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2 FUJIFILM SonoSite, Inc th Drive SE Bothell, WA Emergo Europe Molenstraat BH, The Hague FUJIFILM SonoSite Australasia Pty Ltd 114 Old Pittwater Road BROOKVALE, NSW, 2100 SiteLink Edge SonoCalc SonoHD2 SonoMB Steep Needle Profiling SonoSite SonoSite FUJIFILM SonoSite, Inc. DICOM (National Electrical Manufacturers Association) US 8,956,296; US 8,861,822; US 8,858,436; US 8,834,372; 8,805,047; US 8,527,033; US 8,439,840; US 8,398,408; US 8,355,554; US 8,216,146; US 8,213,467; US 8,147,408; US 8,137,278; US 8,088,071; US 8,066,642; US 8,052,606; US 7,819,807; US 7,804,970; US 7,740,586; US 7,686,766; US 7,604,596; US 7,591,786; US 7,588,541; US 7,534,211; US 7,449,640; US 7,169,108; US 6,962,566; US 6,648,826; US 6,575,908; US 6,569,101; US 6,471,651; US 6,416,475; US 6,383,139; US 6,364,839; US 6,203,498; US 6,135,961; US 5,893,363; US 5,817,024; US 5,782,769; US 5,722,412; AU:730822; AU:727381; CA 2,372,152; CA:2,371,711; CN ; CN ; CN ; DE ; DE ; DE ; DE ; DE ; DE: ; DE ; EP ; EP ; EP ; EP ; EP ;EP ; EP ; ES ; ES ; ES ; ES ; FR ; FR ; FR ; FR ; FR ; FR ; GB ; GB ; GB ; GB ; GB ; GB ; GB ; IT ; IT ; IT ; IT ; JP ; KR ; KR ; NO ; NO P FUJIFILM SonoSite, Inc.

3 1 SonoSite Edge II USB A & B Key, Footswitch A & B i

4 USB...34 JPEG...35 efilm Lite M...39 CPD Steep Needle Profiling M (Gyn) MSK ii

5 EMED MSK A B ECG iii

6 EMC DICOM HIPAA ALARA ALARA MI TI In Situ iv

7 1 SonoSite Edge II SonoSite Edge II SonoSite Edge II SonoSite Edge II SonoSite Edge II SonoSite Edge II 1

8 FUJIFILM SonoSite SonoSite Edge II

9 2 SonoSite Edge II SonoSite Edge II FUJIFILM SonoSite USB USB SonoSite Edge II 3

10 (ECG) CPD (PUBS) in vitro (IVF) CPD (IUGR) (Orb) (Oph) FDA Orb Oph 4

11 51 SonoSite Edge II SonoSite Edge II 1 4 USB

12 SonoSite Edge II 1 3 / 2 4 ECG PATIENT 4 2D ( ) M MODE M C COLOR D DOPPLER 153 6

13

14 240V

15 FUJIFILM SonoSite

16 USB USB USB FAT-32 10

17 USB PC USB PC USB USB USB USB USB USB USB USB USB USB USB USB USB 2-1 USB USB 34 USB USB USB 1 USB 2 USB 11

18 NEAR FAR SELECT A SET SAVE CALC ZOOM UPDATE PROGRAM B CALIPER CLIP D DOPPLER C COLOR 5 GAIN AUTO DEPTH CALC FREEZE SAVE M MODE 2D Gain NEAR FAR PW GAIN 5 AUTO 12

19 2-1 6 Zoom 100% 7 DEPTH UP DEPTH DOWN 8 SET CALIPER 9 CALCS 10 Touchpad 11 FREEZE 12 SAVE SAVE CALC CLIP 14 Imaging Modes MMode M DOPPLER COLOR MMode M M-line M MMode M Doppler D-line D Doppler CPD /Color 2D 15 A & B 16 UPDATE MMode M Doppler D-line D Doppler 17 SELECT 18 Forms PATIENT 13

20 2-1 EXAM REVIEW REPORT EMED Gen Res THI PW

21 / 10 USB CPD SELECT 15

22 / 28 / SELECT SELECT TAB 2 CAPS LOCK 3 SHIFT 4 TEXT 5 PICTO / 16

23 DELETE ENTER Last First Middle Patient ID Accession Indications Procedure ID User Reading Dr. Referring Dr. Institution DICOM SiteLink Alias AE Title AE A & B Key A & B Footswitch 17

24 Annotation Symbols 2 3 OK 21 CFR FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 137 FUJIFILM SonoSite Aquasonic 18

25 FUJIFILM SonoSite

26 20

27 3 1 SETTINGS 2 Setup Pages Done Reset A & B Key, Footswitch A & B A & B Key,Footswitch A & B A Key A B Key B A Print B none Footswitch (L) Footswitch (R) Save Clip Freeze Save Image Print 22 21

28 FUJIFILM SonoSite 1 USB USB 2 A & B Key, Footswitch A & B Administration 1996 (Health Insurance Portability and Accountability Act, HIPAA) (European Union Data Protection Directive, 95/46/EC) HIPAA 1 Administration Name Administrator 2 Password a FUJIFILM SonoSite 2 3 Login 22

29 User Login 1 Administrator 2 User Login On On Off 1 Administrator 2 User List Administrator 3 User Information Password Confirm 26 Password changes 4 Save 1 Administrator 2 1 Administrator 2 New 3 User Information Name Password Confirm 26 4 User User 5 Administration Access 6 Save 23

30 1 Administrator 2 User List 3 User Information 4 Save 1 Administrator 2 User List 3 Delete 4 Yes 1 Administrator 2 User List 3 Password Confirm 4 Save 1 USB 2 Administrator 3 Export USB 24

31 4 USB Export USB 1 USB 2 Administrator 3 Import 4 USB Import USB PC 1 Administrator 2 Log Back DICOM (log.txt) USB log.txt 1 USB 2 Log Export USB 3 USB Export Microsoft Word 25

32 1 Event 2 Clear 3 Yes User Login OK 1 2 User Login Guest 1 2 User Login Password 3 OK (A-Z) (a-z) (0-9) Annotations 55 26

33 56 1 Anntations Exam 2 Group A B C 3 Text Add Text Rename Delete 17 Annotations Unfreeze Keep All Text Keep Home Text Clear All Text Keep All Text 56 1 USB 2 Annotations Export USB 3 USB Export USB 1 USB 2 Annotations Import 3 USB Import 27

34 4 Done USB Audio Battery Key click On Off Beep alert On Off Sleep delay Off 5 10 Power delay Off Cardiac Calculations Tissue Doppler Imaging (TDI) 79 Cardiac Calculations TDI Walls TDI Connectivity USB SiteLink Image Manager DICOM SiteLink SiteLink Image Manager DICOM SonoSite DICOM 1 2 Connectivity Printer 28

35 Connectivity Internal Storage Capacity Alert DICOM Date and Time Date and Time Date Time 24 1 Date and Time Time Server 2 IP 3 Display Information Patient Header Mode Data System Status 29

36 Network Status System IP address IP Location Ethernet MAC address MAC OB Calculations 96 1 OB Calculations Gestational Age Growth Analysis OB authors None 2 More 1 USB 2 OB Calculations Export USB 3 USB Export USB 1 USB 30

37 2 OB Calculations Import 3 USB Import 4 OK OB Custom Measurements OB Custom Measurements 96 1 OB Custom Measurements New 2 Name 3 Type 4 Save 1 OB Custom Measurements Custom Measurements 2 Delete Last 3 Yes OB Custom Tables 31

38 GS BPD HC APTD FTA EFW HL CRL OFD TTD AC FL BPD AC EFW HC FL HC/AC 1 OB Calculations OB Custom Measurements Tables 2 / 1 OB Calculations OB Custom Measurements Tables 2 Gestational Age [] Growth Analysis [] 3 Measurement 4 New 32

39 5 Author 6 7 Save 30 1 OB Calculations OB Custom Measurements Tables 2 3 Edit Save Delete Yes Presets Doppler Scale cm/s khz Duplex M 1/3 2D, 2/3 Trace 1/2 1/2 1/2 2D, 1/2 Trace 1/2 1/2 Full 2D, Full Trace Live Trace Peak Mean Thermal Index TIS TIB TICOB TIB TCD TIC TIS Save Key SAVE Image Only 33

40 Image/Calcs / Units in/ft/lbs cm/m/kg Auto save Pat.Form System Information 135 System Information Patents USB USB Devices USB USB USB 64 USB USB FAT32 1 USB Devices USB Export 2 USB Export USB SiteLink SiteLink H.264 MP4 FUJIFILM SonoSite QuickTime 7.0 DICOM DICOM DICOM 34

41 3 JPEG JPEG 35 JPEG SiteLink DICOM 4 SiteLink Sort By Devices 1 USB Devices USB Export 2 USB Export USB AutoExport DICOM FUJIFILM SonoSite USB Devices USB Include private tags FUJIFILM SonoSite SonoSite Edge II DICOM JPEG JPEG BMP "Physics in Medicine and Biology, Quality Assessment of DSA, Ultrasound and CT Digital Images Compressed with the JPEG Protocol," D Okkalides et al 1994 Phys Med Biol doi: / / 39/9/ /39/9/008 "Canadian Association of Radiologists, CAR Standards for Irreversible Compression in Digital Diagnostic Imaging within Radiology," Approved:June pdf USB 35

42 efilm Lite efilm Lite DICOM USB efilm Lite Windows DICOM efilm Lite efilm Lite 1 USB 2 USB 3 efilmlite.bat efilmlite.bat efilmlite efilmlite efilm Lite efilmlite PDF efilm Lite 36 USB

43 D 2 2D 4-1 Res Gen Pen -3, -2, -1, 0, +1, +2, +3 37

44 4-1 Dual Update Update Dual 2D LVO LVO LVO On LVO LVO Off LVO 2D LVO LVO (MI) U/R / U/L / D/L / D/R / 1 10 Guide A B C Back A B C Guide Guide ECG SonoMB (MB) MB On MB MB Off MB SonoMB SonoMB MB SonoMB SNP ECG Steep Needle Profiling 46 SNP 65 FUJIFILM SonoSite ECG 60 38

45 4-1 THI THI THI x/x 49 M (M Mode) 2D 2D M 1 M M 2 M 2D M 37 M 1 M M Slow [ ] Med [ ] Fast [ ] UPDATE M M M M 39

46 33 CPD CPD Color CPD Color 1 C ROI 2 CPD Color Color Color cm/s 3 ROI SELECT ROI ROI 4 CPD Color 4-2 CPD Color Show Hide 40

