Page 2 This product complies with regulatory requirements of the following European Directive 93/42/EEC concerning medical devices. This manual is a reference for the Vivid S5 and Vivid S6. It applies to all versions of the 10.2.x software for the Vivid S5 and Vivid S6 ultrasound systems.
Page 3: Table Of Contents
Notice against user modification......... 18 Regulatory information ............... 19 Directives ................19 Product Classifications ............19 Conformity to Standards ............. 19 Certifications ............... 21 Software License Acknowledgements ........ 21 Device labels................22 Label Locations..............22 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 4 Use of Electrosurgical Unit ............41 Electromagnetic Compatibility (EMC) ........42 EMC performance ...............43 Declaration of Emissions............. 44 Declaration of Immunity............44 Notice upon Installation of Product........44 General notice ..............45 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 5 Wheels................64 Moving the unit ..............64 Transporting the unit............66 Reinstalling at a new location ..........67 Preparing Vivid S5/Vivid S6 for scanning ......67 Unit acclimation time............68 System description ..............69 System overview..............69 Control panel ..............71 The Scanning screen............
Page 6 Adjusting the display of the ECG trace......126 Annotations ................128 To insert an annotation............128 To edit annotation.............. 131 To erase annotation ............131 Configuration of the pre-defined annotation list....132 Bodymarks ................ 134 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 7 Strain rate controls............179 Using Strain rate ............... 181 Optimizing Strain rate ............181 Strain ..................183 Strain overview ..............183 Strain controls..............184 Using Strain ..............186 Optimizing Strain .............. 186 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 8 Editing/creating a template ............225 Entering the Template editor screen .........225 Template editor screen overview ........226 Editing/Creating a template ..........229 Chapter 6 Contrast Imaging Introduction ................234 Cardiac imaging ..............234 Non-cardiac imaging ............235 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 9 M-Mode Measurements............ 308 Doppler measurements ............ 309 Pediatric Calculations ............... 314 Overview................314 Hip Dysplasia Calculation ..........315 Making Hip Dysplasia Measurement ........ 315 Performing an OB exam............317 Patient entry..............317 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 10 Introduction................ 370 To Start a Gynecology Exam ..........370 B-Mode Measurements.............. 371 Uterus length, width, and height........371 Ovary length, width, and height......... 372 Follicle measurements length, width, and height ....373 viii Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 11 Optimizing the trace display............. 394 Optimizing the Y-axis............394 Trace smoothing ............... 395 Switching modes or traces............397 To switch mode..............397 To switch trace..............397 Cine compound ................. 398 Anatomical M-Mode..............399 Introduction ............... 399 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 12 Disk Management............... 464 Configuring the Disk management function ...... 465 Running the Disk management function ......468 Data Backup and Restore ..........471 DICOM spooler ................479 Starting the DICOM spooler ..........479 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 13 Designing a report template..........519 Saving the report template..........530 To exit the Report designer ..........530 Report templates management ..........531 Configuration of the Template selection menu ....532 Export/Import of Report templates........533 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 14 Table of Contents Chapter 11 Probes Probe overview................537 Supported probes.............. 537 Vivid S5 Probe/Application Overview ........ 542 Vivid S6 Probe/Application Overview ........ 543 Maximum probe temperature ..........544 Probe orientation ............... 545 Probe labelling..............546 Environmental Requirements ..........547 Probe Integration ............... 548 Selecting probes..............
Page 15 The Modify Calculations sheet..........604 Parameter configuration ........... 604 The OB table sheet............605 Report ..................611 The diagnostic codes sheet ..........612 The Comment texts sheet..........613 Connectivity ................616 Dataflow................616 xiii Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 16 System self-test................646 System malfunction ............646 Using InSite ExC ................ 650 InSite ExC Functionalities ..........650 Initiating a Request for Service (RFS)....... 650 Clinical Lifeline Mode ............653 Exiting InSite ExC.............. 654 Index Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 17: Revision History
Please verify that you are using the latest revision of this document. If you need to know the latest revision, contact your distributor, local GE Sales Representative or in the USA call the GE Medical Systems Clinical Answer Center at: 1-800-682-5327 or 1-262-524-5698.
Page 18 Revision History Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 19: Attention
Vivid S6 offers additional modes, like TVI or Tissue Tracking, and options like TSI (Tissue Synchronization Imaging) and SI/SRI (Strain/Strain-rate imaging. The fully digital architecture of the Vivid S5/Vivid S6 unit allows optimal usage of all scanning modes and probe types, throughout the full spectrum of operating frequencies.
Page 20: Principles Of Operation
A sophisticated system design with computer controlled extensive features and functions make the Vivid S5 and Vivid S6 easy systems to use and very user friendly. Interference caution Use of devices that transmit radio waves near the unit could cause it to malfunction.
Page 21: Indications For Use
Medical staff in charge of the unit are required to instruct technicians, patients, and other people who may be around the unit, to fully comply with the above recommendations. Indications for use The Vivid S5/Vivid S6 ultrasound unit is intended for the following applications: • Abdominal •...
Page 22: Manual Contents
The CD-ROM includes English and all translations. Paper documentation may be ordered. The Vivid S5/Vivid S6 documentation is written for users who are familiar with basic ultrasound principles and techniques. They do not include sonographic training or detailed clinical procedures.
Page 23: Conventions Used In This Manual
Vivid S5 systems. Indicates that the relevant feature exists in the standard configuration of Vivid S6 and is available as an option on Vivid S5. Indicates that the relevant feature exists in the standard configuration of Vivid S5 and is not available on Vivid S6.
Page 24: Regulatory Requirements
• Minor injury CAUTION • Property damage Regulatory requirements The Vivid S5/Vivid S6 ultrasound unit confirms to directives, classifications, and standards, as described in "Regulatory information" on page 19. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 25: Contact Information
(262) 524-5698 Center. In other locations, contact your local Applications, Sales or Service Representative. Service Questions For service in the United States, call GE CARES Tel: (1) 800-437-1171 In other locations, contact your local Service Representative. Accessories Catalog Requests...
Page 26 Miranda 5237 Fax: (1) 567-2678 Buenos Aires - 1407 Austria General Electric Austria GmbH Tel: +43 1 972 72-0 Euro Plaza, Geb. E, Technologiestr. 10 Fax: +43 1 972 72-2222 A-1120 Vienna, Austria Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 27 Fax: (49) 212.28.02.431 Beethovenstraße 239 Postfach 11 05 60 D-42655 Solingen Greece GE Medical Systems Hellas AP. Τηλ.: +30 210 9690990 Λεωφόρος Κύπρου 156 AP. Φαξ: +30 210 9625931 TΚ 164 51, ΑΡΓΥΡΟΥΠΟΛΗ Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 28 Via Galeno 36 Fax: +39 0226001599 20126 Milano Luxembourg Tel: 0800 2603 toll free Mexico GE Sistemas Médicos de Mexico S.A. de C.V. Tel: (5) 228-9600 Rio Lerma #302, 1° y 2° Pisos Fax: (5) 211-4631 Colonia Cuauhtémoc 06500-México, D.F.
Page 29 Tel: int. code + 33 1 39 20 0007 Manufacturer GE Medical Systems, Israel, Ltd. Tel: (+972) 4851 9555 Einstein Bldg 4, Etgar st. Fax: (+972) 4851 9500 P.O. Box 2006 Tirat Carmel 39120, Israel Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 30 Introduction Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 31: Safety
• Acoustic Output Considerations ............. 30 • Concerns surrounding fetal exposure ........30 • Patient safety ..................31 • Patient identification ..............31 • Diagnostic information ..............31 • Patient guidance ................ 32 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 32 • Peripheral Update for EC countries ..........46 • Patient Environmental Devices ............48 • Acceptable devices ..............49 • Unapproved devices ..............49 • Accessories, options, and supplies ..........49 • Environmental protection ............50 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 33: Introduction
Other precautions or prudent-use recommendations are indicated in the note sections in the left column. These are: • Use of the Vivid S5/Vivid S6 ultrasound unit as a prescription device, under the order of a physician. • Maintaining an optimum unit environment.
Page 34: Hazard Symbols
• Risk of explosion if used in • Flammable anesthetic the presence of flammable anesthetics • Patient/user injury or • Replacing fuses adverse reaction from fire or • Outlet guidelines smoke • Patient/user injury from explosion and fire Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 35: Owner Responsibility
The owner of the Vivid S5/Vivid S6 ultrasound unit should ensure that only properly trained, fully qualified personnel are authorized to operate the system. Before authorizing anyone to...
Page 36: Important Safety Considerations
User modification may cause safety hazards and degradation in system performance. All modification must be done by a GE qualified person. The equipment is not suitable for use in the presence of flammable anesthetic mixture with air or with Oxygen or Nitrous Oxide.
Page 37: Regulatory Information
The location of the CE marking is specified in "Device labels" on page 22. Product Classifications The Vivid S5/Vivid S6 ultrasound unit confirms to the following classifications, in accordance with the IEC/EN 60601-1:6.8.1: • According to 93/42/EEC Medical Device Directive, this is Class IIa Medical Device.
Page 38 • UL 60601-1 Medical Electrical Equipment, Part 1 General Requirements for Safety. • Canadian Standards Association (CSA). • CSA 22.2, 601.1 Medical Electrical Equipment, Part 1 General Requirements for Safety. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 39: Certifications
Department of Health, USA). Certifications • Quality management standards for medical devices: General Electric Medical Systems is ISO 9001 and ISO13485 certified. Software License Acknowledgements • WindowBlinds ™ OCX © Stardock ® Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 40: Device Labels
Safety Device labels Label Locations Label 1 - Vivid S5 100-120V Label 2 - Vivid S5 220-240V Label 3 - Vivid S6 100-120V Label 4 - Vivid S6 220-240V Label 5 - Universal Label, for all systems Vivid S5/Vivid S6 label locations...
Page 41: Label Icon Description
Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 42 This marking on the control panel is especially intended to alert the user to consult the user manual for use BEFORE operation of the system. CAUTION - Dangerous voltage: used Various to indicate electric shock hazards. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 43 Russian Federation No. 184-FZ. The field 0000 will contain the number of the institute that issued the GOST label. Prescription Device Label for United Bottom of unit States per 21 CFR 801.109(b)(1) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 44: Acoustic Output
Once an optimal image is achieved, the need for increasing acoustic output or prolonging the exposure cannot be justified. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 45: Safety Statement
Although no harmful biological effects have been demonstrated for ultrasound frequencies, intensities and exposure times used in examination with the GE Vivid S5/Vivid S6 system, GE Medical Systems recommends using the lowest acoustic output settings which will produce diagnostically acceptable information.
Page 46 The user can override the default settings, but care should be taken to observe the displayed MI and TI values. Power It is possible to change the power in all operating modes so that the operator can use the ALARA principle. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 47: Ob Exam
Ultrasound examinations performed solely to satisfy the family's desire to know the fetal sex, to view the fetus, or to obtain a picture of the fetus should be discouraged. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 48: Acoustic Output Considerations
Safety Acoustic Output Considerations The Vivid S5/Vivid S6 system is a multi-use device which is capable of exceeding FDA Pre-enactment acoustic output (spatial peak-temporal average) intensity limits for fetal WARNING applications. It is prudent to conduct an exam with the minimum amount and duration of acoustic output necessary to optimize the image's diagnostic value.
Page 49: Patient Safety
These limitations must be considered before making any decision based on quantitative values. If in doubt, the nearest GE Medical Systems Service Office should be consulted. Equipment malfunction or incorrect settings can result in measurement errors or failure to detect details in the image.
Page 50: Patient Guidance
Observe immersion levels as displayed in Figure 11-5, page 559. Inspect probes for sharp edges or rough surfaces that could WARNING injure sensitive tissue. DO NOT bend or pull the cable forcefully, to avoid mechanical shock or impact to the probe. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 51: Electrical Hazard
Become familiar with the use and care precautions described in Chapter 11, "Probes" on page 535. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 52: Biological Hazards
DO NOT apply excessive force to the probe cable, to prevent insulation failure. Electrical leakage checks should be performed regularly by a GE service representative or qualified hospital personnel, according to the procedures described in EN 60601-1/IEC 60601-1 §19.
Page 53: Personnel And Equipment Safety
Connect the attachment plug to a hospital-grade grounding outlet to ensure adequate grounding. • Never use any adaptor or converter of a three-prong-to two-prong type to connect with a mains power plug. The protective earth connection will loosen. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 54: Smoke And Fire Hazard
Fuses blown within 36 hours of being replaced may indicate a malfunctioning electrical circuit within the system. In this event, the unit must be checked by GE Medical Systems service personnel. No attempt should be made to replace the fuses with others of a higher rating.
Page 55: Lcd Monitor
Archived data is managed at the individual sites. Performing data backup (to any device) is recommended. CAUTION Do not unpack the Vivid S5/Vivid S6. This must be performed by qualified service personnel only. CAUTION Do not use the Vivid S5/Vivid S6 Ultrasound system ECG wave for diagnosis and monitoring.
