HiSpeed FX/i

0459

*

Operator Manual
2295149–100
Revision 0
Original Draft in English Brought to you BY

KARTHICK
cutekarti4u@gmail.com

Copyright 2001 by General Electric Company

WARNING
X–RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED Though this equipment is built to the highest standards of electrical and mechanical safety, the useful x–ray beam becomes a source of danger in the hands of the unauthorized or unqualified operator. Excessive exposure to x–radiation causes damage to human tissue. Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment or exposing themselves or others to its radiation. Before operation, persons qualified and authorized to operate this equipment should be familiar with the Recommendations of the International Commission on Radiological Protection, contained in Annals Number 26 of the ICRP, and with applicable national standards.

Regulatory Requirements
This product complies with regulatory requirements of the following: - European Directive 93/42/EEC concerning medical devices The configurations delivered: – – without any option or accessory, or
0459

exclusively with one or several options and/or accessories listed below, have been declared in compliance with the European Directive 93/42/EEC and therefore bear the CE marking: - Green QSD 1990 Standard issued by MDD (Medical Devices Directorate, at the UK Department of Health). - Medical Device Good Manufacturing Practice Manual issued by the FDA (Food and Drug Administration, United States Department of Health). - Requirements from Underwriters Laboratories, Inc. (UL), independent laboratory. - Requirements from Canadian Standards Association (CSA). - Requirements from the International Electrotechnical Commission (IEC), international standards organization.

General Electric Medical Systems, the manufacturer of this product, is ISO 9001 certified.

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EMC Performance
This CT system may characteristically cause electromagnetic interference with other equipment, either through air or connecting cables. The term EMC ( ElectroMagnetic Compatibility ) means the capability of the equipment, which curbs electromagnetic influence from other equipment and at the same time does not affect other equipment with similar electromagnetic radiation from itself. This product is designed to fully comply with the group 1 EN60601–1–2 ( IEC60601–1–2 ), Class A, in EMC regulations. In terms of EMC performance, limit value 12dB relaxation in electromagnetic interference of permanently–installed medical system used in a lead– shielded area, is applied to this product.

Notice upon Installation of the Product
- Locate the equipment as far as possible from other electronic equipment. - Be sure to use either any cables provided by GEYMS or ones designated by GEYMS. Wire these cables following these installation procedures.

General Notice
- Designation of Peripheral Equipment Connectable to This Product Avoid using other equipment than designated. Failure to comply with this instruction may result in poor EMC performance of the product. - Notice against User Modification Never modify this product. Unilateral user modification may cause degradation in EMC performance. Modifications of product include ; D D D D Changes in cable ( length, material, wiring etc.) Changes in system installation/layout Changes in system configuration/components Changes in means of fixing the system/parts ( cover open/close, cover screwing )

- Operate the system with all covers closed. If you open any cover for some reason, be sure to shut it before starting/resuming operation. Operating the system with any cover open could affect EMC performance.

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Countermeasures against EMC–related Issues
Generally it is pretty difficult to grapple with EMC–related issues. It may take much time and cost. General countermeasures Electromagnetic interference with other equipment D D Electromagnetic interference may be alleviated by positioning other equipment far from the system. Electromagnetic interference could be mitigated by changing the relative location/installation angle between the system and other equipment. Electromagnetic interference may be eased by changing wiring locations of power/signal cables of other equipment. Electromagnetic influence could be reduced by altering the path of power supply for other equipment.

D D

Notice on Service
- Ensure all screws are tight after servicing. Loose screws may cause the degradation in EMC performance. - In case the high frequency gasket of this system is broken, replace it with a new one immediately.

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Safety

Safety

!

WARNING!
FAILURE TO FOLLOW THE OPERATING INSTRUCTIONS AND SAFETY PRECAUTIONS COULD RESULT IN INJURY TO THE PATIENT, YOURSELF, OR OTHERS.

General Safety
- Keep the patient in view at all times. Never leave the patient unattended. Always stay alert to safety concerns involving the patient’s condition and equipment operation. - Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and make sure they accommodate cradle travel. Position these lines so they cannot catch on anything within the patient vicinity or between the table and gantry during cradle travel or gantry tilt. - Always follow the exam procedures provided in the operator manual. Verify correct entry of identification, patient positioning, and other patient data before proceeding with the exam. Incorrect procedures or patient data entry could cause misinterpretation of the exam results. - Conduct Image Quality checks and follow the maintenance schedule outlined in your HiSpeed FX/i operator manual. Discontinue use of the equipment whenever you notice equipment damage, or a malfunction occurs. Do not use the equipment until qualified service personnel correct the problem. Never use the equipment unless all the protective covers are in place.

Radiation Safety
- Use of controls or adjustments, or performance of procedures other than those specified herein may result in hazardous radiation exposure. - Always use proper technique factors for each procedure to minimize X–Ray exposure while still producing the best diagnostic results. - Be sure to have an operator wear X–ray protection vest when a work is needed near the gantry while X–ray is being emitted.

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Safety
Mechanical Safety
- Never open, or remove, the gantry covers. (Only qualified service personnel should remove covers.) - Do not enter the scan room when the gantry covers have been opened or removed. Never allow a patient or staff member to enter the scan room when the gantry covers have been removed for maintenance or PM. (Never allow anyone but qualified service personnel to enter the scan room during gantry maintenance or PM.) - To prevent the pinching or crushing of extremities, keep hands and feet away from the edge of the moving table top/cradle and its surrounding equipment. (Be especially careful when positioning patients who weigh more than 250 pounds.) - Physically assist all patients on and off the table, and into position on the cradle. - While a patient is being loaded onto a CT table from a gurney, make sure via the following measures that the gurney NEVER moves.
D Lock all the casters of the gurney. D Hold the gurney very firmly.

If the gurney moves while loading a patient, it may create a gap between the table and the gurney posing the danger of the patient falling through the gap. - Return the gantry to the 0_ upright position, latch the table, and set it at a comfortable height for patient loading and unloading. - Avoid any patient contact with the CT gantry during gantry tilt and cradle movement (manual or software driven). Once again, pay close attention to large patients; make sure you don’t pinch skin or extremities between the cradle and the gantry. - The concentrated weight of short, heavy patients can cause the cradle to make contact with the gantry. Make sure you don’t drive the cradle into the gantry cover, and make sure you don’t pinch skin or extremities between the cradle and the gantry. - Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and make sure they accommodate cradle travel. Position these lines so they cannot catch on anything within the patient vicinity or between the table and gantry during cradle travel or gantry tilt.

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Safety
- Do not use the table base as a foot rest. You could entrap and injure your foot while lowering the table. - Don’t place your hands inside the gantry cover when tilting the gantry. The gantry can pinch or crush your hands! - Only use the cradle extender to support the patient’s head or feet during a scan study. The cradle extender supports up to 75 pounds; the head holder supports up to 30 pounds. Neither device supports the full weight of a patient. If you sit, stand or otherwise apply excessive pressure to these devices, they will break or come off the cradle, and may cause injury. - Periodically check all accessories for damage and remove from service if damaged or cracked. Also check the accessory attachment plate fixed to the end of the cradle. Repair or replace if loose or damaged. - The cradle has a maximum distributed load capacity of 450 lb. (205 kg). GE assures incremental accuracy and normal traverse speeds up to 300 pounds. Exceeding the 450 lb. (205 kg) maximum limit could result in degraded positioning performance, increased table lowering speed, equipment damage and/or injury.

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Safety
Electrical Safety
- Avoid all contact with any electrical conductors. - Wait at least 10 minutes after the last scan before you turn off [Main Power]. This gives the circulating oil sufficient time to cool the X–Ray tube.

Laser Beam Safety
- The laser beam used for patient positioning can cause eye injuries. Instruct a patient not to stare into the laser beam.

Software Safety
- Should a malfunction occur, or a patient condition develop that requires interrupting a scan series, push panel to stop X–Ray. - Wait for image annotation to complete before filming. If you press the exposure button too soon, the film records a composite of two different scans. - DICOM protocol has a “dialect”, which may cause some troubles like disappearances of some portion of image annotations, when connecting to the station where data transfer is not confirmed. (Abort) on the right end of the OC scan

Emergency Stop
- In the event of a hardware failure that could cause serious damage, such as smoke, fire or unintentional cradle movement, press one of the red [Emergency Stop] switches located on the operator console, at the gantry control panels, or on the X–ray Generator. Low power to the electronic components in the computer and data acquisition system remains ON. - When Emergency Stop is applied, the moving cradle and tilting gantry may overrun by less than 10 mm and less than 0.5 degrees, respectively.

GE provides training support. Contact your local GE sales representative to arrange training sessions to meet your needs.

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Safety
Radio Waves Safety
Never use the following devices near this equipment. Use of these devices near this equipment may induce erratic function of the equipment.

Devices not to be used near this equipment
Devices which intrinsically transmit radio waves such as; cellular phone, transceiver, mobile radio transmitter and radio–controlled toy, etc. Keep those devices power–off near this equipment.

. .

NOTE

Medical staff in charge of this equipment is required to instruct technicians, patients and other people who may be around the equipment to fully comply with the above regulation. Your system also has a warning label on a console that warns of the above hazard.

NOTE

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Safety
Warning Labels
Labels on Keyboard
- The following labels are attached to the upper side of the keyboard.

CAUTION
Patient may be pinched between gantry and table during Prescribed Tilt. To avoid pinching, before using Prescribed Tilt, make sure that patient does not contact the gantry.

CAUTION
Press Stop Scan button to stop cradle motion or scanning.

WARNING
This X–ray unit may be dangerous to patient and operator unless safe exposure factors and instructions are observed.

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Safety
Laser Alignment Light Caution/Warning
The HiSpeed system employs semiconductor laser alignment lights for patient landmarking. This type of alignment light casts a thin red light on the patient for the purpose of positioning and landmarking. - The following label is attached at three locations of the gantry aperture.

LASER APERTURE
DO NOT STARE INTO BEAM - The following labels are attached to the lower part of the gantry.
LASER RADIATION DO NOT STARE INTO BEAM
600–700nm LASER DIODE 1 MILLIWATT MAXIMUM OUTPUT

LASER RADIATION DO NOT STARE INTO BEAM
600–700nm LASER DIODE 1 MILLIWATT MAXIMUM OUTPUT CLASS II LASER PRODUCT

CLASS 2 LASER PRODUCT
IEC 825–1:1993

CAUTION: Exposing eyes to the laser alignment lights may result in eye injury. Do not stare directly into the laser beam. Instruct patients to close their eyes during landmarking to avoid eye exposure to the alignment light while laser light is on. Closely monitor all patients and prevent them from accidentally staring into the beam. Do not leave the laser beam on after you position the patient.

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Safety
- The following label is attached at the rear side of the gantry pedestal.
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE, WISCONSIN BY

GE YOKOGAWA MEDICAL SYSTEMS, LTD
7–127 ASAHIGAOKA 4–CHOME, HINOSHI, TOKYO, JAPAN

MODEL xxxxx SERIAL yyyyy MANUFACTURED n month, 19xx SOURCE: 90A/380–480V3 ~ SOURCE: 30A/200V~ SOURCE: 30A/115V ~ SOURCE: 15A/115V ~

CLASS 1

50/60Hz 50/60Hz 50/60Hz 50/60Hz

COMPLIES WITH RADIATION PERFORMANCE STANDARDS, 21 CFR SUBCHAPTER J

CAUTION : Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure.

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Safety
Information of Laser Alignment Lights Beam Beam source location
The following drawing shows the locations of the laser beam source, A, B, C, D, E, F, G and H.
X–axis direction

Positioning Light A, D G Y–axis direction

Positioning Light B, E H Positioning Light C, F

Gantry Front

X–axis View

Scan plane External plane 90 deg. 90 deg.

Gantry front cover

Gantry front cover Beam radiation area

Light A

Light C

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Safety
Y–axis View
Scan plane External plane Gantry front cover

Light B
90 deg.

Beam radiation area

Gantry front cover

Front View

Beam radiation area

Light F

80 deg. 80 deg.

External plane

Light D
4 deg.

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Safety
Front View

Light E
3 deg. 90 deg.

External plane
Beam radiation area

Front View

55 deg.

35 deg.

Light G

90 deg.

90 deg.

Light H

Scan plane
Beam radiation area

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Safety
Cradle Caution
- The following label is attached to the end of the cradle.

CAUTION
Do not grasp the side of the cradle.

Accessory Caution
- The following labels are attached to the standard headholder and shallow headholder.

CAUTION
Accessory may fall and cause injury if not latched to cradle. Make sure that accessory is latched to underside of cradle.

CAUTION
Excessive weight can break accessory and cause injury. Do not load more than 34 Kg or 75 pounds.

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Safety
- The following labels are attached to the coronal headholder.

CAUTION
Accessory may fall and cause injury if not latched to cradle. Make sure that accessory is latched to underside of cradle.

CAUTION
Excessive weight can break accessory and cause injury. Do not load more than 34 Kg or 75 pounds.

CAUTION
Do not hit the accessory against the gantry. Patient injury or equipment damage could result.

- The following labels are attached to the cradle extender.

CAUTION
Accessory may fall and cause injury if not latched to cradle. Make sure that accessory is latched to underside of cradle.

CAUTION
Excessive weight can break accessory and cause injury. Do not load more than 45 Kg or 99 pounds.

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Safety
Radio Wave Caution
- The following label is attached to the operator console.

CAUTION
Do not use the following devices near this equipment. Cellular phone, radio transceiver, mobile radio transmitter, radio–controlled toy, etc. Use of these devices near this equipment could cause this equipment to perform outside the published specfications. Keep power to these devices turned off when near this equipment.

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Safety
Precaution for The CT System Disposal
The elimination of machines and accessories must be in accordance with national regulations for waste processing. In the CT system there are certain materials used that could cause environmental hazards if disposed of improperly. Those materials include lead blocks in the gantry and oil in the tank and the X–ray tube. Be sure to contact GEMS service personnel prior to disposing of the CT system or any CT component to ensure safe and proper disposal.

Packing Materials
The materials used to pack our equipment are recyclable. They must be collected and processed in accordance with the regulations in force for the country where the machines or accessories are unpacked.

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Safety
Technical documents
GE will provide CT users with the following documents at their request to help them repair malfunction on their own. - Diagrams - Components part lists - Descriptions - Calibration instructions

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Table of Contents
Chapter 1
SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General Procedure of CT Examination . . . . . . . . . . . . . . . . . . . . . . . Main Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gantry Display Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Operator Console (OC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Standard Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Head Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Body Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . System Power On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1-1
1-1 1-1 1-2 1-2 1-4 1-7 1-9 1-11 1-12 1-12 1-13 1-20 1-20 1-21 1-25 1-27

Chapter 2
SCAN TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . .
Icon Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Function of Each Icon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Function of Each Icon 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patient Schedule 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Protocol Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Auto Voice Record 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Protocol Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Retro Recon1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recon Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tube Warmup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Scanner Utilities 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Raw Data Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . User Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2-1
2-2 2-3 2-4 2-5 2-6 2-12 2-13 2-16 2-21 2-25 2-27 2-30 2-30 2-36

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Chapter 3
DISPLAY TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . .
Primary/Secondary Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Image Display Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Autoview Layouts 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Review Layouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . List/Select 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Routine Display 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Roam Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Explicit Magnify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Flip/Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ProView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GSE (Gray Scale Enhancement) . . . . . . . . . . . . . . . . . . . . . . . . . Display Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . List/Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ellipse ROI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Measure Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cross Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . User Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exam Pg / Series Pg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hide/Show Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Erase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Screen Save . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Measurements 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MIROI (Multiple Image ROI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Report Pixels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Display Preference 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Annotation Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Next/Prior Each Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Next/Prior Series Binding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous Report Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Manual Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Auto Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accelerator Bar 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3-1
3-2 3-3 3-4 3-6 3-7 3-9 3-10 3-11 3-12 3-13 3-14 3-14 3-15 3-15 3-16 3-16 3-17 3-18 3-19 3-20 3-20 3-20 3-21 3-22 3-23 3-24 3-25 3-27 3-27 3-27 3-28 3-29 3-30

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Chapter 4
SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patient Positioning 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Patient 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Scout Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Auto Store . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Auto Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Axial/Helical Scan Prescription 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Axial/Helical Prescription (View/Edit) Screen . . . . . . . . . . . . . . . Continuous Scan Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prescribe Scan Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prospective Multiple Reconstruction . . . . . . . . . . . . . . . . . . . . . . Icons of the Axial/Helical Scan Prescription screen (1) . . . . . . Icons of the Axial/Helical Scan Prescription screen (2) . . . . . . Show Localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SmaerRecon (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Axial/Helical Scan in Progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Axial/Helical Scan End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Priority Recon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Next Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repeat Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . One More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repeat Last Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Biopsy Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SmartPrep 1 (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Smart Addition 1 (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4-1
4-1 4-4 4-6 4-11 4-12 4-13 4-13 4-14 4-15 4-21 4-23 4-28 4-31 4-33 4-38 4-40 4-41 4-42 4-43 4-44 4-46 4-47 4-48 4-50 4-56

Chapter 5
FILMING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AutoFilm 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AutoFilm Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Manual Film . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Manual Film Composer 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5-1
5-1 5-10 5-11 5-12

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Chapter 6
QUALITY ASSURANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phantom Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Scan the QA Phantom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . High Contrast Spatial Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . Slice Thickness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Low Contrast Detectability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Noise and Uniformity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Weighted CTDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dose and Performance 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dose and Performance 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dose and Sensitivity Profile at Phantom Center . . . . . . . . . . . . . . .

6-1
6-2 6-4 6-6 6-7 6-9 6-10 6-12 6-13 6-17 6-21

Chapter 7
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Component Identification for HiSpeed . . . . . . . . . . . . . . . . . . . . . . . . Component Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MX165ZJ X–Ray Tube Assembly Information . . . . . . . . . . . . . . . . . MX165ZJ Diagnostic Source Assembly . . . . . . . . . . . . . . . . . . . . . . MX165ZJ CT Scan Ratings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MX165ZJ X–Ray Tube IEC Information . . . . . . . . . . . . . . . . . . . . . . MX165ZJ Cathode Emission and Filament Characteristics . . . . . . MX165 ZJ Anode Heating and Cooling Curves . . . . . . . . . . . . . . . MX165ZJ X–Ray Tube Assembly Information . . . . . . . . . . . . . . . . . Generator Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Attenuation Equivalent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Periodic Maintenance by Qualified Personnel . . . . . . . . . . . . . . . . . Maintenance by CT Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Symbols and Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7-1
7-1 7-2 7-3 7-3 7-4 7-6 7-7 7-9 7-10 7-13 7-15 7-16 7-18 7-19 7-23

Index

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Chapter 1

SYSTEM
Overview of CT System and Examination
Overview
The HiSpeed computed tomography (CT) system consists of four major components and some peripheral gear. Four major components are the gantry, table, operator console(OC) and power distribution unit. The primary objective of this CT system is to obtain for medical diagnoses the two or three–dimensional images of internal structure of human body.

General Procedures of CT Examination :
3. The operator prescribes the examination(scan) procedures at the OC while the patient is positioned on the table in the scan room. As the operator initiates the scan procedures with the patient in the gantry aperture, the X–ray unit inside the gantry rotates around the patient body emitting the fan–shaped X–ray beam to the body. The X–ray penetrates the body and is received by the detector, then it is converted to the electrical data. The data acquired in the above step is processed into the images by the computer at the OC. Then, the images are initially displayed on the CRT of the OC and subject to manipulation for analysis. The images can also be filmed later for diagnoses by a physician. The image data can be saved in some electronic media like optical disk for later analysis and also be transferred to some other stations for remote diagnoses.

4.

5.

6.

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System Main Components
Gantry
Display Panel Emergency Button Control Panel Positioning Light Emergency Button Control Panel Positioning Light & Breath Navi Positioning Light

Front

Function
The gantry incorporates the X–ray tube unit, the HiLight detector and DAS (Data Acquisition System) inside. It also provides the following functions. D Display Panel The display panel shows the readings of the gantry tilt, table height, position of land mark, latch status, scannable range and tilt range. Refer to the Gantry Display Panel page for the function descriptions. D Emergency Button Pressing the emergency button stops every mechanical movement and the X–ray emission. D Control Panel The control panel incorporates the several buttons to mainly control the movements of the gantry and table. Each front and rear cover has two control panels. Refer to the Gantry Control Panel page for the function descriptions.

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System
D * Positioning Light & Breath Navi The laser beam will be emitted through here that will be used to position a patient. Breath Navi gives the visual breathing instructions to a patient with hearing problem. (* Laser beam and Breath Navi may not be available in Americas.)

Gantry Specifications
D Aperture : 70 cm D Tilt : +/– 30 degrees D Tilt speed : 1 degree/second D Focus to isocenter : 541 mm D Focus to detector : 949 mm D Rotation speed : 360 degrees in 1.0, 1.5, 2.0, 3.0 seconds

X–ray Tube Specifications
D Anode heat storage capacity : 3.5 MHU D Anode heat dissipation : 820 KHU/min. (maximum) D Casing heat dissipation : 300 KHU/min. (constant) D Dual focal spots : 0.9 mm 0.62 mm, 1.2 mm 1.2 mm (Focal size depends on slice thickness and mA.)

HiLight Detector Specifications
D Channels : 816 D View : 972

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System
Gantry Control Panel
Tilt Range & Scannable Range Display Internal Landmark External Landmark Lamp External Landmark

Positioning Light Table Up

Practice

Cradle Out

Table Down Cradle In LED IMS Table Move Fast Gantry Tilt Lamp Gantry Tilt Gantry Tilt Lamp

Function
The gantry control panel enables you to move or control the movement of the gantry, table or cradle with the following buttons. D Cradle In/Out Use this to move the cradle toward or away from the gantry aperture. D Table Up/Down Use this to move the table up or down. D Fast Use this to increase the speed of cradle in/out. This does not apply to table up/down.

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System
D Gantry Tilt Use this to tilt the gantry toward or away from the cradle.

WARNING!
The touch sensor on the gantry cover works only during the remote tilt operation at the OC. It does not work when the tilt operation is done at the Control Panel. D Gantry Tilt Lamp The system turns on this lamp when gantry tilt is needed. D IMS Move Use this to manually extend the cradle (IMS table). The IMS table can be operated only at the gantry control panel. The LED above the IMS Move button indicates the status of the IMS table use (not at the home position). The scannable range sticker on the cradle shows the edge of scannable range with IMS table fully stretched. D Positioning Light Use this to turn on or off the internal/external positioning lights.

WARNING!
The laser beam used for patient positioning can cause eye injuries. Be sure to instruct a patient never to stare into the beam. D External Landmark Use this to move the anatomy beneath the external positioning light. When the gantry tilt is set at zero degrees, this button must be depressed for more than 0.5 seconds. Make sure that the [Distance from Landmark] display on Gantry Display Panel shows the number around 190 mm. When the gantry is tilted, keep depressing the button until the External Landmark Lamp gets dim in order for the system to adjust the table height. D External Landmark Lamp While this lamp is on, keep depressing the External Landmark button until this lamp gets dim to adjust the table height.
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System
D Internal Landmark Use this to move the anatomy beneath the internal light to adjust scan location zero. D Tilt Range & Scannable Range Use this to display the gantry tilt range and the scannable range at certain table height. D Practice Use this to test the * Breath Navi function. (*Breath Navi is the small device attached to the edge of the gantry aperture that gives the visual breathing instructions to a patient with hearing problem.)

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System
Gantry Display Panel
Distance from Iso–Center Positioning Light On/Off Release Interference Cradle Lock

SI

SI
X–ray On

Distance from Landmark (mm)

Tilt/Angle Range

Function
The gantry display panel shows the following readings and indications. D X–ray On The X–ray On lamp illuminates during X–ray exposure. D Tilt / Angle Range The Tilt/Angle Range field shows the reading of either the current tilt or the tilt range limits at the current table height/cradle extension. The numerical reading is preceded by either S (superior) or I (inferior). D Distance from Landmark The Distance from Landmark field shows the reading of the distance (mm) between the landmark and the anatomy in the X–ray path. The numerical reading is preceded by either S (superior) or I (inferior). D Distance from Iso–Center The Distance from Iso–Center field shows the reading of the distance (mm) between the iso–center and the top of the table.

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System
D Release Cradle Lock The Release Cradle Lock lamp turns on while the cradle is unlatched. D Interference The Interference lamp turns on when some mechanical interference occurs. D Positioning Light On/Off The Positioning Light turns on or off when the positioning light button on the control panel is toggled.

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Table

Cradle

Foot Switch (Table Up)

Speaker Home Position Latch Button

Function
The table is used to load a patient for scanning. D Cradle The cradle moves into or out of the gantry aperture. D Latch Button The latch button is used to latch or unlatch the cradle. The unlatched cradle can be manually slid. The Display Panel shows whether the cradle is latched. D Foot Switch The foot switch is used to automatically raise the table to the level of 140cm., then move the cradle inward. D Home Position The home position pedal is used to automatically position the table to its lowest level and the gantry to zero tilt. D Speaker The speaker is used to deliver oral instructions to a patient.