47 4-2 Low Med High (PRF) Low [ ] Med [ ] High [ ] PRF Low Med High ROI x/x PW CW PW CW PW/CW / CPD/Color / CPD/Color / ROI SELECT ROI ROI PW 41

48 PW CW 1 D D 2 43 SELECT SELECT FAR D UPDATE D 33 42

49 PW 4-3 PW CW CW TDI TDI x/x TCD Orb TDI On TDI TDI TDI Off TDI [PRF] cm/s khz 33 43

50 4-4 Live Trace Live Trace Invert (0-10) Low Med High Slow Med Fast 33 x/x DEPTH UP DEPTH DOWN AUTO 44

51 NEAR 2D FAR 2D GAIN CPD Color GAIN (ROI) PW CW GAIN NEAR FAR (TGC) FREEZE GAIN left arrow right arrow 2D Color 1 ZOOM ROI 2 ROI 3 ZOOM ROI 100% 4 5 ZOOM 45

52 SNP Steep Needle Profiling Steep Needle Profiling SNP Steep Needle Profiling SonoMBe 4-1 Steep Needle Profiling 4-2 SNP 2D 4-5 SNP rc60xi / HFL38xi HFL50x HSL25x L25x L38xi / 46

53 SNP SNP

54 Steep Needle Profiling Steep Needle Profiling SNP Steep Needle Profiling L/R Flip / 37 Shallow Medium Steep Linear transducer

55 Curved array transducer 30 Shallow Medium 40 Steep Off SNP SNP Back Steep Needle Profiling SNP SNP SNP SNP Steep Needle Profiling MB Steep Needle Profiling Steep Needle Profiling SNP 21 A & B Key, Footswitch A & B 49

56

57 (Orb) (Oph) FDA Orb Oph Exam Exam Type a 2D b M CPD c Color c PW Doppler d C11x Neo Ven 51

58 4-6 a 2D b M CPD c Color c PW Doppler d rc60xi / Gyn Msk OB HFL38xi Bre Msk Ven 52

59 4-6 a 2D b M CPD c Color c PW Doppler d HFL50x Bre Msk HSL25x Msk Ven ICTx Gyn OB 53

60 4-6 a 2D b M CPD c Color c PW Doppler d L25x Msk Ven L38xi / Ven P10x Neo 54

61 4-6 a 2D b M CPD c Color c PW Doppler d P11x e Ven rp19x / OB TCD TEExi f a. Abd = Art = Bre = Crd = Gyn = Msk = Neo = Nrv = OB = Oph = Orb = SmP = Sup = TCD = Ven = b. 2D Res Gen Pen c. CPD Color Color PRF d. PW TDI 43 e. P11x P11x f. TEExi TEExi 26 55

62 2D 1 TEXT 2 Home 56 3 DELETE Word Symbols 17 4 Label 26 TEXT 1 TEXT 2 3 Home/Set / 1 56

63 2 SELECT SELECT 3 4 a Hide 1 PICTO 2 x/x SELECT 3 4 SELECT 5 U/L / D/L / D/R / U/R / Dual Hide PATIENT 2 New/End / 57

64 Done 62 ID Connectivity Bar Code Auto Lookup 62 1 PATIENT 2 3 Cancel Done PATIENT 3 New/End / Symbols 17 Last First Middle ID Accession 58

65 Date of birth Gender Indications User Procedure DICOM SonoSite DICOM Back Type 51 LMP Estab. DD Twins Twins Twin A A Twin B B Twin A A Twin B B Previous Exams Twin A/B A/B Twin A A Twin B B Twin A/B A/B Back Twins Back BP HR Height 33 Weight 33 BSA Reading Dr. Referring Dr. 59

66 Institution Department ID Beep Alert SAVE SAVE SAVE Clips controls 2 CLIP Prev/Off Prev/On (1x, 1/2x,1/4x) Pause Left: x x Right: x x x 60

67 Save Delete 3 CLIP 1 2D Clips Time ECG Time ECG PrevOn PrevOff Prev/On Prev/Off / Pro Retro Pro CLIP Retro CLIP FUJIFILM SonoSite 2 USB 1 REVIEW 2 List 61

68 Select All Clear All ID 1 2 Edit 3 OK 1 2 Append 1 2 Review 62

69 3 x/x 4 Play Pause 1x 1/2x 1/4x 5 x/x List Done USB USB USB USB Print A A A B Print Print 63

70 USB 58 USB 34 USB 1 USB 2 3 Exp.USB USB USB 4 USB Include patient information on images and clips USB 5 Export USB USB USB USB USB 3 Cancel Export

71 2 Delete DICOM SiteLink Image Manager DICOM SiteLink Image Manager SiteLink Image Manager DICOM 1 2 Archive 1 2 Info SonoSite ECG FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 1 2 ECG ECG 3 65

72 4-8 / 0-20 Slow Med Fast Line Save 60 ECG Delay 66

73 5 6 M HR 74 1 CALCS CALIPER 67

74 73 SELECT Switch Delete 68

75 1 2D CALIPER 2 SELECT D CALIPER 2 Ellipse Ellipse 3 SELECT D CALIPER 2 Manual Manual 3 4 SELECT 5 SET 67 69

76 M M / (HR)/ (bpm) 200 M 1 M CALIPER 2 3 SELECT 4 67 M 1 M CALIPER 2 HR 3 SELECT 4 67 (cm/s) 70

77 +/x (RI) cm/s 33 (cm/s) 1 CALIPER /x (RI) RI ACC 1 CALIPER 2 3 SELECT CALIPER 2 Time 3 SELECT 4 SELECT 1 CALIPER 2 Manual 71

78 3 SELECT 4 a Undo b SET CALIPER 2 Auto 3 a b SELECT 4 5 SET 67 (VTI) (Vmax) (PGmean) (Vmean) (PGmax) (EDV) (CO) (PSV) (TAM) +/ / (S/D) (PI) (RI) 72

79 (AT) (TAP) 106 (...) 1 CALCS 2 SELECT a Next Prev (...) SELECT 3 Main SELECT 4 CALCS 73

80 CALIPER SAVE CALC Save 60 SAVE Image/Calcs / SAVE SELECT CALIPER SAVE CALC 1 74

81 2 Delete 106 EMED EMED EMED EMED EMED 1 CALCS 2 EMED EMED CALCS 51 75

82 1 2D CALCS 2 A 1 A 2 a Area Red b SELECT c i Undo d SET e D CALCS 2 D 1 D 2 a Dia Red b c

83 D 1 D 2 D 3 a 2D CALCS b i Volume Volume Gyn Volume ii iii D (2D)* TAM TAP VF ml/min * (gate) 77

84 33 C11x (mm) rc60xi P10x (mm) HFL38xi L25x: (mm) L38xi (mm) Allan, Paul L. et al. Clinical Doppler Ultrasound, 4th Ed., Harcourt Publishers Limited, (2000) D a 2D CALCS b Vol Flow D c d 74 2 a CALCS b Vol Flow TAM TAP 78

85 c d SELECT e f SET g 74 (Crd) (Gyn) (OB) (Orb) (SmP) (TCD) (Art)

86 EF EF LVDd M LVDs M EF FS LV Vol EF LV LVd LVs A4Cd A4Cs A2Cd A2Cs RVW RVD IVS LVD LVPW RVW RVD IVS LVD LV LV EF CO SV CI SI Biplane CO EF SV LVESV LVEDV IVSFT LVPWFT LVDFS CI SI LV M LVPW CO CI HR HR a HR M HR 80

87 5-1 Ao/LA Ao M Ao LA/Ao AAo LA M LVOT D ACS M LVET M AAo LA LA/Ao LVOT D LVOT ACS LVET MV EF: M EF MV MR EPSS M E A PHT VTI IVRT Adur dp:dt b EPSS E E PG A A PG E:A PHT MVA VTI Vmax PGmax Vmean PGmean dp:dt 81

88 5-1 CO IVC LVOT D HR LVOT VTI Max D M Min D M LA A4C LA A2C RA CO SV CI SI VTI HR LVOT D LA LV Biplane RA RA TAPSE TAPSE M TAPSE cm MV MV LV AV Epi Endo Apical AV LV Epi Endo D Apical 82

89 5-1 AV AV LVOT AI Vmax VTI Vmax VTI PHT Vmax PGmax VTI Vmax PGmax Vmean PGmean Vmax PGmax VTI Vmax PGmax Vmean PGmean AI PHT AI TV TRmax Vmax PGmax E A PHT VTI RA c E E PG A A PG E:A PHT TVA VTI Vmax PGmax Vmean PGmean RVSP 83

90 5-1 PV Vmax Vmax PGmax PISA Qp/Qs VTI AT Ann D MR VTI MV VTI LVOT D RVOT D LVOT VTI RVOT VTI VTI Vmax PGmax Vmean PGmean AT PISA ERO MV D VTI VMax PGmax Vmean PGmean SV Qp/Qs P. Vein A VMax TDI Adur S D (Sep) e' a' (Lat) e' a' (Inf ) e' a' (Ant) e' a' VMax S/D E(MV)/e' 84

91 5-1 a. 86 (HR) 70 M M b. dp:dt 100 cm/s 300 cm/s c. 106 EF 1 2D M CALCS LV 1 2D CALCS 2 EF... LV Vol (EF) LV (EF) 3 a b SELECT c (LV) Undo d SET e 74 LVd LVs 1 2D M CALCS

92 4 SELECT 5 SELECT 6 SELECT SELECT 7 74 (HR) ECG 1 CALCS HR 2 SELECT 3 74 Ao LA AAo LVOT D 1 2D M CALCS IVC 1 2D M CALCS 2 86

93 TAPSE 1 M CALCS MV AV 1 2D CALCS 2 Area MV AV 3 SELECT 4 a Undo 5 SET D CALCS 2 Atria 3 SELECT 4 a Undo 5 SET

94 LV 1 2D CALCS 2 LV mass LV 3 EPI Endo a b SELECT c i Undo d SET e 74 4 Apical CALCS 2 MV TV TDI P. Vein 3 a b c 74 88

95 (VTI) VTI CALCS 2 MV AV TV PV LVOT VTI 3 SELECT 4 a Undo 5 SET (RVSP) 1 CALCS 2 TV TRmax RA 106 RA 5 RVSP MV AI TV (PHT) 1 CALCS 2 MV AV TV PHT SELECT 89

96 3 MV EF AV 4 74 (PISA) PISA 1 a 2D CALCS b PISA Ann D c d 74 2 a CALCS b Radius c d 3 CALCS 4 MR VTI MV VTI a PISA MR VTI MV VTI b SELECT c i Undo d SET e 72 90

