabetical or numerical order for the selected criteria. 3. Select the patient list you want to use and click the Apply button. This applies the selected patient information to the system. XX To delete the ID and all other information for the selected patient, click Delete. XX To select all patients in the list, click Select All. XX To deselect all patients in the list, click De-select All. WARNING: If a patient ID is deleted, all related patient data and images stored in SonoView are also erased. 6-18 Chapter 6 Starting Diagnosis [Figure 6.4 Search] Worklist Search Perform a search by connecting to the DICOM Modality Worklist server in the hospital network. NOTE: A worklist search is available only when DICOM is enabled. The Worklist Server can be specified at Utility > Setup > DICOM. Refer to the DICOM settings in ‘Chapter 3. Utilities’. 1. Select Worklist. 2. After entering at least one item out of Patient ID, Last Name, Accession # (work list number) and Procedure ID, click Search. The list of patients who match the criteria will be displayed. Tips! Clicking items such as Date/Time or Patient Name sorts entries into alphabetical or numerical order for the selected criteria. 3. Select the patient list you want to use and click the Apply button. This applies the selected patient information to the system. 6-19 User Manual [Figure 6.5 Worklist] 6-20 Chapter 6 Starting Diagnosis Managing Patient Exams A list of exams performed on the patient whose ID was entered under Search is displayed. NOTE: The exam list is only displayed after a patient information search has been performed and the patient information has been loaded onto the system. In addition to patient ID, name, age, and gender, the exam list contains the following information: XX Exam Date: The date of the exam. XX Images: Number of images on record. XX Measure: Measurement status. XX SR: Structured report status. XX SE: Stress echo exam status. XX SC: Exam transfer status (Storage Commit). XX Lock status: Lock status. Tips! Clicking items such as Patient ID or Name sorts entries into alphabetical or numerical order for the selected criteria. Executing Exam Select an exam, and then click Review Exam or Continue Exam on the screen. For an exam currently being executed, the button is displayed as Current Exam, and disabled. NOTE: If the selected exam has been executed in the past 24 hours, the button in the lower left corner is displayed as Continue Exam. If the exam was executed earlier than this, the button is displayed as Review Exam. 6-21 User Manual Continue Exam In addition to using the Resume Exam function, you can update the current scan with a previously executed exam. The selected exam appears on the screen and scanning is available. The date when the exam was resumed (Exam Resumed) is displayed in the feedback area. Double-clicking a stored image in the thumbnail area on the right side of the screen retrieves the image and displays the stored image information. In the retrieved exam screen, you can perform measurements or enter text, BodyMarkers or indicators. Review Exam The selected exam appears on the screen. Double-clicking a stored image in the thumbnail area on the right side of the screen retrieves the image and displays the date when the exam was last reviewed (Exam Reviewed) and the stored image information. In the retrieved exam screen, you can perform measurements or enter text, BodyMarkers, or indicators. Viewing Exam Select an Exam and click SonoView on the screen. The screen will switch to the SonoView screen. NOTE: For instructions on using SonoView, refer to 'Chapter 9. Image Management’. Deleting Exam After selecting an exam, click Delete on the screen. All images from the exam will be deleted. However, an exam in progress or a locked exam cannot be deleted. NOTE: Once deleted, exams cannot be recovered. Tips! 6-22 To select more than one Exam, press the Set button while holding down the Ctrl key on the keyboard. Chapter 6 Starting Diagnosis Sending Exams via DICOM NOTE: Before using this feature, make sure that DICOM is properly configured. For instructions on configuring DICOM, refer to the DICOM settings in ‘Chapter 3. Utilities’. Perform the following steps to send the selected exam via DICOM: 1. Select exam(s) and then click Send on the screen. The DICOM Storage window will appear. Tips! To select more than one Exam, press the Set button while holding down the Ctrl key on the keyboard. 2. Select an image or report to send. You can select images under Storage Image, and reports under Storage SR. 3. Click Transfer. The transfer will be started and its progress (%) will be displayed. Click Close to cancel. XX Click Test to check the DICOM’s connection with the server. [Figure 6.6 DICOM Storage] 6-23 User Manual Printing Exams via DICOM NOTE: Before using this feature, make sure that DICOM is properly configured. For instructions on configuring DICOM, refer to the DICOM settings in ‘Chapter 3. Utilities’. [Figure 6.7 DICOM Printer] Perform the following steps to print the selected exam via DICOM: 1. After selecting an exam, click Print on the screen. The DICOM Printer window will be displayed. Tips! To select more than one Exam, press the Set button while holding down the Ctrl key on the keyboard. 2. Click Transfer. The transfer will be started and its progress (%) will be displayed. Click Close to cancel. XX Click Test to check the DICOM’s connection with the server. 6-24 Chapter 6 Starting Diagnosis Exam Export Save the Exam selected in the order shown below to external storage media. NOTE: The system only supports USB storage devices. 1. After selecting an exam, click Export on the screen. The Image Export window will be displayed. Tips! To select more than one Exam, press the Set button while holding down the Ctrl key on the keyboard. 2. In Drive, select the device on which the exam will be saved. 3. In File Name, enter the file name. The same file name is given to all images of an exam. When an exam contains multiple images, a serial number is automatically added to the end of the file name. 4. In File Format, select the format in which the files will be saved. You may select BMP, JPEG (Lossy), TIFF, or DICOM. 5. In Export Option, select the options to apply to the files. You can select multiple options. XX 3D Volume Data: Export the 3D volume data together with the image. XX 2D cine: Export the stored Cine images after converting them to video files (AVI files). XX 3D and Live Cine: Export 3D Cine and Live Cine images after converting them to video files (AVI files). XX Hide Patient information: Export images from which the patient ID and name have been deleted. 6. In Directory, select the location where you want to save the exam. To create a new directory, click and enter the name. To delete a directory, click . In Files, the files currently saved in the selected directory are displayed. 6-25 User Manual 7. Click Export to begin exporting. Click Close to cancel. [Figure 6.8 Image Export] 6-26 Chapter 6 Starting Diagnosis Exam Backup You can back up the selected exams on an external storage device. NOTE: The system supports USB and DVD storage devices. 1. Connect the storage device that you want to use to back up the data. 2. Select exam(s) and then click Backup on the screen. Tips! To select more than one Exam, press the Set button while holding down the Ctrl key on the keyboard. 3. A Confirmation window will appear asking whether to continue the backup. Click Yes to continue. Click No to cancel. 4. The Backup window will appear. Under Drive, select the media where the selected exams will be saved. 5. Click OK to start the backup. Click Cancel to cancel. [Figure 6.9 Exam Backup] 6-27 User Manual Changing Measurements In the Patient Information screen, press the Measure Data tab. Use Measure Data to enter a patient’s OB measurements or review entered measurements. NOTE: XX Appears only when a patient ID has been selected. XX If obstetrics data has been changed by using New Pregnancy in Patient Information > Study Information > OB, enter LMP as a piece of obstetrics data before changing measurement data. View Screen Click View on the screen to display the ‘View’ screen. You can view the measurements entered or save them in an Excel file. The * symbol next to the Exam Date indicates that the data is the current measurement data. Package Select a measurement package to display on the screen. Refresh Update the measurements. Newly calculated measurements, or the measurements entered, are added. Save The Save To Excel window appears, allowing you to save information on the screen to an Excel file. The Excel file will be assigned the ID of the measurement data as a filename. After specifying the target path and filename, click Save to save the information. Click Close to cancel. NOTE: Checking the HTML checkbox saves information as an HTML file instead of an Excel file. Insert Switch to the Insert screen. 6-28 Chapter 6 Starting Diagnosis [Figure 6.10 Measure Data – View] Insert Screen Click Insert on the screen to display the ‘Insert’ screen. You can enter the existing obstetrical measurements. Exam. Date Enter the measurement date. NOTE: If OB data has been changed by using New Pregnancy, you can only enter a date between the newly entered LMP and yesterday. Fetus If there are multiple fetuses, identify each one. Up to four fetuses (A, B, C, D) can be specified. 6-29 User Manual Unit Display unit. New Data Delete all measurement data entered for all exams and enter new measurement data. Clear Cancel entering the measurement data. Insert Complete entering the measurement data. Page Browse Use << or >>. View Switch to the View screen. [Figure 6.11 Measure Data – Insert] 6-30 Chapter 6 Starting Diagnosis Sleep Mode You may put the system into Sleep mode, so that it boots faster when you start the system. Sleep mode cannot be used during initial booting. NOTE: XX You need to select Sleep in Setup > Power > Lid Setting to use this feature. XX Ensure that the battery is sufficiently charged to prevent the system from running out of power and turning off. 6-31 Chapter 7 Diagnosis Mode Information.......................................................7-3 Types of Diagnosis Modes....................................................7-3 Basic Operating Instructions................................................7-4 Basic Mode.........................................................7-6 2D Mode......................................................................................7-6 M Mode......................................................................................7-14 Color Doppler Mode.............................................................7-17 Power Doppler Mode............................................................7-21 PW Spectral Doppler Mode................................................7-23 CW Spectral Doppler Mode ...............................................7-28 TDI Mode...................................................................................7-30 TDW Mode................................................................................7-31 ElastoScan Mode....................................................................7-32 Combined Mode............................................. 7-37 2D/C/PW Mode.......................................................................7-37 2D/PD/PW Mode....................................................................7-37 2D/C/CW Mode.......................................................................7-37 2D/PD/CW Mode....................................................................7-37 2D/C/M Mode..........................................................................7-38 Dual Live Mode.......................................................................7-38 2D/TDI/TDW Mode................................................................7-38 Dual Mode...................................................... 7-40 Chapter 7 Quad Mode..................................................... 7-41 3D/4D Mode................................................... 7-42 3D Stand By..............................................................................7-43 3D View-MPR............................................................................7-46 VOCAL.........................................................................................7-64 3D XI............................................................................................7-71 XI VOCAL....................................................................................7-80 4D.................................................................................................7-85 XI STIC.........................................................................................7-87 Chapter 7 Diagnosis Mode Information Types of Diagnosis Modes Basic, Combined, Dual, Quad, and 3D/4D modes are available. Basic Mode: Consists of different modes, each of which has a specific usage and function. Includes 2D mode. Combined Mode: Provides two or three Basic modes for a single image at the same time. Includes 2D mode. Dual Mode: Splits the screen into two, allowing you to view two images at the same time. Since each sub screen can display a different image, it can be a very useful feature, allowing multilateral views of an organ. Quad Mode: Splits the screen into four, allowing you to view four images at the same time. 3D/4D Mode: Provides 3D stereographic images. The types of diagnosis mode that are available with the product are shown below: Mode Type Basic Mode 2D Mode Color Doppler Mode Power Doppler Mode M Mode PW Spectral Doppler Mode CW Spectral Doppler Mode TDI (Tissue Doppler Imaging) Mode TDW (Tissue Doppler Wave) Mode ElastoScan Mode Combined Mode 2D/C/PW Mode 2D/PD/PW Mode 2D/C/CW Mode 2D/PD/CW Mode 2D/C/M Mode 2D/TDI/TDW Mode 2D/E Mode Dual Live Mode Dual Mode Dual Mode, Quad Mode 3D/4D Mode 3D Mode 4D Mode 7-3 User Manual NOTE: The functionalities for each mode may be restricted by the selected probe. Basic Operating Instructions The items that are commonly used in each diagnosis mode are shown below: Using the Control Panel The items that can be used in each diagnosis mode are provided as menu items. You can change the image format or optimize an image to facilitate your diagnosis. Q Scan / Gain XX Q Scan: Pressing the relevant dial-button enables Quick Scan. The ‘Q Scan’ mark will appear at the top of an image. In 2D Mode, it is used to optimize the contrast and brightness of an image by adjusting Gain and TGC automatically. In PW Spectral Doppler Mode, it is used to optimize the spectrum by adjusting Scale and Baseline automatically. NOTE: The Quick Scan function is only available with specific probes and applications. XX Gain: Rotate this dial-button to adjust Gain. The Gain button appears differently depending on the diagnosis mode, but it is usually in the form of a dial-button used to select a diagnosis mode. You can adjust the brightness of an image. If you rotate the Gain dial-button clockwise, its value increases. Angle NOTE: Available in 2D mode and Spectral Doppler mode only. Rotating the dial in Spectral Doppler mode adjusts the angle of the sample volume in 1° increments. In 2D mode, rotating the dial scrolls the image left and right if Scan Area is not at 100%. 7-4 Chapter 7 Diagnosis Mode TGC (Time Gain Compensation) Use the TGC sliders on the control panel. In general, ultrasound penetration gets weaker with depth. TGC can be used to compensate for this effect. The product provides eight TGC sliders for varying depths, allowing you to adjust Gain by area. Among the eight sliders, the top slider represents the shallowest area, while the lower sliders represent the deeper ones. Move the slider to the right (+) to increase Gain, brightening the image. Depth Use the Depth button on the control panel to adjust the scanning depth of an image. Pressing the top part of the button decreases the depth and the bottom part of the button increases the depth. The allowable range for adjustment varies depending on the probe type. Focus Use the Focus button on the control panel You can adjust the focus point. Pressing the top part of the button brings the focus point up. Zoom Used to zoom in on or out from the image. Usage instructions are as follows: 1. Rotate the Zoom dial-button on the control panel. Rotating the dial to the right enlarges the image, while rotating to the left shrinks the image. The current position of the zoom box is shown in the zoom navigation box, which is located on the left side of the screen. 2. Reposition the zoom box with the trackball. Examine the image in its zoomed in/out state. Continuing to press the appropriate part of the button zooms in on or out from the image even further. Using the Soft Menu The Soft Menu consists of the most commonly used options and functions for each diagnosis mode. These options and functions can be selected and executed by using the corresponding Soft Menu dial-buttons. If the Soft Menu spans over more than a single page, press the Next and Prev. buttons on the control panel to change pages. 7-5 User Manual Basic Mode 2D Mode This basic mode, also referred to as B Mode (Brightness mode), provides scan planes of organs. This is used to display two-dimensional anatomy images in the direction of scanning in real time. [Figure 7.1 2D Mode] Entering 2D Mode Press the 2D button on the control panel. If you press the 2D button in other diagnosis modes, it will switch to the basic 2D Mode. NOTE: Because 2D Mode is applied by default for all diagnosis modes, it cannot be terminated. 7-6 Chapter 7 Diagnosis Mode 2D Mode Soft Menu NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility > Menu Edit. Frequency Used to change the probe’s frequency. Select from Res, Pen, and Gen by rotating the Soft Menu dial-button 1. XX Res(Resolution): High frequency XX Gen(General): General frequency XX Pen(Penentration): Low frequency The selected frequency is displayed in the title area, allowing you to determine the state of the current frequency easily. Harmonic Pressing the Soft Menu dial-button 1 adds the ‘HAR’ mark to the image information. This product provides the OHI (Optimal Harmonic Imaging) function that optimizes an image with high frequencies. NOTE: Harmonic is only available with specific probes. Frame Avg When an image is updated, the present image and the previous image are averaged. Turn the Soft Menu dial-button 2 and select a value between 0 and 15. When you scan the same diagnosis site repeatedly, speckles may appear on the updated image. Frame Avg is used to minimize these speckles. Pulse Inversion Pressing the Soft Menu dial-button 2 adds the ‘PI’ mark to the image information. If Pulse Inversion is turned on, pulses are inverted to sharpen the displayed image. NOTE: Pulse Inversion is only available with specific probes. 7-7 User Manual Dynamic Range Adjust the image contrast by changing the minimum and maximum values of the input signal. Turn the Soft Menu dial-button 3 and select a value between 50 and 200. If you increase the range, the image will become smoother. Dual Live Press the Soft Menu dial-button 3. The 2D image and the Color Doppler image for the scanned area can be displayed simultaneously in real time. Reject Level Clears up the image by eliminating noise and echo. Turn the Soft Menu dial-button 4 and select a value between 1 and 32. L/R Flip Pressing the Soft Menu dial-button 4 flips the image horizontally. The S mark located on the upper part of the image indicates the current image direction. Gray Map Changes the Gray Map. Select a value from 1 through 13 by rotating the Soft Menu dial-button 5. U/D Flip Press the Soft Menu dial-button 5. Each press of the dial-button flips the image vertically. Spatial Comp NOTE: XX Spatial Compound is an optional feature of this product. XX This item only appears in the menu when a Linear Probe is used. Spatial Comp stands for Spatial Compound. Rotate the Soft Menu dial-button 6 to turn this option on or off. 7-8 Chapter 7 Diagnosis Mode Trapezoidal NOTE: The Trapezoidal item only appears in the menu when a Linear Probe is used. Press the Soft Menu dial-button 6 to turn this option on or off. In general, the rectangular frame provided by a linear probe is changed to a trapezoidal frame when this option is turned on. This allows a wider view of an image. The Trapezoidal function may not be available for certain depths. SDMR You can obtain a clearer image by eliminating noise and enhancing boundaries. Five predefined Indices are provided. Select between Off, or a value from 1 to 5 by rotating the Soft Menu dialbutton 7. The ‘SDMR’ mark will be displayed at the right side of the screen. Scan Area Press the Soft Menu dial-button 7 to move to the next page. Select the image width. Set to a value between 40% and 100% by pressing the Soft Menu dial-button 1. Increasing the image width reduces the frame rate. ElastoScan The elasticity of ROI in a 2D image is shown in color. The 2D Mode image is also shown, allowing the marking and adjustment of the ROI within the scanned image. For more information, please refer to ‘ElastoScan’ in this chapter. 2D Image Size Used to specify 2D image size. Select a value from 50 through 100 by rotating the Soft Menu dialbutton 2. 7-9 User Manual Panoramic NOTE: XX Panoramic is an optional feature of this product. XX The Panoramic function is only available in 2D mode with Linear and Convex probes. Switch to the Panoramic Ready screen. For more information, please refer to ‘Panoramic’ in this chapter. Tissue Optimizes the image by selecting the ideal frequency and speed settings for the type of tissue being scanned. Set the speed to a value between 1440m/s and 1620m/s by rotating the Soft Menu dial-button 3. FSI Synthesizes the images using data measured at different frequencies in 2D mode. Shallow observation depths yield higher resolution and deep observation depths yield higher penetration. Set to a value between 1 and 3 by pressing the Soft Menu dial-button 3. FSI is an acronym for Full Spectrum Imaging. Edge Enhance Allows you to view more accurate images of organ or tissue boundaries. Turn the Soft Menu dialbutton 4 to select a value between -3 and 3. A higher value provides more accurate images of boundaries. M Line An M line appears on the image. Press the Soft Menu dial-button 4 to turn the M line on or off. The M line indicates where the observed image is located in the 2D image when either M or PW mode is used together with 2D mode. Needle Mate Helps to visualize the biopsy needle on an ultrasound image. Set Needle Enhance to Low, Middle, or High. NOTE: XX The Needle Mate function is displayed if you add the item to Menu Edit in ‘Chapter 3. Utilities’. XX The Needle Mate feature is available with the linear probes only. 7-10 Chapter 7 Diagnosis Mode Focus Number This function is used to define the number of focusing points. Select a value from 1 through 4 by rotating the Soft Menu dial-button 6. Line Density Set the scan line density. Select from Middle, High, and Low by pressing the Soft Menu dial-button 6. Selecting High increases the number of scan lines and improves the image resolution. However, the frame rate is reduced. Power Used to adjust the ultrasound output. Select a size from 10 to 100 by rotating the Soft Menu dialbutton 7. Read Zoom Performs scan conversion again on the ROI and displays the resulting image. Read Zoom function allows you to zoom in on an image saved on a hard disk. XX Rotate the Zoom dial-button on the control panel. XX Use the Trackball to move the Zoom box. You can locate the Zoom box in an image with the Zoom Navigation box on the left side of the screen. XX Observe the magnified image. Rotating the Zoom dial-button clockwise magnifies the image. Write Zoom This function allows you to magnify and scan an image in real time. Magnify and scan the image. Use the Change button to move and resize the Zoom box. Each time you press the Change button, the current state of the Zoom box is displayed in the lower left of the screen. XX PreZoom Position: Enables you to move the Zoom Box. You can move the zoom box by using the trackball. XX PreZoom Size: Enables you to resize the Zoom box. You can resize the zoom box by using the trackball. When using Write Zoom, changing the Depth automatically finishes Zoom mode. 7-11 User Manual Panoramic (Optional) NOTE: The Panoramic function is only available in 2D mode with Linear and Convex probes. Panoramic Imaging is the function that acquires images over a wider range by using continuous ultrasonographic images. Up to 1,000 frames can be used. Acquiring a Panoramic Image 1. Press the Soft Menu dial-button 7 to move to the next page. 2. Press the Soft Menu dial-button 2. Switch to the Panoramic Ready screen. 3. Press Start/Stop. The system will begin to acquire a panoramic image. 4. Press the Soft Menu dial-button 1 to finish acquiring the panoramic image. This will launch the Panoramic Review screen. Tips! Cautions for Acquiring a Panoramic Image XX When scanning a curved surface, ensure that the scan surface and the contact surface of the probe are always at right angles. XX Moving in the opposite direction while acquiring an image erases the previous saved frames and saves new frames. XX The image quality may deteriorate if the contact surface of the probe loses contact with the scan surface. XX If the scan speed is fast or the angle of the contact surface of the probe changes, artifacts may occur. Reviewing a Panoramic Image NOTE: XX You can perform basic measurements by using the Caliper button. But other functions on the control panel are not available. XX L/R Flip, U/D Flip, and Magnifying are available only when the Layout is set to ‘Full Screen’. NOTE: The Panoramic function is only available in 2D mode with Linear and Convex probes. 7-12 Chapter 7 Diagnosis Mode XX Layout: Specify how the panoramic image will be displayed on the screen. XX Full Screen: Display the panoramic image in full screen mode. XX Left/Right: Display the 2D and panoramic images at the left and right of the screen, respectively. XX Top/Down: Display the 2D and panoramic images at the upper and lower parts of the screen, respectively. XX Return: Return to the Panoramic Ready screen. XX Rotation: Rotate the panoramic image. XX L/R Flip: Flip the panoramic image horizontally. XX Magnifying: Magnify the panoramic image. XX U/D Flip: Flip the panoramic image vertically. XX Ruler: Click this button to turn this option on or off. When turned on, the ruler is displayed on the panoramic image. XX Cine Save: Saves Cine image. XX Exit: Exit Panoramic Imaging. 7-13 User Manual M Mode The M Mode is used to specify an observation area in a 2D image with the M Line, and display changes over time. This mode is appropriate for the observation of organs with a lot of movement, such as cardiac valves. The 2D Mode image is also shown, allowing the marking and adjustment of an observation area within the entire image. [Figure 7.2 M Mode] Entering & Exiting M Mode Press the M button on the control panel. Press this button again. M Mode will be terminated and the mode switched to 2D. 7-14 Chapter 7 Diagnosis Mode M Mode Screen M Line Use the trackball on the control panel to move the line to the right or left. The M Line indicates the relative position of the M Mode image in the 2D image. Therefore, you can move the M Line to change the observation area. M Mode Soft Menu NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility > Menu Edit. Anatomical M NOTE: Available only with the phased array probe or the cardiac application. Press the Soft Menu dial-button 2 to select On or Off. Once turned on, you can change the M line length. Use the Change button to reposition M Point 1 and M Point 2. Negative Inverts the M image’s colors. Press the Soft Menu dial-button 3 to turn this function on or off. M Edge Enhance Used to select the M image’s edge enhancement value. Select a value from -3 through 3 by rotating the Soft Menu dial-button 4. Higher values provide more accurate images of boundaries. Chroma Map Press the Soft Menu dial-button 5 to turn Auto ROI on or off. Once turned on, rotate the Soft Menu dial-button 5 and set the image color to Type 1 through 13, or User 1 through 3. NOTE: User types can be changed from Utility > Post Curve > M Post > Chroma Map. For more information, refer to ‘Post Curve’ in ‘Chapter 3. Utilities’. 7-15 User Manual Sweep Speed Used to adjust the M image speed. Select 60Hz, 120Hz, 180Hz, 240Hz, 300Hz or 360Hz by rotating the Soft Menu dial-button 7. Loop Size Press the Soft Menu dial-button 7 to move to the next page. Used to adjust the M image’s size. Select a size from 30 to 70 by rotating the Soft Menu dial-button 1. Display Mode Used to configure M image and 2D image layout. Press the Soft Menu dial-button 1 to choose between Top/Bottom and Side By Side. XX Top/Bottom: The 2D image is displayed at the top and the M image at the bottom. XX Side By Side: The 2D image is displayed at the left and the M image at the right. NOTE: For more information on other Soft Menu options and functions, refer to the ‘2D Mode’ section. 7-16 Chapter 7 Diagnosis Mode Color Doppler Mode This mode displays the colored blood flow pattern of the ROI (Region of Interest) within the 2D image. It is appropriate for examining the presence of blood flow, its average speed, and its direction. The 2D Mode image is also shown, allowing the marking and adjustment of the ROI within the entire image. [Figure 7.3 Color Doppler Mode] Entering & Exiting C Mode Press the C button on the control panel to enter C mode. Press the C button again to exit C mode and return to 2D mode. 7-17 User Manual C Mode Screen ROI Box ROI stands for Region of Interest. The ROI Box outlines the area of the 2D image where color (blood flow) information is displayed in Color Doppler Mode. Use the Change button to move and resize the ROI box. Whenever the Change button is pressed, the current ROI box status appears at the bottom left of the screen. XX ROI Position: In this state, the position of the ROI box can be changed. You can move the ROI box by using the trackball. XX ROI Size: In this state, the size of the ROI box can be changed. Press the Change button to designate the size. C Mode Soft Menu NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility > Menu Edit. Color Invert Pressing the Soft Menu dial-button 1 inverts the color bar. Inverting the color bar also inverts the color displayed on the image. Steer Loss of color information resulting from ultrasound beam angle adjustment is minimized. Rotate the Soft Menu dial-button 2 and set ROI between -20 and 20. NOTE: The Steer function is only available when using a linear probe. 7-18 Chapter 7 Diagnosis Mode TDI NOTE: XX This can only be used when the cardiac application is selected in Phased Array Probe. XX For more information on TDI, see ‘TDI Mode’. Change to TDI mode. TDI stands for Tissue Doppler Imaging. Blending Level Select the ratio of Alpha Blending. You may adjust the ratio in 1% increments between 0 and 100% by rotating the Soft Menu dial-button 3. Setting the value to 0% shows only the color image; setting it to 100% shows only the 2D image. Alpha Blending Use the Soft Menu dial-button 3 to press Alpha Blending and turn it On or Off. Alpha Blending blends 2D and color images so that they appear to overlap with each other. Use Blending Level to adjust the blending ratio. Filter Filters out low-frequency Doppler signals produced by blood vessel wall movement. Adjust the Cutoff Frequency to remove doppler signals whose frequency is lower than the cutoff frequency. Select a value from 0 through 3 by rotating the Soft Menu dial-button 4. Scale Use the Soft Menu dial-button 5 to select the function. Rotating the dial-button in the clockwise direction increases the PRF (Pulse Repetition Frequency), displaying a wider range of blood flow speed. Rotating the dial-button in the counterclockwise direction decreases the PRF, displaying a narrower range of blood flow speed. BaseLine Rotating the Soft Menu dial-button 6 clockwise increases the baseline. In Color Doppler mode, the color bar indicates the direction and speed of blood flow. Based on the Baseline at the middle, red indicates the direction and speed of blood flow toward the probe. By contrast, the blue color indicates the direction and speed of blood flow away from the probe. 7-19 User Manual Color Hide Hides the color bar and ROI from the screen. Balance The range of a color image is adjusted by comparing the gray levels of 2D images with the doppler signal values of color images. Select a size from 1 to 31 by rotating the Soft Menu dialbutton 7. When the Balance value increases, the color image also appears in the part where the gray level of a 2D image is high (the bright part), increasing the range of the color image. Color Mode Press the Soft Menu dial-button 7 to move to the next page. Used to specify the display method in Color Doppler mode. Rotate the Soft Menu dial-button 1 and select between Velocity and Vel + Var. Vel stands for velocity; it indicates the velocity, amount, and direction of the blood flow. Var stands for variance; it indicates the velocity and distribution of the blood flow. NOTE: Color Mode can only be used when the cardiac application is selected in Phased Array Probe. Otherwise, only Velocity is available. Color Map Used to configure the post curve in a color image. Choose from Type 1 through 15 by rotating the Soft Menu dial-button 2. Sensitivity Used to adjust the color image sensitivity. Rotate the Soft Menu dial-button 3 and set to a value between 2 and 31. When this value increases, the sensitivity of a color image improves, but the frame rate becomes lower. Display Mode Select the C Mode to use. Rotate the Soft Menu dial-button 6 to select BW Only, Color Only, or Color+BW. NOTE: For more information on other Soft Menu options and functions, refer to the ‘2D Mode’ section. 7-20 Chapter 7 Diagnosis Mode Power Doppler Mode This mode displays the intensity of blood flow in color within the ROI in the 2D image. It is appropriate for examining the presence and amount of blood flow. The 2D Mode image is also shown, allowing the marking and adjustment of the ROI within the entire image. [Figure 7.4 Power Doppler Mode] Entering & Exiting PD Mode Press the PD button on the control panel to enter PD mode. Press this button again. PD Mode will be terminated and the mode will switch to 2D. 7-21 User Manual PD Mode Screen Color Bar The color bar displayed varies depending on the Power Doppler mode display method selected in PD mode. XX PD Mode: The color bar indicates the presence of blood flow and its amount. The area above the baseline is the brightest section, where the amount of blood flow is at its highest. XX S-Flow Mode: The color bar indicates the strength and direction of blood flow. Based on the Baseline at the middle, red indicates the strength and direction of blood flow toward the probe. By contrast, the blue color indicates the strength and direction of blood flow away from the probe. ROI Box The ROI (Region of Interest) outlines the area of the 2D image where color (blood flow) information is displayed in Power Doppler Mode. PD Mode Soft Menu NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility > Menu Edit. PD Mode Rotate the Soft Menu dial-button 2 to select between PD Mode and S-FlowMode. XX PD Mode: Displays blood flow intensity elements only. XX S-Flow Mode: Displays information on the intensity and direction of blood flow. NOTE: For more information on other Soft Menu options and functions, refer to the 2D Mode and Color Doppler Mode sections. 7-22 Chapter 7 Diagnosis Mode PW Spectral Doppler Mode PW stands for Pulse Wave. This mode displays the blood flow speed at a specific blood vessel location within a specific time frame. Distance (depth) information can also be obtained by transmitting pulses over time frames. This mode is useful for measuring low-speed blood flow, such as in the abdomen and peripheral vessels. The 2D Mode image is also shown, allowing the marking and adjustment of an observation area within the entire image. [Figure 7.5 PW Spectral Doppler Mode] Entering & Exiting PW Spectral Doppler Mode Press the PW button on the control panel to enter PW Spectral Doppler mode. Press it again to return to 2D Mode. Press the Set button on the control panel to obtain a spectral doppler image. 7-23 User Manual PW Spectral Doppler Mode Screen Sample Volume The Doppler spectrum is displayed when the sample volume is located above the blood flow on the 2D image. The size and depth of Sample volume is displayed in mm units. Its position is moved with the trackball and displayed in the [email protected] mm format. The information is formatted to indicate a sample volume that is xx.xx mm in size at a depth of yy.yy mm. For example, [email protected] means a 2.00mm sample volume at 16.07mm in depth. XX Moving Sample Volume: Use the trackball on the control panel. XX Resizing Sample Volume After pressing the Change button on the control panel, adjust the size of the sample volume by using the trackball. Press the Change button again to return to the Sample Volume Position Control screen. Here, an icon is displayed in the bottom center of the screen to indicate whether the trackball function of the upper left corner of the screen is set to ‘SV Position’ or ‘SV Size’. XX Adjusting Sample Volume Angle: Use the control panel’s Angle dial-button. Rotating the Angle dial-button clockwise increases the angle within a range of -70 to +70. HPRF Function NOTE: XX Enable or disable HPRF at Utility > Setup > General > Scan Mode > Option. XX HPRF is not activated in Simultaneous Mode. In addition, HPRF cannot be enabled if 200% of PRF is higher than 23KHz. Adjust the blood flow above the speed limit at a specific depth. Using this functions doubles the current scale, and is only available in PW Spectral Doppler mode. HPRF stands for High PRF. XX Activating HPRF Increasing the scale at a specific depth to a certain point automatically activates HPRF. The Phantom Gate will appear on the D Line at a position higher than the sample volume. Once HPRF starts, PRF does not increase even if you increase the scale value. XX Finishing HPRF While HPRF is in use, decrease the scale value by one step to finish HPRF. Here, the PRF value becomes the maximum value in the current PW Spectral Doppler mode. 7-24 Chapter 7 Diagnosis Mode XX Moving Sample Volume To move the Sample Volume position in the D Only state, the system calculates PRF values and the Phantom Gate position, and updates them on the PW Spectral Doppler image. HPRF is terminated when HPRF cannot be activated. When Sample Volume is moved in the 2D Only state, the PRF values don’t change. CAUTION: XX While in a zoomed in state, the Phantom Gate position can move outside the 2D image area. XX Make sure that sample volume and Phantom Gate are not placed together in the measuring area. If more than two Sample Volumes are located in the vessels, all Doppler components will appear in the spectrum, causing noise. PW Spectral Doppler Mode Soft Menu NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility > Menu Edit. Doppler Invert Press the Soft Menu dial-button 1. Each time the button is pressed, the speed indicator (+ / –) for a spectrum is inverted. SV Size Used to specify the sample volume size. Select a value from 0.5 through 15 by rotating the Soft Menu dial-button 2. Angle Adjusting the sample volume angle enables accurate speed measurement. Pressing the Soft Menu dial-button 2 changes the angle in the order of -60˚, 0˚, and 60˚. AutoCalc Direction Used to specify the part of the spectrum to calculate when using AutoCalc. Rotate the Soft Menu dial-button 3 to select from Up, Down, and All. 7-25 User Manual AutoCalc Press the Soft Menu dial-button 3 to turn this function on or off. If the function is turned on, Doppler Trace is performed and its results are displayed. Up to 6 calculations can be selected under Utility > Setup > AutoCalc. If this function is turned on, the Mean Trace button is enabled. For information on selecting calculations, refer to the ‘Setting Measurements’ section in ‘Chapter 3. Utilities’. CAUTION: The measurements carried out by Auto Trace under Measure and Real Time Automatic Doppler Trace (Automatic Calculator) may be different from each other. This is because the algorithms for these two methods are different. It is recommended to use Auto Trace under Measure for more accurate measurement. Tips! Things to Consider for Real Time Automatic Doppler Trace 1. Aliasing occurs because PRF is too low in comparison to the image speed, or the spectrum is clustered around the baseline because PRF is too high. 2. Peak is indistinctive or intermittent such as in Spectral waveforms for veins. 3. Meaningful spectrum distinction becomes difficult because Doppler Gain is set too high or too low. 4. An index is displayed during the transition time after Sample Volume is moved with the Trackball. 5. The major spectral signals are cut off because Doppler Wall Filter is set too high. 6. The Peak Trace is distorted by abnormal Doppler noise or artifact. Heart rate is approximately 140 bpm or higher. If any of the above apply, Real Time Automatic Doppler Trace may not produce an accurate trace or results. In addition, during Auto Calculation, results will not be displayed if the Freeze function is run against inaccurate values. Mean Trace NOTE: Appears in the soft menu when AutoCalc is turned on. Performs a Doppler trace and displays the mean value. Press the Soft Menu dial-button 4 to turn this function on or off. Simultaneous Press the Soft Menu dial-button 5 to turn this function on or off. 7-26 Chapter 7 Diagnosis Mode NOTE: This option appears in the PW menu only when Utility > Setup > General > Scan Mode > Simultaneous Mode is set to Allow. If the Simultaneous option is turned on, you can view real-time 2D and spectral Doppler images at the same time. If the option is not turned on, however, you will only be able to view the image from one of the modes. The Simultaneous function decreases Doppler PRF, thus decreasing the measurable speed range. Baseline Use the Soft Menu dial-button 6 to select the function. Rotate the dial-button and adjust the position of the Doppler image’s horizontal axis. TDW NOTE: XX This can only be used when the cardiac application is selected in Phased Array Probe. XX For more information on TDW, see TDW Mode. Pressing the Soft Menu dial-button 6 switches the mode to TDW mode. TDW stands for Tissue Doppler Wave. Spectrum Enh Used to adjust Spectral Doppler image brightness and sensitivity levels. Select a value from 1 through 4 by rotating the Soft Menu dial-button 2. Spectrum Enh stands for Spectrum Enhancement. Spectrum Type Select Spectrum Type. Choose from Type 1 through 3 by rotating the Soft Menu dial-button 3. NOTE: For more information on other Soft Menu options and functions, refer to the 2D Mode and Color Doppler Mode sections. 7-27 User Manual CW Spectral Doppler Mode CW stands for Continuous Wave. This mode displays the blood flow speed and direction at a specific blood vessel location within a specific time frame. Unlike PW Spectral Doppler Mode, it does not provide Sample Volume. NOTE: XX CW Spectral Doppler mode is an optional feature of this product. XX This dial-button can be used with the Phased Array or Static CW probes. [Figure 7.6 CW Spectral Doppler Mode] Steered CW Spectral Doppler Mode This mode can only be used if the Phased Array probe is used. The 2D Mode image is also shown, allowing the marking and adjustment of an observation area within the entire image. Static CW Spectral Doppler Mode This mode is only available with a Static CW Probe. The 2D image is not displayed. 7-28 Chapter 7 Diagnosis Mode Entering & Exiting CW Spectral Doppler Mode Press the CW button on the control panel to enter CW Spectral Doppler Mode. Press it again to return to 2D Mode. CW Spectral Doppler Mode Soft Menu NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility > Menu Edit. NOTE: For more information on the Soft Menu, refer to the ‘PW Spectral Doppler Mode’ section. 7-29 User Manual TDI Mode NOTE: Appears on the Soft Menu only when using the phased array probe and the cardiac application. TDI stands for Tissue Doppler Imaging. TDI mode represents the movements of tissues such as the heart. Cannot be activated in Color Doppler mode. In Color Doppler mode, TDI shows cardiac tissues in color. [Figure 7.7 Tissue Doppler Imaging Mode] Starting and Ending TDI Mode TDI Mode can be activated while in Color Doppler mode by pressing the Soft Menu dial-button. Pressing the button once more switches the mode from TDI to C. NOTE: For more information on the Soft Menu, refer to the ‘Color Doppler Mode’ section. 7-30 Chapter 7 Diagnosis Mode TDW Mode TDW stands for Tissue Doppler Wave. TDW mode represents the movements of tissues such as the heart. TDW Mode is available in the PW Spectral Doppler Mode. If it is used in Spectral Doppler Mode along with Color Doppler mode, changes in cardiac tissues over time can be observed. NOTE: This can only be used when the cardiac application is selected in Phased Array Probe. [Figure 7.8 TDW Mode] Entering and Exiting TDW Mode TDW Mode can be activated while in PW Spectral Doppler mode by pressing the Soft Menu dialbutton. Pressing the button once more switches the mode from TDW to PW Spectral Doppler mode. NOTE: For more information on the Soft Menu, refer to the PW Spectral Mode section. 7-31 User Manual ElastoScan Mode The elasticity of ROI in a 2D image is shown in color. The 2D Mode image is also shown, allowing the marking and adjustment of the ROI within the scanned image. NOTE: XX ElastoScan Mode is an option for this product. XX The probes, applications, and presets that support ElastoScan are as follows: L5-13 (Smallparts Breast), EVN4-9 (Urology - Prostate, Gynecology - General, Adnexa) Tips! ElastoScan This process converts the elastic modulus (ultrasound image data) of a target object, obtained from continuous ultrasound images, into an elastogram. A lesion’s location can be estimated by using the differences in elastic modulus obtained from elastograms. The function of elastography is to determine the difference in hardness or stiffness between healthy organs and lesions. Palpation has been used to measure stiffness, but this method is only useful at depths close to the surface of tissue. ElastoScan allows the user to identify the existence of solid masses in tissue, and converts the hardness data into an image by sonically enhancing the palpation. Elastography shows the spatial distribution of tissue elasticity properties in a region of interest by estimating the strain before and after tissue distortion caused by external or internal forces. Quantitative elastography is not provided. 7-32 Chapter 7 Diagnosis Mode Entering and Exiting E Mode Press ElastoScan in 2D mode. Press the button again to return to 2D Mode. [Figure 7.9 E Mode] E Mode Screen E Dual Mode In this mode, the elastogram and the 2D image are displayed together on the screen. Press Single or Dual to select either Single or Dual mode. To facilitate comparative observation, the 2D image is shown on the left and an E image is shown on the right. E Single Mode In E Single Mode, only an E image is displayed in the screen. Press Single or Dual to select either Single or Dual mode. 7-33 User Manual ROI Mode ROI stands for Region of Interest. In E Mode, the ROI Box represents the area where elasticity information is shown. Press ROI Mode to enter or exit ROI Mode. You can adjust the position and size of the ROI box by using the Change button on the control panel. Each time the Change button is pressed, the current status of the ROI Box is shown in the lower left corner of the screen. XX E ROI Pos.: The position of the ROI Box can be changed. Move the ROI Box with the Trackball to confirm the new position. XX E ROI Size: The size of the ROI Box can be changed. Resize the ROI Box with the Trackball and press the Change button to confirm the new size. NOTE: ROI Mode is available in E Single Mode as well as in E Dual Mode. Performing a Scan When using ElastoScan mode, place a probe onto the surface of an area to observe and apply periodic compression to it. The compression should be adjusted so that the strain stays within 3 - 5%. Breast A breast is a complex organ which consists of lactiferous ducts, lactiferous glands, fibrous tissue, and chest muscles. Moving a probe along vertically causes unintended movements of the tissues. To observe a lesion in ElastoScan Mode (E Mode), it is recommended to minimize tissue movements in axial, lateral, and any other directions. The following are the images of a breast tumor scanned in 2D mode and E mode. a: b: [Figure 7.10 Image of a Breast Tumor (a: 2D Mode, b: E Mode)] 7-34 Chapter 7 Diagnosis Mode Prostate The prostate consists of tissues simpler than a breast, and there are relatively less unintended movements. The following are the images of a prostate tumor scanned in 2D mode and E mode. a: b: [Figure 7.11 Image of a Prostate Tumor (a: 2D Mode, b: E Mode)] Screen Layout Color Bar In E Mode, the color bar indicates the stiffness of a tissue. Regardless of the color, the lower section of the bar indicates that the target area is stiffer than the surrounding tissues, and the upper section indicates that the target area is less stiff than the surrounding tissues. E Mode Menu Invert Color Map Tapping the button reverses the color bar. Inverting the color bar also inverts the color displayed on the image. Alpha Blending Press Alpha Blending to turn this function On or Off. Alpha Blending blends 2D and E images so that they appear to overlap with each other. Use Blending Level to adjust the blending ratio. E Gain Adjust the brightness of E image between 1 - 100%. 7-35 User Manual Contrast Select the contrast of the elastogram. Select a value between 0 and 100%. Enhancement Adjusts the enhancement of the image. Use the Soft Menu dial-button to select a value between 0 - 100%. A higher value provides more clearly defined boundaries, at the expense of increased noise. Color Map Index Select the color of the elastogram. Use the Soft Menu dial-button to select a value between 1 and 5. If you change the Color Map, the color bar will also change accordingly. Blending Level Select the ratio of Alpha Blending. You can adjust the level in 1% increments between 0 and 100% by using the Soft Menu dial-button. Setting the value to 0% shows an E image only and setting it to 100% shows a 2D image only. Persistence Level Specify the speed of change between frames. You can adjust the level in 1% increments between 0 and 100% by using the Soft Menu dial-button. Selecting a higher value increases the rate of frame change. NOTE: The Following are not available or have limited functionality in E mode; XX Unavailable functions: Angle, Scan Area, ECG, Histogram XX Only one Focus option is available. XX Biopsy can only be turned On or Off. XX Only distance, circumference, area, volume, and other measurements that can be taken in 2D mode are supported. 7-36 Chapter 7 Diagnosis Mode Combined Mode In Combined Mode, three different modes are combined, including the default 2D Mode. Note that, in 2D/C Live Mode, only two modes are combined:2D and Color Doppler Modes. 2D/C/PW Mode Color Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously. In Color Doppler Mode, press the PW dial-button on the control panel. Or, in PW Spectral Doppler Mode, press the C button on the control panel. 2D/PD/PW Mode Power Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously. In Power Doppler Mode, press the PW button on the control panel. Or, in PW Spectral Doppler Mode, press the PD button on the control panel. 2D/C/CW Mode Color Doppler Mode and CW Spectral Doppler Mode are displayed simultaneously. This mode is available only with certain probes. In Color Doppler Mode, press the CW dial-button on the control panel. Or, in CW Spectral Doppler Mode, press the C button on the control panel. 2D/PD/CW Mode Power Doppler Mode and CW Spectral Doppler Mode are displayed simultaneously. This mode is available only with certain probes. In Power Doppler Mode, press the CW dial-button on the control panel. Or, in CW Spectral Doppler Mode, press the PD button on the control panel. 7-37 User Manual 2D/C/M Mode Color Doppler Mode and M Mode are displayed simultaneously. In Color Doppler Mode, press the M button on the control panel. Or, in M mode, press the C button on the control panel. (This mode is enabled for specific diagnostic applications with specific probes only.) Dual Live Mode 2D Mode and Color Doppler Mode are displayed simultaneously. In 2D mode, select the Soft Menu dialbutton 3 Dual Live. 2D/TDI/TDW Mode NOTE: This can only be used when the cardiac application is selected in Phased Array Probe. TDI Mode and TDW Mode are displayed simultaneously. In PD mode or Color Doppler mode, press the Soft Menu dial-button TDI, and then press the PW dial-button. Changing Combined Mode Format Changing the Active Image Mode Press the Set button on the control panel. The current active image mode - ‘D Only’ or ‘2D Only’ - is displayed above the menu on the screen. In Combined Mode, more than two image modes are used at the same time. The image mode currently in use is called the ‘Active Image Mode’. For example, if Sample Volume is moved with the trackball in 2D/C/PW Mode, PW Spectral Doppler Mode becomes the current active image mode. Because the menu and button options vary depending on the active image mode, you can use the Set button to change the active image mode. Note that the active image mode cannot be changed with the Set button when the Freeze function is in effect. 7-38 Chapter 7 Diagnosis Mode Changing the menu Press the Active Mode button on the control panel. This changes the menu and the Soft Menu without affecting the active image mode. The functions of the buttons on the control panel vary depending on the active image mode. For example, pressing the Active Mode button while in 2D/C/PW mode with the 2D mode soft menu loaded on the screen loads the Color Doppler mode Soft Menu. NOTE: For information on optimizing an image in Combined Mode, please refer to ‘Basic Mode’. 7-39 User Manual Dual Mode Press the Dual button on the control panel. This lets you compare images from two different diagnosis modes or combined mode. Each time you press the Dual or Set button, one of the two images is activated. The active image is identified with an orange line. Control panel and Soft Menu operation depends on which diagnosis mode has been activated. Tips! Changing active image area using the Set button You can change the active image area using the Set button in Dual/Quad mode. Set the active image area in Setup > User Defined Key > Set/Exit Key Setup > Set Key Action. For more information, refer to ‘Chapter 3. Utilities’. To exit Dual mode, press the Single button on the control panel. [Figure 7.12 Dual mode] 7-40 Chapter 7 Diagnosis Mode Quad Mode Press the Quad button on the control panel to enter Quad mode. You can compare four different images at the same time. Each time you press the Quad or Set button, one of the four images is selected in turn. The current active image mode is indicated by a orange line at the top. The buttons and menu operate according to the image mode that is currently in use. To exit Quad mode, press the Single button on the control panel or the 2D button. [Figure 7.13 Quad mode] NOTE: For information on optimizing an image in Multi-Image Mode, please refer to ‘Basic Mode’. 7-41 User Manual 3D/4D Mode These modes show 3D images of the region being examined. HM70A provides 3D Mode and 4D Mode (optional). NOTE: XX Standard probes cannot be used for 3D/4D Modes. XX 4D mode and 3D XI are optional features in this product. 3D Mode You can capture 3D images by using a 3D probe. 4D Mode (Optional) In 4D Mode, 3D images can be obtained in real time with 3D probes. This mode is also called Live 3D Mode. Entering and Exiting 3D/4D Mode Press the 3D/4D button on the control panel. This loads the 3D stand By screen. Press the button again to exit 3D/4D Mode and return to 2D Mode. 3D/4D Mode Screen ROI Box In 3D/4D mode, the ROI box is also referred to as the volume box. The box is used to indicate 3D/4D conversion areas. You can adjust the position and size of the ROI box by using the Change button on the control panel. Each time the Change button is pressed, the state of the ROI box is displayed in the lower middle part of the screen as follows: XX ROI Position: In this state, the position of the ROI box can be changed. You can move the ROI box by using the trackball. XX ROI Size: In this state, the size of the ROI box can be changed. After resizing the ROI box with the trackball, press the Change button to confirm the new size. 7-42 Chapter 7 Diagnosis Mode 3D Stand By This screen is displayed when 3D/4D mode is activated. This is where you configure the 3D image acquisition method. [Figure 7.14 3D Stand By] 3D Stand By Soft Menu Scan Mode Select the 3D mode you wish to use. Rotate the Soft Menu dial-button 1 to select 3D, 4D, or XI STIC. View Mode Select a view mode to use after 3D images are acquired. Select from MPR, MSV, and Oblique View by rotating the Soft Menu dial-button 2. For more information on the view modes, refer to the ‘3D View-MPR’ or ‘3D XI’ section. 7-43 User Manual Preset Select a preset for the 3D image. Select Default or User1 through User5 by rotating the Soft Menu dial-button 3. For more information, refer to the preset information contained in the ‘3D View-MPR Mode’ section. Scan Quality Set the 3D image quality. Rotate the Soft Menu dial-button 6 to select Low, Medium, Medium2, High, or Extreme. XX Extreme: Provides superior image quality. Use for studying a highly detailed image. XX High: Provides higher 3D image capturing (or rendering) speed than Extreme setting, at the expense of image quality. XX Medium, Medium2: Provides better image capturing speed and lower image quality than High setting. XX Low: Provides the highest 3D image capturing speed and the lowest image quality. Scan Angle Used to adjust the scan angle. Rotate the Soft Menu dial-button 7 to adjust the scan angle. The available scan angle range varies depending on the probe being used. Acquiring 3D/4D Images 1. Press the 3D/4D button on the control panel. This loads the 3D standby screen. 2. Select the desired 3D mode by using the soft menu 1. 3. Specify the location and size of the ROI Box as desired. 4. Configure the settings by using the soft menu 2 through 6. 5. Press the Freeze or Set button on the control panel. The system will begin acquiring 3D images. 6. Once 3D image acquisition is complete, the 3D View screen will be shown (if configured to do so). XX If the Soft Menu 2 is set to MPR, 3D View will be launched. If it is set to MSV or Oblique View, 3D XI will be launched. XX If a left/right-reversed 3D image is obtained, the image will also be shown left/right reversed in 3D View or 3D XI. 7-44 Chapter 7 Diagnosis Mode 7. You can perform diagnosis by optimizing images. Press the 3D/4D button to acquire 3D images again. Tips! How to Improve 3D Image Quality XX Consider the direction, size and section of the viewpoint as well as the visibility of an object. XX Before acquiring 3D images, adjust the contrast in 2D Mode. XX The bigger the ROI box, the slower the rendering speed. Therefore, set an appropriate ROI box size. XX To see the 3D image of a fetus in frontal view, position the fetal head in the direction of the Direction Mark, putting it in the coronal plane. Then scan the fetus from back to abdomen. XX The 3D image of a fetal face can be more easily located in the coronal plane than in the Sagittal plane. XX To determine the surface contour, subjects such as amniotic fluid that do not generate echoes should be insulated with hypo-echoic textures. XX Once 3D image acquisition is complete, you can adjust the low-threshold level to clean up the image. The general rule is not to adjust High Threshold; set it to the maximum value of 255. 7-45 User Manual 3D View-MPR This viewing mode is launched when an image is acquired from 3D standby with View Mode set to MPR. Alternatively, you can select the MPR tab from the view mode menu. The Basics of 3D View Mode Screen Layout 1 2 3 4 5 6 [Figure 7.15 3D View - MPR] 1View Mode Menu: Specify a viewing mode, optimize the 3D image, and then perform the diagnosis and take measurements. 2A Plane: Image of the axial section. 3B Plane: Image of the sagittal section. 4C Plane: Image of the coronal section. 53D Image 6Trackball state indication: The current state of the trackball is displayed at the bottom of the monitor screen. You can select Pointer, Move, or ROI for trackball. Press the Change button on the control panel to change the trackball state. The trackball state changes sequentially each time the button is pressed. 7-46 Chapter 7 Diagnosis Mode XX Pointer: The trackball is used like a cursor in this state. Use the trackball and the Set button to select on-screen icons. Pressing the Pointer button activates the cursor immediately. XX Move: Moves the 3D image with the trackball. The acquired 3D image moves as you move the trackball. XX ROI: You can resize the ROI box with the trackball. The ROI box on the 3D image is resized as you move the trackball. Available only with Display in the MPR tab set to ROI 3D. Zooming In to/Out of Images Press the Zoom button on the control panel to zoom in to or out from images. The current Zoom ratio is displayed in the Image Info at the top of the page. Resizing ROI With the trackball in ROI state, you can move the trackball to adjust the ROI boundaries. With the trackball in the cursor state, position the cursor on the ROI box and use the trackball and the Set button to adjust the boundaries. Moving an Image Place the trackball pointer on the image to move, and move it while pressing the Set button. Or you may move it by using the trackball when the trackball is in Move state. XX Set Button: Rotates the image around the center. Rotating Image around X Axis Use the Soft Menu dial-button 5 to select the function. Or move the trackball when it is in Cursor state on the A Plane image, while pressing the Set button. Rotating Image around Y Axis Use the Soft Menu dial-button 6 to select the function. Or move the trackball when it is in Cursor state on the B Plane image, while pressing the Set button. Rotating Image around Z Axis Use the Soft Menu dial-button 7 to select the function. Or move the trackball when it is in Cursor state on the C Plane image, while pressing the Set button. 7-47 User Manual Show/Hide Menu Press Hide in the menu to hide the menu from the screen. To show the menu, press the Menu/ Angle dial-button. Item Selection Use the Menu/Angle dial-button on the control panel. Return to Previous Menu Press Prev in the menu to return to the upper level menu. Changing View Mode Use the control panel’s trackball and the Set button to select a view mode menu tab. In 4D mode, however, the menu tab can only be changed while in the freeze state. Measurements by Application NOTE: XX Measurements can be taken only for images in MPR, MSV or 4D Mode. XX Only the SonoView, Patient, and Report buttons are available during measurement. Press the Calculator button on the control panel. Measurement methods are identical to those described in ‘Chapter 8. Measurements and Calculations’. Basic Measurement Press the Caliper button on the control panel. For more information, refer to ‘Basic Measurements’ in ‘Chapter 8. Measurements and Calculations’. Entering Text Press the keyboard’s Text button. With quick text activated, pressing any key on the keyboard immediately activates text input mode. For more information, refer to ‘Chapter 9. Image Management’, and specifically the ‘Entering Text’ section. Entering Arrows Press the Arrow button on the keyboard. For more information, refer to ‘Arrow’ in ‘Chapter 9. Image Management’. 7-48 Chapter 7 Diagnosis Mode Saving Images NOTE: If volume data contains both 4D and 3D Cine images, choose either 4D or 3D for saving. 1. Press the Save button on the control panel. The 3D Data Save window will be displayed. 2. Specify settings such as Save Type, Save Item, and Volume Format. 3. To save using the specified settings, click the Save button on the screen. Click Cancel to cancel. Tips! Volume Data 1. If volume data contains a Cine image, it is saved at the same time. 2. If images are saved with volume data, they can be converted to new 3D rendering images with SonoView. [Figure 7.16 3D Data Save] Printing Images Press the Save (Print 1 or Print 2) button on the keyboard. 7-49 User Manual MPR Mode Soft Menu Mix Configure the mix of Render modes 1 and 2. Select a size from 0 to 100 by rotating the Soft Menu dial-button 1. For more information on render modes, refer to the ‘Render Setup’ section. NOTE: This function can only be used in 2D/3D, ROI 3D, and Fixed 3D. Init Press the Soft Menu dial-button 1. This restores the acquired 3D image to its original state and settings. Th.Low Use the Soft Menu dial-button 2 to set Th.Low to a value between 0 and 254. Tips! Threshold This option allows you to adjust the threshold value in order to eliminate unnecessary data from images. As the number increases, cyst elements become more apparent. As the number decreases, bone elements become more apparent. NOTE: This function can only be used in 2D/3D, ROI 3D, and Fixed 3D. Full Press the Soft Menu dial-button 2. Pressing this button displays the 3D image in full screen mode. When you press this button again, the display returns to the previous screen. Ref. Slice Rotate the Soft Menu dial-button 4 to move the Reference Slice horizontally. 7-50 Chapter 7 Diagnosis Mode Niche Zoom NOTE: This option is available with VCT. Use the Zoom button on the control panel. Press the button to switch to Niche Zoom function. Turn the dial-button to zoom in to/out of VCT images. The current Niche Zoom ratio is displayed in the Image Info at the top of the page. Rotate X / Y / Z Rotates the image in the direction of the selected axis. Use the Soft Menu dial-buttons 5, 6, and 7 to rotate the image in the direction of the X, Y, and Z axes, respectively. Next Page Press the Soft Menu dial-button 7 to move to the next page. HDVI NOTE: HDVI is an optional feature of this product. HDVI filters 3D images to express outlines more vividly and improve images. Five predefined indexes are available. XX HDVI Index In the Next Page, rotate the Soft Menu dial-button 1 to select a speed between 1 and 5. XX HDVI Type You can choose the measurement site from among Face, Brain, Early OB, Heart, Spine, Gyn, Breast, Thyroid, Carotid, Abdomen, and Kidney by rotating the Soft Menu dial-button 2 Select Rotate the Soft Menu dial-button 3 and choose the post curve NOTE: This function can only be used in 2D/3D, ROI 3D, and Fixed 3D. 7-51 User Manual Position Used to reposition the post curve selected under Select. Select a value from 0 through 100 by rotating the Soft Menu dial-button 4. Bias Used to change the bias of the post curve selected under Select. Select a value from -100 through 100 by rotating the Soft Menu dial-button 5. Transparency Set the transparency of a 3D image. Select a size from 20 to 250 by rotating the Soft Menu dialbutton 6. The lowest value (20) is for complete transparency, and the highest value (250) is for complete opacity. NOTE: This function can only be used in 2D/3D, ROI 3D, and Fixed 3D. Prev Page Press the Soft Menu dial-button 7 to move to the previous page. Mode Select the display format in which 3D images are presented. Render Shows images in the Axial, Sagittal and Coronal planes, along with the 3D image. VCT Axial, Sagittal and Coronal plane images and combinations of them are displayed. Each plane is displayed with a different colored frame. VCT is an abbreviation for Volume CT. 7-52 Chapter 7 Diagnosis Mode 2D Axial, Sagittal and Coronal plane images, along with OH (Orientation Help), are displayed on the screen. OH indicates the relative position of the currently selected plane in regard to volume data. Tips! Press the Single button on the control panel for a more detailed view. MagiCut MagiCut cuts out 3D image sections that serve no purpose in diagnosing the patient. Press this button to bring up the MagiCut screen. NOTE: XX Available in MPR mode only. XX Not supported in 4D mode. XX After MagiCut is enabled, if the system is switched to a mode other than MPR Mode, MagiCut is disabled. CutMode Used to select a cut mode. XX Inside Contour: Cuts the inside of the selected area. XX Outside Contour: Cuts the outside of the selected area. XX Inside Box: Cuts the inside of the box. XX Outside Box: Cuts the outside of the box. XX Small Eraser: Cuts the selected contour line. XX Big Eraser: Cuts the selected contour line. This uses a thicker contour line than Small Eraser. 7-53 User Manual Depth Used to specify the cut depth. XX Full: Cuts out the entire area. XX Define: Cuts out a user-defined area. Define an area as follows: 1. Use the trackball and the Set button to select the area. 2. Press Depth and specify the depth of the cut. You can select a depth between 1 and 100. 3. Press Apply to finish. To cancel or start over, use the Soft Menu Undo, Undo All, and Redo commands. XX Undo: Cancels the cut. XX Redo: Reapplies the cut. XX Undo All: Cancels all cuts. 3D Cine Click the 3D Cine button in the screen menu to switch to the 3D Cine Define screen. 7-54 Chapter 7 Diagnosis Mode 3D Cine Define Specify the settings needed for creation of a Cine image. Rotation Angle Used to specify the total image rotation angle. Set to 30, 45, 60, 90, 180, or 360° by rotating the Soft Menu dial-button 1. Step Angle Used to specify the rotation angle per step. Set to 1, 3, 5, or 15° by rotating the Soft Menu dialbutton 2. Tips! The Difference between Rotation Angle and Step Angle A Cine image rotates to the angle specified under Rotation Angle. During this process, each rotational step is equivalent to the angle specified under Step Angle. For example, if Rotation Angle is set to 360° and Step Angle is set to 15°, a 3D Cine image rotates to 360° in 22 steps, each of which involves a rotation of 15°. Rotate Axis Used to specify the rotation axis of the image. Rotate the Soft Menu dial-button 3 and select between X and Y. Generate Cine Cine images are generated by applying the current settings. When the images have been generated, the screen switches to 3D Cine Review. Review Cine Review Cine images generated previously. The screen switches to 3D Cine Review. New Cine Press the Soft Menu dial-button 1 to set a new Cine mode. The system returns to the 3D Cine Define screen. Cine Speed (%) Set the speed at which Cine images are played. Set to 25, 50, 100, 200, 300, or 400% by rotating the Soft Menu dial-button 2. 7-55 User Manual Cine Frame Used to select a specific Cine image for viewing. Select a frame by rotating the Soft Menu dialbutton 3. This option only appears in the menu when Cine playback has been stopped. The current frame number in relation to the total number of frames is shown in the menu. Exit Press the Soft Menu dial-button 7 to delete the current Cine image. This ends 3D Cine. [Figure 7.17 3D Cine] Accept ROI NOTE: This option may be used in Render. Set Accept ROI in the on-screen menu to On or Off. If it is set to on, ROI will not be displayed. 7-56 Chapter 7 Diagnosis Mode Preset Used to select or edit a 3D mode preset. Pressing this button brings up the Preset screen. Preset Select Default or User1 through User3 as the preset to use. Pressing Default loads the probe’s general preset. Load Preset Loads the selected preset and exits from the Preset screen. Save Preset Saves the current preset. Rename Change the name of the selected Rendering Preset. Pressing this button brings up the Name window. After changing the name, press OK to save the changed name. Press Cancel to cancel the change. OH NOTE: Available in Render and 2D. Click OH in the on-screen menu to turn this function On or Off. If it is turned on, a 3D image will be displayed along with OH. OH stands for Orientation Help. 7-57 User Manual Volume NT NOTE: XX Volume NT is an optional feature of this product. XX Available in MPR mode only. This feature locates the Mid-Sagittal View and measures the thickness of the nuchal translucency (NT) of the fetus. The VolumeNT screen will be displayed. Locates mid-sagittal view and tests the fetus for spina bifida. Use the trackball to place NT Seed in the NT area, and then press the Set button to display the NT measurement on the A Plane. Tips! How To get good results XX You can get better results when the Sagittal View of the fetus is captured as accurately as possible. XX The higher the contrast between the fetus’ palate and nasal bone, the better. XX It is preferable to have the lateral direction of the probe be parallel to the body orientation of the fetus. XX It is preferable to have the probe’s angle to the fetus’ nasal bone as close to 30 degrees as possible. NT/IT Caliper Placement Select the NT/IT measurement type. XX On to On: Measure by placing the cursor on the NT/IT’s inner-inner. Cursor 7-58 Chapter 7 Diagnosis Mode XX On to Max Brightness: One side of the cursor is placed on the outside of the NT/IT, and the measurement is taken with inner-outer. This method is used when Harmonic is used and one side of the nuchal translucency is blurred. Cursor XX In to In: Similar to On to On, this method takes the measurement with inner-inner, albeit with a narrower cursor interval. Cursor Items XX NT: The acquired A, B, and C plane images and the automatically measured NT are displayed in the 3D View screen. XX IT: The acquired A, B, and C plane images and the automatically measured IT are displayed in the 3D View screen. Init Resets the positional information of the image. Hide All Tapping this button hides the marker, NT, and IT measurements on the screen. Auto Click the Auto button in the on-screen menu to turn this function On or Off. If set to On, the function automatically locates the Mid-Sagittal View. To calculate NT, place the cursor on the NT area and press the Set button on the control panel. 7-59 User Manual Marker Size You can select Small, Medium or Large for the marker size by using the Soft Menu dial-button 3. Edit Edit markers for each item that is displayed as a result. If the trackball’s state is Cursor, moving the cursor near a + marker will change the marker’s color from green to orange. Press the Set button and move the trackball to edit the marker as desired. Assign Include the selected items in the results in the OB report. Post Processing Post Processing is used to process slice images. Pressing the relevant button displays the Post Processing screen. Gradient Mask Used to adjust the brightness level at a specific area of a slice image. Select Top, Bottom, Left, or Right. The brightness level at the selected area is increased. Flip Image Flip the orientation of an image. NOTE: This option is available only in MSV Mode. It may not be used when OH is set to On, however. Click the image in the on-screen menu to reposition the image from left to right or from up to down. Sharpen Used to adjust the slice image’s boundaries. Click this button to turn this option on or off. Turning this on shows the Sharpen option in the soft menu. XX Sharpen: Set the sharpness of the slice image’s boundaries to a value between 100 and 400 by using the Soft Menu dial-button 4. The higher the number, the sharper the boundaries. 7-60 Chapter 7 Diagnosis Mode Thres. Changing the threshold eliminates levels of brightness that are not necessary for the image. Press the Soft Menu dial-button 3 to turn this option on or off. Turning this option on creates Th. Low and Th. High options in the menu. XX Th. Low: Use the Soft Menu dial-button 2 to select this function. XX Th. High: Use the Soft Menu dial-button 3 to select this function. 3D CI This feature combines images to eliminate noise and increase picture quality. Turning this on shows the 3D CI Offset option in the Soft Menu. 3D CI is an abbreviation for 3D Compound Imaging. XX CSI Offset: CSI, or Compound of Sectional Image, overlaps images to create a higher quality C plane image. Select the distance between images used for 3D CI from 1 - 10 by using the Soft Menu dial-button 5. Auto Contrast Press the Soft Menu dial-button 6 to turn this option on or off. Turning this option on automatically adjusts the slice image contrast level. Clear SFVI Click the menu button on the screen to turn this option on or off. It reduces noise if it is turned on. SFVI stands for Smart Filter Volume Imaging. Detailed SFVI Click the menu button on the screen to turn this option on or off. If set to On, you can select a value from 0 - 100 by using the Strength dial-button. Render Setup Specify the image rendering method. Press the relevant button to switch to the Gray Render Mode screen. 7-61 User Manual Gray Specify how volume data acquired with the Gray method should be rendered into 3D images. Render Direction Select the rendering orientation. Render Mode Select the render mode. XX Surface Smooth: Provides 3D images that are smoother than Surface. XX Surface: Represents 3D images in the Ray-Casting method, which shows the shell of an image with curved surfaces. XX Max: Represents 3D images at maximum intensity. It can be useful for observing bone structures in a human body. XX Min: Represents 3D images at minimum intensity. It can be useful for observing vessels or hollow parts in a human body. XX Light: Represents the depth of 3D images in terms of brightness. XX X-Ray: Represents 3D images in terms of average intensity. Provides images that are similar to X-ray images. Th. Low Specify the minimum range of Threshold. Use the Soft Menu dial-button 4 to set a value between 0 and 254. Th. High Set the maximum range of Threshold. Use the Soft Menu dial-button 5 to set a value between 0 and 255. 7-62 Chapter 7 Diagnosis Mode Color Specify how the volume data acquired with the Angio/CFM method can be rendered into 3D images. Other settings can be specified in the same way as with Gray Render Mode. See Thru Specify how the combined data of Gray+Angio or Gray+CFM can be rendered into 3D images. Except for Render Modes 1 and 2, it can be set in the same way as with Gray Render Mode. Transparent-Transparent Adjust the transparency of both gray and color data to view color data as gray data. The parts hidden by gray data may appear slightly darker. Transparent-Surface Adjust the transparency of gray data to view color data as gray data. The parts hidden by gray data may appear slightly darker. Max-Transparent Set gray data to ‘Max’ and color data to ‘Transp’ to study color data. The parts hidden by gray data may appear slightly brighter. Max-Surface Set gray data to ‘Max’ and color data to ‘Surface’ to study color data. The parts hidden by gray data may appear slightly brighter. Inversion This option shows inverted images when the volume data acquired by the gray method is rendered into 3D images. Other settings can be specified in the same way as with Gray Render Mode. Chroma The Chroma Map screen is displayed. This screen is used to configure 2D/3D image color. 7-63 User Manual VOCAL Measure the volume of tissues within the human body. VOCAL is an abbreviation for Virtual Organ Computer Aided analysis. VOCAL is performed in the following order: VOCAL Define VOCAL Edit VOCAL. [Figure 7.18 VOCAL] 7-64 Chapter 7 Diagnosis Mode VOCAL Define Configure the settings required for performing VOCAL. Information on the current mode, contour type, and Step Angle is displayed in the 3D image information area. Contour Type Select the contour line type. A contour line is automatically created for all types except Manual. Solid Used for object data with many echoes. General Draw a contour line based on a typical object. This is faster than other automatic contour types, but less accurate. Prostate Used for prostate data. Cystic Used for object data with fewer echoes. Sphere After creating a spherical object, edit its contour to make it into the desired shape. Manual Create the desired shape of an object manually. Moving Pole Points by using the Trackball Set the range in which to perform VOCAL in a reference image. In a reference image, Pole 1 indicates the position of the upper arrow and Pole 2 indicates the position of the lower arrow. Press the Pole1 and Pole 2 buttons, and then use the trackball and the Set button on the control panel. Press the NONE button to cancel the range setting state. You may rotate the Soft Menu dial-buttons 2 and 3 to specify the range in which to perform VOCAL. 7-65 User Manual Ref. Image Rotate the Soft Menu dial-button 1 to select A, B, or C as the reference image. The selected image will be highlighted with orange borders. Init Press the Soft Menu dial-button 1 to reset the positional information of the 3D image. Step Angle Rotate the Soft Menu dial-button 4 to select the angle of rotation. Select from 12, 18, or 30. Next Click Next in the monitor left menu, or press the Soft Menu dial-button 7 to begin creating the VOCAL data. Tips! When the Contour Type is set to Manual 1. Press Next. The Image Position screen will be displayed. 2. Press the Set button over an image, and then move the trackball to draw the contour line. XX Press Next Image to move to the next frame. XX Press Previous Image to move to the previous frame. 3. Press Done. Start VOCAL. XX If you tap Done without contouring, VOCAL is performed over a sphere. VOCAL Edit Once VOCAL data is created, volume information will be displayed on the screen. In VOCAL Edit Mode, you can modify or redraw the existing contour lines. Information on the current mode, shell mode, the current frame number, and the total number of frames is displayed in the 3D image information area. 7-66 Chapter 7 Diagnosis Mode Shell Mode Set the shell of an object based on its contour line. Off Do not use Shell Mode. The created contour and the shell overlap. Inside The shell is drawn inside the contour generated by the Shell Thick. specified. Outside The shell is drawn outside the contour generated by the Shell Thick. specified. Symmetric Half the shell is drawn inside the contour and the other half of the shell is drawn outside the contour, with each drawn at half of the Shell Thick. specified. Shell Thick. Specify the thickness of the shell. Select a size from between 1 and 20 by rotating the Soft Menu dialbutton 1. This is only displayed if you are using Shell mode. New Contour Press the Soft Menu dial-button 1 to delete all VOCAL data and settings and return to the initial setup stage of VOCAL Define. Multi Edit Modify more than one contour line at a time. Press the Soft Menu dial-button 2 to turn this function on or off. If it is turned on, up to 6 contour lines can be displayed simultaneously on the screen. If there are six or more lines, rotate the Soft Menu dial-button 4 MEV Page to move between the pages. MEV is an abbreviation for Multi Edit View. For Pole 1 and Pole 2, rotate the Soft Menu dial-buttons 2 and 3 to modify the contour. You can also use the trackball and the Set button on the control panel to edit contour lines. When modification is complete, press the Soft Menu dial-button 2 again to turn it off. 7-67 User Manual Clear Contour Press the Soft Menu dial-button 3 to delete VOCAL data, but preserve the settings, and then return to the initial setup stage of VOCAL Define. Previous Image Review contour lines for each frame. Press the Soft Menu dial-button 5 to move between the frames. Next Image Review contour lines for each frame. Press the Soft Menu dial-button 6 to move between the frames. Accept Contour Press the Soft Menu dial-button 7 to apply the changes. The screen will switch to the VOCAL data review screen. VOCAL Optimizes VOCAL data for review. Information on the current mode and display format is shown in the 3D image information area. Mode Specify how VOCAL data are presented. ROI 3D Shows images in the Axial, Sagittal and Coronal planes, together with VOCAL data. Fixed 3D Shows images in the Axial, Sagittal and Coronal planes, together with 3D images for VOCAL data. VCT Shows actual combinations of images in the Axial, Sagittal and Coronal planes and VOCAL data. 7-68 Chapter 7 Diagnosis Mode Display Format Select 1*1 or 2*2 from the monitor screen’s left side menu. This can be used in every mode. Ref. Image Select A, B, or C as the reference image. The selected image will be highlighted with orange borders. VOCAL Edit Return to the VOCAL Edit stage. Init Resets the positional information of the 3D image. Histogram NOTE: Histogram is available only for 2D and Power Doppler 3D images. Press the Soft Menu dial-button 3, or Histogram in the monitor screen’s left side menu. A shell histogram is calculated and displayed on the screen. This represents the gray value distribution within the 2D and Power Doppler images of an object for which VOCAL is performed. It also displays Mean Gray (MG), Vascularization Index (VI), Flow Index (FI) and Vascularization Flow Index (VFI). Tips! Formula for Shell Histogram: XX MG: The average value of gray voxel brightness (gray) MG = The sum of brightness (gray)/The total number of voxels XX VI: The ratio of color voxels over all voxels within the shell VI = The number of color voxels/The total number of voxels XX FI: The average value of brightness (color) for color voxels within the shell FI = The sum of brightness (color)/The total number of color voxels XX VFI: The average value of brightness (color) for all voxels within the shell VFI = The sum of brightness (color)/The total number of voxels 7-69 User Manual Niche NOTE: This option is available with VCT. Choose from Type 1 through 8 by rotating the Soft Menu dial-button 2. Mode NOTE: This option is available with ROI 3D. Specify how the surface of VOCAL data is presented. Select Surface or Wireframe by using the soft Menu dial-button 1. XX Surface: VOCAL data are represented using the method of expressing the exterior of images by curves. XX Wireframe: VOCAL data are represented by dots and lines. 