BK Medical bkSpecto Advanced User'S Manual Download Page 5

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Elastography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Doppler Mode – Spectral Doppler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Turning Doppler Mode On or Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Adjusting the Doppler Mode Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Doppler Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Independent D-Mode/C-Mode Steering . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Doppler Trace (Automatic Curve Tracing) . . . . . . . . . . . . . . . . . . . . . . . . . 79
Sweep Speed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

M-Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

The M-Mode Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
M-Mode Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
M-Mode Image Ruler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Saving a Preset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Default Exam Types and Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Chapter 8

Exam Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
If You Perform a Puncture Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
What Is an Exam Type? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Presets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Doppler Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
RI and PI (Resistance Index and Pulsatility Index) . . . . . . . . . . . . . . . . . . . 87
Real-Time Measurements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Using the Brachytherapy Exam Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Patient Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Calculating Volumes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Performing a Biopsy or Puncture Procedure (including Brachytherapy). . . 91

Chapter 9

Urology Prostate Exam Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Diagnostic Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Setting up the Patient – Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Imaging Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

2D (B-mode). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
To Change Transducer Planes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Biopsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Summary of Contents for bkSpecto

Page 1: ...16 01642 01 August 2018 For Professional Users Only bkSpecto Ultrasound System Advanced User Guide ...

Page 2: ...uding the U S Export Administration Regulations as well as end user end use and country destination restrictions issued by U S and other governments For additional information on exporting Windows 8 Embedded see http www microsoft com exporting The bkSpecto Ultrasound System is closed Any modification of or installation of software to the system may compromise safety and function of the system Any...

Page 3: ...3 Chapter 3 Controls on the Touchscreen 25 2D Controls 25 Color Controls 26 PW Doppler Controls 28 M Mode Controls 29 Elastography Controls 30 Power Mode Controls 31 3D Controls 33 3D Rev Mode 34 Chapter 4 Working with the Image 37 Selecting the Imaging Plane 37 Freezing the Image 37 Partial Freeze and the Dual View Button 37 Split Screen 38 Simultaneous Imaging 38 Linked Dual 38 Labels Bodymarks ...

Page 4: ...59 Patient List 60 Deleting Documents or Exams from the System 60 Pausing and Later Resuming an Examination 61 Password Protection of the Patient Archiving System 61 Hard Disk Quota 61 Reports 62 Creating a Report 62 Editing a Report 63 Preview the Report 63 Printing a Report 63 Saving a Report to the Local Patient Archiving System 64 Printing Documents or Images on the Monitor 64 Printing Thumbna...

Page 5: ... M Mode Line 81 M Mode Image Ruler 81 Saving a Preset 82 Default Exam Types and Presets 82 Chapter 8 Exam Types 83 Before You Begin 83 If You Perform a Puncture Procedure 83 What Is an Exam Type 83 Presets 84 Measurements 84 Doppler Measurements 85 Reduction 87 RI and PI Resistance Index and Pulsatility Index 87 Real Time Measurements 89 Calculations 89 Using the Brachytherapy Exam Type 89 Patient...

Page 6: ...t 105 System Controlled Positioning 106 The Magnetic Wheel Mover 106 Untracked Freehand Acquisition 106 3D Imaging Overview 107 Preparations 107 Adjusting the Image Capture Settings 107 ROI 3D Region of Interest 107 3D Capture Settings 108 Acquisition 108 Viewing a 3D Data Set 109 Enhancing a 3D View 109 3D Layout Options 109 Working with the 3D Image 110 Manipulating the Volume 110 Annotating a 3...

Page 7: ...Default Tab 135 Manage Tab 135 Measure Calc Window 136 General Tab 136 Calc List Tab 136 Results Tab 137 Preferences Tab 138 Labeling Window 138 Labels Tab 138 Bodymarks Tab 139 Needle Guide Tab 140 Configure Layout Window 147 Store Network Window 148 Store Clip Tab 148 Printers Tab 148 DICOM PACS Tab 149 Wi Fi Tab 149 Security Window 150 General Tab 150 User Manager Tab 151 3D 4D 154 Service Wind...

Page 8: ...8 ...

Page 9: ...estions About the System Where to Find the Answers What are the various parts of the monitor display Getting Started on page 11 Is there an alphabetical list of all the controls on the system Controls on theTouchscreen on page 25 How do you make measurements and calculations for an image and what measurement tools are available Making Measurements on page 45 How do you manage the images clips 3D d...

Page 10: ...10 Chapter 1 August 2018 bkSpecto Advanced User Guide 16 01642 01 ...

Page 11: ...GettingStarted 11 Chapter 2 Getting Started The bkSpecto System Monitor Transducer Touch screen Scanning engine Transducer Front handle with release paddles sockets holders Lockable wheels Battery Preserve Switch Power connector USB Connectors ...

Page 12: ...e the system enough time to save and recover open files and unsaved data Otherwise a serious system failure may occur that requires technical support The system has two power buttons one on the monitor and one on the scanning engine Figure 2 1 The power button on the monitor and on the scanning engine respectively This switch helps you to preserve the battery when the system is stored or otherwise...

Page 13: ...image 2 Turn locking lever on socket to the right 3 Remove plug from socket Creating a User Only system administrators can create new users See Security Window on page 150 WARNING Exam w2b If after beginning an exam without entering any Patient information you want to save an image you must verify that the system auto created a properly configured Patient ID before exiting the exam Whenever possib...

Page 14: ...nt information The Patient ID is filled in automatically with a date timestamp but you can change this to a relevant ID Figure 2 4 Patient window 3 If you select Store Images of Patient Details an image of the patient details will be stored in the document browser and the review window 4 Tap Next to select transducer All connected transducers will be displayed in the Transducer window Figure 2 5 T...

Page 15: ...Exam to start the exam You can also start the exam immediately after entering Patient Details Tap Start Exam and select transducer using the transducer control button The system will use the default exam type and preset Figure 2 7 Start Exam The exam ends when you tap End Exam Figure 2 8 End Exam ...

Page 16: ...nitor andTouch Screen Display Figure 2 9 Monitor clinical display 1 Patient 5 Measurement data 2 Hospital name logo 6 Battery indicator and Snowflake icon to show that image is frozen 3 Exam type transducer 7 Document Browser 4 Image data 8 Wi Fi and Storage Indicators ...

Page 17: ... of parameter buttons Toggle buttons that are selected dese lected by a tap e g Auto Gain Scalebuttonsmarkedbyasliderthatyou hold and slide to adjust parameters e g Dynamic Range Buttonswithdrop downmenustoselect from These are marked by a number of dots related to the number of menu items e g Res Enhance ...

Page 18: ...18 Chapter 2 August 2018 bkSpecto Advanced User Guide 16 01642 01 BasicTouchscreen Buttons Figure 2 11 The basic touchscreen buttons ...