97 (IVRT) 1 CALCS MV IVRT 2 3 SELECT (dp:dt) (dp:dt) 300 cm/s 43 1 CALCS 2 MV dp:dt : 100 cm/s cm/s 4 SELECT 300 cm/s cm/s 6 74 (AVA) AVA 1 LVOT a 2D CALCS b LVOT D c d 74 91

98 2 LVOT Vmax AV Vmax 88 AV Vmax VTI Vmax 89 (VTI) AV VTI Qp/Qs Qp/Qs 1 2D CALCS 2 LVOT D RVOT D a Qp/Qs / LVOT D RVOT D b c 74 3 CALCS 4 LVOT VTI RVOT VTI a Qp/Qs / LVOT VTI RVOT VTI b SELECT c Undo d SET e (SV) (SI) SV SI SI (BSA) 1 SI Height Weight BSA 57 92

99 2 LVOT a 2D CALCS b Ao/LA / LVOT D c d 74 3 LVOT 89 (VTI) AV LVOT VTI 72 (CO) (CI) CO CI CI (BSA) 1 CI Height Weight BSA (SV) (SI) SV 3 86 (HR) HR 1L/min 1L/min 4 LVOT a 2D CALCS b CO LVOT D 93

100 c d 74 Presets Live Trace a b Trace Above Below c SELECT SET Trace d (TDI) 1 TDI 43 2 CALCS 3 TDI a b c 74 94

101 (Gyn) (Gyn) D CALCS 2 Gyn 3 a b c D CALCS 2 Follicle 3 a Right Fol Left Fol b

102 EFW EDD EFW

103 . 5-2 a YS GS Hansmann, Nyberg, Tokyo U. CRL Hadlock, Hansmann, Osaka, Tokyo U. BPD Chitty, Hadlock, Hansmann, Osaka, Tokyo U. OFD HC TTD APTD Hansmann Chitty, Hadlock, Hansmann Hansmann, Tokyo U. b Tokyo U. b AC Hadlock, Hansmann, Tokyo U. FTA Osaka FL Chitty, Hadlock, Hansmann, Osaka, Tokyo U. HL Jeanty Jeanty TCD CM Lat V CxLen (EFW) c HC AC FL Hadlock 1 BPD AC FL Hadlock 2 AC FL Hadlock 3 BPD TTD Hansmann BPD FTA FL Osaka U. BPD AC Shepard BPD TTD APTD FL Tokyo U. 97

104 5-2 HC/AC Campbell (Amniotic Fluid Index) FL/AC FL/BPD FL/HC Q 1, Q 2, Q 3, Q 4 Hadlock Hohler Hadlock Jeng d BPD Chitty, Hadlock, Jeanty HC Chitty, Hadlock, Jeanty AC FL EFW HC/AC Chitty, Hadlock, Jeanty Chitty, Hadlock, Jeanty Brenner, Hadlock, Jeanty Campbell a. AUA b. Tokyo U. APTD TTD EFW c. Estimated Fetal Weight EFW 30 Hadlock EFW d. Report Graphs Growth Analysis LMP Estab. DD AFI 1 OB LMP Estab.DD Twins 2 2D CALCS 98

105 3 a b Twin A A Twin B B c d 74 M 1 M CALCS 2 FHR 3 4 SELECT MCA S/D, RI SD, RI S/D, RI, PI* SD, RI, PI Umb A S/D, RI SD, RI S/D, RI, PI* SD, RI, PI * PI / 1 OB LMP Estab.DD 2 CALCS 99

106 3 a MCA UmbA b S/D, RI SELECT S/D, RI, PI SELECT SET c 74 S/D, RI S/D, RI, PI MSK d:d MSK 76 MSK D CALCS 2 Right Left Hip Angle Baseline 3 SET 67 Line A α Line A α 4 Line A α 74 Line B β Line B β 5 Line B β 100

107 d:d 1 2D CALCS 2 Right Left 3 d:d Ratio d:d Fem Hd 4 SELECT SET (Orb) 57 (TCD) (Orb)

108 5-3 TCD Orb TT MCA TT Dist Mid Prox Bifur* ACA ACoA* TICA PCAp1 PCAp2 PCoA TAP PSV EDV PI RI S/D TO OA TAP PSV EDV PI RI S/D SM ECICA TAP PSV EDV PI RI S/D FM FM BA (VA) Prox Mid Dist TAP PSV EDV PI RI S/D 102

109 5-3 TCD Orb AL ECVA TAP PSV EDV PI RI S/D * (Orb) (Oph) FDA 1 Orbital (Orb) Transcranial (TCD) 51 2 CALCS 3 Left Right 4 a Next Prev b SELECT Undo backspace Auto SELECT 103

110 c SET d (CCA) Prox s d Mid Dist s d s d s d (ICA) Prox s d Mid Dist s d s d (ECA) Prox s d Mid Dist VArty s d s d s d 104

111 5-5 (CCA) Prox s d Mid Dist s d s d s d (ICA) Prox s d Mid Dist s d s d (ECA) Prox s d Mid Dist VArty s d s d s d ICA/CCA 1 CALCS 2 Left Right 3 a 105

112 b SELECT c d 74 (###) 1 REPORT 2 1/x Details Summary 3 SAVE Done 1 Details 2 Delete 106

113 ICA/CCA Ratio ICA/CCA RA Summary RA RA 5 RVSP TAP TCD 1 TCD Details TAP Delete OB patient Twin A/B A/B Compare 2 Delete a SELECT Delete 107

114 1 Anatomy Checklist 2 TAB 2 BPP NST LMP Estab. DD 1 Graphs Graphs / / 1/x 2 SAVE 3 Report Done EMED MSK EMED EMED EMED 1 REPORT 2 EMED 3 Worksheet x/x 108

115 MSK MSK 1 REPORT 2 MSK 3 Worksheet a b SAVE x/x 109

116 110

117 a b cm < ±2% 1% 0-26 cm < ±2% 1% 0-35 cm < ±2% 1% 0-44 cm c < ±4% + ( 2%/ ) * % d < ±3% + ( 1.4%/ ) * % cm cm a. b. 0.7 db/cm MHz RMI 413a c. % = ((1 + ) * (1 + ) 1) * % d. % = ( 2 (2 ) * 100) + 0.5% 111

118 6-2 M M < +/- 2% 1% a b 0-26 cm < +/- 2% 1% c d sec < +/- 2% + c * / 100 % d bpm a. b. 0.7 db/cm MHz RMI 413a c. d. FUJIFILM SonoSite 6-3 a < +/- 2% 1% b 0.01 cm/sec- 550 cm/sec < +/- 2% 1% b 0.01kHz-20.8 khz < +/- 2% 1% c sec a. FUJIFILM SonoSite b. c. 112

119 AIUM (ACC) cm/s 2 Zwiebel, W.J. Introduction to Vascular Ultrasonography. 4th ed., W.B. Saunders Company, (2000), 52. ACC = / (AT) msec Oh, J.K., J.B. Seward,andA.J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott, Williams, and Wilkins, (2007), a - b (AVA) cm 2 Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition., Philadelphia: Lippincott, Williams, and Wilkins, (2007), 73, A 2 = A 1 * V 1 /V 2 A 2 = Ao A 1 = LVOT V 1 = LVOT V 2 = Ao LVOT = AVA (PV LVOT /PV AO ) * CSA LVOT AVA (VTI LVOT /VTI AO ) * CSA LVOT (BSA) m 2 Grossman, W. Cardiac Catheterization and Angiography. Philadelphia: Lea and Febiger, (1980), 90. BSA = * * = = 113

120 (CI) l/min/m 2 Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition., Philadelphia: Lippincott, Williams, and Wilkins, (2007), CI = CO/BSA CO = BSA = (CO) l/min Oh, J.K., J.B. Seward, and A.J. Tajik The Echo Manual. 3rd Edition., Philadelphia: Lippincott, Williams, and Wilkins, (2007), CO = (SV * HR)/1000 CO = SV = (ml) HR = (CSA) cm 2 Oh, J. K., J. B. Seward, and A. J. Tajik. The Echo Manual. 3rd Edition. Philadelphia: Lippincott Williams and Wilkins, (2007), CSA = * D 2 D = msec Oh, J. K., J. B. Seward, and A. J. Tajik. The Echo Manual. 3rd Edition. Philadelphia: Lippincott Williams and Wilkins, (2007), a - b (dp:dt) mmhg/s Otto, C.M. Textbook of Clinical Echocardiography. 2nd ed., W.B. Saunders Company, (2000), mmhg/ ( ) 114

121 E:A cm/sec E:A = E/ A E/Ea Reynolds, Terry. The Echocardiographer's Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 225. E /Ea E = E Ea = E E (ERO) mm 2 Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Boston: Philadelphia: Lippincott Williams and Wilkins, (2007), ERO = MV Flow Rate/MR Vel * 100 (EF) Schiller, N.B., Shah, P.M., Crawford, M.,et. al. "Recommendations for Quantitation of the Left Ventricle by Two- Dimensional Echocardiography." Journal of American Society of Echocardiography. September-October (1989), 2:36 EF = ((LVEDV LVESV)/LVEDV) * 100% EF = LVEDV = LVESV = (ET) msec ET = (HR) bpm HR = M 3 115

122 (IVS) Laurenceau, J. L., M.C. Malergue. The Essentials of Echocardiography. Le Hague: Martinus Nijhoff, (1981), 71. IVSFT = ((IVSS IVSD)/IVSD) * 100% IVSS = IVSD = (IVRT) msec Oh, J. K., J. B. Seward, and A. J. Tajik. The Echo Manual. 3rd Edition. Philadelphia: Lippincott Williams and Wilkins, (2007), a - b IVC Lyon M, Verma N. "Ultrasound guided volume assessment using inferior vena cava diameter." Open Emerg Med J. (2010) 3: (IVCd exp IVCd insp)/ivcd exp (exp) = (Max D) (insp) = (Min D) / (LA/Ao) Feigenbaum, H. Echocardiography. Philadelphia: Lea and Febiger, (1994), 206, Figure Lang R. et al. "Recommendations for Cardiac Chamber quantification by Echocardiography in Adults: An update from the American Society of Echocardiography and European Association of Cardiovascular Imaging." J Am Soc Echocardiography, January (2015), LA Vol = p/4(h) S(D1)(D2) LA Vol = ml h = LA D1 = D2 = 116