Page 56 Call a Service Representative for information. • DO NOT scratch or press on the panel with any sharp objects, such as a pencil or pen, as this may result in damage to the panel. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 57: Electrical Safety
Suitable electrical isolation of such external AC outlets may be required in order to meet UL2601-1 and IEC 60601-1 (1988) standards for electrical leakage. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 58: Allergic Reactions To Latex-Containing Medical Devices
Patient reaction to latex has ranged from contact urticaria, to systemic anaphylaxis. For more details regarding allergic reaction to latex, refer to FDA Medical Alert MDA91-1, March 29, 1991 Medical Alert on latex products. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 59: Use Of Ecg
Safety Use of ECG Do not use the Vivid S5/Vivid S6 Ultrasound system ECG wave for diagnosis and monitoring. CAUTION Use of Defibrillator Do not use the Vivid S5/Vivid S6 Ultrasound system with Defibrillator. This equipment does not have defibrillator- approved applied parts.
Page 60: Electromagnetic Compatibility (Emc)
To comply with the regulations on electromagnetic interference, all interconnecting cables to peripheral devices must be shielded and properly grounded. Use of cables not properly shielded and grounded may result in the equipment causing or Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 61: Emc Performance
Portable and mobile radio communications equipment (e.g. two-way radio, cellular/cordless telephones, wireless computer networks), other than those supplied by GE, should be used no closer to any part of this system, including cables, than determined according to the following method:...
Page 62: Declaration Of Emissions
(cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast transmitter cannot be predicted theoretically with accuracy. To assess the Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 63: General Notice
RF shielded examination room may be necessary. Use either power supply cords provided by GE Medical Systems or ones designated by GE Medical Systems. Products equipped with a power source plug should be plugged into the fixed power socket which has the protective grounding conductor.
Page 64: Peripheral Update For Ec Countries
60950 compliant modem using one of the serial or USB ports on the system. The Vivid S5/Vivid S6 may also be used safely while connected to devices other than those recommended above if the devices and their specifications, installation, and interconnection with the system conform to the requirements of IEC/EN 60601-1-1.
Page 65 Safety connect to Vivid S5/Vivid S6 and are used simultaneously, must be less than or equal to the rated supply of the Vivid S5/Vivid S6. • There must be adequate heat dissipation and ventilation to prevent overheating of the device.
Page 66: Patient Environmental Devices
25. LOGIQ Probe Connector (Vivid S6 only) 8. Ground Line 26. Non-imaging Pencil Probe Connector 9. Power Line (AC~) 27. ECG connector 10. DVD Drive 11. Hard-Copy Printer Figure 1-2: Patient Environmental Devices Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 67: Acceptable Devices
If devices are connected without the approval of GE, the warranty CAUTION will be INVALID. Any device connected to the Vivid S5/Vivid S6 must conform to one or more of the requirements listed below: • IEC standard or equivalent standards appropriate to devices.
Page 68: Environmental Protection
This product consists of devices that may contain mercury, which must be recycled or disposed of in accordance with local, state, or country laws. (Within this system, the backlight lamps in the monitor display contain mercury.) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 69: Getting Started
• Starting an examination ..............95 • Creating a new Patient record or starting an examination from an existing patient record ..............95 • Selecting a Probe and an Application ........100 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 70: Introduction
Request training, if needed. Ensure that unauthorized personnel do not tamper with the unit. Service representatives authorized by GE Medical Systems will unpack and install the unit. Do not attempt to install the unit alone. Never set liquids on the unit in order to avoid spillage into the unit or the control panel.
Page 71: Preparing The Unit For Use
Getting started Preparing the unit for use The Vivid S5/Vivid S6 ultrasound unit must operate within the proper environment and in accordance with the requirements described in this section. Before using the system, ensure that the requirements are met. Site requirements...
Page 72: Connecting The Unit
A GE-qualified person should perform the initial system the unit in an inap- installation. propriate environ- ment can cause Connecting the Vivid S5/Vivid S6 ultrasound unit involves electronic interfer- preliminary checks of the power adaptor unit and cord, voltage ence to radios and television sets situ- level and compliance with electrical safety requirements.
Page 73 Voltage level check Check the label near the circuit breaker on the rear side of the system (Figure 2-1 or Figure 2-2). Figure 2-1: Vivid S5 rating labels Figure 2-2: Vivid S6 rating labels Check the voltage range indicated on the label: •...
Page 74 Getting started Connecting to the electrical outlet POWER OUTAGE MAY OCCUR. The Vivid S5/Vivid S6 requires a dedicated single branch circuit. To avoid circuit overload and possible loss of critical care equipment, make sure you DO NOT WARNING have other equipment operating on the same circuit.
Page 75 (such as watch authorized batteries). Used batteries should not be placed with common field-service engi- neer. household waste products. Contact local authorities for the location of a chemical waste collection program nearest you. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 76 Vivid S5/Vivid S6 peripherals and accessories can be properly tion on peripherals. connected using the rear connector panel. Use only approved peripherals, accessories or probes. DO NOT connect any accessories or probes without approval by GE CAUTION Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 77 IEC 60601-1-1 (2000). If in doubt, consult the technical service department or your local representative. Do not touch the conducting parts of the USB or Ethernet cables when connecting equipment to the unit. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 78 Signal type Device type Note DVI-I Out DVI-I output high External monitor resolution video Universal serial USB Cable / bus x2 Device Ethernet 10/100 Base-TX Network device Ethernet IEEE 8023 Network device Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 79: Switching On/Off
ID is USR and associated passwords can be configured in the there is no need to Vivid S5/Vivid S6. See "Presets and System setup" on enter a password page 583 for more information. If IDs and passwords have been entered and "Use Auto Logon"...
Page 80 5. Cancel: Cancel Log on Figure 2-7: Operator Login Window Switching off the unit When the Vivid S5/Vivid S6 is switched off, the system performs an automatic shutdown sequence. The unit can be switched off into one of three states.
Page 81 When the system is operating normally, if the AC power is interrupted or the power cable is removed from the wall outlet the screen and keyboard will turn off, but the rest of the system Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 82: Moving And Transporting The Unit
Turn system Off to Full shut-down or Standby mode. Remove the AC plug from the power outlet. Wrap the AC power cord to ensure cord is not hanging in the wheel area or beyond the sides of the system. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 83 Grasp the front handle grips and push or pull or use the rear handle bar for pushing the system. Do not attempt to move the unit using cables or probe connectors. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 84: Transporting The Unit
Ensure that the unit is secured inside the vehicle. Secure it with straps to prevent movement while in transit. Drive cautiously to prevent vibration damage. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 85: Reinstalling At A New Location
(see "Moving and transporting the unit" on page 64). Follow the installation procedure described on "Connecting the unit" on page 54. Preparing Vivid S5/Vivid S6 for scanning Lock front Wheel brakes Un-Wrap the AC power cord and plug into power source.
Page 86: Unit Acclimation Time
Acclimation will take one hour for each 2.5 C increment when the unit’s temperature is below 10 C or above 40 42.5 36.5 45.5 108.5 Hours 47.5 52.5 57.5 117.5 126.5 135.5 Hours Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 87: System Description
Getting started System description System overview Figure 2-10: Vivid S5/Vivid S6 System Overview Note: Above figure is Vivid S6. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 88 19. Pencil probe socket 20. ECG connector socket: Also supporting the external ECG input 21. Large probe socket: (Available on Vivid S6 only) Supporting the TEE probes only 22. RS-Socket locking latch Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 89: Control Panel
Getting started Control panel The following pictures illustrate the layout of the Vivid S5/Vivid S6 control panel. The buttons and controls are grouped together for ease of use. A detailed description of the buttons is provided on the following pages.
Page 90 Displays the Select Probe and Application dialog box that enables the users to select the desired probe and application preset for the current examination. For information about selecting probes, refer to page 100 and page 535. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 91 Image Review screen where bigger previews of the images are shown for image selection. Refer to page 426 for details on the review of images. Displays the examination report. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 92 M-Mode scans. If TVI is on, the Doppler modes (PW/CW) will also be optimized for tissue velocity. For further information, refer to page 169. Note: TVI is optional on Vivid S5. The TVI button is always installed even if option is not installed. Vivid S5/Vivid S6 User Manual...
Page 93 Six sliding keys that compensate for depth-related attenuation in an image. The upper slider corresponds to the smallest depth. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 94 Automatic Spectrum Optimization to optimize the Doppler spectrum. Flex This button can be configured to function as any button on the keyboard (see page 590). Note: with the exception of alphanumeric and soft-menu sections. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 95 Same arrows are used while reviewing images from clipboard, the active frame may be stepped forward or backwards to review the next or previous image. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 96 Prints the current imaging screen content to a selected (configurable) printer. For more information about printing (see page 577). The key can also be configured for alternative PRINT storing of images (see page 623). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 97 Depending on the situation (see Figure 3-3, page 109): • Performs the selected control or highlighted menu item. • Toggles between the Trackball functions within the active group. The key is duplicated for ergonomic reasons. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 98 The assigned functions are indicated above the button on the LCD display. The mode-specific functions for these buttons are described in Chapter 4, "Scanning Modes" on page 137. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 99 To activate LCD adjustments controlled by softkeys. Biopsy Displays the biopsy path marker. Bodymark Displays the available body marks for the current application. Page Erase Erases all previously-typed annotations (and body marks). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 100 (see Chapter 14, "Adding Problem description" on page 646). Alt+B Allows to insert a "bookmark" into the system failure log ("Adding bookmarks" on page 646) Shift+Config Allows to run various diagnostics. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 101 + PgUp or forward or backwards. PgDn Alt + F1 Activates the “Front-panel Simulator” for the use of system-diagnostics. Do not activate this function. It is to be used only by a service representative. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 102: The Scanning Screen
12. Soft menu window 29. Probe orientation marker 13. Clipboard navigator 30. Measurement result table (measurement mode) 14. Cine progress bar 31. Logo 15. Current menu name Figure 2-12: The scanning screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 103 • Heart rate (HR) DVR Status and counter indicators Displays the DVR counter as it changes in real time, and a status icon, which indicates the current operating status of the DVR. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 104 The status bar Consists of four information fields as follows: Service "Insite Express Connection" (ExC) icon Enable access to the GE Healthcare on-line service center. Connectivity status icon Displays the network status: Connected or disconnected. Prompt/status field Displays system messages or prompts the user for actions.
Page 105: Three-Pedal Footswitch Operation
RS, one imaging probe port type OR, and one pencil probe port. The connector panel situated in the front of the Vivid S5 has three imaging probe ports type RS and one pencil probe port.
Page 106 Align the connector with the probe port and carefully push into place. Rotate the locking handle to the full vertical position to lock in place. Cable Handling Take the following precaution with probe cables: • Do not bend the cable acutely. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 107 First place the probe connector into the carrying case • Carefully wind the cable into the carrying case. • Carefully place the probe head into the carrying case. DO NOT use excessive force or impact the probe face. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 108: Adjusting The Display Monitor
This is the main control to adjust screen brightness to compensate for different ambient light. When soft-rotary is rotated the brightness adjustment tool appears at bottom of screen, as shown in Figure 2-14. Figure 2-14: Brightness control Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 109 It will allow you to optimize Contrast / Brightness and blue-tint to suit the particular external display. When the button is de-activated, the previous settings that were optimized for the internal display will be restored. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 110 Do NOT place objects on the monitor. CAUTION To swivel the LCD monitor Grab the left and right sides of the LCD monitor frame and swivel the monitor to the desired position. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 111 CAUTION Figure 2-17: Monitor position adjustment Control Panel adjustment The system Control panel can be freely adjusted to swivel or move up/down. There are two brake handles located under the control panel. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 112 When panel is raised it also moves away from the operator. Note: When preparing the system to be moved, pull the left handle and bring the control panel to a center position. Swivel it slightly till a locking click is heard. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 113: Starting An Examination
ID and password (as explained page 637. in Figure 2-19). Note: In case the password is not known, press Emergency. This allows you to scan with the system, without accessing long-term archiving of the exam. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 114 (see page 626). the Patient list can be turned off (see If the unit is configured to display the Patient information page 626). window, follow the steps below: Enter additional patient information if required. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 115 2. Select the column heading border and drag to configured to display the Advanced search tool adjust column width. as default (see page 629). 3. Expended Patient record displaying belonging examinations. Figure 2-20: The Search/Create Patient window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 116 4. Select patient information category. Figure 2-21: The Patient Information window 1. The patient information on the scanning screen is configurable (see page 590). Figure 2-22: The Patient information on the scanning screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 117 Getting started Using other ID The Vivid S5/Vivid S6 system supports an additional field for Patient ID number referred to as "Other Patient ID". This is an optional data field and may be accessed via the Patient List screen and clicking the "More" button. The rules applicable to the "Patient ID"...
