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BK Medical bk5000 User Manual

BK Medical bk5000
310 pages
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16-01487-01
November 2018
For Professional Users Only
bk3000 & bk5000 Ultrasound Systems
AdvancedUserGuide

Table of Contents

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BK Medical bk5000 Specifications

General IconGeneral
TypeUltrasound System
ApplicationDiagnostic Imaging
Power Requirements100-240 V AC, 50/60 Hz
Frequency Range2-15 MHz
DisplayHigh-resolution LCD
Battery LifeNot applicable
Applicationssurgery, urology
PortabilityMobile

Summary

Before You Begin

The User Interface

Working with the Monitor

Introduces the user to each part of the monitor display and the first steps for imaging.

Selecting a Transducer

Explains how to select the transducer that will be used for imaging from the drop-down menu.

Selecting an Examination Type

Describes how examination types configure the monitor for imaging, consisting of Pro Packages and presets.

Patient Information

Explains how to enter patient information after selecting the transducer and exam type.

Document Browser

Provides information about using the Document Browser for reviewing and managing documents.

Measurements and Image Data

Details on making and using measurements, and working with images and workflow tabs.

Workflow Tabs

Explains how workflow tabs follow the examination, displaying relevant controls and opening as needed.

Keyboard Control Panel

Describes the keyboard control keys and typing special letters or accents using the Accent key.

Controls on the Monitor

Working with the Image

Selecting the Imaging Plane

Explains how to select the imaging plane (T, S, or E) using transducer buttons or the Scanning Plane key.

Freezing the Image

Details on pressing the Freeze key to freeze all images and the appearance of a snowflake icon.

Partial Freeze and the Update Key

Describes partial freeze in Doppler and 2D modes, and how to toggle between states using the Update key.

Split Screen

Explains how to split the screen horizontally or vertically to display two views side by side.

Simultaneous Imaging

Discusses how two views in a split screen can be imaging simultaneously.

Linked Split/Dual

Explains the Linked Split/Dual function that automatically transfers parameters between screens A and B.

Labels and Bodymarks

Covers adding annotations (labels and bodymarks) to archived images and clips.

Labels

Provides information on placing text labels, adding multiple labels, and auto-completion.

Bodymarks

Describes bodymarks as small bitmaps depicting body parts, and how to place them on images.

Cine

Explains the Cine function for reviewing recorded B-mode, B+Color, B+M-mode, or B+Doppler images.

Using Cine

Details on using the Cine function, including setting start/stop markers and playing clips.

Using Cine in M-Mode or Doppler Mode

Explains how cine activation in M-mode or Doppler mode displays a vertical cine cursor.

Video Display

Covers displaying images on an auxiliary monitor and selecting video output modes.

The Video Window and Picture in Picture (PiP)

Explains viewing two images simultaneously: an ultrasound image and a video image.

Using the Video Window

Describes how the video image appears in a window that covers the ultrasound image.

Changing the Video Setup

Explains how to change video setup to determine how the video image looks.

Making Measurements

Measurements and Calculations

Explains that Pro Packages contain measuring tools for different aspects of the ultrasound image.

Making a Measurement – General Procedure

Provides general instructions for using various measuring tools, noting the image must be frozen.

B-Mode and Color Mode Measuring Tools

Describes how to make measurements such as distance, angle, circle, ellipse, polygon, and freehand shapes.

Doppler Mode Measuring Tools

Explains how measurements in Doppler mode differ from B-mode/Color mode due to the time dimension.

Documentation

What are Documents?

Describes the four types of documents: Images, Clips, 3D data sets, and Reports.

HIPAA Compliance

Explains HIPAA standards for handling patient data and ensuring privacy and security.

Saving Documents – Capturing Images and Video Clips

Details the requirement of a patient ID to capture images and clips.

Capturing 2D Images

Explains how to save a 2D image or video clip to the local patient archiving system.

Video Clips – Capturing while Imaging

Describes two ways to capture video clips when the image is not frozen (Forward Capture ON/OFF).

Capturing 3D Data Sets

States that 3D data sets are automatically saved to the patient archiving system.

Saving Reports

Instructs to click Save in the report to save it to the patient archiving system.

Local Patient Archiving System

Describes the system containing patient and examination information, and saving documents directly into it.

Reviewing Documents

Explains the use of the Document Browser to review and manage images and other documents.

The Document Browser

Details how the Document Browser displays thumbnails and includes icons for document information.

Viewing Exported Documents on the System

Explains how archived or exported documents from external media can be viewed on the ultrasound system.

Viewing Exported Documents on an External Computer

Provides information on viewing exported images and video clips on a computer.

Exporting Data

Covers copying and archiving documents to store them outside the system.