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System
Table Specifications
D Vertical range : from 40 cm to 95 cm (cradle height from floor) D Vertical elevation speed : 18.3 mm/second on average D Maximum cradle travel : 1620 mm (Note: Table Height, Gantry Tilt, and scanning software determine the scannable range. ) D Cradle speed : 20 mm/second (Slow mode), 100 mm/second (Fast mode) D Table load capacity : maximum 205 Kg (450 lbs.)

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System
Operator Console (OC)
Scan/Display Monitor

Mouse Keyboard

Main Switch CD–ROM Drive MOD Drive

Function
The operator console (OC) is mainly used for the operator to set up the scan procedures and process the resultant image data. D Scan/Display Monitor The 21–inch monitor on the OC can be mainly used for two purposes, scanning patients and displaying images. D Keyboard/Mouse Please refer to the User Interface page. D MOD Drive Image data can be stored in 2.3 GB MOD (magnetic optical disk). Caution : It is highly recommended to always take back–up image data because there may be a possibility of medium breakdown.

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System User Interface
The HiSpeed system employs the user interface that enables the operator to easily interact with the OC workstation. The user interface consists of a mouse and keyboard.

Mouse
Middle button Left button Right button

General operations of the mouse are as follows: D “Click” Press a button once then release it quickly. D “Double / triple click” Click two/three times quickly. D “Click and drag” Press and hold the button and move the mouse across the pad.

Main functions of each button are as follows: D Left button To select any of icon, item, function, etc. D Middle button To change window width and/or level by moving the mouse left/right and/or up/down respectively with the button pressed. D Right button To scroll the image or modify the image zoom factor.

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Keyboard
The workstation includes a keyboard for entering text at on–screen prompts and numeric data in data entry fields. The upper part of the keyboard includes scan–related buttons and safety–related buttons.
Move to Scan Stop Move Start Scan Volume Stop Emergency Scan Stop X–ray on Mic. Reset Talk (Intercom)

Pause

Prescribed Tilt

Functions of each button and key are described on the following pages.

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System
Scan–related buttons
D Prescribed Tilt (Outside Americas market only) Prescribed Tilt enables you to tilt the gantry to the prescribed angle without operating at the gantry panel. This button starts to flash following the [Move to Scan] button when the gantry tilt is prescribed at the View/Edit Screen and the [Confirm] icon is selected. When this button is flashing, you can hold it down to remotely tilt the gantry till it automatically stops at the prescribed angle (maximum  30 degrees). Note : The gantry tilts only while the button is being held down.

WARNING!
During this remote tilt operation there may be a danger of the gantry cover hitting the patient unless the operator is very closely watching the tilt movement. The touch sensor on the gantry cover is supposed to stop the tilt movement when it detects the physical contact with the patient body. However, that sensor is just an auxiliary safety device. Prior to the actual tilt the operator must ensure without relying on the sensor that the gantry cover will not come in contact with the patient body. Breath Navi (look guide) does not have a function of touch sensor. The touch sensor on the gantry cover works only during the remote tilt operation at the OC. It does not work when the tilt operation is done at the Control Panel. The front touch sensor (option) must be used in case it is hard to see the front gantry cover from the console. See the next page for the locations the front and rear touch sensors are built in.

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The locations and sizes of Front/Rear Touch Sensor

75 deg.

Front Touch Sensor (optional purchase)
545mm 370mm

SC*

SC* : Scan Center

Front

664mm

Rear Touch Sensor
579mm

SC*

SC* : Scan Center

Rear Note : After the Touch Sensor worked and stopped the gantry, tilt the gantry to the opposite direction to release it.

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System
D Move to Scan Press this button when lit to move the cradle to the prescribed scan start location. D Stop Move Press this button to stop the cradle when it is traveling. D Start Scan Press this button when lit to start scans. D Pause Press this button to temporarily halt scans. Scans pause after completing the current one scan. Press Start Scan button to resume scans. D X–ray on This button lights up during X–ray emission. D Stop Scan Press this button to stop the current or halted scan. D Emergency Stop This button cuts off the power to the equipment inside the scan room. All mechanical movements and X–ray radiation are halted. Note : This button DOES NOT affect the power of OC and laser camera. D Reset This button restores the power to the equipment inside the scan room after Emergency Stop is applied. ( Use a pen head or something like that to press this button. A finger must be too big.) The whole system can be reset by turning on the main switch.

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Communication button
D Talk (Intercom) Hold down this button to give some verbal instructions to the patient during a study. D Volume Use these dials to adjust the voice volume of patient or operator.

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System
Keyboard keys
D Function key F1, F2, F3 and F4 function keys are used for filming–related operations. Please refer to Chapter 5 [FILMING] for detailed information.
F1
Film Image

F2
Film Page

F3
Film MID

F4
Film Series

F5 function key is used to return to the window width and level that have been used most recently.
F5
Previous

W/L

F6–F11 function keys are used to preset the specific window width and level for specific anatomical areas. The procedure is as follows.
F6
Abdo– men

F7
Head

F8
Lung

F9
Media– stinum

F10
Spine

F11
Verte– bra
Drop on
Auto Film

1.

Select the image as a primary one (green border) whose WW and WL you wish to register as default. Press [Shift+F6–F11] to register those WW and WL as preset conditions.

2.

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D Image Analysis related keys These keys are used for image analysis purposes. Please refer to Chapter 3 [DISPLAY TOP LEVEL SCREEN] for each key’s function.
Erase Disp Norm

Ellipse ROI

Trace

Grid On/Off

Meas Dist

User Annot

Zoom Roam

D Key top These keys are mainly used to input texts and numbers.

Enter

Shift

Prior Exam Prior

Next Exam Next

– [Enter] : Use this to conclude the entry. – [ – [
/ /

] : Use these to move forward or backward through items on desktop.
/ /

] : Use these to adjust window level and width of images.

– [Prior Exam/Prior] : Use this to return to prior exam or image. – [Next Exam/Next] : Use this to go to next exam or image.

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System Accessories
The system utilizes the various accessories to facilitate the scan.

Standard Accessories
- Cradle pad - Cradle extender - Arm board - Head holder - Security straps - Phantoms to calibrate and check performance - Phantom holder - Console chair - Operator manual

Optional Accessories
- Coronal head holder assembly - Shallow head holder assembly

WARNING!
Do not use any accessories other than those provided by GE. Use of other accessories may cause unexpected troubles or physical injuries. Also, if anything other than GE accessories is placed in the path of x–ray beams, it may affect image quality.

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Head Accessories
Standard Head Holder Assembly (Front side) (Back side)

Label
MADE FOR GENERAL ELECTRIC CO. MILWAUKEE, WISCONSIN BY GE YOKOGAWA MEDICAL SYSTEMS, LTD. 7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN MODEL 2201806 SERIAL MANUFACTURED OCTOBER 1997

Wedge (Large, Small)

Shallow Head Holder (option) (Back side)

Label
MADE FOR GENERAL ELECTRIC CO. MILWAUKEE, WISCONSIN BY GE YOKOGAWA MEDICAL SYSTEMS, LTD. 7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN MODEL 2183827 SERIAL MANUFACTURED OCTOBER 1997

Head Strap

Chin Strap

Coronal Head Holder Assembly (option) Coronal Head Cushion Coronal Head Neck Pad

Label
MADE FOR GENERAL ELECTRIC CO. MILWAUKEE, WISCONSIN BY GE YOKOGAWA MEDICAL SYSTEMS, LTD. 7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN MODEL 2201805 SERIAL MANUFACTURED OCTOBER 1997

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System
Standard Head Holder Assembly
D Standard Head Holder Use during normal head studies, with a supine patient. Use the head band, chin strap, and coil spacers (wedges) to secure the head in the proper position. The material is metal–free. D Head Holder Cushion Place this cushion on the Standard head holder. Use it to cushion the head and hold it in position during the study. Two sizes are available. D Head Band Place the wide area of the head band between the head holder and head holder cushion, with the straps hanging on either side of the head holder, before the patient lays on the table. Move the patient’s head into position on the cushion, cross each end of the band over the forehead, and fasten the pad of Velcro “loops” to the “hooks” on the back of the head holder. Use the head band to position and stabilize the head during a study. D Chin Band Center the hole in the band over the patient’s chin, and fasten the pad of Velcro “loops” to the “hooks” on the back of the head holder. Use the chin band to position and stabilize the head during a study.

Coronal Head Holder Assembly (option)
D Coronal Head Holder Use this head holder during direct coronal studies. The patient lays in the supine position, with the head tipped backward into the coronal head holder. Use the head band and chin strap to secure the head in the direct coronal position. The material is metal–free. D Neck Pad Place this pad vertically in the Coronal head holder to cushion the rear head.

WARNING!
Be extremely careful to avoid contact between the coronal head holder and the gantry while lowering the table in the aperture. Patient injury to the neck or equipment damage could result.

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Body Accessory Use
D Knee Pad Assembly Place the knee pad on the cradle. Rest the patient’s legs, with knees slightly bent, on the knee pad –or– Rest the patient’s head on the knee pad, and use the knee pad strap to secure the hands over the patient’s head, to prevent catching the patient’s fingers between the cradle and table surfaces. D Knee Pad Strap Attaches to the three Velcro “loop” patches on the knee pad with Velcro “hooks”; use to secure the legs or arms to the knee pad. (See above) D Cradle Pad Use during standard studies; attaches to the cradle with Velcro “hooks.” D Cradle Extender Attach the cradle extender to the end of the table nearest the gantry, to increase the overall cradle length, and position the body area of interest inside the scannable range. Use the extender to support the patient’s head or feet during a body scan. The material is metal–free.

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System
Security Strap Kit
D Body Strap A Use the 60 mm wide strap to position and secure the patient’s head to the Head Cushion; or use as needed to secure blankets or clothing. Follow Body Strap B directions to attach and secure the straps. One set provided with system. D Body Strap B Use the 150 mm wide straps to secure the body to the cradle, to reduce patient movement; to secure blankets or clothing, to prevent contact with the cradle surface; or, to cover and secure the patient’s hands. Slide the nylon guide, opposite the Velcro ends of the straps, into the raceway attached to both side edges of the cradle. Slide the strap along the length of the cradle to position it over the patient, and fasten the Velcro ends together to secure the patient. Three sets provided with the system D Body Strap C Use the 370 mm wide strap in the same manner as Body Strap B. One set provided with system. D Extension Strap Use the extension strap with the corresponding body straps to secure large or obese patients. Attach Velcro “hooks” to “loops” on the body strap to increase the length. Each set of body straps has an extension strap; five provided with the system.

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System
Body Accessories

Knee Pad

Cradle Pad

Knee Pad Strap

Cradle Extender (Back side) Cradle Extender Pad

Label
MADE FOR GENERAL ELECTRIC CO. MILWAUKEE, WISCONSIN BY GE YOKOGAWA MEDICAL SYSTEMS, LTD. 7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN MODEL 2201803 SERIAL MANUFACTURED OCTOBER 1997

37cm. Body Strap

Extender Strap (15cm.)

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System
Attach/Detach Head Holder and Cradle Extender CAUTION
Prevent damage to metal–free accessories ! Carefully examine the metal–free clasp assembly on the accessory and the catch on the cradle before attempting to attach the accessory for the first time. To attach an accessory: D Make sure the clasp on the accessory is unlatched, and hanging freely. Hold the clasp in the unlatched position while you attach the accessory. D Align the accessory tongue with the pocket at the end of the cradle. Keep fingers clear of the cradle. Slide the tongue all the way into the pocket until it rests snugly against the angled face of the cradle. D Gently pull the clasp toward the floor and away from the gantry until it hooks the catch on the cradle. Push the hinged–end of the clasp toward the cradle until it snaps into place. To detach an accessory: D Pull the hinged–end of the clasp toward the floor and away from the gantry until it snaps open and clears the catch. D Gently slide the accessory toward the gantry until it clears the cradle. If the accessory offers any resistance, check to make sure the clasp cleared the catch on the cradle.

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System System Power On/Off
How to turn on the system power (Usually power is on 24 hours a day.)
1. Turn on the main switch located on the lower right side of the OC.

2.

The system will start up and the Scan/Display monitor on the OC will automatically proceed to its Top Level screen.

How to turn off the system power (Usually power is on 24 hours a day.)
1. Click on the [Shutdown] icon on the upper left corner of the screen.

Shutdown

2.

The system will automatically proceed to the point where you can turn off the main switch.

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System
Blank page

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Chapter 2

SCAN TOP LEVEL SCREEN
After the system starts up, the following screen appears on the CRT as default Top Level screen. This screen will also appear when the [Scan] icon on the upper left corner is selected while in the either Display or Image Works mode. Scan

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Scan Top Level Screen
Icon Selection
D When a certain icon is selected, it highlights in blue. D Icons currently not available are displayed in gray. D When the second icon is selected after the first one was selected, the first icon highlights in green and its upper right corner folds. Functions of each icon are described on the following pages.

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Scan Top Level Screen Function of Each Icon 1

This icon leads to the scan screen.

Scan

This icon leads to the Display screen. The icons on the Display screen are described in the later chapter.
Display

This contains Reformation, 3D, Network and other advanced image analysis applications. Refer to {Image Works} section.
Image Works

Use this to shut down the system.
Shutdown

This is only for service purpose. Users are not allowed to touch this.
Service

This icon leads to the InSite service. (This icon is not available unless InSite option is installed.)
iLinq

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Scan Top Level Screen Function of Each Icon 2

Remaining disk space

To see current messages

D Remaining Disk Space This area shows the remaining disk space. ( The above example shows that the disk can hold 148 images of 512x512 matrix, which amounts to 595 images of 256x256 matrix.) D Reconstruction Status This area shows the exam, series and image number of the exam that is currently being reconstructed. D Archive Status This area shows the status of images being archived. D Network Status This area shows the status of networking. D Filming Status This area shows the status of filming. D Current Messages Click here to open the Current Messages screen.

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Scan Top Level Screen New Patient
New Patient icon is located at the left side of the screen.

New Patient

Function Select this icon first to begin a new patient exam. Refer to the chapter 4 [Scan] for detailed information. 1. Click on the [New Patient] icon to open the following New Patient screen.
Patient Information
Exam Number Accession Number Patient ID Patient Name Birthdate Age Weight Referring Physician
Radiologist
Kilograms Pounds

Protocol Selection

Sex

Operator History Exam Description Protocol Number

End Exam

2.

Enter necessary patient information.

Note : Patient ID must be put to proceed. (required) 3. Choose a desired scan protocol from the Default Protocol area located on the right side of the New Patient screen. The system automatically proceeds to the View/Edit screen.

4.

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Scan Top Level Screen Patient Schedule 1
Patient Schedule icon is located below the New Patient icon.

Patient Schedule

Function Patient Schedule allows you to enter patient data ahead of time. Once it is time to perform a specific patient exam, you can select from the created list, enter the patient ID or requisition number to call up the patient data. 1. Click on [Patient Schedule] to open the following Schedule list.
Patient Schedule
Schedule
Status Req. Number Patient ID C C C C N 0654 0718 0788 8332 9102 8120 8255 8764 5300 2761 Patient Name Kim McCquaer Dave Sonaty Laura Sepcic Juliet Herman Brad Fox Date 6/15/98 6/12/98 6/09/98 6/02/98 5/27/98 Time 10:23AM 02:19PM 03:26PM 11:23AM 10:46AM Exam Description

Quit

Select Patient

View
More Info

Add Patient

Edit Patient

Delete
Selected

Delete All

Preferences

Next Prior

On the left side of the column under Status, there are two letters. C stands for Completed and N for New. The completed exam at the top of the list is the last completed exam. The only active functions at this point are [Quit] [Add Patient], [Delete All], [Preferences] and Next/Prior arrows. Note : Active icons have clear black characters on them whereas inactive icons have dim characters. 2. Once a patient is selected, the other icons become active.

Functions of each icon are described on the following pages.

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Scan Top Level Screen Patient Schedule 2
Select Patient
Select Patient

Take the following steps to use [Select Patient]. 1. 2. 3. 4. Select [New Patient]. Select [Patient Schedule]. Select the desired patient on the Schedule list. Select [Select Patient]. The patient data will then be placed in the New Patient data area. Note : The patient data will also be called up by typing in the patient ID. View More Info
View More Info

While your HiSpeed system is connected with HIS/RIS and if your HiSpeed system has Connect Pro option, select [View More Info] to get more information on the patient.

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Scan Top Level Screen Patient Schedule 3
Add Patient
Add Patient

Select [Add Patient] to open the following menu to add patients to the schedule. Patient data, date and time of the exam and the protocol can be entered here.
Patient Schedule
Accession Number Patient ID
Anatomical Selector

Protocol Selection

Patient Name Birthdate Age Weight Referring Physician
Radiologist
Kilograms Pounds

Sex

Operator History Exam Description Protocol Number

Date

Time

Cancel

Accept

– Accession Number : Within 16 characters – Patient ID : Within 16 characters – Patient Name : Within 64 characters – Sex : M (Male) or F (Female) – Birthdate : Year, Month, Day – Age : Years, Months, Weeks, Days – Weight : Kgs or Pounds

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Scan Top Level Screen Patient Schedule 4
– Reference Physician : Within 32 characters – Radiologist : Within 32 characters – Operator : Within 3 characters – History : Within 60 characters – Exam Description : Within 22 characters – Protocol Number : Within 5 characters – Date : Exam date, Year, Month, Day – Time : Exam time, Hour, Minute Edit Patient
Edit Patient

Select [Edit Patient] to bring up the Patient Information screen to edit patient data.

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Scan Top Level Screen Patient Schedule 5
Delete Selected
Delete Selected

[Delete Selected] allows you to delete specific patients from the Schedule list. 1. To delete only one patient, click on that patient’s information, then select [Delete Selected]. To delete multiple patients in order, click on one patient, then go to the last patient and press and hold the Shift key, then click on that patient. Then, select [Delete Selected]. To delete multiple patients out of order, press and hold the Control key, then click on the desired patients and select [Delete Selected]. 3. A confirmation message “Are you sure you want to delete selected patients ?” appears. If OK, click on [OK].

2.

Delete All
Delete All

[Delete All] allows you to delete all of the patients. 1. The following screen appears after selecting [Delete All].
Delete All

All Completed

All New

All

OK

Cancel

2.

Select [All Completed] to delete all scan–completed patients. Select [All New] to delete all new patients. Select [All] to delete both of the above patients. Note : The default is [All Completed].
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Scan Top Level Screen Patient Schedule 6
Preferences
Preferences

[Preferences] allows you to set the sort order and delete time. 1. The following screen appears upon the selection of [Preferences].
Preferences
Update Schedule Yes Automatically ? Show Update Parameters ?
Yes

No

Sort By :

Date/ Time

Name

ID

No

Delete Completed Exams After :

Days

Default Update Parameters
Get Patient List For :
This System All CT Systems All Systems

Today

With a Date Range :

Days Before Today Days After Today All Dates

OK

Cancel

2. 3.

The patient list can be sorted by Date/Time, Name or ID. If you want the system to automatically delete completed exams, you can click in the Days box and type in the number of days desired. The default is 0 (zero). Select [OK] to conclude the entry.

4.

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Scan Top Level Screen Protocol Management
Protocol Management icon is located at the right side of the New Patient icon.

Protocol Management

Function : Protocol Management includes two functions, which are [Auto Voice Record] and [Protocol Management]. 1. The following screen appears upon the selection of [Protocol Management].

Auto Voice Record

Protocol Management

Quit

2.

Select [Auto Voice Record] to set up Auto Voice or select [Protocol Management]

Select [Quit] to quit. Functions of [Auto Voice Record] and [Protocol Management] are described on the following pages.

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Scan Top Level Screen Auto Voice Record 1
Function : This function allows you to give the patient recorded vocal instructions. 1. The following screen appears when you click on [Protocol Management] icon.

Auto Voice Record

Protocol Management

Quit

2.

The following Auto Voice Record screen appears upon the selection of [Auto Voice Record].
English

Language Selection

Auto Voice Record
Name Pre-Message Post-Message

Name

Pre-Message Post-Message

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Suspension Inspiration Expiration

11. 12. 13. 14. 15. 16. 17. 18. 19 20. Message Management
0.0 Play Delete Set Done

Create New Message
Record Play Stop
Save Message

Twenty protocols in all are available. The first three are preset in the system and can not be changed. Other 17 protocols are programmable.

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Scan Top Level Screen Auto Voice Record 2
As for the first three protocols, there are nine language options. In order to choose any one of them, click on the [English] button on the Auto Voice Record menu on the previous page to open the following menu.
Auto Voice Language Selection

English–male German Korean

English–female Spanish

Japanese

French Italian

Mexican Spanish

Cancel

Click on any one of them for your purpose. 3. To create a new Auto Voice instruction message, point and click in the Name area where you wish to put the protocol. Type in the name and press the Enter key. After pressing the Enter key, the Pre and Post Message areas become active. 4. Go to the Create New Messages area to create new instruction messages.
Create New Messages

Record

Stop

0.0

Play

Save Message

The only active icon at this point is [Record].

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Scan Top Level Screen Auto Voice Record 3
5. Once you are ready to record, select [Record]. The time clock to the right will start. The maximum recording time is 20 seconds. When finished with recording, select [Stop]. Select [Play] to listen to what was recorded. To save the recorded message as a protocol, click on the Pre or Post Message box and select [Save Message]. The Message Management area allows you to play or delete an existing Auto Voice protocol. To delete a protocol, select the protocol name and then select [Delete Set].
Message Management Play Delete Set Done

6.

7.

8.

To play a message, simply select the message box you wish to play and select [Play]. 9. To leave the Auto Voice Record menu, select [Done].

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Scan Top Level Screen Protocol Management 1
Function : This function allows you to create, edit or delete scan protocols. 1. The following screen appears when you click on [Protocol Management] icon.

Auto Voice Record

Protocol Management

Quit

2.

The following screen appears upon the selection of [Protocol Management] on the above screen. This is the Adult Protocol menu. The Infant Protocol menu is also selected by clicking on the Infant tab.
Protocol Management Infant tab Adult tab

Quit

3.

Select a protocol or an anatomic region to open the menu on the next page.

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Scan Top Level Screen Protocol Management 2
4. You can build up to 15 protocols for each anatomical region.
Protocol Name Default

New

Duplicate

Edit

Delete

Done

Cancel

5.

To duplicate (copy) an existing protocol, first choose the protocol and select [Duplicate]. Then, you may slightly modify it to create a new protocol that will have the similar parameters to the original protocol. To edit or delete an existing protocol, first choose the protocol and select [Edit] or [Delete] respectively. To create a new protocol, select [New]. After selecting [New], enter the protocol name on the highlighted line and press the Enter key. To set a protocol as the default for the region, select the [Default] button next to the protocol. Only one protocol can become the default for the region. Next, select the Series Type that will begin the protocol and click on [OK].
Select New Series Type Scout Axial

6.

7. 8.

9.

OK

Cancel

The following Protocol Setup screen will appear.

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Scan Top Level Screen Protocol Management 3
The following screen is an example of axial scan protocol setup.
Protocol Parameters Setup Screen
Protocol : Series:

Anatomical Reference

Series Description

Auto Store Auto Transfer

Auto mA OFF Auto Film Setup

Show Localizer Recon Area SmartRecon OFF

Prior Next
Scan Type Axial

Add Group

Split Current Group

Delete Selected Group

Scan

Timing

Recon

Film

Images

Start Loc. S50.0

End Loc. S10.0

No. of Images 8

Thick (mm) 5

Image Int’val 5

Pitch

Gantry Tilt 0

SFOV

kV

mA

CTDIw (mGy)

1–8

Body

120

180

9–15

Axial

S10.0

I60.0

7

10

10

0

Body

120

160

Cancel

Prior Series

Next Series

Create New Series

Repeat Series

Delete Series

Accept

10.

In the above screen, the [Scan] icon parameters (Thick, Image Int’val, pitch, etc.) are supposed to be filled. In order to enter Timing, Recon and Film parameters, click on the [Timing], [Recon] and [Film] icon, respectively. The menus for Timing, Recon and Film are shown on the following pages. Prior/Next : Prior or Next key appears on the screen only when more than three groups are prescribed.

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Scan Top Level Screen Protocol Management 4
The following Timing menu will appear when you click on the [Timing] icon.
Scan
Prep Group (sec) Breath Hold (sec)

Timing
Auto Voice No.

Recon

Film

ISD
(sec)

Breathe Time

The following Recon menu will appear when you click on the [Recon] icon.
Scan Timing Recon Film

DFOV (cm)

R/L Center (mm)

A/P Center (mm)

Recon Type

Image Filter

Matrix Size

Motion Correct

Special Filter

Show Recon1 Y

Show Recon2 N

Show Recon3 N

The following Film menu will appear when you click on the [Film] icon.
Scan Timing Recon Film

Auto Film

Frame Format

Interval

Flip

Width 1

Level 1

Mag Factor

Rotate

User Anno.

