Quick Reference Guide - MyLabFive
Quick Reference Guide - MyLabFive
Introduction
This Quick Guide describes only the basic operating procedures for MyLabFive
ultrasound system, named in the following chapters as MyLab.
The precautions and detailed operating procedures are described in the operator’s
manuals (Getting Started, Safety & Standards, Transducers & Consumables and
Advanced Operations) provided with the system. Carefully read the operator’s
manuals provided with the system before operating the system.
In this manual control panel keys and software keys are graphically
differentiated:
Control Panel Key- Indicated directly by BLUE CAPITAL LETTERS or by the key
icon (for instance ).
Software Key- Indicated by BLACK CAPITAL LETTERS.
The enter and context menu keys are respectively indicated as ENTER and UNDO
keys in this manual.
Starting
4. Screen Lay-Out
5. Trackball Functions
PERFORMING AN EXAM
6.
7.
8.
Working in B-Mode
Working in M-Mode
Working in CFM and Power Doppler
an Exam
9. Working in Doppler
10. Multi View and Zoom
11. Frozen Images
12. Saving Images and Clips during the Exam
13. Reviewing Saved Exam Images and Clips
14. Measurements
15. Body Marks
16. Entering Annotations
17. Printing Images
Starting an Exam
18. Ending the Exam
19. Reviewing the Archive
1- Turning the System ON
Procedure
1. Check that the power cable is
connected. Switch the power on Note
by pressing the POWER Switch At power-up, the system prompts the operator to archive the last exam performed
placed on the back of the system. if the system was switched off without first closing the exam in progress.
2. Switch the system on by pressing
the STANDBY button. Turning the System OFF
3. The Exam Start page appears
after a certain time
Procedure
Note
Some time is required before the Start 1. Press the Standby button on the front to shut down the system.
Exam page is displayed on the screen after 2. Wait for the system to be shut down before powering off the system
the system is turned ON. by the System POWER Switch.
Do not turn the system off
CAUTION during the initialization
Starting an Exam
This is a PC based system; data loss or driver damage may occur
phase: the hard disk could be
if the system is turned off while working. It is MANDATORY
damaged by this operation.
CAUTION that the operator interrupts any pending PC operation prior
System POWER Switch to turning the system off. Make sure that no heading archival
system icon has a flashing yellow frame.
2- Starting an Exam
Procedure
At power-up, at the end of the initial auto-test, and at the start of every new
exam new exam (START END key) the system shows the following screen. 1. Using the trackball place the cursor into the first Patient Data field
and press ENTER.
2. Enter the patient’s data using the keyboard.
1. Patient Data 3. The Back Space key is used to remove input characters.
2. Application 4. To rapidly move through the different items, use the Tab key.
3. Preset 5. Place the cursor on the desired application and press ENTER to
4. Probe confirm.
5. Application Data
6. Place the cursor on the desired preset and press ENTER to confirm.
7. Place the cursor on the desired probe and press ENTER to confirm.
1
8. When required, enter the additional application data.
9. Place the cursor over OK and press ENTER to start the exam.
The CURRENT key retrieves the patient data of the last exam. If a patient
2 is already in the archive, the EXAM LIST retrieves his/her data from an
archived exam.
5 3
Starting an Exam
3- Changing the Settings
during the Exam
PROBE/PRESET SOFTWARE KEY toggles
Procedure
1. Press the PROBE/PRESET key. The Probe&Preset menu is displayed.
2. Move the cursor on the required Preset and/or Probe and press
SOFTWARE KEY buttons
ENTER to select it.
3. Place the cursor on OK and press ENTER to confirm. The changed
probe/preset is displayed on the screen.
Note
The PROBE/PRESET key allows the user to create, modify and save presets in real
Software keys
time in any application.
The PROBE/PRESET key allows the user to save all the adjustments done
in real time in the preset in any application.
Procedure
1. Press the PATIENT ID soft key. The Patient Data screen is displayed.
2. Modify the desired data.
3. Place the cursor on OK and press ENTER to confirm: the changed
Starting an Exam
data are displayed on the screen.
ACTION Key
Software keys for controls scrolling
When several cursors are present on the screen, the ACTION key scrolls
Software key buttons
through the cursor and activates the active cursor.
