Samsung SONOVET R5 User manual

Type
User manual
Reference Manual
Volume 3
Reference Manual
VERSION 1.02.00
English
Diagnostic Ultrasound System
PART 1. OB REFERENCE
OB REFERENCE 4
Gestational aGe in the DoG 4
GESTATIONAL SAC DIAMETER GSD
MATOON 4
CROWN RUMP LENGTH CRL
MATOON 4
HEAD DIAMETER HD
MATOON 4
BODY DIAMETER BD
MATOON 5
HEAD AND BODY DIAMETER HD_BD
MATOON 5
Gestational aGe in the Cat 6
GESTATIONAL SAC DIAMETER GSD
ZAMBELLI 6
CROWN RUMP LENGTH CRL
ZAMBELLI 6
HEAD DIAMETER HD
MATOON 6
HEAD DIAMETER BD
MATOON 7
PART 2. OTHER REFERENCE
CARDIOLOGY REFERENCE 8
CarDioloGy 2D 8
BSA (Body Surface Area) 8
Simpsons method 8
LV Vol. (A/L) 8
Stroke Volume (SV) 8
Stroke Volume Index (SI) 8
Cardiac Output (CO) 8
Cardiac Index (CI) 8
Ejection Fraction (EF) 9
2D Measure 9
LV Vol. d (LV Volume Diastolic) 9
LV Vol. s (LV Volume Systolic) 9
LV Mass 9
Fraction Shortening (FS) 9
LV Mass 10
CarDioloGy M MoDe 11
Left Ventricle 11
LV Vol. d (LV Volume Diastolic) 11
LV Vol. s (LV Volume Systolic) 12
Stroke Volume (SV) 12
Stroke Volume Index (SI) 12
Table of Contents
Reference Manual 2
Cardiac Output (CO) 12
Cardiac Index (CI) 12
Ejection Fraction (EF) 12
Fraction Shortening (FS) 12
LV Mass 12
LV Mass Index 12
MV (Mitral Valve) 13
Ao/LA 13
CarDioloGy C MoDe 14
AoV Regurg, MV Regurg, TV Regurg, PV Regurg 14
CarDioloGy Doppler 15
Mitral Valve, Tricuspid Valve 15
Aortic Valve, LVOT Doppler 16
VASCULAR REFERENCE 17
Resistivity Index 17
Pulsatility Index 17
SD (Ratio of Systolic to Diastolic Velocity) 17
Pressure Gradient 17
%STA 18
%STD 18
Volume Flow (Area) 18
Volume Flow (Dist.) 18
UROLOGY REFERENCE 18
Resistivity Index 18
Pulsatility Index 18
SD (Ratio of Systolic to Diastolic Velocity) 18
Pressure Gradient 18
Volume Flow (Area) 19
Volume Flow (Dist.) 19
Prostate Vloume (3 Distances) 19
Prostate Vloume (3 Distances x Factor) 19
Prostate Vloume (Ellipsoid) 19
Prostate Vloume (Sum of 20 Disks) 19
Prostate Spec. Antigen 19
Residual Volume 19
%STA 19
%STD 19
FETAL ECHO REFERENCE 20
Stroke Volume (SV) 20
Cardiac Output (CO) 20
Ejection Fraction (EF) 20
Cardio-Thorax Area Ratio (CTAR) 20
LV Vol. d (LV Volume Diastolic) 20
LV Vol. s (LV Volume Systolic) 20
LV Mass 21
Fractional Shortening of Left Ventricle Internal diameter 21
Resistivity Index 21
Pulsatility Index 21
SD (Ratio of Systolic to Diastolic Velocity) 21
Preload Index 21
Reference Manual 3
PART 3. ACOUSTIC OUTPUT TABLES
ACOUSTIC OUTPUT TABLES 22
ieC tables 22
Symbols and Denitions 22
Explanatory Notes 23
C2-4/20 24
CN2-8 25
CN4-9 27
L5-12/60 28
LN5-12/40 30
FDa tables 31
Symbols and Denitions 31
Explanatory Notes 32
C2-4/20 33
CN2-8 34
CN4-9 36
L5-12/60 37
LN5-12/40 39
Reference Manual 4
OB Reference
Gestational Age in the Dog
Standard GA: 65 days
Gestational Sac Diameter (GSD): MATOON
Reference: Mattoon JS, Nyland TG, Ovaries and uterus, In Nyland TG and Mattoon JS (eds),
Small Animal Diagnostic Ultrasound, 2nd ed, WB Saunders, Co, Philadelphia, 231-249, 2002.