7-70 Chapter 7 Diagnosis Mode 3D XI NOTE: XX 3D XI is an optional feature of this product. XX 3D XI is only available when 3D probes are used. This view mode is enabled if 3D image acquisition is completed when MSV or Oblique View is selected in 3D StandBy. ‘3D XI’ is displayed at the top left corner of the monitor screen. An image can be viewed in multiple slices. MSV Mode An image can be viewed in multiple slices. Press the MSV tab from the View Mode menu to bring up the MSV screen. MSV is an abbreviation for Multi-Slice View. [Figure 7.19 MSV] 7-71 User Manual MSV Screen The images sliced at the thickness set in Slice Thick. are displayed on the screen. Slice Number/ Total Number of Slices is shown at the bottom part of each slice image. The currently selected slice image is indicated by an orange contour. The image information displays the current mode, Ref. Image, and Slice Thick. The 3D XI-MSV screen is displayed on the touch screen. NOTE: Available options are Calculator, Caliper, Text and Indicator. MSV Mode Soft Menu Selected Slice Select a slice image to observe. Use the dial-button 1 on the Soft Menu to select a slice. The selected slice will be highlighted with orange borders. Init Press the Soft Menu dial-button 1. This returns you to MSV mode’s initial screen. Slice Thick. Set the cut depth of images. Rotate the Soft Menu dial-button 2 to select 0.5, 1.0, 2.0, 3.0, 4.0, 5.0, or 10.0mm. Depending on your selection, the number of slices and pages will vary. NOTE: Slice thickness is the slice interval within the volume data, and does not represent actual anatomical locations. Orientation Dot Press the Soft Menu dial-button 2 to turn this function on or off. When this is ‘On’, a dot appears at the center of the image. SDMR Press the Soft Menu dial-button 3 to turn this function on or off. When this is ‘On’, ‘SDMR’ mark appears at the center of the image. Rotate the Soft Menu dial-button 3 to select between 1 to 5. 7-72 Chapter 7 Diagnosis Mode Ruler Used to position the on-screen ruler. Use the Soft Menu dial-button 4 to select None, Right, Left, Top, Bottom, or All. Previous / Next Change the page on the screen. This option can be useful when the total number of slice images exceeds what is specified in Display Format. Press the Soft Menu dial-buttons 4 and 5 to select the page. Rotate X / Y / Z Rotates the image in the direction of the selected axis. Use Soft Menu dial-buttons 4, 5, and 6 to rotate the image in the direction of the X, Y, and Z axes, respectively. Page Change If there are multiple pages of images, then you can use the Soft Menu dial-button 5 to change the page. Used if there are two or more pages. Next Page Press the Soft Menu dial-button 7. This brings up the next Soft Menu page. Bias Adjust the bias of the post curve. Use the Soft Menu dial-button 2 to select a value between -100 and 100. Position Used to adjust the post curve position. Use the Soft Menu dial-button 3 to set a value between 0 and 100. Zoom Use the Soft Menu dial-button 4 to set a value between 25 and 400. L/R Flip Use the Soft Menu dial-button 4 to select the function. Each press of the button flips the image horizontally. 7-73 User Manual U/D Fip Use the Soft Menu dial-button 5 to select the function. Each press of the button flips the image vertically. Prev Page Press the Soft Menu dial-button 6. This brings up the previous Soft Menu page. Display Format Set the layout of slice images. Select 1*1, 2*1, 2*2, 3*2, 3*3, or 4*3. The number of slices that can be displayed simultaneously on the screen varies based on this setting. If the layout is changed, the selected slice image moves to the first position on the screen. Ref. Image Select A, B, or C as the reference image. MSV OH If this function is turned on, the A, B and C planes of the selected slice image will be displayed on the screen. The selected slice and reference images will be highlighted with orange borders. Orientation Dot Click Next on the left screen menu on the monitor, and select Orientation Dot. When this is ‘On’, a dot appears at the center of the image. Oblique View After drawing a straight or curved line in the selected image in MSV Mode, you can study the related oblique image. Usage instructions are as follows: 1. Select Display Format, and then specify the number of oblique images to study. 2. Select the Oblique Cut Type. 3. Draw a straight or curved line on a reference image by using the trackball and the Set button. An oblique image will appear with the start (S) and end (E) points shown. XX If Cut Type is set to Line and the trackball is in Move state, you can reposition the line. 7-74 Chapter 7 Diagnosis Mode 4. Optimize the image for observation by using other buttons on the touch screen. NOTE: When Display Format is 2*1, measurement functions such as Calculator and Caliper can be used. Tips! Direction of View of Oblique Image The observer is located perpendicular to the section of a reference image. Please see the view direction below: Oblique View Screen The reference image that is selected in MSV Mode is displayed on the screen. The reference image is highlighted with yellow borders, and always placed in the left corner of the screen. When more than one line is used for observation, each line is indicated by a different color and number. Oblique View Mode Soft Menu Selected Slice Use the dial-button 1 on the Soft Menu to select a line. This option is only available if Multi Line or Multi Contour has been selected from the Oblique View mode menu. Init Pressing the Soft Menu dial-button 1 deletes the Oblique image and resets the positional information of the Ref. Image. 7-75 User Manual Rotate Line Use the Soft Menu dial-button 2 to rotate the line that was selected in Selected Slice. This option is not available if Contour or Multi Contour was selected from the Oblique View mode menu. Slice Thickness Use the dial-button 3 on the Soft Menu to adjust the gap between the parallel lines. This option is only available if Parallel or Plumb has been selected from the Oblique View mode menu. Orientation Dot Press the Soft Menu dial-button 2 to turn this function on or off. When this is ‘On’, a dot appears at the center of the image. Rotate X / Y / Z Rotates the image in the direction of the selected axis. Use the Soft Menu dial-buttons 5, 6, and 7 to rotate the image in the direction of the X, Y, and Z axes, respectively. Auto Increment Click Next on the left screen menu on the monitor, and select Auto Increment. Turning this option on automatically increases the number of lines in Multi Line and Multi Contour to a maximum of five. Next Page Press the Soft Menu dial-button 7. This brings up the next Soft Menu page. Position Used to adjust the post curve position. Use the Soft Menu dial-button 2 to set a value between 0 and 100. Bias Adjust the bias of the post curve. Use the Soft Menu dial-button 4 to select a value between -100 and 100. Prev Page Press the Soft Menu dial-button 7. This brings up the previous Soft Menu page. 7-76 Chapter 7 Diagnosis Mode [Figure 7.20 Oblique View] Oblique Cut Type Use the relevant button on the left side of the monitor to select the cut type. Line The oblique image of a straight line can be studied. Contour The oblique image of a curved line or contour line can be studied. Tips! Multi Line & Multi Contour If Display Format is set to 3x2 or 3x3, enable Auto Increase to draw more than one line. 7-77 User Manual Parallel NOTE: This cannot be used when Display Format is 2*1. The oblique image of a straight line and its parallel lines can be studied. If a straight line is drawn, its parallel lines are automatically shown on the screen. XX Press Parallel and draw the reference line by using the trackball and the Set button. Parallel lines will be inserted automatically. XX To adjust the gap between the parallel lines, use the Soft Menu dial-button 2 Slice Thickness. Plumb NOTE: This cannot be used when Display Format is 2*1. The oblique image of a straight line and its perpendicular lines can be observed. If a straight line is drawn, its perpendicular lines are automatically shown on the screen. XX Press Plumb and draw the reference line by using the trackball and the Set button. Perpendicular lines will be inserted automatically. XX To adjust the length of the perpendicular lines, use the Soft Menu dial-button 2 Plumb Size. You can adjust the length in 1mm increments; the current length is displayed in the Image Information. Display Format Set the layout of oblique images. Select 2*1, 3*2, or 3*3. Depending on this setting, the number of oblique images and the Oblique Cut Type will vary. 7-78 Chapter 7 Diagnosis Mode OVIX NOTE: This cannot be used when Oblique Cut Type is Contour. OVIX is the abbreviation for Oblique View eXtended, which sets the cross-sectional thickness of an oblique image and shows the image in 3D. When this is on, an OVIX Line appears in the reference image, which indicates the cross-sectional thickness of the oblique image of the reference image. The thickness of the OVIX Line can be adjusted by OVIX Thick. OVIX Thick. Rotate the Soft Menu dial-button 4 OVIX Thick. to adjust the thickness of OVIX. The 3D image for the set thickness appears. 7-79 User Manual XI VOCAL NOTE: XI VOCAL is one of the features of 3D XI, and an optional feature of this product. Measure the volume of tissues in 3D XI Mode. [Figure 7.21 XI VOCAL] Tips! VOCAL vs XI VOCAL XX VOCAL: Measures the volume of an object in a general 3D image. Uses rotating slices. XX XI VOCAL: Measures the volume of an object in the selected reference image in MSV Mode by using parallel slices. Uses parallel slices. Calculates the volume of an object by cutting it into multiple slices. XI VOCAL is performed in the following order: XI VOCAL Define XI VOCAL Edit XI VOCAL. 7-80 Chapter 7 Diagnosis Mode XI VOCAL Define Specify how slice and contour lines are extracted. Reference images and slice lines are displayed on the left side of the screen. Slice images with the start (S) and end (E) points of a slice line are displayed on the right side of the screen. The 3D image information displays the current mode, as well as the Ref. Image, Contour Type, and # of Slices (number of images). The 3D XI-XI VOCAL screen will be displayed on the monitor. Contour Type Select the contour line type. A contour line is automatically created for all types except Manual. Solid Used for object data with many echoes. Cystic Used for object data with fewer echoes. General Draw a contour line based on a typical object. This is faster than other automatic contour types, but less accurate. Manual Create the desired shape of an object manually. A contour line can be specified in the XI VOCAL Edit screen. Slice Direction Set the direction of a slice line. Select Vertical or Horizontal. Changing the direction of a slice line also changes the slice image displayed on the screen. Ref. Image Select A, B, or C as the reference image. The selected image will be highlighted with orange borders. 7-81 User Manual Ref. Contour Press the on-screen menu button to turn this option on or off. If it is turned on, a contour line can be drawn by using the trackball and the Set button. Init Resets the positional information of the 3D image. Start The system will switch to the XI VOCAL Edit screen. NOTE: If the Contour Type is set to Manual, the system switches to the XI VOCAL screen when Start is pressed. # of Slices Specify the number of slice images. Use the dial-button to select 5, 10, 15, or 20. Depending on the selected number of images, the interval between slices will vary. 7-82 Chapter 7 Diagnosis Mode XI VOCAL Edit Specify the contour extraction range or run XI VOCAL. Based on slice lines, slice images and pole points will be displayed on the screen. A pole point is a reference point against which an object contour is extracted. Two pole points appear in each slice image. The selected slice image is highlighted with orange borders. ‘The image number/the total number of slice images’ is shown at the bottom of each image. The current mode is shown in the 3D image information area. Tips! Reference Image and Slice Line These always appear in the lower right corner of the XI VOCAL Edit screen. They can be useful when the position of a slice image needs to be considered. Ref. Page Rotate the Soft Menu dial-button 1 to change the screen page. New Contour Press the Soft Menu dial-button 1 to delete the current data and return to the XI VOCAL Define stage. Accept Contour Apply the changes and perform XI VOCAL. The system will switch to the XI VOCAL screen. Tips! When the Contour Type is set to Manual Use the Set button and the trackball to draw a contour line before pressing Accept Contour. If you press Accept Contour without drawing a contour line, a general type contour line will be extracted. 7-83 User Manual XI VOCAL Optimize XI VOCAL data for review. Slice images with their contour line shown and 3D reference images are displayed. The 3D reference image is highlighted with orange borders, and the calculated volume is shown at the bottom of the image. The current mode is shown in the 3D image information area. Tips! 3D Reference Image Use XI VOCAL to display an object for which volume has been obtained in 3D. Use the Zoom button on the control panel to zoom in on the object. View All Slice Click the View All Slice button on the left side of the monitor screen, or press the Soft Menu dialbutton 3, to turn this option on or off. If it is turned on, all XI VOCAL data - including reference image, slice line and slice image - will be displayed on the screen simultaneously. Edit Contour The system will return to the XI VOCAL Edit screen. You can edit the contour line by using the trackball and the Set button. 7-84 Chapter 7 Diagnosis Mode 4D NOTE: XX 4D Mode is an optional feature of this product. XX 4D Mode is only available when 3D probes are used. In 4D Mode, 3D images can be obtained in real time with 3D probes. This mode is also called Live 3D Mode. Images can be acquired in the same way as for standard 3D images. 4D Mode Screen Under the current mode in the image information area, ‘Live’ will be displayed to indicate 4D. Press the Freeze button on the control panel to switch to the 4D Cine screen. NOTE: In 4D state, only MPR, MSV, and Oblique View modes are available. For more information, see 3D View-MPR and 3D XI. [Figure 7.22 4D] 7-85 User Manual 4D Cine The 4D images saved temporarily in the system can be reviewed. Press this button to bring up the 4D Cine screen. NOTE: You can also press the Freeze button in 4D Mode to execute 4D Cine. The cine bar is shown on the screen. The cine bar includes the Current Cine Frame Number/Total Number of Cine Frames. [Figure 7.23 4D Cine] NOTE: For information on Soft Menu items in 4D Cine mode, refer to ‘3D Cine’. 7-86 Chapter 7 Diagnosis Mode XI STIC NOTE: XX XI STIC is an optional feature of this product. XX XI STIC is only available when 3D probes are used. XX This only appears when the Application is set to OB. This option can be used to obtain the fetal cardiac cycle with volume data on fetal cardiac area, and to recompile the volume data for display. STIC is an abbreviation for Spatio-Temporal Image Correlation. [Figure 7.24 XI STIC] 7-87 User Manual Acquiring XI STIC Images NOTE: XX If the motion artifacting is severe, data does not contain the cardiac cycle, or the heart rate cannot be calculated for any other reason, you will be returned to the XI STIC initial screen. XX In Color STIC, the cardiac cycle can only be measured when the frame rate is 20 or above. 1. Select the XI STIC tab in the 3D StandBy screen. 2. Set the various parameters as you would for acquisition of standard 3D images. 3. Press the Freeze or Set button on the control panel. The system will begin acquiring 3D images. 4. When image acquisition is complete, XI STIC is displayed on the monitor screen and the XI STIC Confirm screen is displayed. Check the fetal cardiac cycle calculated. 5. To proceed, press the Soft Menu dial-button 3 YES. To cancel and obtain a new image, press the Soft Menu dial-button 5 NO. 6. You can perform diagnosis by optimizing images. Tips! How to Improve STIC Volume Data XX Scan Angle: Specify a small scan angle for small fetal hearts. XX Scan Position: Adjust the scan position so that the center of the scan angle and the fetal heart are aligned properly. XX ROI Box: Adjust the size of the volume box so that it nearly fits the size of the fetal heart. Scan Time Set the image acquisition time. Select a value from 7 through 15 by rotating the Soft Menu dialbutton 4. Trimester Set the pregnancy trimester. Rotate the Soft Menu dial-button 5 to select 1st, 2nd, 3rd, or User Set. 7-88 Chapter 7 Diagnosis Mode Tips! Trimester If 1st–3rd are set, the recommended scan time and STIC angle are automatically set for the specified trimester. Please see the following table: Trimester 1st 2nd 3rd Scan Time 10 seconds 12 seconds 15 seconds STIC Angle 20° 25° 30° If a scan time and STIC angle other than those in the above table are set, the trimester is displayed as User Set. Scan Angle Set the scan angle. Select an angle from between 15° and 60° by rotating the Soft Menu dial-button 7. NOTE: For information on other usage, please refer to ‘3D Stand By’. Reviewing XI STIC Image The XI STIC image is played as Volume Cine; Img. Angle, Vol. Angle, Scan Time, HR, Volume Pos. and other XI STIC information is displayed at the bottom left corner of the monitor screen. NOTE: The only available modes with Volume Cine are MPR, MSV and Oblique View. Press the Freeze button on the control panel to stop Volume Cine playback. 7-89 User Manual Speed (%) NOTE: This option is only available in MPR or MSV Mode during Volume Cine playback. Set the playback speed for XI STIC images. In the Next Page, rotate the Soft Menu dial-button 1 to select a speed between 25 and 400%. This rate is based on the fetal heart rate (100%). Volume Pos. NOTE: This option is only available in MPR or MSV Mode when Freeze is enabled. In the Next Page, rotate the Soft Menu dial-button 1 to select Index. The selected index will be highlighted with orange borders. NOTE: For other instructions, refer to 3D View-MPR and 3D XI. 7-90 Chapter 8 Measurements and Calculations Measurement Accuracy...................................8-3 Causes of Measurement Errors............................................8-3 Optimization of Measurement Accuracy........................8-5 Measurement Accuracy Table..............................................8-7 Basic Measurements........................................8-8 Distance Measurement........................................................8-10 Circumference and Area Measurement.........................8-15 Volume measurement..........................................................8-17 Calculations by Application ......................... 8-20 Things to Note.........................................................................8-20 Common Measurement Methods ..................................8-24 OB Calculations.......................................................................8-29 Gynecology Calculations ....................................................8-36 Cardiac Calculations..............................................................8-39 Carotid Calculations..............................................................8-53 Upper Extremity (UE) Artery Calculations ....................8-59 Lower Extremity (LE) Artery Calculations......................8-60 Upper Extremity (UE) Vein Calculations ........................8-61 Lower Extremity (LE) Vein Calculation............................8-63 Fetal Echo Calculations........................................................8-65 Urology Calculations.............................................................8-68 Abdomen Calculations.........................................................8-71 Small Parts Calculations.......................................................8-72 Chapter 8 TCD Calculations.....................................................................8-77 Pediatric Hips Calculations.................................................8-78 MSK Measurement (Musculoskeletal Calculations)..........................................8-79 Report.............................................................. 8-81 Viewing Reports .....................................................................8-81 Editing Report..........................................................................8-82 Fetal Description.....................................................................8-84 Adding Comments.................................................................8-85 Printing Reports......................................................................8-86 Saving Reports........................................................................8-86 Transferring Report................................................................8-87 Graphs.........................................................................................8-87 Closing Report.........................................................................8-92 Chapter 8 Measurements and Calculations Measurement Accuracy Measurement values can vary depending on the nature of the ultrasound wave, the body’s response to ultrasound waves, the measurement tools, algorithms, product settings, probe type, and operations performed by the user. Before using this product, make sure to read and understand the following information regarding the causes of measurement errors, and measurement optimization. Causes of Measurement Errors Image Resolution The resolution of an ultrasound image may be limited by spatial causes. XX Errors caused by signal range may be minimized by adjusting the focus settings. Optimizing focus settings increases the resolution of the measurement area. XX In general, lateral resolution is lower than axial resolution. Therefore, measurements should be performed along the axis of the ultrasound beam to obtain accurate values. XX Gain has a direct impact on resolution. Gain can be adjusted by using the Gain button for each mode. XX In general, increasing the frequency of ultrasound enhances resolution. Pixel Size XX This product’s ultrasound images consist of pixels. XX Since a single pixel represents the basic unit of an image, a measurement error may result in the displacement of approximately ±1 pixel when compared to the original image size. XX However, this error is significant only when a narrow interval is being measured on the monitor. 8-3 User Manual Ultrasound Velocity XX The velocity of ultrasound used during measurement is usually 1,540 m/s on average. XX The velocity of ultrasound may vary depending on the cell type. XX The possible range of error is approximately 2-5%, depending on the structure of cells. (About 2% for typical cells and about 5% for fatty cells) Doppler Signal Adjustment XX During velocity measurement, an error may occur depending on the cosine angle between the blood flow and the ultrasound beam. XX For Doppler velocity measurements, the most accurate results can be ensured when the ultrasound beam is aligned in parallel with the blood flow. XX If that is not possible, the angle between them should be adjusted by using the Angle option. Aliasing XX PW Spectral Doppler Mode uses a signal sampling technique to calculate the frequency (or velocity) spectrum. XX Adjust the baseline or the velocity scale to minimize aliasing. A lower frequency probe can also be used to reduce aliasing. XX Aliasing is dramatically reduced in CW Spectral Doppler Mode. Calculation Equation XX Some of the calculation equations used for clinical purposes originate from hypotheses and approximation. XX All calculation equations are based on medical reports and articles. Human Error XX Human error may occur due to inappropriate use or lack of experience. XX This can be minimized through compliance with and thorough understanding of the manuals. 8-4 Chapter 8 Measurements and Calculations Optimization of Measurement Accuracy 2D Mode XX Resolution is in proportion to the frequency of the probe. XX Penetration is inversely proportional to the frequency of the probe. XX The highest resolution can be obtained at the focus of the probe where the ultrasound beam is narrowest. XX The most accurate measurements can be obtained at the focus depth. As the distance from the focus increases, the beam width increases, which results in lower accuracy. XX Using the zoom function or minimizing the depth display makes distance or area measurements more accurate. M Mode XX The accuracy of time measurements can be increased when the sweep velocity and the display format are set to high values. XX The accuracy of distance measurements can be increased when the display format is set to a higher value. Doppler Mode XX Using lower frequency ultrasound is recommended for measurement of faster blood flows. XX The size of the sample volume is limited by the axial direction of the ultrasound. XX Using lower frequency ultrasound increases penetration. XX The accuracy of time measurements can be increased when the sweep velocity is increased. XX The accuracy of velocity measurements can be increased when the vertical scale is set to smaller values. XX It is most important to use an optimal Doppler angle to enhance the accuracy of velocity measurements. 8-5 User Manual Color/Power Doppler Mode XX A protocol is not specified for images in Color Doppler Mode or Power Doppler Mode. Therefore, the same limitations imposed on measurements taken in B/W images also apply to the accuracy of measurements taken in Color Doppler and Power Doppler Modes. XX Using Color/Power Doppler Mode images for measuring accurate blood flow velocity is not recommended. XX The amount of blood flow is calculated based on the average velocity, rather than the peak velocity. XX In all applications, the amount of blood flow is measured in PW/CW Spectral Doppler Mode. Cursor Position XX All measurements are affected by input data. XX To ensure accurate positioning of the cursor, do the following: Adjust the images on the screen so that they are displayed at maximum granularity. Use the front edge or boundary point of a probe to make the start and end points of a measurement object more distinct. Make sure that the probe direction remains the same during measurement. 8-6 Chapter 8 Measurements and Calculations Measurement Accuracy Table The following tables show the accuracy of the measurements that can be taken using this product. Ensure that the results of measurement accuracy checks are kept within the ranges specified in the table. Except for certain applications or probes, the following accuracy ranges should be maintained for measurement of distance on a straight line. NOTE: To ensure accurate measurements, an accuracy check should be performed at least once per year. If the measurement accuracy falls outside the ranges specified in the following table, contact the Samsung Medison Service Department. 2D Mode Measurements System Tolerance (Whichever is greater) Test Methodology Accuracy Based on Range Axial Distance < ± 4% or 1mm Phantom Acquisition Full Screen Lateral Distance < ± 4% or 2mm Phantom Acquisition Full Screen Measurements System Tolerance (whichever is greater) Test Methodology Accuracy Based on Range Depth < ± 5% or 3mm Phantom Acquisition 1 - 25cm Time < ± 5% Signal generator Acquisition 0.01 - 11.3 sec M Mode PW/CW Spectral Doppler Mode Doppler Measurement System Tolerance (whichever is greater) Accuracy based on Range Velocity < ± 15% Acquisition PW: 0.1cm/s - 8.8 m/s CW: 0.1cm/s - 19.3 m/s Time < ± 5% Acquisition 10ms - 9.44 s 8-7 User Manual Basic Measurements Press the Caliper button on the control panel. NOTE: Perform basic measurements of distance and area regardless of the application. For information on measurements for each application, please refer to “Measurements by Application” in this chapter. The available measurement methods vary depending on the current diagnosis mode. Please refer to the following table: Measurement Category Distance measurement Circumference and Area Measurement Volume measurement Diagnosis Modes Measurement Methods 2D, M, D Distance Line Trace Angle %StD M M Distance D D Velocity D A/B D Trace D time 2D, M, D Ellipse Trace %StA 2D, M, D 3 Distance 1 Distance Distance + Ellipse Ellipse MOD [Table 8.1 Basic Measurements by Diagnosis Mode] Basic Measurement Operations The following is the information on common button operations for basic measurements: Selecting/changing measurement method Use the Soft Menu dial-button 1-3. The options displayed on the Soft Menu vary by application. The selected measurement method is displayed in the User Information area. 8-8 Chapter 8 Measurements and Calculations Specifying measurement result position Use the Soft Menu dial-button 4. XX Move: Changes the location where measurement result values are displayed. Change the location by using the trackball, and then press the Set button. XX Reset: When you press the dial-button, the display position of the measurement results is reset. NOTE: When there are multiple pages of measurement results, you can find the desired result by using Move. Canceling measurement results Use the Soft Menu dial-button 5. XX Delete: Rotating the dial-button deletes a portion of the curve being traced. NOTE: Delete is only available for Line Trace, Area Trace, and MOD. XX Undo: Pressing the dial-button cancels the last measured item and measures it again. NOTE: Of all the volume measurements, only 3 Distance and Distance+Ellipse provide the Undo function. Deleting Measurement Results Press the Clear button on the control panel. The measurement displayed on screen will be deleted. Printing Measurement Results Press the Print 1 (or Print 2) button on the control panel. Exiting Basic Measurement Press the Exit button on the control panel. NOTE: To change the measurement unit or other settings, select Utility > Measure Setup > General. For more information, refer to ‘Chapter 3. Utilities’ in this manual. 8-9 User Manual Distance Measurement Distance This is a basic measurement that is available in all diagnosis modes. Specify two points on a 2D image and measure the length of the straight line between the points. 1. Press the Caliper button, and then select ‘Distance’ from the Soft Menu 1. ‘Distance’ will be displayed in the User Information area. XX Use the trackball and the Set button to specify both end points of the measurement area. 2. Use the trackball to place the cursor at the desired position, and then press the Set button. Tips! Repositioning Point Instead of pressing the Set button to confirm the point position, you can press the Change button to reset it. 3. Specify both end points and then the distance between them will be measured. 4. When the measurement is finished, its result is shown on the screen. Line Trace This is a basic measurement that is available in all diagnosis modes. Specify a point on a 2D image and trace a curve from that point to measure its length. 1. Press the Caliper button, and then select ‘Line Trace’ from the Soft Menu 1. ‘Line Trace’ will be displayed in the User Information area. 2. Use the trackball and the Set button to specify the start point of the measurement area. XX Use the trackball to place the cursor at the desired position, and then press the Set button. 3. Use the trackball to draw the desired curve and then press the Set button to set the end point. Tips! Editing Curves Before specifying the end point by pressing the Set button, you can delete part of the curve being traced by rotating the Soft Menu dial-button 5 Delete. 4. Specify both end points and then the length of the curve will be measured automatically. 8-10 Chapter 8 Measurements and Calculations Angle This is a basic measurement that is available in all diagnosis modes. Specify two straight lines on a 2D image to measure the angle between the two lines. 1. Press the Caliper button, and then select ‘Angle’ from the Soft Menu 1. ‘Angle’ will be displayed in the User Information area. 2. Draw two straight lines. Refer to ‘Distance’ for instructions on how to draw a straight line. 3. The angle between two lines will be calculated and displayed on the screen. XX When two angles are calculated, the smaller angle is displayed. %StD StD stands for Stenosis Distance, which is a basic measurement available in all diagnosis modes. The diameter of a blood vessel is measured on a 2D image to calculate its stenosis ratio (%). 1. Press the Caliper button, and then select ‘%StD’ from the Soft Menu 1. ‘%StD’ will be displayed in the User Information area. 2. Measure the total diameter of a vessel using the Distance measurement method. 3. When the second cursor appears, measure the diameter of the vessel’s inner wall under stenosis. 4. Calculate %StD with the following equation: %StD = (Outer Distance – Inner Distance)/Outer Distance x 100 M Distance This is a basic measurement that is only available in M mode. Specify two points on an M image, and measure the distance, elapsed time, and velocity between the two points 1. Select ‘M Distance’ from the Flexible Soft Menu 1. ‘M Distance’ will be displayed in the User Information area. 2. Specify two points and measure the length of the straight line between the points. Measurement is taken in the same way as ‘Distance’. 3. When the measurement is finished, its result is shown on the screen. 8-11 User Manual D Velocity This is a basic measurement that is only available in Spectral Doppler mode. Specify two points on a Spectral Doppler image and measure the velocity at each point to calculate the velocity gradient, time gradient, and acceleration. NOTE: In a Spectral Doppler image, the X- and Y-axes represent time and velocity, respectively. 1. Press the Caliper button, and then select ‘D Velocity’ from the Soft Menu 1. ‘D Velocity’ will be displayed in the User Information area. 2. Specify two points and measure the length of the straight line between the points. Measurement is taken in the same way as ‘Distance’. 3. When the measurement is finished, its result is shown on the screen. XX V1: Velocity at point 1 XX Time: Time gradient XX V2: Velocity at point 2 XX Acc: Acceleration XX PGmax: Max Pressure Gradient XX RI: Resistivity Index XX V2-V1: Velocity gradient XX S/D: Systolic to Diastolic Ratio The equations used for D Velocity measurement are as follows: XX XX XX NOTE: If ‘Application’ is set to Cardiac at Utility > Measure Setup > General > Caliper, results such as Vmax, PGmax, V2-V1, Time, Acc will be displayed on screen. 8-12 Chapter 8 Measurements and Calculations D A/B This is a basic measurement that is only available in Spectral Doppler mode. Specify two points on a Spectral Doppler image and measure the velocity at each point to calculate the ratio of velocity between the two points. 1. Press the Caliper button, and then select ‘D A/B’ from the Soft Menu 1. ‘D A/B’ will be displayed in the User Information area. 2. Specify two points for which to measure velocity. XX Use the trackball to place the cursor at the desired position, and then press the Set button. 3. When the measurement is finished, its result is shown on the screen. XX V1: Velocity at point 1 XX PGmax: Max Pressure Gradient XX V2: Velocity at point 2 XX V1/V2: Ratio of velocity NOTE: If ‘Application’ is set to Cardiac at Utility > Measure Setup > General > Caliper, results such as Vmax, PGmax, and V2-V1 will be displayed on screen. D Trace This is a basic measurement that is only available in Spectral Doppler mode. You can specify a point in a Spectral Doppler image and trace a curve from that point to calculate the velocity, integral value, and average velocity of blood flow. 1. Press the Caliper button, and then select ‘D Trace’ from the Soft Menu 1. ‘D Trace’ will be displayed in the User Information area. 2. Trace the curve. Measurement is taken in the same way as ‘Line Trace’. 3. When the measurement is finished, its result is shown on the screen. XX PSV: Peak Systolic Velocity XX PI: Pulsatility Index XX EDV: End Diastolic Velocity XX S/D: Ratio of PSV to EDV XX RI: Resistivity Index XX Vmean: Mean velocity The equations used for D Trace measurement are as follows: 8-13 User Manual XX XX XX XX NOTE: If ‘Application’ is set to Cardiac at Utility > Measure Setup > General > Caliper, results such as Vmax, Vmean, PGmax, PGmean, VTI, PHT, Acc, AccT, Dec, and DecT will be displayed on screen. D Time This is a basic measurement that is only available in Spectral Doppler mode. Specify two bars on a Spectral Doppler image to calculate the time between the bars. 1. Press the Caliper button, and then select ‘D Time’ from the Soft Menu 1. ‘Time’ will be displayed in the User Information area. 2. Set two bars on the spectrum with the trackball and the Set button. 3. When the measurement is finished, its result is shown on the screen. 8-14 Chapter 8 Measurements and Calculations Circumference and Area Measurement Ellipse This is a basic measurement that is available in all diagnosis modes. Measure the circumference and area of circle (ellipse)-shaped objects on a 2D image. 1. Press the Caliper button, and then select ‘Ellipse’ from the Soft Menu 2. ‘Ellipse’ will be displayed in the User Information area. 2. Use the trackball and the Set button to specify the diameter (axis) of the measurement area. XX Use the trackball to place the cursor at the desired position, and then press the Set button. Tips! Repositioning Point Instead of pressing the Set button to confirm the point position, you can press the Change button to reset it. 3. Specify the size of the circle (ellipse). XX Adjust the size by using the trackball, and then press the Set button. 4. When the measurement is finished, its result is shown on the screen. The following equation is used for Ellipse measurement: (A: Long axis, B: Short axis) Area (a, b: Axis) 8-15 User Manual Trace This is a basic measurement that is available in all diagnosis modes. Measure the circumference and area of an irregularly shaped object on a 2D image. 1. Press the Caliper button, and then select ‘Trace’ from the Soft Menu 2. ‘Trace’ will be displayed in the User Information area. 2. Use the trackball and the Set button to specify the start point for tracing over the contour of the measurement area. XX Use the trackball to place the cursor at the desired position, and then press the Set button. 3. Trace the curve so that the measurement cursor returns to the start point, and then press the Set button. NOTE: The Trace Line must be a closed curve. If you press the Set button before tracing is complete, a straight line will be traced between the current position and the start point, resulting in a significant error. 4. When the measurement is finished, its result is shown on the screen. The equations used for Trace measurement are as follows: sum Area sum (N = 1,2… last point) (N = 1,2… last point) %StA StA stands for Stenosis Area, which is a basic measurement available in all diagnosis modes. The area of a blood vessel is measured on a 2D image to calculate its stenosis ratio (%). 1. Press the Caliper button, and then select ‘%StA’ from the Soft Menu 2. ‘%StA’ will be displayed in the User Information area. 2. Measure the area of the vessel outer wall using the Area measurement method. 3. When the second cursor appears, measure the area of the stenosed vessel’s inner wall. 4. Calculate %StA with the following equation: %StA = (Outer Area – Inner Area) / Outer Area x 100 8-16 Chapter 8 Measurements and Calculations Volume measurement NOTE: Since Dual Mode simultaneously displays two images on the screen, you don’t have to return to the diagnosis mode to measure volume in Dual Mode. 3 Distance This is a basic measurement that is available in all diagnosis modes. Measure the volume of an object by using three straight lines on a 2D image. 1. Press the Caliper button, and then select ‘3 Distance’ from the Soft Menu 3. ‘3 Distance’ will be displayed in the User Information area. 2. Specify two points and measure the length of the straight line between the points. Measurement is taken in the same way as ‘Distance’. 3. Measure the length of the remaining two straight lines using the same method as above. 4. When the measurement is finished, its result is shown on the screen. The volume (Vol.) will be calculated along with the length of each line. XX Tapping Undo on the touch screen while taking a measurement cancels the last measurement taken and restarts the measurement step. The equations used for 3 Distance measurement are as follows: (D: distance) 8-17 User Manual 1 Distance This is a basic measurement that is available in all diagnosis modes. Measure the volume of an object by using only one straight line on a 2D image. 1. Press the Caliper button, and then select ‘3 Distance’ from the Soft Menu 1. ‘1 Distance’ will be displayed in the User Information area. 2. Specify two points and measure the length of the straight line between the points. Measurement is taken in the same way as ‘Distance’. 3. When the measurement is finished, its result is shown on the screen. The volume (Vol.) will be calculated along with the length of the line. The equations used for 1 Distance measurement are as follows: (D: distance) Dist. + Ellipse This is a basic measurement that is available in all diagnosis modes. Measure the volume of an object by using one straight line and one circle (ellipse) on a 2D image. 1. Press the Caliper button, and then select ‘Dist. + Ellipse’ from the Soft Menu 3. ‘Distance + Ellipse’ will be displayed in the User Information area. 2. Specify two points and measure the length of the straight line between the points. Measurement is taken in the same way as ‘Distance’. 3. Specify the size of the circle (ellipse). Measurement is taken in the same way as ‘Ellipse’. 4. When the measurement is finished, its result is shown on the screen. XX D: The length of a straight line XX Area: The area of a circle XX Long: The length of the long axis in an ellipse XX Vol.: Volume XX Short: The length of the short axis in an ellipse The equations used for Distance + Ellipse measurement are as follows: (a : Short axis, b : Long axis, d : Distance) 8-18 Chapter 8 Measurements and Calculations Ellipse This is a basic measurement that is available in all diagnosis modes. Measure the volume of a coneshaped object by using one circle (ellipse) on a 2D image. 1. Press the Caliper button, and then select ‘Ellipse’ from the Soft Menu 3. ‘Ellipse’ will be displayed in the User Information area. 2. Specify the size of the circle (ellipse). Measurement is taken in the same way as ‘Ellipse’. 3. When the measurement is finished, its result is shown on the screen. The following equation is used for Ellipse measurement: Long Short Short MOD This is a basic measurement that is available in all diagnosis modes. Calculate the volume of an irregularly shaped object by measuring the area and the length of its long axis on a 2D image. MOD stands for Method of Disk. 1. Press the Caliper button, and then select ‘MOD’ from the Soft Menu 3. ‘MOD’ will be displayed in the User Information area. 2. Draw the contour of the area to be measured. Measurement is taken in the same way as ‘Trace’. 3. Measure the length of the long axis. Measurement is taken in the same way as ‘Distance’. 4. When the measurement is finished, its result is shown on the screen. Tips! Editing Curves Before specifying the end point by pressing the Set button, you can delete part of the curve being traced by rotating the soft menu dial-button 5 Delete. 8-19 User Manual Calculations by Application Press the Calculator button on the control panel. Things to Note Before Starting Measurement Register Patient Make sure the currently registered patient information is correct. If the patient is not registered, press the Patient button on the control panel to register the patient. For information on the Patient Information menu and how to enter the information, refer to ‘Patient Information’ in ‘Chapter 6. Starting Diagnosis’. Check the Probe, Application and Preset XX Check the name of the probe and the application displayed in the Title area. To use a different probe or application, press the Probe button on the control panel. XX Check the preset settings in the Probe Selection screen. Configure Measurement Menu You can configure the measurement menu so that it only includes the items you want. Refer to the ‘Measurement Settings’ section in ‘Chapter 3. Utilities’ for information on measurement menus and how to set them up. Measurement Operations The following gives information on the common button operations for measurements: Select Measurement Item Move the cursor with the trackball or the Menu/Angle dial-button, and press the Set button or the Menu/Angle dial-button. To configure Measurement Menu items, use Utility > Measure Setup > General > Calc Menu. 8-20 Chapter 8 Measurements and Calculations Change Measurement Method Press the Change button on the control panel. If the current measurement may be taken in more ways than one, the measurement method may be changed. The current measurement method will be displayed in the User Information area. Once measurement starts, the method cannot be changed. Change Measurement Unit After completing the current measurement, you may go to Utility > Measure Setup > General > General > Display > Measurement Unit to select the unit you want. Delete Trace Line Move the trackball in the opposite direction to delete the traced line. You can only delete the line while you are manually tracing the Doppler spectrum. Deleting Measurement Results Press the Clear button on the control panel. NOTE: The measurement results are deleted from the screen, but will still be shown on the report for the corresponding application. Printing Measurement Results Press the Print 1 (or Print 2) button on the control panel. Exit Measurement Press the Exit button on the control panel. End Diagnosis Press the End Exam button on the control panel. The study for the currently registered patient will end, and all measurement results will be saved. NOTE: For various settings for applications, refer to ‘Chapter 3. Utilities’ in this manual. 8-21 User Manual Soft Menu The Soft Menu available during a measurement for each application is as follows: HR Cycle Activated when measuring the Heart Rate in M or D mode. Rotate the Soft Menu dial-button 1 to select the cycle of Heart Rate; you may select a value between 1 and 20 beats. Package Select a measurement package by rotating the Soft Menu dial-button 1. The application changes whenever you rotate the dial. Laterality Press the Soft Menu dial-button 1 to select the location of the measured object between Left (Rt) and Right (Lt). The left side of the measured object is displayed at Rt. This is only displayed in the menu in certain applications. Trace Direction Select the trace direction of the Doppler spectrum. Rotate the Soft Menu dial-button 2, and select from Up, Down, and All. This is activated only after Auto or Limited Trace has been performed in Spectral Doppler mode. XX Up: Only the + part of the Doppler waveform is traced. XX Down: Only the - part of the Doppler waveform is traced. XX All: All parts of the Doppler waveform are traced. Tab Select a measurement package by rotating the Soft Menu dial-button 2. The menu tab of the current application changes whenever you rotate the dial. RAP Rotate the Soft Menu dial-button 3 to select the blood pressure (Right Atrium Pressure). This is only available in the cardiac application. Apply RAP Press the Soft Menu dial-button 3 to save the selected RAP to the report. 8-22 Chapter 8 Measurements and Calculations Result Action Rotate the Soft Menu dial-button 4 to select the position of the measurement result. XX Move: Changes the location where measurement result values are displayed. Change the location by using the trackball, and then press the Set button. XX Reset: When you press the dial-button, the display position of the measurement results is reset. Tips! When there are multiple pages of measurement results, you can find the desired result by using Move. Threshold Set threshold by rotating the Soft Menu dial-button 7. This is activated only after Auto or Limited Trace has been performed in Spectral Doppler mode. Adjusting Threshold is helpful for contouring the Doppler spectrum. 8-23 User Manual Common Measurement Methods This section provides information on the common measurement methods used for applications. Measurements in Spectral Doppler Mode In general, if you trace a Doppler spectrum, you obtain results for various measurement items automatically. There are 3 ways to trace a Doppler spectrum. Also, you can select a specific item under the measurement menu and take measurements individually without tracing a Doppler spectrum. Auto Trace Spectrum is traced automatically. This can be enabled in the measurement menu in Spectral Doppler Mode. 1. Press Auto Trace in the measurement menu. 2. The system traces the spectrum automatically. 3. When the Trace is complete, the measurement results are displayed on the screen. 8-24 Chapter 8 Measurements and Calculations Tips! Things to Consider when using Doppler Spectrum Auto Trace The state of a Doppler spectrum may affect measurement results. Please pay attention to the following: Causes for Trace Failure XX If Gain is changed for a Doppler image in Freeze state, Contour Trace and Peak Trace will not work. XX If there is little or no noise in an image without a spectrum, Contour Trace will not work. XX If there is severe noise in an image, Contour Trace will not work. XX If the Clutter Filter is set too high, Auto Trace or Limited Trace may not work. Causes for Inaccurate Peak Trace XX If the PRF (Pulse Repetition Frequency) is lower than the velocity at the site being examined, aliasing may occur. If the original signals are separated from aliasing, a Trace can be carried out, but the peak measurement may not be accurate. XX If the peak of a spectral waveform is not clear or occurs intermittently, a Trace can be carried out, but the peak measurement may not be accurate. XX If the Doppler Gain is set too high or too low, it becomes difficult to distinguish spectra. This may result in measurement error. XX If the Wall Filter is set too high, the spectrum will only be partially displayed. In this case, a Trace can be carried out, but Peak measurement may not be accurate. XX If abnormal noise or artifacting occurs, a Trace can be carried out, but Peak measurement may not be accurate. Other XX Use of the CW Probe may result in measurement error(s). XX Limited Trace is supported only for two-peak spectrums such as Mitral Valve Inflow and Tricuspid Valve Inflow in the cardiology application. Limited Trace Specify a measurement range, and a spectrum will be traced automatically. This can be enabled in the measurement menu in Spectral Doppler Mode. 1. Select Limited Trace in the measurement menu. A bar will appear, with which you can specify range. 2. Specify the measurement range. XX Place the bar at a desired position with the trackball, and press the Set button. 3. The system traces spectrums within the specified range automatically. 4. When the Trace is complete, the measurement results are displayed on the screen. 8-25 User Manual Manual Trace A spectrum is traced manually. This can be enabled in the measurement menu in Spectral Doppler Mode. 1. Select Manual Trace in the measurement menu. The measurement cursor will appear over the spectrum. 2. Trace the spectrum. Measurement is taken in the same way as ‘D Trace’. 3. When the Trace is complete, the measurement results are displayed on the screen. Measurement by Item In the Measurement menu, select an individual item and take a measurement. 1. After obtaining the desired image, press the Calculator button. 2. Select the item you want from the Measurement menu. The + cursor will appear over the spectral waveform. 3. Position the “+” cursor and press the Set button. 4. The measurement results for the selected item are displayed on the screen. The following items are measured on a Doppler spectrum: 8-26 Item Category Unit Equation PSV (Peak Systolic Velocity) Velocity cm/s or m/s EDV (End Diastolic Velocity) Velocity cm/s or m/s TAMV (Time Average Mean Velocity) Velocity cm/s or m/s TAPV (Time Average Peak Velocity) Velocity cm/s or m/s PGmean (Mean Pressure Gradient) Calculation mmHg PGmax (Max Pressure Gradient) Calculation mmHg 4 × PSV 2 S/D (Ratio of PSV to EDV) Calculation Ratio PSV/EDV D/S (Ratio of EDV to PSV) Calculation Ratio EDV/PSV RI (Resistivity Index) Calculation Ratio (PSV - EDV)/PSV PI (Pulsatility Index) Calculation Ratio (PSV - EDV)/TAPV Chapter 8 Measurements and Calculations Taking measurements via Auto Calc Tips! You can use Auto Calc to take measurements on predetermined items. For information on setting up measurement items, refer to the ‘Auto Calc’ section in ‘Chapter 3. Utilities’. Volume Flow Measurement Select Volume Flow in the measurement menu. Volume Flow can be calculated by measuring an area or distance. For information on measuring distance or area, refer to ‘Basic Measurement’. TAMV(Time Avg. Mean Velocity) value is measured automatically. Vesl. Area(Vessel Area) Measure the area of a blood vessel and calculate TAMV and Volume Flow. Vesl. Dist.(Vessel Distance) Measure the width of a blood vessel and calculate TAMV and Volume Flow. Stenosis Measurement You can measure the stenosis of each blood vessel system by measuring and calculating an area or distance. %StA Measures the area of the inner wall and the outer wall of the blood vessel. StA stands for Stenosis Area. 1. Select the %StA menu and the first cursor will appear in 2D Mode. 2. Measure the area of the vessel’s outer wall using the Circ/Area measurement method. 3. When the second cursor appears, measure the area of the stenosed vessel’s inner wall. %StA = (Outer Area – Inner Area) / Outer Area x 100 8-27 User Manual %StD Measure the diameter of the blood vessel. StD stands for Stenosis Distance. 1. Select the %StD menu and the first cursor will appear in 2D Mode. 2. Measure the total diameter of a blood vessel using the Distance measurement method. 3. When the second cursor appears, measure the diameter of the stenosed vessel’s inner wall. %StD = (Outer Distance – Inner Distance) / Outer Distance x 100 Heart Rate Measurement HR(Heart Rate) You can calculate heart rates over a certain period of time. 1. Select HR from the Measurement menu. A bar will appear, with which you can specify range. 2. Specify the measurement range. XX Place the bar at a desired position with the trackball, and press the Set button. 3. The system will automatically measure the heart rate within the measurement range. 8-28 Chapter 8 Measurements and Calculations OB Calculations NOTE: XX Ductus Venosus and Fetal HR can only be measured in Doppler Mode. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual-Part 1. Before Taking OB Measurements OB Basic Information Enter the information required for OB diagnosis in the Patient Information window. The basic OB information includes LMP (Last Menstrual Period) and Number of Fetuses. Once LMP is entered, EDD (Estimated Delivery Date) and GA (Gestational Age) are calculated automatically. LMP is required for the calculation of values such as EDD and SD in obstetrics measurement. XX EDD(LMP) = LMP + 280days XX GA(LMP) = Current System Date - LMP Regardless of LMP, enter the EDD with a physicians opinion into ‘Estab. Due Date’. If LMP is not available, when Estab. Due Date is modified, LMP is automatically calculated and the ‘C’ mark is displayed next to the LMP information. A maximum of four fetuses can be entered as Number of Fetuses. The default value is ‘1’. In the case of twins, enter ‘2’. For further information about patient information menus and how to input patient information, refer to ‘Entering Patient Data’ in Chapter 6 ‘Starting Diagnosis’. OB Measurement Menu Settings NOTE: XX For your convenience, you may want to assign obstetrics measurement functions to the User1, User 2, and User 3 buttons on the control panel. You can do this at Utility > Setup > User Defined key > User Key Setup. XX For twins, distinguish fetuses by specifying them as Fetus A and Fetus B in the Measurement menu. Press the Change button on the control panel to change the fetus to be measured. 8-29 User Manual Set up the GA Equation, GA Table and OB measurement menus that are used in obstetrics measurements. The user can manually write, back up or restore GA Tables. For more information on the GA Equation and Table, refer to the Reference Manual. Refer to the ‘Setting Measurements’ section in ‘Chapter 3 Utilities’ for additional information. Early OB Measurement Menu When the measurements for the selected items are complete, the measurements and gestational age are displayed on the screen. The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. Item Sub-Item Mode Method Unit GS - All Distance measurement cm, mm YS - All Distance measurement cm, mm CRL - All Distance measurement cm, mm NT - All Distance measurement mm NB - All Distance measurement cm, mm BPD - All Distance measurement cm, mm AC - All Circumference or Auto Calculation cm, mm FL - All Distance measurement cm, mm EFW - All Duct Venosus All PW Velocity measurement cm/s, m/s Duct Venosus S Vmax PW Velocity measurement cm/s, m/s Duct Venosus D Vmax PW Velocity measurement cm/s, m/s Duct Venosus A Vmax PW Velocity measurement cm/s, m/s - M, PW Heart Rate bpm Duct Venosus Fetal HR 8-30 Chapter 8 Measurements and Calculations Automatic Calculation Some items in the measurement menu are automatically calculated based on the measurements of other items. HC This is automatically calculated using the following formula, provided there are measured BPD and OFD values. Exception: when you use Merz reference, AC This is automatically calculated using the following formula, provided there are measured APD and TAD values. Exception: when you use Merz reference, FTA This is automatically calculated using the following formula, provided there are measured APD and TAD values. MAD This is automatically calculated using the following formula, provided there are measured APD and TAD values. ThC This is automatically calculated using the following formula, provided there are measured APTD and TTD values. 8-31 User Manual APTD x TTD This is automatically calculated, provided there are measured APTD and TTD values. NOTE: For reference, the Osaka University/Tokyo University methods are mainly used in Asia, the Merz method in Europe, and the Shepard/Hadlock methods on the American continent. General Measurement Menu When the measurements for the selected items are complete, the measurements and gestational age are displayed on the screen. The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. 8-32 Item Sub-Item Mode Method Unit BPD - All Distance measurement cm, mm HC - All Circumference or Auto Calculation cm, mm AC - All Circumference or Auto Calculation cm, mm FL - All Distance measurement cm, mm Lat Vent - All Distance measurement cm, mm CEREB - All Distance measurement cm, mm CM - All Distance measurement cm, mm NF - All Distance measurement cm, mm OFD - All Distance measurement cm, mm Cervix L - All Distance measurement cm, mm HUM - All Distance measurement cm, mm APD - All Distance measurement cm, mm TAD - All Distance measurement cm, mm EFW - All Chapter 8 Measurements and Calculations Item AFI Max Vertical Pocket Mid Cereb A Umbilical A Lt. Uterine A Rt. Uterine A Fetal HR Sub-Item Mode Method Unit AFI All All Distance measurement cm, mm Q1 All Distance measurement cm, mm Q2 All Distance measurement cm, mm Q3 All Distance measurement cm, mm Q4 All Distance measurement cm, mm - All Circumference cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm - M, PW Heart Rate bpm AFI(Amniotic Fluid Index) Measure the amniotic fluid index. Measurements are performed by dividing the pregnant woman’s abdomen into four parts. The distance between the fetus and the farthest point of each area is measured. To obtain a specific image from each quadrant plane, press the Freeze button to go to the diagnosis mode. After obtaining the image, press the Freeze button again to return to the measurement mode. 8-33 User Manual Calculating Estimated Fetal Weight (EFW) When measurements for the following items are complete, the system uses the results to calculate the estimated fetal weight automatically. For an equation for calculating fetal weight, please refer to ‘Estimated Fetal Weight Formula’ in the Reference Manual Part 1. XX BPD, AC XX AC, FL XX BPD, FL, FTA XX BPD, AC, FL XX BPD, APTD, TTD, FL XX HC, AC, FL XX BPD, APTD, TTD, SL XX BPD, HC, AC, FL XX BPD, TTD XX AC Continuous Measurements for Calculating EFW You can measure a series of OB items to calculate the EFW. Tips! Before starting measurement: XX For convenience, you may want to assign the EFW Measure function to the User key. You can do this at Utility > Setup > User Defined key > User Key Setup. For more information, refer to the ‘User Defined Keys’ section in ‘Chapter 3. Utilities’ in this manual. XX Check EFW Reference. You can select or change it from Utility > Measure Setup > OB > Tables. NOTE: This function is not available in 3D mode. Measurement Methods 1. Press EFW in the measurement menu. Or, if you have assigned the ‘EFW Measure’ function to the User key, press the User key. The obstetrics measurement will start. 2. Measure the items for EFW calculation by using the trackball and the Set button. 3. Once an item has been measured, the result will be displayed, and measurement of the next item will begin. 4. Once all measurements have been taken, the EFW is displayed on screen. The EFW measurements taken and the order in which they are measured are as follows: 8-34 Chapter 8 Measurements and Calculations Tips! Tips! Reference Measure Item (by Order) Campbell AC Hadlock BPDAC Hadlock1 ACFL Hadlock2 BPDACFL Hadlock3 ACFLHC Hadlock4 BPD, HCACFL Hansmann BPDTTD Merz BPDAC Osaka BPDFTAFL Shepard BPDAC Shinozuka1 BPDACFL Shinozuka2 BPDAPTD, TTDSL Shinozuka3 BPDAPTD, TTDFL Ferrero ACFL Higginbottom AC Thurnau BPDAC Warsof BPDAC Weiner1 ACHC Weiner2 ACFLHC Woo BPDACFL Changing Measurement Sequence To change the measurement sequence, go to Utility > Measure Setup > OB > Tables > EFW Sequential Measurement. Reviewing the Result of EFW Calculation If the ‘EFW Result’ function has been assigned to the User key, pressing the User key will display the result of the EFW calculation on the screen. Otherwise, press Calculator to review the result in the obstetrics measurement menu. 8-35 User Manual CAUTION: To calculate the GA and the EFW by measuring a specific part of a fetus, an accurate reference must be selected. XX If the EFW Reference of the HM70A is changed, the existing EFW is recalculated with the new reference and then shown on the report. Therefore, it is recommended that you do not change the EFW Reference of a patient. XX Since multiple GAs and EFW References are provided, the specialist must make a choice based on his or her clinical judgment. Choosing an inappropriate reference may result in incorrect measurements. XX When performing an exam, one must bear in mind that measurements may vary depending on the posture of the fetus. XX In cases where there are multiple fetuses, be sure to verify the Fetus ID to avoid confusion. XX The GA and EFW Reference possess national and regional characteristics, which must be taken into consideration when selecting a reference. Gynecology Calculations NOTE: XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. Before Taking GYN Measurements Enter the information required for GYN diagnosis in the Patient Information window. Basic information for gynecology includes Gravida, Para, Aborta, Ovul. Date, Day of Cycle, and Ectopic. General Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. 8-36 Chapter 8 Measurements and Calculations Item Uterus Rt. Uterine A Lt. Uterine A Rt. Ovary Lt. Ovary Rt. Follicles Lt. Follicles Sub-Item Mode Method Unit Uterus All All Calculation after distance measurement ml Uterus L All Distance measurement cm, mm Uterus H All Distance measurement cm, mm Uterus W All Distance measurement cm, mm Endo. Thick All Distance measurement cm, mm Cervix All All Volume measurement ml Cervix L All Distance measurement cm, mm Cervix H All Distance measurement cm, mm Cervix W All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s 1 ~ 12 All Volume calculated after distance measurement cm, mm, and ml 8-37 User Manual Item Endometrial Cyst Pericystic Sub-Item Mode Method Unit Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s Rt. / Lt. Cyst All All Calculation after distance measurement ml Rt. / Lt. Cyst L All Distance measurement cm, mm Rt. / Lt. Cyst H All Distance measurement cm, mm Rt. / Lt. Cyst W All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s Most of the gynecology measurements are distance measurements and volume measurements based on the distance measurement results. If multiple images, such as long axis images and transverse axis images are needed, press the Freeze button to switch to Scan Mode and obtain images from another perspective. 8-38 Chapter 8 Measurements and Calculations Cardiac Calculations NOTE: The cardiac measurement package is an optional feature of this product. The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. Dist 20 Trace the circumference of the heart, and then draw the axis of the heart. The system automatically draws 20 lines perpendicular to the axis to calculate the volume. NOTE: XX In Dual 2D Mode, two images can be viewed simultaneously. XX For RVAWd, RVIDd, RVAWs, and RVIDs, refer to the measurement method for LV. XX MPA Diam, RPA Diam, and LPA Diam are measured under Aortic Valve Level in Parasternal Short Axis. XX C Mode is mainly used for measuring reverse cardiac blood flow. XX Since velocity data is required for measuring PISA-Radius or PISA-Alias Vel., set color display to Velocity or Vel + Var in C mode. For information on relevant settings, refer to ‘Color Doppler Mode’ in ‘Chapter 7. Diagnosis Mode’. XX Tissue Doppler can be measured in TDI Mode. 8-39 User Manual Adult Echo - Chamber Measurement Menu Item LV (2D) LV (M) LV Vol. (Simpson) 8-40 Sub-Item Mode Method Unit All LVd (2D) All Continuous measurement IVSd All Distance measurement cm, mm LVIDd All Distance measurement cm, mm LVPWd All Distance measurement cm, mm All LVs (2D) All Continuous measurement IVSs All Distance measurement cm, mm LVIDs All Distance measurement cm, mm LVPWs All Distance measurement cm, mm All LV (M) M Continuous measurement IVSd M Distance measurement cm, mm LVIDd M Distance measurement cm, mm LVPWd M Distance measurement cm, mm IVSs M Distance measurement cm, mm LVIDs M Distance measurement cm, mm LVPWs M Distance measurement cm, mm LVET M Time measurement ms LVPEP M Time measurement ms LVEDV A4C All Dist 20 ml LVESV A4C All Dist 20 ml LVEDV A2C All Dist 20 ml LVESV A2C All Dist 20 ml LVEDV A4C AL All Dist 20 ml LVESV A4C AL All Dist 20 ml LVEDV A2C AL All Dist 20 ml LVESV A2C AL All Dist 20 ml Chapter 8 Measurements and Calculations Item LV Mass LA RV (2D) Sub-Item Mode Method Unit All All Continuous measurement LVAd SAX PM Epi All Area measurement cm2, mm2 LVAd SAX PM All Area measurement cm2, mm2 LVLd Apical All Distance measurement cm, mm LV TE a All Distance measurement cm, mm LV TE d All Distance measurement cm, mm All All Calculation after distance measurement ml LA Major All Distance measurement cm, mm LA Minor All Distance measurement cm, mm LA Diam (2D) All Distance measurement cm, mm LA / Ao (2D) All Distance measurement cm, mm LA / Ao (M) M Distance measurement cm, mm LA Diam (M) M Distance measurement cm, mm LAAd A2C All Area measurement cm2, mm2 LAAs A2C All Area measurement cm2, mm2 LAAd A4C All Area measurement cm2, mm2 LAAs A4C All Area measurement cm2, mm2 RVAWd All Distance measurement cm, mm RVIDd All Distance measurement cm, mm RVAd All Area measurement cm2, mm2 RVAWs All Distance measurement cm, mm RVIDs All Distance measurement cm, mm RVAs All Area measurement cm2, mm2 RV Major All Distance measurement cm, mm RV Minor All Distance measurement cm, mm 8-41 User Manual Item RV (M) RA Aorta HR 8-42 Sub-Item Mode Method Unit All All Continuous measurement RVAWd M Distance measurement cm, mm RVIDd M Distance measurement cm, mm RVAWs M Distance measurement cm, mm RVIDs M Distance measurement cm, mm RVPEP M Time measurement ms RVET M Time measurement ms RA Major All Distance measurement cm, mm RA Minor All Distance measurement cm, mm RAAd All Area measurement cm2, mm2 RAAs All Area measurement cm2, mm2 RAEDV All Dist 20 Ml RAESV All Dist 20 Ml Ao Diam (2D) All Distance measurement cm, mm Ao Diam (M) M Distance measurement cm, mm Asc Ao Diam All Distance measurement cm, mm Desc Ao Diam All Distance measurement cm, mm Ao Arch Diam All Distance measurement cm, mm Ao Isth Diam All Distance measurement cm, mm Ao ST Junct Diam All Distance measurement cm, mm Ao Sinus Diam All Distance measurement cm, mm - M, PW Heart Rate bpm Chapter 8 Measurements and Calculations Adult Echo - Valve Measurement Menu Item LVOT AV Sub-Item Mode Method Unit LVOT Manual Trace PW Doppler spectrum trace LVOT Vmax PW Velocity measurement cm/s, m/s LVOT VTI PW Doppler spectrum trace cm, mm LVOT Diam All Distance measurement cm, mm AV Cusp All Distance measurement cm, mm AV Cusp (M) M Distance measurement cm, mm AV Diam All Distance measurement cm, mm AVA Planimetry All Area measurement cm2, mm2 AV Manual Trace PW Doppler spectrum trace AV Vmax PW Velocity measurement cm/s, m/s AV PHT PW Time measurement ms AV VTI PW Doppler spectrum trace cm, mm AV AccT PW Time measurement ms AV ET PW Time measurement ms AV DecT PW Time measurement ms 8-43 User Manual Item AR 8-44 Sub-Item Mode Method Unit AR VCW All Distance measurement cm, mm AR PISA Rad PW Velocity measurement cm/s, m/s AR Alias Vel. PW Velocity measurement cm/s, m/s AR Manual Trace PW Doppler spectrum trace AR Vmax PW Velocity measurement cm/s, m/s AR ed Vmax PW Velocity measurement cm/s, m/s AR PHT PW Time measurement ms AR VTI PW Doppler spectrum trace cm, mm AR AccT PW Time measurement ms AR DecT PW Time measurement ms Chapter 8 Measurements and Calculations Item MV RVOT Sub-Item Mode Method Unit All MV (M) M Distance measurement cm, mm MV Vp M Distance measurement cm, mm MV Diam 1 All Distance measurement cm, mm MV Diam 2 All Distance measurement cm, mm MVA Planimetry All Area measurement cm2, mm2 MV Manual Trace PW Doppler spectrum trace MV E-DT-A PW Time-velocity-time measurement ms, m/s MV E/A PW Velocity measurement cm/s, m/s MV Vmax PW Velocity measurement cm/s, m/s MV PHT PW Time measurement ms MV AccT PW Time measurement ms MV DecT PW Time measurement ms MV A Dur. PW Time measurement ms MV ET PW Time measurement ms R-R Interval M, PW Heart Rate bpm MR VCW PW Distance measurement cm, mm MR PISA Rad C PISA-Radius cm, mm MR Alias Vel. C Velocity measurement cm/s, m/s MR Manual Trace PW Doppler spectrum trace MR Vmax PW Velocity measurement cm/s, m/s MR VTI PW Doppler spectrum trace cm, mm RVOT Manual Trace PW Doppler spectrum trace RVOT Vmax PW Velocity measurement cm/s, m/s RVOT VTI PW Doppler spectrum trace cm, mm RVOT Diam All Distance measurement cm, mm 8-45 User Manual Item PV PR 8-46 Sub-Item Mode Method Unit PV Ann Diam All Distance measurement cm, mm PVA Planimetry All Area measurement cm2, mm2 PV Manual Trace PW Doppler spectrum trace PV Vmax PW Velocity measurement cm/s, m/s PV PHT PW Time measurement ms PV VTI PW Doppler spectrum trace cm, mm PV AccT PW Time measurement ms PV ET PW Time measurement ms PV DecT PW Time measurement ms Q to PV Close PW Time measurement ms R-R Interval M, PW Heart Rate bpm PR VCW PW Distance measurement cm, mm PR PISA Rad C PISA-Radius cm, mm PR Alias Vel. C Velocity measurement cm/s, m/s PR Manual Trace PW Doppler spectrum trace PR Vmax PW Velocity measurement cm/s, m/s MPA Vmax PW Velocity measurement cm/s, m/s PR PHT PW Time measurement ms PR VTI PW Doppler spectrum trace cm, mm PR AccT PW Time measurement ms PR DecT PW Time measurement ms Chapter 8 Measurements and Calculations Item TV HR Sub-Item Mode Method Unit TV Ann Diam All Distance measurement cm, mm TV Diam 1 All Distance measurement cm, mm TV Diam 2 All Distance measurement cm, mm TVA Planimetry All Area measurement cm2, mm2 TV Manual Trace PW Doppler spectrum trace TV Vmax PW Velocity measurement cm/s, m/s TV E/A PW Velocity measurement cm/s, m/s TV PHT PW Time measurement ms TV VTI PW Doppler spectrum trace cm, mm TV AccT PW Time measurement ms TV DecT PW Time measurement ms TV A Dur. PW Time measurement ms Q to TV Open PW Time measurement ms R-R Interval M, PW Heart Rate bpm TR VCW PW Distance measurement cm, mm TR PISA Rad C PISA-Radius cm, mm TR Alias Vel. C Velocity measurement cm/s, m/s TR Manual Trace PW Doppler spectrum trace TR Vmax PW Velocity measurement cm/s, m/s TR VTI PW Doppler spectrum trace cm, mm RAP PW RAP mmHg - M, PW Heart Rate bpm 8-47 User Manual Adult Echo - System Measurement Menu Item Plum. Veins Hepatic Veins Shunts Qp / Qs 8-48 Sub-Item Mode Method Unit S/D PW Continuous measurement S Vmax PW Velocity measurement cm/s, m/s D Vmax PW Velocity measurement cm/s, m/s A Vmax PW Velocity measurement cm/s, m/s A Dur PW Time measurement ms MPA Diam All Distance measurement cm, mm LPA Diam All Distance measurement cm, mm RPA Diam All Distance measurement cm, mm PEd All Distance measurement cm, mm PEs All Distance measurement cm, mm SVC S/D PW Continuous measurement SVC S Vmax PW Velocity measurement cm/s, m/s SVC D Vmax PW Velocity measurement cm/s, m/s SVC A Vmax PW Velocity measurement cm/s, m/s SVC A Dur PW Time measurement ms IVC S/D PW Continuous measurement IVC S Vmax PW Velocity measurement cm/s, m/s IVC D Vmax PW Velocity measurement cm/s, m/s IVC A Vmax PW Velocity measurement cm/s, m/s IVC A Dur PW Time measurement ms Systemic VTI PW Doppler spectrum trace cm, mm Pulmonic VTI PW Doppler spectrum trace cm, mm LVOT Diam All Distance measurement cm, mm RVOT Diam All Distance measurement cm, mm Chapter 8 Measurements and Calculations Item Tissue Doppler Tei Index HR Sub-Item Mode Method Unit All LV TDI PW Continuous measurement LV Peak E’ PW Velocity measurement cm/s, m/s LV Peak A’ PW Velocity measurement cm/s, m/s LV Peak S’ PW Velocity measurement cm/s, m/s LV AccT PW Time measurement ms LV DecT PW Time measurement ms All RV TDI PW Continuous measurement RV Peak E’ PW Velocity measurement cm/s, m/s RV Peak A’ PW Velocity measurement cm/s, m/s RV Peak S’ PW Velocity measurement cm/s, m/s RV AccT PW Time measurement ms RV DecT PW Time measurement ms All LV Tei Index PW Continuous measurement LV TST PW Time measurement ms LV ET PW Time measurement ms LV IVCT PW Time measurement ms LV IVRT PW Time measurement ms All RV Tei Index PW Continuous measurement RV TST PW Time measurement ms RV ET PW Time measurement ms RV IVCT PW Time measurement ms RV IVRT PW Time measurement ms – M, PW Heart Rate bpm 8-49 User Manual Pediatric Measurement Menu Item LV / RV (2D) LV / RV (M) 8-50 Sub-Item Mode Method Unit All LVd (2D) All Continuous measurement RVIDd All Distance measurement cm, mm IVSd All Distance measurement cm, mm LVIDd All Distance measurement cm, mm LVPWd All Distance measurement cm, mm All LVs (2D) All Continuous measurement IVSs All Distance measurement cm, mm LVIDs All Distance measurement cm, mm LVPWs All Distance measurement cm, mm RVAWd All Distance measurement cm, mm LVEDV A4C All Dist 20 ml LVESV A4C All Dist 20 ml LVEDV A2C All Dist 20 ml LVESV A2C All Dist 20 ml All LV (M) M Continuous measurement RVIDd M Distance measurement cm, mm IVSd M Distance measurement cm, mm LVIDd M Distance measurement cm, mm LVPWd M Distance measurement cm, mm IVSs M Distance measurement cm, mm LVIDs M Distance measurement cm, mm LVPWs M Distance measurement cm, mm RVAWs M Distance measurement cm, mm Chapter 8 Measurements and Calculations Item Lt. Inflow Sub-Item Mode Method Unit LA Diam (2D) All Distance measurement cm, mm MV Diam 1 All Distance measurement cm, mm MV E-DT-A PW Continuous measurement MR Vmax PW Velocity measurement cm/s, m/s LVOT Diam All Distance measurement cm, mm Ao Sinus Diam All Distance measurement cm, mm Ao Diam (2D) All Distance measurement cm, mm Ao ST Junct Diam All Distance measurement cm, mm Asc Ao Diam All Distance measurement cm, mm Ao Arch Diam All Distance measurement cm, mm Ao Isth Diam All Distance measurement cm, mm Desc Ao Diam All Distance measurement cm, mm AV Vmax PW Velocity measurement cm/s, m/s AR DecT PW Time measurement ms AR ed Vmax PW Velocity measurement cm/s, m/s AR PHT PW PHT ms MV Dect Lt. Outflow 8-51 User Manual Item Qp / Qs Rt. Inflow Rt. Outflow HR 8-52 Sub-Item Mode Method Unit Systemic VTI PW Doppler spectrum trace cm, mm Pulmonic VTI PW Doppler spectrum trace cm, mm LVOT Diam All Distance measurement cm, mm RVOT Diam All Distance measurement cm, mm SVC S/D PW Continuous measurement SVC S Vmax PW Velocity measurement cm/s, m/s SVC D Vmax PW Velocity measurement cm/s, m/s SVC A Vmax PW Velocity measurement cm/s, m/s SVC A Dur PW Time measurement ms IVC S/D PW Continuous measurement IVC S Vmax PW Velocity measurement cm/s, m/s IVC D Vmax PW Velocity measurement cm/s, m/s IVC A Vmax PW Velocity measurement cm/s, m/s IVC A Dur PW Time measurement ms RA Major All Distance measurement cm, mm TV Diam 1 All Distance measurement cm, mm TR Vmax PW Velocity measurement cm/s, m/s RAP PW RAP mmHg RVOT Diam All Distance measurement cm, mm PV Ann Diam All Distance measurement cm, mm PV AccT PW Time measurement ms PR DecT PW Time measurement ms PR Vmax PW Velocity measurement cm/s, m/s - M, PW Heart Rate bpm Chapter 8 Measurements and Calculations Carotid Calculations The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. General Measurement Menu Item Prox CCA Mid CCA Distal CCA Bulb ECA Prox ICA Mid ICA Distal ICA Vertebral A General Sub-Item Mode Method Unit Auto Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Area measurement % %StD All Distance measurement % IMT All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Area measurement % %StD All Distance measurement % Vesl. Area. All Area measurement cm2, mm2 Vesl. Dist. All Distance measurement cm, mm 8-53 User Manual Item Vol. Flow Sub-Item Mode Method Unit Vol.Flow(Auto) PW Automatic calculation ml/m Vol. Flow(D) PW Automatic calculation ml/m TAMV PW Doppler spectrum trace cm/s, m/s Vesl. Dist. All Distance measurement cm, mm Vesl. Area. All Area measurement cm2, mm2 - M, PW Heart Rate bpm HR Auto IMT (Optional) This function allows you to take IMT measurement easily and quickly. NOTE: Auto IMT is available only under the following conditions: XX Probe: Linear probe, CF4-9 probe XX Application: Vascular XX Diagnosis Mode: 2D, C or PD Mode 8-54 Chapter 8 Measurements and Calculations Auto IMT Screen [Figure 8.1 Auto IMT] Risk Color Bar Provides color representation of IMT thickness. Thickness of 0.5mm or less is shown in green color; thickness of 1.1mm or greater is shown in red. Thicknesses that fall between those two extremes are shown in the appropriate color. Ruler and Range Bar Use the trackball and the Set button to specify the location and range at which IMT will be measured. XX Ruler: Each gradation on the ruler represents a length of 10mm. This s used if the blood vessel lies horizontally. Press the Set button at the location you want to measure, and the IMT will be measured in the 10mm section. XX Range Bar: This is used if the blood vessel does not lie horizontally, or if you want to measure the length of a specific section. Press and hold the Set button at the starting point, and drag with the trackball until you reach the end point. 8-55 User Manual Intima and Adventitia Pair XX Between the Near and Far zones, the one with the higher QI is automatically selected as a measurement value and is represented by the color of the Risk Color Bar. XX The pair with lower QI is represented in dark blue. XX To change the position from Near or Far, which has been automatically selected from the QI value, press Change. The measurement and color are also automatically changed. However, no change will be made if QI is 0. Measure Result Table XX Max: The maximum thickness of the Intima/Adventitia pair XX Mean: The average thickness of the Intima/Adventitia pair XX SD: Standard Deviation XX QI: The distance ratio of the measured point in a distance for Quality Index measurement XX Points: The total number of measured Intima/Adventitia pairs Auto IMT Measurement 1. After checking the probe, application and preset, start carotid measurement. 2. Press Freeze to obtain the desired image. Use the trackball to select the image you want to measure the IMT on. 3. Press Auto IMT. The Auto IMT screen will be displayed. XX If scanning is performed when the center of the vessel is aligned with the center of the image area, IMT measurement starts automatically. 4. Use the trackball and the Set button to set a location for IMT measurement. XX Select a point between Near and Far. XX If the vessel image quality is poor, select an area that is close to the Intima to be measured. XX If a detailed area has to be selected, use the Range Bar. XX Press the Space Bar on the keyboard to turn the Intima and Adventitia Marker on/off. 5. Once the measurement position has been selected, the measurement result will be displayed in a table. 8-56 Chapter 8 Measurements and Calculations Auto IMT Measurements Analysis 1. Press Analysis, and the Analysis screen will be displayed. 2. Select the desired analysis among Framingham / CHD, Risk Factor, Normal IMT, and User Graph by using the trackball and the Set button. XX The bar that corresponds to the measurement will be displayed on each graph. However, if the measurement is smaller than Framingham / CHD Risk Factor, no bar will be displayed. Tips! User Graph You can use User Graph to adjust the graph and analyze the measurement results as you want. 3. To finish analysis, press Analysis again. The following materials were referred to when analyzing the measurements of Auto IMT. Framingham / CHD Correlation between the Framingham Risk Score and Intima Media Thickness: the Paroi Arterielle et Risque Cardio-vasculair (PARC) Study. Pierre-Jean Touboul, EricVicaut, Julien Labreuche, Jean-Pierre Belliard, Serge Cohen, Serge Kownator, Jean-Jacques Portal, Isabelle Pithois-Merli, Pierre Amarenco. On behalf of PARC Study participating physicians. Risk Factor Mannheim Carotid Intima-Media Thickness Consensus (2004–2006) P.