The screen is divided in three main areas:
• Heading: this area is used for displaying the icons of the following:
trackball, archival systems, configured peripheral units; it also shows
Trackball
the following information: center and patient data, and the date. Icons
• Image Area: the display of the image depends on various factors
Active icons are displayed in green, icons
such as active mode, selected application, and transducer.
to be activated are displayed in yellow.
• Software Keys
Starting an Exam
My Notes My Notes
Starting an Exam
My Notes
Performing
an Exam
Performing an Exam
6- Working in B-Mode
The system switches automatically to the B-Mode format each time a new
exam is started. The B-Mode format can be redisplayed from any other mode
using the B-MODE key. 3. Adjust the display format.
Press REVERSE to change the right/left or left/right orientation,
POWER
depending on the application.
Press ORIENT to change the sector orientation (high/low).
Press SIZE to change the scanning angle.
Note
To adjust gain according to depth, use the TGC slide controls on the right of the keyboard:
move the cursors to the right to increase and to the left to decrease the gain.
Automatic adjustment of both gain and TGC correction can be activated on the system
by pressing the Adjust button. Automatic adjustment can be deactivated on the system
by pressing again the Adjust key; then the image on screen will be again related to the
gain level set manually and the position of the TGC sliders.
Performing an Exam
Rotate counterclockwise to decrease the gain.
2. Adjust the depth (DEPTH toggle key).
Toggle down to increase depth (it reduces the image).
Toggle up to reduce depth (it enlarges the image).
2D Image Optimization
My Notes
These software key commands are mainly “subjective” and patient-
dependent. The following software keys allow:
• MVIEW key: the M-Mode image will be the result of different bidimensional
images acquired with different steering angles. Different MView values
correspond both to different view lines and steering angles.
• TP-VIEW key: Expands the linear view to an trapezoidal view
• X-VIEW key: to enhance tissue margins and tissue resolution to increase
diagnostic confidence, eliminating speckle and noise artefacts.
• DYN RANGE key: to characterize tissue structures reacting to compression
echoes (higher values smooth the image).
• SHARPNESS key: to accentuate the edges and the small differences in
tissues.
• DENSITY key: to optimize image quality.
• COLORIZE key: to select a chrominance scale.
• PERSIST key: to change the persistence level (higher values increase image
perception and decrease the discrimination of moving structures).
• GRAY MAP key: to change or to modify the desired post-processing curve.
Performing an Exam
7- Working in M-Mode
POWER
Procedure
1. Adjust the frequency (FREQUENCY toggle key).
2. Press the TEI key to activate the TEI mode, which improves the
brightness of the image by decreasing acoustic noise.
Toggle FREQUENCY key to select the TEI frequency (RES value to
improve resolution, PEN to improve penetration).
3. Adjust speed (SWEEP key).
4. Adjust the gain (Grey gain knob on the right).
Rotate clockwise to increase the gain.
Rotate counterclockwise to decrease the gain.
ACTION LINE/UPDATE M-MODE B/M Gain 5. Adjust the 2D real time display (B-FORMAT key).
6. If necessary, press B-REF to view the M-Mode trace at full screen.
7. Toggle the POWER key to change the transmitted power, using the
Activating M-Mode minimum power compatible with a diagnostic level of the images.
Procedure
1. Press LINE/UPDATE key to display the M-Mode cursor.
2. Position the cursor with the trackball on the relative B-Mode line.
3. Press M-MODE to activate M-Mode analysis.
Performing an Exam
M-Mode Display Optimization
My Notes
The following image parameters can be individually adjusted using the
following software keys:
• DYN RANGE key: to characterize tissue structures reacting to the
compression echoes (higher values smooth the image).
• COLORIZE key: to select a chrominance scale.
• GRAY MAP key: to change or to modify the desired post-processing
curve.
• SHARPNESS key: to accentuate the edges and the small differences in
tissues.
• PLEX key: to activate and update the 2D reference, maintaining the
trace in real time.
Note
During the exam, UPDATE freezes the trace and leaves the 2D reference in real time,
making the B-Mode format software commands available.
Compass M-Mode
The following image parameters can be individually adjusted using the
following software keys:
• LINE key: to freely orient the active scanning line. The ACTION key
switch among the lines when there are two.
• B FORMAT key: to select Dual format for two scanning lines.