* Less than 40 days
GA Equation
GA = (6 GSD) + 20
Output Unit: d (days)
Input Unit: cm
Min Range: 0.1 cm
Max Range: 3.33 cm
Fetal Growth Equation
GSD = (MA x 7 – 20) / 6
Output Unit: cm
Input Unit: w (week)
Min Range: 1w
Max Range: 6w
Crown Rump Length (CRL): MATOON
Reference: Mattoon JS, Nyland TG, Ovaries and uterus, In Nyland TG and Mattoon JS (eds),
Small Animal Diagnostic Ultrasound, 2nd ed, WB Saunders, Co, Philadelphia, 231-249, 2002.
* Less than 40 days
GA Equation
GA = (3 CRL) + 27
Output Unit: d (days)
Input Unit: cm
Min Range: 0.1 cm
Max Range: 4.3 cm
Fetal Growth Equation
CRL = (MA 7 – 27) / 3
Output Unit: cm
Input Unit: w (week)
Min Range: 1w
Max Range: 6w
Head Diameter (HD): MATOON
Reference: Mattoon JS, Nyland TG, Ovaries and uterus, In Nyland TG and Mattoon JS (eds),
Small Animal Diagnostic Ultrasound, 2nd ed, WB Saunders, Co, Philadelphia, 231-249, 2002.
* Less than 40 days
GA Equation
GA = (15 HD) + 20
Output Unit: d (days)
Input Unit: cm
PART 1. OB REFERENCE
Reference Manual 5
Min Range: 1.34 cm
Max Range: 3 cm
Fetal Growth Equation
HD= (MA 7 – 20) / 15
Output Unit: cm
Input Unit: w (week)
Min Range: 5w
Max Range: 10w
Body Diameter (BD): MATOON
Reference: Mattoon JS, Nyland TG, Ovaries and uterus, In Nyland TG and Mattoon JS (eds),
Small Animal Diagnostic Ultrasound, 2nd ed, WB Saunders, Co, Philadelphia, 231-249, 2002.
* Less than 40 days
GA Equation
GA = (7 BD) + 29
Output Unit: d (days)
Input Unit: cm
Min Range: 1.58 cm
Max Range: 5.21 cm
Fetal Growth Equation
HD= (MA 7 – 29) / 7
Output Unit: cm
Input Unit: w (week)
Min Range: 5w
Max Range: 10w
Head and Body Diameter (HD_BD): MATOON
Reference: Mattoon JS, Nyland TG, Ovaries and uterus, In Nyland TG and Mattoon JS (eds),
Small Animal Diagnostic Ultrasound, 2nd ed, WB Saunders, Co, Philadelphia, 231-249, 2002.
* Less than 40 days
GA Equation
HD_BD_Dog = (6 HD) + (3 BD) + 30
GA = HD_BD_Dog 1
Output Unit: d (days)
Input Unit: cm
Min Range: 40 cm
Max Range: 65 cm
Reference Manual 6
Gestational Age in the Cat
Standard GA: 65 days
Gestational Sac Diameter (GSD): ZAMBELLI
Reference: Zambelli D, Castagnetti C, Belluzzi S, Bassi S, Correlation between the age of
the conceptus and various ultrasonographic measurements during the rst 30 days of
pregnancy in domestic cats (Felis catus), Theriogenology, 57, 1981-1987, 2002.
* Less than 30 days
GA Equation
GA = (1.0901 GSD 10) – 0.9372
Output Unit: d (days)
Input Unit: cm
Min Range: 0.1 cm
Max Range: 2.83cm
Fetal Growth Equation
GSD = (MA x 7 + 0.9372) / 1.0901
Output Unit: mm
Input Unit: w (week)
Min Range: 1w
Max Range: 5w
Crown Rump Length (CRL): ZAMBELLI
Reference: Zambelli D, Castagnetti C, Belluzzi S, Bassi S, Correlation between the age of
the conceptus and various ultrasonographic measurements during the rst 30 days of
pregnancy in domestic cats (Felis catus), Theriogenology, 57, 1981-1987, 2002.
