Rev.

06

May 2016

MyLabGamma

ADVANCED OPERATIONS

359010100
MyLab - A D V A N C E D O P E R A T I O N S

Introduction

This manual details MyLab operations and describes the available optional packages.

The manual is composed of the following sections:

 Section 1: Image Optimization and Annotations.

 Section 2: Calculations.

 Section 3: Archiving.

 Section 4: Clinical and System Settings.

 Section 5: Cardiology (optional).

 Section 6: Vascular and Adult Cephalic Applications (optional).

 Section 7: General Imaging (optional).

 Section 8: Obstetrical and Gynaecologic Applications (optional).

 Section 9: MyLibrary (optional)

Advanced tools, like 3D/4D, are described in dedicated and optional manuals.

In this manual system controls are indicated using the following graphical
conventions:

 Control panel keys are indicated by BLUE CAPITAL LETTERS.

Multifunction keys (for example LINE UPDATE) are indicated with
the mention of one of the functions only (for example LINE in
this example).

 Touchscreen controls are indicated by BLACK CAPITAL

L E T T E R S.

 Touchscreen exam management controls are indicated by GREY

CAPITAL LETTERS.

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 MyLab - A D V A N C E D O P E R A T I O N S

 Touchscreen navigation tabs are indicated by BRO W N CAPITAL

LETTERS.

 GS Refer to the “Getting Started” manual for more information on touchscreen

organization.

The confirmation key is always indicated throughout the manual as ENTER, the menu
context key as UNDO.

WARNING In this manual WARNING identifies a risk for the patient and/or the operator.

CAUTION The word CAUTION describes the precautions necessary to protect the
equipment.

Be sure to understand and observe each of the cautions and warnings.

The MyLab systems have multiple configurations and feature sets. All are described in
this user manual but not every option may apply to your system.

System features are dependent on your system configuration, transducer, and exam
type. Not all the system features are approved in all Countries.

Keep the manual with the equipment for future reference.

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MyLab - A D V A N C E D O P E R A T I O N S

IMAGE OPTIMIZATION AND

ANNOTATIONS

IMAGE OPTIMIZATION
AND ANNOTATIONS
This section lists all controls offered by MyLab for image optimization and for
entering annotations. The section is organized as follows:

 Chapter 1: B-Mode Optimization

This chapter lists the controls available in B-Mode and explains how to use them
to optimize the image quality.

 Chapter 2: M-Mode and Q-Mode Optimization

This chapter lists the controls available in M-Mode and Q-Mode and explains how
to use them to optimize the image quality.

 Chapter 3: Doppler Optimization

This chapter lists the controls available in PW and CW Doppler and explains how
to use them to optimize image quality.

 Chapter 4: Color Flow Mapping (CFM) and Power Doppler

(PD) Optimization

This chapter lists the controls available in CFM and Power Doppler and explains
how to use them to optimize image quality.

 Chapter 5: Using the Needle Guide in Biopsy Procedures

This chapter explains the correct way to use the needle guides in the biopsy
procedures.
MyLab - A D V A N C E D O P E R A T I O N S

 Chapter 6: Bodymarks

This chapter explains how bodymarks are organized and how to use them.

 Chapter 7: Annotations

This chapter explains how to use the annotation function both by word and by
sentence.
MyLab - A D V A N C E D O P E R A T I O N S

Table of Contents
1 B-Mode Optimization ....................................................................... 1-1
Activation of B-Mode ...........................................................................1-1
Controls in B-Mode...............................................................................1-1

IMAGE OPTIMIZATION
Tips for B-Mode Scanning ....................................................................1-2

AND ANNOTATIONS
B-Mode Format Optimization ..........................................................1-2
B-Mode Display Optimization .........................................................1-4
Gain..............................................................................................1-4
View Controls ..............................................................................1-4
Acoustic Parameters.....................................................................1-7
Physiological Signal .............................................................................1-9
Controls in Freeze ...............................................................................1-10

2 M-Mode and Q-Mode Optimization.................................................2-1

M-Mode.................................................................................................2-1
Activation of M-Mode Format .........................................................2-1
Controls Keys in M-Mode ................................................................2-1
Tips for M-Mode Scanning ..............................................................2-2
M-Mode Format Optimization.....................................................2-2
M-Mode Display Optimization....................................................2-3
Controls in Freeze.............................................................................2-6
Q-Mode .................................................................................................2-6
Activation of Q-Mode Format ..........................................................2-6
Controls Keys in Q-Mode.................................................................2-7
Tips for Q-Mode Scanning ...............................................................2-7
Format Optimization ....................................................................2-7
Q-Mode Optimization ..................................................................2-7
Acoustic Parameters.....................................................................2-8
Controls in Freeze.............................................................................2-9
Compass M-Mode .................................................................................2-9
Activation of Compass M-Mode ......................................................2-9
Tips for Compass M-Mode Scanning.............................................2-10
Controls in Freeze...........................................................................2-10

3 Doppler Optimization .......................................................................3-1

Activation of Doppler Format ...............................................................3-1
Controls in Doppler ...............................................................................3-1
Tips for Doppler Scanning ....................................................................3-2
Doppler Format Optimization...........................................................3-2
Doppler Optimization .......................................................................3-4
Gain and Wall Filters ...................................................................3-4
Display Commands ......................................................................3-4
Acoustic Parameters.....................................................................3-5

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Special Controls in PW.....................................................................3-6

Controls in Freeze .................................................................................3-6

4 Color Flow Mapping (CFM) and Power Doppler (PWR D)

Optimization..........................................................................................4-1
Activation of CFM Format....................................................................4-1
Controls in CFM and Power Doppler....................................................4-2
Tips for CFM Scanning ........................................................................4-2
Optimization of the CFM Format .....................................................4-2
Display Optimization........................................................................4-3
Gain..............................................................................................4-4
View Commands..........................................................................4-4
Acoustic Parameters.....................................................................4-5
Controls in Freeze .................................................................................4-6

5 Using the Needle Guide in Biopsy Procedures ................................5-1

General Information on Biopsy and on how to Activate the Procedure5-1
Biopsy Procedure with the TRT33 Transrectal Probe......................5-2
Needle Length...................................................................................5-2
Checking the Guide Working................................................................5-3
Using the Needle Guide.........................................................................5-4
Needle Enhanced Imaging.....................................................................5-5
After the Examination ...........................................................................5-6

6 Bodymarks.........................................................................................6-1
Bodymarks.............................................................................................6-1
Bodymark Activation ............................................................................6-1

7 Annotations........................................................................................7-1
Free Text................................................................................................7-1
Annotation Activation ...........................................................................7-2
Glossary by Word .............................................................................7-3
Glossary by Sentence........................................................................7-3
Text Modification and Reposition.........................................................7-4
Annotations on Saved Images and Clips ...............................................7-4

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Chapter

1 - B-Mode Optimization

IMAGING OPTIMIZATION
AND ANNOTATION
This chapter lists the software buttons available in B-Mode and explains how to
best use them to optimize image quality.

Activation of B-Mode
The system automatically starts in B-Mode each time a new exam is activated. The
2D format can be re-displayed from any other mode using the B key.

Note
When more modes are active, the navigation tab B-M O DE allows
the operator to scroll through the B-Mode controls menu.

Controls in B-Mode
There are different menu levels in real time B-Mode: the A D V > > / B A S I C < <
buttons respectively switch to the next or the previous menu level. Upon
activation, the following controls are available:

Refer to next chapters for

further details on controls
shown in italics. ANGLE AUTOADJUST OFF B-STEER

COLORIZE DENSITY DEPTH

DYN COMPR DYN RANGE ENHANC

FINE ADJ FOCUSES # FOCUS POS

FUNDAMENT GRAY MAP # MVIEW

ORIENTATION PERSIST PHYSIO

POWER REVERSE SIZE

SVIEW SV SIZE TEI

TGC-ABS TPVIEW XVIEW

ZOOM BIOPSY HD ZOOM

TVM CLIP SETTINGS NEEDLE

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LVO PWR D

Keys in italics are displayed in B-Mode when the line cursor is active; for
information on how to use them, please refer to next chapters relating to Doppler
controls.

TVM activates Tissue Velocity Mapping to display heart walls motion. This
modality is available with specific probes when Cardiac application has been
selected.

PWR D activates Power Doppler (refer to chapter 4 in this section for further
information).

BIOPSY and N E E D L E keys are displayed if the active probe can be equipped with
a needle guide. Refer to the specific chapter in this section for detailed information
on a correct use of the needle guides in biopsy procedures.

When C L I P SETTINGS is pressed, the system displays the following toggle sub-
menu:

CLIP SEC

CLIP CYCLE

CLIP SEC allows to change the clip duration in real time. When the duration of
the clip is set to unlimited, its acquisition ends when the CLIP key is pressed.

When ECG is ON, C L I P CYCLE allows to change the clip trigger method to
seconds instead of cycles.

Tips for B-Mode Scanning

B-Mode Format Optimization

Buttons
Buttons O R I E N T A T I O N changes right/left or left/right orientation
depending on the application.

REVERSE changes the sector orientation (high/low).

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TPVIEW activates the trapezoidal view, enlarging the probe’s field of view.

Note
TPView is available only if the selected probe manages the
trapezoidal view.

IMAGING OPTIMIZATION
AND ANNOTATION
When TPView is selected with the Phased Array probe, the
Continuous Wave Doppler (CW key) is disabled. Deselect the
TPView mode to activate the CW analysis.

WARNING The probe’s field of view is enlarged by steering the ultrasound beam. The
steering might cause some artifacts.

Toggles

DEPTH

ZOOM

DEPTH increases or decreases the scanning depth.

ZOOM enlarges the 2D area; the enlargement factor can be modified.

To Enlarge the 2D  If necessary, press the button to activate the Z O O M control:

Area the image will be contoured by a yellow frame.

 Act on the toggle to change the zoom factor.

 Use the trackball to pan the image.

 Press the ZOOM button to activate the full 2D format.

H D Z O O M , available only in real time, offers a superior definition of the image to

be enlarged. To work with the zoom in high definition, press first the H D ZOOM
control and then activate the zoom.

SIZE

B-STEER

SIZE changes the angle. Reduce it as much as possible to maximize frame rate
(particularly when performing cardiac examinations); the smaller the angle, the

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greater the number of images per second, providing a better view of rapidly
moving structures, such as valves.

B-STEER (active with Linear Array probe) steers the sector.

B-Mode Display Optimization

First of all, the gain must be properly adjusted to clearly display the structures being
examined; fine optimizations can then be performed interacting with the display
commands or with the acoustic parameters of the probe.

Gain
Control panel keys The knob around the right AUTOADJUST key adjusts the gain within the entire
sector: turn the clockwise/counterclockwise to increase/decrease the gain.

TGC potentiometers adjust individual areas of the sector: move the cursors to the
right to increase and to the left to decrease the gain.
The right AUTOADJUST key automatically optimizes the image and adjusts both
the general gain and the TGC re-distribution. The activation is indicated on the
screen by the corresponding icon and is labeled as “AG”.

Pressing A U T O A D J U S T S E T T I N G S then L E V E L ADJ allows to change the

optimization analysis type.

AUTOADJUST OFF deactivates the automatic adjustment.

Buttons The T G C A B S button switches from absolute to relative TGC management. In

absolute mode (T G C A B S pressed) all potentiometers affect the maximum probe
scanning depth. In relative mode (T G C A B S not pressed) all potentiometers affect
the scanning depth under analysis. Whenever the scanning depth is changed, the
TGC function is redistributed.

View Controls
These commands are mainly “subjective” and patient-dependent.

Toggles

DYN RANGE

DYN COMPR

DYN RANGE allows characterization of tissue structures, reacting to the

compression of reflected echoes. Different levels can be selected: higher values
smooth the image.

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DYN COMPR changes the dynamic compression improving image contrast.

ENHANC sharpens edges and small differences in tissues.

DENSITY (available with linear and convex probes) optimizes image quality.

IMAGING OPTIMIZATION
AND ANNOTATION
PERSIST changes the persistence level applied to the real time view: higher
persistence levels increase the perception of the image, but decrease the
discrimination of moving structures.

COLORIZE selects a chrominance scale.

This button activates the menu to set XView algorithm

Buttons with sub-menu
(X V I E W button) and, when licenced, to select the desired
CrystaLine Imaging process (X V I E W + button).

When this button is pressed, the system displays the following controls on the right
side of the Image Parameters Area of the touchscreen:

XVIEW+

XVIEW

XVIEW OFF

BACK ARROW

BACK ARROW button restores the B-Mode controls menu, while saving the
modifications.

XVIEW OFF disables the active XView.

CrystaLine Imaging X V I E W + button allows the user to select which CrystaLine Imaging process apply
Process to the image. MyLab offers different CrystaLine Imaging processes that improve
the image in real time.

X-BALANCE defines how the CrystaLine Imaging process affects the image.

XView algorithm XVIEW button allows to set the XView algorithm. The XView algorithm
improves the image of tissue edges in real time, thus enhancing diagnostic accuracy
by eliminating noise and movement artefacts.

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When X V I E W is pressed, the system displays the following toggle sub-menu:

C1 C2

C3 IED

X BAL X ENHAN

X DETAIL X SMOOTH

C# selects the XView algorithm. The menu allows the user to save three different
customized settings.

IED (available only with specific probes in specific applications) increases the
image definition.

X BAL defines how the XView algorithm affects the image.

X SMOOTH flattens the noise affecting the image.

X DETAIL enhances details of contours, curves, edges and structures in the image.

X ENHAN enhances the effects of the other settings.

SVIEW makes the image more homogenous.

The G R A Y M # button offers different gray scales, ranging from minimum to

maximum contrast. The system displays the following controls:

GRAY M #

CENTER

REJECT

SATURATION

SLOPE

PEAK

GRAY M # selects the desired post-processing curve: the number corresponds to

the active curve.
CENTER moves the center of the curve to the left or to the right.

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REJECT modifies the rejection.

SATURATION modifies saturation.
SLOPE changes the curve slope.

IMAGING OPTIMIZATION
PEAK increases or decreases the curve peak.

AND ANNOTATION
BACK ARROW button restores the B-Mode controls menu, while saving the
modifications.

Toggles with sub-menu This button (available with Linear and Convex Array probes)
activates the MView mode: the B-Mode image will be the result
of different bidimensional images acquired with different
steering angles. The MView mode enhances contrast resolution
with a better tissue differentiation and a clear visualization of organ borders ann
structures margins.

M V I E W O F F /#

COMBINE

MVIEW # selects the value; different MView values correspond both to different
view lines and steering angles.
COMBINE selects the kind of mixing to compose the final image.
BACK ARROW button restores the B-Mode control menu while saving the
modifications.

WARNING MView may generate artifacts on the sector sides, particularly when
scanning cavities. Place the area under exam in the middle of the scanning
area.

Acoustic Parameters
Buttons with sub-menu The P O W E R button activates the following sub-menu:

FACTORY

HALF

MAX

POWER%

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FACTORY button resets the transmitted power at the default value.

HALF button sets the transmitted power at 50% of the maximum value.

MAX button sets the transmitted power at maximum.

POWER% toggle changes the transmitted power by steps of 10%.

Use the minimum power compatible with a diagnostic level of the images.
If there is insufficient sensitivity, make sure the gain, focal point and probe
frequency have been correctly set before increasing the power.

BACK ARROW button restores the B-Mode controls menu.

Toggles

FOCUS POS

FOCUSES #

FOCUSES # changes the number of active focuses in transmission, increasing

resolution over a larger area. The frame rate decreases if more than one focal point
is active.

Note
Several transmitting focuses can be activated; in this case, the
relative distance between focuses is pre-established.

FOCUS POS changes the position of the transmitting focus/es to increase the
resolution and sensitivity of a specific area of the 2D.

FUNDAMENT

TEI

FUNDAMENT affects the imaging frequency (P E N for optimal penetration, R E S

for optimal resolution, G E N for the best balance between resolution and
penetration).

TEI improves the brightness of the image by decreasing the acoustic noise (P E N
for penetration, R E S for optimal resolution, G E N for the best balance between
resolution and penetration). Because of the non-linear response of tissues to
ultrasound energy, TEI may require higher acoustic emissions compared

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with conventional imaging; the use of this mode is recommended

especially for patients with difficult acoustic windows.

Note
Acoustic parameters and gain interact with each other; it may be

IMAGING OPTIMIZATION
AND ANNOTATION
necessary to review the adjustment of gain when an acoustic
parameter changes.

 SS Refer to the “Safety and Standards” manual for further information.

Physiological Signal
When the ECG is available, the P H Y S I O button allows to display the ECG trace
and/or the EDR trace.

EDR is a special algorithm retrieving information about patient breathing from

ECG detecting minor electrodes movements during inspiration/expiration
phases.

Note
EDR trace requires a specific license.

The EDR trace is not displayed on archived clips.

ECG and EDR related buttons are managed in two different tabs PHYSIO and
PHYSIO EDR allowing to activate the traces, to change the trace position and to
adjust its gain and amplitude..

ECG ON/OFF

EDR ON/OFF

GAIN

HEIGHT

POSITION

Breathing trace and ECG trace can be displayed at the same time.

Procedure  Press P H Y S I O button to display the menu.

 Access the PHYSIO tab; the E C G button enables or disables

the ECG trace display on the screen.

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 Access the PHYSIO EDR tab; the E D R button enables or

disables the breathing trace display on the screen.

 Use the H E I G H T toggle to change the height of the area to

display the ECG trace.

 Modify the amplitude of the signal using the G A I N toggle.

 If necessary, P O S I T I O N moves the trace on the screen.

 Press B A C K ARROW to return to the real time menu.

WARNING Do not use the physiological trace displayed on the screen for diagnosis or
monitoring.

Note
The breathing trace is not available with ElaXto, Stress-echo,
CMM, QIMT, QAS and 3D/4D.

Controls in Freeze
The following controls are available in B-Mode Freeze:

GRAY M# REVERSE ORIENTATION

PLAY/STOP FIRST FRAME LAST FRAME

FRAME SPEED ZOOM

ANGLE FINE ADJ COLORIZE

CLIP SETTINGS

Keys in italics are displayed in Freeze if the line cursor is active.

Buttons PLAY shows the sequence of stored images in cine mode.

STOP stops the cine presentation of the clip.

FIRST FRAME and L A S T F R A M E automatically set the current position at the

begin or at the end of the sequence.

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Toggle knobs SPEED changes the velocity for reviewing the sequence.

FRAME scrolls the sequence frame by frame.

Refer to the previous paragraph for the description of all other controls.

IMAGING OPTIMIZATION
AND ANNOTATION

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

2 - M-Mode and Q-Mode

IMAGING OPTIMIZATION
Optimization

AND ANNOTATION
This chapter lists the controls available in M-Mode and Q-Mode (Color M-Mode)
and explains how to best use them to optimize image quality.

M-Mode
Activation of M-Mode Format

 If needed, press LINE UPDATE to view the M-Mode cursor.

 Place the cursor with the trackball on the corresponding B-

Mode line.

 Press M to activate M-Mode analysis.

 Press M to return to 2D.

During the exam the LINE UPDATE key freezes the trace acquisition and the
reference 2D image is temporarily re-activated.

Note
When more modes are active, the navigation tab M -M O DE allows
the operator to scroll the M-Mode controls menu.

Controls Keys in M-Mode

There are more menu levels in M-Mode format in real time: the A D V > > /
B A S I C < < button scrolls the menu levels. Upon activation, the following controls
are available:

Refer to previous chapter for

information on P H Y S I O
and C L I P S E T T I N G S B-REF CMM COLORIZE
buttons.
DEPTH DYN COMPR DYN RANGE

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FORMAT FUNDAMENT GRAY MAP #

PHYSIO PLEX POWER

REVERSE SWEEP TEI

ZOOM CLIP SETTINGS

Tips for M-Mode Scanning

M-Mode Format Optimization

Buttons B-REF enables/disables the reference 2D.

PLEX activates and updates the reference 2D, while keeping the trace in real time.

REVERSE changes the sector orientation (high/low).

CMM activates the Compass M-Mode: refer further in this chapter for more
details.

Toggles

DEPTH

ZOOM

DEPTH increases or decreases the scanning depth.

ZOOM enlarges the 2D area; the enlargement factor can be modified.

To Enlarge 2D Area  If necessary, press the button to activate the Z O O M control:

the image area is contoured by a yellow frame.

 Act on the toggle to change the zoom factor.

 Use the trackball to pan the image.

 Press the ZOOM button to deactivate it.

SWEEP changes the scanning speed.

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Buttons with toggle sub- FORMAT allows to change the real time display format. Once pressed, the format
menu sub-menu shows:

B-REF SMALL

IMAGING OPTIMIZATION
B-REF MEDIUM

AND ANNOTATION
B-REF LARGE

DUAL

B-REF SMALL splits the screen horizontally, with a small 2D reference on the
upper part.

B-REF M E D I U M splits the screen horizontally, with a medium sized 2D

reference on the upper part.

B-REF LARGE splits the screen horizontally, with a large 2D reference on the
upper part.

DUAL splits the screen vertically, with the 2D reference on the left and the trace
on the right.

BACK ARROW restores the M-Mode controls menu, while saving the
modifications.

M-Mode Display Optimization

To obtain a good M-Mode trace, it is important to optimize the 2D image from
which the trace will then be sampled. Normally, further interactions are not
necessary.

Gain
Control panel keys The knob around the right AUTOADJUST key adjusts the gain: turn the knob
clockwise/counter-clockwise to increase/decrease the gain.

TGC potentiometers adjust individual areas of the sector: move the cursors to the
right to increase and to the left to decrease the gain.

View Controls
These commands are mainly “subjective” and patient-dependent.

Toggles

DYN RANGE

DYN COMPR

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DYN RANGE allows tissue structures to be characterized, reacting to the

compression of reflected echoes: the higher the selected value, the smoother the
image.

DYN COMPR changes the dynamic compression improving image contrast.

COLORIZE selects a chrominance scale.

Buttons with toggle sub- GREY MAP offers different gray scales, ranging from a minimum to a maximum
menu contrast. The system displays the following controls:

GRAY MAP #

CENTER

REJECT

SATURATION

SLOPE

PEAK

GRAY M# selects the desired post-processing curve: the number corresponds to

the active curve.

CENTER moves the center of the curve to the left or to the right.

REJECT modifies the rejection.

SATURATION modifies the saturation.

SLOPE changes the curve slope.

PEAK increases or decreases the curve peak.

BACK ARROW restores the B-Mode controls menu saving the modifications.

Acoustic Parameter
Buttons with sub-menu P O W E R activates the following sub-menu:

FACTORY

HALF

MAX

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POWER%

FACTORY resets the transmitted power to the default value.

HALF sets the transmitted power at 50%.

IMAGING OPTIMIZATION
AND ANNOTATION
MAX resets the transmitted power at maximum.

POWER% changes the transmitted power by steps of 10%.

Use the minimum power compatible with a diagnostic level of the images.
If there is insufficient sensitivity, make sure the gain, focal point and probe
frequency have been set correctly before increasing the power.

BACK ARROW restores the M-Mode controls menu.

Toggles

FUNDAMENT

TEI

FUNDAMENT affects the imaging frequency (P E N for optimal penetration, R E S

for optimal resolution, G E N for the best balance between resolution and
penetration).

T E I improves the brightness of the image by decreasing acoustic noise (P E N for

optimal penetration, R E S for optimal resolution, G E N for the best balance
between resolution and penetration). Because of the non-linear response of tissues
to ultrasound energy, TEI may require higher acoustic emissions compared
with conventional imaging; the use of this mode is recommended
especially for patients with difficult acoustic windows.

Note
Acoustic parameters and gain interact with each other; it may be
necessary to review the adjustment of gain when an acoustic
parameter changes.

 SS Refer to the “Safety and Standards” manual for further information.

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Controls in Freeze

The following controls are available in M-Mode Freeze:

GRAY MAP # PLAY/STOP FIRST FRAME

LAST FRAME SWEEP ZOOM

FORMAT COLORIZE CLIP SETTINGS

PLAY shows the trace in cine mode. When the trace is displayed in cine mode, the
ACQUIRE key allows to save the corresponding clip.

STOP stops the cine presentation of the clip.

FIRST FRAME and L A S T F R A M E automatically set the current position at the

begin or at the end of the sequence.

Refer to the previous paragraph for the description of the other controls.

Q-Mode
Activation of Q-Mode Format

 If needed, in CFM or in Power Doppler, press LINE UPDATE

to view the M-Mode cursor.

 Place the cursor with the trackball on the desired position.

 Press M to activate Q-Mode analysis.

 Press M to return to 2D.

During the exam the LINE UPDATE key freezes the trace acquisition and the
reference 2D image is temporarily re-activated.

Note
When more modes are active, the navigation tab M -M O DE allows
the operator to scroll the M-Mode controls menu.

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Controls Keys in Q-Mode

There are more menu levels in Q-Mode format in real time: the A D V / B A S I C
button scrolls the menu levels. Upon activation, the following controls are
available:

IMAGING OPTIMIZATION
AND ANNOTATION
COL MAP POWER REVERSE

PWR D XFLOW SCALE

FREQUENCY BASELINE ZOOM

PHYSIO PERSIST FILTER

Tips for Q-Mode Scanning

Format Optimization
Buttons REVERSE reverses the conventional association between color and flow
direction.

Toggle BASELINE toggle moves the baseline up or down.

To Enlarge 2D Area  If necessary, press the button to activate the Z O O M control:

the image area is contoured by a yellow frame.

 Act on the toggle to change the zoom factor.

 Use the trackball to pan the image.

 Press the ZOOM button to deactivate it.

Q-Mode Optimization
Gain
CFM GAIN (knob around the left AUTOADJUST key) amplifies/reduces the color
gain: turn the knob to obtain the most useful signal level.

View Commands
Buttons with sub-menu

COL MAP

VEL VIS THRES

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WR PRIOR

TRANSP

COL MAP allows the selection of a different CFM map: the available options
include different color maps and two Velocity/Variance maps.

VEL VIS THRES selects the threshold above which the velocity is displayed. This
command is available only with specific color maps.

WR PRIOR (Write Priority) assigns priority to the color codification and B/W
scale.

TRANSP enables or disables transparency between color and B/W. This

command is available only with specific color maps.

BACK ARROW restores the CFM controls menu saving the modification.

XFLOW activates/deactivates a set of more sensible and less saturated color

maps.

SCALE changes the velocity R A N G E .

PERSIST varies the persistence level (higher level increases the image perception
and decreases the discrimination of moving structures).

FILTER reduces the artifacts caused by acoustic decoupling or moving structures.

Acoustic Parameters
FREQUENCY changes the CFM frequency: higher frequencies help to show low
speeds.

 SS Refer to the “Safety and Standards” manual for further information.

Refer to the previous paragraph for the description of the other controls.

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Controls in Freeze

The following controls are available in Q-Mode Freeze:

IMAGING OPTIMIZATION
HIDE CFM REVERSE ORIENTATION

AND ANNOTATION
PLAY/STOP FIRST FRAME LAST FRAME

FRAME BASELINE ZOOM

COL MAP

HIDE CFM enables/disables the CFM presentation displaying only the 2D image.

ORIENTATION changes right/left or left/right orientation depending on the

application.

PLAY shows the trace in cine mode. When the trace is displayed in cine mode, the
ACQUIRE key allows to save the corresponding clip.

STOP stops the cine presentation of the clip.

FIRST FRAME and L A S T F R A M E automatically set the current position at the

begin or at the end of the sequence.

FRAME scrolls the sequence frame by frame.

Refer to the previous paragraph for the description of the other controls.

Compass M-Mode
Compass M-Mode (CMM) generates a special M-Mode display allowing the free
positioning of the cursor line.

Note
Compass M-Mode requires a specific license.

This modality is available in every application with every probes.

Activation of Compass M-Mode

Procedure  If necessary, press LINE UPDATE to view the M-Mode cursor.

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 By using the trackball, place the cursor on the corresponding

B-Mode line.

 Press M to activate M-Mode analysis.

 Press the C M M key to activate Compass M-Mode. The

trackball allows to move the scanning line within the sector.

Tips for Compass M-Mode Scanning

Button with toggle sub- Upon mode activation, C M M S E T T I N G S button is displayed. Once pressed, the
menu sub-menu shows the following controls:

FREE

ANGLE

LINES

DENSITY

LINES changes the number of active scanning lines: the corresponding traces are
displayed in real time on the screen. MyLab allows to display up to three different
lines and traces. The scanning lines are displayed with different colors and the
ACTION key switches among the lines.