HIPAA Compliance and Exporting Data

Explains how to preserve patient confidentiality when copying patient data without identifying information.

Copying to a CD/DVD or USB Storage Device

Details copying documents associated with a patient to a CD/DVD or USB storage device.

Archiving to a CD/DVD or Network Drive

Explains archiving documents to a CD/DVD or network drive for permanent record keeping.

Using CD/DVDs

Lists restrictions about copying and archiving to a CD/DVD.

Staging Area

Describes the staging area where documents are moved before burning to a CD/DVD.

Burning a CD/DVD

Provides instructions for burning archives or copies to a CD/DVD.

Reviewing and Deleting Documents in the Staging Area

Explains how to examine and delete documents within the staging area using the Burn CD window.

Using USB Storage Devices

Explains copying to a USB storage device and the process for removing it safely.

Using a Network Drive

Covers setting up a network drive for archiving and accessing it via network username and password.

The Archive Window (Examination List and Patient Information)

Describes using the Archive window with the document browser to manage documents in the patient archiving system.

Patient Information

Explains how to edit current patient details and start or discontinue examinations.

Starting a New Examination from the Examination List

Details how to start a new examination from the Archive window and enter patient data.

Pausing and Later Resuming an Examination

Explains the process of pausing an exam and resuming it later with the first patient.

Password Protection of the Patient Archiving System

Covers password-protecting the patient archive database with user-specific IDs and passwords.

Hard Disk Quota

Explains that the system hard disk has limited capacity and notifies the user when it is getting full.

Reports

Defines reports for each Pro Package, containing patient and measurement information.

Creating a Report

Describes how to create a report by clicking the Report option on the Documentation tab.

Editing a Report

Explains how to edit a report before saving it, including deleting measurements.

Printing a Report

Details how to print a report by pressing the Print key and navigating pages.

Saving a Report to the Local Patient Archiving System

Instructs to save a report to the local patient archiving system by clicking Save on the report.

Printing Documents or Images on the Monitor

Covers printing documents on a local or DICOM printer, and setting up an office printer.

Printing Thumbnail Images

Explains how to print thumbnail images without opening them, or after opening and printing.

Printing Images Displayed on the Monitor

Details how to print an image displayed on the monitor and customize the Print key.

Using a Transducer Button

Describes how to set up a transducer button as a user-defined key for printing.

Imaging Modes

Imaging Modes

Introduces the various imaging modes available on the bk3000 and bk5000 systems.

Adjusting the Thermal Index Limit

Guides on checking and setting appropriate TI settings for tissue type and limit.

B-Mode

Describes B-mode as real-time 2D information about anatomical structure of soft tissues.

Focus

Explains how ultrasound images are focused sharply within a selected zone, using single or multiple focal zones.

B Focus Range

Details how to adjust the focus range by selecting 1, 2, or Auto for focus zones.

Tru-Focus

Describes Tru-Focus enhancement that provides full focus in the entire depth of the image.

Gain

Explains how to control overall gain by turning the mode key or clicking Gain.

TGC

Defines TGC (Time Gain Compensation) curve for variable amplification applied to echoes from different depths.

Auto Gain

Describes Auto Gain, where a preset defines brightness for scans, ensuring consistent brightness across patients.

Zoom

Explains how to zoom in or out on an area of interest by adjusting the Zoom box.

Depth

Details how to adjust depth in B-mode to cut out parts below the area of interest, changing image magnification.

Gray Scales

Explains how to select gray scales for displaying B-mode or M-mode images to clarify aspects.

Combination Modes

Describes B-mode combinations like B+Color, B+M-mode, and B+Power.

Tissue Harmonic Imaging (True Echo Harmonics – TEH)

Explains Tissue Harmonic Imaging for reducing noise and improving ultrasound image clarity.

Contrast Imaging

Describes contrast imaging using microbubbles injected into the patient for enhanced visualization.

Simultaneous Split-Screen Imaging and Contrast Imaging

Highlights the advantage of using simultaneous split-screen imaging with contrast for better visualization.

Timer

Explains how to start and stop the timer to track elapsed time after injecting a contrast agent.

Bubble Burst

Describes the Bubble Burst function that emits an ultrasound pulse to burst remaining bubbles for contrast injection.

X-Shine

Explains X-Shine uses ACI and improved focusing to help visualize needles during interventional procedures.

Activate X-Shine Imaging

Provides step-by-step instructions to activate X-Shine Imaging.

Adding Buttons to the Screen

Covers adding X-Shine keys and Needle Strength sliders/toggles to monitor controls for better needle visibility.

Color Mode and Power Mode

Describes Color mode (CFM) for flow direction/velocity and Power mode for amount of flow.

Color Submodes

Lists the three submodes available in Color mode imaging: Velocity, VFI, and Tru-Color.

