Quick reference guide
Manufactured by:
Esaote S.p.A.
Via di Caciolle, 15, 50127 Florence, Italy
Tel. +39 055 4229 1, Fax +39 055 4229 208
Internet: www.esaote.com
Email: [email protected] 0051
Quick reference guide
Introduction
This Quick Guide describes only the
basic operating procedures to use
the MyLabGamma model, named
in the following chapters as MyLab.
The precautions and detailed operating
procedures as well as the installation procedures are described in the
operator’s manuals (Getting Started, Safety and Standards, Probes and
Consumables and Advanced Operations) provided with the system.
Carefully read the operator’s manuals provided with the system before
operating with the system.
In this manual system the Control panel keys are indicated by BLUE
CAPITAL LETTERS. Multifunction keys (for example LINE UPDATE) are
indicated with the mention of one of the functions only (for example
LINE in this example).
The enter and context menu keys are respectively indicated as ENTER
and UNDO keys in this manual.
In this operation guide a WARNING pertains to possible
WARNING
injury to a patient and/or the operator.
A CAUTION describes the precautions which are neces-
CAUTION sary to protect the equipment.
Carefully read and understand all the warnings and cautions in the man-
uals before operating with the system.
The user should observe each of the cautions and warnings.
Index
General Information
1. Touchscreen
Exam Panel Layout
Multipurpose Panel Layout
Alphanumeric Keyboard Layout
2. eKnob
3. eTouch
Configuration Menu
Customized Touchscreen Configuration
Association to Real Time Preset
4. Starting an Exam
5. Ending an Exam
Image Optimization
6. Tips in B-Mode
Tips to Optimize Superficial Imaging
Tips to Optimize Deep Imaging
Tips to Optimize Spatial Resolution
Tips to Optimize Contrast Resolution
Tips to Optimize Temporal Resolution
7. Tips in M-Mode
Tips to Optimize Contrast Resolution
8. Tips in Color Flow Mapping (CFM)
Tips to Optimize Fast Flows
Tips to Optimize Slow Flows
Tips to Optimize Deep Flows
9. Tips in Doppler
Tips to Optimize Fast Flows
Tips to Optimize Slow Flows
Tips to Optimize Deep Flows
Measurements, Worksheet and Report
10. Measurements
How to Take Measurements
11. MyLab Worksheet
12. MyLab Report
MyLab Archive
General
Information
General Information
Touchscreen
The touchscreen works in different modalities:
• as Exam panel, providing control keys to perform the exam.
• as Multipurpose panel, providing software buttons to use advanced
exam controls.
• as Alphanumeric keyboard to enter data.
The touchscreen layout depends on the working modality.
Exam Panel Layout
The touchscreen is organized in three main areas, as shown in the figure
below
Guide Graphical
Area Function Scrolling Button
Convention
Navigation tabs
to select the BROWN
Navigation Area desired features CAPITAL -
for the relevant LETTERS
controls
Buttons for
the exam
Exam management (to GREY CAPITAL
ADV>>/BASIC<<
Management start the exam, to LETTERS
change the probe
or the preset…)
Control and
Image Parameters BLACK CAPITAL
functions to ADV>>/BASIC<<
Area LETTERS
perform the exam
Buttons
Image Parameters Area – Layout
The buttons have different colors depending on the active status:
Selected/Pressed
Disabled Button Active Button
Button
Dark gray Dark blue Light blue
General Information
Button with sub-menus
Touchscreen buttons showing a frame have a dedicated
sub-menu: press the button to display the sub-menu
allowing to optimize the function.
Toggles
On the bottom of the touchscreen there are six levers (or toggles) which
act on the functions displayed just above.
Each lever can control two functions which depend on
the active modality. The lever acts on the active control,
displayed in the upper position.
To switch to the other displayed function press the
corresponding button on the touchscreen: the lever
will act now on the other control.
Multipurpose Panel Layout
This layout is used for advanced exam functions, for example body marks
or annotations.
The touchscreen is organized in three main areas.
Guide Graphical
Area Function Scrolling Button
Convention
Navigation tabs
BROWN CAPITAL
Navigation Area of the selected -
LETTERS
functions
General Information
General controls
Management GREY CAPITAL
of the active ADV>>/BASIC<<
Area LETTERS
modality
More specific
BLACK CAPITAL
Parameters Area controls of the ADV>>/BASIC<<
LETTERS
selected function
Alphanumeric Keyboard Layout
A dedicated button displayed on the upper right side activates/deactivates
the emulation of the alphanumeric keyboard.
eKnob
Each toggle can be associated to the EKNOB key of the control panel:
in this case the knob around this key acts as the associated toggle on the
active function.