DENSITY optimizes image quality.

ANGLE allows to freely orient the active scanning line within the sector. The
corresponding trace is displayed in real time.

F R E E , when pressed, allows to independently move each line on the screen. When
this button is not pressed, the lines are locked together in their middle position,
indicated by the circle. In this case the trackball acts on all locked lines.

Controls in Freeze

The following controls are available in Compass M-Mode Freeze:

GRAY MAP # PLAY/STOP FIRST FRAME

LAST FRAME SWEEP FORMAT

COLORIZE CLIP SETTINGS

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PLAY shows the trace in cine mode. When the trace is displayed in cine mode, the
ACQUIRE key allows to save the corresponding clip.

STOP stops the cine presentation of the clip.

IMAGING OPTIMIZATION
FIRST FRAME and L A S T F R A M E automatically set the current position at the

AND ANNOTATION
begin or at the end of the sequence.

The scrolling memories for B-Mode image and M-Mode trace can be moved
independently to select the best image to be saved. Rotate the trackball horizontally
to scroll through the images one by one. Press the ACTION key to switch between
the B-Mode and M-Mode memories.

Refer to the previous paragraph for the description of the other controls.

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MyLab - A D V A N C E D O P E R A T I O N S

2 - 12
 3
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

3 - Doppler Optimization

IMAGING OPTIMIZATION
AND ANNOTATION
This chapter lists the controls available in PW (Pulsed Wave) and CW (Continuous
Wave) Doppler and explains how to use them to optimize image quality.

Activation of Doppler Format

 If necessary, press LINE UPDATE to display the Doppler/M-
Mode cursor.

 Position the line (CW) or the Sample Volume (PW) on the

applicable area.

 Press PW to activate the Doppler PW or CW for the CW.

 Press B to return to the full screen 2D.

LINE UPDATE key freezes the trace acquisition during the exam: the reference 2D
is temporarily re-activated.

Note
When more modes are active, the navigation tabs PW and CW
allows the operator to scroll among the specific Doppler controls
menu.

Controls in Doppler
There are different menu levels in Doppler format in real time: the A D V > > /
B A S I C < < buttons scroll the menu levels. Upon activation, the following controls
are available:

Refer to previous chapter for

information on P H Y S I O
and C L I P S E T T I N G S ADM ANGLE AUDIO
buttons.
BASELINE B-REF COLORIZE

DYN RANGE D-STEER FFT RES

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FILTER FINE ADJ FORMAT

FREQUENCY GRAY MAP # PHYSIO

PLEX POWER REVERSE TRACE

SCALE SMART DOPPLER SV SIZE

SWEEP TV HPRF

FREQUENCY
AUDIO MUTE CLIP SETTINGS
SHIFT

TV button activates Tissue Velocity mode for heart walls motion display. Tissue
Velocity mode is available with specific probes.

ADM activates Automatic Doppler Measurements: refer to “Calculations” section

in this manual for further details on this feature.

Tips for Doppler Scanning

Doppler Format Optimization

Buttons B-REF button enables/disables the reference 2D.

PLEX button updates or freezes the referenced 2D image, maintaining the trace in
real time.

REVERSE TRACE button reverses the velocity scale without affecting the
baseline to display receding flows above the baseline.

SMART DOPPLER button is active only with Linear Array probe. When pressed
it acts:

 by inverting the Doppler steering with reference to the

vertical line,

 by inverting the Doppler scale,

 by inverting the color scale when triplex is enabled,

 by keeping constant the inclination of the angle correction

factor.

SCALE button changes the velocity scale.

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FREQUENCY SHIFT changes the trace unit measure in kHz.

Note
All factory calculation packages are based on velocity measured in
cm/s. When velocity is measured in kHz, no derived parameter is

IMAGING OPTIMIZATION
AND ANNOTATION
automatically calculated. Custom measurements and formula have
to be added to calculate derived parameters from velocity in kHz.

Toggles

ANGLE

FINE ADJ

ANGLE and F I N E A D J toggles align the angle vector with the flow direction. The
first toggle changes the angle with step of 60° while the second with step of 1°.

BASELINE toggle moves the baseline up or down.

D-STEER toggle (displayed when the probe allows the cursor orientation) allows
to orient the Doppler line.

SWEEP can be used to change the scanning speed: the time scale of the trace
changes accordingly.

Button with toggle sub- FORMAT button allows to change the real time display format. Once pressed, the
menu format sub-menu displays:

B-REF SMALL

B-REF MEDIUM

B-REF LARGE

DUAL

B - R E F S M A L L button sets the horizontally split screen with the above 2D

reference of small dimension.

B-REF MEDIUM button sets the horizontally split screen with the above 2D
reference of medium dimension.

B - R E F L A R G E button sets the horizontally split screen with the above 2D

reference of large dimension.

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DUAL button sets the screen split vertically with 2D on the left and trace on the
right.

BACK ARROW button restores the Doppler controls menu saving the
modification.

Doppler Optimization

The gain must first be optimized using the relative knob until a clear envelope of
the spectral analysis is obtained; the wall filters must be set in order to eliminate
wrong low-speed signals caused by moving structures. Interaction with other
commands or the acoustic parameters further improves the spectrum quality.

Gain and Wall Filters

DOPPLER GAIN knob, placed around the left AUTOADJUST key, affects the
Doppler video component.

The left AUTOADJUST key automatically optimizes the Doppler by adjusting

general gain, baseline and velocity range.

Toggle AUDIO toggle changes the Doppler audio component.

AUDIO MUTE toggle sets the Doppler audio to mute.

FILTER toggle increases/decreases the wall filter values thus reducing/increasing

the noise level. Use low filter to display low flow velocity.

Display Commands
Toggles COLORIZE toggle replaces the gray map using one of the chromatic scales to
improve contrast.

DYN RANGE toggle affects the compression of the reflected echoes, increasing
or decreasing spectrum filling.

SV SIZE toggle (available in PW Doppler) allows the sizes of the sample volume
to be changed.

FFT RES toggle affects the trace reconstruction: the higher the value, the more
precise and accurate the reconstruction.

WARNING The Doppler analysis of some pathologies could require low F F T R E S

values. Set the F F T R E S on the highest value compatible with the
diagnostic level of the image.

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Button with toggle sub- GRAY MAP # button allows the post-processing map to be changed. The system
menu displays the following controls:

GRAY M

IMAGING OPTIMIZATION
CENTER

AND ANNOTATION
REJECT

SATURATION

SLOPE

PEAK

GRAY M toggle selects the desired post-processing curve: the number

corresponds to the active curve.

CENTER toggle moves the center of the curve to the left or to the right.

REJECT toggle modifies the rejection.

SATURATION toggle modifies the saturation.

SLOPE toggle changes the curve slope.

PEAK toggle increases or decreases the curve peak.

BACK ARROW button restores the Doppler controls menu saving the
modifications.

Acoustic Parameters
Button with sub-menu POWER button activates the following sub-menu:

FACTORY

HALF

MAX

POWER%

FACTORY button resets the transmitted power to the default value.

HALF button sets the transmitted power to 50% value.

MAX button resets the transmitted power to maximum.

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POWER% toggle changes the transmitted power by step of 10%.

Use the minimum power compatible with a diagnostic level of the images.
If there is insufficient sensitivity, make sure the gain, focal point and probe
frequency have been set correctly before increasing the power.

BACK ARROW button restores the Doppler controls menu.

Toggle FREQUENCY toggle allows the Doppler frequency to be changed: lower

frequency increases penetration and, based on Doppler formula, increases the
maximum measurable speed.

 SS Refer to the “Safety and Standards” manual for further information.

Special Controls in PW

HPRF key activates the Doppler HPRF (High Pulse Repetition Frequency),
allowing to increase the available maximum PRF value to measure higher velocities
by using more sample volumes.

When the HPRF control is activated, by increasing the PRF (S C A L E control) the
user displays more sample volumes on the screen. These volumes have to be
positioned so that the resulting Doppler trace is not corrupted.

Note

Position the sample volumes so that only one of them finds

itself in correspondence of the flow under exam and the other
ones on the fixed structures so that the Doppler signal is not
ambiguous.

Controls in Freeze
The following controls are available in PW/CW in Freeze:

GRAY MAP # REVERSE TRACE ADM

FREQUENCY
PLAY/STOP FIRST FRAME
SHIFT

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LAST FRAME BASELINE ANGLE

FINE ADJ ZOOM FORMAT

SWEEP COLORIZE CLIP SETTINGS

IMAGING OPTIMIZATION
PLAY shows the trace in cine mode. When the trace is displayed in cine mode, the

AND ANNOTATION
ACQUIRE key allows to save the corresponding clip.

STOP stops the cine presentation of the clip.

FIRST FRAME and L A S T F R A M E automatically set the current position at the

begin or at the end of the sequence.

The scrolling memories for B-Mode image and PW or CW trace can be moved
independently to select the best image to be saved. Rotate the trackball horizontally
to scroll through the images one by one. Press the ACTION key to switch between
the B-Mode and PW or CW memories.

Refer to the previous paragraph for the description of the other controls.

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3-8
 4
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

4 - Color Flow Mapping

IMAGING OPTIMIZATION
(CFM) and Power

AND ANNOTATION
Doppler (PWR D)
Optimization
This chapter lists the controls available in CFM and Power Doppler and explains
how they are used to optimize the image.

Activation of CFM Format

 Press CFM or P W R D.

 Position the CFM ROI cursor on the applicable area.

 To change the area of the color box, activate the CFM ROI
cursor by pressing the ACTION key. Change the size of the
area using the trackball. Press ACTION again to confirm.

Note
The width of the CFM ROI and the B-Mode angle (S I Z E button
in B-M O DE menu) must be as small as possible in order to
maximize the CFM frame rate.

 Press CFM or PWR D to disable CFM and return to full

screen 2D.

Once the CFM is active, the line cursor can be displayed and the user can move to
Doppler/M-Mode.

Note
When more modes are active, the navigation tab CFM allows the
operator to scroll among the specific controls menu.

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Controls in CFM and Power Doppler

There are different menu levels in the real time Color Flow Mapping mode: the
A D V > > / B A S I C < < button scrolls the menu levels. Upon activation, the
following controls are available:

Refer to the previous chapter

for information on button
PHYSIO.
BASELINE CFM-STEER COL MAP

DENSITY DEPTH FILTER

FREQUENCY HD-CFM # ORIENTATION

PERSIST PHYSIO POWER

PWR D REVERSE SCALE

SENSIT SMOOTH TVM

TPVIEW ZOOM BIOPSY

XFLOW DUAL CFM SMART CFM

ANGLE and FINE ADJ are displayed when the Doppler/M-Mode cursor is
active.

TVM activates Tissue Velocity Mapping to display heart walls motion. This
modality is available with specific probes.

BIOPSY key is displayed if the active probe can be equipped with a needle guide.
Refer to the specific chapter in this section for detailed information on a correct
use of the needle guides in biopsy procedures.

Tips for CFM Scanning

Optimization of the CFM Format

Buttons REVERSE reverses the color/flow direction inverting the color map.

ORIENTATION changes right/left or left/right orientation

depending on the application.

TPVIEW switches from rectangular to trapezoidal color box.

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DUAL CFM activates multiple views with 2D real time on the left side of the
screen and 2D-CFM real time image on the right.

SMART CFM button is active only with Linear Array probe. When pressed it acts:

IMAGING OPTIMIZATION
 by inverting the CFM steering with reference to the vertical

AND ANNOTATION
line,

 by inverting the CFM scale.

Toggles CFM-STEER (if the probe allows the cursor orientation) changes the steering of
the color box.

WARNING When the steering is set to the maximum step, some artifacts might occur
showing color dots. In this case, reduce the steering by one step.

DEPTH

ZOOM

DEPTH increases or decreases the scanning depth.

ZOOM enlarges the 2D area; the enlargement factor can be modified.

To Enlarge the 2D  If necessary, press the button to activate the Z O O M control:

Area the image will be contoured by a yellow frame.

 Act on the toggle to change the zoom factor.

 Use the trackball to pan the image.

 Press the ZOOM button to activate the full 2D format.

Display Optimization

First of all the operator must adjust the gain, to optimize the display of the analysis
area. The commands and the acoustic parameters controls allow then to further
refine the signal.

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 MyLab - A D V A N C E D O P E R A T I O N S

Gain
Control Panel Keys CFM GAIN (placed around the left AUTOADJUST key) amplifies/reduces the color
gain: turn the knob to obtain the most useful signal level.

Note
B-Mode gain (knob around the right AUTOADJUST key) must be
properly adjusted in order to obtain a good CFM signal; excessive
gain, may “mask” the flow.

View Commands
Buttons with sub-menu

COL MAP

VEL VIS THRES

WR PRIOR

TRANSP

COL MAP allows the selection of a different CFM map: the available options
include different color maps and two Velocity/Variance maps.

VEL VIS THRES selects the threshold above which the velocity is displayed. This
command is available only with specific color maps.

WR PRIOR (Write Priority) assigns priority to the color codification and B/W
scale.

TRANSP enables or disables transparency between color and B/W. This

command is available only with specific color maps.

BACK ARROW restores the CFM controls menu saving the modification.

XFLOW activates/deactivates a set of more sensible and less saturated color

maps.

Toggles DENSITY changes the line density.

SCALE changes the velocity range.

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 MyLab - A D V A N C E D O P E R A T I O N S

SCALE and D E N S I T Y affect color “filling”.

Control CFM Filling

SCALE 

IMAGING OPTIMIZATION
SCALE 

AND ANNOTATION
DENSITY  
DENSITY  

SENSIT (available with specific applications) adjusts color sensitivity.

P E R S I S T varies the persistence level (higher level increase the image perception
and decrease the discrimination of moving structures).

FILTER reduces the artifacts caused by acoustic decoupling or moving structures.

SMOOTH

HD-CFM #

SMOOTH makes the flow representation homogeneous.

HD-CFM adjusts the color spatial resolution.

Acoustic Parameters
Only one transmitting focal point is active in CFM, regardless of the B-Mode
settings, and it is automatically positioned at the center of the ROI CFM.

Buttons with sub-menu POWER activates the following sub-menu:

FACTORY

HALF

MAX

POWER%

FACTORY resets the transmitted power to the default value.

HALF sets the transmitted power at 50%.

MAX resets the transmitted power at maximum.

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 MyLab - A D V A N C E D O P E R A T I O N S

POWER% changes the transmitted power by steps of 10%.

Use the minimum power compatible with a diagnostic level of the images.
If there is insufficient sensitivity, make sure the gain, focal point and probe
frequency have been set correctly before increasing the power.

BACK ARROW restores the CFM controls menu.

Toggle FREQUENCY changes the CFM frequency: higher frequencies help to show low
speeds.

 SS Refer to the “Safety and Standards” manual for further information.

Controls in Freeze
The following controls are available in CFM-Freeze:

HIDE CFM REVERSE DUAL CFM

PLAY/STOP FIRST FRAME LAST FRAME

FRAME SPEED BASELINE

ZOOM COL MAP

Buttons HIDE CFM enables/disables the CFM presentation displaying only the 2D image.

PLAY shows the sequence of stored image in cine mode.

STOP stops the cine presentation of the clip.

FIRST FRAME and L A S T F R A M E automatically set the current position at the

begin or at the end of the sequence.

Toggle SPEED changes the velocity for reviewing the sequence.

FRAME scrolls the sequence frame by frame.

Refer to the previous paragraph for the description of all other controls.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

5 - Using the Needle

IMAGING OPTIMIZATION
Guide in Biopsy

AND ANNOTATIONS
Procedures
This chapter explains the correct way to use the needle guides in the biopsy
procedures.

 PC The user should read and completely understand all information on probes
and needle guide, as detailed in the “Probes and Consumables” manual,
prior to start a biopsy procedure.

WARNING Refer to the “Probes and Consumables” manual and to the dedicated
booklet to know which needle guides are to be used with Esaote probes.
Needle guide kits which haven’t been tested by Esaote could be not
compatible with Esaote probes, thus compromising the patient’s safety.

General Information on Biopsy and on how to

Activate the Procedure
The biopsy procedure can be activated only in B-Mode and in CFM when the
active probe is compatible with a needle guide.

After pressing the B I O P S Y key the screen will display the following message:

Warning: Always verify that the whole needle working area, from its
insertion point up to the target, doesn’t include anatomical
structures that could be touched and damaged, thus compromising
the patient’s safety.

In case it is not possible to activate the biopsy, please contact the

Service personnel.

The same message will be displayed whenever the probe is changed during the
same exam soon after having pressed the B I O P S Y key.

Carefully read the message and press OK to continue.

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Touchscreen Organization The system displays the needle guides compatible with the active probe and the
corresponding insertion angles: the displayed buttons have the same name of the
guide and the angles are indicated in degrees. Select the needle guide and, when
possible, the insertion angle.

When more that one insertion angle is available for the selected needle guide, the
insertion angle toggle scrolls through the available angles.

Screen Organization As soon as the selection has been

done, MyLab displays two dotted
lines identifying the working
region of the needle guide. Dots
are stepped every 0,5 cm.

The selected angle is shown on the

screen beside the needle insertion
point.

Press O K to activate the biopsy procedure.

CANCEL exits from the needle guide selection menu.

Biopsy Procedure with the TRT33 Transrectal Probe

The biopsy procedure can be activated with the TRT33 probe only after having
selected the probe linear transducer (C V X / L N R key).

Touchscreen Organization The system displays the needle guide name and the buttons to select the needle
position along the vertical guide.

Once the biopsy has been activated the system display the working area of the
needle guide that is represented by two parallel lines. The selected needle position
is indicated on the screen.

Needle Length

The needle length required for the biopsy procedure can be evaluated by pressing
the LINE key: A dotted line will be displayed in the middle of the needle working
area. The dotted line represents the ideal path to be followed by the needle. The
cursor displayed on the line allows the user to measure the distance from the guide
exit point to the cursor itself.

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 MyLab - A D V A N C E D O P E R A T I O N S

The distance value is displayed above the image sector, on the opposite site of the
needle insertion point. The trackball moves the cursor along the dotted line: the
displayed value is automatically updated.

WARNING The displayed value gives an indication of the distance between the guide

IMAGING OPTIMIZATION
AND ANNOTATIONS
exit point and the cursor itself. The kit length has to be added up to this
distance to evaluate the needle length required for the biopsy.

Press the LINE key again to switch back to the biopsy environment.

Checking the Guide Working

Assemble the needle guide on the probe following the instructions provided in the
“Probes and Consumables” manual.

 PC Carefully read the “Probes and Consumables” manual to apply all features required
by needle guides relating to system safety, warnings and cautions.

Procedure  Immerse the probe to the allowed limit (see the “Probes and
Consumables” manual) in a water tank.

 Press B I O P S Y and then OK to close the warning message and

continue.

 Select the guide and the desired insertion angle, when

possible.

 Press O K to activate the biopsy procedure.

WARNING Before proceeding, be sure the kit has been correctly assembled and the
needle has been inserted into the guide corresponding to the selected
angle. Needle insertion into a guide with a different angle may be
dangerous to the patient’s safety!

 Both in B-Mode and in freeze be sure that the needle is

correctly displayed within the working region.

 If necessary evaluate the needle length required by the biopsy

procedure.

WARNING If the needle is displayed outside the working region, DO NOT use the
guide and immediately contact Esaote personnel.

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 MyLab - A D V A N C E D O P E R A T I O N S

Using the Needle Guide

Biopsy procedures can be activated on 2D or 2D-CFM images, in Dual or Dual-
CFM formats.

Note
To use the biopsy procedure in CnTI and in Elastography
modalities, activate the procedure before enter one of these
modalities.

WARNING Biopsy procedures must be performed only on real time images. Never
move the needle when the image is frozen.

Procedure  Carefully check the needle guide following the instructions

provided in the paragraph above.

 If necessary, press again B I O P S Y.

 Read the warning message and press OK to continue.

 If necessary select again the guide and the desired insertion

angle, when possible.

 Press O K to activate the biopsy procedure.

WARNING The line displayed on the screen provides an indication of the needle
direction, according to the selected guide. Always watch the ultrasound
image while inserting the needle into the patient’s body, and be sure that
the needle always stays within the displayed region.

At certain scanning depths the needle insertion point or the needle itself
may not be displayed. In Dual format the area where the needle is not
visible is larger. Always use scanning depths and displaying formats that
make the needle visible.

When scanning vascularized structures, display the needle guide working

region keeping the CFM mode active so that vessels can be detected and
avoided when inserting the needle. Once identified the optimal zone for
biopsy, turn CFM off to gain the maximum needle visibility.

Once the needle guide line is displayed, the system temporarily disables all modes,
except 2D or 2D-CFM images, in Dual, Dual-CFM.

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To access other real rime modes press B I O P S Y again to exit the procedure.

Needle Enhanced Imaging

The Needle Enhanced Imaging is an optional feature giving a better visualization

IMAGING OPTIMIZATION
of the needle in the real time image. The displayed image is the composition of a

AND ANNOTATIONS
standard B-Mode image plus a steered image where the needle brightness is
increased.

The feature is available in B-Mode for SL1543 and SL3323 probes (in all
applications with exception of the Cardiac one).

The Needle Enhanced Imaging is activated/deactivated pressing N E E D L E

E N H A N C E ; when active, a yellow reference line is displayed on the image and
additional buttons are present on the touchscreen:

OVERLAP

LEFT/RIGHT

BIOPSY

OVERLAP activates/deactivates the overlapping of the steered needle of the

enhanced image.

LEFT/RIGHT allows to set the entry side of the needle and according with its
inclination define the steering angle. Four values are available 10°, 20°, 30° and 40°.

BIOPSY key is displayed if the active probe can be equipped with a needle guide.
Refer to the specific chapter in this section for detailed information on a correct
use of the needle guides in biopsy procedures.

WARNING Please verify that when Needle Enhancement Imaging feature is active the
anatomical structure and the biopsy target remain visible.

The enhanced needle algorithm works in a portion of the entire B-mode

image. The needle enhancement is intended to get evidence of the needle
trajectory once in tissue. This does not include the needle tip portion since
for different reasons it can be outside of the enhanced image.

Hyperechogenic structure oriented in needle direction can be wrongly

enhanced. Enable and disable the function (overlap control) to verify the
proper structure enhancement.

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After the Examination

 PC When the biopsy procedure has been completed, remove the needle and the guide
from the probe. Clean the items following the instructions provided in the “Probes
and Consumables” manual and by the manufacturer and, when applicable, dispose
of the items according to the local regulations.

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Chapter

6 - Bodymarks

IMAGING OPTIMIZATION
AND ANNOTATIONS
Refer to the “Clinical and This chapter explains how body marks are organized and how to use them.
System Settings” section for
information on bodymark Bodymarks
configuration.
Bodymarks are schematic drawings of anatomical sections A vector overlays the
mark to indicate the probe’s position. Active bodymarks with probe markers are
displayed at the bottom left of the screen.

Bodymarks are organized in groups: each application has its specific set of
bodymarks.

Refer to the “System Configuration” section of this manual for further

information on customized libraries of bodymark.

Bodymark Activation
Bodymarks can be activated both in real time, in Exam review and in Archive
review by pressing the BO DYM ARKS button. Once activated, the touchscreen
displays the group of marks available with the active preset. Press the
APPLICATIO N S tab to browse the marks available with other applications.

In the Exam Management area the system displays the following buttons:

LEFT/RIGHT

DELETE BO DYM ARK

OK

The button in italics is displayed only in Dual format.

Procedure  If necessary, select the desired application and bodymark

library on the touchscreen.

 Select the bodymark on the touchscreen: the mark is

displayed at the bottom left of the screen.

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MyLab - A D V A N C E D O P E R A T I O N S

 If in Dual format, use the LEFT or RIGHT button to correctly

match the mark to the corresponding image.

 The arrow on the bodymark indicates the probe marker. Use

the trackball to position it.

 Use the R O T A T E button to rotate the probe marker and

press ENTER to confirm.

 Press the O K button or FREEZE to activate the session.

DELETE BO DYM ARK exits without displaying any bodymark. The same button has
to be pressed to cancel the displayed mark.

Bodymarks can be added on archived images and sequences, but they are not saved
on retrieved images or clips.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

7 - Annotations

IMAGING OPTIMIZATION
AND ANNOTATIONS
Refer to the “Clinical and This chapter explains how to use the free text annotation function and how to
System Settings” section for activate and use the glossary available in the annotation session.
information on glossary
configuration. Free Text
Pressing any alphanumeric key of the QWERTY keyboard during the exam
automatically activates text input. MyLab suggests the word, present in the glossary,
starting with the same letters while the trackball browses the glossary.

Use the alphanumeric keyboard to enter the text and press ENTER to confirm. The
text can be placed anywhere within the image area.

The following buttons are displayed in the Exam Management area:

SET HO M E DELETE LAST W O RD

BY W O RD/BY
DELETE ALL
SEN TEN CE

IN SERT ARRO W OK

ROTATE

DELETE LAST W O RD cancels the last edited text without exiting.

DELETE ALL cancels the whole edited text. The same button has to be pressed to
cancel the displayed text.

BY W O RD/BY SEN TEN CE alternatively activates the By word and By sentence

annotation modality. Refer to next paragraph for further details.

SET HO M E sets the default position for the annotation cursor based on the present
position.

IN SERT ARRO W displays an arrow. Place the arrow using the trackball and confirm
the final position by pressing the ENTER key.

ROTATE rotates the arrow.

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MyLab - A D V A N C E D O P E R A T I O N S

OK closes the annotation session without erasing the inserted text.

UNDO key closes the annotation session erasing the inserted text.

Annotation Activation
The AN N O T button allows the user to work with a configurable glossary: the key
can be pressed both in real time, in freeze, during measurements, in Exam review
and Archive review.

When this command is pressed, the system displays the following touchscreen:

MyLab displays the glossary associated to the active preset. Press the
APPLICATIO N S tab to browse the glossaries available with other applications.

In the Exam Management area the system displays the following buttons:

DELETE LAST W O RD DELETE ALL

BY W O RD/BY
IN SERT ARRO W
SEN TEN CE

OK ROTATE

The navigation tabs allow the user to browse all applications glossaries.

IN SERT ARRO W displays an arrow. Place the arrow with the trackball and confirm
the final position by pressing the ENTER key.

ROTATE rotates the arrow.

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BY W O RD/BY SEN TEN CE alternatively activates the By word and By sentence

annotation modality.

OK closes the annotation session without erasing the inserted text.

IMAGING OPTIMIZATION
UNDO closes the annotation session erasing the inserted text.

AND ANNOTATIONS
Glossary by Word

To select a word follow this procedure.

Procedure  If necessary select the desired glossary by browsing the

navigation tabs.

 If necessary, use the S C R O L L button to scroll the column. Select

the word by pressing the corresponding button on the
touchscreen: the word will be displayed on the screen
contoured by a frame.

 Place the word using the trackball and press ENTER to

confirm its final position: the word is positioned and the
frame disappears. DELETE LAST W O RD cancels the last edited
text without exiting.

DELETE ALL cancels the whole edited text.

Glossary by Sentence

On the touchscreen the system displays the list of the available words, organized
in columns: the first column lists the available words for the first term of the
sentence, the second column for the second term and so on.

If necessary, use the S C R O L L button to scroll the columns and select the word by
pressing the corresponding button. The sentence is composed of all selected
words.

Procedure  If necessary select the desired glossary by browsing the

navigation tabs.

 If necessary, scroll the first column using the S C R O L L button

and select the desired word. The word is automatically
displayed on the screen contoured by a frame.

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 Repeat the operation to select the other words: the selected

terms are added within the same frame.

 Place the sentence on the screen using the trackball and press
ENTER to confirm its position.

DELETE LAST W O RD cancels the last edited text without exiting.

DELETE ALL cancels the whole edited text.

Text Modification and Reposition

Free Text and the text inserted through the By Word function can be modified
using the same procedure (text inserted through the By Sentence function can not
be modified); the text position can be changed for all insertion modalities.

Text Modification Place the cursor on the text to be modified and press ENTER to highlight it. Press
the ACTION key using the arrow key of the alphanumeric keyboard. Place the
cursor on the desired position to edit the text. Edit the text and press ENTER to
confirm.

Text Re-positioning Place the cursor on the text to be moved and press ENTER to highlight it: the text
is contoured by a frame. Use the trackball to move the text on the screen and
press ENTER to confirm the position.

