F31 Measurement 3 PDF

DIAGNOSTIC ULTRASOUND
SYSTEM
Instruction Manual
Measurement (3/3)
(volume 1/2)
Instruction manuals consist of Safety
Instruction, Power Data Book, How to
Use and this manual.
Before using this system, please read
Safety Instruction.
MN1-5856 rev.1
Copyright©Hitachi Aloka Medical, Ltd. All rights reserved.
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trademarks of McAfee, Inc. or its subsidiaries in the United States and other countries. All brand name, product name,
and system name are registered trademarks or trademarks of their respective owners. In this manual, ™ and ® are
omitted.
VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation. Portions of this software are based in part on the work
of the Independent JPEG Group.
MN1-5856 rev.1
Introduction
Introduction
This is an instruction manual for F31, a diagnostic ultrasound system.

Read the manual carefully before using the system. Take special note of the items in Chapter 1,
"Safety Precautions"of Safety Instruction manual.
Keep this manual securely for future reference.
Symbols Used in this Document
The following items are important in preventing harm or injury to the operator of the equipment
and the patient. There are 4 levels of harm/damage that can be caused by ignoring
instructions/displays and using the equipment incorrectly: "Danger", "Warning", "Caution",
and "Note".
These types are indicated by the following symbols.
Indicates an imminently hazardous situation which, if not avoided, will result

in the death of or serious injury of the operator of the equipment.
Indicates a hazardous situation witch, if not avoided, may result in death or
serious injury.
Indicates a hazardous situation which, if not avoided, may result in slight or
moderate injury, or property damage.
Indicates a request concerning an item that must be observed in order to
prevent damage or deterioration to the equipment and also to ensure effective
use.
Cautions of cautions shows the following graphics.
This mark means the corresponding item is "alerted".
This mark means the corresponding item is "prohibited".
This mark means the corresponding item is "required".
MN1-5856 rev.1 3
Introduction
About the F31
The F31 is intended to be used by doctors and other qualified personnel in fracture diagnostics
and hemodynamic diagnostics.
However, this equipment is not designed to be used in ophthalmic ultrasound diagnosis, as its
sound intensity is not compliant with ophthalmic restrictions established by the FDA.
Only physicians and other qualified personnel should operate this equipment for diagnostic
purposes. Read section 1-1 of the Safety Instruction manual.
1) PRECAUTIONS Concerning the Use/Management of the F31
• Do not disassemble, repair or remodel this equipment or optional features without our
consent.
NOTE: Disassemble is removing the parts or options from the equipment using
tools.
NOTE: Remodel is installing or connecting the unspecified parts or equipment,

including replacement of power cord.
• Assemble of the equipment or optional accessories shall be performed by our third party
certified. Please contact one of our offices listed on back cover.
NOTE: Assemble is installing and connecting the parts or optional accessories in
the main equipment using tools.
• Transporting this equipment (via automobile/ship) shall be performed by a third party

certified by the manufacturer. Please contact one of our offices listed on back cover.
• Please conduct routine cleaning and inspection of the equipment. Refer to Chapter 5 of the
Safety Instruction for details.
• Ensure that the output level of the scan conforms to the required duration of diagnosis.
• If any malfunction or abnormality is discovered during operation of the equipment, remove
the probe from the patient immediately and discontinue use. If any abnormality is observed
in the patient, provide proper care as quickly as possible. Refer to Chapter 4 of the Safety
Instructions for more information on dealing with the equipment appropriately. If the
malfunction is not listed in Chapter 4 of the Safety Instructions, contact one of our offices
listed on back cover.
2) PRECAUTIONS for the F31 Installation
This equipment is a medical electrical equipment that intended for use in hospitals,
research facilities. The equipment should be installed in accordance with the following
guidelines.
• Install in accordance with Chapter 3 of the Safety Instructions.

• Install in an environment that conforms to the operating environments indicated in section
2-2-1 of the Safety Instructions.
• Install in an environment that ensures electromagnetic compatibility, in accordance with
section 1-2-6 of the Safety Instructions, "Precautions Concerning the Maintenance of
Electromagnetic Compatibility," and Item 1-3, "Guidelines for Electromagnetic
compatibility."
4 MN1-5856 rev.1
Introduction
NOTE: The electromagnetic compatibility (EMC) is ability of device to function

satisfactorily in its electromagnetic environment without introducing intolerable
electromagnetic disturbance to anything in that environment.
Classification of F31
• Protection against electric shock (ME equipment): class I • ME equipment

• Protection Against Electric Shock (Applied Parts): Type BF Applied Parts
– Probe/scanner applied parts and parts treated as applied parts:

Refer to the following diagram (Probe/Scanner Pattern Diagram) and table.
B C A
connector
connector
C A
Fig. 1: Probe/Scanner Pattern Diagram
Above illustrates a surface/intraoperative probe. Below shows a coelomic probe.
Applicable part Parts treated as applied

of body Applied part parts B - C length
Surface of body Ultrasonic irradiation area (D) A to B 100 cm
Intraoperative Ultrasonic irradiation area (D) A to B 20 cm
Endocavity A to C A to C -
– ECG
The 2-meter length of the ECG cable extending from the ECG electrodes is treated as
applied part (see diagram below).
2 meters
ECG electrodes
connector
ECG patient lead

• Protection against electric shock (Defibrillation-proof applied parts): Not suitable
• Protection against harmful ingress of water or particulate matter
– equipment: IPX0 (Ordinary equipment)

– Probe applied part: IPX7 (Watertight equipment)
• Suitability for use in an oxygen rich environment: Not suitable
• Method (s) of sterilization: Not suitable for sterilization/disinfection with medicinal
solution, gas or radiation.
• Mode of operation: Continuous operation
MN1-5856 rev.1 5
Introduction
Terms used in the book
Example Method Intended

Press ENTER Press the specified switch on the operation panel Switches on the operation
(in the example, ENTER). panel (including the Rotary
Encoder)
Turn Rotary Encoder. Rotate a switch such as Rotary Encoder to the • Rotary Encoder
left and right. • Multi Gain
To the left: counterclockwise direction • B Gain
To the right:clockwise direction • DEPTH/ZOOM
Select Preset key Press the specified key (Preset in the example) Keyboard
on the keyboard.
Select Set-Up. 1 Using the trackball, move the pointer to the • Buttons or items on the
button (ex. Set-Up). screen
2 Press ENTER. • Thumbnails
• Toggle buttons
On:
Off:
• Radio buttons
On: , Off:
Check an item. 1 Using the trackball, move the pointer on the Check boxes
Remove the check. check box.
• Checked:
2 Press ENTER.
• Unchecked:
Select from a list. 1 Using the trackball, move the pointer on the Such as menu list
item of a list.
2 Press ENTER.
Select from a 1 Using the trackball, move the pointer to the . Pull-down list
pull-down list. 2 Press ENTER.
3 Using the trackball, move the pointer to the
item.
4 Press ENTER.
Preset (Basic Items in the parenthesis are hierarchy of preset Tree view on the
Measurement > indicated by the tree view. measurement preset
Measured Method &
1 Display the Measurement Preset ( → p.2-61).
Measurement Items
2 Move the pointer to a preset (ex. B.Mode)
> B.Mode)
indicated by Tree View.
3 Press ENTER.
NOTE: shows common notes.
PREREQUISITE: shows preparations or preset setup.
PRESET SETTINGS: shows preset items to setup
Output from equipment or messages on screen are described as message.
6 MN1-5856 rev.1
Contents
1 Preface
1-1 About the measurement of F31 ............................................................................................. 1-1

1-1-1 Measurement applications ......................................................................................................1-1
1-1-2 Flow of Measurement Operations ...........................................................................................1-2
1-1-3 Switches mainly used for measurement ..................................................................................1-3
1-1-4 Measurement screen ...............................................................................................................1-4
1-2 Switching study or application ................................................................................................ 1-6
1-2-1 Switching application ...............................................................................................................1-6
1-2-2 Switching a study ....................................................................................................................1-7
1-2-3 Switching to a study with a different application ......................................................................1-8
1-3 Selecting a measurement item .............................................................................................. 1-9
1-3-1 MEASUREMENT key (Measurement menu) ...........................................................................1-9
1-3-2 + button .................................................................................................................................1-10
1-3-3 Hot key ..................................................................................................................................1-10
1-4 Measurement method .......................................................................................................... 1-11
1-4-1 Caliper Method ......................................................................................................................1-12
1-4-1-1 If ENTER is selected in the Move on to next measurement with field ..............1-12
1-4-1-2 If ENTER & + is selected in the Move on to next measurement with field........1-12
1-4-2 Ellipse Method .......................................................................................................................1-13
1-4-3 B Trace Method .....................................................................................................................1-14
1-4-4 Circle Method ........................................................................................................................1-15
1-4-5 Doppler Trace Method ...........................................................................................................1-16
1-4-5-1 Doppler Manual Trace ......................................................................................1-16
1-4-5-2 Doppler Auto Trace...........................................................................................1-17
2 Basic Measurement
2-1 Basic measurement menu ..................................................................................................... 2-2

2-2 Method of Measurement ........................................................................................................ 2-6
2-2-1 B mode Measurement .............................................................................................................2-6
2-2-1-1 Distance measurement .......................................................................................2-6
2-2-1-2 Area and circumference length measurement ....................................................2-7
2-2-1-3 Volume measurement: Volume1/Volume2 .........................................................2-9
2-2-1-4 Angle measurement: Angle ..............................................................................2-15
MN1-5856 rev.1 7
2-2-1-5 General purpose index measurement: B.Index ................................................2-17
2-2-1-6 Histogram measurement: Histogram ................................................................2-18
2-2-1-7 Congenital dislocation of the hip joint measurement: Hip J Angle ....................2-20
2-2-2 M mode measurement ..........................................................................................................2-23
2-2-2-1 Length measurement: M.Length.......................................................................2-23
2-2-2-2 Time measurement: Time .................................................................................2-24
2-2-2-3 Heart Rate measurement: Heart Rate ..............................................................2-25
2-2-2-4 Velocity measurement: M.VEL .........................................................................2-26
2-2-2-5 General purpose index measurement: M.Index................................................2-27
2-2-3 D mode measurement ...........................................................................................................2-28
2-2-3-1 Time measurement: Time .................................................................................2-28
2-2-3-2 Heart Rate measurement: Heart Rate ..............................................................2-29
2-2-3-3 Velocity measurement: D.Velocity1 ..................................................................2-30
2-2-3-4 Velocity measurement: D.Velocity2 ..................................................................2-31
2-2-3-5 Acceleration (deceleration) measurement: ACCEL ..........................................2-32
2-2-3-6 Resistance Index measurement: RI..................................................................2-33
2-2-3-7 Pressure half time measurement: P1/2T ..........................................................2-34
2-2-3-8 Dop Caliper measurement: D.Caliper1, D.Caliper2 ..........................................2-35
2-2-3-9 General purpose index measurement: D.Index ................................................2-36
2-2-3-10 Mean velocity measurement: Mean VEL ..........................................................2-37
2-2-3-11 Pulsatility Index measurement: PI ....................................................................2-38
2-2-3-12 Stenosis flow measurement: Steno Flow..........................................................2-40
2-2-3-13 Regurgitation flow measurement: Regurg Flow................................................2-41
2-2-3-14 D. Trace measurement: D.Trace1, D.Trace2 ...................................................2-42
2-2-3-15 Real Time Doppler Auto Trace .........................................................................2-43
2-2-4 B/D mode ..............................................................................................................................2-47
2-2-4-1 FV (Artery) MnV................................................................................................2-47
2-2-4-2 FV (Artery) VTI..................................................................................................2-49
2-2-4-3 FV (Vein)...........................................................................................................2-50
2-2-4-4 Flow volume: SV/CO ........................................................................................2-51
2-2-5 B/Flow mode .........................................................................................................................2-52
2-2-5-1 Blood flow measurement: Flow Profile .............................................................2-52
2-2-6 Editing basic measurement results .......................................................................................2-55
2-2-6-1 Modifying basic measurement results and repeating measurements...............2-55
2-2-6-2 Deleting caliper marks ......................................................................................2-56
2-2-6-3 Transferring the basic measurement results to application measurements .....2-57
2-3 Preset ................................................................................................................................... 2-59
2-3-1 Displaying the preset .............................................................................................................2-61
2-3-1-1 Displaying the preset using the PRESET button ..............................................2-61
2-3-1-2 Selecting the preset from the measurement menu ...........................................2-63
2-3-2 Initializing the preset ..............................................................................................................2-64
2-3-3 Measurement settings: Create Measurement Tools .............................................................2-65
2-3-3-1 Measurement method and result display settings: Measured Method & Display
Items .................................................................................................................2-66
2-3-3-2 Caliper mark display settings: Caliper Mark Control .........................................2-68
2-3-3-3 Measurement result display unit settings: Unit Selection .................................2-70
2-3-3-4 Settings for caliper mark and measurement results display when the freeze is
canceled: Caliper Auto Off................................................................................2-71
2-3-3-5 Report display settings: Report Data ................................................................2-72
2-3-3-6 Measurement result display settings: Display Form .........................................2-74
8 MN1-5856 rev.1
2-3-3-7 User-defined index equation: User's Calculation ..............................................2-76
2-3-4 Study Assignment .................................................................................................................2-84
2-3-4-1 Measurement study registration and display settings: Study Assignment ........2-85
2-3-4-2 Measurement menu settings: Menu Assign......................................................2-86
2-3-4-3 Report display Block settings: Combined Report Display.................................2-87
2-3-4-4 Transfer settings for basic measurement results: Transfer List Assign ............2-88
2-3-4-5 Operation guide message settings: Other ........................................................2-90
2-3-5 SW Assignment .....................................................................................................................2-91
2-3-5-1 Basic measurement menu settings: +Mark key Assignment ............................2-92
2-3-5-2 Hot key settings: Hot Key Assignment..............................................................2-93
2-3-5-3 Custom switch settings: Measure SW Assignment ..........................................2-94
2-4 References ........................................................................................................................... 2-95
2-4-1 Calculation .............................................................................................................................2-95
2-4-1-1 B mode .............................................................................................................2-95
2-4-1-2 M mode.............................................................................................................2-96
2-4-1-3 D mode .............................................................................................................2-96
2-4-1-4 B/D mode..........................................................................................................2-98
2-4-2 Terms and abbreviations .......................................................................................................2-99
3 Abdominal Measurement
3-1 Abdominal measurement overview ........................................................................................ 3-2

3-1-1 Abdominal measurement menu ..............................................................................................3-2
3-1-2 Abdominal measurement study ...............................................................................................3-4
3-1-2-1 Switching the Study ............................................................................................3-4
3-1-2-2 Switch the study using a different application .....................................................3-4
3-2 Measurement methods .......................................................................................................... 3-5
3-2-1 B mode ....................................................................................................................................3-5
3-2-1-1 Gallbladder measurement ..................................................................................3-5
3-2-1-2 GB Wall-T measurement ....................................................................................3-6
3-2-1-3 CBD (Common Bile Duct) measurement ............................................................3-6
3-2-1-4 Liver measurement .............................................................................................3-7
3-2-1-5 Pancreas measurement......................................................................................3-8
3-2-1-6 P-Duct measurement ..........................................................................................3-9
3-2-1-7 Renal Volume measurement ............................................................................3-10
3-2-1-8 Spleen measurement........................................................................................3-11
3-2-1-9 Rate of % Stenosis measurement ....................................................................3-12
3-2-1-10 SOL (Space Occupying Lesions) measurement...............................................3-14
3-2-1-11 Blood vessel diameter measurement ...............................................................3-15
3-2-2 D mode ..................................................................................................................................3-16
3-2-2-1 Measurement of abdominal region arterial blood flow ......................................3-17
3-2-2-2 Measurement of the portal vein and shunt blood flow ......................................3-20
3-2-3 B/D mode ..............................................................................................................................3-22
3-2-3-1 FV(Vein) Abdom measurement ........................................................................3-22
3-2-3-2 FV(Artery) Ab MnV measurement ....................................................................3-24
3-2-3-3 FV(Artery)Ab VTI measurement .......................................................................3-25
3-3 Report .................................................................................................................................. 3-26
MN1-5856 rev.1 9
3-3-1 Displaying reports ..................................................................................................................3-27
3-3-1-1 Displaying reports .............................................................................................3-27
3-3-1-2 Information blocks displayed in a report ...........................................................3-28
3-3-1-3 Displaying the graph .........................................................................................3-31
3-3-1-4 Displaying the blood flow waveform .................................................................3-32
3-3-1-5 Attaching an ultrasound image .........................................................................3-34
3-3-1-6 Displaying past reports .....................................................................................3-36
3-3-2 Editing reports .......................................................................................................................3-37
3-3-2-1 Entering comments ...........................................................................................3-37
3-3-2-2 Entering findings ...............................................................................................3-38
3-3-2-3 Editing the measurement results ......................................................................3-39
3-3-3 Outputting reports ..................................................................................................................3-40
3-3-3-1 Printing..............................................................................................................3-40
3-3-3-2 Outputting reports to a PC ................................................................................3-42
3-3-3-3 Outputting reports as a CSV file .......................................................................3-43
3-3-3-4 Creating a DICOM SR file.................................................................................3-44
3-4 Preset ................................................................................................................................... 3-45
3-4-1 Abdom Preset ........................................................................................................................3-47
3-4-1-1 Create Measurement Tools ..............................................................................3-47
3-4-1-2 Study Assignment .............................................................................................3-53
3-4-1-3 SW Assignment ................................................................................................3-55
3-5 References ........................................................................................................................... 3-56
3-5-1 Calculation .............................................................................................................................3-56
3-5-2 Clinical References ...............................................................................................................3-57
3-5-2-1 D mode measurement ......................................................................................3-57
4 Urological Measurement
4-1 Urological measurement overview ......................................................................................... 4-2

4-1-1 Urological measurement menu ...............................................................................................4-2
4-1-2 Urological measurement study ................................................................................................4-3
4-2-1 B mode ....................................................................................................................................4-5
4-2-1-1 PSA Volume measurement ................................................................................4-5
4-2-1-2 PRS Slice Volume measurement .......................................................................4-7
4-2-1-3 Seminal Vesicles measurement .........................................................................4-9
4-2-1-4 Bladder Volume measurement .........................................................................4-10
4-2-1-5 Testicle Volume measurement .........................................................................4-11
4-2-1-6 Renal Volume measurement ............................................................................4-12
4-2-1-7 Cortex Thickness measurement .......................................................................4-13
4-2-1-8 Adrenal measurement ......................................................................................4-14
4-2-2 D mode ..................................................................................................................................4-15
4-2-2-1 Renal Artery measurement ...............................................................................4-16
4-2-2-2 UroDop measurement ......................................................................................4-17
10 MN1-5856 rev.1
4-3 Report .................................................................................................................................. 4-19
4-3-2 Editing reports .......................................................................................................................4-26
4-3-3-1 Printing with a local printer................................................................................4-31
4-4 Preset ................................................................................................................................... 4-35
4-4-1 Urology Preset .......................................................................................................................4-37
4-4-1-3 SW Assignment ................................................................................................4-43
4-5 References ........................................................................................................................... 4-44
4-5-1 Calculation .............................................................................................................................4-44
4-5-2-1 B mode .............................................................................................................4-45
4-5-2-2 D mode .............................................................................................................4-46
4-5-3 Abbreviation ..........................................................................................................................4-47
5 Small Parts Measurement
5-1 Superficial organ measurement overview .............................................................................. 5-2

5-1-1 Small Parts Measurement Menu .............................................................................................5-2
5-1-2 Superficial organ measurement study .....................................................................................5-3
5-2-1 B mode ....................................................................................................................................5-4
5-2-1-1 Lesion Breast measurement ...............................................................................5-4
5-2-1-2 D/W ratio measurement ......................................................................................5-5
5-2-1-3 NT distance measurement..................................................................................5-6
5-2-1-4 Thyroid Volume measurement............................................................................5-7
5-2-1-5 Isthmus Thickness measurement .......................................................................5-8
5-2-2 D mode ....................................................................................................................................5-9
5-2-2-1 BreDop measurement or ThyDop measurement ................................................5-9
5-3 Report .................................................................................................................................. 5-12
MN1-5856 rev.1 11
5-3-2 Editing reports .......................................................................................................................5-19
5-4 Preset ................................................................................................................................... 5-30
5-4-1 Small Parts Preset .................................................................................................................5-31
5-4-1-3 SW Assignment ................................................................................................5-37
5-5 References ........................................................................................................................... 5-38
5-5-1 Calculation .............................................................................................................................5-38
5-5-1-1 Clinical References ...........................................................................................5-38
5-5-1-2 Abbreviation......................................................................................................5-39
6 Gynecological Measurement
6-1 Gynecological measurement overview .................................................................................. 6-2

6-1-1 Gynecological measurement menu .........................................................................................6-2
6-1-2 Gynecological measurement Study .........................................................................................6-3
6-2-1 B mode ....................................................................................................................................6-5
6-2-1-1 Uterus measurement ..........................................................................................6-5
6-2-1-2 Endom-T measurement ......................................................................................6-6
6-2-1-3 Cervix measurement...........................................................................................6-7
6-2-1-4 Ovary measurement ...........................................................................................6-8
6-2-1-5 Follicles measurement........................................................................................6-9
6-2-1-6 Follicles Volume measurement.........................................................................6-11
6-2-1-7 Bladder Volume measurement .........................................................................6-12
6-2-2 D mode ..................................................................................................................................6-13
6-2-2-1 Uterine Artery, Ovarian Artery ..........................................................................6-14
6-2-2-2 GynDop measurement......................................................................................6-16
6-3 Report .................................................................................................................................. 6-18
6-3-2 Editing reports .......................................................................................................................6-24
12 MN1-5856 rev.1
6-3-2-2 Entering the Anatomy Check List .....................................................................6-26
6-4 Preset ................................................................................................................................... 6-35
6-4-1 GYN Preset ...........................................................................................................................6-36
6-4-1-3 SW Assignment ................................................................................................6-42
6-5 References ........................................................................................................................... 6-43
6-5-1 Calculation .............................................................................................................................6-43
6-5-2 Anatomy Check List ..............................................................................................................6-43
6-5-3-1 B mode .............................................................................................................6-44
6-5-3-2 D mode .............................................................................................................6-45
6-5-4 Abbreviation ..........................................................................................................................6-46
7 Obstetrical Measurement
7-1 Obstetrical measurement overview ........................................................................................ 7-2

7-1-1 Obstetrical measurement menu ..............................................................................................7-2
7-1-1-1 GA measurement menu......................................................................................7-4
7-1-1-2 FW measurement menu .....................................................................................7-7
7-1-1-3 Fetus Ratio measurement menu ........................................................................7-7
7-1-2 Obstetrical measurement Study ..............................................................................................7-8
7-2 Measurement methods ........................................................................................................ 7-10
7-2-1 Examination on multiplets .....................................................................................................7-10
7-2-1-1 Switching the fetal code: Measurement menu ..................................................7-11
7-2-1-2 Switching the fetal code: Hot keys ....................................................................7-11
7-2-1-3 Multiplets measurement result display..............................................................7-12
7-2-2 B mode ..................................................................................................................................7-13
7-2-2-1 GA (Gestational week) measurement...............................................................7-13
7-2-2-2 FW (Fetal weight) measurement ......................................................................7-17
7-2-2-3 Fetus Ratio measurement ................................................................................7-20
7-2-2-4 Amniotic Fluid Index (AFI) measurement .........................................................7-22
7-2-2-5 AF Pocket measurement, AFV measurement ..................................................7-24
7-2-2-6 CTAR measurement, CTR measurement.........................................................7-25
7-2-2-7 Nuchal Translucency (NT) auto measurement .................................................7-26
7-2-2-8 Cervix measurement.........................................................................................7-28
7-2-3 M mode .................................................................................................................................7-29
7-2-3-1 FHR (Fetal heart rate) measurement................................................................7-29
MN1-5856 rev.1 13
7-2-3-2 LV Function measurement................................................................................7-30
7-2-4 D mode ..................................................................................................................................7-32
7-2-4-1 Arterial blood flow measurement ......................................................................7-33
7-2-4-2 OBDop measurement .......................................................................................7-35
7-2-4-3 PLI (Preload Index) measurement ....................................................................7-37
7-2-4-4 LVOT Flow measurement, RVOT Flow measurement .....................................7-38
7-3 Report .................................................................................................................................. 7-39
7-3-2 Editing reports .......................................................................................................................7-49
7-3-2-3 Entering the Anatomy Check List .....................................................................7-52
7-3-2-4 Entering the Biophysical Profile Scoring (BPP Scoring) ...................................7-55
7-3-2-5 Entering Amnio/CVS examination results .........................................................7-56
7-4 Preset ................................................................................................................................... 7-63
7-4-1 OB Preset ..............................................................................................................................7-65
7-4-1-3 SW Assignment ................................................................................................7-74
7-5 References ........................................................................................................................... 7-75
7-5-1 Calculation .............................................................................................................................7-75
7-5-1-1 B mode .............................................................................................................7-75
7-5-1-2 M mode.............................................................................................................7-77
7-5-1-3 D mode .............................................................................................................7-77
7-5-3 Biophysical Profile Scoring (BPP Scoring) ............................................................................7-79
7-5-3-1 Criteria for Scoring Biophysical Variables According to Vintzelios ...................7-79
7-5-3-2 Biophysical profile scoring According to Manning and Coworkers ...................7-80
7-5-4 Clinical reference and Tables ................................................................................................7-81
7-5-4-1 GA Tables.........................................................................................................7-81
7-5-4-2 FW growth table (Normal Range) ...................................................................7-114
7-5-4-3 Interval Growth Rate Table.............................................................................7-116
7-5-4-4 Fetal Ratio Tables...........................................................................................7-118
7-5-4-5 AFI Tables ......................................................................................................7-120
7-5-4-6 RI, PI tables by Gestational Age (RI, PI range tables)....................................7-121
7-5-4-7 Other clinical references .................................................................................7-123
7-5-5 Abbreviation ........................................................................................................................7-126
14 MN1-5856 rev.1
8 Cardiac Measurement
8-1 Overview of cardiology measurement functions .................................................................... 8-2

8-1-1 Cardiology Measurement Menu .............................................................................................. 8-2
8-1-2 Cardiology measurement Study ..............................................................................................8-7
8-2-1 B mode ....................................................................................................................................8-9
8-2-1-1 Left ventricle function measurements ...............................................................8-10
8-2-1-2 Cardiac mass measurement: LV Mass .............................................................8-24
8-2-1-3 Right ventricular diameter measurement: RVD ................................................8-25
8-2-1-4 Left atrial-Aortic valve measurement: LA/AO....................................................8-26
8-2-1-5 Measurement of myocardium thickness ratio, and measurement of systolic wall
thickness change: Ratio....................................................................................8-27
8-2-1-6 Mitral valve area measurement: MVA, AVA .....................................................8-28
8-2-1-7 Inferior vena cava measurement: IVC measurement .......................................8-29
8-2-1-8 Left atrial volume measurement: LA Volume, Right atrial volume measurement: RA
Volume..............................................................................................................8-30
8-2-2 M mode .................................................................................................................................8-34
8-2-2-1 Left ventricle function measurements: Pombo, Teichholz, Gibson ...................8-34
8-2-2-2 Mitral valve measurement: Mitral Valve ............................................................8-36
8-2-2-3 Tricuspid valve measurement: Tricuspid Valve ................................................8-37
8-2-2-4 Pulmonary valve measurement: Pulmonary Valve ...........................................8-38
8-2-2-5 Left atrial-Aortic valve measurement: LA/AO....................................................8-39
8-2-2-6 IVC measurement: IVC.....................................................................................8-40
8-2-2-7 Asynchrony measurement ................................................................................8-41
8-2-3 D mode ..................................................................................................................................8-42
8-2-3-1 D mode measurements for aortic valve ............................................................8-42
8-2-3-2 D mode measurements for pulmonary valve ....................................................8-48
8-2-3-3 D mode measurements for mitral valve ............................................................8-52
8-2-3-4 D mode measurements for Tricuspid valve ......................................................8-58
8-2-3-5 Proximal isovelocity surface area measurement: PISA ....................................8-61
8-2-3-6 Pulmonary vein flow measurement: PV Flow ...................................................8-63
8-2-3-7 TDI PW measurement ......................................................................................8-64
8-2-3-8 Coronary measurement ....................................................................................8-68
8-2-3-9 Asynchrony measurement ................................................................................8-71
8-3 Report .................................................................................................................................. 8-77
8-3-2 Editing reports .......................................................................................................................8-83
8-3-2-2 Specifying the measured coronary artery regions ............................................8-84
8-3-3-1 Printing..............................................................................................................8-87
MN1-5856 rev.1 15
8-4 Preset ................................................................................................................................... 8-92
8-4-1 Cardio Preset ........................................................................................................................8-93
8-4-1-2 Study Assignment ...........................................................................................8-100
8-4-1-3 SW Assignment ..............................................................................................8-102
8-5 References ......................................................................................................................... 8-103
8-5-1 Calculation ...........................................................................................................................8-103
8-5-1-1 B mode ...........................................................................................................8-103
8-5-1-2 M mode...........................................................................................................8-106
8-5-1-3 D mode ...........................................................................................................8-108
8-5-2 Clinical References .............................................................................................................8-111
8-5-2-1 LV Volumes ....................................................................................................8-111
8-5-2-2 LA (RA) Volumes ............................................................................................8-112
8-5-2-3 Index ...............................................................................................................8-113
8-5-2-4 Doppler Index .................................................................................................8-113
8-5-2-5 Asynchrony Study ...........................................................................................8-114
8-5-2-6 Trans M Flow, PV Flow...................................................................................8-114
8-5-2-7 Other...............................................................................................................8-115
8-5-3 Abbreviation ........................................................................................................................8-118
9 Vascular Measurement
9-1 Vascular measurement overview ........................................................................................... 9-2

