X-PorteUserGuide.book

Transcription

1

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 SonoMB SonoSite Steep Needle Profiling X-Porte SonoSite FUJIFILM SonoSite, Inc. Value from Innovation FUJIFILM Holdings America Corporation DICOM National Electrical Manufacturers Association 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 7,804,970; US 7,740,586; 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 6,471,651; 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:727381; AU:730822; CA:2,371,711; CA:2,372,152; CN: ; CN: ; CN ; DE: ; DE: ; DE: ; DE: ; DE: ; DE: ; DE: ; EP: ; EP: ; EP ; EP: ; EP ; EP: ; EP: ; ES: ; ES: ; ES:159878; ES: ; FR: ; FR: ; FR: ; FR: ; FR: ; FR:158978; GB: ; GB: ; GB: ; GB: ; GB: ; GB: ; GB:158978; IT: ; IT: ; IT: ; IT: ; JP: ; KR:528102; KR:532359; NO:326814; NO: P FUJIFILM SonoSite, Inc.

3 1 X-Porte...1 X-Porte USB VGA i

4 CDA DICOM...44 DICOM DICOM DICOM USB...69 JPEG...70 efilm Lite...70 ii

5 M D M DVR ECG iii

6 D M MSK MSK iv

7 X-Porte v

8 EMC DICOM HIPAA ALARA ALARA MI TI MI TI vi

9 1 1 X-Porte X-Porte X-Porte X-Porte X-Porte 1

10 X-Porte X-Porte

11 X-Porte 26 MORE Help X-Porte FUJIFILM SonoSite +1-(877) (425) (425) X-Porte 3

12 4 X-Porte

13 2 2 FUJIFILM SonoSite X-Porte 5

14 X-Porte (4) (4) USB (3) X-Porte

15 238 FUJIFILM SonoSite FUJIFILM SonoSite

16 3 3 ʘ O

17 USB USB USB U 238 USB DVR DVR U U U 9

18 s U U U USB USB U U U U USB 5 USB U 69 USB U U U 1 USB 5 2 U 10

19 FUJIFILM SonoSite FUJIFILM SonoSite VGA MI TI 8 11

20 VGA VGA VGA 60 Hz VGA 1280 x D-line 12

21 2-1 D-line M-line D-line 2D Slide to Unfreeze 2 D D-line Doppler 13

22 1 2 shift Previous Next 123#? 123#? shift X 14

23 FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 214 (TTC) TTC TTC TTC TTC 1 2 TTC TTC 15

24 3 4 TTC TTC TTC 1 16

25

26 1 2 1 SELECT 64 TRANSDUCERS & EXAMS 15 2 SCAN Cancel

27 2-2 2D M PW b CW D2xp c C11xp CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD C35xp d CVD, CPD CVD, CPD CVD, CPD C60xp d CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD a (Var) (CPD) (CVD) D2xp b PW TDI c D2xp d CIVCO FUJIFILM SonoSite e TEExp TEExp 19

28 2-2 2D M PW b CW HFL38xp d CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD HFL50xp d CVD, CPD CVD, CPD CVD, CPD CVD, CPD a (Var) (CPD) (CVD) D2xp b PW TDI c D2xp d CIVCO FUJIFILM SonoSite e TEExp TEExp 20

29 2-2 2D M PW b CW HSL25xp CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD ICTxp d CVD, CPD CVD, CPD a (Var) (CPD) (CVD) D2xp b PW TDI c D2xp d CIVCO FUJIFILM SonoSite e TEExp TEExp 21

30 2-2 2D M PW b CW L25xp d CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD L38xp d CVD, CPD CVD, CPD CVD, CPD CVD, CPD CVD, CPD P10xp d CVD, CPD CVD, Var CVD, CPD a (Var) (CPD) (CVD) D2xp b PW TDI c D2xp d CIVCO FUJIFILM SonoSite e TEExp TEExp 22

31 2-2 2D M PW b CW P21xp d CVD, CPD CVD, Var CVD, CPD CVD, CPD CVD, CPD CVD, CPD TEExp e CVD, Var a (Var) (CPD) (CVD) D2xp b PW TDI c D2xp d CIVCO FUJIFILM SonoSite e TEExp TEExp FUJIFILM SonoSite Aquasonic 23

32 FUJIFILM SonoSite USB DVR E-SATA USB MicroSD - DVR 5. USB - DVR 6. E-SATA 7. USB 8. 24

33 FUJIFILM SonoSite 3 FUJIFILM SonoSite Beep Alert 36 14% 9 O 25

34 2-6 Visual Guide 3D

35 X-Porte 1 Visual Guide LEARN LEARN MORE LEARN 60 2 Visual Guide Basics Hide LEARN LEARN Visual Guide 18 27

36 ECG ECG ECG FUJIFILM SonoSite ECG 28

37 (CPD) (CVD) CPD CPD (IUGR) (PUBS) (IVF) (Orb) (Oph) FDA Orb Oph FDA X-Porte 29

38 30

39 3 3 System Settings MORE System Settings MORE 35 More Controls 64 Administration Administration Login 1 MORE System Settings 2 Administration Administration 31

40 1996 (Health Insurance Portability and Accountability Act, HIPAA) (European Union Data Protection Directive, 95/46/EC) Administration HIPAA Administrator FUJIFILM SonoSite 3 1 Administration Login Name 2 Password 3 Login 1 Administration Login 2 User List Administrator 32

41 3 Password Confirm 4 (A-Z) (a-z) (0-9) 5 Save 34 1 Administration Login 2 User Login On 3 Done ID 1 Administration Login 2 User List Administrator 3 Disable Patient Header 4 Save U DVR U 118 DVR 1 Administration Login 2 User List Administrator 3 Disable USB Export USB 4 Save 33

42 20 1 Administration Login 2 New 3 User Information Name Password Confirm 4 (A-Z) (a-z) (0-9) 5 User User 6 Administration Access 7 Save 8 Done 1 Administration Login 2 User List 3 Name User Administration Access 4 Save 5 Done 1 Administration Login 34

43 2 User List 3 Password Confirm 4 Save 5 Done 1 Administration Login 2 User List Administrator 3 Password Changes 4 Save 5 Done 1 Administration Login 2 User List 3 4 Yes 5 Done OK 35

44 Monitor Brightness Touch Panel Brightness 2D User Profile Guest Change Password 3 Change Audio settings Audio settings 1 MORE System Settings 2 Audio Audio Audio settings Button Clicks Beep Alert 36

45 Audio settings Beeps and Clicks Volume Calculations (TDI) Calculations 1 MORE System Settings Calculations Calculations 1 Calculations Cardiac 2 TDI Walls TDI 3 Done 1 Calculations OB 2 Gestational Age Growth Analysis None 3 37

46 4 Gestational Age Growth Analysis Reset Calculations X-Porte OB Custom Table Editor Microsoft Excel OB Custom Table Editor OB Custom Table Editor U OB Custom Table Editor OB OB Custom Table Editor X-Porte OB Custom Table Editor Windows Windows Vista Microsoft Excel 2007 VBA Excel Mac OS Mac OS X 10.5 (Leopard) Microsoft Excel

47 1 Excel 2 (Windows) Enable Content (Mac OS) Enable Macros 3 Setup-First Please Specify Language X-Porte 4 Setup-First Growth Age 5 Author 24 6 Weeks Min Mid Max Weeks Value Age (weeks) Age (days) Range (weeks) Range (days) ) Measurement Name Measurement Type Value Age (weeks) Age (days) 7 8 U a Export b Please Select the Export File Folder U OK CSV CSV CSV 39

48 9 a b CSV U USB c Calculations Tables d Import e CSV U Import f 1 2 Calculations OB 3 OB Custom Measurements Add New 4 Name 5 Type 6 Save OB Custom Table Editor 1 Calculations Tables 2 / 1 40

49 2 Calculations OB 3 OB Custom Measurements 4 Yes 1 Calculations Tables 2 Gestational Age Growth Analysis Measurement Author 3 Delete CDA DICOM Archivers Include CDA CDA CDA Report CDA DICOM Encapsulated CDA CDA 178 Custodian/Provider Organization Name / CDA CDA Report CDA 1 MORE System Settings 2 CDA Report CDA CDA Report CDA 1 CDA Report CDA Config CDA 41

50 2 CDA Report CDA New 3 System/Author ID / ID 4 Custodian/Provider Organization/ Author/Authenticator Organization / 5 Authenticator Include? Authenticator 6 Save CDA CDA Report CDA Active Configuration CDA 1 CDA Report CDA Config 2 CDA List CDA CDA Delete DICOM Connectivity DICOM DICOM 44 DICOM Connectivity 1 MORE System Settings 2 Connectivity Connectivity 42

51 Connectivity Connectivity Location 35% FUJIFILM SonoSite 3 Connectivity Internal Storage Capacity Alert DICOM X-Porte MPPS DICOM IP AE U U U U 1 U 10 U 2 Connectivity DICOM Setup DICOM 3 Config 4 Import 43

52 5 U Import 1 U 10 U 2 Connectivity DICOM Setup DICOM 3 Config 4 Export 5 U Export U 5 U X-Porte DICOM (DICOM) DICOM DICOMDIR USB 69 USB X-Porte DICOM DICOM X-Porte DICOM (LAN) (PACS) (MPPS) DICOM 44 DICOM

53 DICOM CDA DICOM DICOM PACS 1 DICOM U DICOM 4 54 DICOM X-Porte 10/100/1000 IEC IEC Ethernet LAN LED DICOM 45

54 1 MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Config 5 Location 6 New DICOM Location DICOM 47 DICOM 7 Location Wireless 8 Wireless Configuration 9 47 DICOM 10 Save CER PFX PVK U U U U 1 MORE System Settings 2 Connectivity 3 Connectivity Wireless Certificates 46 DICOM

55 4 U 10 U U 20 Import U Delete 5 Done 6 DICOM DICOM Location 54 Archive PACS Printers DICOM Storage Commit Worklist 102 MPPS MPPS MPPS 1 MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Config DICOM 47

56 5 DICOM 6 New 7 Save 1 2 Delete 3 Yes 4 Done Name SonoSite Alias AE Title AE DICOM Port DICOM IP 104 DHCP Dynamic Host Configuration Protocol IP Address IP Subnet Mask Default Gateway IP Address IP Subnet Mask Default Gateway IP Transfer Images 48 DICOM

57 JPEG Compression JPEG High Medium Low Low 70 JPEG Wireless Profile Name 10 Network Name SSID Security Policy Open WEP SHARED WEP WEP Encryption Key index WEP 1-4 Key WEP RADIUS Remote Access Dial-Up User Service x Authentication Type EAP-TLS Extensible Authentication Protocol-Transport Layer Security - User Name Client Certificate Private Key Private Key Passwor Certification Authority 46 DICOM 49

58 EAP-PEAPv0 User Name Password Certification Authority 46 WPA or WPA2 Wi-Fi Authentication PERSONAL Passphrase WPA Shared Key WPA Encryption Authentication Type EAP-TLS Extensible Authentication Protocol-Transport Layer Security - User Name Client Certificate Private Key Private Key Password Certification Authority 46 EAP-PEAPv0 Extensible Authentication Protocol-Protected Extensible Authentication Protocol - User Name Password Certification Authority DICOM

59 Name Alias AE Title AE DICOM Images RGB Mono JPEG Image Type IP Address IP Port DICOM IP 104 Ping IP OK Failed Exclude Video Clips Image Type Ultrasound Include CDA CDA CDA Include SR SR Educational Educational 66 Name Alias DICOM 51

60 IP Address IP Port DICOM IP 104 AE Title AE DICOM Ping IP OK Failed Model Agfa Codonics Kodak Film Size Film Type Destination Format Orientation Settings (RGB) Copies Priority Max (OD) Min (OD) Border (OD) Empty (OD) 52 DICOM

61 Magnification Configure Name SonoSite Alias AE Title AE DICOM IP Address IP Port DICOM IP 104 Ping IP OK Failed Name Alias AE Title AE Worklist This Device Only AE Modality US US DICOM 53

62 IP Address IP Port DICOM IP 104 Automatic Query / Occurs Every Start Time 24 Ping IP OK Failed MPPS Name MPPS Alias MPPS AE Title AE DICOM IP Address IP MPPS Port DICOM IP 104 Ping IP OK Failed MPPS 54 DICOM

63 47 1 MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Location MPPS MPPS a MPPS MPPS b c MPPS 7 a b c SC 8 Done 1 MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Location DICOM 55

