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  • BiomedEngg

  • BiomedEngg

  • BiomedEngg

  • lets start it

  • have put the transducer down. first thing I wanted to use the patient information

  • sure, how to do that certainly we have a patient data entry key here

  • will notice here that we have all the information that we would what

  • need is you should trackball place number and then

  • you can tab over okay and then put the last name in this case will put like

  • twenty eight weeks

  • alright

  • we also have all they are other identification you would want referring

  • physician

  • anything you would want here for today's purposeful just put in there

  • due date under the additional tad and it would be

  • see that we can do different ever just doing anyway and we can pick that one

  • okay absolutely in and based upon what type of exam

  • we told we were gonna do in this case OB then automatically should've brought

  • that up

  • and then the the due date he

  • aa do you know your day hammered

  • okay and that generates hemingway should be day

  • and we just said okay yes up

  • Cherie now we also I

  • have to course choose the appropriate transducer

  • in this case were using a C-five to which is a good

  • Domino transducer we also have the be 62 which is would be for 3d

  • and then we would choose the appropriate preset based upon what we're doing a

  • course today in OB

  • and those who the controls you have here so now we have our basic to the image

  • and what you wanna do to optimize the imager let's go over the control panel

  • just a little bit the trackball

  • is your basic where most if your controls are going to be

  • changed or values change for that sort of thing your calculations

  • so it's right here in front of you with your left hand you can

  • you can adjust all that the system your mold keys are grouped together here

  • so you have become a parry and share your actual CPA

  • im old your pulse wave and your color

  • right here for you these are where you would do your measurements turn on your

  • calculations do any kind of the notations

  • body markers all in this a script here on this side for you

  • my labeling and measuring right absolutely

  • okay so your debt it's here where you wanna change adapt to know what optimize

  • your depth you don't wanna have the baby in the very top part you want to be able

  • to have

  • have the appropriate depth position so that toppled down

  • other deeper into the body and I tell up I'll get much

  • more superficial yes and then your focus is from

  • your the ideal focal point will be right at the area of interest

  • or just below okay and I have that indicator here

  • yes can I change the number of locals around or do I just have one

  • yes you can that would warrant to be the sole this will be our to be controls

  • here

  • okay so that theory behind this is the top bro

  • are on of or changing like in this case left-right

  • of harmonics on of and

  • bit tweet your question the focus on numbers here

  • so that would be a number we where you would turn

  • so this 6 indicates this its correlated this

  • six here and I think turn

  • increase yes okay and then to move my focal zone

  • use this latter yes to bring it back to you one

  • here and then the idea behind vocals owns the more focus and

  • have the better resolution however

  • slower time

  • theoretically yes but am if you read on small part to that sort of thing that's

  • where you see the real difference in the focus on placement

  • in OB not really so much we want to keep a

  • fast frame rate really yes should use

  • yes I hope great on

  • okay so that's our focus on Saturday ap and for dual screen that's here

  • yes okay like that and how I talk between

  • you would go are either you could press this or you could go either side

  • this indicator here tells you which one is your active mode

  • and then you have a red indicator here that tells you which one is your active

  • school

  • okay ok explain it to get out at 2i 2d

  • yes some okay so let's talk about these

  • for that user that may not be familiar with what

  • what is to be mean in node was that mean

  • let's should be sure so you know those here to use color

  • how would I adjust the size and scale

  • this how close the size

  • your your controls are going to be here once again we talked about a trackball

  • function okay this is box position

  • in it and then you could just press either one of those select he's to the

  • side that

  • in little changed to highlight the box okay so whatever mode you're in

  • that's what your trackball will allow you to adjust okay so I can talk a

  • back-and-forth second

  • my box when I'm in box position correct had the Select

  • he and then I can suggest the box largest

  • correct okay and let's say I think this collar is

  • too sensitive were not sensitive enough I want to change my

  • t-race and you can change your perf directly by your scale

  • okay but we also have a quickie that will help you with your flow

  • optimization that will change your scale

  • the baseline some other factors that just by once again turning this number

  • five button

  • would allow you to change changer flow state nowhere close state

  • for instance if you were looking for renal kidney flow or that sort of thing

  • higher flow state would be like maybe the fetal heart something with the

  • faster flow state you still have control

  • those controls but this is step like a macro key to be able to help you with

  • nice very nice okay color

  • I'm color power and yeah to explain that Corp aryan geo is looking

  • at instead of the velocity or the blood flow what's looking at the

  • uplifted so the advantage to that is that it's less angle dependent so if

  • you're trying to find

  • a a peace accord or something and it's not

  • a good angle looking at it this will help you to evaluate that

  • now we've also added with that a

  • arm away doing a directional portion of that were here you can see we're just a

