Vivid I / Vivid Q Reference Manual

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GE Medical SystemsTechnicalPublicationsVivid i / Vivid qReference ManualGEMS #: 5407782-100Rev. 02Copyright 2011 By General Electric Co.Reference Documentation

Regulatory RequirementsThis product complies with regulatory requirements of thefollowing European Directive 93/42/EEC concerning medicaldevices.This manual is a reference for Vivid i and Vivid q. It applies toall versions of the 11.x.x software for the Vivid i and Vivid qultrasound systems.gMANUAL STATUSGE Medical Systems5-May-2011 GE Medical Systems. All rights reserved. No part of thismanual may be reproduced, stored in a retrieval system, ortransmitted, in any form or by any means, electronic,mechanical, photocopying, recording, or otherwise,without the prior written permission of GE MedicalSystems.COMPANY DATAGE Medical Systems, Israel Ltd.5407782-1004 Etgar Street39120 Tirat CarmelIsraelGE Medical Systems Information Technologies GmbH,Munzinger Strasse 5 D-79111 Freiburg, GermanyTel: ( 49) 761 45 43 0 Fax: ( 49) 76145 43 233

Revision HistoryRevision HistoryRevisionDateReason for Change128 October 2010Initial release25 May 20111.2.3.4.3Sc-RS probe data was addedUpdated probe acoustic power tables:9T-RSUpdate probe acoustic power tables:6S-RS, 7S-RS, 10S-RS, and 8C-RS.Update accuracy table of Q AnalysisList of affected pagesRevisionAffected Pages1All21.2.3.4.192-197280-285210-227, 243-24766Please verify that you are using the latest revision of this document. Informationpertaining to this document is maintained on ePDM (GE Medical Systemselectronic Product Data Management). If you need to know the latest revision,contact your distributor, local GE Sales Representative or in the USA call the GEUltrasound Clinical Answer Center at 1 800 682 5327 or 1 262 524 5698.Vivid i / Vivid q Reference Manual5407782-100 Rev. 02i

Regulatory informationRegulatory informationCAUTIONAny changes to accessories, peripheral units or any other part ofthe system must be approved by the manufacturer. Ignoring thisadvice may compromise the regulatory approvals obtained forthe product.DirectivesThe GE Healthcare Ultrasound product families are tested to meet all applicablerequirements in relevant EU Directives and European/International standards. Council Directive 93/42/EEC concerning MDD (Medical Devices Directive):the CE label affixed to the product testifies compliance to this Directive.The location of the CE marking is shown in the User Manual, Direction5400907-1000, Chapter 1 - "Safety" as specified on the “Device Labels”.European registered place of business:GE Medical Systems Information Technologies GmbH,Munzinger Strasse 5 D-79111 Freiburg, GermanyTel: ( 49) 761 45 43 0 Fax: ( 49) 76145 43 233Product ClassificationsThe Vivid S5/Vivid S6 ultrasound unit confirms to the following classifications, inaccordance with the IEC/EN 60601-1:6.8.1: According to 93/42/EEC Medical Device Directive, this is Class IIa MedicalDevice. According to IEC/EN 60601-1, Equipment is Class I, Type B with BF or CFApplied Parts. According to CISPR 11, this is Group 1, Class B ISM Equipment. According to IEC 60529, the footswitch rate IPx8 is suitable for use in surgicalrooms. Classification according to the degree of protection against ingress of water asdetailed in the current edition of IEC 529 (section 6.1.1): Ordinary for Main Unit(PC), IPX1, IPX7, IPX8 for ultrasound probes (transducers).iiVivid i / Vivid q Reference Manual5407782-100 Rev. 02