The EKNOB key can be associated to more touchscreen buttons: to
change the associated toggle press the EKNOB key.
This symbol is displayed in bright orange on the touchscreen
button that is correlated to the EKNOB key.
This symbol is displayed in grey on the touchscreen button that
can be correlated to the EKNOB key.
eTouch
The ETOUCH key allows to record sequences of keys both of the
touchscreen and of the control panel. Each recorded sequence (Macro)
can be named and saved to be available as a customized button in
customized touchscreens.
This key switches between factory and customized touchscreen. Whenever
the customized button will be pressed, MyLab will automatically launch
the keys sequence.
General Information
Once the Customized touchscreen has been configured, it has to be
associated to a real time preset.
Configuration Menu
The “eTouch” option of the MENU key activates the configuration menu
that is organized in two main areas:
• On the left side the list of all saved customized touchscreens.
• On the right side the eTouch configuration menu, shown in the
figure below.
The menu shows:
• in the center the touchscreen layout.
• on the right the menu to record the macro and to edit the
customized buttons.
• on the bottom the fields where customized touchscreens are named
and described.
Customized Touchscreen Configuration
Procedure
• Press the MENU key and select the “eTouch” option.
• Select one the customized touchscreens displayed on the left side of
the screen and press EDIT to modify it or CLONE to duplicate it.
• If necessary, place the cursor in the NAME field and enter the desired
name and description (NOTES field).
• Place the cursor on the RECORDING field and press START to begin
the recording: MyLab switches to the frozen status.
• On the upper left side of the screen is displayed the following
flashing message:
Press eTouch to start recording
• Prepare MyLab to be ready for the recording so that only the keys to
be used can be pressed.
• Press the ETOUCH key to start.
• Press the desired keys in sequence and press ETOUCH to end the
recording.
• Place the cursor on the customized button and press ENTER to
change its name.
Repeat the procedure to add other customized buttons.
General Information
Press SAVE to save the customized touchscreen.
Association to Real Time Preset
Procedure
• Press the MENU key and select the “RT PRESET” option.
• Select the probe, the application and then the customized presets
(displayed on the left side of the screen) and press EDIT to modify it
or CLONE to duplicate it.
• If necessary, place the cursor in the NAME field and enter the desired
name and description (NOTES field).
• In the “eTouch” field select the desired customized touchscreen.
• Press SAVE to save the configuration.
Starting an Exam
Touchscreen
1 2 3
Main Display
4
General Information
Procedure
1. Probe selection.
2. Application selection that depends on the selected probe.
3. Preset selection.
4. Patient data and application data entry using the touchscreen as
alphanumeric keyboard.
5. Press the START EXAM button to start the exam.
CURRENT retrieves the patient data of the last exam.
PROBE allows to select a different probe, application, preset and to set a
new preset or to modify the actual one during the exam.
PATIENT ID allows to view and modify the patient’s data during the exam.
Do not use the PATIENT ID key to start a new exam of a
new patient as it will update existing patient’s data with
WARNING
new entries. To activate a new exam, close first the current
exam by pressing the END EXAM key and then proceed
with the Starting Exam procedure.
Ending an Exam
To end the exam, press the END EXAM key: the system displays the end
exam window.
General Information
The operator is enabled to simultaneously save the exam on different
supports in different formats.
Field Format Destination Support
Local Archive Native format - Internal Database
- CD (R and RW)
- DVD (+R, -R, single layer)
Native Native format
- USB Memory Drive
- Network
Single frame: - CD (R and RW)
BMP, PNG, JPEG - DVD (+R, -R, single layer)
Multimedia
- USB Memory Drive
Clip: AVI - Network
- CD (R and RW)
- DVD (+R, -R, single layer)
DICOM DICOM - USB Memory Drive
- Network
- DICOM Storage Server
If no option is selected, all data will be deleted.
