Esaote MyLabGamma Quick Reference Manual

Quick reference guide

0051

Manufactured by:

Esaote S.p.A.
Via di Caciolle, 15, 50127 Florence, Italy
Tel. [phone], Fax [phone]
Internet: www.esaote.com
Email: [e-mail]

Introduction

This Quick Guide describes only the
basic operating procedures to use
the MyLabGamma model, named
in the following chapters as MyLab.

The precautions and detailed operating
procedures as well as the installation procedures are described in the
operator’s manuals (Getting Started, Safety and Standards, Probes and
Consumables and Advanced Operations) provided with the system.

Carefully read the operator’s manuals provided with the system before
operating with the system.

In this manual system the 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).

The enter and context menu keys are respectively indicated as ENTER
and UNDO keys in this manual.

In this operation guide a WARNING pertains to possible
injury to a patient and/or the operator.

A CAUTION describes the precautions which are neces­sary to protect the equipment.

Carefully read and understand all the warnings and cautions in the man­uals before operating with the system.

The user should observe each of the cautions and warnings.

Quick reference guide

WARNING

CAUTION

Index

General Information

1. Touchscreen
Exam Panel Layout
Multipurpose Panel Layout
Alphanumeric Keyboard Layout

2. eKnob

3. eTouch
Configuration Menu
Customized Touchscreen Configuration
Association to Real Time Preset

4. Starting an Exam

5. Ending an Exam

Image Optimization

6. Tips in B-Mode
Tips to Optimize Superficial Imaging
Tips to Optimize Deep Imaging
Tips to Optimize Spatial Resolution
Tips to Optimize Contrast Resolution
Tips to Optimize Temporal Resolution

7. Tips in M-Mode
Tips to Optimize Contrast Resolution

8. Tips in Color Flow Mapping (CFM)
Tips to Optimize Fast Flows
Tips to Optimize Slow Flows
Tips to Optimize Deep Flows

9. Tips in Doppler
Tips to Optimize Fast Flows
Tips to Optimize Slow Flows
Tips to Optimize Deep Flows

Measurements, Worksheet and Report

10. Measurements
How to Take Measurements

11. MyLab Worksheet

12. MyLab Report

MyLab Archive

General Information

General

Information

Touchscreen

The touchscreen works in different modalities:

• as Exam panel, providing control keys to perform the exam.

• as Multipurpose panel, providing software buttons to use advanced

exam controls.

• as Alphanumeric keyboard to enter data.

The touchscreen layout depends on the working modality.

Exam Panel Layout

The touchscreen is organized in three main areas, as shown in the figure
below

General Information

Area Function

Guide Graphical
Convention

Scrolling Button

Navigation Area

Navigation tabs
to select the
desired features
for the relevant
controls

BROWN
CAPITAL
LETTERS

-

Exam
Management

Buttons for
the exam
management (to
start the exam, to
change the probe
or the preset…)

GREY CAPITAL
LETTERS

ADV>>/BASIC<<

Image Parameters
Area

Control and
functions to
perform the exam

BLACK CAPITAL
LETTERS

ADV>>/BASIC<<

Buttons

Image Parameters Area – Layout

The buttons have different colors depending on the active status:

Disabled Button Active Button

Selected/Pressed

Button

Dark gray Dark blue Light blue

Button with sub-menus

Touchscreen buttons showing a frame have a dedicated
sub-menu: press the button to display the sub-menu
allowing to optimize the function.

Toggles

On the bottom of the touchscreen there are six levers (or toggles) which
act on the functions displayed just above.

Each lever can control two functions which depend on
the active modality. The lever acts on the active control,
displayed in the upper position.

To switch to the other displayed function press the
corresponding button on the touchscreen: the lever
will act now on the other control.

General Information

Multipurpose Panel Layout

This layout is used for advanced exam functions, for example body marks
or annotations.

The touchscreen is organized in three main areas.

Area Function

Guide Graphical
Convention

Scrolling Button

Navigation Area

Navigation tabs
of the selected
functions

BROWN CAPITAL
LETTERS

-

Management
Area

General controls
of the active
modality

GREY CAPITAL
LETTERS

ADV>>/BASIC<<

Parameters Area

More specific
controls of the
selected function

BLACK CAPITAL
LETTERS

ADV>>/BASIC<<

Alphanumeric Keyboard Layout

A dedicated button displayed on the upper right side activates/deactivates
the emulation of the alphanumeric keyboard.

