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...45 DICOM DICOM DICOM USB...69 JPEG...70 efilm Lite...71 ii

5 M M DVR iii

6 M MSK MSK iv

7 Spaulding X-Porte v

8 EMC DICOM HIPAA ALARA ALARA 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

15 240 FUJIFILM SonoSite FUJIFILM SonoSite

16 3 ʘ O

17 USB USB USB USB 240 USB DVR DVR USB USB USB 9

18 USB USB USB USB USB USB USB USB USB USB 5 USB USB 69 USB USB USB 1 USB 2 USB 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 D-line 13

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

23 FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 216 (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 a b 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 TEExi TEExi 19

28 2-2 2D M a b 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 TEExi TEExi 20

29 2-2 2D M a b 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 TEExi TEExi 21

30 2-2 2D M a b 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 TEExi TEExi 22

31 2-2 2D M a b 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 TEExi TEExi 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 36 14% 9 O 25

34

35 X-Porte 1 LEARN LEARN MORE LEARN 61 2 Visual Guide Basics Hide LEARN LEARN Visual Guide 18 27

36 FUJIFILM SonoSite ECG 28

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

38 30

39 3 3 MORE System Settings MORE 36 More Controls 64 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) 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 USB DVR USB 121 DVR 1 Administration Login 2 User List Administrator 3 Disable USB Export USB 4 Save 33

42 20 Administrator 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 34

43 1 Administration Login 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 35

44 OK Help Visual Guide Monitor Brightness Touch Panel Brightness User Profile Guest Change Password 3 Change Audio settings Audio settings 1 MORE System Settings 36

45 2 Audio Audio Audio settings Button Clicks Beep Alert Audio settings Beeps and Clicks Volume Calculations (TDI) Calculations 1 MORE System Settings Calculations Calculations 1 Calculations Cardiac 2 TDI Walls TDI 3 Done 37

46 1 Calculations OB 2 Gestational Age Growth Analysis None 3 4 Gestational Age Growth Analysis Reset Calculations X-Porte OB Custom Table Editor Microsoft Excel OB Custom Table Editor OB Custom Table Editor USB OB Custom Table Editor 38

47 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 Excel 2 (Windows) Security Warning 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 39

48 Value Age (weeks) []Age (days) []Range (weeks) []Range (days) []Measurement Name Measurement Type Value Age (weeks) [] Age [] 7 8 USB a Export b Please Select the Export File Folder USB OK CSV CSV 9 a b CSV USB USB c Tables d Import e CSV USB Import f 1 2 Calculations OB 3 OB Custom Measurements Add New 4 Name 40

49 5 Type 6 Save OB Custom Table Editor 1 Calculations Tables 2 / 1 2 Calculations OB 3 OB Custom Measurements 4 Yes 1 Calculations Tables 2 Gestational Age Growth Analysis Measurement Author 3 Delete 41

50 CDA DICOM Archivers Include CDA CDA DICOM CDA CDA Report CDA CDA 181 Custodian/Provider Organization Name / CDA CDA Report CDA 1 MORE System Settings 2 CDA Report CDA CDA Report CDA 1 CDA Report CDA Config 2 CDA Report CDA New 3 System/Author ID / 4 Custodian/Provider Organization/ Author/Authenticator Organization / 5 Authenticator Include? Authenticator 6 Save CDA CDA Report CDA Active Configuration 42 CDA

51 CDA 1 CDA Report CDA Config 2 CDA List CDA CDA Delete DICOM Connectivity DICOM 45 DICOM Connectivity 1 MORE System Settings 2 Connectivity Connectivity Connectivity Connectivity Location 35% FUJIFILM SonoSite 3 Connectivity Internal Storage Capacity Alert 43

52 DICOM X-Porte DICOM MPPS IP AE USB USB USB 1 USB 10 USB 2 Connectivity DICOM Setup DICOM 3 Config 4 Import 5 USB Import 1 USB 10 USB 2 Connectivity DICOM Setup DICOM 3 Config 4 Export 5 USB Export USB USB X-Porte 44

53 DICOM (DICOM) DICOM DICOMDIR USB 69 USB DICOM X-Porte DICOM X-Porte DICOM (LAN) (PACS) (MPPS) DICOM DICOM CDA DICOM DICOM PACS 1 DICOM USB DICOM 45

54 3 47 DICOM 4 55 DICOM X-Porte 10/100/1000 IEC IEC Ethernet LAN LED 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 46 DICOM

55 CER PFX PVK USB USB USB 1 MORE System Settings 2 Connectivity 3 Connectivity Wireless Certificates 4 USB 10 USB USB 20 Import USB Delete 5 Done 6 DICOM DICOM Location Office 55 Archive PACS Printer DICOM Storage Commit DICOM 47

56 Worklist 105 MPPS MPPS MPPS 1 MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Config 5 DICOM 6 New 7 Save 1 2 Delete 3 Yes 4 Done SonoSite 48 DICOM

57 AE DICOM DICOM IP 104 DHCP IP IP IP JPEG High Medium Low Low 70 JPEG 10 SSID Open WEP Shared WEP WEP Encryption Key index WEP 1-4 Key WEP DICOM 49

58 RADIUS 802.1x Authentication Type EAP-TLS Extensible Authentication Protocol-Transport Layer Security User Name Client Certificate Private Key Private Key Password Certification Authority 47 EAP-PEAPv0 User Name Password Certification Authority 47 WPA or WPA2 WAP WPA2 Wi-Fi Authentication PERSONAL Passphrase WPA Encryption Authentication Type EAP-TLS Extensible Authentication Protocol-Transport Layer Security User Name Client Certificate 50 DICOM

59 Private Key Private Key Password Certification Authority 47 EAP-PEAPv0 Extensible Authentication Protocol-Protected Extensible Authentication Protocol User Name Password Certification Authority 47 AE DICOM RGB Mono JPEG IP DICOM IP 104 Ping IP OK Failed DICOM 51

60 Image Type Ultrasound CDA CDA SR Educational 67 IP DICOM IP 104 AE DICOM Ping IP OK Failed Agfa Codonics Kodak 52 DICOM

61 (RGB) (OD) (OD) (OD) (OD) SonoSite AE DICOM IP DICOM IP 104 Ping IP OK Failed DICOM 53

62 AE AE US IP DICOM IP Ping IP OK Failed MPPS MPPS MPPS 54 DICOM

63 AE DICOM IP MPPS DICOM IP 104 Ping IP OK Failed MPPS 48 1 MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Location 5 6 MPPS MPPS a MPPS MPPS b c MPPS DICOM 55

