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G5 Advanced Operation Manual PDF

This document provides instructions for the use of an ultrasound device. It summarizes the key regulatory requirements the device complies with and provides contact information for the manufacturer. It also includes a revision history showing updates made to the document. The bulk of the document consists of a table of contents outlining the various topics and measurement techniques covered in the user manual.

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mhd
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
113 views133 pages

G5 Advanced Operation Manual PDF

This document provides instructions for the use of an ultrasound device. It summarizes the key regulatory requirements the device complies with and provides contact information for the manufacturer. It also includes a revision history showing updates made to the document. The bulk of the document consists of a table of contents outlining the various topics and measurement techniques covered in the user manual.

Uploaded by

mhd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Regulatory Requirement

This product complies with regulatory requirements of the following


European directive 93/42/EEC as amended by 2007/47/EC
concerning medical devices.

Note:
Some options are not available in some model!!

G5 Basic Operator’s Manual


Manufacturer Contact Information:
SG HEALTHCARE CO.,LTD.
Address : 753 ITECO, 150 JOJEONG-DAERO, HANAM-SI, GYEONGGI-DO,
KOREA 465-736
Tel: +82 31 790 0647
Fax: +82 31 790 0604
Website: http://www.sghealthcare.com

Revision History
Revision Date Reason for change
1.0 October 2012 Initial release of product.

2012-2-22

G5 Basic Operator’s Manual


CONTENTS
1 Basic Measurement and Calculation ................................. 1-1

1.1 Measurement Menu ...........................................................................1-1


1.2 Operation with Menu ..........................................................................1-3
1.3 Measurement Results Box .................................................................1-4

2 Measurement Default .......................................................... 2-1

2.1 General ...............................................................................................2-2


2.2 Cardiac Calculation ............................................................................2-3
2.3 Formula ..............................................................................................2-3
2.4 Report .................................................................................................2-5

3 Basic Measurement and calculation .................................. 3-1

3.1 Basic B-mode Measurement ..............................................................3-2

3.1.1 Distance Measurement .................................................................... 3-2


3.1.2 Trace Measurement ......................................................................... 3-3
3.1.3 Ellipse Measurement ........................................................................ 3-5
3.1.4 Angle Measurement ......................................................................... 3-7
3.1.5 Volume Measurement ...................................................................... 3-8
3.1.6 D1/D2 .............................................................................................. 3-9
3.1.7 D2/D1 ............................................................................................ 3-10
3.1.8 A1/A2............................................................................................. 3-11
3.1.9 A2/A1............................................................................................. 3-12

3.2 Basic M-mode Measurements .........................................................3-13

3.2.1 Time Measurement ........................................................................ 3-13


3.2.2 HR Measurement ........................................................................... 3-14
3.2.3 Distance Measurement .................................................................. 3-15
3.2.4 Slope Measurement ....................................................................... 3-17
3.2.5 T1/T2 ............................................................................................. 3-18
3.2.6 D1/D2 ............................................................................................ 3-19

3.3 Basic PW (Doppler)-mode Measurements ......................................3-20

G5 Basic Operator’s Manual


3.3.1 Velocity Measurement.................................................................... 3-20
3.3.2 Acceleration Measurement ............................................................ 3-21
3.3.3 Time Measurement ........................................................................ 3-22
3.3.4 HR Measurement........................................................................... 3-23
3.3.5 Manual-Envelope Measurement..................................................... 3-24

4 Vascular Measurements Package ...................................... 4-1

4.1 Vascular Measurement Items in B-mode ........................................... 4-1


4.1.1 ICA Measurement in B-mode ........................................................... 4-2
4.1.2 NT Measurement ............................................................................. 4-3
4.1.3 CCA Measurement .......................................................................... 4-3

4.2 Vascular Measurement Items in PW-mode ....................................... 4-5


4.2.1 ICA Measurement in PW Mode ........................................................ 4-6

4.2.2 Instruction for the Measurement Data............................................... 4-7


4.2.2.1 Pulsation Index (PI) .................................................................. 4-7
4.2.2.2 Resistive Index (RI) .................................................................. 4-8
4.2.2.3 Percent Diameter Reduction (%D REDUC) ............................... 4-9
4.2.2.4 Percent Area Reduction (%A REDUC) ...................................... 4-9

4.2.2.5 Velocity Ratio ........................................................................... 4-9

5 Obstetric Measurements ..................................................... 5-1

5.1 OB Measurement Items in B-mode ................................................... 5-1


5.1.1 Fetal Heart Measurement ................................................................ 5-1
5.1.2 EFW Measurement .......................................................................... 5-3
5.1.3 GS Measurement............................................................................. 5-4
5.1.4 CRL Measurement ........................................................................... 5-4
5.1.5 BPD Measurement .......................................................................... 5-5
5.1.6 HC Measurement............................................................................. 5-5
5.1.7 AC Measurement ............................................................................. 5-6
5.1.8 FL Measurement .............................................................................. 5-6
5.1.9 AFI Measurement ............................................................................ 5-7
5.1.10 OFD Measurement....................................................................... 5-7
5.1.11 LV Measurement .......................................................................... 5-8
5.1.12 OOD Measurement ...................................................................... 5-9
5.1.13 CER Measurement....................................................................... 5-9
5.1.14 Humerus Measurement .............................................................. 5-10

G5 Basic Operator’s Manual


5.1.15 Ulna Measurement ..................................................................... 5-10
5.1.16 Tibia Measurement ..................................................................... 5-11
5.1.17 Other Measurements of Obstetrics ............................................. 5-12

5.2 OB Measurement in PW-mode ........................................................5-12

6 GYN Measurements Package ............................................. 6-1

6.1 Uterus Measurement..........................................................................6-1


6.2 Cervix Measurement ..........................................................................6-2
6.3 Ovary Measurement ...........................................................................6-2
6.4 Follicle Measurement .........................................................................6-3

7 Cardiac Measurement Package .......................................... 7-1

7.1 Cardiac B-mode Calculation ..............................................................7-1

7.1.1 Left Ventricular Function B-mode Measurement ............................... 7-1


7.1.1.1 Biplane Disk Method ................................................................. 7-2
7.1.1.2 Single Plane Ellipse .................................................................. 7-5
7.1.1.3 Biplane Ellipse .......................................................................... 7-6
7.1.1.4 Bullet ........................................................................................ 7-7
7.1.1.5 Simpson’s Method .................................................................... 7-8
7.1.1.6 Cube Method ............................................................................ 7-9
7.1.1.7 Teichholz Method.................................................................... 7-11
7.1.1.8 Gibson Method ....................................................................... 7-12

7.1.2 Right Ventricular Diameter.............................................................. 7-13


7.1.3 Main Pulmonary Artery ................................................................... 7-13
7.1.4 Mitral Valve Diameter ..................................................................... 7-13
7.1.5 Pulmonary Artery Diameter ............................................................ 7-14
7.1.6 Diameter of Left Ventricular Outflow Tract ....................................... 7-14

7.2 Cardiac M-mode Measurement .......................................................7-14

7.2.1 Left Ventricular Function M-mode Measurement ............................. 7-15


7.2.1.1 Cube Method .......................................................................... 7-15
7.2.1.2 Teichholz Method.................................................................... 7-16
7.2.1.3 Gibson Method ....................................................................... 7-17
7.2.2 Mitral Valve M-mode Measurement (MV) ........................................ 7-18
7.2.3 Aortic Valve M-mode Measurement ................................................ 7-20

G5 Basic Operator’s Manual


7.3 Cardiac PW-mode Measurement .................................................... 7-21
7.3.1 TEI index ....................................................................................... 7-21
7.3.2 Mitral Valve PW-mode Measurement ............................................. 7-22
7.3.3 Tricuspid Valve PW-mode Measurement ........................................ 7-24
7.3.4 Pulmonary Valve PW Measurement ............................................... 7-25
7.3.5 Aortic Valve PW-mode measurement ............................................. 7-27

8 Small Part Measurements ................................................... 8-1

8.1 Thyroid ............................................................................................... 8-1


8.2 Thyroid Isthmus Thickness ................................................................ 8-2
8.3 Left Upper Parathyroid ....................................................................... 8-2
8.4 Left Lower Parathyroid ....................................................................... 8-3
8.5 Right Upper Parathyroid .................................................................... 8-3
8.6 Right Lower Parathyroid .................................................................... 8-4
8.7 Testis Measurements ......................................................................... 8-4
8.8 Seminal Vesicle .................................................................................. 8-5

9 Urology Measurements ....................................................... 9-1


9.1 Kidney ................................................................................................ 9-1
9.2 Adrenal Glands .................................................................................. 9-2
9.3 Bladder ............................................................................................... 9-2
9.4 Residual Urine Volume ...................................................................... 9-3
9.5 Prostate Volume ................................................................................. 9-3
9.6 Prostate Transition Zone Volume ....................................................... 9-4

10 Orthopedic Surgery ........................................................... 10-4

10.1 Hip Joint ........................................................................................... 10-4

11 Measurement Report ......................................................... 11-1

11.1 To View a Patient Report ................................................................. 11-1


11.2 To Edit a Patient Report................................................................... 11-3

11.3 Graphs of Fetal Growth Curve ......................................................... 11-4

11.3.1 Single Graph .............................................................................. 11-4

G5 Basic Operator’s Manual


11.3.2 Quad Graphs.............................................................................. 11-5
11.3.3 Bar ............................................................................................. 11-6
11.3.4 Fetus Compare .......................................................................... 11-7

11.4 Description ....................................................................................... 11-8


11.5 Add Comments ................................................................................. 11-9
11.6 Image View ..................................................................................... 11-10
11.7 Preview ........................................................................................... 11-11

Appendix A: DICOM 3.0 Application ........................................ A-1

A.1 Network Setup ....................................................................................... A-1


A.2 DICOM Transmission............................................................................. A-2

Appendix B Clinical Measurement Items ............................. B-1

B.1 General Measurement ........................................................................... B-1


B.2 Vascular Measurement and Calculation ................................................ B-2
B.3 Obstetric Measurement and Calculation ............................................... B-2
B.4 GYN Measurement and Calculation ...................................................... B-3
B.5 Cardiac Measurement and Calculation ................................................. B-4
B.6 Small Part Measurement and Calculation ............................................. B-5
B.7 Urology Measurement and Calculation ................................................. B-5

Appendix C Information of EU Representative .................... C-1

G5 Basic Operator’s Manual


1 Basic Measurement and Calculation

The measurement and calculation function can assist the users in


quantitative analysis so as to provide accurate diagnostic information.
The performance of measurement and calculation function is different
greatly according to various applications and diagnostic modes. The
measurement inaccuracy shall be less than 3%.

During the measurement, working status of the system are decided by


the instructions inputted by users, which will be displayed at the
bottom of the screen. The users can operate properly according to the
displayed status.

1.1 Measurement Menu

In the diagnostic mode of real or frozen state, press the


<<Calc>> key to bring up the measurement package
menu corresponding to the diagnostic type.
Generally, measurement menu includes three parts:
"Menu Title", "Function item" and "Measurement Items".
Take the obstetric measurement menu as an instance:

G5 Basic Operator’s Manual 1-1


— OB menu title

Fetus 1 function item

+ Fetal Heart

+ EFW

GS

CRL

BPD

HC

AC

FL Measurement item

AFI

NT

OFD

LV

OOD

CER

Next Page >

Menu title:
Display the measurement menu name; click the “menu
title” to return to the previous level measurement menu.

Functional items:

 In the obstetric measurement menu, select


“Functional items” section, to switch among the
fetal 1, 2, 3, and 4 to correspond with the
measurement of the fetus.
 In those measurement menus of other subjects,
such as vascular, gynecological, small parts,
urology and carotid artery health evaluation,
click the “function items” to switch between left
and right sides.

Measurement Items: to start the measurement and
calculation of measurement items in the current
measurement package.

 If the menu item corresponds to a combination of

G5 Basic Operator’s Manual 1-2


measurement, move the cursor to the menu,
press the <<Set>> key to multiple
measurements; or access the next level of
measurement menu, and then click the menu
title to return to the previous measurement
menu.
 If a menu item corresponds to a measurement,
move the cursor to the measurement items,
press the <<Set>> key to start the measurement
and calculation of the corresponding
measurement project operation, measurement
cursor will be displayed in the drawing area
center.
 If the measurement items are over what the
screen displayed, press the

Next Page >


menu to show the
content of the next page.