64 5 MPPS MPPS 6 Done 1 Connectivity DICOM Setup DICOM 2 Verify Verify Status Failed DICOM Success DICOM Unknown C-ECHO Date and Time 1 MORE System Settings 2 Date and Time Date and Time 56

65 Date and Time Date Time Use Time on Time Server Server Address DICOM Use Time on Time Server Date Time Date Time Use Time on Time Server Daylight Savings Time Use Time on Time Server Time Zone Display Information Display Information 1 MORE System Settings 2 Display Information Display Information Display Information Patient Header Patient Name Patient ID ID Department ID ID User Institution Date and Time Mode Data2D DopplerColor M Mode M 57

66 Logs User DICOM 44 DICOM Assert System Notepad TextEdit U PC 1 MORE System Settings 2 Logs Logs U U U U 1 U 10 U 2 Logs 3 Export USB 58

67 4 U Export 5 Yes 5 U 1 Logs 2 Clear 3 Yes DICOM Network Status IP SSID BSSID MAC MAC Network Status 1 MORE System Settings 2 Network Status Network Status DICOM

68 Power and Battery Power and Battery 1 MORE System Settings 2 Power and Battery Power and Battery Power and Battery Sleep Delay Off % Procedure 79 2D Power Delay Off Presets 1 MORE System Settings 2 Presets Presets 60

69 Presets Doppler Scale Units Doppler Scale cm/s khz khz Thermal Index TIS TIB TIC Units in/ft/lbs cm/m/kg Auto Save Patient Form Generate Patient ID ID ID ID Prefix ID ID Generate Patient ID ID Presets Monitor Brightness 0-10 Touch Panel Brightness

70 35 1 Presets Labels 2 Apply Apply X Reset Exam Type 1 Presets Labels 2 Clear Labels on Unfreeze 1 Presets Exam Types

71 Up Down Transducer 4 Done / P21xp C60xp Abdomen AutoGain 3 Save Exam Type More Controls 4 Save User-Defined Exam New 5 Exam Save 1 2 Save Exam Type More Controls 63

72 3 Save User-Defined Exam Update 1 Presets User Profile 2 Startup Start Select Screen Scanning 2D Transducer/Exam Select / Patient Info 2 ID 1 Presets User Profile 2 Bar Code Auto Query None Save Video Clip Record Freeze Save Image Print 1 Presets User Profile 2 Footswitch (L) (L) Footswitch (R) (R) 64

73 Freeze Print Save Image Save Video Clip End Exam Auto End Exam 1 Presets User Profile 2 Program Control A A Program Control B B Program Control C C Program Control D D Program Control A A Program Control B B Freeze Program Control C C Program Control D D Freeze More Controls More Controls More Controls 1 Presets User Profile 2 Reset More Controls Learn Learn More Learn 1 Presets User Profile 2 Show Learn Button 65

74 Presets Presets Presets U 1 U 2 Presets Import Yes U Import U Export Yes U Export U / Educational/Accreditation / DICOM 67 DICOM 66

75 DICOM Acute Care Worksheet PATIENT 2 Routing Selection 1 REVIEW 2 Patient List 3 Route Exam 4 Routing Selection DICOM Educational/Accreditation / DICOM Educational/ Accreditation / Diagnostic Procedural Educational/Accreditation / 67

76 67 1 DICOM 44 DICOM MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Config 5 DICOM Archive 6 Educational 7 Done System Information 206 System Information 1 MORE System Settings 2 System Information System Information

77 USB USB USB U USB 1 MORE System Settings 2 USB USB 1 USB Export Type DICOM Export DICOM DICOM DICOMDIR DICOM Multimedia Export MJPEG AVI FUJIFILM SonoSite Windows Media Player QuickTime Image Format JPEG JPEG 70 JPEG DICOM RGB 3 Multimedia Export Sort By 4 Auto Export 115 U 5 DICOM Export DICOM Include efilm Lite efilm Lite U efilm Lite 70 efilm Lite Include CDA CDA CDA 41 CDA Include SR SR 6 Done USB 69

78 JPEG JPEG BMP efilm Lite DICOM U efilm Lite 69 efilm Lite Windows DICOM efilm Lite DICOM efilm Lite 1 U 2 U 3 efilmlite.bat 4 efilmlite.bat efilmlite efilmlite efilmlite efilmlite efilm Lite PDF 70 USB

79 4 4 X-Porte X-Porte 4 2D M 72 M Dual 2D M line M D line M M D M

80 2D 2D 1 2D Transducers & Exams SCAN D 2D M M (M Mode) 2D 2D M Mode M M-line M M-line M 1 M Mode M M-line 72

81 2 M-line 3 M a 91 b Start Update Update More Controls c Stop Start M Sweep SpeedFast Medium Slow More Controls M 2D Update 2D M 4 85 M M D Color 73

82 Color 1 Color 2 Steering M

83 (PW) (PW TDI) (CW) CW Doppler D-line Doppler D-line D-line 1 Doppler D-line 2 D-line Gate Size More Controls

84 Angle Correct More Controls 4 PW - CW - TDI - 5 Start Update 6 2D Update M Dual 2D 1 Dual Dual More Controls 76

85 2 Update More Controls D 83 Dual Dual 1 Dual Dual 2 Update More Controls 3 FREEZE 4 Update M

86 More Controls More Controls 1 More Controls 2 More Controls 2D 2D 2D M M 2D M 3 4 X More Controls More Controls More Controls More Controls More Controls More Controls 4 2D 2D M M 2D M 78

87 More Controls More Controls More Controls More Controls M D D D THI (THI) SonoMB SonoMB SonoMB 2D Update Doppler M 2D Needle Profiling 95 Orientation Upper Right Upper Left Lower Left 79

88 4-1 2D Res / Gen/ Pen Res Gen Pen Dual 2D Dual Update 76 Autogain Adjust AutoGain AutoGain AutoGain AutoGain AutoGain AutoGain Adjust Sector Narrow Medium Full Video Clip Settings 117 Needle Guide Full ECG ECG ECG 121 ECG 80

89 4-1 2D Procedure Mode Dyn.Range Up Down D M Save Exam Type 63 Target Depth 123 Label 98 Zoom 93 Centerline 82 Needle Guide Distance 123 Ellipse 123 Trace 123 Calcs 130 Acute Care Acute Care Acute Care

90

91 M Color Color (CPD) Variance P21xp Variance CPD CPD Variance Flow State HighHigh Medium Low Scale Scale (PRF) Up Down Wall Filter Low Med High Steering

92 4-2 Invert Invert Color CPD Hide Color/ Show Color / Zoom 93 Save Exam Type 63 Video Clip Settings 117 Target Depth 123 Label Ellipse 123 Trace 123 Calcs 130 Acute Care Acute Care Acute Care

93 M D M M 2D 79 2D M Dyn.Range Up Down D M ECG ECG ECG 121 ECG ECG Save Exam Type 63 Sweep Speed M Slow Med Fast 85

94 4-3 M Display Format 2D 1/3 2D, 2/3 Sweep 1/3 2/3 1/2 2D, 1/2 Sweep 1/2 1/2 2/3 2D, 1/3 Sweep 2/3 1/3 Side by Side Update Label 98 Update 2D M Distance Time M 125 M Heart Rate M 125 M M D D

95 D-line D-line PW/CW/TDI / / PW CW TDI CW TDI Steering D-line Angle Correct PW D-line Gate Size Up Down Zoom 93 Save Exam Type 63 Video Clip Settings 117 Display Format 2D 1/3 2D, 2/3 Sweep 1/3 2/3 1/2 2D, 1/2 Sweep 1/2 1/2 2/3 2D, 1/3 Sweep 2/3 1/3 Side by Side Full 2D, Full Sweep Update 87

96 4-4 D-line Update M M 2D Target Depth 123 Label 98 Distance 123 Ellipse 123 Trace 123 Calcs 130 Acute Care Acute Care Acute Care PW/CW/TDI / / PW CW TDI CW TDI Scale (PRF) Up Down Volume Doppler Up Down 88

97 4-5 Gate Size Up Down Wall Filter Low Med High Sweep Speed Slow Med Fast Update M 2D Display Format 2D 1/3 2D, 2/3 Sweep 1/3 2/3 1/2 2D, 1/2 Sweep 1/2 1/2 2/3 2D, 1/3 Sweep 2/3 1/3 Side by Side Full 2D, Full Sweep Update Baseline Up Down Invert Angle Correct D-line 89

98 4-5 Auto Trace Doppler Off Peak Mean Peak Mean Above Below All Peak Mean Above Below All ECG ECG ECG 121 ECG Save Exam Type 63 Label 98 Velocity 126 Time 127 Manual Trace 123 Auto Measure 129 Calcs 130 Heart Rate Slope 90

99 M AutoGain AutoGain Adjust Auto Gain 79 2D 91

100 C D 2D M M M 2D 2D. Near Far (TGC) FREEZE 64 92

101 Slide to Unfreeze X-Porte M CINE ( ) M CINE ( ) 2D M 2D Zoom 93

102 1 Zoom More Controls 2 3 Zoom Unzoom 1 2 Zoom More Controls Unzoom 1 Zoom More Controls 2 Off

103 Needle Profiling Needle Profiling X-Porte Steep Needle Profiling Steep Needle Profiling 95

104 Steep Needle Profiling Steep Needle Profiling Steep Needle Profiling 2D C35xp C60xp HFL38xp HFL50xp HSL25xp L25xp L38xp 96

105 1 2D Needle Profiling More Controls 2 Left Right Shallow Medium Steep 4-7 C35xp C60xp Off On Needle Profiling Needle Profiling 97

106 Needle Profiling 2D 61 Presets Clear Labels on Unfreeze 1 Label More Controls 98

107 2 Text Done Done Done Clear Cancel 2D 2D 3 4 Label Edit Label Delete Label Remove All Text 1 Label More Controls 2 Arrow 99

108 3 Arrow Delete 1 Label More Controls 2 Picto 3 Done 4 5 Picto Delete Label Set Home 100

109 REVIEW Patient List Thumbnails 1 Review Prev Next 2 3 Labels Labels Mark Out Mark Out Mark Out Mark Out Mark Out Mark Out Mark Out Delete 101

110 5 Save 6 Done 103 DICOM ID DICOM PATIENT Done 102

111 5 Modify New Cancel PATIENT Done (Hospital Information System) (Radiology Information System) DICOM DICOM 44 DICOM 2 ID 1 User Profile Bar Code Auto Query

112 2 1 PATIENT 2 Worklist 3 4 Update 5 Select Back Scheduled Procedures Name Protocol Meaning 1 Performed Procedure Code Meaning 2 Code Edit 104

113 Add New Code Code Scheme Name Meaning Save 44 DICOM 44 DICOM 4-8 / 1 Worklist 2 Update 1 Last First Middle Accession ID Smith Smith Smithson Smithy 105

114 Additional Worklist Query Parameters Modality US Requested Procedure ID ID 2 Query 3 Select PATIENT End Exam End Exam User Profile 64 End Exam

115 Last First Middle ID Generate Patient ID ID ID 61 Date of Birth Gender Accession Indications Exam BP HR Height 60 Weight 60 BSA Twins Twins Twin A Twin B Twin A Twin B LMP EDD Obstetrical LMP EDD Gynecology LMP Previous Exams Twin A/B A/B Twin A A Twin B B Twin A/B Back Twins NT Credential NT (NT) ID P

116 ID Acute Care Worksheets Acute Care MR # Clinical Category Exam Visit Primary Obtaining/Interpreting Secondary Obtaining/Interpreting Additional Obtaining/Interpreting 173 DICOM Educational 66 / DICOM 44 DICOM 108

117 Code ID ID 179 U DICOM 10 U Name ID ID Date/Time 109

118 1 REVIEW Patient List Patient Patient List Select All Clear All 1 2 Delete 1 2 Info 1 2 Edit 3 Done 110

119 1 2 Append 1 REVIEW Patient List Thumbnails 2 Prev Next Full Screen Thumbnails 3 111

120 Delete 5 Patient List Exit Review DICOM Print REVIEW 3 Patient List Thumbnails 4 Full Screen 5 Print 112

121 DICOM DICOM U U DICOM DICOM DICOM Location Transfer Images 1 REVIEW 2 Patient List

122 ü 1 REVIEW 2 Patient List 3 4 Info 1 43 Ethernet connector LAN LED 2 REVIEW 3 Patient List 4 5 Archive MPPS MPPS Discontinue 114

