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GE Logiq P5 User Manual

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    							OB Exam
    LOGIQ 5 Basic User Manual 9-5
    Direction 2300002-100 Rev. 2
    To Start an Obstetrics Exam (continued)
    NOTE:  To fill in the following information, move the Trackball to 
    highlight the Detail button and press Set. Table 9-1: Obstetric fields
    FieldDescription
    LMP Last Menstrual Period; enter the date that the patient 
    started her last menstrual period, in mm/dd/yyyy format. 
    You must enter 4 digits for the year. When you type the 
    month and day, the system fills in the /. 
    BBT Basal Body Temperature.
    EDD by LMP Estimated Delivery Date by LMP; the system fills in the 
    date after you enter the LMP. 
    GA by LMP Gestational Age by LMP; the system fills in the age after 
    you enter the LMP. 
    Gravida Number of pregnancies.
    Para Number of births.
    AB Number of abortions.
    Ectopic Number of ectopic pregnancies.
    Fetus # Number of fetuses; default is 1. Can be 1-4.
    Accession # Exam number used with hospital information system 
    (DICOM). This is a tracking number from the worklist.
    Exam 
    DescriptionDescribe the type of exam.
    Perf Physician The physician who performs the exam. Choose from the 
    list or type the name.
    Ref. Physician The physician who requested the exam. Choose from the 
    list or type the name.
    Operator The person (not a physician) who performs the scan. 
    Choose from the list.
    Table 9-2: Obstetric fields: Detail
    FieldDescription
    Indications  Why the patient needs the ultrasound exam.
    Comments Comments about the exam. 
    						
    							OB/GYN
    9-6 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    To Start an Obstetrics Exam (continued)
    After you complete the patient information, you can begin the 
    scan. 
    1.  To change from the Patient Data Entry screen to the Scan 
    screen, do one of the following:
    •  On the keyboard, press Esc or Patient.
    •  On the Touch Panel, select Scan.
    •  On the Control Panel, press the B-Mode key.
    The system displays the Scan screen.
    2.  To choose the appropriate probe, select the probe icon on 
    the Touch Panel.
    3.  On the Control Panel, press Measure.
    The default Obstetrics study is displayed on the 
    Touch 
    Panel
    . Figure 9-1 shows the OB-General study.
     Figure 9-1. OB-General Study 
    						
    							OB Exam
    LOGIQ 5 Basic User Manual 9-7
    Direction 2300002-100 Rev. 2
    To choose a study
    1.  To change the study, on the Touch Panel, select Study.
    The Obstetrics exam category allows you to choose from 
    the following studies:
    • Generic
    • OB-1
    • OB-2/3
    • OB-General
    • Fetal Heart
    • OB/GYN Vessel
    2.  To select a study, press the study folder on the Touch Panel.
     Figure 9-2. OB Study Touch Panel
    NOTE:  The folders you see on the Touch Panel may be different if your 
    system has been customized.  
    						
    							OB/GYN
    9-8 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    OB Measurements and Calculations
    Introduction
    Measurements and calculations derived from ultrasound images 
    are intended to supplement other clinical procedures available 
    to the attending physician. The accuracy of measurements is not 
    only determined by the system accuracy, but also by use of 
    proper medical protocols by the user. When appropriate, be sure 
    to note any protocols associated with a particular measurement 
    or calculation. Formulas and databases used within the system 
    software that are associated with specific investigators are so 
    noted. Be sure to refer to the original article describing the 
    investigators recommended clinical procedures. 
    						
    							OB Measurements and Calculations
    LOGIQ 5 Basic User Manual 9-9
    Direction 2300002-100 Rev. 2
    Introduction (continued)
    When you make measurements, you can select the calculation 
    before you make the measurement or after you make it. If you 
    select the calculation before you make the measurement, the 
    Results Window shows the estimated fetal age as you make the 
    measurement. If you select the calculation after you make the 
    measurement, the estimated fetal age is displayed after you 
    complete the measurement. The measurements steps in this 
    section tell you to select the calculation before you make the 
    measurement.
    The following pages describe how to make OB measurements 
    and calculations. The measurements are organized by mode, 
    and within mode are listed in alphabetical order.
    Out of Range – If the system indicates that a measurement is 
    out of range (OOR), it means one of the following:
    •  The measurement is out of the normal range based on the 
    gestational age that is calculated from the LMP. The system 
    determines OOR from the ultrasound age compared to the 
    gestational age. The gestational age is calculated from the 
    last menstrual period or the estimated delivery date.
    •  The measurement is outside of the range for the data used 
    in the calculation. That means that the measurement is 
    either less than or more than the range of measurements 
    used to determine fetal age based on the measurement.
    NOTE:  Calculation formulas are listed in the Advanced Reference 
    Manual. 
    						