-J. Touboul, M.G. Hennerici, S.Meairs, H.Adams, P.Amarenco, N.Borstein, L.Csiba, M.Desvarieux, S.Ebrahim, M.Fatar, R.Hermandez Hernandez, M.Jaff, S.Kownator, P.Prati, T.Rundek, M.Sitzer, U.Schiminke, J.-C. Tardif, A.Taylor, E.Vicaut, K.S.Woo, F.Zannad, M.Zureik Normal IMT Simon A, Gariepy J, Chironi G, Megnien JL, Levenson J: Intima-media thickness: a new tool for diagnosis and treatment of cardiovascular risk. Journal of Hypertension 20:159-169, 2002 8-57 User Manual Saving Auto IMT Measurement Values Click the Annotation button at the bottom left of the image and select Direction to choose a direction for the measurement section. 1. Select Position #1 to choose the position of the measurement section. 2. Select Position #2 to choose the name of the measurement section. After selection, click OK to record the location of the selected position onto the annotation button. Click Cancel to cancel and exit. 8-58 Chapter 8 Measurements and Calculations Upper Extremity (UE) Artery Calculations Takes measurements of the Upper Extremity Artery. The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX It is convenient to calculate each measurement value on the Spectral Doppler image. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. General Measurement Menu Item Subclavian A Axillary A Brachial A Radial A Ulnar A SPA General Vol. Flow HR Sub-Item Mode Method Unit Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Area measurement % %StD All Distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm Volume Flow(Auto) PW Automatic calculation ml/m Volume Flow(D) PW Automatic calculation ml/m TAMV PW Doppler spectrum trace cm/s, m/s Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm - M, PW Heart Rate bpm 8-59 User Manual Lower Extremity (LE) Artery Calculations Takes measurements of the Lower Extremity Artery. The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX It is convenient to calculate each measurement value on the Spectral Doppler image. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. General Measurement Menu Item Sub-Item Mode Method CIA IIA EIA CFA SFA DFA Popliteal A ATA PTA Peroneal A DPA MPA LPA Metatarsal A Digital A General Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Area measurement % %StD All Distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm Vol. Flow(Auto) PW Automatic calculation ml/m Vol. Flow(D) PW Automatic calculation ml/m TAMV PW Doppler spectrum trace cm/s, m/s Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm - M, PW Heart Rate bpm Vol. Flow HR 8-60 Unit Chapter 8 Measurements and Calculations Upper Extremity (UE) Vein Calculations Takes measurements of the Upper Extremity Vein. The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX It is convenient to calculate each measurement value on the Spectral Doppler image. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. General Measurement Menu Item Sub-Item Mode Method Internal Jugular V Innominate V Subclavian V Axillary V Brachial V Cephalic V Basilic V Radial V Ulnar V Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Vmax PW Velocity measurement cm/s, m/s Dur T PW Time measurement ms Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace Vmax PW Velocity measurement cm/s, m/s Dur T PW Time measurement ms Vesl. Dist. All Distance measurement cm, mm Vesl. Area All Area measurement cm2, mm2 General Unit 8-61 User Manual Item Vol. Flow HR 8-62 Sub-Item Mode Method Unit Vol. Flow(Auto) PW Automatic calculation ml/m Vol. Flow(D) PW Automatic calculation ml/m TAMV PW Doppler spectrum trace cm/s, m/s Vesl. Area All Area measurement cm2, mm2 Vesl. Dist. All Distance measurement cm, mm - M, PW Heart Rate bpm Chapter 8 Measurements and Calculations Lower Extremity (LE) Vein Calculation Takes measurements of the Lower Extremity Vein. The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX It is convenient to calculate each measurement value on the Spectral Doppler image. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. General Measurement Menu Item Sub-Item Mode Method CIV IIV EIV CFV PFV SFV GSV Popliteal V LSV ATV PTV Peroneal V Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Vmax PW Velocity measurement cm/s, m/s Dur T PW Time measurement ms Vesl. Dist. All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace Vmax PW Velocity measurement cm/s, m/s Dur T PW Time measurement ms Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm General Unit 8-63 User Manual Item Vol. Flow HR 8-64 Sub-Item Mode Method Unit Vol. Flow(Auto) PW Automatic calculation ml/m Vol. Flow(D) PW Automatic calculation ml/m TAMV PW Doppler spectrum trace cm/s, m/s Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm - M, PW Heart Rate bpm Chapter 8 Measurements and Calculations Fetal Echo Calculations The measurement method for each item is the same as for basic measurement. In addition, measurement items are similar to those of cardiology measurements (Cardiac Calculations). Measured items are automatically recorded in a report. NOTE: XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. General Measurement Menu Item LV Vol. (Simpson) 2D Echo Sub-Item Mode Method Unit LVEDV A2C All Dist 20 ml LVESV A2C All Dist 20 ml LVEDV A4C All Dist 20 ml LVESV A4C All Dist 20 ml Asc Ao All Distance measurement cm, mm MPA Diam All Distance measurement cm, mm Duct Art All Distance measurement cm, mm LA Diam All Distance measurement cm, mm RA Diam All Distance measurement cm, mm RV Diam All Distance measurement cm, mm IVS All Distance measurement cm, mm LVIDd All Distance measurement cm, mm LVIDs All Distance measurement cm, mm LVPW All Distance measurement cm, mm HrtC All Distance measurement cm, mm ThC All Distance measurement cm, mm 8-65 User Manual Item CTAR Fetal M-mode Fetal HR Sub-Item Mode Method Unit CTAR All (D) All Continuous measurement % ThD ap All Distance measurement cm, mm ThD trans All Distance measurement cm, mm HrtD ap All Distance measurement cm, mm HrtD trans All Distance measurement cm, mm ThA All Area measurement cm2, mm2 HrtA All Area measurement cm2, mm2 Fetal M-mode (All) M Continuous measurement cm, mm IVSd M Distance measurement cm, mm LVIDd M Distance measurement cm, mm LVPWd M Distance measurement cm, mm IVSs M Distance measurement cm, mm LVIDs M Distance measurement cm, mm LVPWs M Distance measurement cm, mm RVDd M Distance measurement cm, mm - M, PW Heart Rate bpm CTAR (Cardo-Thorax Area Ratio) This measurement compares the size of the fetus’s heart in relation to the size of its thorax. ThD ap, ThD trans, HrtD ap, and HrtD trans values are acquired to obtain the comparative value. 8-66 Chapter 8 Measurements and Calculations Doppler Measurement Menu Item MPA Duct A Asc Aorta Dsc Aorta IVC Duct Venosus PLI MV TV Tei Index Fetal HR Sub-Item Mode Method Unit Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s All PW Velocity measurement cm/s, m/s S Vmax PW Velocity measurement cm/s, m/s D Vmax PW Velocity measurement cm/s, m/s A Vmax PW Velocity measurement cm/s, m/s MV E/A PW Velocity measurement % MV E PW Velocity measurement cm/s, m/s MV A PW Velocity measurement cm/s, m/s MR Vmax PW Velocity measurement cm/s, m/s TV E/A PW Velocity measurement % TV E PW Velocity measurement cm/s, m/s TV A PW Velocity measurement cm/s, m/s TR Vmax PW Velocity measurement cm/s, m/s All PW Calculation after continuous measurement TST PW Time measurement ms ET PW Time measurement ms - M, PW Heart Rate bpm 8-67 User Manual Urology Calculations Before Taking Urology Measurements Set the related menus for convenient measurement. You can select the Volume Method to use for measuring volume. There are four types of Volume Method; in equations that require a factor, you may define the factor as desired. For menus related to measurement and their settings, refer to the ‘Measurement Settings’ in ‘Chapter 3. Utilities’ of this manual. General Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX The measurement methods of each menu vary with the Volume Method set at Utility > Measure Setup > Urology. XX If you change the Volume Method, you need to reconfigure the measurement menu appropriately as well. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. XX For references on measurement items, see the Reference Manual Part 2. 3Distance Calculate a volume by measuring three distances. Item WG Prostate Vol. T-Zone Vol. Bladder Vol. 8-68 Sub-Item Mode Method Unit All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm Chapter 8 Measurements and Calculations Item Residual Vol. Rt. Renal Vol. Lt. Renal Vol. General Sub-Item Mode Method Unit Pre All All Calculation after distance measurement ml Pre L All Distance measurement cm, mm Pre H All Distance measurement cm, mm Pre W All Distance measurement cm, mm Post All All Calculation after distance measurement ml Post L All Distance measurement cm, mm Post H All Distance measurement cm, mm Post W All Distance measurement cm, mm All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm Pelvis All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace cm, mm Limited Trace PW Doppler spectrum trace cm, mm Manual Trace PW Doppler spectrum trace cm, mm PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl.Area All Area measurement cm2, mm2 Vesl.Dist. All Distance measurement cm, mm The measurement for Transitional Zone Prostate Volume, Bladder Volume, Left Renal Volume, Right Renal Volume are the same as for Prostate Volume. 8-69 User Manual 3 Distance * Factor Measurement is taken in the same way as ‘3 Distance’. Calculates volume by using a factor. Volume (ml) = Factor x Distance1 x Distance2 x Distance3 Ellipsoid Calculate a volume by using the Main Diameter and Beside Diameter values. Item Sub-Item Mode Method Unit WG Prostate Vol. T-Zone Vol. Bladder Vol. All All Calculation after distance measurement ml Pre Vol. All Calculation after distance measurement ml Post Vol. All Calculation after distance measurement ml All All Calculation after distance measurement ml Renal Pelvis All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace cm, mm Limited Trace PW Doppler spectrum trace cm, mm Manual Trace PW Doppler spectrum trace cm, mm PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl.Area All Area measurement cm2, mm2 Vesl.Dist. All Distance measurement cm, mm Residual Vol. Rt. Renal Vol. Lt. Renal Vol. General Sum of 20 Disks After measuring the circumference of the prostate, use the Trackball and the Set button to calculate the volume by measuring the axis of the prostate. 8-70 Chapter 8 Measurements and Calculations Abdomen Calculations The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX It is convenient to calculate each measurement value on the Spectral Doppler image. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. General Measurement Menu Item Liver Spleen Rt. Kidney Lt. Kidney Gallbladder Pancreas Bowel Sub-Item Mode Method Unit All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm GBD All Distance measurement cm, mm Wall All Distance measurement cm, mm All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm Head All Distance measurement cm, mm Body All Distance measurement cm, mm Tail All Distance measurement cm, mm Duct All Distance measurement cm, mm Stomach Wall All Distance measurement cm, mm Small Bowel Wall All Distance measurement cm, mm Large Bowel Wall All Distance measurement cm, mm 8-71 User Manual Abd. Vascular Measurement Menu Item M Portal V M Hepatic V Splenic V Mid IVC Rt. Renal V Lt. Renal V C Hepatic A R Hepatic A L Hepatic A Splenic A Mid Aorta Rt. Renal A Lt. Renal A Mid SMA IMA Celiac A Sub-Item Mode Method Unit Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace Vmax PW Velocity measurement cm/s, m/s Dur T PW Time measurement ms Vesl. Area All Area measurement cm2, mm2 Vesl. Dist. All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm Small Parts Calculations The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: XX It is convenient to calculate each measurement value on the Spectral Doppler image. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. 8-72 Chapter 8 Measurements and Calculations Thyroid Measurement Menu Item Mass 1~5 Thyroid Vol. Thyroid Flow Sub-Item Mode Method Unit All All Calculation after distance measurement ml L All Distance measurement cm, mm D All Distance measurement cm, mm W All Distance measurement cm, mm All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm Vel. A PW Velocity measurement cm/s, m/s Vel. B PW Velocity measurement cm/s, m/s 8-73 User Manual Breast Measurement Menu Item Mass1~8 Breast Flow 8-74 Sub-Item Mode Method Unit All All Calculation after distance measurement ml L All Distance measurement cm, mm D All Distance measurement cm, mm W All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist. All Distance measurement cm, mm Vel. A PW Velocity measurement cm/s, m/s Vel. B PW Velocity measurement cm/s, m/s Chapter 8 Measurements and Calculations Testicle Measurement Menu Item Mass 1~5 Testis Vol. Testis Flow Sub-Item Mode Method Unit All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist. All Distance measurement cm, mm Vel. A PW Velocity measurement cm/s, m/s Vel. B PW Velocity measurement cm/s, m/s 8-75 User Manual Superficial Measurement Menu Item Mass 1~5 Superficial Vol. Superficial Flow 8-76 Sub-Item Mode Method Unit All All Calculation after distance measurement ml L All Distance measurement cm, mm H All Distance measurement cm, mm W All Distance measurement cm, mm Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist. All Distance measurement cm, mm Vel. A PW Velocity measurement cm/s, m/s Vel. B PW Velocity measurement cm/s, m/s Chapter 8 Measurements and Calculations TCD Calculations NOTE: XX It is convenient to calculate each measurement value on the Spectral Doppler image. XX For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. General Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. Measurement Menu ACA MCA PCA(P1) PCA(P2) Distal Basilar A Mid Basilar A Prox Basilar A General Vol. Flow Sub-Item Mode Method Unit Auto Trace PW Doppler spectrum trace Limited Trace PW Doppler spectrum trace Manual Trace PW Doppler spectrum trace PSV PW Velocity measurement cm/s, m/s EDV PW Velocity measurement cm/s, m/s %StA All Calculation after area measurement % %StD All Calculation after distance measurement % Vesl. Area All Area measurement cm2, mm2 Vesl. Dist All Distance measurement cm, mm Vol. Flow(Auto) PW Automatic calculation ml/m Vol. Flow(D) PW Automatic calculation ml/m TAMV PW Doppler spectrum trace cm/s or m/s Vesl. Dist. All Distance measurement cm, mm Vesl. Area. All Area measurement cm2, mm2 8-77 User Manual Pediatric Hips Calculations General Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. 8-78 Item Sub-Item Mode Method Rt. Hip Angle Lt. Hip Angle Hip Angle All Calculation of angle after measurement of three straight lines Unit Chapter 8 Measurements and Calculations MSK Measurement (Musculoskeletal Calculations) General Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. NOTE: For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common Measurement Methods’ in this chapter. Measurement Menu Sub-Item Method Unit Shoulder Wrist Knee Ankle 1~10 Distance measurement cm, mm Measurement Methods 1. Specify the first straight line by using the trackball and the Set button. XX Use the trackball to place the cursor at the desired position, and then press the Set button. Tips! Repositioning Point Instead of pressing the Set button to confirm the point position, you can press the Change button to reset it. 2. Repeat the above process to specify two other straight lines. 3. The angles between them will be calculated automatically. XX α: The angle between the first and the second straight lines XX β: The angle between the first and the third straight lines 4. When the measurement is finished, its result is shown on the screen. 8-79 User Manual See the table below for Hip Joint Type information: Type α β 1a 60 ≤ α < 90 0 < β < 55 1b 60 ≤ α < 90 55 ≤ β < 180 2a/b 50 ≤ α < 60 0 < β < 180 2c 43 ≤ α < 50 77 ≤ β < 180 d 43 ≤ α < 50 0 < β < 77 3/4 0 < α < 43 [Table 8.2 Hip Joint Type Table] 8-80 Chapter 8 Measurements and Calculations Report The measurement results are summarized by application, and shown on the screen in a report format. Viewing Reports Press the Report button on the control panel. The Ultrasound Report screen will be displayed. NOTE: Only the reports of the applications that have measurement results are shown. If there are too many measurements to display on one screen, use the scroll bar on the right side of the screen or the Menu/Angle dial-button to scroll the screen up or down. Press Next App. to view reports for other applications. Pressing Next App. shows the saved reports of other applications in turn. [Figure 8.2 Report] 8-81 User Manual Editing Report Pressing the Edit key in the Ultrasound Report screen will display the edit screen. You can edit the measurement results or change how to display the measured values. If you press OK on the screen or press Exit on the control panel, the changes will be saved and the edit screen will end. If you wish to end the edit screen without saving changes, press Cancel. Modify Measurements Change the measured values by using the trackball and the Set button. Modified values are shown in grey to indicate that they have been modified. Measurement Display Method The product allows you to measure one measurement item multiple times. However, only the first three measurement results are saved in a report. When taking measurements for the same item more than once, measurements can be displayed in four ways. On the Edit Report screen, you can specify or change the measurement display method. Avg. Obtain the average of the measurements and display it on the screen. Last Display the last measurement on the screen. Max Display the largest value of the measurements on the screen. Min Display the smallest value of the measurements on the screen. 8-82 Chapter 8 Measurements and Calculations [Figure 8.3 Editing Report] 8-83 User Manual Fetal Description Move the trackball to select the Description on the screen. This item only becomes active when OB measurement is available. You may select Normal, Abnormal, Not seen, or Seen. For Placenta Previa, however, you need to select either Yes or No. If you select one of the group selection items in the combo box, it will be applied to all items. [Figure 8.4 Fetal Description] 8-84 Chapter 8 Measurements and Calculations Adding Comments [Figure 8.5 Comment] Pressing the Comment key in Ultrasound Report screen will display the comment entry screen. You may enter your opinion or comment on this screen. You may also edit a previously entered comment. If you press OK on the screen or press Exit on the control panel, the comments will be saved and the edit screen will end. If you wish to end the edit screen without saving changes, press Cancel. 8-85 User Manual Printing Reports Select Print in the Ultrasound Report screen. This button will be enabled only if a connected printer is available. NOTE: You may change the settings for printing measurement reports at Utility > Setup > Peripherals > Print Setup > Measure Report Print, Measure Setup > General> Report. For more information, refer to the ‘Peripherals’ section in ‘Chapter 3. Utilities’. Saving Reports Select Write to file in the Ultrasound Report screen. You can save the report to a file. NOTE: This button is only enabled if Utility > Measure Setup > General > Data Transfer > Measurement Data is set to ‘Write to file’. When the Write to file window opens, specify a directory, drive, filename, and file type. Click OK on the screen to save the report. Click Cancel to cancel. [Figure 8.6 Saving a Report] NOTE: To remove a USB storage device from the system, go to Utility > Storage Manager. 8-86 Chapter 8 Measurements and Calculations Transferring Report Select Transfer in the Ultrasound Report screen. Report data is transferred via the RS232C cable. The Transfer button is generated after measurement has been taken. Graphs Press Graph on the Ultrasound Report screen, and the screen will switch to the Graph screen, where you can review the graph, history, etc. NOTE: The graph function can only be used with OB reports. To return to the report screen, press Report. Graphs The list of measured items appears on the left side of the screen. If you select an item, a graph for the selected item will appear on the screen. 8-87 User Manual [Figure 8.7 Graph] NOTE: XX To display a graph, the LMP or Estab. Due Date should be saved under Patient Information, and the GA table and Fetal Growth table should be enabled. XX A graph is created based on the patient ID, LMP and measurement date. Select a Graph Use the Trackball and the Set button to select an item from the list. Display Graph If the 2 x 2 checkbox is checked, 4 graphs will be displayed on the screen. Specify the desired graph by checking the checkbox for a measurement item. Percentile Criteria LMP, EstabDD, Avg. US GA - select one. XX GA by LMP: The GA is calculated based on the maternal LMP. 8-88 Chapter 8 Measurements and Calculations XX Estab. Due Date: The GA is calculated based on the Estab. Due Date under Patient Information. XX Average US GA: The GA is calculated by using the average values of several ultrasound measurements. XX GA View: Selecting the checkbox will display the current GA in History, instead of the current date. History The current and past measurements for a fetus are displayed in a concise format. Print Checked Graph Set up the graph layout for printing reports. NOTE: Only the graphs selected from the list will be printed. XX Print Current Graph: Only the currently selected graph is printed. XX Print Checked Graph (1 x 1): The selected graph is printed in a 1 x 1 format. XX Print Checked Graph (3 x 2): The selected graph is printed in a 3 x 2 format. XX Print Screenshot: Capture the screen to print the graph. Patient View patient information, fetus information, and comments. Measure View measurement data. Trend Select the graph you want, or select all graphs. 8-89 User Manual History Select History in the Ultrasound Report screen. The past and present measurement values for the fetus are displayed in a table. You can review the values by changing their Percentile Criteria. [Figure 8.8 History] 8-90 Chapter 8 Measurements and Calculations Tips! Standard Deviation & Percentile Among the OB information, the Growth table and the typical fetal distribution, for the same number of weeks, are used to determine the following information: XX The normal distribution curve. XX The measurements for an actual fetus or a position in EFW distribution. XX Whether a distribution point is within the normal range. The number of weeks referenced for the Growth table can be set to LMP, Estab. Due Date, or Average US GA, under Pctl. Criteria. The typical setting is LMP. When the LMP is not known or uncertain, or when the difference between the LMP and the Average US GA is substantial, care must be taken, as selecting different Pctl. Criteria can result in a significant difference. The distribution of the number of weeks in the Growth table for the selected reference is a normal distribution. It is laterally symmetrical around 50% (the average), and it shows the distance from the average as a deviation. The deviation can be represented by Standard Deviation (SD) or Percentile. [Figure 8.9 The distribution of the Growth Table for the selected week (m: mean, σ: standard deviation)] 8-91 User Manual Tips! When expressing with SD, a value approaches ±0 SD as it approaches the mean, and approaches the minimum or the maximum value as it deviates from the mean. The greater part of the range falls within ±3 SD, with ±1 SD representing 68.3% of the entire range. Thus it can be seen that most fetal measurements are tightly clustered around the average value. The Percentile represents a point in distribution from between 0 and 100 inclusive. Therefore, the average point is represented as 50 Percentile. As shown in the figure, the average point corresponds to 0 SD (that is, 50 Percentile). If a point is in the range between -1 SD and +1 SD, it falls within 68.3% of the entire range. This means that the point falls within the range between 16 and 84. Further, if a point is in the range between -2 SD and +2 SD, it falls within 95.5% of the entire range. Thus, the point falls in the range between 3 and 97. The SD and Percentile are interchangeable. Percentile can be used when a fetal measurement ranking is desired, and SD can be used when the distance between actual fetal measurements and the average measurement is sought. While the range of Growth table references that are primarily used with OB measurement data varies depending on the user, the typical range accepted by most users is as below: 1) When references are created based on SD: XX -2.0 SD ~ +2.0 SD (if converted to percentile, 2.28 percentile ~ 97.72 percentile) XX -1.5 SD ~ +1.5 SD (if converted to percentile, 6.68 percentile ~ 93.32 percentile) XX -1.0 SD ~ +1.0 SD (if converted to percentile, 15.87 percentile ~ 84.13 percentile) 2) When references are created based on Percentile: XX 2.5 percentile ~ 97.5 percentile (if converted to SD, -1.96 SD ~ 1.96 SD) XX 5.0 percentile ~ 95.0 percentile (if converted to SD, -1.645 SD ~ 1.645 SD) XX 10.0 percentile ~ 90.0 percentile (if converted to SD, -1.288 SD ~ 1.288 SD) Closing Report Click OK in the Ultrasound Report screen, or press the Exit or Report buttons on the control panel. The screen will switch to the Diagnosis Mode screen that was displayed before loading the report. 8-92 Chapter 9 Image Management Cine / Loop.........................................................9-3 Annotating Images...........................................9-6 Text.................................................................................................9-6 BodyMarker................................................................................9-9 Arrow...........................................................................................9-11 Saving, Playing and Transferring Images.........9-12 Saving Images..........................................................................9-12 Playing Images........................................................................9-13 Transferring Images...............................................................9-14 Printing and Recording Images................... 9-15 Printing Images.......................................................................9-15 Recording Images..................................................................9-15 SonoView........................................................ 9-16 Exam Mode...............................................................................9-17 Compare Mode.......................................................................9-19 Managing Exam Images .....................................................9-20 Chapter 9 Image Management Cine / Loop Images are automatically saved to the system during scanning. Saved images can then be used to diagnose the patient, or for reviewing purposes. The saved images can be in Cine or Loop, depending on the diagnosis mode. XX Cine: Images that are saved in all modes other than M Mode and Doppler Mode. XX Loop: Images that are saved in M Mode and Doppler Mode. [Figure 9.1 Cine/Loop] NOTE: Change of probe, application, or preset is not included on the Cine screen. Starting and Ending Cine/Loop During scanning, press the Freeze button on the control panel. This stops the scan and switches the unit to the image review mode screen. Press the Freeze button again to return to the scan mode. 9-3 User Manual How to Review Images Move the cursor to the Cine or Loop bar in the user information area to review an image. You can search through saved images by moving the cursor with the trackball. The total number of saved images and the number of the image currently being reviewed are shown next to the bar. Cine/Loop Soft Menu The Soft Menu is changed when images are reviewed. NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility > Menu Edit. Cine Speed Used to adjust automatic Cine or Loop playback speed. Adjust the speed to between 50% and 200% by rotating the Soft Menu 2 dial-button. Adjustments are made in 50% increments. Cine Play Pressing Soft Menu dial-button 2 starts/pauses playback. Trim First You can specify the first frame of the range that you wish to save as part of the Cine or Loop. Rotate the Soft Menu dial-button 3 or use the trackball to position the frame. CINE Save Pressing Soft Menu dial-button 3 saves the images from the defined range. The saved image appears in the thumbnail list on the screen, and can be reloaded or replayed in Scan Mode or SonoView. Trim Last You can specify the last frame of the range that you wish to save as part of the Cine or Loop. Rotate the Soft Menu dial-button 4 or use the trackball to position the frame. 9-4 Chapter 9 Image Management Cine / Loop Used to switch between the Cine and Loop bars for image review. Activated only when both Cine and Loop are available, such as in M Mode or Spectral Doppler Mode. Press Soft Menu dial-button 4 and select Cine or Loop. Pressing the button displays the selected bar type in the user information area. Tips! Selecting Cine / Loop Bar You can also select a bar by pressing the control panel’s Change button. Reviewing Images in Multi-Image Mode Only images in an active area can be reviewed. To review images in another area, change the active area by using the Dual or Quad button on the touch screen. Alternatively, after pressing Pointer on the control panel, place the cursor in the area you want to activate and then press the Set button on the control panel. 9-5 User Manual Annotating Images Text Allows the user to place text on an image. This function is useful for differentiating or marking a diagnosis area. Starting Text Input Press the Text key on the keyboard. This activates the text input mode. NOTE: With quick text activated, pressing any key on the keyboard immediately activates text input mode. [Figure 9.2 Text Input Mode] 9-6 Chapter 9 Image Management Entering and Deleting Text Text Position Use the keyboard. You can move the cursor by using the Trackball or the arrow keys on the keyboard. Typing Text Rotate the Menu/Angle dial-button to select between Text 1-20, and then press the Menu/Angle dial-button to insert the selected text into the image. Deleting Text Press the Clear button on the control panel. All the text entered on the screen will be deleted. Text Input Mode Soft Menu The soft menu changes in text input mode. Font Size Select which font size to use. Select a value from 10 through 30 by rotating the Soft Menu dialbutton 2. Default size The font resets to the default size (11) when the Soft Menu dial-button 2 is pressed. Home Position Home Position is the default cursor position in text input mode. You can choose to Load or Set a Home Position by rotating the Soft Menu dial-button 3. Load / Set Perform the function selected for Home Position by pressing the Soft Menu dial-button 3. When Load is selected and the Soft Menu dial-button 3 is pressed, the cursor appears at the default position. If ‘Set’ is selected and the Soft Menu dial-button 3 is pressed, a new default position for the cursor is set. 9-7 User Manual Edit Pressing dial-button 4 in the soft menu brings up the Text Edit screen. Type new text into text fields 1 to 20, or edit existing text. Click OK to finish. Click Cancel to cancel. Autotext This function allows you to enter text automatically by using an abbreviation. In this way, you can enter t ext easily and quickly. When Autotext is enabled, the Autotext list appears on the screen. NOTE: Enable/disable Autotext under Utility > Setup > Annotate > Text Setup. For more information, refer to ‘Chapter 3. Utilities’. Exiting Text Mode Press the Text key on the keyboard again. Or press the Exit button on the control panel. 9-8 Chapter 9 Image Management BodyMarker Place BodyMarkers on top of images. This function is useful for differentiating or marking a diagnosis area. [Figure 9.3 BodyMarker Input Mode] Starting BodyMarker Input Mode Press the keyboard’s BodyMarker key. This activates the BodyMarker input mode and displays the BodyMarkers in the thumbnail area. NOTE: If Utility > Setup > General > Scan Mode > Freeze Action is set to BodyMarker, pressing the Freeze button immediately activates BodyMarker input mode. 9-9 User Manual Inserting BodyMarkers 1. Pressing the BodyMarker key displays the BodyMarker list in the thumbnail area. XX The BodyMarker list displayed in the thumbnail area varies depending on the selected application. XX A maximum of 5 BodyMarkers are displayed on the screen at any one time. If more than 5 BodyMarkers have been provided, you can press the BodyMarker key repeatedly or rotate the Soft Menu dial-button 7 to navigate through the pages. 2. Rotate the Menu/Angle dial-button to select the BodyMarker you want, and then press the Menu/Angle dial-button to enter the BodyMarker. The BodyMarker is inserted into the image. 3. Adjust the position and angle of the BodyMarker’s probe cursor. XX Positioning the Probe Cursor: Use the trackball on the control panel. XX Probe Cursor Angle Adjustment: Use the Soft Menu dial-button 3 to select the function. Rotate the Soft Menu dial-button 2 to select between 15° and 45°. 4. Once you have finished, press the Set button on the control panel. To cancel, press the control panel’s Exit button or Soft Menu dial-button 7 Exit. Repositioning BodyMarker 1. Press the Change button on the control panel. 2. Move the BodyMarker to a desired position by using the trackball. 3. Press the Change button again to confirm the new position. Deleting BodyMarker Press the Clear button on the control panel. Ending BodyMarker Input Mode Press the Soft Menu dial-button 7 Exit. Alternatively press ESC on the keyboard, or the Exit button on the control panel. 9-10 Chapter 9 Image Management Arrow You can enter an arrow over an image. This function is useful for differentiating or marking a diagnosis area. Up to 50 arrows can be entered. Starting Arrow Entry Mode Press the Arrow key on the keyboard. Arrow Entry Mode will start. Entering Arrow 1. Pressing the keyboard’s Arrow key brings up the arrow on the screen. 2. Move the arrow to the desired position by using the trackball. 3. Rotate the Soft Menu dial-button 2 to adjust the direction of the arrow. 4. Press the Set button to finish. Press Exit to cancel. Deleting Arrows When you press the Clear button on the control panel, all arrows entered on the screen are cleared. If you only want to delete the last indicator that you entered, press the Soft Menu dial-button 5 Erase Last Indicator. 9-11 User Manual Saving, Playing and Transferring Images Saving Images WARNING: Register the patient ID before saving the images. Since images are saved according to patient ID, failure to enter a patient ID may result in a loss of and/or critical errors in previously saved images. The saved images are displayed in the thumbnail area. The saved images can be edited and managed with SonoView. Saving Still Images Press the Save button on the control panel. Saving Multi Frame Images NOTE: In Dual Mode, only Cine in the active area is saved. Depending on the current state (Freeze or Live), multi-frame images can be saved in two ways: Freeze State Use the trackball or Soft Menu dial-button 3 Cine Save to define the range of images that you wish to save. Refer to the ‘Cine / Loop’ in this chapter. Live Mode Save images by pressing the User1 button on the control panel or the foot switch’s Store Clip function. Tips! Store Clip Settings To change Store Clip settings, go to Utility > Setup > General > Store Clip Settings. To use the Store Clip function, go to Utility > Setup > User Defined Key > User Key Setup > User Key or Utility > Setup > User Defined Key > Foot Switch. For more information, please refer to ‘Chapter 3. Utilities’. 9-12 Chapter 9 Image Management Playing Images The saved images can be played in SonoView or in Diagnosis Mode. Playing Images in SonoView NOTE: Refer to the ‘SonoView’ section in this chapter. Playing Images in Diagnosis Mode Use the Pointer button on the control panel. Note that this function is available only when there are images saved in the thumbnail list. 1. Press the Pointer button and the cursor will appear on the screen. 2. Select an image you wish to view from the thumbnail list. The image will be displayed in the image area. In Dual Mode, you can view images by specifying a location. For 3D images, 3D View is loaded. 9-13 User Manual Transferring Images This product allows you to transfer images to PACS systems that support DICOM. You can transfer all saved images automatically, or select a desired image and transfer it manually. For information on the DICOM server settings and DICOM operations, please refer to ‘DICOM’ in ‘Chapter 3. Utilities’. Transferring Images in Diagnosis Mode This product allows you to transfer images automatically. Images are transferred by using the transmission method of the storage server. Tips! DICOM Settings To configure the DICOM server, go to Utility > Setup > DICOM. For more information, please refer to ‘Chapter 3. Utilities’. Transferring Images in SonoView This product also allows you to transfer images manually. The following two methods are available: Sending Exam Send all images from an exam. 1. Select an exam from the Exam List. 2. Click the Send button on the right side of the screen. All images for the selected exam will be sent. Sending Selected Images Lets you select which of the exam images you wish to transfer. 1. Search an exam in the SonoView screen. 2. Select an image. 3. Press the Send Image to DICOM Storage images will be sent. 9-14 icon at the bottom of the screen. The selected Chapter 9 Image Management Printing and Recording Images Printing Images Press the Print 1 or Print 2 button. Images are printed via an echo printer. For information on configuring the printer, refer to ‘Chapter 3. Utilities’. Recording Images Select VCR in the Utility menu. The screen will switch to the ADVR screen. For more information, please refer to ‘Chapter 3. Utilities’. CAUTION: Check the capacity of the media before recording. 9-15 User Manual SonoView This is the integrated image management program for HM70A. It offers image saving, referencing, and deleting functions, as well as data exchange compatibility with most commonly used computers. The image file types used in this product follow the international standard DICOM (Digital Imaging and Communication in Medicine). As a result, the PACS (Picture Archiving Communication System) can be implemented without any additional costs, and it’s easy to exchange image files with other hospitals and equipment. This product supports the Bitmap file format (.bmp), which is commonly used on standard PCs, ensuring easier exchange of image data. Starting SonoView Press the SonoView button on the control panel. The screen will switch to the SonoView screen. If there are saved images available for the current exam, the information and saved images for the exam appear when SonoView starts. WARNING: Make sure to register a patient before saving images or using SonoView. All diagnosis information in the product is saved and managed for each patient ID. As a result, saving images without entering a patient ID may result in a loss of and/or critical errors in previously saved images. NOTE: Backing up is not supported in SonoView. You can back up patients’ basic information and scanned images by selecting the Search tab in the Patient Information screen. For more information, please refer to ‘Chapter 6. Starting Diagnosis'. 9-16 Chapter 9 Image Management Exam Mode Press Exam in the upper left corner of the screen. The button will appear in yellow. In Exam Mode, you can review the current exam and previously saved exams. Exam Mode Screen Exams for each patient ID are displayed by date in a tree structure on the left side of the screen. The numbers in parentheses represent the numbers of the saved images. To show or hide exams, use the trackball and the Set button to select a desired ID. Image Scroll The image of the previous or next page is displayed on the screen. Use Soft Menu dial-button 2 Image Scroll. Rotating the dial-button to the left displays the previous page image, while rotating it to the right displays the next page image. However, this button may not be used when the number of exams saved is less than the number of images that appear on a page under the current layout. Selecting Exam Use the trackball and the Set button to select a desired exam from the list on the left side of the screen. The selected exam will be marked on the list in yellow. The saved image will also be displayed on screen. 9-17 User Manual [Figure 9.4 Exam Mode] 9-18 Chapter 9 Image Management Compare Mode Click Compare in the upper left corner of the screen. The button will appear in yellow. Compare Mode is used to compare images during an exam. [Figure 9.5 Compare Mode] Compare Mode Screen As in Exam Mode, exams for each ID appear on the screen. In addition, images for the selected exam are displayed in a thumbnail format. Thumb Scroll The image of the previous or next page is displayed on the thumbnail list. Use Soft Menu dial-button 3 Thumb Scroll. Rotating the dial-button to the left displays the previous page’s images in the thumbnail list. Rotating it to the right displays the next page’s images in the thumbnail list. 9-19 User Manual Select an image Use the trackball and the Set button to select an image from the thumbnail list. The selected image is highlighted in yellow in the list. Select a location on the screen where the image will be displayed, and then the selected image will appear. Managing Exam Images Use the icons on the screen or the Soft Menu dial-buttons. There are numerous functions available for assessing images. Reviewing the current exam Press Current Exam on the screen. The current exam and its images will be displayed on the screen. Reviewing the Most Recent Exam Press Continue Exam on the screen. The exams that were performed within the last 24 hours, and their images, are displayed. The initial exam date (Exam Resumed) for each exam will also be shown in the feedback area. In the loaded exam screen, you can make measurements and enter text, BodyMarkers, or indicators. Show in Image Area The images stored for an exam are displayed in the thumbnail area on the right side of the screen. To review an image, double-click the image to review it in the thumbnail area. XX Use the arrow buttons below the thumbnail area to move to the next or previous page of thumbnails. The stored image information is displayed in the feedback area. NOTE: Only scan data can be retrieved into the image area. Ending Continue Exam Press the End Exam button on the control panel. 9-20 Chapter 9 Image Management Closing Exam Review Press Close on the screen. To close all exams in the list, click the Close All button. Layouts You can adjust the number of images displayed on the screen. Use Soft Menu dial-button 1 Layout or the buttons on the screen. A maximum of 16 images (4 x 4) can be compared at the same time. The numbers shown in the layout section indicate the column and row of an image to display on the screen. You can change the numbers shown in the layout section to configure various layouts. Displaying in Full Screen Place the cursor on an image and press the Set button twice to display the image in full screen. Selecting Multiple Images Use the trackball and Set button to select images. The selected image is highlighted in yellow. Selecting All Images Click the Select All Images icon on the screen. All images saved for the current exam are selected and highlighted in yellow. Deselecting All Images Press the Deselect All Images icon highlighted. on the screen. All images are deselected and no longer Post Processing Select the button located at the lower left corner of an image, and the post-processing menu will appear. Use the menu to adjust the image for diagnosis. The image is not saved with the postprocessing effects. 9-21 User Manual NOTE: CINE images can only be played in the 2 x 2 or less layout. Reviewing 3D Images If the saved image is 3D, the 3D Indicator appears at the bottom of the image. Click 3D and the 3D View screen will appear, allowing you to review the image. Reviewing Cine If the saved image is Cine, the playback and search scroll bar appear at the bottom of the image. You can play, pause, stop or search forward/backward by using the scroll bar. NOTE: CINE images can only be played in the 2 x 2 or less layout. Searching Exam 1. Press the Exam Search icon on the screen. The Exam List screen will appear. 2. Select an exam and click Review to bring up the SonoView window and view the selected exam. Distance Press the Distance Caliper icon on the screen. You can measure the distance between two points on an image. Measurement results are not saved. 1. Place the cursor over an image and press the Set button. The image will be resized to its original size. 2. Measure the desired distance. For information on measurement methods refer to ‘Chapter 8. Measurements and Calculations’. 3. Press the icon again to end measurement. 9-22 Chapter 9 Image Management Circumference and Area Measurement Press the Ellipse Caliper icon on the screen. You can measure the circumference and area of the desired area in an image. Measurement results are not saved. 1. Place the cursor over an image and press the Set button. The image will be resized to its original size. 2. Measure the circumference or area. For information on measurement methods refer to ‘Chapter 8. Measurements and Calculations’. 3. Press the Measurement icon again. Typing Text Press the Text Annotation icon on the screen. You can enter text onto an image. 1. Place the cursor over an image and press the Set button. The image will be resized to its original size. 2. Position the cursor on the desired area and enter text. XX Soft Menu Dial-Button 4 Color: Change the font color. XX Soft Menu Dial-Button 5 Size: Change the font size. 3. Press the Set button to confirm the text. To exit from Text Input Mode, press the icon once more. 9-23 User Manual Printing Images 1. Click the Print Image icon on the screen. The Image Print window will appear. 2. Configure the Setup and Comment options. 3. Click the Print button to print the image. Click Close to cancel. [Figure 9.6 Image Print] 9-24 Chapter 9 Image Management Transferring Images via DICOM This product allows you to transfer selected images via DICOM. The icon is enabled only when an image is selected. The icon is disabled in a system where DICOM is not enabled. 1. Select an image and click the Send Image to DICOM Storage icon DICOM Storage window will appear. on the screen. The 2. Click the Transfer button to transfer the selected image to the DICOM server. Click Close to cancel. [Figure 9.7 DICOM Storage] 9-25 User Manual Printing via DICOM You can print the selected images via DICOM. The icon is enabled only when an image is selected. The icon is disabled in a system where DICOM is not enabled. 1. Select an image and click the Send Image to DICOM Print icon Printer window will be displayed. on the screen. The DICOM 2. Click the Transfer button to transfer the selected image to the DICOM server and print it. Click Close to cancel. [Figure 9.8 DICOM Printer] 9-26 Chapter 9 Image Management Transferring Images NOTE: Image transfer will not be performed if there are spaces in the file or directory name. 1. Press the Export Image icon on the screen. The Image Export window will be displayed. 2. Specify the various parameters, such as directory, drive, filename and file format. 3. Click the Export button to start a transfer. Click the Close button to cancel. [Figure 9.9 Image Export] DICOM Flush Click the DICOM Flush icon. This transfers all images that have been stored locally up to that point to the DICOM Storage server. 9-27 User Manual Sending in E-mail 1. Click the Send E-mail icon on the screen. The E-mail window will appear. 2. Specify the various parameters, such as Sender and Recipient. 3. Check the images that you want to attach from the thumbnail list, and then enter the body text. 4. Click the Send button to transfer the selected images. Click Close to cancel. NOTE: When e-mail cannot be transferred, even though the mail server is working properly, please check the following: XX The connection of the LAN cable XX E-mail settings in Utility > Setup > Miscellaneous XX This shows whether or not ICMP (ping) is open for the corresponding Mail Server. If ICMP (ping) is closed, the E-mail function may not work properly. [Figure 9.10 E-mail] 9-28 Chapter 9 Image Management Deleting Images Click the Delete Image icon on the screen. Click OK to delete the selected image. Please note that images for the patient currently being diagnosed cannot be deleted. Storage Manager Click the Device icon on the screen. The Storage Manager window will appear. For more information about Storage Manager, refer to ‘Chapter 3. Utilities’. Exiting SonoView Click the Exit icon on the screen. Alternatively, you can press the SonoView button or the Exit button on the control panel to close SonoView. 9-29 SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEM HM70A Reference Manual SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEM Version 1.01 HM70A Reference Manual English Table of Contents PART 1. OB Reference OB Reference 9 Gestational Age and FetalGrowth Formula and Table List 9 ABDOMINAL CIRCUMFERENCE (AC) KOREAN9 HADLOCK9 HANSMANN10 MERZ10 JEANTY13 SHINOZUKA13 JSUM14 CHITTY (D) 15 CHITTY (M) 15 CAMPBELL16 ASUM(SCW)16 CFEF17 JOHNSEN18 KURMANAVICIUS18 NICOLAIDES19 BIPARIETAL DIAMETER (BPD) KOREAN21 HANSMANN21 HADLOCK23 MERZ23 JEANTY25 SABBAGHA26 SHINOZUKA26 JSUM28 OSAKA28 CHITTY (OUT-IN) 31 CHITTY (OUT-OUT) 32 CAMPBELL34 KURTZ34 ASUM(SCW)35 BESSIS36 CFEF36 JOHNSEN37 REMPEN38 KURMANAVICIUS39 NICOLAIDES40 CROWN-RUMP LENGTH (CRL) KOREAN42 ROBINSON42 HANSMANN43 SHINOZUKA44 JSUM45 NELSON46 HADLOCK47 OSAKA48 ASUM(SCW)49 REMPEN50 FEMUR LENGTH (FL) KOREAN51 HADLOCK52 MERZ52 HANSMANN54 HOHLER55 JEANTY55 SHINOZUKA56 JSUM57 OSAKA58 CHITTY60 CAMPBELL62 Reference Manual 2 ASUM(SCW)62 DOUBILET63 BESSIS63 CFEF64 JOHNSEN65 KURMANAVICIUS66 NICOLAIDES66 ANTERIOR POSTERIOR THORACIC DIAMETER (APTD) HANSMANN68 ANTERIOR POSTERIOR THORACIC DIAMETER (APTD) AND THORAX TRANSVERSE DIAMETER (TTD) SHINOZUKA69 JSUM70 GESTATIONAL SAC (GS) KOREAN71 HANSMANN71 HELLMAN71 NYBERG72 TOKYO72 REMPEN72 OCCIPITAL FRONTAL DIAMETER (OFD) HANSMANN74 ASUM(SCW)75 KOREAN76 KURMANAVICIUS76 NICOLAIDES77 INNER OCULAR DISTANCE (IOD) HANSMANN79 OUTER OCULAR DISTANCE (OOD) JEANTY80 HANSMANN81 HUMERUS (HUM) JEANTY81 KOREAN82 MERZ83 OSAKA84 ASUM(SCW)85 HANSMANN85 TIBIA (TIB) JEANTY86 MERZ87 HANSMANN88 THORAX TRANSVERSE DIAMETER (TTD) HANSMANN88 CEREBELLUM (CEREB) HILL89 CHITTY90 GOLDSTEIN90 NICOLAIDES91 ULNA JEANTY93 MERZ94 HANSMANN95 HEAD CIRCUMFERENCE (HC) KOREAN95 HANSMANN96 HADLOCK97 Reference Manual 3 MERZ97 CHITTY (D) 99 CHITTY (M) 100 CAMPBELL102 ASUM(SCW)102 CFEF103 JOHNSEN104 KURMANAVICIUS105 NICOLAIDES106 FETAL TRUNK CROSS-SECTIONAL AREA (FTA) OSAKA108 CLAVICLE (CLAV) YARKONI110 LENGTH OF VERTEBRAL (VERTEBRAL) TOKYO111 RADIUS LENGTH (RAD) MERZ112 JEANTY112 HANSMANN113 MIDDLE ABDOMINAL DIAMETER (MAD) EIK-NESSH113 JOHNSEN114 KURMANAVICIUS115 MID CEREBRAL ARTERY(MCA)-RESISTANCE INDEX(RI) SHINOZUKA115 JSUM116 MID CEREBRAL ARTERY(MCA)-PULSATILITY INDEX(PI) SHINOZUKA116 JSUM117 UMBILICAL ARTERY(UMA)-RESISTANCE INDEX(RI) SHINOZUKA117 JSUM118 UMBILICAL ARTERY(UMA)- PULSATILITY INDEX(PI) SHINOZUKA118 JSUM119 ANTERIOR POSTERIOR ABDOMINAL DIAMETER (APD) HANSMANN119 BESSIS119 TRANSVERSE ABDOMINAL DIAMETER (TAD) CFEF120 THORACIC CIRCUMFERENCE (THC) CHITKARA121 FIBULA LENGTH (FIB) JEANTY121 HANSMANN122 NUCHAL THICKNESS (NT) YAGEL122 LATERAL VENTRICULAR WIDTH (LAT VENT) JOHNSON123 HEMISPHERIC WIDTH (HW) JOHNSON123 RENAL LENGTH (RENAL L) HANSMANN124 Reference Manual 4 RENAL ANTERIOR-POSTERIOR LENGTH (RENAL AP) HANSMANN124 HEAD CIRCUMFERENCE(HC) / ABDOMINAL CIRCUMFERENCE(AC) CAMPBELL129 CISTERNA MAGNA DIAMETER (CM) NICOLAIDES125 AMNIOTIC FLUID INDEX (AFI) LATERAL VENTRICULAR WIDTH (LV) / HEMISPHERIC WIDTH (HW) Johnson129 MOORE127 Estimated Fetal Weight Formula NASAL BONE LENGTH (NB) SONEK127 Fetal Ratio Reference 128 FEMUR LENGTH/FOOT LENGTH (FL/FOOT) CAMPBELL128 BPDO/OFDO (CEPHLIC INDEX) HADLOCK128 FEMUR LENGTH/ABDOMINAL CIRCUMFERENCE (FL/AC) HADLOCK128 FEMUR LENGTH/HEAD CIRCUMFERENCE (FL/HC) HADLOCK128 FEMUR LENGTH/BIPARIETAL DIAMETER (FL/BPD) HOHLER129 THORACIC CIRCUMFERENCE/ABDOMINAL CIRCUMFERENCE (THC/AC) CHITKARA129 130 METHODS USING BPD, AC 130 BPD, FL, FTA 131 BPD, APTD, TTD, FL 131 BPD, APTD, TTD, SL 131 BPD, TTD 131 AC, FL 131 BPD, AC, FL 132 HC, AC, FL 132 BPD, HC, AC, FL 132 AC132 BPD, AC 133 AC, HC 133 Estimated Fetal Weight Growth Reference 134 ESTIMATED FETAL WEIGHT (EFW) BRENNER134 DOUBILET134 OSAKA135 HADLOCK137 SHINOZUKA137 JSUM138 Reference Manual 5 WILLIAMS138 YARKONI (TWINS) 139 HANSMANN139 JOHNSEN140 Estimated Fetal Weight Algorithm 140 CAMPBELL140 HADLOCK141 HADLOCK1141 HADLOCK2141 HADLOCK3142 HADLOCK4142 HANSMANN143 MERZ143 OSAKA143 SHEPARD143 SHINOZUKA1 144 SHINOZUKA2144 SHINOZUKA3 144 FERRERO144 HIGGINBOTTOM144 THURNAU144 WARSOF144 WEINER1145 WEINER2145 WOO 145 PART 2. Cardiology Reference Cardiology Reference 146 Cardiology 2D 146 BSA (Body Surface Area) 146 LV. Ventricle (2D) 146 LV Vol. d (LV Volume Diastolic) 146 LV Vol. s (LV Volume Systolic) 147 Stroke Volume (SV) 147 Stroke Volume Index (SI) 147 Cardiac Output (CO) 147 Cardiac Index (CI) 147 Ejection Fraction (EF) 147 Fraction Shortening (%FS) 147 LV Mass 147 LV Mass Index 147 LV Vol. (MOD, Method Of Disk) 148 LV Vol. (A/L) 148 LV Vol. (Bullet) 148 LV Mass 149 LA Vol. (Left Atrium Volume) 150 LVOT Area 150 RVOT Area 150 Mitral Valve (MV) Area 150 Tricuspid Valve (TV) Area 150 Aorta Diameter 151 Shunt151 Reference Manual 6 Cardiology M mode 151 Left Ventricle 151 LV Mass 152 LV Mass Index 152 Right Ventricle 152 MV (Mitral Valve) 152 Ao/LA153 Area 153 Cardiology C mode AV Regurg (AR), MV Regurg (MR), TV Regurg (TR) Cardiology Doppler 154 154 155 LVOT, RVOT, Aortic Valve, Mitral Valve, Tricuspid Valve, Pulmonic Valve155 Pulmonic Veins, Hepatic Veins 157 Aortic Valve 158 Mitral Valve 158 Tricuspid Valve 158 Pulmonic Valve 158 QP : QS = Pulmonic CO / Sysemic CO 158 Velocity Circumferential Fiber Shortening (Circ / Sec) 158 Propagation Velocity (Vp) 158 Urology Reference Resistivity Index Pulsatility Index S/D (ratio of Systolic to Diastolic Velocity) D/S (ratio of Diastolic to Systolic Velocity) Pressure Gradient Volume Flow (Area) Volume Flow (Dist.) Prostate Volume (3 Distances) 159 159 159 159 159 159 159 159 159 Prostate Volume (3 Distances x Factor) 159 Prostate Volume (Ellipsoid) 159 Prostate Volume (Sum of 20 Disks) 159 Prostate Spec. Antigen 160 Residual Volume 160 %STA160 %STD160 Fetal Heart Reference 160 Vascular Reference 162 Carotid, UE Artery, LE Artery, LE Vein 162 Stroke Volume (SV) Cardiac Output (CO) Ejection Fraction (EF) LV Vol. d (LV Volume Diastolic) LV Vol. s (LV Volume Systolic) LV Mass Fractional Shortening of Left Ventricle Internal diameter Resistivity Index Pulsatility Index S/D (ratio of Systolic to Diastolic Velocity) D/S (ratio of Diastolic to Systolic Velocity) Preload Index 160 160 160 160 161 161 161 161 161 161 161 161 Resistivity Index 162 Pulsatility Index 162 S/D (ratio of Systolic to Diastolic Velocity) 162 D/S (ratio of Diastolic to Systolic Velocity) 162 Pressure Gradient 162 %STA162 %STD162 Reference Manual 7 Volume Flow (Area) Volume Flow (Dist.) 162 162 Gynecology Reference 163 Abdomen Reference 164 Resistivity Index 163 Pulsatility Index 163 S/D (ratio of Systolic to Diastolic Velocity) 163 D/S (ratio of Diastolic to Systolic Velocity) 163 Pressure Gradient 163 %STA163 %STD163 Vol. 163 Follicle Vol. 163 Resistivity Index 164 Pulsatility Index 164 S/D (ratio of Systolic to Diastolic Velocity) 164 D/S (ratio of Diastolic to Systolic Velocity) 164 Pressure Gradient 164 %STA164 %STD164 Volume Flow (Area) 164 Volume Flow (Dist.) 164 Vol. 164 Vol. Index 164 Small Part Reference 165 Thyroid, Breast, Testis, Superficial 165 Resistivity Index 165 Pulsatility Index 165 S/D (ratio of Systolic to Diastolic Velocity) 165 D/S (ratio of Diastolic to Systolic Velocity) 165 Pressure Gradient 165 %STA165 %STD165 Volume Flow (Area) 165 Volume Flow (Dist.) 165 Mass Vol. 165 TCD Reference 166 Resistivity Index 166 Pulsatility Index 166 S/D (ratio of Systolic to Diastolic Velocity) 166 D/S (ratio of Diastolic to Systolic Velocity) 166 Pressure Gradient 166 %STA166 %STD166 Volume Flow (Area) 166 Volume Flow (Dist.) 166 Reference Manual 8 PART 3. Acoustic Output Tables FDA Tables Acoustic Output Tables 167 IEC 60601-2-37 Tables 167 Symbols and Definitions 167 Explanatory Notes 168 C2-6169 CF4-9170 SC1-6172 CA1-7AD173 CA2-8AD175 L4-7176 L5-13178 L7-16179 LA3-16AD181 LA5-18B182 PE2-4184 P3-8186 EVN4-9188 VN4-8189 CW2.0191 CW4.0191 DP2B192 192 Symbols and Definitions 192 Explanatory Notes 194 C2-6194 CF4-9196 SC1-6197 CA1-7AD199 CA2-8AD200 L4-7202 L5-13203 L7-16205 LA3-16AD206 LA5-18B208 PE2-4209 P3-8211 EVN4-9213 VN4-8215 CW2.0216 CW4.0217 DP2B217 Patient-Applied Part Temperature Table 218 Reference Manual 9 OB Reference Gestational Age and FetalGrowth Formula and Table List Abdominal Circumference (AC) : KOREAN GA Table Y.G Park. “ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 GA = 7.403506 + 0.76191 x AC + 0.004492304 x AC2 Output Unit : w (weeks) Input Unit : cm Min Range : 7.4cm Max Range : 35.4cm Fetal Growth Table Y.G Park. “ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 12 5.932 0.794 32 27.738 0.799 16 10.793 0.728 34 29.578 0.771 20 15.086 0.742 36 31.731 0.583 24 19.300 1.258 38 33.514 0.370 28 23.988 0.870 40 34.490 1.608 Abdominal Circumference (AC) : HADLOCK GA Table Frank P. Hadlock, Russell L.Deter, Ronald B. Harrist, Seung K. Park,. “Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters” Radiology, 1984; 152:497501. GA = 8.14 + 0.753 x AC + 0.0036 x AC2 Output Unit: w(weeks) Input Unit : cm Min Range : 4.83 cm Max Range : 38.04 cm Standard Deviation : AC = 135.54085 x MA – 5.9973 x MA2 – 94.588168 Min (w) Max (w) ±2SD Min (w) Max (w) ±2SD Input Unit : w (week) 12 18 1.66 30 36 2.96 Min Range : 12w 18 24 2.06 36 42 3.04 Max Range : 40w 24 30 2.18 Output Unit : cm Reference Manual 10 Fetal Growth Table Abdominal Circumference (AC) : MERZ Frank P. Hadlock, Russell L.Deter, Ronald B. Harrist, Seung K. Park,. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters" Radiology, 1984; 152:497501 Graph = 1.61 x MA – 0.00998 x MA2 – 13.3 Output Unit : cm Input Unit : w(weeks) Min Range : 12w Max Range : 40w Standard Deviation : 2SD = 2.68cm Abdominal Circumference (AC) : HANSMANN GA Table Hansmann, Hackeloer, Staudach, Wittman "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer- Verlag, New York, 1986, p.431. GA Table E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Text book and Atlas, 1991 Georg Thieme Verlag, 308-338 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 5.6 12w1d 10w6d 13w2d 20.4 26w1d 24w3d 27w6d 5.8 12w2d 11w1d 13w4d 20.6 26w3d 24w4d 28w1d 6.0 12w4d 11w2d 13w5d 20.8 26w4d 24w6d 28w2d 6.2 12w5d 11w4d 13w6d 21.0 26w6d 25w0d 28w4d 6.4 12w6d 11w5d 14w1d 21.2 27w0d 25w1d 28w5d 6.6 13w1d 11w6d 14w2d 21.4 27w1d 25w2d 28w6d 6.8 13w2d 12w0d 14w4d 21.6 27w2d 25w4d 29w1d 7.0 13w4d 12w1d 14w5d 21.8 27w4d 25w5d 29w2d 7.2 13w4d 12w3d 14w6d 22.0 27w5d 25w6d 29w4d 7.4 13w6d 12w4d 15w1d 22.2 27w6d 26w1d 29w5d Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 5.3 12w0d 15.5 22w0d 24.9 32w0d 6.3 13w0d 16.5 23w0d 25.8 33w0d 7.5 14w0d 17.3 24w0d 26.8 34w0d 7.6 14w0d 12w6d 15w2d 22.4 28w1d 26w2d 29w6d 8.5 15w0d 18.3 25w0d 27.7 35w0d 7.8 14w1d 12w6d 15w4d 22.6 28w2d 26w3d 30w1d 9.7 16w0d 19.1 26w0d 28.7 36w0d 8.0 14w3d 13w1d 15w5d 22.8 28w4d 26w4d 30w2d 10.7 17w0d 20.2 27w0d 29.6 37w0d 8.2 14w4d 13w2d 15w6d 23.0 28w5d 26w6d 30w4d 11.6 18w0d 21.1 28w0d 30.6 38w0d 8.4 14w6d 13w4d 16w1d 23.2 28w6d 27w0d 30w5d 12.6 19w0d 22.2 29w0d 31.5 39w0d 8.6 15w0d 13w5d 16w2d 23.4 29w0d 27w1d 30w6d 13.5 20w0d 23.0 30w0d 32.0 40w0d 14.5 21w0d 24.0 31w0d Reference Manual 11 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 8.8 15w1d 13w6d 16w4d 23.6 29w1d 27w3d 31w1d 12.8 19w0d 17w4d 20w3d 27.6 33w0d 31w0d 35w1d 9.0 15w3d 14w0d 16w5d 23.8 29w3d 27w4d 31w2d 13.0 19w1d 17w5d 20w4d 27.8 33w1d 31w1d 35w2d 9.2 15w4d 14w1d 16w6d 24.0 29w4d 27w5d 31w4d 13.2 19w2d 17w6d 20w6d 28.0 33w3d 31w3d 35w4d 9.4 15w5d 14w3d 17w1d 24.2 29w6d 27w6d 31w5d 13.4 19w4d 18w0d 21w0d 28.2 33w4d 31w4d 35w5d 9.6 15w6d 14w4d 17w2d 24.4 30w0d 28w1d 31w6d 13.6 19w5d 18w1d 21w1d 28.4 33w6d 31w5d 35w6d 9.8 16w1d 14w6d 17w4d 24.6 30w1d 28w2d 32w1d 13.8 19w6d 18w3d 21w3d 28.6 34w0d 31w6d 36w1d 10.0 16w2d 14w6d 17w5d 24.8 30w3d 28w3d 32w2d 14.0 20w1d 18w4d 21w4d 28.8 34w1d 32w1d 36w2d 10.2 16w4d 15w1d 17w6d 25.0 30w4d 28w4d 32w4d 14.2 20w2d 18w6d 21w6d 29.0 34w3d 32w2d 36w4d 10.4 16w5d 15w2d 18w1d 25.2 30w6d 28w6d 32w5d 14.4 20w4d 19w0d 22w0d 29.2 34w4d 32w4d 36w5d 10.6 16w6d 15w4d 18w2d 25.4 30w6d 29w0d 32w6d 14.6 20w5d 19w1d 22w1d 29.4 34w5d 32w4d 36w6d 10.8 17w1d 15w5d 18w3d 25.6 31w1d 29w1d 33w1d 14.8 20w6d 19w2d 22w3d 29.6 34w6d 32w6d 37w1d 11.0 17w2d 15w6d 18w4d 25.8 31w2d 29w3d 33w2d 15.0 21w1d 19w4d 22w4d 29.8 35w1d 33w0d 37w1d 11.2 17w3d 16w0d 18w6d 26.0 31w4d 29w4d 33w4d 15.2 21w1d 19w5d 22w6d 30.0 35w2d 33w1d 37w3d 11.4 17w4d 16w1d 19w0d 26.2 31w5d 29w5d 33w5d 15.4 21w3d 19w6d 23w0d 30.2 35w4d 33w3d 37w4d 11.6 17w6d 16w3d 19w1d 26.4 31w6d 29w6d 33w6d 15.6 21w4d 20w1d 23w1d 30.4 35w5d 33w4d 37w6d 11.8 18w0d 16w4d 19w3d 26.6 32w1d 30w1d 34w1d 15.8 21w6d 20w1d 23w3d 30.6 35w6d 33w5d 38w0d 12.0 18w1d 16w6d 19w4d 26.8 32w2d 30w2d 34w2d 16.0 22w0d 20w3d 23w4d 30.8 36w1d 33w6d 38w1d 12.2 18w3d 17w0d 19w6d 27.0 32w4d 30w4d 34w4d 16.2 22w1d 20w4d 23w6d 31.0 36w2d 34w1d 38w3d 12.4 18w4d 17w1d 20w0d 27.2 32w5d 30w4d 34w5d 16.4 22w3d 20w6d 24w0d 31.2 36w4d 34w2d 38w4d 12.6 18w6d 17w2d 20w1d 27.4 32w6d 30w6d 34w6d 16.6 22w4d 21w0d 24w1d 31.4 36w4d 34w4d 38w6d Reference Manual 12 Fetal Growth Table Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 16.8 22w6d 21w1d 24w3d 31.6 36w6d 34w4d 39w0d 17.0 23w0d 21w2d 24w4d 31.8 37w0d 34w6d 39w1d Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 17.2 23w1d 21w4d 24w6d 32.0 37w1d 35w0d 39w3d 12 5.8 4 7.6 27 21.2 18.7 23.8 17.4 23w2d 21w5d 25w0d 32.2 37w3d 35w1d 39w4d 13 6.8 5 8.7 28 22.3 19.7 24.8 17.6 23w4d 21w6d 25w1d 32.4 37w4d 35w3d 39w6d 14 7.9 6 9.8 29 23.3 20.7 25.9 17.8 23w5d 22w1d 25w3d 32.6 37w6d 35w4d 40w0d 15 8.9 6.9 10.9 30 24.3 21.7 27 18.0 23w6d 22w1d 25w4d 32.8 38w0d 35w5d 40w1d 16 9.9 7.9 11.9 31 25.3 22.7 28 18.2 24w1d 22w3d 25w6d 33.0 38w1d 35w6d 40w3d 17 11 8.9 13 32 26.4 23.7 29.1 18.4 24w2d 22w4d 26w0d 33.2 38w3d 36w1d 40w4d 18 12 9.9 14.1 33 27.4 24.6 30.2 18.6 24w4d 22w6d 26w1d 33.4 38w4d 36w2d 40w6d 19 13 10.8 15.2 34 28.4 25.6 31.2 18.8 24w5d 23w0d 26w3d 33.6 38w5d 36w4d 41w0d 20 14 11.8 16.2 35 29.5 26.6 32.3 19.0 24w6d 23w1d 26w4d 33.8 38w6d 36w5d 41w1d 21 15.1 12.8 17.3 36 30.5 27.6 33.4 19.2 25w0d 23w2d 26w6d 34.0 39w1d 36w6d 41w3d 22 16.1 13.8 18.4 37 31.5 28.6 34.4 19.4 25w1d 23w4d 27w0d 34.2 39w2d 37w0d 41w4d 23 17.1 14.8 19.5 38 32.5 29.6 35.5 19.6 25w3d 23w5d 27w1d 34.4 39w4d 37w1d 41w6d 24 18.2 15.8 20.5 39 33.6 30.6 36.5 19.8 25w4d 23w6d 27w3d 34.6 39w5d 37w3d 42w0d 25 19.2 16.7 21.6 40 34.6 31.6 37.6 20.0 25w6d 24w1d 27w4d 34.8 39w6d 37w4d 42w1d 26 20.2 17.7 22.7 20.2 26w0d 24w2d 27w6d E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Reference Manual 13 Abdominal Circumference (AC) : JEANTY Abdominal Circumference (AC) : SHINOZUKA Fetal Growth Table GA Table Jeanty, P., Cousaert, E., Cantraine, F., "Normal Growth of the Abdominal Perimeter" American Journal of Perinatalogy, 1:129, 1984 Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Japanese Journal of Medical Ultrasonics, Vol.23, No.12, 1996, pp877-888 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Meas (cm) Age (wd) ±SD (wd) Meas (cm) Age (wd) ±SD (wd) 12 5.70 3.50 8.00 27 21.50 19.30 23.80 10.0 15w3d 1w1d 22.0 27w3d 1w5d 16w0d 1w1d 22.5 28w0d 1w5d 13 6.70 4.50 9.00 28 22.50 20.30 24.80 10.5 14 7.70 5.50 10.00 29 23.50 21.30 25.70 11.0 16w4d 1w1d 23.0 28w4d 1w5d 15 8.80 6.50 11.00 30 24.40 22.20 26.70 11.5 17w0d 1w1d 23.5 29w0d 1w5d 12.0 17w4d 1w2d 24.0 29w4d 1w6d 12.5 18w0d 1w2d 24.5 30w1d 1w6d 13.0 18w4d 1w2d 25.0 30w5d 1w6d 13.5 19w0d 1w2d 25.5 31w2d 1w6d 14.0 19w4d 1w2d 26.0 31w6d 1w6d 14.5 20w0d 1w2d 26.5 32w3d 1w6d 16 9.80 7.60 12.00 31 25.40 23.10 27.60 17 10.90 8.60 13.10 32 26.20 24.00 28.50 18 11.90 9.70 14.20 33 27.10 24.80 29.30 19 13.00 10.80 15.20 34 27.90 25.60 30.10 20 14.10 11.90 16.30 35 28.60 26.40 30.90 21 15.20 12.90 17.40 36 29.30 27.10 31.60 15.0 20w3d 1w3d 27.0 33w1d 1w6d 22 16.30 14.00 18.50 37 30.00 27.80 32.20 15.5 21w0d 1w3d 27.5 33w5d 2w0d 23 17.30 15.10 19.60 38 30.60 28.30 32.80 16.0 21w3d 1w3d 28.0 34w2d 2w0d 24 18.40 16.20 20.60 39 31.10 28.90 33.30 16.5 22w0d 1w3d 28.5 35w0d 2w0d 25 19.50 17.20 21.70 40 31.60 29.40 33.80 17.0 22w3d 1w3d 29.0 35w4d 2w0d 17.5 22w6d 1w3d 29.5 36w2d 2w0d 18.0 23w3d 1w4d 30.0 37w0d 2w0d 18.5 23w6d 1w4d 30.5 37w5d 2w0d 19.0 24w3d 1w4d 31.0 38w2d 2w1d 19.5 24w6d 1w4d 31.5 39w0d 2w1d 26 20.50 18.30 22.70 Reference Manual 14 Abdominal Circumference (AC) : JSUM Meas (cm) Age (wd) ±SD (wd) Meas (cm) Age (wd) ±SD (wd) 20.0 25w3d 1w4d 32.0 39w6d 2w1d Fetal Growth Table 20.5 25w6d 1w4d 32.5 40w4d 2w1d 21.0 26w3d 1w5d 33.0 41w2d 2w1d Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 21.5 27w0d 1w5d Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Japanese Journal of Medical Ultrasonics, Vol.23, No.12, 1996, pp877-888 Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) 16w3d 17w3d 10.90 9.50 12.40 30w3d 24.70 22.20 27.10 12.00 10.40 13.50 31w3d 25.60 23.00 28.10 18w3d 13.00 11.40 14.60 32w3d 26.50 23.80 29.00 19w3d 14.00 12.30 15.70 33w3d 27.30 24.50 29.90 20w3d 15.10 13.30 16.80 34w3d 28.10 25.30 30.70 Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) 16w3d 10.90 9.50 12.40 30w3d 24.70 22.20 27.10 21w3d 16.10 14.20 17.80 35w3d 28.90 26.00 31.60 17.10 15.10 18.90 36w3d 29.70 26.60 32.40 17w3d 12.00 10.40 13.50 31w3d 25.60 23.00 28.10 22w3d 18w3d 13.00 11.40 14.60 32w3d 26.50 23.80 29.00 23w3d 18.10 16.10 20.00 37w3d 30.40 27.30 33.20 19.10 17.00 21.10 38w3d 31.10 27.90 34.00 19w3d 14.00 12.30 15.70 33w3d 27.30 24.50 29.90 24w3d 20w3d 15.10 13.30 16.80 34w3d 28.10 25.30 30.70 25w3d 20.10 17.90 22.10 39w3d 31.80 28.50 34.70 21w3d 16.10 14.20 17.80 35w3d 28.90 26.00 31.60 26w3d 21.00 18.80 23.10 40w3d 32.40 29.10 35.40 22.00 19.70 24.20 41w3d 33.00 29.60 36.10 42w3d 33.60 30.10 36.70 22w3d 17.10 15.10 18.90 36w3d 29.70 26.60 32.40 27w3d 23w3d 18.10 16.10 20.00 37w3d 30.40 27.30 33.20 28w3d 22.90 20.50 25.20 29w3d 23.80 21.40 26.10 24w3d 19.10 17.00 21.10 38w3d 31.10 27.90 34.00 25w3d 20.10 17.90 22.10 39w3d 31.80 28.50 34.70 26w3d 21.00 18.80 23.10 40w3d 32.40 29.10 35.40 27w3d 22.00 19.70 24.20 41w3d 33.00 29.60 36.10 28w3d 22.90 20.50 25.20 42w3d 33.60 30.10 36.70 29w3d 23.80 21.40 26.10 Reference Manual 15 Abdominal Circumference (AC) : CHITTY (D) Abdominal Circumference (AC) : CHITTY (M) Fetal Growth Table Fetal Growth Table L.S. Chitty, D.G. Altman, S. Campbell, "Charts of Fetal Size: 3. Abdominal Measurement" British Journal of Obstetrics and Gynaecology, February 1994. Vol 101. Pp125-131 L.S. Chitty, D.G. Altman, S. Campbell, "Charts of Fetal Size: 3. Abdominal Measurement" British Journal of Obstetrics and Gynaecology, February 1994. Vol 101. Pp125-131 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 12 5.58 5.05 6.11 28 23.06 21.29 24.82 12 5.89 5.13 6.66 28 23.91 22.21 25.61 13 6.74 6.13 7.34 29 24.05 22.22 25.89 13 7.09 6.26 7.91 29 24.94 23.18 26.7 14 7.89 7.2 8.57 30 25.04 23.12 26.96 14 8.27 7.39 9.15 30 25.96 24.14 27.78 15 9.03 8.27 9.79 31 26.01 24.02 28.01 15 9.45 8.5 10.39 31 26.96 25.08 28.84 16 10.16 9.33 11 32 26.97 24.9 29.04 16 10.62 9.62 11.62 32 27.95 26.01 29.89 17 11.29 10.38 12.21 33 27.91 25.76 30.06 17 11.78 10.72 12.84 33 28.92 26.93 30.92 18 12.41 11.42 13.4 34 28.84 26.61 31.06 18 12.93 11.82 14.05 34 29.88 27.82 31.93 19 13.52 12.45 14.59 35 29.75 27.44 32.05 19 14.08 12.9 15.25 35 30.82 28.7 32.93 20 14.62 13.48 15.77 36 30.64 28.26 33.02 20 15.21 13.98 16.45 36 31.74 29.57 33.91 21 15.71 14.49 16.94 37 31.51 29.06 33.97 21 16.34 15.05 17.63 37 32.64 30.41 34.88 22 16.8 15.5 18.1 38 32.37 29.84 34.91 22 17.46 16.1 18.81 38 33.53 31.24 35.82 23 17.87 16.49 19.25 39 33.21 30.6 35.82 23 18.56 17.15 19.97 39 34.4 32.05 36.75 24 18.93 17.48 20.38 40 34.04 31.35 36.72 24 19.66 18.19 21.12 40 35.25 32.84 37.66 25 19.98 18.45 21.51 41 34.84 32.08 37.6 25 20.74 19.21 22.27 41 36.08 33.62 38.54 26 21.02 19.41 22.63 42 35.62 32.78 38.46 26 21.81 20.22 23.39 42 36.89 34.37 39.41 27 22.04 20.36 23.73 27 22.87 21.22 24.51 Reference Manual 16 Abdominal Circumference (AC) : CAMPBELL Abdominal Circumference (AC) : ASUM(SCW) GA Table GA Table Professor Campbell’s Group at Harris birthright Centre, King’s College Hospital Australasian Society for Ultrasound in Medicine. Meas (cm) Age (wd) ±days (wd) Meas (cm) Age (wd) ±days (wd) Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 9.00 14w0d 02w0d 24.20 28w0d 02w6d GA = 0.0000367 x (AC x 10) 2 + 0.07715 x (AC x 10) + 7.192 10.10 15w0d 02w1d 25.30 29w0d 02w6d Output Unit : w(weeks) 11.20 16w0d 02w1d 26.40 30w0d 03w0d Input Unit : cm 12.30 17w0d 02w1d 27.50 31w0d 03w1d 13.40 18w0d 02w1d 28.60 32w0d 03w1d 14.50 19w0d 02w1d 29.70 33w0d 03w4d Fetal Growth Table 15.60 20w0d 02w2d 30.80 34w0d 04w0d Australasian Society for Ultrasound in Medicine 16.70 21w0d 02w2d 31.70 35w0d 04w2d Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 17.80 22w0d 02w2d 32.50 36w0d 04w2d 18.80 23w0d 02w3d 33.10 37w0d 04w2d 19.90 24w0d 02w4d 33.80 38w0d 04w2d 21.00 25w0d 02w5d 34.40 39w0d 0w0d 22.10 26w0d 02w5d 35.00 40w0d 0w0d 23.10 27w0d 02w6d Min Range : 4.74 cm Max Range : 37.29 cm Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (mm) 11 5.2 1.0 27 23.0 2.5 12 6.3 1.0 28 24.2 2.5 13 7.4 1.0 29 25.9 2.5 14 8.4 1.0 30 26.2 2.5 15 9.6 1.0 31 27.2 3.0 16 10.6 1.0 32 28.3 3.0 17 12.0 1.5 33 29.4 3.0 18 13.1 1.5 34 30.5 3.0 19 14.0 1.5 35 31.5 3.0 Reference Manual 17 Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (mm) Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) 20 15.1 1.5 36 32.5 3.5 16.23 21 25.36 30 33.24 39 21 16.4 2.0 37 33.3 3.5 17.30 22 26.30 31 33.90 40 22 17.6 2.0 38 34.2 3.5 18.36 23 27.22 32 23 18.6 2.0 39 35.6 3.5 24 20.1 2.0 40 36.2 3.5 Fetal Growth Table 25 21.2 2.0 41 36.7 3.5 J.Créquat, M. Duyme, G. Brodaty 26 22.3 2.5 Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 Gynecol Obstet Fertil 2000 Jun;28(6):435-45 Abdominal Circumference (AC) : CFEF Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) GA Table 15 9.50 8.50 10.40 28 23.40 21.50 25.40 J.Créquat, M. Duyme, G. Brodaty. 16 10.60 9.60 11.70 29 24.40 22.40 26.40 Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 17 11.80 10.70 12.90 30 25.40 23.30 27.40 18 12.90 11.70 14.10 31 26.30 24.20 28.40 19 14.00 12.80 15.30 32 27.20 25.00 29.40 20 15.10 13.80 16.50 33 28.10 25.80 30.40 21 16.20 14.80 17.60 34 29.00 26.70 31.40 22 17.30 15.80 18.80 35 29.90 27.50 32.30 23 18.40 16.80 19.90 36 30.70 28.30 33.30 Gynecol Obstet Fertil, 2000 Jun;28(6):435-45 Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) 9.50 15 19.40 24 28.12 33 10.64 16 20.44 25 29.02 34 11.80 17 21.45 26 29.88 35 24 19.40 17.80 21.00 37 31.60 29.00 34.20 12.92 18 22.45 27 30.74 36 25 20.40 18.70 22.10 38 32.50 29.80 35.10 14.04 19 23.44 28 31.60 37 26 21.50 19.70 23.20 39 33.20 30.50 36.00 15.14 20 24.40 29 32.47 38 27 22.50 20.60 24.30 40 33.90 31.10 36.70 Reference Manual 18 Abdominal Circumference (AC) : JOHNSEN Abdominal Circumference (AC) : KURMANAVICIUS Fetal Growth Table Fetal Growth Table Johnsen SL, Wilsgaard T, Rasmussen S, Sollien R, Kiserud T. "Longitudinal reference charts for growth of the fetal head, abdomen and femur" Eur J Obstet Gynecol Reprod Biol, 2006 Aug; 127(2): 172-85 Kurmanavicius J, Wright EM, Royston P, Zimmermann R, Huch R, Huch A, Wisser J. "Fetal ultrasound biometry: 2. Abdomen and femur length reference values" Br J Obstet Gynaecol, 1999 Feb;106(2):136-43 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 10 3.70 3.10 4.40 26 21.90 20.30 23.60 12 5.66 4.53 6.79 28 23.18 20.80 25.56 11 4.70 4.10 5.50 27 23.00 21.30 24.80 13 6.82 5.61 8.03 29 24.17 21.71 26.63 12 5.80 5.10 6.70 28 24.00 22.30 25.90 14 7.98 6.69 9.27 30 25.15 22.61 27.69 13 6.90 6.10 7.90 29 25.10 23.30 27.00 15 9.13 7.76 10.50 31 26.11 23.50 28.73 14 8.10 7.20 9.10 30 26.10 24.30 28.10 16 10.27 8.83 11.72 32 27.06 24.36 29.76 15 9.30 8.30 10.30 31 27.20 25.20 29.20 17 11.40 9.88 12.93 33 27.99 25.22 30.77 16 10.40 9.40 11.60 32 28.20 26.20 30.30 18 12.53 10.93 14.13 34 28.90 26.05 31.76 17 11.60 10.50 12.80 33 29.20 27.10 31.40 19 13.64 11.97 15.32 35 29.80 26.87 32.73 18 12.80 11.60 14.10 34 30.20 28.00 32.50 20 14.75 12.99 16.51 36 30.68 27.67 33.69 19 14.00 12.80 15.30 35 31.20 29.00 33.50 21 15.85 14.01 17.68 37 31.54 28.45 34.62 20 15.10 13.90 16.50 36 32.10 29.90 34.60 22 16.93 15.02 18.84 38 32.38 29.21 35.54 21 16.30 15.00 17.70 37 33.10 30.80 35.60 23 18.00 16.01 20.00 39 33.20 29.95 36.44 22 17.40 16.00 18.90 38 34.10 31.60 36.70 24 19.06 16.99 21.13 40 34.00 30.68 37.32 23 18.60 17.10 20.10 39 35.00 32.50 37.70 25 20.11 17.96 22.26 41 34.78 31.38 38.18 24 19.70 18.20 21.30 40 36.00 33.40 38.70 26 21.15 18.92 23.37 42 35.53 32.06 39.01 25 20.80 19.20 22.50 41 36.80 34.10 39.60 27 22.17 19.87 24.48 Reference Manual 19 Abdominal Circumference (AC) : NICOLAIDES Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Fetal Growth Table 16w5d 10.80 9.60 12.20 29w5d 25.40 22.60 28.50 Snijders RJ, Nicolaides KH. "Fetal biometry at 14-40 weeks' gestation" Ultrasound in obstetrics and Gynecology, 1994 Jan 1;4(1):34-48 16w6d 10.80 9.60 12.20 29w6d 25.40 22.60 28.50 17w0d 11.80 10.50 13.30 30w0d 26.60 23.70 29.80 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 17w1d 11.80 10.50 13.30 30w1d 26.60 23.70 29.80 17w2d 11.80 10.50 13.30 30w2d 26.60 23.70 29.80 14w0d 9.00 8.00 10.20 27w0d 23.10 20.50 25.90 17w3d 11.80 10.50 13.30 30w3d 26.60 23.70 29.80 14w1d 9.00 8.00 10.20 27w1d 23.10 20.50 25.90 17w4d 11.80 10.50 13.30 30w4d 26.60 23.70 29.80 14w2d 9.00 8.00 10.20 27w2d 23.10 20.50 25.90 17w5d 11.80 10.50 13.30 30w5d 26.60 23.70 29.80 14w3d 9.00 8.00 10.20 27w3d 23.10 20.50 25.90 17w6d 11.80 10.50 13.30 30w6d 26.60 23.70 29.80 14w4d 9.00 8.00 10.20 27w4d 23.10 20.50 25.90 18w0d 12.80 11.40 14.40 31w0d 27.70 24.60 31.00 14w5d 9.00 8.00 10.20 27w5d 23.10 20.50 25.90 18w1d 12.80 11.40 14.40 31w1d 27.70 24.60 31.00 14w6d 9.00 8.00 10.20 27w6d 23.10 20.50 25.90 18w2d 12.80 11.40 14.40 31w2d 27.70 24.60 31.00 15w0d 9.90 8.80 11.20 28w0d 24.30 21.60 27.20 18w3d 12.80 11.40 14.40 31w3d 27.70 24.60 31.00 15w1d 9.90 8.80 11.20 28w1d 24.30 21.60 27.20 18w4d 12.80 11.40 14.40 31w4d 27.70 24.60 31.00 15w2d 9.90 8.80 11.20 28w2d 24.30 21.60 27.20 18w5d 12.80 11.40 14.40 31w5d 27.70 24.60 31.00 15w3d 9.90 8.80 11.20 28w3d 24.30 21.60 27.20 18w6d 12.80 11.40 14.40 31w6d 27.70 24.60 31.00 15w4d 9.90 8.80 11.20 28w4d 24.30 21.60 27.20 19w0d 13.90 12.30 15.60 32w0d 28.70 25.60 32.20 15w5d 9.90 8.80 11.20 28w5d 24.30 21.60 27.20 19w1d 13.90 12.30 15.60 32w1d 28.70 25.60 32.20 15w6d 9.90 8.80 11.20 28w6d 24.30 21.60 27.20 19w2d 13.90 12.30 15.60 32w2d 28.70 25.60 32.20 16w0d 10.80 9.60 12.20 29w0d 25.40 22.60 28.50 19w3d 13.90 12.30 15.60 32w3d 28.70 25.60 32.20 16w1d 10.80 9.60 12.20 29w1d 25.40 22.60 28.50 19w4d 13.90 12.30 15.60 32w4d 28.70 25.60 32.20 16w2d 10.80 9.60 12.20 29w2d 25.40 22.60 28.50 19w5d 13.90 12.30 15.60 32w5d 28.70 25.60 32.20 16w3d 10.80 9.60 12.20 29w3d 25.40 22.60 28.50 19w6d 13.90 12.30 15.60 32w6d 28.70 25.60 32.20 16w4d 10.80 9.60 12.20 29w4d 25.40 22.60 28.50 20w0d 14.90 13.30 16.80 33w0d 29.70 26.50 33.40 Reference Manual 20 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 20w1d 14.90 13.30 16.80 33w1d 29.70 26.50 33.40 23w4d 18.30 16.30 20.60 36w4d 32.40 28.90 36.40 20w2d 14.90 13.30 16.80 33w2d 29.70 26.50 33.40 23w5d 18.30 16.30 20.60 36w5d 32.40 28.90 36.40 20w3d 14.90 13.30 16.80 33w3d 29.70 26.50 33.40 23w6d 18.30 16.30 20.60 36w6d 32.40 28.90 36.40 20w4d 14.90 13.30 16.80 33w4d 29.70 26.50 33.40 24w0d 19.50 17.40 21.90 37w0d 33.20 29.50 37.20 20w5d 14.90 13.30 16.80 33w5d 29.70 26.50 33.40 24w1d 19.50 17.40 21.90 37w1d 33.20 29.50 37.20 20w6d 14.90 13.30 16.80 33w6d 29.70 26.50 33.40 24w2d 19.50 17.40 21.90 37w2d 33.20 29.50 37.20 21w0d 16.10 14.30 18.10 34w0d 30.70 27.40 34.50 24w3d 19.50 17.40 21.90 37w3d 33.20 29.50 37.20 21w1d 16.10 14.30 18.10 34w1d 30.70 27.40 34.50 24w4d 19.50 17.40 21.90 37w4d 33.20 29.50 37.20 21w2d 16.10 14.30 18.10 34w2d 30.70 27.40 34.50 24w5d 19.50 17.40 21.90 37w5d 33.20 29.50 37.20 21w3d 16.10 14.30 18.10 34w3d 30.70 27.40 34.50 24w6d 19.50 17.40 21.90 37w6d 33.20 29.50 37.20 21w4d 16.10 14.30 18.10 34w4d 30.70 27.40 34.50 25w0d 20.70 18.40 23.30 38w0d 33.90 30.20 38.00 21w5d 16.10 14.30 18.10 34w5d 30.70 27.40 34.50 25w1d 20.70 18.40 23.30 38w1d 33.90 30.20 38.00 21w6d 16.10 14.30 18.10 34w6d 30.70 27.40 34.50 25w2d 20.70 18.40 23.30 38w2d 33.90 30.20 38.00 22w0d 17.20 15.30 19.30 35w0d 31.60 28.20 35.50 25w3d 20.70 18.40 23.30 38w3d 33.90 30.20 38.00 22w1d 17.20 15.30 19.30 35w1d 31.60 28.20 35.50 25w4d 20.70 18.40 23.30 38w4d 33.90 30.20 38.00 22w2d 17.20 15.30 19.30 35w2d 31.60 28.20 35.50 25w5d 20.70 18.40 23.30 38w5d 33.90 30.20 38.00 22w3d 17.20 15.30 19.30 35w3d 31.60 28.20 35.50 25w6d 20.70 18.40 23.30 38w6d 33.90 30.20 38.00 22w4d 17.20 15.30 19.30 35w4d 31.60 28.20 35.50 26w0d 21.90 19.50 24.60 39w0d 34.50 30.70 38.70 22w5d 17.20 15.30 19.30 35w5d 31.60 28.20 35.50 26w1d 21.90 19.50 24.60 39w1d 34.50 30.70 38.70 22w6d 17.20 15.30 19.30 35w6d 31.60 28.20 35.50 26w2d 21.90 19.50 24.60 39w2d 34.50 30.70 38.70 23w0d 18.30 16.30 20.60 36w0d 32.40 28.90 36.40 26w3d 21.90 19.50 24.60 39w3d 34.50 30.70 38.70 23w1d 18.30 16.30 20.60 36w1d 32.40 28.90 36.40 26w4d 21.90 19.50 24.60 39w4d 34.50 30.70 38.70 23w2d 18.30 16.30 20.60 36w2d 32.40 28.90 36.40 26w5d 21.90 19.50 24.60 39w5d 34.50 30.70 38.70 23w3d 18.30 16.30 20.60 36w3d 32.40 28.90 36.40 26w6d 21.90 19.50 24.60 39w6d 34.50 30.70 38.70 Reference Manual 21 Biparietal Diameter (BPD) : KOREAN Biparietal Diameter (BPD) : HANSMANN GA Table GA Table Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 Hansmann, Hackeloer, Staudach, Wittman. "Ultrasound Diagnosis in Obsterics and Gynecology." Springer-Verlag, New York, 1986, p.440-441. GA = 1.20007 x BPD + 0.2076 x BPD2 + 9.209216 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Input Unit : cm 2.9 13w3d 12w2d 14w3d 6.8 25w6d 24w3d 27w2d Min Range : 1.9 cm 3.0 13w5d 12w5d 14w5d 6.9 26w1d 24w6d 27w4d Max Range : 9.4 cm 3.1 14w0d 12w6d 15w1d 7.0 26w3d 25w0d 27w6d Output Unit : w(weeks) 3.2 14w2d 13w2d 15w3d 7.1 26w5d 25w2d 28w3d Fetal Growth Table 3.3 14w4d 13w3d 15w6d 7.2 27w1d 25w4d 28w4d Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 3.4 15w0d 13w5d 16w2d 7.3 27w3d 26w0d 29w2d 3.5 15w2d 14w1d 16w3d 7.4 27w6d 26w1d 29w4d 3.6 15w4d 14w3d 16w6d 7.5 28w1d 26w3d 29w6d 3.7 16w0d 14w6d 17w1d 7.6 28w4d 26w5d 30w2d 3.8 16w2d 15w0d 17w4d 7.7 28w6d 27w1d 30w5d 3.9 16w4d 15w3d 17w6d 7.8 29w2d 27w2d 31w3d 4.0 17w0d 15w5d 18w1d 7.9 29w5d 27w3d 32w0d 4.1 17w2d 16w0d 18w4d 8.0 30w0d 27w6d 32w1d 4.2 17w4d 16w3d 18w6d 8.1 30w3d 28w2d 32w4d 4.3 17w6d 16w4d 19w1d 8.2 31w0d 28w6d 33w1d 4.4 18w1d 16w6d 19w3d 8.3 31w2d 29w0d 33w5d 4.5 18w4d 17w2d 19w6d 8.4 31w6d 29w3d 34w2d 4.6 18w6d 17w4d 20w1d 8.5 32w2d 29w6d 34w4d 4.7 19w1d 17w6d 20w4d 8.6 32w5d 30w1d 35w1d BPD = 51.06104 x MA – 4.6719 x MA2 – 35.053334 Output Unit : cm Input Unit : w(week) Min Range : 12w Max Range : 40w Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 12 1.970 0.219 32 8.122 0.263 16 3.483 0.213 34 8.496 0.244 20 4.783 0.231 36 8.849 0.225 24 5.978 0.287 38 9.093 0.121 28 7.164 0.256 40 9.401 0.188 Reference Manual 22 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 4.8 19w3d 18w0d 20w6d 8.7 33w2d 30w2d 36w1d 4.9 19w5d 18w1d 21w1d 8.8 33w5d 31w0d 36w3d 5.0 20w0d 18w4d 21w1d 8.9 34w2d 31w4d 37w0d 5.1 20w3d 19w0d 21w6d 9.0 34w5d 32w0d 37w3d 5.2 20w5d 19w2d 22w1d 9.1 35w1d 32w1d 38w5d 5.3 21w0d 19w3d 22w4d 9.2 35w6d 33w2d 39w2d 5.4 21w3d 20w0d 22w6d 9.3 36w5d 33w5d 39w5d 5.5 21w5d 20w2d 23w0d 9.4 37w3d 34w5d 40w1d 5.6 22w0d 20w5d 23w2d 9.5 38w3d 35w2d 41w0d 5.7 22w2d 21w0d 23w4d 9.6 38w6d 35w2d 41w3d 5.8 22w5d 21w3d 23w6d 9.7 39w0d 35w6d 42w0d 5.9 23w0d 21w4d 24w3d 9.8 39w2d 36w3d 42w0d 6.0 23w2d 21w6d 24w4d 9.9 39w3d 36w4d 42w4d 6.1 23w4d 22w1d 25w0d 10.0 39w4d 36w5d 42w2d 6.2 24w0d 22w4d 25w3d 10.1 39w5d 37w1d 42w4d 6.3 24w2d 22w6d 25w4d 10.2 39w6d 37w1d 42w2d 6.4 24w4d 23w1d 26w0d 10.3 40w0d 37w2d 42w2d 6.5 24w6d 23w4d 26w2d 10.4 40w1d 37w3d 42w2d 6.6 25w1d 23w6d 26w5d 10.5 40w2d 37w6d 42w2d 6.7 25w3d 24w1d 27w1d Fetal Growth Table Hansmann, Hackeloer, Stauch, Wittman "Ultrasound Diagnosis in Obsterics and Gynecology" Springer-Verlag, New York, 1986. p.176 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 10 1.4 0.9 1.8 26 6.7 6.2 7.1 11 1.7 1.3 2.2 27 7 6.5 7.4 12 2.1 1.6 2.5 28 7.2 6.8 7.7 13 2.4 2 2.9 29 7.5 7 7.9 14 2.8 2.3 3.2 30 7.7 7.3 8.2 15 3.1 2.7 3.6 31 7.9 7.5 8.4 16 3.5 3 3.9 32 8.2 7.7 8.6 17 3.8 3.4 4.3 33 8.4 7.9 8.8 18 4.2 3.7 4.6 34 8.6 8.1 9 19 4.5 4 4.9 35 8.7 8.3 9.2 20 4.8 4.4 5.3 36 8.9 8.4 9.3 21 5.1 4.7 5.6 37 9 8.6 9.5 22 5.5 5 5.9 38 9.1 8.7 9.6 23 5.8 5.3 6.2 39 9.3 8.8 9.7 24 6.1 5.6 6.5 40 9.3 8.9 9.8 25 6.4 5.9 6.8 Reference Manual 23 Biparietal Diameter (BPD) : HADLOCK Biparietal Diameter (BPD) : MERZ GA Table GA Table Hadlock, F., Deter, R.L., Harrist, R.B., Park, S.K. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters" Radiology, 1984, 152: 497-501. E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 GA = 9.54 + 1.482 x BPD + 0.1676 x BPD2 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Input Unit : cm 2.1 12w1d 10w5d 13w5d 6.2 24w1d 22w1d 26w1d Min Range : 1.36 cm 2.2 12w3d 10w6d 13w6d 6.3 24w4d 22w4d 26w4d Max Range : 10.18 cm 2.3 12w5d 11w1d 14w1d 6.4 24w6d 22w6d 26w6d Standard Deviation : 2.4 13w0d 11w4d 14w4d 6.5 25w1d 23w1d 27w1d 2.5 13w1d 11w5d 14w5d 6.6 25w4d 23w4d 27w4d 2.6 13w4d 12w0d 15w0d 6.7 25w6d 23w6d 27w6d 2.7 13w6d 12w1d 15w3d 6.8 26w1d 24w1d 28w2d 2.8 14w1d 12w4d 15w5d 6.9 26w4d 24w3d 28w4d 2.9 14w2d 12w5d 15w6d 7.0 26w6d 24w5d 28w6d 3.0 14w4d 13w0d 16w1d 7.1 27w1d 25w1d 29w2d Output Unit : w(weeks) Min Range(w) Max Range(w) ±2 SD(w) 12 18 1.19 18 24 1.73 24 30 2.18 30 36 3.08 36 42 3.20 3.1 14w6d 13w2d 16w4d 7.2 27w4d 25w4d 29w5d Fetal Growth Table 3.2 15w1d 13w4d 16w6d 7.3 27w6d 25w6d 30w0d Frank P. Hadlock, Russell L.Deter, Ronald B. Harrist, Seung K. Park,. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters" Radiology, 1984; 152:497501. 