Regulatory informationConformity to StandardsTo fulfill the requirements of relevant EC directives and/or European Harmonized/International standards, the following documents/standards have been used: International Electrotechnical Commission (IEC). IEC/EN 60601-1: Medical Electrical Equipment, Part 1 GeneralRequirements for Safety IEC/EN 60601-1-2: Medical electrical equipment - Part 1-2: Generalrequirements for safety - Collateral standard: Electromagnetic compatibility- Requirements and tests EN 55011/ CISPR11 A2: Emitted noise according to Class B requirements Electromagnetic Susceptibility IEC/EN 60601-1-4: Medical electrical equipment - Part 1-4: Generalrequirements for safety - Collateral standard: Programmable electricalmedical systems IEC/EN 60601-1-6: Medical electrical equipment - Part 1-6: Generalrequirements for basic safety and essential performance - CollateralStandard: Usability IEC/EN 60601-2-37: Medical Electrical Equipment Part 2-37: ParticularRequirements for the Safety of Ultrasonic Medical Diagnostic andMonitoring Equipment EN60601-1-1: Medical Electrical Equipment Part 1-1: GeneralRequirements for Safety Collateral Standard: Safety Requirements forMedical Electrical Systems International Organization of Standards (ISO) ISO 10993-1: Biological Evaluation of Medical Devices - Part 1: Evaluation& Testing ISO 10993-5: Biological Evaluation of Medical Devices - Part 5: Tests for InVitro Cytotoxicity ISO 10993-10:Biological evaluation of medical devices - Part 10: Tests forirritation and delayed-type hypersensitivity Underwriters' Laboratories, Inc. (UL), an independent testing laboratory. UL 60601-1 Medical Electrical Equipment, Part 1 General Requirements forSafety. Canadian Standards Association (CSA). CSA 22.2, 601.1 Medical Electrical Equipment, Part 1 GeneralRequirements for Safety. NEMA/AIUM Acoustic Output Display Standard (NEMA US-3, 1998). Medical Device Good Manufacturing Practice Manual issued by the FDA(Food and Drug Administration, Department of Health, USA).Vivid i / Vivid q Reference Manual5407782-100 Rev. 02iii

Regulatory informationCertifications Quality management standards for medical devices: General Electric MedicalSystems is ISO 9001 and ISO13485 certified.Software License Acknowledgements ivWindowBlinds OCX Stardock Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

Table of ContentsRevision HistoryList of affected pages. iRegulatory informationDirectives . iiProduct Classifications. iiConformity to Standards . iiiCertifications. ivSoftware License Acknowledgements . ivIntroductionContact information . 2Chapter 1MeasurementsMeasurement overview . 6Cardiac measurements. 6AFI Measurements . 19Auto-EF measurements. 22Measurement formulas . 24Formulas–Cardiac . 24Formulas–Generic . 54Formulas–Vascular. 56Formulas–OB. 57Formulas–GYN . 61Measurement accuracy. 63General . 63Sources of error . 63Optimizing Measurement Accuracy . 65Measurement Uncertainties. 65DICOM SR Measurements . 68Vivid i / Vivid q Reference Manual5407782-100 Rev. 02v

Chapter 2OB TablesASUM. 70Berkowitz . 72Brenner . 73Campbell . 73Eriksen . 74Goldstein. 75Hadlock . 76Hansmann. 83Hellman . 92Hill.92Hohler. 93Jeanty. 93JSUM . 106Kurtz . 110Mayden. 111Mercer .112Merz . 113Moore . 123Nelson .123Osaka . 124Paris . 128Rempen . 131Robinson. 136Tokyo. 136Tokyo Shinozuka. 140Williams. 147Yarkoni . 147viVivid i / Vivid q Reference Manual5407782-100 Rev. 02

Chapter 3Acoustic informationThe real-time display of acoustic output indices . 151Thermal Index. 151Mechanical Index:. 152Concerns Surrounding the Use of Diagnostic Ultrasound. 153Default Settings and Output Levels. 153Controls Affecting Acoustic Output . 154Track 3 Summary Table . 156Acoustic Parameters as Measured in Water. 159Definitions, symbols and abbreviations . 159Translations of definitions, symbols, and abbreviations . 160Acoustic Output Reporting Tablesfor Track 3/IEC 60601-2-37. 184Explanation of Footnotes . 184Multiple focal-zones . 184Operating Conditions . 185Transducer Model: 3S-RS . 186Transducer Model: 3Sc-RS . 192Transducer Model: M4S-RS . 198Transducer Model: 5S-RS . 204Transducer Model: 6S-RS . 210Transducer Model: 7S-RS . 216Transducer Model: 10S-RS . 222Transducer Model: e8C-RS . 228Transducer Model: 3C-RS . 233Transducer Model: 4C-RS . 238Transducer Model: 8C-RS . 243Transducer Model: 8L-RS. 248Transducer Model: 9L-RS. 253Transducer Model: 12L-RS. 258Transducer Model: i12L-RS. 263Transducer Model: 6T-RS . 268Transducer Model: 6Tc-RS. 274Transducer Model: 9T-RS . 280Transducer Model: P2D-RS. 286Transducer Model: P6D-RS. 287Vivid i / Vivid q Reference Manual5407782-100 Rev. 02vii