1.2 Operation with Menu

Access any diagnostic mode, press the <<Calc>> key to bring up the
measurement package menu corresponding to the diagnostic type,
(when users configure the customized diagnostic mode, the correct
mode should be selected so that the related measurement menu
could be brought up.)

Move the cursor on the title of the measurement menu to switch the
measurement menu (such as “obstetric”. If a symbol as “-” is on the
left, it prompts that there is a previous menu), press the <<Set>> key
to return to the previous one.

After returned to the OB menu, the “Measurement” menu is shown as


below: (Note: the measurement package for the carotid artery health
evaluation is optional)

G5 Basic Operator’s Manual 1-3


1.3 Measurement Results Box

After users doing some measurements, the results box (the current
state of the results box is opened) will display the measurement results,
move the cursor to the icon as "-" at the upper left corner of the box
and press the key to fold the box, and the icon of “-” changes to

“+” at the same time. Press the key again to open the box again,

and the icon of “+” changes to “-” at the same time.


Move the cursor to the rectangular blank area at the upper right corner
in the measurement results box, and press the key to move the

measurement results box, and press the key again to stop moving.

G5 Basic Operator’s Manual 1-4


Delete individual measurement results

After the measurements are completed, move the


measuring cursor to any one of the measurement
results in the measurements box, at present, the
green background indicates selected, and then press
the <<Delete>> key to clear the selected
measurement results. Meanwhile, measurement
mapping will delete the measurement data.

 Clear measurement results show

After the measurements are completed, press the


<<Clear>> key to clear all mapping and results show
on the screen but won’t clear the measurement data
(measurement data can still be examined in the
measurement report).

G5 Basic Operator’s Manual 1-5


2 Measurement Default

User can configure measurement items according to their requirement.

 Set parameters related measurement

 Adjust the order of measurement menu

 Customize obstetric formula

 Set the interface of the generated report

In the selection screen of diagnostic mode, press the


<<MENU>> key to bring up the interface of the system
settings.

In the interface of “System Settings”, click the “Measure” tab to open the
measurement setting interface. Measurement settings include “General”,
“Menu”, and “Formula”.

G5 Basic Operator’s Manual 2-1


2.1 General

The setting options and methods for the generated items as


below:

Select from the drop-down list to configure the unit


Unit of measurement results, such as the metric
system, the U.S. system.
Select from the drop-down list to configure the
Heart Rate Cycle heart rate measurement of the cardiac cycle. 1 to
6 is optional.
Select form the drop-down list to configure the
ultrasound gestational age calculated in the
GA Calc measurement report, such as the maximum value,
the minimum, the average value, and the final
value.
Select from the drop-down list to configure the
shortcut key 0~9 corresponding to the related
measurement item. Only effective for the obstetric
Shortcut Key
and the cardiac measurement package. Besides,
the shortcut key of the cardiac measurement is
only effective in the cardiac diagnostic mode.

G5 Basic Operator’s Manual 2-2


2.2 Cardiac Calculation

In the interface, the order of the measurement menu for each of


measurement package can be configured in every imaging mode.

The setting options and methods for the menu as below:

Select the corresponding imaging mode firstly. In the diagnostic mode,


click the drop-down list to select the corresponding measurement
package.

Select an item in the unfold measurement items, click or

to adjust the measurement order up or down.

2.3 Formula

In the interface, the calculation method for the body surface area and
the measurement formula for part of the obstetric measurement item
can be configured. User can also customize the measurement formula
of the corresponding items as desired.

G5 Basic Operator’s Manual 2-3


The customized setting method for the obstetric formula is as
below:

Move the cursor to the user-defined measurement item, click to

open the User Define Formula interface, as the following figure shown:

G5 Basic Operator’s Manual 2-4


In the table, enter the measuring length and the corresponding days
according to the ascending order. Click the “Save” button and enter
a new formula, name and then click the “Save” button again to
generate a customized formula.

2.4 Report

In the interface, the interface of the generated report can be configured,


including the LOGO, the title name the font size, and the report content
of shown.

The setting method for Report LOGO as below:

Copy the finished LOGO (170X60 pixel bmp) to the root directory of U
disk, and connect U disk to the ultrasonic instrument. After the system
detected the U Disk, the button of “Operation LOGO” is highlighted.
Click it to bring up the following window:

G5 Basic Operator’s Manual 2-5


Double-click the LOGO in the right side of U disk, click to

add the logo into the device;

Double-click the LOGO in the left side of the device, click

to move the logo to U disk;

Click or to add all or move all.

After the operation is completed, click the “Save” button and select the

logo by clicking or .

After configured the LOGO, the title name, the font size, and the report
content of shown, click the “Preview” button to view the effect after
configuration.

G5 Basic Operator’s Manual 2-6


3 Basic Measurement and calculation

Basic measurement menu contains four basic measurement menu: B


mode, M mode, PW mode and Color mode. The basic measurement
menu of the Color mode is consistent with the basic measurement menu
of B mode, and so the operation for Color mode won’t be repeated in the
chapter.

The basic measurement mainly refers to the mapping of ultrasound


image area, the operation of measurement menu, the operation of
measurement results box. Generally, measurement result will not be
taken in the measurement report, but all combinations of measurement
are composed by the basic measurement.

G5 Basic Operator’s Manual 3-1


3.1 Basic B-mode Measurement

3.1.1 Distance Measurement

To measure the distance between two points on the image.


Operation with Keys:

1. In the frozen or real-time status, press


the <<Distance >> key, the cross
cursor (green) appears in the center of
the drawing area. Use the
<<Trackball>> to move the cursor to
the desired location.
2. Press <<Set >> key to anchor the first
cursor (become to the shape like X in
yellow), and display the measurement
results box at the same time. Move the
<<Trackball>> until second green
cross cursor appeared. Use the
<<Trackball>> to move the second
cursor to the desired location. The
measurement results change in
real-time while moving the cursor.
3. Press the <<Set >>key to anchor the
second cursor. Meanwhile, the
measurement results will display at the
upper right of the result box. Before
anchored the second cursor, press the
<<Update>> key to activate the length
measurement again, and swap the two
end point in the line segment.
4. Repeat the above steps to do the next
distance measurement ( After the
measurement is completed, simply
press the <<Set >> key to repeat the
measurement in default).

The measurement results are displayed in a data


window:
D: 10 cm

G5 Basic Operator’s Manual 3-2


Operation with Menu:

1. In the frozen or real-time status, press


the <<Calc>> key to select the
“Distance” item in the “Basic” menu.
- Basic
The cross cursor (green) appears in
the center of the drawing area The
next operation is the same as the
method of “Operation with Keys”.
Distance

3.1.2 Trace Measurement

To measure the circumference and area of the previous blocked area


in the ultrasound image area by free tracing means.
Operation with Menu:

1. In the frozen or real-time status, press


the <<Trace>> key. The cross cursor
(green) appears in the center of the
drawing area. Use the <<Trackball>>
to move the cursor to the desired
location.
2. Press the <<Set>> key to anchor the
started point (become to the shape like
X in yellow), and display the
measurement results box at the same
time. Move the <<Trackball>> to trace
the curve. The curve in real-time
appears in the measurement box.
3. After the tracing is completed, press
the <<Set>> key to close the curve
and calculate the area of the blocked
area. Press the <<Update>> key to
return to the modification.
4. Repeat the above steps to do the next
trace measurement.

G5 Basic Operator’s Manual 3-3


The measurement results are displayed in a data
window:
C: 10 cm
A: 4.00 cm2

Operation with Menu:

1. In the frozen or real-time status, press


the <<Calc >> key to select the “Trace”
item from the “Basic” menu. The cross
cursor (green) appears in the center of
the drawing area. The next operation
is the same as the method of
“Operation with Keys”.
- Basic

Trace

G5 Basic Operator’s Manual 3-4


3.1.3 Ellipse Measurement

To measure the circumference and area of the blocked area in the


measuring ultrasound image area.

Operation with Keys:

1. In the frozen or real-time status, press


the <<Ellipse>> key. The cross cursor
(green) appears in the center of the
drawing area. Use the <<Trackball>>
to move the cursor to the desired
location.
2. Press the <<Set>> key to anchor the
key point (become to the shape like X
in yellow), and display the
measurement results box at the same
time. Use the <<Trackball>> to move
the second curve to the desired
location. While moving, the real-time
computation appears the major axis
length of the ellipse.
3. Press the <<Set>> key to anchor the
curve of the second key point (become
to the shape like X in yellow), and
move the <<Trackball>> against the
direction perpendicular to the major
axis to draw an ellipse. Press the
<<Update>> key to swap points of the
major axis. Meanwhile, the real-time
computation of the minor axis length,
the circumference, and the area
appear in the results box.
4. After the size of the ellipse reached to
the expected size, press the <<Set>>
key to anchor the ellipse. Press the
<<Update>> key to adjust the position
of the ellipse.

G5 Basic Operator’s Manual 3-5


The measurement results are displayed in a data
window:
D1: 10 cm
D2: 4.00 cm2
C: 8.78 cm
A: 5.57 cm2

Operation with Menu:

1. In the frozen or real-time status, press


the <<Calc >> key to select the
“Ellipse” item from the “Basic” menu.
The cross cursor (green) appears in
the center of the drawing area. The
next operation is the same as the
method of “Operation with Keys”.
- Basic

Ellipse

G5 Basic Operator’s Manual 3-6


3.1.4 Angle Measurement

To measure the value of angle between two dashed lines.


Measurement Procedure:

1. In the frozen or real-time status, press


the <<Calc >> key to select the
“Angle” item from the “Basic” menu.
The cross cursor (green) appears in
the center of the drawing area. Use
the <<Trackball>> to move the cursor
to the desired location.
- Basic
2. Press the <<Set>> key to anchor the
first cursor (become to the shape like
X in yellow), and display the
measurement results box at the same
Angle
time. Move the <<Trackball>>, and
the second green cross cursor
appears. Use the <<Trackball>> to
move the second curve to the desired
location.
3. Press the <<Set>> key to anchor the
second curve (become to the shape
like X in yellow). Move the
<<Trackball>>, and the third green
cross cursor appears. While moving
the cursor, the measurement results
change in real time.
4. Press the <<Set>> key to anchor the
third curve (become to the shape like
X in yellow), and the measurement
results appear at the upper right of
screen in the results box at the same
time. Before the third cursor is
anchored, press the <<Update>> key
to re-activate angle measurement,
and swap two sides of the angle.

The measurement result is displayed in a data window:


Angle: 43.24º

G5 Basic Operator’s Manual 3-7


3.1.5 Volume Measurement

To measure the volume with three distances.


Measurement Procedure:

1. In the frozen or real-time status, press


the <<Calc >> key to select the
“Volume” item from the “Basic” menu.
The cross cursor (green) appears in
the center of the drawing area. Use
the <<Trackball>> to move the cursor
to the desired location.
- Basic
2. Select appropriate ultrasound images
to make three distances (the
measurement method of three
distances is the same as the method
Volume
of the distance measurement).
3. Each of distance will real-time
calculate to display the segment
length while drawing. The volume will
appear once the drawing is finished.
4. The three segments of the volume
measurement is not at the same
plane. The middle one may need to be
frozen and unfrozen many times, and
swap the ultrasound image plane.
5. The segment produced in the
procedure of freeze and unfreeze is
deleted, but the measurement results
will be saved as the contrast for the
observation.

The measurement result is displayed in a data window:


D1: 2.60 cm
D2: 1.57 cm
D3: 1.89 cm
Vol: 3.23 cm3

G5 Basic Operator’s Manual 3-8


3.1.6 D1/D2

To measure the ratio with two distances.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc >> key to select the
“D1/D2” item from the “Basic” menu.
The cross cursor (green) appears in
the center of the drawing area. Use
the <<Trackball>> to move the cursor
to the desired location.
- Basic
2. Select appropriate ultrasound images
to make two distances (the
measurement method of two
distances is the same as the method
D1/D2
of the distance measurement).
3. Each of distance will be calculated in
real-time to display the segment
length while drawing. The ratio will
appear once the drawing is finished.

The measurement result is displayed in a data window:


D1: 3.67 cm
D2: 5.48 cm
D1/D2: 0.67

G5 Basic Operator’s Manual 3-9


3.1.7 D2/D1

To measure the ratio with two distances.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc >> key to select
the “D2/D1” item from the “Basic”
menu. The measurement of “D2/D1”
is similar as the “D1/D2”. The
difference is that the value as a
denominator of the first segment
- Basic
length.