* Less than 30 days
GA Equation
GA = (1.0099 CRL 10) -0.03378
Output Unit: d (days)
Input Unit: cm
Min Range: 0.1 cm
Max Range: 3 cm
Fetal Growth Equation
CRL = (MA x 7 + 0.03378) / 1.0099
Output Unit: cm
Input Unit: w (week)
Min Range: 1w
Max Range: 5w
Head Diameter (HD): MATOON
Reference: Mattoon JS, Nyland TG, Ovaries and uterus, In Nyland TG and Mattoon JS (eds),
Small Animal Diagnostic Ultrasound, 2nd ed, WB Saunders, Co, Philadelphia, 231-249, 2002.
* Less than 40 days
GA Equation
GA = (25 HD) + 3
Output Unit: d (days)
Input Unit: cm
Min Range: 1.48 cm
Max Range: 2.37 cm
Fetal Growth Equation
HD= (MA x 7 3) / 25
Reference Manual 7
Output Unit: cm
Input Unit: w (week)
Min Range: 5w
Max Range: 9w
Head Diameter (BD): MATOON
Reference: Mattoon JS, Nyland TG, Ovaries and uterus, In Nyland TG and Mattoon JS (eds),
Small Animal Diagnostic Ultrasound, 2nd ed, WB Saunders, Co, Philadelphia, 231-249, 2002.
* Less than 40 days
GA Equation
GA = (11 BD) + 21
Output Unit: d (days)
Input Unit: cm
Min Range: 1.73 cm
Max Range: 3.59 cm
Fetal Growth Equation
HD= (MA 7 – 21) / 11
Output Unit: cm
Input Unit: w (week)
Min Range: 5w
Max Range: 9w
Reference Manual 8
Cardiology Reference
Cardiology 2D
BSA (Body Surface Area)
BSA can be calculated by entering patient’s weight and height in New Patient Input Screen.
where, H : centimeters, W : kilograms
Reference : Grossman,W.”Cardiac Catheterization and Angiography. Blood Flow
Measurement : Hemodynamic Principles, 1980. Chapter8, page 90.
Simpson’s method
Simpsons protocol is used for calculation left ventricular volume from measurements
taken in two scan planes. The calculation of volume for both methods (2-chamber or the
4-chamber view) results from summation of areas from diameters of 20 cylinders or discs of
equal height, apportioned over the left ventricular length.
LV Vol. (A/L)
LV Volume: Single Plane Area Length
Stroke Volume (SV)
where, EDV : End Diastolic Volume, ESV : End Systolic Volume
Stroke Volume Index (SI)
Cardiac Output (CO)
Cardiac Index (CI)
PART 2. OTHER REFERENCE
Reference Manual 9
Ejection Fraction (EF)
where, EDV : End Diastolic Volume, ESV : End Systolic Volume
Reference : Harvey Feigenbaum, “Echocardiography”, 1995 fth edition Chapter3 p 144,
Lea&Febiger
2D Measure
LV Vol. d (LV Volume Diastolic)
Teichholz
Reference : Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic
volume determinations: echocardiographic-angiographic correlations in the presence or
absence of asynergy. American Journal of Cardiology, 1976, 37:7.
Cubed
Reference : Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by
Echocardiography. Circulation, Vol. XLIII, 482, April, 1971.
Gibson
Reference : “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan,
1997 p. 30
LV Vol. s (LV Volume Systolic)
Teichholz
Reference : Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic
volume determinations: echocardiographic-angiographic correlations in the presence or
absence of asynergy. American Journal of Cardiology, 1976, 37:7.
Cubed
Reference : Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by
Echocardiography. Circulation, Vol. XLIII, 482, April, 1971.