Color Coding of Flow

Explains how frequencies of reflected ultrasound waves show velocity and direction of blood flow, displayed in color.

Independent D-Mode/C-Mode Steering

Covers independent steering of PW Doppler and CFM using the Sync Steer screen key.

Color Box

Describes the color box superimposed on B-mode images in Color/Power mode to outline tissue with flow information.

Color Scales

Explains how to select various color scales for displaying Color mode, Power mode, or Doppler spectrum.

Elastography

Defines elastography as a mode using manual tissue compression to evaluate tissue stiffness.

Strain Ratio Measurement

Explains how strain ratio measurements quantify relative stiffness between a region of interest and surrounding tissue.

Diameter Comparison Measurement

Describes comparing elastography diameter of an ROI to the B-mode diameter.

Vector Flow Imaging (VFI)

Introduces VFI as an option using ultrasound pulses in axial and lateral directions for flow visualization.

Streamlined VFI Workflow

Details how VFI can ease workload in determining peak systolic velocity or calculating volume flow rate.

Assisted Doppler Gate Placement

Explains assisted Doppler gate placement using VFI data to select optimal Doppler gate position.

Angle Correction

Describes estimating flow angle at the Doppler gate position and displaying it in real-time.

Assisted Doppler Steering

Explains how VFI data is used to select appropriate Doppler steering, updated dynamically.

Inverting the Doppler Spectrum

Covers automatic inversion of the Doppler spectrum when gate steering changes from right to left.

Selecting the Appropriate Scale/PRF

Explains adjusting Scale/PRF using VFI data if manually specified values are too low or high.

Assisted Volume Flow Rate Estimation

Details assisted volume flow rate estimation using VFI data and Pulsed Wave Doppler (PWD).

Asymmetric Doppler Gate Cross

Explains how the asymmetric Doppler gate cross places the POI at highest velocity and adjusts gate to vessel size.

Doppler Mode – Spectral Doppler

Describes Doppler mode imaging displaying information about flow velocity spectrum over time.

M-Mode

Explains M-mode (motion mode) ultrasound produced by sweeping a line of a B-mode image across the monitor.

Saving a Preset

Guides on how to save a changed setup as a new preset.

Continuous Wave Doppler Mode

Overview

Introduces CW Doppler mode, transmitting ultrasound along a line and analyzing returns for velocity.

Adjusting the Thermal Index Limit

Guides on checking TI settings for CW Doppler mode appropriateness.

Adjusting MI

Explains how to adjust the maximum allowed MI (mechanical index).

Turning CW Doppler Mode On or Off

Details the requirement to turn CW Doppler on and position the line before turning on the CW spectrum.

CW Doppler Line

Describes CW Doppler information acquired along the full length of the CW Doppler line superimposed on B-mode.

Audio Volume

Explains how to adjust the volume of the CW Doppler signal's audio output.

Adjusting the Doppler Mode Image

Covers adjusting Doppler mode image parameters like Doppler indicator, gate, and trace.

Doppler Trace (Automatic Curve Tracing)

Explains automatic calculation and display of curves tracing mean or peak Doppler spectrum values.

Auto

Describes how the system automatically adjusts Baseline and Scale to prevent aliasing and optimize Doppler spectrum.

Gain

Details adjusting the gain of the CW Doppler mode image.

Scale

Explains how to vary the scale of the displayed spectrum in CW Doppler mode.

Smooth

Covers changing how smooth the displayed spectrum looks in CW Doppler mode.

Wall Filter

Explains how to set the cutoff frequency for the wall filter in CW Doppler mode.

Invert

Describes how to invert the spectrum on the monitor in CW Doppler mode.

Baseline

Explains repositioning the baseline in CW Doppler mode to overcome aliasing problems.

Sweep Speed

Details adjusting sweep speed to change cycles of the spectrum displayed on the full time axis.

Pro Packages

Before You Begin

Recommends familiarity with working with images, measurements, and documentation.

If You Perform a Puncture Procedure

Advises reading warnings in the Puncture and Brachytherapy section of the Safety chapter.

What Is a Pro Package?

Defines a Pro Package as a pre-defined configuration for monitor layout and user interface.

Presets

Explains presets as pre-defined setups optimizing images for specific imaging types.

Measurements

Describes Pro Packages containing sets of measurements and calculations appropriate for specific examinations.

Doppler Measurements

Explains Doppler measurements and fitting curves to spectra automatically or manually.

Stenosis

Details stenosis measurement using vessel areas to calculate the degree of stenosis.

VF (Volume Flow)

Explains VF calculation by multiplying time average mean velocity (TAM) by cross-section.

