Convex Probe Hands-On Application

Convex Probe Hands-on Application
Summary
1 Liver
2 Kidney
3 Gynecology
4 Obstetrics
Probe Selection
The probe we select and the exam mode we choose, which can
make a large influence for ultrasound image.
• Convex probe: ABD, OB, GYN, URO, Physiotherapy;

• Linear probe: Vascular, Small Parts, Musculoskeletal,
Tendon, Superficial Tissue
• Phased array probe: Cardiology, ABD
• Endovaginal probe: Urology, GYN, Early OB
• Endorectal probe: Urology,
• Microconvex: Pet abd, Pet cardio, Pediatric
• Small Phased: Pet abd, Pet cardio, Pediatric
Liver
Content
Liver Anatomy
Patient And Transducer Position
Normal Liver Imaging

Liver
Liver Measurement
Liver Standard Section

1 Liver Anatomy
Liver Anatomy
Liver Anatomy
The liver locates at right superior part of celiac,

inferior part of diaphragm, and interior part of right
costal arch.
The bile which is secreted by the liver and stored in

the gall bladder, can help us to digest the fat.
Liver Anatomy
The reflection of gall bladder on the body

surface, is located at the cross/intersection
between middle line of right clavicle and
inferior border/edge of right rib.
Liver Anatomy
Before the abdominal exam, we should ask the

patient to fast and eat less oily foods the day before
examination.
If you erect to perform the liver, the performance

would not be good enough.
2 Patient and transducer position
Patient position
left lateral position knee-chest

position
supine position
sitting position
standing position
Transducer Position
Abdominal scanning usually use supine, and cardiac

scanning always use left lateral position.
Transducer Position
Transducer Position
Transducer Position
3 Normal Liver Imaging
Hepatic Vein Portal Vein

The whole liver is iso echoic, and you can adjust the gray scale
by TGC and AGC both. While it can display three hepatic veins
without echo, which have collecting into the inferior vene cava.
When you oblique between the right ribs, it will show you the
portal vein. By showing the Dual Dynamic Display, you can
see clearly the liver structure and blood flow in the real time.
Hepatic Artery Hepatic Vein

4 Liver Measurement
Oblique diameter of right lobe
the maximum range <12~14cm

the long diameter of left lobe
the maximum range <9cm

the thickness of left lobe
the maximum range <6cm

5 Common Liver Demo Section
Standard Section -- Subcostal Oblique
Standard Section -- Intercostal Oblique
Standard Section -- Subcostal Oblique
Kidney
Content
1. Kidney Anatomy
2. Patient And Transducer Position
3. Normal Kidney Imaging
4. Kidney Measurement
5. Kidney Standard Section

1 Kidney Anatomy
Kidney Anatomy
Patient Position
right lateral position
supine position prone position
left lateral position

Transducer Position
Transducer Position
3 Normal Kidney Imaging
Normal Kidney Imaging
Collect system
The upper pole The lower pole
Right Kidney
In order to get better 2D image of kidney, we need to

display clear renal capsule, low echo renal
parenchyma and high echo collecting system.
Normal Kidney Imaging
If we can show better color sensitivity of interlobular arteries, it can

prove that the sensitivity of our product is
excellent/outstanding/fantastic/great/terrific/very
good/wonderful.
4 Kidney Measurement
Kidney Measurement
0m m
50~ 6
t h
W id
15mm
12 0mm
10 0~
t h
Leng
The urine comes/departs from kidney, goes

through ureter and arrives in/at bladder.
5 Common Kidney Demo Section
Kidney Standard Section
From the kidney, you will witness the full range

echoic, which means it has great contract resolution.
The renal cortical is hypoechoic, the renal pyramic is
weak echoic, while the renal membrane and
collecting systems are hyperechoic.
Gynecology
Content
1 Female Pelvic Cavity Anatomy
2 Patient And Transducer Position
3 Normal Female Pelvic Cavity Imaging
4 Female Pelvic Cavity Measurement
5 Common Uterus Demo Section

1 Pelvic cavity Anatomy
Female Pelvic Cavity Anatomy
supine position
3 Normal Female Pelvic Cavity Imaging
Normal Female Pelvic Cavity Imaging
transverse plane sagital plane

To acquire better acoustic window, you should
hold urination before the exam of Uterus
4 Female Pelvic Cavity Measurement
Female Pelvic Cavity Measurement
5 Common Uterus Demo Section
Common Uterus Demo Section
Common Uterus Demo Section
Obstetrics
Calculations order
1 Fetal Head
2 Fetal Face
3 Fetal Spine
4 Fetal Heart
5 Abdominal Cavity
6 Limbs
7 Placenta
8 Umbilical Cord & Amniotic fluid