3.3 15w3d 13w6d 17w0d 7.4 28w2d 26w1d 30w3d 3.4 15w5d 14w0d 17w3d 7.5 28w4d 26w4d 30w5d 3.5 16w0d 14w2d 17w5d 7.6 29w0d 26w6d 31w1d 3.6 16w2d 14w4d 18w0d 7.7 29w3d 27w1d 31w4d 3.7 16w4d 14w6d 18w1d 7.8 29w6d 27w4d 32w0d 3.8 16w6d 15w1d 18w4d 7.9 30w1d 27w6d 32w2d Max Range : 40w 3.9 17w1d 15w3d 18w6d 8.0 30w4d 28w2d 32w5d Standard Deviation : 2SD=0.6cm 4.0 17w3d 15w5d 19w1d 8.1 30w6d 28w5d 33w1d Equation = 0.41 x MA – 0.000061 x MA3 – 3.08 Output Unit : cm Input Unit : w(weeks) Min Range : 12w Reference Manual 24 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 4.1 17w5d 15w6d 19w4d 8.2 31w2d 29w1d 33w4d 4.2 18w0d 16w1d 19w6d 8.3 31w5d 29w4d 33w6d 4.3 18w2d 16w4d 20w1d 8.4 32w1d 29w6d 34w2d 4.4 18w4d 16w6d 20w3d 8.5 32w4d 30w2d 34w5d Fetal Growth Table E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12 2 1.5 2.4 27 7.2 6.6 7.7 2.4 1.9 2.8 28 7.4 6.9 8 4.5 18w6d 17w1d 20w5d 8.6 32w6d 30w5d 35w1d 13 4.6 19w1d 17w3d 21w0d 8.7 33w2d 31w0d 35w4d 14 2.8 2.3 3.2 29 7.7 7.1 8.3 3.1 2.7 3.6 30 7.9 7.4 8.5 8.8 4.7 19w3d 17w4d 21w1d 8.8 33w6d 31w4d 36w1d 15 4.8 19w5d 17w6d 21w4d 8.9 34w1d 31w6d 36w4d 16 3.5 3 4 31 8.2 7.6 4.9 20w0d 18w1d 21w6d 9.0 34w4d 32w2d 36w6d 17 3.9 3.4 4.4 32 8.4 7.8 9 4.3 3.8 4.8 33 8.6 8 9.2 5.0 20w3d 18w4d 22w1d 9.1 35w1d 32w6d 37w3d 18 5.1 20w5d 18w6d 22w4d 9.2 35w4d 33w1d 37w6d 19 4.6 4.1 5.1 34 8.9 8.2 9.5 5 4.5 5.5 35 9.1 8.4 9.7 5.2 21w0d 19w1d 22w6d 9.3 35w6d 33w4d 38w1d 20 5.3 21w2d 19w3d 23w1d 9.4 36w3d 34w0d 38w6d 21 5.3 4.8 5.8 36 9.3 8.6 9.9 5.6 5.1 6.2 37 9.4 8.8 10.1 5.4 21w4d 19w5d 23w4d 9.5 36w6d 34w4d 39w2d 22 5.5 21w6d 20w0d 23w6d 9.6 37w2d 34w6d 39w5d 23 6 5.4 6.5 38 9.6 9 10.3 5.6 22w1d 20w2d 24w1d 9.7 37w6d 35w3d 40w1d 24 6.3 5.7 6.8 39 9.8 9.1 10.4 6.6 6 7.1 40 9.9 9.3 10.6 6.9 6.3 7.4 5.7 22w4d 20w4d 24w3d 9.8 38w2d 35w6d 40w5d 25 5.8 22w6d 20w6d 24w5d 9.9 38w6d 36w3d 41w1d 26 5.9 23w1d 21w1d 25w1d 10.0 39w2d 36w6d 41w6d 6.0 23w4d 21w4d 25w4d 10.1 39w6d 37w2d 42w2d 6.1 23w6d 21w6d 25w6d 10.2 40w2d 37w6d 42w6d Reference Manual 25 Biparietal Diameter (BPD) : JEANTY Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) GA Table 3.00 14w4d 11w6d 17w1d 7.30 28w2d 25w4d 30w6d Jeanty, P., Romero, R. "Obstetrical Ultrasound" McGraw-Hill Book Company, pages 57-61, 1984. 3.10 14w6d 12w1d 17w3d 7.40 28w5d 26w0d 31w2d 3.20 15w1d 12w2d 17w5d 7.50 29w1d 26w3d 31w5d Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 3.30 15w2d 12w4d 18w0d 7.60 29w4d 26w6d 32w1d 3.40 15w4d 12w6d 18w2d 7.70 29w6d 27w1d 32w4d 1.00 09w1d 06w4d 11w6d 5.30 21w1d 18w4d 23w6d 3.50 15w6d 13w1d 18w4d 7.80 30w2d 27w4d 33w0d 1.10 09w4d 06w6d 12w1d 5.40 21w4d 18w6d 24w1d 3.60 16w1d 13w4d 18w6d 7.90 30w5d 28w0d 33w3d 1.20 09w5d 07w0d 12w3d 5.50 21w6d 19w1d 24w4d 3.70 16w3d 13w5d 19w1d 8.00 31w1d 28w4d 33w6d 1.30 10w0d 07w2d 12w5d 5.60 22w1d 19w4d 24w6d 3.80 16w5d 14w0d 19w3d 8.10 31w4d 28w6d 34w2d 1.40 10w2d 07w4d 12w6d 5.70 22w4d 19w6d 25w1d 3.90 17w0d 14w2d 19w5d 8.20 32w0d 29w2d 34w5d 1.50 10w4d 07w6d 13w1d 5.80 22w6d 20w1d 25w4d 4.00 17w2d 14w4d 19w6d 8.30 32w4d 29w6d 35w1d 1.60 10w6d 08w1d 13w3d 5.90 23w1d 20w4d 25w6d 4.10 17w4d 14w6d 20w1d 8.40 32w6d 30w1d 35w4d 1.70 11w1d 08w3d 13w5d 6.00 23w4d 20w6d 26w1d 4.20 17w6d 15w1d 20w4d 8.50 33w3d 30w5d 36w0d 1.80 11w2d 08w4d 14w0d 6.10 23w6d 21w1d 26w4d 4.30 18w1d 15w3d 20w6d 8.60 33w6d 31w1d 36w4d 1.90 11w4d 08w6d 14w1d 6.20 24w1d 21w4d 26w6d 4.40 18w3d 15w5d 21w1d 8.70 34w2d 31w4d 37w0d 2.00 11w6d 09w1d 14w4d 6.30 24w4d 21w6d 27w1d 4.50 18w5d 16w0d 21w3d 8.80 34w6d 32w1d 37w3d 2.10 12w1d 09w3d 14w6d 6.40 24w6d 22w1d 27w4d 4.60 19w0d 16w2d 21w5d 8.90 35w2d 32w4d 37w6d 2.20 12w3d 09w5d 15w0d 6.50 25w2d 22w4d 27w6d 4.70 19w2d 16w4d 22w0d 9.00 35w5d 33w0d 38w3d 2.30 12w4d 09w6d 15w2d 6.60 25w4d 22w6d 28w2d 4.80 19w4d 16w6d 22w2d 9.10 36w1d 33w4d 38w6d 2.40 12w6d 10w1d 15w4d 6.70 26w0d 23w2d 28w4d 4.90 19w6d 17w1d 22w4d 9.20 36w5d 34w0d 39w3d 2.50 13w1d 10w4d 15w6d 6.80 26w3d 23w5d 29w0d 5.00 20w2d 17w4d 22w6d 9.30 37w1d 34w4d 39w6d 2.60 13w3d 10w5d 16w1d 6.90 26w5d 24w0d 29w3d 5.10 20w4d 17w6d 23w1d 9.40 37w5d 35w0d 40w3d 2.70 13w5d 11w0d 16w3d 7.00 27w1d 24w3d 29w6d 5.20 20w6d 18w1d 23w4d 9.50 38w2d 35w4d 40w6d 2.80 14w0d 11w2d 16w4d 7.10 27w4d 24w6d 30w1d 2.90 14w1d 11w4d 16w6d 7.20 27w6d 25w1d 30w4d Reference Manual 26 Biparietal Diameter (BPD) : SABBAGHA Biparietal Diameter (BPD) : SHINOZUKA GA Table GA Table Sabbagha, R.E., et. al. "Standardization of Sonar Cephalometry and Gestational Age" Obstetrics and Gynecology, Vol. 52, No.4: 403, October, 1978 Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Japanese Journal of Medical Ultrasonics, Vol.23, No.12, 1996, pp877-888 Meas (cm) Age (wd) ±days (wd) Meas (cm) Age (wd) ±days (wd) Meas (cm) Age (wd) -SD (wd) +SD (wd) Meas (cm) Age (wd) -SD (wd) +SD (wd) 3.70 16w0d 1w0d 7.50 29w0d 3w0d 1.30 10w1d 09w4d 10w5d 5.20 21w6d 20w6d 22w6d 4.00 17w0d 1w3d 7.80 30w0d 3w0d 1.40 10w3d 09w6d 11w0d 5.30 22w1d 21w0d 23w2d 4.30 18w0d 1w3d 8.00 31w0d 3w0d 1.50 10w5d 10w1d 11w2d 5.40 22w3d 21w2d 23w4d 4.50 19w0d 1w3d 8.30 32w0d 3w0d 1.60 11w0d 10w3d 11w4d 5.50 22w5d 21w4d 23w6d 4.70 20w0d 1w3d 8.50 33w0d 3w0d 1.70 11w2d 10w5d 11w6d 5.60 23w1d 22w0d 24w2d 5.00 21w0d 1w3d 8.70 34w0d 3w0d 1.80 11w4d 11w0d 12w1d 5.70 23w3d 22w2d 24w4d 5.30 22w0d 1w3d 8.80 35w0d 3w0d 1.90 11w6d 11w2d 12w3d 5.80 23w5d 22w4d 24w6d 5.60 23w0d 1w3d 9.00 36w0d 3w0d 2.00 12w1d 11w4d 12w5d 5.90 24w1d 23w0d 25w2d 5.90 24w0d 1w3d 9.20 37w0d 3w0d 2.10 12w3d 11w6d 13w0d 6.00 24w3d 23w1d 25w5d 6.20 25w0d 1w3d 9.30 38w0d 3w0d 2.20 12w6d 12w2d 13w3d 6.10 24w5d 23w3d 26w0d 6.60 26w0d 1w3d 9.40 39w0d 3w0d 2.30 13w1d 12w3d 13w6d 6.20 25w1d 23w6d 26w3d 6.90 27w0d 2w0d 9.50 40w0d 3w0d 2.40 13w3d 12w5d 14w1d 6.30 25w3d 24w1d 26w5d 7.20 28w0d 2w0d 2.50 13w5d 13w0d 14w3d 6.40 25w5d 24w3d 27w0d 2.60 14w0d 13w2d 14w5d 6.50 26w1d 24w6d 27w3d 2.70 14w2d 13w4d 15w0d 6.60 26w3d 25w0d 27w6d 2.80 14w4d 13w6d 15w2d 6.70 26w6d 25w3d 28w2d 2.90 14w6d 14w1d 15w4d 6.80 27w2d 25w6d 28w5d 3.00 15w1d 14w3d 15w6d 6.90 27w4d 26w1d 29w0d 3.10 15w3d 14w5d 16w1d 7.00 28w0d 26w4d 29w3d Reference Manual 27 Meas (cm) Age (wd) -SD (wd) +SD (wd) Meas (cm) Age (wd) -SD (wd) +SD (wd) 3.20 15w5d 15w0d 16w3d 7.10 28w3d 27w0d 29w6d 3.30 16w0d 15w2d 16w5d 7.20 28w5d 27w1d 30w2d 3.40 16w2d 15w4d 17w0d 7.30 29w1d 27w4d 30w5d 3.50 16w4d 15w6d 17w2d 7.40 29w4d 28w0d 31w1d 3.60 16w6d 16w0d 17w5d 7.50 30w0d 28w3d 31w4d 3.70 17w1d 16w2d 18w0d 7.60 30w3d 28w6d 32w0d 3.80 17w4d 16w5d 18w3d 7.70 30w6d 29w1d 32w4d 3.90 17w6d 17w0d 18w5d 7.80 31w2d 29w4d 33w0d 4.00 18w1d 17w2d 19w0d 7.90 31w5d 30w0d 4.10 18w3d 17w4d 19w2d 8.00 32w1d 4.20 18w5d 17w6d 19w4d 8.10 4.30 19w0d 18w1d 19w6d 8.20 4.40 19w2d 18w3d 20w1d 4.50 19w4d 18w5d 20w3d Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Japanese Journal of Medical Ultrasonics, Vol.23, No.12, 1996, pp877-888 Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) 10w3d 1.43 1.08 1.77 27w3d 6.87 6.38 7.36 11w3d 1.76 1.41 2.12 28w3d 7.14 6.64 7.63 12w3d 2.10 1.74 2.47 29w3d 7.39 6.88 7.89 13w3d 2.44 2.07 2.82 30w3d 7.63 7.11 8.14 14w3d 2.78 2.40 3.16 31w3d 7.85 7.33 8.38 15w3d 3.12 2.73 3.51 32w3d 8.06 7.53 8.60 33w3d 16w3d 3.46 3.06 3.86 33w3d 8.26 7.72 8.80 30w3d 33w6d 17w3d 3.80 3.39 4.20 34w3d 8.45 7.90 8.99 32w5d 31w0d 34w3d 18w3d 4.13 3.72 4.55 35w3d 8.61 8.06 9.17 33w1d 31w2d 35w0d 19w3d 4.46 4.04 4.88 36w3d 8.76 8.20 9.33 8.30 33w5d 31w6d 35w4d 20w3d 4.79 4.36 5.22 37w3d 8.90 8.32 9.47 8.40 34w2d 32w3d 36w1d 21w3d 5.11 4.67 5.55 38w3d 9.01 8.43 9.59 5.42 4.97 5.87 39w3d 9.11 8.52 9.70 4.60 20w0d 19w0d 21w0d 8.50 34w6d 33w0d 36w5d 22w3d 4.70 20w2d 19w2d 21w2d 8.60 35w3d 33w3d 37w3d 23w3d 5.73 5.27 6.18 40w3d 9.18 8.59 9.78 24w3d 6.03 5.56 6.49 41w3d 9.24 8.63 9.85 25w3d 6.32 5.85 6.79 42w3d 9.28 8.66 9.89 26w3d 6.60 6.12 7.08 4.80 20w4d 19w4d 21w4d 8.70 36w0d 34w0d 38w0d 4.90 20w6d 19w6d 21w6d 8.80 36w5d 34w5d 38w5d 5.00 21w1d 20w1d 22w1d 8.90 37w4d 35w4d 39w4d 5.10 21w3d 20w3d 22w3d 9.00 38w3d 36w2d 40w4d Reference Manual 28 Biparietal Diameter (BPD) : JSUM Biparietal Diameter (BPD) : OSAKA Fetal Growth Table GA Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 Osaka University Methods 1989, 3 by Univ. Of Osaka Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 1.30 10w0d 3.40 15w4d 5.50 22w0d 7.60 29w3d Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) Age (wd) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) 10w3d 1.43 1.08 1.77 27w3d 6.87 6.38 7.36 1.40 10w1d 3.50 16w0d 5.60 22w3d 7.70 29w6d 11w3d 1.76 1.41 2.12 28w3d 7.14 6.64 7.63 1.50 10w3d 3.60 16w2d 5.70 22w5d 7.80 30w2d 12w3d 2.10 1.74 2.47 29w3d 7.39 6.88 7.89 1.60 10w5d 3.70 16w4d 5.80 23w0d 7.90 30w4d 13w3d 2.44 2.07 2.82 30w3d 7.63 7.11 8.14 1.70 11w0d 3.80 16w6d 5.90 23w3d 8.00 31w0d 14w3d 2.78 2.40 3.16 31w3d 7.85 7.33 8.38 1.80 11w1d 3.90 17w1d 6.00 23w5d 8.10 31w3d 15w3d 3.12 2.73 3.51 32w3d 8.06 7.53 8.60 1.90 11w3d 4.00 17w3d 6.10 24w0d 8.20 32w0d 16w3d 3.46 3.06 3.86 33w3d 8.26 7.72 8.80 2.00 11w5d 4.10 17w5d 6.20 24w3d 8.30 32w3d 2.10 12w0d 4.20 18w0d 6.30 24w5d 8.40 32w6d 17w3d 3.80 3.39 4.20 34w3d 8.45 7.90 8.99 18w3d 4.13 3.72 4.55 35w3d 8.61 8.06 9.17 2.20 12w2d 4.30 18w2d 6.40 25w0d 8.50 33w3d 2.30 12w4d 4.40 18w4d 6.50 25w3d 8.60 33w6d 2.40 12w6d 4.50 18w6d 6.60 25w5d 8.70 34w0d 19w3d 4.46 4.04 4.88 36w3d 8.76 8.20 9.33 20w3d 4.79 4.36 5.22 37w3d 8.90 8.32 9.47 21w3d 5.11 4.67 5.55 38w3d 9.01 8.43 9.59 22w3d 5.42 4.97 5.87 39w3d 9.11 8.52 9.70 23w3d 5.73 5.27 6.18 40w3d 9.18 8.59 9.78 24w3d 6.03 5.56 6.49 41w3d 9.24 8.63 9.85 25w3d 6.32 5.85 6.79 42w3d 9.28 8.66 9.89 26w3d 6.60 6.12 7.08 2.50 13w1d 4.60 19w2d 6.70 26w0d 8.80 35w0d 2.60 13w3d 4.70 19w4d 6.80 26w3d 8.90 35w4d 2.70 13w5d 4.80 19w6d 6.90 26w5d 9.00 36w2d 2.80 14w0d 4.90 20w1d 7.00 27w1d 9.10 37w0d 2.90 14w1d 5.00 20w3d 7.10 27w4d 9.20 37w6d 3.00 14w3d 5.10 20w5d 7.20 27w6d 9.30 39w0d 3.10 14w5d 5.20 21w1d 7.30 28w2d 9.40 40w0d 3.20 15w0d 5.30 21w3d 7.40 28w4d 3.30 15w2d 5.40 21w5d 7.50 29w0d Reference Manual 29 Fetal Growth Table Osaka University Methods 1989, 3 by Univ. Of Osaka Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) 13w2d 2.57 0.22 28w3d 7.34 0.34 Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) 13w3d 2.62 0.22 28w4d 7.38 0.35 10w0d 1.33 0.19 25w1d 6.43 0.32 13w4d 2.67 0.23 28w5d 7.42 0.35 10w1d 1.38 0.19 25w2d 6.47 0.33 13w5d 2.72 0.23 28w6d 7.45 0.35 10w2d 1.44 0.19 25w3d 6.51 0.33 13w6d 2.77 0.23 29w0d 7.49 0.35 10w3d 1.50 0.19 25w4d 6.55 0.33 14w0d 2.82 0.23 29w1d 7.53 0.35 10w4d 1.55 0.19 25w5d 6.59 0.33 14w1d 2.87 0.23 29w2d 7.56 0.35 10w5d 1.61 0.19 25w6d 6.63 0.33 14w2d 2.93 0.23 29w3d 7.60 0.35 10w6d 1.66 0.20 26w0d 6.67 0.33 14w3d 2.98 0.23 29w4d 7.64 0.35 14w4d 3.03 0.24 29w5d 7.67 0.35 11w0d 1.72 0.20 26w1d 6.71 0.33 11w1d 1.77 0.20 26w2d 6.75 0.33 14w5d 3.08 0.24 29w6d 7.71 0.35 11w2d 1.83 0.20 26w3d 6.80 0.33 14w6d 3.13 0.24 30w0d 7.74 0.35 11w3d 1.88 0.20 26w4d 6.84 0.33 15w0d 3.18 0.24 30w1d 7.78 0.35 11w4d 1.93 0.20 26w5d 6.88 0.33 15w1d 3.23 0.24 30w2d 7.81 0.35 11w5d 1.99 0.21 26w6d 6.92 0.34 15w2d 3.28 0.24 30w3d 7.85 0.36 11w6d 2.04 0.21 27w0d 6.95 0.34 15w3d 3.33 0.24 30w4d 7.88 0.36 12w0d 2.09 0.21 27w1d 6.99 0.34 15w4d 3.38 0.25 30w5d 7.92 0.36 12w1d 2.15 0.21 27w2d 7.03 0.34 15w5d 3.42 0.25 30w6d 7.95 0.36 15w6d 3.47 0.25 31w0d 7.98 0.36 12w2d 2.20 0.21 27w3d 7.07 0.34 12w3d 2.25 0.21 27w4d 7.11 0.34 16w0d 3.52 0.25 31w1d 8.02 0.36 12w4d 2.31 0.21 27w5d 7.15 0.34 16w1d 3.57 0.25 31w2d 8.05 0.36 12w5d 2.36 0.22 27w6d 7.19 0.34 16w2d 3.62 0.25 31w3d 8.08 0.36 12w6d 2.41 0.22 28w0d 7.23 0.34 16w3d 3.67 0.25 31w4d 8.12 0.36 13w0d 2.46 0.22 28w1d 7.27 0.34 16w4d 3.72 0.25 31w5d 8.15 0.36 13w1d 2.52 0.22 28w2d 7.30 0.34 16w5d 3.77 0.26 31w6d 8.18 0.36 Reference Manual 30 Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) 16w6d 3.81 0.26 32w0d 8.21 0.36 20w3d 4.99 0.29 35w4d 8.90 0.38 17w0d 3.86 0.26 32w1d 8.24 0.36 20w4d 5.03 0.29 35w5d 8.92 0.38 17w1d 3.91 0.26 32w2d 8.27 0.36 20w5d 5.08 0.29 35w6d 8.94 0.38 17w2d 3.96 0.26 32w3d 8.31 0.36 20w6d 5.12 0.29 36w0d 8.96 0.38 17w3d 4.01 0.26 32w4d 8.34 0.37 21w0d 5.17 0.29 36w1d 8.98 0.38 17w4d 4.05 0.26 32w5d 8.37 0.37 21w1d 5.21 0.29 36w2d 9.00 0.38 17w5d 4.10 0.27 32w6d 8.40 0.37 21w2d 5.26 0.30 36w3d 9.02 0.38 17w6d 4.15 0.27 33w0d 8.43 0.37 21w3d 5.30 0.30 36w4d 9.04 0.38 18w0d 4.20 0.27 33w1d 8.46 0.37 21w4d 5.35 0.30 36w5d 9.06 0.38 18w1d 4.24 0.27 33w2d 8.48 0.37 21w5d 5.39 0.30 36w6d 9.08 0.38 18w2d 4.29 0.27 33w3d 8.51 0.37 21w6d 5.44 0.30 37w0d 9.10 0.38 18w3d 4.34 0.27 33w4d 8.54 0.37 22w0d 5.48 0.30 37w1d 9.12 0.38 18w4d 4.39 0.27 33w5d 8.57 0.37 22w1d 5.52 0.30 37w2d 9.14 0.38 18w5d 4.43 0.27 33w6d 8.60 0.37 22w2d 5.57 0.30 37w3d 9.15 0.38 18w6d 4.48 0.28 34w0d 8.62 0.37 22w3d 5.61 0.30 37w4d 9.17 0.38 19w0d 4.53 0.28 34w1d 8.65 0.37 22w4d 5.66 0.31 37w5d 9.18 0.38 19w1d 4.57 0.28 34w2d 8.68 0.37 22w5d 5.70 0.31 37w6d 9.20 0.38 19w2d 4.62 0.28 34w3d 8.70 0.37 22w6d 5.74 0.31 38w0d 9.21 0.38 19w3d 4.67 0.28 34w4d 8.73 0.37 23w0d 5.79 0.31 38w1d 9.23 0.38 19w4d 4.71 0.28 34w5d 8.75 0.37 23w1d 5.83 0.31 38w2d 9.24 0.38 19w5d 4.76 0.28 34w6d 8.78 0.37 23w2d 5.87 0.31 38w3d 9.26 0.39 19w6d 4.80 0.28 35w0d 8.80 0.37 23w3d 5.92 0.31 38w4d 9.27 0.39 20w0d 4.85 0.29 35w1d 8.83 0.38 23w4d 5.96 0.31 38w5d 9.28 0.39 20w1d 4.90 0.29 35w2d 8.85 0.38 23w5d 6.00 0.31 38w6d 9.29 0.39 20w2d 4.94 0.29 35w3d 8.87 0.38 23w6d 6.05 0.32 39w0d 9.30 0.39 Reference Manual 31 Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 24w0d 6.09 0.32 39w1d 9.31 0.39 2.90 14w6d 13w6d 16w0d 6.40 26w0d 23w5d 28w3d 24w1d 6.13 0.32 39w2d 9.32 0.39 3.00 15w1d 14w1d 16w2d 6.50 26w2d 24w0d 28w6d 24w2d 6.17 0.32 39w3d 9.33 0.39 3.10 15w3d 14w3d 16w5d 6.60 26w5d 24w2d 29w1d 24w3d 6.22 0.32 39w4d 9.34 0.39 3.20 15w5d 14w4d 17w0d 6.70 27w0d 24w4d 29w4d 24w4d 6.26 0.32 39w5d 9.35 0.39 3.30 16w0d 14w6d 17w2d 6.80 27w3d 25w0d 30w0d 24w5d 6.30 0.32 39w6d 9.36 0.39 3.40 16w2d 15w1d 17w4d 6.90 27w5d 25w2d 30w3d 24w6d 6.34 0.32 40w0d 9.36 0.39 3.50 16w4d 15w3d 17w6d 7.00 28w1d 25w4d 30w6d 25w0d 6.39 0.32 3.60 16w6d 15w5d 18w2d 7.10 28w3d 25w6d 31w2d 3.70 17w1d 15w6d 18w4d 7.20 28w6d 26w2d 31w5d 3.80 17w3d 16w1d 18w6d 7.30 29w2d 26w4d 32w1d Biparietal Diameter (BPD) : CHITTY (OUT-IN) 3.90 17w6d 16w3d 19w2d 7.40 29w4d 26w6d 32w4d GA Table 4.00 18w1d 16w5d 19w4d 7.50 30w0d 27w2d 33w0d Altman DG, Chitty LS: New Charts for ultrasound dating of pregnancy. Ultrasound in Obstetrics and Gynecology, Vol. 10: 174-191, 1997 4.10 18w3d 17w0d 19w6d 7.60 30w2d 27w4d 33w3d 4.20 18w5d 17w2d 20w2d 7.70 30w5d 27w6d 33w6d 4.30 19w0d 17w4d 20w4d 7.80 31w1d 28w2d 34w2d 4.40 19w2d 17w6d 20w6d 7.90 31w4d 28w4d 34w5d 4.50 19w4d 18w1d 21w2d 8.00 31w6d 28w6d 35w1d 4.60 19w6d 18w3d 21w4d 8.10 32w2d 29w2d 35w5d 4.70 20w2d 18w5d 22w0d 8.20 32w5d 29w4d 36w1d 4.80 20w4d 19w0d 22w2d 8.30 33w1d 30w0d 36w4d 4.90 20w6d 19w2d 22w5d 8.40 33w3d 30w2d 37w0d 5.00 21w1d 19w4d 23w0d 8.50 33w6d 30w5d 37w3d 5.10 21w4d 19w6d 23w3d 8.60 34w2d 31w0d 38w0d 5.20 21w6d 20w1d 23w5d 8.70 34w5d 31w2d 38w3d Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 2.10 12w5d 11w6d 13w5d 5.60 23w1d 21w2d 25w2d 2.20 13w0d 12w1d 14w0d 5.70 23w4d 21w4d 25w4d 2.30 13w2d 12w3d 14w2d 5.80 23w6d 21w6d 26w0d 2.40 13w4d 12w4d 14w4d 5.90 24w1d 22w1d 26w3d 2.50 13w6d 12w6d 14w6d 6.00 24w4d 22w3d 26w6d 2.60 14w1d 13w1d 15w1d 6.10 24w6d 22w5d 27w1d 2.70 14w3d 13w3d 15w3d 6.20 25w2d 23w1d 27w4d 2.80 14w5d 13w4d 15w5d 6.30 25w4d 23w3d 28w0d Reference Manual 32 Biparietal Diameter (BPD) : CHITTY (OUT-OUT) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 5.30 22w1d 20w3d 24w1d 8.80 35w1d 31w5d 38w6d GA Table 5.40 22w4d 20w5d 24w4d 8.90 35w4d 32w0d 39w3d 5.50 22w6d 21w0d 24w6d D.G. Altman, L.S. Chitty. "New Charts for Ultrasound Dating of Pregnancy" Ultrasound in Obstetrics and Gynecology, Vol.10, p174-191, 1997 Fetal Growth Table L.S. Chitty, D.G. Altman, S. Campbell. "Charts of Fetal Size: 2. Head Measurement" British Journal of Obstetrics and Gynaecology, January 1994. Vol 101. Pp35-43 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 2.20 12w4d 11w5d 13w4d 5.70 22w5d 20w5d 24w5d 2.30 12w6d 12w0d 13w6d 5.80 23w0d 21w0d 25w1d 2.40 13w1d 12w1d 14w1d 5.90 23w2d 21w2d 25w4d 2.50 13w3d 12w3d 14w3d 6.00 23w5d 21w4d 25w6d 13w4d 12w5d 14w5d 6.10 24w0d 21w6d 26w2d 12 1.83 1.57 2.09 28 7.05 6.65 7.46 2.60 13 2.2 1.93 2.47 29 7.31 6.9 7.73 2.70 13w6d 12w6d 15w0d 6.20 24w2d 22w1d 26w5d 14w1d 13w1d 15w2d 6.30 24w5d 22w4d 27w0d 14 2.56 2.28 2.84 30 7.57 7.15 7.99 2.80 15 2.93 2.64 3.22 31 7.81 7.38 8.24 2.90 14w3d 13w3d 15w4d 6.40 25w0d 22w6d 27w3d 14w5d 13w4d 15w6d 6.50 25w2d 23w1d 27w6d 16 3.28 2.99 3.58 32 8.04 7.6 8.48 3.00 17 3.63 3.33 3.94 33 8.26 7.81 8.71 3.10 15w0d 13w6d 16w1d 6.60 25w5d 23w3d 28w2d 18 3.98 3.66 4.3 34 8.47 8.02 8.93 3.20 15w2d 14w1d 16w3d 6.70 26w0d 23w5d 28w4d 15w4d 14w3d 16w5d 6.80 26w3d 24w0d 29w0d 19 4.32 4 4.64 35 8.67 8.21 9.14 3.30 20 4.65 4.32 4.99 36 8.86 8.38 9.33 3.40 15w5d 14w4d 17w0d 6.90 26w5d 24w2d 29w3d 16w0d 14w6d 17w2d 7.00 27w1d 24w4d 29w6d 21 4.98 4.64 5.32 37 9.03 8.55 9.52 3.50 22 5.3 4.95 5.65 38 9.2 8.7 9.69 3.60 16w2d 15w1d 17w5d 7.10 27w3d 25w0d 30w2d 16w4d 15w3d 18w0d 7.20 27w6d 25w2d 30w4d 23 5.61 5.25 5.97 39 9.35 8.85 9.85 3.70 24 5.92 5.55 6.29 40 9.48 8.97 9.99 3.80 16w6d 15w4d 18w2d 7.30 28w1d 25w4d 31w0d 17w1d 15w6d 18w4d 7.40 28w4d 25w6d 31w3d 17w3d 16w1d 19w0d 7.50 28w6d 26w2d 31w6d 25 6.21 5.84 6.59 41 9.61 9.09 10.12 3.90 26 6.5 6.12 6.89 42 9.72 9.19 10.24 4.00 27 6.78 6.39 7.18 Reference Manual 33 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 4.10 17w5d 16w3d 19w2d 7.60 29w2d 26w4d 32w2d 4.20 18w0d 16w4d 19w4d 7.70 29w5d 26w6d 32w5d 4.30 18w2d 16w6d 19w6d 7.80 30w0d 27w1d 33w1d 4.40 18w4d 17w1d 20w2d 7.90 30w3d 27w4d 33w4d 4.50 19w0d 17w3d 20w4d 8.00 30w5d 27w6d 34w0d 4.60 19w2d 17w5d 20w6d 8.10 31w1d 28w1d 34w3d 4.70 19w4d 18w0d 21w2d 8.20 31w4d 28w3d 34w6d 4.80 19w6d 18w2d 21w4d 8.30 31w6d 28w6d 35w2d 4.90 20w1d 18w4d 22w0d 8.40 32w2d 29w1d 35w6d 5.00 20w3d 18w5d 22w2d 8.50 32w5d 29w4d 36w2d 5.10 20w5d 19w0d 22w4d 8.60 33w1d 29w6d 36w5d 5.20 21w1d 19w2d 23w0d 8.70 33w3d 30w1d 37w1d 5.30 21w3d 19w4d 23w2d 8.80 33w6d 30w4d 37w4d 5.40 21w5d 19w6d 23w5d 8.90 34w2d 30w6d 38w1d 5.50 22w0d 20w1d 24w0d 9.00 34w5d 31w1d 38w4d 5.60 22w2d 20w3d 24w3d 9.10 35w1d 31w4d 39w0d Fetal Growth Table L.S. Chitty, D.G. Altman, S. Campbell, "Charts of Fetal Size: 2. Head Measurement" British Journal of Obstetrics and Gynaecology, January 1994. Vol 101. Pp35-43 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 12 1.97 1.68 2.25 28 7.34 6.93 7.74 13 2.35 2.06 2.65 29 7.6 7.19 8.01 14 2.73 2.43 3.03 30 7.86 7.43 8.28 15 3.1 2.8 3.41 31 8.1 7.67 8.53 16 3.47 3.16 3.79 32 8.33 7.9 8.77 17 3.83 3.51 4.16 33 8.55 8.11 9 18 4.19 3.86 4.52 34 8.76 8.31 9.21 19 4.54 4.2 4.88 35 8.96 8.5 9.42 20 4.88 4.54 5.23 36 9.15 8.68 9.61 21 5.22 4.86 5.57 37 9.32 8.84 9.79 22 5.55 5.19 5.91 38 9.48 8.99 9.96 23 5.87 5.5 6.23 39 9.62 9.13 10.11 24 6.18 5.8 6.55 40 9.75 9.26 10.25 25 6.48 6.1 6.86 41 9.87 9.36 10.37 26 6.78 6.38 7.17 42 9.97 9.46 10.48 27 7.06 6.66 7.46 Reference Manual 34 Biparietal Diameter (BPD) : CAMPBELL Biparietal Diameter (BPD) : KURTZ GA Table GA Table Professor Campbell’s Group at Harris birthright Centre, King’s College Hospital Kurtz AB,et.al., ”Analysis of biparietal diameter as an accurate indicator of gestational age” Journal of Clinical Ultrasound, 8:319-326, August 1980 Meas (cm) Age (wd) ±days (wd) Meas (cm) Age (wd) ±days (wd) 2.40 13w0d 0w0d 7.30 27w0d 01w3d 2.80 14w0d 01w0d 7.50 28w0d 01w4d 2.0 12w0d 0w0d 6.0 23w6d 1w5d 12w0d 0w0d 6.1 24w1d 1w5d 12w5d 0w4d 6.2 24w4d 1w4d Meas (cm) Age (wd) ±SD (wd) Meas (cm) Age (wd) ±SD (wd) 3.20 15w0d 01w0d 7.80 29w0d 01w4d 2.1 3.70 16w0d 01w0d 8.00 30w0d 01w5d 2.2 4.10 17w0d 01w0d 8.30 31w0d 01w6d 2.3 13w0d 0w4d 6.3 24w6d 1w4d 2.4 13w1d 0w4d 6.4 25w2d 1w4d 4.40 18w0d 01w0d 8.50 32w0d 02w0d 4.70 19w0d 01w1d 8.70 33w0d 02w1d 2.5 13w4d 0w4d 6.5 25w4d 1w4d 2.6 13w5d 0w4d 6.6 26w0d 1w4d 5.10 20w0d 01w1d 8.90 34w0d 02w3d 5.40 21w0d 01w1d 9.10 35w0d 02w5d 2.7 14w0d 0w4d 6.7 26w3d 1w3d 14w2d 0w5d 6.8 26w5d 1w3d 14w4d 0w5d 6.9 27w1d 1w2d 5.80 22w0d 01w1d 9.30 36w0d 02w6d 2.8 6.10 23w0d 01w2d 9.50 37w0d 03w0d 2.9 6.40 24w0d 01w2d 9.70 38w0d 0w0d 3.0 14w6d 0w5d 7.0 27w4d 1w1d 3.1 15w1d 0w6d 7.1 27w6d 1w1d 6.70 25w0d 01w2d 9.90 39w0d 0w0d 7.00 26w0d 01w3d 10.00 40w0d 0w0d 3.2 15w2d 0w6d 7.2 28w2d 1w1d 3.3 15w4d 0w6d 7.3 28w5d 1w1d 3.4 15w6d 0w6d 7.4 29w1d 1w0d 3.5 16w1d 1w0d 7.5 29w4d 1w0d 3.6 16w3d 1w0d 7.6 30w0d 1w0d 3.7 16w5d 1w1d 7.7 30w2d 1w2d 3.8 17w0d 1w1d 7.8 30w4d 1w2d Reference Manual 35 Biparietal Diameter (BPD) : ASUM(SCW) Meas (cm) Age (wd) ±SD (wd) Meas (cm) Age (wd) ±SD (wd) 3.9 17w2d 1w1d 7.9 31w1d 1w3d GA Table 4.0 17w4d 1w1d 8.0 31w4d 1w3d Australasian Society for Ultrasound in Medicine. 4.1 17w6d 1w3d 8.1 32w1d 1w3d 4.2 18w1d 1w4d 8.2 32w4d 1w3d Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 4.3 18w3d 1w6d 8.3 33w0d 1w4d GA = 0.397 x (BPD x 10) – 0.00306 x (BPD x 10)2 + 0.00002788 x (BPD x 10)3 + 4.933 4.4 18w6d 1w6d 8.4 33w3d 1w5d Output Unit : w(weeks) 4.5 19w1d 2w1d 8.5 34w0d 1w5d Input Unit : cm 4.6 19w3d 2w0d 8.6 34w2d 1w6d Min Range : 1.70 cm 4.7 19w5d 1w6d 8.7 35w0d 1w4d Max Range : 9.84 cm 4.8 20w0d 1w6d 8.8 35w3d 1w5d 4.9 20w2d 1w5d 8.9 36w1d 1w5d 5.0 20w4d 1w4d 9.0 36w4d 1w5d 5.1 20w6d 1w4d 9.1 37w1d 1w2d 5.2 21w1d 1w5d 9.2 37w6d 1w1d 5.3 21w4d 1w5d 9.3 38w2d 1w0d 5.4 21w6d 1w6d 9.4 39w0d 1w1d 11 1.6 0.2 27 6.8 0.5 5.5 22w1d 1w6d 9.5 39w5d 1w1d 12 2.0 0.4 28 7.2 0.4 5.6 22w4d 1w6d 9.6 40w2d 1w1d 13 2.4 0.4 29 7.5 0.4 5.7 22w6d 1w5d 9.7 41w0d 1w1d 14 2.8 0.4 30 7.6 0.4 5.8 23w1d 1w5d 9.8 41w6d 1w2d 15 3.1 0.4 31 8.0 0.6 5.9 23w4d 1w4d Fetal Growth Table Australasian Society for Ultrasound in Medicine. Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) 16 3.6 0.5 32 8.1 0.4 17 3.9 0.5 33 8.4 0.6 18 4.2 0.4 34 8.6 0.6 19 4.5 0.5 35 8.8 0.65 Reference Manual 36 BiParietal Diameter (BPD) : CFEF Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) 20 4.7 0.4 36 9.0 0.6 GA Table 21 4.9 0.4 37 9.2 0.65 J.Créquat, M. Duyme, G. Brodaty. 22 5.2 0.5 38 9.3 0.6 23 5.7 0.5 39 9.5 0.8 Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 24 6.0 0.6 40 9.6 0.8 Gynecol Obstet Fertil, 2000 Jun;28(6):435-45 41 9.8 0.8 25 6.4 0.6 26 6.7 0.4 BiParietal Diameter (BPD) : BESSIS GA Table The data are those provided by Dr. Bessis to M. Le Bel.(Same as SIGMA 20, see memo from Ch. Gahwiler dated , June 23, 1983) Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) 1.53 11 5.45 22 8.21 33 1.94 12 5.75 23 8.40 34 2.33 13 6.04 24 8.59 35 2.71 14 6.32 25 8.76 36 3.08 15 6.59 26 8.92 37 3.45 16 6.85 27 9.07 38 17 7.10 28 9.21 39 Meas (cm) Age (wd) ±days (wd) 3.81 4.15 18 7.35 29 9.34 40 1.90 11w4d 0w6d 4.50 19 7.58 30 9.40 41 2.35 13w0d 0w6d 4.82 20 7.80 31 3.65 17w0d 0w6d 5.14 21 8.01 32 4.90 21w0d 1w0d 6.05 25w0d 1w2d 7.20 29w0d 1w5d 8.15 33w0d 2w4d 8.75 37w0d 4w4d 9.70 39w6d 4w4d Reference Manual 37 Fetal Growth Table BiParietal Diameter (BPD) : JOHNSEN J.Créquat, M. Duyme, G. Brodaty Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 Gynecol Obstet Fertil 2000 Jun;28(6):435-45 GA Table Johnsen SL, Rasmussen S, Sollien R, Kiserud T. "Fetal age assessment based on ultrasound head biometry and the effect of maternal and fetal factors" Acta Obstet Gynecol Scand, 2004 Aug; 83(8): 716-23 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 11 1.50 1.30 1.80 27 6.90 6.40 7.30 Meas (cm) Age (wd) 10% (wd) 90% (wd) Meas (cm) Age (wd) 10% (wd) 90% (wd) 12 1.90 1.70 2.20 28 7.10 6.70 7.60 1.40 10w3d 09w6d 10w6d 3.80 16w5d 15w6d 17w4d 10w5d 10w1d 11w2d 3.90 17w0d 16w1d 17w6d 13 2.30 2.10 2.60 29 7.40 6.90 7.80 1.50 14 2.70 2.40 3.00 30 7.60 7.10 8.00 1.60 10w6d 10w3d 11w3d 4.00 17w2d 16w3d 18w1d 11w1d 10w4d 11w5d 4.10 17w4d 16w5d 18w3d 15 3.10 2.80 3.40 31 7.80 7.30 8.30 1.70 16 3.50 3.10 3.80 32 8.00 7.50 8.50 1.80 11w3d 10w6d 12w0d 4.20 17w6d 17w0d 18w5d 11w5d 11w1d 12w2d 4.30 18w1d 17w2d 19w1d 17 3.80 3.50 4.10 33 8.20 7.70 8.70 1.90 18 4.20 3.80 4.50 34 8.40 7.90 8.90 2.00 12w0d 11w2d 12w4d 4.40 18w3d 17w4d 19w3d 19 4.50 4.10 4.90 35 8.60 8.10 9.10 2.10 12w2d 11w4d 12w6d 4.50 18w5d 17w6d 19w5d 20 4.80 4.50 5.20 36 8.80 8.30 9.20 2.20 12w3d 11w6d 13w1d 4.60 19w0d 18w1d 20w0d 21 5.10 4.80 5.50 37 8.90 8.50 9.40 2.30 12w5d 12w1d 13w3d 4.70 19w3d 18w3d 20w3d 13w0d 12w2d 13w5d 4.80 19w5d 18w5d 20w5d 22 5.50 5.10 5.80 38 9.10 8.60 9.50 2.40 23 5.80 5.30 6.20 39 9.20 8.70 9.70 2.50 13w2d 12w4d 14w0d 4.90 20w0d 19w0d 21w0d 13w3d 12w6d 14w1d 5.00 20w2d 19w2d 21w3d 24 6.00 5.60 6.50 40 9.30 8.90 9.80 2.60 25 6.30 5.90 6.70 41 9.40 8.90 9.90 2.70 13w5d 13w0d 14w3d 5.10 20w4d 19w4d 21w5d 26 6.60 6.20 7.00 2.80 14w0d 13w2d 14w5d 5.20 21w0d 20w0d 22w0d 2.90 14w2d 13w4d 15w0d 5.30 21w2d 20w2d 22w3d 3.00 14w4d 13w6d 15w2d 5.40 21w4d 20w4d 22w5d 3.10 14w6d 14w0d 15w4d 5.50 22w0d 20w6d 23w1d 3.20 15w0d 14w2d 15w6d 5.60 22w2d 21w2d 23w3d Reference Manual 38 Meas (cm) Age (wd) 10% (wd) 90% (wd) Meas (cm) Age (wd) 10% (wd) 90% (wd) Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 3.30 15w2d 14w4d 16w1d 5.70 22w5d 21w4d 23w6d 22w 5.50 5.20 5.90 38w 9.50 8.90 10.00 3.40 15w4d 14w6d 16w3d 5.80 23w0d 21w6d 24w1d 23w 5.90 5.50 6.30 39w 9.60 9.10 10.20 3.50 15w6d 15w1d 16w5d 5.90 23w3d 22w2d 24w4d 24w 6.20 5.80 6.60 40w 9.80 9.20 10.40 3.60 16w1d 15w2d 17w0d 6.00 23w5d 22w4d 25w0d 25w 6.50 6.10 6.90 41w 9.9 9.30 10.50 3.70 16w3d 15w4d 17w2d BiParietal Diameter (BPD) : REMPEN Fetal Growth Table Johnsen SL, Wilsgaard T, Rasmussen S, Sollien R, Kiserud T. "Longitudinal reference charts for growth of the fetal head, abdomen and femur" Eur J Obstet Gynecol Reprod Biol, 2006 Aug; 127(2): 172-85 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 10w 1.40 1.20 1.60 26w 6.80 6.40 7.20 11w 1.70 1.50 1.90 27w 7.10 6.60 7.50 12w 2.00 1.80 2.30 28w 7.30 6.90 7.80 13w 2.40 2.10 2.70 29w 7.60 7.20 8.00 14w 2.70 2.50 3.00 30w 7.80 7.40 8.30 15w 3.10 2.80 3.40 31w 8.10 7.60 8.60 16w 3.50 3.10 3.80 32w 8.30 7.80 8.80 17w 3.80 3.50 4.20 33w 8.50 8.00 9.00 18w 4.20 3.80 4.50 34w 8.70 8.20 9.30 19w 4.50 4.20 4.90 35w 8.90 8.40 9.50 20w 4.90 4.50 5.20 36w 9.10 8.60 9.70 21w 5.20 4.90 5.60 37w 9.30 8.80 9.80 GA Table Rempen A. "Biometrie in der Fruhgraviditat (I. Trimenon)" Der Frauenarzt, 32:425, 1991 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 0.30 6w6d 05w5d 08w0d 1.60 10w4d 09w3d 11w5d 0.40 7w1d 06w0d 08w2d 1.70 10w6d 09w5d 12w0d 0.50 7w3d 06w2d 08w4d 1.80 11w1d 10w0d 12w2d 0.60 7w5d 06w4d 08w6d 1.90 11w3d 10w2d 12w4d 0.70 8w0d 06w6d 09w1d 2.00 11w5d 10w4d 12w6d 0.80 8w2d 07w1d 09w3d 2.10 12w0d 10w6d 13w1d 0.90 8w4d 07w3d 09w5d 2.20 12w2d 11w1d 13w3d 1.00 8w6d 07w5d 10w0d 2.30 12w4d 11w3d 13w5d 1.10 9w1d 08w0d 10w2d 2.40 12w6d 11w5d 14w0d 1.20 9w3d 08w2d 10w4d 2.50 13w1d 12w0d 14w2d 1.30 9w5d 08w4d 10w6d 2.60 13w3d 12w2d 14w4d 1.40 10w0d 08w6d 11w1d 2.70 13w5d 12w4d 14w6d 1.50 10w2d 09w1d 11w3d Reference Manual 39 Fetal Growth Table Rempen A. "Biometrie in der Fruhgraviditat (I. Trimenon)" Der Frauenarzt, 32:425, 1991 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 9w3d 1.21 0.84 1.58 13w0d 2.31 1.94 2.68 9w4d 1.25 0.88 1.62 13w1d 2.35 1.98 2.72 6w2d 0.20 0.00 0.57 9w6d 1.34 0.97 1.71 9w5d 1.30 0.93 1.67 13w2d 2.39 2.02 2.76 6w3d 0.25 0.00 0.62 10w0d 1.39 1.02 1.76 6w4d 0.30 0.00 0.67 10w1d 1.43 1.06 1.80 6w5d 0.34 0.00 0.71 10w2d 1.48 1.11 1.85 6w6d 0.39 0.02 0.76 10w3d 1.52 1.15 1.89 7w0d 0.43 0.06 0.80 10w4d 1.57 1.20 1.94 7w1d 0.48 0.11 0.85 10w5d 1.61 1.24 1.98 7w2d 0.53 0.16 0.90 10w6d 1.65 1.28 2.02 7w3d 0.57 0.20 0.94 11w0d 1.70 1.33 2.07 7w4d 0.62 0.25 0.99 11w1d 1.74 1.37 7w5d 0.67 0.30 1.04 11w2d 1.79 1.42 7w6d 0.71 0.34 1.08 11w3d 1.83 8w0d 0.76 0.39 1.13 11w4d 1.87 BiParietal Diameter (BPD) : KURMANAVICIUS Fetal Growth Table Kurmanavicius J, Wright EM, Royston P, Wisser J, Huch R, Huch A, Zimmermann R. "Fetal ultrasound biometry: 1. Head reference values" Br J Obstet Gynaecol, 1999 Feb; 106(2): 126-35 2.11 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 2.16 12w 2.10 1.70 2.50 28w 7.49 6.92 8.07 1.46 2.20 13w 2.49 2.08 2.90 29w 7.76 7.17 8.34 1.50 2.24 14w 2.87 2.45 3.29 30w 8.01 7.41 8.60 15w 3.25 2.82 3.68 31w 8.25 7.64 8.85 8w1d 0.80 0.43 1.17 11w5d 1.92 1.55 2.29 8w2d 0.85 0.48 1.22 11w6d 1.96 1.59 2.33 16w 3.62 3.18 4.06 32w 8.47 7.86 9.09 17w 3.99 3.53 4.44 33w 8.69 8.06 9.31 8w3d 0.89 0.52 1.26 12w0d 2.00 1.63 2.37 8w4d 0.94 0.57 1.31 12w1d 2.05 1.68 2.42 18w 4.35 3.88 4.81 34w 8.89 8.25 9.53 4.70 4.22 5.17 35w 9.08 8.43 9.73 5.04 4.56 5.53 36w 9.26 8.60 9.91 8w5d 0.98 0.61 1.35 12w2d 2.09 1.72 2.46 19w 8w6d 1.03 0.66 1.40 12w3d 2.13 1.76 2.50 20w 9w0d 1.07 0.70 1.44 12w4d 2.18 1.81 2.55 21w 5.38 4.88 5.88 37w 9.42 8.75 10.09 5.71 5.20 6.22 38w 9.57 8.89 10.25 6.03 5.51 6.55 39w 9.70 9.01 10.39 9w1d 1.12 0.75 1.49 12w5d 2.22 1.85 2.59 22w 9w2d 1.16 0.79 1.53 12w6d 2.26 1.89 2.63 23w Reference Manual 40 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 24w 6.34 5.81 6.87 40w 9.82 9.12 10.52 15w5d 3.40 3.10 3.70 28w5d 7.50 6.90 8.10 25w 6.65 6.11 7.19 41w 9.92 9.21 10.63 15w6d 3.40 3.10 3.70 28w6d 7.50 6.90 8.10 26w 6.94 6.39 7.49 42w 10.01 9.29 10.73 16w0d 3.70 3.40 4.00 29w0d 7.80 7.20 8.50 27w 7.22 6.66 7.78 16w1d 3.70 3.40 4.00 29w1d 7.80 7.20 8.50 16w2d 3.70 3.40 4.00 29w2d 7.80 7.20 8.50 16w3d 3.70 3.40 4.00 29w3d 7.80 7.20 8.50 16w4d 3.70 3.40 4.00 29w4d 7.80 7.20 8.50 16w5d 3.70 3.40 4.00 29w5d 7.80 7.20 8.50 16w6d 3.70 3.40 4.00 29w6d 7.80 7.20 8.50 17w0d 4.00 3.60 4.30 30w0d 8.10 7.40 8.80 BiParietal Diameter (BPD) : NICOLAIDES Fetal Growth Table Snijders RJ, Nicolaides KH. "Fetal biometry at 14-40 weeks' gestation" Ultrasound in obstetrics and Gynecology, 1994 Jan 1; 4(1): 34-48 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 17w1d 4.00 3.60 4.30 30w1d 8.10 7.40 8.80 17w2d 4.00 3.60 4.30 30w2d 8.10 7.40 8.80 14w0d 3.10 2.80 3.40 27w0d 7.20 6.60 7.80 17w3d 4.00 3.60 4.30 30w3d 8.10 7.40 8.80 14w1d 3.10 2.80 3.40 27w1d 7.20 6.60 7.80 17w4d 4.00 3.60 4.30 30w4d 8.10 7.40 8.80 14w2d 3.10 2.80 3.40 27w2d 7.20 6.60 7.80 17w5d 4.00 3.60 4.30 30w5d 8.10 7.40 8.80 14w3d 3.10 2.80 3.40 27w3d 7.20 6.60 7.80 17w6d 4.00 3.60 4.30 30w6d 8.10 7.40 8.80 14w4d 3.10 2.80 3.40 27w4d 7.20 6.60 7.80 18w0d 4.30 3.90 4.70 31w0d 8.30 7.70 9.00 14w5d 3.10 2.80 3.40 27w5d 7.20 6.60 7.80 18w1d 4.30 3.90 4.70 31w1d 8.30 7.70 9.00 14w6d 3.10 2.80 3.40 27w6d 7.20 6.60 7.80 18w2d 4.30 3.90 4.70 31w2d 8.30 7.70 9.00 15w0d 3.40 3.10 3.70 28w0d 7.50 6.90 8.10 18w3d 4.30 3.90 4.70 31w3d 8.30 7.70 9.00 15w1d 3.40 3.10 3.70 28w1d 7.50 6.90 8.10 18w4d 4.30 3.90 4.70 31w4d 8.30 7.70 9.00 15w2d 3.40 3.10 3.70 28w2d 7.50 6.90 8.10 18w5d 4.30 3.90 4.70 31w5d 8.30 7.70 9.00 15w3d 3.40 3.10 3.70 28w3d 7.50 6.90 8.10 18w6d 4.30 3.90 4.70 31w6d 8.30 7.70 9.00 15w4d 3.40 3.10 3.70 28w4d 7.50 6.90 8.10 19w0d 4.60 4.20 5.00 32w0d 8.60 7.90 9.30 Reference Manual 41 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 19w1d 4.60 4.20 5.00 32w1d 8.60 7.90 9.30 22w4d 5.60 5.10 6.10 35w4d 9.20 8.50 10.00 19w2d 4.60 4.20 5.00 32w2d 8.60 7.90 9.30 22w5d 5.60 5.10 6.10 35w5d 9.20 8.50 10.00 19w3d 4.60 4.20 5.00 32w3d 8.60 7.90 9.30 22w6d 5.60 5.10 6.10 35w6d 9.20 8.50 10.00 19w4d 4.60 4.20 5.00 32w4d 8.60 7.90 9.30 23w0d 5.90 5.40 6.40 36w0d 9.40 8.60 10.20 19w5d 4.60 4.20 5.00 32w5d 8.60 7.90 9.30 23w1d 5.90 5.40 6.40 36w1d 9.40 8.60 10.20 19w6d 4.60 4.20 5.00 32w6d 8.60 7.90 9.30 23w2d 5.90 5.40 6.40 36w2d 9.40 8.60 10.20 20w0d 4.90 4.50 5.40 33w0d 8.80 8.10 9.60 23w3d 5.90 5.40 6.40 36w3d 9.40 8.60 10.20 20w1d 4.90 4.50 5.40 33w1d 8.80 8.10 9.60 23w4d 5.90 5.40 6.40 36w4d 9.40 8.60 10.20 20w2d 4.90 4.50 5.40 33w2d 8.80 8.10 9.60 23w5d 5.90 5.40 6.40 36w5d 9.40 8.60 10.20 20w3d 4.90 4.50 5.40 33w3d 8.80 8.10 9.60 23w6d 5.90 5.40 6.40 36w6d 9.40 8.60 10.20 20w4d 4.90 4.50 5.40 33w4d 8.80 8.10 9.60 24w0d 6.20 5.70 6.80 37w0d 9.50 8.70 10.30 20w5d 4.90 4.50 5.40 33w5d 8.80 8.10 9.60 24w1d 6.20 5.70 6.80 37w1d 9.50 8.70 10.30 20w6d 4.90 4.50 5.40 33w6d 8.80 8.10 9.60 24w2d 6.20 5.70 6.80 37w2d 9.50 8.70 10.30 21w0d 5.20 4.80 5.70 34w0d 9.00 8.30 9.80 24w3d 6.20 5.70 6.80 37w3d 9.50 8.70 10.30 21w1d 5.20 4.80 5.70 34w1d 9.00 8.30 9.80 24w4d 6.20 5.70 6.80 37w4d 9.50 8.70 10.30 21w2d 5.20 4.80 5.70 34w2d 9.00 8.30 9.80 24w5d 6.20 5.70 6.80 37w5d 9.50 8.70 10.30 21w3d 5.20 4.80 5.70 34w3d 9.00 8.30 9.80 24w6d 6.20 5.70 6.80 37w6d 9.50 8.70 10.30 21w4d 5.20 4.80 5.70 34w4d 9.00 8.30 9.80 25w0d 6.60 6.00 7.10 38w0d 9.60 8.80 10.40 21w5d 5.20 4.80 5.70 34w5d 9.00 8.30 9.80 25w1d 6.60 6.00 7.10 38w1d 9.60 8.80 10.40 21w6d 5.20 4.80 5.70 34w6d 9.00 8.30 9.80 25w2d 6.60 6.00 7.10 38w2d 9.60 8.80 10.40 22w0d 5.60 5.10 6.10 35w0d 9.20 8.50 10.00 25w3d 6.60 6.00 7.10 38w3d 9.60 8.80 10.40 22w1d 5.60 5.10 6.10 35w1d 9.20 8.50 10.00 25w4d 6.60 6.00 7.10 38w4d 9.60 8.80 10.40 22w2d 5.60 5.10 6.10 35w2d 9.20 8.50 10.00 25w5d 6.60 6.00 7.10 38w5d 9.60 8.80 10.40 22w3d 5.60 5.10 6.10 35w3d 9.20 8.50 10.00 25w6d 6.60 6.00 7.10 38w6d 9.60 8.80 10.40 Reference Manual 42 Fetal Growth Table Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 26w0d 6.90 6.30 7.50 39w0d 9.70 8.90 10.50 Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 26w1d 6.90 6.30 7.50 39w1d 9.70 8.90 10.50 CRL = 90.37523 x MA – 54.736362 26w2d 6.90 6.30 7.50 39w2d 9.70 8.90 10.50 Output Unit : cm 26w3d 6.90 6.30 7.50 39w3d 9.70 8.90 10.50 Input Unit : w(week) 26w4d 6.90 6.30 7.50 39w4d 9.70 8.90 10.50 Min Range : 7w 26w5d 6.90 6.30 7.50 39w5d 9.70 8.90 10.50 Max Range : 11w 26w6d 6.90 6.30 7.50 39w6d 9.70 8.90 10.50 Crown-Rump Length (CRL) : KOREAN GA Table Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 GA = CRL x 1.08815 + 6.321988 Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 7 1.045 0.287 10 3.307 0.297 8 1.589 0.304 11 4.286 0.346 9 2.339 0.291 Crown-Rump Length (CRL) : ROBINSON Output Unit : w(weeks) GA Table Input Unit : cm Min Range : 0.9 cm Robinson HP, Fleming JEE British Journal of Obstetrics and Gynecology 82:702-710, September 1975 Max Range : 5.4 cm GA = 8.052 x Output Unit : d(days) Input Unit : cm Min Range : 0.70 cm Max Range : 7.96 cm + 23.73 Reference Manual 43 Crown-Rump Length (CRL) : HANSMANN Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) GA Table 2.60 09w5d 08w5d 10w5d 11.00 16w4d 14w5d 18w4d Hansmann, Hackeloer, Staudach, Wittman. "Ultrasound Diagnosis in Obsterics and Gynecology." Springer-Verlag, New York, 1986, p.439. 2.80 10w0d 08w6d 11w1d 11.30 17w0d 15w0d 19w0d 3.00 10w2d 09w1d 11w2d 11.60 17w2d 15w2d 19w2d Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) 3.20 10w3d 09w2d 11w4d 12.00 17w4d 15w4d 19w4d 3.40 10w5d 09w4d 11w5d 12.30 18w0d 16w0d 20w0d 0.60 06w1d 05w1d 07w0d 5.20 12w2d 11w0d 13w4d 3.60 10w6d 09w5d 12w0d 12.60 18w2d 16w2d 20w3d 0.70 06w2d 05w3d 07w2d 5.40 12w3d 11w0d 13w5d 3.80 11w1d 09w6d 12w2d 13.00 18w6d 16w5d 20w6d 0.80 06w4d 05w4d 07w3d 5.60 12w4d 11w1d 13w6d 4.00 11w2d 10w1d 12w3d 13.30 19w1d 17w0d 21w2d 0.90 06w6d 05w6d 07w6d 5.80 12w5d 11w2d 14w0d 4.20 11w3d 10w2d 12w4d 13.60 19w4d 17w3d 21w6d 1.00 07w0d 06w1d 08w0d 6.00 12w6d 11w3d 14w1d 4.40 11w4d 10w3d 12w6d 14.00 20w0d 17w6d 22w2d 1.10 07w2d 06w2d 08w1d 6.30 13w0d 11w4d 14w3d 4.60 11w6d 10w5d 13w0d 14.30 20w3d 18w1d 22w5d 1.20 07w3d 06w3d 08w3d 6.60 13w2d 11w5d 14w5d 4.80 12w0d 10w6d 13w2d 14.60 20w6d 18w4d 23w1d 1.30 07w4d 06w5d 08w4d 7.00 13w3d 12w0d 15w0d 5.00 12w1d 10w6d 13w3d 15.00 21w3d 19w0d 23w5d 1.40 07w6d 06w6d 08w6d 7.30 13w5d 12w1d 15w1d 1.50 08w0d 07w0d 09w0d 7.60 13w6d 12w2d 15w3d 1.60 08w2d 07w2d 09w1d 8.00 14w1d 12w4d 15w5d 1.70 08w3d 07w3d 09w2d 8.30 14w2d 12w5d 16w0d 1.80 08w4d 07w4d 09w4d 8.60 14w4d 12w6d 16w2d 1.90 08w5d 07w5d 09w5d 9.00 14w6d 13w1d 16w4d Age (wd) Meas (cm) -2 SD (cm) +2 SD (cm) Age (wd) Meas (cm) -2 SD (cm) +2 SD (cm) 2.00 08w6d 07w6d 09w6d 9.30 15w1d 13w3d 16w6d 06w1d 0.69 0.23 1.15 12w2d 5.56 4.00 7.13 2.10 09w0d 08w0d 10w0d 9.60 15w3d 13w4d 17w1d 06w2d 0.76 0.28 1.25 12w4d 5.94 4.32 7.55 2.20 09w1d 08w1d 10w1d 10.00 15w5d 13w6d 17w3d 06w3d 0.83 0.32 1.34 12w6d 6.31 4.64 7.98 2.30 09w2d 08w2d 10w2d 10.30 16w0d 14w1d 17w6d 06w4d 0.90 0.36 1.43 13w2d 6.88 5.13 8.63 2.40 09w3d 08w3d 10w3d 10.60 16w2d 14w3d 18w1d 06w5d 0.96 0.39 1.52 13w4d 7.26 5.56 9.06 Fetal Growth Table Hansmann, Hackeloer, Staudach, Wittmann. "Ultrasound Diagnosis in Obstetrics and Gynecology." Springer-Verlag, New York, 1986 Reference Manual 44 Crown-Rump Length (CRL) : SHINOZUKA Age (wd) Meas (cm) -2 SD (cm) +2 SD (cm) Age (wd) Meas (cm) -2 SD (cm) +2 SD (cm) 06w6d 1.02 0.43 1.61 13w6d 7.63 5.78 9.48 GA Table 07w0d 1.08 0.47 1.69 14w2d 8.18 6.25 10.11 N.Shinozuka. “Fetal biometry standard values” http://www.shinozuka.com, 1996 07w1d 1.14 0.50 1.78 14w4d 8.54 6.56 10.52 07w2d 1.21 0.54 1.87 14w6d 8.89 6.86 10.92 Meas (cm) Age (wd) ±SD (wd) Meas (cm) Age (wd) ±SD (wd) 07w3d 1.27 0.58 1.96 15w2d 9.39 7.28 11.50 0.50 06w3d 00w3d 3.00 10w2d 01w0d 07w4d 1.33 0.62 2.05 15w4d 9.71 7.55 11.87 1.00 07w3d 00w4d 3.50 10w6d 01w1d 07w5d 1.40 0.66 2.14 15w6d 10.01 7.80 12.22 1.50 08w1d 00w5d 4.00 11w3d 01w1d 07w6d 1.47 0.70 2.24 16w2d 10.44 8.15 12.73 2.00 08w6d 00w6d 4.50 11w6d 01w2d 08w0d 1.54 0.75 2.34 16w4d 10.70 8.36 13.04 2.50 09w4d 00w6d 5.00 12w2d 01w3d 08w1d 1.62 0.80 2.44 16w6d 10.95 8.56 13.34 08w3d 1.78 0.91 2.65 17w2d 11.30 8.83 13.77 08w5d 1.96 1.03 2.88 17w4d 11.51 8.99 14.04 09w0d 2.15 1.17 3.12 17w6d 11.72 9.15 14.29 09w2d 2.36 1.33 3.39 18w2d 12.00 9.35 14.65 Age (wd) Meas (cm) -1.64 SD (cm) +1.64 SD (cm) 09w4d 2.59 1.51 3.66 18w4d 12.19 9.48 14.89 7w0d 0.79 0.51 1.07 09w6d 2.83 1.70 3.96 18w6d 12.37 9.62 15.12 7w1d 0.86 0.55 1.17 10w2d 3.24 2.03 4.44 19w1d 12.55 9.75 15.36 7w2d 0.93 0.6 1.27 10w4d 3.53 2.27 4.79 19w3d 12.74 9.89 15.60 7w3d 1.01 0.65 1.37 10w6d 3.83 2.52 5.14 19w5d 12.94 10.03 15.85 7w4d 1.09 0.71 1.47 11w2d 4.32 2.93 5.71 20w0d 13.16 10.20 16.12 7w5d 1.17 0.76 1.58 11w4d 4.66 3.22 6.13 20w1d 13.28 10.29 16.26 7w6d 1.25 0.82 1.69 11w6d 5.02 3.53 6.51 20w2d 13.40 10.40 16.41 8w0d 1.34 0.88 1.80 8w1d 1.43 0.95 1.91 8w2d 1.52 1.01 2.03 Fetal Growth Table N.Shinozuka. “Fetal biometry standard values” http://www.shinozuka.com, 1996 Reference Manual 45 Age (wd) Meas (cm) -1.64 SD (cm) +1.64 SD (cm) Age (wd) Meas (cm) -1.64 SD (cm) +1.64 SD (cm) 8w3d 1.61 1.08 2.15 11w6d 4.59 3.45 5.73 8w4d 1.71 1.15 2.27 12w0d 4.74 3.58 5.91 8w5d 1.81 1.22 2.39 12w1d 4.90 3.72 6.09 8w6d 1.91 1.30 2.52 12w2d 5.06 3.85 6.27 9w0d 2.01 1.38 2.65 12w3d 5.22 3.99 6.46 9w1d 2.12 1.46 2.78 12w4d 5.39 4.13 6.65 9w2d 2.23 1.54 2.91 12w5d 5.55 4.27 6.84 9w3d 2.34 1.63 3.05 12w6d 5.72 4.41 7.03 9w4d 2.45 1.72 3.18 13w0d 5.89 4.56 7.23 9w5d 2.57 1.81 3.32 9w6d 2.68 1.90 3.47 10w0d 2.80 1.99 3.61 10w1d 2.93 2.09 3.76 10w2d 3.05 2.19 3.91 10w3d 3.18 2.29 4.06 10w4d 3.31 2.40 4.22 10w5d 3.44 2.51 4.38 Age (wd) Meas (cm) -1.64 SD (cm) +1.64 SD (cm) 10w6d 3.58 2.62 4.54 7w0d 0.79 0.51 1.07 11w0d 3.71 2.73 4.70 7w1d 0.86 0.55 1.17 11w1d 3.85 2.84 4.86 7w2d 0.93 0.6 1.27 11w2d 4.00 2.96 5.03 7w3d 1.01 0.65 1.37 11w3d 4.14 3.08 5.20 7w4d 1.09 0.71 1.47 11w4d 4.29 3.20 5.37 7w5d 1.17 0.76 1.58 11w5d 4.44 3.33 5.55 7w6d 1.25 0.82 1.69 Crown-Rump Length (CRL) : JSUM Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 Reference Manual 46 Age (wd) Meas (cm) -1.64 SD (cm) +1.64 SD (cm) Age (wd) Meas (cm) -1.64 SD (cm) +1.64 SD (cm) 8w0d 1.34 0.88 1.80 11w3d 4.14 3.08 5.20 8w1d 1.43 0.95 1.91 11w4d 4.29 3.20 5.37 8w2d 1.52 1.01 2.03 11w5d 4.44 3.33 5.55 8w3d 1.61 1.08 2.15 11w6d 4.59 3.45 5.73 8w4d 1.71 1.15 2.27 12w0d 4.74 3.58 5.91 8w5d 1.81 1.22 2.39 12w1d 4.90 3.72 6.09 8w6d 1.91 1.30 2.52 12w2d 5.06 3.85 6.27 9w0d 2.01 1.38 2.65 12w3d 5.22 3.99 6.46 9w1d 2.12 1.46 2.78 12w4d 5.39 4.13 6.65 9w2d 2.23 1.54 2.91 12w5d 5.55 4.27 6.84 9w3d 2.34 1.63 3.05 12w6d 5.72 4.41 7.03 9w4d 2.45 1.72 3.18 13w0d 5.89 4.56 7.23 9w5d 2.57 1.81 3.32 9w6d 2.68 1.90 3.47 10w0d 2.80 1.99 3.61 10w1d 2.93 2.09 3.76 10w2d 3.05 2.19 3.91 10w3d 3.18 2.29 4.06 Nelson, L. "Comparison of Methods for Determining Crown-Rump Measurement by RealTime Ultrasound." Journal of Clinical Ultrasound, 9:67-70, February, 1981. 10w4d 3.31 2.40 4.22 GA = 51.0008 + 6 x CRL 10w5d 3.44 2.51 4.38 Output Unit : d(days) 10w6d 3.58 2.62 4.54 Input Unit : cm 11w0d 3.71 2.73 4.70 Min Range : 0.15 cm 11w1d 3.85 2.84 4.86 Max Range : 11.5 cm 11w2d 4.00 2.96 5.03 Crown-Rump Length (CRL) : NELSON GA Table Reference Manual 47 Crown-Rump Length (CRL) : HADLOCK Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) GA Table 2.0 8w4d 7w6d 9w2d 8.0 14w0d 12w6d 15w1d Frank P. Hadlock, Yogesh P. Shah, Donna J. Kanon, Joshua V. Lindsey,. "Fetal Crown-Rump Length: Reevaluation of Relation to Menstrual Age(5-18 weeks) with High-Resolution RealTime US" Radiology, 1992; 182:501-505 2.1 8w5d 8w0d 9w3d 8.1 14w1d 13w0d 15w2d 2.2 8w6d 8w1d 9w4d 8.2 14w1d 13w0d 15w2d 2.3 9w0d 8w2d 9w5d 8.3 14w1d 13w0d 15w2d 2.4 9w1d 8w3d 9w6d 8.4 14w2d 13w1d 15w3d 2.5 9w1d 8w3d 10w0d 8.5 14w3d 13w2d 15w4d 2.6 9w3d 8w5d 10w1d 8.6 14w4d 13w2d 15w5d 2.7 9w4d 8w5d 10w2d 8.7 14w4d 13w3d 15w5d 2.8 9w4d 8w6d 10w3d 8.8 14w5d 13w4d 15w6d 2.9 9w5d 8w6d 10w3d 8.9 14w6d 13w4d 16w0d 3.0 9w6d 9w1d 10w5d 9.0 14w6d 13w5d 16w1d 3.1 10w0d 9w1d 10w6d 9.1 15w0d 13w6d 16w1d 3.2 10w1d 9w2d 10w6d 9.2 15w1d 13w6d 16w2d 3.3 10w1d 9w3d 11w0d 9.3 15w1d 14w0d 16w3d 3.4 10w2d 9w3d 11w1d 9.4 15w2d 14w1d 16w4d 3.5 10w3d 9w4d 11w2d 9.5 15w2d 14w1d 16w4d 3.6 10w4d 9w5d 11w2d 9.6 15w3d 14w1d 16w4d 3.7 10w4d 9w5d 11w3d 9.7 15w4d 14w2d 16w5d 3.8 10w5d 9w6d 11w4d 9.8 15w4d 14w2d 16w6d 3.9 10w6d 10w0d 11w5d 9.9 15w5d 14w3d 17w0d 4.0 10w6d 10w0d 11w5d 10.0 15w6d 14w4d 17w1d 4.1 11w0d 10w1d 11w6d 10.1 16w0d 14w5d 17w2d 4.2 11w1d 10w1d 12w0d 10.2 16w1d 14w6d 17w3d 4.3 11w1d 10w2d 12w1d 10.3 16w1d 14w6d 17w3d Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) 0.2 5w5d 5w2d 6w1d 6.2 12w4d 11w4d 13w4d 0.3 5w6d 5w3d 6w3d 6.3 12w5d 11w5d 13w5d 0.4 6w1d 5w4d 6w4d 6.4 12w6d 11w5d 13w6d 0.5 6w1d 5w5d 6w5d 6.5 12w6d 11w5d 13w6d 0.6 6w3d 5w6d 6w6d 6.6 12w6d 11w6d 14w0d 0.7 6w4d 6w1d 7w1d 6.7 13w0d 12w0d 14w0d 0.8 6w5d 6w1d 7w2d 6.8 13w1d 12w0d 14w1d 0.9 6w6d 6w2d 7w3d 6.9 13w1d 12w0d 14w1d 1.0 7w1d 6w4d 7w5d 7.0 13w1d 12w1d 14w2d 1.1 7w1d 6w4d 7w5d 7.1 13w2d 12w2d 14w3d 1.2 7w3d 6w6d 8w0d 7.2 13w3d 12w2d 14w3d 1.3 7w4d 6w6d 8w1d 7.3 13w3d 12w2d 14w3d 1.4 7w5d 7w1d 8w2d 7.4 13w4d 12w3d 14w4d 1.5 7w6d 7w2d 8w4d 7.5 13w4d 12w4d 14w5d 1.6 8w0d 7w3d 8w4d 7.6 13w5d 12w4d 14w6d 1.7 8w1d 7w3d 8w5d 7.7 13w6d 12w5d 14w6d 1.8 8w2d 7w4d 9w0d 7.8 13w6d 12w5d 14w6d 1.9 8w3d 7w5d 9w1d 7.9 13w6d 12w6d 15w0d Reference Manual 48 Crown-Rump Length (CRL) : OSAKA Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) Meas (cm) Age (wd) -2 SD (wd) +2 SD (wd) 4.4 11w1d 10w2d 12w1d 10.4 16w2d 15w0d 17w4d GA Table 4.5 11w2d 10w3d 12w1d 10.5 16w3d 15w1d 17w5d Osaka University Methods 1989, 3 by Univ. Of Osaka 4.6 11w3d 10w3d 12w2d 10.6 16w4d 15w1d 17w6d 4.7 11w4d 10w4d 12w3d 10.7 16w4d 15w2d 17w6d 4.8 11w4d 10w5d 12w4d 10.8 16w5d 15w3d 18w0d 4.9 11w5d 10w5d 12w4d 10.9 16w6d 15w3d 18w1d 5.0 11w5d 10w5d 12w4d 11.0 16w6d 15w4d 18w2d 5.1 11w6d 10w6d 12w5d 11.1 17w0d 15w4d 18w3d 5.2 11w6d 11w0d 12w6d 11.2 17w1d 15w5d 18w3d 5.3 12w0d 11w0d 13w0d 11.3 17w1d 15w6d 18w4d 5.4 12w0d 11w0d 13w0d 11.4 17w2d 15w6d 18w5d 5.5 12w1d 11w1d 13w0d 11.5 17w3d 16w0d 18w6d 5.6 12w1d 11w2d 13w1d 11.6 17w4d 16w1d 18w6d 5.7 12w2d 11w2d 13w2d 11.7 17w4d 16w1d 19w0d 5.8 12w2d 11w2d 13w2d 11.8 17w5d 16w2d 19w1d 5.9 12w3d 11w3d 13w3d 11.9 17w6d 16w3d 19w2d 6.0 12w4d 11w4d 13w4d 12.0 17w6d 16w3d 19w2d 6.1 12w4d 11w4d 13w4d 12.1 18w0d 16w4d 19w3d Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 0.90 07w1d 2.30 09w2d 3.70 10w4d 5.10 11w6d 1.00 07w3d 2.40 09w3d 3.80 10w5d 5.20 11w6d 1.10 07w4d 2.50 09w3d 3.90 10w6d 5.30 12w0d 1.20 07w6d 2.60 09w4d 4.00 10w6d 5.40 12w1d 1.30 08w0d 2.70 09w5d 4.10 11w0d 5.50 12w1d 1.40 08w1d 2.80 09w6d 4.20 11w0d 5.60 12w2d 1.50 08w2d 2.90 09w6d 4.30 11w1d 5.70 12w2d 1.60 08w3d 3.00 10w0d 4.40 11w2d 5.80 12w3d 1.70 08w4d 3.10 10w1d 4.50 11w2d 5.90 12w3d 1.80 08w5d 3.20 10w1d 4.60 11w3d 6.00 12w4d 1.90 08w6d 3.30 10w2d 4.70 11w3d 6.10 12w5d 2.00 09w0d 3.40 10w3d 4.80 11w4d 6.20 12w5d 2.10 09w0d 3.50 10w3d 4.90 11w5d 6.30 12w6d 2.20 09w1d 3.60 10w4d 5.00 11w6d Reference Manual 49 Fetal Growth Table Osaka University Methods 1989, 3 by Univ. Of Osaka Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) ±1.5 SD (cm) Age (wd) Meas (cm) ±1.5 SD (cm) 05w2d 0.1 08w3d 2.0 11w4d 5.2 05w3d 0.2 08w4d 2.1 11w5d 5.5 6 0.52 0.10 10 2.99 0.28 05w4d 0.3 08w5d 2.2 11w6d 5.6 7 0.90 0.14 11 4.06 0.31 05w5d 0.3 08w6d 2.2 12w0d 5.7 8 1.41 0.19 12 5.32 0.31 05w6d 0.4 09w0d 2.3 12w1d 5.8 9 2.11 0.24 06w0d 0.4 09w1d 2.4 12w2d 6.0 06w1d 0.5 09w2d 2.6 12w3d 6.1 06w2d 0.6 09w3d 2.7 12w4d 6.3 06w3d 0.7 09w4d 2.8 12w5d 6.4 GA Table 06w4d 0.8 09w5d 2.9 12w6d 6.5 Australasian Society for Ultrasound in Medicine. 06w5d 0.9 09w6d 3.1 13w0d 6.8 Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 06w6d 1.0 10w0d 3.4 13w1d 7.0 07w0d 1.1 10w1d 3.6 13w2d 7.2 GA = -0.0007 x (CRL x 10)2 + 0.1584 x (CRL x 10) + 5.2876 07w1d 1.1 10w2d 3.7 13w3d 7.4 Output Unit : w(weeks) 07w2d 1.2 10w3d 3.8 13w4d 7.6 Input Unit : cm 07w3d 1.2 10w4d 3.9 13w5d 7.7 Min Range : 0.1 cm 07w4d 1.3 10w5d 3.9 13w6d 8.0 Max Range : 8.7 cm 07w5d 1.4 10w6d 4.0 14w0d 8.1 07w6d 1.5 11w0d 4.4 14w1d 8.4 08w0d 1.7 11w1d 4.5 14w2d 8.5 08w1d 1.8 11w2d 4.7 14w3d 8.6 08w2d 1.9 11w3d 4.8 14w4d 8.7 Crown-Rump Length (CRL) : ASUM(SCW) Fetal Growth Table Australasian Society for Ultrasound in Medicine. Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) Reference Manual 50 Crown-Rump Length (CRL) : REMPEN Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) GA Table 2.2 8w5d 7w6d 9w4d 6.1 12w4d 11w5d 13w3d Rempen A. “Biometrie in der Fruhgraviditat (I. Trimenon)” Der Frauenarzt, 32:425, 1991 2.3 8w5d 7w6d 9w4d 6.2 12w4d 11w5d 13w3d 8w6d 8w0d 9w5d 6.3 12w5d 11w6d 13w4d Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 2.4 2.5 9w0d 8w1d 9w6d 6.4 12w5d 11w6d 13w4d 0.2 6w0d 5w1d 6w6d 4.1 10w5d 9w6d 11w4d 2.6 9w1d 8w2d 10w0d 6.5 12w6d 12w0d 13w5d 0.3 6w1d 5w2d 7w0d 4.2 10w6d 10w0d 11w5d 2.7 9w2d 8w3d 10w1d 6.6 12w6d 12w0d 13w5d 0.4 6w2d 5w3d 7w1d 4.3 11w0d 10w1d 11w6d 2.8 9w3d 8w4d 10w2d 6.7 13w0d 12w1d 13w6d 0.5 6w3d 5w4d 7w2d 4.4 11w0d 10w1d 11w6d 2.9 9w3d 8w4d 10w2d 6.8 13w0d 12w1d 13w6d 0.6 6w4d 5w5d 7w3d 4.5 11w1d 10w2d 12w0d 3.0 9w4d 8w5d 10w3d 6.9 13w1d 12w2d 14w0d 0.7 6w5d 5w6d 7w4d 4.6 11w2d 10w3d 12w1d 3.1 9w5d 8w6d 10w4d 7.0 13w1d 12w2d 14w0d 0.8 6w6d 6w0d 7w5d 4.7 11w2d 10w3d 12w1d 3.2 9w6d 9w0d 10w5d 7.1 13w2d 12w3d 14w1d 0.9 7w0d 6w1d 7w6d 4.8 11w3d 10w4d 12w2d 3.3 9w6d 9w0d 10w5d 7.2 13w2d 12w3d 14w1d 1.0 7w1d 6w2d 8w0d 4.9 11w4d 10w5d 12w3d 3.4 10w0d 9w1d 10w6d 7.3 13w3d 12w4d 14w2d 1.1 7w2d 6w3d 8w1d 5.0 11w4d 10w5d 12w3d 3.5 10w1d 9w2d 11w0d 7.4 13w3d 12w4d 14w2d 1.2 7w3d 6w4d 8w2d 5.1 11w5d 10w6d 12w4d 3.6 10w2d 9w3d 11w1d 7.5 13w4d 12w5d 14w3d 1.3 7w4d 6w5d 8w3d 5.2 11w5d 10w6d 12w4d 3.7 10w2d 9w3d 11w1d 7.6 13w4d 12w5d 14w3d 1.4 7w5d 6w6d 8w4d 5.3 11w6d 11w0d 12w5d 3.8 10w3d 9w4d 11w2d 7.7 13w4d 12w5d 14w3d 1.5 7w6d 7w0d 8w5d 5.4 12w0d 11w1d 12w6d 3.9 10w4d 9w5d 11w3d 7.8 13w5d 12w6d 14w4d 1.6 7w6d 7w0d 8w5d 5.5 12w0d 11w1d 12w6d 4.0 10w5d 9w6d 11w4d 1.7 8w0d 7w1d 8w6d 5.6 12w1d 11w2d 13w0d 1.8 8w1d 7w2d 9w0d 5.7 12w1d 11w2d 13w0d 1.9 8w2d 7w3d 9w1d 5.8 12w2d 11w3d 13w1d 2.0 8w3d 7w4d 9w2d 5.9 12w3d 11w4d 13w2d 2.1 8w4d 7w5d 9w3d 6.0 12w3d 11w4d 13w2d Reference Manual 51 Fetal Growth Table Rempen A. “Biometrie in der Fruhgraviditat (I. Trimenon)” Der Frauenarzt, 32:425, 1991 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 8w6d 2.35 1.57 3.13 12w5d 6.03 5.25 6.81 9w0d 2.46 1.68 3.24 12w6d 6.19 5.41 6.97 05w5d 0.12 0.00 0.90 9w4d 2.95 2.17 3.73 9w1d 2.58 1.80 3.36 13w0d 6.35 5.57 7.13 05w6d 0.21 0.00 0.99 9w5d 3.07 2.29 3.85 9w2d 2.70 1.92 3.48 13w1d 6.51 5.73 7.29 06w0d 0.30 0.00 1.08 9w6d 3.20 2.42 3.98 9w3d 2.83 2.05 3.61 13w2d 6.67 5.89 7.45 06w1d 0.38 0.00 1.16 10w0d 3.33 2.55 4.11 06w2d 0.47 0.00 1.25 10w1d 3.46 2.68 4.24 06w3d 0.57 0.00 1.35 10w2d 3.59 2.81 4.37 6w4d 0.66 0.00 1.44 10w3d 3.72 2.94 4.50 6w5d 0.75 0.00 1.53 10w4d 3.85 3.07 4.63 6w6d 0.85 0.07 1.63 10w5d 3.99 3.21 4.77 Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 7w0d 0.95 0.17 1.73 10w6d 4.13 3.35 4.91 GA = FL x 2.36855 + 0.2089 x FL2 + 10.513242 7w1d 1.05 0.27 1.83 11w0d 4.26 3.48 5.04 Output Unit : w(weeks) 7w2d 1.15 0.37 1.93 11w1d 4.40 3.62 5.18 Input Unit : cm 7w3d 1.25 0.47 2.03 11w2d 4.54 3.76 5.32 Min Range : 0.7 cm 7w4d 1.35 0.57 2.13 11w3d 4.69 3.91 5.47 Max Range : 7.3 cm 7w5d 1.46 0.68 2.24 11w4d 4.83 4.05 5.61 7w6d 1.56 0.78 2.34 11w5d 4.98 4.20 5.76 Fetal Growth Table 8w0d 1.67 0.89 2.45 11w6d 5.12 4.34 5.90 8w1d 1.78 1.00 2.56 12w0d 5.27 4.49 6.05 Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 8w2d 1.89 1.11 2.67 12w1d 5.42 4.64 6.20 8w3d 2.00 1.22 2.78 12w2d 5.57 4.79 6.35 8w4d 2.11 1.33 2.89 12w3d 5.73 4.95 6.51 8w5d 2.23 1.45 3.01 12w4d 5.88 5.10 6.66 Femur Length (FL) : KOREAN GA Table Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 12 0.790 0.142 32 6.100 0.205 16 1.900 0.133 34 6.461 0.226 20 3.000 0.204 36 6.710 0.222 Reference Manual 52 Fetal Growth Table Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 24 4.190 0.198 38 7.013 0.245 Hadlock, F., Deter, R.L., Harrist, R.B., Park, S.K. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters" Radiology, 1984, 152: 497-501. 28 5.196 0.209 40 7.287 0.216 Equation = 0.427 x MA – 0.0034 x MA2 – 3.91 Output Unit : cm Input Unit : w(weeks) Femur Length (FL) : HADLOCK Min Range : 12 w Max Range : 40 w GA Table Frank P. Hadlock, Russell L.Deter, Ronald B. Harrist, Seung K. Park,. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters" Radiology, 1984; 152:497501. GA = 10.35 + 2.460 x FL + 0.170 x FL2 Standard Deviation : 2SD = 0.6cm Femur Length (FL) : MERZ GA Table Output Unit : w(weeks) E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Input Unit : cm Min Range : 0.64 cm Max Range : 8.20 cm Standard Deviation : Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 1.0 12w2d 11w1d 13w4d 4.6 25w3d 23w4d 27w1d Min Range(w) Max Range(w) ±2 SD(w) 1.1 12w5d 11w4d 13w6d 4.7 25w6d 24w0d 27w4d 12 18 1.38 1.2 13w0d 11w6d 14w1d 4.8 26w1d 24w3d 28w0d 18 24 1.80 1.3 13w2d 12w1d 14w4d 4.9 26w4d 24w5d 28w2d 13w5d 12w3d 15w0d 5.0 26w6d 25w1d 28w5d 24 30 2.08 1.4 30 36 2.96 1.5 14w0d 12w5d 15w2d 5.1 27w2d 25w4d 29w1d 3.12 1.6 14w3d 13w1d 15w5d 5.2 27w5d 25w6d 29w4d 1.7 14w5d 13w3d 16w0d 5.3 28w1d 26w1d 30w0d 1.8 15w1d 13w6d 16w3d 5.4 28w4d 26w4d 30w4d 1.9 15w3d 14w1d 16w5d 5.5 29w0d 27w0d 31w0d 2.0 15w6d 14w4d 17w1d 5.6 29w3d 27w3d 31w3d 36 42 Reference Manual 53 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 2.1 16w1d 14w6d 17w3d 5.7 29w6d 27w6d 31w6d 2.2 16w4d 15w1d 17w6d 5.8 30w1d 28w1d 32w1d 2.3 16w6d 15w3d 18w1d 5.9 30w4d 28w4d 32w4d 2.4 17w1d 15w6d 18w4d 6.0 31w0d 29w0d 33w0d 2.5 17w4d 16w1d 19w1d 6.1 31w4d 29w4d 33w4d 2.6 17w6d 16w3d 19w3d 6.2 31w6d 29w6d 33w6d 2.7 18w2d 16w6d 19w6d 6.3 32w2d 30w2d 34w2d 2.8 18w4d 17w1d 20w1d 6.4 32w6d 30w6d 34w6d 2.9 19w0d 17w4d 20w4d 6.5 33w1d 31w1d 35w1d 3.0 19w3d 17w6d 20w6d 6.6 33w4d 31w4d 35w4d 3.1 19w5d 18w1d 21w1d 6.7 34w1d 32w0d 36w1d 3.2 20w1d 18w4d 21w4d 6.8 34w4d 32w3d 36w4d 3.3 20w4d 18w6d 22w1d 6.9 35w0d 32w6d 37w1d 3.4 20w6d 19w1d 22w3d 7.0 35w3d 33w2d 37w4d 3.5 21w1d 19w4d 22w6d 7.1 35w6d 33w6d 38w0d 3.6 21w4d 20w0d 23w1d 7.2 36w2d 34w1d 38w3d 3.7 21w6d 20w2d 23w4d 7.3 36w6d 34w4d 39w0d 3.8 22w2d 20w5d 23w6d 7.4 37w2d 35w1d 39w4d 3.9 22w5d 21w0d 24w3d 7.5 37w5d 35w4d 39w6d 4.0 23w1d 21w3d 24w6d 7.6 38w1d 36w0d 40w3d 4.1 23w3d 21w5d 25w1d 7.7 38w5d 36w4d 40w6d 4.2 23w6d 22w1d 25w4d 7.8 39w1d 37w0d 41w3d 4.3 24w1d 22w4d 25w6d 7.9 39w4d 37w3d 41w6d 4.4 24w4d 22w6d 26w3d 8.0 40w1d 37w6d 42w2d 4.5 25w0d 23w1d 26w6d Fetal Growth Table E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12 0.90 0.50 1.30 27 5.10 4.60 5.60 13 1.20 0.80 1.60 28 5.30 4.90 5.80 14 1.50 1.10 1.90 29 5.60 5.10 6.10 15 1.80 1.40 2.20 30 5.80 5.30 6.30 16 2.10 1.70 2.50 31 6.00 5.60 6.50 17 2.40 2.00 2.80 32 6.30 5.80 6.80 18 2.70 2.20 3.10 33 6.50 6.00 7.00 19 3.00 2.50 3.40 34 6.70 6.20 7.20 20 3.20 2.80 3.70 35 6.90 6.40 7.40 21 3.50 3.10 4.00 36 7.10 6.60 7.60 22 3.80 3.40 4.20 37 7.30 6.80 7.80 23 4.10 3.60 4.50 38 7.50 6.90 8.00 24 4.30 3.90 4.80 39 7.60 7.10 8.20 25 4.60 4.10 5.10 40 7.80 7.30 8.40 26 4.90 4.40 5.30 Reference Manual 54 Fetal Growth Table Femur Length (FL) : HANSMANN Hansmann, Hackeloer, Staudach, Wittman "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer- Verlag, New York, 1986, p.182. GA Table Hansmann, Hackeloer, Staudach, Wittman. "Ultrasound Diagnosis in Obsterics and Gynecology." Springer-Verlag, New York, 1986, p431. Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12 0.8 0.4 1.3 27 4.9 4.5 5.4 13 1.1 0.6 1.6 28 5.2 4.7 5.6 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 1.0 13w0d 3.9 23w0d 6.3 33w0d 14 1.4 0.9 1.8 29 5.4 5.0 5.9 1.2 14w0d 4.1 24w0d 6.5 34w0d 15 1.7 1.2 2.1 30 5.6 5.2 6.1 1.6 15w0d 4.4 25w0d 6.7 35w0d 16 2.0 1.5 2.4 31 5.9 5.4 6.3 2.3 1.8 2.7 32 6.1 5.6 6.5 1.8 16w0d 4.7 26w0d 6.9 36w0d 17 2.2 17w0d 4.9 27w0d 7.1 37w0d 18 2.5 2.1 3.0 33 6.3 5.8 6.7 2.8 2.4 3.3 34 6.5 6.0 6.9 2.5 18w0d 5.1 28w0d 7.3 38w0d 19 2.8 19w0d 5.4 29w0d 7.4 39w0d 20 3.1 2.6 3.6 35 6.7 6.2 7.1 3.1 20w0d 5.6 30w0d 7.5 40w0d 21 3.4 2.9 3.8 36 6.8 6.4 7.3 3.4 21w0d 5.9 31w0d 22 3.6 3.2 4.1 37 7.0 6.5 7.4 3.6 22w0d 6.1 32w0d 23 3.9 3.5 4.4 38 7.1 6.7 7.6 24 4.2 3.7 4.6 39 7.3 6.8 7.7 25 4.4 4.0 4.9 40 7.4 7.0 7.9 26 4.7 4.2 5.1 Reference Manual 55 Femur Length (FL) : HOHLER Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) GA Table 1.8 15w1d 13w0d 17w3d 5.4 28w4d 26w3d 30w6d Hohler, C.W., Quetel, T.A. "Fetal Femur Length: Equations for Computer Calculation of Gestational Age from Ultrasound Measurements." American Journal of Obsterics and Gynecology, Vol. 143, No. 4: 479-481, June 15, 1982 1.9 15w4d 13w3d 17w6d 5.5 29w1d 26w6d 31w2d 2.0 15w6d 13w5d 18w1d 5.6 29w4d 27w2d 31w5d 2.1 16w2d 14w1d 18w4d 5.7 29w6d 27w5d 32w1d 2.2 16w4d 14w3d 18w6d 5.8 30w2d 28w1d 32w4d 2.3 16w6d 14w5d 19w1d 5.9 30w5d 28w4d 32w6d 2.4 17w2d 15w1d 19w4d 6.0 31w1d 28w6d 33w2d 2.5 17w4d 15w3d 19w6d 6.1 31w4d 29w3d 33w6d 2.6 18w0d 15w6d 20w1d 6.2 32w0d 29w6d 34w1d 2.7 18w2d 16w1d 20w4d 6.3 32w3d 30w1d 34w4d 2.8 18w5d 16w4d 20w6d 6.4 32w6d 30w5d 35w1d 2.9 19w0d 16w6d 21w1d 6.5 33w2d 31w1d 35w4d 3.0 19w3d 17w1d 21w4d 6.6 33w5d 31w4d 35w6d 3.1 19w6d 17w4d 22w0d 6.7 34w1d 32w0d 36w3d GA = 9.18 + 2.67 x FL + 0.16 x FL2 Output Unit : w(weeks) Input Unit : cm Min Range : 1.0 cm Max Range : 8.0 cm Femur Length (FL) : JEANTY GA Table Jeanty et al,. "Estimation of Gestational Age from Measurements of Fetal Long Bones" Journal of Ultrasound in Medicine, February 1984. Vol 3. Pp75-79 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 3.2 20w1d 17w6d 22w2d 6.8 34w4d 32w3d 36w6d 3.3 20w4d 18w2d 22w5d 6.9 35w0d 32w6d 37w1d 1.0 12w4d 10w3d 14w6d 4.6 25w3d 23w1d 27w4d 3.4 20w6d 18w5d 23w1d 7.0 35w4d 33w2d 37w5d 1.1 12w6d 10w5d 15w1d 4.7 25w6d 23w4d 28w0d 3.5 21w1d 19w0d 23w3d 7.1 35w6d 33w5d 38w1d 1.2 13w2d 11w1d 15w4d 4.8 26w1d 24w0d 28w3d 3.6 21w4d 19w3d 23w6d 7.2 36w3d 34w1d 38w4d 1.3 13w4d 11w3d 15w6d 4.9 26w4d 24w3d 29w6d 3.7 22w0d 19w6d 24w1d 7.3 36w6d 34w4d 39w0d 1.4 13w6d 11w5d 16w1d 5.0 27w0d 24w6d 29w1d 3.8 22w3d 20w1d 24w4d 7.4 37w2d 35w1d 39w4d 1.5 14w1d 12w0d 16w3d 5.1 27w3d 25w1d 29w4d 3.9 22w5d 20w4d 24w6d 7.5 37w5d 35w4d 39w6d 1.6 14w4d 12w3d 16w6d 5.2 27w6d 25w4d 30w0d 4.0 23w1d 20w6d 25w2d 7.6 38w1d 36w0d 40w3d 1.7 14w6d 12w5d 17w1d 5.3 28w1d 26w0d 30w3d 4.1 23w4d 21w2d 25w5d 7.7 38w4d 36w3d 40w6d Reference Manual 56 Femur Length (FL) : SHINOZUKA Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 4.2 23w6d 21w5d 26w1d 7.8 39w1d 36w6d 41w2d GA Table 4.3 24w2d 22w1d 26w4d 7.9 39w4d 37w2d 41w5d 4.4 24w5d 22w4d 26w6d 8.0 40w0d 37w6d 42w1d Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Japanese Journal of Medical Ultrasonics, Vol.23, No.12, 1996, pp877-888 4.5 25w0d 22w6d 27w1d Fetal Growth Table Jeanty, P. "Fetal Limb Biometry" (Letter) Radiology, 147:602, 1983 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.6 0.6 0.6 26 4.9 3.9 5.3 12 0.9 0.9 0.9 27 5.1 4.5 5.7 13 1.2 0.6 1.9 28 5.3 4.5 5.7 14 1.5 0.5 1.9 29 5.6 4.9 6.2 15 1.9 1.1 2.6 30 5.8 4.9 6.2 16 2.2 1.3 2.4 31 6 5.3 6.7 17 2.5 2.0 2.9 32 6.2 5.3 6.7 18 2.8 1.9 3.1 33 6.4 5.6 7.1 19 3.1 2.3 3.8 34 6.5 5.7 7.0 20 3.3 2.2 3.9 35 6.7 6.1 7.3 21 3.6 2.7 4.5 36 6.9 6.1 7.4 22 3.9 2.9 4.4 37 7.1 6.4 7.7 23 4.1 3.5 4.8 38 7.2 6.2 7.9 24 4.4 3.4 4.9 39 7.4 6.4 8.3 25 4.6 3.8 5.4 40 7.5 6.6 8.1 Meas (cm) Age (wd) -SD (wd) +SD (wd) Meas (cm) Age (wd) -SD (wd) +SD (wd) 2.00 16w1d 15w2d 17w0d 4.60 26w2d 24w6d 27w5d 2.10 16w3d 15w4d 17w2d 4.70 26w5d 25w2d 28w1d 2.20 16w6d 16w0d 17w5d 4.80 27w2d 25w6d 28w5d 2.30 17w1d 16w1d 18w1d 4.90 27w5d 26w2d 29w1d 2.40 17w3d 16w3d 18w3d 5.00 28w2d 26w6d 29w5d 2.50 17w6d 16w6d 18w6d 5.10 28w5d 27w2d 30w1d 2.60 18w1d 17w1d 19w1d 5.20 29w2d 27w5d 30w6d 2.70 18w3d 17w3d 19w3d 5.30 29w5d 28w1d 31w2d 2.80 18w6d 17w6d 19w6d 5.40 30w2d 28w5d 31w6d 2.90 19w1d 18w1d 20w1d 5.50 30w5d 29w1d 32w2d 3.00 19w4d 18w3d 20w5d 5.60 31w2d 29w5d 32w6d 3.10 20w0d 18w6d 21w1d 5.70 31w6d 30w2d 33w3d 3.20 20w2d 19w1d 21w3d 5.80 32w3d 30w6d 34w0d 3.30 20w5d 19w4d 21w6d 5.90 33w0d 31w2d 34w5d 3.40 21w1d 20w0d 22w2d 6.00 33w3d 31w5d 35w1d 3.50 21w3d 20w2d 22w4d 6.10 34w0d 32w2d 35w5d 3.60 21w6d 20w5d 23w0d 6.20 34w4d 32w6d 36w2d 3.70 22w2d 21w0d 23w4d 6.30 35w1d 33w3d 36w6d 3.80 22w5d 21w3d 24w0d 6.40 35w5d 34w0d 37w3d Reference Manual 57 Meas (cm) Age (wd) -SD (wd) +SD (wd) Meas (cm) Age (wd) -SD (wd) +SD (wd) Age (w) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) Age (w) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) 3.90 23w1d 21w6d 24w3d 6.50 36w2d 34w4d 38w0d 27w3d 4.84 4.39 5.30 41w3d 7.10 6.57 7.62 4.00 23w4d 22w2d 24w6d 6.60 37w0d 35w2d 38w5d 28w3d 5.06 4.61 5.52 42w3d 7.17 6.64 7.70 4.10 24w0d 22w5d 25w2d 6.70 37w4d 35w5d 39w3d 29w3d 5.28 4.81 5.74 4.20 24w3d 23w1d 25w5d 6.80 38w1d 36w2d 40w0d 4.30 24w6d 23w4d 26w1d 6.90 38w5d 36w6d 40w4d 4.40 25w3d 24w1d 26w5d 7.00 39w3d 37w4d 41w2d 4.50 25w6d 24w3d 27w2d Femur Length (FL) : JSUM Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 Fetal Growth Table Norio Shinozuka, Takashi Okai, et al "Standard Values of Ultrasonographic Fetal Biometry" Japanese Journal of Medical Ultrasonics, Vol.23, No.12, 1996, pp877-888 Age (w) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) Age (w) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) 16w3d 2.14 1.74 2.54 30w3d 5.48 5.01 5.95 17w3d 2.40 1.99 2.80 31w3d 5.68 5.21 6.16 Age (w) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) Age (w) Meas (cm) -1.5 SD (cm) +1.5 SD (cm) 16w3d 2.14 1.74 2.54 30w3d 5.48 5.01 5.95 18w3d 2.65 2.25 3.06 32w3d 5.87 5.39 6.35 2.91 2.50 3.32 33w3d 6.05 5.57 6.54 17w3d 2.40 1.99 2.80 31w3d 5.68 5.21 6.16 19w3d 18w3d 2.65 2.25 3.06 32w3d 5.87 5.39 6.35 20w3d 3.16 2.74 3.58 34w3d 6.22 5.73 6.71 19w3d 2.91 2.50 3.32 33w3d 6.05 5.57 6.54 21w3d 3.41 2.99 3.84 35w3d 6.38 5.89 6.88 20w3d 3.16 2.74 3.58 34w3d 6.22 5.73 6.71 22w3d 3.66 3.23 4.09 36w3d 6.53 6.03 7.03 21w3d 3.41 2.99 3.84 35w3d 6.38 5.89 6.88 23w3d 3.91 3.47 4.34 37w3d 6.67 6.17 7.18 22w3d 3.66 3.23 4.09 36w3d 6.53 6.03 7.03 24w3d 4.15 3.71 4.59 38w3d 6.80 6.29 7.31 23w3d 3.91 3.47 4.34 37w3d 6.67 6.17 7.18 25w3d 4.39 3.94 4.83 39w3d 6.91 6.40 7.43 24w3d 4.15 3.71 4.59 38w3d 6.80 6.29 7.31 26w3d 4.62 4.17 5.07 40w3d 7.01 6.49 7.53 25w3d 4.39 3.94 4.83 39w3d 6.91 6.40 7.43 27w3d 4.84 4.39 5.30 41w3d 7.10 6.57 7.62 7.53 28w3d 5.06 4.61 5.52 42w3d 7.17 6.64 7.70 29w3d 5.28 4.81 5.74 26w3d 4.62 4.17 5.07 40w3d 7.01 6.49 Reference Manual 58 Fetal Growth Table Femur Length (FL) : OSAKA Osaka University Methods 1989, 3 by Univ. Of Osaka GA Table Age (wd) Osaka University Methods 1989, 3 by Univ. Of Osaka Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) 13w0d 0.94 0.21 26w4d 4.69 0.26 13w1d 0.98 0.21 26w5d 4.72 0.27 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 0.90 13w0d 2.50 18w1d 4.10 24w1d 5.70 31w3d 13w2d 1.03 0.21 26w6d 4.75 0.27 1.07 0.21 27w0d 4.78 0.27 1.12 0.21 27w1d 4.82 0.27 1.00 13w2d 2.60 18w4d 4.20 24w4d 5.80 31w6d 13w3d 1.10 13w4d 2.70 18w6d 4.30 25w0d 5.90 32w3d 13w4d 1.20 13w6d 2.80 19w2d 4.40 25w3d 6.00 32w6d 13w5d 1.17 0.21 27w2d 4.85 0.27 13w6d 1.21 0.22 27w3d 4.88 0.27 1.30 14w1d 2.90 19w4d 4.50 25w6d 6.10 33w4d 1.40 14w4d 3.00 20w0d 4.60 26w2d 6.20 34w1d 1.50 14w6d 3.10 20w2d 4.70 26w4d 6.30 34w4d 1.60 15w1d 3.20 20w5d 4.80 27w1d 6.40 35w2d 1.70 15w3d 3.30 21w0d 4.90 27w4d 6.50 35w5d 14w4d 1.44 0.22 28w1d 5.04 0.27 1.80 15w5d 3.40 21w3d 5.00 28w0d 6.60 36w3d 14w5d 1.48 0.22 28w2d 5.07 0.27 1.90 16w1d 3.50 21w5d 5.10 28w3d 6.70 36w6d 14w6d 1.53 0.22 28w3d 5.10 0.27 2.00 16w3d 3.60 22w1d 5.20 28w6d 6.80 37w1d 15w0d 1.57 0.22 28w4d 5.13 0.27 15w1d 1.61 0.22 28w5d 5.16 0.27 2.10 16w6d 3.70 22w4d 5.30 29w2d 6.90 38w3d 2.20 17w1d 3.80 23w1d 5.40 29w6d 7.00 39w1d 2.30 17w3d 3.90 23w2d 5.50 30w2d 2.40 18w0d 4.00 23w5d 5.60 30w6d 7.10 39w6d 14w0d 1.26 0.22 27w4d 4.91 0.27 14w1d 1.30 0.22 27w5d 4.91 0.27 14w2d 1.35 0.22 27w6d 4.97 0.27 14w3d 1.39 0.22 28w0d 5.01 0.27 15w2d 1.66 0.22 28w6d 5.19 0.27 15w3d 1.70 0.22 29w0d 5.22 0.27 15w4d 1.75 0.22 29w1d 5.25 0.27 15w5d 1.79 0.22 29w2d 5.28 0.28 15w6d 1.83 0.22 29w3d 5.31 0.28 16w0d 1.88 0.22 29w4d 5.34 0.28 Reference Manual 59 Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) 16w1d 1.92 0.22 29w5d 5.37 0.28 19w4d 2.91 0.24 33w1d 6.04 0.29 16w2d 1.96 0.22 29w6d 5.40 0.28 19w5d 2.95 0.24 33w2d 6.06 0.29 16w3d 2.01 0.23 30w0d 5.43 0.28 19w6d 2.99 0.24 33w3d 6.09 0.29 16w4d 2.05 0.23 30w1d 5.46 0.28 20w0d 3.03 0.24 33w4d 6.11 0.29 16w5d 2.09 0.23 30w2d 5.49 0.28 20w1d 3.07 0.24 33w5d 6.14 0.29 16w6d 2.13 0.23 30w3d 5.52 0.28 20w2d 3.11 0.24 33w6d 6.16 0.29 17w0d 2.18 0.23 30w4d 5.54 0.28 20w3d 3.15 0.24 34w0d 6.19 0.29 17w1d 2.22 0.23 30w5d 5.57 0.28 20w4d 3.19 0.24 34w1d 6.21 0.29 17w2d 2.26 0.23 30w6d 5.60 0.28 20w5d 3.23 0.24 34w2d 6.24 0.29 17w3d 2.30 0.23 31w0d 5.63 0.28 20w6d 3.27 0.24 34w3d 6.26 0.30 17w4d 2.34 0.23 31w1d 5.66 0.28 21w0d 3.30 0.24 34w4d 6.29 0.30 17w5d 2.39 0.23 31w2d 5.69 0.28 21w1d 3.34 0.24 34w5d 6.31 0.30 17w6d 2.43 0.23 31w3d 5.71 0.28 21w2d 3.38 0.24 34w6d 6.34 0.30 18w0d 2.47 0.23 31w4d 5.74 0.28 21w3d 3.42 0.24 35w0d 6.36 0.30 18w1d 2.51 0.23 31w5d 5.77 0.28 21w4d 3.46 0.25 35w1d 6.39 0.30 18w2d 2.55 0.23 31w6d 5.80 0.29 21w5d 3.49 0.25 35w2d 6.41 0.30 18w3d 2.59 0.23 32w0d 5.82 0.29 21w6d 3.53 0.25 35w3d 6.43 0.30 18w4d 2.63 0.23 32w1d 5.85 0.29 22w0d 3.57 0.25 35w4d 6.46 0.30 18w5d 2.67 0.23 32w2d 5.88 0.29 22w1d 3.61 0.25 35w5d 6.48 0.30 18w6d 2.71 0.23 32w3d 5.90 0.29 22w2d 3.64 0.25 35w6d 6.50 0.30 19w0d 2.75 0.24 32w4d 5.93 0.29 22w3d 3.68 0.25 36w0d 6.53 0.30 19w1d 2.79 0.24 32w5d 5.96 0.29 22w4d 3.72 0.25 36w1d 6.55 0.30 19w2d 2.83 0.24 32w6d 5.98 0.29 22w5d 3.75 0.25 36w2d 6.57 0.30 19w3d 2.87 0.24 33w0d 6.01 0.29 22w6d 3.79 0.25 36w3d 6.60 0.30 23w0d 3.83 0.25 36w4d 6.62 0.30 Reference Manual 60 Femur Length (FL) : CHITTY Age (wd) Meas (cm) ±SD (cm) Age (wd) Meas (cm) ±SD (cm) 23w1d 3.86 0.25 36w5d 6.64 0.30 GA Table 23w2d 3.90 0.25 36w6d 6.66 0.30 23w3d 3.93 0.25 37w0d 6.69 0.31 D.G. Altman, L.S. Chitty, "New Charts for Ultrasound Dating of Pregnancy" Ultrasound in Obstetrics and Gynecology, Vol.10, p174-191, 1997 23w4d 3.97 0.25 37w1d 6.71 0.31 23w5d 4.01 0.25 37w2d 6.73 0.31 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 23w6d 4.04 0.25 37w3d 6.75 0.31 1.00 13w0d 12w1d 13w6d 3.90 22w4d 20w5d 24w3d 13w2d 12w3d 14w1d 4.00 22w6d 21w1d 24w6d 24w0d 4.08 0.25 37w4d 6.77 0.31 1.10 24w1d 4.11 0.26 37w5d 6.79 0.31 1.20 13w4d 12w5d 14w4d 4.10 23w2d 21w3d 25w2d 24w2d 4.15 0.26 37w6d 6.82 0.31 1.30 13w6d 13w0d 14w6d 4.20 23w5d 21w6d 25w5d 14w1d 13w1d 15w1d 4.30 24w1d 22w1d 26w1d 24w3d 4.18 0.26 38w0d 6.84 0.31 1.40 24w4d 4.22 0.26 38w1d 6.86 0.31 1.50 14w3d 13w3d 15w3d 4.40 24w3d 22w4d 26w4d 14w5d 13w5d 15w6d 4.50 24w6d 22w6d 27w1d 24w5d 4.25 0.26 38w2d 6.88 0.31 1.60 24w6d 4.28 0.26 38w3d 6.90 0.31 1.70 15w0d 14w0d 16w1d 4.60 25w2d 23w2d 27w4d 15w2d 14w2d 16w3d 4.70 25w5d 23w4d 28w0d 25w0d 4.32 0.26 38w4d 6.92 0.31 1.80 25w1d 4.35 0.26 38w5d 6.94 0.31 1.90 15w5d 14w4d 16w6d 4.80 26w1d 24w0d 28w3d 25w2d 4.39 0.26 38w6d 6.96 0.31 2.00 16w0d 14w6d 17w1d 4.90 26w4d 24w3d 29w0d 16w2d 15w1d 17w3d 5.00 27w0d 24w5d 29w3d 25w3d 4.42 0.26 39w0d 6.98 0.31 2.10 25w4d 4.45 0.26 39w1d 7.00 0.31 2.20 16w4d 15w3d 17w6d 5.10 27w3d 25w1d 30w0d 16w6d 15w5d 18w1d 5.20 27w6d 25w4d 30w3d 25w5d 4.49 0.26 39w2d 7.02 0.31 2.30 25w6d 4.52 0.26 39w3d 7.04 0.31 2.40 17w2d 16w0d 18w4d 5.30 28w2d 26w0d 31w0d 17w4d 16w2d 18w6d 5.40 28w5d 26w2d 31w3d 26w0d 4.56 0.26 39w4d 7.06 0.32 2.50 26w1d 4.59 0.26 39w5d 7.08 0.32 2.60 17w6d 16w4d 19w2d 5.50 29w2d 26w5d 32w0d 18w2d 16w6d 19w5d 5.60 29w5d 27w1d 32w3d 18w4d 17w1d 20w0d 5.70 30w1d 27w4d 33w0d 26w2d 4.62 0.26 39w6d 7.10 0.32 2.70 26w3d 4.65 0.26 40w0d 7.12 0.32 2.80 Reference Manual 61 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 2.90 18w6d 17w4d 20w3d 5.80 30w4d 28w0d 33w4d 3.00 19w2d 17w6d 20w5d 5.90 31w1d 28w3d 34w1d 3.10 19w4d 18w1d 21w1d 6.00 31w4d 28w6d 34w4d 3.20 20w0d 18w3d 21w4d 6.10 32w1d 29w2d 35w1d 3.30 20w2d 18w5d 22w0d 6.20 32w4d 29w5d 35w5d 3.40 20w5d 19w1d 22w2d 6.30 33w1d 30w1d 36w2d 3.50 21w0d 19w3d 22w5d 6.40 33w4d 30w4d 36w6d 3.60 21w3d 19w5d 23w1d 6.50 34w1d 31w0d 37w3d 3.70 21w5d 20w1d 23w4d 6.60 34w4d 31w3d 38w0d 3.80 22w1d 20w3d 24w0d 6.70 35w1d 32w0d 38w5d Fetal Growth Table L.S. Chitty, D.G. Altman, S. Campbell, "Charts of Fetal Size: 4. Femur Length" British Journal of Obstetrics and Gynaecology, February 1994. Vol 101. Pp132-135 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 12 0.77 0.55 1.00 28 5.27 4.93 5.62 13 1.09 0.86 1.33 29 5.50 5.14 5.85 14 1.41 1.17 1.65 30 5.71 5.35 6.07 15 1.72 1.47 1.97 31 5.92 5.55 6.29 16 2.03 1.77 2.28 32 6.12 5.74 6.49 17 2.33 2.07 2.59 33 6.31 5.93 6.69 18 2.63 2.36 2.90 34 6.49 6.10 6.88 19 2.92 2.64 3.20 35 6.66 6.26 7.06 20 3.21 2.92 3.49 36 6.82 6.42 7.23 21 3.49 3.20 3.78 37 6.97 6.56 7.38 22 3.76 3.46 4.06 38 7.11 6.69 7.53 23 4.03 3.72 4.34 39 7.24 6.81 7.67 24 4.29 3.98 4.61 40 7.36 6.92 7.79 25 4.55 4.23 4.87 41 7.46 7.02 7.90 26 4.80 4.47 5.13 42 7.56 7.11 8.01 27 5.04 4.70 5.38 Reference Manual 62 Femur Length (FL) : CAMPBELL Femur Length (FL) : ASUM(SCW) GA Table GA Table Professor Campbell’s Group at Harris birthright Centre, King’s College Hospital Australasian Society for Ultrasound in Medicine. Meas (cm) Age (wd) ±days (wd) Meas (cm) Age (wd) ±days (wd) Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 1.80 15w0d 00w6d 5.40 28w0d 01w4d GA = 0.41 x (FL x 10) – 0.002884 x (FL x 10)2 + 0.00003924 x (FL x 10)3 + 8.284 2.20 16w0d 00w6d 5.60 29w0d 01w5d Output Unit : w(weeks) 2.50 17w0d 00w6d 5.80 30w0d 01w6d Input Unit : cm 2.80 18w0d 01w0d 6.10 31w0d 02w0d 3.00 19w0d 01w0d 6.30 32w0d 02w1d 3.30 20w0d 01w0d 6.50 33w0d 02w3d Fetal Growth Table 3.60 21w0d 01w0d 6.60 34w0d 02w4d Australasian Society for Ultrasound in Medicine. 3.90 22w0d 01w1d 6.80 35w0d 02w6d 4.20 23w0d 01w1d 6.90 36w0d 03w1d Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 4.40 24w0d 01w1d 7.10 37w0d 00w0d 4.70 25w0d 01w2d 7.20 38w0d 00w0d 4.90 26w0d 01w3d 7.40 39w0d 00w0d 5.20 27w0d 01w3d 7.50 40w0d 00w0d Min Range : 0.68 cm Max Range : 7.76 cm Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) 11 0.8 0.20 22 3.7 0.50 33 6.5 0.40 12 1.0 0.25 23 4.3 0.50 34 6.6 0.40 13 1.1 0.25 24 4.5 0.40 35 6.7 0.60 14 1.5 0.30 25 4.8 0.50 36 6.9 0.60 15 1.7 0.35 26 4.9 0.50 37 7.2 0.50 16 2.2 0.40 27 5.0 0.50 38 7.3 0.55 17 2.5 0.40 28 5.4 0.40 39 7.5 0.60 18 2.8 0.50 29 5.5 0.55 40 7.6 0.40 41 7.7 0.50 19 3.0 0.50 30 5.8 0.60 20 3.2 0.60 31 5.9 0.55 21 3.4 0.60 32 6.2 0.60 Reference Manual 63 Femur Length (FL) : DOUBILET Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) GA Table 2.90 18w6d 5.20 27w4d 7.50 40w2d Doubilet PM, Benson CB. “Improved Prediction of Gestational Age in the Late Third Trimester” Journal of Ultrasound in Medicine, 12;647-653, 1993 3.00 19w1d 5.30 28w0d 7.60 40w6d 3.10 19w3d 5.40 28w3d 7.70 41w4d 3.20 19w5d 5.50 28w6d 7.80 42w0d Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 1.00 13w5d 3.30 20w1d 5.60 29w3d 1.10 13w6d 3.40 20w3d 5.70 29w6d 1.20 14w1d 3.50 20w5d 5.80 30w3d 1.30 14w3d 3.60 21w1d 5.90 30w6d 1.40 14w4d 3.70 21w3d 6.00 31w3d Femur Length (FL) : BESSIS GA Table The data are those provided by Dr. Bessis to M. Le Bel.(Same as SIGMA 20, see memo from Ch. Gahwiler dated , June 23, 1983) 1.50 14w6d 3.80 21w6d 6.10 31w6d 1.60 15w1d 3.90 22w1d 6.20 32w4d Meas (cm) Age (wd) ±days (wd) 1.70 15w3d 4.00 22w4d 6.30 33w0d 1.04 13w0d 1w0d 1.80 15w4d 4.10 22w6d 6.40 33w4d 2.22 17w0d 1w1d 1.90 15w6d 4.20 23w2d 6.50 34w1d 3.37 21w0d 1w1d 2.00 16w1d 4.30 23w5d 6.60 34w5d 4.45 25w0d 1w3d 2.10 16w3d 4.40 24w1d 6.70 35w2d 5.42 29w0d 1w4d 2.20 16w5d 4.50 24w4d 6.80 35w6d 6.42 33w0d 2w1d 2.30 17w0d 4.60 24w6d 6.90 36w4d 6.90 37w0d 2w6d 2.40 17w2d 4.70 25w2d 7.00 37w1d 7.34 41w0d 4w0d 2.50 17w4d 4.80 25w5d 7.10 37w5d 2.60 17w6d 4.90 26w1d 7.20 38w2d 2.70 18w1d 5.00 26w4d 7.30 39w0d 2.80 18w4d 5.10 27w0d 7.40 39w4d Reference Manual 64 Fetal Growth Table Femur Length (FL) : CFEF J.Créquat, M. Duyme, G. Brodaty Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 GA Table J.Créquat, M. Duyme, G. Brodaty Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 Gynecol Obstet Fertil 2000 Jun;28(6):435-45 Gynecol Obstet Fertil 2000 Jun;28(6):435-45 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 12 0.60 0.40 0.90 27 5.10 4.70 5.40 13 1.00 0.70 1.20 28 5.30 4.90 5.70 Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) 0.63 12 3.78 22 6.11 32 14 1.30 1.10 1.60 29 5.50 5.10 5.90 0.98 13 4.05 23 6.30 33 15 1.70 1.40 1.90 30 5.70 5.30 6.10 1.33 14 4.31 24 6.47 34 16 2.00 1.70 2.30 31 5.90 5.50 6.30 2.30 2.00 2.60 32 6.10 5.70 6.50 1.66 15 4.56 25 6.64 35 17 1.99 16 4.81 26 6.81 36 18 2.60 2.30 2.90 33 6.30 5.90 6.70 2.90 2.60 3.20 34 6.50 6.10 6.90 2.31 17 5.05 27 6.96 37 19 2.62 18 5.28 28 7.11 38 20 3.20 2.90 3.50 35 6.60 6.20 7.10 3.50 3.20 3.80 36 6.80 6.40 7.20 2.92 19 5.49 29 7.24 39 21 3.22 20 5.71 30 7.37 40 22 3.80 3.40 4.10 37 7.00 6.50 7.40 3.50 21 5.91 31 7.40 41 23 4.10 3.70 4.40 38 7.10 6.70 7.50 24 4.30 4.00 4.70 39 7.20 6.80 7.70 25 4.60 4.20 4.90 40 7.40 6.90 7.80 26 4.80 4.40 5.20 41 7.40 7.00 7.90 Reference Manual 65 Femur Length (FL) : JOHNSEN Meas (cm) Age (wd) 10% (wd) 90% (wd) Meas (cm) Age (wd) 10% (wd) 90% (wd) GA Table 2.10 16w4d 15w6d 17w2d 4.30 24w4d 23w4d 25w3d Johnsen SL, Rasmussen S, Sollien R, Kiserud T. "Fetal age assessment based on femur length at 10-25 weeks of gestation, and reference ranges for femur length to head circumference ratios" Acta Obstet Gynecol Scand, 2005 Aug; 84(8): 725-33 2.20 16w6d 16w1d 17w5d 4.40 25w0d 24w0d 25w6d 2.30 17w1d 16w3d 18w0d Meas (cm) Age (wd) 10% (wd) 90% (wd) Meas (cm) Age (wd) 10% (wd) 90% (wd) 0.20 10w4d 10w0d 11w1d 2.40 17w4d 16w5d 18w2d 0.30 11w0d 10w3d 11w4d 2.50 17w6d 17w0d 18w4d 0.40 11w3d 10w6d 12w0d 2.60 18w1d 17w2d 19w0d 0.50 11w5d 11w1d 12w3d 2.70 18w3d 17w5d 19w2d Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 0.60 12w1d 11w3d 12w5d 2.80 18w6d 18w0d 19w5d 10w 0.20 0.10 0.30 26w 4.70 4.40 5.10 0.70 12w3d 11w6d 13w0d 2.90 19w1d 18w2d 20w0d 11w 0.40 0.20 0.50 27w 4.90 4.60 5.30 0.80 12w5d 12w1d 13w3d 3.00 19w4d 18w5d 20w2d 12w 0.60 0.40 0.80 28w 5.20 4.80 5.50 0.90 13w0d 12w3d 13w5d 3.10 19w6d 19w0d 20w5d 13w 0.80 0.70 1.10 29w 5.40 5.00 5.70 1.00 13w2d 12w5d 14w0d 3.20 20w2d 19w2d 21w1d 14w 1.20 0.90 1.40 30w 5.60 5.20 6.00 1.10 13w4d 13w0d 14w2d 3.30 20w4d 19w5d 21w3d 15w 1.50 1.20 1.80 31w 5.80 5.40 6.20 1.20 13w6d 13w2d 14w4d 3.40 21w0d 20w0d 21w6d 16w 1.80 1.50 2.20 32w 6.00 5.60 6.40 1.30 14w1d 13w4d 14w6d 3.50 21w2d 20w3d 22w1d 17w 2.10 1.80 2.50 33w 6.20 5.80 6.50 1.40 14w3d 13w6d 15w1d 3.60 21w5d 20w6d 22w4d 18w 2.50 2.20 2.80 34w 6.30 6.00 6.70 1.50 14w5d 14w1d 15w3d 3.70 22w1d 21w1d 23w0d 19w 2.80 2.50 3.20 35w 6.50 6.10 6.90 1.60 15w1d 14w3d 15w6d 3.80 22w3d 21w4d 23w3d 20w 3.10 2.80 3.50 36w 6.70 6.30 7.10 1.70 15w3d 14w5d 16w1d 3.90 22w6d 22w0d 23w6d 21w 3.40 3.10 3.80 37w 6.90 6.40 7.30 1.80 15w5d 15w0d 16w3d 4.00 23w2d 22w2d 24w1d 22w 3.70 3.40 4.10 38w 7.00 6.60 7.50 1.90 16w0d 15w2d 16w5d 4.10 23w5d 22w5d 24w4d 23w 4.00 3.60 4.30 39w 7.20 6.70 7.70 2.00 16w2d 15w4d 17w0d 4.20 24w1d 23w1d 25w0d 24w 4.20 3.90 4.60 40w 7.40 6.90 7.90 25w 4.50 4.20 4.80 41w 7.50 7.10 8.00 Fetal Growth Table Johnsen SL, Rasmussen S, Sollien R, Kiserud T. "Fetal age assessment based on femur length at 10-25 weeks of gestation, and reference ranges for femur length to head circumference ratios" Acta Obstet Gynecol Scand, 2005 Aug; 84(8): 725-33 Reference Manual 66 Femur Length (FL) : KURMANAVICIUS Femur Length (FL) : NICOLAIDES Fetal Growth Table Fetal Growth Table Kurmanavicius J, Wright EM, Royston P, Zimmermann R, Huch R, Huch A, Wisser J. "Fetal ultrasound biometry: 2. Abdomen and femur length reference values” Br J Obstet Gynaecol, 1999 Feb;106(2):136-43 Snijders RJ, Nicolaides KH. "Fetal biometry at 14-40 weeks' gestation" Ultrasound in obstetrics and Gynecology, 1994 Jan 1; 4(1): 34-48 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 14w0d 1.70 1.40 1.90 27w0d 5.10 4.70 5.50 12w 0.70 0.41 0.98 28w 5.23 4.75 5.71 14w1d 1.70 1.40 1.90 27w1d 5.10 4.70 5.50 13w 1.03 0.72 1.34 29w 5.45 4.97 5.94 14w2d 1.70 1.40 1.90 27w2d 5.10 4.70 5.50 14w 1.36 1.03 1.69 30w 5.67 5.18 6.16 14w3d 1.70 1.40 1.90 27w3d 5.10 4.70 5.50 15w 1.68 1.33 2.04 31w 5.88 5.39 6.38 14w4d 1.70 1.40 1.90 27w4d 5.10 4.70 5.50 16w 2.00 1.63 2.37 32w 6.09 5.59 6.58 14w5d 1.70 1.40 1.90 27w5d 5.10 4.70 5.50 17w 2.30 1.92 2.69 33w 6.28 5.78 6.79 14w6d 1.70 1.40 1.90 27w6d 5.10 4.70 5.50 18w 2.61 2.21 3.00 34w 6.47 5.96 6.98 15w0d 1.90 1.70 2.20 28w0d 5.30 4.90 5.80 19w 2.90 2.49 3.31 35w 6.65 6.14 7.16 15w1d 1.90 1.70 2.20 28w1d 5.30 4.90 5.80 20w 3.19 2.76 3.61 36w 6.83 6.31 7.34 15w2d 1.90 1.70 2.20 28w2d 5.30 4.90 5.80 21w 3.47 3.03 3.90 37w 7.00 6.48 7.51 15w3d 1.90 1.70 2.20 28w3d 5.30 4.90 5.80 22w 3.74 3.30 4.18 38w 7.16 6.64 7.68 15w4d 1.90 1.70 2.20 28w4d 5.30 4.90 5.80 23w 4.01 3.56 4.45 39w 7.31 6.79 7.84 15w5d 1.90 1.70 2.20 28w5d 5.30 4.90 5.80 24w 4.26 3.81 4.72 40w 7.46 6.93 7.99 15w6d 1.90 1.70 2.20 28w6d 5.30 4.90 5.80 25w 4.52 4.05 4.98 41w 7.60 7.07 8.13 16w0d 2.20 1.90 2.50 29w0d 5.60 5.10 6.00 26w 4.76 4.29 5.23 42w 7.73 7.20 8.26 16w1d 2.20 1.90 2.50 29w1d 5.60 5.10 6.00 27w 5.00 4.52 5.48 16w2d 2.20 1.90 2.50 29w2d 5.60 5.10 6.00 16w3d 2.20 1.90 2.50 29w3d 5.60 5.10 6.00 16w4d 2.20 1.90 2.50 29w4d 5.60 5.10 6.00 Reference Manual 67 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 16w5d 2.20 1.90 2.50 29w5d 5.60 5.10 6.00 20w1d 3.20 2.90 3.60 33w1d 6.40 5.90 6.90 16w6d 2.20 1.90 2.50 29w6d 5.60 5.10 6.00 20w2d 3.20 2.90 3.60 33w2d 6.40 5.90 6.90 17w0d 2.40 2.10 2.80 30w0d 5.80 5.30 6.30 20w3d 3.20 2.90 3.60 33w3d 6.40 5.90 6.90 17w1d 2.40 2.10 2.80 30w1d 5.80 5.30 6.30 20w4d 3.20 2.90 3.60 33w4d 6.40 5.90 6.90 17w2d 2.40 2.10 2.80 30w2d 5.80 5.30 6.30 20w5d 3.20 2.90 3.60 33w5d 6.40 5.90 6.90 17w3d 2.40 2.10 2.80 30w3d 5.80 5.30 6.30 20w6d 3.20 2.90 3.60 33w6d 6.40 5.90 6.90 17w4d 2.40 2.10 2.80 30w4d 5.80 5.30 6.30 21w0d 3.50 3.20 3.90 34w0d 6.60 6.10 7.10 17w5d 2.40 2.10 2.80 30w5d 5.80 5.30 6.30 21w1d 3.50 3.20 3.90 34w1d 6.60 6.10 7.10 17w6d 2.40 2.10 2.80 30w6d 5.80 5.30 6.30 21w2d 3.50 3.20 3.90 34w2d 6.60 6.10 7.10 18w0d 2.70 2.40 3.00 31w0d 6.00 5.50 6.50 21w3d 3.50 3.20 3.90 34w3d 6.60 6.10 7.10 18w1d 2.70 2.40 3.00 31w1d 6.00 5.50 6.50 21w4d 3.50 3.20 3.90 34w4d 6.60 6.10 7.10 18w2d 2.70 2.40 3.00 31w2d 6.00 5.50 6.50 21w5d 3.50 3.20 3.90 34w5d 6.60 6.10 7.10 18w3d 2.70 2.40 3.00 31w3d 6.00 5.50 6.50 21w6d 3.50 3.20 3.90 34w6d 6.60 6.10 7.10 18w4d 2.70 2.40 3.00 31w4d 6.00 5.50 6.50 22w0d 3.80 3.40 4.20 35w0d 6.80 6.30 7.30 18w5d 2.70 2.40 3.00 31w5d 6.00 5.50 6.50 22w1d 3.80 3.40 4.20 35w1d 6.80 6.30 7.30 18w6d 2.70 2.40 3.00 31w6d 6.00 5.50 6.50 22w2d 3.80 3.40 4.20 35w2d 6.80 6.30 7.30 19w0d 3.00 2.60 3.30 32w0d 6.20 5.70 6.70 22w3d 3.80 3.40 4.20 35w3d 6.80 6.30 7.30 19w1d 3.00 2.60 3.30 32w1d 6.20 5.70 6.70 22w4d 3.80 3.40 4.20 35w4d 6.80 6.30 7.30 19w2d 3.00 2.60 3.30 32w2d 6.20 5.70 6.70 22w5d 3.80 3.40 4.20 35w5d 6.80 6.30 7.30 19w3d 3.00 2.60 3.30 32w3d 6.20 5.70 6.70 22w6d 3.80 3.40 4.20 35w6d 6.80 6.30 7.30 19w4d 3.00 2.60 3.30 32w4d 6.20 5.70 6.70 23w0d 4.10 3.70 4.50 36w0d 6.90 6.40 7.40 19w5d 3.00 2.60 3.30 32w5d 6.20 5.70 6.70 23w1d 4.10 3.70 4.50 36w1d 6.90 6.40 7.40 19w6d 3.00 2.60 3.30 32w6d 6.20 5.70 6.70 23w2d 4.10 3.70 4.50 36w2d 6.90 6.40 7.40 20w0d 3.20 2.90 3.60 33w0d 6.40 5.90 6.90 23w3d 4.10 3.70 4.50 36w3d 6.90 6.40 7.40 23w4d 4.10 3.70 4.50 36w4d 6.90 6.40 7.40 Reference Manual 68 Anterior Posterior Thoracic Diameter (APTD) : HANSMANN Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 23w5d 4.10 3.70 4.50 36w5d 6.90 6.40 7.40 GA Table 23w6d 4.10 3.70 4.50 36w6d 6.90 6.40 7.40 24w0d 4.30 3.90 4.70 37w0d 7.10 6.60 7.60 Hansmann, Hackeloer, Staudach, Wittman “Ultrasound Diagnosis in Obstetrics and Gynecology” Springer-Verlag, New York, 1986 24w1d 4.30 3.90 4.70 37w1d 7.10 6.60 7.60 24w2d 4.30 3.90 4.70 37w2d 7.10 6.60 7.60 Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) 24w3d 4.30 3.90 4.70 37w3d 7.10 6.60 7.60 2.25 14w 4.65 22w 7.01 30w 9.30 38w 24w4d 4.30 3.90 4.70 37w4d 7.10 6.60 7.60 2.58 15w 4.90 23w 7.25 31w 9.53 39w 24w5d 4.30 3.90 4.70 37w5d 7.10 6.60 7.60 2.85 16w 5.15 24w 7.62 32w 9.68 40w 24w6d 4.30 3.90 4.70 37w6d 7.10 6.60 7.60 3.11 17w 5.48 25w 7.93 33w 9.84 41w 25w0d 4.60 4.20 5.00 38w0d 7.20 6.70 7.70 3.46 18w 5.80 26w 8.15 34w 9.91 42w 25w1d 4.60 4.20 5.00 38w1d 7.20 6.70 7.70 3.75 19w 6.15 27w 8.40 35w 25w2d 4.60 4.20 5.00 38w2d 7.20 6.70 7.70 4.00 20w 6.39 28w 8.75 36w 25w3d 4.60 4.20 5.00 38w3d 7.20 6.70 7.70 25w4d 4.60 4.20 5.00 38w4d 7.20 6.70 7.70 4.34 21w 6.70 29w 9.02 37w 25w5d 4.60 4.20 5.00 38w5d 7.20 6.70 7.70 25w6d 4.60 4.20 5.00 38w6d 7.20 6.70 7.70 Fetal Growth Table 26w0d 4.80 4.40 5.30 39w0d 7.30 6.80 7.80 26w1d 4.80 4.40 5.30 39w1d 7.30 6.80 7.80 Hansmann, Hackeloer, Staudach, Wittman “Ultrasound Diagnosis in Obstetrics and Gynecology” Springer-Verlag, New York, 1986 26w2d 4.80 4.40 5.30 39w2d 7.30 6.80 7.80 26w3d 4.80 4.40 5.30 39w3d 7.30 6.80 7.80 26w4d 4.80 4.40 5.30 39w4d 7.30 6.80 7.80 26w5d 4.80 4.40 5.30 39w5d 7.30 6.80 7.80 26w6d 4.80 4.40 5.30 39w6d 7.30 6.80 7.80 Age (w) Meas (cm) -2 SD (cm) +2 SD (cm) Age (w) Meas (cm) -2 SD (cm) +2 SD (cm) 14 2.25 2.25 2.25 29 6.70 5.70 7.70 15 2.58 2.21 2.95 30 7.01 6.01 8.01 16 2.85 2.45 3.25 31 7.25 6.10 8.40 17 3.11 2.61 3.61 32 7.62 6.52 8.72 18 3.46 3.02 3.90 33 7.93 6.81 9.05 Reference Manual 69 Age (w) Meas (cm) -2 SD (cm) +2 SD (cm) Age (w) Meas (cm) -2 SD (cm) +2 SD (cm) Meas (cm2) Age (wd) ±SD (wd) Meas (cm2) Age (wd) ±SD (wd) 19 3.75 3.25 4.25 34 8.15 6.90 9.40 20.00 20w1d 01w1d 62.00 31w6d 02w0d 20 4.00 3.40 4.60 35 8.40 7.08 9.72 22.00 20w6d 01w2d 64.00 32w3d 02w1d 21 4.34 3.76 4.92 36 8.75 7.40 10.10 24.00 21w4d 01w2d 66.00 32w6d 02w1d 22 4.65 4.04 5.26 37 9.02 7.62 10.42 26.00 22w2d 01w2d 68.00 33w3d 02w1d 23 4.90 4.20 5.60 38 9.30 7.90 10.70 28.00 22w6d 01w2d 70.00 33w6d 02w2d 24 5.15 4.35 5.95 39 9.53 8.06 11.00 30.00 23w4d 01w2d 72.00 34w2d 02w2d 25 5.48 4.68 6.28 40 9.68 8.16 11.20 32.00 24w1d 01w3d 74.00 34w6d 02w3d 26 5.80 4.95 6.65 41 9.84 8.32 11.35 34.00 24w5d 01w3d 76.00 35w3d 02w3d 27 6.15 5.30 7.00 42 9.91 8.41 11.40 36.00 25w3d 01w3d 78.00 35w6d 02w3d 28 6.39 5.43 7.35 38.00 25w6d 01w3d 80.00 36w3d 02w4d Anterior Posterior Thoracic Diameter (APTD) and Thorax Transverse Diameter (TTD) : SHINOZUKA GA Table Norio Shinozuka, Haruo Masuda, Hideyuki Kagawa, and Yuji Taketani. Department of Obstetrics and Gynecoogy, Faculty of Medicine, University of Tokyo. Jpn J Med Ultrasonics 23(12) 877-888,1996 Meas (cm2) Age (wd) ±SD (wd) Meas (cm2) Age (wd) ±SD (wd) 10.00 16w1d 01w1d 52.00 29w3d 01w6d 12.00 17w0d 01w1d 54.00 30w0d 01w6d 14.00 17w6d 01w1d 56.00 30w3d 01w6d 16.00 18w4d 01w1d 58.00 31w0d 02w0d 18.00 19w3d 01w1d 60.00 31w3d 02w0d 40.00 26w3d 01w4d 82.00 37w0d 02w4d 42.00 27w0d 01w4d 84.00 37w4d 02w4d 44.00 27w3d 01w4d 86.00 38w1d 02w4d 46.00 28w0d 01w5d 88.00 38w5d 02w5d 90.00 39w2d 02w5d 48.00 28w4d 01w5d 50.00 29w0d 01w5d Reference Manual 70 Fetal Growth Table Norio Shinozuka, Haruo Masuda, Hideyuki Kagawa, and Yuji Taketani. Department of Obstetrics and Gynecoogy, Faculty of Medicine, University of Tokyo. Jpn J Med Ultrasonics 23(12) 877-888,1996 Age (wd) Meas (cm2) -1.28 SD (cm2) +1.28 SD (cm2) Age (wd) Meas (cm2) -1.28 SD (cm2) +1.28 SD (cm2) 16w3d 11.20 7.90 14.60 30w3d 55.70 46.20 65.30 17w3d 13.30 9.70 17.00 31w3d 59.70 49.60 69.90 18w3d 15.60 11.60 19.60 32w3d 63.80 53.00 74.50 19w3d 18.10 13.70 22.40 33w3d 67.80 56.50 79.20 20w3d 20.80 16.10 25.50 34w3d 71.90 59.90 83.90 21w3d 23.60 18.50 28.80 35w3d 75.90 63.30 88.60 22w3d 26.70 21.20 32.20 36w3d 79.90 66.60 93.30 23w3d 29.90 23.90 35.90 37w3d 83.90 69.80 97.90 24w3d 33.20 26.80 39.70 38w3d 87.70 72.90 102.50 25w3d 36.70 29.80 43.60 39w3d 91.50 76.00 107.00 26w3d 40.30 33.00 47.70 40w3d 95.10 78.90 111.40 27w3d 44.10 36.20 52.00 41w3d 98.60 81.60 115.70 28w3d 47.90 39.40 56.30 42w3d 102.00 84.10 119.80 29w3d 51.80 42.80 60.80 Anterior Posterior Thoracic Diameter (APTD) and Thorax Transverse Diameter (TTD) : JSUM Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 Age (wd) Meas (cm) -1.28 SD (cm) +1.28 SD (cm) Age (wd) Meas (cm) -1.28 SD (cm) +1.28 SD (cm) 16w3d 11.20 7.90 14.60 30w3d 55.70 46.20 65.30 17w3d 13.30 9.70 17.00 31w3d 59.70 49.60 69.90 18w3d 15.60 11.60 19.60 32w3d 63.80 53.00 74.50 19w3d 18.10 13.70 22.40 33w3d 67.80 56.50 79.20 20w3d 20.80 16.10 25.50 34w3d 71.90 59.90 83.90 21w3d 23.60 18.50 28.80 35w3d 75.90 63.30 88.60 22w3d 26.70 21.20 32.20 36w3d 79.90 66.60 93.30 23w3d 29.90 23.90 35.90 37w3d 83.90 69.80 97.90 24w3d 33.20 26.80 39.70 38w3d 87.70 72.90 102.50 25w3d 36.70 29.80 43.60 39w3d 91.50 76.00 107.00 26w3d 40.30 33.00 47.70 40w3d 95.10 78.90 111.40 27w3d 44.10 36.20 52.00 41w3d 98.60 81.60 115.70 28w3d 47.90 39.40 56.30 42w3d 102.00 84.10 119.80 29w3d 51.80 42.80 60.80 Reference Manual 71 Gestational Sac (GS) : KOREAN Gestational Sac (GS) : HELLMAN GA Table GA Table Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 Hellman LM, Kobayashi M, Fillisti L, et al, "Growth and development of the human fetus prior to the twentieth week of gestation" American Journal of Obstetrics and Gynecology, 103:789-800, 1969 GA = GS x 0.71887 + 6.156004 Output Unit : w(weeks) Input Unit : cm Min Range : 2.5 cm Max Range : 6.1 cm Gestational Sac (GS) : HANSMANN GA Table Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.36 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 1.0 5w0d 2.3 6w6d 3.6 8w5d 4.9 10w4d 1.1 5w1d 2.4 7w0d 3.7 8w6d 5.0 10w5d 1.2 5w2d 2.5 7w1d 3.8 9w0d 5.1 10w6d 1.3 5w3d 2.6 7w2d 3.9 9w1d 5.2 11w0d 1.4 5w4d 2.7 7w3d 4.0 9w2d 5.3 11w1d 1.5 5w5d 2.8 7w4d 4.1 9w3d 5.4 11w2d 1.6 5w6d 2.9 7w5d 4.2 9w4d 5.5 11w3d 1.7 6w0d 3.0 7w6d 4.3 9w5d 5.6 11w4d Meas (cm) Age (wd) 1.8 6w1d 3.1 8w0d 4.4 9w6d 5.7 11w5d 0.7 4w6d 1.9 6w2d 3.2 8w1d 4.5 10w0d 5.8 11w6d 0.9 5w5d 2.0 6w3d 3.3 8w2d 4.6 10w1d 5.9 12w0d 1.0 6w0d 1.3 6w2d 2.1 6w4d 3.4 8w3d 4.7 10w2d 6.0 12w1d 1.5 6w5d 2.2 6w5d 3.5 8w4d 4.8 10w3d 2.4 7w3d 2.8 8w2d 3.4 9w0d Reference Manual 72 Gestational Sac (GS) : NYBERG Gestational Sac (GS) : REMPEN GA Table GA Table Nyberg, David, A., Hill, Lyndon, M., Bohm-Vele, Marcela., Mendelson, Ellen, B. "Transvaginal Ultrasound." Mosby Yearbook, 76. 1992 Rempen A. "Biometrie in der Fruhgraviditat (I. Trimenon)" Der Frauenarzt, 32:425, 1991 GA = 1.32 x GS + 4.299 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Output Unit : w(weeks) 0.20 04w6d 03w3d 06w2d 3.80 09w1d 07w5d 10w4d Input Unit : cm 0.30 05w0d 03w4d 06w3d 3.90 09w2d 07w6d 10w5d Min Range : 0.14 cm 0.40 05w1d 03w5d 06w4d 4.00 09w3d 08w0d 10w6d Max Range : 5.54cm 0.50 05w2d 03w6d 06w5d 4.10 09w4d 08w1d 11w0d 0.60 05w2d 03w6d 06w5d 4.20 09w5d 08w2d 11w1d 0.70 05w3d 04w0d 06w6d 4.30 09w6d 08w3d 11w2d 0.80 05w4d 04w1d 07w0d 4.40 09w6d 08w3d 11w2d 0.90 05w5d 04w2d 07w1d 4.50 10w0d 08w4d 11w3d 1.00 05w5d 04w2d 07w1d 4.60 10w1d 08w5d 11w4d 1.10 05w6d 04w3d 07w2d 4.70 10w2d 08w6d 11w5d 1.20 06w0d 04w4d 07w3d 4.80 10w3d 09w0d 11w6d 06w1d 04w5d 07w4d 4.90 10w4d 09w1d 12w0d Gestational Sac (GS) : TOKYO GA Table Tokyo University Takashi Okai, et al. Japan Society of Obstetrics and Gynecology, Vol.38, No.8 Meas (cm) Age (wd) ±SD (wd) Meas (cm) Age (wd) ±SD (wd) 1.0 4w0d 1w0d 4.1 9w0d 2w0d 1.30 1.6 5w0d 1w1d 4.8 10w0d 2w1d 1.40 06w2d 04w6d 07w5d 5.00 10w5d 09w2d 12w1d 06w2d 04w6d 07w5d 5.10 10w6d 09w3d 12w2d 2.2 6w0d 1w4d 5.7 11w0d 2w2d 1.50 2.7 7w0d 1w5d 6.7 12w0d 2w3d 1.60 06w3d 05w0d 07w6d 5.20 11w0d 09w4d 12w3d 3.4 8w0d 1w6d 1.70 06w4d 05w1d 08w0d 5.30 11w1d 09w5d 12w4d 1.80 06w5d 05w2d 08w1d 5.40 11w2d 09w6d 12w5d 1.90 06w6d 05w3d 08w2d 5.50 11w3d 10w0d 12w6d 2.00 06w6d 05w3d 08w2d 5.60 11w4d 10w1d 13w0d 2.10 07w0d 05w4d 08w3d 5.70 11w5d 10w2d 13w1d 2.20 07w1d 05w5d 08w4d 5.80 11w6d 10w3d 13w2d Reference Manual 73 Fetal Growth Table Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 2.30 07w2d 05w6d 08w5d 5.90 12w0d 10w4d 13w3d 2.40 07w3d 06w0d 08w6d 6.00 12w1d 10w5d 13w4d Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 2.50 07w4d 06w1d 09w0d 6.10 12w2d 10w6d 13w5d 04w4d 0.05 0.00 1.10 09w0d 3.66 2.61 4.71 0.18 0.00 1.23 09w1d 3.76 2.71 4.81 Rempen A. "Biometrie in der Fruhgraviditat (I. Trimenon)" Der Frauenarzt, 32:425, 1991 2.60 07w4d 06w1d 09w0d 6.20 12w3d 11w0d 13w6d 04w5d 2.70 07w5d 06w2d 09w1d 6.30 12w4d 11w1d 14w0d 04w6d 0.32 0.00 1.37 09w2d 3.85 2.80 4.90 0.45 0.00 1.50 09w3d 3.95 2.90 5.00 2.80 07w6d 06w3d 09w2d 6.40 12w5d 11w2d 14w1d 05w0d 2.90 08w0d 06w4d 09w3d 6.50 12w6d 11w3d 14w2d 05w1d 0.58 0.00 1.63 09w4d 4.04 2.99 5.09 3.00 08w1d 06w5d 09w4d 6.60 13w0d 11w4d 14w3d 05w2d 0.71 0.00 1.76 09w5d 4.13 3.08 5.18 3.10 08w2d 06w6d 09w5d 6.70 13w1d 11w5d 14w4d 05w3d 0.84 0.00 1.89 09w6d 4.22 3.17 5.27 3.20 08w3d 07w0d 09w6d 6.80 13w2d 11w6d 14w5d 05w4d 0.97 0.00 2.02 10w0d 4.31 3.26 5.36 1.09 0.04 2.14 10w1d 4.40 3.35 5.45 3.30 08w3d 07w0d 09w6d 6.90 13w3d 12w0d 14w6d 05w5d 3.40 08w4d 07w1d 10w0d 7.00 13w4d 12w1d 15w0d 05w6d 1.22 0.17 2.27 10w2d 4.49 3.44 5.54 1.34 0.29 2.39 10w3d 4.57 3.52 5.62 3.50 08w5d 07w2d 10w1d 7.10 13w5d 12w2d 15w1d 06w0d 3.60 08w6d 07w3d 10w2d 7.20 14w0d 12w4d 15w3d 06w1d 1.46 0.41 2.51 10w4d 4.66 3.61 5.71 15w4d 06w2d 1.59 0.54 2.64 10w5d 4.74 3.69 5.79 06w3d 1.71 0.66 2.76 10w6d 4.82 3.77 5.87 06w4d 1.83 0.78 2.88 11w0d 4.90 3.85 5.95 06w5d 1.94 0.89 2.99 11w1d 4.98 3.93 6.03 06w6d 2.06 1.01 3.11 11w2d 5.06 4.01 6.11 07w0d 2.17 1.12 3.22 11w3d 5.14 4.09 6.19 07w1d 2.29 1.24 3.34 11w4d 5.21 4.16 6.26 07w2d 2.40 1.35 3.45 11w5d 5.29 4.24 6.34 07w3d 2.51 1.46 3.56 11w6d 5.36 4.31 6.41 07w4d 2.62 1.57 3.67 12w0d 5.43 4.38 6.48 3.70 09w0d 07w4d 10w3d 7.30 14w1d 12w5d Reference Manual 74 Occipital Frontal Diameter (OFD) : HANSMANN Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 07w5d 2.73 1.68 3.78 12w1d 5.51 4.46 6.56 GA Table 07w6d 2.84 1.79 3.89 12w2d 5.58 4.53 6.63 08w0d 2.95 1.90 4.00 12w3d 5.64 4.59 6.69 Hansmann, Hackeloer, Staudach, Wittman. "Ultrasound Diagnosis in Obsterics and Gynecology." Springer-Verlag, New York, 1986, p.431. 