Page 118: Selecting A Probe And An Application
CAUTION Check that the correct TI category is displayed (see Chapter 1, "Thermal Index" on page 26). TIB must be displayed when a fetal application is selected. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 119 • Performing measurements ............121 • To perform measurements ............121 • Physiological trace ............... .. 122 • Connecting the internal ECG ........... 122 • Physio controls ................. 126 • Displaying the ECG trace ............126 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 120 • Annotations ..................128 • To insert an annotation .............128 • To edit annotation ..............131 • To erase annotation ..............131 • Configuration of the pre-defined annotation list ......132 • Bodymarks ................134 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 121: Basic Scanning Operations
PW Doppler), one mode is active (live) while the other is frozen. In this case, the assignable keys and rotary knobs controls parameters associated with the active mode. Switching the active mode will change the key and rotary assignments accordingly. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 122: Using The Assignable Keys Soft Menu
Upon rotating the knob the arch on the graphics changes its length to reflect the change in the value of the controlled parameter. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 123 On/Off Toggle button In this example the active green indicator indicates that the “Simultan.” setting is set ON. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 124 The circular button on the bottom-right area of the screen acts as a soft-menu rocker button. It has access to a different type of soft-menu which pops up on the right portion of the screen. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 125: Using The Soft Menu Rocker
- Right arrow increases control setting. od of time it will - Left arrow decreases control setting. time-out and disap- pear from the dis- play. (See page 633 for information on how to configure timeout). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 126: Trackball Operation
Status line (Figure 3-3). To change trackball assignment • Press in the Trackball area until the desired TRACKBALL function is selected highlighted. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 127: The System Menu
2. Set key: perform the selected control or highlighted menu item 3. Update Menu key: select the operation to perform from the pop-up System menu. (Menu contents may change. Figure shows a typical menu) Figure 3-3: The Trackball area Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 128: Cineloop Operation
Cineloop overview 1. ECG 4. Right marker 2. Left marker 5. Heart rate or Cine speed (in replay) 3. Current frame 6. Cine frame number values Figure 3-4: The cineloop controls display Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 129: Cineloop Controls
When the scan mode is frozen, trackball to move the current marker and review the images Cine speed In cine replay mode, move the trackball left or right to adjust the speed of the cineloop playback. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 130: Using Cineloop
To view a cineloop frame by frame If not in freeze mode, press the button to freeze 2D FREEZE the cineloop. Use the Trackball to scroll through the cineloop frame by frame. Use the Speed/Frame softkey button. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 131: Storing Images And Cineloops
The amount of data stored in images from 2D replay is determined by the defined cineloop. Images can be stored in either DICOM and GE Raw Data formats or DICOM format only, depending on the dataflow configuration (refer to page 616 for further information).
Page 132: Removable Media
Copy of system configuration presets between to units using the Backup/Restore feature (see "Data Backup and Restore" on page 471). • Save images as JPEG or AVI for review on a regular computer. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 133: Supported Removable Media
USB Flash cards may cause interference on the system CAUTION itself or on other electronic devices. DO NOT USE devices containing embedded U3 technology programs as these might interfere with the proper operation of the Vivid S5/Vivid S6 system. CAUTION • CD-R (CD-RW is not supported.) •...
Page 134 Formatting just prior to using the media, as described in "Exporting patient records/examinations" on page 452. Preparation well ahead of time as described in the following section. The formatting process will erase any data present on the disk. CAUTION Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 135 Select Format. A confirmation window is displayed. Select OK to continue. Wait for the display of the Information window indicating that the formatting process is completed. 10. Select OK to continue. 11. Eject the media as described below. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 136 Note: Before using any of these functions, verify that the destination PC / Network has been set up with a shared folder (remote path) with user permissions. Configuring the shared folder for the first time will involve your GE field-service engineer. Save As PDF to network path Save As PDF Network Path is used for saving Reports as PDFs to a destination PC or network.
Page 137 The status of the DVR is indicated by a symbol on the Title bar (for detail about how to use DVR recorder, refer to "DVR (Digital Video Recorder)" on page 578). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 138: Zoom
Basic scanning operations Zoom The Vivid S5/Vivid S6 supports two types of zoom: the display zoom and the high resolution (HR) zoom. • The Display zoom (sometimes called "Read" zoom) magnifies the image display in both frozen and live 2D, M-Mode and combined modes.
Page 139: Performing Measurements
Basic scanning operations Performing measurements To perform measurements • Press to enter the Measurement mode. MEASURE Refer to page 243 for further information. • Press to perform simple generic measurements. CALIPER Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 140: Physiological Trace
The operator can control the gain, the position and the sweep rate of the traces using the assignables on the control panel. Use only GE Medical Systems accessories Conductive parts of electrodes and associated connectors for applied parts, including neutral electrodes should not contact other conductive CAUTION parts, including earth.
Page 141 Connect the ECG trunk cable into the rectangular-shaped socket marked ECG on the patient I/O panel. The patient I/O panel is located in the front left of the ultrasound unit (see Figure 3-7). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 142 A special adapter is available allowing the connection of pre-wired electrodes using a DIN 1.55 type connector into the "MultiLink" ™ trunk ECG cable (see Figure 3-8). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 143 Basic scanning operations Figure 3-8: DIN 1.55 type connector The electrodes should connect to their corresponding locations as shown on Figure 3-9. Figure 3-9: Electrode connections Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 144: Physio Controls
ECG PHYSIO controls. Press the assignable to display the trace. Adjusting the display of the ECG trace Adjusting the ECG trace sweep speed Press on the control panel. PHYSIO Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 145 PHYSIO Adjust the assignable button to move the trace POSITION vertically. Do not use the Vivid S5/Vivid S6 Ultrasound system ECG physio waveform for diagnosis and monitoring. CAUTION Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 146: Annotations
Trackball the text entered to the insertion position. Press to add the annotation. Pre-defined annotation Word selection from the Annotation menu Press the alphanumeric key TEXT A list of application-specific pre-defined texts is displayed (see Figure 3-10). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 147 To exchange sections order, enter the sections to swap next to Swap columns button and press Swap columns. 10. Customized text may be added to the Application pane by the special window on the lower area of the Customize sheet. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 148 ARROW DOWN To change section, Press until the desired LEFT ARROW section is displayed in the Status bar. To insert the selected pre-defined text, press RIGHT ARROW Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 149: To Edit Annotation
To erase all annotations on the screen in one operation, press the alphanumeric key PAGE ERASE To erase annotation words one at a time, hit button on DELETE the alphanumeric keyboard. Each button-press will delete a single word in reversed order. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 150: Configuration Of The Pre-Defined Annotation List
Type the new annotation text. Press add. The new annotation text is added at the end of the list. Press save to store the new annotation list. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 151 Basic scanning operations 1. Rearrange list 2. Delete selected text 3. Reset to factory default 4. Add new text to the list 5. Enter new text Figure 3-12: The Annotation Menu Configuration Dialog Box Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 152: Bodymarks
1. Probe marker Figure 3-14: The bodymark with probe marker Using the trackball, adjust the position of the probe marker and press Using the trackball, adjust the probe marker orientation and press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 153 To change the configuration Press CONFIG In the Configuration package, select Meas/Text category. In the Meas/Text category select Annotation (see Figure 3-12). Check or uncheck the "Delete on Page erase" option. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 154 Basic scanning operations Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 155 • Optimizing PW/CW Doppler modes ......... 168 • Tissue Velocity Imaging (TVI) ..........169 • Tissue Tracking ................ 173 • Strain rate ..................178 • Strain rate overview ..............178 • Strain rate controls ..............179 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 156 • Optimizing TSI ................192 • Additional scanning features ............193 • LogiqView ................. 193 • Compound ................194 • B-Flow ..................195 • Blood flow imaging ..............195 • Virtual Convex ................196 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 157: Introduction
Scanning Modes Introduction The Vivid S5/Vivid S6 ultrasound scanner provides several basic scanning modes and several options for combining the use of these modes. The following scanning modes are described in this chapter: • 2D Mode Imaging • M-Mode Imaging •...
Page 158: 2D-Mode
Scanning Modes 2D-Mode 2D-Mode overview 1. Focus marker 2. Probe orientation marker 3. Status window 4. Soft menu Figure 4-1: The 2D screen (cardiac) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 159 5. Freeze • Tilt 6. 2D 2. Zoom 7. Gain 3. Depth Controls marked with R are also available in freeze and cine replay Figure 4-2: The 2D controls on the front panel Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 160: 2D-Mode Controls
By using this control in combination with angle control the image can be “aligned” to the direction of interest, and frame rates be optimized. By default the axis of symmetry of a 2D image is vertical. (Applicable only for cardiology applications). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 161 The combined single image has the benefits of reduced speckle noise, reduced clutter, and continuity of specular reflectors. Therefore, this technique can improve contrast resolution. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 162 ATO on or off. When activated, ATO is GAIN displayed in the information window. Depth Sets the maximum (far field) distance that will be imaged. Decreasing the depth may allow higher frame rates. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 163 Frequency/Transmit Pattern, taking into account the different frequency-preference as set by the manual modification by the user. With Smart Depth turned OFF, the Frequency control setting will remain unchanged even when depth setting is changed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 164 Extra care must be taken to select the optimal Speckle reduction level. Ultra Definition (UD) Speckle Reduce This control is used to reduce the amount of speckle in non-cardiology applications. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 165 The label CLR appears in white whenever "Clear Vessel" is active, and becomes dark-gray whenever "Clear Vessel" is not active, because scanning conditions do not allow "Clear Vessel" to detect the vessel correctly (Figure 4-3). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 166: Using 2D
The following controls can be adjusted to optimize the 2D Mode display: • Use the Gain and TGC controls to optimize the overall image. • Use the Depth control to adjust the range to be imaged. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 167 In particular it turns on while placing the focus marker at relatively large depth. Wide aperture automatically turns off when focus is moved to a shallow region. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 168: M-Mode
Figure 4-4: The cardiac M-Mode screen (top/bottom) This unit has three types of M-Mode: • Conventional M-Mode (MM): displays a distance/time plot of a cursor line in the axial plane of the 2D-image. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 169: M-Mode Controls
Note: While changing the Frequency value on display, the in the status win- operator actually selects different transmit patterns associated dow. with that value, which includes transmit pulse shape, frequency and transmit sequence. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 170 Adjust reject level. When this control is increased, low-level echoes are rejected and appear darker in the image. An index number is displayed in the status window to indicate the relative level of rejection. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 171: Using M-Mode
Use the trackball to position the cursor over the required area of the image. Adjust horizontal sweep, Gain, Frequency, Focus, Dynamic Range, Compression and Contour to optimize the display if necessary. Press to stop imaging. FREEZE Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 172 The Trackball as- signable Pos is acti- desired position along the cursor line. vated. Repeat steps 4. and 5. to change the angle of the solid cursor line if necessary. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 173: Optimizing M-Mode
Adjust Dynamic range to optimize the useful range of incoming echoes to the available greyscale. • Adjust Compress and Contour to further optimize the display. • Adjust Reject to reduce noise while taking care not to Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 174 Scanning Modes eliminate significant low-level diagnostic information. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 175: Color Mode
Scanning Modes Color Mode Color Mode overview 1. Probe orientation marker 2. Color bar 3. Color sector marker 4. Status window 5. Soft menu Figure 4-5: The Color Mode screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 176: Color M-Mode Overview
Color M-Mode overview 1. Time motion cursors 2. Color bar 3. Focus marker 4. Flow sector marker 5. Time scale 6. Status window 7. Soft menu Figure 4-6: The Color M-Mode screen (top/bottom display) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 177: Color Mode Controls
Controls the amount of variance data added to a color display. Variance enables computer-aided detection of turbulent flow (e.g. jets or regurgitation). Variance is available in live and cine replay. Simultaneous Enables simultaneous display of 2D and Color mode, side-by-side. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 178 Smart Depth For best sensitivity in color-mode, the Color Frequency/Transmit Pattern used should be optimized as a function of the location of the color-ROI. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 179 ROI (Region Of Interest) size When the trackball command Size is selected (see also "Trackball operation" on page 108), the height and width of the color area (or ROI) is adjusted from the trackball. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 180: Using Color Mode
Use the trackball to adjust the dimension of the color area. To enlarge the color area, move the trackball up To narrow the color area, move the trackball down. Press when the desired size is obtained. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 181: Optimizing Color Mode
An increase of the lateral averaging will reduce noise, but this will also reduce the lateral resolution. Use all noise reduction controls with care. Excessive application may obscure low level diagnostic information. CAUTION Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 182: Pw And Cw Doppler
This is not an absolute value, but simply a reference number. Users performing studies using standardized protocols may find this sweep speed information useful for reading studies from other institutions. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 183: Pw And Cw Doppler Controls
Invert in PW is available inverted. in live and cine replay; invert in CW is available only in live mode. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 184 Compress is available in both Live and Freeze. Reject Enables undesirable background noise to be removed from the Doppler spectrum resulting in a darker background. Reject is available in both Live and Freeze. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 185: Using Pw/Cw Doppler Modes
To narrow the SV, press the Left arrow of the rocker. tings. Alternative 2 Press on the control panel. A cursor line is CURSOR displayed on the 2D image. With the trackball adjust the position of the cursor line. Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 186: Optimizing Pw/Cw Doppler Modes
When Zoom is ac- tive while in PW or blood flow to be measured (Not typically required during CW modes, use the cardiac studies). Depth rocker but- ton to adjust the zoom magnifica- tion factor Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 187: Tissue Velocity Imaging (Tvi)
Tissue Velocity Imaging (TVI) calculates and color-codes the velocities in tissue. The tissue velocity information is acquired by sampling of tissue Doppler velocity values at discrete points. The information is stored in a combined format with greyscale Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 188 Turns TVI display on/off. When TVI display is turned off the TVI acquisition is still in turned on and raw-data is still acquired but remains hidden from the display. Cineloop (in Freeze only) Starts cineloop acquisition. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 189 Controls the level of greyscale intensity that is used as a threshold for color. Transparency Controls the degree of transparency of the TVI color. Frequency Enables the adjustment of the transmission frequency to control the sensitivity or the level of penetration. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 190 The use of preset gives optimum performance with minimum Refer to page 593 about creating pre- adjustment. If necessary, the following controls can be adjusted sets. to further optimize the TVI display: Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 191: Tissue Tracking