TAM (Time Average Mean) and TAMX (Time Average Max)

Defines TAM and TAMX as average values over time of mean and maximum frequencies in the Doppler spectrum.

RI and PI (Resistance Index and Pulsatility Index)

Explains RI and PI based on peak systolic and end-diastolic velocities for assessing vascular resistance.

Real-Time Measurements

Covers measurements made and displayed in real time, continually updated during imaging.

Noise Limit

Explains how to reduce noise (high frequency disturbances) to improve accuracy of automatically traced curves.

Carotid Velocities

Lists carotid velocities used to calculate stenosis extent in carotid vessels.

Calculations

Mentions that calculation formulas and accuracies are in the Technical Data (BZ2100).

Using the Brachy Pro Package

Describes the Brachy Pro Package for ultrasound-guided brachytherapy and prostate cancer cryotherapy.

Planimetry (Contouring)

Explains planimetry using parallel B-mode images to draw structure outlines for volume estimation.

Performing a Biopsy or Puncture Procedure (including Brachytherapy)

Advises verifying the correct puncture guide number and its position for accurate needle path indication.

Using the OB, Gyn, and Gyn Follicles Pro Packages

Details Pro Packages for obstetrical and gynecological ultrasound applications.

Gestational Age and Expected Date of Confinement

Explains calculation of gestational age (GA) and expected date of confinement (EDC).

Patient Setup

Describes special fields in the Patient window for OB, Gyn, and Gyn Follicles Pro Packages.

Making Measurements

Refers to detailed instructions for using measuring tools starting on page 39.

Nuchal Translucency

States that nuchal translucency measurements require special training.

Calculation Methods

Provides general information on measuring tools for GA, fetal weight, and EDC.

Obstetrics Reports

Explains that obstetrics reports contain clinical calculations and measurement-based calculations.

Curves in Reports

Discusses how reports include reference curves based on previous measurements or last menstrual period.

Vascular Pro Package

This Pro Package contains information useful for basic Vascular Imaging including

Lists key areas covered: Peripheral arteries, Peripheral veins, and Carotid measurement information.

Important

Recommends reading about basic controls, transducer guides, care, cleaning, and system usage.

Contents

Lists the sections covered in the Vascular Pro Package chapter.

Presets

Explains selecting the appropriate preset after choosing a transducer for Vascular Pro Package.

Setting up the Patient – Patient ID

Details the requirement of a patient ID to save images and how to enter data in the Patient window.

Imaging Controls

Covers B-Mode (2D) imaging, gain adjustment, TGC curve adjustment, and split screen functionality.

B-Mode (2D)

Explains that imaging starts in B-mode and how to return to B-mode alone.

Color Mode (CFM)

Describes how to use Color mode, including color box adjustment and color gain.

Vector Flow Imaging

Introduces VFI as a technology using axial and lateral pulses for flow visualization.

Doppler Mode

Explains how to use Doppler mode, including sample gate movement, gain, angle control, and advanced settings.

Auto

Covers using Auto to adjust baseline and PRF automatically for Doppler mode.

Annotations – Labels and Bodymarks

Explains that labels and bodymarks are activated from the Measure and Mark tab when the image is frozen.

Labels

Details how to select, type, edit, remove, and align labels on the image.

Bodymarks

Lists available vascular bodymarks and explains how to place and move them on the image.

Measurements and Calculations

Provides information on measurement abbreviations and using the Calculation Package for 2D measurements.

2D Measurements

Guides on choosing a vessel and measuring its diameter and other parameters.

Doppler Measurements

Details Doppler measurements for Leg Veins and Leg Arteries presets.

Using Reports

Explains how to set up, make, and print reports, and how comments from the Patient window appear.

Capturing and Documenting Images

Covers Cine Review, Capturing Frozen Images, Capturing Clips, and Copying/Archiving.

Customization Examples

Provides examples of customizing the system, including saving new presets and setting default Pro Packages.

Where to Find More Information

Lists relevant chapters and appendices for further information on system controls and features.

Cardiac Pro Package

This Pro Package contains information useful for basic Cardiac Imaging including

Lists key areas: Basic Cardiac imaging and Emergency medicine cardiac imaging (FATE).

Important

Recommends reading Getting Started, transducer guides, care, cleaning, and system user guide.

Contents

Lists the sections covered in the Cardiac Pro Package chapter.

Presets

Explains selecting the Cardiac preset after choosing a transducer for the Cardiac Pro Package.

Setting up the Patient – Patient ID

Details the requirement of a patient ID to save images and how to enter data in the Patient window.

Imaging Controls

Covers B Mode (2D) imaging, gain adjustment, TGC curve adjustment, and M-Mode.

B Mode (2D)

Explains that imaging starts in B-mode and how to return to B-mode alone.

