Samsung SONOACE X6 User manual

Brand: Samsung

Model: SONOACE X6

Type: User manual

Samsung SONOACE X6

The Samsung SONOACE X6 offers an impressive range of capabilities for ultrasound imaging. With its 2D, M, Doppler, and 3D modes, the X6 provides detailed anatomical scans for a variety of applications.

2D mode offers brightness mode imaging for basic anatomy scans. M mode provides motion data along a single line, which can aid in the assessment of cardiac function. Doppler modes, including color, power, and spectral Doppler, allow for visualization and analysis of blood flow patterns. They can be particularly useful in evaluating vascular disorders and hemodynamic changes.

Samsung SONOACE X6

Chapter 4

Diagnosis Modes

Diagnosis Mode Types and Control .............................................................................. 3

Diagnosis Mode Types...............................................................................................................3

Basic Use ...................................................................................................................................4

Basic Modes ................................................................................................................. 8

2D Mode.....................................................................................................................................8

M Mode ....................................................................................................................................12

Color Doppler Mode .................................................................................................................14

Power Doppler Mode ...............................................................................................................18

Spectral Doppler Mode ............................................................................................................20

Combined Modes ........................................................................................................ 25

2D/C/PW Mode ........................................................................................................................25

2D/PD/PW Mode......................................................................................................................25

2D/C/CW Mode ........................................................................................................................26

2D/PD/CW Mode .....................................................................................................................27

2D/C/M Mode ...........................................................................................................................28

Multi-Image Mode ....................................................................................................... 29

Dual-2D Mode ..........................................................................................................................29

Dual-2D/C Mode ......................................................................................................................29

Dual-2D/PD Mode ....................................................................................................................30

3D Mode ..................................................................................................................... 31

4 - 2 SONOACE X6 Operation manual

3D ............................................................................................................................................ 31

Acquiring a 3D Image .............................................................................................................. 32

3D View ................................................................................................................................... 32

Chapter4. Diagnosis Modes 4 - 3

Diagnosis Mode Types and Control

Diagnosis Mode Types

This product supports a variety of diagnosis modes including Basic Mode, Combined Mode,

Multi-Image Mode, and 3D Mode.

 Basic Mode: Consists of different modes, each of which has a specific usage and function.

By default, 2D Mode is applied together with other mode.

 Combined Mode: For an image, two or three Basic Modes are applied at the same time.

By default, 2D Mode is applied together with other mode. An image is viewed in a single

screen.

 Multi-Image Mode: The screen is divided into two (dual) sub screens, each of which is

used to view an image. Since each sub screen can display a different image, it can be a

very useful feature, allowing multilateral views of an organ.

 3D Mode: Freehand 3D images can be obtained.

The types of diagnosis mode that are available with the product are shown below:

Mode Type

Basic Mode

2D Mode

Color Doppler Mode

Power Doppler Mode

M Mode

PW Spectral Doppler Mode

CW Spectral Doppler Mode

Combined Mode

2D/C/PW Mode

2D/PD/PW Mode

2D/C/CW Mode

2D/PD/CW Mode

2D/C/M Mode

Multi-Image Mode

Dual Mode

3D Mode

Freehand 3D Mode

NOTE

The functionalities for each mode may be restricted by the selected probe.

4 - 4 SONOACE X6 Operation manual

Basic Use

The items that can be used commonly in each diagnosis mode are shown below:

 Gain

Use the Gain dial-button on the control panel. You can adjust the brightness of an

image. If you rotate the Gain dial-button clockwise, its value increases.

 TGC (Time Gain Compensation)

Use the TGC slide on the control panel.

In general, ultrasound penetration gets weaker with depth. TGC can be used to

compensate for this effect.

The product provides eight TGC slides for varying depths, allowing you to adjust Gain by

area. Among the eight slides, the top slide represents the shallowest area, while the

lower slides represent the deeper ones.

Move the slide to the right (+) to increase Gain, brightening the image.

CAUTION

Too large a difference in the gain value settings of two adjacent

slides may lead to inaccurate image generation.

 Focus

Use the Focus switch on the control panel. Raise/lower the Focus switch raise/lower

the focusing point.

 Depth

Use the Depth switch on the control panel. Raise/lower the Depth switch to

decrease/increase the scanning depth of an image. The allowable range for adjustment

varies with the selected probe.

 HD Zoom

This function allows you to magnify and scan an image in real time.