Annotations on Saved Images and Clips

Annotations can be inserted both on the archived images and sequences. When the
annotations are confirmed by pressing the O K button, they are saved on retrieved
images or clips.

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CALCULATIONS

This section explains how to perform measurements and how to use the
calculation package offered by MyLab. The section is organized as follows:

• Chapter 1: General information

CALCULATIONS
This chapter provides general information about measurements organization.

• Chapter 2: Measurement Activation

This chapter explains how to access to the generic and advanced calculation
packages.

• Chapter 3: Generic Measurements

This chapter lists the generic measurements available in all applications and
explains how to correctly perform a measurement.

• Chapter 4: Automatic Doppler Measurements

This chapter explains how to activate automatic Doppler tracings and which
automatic measures are calculated.

• Chapter 5: MyLab Worksheet and Report

This chapter provides information on worksheet and report organization.

• Chapter 6: Measures Set Up

This chapter provides information about customizing calculations packages.

MyLab - A D V A N C E D O P E R A T I O N S

• Chapter 7: Custom Groups and Measurements

This chapter provides information on how to add customized groups and

measurements.

• Chapter 8: Accuracy

This chapter provides information on measurement accuracy.

• Appendix A: Formulas of Generic Calculation Packages

This chapter lists formulas and bibliographic references, when applicable, for
generic measurements.

• Appendix B: Formulas of Automatic Doppler Measurements

This chapter lists formulas and bibliographic references, when applicable, for
automatic Doppler measurements.
MyLab - A D V A N C E D O P E R A T I O N S

Table of Contents
1 General Information ..........................................................................1-1
General Information ..............................................................................1-1
Measurement on Clip of Trace ..............................................................1-1
Diagnosis Based on Measurements .......................................................1-2

2 Measurement Activation ...................................................................2-1

Generic Measurements ..........................................................................2-1
Advanced Calculations..........................................................................2-1
Measurements from Different Calculation Packages ............................2-2
How to Take Measurements..................................................................2-2
Controls.............................................................................................2-3
Selective Clearing of a Measurement....................................................2-3
Multi-Modality Measurements..............................................................2-4

CALCULATIONS
3 Generic Measurements......................................................................3-1
B-Mode..................................................................................................3-1
M-Mode.................................................................................................3-2
Doppler ..................................................................................................3-2
How to Take the Measurements ............................................................3-3
Distance Ratio, Distance Reduction, Time Ratio, M-Mode Velocity Ra-
tio ......................................................................................................3-3
Length (Vertex) ................................................................................3-4
Length (Trace) ..................................................................................3-4
Area (Ellipse axis) and Volume (Ellipse) .........................................3-4
Area (Vertex) ....................................................................................3-5
Area (Trace)......................................................................................3-5
Area Ratio and Area Reduction ........................................................3-5
Volume (Trace).................................................................................3-6
Biplane Volume ................................................................................3-6
Ellipse Ratio......................................................................................3-7
Hip Angle..........................................................................................3-7
Doppler Velocity ..............................................................................3-7
Doppler Velocity Ratio, Systolic Velocity on Diastolic Velocity Ratio,
Resistive Index, Slope ......................................................................3-8
Flow Velocity Integral (FVI) and Pulsatility Index..........................3-8
Flow (Trace), Flow (Ellipse) and Flow (Diameter)..........................3-8

4 Automatic Doppler Measurements ...................................................4-1

Activation of Automatic Doppler Tracings...........................................4-1
Controls in Automatic Doppler Measurements ................................4-2
Calculated Doppler Measurements in Non-Cardiac Applications....4-3
Flow Measurements...............................................................................4-4

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Freeze and Archive................................................................................4-4

5 MyLab Worksheet and Report ..........................................................5-1

MyLab Worksheet .................................................................................5-1
MyLab Report .......................................................................................5-2
End of the Report..............................................................................5-3

6 Setting Up Measurements .................................................................6-1

Accessing to the Configuration Menu...................................................6-1
Configuration of Application Measurements ........................................6-2
Folder of Application Measurements ...............................................6-3
Folder of Generic Measurements......................................................6-5
Folder of Measure Units ...................................................................6-6
Advanced Folder...............................................................................6-6
Customization of Calculations Package ................................................6-6
How to Customize a Calculation Package........................................6-7
Configuration of ALL APPLICATIONS Option ..................................6-8
Organization of Measurements..............................................................6-8
Measurements Factory Settings.............................................................6-9

7 Custom Groups and Measurements..................................................7-1

Accessing to the Configuration Menu...................................................7-1
Configuration of Custom Measurement ................................................7-2
Adding a Formula .............................................................................7-5
Organization of Measurements..............................................................7-7
Identification of the Custom Measurements Groups.............................7-8

8 Accuracy ............................................................................................8-1
Measurement Accuracy .........................................................................8-1
Derived Data..........................................................................................8-2

A Formulas of Generic Calculations Package ....................................A-1

Formulas in B-Mode.............................................................................A-1
Diameter Reduction ........................................................................A-1
Length by Vertex ............................................................................A-1
Area by Ellipse Axes ......................................................................A-2
Area Reduction ...............................................................................A-2
Volume by Ellipse ..........................................................................A-3
Volume by Trace and by Area-Length ...........................................A-3
Bi-Plane Volume ............................................................................A-3
Formulas in Doppler.............................................................................A-4
Gradient ..........................................................................................A-4
Flow Velocity Integral ....................................................................A-4
Mean Velocity ................................................................................A-4

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Mean Gradient ................................................................................A-5

Pulsatility Index ..............................................................................A-5
Resistive Index ................................................................................A-6
Flow by Trace and by Ellipse .........................................................A-7
Flow by Diameter ............................................................................A-7
Pressure Half Time .........................................................................A-7

B Formulas of Automatic Doppler Measurements.............................B-1

Flow Velocity Integral .................................................................... B-1
Mean Velocity ................................................................................ B-1
Pulsatility Index .............................................................................. B-2
Resistive Index ................................................................................ B-3

CALCULATIONS

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

1 - General Information
Refer to the “Getting This chapter provides general information about the correct way to take a
Started” manual for the measurement.
available applications.
General Information
Measurements can be taken on frozen, stored and archived images. The available
measurements are displayed on the touchscreen. Messages displayed on the screen,
guide the operator through the different phases, and assist in taking the

CALCULATIONS
measurement. The results are displayed on the left of the image.

Clips are compressed for digital storage. Compressed files involve a minimal loss
of information (see specifications).
WARNING
WARNING This symbol is displayed on the screen when the image features, compared
to the original one, may not be optimal for the reporting functions.

To select the views and to position the cursors, Esaote strongly recommends the
operator to act according to current medical practice and to the instructions of
specialists in this subject.

Note
Always enlarge the format to maximize the structure/signal to be
measured.

If possible, use the full screen formats for M-Mode and Doppler
measurements.

The system cannot be used to measure images with ambiguous calibrations. An

error message is shown on such images when the measurement is made.

Measurement on Clip of Trace

When the trace (M-Mode, Q-Mode, Compass M-Mode and Doppler) is displayed
in cine mode, the ACQUIRE key allows to save the corresponding clip.

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 MyLab - A D V A N C E D O P E R A T I O N S

When the saved trace clip is

reviewed, either in cine mode or
frame by frame, a vertical black line
is displayed on the trace. This line
separates the frames belonging to
the same continuous time interval
(on the right of the line) from the
frames belonging to another
continuous time interval (on the left
of the line).

Both generic and advanced measurements can be taken on the single frame
composing the trace clip.

WARNING Any measurement that is based on time interval (such as slope, flow and
flow integral, time interval) has to be taken only on continuous time
interval. This kind of measurement has to be performed without crossing
the vertical black line.

Diagnosis Based on Measurements

MyLab calculation packages have to be used by qualified personnel as a diagnostic
tool. The diagnosis has not to be based on the measurements only, but these are to
be integrated with other clinical data.

All formulas of MyLab advanced calculation packages refer to a number of clinical

bibliographic references that are listed for each application and advanced features
in the corresponding section. Users are kindly encouraged to consult the original
references to draw their conclusions on clinical consistency of the measurements.

Note
The user is the only responsible for customized measurements and
formulas.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

2 - Measurement
Activation
This chapter explains how to activate the measurements.

Generic Measurements
When in Freeze, either the +…+ panel key or the +…+ touchscreen button
activate the generic measurements menu: each application can have customized
sets of generic measurements. Refer to next chapters in this section for further

CALCULATIONS
information on how to access the calculations configuration menu and how to
customize generic measurements.

The touchscreen displays the list of available measurements, which are

automatically identified according to the active mode, application and preset.

Advanced Calculations
Refer to the dedicated When in Freeze, either the MEASURE panel key or the MEASURE touchscreen
application sections for the button activate the advanced calculations menu: each application has a dedicated
list of available advanced set of advanced calculations. MyLab advanced calculation packages are fully
calculations. configurable: refer to next chapters in this section for further information on how
to access the calculations configuration menu and how to set calculations.

The touchscreen displays the list of available measurements, which are

automatically identified according to the active mode, application and preset, the
last two indicated by corresponding tabs in the Navigation area.

Advanced measurements are organized in modes and in groups, corresponding to

specific anatomic structures. When a group is selected, the corresponding tab is
displayed on the Navigation area and the measurement is automatically started.
The touchscreen displays the available measurements of the selected group.

The single measurements, which are part of a complex group, can also be
individually selected:

Procedure • Press the MEASURE key to display the list of measurements.

• Press the EXPAND button.

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 MyLab - A D V A N C E D O P E R A T I O N S

• Press the button of the desired measurement group to

expand it.

• If necessary, repeat the procedure until the desired

measurement is displayed.

• Press the EXPAND button and then the button of the

measurement to activate it.

Measurements from Different Calculation

Packages
During the exam, it is always possible to access the measurements available within
the applications compatible with the active probe. Both generic and advanced
measurements can be selected from different applications.

Procedure • Press the PROBE button to access the menu allowing to select
the application.

• If necessary, change the active probe to enable the selection

of the desired application.

• Select the desired application and preset.

• The system activates real time.

• Acquire the desired image and press FREEZE.

• Activate the measurement session and perform the desired

measurement.

Once the measurement has been completed, press the PROBE button to reselect
the initial application.

How to Take Measurements

Both for generic and advanced measurements, the touchscreen displays the list of
available measurements: select the desired measurement by pressing the
corresponding button. Follow the instructions on the screen, position the cursors
with the trackball and confirm the position by pressing ENTER.

The value being measured is displayed in Freeze on the left of the image.

The measurements taken are marked with the √ symbol in the touchscreen.

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MyLab - A D V A N C E D O P E R A T I O N S

CLEAR cancels all measurements from the screen.

UNDO key closes the session, erasing all done measurements.

ADD TO RP adds the generic measurement to the exam worksheet and report. After
this key is pressed, the system asks to rename the measurement. The renamed
measurement will then be available both in the worksheet (under a dedicated sub-
folder) and in the report.

Controls

The touchscreen menu depends on the active measurement:

PAN SWAP AXIS

CALCULATIONS
ROTATE SWAP

BACK

PAN allows the user to move the traced area within the sector.

S W A P and S W A P A X I S allow to respectively swap the caliper and the axis linked
to the trackball. Alternatively the ACTION key can be used to swap start/end
calipers when measuring distances or the axis when drawing an ellipse.

ROTATE allows to rotate areas.

BACK allows the user to clear the dotted line point by point.

Selective Clearing of a Measurement

Single measurements or groups of measurements can be deleted from the
worksheet.

• Press the WORKSHEET button on the touchscreen.

• Place the cursor on the red cross displayed beside the group
or the single parameter to be deleted and press ENTER.

• Press the WORKSHEET button to return to the measurements

menu.

Refer to the chapter dedicated to worksheets in this section for detailed

information on worksheet organization.

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 MyLab - A D V A N C E D O P E R A T I O N S

Multi-Modality Measurements
Multi-modality measurements (for example 2D and Doppler) can be performed
on Dual and Split formats. On a dual format with linear probes, measurements can
be taken on both images, for example a distance measurement can be activated by
positioning the first cursor on one image and the last cursor on the other image.
This measurement can be performed only when images are acquired at the same
depth, with the same orientation, without steering and zoom.

WARNING Before performing measurements on the two frames of a Dual format,

check that the whole image (for example both side by side frames) is
consistent with the structure under exam. If necessary, reacquire both
images.

Refer to “Clinical and When activated, the average is based on up to three measurements.
System Settings” section for
information on how to set See further in this section for more details on the MyLab worksheet.
the average on
measurements.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

3 - Generic
Measurements
The chapter contains the list of all available generic measurements and the
instructions to perform them.

The operator can customize the generic calculation package to adapt it to his/her
workflow: Refer to next chapters for further information.

B-Mode

CALCULATIONS
Parameter Measurement Displayed results

Distance Distance Distance

Distance ratio Distance1, Distance2 Distance1, Distance2, Distance1/

Distance2

% Distance Distance1, Distance2 Distance 1, Distance 2, (Distance1 -

reduction Distance2)/Distance1

Length (Vertex) More distances Global distance

Length (Trace) Profile Global distance

Area (Ellipse axes) Area, Distance Area, Perimeter

Area (Vertex) More distances Area, Perimeter

Area (Trace) Profile Area, Perimeter

Area ratio Area1, Area2 Area1, Area2, Area1/ Area2

% Area reduction Area1, Area2 Area1, Area 2, (Area 1 - Area 2)/

Area1

Volume (Ellipse) Distance, Area Area, Volume

Volume (Trace) Profile, Distance Area, Distance, Volume

Biplane volume Distance1, Distance2, Distance1, Distance2, Distance3,

Distance3 Volume

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MyLab - A D V A N C E D O P E R A T I O N S

Parameter Measurement Displayed results

Ellipse ratio Two areas (ellipse Two areas, Area1/Area2

based)

Hip angle Distance1, Distance2, α and β angles

Distance3

M-Mode

Parameter Measurement Displayed results

Distance Distance Distance

Distance ratio Distance1, Distance2 Distance1, Distance2, Distance1/

Distance2

Time Time Time

Time ratio Time1, Time2 Time1, Time 2, Time 1/Time 2

Heart Rate Time R-R interval, Heart rate
Velocity Velocity Distance, Time, Velocity

Velocity ratio Velocity1, Velocity2 Velocity1, Velocity2, Velocity1/

Velocity2

Doppler

Parameter Measurement Displayed results

Time Time Time

Time ratio Time1, Time2 Time1, Time2, Time1/Time2

Velocity Velocity Instantaneous velocity

Cardiac velocity Velocity Instantaneous velocity,

Instantaneous gradient

Velocity ratio Velocity1, Velocity2 Velocity1, Velocity2, Velocity1/

Velocity2

Heart Rate Time R-R interval, Heart rate

Systolic velocity / Systolic velocity, Systolic velocity, Diastolic velocity,

Diastolic velocity Diastolic velocity Systolic velocity/Diastolic velocity

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 MyLab - A D V A N C E D O P E R A T I O N S

Parameter Measurement Displayed results

Cardiac Flow Spectral envelope FVI, Peak velocity, Reverse velocity,

Velocity Integral Peak and mean gradient
(FVI)

Vascular Flow Spectral envelope FVI, Pulsatility index, Resistive

Velocity Integral index, Reverse velocity, Diastolic
(FVI) velocity, Peak and mean velocity,
Peak and mean gradient,
Acceleration, Acceleration time,
Systolic velocity/Diastolic velocity

Pulsatility index Spectral envelope FVI, Pulsatility index, Resistive

index, Reverse velocity, Peak and
mean velocity, Diastolic velocity

Resistive index Systolic velocity, Peak systolic velocity, Diastolic

CALCULATIONS
Diastolic velocity velocity, Resistive index

Flow (Trace) Envelope, Contour Time average velocity, Area, Volume,

Flow (Ellipse) Envelope, Ellipse Time average velocity, Area, Volume,

Flow (Diameter) Envelope, Distance Time average velocity, Diameter,

Area, Volume

Slope Velocity Acceleration, PHT

Velocity (Hz) a Velocity Instantaneous velocity

a. Available only when the trace is displayed in kHz. When velocity is measured
in kHz, no derived parameter is automatically calculated.

How to Take the Measurements

Distance Ratio, Distance Reduction, Time Ratio, M-Mode
Velocity Ratio

These measurements require to trace two lines.

Procedure • Select the measurement from the touchscreen.

• Using the trackball, position the caliper on the first point and
press ENTER to confirm.

• With the trackball place the end point of the axis and press
ENTER to confirm.

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 MyLab - A D V A N C E D O P E R A T I O N S

• Repeat the operations to trace the second line.

Length (Vertex)

This measurement requires to place vertices: the length is the measure of the line
connecting all vertices.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first vertex and
press ENTER to confirm.

• Using the trackball place the cursor on the second vertex and
press ENTER to confirm.

• Place all required vertices. The length is automatically

calculated by pressing ENTER twice.

Length (Trace)

This measurement requires to trace the contour of a length.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

• Using the trackball trace the length contour and press ENTER
to confirm.

Area (Ellipse axis) and Volume (Ellipse)

These measurements require to trace an ellipse by placing the first axis and then the
second axis.

Procedure • Select the measure from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

• Move the trackball to draw the axis: the system displays the
ellipse that can be adjusted by using the trackball.

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 MyLab - A D V A N C E D O P E R A T I O N S

• Place the end point of the axis by pressing ENTER.

• Move the trackball to change the dimension of the ellipse and

press ENTER to confirm.

Area (Vertex)

This measurement requires to place vertices: the area is measured connecting all
vertices with segments.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first vertex and
press ENTER to confirm.

CALCULATIONS
• Using the trackball place the cursor on the second vertex and
press ENTER to confirm.

• Place all required vertices. The area and the perimeter are
automatically calculated by pressing ENTER twice.

Area (Trace)

This measurement requires to trace the contour of an area.

Procedure • Select the measurement from the touchscreen.

• Using the trackball, position the caliper on the first point and
press ENTER to confirm.

• Draw the area contour with the trackball. The contour is

automatically closed by pressing ENTER twice.

Area Ratio and Area Reduction

These measurements require to trace two areas by trace.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

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 MyLab - A D V A N C E D O P E R A T I O N S

• Draw the area contour with the trackball. The contour is

automatically closed by pressing ENTER twice.

• Repeat the operations to trace the second area.

Volume (Trace)

This measurement requires to trace an area and an axis.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

• Draw the area contour. The contour is automatically closed

by pressing ENTER twice.

• The system automatically displays the axis with a fixed start

point.

• If necessary, press UNDO to free the start point of the axis.

Use the trackball to reposition it and press the ENTER key to
fix it.

• With the trackball place the end point of the axis and press
ENTER to confirm.

Biplane Volume

This measurement requires to trace three lines.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

• With the trackball place the end point of the axis and press
ENTER to confirm.

• Repeat these operations to trace the second and third lines.

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 MyLab - A D V A N C E D O P E R A T I O N S

Ellipse Ratio

This measurement requires to trace two ellipses.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the start point and
press ENTER to confirm.

• Move the trackball to draw the axis: the system displays the
ellipse that can be adjusted by using the trackball.

• Place the end point of the axis by pressing ENTER.

• Move the trackball to change the dimension of the ellipse and

CALCULATIONS
press ENTER to confirm.

• The system automatically displays the cursor.

• Move the cursor to the start point of the axis of the second
ellipse to be drawn and press ENTER to confirm.

• Repeat these operations to draw the second ellipse.

Hip Angle

This measurement requires to trace three lines.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

• With the trackball place the end point of the first distance
and press ENTER to confirm.

• Repeat these operations to trace the second and third

distances.

Doppler Velocity

This measurement requires to place a point.

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 MyLab - A D V A N C E D O P E R A T I O N S

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the cursor on the velocity to be

measured and press ENTER to confirm.

Doppler Velocity Ratio, Systolic Velocity on Diastolic

Velocity Ratio, Resistive Index, Slope

These measurements require to place two points.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the cursor on the velocity to be

measured and press ENTER to confirm.

• Place the caliper on the second velocity and press ENTER to

confirm.

Flow Velocity Integral (FVI) and Pulsatility Index

This measurement requires to trace the envelope of the velocity profile.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

• Draw the profile envelope with the trackball.

• Complete the measure by pressing ENTER to place the end

point.

Flow (Trace), Flow (Ellipse) and Flow (Diameter)

These measurements require to trace an envelope on the Doppler spectrum and a

contour on a B-Mode image.

Procedure • Select the measurement from the touchscreen.

• Using the trackball position the caliper on the first point and
press ENTER to confirm.

• Draw the envelope with the trackball.

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• Measure the profile by placing the end point and pressing

ENTER.

• Press FREEZE to return in real time.

• Press the B key and acquire the desired image.

• Press FREEZE and then +....+ again.

• Follow the instruction to complete the measurement.

CALCULATIONS

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3 - 10
 4
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

4 - Automatic Doppler
Measurements
This chapter explains how to activate automatic Doppler tracings and which
automatic measurements are calculated.

Activation of Automatic Doppler Tracings

Automatic Doppler tracings automatically detect the Doppler spectrum profile,
which is based either on the ECG signal, when it is available, or on the time

CALCULATIONS
intervals defined by the C L I P D U R button.

The profile of the detected Doppler spectrum can be based both on the trace peak
values and on the trace mean values, that means respectively the profile of the
maximum frequency of the spectrum and of the mean frequency of the spectrum.

In non-cardiac applications automatic measurements are made on the detected

profile and displayed on the left of the screen; measurements are updated every
heart cycle. In cardiac applications the detected Doppler profile can be associated
to specific cardiac flow measurements: refer to next paragraphs for detailed
information.

The automatic measurements are saved in the report only when they are associated
to a specific flow measurement or when they are saved through ADD TO REP
button.

WARNING The determination of the envelope curve requires a clear and low-noise
recording of the Doppler spectrum. Otherwise, the reliability of the
displayed measurement results may not be ensured.

Activation Automatic Doppler tracings can be activated in real time both in PW and CW
Doppler and in Freeze.

ADM button activates the automatic Doppler detection. Once activated, the
Doppler profile is displayed in yellow, overlaid on the spectrum itself.

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For additional information, While in automatic Doppler measurement, the system keys and controls are
please refer to the “Image available to optimize the profile display (B-MODE, CW/PW tabs).
Optimization and
Annotation” section. Note
Use the controls (such as B A S E L I N E , S C A L E ) to display the
whole profile and spectrum within the Doppler trace so that
aliasing does not occur.

Controls in Automatic Doppler Measurements

Button with sub-menu Upon mode activation, A D M S E T T I N G S button is displayed. Once pressed, the
sub-menu shows the following controls:

ALL PEAK POSITIVE

ARTERIAL/
NEGATIVE MEAN
VENOUS

AVERAGE THRESHOLD BACK ARROW

ALL, POSITIVE, NEGATIVE buttons respectively select whether to detect the

whole velocity profile, the anterograde velocities only or the retrograde velocities
only.

PEAK and M E A N respectively set whether to detect the profile on peak or on

mean frequency values.

A R T E R I A L /V E N O U S
selects the type of flow under analysis. In the first case the
period of analysis for each measurement corresponds to the detected heart cycle;
in the other case the value of the toggle sets the period of analysis for each
measurement.

AVERAGE sets the number of cycles to be averaged.

THRESHOLD sets the minimum level of signal to be used for the profile
detection.

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Note
For a correct diagnostic evaluation, it is recommended to use the
angle correction factor, in order to obtain the right flow alignment.

Make sure that the profile of the automatically detected Doppler

flow (yellow line) corresponds to the real profile.

BACK ARROW exits from the settings menu.

Calculated Doppler Measurements in Non-Cardiac

Applications

CALCULATIONS
Bibliographic formulas and In non-cardiac applications, the system automatically calculates and displays the
references in appendix following parameters when arterial flows are analyzed:

Label Parameter

FVI Flow velocity integral

SVp Systolic peak velocity

EDV End diastolic velocity

Vmn Mean velocity

Vrev Reverse velocity

PI Pulsatility index

RI Resistive index

SV/DV Systolic velocity/

Diastolic velocity

HR Heart rate

In venous modality, only the mean and reverse velocities are calculated.

Any adjustment performed on the velocity scale orientation, on the display format
and on the angle correction will automatically re-calculate the parameters.

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Flow Measurements
MyLab offers the possibility to associate the automatic Doppler measurements to
any flow measurement of the active application.

When a flow measurement (FVI) group is selected both in generic measurements

and in advanced calculation package, the system displays the control M E T H O D
M A N U A L / A U T O that allows to select which modality has to be used to draw the
flow contour.

When the automatic modality is selected, the system displays the detected Doppler
profile in yellow, overlaid on the spectrum itself.

Note
Press T R A C E to change the modality to detect the Doppler
spectrum (for example positive or negative flow).

To measure the flow follow the procedure below:

Procedure • Using the trackball move the bar on the first point of the
cycle and press ENTER to confirm.

• Using the trackball move the bar on the end point of the
cycle and press ENTER to confirm.

The selected cycle of the Doppler spectrum is labeled and displayed in white.

Freeze and Archive

In Freeze the Doppler sequence can be seen by scrolling the frames: the marker on
the automatic Doppler profile moves accordingly. The displayed parameters values
refer to the period/heart cycle selected with the marker.

ADM button displays the detected profile when pressed.

A N G L E and F I N E A D J toggles change the angle vector: the measured values are
automatically re-calculated.

Automatic Doppler tracing and measurements are automatically saved with the
image (IMAGE key).

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Note
Automatic Doppler measurements are not available in exam review
and archive review.

CALCULATIONS

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 5
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

5 - MyLab Worksheet
and Report
Refer to dedicated section for This chapter explains the structure of MyLab worksheet and report and explains
the report structure in how to use them.
specific application.
MyLab Worksheet
The WORKSHEET button can be pressed at any time to display all performed
measurements.

CALCULATIONS

The worksheet is organized in pages, one page for each application indicated by the
corresponding tab.

Each application page is then organized in sub-folders, corresponding to the

measured modes and groups, identified by corresponding sub-tabs.

To navigate through modes (for example from Doppler calculations to Cardiac

application) or through groups of measurements (for example within the Vascular
application) position the cursor on the corresponding tab and press ENTER.
Alternatively press the related buttons on the touchscreen.

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 MyLab - A D V A N C E D O P E R A T I O N S

The lateral scrolling bar can be used to scroll all performed measurements in the
selected mode or group: place the cursor on the bar or on the up/down arrows to
scroll the worksheet.

Averaged measurements If the average is enabled (for further details read further in this section), the
worksheet shows the average value in the first column and the values of the
individual measurements in the following columns. In this case single
measurements can be excluded from the average computation. Place the cursor on
the measurement to be excluded and press ENTER: the value is displayed on a dark
background and the average is automatically recalculated. Repeat the operation to
reinsert the measurement.

Average criteria The average is done using the parameters directly measured; the average of derived
parameters is based on the average of the direct measurements.

For example the heart rate is calculated by measuring the R-R interval: the direct
measurement is the time (that is the R-R interval), the heart rate is the derived
parameter. When the average is enabled, the mean heart rate will be calculated by
averaging the measured R-R intervals.

Deleting measurements To delete single measurements or measurements groups, place the cursor on the
cross displayed beside the single measurement a/o group and press ENTER to
confirm.

Bilateral Measurements LEFT/RIGHT toggle displays lateral measurements, when available.

Press the WORKSHEET button again or, alternatively, press FREEZE to exit.

MyLab Report
The REPORT button can be pressed at any time to display the report print preview
containing the patient data and all measurements performed during the exam.

If the average is enabled, the report contains the average value.

The touchscreen menu displays the following controls:

ZOOM

END REPORT

PREVIOUS
REPORTS

PAGE

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 MyLab - A D V A N C E D O P E R A T I O N S

PAGE scrolls the report print preview.

ZOOM toggle zooms (by rotating it clockwise) and un-zooms (by rotating it
counterclockwise) the report print preview.

If the system is configured with a PC printer, use the printer key to print the report.

Observations Additional text can be inserted in this section of the report.

Place the cursor on the desired field and:

• Press ENTER to edit text: a window will be displayed, where

comments may be entered with the alphanumeric keyboard.

CALCULATIONS
Refer to “Clinical and • Press UNDO to display the list of the available observations
System Settings” section for for this field. With the trackball select the desired one and
further information on press ENTER to confirm.
observations configuration.
To exit the report, press REPORT again.

End of the Report

At the end of the exam the report is automatically closed. When the exam is
reviewed from the archive, a new report is created with the same patient data and
the measurements performed in archive review.