64 7 a b c SC 8 Done 1 MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Location 5 MPPS MPPS 6 Done 1 Connectivity DICOM Setup DICOM 2 Verify Verify Status Failed DICOM Success DICOM Unknown C-ECHO Verify 56 DICOM

65 Date and Time 1 MORE System Settings 2 Date and Time Date and Time 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 57

66 2 Display Information Display Information Display Information Patient Header Patient Name Patient ID Department ID User Institution Date and Time 2D Doppler Color M Mode M Mode Data Logs User DICOM 45 DICOM Assert System TextEdit USB Logs 1 MORE System Settings 2 Logs Logs 58

67 USB USB USB 1 USB 10 USB 2 Logs 3 Export USB 4 USB Export 5 Yes USB 1 Logs 2 Clear 3 Yes DICOM Network Status IP SSID BSSID MAC MAC Network Status 1 MORE System Settings 59

68 2 Network Status Network Status DICOM Power and Battery 1 MORE System Settings 2 Power and Battery Power and Battery Power and Battery Sleep Delay Off % 82 Power Delay Off

69 Presets Presets 1 MORE System Settings 2 Presets Presets 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 61

70 Presets Monitor Brightness 0-10 Touch Panel Brightness Presets Labels 2 Apply Apply X Reset Exam Type 1 Presets Labels 2 Clear Labels on Unfreeze 62

71 1 Presets Exam Types 2 3 Up Down Transducer 4 Done / P21xp C60xp 61 63

72 AutoGain 3 Save Exam Type More Controls 4 Save User-Defined Exam New 5 Save 1 2 Save Exam Type More Controls 3 Save User-Defined Exam Update 1 Presets User Profile 2 Startup Start Select Screen Scanning 64

73 Transducer/Exam Select / Patient Info Class 2 2 ID 1 Presets User Profile 2 Bar Code Auto Query None Save Video Clip Record Freeze Save Image Print 1 User Profile 2 Footswitch (L) (L) Footswitch (R) (R) Freeze Print Save Image Save Video Clip End Exam Auto End Exam 1 User Profile 2 Program Control A AProgram Control B BProgram 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 65

74 More Controls More Controls More Controls 1 User Profile 2 Reset More Controls Learn Learn Learn More Learn 1 User Profile 2 Show Learn Button Learn Presets Presets Presets USB 1 USB 2 Presets Import Yes USB Import USB 66

75 Export Yes USB Export USB / / DICOM 68 DICOM DICOM PATIENT 2 Routing Selection 1 REVIEW 2 Patient List 67

76 3 Route Exam 4 Routing Selection DICOM / DICOM / 67 1 DICOM 45 DICOM MORE System Settings 2 Connectivity 3 Connectivity DICOM Setup DICOM 4 Config 5 DICOM Archive 6 Educational 7 Done 68

77 System Information 208 System Information 1 MORE System Settings 2 System Information System Information USB USB USB USB USB 1 MORE System Settings 2 USB USB 69

78 1 USB Export Type DICOM Export DICOM DICOM DICOMDIR DICOM MJPEG AVI FUJIFILM SonoSite Windows Media Player QuickTime Image Format JPEG JPEG 70 JPEG DICOM RGB 3 Multimedia Export Sort By 4 Auto Export 118 USB 5 DICOM Export DICOM Include efilm Lite efilm Lite USB efilm Lite 71 efilm Lite Include CDA CDA CDA 42 CDA Include SR SR 6 Done JPEG JPEG lossy compression BMP 70 USB

79 efilm Lite efilm Lite DICOM USB 70 efilm Lite Windows DICOM efilm Lite DICOM efilm Lite 1 USB 2 USB 3 efilmlite.bat 4 efilmlite.bat efilmlite efilmlite efilm Lite efilm Lite efilmlite PDF USB 71

80 72 USB

81 4 4 X-Porte X-Porte M 74 M Dual Dual Display Format M D M D M M

82 1 2D Transducers & Exams SCAN M M M Mode 2D M Mode M M-line M M-line M 1 M Mode M M (M-line) 2 M-line 74

83 3 M Mode M a 93 b Start Update Update More Controls c Stop Start M Sweep Speed FastMediumSlowx More Controls M Update M 4 88 M M

84 1 Color 2 Steering

85 M (PW) (PW TDI) (CW) CW Doppler D-line D-line D-line 1 Doppler (D-line) 2 77

86 Gate Size More Controls Angle Correct More Controls 4 PW CW TDI 5 Start Update 6 Update M

87 (Dual) Depth Mode Gain 1 Dual Dual Dual More Controls 2 Update More Controls Dual Dual 1 Dual Dual 2 Update More Controls 3 FREEZE 79

88 4 Update M More Controls More Controls 1 More Controls 2 More Controls 2D 2D M M M 3 80

89 4 X More Controls More Controls More Controls More Controls More Controls More Controls 4 2D M M M More Controls More Controls More Controls More Controls M

90 THI (Tissue Harmonic Imaging, THI) SonoMB SonoMB SonoMB Update Doppler M Needle Profiling 97 Orientation Upper Right Upper Left Lower Left Lower Right Res / Gen/ Pen Res Gen Pen Dual Depth Gain Update 79 82

91 4-1 AutoGain Adjust AutoGain AutoGain AutoGain AutoGain AutoGain AutoGain Adjust Sector Narrow Medium Full Video Clip Settings 119 Needle Guide Full ECG 123 Procedure Mode Dyn. Range Up Down M Save Exam Type 63 83

92 4-1 Target Depth 127 Label 101 Zoom 96 Centerline 85 Needle Guide Distance 127 Ellipse 127 Trace 127 Calcs 134 Acute Care Acute Care Acute Care

93

94 M Color ColorCPD Variance P21xp Variance CPD CPD Variance Flow State High Medium Low Scale Scale (PRF) Up Down Wall Filter LowMed High Steering

95 4-2 Invert Color CPD Invert Hide Color / Show Color Zoom 96 Save Exam Type 63 Video Clip Settings 119 Target Depth 127 Label 101 Zoom 127 Ellipse 127 Trace 127 Calcs 134 Acute Care Acute Care Acute Care

96 M M M M Dyn. Range Up Down M ECG 123 Save Exam Type 63 Sweep Speed M Slow Med Fast Display Format 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 88

97 4-3 M Label 101 Update M Distance Time M 129 M Heart Rate M 129 M M D-line D-line PW / CW / TDI PW CW TDI CW TDI 89