08w1d 3.05 2.00 4.10 12w4d 5.71 4.66 6.76 08w2d 3.16 2.11 4.21 12w5d 5.78 4.73 6.83 08w3d 3.26 2.21 4.31 12w6d 5.84 4.79 6.89 08w4d 3.36 2.31 4.41 13w0d 5.91 4.86 6.96 08w5d 3.46 2.41 4.51 13w1d 5.97 4.92 7.02 08w6d 3.56 2.51 4.61 13w2d 6.03 4.98 7.08 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 3.1 14w0d 7.2 23w0d 10.3 32w0d 3.8 15w0d 7.6 24w0d 10.5 33w0d 4.1 16w0d 8.0 25w0d 10.7 34w0d 4.6 17w0d 8.4 26w0d 10.9 35w0d 5.0 18w0d 8.8 27w0d 11.1 36w0d 5.4 19w0d 9.1 28w0d 11.2 37w0d 5.8 20w0d 9.5 29w0d 11.3 38w0d 6.3 21w0d 9.8 30w0d 11.4 39w0d 6.7 22w0d 10.0 31w0d 11.5 40w0d Reference Manual 75 Fetal Growth Table Occipital Frontal Diameter (OFD) : ASUM(SCW) Hansmann, Hackeloer, Staudach, Wittman "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer- Verlag, New York, 1986, p.176. GA Table Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 10 1.4 0.7 2.1 26 8.0 7.3 8.7 Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 11 1.8 1.1 2.5 27 8.3 7.6 9.0 GA = 0.381 x (OFD x 10) – 0.00344 x (OFD x 10)2 + 0.00002298 x (OFD x 10)3 + 4.189 12 2.3 1.6 3.0 28 8.7 8.0 9.4 Output Unit : w(weeks) 13 2.7 2.0 3.4 29 9.0 8.3 9.7 Input Unit : cm 14 3.1 2.4 3.8 30 9.3 8.6 10.0 Min Range : 2.12 cm 15 3.6 2.9 4.3 31 9.6 8.9 10.3 Max Range : 12.17cm 16 4.0 3.3 4.7 32 9.9 9.2 10.6 17 4.4 3.7 5.1 33 10.2 9.5 10.8 Fetal Growth Table 18 4.8 4.1 5.5 34 10.4 9.7 11.1 Australasian Society for Ultrasound in Medicine. 19 5.3 4.6 6.0 35 10.6 9.9 11.3 20 5.7 5.0 6.4 36 10.9 10.2 11.6 Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 21 6.1 5.4 6.8 37 11.1 10.4 11.8 22 6.5 5.8 7.2 38 11.2 10.5 11.9 23 6.9 6.2 7.6 39 11.4 10.7 12.1 24 7.2 6.5 7.9 40 11.5 10.8 12.2 25 7.6 6.9 8.3 Australasian Society for Ultrasound in Medicine. Age (w) Meas (cm) ±2SD (cm) Age (w) Meas (cm) ±2SD (cm) 11 2.1 0.20 27 8.6 0.45 12 2.4 0.20 28 9.5 0.50 13 2.9 0.30 29 9.7 0.55 14 3.4 0.30 30 9.8 0.55 15 3.8 0.30 31 10.1 0.50 16 4.6 0.30 32 10.2 0.50 17 5.0 0.30 33 10.7 0.55 18 5.4 0.35 34 10.8 0.55 19 5.7 0.35 35 10.9 0.55 Reference Manual 76 Age (w) Meas (cm) ±2SD (cm) Age (w) Meas (cm) ±2SD (cm) 20 6.1 0.35 36 11.2 0.55 Min Range : 12w Max Range : 40w Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 21 6.3 0.40 37 11.3 0.60 22 6.8 0.35 38 11.6 0.55 12 2.503 0.391 32 10.283 0.357 16 4.250 0.269 34 10.716 0.390 23 7.6 0.40 39 11.9 0.60 24 7.9 0.40 40 12.0 0.60 20 5.918 0.303 36 11.553 0.365 0.60 24 7.479 0.564 38 12.053 0.233 28 9.173 0.393 40 12.059 0.598 25 8.2 0.45 26 8.4 0.45 41 12.2 Occipital Frontal Diameter (OFD) : KOREAN Occipital Frontal Diameter (OFD) : KURMANAVICIUS GA Table Fetal Growth Table Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 Kurmanavicius J, Wright EM, Royston P, Wisser J, Huch R, Huch A, Zimmermann R. "Fetal ultrasound biometry: 1. Head reference values" Br J Obstet Gynaecol, 1999 Feb; 106(2): 126-35 GA = OFD x 1.55941 + 0.07730580 x OFD2 + 7.937391 Output Unit : w(weeks) Input Unit : cm Min Range : 2.4 cm Max Range : 12.4 cm Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12w 2.46 2.02 2.91 28w 9.16 8.39 9.93 13w 2.96 2.49 3.43 29w 9.46 8.67 10.25 14w 3.45 2.96 3.94 30w 9.74 8.93 10.55 Fetal Growth Table 15w 3.93 3.43 4.44 31w 10.01 9.18 10.84 Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 16w 4.41 3.88 4.94 32w 10.25 9.41 11.10 17w 4.87 4.32 5.42 33w 10.48 9.61 11.35 OFD = 59.56658 x MA – 4.5874 x MA2 – 40.707331 18w 5.32 4.76 5.89 34w 10.69 9.80 11.58 Output Unit : cm 19w 5.77 5.18 6.35 35w 10.88 9.97 11.78 Input Unit : w(week) 20w 6.20 5.59 6.81 36w 11.04 10.11 11.97 Reference Manual 77 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 21w 6.62 5.99 7.24 37w 11.19 10.24 12.13 15w2d 4.20 3.90 4.60 28w2d 9.50 8.70 10.30 22w 7.02 6.37 7.67 38w 11.31 10.34 12.28 15w3d 4.20 3.90 4.60 28w3d 9.50 8.70 10.30 23w 7.41 6.75 8.08 39w 11.41 10.42 12.40 15w4d 4.20 3.90 4.60 28w4d 9.50 8.70 10.30 24w 7.79 7.11 8.48 40w 11.48 10.47 12.49 15w5d 4.20 3.90 4.60 28w5d 9.50 8.70 10.30 25w 8.16 7.45 8.87 41w 11.53 10.51 12.56 15w6d 4.20 3.90 4.60 28w6d 9.50 8.70 10.30 42w 11.56 10.51 12.61 16w0d 4.60 4.20 5.00 29w0d 9.80 9.10 10.70 16w1d 4.60 4.20 5.00 29w1d 9.80 9.10 10.70 16w2d 4.60 4.20 5.00 29w2d 9.80 9.10 10.70 16w3d 4.60 4.20 5.00 29w3d 9.80 9.10 10.70 16w4d 4.60 4.20 5.00 29w4d 9.80 9.10 10.70 16w5d 4.60 4.20 5.00 29w5d 9.80 9.10 10.70 16w6d 4.60 4.20 5.00 29w6d 9.80 9.10 10.70 17w0d 5.00 4.60 5.40 30w0d 10.20 9.40 11.00 5.00 4.60 5.40 30w1d 10.20 9.40 11.00 26w 8.51 7.78 9.24 27w 8.84 8.09 9.59 Occipital Frontal Diameter (OFD) : NICOLAIDES Fetal Growth Table Snijders RJ, Nicolaides KH. "Fetal biometry at 14-40 weeks' gestation" Ultrasound in obstetrics and Gynecology, 1994 Jan 1; 4(1): 34-48 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 17w1d 17w2d 5.00 4.60 5.40 30w2d 10.20 9.40 11.00 14w0d 3.90 3.50 4.20 27w0d 9.10 8.40 9.90 17w3d 5.00 4.60 5.40 30w3d 10.20 9.40 11.00 14w1d 3.90 3.50 4.20 27w1d 9.10 8.40 9.90 17w4d 5.00 4.60 5.40 30w4d 10.20 9.40 11.00 14w2d 3.90 3.50 4.20 27w2d 9.10 8.40 9.90 17w5d 5.00 4.60 5.40 30w5d 10.20 9.40 11.00 14w3d 3.90 3.50 4.20 27w3d 9.10 8.40 9.90 17w6d 5.00 4.60 5.40 30w6d 10.20 9.40 11.00 14w4d 3.90 3.50 4.20 27w4d 9.10 8.40 9.90 18w0d 5.40 5.00 5.90 31w0d 10.50 9.60 11.30 14w5d 3.90 3.50 4.20 27w5d 9.10 8.40 9.90 18w1d 5.40 5.00 5.90 31w1d 10.50 9.60 11.30 14w6d 3.90 3.50 4.20 27w6d 9.10 8.40 9.90 18w2d 5.40 5.00 5.90 31w2d 10.50 9.60 11.30 15w0d 4.20 3.90 4.60 28w0d 9.50 8.70 10.30 18w3d 5.40 5.00 5.90 31w3d 10.50 9.60 11.30 15w1d 4.20 3.90 4.60 28w1d 9.50 8.70 10.30 18w4d 5.40 5.00 5.90 31w4d 10.50 9.60 11.30 Reference Manual 78 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 18w5d 5.40 5.00 5.90 31w5d 10.50 9.60 11.30 22w1d 7.10 6.50 7.70 35w1d 11.30 10.50 12.30 18w6d 5.40 5.00 5.90 31w6d 10.50 9.60 11.30 22w2d 7.10 6.50 7.70 35w2d 11.30 10.50 12.30 19w0d 5.80 5.40 6.30 32w0d 10.70 9.90 11.60 22w3d 7.10 6.50 7.70 35w3d 11.30 10.50 12.30 19w1d 5.80 5.40 6.30 32w1d 10.70 9.90 11.60 22w4d 7.10 6.50 7.70 35w4d 11.30 10.50 12.30 19w2d 5.80 5.40 6.30 32w2d 10.70 9.90 11.60 22w5d 7.10 6.50 7.70 35w5d 11.30 10.50 12.30 19w3d 5.80 5.40 6.30 32w3d 10.70 9.90 11.60 22w6d 7.10 6.50 7.70 35w6d 11.30 10.50 12.30 19w4d 5.80 5.40 6.30 32w4d 10.70 9.90 11.60 23w0d 7.50 6.90 8.20 36w0d 11.50 10.60 12.40 19w5d 5.80 5.40 6.30 32w5d 10.70 9.90 11.60 23w1d 7.50 6.90 8.20 36w1d 11.50 10.60 12.40 19w6d 5.80 5.40 6.30 32w6d 10.70 9.90 11.60 23w2d 7.50 6.90 8.20 36w2d 11.50 10.60 12.40 20w0d 6.20 5.70 6.80 33w0d 11.00 10.10 11.90 23w3d 7.50 6.90 8.20 36w3d 11.50 10.60 12.40 20w1d 6.20 5.70 6.80 33w1d 11.00 10.10 11.90 23w4d 7.50 6.90 8.20 36w4d 11.50 10.60 12.40 20w2d 6.20 5.70 6.80 33w2d 11.00 10.10 11.90 23w5d 7.50 6.90 8.20 36w5d 11.50 10.60 12.40 20w3d 6.20 5.70 6.80 33w3d 11.00 10.10 11.90 23w6d 7.50 6.90 8.20 36w6d 11.50 10.60 12.40 20w4d 6.20 5.70 6.80 33w4d 11.00 10.10 11.90 24w0d 7.90 7.30 8.60 37w0d 11.60 10.70 12.50 20w5d 6.20 5.70 6.80 33w5d 11.00 10.10 11.90 24w1d 7.90 7.30 8.60 37w1d 11.60 10.70 12.50 20w6d 6.20 5.70 6.80 33w6d 11.00 10.10 11.90 24w2d 7.90 7.30 8.60 37w2d 11.60 10.70 12.50 21w0d 6.70 6.10 7.20 34w0d 11.20 10.30 12.10 24w3d 7.90 7.30 8.60 37w3d 11.60 10.70 12.50 21w1d 6.70 6.10 7.20 34w1d 11.20 10.30 12.10 24w4d 7.90 7.30 8.60 37w4d 11.60 10.70 12.50 21w2d 6.70 6.10 7.20 34w2d 11.20 10.30 12.10 24w5d 7.90 7.30 8.60 37w5d 11.60 10.70 12.50 21w3d 6.70 6.10 7.20 34w3d 11.20 10.30 12.10 24w6d 7.90 7.30 8.60 37w6d 11.60 10.70 12.50 21w4d 6.70 6.10 7.20 34w4d 11.20 10.30 12.10 25w0d 8.30 7.70 9.00 38w0d 11.60 10.70 12.60 21w5d 6.70 6.10 7.20 34w5d 11.20 10.30 12.10 25w1d 8.30 7.70 9.00 38w1d 11.60 10.70 12.60 21w6d 6.70 6.10 7.20 34w6d 11.20 10.30 12.10 25w2d 8.30 7.70 9.00 38w2d 11.60 10.70 12.60 22w0d 7.10 6.50 7.70 35w0d 11.30 10.50 12.30 25w3d 8.30 7.70 9.00 38w3d 11.60 10.70 12.60 25w4d 8.30 7.70 9.00 38w4d 11.60 10.70 12.60 Reference Manual 79 Inner Ocular Distance (IOD) : HANSMANN Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 25w5d 8.30 7.70 9.00 38w5d 11.60 10.70 12.60 Fetal Growth Table 25w6d 8.30 7.70 9.00 38w6d 11.60 10.70 12.60 26w0d 8.70 8.10 9.50 39w0d 11.60 10.70 12.60 Hansmann, Hackeloer, Staudach, Wittman. "Ultrasound Diagnosis in Obsterics and Gynecology." Springer-Verlag, New York, 1986, p.177 26w1d 8.70 8.10 9.50 39w1d 11.60 10.70 12.60 26w2d 8.70 8.10 9.50 39w2d 11.60 10.70 12.60 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 26w3d 8.70 8.10 9.50 39w3d 11.60 10.70 12.60 12 0.8 0.4 1.1 27 1.6 1.3 1.9 0.8 0.5 1.1 28 1.7 1.4 2.0 26w4d 8.70 8.10 9.50 39w4d 11.60 10.70 12.60 13 26w5d 8.70 8.10 9.50 39w5d 11.60 10.70 12.60 14 0.9 0.6 1.2 29 1.7 1.4 2.0 26w6d 8.70 8.10 9.50 39w6d 11.60 10.70 12.60 15 1.0 0.6 1.3 30 1.8 1.5 2.1 16 1.0 0.7 1.3 31 1.8 1.5 2.1 17 1.1 0.8 1.4 32 1.9 1.5 2.2 18 1.1 0.8 1.5 33 1.9 1.6 2.2 19 1.2 0.9 1.5 34 1.9 1.6 2.2 20 1.3 1.0 1.6 35 2.0 1.6 2.3 21 1.3 1.0 1.6 36 2.0 1.7 2.3 22 1.4 1.1 1.7 37 2.0 1.7 2.3 23 1.4 1.1 1.7 38 2.1 1.7 2.4 24 1.5 1.2 1.8 39 2.1 1.8 2.4 25 1.5 1.2 1.9 40 2.1 1.8 2.4 26 1.6 1.3 1.9 Reference Manual 80 Outer Ocular Distance (OOD) : JEANTY Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) GA Table 3.40 21w5d 18w3d 25w1d 6.00 37w1d 33w6d 40w4d Jeanty, P., Rodesch, F., Delbeke, D., Dumont, J. "Estimation of Gestational Age from Measurements of Fetal Long Bones" Journal of Ultrasound Medicine, 3: 75-79, February, 1984 3.50 22w2d 19w0d 25w5d 6.10 37w6d 34w4d 41w1d 3.60 22w6d 19w4d 26w2d 6.20 38w3d 35w1d 41w4d 3.70 23w4d 20w1d 26w6d 6.30 39w0d 35w5d 42w2d 3.80 24w1d 20w6d 27w3d 6.40 39w4d 36w2d 42w6d 3.90 24w5d 21w3d 28w0d 6.50 40w1d 36w6d 43w4d 4.00 25w2d 22w0d 28w4d Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 1.50 10w3d 07w1d 13w6d 4.10 25w6d 23w1d 29w1d 1.60 11w0d 07w5d 14w3d 4.20 26w4d 23w4d 29w6d 1.70 11w4d 08w2d 15w0d 4.30 27w1d 23w6d 30w3d 1.80 12w1d 08w6d 15w4d 4.40 27w5d 24w3d 31w0d 1.90 12w6d 09w4d 16w1d 4.50 28w2d 25w0d 31w4d 2.00 13w3d 10w1d 16w5d 4.60 28w6d 25w4d 32w1d 2.10 14w0d 10w5d 17w2d 4.70 29w4d 26w1d 32w6d 2.20 14w4d 11w2d 17w6d 4.80 30w1d 26w6d 33w3d 2.30 15w1d 11w6d 18w4d 4.90 30w5d 27w2d 34w0d 2.40 15w6d 12w4d 19w1d 5.00 31w2d 27w6d 34w4d 2.50 16w3d 13w1d 19w5d 5.10 31w6d 28w4d 35w1d 2.60 17w0d 13w5d 20w2d 5.20 32w4d 29w1d 35w6d 2.70 17w4d 14w2d 20w6d 5.30 33w0d 29w5d 36w3d 2.80 18w1d 14w6d 21w4d 5.40 33w4d 30w2d 37w0d 2.90 18w6d 15w4d 22w1d 5.50 34w1d 30w6d 37w4d 3.00 19w3d 16w1d 22w5d 5.60 34w6d 31w4d 38w1d 3.10 20w0d 16w4d 23w2d 5.70 35w3d 32w1d 38w5d 3.20 20w4d 17w1d 23w6d 5.80 36w0d 32w5d 39w2d 3.30 21w1d 17w6d 24w4d 5.90 36w4d 33w2d 39w6d Reference Manual 81 Outer Ocular Distance (OOD) : HANSMANN Humerus (HUM) : JEANTY Fetal Growth Table GA Table Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.177 Jeanty et al,. "Estimation of Gestational Age from Measurements of Fetal Long Bones" Journal of Ultrasound in Medicine, February 1984. Vol 3. Pp75-79 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 12 1.6 1.1 2.0 27 4.5 4.0 4.9 1.0 13 1.8 1.4 2.3 28 4.6 4.2 5.1 1.1 12w4d 9w6d 15w2d 4.0 24w2d 21w4d 27w1d 12w6d 10w1d 15w4d 4.1 24w6d 22w0d 27w4d 14 2.0 1.6 2.5 29 4.8 4.3 5.2 1.2 13w1d 10w3d 15w6d 4.2 25w2d 22w4d 28w0d 15 2.3 1.8 2.7 30 4.9 4.5 16 2.5 2.0 2.9 31 5.0 4.6 5.3 1.3 13w4d 10w6d 16w1d 4.3 25w5d 23w0d 28w4d 5.5 1.4 13w6d 11w1d 16w4d 4.4 26w1d 23w4d 29w0d 17 2.7 2.2 3.1 32 5.2 18 2.9 2.4 3.3 33 5.3 4.7 5.6 1.5 14w1d 11w3d 16w6d 4.5 26w5d 24w0d 29w4d 4.9 5.7 1.6 14w4d 11w6d 17w2d 4.6 27w1d 24w4d 30w0d 19 3.1 2.6 3.5 34 20 3.3 2.8 3.7 35 5.4 5.0 5.8 1.7 14w6d 12w1d 17w4d 4.7 27w5d 25w0d 30w4d 5.5 5.1 6.0 1.8 15w1d 12w4d 18w0d 4.8 28w1d 25w4d 31w0d 21 3.5 3.0 3.9 36 5.6 5.2 6.1 1.9 15w4d 12w6d 18w2d 4.9 28w6d 26w0d 31w4d 22 3.6 3.2 23 3.8 3.4 4.1 37 5.7 5.3 6.2 2.0 15w6d 13w1d 18w5d 5.0 29w2d 26w4d 32w0d 4.3 38 5.8 5.4 6.3 2.1 16w2d 13w4d 19w1d 5.1 29w6d 27w1d 32w4d 24 4.0 25 4.2 3.5 4.4 39 5.9 5.5 6.4 2.2 16w5d 13w6d 19w3d 5.2 30w2d 27w4d 33w1d 3.7 4.6 40 6.0 5.6 6.4 2.3 17w1d 14w2d 19w6d 5.3 30w6d 28w1d 33w4d 26 4.3 3.9 4.7 2.4 17w3d 14w5d 20w1d 5.4 31w3d 28w5d 34w1d 2.5 17w6d 15w1d 20w4d 5.5 32w0d 29w1d 34w5d 2.6 18w1d 15w4d 21w0d 5.6 32w4d 29w6d 35w2d 2.7 18w4d 15w6d 21w3d 5.7 33w1d 30w2d 35w6d 2.8 19w0d 16w2d 21w6d 5.8 33w4d 30w6d 36w3d 2.9 19w3d 16w5d 22w1d 5.9 34w1d 31w3d 36w6d Reference Manual 82 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 3.0 19w6d 17w1d 22w4d 6.0 34w6d 32w0d 37w4d 20 3.2 2.3 3.6 35 5.8 5.2 6.5 3.1 20w2d 17w4d 23w0d 6.1 35w2d 32w4d 38w1d 21 3.4 2.8 4 36 6 5.3 6.3 3.2 20w5d 18w0d 23w4d 6.2 35w6d 33w1d 38w5d 22 3.6 2.8 4 37 6.1 5.7 6.4 3.3 21w1d 18w3d 23w6d 6.3 36w4d 33w6d 39w2d 23 3.8 3.2 4.5 38 6.1 5.5 6.6 3.4 21w4d 18w6d 24w2d 6.4 37w1d 34w3d 39w6d 24 4.1 3.1 4.6 39 6.2 5.6 6.9 3.5 22w0d 19w2d 24w6d 6.5 37w5d 35w0d 40w4d 25 4.3 3.5 5.1 40 6.3 5.6 6.9 3.6 22w4d 19w5d 25w1d 6.6 38w2d 35w4d 41w1d 3.7 22w6d 20w1d 25w5d 6.7 38w6d 36w1d 41w5d 3.8 23w3d 20w4d 26w1d 6.8 39w4d 36w6d 42w2d 3.9 23w6d 21w1d 26w4d 6.9 40w1d 37w3d 42w6d Humerus (HUM) : KOREAN GA Table Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 Fetal Growth Table GA = HUM x 3.02718 + 0.2005 x HUM2 + 9.907522 Jeanty, P. “Fetal Limb Biometry” (Letter) Radiology, 147:602, 1983 Output Unit : w(weeks) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.6 0.6 0.6 26 4.5 3.6 4.9 Min Range : 0.7 cm 12 0.9 0.3 1 27 4.6 4.2 5.1 Max Range : 7.3 cm 13 1.3 0.5 2 28 4.8 4.1 5.2 14 1.6 0.5 2 29 5 4.4 5.6 15 1.8 1.1 2.6 30 5.2 4.4 5.6 16 2.1 1.2 2.5 31 5.3 4.7 5.9 17 2.4 1.9 2.9 32 5.5 4.7 5.9 18 2.7 1.8 3 33 5.6 5 6.2 19 2.9 2.2 3.6 34 5.7 5 6.2 Input Unit : cm Fetal Growth Table Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 HUM = 36.79948 x MA – 2.9359 x MA2 – 33.413660 Output Unit : cm Input Unit : w(week) Min Range : 12w Reference Manual 83 Fetal Growth Table Max Range : 40w Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 12 0.690 0.118 32 5.495 0.212 E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 16 1.796 0.122 34 5.800 0.253 Age (w) 20 2.803 0.129 36 6.114 0.249 12 0.80 0.40 1.10 27 4.60 4.20 5.00 24 3.802 0.169 38 6.396 0.256 13 1.10 0.70 1.40 28 4.80 4.40 5.20 28 4.605 0.178 40 6.579 0.316 14 1.40 1.00 1.70 29 5.00 4.60 5.40 15 1.60 1.30 2.00 30 5.20 4.80 5.60 16 1.90 1.60 2.30 31 5.40 4.90 5.80 17 2.20 1.80 2.60 32 5.50 5.10 6.00 18 2.50 2.10 2.80 33 5.70 5.30 6.20 19 2.70 2.40 3.10 34 5.90 5.40 6.30 20 3.00 2.60 3.40 35 6.00 5.50 6.50 21 3.20 2.90 3.60 36 6.10 5.70 6.60 22 3.50 3.10 3.90 37 6.30 5.80 6.70 Humerus (HUM) : MERZ GA Table Merz, Eberband, “Ultrasonic Mensuration of Fetal Limb Bones in the Second and Third Trimesters.” J Clin Ultrasound 15: 175-183, Table 1, March/April 1987 Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 1.00 13w0d 3.70 23w0d 5.60 33w0d 23 3.70 3.30 4.10 38 6.40 5.90 6.90 4.00 3.60 4.40 39 6.50 6.00 7.00 40 6.60 6.20 7.10 1.20 14w0d 3.80 24w0d 5.80 34w0d 24 1.40 15w0d 4.20 25w0d 5.90 35w0d 25 4.20 3.80 4.60 26 4.40 4.00 4.80 1.70 16w0d 4.30 26w0d 6.00 36w0d 2.00 17w0d 4.50 27w0d 6.10 37w0d 2.30 18w0d 4.70 28w0d 6.40 38w0d 2.60 19w0d 4.80 29w0d 6.50 39w0d 2.90 20w0d 5.00 30w0d 6.60 40w0d 3.20 21w0d 5.30 31w0d 3.30 22w0d 5.40 32w0d Reference Manual 84 Fetal Growth Table Humerus (HUM) : OSAKA Osaka University Methods 1989, 3 by Univ. Of Osaka GA Table Age (w) Osaka University Methods 1989, 3 by Univ. Of Osaka Meas (cm) ±1.5 SD (cm) Age (w) Meas (cm) ±1.5 SD (cm) 13 1.12 0.21 27 4.48 0.42 14 1.33 0.24 28 4.67 0.41 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 1.00 13w0d 2.80 19w4d 4.60 28w0d 15 1.56 0.27 29 4.86 0.40 1.81 0.30 30 5.03 0.39 2.06 0.33 31 5.19 0.38 1.10 13w2d 2.90 20w0d 4.70 28w4d 16 1.20 13w5d 3.00 20w3d 4.80 29w1d 17 1.30 14w0d 3.10 20w5d 4.90 29w5d 18 2.32 0.36 32 5.34 0.37 1.40 14w2d 3.20 21w2d 5.00 30w3d 19 2.57 0.38 33 5.48 0.36 1.50 14w5d 3.30 21w4d 5.10 31w0d 20 2.83 0.40 34 5.61 0.34 21 3.09 0.41 35 5.72 0.33 1.60 15w0d 3.40 22w1d 5.20 31w5d 1.70 15w3d 3.50 22w4d 5.30 32w3d 22 3.34 0.42 36 5.83 0.32 23 3.59 0.43 37 5.93 0.31 1.80 15w5d 3.60 23w0d 5.40 33w1d 1.90 16w1d 3.70 23w3d 5.50 33w6d 24 3.83 0.43 38 6.03 0.29 4.05 0.43 39 6.11 0.28 4.27 0.47 40 6.19 0.28 2.00 16w3d 3.80 23w6d 5.60 34w4d 25 2.10 16w5d 3.90 24w2d 5.70 35w3d 26 2.20 17w2d 4.00 24w6d 5.80 36w2d 2.30 17w4d 4.10 25w3d 5.90 37w1d 2.40 18w0d 4.20 26w0d 6.00 38w1d 2.50 18w3d 4.30 26w3d 6.10 39w2d 2.60 18w6d 4.40 26w6d 6.20 40w0d 2.70 19w1d 4.50 27w3d Reference Manual 85 Humerus (HUM) : ASUM(SCW) GA Table Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) 20 3.1 0.50 36 6.2 0.50 Australasian Society for Ultrasound in Medicine. 21 3.2 0.60 37 6.3 0.60 Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 22 3.5 0.60 38 6.4 0.60 23 3.8 0.40 39 6.5 0.55 GA = 0.406 x (HUM x 10) – 0.002804 x (HUM x 10)2 + 0.0000563 x (HUM x 10)3 + 8.411 24 4.0 0.60 40 6.6 0.60 41 6.8 0.60 Output Unit : w(weeks) 25 4.3 0.50 Input Unit : cm 26 4.4 0.40 Min Range : 0.68 cm Max Range : 6.83 cm Humerus (HUM) : HANSMANN Fetal Growth Table Australasian Society for Ultrasound in Medicine. Fetal Growth Table Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.177 Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.8 0.30 27 4.7 0.40 12 0.9 0.9 0.9 27 4.6 4.1 5.1 12 0.9 0.20 28 5.0 0.50 13 1.1 0.6 1.6 28 4.8 4.3 5.3 1.4 0.9 1.9 29 5.0 4.5 5.5 13 1.1 0.30 29 5.1 0.50 14 14 1.4 0.40 30 5.2 0.50 15 1.7 1.2 2.2 30 5.1 4.7 5.6 2.0 1.5 2.5 31 5.3 4.8 5.8 15 1.7 0.55 31 5.4 0.50 16 16 2.1 0.40 32 5.6 0.50 17 2.2 1.8 2.7 32 5.5 5.0 6.0 2.5 2.0 3.0 33 5.6 5.1 6.1 17 2.5 0.50 33 5.7 0.60 18 18 2.7 0.55 34 5.9 0.55 19 2.8 2.3 3.3 34 5.8 5.3 6.3 0.60 20 3.0 2.5 3.5 35 5.9 5.4 6.4 19 2.9 0.50 35 6.0 Reference Manual 86 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 21 3.3 2.8 3.8 36 6.1 5.6 6.5 2.00 17w0d 14w1d 19w6d 5.00 29w6d 27w0d 32w6d 22 3.5 3.0 4.0 37 6.2 5.7 6.7 2.10 17w3d 14w4d 20w2d 5.10 30w3d 27w4d 33w2d 23 3.8 3.3 4.2 38 6.3 5.9 6.8 2.20 17w6d 14w6d 20w5d 5.20 30w6d 28w0d 33w6d 24 4.0 3.5 4.5 39 6.5 6.0 7.0 2.30 18w1d 15w1d 21w1d 5.30 31w3d 28w4d 34w2d 25 4.2 3.7 4.7 40 6.6 6.1 7.1 2.40 18w4d 15w4d 21w3d 5.40 31w6d 29w0d 34w6d 26 4.4 3.9 4.9 2.50 18w6d 16w0d 21w6d 5.50 32w3d 29w4d 35w2d 2.60 19w2d 16w3d 22w1d 5.60 32w6d 30w0d 35w6d 2.70 19w5d 16w6d 22w4d 5.70 33w3d 30w4d 36w2d 2.80 20w1d 17w1d 23w0d 5.80 33w6d 31w0d 36w6d 2.90 20w4d 17w4d 23w4d 5.90 34w3d 31w4d 37w2d 3.00 21w0d 18w1d 23w6d 6.00 34w6d 32w0d 37w6d 3.10 21w3d 18w4d 24w2d 6.10 35w3d 32w4d 38w2d Tibia (TIB) : JEANTY GA Table Jeanty et al,. "Estimation of Gestational Age from Measurements of Fetal Long Bones" Journal of Ultrasound in Medicine, February 1984. Vol 3. Pp75-79 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 3.20 21w6d 18w6d 24w5d 6.20 35w6d 33w0d 38w6d 3.30 22w1d 19w2d 25w1d 6.30 36w4d 33w4d 39w3d 1.00 13w3d 10w4d 16w2d 4.00 25w2d 22w3d 28w1d 3.40 22w4d 19w5d 25w4d 6.40 37w0d 34w1d 39w6d 1.10 13w5d 10w6d 16w4d 4.10 25w5d 22w6d 28w4d 3.50 23w1d 20w1d 26w0d 6.50 37w4d 34w4d 40w3d 1.20 14w1d 11w1d 17w0d 4.20 26w1d 23w2d 29w1d 3.60 23w4d 20w4d 26w3d 6.60 38w0d 35w1d 41w0d 1.30 14w3d 11w4d 17w2d 4.30 26w4d 23w5d 29w4d 3.70 23w6d 21w0d 26w6d 6.70 38w4d 35w5d 41w4d 1.40 14w6d 11w6d 17w5d 4.40 27w1d 24w1d 30w0d 3.80 24w3d 21w4d 27w2d 6.80 39w1d 36w1d 42w0d 1.50 15w1d 12w1d 18w0d 4.50 27w4d 24w4d 30w4d 3.90 24w6d 21w6d 27w5d 6.90 39w5d 36w6d 42w4d 1.60 15w4d 12w4d 18w3d 4.60 28w0d 25w1d 30w6d 1.70 15w6d 13w0d 18w6d 4.70 28w4d 25w4d 31w3d 1.80 16w1d 13w2d 19w1d 4.80 29w0d 26w1d 31w6d 1.90 16w4d 13w5d 19w4d 4.90 29w3d 26w4d 32w2d Reference Manual 87 Fetal Growth Table Tibia (TIB) : MERZ Jeanty, P. "Fetal Limb Biometry" (Letter) Radiology, 147:602, 1983 GA Table Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.4 0.4 0.4 26 4.3 3.3 4.9 12 0.7 0.7 0.7 27 4.5 3.9 5.1 13 1 0.4 1.7 28 4.7 3.8 5.2 14 1.3 0.2 1.9 29 4.9 4 5.7 0.90 13w0d 3.00 21w0d 4.60 29w0d 6.10 37w0d 14w0d 3.20 22w0d 4.80 30w0d 6.20 38w0d 15w0d 3.60 23w0d 5.10 31w0d 6.40 39w0d Merz, E., et al. “Ultrasonic Mensuration of Fetal Limb Bones in the Second and Third Trimesters.” J Clin Ultrasound 15: 175-183, Table 1, March/April 1987 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 15 1.6 0.5 2.7 30 5.1 4.1 5.6 1.00 16 1.9 0.7 2.5 31 5.2 4.6 5.8 1.30 17 2.2 1.5 2.9 32 5.4 4.6 5.9 1.60 16w0d 3.70 24w0d 5.20 32w0d 6.50 40w0d 1.80 17w0d 4.00 25w0d 5.40 33w0d 6.60 41w0d 6.80 42w0d 18 2.4 1.4 2.9 33 5.6 4.9 6.2 19 2.7 1.9 3.5 34 5.7 4.7 6.4 2.20 18w0d 4.20 26w0d 5.70 34w0d 19w0d 4.40 27w0d 5.80 35w0d 20w0d 4.50 28w0d 6.00 36w0d 20 2.9 1.9 3.5 35 5.9 4.8 6.9 2.50 21 3.2 2.4 3.9 36 6 4.9 6.8 2.70 22 3.4 2.5 3.9 37 6.1 5.2 7.1 23 3.6 3 4.3 38 6.2 5.4 6.9 Fetal Growth Table 24 3.9 2.8 4.5 39 6.4 5.8 6.9 25 4.1 3.1 5 40 6.5 5.8 6.9 E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12 0.70 0.40 1.00 27 4.50 4.00 4.90 13 1.00 0.60 1.30 28 4.70 4.20 5.10 14 1.20 0.90 1.60 29 4.90 4.40 5.30 15 1.50 1.20 1.90 30 5.00 4.60 5.50 16 1.80 1.40 2.10 31 5.20 4.80 5.70 17 2.10 1.70 2.40 32 5.40 5.00 5.80 Reference Manual 88 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 18 2.30 2.00 2.70 33 5.60 5.10 6.00 19 2.5 2.0 3.0 34 5.7 5.2 6.2 19 2.60 2.20 3.00 34 5.70 5.30 6.20 20 2.7 2.2 3.3 35 5.8 5.3 6.4 20 2.80 2.50 3.20 35 5.90 5.40 6.30 21 3.0 2.5 3.5 36 6.0 5.5 6.5 21 3.10 2.70 3.50 36 6.00 5.60 6.50 22 3.2 2.7 3.8 37 6.1 5.6 6.7 22 3.30 2.90 3.70 37 6.20 5.70 6.60 23 3.5 3.0 4.0 38 6.3 5.8 6.8 23 3.60 3.20 4.00 38 6.30 5.90 6.80 24 3.7 3.2 4.2 39 6.4 5.9 6.9 24 3.80 3.40 4.20 39 6.40 6.00 6.90 25 4.0 3.4 4.5 40 6.6 6.1 7.1 25 4.00 3.60 4.40 40 6.60 6.10 7.00 26 4.2 3.7 4.7 26 4.20 3.80 4.60 Thorax Transverse Diameter (TTD) : HANSMANN Tibia (TIB) : HANSMANN GA Table Fetal Growth Table Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.182 Hansmann, Hackeloer, Staudach, Wittman “Ultrasound Diagnosis in Obstetrics and Gynecology” Springer-Verlag, New York, 1986 Meas (cm) Age (wd) Meas (cm) Age (wd) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 1.7 12w0d 6.5 27w0d 12 0.7 0.7 0.7 27 4.4 3.9 4.9 2.0 13w0d 6.9 28w0d 13 1.0 1.0 1.0 28 4.6 4.1 5.1 2.4 14w0d 7.2 29w0d 14 1.2 0.7 1.7 29 4.8 4.3 5.3 2.7 15w0d 7.4 30w0d 15 1.5 0.9 2.0 30 5.0 4.5 5.5 3.1 16w0d 7.8 31w0d 16 1.7 1.2 2.2 31 5.2 4.7 5.7 3.4 17w0d 8.1 32w0d 17 2.0 1.5 2.5 32 5.4 4.8 5.9 3.7 18w0d 8.3 33w0d 18 2.2 1.7 2.7 33 5.5 5.0 6.0 4.0 19w0d 8.6 34w0d Reference Manual 89 Meas (cm) Age (wd) Meas (cm) Age (wd) Age (w) Meas (cm) Min (cm) Max (cm) Age (W) Growth (cm) Min (cm) Max (cm) 4.4 20w0d 8.9 35w0d 23 5.30 4.80 6.00 38 9.70 8.70 10.80 4.7 21w0d 9.2 36w0d 24 5.60 5.00 6.30 39 9.90 8.90 11.10 5.0 22w0d 9.4 37w0d 25 5.90 5.30 6.70 40 10.10 9.10 11.40 5.3 23w0d 9.7 38w0d 26 6.20 5.60 7.00 41 10.20 9.20 11.70 5.6 24w0d 9.9 39w0d 5.9 25w0d 10.1 40w0d 6.2 26w0d Cerebellum (CEREB) : HILL GA Table Fetal Growth Table Hill LM, David G, Fries J, Hixson J, Dawn R. "The Transverse Cerebellar Diameter in Estimating Gestational Age in the Large for Gestational Age Fetus" Obstetrics and Gynecology,75:981-985, June 1990 Hansmann, Hackeloer, Staudach, Wittman “Ultrasound Diagnosis in Obstetrics and Gynecology” Springer-Verlag, New York, 1986 Age (w) Meas (cm) Min (cm) Max (cm) Age (W) Growth (cm) Min (cm) Max (cm) Meas (cm) Age (wd) ±2 SD (wd) Meas (cm) Age (wd) ±2 SD (wd) 12 1.70 1.70 1.70 27 6.50 5.90 7.30 1.4 15w1d 1w0d 3.5 29w3d 2w0d 13 2.00 2.00 2.00 28 6.90 6.20 7.70 1.5 15w6d 1w0d 3.6 30w0d 2w3d 1.6 16w4d 1w0d 3.7 30w4d 2w3d 14 2.40 2.00 2.80 29 7.20 6.40 8.00 15 2.70 2.30 3.10 30 7.40 6.70 8.30 1.7 17w1d 1w0d 3.8 31w1d 2w3d 1.8 17w6d 1w0d 3.9 31w6d 2w3d 16 3.10 2.70 3.50 31 7.80 7.00 8.60 17 3.40 3.00 3.80 32 8.10 7.30 8.90 1.9 18w4d 1w6d 4.0 32w2d 2w3d 19w2d 1w6d 4.1 32w6d 2w3d 20w0d 1w6d 4.2 33w3d 2w3d 18 3.70 3.30 4.20 33 8.30 7.50 9.30 2.0 19 4.00 3.60 4.60 34 8.60 7.80 9.60 2.1 20 4.40 3.90 4.90 35 8.90 8.00 9.90 2.2 20w5d 1w6d 4.3 33w6d 2w3d 2.3 21w3d 1w6d 4.4 34w3d 2w3d 21 4.70 4.20 5.30 36 9.20 8.30 10.20 22 5.00 4.50 5.60 37 9.40 8.50 10.50 2.4 22w1d 1w6d 4.5 34w6d 2w3d 2.5 22w6d 1w6d 4.6 35w2d 2w3d Reference Manual 90 Meas (cm) Age (wd) ±2 SD (wd) Meas (cm) Age (wd) ±2 SD (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) CEREB (cm) GA (wd) 5% (wd) 95% (wd) 2.6 23w4d 1w6d 4.7 35w5d 2w3d 2.10 21w1d 19w4d 22w6d 3.30 30w2d 26w4d 34w4d 2.7 24w1d 2w0d 4.8 36w1d 3w1d 2.20 22w0d 20w2d 23w5d 3.40 31w0d 26w6d 35w5d 2.8 24w6d 2w0d 4.9 36w4d 3w1d 2.30 22w5d 21w0d 24w4d 3.50 31w5d 27w2d 36w6d 2.40 23w4d 21w5d 25w4d 3.60 32w3d 27w4d 38w1d 2.9 25w4d 2w0d 5.0 36w6d 3w1d 3.0 26w1d 2w0d 5.1 37w1d 3w1d 3.1 26w6d 2w0d 5.2 37w4d 3w1d 3.2 27w4d 2w0d 5.4 38w0d 3w1d 3.3 28w1d 2w0d 5.5 38w2d 3w1d 3.4 28w6d 2w0d 5.6 38w4d 3w1d Cerebellum (CEREB) : CHITTY GA Table D.G. Altman, L.S. Chitty. "New Charts for Ultrasound Dating of Pregnancy" Ultrasound in Obstetrics and Gynecology, Vol.10, p174-191, 1997 Cerebellum (CEREB) : GOLDSTEIN Fetal Growth Table Cerebellar measurements with ultrasonography in the evaluation of fetal growth and development. AM J. Obstet. Gynecol. 156:1065-1069, 1987 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (W) Growth (cm) 10% (cm) 90% (cm) 15 1.40 1.00 1.60 28 3.10 2.70 3.40 16 1.60 1.40 1.70 29 3.40 2.90 3.80 17 1.70 1.60 1.80 30 3.50 3.10 4.00 1.80 1.70 1.90 31 3.80 3.20 4.30 Meas (cm) Age (wd) 5% (wd) 95% (wd) CEREB (cm) GA (wd) 5% (wd) 95% (wd) 18 19 1.90 1.80 2.20 32 3.80 3.30 4.20 1.30 14w3d 13w1d 16w0d 2.50 24w2d 22w2d 26w3d 20 2.00 1.80 2.20 33 4.00 3.20 4.40 1.40 15w2d 14w0d 16w6d 2.60 25w0d 23w0d 27w3d 21 2.20 1.90 2.40 34 4.00 3.30 4.40 1.50 16w2d 14w6d 17w5d 2.70 25w6d 23w4d 28w2d 22 2.30 2.10 2.40 35 4.05 3.10 4.70 1.60 17w0d 15w4d 18w4d 2.80 26w4d 24w1d 29w2d 23 2.40 2.20 2.60 36 4.30 3.60 5.50 1.70 17w6d 16w3d 19w3d 2.90 27w2d 24w5d 30w2d 24 2.50 2.20 2.80 37 4.50 3.70 5.50 1.80 18w5d 17w2d 20w2d 3.00 28w0d 25w1d 31w2d 25 2.80 2.30 2.90 38 4.85 4.00 5.50 1.90 19w4d 18w0d 21w1d 3.10 28w6d 25w5d 32w2d 26 2.90 2.50 3.20 39 5.20 5.20 5.50 2.00 20w3d 18w6d 22w0d 3.20 29w4d 26w1d 33w3d 27 3.00 2.60 3.20 Reference Manual 91 Cerebellum (CEREB) : NICOLAIDES Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Fetal Growth Table 16w6d 1.60 1.40 1.80 29w6d 3.30 3.00 3.70 Snijders RJ, Nicolaides KH. "Fetal biometry at 14-40 weeks' gestation" Ultrasound in obstetrics and Gynecology, 1994 Jan 1; 4(1): 34-48 17w0d 1.70 1.50 1.90 30w0d 3.50 3.10 3.90 17w1d 1.70 1.50 1.90 30w1d 3.50 3.10 3.90 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 17w2d 1.70 1.50 1.90 30w2d 3.50 3.10 3.90 17w3d 1.70 1.50 1.90 30w3d 3.50 3.10 3.90 14w0d 1.40 1.20 1.50 27w0d 3.10 2.70 3.40 17w4d 1.70 1.50 1.90 30w4d 3.50 3.10 3.90 14w1d 1.40 1.20 1.50 27w1d 3.10 2.70 3.40 17w5d 1.70 1.50 1.90 30w5d 3.50 3.10 3.90 14w2d 1.40 1.20 1.50 27w2d 3.10 2.70 3.40 17w6d 1.70 1.50 1.90 30w6d 3.50 3.10 3.90 14w3d 1.40 1.20 1.50 27w3d 3.10 2.70 3.40 18w0d 1.80 1.60 2.10 31w0d 3.60 3.20 4.00 14w4d 1.40 1.20 1.50 27w4d 3.10 2.70 3.40 18w1d 1.80 1.60 2.10 31w1d 3.60 3.20 4.00 14w5d 1.40 1.20 1.50 27w5d 3.10 2.70 3.40 18w2d 1.80 1.60 2.10 31w2d 3.60 3.20 4.00 14w6d 1.40 1.20 1.50 27w6d 3.10 2.70 3.40 18w3d 1.80 1.60 2.10 31w3d 3.60 3.20 4.00 15w0d 1.50 1.30 1.70 28w0d 3.20 2.90 3.60 18w4d 1.80 1.60 2.10 31w4d 3.60 3.20 4.00 15w1d 1.50 1.30 1.70 28w1d 3.20 2.90 3.60 18w5d 1.80 1.60 2.10 31w5d 3.60 3.20 4.00 15w2d 1.50 1.30 1.70 28w2d 3.20 2.90 3.60 18w6d 1.80 1.60 2.10 31w6d 3.60 3.20 4.00 15w3d 1.50 1.30 1.70 28w3d 3.20 2.90 3.60 19w0d 2.00 1.70 2.20 32w0d 3.70 3.40 4.20 15w4d 1.50 1.30 1.70 28w4d 3.20 2.90 3.60 19w1d 2.00 1.70 2.20 32w1d 3.70 3.40 4.20 15w5d 1.50 1.30 1.70 28w5d 3.20 2.90 3.60 19w2d 2.00 1.70 2.20 32w2d 3.70 3.40 4.20 15w6d 1.50 1.30 1.70 28w6d 3.20 2.90 3.60 19w3d 2.00 1.70 2.20 32w3d 3.70 3.40 4.20 16w0d 1.60 1.40 1.80 29w0d 3.30 3.00 3.70 19w4d 2.00 1.70 2.20 32w4d 3.70 3.40 4.20 16w1d 1.60 1.40 1.80 29w1d 3.30 3.00 3.70 19w5d 2.00 1.70 2.20 32w5d 3.70 3.40 4.20 16w2d 1.60 1.40 1.80 29w2d 3.30 3.00 3.70 19w6d 2.00 1.70 2.20 32w6d 3.70 3.40 4.20 16w3d 1.60 1.40 1.80 29w3d 3.30 3.00 3.70 20w0d 2.10 1.90 2.40 33w0d 3.90 3.50 4.30 16w4d 1.60 1.40 1.80 29w4d 3.30 3.00 3.70 20w1d 2.10 1.90 2.40 33w1d 3.90 3.50 4.30 16w5d 1.60 1.40 1.80 29w5d 3.30 3.00 3.70 Reference Manual 92 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 20w2d 2.10 1.90 2.40 33w2d 3.90 3.50 4.30 23w6d 2.50 2.20 2.80 36w6d 4.20 3.80 4.70 20w3d 2.10 1.90 2.40 33w3d 3.90 3.50 4.30 24w0d 2.60 2.40 3.00 37w0d 4.30 3.90 4.80 20w4d 2.10 1.90 2.40 33w4d 3.90 3.50 4.30 24w1d 2.60 2.40 3.00 37w1d 4.30 3.90 4.80 20w5d 2.10 1.90 2.40 33w5d 3.90 3.50 4.30 24w2d 2.60 2.40 3.00 37w2d 4.30 3.90 4.80 20w6d 2.10 1.90 2.40 33w6d 3.90 3.50 4.30 24w3d 2.60 2.40 3.00 37w3d 4.30 3.90 4.80 21w0d 2.20 2.00 2.50 34w0d 4.00 3.60 4.40 24w4d 2.60 2.40 3.00 37w4d 4.30 3.90 4.80 21w1d 2.20 2.00 2.50 34w1d 4.00 3.60 4.40 24w5d 2.60 2.40 3.00 37w5d 4.30 3.90 4.80 21w2d 2.20 2.00 2.50 34w2d 4.00 3.60 4.40 24w6d 2.60 2.40 3.00 37w6d 4.30 3.90 4.80 21w3d 2.20 2.00 2.50 34w3d 4.00 3.60 4.40 25w0d 2.80 2.50 3.10 38w0d 4.40 4.00 4.90 21w4d 2.20 2.00 2.50 34w4d 4.00 3.60 4.40 25w1d 2.80 2.50 3.10 38w1d 4.40 4.00 4.90 21w5d 2.20 2.00 2.50 34w5d 4.00 3.60 4.40 25w2d 2.80 2.50 3.10 38w2d 4.40 4.00 4.90 21w6d 2.20 2.00 2.50 34w6d 4.00 3.60 4.40 25w3d 2.80 2.50 3.10 38w3d 4.40 4.00 4.90 22w0d 2.40 2.10 2.70 35w0d 4.10 3.70 4.60 25w4d 2.80 2.50 3.10 38w4d 4.40 4.00 4.90 22w1d 2.40 2.10 2.70 35w1d 4.10 3.70 4.60 25w5d 2.80 2.50 3.10 38w5d 4.40 4.00 4.90 22w2d 2.40 2.10 2.70 35w2d 4.10 3.70 4.60 25w6d 2.80 2.50 3.10 38w6d 4.40 4.00 4.90 22w3d 2.40 2.10 2.70 35w3d 4.10 3.70 4.60 26w0d 2.90 2.60 3.30 39w0d 4.50 4.10 5.10 22w4d 2.40 2.10 2.70 35w4d 4.10 3.70 4.60 26w1d 2.90 2.60 3.30 39w1d 4.50 4.10 5.10 22w5d 2.40 2.10 2.70 35w5d 4.10 3.70 4.60 26w2d 2.90 2.60 3.30 39w2d 4.50 4.10 5.10 22w6d 2.40 2.10 2.70 35w6d 4.10 3.70 4.60 26w3d 2.90 2.60 3.30 39w3d 4.50 4.10 5.10 23w0d 2.50 2.20 2.80 36w0d 4.20 3.80 4.70 26w4d 2.90 2.60 3.30 39w4d 4.50 4.10 5.10 23w1d 2.50 2.20 2.80 36w1d 4.20 3.80 4.70 26w5d 2.90 2.60 3.30 39w5d 4.50 4.10 5.10 23w2d 2.50 2.20 2.80 36w2d 4.20 3.80 4.70 26w6d 2.90 2.60 3.30 39w6d 4.50 4.10 5.10 23w3d 2.50 2.20 2.80 36w3d 4.20 3.80 4.70 23w4d 2.50 2.20 2.80 36w4d 4.20 3.80 4.70 23w5d 2.50 2.20 2.80 36w5d 4.20 3.80 4.70 Reference Manual 93 Ulna : JEANTY Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) GA Table 2.90 20w6d 17w5d 23w6d 5.70 35w6d 32w6d 38w6d Jeanty et al,. "Estimation of Gestational Age from Measurements of Fetal Long Bones" Journal of Ultrasound in Medicine, February 1984. Vol 3. Pp75-79 3.00 21w1d 18w1d 24w2d 5.80 36w3d 33w3d 39w4d 3.10 21w5d 18w4d 24w6d 5.90 37w1d 34w0d 40w1d Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 3.20 22w1d 19w1d 25w1d 6.00 37w5d 34w4d 40w6d 3.30 22w5d 19w4d 25w5d 6.10 38w2d 35w2d 41w3d 1.00 13w1d 10w1d 16w1d 3.80 25w1d 22w1d 28w1d 3.40 23w1d 20w1d 26w1d 6.20 39w0d 35w6d 42w0d 1.10 13w4d 10w4d 16w4d 3.90 25w4d 22w4d 28w5d 3.50 23w4d 20w4d 26w5d 6.30 39w4d 36w4d 42w5d 1.20 13w6d 10w6d 16w6d 4.00 26w1d 23w1d 29w1d 3.60 24w1d 21w1d 27w1d 6.40 40w2d 37w1d 43w2d 1.30 14w1d 11w1d 17w2d 4.10 26w5d 23w4d 29w5d 3.70 24w4d 21w4d 27w5d 1.40 14w4d 11w4d 17w5d 4.20 27w1d 24w1d 30w2d 1.50 15w0d 11w6d 18w0d 4.30 27w5d 24w5d 30w6d 1.60 15w3d 12w2d 18w3d 4.40 28w2d 25w1d 31w2d 1.70 15w5d 12w5d 18w6d 4.50 28w6d 25w6d 31w6d 1.80 16w1d 13w1d 19w1d 4.60 29w3d 26w2d 32w3d 1.90 16w4d 13w4d 19w4d 4.70 29w6d 26w6d 33w0d 2.00 16w6d 13w6d 20w0d 4.80 30w4d 27w3d 33w4d 2.10 17w2d 14w2d 20w3d 4.90 31w1d 28w0d 34w1d 2.20 17w5d 14w5d 20w6d 5.00 31w4d 28w4d 34w5d 2.30 18w1d 15w1d 21w1d 5.10 32w1d 29w1d 35w2d 2.40 18w4d 15w4d 21w4d 5.20 32w6d 29w5d 35w6d 2.50 19w0d 16w0d 22w1d 5.30 33w3d 30w2d 36w3d 2.60 19w3d 16w3d 22w4d 5.40 34w0d 30w6d 37w0d 2.70 19w6d 16w6d 22w6d 5.50 34w4d 31w4d 37w5d 2.80 20w2d 17w2d 23w3d 5.60 35w1d 32w1d 38w2d Reference Manual 94 Fetal Growth Table Ulna : MERZ Jeanty, P. "Fetal Limb Biometry" (Letter) Radiology, 147:602, 1983 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.5 0.5 0.5 26 4.1 3.4 4.4 12 0.8 0.8 0.8 27 4.3 3.7 4.8 13 1.1 0.3 1.8 28 4.4 3.7 4.8 14 1.3 0.4 1.7 29 4.6 4.0 5.1 15 1.6 1.0 2.2 30 4.7 3.8 5.4 16 1.9 0.8 2.4 31 4.9 3.9 5.9 17 2.1 1.1 3.2 32 5.0 4.0 5.8 18 2.4 1.3 3.0 33 5.2 4.3 Fetal Growth Table E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (W) Growth (cm) 5% (cm) 95% (cm) 12 0.6 0.3 0.9 27 4.3 3.9 4.7 13 0.9 0.5 1.2 28 4.5 4.1 4.9 14 1.2 0.8 1.5 29 4.7 4.3 5.1 15 1.4 1.1 1.8 30 4.8 4.4 5.2 16 1.7 1.4 2.1 31 5.0 4.6 5.4 6.0 17 2.0 1.7 2.3 32 5.1 4.7 5.5 18 2.3 1.9 2.6 33 5.3 4.9 5.7 19 2.5 2.2 2.9 34 5.4 5.0 5.8 20 2.8 2.4 3.1 35 5.5 5.1 6.0 21 3.0 2.7 3.4 36 5.6 5.2 6.1 22 3.3 2.9 3.6 37 5.7 5.3 6.2 23 3.5 3.1 3.9 38 5.8 5.4 6.3 19 2.6 2.0 3.2 34 5.3 4.4 5.9 20 2.9 2.1 3.2 35 5.4 4.7 6.1 21 3.1 2.5 3.6 36 5.5 4.7 6.1 22 3.3 2.4 3.7 37 5.6 4.9 6.2 23 3.5 2.7 4.3 38 5.7 4.8 6.3 24 3.7 2.9 4.1 39 5.7 4.9 6.6 24 3.7 3.3 4.1 39 5.9 5.5 6.4 25 3.9 3.4 4.4 40 5.8 5.0 6.5 25 3.9 3.5 4.3 40 6.0 5.6 6.5 26 4.1 3.7 4.5 Reference Manual 95 Ulna : HANSMANN Head Circumference (HC) : KOREAN Fetal Growth Table GA Table Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.183 Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 GA = HC x 1.43245 – 0.010208 x HC2 – 0.342015 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12 0.7 0.7 0.7 27 4.4 3.9 4.9 Input Unit : cm 13 1.0 0.5 1.5 28 4.6 4.1 5.1 Min Range : 7.4 cm 14 1.3 0.8 1.8 29 4.8 4.3 5.3 Max Range : 35.4 cm 15 1.6 1.1 2.1 30 4.9 4.4 5.4 16 1.8 1.3 2.3 31 5.1 4.6 5.6 Fetal Growth Table 17 2.1 1.6 2.6 32 5.3 4.8 5.8 18 2.4 1.9 2.9 33 5.4 4.9 5.9 Y.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gestational Age in Ultrasound” Korean Ultrasound Institute, Vol. 14, No.2, 1995 19 2.6 2.1 3.1 34 5.6 5.1 6.1 20 2.9 2.4 3.4 35 5.7 5.2 6.2 21 3.1 2.6 3.6 36 5.8 5.3 6.3 22 3.3 2.8 3.8 37 6.0 5.5 6.5 23 3.6 3.1 4.1 38 6.1 5.6 6.6 24 3.8 3.3 4.3 39 6.2 5.7 6.7 25 4.0 3.5 4.5 40 6.3 5.8 6.8 26 4.2 3.7 4.7 Output Unit : w(weeks) Output Unit : cm Input Unit : w(week) Min Range : 12w Max Range : 40w Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) Age (w) Meas (cm) ±SD (cm) 12 7.246 0.791 28 25.989 0.870 38 33.522 0.297 16 12.505 0.746 32 29.231 0.798 40 37.283 1.389 20 17.188 0.743 34 30.578 0.771 24 21.522 1.250 36 32.239 0.577 Reference Manual 96 Fetal Growth Table Head Circumference (HC) : HANSMANN Hansmann, Hackeloer, Staudach, Wittman "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer- Verlag, New York, 1986, p.176. GA Table Hansmann, Hackeloer, Staudach, Wittman. "Ultrasound Diagnosis in Obsterics and Gynecology." Springer-Verlag, New York, 1986, p431. Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 10 5 2.6 7.4 26 24.2 21.8 26.6 11 6.3 3.8 8.7 27 25.2 22.8 27.7 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 10.6 14w0d 21.5 23w0d 31.1 32w0d 12 7.5 5.1 10.0 28 26.2 23.8 28.6 8.8 6.4 11.2 29 27.1 24.7 29.6 11.5 15w0d 22.6 24w0d 31.8 33w0d 13 12.7 16w0d 24.0 25w0d 32.5 34w0d 14 10.1 7.6 12.5 30 28.1 25.6 30.5 11.3 8.9 13.8 31 28.9 26.5 31.3 14.0 17w0d 25.1 26w0d 33.2 35w0d 15 15.2 18w0d 26.3 27w0d 33.7 36w0d 16 12.6 10.1 15.0 32 29.7 27.3 32.2 13.8 11.4 16.3 33 30.5 28.1 32.9 16.4 19w0d 27.4 28w0d 34.0 37w0d 17 17.6 20w0d 28.4 29w0d 34.4 38w0d 18 15.1 12.6 17.5 34 31.2 28.8 33.6 19.0 21w0d 29.3 30w0d 34.7 39w0d 19 16.3 13.8 18.7 35 31.9 29.4 34.3 40w0d 20 17.5 15.0 19.9 36 32.5 30.0 34.9 21 18.7 16.2 21.1 37 33.0 30.6 35.5 22 19.8 17.4 22.3 38 33.5 31.1 35.9 23 21.0 18.5 23.4 39 33.9 31.5 36.4 24 22.1 19.6 24.5 40 34.3 31.9 36.7 25 23.2 20.7 25.6 20.3 22w0d 30.3 31w0d 34.9 Reference Manual 97 Head Circumference (HC) : HADLOCK Head Circumference (HC) : MERZ GA Table GA Table Frank P. Hadlock, Russell L.Deter, Ronald B. Harrist, Seung K. Park,. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters" Radiology, 1984; 152:497501. E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Text book and Atlas, 1991 Georg Thieme Verlag, 308-338 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Output Unit : w(weeks) 7.2 12w1d 11w0d 13w1d 22.0 23w2d 21w4d 25w0d Input Unit : cm 7.4 12w2d 11w1d 13w4d 22.2 23w4d 21w6d 25w1d Min Range : 5.5 cm 7.6 12w3d 11w1d 13w4d 22.4 23w4d 21w6d 25w2d Max Range : 35.7 cm 7.8 12w4d 11w2d 13w5d 22.6 23w6d 22w1d 25w4d Standard Deviation : 8.0 12w5d 11w4d 13w6d 22.8 24w0d 22w1d 25w6d GA = 8.96 + 0.54 x HC + 0.0003 x HC3 Min Range(w) Max Range(w) ±2 SD(w) 8.2 12w6d 11w4d 14w0d 23.0 24w1d 22w3d 26w0d 12 18 1.19 8.4 12w6d 11w5d 14w1d 23.2 24w3d 22w4d 26w1d 18 24 1.48 8.6 13w1d 11w6d 14w2d 23.4 24w4d 22w5d 26w2d 24 30 2.06 8.8 13w1d 12w0d 14w3d 23.6 24w5d 22w6d 26w4d 30 36 2.98 9.0 13w2d 12w1d 14w4d 23.8 24w6d 23w1d 26w5d 36 42 2.70 9.2 13w4d 12w2d 14w5d 24.0 25w1d 23w2d 26w6d 9.4 13w4d 12w3d 14w6d 24.2 25w2d 23w4d 27w1d Fetal Growth Table 9.6 13w5d 12w4d 14w6d 24.4 25w4d 23w5d 27w2d Hadlock, F., Deter, R.L., Harrist, R.B., Park, S.K. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters" Radiology, 1984, 152: 497-501. 9.8 13w6d 12w5d 15w1d 24.6 25w5d 23w6d 27w4d 10.0 14w0d 12w6d 15w1d 24.8 25w6d 24w1d 27w5d 10.2 14w1d 12w6d 15w4d 25.0 26w0d 24w1d 27w6d 10.4 14w2d 13w0d 15w4d 25.2 26w1d 24w3d 28w0d 10.6 14w3d 13w1d 15w5d 25.4 26w3d 24w4d 28w1d 10.8 14w4d 13w2d 15w6d 25.6 26w4d 24w6d 28w3d Equation = 1.56 x MA – 0.0002548 x MA3 – 11.48 Output Unit : cm Input Unit : w(weeks) Min Range : 12w Max Range : 40w Standard Deviation : 2SD = 2.00cm Reference Manual 98 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 11.0 14w5d 13w3d 16w0d 25.8 26w6d 25w0d 28w4d 15.8 18w1d 16w5d 19w5d 30.6 32w1d 30w1d 34w1d 11.2 14w6d 13w4d 16w1d 26.0 27w0d 25w1d 28w6d 16.0 18w3d 16w6d 19w6d 30.8 32w2d 30w2d 34w2d 11.4 15w0d 13w5d 16w2d 26.2 27w1d 25w3d 29w0d 16.2 18w4d 17w0d 20w0d 31.0 32w4d 30w4d 34w4d 11.6 15w1d 13w6d 16w3d 26.4 27w3d 25w4d 29w1d 16.4 18w5d 17w1d 20w1d 31.2 32w6d 30w6d 34w6d 11.8 15w2d 14w0d 16w4d 26.6 27w4d 25w6d 29w3d 16.6 18w6d 17w2d 20w2d 31.4 33w1d 31w1d 35w1d 12.0 15w3d 14w1d 16w5d 26.8 27w6d 26w0d 29w4d 16.8 19w0d 17w4d 20w4d 31.6 33w3d 31w3d 35w3d 12.2 15w4d 14w1d 17w0d 27.0 28w1d 26w1d 30w0d 17.0 19w1d 17w4d 20w4d 31.8 33w4d 31w4d 35w4d 12.4 15w5d 14w2d 17w1d 27.2 28w2d 26w3d 30w1d 17.2 19w2d 17w6d 20w6d 32.0 33w6d 31w6d 36w0d 12.6 15w6d 14w3d 17w1d 27.4 28w4d 26w4d 30w3d 17.4 19w3d 17w6d 20w6d 32.2 34w1d 32w0d 36w1d 12.8 16w0d 14w4d 17w3d 27.6 28w5d 26w6d 30w4d 17.6 19w4d 18w0d 21w1d 32.4 34w3d 32w2d 36w4d 13.0 16w1d 14w5d 17w4d 27.8 28w6d 27w0d 30w6d 17.8 19w6d 18w1d 21w3d 32.6 34w5d 32w4d 36w6d 13.2 16w2d 14w6d 17w5d 28.0 29w1d 27w1d 31w0d 18.0 19w6d 18w2d 21w4d 32.8 34w6d 32w6d 37w0d 13.4 16w3d 15w0d 17w6d 28.2 29w2d 27w3d 31w1d 18.2 20w1d 18w4d 21w5d 33.0 35w1d 33w1d 37w2d 13.6 16w4d 15w1d 18w0d 28.4 29w4d 27w5d 31w4d 18.4 20w1d 18w4d 21w6d 33.2 35w4d 33w2d 37w5d 13.8 16w5d 15w2d 18w1d 28.6 29w6d 27w6d 31w5d 18.6 20w3d 18w6d 22w0d 33.4 35w6d 33w4d 38w0d 14.0 16w6d 15w4d 18w2d 28.8 30w0d 28w1d 31w6d 18.8 20w4d 19w0d 22w1d 33.6 36w1d 33w6d 38w2d 14.2 17w0d 15w4d 18w3d 29.0 30w1d 28w2d 32w1d 19.0 20w5d 19w1d 22w2d 33.8 36w3d 34w1d 38w4d 14.4 17w1d 15w6d 18w4d 29.2 30w4d 28w4d 32w3d 19.2 20w6d 19w2d 22w4d 34.0 36w4d 34w3d 38w6d 14.6 17w2d 15w6d 18w5d 29.4 30w5d 28w6d 32w4d 19.4 21w1d 19w4d 22w5d 34.2 36w6d 34w5d 39w1d 14.8 17w4d 16w0d 19w0d 29.6 30w6d 29w0d 32w6d 19.6 21w1d 19w4d 22w6d 34.4 37w1d 35w0d 39w3d 15.0 17w4d 16w1d 19w1d 29.8 31w1d 29w1d 33w0d 19.8 21w3d 19w5d 23w0d 34.6 37w4d 35w2d 39w5d 15.2 17w6d 16w2d 19w2d 30.0 31w3d 29w3d 33w3d 20.0 21w4d 19w6d 23w2d 34.8 37w6d 35w4d 40w1d 15.4 17w6d 16w3d 19w3d 30.2 31w4d 29w4d 33w4d 20.2 21w5d 20w0d 23w3d 35.0 38w1d 35w6d 40w4d 15.6 18w1d 16w4d 19w4d 30.4 31w6d 29w6d 33w6d 20.4 21w6d 20w1d 23w4d 35.2 38w4d 36w1d 40w6d Reference Manual 99 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 20.6 22w1d 20w3d 23w6d 35.4 38w6d 36w4d 41w1d 23 21.7 20.1 23.3 38 34.9 33.1 36.8 20.8 22w1d 20w4d 23w6d 35.6 39w1d 36w6d 41w3d 24 22.8 21.2 24.5 39 35.5 33.7 37.5 21.0 22w3d 20w5d 24w1d 35.8 39w4d 37w1d 41w6d 25 23.9 22.3 25.6 40 36.1 34.3 38.1 21.2 22w4d 20w6d 24w2d 36.0 39w6d 37w4d 42w1d 26 24.9 23.3 26.6 21.4 22w5d 21w0d 24w3d 36.2 40w1d 37w6d 42w3d 21.6 22w6d 21w1d 24w4d 36.4 40w4d 38w1d 42w6d 21.8 23w1d 21w3d 24w6d Head Circumference (HC) : CHITTY (D) GA Table Fetal Growth Table E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) D.G. Altman, L.S. Chitty. "New Charts for Ultrasound Dating of Pregnancy" Ultrasound in Obstetrics and Gynecology, Vol.10, p174-191, 1997 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 8.00 12w4d 11w3d 13w5d 20.50 22w5d 21w3d 24w2d 12w6d 11w6d 14w1d 21.00 23w1d 21w5d 24w5d 12 7.6 6.3 9.0 27 25.9 24.3 27.7 8.50 13 9.0 7.7 10.4 28 26.9 25.3 28.7 9.00 13w2d 12w2d 14w4d 21.50 23w4d 22w1d 25w1d 14 10.4 9.0 11.8 29 27.9 26.2 29.6 9.50 13w5d 12w4d 15w0d 22.00 24w0d 22w4d 25w5d 14w1d 13w0d 15w3d 22.50 24w3d 22w6d 26w1d 15 11.7 10.4 13.2 30 28.8 27.1 30.6 10.00 16 13.1 11.7 14.6 31 29.6 27.9 31.5 10.50 14w4d 13w3d 15w5d 23.00 24w6d 23w2d 26w5d 11.00 15w0d 13w6d 16w1d 23.50 25w3d 23w5d 27w1d 11.50 15w3d 14w2d 16w4d 24.00 25w6d 24w1d 27w5d 12.00 15w6d 14w5d 17w0d 24.50 26w2d 24w3d 28w2d 12.50 16w2d 15w1d 17w3d 25.00 26w5d 24w6d 28w6d 13.00 16w4d 15w4d 17w6d 25.50 27w2d 25w2d 29w3d 13.50 17w0d 15w6d 18w2d 26.00 27w5d 25w5d 30w0d 14.00 17w3d 16w2d 18w5d 26.50 28w2d 26w1d 30w4d 17 14.4 13.0 15.9 32 30.5 28.8 32.3 18 15.7 14.2 17.2 33 31.3 29.6 33.2 19 16.9 15.5 18.5 34 32.1 30.3 34.0 20 18.2 16.7 19.7 35 32.8 31.1 34.7 21 19.4 17.9 21 36 33.6 31.8 35.5 22 20.5 19.0 22.2 37 34.2 32.4 36.2 Reference Manual 100 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 14.50 17w6d 16w5d 19w1d 27.00 28w6d 26w4d 31w2d 19 16.20 15.14 17.27 35 31.87 30.32 33.41 15.00 18w2d 17w1d 19w3d 27.50 29w3d 27w0d 32w0d 20 17.45 16.35 18.54 36 32.48 30.90 34.05 15.50 18w5d 17w4d 19w6d 28.00 30w0d 27w3d 32w4d 21 18.66 17.54 19.79 37 33.04 31.44 34.64 16.00 19w1d 17w6d 20w2d 28.50 30w4d 27w6d 33w3d 22 19.85 18.69 21.00 38 33.55 31.92 35.18 16.50 19w3d 18w2d 20w5d 29.00 31w1d 28w3d 34w1d 23 21.00 19.81 22.19 39 34.00 32.34 35.67 17.00 19w6d 18w5d 21w1d 29.50 31w5d 28w6d 35w0d 24 22.12 20.91 23.34 40 34.40 32.71 36.10 17.50 20w2d 19w1d 21w4d 30.00 32w3d 29w3d 35w6d 25 23.21 21.96 24.45 41 34.74 33.02 36.47 18.00 20w5d 19w3d 22w0d 30.50 33w1d 30w0d 36w5d 26 24.26 22.98 25.53 42 35.03 33.27 36.78 18.50 21w1d 19w6d 22w3d 31.00 33w6d 30w3d 37w4d 27 25.27 23.97 26.58 19.00 21w4d 20w2d 22w6d 31.50 34w4d 31w0d 38w4d 19.50 22w0d 20w4d 23w2d 32.00 35w3d 31w5d 39w4d 20.00 22w2d 21w0d 23w5d Head Circumference (HC) : CHITTY (M) GA Table Fetal Growth Table L.S. Chitty, D.G. Altman, S. Campbell, "Charts of Fetal Size: 2. Head Measurement" British Journal of Obstetrics and Gynaecology, January 1994. Vol 101. Pp35-43 D.G. Altman, L.S. Chitty. "New Charts for Ultrasound Dating of Pregnancy" Ultrasound in Obstetrics and Gynecology, Vol.10, p174-191, 1997 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 8.50 12w6d 12w1d 13w4d 21.00 22w6d 21w2d 24w4d 9.00 13w2d 12w4d 14w0d 21.50 23w2d 21w5d 25w0d Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 12 6.81 5.96 7.67 28 26.25 24.91 27.58 13 8.22 7.33 9.11 29 27.18 25.82 28.55 9.50 13w5d 12w6d 14w3d 22.00 23w5d 22w0d 25w4d 14w0d 13w2d 14w6d 22.50 24w1d 22w3d 26w0d 14 9.60 8.69 10.52 30 28.07 26.68 29.47 10.00 15 10.97 10.02 11.92 31 28.92 27.50 30.35 10.50 14w3d 13w4d 15w2d 23.00 24w4d 22w6d 26w3d 14w6d 14w0d 15w6d 23.50 25w0d 23w1d 27w0d 16 12.31 11.34 13.29 32 29.73 28.27 31.18 11.00 17 13.64 12.63 14.64 33 30.49 29.00 31.97 11.50 15w2d 14w3d 16w2d 24.00 25w3d 23w4d 27w3d 32.72 12.00 15w5d 14w5d 16w5d 24.50 25w6d 24w0d 28w0d 18 14.93 13.89 15.97 34 31.20 29.69 Reference Manual 101 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 12.50 16w1d 15w1d 17w1d 25.00 26w3d 24w3d 28w3d 13.00 16w3d 15w3d 17w4d 25.50 26w6d 24w6d 29w0d 13.50 16w6d 15w6d 18w0d 26.00 27w3d 25w2d 29w4d 14.00 17w2d 16w1d 18w3d 26.50 27w6d 25w5d 30w1d 14.50 17w5d 16w4d 18w6d 27.00 28w3d 26w2d 30w5d 15.00 18w1d 17w0d 19w2d 27.50 29w0d 26w5d 31w2d 15.50 18w3d 17w2d 19w5d 28.00 29w4d 27w2d 32w0d 16.00 18w6d 17w5d 20w1d 28.50 30w1d 27w5d 32w4d 16.50 19w2d 18w0d 20w4d 29.00 30w5d 28w2d 33w2d 17.00 19w5d 18w3d 21w0d 29.50 31w2d 28w6d 34w0d 17.50 20w0d 18w5d 21w3d 30.00 32w0d 29w3d 34w5d 18.00 20w3d 19w1d 21w6d 30.50 32w5d 30w0d 35w3d 18.50 20w6d 19w3d 22w2d 31.00 33w3d 30w5d 36w2d 19.00 21w2d 19w6d 22w6d 31.50 34w1d 31w2d 37w1d 19.50 21w5d 20w1d 23w2d 32.00 34w6d 32w0d 38w0d 20.00 22w0d 20w4d 23w5d 20.50 22w3d 20w6d 24w1d 32.50 35w5d 32w5d 38w6d Fetal Growth Table L.S. Chitty, D.G. Altman, S. Campbell, "Charts of Fetal Size: 2. Head Measurement" British Journal of Obstetrics and Gynaecology, January 1994. Vol 101. Pp35-43 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 12 6.96 6.13 7.78 28 26.62 25.32 27.91 13 8.37 7.52 9.22 29 27.57 26.24 28.89 14 9.77 8.89 10.65 30 28.48 27.12 29.83 15 11.15 10.24 12.06 31 29.34 27.96 30.73 16 12.51 11.57 13.45 32 30.16 28.75 31.58 17 13.85 12.88 14.81 33 30.94 29.50 32.38 18 15.16 14.16 16.15 34 31.67 30.20 33.14 19 16.44 15.41 17.47 35 32.35 30.85 33.85 20 17.70 16.64 18.76 36 32.98 31.45 34.51 21 18.93 17.84 20.02 37 33.56 32.00 35.12 22 20.13 19.01 21.25 38 34.08 32.49 35.68 23 21.30 20.15 22.44 39 34.56 32.94 36.18 24 22.43 21.26 23.61 40 34.97 33.32 36.62 25 23.53 22.33 24.74 41 35.33 33.65 37.01 26 24.60 23.36 25.83 42 35.63 33.93 37.34 27 25.63 24.36 26.89 Reference Manual 102 Head Circumference (HC) : CAMPBELL Head Circumference (HC) : ASUM(SCW) GA Table GA Table Professor Campbell’s Group at Harris birthright Centre, King’s College Hospital Australasian Society for Ultrasound in Medicine. Meas (cm) Age (wd) ±days (wd) Meas (cm) Age (wd) ±days (wd) Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) 11.50 14w0d 01w3d 27.10 28w0d 02w5d GA = 0.0001797 x (HC x 10)2 + 0.02631 x (HC x 10) + 9.667 12.60 15w0d 01w3d 28.10 29w0d 02w6d Output Unit : w(weeks) 13.70 16w0d 01w4d 29.00 30w0d 03w0d Input Unit : cm 14.80 17w0d 01w5d 29.90 31w0d 03w1d Min Range : 3.81 cm 15.90 18w0d 01w6d 30.80 32w0d 03w4d Max Range : 35.11 cm 17.00 19w0d 02w0d 31.50 33w0d 03w6d 18.10 20w0d 02w1d 32.00 34w0d 04w1d 19.20 21w0d 02w2d 32.50 35w0d 04w1d 20.40 22w0d 02w3d 33.00 36w0d 04w2d 21.50 23w0d 02w3d 33.50 37w0d 04w2d 22.70 24w0d 02w3d 34.00 38w0d 05w0d 23.80 25w0d 02w3d 34.30 39w0d 00w0d 11 5.9 1.5 27 25.0 2.0 24.90 26w0d 02w4d 34.50 40w0d 00w0d 12 7.0 1.5 28 26.3 2.0 26.00 27w0d 02w5d 13 8.4 1.5 29 26.9 2.5 Fetal Growth Table Australasian Society for Ultrasound in Medicine. Policies and Statements - [D7] Statement On Normal Ultrasonic Fetal Measurements (Revised May 2001) Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) 14 9.6 1.5 30 27.4 2.5 15 10.8 1.5 31 28.4 2.5 16 12.8 1.5 32 28.8 2.5 17 14.1 1.5 33 30.0 2.5 18 15.1 2.0 34 30.5 2.5 19 16.0 2.0 35 31.0 2.5 Reference Manual 103 Age (w) Meas (cm) ±2 SD (cm) Age (w) Meas (cm) ±2 SD (cm) 20 17.0 2.0 36 31.7 2.5 Fetal Growth Table J.Créquat, M. Duyme, G. Brodaty 21 17.6 2.0 37 32.1 2.5 Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 22 18.8 2.0 38 32.8 2.5 Gynecol Obstet Fertil 2000 Jun;28(6):435-45 23 21.0 2.0 39 33.6 2.5 24 22.0 2.0 40 34.0 2.5 25 23.1 2.0 41 34.4 2.5 26 23.8 2.0 Head Circumference (HC) : CFEF GA Table J.Créquat, M. Duyme, G. Brodaty. Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 Gynecol Obstet Fertil, 2000 Jun;28(6):435-45 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 12.08 16 20.66 23 26.30 29 30.36 35 13.44 17 21.71 24 27.08 30 30.88 36 14.75 18 22.73 25 27.83 31 31.35 37 16.02 19 23.67 26 28.52 32 31.78 38 17.24 20 24.60 27 29.20 33 32.18 39 18.42 21 25.47 28 29.81 34 32.40 40 19.57 22 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 16 12.10 11.10 13.10 29 26.30 24.60 28.00 17 13.40 12.40 14.50 30 27.10 25.40 28.80 18 14.80 13.60 15.90 31 27.80 26.10 29.60 19 16.00 14.90 17.20 32 28.50 26.70 30.40 20 17.20 16.00 18.50 33 29.20 27.30 31.00 21 18.40 17.10 19.70 34 29.80 27.90 31.70 22 19.60 18.20 20.90 35 30.40 28.40 32.30 23 20.70 19.20 22.00 36 30.90 28.90 32.90 24 21.70 20.30 23.10 37 31.40 29.30 33.40 25 22.70 21.20 24.20 38 31.80 29.70 33.90 26 23.70 22.20 25.20 39 32.20 30.10 34.30 27 24.60 23.00 26.20 40 32.40 30.30 34.60 28 25.50 23.90 27.10 Reference Manual 104 Head Circumference (HC) : JOHNSEN Meas (cm) Age (wd) 10% (wd) 90% (wd) Meas (cm) Age (wd) 10% (wd) 90% (wd) GA Table 8.80 13w2d 12w4d 14w0d 17.40 20w1d 19w2d 21w0d Johnsen SL, Rasmussen S, Sollien R, Kiserud T. "Fetal age assessment based on ultrasound head biometry and the effect of maternal and fetal factors" Acta Obstet Gynecol Scand, 2004 Aug; 83(8): 716-23 9.00 13w3d 12w5d 14w1d 17.60 20w2d 19w3d 21w1d 9.20 13w4d 12w6d 14w2d 17.80 20w3d 19w4d 21w3d 9.40 13w5d 13w0d 14w3d 18.00 20w4d 19w5d 21w4d 9.60 13w6d 13w1d 14w4d 18.20 20w5d 19w6d 21w5d Meas (cm) Age (wd) 10% (wd) 90% (wd) Meas (cm) Age (wd) 10% (wd) 90% (wd) 5.00 10w2d 09w5d 10w6d 13.60 17w0d 16w1d 17w6d 5.20 10w3d 10w0d 11w0d 13.80 17w1d 16w3d 18w0d 5.40 10w4d 10w1d 11w2d 14.00 17w2d 16w4d 18w1d 5.60 10w6d 10w2d 11w3d 14.20 17w3d 16w5d 18w2d 5.80 11w0d 10w3d 11w4d 14.40 17w4d 16w6d 18w3d 6.00 11w1d 10w4d 11w5d 14.60 17w6d 17w0d 18w5d 6.20 11w2d 10w5d 11w6d 14.80 18w0d 17w1d 18w6d 6.40 11w3d 10w6d 12w0d 15.00 18w1d 17w2d 19w0d 6.60 11w4d 11w0d 12w1d 15.20 18w2d 17w3d 19w1d 6.80 11w5d 11w1d 12w2d 15.40 18w3d 17w4d 19w2d 7.00 11w6d 11w2d 12w4d 15.60 18w4d 17w5d 19w3d 7.20 12w0d 11w3d 12w5d 15.80 18w5d 18w0d 19w5d 7.40 12w1d 11w4d 12w6d 16.00 19w0d 18w1d 19w6d 7.60 12w2d 11w5d 13w0d 16.20 19w1d 18w2d 20w0d 7.80 12w3d 11w6d 13w1d 16.40 19w2d 18w3d 20w1d 8.00 12w4d 12w0d 13w2d 16.60 19w3d 18w4d 20w2d 8.20 12w5d 12w1d 13w3d 16.80 19w4d 18w5d 20w3d 8.40 13w0d 12w2d 13w4d 17.00 19w5d 18w6d 20w5d 8.60 13w1d 12w3d 13w5d 17.20 20w0d 19w0d 20w6d 9.80 14w0d 13w2d 14w5d 18.40 21w0d 20w0d 21w6d 10.00 14w1d 13w3d 14w6d 18.60 21w1d 20w2d 22w0d 10.20 14w2d 13w4d 15w0d 18.80 21w2d 20w3d 22w2d 10.40 14w3d 13w5d 15w2d 19.00 21w3d 20w4d 22w3d 10.60 14w4d 13w6d 15w3d 19.20 21w4d 20w5d 22w4d 10.80 14w6d 14w1d 15w4d 19.40 21w6d 20w6d 22w5d 11.00 15w0d 14w2d 15w5d 19.60 22w0d 21w0d 23w0d 11.20 15w1d 14w3d 15w6d 19.80 22w1d 21w2d 23w1d 11.40 15w2d 14w4d 16w0d 20.00 22w2d 21w3d 23w2d 11.60 15w3d 14w5d 16w1d 20.20 22w3d 21w4d 23w3d 11.80 15w4d 14w6d 16w2d 20.40 22w5d 21w5d 23w4d 12.00 15w5d 15w0d 16w4d 20.60 22w6d 21w6d 23w6d 12.20 15w6d 15w1d 16w5d 20.80 23w0d 22w1d 24w0d 12.40 16w0d 15w2d 16w6d 21.00 23w1d 22w2d 24w1d 12.60 16w1d 15w3d 17w0d 21.20 23w3d 22w3d 24w3d 12.80 16w3d 15w4d 17w1d 21.40 23w4d 22w4d 24w4d 13.00 16w4d 15w5d 17w2d 21.60 23w5d 22w5d 24w5d 13.20 16w5d 15w6d 17w3d 21.80 23w6d 23w0d 24w6d 13.40 16w6d 16w0d 17w5d 22.00 24w1d 23w1d 25w1d Reference Manual 105 Fetal Growth Table Head Circumference (HC) : KURMANAVICIUS Johnsen SL, Wilsgaard T, Rasmussen S, Sollien R, Kiserud T. "Longitudinal reference charts for growth of the fetal head, abdomen and femur" Eur J Obstet Gynecol Reprod Biol, 2006 Aug; 127(2): 172-85 Fetal Growth Table Kurmanavicius J, Wright EM, Royston P, Wisser J, Huch R, Huch A, Zimmermann R. "Fetal ultrasound biometry: 1. Head reference values" Br J Obstet Gynaecol, 1999 Feb; 106(2): 126-35 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 10w 4.90 4.20 5.60 26w 24.00 22.70 25.30 11w 6.00 5.20 6.80 27w 25.00 23.70 26.30 12w 7.10 6.30 8.10 28w 25.90 24.60 27.30 12w 7.21 5.97 8.45 28w 26.27 24.44 28.11 13w 8.40 7.50 9.30 29w 26.80 25.50 28.30 13w 8.61 7.33 9.89 29w 27.16 25.29 29.03 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 14w 9.60 8.70 10.60 30w 27.70 26.30 29.20 14w 9.99 8.67 11.31 30w 28.00 26.09 29.91 15w 10.90 9.90 11.90 31w 28.50 27.10 30.00 15w 11.35 9.99 12.70 31w 28.79 26.84 30.73 16w 12.68 11.29 14.07 32w 29.53 27.55 31.51 16w 12.10 11.10 13.20 32w 29.30 27.90 30.90 17w 13.40 12.40 14.50 33w 30.10 28.60 31.60 17w 13.99 12.56 15.42 33w 30.22 28.21 32.24 18w 14.70 13.60 15.80 34w 30.70 29.20 32.30 18w 15.27 13.81 16.74 34w 30.87 28.81 32.92 19w 15.90 14.80 17.10 35w 31.40 29.80 33.00 19w 16.52 15.02 18.03 35w 31.45 29.36 33.55 20w 17.20 16.00 18.40 36w 32.00 30.40 33.60 20w 17.75 16.21 19.29 36w 31.99 29.86 34.12 21w 18.40 17.20 19.60 37w 32.50 30.90 34.20 21w 18.94 17.36 20.52 37w 32.46 30.30 34.63 22w 19.60 18.40 20.80 38w 33.00 31.40 34.70 22w 20.10 18.49 21.71 38w 32.88 30.68 35.09 23w 21.22 19.57 22.87 39w 33.24 31.00 35.48 23w 20.70 19.50 22.00 39w 33.40 31.80 35.20 24w 21.80 20.60 23.10 40w 33.80 32.20 35.60 24w 22.31 20.62 24.00 40w 33.54 31.26 35.82 25w 22.90 21.70 24.20 41w 34.10 32.40 35.90 25w 23.36 21.64 25.09 41w 33.77 31.46 36.09 42w 33.94 31.59 36.30 26w 24.37 22.61 26.13 27w 25.34 23.55 27.14 Reference Manual 106 Head Circumference (HC) : NICOLAIDES Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Fetal Growth Table 16w5d 13.00 12.00 14.00 29w5d 27.70 25.70 29.90 Snijders RJ, Nicolaides KH. "Fetal biometry at 14-40 weeks' gestation" Ultrasound in obstetrics and Gynecology, 1994 Jan 1; 4(1): 34-48 16w6d 13.00 12.00 14.00 29w6d 27.70 25.70 29.90 17w0d 14.10 13.00 15.20 30w0d 28.70 26.60 30.90 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 17w1d 14.10 13.00 15.20 30w1d 28.70 26.60 30.90 17w2d 14.10 13.00 15.20 30w2d 28.70 26.60 30.90 14w0d 11.00 10.20 11.80 27w0d 25.60 23.80 27.70 17w3d 14.10 13.00 15.20 30w3d 28.70 26.60 30.90 14w1d 11.00 10.20 11.80 27w1d 25.60 23.80 27.70 17w4d 14.10 13.00 15.20 30w4d 28.70 26.60 30.90 14w2d 11.00 10.20 11.80 27w2d 25.60 23.80 27.70 17w5d 14.10 13.00 15.20 30w5d 28.70 26.60 30.90 14w3d 11.00 10.20 11.80 27w3d 25.60 23.80 27.70 17w6d 14.10 13.00 15.20 30w6d 28.70 26.60 30.90 14w4d 11.00 10.20 11.80 27w4d 25.60 23.80 27.70 18w0d 15.20 14.10 16.40 31w0d 29.60 27.40 31.90 14w5d 11.00 10.20 11.80 27w5d 25.60 23.80 27.70 18w1d 15.20 14.10 16.40 31w1d 29.60 27.40 31.90 14w6d 11.00 10.20 11.80 27w6d 25.60 23.80 27.70 18w2d 15.20 14.10 16.40 31w2d 29.60 27.40 31.90 15w0d 12.00 11.10 12.90 28w0d 26.70 24.80 28.80 18w3d 15.20 14.10 16.40 31w3d 29.60 27.40 31.90 15w1d 12.00 11.10 12.90 28w1d 26.70 24.80 28.80 18w4d 15.20 14.10 16.40 31w4d 29.60 27.40 31.90 15w2d 12.00 11.10 12.90 28w2d 26.70 24.80 28.80 18w5d 15.20 14.10 16.40 31w5d 29.60 27.40 31.90 15w3d 12.00 11.10 12.90 28w3d 26.70 24.80 28.80 18w6d 15.20 14.10 16.40 31w6d 29.60 27.40 31.90 15w4d 12.00 11.10 12.90 28w4d 26.70 24.80 28.80 19w0d 16.30 15.10 17.60 32w0d 30.40 28.20 32.80 15w5d 12.00 11.10 12.90 28w5d 26.70 24.80 28.80 19w1d 16.30 15.10 17.60 32w1d 30.40 28.20 32.80 15w6d 12.00 11.10 12.90 28w6d 26.70 24.80 28.80 19w2d 16.30 15.10 17.60 32w2d 30.40 28.20 32.80 16w0d 13.00 12.00 14.00 29w0d 27.70 25.70 29.90 19w3d 16.30 15.10 17.60 32w3d 30.40 28.20 32.80 16w1d 13.00 12.00 14.00 29w1d 27.70 25.70 29.90 19w4d 16.30 15.10 17.60 32w4d 30.40 28.20 32.80 16w2d 13.00 12.00 14.00 29w2d 27.70 25.70 29.90 19w5d 16.30 15.10 17.60 32w5d 30.40 28.20 32.80 16w3d 13.00 12.00 14.00 29w3d 27.70 25.70 29.90 19w6d 16.30 15.10 17.60 32w6d 30.40 28.20 32.80 16w4d 13.00 12.00 14.00 29w4d 27.70 25.70 29.90 20w0d 17.50 16.20 18.90 33w0d 31.10 28.80 33.60 Reference Manual 107 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 20w1d 17.50 16.20 18.90 33w1d 31.10 28.80 33.60 23w4d 21.00 19.50 22.70 36w4d 32.70 30.30 35.30 20w2d 17.50 16.20 18.90 33w2d 31.10 28.80 33.60 23w5d 21.00 19.50 22.70 36w5d 32.70 30.30 35.30 20w3d 17.50 16.20 18.90 33w3d 31.10 28.80 33.60 23w6d 21.00 19.50 22.70 36w6d 32.70 30.30 35.30 20w4d 17.50 16.20 18.90 33w4d 31.10 28.80 33.60 24w0d 22.20 20.60 24.00 37w0d 33.00 30.60 35.60 20w5d 17.50 16.20 18.90 33w5d 31.10 28.80 33.60 24w1d 22.20 20.60 24.00 37w1d 33.00 30.60 35.60 20w6d 17.50 16.20 18.90 33w6d 31.10 28.80 33.60 24w2d 22.20 20.60 24.00 37w2d 33.00 30.60 35.60 21w0d 18.70 17.30 20.10 34w0d 31.70 29.40 34.20 24w3d 22.20 20.60 24.00 37w3d 33.00 30.60 35.60 21w1d 18.70 17.30 20.10 34w1d 31.70 29.40 34.20 24w4d 22.20 20.60 24.00 37w4d 33.00 30.60 35.60 21w2d 18.70 17.30 20.10 34w2d 31.70 29.40 34.20 24w5d 22.20 20.60 24.00 37w5d 33.00 30.60 35.60 21w3d 18.70 17.30 20.10 34w3d 31.70 29.40 34.20 24w6d 22.20 20.60 24.00 37w6d 33.00 30.60 35.60 21w4d 18.70 17.30 20.10 34w4d 31.70 29.40 34.20 25w0d 23.40 21.70 25.20 38w0d 33.20 30.80 35.80 21w5d 18.70 17.30 20.10 34w5d 31.70 29.40 34.20 25w1d 23.40 21.70 25.20 38w1d 33.20 30.80 35.80 21w6d 18.70 17.30 20.10 34w6d 31.70 29.40 34.20 25w2d 23.40 21.70 25.20 38w2d 33.20 30.80 35.80 22w0d 19.80 18.40 21.40 35w0d 32.30 29.90 34.80 25w3d 23.40 21.70 25.20 38w3d 33.20 30.80 35.80 22w1d 19.80 18.40 21.40 35w1d 32.30 29.90 34.80 25w4d 23.40 21.70 25.20 38w4d 33.20 30.80 35.80 22w2d 19.80 18.40 21.40 35w2d 32.30 29.90 34.80 25w5d 23.40 21.70 25.20 38w5d 33.20 30.80 35.80 22w3d 19.80 18.40 21.40 35w3d 32.30 29.90 34.80 25w6d 23.40 21.70 25.20 38w6d 33.20 30.80 35.80 22w4d 19.80 18.40 21.40 35w4d 32.30 29.90 34.80 26w0d 24.50 22.70 26.40 39w0d 33.30 30.90 35.90 22w5d 19.80 18.40 21.40 35w5d 32.30 29.90 34.80 26w1d 24.50 22.70 26.40 39w1d 33.30 30.90 35.90 22w6d 19.80 18.40 21.40 35w6d 32.30 29.90 34.80 26w2d 24.50 22.70 26.40 39w2d 33.30 30.90 35.90 23w0d 21.00 19.50 22.70 36w0d 32.70 30.30 35.30 26w3d 24.50 22.70 26.40 39w3d 33.30 30.90 35.90 23w1d 21.00 19.50 22.70 36w1d 32.70 30.30 35.30 26w4d 24.50 22.70 26.40 39w4d 33.30 30.90 35.90 23w2d 21.00 19.50 22.70 36w2d 32.70 30.30 35.30 26w5d 24.50 22.70 26.40 39w5d 33.30 30.90 35.90 23w3d 21.00 19.50 22.70 36w3d 32.70 30.30 35.30 26w6d 24.50 22.70 26.40 39w6d 33.30 30.90 35.90 Reference Manual 108 Fetal Growth Table Fetal Trunk cross-sectional Area (FTA) : OSAKA Osaka University Methods 1989, 3 by Univ. Of Osaka GA Table Age (w) Osaka University Methods 1989, 3 by Univ. Of Osaka Meas (cm2) ±SD (cm2) Age (w) Meas (cm2) ±SD (cm2) 14w0d 5.60 1.20 27w1d 40.40 4.80 14w1d 5.80 1.20 27w2d 40.90 4.80 Meas (cm2) Age (wd) Meas (cm2) Age (wd) Meas (cm2) Age (wd) Meas (cm2) Age (wd) 5.60 14w0d 26.00 22w5d 47.00 29w0d 68.00 34w4d 14w2d 6.00 1.20 27w3d 41.40 4.90 6.30 1.30 27w4d 41.90 4.90 6.50 1.30 27w5d 42.40 5.00 6.00 14w2d 27.00 23w1d 48.00 29w2d 69.00 34w6d 14w3d 7.00 14w5d 28.00 23w3d 49.00 29w4d 70.00 35w1d 14w4d 8.00 15w3d 29.00 23w5d 50.00 29w6d 71.00 35w3d 14w5d 6.80 1.30 27w6d 42.90 5.00 9.00 16w1d 30.00 24w0d 51.00 30w1d 72.00 35w5d 14w6d 7.10 1.30 28w0d 43.40 5.10 10.00 16w3d 31.00 24w2d 52.00 30w3d 73.00 36w0d 15w0d 7.30 1.40 28w1d 44.00 5.10 15w1d 7.60 1.40 28w2d 44.50 5.20 11.00 16w5d 32.00 24w5d 53.00 30w5d 74.00 36w2d 12.00 17w3d 33.00 25w0d 54.00 30w6d 75.00 36w4d 15w2d 7.80 1.40 28w3d 45.00 5.20 15w3d 8.10 1.50 28w4d 45.50 5.30 13.00 17w6d 34.00 25w2d 55.00 31w1d 76.00 36w6d 14.00 18w2d 35.00 25w4d 56.00 31w3d 77.00 37w1d 15w4d 8.40 1.50 28w5d 46.00 5.30 8.70 1.50 28w6d 46.60 5.40 8.90 1.50 29w0d 47.10 5.40 15.00 18w4d 36.00 25w6d 57.00 31w5d 78.00 37w3d 15w5d 16.00 19w1d 37.00 26w1d 58.00 32w0d 79.00 37w5d 15w6d 17.00 19w4d 38.00 26w3d 59.00 32w2d 80.00 37w6d 16w0d 9.20 1.60 29w1d 47.60 5.50 18.00 19w6d 39.00 26w5d 60.00 32w3d 81.00 38w2d 16w1d 9.50 1.60 29w2d 48.10 5.60 19.00 20w2d 40.00 27w0d 61.00 32w5d 82.00 38w4d 16w2d 9.80 1.60 29w3d 48.70 5.60 16w3d 10.10 1.70 29w4d 49.20 5.70 20.00 20w5d 41.00 27w2d 62.00 33w0d 83.00 39w0d 21.00 21w0d 42.00 27w4d 63.00 33w2d 84.00 39w1d 16w4d 10.40 1.70 29w5d 49.70 5.70 16w5d 10.70 1.70 29w6d 50.20 5.80 22.00 21w3d 43.00 27w6d 64.00 33w4d 85.00 39w3d 23.00 21w5d 44.00 28w1d 65.00 33w6d 86.00 39w6d 16w6d 11.00 1.80 30w0d 50.80 5.80 40w0d 17w0d 11.30 1.80 30w1d 51.30 5.90 17w1d 11.60 1.80 30w2d 51.80 5.90 24.00 22w1d 45.00 28w3d 66.00 34w0d 25.00 22w3d 46.00 28w5d 67.00 34w2d 86.60 Reference Manual 109 Age (w) Meas (cm2) ±SD (cm2) Age (w) Meas (cm2) ±SD (cm2) Age (w) Meas (cm2) ±SD (cm2) Age (w) Meas (cm2) ±SD (cm2) 17w2d 11.90 1.90 30w3d 52.40 6.00 20w6d 20.60 2.80 34w0d 65.80 7.50 17w3d 12.20 1.90 30w4d 52.90 6.10 21w0d 21.00 2.80 34w1d 66.40 7.60 17w4d 12.50 1.90 30w5d 53.40 6.10 21w1d 21.40 2.80 34w2d 66.90 7.60 17w5d 12.80 2.00 30w6d 54.00 6.20 21w2d 21.80 2.90 34w3d 67.40 7.70 17w6d 13.20 2.00 31w0d 54.50 6.20 21w3d 22.20 2.90 34w4d 67.90 7.80 18w0d 13.50 2.00 31w1d 55.00 6.30 21w4d 22.60 3.00 34w5d 68.50 7.80 18w1d 13.80 2.10 31w2d 55.60 6.40 21w5d 23.00 3.00 34w6d 69.00 7.90 18w2d 14.10 2.10 31w3d 56.10 6.40 21w6d 23.40 3.00 35w0d 69.50 8.00 18w3d 14.50 2.10 31w4d 56.70 6.50 22w0d 23.80 3.10 35w1d 70.10 8.00 18w4d 14.80 2.20 31w5d 57.20 6.50 22w1d 24.20 3.10 35w2d 70.60 8.10 18w5d 15.20 2.20 31w6d 57.70 6.60 22w2d 24.70 3.20 35w3d 71.10 8.20 18w6d 15.50 2.20 32w0d 58.30 6.70 22w3d 25.10 3.20 35w4d 71.60 8.20 19w0d 15.80 2.30 32w1d 58.80 6.70 22w4d 25.50 3.30 35w5d 72.20 8.30 19w1d 16.20 2.30 32w2d 59.40 6.80 22w5d 25.90 3.30 35w6d 72.70 8.40 19w2d 16.60 2.30 32w3d 59.90 6.80 22w6d 26.40 3.30 36w0d 73.20 8.40 19w3d 16.90 2.40 32w4d 60.40 6.90 23w0d 26.80 3.40 36w1d 73.70 8.50 19w4d 17.30 2.40 32w5d 61.00 7.00 23w1d 27.20 3.40 36w2d 74.20 8.60 19w5d 17.60 2.50 32w6d 61.50 7.00 23w2d 27.70 3.50 36w3d 74.70 8.60 19w6d 18.00 2.50 33w0d 62.10 7.10 23w3d 28.10 3.50 36w4d 75.20 8.70 20w0d 18.40 2.50 33w1d 62.60 7.10 23w4d 28.50 3.60 36w5d 75.70 8.80 20w1d 18.70 2.60 33w2d 63.10 7.20 23w5d 29.00 3.60 36w6d 76.20 8.80 20w2d 19.10 2.60 33w3d 63.70 7.30 23w6d 29.40 3.70 37w0d 76.80 8.90 20w3d 19.50 2.60 33w4d 64.20 7.30 24w0d 29.90 3.70 37w1d 77.30 9.00 24w1d 30.30 3.70 37w2d 77.70 9.10 20w4d 19.90 2.70 33w5d 64.70 7.40 20w5d 20.20 2.70 33w6d 65.30 7.50 Reference Manual 110 Clavicle (CLAV) : YARKONI Age (w) Meas (cm2) ±SD (cm2) Age (w) Meas (cm2) ±SD (cm2) 24w2d 30.80 3.80 37w3d 78.20 9.10 GA Table 24w3d 31.30 3.80 37w4d 78.70 9.20 24w4d 31.70 3.90 37w5d 79.20 9.30 Yarkoni, S., et. al. "Clavicular Measurement: A New Biometric Parameter for Fetal Evaluation." Journal of Ultrasound in Medicine 4:467-470, September, 1985. 24w5d 32.20 3.90 37w6d 79.70 9.30 24w6d 32.60 4.00 38w0d 80.20 9.40 Meas (cm) Age (wd) 5% (wd) 95% (wd) Meas (cm) Age (wd) 5% (wd) 95% (wd) 25w0d 33.10 4.00 38w1d 80.70 9.50 1.1 13w6d 8w3d 17w2d 2.9 28w5d 23w2d 32w1d 25w1d 33.60 4.10 38w2d 81.10 9.60 1.2 14w4d 9w1d 18w1d 3 29w4d 24w0d 34w0d 14w3d 10w0d 19w6d 3.1 29w2d 25w6d 34w6d 25w2d 34.10 4.10 38w3d 81.60 9.60 1.3 25w3d 34.50 4.20 38w4d 82.10 9.70 1.4 15w2d 11w6d 20w5d 3.2 30w1d 26w5d 35w4d 16w1d 12w5d 21w4d 3.3 31w0d 27w4d 35w3d 25w4d 35.00 4.20 38w5d 82.60 9.80 1.5 25w5d 35.50 4.30 38w6d 83.00 9.80 1.6 18w0d 12w3d 21w3d 3.4 32w6d 27w3d 36w2d 18w5d 13w2d 22w2d 3.5 33w5d 28w1d 37w1d 25w6d 36.00 4.30 39w0d 83.50 9.90 1.7 26w0d 36.50 4.40 39w1d 83.90 10.00 1.8 19w4d 14w1d 23w0d 3.6 33w3d 29w0d 39w0d 26w1d 36.90 4.40 39w2d 84.40 10.10 1.9 19w3d 16w0d 24w6d 3.7 34w2d 30w6d 39w5d 20w2d 16w6d 25w5d 3.8 35w1d 31w5d 40w4d 26w2d 37.40 4.50 39w3d 84.80 10.10 2 26w3d 37.90 4.50 39w4d 85.30 10.20 2.1 21w1d 17w4d 26w4d 3.9 37w0d 32w4d 40w3d 22w6d 17w3d 26w2d 4 37w6d 32w2d 41w2d 26w4d 38.40 4.60 39w5d 85.70 10.30 2.2 26w5d 38.90 4.60 39w6d 86.10 10.40 2.3 23w5d 18w2d 27w1d 4.1 38w4d 33w1d 42w0d 26w6d 39.40 4.70 40w0d 86.60 10.40 2.4 24w4d 19w1d 28w0d 4.2 38w3d 35w0d 43w6d 2.5 24w3d 21w0d 29w6d 4.3 39w2d 35w6d 44w5d 2.6 25w1d 21w5d 30w5d 4.4 40w1d 36w5d 45w4d 2.7 26w0d 22w4d 30w3d 4.5 41w6d 36w3d 45w3d 2.8 27w6d 22w3d 31w2d 27w0d 39.90 4.70 Reference Manual 111 Fetal Growth Table Length of Vertebral (Vertebral) : TOKYO Yarkoni, S., Schmidt, W., Jeanty, P. et. al. (1985) Clavicle measurement: A new biometric parameter for fetal evaluation. J. Ultrasound Med., 4, 467-470 GA Table Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 15 1.60 1.10 2.10 28 2.90 2.40 3.40 16 1.70 1.20 2.20 29 3.00 2.50 3.50 17 1.80 1.30 2.30 30 3.10 2.60 3.60 4.05 21w0d 01w0d 6.72 31w0d 04w0d 18 1.90 1.40 2.40 31 3.20 2.70 3.70 4.39 22w0d 01w2d 6.93 32w0d 04w3d 19 2.00 1.50 2.50 32 3.30 2.80 3.80 4.71 23w0d 01w4d 7.13 33w0d 04w6d 20 2.10 1.60 2.60 33 3.40 2.90 3.90 5.01 24w0d 01w5d 7.32 34w0d 05w0d 21 2.20 1.70 2.70 34 3.50 3.00 4.00 5.30 25w0d 02w0d 7.51 35w0d 05w3d 22 2.30 1.80 2.80 35 3.60 3.10 4.10 5.57 26w0d 02w3d 7.70 36w0d 05w5d 23 2.40 1.90 2.90 36 3.70 3.20 4.20 5.82 27w0d 02w5d 7.89 37w0d 06w0d 24 2.50 2.00 3.00 37 3.80 3.30 4.30 6.06 28w0d 03w0d 8.08 38w0d 06w2d 25 2.60 2.10 3.10 38 3.90 3.40 4.40 6.30 29w0d 03w3d 8.27 39w0d 06w4d 26 2.70 2.20 3.20 39 4.00 3.50 4.50 6.51 30w0d 03w4d 8.47 40w0d 06w6d 27 2.80 2.30 3.30 40 4.10 3.60 4.60 Tokyo University Takashi Okai, et al. Japan Society of Obstetrics and Gynecology, Vol.38, No.8 Meas (cm) Age (wd) ±SD (wd) Meas (cm) Age (wd) ±SD (wd) Reference Manual 112 Radius Length (RAD) : MERZ Radius Length (RAD) : JEANTY Fetal Growth Table Fetal Growth Table E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991 Georg Thieme Verlag, 308-338 Jeanty, P. “Fetal Limb Biometry” (Letter) Radiology, 147:602, 1983 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12 0.5 0.1 0.8 27 3.8 3.4 4.3 13 0.7 0.4 1.1 28 4.0 3.6 4.4 14 1.0 0.7 1.4 29 4.1 3.7 4.6 15 1.3 0.9 1.6 30 4.3 3.8 4.7 16 1.5 1.2 1.9 31 4.4 4.0 4.9 17 1.8 1.4 2.1 32 4.5 4.1 5.0 18 2.0 1.6 2.4 33 4.7 4.2 5.1 19 2.2 1.9 2.6 34 4.8 4.3 5.2 20 2.5 2.1 2.9 35 4.9 4.4 5.3 21 2.7 2.3 3.1 36 5.0 4.5 5.4 22 2.9 2.5 3.3 37 5.1 4.6 5.5 23 3.1 2.7 3.5 38 5.1 4.7 5.6 24 3.3 2.9 3.7 39 5.2 4.7 5.7 25 3.5 3.1 3.9 40 5.3 4.8 5.8 26 3.7 3.2 4.1 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.5 0.5 0.5 26 3.7 3.0 4.1 12 0.7 0.7 0.7 27 3.9 3.3 4.5 13 1.0 1.0 1.0 28 4.0 3.3 4.5 14 1.3 0.8 1.3 29 4.2 3.6 4.7 15 1.5 1.2 1.9 30 4.3 3.4 4.9 16 1.8 0.9 2.1 31 4.4 3.4 5.3 17 2.0 1.1 2.9 32 4.5 3.7 5.1 18 2.2 1.4 2.6 33 4.6 4.1 5.1 19 2.4 2.0 2.9 34 4.7 3.9 5.3 20 2.7 2.1 2.8 35 4.8 3.8 5.7 21 2.9 2.5 3.2 36 4.8 4.1 5.4 22 3.1 2.4 3.4 37 4.9 4.5 5.3 23 3.2 2.6 3.9 38 4.9 4.5 5.3 24 3.4 2.7 3.8 39 5.0 4.6 5.4 25 3.6 3.1 4.0 40 5.0 4.6 5.4 Reference Manual 113 Radius Length (RAD) : HANSMANN Middle Abdominal Diameter (MAD) : EIK-NESSH Fetal Growth Table GA Table Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.183 Eik-Nes SH, Jorgensen NP, Grottum P, Lokvik B. Normal range curves for the intrauterine growth of the fetal abdominal diameters, Submitted JCU. MAD = (APD + TAD) / 2 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 12 0.7 0.7 0.7 27 3.9 3.3 4.5 Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) 13 1.0 0.6 1.4 28 4.0 3.3 4.8 3.60 16w0d 5.50 23w0d 7.40 28w2d 9.30 33w6d 14 1.3 0.8 1.7 29 4.2 3.6 4.7 3.70 16w3d 5.60 23w2d 7.50 28w4d 9.40 34w1d 15 1.5 1.1 2.0 30 4.3 3.6 4.9 3.80 16w6d 5.70 23w4d 7.60 28w6d 9.50 34w3d 16 1.8 1.3 2.2 31 4.4 3.8 5.0 3.90 17w3d 5.80 23w6d 7.70 29w1d 9.60 34w6d 17 2.0 1.4 2.6 32 4.5 3.7 5.3 4.00 17w6d 5.90 24w1d 7.80 29w3d 9.70 35w1d 18 2.2 1.5 2.9 33 4.6 4.1 5.1 4.10 18w2d 6.00 24w3d 7.90 29w5d 9.80 35w3d 19 2.4 2.0 2.9 34 4.7 4.0 5.3 4.20 18w4d 6.10 24w5d 8.00 30w0d 9.90 35w6d 20 2.7 2.2 3.2 35 4.8 4.1 5.4 4.30 19w0d 6.20 25w0d 8.10 30w2d 10.00 36w1d 21 2.9 2.4 3.3 36 4.8 4.9 5.7 4.40 19w3d 6.30 25w2d 8.20 30w4d 10.10 36w4d 19w5d 6.40 25w4d 8.30 30w6d 10.20 37w0d 20w1d 6.50 25w6d 8.40 31w1d 10.30 37w3d 22 3.1 2.7 3.4 37 4.9 4.5 5.3 4.50 23 3.2 2.6 3.9 38 4.9 4.5 5.4 4.60 24 3.4 2.6 4.2 39 5.0 4.5 5.4 4.70 20w3d 6.60 26w1d 8.50 31w3d 10.40 37w6d 25 3.6 3.1 4.1 40 5.0 4.6 5.5 4.80 20w5d 6.70 26w3d 8.60 31w5d 10.50 38w2d 26 3.7 3.2 4.3 4.90 21w1d 6.80 26w5d 8.70 32w0d 10.60 38w5d 5.00 21w3d 6.90 27w0d 8.80 32w2d 10.70 39w1d 10.80 39w5d 5.10 21w5d 7.00 27w2d 8.90 32w4d 5.20 22w0d 7.10 27w3d 9.00 32w6d 5.30 22w2d 7.20 27w5d 9.10 33w1d 5.40 22w5d 7.30 28w0d 9.20 33w4d Reference Manual 114 Fetal Growth Table Eik-Nes SH, Jorgensen NP, Grottum P, Lokvik B. Normal range curves for the intrauterine growth of the fetal abdominal diameters, Submitted JCU. Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) 23w4d 5.70 30w4d 8.20 38w5d 10.60 MAD = (APD + TAD) / 2 23w6d 5.80 30w6d 8.30 39w1d 10.70 24w1d 5.90 31w1d 8.40 39w5d 10.80 24w3d 6.00 Age (wd) Meas (cm) Age (wd) Meas (cm) Age (wd) Meas (cm) 16w0d 3.60 24w5d 6.10 31w3d 8.50 16w3d 3.70 25w0d 6.20 31w5d 8.60 16w6d 3.80 25w2d 6.30 32w0d 8.70 17w3d 3.90 25w4d 6.40 32w2d 8.80 17w6d 4.00 25w6d 6.50 32w4d 8.90 18w2d 4.10 26w1d 6.60 32w6d 9.00 18w4d 4.20 26w3d 6.70 33w1d 9.10 19w0d 4.30 26w5d 6.80 33w4d 9.20 19w3d 4.40 27w0d 6.90 33w6d 9.30 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 19w5d 4.50 27w2d 7.00 34w1d 9.40 10 1.10 1.00 1.40 26 6.80 6.30 7.40 20w1d 4.60 27w3d 7.10 34w3d 9.50 11 1.50 1.30 1.70 27 7.20 6.60 7.80 20w3d 4.70 27w5d 7.20 34w6d 9.60 12 1.80 1.60 2.10 28 7.50 7.00 8.10 20w5d 4.80 28w0d 7.30 35w1d 9.70 13 2.10 1.90 2.40 29 7.90 7.30 8.50 21w1d 4.90 28w2d 7.40 35w3d 9.80 14 2.50 2.20 2.80 30 8.20 7.60 8.80 21w3d 5.00 28w4d 7.50 35w6d 9.90 15 2.90 2.60 3.20 31 8.50 7.90 9.20 21w5d 5.10 28w6d 7.60 36w1d 10.00 16 3.20 2.90 3.60 32 8.80 8.20 9.50 22w0d 5.20 29w1d 7.70 36w4d 10.10 17 3.60 3.30 4.00 33 9.20 8.50 9.90 22w2d 5.30 29w3d 7.80 37w0d 10.20 18 4.00 3.60 4.40 34 9.50 8.80 10.20 22w5d 5.40 29w5d 7.90 37w3d 10.30 19 4.30 4.00 4.80 35 9.80 9.10 10.60 23w0d 5.50 30w0d 8.00 37w6d 10.40 20 4.70 4.30 5.10 36 10.10 9.30 10.90 23w2d 5.60 30w2d 8.10 38w2d 10.50 21 5.10 4.60 5.50 37 10.40 9.60 11.20 Middle Abdominal Diameter (MAD) : JOHNSEN Fetal Growth Table Johnsen SL, Wilsgaard T, Rasmussen S, Sollien R, Kiserud T. "Longitudinal reference charts for growth of the fetal head, abdomen and femur" Eur J Obstet Gynecol Reprod Biol, 2006 Aug; 127(2): 172-85 Reference Manual 115 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 22 5.40 5.00 5.90 38 10.70 9.90 11.50 24 6.09 5.43 6.75 40 10.85 9.80 11.91 23 5.80 5.30 6.30 39 11.00 10.20 11.90 25 6.42 5.74 7.11 41 11.10 10.02 12.18 24 6.10 5.70 6.70 40 11.30 10.40 12.20 26 6.75 6.04 7.47 42 11.34 10.24 12.45 25 6.50 6.00 7.00 41 11.50 10.60 12.40 27 7.08 6.34 7.82 Middle Abdominal Diameter (MAD) : KURMANAVICIUS Mid Cerebral Artery(MCA)-Resistance Index(RI) : SHINOZUKA Fetal Growth Table Fetal Growth Table Kurmanavicius J, Wright EM, Royston P, Zimmermann R, Huch R, Huch A, Wisser J. "Fetal ultrasound biometry: 2. Abdomen and femur length reference values” Br J Obstet Gynaecol, 1999 Feb; 106(2): 136-43 N.Shinozuka & H.Kagawa 1996. http://www.shinozuka.com Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 12 1.81 1.45 2.18 28 7.40 6.64 8.16 13 2.19 1.79 2.58 29 7.72 6.93 8.50 14 2.55 2.14 2.97 30 8.03 7.22 8.84 15 2.92 2.48 3.36 31 8.34 7.50 9.17 16 3.29 2.82 3.75 32 8.64 7.78 9.50 17 3.65 3.16 4.14 33 8.94 8.05 9.82 18 4.01 3.49 4.52 34 9.23 8.32 10.14 19 4.36 3.82 4.90 35 9.51 8.58 10.45 20 4.71 4.15 5.28 36 9.79 8.84 10.75 21 5.06 4.47 5.65 37 10.07 9.09 11.05 22 5.41 4.80 6.02 38 10.34 9.33 11.34 23 5.75 5.11 6.39 39 10.60 9.57 11.63 Age (wd) 10% 90% Age (wd) 10% 90% 21w3d 0.77 0.86 32w3d 0.78 0.92 22w3d 0.78 0.89 33w3d 0.77 0.91 23w3d 0.79 0.91 34w3d 0.76 0.90 24w3d 0.80 0.92 35w3d 0.75 0.89 25w3d 0.80 0.93 36w3d 0.73 0.88 26w3d 0.80 0.94 37w3d 0.72 0.87 27w3d 0.80 0.94 38w3d 0.70 0.86 28w3d 0.80 0.95 39w3d 0.68 0.85 29w3d 0.80 0.94 40w3d 0.66 0.84 41w3d 0.64 0.83 30w3d 0.79 0.94 31w3d 0.79 0.93 Reference Manual 116 Mid Cerebral Artery(MCA)-Resistance Index(RI) : JSUM Mid Cerebral Artery(MCA)-Pulsatility Index(PI) : SHINOZUKA Fetal Growth Table Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 N.Shinozuka & H.Kagawa 1996. http://www.shinozuka.com Age (wd) 10% 21w3d Age (wd) 10% 90% Age (wd) 10% 90% 21w3d 1.51 2.02 32w3d 1.54 2.45 90% Age (wd) 10% 90% 0.77 0.86 32w3d 0.78 0.92 22w3d 1.56 2.19 33w3d 1.49 2.38 22w3d 0.78 0.89 33w3d 0.77 0.91 23w3d 1.59 2.34 34w3d 1.44 2.30 23w3d 0.79 0.91 34w3d 0.76 0.90 24w3d 1.62 2.46 35w3d 1.38 2.21 24w3d 0.80 0.92 35w3d 0.75 0.89 25w3d 1.64 2.54 36w3d 1.32 2.13 25w3d 0.80 0.93 36w3d 0.73 0.88 26w3d 1.65 2.60 37w3d 1.25 2.05 26w3d 0.80 0.94 37w3d 0.72 0.87 27w3d 1.65 2.63 38w3d 1.19 1.98 27w3d 0.80 0.94 38w3d 0.70 0.86 28w3d 1.65 2.63 39w3d 1.12 1.92 28w3d 0.80 0.95 39w3d 0.68 0.85 29w3d 1.63 2.61 40w3d 1.05 1.87 29w3d 0.80 0.94 40w3d 0.66 0.84 30w3d 1.61 2.57 41w3d 0.99 1.83 30w3d 0.79 0.94 41w3d 0.64 0.83 31w3d 1.58 2.52 31w3d 0.79 0.93 Reference Manual 117 Mid Cerebral Artery(MCA)-Pulsatility Index(PI) : JSUM Umbilical Artery(UmA)-Resistance Index(RI) : SHINOZUKA Fetal Growth Table Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 N.Shinozuka & H.Kagawa 1996. http://www.shinozuka.com Age (wd) 10% 21w3d Age (wd) 10% 90% Age (wd) 10% 90% 13w3d 0.76 0.96 28w3d 0.59 0.75 90% Age (wd) 10% 90% 1.51 2.02 32w3d 1.54 2.45 14w3d 0.73 0.92 29w3d 0.58 0.74 22w3d 1.56 2.19 33w3d 1.49 2.38 15w3d 0.71 0.89 30w3d 0.57 0.74 23w3d 1.59 2.34 34w3d 1.44 2.30 16w3d 0.69 0.86 31w3d 0.56 0.73 24w3d 1.62 2.46 35w3d 1.38 2.21 17w3d 0.67 0.84 32w3d 0.55 0.72 25w3d 1.64 2.54 36w3d 1.32 2.13 18w3d 0.66 0.83 33w3d 0.54 0.71 26w3d 1.65 2.60 37w3d 1.25 2.05 19w3d 0.65 0.81 34w3d 0.53 0.70 27w3d 1.65 2.63 38w3d 1.19 1.98 20w3d 0.64 0.80 35w3d 0.52 0.70 28w3d 1.65 2.63 39w3d 1.12 1.92 21w3d 0.64 0.79 36w3d 0.51 0.69 29w3d 1.63 2.61 40w3d 1.05 1.87 22w3d 0.63 0.78 37w3d 0.50 0.68 30w3d 1.61 2.57 41w3d 0.99 1.83 23w3d 0.62 0.78 38w3d 0.50 0.67 31w3d 1.58 2.52 24w3d 0.62 0.77 39w3d 0.50 0.67 25w3d 0.61 0.77 40w3d 0.50 0.67 41w3d 0.50 0.67 26w3d 0.61 0.76 27w3d 0.60 0.75 Reference Manual 118 Umbilical Artery(UmA)-Resistance Index(RI) : JSUM Umbilical Artery(UmA)- Pulsatility Index(PI) : SHINOZUKA Fetal Growth Table Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 N.Shinozuka & H.Kagawa 1996. http://www.shinozuka.com Age (wd) 10% 13w3d Age (wd) 10% 90% Age (wd) 10% 90% 13w3d 1.29 2.58 28w3d 0.88 1.25 90% Age (wd) 10% 90% 0.76 0.96 28w3d 0.59 0.75 14w3d 1.20 2.22 29w3d 0.87 1.23 14w3d 0.73 0.92 29w3d 0.58 0.74 15w3d 1.13 1.97 30w3d 0.85 1.21 15w3d 0.71 0.89 30w3d 0.57 0.74 16w3d 1.08 1.79 31w3d 0.82 1.19 16w3d 0.69 0.86 31w3d 0.56 0.73 17w3d 1.05 1.66 32w3d 0.80 1.16 17w3d 0.67 0.84 32w3d 0.55 0.72 18w3d 1.02 1.57 33w3d 0.78 1.14 18w3d 0.66 0.83 33w3d 0.54 0.71 19w3d 1.00 1.50 34w3d 0.75 1.12 19w3d 0.65 0.81 34w3d 0.53 0.70 20w3d 0.99 1.45 35w3d 0.73 1.10 20w3d 0.64 0.80 35w3d 0.52 0.70 21w3d 0.97 1.41 36w3d 0.70 1.08 21w3d 0.64 0.79 36w3d 0.51 0.69 22w3d 0.96 1.37 37w3d 0.68 1.06 22w3d 0.63 0.78 37w3d 0.50 0.68 23w3d 0.95 1.35 38w3d 0.67 1.05 23w3d 0.62 0.78 38w3d 0.50 0.67 24w3d 0.94 1.33 39w3d 0.66 1.04 24w3d 0.62 0.77 39w3d 0.50 0.67 25w3d 0.92 1.31 40w3d 0.66 1.03 25w3d 0.61 0.77 40w3d 0.50 0.67 26w3d 0.91 1.29 41w3d 0.67 1.03 26w3d 0.61 0.76 41w3d 0.50 0.67 27w3d 0.90 1.27 27w3d 0.60 0.75 Reference Manual 119 Umbilical Artery(UmA)- Pulsatility Index(PI) : JSUM Anterior Posterior Abdominal Diameter (APD) : HANSMANN Fetal Growth Table Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 Age (wd) 10% 90% Age (wd) 10% 90% Age (w) Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) 15 2.60 22 4.70 29 6.70 36 8.70 16 2.90 23 4.90 30 7.00 37 9.00 13w3d 1.29 2.58 28w3d 0.88 1.25 17 3.10 24 5.20 31 7.30 38 9.30 14w3d 1.20 2.22 29w3d 0.87 1.23 18 3.50 25 5.50 32 7.60 39 9.50 15w3d 1.13 1.97 30w3d 0.85 1.21 19 3.80 26 5.80 33 7.90 40 9.70 16w3d 1.08 1.79 31w3d 0.82 1.19 20 4.00 27 6.10 34 8.20 41 9.80 17w3d 1.05 1.66 32w3d 0.80 1.16 21 4.30 28 6.40 35 8.40 42 9.90 18w3d 1.02 1.57 33w3d 0.78 1.14 19w3d 1.00 1.50 34w3d 0.75 1.12 20w3d 0.99 1.45 35w3d 0.73 1.10 21w3d 0.97 1.41 36w3d 0.70 1.08 22w3d 0.96 1.37 37w3d 0.68 1.06 23w3d 0.95 1.35 38w3d 0.67 1.05 24w3d 0.94 1.33 39w3d 0.66 1.04 25w3d 0.92 1.31 40w3d 0.66 1.03 26w3d 0.91 1.29 41w3d 0.67 1.03 27w3d 0.90 1.27 Anterior Posterior Abdominal Diameter (APD) : BESSIS GA Table The data are those provided by Dr. Bessis to M. Le Bel.(Same as SIGMA 20, see memo from Ch. Gahwiler dated , June 23, 1983) Meas (cm) Age (wd) ±days (wd) Meas (cm) Age (wd) ±days (wd) 2.50 14w0d 01w1d 8.20 33w4d 03w1d 7.00 28w5d 02w1d 8.40 34w3d 03w4d 7.50 30w5d 02w3d 8.60 35w5d 04w1d 8.00 32w4d 03w1d 8.80 37w1d 04w6d Reference Manual 120 Fetal Growth Table Transverse Abdominal Diameter (TAD) : CFEF J.Créquat, M. Duyme, G. Brodaty Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 GA Table J.Créquat, M. Duyme, G. Brodaty Biométrie 2000. Tables de croissance foetale par le Collège Français d'Echographie Foetale (CFEF) et l'Inserm U155 Gynecol Obstet Fertil 2000 Jun;28(6):435-45 Gynecol Obstet Fertil 2000 Jun;28(6):435-45 Age (w) Meas (cm) 10% (cm) 90% (cm) Age (w) Meas (cm) 10% (cm) 90% (cm) 11 1.40 1.10 1.60 27 6.70 6.10 7.30 12 1.70 1.40 2.00 28 7.00 6.40 7.70 Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) 1.35 11 5.15 22 8.47 33 13 2.10 1.70 2.40 29 7.30 6.60 8.00 2.40 2.00 2.80 30 7.60 6.90 8.30 1.70 12 5.47 23 8.75 34 14 2.05 13 5.78 24 9.00 35 15 2.80 2.40 3.20 31 7.90 7.20 8.70 2.40 14 6.10 25 9.23 36 16 3.10 2.70 3.60 32 8.20 7.40 9.00 2.76 15 6.40 26 9.48 37 17 3.50 3.00 3.90 33 8.50 7.70 9.30 3.12 16 6.71 27 9.70 38 18 3.80 3.40 4.30 34 8.80 7.90 9.60 3.47 17 7.02 28 9.93 39 19 4.20 3.70 4.60 35 9.00 8.10 9.90 3.83 18 7.32 29 10.16 40 20 4.50 4.00 5.00 36 9.20 8.30 10.20 41 21 4.80 4.30 5.30 37 9.50 8.50 10.50 4.16 19 7.61 30 4.52 20 7.92 31 22 5.20 4.70 5.70 38 9.70 8.60 10.80 32 23 5.50 4.90 6.00 39 9.90 8.70 11.10 24 5.80 5.20 6.30 40 10.20 8.90 11.50 25 6.10 5.50 6.70 41 10.30 8.90 11.70 26 6.40 5.80 7.00 4.83 21 8.21 10.30 Reference Manual 121 Thoracic Circumference (ThC) : CHITKARA Fibula Length (FIB) : JEANTY Fetal Growth Table Fetal Growth Table Chitkara U, Rosenberg J, Chervenak FA, et al. "Prenatal Sonographic Assessment of the Fetal Thorax: Normal Values" American Journal of Obstetrics and Gynecology, 156:1069, 1987 Jeanty, P. "Fetal Limb Biometry" (Letter) Radiology, 147:602, 1983 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.2 0.2 0.2 26 3.9 3.2 4.3 12 0.5 0.5 0.5 27 4.1 3.5 4.7 13 0.8 0.8 0.8 28 4.3 3.6 4.7 25.5 14 1.1 0.6 1.1 29 4.5 4.0 5.0 20.9 26.4 15 1.4 1.0 1.8 30 4.7 3.8 5.2 24.6 21.8 27.3 16 1.7 0.6 2.2 31 4.8 4.0 5.7 34 25.5 22.8 28.2 17 1.9 0.7 3.1 32 5.0 4.0 5.6 17.3 35 26.4 23.7 29.1 18 2.2 1.0 2.8 33 5.1 4.3 5.9 12.8 18.2 36 27.3 24.6 30.0 19 2.4 1.8 3.0 34 5.2 4.6 5.6 16.4 13.7 19.1 37 28.2 25.5 30.9 20 2.7 1.8 3.0 35 5.4 5.1 5.7 25 17.3 14.6 20.0 38 29.1 26.4 31.9 21 2.9 2.4 3.4 36 5.5 5.1 5.6 26 18.2 15.5 21.0 39 30.0 27.3 32.8 22 3.1 2.1 3.7 37 5.6 5.5 5.8 27 19.1 16.4 21.9 40 30.9 28.2 33.7 23 3.3 2.3 4.4 38 5.7 5.4 5.9 28 20.0 17.3 22.8 24 3.5 2.6 4.1 39 5.8 5.5 6.2 25 3.7 3.3 4.2 40 5.9 5.4 6.2 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 16 9.1 6.4 11.9 29 21.0 18.2 23.7 17 10.0 7.3 12.8 30 21.9 19.1 24.6 18 11.0 8.2 13.7 31 22.8 20.0 19 11.9 9.1 14.6 32 23.7 20 12.8 10.0 15.5 33 21 13.7 11.0 16.4 22 14.6 11.9 23 15.5 24 Reference Manual 122 Fibula Length (FIB) : HANSMANN Nuchal Thickness (NT) : YAGEL Fetal Growth Table Fetal Growth Table Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.182 Yagel S, Anteby EY, Rosen L, et al : Assessment of first tirmester nuchal translucency by daily reference intervals. Ultrasound Obstet Gynecol 11:262, 1998 Age (W) Meas (cm) 5% (cm) 95% (cm) Age (W) Meas (cm) 5% (cm) 95% (cm) Age (d) Meas (cm) -1.96 SD (cm) +1.96 SD (cm) Age (d) Meas (cm) -1.96 SD (cm) +1.96 SD (cm) 12 0.6 0.6 0.6 27 4.4 3.7 5.0 60 0.10 0.04 0.19 83 0.19 0.11 0.29 13 0.9 0.9 0.9 28 4.5 3.8 5.3 61 0.10 0.04 0.19 84 0.20 0.12 0.30 14 1.2 0.6 1.9 29 4.7 4.1 5.4 62 0.11 0.04 0.19 85 0.21 0.12 0.31 15 1.5 0.9 2.1 30 4.9 4.3 5.6 63 0.11 0.04 0.19 86 0.22 0.13 0.32 16 1.8 1.3 2.3 31 5.1 4.2 5.9 64 0.11 0.04 0.19 87 0.22 0.14 0.33 17 2.1 1.3 2.8 32 5.2 4.2 6.3 65 0.11 0.04 0.19 88 0.23 0.14 0.34 18 2.3 1.5 3.1 33 5.4 4.6 6.2 66 0.11 0.05 0.20 89 0.24 0.15 0.35 19 2.6 1.9 3.3 34 5.5 4.6 6.5 67 0.12 0.05 0.20 90 0.25 0.16 0.36 20 2.8 2.1 3.6 35 5.7 5.1 6.2 68 0.12 0.05 0.20 91 0.26 0.17 0.38 21 3.1 2.4 3.7 36 5.8 5.4 6.3 69 0.12 0.05 0.21 92 0.27 0.18 0.39 22 3.3 2.7 3.9 37 5.9 5.4 6.5 70 0.13 0.05 0.21 93 0.28 0.19 0.40 23 3.5 2.8 4.2 38 6.1 5.6 6.5 71 0.13 0.06 0.22 94 0.29 0.19 0.41 24 3.7 2.9 4.5 39 6.2 5.6 6.7 72 0.13 0.06 0.22 95 0.31 0.20 0.43 25 4.0 3.4 4.5 40 6.3 5.9 6.7 73 0.14 0.06 0.22 96 0.32 0.22 0.44 26 4.2 3.6 4.7 74 0.14 0.07 0.23 97 0.33 0.23 0.46 75 0.15 0.07 0.24 98 0.35 0.24 0.48 76 0.15 0.08 0.24 99 0.36 0.25 0.49 77 0.16 0.08 0.25 100 0.38 0.26 0.51 78 0.16 0.08 0.25 101 0.39 0.28 0.53 Reference Manual 123 Hemispheric Width (HW) : JOHNSON Age (d) Meas (cm) -1.96 SD (cm) +1.96 SD (cm) Age (d) Meas (cm) -1.96 SD (cm) +1.96 SD (cm) 79 0.17 0.09 0.26 102 0.41 0.29 0.55 Fetal Growth Table 80 0.17 0.09 0.27 103 0.43 0.30 0.57 Johnson ML, Dunne MG, Mack LA, Rashbaum CL. 81 0.18 0.10 0.28 104 0.44 0.32 0.59 82 0.19 0.10 0.28 105 0.46 0.34 0.62 "Evaluation of Fetal Intracranial Anatomy by Static and Real-Time Ultrasound" Journal of Clinical Ultrasound, 8:311-318, August 1980 Lateral Ventricular Width (Lat Vent) : JOHNSON Fetal Growth Table Johnson ML, Dunne MG, Mack LA, Rashbaum CL. "Evaluation of Fetal Intracranial Anatomy by Static and Real-Time Ultrasound" Journal of Clinical Ultrasound, 8:311-318, August 1980 Age (w) Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) Age (w) Meas (cm) 15 1.40 28 3.30 16 1.50 29 3.40 17 1.50 30 3.40 18 1.80 31 3.40 20 1.90 32 3.60 21 2.20 33 3.40 22 2.60 34 3.80 2.50 35 3.80 15 0.75 28 1.1 23 16 0.86 29 1.0 24 2.70 36 3.90 3.00 37 4.10 40 4.30 17 0.85 30 1.0 25 18 0.83 31 1.0 26 3.00 20 0.82 32 1.1 27 3.00 21 0.76 33 1.1 22 0.82 34 1.1 23 0.83 35 1.1 24 0.83 36 1.1 25 1.1 37 1.2 26 0.9 40 1.2 27 0.9 Reference Manual 124 Renal Length (Renal L) : HANSMANN Renal Anterior-Posterior Length (Renal AP) : HANSMANN Fetal Growth Table Fetal Growth Table Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.180 Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.180 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 20 2.80 2.10 3.60 31 3.50 2.80 4.20 20 1.50 1.10 1.90 31 2.00 1.60 2.40 21 2.90 2.20 3.60 32 3.60 2.90 4.30 21 1.50 1.10 1.90 32 2.00 1.60 2.40 22 3.00 2.20 3.70 33 3.60 2.90 4.30 22 1.60 1.20 2.00 33 2.10 1.70 2.50 23 3.00 2.30 3.70 34 3.70 3.00 4.40 23 1.60 1.20 2.00 34 2.10 1.70 2.50 24 3.10 2.40 3.80 35 3.80 3.00 4.50 24 1.70 1.30 2.10 35 2.10 1.70 2.50 25 3.10 2.40 3.90 36 3.80 3.10 4.50 25 1.70 1.30 2.10 36 2.20 1.80 2.60 26 3.20 2.50 3.90 37 3.90 3.20 4.60 26 1.80 1.40 2.20 37 2.20 1.80 2.60 27 3.30 2.60 4.00 38 3.90 3.20 4.70 27 1.80 1.40 2.20 38 2.30 1.90 2.70 28 3.30 2.60 4.00 39 4.00 3.30 4.70 28 1.80 1.40 2.20 39 2.30 1.90 2.70 29 3.40 2.70 4.10 40 4.10 3.30 4.80 29 1.90 1.50 2.30 40 2.30 1.90 2.70 30 3.40 2.70 4.20 30 1.90 1.50 2.30 Reference Manual 125 Cisterna Magna Diameter (CM) : NICOLAIDES Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Fetal Growth Table 16w5d 0.41 0.24 0.60 29w5d 0.69 0.49 0.93 Snijders RJ, Nicolaides KH. "Fetal biometry at 14-40 weeks' gestation" Ultrasound in obstetrics and Gynecology, 1994 Jan 1;4(1):34-48 16w6d 0.41 0.24 0.60 29w6d 0.69 0.49 0.93 17w0d 0.43 0.26 0.63 30w0d 0.70 0.50 0.94 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 17w1d 0.43 0.26 0.63 30w1d 0.70 0.50 0.94 17w2d 0.43 0.26 0.63 30w2d 0.70 0.50 0.94 14w0d 0.35 0.19 0.53 27w0d 0.66 0.46 0.89 17w3d 0.43 0.26 0.63 30w3d 0.70 0.50 0.94 14w1d 0.35 0.19 0.53 27w1d 0.66 0.46 0.89 17w4d 0.43 0.26 0.63 30w4d 0.70 0.50 0.94 14w2d 0.35 0.19 0.53 27w2d 0.66 0.46 0.89 17w5d 0.43 0.26 0.63 30w5d 0.70 0.50 0.94 14w3d 0.35 0.19 0.53 27w3d 0.66 0.46 0.89 17w6d 0.43 0.26 0.63 30w6d 0.70 0.50 0.94 14w4d 0.35 0.19 0.53 27w4d 0.66 0.46 0.89 18w0d 0.46 0.28 0.66 31w0d 0.72 0.51 0.96 14w5d 0.35 0.19 0.53 27w5d 0.66 0.46 0.89 18w1d 0.46 0.28 0.66 31w1d 0.72 0.51 0.96 14w6d 0.35 0.19 0.53 27w6d 0.66 0.46 0.89 18w2d 0.46 0.28 0.66 31w2d 0.72 0.51 0.96 15w0d 0.38 0.21 0.57 28w0d 0.68 0.47 0.91 18w3d 0.46 0.28 0.66 31w3d 0.72 0.51 0.96 15w1d 0.38 0.21 0.57 28w1d 0.68 0.47 0.91 18w4d 0.46 0.28 0.66 31w4d 0.72 0.51 0.96 15w2d 0.38 0.21 0.57 28w2d 0.68 0.47 0.91 18w5d 0.46 0.28 0.66 31w5d 0.72 0.51 0.96 15w3d 0.38 0.21 0.57 28w3d 0.68 0.47 0.91 18w6d 0.46 0.28 0.66 31w6d 0.72 0.51 0.96 15w4d 0.38 0.21 0.57 28w4d 0.68 0.47 0.91 19w0d 0.49 0.31 0.69 32w0d 0.73 0.52 0.97 15w5d 0.38 0.21 0.57 28w5d 0.68 0.47 0.91 19w1d 0.49 0.31 0.69 32w1d 0.73 0.52 0.97 15w6d 0.38 0.21 0.57 28w6d 0.68 0.47 0.91 19w2d 0.49 0.31 0.69 32w2d 0.73 0.52 0.97 16w0d 0.41 0.24 0.60 29w0d 0.69 0.49 0.93 19w3d 0.49 0.31 0.69 32w3d 0.73 0.52 0.97 16w1d 0.41 0.24 0.60 29w1d 0.69 0.49 0.93 19w4d 0.49 0.31 0.69 32w4d 0.73 0.52 0.97 16w2d 0.41 0.24 0.60 29w2d 0.69 0.49 0.93 19w5d 0.49 0.31 0.69 32w5d 0.73 0.52 0.97 16w3d 0.41 0.24 0.60 29w3d 0.69 0.49 0.93 19w6d 0.49 0.31 0.69 32w6d 0.73 0.52 0.97 16w4d 0.41 0.24 0.60 29w4d 0.69 0.49 0.93 20w0d 0.51 0.33 0.72 33w0d 0.74 0.53 0.98 Reference Manual 126 Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) Age (wd) Meas (cm) 5% (cm) 95% (cm) 20w1d 0.51 0.33 0.72 33w1d 0.74 0.53 0.98 23w4d 0.58 0.39 0.80 36w4d 0.76 0.54 1.00 20w2d 0.51 0.33 0.72 33w2d 0.74 0.53 0.98 23w5d 0.58 0.39 0.80 36w5d 0.76 0.54 1.00 20w3d 0.51 0.33 0.72 33w3d 0.74 0.53 0.98 23w6d 0.58 0.39 0.80 36w6d 0.76 0.54 1.00 20w4d 0.51 0.33 0.72 33w4d 0.74 0.53 0.98 24w0d 0.60 0.41 0.82 37w0d 0.76 0.54 1.01 20w5d 0.51 0.33 0.72 33w5d 0.74 0.53 0.98 24w1d 0.60 0.41 0.82 37w1d 0.76 0.54 1.01 20w6d 0.51 0.33 0.72 33w6d 0.74 0.53 0.98 24w2d 0.60 0.41 0.82 37w2d 0.76 0.54 1.01 21w0d 0.54 0.35 0.75 34w0d 0.75 0.53 0.99 24w3d 0.60 0.41 0.82 37w3d 0.76 0.54 1.01 21w1d 0.54 0.35 0.75 34w1d 0.75 0.53 0.99 24w4d 0.60 0.41 0.82 37w4d 0.76 0.54 1.01 21w2d 0.54 0.35 0.75 34w2d 0.75 0.53 0.99 24w5d 0.60 0.41 0.82 37w5d 0.76 0.54 1.01 21w3d 0.54 0.35 0.75 34w3d 0.75 0.53 0.99 24w6d 0.60 0.41 0.82 37w6d 0.76 0.54 1.01 21w4d 0.54 0.35 0.75 34w4d 0.75 0.53 0.99 25w0d 0.62 0.43 0.85 38w0d 0.76 0.55 1.01 21w5d 0.54 0.35 0.75 34w5d 0.75 0.53 0.99 25w1d 0.62 0.43 0.85 38w1d 0.76 0.55 1.01 21w6d 0.54 0.35 0.75 34w6d 0.75 0.53 0.99 25w2d 0.62 0.43 0.85 38w2d 0.76 0.55 1.01 22w0d 0.56 0.37 0.77 35w0d 0.75 0.54 1.00 25w3d 0.62 0.43 0.85 38w3d 0.76 0.55 1.01 22w1d 0.56 0.37 0.77 35w1d 0.75 0.54 1.00 25w4d 0.62 0.43 0.85 38w4d 0.76 0.55 1.01 22w2d 0.56 0.37 0.77 35w2d 0.75 0.54 1.00 25w5d 0.62 0.43 0.85 38w5d 0.76 0.55 1.01 22w3d 0.56 0.37 0.77 35w3d 0.75 0.54 1.00 25w6d 0.62 0.43 0.85 38w6d 0.76 0.55 1.01 22w4d 0.56 0.37 0.77 35w4d 0.75 0.54 1.00 26w0d 0.64 0.44 0.87 39w0d 0.76 0.55 1.01 22w5d 0.56 0.37 0.77 35w5d 0.75 0.54 1.00 26w1d 0.64 0.44 0.87 39w1d 0.76 0.55 1.01 22w6d 0.56 0.37 0.77 35w6d 0.75 0.54 1.00 26w2d 0.64 0.44 0.87 39w2d 0.76 0.55 1.01 23w0d 0.58 0.39 0.80 36w0d 0.76 0.54 1.00 26w3d 0.64 0.44 0.87 39w3d 0.76 0.55 1.01 23w1d 0.58 0.39 0.80 36w1d 0.76 0.54 1.00 26w4d 0.64 0.44 0.87 39w4d 0.76 0.55 1.01 23w2d 0.58 0.39 0.80 36w2d 0.76 0.54 1.00 26w5d 0.64 0.44 0.87 39w5d 0.76 0.55 1.01 23w3d 0.58 0.39 0.80 36w3d 0.76 0.54 1.00 26w6d 0.64 0.44 0.87 39w6d 0.76 0.55 1.01 Reference Manual 127 Amniotic Fluid Index (AFI) : MOORE Nasal Bone Length (NB) : SONEK Fetal Growth Table Fetal Growth Table Moore TR, Cayle JE: The amniotic fluid index in normal human pregnancy. Sonek JD, McKenna D, Webb D, Croom C, Nicolaides K. "Nasal bone length throughout gestation: normal ranges based on 3537 fetal ultrasound measurements" Obstetrics and Gynecology, 2003 Feb;21(2):152-5. Am J Obstet Gynecol 162:1168, 1990 Age (w) Meas (cm) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 16 12.10 7.90 18.50 30 14.50 9.00 23.40 17 12.70 8.30 19.40 31 14.40 8.80 23.80 18 13.30 8.70 20.20 32 14.40 8.60 24.20 19 13.70 9.00 20.70 33 14.30 8.30 24.50 20 14.10 9.30 21.20 34 14.20 8.10 24.80 21 14.30 9.50 21.40 35 14.00 7.90 24.90 22 14.50 9.70 21.60 36 13.80 7.70 24.90 23 14.60 9.80 21.80 37 13.50 7.50 24.40 24 14.70 9.80 21.90 38 13.20 7.30 23.90 25 14.70 9.70 22.10 39 12.70 7.20 22.60 26 14.70 9.70 22.30 40 12.30 7.10 21.40 27 14.60 9.50 22.60 41 11.60 7.00 19.40 28 14.60 9.40 22.80 42 11.00 6.90 17.50 29 14.50 9.20 23.10 Age (w) Meas (cm)) 5% (cm) 95% (cm) Age (w) Meas (cm) 5% (cm) 95% (cm) 11 0.23 0.14 0.33 26 0.89 0.74 1.09 12 0.28 0.18 0.42 27 0.92 0.75 1.13 13 0.31 0.23 0.46 28 0.98 0.76 1.21 14 0.38 0.25 0.53 29 0.98 0.77 1.18 15 0.43 0.30 0.57 30 1.00 0.79 1.26 16 0.47 0.34 0.62 31 1.04 0.82 1.26 17 0.53 0.40 0.66 32 1.05 0.86 1.36 18 0.57 0.43 0.70 33 1.08 0.87 1.28 19 0.63 0.50 0.79 34 1.09 0.91 1.28 20 0.67 0.52 0.83 35 1.10 0.85 1.41 21 0.71 0.56 0.90 36 1.08 0.78 1.28 22 0.75 0.58 0.93 37 1.14 0.87 1.45 23 0.79 0.64 0.96 38 1.17 0.93 1.57 24 0.83 0.68 1.00 39 1.09 0.92 1.40 25 0.85 0.65 1.07 40 1.21 1.04 1.45 Reference Manual 128 Fetal Ratio Reference Femur Length/Head Circumference (FL/HC) : HADLOCK Fetal Ratio Femur Length/Foot Length (FL/Foot) : CAMPBELL Fetal Ratio Hadlock FP, Harrist RB, Shah Y, Park SK. "The Femur Length/Head Circumference Relation in Obstetric Sonography" Journal of Ultrasound in Medicine, 3(10), October 1984, Pp.439-442 Campbell J, Henderson A, Campbell S. "The fetal femur/foot length ratio: a new parameter to assess dysplastic limb reduction" Obstetrics and Gynecology, 1988 Aug;72(2):181-4 Age (w) - The nomal value (±2SD) for this ratio during the period 14-40 weeks is 0.99±0.12. (87%111%) 15 16.2 1.8 29 20.2 1.2 16 14.9 3.2 30 20.3 2.2 17 16.1 3.0 31 20.3 2.0 BPDo/OFDo (Cephlic Index) : HADLOCK Fetal Ratio Frank P. Hadlock, R. L.Deter, R. J. Carpenter, S. K. Park. "Estimating Fetal Age: Effect of Head Shape on BPD" American Journal of Roentgenology, 137:83-854, July 1981 - The nomal value (±2SD) for this ratio during the period 14-40 weeks is 78.3±8.8%. (70%86%) Femur Length/Abdominal Circumference (FL/AC) : HADLOCK Fetal Ratio Frank P. Hadlock, Russell L.Deter, Ronald B. Harrist, Ellen Roecker, Seung K. Park. "A DateIndependent Predictor of Intrauterine Growth Retardation: Femur Length/Abdominal Circumference Ratio" American Journal of Roentgenology, 141:979-984, November 1983 - The nomal value (±2SD) for this ratio during the period 14-40 weeks is 22±2%. (20%-24%) Meas (%) ±2 SD (%) Age (w) Meas (%) ±2 SD (%) 18 16.9 2.2 32 20.2 2.2 19 17.2 2.2 33 20.7 1.6 20 18.3 3.0 34 20.6 2.4 21 18.1 4.4 35 21.2 2.2 22 19.3 1.8 36 21.1 2.0 23 20.0 1.6 37 21.7 1.8 24 19.8 2.2 38 21.8 1.8 25 19.5 1.6 39 22.0 2.8 26 19.5 1.8 40 21.6 1.8 27 19.5 1.8 41 22.4 1.6 28 19.7 1.8 42 22.0 3.8 Reference Manual 129 Femur Length/BiParietal Diameter (FL/BPD) : HOHLER Fetal Ratio Charles W. Hohler, Thomas A. Quetel. "Comparison of Ultrasound Femur Length and Biparietal Diameter in Late Pregnancy" American Journal of Obsterics and Gynecology, 141:759-762, 1981 - The nomal value (90% Confidence Interval) for this ratio during the period 23-40 weeks is 79±8%. (71%-87%) Thoracic Circumference/Abdominal Circumference (ThC/AC) : CHITKARA Fetal Ratio Chitkara U, Rosenberg J, Chervenak FA, et al. "Prenatal Sonographic Assessment of the Fetal Thorax: Normal Values" American Journal of Obstetrics and Gynecology, 156:1069, 1987 - The nomal value (±2SD) for this ratio during the period 16-40 weeks is 89±12%. (77%101%) Head Circumference(HC) / Abdominal Circumference(AC) : CAMPBELL 5% 95% Age (W) Mean 5% 95% 16 1.22 1.05 1.39 31 1.07 0.96 1.17 17 1.18 1.07 1.29 32 1.07 0.96 1.17 18 1.18 1.07 1.29 33 1.04 0.96 1.11 19 1.18 1.09 1.26 34 1.04 0.96 1.11 20 1.18 1.09 1.26 35 1.02 0.93 1.11 21 1.15 1.06 1.25 36 1.02 0.93 1.11 22 1.15 1.06 1.25 37 0.98 0.92 1.05 23 1.13 1.05 1.21 38 0.98 0.92 1.05 24 1.13 1.05 1.21 39 0.97 0.87 1.06 25 1.13 1.04 1.22 40 0.97 0.87 1.06 26 1.13 1.04 1.22 41 0.96 0.93 1.00 27 1.13 1.05 1.22 42 0.96 0.93 1.00 Fetal Growth Table Campbell, s. “Ultasound Measurement of the Fetal Head to Abdomen Circumference Ratio in the Assessment of Growth Retardation.” Br J Obstetrics and Gynecology, Vol. 84. 