The measurement result is displayed in a data window:

D2: 4.93 cm

D1: 2.08 cm

D2/D1: 2.37

G5 Basic Operator’s Manual 3-10


3.1.8 A1/A2

To measure the ratio with two areas.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc >> key to select
the “A1/A2” item from the “Basic”
menu. The cross cursor (green)
appears in the center of the drawing
area. Use the <<Trackball>> to
move the cursor to the desired
- Basic
location.

2. Select appropriate ultrasound


images to measure the trace of two
A1/A2
areas (the trace measurement
method of two areas is the same as
the method of the trace
measurement).

3. After the trace measurement for


each of area is completed, the trace
area appears in the screen . The
area ratio of the result will be
calculated once the drawing is
finished.

The measurement result is displayed in a data window:

A1: 1.58 cm2

A2: 3.76 cm2

A1/A2: 0.42

G5 Basic Operator’s Manual 3-11


3.1.9 A2/A1

To measure the ratio with two areas.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc >> key to select
the “A2/A1” item from the “Basic”
menu. The measurement of “A2/A1”
is similar as the “A1/A2”. The
difference is that the value as a
denominator of the first tracing area.
- Basic

A2/A1

The measurement result is displayed in a data window:

A2: 3.34 cm2

A1: 6.08 cm2

A2/A1: 0.55

G5 Basic Operator’s Manual 3-12


3.2 Basic M-mode Measurements

3.2.1 Time Measurement

Time is the measurement between the vertical time lines created by


two cursors. The position of the horizontal distance lines does not
affect time measurements.

Measurement Procedure:

1. In the frozen or real-time status, press


the <<Calc>> key to select the “Time”
item from the “Basic” menu. The cross
cursor appears as a vertical. Use the
<<Trackball>> to move the cursor to
the desired location.
2. Use the <<Trackball>> to move the
- Basic
cursor to the desired location. Press
the <<SET>>key to fix the marker;
and the second cursor appears.
3. Use the <<Trackball>> again to move
the second cursor to the end point.
Press the <<SET>>key again to fix
Time
the marker and the measurement
result will appear at the upper right
corner of the screen.

The measurement result is displayed in a data window:


T: 09 s

G5 Basic Operator’s Manual 3-13


3.2.2 HR Measurement

HR is the measurement between the two vertical lines that are


created by two cursors in beat per minute(BPM).The position of the
horizontal distance lines does not affect HR.

Measurement Procedure:

1. In the frozen or real-time status, press


the <<CALC>>key to select the “HR”
item from the “Basic” menu. Press the
<<SET>>key for confirmation and the
first vertical cursor appears on the
screen.

- Basic
2. Use the <<Trackball>> horizontally to
move the cursor to the desired
location. Press the <<SET>>key to fix
it; and the second cursor appears at
the same time
HR
.
3. Use the <<Trackball>> horizontally to
move the second cursor to the end
position. Press the<<SET>>key to fix
it and the measurement result is
displayed at the upper right corner of
the screen.

The measurement result is displayed in a data window:

T: 0.78 s

HR: 77.42 bpm

G5 Basic Operator’s Manual 3-14


3.2.3 Distance Measurement

Distance is the measurement between the two horizontal lines that


lean on the two cursors. The position of the vertical time lines does
not affect the distance measurements.

Measurement Procedure:

1. In the frozen or real-time status, press


the <<Distance >> key, the big cross
cursor (green) appears in the center
of the drawing area.

2. Use the <<Trackball>> to move the


cursor to the desired location. Press
<<Set >> key to fix the vertical line of
distance and the first key point, and
the results box is displayed at the
same time. Move the <<Trackball>>
up or down to fix the horizon to the
desired location, and the vertical
value between the horizon and the
first point are calculated in real-time at
the same time.

3. Use the <<Trackball>> vertically to


move the second cursor to the
desired location, and the
measurement result is displayed at
the upper right corner of the screen.

4. Press the <<Set >>key to anchor the


second cursor to complete the
measurement.

G5 Basic Operator’s Manual 3-15


Operation with Menu:

1. Press the <<CALC>>key to select


the “Distance” item from the “Basic”
menu. Press the <<Set >>key, the
big cross cursor (green) appears in
the center of the drawing area.

2. Use the <<Trackball>> to move the


- Basic
cursor to the desired location. Press
the <<Set >> key to fix the vertical
line of distance and the first key
point, and the results box is
Distance
displayed at the same time. Move
the <<Trackball>> up or down to fix
the horizon to the desired location,
and the vertical value between the
horizon and the first point are
calculated in real-time at the same
time.

3. Use the <<Trackball>> vertically to


move the second cursor to the
desired location, and the
measurement result is displayed at
the upper right corner of the screen.

4. Press the <<Set >>key to anchor


the second cursor to complete the
measurement, and return to the cine
mode.

The measurement result is displayed in a data window:

9.99 cm

G5 Basic Operator’s Manual 3-16


3.2.4 Slope Measurement

Slope is the measurement between the intersection of the two cursors.


Slope can be positive or negative and measures as the rate of change
between the two points defined by the intersections of the cursors in
cn/sec.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<CALC>>key to select
the “Slope” item from the “Basic”
menu. Press the <<Set >>key, the
big cross cursor (green) appears in
the center of the drawing area.

- Basic
2. Use the <<Trackball>> to move the
cursor to the desired location. Press
the <<SET>>key to fix it; and the
second cursor appears at the same
Slope
time.

3. Use the <<Trackball>> to move the


cursor to the end position. Press
the<<SET>>key to fix it and the
measurement result is displayed at
the upper right corner of the screen.

The measurement result is displayed in a data window:

D: 12.00 cm

T: 2.00 s

V: 6.00 cm/s

G5 Basic Operator’s Manual 3-17


3.2.5 T1/T2

To measure the ratio with two times.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<CALC>>key to select
the “T1/T2” item from the “Basic”
menu, and the cross cursor (green)
appears in the center of the drawing
area at the same time.
2. Use the <<Trackball>> to move the
- Basic
cursor to the started point of T1.
Press the <<SET>>key to fix it; and
the second cursor appears at the
same time.
T1/T2
3. Use the <<Trackball>> to move the
cursor to the end point of T1. Press
the<<SET>>key to fix it. The first
measurement result of T1 is
displayed at the upper right corner of
the screen, and the third cursor
appears at the same time.
4. Use the <<Trackball>> to move the
cursor to the started point of T2.
Press the <<SET>>key to fix it; and
the fourth cursor appears at the
same time.
5. Use the <<Trackball>> to move the
cursor to the end point of T2. Press
the<<SET>>key to fix it. The
measurement is completed, and the
result appears at the upper right
corner of the screen.

The measurement result is displayed in a data window:

T1: 12.00 s
T2: 2.00 s
T1/T2: 6.00

G5 Basic Operator’s Manual 3-18


3.2.6 D1/D2

To measure the ratio with two distances.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc >> key to select
the “D1/D2” item from the “Basic”
menu. The cross cursor (green)
appears in the center of the drawing
area.
2. Use the <<Trackball>> to move the
- Basic
cursor to the started point of D1.
Press the <<Set >> key to fix the
vertical line of distance and the first
key point, and the second cursor
D1/D2
appears at the same time.
3. Move the <<Trackball>> up or down
to fix the horizon to the desired
location. Press the <<Set >> key to
get the vertical distance value D1
between the horizon and the first
point, and the third cursor appears
at the same time.
4. Use the <<Trackball>> to move the
cursor to the started point of D2.
Press the <<Set >> key to fix it; and
the fourth cursor appears at the
same time.
5. Use the <<Trackball>> up or down
to move the cursor to the end point
of D2. Press the <<Set >> key to fix
it. The measurement is completed,
and the result appears at the upper
right corner of the screen.

The measurement result is displayed in a data window:


D1: 7.64.00 cm
D2: 9.98 cm
D1/D2: 0.77

G5 Basic Operator’s Manual 3-19


3.3 Basic PW (Doppler)-mode Measurements

3.3.1 Velocity Measurement

To measure the velocity of the current point according to the


measuing point.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc >> key to select
the “Velocity” item from the “Basic”
menu. The big cross cursor (green)
appears in the center of the drawing
area. Use the <<Trackball>> to
move the cursor to the desired
- Basic
location.
2. Press the <<Set >> key to fix the
vertical line of the velocity
measurement, and the result box is
Velocity
displayed at the same time. Move
the <<Trackball>> up or down to fix
the horizon to the desired location
and appear the velocity value
calculated in real-time.
3. Press the <<Set >> key to fix the key
point. The measurement is
completed.
4. After the measurement is
completed, press the <<Set >> key
to re-activate the last measuring
items (It is able to do the continuous
measurement).

The measurement result is displayed in a data window:

Vel: 293.02 cm/s


PG: 34.34 mmHg

G5 Basic Operator’s Manual 3-20


3.3.2 Acceleration Measurement

To calculate the acceleration by measuring the change value in flow


velocity between two points.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc >> key to select
the “Acceleration” item from the
“Basic” menu. The big cross cursor
(green) appears in the center of the
drawing area. Use the
<<Trackball>> to move the cursor
- Basic
to the desired location.

Acceleration 2. Use the <<Ttracball>> to move the


cursor to the desired position.

3. Press the <<SET>>key to fix it;


and the second cursor appears.

4. Use the <<Tracball>> to move the


second cursor to the measurement
end point.

5. Press <<SET>>key to confirm the


position. The line features value is
displayed on the screen.

6. Press the <<SET>>key again for


another accelaration
measurement.

The measurement result is displayed in a data window:

PeakV: 81.93 cm/s


Time: 0.53 s
AccV: -157.84 cm/s2

G5 Basic Operator’s Manual 3-21


3.3.3 Time Measurement

To measure the time between two points according to the measured


points.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<Calc>> key to select
the “Time” item from the “Basic”
menu. The cross cursor appears
as a vertical. Use the
<<Trackball>> to move the cursor
to the desired location.
- Basic
2. Use the <<Trackball>> to move the
cursor to the desired location.
Press the <<SET>>key to fix the
Time
marker; and the second cursor
appears.

3. Use the <<Trackball>> again to


move the second cursor to the end
point. Press the <<SET>>key
again to fix the marker and the
measurement result will appear at
the upper right corner of the
screen.

The measurement result is displayed in a data window:

T: 1.00 s

G5 Basic Operator’s Manual 3-22


3.3.4 HR Measurement

To calculate the heart rate according to the time interval between two
measured points.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<CALC>>key to select
the “HR” item from the “Basic”
menu. Press the <<SET>>key for
confirmation and the first vertical
cursor appears on the screen.

- Basic
2. Use the <<Trackball>> horizontally
to move the cursor to the desired
location. Press the <<SET>>key to
fix it; and the second cursor
HR
appears at the same time.

3. Use the <<Trackball>> horizontally


to move the second cursor to the
end position. Press
the<<SET>>key to fix it and the
measurement result is displayed at
the upper right corner of the
screen.

The measurement result is displayed in a data window:

T: 0.78 s

HR: 77.42 bpm

G5 Basic Operator’s Manual 3-23


3.3.5 Manual-Envelope Measurement

To use Manual Trace perform the measurement in Doppler images.


After finishing the manual curve, the system will automatically
measure the HR, Time, etc.

Measurement Procedure:

1. In the frozen or real-time status,


press the <<CALC>>key to select
the “Manual-Envelope” item from
the “Basic” menu. The big cross
cursor (green) appears in the
center of the drawing area. Use the
<<Trackball>> to move the cursor
- Basic
to the desired location.

2. Press the <<SET>>key to fix the


first verticall line of the
Manual-Envelope
manual-envelope measurement.
And the results box appears at the
same time.

3. Move the <<Trackball>> to trace a


periodic wave form. The result
updates the calculation in
real-time.

4. Press the <<SET>>key to stop the


envelope, and the second vertical
line is displayed. Move the vertical
line left or right ro fix a periodic (to
measure the heart rate).

5. Press the <<SET>>key to


complete the measurement.

6. After the measurement is


completed, press the <<SET>>key
again to re-activate the last
measuring items.