98 4-4 D-line Steering D-line Angle Correct D-line Gate Size Up Down Zoom 96 Save Exam Type 63 Video Clip Settings 119 Display Format 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 Update M /M Target Depth 127 Label 101 Distance 127 Ellipse

99 4-4 D-line Trace 127 Calcs 134 Acute Care Acute Care Acute Care PW / CW / TDI PW CW TDI CW TDI Scale (PRF) Up Down Volume Up Down Gate Size Up Down Wall Filter Low Med High Sweep Speed Slow Med Fast Update M 91

100 4-5 Display Format 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 Auto Trace Off Peak Mean Peak Mean Above Below All Peak Mean Above Below All ECG 123 Save Exam Type 63 Label

101 4-5 Velocity 130 Time 131 Manual Trace 127 Auto Measure 133 Calcs 134 Heart Rate Slope M 93

102 AutoGain AutoGain Adjust 82 C D M M M Near Far (TGC) 94

103 134 1 FREEZE 64 Slide to Unfreeze X-Porte Dual 79 95

104 1 2 M CINE ( ) M CINE ( ) M Zoom 1 Zoom More Controls 2 3 Zoom Unzoom 96

105 1 2 Zoom More Controls Unzoom 1 Zoom More Controls 2 Off

106 X-Porte Steep Needle Profiling

107 4-6 C35xp C60xp HFL38xp HFL50xp HSL25xp L25xp L38xp Steep Needle Profiling 1 Needle Profiling More Controls 2 Left Right Shallow Medium Steep 99

108 4-7 C35xp C60xp Off On

109 62 Clear Labels on Unfreeze 1 Label More Controls 2 Text Done Done Done Clear Cancel 2D 3 101

110 4 Label Edit Label Delete Label Remove All Text 1 Label More Controls 2 Arrow 3 Arrow Delete 1 Label More Controls 2 Picto 3 Done 4 102

111 5 Picto Delete Label Set Home REVIEW Patient List Thumbnails 1 REVIEW Prev Next 2 3 Labels 103

112 Labels Mark Out Mark Out Delete 5 Save 6 Done 105 DICOM ID ) 104

113 DICOM PATIENT Done 5 Modify New Cancel PATIENT Done 105

114 DICOM DICOM 45 DICOM Class 2 2 ID 1 User Profile Bar Code Auto Query PATIENT 2 Worklist 3 4 Update 5 Select Back 106

115 Scheduled Procedures Name Protocol Meaning 1 Performed Procedure Code Meaning 2 Code Edit Add New Code Code Scheme Name Meaning Save 45 DICOM 107

116 45 DICOM Worklist 2 Update 1 Last First Middle Accession ID Smith Smith Smithson Smithy Additional Worklist Query Parameters Modality US Requested Procedure ID 2 Query 108

117 3 Select PATIENT End Exam End Exam 64 End Exam Last First Middle ID Generate Patient ID ID ID 61 Date of Birth Gender Accession Indications 109

118 Exam BP HR Height 61 Weight 61 BSA Twins Twin A Twin B Twin A Twin B LMP EDD LMP EDD Previous Exams Twin A/B A/B Twin A A Twin B B ( Twin A/B Back Twins NT Credential (NT) ID P12345 Institution Department ID User Reading Doctor Referring Doctor MR # Clinical Category Exam Visit 110

119 Primary Obtaining/Interpreting / Secondary Obtaining/Interpreting / Additional Obtaining/Interpreting / 176 DICOM 67 / DICOM 45 DICOM Scheduled Procedure: Name Scheduled Procedure: Protocol Scheduled Procedure: Meaning Performed Procedure: Code Performed Procedure: Edit Performed Procedure: Meaning Additional Worklist Query Parameters: Modality Additional Worklist Query Parameters: Requested Procedure ID ID ID

120 USB DICOM 10 USB Name ID Date/Time / 1 REVIEW Patient List Patient Patient List Select All Clear All 112

121 1 2 Delete 1 2 Info 1 2 Edit 3 Done 1 2 Append 113

122 1 REVIEW Patient List Thumbnails 2 Prev Next Full Screen Thumbnails Delete 5 Patient List Exit Review DICOM

123 1 2 Print REVIEW 3 Patient List Thumbnails 4 Full Screen 5 Print DICOM DICOM USB USB 115

124 DICOM DICOM DICOM Location Transfer Images 1 REVIEW 2 Patient List ü 1 REVIEW 2 Patient List 116

125 3 4 Info 1 43 LAN LED 2 REVIEW 3 Patient List 4 5 Archive MPPS MPPS Discontinue USB USB USB USB USB USB 1 69 USB 2 REVIEW 3 Patient List 117

126 4 USB 10 USB 5 6 Export USB USB USB 7 USB Include patient information on images and video clips 8 Export USB USB Cancel USB USB USB 3 Beep Alert 36 Save in Progress 103 REVIEW REVIEW Patient List

127 ID Save Image Save Image & Calcs 65 Save Image Save Image & Calcs 64 1 Video Clip Settings More Controls 2 Prospective Save Video Clip Time ECG Retrospective Save Video Clip Time ECG 119

128 Time Time ECG R-Wave Count R 3 Done Save Video Clip 64 Clip Method Prospective Beep Alert 36 Time Clip Method Prospective Beep Alert 36 Time Stop Video Clip Time Video Clip Settings Preview Video Clip 3 Preview Video Clip a b c Save Done

129 Memory Full DVR DVR USB USB MP4 USB USB X-Porte USB USB FAT32 Disable USB Export USB 31 DVR 1 DVR USB DVR USB 24 USB DVR USB USB 2 Rec 64 DVR USB Rec DVR USB USB 3 Rec DVR 121

130 DVR 1 USB DVR 2 USB 3 USB MP4 DVR Full USB USB 1 USB X-Porte USB USB 2 MORE USB Image Gallery USB 3 Image Gallery 4 5 Select All 6 Delete USB USB.jpg.avi Exported 122

131 1 USB X-Porte USB 2 REVIEW 3 a Review Patient List b Patient List Thumbnails 4 Review 5 Export USB USB 6 Please enter a file name USB 7 8 Include patient information on images and video clips 9 Export (ECG) FUJIFILM SonoSite FUJIFILM SonoSite ECG 123

132 FUJIFILM SonoSite FUJIFILM SonoSite 1 P10xp P21xp TEExp ECG More Controls 124

133 4 ECG Settings Show Gain Sweep Speed Slow Medium Fast M Position Up Down 5 Done 125