Transducer Model: AcuNav8. 288Transducer Model: AcuNav10/SoundStar 3D .294Chapter 4Electromagnetic CompatibilityGuidance and manufacturer’s declaration . 301viiiVivid i / Vivid q Reference Manual5407782-100 Rev. 02

IntroductionIntroductionThe Vivid i / Vivid q ultrasound unit is a compact, highperformance portable digital ultrasound imaging system.The system provides image generation in 2D (B Mode), ColorFlow Mapping (CFM), Power Doppler (Angio), M-Mode, ColorM-Mode (CMM), PW and CW Doppler spectra, Tissue VelocityImaging / Tissue Tracking (TVI/TT), Tissue SynchronizationImaging (TSI), B Flow Imaging (BFI/Bflow) and LVO Contrastoption applications.The fully digital architecture of the Vivid i / Vivid q unit allowsoptimal usage of all scanning modes and probe types,throughout the full spectrum of operating frequencies.Vivid i / Vivid q Reference Manual5407782-100 Rev. 021

IntroductionContact informationIf additional information or assistance is needed, pleasecontact the local distributor or the appropriate support resourcelisted bellow:EuropeGE Ultraschall KGTel: 0130 81 6370Deutschland GmbH & Co.Tel: (49)(0) 212-28-02-208Beethovenstraße 239Postfach 11 05 60D-42655 SolingenUSAGE Medical SystemsTel: (1) 800-437-1171Ultrasound Service EngineeringFax: (1) 414-647-40904855 W. Electric AvenueMilwaukee, WI 53219On-line Applications SupportTel: (1) 800-682-5327or (262) 524-5698CanadaGE Medical SystemsTel: (1) 800-664-0732Ultrasound Service Engineering4855 W. Electric AvenueMilwaukee, WI 53219On-line Applications SupportTel: (1) 800-682-5327or (262) 524-5698AsiaGE Ultrasound AsiaTel: (65) 291-8528Service Department UltrasoundFax: (65) 272-3997298 Tiong Gahru Road # 15-01/06Central PlazaSingapore 1687302Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

IntroductionLatin and South AmericaGE Medical SystemsTel: (1) 305-735-2304Ultrasound Service Engineering4855 W. Electric AvenueMilwaukee, WI 53219On-line Applications SupportTel: (1) 800-682-5327or (262) 524-5698BrazilGE UltrasoundTel: (55.11) 887-8099Rua Tomas Carvalhal, 711Fax: (55.11) 887-9948ParaisoCep: 04006-002 - São Paulo, SPVivid i / Vivid q Reference Manual5407782-100 Rev. 023

Introduction4Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

Chapter 1MeasurementsThis chapter includes the following information: Measurement overview . 6 Cardiac measurements . 6 AFI Measurements . 19 Auto-EF measurements . 22 Measurement formulas. 24 Formulas–Cardiac . 24 Formulas–Generic. 54 Formulas–Vascular . 56 Formulas–OB . 57 Formulas–GYN . 61 Measurement accuracy . 63 General . 63 Sources of error . 63 Optimizing Measurement Accuracy . 65 Measurement Uncertainties . 65 DICOM SR Measurements . 68Vivid i / Vivid q Reference Manual5407782-100 Rev. 025

MeasurementsMeasurement overviewThe following table shows the cardiac measurements availableon the Vivid i / Vivid q ultrasound unit.Cardiac measurementsAbbreviationDefinitionUnit%FSLV Fractional Shortening, 2D%%FSLV Fractional Shortening, M-mode%%IVS ThckIVS Fractional Shortening, 2D%%IVS ThckIVS Fractional Shortening, M-mode%%LVPW ThckLV Posterior Wall Fractional Shortening, 2D%%LVPW ThckLV Posterior Wall Fractional Shortening, M-mode%Ao Arch DiamAortic Arch DiametercmAo ascAscending Aortic DiametercmAo Desc DiamDescending Aortic DiametercmAo IsthmusAortic IsthmuscmAo Root DiamAortic Root DiametercmAo Root DiamAortic Root Diameter, M-modecmAR EROPISA: Regurgitant Orifice Areacm2AR FlowPISA: Regurgitant Flowml/sAR PHTAV Insuf. Pressure Half TimemsAR RadPISA: Radius of Aliased PointcmAR RVPISA: Regurgitant Volume FlowmlAR VelPISA: Aliased Velocitym/sAR VmaxAortic Insuf. Peak Velocitym/sAR VTIAortic Insuf. Velocity Time IntegralcmARed max PGAortic Insuf. End-Diastole Pressure Gradientmm HgARed VmaxAortic Insuf. End-Diastolic Velocitym/s6Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

