Ultrasound machine knobology Copyright © 2010 Academy of Veterinary Imaging Ultrasound machine knobology… In other words, what the heck do all of those knobs.

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Transcript Ultrasound machine knobology Copyright © 2010 Academy of Veterinary Imaging Ultrasound machine knobology… In other words, what the heck do all of those knobs.

Ultrasound machine knobology

Copyright © 2010 Academy of Veterinary Imaging

Ultrasound machine knobology…

In other words, what the heck do all of those knobs and buttons do, and how can adjusting them affect image quality?!?!

GE ultrasound

• •

Image optimization

–

Presets, depth, frequency, auto-optimize, focal points, gain/TGC Features

–

Archiving, transducers, SRI, compounding, harmonics, 3-D, LOGIQView, Doppler

GE features: Archiving Transducers SRI CrossXBeam Harmonics 3-D LOGIQView % affected

GE ultrasound

Image optimization: Presets Depth Frequency Auto-optimize Focal points Gain/TGC Go to:

LOGIQ 7

LOGIQ 5

LOGIQ P5

LOGIQ e

LOGIQ Book

In this presentation, click on the Home button as pictured here to return to this page

Image optimization

•

Image quality is comprised of many

•

things During an ultrasound exam, the ultrasound machine settings should be changed as needed to optimize

•

image quality Understanding just a few of the knobs can accomplish this for most scans

L7

L5

P5

Le

LB

Presets

• • • •

Settings can be saved as presets Viewed in Application or Preset screen Different presets for different transducers/structures/patient species/sizes The more ‘complicated’ machine settings are saved in presets, so these do not need to be adjusted during every scan

L7

L5

P5

Le

LB

Depth

•

Adjust as needed throughout scan

L7

L5

P5

Le

LB

Optimal

Frequency

•

High frequency

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Better resolution

•

Less depth

•

Lower frequency

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Lower resolution

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Better for depth

L7

L5

P5

Le

LB

Auto optimize

• • • •

‘Personal preference’ button.

Adds more contrast…Whites are whiter, blacks are blacker Try on or off. Chose the setting that looks better to you. Auto optimize must be deselected then reselected for every new structure imaged.

L7

L5

P5

Le

LB

Focal points

•

Improved resolution is seen where the focal points are.

•

Place focal points at the region of interest.

L7

L5

P5

Le

LB

Gain

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Overall gain

–

Amplification of received signal

•

TGC

–

Time Gain Compensation

–

Compensates for beam attenuation (loss of energy as it passes through tissue)

L7

L5

P5

Le

LB

LOGIQ 7

(touch screen)

Frequency

Focal points

L5

P5

Le

LB

TGC

Depth

Gain

Auto optimize

TGC

LOGIQ 5

Frequency

L7

P5

Le

LB

Focal points

Depth

Gain

Auto optimize

Frequency

LOGIQ P5

Focal points

L7

L5

LB

Le

TGC

Depth

Gain

Auto optimize

Frequency

TGC

LOGIQ e

L7

L5

P5

Focal points

LB

Depth

Gain

Auto optimize

LOGIQ Book

Frequency

(toggle)

Focal points

L7

L5

P5

Le

TGC

Depth

Gain

Auto optimize

Archiving

• •

‘P’ buttons can be programmed Default settings:

–

P1: Saves as raw dicom clip or still image (image appearance, M-mode, 3-D can be done on a raw dicom clip, but it is a very large file, thus too large to send)

– –

P2: Print on the thermal printer P3: Save as dicom

Archiving

• • •

Images can be transferred to a CD or USB flash drive. Depending on GE model, media must be formatted first

– –

Press Utilities button Select Connectivity, then removable media To eject media after saving images, press F3

–

Select the media to eject, then finalize

Some GE transducers

Rectal 8C 12L i739 3S 4C

SRI

•

Speckle Reduction Imaging:

–

Improved contrast resolution

– –

Improved overall clarity Smoothes regions where no feature or edges appear

– – –

Maintains or enhances edges and borders Does not eliminate any information Increased Signal-to-Noise ratio

SRI

• •

Always is on in the LOGIQ e Can adjust to have different levels in the LOGIQ 7 and LOGIQ P5

–

Level is set within the preset (Application) settings

Spatial compounding

• • • • •

CrossXBeam

–

= GE’s spatial compounding

–

Available on the LOGIQ e and LOGIQ P5 Interrogates tissue at multiple angles Introduces new tissue info Averages out speckle SRI and CrossXBeam together can have complimentary and additive effects

CrossXBeam

• •

Perpendicular angle of insonation generates higher signal Images generated with compounding have more angles that are perpendicular to structures CrossXBeam OFF CrossXBeam ON

CrossXBeam

• • • • • • •

Improved border definition Improved contrast resolution Reduced angle dependence Reduced speckle and noise Increased visualization of biopsy needles Can reduce helpful artifact Can reduce frame rate

LOGIQ P5

LOGIQ e

CrossXBeam: P5

Press X Beam to turn on Press L and R buttons simultaneously to see side-by-side display of CrossXBeam on and CrossXBeam off

CrossXBeam: Le

F9 or ‘Comp’ to turn on Press L and R buttons simultaneously to see side-by-side display of CrossXBeam on and CrossXBeam off

Harmonics (THI)

Display is from echos of a frequency different from the transmitted frequency (i.e. 2x transmitted frequency)

•

Reduced artifact

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Improved axial and lateral resolution

•

Better margin definition and increased contrast

Harmonics (THI)

Press THI or Harmonics button to turn on Press L and R buttons simultaneously to see side-by-side display of harmonics on and harmonics off

3-D

• • • • • •

Volume imaging

–

Volume vs. area affected can be assessed Appears more ‘life-like’ Infinite viewing planes May approximate CT or MRI imaging Scan parallel* or sweep (fan) Angle of imaging less operator dependent

LOGIQ P5

LOGIQ e

3-D: P5

Press 3D to turn on Click arrow to go to images Press Left button to start. Scan anatomy. Press Right button to stop.

3-D: Le

Press F7 to turn on Click arrow to go to images Press Left button to start. Scan anatomy. Press Right button to stop.

3-D

Use set button to alternate hand and rotate tools Drag image to corner

3-D

Use set button to alternate hand and rotate tools Rotate image

3-D

Use set button to alternate hand and rotate tools Slice through

3-D

Use set button to alternate hand and rotate tools Rotate again

3-D

Use set button to alternate hand and rotate tools Slice through another plane

LOGIQView

• • •

Extended field of view Better demonstration of anatomical relationships Ability to measure large structures

LOGIQ P5

LOGIQ e

LOGIQView: P5

Press LOGIQ View to turn on Press Left button to start, scan anatomy. Press Right button to stop.

LOGIQView: Le

Press F8 View to turn on Press Left button to start, scan anatomy. Press Right button to stop.

LOGIQView

Scan in a straight plane or image will ‘bend’

% affected

•

Measure % of tendon affected by the lesion

–

Press Measure button

– – – – – – –

Select % stenosis folder Select % sten (area) Trace around entire tendon Press set Trace around lesion Press set % affected = 100 - %sten