134 126

135 5 5 X-Porte Switch Measure 127

136 Measure 134 Measure Measure Delete 1 Distance More Controls Ellipse More Controls 2 128

137 1 Trace More Controls Target Depth More Controls 2 M 1 M Distance Time More Controls 129

138 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) 130

139 M 130 (cm/s) 1 Velocity More Controls 2 (RI) 1 Velocity More Controls 2 3 Velocity 4 RI 1 Time More Controls

140 5-1 / / TCD/ 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

141 4 1 Auto Trace More Controls 2 3 VMax Decel PHT Slope 1 Slope More Controls 2 3 (Decel) (PHT) 133

142 1 Calcs More Controls Calcs X-Porte

143 MSK Calcs Acute Care More Controls Calcs Acute Carex 135

144 Save All Save Image & Calcsx Save Image & Calcs 64 1 Calcs Acute Care More Controls

145 1 Calcs More Controls 2 Area Reduction A 1 A 2 a b c d e 1 Calcs More Controls 2 Diameter Reduction D 1 D 2 a b c 137

146 Calcs More Controls 2 Volume 1 1Volume 2 2Volume 3 3 a b c

147 Allan, Paul L. et al.clinical Doppler Ultrasound, 4th Ed., Harcourt Publishers Limited, (2000) p * TAM TAP TAV Vol Flow ml/min * Calcs More Controls 139

148 2 Volume Flow a Volume Flow Diam b c 4 a Volume Flow TAP Mean Manual b Manual c Peak Mean d 5 WORKSHEET ICA/CCA

149 5-3 CCA ICA ECA VA CCA ICA ECA VA a TAM TAP TAV b a 139 b TAV VTI (TAP) VTI (TAM) VTI VTI 141

150 VTI s d 1 Calcs 2 a b Next c d 1 Calcs More Controls 2 Volume Flow 3 1 a i Volume Flow Diam ii iii b i Volume Flow 1 1 TAP Mean Manual Mean VTI 142

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

152 5-4 EF FAC IVC EF M LVDd LVDs LV Vol EF A4Cd A4Cs A2Cd A2Cs M EDA ESA M EDA ESA Max D M Min D M EF LVDFS A4C EF A2C EF EF LV FAC RV FAC a CO HR HR M 130 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' 144

153 5-4 LV CO Ao/LA MV Diastole M RVWd RVDd IVSd LVDd LVPWd M RVWs RVDs IVSs LVDs LVPWs LVOT D HR LVOT VTI Ao M LA M AAo LVOT D ACS M LVET M E-F M EPSS M EF LVDFS CO a SV LA/Ao a CO HR HR M 130 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' 145

154 5-4 MV/MR LV MV E Decel A PHT VTI IVRT Adur MR dp:dt b MVA AVA LA A4C LA A2C RA Epi Endo Apical E:A MVA LV a CO HR HR M 130 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' 146

155 5-4 AV/LVOT/AI TV/TR PV P Vein PISA AV VMax AV VTI LVOT VMax VTI LVOT D AI PHT RA TR VMAx E A PHT TV VTI VMax PV VTI AT A Adur S D MR VTI Ann MV VTI VMax AVA c VTI AVA c RVSP d TVA AT S/D PISA a CO HR HR M 130 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' 147

156 5-4 Qp/Qs TDI TAPSE LVOT RVOT D 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 a CO HR HR M 130 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 1 a Calcs More Controls b PISA Ann D c d 148

157 2 a Calcs b PISA Radius c d 3 Calcs 4 MR VT MV VTI a PISA MR VTI MV VTI b c d e LVDd LVDs LV (EF) 1 M Calcs More Controls 2 EF LV 3 149

158 4 Next 5 EDA ESA (FAC) 1 Calcs More Controls 2 FAC 3 a b c d e Ao LA AAo LVOT 1 M Calcs More Controls 2 Ao/LA 3 150

159 4 1 Calcs More Controls 2 Atrial Vol 3 a b c LA RA d s e mm f LAVI / RAVI (BSA) LV EF 1 Calcs More Controls 2 EF LV Vol EF 151

160 3 a Manual Trace b c (LV) d e f 4 a Border Assist b (LV) c Trace d e MV AV 1 Calcs More Controls 2 Area MVA AVA

161 5 LV 1 Calcs More Controls 2 Epi Endo LV Mass 3 4 LV Mass Apical 5 6 (IVC) 1 M Calcs More Controls 2 IVC 3 a b Max D c d 153

162 4 a b Min D c d (Decel) 1 Calcs More Controls 2 MV/MR Decel Calcs More Controls 2 MV/MR TV/TR TDI P Vein a b Next c 154

163 (VTI) VTI VMax PGMax VMean PGMean 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 (RVSP) 1 Calcs More Controls 2 TV/TR TR VMax 3 4 RA RA 155

164 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 (IVRT) 1 Calcs More Controls 2 MV/MR IVRT

165 5 (dp:dt) dp:dt CW 300 cm/s 89 1 CW Calcs More Controls 2 MV/MR dp:dt 100 cm/s cm/s 300 cm/s cm/s 5 (AVA) AVA 1 a 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 157

166 3 AV Vmax AV VTI VMAX - AV/LVOT/AI AV VMAX VTI Vmax AVA VTI - AV/LVOT/AI AV VTI VTI Vmax AVA LVOT AV VTI AVA Qp/Qs Qp/Qs 1 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 VTI RVOT VTI b c d e

167 (SV) (SI) SV SI SI (BSA) 1 SI Height Weight BSA LVOT a Calcs More Controls b (CO) LVOT D c LVOT d 3 LVOT VTI a AV/LVOT/AI LVOT VTI 155 (VTI) b (CO) LVOT VTI i Calcs More Controls ii CO LVOT VTI 155 (VTI) (CO) (CI) CO CI CI (BSA) 1 CI Height Weight BSA LVOT a Calcs More Controls b (CO) LVOT D 159

168 c LVOT d 3 LVOT VTI a Calcs More Controls b CO LVOT VTI 155 (VTI) 4 HR a Calcs More Controls b CO HR c d e (TAPSE) TAPSE 1 M Calcs More Controls 2 TAPSE 3 TAPSE 4 5 (TDI) 1 TDI 89 2 Calcs More Controls 160