123 (Teichholz) ml Teichholz, L.E., T. Kreulen, M.V. Herman, et. al. "Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence or absence of asynergy." American Journal of Cardiology, (1976), 37:7. LVESV = (7.0 * LVDS 3 )/(2.4 + LVDS) LVESV = LVDS = LVEDV = (7.0 * LVDD 3 )/(2.4 + LVDD) LVEDV = LVDD = gm Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott Williams and Wilkins, (2007), LV = 1.05 * {[(5/6) * A1 * (a + d + t)] - [(5/6) * A2 * (a + d)]} A1 = (Epi) A2 = (Endo) a = d = t = M gm Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott Williams and Wilkins, (2007), 115. LV = 1.04 [(LVID + PWT + IVST) 3 - LVID 3 ] * LVID = PWT = 117

124 IVST = 1.04 = 0.8 = ml Schiller, N.B., P.M. Shah, M. Crawford, et.al. "Recommendations for Quantitation of the Left Ventricle by Two- Dimensional Echocardiography." Journal of American Society of Echocardiography. September-October 1989, 2:362. V = π -- 4 n i = 1 L a i b i -- n V = ml a = b = n = (n=20) L = i = ml Schiller, N.B., P.M. Shah, M. Crawford, et.al. "Recommendations for Quantitation of the Left Ventricle by Two- Dimensional Echocardiography." Journal of American Society of Echocardiography. September-October 1989, 2:362. π V = -- 4 i = 1 2 L a i -- n V = a = n = (n=20) L = i = n 118

125 (LVD) Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott Williams and Wilkins, (2007), 115. LVDFS = ((LVDD - LVDS)/LVDD) * 100% LVDD = LVDS = (LVPWFT) Laurenceau, J. L., M.C.Malergue. The Essentials of Echocardiography. Le Hague: Martinus Nijhoff, (1981), 71. LVPWFT = ((LVPWS - LVPWD)/LVPWD) * 100% LVPWS = LVPWD = (Vmean) cm/s Vmean = (MVA) cm 2 Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott, Williams, and Wilkins, (2007), MVA = 220/PHT PHT =

126 MV cc/sec Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Boston: Philadelphia: Lippincott Williams and Wilkins, (2007), = PISA * Va PISA = Va = (PGr) mmhg Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott, Williams, and Wilkins, (2007), PGr = 4 * () 2 E (E PG) EPG = 4 * PE 2 A (A PG) APG = 4 * PA 2 (PGmax) PGmax = 4 * PV 2 (PGmean) PGmean = / (PHT) msec Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd Edition, School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 391. PHT = DT * 0.29 DT = 120

127 (PISA) cm 2 Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Boston: Philadelphia: Lippincott Williams and Wilkins, (2007), PISA = 2π r 2 2 π = 6.28 r = Qp/Qs Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Boston: Philadelphia: Lippincott Williams and Wilkins, (2007), Qp/Qs = SV Qp site/sv Qs site = RVOT SV/LVOT SV RVOT SV = RVOT CSA x RVOT VTI = π/4 * RVOT 2 x RVOT VTI LVOT SV = LVOT CSA x LVOT VTI = π/4 x LVOT 2 x LVOT VTI (RF) Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Boston: Philadelphia: Lippincott Williams and Wilkins, (2007), RF = RV/MV SV RV = MV SV = CSA * VTI CSA = (RV) cc Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Boston: Philadelphia: Lippincott Williams and Wilkins, (2007), RV = ERO * MR VTI/

128 Lang R, Bierig M, et al. "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 Echocardiography. (2005), 18: Wang Y, Gutman J, et al. "Right atrial volume in a normal adult population by two-dimensional echocardiography." Chest, (1984), 86: RA Vol = p/4(h) S(D1)2 RA Vol Index = RA Vol/BSA (ml/l2) RA Vol = ml h = RA D1 = (RVSP) mmhg Oh, J. K., J. B. Seward, and A. J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott Williams and Wilkins, (2007), 66. RVSP = 4 * (Vmax TR) 2 + RAP RAP = S/D Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd Edition, School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 217. S velocity/ D velocity S = S D = D (SI) cc/m 2 Mosby's Medical, Nursing, & Allied Health Dictionary, 4th Edition, (1994), SI = SV/BSA 122

129 SV = BSA = (SV) ml Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition,Philadelphia: Lippincott, Williams, and Wilkins, (2007), SV = (CSA * VTI) CSA = (LVOT ) VTI = (LVOT VTI) M (SV) ml Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 2nd Edition, Boston: Little, Brown and Company, (1994), 44. SV = (LVEDV - LVESV) SV = LVEDV = LVEDSV = TAPSE Rudski L, Lai W, et al. "Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography." J Am Soc Echocardiogr. (2010), (TVA) Oh, J.K., J.B. Seward, and A.J. Tajik. The Echo Manual. 3rd Edition, Philadelphia: Lippincott, Williams, and Wilkins, (2007), TVA = 220/PHT (VTI) cm Reynolds, Terry. The Echocardiographer's Pocket Reference. 2nd Edition, School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 383. VTI = ( [n]) (cm) 123

130 (AFI) Jeng, C. J., et al. "Amniotic Fluid Index Measurement with the Four Quadrant Technique During Pregnancy." The Journal of Reproductive Medicine, 35:7 (July 1990), (AUA) AUA ( ) (AUA) (EDD) / / EDD = + (280 - AUA ) (LMP) (EDD) LMP / / EDD = LMP (EFW) Hadlock, F., et al. "Estimation of Fetal Weight with the Use of Head, Body, and Femur Measurements, A Prospective Study." American Journal of Obstetrics and Gynecology, 151:3 (February 1, 1985), Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), 154. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), Shepard M.J., V. A. Richards, R. L. Berkowitz, et al. "An Evaluation of Two Equations for Predicting Fetal Weight by Ultrasound." American Journal of Obstetrics and Gynecology, 142:1 (January 1, 1982), University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996), 880, Equation

131 (LMP) (GA) LMP GA(LMP) = - LMP (Estab. DD) (LMPd) (GA) (Estab. DD) (GA) LMP GA(LMPd) = - LMPd (Estab. DD) (LMPd) / / LMPd(Estab. DD) = Estab. DD (AC) Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), 431. University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996), 885. FUJIFILM SonoSite 20.0 cm 30.0 cm (AC) AC AC 125

132 (BPD) Chitty, L. S. and D.G. Altman. "New charts for ultrasound dating of pregnancy." Ultrasound in Obstetrics and Gynecology 10: (1997), , Table 3. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), 440. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), 98. University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996), 885. (CM) Mahony, B.; P. Callen, R. Filly, and W. Hoddick. "The fetal cisterna magna." Radiology, 153: (December 1984), (CRL) Hadlock, F., et al. "Fetal Crown-Rump Length: Re-evaluation of Relation to Menstrual Age (5-18 weeks) with High-Resolution, Real-Time Ultrasound." Radiology, 182: (February 1992), Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), 439. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), 20 and 96. Tokyo University. "Gestational Weeks and Computation Methods." Ultrasound Imaging Diagnostics, 12:1 (1982-1), 24-25, Table 3. (FL) Chitty, L. S. and D.G. Altman. "New charts for ultrasound dating of pregnancy." Ultrasound in Obstetrics and Gynecology 10: (1997), , Table 8, 186. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), 431. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996),

133 (FTA) Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), (GS) Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986). Nyberg, D.A., et al. "Transvaginal Ultrasound." Mosby Yearbook, (1992), 76. Nyberg Tokyo University. "Gestational Weeks and Computation Methods." Ultrasound Imaging Diagnostics, 12:1 (1982-1). (HC) Chitty, L. S. and D.G. Altman. "New charts for ultrasound dating of pregnancy." Ultrasound in Obstetrics and Gynecology 10: (1997), , Table 5, 182. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), 431. (HL) Jeanty, P.; F. Rodesch; D. Delbeke; J. E. Dumont. "Estimate of Gestational Age from Measurements of Fetal Long Bones." Journal of Ultrasound in Medicine, 3:3: (February 1984), (OFD) Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), 431. Jeanty, P.; F. Rodesch; D. Delbeke; J. E. Dumont. "Estimate of Gestational Age from Measurements of Fetal Long Bones." Journal of Ultrasound in Medicine, 3:3: (February 1984), (TTD) Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986),

134 (AC) Chitty, Lyn S. et al. "Charts of Fetal Size: 3. Abdominal Measurements." British Journal of Obstetrics and Gynaecology 101: (February 1994), 131, Appendix: AC-Derived. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Jeanty P., E. Cousaert, and F. Cantraine. "Normal Growth of the Abdominal Perimeter." American Journal of Perinatology, 1: (January 1984), ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 179, Table 7.13.) (BPD) Chitty, Lyn S. et al. "Charts of Fetal Size: 2. Head Measurements." British Journal of Obstetrics and Gynaecology 101: (January 1994), 43, Appendix: BPD-Outer-Inner. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Jeanty P., E. Cousaert, and F. Cantraine. "A Longitudinal Study of Fetal Limb Growth." American Journal of Perinatology, 1: (January 1984), , Table 5. ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 176, Table 7.8.) (EFW) Brenner, William E.; D. A. Edelman; C. H. Hendricks. "A standard of fetal growth for the United States of America," American Journal of Obstetrics and Gynecology, 126:5 (November 1, 1976), ; Table II. Hadlock F., et al. "In Utero Analysis of Fetal Growth: A Sonographic Weight Standard." Radiology, 181: (1991), Jeanty, Philippe, F. Cantraine, R. Romero, E. Cousaert, and J. Hobbins. "A Longitudinal Study of Fetal Weight Growth." Journal of Ultrasound in Medicine, 3: (July 1984), , Table 1. ( Hansmann, Hackeloer, Staudach, and Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 186, Table 7.20.) 128

135 (FL) Chitty, Lyn S. et al. "Charts of Fetal Size: 4. Femur Length. "British Journal of Obstetrics and Gynaecology 101: (February 1994), 135. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Jeanty P, E. Cousaert, and F. Cantraine. "A Longitudinal Study of Fetal Limb Growth." American Journal of Perinatology, 1: (January 1984), , Table 5. ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 182, Table 7.17.) (HC) Chitty, Lyn S., et al. "Charts of Fetal Size: 2. Head Measurements." British Journal of Obstetrics and Gynaecology 101: (January 1994), 43, Appendix: HC-Derived. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152: (1984), Jeanty P, E. Cousaert, and F. Cantraine. "A longitudinal study of Fetal Head Biometry." American J of Perinatology, 1: (January 1984), , Table 3. ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 176, Table 7.8.) (HC)/ (AC) Campbell S., Thoms Alison. "Ultrasound Measurements of the Fetal Head to Abdomen Circumference Ratio in the Assessment of Growth Retardation," British Journal of Obstetrics and Gynaecology, 84: (March 1977), FL/AC Hadlock F.P., R. L. Deter, R. B. Harrist, E. Roecker, and S.K. Park. "A Date Independent Predictor of Intrauterine Growth Retardation: Femur Length/Abdominal Circumference Ratio," American Journal of Roentgenology, 141: (November 1983), FL/BPD Hohler, C.W., and T.A. Quetel. "Comparison of Ultrasound Femur Length and Biparietal Diameter in Late Pregnancy," American Journal of Obstetrics and Gynecology, 141:7 (Dec ),