G5 Basic Operator’s Manual 3-24


The measurement result is displayed in a data window:

Vp:
PPG:
Ve:
EPG:
Vm:
MPG:
Pl:
Rl:
VTL:
EnvTi:
S/D:
HR:

G5 Basic Operator’s Manual 3-25


4 Vascular Measurements Package

Vascular measurements include measurements of vascular in B mode


and M mode.

4.1 Vascular Measurement Items in B-mode

In B mode, vascular measurement package contains 16


measurement items, including “NT”, “ICA”, “ECA”, “CCA”, “INT IL”,
“EXT IL”, “ILIAC”, “CFA”, “PROFUN”, “LT CIR”, “SFA”, “POP”, “ATA”,
“PERON”, “PTA”, “DR PED”.

Measurement Menu:

- VASCULAR Menu title


NT
+ ICA
+ ECA
+ CCA
+ INT IL
+ EXT IL
+ ILIAC
+ CFA
+ PROFUN
Measurement items
+ LT CIR
+ SFA
+ POP
+ ATA
+ PERON
+ PTA
+ DR PED

In these measurement items, only “NT” and “CCA” are different from
the others, and other 14 measurement items have the same sub
items. Take “ICA” as an example to give a detailed description. The
other of 13 measuring methods of items can refer to “4.1.1 ICA
Measurement in B mode”.

G5 Basic Operator’s Manual 4-1


4.1.1 ICA Measurement in B-mode

Measurement Procedure:

1. In frozen B mode, press the <<CALC>> key to bring up the


measurement menu.
2. In the pop-up menu, select the “Vascular” item, and in the pop-up
menu package of the vascular measurement, select the “ICA”
menu.
3. After select the “ICA” menu, select the left / right side of “ICA” to
measure.

Measurement Menu:

- ICA Menu title


LEFT > Function items
Diam Original
Diam Reduce
Area Original Measurement items
Area Reduce

Measurement Items:

Measurement Measurement
Description
Items Method
Refer to “3.1.1
Diam Original Diam Original of the ICA Distance
Measurement”
Refer to “3.1.1
Diam Reduce Diam Reduce of the ICA Distance
Measurement”
Refer to “3.1.2
Area Original Area Original of the ICA Trace
Measurement”
Refer to “3.1.2
Area Reduce Area Reduce of the ICA Trace
Measurement

G5 Basic Operator’s Manual 4-2


4.1.2 NT Measurement

Measurement Procedure:

1. In frozen B mode, press the <<CALC>> key to bring up the


measurement menu.

2. In the pop-up menu, select the “Vascular” item, and in the pop-up
menu package of the vascular measurement, select the “NT”
menu.

Measurement Items:

Measurement Items Measurement Method

After select the “NT” menu, press the


<<Set>> key to fix it, and the
measurement cursor appears on the
screen. Use the <<trackball>> to move
NT
the cursor to the desired location. Press
the <<Set>> key to confirm.
The program will calculate the
measurement results automatically.

4.1.3 CCA Measurement

Measurement Procedure:

1. In frozen B mode, press the <<CALC>> key to bring up the


measurement menu.

2. In the pop-up menu, select the “Vascular” item, and in the pop-up
menu package of the vascular measurement, select the “CCA”
menu.

3. After select the “CCA” menu, select the left / right side of “CCA” to
be measured.

G5 Basic Operator’s Manual 4-3


Measurement Items:

Measurement Measurement
Direction
Items Method
Refer to “4.1.2 NT
CCA IMT CCA NT
Measurement”
Refer to “3.1.1
Diam Original Diam Original of the CCA Distance
Measurement”
Refer to “3.1.1
Diam Reduce Diam Reduce of the CCA Distance
Measurement”
Refer to “3.1.2
Area Original Area Original of the CCA Trace
Measurement”
Refer to “3.1.2
Area Reduce
Area Reduce of the CCA Trace
Measurement”

G5 Basic Operator’s Manual 4-4


4.2 Vascular Measurement Items in PW-mode

In PW mode, vascular measurement package contains 15


measurement items, including “ICA”, “ECA”, “CCA”, “INT IL”, “EXT IL”,
“ILIAC”, “CFA”, “PROFUN”, “LT CIR”, “SFA”, “POP”, “ATA”, “PERON”,
“PTA”, “DR PED”.
These methods and content of measurements are all the same.
Therefore, this section only takes “ICA” as a instance for description.
Other items can refer to “ICA Measurement in B Mode”.

Measurement menu:

- Vascular Menu titile


LEFT > Function items
ICA
ECA
CCA
INT IL
EXT IL
ILIAC
CFA
PROFUN Measurement items
LT CIR
SFA
POP
ATA
PERON
PTA
DR PED

G5 Basic Operator’s Manual 4-5


4.2.1 ICA Measurement in PW Mode

Measurement Procedure:

1. In frozen PW mode, press the <<CALC>> key to bring up the


measurement menu.

2. In the pop-up menu, select the “Vascular” item, and in the pop-up
menu package of the vascular measurement, select the “ICA”
menu.

3. After select the “ICA” menu, select the left / right side of “ICA” to
measure.

Measurement Items:

Measurement Items Measurement Method

Refer to “3.3.5 Manual-Envelope


ICA
Measurement”

G5 Basic Operator’s Manual 4-6


4.2.2 Instruction for the Measurement Data

4.2.2.1 Pulsation Index (PI)

The pulsation index is derived from the characteristics of the spectral


waveform. The pulsation index is defined as the peak-to-peak
excursion of the Doppler shift frequency/velocity over a single cardiac
cycle divided by the time-averaged peak frequency/velocity.
It is calculated from the ration of the peak systolic frequency/velocity
shift minus the end diastolic frequency/velocity shift divided by the
time-averaged peak frequency/velocity shift.
The procedure requires the user to obtain a spectral waveform on a
vessel of interest, which one can identify peak systole and end
diastole for a given cardiac cycle.

The report includes:

 Peak systolic velocity


 End diastolic velocity
 Time-averaged peak velocity
 Pulsation index
 Resistive index

With Velocity:

PI = abs ((A (cm/sec) - B (cm/sec)) / TApeak


(cm/sec))

With Doppler Frequency:

PI = abs ((A (KHz) - B (KHz)) / TApeak (KHz)

Where:
A = Velocity in centimeters/second at peak systole of the
spectral trace or frequency in Kilo-Hertz.
B = Velocity in centimeters/second at the end point of diastole
on the spectral trace T or frequency in Kilo-Hertz.
Time-averaged peak velocity (TApeak) = Velocity time
integral (VTI) / time (T) of the spectral trace in seconds.
Time-averaged peak frequency (TApeak) = Frequency time
integral (Frl)/time M of the spectral trace in seconds.

G5 Basic Operator’s Manual 4-7


4.2.2.2 Resistive Index (RI)

The resistive index is: the peak systolic frequency/velocity shift minus
the end diastolic frequency/velocity shift divided by the peak systolic
frequency/velocity shift.

The report includes:

 Peak systolic velocity


 End diastolic velocity
 Resistive index

With Velocity:

RI = abs ((A (cm/sec) - B (cm/sec)) / A (cm/sec))

With Frequency:

RI = abs ((A (KHz) - B (KHz)) / A (KHZ))

Where:
A = Velocity in centimeters/second at peak systole on the
spectral trace or frequency in KHz.
B = Velocity in centimeter-s/second at the end point of diastole
on the spectral trace or frequency in KHz.

G5 Basic Operator’s Manual 4-8


4.2.2.3 Percent Diameter Reduction (%D REDUC)

The function is derived from 2-D diameter measurement of the normal


or unreduced vessel and a 2-D diameter measurement of the stenotic
or reduced lumen diameter. For this procedure, a longitudinal 2-D
view of the vessel of interest must be obtained; the diameter of the
unreduced portion of the lumen must be defined; and the diameter of
the stenotic portion must be defined.
Display result:
 Maximum area
 Minimum area
 Diameter reduction in percentage
% Diameter Reduction = (1 - d (cm) / D(cm) ) * 100
Where:
d is the reduced diameter of the vessel in centimeters.
D is the original diameter of the vessel in centimeters.

4.2.2.4 Percent Area Reduction (%A REDUC)

Used for quantification of the lumen area. The system obtains a


cross-sectional outline of the normal vessel and compares it to a
tracing of the stenotic or reduced lumen.
For this procedure, a cross-sectional 2D view of the vessel of interest
must be obtained: the circumference of normal portion of the lumen
must be defined; and the circumference of the reduced or stenotic
portion must be defined.

Display result:
 Maximum area
 Minimum area
 Percent of area reduction
% Area Reduction = (1 - a (cm2) / A (cm2)) * 100

Where:
a is the reduced area of the vessel in square centimeters.
A is the original area of the vessel in square centimeters.

4.2.2.5 Velocity Ratio

Ratio A to B = abs (A) / abs (B) (cm/sec or KHz)


Where:
A is any velocity or frequency point on a spectral trace.
B is any velocity or frequency point on a spectral trace.

G5 Basic Operator’s Manual 4-9


5 Obstetric Measurements

OB measurements include measurements of obstetric in B mode and


PW Mode.

5.1 OB Measurement Items in B-mode

In B mode, OB measurement contains 30 measurement items,


including “Fetal Heart”, “EFW”, “GS”, “CRL”, “BPD”, “HC”, “AC”, “FL”,
“AFI”, “NT”, “OFD”, “LV”, “OOD”, “CER”, “Umb VD”, “HA”, “AA”, “THD”,
“TC”, “APTD”, “TTD”, “TAD”, “APAD”, “Humerus”, “Radius”, “Ulna”,
“Kidney”, “Tibia”, “Fibula”, “Foot”.
Measurement Menu:
Please refer to “1.1 Measurement Menu”.

5.1.1 Fetal Heart Measurement

The fetal heart measurement contains 13 items, including “AoD Arch”,


“Asc AoD”, “Desc AoD”, “IVSd”, “LVIDd”, “IVSs”, “LVPWd”, “LVIDs”,
“LVPWs”, “LVOT Diam”, “PA”, “RVDd”, “RVOT Diam”.

Measurement Menu:

- Fetal Heart Menu Title


AoD Arch
Asc AoD
Desc AoD
IVSd
LVIDd
IVSs
LVPWd Mesaurement items
LVIDs
LVPWs
LVOT Diam
PA
RVDd
RVOT Diam

G5 Basic Operator’s Manual 5-1


Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from


thedrop-down list of “OB”.

3. After select the fetus, select the “Fetus Heart” item, and then
select the measured item from the pop-up menu to measure.

Measurement Items:

Measurement Measurement
Description
Item Method
AoD Arch Aortic Arch Diameter
Asc AoD Ascending Aorta Diameter
Desc AoD Descending Aorta Diameter
Interventricular Septum thickness
IVSd
at the end diastole
Left ventricular short-axis
LVIDd
diameter at end diastole
Interventricular Septum thickness
IVSs
at the end systole
Left ventricular posterior wall Refer to “3.1.1
LVPWd
thickness at end diastole Distance
Left ventricular short-axis Measurement".
LVIDs
diameter at end systole
Left ventricular posterior wall
LVPWs
thickness at end systole
Left ventricular outflow tract
LVOT Diam
Diameter
PA Pulmonary trunk Diameter
RVDd Right Ventricular Diameter
Right ventricular outflow tract
RVOT Diam
Diameter

G5 Basic Operator’s Manual 5-2


5.1.2 EFW Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.
2. Select the measured fetus (from fetus1 to fetus4) from the
drop-down list of “OB”.
3. After select the fetus, select the “EFW” item, and then select the
measured item from the pop-up menu to measure.

The measurement items of EFW are decided by the


selected formula.

 Hadlock3 (Weiner/Sabbagha)
Measure HC, AC and FL if you selected the Hadlock3
(Weiner/Sabbagha) EFW table.

 Shepard
Measure BPD and AC if you selected the Shepard EFW
table.

 Hadlock1
Measure BPD FL and AC if you selected the Hadlock EFW
table.

 Hansmann
Measure BPD and TAD if you selected the Hansmann EFW
table.