1. Use the HD Zoom switch on the control panel to start Write Zoom mode. The

Write Zoom box will appear on the screen.

2. Use the Change button to move and resize the Zoom box. Each time you press

the Change button, the current state of the Zoom box is displayed in the lower left

of the screen.

Chapter4. Diagnosis Modes 4 - 5

- Zm Pos.: You can move the Zoom box. Use the Trackball to move the Zoom box

and press the Set button to specify its position.

- Zm Size: You can resize the Zoom box. Use the Trackball to resize the Zoom box

and press the Set button to specify its size.

3. Press the Set button to start the Write Zoom function. Magnify an image and scan

it.

4. Press the Exit button to exit Zoom Mode. Changing the depth also exits Zoom

Mode automatically.

※

Tip! Zoom Navigation Box

You can view the position of the magnified area through the Zoom Navigation Box on

the screen. In HD Zoom mode, press the Z key on the keyboard to make the Zoom

Navigation Box disappear and Zoom Position deactivate. Press Z key again, and the

Zoom Navigation Box is shown again.

 Zoom

This function allows you to zoom an image saved in a hard disk.

In HD Zoom mode, it is available to press the Zoom button on the control panel to start

the Read Zoom mode. However, in Read Zoom mode, you cannot enter the HD Zoom

mode with the Zoom button.

1. Press the Zoom button on the control panel to start Read Zoom mode. The Read

Zoom box will appear on the screen.

2. Use the Trackball to move the Zoom box. You can locate the Zoom box in an

image with the Zoom Navigation box on the left side of the screen.

3. View the magnified image. If you rotate the dial-button clockwise, the image is

magnified.

4. Press the Exit or Zoom button to exit Zoom Mode. Changing the depth also exits

Zoom Mode automatically.

 QuickScan

Use the Quick Scan button on the control panel. The ‘Q Scan’’ mark will appear at the

top of an image.

In 2D Mode, it is used to optimize the contrast and brightness of an image by adjusting

Gain and TGC automatically. In PW Spectral Doppler Mode, it is used to optimize the

4 - 6 SONOACE X6 Operation manual

spectrum by adjusting Scale and Baseline automatically. Press the Exit button to quit

the Quick Scan Mode.

 Harmonic

Press the Harmonic button on the control panel. ‘HGen’, ‘HRes’. ‘HPen’ mark is

displayed in the image information area.

This product provides the OHI (Optimal Harmonic Imaging) function that optimizes an

image with high frequencies.

NOTE

The Harmonic function is available with specific probes only.

 Post Map Settings

Use the Menu/Angle dial-button on the control panel and press 2D Post, M Post, PW

Post, or CW Post on the menu to bring up the sub-menu. On this sub-menu, select an

appropriate map from Type1~5, User1~3.

When select User, you can make your own Map.

Select Return to escape this status.

※ User Post Map Edit

1. Press Edit in the menu. The User Post Map image and its Flexible Soft Menu

appear on the screen.

[Figure 4.1 The Flexible soft menu of Post map]

- Add: Add a new point between the currently selected point and the adjacent point.

- Delete : Delete the currently selected point .

- Save : Save the map.

- Cancel : Cancel Map editing and return to the original map.

- Apply : Apply the Map setting to the image.

2. Each map point is selected with the Change button on the control panel, and you

can set the shape of the map with the Trackball and Set button.

 Chroma Settings

Use the Menu/Angle dial-button on the control panel to press Chroma on the menu,

and then select On or Off. If you change the color, select Color on the menu and

choose the color.

Chapter4. Diagnosis Modes 4 - 7

 Gamma Settings

Use the Menu/Angle dial-button on the control panel to press Gamma on the menu,

and then select Off, Weak, Medium or Hard. Adjusts the contrast.

- Weak : make the image brightly.

- Medium : make the image medium bright.

- Hard : make the image darkly.

 M Line

Press the [F2] M Line key on the keyboards. It shows M Line on the image.

4 - 8 SONOACE X6 Operation manual

Basic Modes

2D Mode

This basic mode, also referred to as B Mode (Brightness mode), shows anatomy scan planes.

[Figure 4.2 2D Mode]

▐ 2D Mode Selection

Press the 2D button on the control panel.

2D Mode is the default mode and the 2D button is not a toggle button. Instead, it is used to

return to basic 2D Mode when in other image modes.

