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台灣醫療事業保健部門 臨床應用專員 楊欣蓓 Philips iU22 Ultrasound System Advanced System Training
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  • ???????????????? ???

    Philips iU22 Ultrasound SystemAdvanced System Training

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    Agenda

    System overviewImaging modesCaliper / CalculationReview and

    Image managementQ & A

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    System overview

    SystemTransducersPeripherals

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    System overview

    Power ON / OFF

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    System overview

    Transducer Port

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    System overview

    Touch screen

    Touch ScreenRotary Knob Display

    Tabs

    Touch ScreenButtons

    Green

    Green Outline

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    System overviewKeyboard / Control Panel

    Left Center Right

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    Green = Active

    Amber = Available

    Off = Unavailable

    System OverviewControl PanelTri State Lighting

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    System overview

    Control Panel - Left

    Physio

    Report

    Protocol

    Review

    Patient Data

    Transducer

    End Exam

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    System overview

    Control Panel - Center

    2DColorPWZoomCPAM-modeCWCapture

    (max10min)

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    System overview

    Control Panel - Center

    FreezeDepthFocusUpdateCaliperCalcPointerTrackballClick

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    System overview

    Control Panel - Right

    RecordVCRVolumeAnnotate, Erase TextBody MarkerTGCiSCANPrint

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    Start Exam- Power on- Patient data- Transducer / Application

    Monitor Screen

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    Imaging Modes2D

    - Depth- Gain- Compress- TGC- Focus / Focus range- Compress- 2D opt :

    Pen / Gen / Res /HPen / HGen / Hres

    - SonoCT- XRes- DRS- AGC- iSCAN

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    Gain- ????????

    Compress

    Echo levels0 Tissue air

    -20 Tissue bone

    -40 Fat muscle

    -60 PlacentaLiver

    -80 Kidney Parenchyma

    -100 Blood

    -120Electronic noise

    -140

    Mapping functions Gray scale

    Compression

    Dynamicrange

    0 Min Gray Shade123456789101112131415 Max Gray Shade

    {

    {Tissue

    Monitor DisplayLargeboundaryechoes

    Noise { Compression

    - Dynamic range (????)

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    Philips TechnologyBroadband

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    Philips TechnologyBroadband

    Pen Res

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    Philips TechnologySonoCT

    Conventional image SonoCT image

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    Philips TechnologySonoCT

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    Philips TechnologyXRes

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    Philips TechnologyDRS (Dynamic Resolution System) Res-Spd/ Res- Pen

    DRS is a macro control that provides instantaneous one button adjustmentof temporal vs. spatial resolution in 2D, 3D, color and CPA modes. Thefeature is designed to give the user the best combinations of multiplecontrols when they need to choose between fast frame rates or optimalimage quality.

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    Dynamic Resolution System - one control that adjusts nearly 40parameters simultaneously to optimize functions such as: Line density , Persistence, Number of lines of sight (SonoCT)

    Philips TechnologyDRS (Dynamic Resolution System) Res-Spd / Res- Pen

    R1 is optimizedfor maximumimage quality

    RS provides thebest overall choiceof system settings

    S1 is optimized toimprove speed

    R1 is optimized forcolor resolution

    P1 is optimized forcolor sensitivity

    2D Color

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    Philips TechnologyAGC ( Adaptive Gain Compensation )

    AGC works continuously to correct for localized attenuationand enhancement variations not accounted for by Time GainCompensation (TGC). AGC does not control overall gain orcompression. AGC is hardware controlled and there is noeffect to frame rate when activated.While AGC is activated allother controls (TGC, gain, etc.)will respond normally.

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    Philips TechnologyiSCANUses system intelligence to

    automatically adjust:TGC based on tissue

    attenuationReceiver gain based on

    overall tissue brightnessRe-map compression

    curve based on range ofdetectable tissue signalsDoppler gain based on

    Doppler signal strengthDoppler PRF based on

    maximum detectablevelocityDoppler Baseline based on

    forward/reverse flowcomponents

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    Philips TechnologyHow does AGC differ from iSCAN?

    iSCAN is an automated image optimization process usinguser-available controls (gain, TGC, compression). iSCANoptimizes the image each time the Iscan button ispressed. The purpose of iSCAN is global imageoptimization.

    AGC is a signal processing technique that dynamicallyadjusts the gain of every sample in real time. AGC runscontinuously when activated. The purpose of AGC isdynamic correction of localized gain artifacts.

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    Imaging Modes

    Color- Color box position / size- Gain- Scale- Invert- Flow Opt:

    Low / Med / High- Color compare* What are the

    benefits?

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    Imaging ModesPW??????, ??SV ??,? Update,High-Q

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    Imaging ModesCPA ( Color Power Angio )- an amplitude mode color display showing the

    intensity of Doppler shifts. CPA is useful for showingslow or diminished flow due to the fact that it is lessangle dependent than color flow imaging.

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    Imaging ModesCPA and Doppler CPA compare

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    Imaging ModesDirectional CPA

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    Caliper and Calculation

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    3 Distance Vol1 Distance VolDist+ Ellip VolVol DistanceVolume Ellipse

    Volume

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    Volume

    A. 3 Distance Volume1) ?2D ?? Volume Distance 1, Volume Distance 22) ?????90??????Volume Distance 3 , Done ,???Volume?

    * X X X 0.523 = Volume

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    B. I Distance Volume1) ?2D ?? 1 Distance Volume ,???

    volume?* ?????????????

    C. 1 Distance and 1 Ellipse Volume1) ?2D ?? ? Volume Distance2) ?????90?????? Volume Ellipse ,

    ?? ellipse ??(?????),???volume?

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    Caliper and Calculation

    Press the Calcbutton and selectthe desired label

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    Review and Image management

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    Review and Image management

    Review

    Press Review

    Is exam in progress?

    System enters imagereview or patientdirectory

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    Review and Image management

    Patient Directory

    Search

    - Search

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    Review and Image management

    Patient DirectoryLock Study

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    Review and Image ManagementPatient DirectoryExam Status

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    Review and Image ManagementPatient DirectoryNetwork Status

    PrintStatus

    CommitStatus

    ArchiveStatus

    Export toDVD status

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    Review and Image ManagementImage Review

    Display Exam

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    Review and Image ManagementImage Review Screen

    Selectedpatientexams

    Thumbnailregion

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    Review and Image ManagementDelete Image

    DeleteSelected

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    Review and Image ManagementExport MediaJPG/AVI

    To Media asJPG/AVI

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  • Thank you for your attention