123 U U U U USB U U 1 69 USB 2 REVIEW 3 Patient List 4 U 10 U 5 6 Export USB USB USB 7 U Include patient information on images and video clips 8 Export USB 5 U Cancel U U USB 3 115

124 REVIEW REVIEW Patient List ID Save Image Save Image & Calcs 65 Save Image Save Image & Calcs

125 1 Video Clip Settings More Controls 2 Clip Method Prospective Save Video Clip Time ECG Retrospective Save Video Clip Time ECG Clip Type Time Time ECG R-Wave Count R- Preview Video Clip 3 Done

126 2 Save Video Clip 64 Clip Method Retrospective 36 Time Clip Method Prospective 36 Time Time Stop Video Clip Video Clip Settings Preview Video Clip 3 Preview Video Clip a b c Save Done Memory Full DVR DVR USB U MP4 U 118 DVR

127 U U X-Porte U U FAT32 Administration Disable USB Export USB 31 DVR 1 U DVR USB DVR USB 24 U DVR USB 5 U 2 Rec 64 DVR U Rec DVR U U 3 Rec DVR 1 U DVR 2 U 3 U MP4 DVR Dynamic Range Full DVR 119

128 U U 1 U X-Porte USB U 2 MORE USB Image Gallery USB 3 Image Gallery 4 5 Select All 6 Delete U U.jpg.avi Exported 1 U X-Porte USB 2 REVIEW 3 a Review Patient List b Patient List Thumbnails 4 Review 5 Export USB USB 120

129 6 Please enter a file name U 7 8 ID Include patient information on images and video clips 9 Export ECG ECG FUJIFILM SonoSite ECG ECG ECG FUJIFILM SonoSite ECG FUJIFILM SonoSite FUJIFILM SonoSite ECG ECG ECG ECG 1 P10xp P21xp TEExp 18 ECG 121

130 2 ECG ECG ECG ECG 4-6 ECG 3 ECG More Controls 4 ECG Settings ECG ECG Show ECG Gain ECG Sweep Speed SlowMedium Fast Doppler M Mode ECG ECG Position Up Down 5 Done 122 ECG

131 5 5 X-Porte Switch Measure 123

132 Measure 130 Measure Measure Delete 2D 1 Distance More Controls Ellipse More Controls 2 124

133 1 Trace More Controls D Target Depth More Controls 2 M 1 M Distance Time More Controls 125

134 2 3 1 M Heart Rate More Controls 2 3 (cm/s) (cm/s) (VMax) (PI) (RI) S/D (S/D) (EDV) (PGMean) (Vmean) (ET) (MDV) (VTI) (AT) (TAV) (TAP) (TAM) (PGmax) (ACC) (Decel) (PHT) 126

135 M 126 (cm/s) 1 Velocity More Controls 2 (RI) 1 Velocity More Controls 2 3 Velocity 4 RI 1 Time More Controls

136 5-1 / VMax VTI PGMax PGMean VMean VMax PI RI SD EDV MDV TAV VMax PI RI SD EDV MDV TAV VTI VMax PI RI SD EDV MDV TAV VMax VMax PI RI SD EDV MDV AT TAV VMax VTI PGMax PGMean VMean VMax PI RI SD EDV MDV TAV VMax PI RI SD EDV MDV TAP VTI VMax PI RI SD EDV MDV TAM VMax VMax PI RI SD EDV MDV AT TAP *TAP VMean ** S D S/D 1 Manual Trace More Controls

137 4 1 Auto Measure More Controls 2 3 VMax Decel PHT Slope 1 Slope More Controls 2 3 (Decel) (PHT) 129

138 1 Calcs More Controls Calcs X-Porte

139 MSK Calcs Acute Care More Controls Calcs Acute Care 131

140 Save All Save Image & Calcs Save Image & Calcs 64 1 Calcs Acute Care More Controls

141 18 1 2D Calcs More Controls 2 Area Reduction A 1 A 2 a b c d e 1 2D Calcs More Controls 2 Diameter Reduction D 1 D 2 a b c 133

142 102 2D D Calcs More Controls 2 Volume 1 1 Volume 2 2 Volume 3 3 a b c

143 2D Allan, Paul L. et al. Clinical Doppler Ultrasound, 4th Ed., Harcourt Publishers Limited, (2000) p * (2D) TAM TAP TAV Vol Flow ml/min * D Calcs More Controls 2 Volume Flow

144 3 a 2D Volume Flow Diam b c 4 a Volume Flow TAP Mean Manual b Manual c Peak Mean d 5 WORKSHEET ICA/CCA

145 5-3 CCA ICA ECA VA CCA ICA ECA VA a (2D) TAM TAP TAV b a 134 b TAV VTI (TAP) VTI (TAM) VTI VTI 137

146 VTI s d 1 Calcs 2 a b Next c d 1 2D Calcs More Controls 2 Volume Flow 3 1 a i 2D Volume Flow Diam ii iii b i Volume Flow 1 1 TAP Mean Manual Mean VTI ii Manual 138

147 iii Peak Mean iv 4 2 a i 2D Volume Flow 2 2 Diam ii iii b i Volume Flow TAP Mean Manual Mean VTI ii Manual iii Peak Mean iv 5 WORKSHEET

148 5-4 EF FAC IVC EF 2D M LVDd LVDs LV Vol EF (2D) A4Cd A4Cs A2Cd A2Cs 2D M EDA ESA 2D M EDA ESA Max D 2D M Min D 2D M EF LVDFS A4C EF A2C EF EF LV FAC RV FAC CO HR a HR M 126 b 300 cm/s c VMax AVA LVOT D LVOT VMax AV VMax VTI AVA LVOT D LVOT VTI AV VTI d RA e E MV E/e' 140

149 5-4 LV CO Ao/LA MV 2D M RVWd RVDd IVSd LVDd LVPWd 2D M RVWs RVDs IVSs LVDs LVPWs LVOT D (2D) HR LVOT VTI Ao 2D M LA 2D M AAo (2D) LVOT D (2D) ACS M LVET M E-F M EPSS M EF LVDFS CO a SV LA/Ao CO HR a HR M 126 b 300 cm/s c VMax AVA LVOT D LVOT VMax AV VMax VTI AVA LVOT D LVOT VTI AV VTI d RA e E MV E/e' 141

150 5-4 MV/MR LV MV E Decel A PHT VTI IVRT Adur MR dp:dt b CW MVA (2D) AVA (2D) LA A4C (2D) LA A2C (2D) RA (2D) Epi (2D) Endo (2D) Apical (2D) E:A MVA LV CO HR a HR M 126 b 300 cm/s c VMax AVA LVOT D LVOT VMax AV VMax VTI AVA LVOT D LVOT VTI AV VTI d RA e E MV E/e' 142

151 5-4 AV/LVOT/AI TV/TR PV P Vein PISA AV VMax AV VTI LVOT VMax VTI LVOT D (2D) AI PHT RA TR VMAx E A PHT TV VTI VMax PV VTI AT A Adur S D (Color) MR VTI Ann Diam (2D) MV VTI VMax AVA c VTI AVA c RVSP d TVA AT S/D PISA CO HR a HR M 126 b 300 cm/s c VMax AVA LVOT D LVOT VMax AV VMax VTI AVA LVOT D LVOT VTI AV VTI d RA e E MV E/e' 143

152 5-4 Qp/Qs TDI TAPSE LVOT D (2D) RVOT D (2D) LVOT VTI RVOT VTI Sep e' Sep a' Lat e' Lat a' Inf e' Inf a' Ant e' Ant a' s TAPSE M Qp/Qs E(MV)/e' e CO HR a HR M 126 b 300 cm/s c VMax AVA LVOT D LVOT VMax AV VMax VTI AVA LVOT D LVOT VTI AV VTI d RA e E MV E/e' (PISA) PISA 2D Color 1 Ann D a 2D Calcs More Controls b PISA Ann D c d 144

153 2 Radius a Color Calcs b PISA Radius c d 3 Calcs 4 MR VTI MV VTI a PISA MR VTI MV VTI b c d e LVDd LVDs LV (EF) 1 2D M Calcs More Controls 2 EF LV 3 145

154 4 Next 5 EDA ESA (FAC) 1 2D Calcs More Controls 2 FAC 3 a b c d e Ao LA AAo LVOT 1 2D M Calcs More Controls 2 Ao/LA 146

155 D Calcs More Controls 2 Atrial Vol 3 a b c LA RA d e mm f BSA LAVI / RAVI 147

156 LV EF 1 2D Calcs More Controls 2 EF LV EF 3 a Manual Trace b c (LV) d e f 4 a Border Assist b (LV) c Trace d e MV AV 1 2D Calcs More Controls 148

157 2 Area MVA AAV LV 1 2D Calcs More Controls 2 Epi Endo LV Mass 3 4 LV Mass Apical 5 6 (IVC) 1 2D M Calcs More Controls 2 IVC 149

158 3 a b Max D c d 4 a b Min D c d (Decel) 1 Calcs More Controls 2 MV/MR Decel Calcs More Controls 150

159 2 MV/MR TV/TR TDI P Vein a b Next c (VTI) VMax PGMax VMean PGMean VTI 1 Calcs More Controls 2 MV/MR AV/LVOT/AI TV/TR PV VTI 3 a Manual Trace b c d e 4 a Auto Measure b c 151

160 (RVSP) 1 Calcs More Controls 2 TV/TR TR VMax 3 4 RA RA RA (RAP) 1 Calcs More Controls 2 TV/TR RAP 3 RA RA 5 MmHG RVSP MV AI TV (PHT) 1 Calcs More Controls 2 MV/MR AV/LVOT/AI TV/TR PHT 3 4 a MV E-F b AV 5 152

161 (IVRT) 1 Calcs More Controls 2 MV/MR IVRT : (dp:dt) dp:dt CW 300 cm/s 87 1 CW Calcs More Controls 2 MV/MR dp:dt 100 cm/s cm/s 300 cm/s cm/s 5 153

162 (AVA) AVA 2D 1 2D a 2D Calcs More Controls b AV/LVOT/AI LVOT D c d 2 LVOT Vmax LVOT VTI VMAX - AV/LVOT/AI LVOT VMAX VTI - AV/LVOT/AI LVOT VTI 3 AV VMax AV VTI VMAX - AV/LVOT/AI AV VMAX VTI VMax AVA VTI - AV/LVOT/AI AV VTI s VTI VMax AVA LVOT AV VTI AVA Qp/Qs Qp/Qs 2D 154

163 1 2D Calcs More Controls 2 LVOT D RVOT D a Qp/Qs LVOT D RVOT D b c 3 Calcs 4 LVOT VTI RVOT VTI a Qp/Qs LVOT D RVOT VTI b c d e 129 (SV) (SI) SV SI 2D SI (BSA) 1 SI Height Weight BSA LVOT a 2D Calcs More Controls b (CO) LVOT D c LVOT d 155

164 3 LVOT VTI a AV/LVOT/AI LVOT VTI 151 (VTI) b (CO) LVOT VTI i Calcs More Controls ii CO LVOT VTI 151 (VTI) (CO) (CI) CO CI CI (BSA) 1 CI Height Weight BSA LVOT a 2D Calcs More Controls b CO LVOT D c LVOT d 3 LVOT VTI a Calcs More Controls b CO LVOT VTI 151 (VTI) 4 HR a Calcs More Controls b CO HR 156

165 c d e (TAPSE) TAPSE 1 M Calcs More Controls 2 TAPSE 3 TAPSE 4 5 (TDI) 1 TDI 87 2 Calcs More Controls 3 a TDI b c 157

166 (L) (W) (H) 1 2D Calcs More Controls 2 Uterus a Uterus b c 3 (D) 1 2D Calcs More Controls 2 Ovary a Right Ovary Left Ovary 158

167 b c 10 (D) 1 2D Calcs More Controls 2 Follicle Right Follicle Left a 1 b c Next d e f g h 159

168 OB X-Porte EFW EDD EFW 160

169 5-5 a YS GS Hansmann, Nyberg, Tokyo U. CRL Hadlock, Hansmann, Osaka, Tokyo U. BPD OFD HC TTD Chitty, Hadlock, Hansmann, Osaka, Tokyo U. Hansmann Chitty, Hadlock, Hansmann Hansmann, Tokyo U. b APTD Tokyo U. b AC Hadlock, Hansmann, Tokyo U. FTA FL HL TL Osaka Chitty, Hadlock, Hansmann, Osaka, Tokyo U. Jeanty Jeanty Cereb D CM Lat Vent Cx Len a AUA b Toyko U APTD TTD EFW c (EFW) EFW Hadlock EFW d (Growth Analysis) (Report Graphs) LMP DD 161