GSE

Recon 1 Film Set 1

Recon 1 Film Set 2

Recon 2 Film Set 1

Recon 2 Film Set 2

Recon 3 Film Set 1

Recon 3 Film Set 2

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Scan Top Level Screen Protocol Management 5
Select [Prior Series] to display the prior series protocols. Select [Next Series] to display the next series protocols. Select [Repeat Series] to add the same series protocols. Select [Delete Series] to delete the displayed series protocols. Refer to the chapter 4 for the function of other icons or buttons. 11. After all the scout view parameters have been entered, select [Create New Series] button on the front page screen to create the next series. Then, the following screen appears.
Select New Series Type

Scout

Axial

Create Before

Create After

Cancel

12.

Select the series type from [Scout] or [Axial]. Also, select [Create Before] or [Create After] to determine if the series will be put before or after the first series you built.

13. 14.

Again, enter scan parameters for the series selected. After all the series and the parameters have been created, touch [Accept] button to save the protocol. You will then return to the beginning so that you may choose to duplicate, delete, edit or create a new protocol. Or you can select [Done] and then [Quit] to exit the protocol section.

15.

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Scan Top Level Screen Retro Recon 1
Retro Recon icon is located below the Patient Schedule icon.

Retro Recon

Function : Retrospective reconstruction allows you to change the reconstruction parameters that were previously used for the exam. Through Retro Recon you are allowed to change DFOV(Display Field of View), AP(Anterior/Posterior) and RL(Right/Left) Centering, Recon Type, Matrix Size, Segmenting and Peristaltic Motion Correction for axial series. 1. First click on the [Retro Recon] icon. The following screen appears listing up to 1000 scan data. Click on the [Update] button to update the list or select [Quit] to exit.
Retro Recon List Select Screen
Retro Recon List Select Exams
Patient ID Patient Name Exam # Date Time Suite Series #

Series
Series Description

Landmark

Prior Next

Prior Next

Quit

Select Series

Update

2.

Point and click on the exam and series you wish to reconstruct retrospectively and then choose [Select Series] at the bottom center.

The system automatically proceeds to the Retro Recon View/Edit screen.

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Scan Top Level Screen Retro Recon 2
3. After selecting [Select Series], the following screen appears displaying all of the groups in the selected series. Y(Yes) in the Retro column means that group will be reconstructed. If you do not wish to recon the group, simply point and click on the “Y” icon for the group to toggle it to N(No).

When the [Images] icon is selected, the right side of the screen is as follows.

Prior Next

Images

Recon

Retro

Scan Type

Scan Scan Start End Location Location

Retro Start

Retro No. of Image Gantry SFOV End Images Interval Tilt

Y Y Y

Quit

List Exams

Confirm

When the [Recon] icon is selected, the right side of the screen is as follows.
Prior Next Scan Type Scan Scan End Start Location Location
R/L Center (mm) A/P Center (mm) Recon Type Image Filter

Images
Motion Correct Recon Mode

Recon
Matrix Size Special Graphic Filter Retro

Retro

DFOV (cm.)

Y Y Y

N N N

Quit

List Exams

Confirm

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Scan Top Level Screen Retro Recon 3
4. Enter the parameter changes and select [Confirm]. – Retro Start : Start location of retro recon – Retro End : End location of retro recon – Image Int’val : Image interval (in case of Helical) – DFOV : Display Field of View (4.8cm to SFOV) – DFOV A/P R/L Center : Anterior/Posterior and Right/Left center of DFOV – Recon Type : SOFT, STND, STD+, DETL, CHEST, BONE, EDGE or PFRM – Image Filter : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21, E22, E23, E3), Lung (L1, L2, L3) – Motion Correct : Motion correction – Recon Mode : (See next page.) – Matrix Size : 256x256 or 512x512 – Special Filter : ANR (Advanced Noise Reduction) (1 or 2), AAR (Advanced Artifact Reduction) (1 or 2) ANR filter allows you to reduce noise without compromising spatial resolution. It contributes to a decrease in standard deviation by approximately 10%, which may be equivalent to one–step decrease in mA. Note : ANR is compatible only with SOFT, STND, and STD+. AAR filter allows you to reduce artifacts normally shown around arms. When you click on the [Special Filter] button or the each Special Filter field, the following menu appears.
Select the desired Special Image Filter.

None

ANR 1

ANR 2

AAR 1

AAR 2

Cancel

[ANR 2] has a stronger effect than [ANR 1]. Also, [AAR 2] has a stronger effect than [AAR 1]. Select either of them or select [None] not to use these filters.

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Scan Top Level Screen Retro Recon 4
– Graphic Retro : If you wish to display on the image the circle cursor to graphically prescribe the retro recon area instead of typing in DFOV, R/L Center and A/P Center, toggle N (No) on each field to Y (Yes). If the displayed circle cursor is too big to handle, type in the smaller enough DFOV to display the entire circle cursor, then change its size and location using one of four squares outside the cursor and the center dot of the cursor respectively to designate the recon area. 5. Select the [Recon Mode] button to open the following screen. (*Smart Helical Option is needed to have [Plus] button.) Recon Mode section allows you to edit the scan type and the amount of data for reconstruction. .
Recon Mode Axials: Full
2 3 4 5 6

Helicals:

Segment

Full

Plus

Cines:

Segment

Full

OK

Cancel

The scan types available to edit will be active. [Full] uses full–rotation data, whereas [Segment] uses partial–rotation data. *Smart Helical Option offers [Plus] function that uses 1.6–rotation data. Make the appropriate selection. 6. Click on the [Confirm] button to start retro recon. Newly retro–reconstructed images will be saved as a new series with “Retro” annotation. 7. If you need to retro–recon another exam/series, select [List Exams] button. Select [Quit] to exit.

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Scan Top Level Screen Recon Management 1
Recon Management icon is located at the right side of the Retro Recon icon.

Recon Mgmt

Function : Within the Recon Management function, you can have access to Suspended Entries and Recon Queue Management. 1. Select [Recon Mgmt] to open the following screen.
Recon Management
Suspended Entries
Patient ID Exam # Series # Image # Type

Delete Suspended Entries

Unsuspended Entries

Update List

Prior

Next

Recon Queue Management: Pause Queue Restart Queue View Queue Entries Delete Retro Entries

Quit

Functions of each button are described on the following pages.

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Scan Top Level Screen Recon Management 2
Suspended Entries
These are basically images that were not reconstructed for some reason and were placed in a Queue. D [Delete Suspended Entries] Select this button to delete the suspended entries. Once the images are deleted, they can not be reconstructed prospectively, but they can be reconstructed retrospectively. D [Unsuspended Entries] Select this button to try to reconstruct the images again after selecting image entries. D [Update List] Select this button to update the Unsuspended Entries List if any entries need to be added while Recon Management was open.

Recon Queue Management
D [Pause Queue] Select this button to stop the reconstruction process. This might be useful if you have just started a Retro Recon, but maybe incorrect parameters were entered. Instead of having the system reconstruct all of the incorrect images, you can select [Pause Queue] to stop the reconstruction and then delete the images that have not been yet reconstructed. D [Restart Queue] Select this button to restart the reconstruction queue after you stopped it for some reason. D [View Queue Entry] Select this button to display a menu that shows what is in the reconstruction queue. You can select [Cancel] to leave the View Queue function or select [Update List] to update the queue entries list. D [Delete Retro Entries] Select this button to delete entries that remain in the reconstruction queue. This is used in conjunction with [Pause Queue].

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Scan Top Level Screen Tube Warm–up
Tube Warmup icon is located below the Retro Recon icon.

Tube Warmup

Function : Tube Warmup allows you to have access to the Tube Warmup and Daily Calibration procedures. Note : Tube Warmup is required when more than two hours have passed since the last scan or whenever the system recommends it. 1. Click on the [ Tube Warmup] icon. The following screen will appear. [ Tube Warmup] button on the screen allows you to conduct only the tube warm–up procedure. [Daily Calibration] allows you to perform both the tube warm–up and daily calibration procedures. [Daily Calibration] is selected by default.

Tube Warmup Daily Calibration

Tube Warmup Menu1
Warming up the tube as recommended will provide the high quality images and extend the life of the tube. Make sure that no one is in the scan room and the gantry aperture is clear during warmup.

Cancel

OK

2.

Select the [ Tube Warmup] button, then [OK] to proceed to the tube warmup procedure or select the [Cancel] button to exit.

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Scan Top Level Screen Tube Warmup 2
3. Upon selection of [OK], the following scan menu will appear. Select [Confirm] to initiate the tube warm–up. Service Scan
Service Tool: Warm up Scan Scan Type Scan Time Voltage Current Thickness Focus Axial 2.0 80 80 1.0 Large seconds kV mA mm Exam ID: 218120

Menu 2

Remaining scan : 18 Press <Confirm> and Start scan> to start scan

Cancel

Confirm

4.

Several seconds after selecting [Confirm], the [Start Scan] button on the keyboard flashes. Press it to start X–ray radiation. The system automatically performs four tube warm–up scans. Note : When you select the [ Tube Warmup] button more than 30 hours later since the last daily calibration, the following message will be posted to urge you to perform daily calibration.
Warning

Service Scan

Please execute “Daily Calibration” to provide the high quality images. Do you continue the tube warmup ?

Yes

No

Selecting [Yes] leads you to Menu 2 and [No] to Menu 1.

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Scan Top Level Screen Tube Warmup 3
5. When you select the [Daily Calibration] at Menu 1, Menu 2 will appear. Service Scan
Service Tool: Warm up Scan Scan Type Scan Time Voltage Current Thickness Focus Axial 2.0 80 80 1.0 Large seconds kV mA mm Exam ID: 218120

Menu 2

Remaining scan : 18 Press <Confirm> and Start scan> to start scan

Cancel

Confirm

Upon selection of [Confirm], the system first performs the same scan protocol as Tube Warmup and daily calibration later.

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Scan Top Level Screen Scanner Utilities 1 Raw Data Function
Scanner Utilities icon is located at the right side of the Tube Warmup icon.

Scanner Utilities

Function : From Scanner Utilities you can have access to either Rawdata Function or User Calibration. 1. Click on the [Scanner Utilities] icon. The following screen will appear.
Scanner Utilities
Rawdata Functions User Calibration

Quit

2.

Select [Rawdata Functions] to open the following default screen. This screen will also appear when you select [Save to MOD] from the pulldown menu of Function Selection. (See next page.)
File Function Selection Rawdata Selection

Save Rawdata to MOD
Select RawData
Exam: Exam # Name Date Reserve Exam No: Series # Type Acqus Reserve Patient Position

Series No: Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Start Save

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Scan Top Level Screen Scanner Utilities 2 Raw Data Function
File Exit

When you select the [File] button, the [Exit] button appears. Select [Exit] to exit from Rawdata Functions.

Function Selection Save to MOD Restore/Delete from MOD Reserve/Release Initialize MOD

When you select the [Function Selection] button, the pulldown menu appears which contains the [Save to MOD], [Restore/Delete from MOD], [Reserve/Release] and [Initialize MOD] buttons.

Rawdata Selection Whole Exam Whole Series Individual Raw

When you select the [Rawdata Selection] button, the pulldown menu appears which contains the [Whole Exam], [Whole Series] and [Individual Raw] buttons.

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Scan Top Level Screen Scanner Utilities 3 Raw Data Function
Save Rawdata to MOD
When you select [Save to MOD] from the [Function Selection] pulldown menu, the following screen will appear.
File Function Selection Rawdata Selection

Save Rawdata to MOD
Select RawData
Exam: Exam # Name Date Reserve Exam No: Series # Type Acqus Reserve Patient Position

Series No: Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Start Save

1.

Select any of raw data that you wish to save to MOD (Magnetic Optical Disk). You can also use [Whole Exam], [Whole Series] or [Individual Raw] button from the [Rawdata Selection] pulldown menu. After selecting the raw data, click on the [Start Save] button to start saving the raw data into the MOD.

2.

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Scan Top Level Screen Scanner Utilities 4 Raw Data Function
Restore/Delete from MOD
When you select [Restore/Delete from MOD] from the [Function Selection] pulldown menu, the following screen appears.
File Function Selection Rawdata Selection

Restore/Delete from MOD
Select RawData
Exam: Exam # Name Date Reserve Exam No: Series # Type Acqus Reserve Patient Position

Series No: Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Restore

Delete

1.

Select any of raw data that you wish to restore from MOD to the system disk, or that you wish to delete from MOD. You can also use [Whole Exam], [Whole Series] or [Individual Raw] button from the [Rawdata Selection] pulldown menu. After selecting the raw data, click on the [ Restore] or [Delete].

2.

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Scan Top Level Screen Scanner Utilities 5 Raw Data Function
Reserve/Release Rawdata
When you select [Reserve/Release] from the [Function Selection] pulldown menu, the following screen will appear.
File Function Selection Rawdata Selection

Reserve/Release Rawdata
Select RawData
Exam: Exam # Name Date Reserve Exam No: Series # Type Acqus Reserve Patient Position

Series No: Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Reserve

Release

1.

Select any of raw data that you wish to reserve or release. ( “Reserve” rawdata means to protect rawdata from being deleted. “Release” rawdata means to release the protection.) After selecting the rawdata, select [Reserve] or [Release].

2.

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Scan Top Level Screen Scanner Utilities 6 Raw Data Function
Initialize MOD
When you select [Initialize MOD] from the [Function Selection] pulldown menu, the following screen will appear.
Initialize MOD
Initialize MOD will take approximately 3–4 minutes. Press Yes to continue or No to quit.

Yes

No

1. 2.

Select [Yes] to start initializing the MOD. Select [No] to exit.

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Scan Top Level Screen Scanner Utilities 7 User Calibration
1. Select [User Calibration] to open the following screen.
Calibration Sequence
Air Calibration Air & Phantom Calibration 80

kV
120 140

Cancel

OK

2.

Select either [Air Calibration] or [Air & Phantom Calibration]. Also, select kV from 80, 120 or 140. Select [OK] to perform calibrations, or [Cancel] to cancel.

3.

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Chapter 3

DISPLAY TOP LEVEL SCREEN
The following screen will appear when you click on the [Display] icon on the upper left corner of the screen while in the either Scan or Image Works mode. Display

Image Area

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Display Top Level Screen Primary/Secondary Viewport
Focus Selection
“Focus” means which viewport is active for image display. There are two kinds of focus, which are primary and secondary focuses. Primary focus viewport has a blue border, whereas the secondary focus viewport has a yellow border. Every image analysis or manipulation function is available in primary focus. Image analysis or manipulation functions available in the secondary focus are as follows: Window W/L, Magnification, Pan/Zoom, Flip/Rotate, Display Normal, and Erase Graphics.

You can select the primary or secondary focus by clicking on the desired viewport as follows: D Double click To select primary focus viewport and deselect other viewports D Single click To select a new primary focus viewport and change the previous primary to secondary D Triple click To select a new primary focus viewport and change all the other viewports to secondary

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Display Top Level Screen Image Display Layout
Layouts
On the Display desktop, there is a choice between two layouts for viewing images. They are the Autoview Layouts and the Review Layouts. During scanning the Autoview Layouts will primarily be used.

Click on the left side of this button to select Autoview Layouts and on the right side for Review Layouts. Clicking here with Autoview Layouts leads to the screen format choice from three formats.

Autoview Layouts

Clicking here with Review Layouts leads to the screen format choice of five format for Full Screen or Viewport.
Review Layouts

Each layout is described on the following pages.

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Display Top Level Screen Autoview Layouts 1
1. Select Autoview Layouts at the Exam Rx Display menu to open the Autoview Layouts menu.

Autoview Layouts

Autoview Layouts menu
Scout Auto View Auto Link Auto Link Auto View Auto Film Auto View Auto Link

Back

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Display Top Level Screen Autoview Layouts 2
There are four different types of viewport for six other Autoview Layouts. D Autoview This viewport always displays in real time the most recently reconstructed image. Next/Prior buttons do not work here. D Auto Reference This viewport displays a Scout image with reference lines that show the locations of Autoview images. Front Scout and side Scout can be toggled by Next/Prior buttons. D Auto Film This viewport displays an image for auto filming and occupies the upper left quadrant. This can be done by selecting the folded corner at the top right of the viewport. To return the viewport to the cross reference display, select the folded corner again. D AL (Auto Link) While reconstruction is active, the lower right viewport will automatically display the first image of the series being currently reconstructed. The viewport will be annotated with AL to indicate that Auto Link is on. All display features and Next/Prior can be used with Auto Link. D Free This viewport can be used to display any image from other exam or series.

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Display Top Level Screen Review Layouts
Multiple Image Display (MID)
Review Layouts can be used during scanning, but you will be unable to view the current autoviewed image or autofilming. 1. 2. Display an image in primary focus viewport. Select Review Layouts at the Exam Rx Display menu to open the Review Layouts menu.
Review Layouts

Review Layouts menu [Full Screen Format] [Viewport Format]

3.

Select [Full Screen Format] to display the selected layout on the entire screen. Select [Viewport Format] to display the selected layout in primary focus viewport. Select one of the four formats.
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Display Top Level Screen List / Select 1
Selecting this function will give you a listing of the exams and other information about the exams on the system disk. 1. Select List / Select at the Exam Rx Display menu.

List / Select

2.

The following List/Select browser appears.

Note : The List/Select browser does not appear when the system disk contains no data.
A
Sort
Examinations : Exam
3145 3512

B

Exam #47, May 05 92, SMITH, JON Date
Jan 08 98 Dec 23 97

Name
J.Herman B.Fox

Description

Mod Fmt
CT CT

A

Ser
1

Type
PROSP

Imgs 18

Description Mod
CT

Series Img
1 2 3 4 5 6

2 examinations Img Ctr Thck/SP S–I (mm) (mm)
S 50.0 S 45.0 S 40.0 S 35.0 S 30.0 S 25.5 10.0/ 10.0/ 10.0/ 10.0/ 10.0/ 10.0/

one series Res
Lung Lung Lung Lung Lung Lung

Gntry (deg)
+0.0 +0.0 +0.0 +0.0 +0.0 +0.0

Img Ctr R–L
R5.0 R5.0 R5.0 R5.0 R5.0 R5.0

Img Ctr A–P
A0.0 A0.0 A0.0 A0.0 A0.0 A0.0

SFOV (cm)
50 50 50 50 50 50

Matrix
512 512 512 512 512 512

Midscn Archive
No No No No No No

Accept
60 images

Cancel
Number of images stored: 1101, Available disk space: 948 256x256 image(s), or 236 512x512 image(s).

C A: Examination List B: Series List C: Image List

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Display Top Level Screen List / Select 2
3. 4. Select exam, series and image to display. Click on the [Accept]. Once all images are loaded, the first image in the series will be displayed in a primary focus viewport (blue border). 5. Use [Next] or [Prior] key on the keyboard to go through images forward or backward.

Click on the [Cancel] to exit without selecting anything.

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Display Top Level Screen Routine Display 1
1. Select [Routine Display] at the Exam Rx menu.

Routine Display

2.

The following Routine Display menu will appear.
Routine Display
Roam Zoom ProView GSE Explicit Magnify Flip/ Rotate

Display Normal

List/ Select

Ellipse ROI

Measure Distance

Grid On/Off

Cross Reference

User Annotation

Exam Pg Series Pg

Hide Graphics

Erase

Screen Save

Back

3.

Click on [Back] to return to Exam Rx menu.

Function of each icon is described on the following pages.

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Display Top Level Screen Routine Display 2
Roam / Zoom
1. 2. Place the desired image in primary focus viewport. Select [Routine Display] at the Exam Rx menu to open the Routine Display menu. Select [Roam] or [Zoom] on the Routine Display menu. After selecting [Roam], place the mouse cursor over the image you wish to roam and hold down the right mouse button, then move the mouse to roam the image. When you release the mouse button, the image will be deposited on that point. Select [Display Normal] to return the image to its original position. After selecting [Zoom], place the mouse cursor over the image you wish to zoom and hold down the right mouse button, then move the mouse right (or up) to magnify or left (or down) to minify the image. When you release the mouse button, the image will retain the zoom and the magnification factor will be displayed at the bottom of the annotation on the upper right of the image. The valid magnification ranges are from 0.5 to 8 and from1.0 to 4.0 in a 1024 matrix viewport. . Select [Display Normal] to return the image to its original size.

3. 4.

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Display Top Level Screen Routine Display 3
Explicit Magnify
This function allows you to numerically set an image magnification factor. 1. Select [Routine Display] and click on [Explicit Magnify] on the Routine Display menu. The following Enter Magnification on Factor menu appears.
Enter Magnification Factor 0.5 1.0 1.5 2.0
Other:

2.

Valid magnification factors are between 0.5 and 8.0. Cancel

3.

Select one of the preset magnification factors or type in your own. The valid ranges are from 0.5 to 8.0 and from1.0 to 4.0 in a 1024 matrix viewport. This magnification will be applied to all viewports in focus.

4.

Select [Display Normal] to return the image to its original size.

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Display Top Level Screen Routine Display 4
Flip/Rotate
1. 2. 3. Place the desired image in primary focus and select [Routine Display]. Select [Flip/Rotate] on the Routine Display menu. The following Flip/Rotate menu appears.
FLIP/ROTATE FLIP: FLR ROTATE: RR RL Cancel FTB FTB/FLR

4.

Select one from FLR (Flip Left to Right), FTB (Flip Top to Bottom), FTB/FLR, RR (Rotate to Right) or RL (Rotate to Left). This selection will be applied to all viewports in focus.

5.

Select [Display Normal] to return the image to its original orientation.

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Display Top Level Screen Routine Display 5
ProView
This function allows you to select an edge enhancement or smoothing filter to be applied to images. 1. 2. 3. Images must be in primary focus. Select [ProView] on the Routine Display menu. The following Select Image Filter menu appears.
Select Image Filter Edge Smooth E1 S1 E2 S2 E3 S3 Lung Off

Cancel

4.

Click on any button of the selections.

The Edge enhancement filters are useful for filming bone windows. The Lung enhancement is designed specifically to film lung windows. E1 : Weak E2 : Moderate E3 : Intense Lung : Lung window

Note : When a filter is applied, images are annotated as E1, E2, E3 or Lung above the vertical tickmark scale on the right side of the image. The Smooth filters are used to film soft tissue windows or when you need to decrease the appearance of noise on images. S1 : Minimum S2 : Moderate S3 : Maximum Off : Without filter

Note : When a filter is applied, images are annotated as S1, S2 or S3 above the vertical tickmark scale on the right side of the image.

Note : These filters can also be selected on the Auto Film Tab card. Note : These filters can not be applied to Scout images.

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Display Top Level Screen Routine Display 6
GSE (Gray Scale Enhancement)
This function allows you to alter the slope and gamma curve. This is useful in head studies to improve the gray–white matter differentiation. 1. 2. 3. Images must be in primary focus. Select [GSE] on the Routine Display menu. The following Gray Scale menu appears.
Gray Scale

G1

G2

G3

Off

Cancel

4.

Click on any of the selections. G2 : Moderate G3 : Intense Off : No filter

G1 : Weak

Note : When a filter is applied, the image is annotated as G1, G2 or G3 just above the vertical tickmark scale on the right side of the image. Note : These filters can also be selected on the Auto Film Tab card. Note : These filters can not be applied to Scout images.

Display Normal
1. 2. Images must be in primary focus. Select [Display Normal] to return an image to its normal state if Roam/Zoom, Explicit Magnify, Flip/Rotate and ProView are used. It will also erase graphics for Elliptical ROI, Measure Distance, Grid, Cross Reference and User Annotations.

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Display Top Level Screen Routine Display 7
List / Select
1. 2. When you select [List/Select], the browser appears. You can then select an image to view in a viewport or viewports, depending on what is in focus. Simply select an Exam, Series and Image, then select [Accept].

Ellipse ROI
1. 2. 3. Images must be in primary focus. Select [Ellipse ROI] to perform a Region Of Interest measurements. The ellipse ROI cursor will be displayed in blue (active) on the image. To move the ROI cursor, place the mouse cursor in the center of the ellipse, then click and drag it with the left mouse button. The other way to move the ROI cursor is to place the mouse cursor on the number next to the ellipse or on the line, then click and drag it with the left mouse button. To change the size, click and drag the small box outside the ROI cursor. To rotate the ROI cursor, click and rotate the solid cursor on the line. Place the mouse cursor out of the ellipse, then, click the left mouse button once to calculate the ROI of the ellipse. The ellipse ROI cursor turns white (inactive) and is deposited there.

4.

Note : Once the ellipse ROI cursor turns white, it can not be modified, but you can turn it blue again by placing the mouse cursor inside the ROI cursor and click the left mouse button once. Then, you can change the size and location of the ROI cursor again. The figures of the Mean, Standard Deviation and Area are displayed at the bottom right of the image . The ROI measurements can be done many times, but the system will display only the last three results on the image. Select [Erase] to erase the ROI.