Page 19: ...izes Doppler Dual View Toggles between the two images in dual mode Only appears when dual mode is active Trackpad Positions the pointer measurement calipers and labels Measure Generic measurements Tap the trackpad once to place each caliper Calc Specific measurements for the individual presets Tap the trackpad once to place each caliper Label Opens the Keyboard region with virtual keyboard labels ...

Page 20: ...o their state Table 2 2 Mode button backlight User Preferences When you tap your user name on the touchscreen a drop down menu is displayed Figure 2 12 User preferences drop down menu User Profile Select User Profile Mode selected Note the white line from the mode button to the Gain bar Mode button enabled but not selected This mode is part of a combination mode Mode not selected Mode not availabl...

Page 21: ...e a password for your account Tap Preferences Figure 2 14 User preferences Touchscreen tab On the Touchscreen tab you can Set Audio Volume Use the toggle buttons to select if you want to hear a sound when you tap the touchscreen capture an image capture a clip use a context button or slide a bar Set the touchscreen Brightness Select Trackpad Speed ...

Page 22: ...e Decide if the Clip Button should record a prospective or retrospective video clip Select if all images from the current exam should automatically be added to the Report Figure 2 16 User Preferences Measure tab On the Measure tab you can Decide how the measurement calipers should behave when setting a measurement Select which buttons to disable when Calc is in progress Figure 2 17 User Preference...

Page 23: ...ontrol Tap Brightness Control to adjust touchscreen brightness LockTouchscreen Tap Lock Touchscreen when you want to wipe off the glass keyboard A button will be displayed telling you to touch and hold it for 3 seconds to unlock the touchscreen again A countdown will show Help Tap Help to see a version of this User Guide on the monitor Logout Tap Logout to log out from the system Documents For inf...

Page 24: ...ide 16 01642 01 For information about working with the image see Chapter 4 Working with the Image on page 37 Review After acquiring the image and making measurements tap Review for archiving copying reviewing or deleting the images and reports you made ...

Page 25: ...off Angle Correct Angle correction line in Doppler mode 1 degree increments from 89 to 89 Auto Gain Auto gain makes it possible to have the same brightness across different patients and body parts Auto Gn Level Displays the level for Auto Gain Auto Mode Defines the way Auto Gain is adjusted Biopsy Displays a puncture line or brachy matrix Cine Play Shows the Cine sequence that you have selected us...

Page 26: ...isibility of the needle This button is only visible if you have selected Needle Enhance Persistence Set persistence level of the image Power Doppler Power Doppler ultrasound displays information about the number of particles moving rather than their velocity R L Invert Inverts the image right left Res Enhance Adjusts the balance between resolution and frame rate e g Min gives 1 focus point and a h...

Page 27: ...splayed on the button Hide Color Removes color from the image Image Size The size of the image on the monitor in Invert Invert color coding of flow information so that flow towards the transducer appears blue and flow away from the transducer appears red Live Dual Simultaneous imaging Map Color map MI Set the Mechanical Index The current value is displayed on the button Motion Comp Algorithm to co...

Page 28: ...line or brachy matrix Cine Play Shows the Cine sequence that you have selected using the trim buttons CineTrim End Places the end marker on the Cine sequence CineTrim Start Places the start marker on the Cine sequence D Cursor Doppler cursor Dual Activates deactivates split screen Dual Layout Displays split screen either side by side or top bottom Frequency Select imaging frequency The current ima...

Page 29: ...ssue Index The current value is displayed on the button TIType Select Tissue index type The current value is displayed on the button Trace Activate automaticDoppler curvetracing and specify the type Peak Mean Peak or Mean Triplex 2D Color image and Doppler spectrum both active U D Invert Inverts the image up down Volume Adjust the volume of the audio signal in Doppler mode Wall Filter Turn the wal...

Page 30: ...right left Res Enhance Adjusts the balance between resolution and frame rate e g Min gives 1 focus point and a high frame rate Sweep Speed Setsthenumber ofcyclesofthespectrumdisplayed onthe full timeaxis Thecurrent value is displayed on the button TI Sets theTissue Index The current value is displayed on the button TIType Select Tissue index type The current value is displayed on the button U D In...

Page 31: ...r the selected transducer Opacity Overlay of 2D and elastography Persistence Set persistence level of the image Power Doppler Activates deactivates Power Doppler R L Invert Inverts the image right left Res Enhance Adjusts the balance between resolution and frame rate e g Min gives 1 focus point and a high frame rate Resolution Change the elastography resolution Steer Change the angle of the Dopple...

Page 32: ...ous imaging Map Color map MI Sets the Mechanical Index The current value is displayed on the button Motion Comp Algorithm to compensate for movement Needle Guide Displays the needle guide s available for the selected transducer Persistence Sets persistence level of the image Power Doppler Activates deactivates Power Doppler R L Invert Inverts the image right left Res Enhance Adjusts the balance be...

Page 33: ...s the end marker on the Cine sequence CineTrim Start Places the start marker on the Cine sequence D Cursor Doppler cursor Dual Activates deactivates split screen Dual Layout Displays split screen either side by side or top bottom Image Size The size of the image on the monitor in Live Dual Simultaneous imaging MI Sets the Mechanical Index The current value is displayed on the button Motion Comp Al...

Page 34: ... the 3D volume allowing visualization of structures beneath the surface 3D Photorealistic Adjusts the photorealistic characteristics of the 3D volume 3D Sculpture Turns sculpting of the 3D cube on and off 3DThickness Sets thickness in photo and non photo mode in 3D 3DView Select how the 3D volume is displayed The current value is displayed on the button 3D Zoom Zoom 3DVolume Animation Span Sets th...

Page 35: ...e result of the sculpting Sculpture Method Select between cutting a hole inside the volume cutting away the outside of the volume or using the shave tool Stitch Angle Sets the stitch angle for the 3D transducer StoreVolume Stores the most recent changes to the volume Undo Label Remove the most recent label from the 3D volume Undo Measurement Remove the most recent measurement from the 3D volume Un...

Page 36: ...36 Chapter 3 August 2018 bkSpecto Advanced User Guide 16 01642 01 ...

Page 37: ...images on the monitor are frozen A snowflake appears on the monitor If you tap Freeze again the image returns to its previous state NOTE Some functions are not available when the image is frozen and some are available only when the image is frozen If a control you want to use is missing try freezing or unfreezing the image Partial Freeze and the DualView Button You can only do a partial freeze whe...

Page 38: ...reen can both be imaging simultaneously in this case freezing and unfreezing affect both images To turn simultaneous imaging on and off Tap Live Dual NOTE In simultaneous split screen imaging only one of the views can contain Color or Power mode Therefore if one view has 2D Color or 2D Power the other view contains only a 2D image You can save a simultaneous split setup which image is in which par...

Page 39: ... and to individual frames of archived clips from the same type of ultrasound system NOTE Labels change color when being manipulated When the cursor hovers over them they are orange They are green when you are able to move them When in position and the cursor is not nearby they are white Labels Labels provide a practical way to identify or explain an image You can Place text labels anywhere on the ...