Transducer Orientation

Describes transducer orientation for the 5P1 transducer (Sag and Trans).

M-Mode

Explains M-mode tabs have an On/Off function and how to use M-mode.

Color Mode (CFM)

Details how to use Color mode, including color box adjustment and color gain.

Doppler Mode

Explains how to use Doppler mode, including sample gate, gain, angle control, and advanced settings.

Auto Control of Baseline and Scale

Covers using Auto to adjust baseline and scale (PRF) automatically for Doppler mode.

Spectral Doppler Mode

Describes Pulsed Wave Doppler (PW) as the primary Doppler mode.

To get a live spectral Doppler tracing

Details pressing the Update key to get a live spectral Doppler tracing.

Annotations – Labels and Bodymarks

Explains that labels and bodymarks are activated from the Measure and Mark tab when the image is frozen.

Labels

Details how to select, type, edit, remove, and align labels on the image.

Bodymarks

Describes bodymarks and how to place, move, and set default positions on the image.

Measurements and Calculations

Covers basic cardiac measurements like LVV, EF, PFV, PG, VTI, MPG, and HR.

Basic Cardiac Measurements

Lists basic cardiac measurements: LVV, EF, PFV, PG, VTI, MPG, and HR.

LVV (Left Ventricular Volume)

Explains how to measure Left Ventricular Volume using M-mode and B-mode.

Doppler Measurements

Details PFV and VTI measurements for aortic and mitral valves, and HR measurements.

PFV (Peak Flow Velocity)

Guides on measuring Peak Flow Velocity for various valves and calculating PFV and PG.

VTI (Velocity Time Integral)

Explains measuring Velocity Time Integral for aortic and mitral valves, and calculating ET and VTI.

HR (Heart Rate)

Details measuring Heart Rate in M-mode and Doppler mode, averaged over selected beats.

Cardiac Output

Explains measuring Cardiac Output by measuring LVOT diameter and ET AV, VTI LVOT, and HR.

Using Reports

Covers making and printing reports, including comments and saving the report.

Capturing and Documenting Images

Explains Cine Review, Capturing Frozen Images, and Copying/Archiving images and clips.

Customization Examples

Provides examples of customizing the system, including creating custom M-mode keys and customizing labels/bodymarks.

FATE (Focus Assessed Transthoracic Echocardiography)

Defines FATE as specialized cardiac imaging for emergency medicine use.

Where to Find More Information

Lists relevant chapters for further information on system controls and features.

Urology Prostate Pro Package

This Pro Package contains information useful for basic urology imaging, including prostate imaging.

States the package provides information for urology and prostate imaging.

Important

Recommends reading Getting Started, transducer guides, care, cleaning, and system user guide.

Contents

Lists the sections covered in the Urology Prostate Pro Package chapter.

Diagnostic Presets

Explains selecting appropriate presets for transducers within the Urology Prostate Pro Package.

Setting up the Patient – Patient ID

Details the requirement of a patient ID to save images and how to enter data in the Patient window.

Imaging Controls

Covers B Mode (2D) imaging, gain adjustment, and TGC curve adjustment.

B Mode (2D)

Explains that imaging starts in B-mode and how to return to B-mode alone.

Split Screen

Explains how to split the screen for two images and transfer parameters between screens.

To Change Transducer Planes

Describes three ways to change transducer planes: Plane key, transducer buttons, or Current Plane selection.

Biopsy

Details how to display a puncture line on the image for biopsy guidance.

Color Mode (CFM)

Covers how to use Color mode, including color box adjustments.

Annotations – Labels and Bodymarks

Explains that labels and bodymarks are activated from the Measure and Mark tab when the image is frozen.

Labels

Details how to select, type, edit, remove, and align labels on the image.

Customizing Labels and Bodymarks Using Advanced Mode

Guides on customizing labels and bodymarks using Advanced Mode, including autocompletion and quick redefinition.

Bodymarks

Lists available bodymarks for Neuro Pro Package and explains how to place and move them.

Measurements and Calculations

Covers distance measurements and freehand measurements for area and circumference.

Distance

Details how to measure distance by positioning two cursors.

Freehand Measurements – Area and Circumference

Explains how to measure area and circumference by drawing a freehand shape.

Volume

Describes calculating volume using height, width, and length measurements from multiple images.

Using Reports

Covers making and printing reports, including comments and saving the report.

Capturing and Documenting Images

Explains Cine Review, Capturing Frozen Images, Capturing Clips, and Copying/Archiving.

Customization Examples

Provides examples of customizing the system, including saving new presets and setting default Pro Packages.

Where to Find More Information

Lists relevant chapters for further information on system controls and features.

Surgery Pro Package

This chapter is valid for bk5000 only.