Image
Optimization
Image Optimization
Tips in B-Mode
Tips to Optimize Superficial Imaging
Command Function Action
FUNDAMENT/TEI Probe transmission frequency Select RES option
Magnification of the region Enlarge the area as much as
ZOOM
of interest possible
Number of transmission
FOCUSES # Increase the focuses
focuses
Move the focuses to the
FOCUS POS Focus position
desired area
Increase to visualize organ
MVIEW Acquisition of several
borders and structured
(with Linear and bidimensional images with
margins (curved or irregular
Convex probes) different steering angles
borders)
Tips to Optimize Deep Imaging
Command Function Action
FUNDAMENT/TEI Probe transmission frequency Select PEN option
Move the focus to the
FOCUS POS Focus position
desired area
TGC Amplification of individual Move to right the lower
Potentiometers areas of the sector TGC cursor
Amplification of overall
Turn clockwise for visualize
IMAGING GAIN received echo signals
deep structures
(General gain)
POWER Transmission power Increase the power
Tips to Optimize Spatial Resolution
Command Function Action
Low frequency for
FUNDAMENT/TEI Probe transmission frequency penetration
High frequency for resolution
MVIEW Increase to visualize organ
Acquisition of several
borders and structured
(with Linear and bidimensional images with
margins (curved or irregular
Convex probes) different steering angles
borders)
Number of transmission Increase the focus points as
FOCUSES #
focuses much as possible
DENSITY
Increase the density as much
(with Linear and Number of acquired line
as possible
Convex probes)
Amplification of the
Increase the enhancement as
ENHANC difference among adjacent
much as possible
structures
MView may generate artifacts on the sector sides, particularly
when scanning cavities. Place the area under exam in the
WARNING
middle of the scanning area.
Image Optimization
Tips to Optimize Contrast Resolution
Command Function Action
Imaging Automatic adjustment Activate it
AUTOADJUST
Move to right to increase
TGC Amplification of individual the gain
Potentiometers areas of the sector Move to left to decrease
the gain
Turn clockwise for higher
Amplification of overall contrast
IMAGING GAIN received echo signals
(General gain) Turn counterclockwise for
lower contrast
Select or modify the desired
Activation of real time XView
XVIEW algorithm to improve the
algorithm
tissue edge imaging
Gray shades used to
Select or modify the desired
GRAY MAP # represented the received
post-processing curve
echo signal
Range between minimum
low intensity and maximum Increase for higher contrast
DYN RANGE
intensity signals that the Decrease for lower contrast
system can display
Tips to Optimize Temporal Resolution
Command Function Action
Reduce the size as much as
SIZE Scan angle
possible
Reduce the depth as much
DEPTH Probe’s field of view
as possible
Number of transmission If possible, set one focal
FOCUSES #
focuses point
DENSITY Reduce the density as much
(with Linear and Number of acquired line
Convex probes) as possible
Tips in M-Mode
Tips to Optimize Contrast Resolution
Command Function Action
Move to right to increase the
TGC Amplification of individual gain
Potentiometers areas of the sector Move to left to decrease the
gain
Turn clockwise for higher
Amplification of overall contrast
IMAGING GAIN received echo signals
(General gain) Turn counterclockwise for
lower contrast
Gray shades used to
Select or modify the desired
GRAY MAP # represented the received
post-processing curve
echo signal
Range between minimum
low intensity and maximum Increase for higher contrast
DYN RANGE
intensity signals that the Decrease for lower contrast
system can display
Image Optimization
Tips in Color Flow Mapping (CFM)
Tips to Optimize Fast Flows
Command Function Action
Adjust the CFM box
CFM-STEER Doppler orientation
orientation to optimize cosΘ
Increase the PRF as much as
SCALE Pulse Repetition Frequency
possible
Decrease the frequency as
FREQUENCY Probe transmission frequency
much as possible
Amplification of overall
Adjust it to the reduce the
DOPPLER GAIN received echo signals
noise
(General gain)
Adjust the CFM box as small
ACTION Cursor selector
as possible
Tips to Optimize Slow Flows
Command Function Action
Adjust the CFM box
CFM-STEER Doppler orientation
orientation to optimize cosΘ
Increase the PRF as much as
SCALE Pulse Repetition Frequency
possible
Increase the frequency as
FREQUENCY Probe transmission frequency
much as possible
Amplification of overall
Increase it as much as
DOPPLER GAIN received echo signals
possible for color filling
(General gain)
Reduce the filter as much as
FILTER Wall filter
possible
Tips to Optimize Deep Flows
Command Function Action
Adjust the CFM box
CFM-STEER Doppler orientation
orientation to optimize cosΘ
Decrease the PRF as much as
SCALE Pulse Repetition Frequency
possible
Decrease the frequency as
FREQUENCY Probe transmission frequency
much as possible
Amplification of overall
Increase it as much as
DOPPLER GAIN received echo signals
possible for color filling
(General gain)
Reduce the filter as much as
FILTER Wall filter
possible
When the CFM-STEER is set to the maximum step, some
artifacts might occur showing color dots. In this case, reduce