Page 40: ...the label name will change to left Linked labels are located on the same background see Fig 4 1 Type and edit your own labels on screen 1 Tap Keyboard in the input region 2 Type the text you want for the label You can move the label while you are typing it 3 Tap to accept the label text and position To move a label that you have already positioned Tap it and drag it to the new position Tap again w...

Page 41: ...o place a bodymark on the image 1 Tap the Label button 2 Tap the Bodymarks button From the drop down menu select the relevant application The displayed bodymarks will reflect the selected application 3 Select the bodymark you want If you don t see the one you want swipe the input region to see more bodymarks The bodymark appears on the monitor with a highlightedimaging plane indicator 4 Drag the i...

Page 42: ...ne indicator is the way you want it The imaging plane indicator turns orange and can no longer be adjusted If you decide to further adjust the indicator tap the Transducer button in the input region The indicator turns green again Arrows Figure 4 5 Arrow selector You can place arrows on the image to mark areas of special concern To place an arrow on the image 1 Tap the Label button 2 Tap the Arrow...

Page 43: ...age and slide the cine bar to scroll through the frames Cine frame numbers appear on the bottom center of the monitor Figure 4 6 Cine frame numbers indicating that frame no 133 of 448 is being displayed CineTrim You can set start and stop markers to indicate the range of images to be displayed in Cine Play Freeze the image and scroll back through the frames using the cine bar Select where you want...

Page 44: ...ne image or save it 1 When the desired image is displayed tap Measure 2 Make measurements on the image or save it in the usual way NOTE When you move a cine image after you make a measurement the measurement result and markers disappear because the underlying image is different Video Display The image can be displayed on an auxiliary video monitor You can select the video output mode including OFF...

Page 45: ...rest Calculations are predefined measurements intended for measuring organs or ROIs within a particular preset You can make measurements on archived images from the same type of ultrasound system The images must be in DICOM format not bmp For information about the format of stored images see HIPAA Compliance and Exporting Data on page 58 You cannot make measurements on video clips For calculation ...

Page 46: ...ipers another one appears 3 Drag the second caliper to the position you want and tap 4 Repeat this until you have positioned all the calipers for the measurement NOTE The look of the calipers themselves and of any lines that connect them depend on what you are measuring What the Measurements Indicate Results The results of the measurement are displayed continuously updated on the monitor Depth Whi...

Page 47: ...surement Figure 5 2 Positioning 2 calipers on a B mode or Color mode image NOTE The small numbers 1 and 2 shown in Fig 5 2 indicate the order in which the calipers appear The numbers do not appear like this on the monitor To move a caliper after they have all been positioned 1 Use the pointer to tap any caliper and move it to change the length or orientation of the line 2 Tap again to set the meas...

Page 48: ... the left of the image To change the angle measurement after all the lines are positioned 1 Use the pointer to tap any caliper and move it to change the length or orientation of one of the lines 2 Tap again to set the measurement HipTool MeasuringTool The hip tool measuring tool works slightly different from the other measuring tools but in general as the angle tool described above There are howev...

Page 49: ... first and last lines is indicated on the image and the size of the angle appears as a measurement to the left of the image If you just tap and do not move any calipers the default angles are 60º To change the hip tool measurement after all the lines are positioned 1 Use the pointer to tap any caliper and move it to change the length or orientation of any of the lines 2 Tap again to set the measur...

Page 50: ...ellipse to measure volume A circle will be drawn on the monitor Use the trackpad to move the third caliper and widen or lengthen the circle into an ellipse NOTE The axis of rotation critically affects the calculated volume Consider the basic shape of the structure of interest and make sure to place the 2 calipers so that they define the correct axis of rotation See Fig 5 7 All calipers positioned ...

Page 51: ...symbol a plus sign with arrows appears as shown in the center image of Fig 5 8 This symbol means you can move the ellipse 2 Drag it 3 Tap again to set the ellipse Not all of the ellipse has to lie within the ultrasound image Figure 5 8 Moving an ellipse Freehand Drawing on a 2D or Color Mode Image On a 2D or Color mode image you can draw a closed shape freehand To draw freehand 1 Tap 2D Trace A ca...

Page 52: ...rs as shown in the center image of Fig 5 10 This symbol means you can move the shape 2 Drag it 3 Tap again to set the shape Figure 5 10 Moving a shape you have drawn freehand Doppler Mode MeasuringTools Making measurements on a Doppler mode image is different from measuring on a 2D or Color mode image because the Doppler mode image has time as a dimension To avoid getting a negative result success...

Page 53: ...image The appearance of the calipers and whether they are connected by a dotted line depends on what you are measuring Positioning 1 Point Caliper on a Doppler Mode Image If you are measuring something that needs only one caliper position the caliper in the same way as for 2 calipers Positioning 2Vertical Line Calipers on a Doppler Mode Image Two vertical line calipers can be positioned on a Doppl...

Page 54: ...ler Trace measure button A caliper appears 2 Drag it to where you want to start drawing Tap A drawing cursor appears where you tapped 3 Drag the drawing cursor to draw the shape you want You can only drag to the right you cannot drag to the left To delete backward from the cursor tap Back Trace The cursor is automatically moved back 4 When you have finished drawing tap to set the doppler trace Fig...

Page 55: ...safe Always follow the procedures that have been established for your workplace Information relating to HIPAA compliance can be found in the various parts of this chapter HIPAA Compliance and Exporting Data on page 58 Deleting Documents or Exams from the System on page 60 Password Protection of the Patient Archiving System on page 61 Saving Documents Capturing Images andVideo Clips You must have a...

Page 56: ...the browser contains more images than can be displayed on the monitor arrows appear at each end of the line of thumbnails To view a document 1 Use the pointer to point at the document in the browser 2 Tap the touchpad The frame around the document turns green and the document is displayed on the monitor Figure 6 1 The document browser The Review Window Use the Review window to review and manage im...

Page 57: ...emove the parts of the clip that are outside the start and end frames or tap Cut to remove the part of the clip that is inside the start and end frames 7 When you are done tap Save The video clip you have edited will not be overwritten but your edited clip will be added to the clips in the Document Browser and the Review window Viewing Exported Documents on the System Documents that have been arch...

Page 58: ...etwork drive or PACS system are stored in a DICOM format you will not be able to read externally archived documents on a computer unless you have a DICOM viewer Viewing Video Clips on a Computer If the video clip has been exported in DICOM format you can view it with a DICOM viewer If the video clip is not saved in DICOM format you can still view it on a PC but you must have a codec installed on t...

Page 59: ...n you want to copy 3 Tap Export 4 Select the destination format and patient data identification and tap Export again De identify Patient Data is recommended for patient security 5 The data is copied to the selected destination To copy documents from an examination 1 Tap Patient list 2 Double tap the patient whose documents you want to copy 3 Select one or several documents use the Select Multiple ...