MeasurementsAbbreviationDefinitionUnitAV Acc SlopeAortic Valve Flow Accelerationm/s2AV Acc TimeAortic Valve Acceleration TimemsAV AccT/ETAV Acceleration to Ejection Time RatioAV COCardiac Output by Aortic Flowl/minAV CuspAortic Valve Cusp Separation, 2DcmAV CuspAortic Valve Cusp Separation, M-modecmAV Dec TimeAortic Valve Deceleration TimemsAV DiamAortic Diameter, 2DcmAV max PGAortic Valve Peak Pressure Gradientmm HgAV mean PGAortic Valve Mean Pressure Gradientmm HgAV SVStroke Volume by Aortic FlowmlAV VmaxAortic Valve Peak Velocitym/sAV VmeanAV Mean Velocitym/sAV VTIAortic Valve Velocity Time IntegralcmAVA (Vmax)AV Area by Continuity Equation by Peak Vcm2AVA (VTI)AV Area by Continuity Equation VTIcm2AVA PlanimetryAortic Valve Areacm2AVETAortic Valve Ejection TimemsAVETAortic Valve Ejection Time, M-modemsCO (A-L A2C)CO 2CH, Single Plane, Area-Lengthl/minCO (A-L A4C)CO 4CH, Single Plane, Area-Lengthl/minCO (Biplane)CO, Bi-Plane, MODl/minCO (bullet)CO, Bi-Plane, Bulletl/minCO (MOD A2C)CO 2CH, Single Plane, MOD(Simpson)l/minCO (MOD A4C)CO 4CH, Single Plane, 4CH, MOD(Simpson)l/minCO(Cube)Cardiac Output, 2D, Cubicl/minVivid i / Vivid q Reference Manual5407782-100 Rev. 027

iac Output, M-mode, Cubicl/minCO(Teich)Cardiac Output, 2D, Teicholtzl/minCO(Teich)Cardiac Output, M-mode, Teicholtzl/minD-E ExcursionMV Anterior Leaflet ExcursioncmD-E ExcursionMitral Valve D-E SlopecmEDV (bullet)LV Volume, Diastolic, Bi-Plane, BulletmlEDV(Cube)Left Ventricle Volume, Diastolic, 2D, CubicmlEDV(Cube)Left Ventricle Volume, Diastolic, M-mode, CubicmlEDV(Teich)Left Ventricle Volume, Diastolic, 2D, TeicholzmlEDV(Teich)Left Ventricle Volume, Diastolic, M-mode,TeicholzmlEF (A-L A2C)Ejection Fraction 2CH, Single Plane, Area-Length%EF (A-L A4C)Ejection Fraction 4CH, Single Plane, Area-Length%EF (Biplane)Ejection Fraction, Bi-Plane, MOD%EF (bullet)Ejection Fraction 2CH, Bi-Plane, Bullet%EF (MOD A2C)Ejection Fraction 2CH, Single Plane,MOD(Simpson)%EF (MOD A4C)Ejection Fraction 4CH, Single Plane, 4CH,MOD(Simpson)%E-F SlopeMitral Valve E-F Slopem/sEF(Cube)Ejection Fraction, 2D, Cubic%EF(Cube)Ejection Fraction, M-mode, Cubic%EF(Teich)Ejection Fraction, 2D, Teicholtz%EF(Teich)Ejection Fraction, M-mode, Teicholtz%EPSSE-Point-to-Septum Separation, M-modecmEPSS 2DE-Point-to-Septum Separation, 2DcmEROEffective Regurgitant Orificecm2ESV (bullet)LV Volume, Systolic, Bi-Plane, Bulletml8Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