170 5-5 (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. HC/AC Campbell FL/AC FL/BPD FL/HC Hadlock Hohler Hadlock Q 1, Q 2, Q 3, Q 4 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 Toyko U APTD TTD EFW c (EFW) EFW Hadlock EFW d (Growth Analysis) (Report Graphs) LMP DD 162

171 (2D) 2D AFI 1 2 LMP EDD Twins 3 2D Calcs More Controls 4 a Twin A A Twin B B b c d M 1 2 M Calcs More Controls 3 HR M HR Twin A HR A Twin B HR B Doppler Measurements Twin A Doppler Measurements A Twin B Doppler Measurements B 163

172 4 5 6 (MCA) (UmbA) S/D RI PI 1 2 LMP EDD Twins 3 Calcs More Controls 4 a Doppler Measurements MCA UmbA b S/D, RI Next S/D, RI, PI 5 S/D, RI S/D, RI, PI 164

173 MCA UmbA 5-6 MCA UmbA MCA S/D, RI S D S/D RI S/D, RI, PI* S D MDV TAM TAP S/D RI PI Umb A S/D, RI S D S/D RI S/D, RI, PI* S D MDV TAM TAP S/D RI PI *

174 Next MSK 102 MSK D Calcs More Controls 2 Right Hip Left Hip a Hip Angle Baseline b c Line A α A d A e Line B β B f B 166

175 1 2D Calcs More Controls 2 Right Hip Left Hip a d:d Ratio Fem Hd b c Baseline d mm 5-7 (2D) a 160 b 37 c ML 167

176 5-7 (2D) (2D) (2D) CRL (2D) a BPD (2D) b M (2D) (2D) (2D) (2D) (2D) c (2D) c (2D) (2D) CBD (2D) (2D) (2D) a 160 b 37 c ML 168

177 5-7 / (2D) (2D) (2D) c /MSK TR VMAx (2D) (2D) IVC (2D) (2D) (2D) (2D) ONSD (2D) ONSD (2D) a 160 b 37 c ML 1 Acute Care More Controls 169

178 2 a b c Next d (IVC) 149 (IVC) (Orb) (Oph) FDA Orb Oph 102 (TCD) (Orb) MCA Prox / ECICA TICA / ECICA / ECICA 170

179 5-8 MCA Dist MCA Mid MCA Prox Bifur ACA ACoA TICA PCAp1 PCAp2 PCoA OA * PSV EDV MDV PI RI S/D * PSV EDV MDV PI RI S/D ECICA * PSV EDV MDV PI RI S/D FM VA BA Dist BA Mid BA Prox ECVA * PSV EDV MDV PI RI S/D * TAM TAP 171

180 5-8 MCA Dist MCA Mid MCA Prox Bifur ACA ACoA TICA PCAp1 PCAp2 PCoA OA * PSV EDV MDV PI RI S/D * PSV EDV MDV PI RI S/D ECICA * PSV EDV MDV PI RI S/D FM VA BA Dist BA Mid BA Prox ECVA * PSV EDV MDV PI RI S/D * TAM TAP 172

181 (Orb) (Oph) FDA Orb Oph 1 Orbital Transcranial 27 2 Calcs More Controls 3 a b c (#) Acute Care MSK 176 MSK 173

182 DICOM WORKSHEETS 2 Report Preview Summary Calculations Done 1 2 Calculations 3 Delete 1 WORKSHEETS 2 Save Image Save Images 174

183 ICA/CCA 1 2 Summary 3 Ratio ICA/CCA Twin A A Twin B B Compare 1 Anatomy Checklist 2 Fetal Lie Plac Location 0 I II III Gender Biophysical Profile NST 175

184 LMP EDD Growth Analysis 37 1 WORKSHEETS 2 Graphs 3 Graphs 4 Save Print Page 6 Done MSK MSK MSK 1 WORKSHEETS 2 Acute Care Worksheets MSK Worksheets MSK 3 Done 176

185 MSK 1 Other Indications MSK Indications Views Other Views Findings Findings Other Findings Interpretation Interpretation Other Interpretations MSK Procedure Details and Conclusions Procedure Details and Conclusions Comments 2 Delete 3 Done 1 MORE System Settings 2 Presets Customize Worksheets 3 Acute Care Worksheets 4 5 Done 177

186 1 2 Print All Print Page MSK 1 REVIEW 2 Patient List 3 4 Thumbnails 5 View Report 6 Next Prev 7 Done 178

187 MORE System Settings 2 Presets Customize Worksheets 3 Custom Worksheets Save Changes Done Save Image Save Image & Calcs 65 1 Review Prev Next 2 Calcs Acute Care 179

188 Calcs Save Image Save Image & Calcs 180

189 6 6 2D

190 6-1 2D 2D a b (cm) c d < ±2% + 1% < ±2% + 1% < ±2% + 1% < ±4% + ( 2%/) * % < ±3% + ( 1.4%/) * % 0-26 cm 0-35 cm 0-44 cm cm cm a b 0.7 db/cm MHz RMI 413a c % = ((1 + ) * (1 + ) - 1) * % d % =(( 2 ) * 100) + 0.5% 6-2 M M < +/- 2% + 1% a b 0-26 cm < +/-2% + 1% c d < +/- 2% + ( c * / 100)% d bpm a b 0.7 db/cm MHz RMI 413a c d FUJIFILM SonoSite 182

191 6-3 PW a < +/- 2% cm/sec- 1% b 550 cm/sec < +/- 2% kHz- 1% b 20.8kHz < +/-2% % c a FUJIFILM SonoSite b c (AIUM) (ACC) cm/s 2 Zwiebel, W.J. Introduction to Vascular Ultrasonography. 4th ed., W.B. Saunders Company, (2000), p.52. ACC = ( / ) 183

192 (AT) msec Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p a - b a = b = [a] > {b] (AVA) cm 2 Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p.73 and p A 2 = A 1 * V 1 /V 2 A 2 = A o A 1 = LVOT V 1 = LVOT (VMax) LVOT VTI V 2 = A o (VMax) A o VTI LVOT = BSA m 2 Grossman, W. Cardiac Catheterization and Angiography. Philadelphia: Lea and Febiger, (1980), p.90. BSA = * * = = (CI) l/min/m 2 Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p CI = CO/BSA CO = BSA = 184

193 (CO) l/min Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p CO = (SV * HR)/1000 CO = SV = (ml) HR = (CSA) cm 2 Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p CSA = * D 2 D = msec Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p a - b a = VMax b = VMax :(dp:dt) mmhg/s Otto, C.M. Textbook of Clinical Echocardiography. 2nd ed., W.B. Saunders Company, (2000), p mmhg/ 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), p.225. E /Ea E = E Ea = E E prime 185

194 (ERO) mm 2 Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p.73-76, 210. ERO = MV /MR Vel * 100 (EF) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p EF = ((LVEDV - LVESV)/LVEDV) * 100% EF = LVEDV = LVESV = (ET) msec ET = FAC (LV) Dennis A.T. et al. "Haemodynamics in women with untreated pre-eclampsia." Anaesthesia, (2012), 67: p LV FAC (%) = (LV EDA LV ESA) / LV EDA * 100 LV FAC = (%) LV EDA = (cm^2) LV ESA = (cm^2) FAC (RV) 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." Journal of the American Society of Echocardiograph, January (2015), 28: p RV FAC (%) = (RV EDA RV ESA) / RV EDA * 100 RV FAC = (%) RV EDA = (cm^2) RV ESA = (cm^2) (HR) bpm HR = M 186

195 (IVS) Laurenceau, J. L., M.C. Malergue. The Essentials of Echocardiography. Le Hague: Martinus Nijhoff, (1981), p.71. IVSFT = ((IVSS - IVSD)/IVSD) * 100% IVSS = IVSD = (IVRT) msec Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p a - b a = b = IVC Lyon M, Verma N. "Ultrasound guided volume assessment using inferior vena cava diameter." The Open Emergency Medicine Journal 2010; 3: p (IVCd exp - IVCd insp)/ivcd exp (exp) = (Max D) (insp) = (Min D) / (LA/Ao) Feigenbaum, H. Echocardiography. Philadelphia: Lea and Febiger, (1994), 206, Figure Lopez L, et al. "Recommendations for quantification methods during the performance of a pediatric echocardiogram: A report from the pediatric measurements writing group of the American Society of Echocardiography pediatric and congenital heart disease council." Journal of the American Society of Echocardiograph 2010; 23: p 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." Journal of the American Society of Echocardiograph, January (2015), p LA Vol = p/4(h) S(D1)(D2) 187

196 LA Vol = ml h = LA D1 = D2 = Lang R, Bierig M, Devereux R, 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." Journal of the American Society of Echocardiograph 2005; 18: p (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: p.7. LVESV = (7.0 * LVDS 3 )/(2.4 + LVDS) LVESV = LVDS = LVEDV = (7.0 * LVDD 3 )/(2.4 + LVDD) LVEDV = LVDD = gm 2D Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p LV = 1.05 * {[(5/6) * A1 * (a + d + t)] - [(5/6) * A2 * (a + d)]} 1.05 = A1 = (Epi) A2 = (Endo) a = d = t = 188

197 gm M Mode Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p LV = 1.04 [(LVID + PWT + IVST) 3 - LVID 3 ] * LVID = PWT = 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: p.362. V = ml a i = i mm b i = i mm 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: p

198 V = a i = i mm n = (n=20) L = i = (LVD) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p.115. LVDFS = ((LVDD - LVDS)/LVDD) * 100% LVDD = LVDS = LV Schiller, N.B., Shah, P.M., Crawford, M., et al. Recommendations for Quantification of the Left Ventricle by Two-Dimensional Echocardiography. Journal of American Society of Echocardiography. September-October 1989, 2: p.364. EF =(( - )/) * 100 (%) (LVPWFT) Laurenceau, J. L., M.C. Malergue. The Essentials of Echocardiography. Le Hague: Martinus Nijhoff, (1981), p.71. LVPWFT = ((LVPWS - LVPWD)/LVPWD) * 100% LVPWS = LVPWD = (Vmean) cm/s VMean = (MVA) cm 2 Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p MVA = 220/PHT PHT =

199 MV cc/sec Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p = PISA * Va PISA = Va = (PGr) mmhg Baumgartner, H., Hung, J., Bermejo, J., et al. "Echocardiographic Assessment of Valve Stenosis: EAE/ASE Recommendations for Clinical Practice". Journal of American Society of Echocardiography. January 2009, p PG = 4 * 2 / E (E PG) E PG = 4 * PE 2 A (A PG) A PG = 4 * PA 2 (PGMax) PGMax = 4 * VMax 2 (PGMean) PGMean = (PHT) msec Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p Reynolds, Terry. The Echocardiographer's Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), p PHT = DT * 0.29 DT = 191

200 (PISA) cm 2 Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p PISA = 2 π r 2 r = Qp/Qs Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p Qp/Qs = SV Qp /SV Qs RVOT SV = RVOT CSA* RVOT VTI = π/4 * RVOT 2 * RVOT VTI LVOT SV = LVOT CSA * LVOT VTI = π/4 * LVOT 2 * LVOT VTI (RF) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p RF = RV/ MV SV RV = MV SV = CSA * VTI CSA = (RV) cc Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Lippincott, Williams, and Wilkins, (2007), p RV = ERO * MR VTI/100 Lang R, Bierig M, Devereux R, 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." Journal of the American Society of Echocardiograph 2005; 18: p RA Vol = p/4(h) SD

201 RA Vol = ml h = RA D1 = Wang Y, Gutman J, et al. "Atrial volume in a normal adult population by two-dimensional echocardiography." Chest. 1984; 86: p RA Vol = RA Vol/BSA (ml/l2) (RVSP) mmhg Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p.66. RVSP = 4 * (VMax TR) 2 + RAP RAP = S/D Reynolds, Terry. The Echocardiographer's Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), p.217. S / D S = S D = D (SI) cc/m 2 Mosby's Medical, Nursing, & Allied Health Dictionary, 4th ed., (1994), p SI = SV/BSA SV = BSA = ml Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p SV = (CSA * VTI) 193