Page 60: ...g the Select Multiple or Select All buttons Deleting Documents or Exams from the System You can delete documents and patient records from the system NOTE You cannot delete a document that is in a queue to be sent to a DICOM device To delete one or more documents archived or non archived from the system 1 Double tap to open the examination on the Patient List 2 Tap Review to open the Review window ...

Page 61: ... Pause Exam To resume a paused examination 1 Tap Patient to open the Patient window 2 Tap Paused Exams 3 Select the exam you want to resume and tap Resume Exam Password Protection of the Patient Archiving System To help comply with HIPAA standards the patient archive database on the system can be password protected with a user specific ID username and password NOTE If you archive documents to a CD...

Page 62: ...efore you delete them from the system hard disk Reports Reports are defined for each Preset A report contains information about the patient and the measurements you have made You can add assessment images patient history and comments to a report You can save a report to the patient archiving system and view save or archive it in the same way as you view or save other documents See above for more i...

Page 63: ... if you have made no calculations of the kidneys Adding Additional Comments 1 Tap Comments 2 Add any additional comments to your assessment Editing a Report You can edit a report before you save it To delete or edit a measurement in a report 1 On the Measurements tab scroll or slide till you reach the measurements taken 2 Tap the measurement you want to edit 3 Use the keyboard to edit or delete th...

Page 64: ...n office printer on a network You cannot use an office printer directly with the USB connector on the system The only printers you can connect directly to the system are ones listed as approved in the Product Data information See also the Safety chapter in the bkSpecto User Guide PrintingThumbnail Images To open a thumbnail image and then print it 1 Use the pointer to tap the thumbnail in the Docu...

Page 65: ...a function of time NOTE You cannot change imaging modes when the image is frozen Adjusting theThermal Index Limit Before you use the system check that the TI settings are appropriate The current TI tissue type and limit are displayed in the top left corner of the monitor The absolute TI limit for each tissue type is set by the factory to conform to FDA guidelines and international standards AIUM N...

Page 66: ...nt You can adjust the position of the area in best focus To adjust focus position Flick the Focus bar to move the focus up or down on the image Tru Focus Selected transducers are equipped with Tru Focus This focus enhancement gives you full focus in the entire depth of the image With Tru Focus it is not possible to further adjust the focus position Gain You can control the overall gain of an imagi...

Page 67: ...e The shape of the TGC curve is temporarily displayed to the right of the image as a curved vertical line This indicates the modification that is applied to the default TGC curve To reset the TGC sliders to their central position Tap the Reset button By default the TGC slider window disappears after 3 seconds NOTE The TGC curve operates on the monitor image not on the ultrasound echo Therefore if ...

Page 68: ...o the original image Tap Zoom You can also zoom a frozen image Depth With a full 2D image you adjust the depth to cut out parts below the part you are interested in The image always includes the transducer surface so this key changes the magnification of the image stretching or compressing it Adjusting the depth of a zoomed image changes the magnification even though the transducer surface is not ...

Page 69: ...armonic Imaging True Echo Harmonics TEH Tissue harmonic imaging can reduce noise and improve the clarity of the ultrasound image In normal 2D imaging the transducer uses essentially the same frequency range for both transmitting and receiving In harmonic imaging the image is created by receiving higher frequencies harmonics that are multiples of the transmitted frequency f Tissue harmonic imaging ...

Page 70: ...ing plus improved focusing to help the user see the needle during interventional procedures A needle icon indicates where you will get the best visibility WARNING GS w1 Before you attempt to use BK Medical equipment you should be trained in ultrasonography or be under the supervision of someone who is trained in ultrasonography You should also be thoroughly familiar with thesafeoperation of your u...

Page 71: ...le Enhancement on the parameter buttons A dropdown displays the 3 options Left Off Right Left and Right switches sides on the image and Off returns you to default 2D image quality Activate Needle Enhancement Do as follows 1 Ensure that 2D is active 2 Tap Needle Enhance to select from which side you enter the needle Figure 7 7 Needle Enhance dropdown menu ...

Page 72: ...f flow in the tissues Power mode displays color coded information about the amount of flow but not the direction Power Doppler has a separate parameter button Color Submodes Tap the Col mode button to activate color mode You can then select the submode you want The view must be imaging when you do this Two submodes are available when you tap Color mode imaging Velocity standard color mode Tru Colo...

Page 73: ...ilable You can adjust the position and size of the color box to examine flow in various parts of the B mode image The view must be imaging when you do this To move the color box Drag it with the trackpad To resize the color box 1 Tap the trackpad The corners of the color box turns white 2 Drag right or down to increase the box in width and height 3 Drag left or up to decrease the box in width and ...

Page 74: ...o activate elastography mode Tap the E mode button to toggle between on and off Figure 7 9 Elastography imaging default horizontal view 1 Region of interest ROI 2 Color Map 3 Quality Indicator Proper Training WARNING GS w1 Before you attempt to use BK Medical equipment you should be trained in ultrasonography or be under the supervision of someone who is trained in ultrasonography You should also ...

Page 75: ...d and blue soft If you touch and slide the Map parameter button you can choose from a set of different color codes Quality Indicator The quality indicator displays the amount of pressure being placed on the transducer If the green indicator is at the top transducer compression is at the optimum level but even if the indicator shows only one square the image can be useful A good image is one that c...

Page 76: ...and select E B Ratio 2 Tap on the edge of the ROI in the elastography screen and slide the trackpad to the opposite side of the ROI Tap again to place an E diameter line 3 Repeat the measurement process in the 2D screen to place a B diameter line The E B Ratio appears in the measurement data to the left of the image 1 A measurement circle inside the ROI elastography screen 2 A measurement circle o...

Page 77: ...rm because the information is presented as a frequency spectrum indicating velocity components Turning Doppler Mode On or Off When you turn Doppler mode on 2D must be imaging To turn on Doppler mode Tap PW The Doppler indicator including both the Doppler line and the Doppler gate appears superimposed on the 2D image and the Doppler spectrum appears To position the Doppler gate on a 2D image use th...

Page 78: ... to the Doppler line indicates a sample volume with angle correction Fig 7 13 c The horizontal dotted lines show the false sample volume in HPRF see page 79 To turn off Doppler mode Tap PW Adjusting the Doppler Mode Image Doppler Indicator When Doppler mode imaging is turned on the Doppler indicator is superimposed on the B mode image You can adjust the position and size of the Doppler gate to get...

Page 79: ... a curve that traces the mean or peak values of the Doppler spectrum See Doppler Measurements on page 85 for a description of the curves You can also choose to have both the peak and mean curves displayed To change which curve is displayed or to turn off the display Tap Trace to select Off Peak Mean Peak or Mean To measure higher flow speeds high range setting in a sample volume placed deep in the...