t Ventricle Volume, Systolic, 2D, CubicmlESV(Cube)Left Ventricle Volume, Systolic, M-mode, CubicmlESV(Teich)Left Ventricle Volume, Systolic, 2D, TeicholzmlESV(Teich)Left Ventricle Volume, Systolic, M-mode, TeicholzmlHRAV Heart Rate, DopBPMHRHeart Rate, 2D, TeicholtzbpmHRHeart Rate for 2CH studybpmHRHeart Rate for 4CH studybpmHRHeart Rate for 2CH AL studybpmHRHeart Rate for 2CH MOD studybpmHRHeart Rate for 4CH AL studybpmHRHeart Rate for 4CH MOD studybpmHRHeart Rate for Bullet studybpmHRHeart Rate for BiPlane MOD studybpmHRLV Heart Rate, DopbpmHRHeart Rate, M-mode, TeicholtzbpmHRHeart RatebpmIVCInferior Vena CavacmIVCTIsovolumic Contraction TimemsIVRTIsovolumic Relaxation TimemsIVSdInterventricular Septum Thickness, Diastolic, 2DcmIVSdIVS Thickness, Diastolic, M-modecmIVSsInterventricular Septum Thickness, Systolic, 2DcmIVSsIVS Thickness, Systolic, M-modecmLA DiamLeft Atrium Diameter, 2DcmLA DiamLeft Atrium Diameter, M-modecmLA DiamRight Atrium Diameter, 2DcmVivid i / Vivid q Reference Manual5407782-100 Rev. 029

MeasurementsAbbreviationDefinitionUnitLA MajorLeft Atrium MajorcmLA MinorLeft Atrium MinorcmLA/AoLA Diameter to AoRoot Diameter Ratio, 2DLA/AoLA Diameter to AoRoot Diameter Ratio, M-modeLAEDV (MOD A4C)LA Volume, Single Plane, MODmlLAESV (MOD A4C)LA Volume, Systolic, Single Plane, MODmlLIMPLeft Index of Mysocardial PerformanceLVA (s)Left Ventricular Area, Systolic, 2CHcm2LVAd (A2C)Left Ventricular Area, Diastolic, 2CHcm2LVAd (A4C)Left Ventricular Area, Diastolic, 4CHcm2LVAd(sax)LV area, SAX, Diastoliccm2LVAend (d)LV Endocardial Area, SAXcm2LVAepi (d)LV Epicardial Area, SAXcm2LVAs (A4C)Left Ventricular Area, Systolic, 4CHcm2LVAs(sax)LV area, SAX, Systoliccm2LVd MassLV Mass, Diastolic, 2DgLVd MassLV Mass, Diastolic, M-modegLVd Mass IndexLV Mass Index, Diastolic, 2Dg/m2LVd Mass IndexLV Mass Index, Diastolic, M-modeg/m2LVEDV (A-L A2C)LV Volume, Diastolic, 2CH, Area-LengthmlLVEDV (A-L A4C)LV Volume, Diastolic, 4CH, Area-LengthmlLVEDV (MOD A2C)LV Volume, Diastolic, Single Plane, 2CH, MODmlLVEDV (MOD A4C)LV Volume, Diastolic, Single Plane, 4CH, MODmlLVEDV (MOD BP)LV Volume, Diastolic, Bi-Plane, MODmlLVESV (A-L A2C)LV Volume, Systolic, 2CH, Area-Lengthml10Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

MeasurementsAbbreviationDefinitionUnitLVESV (A-L A4C)LV Volume, Systolic, 4CH, Area-LengthmlLVESV (MOD A2C)LV Volume, Systolic, Single Plane, 2CH, MODmlLVESV (MOD A4C)LV Volume, Systolic, Single Plane, 4CH, MODmlLVESV (MOD BP)LV Volume, Systolic, Bi-Plane, MODmlLVESV (MOD LAX)LV Volume, Diastolic, Apical View, LAX, MODmlLVESV (MOD LAX)LV Volume, Systolic, Apical View, LAX, MODmlLVETLeft Ventricle Ejection TimemsLVIDdLV Internal Dimension, Diastolic, 2DcmLVIDdLV Internal Dimension, Diastolic, M-modecmLVIDsLV Internal Dimension, Systolic, 2DcmLVIDsLV Internal Dimension, Systolic, M-modecmLVLd (apical)Left Ventricular Length, Diastolic, 2DcmLVLs (apical)Left Ventricular Length, Systolic, 2DcmLVOT AreaLeft Ventricle Outflow Tract Areacm2LVOT COCardiac Output by Aortic Flowl/minLVOT DiamLeft Ventricular Outflow Tract DiametercmLVOT max PGLVOT Peak Pressure Gradientmm HgLVOT mean PGLVOT Mean Pressure Gradientmm HgLVOT SIStroke Volume Index by Aortic Flowml/m2LVOT SVStroke Volume by Aortic FlowmlLVOT VmaxLVOT Peak Velocitym/sLVOT VmeanLVOT Mean Velocitym/sLVOT VTILVOT Velocity Time IntegralcmLVPWdLeft Ventricular Posterior Wall Thickness,Diastolic, 2DcmLVPWdLeft Ventricular Posterior Wall Thickness,Diastolic, M-modecmVivid i / Vivid q Reference Manual5407782-100 Rev. 0211