    							OB/GYN
    9-10 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    B-Mode Measurements
    This section describes all B-Mode measurements that you 
    typically find in OB studies.
    Abdominal Circumference (AC)
    To calculate abdominal circumference, you make an ellipse, 
    trace, or two distance measurements.
    Ellipse1. Select AC; an active caliper displays.
    2.  If necessary, select AC until Ellipse is displayed above the 
    key.
    3.  To position the active caliper, move the Trackball.
    4.  To fix the start point, press Set.
    The system fixes the first caliper and displays a second 
    active caliper.
    5.  To position the second caliper, move the Trackball.
    6. Adjust the Ellipse control; an ellipse with an initial circle 
    shape displays.
    •  To position the ellipse and to size the measured axes 
    (move the calipers), move the Trackball.
    •  To increase the size, adjust the Ellipse control in a 
    clockwise direction. 
    •  To decrease the size, adjust the Ellipse control in a 
    counterclockwise direction.
    •  To toggle between active calipers, press Measure.
    7.  To complete the measurement, press Set.
    The system displays the circumference in the Results 
    Window. USAEuropeTokyoOsakaASUM
    HINTSBefore you complete the ellipse measurement:
    •  To erase the ellipse and the current data measured, press 
    Clear once. The original caliper is displayed to restart the 
    measurement.
    •  To exit the measurement function without completing the 
    measurement, press Clear a second time. 
    						
    							OB Measurements and Calculations
    LOGIQ 5 Basic User Manual 9-11
    Direction 2300002-100 Rev. 2
    Abdominal Circumference (AC) (continued)
    Trace1. Select AC; an active caliper displays.
    2.  If necessary, select AC until Trace is displayed above the 
    key.
    3.  To position the trace caliper, move the Trackball.
    4.  To fix the trace start point, press Set.
    The trace caliper changes to an active caliper.
    5.  To trace the measurement area, move the Trackball around 
    the anatomy.
    6.  To complete the measurement, press Set.
    The system displays the circumference in the Results 
    Window.
    HINTSBefore you complete the ellipse measurement:
    •  To erase the line (bit by bit) back from its current point, 
    move the Trackball or adjust the Ellipse control 
    counterclockwise.
    •  To erase the dotted line but not the trace caliper, press 
    Clear once.
    •  To clear the trace caliper and the current data measured, 
    press Clear twice. 
    						
    							OB/GYN
    9-12 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Abdominal Circumference (AC) (continued)
    Two distances1. Select AC; an active caliper displays.
    2.  If necessary, select AC until Trace is displayed above the 
    key.
    3.  To make the first distance measurement:
    a.  To position the active caliper at the start point, move the 
    Trackball.
    b.  To fix the start point, press Set.
    The system fixes the first caliper and displays a second 
    active caliper.
    c.  To position the second active caliper at the end point, 
    move the Trackball.
    A dotted line connects the measurement points.
    d.  To complete the measurement, press Set.
    The system displays the distance value in the Results 
    Window. After the first measurement, the system 
    displays an active caliper.
    4.  To make the second distance measurement, repeat steps 
    a–d above.
    The system displays the abdominal circumference in the 
    Results Window. 
    HINTS•  Before you complete a measurement (press Set):
    •  To toggle between active calipers, press Measure.
    •  To erase the second caliper and the current data 
    measured and start the measurement again, press 
    Clear once.
    •  To rotate through and activate fixed calipers from other 
    measurements, adjust Cursor Select.
    •  After you complete the measurement, to erase all data that 
    has been measured to this point, but not data entered onto 
    worksheets, press Clear. 
    						
    							OB Measurements and Calculations
    LOGIQ 5 Basic User Manual 9-13
    Direction 2300002-100 Rev. 2
    A/B Ratio
    In B-Mode you can calculate A/B ratio by diameter or by area.
    DiameterTo calculate A/B ratio by diameter:
    1. Select A/B Ratio. 
    2. Select ratio(Diam). 
    The system displays an active caliper.
    3.  Make a distance measurement of the first velocity.
    a.  To position the active caliper at the start point, move the 
    Trackball.
    b.  To fix the start point, press Set.
    The system fixes the first caliper and displays a second 
    active caliper.
    c.  To position the second active caliper at the end point, 
    move the Trackball.
    A dotted line connects the measurement points.
    d.  To complete the measurement, press Set.
    The system displays the distance value in the Results 
    Window and displays an active caliper for the second 
    distance measurement.
    4.  To make a distance measurement of the second velocity, 
    repeat steps a–d.
    The system displays each distance measurement and the  
    A/B ratio in the Results Window. 
    						
    							OB/GYN
    9-14 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    A/B Ratio (continued)
    AreaTo calculate A/B ratio by area:
    1. Select A/B Ratio. 
    2. Select ratio(Area). 
    The system displays a trace caliper.
    3.  Make a trace measurement of the A velocity:
    a.  To position the trace caliper at the start point, move the 
    Trackball.
    b.  To fix the trace start point, press Set.
    The trace caliper changes to an active caliper.
    c.  To trace the measurement area, move the Trackball.
    A dotted line shows the traced area.
    NOTE:  To erase an open trace, move the Trackball.
    d.  To complete the measurement, press Set.
    After the first measurement, the system displays a 
    second trace caliper. 
    4.  To make a trace measurement of the B velocity, repeat 
    steps a–d.
    The system displays the two area measurements and the  
    A/B ratio in the Results Window. 
    						
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