Gibson
Reference : “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan,
1997 p. 30
LV Mass
where LVDd : Left Ventricle Dimension Diastole, LVPWd : Left Ventricle Posterior Wall
Dimension Diastole, LVSd : Interventricular Septal Thickness Diastole
Fraction Shortening (FS)
Reference Manual 10
LV Mass
where, A1 : short axis area, Epicardinal (cm2), A2 : short axis area, Endocardinal (cm2), L1 :
long axis Epicardinal length (cm), L2 : long axis Endocardinal length (cm)
Epicardial Volume
Endocardial Volume
Reference : Harvey Feigenbaum, “ Echocardiography”, 1995 fth edition Chapter3 p 158,
Lea&Febiger
Myocardial Thickness
LV Mass Index
Reference Manual 11
Cardiology M mode
Left Ventricle
Reference : Harvey Feigenbaum, “ Echocardiography”, 1995 fth edition
Reference : Harvey Feigenbaum, “ Echocardiography”, 1995 fth edition
LVDd : Left Ventricle Dimension Diastole
LVDs: Left Ventricle Dimension Systole
LVPWd : Left Ventricle Posterior Wall Dimension Diastole
LVPWs: Left Ventricle Posterior Wall Dimension Systole
IVSd : Interventricular Septal Thickness Diastole
IVSs: Interventricular Septal Thickness Systole
EDV: End Diastolic Volume
ESV: End Systolic Volume
LV Vol. d (LV Volume Diastolic)
Teichholz
Reference : Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic
volume determinations: echocardiographic-angiographic correlations in the presence or
absence of asynergy. American Journal of Cardiology, 1976, 37:7.
Cubed
Reference : Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by
Echocardiography. Circulation, Vol. XLIII, 482, April, 1971.
Gibson
Reference : “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan,
1997 p. 30
Reference Manual 12
LV Vol. s (LV Volume Systolic)
Teichholz
Reference : Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardiographic
volume determinations: echocardiographic-angiographic correlations in the presence or
absence of asynergy. American Journal of Cardiology, 1976, 37:7.
Cubed
Reference : Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by
Echocardiography. Circulation, Vol. XLIII, 482, April, 1971.
Gibson
Reference : “Basic Echocardiography” Iowa Heart Center, Mark J. Harry R.D.C.S., R.V.T. Jan,
1997 p. 30
Stroke Volume (SV)
where, EDV : End Diastolic Volume, ESV : End Systolic Volume
Stroke Volume Index (SI)
Cardiac Output (CO)
Cardiac Index (CI)
Ejection Fraction (EF)
where, EDV : End Diastolic Volume, ESV : End Systolic Volume
Reference : Harvey Feigenbaum, “Echocardiography”, 1995 fth edition Chapter3 p 144,
Lea&Febiger
Fraction Shortening (FS)
LV Mass
Reference : Oh, J.K., Seward, J.B. The Echo Manual. Boston: Little, Brown and company, 1994,
p.43.
LV Mass Index
Reference Manual 13
MV (Mitral Valve)
Definition for the Mitral Valve
D : end of systolic, immediately before the opening of the Mitral Valve
E : the arterial leaflet of the Mitral valve open, it peaks at E
F : lowest point of the initial diastolic closing
A :
In atrial systole, blood is propelled through the Mitral orifice and the Mitral
leaflets reopen the peak of this phase of Mitral valve motion is indicated as A
C : complete closure occurs after the onset of ventricular systole
A-C interval (unit : msec)
The distance between the A point and the C point
Mitral Valve D-E Excursion (unit : cm)
Distance between the onset of the opening of the Mitral valve at D and the maximum
opening of the anterior Mitral valve leaet at E
Mitral Valve D-E Slope (unit : cm/sec)
Automatically calculated from the D-E excursion the rate of change that exists between two
point (D, E)
Mitral Valve E-F Slope (unit : cm/sec)
The rate of change that exists between two point (E, F)
EPSS ( Mitral Valve E Point Septal Separation ) ( unit : cm)
Distance between the Mitral Valve E point and posterior edge of the interventricular septum
at the same point in time
<Figure - Mitral Valve M mode Waveform>
Ao/LA
Aortic Root Diameter (unit:cm) : Ao Root Dia.
The distance between the leading echo of the anterior aortic wall and the leading echo of
the posterior aortic wall at R wave of the electrocardiogram
Aortic Valve Cusp Separation (Ao Cusp Sep.)