MeasurementsAbbreviationDefinitionUnitLVPWsLeft Ventricular Posterior Wall Thickness,Systolic, 2DcmLVPWsLeft Ventricular Posterior Wall Thickness,Systolic, M-modecmLVs MassLV Mass, Systolic, 2DgLVs MassLV Mass, Systolic, M-modegLVs Mass IndexLV Mass Index, Systolic, 2Dg/m2LVs Mass IndexLV Mass Index, Systolic, M-modeg/m2LAAd (A2C)Left Atrium Area, Apical 2Ccm2LAAd (A4C)Left Atrium Area, Apical 4Ccm2MCOMitral Valve closure to OpeningmsMP AreaMitral Valve Prosthesiscm2MR Acc TimeMV Regurg. Flow AccelerationsMR EROPISA: Regurgitant Orifice Areacm2MR FlowPISA: Regurgitant Flowml/sMR max PGMitral Regurg. Peak Pressure Gradientmm HgMR RadPISA: Radius of Aliased PointcmMR RVPISA: Regurgitant Volume FlowmlMR VelPISA: Aliased Velocitym/sMR VmaxMitral Regurg. Peak Velocitym/sMR VmaxPISA: CW Peak Velocitym/sMR VmeanMitral Regurg. Mean Velocitym/sMR VTIMitral Regurg. Velocity Time IntegralcmMR VTIPISA: CW Velocity Time IntegralcmMV A DurMitral Valve A-Wave DurationmsMV A VelocityMV Velocity Peak Am/s12Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

MeasurementsAbbreviationDefinitionUnitMV Acc SlopeMitral Valve Flow Accelerationm/s2MV Acc TimeMitral Valve Acceleration TimemsMV Acc/Dec TimeMV: Acc.Time/Decel.Time RatioMV an diamMitral Valve Annulus Diameter, 2DcmMV COCardiac Output by Mitral Flowl/minMV Dec SlopeMitral Valve Flow Decelerationm/s2MV Dec TimeMitral Valve Deceleration TimemsMV E VelocityMV Velocity Peak Em/sMV E/A RatioMitral Valve E-Peak to A-Peak RatioMV max PGMitral Valve Peak Pressure Gradientmm HgMV mean PGMitral Valve Mean Pressure Gradientmm HgMV PHTMitral Valve Pressure Half TimemsMV SIStroke Volume Index by Mitral Flowml/m2MV SVStroke Volume by Mitral FlowmlMV Time to PeakMitral Valve Time to PeakmsMV VmaxMitral Valve Peak Velocitym/sMV VmeanMV Mean Velocitym/sMV VTIMitral Valve Velocity Time IntegralcmMVAMitral Valve Areacm2MVA By PHTMitral Valve Area according to PHTcm2MVA by planMitral Valve Area, 2Dcm2MVETMitral Valve Ejection TimemsP Vein APulmonary Vein Velocity Peak A (reverse)m/sP Vein A DurPulmonary Vein A-Wave DurationmsP Vein DPulmonary Vein End-Diastolic Peak Velocitym/sP Vein SPulmonary Vein Systolic Peak Velocitym/sVivid i / Vivid q Reference Manual5407782-100 Rev. 0213