165-174. March 1977. Mean Mean Lateral Ventricular Width (LV) / Hemispheric Width (HW) : Johnson Fetal Growth Table Age (w) Age (w) 5% 95% Age (W) Mean 5% Johnson ML, Dunne MG, Mack LA, Rashbaum CL. "Evaluation of Fetal Intracranial Anatomy by Static and Real-Time Ultrasound" Journal of Clinical Ultrasound, 8:311-318, August 1980. Age (w) Mean -2SD +2SD Age (W) Mean -2SD +2SD 95% 15 56.00 40.00 71.00 28 31.00 18.00 45.00 57.00 45.00 69.00 29 29.00 22.00 37.00 13 1.23 1.14 1.31 28 1.13 1.05 1.22 16 14 1.23 1.14 1.31 29 1.10 0.99 1.21 17 52.00 42.00 62.00 30 30.00 26.00 34.00 1.21 18 46.00 40.00 52.00 31 29.00 23.00 36.00 15 1.22 1.05 1.39 30 1.10 0.99 Reference Manual 130 Estimated Fetal Weight Formula Age (w) Mean -2SD +2SD Age (W) Mean -2SD +2SD 20 43.00 29.00 57.00 32 31.00 26.00 36.00 21 35.00 27.00 43.00 33 31.00 25.00 37.00 22 32.00 26.00 38.00 34 28.00 23.00 33.00 23 33.00 24.00 42.00 35 29.00 26.00 31.00 24 31.00 23.00 39.00 36 28.00 23.00 34.00 25 34.00 26.00 42.00 37 29.00 24.00 34.00 AC : 15.5~40.0 cm 26 30.00 24.00 36.00 40 28.00 22.00 33.00 BPD : 3.1~10.0 cm 27 28.00 23.00 34.00 Methods using (BPD, AC) Shepard Methods [grams] [Equation] Log10(EFW) = {(0.166 x BPD) + (0.046 x AC) – (0.002646 x AC x BPD) – 1.7492} x 1000 [Input Range] EFW : 224.0~4925.0 g [Reference] Shepard MJ, et al, “ An Evaluation of Two Equations for Predicting Fetal Weight by Ultrasound,” American Journal of Ob & Gyn, January 1982; 142(1):47-54 Hadlock Methods [grams] [Equation] Log10(EFW) = 1 . 1134 + (0.05845 x AC) – (0.000604 x AC2) + (0.1694 x BPD) – (0.007365 x BPD2) + (0.000595 x AC x BPD) [Reference] Frank P. Hadlock, R. B. Harrist, Robert J. Carpenter, Russell L. Deter, Seung K. Park. "Sonographic Estimation of Fetal Weight" Radiology,1984; 150:535-540 Merz Methods [grams] [Equation] EFW = 157.07186 x AC + 15.90391 x BPD2 – 3200.40479 [Reference] E. Merz, W. Goldhofer, E. Timor-Tritsch “Ultrasound in Gynecology and Obstetrics” Textbook and Atlas, 1991, Georg Thieme Verlag, 308-338 Reference Manual 131 Methods using (BPD, FL, FTA) Methods using (BPD, TTD) Osaka University [grams] Hansmann’s fetal weight [grams] [Equation] [Equation] EFW = 1.25647 x BPD³ + 3.50665 x FL x FTA + 6.3 EFW = { (0.649145 x TTD) – (1.05775 x BPD) + (0.0930707 x BPD2) – (0.020562 x TTD2) + 0.515263} x 1000 ± 2SD = 14.6% [Reference] Mineo Aoki. “The Diagnosis and Treatment of IUGR” Perineitaru Kea (Japanese Journal of Perinatal Care), 1990; Vol.9 NO.5, p407-422 (in Japanese) [Low Range] BPD : 5.9cm ~ TTD : 5.6cm ~ Methods using (BPD, APTD, TTD, FL) EFW : 500.0g ~ Shinozuka 3 Methods [grams] [Reference] [Equation] Hansmann, Hackeloer, Staudach, Wittman, "Ultrasound Diagnosis in Obstetrics and Gynecology," Springer-Verlag, New York, 1986 EFW = (1.07 x BPD³) + (3.42 x APTD x TTD x FL) [Reference] N.Shinozuka et al. "Formulas for Fetal Weight Estimation by Ultrasound Measurements based on Neonatal Specific Gravities and Volumes" American Journal of Obsterics and Gynecology, 1987;157:1140-5 Methods using (BPD, APTD, TTD, SL) Shinozuka 2 Methods [grams] Methods using (AC, FL) Hadlock 1 Methods [grams] [Equation] Log10(EFW) = (0.05281 x AC) + (0.1938 x FL) – (0.004 x AC x FL) + 1.304 ± 2SD = 16% [Reference] EFW = (1.07 x BPD³) + (2.91 x APTD x TTD x SL) Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 [Reference] Ferrero [grams] N.Shinozuka et al. "Formulas for Fetal Weight Estimation by Ultrasound Measurements based on Neonatal Specific Gravities and Volumes" American Journal of Obsterics and Gynecology, 1987;157:1140-5 [Equation] [Equation] Log10(EFW) = ( 0.13244 x AC) – (0.12996 x FL) – (0.00173588 x AC2) + (0.00309212 x FL x AC) + (2.18984 x FL / AC) + 0.77125 [Reference] Ferrero A, Maggi E, Giancotti A, et al: Regression formula for estimation of fetal weight with use of abdominal circumference and femur length: A prospective study. J Ultrasound Med 13:823, 1994 Reference Manual 132 Methods using (BPD, AC, FL) [Equation] Log10(EFW) = (0.0316 x BPD) + (0.0457 x AC) + (0.1623 x FL) – (0.0034 x AC x FL) + 1.335 ±2SD = 15% [Reference] Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 Shinozuka 1 Methods [grams] [Equation] EFW = (1.07 x BPD ) + (0.30 x AC x FL) 3 2 [Reference] N.Shinozuka et al. "Formulas for Fetal Weight Estimation by Ultrasound Measurements based on Neonatal Specific Gravities and Volumes" American Journal of Obsterics and Gynecology, 1987;157:1140-5 Log10(EFW) = ( 0.0107 x HC) + (0.0438 x AC) + (0.158 x FL) – (0.00326 x AC x FL) + 1.326 ± 2SD = 15% [Reference] Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 Weiner2 [grams] [Equation] Log10(EFW) = (0.02253 x HC) + (0.01645 x AC) + (0.06439 x FL) + 1.6961 [Reference] Weiner CP, Sabbagha RE, Vaisrub N, et al: Ultrasonic fetal weight prediction: Role of head circumference and femur length. Obstet Gynecol 65:812, 1985 Methods using (BPD, HC, AC, FL) Hadlock 4 Methods [grams] [Equation] Woo [grams] [Equation] Log10(EFW) = (0.15549 x BPD) + (0.04864 x AC) – (0.00279682 x BPD x AC) + (0.037769 x FL) – (0.000494529 x AC x FL) + 1.13705 [Reference] Woo JS, Wan CW, Cho KM: Computer-assisted evaluation of ultrasonic fetal weight prediction using multiple regression equations with and without the fetal femur length, J Ultrasound Med 4:65, 1985 Log10(EFW) = ( 0.0064 x HC) + (0.0424 x AC) + (0.00061 x BPD x AC) + (0.174 x FL) – (0.00386 x AC x FL) + 1.3596 ± 2SD = 14.8% [Reference] Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 Methods using (AC) Campbell’s fetal weight [grams] Methods using (HC, AC, FL) [Equation] Hadlock 3 Methods [grams] Loge(EFW) = {(0.282 x AC) – (0.003318 x AC2) – 4.564} x 1000 [Equation] [Input Range] Reference Manual 133 AC : 21.0 ~ 40.0cm EFW : 900 ~ 4085g [Reference] Campbell, S., Wilkin, D. “Ultrasonic Measurement of Fetal Abdomen Circumference in the Estimation of Fetal Weight.” British Journal of OB & GYN, 82, 9: 689-697, September 1975 Higginbottom [grams] [Equation] EFW = AC3 x 0.0816 [Reference] Higginbottom J, Slater J. Porter G, et al: Estimation of fetal weight from ultrasonic measurement of trunk circumference. Br J Obstet Gynecol 82:698, 1975 Methods using (BPD, AC) Thurnau [grams] [Equation] EFW = (9.337 x BPD x AC) – 229 [Reference] Thurnau GR, Tamura RK, Sabbagha R, et al: A simple Estimated fetal weight equation based on real-time ultrasound measurements of fetuses less than thirty-four weeks' gestation. Am J Obstet Gynecol 145:557, 1983 Warsof [grams] [Equation] Log10(EFW) = {(0.144 x BPD) + (0.032 x AC) – (0.000111 x AC x BPD2) – 1.599)} x 1000 [Reference] Warsof SL, Gohari P, Berkowitz RL, et al: The estimation of fetal weight by computer-assisted analysis. Am J Obstet Gynecol 120:881, 1977 Methods using (AC, HC) Weiner1 [grams] [Equation] Log10(EFW) = (0.04035 x HC) + (0.01285 x AC) + 1.6575 [Reference] Weiner CP, Sabbagha RE, Vaisrub N, et al: Ultrasonic fetal weight prediction: Role of head circumference and femur length. Obstet Gynecol 65:812, 1985 Reference Manual 134 Estimated Fetal Weight Growth Reference Estimated Fetal Weight (EFW) : DOUBILET Fetal Growth Table Estimated Fetal Weight (EFW) : BRENNER Fetal Growth Table Brenner WE, Edelman DA, Hendricks CH. "A Standard of Fetal Growth for the United States of America" American Journal of Obstetrics and Gynecology, 126:555-564, November 1976 Age (w) Meas (g) 10% (g) 90% (g) Age (w) Meas (g) 10% (g) 90% (g) 21 410 280 860 33 2010 1480 2690 22 480 320 920 34 2220 1670 2880 23 550 370 990 35 2430 1870 3090 24 640 420 1080 36 2650 2190 3290 25 740 490 1180 37 2870 2310 3470 26 860 570 1320 38 3030 2510 3610 27 990 660 1470 39 3170 2680 3750 28 1150 770 1660 40 3280 2750 3870 29 1310 890 1890 41 3360 2800 3980 30 1460 1030 2100 42 3410 2830 4060 31 1630 1180 2290 43 3420 2840 4100 32 1810 1310 2500 44 3390 2790 4110 Improved Birth Weight Table for Neonates Developed from Gestations Dated by Early Ultrasonography. Peter M. Doubilet, MD, PhD, Carol B. Benson, MD, Allan S. Nadel, MD, Steven A. Ringer, MD, PhD. by the American Institute of Ultrasound in Medicine J Ultrasound Med 16:241-249, 1997 Age (w) Meas (g) 10% (g) 90% (g) Age (w) Meas (g) 10% (g) 90% (g) 25 660 490 889 35 2383 1919 2959 26 760 568 1016 36 2622 2129 3230 27 875 660 1160 37 2859 2340 3493 28 1005 765 1322 38 3083 2544 3736 29 1153 884 1504 39 3288 2735 3952 30 1319 1020 1706 40 3462 2904 4127 31 1502 1171 1928 41 3597 3042 4254 32 1702 1338 2167 42 3685 3142 4322 33 1918 1519 2421 43 3717 3195 4324 34 2146 1714 2687 Reference Manual 135 Estimated Fetal Weight (EFW) : OSAKA Fetal Growth Table Osaka University Methods 1989, 3 by Univ. Of Osaka Age (w) Meas (g) ±SD (g) Age (w) Meas (g) ±SD (g) 18w6d 271 41 31w0d 1735 204 19w0d 280 42 31w1d 1759 207 19w1d 289 43 31w2d 1783 209 Age (w) Meas (g) ±SD (g) Age (w) Meas (g) ±SD (g) 19w2d 298 44 31w3d 1808 212 16w0d 137 29 28w1d 1275 158 19w3d 308 45 31w4d 1832 214 16w1d 142 29 28w2d 1296 160 19w4d 317 46 31w5d 1857 217 16w2d 147 29 28w3d 1318 162 19w5d 327 48 31w6d 1881 219 16w3d 153 29 28w4d 1340 164 19w6d 337 49 32w0d 1906 222 16w4d 158 30 28w5d 1363 167 20w0d 347 50 32w1d 1930 224 20w1d 358 51 32w2d 1955 227 16w5d 164 30 28w6d 1385 169 16w6d 170 30 29w0d 1407 171 20w2d 368 53 32w3d 1980 229 17w0d 176 31 29w1d 1430 174 20w3d 379 54 32w4d 2005 232 17w1d 182 31 29w2d 1453 176 20w4d 390 56 32w5d 2029 234 17w2d 188 32 29w3d 1476 178 20w5d 401 57 32w6d 2054 237 17w3d 195 33 29w4d 1499 181 20w6d 413 58 33w0d 2079 239 17w4d 202 33 29w5d 1522 183 21w0d 425 60 33w1d 2104 242 17w5d 209 34 29w6d 1545 185 21w1d 436 61 33w2d 2129 244 17w6d 216 35 30w0d 1568 188 21w2d 449 63 33w3d 2154 247 18w0d 223 35 30w1d 1592 190 21w3d 461 65 33w4d 2179 250 18w1d 231 36 30w2d 1615 192 21w4d 474 66 33w5d 2204 252 18w2d 238 37 30w3d 1639 195 21w5d 486 68 33w6d 2229 255 18w3d 246 38 30w4d 1663 197 21w6d 499 69 34w0d 2254 257 18w4d 254 39 30w5d 1687 200 22w0d 513 71 34w1d 2279 260 18w5d 263 40 30w6d 1711 202 22w1d 526 73 34w2d 2304 263 Reference Manual 136 Age (w) Meas (g) ±SD (g) Age (w) Meas (g) ±SD (g) Age (w) Meas (g) ±SD (g) Age (w) Meas (g) ±SD (g) 22w2d 540 74 34w3d 2329 265 25w5d 930 120 37w6d 2906 335 22w3d 553 76 34w4d 2354 268 25w6d 949 123 38w0d 2928 339 22w4d 568 78 34w5d 2379 271 26w0d 968 125 38w1d 2950 342 22w5d 582 80 34w6d 2403 274 26w1d 987 127 38w2d 2973 345 22w6d 596 81 35w0d 2428 276 26w2d 1007 129 38w3d 2995 348 23w0d 611 83 35w1d 2453 279 26w3d 1026 131 38w4d 3016 352 23w1d 626 85 35w2d 2478 282 26w4d 1046 133 38w5d 3038 355 23w2d 641 87 35w3d 2502 285 26w5d 1066 135 38w6d 3059 358 23w3d 656 89 35w4d 2527 288 26w6d 1086 138 39w0d 3080 362 23w4d 672 91 35w5d 2551 290 27w0d 1106 140 39w1d 3101 365 23w5d 688 92 35w6d 2576 293 27w1d 1127 142 39w2d 3121 369 23w6d 704 94 36w0d 2600 296 27w2d 1147 144 39w3d 3142 372 24w0d 720 96 36w1d 2624 299 27w3d 1168 146 39w4d 3162 376 24w1d 736 98 36w2d 2648 302 27w4d 1189 149 39w5d 3182 379 24w2d 753 100 36w3d 2672 305 27w5d 1210 151 39w6d 3201 383 24w3d 770 102 36w4d 2696 308 27w6d 1232 153 40w0d 3220 387 28w0d 1253 155 24w4d 787 104 36w5d 2720 311 24w5d 804 106 36w6d 2744 314 24w6d 822 108 37w0d 2767 317 25w0d 839 110 37w1d 2791 320 25w1d 857 112 37w2d 2814 323 25w2d 875 114 37w3d 2837 326 25w3d 893 116 37w4d 2860 329 25w4d 912 118 37w5d 2883 332 Reference Manual 137 Estimated Fetal Weight (EFW) : HADLOCK Estimated Fetal Weight (EFW) : SHINOZUKA Fetal Growth Table Fetal Growth Table Frank P. Hadlock, Ronald B. Harrist, Juan Martinez-Poyer, "In Utero Analysis of Fetal Growth: A Sonographic Weight Standard" Radiology, 1991; 181:129-133. Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Japanese Journal of Medical Ultrasonics, Vol.23, No.12, 1996, pp877-888 Age (w) Meas (g) 10% (g) 90% (g) Age (w) Meas (g) 10% (g) 90% (g) Age (wd) Meas (g) -1.5 SD (g) +1.5 SD (g) Age (wd) Meas (g) -1.5 SD (g) +1.5 SD (g) 10 35 29 41 11 45 37 53 26 913 758 1068 18w3d 216 163 269 30w3d 1552 1261 1843 27 1055 876 1234 12 58 48 19w3d 279 211 348 31w3d 1720 1404 2035 68 28 1210 1004 1416 13 73 20w3d 349 264 434 32w3d 1892 1551 2233 61 85 29 1379 1145 1613 21w3d 427 324 529 33w3d 2068 1701 14 2434 93 77 109 30 1559 1294 1824 22w3d 513 392 634 34w3d 2244 1851 2638 15 117 97 137 31 1751 1453 2049 16 146 121 171 32 1953 1621 2285 23w3d 609 469 748 35w3d 2420 1999 2841 17 181 150 212 33 2162 1794 2530 24w3d 714 555 873 36w3d 2592 2143 3041 18 223 185 261 34 2377 1973 2781 25w3d 830 651 1009 37w3d 2758 2280 3236 19 273 227 319 35 2595 2154 3036 26w3d 956 756 1156 38w3d 2915 2407 3422 20 331 275 387 36 2813 2335 3291 27w3d 1092 870 1313 39w3d 3059 2521 3596 21 399 331 467 37 3028 2513 3543 28w3d 1237 993 1481 40w3d 3187 2618 3756 22 478 398 559 38 3236 2686 3786 29w3d 1391 1123 1658 41w3d 3296 2695 3896 23 568 471 665 39 3435 2851 4019 24 670 556 784 40 3619 3004 4234 25 785 652 918 Reference Manual 138 Estimated Fetal Weight (EFW) : JSUM Estimated Fetal Weight (EFW) : WILLIAMS Fetal Growth Table Fetal Growth Table Norio Shinozuka, Takashi Okai, et al. "Standard Values of Ultrasonographic Fetal Biometry" Journal of Medical Ultrasonics, Vol.30, No.3, pp. 416-440, 2003 Williams RL, Creasy RK, Cunningham GC, et al: Fetal growth and perinatal viability in California. Obstet Gynecol 1982 May; 59(5): 624-32 Age (wd) Meas (g) -1.5 SD (g) +1.5 SD (g) Age (wd) Meas (g) -1.5 SD (g) +1.5 SD (g) Age (w) Meas (g) Min (g) Max (g) Age (w) Meas (g) Min (g) Max (g) 18w3d 216 163 269 30w3d 1552 1261 1843 22 513 320 746 34 2394 1728 3132 589 365 861 35 2628 1974 3333 19w3d 279 211 348 31w3d 1720 1404 2035 23 20w3d 349 264 434 32w3d 1892 1551 2233 24 675 417 989 36 2849 2224 3521 21w3d 427 324 529 33w3d 2068 1701 2434 25 773 477 1132 37 3052 2455 3706 26 882 546 1289 38 3227 2642 3867 27 1005 627 1463 39 3364 2790 3994 28 1143 720 1653 40 3462 2881 4080 29 1298 829 1859 41 3524 2946 4127 30 1484 955 2136 42 3589 3011 4185 31 1695 1100 2402 43 3626 3044 4221 32 1920 1284 2673 44 3633 3043 4233 33 2155 1499 2910 22w3d 513 392 634 34w3d 2244 1851 2638 23w3d 609 469 748 35w3d 2420 1999 2841 24w3d 714 555 873 36w3d 2592 2143 3041 25w3d 830 651 1009 37w3d 2758 2280 3236 26w3d 956 756 1156 38w3d 2915 2407 3422 27w3d 1092 870 1313 39w3d 3059 2521 3596 28w3d 1237 993 1481 40w3d 3187 2618 3756 29w3d 1391 1123 1658 41w3d 3296 2695 3896 Reference Manual 139 Estimated Fetal Weight (EFW) : YARKONI (TWINS) Estimated Fetal Weight (EFW) : HANSMANN Fetal Growth Table Fetal Growth Table Yarkoni S, Reece EA, Holford T, et al: Estimated fetal weight in the evaluation of growth in twin gestations: A prospective longitudinal study. Obstet Gynecol 69:636, 1987. Hansmann, Hackeloer, Staudach and Wittman. "Ultrasound Diagnosis in Obstetrics and Gynecology" Springer-Verlag, New York, 1986; P.186 Age (w) Meas (g) 5% (g) 95% (g) Age (w) Meas (g) 5% (g) 95% (g) Age (w) Meas (g) -2 SD (g) +2 SD (g) Age (w) 16 154 132 207 28 1244 789 17 215 173 249 29 1395 900 18 276 214 291 30 1546 19 300 223 412 31 20 324 232 534 32 21 432 275 705 22 540 319 876 23 598 347 24 656 376 25 793 26 27 Meas (g) -2 SD (g) +2 SD (g) 1774 9 45 44 46 1883 10 48 45 51 25 871 547 1195 26 1000 626 1374 1011 1992 11 54 48 60 27 1139 711 1567 1693 1198 2392 12 63 1840 1385 2793 13 77 54 72 28 1288 802 1774 63 91 29 1448 899 1997 33 2032 1491 3000 14 34 2224 1597 3208 15 96 74 118 30 1618 1003 2233 122 90 154 31 1798 1113 2483 880 35 2427 1703 3336 16 885 36 2631 1809 3465 17 155 111 199 32 1984 1226 2742 197 136 258 33 2176 1342 3010 549 1118 37 2824 2239 3679 18 247 166 328 34 2369 1460 3278 931 722 1352 38 3017 2669 3894 1087 755 1563 19 307 203 411 35 2557 1575 3539 20 377 246 508 36 2734 1682 3786 21 456 294 618 37 2890 1776 4004 22 545 348 742 38 3016 1849 4183 23 644 409 879 39 3099 1888 4310 24 753 475 1031 40 3131 1887 4375 Reference Manual 140 Estimated Fetal Weight Algorithm Estimated Fetal Weight (EFW) : JOHNSEN Fetal Growth Table Estimated Fetal Weight (EFW) : CAMPBELL Johnsen SL, Rasmussen S, Wilsgaard T, Sollien R, Kiserud T. "Longitudinal reference ranges for Estimated fetal weight" Acta Obstet Gynecol Scand, 2006;85(3):286-97 [Equation] e^(0.282 x AC – 0.003318 x AC2 – 4.564) x 1000 Age (w) Meas (g) 5% (g) 95% (g) Age (w) Meas (g) 5% (g) 95% (g) 20 340 269 429 32 1997 1662 2400 21 416 333 520 33 2194 1824 2638 22 503 406 623 34 2393 1988 2880 23 602 490 740 35 2593 2152 3124 Campbell, S., Wilkin, D. "Ultrasonic Measurement of Fetal Abdomen Circumference in the Estimation of Fetal Weight." British Journal of OB & GYN, 82, 9: 689-697, September 1975 24 713 583 870 36 2791 2313 3367 [Summary] 25 835 684 1015 37 2984 2471 3605 26 970 801 1174 38 3171 2621 3835 Assessment of birth weight predictions on 140 fetuses who were delivered within 48 hours. . The accuracy o predictions varied with the size of the fetus: 27 1116 925 1347 39 3347 2764 4054 at a predicted weight of 1kg, 95% of birth weights fell within 160g 28 1274 1058 1534 40 3511 2896 4258 at a predicted weight of 2kg, 95% of birth weights fell within 290g 29 1442 1199 1734 41 3661 3015 4444 at a predicted weight of 3kg, 95% of birth weights fell within 450g 30 1619 1347 1946 42 3793 3121 4609 31 1805 1502 2168 [Range] AC : 21~40cm EFW : 900g~4085g [Reference] at a predicted weight of 4kg, 95% of birth weights fell within 590g . By Extrapolation, at 32 weeks menstrual age, 87% of babies below the 5th centile would be detected by this Methods but that the diagnosis rate would fall to 63% at 38 weeks Reference Manual 141 Estimated Fetal Weight (EFW) : HADLOCK Estimated Fetal Weight (EFW) : HADLOCK1 [Equation] [Equation] 10^(1.1134 + 0.05845 x AC – 0.000604 x AC2 + 0.1694 x BPD – 0.007365 x BPD2 + 0.000595 x AC x BPD) 10^(1.304 + 0.05281 x AC + 0.1938 x FL – 0.004 x AC x FL) [Reference] Frank P. Hadlock, R. B. Harrist, Robert J. Carpenter, Russell L. Deter, Seung K. Park. "Sonographic Estimation of Fetal Weight" Radiology,1984; 150:535-540 Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 [Summary] [Summary] Sonographic measurements were made in 167live-born fetuses one week before delivery (mean 1.64 days ± 1.8 S.D.). All fetuses were weighted immediately after delivery; mean birth weight was found to be 2.754g ± 930 S.D. Data were Divided into several groups by weight : The study population consisted of 109 predominately middle class Caucasian patients. The majority of patients were examined within 3 days of delivery, and all patients were examined within at least 1 week of delivery. - Summary of accuracy of models (Mean deviation = SD(%) ) <1,500g : -3.9±8.3 1,500-2,000g : 0.9±8.5 2,000-2,500g : 1.6±8.5 2,500-3,000g : 0.3±7.6 3,000-3,500g : -1.9±7.2 3,500-4,000g : -0.7±6.8 >4,000g : 5.2±5.2 <1,500g 1,500-2,000g 2,000-2,500g 2,500-3,000g 3,000-3,500g 3,500-4,000g >4,000g : : : : : : : mean 1,024 ± 301 S.D mean 1,767 ± 199 S.D mean 2,248 ± 134 S.D mean 2,668 ± 133 S.D mean 3,227 ± 147 S.D mean 3,686 ± 123 S.D mean 4,301 ± 173 S.D [Reference] Estimated Fetal Weight (EFW) : HADLOCK2 [Equation] 10^(1.335 – 0.0034 x AC x FL + 0.0316 x BPD + 0.0457 x AC + 0.1623 x FL) [Reference] Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 [Summary] The study population consisted of 109 predominately middle class Caucasian patients. The majority of patients were examined within 3 days of delivery, and all patients were Reference Manual 142 examined within at least 1 week of delivery. - Summary of accuracy of models ( Mean deviation = SD(%) ) <1,500g : -5.3±9.0 1,500-2,000g : 2.2±7.0 2,000-2,500g : 3.2±7.6 2,500-3,000g : 1.3±7.7 3,000-3,500g : 0.4±6.0 3,500-4,000g : 1.4±7.1 >4,000g : 4.8±5.1 Estimated Fetal Weight (EFW) : HADLOCK4 [Equation] 10^(1.3596 – 0.00386 x AC x FL + 0.0064 x HC + 0.00061 x BPD x AC + 0.0424 x AC + 0.174 x FL) [Reference] Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 [Summary] Estimated Fetal Weight (EFW) : HADLOCK3 [Equation] 10^(1.326 – 0.00326 x AC x FL + 0.0107 x HC + 0.0438 x AC + 0.158 x FL) [Reference] Frank P. Hadlock, R. B. Harrist, Ralph S. Sharman, Russell L. Deter, Seung K. Park. "Estimation of fetal weight with the use of head, body, and femur measurement-A prospective study" American Journal of Obstetrics and Gynaecology, Vol 151. No.3:333-337, February 1, 1985 [Summary] The study population consisted of 109 predominately middle class Caucasian patients. The majority of patients were examined within 3 days of delivery, and all patients were examined within at least 1 week of delivery. - Summary of accuracy of models ( Mean deviation = SD(%) ) <1,500g : -4.6±9.7 1,500-2,000g : 2.5±7.4 2,000-2,500g : 4.9±7.3 2,500-3,000g : 1.7±6.6 3,000-3,500g : 0.2±5.9 3,500-4,000g : 3.2±6.9 >4,000g : 6.3±5.1 The study population consisted of 109 predominately middle class Caucasian patients. The majority of patients were examined within 3 days of delivery, and all patients were examined within at least 1 week of delivery. - Summary of accuracy of models ( Mean deviation = SD(%) ) <1,500g : 5.4 ± 9.0 1,500-2,000g : -1.4±7.0 2,000-2,500g : -2.6±7.8 2,500-3,000g : -0.4±7.4 3,000-3,500g : 0.9±5.9 3,500-4,000g : -1.2±7.2 >4,000g : -4.0±5.2 Reference Manual 143 2500g ~ 3499g : Shepard, Hansmann, Merz Estimated Fetal Weight (EFW) : HANSMANN 3500g ~ 4520g : Schillinger, Hansmann, Shepard, Merz [Equation] (0.649145 x TTD – 0.020562 x TTD – 1.05775 x BPD + 0.0930707 x BPD + 0.515263) x 1000 2 2 [Range] Estimated Fetal Weight (EFW) : OSAKA [Equation] BPD : 5.9 ~ cm 1.25647 x BPD3 + 3.50665 x FL x FTA + 6.3 TTD : 5.6 ~ cm [Reference] EFW : 500.0 ~ g Mineo Aoki. Perinatal Care, Vol.9 No.5, p407-422 [Reference] Hansmann, Hackeloer, Staudach, Wittman, "Ultrasound Diagnosis in Obstetrics and Gynecology," Springer-Verlag, New York, 1986 Estimated Fetal Weight (EFW) : SHEPARD [Equation] Estimated Fetal Weight (EFW) : MERZ 10^(0.166 x BPD + 0.046 x AC – 0.002646 x BPD x AC – 1.7492) x 1000 [Range] [Equation] 157.07186 x AC + 15.90391 x BPD – 3200.40479 BPD : 3.1 ~ 10.0 cm [Range] AC : 15.5 ~ 40.0 cm BPD : 7.0 ~ 10.5 cm EFW : 224.0 ~ 4925.0 g AC : 21.8 ~ 36.5 cm [Reference] EFW : 1003 ~ 4286 g Shepard MJ, et al, " An Evaluation of Two Equations for Predicting Fetal Weight by Ultrasound," American Journal of Ob & Gyn, January 1982; 142(1):47-54 2 [Reference] E. Merz, W. Goldhofer, E. Timor-Tritsch "Ultrasound in Gynecology and Obstetrics" Textbook and Atlas, 1991, Georg Thieme Verlag, 308-338 Merz E, Lieser H, Schicketanz KH, Harlé J “Intrauterine Gewichtsschätzung mittels Ultraschall. Ein Vergleich mehrerer GewichtsschätzungsMethodsen sowie die Entwicklung einer neuen Formel zur Bestimmung des Fetalgewichtes”, Ultraschall Med, 1998, 9(1):15-24, [Summary] The fetal weights were Estimated in 196 fetuses between 24 and 42 weeks of gestation. - Most Reliable Formula < 2500g : Shepard [Summary] 73 patients underwent ultrasound evaluation within 2 days of delivery. - Difference in percentage of fetal weight Estimateds Within ± 25gm/kg of actual weight : 16.4 Within ± 50gm/kg of actual weight : 26.0 Within ± 100gm/kg of actual weight : 50.7 More then ± 100gm/kg of actual weight : 49.3 The average difference between actual and predicted weight for the sample as a whole was -12.85 gm (SE 40.85) Reference Manual 144 Estimated Fetal Weight (EFW) : SHINOZUKA1 [Equation] 1.07 x BPD + 0.30 x AC x FL 3 2 [Reference] Ferrero A, Maggi E, Giancotti A, et al: Regression formula for estimation of fetal weight with use of abdominal circumference and femur length: A prospective study. J Ultrasound Med 13:823, 1994 [Reference] N.Shinozuka et al. "Formulas for Fetal Weight Estimation by Ultrasound Measurements based on Neonatal Specific Gravities and Volumes" American Journal of Obsterics and Gynecology, 1987;157:1140-5 Estimated Fetal Weight (EFW) : SHINOZUKA2 [Equation] 1.07 x BPD3 + 2.91 x APTD x TTD x SL [Reference] N.Shinozuka et al. "Formulas for Fetal Weight Estimation by Ultrasound Measurements based on Neonatal Specific Gravities and Volumes" American Journal of Obsterics and Gynecology, 1987;157:1140-5 Estimated Fetal Weight (EFW) : HIGGINBOTTOM [Equation] AC3 x 0.0816 [Reference] Higginbottom J, Slater J. Porter G, et al: Estimation of fetal weight from ultrasonic measurement of trunk circumference. Br J Obstet Gynecol 82:698, 1975 Estimated Fetal Weight (EFW) : THURNAU [Equation] BPD x AC x 9.337 – 229 [Reference] Estimated Fetal Weight (EFW) : SHINOZUKA3 [Equation] 1.07 x BPD3 + 3.42 x APTD x TTD x FL [Reference] N.Shinozuka et al. "Formulas for Fetal Weight Estimation by Ultrasound Measurements based on Neonatal Specific Gravities and Volumes" American Journal of Obsterics and Gynecology, 1987;157:1140-5 Thurnau GR, Tamura RK, Sabbagha R, et al: A simple Estimated fetal weight equation based on real-time ultrasound measurements of fetuses less than thirty-four weeks' gestation. Am J Obstet Gynecol 145:557, 1983 Estimated Fetal Weight (EFW) : WARSOF [Equation] 10^((0.144 x BPD) + (0.032 x AC) – (0.000111 x AC x BPD x BPD) – 1.599) x 1000 [Reference] Estimated Fetal Weight (EFW) : FERRERO [Equation] 10^(0.77125 + (0.13244 x AC) – (0.12996 x FL) – (0.00173588 x AC x AC) + (0.00309212 x FL x AC) + (2.18984 x FL/AC)) Warsof SL, Gohari P, Berkowitz RL, et al: The estimation of fetal weight by computer-assisted analysis. Am J Obstet Gynecol 120:881, 1977 Reference Manual 145 Estimated Fetal Weight (EFW) : WEINER1 [Equation] 10^(1.6575 + (0.04035 x HC) + (0.01285 x AC)) [Reference] Weiner CP, Sabbagha RE, Vaisrub N, et al: Ultrasonic fetal weight prediction: Role of head circumference and femur length. Obstet Gynecol 65:812, 1985 Estimated Fetal Weight (EFW) : WEINER2 [Equation] 10^(1.6961 + (0.02253 x HC) + (0.01645 x AC) + (0.06439 x FL)) [Reference] Weiner CP, Sabbagha RE, Vaisrub N, et al: Ultrasonic fetal weight prediction: Role of head circumference and femur length. Obstet Gynecol 65:812, 1985 Estimated Fetal Weight (EFW) : WOO [Equation] 10^(1.13705 + (0.15549 x BPD) + (0.04864 x AC) – (0.00279682 x BPD x AC) + (0.037769 x FL) – (0.000494529 x AC x FL)) [Reference] Woo JS, Wan CW, Cho KM Computer-assisted evaluation of ultrasonic fetal weight prediction using multiple regression equations with and without the fetal femur length, J Ultrasound Med 4:65, 1985 Reference Manual 146 Cardiology Reference Cardiology 2D IVS% (IVS% Thickening) LVPW% (LVPW% Thickening) BSA (Body Surface Area) BSA can be calculated by entering patient’s weight and height in New Patient Input Screen. IVSd/LVPWd (Interventricular Septum to Posterior Wall Thickness Ratio Diastole) where, H : centimeters, W : kilograms Reference: Grossman,W.”Cardiac Catheterization and Angiography.” Blood Flow Measurement : Hemodynamic Principles, 1980. Chapter8, page 90. IVSs/LVPWs (Interventricular Septum to Posterior Wall Thickness Ratio Systole) LV. Ventricle (2D) LVd: Left Ventricle Diastole LVs: Left Ventricle Systole LVIDd: Left Ventricle Internal Dimension Diastole LVIDs: Left Ventricle Internal Dimension Systole LVPWd: Left Ventricle Posterior Wall Dimension Diastole LVPWs: Left Ventricle Posterior Wall Dimension Systole IVSd: Interventricular Septal Thickness Diastole IVSs: Interventricular Septal Thickness Systole EDV : End Diastolic Volume ESV : End Systolic Volume LV Vol. d (LV Volume Diastolic) Teichholz : Reference: Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence or absence of asynergy.” American Journal of Cardiology, 1976, 37:7. Cubed : Reference: Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by Echocardiography.” Circulation, Vol. XLIII, 482, April, 1971 Reference Manual 147 Gibson : Cardiac Output (CO) Reference: “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan, 1997 p. 30 LV Vol. s (LV Volume Systolic) Cardiac Index (CI) Teichholz : Reference: Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence or absence of asynergy.” American Journal of Cardiology, 1976, 37:7. Cubed : Reference: Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by Echocardiography.” Circulation, Vol. XLIII, 482, April, 1971. Ejection Fraction (EF) Reference: Oh, J.K., Seward, J.B., Tajik, A.J. “The Echo Manual” Boston: Little, Brown and Company, 1994; 43 Fraction Shortening (%FS) Gibson : Reference: “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan, 1997 p. 30 Stroke Volume (SV) LV Mass Reference: Oh, J.K., Seward, J.B. The Echo Manual. Boston: Little, Brown and company, 1994, p.43. LV Mass Index Stroke Volume Index (SI) Reference Manual 148 LV Vol. (MOD, Method Of Disk) LV Vol. (A/L) MOD is used for calculation left ventricular volume from measurements taken in two scan planes. The calculation of volume for both methods (2-chamber or the 4-chamber view) results from summation of areas from diameters of 20 cylinders or discs of equal height, apportioned over the left ventricular length LV Volume: Single Plane Area Length [Single Plane] LV Vol. (Bullet) [Bi-Plane] LVAd: Left Ventricle Short-axis Area Diastolic LVLd: Left Ventricle Apical Length Diastolic LVAs: Left Ventricle Short-axis Area Systolic LVLd: Left Ventricle Apical Length Systolic Reference Manual 149 Vol. d (Diastolic Volume) AL(Area Length) Method where, Vol. s (Systolic Volume) A1 : LVAd SAX PM Epi (cm2) A2 : LVAd SAX PM (cm2) L : LVLd apical (cm) t : LV Myo Thck (cm) Myocardial Thickness (Myo Thck) LV Mass (cm) LV MASS BY AREA LENGTH(AL) AND TRUNCATED ELLIPSOID(TE) where, A1 : LVAd SAX PM Epi (cm2) A2 : LVAd SAX PM (cm2) TE(Truncated Ellipsoid) Method where, A1 : LVAd SAX PM Epi (cm2) L : LVLd apical (cm) a : LV TE a(cm) LV MASS(AL) = 1.05{[5/6A₂(a+d+t)]-[5/6A₂(a+d)]} LV MASS(TE) = 1.05 {(b+t)² [2/3((a+t)+d- d³ d³ )]-b² [2/3 a+d - 3a²]} 3(a+t)² LV Mass Index A2 : LVAd SAX PM (cm2) t : LV Myo Thck (cm) d : LV TE d (cm) Reference Manual 150 Area Length Method LA Vol. (Left Atrium Volume) A1 D₁ D₂ LA Volume = D₃ LA Volume Index L L A2 0.85×A1×A2 L A1 = LA area, 4-chamber view A1 = LA area, 2-chamber view L = LA longth LA Volume(mL) = D₁×D₂×D₃×0.523 LVOT Area (cm2) RVOT Area LA Area (ml) (cm2) LA Volume Mitral Valve (MV) Area Prolate Eliipse Method Aortic Root (cm2) (ml) Tricuspid Valve (TV) Area 1 LV LA 2 3 4 (cm2) L L A1 D₁ D₂ LA Volume = D₃ A2 0.85×A1×A2 L A1 = LA area, 4-chamber view A1 = LA area, 2-chamber view L = LA longth LA Volume(mL) = D₁×D₂×D₃×0.523 Reference Manual 151 Cardiology M mode Aorta Diameter Aortic Root 1 2 3 1. Ao Diam 4 Left Ventricle 2. Ao Sinus Diam LV 3. Ao ST Junct Diam LA 4. Asc Ao Diam Shunt IVC(Inferior Vena Cava) % Change Reference: Harvey Feigenbaum, “ Echocardiography”, 1995 fifth edition (%) SVC(Superior Vena Cava) % Change (%) Reference: Harvey Feigenbaum, “ Echocardiography”, 1995 fifth edition Reference Manual 152 LVDd : Left Ventricle Dimension Diastole LVDs : Left Ventricle Dimension Systole LVPWd : Left Ventricle Posterior Wall Dimension Diastole LVPWs: Left Ventricle Posterior Wall Dimension Systole IVSd : Interventricular Septal Thickness Diastole IVSs: Interventricular Septal Thickness Systole MV (Mitral Valve) Definition for the Mitral Valve D : end of systolic, immediately before the opening of the Mitral Valve E : the arterial leaflet of the Mitral valve open, it peaks at E F : lowest point of the initial diastolic closing A : In atrial systole, blood is propelled through the Mitral orifice and the Mitral leaflets reopen the peak of this phase of Mitral valve motion is indicated as A C : complete closure occurs after the onset of ventricular systole EDV: End Diastolic Volume ESV: End Systolic Volume A-C interval (unit : msec) LV Mass The distance between the A point and the C point Mitral Valve D-E Excursion (unit : cm) Reference: Oh, J.K., Seward, J.B. The Echo Manual. Boston: Little, Brown and company, 1994, p.43. Distance between the onset of the opening of the Mitral valve at D and the maximum opening of the anterior Mitral valve leaflet at E Mitral Valve D-E Slope (unit : cm/sec) LV Mass Index Automatically calculated from the D-E excursion the rate of change that exists between two point(D, E) Mitral Valve E-F Slope (unit : cm/sec) Right Ventricle RV PEP/ET (RV Pre-Ejection Period / Ejection Time) The rate of change that exists between two point(E, F) EPSS ( Mitral Valve E Point Septal Separation ) ( unit : cm) Distance between the Mitral Valve E point and posterior edge of the interventricular septum at the same point in time Reference Manual 153 LA/Ao LV PEP/ET (LV Pre-Ejection Period / Ejection Time) Area Area <Figure - Mitral Valve M mode Waveform> Ao/LA Aortic Root Diameter (unit:cm) : Ao Root The distance between the leading echo of the anterior aortic wall and the leading echo of the posterior aortic wall at R wave of the electrocardiogram Aortic Valve Cusp Separation (unit:cm) : Ao Cusp Sep The distance between the trailing echo of the anterior aortic valve leaflet and the leading echo of the posterior aortic valve leaflet in early diastole Left Atrial Diameter (unit:cm) : LA Diam The distance between the trailing edge of the posterior aortic wall echo and the leading edge of the posterior left atrial wall echo at the level of aortic wall at the R wave of the delectrocardiogram. Reference Manual 154 Cardiology C mode AV Regurg (AR), MV Regurg (MR), TV Regurg (TR) PISA(Proximal Isovelocity Surface Area)-Radius PISA-Alias Velocity Reference: Schmailzl. K., Omerod, O., Editors. Ultrasound in Cardiology. Blackwell Science, 1994, p.125. PISA-Alias Velocity is the peak velocity of the regurgitant jet on the Doppler display (Figure – Regurgitant Flow-PISA Alias Velocity) Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston: Little, Brown and Company, 1994, p.106. Schmailzl, K., Omerod, O., Editors. Ultrasound in Cardiology. Blackwell Science, 1994, p.125. PISA-Radios is the radial distance of the isovelocity shell from the orifice (Figure Regurgitant Flow-PISA Radius) PISA-Radius = Radial distance of the isovelocity shell from the orifice in cm <Figure – Regurgitant Flow-PISA Alias Velocity> <Figure - Regurgitant Flow-PISA Radius> Reference Manual 155 Regurgitant Volume Flow Rate (Rate) Effective Regurgitant Orifice(ERO) Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston:Little, Brown and Company, 1994, pp. 108-109 Vmax is the peak velocity of the mitral regurgitant jet measured on the Doppler display. (cm2) Regurgitant Volume (Vol.) Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston:Little, Brown and Company, 1994, pp. 108-109 Where: PISA-Vol. = Regurgitant volume in milliliters PISA-ERO = Effective Regurgitant area in cm2. Cardiology Doppler LVOT, RVOT, Aortic Valve, Mitral Valve, Tricuspid Valve, Pulmonic Valve HR(Heart Rate) Max Pressure Gradient where, Vmax :Max Velocity (m/sec) PHT (Pressure Half Time) Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston: Little, Brown and Company, 1994, p.59-60 Pressure half-time (PHT) is the time it takes for the peak pressure gradient to fall to half to half of its peak value. DT is deceleration time in centimeters per second form the peak velocity to the baseline. VTI = Velocity integral of the Regurgitant flow measured on the Doppler display Acceleration (Acc) Regurgitant Fraction Where, Vmax: Max Velocity, AccT: Acceleration Time Reference Manual 156 CO (Cardiac Output) Tei Index Total Systolic Time (TST) Deceleration (Dec) ET Where, Vmax: Max Velocity, DecT: Deceleration Time LV OR RV OUTFLOW Inflow AccT/ET MPI = (TST-ET)/ET Alternately CSA(Cross Sectional Area) IVCT IVRT MPI = (IVCT+IVRT)/ET where, Diam: diameter SV (Stroke Volume) Where, IVRT: Isovolumic Relaxation Time, IVCT: Isovolumic Contraction Time, EjectT: Ejection Time where, Area: LVOT area, RVOT area, or TV area TST (Total Systolic Time) Reference Manual 157 MPI (Myocardial Performance Index (Tei Index)) MVA(Mitral Valve Area) by PHT CONT(Continuity Equation) When there is a constant flow in a flow channel with a Stenosis, the flow volume at the Stenosis portion equals that at nonstenotic portions. This equation is valid not only in a constant flow, but also in a pulsality flow channel. Where, SV1: stroke volume in the nonstenotic area, SV2: stroke volume in the stenotic area Pulmonic Veins, Hepatic Veins Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston: Little, Brown and Company, 1994, p.48 Diastolic Velocity(Dias Vel.) Velocity measured at diastole. Where ; PHT is Pressure Half Time (milliseconds) Systolic Velocity (Sys Vel.) Reference: John H. Phillipse, “Practical Quantitative Doppler Echocardiography”, p47, chapter6, CRC press, 1991 Velocity measured at systole. Artrial Reversal Velocity(A. Rev. Vel) dp/dt Atrial reversal velocity is the peak velocity of the atrial reversal component. Pulmonary Vein A-Wave Duration (A. Rev Dur) Pulmonary atrial flow reversal duration is the time between the diastolic component of pulmonary venous flow and the closure of the mitral valve. Sys/Dia (Systole/Diastole) Ratio of the velocity measured at systole and the velocity measured at diastole. Plum Vein-MV A Duration Plum Vein-MV A Dur.= Plume Vein Dur.- MV A Dur. Reference Manual 158 Aortic Valve Pulmonic Valve AV Area by VTI PV Area by VTI AV Area by Vmax PV Area by Vmax QP : QS = Pulmonic CO / Sysemic CO Mitral Valve MV Area by VTI MV Area by Vmax Velocity Circumferential Fiber Shortening (Circ / Sec) Propagation Velocity (Vp) Tricuspid Valve TV Area by VTI TV Area by Vmax Reference Manual 159 Urology Reference Pressure Gradient where, PGmax :Max Pressure gradient Resistivity Index V: the maximum instantaneous velocity (m/sec) Volume Flow (Area) Reference: Burns, Peter N., “The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9, p.586 Pulsatility Index Reference: Burns, Peter N., “The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9, p.585 Volume Flow (Dist.) Prostate Volume (3 Distances) S/D (ratio of Systolic to Diastolic Velocity) Prostate Volume (3 Distances x Factor) Reference: Ameriso S, et al., “Pulseless Transcranial Doppler Finding in Takayasu’s Arteritis,” J Clin Ultrasound, September 1990; 18:592-6 Prostate Volume (Ellipsoid) D/S (ratio of Diastolic to Systolic Velocity) Prostate Volume (Sum of 20 Disks) Reference Manual 160 Prostate Spec. Antigen Residual Volume Fetal Heart Reference Stroke Volume (SV) where, EDV : End Diastolic Volume, ESV : End Systolic Volume %STA Cardiac Output (CO) Reference: Jacob, Normaan M et, al., “ Duplex Carotid Sonography : Criteria for Stenosis, Accuracy, and Pitfalls,” Radiology 154: 385~391, 1985. %STD Ejection Fraction (EF) where, EDV : End Diastolic Volume, ESV : End Systolic Volume Reference: Taylor K. J. W., Burns P. N., Breslau P., “Clinical Applications of Doppler Reference: Oh, J.K., Seward, J.B., Tajik, A.J. “The Echo Manual” Boston: Little, Brown and Company, 1994; 43 LV Vol. d (LV Volume Diastolic) Teichholz Reference: Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence or absence of asynergy.” American Journal of Cardiology, 1976, 37:7. Cubed Reference: Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by Echocardiography.” Circulation, Vol. XLIII, 482, April, 1971. Reference Manual 161 Gibson Resistivity Index Reference: “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan, 1997 p. 30 Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.586 LV Vol. s (LV Volume Systolic) Teichholz Reference: Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence or absence of asynergy.” American Journal of Cardiology, 1976, 37:7. Cubed Reference: Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by Echocardiography.” Circulation, Vol. XLIII, 482, April, 1971. Pulsatility Index Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.585 S/D (ratio of Systolic to Diastolic Velocity) Gibson Reference: “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan, 1997 p. 30 LV Mass Reference: Ameriso S, et al., “Pulseless Transcranial Doppler Finding in Takayasu’s Arteritis,” J Clin Ultrasound, September 1990; 18:592-6 D/S (ratio of Diastolic to Systolic Velocity) LVmass(grams) = Reference: Oh, J.K., Seward, J.B. The Echo Manual. Boston: Little, Brown and company, 1994, p.43. Fractional Shortening of Left Ventricle Internal diameter A percent change in LV cavity dimension with systolic contraction Harvey Feigenbaum, “ Echocardiography”, 1995 fifth edition Preload Index Artrial Reversal Flow / Systolic Flow Reference: Toru Kanzaki, Yoshihide Chiba, Evaluation of the Preload Condition of the Fetus by Inferior Vena Caval Blood Flow Pattern Fetal Diagn Ther 1990; 5; 168-174 Reference Manual 162 Vascular Reference Pressure Gradient (mmHg) where, PGmax :Max Pressure gradient V : the maximum instantaneous velocity(m/sec) Carotid, UE Artery, LE Artery, LE Vein %STA Resistivity Index Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.586 Reference: Jacob, Normaan M et, al., “ Duplex Carotid Sonography : Crieteria for Stenosis, Accuracy, and Pitfalls,” Radiology 154: 385~391, 1985. %STD Pulsatility Index Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.585 Reference: Taylor K. J. W., Burns P. N., Breslau P., “Clinical Applications of Doppler Ultrasound”, Raven Press, N.Y., pages 130-136. Volume Flow (Area) S/D (ratio of Systolic to Diastolic Velocity) Volume Flow (Dist.) Reference: Ameriso S, et al., “Pulseless Transcranial Doppler Finding in Takayasu’s Arteritis,” J Clin Ultrasound, September 1990; 18:592-6 D/S (ratio of Diastolic to Systolic Velocity) Reference Manual 163 Gynecology Reference Pressure Gradient (mmHg) where, PGmax :Max Pressure gradient V : the maximum instantaneous velocity(m/sec) Resistivity Index %STA Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.586 Reference: Jacob, Normaan M et, al., “ Duplex Carotid Sonography : Crieteria for Stenosis, Accuracy, and Pitfalls,” Radiology 154: 385~391, 1985. Pulsatility Index %STD Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.585 S/D (ratio of Systolic to Diastolic Velocity) Reference: Taylor K. J. W., Burns P. N., Breslau P., “Clinical Applications of Doppler Ultrasound”, Raven Press, N.Y., pages 130-136. Vol. Reference: Ameriso S, et al., “Pulseless Transcranial Doppler Finding in Takayasu’s Arteritis,” J Clin Ultrasound, September 1990; 18:592-6 D/S (ratio of Diastolic to Systolic Velocity) Follicle Vol. Reference Manual 164 Abdomen Reference Resistivity Index %STA Reference: Jacob, Normaan M et, al., “ Duplex Carotid Sonography : Crieteria for Stenosis, Accuracy, and Pitfalls,” Radiology 154: 385~391, 1985. Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.586 Pulsatility Index %STD Reference: Taylor K. J. W., Burns P. N., Breslau P., “Clinical Applications of Doppler Ultrasound”, Raven Press, N.Y., pages 130-136. Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.585 S/D (ratio of Systolic to Diastolic Velocity) Reference: Ameriso S, et al., “Pulseless Transcranial Doppler Finding in Takayasu’s Arteritis,” J Clin Ultrasound, September 1990; 18:592-6 Volume Flow (Area) Volume Flow (Dist.) Vol. D/S (ratio of Diastolic to Systolic Velocity) Vol. Index Pressure Gradient (mmHg) where, PGmax :Max Pressure gradient V : the maximum instantaneous velocity(m/sec) Reference Manual 165 Small Part Reference Pressure Gradient (mmHg) where, PGmax :Max Pressure gradient V : the maximum instantaneous velocity(m/sec) Thyroid, Breast, Testis, Superficial %STA Resistivity Index Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.586 Reference: Jacob, Normaan M et, al., “ Duplex Carotid Sonography : Crieteria for Stenosis, Accuracy, and Pitfalls,” Radiology 154: 385~391, 1985. %STD Pulsatility Index Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.585 Reference: Taylor K. J. W., Burns P. N., Breslau P., “Clinical Applications of Doppler Ultrasound”, Raven Press, N.Y., pages 130-136. Volume Flow (Area) S/D (ratio of Systolic to Diastolic Velocity) Volume Flow (Dist.) Reference: Ameriso S, et al., “Pulseless Transcranial Doppler Finding in Takayasu’s Arteritis,” J Clin Ultrasound, September 1990; 18:592-6 D/S (ratio of Diastolic to Systolic Velocity) Mass Vol. Reference Manual 166 TCD Reference Resistivity Index %STA Reference: Jacob, Normaan M et, al., “ Duplex Carotid Sonography : Crieteria for Stenosis, Accuracy, and Pitfalls,” Radiology 154: 385~391, 1985. Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.586 Pulsatility Index %STD Reference: Taylor K. J. W., Burns P. N., Breslau P., “Clinical Applications of Doppler Ultrasound”, Raven Press, N.Y., pages 130-136. Reference: Burns, Peter N., “ The Physical principles of Doppler Spectral Analysis,” Journal of Clinical Ultrasound, Nov./Dec. 1987, Vol.15, No.9,p.585 Volume Flow (Area) S/D (ratio of Systolic to Diastolic Velocity) Volume Flow (Dist.) Reference: Ameriso S, et al., “Pulseless Transcranial Doppler Finding in Takayasu’s Arteritis,” J Clin Ultrasound, September 1990; 18:592-6 D/S (ratio of Diastolic to Systolic Velocity) Pressure Gradient (mmHg) where, PGmax :Max Pressure gradient V : the maximum instantaneous velocity(m/sec) Reference Manual 167 Acoustic Output Tables IEC 60601-2-37 Tables Symbols and Definitions Standard 60601-2-37 published by the International Electrotechnical Commission (IEC) requires the declaration of acoustic output information. The definitions and units of the symbols in those tables are listed below, and are consistent with IEC 60601-2-37 and IEC 62359. Definitions for CAPITALIZED parameters, if not found here, can be found in the reference documents. All table entries have been obtained at the operating conditions that give rise to the Maximum Index Value (shown in the second row of the table). Due to the complexities of the system user interface, it may be difficult to exactly replicate the declared condition. Contact Samsung Medison for further information as needed. Note that Samsung Medison provides information for both of the TIS non-scanned columns. The ‘Aaprt≤1’ (cm2) column is an ‘at_surface’ TIS value and the ‘Aaprt>1’ (cm2) column is a ‘below surface’ TIS value. The tables will provide additional informational flags (‘**’) in the event that the largest TIS non-scanned value is an ‘at_surface’ value with Aaprt > 1 cm2, or if the largest TIS non-scanned value is a ‘below_surface’ value with Aaprt ≤ 1 cm2 case (very rare). Aaprtthe –12 dB OUTPUT BEAM AREA, or transmit aperture area, of the ultrasonic beam. Derived from the –12 dB OUTPUT BEAM DIMENSIONS. (centimeters squared) deq at max. Ipithe EQUIVALENT BEAM DIAMETER at the point where the free¬field (non-attenuated), PULSE INTENSITY INTEGRAL is a maximum (centimeters). deq(zb)the EQUIVALENT BEAM DIAMETER at axial distance zb. Equal to [(4/п) (Pα(zb) / Ita, α(zb))]0.5. (centimeters) Dim of Aaprtthe –12 dB OUTPUT BEAM DIMENSIONS. The active apertu-re dimensions in the azimuthal and elevational directions (cent-imeters). For scanned modes, the ‘X_dim‘ is the length of the entire scanned aperture. fawf the ACOUSTIC WORKING FREQUENCY. Center frequency. (megahertz) Focal LengthThe nominal focal points, azimuthal (FLx) and elevational (FLy), for the operating condition (centimeters). Ipa, α at max. MI the ATTENUATED PULSE-AVERAGE INTENSITY at the depth of reported MI, zat_max_Ipi, α . (watts per square centimeter). Ita, α(z)the ATTENUATED TEMPORAL-AVERAGE INTENSITY at axial distance z. (milliwatts per square centimeter) MIthe displayed parameter representing potential cavitation bio-effects. (unit-less) Pthe time-average ultrasonic OUTPUT POWER radiated by the transducer for the transmit pattern(s) associated with the report-ed Index. For TIS_non_scan and TIB_non_scan this is the total acoustic power of the non-scanned beam(s). For TIC it is the total acoustic power of the contributing modes (which will be list-ed separately, for the reader to sum). The reported maximum TIS_scan value may (likely) come from a combinational mode. In this case, P = P1 + P1x1. P1 is the BOUNDED OUTPUT POWER (the maximum power emitted from a one cm width of the active (scanned) transmit aperture of the transducer in the scan plane direction) of each the scanned transmit modes. For instance in 2D color mode P1_2D and P1_Col will be listed. P1x1 is the ma-ximum contribution from any one square centimeter of the non-scanned transmit mode(s) active aperture. (milliwatts). Pα(z)the (ultrasonic) ATTENUATED OUTPUT POWER at axial dist-ance zs, for the Non-scanned modes or TRANSMIT PATTERNS. (milliwatts) Pr, αthe ATTENUATED PEAK-RAREFACTIONAL ACOUSTIC PRESSURE associated with the transmit pattern giving rise to the reported value of MI. (megapascals) Reference Manual 168 Pr at max. Ipi the PEAK-RAREFACTIONAL ACOUSTIC PRESSURE at the point where the free-field (non-attenuated), PULSE INTENSITY INTEGRAL is a maximum. (megapascals) Explanatory Notes (a) This index is not required in this operating mode. prrthe PULSE REPETITION RATE associated with the transmit pattern giving rise to the reported value of MI. (pulses per second) (b) This probe is not intended for adult transcranial or neonatal cephalic applications. TIBthe BONE THERMAL INDEX for applications, such as fetal (second and third trimester) or neonatal cephalic (through the fontanelle), in which the ultrasound beam passes through soft tissue and a focal region is in the immediate vicinity of bone. (unit-less) (d) The maximum index value is less than 1.0 in all modes. TIC the CRANIAL BONE THERMAL INDEX. TISscan the SOFT TISSUE THERMAL INDEX in a scanning mode. (unit-less) **The max TIS non-scanned value is an ‘at_surface‘ value and occurs for aperture > 1.0 cm2, OR The max TIS non-scanned value is a ‘below_surface‘ value and occurs for aperture <= 1.0 cm2. TISNon-scan the SOFT TISSUE THERMAL INDEX in a non-auto scanning mode. (unitless) tdthe PULSE DURATION associated with the TRANSMIT PATTERN giving rise to the reported value of MI. (microseconds) z_at_max_Ipi, α the axial distance from the transducer where the ATTENUATED PULSE INTENSITY INTEGRAL Ipi, α is maximum. zb the distance where TIB_Non-scan is determined. For Non-scanned modes, Distance along the beam axis to the plane where the product of the ATTENUATED OUTPUT POWER and ATTENUATED TEMPORALAVERAGE INTENSITY (Pα(z) x Ita, α(z)) maximizes. (centimeters) zbpvalue equal to 1.5 times the EQUIVALENT APERTURE DIAMETER (Deq). Also equals 1.69 * . (centimeters) zsthe distance where TIS_Non-scan is determined. The axial distance corresponding to the location of max[min(Pα(z), Ita, α(z)x1 cm2)], where z >= zbp. (centimeters) (c) This formulation for TIS is less than that for an alternate formulation in this mode. *If the MI comes from a scanning mode Transmit Pattern (pulse), the ‘prr‘ listed is the average per second for the ‘worst case‘ scan line. ‘prr‘ for scanning modes is the product of the frame rate and the number of pulse per line of the Transmit Pattern. +The max TIB for this combinational mode = the at_surface TIS_scanned value. The nonscanned_TIB value indicated is the below_surface max. A “+“ is used when this TIB value is less than the TIS_scanned value for the operating condition. #In Color M mode, the color pulses are non-scanned. A ‘Col#’ notifies when Color M mode is the operating condition. Reference Manual 169 C2-6: 2D + Color, Triple, CPA & Triple CPA mode C2-6 TIS Index Label C2-6: 2D & 2D + M mode TIS Index Label M.I. 1.37 1.16 (MPa) 2.22 - - - - - P (mW) - 2D P1:87.5 M P1x1:9.07 - M P:12.9 (b) (mW) - - - 12.9 - - (cm) - - - 3.90 - - (cm) - - - 3.31 - - zb z_at_max_Ipi, α (cm) - - - - 3.70 - (cm) 1.30 - - - - - deq(zb) (cm) - - - - 0.396 - fawf Dim of Aaprt td prr Other Information Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length Operating Control Conditions TIC Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp Control 1 Control 2 Control 3 Control 4 Aaprt>1 0.170 Non-scan Aaprt≤1 0.121** Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan 0.360+ 2.61 2.79 2.81 2.77 2.81 (b) X (cm) - 6.01 1.19 3.19 1.19 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 0.806 72.1* - - - - - - - - - - 2.07 - - - - - (pulses/sec) (MPa) - - - - 0.371 - (W/cm2) 146 - - - - - FLx (cm) - - 5.00 14.5 - - FLy (cm) - - 7.00 7.00 - - (cm) TIS_as TIS_as_U TIB_bs TIS_bs Control 1: 2D Mode, 2D:2.4MHz, Focus:2.0cm, FR:72.13, Data No:188188841-647858 Control 2: 2D Mode, 2D:2.7MHz, Focus:14.5cm, FR:38.66, Data No:188215163-884580 Control 3: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:5.0cm, FR:44.11, Data No:188258085-370413 Control 4: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:14.5cm, FR:24.96, Data No:188270074-890029 1.76 (MPa) 2.70 - - P (mW) - 2D P1:11.1 Col P1:119 PD P1x1:96.5 (mW) - - - - Non-scan 3.20 TIC (b) - - PD P:124 (b) 90.7 - - (cm) - - - 1.50 - - (cm) - - - 2.02 - - zb (cm) - - - - 3.60 - z_at_max_Ipi, α (cm) 0.700 - - - - - deq(zb) (cm) - - - - 0.415 - (MHz) 2.85 2D:2.66 Col:2.85 3.00 3.00 3.00 (b) - 2D:4.38 Col:2.32 0.939 1.19 1.19 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 0.909 - - - - - (pulses/sec) 196* - - - - - Pr at max. Ipi (MPa) 2.86 - - - - - deq at max. Ipi (cm) Dim of Aaprt td prr Other Information Aaprt>1 1.30 zbp fawf Ipa, α at max. MI Focal Length Operating Control Conditions MI 1.60 Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] zs Associated Acoustic Parameters scan TIB Non-scan Aaprt≤1 1.38** Maximum Index Value (b) (MHz) M.I. Control 1 Control 2 Control 3 X (cm) 0.394 - - - (W/cm2) 256 FLx (cm) - - 3.50 5.00 - - FLy (cm) - - 7.00 7.00 - - MI TIS_as TIS_bs TIB_bs TIS_as_U Control 1: 2D+Color Mode, 2D:2.4MHz Col:2.8MHz, Focus:2.0cm, FR:21.76, Data No:188409053-280532 Control 2: Triple Mode, 2D:2.7MHz PD:3.1MHz Col:2.8MHz, Focus:3.5cm, FR:5.00, Data No:188565044-66261 Control 3: Triple Mode, 2D:3.1MHz PD:3.1MHz Col:2.8MHz, Focus:5.0cm, FR:4.89, Data No:188531215-482384 Reference Manual 170 C2-6: Pulsed Doppler & 2D + Pulsed Doppler mode CF4-9 TIS Index Label M.I. Maximum Index Value 1.46 Non-scan TIC 3.84 (b) 2.45 - - - - - P (mW) - 2D P1:1.61 PD P1x1:99.3 PD P1x1:103 - PD P:196 (b) (mW) - - - 171 - zs (cm) - - - 3.70 - - (cm) - - - 3.44 - - zb (cm) - - - - 4.30 - z_at_max_Ipi, α (cm) 3.80 - - - - - deq(zb) (cm) - - - 0.502 - 2.80 2D:4.05 PD:3.03 3.08 3.08 2.79 (b) X (cm) - 2D:6.01 PD:0.939 2.44 3.44 1.50 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 1.33 - - - - - td (MHz) CF4-9: 2D & 2D+M mode TIS Index Label 0.368 2.44 - - - - - P (mW) - 2D P1:14.3 M P1x1:0.950 M P1x1:1.44 - M P:0.950 2D P:18.2 Min. of [Pα(zs), Ita, α (zs)x1cm2] - - - 1.16 - - (cm) - - - 0.600 - - zbp (cm) - - - 0.552 - - zb (cm) - - - - 1.20 - z_at_max_Ipi, α (cm) 1.30 - - - - - deq(zb) (cm) - - - - 0.191 - (MHz) 5.06 5.06 5.30 5.30 5.06 4.77 X (cm) - 2D:1.52 M:0.543 0.253 0.253 0.543 1.52 Y (cm) - 0.420 0.420 0.420 0.420 0.420 fawf Dim of Aaprt - - - - - 3.41 - - - - - td deq at max. Ipi (cm) - - - - 0.483 - prr Focal Length Control 1 Control 2 Control 3 Control 4 294 - - - - - - - 11.0 17.5 - - FLy (cm) - - 7.00 7.00 - - Other Information (µsec) 0.253 - - - - - (pulses/sec) 54.6* - - - - - Pr at max. Ipi (MPa) 2.93 - - - - - deq at max. Ipi (cm) - - - - 0.182 - Ipa, α at max. MI Focal Length MI 0.505 (mW) 1000 (W/cm2) 0.0743+ zs (MPa) FLx (cm) TIC 1.09 (pulses/sec) Ipa, α at max. MI Aaprt>1 0.0292** Non-scan (MPa) Pr, α Associated Acoustic Parameters scan TIB Non-scan Aaprt≤1 0.0363 Pr at max. Ipi prr M.I. Maximum Index Value - zbp Dim of Aaprt Operating Control Conditions 1.46 Aaprt>1 2.51 (MPa) fawf Other Information Non-scan Aaprt≤1 1.51** Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters scan TIB (W/cm2) 250 - - - - - FLx (cm) - - 1.00 1.00 - - FLy (cm) - - 2.50 2.50 - - MI TIS_as TIS_as_U TIS_bs TIS_as TIS_as_U TIS_bs Control 5 Control 1: Pulsed Doppler Mode, PD:2.8MHz, Focus:5.0cm, Data No:188621383-648161 Control 2: 2D+Pulsed Doppler Mode, 2D:4.7MHz PD:3.1MHz, Focus:3.5cm, FR:31.25, Data No:188586635-786019 Control 3: Pulsed Doppler Mode, PD:3.1MHz, Focus:11.0cm, Data No:188667978-440889 Control 4: Pulsed Doppler Mode, PD:3.1MHz, Focus:17.5cm, Data No:188664290-813804 Control 5: Pulsed Doppler Mode, PD:2.8MHz, Focus:6.8cm, Data No:188627007-174561 TIB_bs Operating Control Conditions Control 1 Control 2 TIB_bs Control 3 Control 1: 2D+M Mode, 2D:5.1MHz M:5.1MHz, Focus:2.0cm, FR:54.63, Data No:534480584-748474 Control 2: 2D+M Mode, 2D:6.2MHz M:6.2MHz, Focus:1.0cm, FR:61.23, Data No:534478901-102109 Control 3: 2D Mode, 2D:5.1MHz, Focus:2.0cm, FR:57.09, Data No:534428595-542655 TIC_as Reference Manual 171 CF4-9: 2D + Color, Triple, CPA & Triple CPA mode CF4-9: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr, α P Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters (mW) 1.14 0.672 Aaprt≤1 0.609 2.41 - - - 2D P1:0.171 PD P1x1:25.2 PD P1x1:25.2 Col P1:2.65 Aaprt>1 0.400** - TIS Nonscan TIC 1.35 0.922 - - PD P:13.5 2D P:0.239 PD P:10.0 Col P:3.67 Index Label Pr, α 22.5 - - (cm) - 1.00 - - zbp (cm) - - - 1.46 - - zb (cm) - - - - 1.40 - z_at_max_Ipi, α (cm) 1.00 - - - - - deq(zb) (cm) - - - - 0.189 - (MHz) 4.40 2D:5.09 PD:5.11 5.13 5.10 5.13 5.13 - 2D:1.95 PD:1.09 1.48 1.77 0.579 0.181 Y (cm) - 0.420 0.420 0.420 0.420 0.420 (µsec) 1.69 - - - - - (pulses/sec) 1000 - - - - - Pr at max. Ipi (MPa) 2.37 - - - - - deq at max. Ipi (cm) - - - - 0.183 - - zbp (cm) - - - 1.23 - - zb (cm) - - - - 0.900 - z_at_max_Ipi, α (cm) 0.900 - - - - - deq(zb) (cm) - - - - 0.163 - 4.45 2D:5.29 PD:5.08 Col:4.65 5.11 2D:5.25 PD:5.09 Col:4.52 X (cm) - 2D:2.05 PD:1.27 Col:2.32 1.27 1.27 0.398 2D:1.25 PD:0.181 Col:1.36 td Y (cm) - 0.420 0.420 0.420 0.420 0.420 prr Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length - - - - - - - - - (MPa) 2.59 - - - - - - - - - 0.160 - (W/cm2) 319 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 2.50 2.50 - - (cm) fawf Dim of Aaprt Other Information Ipa, α at max. MI Focal Length Control 1 Control 2 Control 1 Operating Control Conditions Control 2 Control 3 Operating Control Conditions MI TIS_as TIS_as_U TIS_bs Control 4 Control 1: Triple Mode, 2D:6.2MHz PD:4.4MHz Col:4.4MHz, Focus:2.0cm, FR:6.31, Data No:534840892-721279 Control 2: Triple Mode, 2D:5.1MHz PD:5.1MHz Col:4.4MHz, Focus:6.5cm, FR:5.41, Data No:534777232-13298 Control 3: Triple Mode, 2D:6.2MHz PD:5.1MHz Col:4.4MHz, Focus:2.0cm, FR:6.31, Data No:534767074-452315 Control 4: Triple Mode, 2D:6.2MHz PD:5.1MHz Col:4.4MHz, Focus:1.0cm, FR:6.33, Data No:534764494-380960 Control 3 Control 4 Control 5 TIB_bs TIC_as PD P:23.2 - 1.20 - - - - 88.3* PD P:17.9 - - 0.560 1.44 - - - (µsec) 1.62 - (cm) (pulses/sec) PD P1x1:36.1 - TIC (mW) zs prr - Aaprt>1 0.546** Non-scan zs - td - - - Dim of Aaprt 0.424 2.13 (mW) 16.5 5.08 1.02 P - 5.08 TIB Non-scan Aaprt≤1 0.882 Min. of [Pα(zs), Ita, α (zs)x1cm2] - Associated Acoustic Parameters (MPa) scan 2D P1:1.06 PD P1x1:16.4 - (MHz) M.I. Maximum Index Value (mW) fawf Other Information (MPa) scan TIB Non-scan X (cm) (W/cm2) 245 - - - - - FLx (cm) - - 7.50 9.00 - - FLy (cm) - - 2.50 2.50 - - MI TIS_as TIS_as_U TIS_bs TIB_bs Control 6 Control 1: Pulsed Doppler Mode, PD:4.4MHz, Focus:2.0cm, Data No:535038722-275296 Control 2: 2D+Pulsed Doppler Mode, 2D:5.1MHz PD:5.1MHz, Focus:5.5cm, FR:21.43, Data No:534989659-793360 Control 3: Pulsed Doppler Mode, PD:5.1MHz, Focus:7.5cm, Data No:535105704-769994 Control 4: Pulsed Doppler Mode, PD:5.1MHz, Focus:9.0cm, Data No:535112293-106821 Control 5: Pulsed Doppler Mode, PD:5.1MHz, Focus:3.0cm, Data No:535088993-490067 Control 6: Pulsed Doppler Mode, PD:5.1MHz, Focus:1.0cm, Data No:535079542-391220 TIC_as Reference Manual 172 SC1-6: 2D + Color, Triple, CPA & Triple CPA mode SC1-6 TIS Index Label SC1-6: 2D & 2D + M mode TIS Index Label M.I. 1.62 0.832 0.341+ (b) (MPa) 2.63 - - - - - P (mW) - 2D P1:61.9 M P1x1:7.50 - M P:11.3 (b) (mW) - - - 13.1 - - zs (cm) - - - 3.80 - - zbp (cm) - - - 3.16 - - zb (cm) - - - - 4.50 - z_at_max_Ipi, α (cm) 2.60 - - - - - deq(zb) (cm) - - - - 0.389 - (MHz) 2.63 2.83 2.63 2.53 1.97 (b) X (cm) - 5.51 0.792 2.90 1.52 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 0.307 - - - - - (pulses/sec) 73.8* - - - - - Pr at max. Ipi (MPa) 3.18 - - - - - deq at max. Ipi (cm) - - - - 0.380 - fawf Dim of Aaprt td prr Other Information Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions TIC Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] Aaprt>1 0.158 Non-scan Aaprt≤1 0.0940 Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan Control 2 Control 3 Control 4 (W/cm2) 379 - - - - - FLx (cm) - - 3.50 17.5 - - FLy (cm) - - 6.50 6.50 - - MI TIS_as_U Control 5 Control 1: 2D Mode, 2D:3.4MHz, Focus:3.5cm, FR:73.83, Data No:1385345295-600788 Control 2: 2D Mode, 2D:3.4MHz, Focus:14.5cm, FR:51.33, Data No:1385407217-38398 Control 3: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:3.5cm, FR:70.26, Data No:1385412371-717946 Control 4: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:17.5cm, FR:28.90, Data No:1385423413-937519 Control 5: 2D+M Mode, 2D:1.9MHz M:1.9MHz, Focus:6.8cm, FR:54.33, Data No:1385416087-269817 3.02 (b) - - - - - (mW) - 2D P1:0.397 PD P1x1:77.4 Col P1:9.00 PD P1x1:77.4 - PD P:73.1 (b) (mW) - - - 96.9 - - (cm) - - - 3.60 - - (cm) - - - 3.47 - - zb z_at_max_Ipi, α (cm) - - - - 0.700 - (cm) 3.50 - - - - - deq(zb) (cm) - - - - 0.462 - (MHz) 2.57 2D:2.66 PD:2.69 Col:2.68 2.69 2.69 2.70 (b) X (cm) - 2D:6.34 PD:0.660 Col:6.34 0.660 3.50 0.396 (b) Y (cm) - Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp fawf Dim of Aaprt td prr TIB_bs 1.20 1.20 1.20 1.20 (b) (µsec) 0.591 (pulses/sec) 93.1* - - - - - - - - - - Pr at max. Ipi (MPa) 3.38 - - - - - deq at max. Ipi (cm) - - - - 0.462 - Ipa, α at max. MI Focal Length Control 1 Control 2 Control 3 Control 4 TIS_bs TIC 1.11 (MPa) Aaprt>1 1.24 Non-scan 2.61 P Other Information TIB Non-scan 1.63 Pr, α Associated Acoustic Parameters scan Aaprt≤1 0.990 Maximum Index Value Operating Control Conditions TIS_as M.I. (W/cm2) 345 - - - - - FLx (cm) - - 3.50 17.5 - - FLy (cm) - - 6.50 6.50 - - TIS_as TIS_as_U MI TIS_bs TIB_bs Control 1: 2D+Color Mode, 2D:3.4MHz Col:2.8MHz, Focus:5.0cm, FR:10.34, Data No:1385481726-758245 Control 2: Triple Mode, 2D:3.4MHz PD:2.8MHz Col:2.8MHz, Focus:3.5cm, FR:3.29, Data No:1385623590-597094 Control 3: Triple Mode, 2D:3.4MHz PD:2.8MHz Col:2.8MHz, Focus:17.5cm, FR:2.51, Data No:1385619842-261615 Control 4: Triple Mode, 2D:1.8MHz PD:2.8MHz Col:2.8MHz, Focus:2.0cm, FR:3.31, Data No:1385606692-358123 Reference Manual 173 SC1-6: Pulsed Doppler & 2D + Pulsed Doppler mode CA1-7AD TIS Index Label M.I. Maximum Index Value Associated Acoustic Parameters 0.814 - - 2.55 P (mW) - 2D P1:1.74 PD P1x1:89.1 PD P1x1:60.4 Aaprt>1 1.88 Non-scan TIC 3.42 (b) - - - - PD P:77.5 (b) CA1-7AD: 2D& 2D+M mode TIS Index Label M.I. scan TIB Non-scan TIC 1.57 1.21 Pr, α (MPa) 2.24 - - - - - P (mW) - 2D P1:93.1 M P1x1:6.99 - M P:13.4 (b) Maximum Index Value Aaprt>1 0.201 Non-scan Aaprt≤1 0.0980** 0.547+ (b) (mW) - - - 142 - - zs (cm) - - - 3.50 - - zbp (cm) - - - 3.47 - - Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 20.5 - - zs (cm) - - - 3.50 - - zbp (cm) - - - 3.41 - - zb (cm) - - - - 4.00 - z_at_max_Ipi, α (cm) 0.700 - - - - - deq(zb) (cm) - - - - 0.307 - (MHz) 2.06 2.74 2.94 2.06 2.09 (b) X (cm) - 3.75 2.90 2.90 1.13 (b) Y (cm) - 1.40 1.40 1.40 1.40 (b) (µsec) 0.674 - - - - - (pulses/sec) 72.9* - - - - - (MPa) 2.33 - - - - - zb (cm) - - - 0.700 - z_at_max_Ipi, α (cm) 1.60 - - - - - deq(zb) (cm) - - - - 0.435 - (MHz) 2.71 2D:2.80 PD:2.75 2.71 2.79 2.80 (b) X (cm) - 2D:6.34 PD:0.396 0.660 3.50 0.396 (b) Dim of Aaprt td prr Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions 1.55 (MPa) fawf Other Information Non-scan Aaprt≤1 1.15 Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] scan TIB Control 2 Control 3 Control 4 Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 1.35 - - - - - (pulses/sec) 1000 - - - - - (MPa) 3.09 - - - - - - - - - 0.432 - (W/cm2) 269 - - - - - FLx (cm) - - 3.50 17.5 - - FLy (cm) - - 6.50 6.50 - - (cm) MI Associated Acoustic Parameters fawf Dim of Aaprt td prr Other Information Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length TIS_as_U Control 1 TIS_as TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:2.8MHz, Focus:3.5cm, Data No:1385859034-482857 Control 2: 2D+Pulsed Doppler Mode, 2D:3.4MHz PD:2.8MHz, Focus:2.0cm, FR:41.67, Data No:1385784497-762939 Control 3: Pulsed Doppler Mode, PD:2.8MHz, Focus:17.5cm, Data No:1385880211-571795 Control 4: Pulsed Doppler Mode, PD:2.8MHz, Focus:2.0cm, Data No:1385857481-286461 Operating Control Conditions Control 2 Control 3 Control 4 - - - - 0.307 (W/cm2) 191 - - - - - FLx (cm) - - 17.5 17.5 - - FLy (cm) - - 6.00 6.00 - - (cm) MI TIS_as TIS_as_U TIS_bs Control 5 Control 1: 2D Mode, 2D:2.0MHz, Focus:2.0cm, FR:72.90, Data No:3362276190-208045 Control 2: 2D Mode, 2D:3.9MHz, Focus:8.8cm, FR:142.06, Data No:3362428927-97813 Control 3: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:17.5cm, FR:86.40, Data No:3362455965-200386 Control 4: 2D+M Mode, 2D:2.1MHz M:2.1MHz, Focus:17.5cm, FR:86.40, Data No:3362469200-852924 Control 5: 2D+M Mode, 2D:2.1MHz M:2.1MHz, Focus:5.0cm, FR:175.33, Data No:3362460802-86758 TIB_bs Reference Manual 174 CA1-7AD:2D + Color, Triple, CPA &Triple CPAmode CA1-7AD: Pulsed Doppler & 2D + Pulsed Dopplermode TIS Index Label M.I. TIS TIC 1.54 1.55 3.67 (b) (MPa) 2.16 - - - - - P (mW) 2.16 - - - - - Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - 2D P1:5.50 Col P1:112 PD P1x1:67.9 - M P:5.16 Col# P:179 (b) zs (cm) - - - M:3.11 Col#:108 - zbp (cm) - - - M:4.50 Col#:4.20 - - M:4.20 Col#:3.80 PD P:250 (b) 165 - - (cm) - - - zbp (cm) - - - 3.73 - - zb (cm) - - - - 3.90 - z_at_max_Ipi, α (cm) 4.00 - - - - - - deq(zb) (cm) - - - - 0.713 - fawf (MHz) 1.98 2D:2.78 PD:2.60 2.79 2.29 2.28 (b) - 2D:3.04 PD:0.637 0.637 3.47 2.19 (b) Y (cm) - 1.40 1.40 1.40 1.40 (b) (µsec) 0.770 - - - - - (pulses/sec) 115* - - - - - Pr at max. Ipi (MPa) 2.60 - - - - - deq at max. Ipi (cm) - - - - 0.552 - - - - - - (MHz) - - - - M:0.939 Col#:0.681 X (cm) 1.98 2D:2.78 Col:2.78 2.61 M:2.70 Col#:2.79 M:2.56 Col#:1.92 (b) Y (cm) - 2D:2.87 Col:2.44 0.637 M:2.90 Col#:3.82 M:1.98 Col#:2.41 (b) (µsec) 0.799 - - - - - (pulses/sec) 29.1* - - - - - Pr at max. Ipi (MPa) 2.47 - - - - - deq at max. Ipi (cm) - - - - M:0.726 Col#:0.543 - (W/cm2) 301 - - - - - FLx (cm) - - 3.50 17.5 - - FLy (cm) - - 6.00 6.00 - - Associated Acoustic Parameters Dim of Aaprt td prr Other Information Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions Control 2 Control 3 Control 4 Control 5 Control 1: 2D+Color Mode, 2D:1.9MHz Col:2.8MHz, Focus:3.5cm, FR:29.08, Data No:3362809112-153890 Control 2: 2D+Color Mode, 2D:3.4MHz Col:2.8MHz, Focus:3.5cm, FR:29.08, Data No:3362871154-119321 Control 3: Triple Mode, 2D:3.4MHz PD:2.8MHz Col:2.8MHz, Focus:3.5cm, FR:16.52, Data No:3362980784-385143 Control 4: Color M Mode, M:3.4MHz Col#:2.8MHz, Focus:17.5cm, Data No:3363157656-257562 Control 5: Color M Mode, M:3.4MHz Col#:1.9MHz, Focus:11.0cm, Data No:3363144264-816055 - 3.80 3.50 TIB_bs PD P1x1:97.3 - (cm) Control 5 - - deq(zb) TIS_bs - - - TIS_as_U - - - Control 4 (b) - - - Control 3 4.21 - - - TIS_as 1.32 2.11 (mW) (cm) MI 1.50 zs z_at_max_Ipi, α Control 2 TIC Aaprt≤1 1.29 - - Control 1 (MPa) Aaprt>1 1.80 Non-scan - - Focal Length Pr, α TIB Non-scan (mW) - Ipa, α at max. MI Maximum Index Value scan P (cm) prr M.I. Min. of [Pα(zs), Ita, α (zs)x1cm2] zb td Index Label 2D P1:19.0 PD P1x1:86.0 M:3.41 Col#:3.92 Dim of Aaprt Operating Control Conditions Aaprt>1 1.48 Non-scan Pr, α fawf Other Information TIB Non-scan Aaprt≤1 0.845 Maximum Index Value Associated Acoustic Parameters scan X (cm) (W/cm2) 314 - - - - - FLx (cm) - - 3.50 17.5 - - FLy (cm) - - 6.00 6.00 - - MI TIS_as TIS_as_U TIS_bs TIB_bs Control 1: 2D+Pulsed Doppler Mode, 2D:1.9MHz PD:2.8MHz, Focus:5.0cm, FR:115.38, Data No:3363001084-932415 Control 2: 2D+Pulsed Doppler Mode, 2D:3.4MHz PD:2.8MHz, Focus:3.5cm, FR:115.38, Data No:3363024754-40332 Control 3: Pulsed Doppler Mode, PD:2.8MHz, Focus:3.5cm, Data No:3363120017-80727 Control 4: Pulsed Doppler Mode, PD:2.4MHz, Focus:17.5cm, Data No:3363050732-966334 Control 5: Pulsed Doppler Mode, PD:2.4MHz, Focus:11.0cm, Data No:3363049188-639755 Reference Manual 175 CA2-8AD: 2D + Color, Triple, CPA &Triple CPAmode CA2-8AD TIS Index Label CA2-8AD: 2D& 2D+M mode TIS Index Label M.I. 1.43 1.07 2.48 - - - - - P (mW) - 2D P1:66.7 M P1x1:7.20 - M P:9.84 (b) Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 10.5 - - zs (cm) - - - 1.60 - - zbp (cm) - - - 2.97 - - zb (cm) - - - - 3.70 - z_at_max_Ipi, α (cm) 1.50 - - - - - deq(zb) fawf Dim of Aaprt (cm) - - - - 0.342 - (MHz) 3.02 3.37 2.80 3.42 2.78 (b) X (cm) - 4.19 0.858 2.57 1.19 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) 0.515 - - - - - 90.3* - - - - - Pr at max. Ipi (MPa) 2.88 - - - - - deq at max. Ipi (cm) - - - - 0.322 - (W/cm2) 280 - - - - - FLx (cm) - - 3.50 14.5 - - FLy (cm) - - 7.00 7.00 - - Ipa, α at max. MI Focal Length Control 1 Control 2 Control 3 Control 4 Associated Acoustic Parameters TIS_as TIS_bs Control 5 Control 1: 2D Mode, 2D:2.9MHz, Focus:2.0cm, FR:90.33, Data No:1679724680-231582 Control 2: 2D Mode, 2D:3.9MHz, Focus:8.8cm, FR:84.54, Data No:1679905732-944515 Control 3: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:3.5cm, FR:128.28, Data No:1679926622-561569 Control 4: 2D+M Mode, 2D:3.9MHz M:3.9MHz, Focus:14.5cm, FR:61.09, Data No:1679951513-528022 Control 5: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:5.0cm, FR:107.55, Data No:1679931154-98365 TIB_bs 1.56 2.52 P (mW) - 2D P1:9.57 Col P1:97.1 M P1x1:5.19 Col# P1x1:81.8 Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - zs (cm) - - - zbp (cm) - - - Aaprt>1 1.36 M:1.74 Col#:101 M:1.60 Col#:3.80 M:2.97 Col#:3.50 Non-scan 2.96 M P:3.59 Col# P:67.2 - - - (cm) - - - - (cm) 0.800 - - - deq(zb) (cm) - - - - (MHz) 3.02 M:4.17 Col#:2.92 X (cm) - 2D:3.81 Col:3.00 2D:3.23 Col:2.81 M:3.42 Col#:2.78 M:2.57 Col#:3.56 deq at max. Ipi Ipa, α at max. MI Focal Length Control 1 Control 2 Control 3 Control 4 Control 5 (µsec) (pulses/sec) (MPa) (cm) (W/cm2) FLx (cm) FLy (cm) (b) - z_at_max_Ipi, α Y (cm) (b) - zb 0.858 TIC - M:1.40 Col#:0.760 M:0.325 Col#:0.464 M:3.78 Col#:2.83 M:0.726 Col#:0.462 td prr Pr at max. Ipi Operating Control Conditions TIS_as_U 1.45 (MPa) Dim of Aaprt MI TIB Non-scan Pr, α fawf Other Information scan Aaprt≤1 1.24** Maximum Index Value (b) (µsec) prr Operating Control Conditions 0.317+ (pulses/sec) td Other Information TIC (MPa) Pr, α Aaprt>1 0.170 Non-scan Aaprt≤1 0.0958** Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan M.I. (b) (b) - 1.20 1.20 1.20 1.20 (b) 0.542 329* 2.72 - - - - - - - - 246 - - 3.50 7.00 14.5 7.00 M:0.325 Col#:0.464 - MI TIS_as TIS_as_U TIS_bs Control 1: 2D+Color Mode, 2D:2.7MHz Col:3.1MHz, Focus:2.0cm, FR:36.52, Data No:1680123020-614453 Control 2: 2D+Color Mode, 2D:3.9MHz Col:3.1MHz, Focus:3.5cm, FR:31.51, Data No:1680515047-626607 Control 3: Color M Mode, M:3.9MHz Col#:3.1MHz, Focus:3.5cm, Data No:1680897000-2458 Control 4: Color M Mode, M:3.9MHz Col#:2.8MHz, Focus:14.5cm, Data No:1680947319-663200 Control 5: Color M Mode, M:3.9MHz Col#:2.8MHz, Focus:2.0cm, Data No:1680922204-214428 TIB_bs - Reference Manual 176 CA2-8AD: Pulsed Doppler & 2D + Pulsed Dopplermode L4-7 TIS Index Label M.I. Maximum Index Value 1.16 Non-scan TIC 3.23 (b) 2.41 - - - - - P (mW) - 2D P1:4.64 PD P1x1:76.0 PD P1x1:88.4 - PD P:72.6 (b) L4-7: 2D & 2D + M mode TIS Index Label M.I. scan TIB Non-scan TIC 1.68 1.13 Pr, α (MPa) 3.09 - - - - - P (mW) - 2D P1:67.0 M P1x1:10.7 - M P:12.6 (b) Maximum Index Value Aaprt>1 0.138 Non-scan Aaprt≤1 0.181** 0.292+ (b) (mW) - - - 130 - - zs (cm) - - - 3.30 - - zbp (cm) - - - 3.12 - - Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 8.11 - - zs (cm) - - - 1.80 - - zbp (cm) - - - 1.84 - - zb (cm) - - - - 1.80 - z_at_max_Ipi, α (cm) 1.70 - - - - - deq(zb) (cm) - - - - 0.578 - (MHz) 3.41 3.54 3.57 3.57 3.57 (b) X (cm) - 4.19 1.98 1.98 1.98 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.295 - - - - - (pulses/sec) 24.0* - - - - - Pr at max. Ipi (MPa) 3.36 - - - - - deq at max. Ipi (cm) - - - - 0.578 - zb (cm) - - - - 0.600 - z_at_max_Ipi, α (cm) 0.600 - - - - - deq(zb) (cm) - - - - 0.451 - (MHz) 3.05 2D:3.13 PD:3.02 3.03 2.79 2.81 (b) X (cm) - 2D:3.43 PD:0.660 0.660 2.84 0.396 (b) Dim of Aaprt Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 1.19 - - - - - (pulses/sec) 1500 - - - - - Pr at max. Ipi (MPa) 2.57 - - - - - deq at max. Ipi (cm) - - - - 0.451 - td prr Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions 1.38 Aaprt>1 1.72 (MPa) fawf Other Information Non-scan Aaprt≤1 1.28 Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters scan TIB Control 2 Control 3 Control 4 Control 5 (W/cm ) 224 - - - - - FLx (cm) - - 3.50 14.5 - - FLy (cm) - - 7.00 7.00 - - 2 Associated Acoustic Parameters fawf Dim of Aaprt td prr Other Information Ipa, α at max. MI Focal Length MI Operating Control Conditions TIS_as TIS_as_U TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:3.1MHz, Focus:2.0cm, Data No:1680846628-905804 Control 2: 2D+Pulsed Doppler Mode, 2D:2.7MHz PD:3.1MHz, Focus:3.5cm, FR:76.92, Data No:1680738979-261041 Control 3: Pulsed Doppler Mode, PD:3.1MHz, Focus:3.5cm, Data No:1680847568-408 Control 4: Pulsed Doppler Mode, PD:2.8MHz, Focus:14.5cm, Data No:1680806760-835727 Control 5: Pulsed Doppler Mode, PD:2.8MHz, Focus:2.0cm, Data No:1680816262-988295 Control 1 Control 2 Control 3 (W/cm2) 294 - - - - - FLx (cm) - - 8.00 8.00 - - FLy (cm) - - 2.80 2.80 - - TIS_as_U TIS_bs TIB_bs MI TIS_as Control 1: 2D Mode, 2D:4.7MHz, Focus:5.0cm, FR:24.03, Data No:3940914-876113 Control 2: 2D Mode, 2D:3.4MHz, Focus:8.0cm, FR:32.48, Data No:340730498-158618 Control 3: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:8.0cm, FR:19.40, Data No:3970849-914802 Reference Manual 177 L4-7: 2D + Color, Triple, CPA & Triple CPA mode L4-7: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr, α P Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters 1.64 2.36 Aaprt≤1 2.00 3.23 - - - 2D P1:0.403 PD P1x1:90.5 Col P1:19.1 PD P1x1:90.5 Aaprt>1 1.24** - Non-scan - TIS TIC 2.48 (b) - - PD P:88.4 - - 56.0 - - zs (cm) - - - 1.50 - - zbp (cm) - - - 1.49 - - zb (cm) - - - - 1.80 - z_at_max_Ipi, α (cm) 2.20 - - - - - deq(zb) (cm) - - - - 0.498 - 3.90 2D:4.13 PD:4.63 Col:3.95 4.63 4.63 3.45 (b) X (cm) - 2D:4.42 PD:1.29 Col:3.82 1.29 Y (cm) - 0.600 0.600 0.600 0.600 (b) td prr Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length Control 1 Control 2 (MHz) Pr, α Associated Acoustic Parameters 1.56 - - - - - 9.88* - - - - - (MPa) 4.46 - - - - - (cm) - - - - 0.481 - (W/cm2) 387 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 2.80 2.80 - - MI TIS_as_U TIS_bs Control 3 Control 1: 2D+Color Mode, 2D:5.6MHz Col:3.4MHz, Focus:3.0cm, FR:9.88, Data No:340807016-832228 Control 2: Triple Mode, 2D:4.7MHz PD:4.7MHz Col:4.1MHz, Focus:6.5cm, FR:2.52, Data No:341045383-543636 Control 3: Triple Mode, 2D:5.6MHz PD:3.4MHz Col:3.4MHz, Focus:8.0cm, FR:2.24, Data No:341184913-188186 4.33 (b) - - - - - PD P1x1:181 - PD P:156 (b) (mW) - - - 104 - - zs (cm) - - - 1.70 - - zbp (cm) - - - 1.64 - - zb (cm) - - - - 1.60 - z_at_max_Ipi, α (cm) 2.00 - - - - - deq(zb) (cm) - - - - 0.468 - (MHz) 3.43 2D:4.41 PD:4.58 4.73 4.73 4.73 (b) - 2D:4.42 PD:0.966 1.56 1.56 1.29 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 1.03 - - - - - (pulses/sec) 1000 - - - - - Pr at max. Ipi (MPa) 3.63 - - - - - deq at max. Ipi (cm) - - - - 0.448 - Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions 2.06 - prr Other Information Control 2 Control 3 X (cm) (W/cm2) 352 - - - - - FLx (cm) - - 8.00 8.00 - - FLy (cm) - - 2.80 2.80 - - TIS_as_U TIS_bs MI TIS_as Control 4 TIB_bs TIC 2.79 (mW) Aaprt>1 2.34** Non-scan 1.51 P td 0.308 TIB Non-scan Aaprt≤1 4.09 Min. of [Pα(zs), Ita, α (zs)x1cm2] (b) (µsec) (MPa) scan 2D P1:2.42 PD P1x1:92.0 Dim of Aaprt 1.29 M.I. Maximum Index Value fawf (pulses/sec) TIS_as Index Label (b) - Dim of Aaprt Operating Control Conditions (mW) TIB Non-scan (mW) fawf Other Information (MPa) scan Control 1: Pulsed Doppler Mode, PD:3.4MHz, Focus:6.5cm, Data No:341252334-63533 Control 2: 2D+Pulsed Doppler Mode, 2D:5.6MHz PD:4.7MHz, Focus:5.0cm, FR:11.72, Data No:4260410-300604 Control 3: Pulsed Doppler Mode, PD:4.7MHz, Focus:8.0cm, Data No:341302662-772823 Control 4: Pulsed Doppler Mode, PD:4.7MHz, Focus:6.5cm, Data No:341297571-14405 TIB_bs Reference Manual 178 L5-13: 2D + Color, Triple, CPA & Triple CPA mode L5-13 TIS Index Label L5-13: 2D & 2D + M mode TIS Index Label M.I. 1.60 1.82 0.202+ (b) (MPa) 4.15 - - - - - P (mW) - 2D P1:44.9 M P1x1:5.60 - M P:4.42 (b) (mW) - - - 4.07 - - zs (cm) - - - 0.600 - - zbp (cm) - - - 1.36 - - zb (cm) - - - - 0.700 - z_at_max_Ipi, α (cm) 0.700 - - - - - deq(zb) (cm) - - - - 0.351 - (MHz) 6.68 8.52 7.67 7.67 6.47 (b) X (cm) - 3.48 1.62 1.62 0.871 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.187 - - - - - (pulses/sec) 46.5* - - - - - Pr at max. Ipi (MPa) 4.85 - - - - - deq at max. Ipi (cm) - - - - 0.344 - fawf Dim of Aaprt td prr Other Information Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions TIC Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] Aaprt>1 0.149** Non-scan Aaprt≤1 0.205 Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan Control 2 Control 3 (W/cm2) 796 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 2.00 2.00 - - 2.63+ (b) - - - - - (mW) - 2D P1:0.374 PD P1x1:74.7 Col P1:8.68 PD P1x1:74.7 - PD P:65.3 (b) (mW) - - - 45.2 - - (cm) - - - 0.900 - - (cm) - - - 1.19 - - zb z_at_max_Ipi, α (cm) - - - - 0.900 - (cm) 0.900 - - - - - deq(zb) (cm) - - - - 0.370 - (MHz) 6.09 2D:8.13 PD:6.72 Col:6.53 6.72 6.72 6.68 (b) X (cm) - 2D:3.80 PD:1.70 Col:3.80 1.70 1.23 1.03 