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GE Logiq P5 User Manual

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    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-11
    Direction 2300002-100 Rev. 2
    A/B Ratio
    In B-Mode and M-Mode, you can calculate A/B ratio by diameter 
    or by area.
    DiameterTo calculate A/B ratio by diameter:
    1.  From the Generic Touch Panel, select A/B Ratio. 
    2. Select ratio(Diam). 
    The system displays an active caliper.
    3.  Make a distance measurement of the first velocity. 
    The system displays an active caliper for the second 
    distance measurement.
    4.  Make a distance measurement of the second velocity. 
    The system displays each distance measurement and the  
    A/B ratio in the Results Window.
    NOTE:  The first caliper is the A velocity. The second caliper is the B 
    velocity.
    For details on how to make a distance measurement, See 
    ‘Distance measurement’ for more information.
    AreaTo calculate A/B ratio by area:
    1.  From the Generic Touch Panel, select A/B Ratio. 
    2. Select ratio(Area). 
    The system displays a trace caliper.
    3.  Make a trace measurement of the A velocity.
    NOTE:  To erase an open trace, move the Trackball.
    The system displays a second trace caliper. 
    4.  Make a trace measurement of the B velocity.
    The system displays the two area measurements and the  
    A/B ratio in the Results Window.
    For details on how to make a trace measurement, See 
    ‘Circumference and area (trace) measurement’ for more 
    information. 
    						
    							Vascular
    11-12 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    M-Mode Measurements
     Figure 11-4. M-Mode Touch Panel
    NOTE:  The following instructions assume that you first scan the patient 
    and then press Freeze. 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-13
    Direction 2300002-100 Rev. 2
    % Stenosis 
    In M-Mode, you measure % Stenosis by diameter.
    NOTE:  Always take the measurement from a cross-sectional view of the 
    vessel.
    1. Select % Stenosis. 
    The system displays an active caliper.
    2.  Make a distance measurement of the inner area of the blood 
    vessel:
    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.
    3.  To make a distance measurement of the outer area of the 
    blood vessel, repeat steps a–d. 
    The system displays each distance measurement and the  
    % Stenosis in the Results Window.
    For the diameter calculation, do NOT take a distance 
    measurement from a longitudinal view. This may lead to an 
    inaccurate assessment of % stenosis. 
    						
    							Vascular
    11-14 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    A/B Ratio
    In M-Mode you can measure A/B ratio by diameter, time, or 
    velocity.
    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.
    NOTE:  The first distance measurement is the A velocity. The second 
    distance measurement is the B velocity. 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-15
    Direction 2300002-100 Rev. 2
    A/B Ratio (continued)
    TimeTo calculate A/B ratio by time:
    1. Select A/B. 
    2. Select ratio(Time). 
    The system displays an active caliper.
    3.  To position the caliper at the A point, move the Trackball.
    4.  To fix the measure point, press Set.
    The system displays a second active caliper.
    5.  To position the second caliper at the B point, move the 
    Trackball.
    6.  To complete the measurement, press Set.
    The system displays the two time measurements and the  A/
    B ratio in the Results Window. 
    Ve l o c i tyTo calculate AB ratio by velocity:
    1. Select A/B. 
    2. Select ratio(Velocity). 
    The system displays an active caliper with vertical and 
    horizontal dotted lines.
    3.  To position the caliper at the A velocity, move the Trackball.
    4.  To fix the measure point, press Set.
    The system displays a second active caliper.
    5.  To position the second caliper at the B velocity, move the 
    Trackball.
    6.  To complete the measurement, press Set.
    The system displays the two velocity measurements and the 
    A/B ratio in the Results Window.  
    						