States that this chapter is specifically for the bk5000 system.

Important

Recommends reading Getting Started, transducer guides, care, cleaning, and system user guide.

Contents

Lists the sections covered in the Surgery Pro Package chapter.

Diagnostic Presets

Explains selecting appropriate presets for transducers within the Surgery Pro Package.

Setting up the Patient - Patient ID

Details the requirement of a patient ID to save images and how to enter data in the Patient window.

Imaging Controls

Covers B-Mode (2D) imaging, gain adjustment, TGC curve adjustment, and split screen functionality.

B-Mode (2D)

Explains that imaging starts in B-mode and how to return to B-mode alone.

Split Screen

Explains how to split the screen for two images and transfer parameters between screens.

Biopsy

Details how to display a puncture line on the image for biopsy guidance.

Color Mode (CFM)

Covers how to use Color mode, including color box adjustments.

Doppler Mode

Explains how to use Doppler mode, including sample gate, gain, angle control, and advanced settings.

Auto

Covers using Auto to adjust baseline and PRF automatically for Doppler mode.

Elastography

Refers to Elastography section in Chapter 7 for details.

Annotations – Labels and Bodymarks

Explains that labels and bodymarks are activated from the Measure and Mark tab when the image is frozen.

Labels

Details how to select, type, edit, remove, and align labels on the image.

Bodymarks

Explains how to place, move, and set default positions for bodymarks on the image.

Measurements and Calculations

Covers distance measurements and freehand measurements for area and circumference.

Distance

Details how to measure distance by positioning two cursors.

Freehand Measurements – Area and Circumference

Explains how to measure area and circumference by drawing a freehand shape.

Volume

Describes calculating volume using height, width, and length measurements from multiple images.

Using Reports

Covers making and printing reports, including comments and saving the report.

Capturing and Documenting Images

Explains Cine Review, Capturing Frozen Images, Capturing Clips, and Copying/Archiving.

Customization Examples

Provides examples of customizing the system, including saving new presets and setting default Pro Packages.

Where to Find More Information

Lists relevant chapters for further information on system controls and features.

Neuro Pro Package

This chapter is valid for bk5000 only.

States that this chapter is specifically for the bk5000 system.

This Pro Package contains information useful for basic brain imaging including

Lists brain imaging types: Burr-hole, Craniotomy, Spinal Cord, and Imaging with Brainlab.

Important

Recommends reading Getting Started, transducer guides, care, cleaning, and system user guide.

Contents

Lists the sections covered in the Neuro Pro Package chapter.

Diagnostic Presets

Explains selecting appropriate presets for transducers within the Neuro Pro Package.

Setting up the Patient – Patient ID

Details the requirement of a patient ID to save images and how to enter data in the Patient window.

Imaging Controls

Covers B Mode (2D) imaging, gain adjustment, TGC curve adjustment, and split screen functionality.

B Mode (2D)

Explains that imaging starts in B-mode and how to return to B-mode alone.

Split Screen

Explains how to split the screen for two images and transfer parameters between screens.

Biopsy

Details how to display a puncture line on the image for biopsy guidance.

Color Mode (CFM)

Covers how to use Color mode, including color box adjustments.

Doppler Mode

Explains how to use Doppler mode, including sample gate, gain, angle control, and advanced settings.

Auto

Covers using Auto to adjust baseline and PRF automatically for Doppler mode.

Elastography

Refers to Elastography section in Chapter 7 for details.

Annotations – Labels and Bodymarks

Explains that labels and bodymarks are activated from the Measure and Mark tab when the image is frozen.

Labels

Details how to select, type, edit, remove, and align labels on the image.

Bodymarks

Lists available Neuro bodymarks and explains how to place and move them on the image.

Measurements and Calculations

Covers distance, freehand area/circumference, and volume measurements.

Distance

Details how to measure distance by positioning two cursors.

Freehand Measurements – Area and Circumference

Explains how to measure area and circumference by drawing a freehand shape.

Volume

Describes calculating volume using height, width, and length measurements from multiple images.

Using Reports

Covers making and printing reports, including comments and saving the report.

Capturing and Documenting Images

Explains Cine Review, Capturing Frozen Images, Capturing Clips, and Copying/Archiving.

Customization Examples

Provides examples of customizing the system, including saving new presets and setting default Pro Packages.

Where to Find More Information

Lists relevant chapters for further information on system controls and features.

3D Imaging

Introduction to 3D Ultrasound

Explains the basic concept of collecting 2D images and reconstructing them into a 3D volume.

Imaging Modes

Lists modes compatible and incompatible with 3D imaging.

3D License

States that the 3D function requires a license from BK Medical.

Password Protection

Explains that 3D system use requires login if patient archiving is password protected.