The distance between the trailing echo of the anterior aortic valve leaet and the leading
echo of the posterior aortic valve leaet in early diastole
Left Atrial Diameter (unit:cm) : LA Dia.
The distance between the trailing edge of the posterior aortic wall echo and the leading
edge of the posterior left atrial wall echo at the level of aortic wall at the R wave of the
electrocardiogram.
Reference Manual 14
Cardiology C mode
AoV Regurg, MV Regurg, TV Regurg, PV Regurg
PISA (Proximal Isovelocity Surface Area)-Radius
<Figure - Regurgitant Flow-PISA Radius>
Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston: Little, Brown and
Company, 1994, p.106.
Schmailzl, K., Omerod, O., Editors. Ultrasound in Cardiology. Blackwell Science, 1994, p.125.
PISA-Radios is the radial distance of the isovelocity shell from the orice (Figure - Regurgitant
Flow-PISA Radius)
PISA-Area
PISA-Radius = Radial distance of the isovelocity shell from the orice in cm
PISA-Alias Velocity
Reference: Schmailzl. K., Omerod, O., Editors. Ultrasound in Cardiology. Blackwell Science,
1994, p.125.
PISA-Alias Velocity is the peak velocity of the regurgitant jet on the Doppler display (Figure –
Regurgitant Flow-PISA Alias Velocity)
<Figure – Regurgitant Flow-PISA Alias Velocity>
Regurgitant Volume Flow Rate (Rate)
Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston:Little, Brown and
Company, 1994, p. 106
Rate is calculated in milliliters/sec.
Where: PISA-Area = Proximal isovelocity surface area in cm
2
.
PISA-Alias Vel. = Color ow velocity at radius r in cm/sec measured at the mitral orice on the
Color display.
Reference Manual 15
Eective Regurgitant Orice (ERO)
Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston:Little, Brown and
Company, 1994, pp. 108-109
Vmax is the peak velocity of the mitral regurgitant jet measured on the Doppler display.
Regurgitant Volume (Vol)
Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston:Little, Brown and
Company, 1994, pp. 108-109
Where:
PISA-Vol. = Regurgitant volume in milliliters
PISA-ERO = Eective Regurgitant area in cm2.
VTI = Velocity integral of the Regurgitant ow measured on the Doppler display
Cardiology Doppler
Mitral Valve, Tricuspid Valve
Pressure Gradient
where, V : Velocity (m/sec)
PHT ; Pressure Half Time
Reference : Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston: Little, Brown and
Company, 1994, p.59-60
Pressure half-time (PHT) is the time it takes for the peak pressure gradient to fall to half to half
of its peak value. DT is deceleration time in centimeters per second form the peak velocity
to the baseline.
Mitral Valve area
where ; PHT is Pressure Half Time (milliseconds)
Reference : John H. Phillipse, “ Practical Quantitative Doppler Echocardiography”, p47,
chapter6, CRC press, 1991
Reference Manual 16
VTI (Velocity Time Integral)
ACC (Acceleration), DEC (Deceleration)
AT :Acceleration Time, DT : Deceleration Time, E point : Early Diastolic Flow, A point : Atrial
contraction
Aortic Valve, LVOT Doppler
HR (Heart Rate)
CONT (Continuity Equation)
When there is a constant ow in a ow channel with a Stenosis, the ow volume at the
Stenosis portion equals that at nonstenotic portions .
This equation is valid not only in a constant ow, but also in a pulsality ow channel.
where, SV1 : stroke volume in the nonstenotic area, SV2: stroke volume in the stenotic area
where, AVA (1) : Aortic Valve Area by Velocity, AVA (2) : Aortic Valve Area by VTI, LVOTarea : π
* DiaLVOT2 / 4, VTI1 : Left Ventricle output track VTI, VTI2 : Aortic valve VTI, V1 : Left Ventricle
output track velocity, V2: Aortic valve velocity
<Figure - Continuity Equation>
Reference : Harvey Feigenbaum, “ Echocardiography”, 1995 fth edition
CSA (Cross Sectional Area)
where, D: diameter
Pulmonic Veins
Reference : Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston: Little, Brown and
Company, 1994, p.48
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Samsung SONOVET R5 User manual

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