202 CSA = LVOT VTI = 2D M ml Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Boston: Little, Brown and Company, (1994), p.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." Journal of the American Society of Echocardiograph 2010: p M (TVA) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 3rd ed., Philadelphia: Lippincott, Williams, and Wilkins, (2007), p TVA = 220 / PHT (VTI) cm Reynolds, Terry. The Echocardiographer's Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), p.383. VTI = cm Auto Measure VTI (cm) (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), p (AUA) AUA 194

203 (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), p Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p.154. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), p 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), p University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996), p. 880, Equation 1. (LMP) (GA) LMP GA(LMP) = - LMP (EDD) (LMPd) (GA) EDD (GA) LMP GA(LMPd) = - LMPd (EDD) (LMPd) / / LMPd(Estab.DD) = Estab.DD

204 (AC) Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p.431. University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996), p cm 30.0 cm (AC) FUJIFILM SonoSite AC AC (BPD) Chitty, L. S. and D.G. Altman. "New charts for ultrasound dating of pregnancy." Ultrasound in Obstetrics and Gynecology 10:(1997), p , Table 3. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p.440. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), p.98. University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996), p.885. (CM) Mahony, B.; P. Callen, R. Filly, and W. Hoddick. "The fetal cisterna magna." Radiology, 153:(December 1984), p (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), p Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p.439. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), p.20 and p.96. Tokyo University. "Gestational Weeks and Computation Methods." Ultrasound Imaging Diagnostics, 12:1 (1982-1), p.24-25, Table

205 (FL) Chitty, L. S. and D.G. Altman. "New charts for ultrasound dating of pregnancy." Ultrasound in Obstetrics and Gynecology 10:(1997), p , Table 8, 186. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p.31. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), p University of Tokyo, Shinozuka, N. FJSUM, et al. "Standard Values of Ultrasonographic Fetal Biometry." Japanese Journal of Medical Ultrasonics, 23:12 (1996), p.886. (FTA) Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), p (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), p.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, p.182. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p.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:(February 1984), p (OFD) Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p

206 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:(February 1984), p (TTD) Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology. New York: Springer-Verlag, (1986), p.431. (AC) Chitty, Lyn S. et al. "Charts of Fetal Size: 3. Abdominal Measurements." British Journal of Obstetrics and Gynaecology, 101:(February 1994), p.131, Appendix: AC-Derived. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Jeanty P., E. Cousaert, and F. Cantraine. "Normal Growth of the Abdominal Perimeter." American Journal of Perinatology, 1:(January 1984), p ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), p.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), p.43, Appendix: BPD-Outer-Inner. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Jeanty P., E. Cousaert, and F. Cantraine. "A Longitudinal Study of Fetal Limb Growth." American Journal of Perinatology, 1:(January 1984), p , Table 5. ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), p.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), p 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), p , Table 1. ( Hansmann, Hackeloer, Staudach, and Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), p.186, Table

207 (FL) Chitty, Lyn S. et al. "Charts of Fetal Size: 4. Femur Length." British Journal of Obstetrics and Gynaecology, 101:(February 1994), p.135. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Jeanty P, E. Cousaert, and F. Cantraine. "A Longitudinal Study of Fetal Limb Growth." American Journal of Perinatology, 1:(January 1984), p , Table 5. ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), p.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), p.43, Appendix: HC-Derived. Hadlock, F., et al. "Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters." Radiology, 152:(1984), p Jeanty P, E. Cousaert, and F. Cantraine. "A longitudinal study of Fetal Head Biometry." American J of Perinatology, 1:(January 1984), p , Table 3. ( Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), p.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), p 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), p 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 ), p 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), p

208 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), p /x S/D +/x = A/ B A = + B = (ACC) Zwiebel, W.J. Introduction to Vascular Ultrasonography, 4th ed., W.B. Saunders Company, (2000), p.52. ACC = ( / ) (ET) ET = /d:d Graf, R. "Fundamentals of Sonographic Diagnosis of Infant Hip Dysplasia." Journal of Pediatric Orthopedics, Vol. 4, No. 6: p , Morin, C., Harcke, H., MacEwen, G. "The Infant Hip: Real-Time US Assessment of Acetabular Development." Radiology 177: p , December Taylor K.J.W., P.N. Burns, P. Breslau. Clinical Applications of Doppler Ultrasound, Raven Press, N.Y., (1988), p 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), p % = (1 - A2(cm 2 )/A1(cm 2 )) * 100 A1 = A2 = 200

209 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), p % = (1 - D2(cm)/D1(cm)) * 100 D1 (cm) A2 = (cm) (PGr) mmhg Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), p.64. PG = 4 * 2 / E (E PG) E PG = 4 * PE 2 A (A PG) A PG = 4 * PA 2 (PGMax) PGMax = 4 * VMax 2 (PGMean) PGMean = 4 * VMax 2 (PI) Kurtz, A.B., W.D. Middleton. Ultrasound-the Requisites. Mosby Year Book, Inc., (1996), p.469. PI = (PSV EDV)/V PSV = EDV = V = Auto Measure TAP Zwiebel, W. J. Introduction to Vascular Ultrasonography, 6th Edition, W.B.Saunders Company, PI = (PSV - MDV) / V 201

210 PSV = MDV = V = TAP (RI) Kurtz, A.B., W.D. Middleton. Ultrasound-the Requisites. Mosby Year Book, Inc., (1996), p.467. RI = (( A - B / A) A = + B = (TAM) cm/s TAM = (TAP) cm/s TAP = (Vol) Beyer, W.H. Standard Mathematical Tables, 28th ed., CRC Press, Boca Raton, FL, (1987), p.131. Dicuio, M., et al. "Measurements of urinary bladder volume: comparison of five ultrasound calculation methods in volunteers." Arch. Ital. Urol Androl,(2005) Mar: 77(1): p (VF) ml/m Allan, Paul L. et al. Clinical Doppler Ultrasound, 4th ed., Harcourt Publishers Limited. (2000), p VF = CSA * TAM * 60 VF = CSA * TAP * 60 VF = CSA * TAV * 60 Raine-Fenning, N. et al. Ultrasound in Obstetrics & Gynecology (2008), Volume 31, Issue 6, John Wiley & Sons, Ltd., p Balen, A.H., Laven, J.S., Tan, S.L, Dewailly, D. "Ultrasound assessment of the polycystic ovary: international consensus definitions." Human Reproduction Update, (2003), Vol.9, No.6, p

211 Wiener, J. J. and Newcombe, R. G. "Measurements of uterine volume: a comparison between measurements by ultrasonography and by water displacement." J. Clin. Ultrasound, (1992) 20 (7), p

212 204

213 7 7 FUJIFILM SonoSite 3 ʘ O CPD CPD Color PRF More Controls Calcs

214 DICOM DICOM DVR U ( ) C: FUJIFILM SonoSite FUJIFILM SonoSite USB U U ensure the USB device contains valid data USB U U USB USB USB U internal storage device is full. (DICOM) DICOM Config DICOM Archiver Exclude Video Clips FUJIFILM SonoSite 206

215 1 2 System Information a MORE System Settings b System Information System Licensing Scanhead Licensing 3 FUJIFILM SonoSite 3 System Information a b c PCBA d 207

216 4 System Setup 1 2 Enter license number 3 ENTER Done 4 FUJIFILM SonoSite 3 System Settings 1 MORE System Settings 2 System Information 3 System Licensing Scanhead Licensing Enter license key 4 ENTER X-Porte 8 FUJIFILM SonoSite 208

217 FUJIFILM SonoSite 3 FUJIFILM SonoSite Digital Imaging and Communications in Medicine (DICOM) (LAN) FUJIFILM SonoSite DICOM X-Porte DICOM DICOM FUJIFILM SonoSite U X-Porte DICOM FUJIFILM SonoSite X-Porte U DICOM Presets DICOM U U 209

218 1 2 U DICOM Patient Patient List 4 Select All Delete 5 DICOM Patient Worklist Clear 6 U DICOM DICOM DICOM DICOM

219 U ECG

220 212

221 8 8 FUJIFILM SonoSite (PPE) FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 213

222 (FDA) A 214 B 219 A 214

223 (PPE) FUJIFILM SonoSite TEExp TEExp

224 5 a / / a SaniCloth AF3 b SaniCloth Plus PI-Spray II a b b c d e 6 7 a a SaniCloth AF3 b SaniCloth Plus C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp 3 3 a b 216

225 a PI-Spray II C11xp, C35xp, C60xp, D2xp HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp 10 a b b c d a X-Porte a Cidex C11xp, C60xp, HFL38xp, HFL50xp, 25 o C 45 HSL25xp, ICTxp, L25xp, L38xp, Cidex OPA P10xp, P21xp 20 o C

226 b c d 10 a FUJIFILM SonoSite b 5 cm 5 cm a 1 b cm c

227 13 14 FUJIFILM SonoSite B 214 (PPE) FUJIFILM SonoSite

228 4 5 a / / a SaniCloth AF3 b SaniCloth Plus PI-Spray II a b b c d 6 7 a / a SaniCloth AF3 b SaniCloth Plus C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp 3 3 a b 220

229 / a PI-Spray II C11xp, C35xp, C60xp, D2xp HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp 10 a b b c d FUJIFILM SonoSite 221

230 1 2 X 0 o C +45 o C 1 ISO 222

231 2 1 2 FUJIFILM SonoSite FUJIFILM SonoSite o C +65 o C (TTC) 224 (TTC), 225. ECG 225 ECG ECG ECG 223

232 PowerPark (TTC) 5 (TTC) TTC TTC TTC 1 TTC

233 1 2 ECG ECG ECG ECG ECG % 10%

234 ECG ECG ECG 10 1 (EtO) ECG 2 226

235 9 9 1,2,3 (MSD) (MSD) MSD MSD 1. Magnavita, N., L. Bevilacqua, P. Mirk, A. Fileni, and N. Castellino. "Work-related Musculoskeletal Complaints in Sonologists." Occupational Environmental Medicine. 41:11 (1999), p Craig, M. Sonography: An Occupational Hazard?" Journal of Diagnostic Medical Sonography. 3 (1985), p 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), p

236 MSD MSD 1 MSD 2,3 1. Wihlidal, L.M. and S. Kumar. "An Injury Profile of Practicing Diagnostic Medical Sonographers in Alberta." International Journal of Industrial Ergonomics.19 (1997), p Habes, D.J. and S. Baron. "Health Hazard Report " University of Medicine and Dentistry of New Jersey. (1999). 3. 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), p

237 MSD MSD EN Class I I / BF CF ECG EMC

238 Hospital Only Hospital Grade ECG / (TTC) TTC TTC MPSO 205 FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite / 230

239 / FUJIFILM SonoSite FUJIFILM SonoSite Class I I BF CF IPX-7 IPX-8 AP/APG Class I I ECG /ECG 231

240 X-Porte X-Porte O 232

241 8 /

242 FUJIFILM SonoSite ALARA MI TI FUJIFILM SonoSite 0.3 db/cm/mhz FUJIFILM SonoSite P21xp P21xp VGA 234

243 IEC :2007 (EMC) FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 238 EMC (RF) (EMI) EMI EMI EMI EMI EMI EMI EMI IEC EMC 235

244 X-Porte IEEE GHz GHz ISM USB IEEE b 16 dbm ± Mbps (DSSS) IEEE g 13 dbm ± Mbps (OFDM) IEEE n 12 dbm ± 2.0 dbm (802.11gn) (OFDM) USB IEEE b 17 dbm ± Mbps (DSSS) IEEE g 14 dbm ± Mbps (OFDM) IEEE n 14 dbm ±2.0 MCS7 (OFDM) (ESD) ESD ESD ESD ESD ESD

245 ESD ESD ESD ESD IEC d RF X-Porte X-Porte (RF) X-Porte RF X-Porte khz 80 MHz d=1.2 P m 80 MHz 800 MHz d=1.2 P 800 MHz 2.5 GHz d=2.3 P (d) (m) P (W) 237

246 FUJIFILM SonoSite X-Porte IEC :2007 FUJIFILM SonoSite X-Porte X-Porte 9-2 D2xp a C11xp a C35xp a C60xp a HFL38xp a HFL50xp a HSL25xp a L25xp a L38xp a P10xp a P21xp a ICTxp a 1.7 m 1.8 m 1.7 m 1.7 m 1.7 m 1.7 m 2.3 m 2.3 m 1.7 m 1.8 m 1.8 m 1.7 m a b X-Porte Desktop Toroid Superior Transformers Voltage Selections W series IsoBox Toroid W IsoBox 238