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.236 - - - - - (pulses/sec) 135* - - - - - Pr at max. Ipi (MPa) 4.74 - - - - - deq at max. Ipi (cm) - - - - 0.360 - Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp fawf Dim of Aaprt td prr Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions TIS_as_U TIS_bs Control 4 Control 1: 2D Mode, 2D:6.8MHz, Focus:1.0cm, FR:46.49, Data No:322506968-433644 Control 2: 2D Mode, 2D:12.3MHz, Focus:6.5cm, FR:56.28, Data No:322577237-432459 Control 3: 2D+M Mode, 2D:10.3MHz M:10.3MHz, Focus:6.5cm, FR:34.26, Data No:213640031-987869 Control 4: 2D+M Mode, 2D:7.7MHz M:7.7MHz, Focus:4.0cm, FR:34.26, Data No:322593076-731023 TIB_bs TIC 2.67 Control 2 Control 3 Control 4 (MPa) Aaprt>1 1.45** Non-scan 3.99 P Other Information TIB Non-scan 1.62 Pr, α Associated Acoustic Parameters scan Aaprt≤1 2.39 Maximum Index Value MI TIS_as M.I. (W/cm2) 847 - - - - - FLx (cm) - - 6.50 4.70 - - FLy (cm) - - 2.00 2.00 - - MI TIS_as TIS_as_U TIS_bs Control 5 Control 1: 2D+Color Mode, 2D:7.7MHz Col:6.2MHz, Focus:1.7cm, FR:12.26, Data No:322621006-903987 Control 2: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz, Focus:6.5cm, FR:2.74, Data No:323088101-299150 Control 3: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz, Focus:6.5cm, FR:2.74, Data No:323085883-371781 Control 4: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz, Focus:4.7cm, FR:2.83, Data No:323079178-405849 Control 5: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz, Focus:4.0cm, FR:2.96, Data No:323072450-228023 TIB_bs Reference Manual 179 L5-13: Pulsed Doppler & 2D + Pulsed Doppler mode L7-16 TIS Index Label M.I. Maximum Index Value 2.31 Non-scan TIC 3.25 (b) 3.85 - - - - - P (mW) - 2D P1:2.18 PD P1x1:76.6 PD P1x1:120 - PD P:112 (b) L7-16: 2D & 2D + M mode TIS Index Label M.I. scan TIB Non-scan TIC 1.56 1.92 Pr, α (MPa) 4.00 - - - - - P (mW) - 2D P1:36.9 M P1x1:3.61 - M P:2.34 (b) Maximum Index Value Aaprt>1 0.119** Non-scan Aaprt≤1 0.188 0.173+ (b) (mW) - - - 71.6 - - zs (cm) - - - 1.10 - - zbp (cm) - - - 1.40 - - Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 2.30 - - zs (cm) - - - 0.600 - - zbp (cm) - - - 1.45 - - zb (cm) - - - - 1.00 - z_at_max_Ipi, α (cm) 1.00 - - - - - deq(zb) (cm) - - - - 0.191 - (MHz) 6.55 10.9 10.9 10.9 6.61 (b) X (cm) - 3.72 1.82 1.82 0.515 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.225 - - - - - (pulses/sec) 33.4* - - - - - Pr at max. Ipi (MPa) 4.65 - - - - - deq at max. Ipi (cm) - - - - 0.187 - zb (cm) - - - - 1.00 - z_at_max_Ipi, α (cm) 0.900 - - - - - deq(zb) (cm) - - - - 0.507 - (MHz) 6.10 2D:8.54 PD:6.09 6.83 6.83 6.15 (b) X (cm) - 2D:3.80 PD:1.70 1.70 1.70 1.70 (b) Dim of Aaprt Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.953 - - - - - (pulses/sec) 1000 - - - - - Pr at max. Ipi (MPa) 4.49 - - - - - deq at max. Ipi (cm) - - - - 0.501 - td prr Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions 1.56 Aaprt>1 2.33** (MPa) fawf Other Information Non-scan Aaprt≤1 3.91 Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters scan TIB Control 2 Control 3 Control 4 (W/cm ) 560 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 2.00 2.00 - - 2 Associated Acoustic Parameters fawf Dim of Aaprt td prr Other Information Ipa, α at max. MI Focal Length MI Control 1 TIS_as TIS_as_U TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:6.2MHz, Focus:3.2cm, Data No:323164060-899512 Control 2: 2D+Pulsed Doppler Mode, 2D:12.3MHz PD:6.2MHz, Focus:6.5cm, FR:15.63, Data No:213947410-896002 Control 3: Pulsed Doppler Mode, PD:6.8MHz, Focus:6.5cm, Data No:323206754-574951 Control 4: Pulsed Doppler Mode, PD:6.2MHz, Focus:6.5cm, Data No:323171170-793599 Operating Control Conditions Control 2 Control 3 (W/cm2) 642 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 1.50 1.50 - - TIS_as_U TIS_bs MI TIS_as Control 4 Control 1: 2D Mode, 2D:6.8MHz, Focus:1.7cm, FR:33.35, Data No:1863808793-724247 Control 2: 2D Mode, 2D:15.4MHz, Focus:6.5cm, FR:42.49, Data No:90322015-453314 Control 3: 2D+M Mode, 2D:15.4MHz M:15.4MHz, Focus:6.5cm, FR:25.96, Data No:90344068-862374 Control 4: 2D+M Mode, 2D:6.8MHz M:6.8MHz, Focus:1.7cm, FR:32.00, Data No:90328526-242422 TIB_bs Reference Manual 180 L7-16: 2D + Color, Triple, CPA & Triple CPA mode L7-16: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr, α P Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters 1.52 2.51 Aaprt≤1 2.38 3.94 - - - 2D P1:0.289 PD P1x1:65.4 Col P1:3.13 PD P1x1:65.4 Aaprt>1 1.56** - Non-scan - TIS TIC 2.09+ (b) - - PD P:42.2 (mW) - - - 42.9 - - - - 0.800 - - (cm) - (cm) - - - 1.49 - - zb (cm) - - - - 0.900 - z_at_max_Ipi, α (cm) 0.700 - - - - - deq(zb) (cm) - - - - 0.299 - 6.71 2D:11.4 PD:7.64 Col:7.60 7.64 7.64 6.81 (b) X (cm) - 2D:3.80 PD:1.94 Col:3.80 1.94 Y (cm) - 0.400 0.400 td prr Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length Control 1 Control 2 (MHz) Pr, α Associated Acoustic Parameters 0.752 P (mW) 0.400 (µsec) 0.245 - - - - - 111* - - - - - (MPa) 4.64 - - - - - (cm) - - - - 0.242 - (W/cm2) 645 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 1.50 1.50 - - MI TIS_as_U TIS_bs Control 3 Control 1: 2D+Color Mode, 2D:10.3MHz Col:6.8MHz, Focus:1.7cm, FR:8.53, Data No:1863827861-624585 Control 2: Triple Mode, 2D:15.4MHz PD:7.7MHz Col:7.7MHz, Focus:6.5cm, FR:2.36, Data No:90792111-915583 Control 3: Triple Mode, 2D:7.7MHz PD:6.8MHz Col:6.8MHz, Focus:2.5cm, FR:2.92, Data No:90632248-481580 1.30 2.38 2.49 (b) 3.52 - - - - - - 2D P1:2.31 PD P1x1:62.4 PD P1x1:109 - PD P:53.4 (b) - - 71.4 - - (cm) - - 0.800 - - zbp (cm) - - - 1.49 - - zb (cm) - - - - 0.900 - z_at_max_Ipi, α (cm) 1.00 - - - - - deq(zb) (cm) - - - - 0.321 - (MHz) 7.34 2D:11.5 PD:7.59 7.69 7.69 6.83 (b) - 2D:3.80 PD:1.94 1.94 1.94 0.752 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.224 - - - - - (pulses/sec) 4000 - - - - - Pr at max. Ipi (MPa) 4.42 - - - - - deq at max. Ipi (cm) - - - - 0.292 - Focal Length Control 1 Control 2 Control 3 Control 4 TIB_bs TIC Aaprt≤1 4.00 - Ipa, α at max. MI Operating Control Conditions Aaprt>1 2.62** Non-scan - prr Other Information TIB Non-scan (mW) (b) (b) scan zs td 0.400 (MPa) Min. of [Pα(zs), Ita, α (zs)x1cm2] Dim of Aaprt 1.94 M.I. Maximum Index Value fawf (pulses/sec) TIS_as Index Label (b) zs Dim of Aaprt Operating Control Conditions (mW) TIB Non-scan zbp fawf Other Information (MPa) scan X (cm) (W/cm2) 502 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 1.50 1.50 - - TIS_as_U TIS_bs MI TIS_as TIB_bs Control 1: 2D+Pulsed Doppler Mode, 2D:6.8MHz PD:7.7MHz, Focus:1.7cm, FR:15.63, Data No:90809359-658408 Control 2: 2D+Pulsed Doppler Mode, 2D:15.4MHz PD:7.7MHz, Focus:6.5cm, FR:11.72, Data No:90856604-148090 Control 3: Pulsed Doppler Mode, PD:7.7MHz, Focus:6.5cm, Data No:90923384-33776 Control 4: Pulsed Doppler Mode, PD:6.8MHz, Focus:2.5cm, Data No:90873979-273212 Reference Manual 181 LA3-16AD:2D + Color, Triple, CPA &Triple CPAmode LA3-16AD TIS Index Label LA3-16AD: 2D& 2D+M mode TIS Index Label M.I. 1.28 0.743 0.0988+ (b) (MPa) 3.27 - - - - - P (mW) - 2D P1:16.4 M P1x1:1.68 M P1x1:1.68 - M P:0.958 (b) - - - 0.947 - - (cm) - - - 1.20 - - zbp (cm) - - - 1.35 - - zb (cm) - - - - 0.800 - z_at_max_Ipi, α (cm) 0.800 - - - - - deq(zb) (cm) - - - - 0.158 - (MHz) 6.55 8.64 8.64 7.68 6.82 (b) X (cm) - 2D:3.14 M:1.60 1.60 1.60 0.400 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) Dim of Aaprt (µsec) 0.112 - - - - - (pulses/sec) 85.9* - - - - - Pr at max. Ipi (MPa) 3.77 - - - - - deq at max. Ipi (cm) - - - - 0.154 - (W/cm2) 896 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 2.00 2.00 - - td prr Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions (mW) zs fawf Other Information TIC Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] Aaprt>1 0.0346** Non-scan Aaprt≤1 0.0692 Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan Control 2 Control 3 TIS_as Maximum Index Value Pr, α Associated Acoustic Parameters TIS_as_U TIS_bs Control 4 Control 1: 2D Mode, 2D:6.2MHz, Focus:1.0cm, FR:85.91, Data No:4200988675-572556 Control 2: 2D+M Mode, 2D:10.3MHz M:10.3MHz, Focus:6.5cm, FR:63.30, Data No:4207084114-788736 Control 3: 2D+M Mode, 2D:7.7MHz M:7.7MHz, Focus:6.5cm, FR:63.30, Data No:4201004021-965986 Control 4: 2D+M Mode, 2D:6.8MHz M:6.8MHz, Focus:1.0cm, FR:82.58, Data No:4207086772-285051 TIB Non-scan TIC 1.25 0.870 0.989 (b) 3.23 - - - - - PD P1x1:18.0 - PD P:13.9 (b) P (mW) - Aaprt>1 0.364** Non-scan Aaprt≤1 0.581 Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 11.2 - - zs (cm) - - - 0.900 - - zbp (cm) - - - 1.09 - - zb (cm) - - - - 1.50 - z_at_max_Ipi, α (cm) 0.700 - - - - - deq(zb) (cm) - - - - 0.165 - (MHz) 6.61 2D:8.67 Col:6.85 6.76 6.82 6.83 (b) - 2D:1.72 Col:0.780 1.68 1.04 0.640 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.117 - - - - - (pulses/sec) 20.9* - - - - - Pr at max. Ipi (MPa) 3.64 - - - - - deq at max. Ipi (cm) - - - - 0.148 - Dim of Aaprt td prr Other Information (MPa) scan 2D P1:3.03 Col P1:22.8 fawf Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions MI M.I. Control 2 Control 3 Control 4 X (cm) (W/cm2) 700 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 2.00 2.00 - - MI TIS_as TIS_as_U TIS_bs Control 5 TIB_bs Control 1: 2D+Color Mode, 2D:6.2MHz Col:5.6MHz, Focus:1.0cm, FR:20.92, Data No:4201013657-956361 Control 2: 2D+Color Mode, 2D:10.3MHz Col:6.8MHz, Focus:0.5cm, FR:45.05, Data No:4207267382-812775 Control 3: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz, Focus:6.5cm, FR:6.12, Data No:4201051423-288041 Control 4: Triple Mode, 2D:12.3MHz PD:6.8MHz Col:5.6MHz, Focus:4.0cm, FR:5.90, Data No:4201036970-66455 Control 5: Triple Mode, 2D:6.2MHz PD:6.8MHz Col:5.6MHz, Focus:2.5cm, FR:6.76, Data No:4201034079-430878 TIB_bs Reference Manual 182 LA3-16AD: Pulsed Doppler & 2D + Pulsed Dopplermode LA5-18B TIS Index Label M.I. Maximum Index Value Associated Acoustic Parameters 0.764 - - 3.90 P (mW) - 2D P1:1.18 PD P1x1:44.6 PD P1x1:22.3 Aaprt>1 0.824** Non-scan TIC 1.31 (b) - - - - PD P:18.0 (b) LA5-18B: 2D& 2D+M mode TIS Index Label M.I. scan TIB Non-scan TIC 1.44 1.06 Pr, α (MPa) 4.05 - - - - - P (mW) - 2D P1:26.8 M P1x1:2.48 - M P:0.910 (b) Maximum Index Value Aaprt>1 0.0540** Non-scan Aaprt≤1 0.0840 0.108+ (b) (mW) - - - 25.5 - - zs (cm) - - - 1.10 - - zbp (cm) - - - 1.39 - - Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 1.59 - - zs (cm) - - - 0.900 - - zbp (cm) - - - 1.35 - - zb (cm) - - - - 0.600 - z_at_max_Ipi, α (cm) 0.600 - - - - - deq(zb) (cm) - - - - 0.145 - (MHz) 7.89 8.32 7.11 7.11 6.77 (b) X (cm) - 3.27 1.82 1.82 0.198 (b) Y (cm) - 0.350 0.350 0.350 0.350 (b) (µsec) 0.159 - - - - - (pulses/sec) 105* - - - - - Pr at max. Ipi (MPa) 4.39 - - - - - deq at max. Ipi (cm) - - - - 0.145 - zb (cm) - - - - 1.40 - z_at_max_Ipi, α (cm) 1.00 - - - - - deq(zb) (cm) - - - - 0.181 - (MHz) 6.71 2D:8.54 PD:6.75 6.83 6.80 5.62 (b) X (cm) - 2D:3.14 PD:1.68 1.68 1.68 0.640 (b) Dim of Aaprt Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.559 - - - - - (pulses/sec) 1000 - - - - - Pr at max. Ipi (MPa) 4.91 - - - - - deq at max. Ipi (cm) - - - - 0.173 - td prr Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions 1.51 (MPa) fawf Other Information Non-scan Aaprt≤1 1.45 Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] scan TIB Control 2 Control 3 Control 4 Control 5 (W/cm ) 762 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 2.00 2.00 - - 2 Associated Acoustic Parameters fawf Dim of Aaprt td prr Other Information Ipa, α at max. MI Focal Length MI Control 1 TIS_as Operating Control Conditions TIS_as_U TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:6.8MHz, Focus:1.7cm, Data No:4207634415-269350 Control 2: 2D+Pulsed Doppler Mode, 2D:12.3MHz PD:6.8MHz, Focus:6.5cm, FR:28.85, Data No:4207556678-377221 Control 3: Pulsed Doppler Mode, PD:6.8MHz, Focus:6.5cm, Data No:4207646295-337947 Control 4: Pulsed Doppler Mode, PD:6.8MHz, Focus:6.5cm, Data No:4207641772-422916 Control 5: Pulsed Doppler Mode, PD:5.6MHz, Focus:2.5cm, Data No:4207584589-813334 Control 2 Control 3 (W/cm2) 694 - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 1.50 1.50 - - TIS_as_U TIS_bs MI TIS_as Control 4 Control 1: 2D Mode, 2D:10.3MHz, Focus:1.0cm, FR:104.83, Data No:536605776-729946 Control 2: 2D Mode, 2D:10.3MHz, Focus:6.5cm, FR:71.16, Data No:536642690-824806 Control 3: 2D+M Mode, 2D:7.7MHz M:7.7MHz, Focus:6.5cm, FR:77.11, Data No:536668019-381637 Control 4: 2D+M Mode, 2D:7.7MHz M:7.7MHz, Focus:0.5cm, FR:107.31, Data No:502148753-251491 TIB_bs Reference Manual 183 LA5-18B:2D + Color, Triple, CPA &Triple CPAmode LA5-18B: Pulsed Doppler & 2D + Pulsed Dopplermode TIS Index Label M.I. Maximum Index Value Pr, α P Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters 1.53 1.16 Aaprt≤1 0.825 4.06 - - - 2D P1:6.33 Col P1:26.4 PD P1x1:23.1 Aaprt>1 0.483** - Non-scan TIS TIC 1.07+ (b) - - PD P:17.6 Index Label M.I. Maximum Index Value Pr, α (b) (MPa) scan TIB Non-scan 1.08 1.02 Aaprt≤1 2.16 2.62 - - P (mW) - 2D P1:6.40 PD P1x1:59.2 PD P1x1:26.0 Non-scan TIC Aaprt>1 1.42** 1.80 (b) - - - - PD P:44.2 (b) (mW) - - - 15.2 - - (mW) - - - 38.8 - - zs (cm) - - - 1.00 - - zs (cm) - - - 0.800 - - zbp (cm) - - - 1.39 - - zbp (cm) - - - 1.39 - - zb (cm) - - - - 1.00 - zb (cm) - - - - 0.900 - z_at_max_Ipi, α (cm) 0.600 - - - - - z_at_max_Ipi, α (cm) 0.600 - - - - - deq(zb) (cm) - - - - 0.233 - deq(zb) (cm) - - - - 0.359 - (MHz) 7.09 2D:7.46 Col:7.46 7.50 6.67 6.65 (b) (MHz) 5.85 2D:7.18 PD:6.44 7.67 7.67 6.83 (b) - 2D:1.80 Col:1.23 1.94 1.94 0.752 (b) - 2D:3.35 PD:1.94 1.94 1.94 1.19 (b) Y (cm) - 0.350 0.350 0.350 0.350 (b) Y (cm) - 0.350 0.350 0.350 0.350 (b) (µsec) 0.203 - - - - - td (µsec) 0.195 - - - - - (pulses/sec) 305* - - - - - prr (pulses/sec) 58.1* - - - - - Pr at max. Ipi (MPa) 4.41 - - - - - Pr at max. Ipi (MPa) 2.90 - - - - - deq at max. Ipi (cm) - - - - 0.160 - deq at max. Ipi (cm) - - - - 0.342 - Dim of Aaprt td prr Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions (mW) TIB Non-scan Min. of [Pα(zs), Ita, α (zs)x1cm2] fawf Other Information (MPa) scan Control 2 Control 3 Control 4 X (cm) (W/cm2) 693 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 1.50 1.50 - - Associated Acoustic Parameters fawf Dim of Aaprt Other Information Ipa, α at max. MI Focal Length MI Control 1 TIS_as Operating Control Conditions TIS_as_U TIS_bs Control 5 Control 1: 2D+Color Mode, 2D:8.8MHz Col:7.7MHz, Focus:1.0cm, FR:33.86, Data No:536727639-487344 Control 2: 2D+Color Mode, 2D:8.8MHz Col:7.7MHz, Focus:1.0cm, FR:33.86, Data No:536740206-677379 Control 3: Triple Mode, 2D:5.6MHz PD:7.7MHz Col:7.7MHz, Focus:6.5cm, FR:6.93, Data No:536966003-458422 Control 4: Triple Mode, 2D:5.6MHz PD:6.8MHz Col:6.8MHz, Focus:6.5cm, FR:6.11, Data No:502186178-210692 Control 5: Triple Mode, 2D:5.6MHz PD:6.8MHz Col:6.8MHz, Focus:2.5cm, FR:7.21, Data No:502179999-944752 TIB_bs Control 2 Control 3 Control 4 X (cm) (W/cm2) 334 - - - - - FLx (cm) - - 6.50 6.50 - - FLy (cm) - - 1.50 1.50 - - TIS_as_U TIS_bs MI TIS_as TIB_bs Control 5 Control 1: 2D+Pulsed Doppler Mode, 2D:5.6MHz PD:6.8MHz, Focus:0.5cm, FR:58.14, Data No:536982884-645729 Control 2: 2D+Pulsed Doppler Mode, 2D:7.7MHz PD:6.8MHz, Focus:6.5cm, FR:34.88, Data No:537006554-362884 Control 3: Pulsed Doppler Mode, PD:7.7MHz, Focus:6.5cm, Data No:537062223-472542 Control 4: Pulsed Doppler Mode, PD:6.8MHz, Focus:4.0cm, Data No:537027616-90764 Reference Manual 184 PE2-4: 2D + Color, Triple, CPA & Triple CPA mode PE2-4 TIS Index Label PE2-4: 2D & 2D + M mode TIS Index Label M.I. 1.70 2.35 (MPa) 2.52 - - - - - P (mW) - 2D P1:185 M P1x1:13.0 - M P:31.6 2D P:194 - - - 20.6 - - - 2.80 - - (cm) - - - 2.64 - - zb z_at_max_Ipi, α (cm) - - - - 4.10 - (cm) 1.10 - - - - - deq(zb) (cm) - - - - 0.775 - (MHz) 2.19 2.66 2.22 2.22 2.22 2.19 X (cm) - 0.965 2.03 2.03 2.03 0.559 Y (cm) - 1.20 1.20 1.20 1.20 1.20 Associated Acoustic Parameters 2.03 2.39 - - - - - P (mW) - 2D P1:52.2 Col P1:121 PD P1x1:70.7 - PD P:184 2D P:46.3 Col P:111 (mW) - - - 117 - - (cm) - - - 2.90 - - zbp (cm) - - - 2.64 - - zb (cm) - - - - 3.80 - z_at_max_Ipi, α (cm) 4.00 - - - - - deq(zb) (cm) - - - - 0.706 - (MHz) 2.16 2D:2.63 Col:2.38 2.53 2.23 2.23 2D:1.92 Col:2.43 X (cm) - 2D:0.965 Col:1.12 2.03 2.03 2.03 (b) Y (cm) - 1.20 1.20 1.20 1.20 1.20 Dim of Aaprt 0.640 - - - - - 43.5* - - - - - Pr at max. Ipi (MPa) 3.15 - - - - - deq at max. Ipi (cm) - - - - 0.572 - - - - - - td 110* - - - - - prr Pr at max. Ipi (MPa) 2.66 - - - - - deq at max. Ipi (cm) - - - - 0.770 - Ipa, α at max. MI Focal Length Control 1 Control 2 Control 3 (W/cm2) 219 - - - - - FLx (cm) - - 16.0 16.0 - - FLy (cm) - - 6.40 6.40 - - MI TIC_as TIS_as_U TIS_bs Control 4 Control 5 Control 1: 2D Mode, 2D:2.3MHz, Focus:2.0cm, FR:109.51, Data No:1090585105-632494 Control 2: 2D Mode, 2D:4.4MHz, Focus:4.0cm, FR:178.58, Data No:1090527471-418813 Control 3: 2D+M Mode, 2D:2.3MHz M:2.3MHz, Focus:16.0cm, FR:81.15, Data No:1090647634-251343 TIB_bs Ipa, α at max. MI Focal Length Control 1 TIS_as Operating Control Conditions 4.26 (µsec) 0.716 Other Information 3.36 (pulses/sec) (µsec) prr TIC 1.63 fawf Aaprt>1 1.25 Non-scan (MPa) (pulses/sec) td TIB Non-scan Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] zs - scan Aaprt≤1 0.852** Maximum Index Value 5.24 - Dim of Aaprt Operating Control Conditions (mW) 0.452+ (cm) fawf Other Information TIC Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp Aaprt>1 0.218 Non-scan Aaprt≤1 0.137** Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan M.I. Control 2 Control 3 Control 4 (W/cm2) 356 - - - - - FLx (cm) - - 16.0 12.0 - - FLy (cm) - - 6.40 6.40 - - TIS_bs TIB_bs MI TIS_as TIS_as_U Control 5 Control 1: 2D+Color Mode, 2D:2.3MHz Col:2.6MHz, Focus:6.0cm, FR:43.54, Data No:1090704445-438583 Control 2: 2D+Color Mode, 2D:4.4MHz Col:2.6MHz, Focus:4.0cm, FR:78.58, Data No:1090701705-553406 Control 3: Triple Mode, 2D:1.9MHz PD:2.6MHz Col:2.3MHz, Focus:16.0cm, FR:13.08, Data No:1090763536-668728 Control 4: Triple Mode, 2D:1.8MHz PD:2.3MHz Col:2.3MHz, Focus:12.0cm, FR:15.16, Data No:1090851576-47142 Control 5: 2D+Color Mode, 2D:1.9MHz Col:2.6MHz, Focus:2.0cm, FR:88.28, Data No:1090662707-280563 TIC_as Reference Manual 185 PE2-4: Pulsed Doppler & 2D + Pulsed Doppler mode PE2-4: CW TIS Index Label M.I. TIS TIC 1.54 1.39 4.80 3.95 (MPa) 2.43 - - - - - P (mW) - 2D P1:72.9 PD P1x1:54.1 PD P1x1:108 - PD P:279 PD P:279 Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 179 - - zs (cm) - - - 2.90 - - zbp (cm) - - - 2.64 - - zb (cm) - - - - 3.90 - z_at_max_Ipi, α (cm) 4.40 - - - - - deq(zb) (cm) - - - - 0.732 - Index Label Associated Acoustic Parameters 1.03 0.880** 3.92 - - - - - P (mW) - (a) CW P1x1:113 - CW P:112 CW P:113 Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 96.0 - - zs (cm) - - - 1.20 - - zbp (cm) - - - 1.59 - - zb (cm) - - - - 2.80 - z_at_max_Ipi, α (cm) 3.10 - - - - - deq(zb) (cm) - - - - 0.447 - (MHz) 1.92 (a) 1.92 1.92 1.92 1.92 X (cm) - (a) 0.737 0.737 0.737 0.737 Y (cm) - (a) 1.20 1.20 1.20 1.20 (µsec) CW - - - - - (pulses/sec) CW - - - - - 2.21 X (cm) - 2.03 2.03 2.03 2.03 Y (cm) - 1.20 1.20 1.20 1.20 1.20 (µsec) 1.49 - - - - - td (pulses/sec) 1000 - - - - - prr Pr at max. Ipi (MPa) 3.55 - - - - - deq at max. Ipi (cm) - - - - 0.721 - Focal Length Control 1 Control 2 Control 3 Control 4 fawf (W/cm2) 327 - - - - - FLx (cm) - - 14.0 14.0 - - FLy (cm) - - 6.40 6.40 - - TIC (a) 2.21 Ipa, α at max. MI Aaprt>1 0.120 2.21 Dim of Aaprt Other Information Aaprt≤1 Non-scan 0.0864 2.52 prr TIB Non-scan (MPa) 2D:0.559 PD:0.457 td scan Pr, α 2D:2.19 PD:2.44 (MHz) M.I. Maximum Index Value 2.50 Dim of Aaprt Operating Control Conditions Aaprt>1 1.88 Non-scan Pr, α fawf Other Information TIB Non-scan Aaprt≤1 1.30** Maximum Index Value Associated Acoustic Parameters scan 2.65 Pr at max. Ipi (MPa) 0.147 - - - - - deq at max. Ipi (cm) - - - - 0.433 - Ipa, α at max. MI Focal Length (W/cm2) 0.489 - - - - - FLx (cm) - - 16.0 16.0 - - FLy (cm) - - 6.40 6.40 - - TIS_as_U TIS_bs MI Operating Control Conditions TIS_as TIS_as_U TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:2.6MHz, Focus:6.0cm, Data No:1090964547-190825 Control 2: 2D+Pulsed Doppler Mode, 2D:2.3MHz PD:2.6MHz, Focus:2.0cm, FR:102.56, Data No:1090895136-228158 Control 3: Pulsed Doppler Mode, PD:2.6MHz, Focus:14.0cm, Data No:1090973048-817503 Control 4: Pulsed Doppler Mode, PD:2.3MHz, Focus:14.0cm, Data No:1090955993-362598 Control 1 MI Control 2 TIC_as Control 1: CW Mode, CW:1.9MHz, Focus:10.0cm, Data No:252880813-245560 Control 2: CW Mode, CW:1.9MHz, Focus:16.0cm, Data No:252882115-294142 TIB_bs TIC_as Reference Manual 186 P3-8: 2D + Color, Triple, CPA & Triple CPA mode P3-8 TIS Index Label P3-8: 2D & 2D + M mode TIS Index Label M.I. 1.70 2.57 0.374+ 4.17 (MPa) 2.88 - - - - - P (mW) - 2D P1:118 M P1x1:15.7 - M P:19.3 2D P:89.1 P:89.1 Min. of [Pα(zs), Ita, α (zs)x1cm2] (mW) - - - 13.2 - - zs (cm) - - - 1.90 - - zbp (cm) - - - 1.88 - - zb (cm) - - - - 2.00 - z_at_max_Ipi, α (cm) 1.60 - - - - - deq(zb) (cm) - - - - 0.758 - (MHz) 2.87 4.57 2.93 2.93 2.93 3.07 X (cm) - 1.12 1.54 1.54 1.54 1.12 Y (cm) - 0.800 0.800 0.800 0.800 0.800 (µsec) 0.502 - - - - - Dim of Aaprt td P Min. of [Pα(zs), Ita, α (zs)x1cm2] zs Associated Acoustic Parameters TIB Non-scan 1.70 2.49 Aaprt≤1 1.84** 2.88 - - (mW) - 2D P1:38.9 Col P1:97.4 PD P1x1:123 (mW) - - Maximum Index Value Pr, α scan (MPa) Aaprt>1 1.50 - Non-scan 2.87 TIC 4.04 - - - PD P:151 2D P:2.26 PD P:109 Col P:91.2 - 100 - - (cm) - - - 1.90 - - zbp (cm) - - - 1.88 - - zb (cm) - - - - 2.00 - z_at_max_Ipi, α (cm) 1.60 - - - - - deq(zb) (cm) - - - - 0.760 - (MHz) 2.87 2D:4.04 Col:3.76 3.14 3.14 3.14 2D:4.54 PD:3.10 Col:3.07 X (cm) - 2D:1.12 Col:1.31 1.54 1.54 1.54 1.54 Y (cm) - 0.800 0.800 0.800 0.800 0.800 (µsec) 0.502 - - - - - (pulses/ sec) 42.7* - - - - - fawf Dim of Aaprt td (pulses/sec) 89.1* - - - - - prr Pr at max. Ipi (MPa) 3.29 - - - - - Pr at max. Ipi (MPa) 3.29 - - - - - deq at max. Ipi (cm) - - - - 0.667 - deq at max. Ipi (cm) - - - - 0.658 - 388 - - - - - prr Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions TIC Pr, α fawf Other Information Aaprt>1 0.183 Non-scan Aaprt≤1 0.219** Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan M.I. Control 2 Control 3 (W/cm2) FLx (cm) - - 16.0 16.0 - - FLy (cm) - - 4.90 4.90 - - Other Information Ipa, α at max. MI Focal Length Control 1 MI Operating Control Conditions TIS_as TIS_as_U TIS_bs Control 4 Control 1: 2D Mode, 2D:2.9MHz, Focus:2.0cm, FR:89.06, Data No:394800367-147307 Control 2: 2D Mode, 2D:6.8MHz, Focus:4.0cm, FR:124.39, Data No:394771318-44367 Control 3: 2D+M Mode, 2D:3.2MHz M:3.2MHz, Focus:16.0cm, FR:55.72, Data No:394902548-303815 Control 4: 2D Mode, 2D:3.2MHz, Focus:4.0cm, FR:66.47, Data No:394825834-56205 TIB_bs TIC_as Control 2 Control 3 (W/cm2) 388 - - - - - FLx (cm) - - 16.0 16.0 - - FLy (cm) - - 4.90 4.90 - - TIS_as_U TIS_bs TIB_bs MI TIS_as Control 4 Control 1: 2D+Color Mode, 2D:2.9MHz Col:3.9MHz, Focus:2.0cm, FR:42.71, Data No:395007593-468568 Control 2: 2D+Color Mode, 2D:5.1MHz Col:3.9MHz, Focus:4.0cm, FR:42.19, Data No:395016274-436487 Control 3: Triple Mode, 2D:5.1MHz PD:3.2MHz Col:3.2MHz, Focus:16.0cm, FR:10.46, Data No:395251009-215709 Control 4: Triple Mode, 2D:6.8MHz PD:3.2MHz Col:3.2MHz, Focus:16.0cm, FR:10.46, Data No:395079160-640117 TIC_as Reference Manual 187 P3-8: Pulsed Doppler & 2D + Pulsed Doppler mode P3-8: CW TIS Index Label M.I. Maximum Index Value Pr, α P Min. of [Pα(zs), Ita, α (zs)x1cm2] Associated Acoustic Parameters 1.43 1.93 Aaprt≤1 2.70** 2.51 - - - 2D P1:62.9 PD P1x1:71.5 PD P1x1:175 Aaprt>1 2.20 - Non-scan TIS TIC 4.47 4.35 - - PD P:214 Index Label M.I. Maximum Index Value Pr, α PD P:217 (MPa) scan TIB Non-scan TIC 0.0635 (a) Aaprt≤1 1.10 2.85 2.72 0.111 - - - - - - CW P:74.8 CW P:74.8 P (mW) - (a) CW P1x1:74.8 Aaprt>1 0.906** Non-scan (mW) - - - 147 - - (mW) - - - 61.8 - - zs (cm) - - - 1.80 - - zs (cm) - - - 0.900 - - zbp (cm) - - - 1.88 - - zbp (cm) - - - 1.03 - - zb (cm) - - - - 3.00 - zb (cm) - - - - 2.00 - z_at_max_Ipi, α (cm) 2.90 - - - - - z_at_max_Ipi, α (cm) 2.10 - - - - - deq(zb) (cm) - - - - 0.545 - deq(zb) (cm) - - - - 0.384 - (MHz) 3.08 2D:2.99 PD:3.04 3.23 3.14 3.24 3.14 (MHz) 3.08 (a) 3.08 3.08 3.08 3.08 - 1.54 1.54 1.54 1.54 1.54 - (a) 0.464 0.464 0.464 0.464 X (cm) X (cm) - 0.800 0.800 0.800 0.800 0.800 Y (cm) - (a) 0.800 0.800 0.800 0.800 Y (cm) 0.464 - - - - - CW - - - - - (µsec) (µsec) 57.7* - - - - - CW - - - - - (pulses/sec) (pulses/sec) (MPa) 3.40 - - - - - Dim of Aaprt td prr Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length Control 1 Operating Control Conditions (mW) TIB Non-scan Min. of [Pα(zs), Ita, α (zs)x1cm2] fawf Other Information (MPa) scan Control 2 Control 3 Control 4 - - - - 0.530 - (W/cm2) 370 - - - - - FLx (cm) - - 14.0 10.0 - - FLy (cm) - - 4.90 4.90 - - (cm) Associated Acoustic Parameters fawf Dim of Aaprt td prr Other Information TIS_as TIS_as_U (MPa) 0.140 - - - - - deq at max. Ipi (cm) - - - - 0.379 - Ipa, α at max. MI Focal Length Operating Control Conditions MI Pr at max. Ipi Control 1 (W/cm2) 0.417 - - - - - FLx (cm) - - 2.00 2.00 - - FLy (cm) - - 4.90 4.90 - - TIS_as_U TIS_bs TIB_bs TIC_as MI Control 1: CW Mode, CW:3.1MHz, Focus:2.0cm, Data No:266987256-916807 TIS_bs Control 1: 2D+Pulsed Doppler Mode, 2D:3.2MHz PD:3.9MHz, Focus:4.0cm, FR:57.69, Data No:395268815-322903 Control 2: 2D+Pulsed Doppler Mode, 2D:3.2MHz PD:3.2MHz, Focus:10.0cm, FR:38.46, Data No:395273161-292328 Control 3: Pulsed Doppler Mode, PD:3.2MHz, Focus:14.0cm, Data No:395356305-406212 Control 4: Pulsed Doppler Mode, PD:3.2MHz, Focus:10.0cm, Data No:395345566-767610 Control 5: Pulsed Doppler Mode, PD:3.2MHz, Focus:14.0cm, Data No:395357654-24805 TIC_as Reference Manual 188 EVN4-9: 2D + Color, Triple, CPA & Triple CPA mode EVN4-9 TIS Index Label EVN4-9: 2D & 2D + M mode TIS Index Label M.I. 0.862 0.547 0.0786+ (b) (MPa) 1.84 - - - - - P (mW) - 2D P1:25.2 M P1x1:1.72 - M P:1.57 (b) (mW) - - - 1.29 - - (cm) - - - 0.600 - - (cm) - - - 0.602 - - (cm) - - - - 0.600 - (cm) 1.40 - - - - - zb z_at_max_Ipi, α - - - - - P (mW) - 2D P1:1.05 Col P1:34.4 PD P1x1:21.2 - PD P:18.8 (b) - - - 1.80 - (cm) 1.50 - - - - - deq(zb) (cm) - - - - 0.221 - (MHz) 4.48 2D:5.46 Col:4.49 4.45 4.43 4.44 (b) - 2D:1.33 Col:0.760 1.43 0.886 0.633 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.339 - - - - - (pulses/sec) 15.9* - - - - - Pr at max. Ipi (MPa) 2.86 - - - - - deq at max. Ipi (cm) - - - - 0.215 - (b) X (cm) - 1.56 1.65 0.211 0.211 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.336 - - - - - (pulses/sec) 51.0* - - - - - Pr at max. Ipi (MPa) 2.21 - - - - - deq at max. Ipi (cm) - - - - 0.372 - Ipa, α at max. MI (W/cm ) 159 - - - - - Focal Length FLx (cm) - - 7.50 1.00 - - FLy (cm) - - 5.60 5.60 - - TIS_as TIS_as_U Control 4 Control 1: 2D Mode, 2D:4.4MHz, Focus:2.0cm, FR:51.03, Data No:4511179-847777 Control 2: 2D Mode, 2D:4.4MHz, Focus:2.0cm, FR:68.63, Data No:4473616-606553 Control 3: 2D+M Mode, 2D:4.4MHz M:4.4MHz, Focus:7.5cm, FR:43.67, Data No:4562594-692016 Control 4: 2D+M Mode, 2D:4.4MHz M:4.4MHz, Focus:1.0cm, FR:72.33, Data No:4535243-336853 TIS_bs TIB_bs - 1.23 4.68 Control 3 - - - 0.372 Control 2 - 1.20 - - Dim of Aaprt td prr Control 1 Operating Control Conditions 13.5 - - 4.68 MI - - - Control 1 - - 4.58 Focal Length - (cm) - - Ipa, α at max. MI (mW) (cm) 4.57 2 (b) (cm) fawf Other Information 1.10 zb z_at_max_Ipi, α - prr Operating Control Conditions 0.764 2.29 4.56 td TIC 1.08 Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp Aaprt>1 0.285** Non-scan (MPa) (cm) Dim of Aaprt TIB Non-scan Pr, α Maximum Index Value Associated Acoustic Parameters scan Aaprt≤1 0.448 (MHz) deq(zb) fawf Other Information TIC Pr, α Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp Aaprt>1 0.0288** Non-scan Aaprt≤1 0.0376 Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan M.I. Control 2 Control 3 Control 4 X (cm) (W/cm2) 247 - - - - FLx (cm) - - 6.50 4.00 - - FLy (cm) - - 5.60 5.60 - - MI TIS_as TIS_as_U TIS_bs Control 5 Control 1: 2D+Color Mode, 2D:4.4MHz Col:4.4MHz, Focus:3.0cm, FR:15.92, Data No:4752284-541355 Control 2: 2D+Color Mode, 2D:6.2MHz Col:4.4MHz, Focus:1.0cm, FR:21.45, Data No:4656821-168181 Control 3: Triple Mode, 2D:4.7MHz PD:4.4MHz Col:3.9MHz, Focus:6.5cm, FR:6.30, Data No:4816368-913050 Control 4: Triple Mode, 2D:6.2MHz PD:4.4MHz Col:3.9MHz, Focus:4.0cm, FR:6.44, Data No:4812456-843522 Control 5: Triple Mode, 2D:6.2MHz PD:4.4MHz Col:4.4MHz, Focus:3.0cm, FR:5.84, Data No:4810532-604082 TIB_bs Reference Manual 189 EVN4-9: Pulsed Doppler & 2D + Pulsed Doppler mode VN4-8 TIS Index Label M.I. P Associated Acoustic Parameters Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp 0.413 Aaprt>1 0.411** 2.57 - - (mW) - 2D P1:1.22 PD P1x1:17.8 (mW) - (cm) 1.30 (MPa) Non-scan TIC - - - PD P1x1:29.6 - PD P:21.2 (b) 1.12 - - 19.6 - - Pr, α (MPa) 1.70 - - - 1.20 - - P (mW) Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp - - - 1.23 - - (cm) - - - - 0.600 - (cm) 1.70 - - - - - deq(zb) (cm) - - - - 0.284 - (MHz) 3.92 2D:6.16 PD:4.44 4.41 4.40 4.41 (b) X (cm) - 2D:2.03 PD:0.886 1.18 0.886 0.211 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.951 - - - - - (pulses/sec) 1000 - - - - - Pr at max. Ipi (MPa) 3.19 - - - - - deq at max. Ipi (cm) - - - - 0.284 - td prr Ipa, α at max. MI Focal Length (W/cm ) 309 - - - - - FLx (cm) - - 5.50 4.00 - - FLy (cm) - - 5.60 5.60 - - 2 TIS (b) (cm) Dim of Aaprt VN4-8: 2D & 2D + M mode 1.37 zb z_at_max_Ipi, α fawf Other Information Non-scan Aaprt≤1 0.622 Maximum Index Value Pr, α scan TIB Index Label - - - - - - 2D P1:33.4 M P1x1:3.83 - M P:4.09 (b) (mW) - - - 6.75 - - (cm) - - - 1.30 - - (cm) - - - 3.21 - - zb z_at_max_Ipi, α (cm) - - - - 0.700 - (cm) 1.30 - - - - - deq(zb) (cm) - - - - 0.444 - (MHz) 2.30 Dim of Aaprt td prr Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Operating Control Conditions Control 2 Control 3 Control 4 MI TIS_as Control 1 TIS_as_U TIS_bs Control 5 Control 1: Pulsed Doppler Mode, PD:3.9MHz, Focus:3.0cm, Data No:5028757-1501 Control 2: 2D+Pulsed Doppler Mode, 2D:7.7MHz PD:4.4MHz, Focus:4.0cm, FR:38.96, Data No:4991347-767553 Control 3: Pulsed Doppler Mode, PD:4.4MHz, Focus:5.5cm, Data No:5055690-520504 Control 4: Pulsed Doppler Mode, PD:4.4MHz, Focus:4.0cm, Data No:5068000-294261 Control 5: Pulsed Doppler Mode, PD:4.4MHz, Focus:1.0cm, Data No:5057830-318172 TIB_bs Operating Control Conditions TIC 0.612 fawf Other Information Non-scan Aaprt>1 0.129 Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan Aaprt≤1 0.0739 Focal Length Control 1 M.I. Control 2 Control 3 Control 4 0.166+ (b) 3.85 4.05 4.00 3.23 (b) X (cm) 4.31 0.718 2.87 0.479 (b) Y (cm) 1.25 1.25 1.25 1.25 (b) - (µsec) 0.874 - - - - (pulses/sec) 68.9* - - - - - (MPa) 1.88 - - - - - - - - - 0.442 (W/cm2) 58.5 - - - - - FLx (cm) - - 3.50 17.5 - - FLy (cm) - - 5.50 5.50 - - (cm) MI TIS_as TIS_as_U TIS_bs Control 5 Control 1: 2D Mode, 2D:2.0MHz, Focus:2.0cm, FR:68.89, Data No:1274345-230392 Control 2: 2D Mode, 2D:5.1MHz, Focus:8.8cm, FR:59.00, Data No:1611226-329309 Control 3: 2D+M Mode, 2D:4.4MHz M:4.4MHz, Focus:3.5cm, FR:59.56, Data No:1679421-77005 Control 4: 2D+M Mode, 2D:5.1MHz M:5.1MHz, Focus:17.5cm, FR:24.64, Data No:1695340-879474 Control 5: 2D+M Mode, 2D:3.1MHz M:3.1MHz, Focus:2.0cm, FR:65.82, Data No:1676754-76065 TIB_bs Reference Manual 190 VN4-8: 2D + Color, Triple, CPA & Triple CPA mode VN4-8: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. 0.680 - - (mW) - 2D P1:0.142 PD P1x1:40.0 Col P1:4.29 PD P1x1:40.0 - PD P:33.8 (b) (mW) - - - 31.9 - - (cm) - - - 1.80 - - (cm) - - - 2.51 - - zb z_at_max_Ipi, α (cm) - - - - 0.900 - (cm) 2.90 - - - - - deq(zb) (cm) - - - - 0.484 - 2.18 2D:5.16 PD:3.20 Col:3.25 3.20 2.93 2.95 (b) X (cm) - 2D:5.11 PD:0.718 Col:4.15 0.718 1.76 0.479 (b) Y (cm) - 1.25 1.25 1.25 1.25 (b) P Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp fawf Dim of Aaprt 1.31 (b) - - (µsec) 0.734 - - - - - 12.6* - - - - - Pr at max. Ipi (MPa) 2.06 - - - - - deq at max. Ipi (cm) - - - - 0.484 - (W/cm2) 86.7 - - - - - FLx (cm) - - 3.50 8.80 - - FLy (cm) - - 5.50 5.50 - - prr Ipa, α at max. MI Focal Length Control 1 Control 2 Control 3 TIS_as_U Associated Acoustic Parameters Control 1: 2D+Color Mode, 2D:2.0MHz Col:2.9MHz, Focus:3.5cm, FR:12.61, Data No:2059051-966463 Control 2: Triple Mode, 2D:6.2MHz PD:3.2MHz Col:3.2MHz, Focus:3.5cm, FR:4.30, Data No:2425352-860823 Control 3: Triple Mode, 2D:6.2MHz PD:2.9MHz Col:3.6MHz, Focus:8.8cm, FR:4.13, Data No:2436888-356485 Control 4: Triple Mode, 2D:3.4MHz PD:2.9MHz Col:2.9MHz, Focus:2.0cm, FR:4.43, Data No:2486967-11127 TIB Non-scan TIB_bs TIC 1.12 0.649 Pr, α (MPa) 2.02 - - - - - P (mW) - 2D P1:1.09 PD P1x1:36.7 PD P1x1:49.2 - PD P:45.0 (b) Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp Aaprt>1 0.709 Non-scan Aaprt≤1 0.851 1.78 (b) (mW) - - - 46.0 - - (cm) - - - 2.00 - - (cm) - - - 2.51 - - zb z_at_max_Ipi, α (cm) - - - - 1.00 - (cm) 1.00 - - - - - deq(zb) (cm) - - - - 0.448 - (MHz) 3.21 2D:5.01 PD:3.56 3.63 3.23 3.24 (b) - 2D:5.11 PD:0.718 0.718 1.76 0.479 (b) Y (cm) - 1.25 1.25 1.25 1.25 (b) (µsec) 1.08 - - - - - (pulses/sec) 1000 - - - - - Pr at max. Ipi (MPa) 2.24 - - - - - deq at max. Ipi (cm) - - - - 0.448 - fawf td prr Other Information scan Ipa, α at max. MI Focal Length Control 1 Control 2 Control 3 Control 4 X (cm) (W/cm2) 160 - - - - FLx (cm) - - 3.50 8.80 - - FLy (cm) - - 5.50 5.50 - - MI TIS_as TIS_as_U TIS_bs Control 5 TIS_bs Control 4 M.I. Maximum Index Value Operating Control Conditions MI TIS_as Index Label Dim of Aaprt (pulses/sec) td Operating Control Conditions (MHz) - TIS TIC 1.67 (MPa) Aaprt>1 0.444 Non-scan 1.13 Pr, α Other Information TIB Non-scan Aaprt≤1 0.610 Maximum Index Value Associated Acoustic Parameters scan Control 1: Pulsed Doppler Mode, PD:3.2MHz, Focus:2.0cm, Data No:2916234-638087 Control 2: 2D+Pulsed Doppler Mode, 2D:6.2MHz PD:3.6MHz, Focus:3.5cm, FR:35.71, Data No:2794612-963408 Control 3: Pulsed Doppler Mode, PD:3.6MHz, Focus:3.5cm, Data No:2962145-16716 Control 4: Pulsed Doppler Mode, PD:3.2MHz, Focus:8.8cm, Data No:2938081-290380 Control 5: Pulsed Doppler Mode, PD:3.2MHz, Focus:2.0cm, Data No:2918331-852115 TIB_bs Reference Manual 191 CW2.0 CW4.0 CW2.0: CW mode CW4.0: CW mode TIS Index Label M.I. scan TIB Non-scan Non-scan TIS TIC (a) Aaprt≤1 0.498 Aaprt>1 0.402** 1.57 1.32 - - - - - Index Label Maximum Index Value 0.0479 Pr, α (MPa) 0.0664 P (mW) - (a) CW P1x1:54.3 - CW P:54.3 CW P:54.3 (mW) - - - 43.9 - - (cm) - - - 1.60 - - (cm) - - - 1.54 - - zb z_at_max_Ipi, α (cm) - - - - 2.20 - (cm) 2.20 - - - - deq(zb) (cm) - - - - 0.531 (MHz) 1.92 (a) 1.92 1.92 1.92 1.92 X (cm) - (a) 0.600 0.600 0.600 0.600 Y (cm) - (a) 1.38 1.38 1.38 1.38 (µsec) CW - - - - - td (pulses/sec) CW - - - - - prr - - - - - Pr at max. Ipi - - - 0.508 - Associated Acoustic Parameters Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp fawf Dim of Aaprt td prr Other Information Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length Operating Control Conditions Control 1 (MPa) 0.0775 (cm) Non-scan TIC (a) Aaprt≤1 0.813 Aaprt>1 0.607** - - - - - 0.0374 Pr, α (MPa) 0.0734 P (mW) - (a) CW P1x1:44.4 - CW P:44.4 CW P:44.4 (mW) - - - 33.1 - - (cm) - - - 1.10 - - (cm) - - - 1.08 - - (cm) - - - - 1.10 - - zb z_at_max_Ipi, α (cm) 1.20 - - - - - - deq(zb) (cm) - - - - 0.478 - (MHz) 3.85 (a) 3.85 3.85 3.85 3.85 X (cm) - (a) 0.450 0.450 0.450 0.450 Y (cm) - (a) 0.900 0.900 0.900 0.900 (µsec) CW - - - - - (pulses/sec) CW - - - - - - - - - - - - - 0.471 - (W/cm2) 0.153 - - - - - - - 5.50 5.50 - - FLy (cm) - - 5.50 5.50 - - TIS_as_U TIS_bs TIB_bs TIC_as Control 1: CW Mode, CW:1.9MHz, Data No:153713920-279052 scan TIB Non-scan Maximum Index Value FLx (cm) MI M.I. Associated Acoustic Parameters Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp fawf Dim of Aaprt Other Information deq at max. Ipi Ipa, α at max. MI Focal Length Operating Control Conditions Control 1 (MPa) 0.0864 (cm) 1.57 1.54 (W/cm2) 0.183 - - - - - FLx (cm) - - 4.50 4.50 - - FLy (cm) - - 4.50 4.50 - - TIS_as_U TIS_bs TIB_bs TIC_as MI Control 1: CW Mode, CW:3.9MHz, Data No:63918526-912490 Reference Manual 192 FDA Tables DP2B DP2B: CW mode TIS Index Label M.I. - - - - - - (a) CW P1x1:51.5 - CW P:51.5 CW P:51.5 - - - 38.0 - - (MPa) 0.0546 P (mW) (mW) deq(zb) fawf Dim of Aaprt td prr Other Information Pr at max. Ipi deq at max. Ipi Ipa, α at max. MI Focal Length Operating Control Conditions Control 1 TIC Aaprt>1 0.348** Pr, α zb z_at_max_Ipi, α Non-scan Aaprt≤1 0.472 0.0393 Associated Acoustic Parameters Non-scan (a) Maximum Index Value Min. of [Pα(zs), Ita, α (zs)x1cm2] zs zbp scan Symbols and Definitions TIB 1.13 1.34 (cm) - - - 2.30 - - (cm) - - - 1.44 - - (cm) - - - - 3.70 - (cm) 3.90 - - - - - All table entries have been obtained at the same operating conditions that give rise to the maximum Index Value in the second row. Due to the complexities of the system user interface, it may be difficult to exactly replicate the declared condition. Contact Samsung Medison for further information. Symbols used in the table are described below. MI the Mechanical Index. TISscan the Soft Tissue Thermal Index in an auto scanning mode. TISNon-scan the Soft Tissue Thermal Index in a non auto scanning mode. TIB the Bone Thermal Index. (cm) - - - - 0.563 - TIC the Cranial Thermal Index. (MHz) 1.92 (a) 1.92 1.92 1.92 1.92 X (cm) - (a) 1.36 1.36 1.36 1.36 Aaprt the area of the active aperture (square centimeters). Y (cm) - (a) 0.680 0.680 0.680 0.680 (µsec) CW - - - - - (pulses/sec) CW - - pr.3the derated peak rarefactional pressure associated with the transmit pattern giving rise to the value reported under MI (meg zapascals). - - - (MPa) 0.0715 (cm) - - - - - - - - 0.554 - WoFor TIB and TIC: time average acoustic power at the source, in milliwatts. (Also see the definitions for W01 and W01x1 that follow.) (W/cm2) 0.0990 - - - - - - - 6.00 6.00 - - - 6.00 6.00 - - TIS_as_U TIS_bs TIB_bs TIC_as FLx (cm) FLy (cm) - MI Control 1: CW Mode, CW:1.9MHz, Data No:36087767-655600 For TIS scan, Wo = Wo1 + Wo1x1 For TIS Non–scan, Wo = Wo1x1 Wo1: For scanning modes and/or scanning components of combinational modes: time average acoustic power at the source, per cm, in milliwatts. This is the acoustic power emitted from the central 1–cm length, in the scan direction, of the aperture corresponding to the scanned pulses. Wo1x1: For Non–scanning modes and/or Non–scanning components of combinational modes: time average acoustic power at the source, per cm2, in milliwatts. This is the acoustic power emitted from the central 1 cm2 of the active Non–scanned aperture through which the highest acoustic power is being transmitted. Reference Manual 193 W.3(z1) the derated ultrasonic power at axial distance z1 (milliwatts). FL the focal length, or azimuthal and elevational lengths, if different (centimeters). ITA.3(z1)the derated spatial peak, temporal average intensity at axial distance z1 (milliwatts per square centimeter). [email protected] the derated pulse average intensity at the point of maximum reported MI (Watts per square centimeter). z1the axial distance corresponding to the location of max[min(W.3(z), ITA.3(z) x 1 cm2)], where z = zbp (centimeters). The Acoustic Measurement Precision and Acoustic Measurement Uncertainty are summarized below. zbp (centimeters). zsp For MI, the axial distance at which pr.3 is measured for TIB, the axial distance at which TIB is a maximum (i.e., zsp = zB.3) (centimeters). deq(z)the equivalent beam diameter as a function of axial distance z, and is equal to [(4/3.14)(Wo/ITA(z))]0.5 where ITA(z) is the temporal average intensity as a function of z (centimeters). fc is the center frequency (MHz). For MI, fc is the center frequency associated with the transmit pattern giving rise to the maximum reported value of MI. For TI, for combined modes involving transmit patterns of unequal center frequency, fc is defined as the overall range of center frequencies of the respective transmit patterns. Dim. of Aaprt the active aperture dimensions for the azimuthal and elevational planes (centimeters). PDthe pulse duration (microseconds) associated with the transmit pattern giving rise to the reported value of MI. PRFthe pulse repetition frequency associated with the transmit pattern giving rise to the reported value of MI (Hz). [email protected] the peak rarefactional pressure at the point where the free-field, spatial peak pulse intensity integral is a maximum (megapascals). See Section 6.2.4.1 of the Output Display Standard, entitled “Measurement Methodology for Mechanical and Thermal Indices“. [email protected] equivalent beam diameter at the point where the free-field, spatial peak pulse intensity integral is a maximum (centimeters). See Section 6.2.5.1 of the Output Display Standard, entitled “Measurement Methodology for Mechanical and Thermal Indices“. Quantity Precision Total Uncertainty PII.3 (derated pulse intensity integral) 3.2% + 21% to - 24% Wo (acoustic power) 6.2% +/- 19% Pr.3 (derated rarefaction pressure) 5.4% +/- 15% Fc (center frequency) < 1% +/- 4.5% Reference Manual 194 Explanatory Notes (a) This index is not required to this operating mode. C2-6 C2-6: 2D & 2D + M mode (b) This probe is not intended for adult transcranial uses. TIS (c) This formulation for TIS is less than that for an alternate formulation in this mode. (d) The maximum index value is less than 1.0 *If the MI comes from a scanning mode Transmit Pattern (pulse), the ‘prr’ listed is the average per second for the ‘worst case‘ scan line. ‘prr’ for scanning modes is the product of the frame rate and the number of pulse per line of the Transmit Pattern . **The max TIS unscanned value is an ‘at_surface’ value and occurs for aperture > 1.0 cm2, OR The max TIS unscanned value is a ‘below_surface’ value and occurs for aperture <= 1.0 cm2. Index Label M.I. 1.37 1.16 (MPa) 2.22 - - - - - W0 (mW) - 2D W01:87.5 M W01x1:9.07 - M W0:12.9 (b) min of [W.3(z1), ITA.3(z1)] (mW) - - - 12.9 - - - - - 3.90 - - 0.360+ (b) z1 (cm) Zbp (cm) - - - 3.31 - Zsp (cm) 1.30 - - - 3.70 - deq(z) (cm) - - - - 0.396 - (MHz) 2.61 2.79 2.81 2.77 2.81 (b) X (cm) - 6.01 1.19 3.19 1.19 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 0.806 - - - - - (Hz) 72.1* - - - - - [email protected] (MPa) 2.07 - - - - - [email protected] (cm) - - - - 0.371 - fc #In Color M mode, the color pulses are non-scanned. A‘Col#’ notifies when Color M mode is the operating condition. PD Dim. of Aaprt PRF Focal Length [email protected] Control 1 Operating Control Conditions TIC Pr.3 +The max TIB for this combinational mode = the at_surface TIS_scanned value. The nonscanned_TIB value indicated is the below_surface max. A “+” is used when the TIB value is less than the TIS_scanned value for the operating condition. Other Information Aaprt>1 0.170 Non-scan Aaprt≤1 0.121** Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan Control 2 Control 3 Control 4 FLx (cm) - 14.5 5.00 14.5 - (b) FLy (cm) - 7.00 7.00 7.00 - (b) (W/cm2) 146 - - - - - MI TIS_as TIS_as_U TIB_bs TIS_bs Control 1: 2D Mode, 2D:2.4MHz, Focus:2.0cm, FR:72.13, Data No:188188841-647858 Control 2: 2D Mode, 2D:2.7MHz, Focus:14.5cm, FR:38.66, Data No:188215163-884580 Control 3: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:5.0cm, FR:44.11, Data No:188258085-370413 Control 4: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:14.5cm, FR:24.96, Data No:188270074-890029 Reference Manual 195 C2-6: 2D + Color, Triple, CPA & Triple CPA mode C2-6: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr.3 Associated Acoustic Parameters 1.60 1.76 2.70 - PD W01x1:96.5 - - 90.7 W0 (mW) - min of [W.3(z1), ITA.3(z1)] (mW) - - Aaprt>1 1.30 - Non-scan TIS TIC 1.46 1.46 Pr.3 (MPa) 2.45 - - PD W0:124 (b) W0 (mW) - - - min of [W.3(z1), ITA.3(z1)] (mW) - - - 171 - - - - - 3.70 - - 1.50 - - Zbp (cm) - - - 2.02 - - Zsp (cm) 0.700 - - - 3.60 - deq(z) (cm) - - - - 0.415 - (MHz) 2.85 2D:2.66 Col:2.85 3.00 3.00 3.00 (b) X (cm) - 2D:4.38 Col:2.32 0.939 1.19 1.19 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 0.909 - - - - - (Hz) 196* - - - - - [email protected] (MPa) 2.86 - - - - - [email protected] (cm) - - - - 0.394 - FLx (cm) - 2.00 3.50 5.00 - (b) FLy (cm) - 7.00 7.00 7.00 - (b) (W/cm2) 256 - - - - - Control 1 Control 2 Control 3 MI Maximum Index Value Associated Acoustic Parameters TIS_as TIS_as_U - - - PD W0:196 (b) 3.84 (b) (cm) (cm) - - - 3.44 - Zsp (cm) 3.80 - - - 4.30 - deq(z) (cm) - - - - 0.502 - (MHz) 2.80 3.08 3.08 2.79 (b) X (cm) - 2.44 3.44 1.50 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 1.33 - - - - - (Hz) 1000 - - - - - [email protected] (MPa) 3.41 - - - - - [email protected] (cm) - - - - 0.483 - PD PRF Focal Length [email protected] Control 1 Control 2 Control 3 Control 4 Control 5 Control 1: 2D+Color Mode, 2D:2.4MHz Col:2.8MHz, Focus:2.0cm, FR:21.76, Data No:188409053-280532 Control 2: Triple Mode, 2D:2.7MHz PD:3.1MHz Col:2.8MHz, Focus:3.5cm, FR:5.00, Data No:188565044-66261 Control 3: Triple Mode, 2D:3.1MHz PD:3.1MHz Col:2.8MHz, Focus:5.0cm, FR:4.89, Data No:188531215-482384 - z1 Dim. of Aaprt Other Information 2D W01:1.61 PD W01x1:103 PD W01x1:99.3 Aaprt>1 2.51 Zbp fc Operating Control Conditions TIS_bs TIC - - [email protected] Non-scan (b) - Focal Length scan TIB Non-scan - - PRF M.I. 3.20 (cm) PD Index Label Aaprt≤1 1.51** z1 Dim. of Aaprt Operating Control Conditions Non-scan Aaprt≤1 1.38** 2D W01:11.1 Col W01:119 fc Other Information (MPa) scan TIB 2D:4.05 PD:3.03 2D:6.01 PD:0.939 FLx (cm) - 3.50 11.0 17.5 - (b) FLy (cm) - 7.00 7.00 7.00 - (b) (W/cm2) 294 - - - - - MI TIS_as TIS_as_U TIS_bs TIB_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:2.8MHz, Focus:5.0cm, Data No:188621383-648161 Control 2: 2D+Pulsed Doppler Mode, 2D:4.7MHz PD:3.1MHz, Focus:3.5cm, FR:31.25, Data No:188586635-786019 Control 3: Pulsed Doppler Mode, PD:3.1MHz, Focus:11.0cm, Data No:188667978-440889 Control 4: Pulsed Doppler Mode, PD:3.1MHz, Focus:17.5cm, Data No:188664290-813804 Control 5: Pulsed Doppler Mode, PD:2.8MHz, Focus:6.8cm, Data No:188627007-174561 Reference Manual 196 CF4-9: 2D + Color, Triple, CPA & Triple CPA mode CF4-9 TIS CF4-9: 2D & 2D + M mode TIS Index Label MI Pr.3 (MPa) W0 (mW) TIB Non-scan Non-scan TIC Aaprt≤1 Aaprt>1 0.368 0.0363 0.0292** 0.0743+ 0.505 2.44 - - - - - - 2D W01:14.3 M W01x1:0.950 M W01x1:1.44 - M W0:0.950 2D W0:18.2 1.09 Maximum index value Scan Index Label - - - 1.16 - - z1 (cm) - - - 0.600 - - Zbp (cm) - - - 0.552 - - Zsp (cm) 1.30 - - - 1.20 - deq(z) (cm) - - - - 0.191 - (MHz) 5.06 5.06 5.30 5.30 5.06 4.77 X (cm) - 2D:1.52 M:0.543 0.253 0.253 0.543 1.52 Y (cm) - 0.420 0.420 0.420 0.420 0.420 (µsec) 0.253 - - - - - (Hz) 54.6* - - - - - [email protected] (MPa) 2.93 - - - - - [email protected] (cm) - - - - 0.182 - fc Dim. of Aaprt PD PRF Focal Length [email protected] Control 1 Control 2 FLx (cm) - 2.00 1.00 1.00 - 2.00 FLy (cm) - 2.50 2.50 2.50 - 2.50 (W/cm2) 250 - - - - - MI TIS_as TIS_as_U TIS_bs TIB_bs Control 3 Control 1: 2D+M Mode, 2D:5.1MHz M:5.1MHz, Focus:2.0cm, FR:54.63, Data No:534480584-748474 Control 2: 2D+M Mode, 2D:6.2MHz M:6.2MHz, Focus:1.0cm, FR:61.23, Data No:534478901-102109 Control 3: 2D Mode, 2D:5.1MHz, Focus:2.0cm, FR:57.09, Data No:534428595-542655 Maximum index value (MPa) Pr.3 (mW) min of [W.3(z1), ITA.3(z1)] Scan TIB Non-scan Aaprt≤1 Aaprt>1 Non-scan TIC 1.14 0.672 0.609 0.400** 1.35 2.41 - - - - - - PD W0:13.5 2D W0:0.239 PD W0:10.0 Col W0:3.67 W0 (mW) - min of [W.3(z1), ITA.3(z1)] 2D W01:0.171 PD W01x1:25.2 PD W01x1:25.2 Col W01:2.65 0.922 (mW) - - - 16.5 - - z1 (cm) - - - 1.20 - - Zbp (cm) - - - 1.23 - - Zsp (cm) 0.900 - - - 0.900 - deq(z) (cm) - - - - 0.163 - (MHz) 4.45 2D:5.29 PD:5.08 Col:4.65 5.08 5.08 5.11 2D:5.25 PD:5.09 Col:4.52 X (cm) - 2D:2.05 PD:1.27 Col:2.32 1.27 1.27 0.398 2D:1.25 PD:0.181 Col:1.36 Y (cm) - 0.420 0.420 0.420 0.420 0.420 (µsec) 0.560 - - - - - (Hz) 88.3* - - - - - [email protected] (MPa) 2.59 - - - - - [email protected] (cm) - - - - 0.160 - fc Dim. of Aaprt PD PRF Focal Length [email protected] Control 1 Control 2 TIC_as MI Control 3 FLx (cm) - 6.50 6.50 6.50 - 1.00 FLy (cm) - 2.50 2.50 2.50 - 2.50 (W/cm2) 319 - - - - - TIS_as TIS_as_U TIS_bs MI TIB_bs Control 4 Control 1: Triple Mode, 2D:6.2MHz PD:4.4MHz Col:4.4MHz, Focus:2.0cm, FR:6.31, Data No:534840892-721279 Control 2: Triple Mode, 2D:5.1MHz PD:5.1MHz Col:4.4MHz, Focus:6.5cm, FR:5.41, Data No:534777232-13298 Control 3: Triple Mode, 2D:6.2MHz PD:5.1MHz Col:4.4MHz, Focus:2.0cm, FR:6.31, Data No:534767074-452315 Control 4: Triple Mode, 2D:6.2MHz PD:5.1MHz Col:4.4MHz, Focus:1.0cm, FR:6.33, Data No:534764494-380960 TIC_as Reference Manual 197 CF4-9: Pulsed Doppler & 2D + Pulsed Doppler mode SC1-6 TIS Index Label MI Scan TIB Non-scan Aaprt≤1 Aaprt>1 Non-scan TIC Maximum index value 1.02 0.424 0.882 0.546** 1.62 1.44 Pr.3 (MPa) 2.13 - - - - - W0 (mW) - - PD W0:23.2 PD W0:17.9 min of [W.3(z1), ITA.3(z1)] (mW) - - - 22.5 - z1 (cm) - - - 1.00 Zbp (cm) - - - 1.46 Zsp (cm) 1.00 - - - 1.40 - deq(z) (cm) - - - - 0.189 - (MHz) 4.40 2D:5.10 PD:5.11 5.13 5.10 5.13 5.13 X (cm) - 2D:1.95 PD:1.09 1.48 1.77 0.579 0.181 Y (cm) - 0.420 0.420 0.420 0.420 0.420 (µsec) 1.69 - - - - - fc Dim. of Aaprt PD PRF (Hz) 1000 2D W01:1.06 PD W01x1:36.1 PD W01x1:16.4 - - - 0.832 - - - - - - W0 (mW) - 2D W01:61.9 M W01x1:7.50 - M W0:11.3 (b) - - - - min of [W.3(z1), ITA.3(z1)] (mW) - - - 13.1 - - - - - - - - - - - - 0.183 - FLx (cm) - 5.50 7.50 9.00 - 1.00 FLy (cm) - 2.50 2.50 2.50 - 2.50 Control 1 Control 2 Control 3 Control 4 Control 5 - - - Associated Acoustic Parameters (cm) - - - 3.80 - - (cm) - - - 3.16 - - Zsp (cm) 2.60 - - - 4.50 - deq(z) (cm) - - - - 0.389 - (MHz) 2.63 2.83 2.63 2.53 1.97 (b) X (cm) - 5.51 0.792 2.90 1.52 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 0.307 - - - - - (Hz) 73.8* - - - - - [email protected] (MPa) 3.18 - - - - - [email protected] (cm) - - - - 0.380 - PD PRF Focal Length [email protected] FLx (cm) - 14.5 3.50 17.5 - (b) FLy (cm) - 6.50 6.50 6.50 - (b) (W/cm2) 379 - - - - - MI Control 1 TIS_as Operating Control Conditions TIS_as_U TIS_bs TIB_bs Control 6 Control 1: Pulsed Doppler Mode, PD:4.4MHz, Focus:2.0cm, Data No:535038722-275296 Control 2: 2D+Pulsed Doppler Mode, 2D:5.1MHz PD:5.1MHz, Focus:5.5cm, FR:21.43, Data No:534989659-793360 Control 3: Pulsed Doppler Mode, PD:5.1MHz, Focus:7.5cm, Data No:535105704-769994 Control 4: Pulsed Doppler Mode, PD:5.1MHz, Focus:9.0cm, Data No:535112293-106821 Control 5: Pulsed Doppler Mode, PD:5.1MHz, Focus:3.0cm, Data No:535088993-490067 Control 6: Pulsed Doppler Mode, PD:5.1MHz, Focus:1.0cm, Data No:535079542-391220 TIC_as (b) Zbp Dim. of Aaprt Other Information 0.341+ z1 fc - 2.37 - TIC 1.62 Maximum Index Value Aaprt>1 0.158 Non-scan 2.63 (cm) 245 scan TIB Non-scan (MPa) (MPa) (W/cm2) M.I. Pr.3 [email protected] [email protected] TIS Index Label Aaprt≤1 0.0940 [email protected] Focal Length SC1-6: 2D & 2D + M mode Control 2 Control 3 Control 4 MI TIS_as TIS_as_U TIS_bs Control 5 Control 1: 2D Mode, 2D:3.4MHz, Focus:3.5cm, FR:73.83, Data No:1385345295-600788 Control 2: 2D Mode, 2D:3.4MHz, Focus:14.5cm, FR:51.33, Data No:1385407217-38398 Control 3: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:3.5cm, FR:70.26, Data No:1385412371-717946 Control 4: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:17.5cm, FR:28.90, Data No:1385423413-937519 Control 5: 2D+M Mode, 2D:1.9MHz M:1.9MHz, Focus:6.8cm, FR:54.33, Data No:1385416087-269817 TIB_bs Reference Manual 198 SC1-6: 2D + Color, Triple, CPA & Triple CPA mode SC1-6: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr.3 W0 min of [W.3(z1), ITA.3(z1)] Associated Acoustic Parameters (mW) Non-scan 1.11 0.990 Aaprt≤1 1.24 2.61 - - - 2D W01:0.397 PD W01x1:77.4 PD W01x1:77.4 Col W01:9.00 - - Aaprt>1 3.02 - - - 3.60 (cm) - - - (cm) 3.50 - - (cm) - - 2.57 2D:2.66 PD:2.69 Col:2.68 - 2D:6.34 PD:0.660 Col:6.34 0.660 1.20 1.20 Zbp Zsp deq(z) (MHz) X (cm) Non-scan TIS TIC (b) 1.11 - - PD W0:73.1 96.9 - (cm) Dim. of Aaprt - - 3.47 - - - 0.700 - - - 0.462 - 2.69 2.69 2.70 (b) 0.396 0.591 - - - - - 93.1* - - - - - [email protected] (MPa) 3.38 - - - - - [email protected] (cm) - - - - 0.462 - Control 1 Control 2 Control 3 Control 4 1.20 (b) FLx (cm) - 3.50 3.50 17.5 - (b) FLy (cm) - 6.50 6.50 6.50 - (b) (W/cm2) 345 - - - - - MI TIS_as TIS_as_U - 2D W01:1.74 PD W01x1:60.4 PD W01x1:89.1 3.42 (b) - - - - PD W0:77.5 (b) - (mW) - - - 142 - z1 (cm) - - - 3.50 - - Zbp (cm) - - - 3.47 - - Zsp (cm) 1.60 - - - 0.700 - deq(z) (cm) - - - - 0.435 - (MHz) 2.71 2D:2.80 PD:2.75 2.71 2.79 2.80 (b) X (cm) - 2D:6.34 PD:0.396 0.660 3.50 0.396 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 1.35 - - - - - (Hz) 1000 - - - - - [email protected] (MPa) 3.09 - - - - - [email protected] (cm) - - - - 0.432 - Focal Length [email protected] Control 1 Operating Control Conditions - Control 2 Control 3 Control 4 FLx (cm) - 2.00 3.50 17.5 - (b) FLy (cm) - 6.50 6.50 6.50 - (b) (W/cm2) 269 - - - - - MI TIS_as_U TIS_as TIS_bs TIB_bs TIS_bs TIB_bs Control 1: 2D+Color Mode, 2D:3.4MHz Col:2.8MHz, Focus:5.0cm, FR:10.34, Data No:1385481726-758245 Control 2: Triple Mode, 2D:3.4MHz PD:2.8MHz Col:2.8MHz, Focus:3.5cm, FR:3.29, Data No:1385623590-597094 Control 3: Triple Mode, 2D:3.4MHz PD:2.8MHz Col:2.8MHz, Focus:17.5cm, FR:2.51, Data No:1385619842-261615 Control 4: Triple Mode, 2D:1.8MHz PD:2.8MHz Col:2.8MHz, Focus:2.0cm, FR:3.31, Data No:1385606692-358123 TIC - PRF Other Information 0.814 2.55 Non-scan Aaprt>1 1.88 (mW) PD 1.20 1.55 Aaprt≤1 1.15 min of [W.3(z1), ITA.3(z1)] (b) (Hz) [email protected] Associated Acoustic Parameters (MPa) scan TIB Non-scan W0 Dim. of Aaprt (µsec) Focal Length Pr.3 fc 3.50 M.I. Maximum Index Value - - PRF Index Label (b) Y (cm) PD Operating Control Conditions (mW) z1 fc Other Information (MPa) scan TIB Control 1: Pulsed Doppler Mode, PD:2.8MHz, Focus:3.5cm, Data No:1385859034-482857 Control 2: 2D+Pulsed Doppler Mode, 2D:3.4MHz PD:2.8MHz, Focus:2.0cm, FR:41.67, Data No:1385784497-762939 Control 3: Pulsed Doppler Mode, PD:2.8MHz, Focus:17.5cm, Data No:1385880211-571795 Control 4: Pulsed Doppler Mode, PD:2.8MHz, Focus:2.0cm, Data No:1385857481-286461 Reference Manual 199 CA1-7AD: 2D + Color, Triple, CPA &Triple CPA mode CA1-7AD TIS CA1-7AD: 2D& 2D+M mode Index Label TIS Index Label M.I. 1.57 Maximum Index Value Aaprt>1 0.201 Non-scan 0.547+ TIC Maximum Index Value Pr.3 (mW) - - - 20.5 - - z1 (cm) - - - 3.50 - - Zbp (cm) - - - 3.41 - - Zsp (cm) 0.700 - - - 4.00 - deq(z) (cm) - - - - 0.307 - (MHz) 2.06 2.74 2.94 2.06 2.09 (b) X (cm) - 3.75 2.90 2.90 1.13 (b) Y (cm) - 1.40 1.40 1.40 1.40 (b) (µsec) 0.674 - - - - - (Hz) 72.9* - - - - - [email protected] (MPa) 2.33 - - - - - PD [email protected] (cm) - - - - 0.307 - PRF FLx (cm) - 8.80 17.5 17.5 - (b) FLy (cm) - 6.00 6.00 6.00 - (b) (W/cm2) 191 - - - - - Control 3 Control 4 z1 Associated Acoustic Parameters Zbp Control 1: 2D Mode, 2D:2.0MHz, Focus:2.0cm, FR:72.90, Data No:3362276190-208045 Control 2: 2D Mode, 2D:3.9MHz, Focus:8.8cm, FR:142.06, Data No:3362428927-97813 Control 3: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:17.5cm, FR:86.40, Data No:3362455965-200386 Control 4: 2D+M Mode, 2D:2.1MHz M:2.1MHz, Focus:17.5cm, FR:86.40, Data No:3362469200-852924 Control 5: 2D+M Mode, 2D:2.1MHz M:2.1MHz, Focus:5.0cm, FR:175.33, Data No:3362460802-86758 - - - - M:3.41 Col#:3.92 - - - - - deq(z) (cm) - - - - M:0.939 Col#:0.681 - (MHz) 1.98 2D:2.78 Col:2.78 2.61 M:2.70 Col#:2.79 M:2.56 Col#:1.92 (b) X (cm) - 2D:2.87 Col:2.44 0.637 M:2.90 Col#:3.82 M:1.98 Col#:2.41 (b) Y (cm) - 1.40 1.40 1.40 1.40 (b) (µsec) 0.799 - - - - - (Hz) 29.1* - - - - - (MPa) 2.47 - - - - - [email protected] Control 1 TIB_bs - - (b) - Focal Length Operating Control Conditions (cm) - 3.50 [email protected] TIS_as Control 5 - M:4.50 Col#:4.20 - (b) - (cm) [email protected] TIS_bs M:3.11 Col#:108 - 3.67 - Zsp Dim. of Aaprt Other Information (cm) Aaprt>1 1.48 M:4.20 Col#:3.80 fc MI TIS_as_U - - (mW) min of [W.3(z1), ITA.3(z1)] Control 2 - - W0 (b) Control 1 PD W01x1:67.9 M W0:5.16 Col# W0:179 (mW) - M W0:13.4 [email protected] - min of [W.3(z1), ITA.3(z1)] - - Focal Length - - - PRF 1.55 (mW) M W01x1:6.99 TIC 1.54 W0 - Non-scan 2.16 2D W01:5.50 Col W01:112 2D W01:93.1 PD (MPa) scan TIB Non-scan Aaprt≤1 0.845 (b) - Dim. of Aaprt Operating Control Conditions Non-scan Aaprt≤1 0.0980** 2.24 fc Other Information 1.21 TIB (MPa) Pr.3 Associated Acoustic Parameters scan M.I. Control 2 Control 3 Control 4 Control 5 (cm) - - - - M:0.726 Col#:0.543 FLx (cm) - 3.50 3.50 17.5 - (b) FLy (cm) - 6.00 6.00 6.00 - (b) (W/cm2) 301 - - - - - MI TIS_as TIS_as_U TIS_bs TIB_bs Control 1: 2D+Color Mode, 2D:1.9MHz Col:2.8MHz, Focus:3.5cm, FR:29.08, Data No:3362809112-153890 Control 2: 2D+Color Mode, 2D:3.4MHz Col:2.8MHz, Focus:3.5cm, FR:29.08, Data No:3362871154-119321 Control 3: Triple Mode, 2D:3.4MHz PD:2.8MHz Col:2.8MHz, Focus:3.5cm, FR:16.52, Data No:3362980784-385143 Control 4: Color M Mode, M:3.4MHz Col#:2.8MHz, Focus:17.5cm, Data No:3363157656-257562 Control 5: Color M Mode, M:3.4MHz Col#:1.9MHz, Focus:11.0cm, Data No:3363144264-816055 Reference Manual 200 CA1-7AD: Pulsed Doppler & 2D + Pulsed Doppler mode CA2-8AD TIS Index Label M.I. Maximum Index Value Associated Acoustic Parameters 1.50 1.32 Aaprt≤1 1.29 Aaprt>1 1.80 - - Non-scan TIC (b) - - - - PD W0:250 (b) 2.11 W0 (mW) - min of [W.3(z1), ITA.3(z1)] (mW) - - - 165 - - z1 (cm) - - - 3.80 - - Zbp (cm) - - - 3.73 - - Zsp (cm) 4.00 - - - 3.90 - deq(z) (cm) - - - - 0.713 - (MHz) 1.98 2D:2.78 PD:2.60 2.79 2.29 2.28 (b) PD PRF [email protected] [email protected] Focal Length [email protected] Control 1 Control 2 Control 3 Control 4 Control 5 2D W01:19.0 PD W01x1:97.3 PD W01x1:86.0 CA2-8AD: 2D& 2D+M mode TIS 4.21 (MPa) Dim. of Aaprt Operating Control Conditions Non-scan Pr.3 fc Other Information scan TIB Index Label 1.43 1.07 2.48 - - - - - W0 (mW) - 2D W01:66.7 M W01x1:7.20 - M W0:9.84 (b) min of [W.3(z1), ITA.3(z1)] (mW) - - - 10.5 - - z1 (cm) - - - 1.60 - - Zbp (cm) - - - 2.97 - - Zsp (cm) 1.50 - - - 3.70 - deq(z) (cm) - - - - 0.342 - (MHz) 3.02 3.37 2.80 3.42 2.78 (b) X (cm) - 4.19 0.858 2.57 1.19 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 0.515 - - - - - (Hz) 90.3* - - - - - [email protected] (MPa) 2.88 - - - - - [email protected] (cm) - - - - 0.322 - 2D:3.04 PD:0.637 0.637 3.47 2.19 (b) Y (cm) - 1.40 1.40 1.40 1.40 (b) (µsec) 0.770 - - - - - (Hz) 115* - - - - - PD (MPa) 2.60 - - - - - PRF (cm) - - - - 0.552 - FLx (cm) - 3.50 3.50 17.5 - (b) FLy (cm) - 6.00 6.00 6.00 - (b) (W/cm2) 314 - - - - - fc Dim. of Aaprt Other Information Focal Length [email protected] MI TIS_as Control 1 TIS_bs TIB_bs Control 1: 2D+Pulsed Doppler Mode, 2D:1.9MHz PD:2.8MHz, Focus:5.0cm, FR:115.38, Data No:3363001084-932415 Control 2: 2D+Pulsed Doppler Mode, 2D:3.4MHz PD:2.8MHz, Focus:3.5cm, FR:115.38, Data No:3363024754-40332 Control 3: Pulsed Doppler Mode, PD:2.8MHz, Focus:3.5cm, Data No:3363120017-80727 Control 4: Pulsed Doppler Mode, PD:2.4MHz, Focus:17.5cm, Data No:3363050732-966334 Control 5: Pulsed Doppler Mode, PD:2.4MHz, Focus:11.0cm, Data No:3363049188-639755 Operating Control Conditions TIC (MPa) - Control 2 Control 3 Control 4 Aaprt>1 0.170 Non-scan Pr.3 Maximum Index Value Associated Acoustic Parameters scan TIB Non-scan Aaprt≤1 0.0958** X (cm) TIS_as_U M.I. 0.317+ (b) FLx (cm) - 8.80 3.50 14.5 - (b) FLy (cm) - 7.00 7.00 7.00 - (b) (W/cm2) 280 - - - - - MI TIS_as TIS_as_U TIS_bs Control 5 Control 1: 2D Mode, 2D:2.9MHz, Focus:2.0cm, FR:90.33, Data No:1679724680-231582 Control 2: 2D Mode, 2D:3.9MHz, Focus:8.8cm, FR:84.54, Data No:1679905732-944515 Control 3: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:3.5cm, FR:128.28, Data No:1679926622-561569 Control 4: 2D+M Mode, 2D:3.9MHz M:3.9MHz, Focus:14.5cm, FR:61.09, Data No:1679951513-528022 Control 5: 2D+M Mode, 2D:2.7MHz M:2.7MHz, Focus:5.0cm, FR:107.55, Data No:1679931154-98365 TIB_bs Reference Manual 201 CA2-8AD: 2D + Color, Triple, CPA &Triple CPA mode CA2-8AD: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr.3 Associated Acoustic Parameters 1.56 - Aaprt≤1 1.24** Aaprt>1 1.36 M W01x1:5.19 Col# W01x1:81.8 - Non-scan TIS TIC (b) 1.38 1.16 - Pr.3 (MPa) 2.41 - - (b) W0 (mW) - min of [W.3(z1), ITA.3(z1)] (mW) - min of [W.3(z1), ITA.3(z1)] (mW) - - - z1 (cm) - - - Zbp (cm) - - - Zsp (cm) 0.800 - - - deq(z) (cm) - - - - (MHz) 3.02 2D:3.81 Col:3.00 2D:4.42 PD:1.29 Col:3.82 M:4.17 Col#:2.92 M:3.42 Col#:2.78 0.858 M:2.57 Col#:3.56 M:0.726 Col#:0.462 (b) X (cm) - - - - - - - M:1.40 Col#:0.760 M:0.325 Col#:0.464 M:3.78 Col#:2.83 - 1.20 1.20 1.20 1.20 (b) 0.542 329* 2.72 - - - - [email protected] (cm) - - - - 246 3.50 7.00 - 3.50 7.00 - 14.5 7.00 - M:0.325 Col#:0.464 - Control 1 Control 2 Control 3 Control 4 Control 5 MI TIS_as (b) (b) - - - - PD W0:72.6 (b) 130 - - 3.23 - - - 3.30 - - - - - 3.12 - - Zsp (cm) 0.600 - - - 0.600 - deq(z) (cm) - - - - 0.451 - (MHz) 3.05 2D:3.13 PD:3.02 3.03 2.79 2.81 (b) X (cm) - 2D:3.43 PD:0.660 0.660 2.84 0.396 (b) Y (cm) - 1.20 1.20 1.20 1.20 (b) (µsec) 1.19 - - - - - (Hz) 1500 - - - - - [email protected] (MPa) 2.57 - - - - - [email protected] (cm) - - - - 0.451 - Focal Length [email protected] Control 1 Control 2 Control 3 Control 4 Control 5 FLx (cm) - 3.50 3.50 14.5 - (b) FLy (cm) - 7.00 7.00 7.00 - (b) (W/cm2) 224 - - - - - MI TIS_as TIS_as_U TIS_bs TIB_bs TIS_as_U TIS_bs Control 1: 2D+Color Mode, 2D:2.7MHz Col:3.1MHz, Focus:2.0cm, FR:36.52, Data No:1680123020-614453 Control 2: 2D+Color Mode, 2D:3.9MHz Col:3.1MHz, Focus:3.5cm, FR:31.51, Data No:1680515047-626607 Control 3: Color M Mode, M:3.9MHz Col#:3.1MHz, Focus:3.5cm, Data No:1680897000-2458 Control 4: Color M Mode, M:3.9MHz Col#:2.8MHz, Focus:14.5cm, Data No:1680947319-663200 Control 5: Color M Mode, M:3.9MHz Col#:2.8MHz, Focus:2.0cm, Data No:1680922204-214428 TIB_bs (b) (cm) PRF Operating Control Conditions - - (cm) PD - - TIC Zbp Dim. of Aaprt Other Information 2D W01:4.64 PD W01x1:88.4 PD W01x1:76.0 Non-scan Aaprt>1 1.72 z1 fc (b) (µsec) (Hz) (MPa) [email protected] Associated Acoustic Parameters - Y (cm) FLx (cm) FLy (cm) (W/cm2) Maximum Index Value - PD PRF [email protected] Focal Length scan TIB Non-scan M W0:3.59 Col# W0:67.2 - M:1.74 Col#:101 M:1.60 Col#:3.80 M:2.97 Col#:3.50 M.I. 2.96 (mW) - Index Label Aaprt≤1 1.28 W0 Dim. of Aaprt Operating Control Conditions 1.45 2.52 Non-scan 2D W01:9.57 Col W01:97.1 fc Other Information (MPa) scan TIB Control 1: Pulsed Doppler Mode, PD:3.1MHz, Focus:2.0cm, Data No:1680846628-905804 Control 2: 2D+Pulsed Doppler Mode, 2D:2.7MHz PD:3.1MHz, Focus:3.5cm, FR:76.92, Data No:1680738979-261041 Control 3: Pulsed Doppler Mode, PD:3.1MHz, Focus:3.5cm, Data No:1680847568-408 Control 4: Pulsed Doppler Mode, PD:2.8MHz, Focus:14.5cm, Data No:1680806760-835727 Control 5: Pulsed Doppler Mode, PD:2.8MHz, Focus:2.0cm, Data No:1680816262-988295 Reference Manual 202 L4-7: 2D + Color, Triple, CPA & Triple CPA mode L4-7 TIS L4-7: 2D& 2D + M mode Index Label TIS Index Label M.I. 1.68 Maximum Index Value Associated Acoustic Parameters 1.13 TIB Non-scan Aaprt≤1 0.181** Aaprt>1 0.138 Non-scan 0.292+ TIC (MPa) 3.09 - - - - - W0 (mW) - 2D W01:67.0 M W01x1:10.7 - M W0:12.6 (b) min of [W.3(z1), ITA.3(z1)] (mW) - - - 8.11 - - (cm) - - - 1.80 - - Zbp (cm) - - - 1.84 - - Zsp (cm) 1.70 - - - 1.80 - z1 deq(z) Dim. of Aaprt PD Maximum Index Value Pr.3 (b) Pr.3 fc (cm) - - - - 0.578 - (MHz) 3.41 3.54 3.57 3.57 3.57 (b) X (cm) - 4.19 1.98 1.98 1.98 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.295 - - - - - Associated Acoustic Parameters - 1.50 - - - - Zsp (cm) 2.20 - - - 1.80 - deq(z) (cm) - - - - 0.498 - (MHz) 3.90 2D:4.13 PD:4.63 Col:3.95 4.63 4.63 3.45 (b) X (cm) - 2D:4.42 PD:1.29 Col:3.82 1.29 1.29 1.56 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.308 - - - - - (Hz) 9.88* - - - - - [email protected] (MPa) 4.46 - - - - - [email protected] (cm) - - - - 0.481 - fc Dim. of Aaprt [email protected] (cm) - - - - 0.578 - PRF [email protected] (W/cm2) 294 - - - - - Other Information Focal Length Operating Control Conditions Control 1 Control 2 Control 3 MI [email protected] TIS_as TIS_as_U Control 1: 2D Mode, 2D:4.7MHz, Focus:5.0cm, FR:24.03, Data No:3940914-876113 Control 2: 2D Mode, 2D:3.4MHz, Focus:8.0cm, FR:32.48, Data No:340730498-158618 Control 3: 2D+M Mode, 2D:3.4MHz M:3.4MHz, Focus:8.0cm, FR:19.40, Data No:3970849-914802 TIS_bs TIB_bs Operating Control Conditions - 1.49 PD (b) - - - (b) 56.0 - - - (b) - - - PD W0:88.4 - - 2.80 - - - 8.00 - - - 2.80 (b) - (cm) - 8.00 - 2.48 - (cm) - 2.80 - TIC Zbp - 8.00 2D W01:0.403 PD W01x1:90.5 PD W01x1:90.5 Col W01:19.1 Non-scan Aaprt>1 1.24** z1 - - - (mW) 3.36 - - min of [W.3(z1), ITA.3(z1)] 24.0* FLx (cm) 2.36 - (Hz) FLy (cm) 1.64 3.23 (mW) (MPa) Focal Length (MPa) scan TIB Non-scan Aaprt≤1 2.00 W0 [email protected] PRF Other Information scan M.I. Control 1 Control 2 FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 2.80 2.80 2.80 - (b) (W/cm2) 387 - - - - - TIS_as TIS_as_U TIS_bs MI Control 3 Control 1: 2D+Color Mode, 2D:5.6MHz Col:3.4MHz, Focus:3.0cm, FR:9.88, Data No:340807016-832228 Control 2: Triple Mode, 2D:4.7MHz PD:4.7MHz Col:4.1MHz, Focus:6.5cm, FR:2.52, Data No:341045383-543636 Control 3: Triple Mode, 2D:5.6MHz PD:3.4MHz Col:3.4MHz, Focus:8.0cm, FR:2.24, Data No:341184913-188186 TIB_bs Reference Manual 203 L4-7: Pulsed Doppler & 2D + Pulsed Doppler mode L5-13 TIS Index Label M.I. Maximum Index Value Associated Acoustic Parameters 2.06 - - 2.79 W0 (mW) - 2D W01:2.42 PD W01x1:181 PD W01x1:92.0 Aaprt>1 2.34** Non-scan TIC 4.33 (b) - - - - PD W0:156 (b) L5-13: 2D & 2D + M mode TIS Index Label 1.60 1.82 (MPa) 4.15 - - W0 (mW) - min of [W.3(z1), ITA.3(z1)] - - 104 - - z1 (cm) - - - 1.70 - - Zbp (cm) - - - 1.64 - - Zsp (cm) 2.00 - - - 1.60 - deq(z) (cm) - - - - 0.468 - (MHz) 3.43 2D:4.41 PD:4.58 4.73 4.73 4.73 (b) X (cm) - 2D:4.42 PD:0.966 1.56 1.56 1.29 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 1.03 - - - - - PD (Hz) 1000 - - - - - PRF [email protected] (MPa) 3.63 - - - - - [email protected] [email protected]max (cm) - - - - 0.448 - PRF Focal Length [email protected] Control 1 Control 2 Control 3 FLx (cm) - 5.00 8.00 8.00 - (b) FLy (cm) - 2.80 2.80 2.80 - (b) (W/cm ) 352 - - - - - 2 Associated Acoustic Parameter TIS_as TIS_as_U TIS_bs Control 4 Control 1: Pulsed Doppler Mode, PD:3.4MHz, Focus:6.5cm, Data No:341252334-63533 Control 2: 2D+Pulsed Doppler Mode, 2D:5.6MHz PD:4.7MHz, Focus:5.0cm, FR:11.72, Data No:4260410-300604 Control 3: Pulsed Doppler Mode, PD:4.7MHz, Focus:8.0cm, Data No:341302662-772823 Control 4: Pulsed Doppler Mode, PD:4.7MHz, Focus:6.5cm, Data No:341297571-14405 TIB_bs - - - - M W0:4.42 (b) 0.202+ (b) - - - 4.07 - - (cm) - - - 0.600 - - Zbp (cm) - - - 1.36 - - Zsp (cm) 0.700 - - - 0.700 - deq(z) (cm) - - - - 0.351 - Dim. of Aaprt [email protected] Focal Length [email protected] Operating Control Conditions TIC (mW) Control 1 MI 2D W01:44.9 M W01x1:5.60 Non-scan Aaprt>1 0.149** z1 fc Other Information scan TIB Non-scan Pr.3 Maximum Index Value - PD M.I. Aaprt≤1 0.205 (mW) Dim. of Aaprt Operating Control Conditions 1.51 (MPa) fc Other Information Non-scan Aaprt≤1 4.09 Pr.3 min of [W.3(z1), ITA.3(z1)] scan TIB Control 2 Control 3 (MHz) 6.68 8.52 7.67 7.67 6.47 (b) X (cm) _ 3.48 1.62 1.62 0.871 (b) Y (cm) _ 0.400 0.400 0.400 0.400 (b) (µsec) 0.187 - - - - - (Hz) 46.5* - - - - - (MPa) 4.85 - - - - - (cm) - - - - 0.344 - FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 2.00 2.00 2.00 - (b) (W/cm2) 796 - - - - - TIS_as_U TIS_bs MI TIS_as Control 4 Control 1: 2D Mode, 2D:6.8MHz , Focus:1.0cm, FR:46.49, Data No:322506968-433644 Control 2: 2D Mode, 2D:12.3MHz , Focus:6.5cm, FR:56.28, Data No:322577237-432459 Control 3: 2D+M Mode, 2D:10.3MHz M:10.3MHz , Focus:6.5cm, FR:34.26, Data No:213640031-987869 Control 4: 2D+M Mode, 2D:7.7MHz M:7.7MHz , Focus:4.0cm, FR:34.26, Data No:322593076-731023 TIB_bs Reference Manual 204 L5-13: 2D + Color, Triple, CPA & Triple CPA mode L5-13: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr.3 Associated Acoustic Parameter (MPa) scan TIB Non-scan 1.62 2.67 Aaprt≤1 2.39 3.99 - - W0 (mW) - min of [W.3(z1), ITA.3(z1)] (mW) - 2D W01:0.374 PD W01x1:74.7 PD W01x1:74.7 Col W01:8.68 - - Aaprt>1 1.45** - Non-scan TIS TIC (b) 1.56 2.31 - - Pr.3 (MPa) 3.85 - - W0 (mW) - (mW) - - - 71.6 - - - z1 (cm) - - - 1.10 - - Zbp (cm) - - - 1.40 - - Zsp (cm) 0.900 - - - 1.00 - deq(z) (cm) - - - - 0.507 - (MHz) 6.10 2D :8.54 PD :6.09 6.83 6.83 6.15 (b) - 2D :3.80 PD :1.70 1.70 1.70 1.70 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.953 - - - - - (Hz) 1000 - - - - - (MPa) 4.49 - - - - - (cm) - - - - 0.501 - 0.900 - - 1.19 - - - - - 0.900 - (cm) - - - - 0.370 - (MHz) 6.09 2D :8.13 PD :6.72 Col :6.53 6.72 6.72 6.68 (b) X (cm) - 2D :3.80 PD :1.70 Col :3.80 1.70 1.23 1.03 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.236 - - - - - (Hz) 135* - - - - - (MPa) 4.74 - - - - - (cm) - - - - 0.360 - FLx (cm) - 6.50 6.50 4.70 - (b) FLy (cm) - 2.00 2.00 2.00 - (b) (W/cm2) 847 - - - - - Associated Acoustic Parameter fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 Operating Control Conditions Control 2 Control 3 Control 4 Control 5 (b) min of [W.3(z1), ITA.3(z1)] - Control 1 PD W0:112 - - [email protected] - - (b) - 0.900 Focal Length - 3.25 45.2 (cm) [email protected] Other d @PIImax Information eq - (b) (cm) PRF 2D W01:2.18 PD W01x1:120 PD W01x1:76.6 TIC PD W0:65.3 Zsp PD Maximum Index Value Non-scan Aaprt>1 2.33** - Zbp Dim. of Aaprt scan TIB Non-scan 2.63+ (cm) fc M.I. Aaprt≤1 3.91 z1 deq(z) Index Label Operating Control Conditions MI TIS_as TIS_as_U Control 2 Control 3 Control 4 X (cm) FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 2.00 2.00 2.00 - (b) (W/cm2) 560 - - - - - TIS_as_U TIS_bs MI TIS_as TIB_bs TIS_bs TIB_bs Control 1: 2D+Color Mode, 2D:7.7MHz Col:6.2MHz , Focus:1.7cm, FR:12.26, Data No:322621006-903987 Control 2: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz , Focus:6.5cm, FR:2.74, Data No:323088101-299150 Control 3: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz , Focus:6.5cm, FR:2.74, Data No:323085883-371781 Control 4: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz , Focus:4.7cm, FR:2.83, Data No:323079178-405849 Control 5: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz , Focus:4.0cm, FR:2.96, Data No:323072450-228023 Control 1: Pulsed Doppler Mode, PD:6.2MHz , Focus:3.2cm, Data No:323164060-899512 Control 2: 2D+Pulsed Doppler Mode, 2D:12.3MHz PD:6.2MHz , Focus:6.5cm, FR:15.63, Data No:213947410-896002 Control 3: Pulsed Doppler Mode, PD:6.8MHz , Focus:6.5cm, Data No:323206754-574951 Control 4: Pulsed Doppler Mode, PD:6.2MHz , Focus:6.5cm, Data No:323171170-793599 Reference Manual 205 L7-16: 2D + Color, Triple, CPA & Triple CPA mode L7-16 TIS L7-16: 2D & 2D + M mode Index Label TIS Index Label M.I. 1.56 Maximum Index Value Aaprt>1 0.119** Non-scan TIC 0.173+ - - - - - W0 (mW) M W01x1:3.61 - M W0:2.34 (b) min of [W.3(z1), ITA.3(z1)] (mW) - - - 2.30 - - z1 (cm) - - - 0.600 - - Zbp (cm) - - - 1.44 - - Zsp (cm) 1.00 - - - 1.00 - PD PRF [email protected] [email protected] Focal Length [email protected] Control 1 Control 2 Control 3 (cm) - - - - 0.191 - (MHz) 6.55 10.9 10.9 10.9 6.61 (b) X (cm) - 3.72 1.82 1.82 0.515 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.225 - - - - - (Hz) 33.4* - - - - - (MPa) 4.65 - - - - - (cm) - - - - 0.187 - FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 1.50 1.50 1.50 - (b) (W/cm2) 642 - - - - - Associated Acoustic Parameter TIS_bs Control 4 Control 1: 2D Mode, 2D:6.8MHz, Focus:1.7cm, FR:33.35, Data No:1863808793-724247 Control 2: 2D Mode, 2D:15.4MHz, Focus:6.5cm, FR:42.49, Data No:90322015-453314 Control 3: 2D+M Mode, 2D:15.4MHz M:15.4MHz, Focus:6.5cm, FR:25.96, Data No:90344068-862374 Control 4: 2D+M Mode, 2D:6.8MHz M:6.8MHz, Focus:1.7cm, FR:32.00, Data No:90328526-242422 TIB_bs 2.09+ (b) - - - - - PD W01x1:65.4 - PD W0:42.1 (b) - min of [W.3(z1), ITA.3(z1)] (mW) - - - 42.9 - - z1 (cm) - - - 0.800 - - Zbp (cm) - - - 1.49 - - Zsp (cm) 0.700 - - - 0.900 - deq(z) (cm) - - - - 0.299 - (MHz) 6.71 2D:11.4 PD:7.64 Col:7.60 7.64 7.64 6.81 (b) X (cm) - 2D:3.80 PD:1.94 Col:3.80 1.94 1.94 0.752 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.245 - - - - - (Hz) 111* - - - - - [email protected] (MPa) 4.64 - - - - - [email protected] (cm) - - - - 0.242 - Dim. of Aaprt PD PRF Focal Length MI TIS_as_U 2.51 (mW) fc Other Information Operating Control Conditions TIC 3.94 W0 Aaprt>1 1.56** Non-scan 1.52 2D W01:0.289 PD W01x1:65.4 Col W01:3.13 [email protected] TIS_as (MPa) scan TIB Non-scan Aaprt≤1 2.38 (b) 2D W01:36.9 Dim. of Aaprt Maximum Index Value Pr.3 - deq(z) Operating Control Conditions Non-scan Aaprt≤1 0.188 4.00 fc Other Information 1.92 TIB (MPa) Pr.3 Associated Acoustic Parameters scan M.I. Control 1 Control 2 FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 1.50 1.50 1.50 - (b) (W/cm2) 645 - - - - - TIS_as TIS_as_U TIS_bs MI Control 3 Control 1: 2D+Color Mode, 2D:10.3MHz Col:6.8MHz, Focus:1.7cm, FR:8.53, Data No:1863827861-624585 Control 2: Triple Mode, 2D:15.4MHz PD:7.7MHz Col:7.7MHz, Focus:6.5cm, FR:2.36, Data No:90792111-915583 Control 3: Triple Mode, 2D:7.7MHz PD:6.8MHz Col:6.8MHz, Focus:2.5cm, FR:2.92, Data No:90632248-481580 TIB_bs Reference Manual 206 L7-16: Pulsed Doppler & 2D + Pulsed Doppler mode LA3-16AD TIS Index Label M.I. Maximum Index Value Pr.3 W0 min of [W.3(z1), ITA.3(z1)] Associated Acoustic Parameter (MPa) 3.52 Non-scan 2.38 Aaprt≤1 4.00 Aaprt>1 2.62** - - 2D W01:2.31 PD PD W01x1:62.4 W01x1:109 (mW) Non-scan TIC 2.49 (b) - - - - PD W0:53.4 (b) (mW) - - - 71.4 - - z1 (cm) - - - 0.800 - - Zbp (cm) - - - 1.49 - - Zsp (cm) 1.00 - - - 0.900 - deq(z) (cm) - - - - 0.321 - (MHz) 7.34 2D:11.5 PD:7.59 7.69 7.69 6.83 (b) X (cm) - 2D:3.80 PD:1.94 1.94 1.94 0.752 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.224 - - - - - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 Operating Control Conditions 1.30 scan TIB Control 2 Control 3 Control 4 LA3-16AD: 2D& 2D+M mode TIS Index Label M.I. Maximum Index Value Pr.3 Associated Acoustic Parameter 0.743 3.27 - - 2D W01:16.4 M W01x1:1.68 M W01x1:1.68 Non-scan 0.0988+ (b) - - - - M W0:0.958 (b) - min of [W.3(z1), ITA.3(z1)] (mW) - - - 0.947 - - z1 (cm) - - - 1.20 - - Zbp (cm) - - - 1.35 - - Zsp (cm) 0.800 - - - 0.800 - deq(z) (cm) - - - - 0.158 - (MHz) 6.55 8.64 8.64 7.68 6.82 (b) X (cm) - 2D:3.14 M:1.60 1.60 1.60 0.400 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.112 - - - - - (Hz) 85.9* - - - - - [email protected] (MPa) 3.77 - - - - - [email protected] (cm) - - - - 0.154 - (Hz) 4000 - - - - - (MPa) 4.42 - - - - - PD (cm) - - - - 0.292 - PRF FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 1.50 1.50 1.50 - (b) (W/cm2) 502 - - - - - Focal Length [email protected] FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 2.00 2.00 2.00 - (b) (W/cm2) 896 - - - - - TIS_as TIS_as_U TIS_as TIS_as_U Control 1 TIS_bs TIB_bs Control 1: 2D+Pulsed Doppler Mode, 2D:6.8MHz PD:7.7MHz, Focus:1.7cm, FR:15.63, Data No:90809359-658408 Control 2: 2D+Pulsed Doppler Mode, 2D:15.4MHz PD:7.7MHz, Focus:6.5cm, FR:11.72, Data No:90856604-148090 Control 3: Pulsed Doppler Mode, PD:7.7MHz, Focus:6.5cm, Data No:90923384-33776 Control 4: Pulsed Doppler Mode, PD:6.8MHz, Focus:2.5cm, Data No:90873979-273212 Operating Control Conditions TIC Aaprt>1 0.0346** (mW) Dim. of Aaprt MI 1.28 Aaprt≤1 0.0692 W0 fc Other Information (MPa) scan TIB Non-scan Control 2 Control 3 MI TIS_bs Control 4 Control 1: 2D Mode, 2D:6.2MHz, Focus:1.0cm, FR:85.91, Data No:4200988675-572556 Control 2: 2D+M Mode, 2D:10.3MHz M:10.3MHz, Focus:6.5cm, FR:63.30, Data No:4207084114-788736 Control 3: 2D+M Mode, 2D:7.7MHz M:7.7MHz, Focus:6.5cm, FR:63.30, Data No:4201004021-965986 Control 4: 2D+M Mode, 2D:6.8MHz M:6.8MHz, Focus:1.0cm, FR:82.58, Data No:4207086772-285051 TIB_bs Reference Manual 207 LA3-16AD: 2D + Color, Triple, CPA & Triple CPA mode LA3-16AD: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Aaprt>1 0.364** Non-scan TIS TIC 1.25 0.870 0.989 (b) Pr.3 (MPa) 3.23 - - - - - W0 (mW) - 2D W01:3.03 Col W01:22.8 PD W01x1:18.0 - PD W0:13.9 (b) min of [W.3(z1), ITA.3(z1)] (mW) - - - 11.2 - - z1 (cm) - - - 0.900 - - Zbp (cm) - - - 1.09 - - Zsp (cm) 0.700 - - - 1.50 - deq(z) (cm) - - - - 0.165 - (MHz) 6.61 2D:8.67 Col:6.85 6.76 X (cm) - 2D:1.72 Col:0.780 1.68 1.04 0.640 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.117 (Hz) 20.9* - - - - - (MPa) 3.64 - - - - - (cm) - - - - 0.148 - FLx (cm) - 0.500 6.50 6.50 - (b) FLy (cm) - 2.00 2.00 2.00 - (b) (W/cm2) 700 - - - - - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 Operating Control Conditions Non-scan Aaprt≤1 0.581 Maximum Index Value Associated Acoustic Parameter scan TIB Control 2 Control 3 Control 4 Control 5 - 6.82 6.83 Index Label Maximum Index Value Pr.3 Associated Acoustic Parameter (b) - - Control 1: 2D+Color Mode, 2D:6.2MHz Col:5.6MHz, Focus:1.0cm, FR:20.92, Data No:14201013657-956361 Control 2: 2D+Color Mode, 2D:10.3MHz Col:6.8MHz, Focus:0.5cm, FR:45.05, Data No:4207267382-812775 Control 3: Triple Mode, 2D:10.3MHz PD:6.8MHz Col:6.8MHz, Focus:6.5cm, FR:6.12, Data No:4201051423-288041 Control 4: Triple Mode, 2D:12.3MHz PD:6.8MHz Col:5.6MHz, Focus:4.0cm, FR:5.90, Data No:4201036970-66455 Control 5: Triple Mode, 2D:6.2MHz PD:6.8MHz Col:5.6MHz, Focus:2.5cm, FR:6.76, Data No:4201034079-430878 1.31 (b) - - - - - PD W01x1:44.6 - PD W0:18.0 (b) (mW) - - - 25.5 - - z1 (cm) - - - 1.10 - - Zbp (cm) - - - 1.39 - - Zsp (cm) 1.00 - - - 1.40 - deq(z) (cm) - - - - 0.181 - (MHz) 6.71 2D:8.54 PD:6.75 6.83 6.80 5.62 (b) X (cm) - 2D:3.14 PD:1.68 1.68 1.68 0.640 (b) Y (cm) - 0.400 0.400 0.400 0.400 (b) (µsec) 0.559 - - - - - (Hz) 1000 - - - - - (MPa) 4.91 - - - - - (cm) - - - - 0.173 - FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 2.00 2.00 2.00 - (b) (W/cm2) 762 - - - - - PD PRF [email protected] Other d @PIImax Information eq Focal Length Control 1 TIB_bs 0.764 3.90 min of [W.3(z1), ITA.3(z1)] MI TIS_bs 1.51 - - Operating Control Conditions TIC (mW) [email protected] TIS_as_U Aaprt>1 0.824** Non-scan Aaprt≤1 1.45 W0 Dim. of Aaprt TIS_as (MPa) scan TIB Non-scan 2D W01:1.18 PD W01x1:22.3 fc - M.I. Control 2 Control 3 Control 4 Control 5 MI TIS_as TIS_as_U TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:6.8MHz, Focus:1.7cm, Data No:4207634415-269350 Control 2: 2D+Pulsed Doppler Mode, 2D:12.3MHz PD:6.8MHz, Focus:6.5cm, FR:28.85, Data No:4207556678-377221 Control 3: Pulsed Doppler Mode, PD:6.8MHz, Focus:6.5cm, Data No:4207646295-337947 Control 4: Pulsed Doppler Mode, PD:6.8MHz, Focus:6.5cm, Data No:4207641772-422916 Control 5: Pulsed Doppler Mode, PD:5.6MHz, Focus:2.5cm, Data No:4207584589-813334 Reference Manual 208 LA5-18B: 2D + Color, Triple, CPA &Triple CPA mode LA5-18B TIS Index Label LA5-18B: 2D& 2D+M mode TIS Index Label M.I. Maximum Index Value Pr.3 W0 min of [W.3(z1), ITA.3(z1)] Associated Acoustic Parameter (MPa) scan TIB Non-scan 1.44 1.06 0.108+ (b) 4.05 - - - - - - M W0:0.910 (b) 1.59 - - (mW) - 2D W01:26.8 (mW) - - - z1 (cm) TIC Aaprt≤1 0.0840 M W01x1:2.48 Aaprt>1 0.0540** Non-scan - - - 0.900 - - 1.53 1.16 4.06 - - - - - W0 (mW) - 2D W01:6.33 Col W01:26.4 PD W01x1:23.1 - PD W0:17.6 (b) min of [W.3(z1), ITA.3(z1)] - - - 15.2 - - (cm) - - - 1.00 - - Zbp (cm) - - - 1.39 - - Zsp (cm) 0.600 - - - 1.00 - deq(z) (cm) - - - - 0.233 - (MHz) 7.09 2D:7.46 Col:7.46 7.50 6.67 6.65 (b) - 2D:1.80 Col:1.23 1.94 1.94 0.752 (b) Y (cm) - 0.350 0.350 0.350 0.350 (b) (µsec) 0.203 - - - - - (Hz) 305* - - - - - (MPa) 4.41 - - - - - (cm) - - - - 0.160 - FLx (cm) - 1.00 6.50 6.50 - (b) FLy (cm) - 1.50 1.50 1.50 - (b) (W/cm2) 693 - - - - - - - - 1.35 - - 0.600 - - - 0.600 - deq(z) (cm) - - - - 0.145 - (MHz) 7.89 8.32 7.11 7.11 6.77 (b) X (cm) - 3.27 1.82 1.82 0.198 (b) Y (cm) - 0.350 0.350 0.350 0.350 (b) PD (µsec) 0.159 - - - - - PRF (Hz) 105* - - - - - [email protected] (MPa) 4.39 - - - - - (cm) - - - - 0.145 - FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 1.50 1.50 1.50 - (b) (W/cm2) 694 - - - - - [email protected] Other d @PIImax Information eq Focal Length [email protected] fc Dim. of Aaprt Other d @PIImax Information eq Focal Length [email protected] Control 1 Control 1 Operating Control Conditions Control 2 Control 3 MI Operating Control Conditions TIS_as TIS_as_U TIS_bs Control 4 Control 1: 2D Mode, 2D:10.3MHz, Focus:1.0cm, FR:104.83, Data No:536605776-729946 Control 2: 2D Mode, 2D:10.3MHz, Focus:6.5cm, FR:71.16, Data No:536642690-824806 Control 3: 2D+M Mode, 2D:7.7MHz M:7.7MHz, Focus:6.5cm, FR:77.11, Data No:536668019-381637 Control 4: 2D+M Mode, 2D:7.7MHz M:7.7MHz, Focus:0.5cm, FR:107.31, Data No:502148753-251491 TIB_bs (b) (mW) (cm) PRF 1.07+ z1 (cm) PD TIC (MPa) Zbp Dim. of Aaprt Aaprt>1 0.483** Non-scan Pr.3 Maximum Index Value Associated Acoustic Parameter scan TIB Non-scan Aaprt≤1 0.825 Zsp fc M.I. Control 2 Control 3 Control 4 Control 5 X (cm) MI TIS_as TIS_as_U TIS_bs TIB_bs Control 1: 2D+Color Mode, 2D:2.9MHz 8.8MHz Col:7.7MHz, Focus:1.0cm, FR:33.86, Data No:536727639-487344 Control 2: 2D+Color Mode, 2D:8.8MHz Col:7.7MHz, Focus:1.0cm, FR:33.86, Data No:536740206-677379 Control 3: Triple Mode, 2D:5.6MHz PD:7.7MHz Col:7.7MHz, Focus:6.5cm, FR:6.93, Data No:536966003-458422 Control 4: Triple Mode, 2D:5.6MHz PD:6.8MHz Col:6.8MHz, Focus:6.5cm, FR:6.11, Data No:502186178-210692 Control 5: Triple Mode, 2D:5.6MHz PD:6.8MHz Col:6.8MHz, Focus:2.5cm, FR:7.21, Data No:502179999-944752 Reference Manual 209 LA5-18B: Pulsed Doppler & 2D + Pulsed Doppler mode PE2-4 TIS Index Label M.I. Maximum Index Value Pr.3 W0 min of [W.3(z1), ITA.3(z1)] z1 Associated Acoustic Parameter (MPa) (mW) 1.02 Non-scan Aaprt≤1 2.16 Aaprt>1 1.42** Non-scan TIC 1.80 (b) 2.62 - - - - - - 2D W01:6.40 PD W01x1:26.0 PD W01x1:59.2 - PD W0:44.2 (b) (mW) - - - 38.8 - - (cm) - - - 0.800 - - PE2-4: 2D& 2D+M mode TIS Index Label Pr.3 z1 (cm) - - - 2.80 - - Zbp (cm) - - - 2.64 - - Zsp (cm) 1.10 - - - 4.10 - deq(z) (cm) - - - - 0.775 - (MHz) 2.19 2.66 2.22 2.22 2.22 2.19 X (cm) - 0.965 2.03 2.03 2.03 0.559 Y (cm) - 1.20 1.20 1.20 1.20 1.20 (µsec) 0.716 - - - - - (Hz) 110* - - - - - (MPa) 2.66 - - - - - (cm) - - - - 0.770 - - - - - 0.359 - (MHz) 5.85 2D:7.18 PD:6.44 7.67 7.67 6.83 (b) X (cm) - 2D:3.35 PD:1.94 1.94 1.94 1.19 (b) Y (cm) - 0.350 0.350 0.350 0.350 (b) (µsec) 0.195 - - - - - Dim. of Aaprt (Hz) 58.1* - - - - - PD (MPa) 2.90 - - - - - PRF (cm) - - - - 0.342 - [email protected] FLx (cm) - 6.50 6.50 6.50 - (b) FLy (cm) - 1.50 1.50 1.50 - (b) (W/cm2) 334 - - - - - Control 4 fc Other d @PIImax Information eq Focal Length [email protected] TIS_as_U TIS_bs TIB_bs Control 1: 2D+Pulsed Doppler Mode, 2D:5.6MHz PD:6.8MHz, Focus:0.5cm, FR:58.14, Data No:536982884-645729 Control 2: 2D+Pulsed Doppler Mode, 2D:7.7MHz PD:6.8MHz, Focus:6.5cm, FR:34.88, Data No:537006554-362884 Control 3: Pulsed Doppler Mode, PD:7.7MHz, Focus:6.5cm, Data No:537062223-472542 Control 4: Pulsed Doppler Mode, PD:6.8MHz, Focus:4.0cm, Data No:537027616-90764 Operating Control Conditions 2D W0:194 - (cm) TIS_as M W0:31.6 - deq(z) Control 3 20.6 - Control 2 - - - 0.900 MI - - - - Control 1 - - 1.39 [email protected] 5.24 - (mW) - Focal Length 0.452+ - min of [W.3(z1), ITA.3(z1)] - Other d @PIImax Information eq 2.35 2.52 2D W01:185 - [email protected] 1.70 - 0.600 PRF TIC (mW) (cm) PD Aaprt>1 0.218 Non-scan Aaprt≤1 0.137** W0 (cm) Associated Acoustic Parameter (MPa) scan TIB Non-scan M W01x1:13.0 Zsp Dim. of Aaprt M.I. Maximum Index Value Zbp fc Operating Control Conditions 1.08 scan TIB Control 1 Control 2 Control 3 FLx (cm) - 4.00 16.0 16.0 - 2.00 FLy (cm) - 6.40 6.40 6.40 - 6.40 (W/cm2) 219 - - - - - MI TIC_as TIS_as TIS_as_U TIS_bs Control 1: 2D Mode, 2D:2.3MHz, Focus:2.0cm, FR:109.51, Data No:1090585105-632494 Control 2: 2D Mode, 2D:4.4MHz, Focus:4.0cm, FR:178.58, Data No:1090527471-418813 Control 3: 2D+M Mode, 2D:2.3MHz M:2.3MHz, Focus:16.0cm, FR:81.15, Data No:1090647634-251343 TIB_bs Reference Manual 210 PE2-4: 2D + Color, Triple, CPA &Triple CPA mode PE2-4: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Aaprt>1 1.25 Non-scan TIS TIC 1.63 2.03 3.36 4.26 Pr.3 (MPa) 2.39 - - - - - W0 (mW) - 2D W01:52.2 Col W01:121 PD W01x1:70.7 - PD W0:184 2D W0:46.3 Col W0:111 min of [W.3(z1), ITA.3(z1)] (mW) - - - 117 - - z1 (cm) - - - 2.90 - - Zbp (cm) - - - 2.64 - - Zsp (cm) 4.00 - - - 3.80 - deq(z) (cm) - - - - 0.706 - (MHz) 2.16 2D:2.63 Col:2.38 2.53 X (cm) - 2D:0.965 Col:1.12 2.03 2.03 2.03 0.559 Y (cm) - 1.20 1.20 1.20 1.20 1.20 (µsec) 0.640 (Hz) 43.5* - - - - - (MPa) 3.15 - - - - - (cm) - - - - 0.572 - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 Operating Control Conditions Non-scan Aaprt≤1 0.852** Maximum Index Value Associated Acoustic Parameter scan TIB Control 2 Control 3 Control 4 - - 2.23 - 2.23 - Index Label Maximum Index Value Pr.3 Associated Acoustic Parameter 2D:1.92 Col:2.43 FLx (cm) - 4.00 16.0 12.0 - 2.00 - 6.40 6.40 6.40 - 6.40 (W/cm2) 356 - - - - - TIB_bs