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Display Top Level Screen Routine Display 8
Measure Distance
1. 2. 3. 4. Images must be in primary focus. Select [Measure Distance]. A line with two small boxes at each end will appear in blue (active). To move the line, place the mouse cursor on the line and hold down the left mouse button, then drag the line to a new location. To change the length of the line, place the mouse cursor over the small box and hold down the left mouse button, then drag the box until you get a desired length. Place the mouse cursor out of the line, then, click the left mouse button once to calculate the length of the line. The line turns white (inactive) and is deposited there.

5.

Note : Once the line turns white, it can not be modified, but you can turn it blue again by placing the mouse cursor on the line and click the left mouse button once. Then, you can change the length and location of the line again. At the bottom right of the image area, a real time readout of the distance will be shown. The Distance measurement can be done many times, but the system will display only the last three results on the image. Select [Erase] to erase the line.

Grid
1. 2. 3. 4. Images must be in primary focus. Select [Grid On/Off]. The grid appears on the image. To move the grid, first click left on the center of the grid. It becomes active (blue), then drag it to the desired position. To deposit the grid, click outside the grid. To take the grid off, click on [Grid On/Off] again.

5.

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Display Top Level Screen Routine Display 9
Cross Reference
This function allows you to display the cross reference lines on a Scout image. 1. 2. Display a Scout image in primary focus. Select [Cross Reference]. The following Post Reference Lines menu appears.
Post Reference Lines
Series Number Image Numbers Increment

All

First/Last

OK

Cancel

3.

[Series Number] : Enter the desired series number. [Image Number] : Enter the desired image number. [All] : Select this for all images. [First/Last] : Select this to show only the first and last image line. [Increment] : Select this to show image lines with incremental interval. Select [OK] to display the image lines on the Scout or select [Cancel] to exit.

4.

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Display Top Level Screen Routine Display 10
User Annotation
1. 2. Images must be in primary focus. Select [User Annotation] to show the following active (blue) arrow cursor on the image.

3.

You can move both the box and arrow at once by placing the mouse cursor anywhere on the blue line, then click and hold down the left mouse button, then move it. You can move just the arrow or box by the same way except you would place the mouse cursor on just the area you wish to move instead of the blue line. Type in the necessary information, then click the left mouse button outside the box to conclude the type entry. Make sure when typing the annotation that the mouse cursor is inside the image area.

4.

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Display Top Level Screen Routine Display 11
Exam Pg / Series Pg
1. Select [Exam Pg] or [Series Pg] to open the exam page or series page of the exam in primary focus. The following is an example.

2.

Text Page Box
Pat. name: T. YOKOGAWA Pat. ID: Y8120 Age: 34 Sex: M Weight: 65 Kg Referred by: Radiologist: Operator: Exam Description: History: Contrast: Exam no: 81293 July 17 97

Ser 2 3

Images 18 26

Ref OM SN

Scan Range S 50 I65 I115 I350

Type PROSP PROSP

Series Description Recon2

Quit

Manual Film

Auto Film

Use 3.

buttons on the lower right to go through pages. Select [Manual Film] to put the page into Manual Film Composer or select [Auto Film] to put the page into Auto Film Composer. Select [Quit] to exit from the page.

4.

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Display Top Level Screen Routine Display 12
Hide/Show Graphics
1. Select [Hide Graphics] to temporarily hide any graphics, annotation or measurement. The [Hide Graphics] button works as a toggle. Once you have selected Hide, then the button changes to [Show Graphics], allowing you to show any graphics, annotation or measurement.

2.

Erase
The Erase function allows you to erase annotations, cursors and measurements. To erase, simply click on [Erase]. If you have multiple annotations or cursors on the image, the erase function will erase the active one (blue).

Screen Save
Screen Save will save everything that is on the image in primary focus. 1. 2. Images must be in primary focus. Select [Screen Save].

Note : Screen Saved image will be kept under series number 99.

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Display Top Level Screen Measurements 1
[Measurements] provides access to the more advanced image measurements

Measurements

Clicking on [Measurements] opens the following menu.

Box ROI

Ellipse ROI

Trace ROI

Measure Distance

Measure Angle

Grid On/Off

Hide Graphics

Erase

Screen Save

MIROI

Report Pixels

Back

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Display Top Level Screen Measurements 2
MIROI (Multiple Image ROI)
This function gives a graphical representation of CT number change over time. This is useful for multiple scans done at one location or for segmented reconstruction of a scan. 1. 2. Images must be in primary focus. Select [MIROI] from the Measurements menu. The following menu appears.
MIROI Analysis Image Range Scale for HU
Absolute

All
Relative Box ROI Trace ROI

Define Region Ellipse ROI

OK

Cancel

3.

The first selection on the menu is Image Range. The default is All. If you wish to select certain image range, first click on [All] to turn it off, then type in the number range. The next selection is Scale for HU (Hounsfield Units). The default is Relative, meaning the HU scale will display the first CT number as zero and display the difference in CT numbers from one scan to another. The Absolute scale will display the actual CT numbers and the difference from one scan to another. Define Region selection allows you to choose the Ellipse, Box or Trace ROI. Choose [OK] to continue or [Cancel] to cancel the function.

4.

5.

6.

Once you select [OK], the analysis will be automatically done with the resulting graph displayed. You can use [Screen Save] to save the plotted graph.

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Display Top Level Screen Measurements 3
Report Pixels
This function allows you to get individual pixel values readings from a certain small area. 1. 2. Select [Report Pixel] from the Measurements menu. An 11x11 pixel box will appear along with the Report Pixels menu. The size of the pixel box can not be changed but you can move the box to the desired location by clicking and dragging on the letters RP or on the box itself. Once you placed the box, select [OK].
Report Pixels Position Box and Select OK OK Cancel

3.

A graph like the following example will be displayed showing the pixel values within the box.
Report Pixels ID: 8120
I 84 I 85 I 86 I 87 I 88 I 89 I 90 I 91 I 92 I 93 I94 I 165 I 166 I 167 I 168 I 169 I 170 I 171 I 172 I 173 I 174 I 175 20 20 22 21 18 17 18 17 17 18 17 21 22 23 20 18 18 18 17 17 17 17 23 24 24 20 19 19 19 17 18 18 18 23 23 23 20 21 21 21 21 21 21 21 19 20 24 24 22 20 20 20 21 21 21 20 20 25 25 24 21 20 19 20 19 19 21 22 25 23 22 22 20 20 20 20 20 21 25 25 23 21 21 21 21 21 21 21 20 22 22 22 20 20 20 20 21 21 21 25 26 24 26 23 23 23 23 20 21 20 21 20 21 20 20 20 20 20 20 20 20

You can save this chart by [Screen Save].

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Display Top Level Screen Display Preference 1
Display Preference provides access to functions that affect how images will be displayed. 1. Select [Display Preference] from the Exam Rx menu.

Display Preference

2.

The following Display Preference menu appears.
Maintain User Annotation Not available) Auto Enlarge Not available) Next/Prior Each Viewport

Annotation Levels

Auto Minify Not available)

Inverse Video

Next/Prior Series Binding

Continuous Report Cursor

Back

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Display Top Level Screen Display Preference 2
Annotation Levels
This function allows you to change the annotation levels of the screen and film. 1. Select [Annotation Levels] from the Display Preference menu. The following menu appears.
Annotation Levels Screen No Annotation Partial Annotation Full Annotation Custom Annotation Film No Annotation Partial Annotation Full Annotation Custom Annotation

Customize Cancel

Customize

2.

You can change the annotation level by clicking on the diamond or the words for Screen and Film. The selected choice will be highlighted in blue. – No Annotation : Only window width and level – Partial Annotation : Exam number, image number, anatomic reference, table location, patient name, date of exam, RAS coordinate, and the measuring scale – Full Annotation : All image annotations (Default) – Custom Annotation : Customized annotation

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Display Top Level Screen Display Preference 3
3. Select [Customize] to review or edit the annotation levels of Advanced Annotation. The following menu appears.
Customize 1. Hospital Name 2. Patient Name 3. Patient ID 4. ESI Information 5. Scan Time 6. Scan Parameters 7. View Parameters 8. Top Marker 9. Bottom Marker 10. Left Marker 11. Right Marker W. Windowing G. Graphic Annotation OK Cancel

4.

Click on

to select the items of annotation.

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Display Top Level Screen Display Preference 4
Next/Prior Each Viewport
This function is used with a multiple image display. With this function on, when you select to look at the next or prior set of images, you will only get one new image each time you select next or prior. With this function off, selecting the next or prior image in the multiple image display will give you a new set of images. The default is off.

Next/Prior Series Binding
With this function on, you can go to the next or prior series within an exam if you reach the end of a series using the next or prior image functions. With this function off, when you reach the end of a series, selecting next image will return you to the first image of that series.

Continuous Report Cursor
This function allows you to see the RAS coordinates when you place the mouse cursor on an image. When the function is on, place the mouse cursor on the area of interest. The coordinate readout will be displayed at the bottom of the image annotation, on the upper left of the viewport. You will notice a V, denoting the CT number of the one pixel located directly under the cursor. This information does not show up when filmed.

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Display Top Level Screen Manual Film Composer
Refer to the later chapter for the detailed function description. 1. Select [Manual Film Composer] from the Exam Rx Display menu.

[Manual Film Composer]

2.

The following Film Composer will appear.
Film Composer
Formats

Laser Camera

Options

Current status is :
Clear Print

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Display Top Level Screen Auto Film Composer
Refer to the later chapter for the detailed function description. 1. Select [Auto Film Composer]

[Auto Film Composer]

2.

The following Auto Film Composer will appear.
Auto Film

Clear Print

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Display Top Level Screen Accelerator Bar 1
There is an Accelerator Bar at the bottom of the Exam Rx menu.

Accelerator Bar

You can type in here various commands to invoke various functions.
Command
filter gray scale enhance exam image next exam next series previous exam

Abbreviation
fi gse e i ne ns pe an ap af

Contents
e1, e2, e3, s1, s2, s3, lung, off g1, g2, g3, off e<exam#> i<image#>

screen annotation none screen annotation partial screen annotation full

screen annot- ac ation custom annotation agp groups
auto fit afit flr ftb flip left right

on(off) x x x

flip top bottom

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Display Top Level Screen Accelerator Bar 2
Command Abbreviation
rotate left rotate right normal scroll rl rr no sc wl ww siw zo iv ang xr xra noxr tm tmv tmh grid ua eg eag hg sg prs te ts tpr on, off on, off on, off on, off <x1><y1><x2><y2><x3><y3> [s]<series#> <factor>

Contents

<x pixel> <y pixel>

window level window width set initial windowing
zoom inverse angle cross ref

cross ref append
cross ref off tick marks

tick mark vertical tick mark horizontal
grid user annot erase graphic

hide graphics show graphics print series

erase all graphics

text page exam text page series text page roi

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Display Top Level Screen Accelerator Bar 3
Command Abbreviation
mouse mode scroll mouse mode zoom user test page series binding r image matte e image matte screen save blank viewport report pixel Reference Scout mmr mmz utp sb rmatte ematte scnsave blank rp ri_X Show Scout image of series X on reference image on, off

Contents

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Chapter 4

SCAN
Patient Positioning 1
The scan procedure starts with patient positioning. Image quality depends on proper patient positioning. Poor patient positioning may result in artifacts and inaccurate CT value.

WARNING!
Avoid patient injury ! Use the security straps provided with the system to immobilize the patient. The security straps secure the patient to the table and prevent the patient from falling to the floor. Never leave a patient unattended while the patient is in the scan room. A violent patient may break the straps or become unsecured. Be extremely careful with patient IV or oxygen lines, patient’s hands and feet and loose clothing to avoid patient injury during table travel. The cradle has a maximum distribution load capacity of 450 pounds (205 Kg). Exceeding this load limit could affect some mechanical performance.

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Scan Patient Positioning 2
1. In order to safely lay a patient on the cradle, make sure first that the cradle is locked. (Refer to Chapter 1 for the function of Gantry Display Panel.)
Gantry Display Panel
Distance from iso–center Positioning light Interference On/Off Release cradle lock

SI

SI
Tilt angle/range X–ray On

Distance from Landmark (mm)

2.

Press a Positioning Light button on the Gantry Control Panel to light a laser marker Panel.) . (Refer to Chapter 1 for the function of Gantry Control

WARNING!
The laser beam used for patient positioning can cause eye injuries. Be sure to instruct a patient never to stare into the beam. 3. Match the laser marker to an anatomical landmark of the patient by using control buttons on the Gantry Control Panel.
External laser
190 mm

Internal laser

Tomographic plane

Patient positioning ends when the table location figure is displayed on the display panel.

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Scan Patient Positioning 3
Main landmarks for CT examination
The following landmarks are usually used in CT examinations.

OM EM

GB SN

XY

CM

UB SP

IC

GB : Glabella OM : Orbital Meatal line EM : External Auditory Meatus SN : Sternal Notch XY : Xyphoid CM : Costal Margin UB : Umbilicus IC : Iliac Crest SP : Symphysis Pubis

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Scan New Patient 1
Select [New Patient] to initiate a new examination.

New Patient

1.

Select [New Patient] to open the following Patient Information/Protocol Selection screen.
Patient Information
Exam Number Accession Number Patient ID Patient Name Birthdate Age Weight Referring Physician
Radiologist
Kilograms Pounds

Protocol Selection

Sex

Operator History Exam Description Protocol Number

End Exam

2.

Enter the patient demographic data.

Note : As a minimum, the patient ID must be entered. – Exam Number : Within 12 characters – Accession Number : Within 16 characters – Patient ID : Within 16 characters – Patient Name : Within 64 characters

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Scan New Patient 2
– Sex : M (Male) or F (Female) – Birthdate : Year, Month, Day – Age : Years, Months, Weeks, Days – Weight : Kgs or Pounds – Referring Physician : Within 32 characters – Radiologist : Within 32 characters – Operator : Within 3 characters – History : Within 60 characters – Exam Description : Within 22 characters – Protocol Number : Within 5 characters Note : Patient Name and Exam Description will be posted in Image Works Browser. 3. Each of the ten anatomic regions contains 15 protocols. To select the default protocol for the region, point and click on the protocol next to the number. To view and select one of the 15 protocols for the region, point and click on the region itself on the full body icon. When scanning a pediatric patient, the Pediatric Anatomical Selector is initiated by touching the pediatric icon. This will minify the Adult Anatomical Selector.

4.

Upon the selection of the protocol, the system automatically proceeds to the Scout prescription screen on the next page.

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Scan Scout Scan 1
Scout Prescription Screen
When you finish entering the necessary data on the New Patient screen, the following screen will open for Scout scan prescription.
Name : Protocol : ID : Exam: Series:

Anatomical Reference

Image Area

Series Description

Auto Store Auto Transfer

Add Scout

Delete Selected Scout Start Loc. End Loc. Scout Plane Auto Voice No.

Scout Num 1 2

Scan Type Scout Scout

kV

mA

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Confirm

Note : Make sure the patient’s position in the protocol you have selected matches that on the CT table. Compare your patient’s position with the on–screen picture in the upper left corner of the screen. Changes to the patient’s position in the protocol can be made by Arrow icons on the picture. In order to reverse the position of Head–first or Feet–first, point and click on the icon. In order to change the position of Decubitus left/right or or icon. Supine/Prone, point and click on the Before entering or modifying any starting or ending locations for a Scout view, the system will determine if an anatomic reference point has been established. If it has not, the starting and ending location parameters will be highlighted in red. To proceed, you must establish an anatomic reference point by using the internal or external landmark buttons on the gantry control.

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Scan Scout Scan 2
Image Area : Images will be displayed here. This image area can be enlarged to full screen by clicking on the small square icon located in the upper right corner.

Icons on Scout prescription screen
Add Scout
Add Scout

Select this to add the same Scout as the last one.

Delete Selected Scout
Delete Selected Scout

Select this to delete the selected Scout series.

End Exam
End Exam

Select this to end the current exam.

Select New Protocol
Select New Protocol

Select this to return to the Protocol Selection screen and choose a new protocol for a different region. Next Series
Next Series

Select this to choose a next series in the protocol.

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Scan Scout Scan 3
Create New Series
Create New Series

Select this to create a new series.

Repeat Series
Repeat Series

Select this to repeat the current series.

One More
One More

Select this to repeat the current Scout series.

Confirm

Confirm

Select this to accept the prescription and proceed to X–ray radiation. This icon will change to the following [Pause] icon during the scan. Pause

Pause

Select this icon to temporarily halt the scan. This icon will change to the [Resume] icon shown below during the pause. Resume

Resume

Select this icon to resume the scan.
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Scan Scout Scan 4
1. Enter or modify each parameter for a Scout scan. – [Scan Type] : Select Scout. – [Start Loc.] : Scan start location – [End Loc.] : Scan end location Note : Scout locations must be preceded with S (superior) or I (inferior). “Superior” means the direction towards patient’s head from the zero mm location, namely reference point. “Inferior” means the direction towards patient’s feet from the zero mm location. Scout scans are performed from the superior to the inferior regardless of the patient position. Note : The valid Scout range is between 50mm and 1000mm. – [kV] : 80,120,140 kV Default 120 kV – [mA] : 60–200 mA (at 80 kV), 10–200 mA (at 120 kV), 10–160 mA (at 140 kV) – [Scout Plane] : azimuth: 5–degree increment (However, to be able to graphically prescribe axial or helical scan locations, the Scout planes must be zero, 90, 180 or 270 degrees only.) Note : If the data field is highlighted in orange, it means the original data has been modified. Also, if the data field is highlighted in red, it means the system can not accept that entry. 2. After entering or modifying parameters, select [Confirm] to initiate a Scout scan. The following Scan Progress screen appears.
Scan Progress
Exam:128 Series:1 Number Type kV mA Plane Start End

0
S65.0 I120.0

10
Seconds

001

Scout 120 80

0

S65.0

I120.0

Biopsy Rx Scanning Delay Timer Patient Handling

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon Pause

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Scan Scout Scan 5
3. Press [Move to Scan] button on the key board when it flashes.
Scan Related Buttons on the Keyboard

Move to Scan

Stop Move

Start Scan

Pause

X–ray on

Stop Scan

4.

Press [Start Scan] button when it is lit. The system automatically starts the prescribed Scout scan.

Note : A scan will be automatically aborted unless you press [Start Scan] within 30 seconds after it is lit. 5. After finishing the first Scout scan, you may select [Repeat Series] button on the Scan Progress screen to repeat the same Scout series. If there is an axial series in the protocol you used, you can proceed to Axial/Helical View/Edit screen by clicking on [Next Series] button on the Scan Progress screen. If you need to return to the Scout prescription screen, select the following [Return to Rx] icon.

6.

7.

CAUTION
Measurements of Distance and/or Angle on the Scout image do not necessarily yield accurate data. Do not use those data to avoid misdiagnosis.

End of Scout scan
If you wish to end the exam after the Scout scan, select [End Exam] on the Scan Progress screen.

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Scan Auto Store
Function : Auto Store enables you to automatically store images to the media just after reconstruction. First make sure that an archive medium is placed in the MOD drive.

MOD Drive

1.

Click on [Auto Store] on the Axial View/Edit screen.
Name : Protocol : ID : Exam: Series:

Anatomical Reference

Series Description

Auto Store

Auto Store Auto Transfer Auto Film Setup

Show Localizer Recon Area

2.

When Auto Store is on, all series will be automatically stored into the MOD after completion of reconstruction.

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Scan Auto Transfer
Function : Auto Transfer enables you to automatically transfer reconstructed images to another view station. 1. Click on [Auto Transfer] on the Axial View/Edit screen to open the Auto Transfer Remote Host Selection menu.
Auto Transfer Remote Host Selection
Host 1 Host 2 Host 3 Host 4 CT 2 CT 3 AW 1 AW 2 MR 1 MR 2
Exam Exam Exam Exam Image Image Image Image

OK

Cancel
Prior

Next

2.

After clicking on [Host x], select host(s) from the list to which you wish to transfer the data. You can select up to four hosts (Host1 Host4). After selecting host(s), choose either [Exam] or [Image] as the unit of transfer data. Then, select [OK] to close the menu. In case of [Exam] selection, the system automatically starts to transfer data immediately after selecting [End Exam], whereas in case of [Image] the system automatically starts to transfer data immediately after completion of reconstruction.

3.

4.

Note : This function can be applied to only Scout and prospective images. Other types of images, such as 3D, retrospective, or screen–saved, should be manually transmitted.

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Scan Axial/Helical Scan Prescription 1
Axial/Helical Prescription (View/Edit) Screen
After Scout scan, you may proceed to the following Axial/Helical Prescription screen to perform axial, helical or cine scans.
Name : Protocol : ID : Exam: Series:

Anatomical Reference

Image Area
Series Description

Auto Store Auto Transfer

Auto mA OFF Auto Film Setup

Show Localizer Recon Area SmartRecon OFF

Prior Next

Add Group

Split Current Group

Delete Selected Group

Scan

Timing

Recon

Film

Images Scan Type

Start Loc.

End No. of Loc. Images

Thick (mm)

Image Int’val

Pitch

Gantry Tilt

SFOV

kV

mA

CTDIw (mGy)

Optimize Rx Preview

Biopsy Rx Smart Prep

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Priority Recon

Confirm

Image Area : Images will be displayed here. This image area can be enlarged to full screen by clicking on the small square icon located in the upper right corner. Prior/Next : Prior or Next key appears on the screen only when more than three groups are prescribed.

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Scan Axial/Helical Scan Prescription 2
Continuous Scan Modes
This HiSpeed system provides continuous multiple 360–degree scan modes called Helical or Cine. Helical Scan : Continuous multiple 360–degree data acquisition is achieved with continuous table travel. Images taken with this mode are annotated as HE (helical). Cine Scan : Continuous multiple 360–degree data acquisition is achieved without table travel. Images taken with this mode are annotated as CI (cine).

Clinical Benefits of Helical/Cine Scans
D Scan speed Since there is no interscan delay between each slice acquisition, scan speed is much faster than conventional axial scans. Faster scan also helps reduce the total amount of contrast agent. D No misregistration of anatomy Since one scan sequence is performed during patient’s breath hold, it contributes to very little misregistration of anatomy.

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Scan Axial/Helical Scan Prescription 3
Prescribe Scan Parameters
1. Enter the parameters or modify them in the protocol if necessary. The following screen appears as default or when you click on the [Scan] icon. The screen changes when you click on the [Timing], [Recon] or [Film] icon to each own parameters one.
Add Group Split Current Group Delete Selected Group

Scan

Timing

Recon

Film

Images Scan Type

Start Loc.

End Loc.

No. of Images

Thick (mm)

Image Int’val

Pitch

Gantry Tilt

SFOV

kV

mA

CTDIw (mGy)

Optimize Rx Preview

Biopsy Rx Smart Prep

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Priority Recon

Confirm

D When you wish to use the common parameters for all scan groups as to Scan Type, Thick, Image Int’val, Pitch, Gantry Tilt, SFOV, kV or mA, click on each column head and then select the alternative. D When you wish to select parameters separately for each group, click on each data field. D Each parameter is described on the following page.

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Scan Axial/Helical Scan Prescription 4
– Scan Type : Click here to open the following menu.
Select the desired Scan Type Scan Type Rotation Time Rotation Length Axial 1.0 Segment OK Scan Type Helical 1.5 Full Cancel Cine 2.0 3.0

Scan Type: Axial, Helical, Cine Rotation Time (second): Time needed for 360–degree rotation ( “3.0” not available for Helical) Rotation Length: Amount of data for one scan – [Start Loc.] : Scan start location preceded with S (Superior) or I (Inferior). 0.1 increment with Helical – [End Loc] : Scan end location preceded with S (Superior) or I (Inferior). 0.1 increment with Helical – [No. of Images] : The number of images will be automatically calculated in the end of data entry. – [Thick (mm)] : Slice thickness: 1, 2, 3, 5, 7, 10 mm – [Image Int’val] : Image interval – [Pitch] : The ratio between the slice thickness and the distance a cradle travels during one rotation time in Helical scan ( 0.1 increment) – [Gantry Tilt] :  30 degrees (by 0.5 degrees) – [SFOV] : Scan Field of View: Ped–Head (18cm), Head (25cm), Small (25cm), Medium (35cm), Large (50cm), Shoulder–L (50cm) – [kV] : 80, 120, 140 kV – [mA] : 60–250 mA (at 80 kV), 10–250 mA (at 120 kV), 10–250 mA (at 140 kV), 5 mA increment – [CTDIw] : Dose index for each group will be automatically calculated and shown.

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Scan Axial/Helical Scan Prescription 5
2. Click on the [Timing] icon to open the following time parameters menu.
Scan
Prep Group (sec)

Timing
Breathe Time (sec) Auto Voice No.