169 3 a TDI b c (L) (W) (H) 1 Calcs More Controls 2 Uterus a Uterus b c (D) 161

170 1 Calcs More Controls 2 Ovary a Right Ovary Left Ovary b c (D) 1 Calcs More Controls 2 Follicle Right Follicle Left a 1 b c Next d e f g h 162

171 X-Porte EFW EDD EFW 163

172 5-5 a YS GS Hansmann, Nyberg, TokyoU. CRL BPD OFD HC TTD Hadlock, Hansmann, Osaka, TokyoU. Chitty, Hadlock, Hansmann, Osaka, TokyoU. Hansmann Chitty, Hadlock, Hansmann Hansmann, Tokyo U. b APTD TokyoU. b AC FTA FL HL TL Hadlock, Hansmann, TokyoU. Osaka Chitty, Hadlock, Hansmann, Osaka, TokyoU. Jeanty Jeanty Cereb D CM Lat Vent Cx Len a AUA b Tokyo U. APTD TTD EFW c (EFW) EFW Hadlock EFW d (Growth Analysis) (Report Graphs) LMP EDD 164

173 5-5 (EFW) c HC AC FL Hadlock 1 BPD AC FL Hadlock 2 AC FL Hadlock 3 BPD TTD BPD FTA FL BPD AC BPD TTD APTD FL Hansmann OsakaU. Shepard TokyoU. 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 Tokyo U. APTD TTD EFW c (EFW) EFW Hadlock EFW d (Growth Analysis) (Report Graphs) LMP EDD 165

174 AFI 1 2 LMP EDD Twins 3 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 166

175 4 5 6 S/D (MCA) RI PI (UmbA) ) 1 2 LMP EDD Twins 3 Calcs More Controls 4 a Doppler Measurements MCA UmbA b S/D, RI S/D, RI, PI 5 S/D, RI S/D, RI, PI 167

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

177 Next MSK 105 MSK Calcs More Controls 2 Right Hip Left Hip a Hip Angle Baseline b c Line A alpha alpha d alpha e Line B beta beta f beta 169

178 1 Calcs More Controls 2 Right Hip Left Hip a d:d Ratio d:d Fem H b c Baseline d (mm) 5-7 a 163 b 37 c ML 170

179 5-7 CRL a BPD b M c c CBD a 163 b 37 c ML 171

180 5-7 / c /MSK TR VMAx IVC ONSD ONSD a 163 b 37 c ML 1 Acute Care More Controls 2 a 172

181 b c Next d (IVC) 153 (IVC) (Orb) (Oph) FDA 105 (TCD) (Orb) MCA Prox / ECICA TICA / ECICA / ECICA 173

182 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 174

183 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 175

184 (Orb) (Oph) FDA 1 Orbital Transcranial 27 2 Calcs More Controls 3 a b c (#) MSK 179 MSK 176

185 DICOM WORKSHEETS 2 Report Preview Summary Calculations Done 1 2 Calculations 3 Delete 1 WORKSHEETS 2 Save Image Save Images 177

186 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 LMP EDD

187 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 MSK 1 Other Indications MSK Indications 179

188 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 1 2 Print All Print Page 180

189 MSK 1 REVIEW 2 Patient List 3 4 Thumbnails 5 View Report 6 Next Prev 7 Done MORE System Settings 2 Presets Customize Worksheets 3 Custom Worksheets Save Changes Done 181

190 Save Image Save Image & Calcs 65 1 Review Prev Next 2 Calcs Acute Care Calcs Save Image Save Image & Calcs 182

191

192 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 a b 0.7 db/cm MHz RMI 413a c d FUJIFILM SonoSite 184

193 6-3 a < +/- 2% cm/ 1% b < +/- 2% 0.01kHz- 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 = / 185

194 (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 = 186

195 (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 = 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 187

196 (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 188

197 (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 = π/4(h) Σ(D1)(D2) 189

198 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 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 = A2 = a = d = t = 190

199 M gm 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

200 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 = 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. =(( )/) * 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 =

201 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 = (PG) 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 = 193

202 (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 = 2πr 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 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, 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 = π/4(h) ΣD

203 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 Index = 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 = (SV) 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) 195

204 CSA = (LVOT ) VTI = M (SV) 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 ( ) 196

205 (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

206 (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.885. FUJIFILM SonoSite 20.0 cm 30.0 cm (AC) 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

207 (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

208 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), p ; 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

209 (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

210 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 = x (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 = 202

211 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 = D2 = (PG) 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 () 203

212 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 = x (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

213 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

214 206

215 7 7 FUJIFILM SonoSite 3 ʘ ON O OFF CPD CPD Color PRF Color Calcs More Controls 36 OFF ON 207

216 DICOM DICOM DVR USB ( ) C: FUJIFILM SonoSite FUJIFILM SonoSite USB USB USB "ensure the USB device contains valid data" USB USB USB USB USB USB USB " internal storage device is full" (DICOM) DICOM Archiver Exclude Video Clips FUJIFILM SonoSite 208

217 1 2 a MORE System Settings b System Settings System Licensing Scanhead Licensing 3 FUJIFILM SonoSite 3 a b c PCBA d 4 System Setup 209

218 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 ON FUJIFILM SonoSite 3 210

219 FUJIFILM SonoSite (DICOM) (LAN) FUJIFILM SonoSite DICOM X-Porte DICOM DICOM FUJIFILM SonoSite USB X-Porte DICOM FUJIFILM SonoSite presets X-Porte USB DICOM Presets DICOM USB 1 2 USB DICOM Patient Patient List 211

220 4 Select All Delete 5 DICOM Patient Worklist Clear 6 USB DICOM DICOM DICOM DICOM USB ECG 1 212

221

222 214

223 8 8 FUJIFILM SonoSite (PPE) FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 215

224 (FDA) A 217 B 222 Spaulding Spaulding Spaulding? 216

225 A (PPE) FUJIFILM SonoSite TEExp TEExp

226 5 a / / a SaniCloth AF3 b SaniCloth Plus PI-Spray II a b b c d e 6 218

227 7 a a SaniCloth AF3 b C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp SaniCloth Plus C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp PI-Spray II C11xp, C35xp, C60xp, D2xp HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp a b b c d

228 9 a X-Porte a Cidex C11xp, C60xp, HFL38xp, HFL50xp, 25ºC 45 HSL25xp, ICTxp, L25xp, L38xp, Cidex OPA P10xp, P21xp 20ºC 12 b c d 10 a FUJIFILM SonoSite 220

