6.  Press freeze and scroll with the trackball to End Systole where the cardiac chamber is 
the smallest 
7.  Select Trace method 3 point or manual via OLED 
a.  Press the Pointer and place 3 points (or at least 6 points for manual) on the B Mode 
image endocardial surface 
8.  Double press a Set key to complete the placement.  System generates a 3 layered 
trace 
9.  Adjust the trace by pointing to any dot along the trace and pressing set to move the dot 
to desired location and then press Set to release the dot in the new location. 
10.  Adjust the Trace points and thickness if necessary. 
11.  When satisfied with the trace, press the Start Tracking OLED 
12.  System plays the BMode/Trace 
13.  If acceptable tracking results, press the OLED Accept and Compute  
14.  System generates curves from the trace and automatically plays back the B 
Mode/Strain strip in unison. 
15.  Select the Bull’s Eye OLED for numerical Bull’s Eye data representation 
16.  Change the Parameter displayed using the OLED. 
17.  Store or Export data as desired. 
 
TTQA Control 
Description/Use 
 
  ALAX 
  A2C 
  A4C 
  PSAXB - at the Base 
  PSAXM - at the Papillary Muscle 
  PSAXAP - at the Apex 
Tracking Cycles 
1 or 3 
Number of heartbeats to evaluate
 
•  If Tracking Cycle is set to 1, this OLED will reflect 1 number corresponding to the 
heartbeat in that clip that is to be evaluated (for example, if the clip has 6 heartbeats 
in it and Cycle reflects 4, the system will evaluate the 4
th
 heartbeat in the clip.) 
  If Tracking Cycle is set to 3, this OLED will reflect a range (1-3, 2-4, 3-5, 4-6) 
corresponding to the three consecutive heartbeats that will be evaluated. 
Trace 
3Point or Manual 
Manual: place at least 6 points in a clockwise or counterclockwise pattern along the 
endocardium 
 
•  A4C, A2C, ALAX, PSAX B, PSAX M, PSAX AP 
3 Point: 1 point on each annulus and 1 point at the apex (on the endocardial surface)
 
 Adjusts the number of points placed within each segment. 
Thickness 
Adjusts the trace thickness (the distance between the endocardium and epicardium) 
 After a trace has been drawn, press this OLED and system will generate a three layered  
 
myocardial trace which moves with the underlying BMode image. 
Display Effects 
Turns the arrow vector graphical display of the myocardial movement. 
 Adjust to  play/change playback speed or  pause/move frame by frame 
Accept and Compute 
Press to Accept the trace; start the calculation, and display the curves.