247 9-2 TEExp a 2.2 m 1.5 m DVR USB (64 GB) - ECG ECG ECG Kensington 0.6 m / 0.6 m 1.8 m 1.8 m 1.8 m 2.4 m 3 m 3 m 1.8 m PowerPark - - SPMU m a b X-Porte Desktop Toroid Superior Transformers Voltage Selections W series IsoBox Toroid W IsoBox 239

248 9-2 USB (16 GB) USB (32 GB) USB (64 GB) USB 0.3 m b 1.8 m 1.8 m 1.2 m 1 m 1.8 m 0.57 m a b X-Porte Desktop Toroid Superior Transformers Voltage Selections W series IsoBox Toroid W IsoBox 240

249 EMC RF ClSPR 11 1 X-Porte RF RF RF ClSPR 11 IEC / IEC A A X-Porte IEC (ESD) IEC ± 2.0 KV ± 4.0 KV ± 6.0 KV ± 2.0 KV ± 4.0 KV ± 8.0 KV ± 2.0 KV ± 4.0 KV ± 6.0 KV ± 2.0 KV ± 4.0 KV ± 8.0 KV 30% IEC ± 2 KV ± 1 KV ± 2 KV ± 1 KV IEC ± 1 KV ± 2 KV ± 1 KV ± 2 KV 241

250 9-4 - IEC IEC <5% U T >95% U T % U T 60% U T 5 70% U T 30% U T <5% U T >95% U T % U T 60% U T 5 70% U T 30% U T FUJIFILM SonoSite FUJIFILM SonoSite 25 <5% U T >95% UT 5 25 <5% U T >95% UT 5 IEC A/m 3 A/m FUJIFILM SonoSite RF IEC Vrms 150 khz 80 MHz 3 Vrms FUJIFILM SonoSite RF d = 1.2 P 242

251 9-4 - IEC RF IEC Vim 80 MHz 2.5 GHz 3 V/m d = 1.2 P 80 MHz 800 MHz d = 2.3 P 800 MHz 2.5 GHz P (W) d (m) RF a b IEC No. 417-IEC-5140: a / AM FM FUJIFILM SonoSite RF FUJIFILM SonoSite FUJIFILM SonoSite b 150 khz 80 MHz 3 V/m FCC FCC Rules

252 X-Porte IEC IEC X-Porte 9-5 (AC) I 93/42/EEC Annex VII I IIa IIb III 93/42/EEC 244

253 9-5 C US CSA ANSI/UL REF 93/86/EEC (DC) 245

254 9-5 # # FCC GEL STERILE R STERILE EO SN 246

255 9-5 IPX7 IPX8 BF B = F = CF (UL) RoHS / CCC 247

256 9-5 WARNING: Connect Only Accessories and Peripherals Recommended by FUJIFILM SonoSite FUJIFILM SonoSite cm 53.8 cm cm cm 47.8 cm 36 cm 43 cm 248

257 40.8 cm 25.8 cm 30.7 cm C 15-95% hPa C 15-95% hPa V ~ 50/60 Hz 6.0A 2D 256 Color Power Doppler (CPD) 256 Color Doppler (Color) 256 M Continuous wave (CW) Doppler 249

258 Tissue Doppler Imaging (TDI) Tissue Harmonic Imaging (THI) 250

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

260 EMC 9-7 EMC IEC :2007 General Requirements for Basic Safety and Essential Performance - Collateral Standard - CISPR 11:2009 Industrial, Scientific, and Medical (ISM) Radio-Frequency Equipment Electromagnetic Disturbance Characteristics-Limits and Methods of Measurement (ISM) - 1 A DICOM NEMA PS 3.15:2000(DICOM) - 15 X-Porte DICOM DICOM HIPAA HIPAA The Health Insurance and Portability and Accountability Act, Pub.L. No (1996). 45 CFR 160, General Administrative Requirements 45 CFR 164, Security and Privacy 252

261 10 10 ALARA ALARA ALARA ALARA ALARA ALARA 2D CPD Color THI ALARA ALARA 253

262 261 ALARA (ISPTA) 720 mw/cm 2 (MI) (TI) 1.0 ISPTA 50 mw/cm 2 TI 1.0 MI 0.23 MI TI ALARA MI TI BS EN :2001 Annex HH HH MI TI 255 MI TI Kremkau, Frederick W. Diagnostic Ultrasound: Principles and Instruments. 7th ed., W.B.Saunders Company, (Oct. 17, 2005). 254

263 MI TI MI TI MI TI MI TI MI TI 11 TEExp MI TI TEExp TEExp 10-1 MI C11xp C35xp C60xp HFL38xp HFL50xp HSL25xp ICTxp L25xp L38xp MI MI MI TI 255

264 表 10-1 减小 MI 的指导原则 续 换能器 深度 P10xp P21xp 减小或降低参数设置以减小 MI 增大或提高参数设置以减小 MI 表 10-2 减小 TI 的指导原则 (TIS, TIC, TIB) CPD 设置 换能器 扫描宽度 扫描高度 扫描深度 PRF 深度 优化 深度 C11xp 深度 C35xp 深度 C60xp 深度 HFL38xp 深度 HFL50xp 深度 减小或降低参数设置以减小 TI 增大或提高参数设置以减小 TI 256 减小 MI 和 TI 的指导原则

265 表 10-2 减小 TI 的指导原则 (TIS, TIC, TIB) 续 CPD 设置 换能器 扫描宽度 扫描高度 扫描深度 PRF 深度 优化 深度 HSL25xp 深度 ICTxp 深度 L25xp 深度 L38xp 深度 P10xp 深度 P21xp (PRF) 减小或降低参数设置以减小 TI 增大或提高参数设置以减小 TI 减小 MI 和 TI 的指导原则 257

266 AIUM MI TI 260 TI MI TI MI 1.0 2D/ M Mode / C11xp MI - TIC TIB TIS - C35xp MI - TIC TIB TIS - C60xp MI - TIC TIB TIS - D2xp MI TIC TIB TIS HFL38xp MI - TIC TIB TIS - HFL50xp MI - TIC TIB TIS - HSL25xp MI - TIC TIB TIS - ICTxp MI - TIC TIB TIS - MI 1.0 MI 0.1 TI TI 0.1 TI TI ALARA TI FUJIFILM SonoSite AIUM TI

267 10-3 TI MI 1.0 2D/ M Mode / L25xp MI - TIC TIB TIS - L38xp MI - TIC TIB TIS - P10xp MI TIC TIB TIS P21xp MI TIC TIB TIS MI 1.0 MI 0.1 TI TI 0.1 TI TI ALARA TI FUJIFILM SonoSite AIUM TI 260 TEExp P11x TEExp MI TI MI 95% MI 95% MI +18% -25% +0.2 TI 95% TI 95% TI +21% -40% dB 3dB MI TI

268 320 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 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 Guidance on the interpretation of TI and MI to be used to inform the operator, Annex HH, BS EN reprinted at P

269 (23 C ± 3 C) EN ( C) D2xp C11xp C35xp C60xp HFL38xp HFL50xp HSL25xp L25xp L38xp P10xp P21xp ( 10 C) 8.2( 10 C) 9.1( 10 C) 9.5( 10 C) 7.0( 10 C) 9.0( 10 C) 7.9( 10 C) 8.6( 10 C) 9.0( 10 C) 9.2( 10 C) 9.5( 10 C) 10-5 ( C) ICTxp (<6 C) TEExp TEExp TEExp (bioeffects) (AIUM) Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1988: Vol. 7, No. 9 Supplement) Stowe "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) 261

270 = [e -(0.23alf ) ] = = e = a = (db/cm MHz) = 0.53 = 0.66 = 0.79 = 0.43 = 0.55 l = cm f = / / MHz 0.3 = [e -(0.069lf ) ] 262

271 0.3dB/cmMHz 3cm 1 db/cm MHz 1990 MI MI 2.0 M MI C 4 C 1.5 C 7 C ISPTA 500 mw/cm 2 Bioeffects and Safety of Diagnostic Ultrasound (AIUM, 1993)

272 TI MI TEExp TEExp TEExp D2xp C11xpM C35xp C35xpM C35xp C60xp C60xpM C60xpColor/CPD Mode /CPD C60xp HFL38xp HFL38xpM HFL38xpColor/CPD /CPD HFL38xp HFL50xp HFL50xpM HFL50xpColor/CPD /CPD HFL50xp HSL25xp HSL25xpM HSL25xpColor/CPD Mode /CPD HSL25xp HSL25xp HSL25xp M HSL25xp Color/CPD Mode /CPD HSL25xp ICTxpM ICTxp L25xp L25xpM L25xpColor/CPD /CPD L25xp L25xp L25xp M L25xp Color/CPD Mode /CPD

273 L25xp L38xp L38xpM L38xpColor/CPD /CPD L38xp P10xp P10xpM P10xpColor/CPD Mode /CPD P10xp P10xp P21xp P21xp P21xp M P21xpM P21xp Color/CPD Mode /CPD P21xpColor/CPD /CPD P21xp P21xp

274 10-6 D2xp M.I. TIS A aprt 1 A aprt >1 TIB (a) (a) 3.2 (b) p r.3 (MPa) # W 0 (mw) # 90.4 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 2.40 [email protected] # d eq (z sp ) (cm) 0.46 f c (MHz) # # 2.00 # A aprt X (cm) # 0.80 # Y (cm) # 0.40 # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.46 FL x (cm) # # I max (W/cm 2 ) # FL y (cm) # # (a) <1 (b) # - / TIC 266

275 10-7 C11xpM M.I. TIS A aprt 1 A aprt >1 TIB 1.0 (a) (b) p r.3 (MPa) 1.03 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) 0.05 d eq (z sp ) (cm) - f c (MHz) 6.22 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 800 p max (MPa) 1.06 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Gen cm 4 PRF (a) <1 (b) # - / TIC 267

276 10-8 C11xp M.I. TIS A aprt 1 A aprt >1 TIB (a) 1.3 (a) p r.3 (MPa) 1.96 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) 1.7 d eq (z sp ) (cm) 0.20 f c (MHz) # 4.00 # A aprt X (cm) - - # 0.48 # Y (cm) - - # 0.50 # PD (μsec) PRF (Hz) 1562 p max (MPa) 2.49 d max (cm) 0.20 FL x (cm) - - # # FL y (cm) - - # # I max (W/cm 2 ) mm 12 mm 3 3 (22 mm) 2 (15 mm) 4 PRF 1563 Hz Hz (a) <1 (b) # - / TIC 268

277 10-9 C35xp M.I. TIS A aprt 1 A aprt >1 TIB 1.3 (a) (b) p r.3 (MPa) 2.38 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) 2.6 d eq (z sp ) (cm) - f c (MHz) 3.42 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 506 p max (MPa) 3.23 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Msk 2 3 Res 6.0 cm 4 MB/THI / 5 (a) <1 (b) # - / TIC 269

278 10-10 C35xpM M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 2.38 W 0 (mw) # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 1.48 [email protected] (cm) 1.6 d eq (z sp ) (cm) 0.29 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 800 p max (MPa) 3.43 d max (cm) 0.28 FL x (cm) # FL y (cm) # I max (W/cm 2 ) Res Gen Res cm 7.0 cm 3.0 cm 4 THI (a) <1 (b) # - / TIC 270

279 10-11 C35xp M.I. TIS A aprt 1 A aprt >1 TIB (a) 1.9 (b) p r.3 (MPa) 1.91 W 0 (mw) # W.3 (z 1 ),I TA.3 (z 1 )] (mw) # z 1 (cm) # z bp (cm) # z sp (cm) 2.34 [email protected] (cm) 0.4 d eq (z sp ) (cm) 0.28 f c (MHz) # 3.69 # A aprt X (cm) - - # 0.64 # Y (cm) - - # 0.80 # PD (μsec) PRF (Hz) 1562 p max (MPa) 2.01 d max (cm) 0.27 FL x (cm) - - # # FL y (cm) - - # # I max (W/cm 2 ) mm 10 mm 3 0 (5 mm) 3 (23 mm) 4 PRF 1562 Hz 1562 Hz (a) <1 (b) # - / TIC 271

280 10-12 C60xp M.I. TIS A aprt 1 A aprt >1 TIB 1.4 (a) (b) p r.3 (MPa) 2.17 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) 2.37 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 839 p max (MPa) 3.09 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Msk 2 3 Gen 9.9 cm 4 MB/THI / 5 (a) <1 (b) # - / TIC 272