2. Tissue Tracking color bar 3. Status window 4. Soft menu 5. Track start and track end markers 6. Tracking start and end from R-peak Figure 4-9: The Tissue Tracking Mode screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 192 Invert is available in live and cine replay. Starts TSI mode (see page 188). Simultaneous Enables simultaneous display of 2D image and 2D image with Tissue Tracking color. Cineloop (in Freeze only) Starts cineloop acquisition. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 193 Smooths the image by averaging collected data along the so as not to obscure same horizontal line. An increase of the lateral averaging will significant diagnos- reduce noise, but this will also reduce the lateral resolution. tic information Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 194 The main use of Tissue Tracking is to map positive systolic displacements. This means that TRACKING START assignables should be adjusted to pick out TRACKING END the systolic phase of the cardiac cycle: Adjust Tracking Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 195 Tissue Tracking provides velocity information only in the beam direction. The apical view typically provides the best window since the beams are then approximately aligned to the longitudinal direction of the myocardium (except near the apex). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 196: Strain Rate
Figure 4-10: The Strain rate mode screen Strain rate calculates and color-codes the deformation per unit time i.e the speed at which the tissue deformation occurs. Strain rate is defined as the spatial gradient of velocity data. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 197: Strain Rate Controls
Starts cineloop acquisition. Alternative assignable controls Press to access to the following modes: • Curved Anatomical M-Mode (see page 155) • Tissue Synchronization Imaging (see page 188) • Tissue Tracking (see page 173) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 198 Smooths the image by averaging collected data along the so as not to obscure same radial line. An increase of the radial averaging will reduce significant diagnos- noise, but this will also reduce the radial resolution. tic information. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 199: Using Strain Rate
There is a trade-off between noise and spatial resolution controlled by the Strain length. To minimize noise the Strain length should be maximized. A value of 12mm is typical for adult cardiac patients. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 200 Strain rate. If set too high, the maximum Strain rate color is never reached. • Low strain rates may be masked out with a green color using the SRI Reject control. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 201: Strain
6. Strain start and end from R-peak and Strain sample size Figure 4-11: The Strain mode screen Strain calculates and color-codes the extent of tissue deformation (lengthening or shortening) relative to the original size over a given time interval, typically the systole. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 202: Strain Controls
Displays a menu of color map options. Use the trackball to point a color map and press to activate a desired color map. Q-analysis (in Freeze only) Starts the Quantitative analysis application (see Chapter 8, "Quantitative Analysis" on page 375). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 203 Controls the level of greyscale intensity that is used as threshold for color. Transparency Control the degree of transparency of the strain color. Frequency Enables the adjustment of the transmission frequency to control the sensitivity or the level of penetration. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 204: Using Strain
• The main use of Strain is to map negative systolic deformation. This means that STRAIN START STRAIN should be adjusted to pick out the systolic phase of the Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 205 (except near the apex). • Low strain values may be masked out with a different color using the SI Reject control. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 206: Tissue Synchronization Imaging (Tsi)
5. Status window 6. Soft menu Figure 4-12: The TSI mode screen TSI calculates and color-codes the time from onset of QRS to a detected event, typically the time to peak systolic velocity. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 207: Tsi Controls
Enables simultaneous display of 2D image and 2D image with TSI color. Cineloop (in Freeze only) Starts cineloop acquisition. Color maps Displays a menu of color map options. Use the assignable rotary knob to select and activate a desired color map. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 208 Cine Compound (Freeze only) Calculates and displays cineloops generated from a temporal averaging of multiple consecutive heart cycles. The number of Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 209: Using Tsi
Aortic Valve Closure (AVC) or Mitral Valve Opening (MVO) event, providing that these events are measured. If not measured, the TSI end marker is adjusted relatively to the estimated End Systole. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 210: Optimizing Tsi
Default TSI start and end times are suggested • When analyzing TEE images where systolic velocities are negative, the detection mode may be changed to "Time to peak negative velocity" using the Invert control. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 211: Additional Scanning Features
• Do not make abrupt changes in speed of motion. If required, press again to restart the acquisition. 2D FREEZE To complete the scan, press FREEZE Adjust the assigned rotary LOGIQVIEW ROTATE to rotate the acquisition. Perform measurements. Press IMG STORE. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 212: Compound
Compound is available with linear and 4C-RS curved probes in 2D live mode, or in the 2D image while in Color mode. Compound is on by default. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 213: B-Flow
Doppler display/Doppler audio and the BFI color display. Using blood flow imaging While in Color flow, press the assigned key BFI. Adjust Flow speckle. Increased Flow speckle enhances hemodynamics. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 214: Virtual Convex
Color, Doppler or M-mode and virtual convex will remain active on the 2D image. Note: While Virtual Convex is turned on, the Zoom function will always activate in "Display-zoom" mode only. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 215: Stress Echo
• References ................224 • Editing/creating a template ............225 • Entering the Template editor screen ........225 • Template editor screen overview ..........226 • Editing/Creating a template ............229 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 216: Introduction
Stress Echo Introduction The Vivid S5/Vivid S6 ultrasound unit provides an integrated stress echo package option, with the ability to perform image acquisition, review, image optimization, and wall segment scoring and reporting for a complete, efficient stress echo examination. The stress package provides protocol templates for exercise, as well as, pharmacological stress examinations.
Page 217: Selection Of A Stress Test Protocol Template
Trackball to the desired template. Press Turn freeze off to initiate scanning using the new template. 1. Projection selection 2. Level 3. Current acquisition 4. Projection 5. Group of views Figure 5-1: The Protocol screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 218: Image Acquisition
1. Current view label 2. Template matrix 3. Current view (Green cell) 4. Timers Figure 5-2: The stress mode acquisition screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 219: Starting Acquisition
The wall segment scoring diagrams for each view is displayed in the Parameters window on the right side of the screen (see Figure 5-9, page 215). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 220 Selecting a view during acquisition A fixed protocol is provided for scanning, based on the selected template. The system automatically highlights the next view to be acquired in the template matrix, as images are stored. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 221 After storage the system automatically highlights the next available view to be acquired. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 222 Timers Two timers can be displayed in the Stress mode acquisition screen, beside the template matrix (see Figure 5-4). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 223: Continuous Capture Mode
To enable best possible use of the limited storage buffer capacity, a Pause/Capture mode is provided, as opposed to the normal Freeze/Scan mode. The Pause mode enables scanning Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 224 The percentage of the buffer that is filled • The buffer filling progression showed by a green filling gauge • The capturing sessions, reflected by the red lines along the Buffer bar Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 225 When 90% of the memory buffer is filled up, the text display in the buffer bar turns red. The unit enters Freeze mode automatically once the buffer is full and the captured loops are displayed in the Continuous capture selection screen (see below). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 226 Local- the capture again from the Protocol screen). Arch-IntHD and several minutes on Press Store all to keep the entire loop. LocalArch-MOD. 14. Perform Analysis and scoring (see page 213). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 227 Perform Analysis and scoring (see page 213). Postponed image assignment The assignment of the cineloops to the views can be done on a later stage on a stored Continuous capture acquisition. Perform Continuous capture as described in "Running Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 228 The recording in memory is deleted and the Continuous capture is started again. Resume Continuous capture • Press CONTINUE CAPTURE Resumes Continuous capture recording (only if the Continuous capture buffer is not full). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 229 Trackball to the desired loop in order to assign it to a particular view of the stress template. The frame of the loop is highlighted. Press A pop-up menu is displayed with the view names of the template (see Figure 5-7). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 230 1. Assigned loop 2. Highlighted loop 3. Views pop-up menu 4. Highlighted views 5. Already assigned view Figure 5-7: Loop assignment in Continuous capture Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 231: Analysis
Analyze screen (see page 216). Note: Pressing (while no images are selected in ANALYZE Protocol screen) automatically opens the first group of images in the analysis screen. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 232 A preview of the acquisitions is displayed. Trackball to the first image to select. Press The frame of the selected loop is highlighted. Repeat steps 2 and 3 to select other images. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 233 This means that for instance when scoring a short axis projection and a long axis projection from the same stress level, then common segments with the same scoring value will be shown in the respective scoring diagrams. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 234 Repeat steps 1 through 3 to score relevant segments. (see Figure 5-9) Rotate the assignable to display next group CHANGE PAGE of images. Repeat steps 1 through 3 to score relevant segments on the new loops. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 235 Stress Echo 1. Selected segment 2. Selected score 1. Scored segment Figure 5-10: Segment scoring Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 236: Quantitative Tvi Stress Echo Analysis
Diagnosis must not be based on results achieved by QTVI Stress analysis only. WARNING The Vivid S5/Vivid S6 Ultrasound unit provides a Quantitative TVI (QTVI) Stress analysis package based on Tissue velocity information (TVI). The TVI data is stored in a combined format with grey scale imaging during stress examination.
Page 237: Accessing Qtvi Stress Analysis Tools
The three QTVI Stress analysis tools are entered by pressing a dedicated button on the scoring diagram (see Figure 5-11) of the selected view. Only views with TVI data acquired will display QTVI Stress tools buttons on the respective diagrams. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 238: Vpeak Measurement
When activating QTVI Stress, the measurement applies only to the currently highlighted segment for the current level and projection view. To display a Vpeak measurement Perform segment scoring as described on page 216. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 239 Select another scoring bullet in the diagram in one of the peak views. To turn off the Vpeak measurement tool Trackball to one of the V button in the peak view scoring diagrams. Press in the trackball area. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 240 (see "References" on page 224). The result is highlighted by a color-coding of the thresholds lines, the color-coding in the 2D image and the scoring bullet (see Figure 5-12). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 241: Tissue Tracking
Figure 5-13: Tissue Tracking display Quantitative analysis Quantitative analysis enables further analysis based on multiple tissue velocity traces. Quantitative analysis is performed using the Quantitative analysis package described in Chapter 8, "Quantitative Analysis" on page 375. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 242: References
Application of Tissue Doppler to Interpretation of Dubotamine Echocardiography and Comparison With Quantitative Coronary Angiography. Cain P, Baglin T, Case C, Spicer D, Short L. and Marwick T H. Am. J. Cardiol. 2001; 87: 525-531 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 243: Editing/Creating A Template
Press to enter the stress echo mode. PROTOCOL Press the assignable TEMPLATE The Template pop-up menu is displayed. Trackball to Template Editor. Press The Template editor screen is displayed (see Figure 5-14). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 244: Template Editor Screen Overview
Template editor screen overview Figure 5-14: The Template editor screen Template Parameter Description Template: • Select a pre-defined template from the pop-up menu. The Protocol template preview (see below) is updated accordingly. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 245 (see page 407 for further information). • Show reference: : displays a dual screen with the reference level (first or previous level) on the left and the live image on the right. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 246 (or foot pedal). Reference image: • When Show Reference is selected (see page 227), selects either corresponding baseline loop or corresponding loop from the previous level to be displayed as reference image during acquisition. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 247: Editing/Creating A Template
(see Figure 5-14). The new grid size is displayed in the Protocol template preview field. Press New Template to create a new template. Press Save Template to update the base template. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 248 Number of cycles to be stored in the cineloop: • Enter the desired number in the Cycles field. Up to four cycles/cineloop can be stored. Continuous capture • Check Continuous capture if continuous image acquisition throughout the level is desired. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 249 In the Pre-defined group field, select the group to delete. A selected group is highlighted by a Press Delete group. yellow frame. The group is removed from the list in the Pre-defined group field. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 250 Stress Echo Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 251: Contrast Imaging
• LV Contrast controls ..............236 • Using LV Contrast ..............238 • Optimizing LV Contrast ............239 • Vascular Contrast Imaging ............240 • Abdominal Contrast Imaging ............241 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 252: Introduction
Left Ventricular Contrast imaging. The LV Contrast (LVO) application is optimized for endocardial border detection and assessment of wall motion and wall thickening. This application requires the LVO Contrast option to be enabled. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 253: Non-Cardiac Imaging
Left ventricular opacification, optimal resolution of endocardial borders delineationand for optimal assessment of wall motion. The LV Contrast application may help to identify LV thrombus and evaluate wall motion. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 254: Lv Contrast Overview
By default the axis of the 2D image is vertical. Frequency Enables the adjustment of the probe's operating frequency. A higher frequency gives better resolution. Frequency is also used to switch between Octave (single-pulse) and CPI (Coded Phase inversion - multi-pulse). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 255 LV Contrast Soft menu controls Power Controls the amount of acoustic power applied to the transmitted pulse. Compress Too high Power lev- el will destroy the Controls the degree of image contrast. contrast agent. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 256: Using Lv Contrast
The Application menu for the selected probe is listed. Trackball to LV Contrast application. Press to launch the application. Perform the acquisition. Always read and follow carefully the manufacturer instructions on the contrast agent label. WARNING Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 257: Optimizing Lv Contrast
If a swirling pattern is observed and persists after the LV cavity has been filled with contrast, the power should be reduced until homogenous opacification is obtained Too high Power setting will destroy the contrast agent in the LV cavity. CAUTION Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 258: Vascular Contrast Imaging
This application may not be available on your system. Contrast agent for this application are undergoing clinical trial and therefore, not yet available in the United States. CAUTION Note: the Vascular Contrast application requires the Vascular/Abdominal Contrast option enabled. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 259: Abdominal Contrast Imaging
This application may not be available on your system. Contrast agent for this application are undergoing clinical trial and therefore, not yet available in the United States. CAUTION Note: The Abdominal Contrast application requires the Vascular/Abdominal Contrast option enabled. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 260 Contrast Imaging Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 261 • Hip Dysplasia Calculation ............315 • Making Hip Dysplasia Measurement ........315 • Performing an OB exam ..............317 • Patient entry ................317 • Selecting probe and OB application ......... 321 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 262 • Fetal Growth Bar Graph ............365 • OB-Multigestational ................. 366 • Multiple Fetus ................366 • GYN Measurements ................. 370 • Introduction ................370 • To Start a Gynecology Exam ............ 370 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 263 • Ovary length, width, and height ..........372 • Follicle measurements length, width, and height ..... 373 • Endometrium thickness (Endo) ..........373 • M-Mode Measurements ..............374 • Doppler Mode Measurements ............374 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 264: Introduction
Measurement and Analysis Introduction The Vivid S5/Vivid S6 Ultrasound unit provides functionality for two measurement conventions: • Assign and Measure (Measure Protocols): the user A study is a set of related measure- selects a study consisting in a set of pre-labeled...