9-1-1 Vascular measurement menu .................................................................................................9-2
9-1-2 Vascular measurement Study .................................................................................................9-4
9-1-2-1 Switching between left and right of the study .....................................................9-4
9-1-2-2 Switching a study................................................................................................9-5
9-2-1 B mode ....................................................................................................................................9-6
9-2-1-1 Stenosis Percentage Measurements ..................................................................9-6
9-2-1-2 mean-IMT measurement ....................................................................................9-8
9-2-1-3 CmeanIMT (IMT Auto) measurement ...............................................................9-10
9-2-1-4 max-IMT measurement.....................................................................................9-12
9-2-1-5 max-IMT measurement: IMT Auto measurement .............................................9-14
9-2-2 D mode ..................................................................................................................................9-16
9-2-2-1 Carotid artery blood flow examination (Carotid Artery Study)...........................9-17
9-2-2-2 Upper and lower extremity artery examination: Lwr Extr A, Upr Extr A ............9-20
9-2-2-3 Upper and lower extremity venous blood flow examination: Lwr Extr V Study, Upr
Extr V Study......................................................................................................9-23
9-2-2-4 Trans cranial Doppler examination: TCD Study ...............................................9-26
9-3 Report .................................................................................................................................. 9-29
16 MN1-5856 rev.1
9-3-1-3 Displaying the blood flow waveform .................................................................9-35
9-3-2 Editing reports .......................................................................................................................9-40
9-3-3-1 Printing..............................................................................................................9-46
9-4 Preset ................................................................................................................................... 9-51
9-4-1 Vascular Preset .....................................................................................................................9-52
9-4-1-3 SW Assignment ................................................................................................9-60
9-5 References ........................................................................................................................... 9-61
9-5-1 Calculation .............................................................................................................................9-61
9-5-3-1 B mode .............................................................................................................9-64
9-5-3-2 D mode .............................................................................................................9-65
MN1-5856 rev.1 17
18 MN1-5856 rev.1
Chapter contents
8-1 Overview of cardiology measurement functions

8-2 Measurement methods
8-3 Report
8-4 Preset
8-5 References
This chapter describes the device settings based on the assumption that they are on the factory
default settings.
MN1-5856 rev.1 8-1

8-1-1 Cardiology Measurement Menu
The following measurement menu and items are available for cardiology measurement.
Table 8-1: B mode LV Volume

Measurement
name Menu Measurement items
Left Ventricular Simpson (Disc) LVL4d LVLA4d LVL2d LVLA2d
function
LVL4s LVLA4s LVL2s LVLA2s
measurement
HR EDV ESV
SV CO EF BSA
SVI COI AreaEF4 AreaEF2
%difD %difS
Area-Length LVLd LVLAd LVLs LVLAs
HR EDV ESV
SV CO EF BSA
SVI COI AreaEF
BP-Ellipse LVLd LVLAd LVSAMVd LVSLMVd
LVLs LVLAs LVSAMVs LVSLMVs
HR EDV ESV
SV CO EF BSA
SVI COI AreaEF
Bullet LVLd LVSAPMd LVLs LVSAPMs
HR EDV ESV
SV CO EF BSA
SVI COI AreaEF
M-Simpson LVLd LVSAMVd LVSAPMd
LVLs LVSAMVs LVSAPMs
HR EDV ESV
SV CO EF BSA
SVI COI AreaEF
8-2 MN1-5856 rev.1

Measurement
Left Ventricular Pombo LVIDd LVIDs HR EDV
function Teichhholz ESV SV CO EF
measurement
Gibson RVDd RVDs IVSd IVSs
LVPWd LVPWs %IVSTF %PWTF
IVS/LVPW BSA SVI COI
FS LVM LVM/BSA mFS
Table 8-2: Other measurements in B mode

Measurement
Left ventricular LV Mass Aepi Aend LVLd thick
mass LVM/BSA
LVM
measurement
Right RVD RVAWd RVAWs RVDd RVDs
Ventricular
Diameter
measurement
Left Atrial LA/AO LADs AODd LA/AO
Diameter/Aortic LADd AODs
root Diameter
measurement
Myocardial wall Ratio IVSd LVPWd IVS/LVPW
thickness ratio IVSs LVPWs LVIDd
measurements
%IVSTF %PWTF
LVM BSA LVM/BSA
Valve area MVA MVA a-axis b-axis
measurement
(mitral valve)
Valve area AVA AVA a-axis b-axis
measurement
(Aortic Valve)
IVC IVC Insp Exp %Collapse
measurement
Left Atrial LA Volume LAL4s LALA4s LAL2s LALA2s
Volume (Simpson) LAvol/BSA
LA Vol. %difS
measurement
LA Volume LAL4s LALA4s LAL2s LALA2s
(Area-Length) LA Vol. %difS LAvol/BSA
MN1-5856 rev.1 8-3

Measurement
Right Atrial RA Volume RAL4s RALA4s RAL2s RALA2s
Volume (Simpson) RAvol/BSA
RA Vol. %difS
measurement
RA Volume RAL4s RALA4s RAL2s RALA2s
(Area-Length) RA Vol. %difS RAvol/BSA
Table 8-3: M mode

Measurement
Left Ventricular Pombo LVIDd LVIDs HR EDV
function Teichhholz ESV SV CO EF
measurement
Gibson RVDd RVDs IVSd IVSs
LVPWd LVPWs %IVSTF %PWTF
IVS/LVPW BSA SVI COI
FS MVCF ET
LVM LVM/BSA mFS
Left Atrial LA/AO LADs AODd LA/AO
Diameter/Aortic LADd AODs AVDs
root Diameter
measurement
Mitral Valve Mitral V C-E amp C-A amp E-F slop EPSS
measurement A/E E/A
Tricuspid Valve Tricuspid V C-E amp C-A amp D-E amp
measurement A/E
E-F slop D-E slop E/A
Pulmonary Pulmonary V A wave amp E-F slop B-C slop B-C amp
Valve
measurement
Inferior Vena IVC Insp Exp %Collapse
Cava
measurement
Asynchrony Asynchrony SPWMD T1 T2 T3
measurement
Table 8-4: D mode

Measurement
Measurements for aortic valve
Left ventricular LVOT Flow VTI LVOT SV HR
out MPG
CO pV PG MnV
measurement
PEP ET PEP/ET AccT AccT/ET
Qp/Qs BSA SVI COI
8-4 MN1-5856 rev.1

Measurement
Aortic stenosis AS Flow pV PG MnV MPG VTI
flow
CSA LVOT VTI(LVOT) AVA
measurement
Aortic AR Flow pV PG MnV MPG P1/2T
regurgitant flow
measurement
PISA AR Vol. PISA PISA RAdius FR EROA RV
measurement
RF Angle
Measurements for Mitral Valve
Trans Mitral Trans M Flow eV aV AVE EPG APG
flow MnV MPG IRT AccT DecT
measurement
E/A P1/2T MVA VTI Edur
Adur LVDFT RR LVDFT/RR

Mitral stenosis MS Flow pV PG MnV MPG P1/2T
flow FlowT
MVA
measurement
Mitral MR Flow pV PG MnV MPG dP/dt
regurgitant flow FlowT
measurement
PISA MR Vol. PISA PISA RAdius FR EROA RV
measurement
RF Angle
Measurements for Pulmonary Valve
Right RVOT Flow VTI CSA(LVOT) SV HR
ventricular MPG
CO pV PG MnV
outflow tract
PEP ET PEP/ET AccT AccT/ET
measurement
Qp/Qs BSA SVI COI
Pulmonary PS Flow pV PG MnV MPG
stenosis flow
measurement
Pulmonary PR Flow pV PG MnV MPG
regurgitant flow
measurement
PISA PR Vol. PISA PISA RAdius FR EROA RV
measurement
RF Angle
Measurements for tricuspid valve
Tricuspid TS Flow pV PG MnV MPG P1/2T
stenosis flow FlowT
measurement
MN1-5856 rev.1 8-5

Measurement
Tricuspid TR Flow pV PG MnV MPG dP/dt
regurgitant flow FlowT RVSP RAP
measurement
(Select dP/dt for view to display the following items.)
PG1 V1 PG2 V2
PISA TR Vol. PISA PISA Radius FR EROA RV
measurement
RF Angle
Other measurements
Pulmonary vein PV Flow PVS PVD PVA S/D PVAdur
flow SF S-VTI D-VTI
DecT
measurement
TDI PW TDI PW MA Sm1 sMnV Sm2 Em Am
measurement TDI PW1 dMnV Em/Am E/Em RIVRT RIVCT
TDI PW2 time Vel1 Vel2 AccT ACC
Coronary pLAD(Rest), S D pDSVR S-MnV D-MnV
measurement pLAD(Peak), mDSVR S-VTI D-VTI D-AccT DDecT
dLAD(Rest),
VHT pCFVR mCFVR
dLAD(Peak),
RCA(Rest),
RCA(Peak),
LCX(Rest),
LCX(Peak),
C.A.1(Rest),
C.A.1(Peak),
C.A.2(Rest),
C.A.2(Peak),
C.A.3(Rest),
C.A.3(Peak),
Graft(Rest),
Graft(Peak)
C.A.Stenosis Pre D-pV Steno D-pV Pre/Steno D-pV
Pre D-MnV Steno D-MnV Pre/Steno D-MnV
Asynchrony AV Asynchrony LVOFT RR LVOT/RR
measurement
InterV. Async. LVPEP RVPEP IMD
Time to Onset BS BL RV BP
Intra Inter Intra+Inter
Time to Peak A4CH BS BL MS ML
A2CH BI BA MI MA
ALAX BP BAS MP MAS
avg SD
8-6 MN1-5856 rev.1

8-1-2 Cardiology measurement Study
Cardiology measurement has the following studies:
• Cardiac Func : Cardiac function

• Coronary : Coronary artery
• TDI: TDI PW measurement
• Asynchrony: Asynchrony measurement
Measurement menu and report display vary depending on the selected study.
8-1-2-1 Switching the Study
You can switch the study using the current application.
1. Select MEASUREMENT key.

→ The measurement menu and hot key settings corresponding to the screen mode are
displayed.
2. Select the top of the measurement menu (current study name).
3. Select Study.
MN1-5856 rev.1 8-7

8-1-2-2 Switch the study using a different application

displayed.
2. Select Change Appl.
3. Select the desired application.
4. Select Study.
Menu display example: Changing from Basic in Abdomen

→ The screen switches to the study of the selected application.
8-8 MN1-5856 rev.1

This chapter explains the measurement method.
8-2-1 B mode
The following ultrasound image views are used in B mode.
Parasternal Long Axis View Short Axis view-Aortic-Level Right Ventricular View
Short Axis view-Mitral Level Short Axis view-Papillary Level
Apical Four Chamber View Apical Long Axis View Apical Two Chamber View
MN1-5856 rev.1 8-9

8-2-1-1 Left ventricle function measurements
These measurements enable you to evaluate the pumping performance of the left ventricle
function based on the blood flow volume during systole and the efficiency of the cardiac
function.
To evaluate the pumping function, accurate measurement of left ventricular volume is very
important.
• SV (stroke volume) and SVI

Blood volume ejected from the left ventricle during systole. It is expressed as the
difference in volume between the end diastole and end systole.
SVI is an SV value divided by the body surface area to correct for body size differences.
• EF (ejection fraction)
This is a ratio of SV in relation to the left ventricle end-diastolic volume.
• CO (cardiac output) and COI
Blood volume per minute ejected from the left ventricle to aorta.
COI is a CO value divided by the body surface area to correct for body size differences.
• FS (fractional shortening)
This value is calculated as the difference between the left ventricle end-diastolic diameter
and left ventricle end-systolic diameter, divided by the left ventricle end-diastolic
diameter, then expressed as a percentage.
The left ventricle function measurements are explained based on B/B (2B) mode. If you switch
to B/B mode after freezing in 1B mode, the same images from cine memory will be displayed.
You can search end diastole on one side and end systole on the other side.
8-10 MN1-5856 rev.1

Left ventricle function measurements: Area-Length
Use the Area-Length method to measure the left ventricular chamber area (LVLA) and left
ventricular long-axis length (LVL) on the apical two-chamber or four-chamber cross sectional
view.
Calculate indices such as LV volume, Stroke volume, Cardiac output, and Ejection fraction.
LVL
LVLA
4 Chamber View
The Area-Length method for measuring the left ventricular chamber area includes two
modes:Auto, which requires you to assign three points of both annulus and left ventricular
long-axis length; and Manual, which traces the left ventricular chamber. To use the
Area-Length method, navigate the preset to Create Measurement Tools > Application
Measurement > Measured Method & Display Items > B.Mode, then select Area-Length.
1. Display end-diastolic and end-systolic images for the same cardiac cycle in B/B mode.
2. Select Measurement key.
3. Select Area-Length from the measurement menu.
4. Use the Area-Length method to trace left ventricular inner membrane on the
end-diastolic image.
→ LVLAd and LVLd lines are displayed.
5. Set the LVLd position using the trackball.
6. Press +.
7. Use the Area-Length method to trace the left ventricular inner membrane on the
end-systolic image.
→ LVLAd and LVLs are displayed.
8. Set the LVLs position using the trackball.
When the electrocardiogram is hidden
Press +, and enter the heart rate in the displayed dialog.
MN1-5856 rev.1 8-11

Measurement results
Area-Length
LVLd : mm : LV long-axis length (diastole)
LVLAd : cm2 : LV long-axis area (diastole)
LVLs : mm : LV long-axis length (systole)
LVLAs : cm2 : LV long-axis area (systole)
HR: BPM : Heart rate
EDV: ml : Left ventricular volume at end diastole
ESV: ml : Left ventricular volume at end systole
SV: ml : Stroke volume
CO: l/m : Cardiac output
EF: % : Ejection fraction
Reference:
Volume1/Volume2 measurement: Area-Length method → p.2-10
Simpson (Disc) measurement
Use the Area-Length method to measure the left ventricular chamber area (LVLA) and left
ventricular long-axis length (LVL) on the apical four-chamber and two-chamber views. The left
ventricular volume (EDV, ESV) is calculated as the sum of 20 elliptical disks orthogonal to the
left ventricular long axis.
LVL4 LVL2
H=LVL4/20
H=LVL2/20
ai bi
4chamber View 2Champber View
The Area-Length method for measuring the left ventricular chamber area includes two modes:
Auto, which requires you to assign three points of both annulus and left ventricular long-axis
length; and Manual, which traces the left ventricular chamber. To use the Area-Length method,
navigate the preset to Create Measurement Tools > Application Measurement >
Measured Method & Display Items > B.Mode, then select Simpson (Disc).
1. Display end-diastolic and end-systolic images on the apical four-chamber view for the
same cardiac cycle in B/B mode.
2. Select Measurement key, and select Simpson (Disc) from the measurement menu.
8-12 MN1-5856 rev.1

3. Measure the left ventricular chamber area (LVLA4d) and left ventricular long-axis length
(LVL4d) on the end-diastolic image.
a Use the Area-Length method to trace the left ventricular inner membrane.
→ LVLA4d is displayed, and the LVL4d line is displayed.
b Set the left ventricular long-axis length (LVL4d) using the trackball.
4. Measure the left ventricular chamber area (LVLA4s) and left ventricular long-axis length
(LVL4s) on the end-systolic image.
a Press ENTER.
b Use the Area-Length method to trace the left ventricular inner membrane.
→ LVLA4s is displayed, and the LVL4s line is displayed.
c Set the left ventricular long-axis length (LVL4s) using the trackball.
5. Display end-diastolic and end-systolic images of the apical two-chamber cross section
for the same cardiac cycle in B/B mode.
a Press FREEZE.
b Display end-diastolic and end-systolic images of the apical two-chamber cross section for
the same cardiac cycle in B/B mode.
c Press FREEZE.
d Press +.
6. Measure the left ventricular chamber area (LVLA2d) and left ventricular long-axis length
(LVL2d) on the end-diastolic image in the same way as step 4.
7. Measure the left ventricular chamber area (LVLA2s) and left ventricular long-axis length
(LVL2s) on the end-systolic image in the same way as step 4.
MN1-5856 rev.1 8-13

Measurement results
Simpson(Disc)
LVL4d: . mm : Left ventricular long-axis diameter of the apical four-chamber cross
section (end diastole)
LVLA4d: : Left ventricular long-axis area of the apical four-chamber cross
. cm2
LVL4s: . mm : Left ventricular long-axis diameter of the apical four-chamber cross
section (end systole)
LVLA4s: : Left ventricular long-axis area of the apical four-chamber cross
. cm2
LVL2d: . mm : Left ventricular long-axis diameter of the apical two-chamber cross
LVLA2d: : Left ventricular long-axis area of the apical two-chamber cross section
(end diastole)
. cm2
LVL2s: . mm : Left ventricular long-axis diameter of the apical two-chamber cross
LVLA2s: : Left ventricular long-axis area of of the apical two-chamber cross
. cm2
%difD: % : Displacement of the end-diastolic left ventricular long-axis length

(LVL4d and LVL2d)
%difS: % : Displacement of the end-systolic left ventricular long-axis length
(LVL4s and LVL2s)
If %difD and %difs are higher than 20%, it is possible that the cardiac apical cross section is
not rendered correctly. In this case, the instrument will display the left ventricular volume
(EDV, ESV) as ***ml. Render the apical image properly, then measure again.
Reference:
8-14 MN1-5856 rev.1

BP-Ellipse measurement
Measure the left ventricular chamber area (LVLA) and left ventricular long-axis length (LVL) on
the apical two-chamber or four-chamber cross sectional view. Also, measure the left ventricular
short-axis area (LVSAMV) and left ventricular short-axis diameter (LVSLMV) on the left
ventricular short-axis view (at the mitral valve).
Using these measurements, calculate indices such as LV volume, Stroke volume, Cardiac
output, and Ejection fraction.
Measured position
LVLA LVL LVSAMV
(Apical four-chamber (Apical two-chamber cross (Left ventricular short-axis view (mitral
cross section) section) valve level))
1. Display end-diastolic and end-systolic images of the apical two-chamber or

four-chamber cross section for the same cardiac cycle in B/B mode.
3. Select BP-Ellipse from the measurement menu.
4. Measure the left ventricular chamber area (LVLAd) and left ventricular long-axis length
(LVLd) on the end-diastolic image.
a Use the Area-Length method to trace the left ventricular inner membrane on the
end-diastolic image.
→ When the trace is closed, the LVLd is displayed.
b Set the LVLd position using the trackball.
5. Measure the left ventricular chamber area (LVLAs) and left ventricular long-axis length
(LVLs) on the end-diastolic image.
a Press ENTER.
b Use the Area-Length method to trace the left ventricular inner membrane on the
end-systolic image.
→ When the trace is closed, the LVLs line is displayed.
c Set the LVLs position using the trackball.
MN1-5856 rev.1 8-15

6. Display end-diastolic and end-systolic images of the left ventricular short-axis view (at
the mitral valve) for the same cardiac cycle in B/B mode.
a Press FREEZE.
b Display end-diastolic and end-systolic images of the left ventricular short-axis view (at the
mitral valve) for the same cardiac cycle in B/B mode.
c Press FREEZE.
7. Measure the left ventricular short-axis area (LVSAMVd) and left ventricular short-axis
diameter (LVSLMVd) on the end-diastolic image.
a Use the Area-Length method to trace the left ventricular inner membrane starting from the
vicinity of the posterior commissure.
→ When the trace is closed, the LVSLMVd line is displayed.
b Set the LVSLMVd position using the trackball.
8. Measure the left ventricular short-axis area (LVSAMVs) and left ventricular short-axis
diameter (LVSLMVs) on the end-systolic image.
a Press ENTER.
b Use the Area-Length method to trace the left ventricular inner membrane starting from the
vicinity of the posterior commissure.
→ When the trace is closed, the LVSLMVs line is displayed.
c Set the LVSLMVs position using the trackball.

8-16 MN1-5856 rev.1

Measurement results
BP-Ellipse
LVLd: . mm : LV long-axis length (diastole)
LVLAd: : LV long-axis area (diastole)
. cm2
LVSAMVd: : LV sax area at Mitral valve (diastole)
. cm2
LVSLMVd: : LV sax length at Mitral valve (diastole)
. mm
LVLs: . mm : LV long-axis length (systole)
LVLAs: : LV long-axis area (systole)
. cm2
LVSAMVs: : LV sax are at Mitral valve (systole)
. cm2
LVSLMVs: : LV sax length at Mitral valve (systole)
. mm
Reference:
MN1-5856 rev.1 8-17

Modified Simpson measurement
Measure the left ventricular long-axis length (LVL) on the apical two-chamber or four-chamber
cross section, measure the left ventricular short-axis area (LVSAMV) on the left ventricular
short-axis view (at the mitral valve level), and measure the left ventricular short-axis area
(LVSAPM) on the left ventricular short-axis view (at the papillary muscle level).
Measured position
LVL LVSAMV LVSAPM
(Apical two-chamber (Left ventricular short-axis view (Left ventricular short-axis view
cross section) (mitral valve level)) (papillary muscle level))

3. Select M-Simpson from the measurement menu.
4. Measure the left ventricular long-axis length (LVL).
a Measure the left ventricular long-axis length (LVLd) on the end-diastolic image.
b Measure the left ventricular long-axis length (LVLs) on the end-systolic image.
5. Measure the left ventricular short-axis area (LVSAMV) on the left ventricular short-axis
view (at the mitral valve level).
a Press FREEZE.
mitral valve) for the same cardiac cycle in B/B mode.
c Press FREEZE.
d Press +.
e Measure the left ventricular chamber area (LVSAMVd) along the left ventricular inner
membrane on the end-diastolic image.
f Measure the left ventricular chamber area (LVSAMVs) along the left ventricular inner
membrane on the end-systolic image.
8-18 MN1-5856 rev.1

6. Measure the left ventricular short-axis area (LVSAPM) on the left ventricular short-axis
view (at the papillary muscle level).
a Press FREEZE.
papillary muscle level) for the same cardiac cycle in B/B mode.
c Press FREEZE.
d Press +.
e Measure the left ventricular chamber area (LVSAPMd) along the left ventricular inner
f Measure the left ventricular chamber area (LVSAPMs) along the left ventricular inner

Measurement results
M.Simpson
LVSAMVd: : LV sax area at Mitral valve (diastole)
. cm2
LVSAPMd: : Left ventricular short-axis area at papillary muscle (diastole)
. cm2
LVSAMVs: : LV sax area at Mitral valve (systole)
. cm2
LVSAPMs: : Left ventricular short-axis area at papillary muscle (systole)
. cm2
Reference:
Caliper Method → p.1-12
B Trace Method → p.1-14
MN1-5856 rev.1 8-19

Bullet measurement
Measure the left ventricular long-axis length (LVL) on the apical two-chamber or four-chamber
cross section, and measure the left ventricular short-axis area (LVSAPM) on the left ventricular
short-axis view (at the papillary muscle level).
Measured position
LVL LVSAPM
(Apical two-chamber cross (Left ventricular short-axis view

section) (papillary muscle level))

3. Select Bullet from the measurement menu.
4. Measure the left ventricular long-axis length (LVL).
a Measure the left ventricular long-axis length (LVLd) on the end-diastolic image.
b Measure the left ventricular long-axis length (LVLs) on the end-systolic image.
5. Measure the left ventricular short-axis area (LVSAPM) on the left ventricular short-axis
view (at the papillary muscle level).
a Press FREEZE.
papillary muscle level) for the same cardiac cycle in B/B mode.
c Press FREEZE.
d Press +.
e Measure the left ventricular chamber area (LVSAPMd) along the left ventricular inner
f Measure the left ventricular chamber area (LVSAPMs) along the left ventricular inner

8-20 MN1-5856 rev.1

Measurement results
Bullet
LVSAPMd: : Left ventricular short-axis area at papillary muscle (diastole)
. cm2
LVSAPMs: : Left ventricular short-axis area at papillary muscle (systole)
. cm2
Reference:
MN1-5856 rev.1 8-21

Left ventricle function measurements: Pombo, Teichhholz, Gibson
Measure the interventricular septal thickness (IVS), left ventricle internal diameter (LVID), and
left ventricle posterior wall thickness (LVPW) on the left ventricular long-axis view (left sternal
border).
a
IVS
c
LVID
e
LVPW
g
By estimating the left ventricular length based on the left ventricle internal diameter, and
assuming that LV is rotating ellipsoid, calculate indices such as LV volume, Stroke volume,
Cardiac output, and Ejection fraction.
Follow the steps below to perform the measurement using the Pombo, Teichhholz, or Gibson
method.
1. Display an end-diastolic image of the left ventricular long-axis view (left sternal border).
3. Select Pombo, Teichhholz, or Gibson from the measurement menu.
4. Measure the interventricular septal thickness (IVSd), left ventricle internal diameter
(LVIDd), and left ventricle posterior wall thickness (LVPWd) on the end-diastolic
image.
a Move the caliper mark to the start point of IVSd.
b Press Enter.
c Move the caliper mark to the end point of IVSd.
d Press Enter.
e Move the caliper mark to the end point of LVIDd.
f Press Enter.
g Move the caliper mark to the end point of LVPWd.
5. Press TBF.
6. Display an end-systolic image of the left ventricular long-axis view (left sternal border).
7. Press TBF.
8-22 MN1-5856 rev.1

8. Measure the interventricular septal thickness (IVSs), left ventricle internal diameter
(LVIDs), and left ventricle posterior wall thickness (LVPWs) on the end-systolic image.
a Press +.
b Move the caliper mark to the start point of IVSs.
c Press Enter.
d Move the caliper mark to the end point of IVSs.
e Press Enter.
f Move the caliper mark to the end point of LVIDs.
g Press Enter.
h Move the caliper mark to the end point of LVPWs.

Measurement results
Teichiholz : Selected measurement menu
IVSd: . mm : Interventricular Septal Thickness (diastole)
LVIDd: . mm : LV internal diameter
LVPWd: . mm : LV Posterior Wall Thickness (diastole)
IVSs: . mm : Interventricular Septal Thickness (systole)
LVIDs: . mm : LV internal diameter
LVPWs: . mm : LV Posterior Wall Thickness (systole)
FS: % : Fractional shortening
mFS: % : midwall FS
midwall FS is used to evaluate shrinkage ability for hypercardia. To display this index, navigate
the preset to Create Measurement Tools > Application Measurement > Measured
Method and Display Items > B.Mode.
Reference:
MN1-5856 rev.1 8-23

8-2-1-2 Cardiac mass measurement: LV Mass
Measure the epicardial area (Aepi) and the endocardial area (Aend) on the left ventricle
short-axis view (at the papillary muscle level); and measure the left ventricle long-axis length
(LVLd) on the apical two-chamber or four-chamber cross section, to calculate (LVM).
Aend
LVLd
Aepi
Measured position
1. Display an end-diastolic image of the left ventricular short-axis view (at the papillary
muscle level).
3. Select LV Mass from the measurement menu.
4. Using the Trace method, measure the endocardial area (Aepi).
While paying attention to the structural region of the right ventricle side, trace the inside
border of the very bright region.
5. Using the Trace method, measure the endocardial area (Aend).
Exclude papillary muscle and trabeculae carneae from tracing.
6. Display an end-diastolic image of the apical two-chamber or four-chamber cross section.
a Press FREEZE.
b Display an end-diastolic image of the apical two-chamber of four-chamber cross section in
B/B mode.
c Press FREEZE.
d Press +.
7. Using the Caliper method, measure the left ventricular long-axis length (LVLd).
Measurement results
LV Mass(AL)
LVM: . g : Left ventricular Mass
Aepi . cm2 : Epicardial Area
Aend . cm2 : Endocardial Area
LVLd: . mm : Left ventricular Long-axis Length at end diastole
8-24 MN1-5856 rev.1

Reference:
8-2-1-3 Right ventricular diameter measurement: RVD
Measure the size of the right ventricle (RVDd) from the left ventricle long-axis cross-section at
the left edge of the sternum.
1. Display an end-diastolic image of the left ventricular long-axis cross section (left sternal
border).
3. Select RVD from the measurement menu.
4. Using the Caliper method, measure the right ventricular diameter (RVD).
Measurement results
RVD
RVDd: . mm : Right ventricular diameter (diastole)
Reference:
MN1-5856 rev.1 8-25

8-2-1-4 Left atrial-Aortic valve measurement: LA/AO
Measure the aortic diameter (AODd) and the left atrial diameter (LADs) on the left ventricular
long-axis cross section (left sternal border), and obtain the ratio (LA/AO).
AOD
LAD
Measured position
1. Display end-diastolic and end-systolic images of the left ventricular long-axis (left
sternal border) image for the same cardiac cycle in B/B mode.
3. Select LA/AO from the measurement menu.
4. Measure the aortic diameter (AODd) on the end-diastolic image.
5. Measure the left atrial diameter (LADs) on the end-systolic image.
Measurement results
LA/AO
LADs: . mm : Left Atrial Diameter at end systole
AODd: . mm : Aortic root Diameter at end diastole
LA/AO: : LA/AO ratio
Reference:
8-26 MN1-5856 rev.1

8-2-1-5 Measurement of myocardium thickness ratio, and measurement of systolic wall

thickness change: Ratio
Measure the interventricular septum (IVS) and also the left ventricular posterior wall thickness
(LVPW) from the left ventricle long-axis cross section at the left edge of the sternum to
calculate the ratio of the interventricular septum versus left ventricular posterior wall thickness
(IVS/LVPW).
IVS
LVPW
Measured position
1. Display an end-diastolic image of the left ventricular long-axis view (left sternal border).
3. Select Ratio from the measurement menu.
4. Measure the left ventricular posterior wall thickness (LVPWd) on the end-diastolic
image.
5. Measure the interventricular septum (IVSd) on the end-diastolic image.
→ The ratio of the interventricular septum versus left ventricular posterior wall thickness
(IVS/LVPW) is displayed.
Measurement results
Ratio
IVS/LVPW: : The ratio of the interventricular septum versus left ventricular

posterior wall thickness
To calculate the ratio of the systolic wall thickness change (%IVFTF and %PWTF), navigate
the preset to (Create Measurement Tools > Application Measurement > Measured
Method & Display Items > B.Mode), then select Ratio to specify the measurement items to
be displayed.
Once you measure the end-diastolic and end-systolic LVPW and IVS of the left ventricular
long-axis (left sternal border) image for the same cardiac cycle, the ratio of the systolic wall
thickness change is displayed.
Reference:
MN1-5856 rev.1 8-27

8-2-1-6 Mitral valve area measurement: MVA, AVA
For AVA, obtain the area of the aortic valve orifice from the sax cross-section at the aortic valve
level (the aortic base at the left edge of the sternum).
For MVA, obtain the area of the mitral valve orifice from the sax cross-section at the mitral valve
level.
1. Zoom in on the target cross section.