Recon

Film

ISD
(sec)

Breath Hold (sec)

Click on each parameter item and select or type in the value. – [Prep Group (Delay)] : Delay time between pressing [Start Scan] button and the start of X–ray radiation (0–360 seconds) – [ISD] : Inter–scan delay (1–300 seconds) – [Breath Hold] : Duration in which a patient is required to hold breath – [Breathe Time] : Patient breathing time (5–60 seconds) – [Auto Voice No.] : Auto Voice setting number

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Scan Axial/Helical Scan Prescription 6
3. Click on the [Recon] icon to open the following reconstruction parameters menu.
Scan Timing Recon Film

DFOV (cm)

R/L Center (mm)

A/P Center (mm)

Recon Type

Image Filter

Matrix Size

Motion Correct

Special Filter

Show Recon1 Y

Show Recon2 N

Show Recon3 N

Click on each parameter item and select or type in the value. – [DFOV] : Display Field of View: 48–500 mm (by 1 mm) – [R/L Center] : Reconstruction center in the right or left direction preceded with R (Right) or L (Left) – [A/P Center] : Reconstruction center in the anterior or posterior direction preceded with A (Anterior) or P (Posterior) – [Recon Type] : SOFT, STND, STD+, DETL, CHST, BONE, EDGE or PFRM – [Image Filters] : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21, E22, E23, E3), Lung (L1, L2, L3) Note : These filters are not available when CHST is selected at [Recon Type]. – [Matrix Size] : 256 x 256, 512 512

– [Motion Correct] : Motion correction Note : Motion Correct does not apply to the following cases. Helical/Cine scans and Segment Rotation Length

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Scan Axial/Helical Scan Prescription 7
– [Special Filter] : ANR (Advanced Noise Reduction) (1 or 2) AAR (Advanced Artifact Reduction) (1 or 2) ANR filter allows you to reduce noise without compromising spatial resolution. It contributes to a decrease in standard deviation by approximately 10%, which may be equivalent to one–step decrease in mA. Note : ANR is compatible only with SOFT, STND, and STD+. AAR filter allows you to reduce artifacts shown around arms. When you click on the [Special Filter] button or the each Special Filter field, the following menu appears.
Select the desired Special Image Filter.

None

ANR 1

ANR 2

AAR 1

AAR 2

Cancel

[ANR 2] has a stronger effect than [ANR 1]. Also, [AAR 2] has a stronger effect than [AAR 1]. Select either of them or select [None] not to use this filter. – [Show Recon 1, 2, 3] : These buttons are used for prospective multiple reconstruction.

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Scan Axial/Helical Scan Prescription 8
4. Click on the [Film] icon to open the following menu for auto filming. You may skip this procedure if you do not use autofilm.
Scan Timing Recon Film

Auto Film

Frame Format

Interval

Flip

Width 1

Level 1

Mag Factor

Rotate

User Anno.

GSE

Recon 1 Film Set 1

Recon 1 Film Set 2

Recon 2 Film Set 1

Recon 2 Film Set 2

Recon 3 Film Set 1

Recon 3 Film Set 2

Click on each button to enter or select data. – [Auto Film] : Toggle between autofilm On and Off. – [Frame Format] : Four formats – [Interval] : 1–5 sheets – [Flip] : FTB (Flip to Bottom), FTB/FLR (Flip to Bottom/Flip to Left Right), FLR (Flip Left Right) – [Width 1] : First choice of window width (1–4,096) – [Level 1] : First choice of window level (–1,024 to 3,072) – [Mag Factor] : 0.5–2.0 times – [Rotate] : Left 90 degrees, right 90 degrees, 180 degrees – [User Anno] : User annotation – [GSE] : Gray Scale Enhancement (G1, G2, G3, Off)

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Scan Axial/Helical Scan Prescription 9 Prospective Multiple Reconstruction
Function : This enables you to prospectively prescribe up to two additional reconstruction sets for each scan group within one series. Make sure that the [Recon] tab card is selected on the right side of View/Edit screen to prescribe Prospective Multiple Reconstruction. If the card is not selected, click on the axial image icon.
Scan
R/L Center (mm)

Timing
A/P Center (mm)

Recon

Film

Recon Y/N N N

DFOV (cm)

Recon Type

Image Filter

Matrix Size

Motion Correct

Special Filter

Show Recon1 Y

Show Recon2 N

Show Recon3 N

There are three buttons at the bottom of the Recon menu. They are [Show Recon 1], [Show Recon 2] and [Show Recon 3]. [Show Recon1 Y] is highlighted in blue and contains recon parameters prescribed beforehand. 1. 2. Select [Show Recon2 N] to prescribe the second recon set. Once [Show Recon2 N ] is selected, there appears [Recon Y/N] column at the left end of the Recon menu. These parameters are default from Recon1. You may change some or all of those parameters. The altered parameters will become those of Recon2. Lastly, toggle N (No) to Y (Yes) to allow the group to be reconstructed with those parameters. [Show Recon2 N] will be changed to [Show Recon2 Y] and highlighted in blue. – [DFOV] : Display Field of View: 48–500 mm (by 1 mm) – [R/L Center] : Reconstruction center in the right or left direction preceded with R (Right) or L (Left) – [A/P Center] : Reconstruction center in the anterior or posterior direction preceded with A (Anterior) or P (Posterior)
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Scan Axial/Helical Scan Prescription 10 Prospective Multiple Reconstruction
– [Recon Type] : SOFT, STND, STD+, DETL, CHEST, BONE, EDGE or PERM – [Image Filters] : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21, E22, E23, E3), Lung (L1, L2, L3) – [Matrix Size] : 256 x 256, 512 512

– [Motion Correct] : Motion correction – [Special Filter] : ANR (Advanced Noise Reduction) (1 or 2) AAR (Advanced Artifact Reduction) (1 or 2) ANR filter allows you to reduce noise without compromising spatial resolution. It contributes to a decrease in standard deviation by approximately 10%, which may be equivalent to one–step decrease in mA. Note : ANR is compatible only with SOFT, STND, and STD+. AAR filter allows you to reduce artifacts shown around arms. When you click on the [Special Filter] button or the each Special Filter field, the following menu appears.
Select the desired Special Image Filter.

None

ANR 1

ANR 2

AAR 1

AAR 2

Cancel

[ANR 2] has a stronger effect than [ANR 1]. Also, [AAR 2] has a stronger effect than [AAR 1]. Select either of them or select [None] not to use this filter. When you need to return to the parameters of Recon 1 , simply select [Show Recon 1]. 3. If you need to perform the third reconstruction, select [Show Recon 3], then take the same steps as Recon 2. Select [Confirm] to initiate a scan.

4.

Note : During the scan, only the set of Recon 1 will be reconstructed. In order to activate Recon 2 or 3, select any of the following buttons. [End Exam], [Create New Series], [Next Series], [Select New Protocol], or [Repeat Series]

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Scan Axial/Helical Scan Prescription 11
Icons of the Axial/Helical Scan Prescription screen (1)
Autofilm Setup
Autofilm Setup

Select this icon to open the following menu for autofilming.
Autofilm Setup
Destination
Laser Camera Format Size
Normal

Auto Start Auto Print Yes Yes

Slide

Copies

Exam Page Series Page Yes Scout Yes XRef–Scout

1

Film Direction Top to Bottom Auto Film Composer Show Grayscale

e/s/i

Yes

OK

Cancel

Please refer to the later chapter of Filming for detailed descriptions.

Show Localizer
Show Localizer

Click this icon to display the Scout image with graphical lines that show the scan locations prescribed beforehand. You can graphically modify the start/end location, interval, image number, or DFOV. Those changes will be reflected on the scan prescription screen in orange color. Please refer to the later pages for detailed descriptions.

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Scan Axial/Helical Scan Prescription 12
Recon Area
Recon Area

Select this icon to display a circle cursor over the image, then change the size and location of the cursor to designate the recon area instead of typing in DFOV, R/L Center and A/P Center at the Axial/Prescription screen.

Add Group
Add Group

First select a certain scan group, then click on this icon to add that group just after the current group.

Split Current Group
Split Current Group

Select this icon to split the selected scan group. 1. 2. First select the desired scan group you wish to split. Then, click on the above icon to open the following menu.
Split Group Enter location or image number

OK

Cancel

3.

Enter the location or image number at which you wish to split the group. Then, select [OK].

Note : If you enter an invalid number, the warning message will appear. “Image number is outside of group image range.”

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Scan Axial/Helical Scan Prescription 13
Delete Selected Group
Delete Selected Group

First, select a scan group that you wish to delete, then click on this icon.

Biopsy Rx
Biopsy Rx

Select this icon to prescribe Biopsy Rx. Please refer to the later pages for the function description of Biopsy Rx.

Smart Prep
Smart Prep

Select this to prescribe Smart Prep. Refer to the later pages for the function description of Smart Prep.

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Scan Axial/Helical Scan Prescription 14
Optimize Rx
Optimize Rx

When the system decides that some change in scan techniques is needed to complete the entire scan, this icon lights up in red. At this point you may enter the following Technique Optimize screen by clicking on it.
Technique Optimize screen example Tube cooling is needed at image ; 26 Optimize Method : Group by Group Image Upfront Delay (sec) mA 240 Group Delay (sec) 1–45 46–65

Tube cooling is needed at image : At the top of the screen the message appears that informs you at which image the tube cooling will be needed with the current scan techniques. In the above example it is 26. Optimize Method : Optimize Method tells you how the change in technique will occur. In the above example it says “Group by Group” meaning the technique must be changed by scan group. Also, in the above example, since the image 26 belongs to the first group, all the images in the first group from 1 to 45 are equally subject to changes in technique. The system will calculate and display up to three factors for the scans to be able to continue. Those three factors are; – Upfront Delay (sec) : Pre–scan delay – mA : Tube current used for that scan group – Group Delay (sec) : Delay time between scan groups Rectifying any one of those three factors will display a message “Tube cooling is No Longer Needed” enabling the system to continue scans. Notice: When the system estimates the cooling time to be more than 600 seconds, it shows “––” in the [Upfront Delay] box. Finally select [Optimize in Progress] highlighted in blue to exit.

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Scan Axial/Helical Scan Prescription 15
Preview
Preview

This function enables you to graphically view prior to the scan the interaction between scan process and the combination of Breath Hold and Breathe Time. When you click on this icon after axial scan prescriptions, the following screen will appear.
Preview Screen
Prior Next Start End Images Type kV mA Time Thk Tilt

0
S80.0

10
S30.0

20

30

40
Seconds

001–010 Helical 120 250 10.0 011–022 Helical 120 250 12.0

5

S0.0

S80.0 S30.0 S10.0 I50.0

5

S0.0

S10.0 I50.0 I60.0 I85.0

023–027 Helical 120 250

5.0

5

S0.0

I60.0

I85.0

Biopsy Rx

Step

Scroll

If the prescribed scan sequence is too long for a displayed time scale, use Step or Scroll button to view the entire sequence for the corresponding time scale. (Step/Scroll buttons appear on the screen only when too long scan sequence is prescribed.) When more than three groups are prescribed, use Prior or Next key to go thorugh the pages. (Prior or Next key appears only when more than three groups are prescribed.)

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Scan Axial/Helical Scan Prescription 16
Icons of the Axial/Helical Scan Prescription screen (2)
End Exam
End Exam

Select this icon to end the current exam.

Select New Protocol
Select New Protocol

Click on this icon to select another protocol.

Next Series
Next Series

Click on this icon to select another series within the protocol. Please refer to the later page for the function description.

Create New Series
Create New Series

Select this to open the following menu and create a new series that does not exist in a protocol.
Select New Series Type Scout Axial

ATTENTION: This will remove all unscanned groups.

OK

Cancel

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Scan Axial/Helical Scan Prescription 17
Repeat Series
Repeat Series

Select this icon to repeat the current series. Please refer to the later page for the function description.

Priority Recon
Priority Recon

Select this icon to give the priority to a certain image to be reconstructed earlier than other images. Refer to the later page for the details.

One More
One More

Select this to repeat the last one scan. Please refer to the later page for the function description.

Confirm

Confirm

Select this icon to proceed to X–ray radiation after confirming all scan prescriptions. This icon will change to the following [Pause] icon during the scan.

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Scan Axial/Helical Scan Prescription 18
Pause

Pause

Select this icon to temporarily halt the scan. Scans pause after completing the current one scan. This icon will change to the [Resume] icon shown below. (Note : It is best to use the Stop Scan button on the key board to stop the scan immediately. The use of the Pause icon may not stop the scan immediately due to the signal transmission timelag.)

Resume

Resume

Select this icon to resume the scan.

Intravenous contrast icon

IV

Select this icon when you use intravenous contrast agent.

Gastrointestinal contrast icon

GI

Select this icon when you use gastrointestinal contrast agent.

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Scan Axial/Helical Scan Prescription 19 Show Localizer
Function : Show Localizer allows you to graphically show the prescribed scan lines on the Scout image. 1. Click on [Show Localizer] located on the upper left corner of the View/Edit screen.
Name : Protocol : ID : Exam: Series:

View/Edit screen

Anatomical Reference

Series Description

Show Localizer
Show Localizer Recon Area SmartRecon OFF

Auto Store Auto Transfer

AutomA OFF Auto Film Setup

2.

The Scout image appears with lines that show prescribed scan locations.

3.

In order to adjust the slice location, click and hold on the “X” mark in blue, then drag the entire group horizontally to the desired location. In order to adjust the DFOV center, click and hold on the “X” mark in blue with the Shift key pressed down, then drag the entire group vertically to the desired location.

4.

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Scan Axial/Helical Scan Prescription 20 Show Localizer
5. In order to adjust the location of only one group, first doubleclick on the group to select, then do the above operation. (When you select a certain group by doubleclicking on it, it turns blue.)

6.

In order to add or delete a slice at the top of the group, click and hold on the small blue solid square and move the mouse to the desired direction. If you wish to add or delete a slice at the bottom of the group, click and hold on the small blue hollow square and move the mouse to the desired direction. In order to adjust the size of DFOV, click and hold on the small diamond, then extend it or contract it. In order to adjust the gantry tilt, click and hold on the small circle, then tilt it to the desired angle. Note : Blue lines on the axial images show the mechanical center (the pair of two slices) of the detector, not the slice. Note : When the gantry tilt is applied on the Localizer, the last image in each scan group will be automatically removed. This is because with the matrix type detector tilting the gantry increases slice intervals which cause the slice overlaps between groups as the system keeps the original start locations for each scan group. To avoid the slice overlaps the system automatically removes the slice(s) depending on the scan mode and the tilt angle.

7. 8.

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Scan Axial/Helical Scan Prescription 21 Auto mA
Function : The Auto mA feature enables the system to reduce mA and patient dose with negligible effect on image quality. The system varies mA according to patient shape and a predetermined algorithm for scan location. Principle : The Auto mA feature requires one Scout scan, either AP or LAT in the diagram below, to obtain necessary information on X–ray attenuation.
0-degree Scout (AP) Tube

Patient

90-degree Scout (LAT) Tube

The system automatically increases mA at the scan locations where X–ray attenuation is relatively high and decreases mA at the scan locations where X–ray attenuation is relatively low. In the example below, the mA is set low at the start scan location (lung area), then the mA will increase at the location of liver area, then it will decline at the location of abdomen area.
Start End

mA

0

Start

End

Scan location

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Scan Axial/Helical Scan Prescription 22 Auto mA
Prescribe Auto mA
One Scout data is necessary to prescribe the Auto mA. (Note : When more than one Scout scan is available like AP and LAT, the Auto mA feature uses the last Scout scan as the necessary data.) 1. Click on the [AutomA OFF] located on the upper left corner of the View/Edit screen. (Default setting is “OFF“.)
View/Edit screen
Name : Protocol : ID : Exam: Series:

Anatomical Reference

AutomA OFF

Series Description

Auto Store Auto Transfer

AutomA OFF Auto Film Setup

Show Localizer Recon Area SmartRecon OFF

2.

The following [Select AutomA Mode] menu appears.
Select AutomA Mode
Off IQ Normal LowDose MaxmA Cancel

Select one of the four modes, IQ, Normal, LowDose or MaxmA. The menu disappears upon the selection. – [IQ] : Select this mode when high image quality is needed. The possible highest mA of this mode is the highest among IQ, Normal and LowDose modes. [AutomA OFF] will change to [AutomA IQ]. – [Normal] : This mode is most commonly recommended. [AutomA OFF] will change to [AutomA Normal].

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Scan Axial/Helical Scan Prescription 23 Auto mA
– [LowDose] : Select this mode when the lowest patient dose is required. The possible highest mA of this mode is the lowest among IQ, Normal and LowDose modes. [AutomA OFF] will change to [AutomA LOWDOSE]. – [MaxmA] : Select this mode to define your own desired maximum mA other than IQ, Normal or LowDose mode. – [Off] : Select this when you wish to end any of AutomA modes after using it. – [Cancel] : Select this to cancel the AutomA mode. Automatic mA Range Selection In case of [IQ], [Normal] or [LowDose] mode: The system calculates proper Auto mA values and draws a chart like the below one (The chart is not displayed on the screen.). Based on this chart, the system automatically applies either one of the two mA ranges (10–190 mA / 100–maximum mA ) to each scan group.
mA 200

Auto mA Calculation (example)

100

10

scan location

The two ranges do not alternate with each other within a single scan group. In some cases this causes the system–calculated mA to be clipped(cut) for a certain slice. The following are examples. Example 1 : With the [10–190mA] range selected, even if 210mA is calculated for a certain slice, only 190mA will be applied to the slice. In other words, mA values more than 190mA are clipped. Example 2 : With the [100–max.mA] range selected, even if 80mA is calculated for a certain slice, 100mA will be applied to the slice. In other words, mA values less than 100mA are clipped.

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Scan Axial/Helical Scan Prescription 24 Auto mA
Auto mA Clipping The CT operator can intentionally set the upper limit of mA in the modes of IQ, Normal and LowDose. This feature is useful for tube cooling wait. Enter the desired mA value into the [mA] field. The following charts show the example of Clipping by Operator at 200mA.
300 250 200

Without Clipping (example)

mA

150 100 50 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Slice
300 250 200

Clipping by Operator @200mA (example)

mA

150 100 50 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Slice

Automatic Max mA Range Selection In case of [MaxmA] mode: Based on the mA value prescribed at [MaxmA] mode, the system automatically selects either one of the two mA ranges as the below chart shows.
mA input 10–190 200–max. Automatically selected range 10–190 100–max.

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Scan Axial/Helical Scan Prescription 25 Auto mA
The status of ON/OFF or mode of the AutomA feature is shown on the bottom of the Preview screen. 3. The following menu appears upon the selection of [mA] on the View/Edit screen.
Enter the desired mA
60 80 100 130 150 200 250 300 mA Table

Cancel

When [AutomA OFF] is posted, the [mA Table] key looks dim indicating it is not functional. Select or enter the desired maximum mA. When any one of four modes (IQ, Normal, LowDose, MaxmA) is selected, all mA choice boxes look dim, whereas the [mA Table] key looks solid. Click on the [mA Table] key to open the following mA Table Information menu.
mA Table Information
Scan# mA

1 2 3 4 5 6 7 8 9 10 11

150 150 150 140 140 130 100 100 100 100 100

OK

(Example)

The above menu shows the expected mA at each scan location. Click on [OK] to close the menu.

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Scan Axial/Helical Scan Prescription 26 SmartRecon (Option)
Function : The SmartRecon feature can be used along with Helical or Cine scans to generate realtime reconstructed images at the rate of six images per second with 256x256 matrix. Notice : Images taken with the SmartRecon feature are not recommended for diagnosis since 256x256 matrix is used. Conditions : D 512x512 matrix is not available for SmartRecon. D SmartRecon can not be used for ordinary axial scans. D SmartRecon is always succeeded by ordinary prospective reconstruction. (SmartRecon can not be prescribed alone.) D SmartRecon is prescribed by series. D The available scan time for SmartRecon is 0.8 or 1.0 second. D While performing SmartRecon, the system halts all network and archiving tasks, also all image analyses like 3D, Reformat, etc. are suspended. D During SmartRecon all the function buttons on the desktop except for [Shut Down] are not usable. D Images generated by SmartRecon will not be stored into the system disk but into the memory buffer. D The AutomA feature can be applied to SmartRecon. D The [Priority Recon] button can not be applied to SmartRecon.

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Scan Axial/Helical Scan Prescription 27 SmartRecon (Option)
1. Click on [SmartRecon OFF] located on the upper left corner of the View/Edit screen. (Default setting is “OFF“.)
View/Edit screen
Name : Protocol : ID : Exam: Series:

Anatomical Reference

Series Description

SmartRecon OFF
Show Localizer Recon Area SmartRecon OFF

Auto Store Auto Transfer

AutomA OFF Auto Film Setup

[SmartRecon OFF] turns to [SmartRecon ON]. 2. As the Helical or Cine scans proceed, the system reconstructs and displays images at the rate of six images/second. Upon the completion of the SmartRecon the operator may return to the View/Edit screen to start the prospective reconstruction.

3.

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Scan Axial/Helical Scan in Progress
1. Click on the [Confirm] icon after confirming all prescribed scan parameters.

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Priority Recon Confirm

View/Edit screen

Confirm

2.

Press the [Move to Scan] button when lit, then, press the [Start Scan] button to start a scan. The system automatically proceeds to the Scan Progress screen.
Scan Progress

3.

Exam:285 Series:2

0
Images Type kV mA Time Thk Tilt 5 S0.0 Start End S80.0 001–010 Helical 120 250 10.0 011–022 Helical 120 250 12.0 S80.0 S30.0

10
S30.0

20

30

40
Seconds

S10.0 5 S0.0 S10.0 I50.0

I50.0

I60.0 023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0

I85.0

Biopsy Rx Patient Handling

Scanning

Delay Timer

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon

Pause

Note : A warning message will appear in the Patient Handling box if the the scanning object is off center. Note : A scan will be automatically aborted unless you press [Start Scan] within 30 seconds after it is lit. The system automatically performs the prescribed axial or helical scan. You can monitor the progress of the scan on the above Scan Progress screen.

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Scan Axial/Helical Scan End
Upon the completion of the scan, the message “All scans completed” will appear in the Scanning box of Scan Progress screen. If you wish to end the current exam here, take the following steps. 1. After the scan, click on [End Exam] icon located on the lower left corner of the Scan Progress screen.
Scan Progress
Exam:173 Images Series:2 Type kV mA Time Thk Tilt Start End

0

10

20

30
I60.0

40
I85.0 Seconds

023–027 Helical 120 250

5.0

5

S0.0

I60.0

I85.0

Biopsy Rx Scanning All scans completed. Delay Timer Patient Handling

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon

End Exam

2.

Or, you may select “Return to View/Edit screen” icon located on the right side of Scan Progress screen to return to the View/Edit screen.

Return to View/Edit screen

3.

Select [End Exam] on the lower left corner of the View/Edit screen to end the current exam. The screen automatically returns to Top Level screen.

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Scan Priority Recon
Function : Priority Recon allows you to designate and reconstruct an image earlier than any other image in the reconstruction queue. Upon the selection of this function, the system will start to reconstruct the designated image just after reconstructing the current image. 1. In the scan process, if you wish to reconstruct a certain image earlier than any other image, select [Priority Recon] located on the bottom right of Scan Progress screen.
Scan Progress
Exam:173 Series:2

0
Images Type kV mA Time Thk Tilt 5.0 5 S0.0 Start I60.0 End

10

20

30
I60.0

40
I85.0 Seconds

023–027 Helical 120 250

I85.0

Biopsy Rx Scanning Delay Timer Patient Handling

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon

Pause

Priority Recon

The system starts to reconstruct the designated image just after completion of the current reconstruction. 2. After completion of the whole scan, if you wish to give the reconstruction priority to the lastly scanned image, select [Priority Recon] on the bottom right of the View/Edit screen.

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Priority Recon Confirm

View/Edit screen

Priority Recon

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Scan Next Series
Function : Next Series allows you to directly proceed to a scan prescription screen if the next axial or helical series is included in the protocol. 1. Click on [Next Series] on the following scan end screen.
Scan Progress
Exam:173 Series:2

0
Images Type kV mA Time Thk Tilt Start End

10

20

30
I60.0

40
Seconds I85.0

023–027 Helical 120 250

5.0

5

S0.0

I60.0

I85.0

Biopsy Rx Scanning All scans completed. Delay Timer Patient Handling

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon

Next Series

2.

The system automatically proceeds to the View/Edit screen that shows the parameters of the series in the protocol. You may modify parameters.
View/Edit Screen

Add Group

Split Current Group

Delete Selected Group

Scan

Timing

Recon

Film

Images

Scan Type

Start Loc.

End Loc.

No. of Images

Thick (mm)

Image Int’val

Optimize Pitch Gantry Tilt SFOV kV mA CTDIw (mGy) Rx Preview

Biopsy Rx

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Priority Recon

Confirm

3.