Chapter4. Diagnosis Modes 4 - 9

▐ Changing 2D Image Format

 Changing Image Direction

- Changing Left/ Right Orientation (Horizontal Orientation Direction)

Press the Flexible Soft button [1] Direction.

- Changing Up/down Orientation (Vertical Orientation. Apex)

Select Apex in the 2D menu using the Menu/Angle dial-button.

 Changing View Area

Select View Area in the menu using the Menu/Angle dial-button on the control panel.

You can adjust View Area using the Flexible soft button [3] Size + and [4] Size –

buttons in the Flexible Soft Menu.

Widening / narrowing the View Area, decreases/increases the frame rate (FPS). If

you want to view other unseen parts, press the Pos.L and Pos.R buttons in Flexible

Soft Menu to move the View Area to the right or left.

To apply changed view area and go to scan mode, press the Flexible Soft button

[5] Return.

NOTE

During using a linear probe, flexible soft button [1] Pos.L, and [2] Pos.R

are not available.

▐ 2D Image Optimization

 Extended Resolution (Ext. Res.)

Use the Flexible soft button [2] Ext. Res.

Increases the resolution by increasing the number of channels. Note that the frame

rate falls in proportion to the number of channels.

 Frequency

Use the Flexible soft button [3] Frequency.

Use the button to change the frequency of the current probe. Select from Res, Pen

and Gen.

- Res (Resolution): Low frequency

- Gen (General): General frequency

- Pen (Penetration): High frequency

4 - 10 SONOACE X6 Operation manual

The selected frequency is displayed in the title area, allowing you to determine the

state of the current frequency easily.

 Density

Press Flexible soft button [4] Density.

Use the dial-button to select the scan line density. If it is set to High, the number of

scan lines increases, enhancing the image resolution. However, the frame rate is

reduced.

 Frame Average Control

Use the Menu/Angle dial-button on the control panel to press FA in the menu. Select

a value between 0~9.

The Frame Average function is used to average frames together on the screen,

thereby reducing the speckles, which make diagnosis difficult. Setting the Frame

Average value as high makes the display movements smoother but slower. (Though

the actual frame rate doesn’t drop.) Turn the function off in OB and cardiac

examination where organs are highly active.

 Dynamic Range Control

Use the Menu/Angle dial-button on the control panel to press DR in the left menu. Select a

value between 40~180.

This function is used to change the range of contrast by adjusting the ratio of

minimum/maximum input signal value ratio. Increase/decrease Dynamic Range to

smooth/roughen the image.

 Edge Enhance Control

Use the Menu/Angle dial-button on the control panel to press EE in the menu. Select a

value between 0~9.

This function is used to view more accurate images of organ or tissue boundaries.

Increase the Edge Enhance value to obtain clearer pictures of boundaries.

 Reject Level Control

Use the Menu/Angle dial-button on the control panel to press Reject in the left menu.

Select a value between 1~32

This function is used to eliminate noise or low level echoes for clearer signals.

 Focus Number Control

Press the Flexible Soft button [5] Focus No. Use [3] Focus + or [4] Focus - to set

the focus number.

Chapter4. Diagnosis Modes 4 - 11

 Frame Rate Control

Use the Menu/Angle dial-button on the control panel to press Frame Rate in the left

menu. Select Fast, Normal, or Slow.

The Frame Rate is the number of images generated per second. The Frame Rate

should be set to Fast when viewing fast moving organs.

 Tissue Property Control

Use the Menu/Angle dial-button on the control panel to select Tissue in the menu.

Select the desired ultrasound speed according to the patient’s tissue type. The Tissue

menu consists of Cystic, Adipose, Normal, and Solid.

 Trapezoid Function

This function is used to view the trapezoid-shaped 2D image when using the Linear

probe. Use the Menu/Angle dial-button on the control panel to select Trapezoid in

the menu.

When adjusting image depth, some depth values do not support the Trapezoid

function. Using HD Zoom switch makes the Trapezoid function off.

 FSI (Full Spectrum Imaging)

Use the Menu/Angle dial-button on the control panel to select FSI in the menu.

This function synthesizes images with data obtained with frequencies of different

characteristics. Therefore, shallow observation depths yield higher resolution and

deep observation depths yield higher penetration. Select a value between 1 – 3.

 Format

NOTE

This item is displayed only in 2D menu under dual model.