136 FL/HC Hadlock F.P., R. B. Harrist, Y. Shah, and S. K. Park. "The Femur Length/Head Circumference Relation in Obstetric Sonography." Journal of Ultrasound in Medicine, 3: (October 1984), HC/AC Campbell S., Thoms Alison. "Ultrasound Measurements of the Fetal Head to Abdomen Circumference Ratio in the Assessment of Growth Retardation," British Journal of Obstetrics and Gynaecology, 84: (March 1977), /x S/D +/x = ( A/ B) A = + B = x (ACC) Zwiebel, W.J. Introduction to Vascular Ultrasonography, 4th ed., W.B. Saunders Company, (2000), 52. ACC = / (ET) ET = /d:d Graf, R. "Fundamentals of Sonographic Diagnosis of Infant Hip Dysplasia." Journal of Pediatric Orthopedics, Vol. 4, No. 6: , Morin, C., Harcke, H., MacEwen, G. "The Infant Hip: Real-Time US Assessment of Acetabular Development." Radiology 177: , December Taylor K.J.W., P.N. Burns, P. Breslau. Clinical Applications of Doppler Ultrasound, Raven Press, N.Y., (1988), Zwiebel W.J., J.A. Zagzebski, A.B. Crummy, et al. "Correlation of peak Doppler frequency with lumen narrowing in carotid stenosis." Stroke, 3: (1982),

137 = (1 - A2 (cm 2 )/A1 (cm 2 )) * 100 A1 = A2 = Handa, Nobuo et al., "Echo-Doppler Velocimeter in the Diagnosis of Hypertensive Patients: The Renal Artery Doppler Technique," Ultrasound in Medicine and Biology, 12:12 (1986), = (1 - D2(cm)/D1(cm)) * 100 D1 = cm D2 = cm (PGr) mmhg Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), * 2 E (E PG) EPG = 4 * PE 2 A (A PG) APG = 4 * PA2 (PGmax) PGmax = 4 * PV2 (PGmean) PGmean = 4 * Vmax 2 131

138 (PI) Kurtz, A.B., W.D. Middleton. Ultrasound-the Requisites. Mosby Year Book, Inc., (1996), 469. PI = (PSV - EDV)/V PSV = EDV = V = (RI) Kurtz, A.B., W.D. Middleton. Ultrasound-the Requisites. Mosby Year Book, Inc., (1996), 467. RI = (( A - B)/ A) A = + B = x (TAM) cm/s TAM = (TAP) cm/s TAP = (Vol) Beyer, W.H. Standard Mathematical Tables, 28th ed., CRC Press, Boca Raton, FL, (1987), 131. cm 3 = (4/3) * π * /2 * /2 * /2 (VF) ml/m Allan, Paul L. et al. Clinical Doppler Ultrasound, 4th ed., Harcourt Publishers Limited. (2000), VF = CSA * TAM *.06 VF = CSA * TAP *

139 7 FUJIFILM SonoSite 2 10 CPD Color PRF OB OB Connectivity 133

140 "ensure the USB device is valid" USB USB USB "ensure the USB device contains valid data" USB USB USB "Incompatible power supply..."... "The external video is not functional..."... "Maximum number of procedure entries reached" "Unable to save image or clip.you have reached the maximum number of images/clips allowed for a single patient." FUJIFILM SonoSite 134

141 FUJIFILM SonoSite 2 34 ARM PCBA PCBA 1 2 Enter license number 3 Done 4 5 Enter license number 6 Done FUJIFILM SonoSite 2 8 FUJIFILM SonoSite 135

142 136

143 8 FFSS 2 (PPE) FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 137

144 FUJIFILM SonoSite 8-1 Spaulding Spaulding Spaulding A A 139 A 138

145 8-1 B B 143 B A SaniCloth AF3* SaniCloth Plus PI-Spray II C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x * (PPE) 139

146 FUJIFILM SonoSite

147 FUJIFILM SonoSite 2 2 (PPE) 8-3 FUJIFILM SonoSite Cidex Cidex OPA C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x 23 o C 45 3 x 1 23 o C 12 3 x

148 cm cm Cidex OPA FUJIFILM SonoSite 142

149 B 8-4 SaniCloth AF3* SaniCloth Plus PI-Spray II C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x C11x HFL38xi HFL50x HSL25x ICTx L25x L38xi P10x P11x rc60xi rp19x * (PPE) FUJIFILM SonoSite 143

150 FuljiFilm SonoSite 144

151 1 2 3 Sani-Cloth HB Sani-Cloth Wipes 70% 4 1 Cidex 10:1 5.25% 2 ECG ECG ECG 1 2 ECG 145

152 3 4 FUJIFILM SonoSite 5 ECG ECG 146

153 9 ALARA 10 (MSD) 1,2,3 MSD MSD MSD MSD MSD 4 MSD 5,6 1. Magnavita, N., L. Bevilacqua, P. Mirk, A. Fileni, and N. Castellino. "Work-related Musculoskeletal Complaints in Sonologists." Occupational Environmental Medicine. 41:11 (1999), Craig, M. "Sonography: An Occupational Hazard?" Journal of Diagnostic Medical Sonography. 3 (1985), Smith, C.S., G.W. Wolf, G. Y. Xie, and M. D. Smith. "Musculoskeletal Pain in Cardiac Ultrasonographers: Results of a Random Survey. "Journal of American Society of Echocardiography. (May1997), Wihlidal, L.M. and S. Kumar. "An Injury Profile of Practicing Diagnostic Medical Sonographers in Alberta." International Journal of Industrial Ergonomics. 19 (1997), Habes, D.J. and S. Baron. "Health Hazard Report " University of Medicine and Dentistry of New Jersey. (1999). 6. Vanderpool, H.E., E.A. Friis, B.S. Smith, and K.L. Harms. "Prevalence of Carpal Tunnel Syndrome and Other Work-related Musculoskeletal Problems in Cardiac Sonographers." Journal of Medicine. 35:6 (1993),

154 148

155 MSD MSD EN Class I I / Type BF BF Type CF CF 172 ECG EN

156 ECG / (TTC) TTC 150

157 (MPSO) 8 FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite / - FUJIFILM SonoSite FUJIFILM SonoSite 151

158 Class I I BF CF IPX-7 IPX-8 AP/APG I I I ECG /ECG 8 152

159 0 40 C 60 C 2 6 FUJIFILM SonoSite 2 153

160 FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 21 CFR ALARA MI TI FUJIFILM SonoSite 0.3 db/cm/mhz - FUJIFILM SonoSite 154

161 P10x P17x P21x P10x P17x P21x 155

162 IEC :2001 (EMC) FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 159 EMC RF (EMI) EMI EMI EMI EMI EMI EMI EMI IEC EMC 156

163 SonoSite Edge II IEEE GHz ISM IEEE b 16 db (CCK) (DQPSK) (DBPSK) IEEE g 13 dbm (ODFM) (ESD) ESD ESD ESD 157

164 ESD ESD TTC (TTC) ESD ESD ESD ESD IEC d 158

165 9-1 RF SonoSite Edge II SonoSite Edge II (RF) SonoSite Edge II RF SonoSite Edge II 150 khz 80 MHz d=1.2 P 80 MHz 800 MHz d=1.2 P 800 MHz 2.5 GHz d=2.3 P (d) P (W) 80 MHz 800 MHz FUJIFILM SonoSite SonoSite Edge II IEC :2007 FUJIFILM SonoSite SonoSite Edge II 159

166 SonoSite Edge II 9-2 SonoSite Edge II C11x rc60xi / HFL38xi HFL50x HSL25x ICTx L25x L38xi / L52x P10x P11x rp19x / TEExi 1.8 m 1.7 m 1.7 m 1.7 m 2.4 m 1.7 m 2.3 m 1.7 m 2.4 m 1.8 m 2.0 m 1.8 m 2.2 m 1.5 m PowerPack PowerPack 1 m 160

167 9-2 SonoSite Edge II ECG ECG ECG 1 m 1.8 m 0.6 m 1.8 m 2.4 m SonoSite Edge II SonoSite Edge II Petite 3 m 1.8 m 3 m 2 m 1 m PowerPark USB 161

168 EMC ClSPR 11 1 SonoSite Edge II RF ClSPR 11 IEC / IEC A A SonoSite Edge II 162

169 9-4 - IEC (ESD) IEC ± 2.0KV ± 4.0KV ± 6.0KV ± 2.0KV ± 4.0KV ± 8.0KV ± 2.0KV ± 4.0KV ± 6.0KV ± 2.0KV ± 4.0KV ± 8.0KV 30% IEC ± 2KV ± 1KV ± 2KV ± 1KV IEC ± 1KV ± 2KV ± 1KV ± 2KV IEC <5% U T U T >95% % U T U T 60% 5 70% U T U T 30% <5% U T U T >95% % U T U T 60% 5 70% U T U T 30% FUJIFILM SonoSite FUJIFILM SonoSite 25 <5% U T U T >95% 25 <5% U T U T >95% 5s 5s IEC / 3 / FUJIFILM SonoSite 163

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172 9-5 1 IIa IIb III 93/42/EEC LOT "C" "US" CSA ANSI/UL REF 93/86/EEC 166

173 9-5 (DC) FCC GEL 167

174 9-5 STERILE R STERILE EO SN 168

175 9-5 BF B = F = CF (UL) RoHS / / ("CCC Mark") WARNING: Connect Only Accessories and Peripherals Recommended by SonoSite FUJIFILM SonoSite 169

176 33 cm 31.5 cm 6.3 cm 4.6 kg rc60xi 24.6 cm 18.5 cm 30.7 cm C 15-95% hpa C 35 C 30 / C 15-95% hpa C 15-95% * hpa