Controlling Transducer Movement

Covers transducer movement using system-controlled devices or untracked freehand.

System-Controlled Positioning

Describes making measurements on reconstructed 3D volumes using system-controlled positioning devices.

Untracked Freehand Acquisition

Allows freehand movement for acquisitions but warns that combinations may not produce sensible volumes.

Imaging Direction

Explains selecting the imaging direction icon for correct 3D volume reconstruction.

Measurements Not Accurate

Warns that measurements on untracked freehand 3D data sets may not be accurate.

3D Imaging Overview

Outlines the steps of the 3D imaging process: Preparations, Adjust Settings, Acquisition, Viewing, Working with image, Save/Capture/Close.

Preparations

Covers checking connections, choosing presets, and optimizing the 2D image before 3D acquisition.

Adjusting the Image Capture Settings

Details adjusting ROI, 3D Capture Settings, and Mover/Imaging Direction.

ROI (3D Region of Interest)

Explains 3D ROI markers indicating the area captured in the 3D data set.

3D Capture Settings

Covers setting spacing, extent, and untracked options for 3D capture.

Setting the Mover and Imaging Direction

Explains setting imaging direction for movers and the importance of correct orientation.

Acquisition

Details how to start and stop a 3D acquisition, noting disabled controls during the process.

Viewing a 3D Data Set

Describes viewing the acquired volume and using tools to enhance the image.

Enhancing a 3D View

Covers using options like Brightness, Contrast, Hue, Zoom, and Presets to enhance the 3D volume appearance.

3D Layout Options

Explains changing the monitor layout using options on the 3D Misc. tab.

Working with the 3D Image

Details manipulating the volume using trackball and Select key for rotating, slicing, and tilting planes.

Manipulating the Volume

Covers rotating, moving planes, tilting planes, and moving the volume.

Moving a Plane In and Out of the Volume

Explains 'slicing' the volume by moving a plane to display a cut plane.

Tilting a Plane

Describes tilting a plane to see views not parallel to original faces, creating additional planes.

Moving the Volume

Details how to move the volume by holding Shift and Select keys.

Animating the Volume

Explains how to make the volume rotate automatically forward and back using the 3D Misc. tab.

Aligning, Splitting, or Deleting a Face

Covers turning the volume, deleting a cut plane, or splitting a plane to create a tilted cut plane.

Annotating a 3D View

Explains how to annotate a 3D view with labels or arrows, and save the annotated image.

User Views

Describes saving enhanced and annotated 3D views as User Views.

The 6 Data Presentation Views

Lists the six different ways to view the 3D data set.

Cube View

Defines Cube View as a texture-mapped representation of the volume, the default view.

Making Measurements in a Cube View

Explains measuring length, area, and volume of pathology in a Cube view using system-controlled positioning.

Deleting Measurements

Provides instructions to delete a measurement or all measurements using Undo or Clear All.

Measuring Volumes

Explains measuring volume by drawing polygons around areas of interest on slices.

Render View

Describes Render View as improving 3D visualization, useful for detail in soft tissues.

Render Settings

Covers changing Render view appearance by adjusting settings like Photo, Opac, Thick, and Filter.

Sculpting Tools

Explains sculpting tools to remove unwanted data from a Render view, usable only on gray scale volumes.

MIP View

Defines MIP View, emphasizing pixels with highest intensity, useful for flow jets and vascularization.

Transparency View

Describes Transparency rendering for adjusting relative transparencies of color and gray scale parts.

4-Up View

Describes the 4-Up view with three orthogonal planes and a view of intersecting planes.

6-Up View

Details the 6-Up view containing Cube view and the sixth most recently displayed view.

Save, Capture and Close

Lists three options after viewing a 3D data set: Save, Capture, and Close.

DICOM

DICOM on the System

States DICOM is not installed by default and requires setup to match DICOM system and procedures.

New Patient Information from a DICOM Worklist

Explains retrieving a worklist of patients and selecting a patient for DICOM system setup.

Saving or Printing to a DICOM Network

Covers filenames of documents exported in DICOM format.

Archiving to a PACS

Explains how to archive images and clips to a PACS if DICOM is installed.

Reports

Mentions the possibility of exporting DICOM Structured Reports.

DICOM Status

Describes DICOM status indicators (Green, Yellow, Red) appearing by display values.

Deleting a Document

Notes that documents in a queue to be sent to a DICOM device cannot be deleted.

Discontinuing an Examination with an MPPS Server

Explains how to discontinue an examination if an MPPS server is configured.

Glossary

Glossary

Provides explanations of terms and abbreviations appearing in the user guide or on the monitor.

Measurement Abbreviations

Measurement Abbreviations

Lists measurement abbreviations and their corresponding explanations.