The status of the new report stays open when exiting from archive review. This
means that the report is updated with new measurements whenever the same exam
is reviewed from the archive. When a parameter is measured more times, the old
value is overwritten.

END REPORT closes the report when pressed.

PREVIOUS REPORTS allows to review the previous reports: once pressed

MyLab displays the closed reports that can be browsed one by one through the
upper combo box.

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5-4
 6
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

6 - Setting Up
Measurements
This chapter explains how to configure the measurements.

GS It is possible to assign specific measurement configurations to a preset (or clinical

setting). Refer to the “Getting Started” manual for further information on clinical
settings.

Accessing to the Configuration Menu

CALCULATIONS
The measurement configuration menu is an option of the MENU key
(“MEASURE” option). The menu is organized in two main areas: the list of all
saved customized calculations packages for each application on the left and the
measurement configuration menu on the right.

Measurement
Configuration Menu

The measurement configuration menu depends on what is selected on the left list,
whether an application or a customized calculation package or the “ALL
APPLICATIONS” option.

Menu with selected The menu allows the user to configure the measurements of the selected
application application. The menu allows:

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• to enable/disable single measurements in a group or groups

of measurements,

• to configure the generic measurements,

• to set the measure units,

• to set the printing configuration of the report and other

application specific settings,

• to create custom groups and measurements (refer to next

chapter for detailed information).

Menu with selected The menu allows:

customized packages
• to create a customized calculation package for the selected
application,

• to delete the customized package.

ALL The menu allows to set parameters that affect all measurements.
APPLICATIONS
Menu

To access to the configuration menu, press:

• the EDIT button to modify the configuration of the selected

option. Alternatively position the cursor on the desired option
and press ENTER twice to select it.

• the CLONE button to copy a saved customized package and

then modify it to create a new customized package. When no
customized package is listed, this button is replaced by the
NEW button.

The REMOVE button deletes the selected customized package.

Configuration of Application Measurements

The measurement configuration menu is organized in internal folders, selectable
using the tabs displayed on the top of the menu.

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CALCULATIONS
SAVE saves the settings; they will be activated at the next exam.

CANCEL exits the menu without saving the new settings.

Folder of Application Measurements

This folder allows to enable/disable single measurements or groups of

measurements and to enable/disable the average and absolute velocity values.

The measurements configuration menu shows:

Refer to the dedicated • on the right, under the FACTORY tab, the list of all the
application sections for groups available in each mode of the selected application
detailed information on the (displayed on the top of the list).
available measurements.
• on the right, under the CUSTOM tab, the list of all the
custom groups. Refer to next chapter for detailed
information.

• in the center, the organization of the selected group (that

contains the measures that can be performed and how, the
disabled ones and the corresponding results).

The group can be selected either by scrolling the right list with the trackball or by
entering searching criteria in the “SEARCH” field.

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To select a measurement, place the cursor on it and press ENTER: MyLab shows the
group organization.

Enabling and The “MODE” field enables (ON) or disables (OFF) both the group and the single
Disabling a Group or parameters.
a Parameter

The group is displayed (that is available by pressing MEASURE) when the

“MODE” field is set to ON.

For each parameter, the user can define the activation mode:

• AUTO means that the parameter is included in the automatic

measurement sequence, which the system manages when
measurements are activated through the group title.

• ON means that a parameter will only be activated if manually

selected.

Note
AUTO for a derived parameter (that is not calculated but derived
from a formula) means that this parameter will automatically be
calculated and updated on the report page as soon as basic
measurements have been performed.

• CONTINGENT is available for Doppler parameters. This

option allows the user both to directly measure the single
parameter and to automatically calculate it from the flow
profile. Parameters set on ON and CONTINGENT will be
displayed in the group, to allow their selection for a direct
measurement.

“WS” and “PL” boxes The group and the single parameter are included in the worksheet and can be
printed when the corresponding boxes (“WS” and “PL”) are checked.

Enabling Average When the “Enable Application Average” option, displayed on the top of the
screen, is checked, it activates the average for all application measurements (except
generic measurements).

Enabling Absolute When the “Enable Absolute Velocities” option, displayed on the top of the screen,
Velocities is checked, it activates the display of the absolute velocities values in Doppler
measurements. In particular, when absolute velocities are enabled:

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 MyLab - A D V A N C E D O P E R A T I O N S

• velocity and acceleration measurements are always positive,

regardless the position of the cursor on the trace (up or
below the baseline),

• derived parameters, such as Resistive Index and Pulsatility

Index, are not affected by this setting,

• averaged measurements are evaluated using the positive

values.

Folder of Generic Measurements

This folder allows to customize the generic measurements (available by pressing

+...+) for each application.

CALCULATIONS
The measurement configuration menu shows:

Refer to the previous • on the right the list of all available measurements for the
chapters in this section for selected mode.
the list of the available
generic measurements. • In the center the touchscreen lay-out. Each mode (selectable
by the corresponding tab) has its dedicated touchscreen.

To customize the generic measurement, follow this procedure:

Procedure • Using the trackball select the desired mode by clicking on the
corresponding tab: the list of available measurements is
updated.

• Using the trackball select the desired measurement from the

right list. By keeping the ENTER key pressed, drag and drop it
in the desired position of the touchscreen. All measurements
already moved to the touchscreen are displayed in grey in the
right list.

• Using the trackball select the default measurement

(“DEFAULT MEASURE” field) that will be active upon
activation of the generic measurement. If option “NONE” is
chosen, no measurement will be active when the +...+ key is
pressed.

“ENABLE AUTO-REPEAT” field enables the automatic repetition of distance

measurement in B-Mode and of velocity measurement when in Doppler.

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Folder of Measure Units

This folder allows to set the desired measure units for each type of measure and
the cursor to be used in Doppler and M-Mode.

Advanced Folder

This folder allows to set the printing configuration of the report.

Report Print Action

FACTORY The measurements in the report are factory-

organized.

BY GROUP The measurements in the report are organized by

group.

BY MODE The measurements in the report are organized by

mode.

Specific settings may be required by some applications. Refer to the application

sections for further information.

Customization of Calculations Package

When a customized calculations package is selected on the left list, the
configuration menu shows:

• on the right the list of all available measurement groups in

each mode for the selected application;

• in the center the touchscreen layout. Each mode (selectable

by the corresponding tab) has its dedicated touchscreen;

• on the bottom the fields used to name and describe the

customized calculation package.

Note
Calculations packages can be customized by adding or removing
groups of measurements. Single measurements cannot be added or
removed from the customized calculations packages.

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CALCULATIONS
SAVE saves the settings so that they are immediately active.

CANCEL exits the menu without saving the new settings.

WARNING The user is the only responsible when using customized measurements
and formulas.

How to Customize a Calculation Package

To create a customize package follow the procedure below:

Procedure • to create a completely new package, select the desired

application from the list on the left and press the NEW
button to add the new customized package,

• to create a new package starting from an existing one, select it

from the list on the left and press the CLONE button to add
the new customized package,

• place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field),

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MyLab - A D V A N C E D O P E R A T I O N S

• using the trackball select the desired mode by clicking on the

corresponding tab: the list of the available groups is updated,

• using the trackball select the desired group from the list on
the right. The group can be selected either by scrolling the list
with the trackball or by entering searching criteria in the
“SEARCH” field,

• by keeping the ENTER key pressed, drag and drop the group
into the desired position of the touchscreen. All groups
already moved in the touchscreen are displayed in gray,

Note
When a group is bilateral, it is shown with the right (R) suffix: when
selected, it will be automatically activated also for the left side.

Note
When a multi-mode group (group requiring measures in different
modes, such as the PISA group in cardiac application) is selected, it
is automatically shown in the touchscreen of each required mode.

• for each mode, the groups can be organized in different

levels: select first the desired page (PAGE # button) using
the trackball and then drag and drop the group into the
desired position. Measurements organized in more pages (or
levels) will be scrolled using the S C R O L L rotating key.

Repeat the procedure to add other groups.

Configuration of ALL APPLICATIONS Option

This option allows to set the size of the font used to display the generic
measurements on the left side of the screen.

The default size is 14 that allows to display each measurement in one line.

When the enlargement is enabled, the size is 18 and each measurement is displayed
in two lines.

Organization of Measurements
Both generic and advanced measurements can be freely positioned within the
touchscreen.

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 MyLab - A D V A N C E D O P E R A T I O N S

Moving a Select the measurement/group with the trackball and by keeping the ENTER key
Measurement/ pressed, move it on the desired position. Release ENTER to confirm.
Group

Deleting a Place the cursor on the measurement/group to be removed and by keeping the
Measurement/ ENTER key pressed, drop it into the waste bin.
Group

Measurements Factory Settings

When the application is selected, the menu allows to retrieve the factory calculation
packages for this application.

FACTORY restores the default measurement packages of the selected

application.

Note

CALCULATIONS
This operation retrieves all factory calculation packages and deletes
all user customized calculation packages saved for that
application.

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 7
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

7 - Custom Groups and

Measurements
Refer to Obstetrics Section This chapter explains how to configure a customized group and measurement.
for information on custom
tables. Accessing to the Configuration Menu
The Application Measurement configuration menu shows on the right side of the
screen the CUSTOM tab, displayed in the figure below.

CALCULATIONS
To access to the configuration menu, press:

• the NEW GROUP button to create a custom group,

• the EDIT button to modify the selected custom group.

DELETE button deletes the selected custom group.

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Configuration of Custom Measurement

When NEW GROUP button is pressed the system displays the following
menu that allows to create a custom measurement group:

Field Action

MODE Sets in which mode the custom group is available.

NAME Sets the name of the custom group.

ABBREV Sets the abbreviation of the custom group.

LATERALITY Sets if the custom group is bilateral; in this case two

different labels has to be set for the left and right
group.a
a. It is strongly suggested to use self-explanatory names and
abbreviations for lateral group (for example using the suffixes “L”
and “R” respectively for left and right groups).

Once all the fields have been set, the system displays the following menu:

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CALCULATIONS
The configuration menu shows:

• on the left the list of the available generic measurements in

each mode,

• on the bottom left side the buttons to add a new

measurement and a new formula,

• in the center the menu to configure the custom group.

The group can be composed of up to twenty different measurements (indicated by

the counter displayed on the upper right side).

To add measurements to the custom group, follow the following procedure:

Procedure • Select the desired generic measurement from the left list and
either press ADD MEASUREMENT button or press
ENTER twice to display the measurement in the configuration
menu.

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MyLab - A D V A N C E D O P E R A T I O N S

• Using the alphanumeric keyboard, assign a name, an

abbreviation and a label to any item composing the custom
measurement.

Note
If the measurement is bilateral, it strongly suggested to use self-
explanatory names and abbreviations (for example using the
suffixes “L” and “R” respectively for left and right
measurement)

• If the measurement requires suspension (that is it requires to

temporarily stop its execution for the selection either of a
different frame or of a different mode) set the desired
modality:

Modality Action

NONE No suspension is required.

FRAME The custom measurement is suspended

for the selection of another frame of the
same loop. The system prompts a
message for the selection of a different
frame.

MODE The custom measurement is suspended

for activating a different mode. The
system prompts a message for the
activation of a different mode.
RESUME The custom measurement is activated in
a mode not valid for the custom
measurement. The systems resumes real
time to activate the correct mode.

OK saves the settings.

Note
The custom group will be available for measurements only after it
has been added in a calculations package (refer to previous chapter
for information on how to configure a calculations package).

CANCEL exits the menu without saving the settings.

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Adding a Formula

ADD FORMULA button allows to add a custom formula for the custom
measurement. When the button is pressed, a new row (Fn) is added to custom
measurements list, as shown in the figure below.

CALCULATIONS
A name, an abbreviation and a label can be assigned to the new formula using
the same rules explained above.

EDIT FORMULA button opens the menu to enter the desired formula.

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The menu is organized in four main area:

• in the upper left side the section where the custom formula is
displayed,

• the MEASURE section where the custom measurements

composing the custom group are listed,

• the PATIENT DATA section where the patient and

application data are listed,

• the field to select whether the result of the formula has a

dimension or not,

• the numeric and mathematical operator keyboard.

To add a new formula, follow the following procedure:

Procedure • Use the trackball to select the desired digit or mathematical

operator and press ENTER to display it on the custom
formula field.

Note
Digit and mathematical operator can be added to the formula only
through the numeric and mathematical operator keyboard.

• If required, select the desired custom measurement from the

list and either press ADD MEASUREMENT button or
press ENTER twice to display it on the FORMULA field.

• If required, select the desired patient and application data and

press ENTER twice to display them on the FORMULA field.

• When necessary, set the unit measure of the parameters

composing the formula, selecting it from the combo box
displayed beside the single parameter.

• Set whether the result of the formula has a dimension or not.

• Press VERIFICATION button to verify the formula

congruence. When a formula modification is required, the
part to be changed is highlighted.

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The table below lists the available mathematical operators:

Operator Action

SIN and ASIN Sinus and Arc Sine

COS and ACOS Cosine and Arc Cosine

TAN and ATAN Tangent and Arc Tangent

LOG and LN Logarithm and Natural Logarithm

EXP en

X^Y XY

SQRT Square root

Π Pi

CALCULATIONS
e Euler number

RND UP Rounding up the number

RND DOWN Rounding down the number

ABS Absolute value

BACK and DEL Respectively delete what is before or after the

cursor.

 and  They allow to scroll the formula.

OK saves the settings.

CANCEL exits the menu without saving the settings.

Organization of Measurements
The measurements can be freely positioned within the custom group.

Moving a Select the measurement with the trackball and press ENTER. Move it inside the list
Measurement using the arrow buttons displayed on the right side of the menu.

Deleting a Place the cursor on the measurement to be removed and press ENTER. Place the
Measurement cursor on the waste bin and press ENTER to cancel it.

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Identification of the Custom Measurements

Groups
Screen Custom measurement groups performed during the exam are identified using the
characters in Italic. As for the standard measurements the results are displayed on
the left side of the screen.

Worksheet When custom measurements have been performed during an exam, the worksheet
has dedicated pages indicated by specific tabs. Based on the mode where the
measurements have been taken, the tab reports the suffix CUST plus the mode
itself (for example CUST B-MODE).

Within the worksheet page the measurements are managed as the standard ones:
refer to the previous chapter for detailed information.

Report In the report print all custom measurement groups performed during the exam are
identified using the characters in Italic.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

8 - Accuracy
This chapter regards measurement accuracy.

Measurement Accuracy
The table below reports each measurement accuracy as function of scales (column
“Accuracy”) and the worst case values (column “%”).

CALCULATIONS
Mode Calculation Accuracy %

2D Distance (mm) ±[1.5%Depth(mm)+0.1]mm ±5

Perimeter (mm) ±[6%Depth(mm)+1]mm ±5

Area (mm2) ±[1.5%(D1+D2)Depth(mm)+0.025% ±8

Depth(mm) +1]mm2

M-Mode full Distance (mm) ±[1%Depth(mm)+0.1]mm ±3

screen

Time (s) ±[1%Time(s)+0.005]s ±3

M-Mode split Distance (mm) ±[1.6%Depth(mm)+0.1]mm ±5

and dual screen

Time (s) ±[1%Time(s)+0.005]s ±3

Doppler full [Link] (m/s) ±[2%VR(m/s)+0.01]m/s ±6

screen

Time (s) ±[1%Time(s)+0.005]s ±3

Doppler split [Link] (m/s) ±[2.5%VR(m/s)+0.01]m/s ±8

and dual screen

Time (s) ±[1%Time(s)+0.005]s ±3

VR stands for Doppler velocity range.

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MyLab - A D V A N C E D O P E R A T I O N S

Note
If angle correction is used, a computation error of 0,1% must be
added to the accuracy of the Doppler measurements.

Worst case values are calculated with the following assumptions:

• measurement values equal to one third of the analysis depth

(for example: with a depth of 18 cm, a distance measurement
of 6 cm).

• ultrasound speed constant at 1540m/s.

Derived Data
Derived data can be calculated through the law of error propagation; worst case
accuracy, based on the above mentioned assumptions, is reported together with
the formulas.

To minimize the measurement uncertainty:

• select the optimal probe for the active application,

• optimize image quality,

• whenever possible, use the zoom function for maximum

resolution,

• optimize the probe alignment with the Doppler flow,

• position the measurements markers as much accurate as

possible.

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MyLab - A D V A N C E D O P E R A T I O N S
Appendix

A - Formulas of Generic
Calculations Package
This chapter lists when applicable, the formulas of the generic calculations package.

Formulas in B-Mode
Diameter Reduction

CALCULATIONS
Formula

%ST =
D
100 ⋅ 1 – ------1-
D0

D1: Residual diameter

D0: True diameter

Accuracy ±10%

Reference [Link] Felix Jr., “Noninvasive diagnosis of peripheral vascular disease”. In:
Raven Press, p.121

Length by Vertex

Formula

L=
Σ ( Ln )

Ln: Umpteenth length

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 MyLab - A D V A N C E D O P E R A T I O N S

Area by Ellipse Axes

Formula

A=
π⋅a⋅b

a: Major semi axis

b: Minor semi axis

Area Reduction

Formula

%ST =
A
100 ⋅ 1 – -----1-
A0

A1: Residual diameter

A0: True diameter

Accuracy ±16%

Reference [Link] Felix Jr., “Noninvasive diagnosis of peripheral vascular disease”. In:
Raven Press, p.122

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MyLab - A D V A N C E D O P E R A T I O N S

Volume by Ellipse

Formula

V=
4 2
--- ⋅ π ⋅ a ⋅ b
3

a: Major semi axis

b: Minor semi axis

Volume by Trace and by Area-Length

Formula

CALCULATIONS
V=
2
A
0, 85 ⋅ ------
D

A: Area

D: Diameter

Bi-Plane Volume

Formula

V=
π
--- ⋅ D 1 ⋅ D 2 ⋅ D 3
6

D1: First diameter

D2: Second diameter

D1: Third diameter

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 MyLab - A D V A N C E D O P E R A T I O N S

Formulas in Doppler
Gradient

Formula

G (mmHg) =
2
4⋅V

V: Velocity

Accuracy ±16%

Reference Weyman A, “Principles and Practice of Echocardiography”, Lea & Febiger, 1994.
p.516

Flow Velocity Integral

Formula

FVI (cm) =
Σ ( V i ⋅ ΔT )

Vi: Instant velocity

ΔT: Time interval

Accuracy ±8%

Mean Velocity

Formula

Vmn (m/s) =
FVI
----------
t

t: Flow duration

Accuracy: ±11%

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 MyLab - A D V A N C E D O P E R A T I O N S

Mean Gradient

Formula

Gmn (mmHg) =
2 2 2
[ 4 ⋅ ( V 1 + V 2 + …… + V n ) ]
-----------------------------------------------------------------------------
n

Vi: Instant velocity

Accuracy: ±11%

Reference Weyman A, “Principles and Practice of Echocardiography”, Lea & Febiger, 1994.
p.605

Pulsatility Index

CALCULATIONS
Formula

PI =
V p – V TD
------------------------
V mn
Applicable where the flow doesn’t go
through the baseline

PI =
V p – V rev
-----------------------
-
V mn
Applicable where the flow goes through the
baseline

VP: Peak velocity

VTD: Telediastolic velocity

Vrev: Reverse velocity

Vmn: Mean velocity

Accuracy ±27%

Reference Bardelli, Cominotto, Carretta, “High Blood Pressure & Cardiovascular

Prevention” In: The Official Journal of the Italian Society of Hypertension, 6: 48-63 1997

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 MyLab - A D V A N C E D O P E R A T I O N S

Resistive Index

Formula

RI =
V p – V TD
------------------------
VP
Applicable where the flow doesn’t go
through the baseline

RI =
V P – V rev
------------------------
VP
Applicable where the flow goes through the
baseline

VP: Peak velocity

VTD: Telediastolic velocity

Vev: Reverse velocity

Accuracy ±16%

Reference Bardelli, Cominotto, Carretta, “High Blood Pressure & Cardiovascular

Prevention” In: The Official Journal of the Italian Society of Hypertension, 6: 48-63 1997

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 MyLab - A D V A N C E D O P E R A T I O N S

Flow by Trace and by Ellipse

Formula

Flow (ml/s) =
V MT ⋅ A

TAV: Time average velocity

Α: Area by Trace or by Ellipse

Flow by Diameter

Formula Derived Parameters

CALCULATIONS
FS (ml/s)= A=
A ⋅ V MT D 2
Π ⋅ ⎛ ----⎞
⎝ 2⎠

TAV: Time average velocity D: Vessel diameter

Accuracy ±21%

Reference Nichols W., O'Rourke M., McDonald's, “Blood Flow in Arteries”, Edward Arnold
London, p. 204

Pressure Half Time

Formula

PHT (ms) =
V Max ⋅ ( 1 – 0,707 )
--------------------------------------------
-
Slope

Accuracy ±28%

Reference Hatle L., Angelsen B et al. “Noninvasive Assesment of Atrioventricular Pressure

Half-Time by Doppler Ultrasound” In: Circulation 60, n.5, 1979, pp 1096-1104

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A-8
 B
MyLab - A D V A N C E D O P E R A T I O N S
Appendix

B - Formulas of
Automatic Doppler
Measurements
This chapter lists when applicable, the formulas of the automatic Doppler
measurements.

Flow Velocity Integral

CALCULATIONS
Formula

FVI (cm) =
Σ ( V i ⋅ ΔT )

Vi: Instant velocity

ΔT: Time interval

Accuracy ±8%

Mean Velocity

Formula

Vmn (m/s) =
FVI
----------
t

t: Flow duration

Accuracy: ±11%

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 MyLab - A D V A N C E D O P E R A T I O N S

Pulsatility Index

Formula

PI =
V p – V TD
------------------------
V mn
Applicable where the flow doesn’t go through the
baseline

PI =
V p – V rev
-----------------------
-
V mn
Applicable where the flow goes through the baseline
VP: Peak velocity

VTD: Telediastolic velocity

Vrev: Reverse velocity

Vmn: Mean velocity

Accuracy ±27%

Reference Bardelli, Cominotto, Carretta, “High Blood Pressure & Cardiovascular

Prevention” In: The Official Journal of the Italian Society of Hypertension, 6: 48-63 1997

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 MyLab - A D V A N C E D O P E R A T I O N S

Resistive Index

Formula

RI =
V p – V TD
------------------------
VP
Applicable where the flow doesn’t go through the
baseline

RI =
V P – V rev
------------------------
VP
Applicable where the flow goes through the baseline

CALCULATIONS
VP: Peak velocity

VTD: Telediastolic velocity

Vrev: Reverse velocity

Accuracy ±16%

Reference Bardelli, Cominotto, Carretta, “High Blood Pressure & Cardiovascular

Prevention” In: The Official Journal of the Italian Society of Hypertension, 6: 48-63 1997

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MyLab - A D V A N C E D O P E R A T I O N S

ARCHIVE

This section explains how to use the archiving services offered by MyLab. The
section is organized as follows:

• Chapter 1: Digital Archiving

This chapter describes the digital archiving characteristics and explains how exams
are archived.

• Chapter 2: Revision of Archived Exams

This chapter explains how to review archived exams.

• Chapter 3: Visual Comparison

This chapter explains how to compare archived exams.

ARCHIVE
• Chapter 4: Archive Media Menus

This chapter explains how to use the menus of the archived icons.

• Chapter 5: MyLabDesk

This chapter explains what MyLabDesk is and how to use it.

• Appendix A: MyLab Desktop PC Requirements, Calculation

packages and Advanced Tools

This chapter details the suggested characteristics for the MyLab Desktop PC and
the available calculations packages and advanced tools.
MyLab - A D V A N C E D O P E R A T I O N S
MyLab - A D V A N C E D O P E R A T I O N S

Table of Contents
1 Digital Archiving ............................................................................... 1-1
Characteristics .......................................................................................1-1
Archive Icons.........................................................................................1-1
Archiving Exams ...................................................................................1-2
Archiving Media....................................................................................1-5
Writable CDs (CD R) .......................................................................1-5
Rewritable CDs (CD RW) ................................................................1-5
Double Layers DVDs ......................................................................1-5
Writable DVDs ................................................................................1-5
USB Media .......................................................................................1-5

2 How to Review Archived Exams.......................................................2-1

Access to the Archive............................................................................2-1
Exams Archive Icon .........................................................................2-2
Archive Touchscreen ........................................................................2-2
How to Select Exams ............................................................................2-3
Exam Exported on CD/DVD Medium .............................................2-4
Import Exams from the DICOM Database.......................................2-5
Query/Retrieve from PACS .........................................................2-6
Event Viewer Menu..........................................................................2-8
All Events Folder .........................................................................2-8
History of Selected Exams Folder ...............................................2-8
Back Up Reminder.......................................................................2-8
How to Review Archived Exams ..........................................................2-9

ARCHIVE
Review Touchscreen.........................................................................2-9
Image Post Processing (Raw Data from Archive)...............................2-11
Editing B-Mode Image/Clip ...........................................................2-12
Editing M-Mode Image/Clip ..........................................................2-12
Editing CFM Image/Clip ................................................................2-13
Editing Doppler Image/Clip ...........................................................2-13

3 Visual Comparison ............................................................................3-1

How to Activate Visual Comparison.....................................................3-1
Display Organization.............................................................................3-1
How to Compare Images and Clips.......................................................3-1
Visual Comparison Touchscreen......................................................3-3
Measurements in Visual Comparison...............................................3-4

4 Archive Media Menus........................................................................4-1

Hard Disk ..............................................................................................4-1
Operations.........................................................................................4-1
Retry Failed Operations....................................................................4-2

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MyLab - A D V A N C E D O P E R A T I O N S

Properties ..........................................................................................4-2
Delete Temporary Directories ..........................................................4-3
Show IP Address Info.......................................................................4-3
USB Medium.........................................................................................4-3
Properties ..........................................................................................4-3
Erase Device .....................................................................................4-4
Export Log File to USB....................................................................4-4
Burner ....................................................................................................4-4
Properties ..........................................................................................4-4
Erase CD/DVD .................................................................................4-4
Eject ..................................................................................................4-5
Network and DICOM ............................................................................4-5
Retry Failed Operations....................................................................4-5

5 MyLabDesk .......................................................................................5-1
Intended Use..........................................................................................5-1
MyLabDesk Description .......................................................................5-1
MyLabDesk Installation ........................................................................5-3
Installation on PC with Windows 8 and 8.1 .....................................5-4
Information about the Screen ................................................................5-4
How to Import Exams ...........................................................................5-5
Complex Measurements ........................................................................5-6
Menu Options ........................................................................................5-6
DICOM Configuration......................................................................5-6
General Configuration ......................................................................5-6
System Info.......................................................................................5-7
Navigation .............................................................................................5-7

A PC Requirements, Calculations Package and Advanced Tools of

MyLabDesk............................................................................................A-1
PC Requirements .................................................................................. A-1
Operating Systems ........................................................................... A-1
Minimum PC Requirements ............................................................ A-1
Minimum PC Requirements for Basic Usage (MyLabDesk Lite) .. A-2
Recommended PC Requirements .................................................... A-2
Tested Video Cards.......................................................................... A-2
Calculations Packages and Advanced Tools ........................................ A-3

2
 1
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

1 - Digital Archiving
This chapter describes the digital archiving characteristics and explains how to
archive exams.

Characteristics
Refer to the “Clinical and The system is equipped with an internal hard disk (local archive) where exams can
System Settings” section for be archived. Data can also be stored on the external media listed below.
further information on
exporting settings for Data can be archived both in native format, in DICOM format (for systems
external media. equipped with a DICOM licence) and exported as single frames and AVI files
(refer to the “Getting Started” manual for information on supported images and
clip formats). Exported data cannot be reviewed by the system.

Archive Icons
The icons identifying archiving media are displayed on the left of the footer bar.

Hard Disk USB Medium Burner Network DICOM

ARCHIVE
The icon marked with an “X” indicates that there are problems in the
management of that specific archiving medium. When this occurs, check the
“OPERATIONS” menu (see next chapters for further information).
When background operations are running, the corresponding icon is filled with
color and the screen indicates the remaining time. The color disappears once the
operation is over.

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 MyLab - A D V A N C E D O P E R A T I O N S

Note
During burning procedures, the burner icon turns yellow to
inform the operator that the system might be slowed down during
the burning initial phase. This phase lasts a few seconds.

When clicking on the icon MyLab displays the status of the operations.

Refer to next chapters for

further details on how to
check each operation status. Note
Do not switch the system off or remove the archiving medium
while saving; this could cause damages to data or to the hard disk.