177 V 50/60 Hz 100 VAC 2.0 A #1 15 V 5.0 A #2 12 V 2.3 A 75 W 171

178 EMC 9-6 AAMI ES : C1(2009) + A2(2010) CSA C22.2 No TC 2(2011) IEC : C1(2006) + C2(2007) CSA C :08 IEC (ed. 2.0) CSA C IEC :2010 Medical electrical equipment, Part 1: General requirements for basic safety and essential performance (3 rd edition plus Corrigendum 1 and Amendment A2) 1 1 A2 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (3 rd edition plus Corrigendum 2) 1 2 Medical electrical equipment, Part 1: General requirements for basic safety and essential performance (3 rd edition plus Corrigendum 1 and Corrigendum 2) Medical electrical equipment - Part 2-37: Particular requirements for the basic safety and essential performance of ultrasound medical diagnostic and monitoring equipment 2-37 Medical electrical equipment - Part 2-37: Particular requirements for the basic safety and essential performance of ultrasound medical diagnostic and monitoring equipment 2-37 Medical Electrical Equipment part 1-6: General requirements for basic safety and essential performance Collateral Standard: Usability Medical Electrical Equipment part 1-6: General requirements for basic safety and essential performance Collateral Standard: Usability

179 9-7 EMC IEC :2007 CISPR 11:2009 Medical Electrical Equipment. General Requirements for Basic Safety and Essential Performance-Collateral Standard. Electromagnetic Compatibility. Requirements and Tests. - Industrial, Scientific, and Medical (ISM) Radio-Frequency Equipment Electromagnetic Disturbance Characteristics-Limits and Methods of Measurement. (ISM) - 1 A AAMI/ANSI/ISO :2009, Biological evaluation of medical devices Part 1 1 (2009) AAMI/ANSI/ISO , Biological evaluation of medical devices Part 5 5 In Vitro (2009) AAMI/ANSI/ISO , Biological evaluation of medical devices Part (2002) AAMI/ANSI/ISO , Biological evaluation of medical devices Part (2006) AAMI/ANSI/ISO , Biological evaluation of medical devices Part (2007) RTCA DO-160E, Radio Technical Commission for Aeronautics, Environmental Conditions and Test Procedures for Airborne Equipment, Section 21.0 Emission of Radio Frequency Energy, Category B B

180 DICOM NEMA PS 3.15:2000, Digital Imaging and Communications in Medicine (DICOM)-Part 15:Security Profiles NEMA PS (DICOM) - 15 DICOM X-Porte DICOM HIPAA HIPAA The Health Insurance and Portability and Accountability Act, Pub.L. No (1996) CFR 160, General Administrative Requirements 45 CFR 164, Security and Privacy 174

181 10 ALARA ALARA ALARA ALARA ALARA 2D CPD Color (THI) 2D ALARA ALARA 175

182 EN (ISPTA) 720 mw/cm 2 ISPTA 50 mw/cm 2 TI 1.0 MI 0.23 (MI) (TI) 1.0 MI TI 177 MI TI ALARA MI TI MI TI BS EN :2001 Annex HH HH PRF 176

183 Kremkau, Frederick W. Diagnostic Ultrasound: Principles and Instruments. 7th ed., W.B. Saunders Company, (Oct. 17, 2005). MI TI MI TI MI TI MI TI MI TI P11x MI TI P11x P11x 10-1 MI C11x rc60xi / HFL38xi HFL50x HSL25x ICTx MI TI 177

184 10-1 MI L25x L38xi / P10x rp19x / TEExi MI MI 10-2 TI PRF C11x rc60xi / (PRF) HFL38xi 178 MI TI

185 10-2 TI PRF HFL50x HSL25x (PRF) ICTx (PRF) L25x (PRF) L38xi / P10x (PRF) rp19x / TEExi (PRF) TI TI MI TI 179

186 MI TI AIUM TI MI TI MI ³ 1.0 (2D)/ M (M Mode) / C11x/8-5 MI rc60xi/5-2 / TIC TIB TIS MI TIC TIB TIS HFL38xi/13-6 MI TIC TIB TIS HFL50x/15-6 MI TIC TIB TIS HSL25x/13-6 MI TIC TIB TIS ICTx/8-5 MI TIC TIB TIS L25x/13-6 MI L38xi/10-5 / TIC TIB TIS MI TIC TIB TIS P10x/8-4 MI TIC TIB TIS rp19x/5-1 / MI TIC TIB TIS 180

187 10-3 TI MI ³ 1.0 (2D)/ M (M Mode) / TEExi/8-3 MI TIC TIB TIS MI MI TI 0.1- TI TI TI ALARA TI FUJIFILM SonoSite AIUM TI 182 P11x P11x P11x MI 95% 95% MI MI +18% -25% +0.2 TI 95% 95% TI TI +21% -40% dB 3dB MI TI

188 MI TI / / Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers, FDA, Medical Ultrasound Safety, American Institute of Ultrasound in Medicine (AIUM), Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment, NEMA UD NEMA Acoustic Output Measurement and Labeling Standard for Diagnostic Ultrasound Equipment, American Institute of Ultrasound in Medicine, Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment, NEMA UD NEMA Guidance on the interpretation of TI and MI to be used to inform the operator, Annex HH, BS EN reprinted at P (23 C ± 3 C) EN P11x P11x P11x 182

189 10-4 ( C) C11x rc60xi HFL38xi HFL50x HSL25x L25x L38xi P10x rp19x ( C) ICTx TEExi (bioeffects) (AIUM) - Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1988:Vol. 7, No. 9 Supplement) Stowe (Stowe Report) (Bioeffects and Safety of Diagnostic Ultrasound) Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment (NEMA UD2-2004) Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment (NEMA UDe3-2004) In Situ In Situ= [e -(0.23alf) ] 183

190 = = e = a = (db/cm MHz) = 0.53 = 0.66 = 0.79 = 0.43 = 0.55 l = f = / / MHz 0.3 In Situ = [e -(0.069lf ) ] 184

191 In Situ 0.3 db/cm MHz In Situ 3 In Situ 1dB/cmMHz 1990 MI MI 2.0 2D MMode M MI C 1.5 C 7 C I SPTA 500 mw/cm 2 Bioeffects and Safety of Diagnostic Ultrasound (AIUM, 1993)

192 TI MI * P11x P11x P11x 186

193 10-6 C11x M.I. TIS A aprt <1 A aprt >1 TIB (a) (a) p r.3 (MPa) # W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.70 [email protected] (cm) # d eq (Z sp ) (cm) 0.23 F c (MHz) # # A aprt X (cm) # Y (cm) # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.22 FL x (cm) # 1.52 I max (W/cm 2 ) # TIC FL y (cm) # mm 7 mm PRF (a) <1 (b) # / 187

194 10-7 rc60xi / M.I. TIS A aprt <1 A aprt >1 TIB 1.5 (a) (b) p r.3 (MPa) 2.31 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 4.3 d eq (Z sp ) (cm) F c (MHz) 2.36 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 3584 p max (MPa) 3.29 d max (cm) FL x (cm) # # I max (W/cm 2 ) MB FL y (cm) # # Res 11 cm 5 THI (a) <1 (b) # / TIC 188

195 10-8 rc60xi / M M.I. TIS A aprt <1 A aprt >1 TIB 1.3 (a) 1.0 (b) p r.3 (MPa) 2.18 W 0 (mw) 69.8 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 4.20 [email protected] (cm) 4.3 d eq (Z sp ) (cm) 0.69 F c (MHz) 2.66 # 2.89 # A aprt X (cm) # 2.25 # Y (cm) # 1.20 # PD (μsec) PRF (Hz) 800 p max (MPa) 3.25 d max (cm) 0.49 FL x (cm) # # I max (W/cm 2 ) 290 FL y (cm) # # 1 (Msk) 2 Pen Pen cm 9.2 cm 4 THI (a) <1 (b) # / TIC 189

196 10-9 rc60xi / / M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 2.21 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 4.3 d eq (Z sp ) (cm) F c (MHz) # A aprt X (cm) 0.66 # Y (cm) 1.20 # PD (μsec) PRF (Hz) 1265 p max (MPa) 3.07 d max (cm) # FL x (cm) 2.50 # I max (W/cm 2 ) 342 FL y (cm) 6.50 # 1 2 CVD CVD 3 2D //THI 4/ 5 / / 11 cm/ / 4.7 cm/ /342 /3125 / - / - (a) <1 (b) # / TIC 190

197 10-10 rc60xi / M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 1.73 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) 4.0 z bp (cm) 4.0 z sp (cm) 3.60 [email protected] (cm) 4.5 d eq (Z sp ) (cm) 0.94 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1302 p max (MPa) 2.43 d max (cm) 0.54 FL x (cm) # I max (W/cm 2 ) 267 FL y (cm) 6.50 # mm 7 mm 7 mm PRF (a) <1 (b) # / TIC 191

198 10-11 HFL38xi MI TIS A aprt <1 A aprt >1 TIB 1.3 (a) (b) p r.3 (MPa) 3.05 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 1.2 d eq (Z sp ) (cm) F c (cm) 5.36 # # z bp (MHz) # # A aprt X (cm) # # Y (cm) PD (μsec) PRF (Hz) 2127 p max (MPa) 3.81 d max (cm) FL x (cm) # # FL y (cm) # # I max (W/cm 2 ) MB Ven Res 3.3 cm N/A 5 (a) <1 (b) # / TIC 192

199 10-12 HFL38xi M MI TIS A aprt <1 A aprt >1 TIB 1.2 (a) (a) (b) p r.3 (MPa) 3.14 W 0 (mw) # # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # [email protected] (cm) 1.4 d eq (Z sp ) (cm) # F c (cm) 6.75 # # # z bp (MHz) # # # A aprt X (cm) # # # Y (cm) PD (μsec) PRF (Hz) 1600 p max (MPa) 4.35 d max (cm) # FL x (cm) # # FL y (cm) # # I max (W/cm 2 ) Pen 4.0 cm (a) <1 (b) # / TIC 193

200 10-13 HFL38xi / MI TIS A aprt <1 A aprt >1 TIB 1.3 (a) (b) p r.3 (MPa) 3.05 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 1.2 d eq (Z sp ) (cm) F c (MHz) 5.36 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 2223 p max (MPa) 3.81 d max (cm) FL x (cm) # # FL y (cm) # # I max (W/cm 2 ) D / 4// 5 / CVD / 3.3 cm /401 / (a) <1 (b) # / TIC 194

201 10-14 HFL38xi MI TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 2.69 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.10 [email protected] (cm) 1.0 d eq (Z sp ) (cm) 0.34 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1008 p max (MPa) 3.23 d max (cm) 0.25 FL x (cm) 3.72 # FL y (cm) 2.44 # I max (W/cm 2 ) mm 1mm 1mm PRF (a) <1 (b) # / TIC 195