281 10-13 C60xpM M.I. TIS A aprt 1 A aprt >1 TIB (a) (b) p r.3 (MPa) 2.48 W 0 (mw) - # 55.0 # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 4.90 [email protected] (cm) 4.2 d eq (z sp ) (cm) 0.34 f c (MHz) # # A aprt X (cm) - # # Y (cm) - # # PD (μsec) PRF (Hz) 800 p max (MPa) 3.70 d max (cm) 0.33 FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) Pen Gen cm 11 cm 4 THI (a) <1 (b) # - / TIC 273

282 10-14 C60xpColor/CPD Mode /CPD M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 1.99 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) 4.4 d eq (z sp ) (cm) - f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 2645 p max (MPa) 2.96 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) ABD OB 2 3 2D /THI/ Gen/ / 11 cm 4 /PRF / 3049 Hz Gen/ / 6.0 cm / 414 Hz 5/ Def/ / (a) <1 (b) # - / TIC 274

283 10-15 C60xp M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 2.44 W 0 (mw) # W.3 (z 1 ),I TA.3 (z 1 )] (mw) 84.1 z 1 (cm) 3.9 z bp (cm) 3.8 z sp (cm) 0.40 [email protected] (cm) 1.9 d eq (z sp ) (cm) 0.45 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1302 p max (MPa) 2.89 d max (cm) 0.45 FL x (cm) # FL y (cm) # I max (W/cm 2 ) OB OB OB 2 1 mm 12 mm 12 mm PRF 1302 Hz 1302 Hz 2604 Hz (a) <1 (b) # - / TIC 275

284 10-16 HFL38xp M.I. TIS A aprt 1 A aprt >1 TIB 1.1 (a) (b) p r.3 (MPa) 1.17 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) 0.4 d eq (z sp ) (cm) - f c (MHz) 7.22 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 7977 p max (MPa) 2.16 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Res cm 4 Needle Profiling (a) <1 (b) # - / TIC 276

285 10-17 HFL38xpM M.I. TIS A aprt 1 A aprt >1 TIB (a) - (a) (b) p r.3 (MPa) 1.58 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) 0.4 d eq (z sp ) (cm) # f c (MHz) # - # # A aprt X (cm) - # - # # Y (cm) - # - # # PD (μsec) PRF (Hz) 800 p max (MPa) 2.82 d max (cm) # FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) Gen cm (a) <1 (b) # - / TIC 277

286 10-18 HFL38xpColor/CPD /CPD M.I. TIS A aprt 1 A aprt >1 TIB 1.0 (a) (b) p r.3 (MPa) 1.08 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) 0.4 d eq (z sp ) (cm) - f c (MHz) 7.22 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 6640 p max (MPa) 1.97 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) D / Res/ 4.0 cm 4 /PRF / 7812 Hz 5/ / (a) <1 (b) # - / TIC 278

287 10-19 HFL38xp M.I. TIS A aprt 1 A aprt >1 TIB (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) 1.00 [email protected] (cm) # d eq (z sp ) (cm) 0.25 f c (MHz) # # A aprt X (cm) # Y (cm) # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.20 FL x (cm) # FL y (cm) # I max (W/cm 2 ) # 1 -Art -Art 2 5 mm 1 mm PRF 1562 Hz 2604 Hz (a) <1 (b) # - / TIC 279

288 10-20 HFL50xp M.I. TIS A aprt 1 A aprt >1 TIB 1.1 (a) (b) p r.3 (MPa) 2.61 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) 1.3 d eq (z sp ) (cm) - f c (MHz) 5.30 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 1084 p max (MPa) 3.31 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) SmP 2 3 Res 4.8 cm 4 MB / 5 Needle Profiling (a) <1 (b) # - / TIC 280

289 10-21 HFL50xpM M.I. TIS A aprt 1 A aprt >1 TIB (a) - (a) (b) p r.3 (MPa) 3.40 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) 1.1 d eq (z sp ) (cm) # f c (MHz) # - # # A aprt X (cm) - # - # # Y (cm) - # - # # PD (μsec) PRF (Hz) 800 p max (MPa) 4.51 d max (cm) # FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) Bre 2 Gen cm (a) <1 (b) # - / TIC 281

290 10-22 HFL50xpColor/CPD /CPD M.I. TIS A aprt 1 A aprt >1 TIB 1.1 (a) (b) p r.3 (MPa) 2.62 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) 5.93 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 6649 p max (MPa) 3.35 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) SmP 2 CVD 3 2D / Res/ 4.0 cm 4 /PRF / 7812 Hz 5/ Def/ (a) <1 (b) # - / TIC 282

291 10-23 HFL50xp M.I. TIS A aprt 1 A aprt >1 TIB (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) 1.00 [email protected] (cm) # d eq (z sp ) (cm) 0.25 f c (MHz) # # A aprt X (cm) # Y (cm) # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.20 FL x (cm) # FL y (cm) # I max (W/cm 2 ) # mm 1 mm PRF 1562 Hz 2604 Hz (a) <1 (b) # - / TIC 283

292 10-24 HSL25xp M.I. TIS A aprt 1 A aprt >1 TIB 1.0 (a) (b) p r.3 (MPa) 2.42 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) 0.9 d eq (z sp ) (cm) - f c (MHz) 6.08 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 783 p max (MPa) 2.92 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Res cm 4 MB 5 Needle Profiling (a) <1 (b) # - / TIC 284

293 10-25 HSL25xpM M.I. TIS A aprt 1 A aprt >1 TIB (a) - (a) (b) p r.3 (MPa) 3.17 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) 1.0 d eq (z sp ) (cm) # f c (MHz) # - # # A aprt X (cm) - # - # # Y (cm) - # - # # PD (μsec) PRF (Hz) 800 p max (MPa) 3.98 d max (cm) # FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) Gen cm (a) <1 (b) # - / TIC 285

294 10-26 HSL25xpColor/CPD Mode /CPD M.I. TIS A aprt 1 A aprt >1 TIB 1.1 (a) (b) p r.3 (MPa) 2.81 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) 1.0 d eq (z sp ) (cm) - f c (MHz) 7.08 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 1717 p max (MPa) 3.60 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Msk 2 CPD 3 / Res/ 2.0 cm 4 /PRF / 312 Hz 5/ / (a) <1 (b) # - / TIC 286

295 10-27 HSL25xp M.I. TIS TIB A aprt 1 A aprt >1 (a) - (a) (b) p r.3 (MPa) # W 0 (mw) - # 15.6 # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 1.40 [email protected] (cm) # d eq (z sp ) (cm) 0.17 f c (MHz) # - # # A aprt X (cm) - # # Y (cm) - # # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.16 FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) # 1 2 7mm PRF 2604 Hz (a) <1 (b) # - / TIC 287

296 10-28 HSL25xp M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.45 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) 2.3 d eq (z sp ) (cm) - f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) p max (MPa) 0.78 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) 11 1 Oph Oph 2 Gen Gen cm 6.0 cm 4 MB (a) <1 (b) # - / TIC 288

297 10-29 HSL25xp 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) 0.95 [email protected] (cm) 1.8 d eq (z sp ) (cm) 0.13 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 800 p max (MPa) 0.75 d max (cm) 0.12 FL x (cm) # FL y (cm) # I max (W/cm 2 ) 12 1 Oph Oph Oph 2 Gen Gen Gen cm 4.5 cm 3.5 cm (a) <1 (b) # - / TIC 289

298 10-30 HSL25xp Color/CPD Mode /CPD 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) - [email protected] (cm) 1.9 d eq (z sp ) (cm) - f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 2424 p max (MPa) 0.78 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) 18 1 Oph Oph 2 CPD CPD 3 2D / Res/ 4.2 cm 4 /PRF / 1250 Hz 5/ / Res/ 4.9 cm / 781 Hz / Def (a) <1 (b) # - / TIC 290

299 10-31 HSL25xp M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.42 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) 0.8 d eq (z sp ) (cm) 0.40 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1562 p max (MPa) 0.50 d max (cm) 0.34 FL x (cm) # FL y (cm) # I max (W/cm 2 ) 6 1 Oph Oph Oph 2 2mm 3mm 3mm PRF 1562 Hz 5208 Hz 5208 Hz (a) <1 (b) # - / TIC 291

300 10-32 ICTxpM M.I. TIS A aprt 1 A aprt >1 TIB (a) - (a) (b) p r.3 (MPa) 2.46 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 (MHz) # - # # A aprt X (cm) - # - # # Y (cm) - # - # # PD (μsec) PRF (Hz) 1600 p max (MPa) 3.07 d max (cm) # FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) Gyn 2 3 Gen 4.1 cm 4 THI (a) <1 (b) # - / TIC 292

301 10-33 ICTxp M.I. TIS A aprt 1 A aprt >1 TIB (a) (b) p r.3 (MPa) 2.01 W 0 (mw) - # 19.8 # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 1.66 [email protected] (cm) 1.4 d eq (z sp ) (cm) 0.20 f c (MHz) # # A aprt X (cm) - # # Y (cm) - # # PD (μsec) PRF (Hz) 1302 p max (MPa) 2.49 d max (cm) 0.19 FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) OB OB 2 1 mm 12 mm PRF 1302 Hz 1562 Hz (a) <1 (b) # - / TIC 293

302 10-34 L25xp M.I. TIS A aprt 1 A aprt >1 TIB 1.0 (a) (b) p r.3 (MPa) 2.42 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) 0.9 d eq (z sp ) (cm) - f c (MHz) 6.08 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 783 p max (MPa) 2.92 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Res cm 4 MB 5 Needle Profiling (a) <1 (b) # - / TIC 294

303 10-35 L25xpM M.I. TIS A aprt 1 A aprt >1 TIB (a) - (a) (b) p r.3 (MPa) 3.17 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) 1.0 d eq (z sp ) (cm) # f c (MHz) # - # # A aprt X (cm) - # - # # Y (cm) - # - # # PD (μsec) PRF (Hz) 800 p max (MPa) 3.98 d max (cm) # FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) Gen cm (a) <1 (b) # - / TIC 295

304 10-36 L25xpColor/CPD /CPD M.I. TIS A aprt 1 A aprt >1 TIB 1.1 (a) (b) p r.3 (MPa) 2.81 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) 1.0 d eq (z sp ) (cm) - f c (MHz) 7.08 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 1717 p max (MPa) 3.60 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Msk 2 CPD 3 2D / Res/ 2.0 cm 4 /PRF / 312 Hz 5/ / (a) <1 (b) # - / TIC 296

305 10-37 L25xp M.I. TIS A aprt 1 A aprt >1 TIB (a) - (a) (b) p r.3 (MPa) # W 0 (mw) - # 15.6 # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 1.40 [email protected] (cm) # d eq (z sp ) (cm) 0.17 f c (MHz) # - # # A aprt X (cm) - # # Y (cm) - # # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.16 FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) # 1 2 7mm PRF 2604 Hz (a) <1 (b) # - / TIC 297

306 10-38 L25xp M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.45 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) 2.3 d eq (z sp ) (cm) - f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) p max (MPa) 0.78 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) 11 1 Oph Oph 2 Gen Gen cm 6.0 cm 4 MB (a) <1 (b) # - / TIC 298

307 10-39 L25xp 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) 0.95 [email protected] (cm) 1.8 d eq (z sp ) (cm) 0.13 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 800 p max (MPa) 0.75 d max (cm) 0.12 FL x (cm) # FL y (cm) # I max (W/cm 2 ) 12 1 Oph Oph Oph 2 Gen Gen Gen cm 4.5 cm 3.5 cm (a) <1 (b) # - / TIC 299

308 10-40 L25xp Color/CPD Mode /CPD 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) - [email protected] (cm) 1.9 d eq (z sp ) (cm) - f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 2424 p max (MPa) 0.78 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) 18 1 Oph Oph 2 CPD CPD 3 2D / Res/ 4.2 cm 4 /PRF / 1250 Hz 5/ / Res/ 4.9 cm / 781 Hz / Def (a) <1 (b) # - / TIC 300

309 10-41 L25xp M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.42 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) 0.8 d eq (z sp ) (cm) 0.40 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1562 p max (MPa) 0.50 d max (cm) 0.34 FL x (cm) # FL y (cm) # I max (W/cm 2 ) 6 1 Oph Oph Oph 2 2mm 3mm 3mm PRF 1562 Hz 5208 Hz 5208 Hz (a) <1 (b) # - / TIC 301