General Information

eKnob

Each toggle can be associated to the EKNOB key of the control panel:
in this case the knob around this key acts as the associated toggle on the
active function.

The EKNOB key can be associated to more touchscreen buttons: to
change the associated toggle press the EKNOB key.

eTouch

The ETOUCH key allows to record sequences of keys both of the
touchscreen and of the control panel. Each recorded sequence (Macro)
can be named and saved to be available as a customized button in
customized touchscreens.

This key switches between factory and customized touchscreen. Whenever
the customized button will be pressed, MyLab will automatically launch
the keys sequence.

Once the Customized touchscreen has been configured, it has to be
associated to a real time preset.

This symbol is displayed in bright orange on the touchscreen
button that is correlated to the EKNOB key.

This symbol is displayed in grey on the touchscreen button that
can be correlated to the EKNOB key.

Configuration Menu

The “eTouch” option of the MENU key activates the configuration menu
that is organized in two main areas:

• On the left side the list of all saved customized touchscreens.

• On the right side the eTouch configuration menu, shown in the

figure below.

The menu shows:

• in the center the touchscreen layout.

• on the right the menu to record the macro and to edit the

customized buttons.

• on the bottom the fields where customized touchscreens are named

and described.

General Information

Customized Touchscreen Configuration

Procedure

• Press the MENU key and select the “eTouch” option.

• Select one the customized touchscreens displayed on the left side of

the screen and press EDIT to modify it or CLONE to duplicate it.

• If necessary, place the cursor in the NAME field and enter the desired

name and description (NOTES field).

• Place the cursor on the RECORDING field and press START to begin

the recording: MyLab switches to the frozen status.

• On the upper left side of the screen is displayed the following

flashing message:

Press eTouch to start recording

• Prepare MyLab to be ready for the recording so that only the keys to

be used can be pressed.

• Press the ETOUCH key to start.

• Press the desired keys in sequence and press ETOUCH to end the

recording.

• Place the cursor on the customized button and press ENTER to

change its name.

Repeat the procedure to add other customized buttons.

Press SAVE to save the customized touchscreen.

Association to Real Time Preset

Procedure

• Press the MENU key and select the “RT PRESET” option.

• Select the probe, the application and then the customized presets

(displayed on the left side of the screen) and press EDIT to modify it
or CLONE to duplicate it.

• If necessary, place the cursor in the NAME field and enter the desired

name and description (NOTES field).

• In the “eTouch” field select the desired customized touchscreen.

• Press SAVE to save the configuration.

General Information

Starting an Exam

Touchscreen

Main Display

1 2 3

5

4

Procedure

1. Probe selection.

2. Application selection that depends on the selected probe.

3. Preset selection.

4. Patient data and application data entry using the touchscreen as

alphanumeric keyboard.

5. Press the START EXAM button to start the exam.

CURRENT retrieves the patient data of the last exam.
PROBE allows to select a different probe, application, preset and to set a

new preset or to modify the actual one during the exam.

PATIENT ID allows to view and modify the patient’s data during the exam.

Do not use the PATIENT ID key to start a new exam of a
new patient as it will update existing patient’s data with
new entries. To activate a new exam, close first the current
exam by pressing the END EXAM key and then proceed
with the Starting Exam procedure.

WARNING

General Information

Ending an Exam

To end the exam, press the END EXAM key: the system displays the end
exam window.

The operator is enabled to simultaneously save the exam on different
supports in different formats.

Field Format Destination Support

Local Archive Native format - Internal Database

Native Native format

- CD (R and RW)

- DVD (+R, -R, single layer)

- USB Memory Drive

- Network

Multimedia

Single frame:
BMP, PNG, JPEG

Clip: AVI

- CD (R and RW)

- DVD (+R, -R, single layer)

- USB Memory Drive

- Network

DICOM DICOM

- CD (R and RW)

- DVD (+R, -R, single layer)

- USB Memory Drive

- Network

- DICOM Storage Server

If no option is selected, all data will be deleted.