After confirming the parameters, select [Confirm] to start scan.

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Scan Repeat Series 1
Function : Repeat Series allows you to automatically proceed to the scan prescription screen for the most recent series. 1.
Exam:173

Click on [Repeat Series] on the following scan end screen.
Scan Progress
Series:2

0
Images Type kV mA Time Thk Tilt Start End

10

20

30
I60.0

40
Seconds I85.0

023–027 Helical 120 250

5.0

5

S0.0

I60.0

I85.0

Biopsy Rx Scanning All scans completed. Delay Timer Patient Handling

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon

Repeat Series

2.

There appears the following Select Previous Series menu which lists all the previously scanned series that have the same Patient Position /Orientation (supine/prone, head first/feet first) as the most recently scanned one. The most recently scanned series tops the list and gets highlighted.
Select Previous Series
Series 8 Series 7 Series 6 Series 5 Series 4 Series 3 Description of Series 8 Description of Series 7 Description of Series 6 Description of Series 5 Description of Series 4 Description of Series 3

Highlighted

OK

Cancel

The list can show up to ten series on one screen. When it contains more than ten series, there appear(s) Prior and/or Next button on the screen.

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Scan Repeat Series 2
After selecting and highlighting any one of the series, select [OK] to confirm the selection. To cancel this step, click on [Cancel]. 3. After the selection of [OK], the system automatically proceeds to the View/Edit screen that shows the parameters of the series chosen in the Select Previous Series menu. You may modify parameters here.
View/Edit Screen

Add Group

Split Current Group

Delete Selected Group

Scan

Timing

Recon

Film

Images

Scan Type

Start Loc.

End Loc.

No. of Images

Thick (mm)

Image Int’val

Optimize Pitch Gantry Tilt SFOV kV mA CTDIw (mGy) Rx Preview

Biopsy Rx

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Priority Recon

Confirm

4.

After confirming the parameters, select [Confirm] to start scan.

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Scan One More
Function : One More allows you to scan one more slice that will have exactly the same parameters as the most recently scanned image. 1. Click on [One More] on the following scan end screen.
Scan Progress
Exam:173 Images Series:2

0
Type kV mA Time Thk Tilt Start End

10

20

30
I60.0

40
Seconds I85.0

023–027 Helical 120 250

5.0

5

S0.0

I60.0

I85.0

Biopsy Rx Scanning All scans completed. Delay Timer Patient Handling

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon

One More

2. 3.

Press [Move to Scan] button when lit. Then, press [Start Scan] button when lit to start a scan.

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Scan Repeat Last Group
Function : Repeat Last Group allows you to scan the most recently scanned group again with the same condition. 1. Click on [Repeat Last Group] on the following scan end screen.
Scan Progress
Exam:173 Series:2

0
Images Type kV mA Time Thk Tilt Start End

10

20

30
I60.0

40
Seconds I85.0

023–027 Helical 120 250

5.0

5

S0.0

I60.0

I85.0

Biopsy Rx Scanning All scans completed. Delay Timer Patient Handling

End Exam

Next Series

Repeat Series

One More

Repeat Last Group

Priority Recon

Repeat Last Group

2. 3.

Press [Move to Scan] button when lit. Then, press [Start Scan] button when lit to start a scan.

Note : Newly scanned series will have the same series number as the previous one.

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Scan Biopsy Scan 1
Function : The Biopsy Rx feature allows you to easily repeat the scan location during the biopsy procedures.

Biopsy Rx prescription
1. Biopsy Rx can be accessed through the [Biopsy Rx] icon on the right side of Axial/Helical Prescription screen.
Add Group Split Current Group Delete Selected Group

Scan

Timing

Recon

Film

Images Scan Type

Start Loc.

End Loc.

No. of Images

Thick (mm)

Image Int’val

Pitch

Gantry Tilt

SFOV

kV

mA

CTDIw (mGy)

Optimize Rx Preview Biopsy Rx

End Exam

Select New Protocol

Next Series

Create New Series

Repeat Series

One More

Priority Recon

Confirm

2.

The following screen appears upon the selection of [Biopsy Rx].
Biopsy Rx
Biopsy Reference Biopsy Location Number of Images Thickness Helical Pitch Image Interval Superior Centered Inferior External

Get Alignment Internal Light Location Gantry Tilt

Confirm Biopsy Rx

Cancel

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Scan Biopsy Scan 2
3. In order to determine the reference centering location in a biopsy scan, select [Superior], [Centered] or [Inferior] at Biopsy Reference field. [Superior] means scanning from the landmark toward patient’s head. [Centered] means scanning around the landmark. [Inferior] means scanning from the landmark toward patient’s feet. 4. At Biopsy Location field, enter the location of the biopsy scan to be performed. Or 5. When the internal light is used, select [Internal], or, when the external light is used, select [External] at Get Alignment Light Location field. Enter the following parameters. – Number of Images : – Gantry Tilt : – Thickness : – Helical Pitch : – Image Interval : 7. 8. Click on the [Confirm Biopsy Rx] button. Press [Move to Scan] button when it lights up. Then, press [Start Scan] to start the biopsy scans.

6.

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Scan Smart Prep 1(Option)
Function : The Smart Prep feature allows you to monitor contrast enhancement change during injection, to assure the acquisition of axial or helical scans while optimum levels of contrast are present.

Three phases of Smart Prep
Smart Prep consists of three phases, which are a Baseline, Monitor and Scan Phase. D Baseline phase This phase requires one unenhanced scan through a particular area of anatomy that will be the point of interest to monitor. D Monitor phase This phase requires the operator to take up to 20 scans at one location while the IV (introvenous) contrast is being administered. You will be able to watch these scans on the CRT as the scans are proceeding. D Scan phase This phase performs your scan prescription that will be started by the operator when the optimum level of contrast enhancement is reached, either by visual evaluation or by a preset threshold selection.

Parameters of Smart Prep
Some of the parameters used during the Smart Prep prescription are preset and unchangeable. They are 256 matrix, Soft Tissue algorithm and 0.6–sec scan time. Note : Because monitoring scans will not be used for diagnostic purposes, these techniques are used to make sure that the patient receive the minimal dose.

Autovoice
During the Smart Prep the Autovoice function will only be available after the scan phase is initiated. So, the operator may have to give oral breathing instructions through the intercom during Baseline and Monitor phase and at the beginning of Scan phase. Scout and scan prescription When you perform Smart Prep, the Prep Delay can be excluded from parameters. Even if you use it, Smart Prep will override it by putting “SP” in place of the number.

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Scan Smart Prep 2
Smart Prep prescription
1. Smart Prep can be accessed through the [Smart Prep] icon on the Axial/Helical Prescription screen.

Scan

Timing

Recon

Film

Thick (mm)

Image Int’val

Pitch

Gantry Tilt

SFOV

kV

mA

CTDIw (mGy)

Optimize Rx Preview

Biopsy Rx Smart Prep

Smart Prep

Repeat Series

One More

Priority Recon

Confirm

2.

When the Smart Prep is not incorporated in the protocol, toggle the [Off] button to [On] on the Smart Prep screen.
To [On] Smart Prep screen Smart Prep

Off
Monitor Location Monitoring Monitoring Enhancement Scan Phase Delay ISD Threshold Delay Show Localizer

mA

Accept

Cancel

Each parameter is described on the following page.

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Scan Smart Prep 3
3. Enter the following parameters for the Smart Prep prescription. – Monitor Location : Location of monitoring scan – mA : Tube current for Base Line and all Monitoring scans (10–100mA by 5 mA – Monitoring Delay : The delay before the Monitoring scan begins (0–60 seconds, by 0.1 sec. This delay works in conjunction with the administration of IV contrast. – Monitoring ISD : The delay between each monitoring scan (3–60 seconds by 0.1 sec.) – Enhancement Threshold : The difference in CT value between the Baseline ROI and the one at which you wish to start the Scan Phase. ( For example: If you want to start the scan phase when the CT value of the area of interst reaches 70, then assuming the Baseline ROI is 30, the Enhancement Threshold will be 40.) – Scan Phase Delay : The delay between the time you press [Start Scan] button and the time the actual scan begins (3–60 seconds, by 0.1 sec.) Note : The slice selection at Scan Phase may affect Scan Phase delay. The selection of 7/10mm with Helical or 7/10mm x 2i will affect the delay. This is because the selection of only up to 5mm x 2 is used at Monitoring Scan. – Show Localizer : Select this to display the Scout image with a line on it. With this line, you will be setting the location of the Baseline and subsequent Monitoring scans. Note : If there is the difference between Monitoring location and Scan Phase start location, the Scan Phase will be delayed due to the cradle travel. For example, it takes some four seconds for the cradle to travel 300mm.

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Scan Smart Prep 4
4. After completing all the entries, select [Accept]. The system will return to the View/Edit screen. Click on [Confirm] and press [Start Scan] when lit to initiate the Baseline scan.

5.

Scan Progress screen shows the Baseline group, Monitor group and scan prescription.
Scan Progress
Exam:285 Images Series:2

0
Type kV mA Time Thk Tilt 120 040 0.6 10 S0.0 Start S0.0 End S0.0 001–001 Axial S0.0 S0.0 002–021 Axial 120 040 12.0 10 S0.0 S0.0 S0.0 S0.0 001–002 Axial 120 080 5.0 10 S0.0 S0.0 I10.0

10

20

30

40

50

60
Seconds

Biopsy Rx Patient Handling

Scanning

Delay Timer

End Exam

Next Series

Monitor Phase

Scan Phase

Repeat Last Group

Priority Recon

Pause

Note : When you select [Accept] on the Smart Prep prescription screen, the following Timing menu shows “SP” in the Prep Group (delay) field, meaning the Smart Prep Monitoring delay has been set.
Scan
Prep Group (sec)

Timing
Auto Voice No.

Recon

Film

ISD
(sec)

Breath Hold (sec)

Breathe Time

SP SP

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Scan Smart Prep 5
6. After the Baseline scan, its image will be displayed. Also, six display functions for Smart Prep will be presented.
Smart Prep Display
Zoom Display Normal Ellipse ROI Explicit Mag

Hide Graphics

Erase

Baseline image

Refer to the Chapter 3 [Display] for the each display function. 7. 8. You can calculate up to three ROIs by selecting [Ellipse ROI]. After calculating ROIs, click on [Monitor Phase] and inject simultaneously the IV contrast. After you press the [Start Scan] button, the system will automatically proceed to the Monitoring scans through the Monitoring delay.

9.

D The Display desktop screen will now look similar to the following one.

Graph

Most recently reconstructed image

Time

Baseline image

D In the lower right quadrant the Baseline image with ROIs is displayed. D The lower left quadrant will be displaying in real time the time when each monitoring scan is acquired, based on the onset of the monitoring delay. It also displays each of the ROI values of that scan. D The upper right quadrant will be displaying in real time the most recently reconstructed image. D The upper left quadrant will be displaying in real time the enhancement threshold graph, comparing the ROI of each monitoring scan with the time from the start of the monitoring delay. If you did not take any ROI on the Baseline image, this quadrant will be blank.

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Scan Smart Prep 6
D The Scan desktop screen will now look similar to the following one.

Graph

Most recently reconsructed image Preview

10.

As the monitoring scans are being acquired, you can watch the lines climbing toward the enhancement threshold on the graph in the upper left quadrant.
Upper left quadrant
140

T

T: Threshold

20

40

60

11.

When the line depicting the ROI gets close to or at the threshold enhancement, select [Scan Phase] on the Scan Progress screen to initiate the Scan Phase.

Note : If the scan location of Monitoring Phase does not match the start location of Scan Phase, the scan start will be delayed by the time the cradle takes to move. For example, it takes some four seconds for the cradle to move 300 mm. It is highly recommended that the scan location of Monitoring Phase match the start location of Scan Phase. Note : When the system initiates the Scan Phase, the real time calculation of the Smart Prep quadrant will be stopped. A screen save will be used for later inspection.

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Scan Smart Addition (Option) 1
Function
The Smart Addition feature allows you to prospectively add two or more Axial/Helical images into one image. This is beneficial for brain studies since the added images will generate much less artifact particularly around posterior fossa area.

Conditions/Restrictions
The following conditions/restrictions must be met to use the Smart Addition option. D Scan Type : Axial or Helical (360–degree data) D Segment and Helical Plus incompatible with this option D Available Helical pitch : 1.0 – 3.0 D This option can be applied to group by group. D Only contiguous images (Interval = Thickness) to be added D Possible thickness of added image : 2, 3, 4, 5, 6, 7, 10 mm D Possible number of images to be added : 2, 3, 4, 5, 6, 7, 10 D When Smart Addition is prescribed for [Recon 1], both [Recon 2] and [Recon 3] will be automatically designated for Smart Addition. Also, when Smart Addition is not prescribed for [Recon 1], Smart Addition can not be prescribed for [Recon 2] nor [Recon3].

Procedure
1. Click on the [ Thick (mm)] key in the Scan Tab menu. The Image Thickness selection menu opens (See next page).
Thick
Scan Timing Recon Film

Thick (mm)

Image Int’val

Pitch

Gantry Tilt

SFOV

kV

mA

CTDIw (mGy)

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Scan Smart Addition 2
Fig.1 Image Thickness selection menu Select the desired Thickness (mm) Smart Addition

1

2

3

5

7

10

Cancel

Note : The Smart Addition key is not available unless your CT system has Smart Addition option installed. Also, even if your CT system has the Smart Addition option installed, the Smart Addition key remains dim (inactive) unless the right Scan Type is selected. 2. In order to activate the Smart Addition option, click on the [Smart Addition] key. Then, the Fig.2 Smart Addition Image Thickness selection menu opens.
Fig.2 Smart Addition Image Thickness selection menu Select the desired Thickness (mm)
Image Thickness (mm) 2 3 4 5 6 7 10

Smart Addition

Beam Thickness (mm) 1 2 3 5

Multiplication Factor

5 Cancel

OK

On this menu select Beam Thickness (original image thickness) and Image Thickness (thickness of added images), then the Multiplication Factor (number of images to be added) is automatically determined. Since the Multiplication Factor is an integer, there are restrictions on the combination of Beam Thickness and Image Thickness. For example, when 2mm is selected as Beam Thickness, Image Thickness of 3, 5, and 7 are unavailable. The example of Fig.2 shows 1mm and 5mm are selected as Beam Thickness and Image Thickness, respectively. So, the Multiplication Factor is automatically set to 5.

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Scan Smart Addition 3
3. Click on [OK] to accept the selection. Then, the Fig.2 menu disappears and the selected thickness is posted in the [ Thickness] field on the View/Edit screen like the example below.
Example 5 1x5

The example shows that Beam Thickness is 1mm, Multiplication Factor 5 and Image Thickness 5mm. Click on [Smart Addition] if you need to return to Fig.1 menu. Click on [Cancel] to remove the Fig.2 menu and return to the View/Edit screen. 4. Prescribe all the other parameters as well. [Interval] in Smart Addition means the interval between “added” images. The possible maximum value is the image thickness of added image and the possible minimum value is Beam Thickness. In the example below, 1mm silces are added by three images. When the possible maximum value of 3mm is set at [Interval], added images are combined like image numbers of [1, 2, 3], [4, 5, 6], [7, 8, 9] and [10, 11, 12]. In case of the possible minimum value of 1mm, added images are combined like [1, 2, 3], [2, 3, 4], [3, 4, 5] and [4, 5, 6].
Smart Addition Example : 1mm x 3
Interval : 3mm

1 2 3 4

5 6 7 8 9 10 11 12 13 14 15 16 17 18

Image number

Beam Thickness : 1mm

5.

Proceed to the scan after entering all the necessary parameters. Added images have the image annotations of ADDx (x: Multiplication Factor) next to the slice thickness annotation.

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Scan Smart Addition Retro Recon (Option) 1
Function
With Smart Addition option images can be retrospectively added from the raw data obtained from the usual scans.

Conditions/Restrictions
D Data obtained with 7mm or 10mm slice thickness can not be used. D Recon Mode : Full D Contiguous image data ( no overlap, no gap) D Available Helical pitch : 1.0 – 3.0 D Two or more images data When the above conditions/restrictions are not completely observed, the keys under [ Thick (mm)] field in the Image tab are dimly displayed indicating Smart Addition retro recon is unavailable.
Thick key

Images
Retro Scan Scan Scan Retro End Start Type Location Location Start Retro No. of Thick End Images (mm)

Recon
Image Gantry SFOV Interval Tilt

Y Y

Quit

List Exams

Confirm

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Scan Smart Addition Retro Recon 2
1. After confirming the [Thick] key is boldly displayed (active), click on the [Thick] key to open the following Fig.1 Image Thickness selection menu.
Fig.1 Image Thickness selection menu
Select the desired Image Thickness

1

2

3

4

5

6

7

10

Cancel

Since the number of images to be added is an integer, the slice thickness of the added image depends on the beam thickness (thickness of original image). The chart below shows beam thickness and valid/invalid added image thickness.
Beam Thickness 1 mm 2 mm 3 mm 5 mm Valid Thickness 1, 2, 3, 4, 5, 6, 7, 10 mm 2, 4, 6, 10 mm 3, 6 mm 5, 10 mm 1, 3, 5, 7 mm 1, 2, 3, 5, 7, 10 mm 1, 2, 3, 4, 6, 7 mm Invalid Thickness

On the real menu of Fig.1 the valid thickness numbers are displayed boldly whereas the invalid thickness numbers are displayed dimly depending on the beam thickness. 2. Select the desired image thickness from the Fig.1 menu or click on [Cancel]. After entering all necessary parameters click on [Confirm] to start retrospective reconstruction of added images. Added images have the image annotations of ADDx (x: Multiplication Factor) next to the slice thickness annotation.

3.

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Chapter 5

FILMING
AutoFilm 1
Function : AutoFilm provides a wide variety of options so you can tailor the filming to a specific need for your scan protocol or edit the existing filming parameters as needed. There are two pieces to the AutoFilm setup. One is setting the parameters for the film, which can be accessed through [AutoFilm Setup] button on the View/Edit screen. The other piece is setting the parameters for the image, which can be accessed through the [Film] tab card.
View/Edit screen
Name : Protocol: ID : Exam: Series:

Anatomical Reference

Series Description Auto Store Auto Transfer Auto Film Setup Show Localizer Recon Area

AutoFilm Setup

Film tab card Scan
Auto Film Frame Format

Timing
Width 1 Level 1

Recon

Film

Interval

Flip

Mag Factor

Rotate

User Anno.

GSE

Recon 1 Film Set 1

Recon 1 Film Set 2

Recon 2 Film Set 1

Recon 2 Film Set 2

Recon 3 Film Set 1

Recon 3 Film Set 2

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Filming AutoFilm 2
1. To open the Autofilm Setup page, select the [AutoFilm Setup] icon at the top of the scan monitor while in the Axial/Helical series. These parameters will be set up per series or temporarily edited while in the protocol.
Autofilm Setup
Destination
Laser Camera Format Size
Normal

Auto Start Auto Print Yes Yes

Slide

Copies

Exam Page Series Page Yes Scout Yes XRef–Scout

1

Film Direction Top to Bottom Auto Film Composer Show Grayscale

e/s/i

Yes

OK

Cancel

Note: Once a scan has been acquired, you can not go back to the Autofilm Setup page, unless you select a new series or a new protocol. Description of each function is as follows; D Format There are 12 options for film format. Click on one of them. D Film Direction You can have the images filmed Top–to–Bottom or Bottom–to–Top. Click on the blue highlighted arrow to toggle.

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Filming AutoFilm 3
D Destination This determines what type of printer the images will be filmed on. Click on YB buttons to select the destination (printer). The current destination is displayed in the message area. D Size You can choose to film either in the normal setting or slide setting. D Copies You can choose how many copies you want the camera to print. Select the number you want by either clicking in the box and typing in the number or clicking on YB arrows to increase or decrease the number. The valid range is from 1 to 99. D Exam Page/Series Page This allows you to film the Exam Page and/or Series Page. Toggle between Yes and No. These pages will be filmed at the end of the film and will not be added to the film until a new series or [End Exam] is selected. D Scout This allows you to autofilm a Scout image. Select Scout icon to open the following menu.
Film Scout
Scout Series Number Scout Number Magnification Factor Window Width Window Level Yes No

Accept

In order to autofilm a Scout image, select [Yes] first, then enter other parameters. Lastly select [Accept]. Note: The valid range for Magnification Factor is from 0.5 to 8.0. If a Scout image exceeds 500mm in length, the magnification factor must be less than 1.0 to view the entire Scout image.

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Filming AutoFilm 4
D XRef–Scout This allows you to film a Scout image with cross–reference lines that show axial scan locations. Select [XRef–Scout] icon to open the following menu.
Film Scout With Reference
Scout Series Number Scout Number Magnification Factor Image Range All Window Width Window Level
First/Last

Yes

No

Accept

At Image Range selection, select [All] for axial images and [First/Last] for the first and last axial image. Note: The valid range for Magnification Factor is from 0.5 to 8.0. If a Scout image exceeds 500mm in length, the magnification factor must be less than 1.0 to view the entire Scout image. After entering all parameters, select [Accept]. D Show Gray Scale This allows you to choose whether to have the gray scale displayed on the film. Simply toggle between Yes and No. Note: This selection is not available if your laser camera interface is digital. D Auto Film Composer This selection will determine which will be captured on the AutoFilm composer, an image itself or numbers of exam/series/image. Select either [Image] icon or [e/s/i] icon.

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Filming AutoFilm 5
D Auto Start If you select [Auto Start] icon to Yes, the following menu will appear. You can select whether to have your film sets automatically start filming.
AutoFilm Setup Auto Start Film Sets
Film Set 1 Film Set 2 Film Set 3 No Auto start No Auto start No Auto start Auto start New Sheet Auto start New Sheet Auto start New Sheet Auto start Same Sheet Auto start Same Sheet Auto start Same Sheet

Accept

Cancel

If you select [No Auto start] on the above menu, the system will not automatically start filming. In this case the operator is to decide when to start filming. If Autofilm is on and the Autofilm viewport is showing, once you start scanning, you can choose from one of the three options at the bottom of the Autofilm window. The following three icons are those options. Start New Sheet
Start New Sheet

[Start New Sheet] will start a new sheet of film with the format that has been selected from the Autofilm Setup page. Continue Same Sheet
Continue Same Sheet

[Continue Same Sheet] will continue filming on the current sheet in the Autofilm composer with the same format as the Autofilm composer. Cancel Film Series
Cancel Film Series

[Cancel Film Series] will stop Autofilm for that series.

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Filming AutoFilm 6
If you select [No Autostart] with autofilm on but the autofilm viewport is not shown, the following message will appear.
Exam: 4 Series: 1 is ready for auto filming

Show Film Viewport

Cancel

If you select [Show Film Viewport], the autofilm viewport will be displayed, then you can select [Start New Sheet], [Continue Same Sheet] or [Cancel Film Series].
Autofilm viewport

Start New Sheet

Continue Same Sheet

Cancel Film Series

If you select [Autostart New Sheet], the Autofilm process automatically uses [Start New Sheet] function. If you select [Autostart Same Sheet], the Autofilm process automatically uses [Continue Same Sheet] function. After making all the necessary selections, select [Accept] to continue or select [Cancel] to cancel. In both cases, the system returns to the Autofilm Setup page. D Auto Print [Auto Print] is a toggle button between Yes and No. If you select Yes, then the last film of the exam will be automatically printed, whether the Autofilm composer is filled or not. If you select No, then you will need to select Print on the Autofilm composer.

2.

On the Autofilm Setup page, select [OK] to accept all entries. Or, select [Cancel] to cancel.

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Filming AutoFilm 7
The Autofilm parameters for the images can be prescribed or modified by selecting the Film Tab Card on the View/Edit screen. 1. Click on the Film Tab Card to open the following menu for Autofilming parameters entry. You may skip this step if you do not intend to perform Autofilming.
Film Tab Card Scan
Auto Film Frame Format

Timing
Width 1 Level 1

Recon

Film

Interval

Flip

Mag Factor

Rotate

User Anno.

GSE

Recon 1 Film Set 1

Recon 1 Film Set 2

Recon 2 Film Set 1

Recon 2 Film Set 2

Recon 3 Film Set 1

Recon 3 Film Set 2

2.

Click on each button and select or type in a parameter.

D Auto Film Select On or Off on the following menu after clicking on [Auto Film].
Auto Film On Off Cancel

D Frame Format Select one of the four formats in the following menu by clicking on it.
MID Format

Cancel

D Interval Select one of the five choices as to which image to film.1= every image, 2= every other image, 3= every third image, and so on.
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Filming AutoFilm 8
D Flip Select one of the following options. [FTB] (Flip Top to Bottom), [FTB/FLR] (Flip Top to Bottom/Flip Left to Right), [FLR] (Flip Left to Right), [None]
Flip FTB FTB/FLR FLR None Cancel

D Width 1 The first choice for window width (1 D Level 1 The first choice for window level (–1024 D Mag Factor Valid image magnification factor range is from 0.5 to 4.0 D Rotate Right 90 degrees, left 90 degrees, or 180 degrees
Rotation None Cancel

4096)

3072)

D User Anno(tation) Maximum four lines
User Annotation

Accept

Cancel

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Filming AutoFilm 9
D GSE (Gray Scale Enhancement) Select one of the four choices.