229 b 5 cm 5 cm a 1 b cm c FUJIFILM SonoSite 221

230 B 217 (PPE) FUJIFILM SonoSite

231 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 PI-Spray II C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp C11xp, C35xp, C60xp, HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp C11xp, C35xp, C60xp, D2xp HFL38xp, HFL50xp, HSL25xp, ICTxp, L25xp, L38xp, P10xp, P21xp a b 223

232 b c d FUJIFILM SonoSite 1 2 x 0ºC +45ºC 224

233 1 ISO

234 FUJIFILM SonoSite FUJIFILM SonoSite ºC +65ºC (TTC) 227 (TTC) 227 ECG 228 ECG ECG ECG PowerPark 226

235 (TTC) 5 (TTC) TTC TTC TTC 1 TTC

236 ECG ECG ECG ECG ECG Green soap 2% Cidex 10% ECG γ ECG ECG 10 1 (EtO) ECG 2 228

237 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

238 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

239 MSD MSD EN Class I I / Type BF BF Type CF CF ECG EMC

240 Hospital Only Hospital Grade ECG / (TTC) TTC TTC MPSO 207 FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite / 232

241 / FUJIFILM SonoSite Class I I BF CF IPX-7 IPX-8 AP/APG I I ECG /ECG X-Porte Power X-Porte Power 233

242 1 Power O 234

243 8 /

244 FUJIFILM SonoSite ALARA MI TI FUJIFILM SonoSite 0.3 db/cm/mhz FUJIFILM SonoSite P21xp P21xp VGA 236

245 IEC :2007 (EMC) FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite 240 EMC (RF) (RF) (EMI) EMI EMI EMI EMI EMI EMI EMI IEC EMC 237

246 X-Porte IEEE 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 ()

247 ESD ESD ESD ESD IEC d RF X-Porte X-Porte (RF) X-Porte RF X-Porte 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) 239

248 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 240

249 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 241

250 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 242

251 EMC RF ClSPR 11 RF ClSPR 11 RF IEC / IEC A A X-Porte RF 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 243

252 9-4 - IEC IEC <5% U T U T >95% % U T U T 60% 5 70% U T U T 30% 25 <5% U T U T >95% 5s <5% U T U T >95% % U T U T 60% 5 70% U T U T 30% 25 <5% U T U T >95% 5s FUJIFILM SonoSite FUJIFILM SonoSite IEC / 3 / FUJIFILM SonoSite RF IEC Vrms 150 khz 80 MHz 3 Vrms FUJIFILM SonoSite RF d = 1.2 P 244

253 9-4 - IEC RF IEC Vrms 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) a b IEC No. 417-IEC-5140 a / FUJIFILM SonoSite FUJIFILM SonoSite FUJIFILM SonoSite b 150 khz 80 MHz 3 V/m

254 X-Porte IEC IEC X-Porte 9-5 (AC) 1 93/42/EEC VII 1 IIa IIb III 93/42/EEC LOT 246

255 9-5 "C" "US" CSA ANSI/UL REF 93/86/EEC (DC) 247

256 9-5 # # FCC GEL STERILE R STERILE EO SN 248

257 9-5 IPX7 IPX8 BF B = F = CF (UL) RoHS / / ("CCC Mark") 249

258 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 250

259 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 (CPD) 256 (Color) 256 M (CW) 251

260 (TDI) (THI) 252

261 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

262 EMC 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 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 254

263 10 10 ALARA ALARA ALARA ALARA ALARA ALARA 2D CPD Color THI 2D ALARA ALARA 255

264 263 3 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 257 MI TI Kremkau, Frederick W. Diagnostic Ultrasound: Principles and Instruments. 7th ed., W.B. Saunders Company, (Oct. 17, 2005). 256

265 減小 MI 和 TI 的準則 以下是降低 MI 或 TI 的一般準則 如果有提供多個參數 同時儘量調低參數便可獲得最佳結果 在某些 模式下 變更這些參數不會影響 MI 或 TI 變更其他參數也可能降低 MI 和 TI 請注意熒幕上的 MI 和 TI 值 有關視覺呈現 請參閱第 11 頁的 臨床監視器 註 要瞭解關於降低 TEExp 轉換器的 MI 或 TI 的資訊 請參閱隨 TEExp 轉換器提供的 TEExp 轉換器使用者手冊 表 10-1 降低 MI 機械指數 的準則 轉換器 深度 C11xp C35xp C60xp HFL38xp HFL50xp HSL25xp ICTxp L25xp L38xp 降低參數設定 以減少 MI 調高參數設定 以減低 MI 減小 MI 和 TI 的準則 257

266 表 10-1 降低 MI 機械指數 的準則 續 轉換器 深度 P10xp P21xp 降低參數設定 以減少 MI 調高參數設定 以減低 MI 表 10-2 降低熱指數 軟組織熱指數 (TIS) 顱骨熱指數 (TIC) 骨骼熱指數 (TIB) 的準則 彩色能量都卜勒 設定 轉換器 掃描寬度 掃描高度 掃描深度 PRF 深度 最佳化 深度 C11xp 深度 C35xp 深度 C60xp 深度 HFL38xp 深度 HFL50xp 深度 降低參數設定 以減低 TI 調高參數設定 以減低 TI 258 減小 MI 和 TI 的準則

267 表 10-2 降低熱指數 軟組織熱指數 (TIS) 顱骨熱指數 (TIC) 骨骼熱指數 (TIB) 的準則 續 彩色能量都卜勒 設定 轉換器 掃描寬度 掃描高度 掃描深度 PRF 深度 最佳化 深度 HSL25xp 深度 ICTxp 深度 L25xp 深度 L38xp 深度 P10xp 深度 P21xp (PRF) 降低參數設定 以減低 TI 調高參數設定 以減低 TI 減小 MI 和 TI 的準則 259

268 MI TI AIUM 262 TI MI TI MI 1.0 2D/ M / 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 - MI MI TI 0.1 TI TI TI ALARA TI FUJIFILM SonoSite AIUM TI

269 10-3 TI MI 1.0 2D/ M / ICTxp MI - TIC TIB TIS - L25xp MI - TIC TIB TIS - L38xp MI - TIC TIB TIS - P10xp MI TIC TIB TIS P21xp MI TIC TIB TIS MI MI TI 0.1 TI TI TI ALARA TI FUJIFILM SonoSite AIUM TI 262 TEExp P11x TEExp MI 95% 95% MI MI +18% -25% +0.2 TI 95% 95% TI TI +21% -40% dB 3dB MI TI

270 322 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

271 (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 (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) 263