3. From the measurement menu, select AVA for the area of the aortic valve orifice, and
select MVA for the area of the mitral valve orifice.
4. Using the Trace method, trace the inner circumference of the valve.
Measurement results
AVA : Measurement name (Aortic valve area measurement)
AVA: . cm2 : Aortic valve area
Reference:
8-28 MN1-5856 rev.1

8-2-1-7 Inferior vena cava measurement: IVC measurement
The Collapse Index is obtained with the measurement of vena cava inferior diameters at the time
of inspiration and exhalation.
IVC
Measured position
1. Record images of the inferior vena cava at exhalation and inspiration time.
2. Display the image of IVC at inspiration time.
4. Select IVC from the measurement menu.
5. Using the Caliper method, measure the inferior vena cava diameter at inspiration time.
6. Press TBF to display the image at the time of exhalation.
7. Press TBF.
8. Press +.
9. Using the Caliper method, measure the inferior vena cava diameter at exhalation time.
→ Once you measure the inferior vena cava diameters at the time of inspiration and
exhalation, Collapse Index is displayed.
Measurement results
IVC
Insp: . mm : Vena cava inferior diameter at inspiration time
Exp: . mm : Vena cava inferior diameter at exhalation time
%Collapse:
% : Collapse Index
Reference:
MN1-5856 rev.1 8-29

8-2-1-8 Left atrial volume measurement: LA Volume, Right atrial volume measurement: RA
Volume
Measure the left or right atrial areas (LALAs or RALAs) and left or right atrial diameter (LALs
or RALs) from the end-systolic apical two-chamber and four-chamber cross sections to
calculate the left or right atrial volume (LA vol. or RA vol.). There are two measurement
methods: Area-Length and Simpson.
Measurement using the Area-Length method
1. Display the apical four-chamber cross section at end systole.

3. Select the measurement menu.
• To measure the LA volume, select LA Vol.(AL).
• To measure the RA volume, select RA Vol.(AL).
4. Trace the left or right atrial cavity.

a Move the + mark to the annulus and press ENTER.
b Trace in the direction of the pulmonary vein.
c Trace to the other annulus, and then press ENTER.
→ The left or right atrial diameter line (LAL4s or RAL4s) is displayed.

d Set LAL4s or RAL4s.
8-30 MN1-5856 rev.1

5. Display the apical two-chamber cross section at end systole.

a Press FREEZE.
b Display the apical two-chamber cross section at end systole.
c Press FREEZE.
d Press +.
6. Measure the left or right atrial areas on the end-systolic apical two-chamber cross section
while referring to step 5.
Measurement results
LAvol.(AL)
LAL4s: . mm : Left Atrial Long-axis Length at end systole on ap 4ch view
LALA4s: . cm2 : Left Atrial Long-axis Area at end systole on ap 4ch view
LAvol: ml : Left Atrial Volume
%difS: % : Percentage difference between the left atrial dimensions found from
the 4ch view and the 2ch view
Reference:
Left ventricle function measurements: Area-Length → p.8-11
MN1-5856 rev.1 8-31

Measurement using the Simpson method
1. Display the apical four-chamber cross section at end systole.

3. Select LA Vol.(Simpson) or RA Vol.(Simpson) from the measurement menu.
• To measure the LA volume, select LA Vol.(Simpson).
• To measure the RA volume, select RA Vol.(Simpson).
4. Trace the left or right atrial cavity.

a Move the + mark to the annulus and press ENTER.
b Trace in the direction of the pulmonary vein.
c Trace to the other annulus, and then press ENTER.
→ The left or right atrial diameter line (LAL4s or RAL4s) is displayed.

d Set LAL4s or RAL4s.
5. Display the apical two-chamber cross section at end systole.

a Press FREEZE.
b Display the apical two-chamber cross section at end systole.
c Press FREEZE.
d Press +.
6. Measure the left or right atrial areas on the end-systolic apical two-chamber cross section
while referring to step 5.
8-32 MN1-5856 rev.1

Measurement results
LAvol.Simpson
LAvol: ml : Left Atrial Volume
%difS: % : Percentage difference between the left atrial dimensions found from
the 4ch view and the 2ch view
Reference:
Simpson (Disc) measurement → p.8-12
MN1-5856 rev.1 8-33

8-2-2 M mode
8-2-2-1 Left ventricle function measurements: Pombo, Teichholz, Gibson
Measure the interventricular septal thickness (IVS), left ventricle internal diameter (LVID), and
left ventricle posterior wall thickness (LVPW) on the left ventricle M mode cardiac echo
diagram recorded from the left ventricular long-axis view (at the left sternal border).
Calculate indices such as LV volume, Stroke volume, Cardiac output, and Ejection fraction.
Follow the steps below to perform the measurement using the Pombo, Teichhholz, or Gibson
method.
1. Record a left ventricle M mode cardiac echo diagram from the left ventricle long-axis
view (at the left sternal border).
Position the cursor on line A (as shown in the figure) on the left ventricular long-axis view
(left sternal border).
A
3. Select Pombo, Teichhholz, or Gibson from the measurement menu.
(LVIDd), and left ventricle posterior wall thickness (LVPWd) at end diastole.
a
IVS
c
LVID
e
LVPW
g
I II I II
a Move the caliper mark to the start point of end-diastolic IVSd.

b Press ENTER.
c Move the caliper mark to the end point of IVSd.
d Press ENTER.
e Move the caliper mark to the end point of LVIDd.
f Press ENTER.
g Move the caliper mark to the end point of LVPWd.
h Press ENTER.
8-34 MN1-5856 rev.1

(LVIDd), and left ventricle posterior wall thickness (LVPWd) at end systole.
a Move the caliper mark to the start point of end-systolic IVSs.
b Press ENTER.
c Move the caliper mark to the end point of IVSs.
d Press ENTER.
e Move the caliper mark to the end point of LVIDs.
f Press ENTER.
g Move the caliper mark to the end point of LVPWs.
6. (If an ECG is not displayed), enter the heart rate in the displayed dialog.
Measurement results
Teichholz : Selected measurement menu
LVIDd: . mm : LV internal diameter
IVSs: . mm : Interventricular Septal Thickness (systole)
LVIDs: . mm : LV internal diameter
LVPWs: . mm : LV Posterior Wall Thickness (systole)
FS: % : Fractional shortening
mFS: % : midwall FS
midwall FS is used to evaluate shrinkage ability for hypercardia. To display this index, navigate
the preset to Create Measurement Tools > Application Measurement > Measured
Method and Display Items > B.Mode.
Heart Rate measurement: Heart Rate → p.2-25
MN1-5856 rev.1 8-35

8-2-2-2 Mitral valve measurement: Mitral Valve
Measure the mobility of the mitral valve apex.
Cursor position: M mode cardiac echo diagram

Line B on the left ventricle
long-axis view (left sternal
EPSS
border) E
A
D F B
C
C
B ECG
1. Record an M mode cardiac echo diagram of the mitral valve from the left ventricle
long-axis view (left sternal border).
3. Select Mitral V from the measurement menu.
4. Move the Caliper mark to the C point and press ENTER.
5. Move the Caliper mark to the E point and press ENTER.
6. Move the Caliper mark to the A point and press ENTER.
7. Move the Caliper mark to the F point and press ENTER.
8. Measure EPSS using the Caliper method.
Measurement results
Mitral V
C-Eamp:
mm : C-E amplitude
C-Aamp:
mm : C-A amplitude
E-Fslop:
mm/s : E-F slope
EPSS: mm : E point Septal Se E-point Septal Separation
A/E: : A wave/E wave
E/A: : A wave/E wave
8-36 MN1-5856 rev.1

8-2-2-3 Tricuspid valve measurement: Tricuspid Valve
Measure the mobility of the tricuspid valve apex.
Cursor position: Schematic M mode cardiac echo diagram

Left ventricular short-axis image (aortic
E-F Slope
valve level)
E
A
D F B
C
C
1. Record an M mode cardiac echo diagram of the tricuspid valve from the left ventricular
short-axis view (aortic valve level).
3. Select Tricuspid V from the measurement menu.
4. Move the Caliper mark to the C point and press ENTER.
5. Move the Caliper mark to the D point and press ENTER.
6. Move the Caliper mark to the E point and press ENTER.
7. Move the Caliper mark to the F point and press ENTER.
8. Move the Caliper mark to the A point and press ENTER.
Measurement results
Tricuspid V
C-Eamp: mm : C-E amplitude
C-Aamp: mm : C-A amplitude
E-Fslop: mm/s : Tricuspid valve E-F slope
D-Eslop: mm/s : Tricuspid valve D-E slope
D-Eamp: mm : D-E amplitude
A/E: . : A wave/E wave
E/A: . : A wave/E wave
MN1-5856 rev.1 8-37

8-2-2-4 Pulmonary valve measurement: Pulmonary Valve
Measure the mobility of the pulmonary valve apex.
Cursor position: Schematic M mode cardiac echo diagram

Left ventricular short-axis image (aortic
valve level) e-f Slope
b-c Slope
b-c a
1. Record an M mode cardiac echo diagram of the tricuspid valve from the end-diastolic left
ventricle long-axis view (the left sternal border).
3. Select Pulmonary V from the measurement menu.
4. Move the Caliper mark to the a point and press ENTER.
5. Move the Caliper mark to the b point and press ENTER.
6. Move the Caliper mark to the c point and press ENTER.
7. Move the Caliper mark to the e point and press ENTER.
8. Move the Caliper mark to the f point and press ENTER.
Measurement results
Pulmonary V
A wave amp:
mm : A wave amplitude
E-Fslop:
mm/s : Pulmonary Valve B-C slope
B-Cslop:
mm/s : Pulmonary valve E-F slope
B-Camp: mm : B-C amplitude
8-38 MN1-5856 rev.1

8-2-2-5 Left atrial-Aortic valve measurement: LA/AO
Measure the aortic root diameter at end-diastole (AODd) and the left atrial diameter (LADs),
and obtain the ratio between the (LA/AO).
Cursor position: Line C on the left ventricle Schematic M mode cardiac echo diagram
long-axis view (left sternal border) (as
shown in the figure below)
AODd AODs
AVDs
LADd LADs
1. Record an M mode cardiac echo diagram of the aortic valve from the left ventricle
long-axis view (left sternal border).
3. Select LA/AO from the measurement menu.
4. Measure AODd at left ventricular end diastole.
5. Measure LADs at left ventricular end systole.
Measurement results
LA/AO
LADs: mm : Left atrial diameter (systole)
AODd: mm : Aortic root diameter (diastole)
AVDs: mm : Aortic valve diameter (systole)
LA/AO: : LADs/AODd
MN1-5856 rev.1 8-39

8-2-2-6 IVC measurement: IVC
The Collapse Index is obtained with the measurement of vena cava inferior diameters at the
time of inspiration and exhalation.
Expiration Inspiration
IVC
Measured position
1. Record M mode images of the inferior vena cava at exhalation and inspiration time.
3. Select IVC from the measurement menu.
4. Using the Caliper method, measure the inferior vena cava diameter at inspiration time.
5. Using the Caliper method, measure the inferior vena cava diameter at exhalation time.
→ Once you measure the inferior vena cava diameters at the time of inspiration and
exhalation, Collapse Index is displayed.
Measurement results
IVC
Insp: . mm : Vena cava inferior diameter at inspiration time
Exp: . mm : Vena cava inferior diameter at exhalation time
%Collapse:
% : Collapse Index
8-40 MN1-5856 rev.1

8-2-2-7 Asynchrony measurement
Display the image of the left ventricular short-axis view (at the papillary muscle) on M mode,
then measure the septal-to posterior wall motion delay (SPWMD).
B/M mode Schematic M mode cardiac echo diagram
You can select this measurement from Asynchrony Study.
1. Record an M mode image of the left ventricular short-axis cross sectional view (at the
papillary muscle level).
Set the Sweep Speed value for capturing images to at least 100 mm/sec.
3. Select IntraV. Asynch. from the measurement menu.
4. Measure SPWMD.
a Move the caliper mark to the phase in which the interventricular septal is most contracted,
then press ENTER.
b Move the caliper mark to the phase of the maximal inward movement of the posterior wall,
then press ENTER.
Measure the time difference in other regions.

Navigate the preset to Create Measurement Tools > Application Measurement > Measured
Method & Display Items > M.Mode, then to Intraventricular Asynchrony, and add T1, T2, T3
as measurement items. You can assign names to T1, T2, T3.
Measurement results
Intrav.Async.
SPWMD: ms : Septal to posterior wall motion delay
MN1-5856 rev.1 8-41

8-2-3 D mode
Keep the following notes in mind while taking measurements in D mode:
• When you record an arterial flow Doppler waveform (pulse method) than the Cardiac,
set the Doppler incident angle as small as possible. If the Doppler incident angle exceeds
60 degrees, the blood velocity measurement error increases.
• When measuring the blood velocity using multiple blood flow waveform images, use
identical recording conditions (forward and reverse flow directions) for all of the blood
flow waveforms. The device will record blood velocity values as real numbers, but will
not display positive and negative symbols (+/-).
In particular, if you have set the device to display the measured values as an average in
the reports (that is, you have navigated the preset to Create Measurement Tools >
Application Measured Methods & Display Items > Report Data, and set Display
Data to Average), the device may display different values.
8-2-3-1 D mode measurements for aortic valve
Left ventricular outflow tract flow measurement: LVOT Flow
Measure the velocity time integral (VTI) and left ventricular outflow tract diameter (LVOT)
from the left ventricular outflow tract flow velocity waveform at systole, then calculate the
ejection volume.
Apical long-axis view Schematic left ventricular ejection blood velocity

waveform
Methods to detect the peak flow velocity point (Flow Velocity) include Doppler Trace method
(Auto, Manual), and Point method. To detect the point, navigate the preset to Application
Measurement > Measured Methods & Display Items > D.Mode, then select LVOT Flow.
1. Record the left ventricular ejection flow velocity waveform.

8-42 MN1-5856 rev.1

3. Select LVOT Flow from the measurement menu.

4. Detect the peak flow velocity point (Flow Velocity) of the left ventricular outflow tract
flow waveform.
Using the Doppler Trace in Auto or Manual mode
Perform measurement using the Doppler Trace Method.
Using the Point method
Move the caliper mark to the peak flow velocity point, then press ENTER.
5. If the ECG is not displayed, measure the heart rate (HR) for a single heartbeat.
6. Display the systolic long-axis cross section at the left sternal border.
a Press FREEZE.
b Display the systolic long-axis cross section at the left sternal border.
When increasing the measurement accuracy
Enlarging the flow path.
c Press FREEZE.
d Press +.
7. Calculate the outflow path diameter (CSA(LVOT)) using the Caliper method.
→ The flow path cross-sectional area (CSA) is calculated on the assumption that the outflow
path diameter is the diameter of a complete circle.
Measurement results
LVOT Flow
pV: cm/s : Peak velocity
PG: mmHg : Peak pressure gradient
MnV: cm/s : Mean velocity*
VTI: cm : Velocity-time integral*
LVOT: cm : Left ventricular outflow tract
CSA: cm2 : Cross-sectional area
SV: ml : Stroke volume*
CO: l/m : Cardiac output*
Qp/Qs: : Qp/Qs ratio* (Displayed when both the LVOT Flow and RVOT Flow
have beenmeasured)
Values with an asterisk (*) are displayed when Flow Velocity is measured using the Doppler
Trace method.
Reference:
Doppler Trace Method → p.1-16
MN1-5856 rev.1 8-43

Aortic stenosis flow measurement: AS Flow
Obtain the peak velocity (pV), peak pressure gradient (PG), mean pressure gradient (MPG),
and aortic valve area (AVA) from the aortic stenosis flow velocity waveform.
Apical long-axis view Schematic left ventricular ejection blood

velocity waveform
A: Aortic stenosis flow waveform

B: Left ventricular outflow tract flow waveform
Methods to detect peak flow velocity point (Max.Velocity) include Doppler Trace method
(Auto, Manual), and Point method. To detect the points, navigate the preset to Application
Measurement > Measured Methods & Display Items > D.Mode, then select AS Flow.
1. Record the aortic stenosis blood velocity waveform in CW mode.

3. Select AS Flow from the measurement menu.
4. Detect the maximum blood flow velocity point (Max.Velocity) of the aortic stenosis
flow.
Use the Doppler Trace to trace the aortic stenosis blood velocity waveform.
→ The peak flow velocity point is displayed.
5. Adjust the peak flow velocity point using the trackball.
6. Calculate the aortic valve area (AVA).
a Using the Doppler Trace method, measure the peak flow velocity point (LVOT Flow) of
the left ventricular outflow tract flow waveform.
b Calculate the outflow path diameter (CSA(LVOT)) using the Caliper method.
8-44 MN1-5856 rev.1

Measurement results
AS Flow
MPG: mmHg : Mean pressure gradient*
VTI: cm : Velocity-time integral*
LVOT: cm : Left ventricular outflow tract (Displayed when LVOT Flow is

measured.)
CSA: cm2 : Cross-Sectional Area (Displayed when CSA(LVOT) is measured.)
VTI(LVOT): : Velocity-time integral (Displayed when LVOT Flow and
cm CSA(LVOT) are measured.)
AVA: cm2 : Aortic valve area* (Displayed when LVOT Flow and CSA(LVOT)
are measured.)
Values with an asterisk (*) are displayed when Max.Velocity is measured using the Doppler
Trace method.
Reference:
Left ventricular outflow tract flow measurement: LVOT Flow → p.8-42
MN1-5856 rev.1 8-45

Aortic Regurgitation flow measurement: AR Flow
Obtain the peak velocity (pV), peak pressure gradient (PG), and so on, from the aortic
regurgitation velocity waveform.
Apical long-axis view Schematic aortic regurgitation flow velocity

waveform

P1/2T line
Methods to detect maximum flow velocity point (Max.F.Trace) include Doppler Trace method
Measurement > Measured Methods & Display Items > D.Mode, then select AR Flow.
1. Record the aortic regurgitation blood velocity waveform in CW mode.

3. Select AR Flow from the measruement menu.
4. Detect the maximum flow velocity point (Max.F.Trace) of the aortic regurgitation flow.
Use the Doppler Trace to trace the aortic regurgitation blood velocity waveform.
6. Measures the pressure half time (P1/2T).
Pressure half time measurement
If the detection mode for the pressure half time (P1/2T) has been set to Caliper, or Max.F.Trace
has been set for the Point method, use the Caliper method to take measurements.
If Max.F.Trace has been set for the Doppler Trace method (Auto or Manual), the measurement
will be displayed in step 4 (Max.F.Trace detection).
8-46 MN1-5856 rev.1

Measurement results
AR Flow
P1/2T: ms : Velocity time integral for the aortic regurgitation flow
Values with an asterisk (*) are displayed when Max.F.Trace is measured using the Doppler
Trace method.
Reference:
Pressure half time measurement: P1/2T → p.2-34
MN1-5856 rev.1 8-47

8-2-3-2 D mode measurements for pulmonary valve
Right ventricular ejection blood flow measurement: RVOT Flow
Measure the velocity time integral (VTI) and right ventricular outflow tract diameter (LVOT)
from the right ventricular outflow tract flow velocity waveform at systole, then calculate the
ejection volume.
Left ventricular short-axis image (aortic Schematic right ventricular ejection blood velocity
valve level) waveform
Methods to detect the peak flow velocity point (Flow Velocity) include Doppler Trace method
(Auto, Manual), and Point method. To detect the points, navigate the preset to Application
Measurement > Measured Methods & Display Items > D.Mode, then select RVOT Flow.
1. Record the blood flow waveform in the right ventricle outflow tract.
3. Select RVOT Flow from the measurement menu.
4. Detect the peak flow velocity point (Flow Velocity) of the right ventricular ejection
blood velocity waveform.
Use the Doppler Trace method to trace the right ventricular ejection blood velocity waveform.
5. If the ECG is not displayed, measure the heart rate (HR) for a single heartbeat.
6. Display the cross section of the systolic right ventricular outflow path.
a Press FREEZE.
b Display the cross section of the systolic right ventricular outflow path.
When increasing the measurement accuracy
Enlarging the flow path.
c Press FREEZE.
d Press +.
8-48 MN1-5856 rev.1

7. Calculate the outflow path diameter (CSA(LVOT) using the Caliper method.
Measurement results
RVOT Flow
pV: . cm/s : Peak velocity
PG: . mmHg : Peak pressure gradient
MnV: . cm/s : Mean velocity*
VTI: . cm : Velocity-time integral*
RVOT: . cm : Right ventricular out tract diameter
CSA: . cm2 : Right ventricular outflow tract area
SV: . ml : Stroke volume*
HR: . BPM : Heart rate
CO: . l/m : Cardiac output*
Qp/Qs: . : Qp/Qs ratio (Displayed when both the LVOT Flow and RVOT Flow
have been measured.
Values with an asterisk (*) are displayed when Flow Velocity is measured using the Doppler
Trace method.
Reference:
Left ventricular outflow tract flow measurement: LVOT Flow → p.8-42
MN1-5856 rev.1 8-49

Pulmonary valve stenosis flow measurement: PS Flow
Obtain the peak flow velocity (pV), the peak pressure gradient between valves (PG), the mean
pressure gradient, (MPG), and the aortic valve area (AVA) from the pulmonary valve stenosis
blood velocity waveform.
Left ventricular short-axis image Schematic pulmonary stenosis blood velocity waveform
(aortic valve level)
Measurement > Measured Methods & Display Items > D.Mode, then select PS Flow.
1. Record the pulmonary stenosis blood velocity waveform on the CW mode.

3. Select PS Flow from the measurement menu.
4. Detect the maximum flow velocity point (Max.Velocity) of the pulmonary stenosis flow.
Use the Doppler Trace to trace the pulmonary stenosis blood velocity waveform.
Measurement results
PS Flow
MnV: cm/s : Max.Velocity*
Trace method.
Reference:
8-50 MN1-5856 rev.1

Pulmonary regurgitation flow measurement: PR Flow
Obtain the peak velocity (pV), peak pressure gradient (PG), and so on, from the pulmonary
regurgitation blood velocity waveform.
Left ventricular short-axis image Schematic pulmonary regurgitation blood velocity waveform
(aortic valve level)
Measurement > Measured Methods & Display Items > D.Mode, then select PR Flow.
1. Record the pulmonary regurgitation velocity waveform on the CW mode.

3. Select PR Flow from the measurement menu.
4. Detect the maximum flow velocity point (Max.F.Trace) of the pulmonary regurgitation
blood flow.
Use the Doppler Trace to trace the pulmonary regurgitation blood velocity waveform.
Measurement results
PR Flow
pV: cm/s : Peak Velocity
PG: 　 mmHg : Peak pressure gradient
MnV: 　 cm/s : Mean velocity*
MPG: 　 mmHg : Mean pressure gradient*
Trace method.
MN1-5856 rev.1 8-51

Reference:
8-2-3-3 D mode measurements for mitral valve
Left ventricular inflow measurement: Trans M Flow
Obtain each left ventricle inflow velocity (eV, aV), the maximum velocity ratio (E/A), E wave
deceleration time (DecT), and so on, from the left ventricle inflow velocity waveform.
To measure, position the sample volume at the tip of the mitral valve on the apical left ventricle
long-axis view or four-chamber view, and align the left ventricular inflow in parallel with the
ultrasound beam.
Apical long-axis view Schematic left ventricular inflow blood velocity

waveform
E
A
Methods for measuring (Trans M Flow) include Doppler Trace method (Auto, Manual), and
Point method. To detect the points, navigate the preset to Application Measurement >
Measured Methods & Display Items > D.Mode, then select Trans M Flow.
8-52 MN1-5856 rev.1

Measurement using the Doppler Trace method
1. Record the left ventricle inflow velocity waveform.

3. Select Trans M Flow from the measurement menu.
4. Use the Doppler Trace method to trace the left ventricular inflow blood velocity
waveform.
→ The traced waveform is displayed. Shows E on the traced waveform detected Mitral valve
E-wave peak velocity (eV). Shows A on the traced wave form detected Mitral valve
A-wave velocity (aV).
5. If necessary, adjust each detection position.
a Adjust the detection position of point E using the trackball.
b Press ENTER.
c Adjust the detection position of point A.
d Measure the deceleration time (DecT) of E wave using the Caliper method.
e Measures the pressure half time (P1/2T). using the Caliper method.
6. Using the Caliper method, measure the A wave duration (Adur).

→ If the PV Flow measurement result includes the PVA wave duration (PV Adur), the time
difference between PV Adur and Adur is displayed.
Measurement results
Trans M Flow
eV: cm/s : E wave peak velocity
aV: cm/s : A wave peak velocity
VTI: cm : Velocity Time integral
E/A: : E/A ratio
DecT: ms : Deceleration time
P1/2T: ms : Pressure half time
MVA: cm2 : Mitral valve area
Adur: ms : A-wave duration
PV Adur-Adur:
ms : PV Adur - Adur
Reference:
Acceleration (deceleration) measurement: ACCEL → p.2-32
Pulmonary vein flow measurement: PV Flow → p.8-63
MN1-5856 rev.1 8-53

Measurement using the Point method
1. Record the left ventricle inflow velocity waveform.

3. Select Trans M Flow from the measurement menu.
4. Move the Caliper mark to the E point (Mitral valve E-wave peak velocity (eV)) and press
ENTER.
E
A
5. Measure the deceleration time (DecT) of E wave using the Caliper method.
6. Using the Caliper method, move the caliper mark to the A point (Mitral valve A-wave
velocity (aV)), and then press ENTER.
7. Measures the pressure half time.
→ If the PV Flow measurement result includes the PVA wave duration (PV Adur), the time
difference between PV Adur and Adur is displayed.
Measurement results
Trans M Flow
eV: cm/s : E wave peak velocity
aV: cm/s : A wave peak velocity
E/A: : E/A ratio
DecT: ms : Deceleration time
MVA: cm2 : Mitral valve area
Adur: ms : A-wave duration
PV Adur-Adur:
ms : PV Adur - Adur
Reference:
Pulmonary vein flow measurement: PV Flow → p.8-63
8-54 MN1-5856 rev.1

Mitral stenosis flow measurement: MS Flow
Obtain the peak flow velocity (pV), the peak pressure gradient between valves (PG), the mean
pressure gradient, (MPG), and the mitral valve area (AVA) from the mitral stenosis blood
velocity waveform.
Apical long-axis view Schematic mitral stenosis blood velocity

waveform
P1/2T Line
(Auto, Manual), and Point method. To detect the point, navigate the preset to (Application
Measurement > Measured Methods & Display Items > D.Mode), then select MS Flow.
1. Record the mitral stenosis flow velocity waveform on the CW mode.

3. Select MS Flow from the measurement menu.
4. Detect the maximum flow velocity point (Max.Velocity) of the mitral stenosis flow.
Use the Doppler Trace to trace the mitral stenosis blood velocity waveform.
If the detection mode has been set to Point, use the Caliper method to measure the time.
will be displayed in step 4.
MN1-5856 rev.1 8-55

Measurement results
MS Flow
MnV: cm/s : Mean velocity* (measured using the Doppler Trace method)
MPG: mmHg : Mean pressure gradient* (measured using the Doppler Trace method)
P1/2T: ms : Pressure half time (measured using the Doppler Trace method)
MVA: cm2 : Mitral valve area (measured using the Doppler Trace method)
Trace method.
Reference:
Mitral regurgitation flow measurement: MR Flow
Obtain the peak velocity (pV), peak pressure gradient (PG), and so on, from the mitral
Apical long-axis view Schematic mitral regurgitation blood velocity

waveform
There are two methods to detect the maximum flow velocity point (Max.F.Trace): Doppler
Trace method (Auto, Manual); and Point method. To detect the point, navigate the preset to
(Application Measurement > Measured Methods & Display Items > D.Mode), then select
MR Flow.
If you plan to measure dP/dt, set dP/dt to ON after navigating the preset as mentioned above.
8-56 MN1-5856 rev.1

1. Record the mitral regurgitation velocity waveform on the CW mode.

When you measure dP/dt, set Sweep Speed to maximum to improve measurement
accuracy.
3. Select MR Flow from the measurement menu.
4. Detect the maximum flow velocity point (Max.F.Trace) of the mitral regurgitation flow.
Use the Doppler Trace to trace the mitral regurgitation blood velocity waveform.。
6. Measure dP/dt, if necessary.
a Move the caliper mark to the position of 1.09yd/s on the waveform, then press ENTER.
b Move the caliper mark to the position of 3m/s on the waveform, then press ENTER.
You can also measure dP/dt between any two points on the waveform.
Measurement results
MR Flow
dP/dt:
mmHg/s : dP/dt (if dP/dt is measured.)
PG1: mmHg : Pressure gradient at V1 (if dP/dt is measured.)
V1: cm/s : dP/dt measurement point 1 (if dP/dt is measured.)
PG2: mmHg : Pressure gradient at V2 (if dP/dt is measured.)
V2: cm/s : dP/dt measurement point 2 (if dP/dt is measured.)
dt: ms : Time difference between V1 and V2 (if dP/dt is measurement.)
Trace method.
Reference:
Dop Caliper measurement: D.Caliper1, D.Caliper2 → p.2-35
MN1-5856 rev.1 8-57

8-2-3-4 D mode measurements for Tricuspid valve
Tricuspid stenosis flow measurement: TS Flow
Obtain the peak flow velocity (pV), the peak pressure gradient between valves (PG), and the
mean pressure gradient (MPG) from the Tricuspid stenosis blood velocity waveform.
Apical four-chamber cross section Schematic Tricuspid stenosis blood velocity waveform
P1/2T Line
Measurement > Measured Methods & Display Items > D.Mode), then select TS Flow.
1. Record the tricuspid stenosis flow velocity waveform on the CW mode.