Page 265: About Measurement Results Display
Config -> Meas/Text -> Advanced, by setting the attribute Absolute Value to Off. • Calculated parameters For calculated parameters the system uses signed values in calculation formulas, and displays the absolute value of the result. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 266: The Assign And Measure Modality
The trackball cursor is in the parameter window, ready for measurement selection. 1. Active application 2. Study 3. Selected study 4. Opened study 5. Measurements related to the area study for the cardiac application Figure 7-1: Example of a measurement study Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 267: Entering A Study And Performing Measurements
When the measurement operation is completed the next measurement on the list is automatically selected. To skip a measurement in a study Trackball to the desired measurement Press to activate the measurement tool. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 268 Measurement and Analysis 1. Performed measurement 2. Next measurement is automatically selected Figure 7-2: Display of a performed measurement (example) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 269: Measure And Assign Modality
The cursor is moved back to the scanning window, ready for measurement. Measurement tools Figure 7-3: The 2D Mode Measurement tools (Cardiac application) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 270: Post-Measurement Assignment Labels
Worksheet (see page 353). Up to five assigned measurements with the same label can be stored in the patient archive. Only assigned measurements will be saved. Measurements without assignment will be lost when scanning is resumed. CAUTION Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 271 Measurement and Analysis 1. Parameter Label menu 2. Selected label Assignment 3. Assigned measurement Figure 7-4: Measurement assignment Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 272 The Enter new parameter window is displayed. Figure 7-5: The Enter new parameter window Type a name for the parameter label. Press OK. The user defined parameter label is assigned to the selected measurement. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 273: Cardiac Measurements
Perform two length measurements as described in steps 5 through 8 in the above section. The measurement results including the ratio (%) of the two measured lengths are displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 274 8 in the above section. The measurement results including the ratio (%) of the two See the Status bar to get the next step measured areas are displayed in the Measurement result to perform. table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 275 (see Figure 7-1) and are instantaneously updated when the measurement. moving the cursor. 10. Press to complete the measurement. The measurement results including Vmod (Simpson) are displayed in the Measurement result table (see Figure 7-1). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 276 Press to anchor the point. The measurements displayed on the 2D The depth value (cm) is displayed in the Measurement image and the cor- result table. responding results are numbered. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 277: M-Mode Measurements
M-Mode image and measurement to modify. the corresponding results are num- Press twice (double-click). bered. The selected marker turns green and is unanchored. With the Trackball, reposition the marker to a new position. Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 278 EDV (End diastole volume) • ESV (End systole volume) • SV (Stroke volume) • EF (Ejection Fraction) • FS (Fractional Shortening) To perform LV study Generate the M-Mode image. Press to stop the cineloop. FREEZE Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 279 RVIDd. signable. Press . The starting point for the measurement is anchored. Trackball to the end point of the measurement. The current value is updated while mov- ing the cursor. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 280: Doppler Measurements
Select Caliper in the Measurement Menu. trol panel and press Trackball the cursor to the start point of the measurement. assign- CALIPER able. Press to anchor the start point of the measurement. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 281 Trackball the cursor to the start point of the next heart beat. 10. Press the to anchor the next heart beat starting point. The heart rate (BPM) is displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 282 Trackball the cursor to the peak of A wave. 10. Press to anchor the point. the velocity at peak for E and A waves and the calculated E/A ratio are displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 283 Analysis window and Anatomical M-Mode window in Q Analysis. Generate the spectrum to be measured. Press to stop the cineloop. FREEZE Press on the Control Panel. MEASURE Select Event Timing in the Measurement menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 284: Tsi Measurements
Generic Time to peak measurement Acquire a TSI apical loop. Press MEASURE In the Measurement menu, select Generic and Time to peak (see Figure 7-6). The TSI loop freezes at the TSI end frame. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 285 Place a point in the middle of the corresponding segment in the TSI image. The Time to peak and the Peak velocity for the segment are displayed in the Measurement result window. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 286 The TSI indexes indicate degrees of asynchrony in time to peak velocity Select TSI Bull’s eye report in the Measurement menu. The measurements are displayed in a color coded bull’s eye diagram together with a list of the calculated TSI indexes. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 287 The ROI and the corresponding TSI curve are displayed (see Figure 7-8). Press to anchor the ROI and trace. If required, select a new peak location in the trace. Click in the acquisition window to exit the TSI trace. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 288 Note: if Time is not available in the Generic folder press on the Control panel. ACTIVE MODE In the Analysis window, measure the time from the yellow QRS marker to the peak velocity of the velocity trace. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 289 Q Analysis and compare the result with a manual Time to peak measurement. To access to the corresponding measurement tool in Q Analysis you may have to press to display the relevant Measurement ACTIVE MODE menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 290 Segment Time to peak measurements may return the time to a different peak than what a manual method would do. Typically in these situations, the TSI image will show a wide range of colors over a small spatial region. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 291: Automated Function Imaging
All values are stored to the worksheet. In addition, Global Strain for each view, Average Global Strain for the whole LV, and the Aortic Valve Closure time used in the analysis are stored to the worksheet. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 292 Measurement and Analysis APLAX 4-Ch 2-Ch Step Acquired views Defining a ROI Tracking validation AVC timing adjustment Parametric image result Review screen Trace and Bulls-Eye result Figure 7-10: AFI workflow Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 293 A depth range that includes the entire left ventricle should be used. Starting AFI Open an APLAX view and press MEASURE In the Measurement menu, select AFI. The View selection menu is displayed (Figure 7-11). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 294 Should you wish to turn it off use the YOYO soft button. Note: In case the Yo-yo function is not running place the trackball pointer in the vicinity of the contour trace to activate it. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 295 The system has an adaptive ROI function: using the endocardial three points as a guide, the system will analyze the image and automatically adapt the ROI to an optimal position. Figure 7-13: ROI Generation Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 296 If the ROI needs to be adjusted make sure to make the changes immediately after the ROI is displayed. CAUTION Note: The auto processing function is configurable (from Config/Meas-Text/Advanced/AFI/AutoEF auto processing). Figure 7-15: AFI auto processing configuration Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 297 Tip window. Make sure to follow the recommendations when placing the three points (see below). Base Correct Wrong Correct position of the base points. The ROI extends into the aortic tract. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 298 The ROI is extending beyond the epicardium. Apex Correct Wrong Correct position of the Apex point. The upper right border of the ROI is way too much into the chamber cavity. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 299 End systole frame: the entire left ventricle is displayed. End diastole frame: the annulus is not displayed. Processing After the processing has been completed, the following screen appears. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 300 Recalc - Allows to go back to previous screen in order to manually correct the ROI. Approve - Press Approve once the tracking quality has been validated. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 301 Scoring table. Once the tracking quality has been validated for all segments, press Approve in the Scoring table, or Approve Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 302 This option is only available from the APLAX view. AVC Timing Adjustment Note: This procedure is available in the APLAX view only. After validation of the tracking quality, the frame for the current AVC setting (automatic or event timing Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 303 Figure 7-17: Parametric systolic strain APLAX view Note: The image will not be saved unless Store is pressed. Press Quad softkey to display a quad screen (Figure 7-18) showing: • 2D image with the ROI Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 304 Define a ROI ("Defining a ROI" on page 276). • Tracking Validation ("Tracking Validation" on page 283). Note: the AVC timing setting defined in the APLAX view is used by the system when running AFI on the other apical views. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 305 4 Chamber views are therefore preliminary values. Only final strain values should be reported. If you enter Quad screen again after all three loops have been processed, the strain values will be correct. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 306 17 segments (from Config/Meas-Text/Advanced/ AFI Segment model)(Figure 7-15). Note: The system can be configured so that the user can also choose to display Post systolic index (PSI) color coding and segmental PSI values in the Bulls-Eye (from Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 307 When approving the tracking in the Apical 2-chamber the Review screen with three Apical views and Bulls-Eye is displayed (Figure 7-20). Select Bulls-Eye only to display the Single Bulls-Eye screen (Figure 7-22). Figure 7-20: Review Screen Figure 7-21: BE+Traces Screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 308 If the tracking quality of a segment was scored as Not acceptable ( ), the colorimetric display on the Bulls-Eye is greyed (Figure 7-23). 1. Segment with tracking quality scored as Not acceptable ( Figure 7-23: Colorimetric display Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 309 Not acceptable ( • If the tracking quality was scored as Not acceptable ) in more than one segment, the Global peak strain value is not calculated. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 310: Autoef Measurements
The AutoEF tool is derived from 2D speckle tracking algorithm, which tracks and calculates the myocardial tissue deformation based on feature tracking on 2D grey scale loops. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 311 • A depth range that includes the entire left ventricle should be used. Starting AutoEF Open any one of the stored views and press MEASURE In the Measurement menu, select AutoEF. The View selection menu is displayed (Figure 7-25). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 312 Note: the Yo-yo function is turned on to help finding correct location for the points. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 313 (Figure 7-27). The shape of the border trace will update accordingly. In case you wish to start over, press Redraw and re-position the 3 points defining the basal and apex points. Figure 7-26: Defining a ROI Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 314 Note: Data processing is configured by default to start automatically if the cursor is not moved for a few seconds. If the trace needs to be adjusted make sure to make the changes immediately after the ROI is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 315 The system will automatically pick the frames with the maximal back speed exit au- area (ED) and minimal area (ES) and place them on the right toEF. area of the display. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 316 Figure 7-30: Border Trace Edit • In case these results are incorrect you may go back to the previous step by pressing the Recalc soft-button and editing the endocardial border ("Tracing the endocardial Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 317 For each of the views, a results screen containing the EF calculation, appears (Figure 7-28) with a small mini-report appearing in the results window on the right side (Figure 7-31). Figure 7-31: Mini Report Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 318 Click Yes to store the loop or No to discard it. Note: Do not disable any sub-measurement of AutoEF using Config. tab, as this will disable the whole set of AutoEF measurements. Figure 7-32: Results in worksheet Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 319 Measurement and Analysis Figure 7-33: Results in the Report template Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 320: Vascular Measurements
MEASURE Generic. Select Volume in the Measurement menu. When doing volume calculation from three distance measurements (i.e. biplane volume), the measurements should be done in dual mode displaying a sagittal and an Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 321: Intima-Media Thickness
IMT measurement is generally more accurate than the anterior IMT measurement. The following parameters are calculated: • Average IMT • Maximum IMT • Minimum IMT • Standard deviation of IMT measurements • Number of successful IMT measurements Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 322 At any time, the users may select if they wish to measure IMT by the protocol or by the arbitrary method. IMT Measurement procedure The following procedure describes the posterior IMT measurement. Acquire a longitudinal scan of the carotid artery and optimize the image. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 323 In case Protocol is set to ON place the vertical cursor on some anatomical reference point on the bifurcation. 10. Press . This will anchor a vertical cursor on the anatomical reference point, and an ROI box will appear on Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 324 IMT Measurement Protocol setting When the IMT Protocol soft-button is turned ON two special controls will appear: "Offset" and "Length", controlling the IMT ROI with predefined length and predefined distance (offset) from the vertical marker. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 325 Measurements that are not approved will not be saved. CAUTION Any image adjustments (e.g. Gain or zoom) on approved (transferred) measurements will unassign the measurements. Press Transfer to approve the measurements again. CAUTION Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 326: M-Mode Measurements