Use the Menu dial-button on the control panel to select Format in the menu. ‘Hor’

means Top Down Format, in dual mode image, and ‘Ver’ means Side by Side Format,

in which the two images are set side-by-side.

 2D Post

Use the Menu dial-button on the control panel to select 2D Post in the menu.

Select Loop Format in the menu using the Menu dial-button on the control panel.

‘Hor’ means Top Down Format, in which 2D image is set above the PW Spectral

Doppler image, and ‘Ver’ means Side by Side Format, in which the two images are

set side-by-side.

4 - 12 SONOACE X6 Operation manual

M Mode

In M Mode, you can observe the motion patterns of an area of anatomy - along a 2D image

reference line (M Line). This mode is especially useful for cardio-valvular observation.

[Figure 4.3 M Mode]

▐ M Mode Selection

Press the M button on the control panel. Press M button again. M Mode turns off and 2D Mode

turns on.

▐ Changing M Mode Format

 Image Direction Change

Press the Flexible soft button [1] Direction to change the direction of the image.

Chapter4. Diagnosis Modes 4 - 13

 M Line Control

Move the M Line to change the observation location. The M Line can be moved left

and right by using the Trackball on the control panel.

 M Image Size Change

To adjust the size (Large, Normal or Small) of the 2D image and the M image, select

an M Mode image size with the Flexible Soft button [5] M Size.

 Sweep Speed Control

Choose from 120Hz, 180Hz, 240Hz or 300Hz with the Flexible soft button [2]

Speed button on the control panel.

 Loop Format Change

Select Top Down Format or Side-by-Side Format using the Flexible Soft button [3]

Loop Format. Top Down Format sets the 2D image and M image at the top and

bottom of the screen. Side-by-Side Format sets the images side by side.

 M Post

Use the Menu dial-button on the control panel to select M Post in the menu.

NOTE

Refer to `2D Mode’ for more information about other items in the menu.

4 - 14 SONOACE X6 Operation manual

Color Doppler Mode

This mode displays the colored blood flow pattern of the ROI (Region of Interest) within the 2D

image.

It is appropriate for examining the presence of the blood flow, its average speed and direction.

The 2D Mode image is also shown allowing the marking and adjustment of the ROI within the

entire image.

[Figure 4.4 Color Doppler Mode]

▐ Entering & Exiting C Mode

Press the Color button on the control panel. Press the button again, and C Mode will be

terminated and the mode switched to 2D.

Chapter4. Diagnosis Modes 4 - 15

▐ Changing Color Image Format

 Controlling Color Bar Baseline Control

The colors above the baseline represent the direction/speed of blood flow moving

toward the probe, and the colors below the baseline represent the direction/speed of

blood flow away from the probe.

Use the Flexible soft button [2] Baseline switch on the control panel.

Baseline can be adjusted only when the Color Doppler Mode value is set to Velocity.

 Color Bar Invert

Use the Menu dial-button on the control panel to select Invert in the menu.

 Changing Color Display Information

Select Color Mode in C-Menu using the Menu dial-button on the control panel.

Use the Menu dial-button to cycle through the available settings - Velocity, Power,

Variance, and Vel + Var.

▐ Color Image Optimization

 Changing ROI Box Position

The ROI is the area within the 2D image where color (blood flow) information is

displayed in Color Doppler Mode. Use the Trackball to change the ROI Box position.

 Changing ROI Box Size

Enter the ROI Box Size Control Mode by rotating the Menu dial-button without

opening the pop-up menu or pressing the Change button on the control panel. Adjust

the ROI Box size with the Trackball. To return to the ROI Box Position Change Mode,

rotate the Menu dial-button without opening the pop-up menu or press Change

button again.

 Scale (PRF) Control

Use the Flexible soft button [1] Scale on the control panel. If you raise/lower the

switch, PRF (Pulse Repetition Frequency) increases/decreases so that the speed

range of blood flow is widened/narrowed.

 Wall Filter Control

Wall filter is an electrical filter used to eliminate low-frequency Doppler signals caused

by the motions of vessel walls. Eliminate Doppler signals whose frequencies are

4 - 16 SONOACE X6 Operation manual

lower than the Cutoff Frequency by adjusting the Cutoff Frequency.

Use the Flexible soft button [3] Filter on the control panel. If you raise the Filter

switch, the Cutoff Frequency of the Wall Filter decreases, and vice versa.