Before removing the archiving medium, check that the remaining

time is over.

Archiving Exams
During the exam, still images and clips (in 2D and color formats) are saved into
the system hard disk. Still images can be exported on external media with full
(BMP format) or compressed resolution (PNG and JPEG formats); clips are
compressed. The system menu allows to set the clip duration.

Data are archived at the end of the exam by pressing the END EXAM key.

Note
When the system is switched on, it archives the last exam
performed, if the machine was switched off without first closing
the exam underway.

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 MyLab - A D V A N C E D O P E R A T I O N S

End Exam Screen

The “TIME” field shows the estimated time for the operation, the “SIZE” field
shows the estimated size of data.

Before archiving, the patient’s data can be made anonymous.

Note
The native format of the exam can not be made anonymous.

The exam can be:

ARCHIVE
• archived in native format in the local archive and on an
external medium (“NATIVE” area),

• exported in multimedia formats on an external medium

(“MULTIMEDIA” area),

• exported in DICOM format on an external medium

(“DICOM” area).

The corresponding report can be simultaneously saved on an external medium in

pdf format.

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 MyLab - A D V A N C E D O P E R A T I O N S

The following media can be selected for archiving and exporting operations:

Native Other
Medium
Format Formats

Internal Hard Disk Yes No

CD (R and RW) Yes Yes

DVD (+R, -R, single layer) Yes Yes

USB Medium Yes Yes

Network directory Yes Yes

DICOM Storage Server No Yes (only in

DICOM
format)

Selection can be made either by checking the desired destinations in the End
Exam screen using the trackball or by pressing the buttons in the touchscreen.

When the exam is archived on CD or DVD in DICOM format, the DVLite1

viewer is automatically stored in the medium, allowing the user to review the
exams on any PC.

CAUTION The system is equipped with several USB ports. Insert only one USB
medium in one of the ports while archiving or exporting data.

Note
When wireless connection is active, the exams ought to be
archived in a network directory only when the Signal Strength level
is higher than 80%: the operation could fail when the signal level is
below this threshold. Refer to “Clinical and System Settings”
section of this manual for further information on wireless
connection.

Exported exams are organized in folders: each exam is included in a specific

folder with its images, clips and report.

1. DVLite is a DICOM viewer developed by Esaote.

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MyLab - A D V A N C E D O P E R A T I O N S

If no option is selected in the End Exam screen, all stored data are deleted.

Press OK to start the procedure. Instruction messages will open if there are any
user or system errors. Archiving is always carried out in “background”, therefore
real time can be reactivated almost immediately. While data are being transferred,
the icon is filled with color; when color disappears the archiving procedure is over.

When the free disk space is lower than 10GB, the system displays a warning
message to alert the user. In this case, back the archive up and then delete exams
from the internal data base.

Archiving Media
Writable CDs (CD R)

Empty disks must be used. If the CD contains data, the system will not allow it to
be written.

Insert an empty disk and press OK to continue.

Rewritable CDs (CD RW)

Rewritable CDs can be used to archive data as far as they are empty.

Double Layers DVDs

ARCHIVE
Double Layers DVDs are NOT supported by MyLab systems.

Writable DVDs

Empty disks must be used. If the DVD contains data, the system will not allow it
to be written.

USB Media

USB keys are managed as multi-session: data can be added to the ones already
available.

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MyLab - A D V A N C E D O P E R A T I O N S

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 2
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

2 - How to Review
Archived Exams
This chapter explains how to review archived exams.

Access to the Archive

Images can be reloaded for each patient and a specific exam can be reviewed.
Specific measurements can be taken and saved on the reloaded images.

The ARCHIVE key displays the following window:

Main Archive Menu

ARCHIVE
The current exam is displayed on the top of the list of archived exams. Archived
exams follow in alphabetic order.
The folder symbol, when shown on the archived exams list, indicates that the
corresponding exam contained images/clips.

The thumbnail of the selected exam is displayed on the right side of the screen:
when more exams are selected, the thumbnail corresponds to the last selected
exam.
This icon is displayed on the footer area whenever a read-only exam is selected. An
exam could be read-only either because it is archived on CD/DVD or because an

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MyLab - A D V A N C E D O P E R A T I O N S

operation is still in progress on the selected exam. In the latter case click on the
corresponding icon to display the status of the operations.

Exams Archive Icon

When the system accesses the archive, the header bar shows on the right the
following icons:

Local USB Media Network

Archive Archive Archive Archive

The selected archive is displayed on a brighter background, available archives on a

darker background. To activate the archive, position the cursor on the desired icon
and press ENTER.

Archive Touchscreen

The ARCH M AN AGER touchscreen displays the following buttons and toggle
knobs:

QUERY TODAY YESTERDAY

IMPORT DICOM
RESET EXPORT
DB

BACK UP
OPEN DEL EXAMS
REMINDER

SELECT ALL
SELECT PAGE SELECT INTERVAL
EXAMS

NO SELECTION ITEM PAGE

REBUILD ARCH EXAMS NOT

ROW
IDX ARCHIVED

EVENT VIEWER

The A D V > > / B A S I C < < button scrolls the menu.

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 MyLab - A D V A N C E D O P E R A T I O N S

SELECT ARCHIVE touchscreen displays the buttons to select the available

archiving media (for example local archive, DVD) and the button to browse
directories.

How to Select Exams

Once the proper archive has been selected, the listed exams contain the following
data:

• The patient’s name,

• The exam number (PATIENT ID),

• The exam type (for example cardiology, vascular),

• The exam date and time.

The exams to be reviewed can be directly selected either by placing the cursor on
them (or on the corresponding thumbnails) and by pressing ENTER to confirm or
by using advanced searching criteria. Selected exams are highlighted.

MyLab allows the multiple selection of exams: the ACTION key can be used both
to select single exams and to select groups of exams.

Selection of Single Exams Place the cursor on the exam and press ACTION. Move the cursor on the next
exam to be selected and press ACTION again. Repeat the operation to select all the

ARCHIVE
desired exams.

Alternatively, if possible, move the cursor using the trackball, press the Ctrl and
ENTER key simultaneously to select single exams.

Selection of Groups of Place the cursor on the first exam and press ACTION. By keeping this key pressed,
Exams move the cursor on the last exam of the interval and release then the ACTION key:
all exams located between the first and the last one will be automatically selected.

Alternatively, if possible, move the cursor using the trackball, press the ÏShift and
ENTER key simultaneously to select groups of exams.

Advanced When the “EXAM DESCRIPTION” field in the Patient ID page has been filled,
Searching Criteria MyLab offers a quick search criteria for the corresponding exams: by typing the first
description letters, MyLab automatically lists all the exams matching the criteria.

TODAY lists the exams archived today.

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 MyLab - A D V A N C E D O P E R A T I O N S

YESTERDAY lists the exams archived yesterday.

QUERY allows the user to selectively review the exams by setting search criteria
such as patient’s name or date of birth. Use the trackball and the alphanumeric
keyboard to enter search criteria in the fields and press ENTER to activate the
search. A list of exams satisfying the set criteria appears on the screen at the end of
the search.

RESET deletes the set search criteria.

PAGE and I T E M toggle respectively scroll down the entire page, if the list is
longer than one page, or exam by exam.

ROW scrolls down the page row by row.

SELECT ALL EXAMS selects all exams.

SELECT PAGE selects the exams displayed in the current page.

SELECT INTERVAL selects more than one exam: using the trackball position the
cursor on the first exam and press the ENTER key. Place then the cursor on the last
exam and press ENTER again. Alternatively, if possible, move the cursor using the
trackball, press the ÏShift and ENTER key simultaneously.

NO SELECTION deselects the selected exams.

DEL EXAMS deletes the selected exams from the archive.

Import and Export EXPORT saves the selected exams both in native and in other formats (BMP,
Functionality PNG or JPEG for single frames and AVI for clips in Multimedia option and in
DICOM format) on external media. Media can be selected directly on the
touchscreen or by checking the desired boxes on the screen with the trackball and
the ENTER key. Data can be made anonymous in both formats.

Before exporting the selected exams, MyLab estimates the files size and the time
necessary for the transfer. The displayed estimation allows the user to check
whether there’s enough space on the destination medium. Exam reports are
exported in pdf format.

Exam Exported on CD/DVD Medium

CD/DVD are not managed in multi-session: only one burning operation at a time
can be activated.

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 MyLab - A D V A N C E D O P E R A T I O N S

When the exam is exported to a CD/DVD medium, the system will be inoperative
during the burning procedure. The system displays the following message:

Warning:
One of selected destinations is CD/DVD;
during CD/DVD operations, the user interaction
will be stopped.
Do you want to continue?

The duration of the burning procedure corresponds to the estimated time for the
selected CD/DVD operation.

Press NO to end the procedure.

The burning procedure starts as soon as the YES button is pressed. The system
displays a waiting icon and the following message:

A burning procedure is in progress.

Pressing CANCEL the operation stops.
Warning: the CD/DVD may be unusable.

The procedure can be stopped at any time by pressing the CANCEL button. In
this case the CD/DVD is unusable.

ARCHIVE
Import Exams from the DICOM Database

Refer to the “Clinical and IMPORT DICOM DB allows to import into the local archive ultrasound exams
System Settings” section in saved in DICOM format from USB, CD/DVD, Network folders and PACS
this manual for the when it has been configured.
DICOM configuration.
Note
Before importing exams archived on other MyLab systems, verify
that DICOM data have been exported with specific DICOM
settings (header and report) from Esaote systems. Contact Esaote
personnel for all information on compatible Esaote systems and on
how to correctly import these databases.

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MyLab - A D V A N C E D O P E R A T I O N S

Note
Imported DICOM exams can be reviewed and XStrain analyzed
(contact Esaote personnel for more information on the Esaote
systems that are compatible with the Strain analysis). A cross is
displayed in the exam list to indicate that the corresponding exam
has been DICOM imported.

The image quality of the imported DICOM data is strictly

correlated to the compression level set on MyLab Esaote systems.
Esaote recommends to use at least high-level quality and, for
XStrain processing, mandatory uncompressed.

Query/Retrieve from PACS

When the importing procedure from PACS is selected, the system displays the
following controls:

CANCEL YESTERDAY

RETRIEVE RESET QUERY

QUERY TODAY

QUERY allows the user to selectively review the exams by setting search criteria
such as patient’s name or date of birth. Use the trackball and the alphanumeric
keyboard to enter search criteria in the fields and press ENTER to activate the
search. A list of exams satisfying the set criteria appears on the screen at the end of
the search.

RESET QUERY resets the query parameters.

TODAY lists the exams archived today.

YESTERDAY lists the exams archived yesterday.

CANCEL exits from Query/Retrieve.

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 MyLab - A D V A N C E D O P E R A T I O N S

RETRIEVE loads the selected exams on the MyLab archive from PACS.

Note
Only ultrasound images can be downloaded from PACS and it is
not possible to perform measures on them.

At the end of the copy, the key C A N C E L has to be pressed in order

to exit from Query/Retrieve.

WARNING
WARNING This symbol is displayed on the screen when the loaded image size is
slightly bigger than the display area, for this reason part of the original
image is not shown. Use the P A N key to display the missing part.

Management of the R E B U I L D A R C H I D X allows rebuilding the index of the archive, if the archive is
Archive corrupted. The archive index can be rebuilt both for the internal and for external
archive, such as external USB hard disk.

WARNING Do not switch the unit off while performing this procedure. The hard disk
could be permanently damaged.

E X A M S N O T A R C H I V E D shows the list of exams that have been performed and

ARCHIVE
not archived into the local database. From this window, the user can select the
exams to be saved on the local hard disk (R E S T O R E button) and delete not saved
exams.

Note
The available memory size for the exams which have not been
archived depends upon the archive size. When the memory is full,
the list is updated by deleting the oldest exams. Typically, about 100
exams can be kept on this list.

E V E N T V I E W E R opens a dedicated menu where the operations done on the

exams, saved in the local archive, can be sorted according to advanced searching
criteria.

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Event Viewer Menu

The viewer menu is organized with internal folders, selectable either using the tabs
displayed on the top of the menu or by pressing the corresponding buttons on the
touchscreen.

Press either ARCHIVE or B A C K TO EXAM LIST button to exit from the viewer
menu.

All Events Folder

This folder displays the list of all the exams where at least one operation (for
instance modifying the report or printing an image) has been done.

The exams are listed with additional information compared with main archive
menu. Information on the type of operation, the status and the final destination are
added. These parameters offer additional searching criteria as listed in the table
below.

Field Searching criteria

TYPE Sets the type of exams to be searched (for example

all DICOM exams, all printed exams).

STATUS Sets the status of the performed operations to be

searched (for example all completed operations, all
failed operations).

DESTINATION Sets the destination to be searched.

Set the searching criteria in the corresponding field; multiple criteria can be used
for the exams selection.

History of Selected Exams Folder

The history of the exams, selected in the main archive menu, is displayed in this
folder.

Back Up Reminder
This folder displays the list of all the exams where no operation has been done
according to the set searching criteria.

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The searching criteria that can be set are:

Field Searching criteria

TYPE Sets the type of exams to be searched (for example

all DICOM exams).

DESTINATION Sets the destination to be searched.

Set the searching criteria in the corresponding field; multiple criteria can be used
for the exams selection.

How to Review Archived Exams

O P E N automatically displays the selected exam(s). The system automatically
displays the first exam, showing its related thumbnails. The selected image or
sequence is shown on the screen and its thumbnail is contoured by a frame. Clips
are played in motion.

When more exams have been selected, the tabs displayed above the thumbnails
columns allows to browse the data of the reviewed exams. To display a thumbnail
full screen, place the cursor on the desired thumbnail and press ENTER.

Reloaded images can be printed.

Any performed annotation (adding both text and bodymark) on the reviewed

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exam is automatically saved with it. To remove the annotation press DELETE ALL
button before closing the archived exam revision.

See the “Calculations” Measures can be done on the archived images and sequences. The performed
section for information on measurements are saved on the report, they are not stored on the image itself.
taking measurements.
Review Touchscreen

The menu includes the following buttons:

BACK TO
EDIT ATTACH
ACQUISITION

CLOSE EXAM DELETE IMAGES OPENED EXAMS

EXPORT PLAY/STOP FIRST FRAME

LAST FRAME FRAME SPEED

ITEM PAGE ROW

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EXAM

EXAM and I T E M respectively scroll the exams (when more exams are reviewed)
and the thumbnails.

OPENED EXAMS shows the buttons to scroll the opened exams: each button is
named with the patient name and exam date.

CLOSE EXAM closes the selected exam.

PAGE allows the user to scroll the thumbnails if the selected exam has more than
16 stored images or clips: when pressing this button, the system skips to the next
16 thumbnails. Alternatively, the trackball can be used.

ROW allows the user to scroll a row of the thumbnails list.

STOP de-activates the playing presentation and allows the sequence to be scrolled
image-by-image, using the trackball.

PLAY activates the sequence playing presentation.

SPEED shows the sequence at different speeds.

FIRST FRAME and L A S T F R A M E respectively position the scroll memory

cursor at the begin and at the end of the selected sequence.

FRAME scrolls the memory frame by frame.

ATTACH attaches the selected image to the report; in this case this icon is
displayed in the footer area of the screen, whenever the user reviews an image
attached to the report.

EXPORT exports the selected image/clip in multimedia formats on an external

medium.

DELETE IMAGES deletes the selected images and sequences.

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When in archive review, both still frames and clips can be saved following the same
procedures used in real time and Freeze.

Note
When an image/clip has been saved from an archived image/clip,
the date for this saved image/clip starts with * to identify it from the
original one.

Multiple Selection To speed up exporting and deleting operations, MyLab allows the multiple selection
of Images and Clips of images and clips using the same procedures described for multiple selection of
exams in Archive Review.

Selection of Single Place the cursor on the first thumbnail and press ACTION. Move the cursor on the
Thumbnails next thumbnail to be selected and press ACTION again. Repeat the operation to
select all the desired thumbnails.

Alternatively, if possible, move the cursor using the trackball, press the Ctrl and
ENTER key simultaneously to select single thumbnails.

Selection of Groups of Place the cursor on the first thumbnail and press ACTION. By keeping this key
Thumbnails pressed, move the cursor on the last thumbnail in the interval and the release the
ACTION key: all images located between the first and the last thumbnail will be
automatically selected.

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Alternatively move the cursor using the trackball, press the ÏShift and ENTER key
simultaneously to select groups of thumbnails.

REPO RT button can be pressed at any time to display the archived report.

BACK TO ACQUISITION exits from revision displaying a frozen image of the

current exam.

Press either ARCHIVE to exit from the review menu.

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Image Post Processing (Raw Data from

Archive)
Clips acquired in Retrospective mode, clips of trace and single image can be post
processed both in Exam Review and in Archive Review when saved in raw data
format.

Note
Raw Data from Archive is an optional feature requiring a specific
licence that allows to save clips/images in raw data format.

Clips acquired in retrospective mode, clips of trace and single

images can be post processed only if acquired in systems with the
installed Raw Data from Archive licence.

The thumbnails of the clips/images saved in raw data format are identified by the
green counter, displayed on the right bottom side of the thumbnail. All the other
thumbnails have a white counter.

EDIT button, active only when a clip/image saved in raw data has been selected,
enables post-processing operations that are related to the mode in which the
image/clip has been saved (B-Mode, CFM or Doppler).

This icon is displayed in the footer area when the post processing
session has been activated.

Note
In post processing it is possible to perform measurements on the
image while annotations, bodymarks, print and export are disabled.

The tables below list the controls available in every mode: refer to the “Image
Optimization and Annotations” section for detailed information on their
functionality.

IMAGE and ACQUIRE keys respectively allow to save the post processing changes
as single image and clip. The image/clip is not saved in raw data format.

CAN CEL button eliminates all post processing changes and reloads the original
acquired image/clip: the modifications done on the image/clip are lost if they are
not saved through the IMAGE and ACQUIRE keys.

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Editing B-Mode Image/Clip

GAIN and multi-format controls ( and keys) are enabled to post-

process B-Mode image. The touchscreen includes the following controls:

GRAY MAP REVERSE ORIENTATION

ZOOM CLIP DUR COLORIZE

Editing M-Mode Image/Clip

GAIN is enabled to post-process the M-Mode image. The touchscreen includes the
following controls:

GRAY MAP SWEEP ZOOM

FORMAT COLORIZE CLIP DUR

CMM

Editing CFM Image/Clip

The touchscreen includes the following controls:

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HIDE CFM REVERSE ORIENTATION

DUAL CFM BASELINE ZOOM

COLOR MAP

Editing Doppler Image/Clip

GAIN is enabled to post-process the Doppler image. The touchscreen includes the
following controls:

FREQUENCY
GRAY MAP REVERSE TRACE
SHIFT

BASELINE ANGLE FINE ADJ

ZOOM FORMAT SWEEP

COLORIZE CLIP DUR

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Chapter

3 - Visual Comparison
This chapter explains how to compare archived exams.

How to Activate Visual Comparison

Saved images and clips can be simultaneously compared both with each other (in
Exam Revision and in Archive Revision) and with archived images and clip of the
same patient or of other patients. Up to four different images and clips from
different exams can be compared.

C O M P A R E button, displayed on the TO O LS menu in Exam Review and Archive

Review, activates and de-activates the visual comparison modality.

Display Organization
In Visual Comparison the screen is divided in two (Dual format) or four (Quad
format) boxes. The boxes are organized in clockwise order: in Dual format the left
box is in the first; in the Quad format the upper left box is the first.

The box of the selected image or clip is highlighted by a yellow frame. The related

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patient data are displayed at the top of each box.

1X2 and 2X2 buttons respectively select to the Dual or the Quad displaying
format.
Depending on the selected displaying format, additional tabs are added to the
Touchscreen
Visual Comparison touchscreen (VIS CO M P tab). The first tab (indicated as 1)
Organization
select the first box and so on.

To select the desired image or clip, press the relevant tab or, alternatively, place the
cursor on the image and press ENTER.

How to Compare Images and Clips

Different modalities have to be followed to compare images and clips. These
modalities depend both whether the compared images/clips belonged to the same
patient or to different patients and whether the images and clips are archived in the
internal data base or not.

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Images and clips of Images and clips to be compared can belong to the same exam or to previously
the same patient saved exams that can be archived locally or on external media. In this latter case the
procedure to be followed is exactly the same of the comparison among different
patients (see further).

Once Visual Comparison modality has been activated, follow the procedure below
to add new images or clips:

• If necessary, select the desired displaying format.

• If the images/clips to be added belonged to the same exam:

• Scroll the thumbnails.

• Select the desired image or clip: the selected thumbnail is

contoured by a white frame.

• Place the cursor on the desired box in the image area and
press ENTER to confirm.

• If the images/clips to be added are archived in the internal

data base:

• Press Q U E R Y button.

• MyLab shows the list of all the archived exams of the

same patient.

• Using the trackball and the alphanumeric keyboard select

the exams to be added.

• Press OK to confirm.

• Scroll the thumbnail columns to select the desired exam.

• Scroll the thumbnails.

• Select the desired image or clip.

• Place the cursor on the desired box in the image area and
press ENTER to confirm.

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Images and clips of In this case the images and clips to be compared have to be opened before
the different activating the Visual Comparison modality.
patients

• Press ARCHIVE.

• Select the exams to be compared and open them.

• Press C O M P A R E to activate the Visual Comparison modality.

• If necessary, select the desired displaying format.

• Scroll the thumbnail columns to select the desired exam.

• Scroll the thumbnails.

• Select the desired image or clip.

• Place the cursor on the desired box in the image area and
press ENTER to confirm.

• Repeat the operation.

The thumbnails of the displayed images and clips are contoured by an orange
frame and are marked with the corresponding tab number.

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The selected image/clip on the main display is contoured by a yellow frame.

Visual Comparison Touchscreen

The menu of both the Visual Comparison tab and the additional tabs includes the
following buttons:

1X2 2X2 PAN

BEST SIZE QUERY OPENED EXAMS

CLOSE EXAM PLAY ALL STOP ALL

COMPARE FRAME PAGE

ROW EXAM ZOOM

PLAY/STOP FIRST FRAME LAST FRAME

PAN button moves the selected image or clip.

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ZOOM toggle activates the zoom function on the selected image: use the trackball
to adjust the enlargement factor.

BEST SIZE button acts on both panned and zoomed image/clip canceling all
modifications.

PLAY ALL and S T O P A L L buttons respectively display in cine mode and stop all
clips shown on the screen.

Refer to the previous paragraphs for information on all other controls.

Measurements in Visual Comparison

Generic measures (+…+ key) on single frames can be done on the 1x2 format:
MyLab automatically activates the generic measures available for the application of
the selected image.

Note
The performed measurements can not be added to the report.

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Chapter

4 - Archive Media Menus

This chapter explains how to display the menus of archiving media and how to use
them.

Hard Disk
The POINTER key allows the user to change the trackball operation from standard
to mouse mode.

To display the hard disk menu, position the pointer on the icon displayed in the
footer area and press the UNDO key:

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To select one of the items on the menu, position the pointer on the option and
press ENTER.

Operations

The Operations menu can be directly displayed by positioning the pointer on the
icon and by pressing ENTER.

The dialogue window displays the list of exams (in the “EXAM DESCRIPTION”
column), the type of operation, the destination, the operation status (completed, in
progress or failed) and the date and time of the operation.

The operations can be sorted by checking the different criteria boxes:

• ALL displays all operations.

• FAILED selects failed operations.

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• TO BE COMPLETED selects operations which still have

to be completed.

• EXCLUDE DONE TASKS displays all operations, except

the ones already completed.

TIME LEFT indicates the time necessary to complete all pending operations.

DONE indicates the percentage of completed operations.

The Operations touchscreen displays the following buttons:

ALL RETRY

FAILED DELETE

TO BE
ABORT
COMPLETED

EXCLUDE DONE
DETAILS
TASKS

RETRY repeats the operation selected with the trackball.

ABORT interrupts the operation selected with the trackball.

DELETE deletes the operation selected with the trackball.

DETAILS gives information on the error of the operation selected with the
trackball.
If one or more operations have failed, the icon is marked with an “X”. Select the
failed operation(s) and either retry it or delete it; the cross will disappear when no
failed operation is listed.

Retry Failed Operations

The system automatically repeats all failed operations. Position the cursor on the
option and press ENTER to repeat or delete.

Properties

This option shows the free space available in the internal hard disk, the whole disk
space and the used system memory.

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Note
When the free space is between 20 and 60% and, in any case, when
it is lower than 20%, make a copy of the archive and then delete all
copied exams to free space on the hard disk.

Delete Temporary Directories

Temporary directories are automatically created to be used as extra memory for

archiving operations such as DICOM conversion or exams copies. When the
archiving operations are particularly slow, the temporary directories can be deleted
to improve the performances.

Note
To avoid dealing with a slow archive, make periodical copies of it
and free some space in the internal hard disk by deleting the copied
exams.

Show IP Address Info

This option shows the set IP configuration both for wired and wireless
connections.

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USB Medium
Position the pointer on the icon and press the UNDO key. The system displays the
following menu:

To select one of the items on the menu, position the pointer on the option and
press ENTER.

Properties

This option indicates the size of the inserted medium and the amount of still free
space on it.

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Erase Device

This option is used to delete all data stored on the USB medium. Insert the USB
medium, select the option from the menu, place the cursor on field Yes and press
ENTER to begin the erasing procedure.

Export Log File to USB

This option allows the user to save the log files onto a USB key. To save the log
files, insert a USB medium into one of the two connectors and activate the
procedure.

For all other options the same instructions apply as the ones given for the hard
disk.

Burner
Position the pointer on the icon and press the UNDO key. The system displays the
following menu:

To select one of the items on the menu, position the pointer on the option and
press ENTER.

Properties

This option shows the properties of the disk inserted into the burner.

Erase CD/DVD

This option is used to delete all data stored on rewritable CD/DVDs. Insert the
CD/DVD in the burner, select the option from the menu, place the cursor on field
Yes and press ENTER to begin the erasing procedure.

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Eject

This option is used to eject CD/DVD from the burner.

For all other options apply the same instructions as the ones given for the hard
disk.

Network and DICOM

Position the pointer on the icon and press the UNDO key. The system displays the
menu showing the following options:

Retry Failed Operations

The system automatically repeats all failed operations. Position the cursor on the
option and press ENTER to repeat or delete.

For all other options apply the same instructions as the ones given for the hard
disk.

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Chapter

5 - MyLabDesk
This chapter explains how to install and use the MyLabDesk viewer.

Note
MyLabDesk has to be installed on a PC having specific
characteristics: refer to the Appendix A of this section for detailed
information.

Intended Use
The intended use of the viewer is to display the ultrasound studies stored within
the MyLab device. The Software is provided “AS IS”.

WARNING MyLabDesk has not to be used in order to take a medical decision, including
the interpretation for diagnostic purposes of any image, image detail or
image/data resulting from a post-processing elaboration of the original
image.

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Refer to the End User Licence Agreement, enclosed with the software, for further
details.

MyLabDesk Description
MyLabDesk, once installed on a PC, offers working procedures equivalent to what
has been described for MyLab1.

1. Appendix A lists the available advanced calculations and tools.

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MyLabDesk Display

MyLabDesk offers the MyLab major features for exam management: exams can be
archived and exported in native format and in DICOM format1; patient data can
be modified; measurements, annotations, body marks can be activated; images and
reports can be printed and advanced tools such as Stress Echo can be activated.

Note
Some advanced features require the specific licence to be installed.

Image Post Processing is not feasible on MyLabDesk.

WARNING Image and video compression methods or insufficient graphic board and
PC display performances might affect image quality: no diagnosis can be
based on measurements performed with MyLabDesk. Always compare the
values obtained with measurements directly performed on the structure
under exam with a MyLab system.

Note
The PC mouse works as a cursor in MyLabDesk. The left and right
keys are named ENTER and UNDO, as in the MyLab manuals.

1. Refer to Esaote DICOM conformance statement.

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MyLabDesk Installation
MyLabDesk set up is organized in two folders: the “Archive” folder, containing
copied exams, and the “MyLabDeskSetUp” folder with the installation files.

Note
It is highly recommended to assign a dedicated PC to MyLabDesk
to get optimal performances.

WARNING Do not place the PC with MyLabDesk within the patient’s area (1.5 m
distance - 2.5 m height).

Note
MyLabDesk installation is reserved to users with an Administrator
profile.