Page 80: ... 2D Selecting any other mode will turn off M mode You can return to imaging with 2D alone by double tapping 2D M mode uses the same imaging frequency and focus settings as 2D NOTE Only a single focal zone is possible in M mode Zooming and panning do not work directly in the M mode image When you make changes in the 2D image they are applied to the M mode image The M Mode Image When M mode is selec...

Page 81: ...he M mode image in the 2D window You can adjust the path of the image by moving the M mode line drag it using the trackpad M Mode Image Ruler The M mode image ruler scales the ruler range of the 2D image to the M mode image Any given value will represent the same position on both the M mode and 2D images It is not possible to change the ruler ...

Page 82: ...t area 2 Tap Save Preset The Save Preset window appears Figure 7 15 The Save Preset window 3 Enter a name for the preset and select the options you want from the drop down menus 4 Tap Save Default Exam Types and Presets You can change the default Exam Type and preset for a transducer When creating a new preset as in Saving a Preset above tap the toggle button Make this Preset the default for this ...

Page 83: ...to User Guide What Is an ExamType An Exam Type is a pre defined configuration for the layout and user interface of the monitor There are different Exam Types for different types of examinations Your choice of Exam Type determines Patient information fields needed for the examination Specialized presets Layout of buttons on the touchscreen including which buttons are available Labels and bodymarks ...

Page 84: ...Brachytherapy Exam Type starting on page 89 Measurements Figure 8 1 Touchscreen showing available measurements Each Exam Type contains a set of measurements and calculations that are appropriate for a specific type of examination Measurements vary according to the specific Exam Type but the general instructions for making a measurement are the same To make a measurement 1 Tap Measure 2 Tap the nam...

Page 85: ... appears at the left side of the monitor Figure 8 2 Measurement results Doppler Measurements Many Exam Types contain Doppler measurements as most vascular calculations involve making measurements on a Doppler FFT spectrum You can fit a curve to the spectrum either automatically see Doppler Trace Automatic Curve Tracing on page 79 or manually and then make measurements on the curve Two curve types ...

Page 86: ...ppler angle is active or not This type of curve is a trace of Peak Max maximum points of the spectrum those farthest from the baseline Mean mean points of the spectrum WARNING M w2 Drawings of Doppler curves manual and automatic are meant as tools for positioning cursors so that measurements based on the curves can be calculated automatically The system has no facilities for checking whether the a...

Page 87: ...itor is continuously updated while you position the second ellipse or circle RI and PI Resistance Index and Pulsatility Index The resistance index Pourcelot index is based on the peak systolic velocity Vmax and the end diastolic minimum velocity ED Ved in a supply vessel RI indicates the level of impedance to blood flow a high RI suggests increased peripheral vascular resistance The pulsatility in...

Page 88: ... frequency 3 Position the second marker at the end diastolic ED frequency The Ps Ed PI RI and S D measurements are displayed to the left of the image Minimum two cycles must be included between the time cursors and the calculated index is an average over the cycles NOTE Make sure that the trace appears to be a good fit to the spectrum so that the basis for the automatic calculation is correct To m...

Page 89: ...he Brachytherapy ExamType The Brachytherapy Exam Type is designed for ultrasound guided brachytherapy and cryotherapy for prostate cancer This Exam Type helps you measure the volume of the prostate NOTE If you have the VariSeed or Live Image Transfer licenses activated the image size is locked by default for the Brachytherapy exam type NOTE Before you perform any puncture procedure including brach...

Page 90: ...tline of the structure thereby creating a set of parallel section measurements of the structure These parallel sections the outline measurements are used to estimate the volume of the structure based on several equally spaced slices The accuracy of this method depends on starting the measurements in the correct place Start at one end of the organ where the image shows an area of as close to 0 as p...

Page 91: ...cedure including Brachytherapy NOTE It is important to verify that you are using the correct needle guide The number of the guide is displayed on the monitor Make sure the number corresponds to the guide you are using If it doesn t tap Needle Guide to select the proper needle guide When you use a transducer such as the E14CL4b for brachytherapy a brachytherapy needle guide matrix brachy matrix is ...

Page 92: ...he horizontal position of the needle no matter where it is in the vertical direction To move the ruler to the left or right 1 Open the Needle Guide setting as described in Needle Guide Tab on page 140 2 Use the pointer to tap on the dropdown menu for Move left right 3 Select your preferred value and check Display ruler on sagittal views The vertical line disappears and the ruler markers appear in ...

Page 93: ... before doing biopsies Read Care and Cleaning for sterilization instructions Read bkSpecto User Guide before system use Contents Diagnostic Presets Setting up the Patient Patient ID Imaging Controls Annotations Labels and Bodymarks Measurements and Calculations User Reports Capturing and Documenting Images Customization Examples Links to Additional Information Diagnostic Presets Once you have sele...

Page 94: ...nter the PSA Prostate Specific Antigen before you image Imaging Controls 2D B mode Imaging starts in 2D To return to imaging with 2D alone after you have been using it in combination with other modes double tap 2D Overall Gain Adjust gain by sliding the gain bar on the touchscreen when the image is not frozen Different gain at different image depths adjusting the TGC curve Tap TGC and move the TGC...

Page 95: ...e user guide for the transducer or Tap T S or E on the touch screen NOTE When you change image orientation U D you may need to adjust the TGC settings for the B mode image See TGC on page 67 Biopsy To display a puncture line on the image for biopsy guidance Tap Biopsy on the touchscreen Remember to check that you are using the correct needle guide The number of the guide is displayed on the monito...

Page 96: ...y that the type number of the needle guide displayed on the monitor corresponds to the needle guide that you are actually using If the number is incorrect the puncture line on the monitor may not correspond to the true puncture path in the tissue Watch the needle tip WARNING P w4 The puncture line on the image is an indication of the expected needle path The needle tip echo should be monitored at ...

Page 97: ...els are linked This means that if you have selected Right and afterwards tap Left the label name will change to left Linked labels are located on the same background see Fig 9 2 Type and edit your own labels on screen 1 Tap Keyboard in the input region 2 Type the text you want for the label You can move the label while you are typing it 3 Tap to accept the label text and position To move a label t...

Page 98: ...ove button A green frame appears around the bodymark 2 Drag it to the position you want and tap again To replace a bodymark To replace an existing bodymark with a different one tap the new bodymark To remove a bodymark from the monitor Tap the Delete button Unless you delete it or replace it with a new one a bodymark will remain on the monitor until you change Preset or begin to image a new patien...

Page 99: ...rrow selector You can place arrows on the image to mark areas of special concern To place an arrow on the image 1 Tap the Label button 2 Tap the Arrows button and select the arrow you want The arrow appears highlighted on the monitor 3 Drag the arrow to the position you want and tap again 4 You can add another arrow by selecting it To delete an arrow tap Delete To delete all arrows from the image ...