3. Select TS Flow from the measurement menu.
4. Detect the maximum flow velocity point (Max.Velocity) of the Tricuspid stenosis blood
flow.
Use the Doppler Trace to trace the Tricuspid stenosis blood velocity waveform.
If the detection mode has been set to Point, use the Caliper method to measure the time.
will be displayed in step 4.
8-58 MN1-5856 rev.1

Measurement results
TS Flow
MnV: cm/s : Mean velocity (measured using the Doppler Trace method)
MPG: mmHg : Mean pressure gradient
Reference:
Tricuspid regurgitation flow measurement: TR Flow
Obtain the peak velocity (pV), peak pressure gradient (PG), and so on, from the Tricuspid
Apical four-chamber cross section Schematic Tricuspid stenosis blood velocity waveform
Measurement > Measured Methods & Display Items > D.Mode), then select TR Flow.
If you plan to measure dP/dt, set dP/dt to ON after navigating the preset as mentioned above.
1. Record the tricuspid regurgitation velocity waveform on the CW mode.

When you measure dP/dt, set Sweep Speed to maximum to improve measurement
accuracy.
3. Select TR Flow from the measurement menu.
MN1-5856 rev.1 8-59

4. Detect the maximum blood flow velocity point (Max.F.Trace) of the Tricuspid
regurgitation blood flow.
Use the Doppler Trace to trace the Tricuspid regurgitation blood velocity waveform.
5. Set the right atrial pressure if necessary.
The factory default setting for the right atrial pressure is 10 mmHg.
a Press +.
→ The following dialog box is displayed.
b Input the right atrial pressure value from the keyboard, then press ENTER.
→ The right atrial pressure (RAP) and ventricular pressure (RVSP) is updated.
6. Measure dP/dt, if necessary.
a Move the caliper mark to the position of 1m/s on the waveform, then press ENTER.
b Move the caliper mark to the position of 3m/s on the waveform, then press ENTER.
You can also measure dP/dt between any two points on the waveform.
Measurement results
TR Flow
dP/dt:
mmHg/s : dP/dt (Displayed when dP/dt is measured.)
PG1: mmHg : Pressure gradient at V1 (Displayed if dP/dt is measured.)
V1: cm/s : dP/dt measurement point 1 (Displayed if dP/dt is measured.)
PG2: mmHg : Pressure gradient at V2 (Displayed if dP/dt is measured.)
V2: cm/s : dP/dt measurement point 2 (Displayed if dP/dt is measured.)
dt: ms : Time difference between V1 and V2 (Displayed if dP/dt is measured.)
RVSP: mmHg : Right Ventricular systolic pressure
RAP: mmHg : Time difference between V1 and V2 (if dP/dt is measurement.)
Trace method.
8-60 MN1-5856 rev.1

Reference:
Dop Caliper measurement: D.Caliper1, D.Caliper2 → p.2-35
8-2-3-5 Proximal isovelocity surface area measurement: PISA
When there is valve regurgitation, semi-spherical suction bloodstreams (acceleration flow) are
formed at the upstream of the regurgitation.The semi-spherical surface area is indicated as PISA
(Proximal Isovelocity Surface Area).
PISA measurement procedure

• Measure the radius r of semi-spherical-shaped aliasing area to obtain
the effective regurgitant orifice area (EROA).
• Obtain the quantity of regurgitant volume (RV) by tracing the
regurgitant blood flow waveform.
PISA
You can measure these for each valve. These measurements are mainly
used for mitral regurgitation.
1. Display the corresponding valve image in B/Flow mode.

a Record the corresponding region in B/Flow mode.
b Display the time phase frame in which the aliasing area (PISA) becomes maximum.
c Zoom in on the aliasing area.

3. Select the measurement menu.
• To measure at the mitral level, select MR Vol.PISA.
• To take measurements at the aortic level, select AR Vol.PISA.
• To take measurements at the Tricuspid level, select TR Vol.PISA.
• To take measurements at the pulmonary level, select PR Vol.PISA.
4. Measure PISA Radius.

r
a b
a Move the caliper mark to the center of the center of the regurgitation valve, and press
ENTER.
b Move the caliper mark to the aliasing point, then press ENTER.
→ FR (flow rate) and Vr (aliasing velocity at radius of flow convergence) are displayed.
c Using the trackball, align the line cursor with one side of PISA, then press ENTER.
MN1-5856 rev.1 8-61

r
c
a
d
d Using the trackball, align the line cursor with the other side of PISA, then press ENTER.
5. Trace the regurgitation blood velocity waveform on the CW mode.

a Record the regurgitation blood velocity waveform in D (CW) mode.
b Press the + button.
c Use the Doppler Trace to trace the regurgitation blood velocity waveform.
→ VTI, RV, and EROA are displayed.

6. Measure the regurgitant fraction (RF).
a For MR Vol.PISA, record the left ventricle inflow blood velocity waveform.
b Press +.
c Use the Doppler Trace method to trace the left ventricular inflow blood velocity waveform.
→ VTI (MV annu) and MV diam are displayed.
Measurement results
Example: MR Vol.PISA
MR Vol.PISA
RV: . ml : Regurgitant volume
EROA: . cm2 : Effective regurgitant orifice are
RF: . % : Regurgitant fraction
FR: . ml/s : Flow Rate
PISA r: mm : Radius of flow convergence
Vr: . cm/s : Aliasing velocity
Angle: ° : Angle
VTI(MR):
. cm : Velocity time integral
pV: . cm/s : Peak Velocity
VTI(MVannu):
. cm : Velocity time integral (M Vannu)
MVdiam: . mm : MV diamer
SV: . ml : Stroke Volume
Reference:
8-62 MN1-5856 rev.1

8-2-3-6 Pulmonary vein flow measurement: PV Flow
Measure the S-wave (systolic anterograde wave), D-wave (diastolic anterograde wave), and
A-wave (atrial systolic retrograde wave) from the pulmonary vein blood flow waveform to
calculate indexes such as S/D ratio or deceleration time (DecT) that are useful indicators of left
ventricular diastolic dysfunction. With these indexes, evaluation can be made to determine
whether left ventricle inflow blood velocity waveforms show normal diastolic filling or false
normalization.
S
D
1. Record pulmonary vein flow waveforms.

3. Select PV Flow from the measurement menu.
4. Move the +S mark to the peak of S-wave and press ENTER.
5. Move the +D mark to the peak of D-wave and press ENTER.
6. Move the +A mark to the peak of A-wave and press ENTER.
7. Using the Caliper method, measure the PVA duration (PV Adur).
8. Measure the deceleration time (Dec T) of D wave using the Caliper method.
Measurement results
PV Flow
PVS: . cm/s : S wave flow velocity
PVD: . cm/s : D wave flow velocity
S/D: : S/D ratio
PVA: . cm/s : A wave flow velocity
PVAdur: ms : PVA duration time
DecT: ms : Deceleration time of D wave flow
PVAdur-Adur: : PVAdur - Adur (Displayed if Adur has already been measured during
Trans M Flow measurement.)
ms
Reference:
MN1-5856 rev.1 8-63

8-2-3-7 TDI PW measurement
Obtain the myocardial movement velocities (first Sm wave, second Sm wave, Em wave and Am
wave) and the velocity ratio (Em/Am) by setting a sample volume at myocardial tissues such as
the mitral annulus region and the left ventricular wall, using the pulsed tissue doppler imaging.
In addition, a early diastolic transmitral flow velocity waveform (E wave) is measured, and the
ratio of E/Em with the early diastole wave of mitral annulus region (Em) can be calculated.
Measurement menu includes the following three methods: The operation procedure for each
measurement method is identical.
TDI PW MA: Obtain the early diastolic annulus movement velocity (Em), atrial systolic
annulus movement velocity (Am), and the velocity ratio from the mitral
annulus movement velocity waveform.
TDI PW 1: Take measurements at any annulus or left ventricle posterior wall. You can
change the names.
TDI PW 2: Take measurements at any annulus or left ventricle posterior wall. You can
change the names.
Measurement methods include Doppler Trace method (Auto or Manual ), and Point method.
Navigate the preset to Create Measurement Tools > Application Measurement >
Measured Methods & Display Items > D.Mode), then select TDI PW.
8-64 MN1-5856 rev.1

Measurement using the Point method
1. Record the mitral annulus movement velocity waveform.

a Display the mitral annulus region in TDI mode.
b Press CURSOR.
c Set Sample Volume to the mitral annulus region.
d Record the mitral annulus movement velocity waveform.

3. Select TDI PW MA, TDI PW 1 or TDI PW 2 from the measurement menu.
4. Take measurements at each point.
Sm1
Sm2
Am
Em
a Move the Caliper mark to the Sm1 and press ENTER.

b Move the Caliper mark to the Sm2 and press ENTER.
c Move the Caliper mark to the Em and press ENTER.
d Move the Caliper mark to the Am and press ENTER.
5. Measure the regional isovolumetric relaxation time (RIVRT).

a Move the line cursor to the phase of the regional isovolumetric relaxation time, and press
ENTER.
6. Measure the regional isovolumetric contraction time (RIVCT).
a Move the line cursor to the phase of the regional isovolumetric contraction time), and press
ENTER.
Measurement results
TDI PW MA
Sm1: cm/s : First systolic myocardial peak velocity
Sm2: cm/s : Second systolic myocardial peak velocity
Em: cm/s : Early diastolic myocardial peak velocity
Am: cm/s : Atrial systolic myocardial peak velocity
Em/Am: : E-wave/A-wave velocity ratio
RIVRT: ms : Regional Isovolumetric Relaxation Time
RIVCT: ms : Regional Isovolumetric Contraction Time
Reference:
Time measurement: Time → p.2-28
MN1-5856 rev.1 8-65

Doppler Trace method
1. Record the mitral annulus movement velocity waveform.

a Display the mitral annulus region in TDI mode.
b Press CURSOR, then set Sample Volume to the mitral annulus region.
c Record the mitral annulus movement velocity waveform.

3. Select TDI PW MA, TDI PW 1 or TDI PW 2 from the measurement menu.
4. Trace the systolic myocardial velocity waveform (Sm).
→ A line cursor along with an S is displayed at the peak blood flow velocity point.
+S
E A E A
→
5. Adjust the position of Sm1 point (First systolic myocardial peak velocity) and press
ENTER.
6. Move the Caliper mark to the Sm2 point (Second systolic myocardial peak velocity) and
press ENTER.
7. Measure Em and Am.
a Trace the early diastolic myocardial velocity waveform and the atrial systolic myocardial
velocity waveform.
→ A line cursor is displayed at points Em and Am.
　　　　　 (In the case of Auto Trace) 　
E A
A
→ E
b If necessary, adjust the position of points Em and Am using the trackball.
8. Move the line cursor to the phase of the regional isovolumetric relaxation time RIVRT),
and press ENTER.
9. Move the line cursor to the phase of the regional isovolumetric contraction time RIVCT),
and press ENTER.
8-66 MN1-5856 rev.1

Measurement results
TDI PW MA
Sm1: cm/s : First systolic myocardial peak velocity
Sm2: cm/s : Second systolic myocardial peak velocity
Em: cm/s : Early diastolic myocardial peak velocity
Am: cm/s : Atrial systolic myocardial peak velocity
Em/Am: : Em/Am ratio
RIVRT: ms : Regional Isovolumetric Relaxation Time
RIVCT: ms : Regional IsovolumetricContraction Time
Reference:
MN1-5856 rev.1 8-67

8-2-3-8 Coronary measurement
Two types of measurement menu are available for coronary artery measurement.
1) Coronary flow velocity reserve measurement
A systole maximum blood flow rate (S wave) and a diastole

maximum blood flow rate (D Wave) are measured from a
D coronary blood velocity waveform; then the indexes such as
S
diastole-systole velocity ratio (DSVR) and the diastole
deceleration time (DDecT) are obtained.
After the peak coronary diastolic flow velocity (Peak) and the
S: systole D: diastole
blood flow velocity at rest (Rest) are measured for the same
coronary artery region, indexes such as the coronary flow
velocity reserve (CFVR) are obtained.
The following measurement menus are available:
Target time
Menu Coronary artery region name phase Remarks
pLAD(Rest) Proximal portion of the left anterior Rest
descending coronary artery
pLAD(Peak) Proximal portion of the left anterior Peak
descending coronary artery
dLAD(Rest) Distal portion of the left anterior descending Rest
coronary artery
dLAD(Peak) Distal portion of the left anterior descending Peak
coronary artery
RCA(Rest) Right posterior descending coronary artery Rest
RCA(Peak) Right posterior descending coronary artery Peak
LCX(Rest) Left circumflex Rest
LCX(Peak) Left circumflex Peak
C.A.1(Rest) For blood vessels other than those listed above Rest You can enter the
names in the
C.A.1(Peak) For blood vessels other than those listed above Peak
reports.
C.A.2(Rest) For blood vessels other than those listed above Rest
C.A.3(Rest) For blood vessels other than those listed above Rest
Graft(Rest) Synthetic graft Rest
Graft(Peak) Synthetic graft Peak
8-68 MN1-5856 rev.1

2) Coronary stenosis flow velocity ratio measurement: C.A. Stenosis

End-diastolic pre stenosis/stenosis velocity ratio is obtained.
Measurement methods include Doppler Trace method (Auto or Manual ), and Point method.
Measured Methods & Display Items > D.Mode.
Measuring coronary flow velocity reserve
Measure the peak coronary diastolic flow velocity (Peak) and the blood flow velocity at rest
(Rest) for the same coronary artery region. Then, obtain the indexes, such as the coronary flow
velocity reserve (CFVR).
1. Measures the blood flow velocity at rest.

a Record the blood velocity waveform for the target region at rest.
b Select Measurement key.
c Select the target region at rest (Rest) from the measurement menu.
d Detect the peak flow velocity of the S and D waves.
Using the Doppler Trace method, trace the blood velocity waveform.
Move the caliper mark to the S wave peak flow velocity point, then press ENTER.
Move the caliper mark to the D wave peak flow velocity point, then press ENTER.
e Measure the D wave diastolic flow velocity deceleration time (DDecT).
2. Measure the blood flow in the hyperemic condition.

a Record the blood velocity waveform of the target region for the target region in the
hyperemic condition.
b Select Measurement key.
c Select the target region at peak (Peak) from the measurement menu.
d Detect the S and P wave peak flow velocities.
Move the caliper mark to the S wave peak flow velocity point, then press ENTER.
Move the caliper mark to the P wave peak flow velocity point, then press ENTER.
e Measure the D wave diastolic flow velocity deceleration time (DDecT).
MN1-5856 rev.1 8-69

Measurement results
proxRAD(Peak) : Selected measurement menu
S: . cm/s : S wave flow velocity
D: . cm/s : D wave peak flow velocity
pDSVR: : Peak flow velocity ratio of D and S waves
DDecT: ms : Diastolic flow velocity reserve by peak velocity
pCFVR: : Coronary flow velocity reserve. (This example displays if the Rest
has already been measured.)
Reference:
Measuring the pre stenosis/stenosis flow velocity ratio
1. Record the coronary artery flow velocity waveform for the pre stenosis region.
3. Select C.A.Stenosis from the measurement menu.
4. Detect the D wave peak flow velocity.
Move the caliper mark to the D wave peak flow velocity point, then press ENTER.
5. Cancel freezing, and record the coronary artery stenosis blood velocity waveform.
6. Press +.
7. Detect the D wave peak flow velocity in the same way as step 4.
Measurement results
C.A.Stenosis
Pre D: : D-wave pre stenosis peak flow velocity
cm/s
Steno D: : D-wave stenosis peak flow velocity
cm/s
Pre/Stenosis
Peak D: : Pre stenosis/stenosis peak flow velocity ratio
Reference:
8-70 MN1-5856 rev.1

8-2-3-9 Asynchrony measurement
AV Asynchrony measurement
Obtain LVDFT/RR from the left ventricular diastolic filling time (LVDFT) on the inflow blood
velocity waveform and the RR interval on the electrocardiogram.
1. Switch the measurement study to Asynchrony.

2. Record the left ventricular inflow velocity waveform.
4. Select AV Async. from the measurement menu.
5. Using the Caliper method, measure the left ventricular diastolic filling time.
6. Measures the RR interval on the electrocardiogram.
If the Trans M Flow measurement results include the LVDFT and RR interval values:
LVDFT/RR is calculated from the measurement results.
Measurement results
AV Asycn.
LVDFT: ms : LV diastole filling time
RR: ms : R-R interval of electrocardiogram
LVDFT/RR:
% : LVDFT/RR ratio
Reference:
MN1-5856 rev.1 8-71

InterV. Async. measurement
Measure the LVPEP and the RVPEP, then find the phase difference (IMD) between LVPEP and
RVPEP.
NOTE:If LVPEP and RVPEP have been measured during the LVOT Flow measurement and
RVOT Flow measurement, IMD is calculated from these results.

2. Record the left ventricle out tract flow waveform.
4. Select InterV. Async. from the measurement menu.
5. Measure the interval between QRS onset and the opening of aortic valve (LVPEP) on
the electrocardiogram.
6. Record the right ventricle out tract flow waveform.

7. Press +.
8. Measure the interval between QRS onset and the opening of pulmonic valve (RVPEP)
on the electrocardiogram.
Measurement results
InterV.Async.
LVPEP: ms : LV Pre-Ejection period
RVPEP: ms : RV Pre-Ejection period
IMD: ms : Interventricular mechanical delay
Reference:
8-72 MN1-5856 rev.1

Time to Onset measurement
Record the myocardial movement velocity waveform at four regions, the basal septal (BS), the
basal lateral (BL), the basal posterior wall of LV (BP) and the basal lateral wall of RV (RV),
then measure the interval between QRS onset and the beginning of each systolic myocardial
velocity.
Sample Volume points
RV BS BL BP
A4CH ALAX
Find the difference between the maximum and minimum of the values (Intra) measured at three
points in the left ventricle, as well as the difference between the largest of the values measured
at three points in the left ventricle and the right ventricular basal lateral wall (Inter), and find
the sum of the two (Intra+Inter).

2. Measure the interval between QRS onset and the beginning of systolic myocardial
velocity waveform on the myocardial movement velocity waveform at the left
ventricular basal septal wall (BS).
a Switch to TDI mode.
b Set Sample Volume to the left ventricular basal septal wall (BS) on the apical
four-chamber view.
c Display D mode.
d Set the Sweep Speed value to at least 100 mm/sec.
e Record the myocardial movement velocity waveform at the left ventricular basal septal
wall (BS).
f Select Measurement key.
g Select Time to Onset from the measurement menu.
h Measure the interval between QRS onset and the beginning of systolic myocardial velocity
waveform.
MN1-5856 rev.1 8-73

ventricular basal lateral wall (BL).
a Set Sample Volume to the left ventricular basal lateral wall (BL) on the apical
four-chamber view.
b Display D mode.
c Set the Sweep Speed value to at least 100 mm/sec.
d Record the myocardial movement velocity waveform at the left ventricular basal lateral
wall (BL).
e Press +.
f Measure the interval between QRS onset and the beginning of systolic myocardial velocity
waveform.
4. While referring to step 3, measure the interval between QRS onset and the beginning of
systolic myocardial velocity waveform on the myocardial movement velocity waveform
at the right ventricular basal lateral wall (RV).
ventricular basal posterior wall (BP).
a Set Sample Volume to the left ventricular basal posterior wall (BP) on the apical long-axis
view.
b Display D mode.
d Take measurements in the same way as step 3.
Measurement results
When all items are measured, Inter is calculated.
Time to Onset
BS: ms : Left ventricular basal septal wall
BL: ms : Left ventricular basal lateral wall
RV: ms : Right ventricular basal lateral wall
BP: ms : Left ventricular basal posterior wall
Intra: ms : Difference between the maximum and minimum values among the
measurements of three left ventricular regions
Inter: ms : Difference between the maximum value among the measurements of
three left ventricular regions, and the measurement value for the right
ventricular basal lateral wall
Intra+Inter:
ms : Sum of Intra and Inter
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Reference:
Time to Peak measurement
Using the pulsed doppler tissue imaging, record the myocardial movement velocity waveform
measured at twelve positions of left ventricle, measure the interval between QRS onset and the
peak of the systolic myocardial velocity waveform.
Sample Volume points
MI MA MP MAS
MS ML
BS BL BI BA BP BAS
A4CH A2CH ALAX

ventricular basal septal wall (BS).
a Activate the TDI mode.
b Set Sample Volume to the left ventricular basal septal wall (BS) on the apical
four-chamber view.
c Display D mode.
d Set the Sweep Speed value to at least 100 mm/sec.
e Record the myocardial movement velocity waveform at the left ventricular basal septal
wall (BS).
f Select Measurement key.
g Select Time to Peak from the measurement menu.
h Measure the interval between QRS onset and the beginning of systolic myocardial velocity
waveform.
MN1-5856 rev.1 8-75

ventricular basal lateral wall (BL).
a Set Sample Volume to the left ventricular basal lateral wall (BL) on the apical
four-chamber view.
b Display D mode.
d Record the myocardial movement velocity waveform at the left ventricular basal lateral
wall (BL).
e Press +.
f Measure the interval between QRS onset and the beginning of systolic myocardial velocity
waveform.
4. Referring to step 3, measure the interval between QRS onset and the beginning of
systolic myocardial velocity waveform on the myocardial movement velocity waveform
at other specified points.
Measurement results
If two or more items are measured, the mean value and standard deviation will be displayed.
Time to Peak
BS: ms : Measurement value of the left ventricular basal septal wall
BL: ms : Measurement value of the left ventricular basal lateral wall
MS: ms : Measurement value of the middle septal wall
ML: ms : Measurement value of the middle lateral wall
BI: ms : Measurement value of the left ventricular basal inferior wall
BA: ms : Measurement value of the left ventricular basal anterior wall
MI: ms : Measurement value of the middle inferior wall
MA: ms : Measurement value of the middle anterior wall
BP: ms : Measurement value of the left ventricular basal posterior wall
BAS: ms : Measurement value of the basal anterior septal wall
MP: ms : Measurement value of the middle posterior wall
MAS: ms : Measurement value of the middle anterior septal wall
avg: ms : average
SD: ms : standard deviation
Reference:
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8-3 Report
8-3 Report
Measurement results and obtained index values are sorted and displayed in the report.
The following operations are available using the report:
1) Displaying measurement results and images
• Measurement results
• Normal values
• Recorded ultrasound images
• Past results
2) Editing results, comments and findings
3) Outputting reports (printing and saving)
MN1-5856 rev.1 8-77

8-3 Report
8-3-1 Displaying reports
NOTE: Patient information is required to display a report. Enter patient information on the ID
screen.
8-3-1-1 Displaying reports
● Select REPORT from the measurement menu. Alternatively, select REPORT

(Hot Key 4 or custom switch).
→ The report is displayed.
The following buttons are located at the top of the report.
Return Closes the report.
Header Toggles the Header block (patient information) display between Long Form
and Short Form.
Prev. Displays the previous page.
Next Displays the next page.
(Study list) Switches the study in the report.
US Image Displays an ultrasound image in the report.
Output Outputs report data to a PC, Media or printer.
Switching the display from report to images
● Select Return located at the top of the report screen. Or select REPORT (custom
switch).
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8-3 Report
8-3-1-2 Information blocks displayed in a report
Reports are displayed by study.

There are four cardiac function measurement studies: Cardiac Func, Coronary, TDI, and
Asynchrony. In each study, the following information is categorized in blocks. A Header block
and Site Information block are displayed in studies in every report. Other Blocks are set in the
preset (Study Assignment > (Study Name) > Combined Report Data), and are displayed
along with the measurement results registered in the report.
Header Block
Patient information entered on the ID
screen
<Comment>
Display/Clear the comment entry field.
Site Information Block
Facility information, information on
physicians in charge and so on
The blocks below are examples. A cardiac function measurement report features 39 block types.
B mode LV Function Block
Displays B mode left ventricle
function measurement results.
M mode LV Function Block

Displays M mode left ventricle
function measurement results.
LVOT Flow Doppler Block

Displays LVOT Flow measurement
results.
MN1-5856 rev.1 8-79

8-3 Report
LAD Flow Block

RCA Flow Block
LCX Flow Block
Displays coronary measurement
(LAD, RCA, or LCX) results.
The schema corresponding to the
measurement items are displayed.
C.A. User Block

Displays C.A.1 to C.A.3 measurement
results.
C.A. Stenosis Block

Displays C.A. stenosis measurement
results.
Graft Flow Block

Displays Graft coronary measurement
results.
8-80 MN1-5856 rev.1

8-3 Report
8-3-1-3 Attaching an ultrasound image
You can attach ultrasound images to the report. The attached ultrasound images will be
displayed in the US Image block. You can add the stored images of the patient whose report is
being displayed from the hard disk of the instrument or from a connected storage medium, such
as USB memory.
Set the US Image block display using the following options under Report Data of the preset
menu.
• Specify the display format in Display Pasted US Image Form on the Screen.
• Specify the number of images displayed immediately after selecting US Image Block in
Automatically be Displayed US Images Number.
1. Select US Image at the top of the report screen.

→ The US Image block is displayed. The latest images (the number of which is preset) are
loaded from a connected storage medium (such as HDD or USB memory) and displayed
from top left to right.
If Display Pasted US Image Form on the Screen has been set to "2×2" and Automatically
be Displayed US Images Number has been set to "4," images will be displayed as shown
below.
When four images are stored

2. If necessary, change the displayed images.
a Select Review at the bottom of the screen.
→ Images stored in the HDD of the instrument and/or in the connected medium will be
displayed as thumbnails. Only today's images of the current patient are displayed.
Current Exam.View is displayed in the upper right of the screen.
MN1-5856 rev.1 8-81

8-3 Report
b Move the pointer to the image you wish to display, then press ENTER.
→ Selected images will be displayed with a blue frame.
c Once you have selected all the images to display, select Paste Desired US.
→ Only the selected images will be displayed in the US Image block.
Displaying past examination images
Select Change View below the thumbnails. Current&Post Exam. is displayed in the upper right
of the screen, and the current patient's past examination images are displayed. You can also select
images from past examinations to display in the US Image block.
If you select Change View again, the device displays only today's images (Current Exam.View).
Current Exam. is displayed in the upper right of the screen.
8-3-1-4 Displaying past reports
You can display past reports.
NOTE: You cannot modify the data in the past reports.
1. Move the cursor to ▼ in the upper right corner of the Report screen, and press ENTER.
→ If past reports are available, a list of the report dates is displayed.
2. Select the date of the report you wish to display.

→ The report of the selected date is displayed.
8-82 MN1-5856 rev.1

8-3 Report
8-3-2 Editing reports
You can edit the following contents in the report.
• Comments
• Opinions
8-3-2-1 Entering comments
Enter comments including the ultrasound results and findings in the Comments field in the
Header block.
1. Select <Comments>.
→ The text box is displayed.
2. Enter a comment from the keyboard.

3. Enter a comment and select OK.
→ The entry is confirmed.
To cancel the entry, select Cancel.
MN1-5856 rev.1 8-83

8-3 Report
8-3-2-2 Specifying the measured coronary artery regions
You can specify the measured coronary artery regions in the schemas in each block that displays
the measurement results, such as the Coronary Flow block.
1. Display the report.

2. Select and display a block that includes the coronary measurement results.
3. Check the box next to the measured region in the schema.
Entering the name of regions measured under Coronary 1 - Coronary 3

measurements.
(3) (2)
1. Select and display a block that includes Coronary 1 - Coronary 3 measurements.

2. Select a schema option from Schema Select (ALL, Main LCA, LAD, LCX, RCA).
3. Enter the region name from the keyboard.
8-84 MN1-5856 rev.1

8-3 Report
Specifying the measured coronary stenosis regions
1. Select and display a block that includes the coronary stenosis measurement results.
2. Select a schema option from Schema Select (ALL, Main LCA, LAD, LCX, RCA).
MN1-5856 rev.1 8-85

8-3 Report
8-3-2-3 Editing the measurement results
1. Move the pointer to the value you wish to modify, then press ENTER.
→ A dialog box showing the measurement value is displayed.
When Display Data of Report Data in the preset is Current, data at the top is displayed
on the report screen. If it is set to Average, an average value is displayed.
2. Modify the data.
Deleting data
a) Move the pointer to the value in the dialog box, then press ENTER.
b) Select Delete in the dialog box.
c) Select OK in the dialog box.
Modifying data
Some measurement results, such as PI and RI, correlate to the two blood flow velocities (EDV,
PSV) within the same heartbeat cycle. Modify the value to maintain the mutual time-phase
relationship.
b) Enter values from the keyboard.
A # mark will be added next to the name of the modified item.
Display example: Modifying LVID (Diastole)

Selecting the data to display
If Display Data of Report Data in the preset has been set to Current, you can change the
measurement value to be displayed on the report screen.
b) Select OK in the dialog box.
8-86 MN1-5856 rev.1

8-3 Report
8-3-3 Outputting reports
There are three ways to output the report.
• Outputting to a local printer: Selects the block to output.