  • solid color

  • and but the newer a systems you can

  • actually turn on where you can see you

  • utilizing the amplitude parted the signal

  • but you able to see the direction as well when I find it

  • very helpful in the field heart know exactly the direction that's nice

  • yes so that was on the second page okay

  • and you can turn that on and turn that off great and we will change appear

  • in the same manner yes it there macro keen we have

  • you could do it that way are you with your scale absolutely and either bring

  • the scaled-down

  • ac it lowers my here at which makes more sense

  • yes bring it up make it exxon okay

  • too so to get outta any of these I just press the 2d yes

  • okay let's talk about overall gain NTC

  • user affair walk up to the machine and someone had used it before

  • right happen it to us

  • absolutely doesn't gain is important to be able to see the information that you

  • need of course

  • and there's a fun you know there's in a lot of his personal preference some

  • people like to skim brighter than others

  • this is a little too bright because you're gonna

  • at artifact there in this is to damage she saw

  • but most systems now have an automatic button

  • to be able to optimize that for you and in this case is called I skin on the

  • Philip system is called my skin

  • and you still have the adjustment have been able to to do if

  • if you like and then a the TTC's is is time gain compensation

  • where Julie if you wanna show what when you movie 20 min individually where you

  • can boost near field for fielder in between

  • in a specific part of that care and then if I have this

  • all wacked out you could just hit i scan it corrected for you

  • you could getting let's talk about him alright

  • we're gonna go to the heart I wanted to see an area

  • in more detail there's two types -ism

  • there's the reeds own and then there's the rights and the right the same as

  • when you have an area of interest for making a box

  • in years owning up that particular area said he would press the button

  • and once again this would allow you to track ball

  • position or size I recommend you use a combination

  • up the beach soon in the right zone okay you don't wanna make it so small that

  • it's

  • its it's going to blow up the pics also make it and

  • and

  • and read about civil absolutely I'm so now we have that's even

  • press that button that again okay so now you concentrated all your line density

  • in this particular

  • area but if you still want to zoom up a little bit more you just turn the button

  • want to marry and it ice-t_ yes and you can move it

  • then you can paint pan p.m. so the baby's moving you can stay with the baby

  • with that night and also P-three's the image

  • then you can still

  • use your arm reads them and and I'll do it after the fact this website

  • and that would be if you had color or anything on there that there was an area

  • that's really wanted to focus on the take a picture

  • that you could do that okay and if I and frozen went to two DM out

  • cravings me home yes all rights now let's talk about

  • hour into the now so these are to be controls here that we're able to change

  • certain functions are but two

  • to enhance your image that there's a lot of these is not a right wrong answer to

  • it's a personal preference

  • the first one is dynamic range the higher the number

  • the greater the image is gonna be more shades of grey

  • rain more shades of grey are introduced yes

  • the lower the number the more black and white

  • so that's just the its

  • a dynamic range it's a compression last systems also a compression

  • alright so were here the next button

  • is great mapping once again that's a personal preference 1

  • in this case is more contested five is gonna be

  • I'm r6 a little Barrie nation all these all have a little bit different look

  • okay right above that is

  • left-right invert I'm be careful

  • don't use it okay I just okay I gave it to both

  • it particularly new users not to

  • in for your screen you get

  • and if someone does that and another user comes behind you in this screen is

  • flip flop you may get confused as to you

  • trip yes show I don't really understand wide

  • you may want to use that their purpose that you can thank a

  • in OB not necessarily but there are some instances where people learned

  • somewhere else at the skin backwards why for the life of me I don't know we don't

  • we can teach you that right now with it

  • all take it right yes and I understand some in

  • image guidance Neil guidance some physicians

  • would prefer to see the needle coming in from a certain direction so you may have

  • to left-right the screen

  • that makes their sense to me that's fine but I think it's scanning

  • we childish to it

  • suggest that we we don't left-right the screener

  • right for yeah i think is important to understand it's their colors on all

  • systems

  • but I think you're your at comment don't go there's good

  • yeah this is the indicator correct so this is my not

  • in this P will tell me that I'm in the correct yes in reference to wear

  • whether yes indicator is on the set on the chest is yes okay yes

  • so the the some next but not

  • a chromite is an color overlay a view to the image

  • so if I turn miss you can see that

  • every systems gonna have a different hue her some love

  • everybody's I see things a little differently and actually the chroma will

  • help you may be like

  • help dad to find kidneys a little better are some subtle

  • structure you'll be able to pick up better the theory is a human eye sees

  • color bather then it does she did great so that's why and some customers prefer

  • skin and all the time so

  • once again a personal preference and almost takes

  • I cellco like items like kidneys are not

  • sometimes hard to distinguish in

  • it if you change that color map it may

  • bring out those subtle differences that you wouldn't I noticed the great a

  • little better border definition in some instances

  • up

  • the ion-selective electrode and

  • okay say measures sodium potassium chloride on the spare the machine here

  • and any person I like also into that and

  • dilution turn table at the back

  • it makes a dilution if that sample with I'm

  • well

  • well

  • in

BiomedEngg

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A2 初級

超音波トレーニングPHILIPS ClearVue 650 (Ultrasound training PHILIPS ClearVue 650)

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    jack に公開 2021 年 01 月 14 日
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