G5 Basic Operator’s Manual 5-3


5.1.3 GS Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “GS” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
GS
Measurement”

5.1.4 CRL Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “CRL” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
CRL
Measurement”

G5 Basic Operator’s Manual 5-4


5.1.5 BPD Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “BPD” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
BPD
Measurement”

5.1.6 HC Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “HC” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.3 Ellipse
HC
Measurement”

G5 Basic Operator’s Manual 5-5


5.1.7 AC Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “AC” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.3 Ellipse
AC
Measurement”

5.1.8 FL Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “FL” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
FL
Measurement”

G5 Basic Operator’s Manual 5-6


5.1.9 AFI Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “AFI” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


D1
Refer to “3.1.1 Distance
D2
Measurement”
D3
D4

5.1.10 OFD Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “OFD” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


OFD Refer to “3.1.1 Distance

G5 Basic Operator’s Manual 5-7


Measurement”

5.1.11 LV Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “LV” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
LV
Measurement”

G5 Basic Operator’s Manual 5-8


5.1.12 OOD Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “OOD” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
OOD
Measurement”

5.1.13 CER Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “CER” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
CER
Measurement”

G5 Basic Operator’s Manual 5-9


5.1.14 Humerus Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “Humerus” item, and then select
the measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
Humerus
Measurement”

5.1.15 Ulna Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “Ulna” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
Ulna
Measurement”

G5 Basic Operator’s Manual 5-10


5.1.16 Tibia Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “OB”
item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “Tibia” item, and then select the
measured item to measure.

Measurement Item:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
Tibia
Measurement”

G5 Basic Operator’s Manual 5-11


5.1.17 Other Measurements of Obstetrics

The other measurement items of obstetric:


Measurement Item Measurement Method
Refer to “3.1.1 Distance
NT
Measurement”
Refer to “3.1.1 Distance
Umb VD
Measurement”
Refer to “3.1.3 Ellipse
HA
Measurement”
Refer to “3.1.3 Ellipse
AA
Measurement”
Refer to “3.1.1 Distance
THD
Measurement”
Refer to “3.1.3 Ellipse
TC
Measurement”
Refer to “3.1.1 Distance
APTD
Measurement”
Refer to “3.1.1 Distance
TTD
Measurement”
Refer to “3.1.1 Distance
TAD
Measurement”
Refer to “3.1.1 Distance
APAD
Measurement”
Refer to “3.1.1 Distance
Radius
Measurement”
Refer to “3.1.1 Distance
Kidney
Measurement”
Refer to “3.1.1 Distance
Fibula
Measurement”
Refer to “3.1.1 Distance
Foot
Measurement”

5.2 OB Measurement in PW-mode

The OB measurement in PW mode contains: “Umb A”, “MCA”, “Rt


Uterin A”, “Lt Uterin A”, and “Fetal AO”. The measurement methods of
these items are as the same as the vascular measurements in PW
Mode.

G5 Basic Operator’s Manual 5-12


6 GYN Measurements Package

GYN Measurement is only for B mode. It contains 4 measurement


items, including “UT”, “Cervix”, “Ovary”, and “Follicle”.

Measurement Menu:
- GYN Menu Title
+UT
+Cervix Measurement
+Ovary items
Follicle

6.1 Uterus Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “GYN”
item from the pop-up menu.
2. Select the "UI" item from the drop-down list of “GYN” to measure.

Measurement Items:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
Length
Measurement”
Refer to “3.1.1 Distance
Width
Measurement”
Refer to “3.1.1 Distance
Heigh
Measurement”
Refer to “3.1.1 Distance
Endo
Measurement”

G5 Basic Operator’s Manual 6-1


6.2 Cervix Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “GYN”
item from the pop-up menu.

2. Select the “Cervix” item from the drop-down list of “GYN” to


measure.

Measurement Items:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
Length
Measurement”
Refer to “3.1.1 Distance
Width
Measurement”
Refer to “3.1.1 Distance
Heigh
Measurement”

6.3 Ovary Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “GYN”
item from the pop-up menu.
2. Select the “Ovary” item from the drop-down list of “GYN”.
3. Select the “Left side/Right side” item from the bottom of the
“Ovary” menu to measure.

Measurement Items:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
Length
Measurement”
Refer to “3.1.1 Distance
Width
Measurement”
Refer to “3.1.1 Distance
Heigh
Measurement”

G5 Basic Operator’s Manual 6-2


6.4 Follicle Measurement

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “GYN”
item from the pop-up menu.

2. Select the “Follicle” item from the drop-down list of “GYN” to


measure.

Measurement Items:

Measurement Item Measurement Method


Refer to “3.1.1 Distance
Length
Measurement”
Refer to “3.1.1 Distance
Width
Measurement”
Refer to “3.1.1 Distance
Heigh
Measurement”

G5 Basic Operator’s Manual 6-3


7 Cardiac Measurement Package

Cardiac Measurement includes B Mode cardiac Measurement, M


Mode cardiac measurement and PW Mode Cardiac Measurement.

7.1 Cardiac B-mode Calculation

B Mode cardiac Measurement includes 6 items: “Left ventricular


Function”, “Right ventricular Diameter”, “Main pulmonary artery”,
“Diameter of Pulmonary valve”, “Diameter of Mitral valve” and
‘‘Diameter of Pulmonary valve”.

Measurement Menu:

- cardiac Title of Menu

+Left ventricular Function

Right ventricular Diameter

Main pulmonary artery


Measurement Item
Diameter of mitral valve

Diameter of Pulmonary vavle


Diameter of Left ventricular
outflow tract

7.1.1 Left Ventricular Function B-mode Measurement

Left ventricular function measurement in B mode includes 8


submenus:
a. Single Plane Ellipse
b. Biplane Ellipse
c. Bullet
d. Simpson
e. Cube
f. Teichholz
g. Gibson
h. Biplane disk

G5 Basic Operator’s Manual 7-1


- LV function Title of menu
+Biplane disk
+Single Plane Ellipse
+Biplane Ellipse
+Bullet
+Simpson Measurement item
+ Cube
+Teichholz
+Gibson

7.1.1.1 Biplane Disk Method

This method calculates the left ventricular volume by approximating


the vertical A4CV or A42V.

Biplane Disk Measurement:

Calculation Formula:
 L n
V=
4
  ( D1 D2)
n i 0
L: Left ventricular long-axis length for 2CH or 4CH, whichever is
longer
D1: The ith disk diameter of Left ventricular Area, Apical 4
Chamber
D2: The ith disk diameter of Left ventricular Area, Apical 2
Chamber
n: the number of disk

G5 Basic Operator’s Manual 7-2


Measurement Procedure:
1. In frozen B mode, press the <<CALC>> key to bring up the
calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.
2. From the drop-down list of “Left ventricular Function”, select the
“Biplane disk” item to do the corresponding measurement.

Measurement Items:

Measurement
Direction Measurement Method
Items
Traces the endocardium The command provides
of the left ventricle at area and distance for a
end-diastole on the continuous free-hand
D2CH two-chamber trace. Select the menu
cross-sectional image and press the <<SET>>
and sets the position of key to bring up the trace
the long axis. starting cursor. Use the
Traces the endocardium <<Trackball>> to move
of the left ventricle at the cursor to the desired
end-diastole on the four starting point and press
D4CH
chamber cross-sectional the <<SET>> key to
image and sets the lock it. Use the
position of the long axis. <<Trackball>> to trace
Traces the endocardium the perimeter of the
of the left ventricle at object to be measured,
end-systole on the and press the <<SET>>
S2CH two-chamber key to confirm it. The
cross-sectional image long axis of the left
and sets the position of ventricle will be
the long axis. automatically scaled
out. Press the <<Set>>
key to confirm and end
Traces the endocardium
this measurement.
of the left ventricle at
Users can also move
end-systole on the four
S4CH the <<Trackball>> to
chamber cross-sectional
modify the long axis and
image and sets the
press the <<set>> key
position of the long axis.
to confirm and end this
measurement.

G5 Basic Operator’s Manual 7-3


Calculation Items:

Calculation Calculation
Description
Items Method
Left ventricular two-chamber Refer to the area
LVAd-2CH long-axis sectional area at end calculation
diastole formula
Long-axis length of Refer to the
LVLd-2CH two-chamber sectional left length calculation
ventricular at end diastole formula
Left ventricular two-chamber Refer to the area
LVAs-2CH long-axis sectional area at end calculation
systole formula
Long-axis length of Refer to the
LVLs-2CH two-chamber sectional left length calculation
ventricular at end systole formula
Left ventricular four-chamber Refer to the area
LVAd-4CH long-axis sectional area at end calculation
diastole formula
Long-axis length of Refer to the
LVLd-4CH four-chamber sectional left length calculation
ventricular at end diastole formula
Left ventricular four-chamber Refer to the area
LVAs-4CH long-axis sectional area at end calculation
systole formula
Long-axis length of Refer to the
LVLs-4CH four-chamber sectional left length calculation
ventricular at end systole formula
Refer to the
Volume of left ventricular at volume
EDV-4CH
end diastole(mL) calculation
formula
Refer to the
Volume of left ventricular at volume
ESV
end diastole(mL) calculation
formula
SV Stoke volume(mL) EDV-ESV
CO Cardiac ouput (L/min) SV×HR
EF Ejection fraction SV/EDV
SI Stroke volume index SV/BSA
CI Cardiac index CO/BSA

G5 Basic Operator’s Manual 7-4


7.1.1.2 Single Plane Ellipse

This method calculates the left ventricular volume by approximating


the 2-D-mode’s long–axis image to an ellipse.

Calculation Formula for Volume:


8 LVALd 2
EDV = 
3   LVLd

8 LVALs 2
EVS = 
3   LVLs
Measurement Procedure:

1. In frozen B mode, press the <<CALC>>key to bring up the


calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.
2. From the drop-down list of “Left ventricular Function”, select the
“Single Plane Ellipse” item to do the corresponding
measurement.

Measurement Items:

Measurement
Description Measurement Method
Items
Left ventricular
Refer to “3.1.2 Trace
LVALd short-axis area at end
Measurement”
diastole
Left ventricular Refer to “3.1.1
LVLd long-axis length at end Distance
diastole Measurement”
Left ventricular
short-axis area at end Refer to “3.1.2 Trace
LVALs
systole ventricular at Measurement”
end systole
Left ventricular Refer to “3.1.1
LVLs long-axis length at end Distance
systole Measurement”

Calculation Items:
Please refer to “Calculation Items” in “Biplane Disk”.

G5 Basic Operator’s Manual 7-5


7.1.1.3 Biplane Ellipse

The method calculates the left ventricular volume by approximating


the 2-D-mode long-axis image or the short-axis at the level of the
mitral valve to an ellipse.
Calculation Formula for Volume:
8 LVALd  LVAMd

EDV = 3   LVIDd

8 LVALs  LVAMs

ESV = 3   LVIDs
Measurement Procedure:
1. In frozen B mode, press the <<CALC>>key to bring up the
calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.
2. From the drop-down list of “Left ventricular Function”, select the
“Biplane Ellipse” item to do the corresponding measurement.
Measurement Items:

Measurement Measurement
Description
Items Method
Left ventricular
Refer to “3.1.2 Trace
LVALd long-axis area at end
Measurement”
diastole
Left ventricular
Refer to “3.1.3 Ellipse
LVAMd short-axis area at end
Measurement”
diastole
Left ventricular Refer to “3.1.1
LVIDd short-axis diameter at Distance
end diastole Measurement”
Left ventricular
Refer to “3.1.2 Trace
LVALs long-axis area at end
Measurement”
systole
Left ventricular
Refer to “3.1.3 Ellipse
LVAMs short-axis area at end
Measurement”
systole
Left ventricular Refer to “3.1.1
LVIDs short-axis diameter at Distance
end systole Measurement”

G5 Basic Operator’s Manual 7-6


Calculation Items:
Please refer to “Calculation Items” in “Biplane Disk”.

7.1.1.4 Bullet

This method calculates the left ventricular volume by approximating


the 2-D-mode long-axis image and the short-axis image at the level of
the mitral valve.
Calculation Formula for Volume:
5
EDV =  LVLd  LVAMd
6

5
EVS =  LVLs  LVAMs
6
Measurement Procedure:
1. In frozen B mode, press the <<CALC>>key to bring up the
calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.
2. From the drop-down list of “Left ventricular Function”, select the
“Bullet” item to do the corresponding measurement.
Measurement Items:

Measurement Measurement
Description
Items Method
Left ventricular
Refer to “3.1.2 Trace
LVAMd short-axis area at end
Measurement”
diastole
Left ventricular Refer to “3.1.1
LVLd long-axis length at end Distance
diastole Measurement”
Left ventricular
Refer to “3.1.2 Trace
LVAMs short-axis area at end
Measurement”
systole
Left ventricular Refer to “3.1.1
LVLs long-axis length at end Distance
systole Measurement”

Calculation Items:
Please refer to “Calculation Items” in “Biplane Disk”.