Open A/B Ratio in the Measurement menu. Select between: • Ratio (Diam • Ratio (Time) • Ratio (Velocity) Make the corresponding two measurements. The measurements and the corresponding A/B Ratio are displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 327: Doppler Measurements
• Max and/or Mean to display max and/or mean velocities. In the Modify Calcs menu, select the measurements and calculations to be displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 328 Figure 7-37: Vascular measurement menu (example) Using Auto vascular calculation Perform the scan and press FREEZE The system performs the calculation automatically and the pre-defined measurements and calculation are displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 329 Measurement menu or from the Show All menu for additional measurements. Perform the measurement as described below. Acceleration, Acceleration time (AT) Select Accel or AT. Position the caliper at the start point and press anchor the caliper. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 330 Using the trackball, draw the trace to the end diastole and press The trace is displayed and PS, ED, MD, TAMAX, PI and RI are displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 331 Position the caliper at the start point and press anchor the caliper. Using the trackball, draw the trace to the end point and press The trace is displayed and the corresponding measurements are displayed in the Measurement result table. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 332: Pediatric Calculations
Figure 7-38: Pediatrics B-Mode Measurement Top/Sub Menu The following generic measurements are common to other exam applications: • %Stenosis • Volume • Angle • A/B Ratio See "2D Measurements" on page 255 for more information. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 333: Hip Dysplasia Calculation
Trackball. To rotate or change inclination, adjust the Ellipse control or Hip Rotate. To fix the second measurement line, press . The system displays a third dotted line at an angle. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 334 (orientation) and then select d:D Ratio. A horizontal dotted line displays. Use the Trackball to place the baseline along the ilium. Position the crosshairs edge at the osseous convexity of the ilium. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 335: Performing An Ob Exam
Figure 7-39). Use the fields in this screen to enter various data (see Table 7-1) After entering data click the Begin Exam softkey to continue with the exam and get a scanning screen. Alternatively, click 2D Mode to continue scanning. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 336 If you click on the GA by LMP button it will change into GA. When you fill in the GA (Gestational Age) the system calculates and fills in the LMP and the EDD by GA field. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 337 LMP and the GA by EDD values Note 3: If you prefer to enter the estimated GA instead of LMP, click on the GA button just to the left of the GA field, and type in Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 338 Select CONFIG > Imaging > Global. Select Title Bar Line 1 or Line 2 to select the relevant information to appear on the screen. Figure 7-40: Setting patient information on the image title bar Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 339: Selecting Probe And Ob Application
The measurements available by default for OB1 are: GS (Hellman) CRL (Hadlock) BPD (Hadlock) FL (Hadlock) OB2/3 application The measurements available by default for OB2/3 are: AC (Hadlock) HC (Hadlock) BPD (Hadlock) FL (Hadlock) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 340: Ob Measurements And Calculations
The accuracy of measurements is not only determined by the system accuracy, but also by use of proper medical protocols by the user. When appropriate, be sure to note any protocols Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 341: B-Mode Measurements
Note: Calculation formulas are listed in the Reference Manual. B-Mode measurements This section describes all B-Mode measurements that you typically find in OB studies. Additional OB measurements follow the typical ones. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 342 The system displays the selected Parameter diameter in the Results Window. Editing 2D Length measurements While the measurement is on the screen, trackball the cursor to one of the anchor points of the measurement to modify. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 343 Table 7-4: Circumference parameters Parameter Full name Abdominal Circumference Head Circumference When selecting one of the Circumference parameters shown in Table 7-4 above, the system will automatically provide an Ellipse tool to perform the measurement. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 344 The selected marker is unanchored and can be moved. With the Trackball, reposition the caliper. The ellipse will rotate or stretch along with the motion of the caliper Press to anchor. Figure 7-42: Editing ellipse measurements Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 345 Results Window. It displays the three diameters d1, d2 and d3. In addition, it shows the average diameter GS and the corresponding estimated age. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 346 Select OB-2/3, then AFI(Moore) located just under it. The first distance measurement, AFI-Q1, is already selected. Make a standard distance measurement for the first quadrant: • To position the active caliper at the start point, move the Trackball. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 347 AFI total and displays it in the Results Window. Note: If the fluid in a pocket is zero, set the second caliper on top of the first one to give it a zero value. Figure 7-44: Amniotic Fluid Index Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 348: M-Mode Measurements
• Umbilical • Uterine (right and left) For each of these studies, you can make any of the following measurements: • Peak Systole (PS) • End Diastole (ED) • Minimum Diastole (MD) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 349 To select OB/GYN vessel measurements OB/GYN Vessel measurements use the auto sequence feature. With this feature, when you select a folder for the vessel you want to measure, the system automatically starts Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 350 Doppler M&A section of the Vascular package (page 309). The following pages describe the steps to make each specific measurement in the OB/GYN Vessel study. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 351: Ob Parameter Configuration
Set the M&A category to Obstetrics. Locate the parameter OB Type in the upper pane and click on the region. A menu opens listing the region names. Figure 7-46: Region name menu OB-1 Folder contents Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 352 Measurement and Analysis OB-2/3 Folder contents OB-General Folder contents Europe OB-1 Folder contents Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 353 Measurement and Analysis OB-2/3 Folder contents Osaka Osaka Folder contents Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 354 Measurement and Analysis Tokyo/Shinozuka Folder contents JSUM Folder contents EFW (Osaka) Folder contents EFW (Tokyo) Folder contents EFW1 (S) Folder contents Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 355 Measurement and Analysis EFW2 (S) Folder contents EFW3 (S) Folder contents EFW (JSUM) Folder contents ASUM ASUM 2001 Folder contents ASUM Folder contents Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 356: Measurement Package Configuration
The Measurement menu sheet is displayed (see Figure 7-47). AV Diam is a 2D measurement, make sure that 2D is checked in the Measurement sheet. Select folder Dimension in the Measurement menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 357 1. Select the scanning mode for the measurement to add to the Measurement menu. 2. Select the folder for the measurement to add. 3. Select the measurement to add. Figure 7-47: Configuration of the Measurement menu Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 358 Normal values can be defined by the user for all parameters. A Normal value can be either a range or a threshold. Normal values entered are grouped by measurement category (e.g. Cardiac, Pediatry etc.) Normal values are displayed in the report. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 359 Measurement menu sheet. Note: to change Measurement category, press the Heading in the Measurement menu and select another Measurement category. Select in the Normal value column. The Normal value window is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 360 To display Normal values and references in the Report, the Report template must be configured to show Normal values (see page 340). Measurements outside the Normal value are highlighted in the Report. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 361: User-Defined Formulas
User-defined formulas can be created using existing measurements or by defining new measurements. The following example describes the creation of a formula based on existing measurements. GE Medical Systems does not take any responsibility for the correctness of the user-defined functions. CAUTION User-defined formula - example The workflow for user-defined formula is: •...
Page 362 Give the folder a name (e.g. “My Folder”). Adding measurements 1. Select the user-defined folder. 2. Press Add measurement. Figure 7-51: The Measurement menu sheet Select the user-defined folder (e.g. “My Folder”) in the Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 363 Repeat steps 2 to 4 to add the AVET measurement. Creation of the formula 1. Select the last measurement. 2. Double click and enter the formula name. 3. Select “=” to create the formula. Figure 7-53: The Measurement menu sheet Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 364 The Formula line should display: ({MCO}-{AVET})/{AVET}. No units are necessary since the formula is a ratio (see also "About units" on page 349). 12. Press Check to make sure that the syntax for the formula is correct. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 365 (e.g. 2D). Select the appropriate folder in the Measurement menu (e.g. Dimension). Press Add Measurement in the Measurement menu sheet. The Add measure window is displayed. Figure 7-56: The Add measure window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 366 Distance) and enter a name for the parameter (e.g. My Length). If desired change the unit and the number of decimals for the measurement by double clicking the values under Unit and Precision (see also "About units" on page 349). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 367: About Units
If the selected display unit was set to mm the formula would give the exact same output, 0.046 m, but the automatic unit conversion would now instead give a displayed value of 46 mm. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 368 Mass Other * The correct SI unit for pressure is Pa, but here mm Hg was used as base unit as it is a standard pressure unit to use in medicine. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 369: Measurement Result Table
Trackball the Measurement result table to a new position. ment result table Press to anchor the table. from corner to cor- ner on the Acquisi- tion window. 1. Minimize/maximize table 2. Move table Figure 7-58: Measurement result table display tools Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 370: Deleting Measurements
Measurement and Analysis Deleting measurements Trackball to the measurement to delete in the Measurement result table and press A menu is displayed. Select Delete Measurement. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 371: Worksheet
Overview 1. Measurement type 4. Measured / calculated values 2. Measurement parameter 5. Value type 3. Value: Averaging, Max, Min or Last 6. Measurement type selection Figure 7-59: The Worksheet screen (Cardiac) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 372: Using Worksheet
To exclude a measurement Trackball to the measurement value to exclude. Press UPDATE MENU The Worksheet menu is displayed. Trackball to Exclude Value. When excluded the measurement dis- Press play turns grey. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 373 Press The value is re-calculated according the method selected. Deleting measurement parameter Trackball to the measurement parameter to delete. Press UPDATE MENU The Worksheet menu is displayed. Trackball to Delete Value. Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 374: Ob Worksheet
The OB Worksheet lists patient information, and all measurement and calculation data. • To view the OB Worksheet press Worksheet. 1. Patient data 2. Measurement information 3. Calculation information Figure 7-61: The OB worksheet Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 375: Patient Data
Value column. Choices are average, maximum, minimum, or last. To change the method: • Move the Trackball to the Method field. • Press • Move the Trackball to select from the list. • Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 376: Calculation Information
For more information about how to use the worksheet, see "Worksheet" on page 353. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 377: Ob Graphs
For multi-gestational patients you can plot all fetuses and compare the growth on the graphs. Vivid S5/Vivid S6 provides the following two basic types of graphs: •...
Page 378: Fetal Growth Curve Graph
Fetus position and Placenta fields. The legend at the bottom of the graph shows the symbols and colors that indicate data for fetal trending (Past and Present) and multiple gestation (Fetus). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 379 (GA) from the LMP, or to use the composite ultrasound age (CUA). To select, adjust the Select GA control. The information in the left column changes between CUA and GA (EDD), and the data may change. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 380 To select each view, press Single or Quad on softkey button. Figure 7-64: Fetal Growth Curve Graph: Quad View The measurement values are displayed at the bottom of the graph. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 381 • Move the Trackball to the field, which is left of the graph. To select the field press The system displays a window with the GA weeks and days. • To select each field, move the Trackball to the field and press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 382: Fetal Trending
Press Graphs and select the desired measurement to display. Press More and then Plot Both. The system automatically finds the data from previous ultrasound exams, and displays it on the graph with the present data. Figure 7-66: Fetal Trending Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 383: Fetal Growth Bar Graph
You cannot do fetal trending or view multiple gestation data on the bar graph. Note: To return to the graphs, press the Worksheet and the Graph soft-key; or press the "More" and the Graph soft-key. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 384: Ob-Multigestational
Measurement and Analysis OB-Multigestational Multiple Fetus Vivid S5/Vivid S6 allows you to measure and report multiple fetus development. The system can report a maximum of four fetuses. To define the number of fetuses If more than one fetus is imaged during the exam, enter the number of fetuses in the Patient Information Entry page.