Page 100: ...n of ProstateVolume To measure prostate volume width height and length 1 Tap Calc 2 Tap Prostate V W H L The width W caliper appears automatically 3 Position the first caliper and tap 4 Position the second caliper and tap The height H caliper appears automatically 5 Repeat measurement Length L the last set of measurements appears automatically 6 Repeat measurement 7 When you have finished measurin...

Page 101: ...m into the image frames in the Report window 3 Comments put in Patient and Comments appear in the report 4 Tap Print to print the report on the report printer see Printers Tab on page 148 before saving it 5 Tap Store Report Image to save the report Capturing and Documenting Images Cine Review To use cine review 1 Freeze image 2 Use the cine bar to scroll back through imaging Capturing Images Captu...

Page 102: ...d on the Monitor To print an image displayed on the monitor Tap the Print button bottom left on the touchscreen Printing fromThumbnail Images You must open the images in order to print them To open a thumbnail image and then print it 1 Tap Review 2 Select the image you want to print 3 Tap the Print button bottom left on the touchscreen To set a different printer as default for the Print button See...

Page 103: ...e following chapters Layout of controls on the monitor and how to use them Chapter 2 Getting Started Names of screen controls and what they do Chapter 3 Controls on the Touchscreen Working with images Chapter 4 Working with the Image Making measurements Chapter 5 Making Measurements Documenting the image and results Chapter 6 Documentation Using different imaging modes Chapter 7 Imaging Modes List...

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Page 105: ...ng on 3D will turn the mode or function off and turning off 3D will not turn it on again NOTE Acquiring a 3D volume with some color maps may result in faulty colors for some pixels To avoid this the system selects a default pure grayscale instead Making measurements on a 3D cube is not the same as making measurements on a 2D image as described in Chapter 5 Making Measurements 3D License The 3D fun...

Page 106: ...guide BB1894 Untracked Freehand Acquisition Untracked linear and fan acquisitions freely moving the transducer while you acquire a 3D data set are allowed with any transducer However certain combinations of motion and transducer will not produce a sensible 3D volume Imaging Direction You must select the imaging direction that you plan to move the transducer in 3D Direction The 3D View you choose g...

Page 107: ...tart the 3D image acquisition 1 Check all the connections Connect the mover if needed 2 Choose the preset you want 3 Optimize the 2D image NOTE You cannot turn on 3D if the image is frozen NOTE You cannot acquire 3D data sets unless you have entered a patient ID If you have not entered a valid patient ID you will be prompted to do so The default patient ID is the current time and date Adjusting th...

Page 108: ...tion of the recording Imaging Direction Untracked freehand Before you acquire an untracked freehand data set it is essential to select the appropriate imaging direction so that the 3D volume will be reconstructed correctly Be especially careful if you have changed the orientation right left or left right of the 2D image changed its orientation In this case the system will not make any automatic ad...

Page 109: ...e 3D Photorealistic Presets After you have set Brightness Contrast and Zoom and any other 3D settings you can save your settings as a Preset Do as follows 1 Tap Preset 2 Select Save Preset 3 Type in a name for your preset 4 Keep or change the Label Calc and Bodymark packages 5 Decide if the preset should be the default for this transducer 6 Tap Save 3D Layout Options When you view the acquired vol...

Page 110: ...ce is called a cut plane The cut plane can be parallel to a one of the original faces of the volume or at an angle tilted relative to the axes of the volume To slice the volume 1 Move the cursor onto one of the volume faces The cursor looks like this 2 Tap and use the trackpad to drag the cursor to move the plane through the volume until the cut face you want is visible 3 To restore parts of the v...

Page 111: ...l 4 Tap You can drag the label to reposition it before you tap however after you tap you cannot edit the label only delete it You can add additional labels 5 When you have added all the labels you want tap 3D Label again 6 Tap Store Volume To add an arrow to a 3D view 1 Tap Arrow The cursor appears on the 3D volume with an arrow 2 Drag the arrow to change its direction and place it where you want ...

Page 112: ...ed to position a point to make a 3D measurement you cannot move the point You can only complete the measurement if it requires more points and then delete the measurement and make a new one To make a 3D distance measurement 1 Tap Measure Dist 2 Tap to position the points of the measurement The measurement is displayed underneath the 3D volume MeasuringVolumes To make an HWL measurement 1 Tap HWL 2...

Page 113: ... You can undo several times to remove more than one measurement You can also Redo Measurement if you have used the Undo Measurement button To delete all measurements Tap Clear Measurements NOTE For information about accuracy of measurements on acquired and reconstructed planes see the bkSpecto User Guide Render View Rendering dramatically improves 3D visualization It is useful for looking in detai...

Page 114: ...lume The shaving tool To use the sculpting tool 1 Tap 3D Sculpture 2 Tap Sculpture Method to select Inside Outside or Shave 3 If you select Inside you can adjust how deep you want to cut Tap Sculpture Depth and move the slider to adjust the percentage that is removed when you move the cutting tool 4 Use the different tools as described below 5 To turn off the sculpting tools tap 3D Sculpture To us...

Page 115: ...nd reveals the peak velocity regions of a volume It is useful for Looking at maximum flow jets Visualizing skeletal structures beneath tissue Looking at vascularization Transparency View Transparency rendering which is only possible when you have acquired the 3D volume using Color or Power mode lets you adjust the relative transparencies of the color and the gray scale parts of the volume This can...

Page 116: ...hin the volume The planes can be moved by adjusting them in the intersecting view Figure 10 2 The 3D 4 Up View window Move the XYZ planes in the intersecting view to see the different planes X Y and Z respectively 6 Up View In addition to the views in the 4 Up view this view contains a Cube view and a sixth view which is the view most recently displayed MIP Render Transparency or Cube ...

Page 117: ...ist is blank you can retrieve the information To retrieve a worklist 1 Use the drop down window in the upper right corner to select the dates you want the list to include 2 Tap Update The worklist appears in the window If there are more patients than can fit in the window you can scroll down to see the rest of the list To select a patient from the worklist 1 Double tap the row that contains the pa...

Page 118: ...ion is being transferred to the PACS transfer may fail Documents and information may not be stored in the PACS even though they appear to have been transferred successfully from the system DICOM Status A DICOM status indicator appears by the display values to the right of the image It has a colored light next to it Table 11 1 DICOM status indicators If you tap the DICOM status indicator the DICOM ...

Page 119: ...the selected device PING C ECHO Details see log of DICOM transactions this is useful for a service technician Close closes the window and does nothing else To update the transaction log tap Update NOTE You can also open the DICOM Status window from the DICOM Setup window See DICOM PACS Tab on page 149 Deleting a Document NOTE You cannot delete a document from the system that is in a queue to be se...