310 10-42 L38xp M.I. TIS A aprt 1 A aprt >1 TIB 1.5 (a) (b) p r.3 (MPa) 3.32 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) 1.1 d eq (z sp ) (cm) - f c (MHz) 4.83 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 790 p max (MPa) 4.02 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) Gen cm 4 MB / 5 Needle Profiling (a) <1 (b) # - / TIC 302

311 10-43 L38xpM M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 3.37 W 0 (mw) # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 1.0 [email protected] (cm) 1.2 d eq (z sp ) (cm) 0.62 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 800 p max (MPa) 4.18 d max (cm) 0.62 FL x (cm) # FL y (cm) # I max (W/cm 2 ) Pen Pen Pen cm 9.0 cm 9.0 cm (a) <1 (b) # - / TIC 303

312 10-44 L38xpColor/CPD /CPD M.I. TIS A aprt 1 A aprt >1 TIB 1.5 (a) (b) p r.3 (MPa) 3.20 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) 1.1 d eq (z sp ) (cm) - f c (MHz) 4.63 # # A aprt X (cm) # # Y (cm) # # PD (μsec) PRF (Hz) 5064 p max (MPa) 3.78 d max (cm) - FL x (cm) # - - # FL y (cm) # - - # I max (W/cm 2 ) D / Gen/ 3.5 cm 4 /PRF / 6250 Hz 5/ Def/ (a) <1 (b) # - / TIC 304

313 10-45 L38xp 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) 1.00 [email protected] (cm) 0.3 d eq (z sp ) (cm) 0.43 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 1562 p max (MPa) 2.33 d max (cm) 0.40 FL x (cm) # FL y (cm) # I max (W/cm 2 ) Nrv Nrv Nrv 2 1 mm 3 mm 3 mm PRF 1562 Hz 1562 Hz 1562 Hz (a) <1 (b) # - / TIC 305

314 10-46 P10xp M.I. TIS A aprt 1 A aprt >1 TIB 1.4 (a) p r.3 (MPa) 3.13 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) 1.0 d eq (z sp ) (cm) - f c (MHz) 4.71 # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 2500 p max (MPa) 3.67 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) Gen Gen cm 4.0 cm 4 N/A (a) <1 (b) # - / TIC 306

315 10-47 P10xpM M.I. TIS A aprt 1 A aprt >1 TIB (a) (a) p r.3 (MPa) 3.21 W 0 (mw) - # 27.4 # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 2.40 [email protected] (cm) 2.0 d eq (z sp ) (cm) 0.28 f c (MHz) # # A aprt X (cm) - # # Y (cm) - # # PD (μsec) PRF (Hz) 800 p max (MPa) 4.40 d max (cm) 0.27 FL x (cm) - # - # FL y (cm) - # - # I max (W/cm 2 ) Gen Res cm 4.0 cm (a) <1 (b) # - / TIC 307

316 10-48 P10xpColor/CPD Mode /CPD 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) - [email protected] (cm) # d eq (z sp ) (cm) - f c (MHz) # # A aprt X (cm) # Y (cm) # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) # D / 4 /PRF TIC Gen/ 2.0 cm /521 Hz 5/ / (a) <1 (b) # - / 308

317 10-49 P10xp M.I. TIS A aprt 1 A aprt >1 TIB p r.3 (MPa) 2.24 W 0 (mw) W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 0.82 [email protected] (cm) 0.8 d eq (z sp ) (cm) 0.29 f c (MHz) A aprt X (cm) Y (cm) PD (μsec) 1.11 PRF (Hz) 1562 p max (MPa) 2.50 d max (cm) 0.26 FL x (cm) FL y (cm) I max (W/cm 2 ) mm 5 mm 7 mm 6 mm 3 2 (15 mm) 5 (40 mm) 2 (15 mm) TIC 0 (5 mm) 4 PRF 1563 Hz 1008 Hz 1563 Hz 1953 Hz 5 TDI (a) <1 (b) # - / 309

318 10-50 P10xp 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) 0.50 [email protected] (cm) # d eq (z sp ) (cm) 0.28 f c (MHz) # - # A aprt X (cm) - # Y (cm) - # PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.28 FL x (cm) - # FL y (cm) - # I max (W/cm 2 ) # (9 mm) TIC 2 (15 mm) (a) <1 (b) # - / 310

319 10-51 P21xp M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.28 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) 3.8 d eq (z sp ) (cm) - f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 5000 p max (MPa) 0.37 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) Gen Gen cm 27 cm (a) <1 (b) # - / TIC 311

320 10-52 P21xp M.I. TIS A aprt 1 A aprt >1 TIB 1.5 (a) p r.3 (MPa) 2.02 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) 4.1 d eq (z sp ) (cm) - f c (MHz) 1.85 # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 2933 p max (MPa) 2.63 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) Gen Pen cm 35 cm 4 MB/THI / / 5 (a) <1 (b) # - / TIC 312

321 10-53 P21xp M M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.28 W 0 (mw) # W.3 (z 1 ),I TA.3 (z 1 )] (mw) 1.5 z 1 (cm) 3.5 z bp (cm) 2.8 z sp (cm) 4.3 [email protected] (cm) 3.8 d eq (z sp ) (cm) 0.89 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 800 p max (MPa) 0.37 d max (cm) FL x (cm) # FL y (cm) # I max (W/cm 2 ) Gen Gen Gen cm 27 cm 27 cm (a) <1 (b) # - / TIC 313

322 10-54 P21xpM M.I. TIS A aprt 1 A aprt >1 TIB (a) p r.3 (MPa) 2.02 W 0 (mw) - # W.3 (z 1 ),I TA.3 (z 1 )] (mw) - z 1 (cm) - z bp (cm) - z sp (cm) 5.00 [email protected] (cm) 4.1 d eq (z sp ) (cm) 0.36 f c (MHz) # A aprt X (cm) - # Y (cm) # PD (μsec) PRF (Hz) 800 p max (MPa) 2.63 d max (cm) 0.35 FL x (cm) - # FL y (cm) - # I max (W/cm 2 ) OB 2 Gen Gen Pen cm 11 cm 5.0 cm 4 THI 5 (a) <1 (b) # - / TIC 314

323 10-55 P21xp Color/CPD Mode /CPD M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.27 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) 1.39 d eq (z sp ) (cm) - f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) PRF (Hz) 5179 p max (MPa) 0.30 d max (cm) - FL x (cm) # FL y (cm) # I max (W/cm 2 ) D / Gen/ 5 cm 4 /PRF / 1096 Hz 5/ / Gen/ 15 cm / 1453 Hz / (a) <1 (b) # - / TIC 315

324 10-56 P21xpColor/CPD /CPD M.I. TIS A aprt 1 A aprt >1 TIB p r.3 (MPa) 2.02 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) 4.1 d eq (z sp ) (cm) - f c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 800 p max (MPa) 2.63 d max (cm) - FL x (cm) FL y (cm) I max (W/cm 2 ) D /THI/ Gen/ / 9.0 cm 4 /PRF / 880 Hz 5/ / - Gen/ / 5.0 cm / 2500 Hz / Def TIC Gen/ / 5.0 cm / 2500 Hz / Def (a) <1 (b) # - / 316

325 10-57 P21xp M.I. TIS A aprt 1 A aprt >1 TIB p r.3 (MPa) 2.15 W 0 (mw) W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) 3.1 z bp (cm) 2.8 z sp (cm) 3.90 [email protected] (cm) 1.4 d eq (z sp ) (cm) 0.71 f c (MHz) A aprt X (cm) Y (cm) PD (μsec) PRF (Hz) 1562 p max (MPa) 2.37 d max (cm) 0.49 FL x (cm) FL y (cm) I max (W/cm 2 ) mm 14 mm 14 mm 7 mm PRF 1562 Hz 1562 Hz 1562 Hz 1953 Hz 5 TDI (a) <1 (b) # - / TIC 317

326 10-58 P21xp M.I. TIS A aprt 1 A aprt >1 TIB (b) p r.3 (MPa) 0.29 W 0 (mw) # W.3 (z 1 ),I TA.3 (z 1 )] (mw) 21.7 z 1 (cm) 3.5 z bp (cm) 2.8 z sp (cm) 4.30 [email protected] (cm) 3.9 d eq (z sp ) (cm) 0.83 f c (MHz) # A aprt X (cm) # Y (cm) # PD (μsec) 6.09 PRF (Hz) 1562 p max (MPa) d max (cm) 0.78 FL x (cm) # FL y (cm) # I max (W/cm 2 ) mm 9 mm 9 mm 3 9 (16.8 cm) 13 (27.3 cm) 13 (27.3 cm) 4 PRF 1562 Hz 1562 Hz 1562Hz (a) <1 (b) # - / TIC 318

327 10-59 P21xp 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) 1.25 [email protected] (cm) # d eq (z sp ) (cm) 0.52 f c (MHz) # A aprt X (cm) Y (cm) PD (μsec) # PRF (Hz) # p max (MPa) # d max (cm) 0.47 FL x (cm) FL y (cm) I max (W/cm 2 ) # (a) <1 (b) # - / TIC 319

328 Output Display Standard % 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% % 320

329 A aprt cm 2 d eq (z) z ( 4 ( π) )(( Wo) ( ITA( z) )), I TA (z) z cm d max A aprt fc FL I MImax I SPTA.3 I SPTA.3 z 1 MI PD P r.3 p max PRF TI TI TIB TIC TIS W 3 (z 1 ) Wo (x) (y) cm MHz (x) (y) MI W/cm 2 mw/cm 2 z 1 / MI MI MI Hz TIB TIS TIS z 1 mw mw TIS scan z 1 min(w 3 (z 1 ), I TA.3 (z) x 1 cm 2 )] z zbp cm 321

330 z bp 1.69 (A apr t ) cm z sp MI p r.3 TIB TIB z sp = z b.3 cm 322

331 Recommended Ultrasound Terminology, Third Edition (American Institute of Ultrasound in Medicine AIUM) 2011 MI/TI SonoMB Tissue Doppler Imaging (TDI) Tissue Harmonic Imaging (THI) (bone thermal index, TIB) (MI) (ALARA) (cranial bone thermal index, TIC) (MI) (TI) 2D 2D MI MI

332 (skinline) (TI) (soft tissue thermal index, TIS) (phased array transducer) / C (60) rc60xi 1 C TI / rp19x L (38) L38xi 11-1 A A PG A2Cd A2Cs A4Cd A4Cs AAA AAo "A" "A" 324

333 11-1 abs AC ACA ACC ACoA ACS Adur AFI AI AI PHT AL Ann D ANT F ANT N Ao AoD Apical APTD AT AUA AV AV AVA BA "A" AUA OB 325

334 326 Bifur BP BPD BPM Bre BSA CCA CI CM CO CPD CRL CVD CW CxLen D D Apical DCCA DECA Decel DICA Dist dp:dt : E "E" 11-1

335 11-1 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 Estab.DD ET FAC FH "E" E-A E = E e' LMP E-F EFW EFW "E" LMP LMPd 327

336 11-1 FHR FL FM FS FTA GA GA by LMP GA by LMPd GS Gyn HC HL HR ICA IMT IVC IVRT IVS IVSd IVSFT IVSs LA LA/Ao SO (LMP) Estab. DD (LMPd) / 328

337 11-1 LAT F LAT N Lat V LMP LMP LMPd LV LV LV LV Volume LVd LVD LVDd LVDFS LVDs LVEDV LVESV LVET LVO LVOT LVOT LVOT D LVOT VTI LVPW EDD Estab. DD 329

338 11-1 LVPWd LVPWFT LVPWs LVs MB MCA MCCA MECA MI MICA Mid MM MR PISA MR/VTI Msk MV MV MV MV MV/VTI MVA MV ERO MV PISA MV Neo SonoMB M / / 330

339 331 Nrv NST NTSC OA OB OFD Oph Orb PAL PCAp PCCA PCoA PECA PGMax PGMean PGr PHT PI PICA PISA Plaq POST F POST N PRF Prox 11-1

340 11-1 PSV PV P. PW Qp/Qs RA RI RVD RVDd RVDs RVOT D RVOT VTI RVSP RVW RVWd RVWs () S TDI S/D SI SM SmP SO Sup SV / 332

341 11-1 TAM TAP TAPSE TAV TCD TDI THI TI TICA TO TRMax TT TTD TV TVA UA Umb A VA VArty Vas VF VMax VMean M 333

342 11-1 Vol VTI YS 334

343

344 P *P *