202 10-15 HFL50x MI TIS A aprt <1 A aprt >1 TIB 1.3 (a) (b) p r.3 (MPa) W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 1.2 d eq (Z sp ) (cm) F c (MHz) 5.36 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 2733 p max (MPa) 3.81 d max (cm) FL x (cm) # # FL y (cm) # # I max (W/cm 2 ) MBe (a) <1 (b) # / TIC 196

203 10-16 HFL50x M M.I. TIS A aprt <1 A aprt >1 TIB 1.2 (a) (a) (b) p r.3 (MPa) 3.14 W 0 (mw) # # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.4 # d eq (Z sp ) (cm) # F c (MHz) 6.75 # # # A aprt X (cm) # # # Y (cm) # # # PD (μsec) PRF (Hz) 1600 p max (MPa) 4.35 d max (cm) # FL x (cm) # # I max (W/cm 2 ) FL y (cm) # # Pen (a) <1 (b) # / TIC 197

204 10-17 HFL50x / M.I. TIS A aprt <1 A aprt >1 TIB 1.3 (a) (b) p r.3 (MPa) 3.05 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.2 d eq (Z sp ) (cm) F c (MHz) 5.36 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 8233 p max (MPa) 3.81 d max (cm) FL x (cm) # # I max (W/cm 2 ) / FL y (cm) # # /3.3 4 PRF (a) <1 (b) # / TIC 198

205 10-18 HFL50x MI TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 2.69 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) d eq (Z sp ) (cm) 0.33 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) 1.29 PRF (Hz) 1008 p max (MPa) 3.23 d max (cm) 0.22 FL x (cm) 3.72 # FL y (cm) 2.44 # I max (W/cm 2 ) mm 1 mm 1 mm 3 PRF (a) <1 (b) # / TIC 199

206 10-19 HSL25x M.I. TIS A aprt <1 A aprt >1 TIB 1.2 (a) (b) p r.3 (MPa) 2.87 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.8 d eq (Z sp ) (cm) F c (MHz) 6.11 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 1061 p max (MPa) 3.39 d max (cm) FL x (cm) # # I max (W/cm 2 ) 478 FL y (cm) # # 1 Nrv/Msk/ Ven/Art MBe (a) <1 (b) # / TIC 200

207 10-20 HSL25x / M.I. TIS A aprt <1 A aprt >1 TIB 1.0 (a) (b) p r.3 (MPa) 2.35 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 0.8 d eq (Z sp ) (cm) F c (MHz) 6.11 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 3079 p max (MPa) 2.78 d max (cm) FL x (cm) # # I max (W/cm 2 ) D / 4// FL y (cm) # # CVD Pen/ 3.1 cm /401 5 / / (a) <1 (b) # / TIC 201

208 10-21 HSL25x M.I. (a) <1 (b) # / TIS A aprt <1 A aprt >1 TIB (a) (a) 1.5 (b) p r.3 (MPa) # W 0 (mw) # 28.1 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.75 [email protected] (cm) # d eq (Z sp ) (cm) 0.30 F c (MHz) # # 6.00 # A aprt X (cm) # 0.76 # Y (cm) # 0.30 # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.21 FL x (cm) # # I max (W/cm 2 ) # 1 2 FL y (cm) # # 8 mm PRF 1953 TIC 202

209 10-22 HSL25x M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.47 W 0 (mw) 0.70 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 0.8 d eq (Z sp ) (cm) F c (MHz) # A aprt X (cm) 0.96 # Y (cm) 0.30 # PD (μsec) PRF (Hz) p max (MPa) 0.58 d max (cm) FL x (cm) 3.80 # I max (W/cm 2 ) Res Pen cm 4.3 cm FL y (cm) 2.70 # 4 MB (a) <1 (b) # / TIC 203

210 10-23 HSL25x M M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.47 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.85 [email protected] (cm) 1.0 d eq (Z sp ) (cm) 0.35 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1600 p max (MPa) 0.61 d max (cm) 0.27 FL x (cm) 3.80 # I max (W/cm 2 ) 14.9 FL y (cm) 2.70 # 1 2 Res Pen Pen cm 4.3 cm 4.3 cm (a) <1 (b) # / TIC 204

211 10-24 HSL25x / M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.42 W 0 (mw) 1.9 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 0.7 d eq (Z sp ) (cm) F c (MHz) # A aprt X (cm) 0.52 # Y (cm) 0.30 # PD (μsec) PRF (Hz) 3096 p max (MPa) 0.49 d max (cm) FL x (cm) 2.80 # I max (W/cm 2 ) CVD CVD 3 2D / FL y (cm) 2.70 # Pen/ 1.9 cm Pen/ 5.1 cm 4/ /401 / / / / - (a) <1 (b) # / TIC 205

212 10-25 HSL25x M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.44 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.80 [email protected] (cm) 1.2 d eq (Z sp ) (cm) 0.32 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1953 p max (MPa) 0.56 d max (cm) 0.23 FL x (cm) 3.80 # I max (W/cm 2 ) 7.4 FL y (cm) 2.70 # mm 1 mm 1 mm PRF (a) <1 (b) # / TIC 206

213 10-26 ICTx M.I. TIS A aprt <1 A aprt >1 TIB (a) (a) 1.2 (a) p r.3 (MPa) # W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.6 d eq (Z sp ) (cm) F c (MHz) # # 4.36 # A aprt X (cm) # 0.6 # Y (cm) # 0.5 # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) FL x (cm) # # I max (W/cm 2 ) # PRF FL y (cm) # # 3mm 4 1 (a) <1 (b) # / TIC 207

214 10-27 L25x M.I. TIS A aprt <1 A aprt >1 TIB 1.2 (a) (b) p r.3 (MPa) 2.87 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.8 d eq (Z sp ) (cm) F c (MHz) 6.11 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 1061 p max (MPa) 3.39 d max (cm) FL x (cm) # # I max (W/cm 2 ) 478 FL y (cm) # # 1 Nrv/Msk/ Ven/Art MBe (a) <1 (b) # / TIC 208

215 10-28 L25x / M.I. TIS A aprt <1 A aprt >1 TIB 1.0 (a) (b) p r.3 (MPa) 2.35 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 0.8 d eq (Z sp ) (cm) F c (MHz) 6.11 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 5261 p max (MPa) 2.78 d max (cm) FL x (cm) # # I max (W/cm 2 ) Ven 2 CVD 3 2D / Pen/ 3.1 cm 4/ /779 FL y (cm) # # 5 / / (a) <1 (b) # / TIC 209

216 10-29 L25x M.I. TIS A aprt <1 A aprt >1 TIB (a) (a) 1.7 (b) p r.3 (MPa) # W 0 (mw) # 32.1 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 0.75 d eq (Z sp ) (cm) 0.30 F c (MHz) # # 6.00 # A aprt X (cm) # 0.76 # Y (cm) # 0.30 # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.21 FL x (cm) # # FL y (cm) # # I max (W/cm 2 ) # 1 Art/Ven/ Nrv 2 8 mm 3 PRF (a) <1 (b) # / TIC 210

217 10-30 L25x M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.47 W 0 (mw) 0.70 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] 0.8 d eq (Z sp ) (cm) F c (MHz) # A aprt X (cm) 0.96 # Y (cm) 0.30 # PD (μsec) PRF (Hz) p max (MPa) 0.58 d max (cm) FL x (cm) 3.80 # I max (W/cm 2 ) Res Pen cm 4.3 cm FL y (cm) 2.70 # 4 MB (a) <1 (b) # / TIC 211

218 10-31 L25x M M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.47 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.85 [email protected] (cm) 1.0 d eq (Z sp ) (cm) 0.35 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1600 p max (MPa) 0.61 d max (cm) 0.27 FL x (cm) 3.80 # I max (W/cm 2 ) 14.9 FL y (cm) 2.70 # 1 2 Res Pen Pen cm 4.3 cm 4.3 cm (a) <1 (b) # / TIC 212

219 10-32 L25x / M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.42 W 0 (mw) 1.9 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] 0.7 d eq (Z sp ) (cm) F c (MHz) # A aprt X (cm) 0.52 # Y (cm) 0.30 # PD (μsec) PRF (Hz) 3096 p max (MPa) 0.49 d max (cm) FL x (cm) 2.80 # I max (W/cm 2 ) CVD CVD 3 2D / FL y (cm) 2.70 # Pen/ 1.9 cm Pen 5.1 cm 4/ /401 / / / / - (a) <1 (b) # / TIC 213

220 10-33 L25x M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 0.44 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.80 [email protected] 1.2 d eq (Z sp ) (cm) 0.32 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1953 p max (MPa) 0.56 d max (cm) 0.23 FL x (cm) 3.80 # I max (W/cm 2 ) 7.4 FL y (cm) 2.70 # mm 1 mm 1 mm PRF (a) <1 (b) # / TIC 214

221 10-34 L38xi / M.I. TIS A aprt <1 A aprt >1 TIB 1.5 (a) (b) p r.3 (MPa) 3.30 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 0.8 d eq (Z sp ) (cm) F c (MHz) 4.82 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 1312 p max (MPa) 3.79 d max (cm) FL x (cm) # # I max (W/cm 2 ) MB FL y (cm) # # Res 2.0 cm N/A 5 (a) <1 (b) # / TIC 215

222 10-35 L38xi / M M.I. TIS A aprt <1 A aprt >1 TIB 1.5 (a) 1.2 (b) p r.3 (MPa) 3.54 W 0 (mw) # 37.1 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.90 [email protected] (cm) 1.0 d eq (Z sp ) (cm) 0.49 F c (MHz) 5.76 # 5.20 # A aprt X (cm) # 1.86 # Y (cm) # 0.40 # PD (μsec) PRF (Hz) 1600 p max (MPa) 4.32 d max (cm) 0.49 FL x (cm) # # I max (W/cm 2 ) 776 FL y (cm) # # 1 2 Pen cm 7.3 cm (a) <1 (b) # / TIC 216

223 10-36 L38xi / / M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 3.30 W 0 (mw) 49.0 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 0.8 d eq (Z sp ) (cm) F c (MHz) # A aprt X (cm) 0.54 # Y (cm) 0.40 # PD (μsec) PRF (Hz) 2190 p max (MPa) 3.79 d max (cm) FL x (cm) 1.50 # I max (W/cm 2 ) 605 FL y (cm) 1.50 # 1 Ven 2 CVD CVD 3 2D / Pen/2.0 cm Pen/3.1 cm 4/ /393 / / / / - (a) <1 (b) # / TIC 217