1 Fetal Head
Thalamus plane
Plane requires clear and transparent standards across the cavity, both sides of
the thalamus and the hypothalamus symmetry between the crack-like third
ventricle, and skull ring oval. In this plane measured BPD and HC.
Measurement
• EDD=Estimated Delivery Date

• GA= Gestational (Sac) Age
• FL=Femur Length
• We measure fetal femur length/BPD/HC/AC, and then

we can get fetal GA and EDD.
Cerebellar plane
--posterior fossa pool

Cerebella--
The plane can measure the diameter of the cerebellum and

posterior fossa pool, the pool of normal posterior fossa width
should not exceed 10mm .
2 Fetal Face
Nose Lip
Lower lip-- --upper lip

---nose
Coronal scanning, attention to lip, cleft palate .

Two Eye
Nose Bone
---Nose bone
3D
3 Fetal Spine
Longitudinal section of spine
1 、 Ultrasound can not identify all of spina bifida, especially sacrococcygeal .

2 、 Rib for the thoracic spine, cephalad of its caudal cervical and lumbar spine is
unusual predilection sites 。
4 Fetal Heart
Four chambers view
5 Abdominal Cavity
Epigastric abdominal circumference plane
Kidney cross-section of the lower abdomen
Bladder cross-section of the lower abdomen
Sagittal plane to find the bladder, the probe cross-section,

with color Doppler, showing double umbilical artery .
6 Fetal Limbs
Measuring plane extremities of long bones
7 Placenta
Placenta
8 Umbilical Cord & Amniotic fluid
umbilical cord
Umbilical artery flow spectrum
Before 12 to 14 weeks of pregnancy no diastolic flow, resistance index

higher ， after 30 weeks to stabilize, RI <0.68
S / D 26 ～ 30weeks<4.0 30 ～ 34weeks<3.5 34weeks after<3.0
Amniotic fluid
normal range ： 10 ～ 20cm ；

Before 37 weeks AFI≤8cm ， or after 37 weeks AFI≤5cm ， amniotic fluid too little
；
Before 37 weeks AFI≥24cm ， or after 37 weeks AFI≥20cm ， amniotic fluid too
much
EFW Calculate Method
Handlock2 WEI/SAB Handlock1
HC/AC/FL HC/AC/FL AC/FL
log10(EFW)=1.6961+0 log10(EFW)=1.304+0.052
log10(EFW)=1.304+0.052 .02253×HC+0.06439× 81×AC+0.1938×FL-
81AC+0.1938FL- FL (0.004×AC×FL)
0.004AC×FL (notice:
88.6≤EFW≤4526.6
grams)

Convex Probe Hands-On Application

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Convex Probe Hands-on Application

• Convex probe: ABD, OB, GYN, URO, Physiotherapy;

Patient And Transducer Position

Normal Liver Imaging

Liver Standard Section

The liver locates at right superior part of celiac,

The bile which is secreted by the liver and stored in

The reflection of gall bladder on the body

Before the abdominal exam, we should ask the

If you erect to perform the liver, the performance

left lateral position knee-chest

Abdominal scanning usually use supine, and cardiac

Hepatic Vein Portal Vein

Hepatic Artery Hepatic Vein

the maximum range <12~14cm

the maximum range <9cm

the maximum range <6cm

2. Patient And Transducer Position

3. Normal Kidney Imaging

5. Kidney Standard Section

right lateral position

supine position prone position

left lateral position

In order to get better 2D image of kidney, we need to

If we can show better color sensitivity of interlobular arteries, it can

The urine comes/departs from kidney, goes

From the kidney, you will witness the full range

1 Female Pelvic Cavity Anatomy

2 Patient And Transducer Position

3 Normal Female Pelvic Cavity Imaging

4 Female Pelvic Cavity Measurement

5 Common Uterus Demo Section

transverse plane sagital plane

8 Umbilical Cord & Amniotic fluid

• EDD=Estimated Delivery Date

• We measure fetal femur length/BPD/HC/AC, and then

--posterior fossa pool

The plane can measure the diameter of the cerebellum and

Lower lip-- --upper lip

Coronal scanning, attention to lip, cleft palate .

1 、 Ultrasound can not identify all of spina bifida, especially sacrococcygeal .

Sagittal plane to find the bladder, the probe cross-section,

Before 12 to 14 weeks of pregnancy no diastolic flow, resistance index

normal range ： 10 ～ 20cm ；

Handlock2 WEI/SAB Handlock1

HC/AC/FL HC/AC/FL AC/FL

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