• Outputting the report data to a PC via RS-232 interface: Outputs the information other
than the image information (US Image Block).
• Outputting as a CSV file: Outputs the values registered to the report to a connected
medium or the like.
8-3-3-1 Printing
Print a report to the local printer (printer connected to the instrument).
1. Select Output at the top of the report screen.

2. Select to Printer.
3. Select OK.
4. Select a block to print.

Select one of the block to print. Repeat this step and highlight all the blocks to print. To
deselect a block, select the block.
5. Specify the number of copies in the Num of Copies field.
MN1-5856 rev.1 8-87

8-3 Report
6. If necessary, configure the printer properties.

a Select Property.
b See the next section to configure the printer property.
7. Select Print.
Printer property
You can set the advance print properties.
Item Selections Description

Printer name Selects the printer model.
Paper sizes US Letter Prints on US letter size paper.
A4 Prints on A4 size paper.
Orientation Portrait Set the paper orientation to Portrait. (You can select only
Portrait.)
US Image Form 1×2 Prints the US Image block in 1 columns with 2 images per
column.
1×3 Prints the US Image block in 1 columns with 3 images per
column.
column.
column.
Signature Physician Adds the physician's signature field.
Physician & Adds the physician and sonographer's signature fields.

Sonographer
None Hides the signature fields.
Title Inform Enables you to enter the report title (up to 80 letters).
Site Inform Enables you to enter the facility information (department,

address, telephone No., FAX No., etc.).
8-88 MN1-5856 rev.1

8-3 Report
8-3-3-2 Outputting reports to a PC
You can output the report data to a PC via RS-232C interface.

2. Select to PC.
3. If this is a revisit for the applicable patient, select Yes. If this is the first visit, select No.
4. Select OK.
→ Patient information and data registered in the report (excluding ultrasound images) will be
output to a PC.
MN1-5856 rev.1 8-89

8-3 Report
8-3-3-3 Outputting reports as a CSV file
You can output data registered in the report as a CSV file.

2. Select Export CSV file.

The file name is displayed as ID_Date_Application.

Select Cancel to return to the report screen.
3. Select the storage destination from the Target Medium list.
4. Change the file name if necessary.
5. Select OK.
→ The CSV file is saved in the specified medium.
The file form is populated with the patient information, numerical values and comments
accordingly.
8-90 MN1-5856 rev.1

8-3 Report
8-3-3-4 Creating a DICOM SR file
You can create a DICOM SR file from the data displayed in the reports.
NOTE:You will need DICOM Structured Report Software (SOP-F31-21) (optional) to create a
DICOM SR file.

2. Select Create SR, and select OK.

→ A DICOM SR file is created based on the data from the examination date displayed on the
report. If the file already exists, it will be overwritten.
At this point, the DICOM SR file is not yet transmitted.
Transmitting a DICOM SR file
NOTE:You will need DICOM Communication Software (SOP-F31-10) (optional) to connect to the
DICOM SR server.
The DICOM SR file you have just created will be transmitted to the DICOM SR server when
you press New Patient or select End Study button to finish the examination.
If SR Auto Creation in the preset (Common Preset > DICOM SR) is set to On and you have
not created a DSCOM SR file of the day yet, an SR file of the present examination is created
and sent to DICOM SR server together with the DICOM SR file already created.
MN1-5856 rev.1 8-91

8-4 Preset
8-4 Preset
The cardio measurement preset (Cardio preset) can be classified roughly into three types.
• Create Measurement Tools

Enables you to specify the measurement method, caliper mark display and report display.
It also enables you to set up the basic and application measurements.
• Study Assignment
Enables you to configure the menu, transferred items and report view in a study.
You can set these for each study.
• SW Assignment
Enables you to assign measurement menus to buttons.
Table 8-5: Cardio preset configuration

Create Measurement Basic Measurement Measured Method & B.Mode
Tools Display Items M.Mode
D.Mode
F.Mode
Caliper Mark Control
Unit Selection
Caliper Auto Off
Display Form Mark Display
Application Measured Method & B.Mode
Measurement Display Items M.Mode
D.Mode
Unit Selection
Caliper Auto Off
Report Data
User’s Calculation Reserved Word
Study Assginment Cardiac Func Menu Assgin

Coronary Combined Report Display
TDI
Transfer List Assign
Asynchrony
Other
8-92 MN1-5856 rev.1

8-4 Preset
SW Assginment +Mark Key Assginment

Hot Key Assginment
Measure SW Assginment
8-4-1 Cardio Preset
The following screen is an example of typical preset pages.
Cardio Preset
Cardio Preset top page
MN1-5856 rev.1 8-93

8-4 Preset
8-4-1-1 Create Measurement Tools
You can specify the measurement method, caliper mark and report display settings.
Basic Measurement
See the chapter for the basic measurement preset.
Application Measurement
You can set various parameters for application measurements (Cardio measurement).
Measured Method & Display Items > Measured Method & Display Items >
B.Mode (1/5): B mode measurement settings B.Mode (2/5): B mode measurement settings
B.Mode (3/5): B mode measurement settings B.Mode (4/5): B mode measurement settings
8-94 MN1-5856 rev.1

8-4 Preset
Measured Method & Display Items >

B.Mode (5/5): B mode measurement settings
M.Mode (1/3): M mode measurement settings M.Mode (2/3): M mode measurement settings
Measured Method & Display Items >

M.Mode(3/3): M mode measurement settings
MN1-5856 rev.1 8-95

8-4 Preset
D.Mode (1/16): D mode measurement settings D.Mode (2/16): D mode measurement settings
D.Mode(3/16): D mode measurement settings D.Mode(4/16): D mode measurement settings
8-96 MN1-5856 rev.1

8-4 Preset
MN1-5856 rev.1 8-97

8-4 Preset
Caliper Auto Off: Settings for caliper mark and Report Data: Report Data display format
measurement results display when freezing is
canceled
8-98 MN1-5856 rev.1

8-4 Preset
Display Form: Settings for display orientation Display Form > Mark Display: Caliper mark
of the measurement results, multiple results display parameters
display and simultaneous display with basic
measurement
User’s Calculation: User-defined calculation User’s Calculation > Reserved Word:

formula Reserved word registration for user-defined
calculation formula
MN1-5856 rev.1 8-99

8-4 Preset
8-4-1-2 Study Assignment
You can configure the menu, transferred items and report view in each study.
Study Assignment: Tree View display settings for a study and study user creation
Menu Assign: Measurement menu items to be Combined Report Display: Report display
displayed Block settings
8-100 MN1-5856 rev.1

8-4 Preset
Transfer List Assign: Specifying measurement Other: Operational guide message display
items for which the basic measurement results setting
can be transferred
MN1-5856 rev.1 8-101

8-4 Preset
8-4-1-3 SW Assignment
You can assign measurement menus to the buttons and keyboard on the operation panel.
+Mark Key Assignment Hot Key Assignment

Settings for measurement that starts up with the Assigning measurement items to alphanumeric
+ button keys
Measure SW Assignment
Specifying items assignable to Custom switches
or Function keys
8-102 MN1-5856 rev.1

8-5 References
8-5 References
8-5-1 Calculation
8-5-1-1 B mode
LV Function: LV Volumes
Left ventricular end diastolic volume

Pombo EDV = (LVIDd)3
Teichholz EDV = {7.0 × (LVIDd)3} ÷ (2.4 + LVIDd)
Gibson EDV = (π/6 ) × (LVIDd)2 × (0.98 × LVIDd + 5.90)
Area-Length EDV = {8.0 × (LVLAd)2} ÷ (3π × LVLd)
BP-Ellipse EDV = (8.0 × LVLAd × LVSAMVd) ÷ (3π × LVSLMVd)

Bullet EDV = (5 × LVSAPMd × LVLd) ÷ 6
Modified Simpson EDV = (LVLd/9) × {4 × LVSAMVd + 2 × LVSAPMd + (LVSAMVd ×
LVSAPMd)1/2}
Simpson (Disk) EDV = (π/ 4 )Σ(ai × bi) × L/n
n = 20
ai, bi = 20 disks obtained from Apical four chamber or two chamber
view
Simpson (Disk) EDV = (π/4 )Σ(a )2 × L/n
i
n = 20
ai = 20 disks obtained from Apical four chamber or two chamber
view
Left ventricular end systolic volume

Pombo ESV = (LVIDs)3
Teichholz ESV = {7.0 × (LVIDs)3} ÷ (2.4 + LVIDs)
Gibson ESV = (π/6 ) × (LVIDs)2 × (1.14 × LVIDs + 4.18)
Area-Length ESV = {8.0 × (LVLAs)2} ÷ (3π × LVLs)
BP-Ellipse ESV = (8.0 × LVLAs × LVSAMVs) ÷ (3π × LVSLMVs)

Bullet ESV = (5 × LVSAPMs × LVLs) ÷ 6
Modified Simpson ESV = (LVLs/9) × {4 × LVSAMVs + 2 × LVSAPMs + (LVSAMVs ×
LVSAPMs)1/2}
MN1-5856 rev.1 8-103

8-5 References

Simpson (Disk) ESV = (π/ 4 )Σ(ai × bi) × L/n 　
n = 20
view
Simpson (Disk) ESV = (π/4 )Σ(ai)2 × L/n
n = 20
ai = 20 disks obtained from Apical four chamber or two chamber
view
Stroke volume SV = EDV - ESV

SVI = SV ÷ BSA
Left ventricular EF (%) = (SV ÷ EDV) × 100
ejection fraction
Cardiac output CO = (SV × HR) ÷ 1000
COI = CO÷ BSA
Fractional FS (%) = {(LVIDd - LVIDs) ÷ LVIDd} × 100
shortening
mid wall FS mFS = 1 - (LVIDs + 2 × (-LVIDs/2 + ((2 × LVIDd + (IVSd ＋ LVPWd)/2)
(Shimizu × (LVIDs + (IVSs + LVPWs)/2) × ((IVSs + LVPWs)/2)/(4 × (LVIDd
Circulation 1991) + (IVSd + LVPWd)/2)) + (LVIDs/2)2 )1/2))/(LVIDd + (IVSd +
LVPWd)/2)
mid wall FS mFS = {(Dd + Hd/2) - (Ds + Hs/2)}/(Dd + Hd/2)
(Schussheim Am J Hd = (IVSd + LVPWd)/2,
Cardiol 2001) Hs = (IVSs + LVPWs)/2,
Dd = LVIDd, Ds = LVIDs
Interventricular IVSTF = {(IVSs - IVSd) ÷ IVSd} × 100
septal thickness
fractional
shortening (%)
Left ventricular %PWTF = {(LVPWs - LVPWd) ÷ LVPWd} × 100
posterior wall
thickness
fractional
shortening (%)
Left ventricular IVS/LVPW = IVSd ÷ LVPWd
interventricular
septal/posterior
wall ratio
8-104 MN1-5856 rev.1

8-5 References
Cardiac mass LVM =1.05 × {[ 5Aepi (LVLd + thick)/6] - [ 5Aend (LVLd)/6] }

thick = √ (Aepi / π) - √ (Aend / π)
LVMI (g/m2) = LVM ÷ BSA

Cardiac mass ratio LVM/BSA = LVM ÷ BSA
BSA = 0.007184 × W0.425 × H0.725)
H: cm, W: (kg)
Left atrial-Aortic LA/AO = LADs ÷ AODd
ratio
IVC measurement % Collapse =100 × (Expiration IVC Diameter - Inspiration IVC
Diameter)/Expiration IVC Diameter
Cardiac Function: LA/RA Volumes
Left atrial volume at end systole

Area-Length LA Vol. = (8.0 × LALA4s × LALA2s) ÷ (3π × L)
L: LAL4s is the shortest of either the apical four-chamber or apical
two-chamber length.
Simpson LA Vol. = (π/4)Σ(ai × bi) × L/n
n = 20
view
Right atrial volume at end systole

Area-Length RA Vol. = (8.0 × RALA4s × RALA2s) ÷ (3π × L)
L: RAL4s is the shortest of either the apical four-chamber or apical
two-chamber length.
Simpson RA Vol. = (π/4)Σ(ai × bi) × L/n
n = 20
view
MN1-5856 rev.1 8-105

8-5 References
8-5-1-2 M mode
LV Function
Left ventricular end diastolic volume
Pombo EDV = (LVIDd)3
Teichholz EDV = {7.0 × (LVIDd)3} ÷ (2.4 + LVIDd)
Gibson EDV = (π/6 ) × (LVIDd)2 × (0.98 × LVIDd + 5.90)

Pombo ESV = (LVIDs)3
Teichholz ESV = {7.0 × (LVIDs)3} ÷ (2.4 + LVIDs)
Gibson ESV = (π/6 ) × (LVIDs)2 × (1.14 × LVIDs + 4.18)
Stroke volume SV = EDV - ESV

SVI = SV ÷ BSA
Left ventricular EF (%) = (SV ÷ EDV) × 100
ejection fraction
Cardiac output CO = (SV × HR) ÷ 1000
COI = CO÷ BSA
Interventricular septal thickness fractional shortening
Interventricular %IVSTF = {(IVSs - IVSd) ÷ IVSd} × 100
septal thickness
fractional
shortening (%)
Left ventricular %PWTF = {(LVPWs - LVPWd) ÷ LVPWd} × 100
posterior wall
thickness
fractional
shortening (%)
Left ventricular IVS/LVPW = IVSd ÷ LVPWd
interventricular
septal/posterior
wall ratio
Fractional FS (%) = {(LVIDd - LVIDs) ÷ LVIDd} × 100
shortening
mid wall FS mFS = 1 - (LVIDs + 2 × (-LVIDs/2 + ((2 × LVIDd + (IVSd ＋ LVPWd)/2)
(Shimizu × (LVIDs + (IVSs + LVPWs)/2) × ((IVSs + LVPWs)/2)/(4 × (LVIDd
Circulation 1991) + (IVSd + LVPWd)/2)) + (LVIDs/2)2 )1/2))/(LVIDd + (IVSd +
LVPWd)/2)
mid wall FS mFS = {(Dd + Hd/2) - (Ds + Hs/2)}/(Dd + Hd/2)
(Schussheim Am J Hd = (IVSd + LVPWd)/2,
Cardiol 2001) Hs = (IVSs + LVPWs)/2,
Dd = LVIDd, Ds = LVIDs
8-106 MN1-5856 rev.1

8-5 References
LV Function
Mean Velocity of MVCF = (LVIDd - LVIDs) ÷ (LVIDd × ET)
Circumferential
Fiber Shortening
Heart rate HR = # × 60 ÷ (Time for # cardiac cycle)
Cardiac mass LVM =1.04 × {(IVSd + LVIDd + LVPWd)3 - LVIDd3} - 13.6
Penn (Devereux)
Cardiac mass ASE LVM = 0.80 × {1.04 × (IVSd + LVIDd + LVPWd)3 - LVIDd3} + 0.6
LA/LO measurement
Left atrial-Aortic LA/AO = LADs ÷ AODd
ratio
Mitral V measurement
E wave amplitude C-E amp = Distance from C point to E point
A wave amplitude C-A amp = Distance from C point to A point
E-F slope E-F slope = Velocity from E point to F point
E-point septal EPSS = Distance from E point to IVS
separation
A wave/E wave A/E = (C-A amp) ÷ (C-E amp)
ratio
E wave/A wave E/A = (C-E amp) ÷ (C-A amp)
ratio
IVC %Collapse =100 × (Expire - Inspire)/Expire

measurement
Tricuspid V meaurement
E wave amplitude C-E amp = Distance from C point to E point
A wave amplitude C-A amp = Distance from C point to A point
D-E slope D-E slope = Velocity from D point to E point
D-E wave keiD-E amp = Distance from D point to E point
amplitude
A wave/E wave A/E = (C-A amp) ÷ (C-E amp)
ratio
E wave/A wave E/A = (C-E amp) ÷ (C-A amp)
ratio
Pulmonary V measurement
A wave amplitude A wave amp = Distance from F point to A point
MN1-5856 rev.1 8-107

8-5 References
Pulmonary V measurement
B-C slope B-C slope = Velocity from B point to C point
C wave amplitude B-C amp = Distance from B point to C point
8-5-1-3 D mode
LVOT Flow measurement

Instantaneous PG = 4 × (Peak V)2
peak pressure
gradient
Mean pressure MPG = (4/T) ∫ V(t)2 dt
gradient
average of all the instantaneous 4 × (Peak V)2 over the flow peroid (T)
Stroke volume SV = CSALVOT × VTI
Cardiac output CO = (SV×HR) ÷ 1000
Heart rate HR = # × 60 ÷ (Time for 1 cardiac cycle)
Valve area VA = (CSALVOT × VTILVOT) ÷ VTI
Qp ・ Qs 比 Qp/Qs = SVRVOT ÷ SVLVOT
RVOT Flow measurement

peak pressure
gradient
gradient
Stroke volume SV = CSARVOT × VTI
Heart rate HR = # × 60 ÷ (Time for 1 cardiac cycle)
Qp ・ Qs 比 Qp/Qs = SVRVOT ÷ SVLVOT
Trans M Flow measurement

A wave APG = 4 × (Peak V of A wave)2
instantaneous
peak pressure
gradient
E wave EPG = 4 × (Peak V of Ewave)2
instantaneous
peak pressure
gradient
Stroke volume SV = CSARVOT × VTI
8-108 MN1-5856 rev.1

8-5 References
Trans M Flow measurement

E wave/A wave E/A = (E-VEL) ÷ (A-VEL)
ratio
A wave/E wave A/E = (A-VEL) ÷ (E-VEL)
ratio
Regurgitant Flow measurement

peak pressure
gradient
gradient
Stenosis Flow measurement

peak pressure
gradient
gradient
Estimated valve VA = 220 ÷ (P1/2T)
area True for mitral valve.
If the target is aortic valve or pulmonary valve, the following continuity
equation can apply.
= {VTILVOT × 0.785 × (LVOT)2} ÷ VTI
Pulmonary Vein Flow measurement

S/D S/D = |S|/|D|
Systolic fraction SF ={S-VTI/(S-VTI + D-VTI)} × 100
Velocity time VTI = ∫ V(t) dt
integral
PISA FlowRate =(2πr2) × Vr × α°/180

measurement default α = 180°
r: Distance from the center of valve to the aliasing point (radius)
Vr: Aliasing velocity at r
EROA = FlowRate / pV
RV = EROA × VTI (R)
R: Regurgitant flow
SV = π/4 × (Diam)2 × VTI
RF = RV/ SV × 100
MN1-5856 rev.1 8-109

8-5 References
TDI PW Em/Am = (Em-Vel) ÷ (Am-Vel)

measurement E/Em = (E-Vel) ÷ (Em-Vel)
Coronary Flow measurement

peakDSVR = |D peak| / |S peak|
meanDSVR = |D-MnV| / |S-MnV|
pCFVR = |D Peak(Peak)| / |D Peak(Rest)|
Pre/Stenosis PeakD = |Peak D(Pre)| / |Peak D(Stenosis)|
Pre/Stenosis D-MnV = |MnV D(Pre)| / |MnV D(Stenosis)|
VHT =1/2 × (Vmax - Vb)/Dec Slope
Vmax = Va, Dec Slope = (Vb - Va)/(Tb - Ta)
8-110 MN1-5856 rev.1

8-5 References
8-5-2 Clinical References
8-5-2-1 LV Volumes
1) Area-Length
• Folland ED, Parisi AF, Moynihan PF, Jones DR, Feldman CL, Tow DE., “Assessment of
left ventricular ejection fraction and volumes by real-time, two-dimensional
echocardiography. A comparison of cineangiographic and radionuclide techniques,”
Circulation, 1979 October, 60 (4), 760-766.
• Schiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, Gutgesell
H, Reichek N, Sahn D, Schnittger I, et al., “Recommendations for quantitation of the left
ventricle by two-dimensional echocardiography. American Society of Echocardiography
Committee on Standards, Subcommittee on Quantitation of Two-Dimensional
Echocardiograms,” J Am Soc Echocardiogr., 1989 September-October, 2 (5), 358-637
2) Biplane Ellipse
3) Modified Simpson’s
• Parisi AF, Moynihan PF, Feldman CL, Folland ED., “Approaches to determination of left
ventricular volume and ejection fraction by real-time two-dimensional echocardiography,”
Clin Cardiol., 1979 August, 2 (4), 257-263
4) Simpson’s rule
• Arthur Weyman. Cross-Sectional Echocardiography. Philadelphia: Lea and Febiger, 1982,

525p.
H, Reichek N, Sahn D, Schnittger I, et al., “Recommendations for quantitation of the left
Echocardiograms,” J Am Soc Echocardiogr., 1989 September-October, 2 (5), 358-637
5) POMBO
• J. F. Pombo, B. L. Troy, and R. O. Russell, Jr. “Left Ventricular Volumes and Ejection
Fraction by Echocardiography.” Circulation, 1971 April, 43, 480-490
6) TEICHHOLZ
• Teichholz LE, Kreulen T, Herman MV, Gorlin R. “Problems in echocardiographic volume

determinations: echocardiographic-angiographic correlations in the presence of absence of
asynergy.” Am J Cardiol., 1976 January, 37 (1), 7-11
MN1-5856 rev.1 8-111

8-5 References
7) GIBSON
• Gibson DG. “Measurement of left ventricular volumes in man by echocardiography -

-comparison with biplane angiographs.” Br Heart J., 1971 July, 33 (4), 614
8) mid-wall FS
mid wall FS = = 1 - (LVIDs + 2 × (-LVIDs/2 + ((2 × LVIDd + (IVSd ＋ LVPWd)/2) ×
(LVIDs + (IVSs + LVPWs)/2) × ((IVSs + LVPWs)/2)/(4 × (LVIDd + (IVSd +
LVPWd)/2)) + (LVIDs/2)2 )1/2))/(LVIDd + (IVSd + LVPWd)/2)
• Masuyama, Toru “Start Up; Cardiac Echo Manual” Nanko-do, 2002, 168p.
• Shimizu G, Hirota Y, Kita Y, Kawamura K, Saito T, Gaasch WH. “Left ventricular midwall
mechanics in systemic arterial hypertension. Myocardial function is depressed in
pressure-overload hypertrophy.” Circulation, 1991 May; 83 (5), 676-864
mid-wall FS = {(Dd + Hd/2) - (Ds + Hs/2)}/(Dd + Hd/2)
• Schussheim AE, Diamond JA, Phillips RA. “Left ventricular midwall function improves
with antihypertensive therapy and regression of left ventricular hypertrophy in patients
with asymptomatic hypertension.” Am J Cardiol., 2001 January 1, 87 (1), 61-65.
9) Cardiac function indexes
• Kihara Y, Takenaka K, Hayashi T, Akaishi M, Ito H, Ishizuka N, Ohte N, Otsuji Y, Fukuda

N, Mikami T, Mushige K. “Standard measurement of cardiac function indexes.” J Med
Ultrasonics, 2006, 33 (3), 371-381
8-5-2-2 LA (RA) Volumes
1) LA (RA) Volumes
• Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH,
Roman MJ, Seward J, Shanewise JS, Solomon SD, Spencer KT, Sutton MS, Stewart WJ;
Chamber Quantification Writing Group; American Society of Echocardiography's
Guidelines and Standards Committee; European Association of Echocardiography.
“Recommendations for chamber quantification: a report from the American Society of
Echocardiography's Guidelines and Standards Committee and the Chamber Quantification
Writing Group, developed in conjunction with the European Association of
Echocardiography, a branch of the European Society of Cardiology.” J Am Soc
Echocardiogr., 2005 December, 18(12), 440-63
8-112 MN1-5856 rev.1

8-5 References
8-5-2-3 Index
1) FS, EF

H, Reichek N, Sahn D, Schnittger I, et al. “Recommendations for quantitation of the left
Echocardiograms.” J Am Soc Echocardiogr. 1989 September-October, 2 (5), 358-367
2) %IVSTF
• Belenkie I, Nutter DO, Clark DW, McCraw DB, Raizner AE. “Assessment of left
ventricular dimensions and function by echocardiography.” Am J Cardiol. 1973 June, 31
(6), 755-762
• J. Roelandt. “Practical Echocardiology (Ultrasound in biomedicine series).” Research
Studies Press, U. S. 1973, 330p.
3) %LVPWTF
• Belenkie I, Nutter DO, Clark DW, McCraw DB, Raizner AE. “Assessment of left
ventricular dimensions and function by echocardiography.” Am J Cardiol. 1973 June, 31
(6), 755-762
4) Fractional Shortening

5) BSA, BSA INDEX
• Henry WL, Gardin JM, Ware JH. “Echocardiographic measurements in normal subjects
from infancy to old age.” Circulation. 1980 November, 62 (5), 1054-1061
8-5-2-4 Doppler Index
1) AR Half -Time
• Teague SM, Heinsimer JA, Anderson JL, Sublett K, Olson EG, Voyles WF, Thadani U.
“Quantification of aortic regurgitation utilizing continuous wave Doppler ultrasound.” J
Am Coll Cardiol. 1986 September, 8 (3), 592-599
2) dP/dT
• Pai RG, Bansal RC, Shah PM. “Doppler-derived rate of left ventricular pressure rise. Its
correlation with the postoperative left ventricular function in mitral regurgitation.”
Circulation. 1990 August, 82 (2), 514-520
MN1-5856 rev.1 8-113

8-5 References
8-5-2-5 Asynchrony Study
1) J-CRT Survey Implementation Plan (Draft) First Edition, March 15, 2006
2) Intraventricular dyssynchrony SPWMD
• Pitzalis MV, Iacoviello M, Romito R, Massari F, Rizzon B, Luzzi G, Guida P, Andriani A,

Mastropasqua F, Rizzon P. “Cardiac resynchronization therapy tailored by
echocardiographic evaluation of ventricular asynchrony.” J Am Coll Cardiol. 2002
November 6, 40 (9), 1615-1622
• Pitzalis MV, Iacoviello M, Romito R, Guida P, De Tommasi E, Luzzi G, Anaclerio M,
Forleo C, Rizzon P. “Ventricular asynchrony predicts a better outcome in patients with
chronic heart failure receiving cardiac resynchronization therapy.” J Am Coll Cardiol. 2005
January 4, 45 (1), 65-69.
3) Interventricular dyssynchrony (LVPEP, IMD),
Atrio-ventricular dyssynchrony (LVDFT/RR)
• Cazeau S, Bordachar P, Jauvert G, Lazarus A, Alonso C, Vandrell MC, Mugica J, Ritter P.

“Echocardiographic modeling of cardiac dyssynchrony before and during multisite
stimulation: a prospective study.” Pacing Clin Electrophysiol. 2003 January, 26 (1 Pt 2),
137-143.
4) TDI PW time to peak
12TS-SD
• Yu CM, Zhang Q, Fung JW, Chan HC, Chan YS, Yip GW, Kong SL, Lin H, Zhang Y,
Sanderson JE. “A novel tool to assess systolic asynchrony and identify responders of
cardiac resynchronization therapy by tissue synchronization imaging.” J Am Coll Cardiol.
2005 March 1, 45 (5), 677-684.
5) Intra-and inter-ventricular dyssynchrony
• Penicka M, Bartunek J, De Bruyne B, Vanderheyden M, Goethals M, De Zutter M,

Brugada P, Geelen P. “Improvement of left ventricular function after cardiac
resynchronization therapy is predicted by tissue Doppler imaging echocardiography.”
Circulation. 2004 March 2, 109 (8), 978-983. Epub 2004 Feburary 9
8-5-2-6 Trans M Flow, PV Flow
1) PVAdur - Adur
• Rossvoll O, Hatle LK. “Pulmonary venous flow velocities recorded by transthoracic

Doppler ultrasound: relation to left ventricular diastolic pressures.” J Am Coll Cardiol.
1993 June, 21(7), 1687-1696.
8-114 MN1-5856 rev.1

8-5 References
8-5-2-7 Other
1) DecT
• Rihal CS, Nishimura RA, Hatle LK, Bailey KR, Tajik AJ. “Systolic and diastolic
dysfunction in patients with clinical diagnosis of dilated cardiomyopathy. Relation to
symptoms and prognosis.” Circulation. 1994 December, 90 (6), 2772-2779.
2) LV Mass
• Devereux RB. “Detection of left ventricular hypertrophy by M-mode echocardiography.