Performing an Exam
• LINES key: to activate the second scanning line in Dual format.
• FREE key: to independently orient each line.
8- Working in CFM and
Power Doppler
CFM POWER
3. Activate the CFM ROI cursor by pressing the ACTION key to change the
ROI size. The ROI can then be resized using the trackball.
Move upward to reduce the ROI vertically.
Move downward to enlarge the ROI vertically.
Move to the right to enlarge the ROI laterally.
Move to the left to reduce the ROI laterally.
4. Press ACTION to confirm.
Procedure
CFM Gain ACTION
1. Adjust the velocity range (PRF key).
2. Adjust the color gain (Grey gain knob on the left).
Activating the Color Mode Rotate clockwise to increase the color gain.
Rotate counterclockwise to decrease the color gain.
3. Adjust frequency (FREQUENCY toggle key).
Procedure Increase the frequency to show low speeds, reduce the frequency to
show high speeds.
1. Press CFM to activate Color Flow Mapping mode (optional feature). Press
PWR D to activate the Power Doppler mode or press TVM to activate the 4. If necessary, adjust the Color steering (D-STEER key).
Tissue Velocity mapping, when available.
2. Position the CFM ROI using the trackball.
Performing an Exam
When the steering is set to the maximum step, color dots could
WARNING be displayed because of artifacts. Should this happen, reduce the
steering by one step.
My Notes
Performing an Exam
• COLOR MAP key: to select different CFM maps or to adjust the scale.
9- Working in Doppler
AUDIO CW PW
Procedure
1. When required, press TV to activate the Tissue Velocity Doppler, when
available.
2. Adjust the Doppler gain (Doppler Gain key).
Rotate clockwise to increase the Doppler gain.
Rotate counterclockwise to decrease the Doppler gain.
3. Adjust the velocity range (VELOCITY key).
4. Move the zero line up or down (BASEL key).
5. Adjust the frequency (FREQUENCY toggle key).
DOPPLER Gain LINE/UPDATE
6. If necessary, adjust the Doppler steer (D-STEER key) first activating the
2D real time (PLEX key).
7. If necessary, press the Θ ANGLE key to align the angle vector with the
flow direction.
Activating Doppler Modes 8. If necessary, change the size of the sample volume (SV SIZE key).
9. If necessary, press the REVERSE key to reverse the flow direction.
Procedure 10. Adjust the 2D real time display (B-FORMAT key).
1. Press LINE/ UPDATE to display the Doppler cursor. 11. If necessary, press B-REF to view the Doppler trace at full screen.
2. Position the line (CW) or the Sample Volume (PW) with the trackball on 12. Toggle the POWER key to change the transmitted power, using the
the applicable area. minimum power compatible with a diagnostic level of the images.
3. Press PW to activate PW Doppler or CW to activate CW Doppler. 13. Automatic adjustment of both Velocity and Zero Line can be activated
Performing an Exam
on the system by pressing the ADJUST button.
Doppler Display Optimization
My Notes
The following image parameters can be individually adjusted using the
software keys:
• FILTER key: to display low flow velocities (lower filters “fill” the
spectrum).
• AUDIO key: to adjust the Doppler volume.
• HPRF key: to double the sample volume (only in Cardiac applications).
• SMART D key: to reverse the Doppler steering with reference to the
vertical line.
• SWEEP key: to change the speed.
• DYN RANGE key: to adjust the compression of the reflected echoes,
increasing (higher values) or decreasing spectrum filling.
• REJECT key: to improve spectral curve display.
• COLORIZE key: to select a chrominance scale.
• GRAY MAP key: to change or to modify the desired post-processing
curve.
Note
During the exam, UPDATE freezes the trace and leaves the 2D reference in real time,
making the B-Mode format software commands available.
Performing an Exam
10- Multi View and Zoom
Multi View format are available for two (dual) or four (quad) 2D and 2D-CFM
images. Zoom is available both in real time and in Freeze.
Display Optimization
The following image parameters can be individually adjusted using the software keys:
• DUAL key: to display two image format.
• QUAD key: to display four image format
• SIMULT key: to activate the simultaneous display.
Zoom
Procedure
1. Press ZOOM to activate the ROI.
Dual format
2. Toggle the DEPTH key to change the zoom factor.
MULTI VIEW ZOOM 3. Press ZOOM to activate the zoom.