 Sensitivity Control

Select Sensitivity in C-Menu using the Menu dial-button on the control panel. Select

the value (8~31).

To increase/decrease Sensitivity, raise/lower the Sensitivity value. Increasing the

Color Sensitivity decreases the frame rate, and vice versa.

 Balance Control

This function is used to adjust the range of the color image displayed by comparing

the gray level of the 2D image with the Doppler signal value of the color image. If the

Balance value increases, the color image is seen even where the 2D image signal is

strong (bright), thereby increasing the color image range.

Select Balance using the Menu dial-button on the control panel and adjust the value

(1~16).

 Steer Function

When Linear probe is selected, this function adjusts the ultrasound beam angle to

prevent the loss of color information caused by the ultrasound beam angle.

Pressing the Steer button on the control panel steers the ROI to the left, center and

right - in that order.

 Display Function

Color Doppler Mode supports Color + B/W Image, Color Only, and B/W Only display.

Select Display in the menu using the Menu dial-button on the control panel. In

Freeze, use the Flexible Soft Button [5] to select the function.

 TDI (Tissue Doppler Image) Function

This function is used to show the movements of the cardiac tissues. To use the TDI

function, use the Menu dial-button on the control panel to select Tissue Doppler

from the menu on the left-hand side of the screen.

It uses the color information of Color Doppler Mode or Power Doppler Mode. It also

uses the change of cardiac tissue of PW Spectral Doppler Mode as time goes by. It is

only used in the specific application (General, Cardiac, Pediatric) of Phased Array

probe.

Chapter4. Diagnosis Modes 4 - 17

 C Post

Select C Post in the menu. You can select Color Map.

 Capture

Select Capture in the menu. You can select Capture on or off and Frame value.

 Color Tag

Select Color Tag in C-Menu using the Menu dial-button on the control panel.

NOTE

For further information about other items in the menu, refer to ‘2D Mode’.

4 - 18 SONOACE X6 Operation manual

Power Doppler Mode

This mode displays the color intensity of blood flow within the ROI in the 2D image.

It is appropriate for examining the presence and amount of blood flow. The 2D Mode image is

also shown, allowing the marking and adjustment of the ROI within the entire image.

NOTE

Following applications of Phased array probes are not available in power

Doppler mode; General, Cardiac, Pediatric.

[Figure 4.5 Power Doppler Mode]

▐ Power Doppler Mode Selection

Press the PD button on the control panel. Pressing PD button again turns PD Mode off,

and 2D Mode on.

Chapter4. Diagnosis Modes 4 - 19

▐ PD Mode Screen

 Color Bar

Colors show the existence and amount of blood flow in PD Mode. The top of the color

bar is the brightest section, where the amount of blood flow is at its highest.

▐ Power Doppler Image Optimization

 Display

Select Display in the Menu using the Menu dial-button on the control panel. You can

select BW+PD, PD Only, or BW Only.

 Multi Freq (Multi Frequency)

Select Multi Freq in the Menu using the Menu dial-button on the control panel. This

controls the frequency in the ROI box. Select Pen or Gen.

 PD Post

Select PD Post in the menu. You can select PD Map.

NOTE

For further information about other PD Image optimization, refer to ‘Color

Doppler Mode’.

4 - 20 SONOACE X6 Operation manual

Spectral Doppler Mode

Spectral Doppler Mode gives information on the speed/direction of blood flow at a specific site in

the form of a spectral trace and audio signal. It is divided into PW (Pulsed Wave) Spectral

Doppler Mode and CW (Continuous Wave) Spectral Doppler Mode.

▐ PW Spectral Doppler Mode

PW Spectral Doppler Mode gives information on the speed of blood flow at a specific site

in the form of a spectral trace and audio signal. Since the pulse is transmitted being divided

according to time, distance (depth) information can be obtained. The mode is suitable for

measuring relatively slow blood flow such as that in abdominal and peripheral vessels. The

2D Mode image is shown simultaneously allowing the marking and adjustment of specific

sites within blood vessels.

Press the PW button on the control panel. Press PW button again to enter 2D Mode.

[Figure 4.6 PW Spectral Doppler Mode]

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Samsung SONOACE X6 User manual

Brand: Samsung

Model: SONOACE X6

Type: User manual

Samsung SONOACE X6

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Samsung SONOACE X6 User manual

Samsung SONOACE X6 User manual

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