224 10-37 L38xi / M.I. TIS A aprt <1 A aprt >1 TIB (b) p r.3 (MPa) 2.59 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.20 [email protected] (cm) 0.7 d eq (Z sp ) (cm) 0.49 F c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1008 p max (MPa) 2.86 d max (cm) 0.46 FL x (cm) 5.54 # I max (W/cm 2 ) 323 FL y (cm) 1.50 # 1 2 1mm 1mm 1mm PRF (a) <1 (b) # / TIC 218

225 10-38 P10x / M.I. TIS A aprt <1 A aprt >1 TIB (a) (a) 1.1 p r.3 (MPa) # W 0 (mw) # 42.2 [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) # d eq (Z sp ) (cm) F c (MHz) # # 3.89 A aprt X (cm) # 0.99 Y (cm) # 0.70 PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) FL x (cm) # 6.74 I max (W/cm 2 ) # D / / 4/ TIC FL y (cm) # 5.00 CVD /8.9 cm/ / / / - (a) <1 (b) # / 219

226 10-39 P10x M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 1.92 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.80 [email protected] (cm) 2.1 d eq (Z sp ) (cm) 0.31 F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 1562 p max (MPa) 2.54 d max (cm) 0.24 FL x (cm) I max (W/cm 2 ) 200 TIC FL y (cm) mm 7 mm 12 mm 1 mm PRF TDI (a) <1 (b) # / 220

227 10-40 P10x M.I. TIS A aprt <1 A aprt >1 TIB (a) (a) p r.3 (MPa) # W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.70 [email protected] (cm) # d eq (Z sp ) (cm) 0.36 F c (MHz) # # A aprt X (cm) # Y (cm) # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.27 FL x (cm) # 0.92 I max (W/cm 2 ) # TIC FL y (cm) # (a) <1 (b) # / 221

228 10-41 rp19x / M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 2.10 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 4.8 d eq (Z sp ) (cm) F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 6186 p max (MPa) 2.92 d max (cm) FL x (cm) I max (W/cm 2 ) 184 FL y (cm) Res Pen 3 10 cm 10 cm 4.7 cm 4 / (MB/ / / / THI) 5 N/A N/A (a) <1 (b) # / TIC 222

229 10-42 rp19x / M M.I. TIS A aprt <1 A aprt >1 TIB 1.5 (a) p r.3 (MPa) 2.10 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 4.33 [email protected] (cm) 4.8 d eq (Z sp ) (cm) 0.43 F c (MHz) 1.99 # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 800 p max (MPa) 2.92 d max (cm) 0.42 FL x (cm) # 9.82 I max (W/cm 2 ) 184 TIC FL y (cm) # TCD 2 Res Res cm 10 cm 16 cm 4 THI (a) <1 (b) # / 223

230 10-43 rp19x / / M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 2.10 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 4.8 d eq (Z sp ) (cm) F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 505 p max (MPa) 2.92 d max (cm) FL x (cm) I max (W/cm 2 ) 184 FL y (cm) TCD 2 /THI CVD/ CVD/ CVD/ 3 2D // / 10 cm/ N/A / 7.5 cm/ N/A TIC / 16 cm/ 4/ /300 /3125 / / / / / (a) <1 (b) # / 224

231 10-44 rp19x / M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 1.94 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) 2.5 z bp (cm) 2.5 z sp (cm) 3.35 [email protected] (cm) 3.0 d eq (Z sp ) (cm) 0.80 F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 1562 p max (MPa) 2.42 d max (cm) 0.62 FL x (cm) I max (W/cm 2 ) 180 FL y (cm) mm 12 mm 12 mm 1mm PRF 1562 Hz 1562 Hz 1562 Hz 3906 Hz 5 TDI (a) <1 (b) # / TIC 225

232 10-45 rp19x / M.I. TIS A aprt <1 A aprt >1 TIB (a) p r.3 (MPa) # W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.90 [email protected] (cm) # d eq (Z sp ) (cm) 0.64 F c (MHz) # A aprt X (cm) Y (cm) PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.61 FL x (cm) I max (W/cm 2 ) # TIC FL y (cm) (a) <1 (b) # / 226

233 10-46 rp19x / M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 0.25 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 3.4 d eq (Z sp ) (cm) F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 6413 p max (MPa) 0.31 d max (cm) FL x (cm) I max (W/cm 2 ) 4.1 FL y (cm) Res Res cm 4.7 cm 16 cm 4 MB (a) <1 (b) # / TIC 227

234 10-47 rp19x / M M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 0.25 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) 1.0 z 1 (cm) 2.5 z bp (cm) 2.4 z sp (cm) 3.15 [email protected] (cm) 3.4 d eq (Z sp ) (cm) 0.43 F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 800 p max (MPa) 0.31 d max (cm) 0.81 FL x (cm) I max (W/cm 2 ) 4.05 TIC FL y (cm) Res cm 35 cm 35 cm 35 cm (a) <1 (b) # / 228

235 10-48 rp19x / / M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 0.25 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) [email protected] (cm) 0.7 d eq (Z sp ) (cm) F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 5443 p max (MPa) 0.26 d max (cm) FL x (cm) I max (W/cm 2 ) 1.82 FL y (cm) CVD CVD CVD 3 2D / 4/ TIC / /24 cm /24 cm 4.7 cm /1157 /3125 / / / / - / - (a) <1 (b) # / 229

236 10-49 rp19x / M.I. TIS A aprt <1 A aprt >1 TIB p r.3 (MPa) 0.27 W 0 (mw) [W.3 (z 1 ),I TA.3 (z 1 )] (mw) 25.3 z 1 (cm) 2.5 z bp (cm) 2.5 z sp (cm) 3.35 [email protected] (cm) 3.5 d eq (Z sp ) (cm) 0.81 F c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 1953 p max (MPa) 0.36 d max (cm) 0.64 FL x (cm) I max (W/cm 2 ) 2.49 TIC FL y (cm) mm 14 mm 14 mm 14 mm PRF (a) <1 (b) # / 230

237 10-50 TEExi M.I. TIS A aprt <1 A aprt >1 TIB (a) (a) 1.4 (b) p r.3 (MPa) # W 0 (mw) # 35.8 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 2.57 [email protected] (cm) # d eq (Z sp ) (cm) 0.29 F c (MHz) # # 3.81 # A aprt X (cm) # 0.90 # Y (cm) # 0.90 # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.28 FL x (cm) # # I max (W/cm 2 ) # 1 2 FL y (cm) # # 1mm PRF 2604 (a) <1 (b) # / TIC 231

238 10-51 TEExi M.I. TIS A aprt <1 A aprt >1 TIB (a) (a) 1.7 (b) p r.3 (MPa) # W 0 (mw) # 34.4 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.1 [email protected] (cm) # d eq (Z sp ) (cm) 0.34 F c (MHz) # # 4.00 # A aprt X (cm) # 0.43 # Y (cm) # 0.90 # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.34 FL x (cm) # # I max (W/cm 2 ) # 1 FL y (cm) # # 2 2 (a) <1 (b) # / TIC 232

239 Aaprt Aaprt (x) (y) deq(z) z ( 4 ( π) )(( Wo) ( ITA( z) )) I TA (z) z deq@piimax fc FL Ipa.3@MImax Ispta.3 ISPTA.3(z1) MI PD Pr.3 p PRF TI TI TIB TIC TIS W.3(z1) Wo (x) (y) MI / / z 1 / MI MI MI TIB - TIS TIS z 1 TIS 233

240 z1 zbp zsp min(w.3 (z), I TA.3 (z) x 1 cm 2 )] z > zbp ( ) 1.69 Aaprt p r.3 z sp = z b.3 Output Display Standard 6.4 % 95% Pr 1.9% +11.2% Pr.3 1.9% +12.2% Wo 3.4% +10% fc 0.1% +4.7% PII 3.2% % PII.3 3.2% % 234

241 Recommended Ultrasound Terminology, Third Edition 2011 American Institute of Ultrasound in Medicine (AIUM) in situ LCD MI/TI NTSC PAL SonoHD2 (SonoHD imaging technology) SonoMB Steep Needle Profiling (bone thermal index, TIB) (MI) (ALARA) (cranial bone thermal index, TIC) (MI) (TI) PAL NTSC Color Doppler C (60) rc60xi MI MI

242 (skinline) (TI) (soft tissue thermal index, TIS) (phased array transducer) (Tissue Doppler Imaging) (Tissue Harmonic Imaging) / 1 C TI / rp19x L (38) L38xi 236

243 11-1 +/ +/ A A PG A2Cd A2Cs A4Cd A4Cs AAA AAo abs AC ACA ACC ACoA ACS Adur AFI AI AI PHT AL Ann D ANT F ANT N Ao AoD A A A 237

244 11-1 Apical APTD AT AUA AV AV AVA BA Bifur BP BPD BPM Bre BSA CCA CI CM CO CPD CRL CW CxLen D D Apical DCCA AUA OB 238

245 11-1 DECA DICA Dist dp:dt E E PG E:A E/e' ECA ECG ECICA ECVA EDD EDD by AUA EDD by LMP EDV EF EF:SLOPE EFW Endo Epi EPSS E E E:A E = E e' E-F EFW EFW E 239

246 11-1 Estab.DD ET FH FHR FL FM FS FTA GA GA by LMP GA by LMPd Gate GS Gyn HC HL HR ICA IVC IVRT IVS IVSd IVSFT IVSs LMPd SO (LMP) 240

247 11-1 LA LA/Ao LAT F LAT N Lat V LMP LMP LMPd LV LV LV mass LV Volume LVd LVD LVDd LVDFS LVDs LVEDV LVESV LVET LVO LVOT LVOT Area LVOT D LVOT VTI / 241

248 11-1 LVPW LVPWd LVPWFT LVPWs LVs MB MCA MCCA MECA MI MICA Mid MM MR PISA MR/VTI Msk MV MV MV Rate MV Regurgitant Fraction MV Regurgitant Volume MV/VTI MVA MV ERO MV PISA Neo NST SonoMB M / / 242

249 11-1 NTSC OA OB OFD P. Vein PAL PCAp PCCA PCoA PECA PGmax PGmean PGr PHT PI PICA PISA Plaq POST F POST N PRF Prox PSV PV PW Qp/Qs / RA 243

250 11-1 RI RVD RVDd RVDs RVOT D RVOT VTI RVSP RVW RVWd RVWs S S/D SI SM SO SV TAM TAP TAPSE TCD TDI THI TI TICA TO TRmax SonoHD / M OB 244

251 245 TT TTD TV TVA UA Umb A VA VArty Vas Ven VF Vmax Vmean Vol VTI YS 11-1

252 246

253

254 P *P *