Control 5 Control 1: 2D+Color Mode, 2D:2.3MHz Col:2.6MHz, Focus:6.0cm, FR:43.54, Data No:1090704445-438583 Control 2: 2D+Color Mode, 2D:4.4MHz Col:2.6MHz, Focus:4.0cm, FR:78.58, Data No:1090701705-553406 Control 3: Triple Mode, 2D:1.9MHz PD:2.6MHz Col:2.3MHz, Focus:16.0cm, FR:13.08, Data No:1090763536-668728 Control 4: Triple Mode, 2D:1.8MHz PD:2.3MHz Col:2.3MHz, Focus:12.0cm, FR:15.16, Data No:1090851576-47142 Control 5: 2D+Color Mode, 2D:1.9MHz Col:2.6MHz, Focus:2.0cm, FR:88.28, Data No:1090662707-280563 TIC_as 1.39 4.80 3.95 2.43 - - - - - PD W01x1:108 - PD W0:279 PD W0:279 min of [W.3(z1), ITA.3(z1)] (mW) - - - 179 - - z1 (cm) - - - 2.90 - - Zbp (cm) - - - 2.64 - - Zsp (cm) 4.40 - - - 3.90 - deq(z) (cm) - - - - 0.732 - (MHz) 2.50 2D:2.19 PD:2.44 2.52 2.21 2.21 2.21 X (cm) - 2D:0.559 PD:0.457 2.03 2.03 2.03 2.03 Y (cm) - 1.20 1.20 1.20 1.20 1.20 (µsec) 1.49 - - - - - (Hz) 1000 - - - - - (MPa) 3.55 - - - - - (cm) - - - - 0.721 - Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length Control 1 TIS_bs 1.54 - fc Operating Control Conditions TIC (mW) MI TIS_as_U Aaprt>1 1.88 Non-scan Aaprt≤1 1.30** W0 [email protected] TIS_as (MPa) scan TIB Non-scan 2D W01:72.9 PD W01x1:54.1 - FLy (cm) M.I. Control 2 Control 3 Control 4 FLx (cm) - 2.00 14.0 14.0 - 14.0 FLy (cm) - 6.40 6.40 6.40 - 6.40 (W/cm2) 327 - - - - - TIS_bs TIB_bs TIC_as MI TIS_as TIS_as_U Control 1: Pulsed Doppler Mode, PD:2.6MHz, Focus:6.0cm, Data No:1090964547-190825 Control 2: 2D+Pulsed Doppler Mode, 2D:2.3MHz PD:2.6MHz, Focus:2.0cm, FR:102.56, Data No:1090895136-228158 Control 3: Pulsed Doppler Mode, PD:2.6MHz, Focus:14.0cm, Data No:1090973048-817503 Control 4: Pulsed Doppler Mode, PD:2.3MHz, Focus:14.0cm, Data No:1090955993-362598 Reference Manual 211 PE2-4: CWmode P3-8 TIS Index Label M.I. Maximum Index Value Non-scan 0.0864 (a) Aaprt≤1 1.03 Aaprt>1 0.880** Non-scan TIC 2.65 (MPa) 0.120 - - - - - W0 (mW) - (a) CW W01x1:113 - CW W0:112 CW W0:113 (mW) - - - 96.0 - - z1 (cm) - - - 1.20 - - Zbp (cm) - - - 1.59 - - Zsp (cm) 3.10 - - - 2.80 - deq(z) (cm) - - - - 0.447 - (MHz) 1.92 (a) 1.92 1.92 1.92 1.92 X (cm) - (a) 0.737 0.737 0.737 0.737 Y (cm) - (a) 1.20 1.20 1.20 1.20 (µsec) CW - - - - - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] P3-8: 2D& 2D+M mode TIS 3.92 Pr.3 min of [W.3(z1), ITA.3(z1)] Associated Acoustic Parameter scan TIB (Hz) CW - - - - - (MPa) 0.147 - - - - - (cm) - - - - 0.433 - FLx (cm) - (a) 16.0 16.0 - 16.0 FLy (cm) - (a) 6.40 6.40 - 6.40 (W/cm2) 0.489 - - - - - Index Label Maximum Index Value Pr.3 Associated Acoustic Parameter Control 1 Control 2 MI TIS_as_U Control 1: CW Mode, CW:1.9MHz, Focus:10.0cm, Data No:252880813-245560 Control 2: CW Mode, CW:1.9MHz, Focus:16.0cm, Data No:252882115-294142 TIS_bs - - - Non-scan 0.374+ TIC 4.17 - - - 2D W01:118 M W01x1:15.7 - M W0:19.3 min of [W.3(z1), ITA.3(z1)] (mW) - - - 13.2 - - z1 (cm) - - - 1.90 - - Zbp (cm) - - - 1.88 - - Zsp (cm) 1.60 - - - 2.00 - deq(z) (cm) - - - - 0.758 - (MHz) 2.87 4.57 2.93 2.93 2.93 3.07 X (cm) - 1.12 1.54 1.54 1.54 1.12 Y (cm) - 0.800 0.800 0.800 0.800 0.800 (µsec) 0.502 - - - - - (Hz) 89.1* - - - - - (MPa) 3.29 - - - - - (cm) - - - - 0.667 - PD PRF [email protected] Other d @PIImax Information eq [email protected] Control 1 Operating Control Conditions 2.57 2.88 Aaprt>1 0.183 (mW) Dim. of Aaprt TIC_as 1.70 Aaprt≤1 0.219** W0 fc TIB_bs (MPa) scan TIB Non-scan 2D W0:89.1 2D Inv W0:89.1 Focal Length Operating Control Conditions M.I. Control 2 Control 3 FLx (cm) - 4.00 16.0 16.0 - 4.00 FLy (cm) - 4.90 4.90 4.90 - 4.90 (W/cm2) 388 - - - - - TIS_as_U TIS_bs TIB_bs MI TIS_as Control 4 Control 1: 2D Mode, 2D:2.9MHz, Focus:2.0cm, FR:89.06, Data No:394800367-147307 Control 2: 2D Mode, 2D:6.8MHz, Focus:4.0cm, FR:124.39, Data No:394771318-44367 Control 3: 2D+M Mode, 2D:3.2MHz M:3.2MHz, Focus:16.0cm, FR:55.72, Data No:394902548-303815 Control 4: 2D Mode, 2D:3.2MHz, Focus:4.0cm, FR:66.47, Data No:394825834-56205 TIC_as Reference Manual 212 P3-8: 2D + Color, Triple, CPA &Triple CPA mode P3-8: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Maximum Index Value Pr.3 Associated Acoustic Parameter Non-scan 1.70 2.49 Aaprt≤1 1.84** 2.88 - PD W01x1:123 Aaprt>1 1.50 - Non-scan TIS TIC 2.87 4.04 - - - PD W0:151 2D W0:2.26 PD W0:109 Col W0:91.2 W0 (mW) - 2D W01:38.9 Col W01:97.4 min of [W.3(z1), ITA.3(z1)] (mW) - - - 100 - - z1 (cm) - - - 1.90 - - Zbp (cm) - - - 1.88 - - Zsp (cm) 1.60 - - - 2.00 - deq(z) (cm) - - - - 0.760 - (MHz) 2.87 2D:4.04 Col:3.76 3.14 3.14 3.14 2D:4.54 PD:3.10 Col:3.07 X (cm) - 2D:1.12 Col:1.31 1.54 1.54 1.54 1.54 Y (cm) - 0.800 0.800 0.800 0.800 0.800 (µsec) 0.502 - - - - - (Hz) 42.7* - - - - - (MPa) 3.29 - - - - - (cm) - - - - 0.658 - FLx (cm) - 4.00 16.0 16.0 - 16.0 FLy (cm) - 4.90 4.90 4.90 - 4.90 (W/cm ) 388 - - - - - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 Operating Control Conditions (MPa) scan TIB Control 2 Control 3 2 TIS_as TIS_bs TIB_bs Control 4 Control 1: 2D+Color Mode, 2D:2.9MHz Col:3.9MHz, Focus:2.0cm, FR:42.71, Data No:395007593-468568 Control 2: 2D+Color Mode, 2D:5.1MHz Col:3.9MHz, Focus:4.0cm, FR:42.19, Data No:395016274-436487 Control 3: Triple Mode, 2D:5.1MHz PD:3.2MHz Col:3.2MHz, Focus:16.0cm, FR:10.46, Data No:395251009-215709 Control 4: Triple Mode, 2D:6.8MHz PD:3.2MHz Col:3.2MHz, Focus:16.0cm, FR:10.46, Data No:395079160-6401175.5 TIC_as M.I. Maximum Index Value Pr.3 Associated Acoustic Parameter (MPa) scan TIB Non-scan Aaprt>1 2.20 Non-scan TIC 1.43 1.93 Aaprt≤1 2.70** 4.47 4.35 2.51 - - - - - PD W01x1:175 - PD W0:214 PD W0:217 W0 (mW) - 2D W01:62.9 PD W01x1:71.5 min of [W.3(z1), ITA.3(z1)] (mW) - - - 147 - - z1 (cm) - - - 1.80 - - Zbp (cm) - - - 1.88 - - Zsp (cm) 2.90 - - - 3.00 - deq(z) (cm) - - - - 0.545 - (MHz) 3.08 2D:2.99 PD:3.04 3.23 3.14 3.24 3.14 X (cm) - 1.54 1.54 1.54 1.54 1.54 Y (cm) - 0.800 0.800 0.800 0.800 0.800 (µsec) 0.464 - - - - - (Hz) 57.7* - - - - - (MPa) 3.40 - - - - - (cm) - - - - 0.530 - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 Operating Control Conditions MI TIS_as_U Index Label Control 2 Control 3 Control 4 Control 5 FLx (cm) - 10.0 14.0 10.0 - 10.0 FLy (cm) - 4.90 4.90 4.90 - 4.90 (W/cm2) 370 - - - - - MI TIS_as TIS_as_U TIS_bs TIC_as TIB_bs Control 1: 2D+Pulsed Doppler Mode, 2D:3.2MHz PD:3.9MHz, Focus:4.0cm, FR:57.69, Data No:395268815-322903 Control 2: 2D+Pulsed Doppler Mode, 2D:3.2MHz PD:3.2MHz, Focus:10.0cm, FR:38.46, Data No:395273161-292328 Control 3: Pulsed Doppler Mode, PD:3.2MHz, Focus:14.0cm, Data No:395356305-406212 Control 4: Pulsed Doppler Mode, PD:3.2MHz, Focus:10.0cm, Data No:395345566-767610 Control 5: Pulsed Doppler Mode, PD:3.2MHz, Focus:14.0cm, Data No:395357654-24805 Reference Manual 213 P3-8: CW mode EVN4-9 TIS Index Label M.I. Maximum Index Value Pr.3 W0 min of [W.3(z1), ITA.3(z1)] Associated Acoustic Parameter (MPa) (mW) scan TIB Non-scan Aaprt≤1 1.10 Aaprt>1 0.906** 0.0635 (a) 0.111 - - (a) CW W01x1:74.8 - Non-scan TIC 2.85 2.72 - - - - CW W0:74.8 CW W0:74.8 (mW) - - - 61.8 - - z1 (cm) - - - 0.900 - - Zbp (cm) - - - 1.03 - - Zsp (cm) 2.10 - - - 2.00 - deq(z) (cm) - - - - 0.384 - (MHz) 3.08 (a) 3.08 3.08 3.08 3.08 X (cm) - (a) 0.464 0.464 0.464 0.464 Y (cm) - (a) 0.800 0.800 0.800 0.800 (µsec) CW - - - - - (Hz) CW - - - - - (MPa) 0.140 - - - - - (cm) - - - - 0.379 - FLx (cm) - (a) 2.00 2.00 - 2.00 FLy (cm) - (a) 4.90 4.90 - 4.90 (W/cm2) 0.417 - - - - - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] EVN4-9: 2D & 2D + M mode TIS Index Label Maximum Index Value Pr.3 Associated Acoustic Parameter Control 1 MI TIS_as_U Control 1: CW Mode, CW:3.1MHz, Focus:2.0cm, Data No:266987256-916807 TIS_bs TIB_bs TIC 0.862 0.547 0.0786+ (b) 1.84 - - - - - - M W0:1.57 (b) (mW) - 2D W01:25.2 min of [W.3(z1), ITA.3(z1)] (mW) - - - 1.29 - - z1 (cm) - - - 0.600 - - Zbp (cm) - - - 0.602 - - Zsp (cm) 1.40 - - - 0.600 - deq(z) (cm) - - - - 0.372 - Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq [email protected] Control 1 Operating Control Conditions Aaprt>1 0.0288** Non-scan Aaprt≤1 0.0376 W0 fc TIC_as (MPa) scan TIB Non-scan M W01x1:1.72 Focal Length Operating Control Conditions M.I. Control 2 Control 3 Control 4 (MHz) 4.56 4.57 4.58 4.68 4.68 (b) X (cm) - 1.56 1.65 0.211 0.211 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.336 - - - - - (Hz) 51.0* - - - - - (MPa) 2.21 - - - - - (cm) - - - - 0.372 - FLx (cm) - 2.00 7.50 1.00 - (b) FLy (cm) - 5.60 5.60 5.60 - (b) (W/cm2) 159 - - - - - TIS_bs TIB_bs MI TIS_as TIS_as_U Control 1: 2D Mode, 2D:4.4MHz, Focus:2.0cm, FR:51.03, Data No:4511179-847777 Control 2: 2D Mode, 2D:4.4MHz, Focus:2.0cm, FR:68.63, Data No:4473616-606553 Control 3: 2D+M Mode, 2D:4.4MHz M:4.4MHz, Focus:7.5cm, FR:43.67, Data No:4562594-692016 Control 4: 2D+M Mode, 2D:4.4MHz M:4.4MHz, Focus:1.0cm, FR:72.33, Data No:4535243-336853 Reference Manual 214 EVN4-9: 2D + Color, Triple, CPA & Triple CPA mode EVN4-9: Pulsed Doppler & 2D + Pulsed Doppler mode TIS Index Label M.I. Non-scan Index Label M.I. scan TIB Non-scan TIC 1.08 0.764 1.10 (b) 1.30 0.413 (MPa) 2.29 - - - - - Pr.3 (MPa) 2.57 - - - - - W0 (mW) - 2D W01:1.05 Col W01:34.4 PD W01x1:21.2 - PD W0:18.8 (b) W0 (mW) - 2D W01:1.22 PD W01x1:17.8 PD W01x1:29.6 - PD W0:21.2 (b) min of [W.3(z1), ITA.3(z1)] (mW) - - - 13.5 - - min of [W.3(z1), ITA.3(z1)] (mW) - - - 19.6 - - z1 (cm) - - - 1.20 - - z1 (cm) - - - 1.20 - - Zbp (cm) - - - 1.23 - - Zbp (cm) - - - 1.23 - - Zsp (cm) 1.50 - - - 1.80 - Zsp (cm) 1.70 - - - 0.600 - deq(z) (cm) - - - - 0.221 - deq(z) (cm) - - - - 0.284 - (MHz) 4.48 2D:5.46 Col:4.49 4.45 4.43 4.44 (b) (MHz) 3.92 2D:6.16 PD:4.44 4.41 4.40 4.41 (b) X (cm) - 2D:1.33 Col:0.760 1.43 0.886 0.633 (b) X (cm) - 2D:2.03 PD:0.886 1.18 0.886 0.211 (b) Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.951 - - - - - (Hz) 1000 - - - - - (MPa) 3.19 - - - - - (cm) - - - - 0.284 - PD PRF [email protected] Other [email protected] Information Focal Length [email protected] Control 1 Control 2 Control 3 Control 4 Control 5 Maximum Index Value Associated Acoustic Parameter fc Dim. of Aaprt Y (cm) - 0.600 0.600 0.600 0.600 (b) (µsec) 0.339 - - - - - PD (Hz) 15.9* - - - - - PRF (MPa) 2.86 - - - - - (cm) - - - - 0.215 - FLx (cm) - 1.00 6.50 4.00 - (b) FLy (cm) - 5.60 5.60 5.60 - (b) (W/cm2) 247 - - - - - [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 MI TIS_as Operating Control Conditions TIS_as_U TIS_bs TIB_bs Control 1: 2D+Color Mode, 2D:4.4MHz Col:4.4MHz, Focus:3.0cm, FR:15.92, Data No:4752284-541355 Control 2: 2D+Color Mode, 2D:6.2MHz Col:4.4MHz, Focus:1.0cm, FR:21.45, Data No:4656821-168181 Control 3: Triple Mode, 2D:4.7MHz PD:4.4MHz Col:3.9MHz, Focus:6.5cm, FR:6.30, Data No:4816368-913050 Control 4: Triple Mode, 2D:6.2MHz PD:4.4MHz Col:3.9MHz, Focus:4.0cm, FR:6.44, Data No:4812456-843522 Control 5: Triple Mode, 2D:6.2MHz PD:4.4MHz Col:4.4MHz, Focus:3.0cm, FR:5.84, Data No:4810532-604082 Control 2 Control 3 Control 4 Control 5 Aaprt>1 0.411** Non-scan Pr.3 Dim. of Aaprt Aaprt>1 0.285** TIS TIC Aaprt≤1 0.622 fc Operating Control Conditions Non-scan Aaprt≤1 0.448 Maximum Index Value Associated Acoustic Parameter scan TIB 1.37 (b) FLx (cm) - 4.00 5.50 4.00 - (b) FLy (cm) - 5.60 5.60 5.60 - (b) (W/cm2) 309 - - - - - MI TIS_as TIS_as_U TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:3.9MHz, Focus:3.0cm, Data No:5028757-1501 Control 2: 2D+Pulsed Doppler Mode, 2D:7.7MHz PD:4.4MHz, Focus:4.0cm, FR:38.96, Data No:4991347-767553 Control 3: Pulsed Doppler Mode, PD:4.4MHz, Focus:5.5cm, Data No:5055690-520504 Control 4: Pulsed Doppler Mode, PD:4.4MHz, Focus:4.0cm, Data No:5068000-294261 Control 5: Pulsed Doppler Mode, PD:4.4MHz, Focus:1.0cm, Data No:5057830-318172 Reference Manual 215 VN4-8: 2D + Color, Triple, CPA & Triple CPA mode VN4-8 TIS Index Label VN4-8: 2D & 2D + M mode TIS Index Label M.I. 1.12 0.612 Aaprt≤1 0.0739 Pr.3 (MPa) 1.70 - - W0 (mW) - Maximum Index Value min of [W.3(z1), ITA.3(z1)] Associated Acoustic Parameter scan TIB Non-scan (mW) - 2D W01:33.4 M W01x1:3.83 - - Non-scan TIC Aaprt>1 0.129 0.166+ (b) - - - - M W0:4.09 (b) 6.75 - Maximum Index Value Pr.3 Associated Acoustic Parameter 31.9 - - - 1.80 - - Zbp (cm) - - - 2.51 - - Zsp (cm) 2.90 - - - 0.900 - deq(z) (cm) - - - - 0.484 - (MHz) 2.18 2D:5.16 PD:3.20 Col:3.25 3.20 2.93 2.95 (b) X (cm) - 2D:5.11 PD:0.718 Col:4.15 0.718 1.76 0.479 (b) Y (cm) - 1.25 1.25 1.25 1.25 (b) (µsec) 0.734 - - - - - (Hz) 12.6* - - - - - (MPa) 2.06 - - - - - (cm) - - - - 0.484 - - - 3.21 - - Zsp (cm) 1.30 - - - 0.700 - deq(z) (cm) - - - - 0.444 - (MHz) 2.30 3.85 4.05 4.00 3.23 (b) X (cm) - 4.31 0.718 2.87 0.479 (b) Y (cm) - 1.25 1.25 1.25 1.25 (b) (µsec) 0.874 - - - - - (Hz) 68.9* - - - - - PD (MPa) 1.88 - - - - - PRF (cm) - - - - 0.442 - FLx (cm) - 8.80 3.50 17.5 - (b) FLy (cm) - 5.50 5.50 5.50 - (b) (W/cm2) 58.5 - - - - - Control 4 (b) - - Control 3 PD W0:33.8 - (cm) Control 2 - - fc Dim. of Aaprt [email protected] Other d @PIImax Information eq Focal Length [email protected] Operating Control Conditions - PD W01x1:40.0 - Zbp Control 1 - - - [email protected] - (cm) - Focal Length (b) - (mW) 1.30 Other d @PIImax Information eq 1.31 - z1 - [email protected] 0.680 min of [W.3(z1), ITA.3(z1)] - PD FLx (cm) - 3.50 3.50 8.80 - (b) FLy (cm) - 5.50 5.50 5.50 - (b) (W/cm2) 86.7 - - - - - TIS_as TIS_as_U MI Control 1 TIS_as Operating Control Conditions TIS_as_U TIS_bs Control 5 Control 1: 2D Mode, 2D:2.0MHz, Focus:2.0cm, FR:68.89, Data No:1274345-230392 Control 2: 2D Mode, 2D:5.1MHz, Focus:8.8cm, FR:59.00, Data No:1611226-329309 Control 3: 2D+M Mode, 2D:4.4MHz M:4.4MHz, Focus:3.5cm, FR:59.56, Data No:1679421-77005 Control 4: 2D+M Mode, 2D:5.1MHz M:5.1MHz, Focus:17.5cm, FR:24.64, Data No:1695340-879474 Control 5: 2D+M Mode, 2D:3.1MHz M:3.1MHz, Focus:2.0cm, FR:65.82, Data No:1676754-76065 TIB_bs TIC 1.13 - Aaprt>1 0.444 Non-scan 1.67 (mW) - PRF TIB Non-scan Aaprt≤1 0.610 W0 (cm) Dim. of Aaprt (MPa) scan 2D W01:0.142 PD W01x1:40.0 Col W01:4.29 z1 fc M.I. Control 2 Control 3 MI TIS_bs Control 4 Control 1: 2D+Color Mode, 2D:2.0MHz Col:2.9MHz, Focus:3.5cm, FR:12.61, Data No:2059051-966463 Control 2: Triple Mode, 2D:6.2MHz PD:3.2MHz Col:3.2MHz, Focus:3.5cm, FR:4.30, Data No:2425352-860823 Control 3: Triple Mode, 2D:6.2MHz PD:2.9MHz Col:3.6MHz, Focus:8.8cm, FR:4.13, Data No:2436888-356485 Control 4: Triple Mode, 2D:3.4MHz PD:2.9MHz Col:2.9MHz, Focus:2.0cm, FR:4.43, Data No:2486967-11127 TIB_bs Reference Manual 216 VN4-8: Pulsed Doppler & 2D + Pulsed Doppler mode CW2.0 TIS Index Label M.I. Maximum Index Value Pr.3 W0 min of [W.3(z1), ITA.3(z1)] Associated Acoustic Parameter (MPa) (mW) (mW) 0.649 Non-scan Aaprt≤1 0.851 Aaprt>1 0.709 Non-scan 1.78 TIC - - - - - - 2D W01:1.09 PD W01x1:36.7 PD W01x1:49.2 - PD W0:45.0 (b) - - 46.0 - TIS (b) 2.02 - CW2.0: CW mode - Index Label MI TIB Non-scan Scan TIC 0.0479 (a) Pr.3 (MPa) 0.0664 - - - - - W0 (mW) - (a) CW W01x1:54.3 - CW W0:54.3 CW W0:54.3 Maximum index value Aaprt>1 0.402** Non-scan Aaprt≤1 0.498 1.57 1.32 z1 (cm) - - - 2.00 - - Zbp (cm) - - - 2.51 - - min of [W.3(z1), ITA.3(z1)] (mW) - - - 43.9 - - Zsp (cm) 1.00 - - - 1.00 - z1 (cm) - - - 1.60 - - deq(z) (cm) - - - - 0.448 - Zbp (cm) - - - 1.54 - - (MHz) 3.21 2D:5.01 PD:3.56 3.63 3.23 3.24 (b) Zsp (cm) 2.20 - - - 2.20 - deq(z) (cm) - - - - 0.531 - X (cm) - 2D:5.11 PD:0.718 0.718 1.76 0.479 (b) (MHz) 1.92 (a) 1.92 1.92 1.92 1.92 X (cm) - (a) 0.600 0.600 0.600 0.600 Y (cm) - (a) 1.38 1.38 1.38 1.38 (µsec) CW - - - - - (Hz) CW - - - - - [email protected] (MPa) 0.0775 - - - - - [email protected] (cm) - - - - 0.508 - fc Dim. of Aaprt PD PRF [email protected] Other d @PIImax Information eq Focal Length [email protected] Control 1 Operating Control Conditions 1.12 scan TIB Control 2 Control 3 Control 4 Control 5 Y (cm) - 1.25 1.25 1.25 1.25 (b) (µsec) 1.08 - - - - - (Hz) 1000 - - - - - (MPa) 2.24 - - - - - (cm) - - - - 0.448 - FLx (cm) - 3.50 3.50 8.80 - (b) FLy (cm) - 5.50 5.50 5.50 - (b) (W/cm2) 160 - - - - - MI fc Dim. of Aaprt PD PRF Focal Length [email protected] Control 1 TIS_as TIS_as_U FLx (cm) - (a) 5.50 5.50 - 5.50 FLy (cm) - (a) 5.50 5.50 - 5.50 (W/cm2) 0.153 - - - - - TIS_as_U TIS_bs TIB_bs TIC_as MI Control 1: CW Mode, CW:1.9MHz, Data No:153713920-279052 TIS_bs TIB_bs Control 1: Pulsed Doppler Mode, PD:3.2MHz, Focus:2.0cm, Data No:2916234-638087 Control 2: 2D+Pulsed Doppler Mode, 2D:6.2MHz PD:3.6MHz, Focus:3.5cm, FR:35.71, Data No:2794612-963408 Control 3: Pulsed Doppler Mode, PD:3.6MHz, Focus:3.5cm, Data No:2962145-16716 Control 4: Pulsed Doppler Mode, PD:3.2MHz, Focus:8.8cm, Data No:2938081-290380 Control 5: Pulsed Doppler Mode, PD:3.2MHz, Focus:2.0cm, Data No:2918331-852115 Reference Manual 217 CW4.0 DP2B CW4.0: CW mode DP2B: CW mode TIS Index Label MI TIB Non-scan Scan Non-scan Index Label MI TIB Non-scan Scan TIC 0.0374 (a) 1.57 1.54 0.0393 (a) Aaprt≤1 0.472 Pr.3 (MPa) 0.0734 - - - - - Pr.3 (MPa) 0.0546 - - - - - W0 (mW) - (a) CW W01x1:44.4 - CW W0:44.4 CW W0:44.4 W0 (mW) - (a) CW W01x1:51.5 - CW W0:51.5 CW W0:51.5 min of [W.3(z1), ITA.3(z1)] (mW) - - - 33.1 - - min of [W.3(z1), ITA.3(z1)] (mW) - - - 38.0 - - z1 (cm) - - - 1.10 - - z1 (cm) - - - 2.30 - - Zbp (cm) - - - 1.08 - - Zbp (cm) - - - 1.44 - - Zsp (cm) 1.20 - - - 1.10 - Zsp (cm) 3.90 - - - 3.70 - deq(z) (cm) - - - - 0.478 - deq(z) (cm) - - - - 0.563 - (MHz) 1.92 (a) 1.92 1.92 1.92 1.92 X (cm) - (a) 1.36 1.36 1.36 1.36 Y (cm) - (a) 0.680 0.680 0.680 0.680 (µsec) CW - - - - - (Hz) CW - - - - - Maximum index value Aaprt>1 0.348** Non-scan Aaprt≤1 0.813 Maximum index value Aaprt>1 0.607** TIS TIC 1.13 1.34 (MHz) 3.85 (a) 3.85 3.85 3.85 3.85 X (cm) - (a) 0.450 0.450 0.450 0.450 Y (cm) - (a) 0.900 0.900 0.900 0.900 (µsec) CW - - - - - PD (Hz) CW - - - - - PRF [email protected] (MPa) 0.0864 - - - - - [email protected] (MPa) 0.0715 - - - - - [email protected] (cm) - - - - 0.471 - [email protected] (cm) - - - - 0.554 - fc Dim. of Aaprt PD PRF Focal Length [email protected] Control 1 FLx (cm) - (a) 4.50 4.50 - 4.50 FLy (cm) - (a) 4.50 4.50 - 4.50 (W/cm2) 0.183 - - - - - TIS_as_U TIS_bs TIB_bs TIC_as MI Control 1: CW Mode, CW:3.9MHz, Data No:63918526-912490 fc Dim. of Aaprt Focal Length [email protected] Control 1 FLx (cm) - (a) 6.00 6.00 - 6.00 FLy (cm) - (a) 6.00 6.00 - 6.00 (W/cm2) 0.0990 - - - - - TIS_as_U TIS_bs TIB_bs TIC_as MI Control 1: CW Mode, CW:1.9MHz, Data No:36087767-655600 Reference Manual 218 Patient-Applied Part Temperature Table Transducer Surface Temperature In-Air (°C) Surface Temperature Simulated-Use (°C) C2-6 46.2 41.1 CF4-9 44.4 <41 SC1-6 44.8 41.2 CA1-7AD 45.5 41.2 CA2-8AD 43.7 41.3 L4-7 43.9 41.7 L5-13 45.5 <41 L7-16 46.2 41.6 LA3-16AD 46 41.1 LA5-18B 41.1 <41 PE2-4 43.5 <41 P3-8 44.2 41.1 EVN4-9 46.9 41.9 VN4-8 42.4 41.4 CW2.0 <41 <41 CW4.0 42.5 <41 DP2B <41 <41
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Основные характеристики ультразвуковой системы
Цифровая система с непрерывным цифровым формированием луча Наличие Число цифровых приемо-передающих каналов 1 500 000 Верхняя граница динамического диапазона, демонстрируемая на экране, дБ 200 Устройство хранения данных – твердотельный накопитель SSD Наличие Емкость твердотельного накопителя, Гб 500 Частота кадров системы, кадров в секунду 2 000 Сохранение в архиве и экспорт статических и динамических изображений в форматах jpg, bmp, tiff, avi Наличие Количество сохраняемых на жестком диске изображений 1 000 000 Встроенные USB-порты 6 Создание пользователем индивидуальных настроек, на датчик 30 Цветной жидкокристаллический монитор, диагональ, дюймов 23 Поворотный шарнир крепления, предусматривающий перемещение, наклон и поворот
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— вперед/назад, мм
— по наклону, град 260
150
+20/-15 Угол вращения монитора, град -40/+40 Панель оператора регулируемая:
вверх/вниз, мм
поворот, град 180
-30/+30 Сенсорная панель управления прибором, диагональ, дюймов 10 Разрешение сенсорной панели управления, пикселей 1280х800 Цифровая регулировка усиления по глубине на сенсорной панели, зон 8 Увеличение изображения в реальном времени (Zoom), раз 6 Увеличение фиксированного изображения (Zoom), раз 4 Максимальная глубина сканирования, см 38 Отображение градаций серого цвета 256 Кинопетля максимальная, кадров, кадров 12 700 Интегрированная в аппарат компьютерная рабочая станция для архивации и
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Функции построения изображения
Динамическая цифровая аподизация Наличие Динамическая цифровая апертура Наличие Дуплексные и триплексные режимы Наличие Двойной динамический дисплей (одновременное отображение на мониторе двух изображений
в режимах В и В + цвет в реальном масштабе времени) Наличие Полноспектровое изображение (сегментарная частотная экстракция импульса) – три уровня Наличие Точечная фокусировка Наличие Автоматическая оптимизация изображения по акустическим свойствам тканей Наличие Фильтрация сигналов, повышающая контрастность контуров и уменьшающая уровень шумов Наличие Раздельная регулировка параметров сканирования для каждого режима при их
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Масса-габаритные характеристики
Высота минимальная, мм 1430 Высота максимальная, мм 1710 Ширина, мм 560 Глубина, мм 860 Вес, кг 125
Режимы сканирования
B-режим Количество карт серого, шт 13 Количество карт псевдоколоризации, шт 13 Количество базовых частот, шт 3 М-режим Количество карт серого, шт 13 Количество карт псевдоколоризации, шт 13 Возможность дооснащения цветным М-режимом Наличие Возможность дооснащения анатомическим М-режимом Наличие Импульсно-волновой допплер Автоматическое оконтуривание допплеровского спектра в режиме реального времени и
режиме пост-обработки Наличие Диапазон изменения частоты повторения импульсов (PRF), кГц 1,0-23,0 Диапазон скоростей 3,0см/сек—25,0м/сек Диапазон изменения размера контрольного объема, мм 0,5-15 Количество карт серого, шт 13 Количество карт псевдоколоризации, шт 15 Высокая частота повторения импульса HPRF Наличие Диапазон изменения угла сканирования, градус ±20 Диапазон коррекции угла допплеровского сдвига, градус +/-60 Автоматическая оптимизация положения допплеровского спектра Наличие Возможность дооснащения модулем постоянно-волнового допплера Наличие Автоматическое оконтуривание допплеровского спектра в режиме реального времени и
режиме пост-обработки Наличие Диапазон изменения частоты повторения импульсов (PRF), кГц 1,53-45 Диапазон скоростей 20см/сек—50м/сек Количество карт серого, шт 13 Количество карт псевдоколоризации, шт 15 Автоматическая оптимизация положения допплеровского спектра (базовая линия, шкала) Наличие Цветовой допплер Диапазон изменения частоты повторения импульсов (PRF), кГц 0,2 – 14,0 Диапазон скоростей, м/сек 0,1см/сек—3,0м/сек Количество карт колоризации, шт 15 Диапазон изменения угла сканирования, градус ±20 Энергетический допплер Диапазон изменения частоты повторения импульсов (PRF), кГц 0,2 – 14, 0 Диапазон скоростей 0,1см/сек—3,0м/сек Количество карт псевдоколоризации, шт 8 Диапазон изменения угла сканирования, градус ±20 Направленный энергетический допплер Наличие Возможность дооснащения модулем тканевого допплера Наличие Возможность дооснащения импульсно-волновым тканевым допплером Наличие Триплексный режим (В/цветной допплер/импульсно-волновой допплер) Блок второй гармоники Наличие Блок пульсовой инверсной гармоники Наличие Программа трапециевидного сканирования линейным датчиком Наличие Автооптимизация изображения в B-режиме по акустическим свойствам тканей Наличие
Измерения, расчеты и программное обеспечение для исследований
Абдоминальных органов Наличие Поверхностно расположенных органов Наличие Акушерства Наличие Урологии Наличие Ангиологии Наличие Возможность дооснащения пакетом для кардиологии Наличие Маммологии Наличие Исследования костно-мышечной системы Наличие Программа для исследования тазобедренного сустава плода на предмет дисплазии Наличие Гинекологических исследований Наличие Программа для исследований в онкогинекологии (определение опухолевых образований матки, яичников) Наличие Программа оценки фолликулярного аппарата Наличие Кардиологический пакет для оценки сердечно-сосудистой системы плода Наличие Программа для оценки структур головного мозга плода Наличие Функция редактирования угла и позиции направляющей под любые типы биопсийных адаптеров Наличие Программа для исследования щитовидной железы – определение объема долей и параметров кровотока Наличие Программа оптимизации изображения, аналогичная магнитно-резонансной технологии на
основе межпиксельной коррекции с изменением порога фильтрации Наличие Модуль улучшения качества визуализации (многолучевое сканирование) Наличие Программа, обеспечивающая автоматизированный пошаговый сценарий выполнения исследования.
Система автоматически активирует нужный режим и параметры визуализации, переходит к
следующему шагу исследования, комментирует изображение, запускает измерения и направляет их в отчет. Наличие Модуль объемного сканирования в реальном времени 4D специализированными трехмерными датчиками Наличие Максимальная скорость 4D реконструкции специализированными трехмерными датчиками, об/сек 50 Модуль получения трехмерного изображение в режимах цветного и энергетического допплера
специализированными объемными датчиками Наличие Режим совмещенного получения объемного изображения в серой шкале и цветном/энергетическом допплере Наличие Программа редактирования трехмерного изображения (виртуальный скальпель) Наличие Различные режимы прозрачности для обработки трехмерного изображения: максимальный, минимальный,
поверхностный, рентгеновский Наличие Программа количественного анализа трехмерных эхограмм Наличие Программа автоматического вычисления объемов структур сложной формы в трехмерном режиме Наличие Программа одновременного просмотра на экране множественных срезов, полученных при трехмерном
статическом сканировании (аналогичная компьютерной томографии) в любой из трех взаимно
перпендикулярных проекций Наличие Возможный минимальный интервал получаемых срезов, мм 0,5
Опции
Установка специализированной программы получения объемных множественных срезов с задаваемой
толщиной сечения Наличие Установка специализированной программы отображения трехмерного объекта исследования,
при котором одновременно представлены трехмерные изображения спереди, слева, справа и сверху. Наличие Установка специализированной программы получения произвольных косых срезов в любой проекции
из трехмерного изображения Наличие Установка специализированной программы получения изображения по любой, произвольно проведенной
линии из трехмерного изображения Наличие Возможность дооснащения модулем объёмной динамической визуализации сердца плода Наличие Возможность дооснащением модуля объемного изображения высокой четкости Наличие Возможность дооснащения модулем реконструкции объемного изображения с возможностью
перемещения виртуального источника освещения Наличие Возможность дооснащения модулем автоматического измерения ТВП плода в режиме 2D Наличие Возможность установки программы автоматического измерения воротникового пространства на
основании автоматического выбора прибором срединно-сагитальной плоскости (объемный срез)
из трехмерного изображения в соответствии с требованиями FMF (фонд медицины плода) Наличие Возможность дооснащения модулем автоматического определения и измерения длинных костей плода
в режиме объемного сканирования Наличие Возможность дооснащения модулем автоматического получения 4 стандартных плоскостей головного
мозга плода и последующих автоматических измерений стандартных параметров фетометрии
головного мозга плода из объемных данных Наличие Возможность дооснащения модулем автоматического определения и измерения размера и объема
фолликулов в режиме объемного сканирования Наличие Модуль компрессионной эластографии, качественная оценка Наличие Специализированная программа для детекции опухолевых образований – программы эластографии
для молочной железы Наличие Специализированная программа для детекции опухолевых образований – программы эластографии
для предстательной железы Наличие Специализированная программа эластографии шейки матки для оценки прогноза преждевременных родов Наличие Программа одновременного (методом наложения) получения изображения в режиме эластографии и
в серой шкале Наличие Установка программы выполнения прицельной биопсии в режиме эластографии Наличие Возможность дооснащения модулем для количественной оценки образований молочной железы в
режиме эластографии Наличие Возможность дооснащения модулем для количественной оценки образований щитовидной железы
в режиме эластографии Наличие Возможность дооснащения модулем эластографии сдвиговой волной Наличие Возможность дооснащения модулем автоматического оконтуривания, измерения и классификации
образований в молочной железе с использованием стандартного лексикона и бальной шкалы
системы BI-RADS Наличие Возможность дооснащения модулем автоматического оконтуривания, измерения и классификации
образований в щитовидной железе с использованием стандартного лексикона и бальной шкалы
системы TI- RADS Наличие Возможность дооснащения программой исследования с применением контрастных веществ Наличие Возможность дооснащения программой оценки эластичности стенок сосудов методом спекл-трекинга Наличие Возможность дооснащения специализированной программой для полуавтоматической количественной
оценки функциональных изменений сосудистой стенки, с расчетом показателей податливости и
жесткости, пиковых значений а также времени достижения пиковых значений смещения, деформации
и скорости деформации (в продольном, радиальном и циркулярном направлениях), расчетом
скорости распространения пульсовой волны и индекса аугментации, для доклинической диагностики
сердечно-сосудистых заболеваний и оценки прогностических критериев их течения и развития
(включая атеросклероз, ишемическую болезнь сердца, инсульт и гипертоническую болезнь) Наличие Возможность дооснащения модулем автоматического расчета комплекса интима-медиа Наличие Возможность дооснащения модулем для количественной оценки глобальной и локальной сократимости ЛЖ Наличие Возможность установки программы представления степени деформации стенок сердца на основе
уголнезависимой технологии с автоматическим посегментарным цветовым кодированием степени
асинхронии сегментов левого желудочка Наличие Возможность дооснащения программой представления результатов анализа на основе уголнезависимой
технологии в формате «бычьего глаза» Наличие Возможность дооснащения программой автоматического оконтуривания левого желудочка сердца
по трем точкам Наличие Возможность дооснащения модулем стресс-эхокардиографических исследований с фармакологической
и физической нагрузкой Наличие Возможность использования протоколов количественной оценки результатов стресс-исследования Наличие Возможность использования протоколов количественной оценки результатов с физической
нагрузкой (беговая дорожка) Наличие Возможность дооснащения блоком ЭКГ сигналов и функцией программируемой триггерной фиксации
изображения с набором кабелей и одноразовых электродов Наличие Возможность дооснащения модулем панорамного сканирования Наличие
Типы поддерживаемых датчиков
Конвексные Наличие Секторные с фазированной решеткой Наличие Линейные Наличие Микроконвексные вагинальный, ректо-вагинальный, неонатальные Наличие Объемные конвексные, ректо-вагинальные Наличие Мультичастотность на используемых датчиках, диапазон, МГц 1,0 – 18,0 Стерилизация датчиков (в том числе погружением) Наличие
Оснащение системы базовыми датчиками
Конвексный монокристальный датчик количество элементов 160 верхняя граница частоты, МГц 7,0 нижняя граница частоты, МГц 1,0 размер апертуры, мм 45 угол обзора, град 70 возможность использования биопсийной насадки Наличие поддержка режимов: тканевой гармоники Наличие импульсно-волнового допплера Наличие цветового допплера Наличие энергетического допплера Наличие многолучевого сложного сканирования в реальном масштабе времени Наличие оптимизации 2D изображения по акустическим свойствам тканей Наличие оптимизации допплеровского спектра Наличие Линейный высокочастотный датчик количество элементов 256 верхняя граница частоты, МГц 12,0 нижняя граница частоты, МГц 3,0 ширина сканируемого участка, мм 50 возможность использования биопсийной насадки Наличие поддержка режимов: тканевой гармоники Наличие цветового допплера Наличие энергетического допплера Наличие многолучевого сложного сканирования в реальном масштабе времени Наличие импульсно-волнового допплера Наличие трапециевидного сканирования Наличие панорамного сканирования Наличие оптимизация 2D изображения по акустическим свойствам тканей Наличие оптимизации допплеровского изображения Наличие Микроконвексный датчик ректо-вагинальный количество элементов 192 верхняя граница частоты, МГц 11,0 нижняя граница частоты, МГц 2,0 радиус кривизны, мм 10,5 угол обзора, град 150 возможность использования биопсийной насадки Наличие поддержка режимов: тканевой гармоники Наличие импульсно-волнового допплера Наличие цветового допплера Наличие энергетического допплера Наличие оптимизации 2D изображения по акустическим свойствам тканей Наличие оптимизации допплеровского спектра Наличие Объемный монокристальный конвексный датчик количество элементов 192 верхняя граница частоты, МГц 8,0 нижняя граница частоты, МГц 1,0 размер апертуры, мм 45 угол обзора, град 70 возможность использования биопсийной насадки Наличие поддержка режимов: получения статического трехмерного изображения (3D) Наличие получение трехмерного изображения в реальном времени (4D) Наличие тканевой гармоники Наличие импульсно-волнового допплера Наличие цветового допплера Наличие энергетического допплера Наличие многолучевого сложного сканирования в реальном масштабе времени Наличие оптимизации 2D изображения по акустическим свойствам тканей Наличие оптимизации допплеровского спектра Наличие Коннекторы для датчиков Количество активных портов для подключения датчиков (без учета карандашных) 4 Полная совместимость всех портов для визуализирующих датчиков со всеми типами датчиков
(двумерных и объемных) Наличие Бесштырьковая технология коннекторов датчиков Наличие Автоматически закрывающиеся разъемы для датчиков, предохраняющие от засорения пылью Наличие
Архивация изображений
Интегрированная рабочая станция для расширенной обработки данных Наличие Архивация статичных изображений Наличие Архивация статичных изображений на жесткий диск Наличие Архивация статичных изображений на DVD/СD-RW Наличие Архивация статических изображений в формате: Tiff/jpeg/bmp/DICOM Наличие Архивация динамических изображений Наличие Архивация динамических изображений на жесткий диск Наличие Архивация динамических изображений на DVD/СD-RW Наличие Архивация динамических изображений в формате: AVI/DICOM Наличие Порты USB, расположенные непосредственно на консоли, шт 6 Прямое сохранение данных на Flash-карту через USB-port в форматах tiff, jpeg, bmp, AVI/DICOM Наличие Возможность дооснащения модулем для использования базовых функций стандарта DICOM 3.0 Наличие Возможность дооснащения модулем DICOM Q&R (Запрос/получение списка пациентов и/или
исследований с другого DICOM устройства Наличие Возможность дооснащения модулем записи DVD&USB в реальном времени Наличие Возможность установки программы беспроводной передачи информации из базы данных сканера
на смартфон, планшетный компьютер, ноутбук через Wi-Fi (статических изображений,
видеофайлов, в том числе трехмерных) Наличие Подключение к сети ETHERNET и локальной системе лечебного учреждения Наличие Встроенный интерфейс для подключения цифровых и аналоговых видеоустройств Наличие
Дополнительное оборудование
Источник бесперебойного питания, соответствующий характеристикам аппарата, выходная мощность, ВА 1500 Черно-белый медицинский видеопринтер Наличие Возможность дооснащения ножным 3-х педальным переключателем Наличие Возможность дооснащения подогревателем геля с правой или левой стороны Наличие Возможность дооснащения держателем для эндокавитальных датчиков Наличие Возможность дооснащения автоматизированной рабочей станцией АРМ врача УЗД Наличие
Оборудование в наличии.
HS70A-RUS — ультразвуковой сканер экспертного класса производства компании Samsung Medison с поддержкой технологий для оптимизации и увеличения диагностической точности исследований, от рутинных до самых сложных.
В системе интегрированы инновационные алгоритмы «машинного обучения» с поддержкой принятия решений начинающими специалистами (стандартизированное описание образований молочной и щитовидной железы в S-Detect), 5D (акушерство и гинекология), ElastoScan, E-Breast, E-Thyroid и S-Sharewave (эластография, дифференциальная диагностика в онкологии и общей радиологии), Arterial Analysis, Strain+ и StressEcho (ранняя диагностика сердечно-сосудистых заболеваний), CEUS+ (исследования с контрастными агентами). Аппарат рекомендован для использования в диагностических центрах, многопрофильных и специализированных медицинских учреждениях, медицинских исследовательских институтах.
Область исследований: абдоминальные исследования, акушерство и гинекология, кардиология, ангиология, нефрология, урология, онкология, педиатрия, неонатология, исследования поверхностных органов и костно-мышечной системы, молочной железы, транскраниальные исследования, чреспищеводная эхокардиография.
Базовая комплектация: сканер HS70A-RUS (монитор 23″; 4 активных порта для подключения визуализирующих датчиков; встроенные модули: цветного, энергетического, направленного энергетического и импульсно-волнового доплера, тканевого доплера; тканевая гармоника S-Harmonic; технология интерактивной коррекции изображений с помощью программного обеспечения магнитно-резонансной томографии ClearVision; пространственный компаундинг Multivision; автоматическая оптимизация QuickScan в В-режиме и режиме доплера (ЦДК, PW, CW); модуль улучшенной визуализации биопсийной иглы Needle Mate; программируемые протоколы исследования EZ-Exam; 8 USB-портов; сенсорная панель управления) и руководство по эксплуатации на русском языке.
Опции для сканера HS70A-RUS: кардиопакет, Smart 4D (3D + SFVI, FAD, VSI, Smooth Cut + 4D + 3DXI + 3DMXI), STIC, HDVI, FRV, 2D NT, 5D NT, 5D LB, 5D CNS, 5D Follicle, ElastoScan, E-Breast, E-Thyroid, S-Sharewave, S-Detect for Breast, S-Detect for Thyroid, CEUS+, Arterial Analysis, AutoIMT+, Strain+, StressEcho, ЭКГ модуль, модуль панорамного сканирования, DICOM, ADVR, подогреватель геля, ножная педаль управления.
Основные характеристики сканера HS70A-RUS
Стационарный ультразвуковой сканер.
LED монитор — 23″ (с диодной подсветкой, разрешение 1920×1080).
Сенсорная панель управления (touch-screen) 10″.
Разъемы для одновременного подключения до 5 датчиков (4 + 1 CW).
USB-порты (для подключения периферических устройств, внешних накопителей: флеш-карт или DVD).
Кинопамять — автоматическая видео-запись фрагмента исследования с возможностями «перемотки», редактирования, проведения расчетов и последующей записи видео в файл.
Модуль ClearVision — фильтрация изображения в реальном времени: удаляет спекл-шумы и артефакты, усиливает контуры, делая ультразвуковое изображение контрастней на границе сред разной эхо-плотности.
Модуль MultiVision — детализация изображения и уменьшение артефактов за счет технологии получения изображения с учетом нескольких углов инсонации.
Система SonoView — система архивации и дальнейшего просмотра статических и динамических изображений (база данных изображений), имеется возможность копирования изображений на внешние накопители (подключение по USB), проводить измерения в архиве.
Режимы визуализации
B (2D) — двухмерное сканирование в оттенках серой шкалы, тканевая гармоника (в том числе пульс-инверсная).
M — одномерный режим для исследования сердца, анатомический М-режим (необходим кардиопакет), CM — цветной М-режим (необходим кардиопакет).
CD — цветное допплеровское картирование с возможностью изменения допплеровского угла.
PD — энергетический допплер с возможностью изменения допплеровского угла.
DPDI — двунаправленный энергетический допплер.
TDI — тканевый допплер (необходим кардиопакет).
PW — импульсно-волновой допплер, steering — изменение допплеровского угла в режимах CD и PD, автоматический анализ допплеровских кривых.
HPRF — высокочастотный импульсно-волновой допплер.
CW — постоянно-волновой допплер (опция).
3D — трехмерное сканирование объемными датчиками в статическом режиме в серой шкале и восстановление объемной структуры сосудов в режиме цветного / энергетического допплера.
4D — трехмерное сканирование объемными датчиками в реальном масштабе времени.
Режимы одновременного отображения на экране 2-х, 4-х и более изображений, в т.ч. изображений в режимах B/C, B/PD в реальном масштабе времени.
Смешанные режимы (B/M, B/PWD, B/C, B/PD, B/PD/PWD, B/C/PWD).
Трапециевидный режим (для линейных датчиков).
Масштабирование.
Опции
Пакет опций объемного сканирования Smart 4D.
Модуль XI STIC объёмной динамической визуализации сердца плода.
Модуль HDVI — повышение четкости изображения границ тканей с разной эхо-плотностью в объемном изображении (диагностика тонких повреждений тканей, дефектов мозга плода, стенок и клапанов сердца плода).
Модуль Realistic Vue — программа реконструкции объемного изображения с возможностью перемещения виртуального источника освещения. Специальный процессинговый алгоритм воспроизводит трехмерную анатомию плода с исключительной детализацией.
Модуль 2D NT — программа автоматического измерения ТВП плода в режиме 2D.
Модуль 5D NT — программа автоматического измерения ТВП и интракраниального пространства плода в режиме объемного сканирования.
Модуль 5D LB — программа автоматического определения и измерения длинных костей плода в режиме объемного сканирования.
Модуль 5D CNS — программа автоматического получения 6 стандартных поскостей головного мозга плода и последующих автоматических измерений стандартных параметров фетометии головного мозга плода из объемных данных.
Модуль 5D Follicle — программа автоматического определения и измерения размера и объема фолликулов в режиме объемного сканирования.
Модуль ElastoScan — программы эластографии (качественная оценка) для исследований щитовидной железы, молочной железы у женщин и предстательной железы у мужчин.
Модуль E-Breast — программа автоматической количественной оценки эластичности тканей по выбранной зоне (необходим модуль Elastoscan).
Модуль E-Thyroid — программа сравнительной количественной оценки эластичности тканей (необходим модуль Elastoscan) без компрессии.
Модуль S-Sharewave — программа эластографии печени (сдвиговой волны), позволяющая автоматически определять индекс жесткости различных участков печени в кПа или м/с, получая при этом еще и индекс достоверности данных RMI.
Модуль S-Detect Breast — программа автоматического обнаружения и анализа образований молочной железы у женщин, измерение и классификация по системе BI-RADS.
Модуль S-Detect Thyroid — программа автоматического обнаружения образований и анализа щитовидной железы, измерение и классификация по системе TI-RADS (K-TIRADS, RUSS, ATA).
Модуль CEUS+ (Contrast Enchansment UltraSound) — исследования с применением контрастных веществ.
Кардиопакет: постоянно-волновой доплер CW + порт для карандашных датчиков + пакет кардиологических расчетов.
Модуль Arterial Analysis — программа, позволяющая автоматически провести анализ толщины и эластичности стенок разных участков сонной артерии, с выведением результатов в графической форме в движении (кинопетле) аналогично программе Strain для эхокардиографии.
Модуль Auto IMT+ автоматического расчета комплекса интима-медиа. Данная оценка имеет большое значение для ранней диагностики атеросклероза и оценки риска развития инсульта и инфаркта миокарда.
Модуль Strain+ автоматической количественной оценки сократимости миокарда ЛЖ.
Модуль Stress Echo.
Модуль ЭКГ.
Модуль панорамного сканирования.
Модуль DICOM — возможность сетевой интеграции с PACS-системами (например, для архивации или печати ультразвуковых эхограмм на оборудовании других производителей медтехники).
Модуль ADVR — программа записи исследования на флеш-карту (подключение по USB) в режиме реального времени.
Педаль дистанционного управления, 3 переключателя.
Подогреватель геля.
Пакет Smart 4D
Система Static 3D — трехмерное сканирование объемными датчиками в статическом режиме в серой шкале и восстановление объемной структуры сосудов в режиме цветного / энергетического допплера).
Система Live 3D — трехмерное сканирование объемными датчиками в реальном масштабе времени (4D).
Модуль SFVI.
Модуль FAD.
Модуль VSI.
Модуль Smooth Cut.
Пакет 3DXI.
Пакет 3DMXI.
Пакет 3D XI (объемная ультразвуковая томография)
MSV (Multi-Slice View или мультислайсинг) — возможность одновременного просмотра на экране множественных срезов, полученных при трехмерном сканировании.
VolumeCT — трехмерная реконструкция изображений в виде куба (Cube Sectional View) или трех пересекающихся плоскостей (Cross View).
OVIX (Oblique View eXtended) — получение фрагмента трехмерного изображения (в виде нескольких полупрозрачных сканов, последовательно наложенных один на другой) в направлении произвольного косого среза трехмерного объекта исследования.
Пакет 3D MXI (мульти-объемная ультразвуковая томография)
Multi Volume Slice — одновременный просмотр на экране нескольких объемных срезов трехмерного объекта исследования.
Mirror View (зеркальный режим) — режим отображения трехмерного объекта исследования, при котором одновременно представлены трехмерные изображения спереди, слева, справа и сверху.
Multi OVIX — одновременный просмотр на экране нескольких изображений OVIX, полученных из трехмерного объекта исследования.
Инновационные технологии
S-Vue датчики — некоторые датчики имеют улучшенный монокристаллический тип пьезоэлементов (технология изготовления пьезоэлементов из выращенных монокристаллов).
Quick Scan — режим автоматической настройки изображения (нажатием одной кнопки) исследуемого органа в B-, C и D-режиме (настройка оптимальных параметров и фильтров за счет автоматического распознавания исследуемого органа по интеллектуальной базе данных человеческих органов).
S-Harmonic — улучшенный вариант тканевой гармоники, повышающий качество визуализации глубоко расположенных структур.
ClearVision — технология интерактивной коррекции изображений с помощью программного обеспечения магнитно-резонансной томографии устраняет нежелательные артефакты в виде спекл-шумов, усиливая контрастное разрешение и четкость контуров, что кардинально улучшает качество изображения.
MultiVision — сложносоставное многолучевое сканирование обеспечивает снижение уровня шумов и четкие контуры границ раздела структур и тканей.
VSI (Volume Shade Imaging) — «визуализация объемных оттенков» на 3D-изображении.
FAD (Face Automatic Detection) — автоматическое определение лица плода в режиме Static 3D.
SFVI™ (Smart Filter Volume Imaging) — технология фильтрации 3D изображения (нажатием одной кнопки).
S-Flow — технология цветового допплеровского картирования с повышенной чувствительностью.
EZ Exam — программа протоколирования этапов ультразвукового исследования с последующим включением необходимых режимов при проведении исследования.
S-Vision — формирователь луча нового поколения, позволяющий снизить шумы, повысить четкость и глубину ультразвукового изображения.
Needle Mate — программа улучшения визуализации биопсийной иглы за счет увеличения ее контрастности на экране и изменения угла сканирования линейного датчика (Beam Steering).
Основные измерения
B-режим: расстояние, периметр, угол, площадь, эллипс, окружность, объем.
D-режим: скорость, давление, ускорение, замедление.
M-режим: время, расстояние, уклон.
Пакеты расчетов (измерения и отчеты)
Гинекология: матка, левый и правый яичники, левый и правый фолликулы, левая и правая яичниковые артерии, левая и правая маточные артерии, эндометрий, киста, опухоль, объемное образование и др.
Акушерство: биометрия плода (плодное яйцо (GS), теменно-копчиковая длина (CRL), бипариетальный размер головки (BPD), лобно-затылочное расстояние (OFD), окружности головы (НC), передне-задний размер живота (APD), поперечный размер живота (TAD), окружность живота (AC), длина бедра (FL) и др.), длинные кости плода (плечевая (Humerus), локтевая (Ulna), лучевая (Rad), большеберцовая (Tibia), малая берцовая, ключица (Clav) и позвоночник (LV), краниологическое исследование плода (мозжечок (CEREB), внешнее (OOD) и внутреннее (IOD) межглазничные расстояния, большая цистерна, шейная складка, боковые желудочки, носовая кость), другие показатели плода (ступня, ухо, средняя фаланга, почки, таз), индекс околоплодных вод (AFI), допплерометрия (пупочная артерия, средняя мозговая артерия, маточные артерии, плацентарная артерия, сонные артерии, аорта плода, венозный проток, ЧСС плода); уравнения для оценки веса плода (Хедлок (Hadlock) 1-4, Хансман (Hansmann) и Мерц (Merz)); таблицы, определяемые пользователем.
Сердце плода: измерения в В-режиме (отношение площади сердца и грудной клетки), измерения в М-режиме (толщина межжелудочковой перегородки в диастолу, конечнодиастолический размер левого желудочка, толщина задней стенки левого желудочка в диастолу, толщина межжелудочковой перегородки в систолу, размер левого желудочка в систолу, толщина задней стенки левого желудочка в систолу, внутренний размер правого желудочка в диастолу), измерения в режиме спектрального допплера (легочный ствол, артериальный проток, нижняя полая вена, венозный проток, восходящая аорта, нисходящая аорта, трансмитральный кровоток, митральная регургитация, трикуспидальный кровоток, трикуспидальная регургитация, индекс преднагрузки, ЧСС).
Пакет кардиологических исследований.
М-режим: измерение диаметра аорты, передне-заднего размера ЛП, толщины МЖП (систолическая и диастолическая), толщины ЗСЛЖ (систолическая и диастолическая), размеров ЛЖ и ПЖ (систолический и диастолический), ФВ (Teichholz).
B-режим: измерение диаметра аорты (восходящей, дуги, нисходящей, на уровне синусов Вальсальвы, на уровне створок аортального клапана), определение размеров ЛП и ПП (максимальный, минимальный, систолический, диастолический, переднее-задний, верхнее-нижний, медиально-латеральный), расчет объемов ЛП и ПП, объемов ЛЖ (метод «Площадь-Длина», метод дисков (Simpson)), массы миокарда ЛЖ, индекса массы миокарда ЛЖ.
CD-режим (ЦДК): измерение радиуса ПФСМР (PISA), полуколичественная оценка трансмитрального, транстрикуспидального, трансаортального и транспульмонального кровотока (оценка регургитации), оценка аномальных сбросов крови через МПП И МЖП.
PW-режим (импульсно-волновой допплер): автоматическая, полуавтоматическая и ручная трассировка допплеровского спектра митрального, аортального и трикуспидального клапанов, клапана легочной артерии, кровотока в выходном тракте ЛЖ и ПЖ (пиковая/средняя скорость, пиковый/средний градиент давления, время изоволюметрического расслабления ЛЖ, время ускорения, замедления, выброса), оценка кровотока легочных и печеночных вен.
CW-режим (постоянно-волновой допплер): программы расчета работы митрального, аортального и трикуспидального клапанов, клапана легочной артерии.
TD-режим (тканевой допплер): количественная оценка локальной сократительной функции стенок ЛЖ и ПЖ.
Сонные артерии: автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, средняя толщина интимы, объемный кровоток.
Артерии верхних конечностей: автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, объемный кровоток.
Артерии нижних конечностей: автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, объемный кровоток.
Вены нижних конечностей: автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; максимальная скорость, диаметр сосуда.
Сосуды брюшной полости: автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, объемный кровоток.
Урология: объем мочевого пузыря, остаточный объем, объем предстательной железы по WG, объем Т-зон, объем почки (методы измерения объема: три расстояния, три расстояния и коэффициент, эллипсоид).
Датчики для сканера HS70A-RUS
Конвексные датчики
Внутриполостной датчик EA2-11B (2-11 МГц, угол обзора 150°)
Клиническое применение: акушерство, гинекология, урология.
Биопсийный набор: нет.
Внутриполостной датчик VR5-9 (5-9 МГц, угол обзора 150°)
Клиническое применение: гинекология, акушерство, урология.
Биопсийный набор: есть.
Конвексный датчик CA1-7A (1-7 МГц, угол обзора 70°, монокристальный)
Клиническое применение: брюшная полость, акушерство, гинекология. Использование при работе с контрастом.
Биопсийный набор: есть.
Конвексный датчик CA2-8A (2-8 МГц, угол обзора 58°)
Клиническое применение: брюшная полость, гинекология, акушерство.
Биопсийный набор: есть.
Конвексный датчик CA2-9A (2-9 МГц, монокристальный)
Клиническое применение: брюшная полость, акушерство, гинекология.
Биопсийный набор: есть.
Конвексный датчик CA3-10A (3-10 МГц, монокристальный)
Клиническое применение: брюшная полость, акушерство, гинекология, педиатрия.
Биопсийный набор: нет.
Микроконвексный неонатальный датчик CF4-9 (4-9 МГц, угол обзора 90°)
Клиническое применение: педиатрия, сосуды.
Биопсийный набор: нет.
Фазированные датчики
Секторный фазированный датчик PA1-5A (1-5 МГц, монокристальный)
Клиническое применение: кардиология, транскраниальные исследования, брюшная полость.
Биопсийный набор: нет.
Секторный фазированный датчик PA3-8B (3-8 МГц)
Клиническое применение: кардиология у детей и новорожденных, транскраниальные исследования.
Биопсийный набор: нет.
Секторный фазированный датчик PA4-12B (4-12 МГц)
Клиническое применение: кардиология у новорожденных и детей.
Биопсийный набор: есть.
Секторный фазированный датчик PE2-4 (2-4 МГц)
Клиническое применение: кардиология, транскраниальные исследования, брюшная полость.
Биопсийный набор: нет.
Линейные датчики
Линейный датчик L3-12A (3-12 МГц, апертура 50 мм)
Клиническое применение: мышечно-скелетные исследования, поверхностно расположенные структуры, периферические сосуды.
Биопсийный набор: есть.
Линейный датчик LA2-9A (2-9 МГц, апертура 44 мм)
Клиническое применение: поверхностно расположенные структуры, периферические сосуды, мышечно-скелетные исследования, брюшная полость.
Биопсийный набор: есть.
Линейный датчик LA3-16A (3-16 МГц, апертура 40 мм)
Клиническое применение: мышечно-скелетные исследования, поверхностно расположенные структуры, периферические сосуды.
Биопсийный набор: есть.
Линейный датчик LA4-18B (4-18 МГц, апертура 37 мм)
Клиническое применение: поверхностно расположенные структуры, периферические сосуды, мышечно-скелетные исследования.
Биопсийный набор: есть.
Линейный датчик LM4-15B (4-15 МГц, апертура 50 мм, матричный)
Клиническое применение: поверхностно расположенные структуры, периферические сосуды, мышечно-скелетные исследования.
Биопсийный набор: есть.
Интраоперационные датчики
Линейный интраоперационный датчик LA3-16AI (3-16 МГц, Г-образный)
Клиническое применение: поверхностно расположенные структуры.
Биопсийный набор: нет.
Объемные датчики
Объемный внутриполостной датчик V5-9 (5-9 МГц)
Клиническое применение: акушерство, гинекология, урология.
Биопсийный набор: есть.
Объемный конвексный датчик CV1-8A (1-8 МГц, монокристальный)
Клиническое применение: брюшная полость, гинекология, акушерство.
Биопсийный набор: есть.
Объемный линейный датчик LV3-14A (3-14 МГц)
Клиническое применение: мышечно-скелетные исследования, поверхностно расположенные структуры, периферические сосуды.
Биопсийный набор: есть.
Чреспищеводные датчики
Чреспищеводный датчик MMPT3-7 (3-7 МГц, фазированный)
Клиническое применение: чреспищеводная эхокардиография.
Биопсийный набор: нет.
Допплеровские датчики
Допплеровский датчик DP2B (2 МГц, карандашный)
Клиническое применение: транскраниальные исследования, сосуды.
Биопсийный набор: нет.
Допплеровский датчик DP8B (8 МГц, карандашный)
Клиническое применение: транскраниальные исследования, сосуды.
Биопсийный набор: нет.
Описание
HS70A-RUS- ультразвуковой сканер экспертного класса производства компании Samsung Medison с поддержкой технологий для оптимизации и увеличения диагностической точности исследований, от рутинных до самых сложных.В системе интегрированы инновационные алгоритмы «машинного обучения» с поддержкой принятия решений начинающими специалистами (стандартизированное описание образований молочной и щитовидной железы в S-Detect), 5D (акушерство и гинекология), ElastoScan, E-Breast, E-Thyroid и S-Sharewave (эластография, дифференциальная диагностика в онкологии и общей радиологии), Arterial Analysis, Strain+ и StressEcho (ранняя диагностика сердечно-сосудистых заболеваний), CEUS+ (исследования с контрастными агентами). Аппарат рекомендован для использования в диагностических центрах, многопрофильных и специализированных медицинских учреждениях, медицинских исследовательских институтах.
Область исследований: абдоминальные исследования, акушерство и гинекология, кардиология, ангиология, нефрология, урология, онкология, педиатрия, неонатология, исследования поверхностных органов и костно-мышечной системы, молочной железы, транскраниальные исследования, чреспищеводная эхокардиография.
Опции для сканера HS70A-RUS:
кардиопакет, Smart 4D (3D + SFVI, FAD, VSI, Smooth Cut + 4D + 3DXI + 3DMXI), STIC, HDVI, FRV, 2D NT, 5D NT, 5D LB, 5D CNS, 5D Follicle, ElastoScan, E-Breast, E-Thyroid, S-Sharewave, S-Detect for Breast, S-Detect for Thyroid, CEUS+, Arterial Analysis, AutoIMT+, Strain+, StressEcho, ЭКГ модуль, модуль панорамного сканирования, DICOM, ADVR, Mobile Export, подогреватель геля, ножная педаль управления.
Режимы визуализации
- B (2D) — двухмерное сканирование в оттенках серой шкалы,тканевая гармоника(в том числе пульс-инверсная).
- M — одномерный режим для исследования сердца, анатомический М-режим (необходим кардиопакет), CM — цветной М-режим (необходим кардиопакет).
- CD — цветное допплеровское картирование с возможностью изменения допплеровского угла.
- PD — энергетический допплер с возможностью изменения допплеровского угла.
- DPDI — двунаправленный энергетический допплер.
- TDI- тканевый допплер (необходим кардиопакет).
- PW — импульсно-волновой допплер, steering — изменение допплеровского угла в режимах CD и PD, автоматический анализ допплеровских кривых.
- HPRF- высокочастотный импульсно-волновой допплер.
- CW — постоянно-волновой допплер (опция).
- 3D — трехмерное сканирование объемными датчиками в статическом режиме в серой шкале и восстановление объемной структуры сосудов в режиме цветного / энергетического допплера.
- 4D — трехмерное сканирование объемными датчиками в реальном масштабе времени.
- Режимы одновременного отображения на экране 2-х, 4-х и более изображений, в т.ч. изображений в режимах B/C, B/PD в реальном масштабе времени.
- Смешанные режимы (B/M, B/PWD, B/C, B/PD, B/PD/PWD, B/C/PWD).
- Трапециевидный режим (для линейных датчиков).
- Масштабирование.
Опции
- Пакет опций объемного сканирования Smart 4D.
- Модуль XISTICобъёмной динамической визуализации сердца плода.
- Модуль HDVI — повышение четкости изображения границ тканей с разной эхо-плотностью в объемном изображении (диагностика тонких повреждений тканей, дефектов мозга плода, стенок и клапанов сердца плода).
- МодульRealistic Vue- программа реконструкции объемного изображения с возможностью перемещения виртуального источника освещения. Специальный процессинговый алгоритм воспроизводит трехмерную анатомию плода с исключительной детализацией.
- Модуль 2D NT — программа автоматического измерения ТВП плода в режиме 2D.
- Модуль 5D NT — программа автоматического измерения ТВП и интракраниального пространства плода в режиме объемного сканирования.
- Модуль 5D LB — программа автоматического определения и измерения длинных костей плода в режиме объемного сканирования.
- Модуль 5D CNS — программа автоматического получения 6 стандартных поскостей головного мозга плода и последующих автоматических измерений стандартных параметров фетометии головного мозга плода из объемных данных.
- Модуль 5D Follicle — программа автоматического определения и измерения размера и объема фолликулов в режиме объемного сканирования.
- Модуль ElastoScan — программы эластографии (качественная оценка) для исследований щитовидной железы, молочной железы у женщин и предстательной железы у мужчин.
- МодульE-Breast- программа автоматической количественной оценки эластичности тканей по выбранной зоне (необходим модуль Elastoscan).
- МодульE-Thyroid- программа сравнительной количественной оценки эластичности тканей (необходим модуль Elastoscan) без компрессии.
- Модуль S-Sharewave — программа эластографии печени (сдвиговой волны), позволяющая автоматически определять индекс жесткости различных участков печени в кПа или м/с, получая при этом еще и индекс достоверности данных RMI.
- МодульS-Detect Breast- программа автоматического обнаружения и анализа образований молочной железы у женщин, измерение и классификация по системе BI-RADS.
- МодульS-Detect Thyroid- программа автоматического обнаружения образований и анализа щитовидной железы, измерение и классификация по системе TI-RADS (K-TIRADS, RUSS, ATA).
- Модуль CEUS+ (Contrast Enchansment UltraSound) — исследования с применением контрастных веществ.
- Кардиопакет: постоянно-волновой доплер CW + порт для карандашных датчиков + пакет кардиологических расчетов.
- Модуль Arterial Analysis — программа, позволяющая автоматически провести анализ толщины и эластичности стенок разных участков сонной артерии, с выведением результатов в графической форме в движении (кинопетле) аналогично программе Strain для эхокардиографии.
- Модуль Auto IMT+ автоматического расчета комплекса интима-медиа. Данная оценка имеет большое значение для ранней диагностики атеросклероза и оценки риска развития инсульта и инфаркта миокарда.
- Модуль Strain+ автоматической количественной оценки сократимости миокарда ЛЖ.
- Модуль Stress Echo.
- Модуль ЭКГ.
- Модуль панорамного сканирования.
- Модуль DICOM — возможность сетевой интеграции с PACS-системами (например, для архивации или печати ультразвуковых эхограмм на оборудовании других производителей медтехники).
- Модуль ADVR — программа записи исследования на DVD в режиме реального времени.
- Модуль Mobile Export беспроводной передачи данных УЗ исследования на мобильные устройства (Необходим модуль ADVR, адаптер Wi-Fi, приложение Hello Mom).
- Педаль дистанционного управления, 3 переключателя.
- Подогреватель геля.
Пакет Smart 4D
- Система Static 3D — трехмерное сканирование объемными датчиками в статическом режиме в серой шкале и восстановление объемной структуры сосудов в режиме цветного / энергетического допплера).
- СистемаLive 3D- трехмерное сканирование объемными датчиками в реальном масштабе времени (4D).
- Модуль SFVI.
- Модуль FAD.
- Модуль VSI.
- Модуль Smooth Cut.
- Пакет 3DXI.
- Пакет 3DMXI.
Пакет 3D XI (объемная ультразвуковая томография)
- MSV(Multi-Slice View илимультислайсинг) — возможность одновременного просмотра на экране множественных срезов, полученных при трехмерном сканировании.
- VolumeCT — трехмерная реконструкция изображений в виде куба (Cube Sectional View) или трех пересекающихся плоскостей (Cross View).
- OVIX(Oblique View eXtended) — получение фрагмента трехмерного изображения (в виде нескольких полупрозрачных сканов, последовательно наложенных один на другой) в направлении произвольного косого среза трехмерного объекта исследования.
Пакет 3D MXI (мульти-объемная ультразвуковая томография)
- Multi Volume Slice- одновременный просмотр на экране нескольких объемных срезов трехмерного объекта исследования.
- Mirror View(зеркальный режим) — режим отображения трехмерного объекта исследования, при котором одновременно представлены трехмерные изображения спереди, слева, справа и сверху.
- Multi OVIX — одновременный просмотр на экране нескольких изображений OVIX, полученных из трехмерного объекта исследования.
Инновационные технологии
- S-Vue датчики — некоторые датчики имеют улучшенный монокристаллический тип пьезоэлементов (технология изготовления пьезоэлементов из выращенных монокристаллов).
- Quick Scan — режим автоматической настройки изображения (нажатием одной кнопки) исследуемого органа в B-, C и D-режиме (настройка оптимальных параметров и фильтров за счет автоматического распознавания исследуемого органа по интеллектуальной базе данных человеческих органов).
- S-Harmonic — улучшенный варианттканевой гармоники, повышающий качество визуализации глубоко расположенных структур.
- ClearVision — технология интерактивной коррекции изображений с помощью программного обеспечения магнитно-резонансной томографии устраняет нежелательные артефакты в виде спекл-шумов, усиливая контрастное разрешение и четкость контуров, что кардинально улучшает качество изображения.
- MultiVision — сложносоставное многолучевое сканирование обеспечивает снижение уровня шумов и четкие контуры границ раздела структур и тканей.
- VSI (Volume Shade Imaging) — «визуализация объемных оттенков» на 3D-изображении.
- FAD (Face Automatic Detection) — автоматическое определение лица плода в режиме Static 3D.
- SFVI™ (Smart Filter Volume Imaging) — технология фильтрации 3D изображения (нажатием одной кнопки).
- S-Flow — технология цветового допплеровского картирования с повышенной чувствительностью.
- EZ Exam — программа протоколирования этапов ультразвукового исследования с последующим включением необходимых режимов при проведении исследования.
- S-Vision — формирователь луча нового поколения, позволяющий снизить шумы, повысить четкость и глубину ультразвукового изображения.
- Needle Mate — программа улучшения визуализации биопсийной иглы за счет увеличения ее контрастности на экране и изменения угла сканирования линейного датчика (Beam Steering).
Основные измерения
- B-режим: расстояние, периметр, угол, площадь, эллипс, окружность, объем.
- D-режим: скорость, давление, ускорение, замедление.
- M-режим: время, расстояние, уклон.
Пакеты расчетов (измерения и отчеты)
- Гинекология:матка, левый и правый яичники, левый и правый фолликулы, левая и правая яичниковые артерии, левая и правая маточные артерии, эндометрий, киста, опухоль, объемное образование и др.
- Акушерство:биометрия плода (плодное яйцо (GS), теменно-копчиковая длина (CRL), бипариетальный размер головки (BPD), лобно-затылочное расстояние (OFD), окружности головы (НC), передне-задний размер живота (APD), поперечный размер живота (TAD), окружность живота (AC), длина бедра (FL) и др.), длинные кости плода (плечевая (Humerus), локтевая (Ulna), лучевая (Rad), большеберцовая (Tibia), малая берцовая, ключица (Clav) и позвоночник (LV), краниологическое исследование плода (мозжечок (CEREB), внешнее (OOD) и внутреннее (IOD) межглазничные расстояния, большая цистерна, шейная складка, боковые желудочки, носовая кость), другие показатели плода (ступня, ухо, средняя фаланга, почки, таз), индекс околоплодных вод (AFI), допплерометрия (пупочная артерия, средняя мозговая артерия, маточные артерии, плацентарная артерия, сонные артерии, аорта плода, венозный проток, ЧСС плода); уравнения для оценки веса плода (Хедлок (Hadlock) 1-4, Хансман (Hansmann) и Мерц (Merz)); таблицы, определяемые пользователем.
- Сердце плода:измерения в В-режиме (отношение площади сердца и грудной клетки), измерения в М-режиме (толщина межжелудочковой перегородки в диастолу, конечнодиастолический размер левого желудочка, толщина задней стенки левого желудочка в диастолу, толщина межжелудочковой перегородки в систолу, размер левого желудочка в систолу, толщина задней стенки левого желудочка в систолу, внутренний размер правого желудочка в диастолу), измерения в режиме спектрального допплера (легочный ствол, артериальный проток, нижняя полая вена, венозный проток, восходящая аорта, нисходящая аорта, трансмитральный кровоток, митральная регургитация, трикуспидальный кровоток, трикуспидальная регургитация, индекс преднагрузки, ЧСС).
- Пакет кардиологических исследований.
М-режим:измерение диаметра аорты, передне-заднего размера ЛП, толщины МЖП (систолическая и диастолическая), толщины ЗСЛЖ (систолическая и диастолическая), размеров ЛЖ и ПЖ (систолический и диастолический), ФВ (Teichholz).
B-режим:измерение диаметра аорты (восходящей, дуги, нисходящей, на уровне синусов Вальсальвы, на уровне створок аортального клапана), определение размеров ЛП и ПП (максимальный, минимальный, систолический, диастолический, переднее-задний, верхнее-нижний, медиально-латеральный), расчет объемов ЛП и ПП, объемов ЛЖ (метод «Площадь-Длина», метод дисков (Simpson)), массы миокарда ЛЖ, индекса массы миокарда ЛЖ.
CD-режим (ЦДК):измерение радиуса ПФСМР (PISA), полуколичественная оценка трансмитрального, транстрикуспидального, трансаортального и транспульмонального кровотока (оценка регургитации), оценка аномальных сбросов крови через МПП И МЖП.
PW-режим (импульсно-волновой допплер):автоматическая, полуавтоматическая и ручная трассировка допплеровского спектра митрального, аортального и трикуспидального клапанов, клапана легочной артерии, кровотока в выходном тракте ЛЖ и ПЖ (пиковая/средняя скорость, пиковый/средний градиент давления, время изоволюметрического расслабления ЛЖ, время ускорения, замедления, выброса), оценка кровотока легочных и печеночных вен.
CW-режим (постоянно-волновой допплер):программы расчета работы митрального, аортального и трикуспидального клапанов, клапана легочной артерии.
TD-режим (тканевой допплер):количественная оценка локальной сократительной функции стенок ЛЖ и ПЖ. - Сонные артерии:автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, средняя толщина интимы, объемный кровоток.
- Артерии верхних конечностей:автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, объемный кровоток.
- Артерии нижних конечностей:автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, объемный кровоток.
- Вены нижних конечностей:автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; максимальная скорость, диаметр сосуда.
- Сосуды брюшной полости:автоматическая, полуавтоматическая, ручная трассировка доплеровского спектра; ПСС, КДС, %СтПлощ, %Ст Диам, площадь сосуда, диаметр сосуда, объемный кровоток.
- Урология:объем мочевого пузыря, остаточный объем, объем предстательной железы по WG, объем Т-зон, объем почки (методы измерения объема: три расстояния, три расстояния и коэффициент, эллипсоид).
Сокращения:ЛП/ПП — левое/правое предсердие, МЖП — межжелудочковая перегородка, МПП — межпредсердная перегородка, ЗСЛЖ — задняя стенка левого желудочка, ЛЖ/ПЖ — левый/правый желудочек, ФВ — фракция выброса, ПФСМР — площадь формирующейся струи митральной регуритации (PISA — proximal isovelocity surface area), ПСС/КДС — пиковая систолическая / конечная диастолическая скорость.
Датчики для сканера HS70A-RUS
Конвексные датчики
Конвексный датчик 1-7 МГц (монокристальный)
Абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка, глубоко расположенные сосуды), акушерские исследования (плод, сердце плода) и гинекология (матка, яичники).
Биопсийный набор: есть.
Конвексный датчик 2-11 МГц (ректо-вагинальный)
Акушерство (ранние сроки), гинекология (матка, яичники) и урология (предстательная железа).
Биопсийный набор: нет.
Конвексный датчик 2-8 МГц
Абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка, глубоко расположенные сосуды), акушерские исследования (плод, сердце плода) и гинекология (матка, яичники).
Биопсийный набор: есть.
Конвексный датчик 2-9 МГц (монокристальный)
Абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка, глубоко расположенные сосуды), акушерские исследования (плод, сердце плода), гинекология (матка, яичники).
Биопсийный набор: есть.
Конвексный датчик 3-10 МГц (монокристальный)
Абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка, глубоко расположенные сосуды), акушерские исследования (плод, сердце плода), гинекология (матка, яичники), периферические сосуды и педиатрия.
Биопсийный набор: нет.
Конвексный датчик 3-12 МГц (ректо-вагинальный)
Акушерство (ранние сроки), гинекология (матка, яичники) и урология (предстательная железа).
Биопсийный набор: нет.
Конвексный датчик 4-9 МГц (неонатальный)
Неонатология и педиатрия: абдоминальные исследования, почки, сердце, глубоко расположенные сосуды и мозг.
Биопсийный набор: нет.
Конвексный датчик 5-9 МГц (вагинальный)
Акушерство (ранние сроки), гинекология (матка, яичники) и урология (предстательная железа).
Биопсийный набор: есть.
Биплановые датчики
Биплановый внутриполостной датчик 4-9 МГц
Исследование предстательной железы.
Биопсийный набор: есть.
Фазированные датчики
Фазированный датчик 2-4 МГц
Кардиология, транскраниальные и абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка, глубоко расположенные сосуды).
Биопсийный набор: нет.
Фазированный датчик 3-8 МГц
Кардиология, транскраниальные и абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка, глубоко расположенные сосуды), педиатрия.
Биопсийный набор: нет.
Фазированный датчик 4-12 МГц
Кардиология, абдоминальные исследования, неонаталогия.
Биопсийный набор: есть.
Линейные датчики
Линейный датчик 2-9 МГц
Глубоко расположенные сосуды, кишечник, щитовидная железа, молочная железа, лимфоузлы, абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка) и скелетно-мышечная система (суставы, мышцы).
Биопсийный набор: нет.
Линейный датчик 3-12 МГц
Щитовидная железа, молочная железа, лимфоузлы, сосуды, акушерство и скелетно-мышечная система (суставы, мышцы, подкожные структуры).
Биопсийный набор: есть.
Линейный датчик 3-16 МГц
Щитовидная железа, молочная железа, лимфоузлы, периферические сосуды и скелетно-мышечная система (суставы, мышцы, подкожные структуры).
Биопсийный набор: нет.
Линейный датчик 4-18 МГц
Щитовидная железа, молочная железа, лимфоузлы, сосуды, акушерство, скелетно-мышечная система (суставы, мышцы, подкожные структуры).
Биопсийный набор: есть.
Интраоперационные датчики
Линейный датчик 3-16 МГц (интраоперационный)
Скелетно-мышечная система (суставы, мышцы, подкожные структуры), интраоперационные исследования.
Биопсийный набор: нет.
Объемные датчики
Объемный датчик 1-8 МГц
Абдоминальные исследования (печень, желчный пузырь, поджелудочная железа, селезенка, глубоко расположенные сосуды), акушерские исследования (плод, сердце плода) и гинекология (матка, яичники).
Биопсийный набор: есть.
Объемный датчик 3-14 МГц
Скелетно-мышечная система (суставы, мышцы, подкожные структуры), поверхностно расположенные органы (щитовидная железа, молочная железа, лимфоузлы), сосуды.
Биопсийный набор: нет.
Объемный датчик 5-9 МГц (ректо-вагинальный)
Трехмерные исследования в акушерстве (ранние сроки), гинекологии (матка, яичники), урологии (предстательная железа).
Биопсийный набор: есть.
Чреспищеводные датчики
Чреспищеводный датчик 3-7 МГц (фазированный)
Чреспищеводная эхокардиография.
Биопсийный набор: нет.
Допплеровские датчики
Допплеровский датчик 2.0 МГц (слепой допплер)
Транскраниальные исследования, сосуды.
Биопсийный набор: нет.
Допплеровский датчик 8.0 МГц (слепой допплер)
Транскраниальные исследования, сосуды.
Биопсийный набор: нет.
ХАРАКТЕРИСТИКИ
- Стационарный ультразвуковой сканер.
- LED монитор — 23″ (с диодной подсветкой, разрешение 1920×1080).
- Сенсорная панель управления (touch-screen) 10″.
- Разъемы для одновременного подключения до 5 датчиков (4 + 1 CW).
- Встроенный дисковод DVD-RW.
- USB-порты (для подключения периферических устройств и внешних дисковых накопителей).
- Кинопамять — автоматическая видео-запись фрагмента исследования с возможностями «перемотки», редактирования, проведения расчетов и последующей записи видео в файл.
- Модуль ClearVision — фильтрация изображения в реальном времени: удаляет спекл-шумы и артефакты, усиливает контуры, делая ультразвуковое изображение контрастней на границе сред разной эхо-плотности.
- Модуль MultiVision — детализация изображения и уменьшение артефактов за счет технологии получения изображения с учетом нескольких углов инсонации.
- СистемаSonoView- система архивации и дальнейшего просмотра статических и динамических изображений (база данных изображений), имеется возможность копирования изображений на DVD и USB флеш-накопители, проводить измерения в архиве.
КОМПЛЕКТАЦИЯ
Базовая комплектация: сканер HS70A-RUS (монитор 23″; 4 активных порта для подключения визуализирующих датчиков; встроенные модули: цветного, энергетического, направленного энергетического и импульсно-волнового доплера, тканевого доплера; тканевая гармоника S-Harmonic; технология интерактивной коррекции изображений с помощью программного обеспечения магнитно-резонансной томографии ClearVision; пространственный компаундинг Multivision; автоматическая оптимизация QuickScan в В-режиме и режиме доплера (ЦДК, PW, CW); модуль улучшенной визуализации биопсийной иглы Needle Mate; программируемые протоколы исследования EZ-Exam; встроенный дисковод DVD-RW; 8 USB-портов; сенсорная панель управления) и руководство по эксплуатации на русском языке.
Содержание
- Описание и назначение аппарата HM70A;
- Отличительные особенности;
- Ключевые параметры;
- Видеопрезентация;
- Ближайшие конкуренты;
- Приобретение оборудования на выгодных условиях.
Описание и назначение оборудования
Переносной ультразвуковой сканер HM70A-RUS является высокоточным диагностическим устройством. Он обеспечивает визуализацию на уровне стационарных экспертных систем, обладает умеренной ценой и богатым функционалом.
Аппарат работает с высокоплотными монокристальными датчиками, задействуется при проведении 3D/4D-УЗИ, эластографии, Volume NT, STIC. С его помощью расширяются возможности мобильных госпиталей, спортивных медицинских бригад, экипажей скорой помощи.
Прибор имеет наименьшие габариты и вес в своем классе.
Переносные ультразвуковые сканеры HM70A востребованы в различных отраслях медицины:
- кардиология;
- чреспищеводная эхокардиография;
- поверхностные органы;
- абдоминальные исследования;
- онкология;
- урология;
- исследование сосудов;
- акушерство и гинекология.
Оборудование упрощает проведение инвазивных процедур, задействуется в педиатрии и неонатологии. Оно повышает точность диагностики опорно-двигательного аппарата.
Аппарат задействуется при организации скрининговых и расширенных экспертных исследований.
Отличительные особенности
В рамках HM70A реализовано свыше 10 прогрессивных решений, упрощающих проведение диагностических процедур.
Визуализация
- S—Flow. Технология работы с малыми кровеносными сосудами. Высокоточное картирование кровотока позволяет получить детальные снимки сложных участков, выявить патологию на ранней стадии.
Рис. Почка в режиме S-Flow.
- ClearVision. Анализ акустических свойств ткани, формирование контрастного изображения, лишенного шумов.
- Поддержка монокристальных датчиков различных типов. Работа с датчиками S-Vue, функционирующими в широком диапазоне частот. Модули обладают прекрасными пьезоэлектрическими свойствами, имеют увеличенную глубину сканирования.
Инвазивные процедуры по контролем УЗИ
- Needle Mate. Технология «подсветки» пункционной иглы, увеличивающая точность инвазивных манипуляций.
- EzAssist. Интерактивный ассистент, предоставляющий онлайн подсказки по ургентной медицине и ультразвуковому контролю инвазинвых процедур (блокада нервов, катетеризация сосудов, регионарная анастезия, FAST протокол и др.).
Рис. Процедура катетеризации внутренней яремной вены при поддержке онлайн помощника EzAssist Samsung.
Кардиология и сосуды
- Strain+. Прогрессивная методика, упрощающая количественную оценку сократимости левого желудочка. Расчеты проводятся в автоматическом режиме. Для начала процедуры специалисту требуется указать три контрольные точки.
- StressEcho. Инструмент для сравнительного анализа кинетики стенок желудочка. Исследования проводятся в спокойном и стрессовом состоянии, позволяют определить устойчивость к физической и фармакологической нагрузке.
- Auto IMT+. Модуль автоматического расчета ближней и дальней стенки сонной артерии. Он упрощает выполнение типовых операций, оценивает риск развития сердечно-сосудистых патологий.
Рис. Общая сонная артерия в режиме Auto IMT+.
Акушерство и гинекология
- 4D. Трехмерное сканирование посредством объемных датчиков. Изображение имеет реальный масштаб и высокую частоту кадров. Для проведения работ используются конвексные и внутриполосные 4D датчики.
Рис. Плод (2-й триместр) в режиме 3D/4D.
- HDVI (High Definition Volume Imaging). Функция, востребованная при диагностике тонких повреждений ткани, исследовании мозга и стенок клапанов сердца плода. Она выделяет ткани различной плотности, минимизирует риск неточностей и ошибок.
- STIC. Технология динамической визуализации сердца пода. Изображение имеет высокую частоту кадров, обладает прекрасной четкостью.
- Volume NT и IT. Полуавтоматический алгоритм, облегчающий измерение толщины воротникового и интракраниального пространства плода. Процедура востребована при первичной диагностике синдрома Дауна и прочих серьезных заболеваний.
Мобильный ультразвуковой сканер HM70A широко применяется в онкологии. Экспертам доступна технология ElastoScan, предназначенная для изучения мягких тканей на предмет новообразований. Определить жесткость целевых фрагментов позволяет цветовая карта.
Рис. Образование в молочной железе в режиме ElastoScan.
Число доступных функций зависит от комплектности и модификации прибора.
Ключевые параметры
Сканер HM70A обладает следующими характеристиками:
- глубина сканирования – до 38 см;
- регулировка динамического диапазона – до 256 Дб;
- время выхода из спящего режима – до 25 сек;
- время автономной работы при использовании батареи увеличенной емкости – более 3-х часов;
- число портов для датчиков: 1 – в базовом исполнении, 3 – при использовании тележки;
Рис. Разветвитель портов до 3-х на тележке HM70A.
- штатный дисплей: 15 дюймов (1024х768 пикс) с возможностью полноэкранной визуализации объекта сканирования;
- масса – порядка 6 кг.
В продаже представлены устройства базовой и расширенной комплектации. Вместе с аппаратами реализуется множество дополнительных модулей.
Ближайшие конкуренты
Аналогами HM70A являются Logiq E (General Electric) и Philips CX 50.
HM70A | Logiq E | CX50 | |
---|---|---|---|
Производитель | Samsung Medison | General Electric | Philips |
Страна производства | Южная Корея | Китай | США |
Размер монитора | 15″ | 15″ | 15″ |
Тип монитора | Светодиодный | Жидкокристаличексий | Жидкокристалический |
Руссифицированный интерфейс | + | + | + |
Глубина сканирования | до 38 см | до 33 см | до 30 см |
Частота кадров в базовых режимах | более 2000 кадров/сек | 1400 кадров/сек | 700 кадров/сек |
Монокристальные датчики | S-Vue | — | PureWave |
3D/4D | + | — | — |
Эластография | + | — | + |
Оценка параметров сократимости ЛЖ (глобальный стрейн) | + | — | + |
Матричные двумерные датчики | — | — | xMatrix |
Визуализация сердца в режиме Live 3D | — | — | + |
Количественный анализ в 3D для кардиологии | — | — | + |
Преимущества HM70A:
- Глубина сканирования. Консоли серии HM70A имеют наибольшую глубину сканирования. Они формируют качественные графические материалы, успешно решают типовые и нестандартные задачи.
- Частота кадров. Предельная частота кадров HM70A – более 2 000 в секунду. Это гарантирует получение плавного и четкого видеоряда. Аналогичный показатель у конкурентов на порядок ниже.
- Поддержка S—Vue. Поддержка монокристаллических датчиков расширяет функционал техники Samsung, улучшает качество снимков на 20%. Технология S-Vue не поддерживается Logiq E, представлена в ограниченном виде на Philips CX 50 (датчики PureWave).
- 4D-УЗИ. Уникальная функция, присутствующая только в аппарате Samsung. Технология помогает детально изучить плод, является привилегией экспертных сканеров стационарного типа. Наличие подобного решения на мобильном устройстве расширяет возможности диагностического кабинета, позволяет проводить качественные, скрупулезные исследования.
Недостаток HM70A – ограниченные возможности в премиальной кардиологии. Техника не способна визуализировать текстуры сердца в режиме Live 3D, а также выполнить количественный анализ полученных данных. Данный функционал – конек УЗИ систем Philips уровня High-end. Однако премиальные кардиологические функции очень дороги и практически не используются в повседневных исследованиях
Приобретение оборудования на выгодных условиях
Купить функциональный сканер HM70A поможет компания УЗИ МИР. Предприятие является официальным дилером Samsung, предлагает сертифицированные аппараты для коммерческих и государственных клиник.
Преимущества сотрудничества.
- Высокое качество продукции. Клиенты получают оригинальное оборудование, соответствующее отраслевым нормативам. Товар сопровождается сертификатами и паспортами, на него распространяется расширенная гарантия.
- «Обновленные демо». Некоторые аппараты предлагаются на льготных условиях. Эти устройства использовались на заводах концерна в демонстрационных целях. Они имеют прекрасное техническое состояние, полностью готовы к эксплуатации. Размер дисконта может достигать 70%.
- Прямое сотрудничество с поставщиком. Товар реализуется по оптовой цене, без комиссий и переплат. Предусмотрены существенные скидки, беспроцентные рассрочки, лизинговые программы.
- Доставка и установка. Подключение и настройку оборудования выполняют специалисты УЗИ МИР. Они производят первичное обучение персонала, дают рекомендации по дальнейшей эксплуатации техники.
Для оформления заявки на приобретение УЗИ-сканера воспользуйтесь телефоном 8 (800) 100-52-10 или закажите обратный звонок.