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Page 121: ...n from the real flow This can occur when the PRF used for the Doppler signal detection is not high enough compared to the flow speed The problem only exists with pulsed wave Doppler detection Angular Compound Imaging See ACI array transducer A transducer that consists of a set of transducer elements each capable of transmitting and receiving ultrasound Auto Cardiac measurement PS ED RI PS ED B A E...

Page 122: ...mode gain The Color mode signal flow speed is dependent on the angle of the ultrasound beam relative to the flow direction color priority When color information is superimposed on a 2D image color can appear outside vessels making it appear that the flow is not restricted to the vessel To minimize this effect you can adjust the color priority Make the color priority lower to have less color outsid...

Page 123: ... is presented as a frequency spectrum indicating velocity components duplex Simultaneous imaging in 2 modes See combination mode dynamic range Thenumberofsteps grayscalechange between blackandwhite EDC Expected date of confinement EMC Electromagnetic compatibility ESD Electrostatic discharge ExamType An application package containing presets measuring tools and calculation formulas F1 F2 Frequency...

Page 124: ... Gradient phased array A technique to control the image area by using time delays on an array transducer PI Pulsatility index planimetry Measuring the surface area and perimeter of an object by tracing its boundaries POI Point of interest Power Doppler See Power mode Power mode Power mode power Doppler ultrasound displays information about the number of particles moving rather than their velocity ...

Page 125: ... monitor that looks like a key or button spectral Doppler See Doppler mode SS Start systole steering You can steer the Doppler beam of a linear transducer to vary the beamangle Thiscanbeuseful forexaminingflowinbloodvessels parallel to the transducer surface ON standby button The switch on the back of the system used for turning the system on and off each day TAM Time Average Mean TAMX Time Averag...

Page 126: ...vement of blood vessel walls in Color Power and Doppler modes The wall filter cuts off all frequencies below its cutoff frequency You can adjust the cut off frequency width For some transducers you can increase the width of the image areabeyondnormalfullwidth Withlineartransducerarrays thisis sometimes referred to as Trapezoidal View You can also narrow the image width to increase frame rate Term ...

Page 127: ...roximal Auto Auto Doppler Calculations PS ED RI PS ED Bladder Bladder Outline Curved Distance General Open FreehandTool Dist LRA Left Kidney Distance LRA Dist RRA Right Kidney Distance RRA Distance General DistanceTool DorsalVn Dia Dorsal Vein Diameter Flaccid Post Injection DTrace Freehand Doppler FreehandTrace Tool E B Ratio E B Ratio Ellipse Ellipse various organs HipTool General 2 Angle Tool H...

Page 128: ...oid Bladder Length PostVoid BlV Ellipse Post Void Bladder Volume Ellipse PostVoid BlVW H L Post Void Bladder Volume Width Height Length PostVoid BlW Post Void Bladder Width Pre Void Bl H Pre Void Bladder Height Pre Void Bl L Pre Void Bladder Length Pre Void BlV Ellipse Pre Void Bladder Volume Ellipse Pre Void BlVW H L Pre Void Bladder Width Height Length Pre Void BlW Pre Void Bladder Width Prostat...

Page 129: ...ey Length Rt KidneyV Right Kidney Volume Rt KidneyW Right Kidney Width Rt SkinThickness RightTesticle SkinThickness RtTesticle H RightTesticle Height RtTesticle L RightTesticle Length RtTesticle V RightTesticle Volume RtTesticle W RightTesticle Width SeminalVesicles Seminal Vesicles Outline Strain Ratio General Strain RatioTool Urethra Urethra Outline Volume General Volume Tool using Ellipse 3 dis...

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Page 131: ... bkSpecto includes default setups that were created to optimize the ultrasound images and make it easy for you to use the different transducers Exam Types and presets You can customize the system so that it is easy to enter and select exactly the information you need Figure C 1 The Settings screen ...

Page 132: ...esets and to adjust the position of needle guides Configure Layout to configure the button layout for exam type and imaging mode Store Network for storing and clip capture preferences printer connections DICOM PACS connections and Wi Fi connection Security for system administrators only Select password protection and login logout preferences User manager window 3D 4D Service for import export and ...

Page 133: ...to be displayed with the hospital name Select date format date and time format Decide if you want to add Optional Header Info Swipe forward to add a logo for your institution DisplayTab Figure C 3 System Display tab first view Figure C 4 System Display tab swiped forward On the Display tab there are several options for customizing your touchscreen and monitor Use the radio buttons slide buttons an...

Page 134: ...om the input area by dragging it to the empty field marked with a below Prev Exam Date 2 You can swipe the bottom part of the tab to get to more empty fields marked with The fields will be displayed next time you tap the Patient Details window MiscTab Figure C 6 System Misc tab On the Misc tab you can adjust language and location settings and set up video output Note that changes to these settings...

Page 135: ...sets available for the selected Exam Type Use the toggle buttons to select which Exam Types and Presets should be visible DefaultTab Figure C 8 Default presets The Default tab shows the default presets for the individual transducers ManageTab Figure C 9 Manage presets On this tab you can import and export rename and delete presets ...

Page 136: ...you can Select Doppler Trace Color scheme for Peak Trace and Mean Trace Use the radio buttons to decide the behavior of the Volume Tool the Reduction Tool and how the Report should be displayed Set Default Heart Cycles on the dropdown menu Use the radio buttons to adjust Distance Units and swipe Height Weight Units Calc ListTab Figure C 11 Calc list tab ...

Page 137: ...n the Results tab you can select which results will be displayed when you do the different measurements Note that you can only change the results when the toggle buttons are highlighted Use the dropdown to select Exam Type and swipe the tab to see all results Tap Assign to Preset Select Exam Type Use the Add and Remove buttons to move your choices from the Available Presets column to the Assigned ...

Page 138: ...ab Figure C 13 The Measure Calc Preferences tab On the Preferences tab you can use the dropdowns to select the ICA CCA Ratio Renal Aortic Ratio and decide if you want to see all Doppler results on the monitor in absolute values LabelingWindow Labels Tab Figure C 14 The Labels tab ...

Page 139: ... the preset and transducer labels assigned to each Exam Type Tap Restore Factory Defaults to replace the presets for this Exam Type with the factory defaults Remove labels you don t need BodymarksTab Figure C 15 Labeling Bodymarks tab Tap Assign to Preset Select Exam Type Use the Add and Remove buttons to move your choices from the Available Presets column to the Assigned Presets column Remove wil...

Page 140: ...ach Exam Type Tap Restore Factory Defaults to replace the presets for this Bodymark Package with the factory defaults Needle GuideTab Tapping the Open Needle Guide button opens the Needle Guide window on the monitor Figure C 16 Needle Guide window on monitor with Brachy Matrix setup Tap Assign to Preset Select Exam Type Use the Add and Remove buttons to move your choices from the Available Presets...