Procedure • Insert the medium containing the set up in the PC.

• Select the “MyLabDeskSetUp” folder out of the File

Management utility.

• Copy the folder into a local disk.

• Run the [Link] file.

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Note

Read carefully the EULA (End User Licence Agreement) before

proceeding with the installation.
Licence Agreement Before starting with the installation, the acceptance of the licence agreement is
required. The following software conditions are covered by the agreement

• Restrictions,

• Title,

• Confidentiality,

• Warranty Disclaimer,

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 MyLab - A D V A N C E D O P E R A T I O N S

• Limitation of Liability,

• Indemnify,

• Term,

• Miscellaneous.

The PC requirements are displayed soon after the agreement has been accepted.
The installation is guided by a wizard: follow the given instructions to successfully
complete the installation. At the end of the installation the PC is automatically re-
started.

Once the installation is over, the desktop will include the MyLabDesk icon.

Installation on PC with Windows 8 and 8.1

The MyLabDesk installation is interrupted if the application .NET Framework is

not installed on the PC. The PC shows the following message:

Select the option “Install this feature” and proceed with the Framework
installation. MyLabDesk installation will be automatically resumed as soon as the
feature installation is over.

Information about the Screen

GS The screen reproduces the MyLab working environment: the touchscreen controls
are re-organized to be displayed on the screen.

The thumbnail column and the Exam Management area are displayed on the right
side of the screen. The Image Parameters area is displayed at the bottom: the “+”

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and “-” buttons allow to scroll the controls displayed above. The control panel keys
required by MyLabDesk (such as ARCHIVE, CLIP) are displayed at the bottom of the
screen.

Note
MyLabDesk controls are indicated in this chapter using the same
graphical conventions of the manual.

When the PC video resolution has the minimum requirements, place the cursor on
the lateral arrow (displayed at the far right of the screen) to display the thumbnails
of the selected exams and press ENTER to confirm: MyLabDesk shows the
thumbnail column. Press the lateral arrow again to display the Exam Management
area.

Note
Always use the MyLabDesk at full screen size, without window
resizing.

WARNING If the PC video resolution is lower than the minimum requirements, the
image could not be consistent with the original one on the system. If this is
the case the image can not be used for diagnostic purposes.

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How to Import Exams
To copy the exams, archived in native and DICOM formats1, into the PC follow
the following procedure:

• Run MyLabDesk by double clicking on its icon.

• Select the source medium (CD/DVD, USB, Network) and

press ENTER.

• Select the exams to be imported.

• Press E X P O R T.

• Select “Local Archive” in the Copy Manager section.

1. Only for exams saved in DICOM on MyLab Esaote systems.

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• Press OK to start.

Complex Measurements
Some measurements of the cardiac calculations package require the selection of a
different view or a different modality. Before starting complex measurements,
make sure that the available images allow to complete them.

Measurements are system guided: operating instructions are given on the lower
part of the screen.

Procedure • Select the desired image.

• Press the MEASURE key and select the group.

• Follow the instructions to perform the first set of

measurements.

• When requested, select the next image.

• Press MEASURE again to proceed with measurements.

Menu Options
Refer to the “Clinical and The MENU key displays the MyLabDesk configuration menu that contains most of
System Configuration” the features of the MyLab menu.
section for further details on
the single options. DICOM Configuration

The menu includes three folders: General, Quality and Report. The first folder
allows to assign the AE Title and set the forwarding modalities of Stress Eco views.
Images characteristics and report forwarding modalities are defined in the other
two folders.

Note
DICOM connection requires a hardware key to be connected to
the PC. Refer to Esaote personnel for further information.

General Configuration

The menu allows the user to set date and time format, height and weight format
the clip presentation and the application preset. The same menu allows the user to
set the default language.

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System Info

The menu shows the current installed software version and build. The menu
allows the user to export the log file on a USB medium and to read the PC
requirements and the licence agreement.

Navigation
All MylabDesk features are available both on local exams and on the ones archived
on external media. Select the pertaining icon to access the remote archives.

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MyLab - A D V A N C E D O P E R A T I O N S
Appendix

A - PC Requirements,
Calculations Package and
Advanced Tools of MyLabDesk
This chapter explains how to install and use the MyLabDesk viewer.

PC Requirements
Operating Systems

The supported operating systems are:

• Windows XP Home,

• Windows XP Professional,

• Windows Vista,

• Windows 7,

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• Windows 8 and 8.1.

The suggested PC configuration includes the following PC profiles.

Minimum PC Requirements

• CPU: Intel Core 2 Duo E6550 2.33 GHZ,

• RAM: 2 GB,

• Graphic Card: 512 MB, supporting 1280x768 pixels

resolution and 32 bit color depth; OpenGL 3.0 support,

• Available hard-disk space: 10GB,

• Display: 1280x800 pixels.

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When these minimum requirements are not matched, it is possible to install a basic
version called MyLabDesk Lite. This version does not allow:

• to review Stress Echo exams,

• to support XStrain 4D analysis,

• to support 3D/4D advanced features for volume

elaborations.

Minimum PC Requirements for Basic Usage (MyLabDesk Lite)

• CPU: Intel Core 2 Duo E6550 2.33 GHZ,

• RAM: 2 GB,

• Graphic Card: 512 MB, supporting 1280x768 pixels

resolution and 32 bit color depth; OpenGL 2.0 support with
Frame Buffer Object (FBO) supported,

• Available hard-disk space: 10GB,

• Display: 1280x800 pixels.

Recommended PC Requirements

• CPU: Intel Core i7-2700K 3.5 GHz,

• RAM: 8 GB,

• Graphic Card: 2048 MB, supporting 1920x1080 pixels

resolution and 32 bit color depth; OpenGL 4.1 support,

• Available hard-disk space: 50GB,

• Display: 1920x1080 pixels.

Tested Video Cards

Esaote tests the following video cards (listed with the driver version used during
test):

• INTEL HD Graphics 2000 integrated graphics board -

driver version 8.15.10.2696,

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• ATI RADEON HD6770 and HD5750 - driver version

[Link],

• NVIDIA ASUS GTS450 - driver version [Link].

Note
MyLabDesk installation can only be performed by users with an
Administrator profile. To check the active user profile, access the
“User Account” utility in the PC Control Panel.

CAUTION Esaote is not responsible for data loss if other software is installed on the
PC.

Viruses, malware and harmful software may damage MyLabDesk. The

operator is responsible for continuously updating the PC antivirus software
and security patches.

Esaote is not responsible for MicroSoft® operative systems and for PC

hardware components.

A periodical back up of the MyLabDesk database is recommended. Esaote is

not responsible for data loss.

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Calculations Packages and Advanced Tools
All MyLab advanced calculations packages are available with MyLabDesk.

Notes
PISA - MIT and PISA - AO groups (Cardiac applications) are not
available on MyLabDesk.

Advanced tools may require a specific licence and hardware key.

Note
The DICOM Media class is supported only for USB media and
network directories.

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Note
XStrain and XStrain 4D may have some restriction when used on
PC with Windows 8 and 8.1. Contact Esaote personnel for further
information.

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CLINICAL AND SYSTEM

SETTINGS

This section explains the options available in the system menu. The section is
organized as follows:

 Chapter 1: System Menu

This chapter explains how to access the System Menu.

 Chapter 2: Smartouch Manager

This chapter explains what Smart presets are and how to create and use them.

 Chapter 3: Annotations

This chapter explains how to customize the glossary to be used in the exams.

 Chapter 4: Bodymarks

This chapter explains how to customize the bodymark library to be used in the
exams.
CLINICAL AND SYSTEM
 Chapter 5: DICOM
SETTINGS

This chapter explains how to configure MyLab for the connection to DICOM
classes.

 Chapter 6: Saving Options

This chapter explains which configurations can be set to save the data at the end
of the exam.
MyLab - A D V A N C E D O P E R A T I O N S

 Chapter 7: Center ID

This chapter explains how to set the center configuration.

 Chapter 8: Multimedia

This chapter explains which configurations can be set to export single frames and
clips.

 Chapter 9: Network

This chapter explains how to configure the network and the network directories
that can be used as archive.

 Chapter 10: Observations

This chapter explains how to customize the observation to be used in the report.

 Chapter 11: Printers

This chapter explains how to set the printer units.

 Chapter 12: Report

This chapter explains how to customize the report style.

 Chapter 13: Profile Manager

This chapter explains how to create a system configuration.

 Chapter 14: General Setup

This chapter lists the parameters that are available in this option of the system
menu and explains how to set them.

 Chapter 15: Security Access and Viruses Protection

This chapter explains security management offered by MyLab. This chapter also
describes the measures implemented and suggested by Esaote to avoid attacks
from viruses.

 Chapter 16: Licences

This chapter explains how to activate licences and check their status.
MyLab - A D V A N C E D O P E R A T I O N S

 Chapter 17: Import/Export

This chapter explains how to export and import both clinical and system
configurations.

 Chapter 18: System Info

This chapter describes the information shown in this option.

 Chapter 19: Remote Service

This chapter describes how to access to the remote service.

 Chapter 20: Acquisition Protocols

This chapter describes how to configure the Acquisition Protocols.

CLINICAL AND SYSTEM

SETTINGS
MyLab - A D V A N C E D O P E R A T I O N S
MyLab - A D V A N C E D O P E R A T I O N S

Table of Contents
1 System Menu ..................................................................................... 1-1
System Menu .........................................................................................1-1

2 Smartouch Manager ..........................................................................2-1

Definition of Smartouch ........................................................................2-1
Configuration Menu ..............................................................................2-2
Smartouch Configuration ......................................................................2-2
Smartouch Organization in the Touchscreen ........................................2-3
Working with Smartouches ...................................................................2-4

3 Annotations........................................................................................3-1
Configuration Menu ..............................................................................3-1
Settings for All Applications .................................................................3-2
Automatic Word Recognition...........................................................3-2
Annotations Configuration ....................................................................3-2
Glossary Configuration .........................................................................3-3
Glossary Organization in the Touchscreen............................................3-4
Annotation Factory Settings ..................................................................3-4

4 Bodymarks.........................................................................................4-1
Configuration Menu ..............................................................................4-1
Bodymark Configuration.......................................................................4-2
Bodymark Configuration.......................................................................4-2
Bodymark Organization in the Touchscreen.........................................4-3
Bodymark Factory Settings ...................................................................4-3

5 DICOM..............................................................................................5-1
Configuration Menu ..............................................................................5-1
How to Configure DICOM Profile........................................................5-1
CLINICAL AND SYSTEM
General Folder ..................................................................................5-2
Storage and MPPS Folders ...............................................................5-3
SETTINGS

Storage Folder ..............................................................................5-4

MPPS ...........................................................................................5-4
How to Delete a DICOM Configuration......................................5-4
Worklist Folder.................................................................................5-5
Start Exam Page ...........................................................................5-6
How to Delete a Worklist Configuration .....................................5-7
Quality Folder...................................................................................5-8
Printer Folder ....................................................................................5-9
Printing Profile...........................................................................5-11
QUERY/RETRIEVE Folders .........................................................5-12
Management of DICOM Printers ........................................................5-13

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Page Preview ..................................................................................5-13

Print Now........................................................................................5-14
To print before formatting is complete, select the “PRINT NOW” op-
tion to start printing. .......................................................................5-14
Reset Page.......................................................................................5-14
Print Operations ..............................................................................5-14

6 Saving Options ..................................................................................6-1

Configuration Menu ..............................................................................6-1
How to Create a Saving Data Profile ....................................................6-1

7 Center ID ...........................................................................................7-1
Configuration Menu ..............................................................................7-1
How to Create a Center/Report Configuration......................................7-1
Center ID Field .................................................................................7-2
Report Info Field...............................................................................7-2
DICOM Field....................................................................................7-2

8 Multimedia ........................................................................................8-1
Configuration Menu ..............................................................................8-1
How to Configure Multimedia Export ..................................................8-1
How to Create an Export Profile ......................................................8-2
Clip Formats.................................................................................8-2
Image Formats .............................................................................8-3

9 Network .............................................................................................9-1
Special Cautions When Connecting MyLab to a Network ...................9-1
Network Characteristics....................................................................9-2
Configuration Menu ..............................................................................9-2
IP Configuration Folder....................................................................9-4
Network Directories Folder ..............................................................9-4
Modifying and Deleting Existing Directories..............................9-6
Wireless Configuration.....................................................................9-6
How to Set a Wireless Network...................................................9-6
CONNECTED Field ....................................................................9-7
CONNECT Button.......................................................................9-7
AUTOCONN Button ...................................................................9-8

10 Observations .................................................................................... 10-1

Configuration Menu ............................................................................10-1
How to Configure the Observations ....................................................10-2

11 Printers............................................................................................. 11-1
Printer Remote Control .......................................................................11-1

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Configuration Menu ............................................................................11-1

How to Configure a Printer Profile .....................................................11-2
Printing Profiles ..............................................................................11-3
Printing Format....................................................................................11-4
Management of Remote-Controlled Printers.......................................11-5
Page Preview ..................................................................................11-5
Print Now........................................................................................11-6
Reset Page.......................................................................................11-6
Configuration..................................................................................11-6
Layout Options ...............................................................................11-7

12 Report .............................................................................................. 12-1

Configuration Menu ............................................................................12-1
How to Configure the Report Style .....................................................12-1

13 Profile Manager ............................................................................... 13-1

Configuration Menu ............................................................................13-1
How to Create a System Profile ..........................................................13-1
Corrupted System Profile ....................................................................13-2

14 General Setup.................................................................................. 14-1

Configuration Menu ............................................................................14-1
Folder Date/Time............................................................................14-1
Folder Measure Units .....................................................................14-2
Folder Control Panel.......................................................................14-2
Field LEFT CLICK....................................................................14-3
Field SHUTDOWN TYPE ........................................................14-3
Field AVAILABLE QWERTIES ..............................................14-3
Field MAIN DISPLAY..............................................................14-4
Folder Cine Mode ...........................................................................14-4
Folder Application Preset ...............................................................14-4
CLINICAL AND SYSTEM
Absolute Angle ..........................................................................14-4
Enable Smartouch ......................................................................14-4
SETTINGS

Show Sweep Velocity ................................................................14-4

Default Tool ...............................................................................14-4
Image Size..................................................................................14-4
Folder Footswitch ...........................................................................14-5
Folder Probe Buttons ......................................................................14-5
Folder Raw Data .............................................................................14-5

15 Security ............................................................................................ 15-1

User Accounts .....................................................................................15-1
Security Access to the System.............................................................15-2
Security Configuration Menu ..............................................................15-3

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MyLab - A D V A N C E D O P E R A T I O N S

Settings Tab ....................................................................................15-3

Users Tab ........................................................................................15-4
Access Security Control ......................................................................15-5
Protection from Viruses.......................................................................15-5
Malware Infection...........................................................................15-6
MyLab Operating System Patches Policy ......................................15-7
Antivirus .........................................................................................15-7
Firewall ...........................................................................................15-7

16 Licences .......................................................................................... 16-1

Licence Menu ......................................................................................16-1
Licence Activation..........................................................................16-1

17 Import/Export................................................................................ 17-1
Export and Import Menu .....................................................................17-1
Export Folder ..................................................................................17-1
Import Folder ..................................................................................17-2

18 System Info ...................................................................................... 18-1

Information ..........................................................................................18-1

19 Remote Service ................................................................................ 19-1

How to Access to Remote Service ......................................................19-1
Pre Conditions ................................................................................19-1
Network Connection.......................................................................19-2
Remote Service Connection ...........................................................19-2

20 Acquisition Protocols ...................................................................... 20-1

Configuration Menu ............................................................................20-1
Available Actions ...........................................................................20-5
Set Acquisition...........................................................................20-5
Select Frame & Store .................................................................20-5
Select Frame & Measurement....................................................20-6
Manage Annotations ..................................................................20-6
Save Clip ....................................................................................20-7
Working with Protocols.......................................................................20-8

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Chapter

1 - System Menu
This chapter explains how to access the system menu.

System Menu
The MENU key is used to access the system menu. The system displays all the
available options.

 GS The menu is organized in three areas: CLINICAL AND SYSTEM

 the upper area shows all options relating to Clinical settings,

SETTINGS

 the central area shows all options relating to System settings,

 the lower area shows all options relating to general settings.

Select the option with the trackball and press ENTER to confirm.

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Some options are explained The different menus allow to set different parameters; refer to the following
in specific sections of this chapters for information on the available options.
manual and in the “Getting
Started” manual. Note
The options related to advanced tools (such as 3D or Stress Echo)
are described in the dedicated sections of these tools.

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Chapter

2 - Smartouch Manager
This chapter explains how to configure and use the smartouches.

Definition of Smartouch
 GS A clinical setting (or preset) is associated to a specific probe in a specific application.
Different clinical settings can be associated to the same probe in the same
application.

When the preset is changed during the exam, all acquisition parameters are reset:
this entails that the image optimization has to be done again. However during the
exam it could be useful to change the preset maintaining, for instance, the set
geometrical characteristics (such as depth, size).

It can be useful to group similar clinical settings so that the acquisition controls
remain fixed whenever the preset is changed.

Smartouch, offered by MyLab, allows the operator to group similar presets and to
change them during the same exam without resetting some acquisition controls.
These controls are:

Controls

Active mode

CFM ROI position and size

Doppler gate position and CLINICAL AND SYSTEM

size
SETTINGS

Depth

Sector size

Focus position

Focus number

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Configuration Menu
The menu is organized in two main areas. The left side shows the list of the system
probes with the correlated application; all saved smartouches are organized by
application. The right side of the screen shows the configuration menu.

To access to the configuration menu press:

 EDIT to modify the selected smartouch. Alternatively position

the cursor on the desired option and press ENTER twice to select
it;

 CLONE to copy a saved customized smartouch and to modify

it to create a new customized preset. When no smart preset is
listed, this button is replaced by the NEW button.

REMOVE deletes the selected smart preset.

Smartouch Configuration
Smartouch Configuration
Menu

The smart preset configuration menu shows:

 in the center the touchscreen layout;

 on the right the selected probe and application and the lists
of all the associated clinical settings;

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 MyLab - A D V A N C E D O P E R A T I O N S

 on the bottom the fields where customized smartouches are

named and described.

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

Configuration To create a smart preset, follow this procedure:

 to create a completely new smartouch, select the desired

probe and application from the left list and press the NEW
button to add a new smartouch;

 to create a new smartouch starting from an existing one,

select the desired option from the left list and press the
CLONE button to add a new smartouch;

 place the cursor on the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field);

 select the desired clinical setting from the list on the right. By
keeping the ENTER key pressed drag and drop it into the
desired position of the touchscreen;

 repeat the operation to add other preset;

 in the “SET AS DEF” field set the preset that will be

automatically activated whenever the set of probe and
application are selected.

Smartouch Organization in the Touchscreen CLINICAL AND SYSTEM

Preset can be freely positioned within the touchscreen.
SETTINGS

Moving a Preset Select the preset with the trackball and by keeping the ENTER key pressed move it
in the desired position. Release ENTER to confirm.

Deleting a Preset Place the cursor on the preset to be removed and by keeping the ENTER key
pressed drop it into the waste bin.

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Working with Smartouches

Refer to the “General When a smartouch has been activated and created, MyLab automatically starts the
Setup” chapter in this exam using it whenever the correlated probe and application are selected. The
section for further active preset is the one set as default in the configuration menu.
information on how to
activate smartouch. The same happens during the exam if the probe and application are changed and
for this combination of probe/application a set of smartouches has been created.

Smartouch has a dedicated button (SM ARTO UCH button) in the Exam Management
area of the touchscreen that allows to change preset during the exam. Once this
button is pressed, the touchscreen displays the list of all clinical settings grouped in
the smartouch. Press the desired button to select the new preset.

ADVAN CED button (displayed at the Start Exam page and when the PRO BE button
is pressed during the exam) allows the user to access to all presets available for this
probe/application.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

3 -Annotations
Refer to the “Image This chapter explains how to configure the glossary, immediately available during
Optimization and annotation.
Annotation” section of this
manual to know how to
work with annotations.

 GS The user can assign specific “By word” and “By sentence” glossaries to presets (or
clinical settings). Refer to the “Getting Started” manual for further information on
clinical settings.

Configuration Menu
The glossary is composed of several user configured annotations.

The menu is organized in two main areas: the left side shows the list of all saved
annotations, organized by applications, and the right side the glossary
configuration menu.

The annotation configuration menu depends on the selection made on the left list,
(“ALL APPLICATIONS” option or an application/customized glossary).

To access the configuration menu press:

 EDIT to modify the selected glossary or the “ALL

APPLICATIONS” settings. Alternatively position the cursor on
CLINICAL AND SYSTEM
the desired option and press ENTER twice to select it;


SETTINGS

CLONE to copy a saved customized glossary and modify it to

create a new customized one. When no customized glossary is
listed, this button is replaced by the NEW button.

REMOVE deletes the selected customized glossary.

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 MyLab - A D V A N C E D O P E R A T I O N S

Settings for All Applications

The menu allows the user to enable the following parameters:

Parameter Action

FONT SIZE It sets the font size.

AUTOMATIC WORD It sets the Automatic word recognition.

RECOGNITION

DELETE WHEN When enabled, the text is automatically erased as

UNFROZEN soon as real time is resumed.

FIRST CURSOR It sets the trackball functionality when text is

ACTION highlighted, whether it shall move (MOVE option)
or edit (EDIT option) the highlighted text.

Automatic Word Recognition

MyLab automatically activates the search of words during the annotation phase. If
the characters entered occur in any of the glossaries, the system will automatically
propose the word. To confirm the proposed word press Enter  or go on with
entering text.

Annotations Configuration
The configuration menu is organized with internal folders, selectable using the tabs
displayed on the top of the menu.

Glossary Configuration
Menu

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MyLab - A D V A N C E D O P E R A T I O N S

The glossary configuration menu shows:

 in the center the touchscreen layout. Both modalities “By

Word” and “By Sentence” have their dedicated touchscreens,
selectable through the corresponding tab;

 on the right the selected application and the lists of all words
available in all glossaries, organized as “FACTORY” and
“CUSTOM” lists;

 on the bottom the fields where the customized glossary is

named and described.

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

Glossary Configuration
To create a customized glossary follow this procedure:

 to create a completely new glossary, select the desired

application from the left list and press the NEW button;

 to create a new customized glossary starting from an existing

one, select the desired item from the left list and press the
CLONE button;

 place the cursor on the NAME field and, using the

alphanumeric keyboard, enter the desired name and
description (NOTES field);

 with the trackball select either “BY WORD” or “BY CLINICAL AND SYSTEM

SENTENCE” modality;
SETTINGS

 select the desired word from the right list with the trackball.
The word can be selected either by scrolling the list with the
trackball or by entering searching criteria in the “SEARCH” field;

 by keeping the ENTER key pressed, drag and drop the word in
the desired position of the touchscreen;

 for each modality, words can be organized in different levels:

select first the desired “PAGE” using the trackball and then

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 MyLab - A D V A N C E D O P E R A T I O N S

drag and drop the word in the desired page. Words organized
in more pages (or levels) will be scrolled using the S C R O L L
toggle knob. Repeat the procedure to add other words.

 “ADD WORD” field allows to add new words into the

glossary. Using the alphanumeric keyboard enter the desired
word and press Enter  to confirm: the system automatically
adds the new word to the “CUSTOM” list. To delete a
customized word, place the cursor on the word to be
removed and, by keeping the ENTER key pressed, drop it into
the waste bin.

Glossary Organization in the Touchscreen

Words can be freely positioned within the touchscreen.

Moving a Word Select the word with the trackball and by keeping the ENTER key pressed move it
in the desired position. Release ENTER to confirm.

Deleting a Word Place the cursor on the word to be removed and by keeping the ENTER key pressed
drop it into the waste bin.

Annotation Factory Settings

When the application is selected, the menu allows to retrieve the factory
annotations for this application.

FACTORY restores the default glossaries for the selected application.

Note
This operation retrieves all factory annotations and deletes all user
customized glossaries saved for that application.

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Chapter

4 - Bodymarks
Refer to “Image This chapter explains how to configure the bodymark libraries.
Optimization and
Annotation” section of this
manual to know how to
work with bodymarks.

 GS The user can assign specific bodymarks to presets (or clinical settings). Refer to the
“Getting Started” manual for further information on clinical settings.

Configuration Menu
The menu is organized in two main areas: the left side shows the list of all saved
bodymark libraries, organized by applications, and the right side the bodymark
configuration menu.

To access to the configuration menu press:

 EDIT to modify the selected bodymark library. Alternatively

position the cursor on the desired option and press ENTER twice
to select it;

 CLONE to copy a saved customized bodymark library and to

modify it to create a new customized one. When no
customized library is listed, this button is replaced by the
NEW button.
CLINICAL AND SYSTEM

REMOVE deletes the selected customized bodymark library.

SETTINGS

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 MyLab - A D V A N C E D O P E R A T I O N S

Bodymark Configuration
Bodymark Configuration
Menu

The bodymark configuration menu shows:

 in the center the touchscreen layout;

 on the right, the selected application and the lists of all the
available bodymarks grouped by application;

 on the bottom the fields where customized bodymark

libraries are named and described;

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

Bodymark Configuration
To create a customized bodymark library, follow this procedure:

 to create a completely new bodymark library, select the

desired application from the left list and press the NEW
button;

 to create a new bodymark library starting from an existing

one, select the desired option from the left list and press the
CLONE button;

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 place the cursor on the NAME field and, using the

alphanumeric keyboard, enter the desired name and
description (NOTES field);

 using the trackball scroll the application list displayed on the

right and click on the desired combo to access the single
bodymark;

 select the desired bodymark from the list on the right. By

keeping the ENTER key pressed drag and drop it into the
desired position of the touchscreen;

 bodymarks can be organized in different levels: select first

the desired “PAGE” using the trackball and then drag and
drop the bodymark into the desired page. Bodymarks are
organized in more pages (or levels) and will be scrolled using
the S C R O L L toggle knob.

Repeat the procedure to add other bodymarks.

Bodymark Organization in the Touchscreen

Bodymarks can be freely positioned within the touchscreen.

Moving a Bodymark Select the bodymark with the trackball and, by keeping the ENTER key pressed,
move it in the desired position. Release ENTER to confirm.

Deleting a Place the cursor on the bodymark to be removed and, by keeping the ENTER key
Bodymark pressed, drop it into the waste bin.

Bodymark Factory Settings

When the application is selected, the menu allows to retrieve the factory bodymark CLINICAL AND SYSTEM
libraries for this application.
SETTINGS

FACTORY restores the default libraries for the selected application.

Note
This operation retrieves all factory bodymark libraries and deletes
all user customized bodymarks saved for that application.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

5 - DICOM
This chapter explains how to configure the DICOM functions. These options are
available if the system is DICOM licensed.

Note
Refer to the site [Link] for the supported DICOM
classes.

 GS and AO It is possible to assign specific DICOM profiles to different system configurations:

refer to the “Getting Started” manual and within this section for further
information on system configuration.

Configuration Menu
Refer to the “Archive” The menu is organized in two main areas: the left side shows the list of all saved
section in this manual for DICOM profiles and the right side the DICOM configuration menu.
the description of DICOM
media menu. To access to the configuration menu press:

 EDIT to modify the DICOM profile selected with the

trackball. Alternatively position the cursor on the desired option
and press ENTER twice to select it;

 CLONE to duplicate and modify a saved DICOM profile,

always selected with the trackball.
CLINICAL AND SYSTEM
How to Configure DICOM Profile
SETTINGS

The configuration menu is organized with internal folders, selectable using the tabs
displayed on the top of the menu.

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 MyLab - A D V A N C E D O P E R A T I O N S

Place the cursor on the desired folder and press ENTER to confirm.

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

To create a customized profile follow the procedure below:

Procedure  select the profile to be copied and press the CLONE button
to add a new configuration, starting from the selected one;

 place the cursor on the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field) for the profile;

 select the desired class with the trackball.

General Folder

This option sets MyLab AE Title. The factory setting is “MyLab”.

The “TCP LISTEN PORT” field relates to the SC DICOM class and defines the
port used by MyLab for Storage Commitment.

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Storage and MPPS Folders

The configuration menus of these DICOM classes are similar and each menu
shows:

 in the center the list of all set DICOM configurations,

 on the bottom the fields to add, modify, remove a DICOM

configuration.