    							Vascular
    11-16 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Doppler Mode Measurements
     Figure 11-5. D-Mode Touch Panel Example
    Control Assignment
    Cancel TransferAfter the Auto Vascular calculation results are assigned to a 
    particular vessel, the user can cancel the assignment and 
    assigned parameters are removed from Worksheet and Report 
    page.
    When Cancel Transfer occurs, a message appears on the 
    screen to indicate the value was erased from Worksheet and 
    Report page.
    Vessel locationIf the vessel has a location, you can select one of the following:
    • Proximal (Prox)
    • Middle (Mid)
    • Distal (Dist)
    Side Rt/LtThe system has measurements for the patients right and left 
    side. To select right or left, adjust the Touch Panel knob.
    TAMAX AUTO/
    MANUALTo select Auto Doppler Trace or Manual Doppler Trace at the 
    time you are making a measurement, adjust the Touch Panel 
    knob.
    •  Select AUTO – the system traces the peak velocity 
    envelope from the begin time to the end time. 
    •  Select MANUAL – trace the waveform manually. 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-17
    Direction 2300002-100 Rev. 2
    Control Assignment (continued)
    Modify Auto CalcsWhen you select this key, the Modify Calculation menu is 
    displayed as below. In this menu, you select parameters to 
    display in the Auto Vascular Calculation window. Only 
    parameters that can be used by the calculation are displayed.
    Select Save as Default to save the selected parameters as the 
    default calculations for this application.
    Select Return to return to the previous Touch Panel screen.
    If you select PV, all selected parameters are turned off. When 
    you deselect PV, the system returns to the previously selected 
    calculation.
     Figure 11-6. Modify Auto Calculation Menu (Page1) 
    						
    							Vascular
    11-18 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Naming format for vessels
    When you want to measure a vessel, on the Touch Panel you 
    select the folder for the vessel. Many vessel folders are labeled 
    with an abbreviation. The following table lists abbreviations used 
    for naming vascular vessels. 
    Table 11-2: Vascular Vessel Abbreviations
    AcronymName
    ACA Anterior Cerebral Artery
    AComA Anterior Communicating Artery
    Axill Axillary Artery
    Axill V Axillary Vein
    BA Basilar Artery
    Basil V Basilic Vein
    Brac V Brachial Vein
    CCA Common Carotid Artery
    Ceph V Cephalic Vein
    CHA Common Hepatic Artery
    Com Femoral Common Femoral Artery
    Com Iliac Common Iliac Artery
    Com Iliac A Common Iliac Artery
    Dors Pedis Dorsalis Pedis
    ECA Exterior Carotid Artery
    Ext Iliac External Iliac Artery
    ICA Internal Carotid Artery (Transcranial Doppler)
    ICA Interior Carotid Artery (Carotid Artery)
    IMA Inferior Mesenteric Artery
    Inno V Innominate Vein
    IVC Inferior Vena Cava
    MCA Middle Cerebral Artery
    Mcub V Median Cubital Vein
    Mid Hep V Middle Hepatic Vein
    MRA Main Renal Artery 
    						
    							Vascular Measurements
    LOGIQ 5 Basic User Manual 11-19
    Direction 2300002-100 Rev. 2
    PCA Posterior Cerebral Artery
    PComA Posterior Communicating Artery
    SMA Superior Mesenteric Artery
    SMV Superior Mesenteric Vein
    SUBC Subclavian Artery
    SUBC V Subclavian Vein
    Sup Femoral Superficial Femoral Artery
    TCD Transcranial Doppler
    TIPS Transjugular Intrahepatic Portosystemic Shunt
    VERT Vertebral Artery
    Table 11-2: Vascular Vessel Abbreviations
    AcronymName 
    						
    							Vascular
    11-20 LOGIQ 5 Basic User Manual
    Direction 2300002-100 Rev. 2
    Auto Vascular Calculation Overview
    Auto Vascular Calculation enables the LOGIQ 5 to detect and 
    identify a cardiac cycle. It allows you to assign measurements 
    and calculations during live timeline imaging, while the image is 
    frozen, or in CINE. Peak values are detected for venous flow.
    During cardiac cycle detection, the system identifies the cardiac 
    cycle using calipers, vertical bars, and/or highlighting of timeline 
    data. Use of identifiers is based on measurements and 
    calculations selected by an operator for the current application. 
    The system may place calipers at early systolic peak, peak 
    systole, minimum diastole and end diastole. Vertical bars may 
    also be placed to indicate the beginning and end of the cardiac 
    cycle. The peak and/or mean trace may be highlighted. You can 
    edit the cardiac cycle identified by the system or select a 
    different cardiac cycle.
    You can select the calculations to be displayed in the M&A 
    Result window during live scanning or on a frozen image. These 
    calculations are displayed at the top of M&A Result Window 
    located adjacent to the image. These calculations are 
    presettable by application which means you can set up the 
    default calculations to be displayed for each application. 
    						
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