Gray Scale

G1

G2

G3

Off

Cancel

G1 : lowest contrast G2 : medium contrast G3 : highest contrast Off : no effect The name of the grayscale will be annotated just above the tick mark.

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Filming Auto Film Composer
Click on the [Auto Film Composer] icon in the Display mode to display the following Autofilm Composer. You do not necessarily have to display this composer during autofilming. You can move the Autofilm Composer on the screen by holding the cursor anywhere in the title bar area, then dragging the composer to the desired location.
Auto Film

Pause Filming

Clear Print

Film format reflects the one prescribed on the AutoFilm Setup page. Each port can contain either an image or a set of exam, series and image number depending on the prescription on the AutoFilm Setup page. Click on the [Auto Film Composer] icon again to remove the composer.

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Filming Manual Film
Function : Manual Film allows you to manually film images. The Manual Film Composer can be initiated from several locations including the Exam Rx Desktop, Image Works browser, Image Works viewer and Image Works miniviewer.
Exam Rx Display menu

[Autoview Layouts]

[Review Layouts]

[Manual Film Composer]

When you perform Manual Filming, you have to use one or two viewports in the Review Layouts, or one or two viewports in the bottom of the Autoview Layouts.

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Filming Manual Film Composer 1
Upon the selection of [Manual Film Composer], the following Manual Film Composer will appear. You can move the Manual Film Composer on the screen by holding the cursor anywhere in the title bar area, then dragging the composer to the desired location.
Film Composer
Formats

close button

Laser Camera

Options Clear Print

Current status is :

D Film Composer close button In order to close the Film Composer, click on the small button at the upper right corner of the composer, or click on the [Manual Film Composer] icon again. D Laser Camera The destination of printing will be changed. If you wish to have a destination other than a laser camera, place the cursor over the word “Laser Camera”, press and hold down the left mouse button to open a pull–down menu, then select a desired destination. D Formats Click on any one of the twelve formats. It will be reflected on the composer.

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Filming Manual Film Composer 2
Options

If you select the [Option] icon, the following Print options menu appears.
Print options Slide format:
Off

Greyscale:
Off

Auto printing:
Off

Auto clear page:
Off

Icon labels:
Image

Expose order:
Left/Right Top/Bottom

Number of copies: 1

Done

Slide format:
Off On

Select On from the Slide format pull–down menu to employ a slide format. Note : If the selected printing machine does not support slide format, the Slide format button is shown in gray, indicating it is not usable.

Grayscale:
Off On

Select On from the Grayscale pull–down menu to print a grayscale onto a film. Note : If the selected printing machine does not support grayscale, the Grayscale button is shown in gray, indicating it is not usable.

Auto printing: Select On from the Auto Printing pull–down menu to
Off On

automatically start printing immediately after all the frames are filled.

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Filming Manual Film Composer 3
Auto clear page:
Off On

Select On from the Auto clear page pull–down menu to automatically clear all the frames after the completion of printing.

Icon labels: Image

Select either [E/S/I] or [Image] from the Icon labels pull–down menu to put either Exam/Series/Image number or Image itself, resepctively, into the frame.

Number of copies:
1

Click on the [ ] or [ ] button to increase or decrease respectively the number of copies. Or, type in the desired number into the numerical entry field.

Expose order:
Left/Right Top/Bottom Right/Left Bottom/Top

When filming function keys are being used, this selection will determine the order with which the images will be printed into the frames of the composer.

Done

Select [Done] to accept the entries and close the Print options window.

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Filming Manual Film Composer 4
Clear

If the Auto clear function is off under the Print options menu, select [Clear] on the Film Composer to clear the page of images to start over or start a new sheet.

The message “Clear the current page” will appear. Select [OK] to clear or click on [Cancel] to cancel. Note : If the Auto clear page is on, the Film Composer will automatically disappear after printing.

Print

If the Auto printing function is off under the Print options menu, select [Print] on the Film Composer to print the current page of images.

The status line at the bottom of the composer will start the message “Printing...” and the images will be sent to the printing queue. Once the queue is filled with images, the printing will start.

As the Film Composer communicates with the camera, the status is posted at the bottom of the composer, for example, “print queue empty”, “printing”, “film supply low”, or “output device not connected”. Note : Messages posted in green mean everything is OK. Messages in yellow are warnings. Messages in red mean a problem exists. Note : When there exists an arrow button in the message area, you can get the details by clicking on it.

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Filming Manual Film Composer 5
Image removal from Film Composer
1. If you wish to remove an image on the Film Composer window, click on that image. There appears a message “Do you really want to delete this image?” Select [Yes] to delete, or select [No] not to delete.

2. 3.

Load images by drag and drop
1. In order to load an image onto the Film Composer, click and hold the cursor on the image, then drag it to an image frame, then release the cursor to deposit the image. Repeat the above steps as needed.

2.

Load images by F1 function key
Another way to load images onto the Film Composer is as follows. 1. 2. Move the cursor onto the desired image and press the F1 key. The image will be automatically placed into the next available frame

Note : This method may be faster than the drag & drop method, however, you can not jump the frame.

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Filming Manual Film Composer 6
Page filming by F2 function key
You can use this function to load one sheet of images onto the Film Composer. Note : The Film Composer must be empty beforehand. If it is not empty, use the [Clear] button to empty the Film Composer. 1. Move the cursor over any one of the displayed images and press the F2 key. The displayed images will be loaded onto the Film Composer in order of the displayed images.

2.

Note : In order to perform page filming, the formats must be the same between the displayed images and the Film Composer. If the formats are different, the format of the Film Composer automatically turns to that of the displayed images as you press the F2 key. Note : When you are using the Viewer or Mini Viewer, you can also use the [Film Page <F2>] button to perform page filming.

MID (Multiple Image Display) filming by F3 key
You can use this function to load the multiple image display onto one film frame. Note : When you perform MID filming, the image resolution will decrease a little bit compared with the page filming. 1. Move the cursor over any one of the displayed images and press the F3 key. The displayed images will be loaded onto the Film Composer in order of the displayed images.

2.

Note : When you are using the Viewer or Mini Viewer, you can also use the [Film MID <F3>] button to perform MID filming.

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Filming Manual Film Composer 7
Series filming by F4 function key
The following menu will appear when you press the F4 key.
Format Z Use Film Composer Z Viewer Format Interval Z Print all Images Z 1/2 Z 1/3 Print Last Sheet
No

Image Selection
1


1 18

18

Current Print Job No Current Job Cancel All

Print Series

Cancel

D Format – Use Film Composer : Select this to use the same format as the current Film Composer. – Viewer Format : Select this to change the Film Composer format to that of Viewer Format. D Image Selection This determines the number of images in the series for filming. Use the slide bar to set the number. D Interval Print all Images : all images 1/2 : every other image 1/3 : every three images D Current Print Job This area displays the list of jobs in the current queue. You can cancel all the jobs with [Cancel All].

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Filming Manual Film Composer 8
D Print Last Sheet This selection determines whether the last sheet will be printed before it is filled with images.

After completing all entries, select [Print Series] to start series filming. Note : If you wish to cancel the filming after clicking on [Print Series], press F4 and click on [Cancel All].

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Filming
Blank page

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Chapter 6

QUALITY ASSURANCE
Overview
In order to assure consistent image quality over the lifetime of the diagnostic radiology equipment, users must establish and actively maintain a regular Quality Assurance (QA) program. These procedures ask you to scan a known material (usually a phantom) under a prescribed set of conditions, and then compare your results with the predicted or optimum values. Because you repeat these tests frequently, if not daily, you notice changes in image quality values before the problem becomes visible. If you do notice a degradation in image quality or a change in QA values you can schedule a site visit and let the service person or imaging physicist run more sophisticated tests. Their early intervention could prevent a major breakdown. User QA begins with baseline performance data obtained by performing the QA tests as soon as the system meets operating system specifications. Take the first set of baseline performance data right after installation and update it any time the system undergoes an upgrade or a major repair that affects image quality. An x–ray tube change is one example. Compare your daily QA checks against these baselines. The Quality Assurance program documents any change in image quality over time. Although you can save baseline images to visually compare with your daily QA checks, you don’t have to. The numerical data supplied during the actual testing provides the necessary objective data for comparison. This section contains a sheet titled QA DATA FORM that you can copy and use to record this numerical data.

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Quality Assurance
Phantom Description
Use the Quality Assurance and Performance Phantom provided with your CT scanner to assess system performance and establish an ongoing Quality Assurance program. The phantom’s design provides maximum performance information with minimum effort. This phantom measures six aspects of image quality. It contains three sections, each corresponding to a single scan plane. The following illustration contains a list of the sections and corresponding tests.

Section 1 High Contrast Resolution Contrast Scale Slice Thickness Positioning Light Accuracy

Section 2 Low Contrast Detectability

Section 3 Noise and Uniformity

QA Schedule
The most effective Quality Assurance program involves obtaining basic performance data once a day, or at least 2–3 times per week. You must obtain data frequently and on a regular basis in order to detect any changes in system performance that might occur before it affects clinical image quality. At minimum, acquire a single 10mm scan of Sections 1 and 3 of the Performance Phantom each day.

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Quality Assurance
Phantom Setup
Place the performance phantom on the phantom holder and level it. (Tape a small piece of cardboard or a washer to the phantom, if necessary to accomplish this.) Position the phantom using the laser alignment lights as follows:
1. Align the axial light to the circumferential line marking Section 1. 2. Align the coronal light to the horizontal lines on either side of the phantom. 3. Align the sagittal light (where it strikes the top of the phantom) to the vertical line on the face of the phantom. 4. Position the phantom and press the Internal Land button on the gantry.

The performance phantom contains three sections. When you correctly follow the positioning instructions listed above, Section 1 corresponds to 0.0 mm table position, Section 2 (Low Contrast Detectability) to the 35.0 mm location and Section 3 (Noise and Uniformity) corresponds to the 50.0 mm location.

Circumferential reference line

Vertical reference line

Horizontal reference line

Horizontal reference line

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Quality Assurance
Scan the QA Phantom
Follow the normal Single Scan protocol. Scan three locations, one for each QA phantom section. If you set up the phantom as described on the previous page, prescribe scan location 0.0 for section 1 of the phantom, 35.0 for section 2 and 50.0 for section 3. Use the scan parameters suggested in Table 1. You can use other parameters, but the performance results won’t match the data in this manual.
TABLE 1 SOFTKEY PROMPT [NEW PATIENT] [HEAD FIRST] [HEAD] [SINGLE SCAN] SCAN VALUE kVp – 120 mA – 100 Time – 3 sec Thickness – 10mm* Scan Mode – Single RECONSTRUCTION CAL FOV – Small Recon FOV – 25cm centered Recon Mode – Standard

*Check image thickness and positioning light accuracy by acquiring a number of images and varying the slice thickness between scans.

Test and Analysis of the Phantom Images
Begin the analysis as soon as the Section 1 image display appears. Make copies of the form on the following page and record the QA results there. Keep previously recorded QA results and compare them to the most recent analysis for consistency.

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Quality Assurance
Contrast Scale
Section 1 of the phantom tests the contrast scale. CT assigns CT numbers, also called (HU) Houndsfield Units, to the attenuation values of X–Ray passing through a variety of material densities. The software makes the attenuation visible by assigning shades of gray to groups of numbers you select with Window Width/ Level functions during image Display. For test purposes, the CT values of water and acrylic in the phantom represent the standard against which you track your system’s contrast scale over time. The test for contrast scale follows:
1. Display a circle cursor (approximately 1 cm in diameter) from [Ellipse ROI] on the image as shown in Figure 1. For consistency, use the same size cursor and location each time you perform this test. 2. Position the cursor on the Plexiglass block and click the left mouse button once to calculate the ROI. Record the mean CT number on the QA Data Form. (Standard deviation record optional.) 3. Position the cursor over the water section and click the left mouse button once to calculate the ROI. Record the mean CT number for water on the QA Data form. (Standard deviation record optional.) 4. Subtract water’s CT number from Plexiglass’ CT number and record the difference on the QA Data form.
Position 1cm ROI over water Position 1 cm ROI over Plexiglas

FIGURE 1

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Quality Assurance
High Contrast Spatial Resolution
Section 1 of the phantom contains six sets of bar patterns in a Plexiglass block that you use to test high contrast spatial resolution. Each pattern consists of sets of equally sized bars and spaces, in the following sizes: 1.6 mm, 1.3 mm, 1.0 mm, 0.8 mm, 0.6 mm, and 0.5 mm. Water fills the spaces and provides about 12% (120 HU) contrast. Examine the bar patterns to determine the limiting resolution, defined here as the smallest bar pattern in which you see all five bars. A more sensitive and quantitative method for assessing changes in system resolution involves measuring the standard deviation of the pixel values in a single or multiple bar pattern. ROI standard deviation provides a good indicator of system resolution and a sensitive method to detect changes in system resolution. The recommended procedure follows:
1. If necessary, click on [Erase] to remove previous ROI data. 2. Display and position a box cursor from [Box ROI] over the largest (1.6 mm) bar pattern. The cursor should fit within the bar pattern as shown in Figure 2. Adjust the size and position of the cursor as necessary. 3. Click the left mouse button once to calculate the ROI and record the standard deviation on the QA data form. 4. (Optional) Repeat this procedure for the 1.3, 1.0, and 0.8 mm bar patterns.

Position box cursor over largest bar pattern, and size it until it fits over the pattern.

Optional: repeat for 1.3mm pattern Optional: repeat for 1.0mm pattern Optional: repeat for 0.8mm pattern

FIGURE 2

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Quality Assurance
Slice Thickness
Section 1 of the phantom also tests slice thickness. Both sides of the resolution block contain a pattern of air filled holes designed to demonstrate slice thickness. (See Figure 3.)

Air filled holes

FIGURE 3

The resolution block contains holes drilled 1 mm apart and aligned in the direction of slice thickness (perpendicular to scan plane). Each visible hole in the image represents 1 mm of beam thickness. The software assigns less negative CT numbers to partial hole images or holes located on the edge of the slice profile. To determine slice thickness, display the image at the recommended window level and width, and count the visible holes. Black holes in the image represent a full millimeter of slice thickness. Gray holes count as fractions of a millimeter; two equally gray holes count as a single 1 mm slice thickness. Recommended window width: 300. Recommended window level: –100 for 3.0 mm slices, 0 for 5.0 mm, and +50 for 10.0 mm slices. Your image may show less detail than this example.

Adjust the window width and level, then count the lines, which represent the air filled holes.

FIGURE 4

Each black line represents one millimeter of slice thickness. Gray lines represent fractions of a millimeter

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Quality Assurance
Positioning Light Accuracy (optional)
Refer to Figure 3 on the previous page: notice how the center hole in the hole patterns on both sides of the resolution block appear longer than the others. The manufacturers drilled the center holes deeper to help you identify them in the image. The center hole position corresponds precisely to the black line scribed on the circumference of the phantom. When you use an accurate Positioning light and align the phantom’s circumferential line to the axial light, you’ll see a symmetrical hole pattern around the center (longer) hole in the slice thickness pattern. See Figure 5. For best results, use the 1.0 mm slice thickness.

Center hole position corresponds to black line around circumference of phantom

Align black line on phantom to positioning light

FIGURE 5

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Quality Assurance
Low Contrast Detectability
Section 2 of the QA phantom tests low contrast detectability, defined here as the smallest hole size visible for a given contrast level at a given dose. This phantom section contains a 0.75 mm thick polystyrene membrane suspended in water and pierced by a series of holes in the following sizes: 10.0 mm, 7.5 mm, 5.0 mm, 3.0 mm, and 1.5 mm. The difference in CT numbers between the water, and water plus plastic, equals the contrast in Houndsfield Units (HU). Divide the HU value by ten to obtain the contrast in percent. Measure the contrast between the plastic membrane and the surrounding water in the following manner:
1. If necessary, click on [Erase] to remove previous ROI data. 2. Display and position a box cursor from [Box ROI] over the image. Adjust the cursor to a rectangle, approximately 1/2 cm high by 5 cm long, as shown in Figure 6. 3. First position the cursor over the polystyrene membrane above the holes. Click the left mouse button once to calculate the ROI. Record the mean CT number in the Low Contrast resolution box on the QA Data Form. 4. Next place the cursor in the water section above the membrane and click the left mouse button once to calculate the ROI. Record the mean CT number. 5. Subtract the CT number of the water from the CT number of the membrane and record the difference. 6. Click on [Erase] to remove previous ROI data. 7. Repeat steps 3, 4, and 5. This time position the cursor below the membrane holes, then move it over the water area below the membrane. 8. Count and record the number of visible holes to determine contrast.
A. Position box cursor over polystyrene membrane above holes, and take ROI. B. Position box cursor over water above membrane and, take ROI.

Subtract B from A

Count visible holes

C. Position box cursor over polystyrene membrane below holes, and take ROI.

D. Position box cursor over water below membrane, and take ROI.

Subtract D from C
FIGURE 6

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Quality Assurance
Noise and Uniformity
Section 3 of the phantom tests noise and uniformity. Take a water–only scan in Section 3 to provide a uniform image by which to assess image CT number noise and uniformity. Enclose a region of interest, click the left mouse button once to calculate the ROI, and the software calculates and displays the standard deviation or noise of the pixels inside. The software often divides the HU noise values by 1000 (representing the contrast scale between air and water) and multiplies by 100 to convert HU to a percentage of water attenuation. The procedure for noise and uniformity testing follows:
1. If necessary, click on [Erase] to remove previous ROI data. 2. Place a circle cursor approximately 2 cm in diameter on the center of the image as shown in Figure 7. Adjust the size of the cursor as necessary. 3. Click the left mouse button once to calculate the ROI. Record the mean CT number and standard deviation on the QA Data Form. 4. (Optional) Repeat the above instructions placing the cursor at the 12 o’clock position and once again at the 3 o’clock position.

Optional: Take an ROI at the 12 o’clock position. Position circle cursor over the center of the image, and take ROI. Optional: Take an ROI at the 3 o’clock position.

FIGURE 7

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Quality Assurance
Typical Results and Allowable Variations
Because people determine clinical image quality, it remains subjective and difficult to define. GE expects the standards of allowable variation in image quality parameters to vary with the installation and image evaluator(s). GE encourages you to establish and follow a Quality Assurance (QA) program so you can discover any degradation of image quality before it effects clinical images. Over time, institutions use the QA procedure to establish a correlation between acceptable clinical image quality and acceptable variations in the image performance indices included in the program. This page contains suggested allowable variations; don’t mistake them for absolutes. Compare any parameter variation to the maximum deviation specified in the next section called, Dose and Performance. Make sure you used the prescribed technique, then inform service when the variations reach the specified maximum deviation.
Contrast Scale

The difference in CT numbers between the Plexiglass resolution block and water should equal 118, with a suggested allowable variation of 10%.
High Contrast Spatial Resolution

The standard deviation for an ROI in the 1.6 mm bar pattern should equal 36 HU, with a suggested allowable variation of 20%.
Nominal Slice Thickness

Slice thickness should not vary from the expected value by more than 50% for thickness of 2.0mm or less and ± 1.0mm for thickness over 2.0mm, when evaluated according to instructions.
Low Contrast Detectability

Because this test relies upon the perceptual judgment of the person counting visible and well–defined holes, we can’t suggest an allowable variation. Rather, we suggest you choose a single, barely visible hole and closely monitor that particular hole during subsequent testing for degradation in this image parameter.
Noise and Uniformity

Mean should equal 0± 3. Standard deviation should be less than 4.9

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Quality Assurance
Weighted CTDI100 (CTDIW) for MX165ZJ Tube
Explained below contains information that relates image quality to radiation dose, as required by the IEC standard, in compliance with the IEC60601–2–44, dated (1999–02). Please review this information. Head 80 kV 120 kV 140 kV Body 80 kV 120 kV 140 kV 300 mAs (mGy)

1 mm 2 mm 3 mm 5 mm 7 mm 10 mm 31 29 28 29 26 28 70 94 65 86 68 91 72 97 74 99 76 100 (mGy) 7 19 26 8 20 28 8 21 30 9 22 30 9 23 31

195 mAs 8 20 27

1 mm 2 mm 3 mm 5 mm 7 mm 10 mm

With SmartBeam Filter Head 80 kV 120 kV 140 kV Body 80 kV 120 kV 140 kV 300 mAs (mGy) 1 mm 2 mm 3 mm 5 mm 7 mm 10 mm 15 15 18 15 16 15 53 76 47 67 45 64 45 64 45 64 46 65 (mGy) 4 14 21 4 14 20 4 14 19 4 13 20 5 14 19

195 mAs 4 16 24

1 mm 2 mm 3 mm 5 mm 7 mm 10 mm

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Quality Assurance
Dose and Performance 1 for MX165ZJ Tube
Explained below contains information that relates image quality to radiation dose, as required by the federal government, in compliance with Federal Regulations 21CFR 1020.33(c). The dose measurement procedure is described in the Code of Federal Regulations 21CFR 1020.33. The Code of Federal Regulations can be obtained from the U.S. government printing office or can be viewed from the World Wide Web.

Statement of Typical Technique
HEAD 25 cm Field of View (FOV) 120 kVp 150 mA 2.0 sec scan time 10 mm slice thickness Large Focus BODY 50 cm FOV 120 kVp 130 mA 1.5 sec scan time 10 mm slice thickness Large Focus

CT Dose Index (CTDI) For Typical Technique At Various Positions On The Phantom Image.
B POSITION HEAD BODY A 6.9 rad 1.3 rad B 7.4 rad 2.7 rad C 7.1 rad 2.5 rad D 6.9 rad 2.0 rad E 7.2 rad 2.5 rad CTDI has no angular maximum near the surface for 360° scanning

E

A

C

D

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Quality Assurance
Dose and Performance 1 for MX165ZJ Tube with SmartBeam Filter
Explained below contains information that relates image quality to radiation dose, as required by the federal government, in compliance with Federal Regulations 21CFR 1020.33(c). The dose measurement procedure is described in the Code of Federal Regulations 21CFR 1020.33. The Code of Federal Regulations can be obtained from the U.S. government printing office or can be viewed from the World Wide Web.

Statement of Typical Technique
HEAD 25 cm Field of View (FOV) 120 kVp 150 mA 2.0 sec scan time 10 mm slice thickness Large Focus BODY 50 cm FOV 120 kVp 130 mA 1.5 sec scan time 10 mm slice thickness Large Focus

CT Dose Index (CTDI) For Typical Technique At Various Positions On The Phantom Image.
B POSITION HEAD BODY A 4.4 rad 0.9 rad B 4.3 rad 1.6 rad C 4.2 rad 1.5 rad D 4.2 rad 1.3 rad E 4.4 rad 1.5 rad CTDI has no angular maximum near the surface for 360° scanning

E

A

C

D

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Quality Assurance
CTDI Over A Range of Techniques
Normalized to a value of 1 for typical technique and position A. (All other technique settings at typical value.)
10 mA 350 mA 0.8 sec 3.0 sec 7.0 mm 5.0 mm 3.0 mm 2.0 mm 1.0 mm 80 kV 140 kV POSITION A A A A A A A A A A A HEAD 0.06 2.33 0.40 1.52 0.89 0.75 0.56 0.44 0.34 0.38 1.39 BODY 0.07 2.70 0.52 2.01 0.81 0.62 0.38 0.31 0.16 0.30 1.48

Explained below contains information that relates image quality to radiation dose, as required by the federal government, in compliance with Federal Regulation 21CFR 1020.33(c). Please review this information.

Helical Dose For Typical Helical Technique
HEAD 25 cm Field of View (FOV) 120 kVp 150 mA 2.0 sec scan time 10 mm slice thickness 10 mm interval BODY 50 cm FOV 120 kVp 130 mA 1.5 sec scan time 10 mm slice thickness 10 mm interval

If the Helical mAs, Slice Count and Intvl selection equals the Axial mAs, Slice Count and Intvl selection, then Helical dose equals Axial dose.

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Quality Assurance
CTDI Over A Range of Techniques with SmartBeam Filter
Normalized to a value of 1 for typical technique and position A. (All other technique settings at typical value.)
10 mA 350 mA 0.8 sec 3.0 sec 7.0 mm 5.0 mm 3.0 mm 2.0 mm 1.0 mm 80 kV 140 kV POSITION A A A A A A A A A A A HEAD 0.07 2.32 0.40 1.50 0.90 0.78 0.62 0.54 0.44 0.32 1.43 BODY 0.07 2.70 0.54 1.99 0.84 0.67 0.44 0.40 0.24 0.27 1.52

Explained below contains information that relates image quality to radiation dose, as required by the federal government, in compliance with Federal Regulation 21CFR 1020.33(c). Please review this information.