Page 141: ... Check the Display ruler on sagittal views checkbox and tap Save User Defined Matrices including Brachy andTransperineal User defined matrices are listed in the lower part of the Brachy Matrix Setup window Fig C 16 You have the following options for user defined matrices Offset changes WARNING P w3 Changes you make to the offset of a programmable puncture guide or brachy matrix will affect ALL pro...

Page 142: ...w matrix Copy Creates a new user defined matrix as a copy of the currently selected matrix The name of the new matrix is the name of the existing matrix plus an index number You can then edit the copy to create a new user defined matrix Edit Opens the Measurement Definition Wizard so you can edit the selected user defined brachy matrix Delete Deletes the selected user defined matrix You are asked ...

Page 143: ...et of the matrix The system calculates the number of rows and columns and the hole spacing in each direction Tap OK when cautions about this appear on the touchscreen When the both offsets are 0 the matrix looks like this Assuming that the transducer is at the bottom of the image positive offsets move the matrix to the right or up negative offsets move it to the left or down 4 Tap Next ...

Page 144: ...Display labels you can enter names for the rows and columns Tap Next 6 Enter the width and height of the ruler the horizontal and vertical spacing between markers holes cm and the horizontal and vertical offset of the ruler The system calculates the number of rows and columns and the hole spacing in each direction When the both offsets are 0 the matrix looks like this ...

Page 145: ...on NOTE The best accuracy that can be expected is a 3mm deviation Check the alignment of a reusable needle guide or transperineal biopsy matrix if you have any reason to suspect that it has been damaged BK recommends that you check them once a month or more often in case of heavy use To check the alignment of puncture guides and matrices 1 Fill a suitable tank with saline The concentration of the ...

Page 146: ...e holder 8 Then put the transducer mounted in the holder and with the grid attached into the saline making sure that the transducer arrays are fully immersed 9 Verify that there is a image on the monitor and that the image isn t frozen 10 Insert a needle through hole D4 in the grid The needle echo appears on the monitor If the echo is superimposed on the dot in the matrix on the monitor then inser...

Page 147: ...to that screen 3 Drag the buttons you want from the input area to the empty buttons marked with a in the parameter area You can move the buttons you use most frequently to the fast button area just above the mode buttons 4 You can also add a mode to the empty mode button above the Gain bar The fields will be displayed next time you tap the Exam Type mode you have configured To remove buttons from ...

Page 148: ... Button dropdown to select where to store images When storing to the Local Archive you can see all data in the Patient List Use the Clip Length and Frame Rate dropdowns to select these values for prospective captures recording or retrospective captures capturing video clips based on the most recent cine loop PrintersTab Figure C 19 Printers tab On the Printers tab you can select and set up default...

Page 149: ... DICOM PACS to open the DICOM window on the monitor Figure C 20 DICOM window on monitor You can open the DICOM Status Window by clicking Status Wi FiTab To connect to a wireless network tap Configure Wi Fi to open the Wi Fi window on the monitor Do as follows Use the trackpad and pointer to navigate the Wi Fi window Choose the appropriate network and tap Connect Type in the password and wait for t...

Page 150: ... the bkSpecto User Guide SecurityWindow This window is only available to system administrators GeneralTab Figure C 22 Security General tab On the General tab you can select if the system must be password protected if the system should remember the last logged in user when starting up and if the user should be logged out automatically after a specified period ...

Page 151: ...must view and edit the profile in order to select specific settings for this user View Profile To view and edit user profile 1 Select user and tap View Profile 2 In the General view add or replace user photo 3 Tap the toggle button to select if Password required during login should be activated 4 If a password is required type in the password according to the instructions on the screen 5 Use the r...

Page 152: ...screen capturing an image capturing a clip using a context button or sliding a bar Set the touchscreen Brightness Select Trackpad Speed Figure C 25 User Preferences Behavior tab On the Behavior tab you can Select sliding direction on the Depth bar Select system reaction At Freeze Decide if the Clip Button should record a prospective or retrospective video clip Select if all images from the current...

Page 153: ...he measurement calipers should behave when setting a measurement Select which buttons to disable when Calc is in progress Figure C 27 User Preferences Label tab On the Label tab you can Decide how the user should enter labels Select if labels or bodymarks should be cleared at Unfreeze Figure C 28 User Preferences Actions tab ...

Page 154: ...D General tab you can decide whether the system will select the 3D region of interest marker automatically or not ServiceWindow GeneralTab Figure C 29 Service General tab On the General tab you can select Enable Extended Logging You can also export and import Presets User Profiles and System Settings and export Logs And you can restore the Default User System Settings and Clear the Patient Archive...

Page 155: ...lete You must restart the system after any changes to the licenses in order for the changes to take effect About Tab Figure C 31 Service About tab On the About tab you will find information about e g the version of the installed software which will be useful if you need service for the system TP LicensesTab Figure C 32 Service TP Licenses tab On the TP Licenses tab you can see which third party li...

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Page 157: ...moving baseline to overcome 121 angle correction line drawing of 78 Angular Compound Imaging See ACI Archive window sorting and rearranging columns 60 archiving clearing space on hard disk 62 description of system 56 password protection 56 to a PACS 62 118 to CD wait to delete from hard disk 62 array transducer 121 Auto Cardiac measurement 121 automatic curve tracing Doppler mode 79 Automatic Plan...

Page 158: ...ting 64 saving 55 types 55 document browser and archiving system 56 images in 101 documents copying to a CD or USB storage device 59 deleting 60 Doppler gate moving 79 picture 78 resizing 79 Doppler indicator on B mode image 77 picture 78 Doppler line picture 78 Doppler mode aliasing 121 automatic curve tracing 79 definition 123 Doppler trace 79 HPRF 79 sample volume 78 sweep speed 79 turning off ...

Page 159: ...easurement 123 Linked Split Dual 38 login to system 61 M MD minimum diastole correct placement of marker 86 in pulsatility index 88 measuring PI manually 88 measurements clearing 47 depth 46 D mode 52 making 46 on a cine image 44 on archived images 45 results 46 measurements 3D warning 106 113 measuring tools 2D 47 angle 47 circle 49 color mode 47 distance 47 Doppler 52 Doppler outline curve 54 el...

Page 160: ... placement of marker 86 real time measurement 89 PSA 124 PSAD definition 124 pulse repetition frequency 124 puncture performing 91 puncture line 91 warning to verify needle guide number 96 warning to verify transducer type number 95 puncture guide verify that number is correct on monitor 91 PW Doppler 125 R real time measurements PI 88 Render view 3D 113 report about 62 changing page 62 creating 6...

Page 161: ... equipment 74 transverse imaging plane 37 95 trapezoidal view 126 triplex definition 125 triplex See combination mode True Echo Harmonics See tissue harmonic imaging Tru Focus 66 V vascular calculations correct placement of markers 86 Vector Flow Imaging See VFI video clips format 57 58 format of copied 58 saving 55 viewing on a computer 58 viewing exported documents on external computer 58 export...

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