Anatomic validation, standardization, and comparison to other methods.” Hypertension.
1987 Feburary, 9 (2 Pt 2), II19-26.
• Wallerson DC, Devereux RB. “Reproducibility of echocardiographic left ventricular
measurements.” Hypertension. 1987 Feburary, 9 (2 Pt 2), II6-18
3) LV Mass (AL)

• Schiller NB. “Two-dimensional echocardiographic determination of left ventricular
volume, systolic function, and mass. Summary and discussion of the 1989
recommendations of the American Society of Echocardiography.” Circulation. 1991
September, 84 (3 Suppl), I280-I287
4) PISA
• Utsunomiya T, Ogawa T, Doshi R, Patel D, Quan M, Henry WL, Gardin JM. “Doppler
color flow “proximal isovelocity surface area” method for estimating volume flow rate:
effects of orifice shape and machine factors.” J Am Coll Cardiol. 1991 April, 17 (5),
1103-1111.
• Recusani F, Bargiggia GS, Yoganathan AP, Raisaro A, Valdes-Cruz LM, Sung HW,
Bertucci C, Gallati M, Moises VA, Simpson IA, et al. “A new method for quantification of
regurgitant flow rate using color Doppler flow imaging of the flow convergence region
proximal to a discrete orifice. An in vitro study.” Circulation. 1991 Feburary, 83 (2),
594-604.
5) PV Flow
• Masuyama T, Lee JM, Tamai M, Tanouchi J, Kitabatake A, Kamada T. “Pulmonary venous

flow velocity pattern as assessed with transthoracic pulsed Doppler echocardiography in
subjects without cardiac disease.” Am J Cardiol. 1991 June 15, 67 (16), 1396-1404.
• Matsuda Y, Toma Y, Matsuzaki M, Moritani K, Satoh A, Shiomi K, Ohtani N, Kohno M,
Fujii T, Katayama K, et al. “Change of left atrial systolic pressure waveform in relation to
left ventricular end-diastolic pressure.” Circulation. 1990 November, 82 (5), 1659-1667.
MN1-5856 rev.1 8-115

8-5 References
• Rossvoll O, Hatle LK. “Pulmonary venous flow velocities recorded by transthoracic

Doppler ultrasound: relation to left ventricular diastolic pressures.” J Am Coll Cardiol.
1993 June, 21 (7), 1687-1696.
6) IVC
• Kircher BJ, Himelman RB, Schiller NB. “Noninvasive estimation of right atrial pressure
from the inspiratory collapse of the inferior vena cava.” Am J Cardiol. 1990 August 15, 66
(4), 493-496.
• Moreno FL, Hagan AD, Holmen JR, Pryor TA, Strickland RD, Castle CH. “Evaluation of
size and dynamics of the inferior vena cava as an index of right-sided cardiac function.” Am
J Cardiol. 1984 Feburary 1, 53 (4), 579-585
7) TDI PW
• Onose Y, Oki T, Tabata T, Yamada H, Ito S. “Assessment of the temporal relationship

between left ventricular relaxation and filling during early diastole using pulsed Doppler
echocardiography and tissue Doppler imaging.” Jpn Circ J. 1999 March, 63 (3), 209-215.
• Oki T, Tabata T, Mishiro Y, Yamada H, Abe M, Onose Y, Wakatsuki T, Iuchi A, Ito S.
“Pulsed tissue Doppler imaging of left ventricular systolic and diastolic wall motion
velocities to evaluate differences between long and short axes in healthy subjects.” J Am
Soc Echocardiogr. 1999 May, 12 (5), 308-313.
• Wang M, Yip GW, Wang AY, Zhang Y, Ho PY, Tse MK, Lam PK, Sanderson JE. “Peak
early diastolic mitral annulus velocity by tissue Doppler imaging adds independent and
incremental prognostic value.” J Am Coll Cardiol. 2003 March 5, 41 (5), 820-826.
8) M TDI
• Yamamoto K, Nishikawa N, Mano T, Sakata Y, Yoshida J, Umekawa S, Hori M, Yasuhara

Y, Masuyama T. “Instantaneous assessment of left ventricular midwall mechanics with
tissue Doppler tracking technique.” J Card Fail. 2003 October, 9 (5), 392-397.
• Uematsu M, Miyatake K, Tanaka N, Matsuda H, Sano A, Yamazaki N, Hirama M,
Yamagishi M. “Myocardial velocity gradient as a new indicator of regional left ventricular
contraction: detection by a two-dimensional tissue Doppler imaging technique.” J Am Coll
Cardiol. 1995 July, 26 (1), 217-223.
• Miyatake K, Yamagishi M, Tanaka N, Uematsu M, Yamazaki N, Mine Y, Sano A, Hirama
M. “New method for evaluating left ventricular wall motion by color-coded tissue Doppler
imaging: in vitro and in vivo studies.” J Am Coll Cardiol. 1995 March 1, 25 (3), 717-724.
• Yamada H. Oki T. "Tissue Doppler Method - Imaging and measuring technique for Pulse
TDI and Color TDI
Echocardiography. 2001, 2 (1), 4-17.
• Kuwata Y. “Special: Circulatory System Ultrasound Innovation: Outline of Circulatory
System Ultrasound” Monthly New Medicine. May 2001, 44-46
• Kuwata Y. Takenaka K. Evaluation of Systolic Movement of Left Ventricular Wall
Endocardial Layer - Tissue Doppler Method - Echocardiography, 2001, 2 (5), 406-411.
8-116 MN1-5856 rev.1

8-5 References
9) Coronary
Coronary Flow
• Yagi T, Yamamuro A, Akasaka T, Yamabe K, Tamita K, Katayama M, Nagai K, Tani T,

Tanabe K, Morioka S, Nasu M, Okada Y. “Noninvasive assessment of flow velocity and
flow velocity reserve in the right gastroepiploic artery graft by transcutaneous Doppler
echocardiography: comparison with an invasive technique.” J Am Soc Echocardiogr., 2003
September, 16 (9), 975-981.
Coronary Stenosis
• Hozumi T, Yoshida K, Akasaka T, Asami Y, Kanzaki Y, Ueda Y, Yamamuro A, Takagi T,

Yoshikawa J. “Value of acceleration flow and the prestenotic to stenotic coronary flow
velocity ratio by transthoracic color Doppler echocardiography in noninvasive diagnosis of
restenosis after percutaneous transluminal coronary angioplasty.” J Am Coll Cardiol. 2000
January, 35 (1), 164-168.
CFVR
• Hozumi T, Yoshida K, Ogata Y, Akasaka T, Asami Y, Takagi T, Morioka S. “Noninvasive

assessment of significant left anterior descending coronary artery stenosis by coronary flow
velocity reserve with transthoracic color Doppler echocardiography.” Circulation. 1998
April 28, 97 (16), 1557-1562.
Graft Flow
• Takagi T, Yoshikawa J, Yoshida K, Akasaka T. “Noninvasive assessment of left internal

mammary artery graft patency using duplex Doppler echocardiography from
supraclavicular fossa.” J Am Coll Cardiol. 1993 November 15, 22 (6), 1647-1652.
10) Goshima Y. “Echocardiography 101” Japan Medical Association, 1995, 317p. (Japan
Medical Association Life Education Series)
MN1-5856 rev.1 8-117

8-5 References
8-5-3 Abbreviation
Abbreviation Meaning
%Collapse IVC Collapse Index
%dif long axis (at end diastole or end systole) length percentage difference
%IVSTF Interventricular Septal thickness Fraction
%PWTF Posterior Wall thickness Fraction
dEn Subendocardial half thickness change at systole on the line cursor(ES)
dEp Subepicardial half thickness change at systole on the line cursor(ES)
dTotal Entire wall thickness change at systole on the line cursor(ES)
dMT Systolic myocardial thickness change
A wave amp Pulmonary Valve A wave amplitude
A/E Mitral Vale A-wave velocity to /E-wave velocity ratio
AccT Acceleration Time
Adur A-wave duration
Aend Endocardial Area
AODd Aortic root Diameter at end diastole
AODs Aortic root Diameter at systole
Aepi Epicardial Area
APG Mitral Valve A-wave Peak Pressure Gradient
AreaEF Area Ejection Fraction
aV Mitral Valve A-wave peak Velocity
AVA Aortic Valve Area
AVDs Aortic Valve Diameter at systole
Am late diastole myocardium velocity
B-C slope Pulmonary Valve B-C slope
B-Camp Pulmonary Valve B-C amplitude
BSA Body Surface Area
C-A amp Mitral Valve C-A amplitude
Tricuspid Valve C-A amplitude
C-E amp Mitral Valve C-E amplitude
Tricuspid Valve C-E amplitude
CO Cardiac Output
COI Cardiac Output index
CSA cross-sectional Area
D D wave flow velocity (Coronary Flow)
D-E amp Tricuspid Valve D-E amplitude
D-E slope Tricuspid Valve D-E slope
DecT Deceleration Time
DDecT deceleration time of D wave flow
8-118 MN1-5856 rev.1

8-5 References
D-MnV D wave Mean Velocity
D-VTI D wave VTI(PV Flow, Coronary Flow)
dp/dt dp/dt
E-F slope Mitral Valve E-F Slope
Pulmonary Valve E-F Slope
Tricuspid Valve E-F Slope
E/A Mitral Vale E-wave velocity to /A-wave velocity ratio
E/Em E/Em
Edur E-wave duration
EDV End Diastolic Volume
EF Ejection Fraction
EnV Endocardial velocity
EPG Mitral Valve E-wave Peak Pressure Gradient
EpV Epicardial velocity
EPSS Mitral Valve E-point Septal Separation
EROA Effective regurgitant orifice area
ESV End Systolic Volume
ET Ejection Time
eV Mitral Valve E-wave peak Velocity
Em early diastolic myocardium velocity
Em/Am early diastolic myocardium velocity /
late diastole myocardium velocity
Exp Expiration IVC Diameter
Flow T Flow Time
FR Flow Rate
FS Fractional Shortening
HR Heart Rate
Insp Inspiration IVC Diameter
IRT Isovolumic Relaxation Time
IVS Interventricular Septum
IVS/LVPW IVS/LVPW ratio
IVSd Interventricular Septal thickness at end diastole
IVSs Interventricular Septal thickness at end systole
L between En and Ep length
LADd Left Atrial Diameter at end diastole
LADs Left Atrial Diameter at end systole
LAL2s Left Atrial Long-axis Length at end systole on ap 2ch view
LAL4s Left Atrial Long-axis Length at end systole on ap 4ch view
LALA2s Left Atrial Long-axis Area at end systole on ap 2ch view
MN1-5856 rev.1 8-119

8-5 References
LALA4s Left Atrial Long-axis Area at end systole on ap 4ch view
LAvol/BSA LA Volume index by body surface area
LA Volume Left Atrial Volume
LVDFT LV diastole filling time
LVDFT/RR LVDFT/RR
LVIDd Left Ventricular Internal Diameter at end diastole
LVIDs Left Ventricular Internal Diameter at end systole
LVL2d Left Ventricular Long-axis Length at end diastole on ap 2ch view
LVL2s Left Ventricular Long-axis Length at end systole on ap 2ch view
LVL4d Left Ventricular Long-axis Length at end diastole on ap 4ch view
LVL4s Left Ventricular Long-axis Length at end systole on ap 4ch view
LVLA2d Left Ventricular Long-axis Area at end diastole on ap 2ch view
LVLA2s Left Ventricular Long-axis Area at end systole on ap 2ch view
LVLA4d Left Ventricular Long-axis Area at end diastole on ap 4ch view
LVLA4s Left Ventricular Long-axis Area at end systole on ap 4ch view
LVLAd Left Ventricular Long-axis Area at end diastole
LVLAs Left Ventricular Long-axis Area at end systole
LVLd Left Ventricular Long-axis Length at end diastole
LVLs Left Ventricular Long-axis Length at end systole
LVM Left Ventricular Mass
LVM/BSA LVM index by body surface area
LVOT Left Ventricular Out Tract diameter
LVPW LV posterior wall
LVPWd Left Ventricular Posterior Wall thickness at end diastole
LVPWs Left Ventricular Posterior Wall thickness at end systole
LVSAMVd Left Ventricular Sax Area at Mitral Valve by at end diastole
LVSAMVs Left Ventricular Sax Area at Mitral Valve by at end systole
LVSAPMd Left Ventricular Sax Area at Papillary Muscle by at end diastole
LVSAPMs Left Ventricular Sax Area at Papillary Muscle by at end systole
LVSLMVd Left Ventricular Sax Length at Mitral Valve by at end diastole
LVSLMVs Left Ventricular Sax Length at Mitral Valve by at end systole
mCFVR Coronary flow velocity reserve by mean velocity
mDd LVIDd at midwall level
mDs LVIDs at midwall level
mDSVR diastolic to systolic blood flow mean velocity ratio
mFS midwall fractional shortening
MnV Mean Velocity
MPG Mean Pressure Gradient
MVA Mitral Valve Area
8-120 MN1-5856 rev.1

8-5 References
MVCF Mean Velocity of Circumferential Fiber Shortening
MVG Myocardial velocity gradient
P1/2T Pressure half Time
pCFVR Coronary flow velocity reserve by peak velocity
pDSVR diastolic to systolic blood flow peak velocity ratio
PEP Pre-Ejection period
PEP/ET PEP/ET
PG Peak Pressure Gradient
PG1,2 Peak Pressure Gradient 1,2
PISA r Radius of flow convergence
Pre D Pre stenosis D wave flow velocity
Pre D-MnV Pre stenosis D wave Mean Velocity
Pre/Stenosis Pre Stenosis/ Stenosis ratio
pV Peak Velocity
PVA PVA wave flow velocity
PVAdur PVA duration
PVAdur-Adur PVAdur-Adur
PVD D wave flow velocity (PV Flow)
PVS S wave flow velocity (PV Flow)
Qp/Qs ratio of pulmonic flow to systemic flow
RAL2s Right Atrial Long-axis Length at end systole on ap 2ch view
RAL4s Right Atrial Long-axis Length at end systgole on ap 4ch view
RALA2s Right Atrial Long-axis Area at end systole on ap 2ch view
RALA4s Right Atrial Long-axis Area at end systole on ap 4ch view
RAP Right Atrial pressure
RAvol/BSA RA Volume index by body surface area
RA Volume Right Atrial Volume
RF Regurgitant fraction
RIVCT Regional Isovolumetric Contraction Time
RIVRT Regional Isovolumetric Relaxation Time
RR R-R interval
RV Regurgitant volume
RVDd Right Ventricular Diameter at end diastole
RVDs Right Ventricular Diameter at end systole
RVOT Right Ventricular Out Tract diameter
RVSP Right Ventricular systolic pressure
S S wave flow velocity
(Coronary Flow)
S/D S/D ratio
MN1-5856 rev.1 8-121

8-5 References
SF Systolic fraction
S-MnV S wave Mean Velocity
Steno D Stenosis D wave flow velocity
Steno D-MnV Stenosis D wave Mean Velocity
SV Stroke Volume
SVI Stroke Volume Index
S-VTI S wave VTI(PV Flow、 Coronary Flow)
Sm1 systolic myocardium velocity 1
Sm2 systolic myocardium velocity 2
thick Mean wall thickness
VHT Velocity Harf Time of D wave flow
Vmax maximum Velocity (CW Doppler)
Vr Aliasing velocity
VTI Velocity Time integral
VTImax Velocity Time integral (CW Doppler)
WMV Wall motion velocity curve
8-122 MN1-5856 rev.1

Chapter contents
9-1 Vascular measurement overview

9-3 Report
9-4 Preset
9-5 References
This chapter describes the device settings based on the assumption that they are on the factory
default settings.
MN1-5856 rev.1 9-1

9-1-1 Vascular measurement menu
The following measurement menu and items are available for vascular measurement.
Table 9-1: B mode

Study Menu Measurement items
R-Carotid A Car%StenoD %STENO Vessel Residual
L-Carotid A Car%StenoA %STENO Vessel Residual
max-IMT max-IMT
mean-IMT mean-IMT
CCA_IMT, max min avg
ICA_IMT, SD points width
ECA_IMT, Hist
BIF_IMT
CmeanIMT mean points width
R-Lwr Extr A Lwr%StenoD %STENO Vessel Residual
L-Lwr Extr A Lwr%StenoA
R-Upr Extr A Upr%StenoD %STENO Vessel Residual
L-Upr Extr A Upr%StenoA
Table 9-2: D mode

R-Carotid A pCCA, mCCA, PI RI S/D PSV EDV
L-Carotid A dCCA MnV Vm FT AccT ACC
AccT/FT F.Vol
ICA, pICA, PI RI S/D PSV EDV
mICA, dICA, MnV Vm FT AccT ACC
ECA, BIFUR AccT/FT F.Vol
VERT PI RI S/D PSV EDV

MnV Vm FT AccT ACC
AccT/FT F.Vol
9-2 MN1-5856 rev.1


R-Lwr Extr A CIA, EIA, IIA, PI RI S/D PSV EDV
L-Lwr Extr A CFA, DFA, MnV Vm FT AccT ACC
SFA, PopA,
AccT/FT F.Vol
PTA, ATA,
PerA, DPA
Lwr Art.1 ～ PI RI S/D PSV EDV
Lwr Art.8 MnV Vm FT AccT ACC
AccT/FT F.Vol
R-Lwr Extr V CIV, EIV, IIV, pV
L-Lwr Extr V CFV, DFV,
SFV, GSV,
PopV, LSV,
PTV, ATV,
PerV
Lwr Vein 1 ～ pV
Lwr Vein 8
R-Upr Extr A ScA, AA, BA, PI RI S/D PSV EDV
L-Upr Extr A DBA, BasA, MnV Vm FT AccT ACC
RA, UA, SPA
AccT/FT F.Vol
Upr Art.1 ～ PI RI S/D PSV EDV
Upr Art.8 MnV Vm FT AccT ACC
AccT/FT F.Vol
R-Upr Extr V IJV, ScV, CV, pV
L-Upr Extr V AV, BV, DBV,
BasV, RV, UV
Upr Vein 1 ～ pV
Upr Vein 8
R-TCD ACA, MCA, PI RI S/D PSV EDV
L-TCD PCA, BA, VA, MnV Vm FT AccT ACC
TICA, ACoA,
AccT/FT F.Vol
PCoA
MN1-5856 rev.1 9-3

9-1-2 Vascular measurement Study
Vascular measurement has the following studies.
• R-Carotid A : For right carotid artery

• L-Carotid A : For left carotid artery
• R-Upr Extr A: For right upper extremity artery
• L-Upr Extr A: For left upper extremity artery
• R-Upr Extr V: For right upper extremity vein
• L-Upr Extr V: For left upper extremity vein
• R-Lwr Extr A: For right lower extremity artery
• L-Lwr Extr A: For left lower extremity artery
• R-Lwr Extr V: For right lower extremity vein
• L-Lwr Extr V: For left lower extremity vein
• R-TCD : For right trans cranial Doppler
• L-TCD : For left trans cranial Doppler
Measurement menu and report display vary depending on the selected study.
9-1-2-1 Switching between left and right of the study
Using the current application and the study, switch the left and right display of the study.

displayed.
2. Select Site<Right> or Site<Left> from the measurement menu.
→ Left and right sides of the study is switched.
9-4 MN1-5856 rev.1

9-1-2-2 Switching a study
You can switch the study using the current application.

displayed.
2. Select the top of the measurement menu (current study name).
3. Select Study.
9-1-2-3 Switch the study using a different application

displayed.
2. Move the pointer on the Change Appl., and Press ENTER.
3. Move the pointer to the application to choose, and press ENTER.
4. Move the pointer to the study to display and press ENTER.
Example of menu display: Changing from Basic in Abdomen

→ The screen switches to the study of the selected application.
MN1-5856 rev.1 9-5

9-2-1 B mode
9-2-1-1 Stenosis Percentage Measurements
One of the following two methods can be used to evaluate the % stenosis.
• Evaluation by calculation from the diameter (% STENO-Diam)

• Evaluation by calculation from the cross-sectional area (% STENO-Area)
%STENO Diam measurement
Measure the lumen diameter of the blood vessel and the residual lumen diameter of the stenosis
using a tomographic image. Obtain the stenosis percentage of the blood vessel from these
measured values.
%STENO = (a - b) / a × 100
a: Vessel lumen
a b: Residual lumen diameter of the stenosis of the
b
blood vessel (Residual), (a > b)
1. Display the transverse image of the short axis that intersects the location of the stenosis
at right angles to it.
2. Select Measurement key, and select %STENO Diam from the measurement menu.
3. Measure intrinsic internal diameter of the vessel a using the Caliper method.
4. Measure residual lumen diameter of the stenosis of the blood vessel b using the Caliper
method.
→ The stenosis percentage is calculated once Vessel and Residual are measured.
Measurement results
Rt.STENO-Diam : Left and right of the study selected and measurement menu
Vessl : mm : The diameter of the lumen of the original blood vessel (Vessel)
Resid : mm : The diameter of the lumen of the stenosis part of the blood vessel (Residual)
%STENO: % : Rate of the stenosis
9-6 MN1-5856 rev.1

Related links:
%STENO Area measurement
Measure area of the lumen (a) and residual are of the lumen of the stenosis part (b) of the blood
vessel using a tomographic image. Obtain the stenosis percentage of the blood vessel from these
measured values.
%STENO = (a - b) / a × 100
a: Vessel lumen
b: Residual lumen diameter of the stenosis of the blood vessel
b
a (Residual), (a > b)
Trace (B Trace method) and Ellipse, Circle are available for calculation.
Measured Method & Display Items > B.Mode and specify in %STENO Area.
1. Display the transverse image of the short axis that intersects the location of the stenosis
at right angles to it.
2. Select Measurement key, and select %STENO Area from the measurement menu.
3. Measure original area of the lumen of the blood vessel a.
4. Measure residual lumen area of the stenosis of the blood vessel b.
→ The stenosis percentage is calculated once Vessel and Residual are measured.
Measurement results
Rt.Steno-Area : Left and right of the study selected and measurement menu
Vessl : cm2 : The area of the lumen of the original blood vessel (Vessel)
Resid : cm2 : The area of the lumen of the stenosis part of the blood vessel
(Residual)
%STENO: % : Rate of the stenosis
Related links:
Ellipse Method → p.1-13
Circle Method → p.1-15
MN1-5856 rev.1 9-7

9-2-1-2 mean-IMT measurement
Identify an intima-media complex thickness (IMT) region which thickens most in common
carotid artery. Select an area of continuous 2cm range including the thickest part and divide
there into half and measure there at three points, then obtain the mean value that is derived from
the three measurements as mean-IMT.
Caliper method and IMT method are available for measurement. Navigate the preset to Create
Measurement Tools > Application Measurement > B.Mode and specify in mean-IMT.
mean-IMT measurement: Caliper method
1. An ultrasound beam is perpendicular to the vessel wall of common carotid artery and a
longitudinal view is displayed including the most thickening region.
3. Switch left and right (Site<Right> or Site<Left>) corresponding to the measuring
region from the measurement menu.
4. Select mean-IMT from the measurement menu.
5. Measure the most thickening region by the Caliper method.
→ The line cursor is displayed at 1cm toward the right or left from the region measured.
6. Measure the thickness at the point where the right or left line cursor is located.
+3 +1 +2
+ +
+
→ The mean-IMT value is displayed.
Measurement results
Rt.mean-IMT : Left and right of the study selected and measurement menu
1: mm : Most thickening IMT value
2: mm : IMT value of 1cm right of the most thickening region
3: mm : IMT value of 1cm left of the most thickening region
mean-IMT: mm : Mean value of the 3 measurement values
Reference:
9-8 MN1-5856 rev.1

mean-IMT measurement: IMT Method
1. An ultrasound beam is perpendicular to the vessel wall of right common carotid artery
and a longitudinal view is displayed including the most thickening region.
4. Select mean-IMT from the measurement menu.
5. Measure the most thickening region.
a Rotate the line mark and align it with an intima-media complex section using the rotary
encoder, and press ENTER.
b Measure the thickness with the line mark.
→ The line cursor is displayed at 1cm toward the right or left from the region measured.
6. Measure the thickness at the point where the line cursor is located on the left or right side
following the measurement of the most thickening region.
1 2
→ A mean-IMT value is displayed once all 3 points are measured.
Measurement results
Rt.mean-IMT : Left and right of the study selected and measurement menu
1: mm : Most thickening IMT value
2: mm : IMT value of 1cm right of the most thickening region
3: mm : IMT value of 1cm left of the most thickening region
mean-IMT: mm : Mean value of the 3 measurement values
MN1-5856 rev.1 9-9

9-2-1-3 CmeanIMT (IMT Auto) measurement
3point that measured in the mean-IMT and mean-IMT value are obtained auto-tracing inner and
outer membrane of blood vessel.
NOTE: This measurement requires the optional SOP-F31-38.
1. An ultrasound beam is perpendicular to the common carotid artery and a longitudinal

view is displayed including the most thickening region.
Measuring on the image stored in the instrument
The measurement can be taken only on the images saved as RBG+Raw format.
4. Select CmeanIMT from the measurement menu.
5. Using +, switch between Diastole and Systole.
6. Sets the ROI.
a Move the left line of the ROI to the starting point.
F
b Align the + mark with the inner membrane and press ENTER.
c Adjust the height of ROI with the rotary encoder to fit the entire IMT.
d Move the right line of the ROI to the end point.
e Align the + mark with the inner membrane and press ENTER.
→ The positions of the inner and outer membrane are automatically traced, and the
measurement results are displayed.
If an error message is displayed, either the ROI is too narrow or the inner membrane is not
detected. Press CANCEL to specify the ROI again.
9-10 MN1-5856 rev.1

7. If necessary, adjust the trace level of the rotary encoder for inner or outer membrane.
a Correct the blue (cyan) line trace level using the rotary encoder.
Temporarily deleting the trace line
Press the hot key assigned to the Mark Display (factory default is key 5).
b Press ENTER.
→ The other line is displayed in blue (cyan).
c Correct the trace level using the rotary encoder.
Measurement results
Rt.CmeanIMT F : Left and right of the study selected and measurement menu
[Diastole]
mean: mm : mean value of three points
1: mm : most thickening of IMT
2: mm : IMT value on downstream side
3: mm : IMT value on upstream side
points: : number of the IMT measurement points
width: mm : ROI width
MN1-5856 rev.1 9-11

9-2-1-4 max-IMT measurement
Measures multiple points of the intima-media complex thickness (IMT) in carotid artery. The
maximum value of these measurement is shown as max-IMT.
Caliper method and IMT method are available for measurement. Navigate the preset to Create
Measurement Tools > Application Measurement > B.Mode and specify the measurement
method and the maximum number of measurement in max-IMT.
The factory default setting for the number of measuring points is up to 7.
max-IMT measurement: Caliper Method
2. Select Measurement key, and switch left and right (Site<Right> or Site<Left>)
corresponding to the measuring region from the measurement menu.
3. Select max-IMT from the measurement menu.
4. Measure the thickening region using the Caliper method.
+1 +2
+3
+ + +
5. Measure other thickening regions using the Caliper method.
Measurement results
Rt.max-IMT : Left and right of the study selected and measurement menu
1: mm : IMT value
2: mm : IMT value
3: mm : IMT value
max-IMT: : max IMT value
mm
Reference:
9-12 MN1-5856 rev.1

max-IMT measurement: IMT Method
4. Select max-IMT from the measurement menu.
5. Measure the thickening region.
a Move the line mark to the measuring point.
b Rotate the line mark and align it with an intima-media complex section using the rotary
encoder, and press ENTER.
c Measure the thickness with the line mark, and press the ENTER.
1 2
6. Measure other thickening regions in the same manner.
Measurement results
Rt.max-IMT : Left and right of the study selected and measurement menu
1: mm : IMT value
2: mm : IMT value
3: mm : IMT value
max-IMT: : max IMT value
mm
MN1-5856 rev.1 9-13

9-2-1-5 max-IMT measurement: IMT Auto measurement
Autotracing the IMT, you can obtain the most thickening value as max-IMT.
NOTE: This measurement requires the optional SOP-F31-38.
1. An ultrasound beam is perpendicular to the vessel wall of right common carotid artery
and a longitudinal view is displayed including the most thickening region.
4. Select IMT automatic measurement menu form the measurement menu.
IMT automatic measurement menu
Four menus, CCA_IMT, ICA_IMT, ECA_IMT and BIF_IMT are available.
5. Use + key to switch between Diastole and Systole.
6. Sets the ROI.
a Move the left line of the ROI to the starting point.
F
b Align the + mark with the inner membrane and press ENTER.
c Adjust the height of ROI with the rotary encoder to fit the entire IMT.
d Move the right line of the ROI to the end point.
e Align the + mark with the inner membrane and press ENTER.
→ The positions of the inner and outer membrane are automatically traced, and the
measurement results are displayed.
If an error message is displayed, either the ROI is too narrow or the inner membrane is not
detected. Press CANCEL to specify the ROI again.
9-14 MN1-5856 rev.1

7. If necessary, adjust the trace level of the rotary encoder for inner and outer membrane.
a Correct the blue (cyan) display line trace level using the rotary encoder.
Temporarily deleting the trace line
Press the hot key assigned to the Mark Display (factory default is key 5).
b Select ENTER key.
→ The other line is displayed in blue (cyan).
c Correct the trace level using the rotary encoder.
Measurement results
Rt.CCA_IMT F : Left and right of the study selected and measurement menu
[Diastole]
max: mm : max IMT value
min: mm : minimum IMT value
avg: mm : average IMT value
SD: mm : Standard deviation
points: : number of the IMT measurement points
width: mm : ROI width
MN1-5856 rev.1 9-15

9-2-2 D mode
Keep the following notes in mind while taking measurements in D mode:
• When you record an arterial flow Doppler waveform (pulse method), set the Doppler
incident angle as small as possible. If the Doppler incident angle exceeds 60 degrees, the
blood velocity measurement error increases.
• When measuring the blood velocity using multiple blood flow waveform images, use
identical recording conditions (forward and reverse flow directions) for all of the blood
flow waveforms. The device will record blood velocity values as real numbers, but will
not display positive and negative symbols (+/-).
In particular, when the report measurement value display is set for average values
(Display Data is set to Average in the preset (Create Measurement Tools >
Application Measured Method & Display Items > Report Data)), completely
different measurement values may be displayed.
9-16 MN1-5856 rev.1

9-2-2-1 Carotid artery blood flow examination (Carotid Artery Study)
Obtain PSV (Peak Systolic Velocity), EDV (End-Diastolic Velocity or minimum diastolic
velocity) and S/D of the carotid arterial blood flow. Flow Volume (blood flow volume) can be
calculated when the blood vessel diameter is also measured.
The following measurement menu are available for carotid arterial blood flow measurement.
Measurement menu is displayed vessel name.
• pCCA (CCA proximal)

• mCCA (CCA mid)
• dCCA (CCA distal)
• ICA
• pICA
• mICA
• dICA
• ECA
• BIFUR
• VERT
In this measurement, set the following two points:
• Peak Systolic Velocity (PSV)

• End-Diastolic Velocity (EDV) or minimum diastolic velocity
NOTE: End Diastolic Velocity (EDV) and minimum diastolic velocity do not necessarily
match each other. Set the EDV time phase to match the blood velocity to be used for the
measurement.
A blood flow measurement that traces the Doppler waveform (Doppler Trace method,
Dop.Trace method) and another that directly points to the Doppler waveform (Dop.Caliper)
are available.
The factory default measurement method is set to Auto in Dop.Trace. Navigate the preset to
Create Measurement Tools > Application Measurement > Measured Methods &
Display Items > D.Mode, and change the measurement methods in respective measurement
items.
MN1-5856 rev.1 9-17

Measuring with Dop Trace (Doppler Trace method)
Trace the Doppler waveform to detect the points for Peak Systolic Velocity (PSV) and
End-Diastolic Velocity (EDV).
Auto (Auto Trace) and Manual (Manual Trace) are available for the Doppler Trace method.
Navigate the preset to Application Measurement > Measured Methods & Display Items >
D.Mode and specify the measurement methods in respective measurement items.
1. Record the blood flow Doppler waveform of a carotid artery.