G5 Basic Operator’s Manual 7-7


7.1.1.5 Simpson’s Method

This method calculates the left ventricular volume using the 2-D-mode
long-axis image, the short-axis image at the level of the mitral valve,
and the short-axis image at the level of the papillary muscle.
Calculation Formula for Volume:
EDV = LVLd
9

 4  LVAMd  2  LVAPd  LVAMd  LVAPd 
ESV = LVLs  4  LVAMs  2  LVAPs  LVAMs  LVAPs 
9
Measurement Procedure:
1. In frozen B mode, press the <<CALC>>key to bring up the
calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.
2. From the drop-down list of “Left ventricular Function”, select the
“Simpson” item to do the corresponding measurement.
Measurement Items:
Measurement
Measurement Items Description
Method
Left ventricular
Refer to “3.1.2 Trace
LVAM short-axis area at
Measurement”
end diastole
Left ventricular Refer to “3.1.1
LVLd long-axis length at Distance
end diastole Measurement
Left ventricular
short-axis area at the
Refer to “3.1.2 Trace
LVAPd level of the papillary
Measurement”
muscle at end
diastole
Left ventricular
Refer to “3.1.2 Trace
LVAMs short-axis area at
Measurement”
end systole
Left ventricular Refer to “3.1.1
LVLs long-axis length at Distance
end systole Measurement”
Left ventricular
short-axis area at the Refer to “3.1.2 Trace
LVAPs
level of the papillary Measurement”
muscle at end systole

G5 Basic Operator’s Manual 7-8


Calculation Items:
Please refer to “Calculation Items” in “Biplane Disk”.

7.1.1.6 Cube Method

This method calculates the left ventricular volume in 2D mode by


approximating the given region compared to a cube.
Calculation Formula for Volume:
EDV = LVIDd3
ESV = LVIDS3
Measurement Procedure:
1. In frozen B mode, press the <<CALC>>key to bring up the
calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.
2. From the drop-down list of “Left ventricular Function”, select the
“Cube” item to do the corresponding measurement.
Measurement Items:

Measurement Measurement
Description
Items Method
Interventricular septal Refer to “3.1.1
IVSTd thickness at end Distance
diastole Measurement”
Left ventricular Refer to “3.1.1
LVIDd short-axis diameter at Distance
end diastole Measurement”
Left ventricular
Refer to “3.1.1
posterior wall
LVPWd Distance
thickness at end
Measurement”
diastole
Interventricular septal Refer to “3.1.1
IVSTs thickness at end Distance
systole Measurement”
Left ventricular Refer to “3.1.1
LVIDs short-axis diameter at Distance
end systole Measurement”
Left ventricular
Refer to “3.1.1
posterior wall
LVPWs Distance
thickness at end
Measurement”
systole

G5 Basic Operator’s Manual 7-9


Calculation Items:

Calculation
Description (Unit) Calculation Formula
Items
IVSTd Interventricular Refer to “Calculation Formula
septal thickness at for Length”
end diastole
LVIDd Left ventricular Refer to “Calculation Formula
short-axis diameter for Length”
at end diastole

LVPWd Left ventricular Refer to “Calculation Formula


posterior wall for Length”
thickness at end
diastole
IVSTs Interventricular Refer to “Calculation Formula
septal thickness at for Length”
end systole
LVIDs Left ventricular Refer to “Calculation Formula
short-axis diameter for Length”
at end systole
LVPWs Left ventricular Refer to “Calculation Formula
posterior wall for Length”
thickness at end
systole
EDV End-diastolic left Refer to “Calculation Formula
ventricular volume for Volume”
(mL)
ESV End-systolic left Refer to “Calculation Formula
ventricular volume for Volume”
(mL)
SV Stroke volume SV=EDV-ESV
(mL)
EF Ejection fraction EF=SV/EDV
FS Fractional shorting FS=(LVIDd-LVIDs)/LVIDd
IVST-P Interventricular IVST-P=(IVSTs-IVSTd)/IVSTs
septal thickness
rate
LVPM-P Left ventricular LVPM-P=(LVPWs-LVPWd)/
posterior wall LVPWs
thickness rate

G5 Basic Operator’s Manual 7-10


7.1.1.7 Teichholz Method

This method calculates the left ventricular volume in 2D mode by


approximating the given region compared to a cube.

Calculation Formula for Volume:

EDV = 7  LVIDd
3

2.4  LVIDd

ESV = 7  LVIDs
3

2.4  LVIDs

Measurement Procedure:

1. In frozen B mode, press the <<CALC>>key to bring up the


calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.

2. From the drop-down list of “Left ventricular Function”, select the


“Teichholz” item to do the corresponding measurement..

Measurement Items:

Measurement Measurement
Description
Items Method
Left ventricular Refer to “3.1.1
LVIDd short-axis diameter at Distance
end diastole Measurement”
Left ventricular Refer to “3.1.1
LVIDS short-axis diameter at Distance
end systole Measurement”

Calculation Items:

Please refer to “Calculation Items” in “Biplane Disk”

G5 Basic Operator’s Manual 7-11


7.1.1.8 Gibson Method

This method calculates the left ventricular volume by approximating


the given region to a compared cube.

Calculation formula for volume:



EDV = × (0.98×LVIDd+5.90) × LVIDd2
6


ESV = × (1.14×LVIDs+4.18) ×LVIDs2
6

Measurement Procedure:

1. In frozen B mode, press the <<CALC>>key to bring up the


calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Left ventricular
Function”.

2. From the drop-down list of “Left ventricular Function”, select the


“Gibson” item to do the corresponding measurement.

Measurement Items:

Measurement Measurement
Description
Items Method
Left ventricular Refer to “3.1.1
LVIDd short-axis diameter at Distance
end diastole Measurement”
Left ventricular Refer to “3.1.1
LVIDS short-axis diameter at Distance
end systole Measurement”

Calculation Items:

Please refer to “Calculation Items” in “Biplane Disk”.

G5 Basic Operator’s Manual 7-12


7.1.2 Right Ventricular Diameter

Measurement Procedure:

1. In frozen B mode, press the <<CALC>>key to bring up the


calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Right
Ventricular Diameter”.

Measurement Items:

Measurement Items Measurement Method

Right ventricular
Refer to “3.1.1 Distance Measurement”
diameter

7.1.3 Main Pulmonary Artery

Measurement Procedure:
1. In frozen B mode, press the <<CALC>>key to bring up the
calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Main
Pulmonary Artery”.
Measurement Items:

Measurement Items Measurement Method

Main pulmonary artery Refer to “3.1.1 Distance Measurement”

7.1.4 Mitral Valve Diameter

Measurement Procedure:
1. In frozen B mode, press the <<CALC>>key to bring up the
calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Mitral Value
Diameter”.
Measurement Items:

Measurement Items Measurement Method

Mitral valve diameter Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 7-13


7.1.5 Pulmonary Artery Diameter

Measurement Procedure:

1. In frozen B mode, press the <<CALC>>key to bring up the


calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Pulmonary
Artery Diameter”.

Measurement Items:

Measurement Items Measurement Method


Pulmonary artery
Refer to “3.1.1 Distance Measurement”
diameter

7.1.6 Diameter of Left Ventricular Outflow Tract

Measurement Procedure:

1. In frozen B mode, press the <<CALC>>key to bring up the


calculation package menu. From the pop-up menu, press the
<<Set>> key to select “Cardiac”, and then select “Diameter of
Left Ventricular Outflow Tract”.

Measurement Items:

Measurement Items Measurement Method


Diameter of left
Refer to “3.1.1 Distance Measurement”
ventricular outflow tract

7.2 Cardiac M-mode Measurement

Cardiac M-mode measurement includes 3 items: “Left ventricular


Function”, “Mitral valve measurement” and “main pulmonary valve
measurement”.

G5 Basic Operator’s Manual 7-14


Measurement Menu:

- cardiac Title of menu

+left ventricular function

+mitral valve measurement


Measurement item
+main pulmonary valve
measurement

7.2.1 Left Ventricular Function M-mode Measurement

Three left ventricular functional calculation methods are available:


Cube method, Teichhoiz method, and Gibson method.

7.2.1.1 Cube Method

This method calculates the left ventricular volume by approximating


the given region compared to a cube.

Calculation Formula for Volume:

EDV = LVIDd3

ESV = LVIDS3

Measurement Procedure:

1. In frozen M mode, press the <<CALC>>key to bring up the


calculation package menu. Press <<Set>> key to select
“Cardiac”.

2. Select “Left ventricular Function”, and then select “Cube method”.

G5 Basic Operator’s Manual 7-15


Measurement Items:

Measurement Measurement
Description
Items Method
Interventricular septal Refer to “3.2.3
IVSTd thickness at end Distance
diastole Measurement”
Left ventricular Refer to “3.2.3
LVIDd short-axis diameter at Distance
end diastole Measurement”
Left ventricular
Refer to “3.2.3
posterior wall
LVPWd Distance
thickness at end
Measurement”
diastole
Interventricular septal Refer to “3.2.3
IVSTs thickness at end Distance
systole Measurement”
Left ventricular Refer to “3.2.3
LVIDs short-axis diameter at Distance
end systole Measurement”
Left ventricular
Refer to “3.2.3
posterior wall
LVPWs Distance
thickness at end
Measurement”
systole
Refer to “3.2.1 Time
ET Ejection time
Measurement”

7.2.1.2 Teichholz Method

This method calculates the left ventricular volume by approximating


the given region to a compared cube.

Calculation Formula for Volume:


7  LVId 3
EDV =
2.4  LVIDd

7  LVIs 3
ESV =
2.4  LVIDs

G5 Basic Operator’s Manual 7-16


Measurement Procedure:

1. In frozen M mode, press the <<CALC>>key to bring up the


calculation package menu. Press <<Set>> key to select
“Cardiac”.

2. Select “Left ventricular Function”, and then select “Teichholz


method”.

Measurement Items:

Measurement Measurement
Description
Items Method
Left ventricular Refer to “3.2.3
LVIDd short-axis diameter at Distance
end diastole Measurement”
Left ventricular Refer to “3.2.3
LVIDS short-axis diameter at Distance
end systole Measurement”
Refer to “3.2.1 Time
ET Ejection time
Measurement”

7.2.1.3 Gibson Method

This method calculates the left ventricular volume by approximating


the given region compared to a cube.

Calculation Formula:

EDV= × (0.98×LVIDd+5.90) ×LVIDd2
6


ESV= × (0.98× LVIDs+5.90) ×LVIDs2
6
Measurement Procedure:

1. In frozen M mode, press the <<CALC>>key to bring up the


calculation package menu. Press <<Set>> key to select
“Cardiac”.

2. Select “Left ventricular Function”, and then select “Gibson


method”.

G5 Basic Operator’s Manual 7-17


Measurement Items:

Measurement Measurement
Description
Items Method
Left ventricular Refer to “3.2.3
LVIDd short-axis diameter at Distance
end diastole Measurement”
Left ventricular Refer to “3.2.3
LVIDS short-axis diameter at Distance
end systole Measurement”
Refer to “3.2.1 Time
ET Ejection time
Measurement”

7.2.2 Mitral Valve M-mode Measurement (MV)

Measurement Description:

Measurement Procedure:

1. In frozen M mode, press the <<CALC>>key to bring up the


calculation package menu. Press <<Set>> key to select
“Cardiac” and then select “Mitral valve measurement”.

G5 Basic Operator’s Manual 7-18


Measurement Items:

Measurement Measurement
Description
Items Method
Mitral valve Velamen Refer to “3.2.4 Slope
EFSLP
E-F slope Measurement”
Distance between E Refer to “3.2.3
EPSS point and Distance
interventricular septum Measurement”
Refer to “3.2.3
CEAMP E wave amplitude Distance
Measurement”
Refer to “3.2.3
CAAMP A wave amplitude Distance
Measurement”
Refer to “3.2.3
DEAMP DE wave amplitude Distance
Measurement”
Mitral valve Velamen Refer to “3.2.4 Slope
DESLP
D-E slope Measurement”
E wave duration time Refer to “3.2.1 Time
E Duration
Measurement”
Refer to “3.2.1 Time
A Duration A wave duration time
Measurement”
Equal volume diastole Refer to “3.2.1 Time
IRT
time Measurement”
Refer to “3.2.3
E-E E-E distance Distance
Measurement”

G5 Basic Operator’s Manual 7-19


7.2.3 Aortic Valve M-mode Measurement

Measurement Description:

Measurement Procedure:

1. In frozen M mode, press the <<CALC>>key to bring up the


calculation package menu. Press <<Set>> key to select
“Cardiac” and then select “Aortic Valve measurement”.