WARNING
the steering by one step. Image Optimization
Tips in Doppler
Tips to Optimize Fast Flows
Command Function Action
Adjust the CFM box
D-STEER Doppler orientation
orientation to optimize cosΘ
According to the active
PW Pulsed/Continuous application, activate the
CW (in Cardiac) Wave Doppler Doppler analysis by pressing
the button
Doppler
Automatic adjustment Activate it
AUTOADJUST
Increase the PRF as much as
SCALE Pulse Repetition Frequency
possible
Decrease the frequency as
FREQUENCY Probe transmission frequency
much as possible
Amplification of overall Increase it as much as
DOPPLER GAIN received echo signals possible to the display the
(General gain) whole flow
Tips to Optimize Slow Flows
Command Function Action
Adjust the CFM box
D-STEER Doppler orientation
orientation to optimize cosΘ
Doppler
Automatic adjustment Activate it
AUTOADJUST
Decrease the PRF as much as
SCALE Pulse Repetition Frequency
possible
Increase the frequency as
FREQUENCY Probe transmission frequency
much as possible
Move the baseline to
BASELINE Baseline
eliminate the aliasing
Reduce the filter as much as
FILTER Wall filter
possible
Tips to Optimize Deep Flows
Command Function Action
Adjust the CFM box
D-STEER Doppler orientation
orientation to optimize cosΘ
Doppler
Automatic adjustment Activate it
AUTOADJUST
Decrease the PRF as much as
SCALE Pulse Repetition Frequency
possible
Increase the frequency as
FREQUENCY Probe transmission frequency
Image Optimization
much as possible
Move the baseline to
BASELINE Baseline
eliminate the aliasing
Reduce the filter as much as
FILTER Wall filter
possible
My Notes
Report
Worksheet and
Measurements,
Measurements, Worksheet and Report
Measurements
Measurements can be taken on frozen, stored and archived images.
Generic Measurements
Either the +…+ panel key or the +…+ touchscreen button activate the generic
measurements menu. The touchscreen displays the list of available measurements,
which are automatically identified according to the active mode, application and
preset.
Advanced Calculations
Either the MEASURE panel key or the MEASURE touchscreen button activates
the advanced calculations menu. The touchscreen displays the list of available
measurements, which are automatically identified according to the active mode,
application and preset.
Advanced measurements are organized in groups which correspond to specific
anatomic structures. When a group is selected, the corresponding tab is
displayed on the Navigation area and the measure is automatically started. The
touchscreen displays the available measures of the selected group.
MyLab generic measurements and advanced calculations package are fully
configurable.
How to Take Measurements
Both for generic and advanced measurements, the touchscreen displays the
list of available measurements: select the desired measurement by pressing the
corresponding button. Follow the instructions on the screen, position the cursors
with the trackball and confirm the position by pressing ENTER.
The value being measured is displayed on the left of the image.
The measurements taken are marked with the √ symbol in the touchscreen.
CLEAR cancels all measurements from the screen.
UNDO key closes the session, erasing all done measurements.
ADD TO RP adds the generic measurement to the exam worksheet and report.
MyLab Worksheet
WORKSHEET button can be pressed at any time to display all performed
measurements.
Measurements, Worksheet and Report
The worksheet is organized in pages, one page for each application indicated by
the corresponding tab. Each application page is then organized in sub-folders,
corresponding to the measured modes and groups, identified by corresponding
sub-tabs.
Touchscreen buttons allow to navigate the worksheet.
The lateral scrolling bar can be used to scroll all performed measurements in the
selected mode or group.
Deleting measurements
To delete single measurements or measurements groups, place the cursor on the
cross displayed beside the single measurement a/o group and press ENTER to
confirm.
MyLab Report
REPORT button can be pressed at any time to display the report print preview
containing the patient data and all measurements performed during the exam.
If the system is configured with a PC printer, use the printer key to print the report.
MyLab Archive
MyLab Archive
MyLab Archive
ARCHIVE key accesses to internal MyLab archive.
Archived exams are listed in alphabetic order. The folder symbol, when shown on
the archived exams list, indicates that the corresponding exam contained images/
clips.
The thumbnail of the selected exam is displayed on the right side of the screen:
when more exams are selected, the thumbnail corresponds to the last selected exam.
OPEN automatically displays the selected exam(s). When more exams have been
selected, the tabs displayed above the thumbnails columns allows to browse the
data of the reviewed exams.
To display a thumbnail full screen, place the cursor on the desired thumbnail and
press ENTER.
My Notes
MyLab Archive
140005900 (MA Rev. 01)
ESAOTE S.p.A. International Activities
Via di Caciolle, 15 50127 Florence, ITALY Phone +39 055 42291 - Fax +39 055 4229 208
[email protected] - www.esaote.com