272 = [e -(0.23alf ) ] = = e = a = (db/cm MHz) = 0.53 = 0.66 = 0.79 = 0.43 = 0.55 l = f = / / MHz 0.3 = [e -(0.069lf ) ] 264

273 0.3 db/cm MHz 3 cm 1dB/cmMHz 1990 MI MI 2.0 2D M Mode M MI C 1.5 C 7 C ISPTA 500 mw/cm 2 Bioeffects and Safety of Diagnostic Ultrasound (AIUM, 1993)

274 TI MI TEExp TEExp TEExp D2xp C11xpM C35xp C35xpM C35xp C60xp C60xpM C60xp/CPD C60xp HFL38xp HFL38xpM HFL38xp / HFL38xp HFL50xp HFL50xpM HFL50xp / HFL50xp HSL25xp HSL25xpM HSL25xp/CPD HSL25xp HSL25xp HSL25xp M HSL25xp /CPD HSL25xp ICTxpM ICTxp L25xp L25xpM L25xp / L25xp L25xp L25xp M L25xp /CPD

275 L25xp L38xp L38xpM L38xp / L38xp P10xp P10xpM P10xp/CPD P10xp P10xp P21xp P21xp P21xp M P21xpM P21xp /CPD P21xp / P21xp P21xp

276 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 268

277 10-7 C11xpM TIS TIB M.I. A aprt 1 A aprt >1 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 ) 46 1 Ven cm 4 PRF (a) <1 (b) # - / TIC 269

278 10-8 C11xp TIS TIB M.I. A aprt 1 A aprt >1 TIC (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) # - / 270

279 10-9 C35xp TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 / (MB/THI) Res 6.0 cm / 5 (a) <1 (b) # - / 271

280 10-10 C35xpM TIS TIB M.I. A aprt 1 A aprt > (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 Res cm 7.0 cm 3.0 cm 4 THI (a) <1 (b) # - / TIC 272

281 10-11 C35xp TIS TIB M.I. A aprt 1 A aprt >1 TIC (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) # - / 273

282 10-12 C60xp TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 / (MB/THI) 9.9 cm / 5 (a) <1 (b) # - / 274

283 10-13 C60xpM TIS TIB M.I. A aprt 1 A aprt > (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 cm 11 cm 4 THI (a) <1 (b) # - / TIC 275

284 10-14 C60xp/CPD TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 ) OB 2 3 2D / (THI)/ 4/ 5 / / / 11 cm / 3049 Hz / / / 6.0 cm / 414 Hz / (a) <1 (b) # - / 276

285 10-15 C60xp TIS TIB M.I. A aprt 1 A aprt > (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 277

286 10-16 HFL38xp TIS TIB M.I. A aprt 1 A aprt >1 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 ) 62 1 Ven 2 3 Res 3.5 cm 4 Needle Profiling (a) <1 (b) # - / TIC 278

287 10-17 HFL38xpM TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 ) cm (a) <1 (b) # - / 279

288 10-18 HFL38xp / TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 / 4/ / 4.0 cm / 7812 Hz 5 / / (a) <1 (b) # - / 280

289 10-19 HFL38xp TIS TIB M.I. A aprt 1 A aprt >1 (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 281

290 10-20 HFL50xp TIS TIB M.I. A aprt 1 A aprt >1 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 ) Res cm 4 MB / 5 Needle Profiling (a) <1 (b) # - / TIC 282

291 10-21 HFL50xpM TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 cm (a) <1 (b) # - / 283

292 10-22 HFL50xp / TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 ) CVD 3 2D / 4/ 5 / / 4.0 cm / 7812 Hz / (a) <1 (b) # - / 284

293 10-23 HFL50xp TIS TIB M.I. A aprt 1 A aprt >1 (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 285

294 10-24 HSL25xp TIS TIB M.I. A aprt 1 A aprt >1 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 ) Ven MB Res 2.4 cm 5 Needle Profiling (a) <1 (b) # - / TIC 286

295 10-25 HSL25xpM TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 ) Ven cm (a) <1 (b) # - / 287

296 10-26 HSL25xp/CPD TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 3/ 4/ CPD / 2.0 cm / 312 Hz 5 / / (a) <1 (b) # - / 288

297 10-27 HSL25xp TIS TIB M.I. TIC 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 Ven 2 7mm PRF 2604 Hz (a) <1 (b) # - / 289

298 10-28 HSL25xp TIS TIB M.I. A aprt 1 A aprt > (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 ) cm 6.0 cm 4 MB (a) <1 (b) # - / TIC 290

299 10-29 HSL25xp M TIS TIB M.I. A aprt 1 A aprt > (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 ) cm 4.5 cm 3.5 cm (a) <1 (b) # - / TIC 291

300 10-30 HSL25xp /CPD TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 ) CPD CPD 3 2D / 4/ 5 / / 4.2 cm / 1250 Hz / / 4.9 cm / 781 Hz / (a) <1 (b) # - / 292

301 10-31 HSL25xp TIS TIB M.I. A aprt 1 A aprt > (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 ) mm 3mm 3mm PRF 1562 Hz 5208 Hz 5208 Hz (a) <1 (b) # - / TIC 293

302 10-32 ICTxpM TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 cm 4 THI (a) <1 (b) # - / 294

303 10-33 ICTxp TIS TIB M.I. A aprt 1 A aprt > (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 295

304 10-34 L25xp TIS TIB M.I. A aprt 1 A aprt >1 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 ) Ven MB Res 2.4 cm 5 Needle Profiling (a) <1 (b) # - / TIC 296

305 10-35 L25xpM TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 ) Ven cm (a) <1 (b) # - / 297

306 10-36 L25xp / TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 3 2D / 4/ 5 / CPD / 2.0 cm / 312 Hz / (a) <1 (b) # - / 298

307 10-37 L25xp TIS TIB M.I. 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 Ven 2 7mm PRF 2604 Hz (a) <1 (b) # - / TIC 299

308 10-38 L25xp TIS TIB M.I. A aprt 1 A aprt > (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 ) cm 6.0 cm 4 MB (a) <1 (b) # - / TIC 300

309 10-39 L25xp M TIS TIB M.I. A aprt 1 A aprt > (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 ) cm 4.5 cm 3.5 cm (a) <1 (b) # - / TIC 301

310 10-40 L25xp /CPD TIS TIB M.I. A aprt 1 A aprt > (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 ) CPD CPD 3 2D / 4 / 5 / / 4.2 cm / 1250 Hz / / 4.9 cm / 781 Hz / (a) <1 (b) # - / TIC 302