Page 385 With multiple fetuses, you can list and compare measurements of the fetuses on the worksheet. • Select Worksheet Display. • Select Fetus Compare. The system lists the measurement results for each fetus on the Worksheet. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 386 FetusNo field. Then, in the list of fetuses, move the Trackball to select the fetus you want, and press • To display data for multiple fetuses on the same graph, select Fetus Compare. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 387 Measurement and Analysis Figure 7-71: Fetal Growth Curve Graph: Fetus Compare The legend at the bottom of the graph shows the symbols and colors that represent each fetus. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 388: Gyn Measurements
FREEZE • On the Control Panel, press the key. B-MODE The system displays the Scan screen. On the Control Panel, press MEASURE The default Gynecology study is displayed on the Top/Sub Menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 389: B-Mode Measurements
To make the second and third distance measurement, repeat steps 2-3 above. After you complete the third distance measurement, the system displays the Ut-Vol (uterine volume) in the Results Window, together with the three dimensions: Ut-L, Ut-H, Ut-W. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 390: Ovary Length, Width, And Height
Results window. The results are: • Right side: Rt Ov-L, Rt Ov-H, Rt Ov-W, Rt Ov Vol • Left side: Lt Ov-L, Lt Ov-H, Lt Ov-W, Lt Ov Vol Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 391: Follicle Measurements Length, Width, And Height
To measure the endometrium thickness, make one distance measurement. Select Endo. An active caliper displays. To position the active caliper at the start point, move the Trackball. To fix the start point, press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 392: M-Mode Measurements
TAMAX, pulsatility index, resistive index, acceleration, PS/ED, ED/PS, and acceleration time. For details regarding these measurements, see "Doppler measurements" on page 309. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 393 • Optimizing the Y-axis ............... 394 • Trace smoothing ..............395 • Switching modes or traces ............397 • To switch mode ................ 397 • To switch trace ................. 397 • Cine compound ................398 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 394 Quantitative Analysis • Anatomical M-Mode ................. 399 • Introduction ................399 • Using Anatomical M-Mode ............399 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 395: Introduction
Multiple Strain (extend of tissue deformation (%)) trace display from selected segments in the myocardium. • Arbitrary Curved anatomical M-Mode Note: Strain and Strain Rate modes are options available on Vivid S6 only. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 396: Accessing The Quantitative Analysis Package
Figure 8-1). In live Press FREEZE Note: if in 2D mode outside a contrast application, press assignable. MORE Press the assignable Q ANALYSIS The Quantitative Analysis screen is displayed (see Figure 8-1). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 397: Quantitative Analysis Window
5. Time at cursor position and velocity at cursor position 2. Tissue cineloop window 6. Trackball Assignments 3. Analysis window 7. Sample area tools 4. Sample Area Figure 8-1: The Quantitative analysis window (here with TVI data) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 398 : removes selected sample area from the Cineloop window and belonging trace in the Analysis window. The trackball marker must be pointed at an anchored sample area. • Cancel: exits the System menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 399 Sample area tools: • : creates a sample area based on freehand drawing. • : creates a sample area with a pre-defined circular/elliptic shape (configurable, see page 392) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 400 (color coded) Strain rate: Displays Strain rate trace (rate of deformation Y axis: s X axis: time (s) Time at cursor position Strain rate at cursor position Strain rate at frame marker position Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 401 Y axis: percent displacement X axis: time (s) ECG with Strain start and Strain end markers Time at cursor position % deformation at cursor position % deformation at frame marker position (color coded) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 402 If present, trace data for physiological traces are also exported. • Unzoom : restores full analysis window display when in zoom mode. • Cancel: exits the System menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 403 The Trackball assignments Pointing tool in Quantitative analysis mode. Scroll/Speed: • When the cineloop is stopped, enables scrolling through the cineloop. • When the cineloop is running, enables control of the cine replay speed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 404: Generation Of A Trace
The Strain cursor In Strain and Strain rate modes, the sample area displays a Strain cursor showing the segment along the beam direction that is used for Strain and Strain rate calculations. Make sure Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 405: Manual Tracking Of The Sample Area (Dynamic Anchored Sample Area)
Using the Trackball, scroll through the cineloop and control that the sample area follows the moving anatomical structure. Add anchored sample areas in several frames to obtain a more accurate displacement of the sample area. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 406: Zooming In The Analysis Window
The selected area is displayed in the Analysis window. To unzoom Press in the trackball area on the control UPDATE MENU panel. The System menu is displayed. Trackball to Unzoom. Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 407: Deletion Of A Trace
Saving/retrieving Quantitative analysis Press to save the quantitative analysis IMAGE STORE session. To recall the Quantitative analysis session, select the icon on the clipboard, and press the assigned key Q ANALYSIS Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 408: Frame Disabling
Re-enabling all frames Trackball the cursor to the Frame marker axis. Press in the trackball area on the control UPDATE MENU panel. The System menu is displayed. Trackball to Enable all frames. Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 409 All previously disabled frames are re-enabled. 1. Analysis window 2. Frame marker axis 3. Enabled frame (green marker) 4. Disabled frame (red marker) 5. ECG 6. Current frame Figure 8-2: Frame disabling Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 410: Optimizing Sample Area
Press OK to return to the Quantitative analysis window and use the settings for the current analysis only. Press Set as default to return to the Quantitative analysis screen and keep the settings as default. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 411: Labelling A Sample Area
A Dialogue window with a free text field is displayed (see Figure 8-4). Type a name for the sample area. Press OK to return to the Quantitative analysis screen. 1. Free text Figure 8-4: The sample area labelling window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 412: Optimizing The Trace Display
Figure 8-5: The Vertical Auto-scaling menu Trackball to the desired option: • Delayed: autoscaling takes place after anchoring the sample area. • On: autoscaling while moving the sample area. • Off: displays full scale. Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 413: Trace Smoothing
If necessary, press until the QA trackball TRACKBALL assignment is selected. Trackball to the Analysis window. Press in the trackball area on the control UPDATE MENU panel. The System menu is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 414 Quantitative Analysis Select Smoothing. The Smoothing menu is displayed. Select a smoothing filter. The trace display is updated. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 415: Switching Modes Or Traces
Trackball to Analysis signal. Press The Analysis signal menu is displayed. Figure 8-7: The Analysis signal menu Trackball to the desired trace. Press The Analysis window is updated with the selected trace. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 416: Cine Compound
The traces are updated showing averaged data. The number of heart cycles averaged is displayed on the top left corner. Press the assigned key CC Zoom to display the last recorded heart cycle. Press CC Zoom again to unzoom. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 417: Anatomical M-Mode
The color-coded display of the corresponding data Rotate HORIZ. and scroll calculated along the path is shown in the Analysis window SWEEP through the (see Figure 8-8). cineloop to optimize the display to the portion of interest. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 418 Quantitative Analysis 1. Cineloop window 3. Path anchor point 2. Analysis window 4. Time scale Figure 8-8: The anatomical M-Mode display (here TVI data) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 419: Optimizing Anatomical M-Mode
To move an anchor point Trackball to anchor point to move. Press Trackball the anchor point to a new position. Press to anchor the point to its new location. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 420 Quantitative Analysis Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 421 • A scanner and EchoPAC PC in a network environment ..441 • A scanner and a DICOM server in a network ......443 • Export/Import patient records/examinations ....... 452 • Exporting patient records/examinations ........452 • Importing patient records/examinations ........460 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 422 • Database import from Vivid 3 or Vivid 4 ........482 • Transfer Procedure ..............482 • Installing the Vivid 3/4 Data Viewer .......... 485 • Using the Vivid 3/4 Data Viewer ..........488 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 423: Introduction
Do not use the internal hard drive for long-term image storage. CAUTION The Vivid S5/Vivid S6 ultrasound unit enables also storing of data and images to external databases (Image Vault, Magneto Optical (MO) disk, CD-R or DVD-R). The patient and image archives are set by the selected dataflow (see page 616 about available dataflows and default dataflow selection).
Page 424: Storing Images And Cineloops
JPEG, AVI (cineloop), MPEG and DICOM (see page 408). 1. Single image stored 2. Cineloop stored Scrolling tool 3. Scrolling tool 4. Serial number of image Figure 9-1: The Clipboard on the scanning screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 425: Storing An Image
R-wave (see "The Global setup sheet" on page 590). Direct storage of a cineloop Depending on whether the system has been configured to enable or disable the Preview Loop before store function Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 426: Saving Images And Cineloops To A Standard Format
Export function as described on page 410. Procedure: In live: press FREEZE In replay: select an image thumbnail on the clipboard. Press on the control panel. UPDATE/MENU The System menu is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 427 DICOM standard. Select between: • Store image only: saves the image or cineloop only. • Store secondary capture: creates a still image of the image area and the Title bar. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 428: Mpegvue/Evue
A high quality setting will give a lower compression. 10. In the Save as type field select one of the following formats: • RawDICOM: saves the still image or cineloop in both GE raw format and DICOM format. • DICOM: saves the still image or cineloop in pure DICOM format.
Page 429 Select the Connectivity category and Dataflow subgroup. The Dataflow sheet is displayed. Select the dataflow Local Archive - Int. HD/eVue in the Name pull-down menu. Make sure that the option Hidden is unchecked. Figure 9-4: The Dataflow Sheet Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 430 A MPEG exam can be read from any computer with Windows 98/2000/XP, provided that DirectX 8.1 or later and Windows Media Player 7.1 or later are installed. Refer to the MPEGvue User Manual for details on reading MPEG exams on a computer. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 431: Retrieving And Editing Archived Information
The Search/Create patient window is displayed (Figure 9-8). Type the patient Last Name, and/or ID. Note: Use "Other ID" if relevant - For further information see "Using other ID" on page 99. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 432 The patient record is highlighted. Press SELECT PATIENT Press [+] in front of the actual patient record and select the desired examination. The Examination List window for the actual patient is displayed (refer to Figure 9-10). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 433 2. Select new archive and other pre-defined 5. Expended Patient record displaying belonging services examinations 3. Extended menu The Search/Create patient window may be slightly different depending on the Dataflow selected Figure 9-8: The Search/Create Patient window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 434 Note: Use "Other ID" if relevant - For further information see "Using other ID" on page 99. Sorting data The search result can be sorted according to the fields displayed in the patient list, in ascending or descending order. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 435 3. The system can be configured to display the Advanced search tool as default (see page 626) The Search/Create patient window may be slightly different depending on the Dataflow selected. Figure 9-9: The extended Search/Create Patient window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 436: Selecting A Patient Record And Editing Data In The Archive
3. Select the column heading border and drag to configurable (see page 626). adjust column width 2. Insert pre-defined text in the Comment field 4. Enter the diagnostic code Figure 9-10: The Examination list window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 437 If an entry in the third column is inserted, the selected text in the second column is also inserted. Press More>> to display the full text for the selected entry. Figure 9-11: The Insert text window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 438 In the Entered Code window, select the code to delete and press Delete. Creating a Diagnosis code In the Examination list window, select Code (see Figure 9-10) The Entered Code window is displayed. Select Add. The Code List window is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 439 CAUTION Press the assignable to go back to the Alternative: Press EXAM LIST any active scanning Examination list window. OR mode key. Press on the control panel to quit the archive. PATIENT Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 440: Deleting Archived Information
Trackball to the actual patient record and double-click the Trackball key (or press once and SELECT PATIENT to select the patient. The Examination list window is displayed. Trackball to the examination to delete. Press the trackball key. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 441 11. Press Delete. A pop-up dialog box is displayed asking for confirmation of the deletion. 12. Trackball to OK and press on the control panel. The image is deleted. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 442: Moving Examinations
Select the examination to move. Press the More soft button in the lower, right-hand corner of the Search/Create Patient window. Press the Move Exam soft button. The Move exam window is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 443 (see Figure 9-16). Make sure that the patient record selected is correct. CAUTION Figure 9-16: Moving examination prompt Trackball to OK and press An information window is displayed to confirm the operation. Press OK. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 444: Review Images In Archive
REVIEW The stored images for the selected examination are displayed in the Review screen (see Figure 9-17). To analyze images: Press on the images to analyze. Press ANALYZE Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 445: Select Images From The Image List Screen
In the Examination list window (see Figure 9-10, page 418), press Image list. The Image list screen is displayed (see Figure 9-20) showing thumbnails of stored images for the actual patient sorted by examination. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 446 • Restore current patient: restores all images in all examinations. Press OK. The Insert media window is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 447 • Cancel: no images are restored. The selected images are displayed for review. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 448 Archiving 1. Examination 2. Examination date and archive location 3. Selected image 4. Preview of selected image 5. Defined groups Figure 9-20: The Image list screen Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 449: Connectivity
A Vivid S5/Vivid S6 and one or several EchoPAC PC workstations in a sneaker net environment (page 435). • A Vivid S5/Vivid S6 and an EchoPAC PC workstations in a direct connect environment (page 437). • A Vivid S5/Vivid S6 and a DICOM server in a network (page 443).
Page 450 Search in the DICOM Modality Worklist, the patient found is copied into the local database. Images are stored to a DICOM server and to the internal hard drive. Figure 9-22: Scanner in a network dataflows (example) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 451 Press to exit the Configuration management CONFIG package. 1. Select Connectivity category 2. Select Dataflow subgroup 3. Select a dataflow 4. Default option for the selected dataflow Figure 9-23: Default dataflow setting Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 452: Stand-Alone Scanner Scenario
Select the LocalArchive-Int.HD dataflow as default dataflow. In this configuration the local database is used for patient archiving. Images are stored to internal hard drive. Image review The same dataflow is used for review on the system. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 453: A Stand-Alone Scanner And A Stand-Alone Echopac Pc Environment
EchoPAC PC environment In this scenario the EchoPAC PC (one or several) is used for review of studies acquired on one or more Vivid S5/Vivid S6 without being connected via a private or a local area network. Images can be stored on the scanner’s internal hard drive (recommended), on a dedicated MOD, or on a CD/DVD.