ry Artery Diastolic Pressuremm HgPE(d)Pericard Effusion, M-modecmPEsPericard Effusion, 2DcmPR max PGPulmonic Insuf. Peak Pressure Gradientmm HgPR mean PGPulmonic Insuf. Mean Pressure Gradientmm HgPR PHTPulmonic Insuf. Pressure Half TimemsPR VmaxPulmonic Insuf. Peak Velocitym/sPR VTIPulmonic Insuf. Velocity Time IntegralcmPRend max PGPulmonic Insuf. End-Diastole Pressure Gradientmm HgPRend VmaxPulmonic Insuf. End-Diastolic Velocitym/sPulmonic DiamPulmonary Artery Diameter, 2DcmPV Acc SlopePulmonic Valve Flow Accelerationm/s2PV Acc TimePulmonic Valve Acceleration TimemsPV Acc Time/ET RatioPV Acceleration to Ejection Time RatioPV an diamPulmonic Valve Annulus Diameter, 2DcmPV Ann AreaPulmonic Valve Areacm2PV COCardiac Output by Pulmonic Flowl/minPV COCardiac Output by Pulmonic Flowl/minPV max PGPulmonic Valve Peak Pressure Gradientmm HgPV mean PGPulmonic Valve Mean Pressure Gradientmm HgPV SVStroke Volume by Pulmonic FlowmlPV VmaxPulmonary Artery Peak Velocitym/sPV VmaxPulmonic Valve Peak Velocitym/sPV VmeanPV Mean Velocitym/sPV VTIPulmonic Valve Velocity Time IntegralcmPVA (VTI)Pulmonary Artery Velocity Time Integralcm214Vivid i / Vivid q Reference Manual5407782-100 Rev. 02

MeasurementsAbbreviationDefinitionPVein S/D RatioPulmonary Vein SD RatioPVETPulmonic Valve Ejection TimemsPVPEPPulmonic Valve Pre-Ejection PeriodmsPVPEP/ET RatioPV Pre-Ejection to Ejection Time RatioQp/QsPulmonic-to-Systemic Flow RatioRA MajorRight Atrium Major, 2DcmRA MinorRight Atrium Minor, 2DcmRAEDV A2CRight Atrium End Diastolic Volume, Apical 2chambercm3RAEDV A-LRA End Diastolic Volume (A-L)mlRAEDV MODRA Volume Diastolic, Single Plan, MODmlRAEDV MODRA End Diastolic Volume (MOD)mlRAESV A-LRA End Systole Volume (A-L)mlRAESV MODRA Volume, Systolic, Single Plane, MODmlRAESV MODRA End Systole Volume (MOD)mlRALdRight Atrium Length, DiastolecmRALsRA Length, systolecmRIMPRight Index of Myocardial PerformanceRJA (A4C)Regurgitant jet areaRJA/LAARegurgitant jet area ratio RJA/LAARV MajorRight Ventricle MajorcmRV MinorRight Ventricle MinorcmRVAWdRight Ventricle Wall Thickness, Diastolic, 2DcmRVAWsRight Ventricle Wall Thickness, Systolic, 2DcmRVETRight Ventricle Ejection TimesRVIDdRight Ventricle Diameter, Diastolic, 2DcmRVIDdRight Ventricle Diameter, Diastolic, M-modecmVivid i / Vivid q Reference Manual5407782-100 Rev. 02Unitcm215

MeasurementsAbbreviationDefinitionUnitRVIDsRight Ventricle Diameter, Systolic, 2DcmRVIDsRight Ventricle Diameter, Systolic, M-modecmRVOT AreaRight Ventricle Outflow Tract Areacm2RVOT DiamRV Output Tract Diameter, 2DcmRVOT DiamRV Output Tract Diameter, M-ModecmRVOT max PGRVOT Peak Pressure Gradientmm HgRVOT meanPGRVOT Mean Pressure Gradientmm HgRVOT SILV Stroke Volume Index by Pulmonic Flowml/m2RVOT SVStroke Volume by Pulmonic FlowmlRVOT VmaxRVOT Peak Velocitym/sRVOT VmeanRVOT Mean Velocitym/sRVOT VTIRVOT Velocity Time IntegralcmRVSPRight Ventricle Systolic Pressuremm HgRVWdRight Ventricle Wall Thickness, Diastolic, M-modecmRVWsRight Ventricle Wall Thickness, Systolic, M-modecmRAA (d)Right Atrium Area, 2D, Diastolecm2RAA (s)Right Atrium Area, 2D, Systolecm2SI (A-L A2C)LV Stroke I

Vivid i / Vivid q Reference Manual 1 5407782-100 Rev. 02 Introduction The Vivid i / Vivid q ultrasound unit is a compact, high performance portable digital ultrasound imaging system. The system provides image generation in 2D (B Mode), Color Flow Mapping (CFM), Power Doppler (Angio), M-Mode,

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