Multi View and Zoom 4. Move the image by using the trackball.
To quit the zoom function, press ZOOM again. The image returns to its original size.
Procedure
1. Press (or ) to activate a multi view presentation: the image is
displayed on the right (left) side.
11- Frozen Images
2. Press (or ) to freeze the image on the right (left). The real
time image is displayed on the other side. Procedure
3. Use (or ) to switch between the right and left images.
1. Press the FREEZE key. Move the trackball to
Performing an Exam
scroll images.
To quit the multi view presentation, press the B-MODE key. 2. Press FREEZE to activate real-time.
Scroll Bar
The system displays the scroll bar of the memories,
where the images acquired prior to freezing are
temporarily saved.
12- Saving Images and 13- Reviewing Saved Exam
Clips during the Exam Images and Clips
Images and clips can be saved both in real time and in Freeze using the EXAM REV
IMAGE/CLIP key.
Saving Images and Clips 3. Press the SCROLL key to scroll through the
thumbnails; press the PAGE key to scroll to the
Procedure next eight thumbnails.
4. Press the PLAY key to display the sequence in Saved Images and
1. 1. In Real Time B-Mode press IMAGE/CLIP to store a clip. Clips Thumbnails
Performing an Exam
cine mode. The BEGIN/END key automatically
2. In PW,CW or M-Mode press IMAGE/CLIP to store an image positions the scroll bar at the start or end of the sequence.
3. In Freeze mode with the Cine Loop playing press IMAGE/CLIP to store a clip 5. Press the CINE MODE key to display the whole memory content or
4. In Freeze mode and the Cine Loop stopped press IMAGE/CLIP to store an image seconds intervals.
Note 6. Press the SPEED key to view the sequence at different speeds.
The CLIP DUR key changes the clip duration in real-time.
My Notes
Measurements,
Annotations
and Printing
Select the Exit icon or press the UNDO key to exit without displaying
any body mark.
Exit
Icon
MARK
Once the icon has been selected and the arrow positioned, press the key
to activate the session.
16- Entering Annotations
Free Text
Procedure
By Word Glossary
1. Press any alphanumeric key to activate text input.
2. Use the trackball to position the text. Procedure
3. Press ENTER to confirm the position. 1. Press the ANNOT key: the system displays the list of available words on the
The procedure can be repeated several times. right of the screen.
2. Select the By Word glossary.
3. Scroll the list through the trackball and select the desired word
(highlighted in yellow).
Annotation Mode 4. Press ENTER to confirm. The selected word will be displayed on the screen.
The word can be edited by pressing the ACTION key.
5. Place the word using the trackball.
6. Press ENTER again to confirm.
The procedure can be repeated several times.
Procedure
1. Press the POINTER key: a cursor is displayed.
2. Move the cursor near the text to be corrected. Press ENTER to activate the
text: the text color turns to yellow.
17- Printing Images
3. Enter the corrections by using the keyboard.
4. Press ENTER to confirm.
Deleting Text
Procedure PERIPHERALS
KEYS
1. Press the POINTER key: a cursor is displayed.
2. Move the cursor near the text to be corrected. Press ENTER to activate the
text: the text color turns to yellow.
3. Press the CLEAR key: the selected text is deleted.
The CLEAR ALL key deletes the text and exits from the annotation session. The
B/W Printer
Arrow Positioning
RGB Printer
Procedure
PC Printer
1. Press the ARROW key: an arrow is displayed on the screen.
2. Place the arrow using the trackball.
3. If necessary, rotate the arrow by pressing the ARROW key. DICOM Printer
Press 1 to print on the printer shown on the left
4. Press ENTER to confirm. icon, 2 on the printer shown on the right.
The procedure can be repeated several times. No Peripheral
My Notes
My Notes
Ending and
Archiving
an Exam
ARCHIVE REV
Reviewing an Exam
Procedure
1. Scroll the exam list by using the trackball or by pressing the SCROLL
key. The thumbnails of the highlighted exam are shown at the bottom
of the screen.
2. Press ENTER twice to display the highlighted exam images at full
Archive
Display Icon screen or place the cursor on the archive display icon and press
ENTER.
Archive
Icon
Archive
Exam List images/clips
of selected exam