3. Select the blood flow to measure from the measurement menu.
→ A line cursor (vertical) is displayed for Auto Trace and + mark is displayed for Manual
Trace.
4. Using the Doppler Trace method, trace the blood flow Doppler waveform.
→ When the blood flow Doppler waveform is traced, a line cursor accompanied by S (peak
systolic velocity point) and D (end-diastolic velocity point) is displayed.
5. If necessary, modify the EDV time phase to the end-diastolic velocity or minimum
diastolic velocity.
Measurement results
Rt.ICA : Right or left and blood vessel name
PSV: . cm/s : Peak systolic velocity
EDV: . cm/s : End-diastolic velocity
S/D: . : PSV/EDV Ratio
MnV: . cm/s : Mean Velocity
PI: . : Pulsatility Index
RI: . : Resistance Index
[ 1Beat avg.] : Number of heartbeats detected
Reference:
9-18 MN1-5856 rev.1

Measuring with Dop Caliper
Directly specify 2 points for the Peak Systolic Velocity (PSV) and the End-Diastolic Velocity
(EDV).
Measured Method & Display Items > D.Mode and specify the measurement method of
respective measurement items to Caliper.
1. Record the blood flow Doppler waveform of a carotid artery.

4. Set the Peak Systolic Velocity (PSV) point.
a Move the caliper mark to the PSV position.
b Press ENTER.
5. Set the End-Diastolic Velocity (EDV) point.

EDV time phase
Match to the blood velocity (end-diastolic velocity or minimum diastolic velocity) to be used for
measurement.
a Move the caliper mark to the EDV position.

b Press ENTER.
→ Once PSV or EDV is set, S/D and so on are displayed.
Measurement results
PSV: cm/s : Peak systolic velocity
EDV: cm/s : End-diastolic velocity
S/D: : PSV/EDV Ratio
RI: : Resistance Index
MN1-5856 rev.1 9-19

9-2-2-2 Upper and lower extremity artery examination: Lwr Extr A, Upr Extr A
velocity) and S/D of the arterial blood flow in left and right upper and lower extremity. Flow
Volume (blood flow volume) can be calculated when the blood vessel diameter is also
measured.
Four studies, R-Lwr Extr A, L-Lwr Extr A, R-Upr Extr A and L-Upr Extr A studies correspond
t to this examination.
The following menu is available for the blood flow measurement of right and left upper and
lower extremity arteries.
Study Available menu (blood vessel) name

R-Lwr Extr A, CIA, EIA, IIA, CFA, DFA, SFA, PopA, PTA, ATA, PerA, DPA
L-Lwr Extr A User-defined (Lwr Art.1 ～ Lwr Art.8)
R-Upr Extr A, ScA, AA, BA, DBA, BasA, RA, UA, SPA
L-Upr Extr A User-defined (Upr Art.1 ～ Upr Art.8）
You can change the user-defined menu name in Name Assignment in the preset (Create
Measurement Tools > Application Measurement > Measured Method & Display Items
> D.Mode).
In these measurements, set the following two points:

NOTE: End-Diastolic Velocity (EDV) and minimum diastolic velocity do not necessarily
measurement.
are available.
The factory default measurement method is set to Auto in Dop. Trace. Navigate the preset to
Create Measurement Tools > Application Measurement > Measured Method & Display
Items > D.Mode, and change the measurement methods in respective measurement items.
9-20 MN1-5856 rev.1

Navigate the preset to Application Measurement > Measured Method & Display Items >
1. Record the blood flow Doppler waveform of the applicable blood vessel.
2. Select Measurement key and select blood flow to measure from the measurement
menu.
Trace.
diastolic velocity.
Measurement results
MnV: cm/s : Mean Velocity
PI: : Pulsatility Index
Reference:
MN1-5856 rev.1 9-21

(EDV).
b Press ENTER.

EDV time phase
Match to the blood velocity (end-diastolic velocity or minimum diastolic velocity) to be used for
measurement.

b Press ENTER.
Measurement results
Rt.CIA : Right or left and blood vessel name
9-22 MN1-5856 rev.1

9-2-2-3 Upper and lower extremity venous blood flow examination: Lwr Extr V Study, Upr Extr
V Study
Measure the maximum velocity of the left and right upper and lower extremity veins.
Four studies, R-Lwr Extr V, L-Lwr Extr V, R-Upr Extr V and L-Upr Extr V studies correspond
t to this examination.
The following menu is available for the blood flow measurement of right and left upper and
lower extremity veins. Measurement menu is displayed by vessel name.
Study Available menu (blood vessel) name

R-Lwr Extr V, L-Lwr CIV, EIV, IIV, CFV, DFV, SFV, GSV, PopV, LSV, PTV, ATV, PerV
Extr V User-defined (Lwr Vein 1 - Lwr Vein 8)
R-Upr Extr V, IJV, ScV, CV, AV, BV, DBV, BasV, RV, UV
L-Upr Extr V User-defined (Upr Vein 1 - Upr Vein 8）
You can change the user-defined menu name in Name Assignment in the preset (Create
Measurement Tools > Application Measurement > Measured Method & Display Items
> D.Mode).
In these measurements, set the following two points:

measurement.
are available.
The factory default measurement method is set to Auto in Dop. Trace. Navigate the preset to
MN1-5856 rev.1 9-23

Measuring with Dop.Trace
Trace the Doppler waveform to detect the maximum velocity point.
Navigate the preset to Application Measurement > Measured Method & Display Items >
menu.
Trace.
→ Once the tracing is completed, the traced waveform is displayed. The + mark is displayed
at the pV position.
4. If necessary, adjust the pV position.
Measurement results
Rt.AV : Right or left and blood vessel name
Reference:
9-24 MN1-5856 rev.1

Measuring with Dop.Caliper
Directly set the maximum velocity point.
menu.
3. Move the + mark to the maximum velocity (pV) point, and press ENTER.
Measurement results
Rt.AV : Right or left and blood vessel name
MN1-5856 rev.1 9-25

9-2-2-4 Trans cranial Doppler examination: TCD Study
velocity) and S/D of the trans cranial arterial blood flow. Flow Volume (blood flow volume)
can be calculated when the blood vessel diameter is also measured.
The TCD study include the following menu. The measurement menu is displayed as blood
vessel name. Measurement menu is displayed by vessel name.
• ACA
• MCA
• PCA
• BA
• VA
• TICA
• ACoA
• PCoA
In this measurement, set the following two points:

measurement.
are available.
The factory default measurement method is set to Auto in Dop.Trace. Navigate the preset to
9-26 MN1-5856 rev.1

Auto Trace and Manual are available for the Doppler Trace method. Navigate the preset to
Application Measurement > Measured Method & Display Items > D.Mode and specify
the measurement methods in respective measurement items. Select Auto for Auto Trace and
Manual for Manual Trace.
menu.
Trace.
diastolic velocity.
Measurement results
Rt.MCA : Right or left and blood vessel name
MnV: cm/s : Mean Velocity
PI: : Pulsatility Index
Reference:
MN1-5856 rev.1 9-27

(EDV).
b Press ENTER.

EDV time phase
Match to the blood velocity (end diastolic velocity or minimum diastolic velocity) to be used for
measurement.

b Press ENTER.
Measurement results
Rt.MCA : Right or left and blood vessel name
PSV: cm/s : Peak Systolic Velocity
EDV: cm/s : End-Diastolic Volume
9-28 MN1-5856 rev.1

9-3 Report
9-3 Report
Measurement results and obtained index values are sorted and displayed in the report.
The following operations are available using the report:
1) Displaying measurement results and images
• Doppler waveform (blood flow measurement results using Dop Trace method only)
• Recorded ultrasound images
• Past results
2) Editing results, comments and findings
3) Outputting reports (printing and saving)
MN1-5856 rev.1 9-29

9-3 Report
9-3-1 Displaying reports
NOTE: Patient information is required to display a report. Enter patient information on the ID
screen.
9-3-1-1 Displaying reports
● Select REPORT from the measurement menu. Alternatively, select REPORT

(Hot Key 4 or custom switch).
→ The report is displayed.
The following buttons are located at the top of the report.
Return Closes the report.
Header Toggles the Header block (patient information) display between Long Form
and Short Form.
Prev. Displays the previous page.
Next Displays the next page.
(Study list) Switches the study in the report.
W.Trace Displays the Doppler waveform.
US Image Displays an ultrasound image in the report.
Output Outputs report data to a PC, Media or printer.
Switching the display from report to images
● Select Return at the top of the report screen. Alternatively, select REPORT
(custom switch).
9-30 MN1-5856 rev.1

9-3 Report
9-3-1-2 Information blocks displayed in a report
Reports are displayed by study.

Vascular measurement study consists of 12 kinds of report including left and right side
measurements. In each study, the following information is categorized in blocks. A Header
block and Site Information block are displayed in studies in every report. Other Blocks are set
in the preset (Study Assignment > (Study Name) > Combined Report Data), and are
displayed along with the measurement results registered in the report.
Header Block
Patient information entered on the ID
screen
<Comment>
Display/Clear the comment entry field.
Site Information Block
Facility information, information on
physicians in charge and so on
Carotid Artery Block
Measurement results of carotid arterial
blood flow.
The factory default is set to display
R-Carotid A and L-Carotid A studies.
Carotid F. Volume Block

Measurement results of carotid arterial
blood flow volume.
This item will not be displayed in the
factory default setting.
IMT Auto Measurement Block

CmeanIMT measurement results and
results of automatic maxIMT
measurement.
This item will not be displayed in the
factory default setting.
MN1-5856 rev.1 9-31

9-3 Report
IMT Block
Measurement results of IMT blood
flow.
%Stenosis Block
Stenosis rate measurement results. The
figure shows the results of R-Carotid
A and L-Carotid A studies.
studies excluding R-TCD and L-TCD
studies.
Plaque score Block
This is where the findings are entered.
Upper Extr. A Block

Measurement results of upper
extremity arterial blood flow.
R-Upr Extr A and L-Upr Extr A
studies.
Upper Extr. A F. Volume Block

Measurement results of upper
It is set not to display on the factory
default.
9-32 MN1-5856 rev.1

9-3 Report
Upper Extr. V Block

Results of measuring blood flow
through the veins of the upper
extremities
default.
Lower Extr.A Block

Measurement results of lower
R-Lwr Extr A and L-Lwr Extr A
studies.
Lower Extr. A F.Volume Block

extremity arterial blood flow volume.
default.
Lower Extr. V Block

extremity venous blood flow.
default.
TCD Block
Measurement results of trans cranial
arterial blood flow.
R-Lwr Extr A and L-Lwr Extr A
studies.
MN1-5856 rev.1 9-33

9-3 Report
TCD F.Volume Block

Measurement results of trans cranial
arterial blood flow volume.
default.
Anatomy Check List Block

Blood vessel properties and Doppler
findings check list.
default.
9-34 MN1-5856 rev.1

9-3 Report
9-3-1-3 Displaying the blood flow waveform
The report can display the Doppler trace to obtain various blood flow measurements values.
You can compare the waveform pattern in front of and after the stenosis.
NOTE: The blood waveform is displayed different according to the display format during the
measurement. Please measure each arterial blood flow with the same display format in the B/D
mode (left and right and upper and lower B/D, DopWide and Normal). If they are measured in
different display modes, they will be displayed as follows.
From the top:

• Measurement in the B/D mode in UL/Normal
• Measurement in the B/D mode in UL/Wide
• Measurement in the B/D mode in LRWide or LR
Normal
1. Select W.Trace at the top of the report screen.

2. Select Block from the pull-down list.

→ Blood vessels that can be displayed will be shown as a list in the Select vessels to display
field.
3. Select the position of the Doppler pattern.
• RIGHT: Displays the pattern on the right side of the screen.
• LEFT: Displays the pattern on the left side of the screen.
4. Select OK.
→ If you select RIGHT, the waveform will be displayed on the right side of the screen.
MN1-5856 rev.1 9-35

9-3 Report
If you select LEFT Side, the waveform will be displayed on the left side of the screen.
5. To return to the report page, select Return.
9-36 MN1-5856 rev.1

9-3 Report
9-3-1-4 Attaching an ultrasound image
You can attach ultrasound images to the report. The attached ultrasound images will be
displayed in the US Image block. You can add the stored images of the patient whose report is
being displayed from the hard disk of the instrument or from a connected storage medium, such
as USB memory.
Set the US Image block display using the following options under Report Data of the preset
menu.
• Set the display format in Display Pasted US Image Form on the Screen.
• Set the number of images to display immediately after selecting US Image block in
Automatically be Displayed US Images Number.
1. Select US Image at the top of the report screen.

→ The US Image block is displayed. The latest images (the number of which is preset) are
loaded from a connected storage medium (such as HDD or USB memory) and displayed
from top left to right.
If Display Pasted US Image Form on the Screen is 2×2 and Automatically be
Displayed US Images Number is 4, images will be displayed as shown below.
When four images are stored

2. If necessary, change the displayed images.
a Select Review at the bottom of the screen.
→ Images stored in the HDD of the instrument and/or in the connected medium will be
displayed as thumbnails. Only today's images of the current patient are displayed.
Current Exam.View is displayed in the upper right of the screen.
MN1-5856 rev.1 9-37

9-3 Report
b Move the pointer to the image you wish to display, then press ENTER.
→ Selected images will be displayed with a blue frame.
c Once you have selected all the images to display, select Paste Desired US.
→ Only the selected images will be displayed in the US Image block.
Displaying past examination images
Select Change View below the thumbnails. Current Exam.View is displayed in the upper right
of the screen, and the current patient's past examination images are displayed. You can also select
images from past examinations to display in the US Image block.
When you re-select Change View, the screen switches to display the images of the day only
(Current Exam.View). Current Exam.View is displayed in the upper right of the screen.
9-38 MN1-5856 rev.1

9-3 Report
9-3-1-5 Displaying past reports
NOTE: You cannot modify the data in the past reports.
1. Move the cursor to ▼ on the upper right corner of the Report screen and press ENTER.
→ If past reports are available, a list of the report dates is displayed.
2. Select the date of the reports to display.

→ The report of the selected date is displayed.
MN1-5856 rev.1 9-39

9-3 Report
9-3-2 Editing reports
You can edit the following contents in the report.
• Comments
• Opinions
9-3-2-1 Entering comments
Enter comments including ultrasound comments in the Comments field in Header block.
1. Select <Comments>.
→ The text box is displayed.
2. Enter a comment from the keyboard.

3. Select OK when you finish entering the comments.
→ The entry is confirmed.
To cancel the entry, select Cancel.
9-40 MN1-5856 rev.1

9-3 Report
9-3-2-2 Entering findings
This is where the ultrasound findings are entered. You can enter them in the Plaque score
block or Anatomy Check List block.
Entering in the Plaque score block
● Select from a list.
→ The selected word is displayed.
Editing the findings list
1. Select Edit.
MN1-5856 rev.1 9-41

9-3 Report
2. Edit the findings list.

Editing the findings list
a) Select the items to modify.
b) Select Edit. The following input dialog box is displayed.
c) Enter the findings in the dialog box using the keyboard.

d) Select OK. The dialog box closes.
Adding the findings list
a) Select Add.
b) Enter the findings in the dialog box using the keyboard.
c) Select OK. The dialog box closes.
Deleting the findings list
a) Select the items to modify.
b) Select Delete.
3. Select OK.
Entering the Anatomy Check List
Anatomy Check List is a function to enter anatomical findings concerning the uterus, ovaries,
and so on, and also findings concerning ultrasound, as a checklist.
Anatomy Check List block will not be displayed in the factory default setting. To display the
report, change the setting in the preset (Study Assignment > (Study Name) > Combined
Report Display).
1. Shot the report and switch to the study containing the Anatomy Check List block.
2. Select the findings in each list.
9-42 MN1-5856 rev.1

9-3 Report
Specifying the display items in the Anatomy Check List
It is set with a preset.
1. Navigate the preset (Study Assignment > (Study Name)) and select Anatomy Check
List.
→ The Anatomy Check List is displayed.
2. Select the items to change.

3. Select the items to display.

Removing an item
Move the cursor at the top of the dialog box to the empty field and press ENTER.
MN1-5856 rev.1 9-43

9-3 Report
Specifying Anatomy Check List item options
Specify options and User-defined items in the Anatomy Check List.
1. Navigate the preset (Study Assignment > Report Data) and select Anatomy Check
List.
→ The Anatomy Check List is displayed.
2. Select Built-in to change default items. Select User to specify Heading and Selectable.
→ If you choose Built-in, the following screen is shown.
3. Select the items to change.

4. Enter the options from the keyboard.
5. Select Exit when you have finished entering and changing.
9-44 MN1-5856 rev.1

9-3 Report
9-3-2-3 Editing the measurement results
1. Select the measurement value to be modified.

→ A dialog box showing the measurement value is displayed.
If Display Data of Report Data in the preset has been set to Current, data at the top is
displayed on the report screen. If it is set to Average, an average value is displayed.
2. Modify the data.
Deleting data
a) Select the measurement value in the dialog box.
b) Select Delete in the dialog box.
Modifying data
Some measurement results, such as PI and RI, correlate to the two blood flow velocities (EDV,
PSV) within the same heartbeat cycle. Modify the value to maintain the mutual time-phase
relationship.
b) Enter values from the keyboard.
A # mark will be added next to the name of the modified item.
Display example: modifying PSV of dCCA

Selecting the data to display
If Display Data of Report Data in the preset has been set to Current, you can change the
measurement value to be displayed on the report screen.
b) Select OK in the dialog box.
MN1-5856 rev.1 9-45

9-3 Report
9-3-3 Outputting reports
There are three ways to output the report.
• Output to the local printer: Selects the block to output.

• Output to PC via RS-232C: Outputs information other than image information (US
Image Block).
• Output as a CSV file: Outputs the values registered to the report to a connected medium
or device.
9-3-3-1 Printing
Print a report to the local printer (printer connected to the instrument).

2. Select to Printer.
3. Select OK.
4. Select a block to print.

Select one of the block to print. Repeat this step and highlight all the blocks to print. To
deselect a block, select the block.
5. Specify the number of copies in the Num of Copies field.
9-46 MN1-5856 rev.1

9-3 Report
6. If necessary, configure the printer properties.

a Select Property.
b See the next section to configure the printer property.
7. Select Print.
Printer property
You can set the advanced printer properties.
Item Selections Description

Printer name Selects the printer model.
Paper sizes US Letter Prints on US letter size paper.
A4 Prints on A4 size paper.
Orientation Portrait Set the paper orientation to Portrait. (You can select only
Portrait.)
US Image Form 1×2 Prints the US Image block in 1 columns with 2 images per
column.
column.
column.
column.
Signature Physician Adds the physician's signature field.
Physician & Adds the physician and sonographer's signature fields.

Sonographer
None Hides the signature fields.
Title Inform Enables you to enter the report title (up to 80 letters).
Site Inform Enables you to enter the facility information (department,

address, telephone No., FAX No., etc.).
MN1-5856 rev.1 9-47

9-3 Report
9-3-3-2 Outputting reports to a PC
You can output the report data to a PC via RS-232C interface.

2. Select to PC.
3. If this is a revisit for the applicable patient, select Yes. If this is the first visit, select No.
4. Select OK.
→ Patient information and data registered in the report (excluding ultrasound images) will be
output to a PC.
9-48 MN1-5856 rev.1

9-3 Report
9-3-3-3 Outputting reports as a CSV file
You can output data registered in the report as a CSV file.

2. Select Export CSV file.

The file name is displayed as ID_Date_Application.

Select Cancel, the screen returns to the report screen.
3. Select the storage destination from the Target Medium list.
4. Change the file name if necessary.
5. Select OK.
→ The CSV file is saved in the specified medium.
The file form is populated with the patient information, numerical values and comments
accordingly.
MN1-5856 rev.1 9-49

9-3 Report
9-3-3-4 Creating a DICOM SR file
You can create a DICOM SR file from the data displayed in the reports.
NOTE:You will need DICOM Structured Report Software (SOP-F31-21) (optional) to create a
DICOM SR file.

2. Select Create SR, and select OK.

→ A DICOM SR file is created based on the data from the examination date displayed on the
report. If the file already exists, it will be overwritten.
At this point, the DICOM SR file is not yet transmitted.
Transmitting a DICOM SR file
NOTE:You will need DICOM Communication Software (SOP-F31-10) (optional) to connect to the
DICOM SR server.
The DICOM SR file you have just created will be transmitted to the DICOM SR server when
you press New Patient or select End Study button to finish the examination.
If SR Auto Creation in the preset (Common Preset > DICOM SR) is set to On and you have
not created a DSCOM SR file of the day yet, an SR file of the present examination is created
and sent to DICOM SR server together with the DICOM SR file already created.
9-50 MN1-5856 rev.1

9-4 Preset
9-4 Preset
Vascular measurement preset (Vascular preset) can be divided into three broad types as follows:
• Create Measurement Tools

Enables you to specify the measurement method, caliper mark display and report display.
It also enables you to set up the basic and application measurements.
• Study Assignment
Enables you to configure the menu, transferred items and report view in a study.
You can set these for each study.
• SW Assignment
Enables you to assign measurement menus to buttons.
Table 9-3: Vascular preset configuration

Create Measurement Basic Measurement Measured Method & B.Mode
Tools Display Items M.Mode
D.Mode
F.Mode
Unit Selection
Caliper Auto Off
Application Measured Method & B.Mode
Measurement Display Items D.Mode
Unit Selection
Caliper Auto Off
Report Data Anatomy Check
List
User’s Calculation Reserved Word
MN1-5856 rev.1 9-51

9-4 Preset
Study Assignment R-Carotid A Menu Assign

L-Carotid A Anatomy Check List Assign
R-Upr Extr A
Combined Report Display
L-Upr Extr A
Transfer List Assign
R-Upr Extr V
L-Upr Extr V Other
R-Lwr Extr A
L-Lwr Extr A
R-Lwr Extr V
L-Lwr Extr V
R-TCD
L-TCD
SW Assignment +Mark Key Assignment

Hot Key Assignment
9-4-1 Vascular Preset
The following screen is an example of typical preset pages.
Vascular Preset
Vascular Preset top page
9-52 MN1-5856 rev.1

9-4 Preset
9-4-1-1 Create Measurement Tools
Basic Measurement
See the preset for basic measurement ( → p.2-65).
Application Measurement
Specifies applied measurement settings (Abdom measurement).

B.Mode (1/2): B mode measurement parameters B.Mode (2/2): B mode measurement parameters
D.Mode (1/10): D mode measurement D.Mode (2/10): D mode measurement
parameters parameters
MN1-5856 rev.1 9-53

9-4 Preset
9-54 MN1-5856 rev.1

9-4 Preset
MN1-5856 rev.1 9-55

9-4 Preset
Caliper Auto Off: Caliper mark and

measurement result display after freezing is
canceled
Report Data (1/2) Report Data (2/2)

Report Data display format Report Data display format
Report Data > Anatomy Check List

Report Data display format
9-56 MN1-5856 rev.1

9-4 Preset
Anatomy Check List Anatomy Check List

Editing Anatomy Check List items Editing Anatomy Check List items
Display Form: Display orientation of Display Form > Mark Display

measurement results; display format for multiple Caliper mark display parameters
results; and combined display with basic
measurements
User’s Calculation User’s Calculation > Reserved Word

User-defined calculation formula Reserved word registration for user-defined
calculation formula
MN1-5856 rev.1 9-57

9-4 Preset
9-4-1-2 Study Assignment
You can configure the menu, transferred items and report view in each study.
Study Assignment
Tree View parameters for a study; creating a user-defined study
Menu Assign Anatomy Check List

Measurement menu item settings Editing Anatomy Check List items
9-58 MN1-5856 rev.1

9-4 Preset
Combined Report Display

Blocks to be displayed in a report
Transfer List Assign Other

Settings for basic measurement result transfer Operational guide message display setting
MN1-5856 rev.1 9-59

9-4 Preset
9-4-1-3 SW Assignment
You can assign measurement menus to the buttons and keyboard on the operation panel.
+Mark Key Assignment Hot Key Assignment

Settings for measurement that starts up with the Assigning measurement items to alphanumeric
+ button keys
Specifying items assignable to Custom switches
or Function keys
9-60 MN1-5856 rev.1

9-5 References
9-5 References
9-5-1 Calculation
B mode calculation formula

Measurement
function name Formula
%STENO Diam %STENO = 100 × (A - B) ÷ A A: Vessel lumen diameter
B: Residual diameter
%STENO Area %STENO = 100 × (A - B) ÷ A A: Vessel lumen area
B: Residual area
mean-IMT mean-IMT = (a + b + c) ÷ 3 a: Most thickening IMT value
b: IMT value on downstream side
c: IMT value on upstream side
D mode calculation formula

Measurement
function name Formula
PI PI = (PSV - EDV) ÷ MnV PSV ≧ EDV
RI RI = (PSV - EDV) ÷ PSV PSV ≧ EDV
SD Ratio SD Ratio = PSV ÷ EDV
Flow Volume FV (MnV) ml/min = MnV (cm/s) × CSA (cm2) × 60 (sec) × COEF
FVm (MnV) ml/min = MnV (cm/s) × CSA (cm2) × 60 (sec)
FV (ml/beat) = VTI (cm) × CSA (cm2)
FV (ml/min) = FV (ml/beat) × HR (BPM)

TDI Study AI (Asymmetry Index) = (Rt.MnV - Lt.MnV) ÷ ((Rt.MnV - Lt.MnV) ÷ 2) × 100
MN1-5856 rev.1 9-61

9-5 References
9-5-2 Anatomy Check List
Carotid Study
Upper Extremity Artery Study
Upper Extremity Vein Study
9-62 MN1-5856 rev.1

9-5 References
Lower Extremity Artery Study
Lower Extremity Vein Study
MN1-5856 rev.1 9-63

9-5 References
9-5-3 Clinical References
9-5-3-1 B mode
1) Plaque Score
• Nobuo HANDA et al. “Guidelines for Ultrasonic Assessment of Carotid Artery Disease:
Preliminary Report”, Neurosonology, 2002, 15 (1), 20-33
• Handa N., Matsumoto M., Maeda H., Hougaku H., Ogawa S., Fukunaga R., Yoneda S.,
Kimura K., Kamada T. “Ultrasonic evaluation of early carotid atherosclerosis.” Stroke,
1990, 21 (11), 1567-1572
• Kawamori R, Yamasaki Y, Matsushima H, Nishizawa H, Nao K, Hougaku H, Maeda H,
Handa N, Matsumoto M, Kamada T. “Prevalence of carotid atherosclerosis in diabetic
patients. Ultrasound high-resolution B-mode imaging on carotid arteries.” Diabetes Care,
1992, 15 (10), 1290-1294
• Yamasaki Y, Kawamori R, Matsushima H, Nishizawa H, Kodama M, Kajimoto Y,
Morishima T, Kamada T. “Atherosclerosis in carotid artery of young IDDM patients
monitored by ultrasound high-resolution B-mode imaging.” Diabetes, 1994, 43 (5),
634-639
9-64 MN1-5856 rev.1

9-5 References
9-5-3-2 D mode
1) Lower Extremity Arteries
• Cossman D.V., Ellison J.E., Wagner W.H., Carroll R.M., Treiman R.L., Foran R.F., Levin
P.M., Cohen J.L. “Comparison of contrast arteriography to arterial mapping with
color-flow duplex imaging in the lower extremities”, J Vasc Surg, 1989, 10 (5), 522-529
• Polak J. F., Karmel M. I., Mannick J. A., O'Leary D. H., Donaldson M. C., Whittemore A.
D. “Determination of the extent of lower-extremity peripheral arterial disease with
color-assisted duplex sonography: comparison with angiography.” AJR, 1990, 155 (5),
1085-1089
2) Lower Extremity Venous
• Nicolaides A.N., et al.: detection and quantification of venous reflex,

E. F. Bernstein ed. “Noninvasive diagnostic techniques in vascular disease.” Mosby-Year
Book Inc., 1990
• Strandness D. E. Jr, Sumner D. S. “Ultrasonic velocity detector in the diagnosis of
thrombophlebitis”, Arch Surg. 104 (2): 180-183, 1972
• Shinya TAKASE. “Color duplex scanning.” Phlebology, 1996, 7, 405-417
3) Transcranial Doppler
• Haruyuki KANAYA, Kintomo TAKAKURA (ed). "TCD Manual - Trans Cranial

Ultrasound Diagnosis." Tokyo: Chugai-Igakusha, 1996
• Manabu OHNO. Kenji HARA “Analysis of Middle Cerebral Artery Velocities with
Transcranial Color Flow Imaging Using Two Types of US Machines: Preliminary Report.”
Neurosonology, 2000, 13(3): 127-129
4) Asymmetry Index (AI)
• Zanette E. M., Fieschi C., Bozzao L., Roberti C., Toni D., Argentino C., Lenzi G. L.
“Comparison of cerebral angiography and transcranial Doppler sonography in acute
stroke.” Stroke, 1989, 20 (7): 899-903
MN1-5856 rev.1 9-65