Page 454 Stand-alone scanner and a stand-alone DICOM workstation In this scenario a DICOM workstation is used for review of studies acquired on one a Vivid S5/Vivid S6 without being connected via a private or a local area network. Figure 9-26: A stand-alone scanner stand-alone DICOM workstation...
Page 455: A Scanner And Echopac Pc In A Direct Connect Environment
Scanner’s connectivity configuration If working in a peer-to-peer connection with a crossover cable between a Vivid S5/Vivid S6 and an EchoPac PC, the default delivery TCP/IP settings should be used. If working in a network, follow the procedure described below to configure the scanner.
Page 456 Figure 9-28: TCP/IP setting In the IP settings area enter: • The IP address for the scanner • The subnet mask for the scanner • The IP address for the Default Gateway Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 457 EchoPAC PC. Patient demographics, measurements and reports are transferred on the fly when entering the information on the Vivid S5/Vivid S6. Review on the EchoPAC PC workstation Select the LocalArchive-Int.HD dataflow on the EchoPAC PC (can be configured as default dataflow).
Page 458 Press Today to dis- play today’s exams RemoteArch-RemoteHD. to ease the search. Make sure that the option Copy images is checked. The examination done offline can now be reviewed on the workstation. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 459: A Scanner And Echopac Pc In A Network Environment
A scanner and EchoPAC PC in a network environment In this scenario the Vivid S5/Vivid S6 is configured to work with an ImageVault 4.0 or an Image Vault 7 patient demographics and image server in a network environment. Images are first saved on the local image buffer on the scanner and transferred to the server when saving the examination.
Page 460 Press Today to dis- play today’s exams RemoteArch-RemoteHD. to ease the search. Make sure that the option Copy images is checked. The examination done offline can now be reviewed on the workstation. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 461: A Scanner And A Dicom Server In A Network
A scanner and a DICOM server in a network In this scenario the Vivid S5/Vivid S6 is configured to work with a DICOM server in a network environment. Images are first saved on the local image buffer on the scanner. At the end of the examination the images are sent to the DICOM server via a DICOM spooler.
Page 462 CONFIG Select the Connectivity category and Dataflow subgroup. The Dataflow sheet is displayed. Select the DICOM dataflow to configure in the Name pull-down menu (see Figure 9-29). Figure 9-29: The Dataflow sheet Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 463 Properties (see Figure 9-30). 1. Select the DICOM device. 2. Press Properties. Figure 9-30: Display of the DICOM device Properties window The Properties window for the selected DICOM device is displayed (Figure 9-31). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 464 (or press Add if creating a new IP address). The Enter name and IP window is displayed. • Enter the name and/or IP address of the server and press OK to return to the Properties window. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 465 • Check Allow multiframe. DICOM SR DICOM Structured Reporting (SR) is a standardized format for medical results. Vivid S5/Vivid S6 and EchoPAC PC support the specialized form for Adult Echo Ultrasound ("Supplement 72") for M&A results. With the DICOM SR support, M&A for an exam can be sent at the end of the exam or when exported from local archive.
Page 466 SCP) or a removable media (DICOM Media) depending on the DICOM dataflow selected. "Supplement 72" does not support all M&A results from Vivid S5/Vivid S6 and EchoPAC PC. "Supplement 72" limits the information that is possible to send to the following: •...
Page 467 Selected devices pane and press Properties. The Properties window for the selected DICOM device is displayed. Press Search criteria. The Search criteria window is displayed. Select a Search criteria from the Select tag pull-down menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 468 Press Add to list. Press OK to close the Search criteria window. 1. The dataflow sheet 2. The Properties window for the Worklist device. 3. The Search criteria window Figure 9-34: Adjusting the Search criteria Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 469 After offline acquisition, the images stored on the DICOM spooler are automatically sent to the DICOM server when connecting the system. Press to display the ALT+S DICOM spooler (see "DICOM spooler" on page 479 for further details). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 470: Export/Import Patient Records/Examinations
Export/Import patient records/examinations Patient records/examinations from the local archive on one system (Vivid S5/Vivid S6 or EchoPAC PC) can be exported to the local archive on another system via a removable media. Patient records/examinations from the local archive can also be exported directly to a remote archive (Echo server, DICOM server or EchoPAC PC depending on the environment).
Page 471 (see page 459). • DICOM Print: prints images to a DICOM printer via DICOM spooler. • MPEGvue: exports examinations to MPEGVue format readable from a regular computer. Ultrasound images Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 472 If not, a dialogue window is displayed prompting the user to insert a media. Insert media and select Retry. Figure 9-37: Insert media window • The system is checking if the destination media is empty Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 473 Note: If Eject is selected, the user is prompted to insert another media. If No is selected, the Export Dialogue window is displayed (Figure 9-35), where the user can select another destination. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 474 (see Figure 9-40). For each conflicting item, select: Keep: to keep the existing examination in the destination archive. Replace: to replace the existing examination with the corresponding item in the source archive. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 475 CD drive. The Eject device menu is displayed. Figure 9-41: The Eject device menu 13. Select the relevant media. The selected removable media is ejected. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 476 Select the dataflow Misc Export in the Name pull-down menu. Figure 9-42: The Dataflow Sheet Configuring an Excel Export Select the Excel storage device in the Selected devices pane and press Properties. The Excel properties window is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 477 Destination pull-down menu. must be entered Check the options as required. once in the Remote Select OK and press Path field before CONFIG they can be selected from the Destina- tion pull-down menu. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 478: Importing Patient Records/Examinations
USB flash drive device. • DICOM CD/DVD: imports DICOM data only from a CD/DVD-R/W. • DICOM Memstick: imports DICOM data only from a USB flash drive device. • Remote Import/Export Archive: imports raw and Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 479 Import patient • Fill out the Exam between field to display the patient window if neces- records done during a specific time period and select the sary. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 480 10. Press OK. A check mark is displayed in the Copied field in the Import patient window for each item imported. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 481 A status message is displayed for each item imported. Make sure that the operation was successful for each item imported. 11. Press Done in the Import patient window to complete the process. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 482: Disk Management
When the images are deleted from the local hard drive by the auto-purge function, the copied images are retrieved. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 483: Configuring The Disk Management Function
Configuration of the Disk management system can only be done by user with administration rights. Press CONFIG If required, log on as administrator. Select the Admin category. In the Admin category, select the sheet Data Management. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 484 This setting should be set based on the activity of your office/institution. If None is selected, no reminder is displayed. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 485 If using removable media, it is recommended to use dedicated media to the Disk management process. Removable media used for data backup must not be used when performing Disk CAUTION management. Do not use the same removable media on several systems. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 486: Running The Disk Management Function
465). Make sure that the correct configuration is set. Figure 9-48: The Disk management welcome screen Press Next. The Storage size information window is displayed (Figure 9-49). Verify the information displayed. If using removable media, the operation may require several Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 487 Insert a removable media into the specified drive. The disk The media does not need to be format- does not need to be formatted. ted. Press Next. The Copying files window is displayed (Figure 9-50). Figure 9-50: The copying files window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 488 When all the files are copied, the media is automatically ejected. Press Next to continue. The Summary window is displayed (Figure 9-51), showing a list of the disks used. Figure 9-51: The summary window Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 489: Data Backup And Restore
GE Medical Systems is not responsible for lost data if the suggested backup procedures are not followed and will not aid in the recovery of lost data.
Page 490 In the Search/Create patient, select the dataflow Local Archive - Int. HD (Figure 9-52). Figure 9-52: Dataflow selection for backup Press CONFIG Select the category Admin. Select the Backup sheet (Figure 9-53). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 491 The following situations may occur: Path field. • The system is checking that the removable media is inserted. If not, a dialogue window is displayed (Figure 9-54) prompting the user to insert a media. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 492 Disk management copy on the media. If the following error message is displayed, the disk is ejected and the user is asked to use a new media that does not contain any backup or Disk management data. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 493 Figure 9-57: Backup progress windows 12. At the end of the process, the media is ejected and the Backup completed window (Figure 9-58) is displayed. Figure 9-58: Backup completed window Select OK. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 494 File the media in a safe place. Restore procedure Press CONFIG Select the category Admin. Select the Restore sheet (Figure 9-60). Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 495 The Restore procedure OVERWRITES the existing data on the local hard drive. Make sure to select the correct device. CAUTION If restore is done from a backup on a removable media, insert the media in the drive. Select Restore now. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 496 10. Select OK to reboot the system. If connectivity configuration settings have been restored, make sure to save the TCP/IP settings: select Config/Connectivity/TCPIP and select Save settings. The system needs to be restarted again. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 497: Dicom Spooler
On the alphanumeric keyboard, press and hold down the key and press The DICOM spooler window is displayed (see Figure 9-63). The DICOM spooler window is automatically updated. Press Refresh to update the information displayed at any time. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 498 Trackball to the job to re-send in the DICOM job spooler Only jobs that failed or are in hold window. can be resent. Note: Several jobs can be selected. Press Trackball to Resend. Press Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 499 Trackball to the job to hold in the DICOM job spooler window. Note: several jobs can be selected. Only inactive jobs can be set on hold. Press SET. Trackball to Hold. Press SET. To undo hold, press Resend. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 500: Database Import From Vivid 3 Or Vivid 4
This is a one-time procedure which will normally be performed by your GE representative, during the system's installation. The database imported from the Vivid 3 /4 into Vivid S5/Vivid S6 should only be imported during the installation, while the Vivid S5/Vivid S6 archive is still empty. Importing the database at...
Page 501 Press ESC to close the window. Press Config, then select Admin. The Admin dialog window is displayed (see Figure 9-65). Figure 9-65: Config menu - Vivid 3/4 DB Import Select the V3\V4 DB Import tab. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 502 12. Repeat steps 3 and 5 above for the Local Archive + Int. HD dataflow. Note: The user is now able to review the imported data on the Vivid S5/Vivid S6 system. The images may be loaded at a later stage in the normal review process, as described in this manual.
Page 503: Installing The Vivid 3/4 Data Viewer
Type dolphin in the password field, then click OK. The files are extracted into a new Patients folder, located under the dedicated path on the hard disk. Proceed to the following procedure - Formatting. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 504 The Start formatting V3/4 Data Viewer window appears (see Figure 9-71). Select a language. Type any password you wish to use into the password field. This later provides privacy protection to your Vivid 3/4 Data Viewer database. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 505 100% and the Stop button is grayed-out (see Figure 9-72). Figure 9-72: Formatting complete Note: Depending on the database size, formatting may take several hours. In case you need to stop the process Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 506: Using The Vivid 3/4 Data Viewer
When prompted for a password, type in the password you defined in step 4 of the previous procedure (see "Formatting" on page 486). The Data Viewer database opens in Excel (see Figure 9-73). Figure 9-73: Vivid 3/4 Data Viewer Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 507 Identify and locate the exam of interest in the Index_patient tab. Click the corresponding Patient Index number to see all of the relevant measurements for that particular exam. Click on same Patient Index to return to the main Index_patient tab. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 508 Archiving Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 509 • Saving the report template ............530 • To exit the Report designer ............530 • Report templates management ........... .. 531 • Configuration of the Template selection menu ......532 • Export/Import of Report templates ........... 533 Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 510: Introduction
Report Introduction The Vivid S5/Vivid S6 system enables the creation of patient and examination reports containing measurements, images and analysis that were made during the examination. The layout of the reports is defined by generic templates delivered with the system. Custom templates can also be made.
Page 511: Creating A Report
The default template for the current examination, or the template last used, is displayed (see Figure 10-1). The information entered during the examination in automatically filled out (e.g. demographic, Diagnosis, Comments etc.) Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 512 Report 1. Assigned keys • Print • Store • Retrieve • Template menu MORE • Insert Text • Save as • Delete • Designer Figure 10-1: The Report screen and assigned keys Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 513 To replace an image in the report, select and drag an image from the clipboard over the image to replace in the report. • To remove an image from the report, select and drag the image to remove outside the report page. Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 514: To Print A Report
Alternative storage Reports can also be saved in a user-defined locations in the following formats: • Compiled HTML (.CHM) files: readable from any web browser. • Portable Document Format (.PDF) files: readable with Vivid S5/Vivid S6 User Manual R2424458-100 Rev. 2...
Page 515: Retrieving An Archived Report
A list of the available reports for the actual examination is displayed. The default name for a report is of type:

GE Vivid S5 User Manual

Chapter 1 Safety

Chapter 2 Getting Started

Chapter 3 Basic Scanning Operations

Chapter 4 Scanning Modes

Chapter 5 Stress Echo

Chapter 6 Contrast Imaging

Chapter 7 Measurement and Analysis

Chapter 8 Quantitative Analysis

Quick Links

Related Manuals for GE Vivid S5

Summary of Contents for GE Vivid S5