Image Optimization

Image

Optimization

Tips in B-Mode

Tips to Optimize Superficial Imaging

Command Function Action

FUNDAMENT/TEI Probe transmission frequency Select RES option

ZOOM

Magnification of the region
of interest

Enlarge the area as much as
possible

FOCUSES #

Number of transmission
focuses

Increase the focuses

FOCUS POS Focus position

Move the focuses to the
desired area

MVIEW

(with Linear and
Convex probes)

Acquisition of several
bidimensional images with
different steering angles

Increase to visualize organ
borders and structured
margins (curved or irregular
borders)

Command Function Action

FUNDAMENT/TEI Probe transmission frequency Select PEN option

FOCUS POS Focus position

Move the focus to the
desired area

TGC

Potentiometers

Amplification of individual
areas of the sector

Move to right the lower
TGC cursor

IMAGING GAIN

Amplification of overall
received echo signals
(General gain)

Turn clockwise for visualize
deep structures

POWER Transmission power Increase the power

Tips to Optimize Deep Imaging

Image Optimization

Command Function Action

FUNDAMENT/TEI Probe transmission frequency

Low frequency for
penetration

High frequency for resolution

MVIEW

(with Linear and
Convex probes)

Acquisition of several
bidimensional images with
different steering angles

Increase to visualize organ
borders and structured
margins (curved or irregular
borders)

FOCUSES #

Number of transmission
focuses

Increase the focus points as
much as possible

DENSITY

(with Linear and
Convex probes)

Number of acquired line

Increase the density as much
as possible

ENHANC

Amplification of the
difference among adjacent
structures

Increase the enhancement as
much as possible

Tips to Optimize Spatial Resolution

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

WARNING

Tips to Optimize Temporal Resolution

Command Function Action

SIZE Scan angle

Reduce the size as much as
possible

DEPTH Probe’s field of view

Reduce the depth as much
as possible

FOCUSES #

Number of transmission
focuses

If possible, set one focal
point

DENSITY

(with Linear and
Convex probes)

Number of acquired line

Reduce the density as much
as possible

Command Function Action

Imaging

AUTOADJUST

Automatic adjustment Activate it

TGC

Potentiometers

Amplification of individual
areas of the sector

Move to right to increase
the gain

Move to left to decrease
the gain

IMAGING GAIN

Amplification of overall
received echo signals
(General gain)

Turn clockwise for higher
contrast

Turn counterclockwise for
lower contrast

XVIEW

Activation of real time XView
algorithm

Select or modify the desired
algorithm to improve the
tissue edge imaging

GRAY MAP #

Gray shades used to
represented the received
echo signal

Select or modify the desired
post-processing curve

DYN RANGE

Range between minimum
low intensity and maximum
intensity signals that the
system can display

Increase for higher contrast
Decrease for lower contrast

Tips to Optimize Contrast Resolution

Image Optimization

Tips in M-Mode

Tips to Optimize Contrast Resolution

Command Function Action

TGC

Potentiometers

Amplification of individual
areas of the sector

Move to right to increase the
gain

Move to left to decrease the
gain

IMAGING GAIN

Amplification of overall
received echo signals
(General gain)

Turn clockwise for higher
contrast

Turn counterclockwise for
lower contrast

GRAY MAP #

Gray shades used to
represented the received
echo signal

Select or modify the desired
post-processing curve

DYN RANGE

Range between minimum
low intensity and maximum
intensity signals that the
system can display

Increase for higher contrast
Decrease for lower contrast

Tips in Color Flow Mapping (CFM)

Tips to Optimize Fast Flows

Command Function Action

CFM-STEER Doppler orientation

Adjust the CFM box
orientation to optimize cosΘ

SCALE Pulse Repetition Frequency

Increase the PRF as much as
possible

FREQUENCY Probe transmission frequency

Decrease the frequency as
much as possible

DOPPLER GAIN

Amplification of overall
received echo signals
(General gain)

Adjust it to the reduce the
noise

ACTION Cursor selector

Adjust the CFM box as small
as possible

Command Function Action

CFM-STEER Doppler orientation

Adjust the CFM box
orientation to optimize cosΘ

SCALE Pulse Repetition Frequency

Increase the PRF as much as
possible

FREQUENCY Probe transmission frequency

Increase the frequency as
much as possible

DOPPLER GAIN

Amplification of overall
received echo signals
(General gain)