Measurement Items:

Measurement Measurement
Description
Items Method
Refer to “3.2.3
AOD Aortic Diameter Distance
Measurement”
Refer to “3.2.3
LAD Left atria Diameter Distance
Measurement”
Refer to “3.2.3
AVD Aortic open Distance Distance
Measurement”
Refer to “3.2.3
ET Ejection time Distance
Measurement”
Refer to “3.2.3
Diameter of Outflow
RVOTD Distance
tract of right ventricular
Measurement”
Refer to “3.2.3
AA Aortic pulse amplitude Distance
Measurement”

G5 Basic Operator’s Manual 7-20


7.3 Cardiac PW-mode Measurement

Cardiac PW-mode measurement includes 6 items: “TEI index”, “PHT”,


“mitral valve measurement”, “tricuspid valve measurement”,
“pulmonary valve measurement” and “aortic valve measurement”.

Measurement Menu:

- cardiac Tiltle of menu

+TEI index

PHT

+mitral valve measureme


Measurement Item
+tricuspid valve measurement

+pulmonary valve

+aortic valve measurement

7.3.1 TEI index

Measurement Description:

Measurement Procedure:
1. In frozen PW mode, press the <<Calc>> key to bring up the
calculation package menu. Select “Cardiac”, and then select “TEI
index”.

G5 Basic Operator’s Manual 7-21


Measurement Items:

Measurement Measurement
Description
Items Method
Refer to “3.3.3 Time
ICT Isochoric contract time
Measurement”
Refer to “3.3.3 Time
IRT Isochoric relax Time
Measurement”
Refer to “3.3.3 Time
ET Ejection Time
Measurement”

7.3.2 Mitral Valve PW-mode Measurement

Measurement Description:

Measure [E Vel] and [A Vel]. Measure [PHT]. Measure [E-Dur], [A-Dur],


and [IRT], measure [HR].

Measure [MV V Trace]:

G5 Basic Operator’s Manual 7-22


Measure [MV Diam]:

Measurement Procedure:
1. In frozen PW mode, press the <<Calc>> key to bring up the
calculation package menu. Select “Cardiac”, and then select
“mitral valve measurement”.

Measurement Items:

Measurement Measurement
Description
Items Method
Refer to “3.3.1
E Vel E peak flow velocity Velocity
Measurement”
Refer to “3.3.1
A Vel A peak flow velocity Velocity
Measurement”
PHT Pressure halving time
Refer to “3.3.3 Time
E Dur E wave duration time
Measurement”
Refer to “3.3.3 Time
A Dur A wave duration time
Measurement”
Refer to “3.3.3 Time
IRT Isochoric relax Time
Measurement”
Refer to “3.3.5
Mitral Valve manual
Trace Manual-Envelope
trace
Measurement”

G5 Basic Operator’s Manual 7-23


7.3.3 Tricuspid Valve PW-mode Measurement

Measurement Description:

Measure [TV VEL]:

Measure [TV VEL]:

Measurement Procedure:
1. In frozen PW mode, press <<Calc>> key to bring up the
calculation package menu. Select “Cardiac”, and then select
“tricuspid valve measurement”.
Measurement Items:

Measurement Measurement
Description
Items Method
Refer to “3.3.5
Tricuspid valve manual
Trace Manual-Envelope
trace
Measurement”
Refer to “3.3.1
Blood flow velocity of
Velocity Velocity
Tricuspid valve
Measurement”

G5 Basic Operator’s Manual 7-24


Pulmonary Valve PW Measurement

Measurement Description:
Measure [PV Vel]:

Measure [PVV Trace]:

Measure [ET],[ACT], and [PEP]:

G5 Basic Operator’s Manual 7-25


Measure [PV Diam]:

Measurement Procedure:

1. In frozen PW mode, press <<Calc>> key to bring up the


calculation package menu. Select “Cardiac”, and then select
“pulmonary valve measurement”.

Measurement Items:

Measurement Measurement
Description
Items Method
Refer to “3.3.5
Pulmonary valve
Trace Manual-Envelope
manual trace
Measurement”
Refer to “3.3.1
Blood flow velocity of
Velocity Velocity
Pulmonary valve
Measurement”
Refer to “3.3.3 Time
ET Ejection time
Measurement”
Refer to “3.3.3 Time
AcT Acceleration Time
Measurement”
Prophase of ejection Refer to “3.3.3 Time
REP
period Measurement”

G5 Basic Operator’s Manual 7-26


7.3.4 Aortic Valve PW-mode measurement

Note:
Measurement of aortic valve function is performed using B-mode and
Doppler images
.
Measurement Description:

Measure [LVOT Vel], measure [HR]:

Measure [LVOT Diam]:

Measurement Procedure:

1. In frozen PW mode, press <<Calc>> key to bring up the


calculation package menu. Select “Cardiac”, and then select
“aortic valve measurement”.

G5 Basic Operator’s Manual 7-27


Measurement Items:

Measurement Measurement
Description
Items Method
Pressure gap and
Refer to “3.3.1
Velocity of outflow tract
LVOT Vel/PG Velocity
of Left Ventricular
Measurement”

Pressure gap and Refer to “3.3.1


AoV Vel/PG Velocity of Velocity
Aortic Vessel Measurement”
Trace of outflow vessel Refer to “3.3.5
LVOTV Trace of Left Manual-Envelope
Ventricular Measurement”
Refer to “3.3.5
AoV Trace Aortic Vessel Trace Manual-Envelope
Measurement”

G5 Basic Operator’s Manual 7-28


8 Small Part Measurements

Small part Measurements is only for B mode. It contains 8


measurement items, including “Thyroid”, “Thyroid isthmus thickness”,
“Left upper parathyroid”, “Left lower parathyroid”, “Right upper
parathyroid”, “Right lower parathyroid”, “Testis measurements” and
“Seminal vesicle”.

Measurement Menu:

- Small part Menu title

+Thyroid
Thyroid isthmus thickness
Left upper parathyroid
Left lower parathyroid
Measurement items
Right upper parathyroid
Right lower parathyroid
Testis measurements
Seminal vesicle

8.1 Thyroid

Measurement Procedure:

1. In frozen B mode, press the <<CALC>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.
2. Select the "Thyroid" item from the drop-down list of “Small part”.
3. Select the “Left side/Right side” item from the bottom of the
"Thyroid" menu to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Height Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 8-1


8.2 Thyroid Isthmus Thickness

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.

2. Select the “Thyroid isthmus thickness” item from the drop-down


list of “Small part” to measure.

Measurement Items:

Measurement Items Measurement Method


Thyroid isthmus thickness
Refer to “3.1.1 Distance Measurement”
(Thy_ist)

8.3 Left Upper Parathyroid

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.

2. Select the “Left upper parathyroid” item from the drop-down list of
“Small part” to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Height Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 8-2


8.4 Left Lower Parathyroid

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.

2. Select the “Left lower parathyroid” item from the drop-down list of
“Small part” to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Height Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”

8.5 Right Upper Parathyroid

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.

2. Select the “Right upper parathyroid” item from the drop-down list
of “Small part” to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Height Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 8-3


8.6 Right Lower Parathyroid

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.

2. Select the “Right lower parathyroid” item from the drop-down list
of “Small part” to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Height Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”

8.7 Testis Measurements

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.

2. Select the “Testis measurements” item from the drop-down list of


“Small part”.

3. Select the “Left side/Right side” item from the bottom of the
“Testis measurements” menu to measure.

Measurement Items:

Measurement Items Measurement Method


D1 Refer to “3.1.1 Distance Measurement”
D2 Refer to “3.1.1 Distance Measurement”
D3 Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 8-4


8.8 Seminal Vesicle

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the “Small
part” item from the pop-up menu.

2. Select the “Seminal vesicle” item from the drop-down list of


“Small part”.

3. Select the “Left side/Right side” item from the bottom of the
“Seminal vesicle” menu to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Height Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 8-5


9 Urology Measurements

Urology measurement contains 6 measurement items, including


“Kidney”, “Adrenal glands”, “Bladder”, “Residual urine volume”,
“Prostate volume” and “Prostate transition zone volume”

Measurement Menu:

- Urology Menu title


+Kidney
Adrenal glands
Bladder
Measurement items
Residual urine volume
Prostate volume
Prostate transition zone volume

9.1 Kidney

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the
“Urology” item from the pop-up menu.

2. Select the “Kidney” item from the drop-down list of “Urology”.

3. Select the “Left side/Right side” item from the bottom of the
“Kidney” menu to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”
Thickness Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 9-1


9.2 Adrenal Glands

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the
“Urology” item from the pop-up menu.

2. Select the “Adrenal glands” item from the drop-down list of


“Urology”.

3. Select the “Left side/Right side” item from the bottom of the
“Adrenal glands” menu to measure.

Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”
Thickness Refer to “3.1.1 Distance Measurement”

9.3 Bladder

Measurement Procedures:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the
“Urology” item from the pop-up menu.

2. Select the “Bladder” item from the drop-down list of “Urology” to


measure.

Measurement items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”
Thickness Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 9-2


9.4 Residual Urine Volume

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the
“Urology” item from the pop-up menu.

2. Select the “Residual urine volume” item from the drop-down list of
“Urology” to measure.
Measurement Items:

Measurement Items Measurement Method


Length Refer to “3.1.1 Distance Measurement”
Width Refer to “3.1.1 Distance Measurement”
Thickness Refer to “3.1.1 Distance Measurement”

9.5 Prostate Volume

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the
“Urology” item from the pop-up menu.

2. Select the “Prostate volume” item from the drop-down list of


“Urology” to measure.

Measurement Items:

Measurement Items Measurement Method


D1 Refer to “3.1.1 Distance Measurement”
D2 Refer to “3.1.1 Distance Measurement”
D3 Refer to “3.1.1 Distance Measurement”

G5 Basic Operator’s Manual 9-3


9.6 Prostate Transition Zone Volume

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the
“Urology” item from the pop-up menu.

2. Select the “Prostate transition zone volume” item from the


drop-down list of “Urology” to measure.

Measurement Items:

Measurement Items Measurement Method


D1 Refer to “3.1.1 Distance Measurement”
D2 Refer to “3.1.1 Distance Measurement”
D3 Refer to “3.1.1 Distance Measurement”

10 Orthopedic Surgery

To measure the hip joint of fetus.


Measurement Menu:

10.1 Hip Joint

Measurement Procedure:

1. In frozen B mode, press the <<Calc>> key to bring up the


measurement menu. Press the <<SET>> key to select the
“Orthopedic Surgery” item from the pop-up menu.

2. Select the measured fetus (from fetus1 to fetus4) from the


drop-down list of “OB”.

3. After select the fetus, select the “Hip joint” item to measure.

G5 Basic Operator’s Manual 9-4


Measurement Items:

Measurement Description Measurement Method


Items
α 1. Press the <<SET>>key to fix the
β first segment, and the second
segment appears. Use the
<<Trackball>> to move the
position of the second segment,
and press the <<UP>>/<<Down>>
key to adjust the angle of
segments. Meanwhile, The result
for the first angle calculated on the
screen in real-time.
2. Press the <<SET>>key to fix the
second segment, and the third
segment appears. Use the
<<Trackball>> to move the
position of the second segment,
and press the <<UP>>/<<Down>>
key to adjust the angle of
segments. Meanwhile, The result
for the second angle calculated on
the screen in real-time.
3. Press the <<SET>>key to
complete the measurement.

G5 Basic Operator’s Manual 10-1


11 Measurement Report

“Measurement Report” records all of measurement results. Each of


measurement packages produces individual measurement report.
The content of the measurement report contains patients’ basic
information, measurement results, and so on. Users can edit, save,
check and print the report (The obstetrical report still contains “Graph”
and “Description”)

11.1 To View a Patient Report

Take the “OB” report as an instance to introduce the function of the


measurement report.
Press the <<Report>> key on the control panel to open the report
interface as the following picture:

1. ① is related with the patient information examined in OB, which


is inputted when the patient creating the OB examination
information. So the information cannot be modified in the
measurement report.
2. ② is the tab of the report subject, the signal of“*” on the tab
indicates that the current tab has measurement content. Click
each of tabs to view the report of the corresponding subject.
3. ③ is the title bar of the measurement report for the current
subject.