Procedure To create a customized profile follow the procedure below:

 press the ADD button to add a new DICOM configuration;

 to change an existing configuration, select the desired

configuration using the trackball and press EDIT;

 the figure below shows the configuration menu:

CLINICAL AND SYSTEM

This option allows the user to set the configuration description, its AE Title, the
SETTINGS

Host name (or IP address), the number of the port used to communicate with
MyLab.

Note
To use DICOM functions, a static IP address is recommended.

The set DICOM class is used only when the “ENABLED” field is selected.

VERIFICATION checks the connection status.

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Storage Folder
In this folder it is possible to enable the sending of DICOM image/clip during the
exam and to configure the Storage Commitment.

When the field “SEND IMAGE AS SOON AS ACQUIRED” is checked, both

in real time and in Exam Review any saved image and clip (respectively by pressing
IMAGE and CLIP) are sent to the set DICOM Storage Server as soon as they are
created.

Note
When the sending of DICOM image/clip during the exam has
been enabled, it is not possible:

 to modify the patient data during the exam;

 to modify the bodymark and the annotations

on the saved image/clip in Exam Review.

The report and the saved images and clips of Stress echo protocol are sent at the
end of the exam.

StC SERVER button opens the menu where the configuration description, the
AE Title, the Host name (or IP address), the number of the port used to
communicate have to be set together with the Response Time (in minutes).

MPPS
When the MPPS DICOM class is enabled, MyLab displays a warning message
whenever an exam is started without any patient data inserted.

ABANDONED PROCEDURE button is added to the End Exam window. When

this button is pressed, the exam is abandoned.

How to Delete a DICOM Configuration

To delete a DICOM configuration, follow this procedure:

 select the desired class with the trackball;

 select the DICOM configuration to be deleted and press

REMOVE.

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Worklist Folder

The configuration menu of the Worklist class allows the user to set the
configuration description, its AE Title, the Host name (or IP address), the number
of the port used to communicate with MyLab.

Note
To use DICOM functions, a static IP address is recommended.

The Worklist class is used only when the “ENABLED” field is selected.

The same configuration menu allows to configure query parameters for the
Worklist.

Field Action

NARROW QUERY When enabled, MyLab automatically runs a control

on the scheduled exam before starting it to detect CLINICAL AND SYSTEM
eventual modifications.
SETTINGS

AUTOMATIC QUERY MyLab automatically executes the last run query

whenever the W O R K L I S T button is pressed from the
Start Exam page.

ENABLE The configured query is automatically run every set

BACKGROUND refresh period.
QUERY

REFRESH PERIOD Sets the refresh period. To change the period, place
the cursor on the field, press ENTER and set the
desired value.

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CONFIGURATION button allows to configure the search criteria for the

background query.

Field Action

MODALITY Sets the default modality for the Worklist exam. To

change the modality, place the cursor on the field,
press ENTER and set the desired one.

THIS ONE The query searches the exams having the same
AETitle.

ALL The query searches all the exams in the Worklist.

SPECIFIC The query searches the exam having the entered

criteria. To do it, place the cursor on the field, press
ENTER and set the desired one.

PERFORMING PHYS Sets the last name and first name of the performing
physician.

VERIFICATION checks the connection status.

Start Exam Page

The W O RKLIST button is displayed in the Start Exam window when the Worklist
DICOM class is enabled. When pressed the system displays the following menu:

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The “PATIENT”, “EXAM” and “PERFORMING PHYS” sections of the menu

allow to configure and change the search criteria for the query.

The system displays the following controls:

SELECT EXAM CANCEL

RESET
QUERY
PARAMETERS

Q U E R Y button refreshes the patient list and R E S E T PARAMETERS resets the

query parameters.

When the field PERFORM PROCEDURE AS REQUESTED is checked,

the exam is run exactly as the Worklist server requires.
CLINICAL AND SYSTEM

Place the cursor on the desired listed patient and press ENTER to select it. The
SETTINGS

“PATIENT”, “EXAM” and “RECORD STATUS” right tabs are updated and
respectively display the patient data, the exam data and any warning related to the
selected exam.

SELECT EXAM button loads the patient in the Start Exam page.

CANCEL exits the menu without loading any patient.

How to Delete a Worklist Configuration

To delete a Worklist configuration follow this procedure:

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 MyLab - A D V A N C E D O P E R A T I O N S

 select the desired class with the trackball;

 select the Worklist configuration to be deleted and press

REMOVE.

Quality Folder

This option allows the user to set three different compression levels both for clips
and for single images for each archiving media (USB, CD, DVD, mapped network
directories...), to set the DICOM structured report and the pixel spacing.

Clip Quality The following quality values can be set for clips:

 high (minimum compression);

 medium;

 low (maximum compression).

When the option “SKIP CLIP” is checked, every DICOM clip exporting
operation is disabled.

WARNING When this option is selected, every DICOM exporting operation is disabled
both on PACS and on CD, DVD and USB media.

Clips can be left uncompressed. This option has to be set only when the Esaote
compression algorithm is not compatible with other DICOM environments, as
explained in the following warning, displayed on the screen.

WARNING The uncompression option has to be set only when incompatibility occurs
as the compression hugely affects the dimension of the converted files and
thus the conversion time.

Image Quality The following quality values can be set for images:

 high (uncompressed);

 medium;

 low (maximum compression).

The set qualities for clips and images are used for any DICOM archiving operation
(on server or on any other medium).

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 MyLab - A D V A N C E D O P E R A T I O N S

Report The report can be set as:

 Structured Report;

 DICOM viewer compatible image;

 none.

When the Structured Report is enabled, the “ADD MEASUREMENTS FILE”

field allows to send measurements file to SuiteEstensa1.

When DICOM viewer compatible image is enabled, the “MODALITY” field

allows to set whether to send the report in DOC modality or in US modality.

Calibration When this option is enabled, the Pixel Spacing tag will be added whenever an image
is DICOM converted.

Image Caption When this option is enabled, all data displayed in MyLab header area will be inserted
into the pixels of the DICOM image.

Printer Folder

The configuration menu of the DICOM printer shows:

 on the top the combos allowing to associate the printers to

the dedicated panel keys (“PRINTER MODEL” field) and to
set the printing layout (“PROFILE” field).

 On the bottom the fields to add, modify, remove a DICOM

printer profile and to add a new DICOM printer model.

“BUTTON 1” configures the printer controlled by key 1, “BUTTON 2” the one

CLINICAL AND SYSTEM
controlled by the second key.
SETTINGS

Note
The same printer key can manage both an USB and a DICOM
printer at the same time. When both printers are configured on the
same key, the system will print two printings each time this key is
pressed.

1. SuiteEstensa is an Esaote Software for CIS/RIS/PACS systems. Refer to

[Link] for further information.

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 MyLab - A D V A N C E D O P E R A T I O N S

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

NEW MODEL button allows to add a new DICOM printer model. Contact
Esaote personnel for further information.

Procedure To create a customized profile follow the procedure below:

 press the ADD button to add a new DICOM printer profile;

 to change an existing profile, select the desired configuration

using the trackball and press EDIT;

 the figure below shows the configuration menu:

 set the configuration description, its AE Title, the Host name

(or IP address), the number of the port used to communicate
with MyLab. Every DICOM printer connected to the system
has to be selected among the available ones (“MODELS”
field).

Note
If the DICOM printer model to be configured is not listed, select
the option “Generic_Printer” and verify that the configuration is
working. If not, please contact the Esaote personnel.

The DICOM printer is available only when the “Enabled” field is

selected.

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MyLab - A D V A N C E D O P E R A T I O N S

 if necessary, verify the connection status by pressing the

VERIFICATION button;

 select the printer model and the printing profile in the

“BUTTON 1” fields.

Printing Profile
Each DICOM printer can have different printing profiles.

Highlight the desired printer and press SHOW PROFILES: the menu lists the
set printer profiles.

To create a printing profile follow this procedure:

 press the ADD button to add a new profile;

 to change an existing profile, select the desired configuration

using the trackball and press EDIT;

 the figure below shows the printing profile menu:

CLINICAL AND SYSTEM

SETTINGS

Field Action

PRINTER MODEL Indicates the selected DICOM printer.

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Field Action

DESCRIPTION Modifies the printer description.

LAYOUT Sets the printing layout.

ROWS Indicates the number of rows for the

selected printing layout.

COLUMNS Indicates the number of columns for the

selected printing lay-out.

FILM ORIENTATION Sets the orientation of the film.

FILM SIZE Sets the size of the film.

MEDIUM TYPE Sets the medium type (for example

sheet, film).

COLOR CAPABILITIES Sets the color scale.

NUMBER OF COPIES Sets the number of copies.

REMOVE deletes the selected printing profile.

QUERY/RETRIEVE Folders

When the QUERY/RETRIEVE DICOM class is configured, MyLab archive is

able to retrieve data from a PACS.

Note
Only ultrasound images can be retrieved from the PACS.

Procedure To create a customized profile follow the procedure below:

 press the ADD button to add a new DICOM configuration;

 to change an existing configuration, select the desired

configuration using the trackball and press EDIT;

 the figure below shows the configuration menu:

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This option allows the user to set the configuration description, its AE Title, the
Host name (or IP address), the number of the port used to communicate with
MyLab.

Note
To use DICOM functions, a static IP address is recommended.

The set DICOM class is used only when the “ENABLED” field is selected.

VERIFICATION checks the connection status.

Management of DICOM Printers

When the trackball is active as pointer, the user can open the window allowing to
manage the printer. Position the pointer on the icon and press the UNDO key. The
system will display the following menu:

CLINICAL AND SYSTEM

SETTINGS

Page Preview

This option shows the print preview.

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UP and DOWN buttons respectively allow to move up and down the selected
image.

REMOVE button deletes the selected image.

OK saves the modifications and CANCEL exits the menu without saving.

Print Now

To print before formatting is complete, select the “PRINT NOW” option to start
printing.

Reset Page

The option cancels all images sent to be printed: the printing counter is
automatically reset.

Print Operations

The dialogue window displays the list of exams (in the “DESCRIPTION”
column), the type of operation, the destination, the operation status (completed, in
progress or failed) and the date and time of the operation.

The operations can be sorted by checking the different criteria boxes:

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 ALL displays all operations;

 FAILED selects failed operations;

 TO BE COMPLETED selects operations which still have

to be completed;

 EXCLUDE DONE TASKS displays all operations, except

the ones already completed;

TIME LEFT indicates the time necessary to complete all pending operations.

DONE indicates the percentage of completed operations.

The touchscreen displays the following buttons:

ALL RETRY

FAILED DELETE

TO BE
ABORT
COMPLETED

EXCLUDE DONE
DETAILS
TASKS

RETRY repeats the operation selected with the trackball;

ABORT interrupts the operation selected with the trackball;

DELETE deletes the operation selected with the trackball;

DETAILS gives information on the error of the operation selected with the
trackball. CLINICAL AND SYSTEM

If one or more operations have failed, the printer icon is marked with an “X”.
SETTINGS

Select the failed operation(s) and either retry it or delete it; the cross will disappear
when no failed operation is listed.

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MyLab - A D V A N C E D O P E R A T I O N S
Chapter

6 - Saving Options
This chapter explains which configurations can be set to save the data at the end
of the exam.

Configuration Menu
The menu is organized in two main areas: the left side shows the list of all saved
saving data profiles and the right side the system configuration menu.

To access to the configuration menu press:

 EDIT to modify the saving data profile selected with the

trackball. Alternatively position the cursor on the desired option
and press ENTER twice to select it;

 CLONE to duplicate and modify a saving data profile, always

selected with the trackball.

REMOVE deletes the saving data profile selected with the trackball.

How to Create a Saving Data Profile

The configuration menu shows:

 on the top the End Exam page,

 on the bottom the fields where the customized configuration CLINICAL AND SYSTEM
is named and described.
SETTINGS

SAVE saves the settings that are immediately operative.

CANCEL exits the menu without saving the new settings.

To add a new configuration follow this procedure:

Procedure  select the configuration to be copied and press the CLONE

button to add a new saving data profile, starting from the
selected one;

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 place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field);

 using the trackball select whether to archive in the internal

data base, which exam format (native, DICOM...) and which
media used to externally archive the exam.

“AUTO SAVE” option, when checked, allows to automatically save the exam at
the end without displaying the End Exam window.

“VERIFY BURN CD/DVD” option, when checked, allows to automatically

verify the burned CD/DVD.

“PAUSE EXAM” option, when checked, allows to temporarily suspend an exam.

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7
MyLab - A D V A N C E D O P E R A T I O N S

7 - Center ID
This chapter explains how to set the center name displayed in the Heading Area of
the screen and the center information shown in the report.

 GS and AO The user can assign a specific center name to different system configurations: refer
to the “Getting Started” manual and within this section for further information on
system configuration.

Configuration Menu
The menu is organized in two main areas: the left side shows the list of all saved
center/report configurations and on the right side the center/report configuration
menu.

To access to the configuration menu press:

 EDIT to modify the center/report configuration selected

with the trackball. Alternatively position the cursor on the
desired option and press ENTER twice to select it;

 CLONE to duplicate and modify a saved center/report

configuration, always selected with the trackball.

How to Create a Center/Report Configuration

The configuration menu shows:
CLINICAL AND SYSTEM
 on the top the fields to enter the center name and all other
information to be added to the report;
SETTINGS

 on the bottom the fields where the customized configuration

is named and described.

SAVE saves the settings: they will be activated as soon as they are saved.

CANCEL exits the menu without saving the new settings.

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To add a new center profile follow the procedure below:

 select the center configuration to be copied and press the

CLONE button to add a new profile, starting from the
selected one;

 place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field);

 place the cursor on the desired fields, press ENTER and enter
the data using the alphanumeric keyboard.

Center ID Field

The name entered in this field will be displayed in the heading area of the screen.

Report Info Field

This option allows to add to the report header the following information:

 the hospital name;

 the department name;

 the contact details;

 two fields for additional information;

 the center logo.

DICOM Field

This option allows to enter the station name used in DICOM.

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 Chapter

8
MyLab - A D V A N C E D O P E R A T I O N S

8 - Multimedia
This chapter explains how to set the compression format of single images and
clips. The defined formats will be used each time images and clips are exported.

 GS and AO The user can assign specific export configurations to different system
configurations: refer to the “Getting Started” manual and within this section for
further information on system configuration.

Configuration Menu
The menu is organized in two main areas: on the left side the list of configured
export profiles and on the right side the configuration menu.

To access to the configuration menu press:

 EDIT to modify the export profile selected with the

trackball. Alternatively position the cursor on the desired option
and press ENTER twice to select it;

 CLONE to duplicate and modify a saved export profile,

always selected with the trackball.

How to Configure Multimedia Export

The export configuration menu shows:

 in the center the compression characteristics that can be set CLINICAL AND SYSTEM
both for clips and single images;
SETTINGS

 on the bottom the fields where the export profile is named

and described.

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Export Configuration
Menu

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

How to Create an Export Profile

To create a customized export configuration, follow the procedure below:

 select the profile to be copied and press the CLONE button

to add a new configuration, starting from the selected one;

 place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field);

 select the desired Clip and Image Quality.

Clip Formats
The following formats are available:

 MS-PEG4 V2 Codec (improved quality and compression),

ensuring the best image quality;

 MS-VIDEO1 Codec (improved compatibility), ensuring the

best compatibility with other software programs for clip
management.

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Image Formats
The following formats are available:

 high (Uncompressed BMP) ensuring the high image quality;

 medium (Lossless PNG) ensuring a medium image quality;

 low (Lossy JPEG), with low image quality.

CLINICAL AND SYSTEM

SETTINGS

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 9
MyLab - A D V A N C E D O P E R A T I O N S
Chapter

9 - Network
This chapter explains how to configure network connections and network
directories that can be used as archiving media.

Note
The user is responsible for the protection of the network from
malware.

 GS and AO The user can assign specific network configurations to different system
configurations: refer to the “Getting Started” manual and to this section for further
information on system configuration.

Special Cautions When Connecting MyLab to

a Network
Special cautions have to be taken when MyLab is connected to a network for data
exchanging. Other devices could be connected to the same network and this
could cause the following risks:

WARNING Connection of the system for data exchanging to a network including other
devices could result in previously unidentified risks to patients or operators.

The operator should identify, analyze, evaluate and control these risks.

Subsequent changes to the network might introduce new risks and require CLINICAL AND SYSTEM
additional analysis. Subsequent changes include:
SETTINGS

 any modification to the network configuration,

 any new connection of additional devices,

 any disconnection of device,

 any update or upgrade of any connected device.

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 MyLab - A D V A N C E D O P E R A T I O N S

Network Characteristics

MyLab should be connected only to a carefully managed data network.

Note
The user is responsible for the protection of the network from
malware.

The system can be connected to a local area network (LAN) using the connector
placed in the rear panel. The supported transmission velocity is 10/100Mbit/s.

The network connection enables:

 to use network shared printers,

 to use network directories,

 to use the supported DICOM Classes (for example worklist,

SC).

MyLab uses the TCP/IP network protocol.

In using the network remember that:

 data might be damaged or not sent at all if the network is

unstable or is not correctly set,

 data might be lost by disconnecting the network,

 data might be sent to a wrong destination if the network is

not correctly configured.

WARNING Never use the network when its icon is crossed.

Configuration Menu
The menu is organized in two main areas: the left side shows the list of configured
network profiles and the right side the network configuration menu.

To access to the configuration menu press:

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 MyLab - A D V A N C E D O P E R A T I O N S

 EDIT to modify the DICOM profile selected with the

trackball. Alternatively position the cursor on the desired option
and press ENTER twice to select it;

 CLONE to duplicate and modify a saved network profile,

always selected with the trackball.

REMOVE deletes the selected option.

How to Configure the Network

The network configuration menu is organized in folders, selectable using the tabs
displayed on the top of the menu.

Place the cursor on the desired folder and press ENTER to confirm.
CLINICAL AND SYSTEM

SAVE saves and activates the settings.

SETTINGS

CANCEL exits the menu without saving the new settings.

To create a customized network profile follow this procedure:

Procedure  select the profile to be copied and press the CLONE button
to add a new configuration, starting from the selected one;

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 MyLab - A D V A N C E D O P E R A T I O N S

 place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field) for the profile;

 select the desired tab option with the trackball.

IP Configuration Folder

The menu allows the user to set, for both the LAN and the wireless networks, a
dynamic (“DHCP” box checked) or static (“MANUAL CONFIG” box checked)
address.

Note
The wireless address can be set only after the wireless connectivity
has been enabled (box available in the “WIRELESS” folder).

The static address configuration requires to set the following parameters:

 IP address;

 subnet mask address;

 gateway address.

The APPLY button immediately saves the network configuration allowing the
user to set network directories and to configure the wireless connection without
saving the configuration and entering again the menu.

Network Directories Folder

The directory configuration menu shows:

 in the center the list of all set network directories;

 on the bottom the fields to add, modify, remove a network

directory.

Procedure To create a network directory follow this procedure:

 if necessary, select the “IP CONFIGURATION” folder and

set the network IP configuration;

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 MyLab - A D V A N C E D O P E R A T I O N S

 press the ADD button to add a new network directory;

 the network directory configuration window is displayed:

 enter a folder description in the “DESCRIPTION” field;

 enter the folder path in the “PATH” field. If necessary

browse the network to enter the path;

 enter the user ID and password parameters in the “USER

NAME” and “PASSWORD” fields;

 check the “ENABLED” option to use it as network

directory;

 press OK to confirm.

When a network drive is configured and enabled, it will appear in the list of the CLINICAL AND SYSTEM
media available for archiving and exporting exams.
SETTINGS

Refer to “Archive” section Network directories can be browsed through the Network Archive icon displayed
in this manual for further on the right side of the header bar when the system accesses the archive.
details.
Network
Archive

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MyLab - A D V A N C E D O P E R A T I O N S

Modifying and Deleting Existing Directories

The network directory menu allows to modify or delete existing folders, listed in
the configuration menu.

EDIT allows to modify the directory selected with the trackball.

REMOVE deletes the directory selected with the trackball.

Wireless1 Configuration

The wireless configuration menu shows:

 on the top the box to activate the wireless connectivity;

 in the center the list of all available, configured and

connected wireless networks;

 at the bottom the fields to manage wireless connection.

Note
MyLab can be connected only to secured wireless network.

Data ought to be exchanged through wireless network only when

the Signal Strength level is higher than 80%: the operation could fail
when the signal level is below this threshold.

How to Set a Wireless Network

To create a wireless network configuration follow the procedure below:

 select the “WIRELESS” folder and enable the wireless

connection by checking the corresponding box. When
enabled, the wireless led on the right side of the control panel
is on;

 if necessary, select the “IP CONFIGURATION” folder and

set the wireless IP configuration;

1. MyLab is compatible with WPA-PSK, WPA2-PSK, WEP (shared key

authentication) security protocols.

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MyLab - A D V A N C E D O P E R A T I O N S

 select the “WIRELESS” folder again and configure the

wireless connection. The table below lists and explains the
available fields.

Field Action

NETWORK ID Indicates the name of the network.

AUTO Indicates the status of the auto-connection (YES or

CONNECTION NO).

SECURED Indicates if the network is protected (YES or NO).

CONNECTED Indicates the status of the connection.

SIGNAL STRENGTH Indicates she level of the signal.

REFRESH When pressed, refreshes the list of available wireless

networks.

CONNECT When pressed, allows the connection to the selected

network.

DISCONNECT When pressed, disconnects the selected network.

ENABLE/DISABLE Enables or disables the auto-connection.

AUTOCONN

CONNECTED Field
Depending on the network configuration this field displays the following status:

 CONNECTED, when MyLab is connected to this network.

Any device (printer, network directory.) connected to this
network can be used;

 AVAILABLE, when the network is available;

 NOT AVAILABLE, when the network is not detectable and CLINICAL AND SYSTEM

it is configured on MyLab.
SETTINGS

CONNECT Button
When pressed, MyLab displays the menu allowing to enter the network key and to
enable the auto-connection.

Note
The field where the password is entered is case sensitive.

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AUTOCONN Button
When enabled, MyLab automatically connects to the wireless network as soon as it
is available.

If more wireless connections have been configured with auto-connection, MyLab

connects to the network listed in the upper position.

UP and DOWN buttons allow the user to change the network priority for auto-
connection.

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 Chapter

10
MyLab - A D V A N C E D O P E R A T I O N S

10 -Observations
Refer to the “Calculations” This chapter explains how to create sections dedicated to the observations in the
section of this manual for report and how to create a set of words and sentences to be used in these sections.
further information on
report.

 GS and AO The user can assign specific observations set to different system configurations:
refer to the “Getting Started” manual and to this section for further information
on system configuration.

Configuration Menu
The menu is organized in two main areas: the left side shows the list of customized
observations set and the right side the observations configuration menu. In turn
each set of observations is organized in applications.

To access to the configuration menu press:

 EDIT to modify the selected observations set. Alternatively

position the cursor on the desired option and press ENTER twice
to select it;

 CLONE to duplicate and modify a saved set of

observations, always selected with the trackball.

REMOVE deletes the selected option.

CLINICAL AND SYSTEM
SETTINGS

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How to Configure the Observations

Refer to the “Calculations”
section in this manual for
information on report
organization.

The configuration menu shows:

 in the center the list of set fields for the selected application
and, for each field, the list of the inserted sentences;

 on the right the commands to add fields in the report and to

add sentences in each field.

Note
The “ALL APPLICATIONS” option contains the list of the
observations available for the default “Conclusions” field, that is
present in the report of all applications. This option is modifiable,
as the other options, following the procedure below.

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

To create a customized set of observations follow this procedure:

Procedure  to modify the set of observations select the desired

application and press the EDIT button;

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 MyLab - A D V A N C E D O P E R A T I O N S

 to create a new set of customized observations starting from

an existing one, select the desired option from the left list and
press the CLONE button;

 place the cursor on the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field);

 if desired, press ADD FIELD to add a new field in the

application report;

• a new row, contoured by a frame, is automatically added

in the field list;

• the frame contouring the row indicates that it can be

immediately edited: change the field name using the
alphanumeric keyboard.

Note
Each added field corresponds to a new part in the Observation
section of the report having the same name.

 If desired, press ADD SENTENCE to insert new

sentences.

• A new row is automatically added in the sentences list.

• The frame contouring the row indicates that it can be

edited: change the field name using the alphanumeric
keyboard.
CLINICAL AND SYSTEM
Note
Each added sentence will be listed when the UNDO key is pressed
SETTINGS

in entering comments in the corresponding field.

Repeat the procedure to add new field and sentence.

Deleting field and Place the cursor on the field or sentence to be removed and by keeping the ENTER
sentences key pressed drop it into the waste bin.

Changing field name Follow the procedure below to change the description:
and sentence

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MyLab - A D V A N C E D O P E R A T I O N S

 select the field or sentence with the trackball;

 place the cursor on the field or sentence to be modified and

press ENTER;

 the field or sentence is contoured by a frame;

 using the alphanumeric keyboard modify the field or

sentence.

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 Chapter

11
MyLab - A D V A N C E D O P E R A T I O N S

11 - Printers
This chapter explains how to set remote control for printers and how to set the
printing profiles.

Note
Remote control can be configured only for printers which are
already installed.

MyLab manages both laser and inkjet USB printers. Contact Esaote for suggested
models and assistance with proper installation and configuration of the printer.

 GS and AO The user can assign specific printer configurations to different system
configurations: refer to the “Getting Started” manual and within this section for
further information on system configuration.

Printer Remote Control

The system can remotely control through the dedicated keys (shown beside) both
b/w and color printing. The icon of the set peripherals is displayed on the bottom
of the screen.

Printer icon .

Printer

CLINICAL AND SYSTEM

SETTINGS

Configuration Menu
The menu is organized in two main areas: the left side shows the list of all saved
printers profiles and the right side the printer configuration menu.

To access to the configuration menu press:

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 EDIT to modify the printers profile selected with the

trackball. Alternatively position the cursor on the desired option
and press ENTER twice to select it;

 CLONE to duplicate and modify a saved printer profile,

always selected with the trackball.

How to Configure a Printer Profile

The configuration menu shows:

 on the top the combos allowing to associate the printers to

the dedicated panel keys (“MODEL” field) and to set the
printing lay-out (“PROFILE” field);

 in the center the list of the available printing profiles;

 on the bottom the fields used to name and describe the

customized configuration.

Printer Configuration
Menu

ADDPRINTER allows the user to access the Add Printer screen and install
additional printers.

“BUTTON 1” configures the printer controlled by key 1, “BUTTON 2”

configures an additional printer button (PRIN T 2) located in the touchscreen.

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Note
The same printer key can manage both an USB and a DICOM
printer at the same time. When both printers are configured on the
same key, the system will print two printings each time the key is
pressed.

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

To add a new printer profile follow this procedure:

Procedure  select the profile to be copied from the left list and press
CLONE to add a new configuration, starting from the
selected one;

 place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field) of the profile;

 select the printer model and the printing format in the

“BUTTON 1” fields.

Printing Profiles

For each printer which can be remote-controlled, different printing profiles can be
set.

To create a printing profile follow this procedure:

CLINICAL AND SYSTEM

 press the ADD button to add a new profile;

SETTINGS

 to change an existing profile, select the desired configuration

using the trackball and press EDIT;

 the figure below shows the printing profile menu:

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Field Action

DESCRIPTION Defines the name of the profile.

PRINT LAYOUT Positions the header.

ROWS and COLUMNS Sets the number of images (printing

format) in the page: the number is
defined by the number of rows and
columns.

ORIENTATION Defines whether portrait or landscape.

MARGINS Defines the print margins.

OK saves and activates the settings and CANCEL exits the menu
without saving the new settings.

FACTORY restores the default printing profiles.

REMOVE deletes the selected printing profile.

Printing Format
The set print format icon is displayed in the footer bar below the icon of the
printer. The two numbers indicate:

 the left number counts the images sent to printer. This

number is updated as images are sent.

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 the right number indicates the number of images set in each

page.

Printing takes place when the left number matches the right number.

How to Change The printing format can be changed during the exam. Place the pointer on the
Printing Format printer icon and press the UNDO key: MyLab shows all available printing formats.
Using the trackball select the desired format and press ENTER to confirm.

Note
The printing format configured in Printer Configuration Menu will
be reset at next start up.

Management of Remote-Controlled Printers

When the trackball is active as pointer, the user can open the window allowing to
manage the printer. Position the pointer on the icon and press the UNDO key. The
system will display the following menu:

CLINICAL AND SYSTEM

Page Preview
SETTINGS

This option shows the print preview.

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UP and DOWN buttons respectively allow to move up and down the selected
image.