Setting Up and Customizing Your System

Before You Begin

Notes that configuration requires system familiarity and default settings are optimized for transducers.

Configuration Mode

Explains how to configure on-screen information, keys, input fields, etc., for the bk3000 or bk5000 system.

Key Definitions (Redefining an Existing Key)

Guides on redefining a label, bodymark, or measurement screen key to another key of the same type.

Pro Package and Presets

Details how to open the setup window for Pro Packages and presets.

Doppler and M-Mode Monitor Layout

Covers adjusting the split between Doppler/M-mode and B-mode images, and their sizes.

Depth Behavior

Explains preserving nearfield width when decreasing image depth.

User-Defined Keys

Describes assigning functions to user-definable keys, foot-switch pedals, and transducer buttons.

Depth Control

Explains the depth control settings and how to use them as magnification controls.

System Setup

Lists configurable areas within the System tab: General, Clip Storage, 3D, Printer, Password, Network Drive, Version, Video I/O, Battery Support, Miscellaneous.

General Setup

Covers changing location, language, video format, date/time, and staging area size.

Date/Time

Guides on changing the date and time and their formats.

Restoring the Factory Setup

Explains how to restore all factory default settings, noting customization loss.

Setting the CD/DVD Size

Details specifying the size (storage capacity) of CD/DVD used for copying or archiving.

Clip Storage and Cine Setup

Covers changing how Clip Browser and Cine functions work.

3D Setup

Explains options for specifying prompts, automatic ROI selection, and viewing acquired 3D volumes.

Printer Setup

Covers setting up paper size for printers, printing test pages, and office printers via network.

Setting Up an Office Printer

Guides on configuring pre-installed printer drivers to work with an office printer via network.

Password Setup

Explains changing passwords, managing users, and enabling/disabling password protection.

Network Archiving

Details setting up a network drive for archiving, entering UNC path, username, and password.

Version Information

Provides information about software/hardware versions and exporting a system log file.

Video I/O Setup

Explains specifying Video Output Mode (OFF, Analog Monitor, Passive Display, Cloned Display).

Battery Support Setup

Covers customizing battery operation: Power save mode, alarms, and power profile.

Miscellaneous System Setup

Guides on customizing various functions via the Miscellaneous System Setup window.

Measurements

Explains customizing measurement setup for each Pro Package.

Measurement Definition Setup Window

Describes using the window to import/export measurements and define new ones.

Curve Setup Window

Explains defining or editing user-defined curves.

Miscellaneous Measurement Setup

Covers setting measurement parameters and changing how measurements are displayed.

Redefining Screen Keys – Label, Bodymark, and Measurement

You can take a label, bodymark, or measurement screen key and redefine it to be another key of the same type.

Explains the capability to redefine screen keys for labels, bodymarks, and measurements.

To redefine a label, bodymark, or measurement screen key

Provides steps to redefine screen keys via the Measure and Mark tab and Advanced settings.

The Key Definition menu opens, with the current key name at the top.

Describes the Key Definition menu appearing upon clicking the circle on a screen key.

Custom Label

Guides on making a new label if the desired word is not found in the label key.

Default Position

Explains how to set a default position for system labels and typed labels.

Results or Calculation Methods for Measurements

Discusses additional features and setting possibilities for some measurement keys.

Restricting the Menu in “More” Keys

Explains how to restrict options in 'More' keys lists to make them more manageable.

Configuring the bk3000 and bk5000

Before You Begin

Notes that configuration requires system familiarity; default settings are optimized.

Configuration Mode

Explains how to configure on-screen information, keys, input fields, etc., for the system.

Key Definitions (Redefining an Existing Key)

Guides on redefining a label, bodymark, or measurement screen key.

Other Settings

Covers custom labels, default positions, and other configuration options.

The Imaging Tabs

Explains how imaging tab subtabs can be made Visible or Invisible.

Special 3D Mode Tab

Describes the special 3D mode tab appearing after 3D data acquisition or review.

Measure and Mark Tabs

Covers two versions of Measure and Mark tabs, one with subtabs and one without.

Documentation Tab

Explains the extra menu appearing above the Documentation tab when reviewing clips/images.

Patient Dialog

Guides on opening the Patient dialog to configure displayed columns, input fields, and keys.

Display Areas and Info Boxes

Explains display areas outside the image and how info boxes show measurement results and settings.

Prioritizing the Display of Measurements and Settings

Covers deciding placement of info boxes and display priority for measurements and settings.

Creating a New Pro Package in Configuration Mode

Guides on creating a new Pro Package with keys, tabs, input fields, and display area.

To copy tabs and softkeys (GUI controls) from one Pro Package to another

Explains copying GUI controls from one Pro Package to another using a memory stick.

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