9-5 References
9-5-4 Terms and abbreviations
%STENO % Stenosis
%STENO-A % Stenosis by Area
%STENO-D % Stenosis by Diameter
AA Axillary Artery
ACA Anterior Cerebral Artery
ACoA Anterior Communicating Artery
ATA Anterior Tibial Artery
ATV Anterior Tibial Vein
AV Axillary Vein
BA Brachial Artery
BA Basilar Artery (TCD)
BasA Basilic Artery
BasV Basilic Vein
BIFUR. Bifurcation carotid artery
BV Brachial Vein
Car%StenoD Carotid Artery %Stenosis by Diameter
CFA Common Femoral Artery
CFV Common Femoral Vein
CIA Common iliac Artery
CIV Common iliac Vein
CV Cephalic Vein
DBA Deep Brachial Artery
DBV Deep Brachial Vein
dCCA Common distal carotid artery
DFA Deep Femoris Artery
DFV Deep Femoris Vein
DPA Dorsalis Pedis Artery
ECA External carotid artery
EDV End Diastolic Velocity
EIA External iliac Artery
EIV External iliac Vein
F.Volume Flow Volume
GSV Great Saphenous Vein
ICA Internal carotid artery
IIA Internal iliac Artery
IIV Internal iliac Vein
IJV Internal Jugular Vein
9-66 MN1-5856 rev.1

9-5 References
IMT Intima-media thickness
LSV Lesser Saphenous Vein
Lt. Left
Lwr Art. Lower Extremity Artery
Lwr Vein Lower Extremity Vein
Lwr%StenoA Lower Extremity Artery %Stenosis by Area
Lwr%StenoD Lower Extremity Artery %Stenosis by Diameter
MCA Middle Cerebral Artery
mCCA Common middle carotid artery
MnV Mean Velocity
PCA Posterior Cerebral Artery
PCoA Posterior Communicating Artery
pCCA Common proximal carotid artery
PerA Peroneal Artery
PerV Peroneal Vein
PopA Popliteal Artery
PopV Popliteal Vein
PSV Peak Systolic Velocity
PTA Posterior Tibial Artery
PTV Posterior Tibial Vein
pV Peak Velocity
RA Radial Artery
Resid Residual
Rt. Right
RV Radial Vein
S/D S/D Ratio
ScA Subclavian Artery
SFA Superficial Femoral Artery
SFV Superficial Femoral Vein
SPA Superficial Palmar Arches
TICA Terminal ICA
UA Ulnar Artery
Upr Art. Upper Extremity Artery
Upr Vein Upper Extremity Vein
Upr%StenoA Upper Extremity Artery %Stenosis by Area
Upr%StenoD Upper Extremity Artery %Stenosis by Diameter
UV Ulnar Vein
VA Vertebral Artery( TCD)
VERT Vertebral artery
MN1-5856 rev.1 9-67

9-5 References
Vessl Vessel
Vm Mean Velocity
9-68 MN1-5856 rev.1

INDEX
INDEX
Symbols Aorta Diam 3-2, 3-15 Basic measurements are displayed
APD 7-5 together 2-74
APTD 7-5 BasV 9-3, 9-23
%STENO Area 3-2, 3-13, 9-7
AR Flow 8-5, 8-46 BD 7-6
%STENO Diam 3-2, 3-12, 9-6
AR Vol. PISA 8-5, 8-61 BIF_IMT 9-2, 9-14
%Stenosis Block 3-28, 9-32
Area-C 2-8 BIFUR 9-2, 9-17
+Mark Key Assignment 2-92, 3-55, 4-43,
Area-Circle 2-2, 2-8 Bladder 6-3
5-37, 6-42, 7-74, 8-102, 9-60
Area-E 2-8 Bladder & Testis 4-3, 4-21
Area-Ellipse 2-2, 2-8 Bladder Block 4-21, 6-20
Area-Length 2-66, 8-2, 8-11 Bladder Vol 4-2
A Area-T. 2-7 Bladder Volume 4-10, 6-2, 6-12
Area-Trace 2-2, 2-7 Bony roof angle 2-20
AA 9-3, 9-20 Artery Bony roof line 2-20, 2-21
A-Ao 3-2, 3-17 Abdom 3-3, 3-17 BPD 7-4, 7-7
Abdom Preset 3-47 Renal 7-3, 7-33 BPDo 7-4, 7-7
Abdom Ratio Block 3-30 Umbilical 7-3, 7-33 BP-Ellipse 8-2, 8-15
Abdominal Aorta Block 3-28 Uterine 7-3, 7-33 BPP Block 7-42
AC 7-5, 7-7, 7-13 Artery 1 3-3, 3-17 BPP Scoring 7-55
ACA 9-3, 9-26 Artery 2 3-3, 3-17 BPP/Amnio Study 7-55, 7-56
ACCEL 2-3, 2-32 Artery 3 3-3, 3-17 Breast 5-3, 5-14
ACoA 9-3, 9-26 Artery Doppler Block 3-29 Breast Doppler 5-15
AD 7-5, 7-13 AS Flow 8-5, 8-44 Breast Schema 5-14
Adrenal 4-2, 4-14 Asynchrony 8-4, 8-41 Breast schema 5-20, 5-22
Adrenal Block 4-22 ATA 9-3, 9-20 BreDop 5-2, 5-9
AF Pocket 7-2, 7-24 ATV 9-3, 9-23 Built-in & User-defined table
AFI 7-2, 7-22 Auto NT 7-26 AFI 7-69
AFV 7-2, 7-24 Auto Trace 1-17 Doppler Table 7-70
All Initialize 2-64 Automatically be Displayed US Images Fetus Ratio 7-69
Amnio/CVS 7-56 Number 2-73 FW Equation 7-68
Amnio/CVS Block 7-42 AV 9-3, 9-23 FW Growth 7-69
Amniocentesis 7-56 AV Async. 8-71 GA Table 7-68
Anatomy Check List 6-38, 6-40, 6-43, AV Asynchrony 8-6 Bullet 8-2, 8-20
7-52, 7-53, 7-54, 7-78, 9-42, 9-43, 9-44, AVA 8-3, 8-28 BV 9-3, 9-23
9-56, 9-58 AXT 7-5, 7-13
Carotid Study 9-62
Lower Extremity Artery Study 9-63
C
Lower Extremity Vein Study 9-63
B
Upper Extremity Artery Study 9-62
C.A. Stenosis 8-69
Upper Extremity Vein Study 9-62
B mode LV Function Block 8-79 C.A.1 Flow Doppler Block 8-80
Anatomy Check List Block 6-20, 6-26,
B Trace 1-14, 2-6, 2-7 C.A.1(Peak) 8-6, 8-68
7-42, 9-34
B.Index 2-2, 2-17 C.A.1(Rest) 8-6, 8-68
Angle 2-2
BA 9-3, 9-20, 9-26 C.A.2(Peak) 8-6, 8-68
2 Caliper 2-15
BasA 9-3, 9-20 C.A.2(Rest) 8-6, 8-68
Point 2-16
Baseline 2-21 C.A.3(Peak) 8-6, 8-68
MN1-5856 rev.1
INDEX
C.A.3(Rest) 8-6, 8-68 Cross Point 2-67 Small Parts 5-11

C.A.Stenosis 8-6, 8-70 CTAR 7-2, 7-25 TCD Study 9-28
CA 3-2, 3-17 CTR 7-2, 7-25 Upr Extr A 9-22, 9-25
Caliper 1-12 Cycle Day Endom-T Block 6-21 Dop Trace 7-33, 7-35
max-IMT 9-12 Cycle Day Follicles Block 6-21 Abdom 3-18
mean-IMT 9-8 Cycle Day Follicles Volume Block 6-21 Carotid Artery 9-18
Caliper Auto Off 2-56, 2-71, 3-51, 4-39, Gynecology 6-14
5-33, 6-38, 7-67, 8-98, 9-56 Lwr Extr A 9-21, 9-24
Caliper Mark Control 2-68 D Small Parts 5-10
Car%StenoA 9-2 TCD Study 9-27
Car%StenoD 9-2 Upr Extr A 9-21, 9-24
D. Trace Direction 2-45
Cardio Preset 8-93 Urology 4-16, 4-17
D.Caliper1 2-4, 2-35
Carotid Artery Block 9-31 Doppler Block 6-20
D.Caliper2 2-4, 2-35
Carotid F. Volume Block 9-31 Doppler Trace 1-16
D.Index 2-4, 2-36
Cartilage roof angle 2-20 Auto Trace 1-17
D.Trace1 2-4, 2-42
Cartilage roof line 2-20, 2-21 Manual Trace 1-16
D.Trace2 2-4, 2-42
CBD 3-2, 3-6 Dotted Line 2-68
D.Vel1 2-30
CCA_IMT 9-2, 9-14 DPA 9-3, 9-20
D.Vel2 2-31
CD 7-6 DPV 9-3, 9-23
D/W ratio 5-2, 5-5, 5-15
Cervix 6-2, 6-7, 7-2, 7-28 Drug & Serum Block 6-25
D-Ao 7-3, 7-33
CFA 9-3, 9-20 Drug & SerumBlock 6-21
DBA 9-3, 9-20
CFV 9-3, 9-23 Drug Administration 6-25
DBV 9-3, 9-23
CHA 3-2, 3-17 dCCA 9-2, 9-17
CIA 3-3, 3-17, 9-3, 9-20 Delete Reserved Word 2-82
Circle 1-15, 2-8 Delete User's Calculation 2-76 E
CIV 9-3, 9-23 Descending Aorta 7-3, 7-33
Clear 2-56 DFA 9-3, 9-20 ECA 9-2, 9-17
Cmean-IMT 9-10 DFV 9-3, 9-23 ECA_IMT 9-2, 9-14
CmeanIMT 9-2 dICA 9-2, 9-17 EES 7-4
COEF 2-47 DICOM SR 3-44, 6-34, 7-62, 8-91, 9-50 EIA 9-3, 9-20
Combined Report Display 2-87, 3-53, Digital Findings 4-27 EIV 9-3, 9-23
4-41, 5-35, 6-41, 7-72, 8-100, 9-59 Display Data 2-72 Ellipse 1-13, 2-8
Comments 3-37, 4-26, 5-19, 6-24, 7-49, Display Form 2-74, 2-76, 2-82, 3-51, Endom-T 6-2, 6-6
8-83, 9-40 4-40, 5-33, 6-39, 7-70, 8-99, 9-57
Common Bile Duct 3-6 Display Pasted US Image From on the
Common Bile Duct Block 3-28 Screen 2-73 F
Composite US-EDC 7-51 Dist. 2-6
Composite US-GA 7-51 Distal Shunt 3-3, 3-20 F.Volume (Vein) 2-5
Copy 2-65 Distance 2-2 Fetal Cardiac Block 7-41
Copy From 2-65 Dist. 2-6 Fetal Cardiac Doppler Block 7-42
Copy from Other Study 2-85 Dist-trace 2-6 Fetal Doppler Block 7-42, 7-44, 7-45
Coronary 8-68 Dist-trace 2-2, 2-6 Fetus Ratio 7-2, 7-20
Cortex T 4-2, 4-13 dLAD(Peak) 8-6, 8-68 FHR 7-2, 7-29
Create Measurement Tools 2-65, 6-35 dLAD(Rest) 8-6, 8-68 FIB 7-6
Create Reserve word 2-82 Dop Caliper Findings 3-38, 4-28
Create User's Calculation 2-77 Abdom 3-19, 3-21 Kidney Block 4-29
CRL 7-4 Carotid Artery 9-19 Prostate & SV Block 4-29
Cross Line 2-67 Lwr Extr A 9-22, 9-25
MN1-5856 rev.1
INDEX
FL 7-5, 7-7 GS 7-4 K

Flow Profile 2-52 GYN 6-3
Flow Volume GYN Preset 6-36
Kidney 4-3, 4-21
Abdom Artery (MnV) 3-3, 3-24 GynDop 6-2, 6-16
Kidney Block 4-21
Abdom Artery (VTI) 3-3, 3-25
Abdom Vein 3-3, 3-22
Basic 2-47 H L
Follicles 6-2, 6-3, 6-9
Follicles Block 6-21 HA 3-3, 3-17
Follicles Study 6-6 LA Volume
HC 7-4, 7-7, 7-13
Follicles Volume 6-2, 6-11 Area-Length 8-3, 8-30
HC2 7-13
Follicles Volume Block 6-21 Simpson 8-3, 8-32, 8-33
Header Block 3-28, 4-21, 5-14, 5-15,
Freeze Trigger 2-46 LA/AO 8-3, 8-4, 8-26, 8-39
6-20, 7-41, 7-43, 8-79, 9-31
FTA 7-5, 7-13 LCX(Peak) 8-6, 8-68
Heart Rate 2-25, 2-29
FV (Artery) MnV 2-5, 2-47, 2-48 LCX(Rest) 8-6, 8-68
Hepatic Doppler Block 3-29
FV (Artery) VTI 2-5, 2-49 Lesion Breast 5-4
Hip J Angle 2-2, 2-20
FV (Vein) 2-50 Lesion Breast & NT dist 5-14
Hip type 2-22
FV(Artery) Ab MnV 3-3, 3-24 Lesion(Breast) 5-2
Histogram 2-2, 2-18
FV(Artery) Ab VTI 3-3, 3-25 Line 2-67
HL 7-5
FV(Vein) Abdom 3-3, 3-22 Liver 3-2, 3-7
Horizontal L 2-67
FW 7-2 Liver Block 3-28
Hot Key Assignment 2-93, 3-55, 4-43,
FW Campbell 7-7 Lower Extr. A F.Volume Block 9-33
5-37, 6-42, 7-74, 8-102, 9-60
FW Hadlock 7-7 Lower Extr. V Block 9-33
HR 2-3
FW Hansmann 7-7 Lower Extr.A Block 9-33
HW 7-6, 7-7
FW JSUM’03 7-7 LV 7-5
FW Osaka U 7-7 LV Function 7-2, 7-30
FW Shapard 7-7 LV Mass 8-3, 8-24
I LVOT Flow 7-3, 7-38, 8-4, 8-43
FW Shinozuka 7-7
FW Tokyo U 7-7 LVOT Flow Doppler Block 8-79
ICA 9-2, 9-17 LVW 7-6, 7-7
FW Warsof 7-7
ICA_IMT 9-2, 9-14 Lwr Art 9-20
IIA 9-3, 9-20 Lwr Art. 9-3
IIV 9-3, 9-23 Lwr Vein 9-3, 9-23
G
IMA 3-2, 3-17 Lwr%StenoA 9-2
IMT Lwr%StenoD 9-2
GA 7-2 max-IMT 9-13 Lymph Node Schema 5-24
GA, FW & Ratio Block 7-41, 7-43, 7-44, mean-IMT 9-9 Lymph NodeSchema 5-14
7-45 IMT Auto
Gallbladder 3-2, 3-5 max-IMT 9-14
Gallbladder Block 3-28
GB Wall-T 3-2, 3-6
mean-IMT 9-10 M
IMT Auto Measurement Block 9-31
Gibson 8-3, 8-4, 8-22, 8-34 IMT Block 9-32
Graf’s classification 2-22 M mode LV Function Block 8-79
InterV. Async. 8-6, 8-72
Graft(Peak) 8-6, 8-68 M. Index 2-3
IntraV. Asynch. 8-41
Graft(Rest) 8-6, 8-68 M. Length 2-3, 2-23
IOD 7-6
Graph 3-31, 4-22, 7-15, 7-19, 7-21, 7-23, M. VEL 2-26
Isthmus Thickness 5-2, 5-8
7-34, 7-44, 7-45 M.Index 2-27
IVC 8-3, 8-4, 8-29, 8-40
Growth Analysis 7-15, 7-19, 7-21 Main PV 3-3, 3-20
Growth Chart 7-16
MN1-5856 rev.1
INDEX
Mark Display 2-75, 3-51, 4-40, 5-33, O Plaque score Block 9-32, 9-41
6-39, 7-70, 8-99, 9-57 PLI 7-3, 7-37
Mark Indicator 2-69 Pombo 8-3, 8-4, 8-22, 8-34
OB Preset 7-65
max-IMT 9-2 PopA 9-3, 9-20
OBDop 7-3, 7-35
Caliper 9-12 PopV 9-3, 9-23
Obstetrics 7-33, 7-35
IMT 9-13 Portal Vein Block 3-28
OFD 7-4, 7-7
IMT Auto 9-14 Position 6-25
OFDo 7-4
MCA 7-3, 7-33, 9-3, 9-26 Post P SMA 3-3, 3-17
OOD 7-6
mCCA 9-2, 9-17 PR Flow 8-5, 8-51
Operational guide message display 2-90
Mean VEL 2-4, 2-37 PR Vol. PISA 8-5, 8-61
Other 2-90, 3-54, 4-42, 5-36, 6-41, 7-73,
mean-IMT 9-2 Prandinal SMA 3-17
8-101, 9-59
Caliper 9-8 Pre Bldr Vol 4-10, 6-12
Other Block 7-41, 7-43
IMT 9-9 Pre HR 7-2
OUtput
IMT Auto 9-10 Pre P SMA 3-3, 3-17
Export CSV File 6-33
Measure SW Assignment 2-94, 3-55, Pre Shunt PV 3-3, 3-20
Output
4-43, 5-37, 6-42, 7-74, 8-102, 9-60 PreHR 7-29
Create SR 3-44, 6-34, 7-62, 8-91, 9-50
Measured Method & Display Items 2-66 preset
Export CSV File 3-43, 4-34, 5-29,
B.Mode 3-48, 4-38, 5-32, 6-37, 7-66, All Initialize 2-64
7-61, 8-90, 9-49
8-94, 9-53 Display 1-6, 2-61
to PC 3-42, 4-33, 5-28, 6-32, 7-60,
D.Mode 3-49, 4-38, 5-32, 6-37, 7-67, Set-Up 2-61
8-89, 9-48
8-96, 9-53 Printer Property 3-41, 4-32, 5-27, 6-31,
to Printer 3-40, 4-31, 5-26, 6-30, 7-58,
M.Mode 7-66, 8-95 7-59, 8-88
8-87, 9-46
Menu Assign 2-86, 3-53, 4-41, 5-35, 6-40, Printer property 9-47
OvA 6-14
7-72, 8-100, 9-58 Prostate & SV 4-3, 4-21
Ovarian Artery 6-2, 6-14
Mesenteric Doppler Block 3-30 Prostate Block 4-21
Ovary 6-2, 6-8
Method & Unit 2-77 Prox Shunt 3-3, 3-20
Ovary Block 6-20
mGS 7-4 proximal LAD Flow Doppler Block 8-80
mICA 9-2, 9-17 PRS Slice Vol. 4-2
Mid Shunt 3-3, 3-20 PRS Slice Volume 4-7
Mitral V 8-4, 8-36
P PS Flow 8-5, 8-50
Move on to next measurement with 1-11, PSA Volume 4-2, 4-5
2-69 P1/2T 2-4, 2-34 Pst Bldr Vol 4-10, 6-12
MR Flow 8-5, 8-57 Package Result Display 2-74 Pst HR 7-2
MR Vol. PISA 8-5, 8-61 Pancreas 3-2, 3-8 PstHR 7-29
MS Flow 8-5, 8-55 Pancreas Block 3-28 PTA 9-3, 9-20
M-Simpson 8-2, 8-18 PCA 9-3, 9-26 PTV 9-3, 9-23
MVA 8-3, 8-28 PCAR 4-7 Pulmonary V 8-4, 8-38
pCCA 9-2, 9-17 Pulsatility Index 2-38
PCoA 9-3, 9-26 PV 3-3, 3-20
P-Duct 3-2, 3-9
N PV Diam 3-2, 3-15
PerA 9-3, 9-20 PV Flow 8-6, 8-63
PerV 9-3, 9-23
Name Assignment 2-67
PI 2-4, 2-38
NBL 7-6
pICA 9-2, 9-17
NT 7-6 R
PISA 8-61
NT dist 5-2, 5-6
Pitch 4-8
Nuchal Translucency 7-26 RA 9-3, 9-20
pLAD(Peak) 8-6, 8-68
Nuchal Translucency Block 7-41 RA Volume
pLAD(Rest) 8-6, 8-68
Area-Length 8-4, 8-30
MN1-5856 rev.1
INDEX
Simpson 8-4, 8-32, 8-33 Main LCA 8-84 Point 8-65

RAD 7-6 RCA 8-84 TDI PW1 8-6
Ratio 8-3, 8-27 Shunt 3-3, 3-20 TDI PW2 8-6
RCA(Peak) 8-6, 8-68 Shunt Doppler Block 3-29 Teichhholz 8-3, 8-4, 8-22, 8-34
RCA(Rest) 8-6, 8-68 Simpson (Disc) 8-2, 8-12 Testicles Block 4-21
Real Time Doppler Auto Trace 2-43 Site Information Block 3-28, 4-21, 5-14, Testis Vol 4-2, 4-11
Regurg Flow 2-4, 2-41 5-15, 6-20, 7-41, 8-79, 9-31 The 5-15
Renal Artery 3-3, 4-2, 4-16, 7-3, 7-33 SMA 3-2, 3-3, 3-17 ThyDop 5-2, 5-9
Renal Artery Block 3-29 Small Parts Preset 5-31 Thyroid 5-3, 5-15
Renal Volume 3-2, 3-10, 4-2, 4-12 SOL Block 3-28 Thyroid Volume 5-2, 5-7, 5-15
Renal Volume Block 3-28 SOL1 3-2, 3-14 TIB 7-6
Renal-A 3-17 SOL2 3-2, 3-14 TICA 9-3, 9-26
Report Data 2-72, 3-51, 4-39, 5-33, 6-38, SPA 9-3, 9-20 Time 2-3, 2-24, 2-28
7-68, 8-98, 9-56 Space Occupying Lesions 3-14 Time to Onset 8-6, 8-73
Reserved Word 2-77, 2-82, 3-52, 4-40, Specify Wall Position 2-66 Time to Peak 8-6, 8-75
5-34, 6-39, 7-71, 8-99, 9-57 Spleen 3-2, 3-11 TL 7-4
Resistance Index 2-33 Spleen Block 3-28 TR Flow 8-6, 8-59
Results Display Window Style 2-74 SPV 9-3, 9-23 TR Vol. PISA 8-6, 8-61
RI 2-3, 2-33 STENO Flow 2-4, 2-40 Trace Manual 1-16, 1-17
ROI Shape 2-18 Storage Data Number 2-72 Trans M Flow 8-5
ROI Size 2-18 Study Dop Trace 8-53
RV 9-3, 9-23 Bladder 6-3 Point 8-54
RVD 8-3, 8-25 Bladder & Testis 4-3, 4-21 Transfer 2-57, 7-14
RVOT Flow 7-3, 7-38, 8-5, 8-48 BPP/Amnio 7-55, 7-56 Transfer from Report Data 2-72
Breast 5-3, 5-14 Transfer List Assign 2-88, 3-54, 4-42,
Follicles 6-3, 6-25 5-36, 6-41, 7-73, 8-101, 9-59
S GYN 6-3, 6-25 Tricuspid V 8-4, 8-37
Kidney 4-3, 4-21 TS Flow 8-5, 8-58
Prostate & SV 4-3, 4-21 TTD 7-5
SA 3-2, 3-17
Thyroid 5-3, 5-15 Tube 6-25
Save Wave Trace 2-72
Study Assignment 2-84, 3-53, 4-41, 5-35, Tyroid Doppler 5-15
ScA 9-3, 9-20
Schema 6-40, 7-72, 8-100, 9-58
SV/CO 2-5, 2-51
Breast 5-20, 5-22
Lymph Node 5-24 SW Assignment 2-91 U
ScV 9-3, 9-23
Sel Ch 2-55 UA 9-3, 9-20
Seminal V. 4-2 T ULNA 7-6
Seminal Vesicles 4-9 UmA 7-3, 7-33
Seminal Vesicles Block 4-21 TAD 7-5 Umbilical Artery 7-3, 7-33
Serum Levels 6-25 TC 7-4, 7-13 Unit Selection 2-70, 4-39
Set-Up 2-61 TCD Block 9-33 Upper Extr. A Block 9-32
SFA 9-3, 9-20 TCD F.Volume Block 9-34 Upper Extr. A F. Volume Block 9-32
SFV 9-3, 9-23 TDI PW Upper Extr. V Block 9-33
Shema Dop Trace 8-66 Upr Art 9-20
ALL 8-84 Point 8-65 Upr Art. 9-3
Coronary 8-84 TDI PW M 8-6 Upr Vein 9-3
LAD 8-84 TDI PW MA Upr%StenoA 9-2
LCX 8-84 Dop Trace 8-66 Upr%StenoD 9-2
MN1-5856 rev.1
INDEX
URO Preset 4-37 W

Uro. Doppler Measurement Block 4-22
UroDop 4-2, 4-17
W.Trace 3-32, 9-35
US Image Block 3-34, 4-23, 5-16, 6-22,
7-47, 8-81, 9-37
User’s Calculation 2-76, 3-52, 4-40, 5-34,
6-39, 7-71, 8-99, 9-57
UtA 6-14
Uterine Artery 6-2, 6-14, 7-3, 7-33
Uterus 6-2, 6-5
Uterus Block 6-20
UV 9-3, 9-23
VA 9-3, 9-26
Vascular Preset 9-52
Velocity 2-3
Velocity1 2-3
Velocity2 2-3
VERT 9-2, 9-17
Vertical L 2-67
Volume
3 Caliper 2-9
Area-Length 2-9
Bladder 4-2, 4-10, 6-2, 6-12
Ellipse 2-9
Ellpse+Caliper 2-9
Follicles 6-2, 6-11
PRS Slice 4-2, 4-7
PSA 4-2, 4-5
Renal 3-2, 4-2, 4-12
Seminal 4-2
Testis 4-2, 4-11
Thyroid 5-2, 5-7
Volume 1 2-2, 2-9
Volume 2 2-2, 2-9
Volume1
3Caliper 2-12
Area-Length 2-10
Ellipse 2-13
Ellipse+Caliper 2-14
Volume2
3 Caliper 2-12
Area-Length 2-10
Ellipse 2-13
Ellipse+Caliper 2-14
MN1-5856 rev.1
Recycling or Disposal
Recycle or dispose of this equipment properly according to your organizational rules and your
local laws.
This symbol on the equipment or on its packaging indicates that this equipment shall not be
treated as household waste. Instead it shall be handed over to the applicable collection point
for the recycling of electrical and electronic products. By ensuring this equipment is disposed
of correctly, you will help prevent potential negative consequences for the environment and
human health, which could otherwise be caused by inappropriate waste handling of this
equipment. The recycling of materials will help to conserve natural resources.
The equipment contains a primary battery (lithium battery). You should recycle or dispose of
this equipment properly according to your organizational rules and your local laws. For more
detailed information about recycling of this equipment, please contact one of our offices listed
on back cover, or your household waste disposal service.
MN1-5856 rev.1
6-22-1 Mure, Mitaka-Shi, Tokyo, 181-8622 Japan
Tel: +81-422-45-6049
URL: http://www.hitachi-aloka.com
Overseas Offices:
Hitachi Medical Ultrasound Logistics,

Zweigniederlassung der Hitachi Medical Systems Europe Holding AG
Carl-Zeiss-Strasse 5, D-72555 Metzingen, Germany
Distributor
MN1-5856 rev.1 010200 20140326

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DIAGNOSTIC ULTRASOUND

This is an instruction manual for F31, a diagnostic ultrasound system.

Symbols Used in this Document

Indicates an imminently hazardous situation which, if not avoided, will result

Cautions of cautions shows the following graphics.

This mark means the corresponding item is "alerted".

This mark means the corresponding item is "prohibited".

This mark means the corresponding item is "required".

About the F31

1) PRECAUTIONS Concerning the Use/Management of the F31

NOTE: Remodel is installing or connecting the unspecified parts or equipment,

• Transporting this equipment (via automobile/ship) shall be performed by a third party

• Install in accordance with Chapter 3 of the Safety Instructions.

NOTE: The electromagnetic compatibility (EMC) is ability of device to function

• Protection against electric shock (ME equipment): class I • ME equipment

– Probe/scanner applied parts and parts treated as applied parts:

Applicable part Parts treated as applied

ECG patient lead

– equipment: IPX0 (Ordinary equipment)

Terms used in the book

Example Method Intended

NOTE: shows common notes.

PREREQUISITE: shows preparations or preset setup.

PRESET SETTINGS: shows preset items to setup

Output from equipment or messages on screen are described as message.

1-1 About the measurement of F31 ............................................................................................. 1-1

2-1 Basic measurement menu ..................................................................................................... 2-2

3-1 Abdominal measurement overview ........................................................................................ 3-2

4-1 Urological measurement overview ......................................................................................... 4-2

5 Small Parts Measurement

5-1 Superficial organ measurement overview .............................................................................. 5-2

6-1 Gynecological measurement overview .................................................................................. 6-2

7-1 Obstetrical measurement overview ........................................................................................ 7-2

8-1 Overview of cardiology measurement functions .................................................................... 8-2

9-1 Vascular measurement overview ........................................................................................... 9-2

8-1 Overview of cardiology measurement functions

MN1-5856 rev.1 8-1

8-1 Overview of cardiology measurement functions

8-1-1 Cardiology Measurement Menu

Table 8-1: B mode LV Volume

8-2 MN1-5856 rev.1

Table 8-2: Other measurements in B mode

MN1-5856 rev.1 8-3

Table 8-3: M mode

Table 8-4: D mode

8-4 MN1-5856 rev.1

Adur LVDFT RR LVDFT/RR

MN1-5856 rev.1 8-5

8-6 MN1-5856 rev.1

8-1-2 Cardiology measurement Study

Cardiology measurement has the following studies:

• Cardiac Func : Cardiac function

8-1-2-1 Switching the Study

You can switch the study using the current application.

1. Select MEASUREMENT key.

MN1-5856 rev.1 8-7

8-1-2-2 Switch the study using a different application

1. Select MEASUREMENT key.

Menu display example: Changing from Basic in Abdomen

8-8 MN1-5856 rev.1

8-2 Measurement methods

This chapter explains the measurement method.

The following ultrasound image views are used in B mode.