REMOVE button deletes the selected image.

OK saves the modifications and CANCEL exits the menu without saving.

Print Now

To print before formatting is complete, select the “PRINT NOW” option to start
printing.

Reset Page

The option cancels all images sent to be printed: the printing counter is
automatically reset.

Configuration

This option allows to select the printing properties. The system displays the
Windows printer management menu. Depending on the PC present in your
MyLab the procedure can be different.

Procedure 1  Select the desired printer.

 Press UNDO to display the menu.

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 Select “Set printer properties” option and press ENTER.

 Select “Printing Preferences” option and press ENTER.

 Set the desired properties and press OK on both menus to

confirm.

Procedure 2  Select the desired printer.

 Press ENTER twice to display the printer window.

 Select “Printer” option and press ENTER.

 Select “Printing Preferences...” option and press ENTER.

 Set the desired properties and press OK on both menus to

confirm.

Layout Options

During the exam these options allow to change the printing layout. With the
trackball select the desired option and press ENTER to confirm.

CLINICAL AND SYSTEM

SETTINGS

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12
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12 -Report
This chapter explains how to customize the report style, changing its fonts and
colors.

 GS and AO The user can assign specific report style to different system configurations: refer to
the “Getting Started” manual and to this section for further information on system
configuration.

Configuration Menu
Refer to the “Calculations” The menu is organized in two main areas: the left side shows the list of configured
section in this manual for styles and the right side the report configuration menu.
information on report
organization. To access to the configuration menu press:

 EDIT to modify the style selected with the trackball.

Alternatively position the cursor on the desired option and press
ENTER twice to select it;

 CLONE to duplicate and modify a saved style, always

selected with the trackball.

REMOVE deletes the selected report style.

How to Configure the Report Style

The configuration menu shows: CLINICAL AND SYSTEM

 in the center the report style;

SETTINGS

 on the right the main sections of the report with the

commands to change the style;

 on the bottom the fields where customized style are named

and described.

SAVE saves and activates the settings.

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CANCEL exits the menu without saving the new settings.

To create a customized style follow this procedure:

Procedure  select the profile to be copied and press the CLONE button
to add a new report style, starting from the selected one;

 place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field) for the profile;

 scroll the report sections displayed on the right and click on

the desired combo to display the actual settings;

 press EDIT to change the settings. The parameters that can

be set differ among options. The various menus allow to set:

• the color of the foreground and background,

• the border color and thickness,

• the desired font, weight and size of the character,

• the text alignment;

 press OK to confirm or Cancel to exit without saving the

modifications.

Repeat the procedure to change the style of each report section.

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13 - Profile Manager
This chapter explains how to create a system profile (or system configuration).

 GS Refer to the “Getting Started” manual for further information on system profile.

Configuration Menu
The menu is organized in two main areas: the left side shows the list of all saved
system profiles and the right side the system configuration menu.

To access to the configuration menu press:

 EDIT to modify the system profile selected with the

trackball. Alternatively position the cursor on the desired option
and press ENTER twice to select it;

 CLONE to duplicate and modify a saved system profile,

always selected with the trackball.

REMOVE deletes the system profile selected with the trackball.

How to Create a System Profile

The configuration menu shows:

 on the top the list of the components that form a System

Profile and the combos used to select the desired CLINICAL AND SYSTEM
configuration of each component;
SETTINGS

 on the bottom the fields where the customized configuration

is named and described.

SAVE saves the settings: they will be activated at next start up.

CANCEL exits the menu without saving the new settings.

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System Configuration
Menu

To add a new configuration follow this procedure:

Procedure  select the configuration to be copied and press the CLONE

button to add a new system profile, starting from the selected
one;

 place the cursor in the NAME field and using the

alphanumeric keyboard enter the desired name and
description (NOTES field);

 for each displayed component select the desired option

among the ones available in the relevant “SETTINGS”
combo.

Corrupted System Profile

Whenever a profile is corrupted, a red exclamation mark is displayed on the Profile
Manager option. In this case, enter the profile manager menu and, for each system
profile, check that every component has a specific setting (no component has to
be without any setting).

Should this not solve the problem, contact Esaote personnel.

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14 - General Setup
This chapter explains how to use the “GENERAL SETUP” option of the MENU
key.

Configuration Menu
The menu is organized in internal folders, selectable using the tabs displayed on the
top of the menu.

General Configuration
Menu

SAVE saves the settings, which will be activated as soon as they are saved. CLINICAL AND SYSTEM

CANCEL exits the menu without saving the new settings.

SETTINGS

Folder Date/Time

This option is used to set date and time, displayed on the screen.

Set Date Using the trackball scroll the month and select the day on the calendar.

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Date Format Various formats can be set: the available options are listed in the following table.

Format Displayed date

DD/MM/YYYY 01/04/2011

DD/MMM/YYYY 01/Apr/2011

MM/DD/YYYY 04/01/2011

MMM/DD/YYYY Apr/01/2011

YYYY/MM/DD 2011/04/01

Time Format The time format is available on a 24 or 12 hour basis. In the 12 hour option, the
time is shown as AM and PM.

Folder Measure Units

This option is used to set the desired units for height and weight.

The Celsius or Fahrenheit scale can be selected for probes equipped with
temperature sensor.

Folder Control Panel

The table below lists and explains the available fields and the corresponding
actions.

Fields Action

TRACKBALL SPEED Sets the speed of the trackball.

LEFT CLICK Sets the action of the left key of the trackball.

CHARACTER SET Sets the characters used for all the system
information (for example screen information,
touchscreen button).

SHUTDOWN TYPE Sets the battery mode of operation.

SCREEN Sets the screen resolution either to 1280 x 800 or to

RESOLUTION 1280 x 768.

AVAILABLE Sets which alphanumeric keyboards are available in

QWERTIES the touchscreen and which is the default one.

FOCUS Sets the default action of the trackball when starting

CONTROLLED BY the exam.
TRACKBALL

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Fields Action

ETOUCH BUTTON When Acquisition Protocol is licenced, the eTouch

button can be configured to work with protocols.

AUTOMATIC START When checked it allows direct access to B-Mode

EXAM after booting without passing through Patient ID

TOUCHSCREEN Sets the brightness of the touchscreen.

CONTROL PANEL Sets the brightness of the control panel.

MAIN DISPLAY Sets the brightness of the main display.

Field LEFT CLICK

The left key can be set as confirming key (ENTER) or as context menu key (UNDO).

Field SHUTDOWN TYPE

 GS When MyLab is equipped with batteries, its mode of operation can be set as:

Fields Action

STANDBY MyLab is in stand-by when the OFF button is

pressed.

SHUT DOWN MyLab is shut down when the OFF button is

pressed.

HIBERNATE MyLab is hibernated when the OFF button is

pressed.

ONE-OFF MyLab will shut down only once, when the OFF
button is pressed; at next start-up the previous
shutdown configuration will be re-activated.

Field AVAILABLE QWERTIES

When more alphanumeric keyboards have been set, the touchscreen displays an
alphanumeric keyboard with dedicated tabs allowing to select the desired CLINICAL AND SYSTEM
keyboard.
SETTINGS

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Field MAIN DISPLAY

The triangular marker indicates the factory brightness setting of the main display.

Folder Cine Mode

When set, the “AUTOMATIC PLAY” and “TRACE AUTOMATIC PLAY”

options respectively allow to review the stored images and the trace in cine mode
when the FREEZE key is pressed.

Folder Application Preset

This option is used to set specific features for each application.

The menu is organized in two areas: the left side shows the list of the available
applications, the right side the list of the features.

Select the application and then check the boxes of the desired features.

Absolute Angle
The angle correction factor of linear probes can be correlated either to the line
cursor or to the line perpendicular to the transducer surface (absolute angle).

In the first case the angle correction is kept constant when the line is moved; in the
latter case an angle correction is calculated whenever the line is moved.

Enable Smartouch
Refer to the chapter When checked, this option enables the smartouch for the selected application.
“Smartouch Manager” in
this section for further
information on this feature.
Show Sweep Velocity
When checked, this option allows to display the Sweep Velocity (cm/s) below the
PW/CW/M scroll area.

WARNING The displayed Sweep Velocity is correct as long as you do not use a
secondary monitor and/or an incorrectly calibrated monitor.

Default Tool
This option sets which volumetric acquisition modality is active for the selected
application when the 3D/4D key is pressed.

Image Size
This option sets the default dimension for the reference image in split format for
the selected application.

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Folder Footswitch

This option is used to set which function is associated to each pedal of the
footswitch.

Folder Probe Buttons

For the probes equipped with programmable buttons at the side of handle, this
option allows the user to set which function is associated to each button of the
probe.

Folder Raw Data

This option, available with Raw Data from Archive licence, is used to enable the
saving of data in raw format for post processing elaboration. Refer to the
“Archive” section of this manual for further information on this feature.

CLINICAL AND SYSTEM

SETTINGS

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15
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15 - Security
The access to the system, particularly the access to the archive, can be reserved to
authorized users. In this case all users have to enter a password to use the system
and to access the archive data. The access under password allows a secure
management of the archive: its data can be reviewed and modified only by
authorized personnel.

This chapter explains the archive security management offered by MyLab and how
to define the list of the authorized users.

This chapter also describes the MyLab measurements implemented and suggested
by Esaote to avoid attacks from viruses.

 GS and AO The user can assign different accessing profiles to different system configurations:
refer to the “Getting Started” manual and to this section for further information
on system configuration.

User Accounts
Two different accounts are available: administrator and user.

The system administrator can decide whether to activate the access security
management. When enabled, he/she can access to the configuration menu to
create, add, delete users and define their profiles. The administrator can set the
emergency access to the system (access without password). More administrators
can be defined.
CLINICAL AND SYSTEM

Note
SETTINGS

The default administrator user name and password are:

ADMINISTRATOR and MYLAB. Change this account if the
security management is activated.

The user can have two different profiles:

 user with full capabilities (ENABLED TO MODIFY THE

CONFIGURATION field checked);

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 user with limited capabilities (ENABLED TO MODIFY

THE CONFIGURATION field unchecked).

In the first case the user can change all clinical and system settings; in the latter case
the user can NOT modify the following presets:

• clinical settings (PRESET M AN AGER button is not active);

• real time settings (the option “RT PRESETS” of the

MENU key is not displayed);

• printer settings (the option “PRINTER” of the MENU

key is not displayed);

• import/export settings (the corresponding option of the

MENU key is not displayed);

• DICOM settings (the corresponding option of the MENU

key is not displayed);

• 3D settings (the corresponding option of the MENU key

is not displayed).

Both administrator and users can access the archive, both in Exam Review and in
Archive Review.

Security Access to the System

When security is enabled, a password is required to access the system. When
starting up, the system requires to enter user name and password.

Emergency Access When the Emergency option is active, exams can be performed (EMERGENCY
button) without entering any user name and password. The Emergency access
allows to perform exams and review saved images in Exam Review, but won’t
allow to access the Archive (ARCHIVE key).

Note
Emergency exams are automatically saved on the local archive.
Only authorized users can access these exams.

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Log Out and Lock LO GO UT button is displayed in the Start Exam window. The system is set in standby
by pressing this key and can be reactivated by inserting user name and password
again.

LO CK button is displayed in real time, Exam Review and Archive Review allowing
to lock the system. The password is required to unlock the system.

User Menu The option “CHANGE PASSWORD” of the MENU key allows the user to
change the user account.

Security Configuration Menu

The configuration menu is organized in folders, selectable using the tabs displayed
on the top of the menu.

SAVE saves and activates the settings.

CANCEL exits the menu without saving the new settings.

Settings Tab

Only administrators can access this option. The following settings are available:

Field Action

INACTIVITY TIME Sets the inactivity time (in days) after which
DISABLING LOGIN the account automatically expires.
(DAYS)

PASSWORD MINIMUM Sets the minimum number of characters for

LENGTH the password (maximum 20).

PASSWORD Sets the time (in days) after which the

EXPIRATION (DAYS) password expires.
CLINICAL AND SYSTEM
LOCKING TIMEOUT Sets the time-out, after which the system is
(MINUTES) locked.
SETTINGS

DISABLE EMERGENCY Disables the emergency access when

ACCESS checked.

DISABLE ACCESS Disables the security access when checked.

CONTROL

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Note
MyLab is case sensitive.

Export Log EXPORT SECURITY LOG button saves on an external medium the security
log files. All configurations (Settings and Users) and the access security log (see
below) in the MyLabUserManagement folder are saved in the USB medium. This
procedure can be used to backup the security configuration, or to copy it to
another MyLab system with a compatible software release.

Users Tab

To access to the configuration menu press:

 EDIT to modify the user profile selected with the trackball.

Alternatively position the cursor on the desired option and press
ENTER twice to select it;

 NEW USER to add a new profile.

REMOVE deletes the user profile selected with the trackball.

NEW USER and The following settings are available:

EDIT buttons
Field Action

USER NAME Sets the user name.

FIRST NAME Sets the user first name.

MIDDLE NAME Sets the user middle name.

LAST NAME Sets the user last name.

ASSIGN PASSWORD Sets the user password.

CONFIRM NEW Confirms the set user password.

PASSWORD
ENABLE TO When checked, the user has full capabilities.
MODIFY THE
CONFIGURATION

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Field Action

CHANGE When checked, requires the user to enter a new

PASSWORD AT password at the first login.
NEXT LOGON
ADMINISTRATOR When checked, sets the user as administrator.

A user account is identified by “User name”, “Last name”, “First name” and
“Middle name”.

Note
The Last Name will be required by the system at the log in.

ENABLE box, when checked, makes the users able to access the system.

Access Security Control

When enabled, the security access management produces a log file (called
[Link]) tracing every access to the unit (access log). This allows the
system administrator to fulfill the security regulations requiring this kind of log.

The log file can be considered to have adequate completeness, inalterability and
integrity.

Completeness The log file is automatically produced and internally archived by the MyLab system:
this file can be then considered complete and can be exported into a USB medium.

Inalterability MyLab can be considered a closed system: the normal user (including the system
administrator) can not modify the contents of the log file: this guarantees its
inalterability.
CLINICAL AND SYSTEM
Integrity Moreover it is always possible to export again the log file to verify its integrity.

Protection from Viruses

SETTINGS

Like every other computer-based system, MyLab can be exposed to malware

attacks. The term “malware” indicates a software (sometimes called virus, trojan
horse, worm) designed to infiltrate or damage a computer system without the
owner knowing. Theoretically malware can affect the operations of a computer
system in different ways: it could delete its system files, thus stopping its
functioning; it could also compromise the security of the machine, allowing
unwanted exposure of the data contained in it. In a medical imaging system, like

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the MyLab system, this could compromise the privacy of the examined patients or
damage the exam database.

Esaote develops its products, including MyLab, with the aim of providing its
customers with enhanced security capabilities and is committed to cooperate with
customers in their efforts to comply with security and privacy laws and regulations
(such as HIPAA in the U.S.A., EU Security Directive in Europe).

Unfortunately, as for any other computer-based system, internal security

measurements do not ensure a complete protection of MyLab against malware. For
this reason the user must be aware of Esaote countermeasurements and must
know which is the best approach to work with MyLab in the best possible security
conditions.

Malware Infection

Malware can enter into a computer system when executing a program with a viral
payload. Such a program could be either intentionally or accidentally executed.
Normally MyLab does not allow to intentionally execute other software programs
than the pre-loaded ones: exceptions occur when installing a printer that can be
done only by Esaote personnel.

While installing the printer, the MyLab system could require specific printers
drivers, if these are not already present.

Besides these operations, MyLab can be considered a closed system. To ensure the
maximum level of security, auto-running software from removable devices is
disabled.

CAUTION Always and only use removable devices (USB, CD or DVD) with a safe
content (devices used only on systems protected by malware).

Note
Any operation different from the ones described in the Operator
manuals is not authorized by Esaote. Any system malfunctioning
caused by unauthorized operations is considered as falling under
the user’s responsibility.

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MyLab Operating System Patches Policy

Malware can also enter a computer system through the data network, exploiting a
failure of the operating system. For this reason it is very important to install as soon
as possible the relevant security patches released from the manufacturer of the
operating system.

The operating system is Windows Embedded Standard. Esaote includes the

manufacturer operating system patches into the MyLab software releases: this will
ensure that the patches do not affect the system functioning and are validated by
Esaote.

At least every six-eight months, Esaote will issue a new software release, including
all relevant patches released by Microsoft.

Antivirus

Esaote does not install an antivirus program because it could affect the regular
operations of MyLab: to be really effective an antivirus software should be
configured in a way that heavily limits the system resources, especially regarding the
real time ultrasound acquisition. Moreover any antivirus software is effective only
if continuously updated (almost every day). As explained above, any update should
be carefully validated by Esaote to be sure it does not affect the regular operations
of MyLab.

Firewall

It is anyway advisable to close to the malware any possible access from the data
network: for this reason all unused network ports are closed in the MyLab.

To minimize the exposition to the threats coming from the network, medical
CLINICAL AND SYSTEM
devices based on a networked computer system, like MyLab, should be connected
only to a properly managed data network, i.e. a network that is carefully isolated
from external networks through suitable firewalls and that is not used to connect
SETTINGS

extraneous devices (such as laptops coming from outside the department, etc.)1.

CAUTION Always verify that the network is protected from malware.

1. Refer for example to the USA Department of Veterans Affairs Medical Device Isola-
tion Architecture Guide, April 30, 2004, available at the HIMSS website: http://
[Link]/ASP/topics_FocusDynamic.asp?faid=101.

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To ensure a complete protection of MyLab from any network attack, Esaote

suggests to use a complete agentless intrusion-prevention system: this is a system
that acts like a firewall protecting the network against malware from outside, but it
also checks the internal network traffic, without requiring any additional software
installation in the MyLab system1.

Should further information be needed, please contact Esaote personnel.

1. Refer for example to Trend Micro Network VirusWall Enforcer or Firebox X Core
Unified Threat Management products or SonicWALL TZ products, or similar.

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16
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16 - Licences
This chapter explains how to install MyLab optional licences and how to check the
status of a demo licence.

Note
To activate a new license, the operator needs the appropriate form
listing the licenses associated to the system. Licence codes are
generated according to the system Hardware ID, shown on the left
upper corner of the licence configuration menu.

Licence Menu
This option of the MENU key is organized in internal folders, selectable using the
tabs displayed on the top of the menu.

Licence Configuration
Menu

CLINICAL AND SYSTEM

SETTINGS

Licence Activation

Tabs “APPLICATIONS” and “OPTIONS” allow to respectively activate the

application licenses and the optional licenses.

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The “INCLUDING” field, shown in the “APPLICATIONS” menu, indicates

which applications will be available once the licence is activated.

Licence Activation To activate a new license, type the license number in the “KEYS” field and press
VERIFY to confirm. If the number is correct, the status changes to
PERMANENT.

Note
All licence fields are not case sensitive with the exception of the
CrystaLine licence that is case sensitive.

Demo Licence If a demo license has been activated (“DEMO” box checked), the “ELAPSED
TIME” and the “TIME LEFT” respectively show the elapsed time and the left
time.

SAVE saves the configuration, activating the licences.

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17 - Import/Export
This chapter explains how to export and import both clinical and system
configurations.

Export and Import Menu

The menu is organized with internal folders, selectable using the tabs displayed on
the top of the menu.

CLINICAL AND SYSTEM

Export Folder
SETTINGS

This option allows the user to save customized clinical and system settings on the
USB medium.

The option is organized in internal folders, one folder for the clinical settings and
one folder for the system configuration settings.

Clinical Configuration The clinical settings that can be exported are:

Folder
 customized eTouch;

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 customized calculation packages;

 customized glossary libraries;

 customized body-mark libraries;

 customized real-time settings;

 customized smartouchs;

 when available, customized stress echo protocols and 3D/4D

profiles.

System Settings Folder The system configuration settings that can be exported are:

 customized DICOM configuration;

 customized observations and report styles;

 customized network configurations;

 customized saving and multimedia export settings;

 customized printer profiles;

 customized center configuration;

 customized general configuration;

 customized Acquisition Protocols;

 customized security profiles.

In both folders the menu allows the user to select both individual settings and all
settings.

Select the desired options, connect the USB medium to the system and press
EXPORT to confirm.

Import Folder

This option allows the user to load customized clinical and system configuration
settings. MyLab allows the user to load specific clinical and system configurations.

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Procedure  Connect the USB medium containing the customized

configurations to MyLab.

 Press MENU and select the “IMPORT/EXPORT” option.

 Select the “IMPORT” folder.

 GS MyLab shows the list of all saved configurations, grouped by components. The
menu allows either to select all profiles included in a component (by checking the
box beside the component) or to separately load a specific configuration (by
checking the box displayed beside the configuration).

Once the desired configuration has been selected, press IMPORT to start the
loading procedure.

Note
In case of homonymy, MyLab asks for confirmation to completely
overwrite the existing profiles, saved on the system. If confirmed,
the previous configurations are then lost.

CLINICAL AND SYSTEM

SETTINGS

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18 - System Info
This chapter describes the information displayed in this option of the MENU key.

Information
The option displays:

 the model name and serial number;

 the system hardware ID, necessary for licence generation;

 the current installed software version and its build;

 the BIOS revision;

 the hardware level of the installed boards.

The menu allows the user to export the log file on a USB medium.

CLINICAL AND SYSTEM

SETTINGS

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19 - Remote Service
This chapter describes how to access to the Remote Service offered by Esaote.

How to Access to Remote Service

The “Remote Service” option of the MENU key allows the Service personnel to
access to MyLab in remote.

Remote Service Menu

When active, the Service personnel can remotely interact with the user and with the
system looking at the screen and at the files.
CLINICAL AND SYSTEM
Pre Conditions
SETTINGS

MyLab can be connected to the Remote Service only when:

 the network has been configured (refer to the corresponding

chapter of this section for further information),

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 the system is connected to the network.

Note
It is suggested to contact the network administrator since network
characteristics will be required to establish the remote connection.

Network Connection

Before contacting the Service personnel, it is recommended to verify the

connection following the procedure below:

Procedure  Configure the network.

 Connect the system to the network.

 Select the “Remote Service” option of the MENU key.

 Press CHECK CONNECT button. If the connection is

established the system will displays the message:

Connection available.

 Verify the connection by pressing CHECK CONNECT

button.

Remote Service Connection

Only after having verified the network connection, contact the Service personnel
for the Remote assistance. The Service personnel will provide with two PIN
numbers that have to be entered in the menu.

Note
The PIN numbers have a limited time validity: contact the
personnel only after having connected the system to the network.

The PIN numbers can be used one time only.

Procedure  Activate the connection by pressing CHECK CONNECT.

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 Enter the two PIN numbers in the two central fields using
the alphanumeric keyboard.

Note
The fields are not case sensitive.

 Press CONNECT.

The system displays the following menu:

This menu allows to chat with the Service personnel: the bottom field can be used
to exchange information with the Service personnel.

Press either DISCONNECT button or place the cursor on the Cross icon and
press ENTER to quit the Remote Service.

WARNING During the Remote Service session, the device MUST NOT BE USED for
diagnoses or for live scanning but for testing purposes only when requested
by the service personnel. CLINICAL AND SYSTEM
SETTINGS

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20 - Acquisition Protocols
This chapter explains how to create and configure protocols.

Configuration Menu
A protocol is a sequence of actions that can be defined by the user to support
procedures. A protocol is useful to:

 make it easier the usage of the MyLab;

 comply with clinical guidelines;

 provide standard examination even if performed by different

operators.

A protocol is made of several sessions where each session is made of one or

more steps. Each step can be configured to do different actions.

The “ACQUIS PROTOCOLS” option of the MENU key allows to access the
Acquisition Protocol Configuration menu.

The menu is organized in two main areas. The left side shows the list of
applications while the right side shows the list of protocols.

All saved protocols are organized by application.

Configuration To create a protocol, follow this procedure: CLINICAL AND SYSTEM

 to create a completely new Acquisition Protocol, select the

SETTINGS

desired application from the left list and press the NEW
button;

 to create a new Acquisition Protocol starting from an existing

one, select the desired protocol from the left list and press
the CLONE button. When no protocol is selected, this
button is replaced by the NEW button.

When a protocol is selected, also the following buttons can be pressed:

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 EDIT to modify the selected protocol. Alternatively position the

cursor on the desired option and press ENTER twice to select it;

 REMOVE deletes the selected protocol.

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How to create an Acquisition Protocol

Once NEW or CLONE buttons have been pressed, the following menu is
displayed:

Acquisition Protocols
Menu

The Acquisition Protocols menu is organized in three main areas:

 on the left the list of all the sessions;

 on the right the list of configured actions organized by steps;

 on the bottom the fields where customized protocols are

named and described.
CLINICAL AND SYSTEM
A session is a self consistent section of a protocol (typically devoted to a specific
anatomical district).
SETTINGS

Groundwork Before creating a protocol, it is suggested to:

 list all the required steps;

 decide how to split actions into sessions;

 order by priority mandatory and optional actions within each

session;

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 create custom measures if needed.

Configuration To create a protocol, follow this procedure:

 press the NEW button to create a new session. Several

sessions can be defined for a protocol;

 place the cursor on the SESSION NAME field and using

the alphanumeric keyboard enter the desired name;

 place the cursor on the STEP NAME field and using the
alphanumeric keyboard enter the desired name;

 select the desired action from the curtain menu. The first
step of every section is always “SET ACQUISITION” and
only its details can be modified (see next point);

 press the DETAILS button to configure the proper

parameters for the selected action;

 press the NEW STEP button to create a new step. One or

more steps can be defined for each session;

 once all steps and sessions have been defined, press VERIFY
PROTOCOL to validate the protocol consistency from a
syntactic point of view. A feedback dialog will inform the result;

 place the cursor on the NAME field and using the

alphanumeric keyboard enter the desired name for the
protocol and its description (NOTES field);

 press SAVE to save the protocol. Before saving, a protocol

verification is automatically done.

CANCEL exits the menu without saving the new protocol.

Note
Use short strings both for session and step name since they are
shown on the main display as “Session name - Step name”.

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Actions and steps order is important creating a protocol.

Once selected, each step can be moved up/down with the proper button on the
right to modify.

Once selected, each session can be moved up/down with the proper button on the
bottom.

Available Actions

Set Acquisition
This action allows to set the desired acquisition mode and its typical setting.

The SUMMARY field allows to input a description for the action under
definition. This description is the one used in the summary column of the main
editor screen.
CLINICAL AND SYSTEM
ACQUISITION MODE allows to set the desired acquisition mode. Depending
to the selected acquisition mode, different parameters can be set.
SETTINGS

As additional option the ACQUISITION TAG field allows to add an annotation

or remove all previous annotations from screen.

When completed, press OK to save the changes or CANCEL to discard them.

Select Frame & Store

This action allows to select the desired frame and save it in the archive.

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Only the SUMMARY field is present. No other controls are available.

When completed, press OK to save the changes or CANCEL to discard them.

Select Frame & Measurement

This action allows to select the desired frame and runs the selected measure on it.

The desired measure can be selected from the list of measurements available for
the current application. The measure list is divided in two main branches:
FACTORY and CUSTOM.

The Add new meas on same image allows to run other measurements on the
same image.

When “STORE IMAGE and MEASUREMENT is selected, the measured image

is automatically saved in the archive (no click needed).

When completed, press OK to save the changes or CANCEL to discard them.

Manage Annotations
This action allows to write on the image the selected text.

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Fill the ANNOTATIONS TO BE ADDED field with the text to be displayed

on the screen. POSITION allows to specify where to add the previously defined
annotation (default is home).

When REMOVE ALL PREVIOUS ANNOTATIONS is selected the

annotations are removed from the screen.

When completed, press OK to save the changes or CANCEL to discard them.

Save Clip
This action allows to save a clip in the archive.
CLINICAL AND SYSTEM
Only the SUMMARY field is present. No other controls are available.
SETTINGS

When completed, press OK to save the changes or CANCEL to discard them.

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Working with Protocols

Refer to the “General When protocols have been created and associated to the eTouch button, you can
Setup” chapter in this work with them using the following procedure:
section for further
information on how to  Start a new exam inserting patient data, selecting probe,
configure eTouch. application and preset;

 Press ETOUCH button;

 Select the desired protocol on the touchscreen, the protocol

automatically starts.

On the bottom left of the screen are displayed both the actual session and
step (on the first row) and the next session (on the second row).

Pressing ENTER you can go ahead through the steps of the current session while
pressing UNDO you can skip to the next session.

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