G5 Basic Operator’s Manual 11-1


 Parameter: indicates the current measurement items, such
as abdomen circumference, AC hadlock, GA.
 Value: indicates the picked-up value when the latter values
are settled, such as 25.85 cm, 30w0d.
 m1: indicates the recorded first measurement result for the
current item, such as 26.22.
 m2: indicates the recorded second measurement result for
the current item, such as 36.88.
 m3: indicates the recorded third measurement result for the
current item, such as 25.85.
 m4: indicates the recorded forth measurement result for the
current item.
 m5: the recorded fifth measurement result for the current
item.
 Method: indicates the method to pick up the value for the
current item. Max, Min, Aver, and Last are available.
Those 5 measurement results as above are the last five
recorded result for the measured item. (If one of measured
items is measured by 8 times, the last 5 results will be
recorded).
4. ④ is the mode selection area, where each of measurement
result in the imaging mode can be viewed. Those modes contain
B-mode (THI), Color-mode (CDI\DPI\TDI), M-mode,
Doppler-mode(PW\CW). Select all modes in default, and display
all results of all of modes. If select the appointed mode, the result
only for the appointed mode will appear.
5. ⑤ is the fetus selection area, where the measurement result for
each of fetus can be viewed. The last measured fetus is selected
in default.
6. ⑥ is the data displaying area. When the data exceeds the
previous page, “Scroll bar”, “Previous page”, and “Next page” will
be automatically pop up.

Remarks: The calculation results in the report are


automatically calculated by the system. There is
no need to make manual calculation.

G5 Basic Operator’s Manual 11-2


11.2 To Edit a Patient Report

Any of items in the patient’s measurement report can be edited.


Use the <<Trackball>> to move the cursor to the frame of
measurement value that needs to be edited. Press the <<SET>> key
to select the frame, and enter a new value, press the <<Enter>> key
to confirm, as the updated value signed in red frame as below:

G5 Basic Operator’s Manual 11-3


11.3 Graphs of Fetal Growth Curve

11.3.1 Single Graph

Click the “Graph” button at the bottom of the “Measurement Report”


window to bring up the “Graph” window as below:

The window selects the single graph interface as default. At the left
side, select the desired fetus to view, as the above figure shown:
“Fetus 1”, ”Fetus 2”, “Fetus 3”. Thanks to the “Fetus 4” is not
measured, the item is unavailable.
Controls of “Measurement List” and “Formulas” are at the upper of the
window. Select the desired item from controls of “Measurement List”
and “Formulas” separately, the growth curve corresponding to the
measured item and the formula will appease.
As the above figure shown, the horizontal ordinate indicates the
gestation age of the fetus. The ordinate indicates measurement
results of the fetus. The blue curve indicates the normal curve for the
fetus growth. The range between two red curves indicates that the
fetus is OK so long as the actual growth curve is in the range.
As the above figure shown, the intersection of the dotted line indicates
the point of the measurement result and the gestational age after
input the last time of menses at the time of creating OB examination
information. According to the point between the range of the two red
lines or not, doctors can judge whether the fetus is in normal growth
or not.
Select the “Add to report” check box, the graph will be added to the
report. After exit the window of the graph, click the “View report”
button to view the added growth curve report at the opened report.

G5 Basic Operator’s Manual 11-4


Note:
Select another fetus, and repeat operations as above, the graph
about the selected fetus can be added to the report.

11.3.2 Quad Graphs

In the window of “Graph”, click the “Quad” button to bring up the quad
graphs as the following figure shown:

Quad graphs show that each of graphs about the fetus growth curve
is combined with controls of “Measurement List” and “Formulas”,
which are under each of the graphs and can be selected manually.
Select the “Add to the report” check box under each of graphs. All of
graphs will be added to the report.

Note:

Select another fetus, and repeat operations as above, the growth


curve about the selected fetus can be added to the report.

G5 Basic Operator’s Manual 11-5


11.3.3 Bar

In the window of “Graph”, click the “Bar” to bring up the “Growth bar”
interface as the following figure shown:

“Growth bar” can shows all of measurement results compared to the


selected fetus. As the above figure shown, “CGA” indicates the
average of the gestational age according to the measurement.

G5 Basic Operator’s Manual 11-6


11.3.4 Fetus Compare

In the window of “Graph”, click the “Fetus Compare” button to bring up


the “Fetus Compare” window as the following figure shown:

“ Fetus Compare” can compare each of fetus growths status


directly .As the above figure shown, the gestational age indicates the
average gestational age according to the measurement.

G5 Basic Operator’s Manual 11-7


11.4 Description

Click the “Description” button at the bottom of "Measurement Report"


window to bring up the “Description” window, as the following figure
shown:

Input appropriate information for desired items. and then click the
“OK” button to confirm. The selected description information is added
to the report.

G5 Basic Operator’s Manual 11-8


11.5 Add Comments

Click the “Edit” button at the bottom of “Measurement Report” window


to bring up the “Comment” window, as the following figure shown:

Input comments in the opened window, and then click the “OK” button.
The comment will be added to the report.

G5 Basic Operator’s Manual 11-9


11.6 Image View

Click the “Image View” button at the bottom of “Measurement Report”


window to bring up the image view interface as the following figure
shown:

From the “To be select” column, press the <<SET>> key to select one
photo, and then click “>” button to add the photo into the right column
of “Selected”. Press the “>>” key to add all photos into the right
column of “Selected”. Press the “OK” key to add photos in the column
of “Selected” to the report.
From the “Selected” column, press the <<SET>> key to select one
photo, and then click “>” button to delete the selected photo. Click the
“<<” to delete all photos.

G5 Basic Operator’s Manual 11-10


11.7 Preview

Click the “Preview” button at the bottom of “Measurement Report”


window to bring up the report. The report contains 7 items, including
“Patient Information”, “Exam Information”, “Measurement Result”,
“Description”, “Image”, “Growth Graph” and “Abstract”.
Click the “Print” button to print the report, as the following figure:

Configure the print settings, and then click the “Print” button to print
the report.

G5 Basic Operator’s Manual 11-11


Appendix A: DICOM 3.0 Application

Thanks to the ultrasound based on the TCP/IP network, users can transmit
patients’ exam data as DICOM format among digital equipments (such as the
ultrasound equipment, CT, nuclear magnetic resonance, HIS, RID, PACS and
so on) in the hospital information management system. Doctors can fetch
remote patients’ exam data as DICOM format.
The network structure block of the ultrasound equipment and other hospital
digital devices as shown as below:

Work Stations PACS

LAN
(Local Area Network)

Router/Switchboard

RIS Ultrasound equipment

A.1 Network Setup

Please refer to the subsection 4.7 DICOM in Basic User manual

G5 Basic Operator’s Manual A-1


A.2 DICOM Transmission

In order to transmit to the remote system, it is necessary to create patient


information and save patient image at first. On the Patient Exam List
interface, tick one or other more patients’ exam records, click the DICOM
Send button to transmit the file to the remote system. Users can check the file
status from the DICOM Queue.

DICOM Send

Check DICOM Queue

G5 Basic Operator’s Manual A-2


Appendix B Clinical Measurement Items

B.1 General Measurement

 Distance
 Angle
 Volume
 Area and Circumference
 Distance Ratio
 Area Ratio
 Velocity
 Acceleration
 Time
 Heart Rate
 Manual Trace
 SEMI-AUTO Trace
 Auto Trace
 Peak Velocity
 Pressure Gradient
 Mean Gradient
 End Diastolic Velocity
 Pressure Half-Time
 Mean Velocity
 Pulsatility Index
 Resistivity Index
 Velocity-time Integrate
 Slope
 Time Ratio

G5 Basic Operator’s Manual B-1


B.2 Vascular Measurement and Calculation

 ICA
 ECA
 CCA
 INT IL
 EXT IL
 IL IAC
 LT CIR
 CFA
 PROFUN
 SFA
 POP
 ATA
 PERON
 PTA
 DR PED
 % Area Reduction
 % Diameter Reduction
 Pulsatility Index
 Resistivity Index
 Systolic to Diastolic Velocity Ratio
 Intima-media Thickness

B.3 Obstetric Measurement and Calculation

 Fetal Heart
 Estimated Fetal Weight
 Gestational Sac Diameter
 Crown Rump Length
 Biparietal Diameter
 Head Circumference
 Abdominal Circumference
 Femur Length
 Amniotic Fluid Index
 Nuchal Fold Thickness
 Occipital-Frontal Diameter
 Lateral Ventrical Width
 Outer Orbital Diameter
 Trans Cerebellar Diameter
 Umbilical Vein Diameter
 Head Area

G5 Basic Operator’s Manual B-2


 Abdomen Area
 Transverse Thoracic Diameter
 Thoracic Circumference
 Anterior-Posterior Trunk Diameter
 Transverse Trunk Diameter
 Abdominal Transverse Diameter
 Anterior-Posterior Abdominal Diameter
 Humerus Length
 Radius Length
 Ulna Length
 Kidney Length
 Tibia Length
 Fibula Length
 Foot Length
 Umbilical Artery
 Middle Cerebral Artery
 Right Uterine Artery
 Left Uterine Artery
 Fetal Aorta
 HIP
 EDD
 AUA
 GA

B.4 GYN Measurement and Calculation

 Uterus Length
 Uterus Width
 Uterus Depth
 Endometrium Thickness
 Cervix Length
 Cervix Width
 Cervix Height
 Left Ovary Length
 Left Ovary Height
 Left Ovary Width
 Right Ovary Length
 Right Ovary Height
 Right Ovary Width
 Follicles

G5 Basic Operator’s Manual B-3


B.5 Cardiac Measurement and Calculation

 Left Ventricular Function Measurement


 LVALd (Left ventricular short-axis area at end diastole)
 LVLd (Left ventricular long-axis length at end diastole)
 LVALs (Left ventricular short-axis area at end systole ventricular at end
systole)
 LVLs (Left ventricular long-axis length at end systole)
 EDV (End-diastolic left ventricular volume (mL))
 ESV (End-systolic left ventricular volume (mL))
 IVSTd (Interventricular septal thickness at end diastole)
 IVSTs (Interventricular septal thickness at end systole)
 LVPWd (Left ventricular posterior wall thickness at end diastole)
 LVPWs (Left ventricular posterior wall thickness at end systole)
 LVAPd (Left ventricular short-axis area at the level of the papillary muscle
at end diastole)
 LVAPs (Left ventricular short-axis area at the level of the papillary muscle
at end systole)
 SV (Stroke volume (mL))
 CO (Cardiac ouput (L/min))
 EF (Ejection fraction)
 SI (Stroke volume index)
 CI (Cardiac index)
 Right Ventricular Diameter
 Main Pulmonary Artery
 Mitral Valve Diameter
 Pulmonary Artery Diameter
 Diameter of Left Ventricular Outflow Tract
 TEI Measurement
 Mitral Valve Measurement
 Tricuspid Valve Measurement
 Pulmonary Valve Measurement
 Aortic Valve Measurement

G5 Basic Operator’s Manual B-4


B.6 Small Part Measurement and Calculation

 Left Side of Thyroid


 Right Side of Thyroid
 Thyroid Isthmus Thickness
 Left Upper Parathyroid
 Left Lower Parathyroid
 Right Upper Parathyroid
 Right Lower Parathyroid
 Left Testis Measurement
 Right Testis Measurement
 Left Seminal Vesicle Measurement
 Right Seminal Vesicle Measurement

B.7 Urology Measurement and Calculation

 Left Kidney Measurement


 Right Kidney Measurement
 Left Adrenal Glands Measurement
 Right Adrenal Glands Measurement
 Bladder Volume
 Residual Urine Volume Measurement
 Prostate Volume
 Prostate Transition Zone Volume

G5 Basic Operator’s Manual B-5


Appendix C Information of EU Representative

AeMi World.
Bugenhagenstr.8, 10551 Berlin, Germany
Tel: +49 (030) 8620 3461
Fax: +49 (030) 86203789

C-1

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