Increase it as much as
possible for color filling

FILTER Wall filter

Reduce the filter as much as
possible

Tips to Optimize Slow Flows

Image Optimization

Command Function Action

CFM-STEER Doppler orientation

Adjust the CFM box
orientation to optimize cosΘ

SCALE Pulse Repetition Frequency

Decrease the PRF as much as
possible

FREQUENCY Probe transmission frequency

Decrease the frequency as
much as possible

DOPPLER GAIN

Amplification of overall
received echo signals
(General gain)

Increase it as much as
possible for color filling

FILTER Wall filter

Reduce the filter as much as
possible

Tips to Optimize Deep Flows

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

WARNING

Tips in Doppler

Tips to Optimize Fast Flows

Command Function Action

D-STEER Doppler orientation

Adjust the CFM box
orientation to optimize cosΘ

PW
CW (in Cardiac)

Pulsed/Continuous
Wave Doppler

According to the active
application, activate the
Doppler analysis by pressing
the button

Doppler

AUTOADJUST

Automatic adjustment Activate it

SCALE Pulse Repetition Frequency

Increase the PRF as much as
possible

FREQUENCY Probe transmission frequency

Decrease the frequency as
much as possible

DOPPLER GAIN

Amplification of overall
received echo signals
(General gain)

Increase it as much as
possible to the display the
whole flow

Image Optimization

Command Function Action

D-STEER Doppler orientation

Adjust the CFM box
orientation to optimize cosΘ

Doppler

AUTOADJUST

Automatic adjustment Activate it

SCALE Pulse Repetition Frequency

Decrease the PRF as much as
possible

FREQUENCY Probe transmission frequency

Increase the frequency as
much as possible

BASELINE Baseline

Move the baseline to
eliminate the aliasing

FILTER Wall filter

Reduce the filter as much as
possible

Command Function Action

D-STEER Doppler orientation

Adjust the CFM box
orientation to optimize cosΘ

Doppler

AUTOADJUST

Automatic adjustment Activate it

SCALE Pulse Repetition Frequency

Decrease the PRF as much as
possible

FREQUENCY Probe transmission frequency

Increase the frequency as
much as possible

BASELINE Baseline

Move the baseline to
eliminate the aliasing

FILTER Wall filter

Reduce the filter as much as
possible

Tips to Optimize Slow Flows

Tips to Optimize Deep Flows

My Notes

Measurements, Worksheet and Report

Measurements,

Worksheet and

Report

Measurements

Measurements can be taken on frozen, stored and archived images.

Generic Measurements

Either the +…+ panel key or the +…+ touchscreen button activate the generic
measurements menu. The touchscreen displays the list of available measurements,
which are automatically identified according to the active mode, application and
preset.

Advanced Calculations

Either the MEASURE panel key or the MEASURE touchscreen button activates
the advanced calculations menu. The touchscreen displays the list of available
measurements, which are automatically identified according to the active mode,
application and preset.

Advanced measurements are organized in groups which correspond to specific
anatomic structures. When a group is selected, the corresponding tab is
displayed on the Navigation area and the measure is automatically started. The
touchscreen displays the available measures of the selected group.

MyLab generic measurements and advanced calculations package are fully

configurable.

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 on the left of the image.
The measurements taken are marked with the √ symbol in the touchscreen.

Measurements, Worksheet and Report

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.

MyLab Worksheet

WORKSHEET button can be pressed at any time to display all performed

measurements.

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.

Touchscreen buttons allow to navigate the worksheet.

The lateral scrolling bar can be used to scroll all performed measurements in the
selected mode or group.

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.

MyLab Report

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

MyLab Archive

MyLab Archive

MyLab Archive

ARCHIVE key accesses to internal MyLab archive.

Archived exams are listed 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.

OPEN automatically displays the selected exam(s). 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.

MyLab Archive

My Notes

ESAOTE S.p.A. International Activities

Via di Caciolle, 15 50127 Florence, ITALY Phone [phone] - Fax [phone]

[e-mail] - www.esaote.com

140005900 (MA Rev. 01)