311 10-41 L25xp TIS TIB M.I. A aprt 1 A aprt > (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 ) mm 3mm 3mm PRF 1562 Hz 5208 Hz 5208 Hz (a) <1 (b) # - / TIC 303

312 10-42 L38xp TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 ) Ven MB 3.5 cm / 5 Needle Profiling (a) <1 (b) # - / 304

313 10-43 L38xpM TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 ) Ven Ven Ven 2 Pen Pen Pen cm 9.0 cm 9.0 cm (a) <1 (b) # - / 305

314 10-44 L38xp / TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 ) Ven 2 3 2D / 4/ / 3.5 cm / 6250 Hz 5 / / (a) <1 (b) # - / 306

315 10-45 L38xp TIS TIB M.I. A aprt 1 A aprt > (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 ) mm 3 mm 3 mm PRF 1562 Hz 1562 Hz 1562 Hz (a) <1 (b) # - / TIC 307

316 10-46 P10xp TIS TIB M.I. A aprt 1 A aprt >1 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 ) cm 4.0 cm 4 N/A (a) <1 (b) # - / TIC 308

317 10-47 P10xpM TIS TIB M.I. A aprt 1 A aprt > (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 ) Res cm 4.0 cm (a) <1 (b) # - / TIC 309

318 10-48 P10xp/CPD TIS TIB M.I. A aprt 1 A aprt >1 (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/ 5 / TIC / 2.0 cm / 521 Hz / (a) <1 (b) # - / 310

319 10-49 P10xp TIS TIB M.I. A aprt 1 A aprt > 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) # - / 311

320 10-50 P10xp TIS TIB M.I. A aprt 1 A aprt >1 (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) (a) <1 (b) # - / TIC 2 (15 mm) 312

321 10-51 P21xp TIS TIB M.I. A aprt 1 A aprt > (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 ) cm 27 cm (a) <1 (b) # - / TIC 313

322 10-52 P21xp TIS TIB M.I. A aprt 1 A aprt >1 TIC 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 ) Pen cm 35 cm 4 / / / (MB/THI) 5 (a) <1 (b) # - / 314

323 10-53 P21xp M TIS TIB M.I. A aprt 1 A aprt > (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 ) cm 27 cm 27 cm (a) <1 (b) # - / TIC 315

324 10-54 P21xpM TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 Pen cm 11 cm 5.0 cm 4 THI 5 (a) <1 (b) # - / 316

325 10-55 P21xp /CPD TIS TIB M.I. A aprt 1 A aprt >1 TIC (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 / 4/ 5 / / 5 cm / 1096 Hz / / 15 cm / 1453 Hz / (a) <1 (b) # - / 317

326 10-56 P21xp / TIS TIB M.I. A aprt 1 A aprt >1 TIC 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)/ 4/ 5 / / / 9.0 cm / 880 Hz / - / / 5.0 cm / 2500 Hz / (a) <1 (b) # - / / / 5.0 cm / 2500 Hz / 318

327 10-57 P21xp TIS TIB M.I. A aprt 1 A aprt >1 TIC 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) # - / 319

328 10-58 P21xp TIS TIB M.I. A aprt 1 A aprt >1 TIC (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) (27.3 cm) (27.3 cm) 4 PRF 1562 Hz 1562 Hz 1562 Hz (a) <1 (b) # - / 320

329 10-59 P21xp TIS TIB M.I. A aprt 1 A aprt >1 (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 321

330 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% % 322

331 A aprt d eq (z) z ( 4 ( π) )(( Wo) ( ITA( z) )) I TA (z) z 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) (x) (y) MI / / z 1 / MI MI MI TIB TIS TIS z 1 TIS 323

332 z 1 z bp z sp min(w.3 (z 1 ), I TA.3 (z) x 1 cm 2 )] z zbp 1.69 (A apr t ) p r.3 z sp = z b.3 324

333 Recommended Ultrasound Terminology, Third Edition 2011 American Institute of Ultrasound in Medicine (AIUM) in situ MI/TI SonoMB (ALARA) (skinline) (phased array transducer) (bone thermal index, TIB) (TDI) (THI) (MI) (TI) Color Doppler / C (60) rc60xi L (38) L38xi rp19x / 325

334 (soft tissue thermal index, TIS) (TI) (MI) (cranial bone thermal index, TIC) 1 C TI 10 MI MI A A PG A2Cd A2Cs A4Cd A4Cs AAA AAo abs AC ACA A A

335 11-1 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 Bifur BP BPD A AUA OB 327

336 11-1 BPM Bre BSA CCA CI CM CO CPD CRL CVD CW CxLen D D Apical DCCA DECA DICA Dist dp:dt E E PG E:A E/e' (Delta Pressure:Delta Time) E E E:A E = E e' 328

337 11-1 ECA ECG ECICA ECVA EDD EDD by AUA EDD by LMP EDV EF EF:SLOPE EFW Endo Epi EPSS Estab.DD ET FAC FH FHR FL FM E-F EFW EFW E LMPd SO 329

338 11-1 FS FTA GA GA by LMP GA by LMPd Gate GS Gyn HC HL HR ICA IMT IVC IVRT IVS IVSd IVSFT IVSs LA LA/Ao LAT F LAT N Lat V (LMP) / 330

339 11-1 LMP LMP LMPd LV LV LV LV Volume LVd LVD LVDd LVDFS LVDs LVEDV LVESV LVET LVO LVOT LVOT Area LVOT D LVOT VTI LVPW LVPWd LVPWFT LVPWs 331

340 11-1 LVs MB MCA MCCA MECA MI MICA Mid MM MR PISA MR/VTI Msk MV MV MV Regurgitant Fraction MV Regurgitant Volume MV/VTI MVA MV ERO MV PISA MV Rate Neo NST NTSC SonoMB M / / 332

341 11-1 OA OB OFD Orb PAL PCAp PCCA PCoA PECA PGMax PGMean PGr PHT PI PICA PISA Plaq POST F POST N PRF Prox PSV PV P. Vein 333

342 11-1 PW Qp/Qs RA RI RVD RVDd RVDs RVOT D RVOT VTI RVSP RVW RVWd RVWs S' S/D SI SM SO Sup SV TAM TAP TAPSE TDI / M 334

343 11-1 TAV TCD TDI THI TI TICA TO TRMax TT TTD TV TVA UA Umb A VA VArty Vas Ven VF VMax VMean Vol VTI YS OB 335

344 336

345

346 P *P *