Helical Dose For Typical Helical Technique
HEAD 25 cm Field of View (FOV) 120 kVp 150 mA 2.0 sec scan time 10 mm slice thickness 10 mm interval BODY 50 cm FOV 120 kVp 130 mA 1.5 sec scan time 10 mm slice thickness 10 mm interval

If the Helical mAs, Slice Count and Intvl selection equals the Axial mAs, Slice Count and Intvl selection, then Helical dose equals Axial dose.

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Dose and Performance 2
Explained below contains information that relates image quality to radiation dose, as required by the IEC standard, in compliance with the IEC60601–2–44 (1999–02).

Statement of Typical Technique
HEAD 25 cm Field of View (FOV) 120 kVp 150 mA 2.0 sec scan time 10 mm slice thickness Large Focus BODY 50 cm FOV 120 kVp 130 mA 1.5 sec scan time 10 mm slice thickness Large Focus

CTDI100 For Typical Technique At Various Positions On The Phantom Image.
B POSITION HEAD BODY A 70 mGy 12 mGy B 79 mGy 28 mGy C 76 mGy 26 mGy D 73 mGy 21 mGy E 77 mGy 26 mGy CTDI100 has no angular maximum near the surface for 360° scanning

E

A

C

D

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Quality Assurance
CTDI100 Over A Range of Techniques
Normalized to a value of 1 for typical technique and position A. (All other technique settings at typical value.)
POSITION A A A A A A A A A A A HEAD 0.06 2.32 0.40 1.51 0.98 0.95 0.89 0.86 0.92 0.36 1.23 BODY 0.07 2.71 0.52 2.01 0.97 0.93 0.86 0.80 0.81 0.13 0.64

10 mA 350 mA 0.8 sec 3.0 sec 7.0 mm 5.0 mm 3.0 mm 2.0 mm 1.0 mm 80 kV 140 kV

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Quality Assurance
Dose and Performance 2 with SmartBeam Filter
Explained below contains information that relates image quality to radiation dose, as required by the IEC standard, in compliance with IEC60601–2–44 (1999–02).

Statement of Typical Technique
HEAD 25 cm Field of View (FOV) 120 kVp 150 mA 2.0 sec scan time 10 mm slice thickness Large Focus BODY 50 cm FOV 120 kVp 130 mA 1.5 sec scan time 10 mm slice thickness Large Focus

CTDI100 For Typical Technique At Various Positions On The Phantom Image.
B POSITION HEAD BODY A 45 mGy 8,4 mGy B 46 mGy 17 mGy C 45 mGy 15 mGy D 45 mGy 13 mGy E 47 mGy 16 mGy CTDI100 has no angular maximum near the surface for 360° scanning

E

A

C

D

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Quality Assurance
CTDI100 Over A Range of Techniques with SmartBeam Filter
Normalized to a value of 1 for typical technique and position A. (All other technique settings at typical value.)
POSITION A A A A A A A A A A A HEAD 0.07 2.32 0.40 1.50 0.99 0.98 1.00 1.04 1.18 0.31 1.39 BODY 0.08 2.72 0.54 2.00 1.00 1.00 1.01 1.04 1.19 0.13 0.75

10 mA 350 mA 0.8 sec 3.0 sec 7.0 mm 5.0 mm 3.0 mm 2.0 mm 1.0 mm 80 kV 140 kV

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Quality Assurance
Dose and Sensitivity Profile at Phantom Center
1.0
Axial, Body, Center, 120 kV, 130 mA, 10 mm, 1.5 sec.

0.5

0 1.0

0

Position (mm)

70
Dose Profile Sensitivity Profile

140
Axial, Body, Center, 120 kV, 130 mA, 7 mm, 1.5 sec.

0.5

0 1.0

0

Position (mm)

70

140
Axial, Body, Center, 120 kV, 130 mA, 5 mm, 1.5 sec.

0.5

0

0

Position (mm)

70

140

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Quality Assurance
1.0
Axial, Body, Center, 120 kV, 130 mA, 3 mm, 1.5 sec.

0.5

0 1.0

0

Position (mm)

70
Dose Profile Sensitivity Profile

140
Axial, Body, Center, 120 kV, 130 mA, 2 mm, 1.5 sec.

0.5

0 1.0

0

Position (mm)

70

140
Axial, Body, Center, 120 kV, 130 mA, 1mm, 1.5 sec.

0.5

0

0

Position (mm)

70

140

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Quality Assurance
1.0
Axial, Head, Center, 120 kV, 150 mA, 10 mm, 2.0 sec.

0.5

0 1.0

0

Position (mm)

70
Dose Profile Sensitivity Profile

140
Axial, Head, Center, 120 kV, 150 mA, 7 mm, 2.0 sec.

0.5

0 1.0

0

Position (mm)

70

140
Axial, Head, Center, 120 kV, 150 mA, 5 mm, 2.0 sec.

0.5

0

0

Position (mm)

70

140

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Quality Assurance
1.0
Axial, Head, Center, 120 kV, 150 mA, 3 mm, 2.0 sec.

0.5

0 1.0

0

Position (mm)

70
Dose Profile Sensitivity Profile

140
Axial, Head, Center, 120 kV, 150 mA, 2 mm, 2.0 sec.

0.5

0 1.0

0

Position (mm)

70

140
Axial, Head, Center, 120 kV, 150 mA, 1 mm, 2.0 sec.

0.5

0

0

Position (mm)

70

140

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Quality Assurance
Image Performance
Noise
At Typical Technique In Center Of Phantom Using Standard Algorithm
HEAD σ = 0.49 % BODY σ= 0.47 %

MTF
(same conditions as above)
100 M O D U L A T I O N (%) 80 60 40 20

HEAD
M O D U L A T I O N (%) 2 4 6 8 10

BODY
100 80 60 40 20

0

0

2

4

6

8

10

Line pairs/cm

Line pairs/cm

Nominal Tomographic Section Thickness
HEAD 10.0 mm 7.0 mm 5.0 mm 3.0 mm 2.0 mm 1.0 mm BODY 10.0 mm 7.0 mm 5.0 mm 3.0 mm 2.0 mm 1.0 mm

Sensitivity Profile
See previous pages

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Quality Assurance
Phantoms and Procedures
Dose
For best results, use the phantoms, dose profile and CTDI value calculation procedures recommended in the CDRH final draft of “Routine Compliance Testing for Computed Tomography X–Ray Systems” dated April 26, 1984. Also, for best results, use the phantoms and CTDIW value calculation procedures recommended in the IEC committee draft for vote of IEC60601–2–44, dated August 8, 1997.

Performance
Each test uses a 25 cm water–filled acrylic phantom

Noise
Noise equals the standard deviation of an array of pixels contained in 674 mm square region of interest (ROI) for Head and 2696 mm square ROI for Body. The software divides the standard deviation, expressed in Houndsfield Units, by 1000 (representing the contrast scale between air and water), then multiplies by 100 to give a value in percent.

Modulation Transfer Function (MTF)
A point spread function (PSF) image is obtained by scanning the GE performance phantom (2100614) wire section. Software performs a two dimensional Fourier Transform on the PSF to obtain the MTF.

Slice
Use a wire ramp section of Catphan phantom, inclined 23 from the scan plane.

Sensitivity
23_ from the scan plane to obtain sensitivity profiles.

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Quality Assurance
Deviations
In order to come up with “the maximum deviation,” manufacturers must imagine every possible situation, however unlikely, that might occur within the entire user community. Our statements of deviation include a maximum deviation to assure compliance with the regulation, as well as a statement of expected deviations (2σ) in the large majority of our systems.

CTDI and CTDIW Typical Techniques
The anticipated “maximum deviation” for CTDI and CTDIW equals ±40%. The expected deviation equals ±20%, except for the 40 mA or less and 1mm techniques, where variation increases (up to a factor of two) due to the inherent deviation in small values.

Dose Profile
Anticipate a “maximum deviation” of ± 30% or 2.0mm, whichever is larger, relating to dose profiles (FWHM). This value includes variability inherent in the measurement of dose profile with TLD chips.

Performance
Noise : The noise squared (σ2) in a CT image is inversely proportional to the x–ray dose used to make the image. The maximum deviation anticipated for image noise equals ±30%. Expected deviation equals ±10%. MTF: Expect deviations within ±10% for values on the MTF curve generated with data gathered according protocol. Maximum deviations may reach ±20% for other methodologies. Sensitivity Profile: Expect the full width slice half maximum sensitivity profiles to vary ±20% or 1.0 mm, whichever is larger, when measured with a wire ramp section of Catphan phantom, inclined 23 from the scan plane. If you use other methodologies, the maximum deviation may reach 1.5 mm for all slice thicknesses, because these measurement errors have the greatest effect on thin slices.

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Quality Assurance
Blank

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Chapter 7

Technical Specifications
Component Identification for HiSpeed

Component

Model Number

Location of Name Plate

CDRH Certified

Gantry

2200997, 2200998, 2200999, 2201000 2199077–2 46–309300G3 2132959 2187725 2200192, 2200291, 2113694, 2200290 2201803 2153675 2200194 2186887 2227720 2201806 2201805 46–237991G1 46–266754G1 46–241707P544

Rear lower center

Yes

X–Ray Tube Housing X–Ray Tube Insert Collimator Detector Table

Housing surface Housing surface Front of collimator Front left corner Gantry side of pillar

Yes No Yes No Yes

Cradle Extender Operator Console PDU Generator

No Rear lower right corner Rear lower right corner Generator Yes Yes Yes

Axial Headholder Coronal Headholder 25cm Phantom 35cm Phantom 42cm Phantom

No No On holding block On holding block On holding block No No No

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Specifications
Component Labels
MADE FOR GENERAL ELECTRIC CO. MILWAUKEE WISCONSIN BY GE YOKOGAWA MEDICAL SYSTEMS, LTD. 7–127 ASAHIGAOKA 4–CHOME HINO–SHI, TOKYO, JAPAN MADE FOR GENERAL ELECTRIC CO. MILWAUKEE WISCONSIN BY GE YOKOGAWA MEDICAL SYSTEMS, LTD. 7–127 ASAHIGAOKA 4–CHOME HINO–SHI, TOKYO, JAPAN

MODEL (Note 1) SERIAL MANUFACTURED SOURCE: (Note 2) SOURCE: (Note 2) SOURCE: (Note 2) SOURCE: (Note 2)

A/ (Note 3) A/ (Note 3) A/ (Note 3) A/ (Note 3)

CLASS I V ~(Note 4) V ~(Note 4) V ~(Note 4) V ~(Note 4)

HZ HZ HZ HZ

MODEL (Note 5) SERIAL MANUFACTURED VOLTS (Note 6) AMPS MOMENTARY (Note 7) AMPS CONTINUOUS (Note 8) kVA (Note 9) HZ (Note 10)

CLASS I V~ A A

COMPONENT

(Note 1) MODEL NUMBER 2200997, 2200998, 2200999, 2201000

(Note 2) SUPPLY CURRENT 90A 30A 30A 15A

(Note 3) SUPPLY VOLTAGE 380–480V3 200V~ 115V~ 115V~ 115V~ 115V~ 380 /400/415/440/460/480 V3~

(Note 4) SUPPLY FREQUENCY 50/60Hz 50/60Hz 50/60Hz 50/60Hz 50/60 Hz 50/60Hz 50/60 Hz

Gantry

Table Operator Console (SYSTEM)*

2200192, 2200291, 2113694, 2200290 2153675 HiSpeed LX/i HiSpeed FX/i HiSpeed DX/i

10A 20A 100A

COMPONENT

(Note 5) MODEL NUMBER 2200194

(Note 6) SUPPLY VOLTAGE 380/400/415/44 0/460/480V 3~

(Note 7) SUPPLY CURRENT 100A

(Note 8) SUPPLY CURRENT 20A

(Note 9) KVA 65 KVA

(Note 10) SUPPLY FREQUENCY 50/60 Hz

PDU

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Specification
MX165ZJ X–Ray Tube Assembly Information
MX165ZJ Tube Unit Identification
System/Tube Catalog No. Description graphite anode X–Ray tube assembly Insert Casing Model Number Insert Model Number Insert Catalog No.

MX165 ZJ

2199077–2 N.A. 46–309300G3

N.A. D3110T

Improvements in the heat handling capabilities of this unit may result in new catalog and Model number assignments

MX165ZJ Diagnostic Source Assembly
Leakage Technique Factors
Tube Assembly Model No. 2199077 140 kV, 26 mA

Minimum Inherent Filtration (Collimator model No. 2132959, 2247199)
Minimum inherent filtration of 2.7 mm aluminum equivalent at 140 kV:
D Tube Unit: Tube Insert – 0.8 mm aluminum equivalent at 140 kV Tube Housing – 0.4 mm aluminum equivalent at 140 kV Collimator (lower plate) – 0.5 mm aluminum Collimator (upper plate) – 1.0 mm aluminum

D D

Minimum Inherent Filtration (Collimator model No. 2247203)
Minimum inherent filtration of 6.2 mm aluminum equivalent :
D Tube Unit: Tube Insert – 0.8 mm aluminum equivalent at 140 kV Tube Housing – 0.4 mm aluminum equivalent at 140 kV Collimator (lower plate) – 0.5 mm aluminum Collimator (upper plate) – 4.5 mm aluminum equivalent at 70 kV

D D

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7-3

Specifications
MX165ZJ CT Scan Ratings
These ratings apply to CT systems with computer controlled technique selection, scan mode, scan duration, and scan series. The software uses a cooling algorithm to determine anode and tube unit temperatures and cooling delays. When necessary, the cooling algorithm delays scan initiation to avoid exceeding maximum anode or tube unit temperatures.

TARGET LOADING in Kilowatts FOR EACH SCAN TECHNIQUE
mA 60 80 100 130 160 200 250 80 KV 4.8 6.4 8.0 10.4 12.8 16.0 120kV 7.2 9.6 12.0 15.6 19.2 24.0 140 kV 8.4 11.2 14.0 18.2 22.4 28.0

The following table lists cooling delay times (in seconds) used by the software before each scan. These times assume maximum anode or tube unit heat loading and include cycling the rotor for each scan.

Model No. MX165ZJ COOLING DELAY TIME at 80kV
Scan Technique 80kV and 60mA 80mA 100mA 130mA 160mA 200mA 250mA Focus Size S S S S S S S Anode Cooling Delays 2.0 sec 3.0 sec 132 132 132 132 132 132 132 132 132 132 132 135 139 150

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Specification
Model No. MX165ZJ COOLING DELAY TIME at 120kV
Scan Technique 120kV and 60mA 80mA 100mA 130mA 160mA 200mA Focus Size S S S S S S Anode Cooling Delays 2.0 sec 3.0 sec 132 132 132 132 135 249 132 132 135 138 138 307

Model No. MX165ZJ COOLING DELAY TIME at 140 kV
Scan Technique 140kV and 60mA 80mA 100mA 130mA 160mA Focus Size S S S S S Anode Cooling Delays 2.0 sec 3.0 sec 131 132 133 133 191 132 135 139 142 232

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7-5

Specifications
MX165ZJ X–Ray Tube IEC Information
X–ray Tube Housing
Type Model General Electric MX165 ZJ HSG 2199077–2

X–ray Tube Insert Fitted
Type Model General Electric MX165 ZJ INSERT 46–309300G3

X–ray Tube Assembly
In accordance with IEC 637/1979, the complete X–Ray tube assembly carries two identification labels, one each for the housing and insert, marked with the model types and numbers listed above.

X–ray Tube Insert Information
Type Model General Electric MX165 ZJ INSERT 46–309300G3 SE: 0.9mmW x 0.62mmL; LF: 1.2mmW x 1.2mmL Tungsten/Rhenium Alloy Focal Track on graphite base 7_

Focal spot Target Material Target Angle

Maximum Potential Difference 140 kVp High Potential Generator : General Electric CT ProSpeed System Constant Potential X–Ray Tube Filament Supply: Maximum Voltage: 140kV Maximum Current : 350mA

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Specification
MX165ZJ Cathode Emission and Filament Characteristics
ProSpeed Emission Z1163 7_ Target Large Focal Spot

Tube Current (mA)
1000 80 kVp 

120 kVp

Y

140 kVp

D

100

10 5.0

5.1

5.2

5.3

5.4

5.5

5.6

5.7

5.8

5.9

6.0

6.1

6.2

6.3

6.4

6.5

Filament Current (amps)
ProSpeed Emission Z1163 7_ Target Small Focal Spot

Tube Current (mA)
1000 80 kVp 

120 kVp

Y

140 kVp

D

100

10 5.0

5.1

5.2

5.3

5.4

5.5

5.6

5.7

5.8

5.9

6.0

6.1

6.2

6.3

6.4

6.5

Filament Current (amps)

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7-7

Specifications
Nominal Anode Input Power
This tube accommodates GE HiSpeed Computed Tomography Systems with a nominal anode input power of 42 kW for 3 seconds.

Maximum Anode Heat Capacity
3500kHU

Maximum Anode Heat Dissipation
820kHU/min

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Specification
Tube MX165 ZJ Anode Heating and Cooling Curves
ProSpeed Anode Heating Curve
2598 2290 1982 1674 1366 1058 750 0 25 50 75 100 125 150 175 200 35kW 30kW 20kW

10kW

TIME (SECONDS)

ProSpeed Anode Cooling Curve
2600 2400 2200 2000 1800 1600 1400 1200 1000 800 600 400 200 0

0

5

10

15

20

25

30

35

40

45

50

55

60

TIME (MINUTES)

Single Load Rating
Large Focal Spot: 42 kW for 3 seconds Small Focal Spot: 24 kW for 3 seconds (Same as the nominal anode input power)

.

NOTE

Cooling and heating curves reflect maximum tube performance. System software monitors and controls tube operation.

Serial Load Ratings
Controlled by the HiSpeed CT system operating software

Rotating Anode Supply
Designed to operate on the HiSpeed CT system (See accompanying system documentation.)

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Specifications
MX165ZJ X–Ray Tube Assembly Information
Labels : The X–Ray Tube Assembly carries two identification labels. One label identifies the Model and serial numbers of components (X–Ray Tube and Housing), and provides the date and location of assembly manufacture. The second label provides the name of the manufacturer. A third label certifies compliance with USA Federal regulation 21 CFR Sub chapter J, and lists the data and place of assembly manufacture. Reference Axis: Normal to the window center. Target Angle : 7_ Nominal Focal Spot Values : Small Focal Spot: 0.9 W x 0.62 L mm Large Focal Spot: 1.2 W x 1.2 L mm Focal Spot Modulation Transfer Functions: MTF for X–Ray Tube Assembly Standard magnification = 1.3
1.0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0.0 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0

MODULATION TRANSFER FUNCTION LENGTH DIRECTION 0.9mm W x 0.62mm L FOCAL SPOT STANDARD MAGNIFICATION 1.3 AEC 336/1982 – NEMA XR–5

SPATIAL FREQUENCY – LINE PAIRS/mm
1.0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0.0 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0

MODULATION TRANSFER FUNCTION LENGTH DIRECTION 1.2mm W x 1.2mm L FOCAL SPOT STANDARD MAGNIFICATION 1.3 AEC 336/1982 – NEMA XR–5

SPATIAL FREQUENCY – LINE PAIRS/mm

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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

Specification
1.0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0.0 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0

MODULATION TRANSFER FUNCTION WIDTH DIRECTION 0.9mm W x 0.62mm L FOCAL SPOT STANDARD MAGNIFICATION 1.3 AEC 336/1982 – NEMA XR–5

SPATIAL FREQUENCY – LINE PAIRS/mm

Maximum Potential Difference : 140 kVp Inherent Filtration 1.2 mm Al at 140 kV IEC 522/1976 Electrical Connections See curves and diagrams Emissions Characteristics Connection stator, Thermal and Pressure overload switches Principle Dimensions Length Height Depth Weight 21.14 inches (53.7cm) 11.26 inches (28.6cm) 29.25 inches (74.3cm) 69.1 kg (± 10%) Tube 0.8 mm Al Housing 0.4 mm Al

X–Ray Tube Conditioning The HiSpeed system software controls X–Ray tube conditioning. (See accompanying system documentation.) Maximum X–Ray Tube Assembly Heat Storage Capacity 3.5MHU Continuous Heat Dissipation of X–Ray Tube Assembly X–Ray Tube and Heat Exchanger 300kHU/min

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Specifications
Tube Assembly MX165ZJ Heating and Cooling Curves MX165ZJ Housing Cooling Curve MX165ZJ Housing Heating Curves
Temperature Degrees Celsius
2400 6kW 1800 1200 600 0 5kW 4kW 3kW

2500 Stored Heat (Kilojoules) 2000 1500 1000 500 0 0 10 20 30 40 Time (Minutes) 50

Stored Heat (Kilojoules)

2kW 1kW

60

0

5

10

15

20

25

30

35

40

Time (Seconds)

.

NOTE

Cooling and heating curves reflect maximum tube performance. System software monitors and controls tube operation.

Leakage Radiation – Loading Factors Specified values of the loading factors determining measures for protective shielding of X–Ray Tube Assembly against leakage radiation according to IEC publication 407/1973 are 140 kVp – 26 mA Classification IEC publication 536 /1978 and IEC Publication 601–1 Class 1 Transportation and Storage –20° to +70° C, up to 95% Relative Humidity (non–condensing) Commercial airlines accept X–Ray tube insert/housing shipments Transport Packaging Transport ONLY in packaging supplied by General Electric

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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

Specification
Generator Specifications
Main Power Supply
D D D D D Line voltage (no–load) 415 or 380 or 480 VAC 3–phase, 50 or 60 Hz ±0.5 Hz. Phase–to–phase balance within 3% of lowest phase–to–phase voltage. Line regulation 5% or less at maximum technique factor. Maximum line current demand, 100 Amps RMS (50/60 Hz) at 140 kV, 300 mA.

Generator Rating and Duty Cycle
D D D Maximum Technique: 140 kV, 300 mA 80kVA Maximum Output Rating: Generator Duty Cycle: Maximum Technique Factor 140kV and 300mA Max. Duty Cycle 10%

kV, mA, and Timer Accuracy Mode Kilovoltage:Axial Milliamperage: Axial Condition Accuracy

120kV ± 7% of kV setting Excluding initial 5 msec 10 to 350mA ± 5 % of mA setting or ± 1mA (whichever is more) Excluding initial 100 msec

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Specifications
Scan Time: Axial
Selected Scan Time (sec) 3.0 2.0 1.5 1.0 0.7(half scan) Actual Scan Time (sec) 3.0 ± 10% 2.0 ± 10% 1.5 ± 10% 1.0 ± 10% 0.7 ± 10%

kV : Subject to an additional ± 5% accuracy of instrumentation used for calibration and measurement. mA : Subject to an additional ± 5% accuracy of instrumentation used for calibration and measurement. Exposure : Subject to an additional ± 3% accuracy of instrumentation used Time : for calibration and measurement.
Accuracy subject to the following conditions: 1. Line regulation 5% or less. 2. Line voltages within this specified range: 415 or 380 or 480 VAC +6% –5% (50 or 60Hz) 3. System powered for at least 30 minutes prior to measurements. 4. Line voltage variations caused by external loads should not exceed 1% or last longer than 0.5 second while scanning.

.

NOTE

Measurement Basis
Tube Potential : Precision voltage divider, Model No. 46–154966G1 reduces high voltage generated across anode and cathode by 1000:1. Tube Potential equals the average kilovoltage generated during the exposure, excluding transients at the beginning and end. See Section 2 of the X–ray Alignment procedure in the Service documentation for the complete measurement procedure. Tube Current : Tube current equals the average milliamperage generated during x–ray exposure. See Section 2 of the X–Ray Alignment procedure in the Service documentation for the complete procedure. Scan Time: Exposure time intervals equal the time during which the kilovoltage equals or exceeds 75% of its peak value. Measure kilovoltage with a precision voltage divider and an oscilloscope. Use the time base of the oscilloscope to measure exposure duration.

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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

Specification
The Attenuation Equivalent
Standard Head Holder : 0.3 mm aluminum equivalent at 100 kV Shallow Head Holder : 0.35 mm aluminum equivalent at 100 kV Coronal Head Holder : 0.8 mm aluminum equivalent at 100 kV Cradle : 0.55 mm aluminum equivalent at 100 kV Extender : 1.5 mm aluminum equivalent at 100 kV

CAUTION
To obtain the optimum results, make sure nothing is left in the path of X–ray beam that may have adverse effects on examinations.

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Specifications
Periodic Maintenance by Qualified Personnel
Recommended PM frequency is 2 times a year for NP+/NP series scanners. The frequency may vary due to local ordinance and the usage of the system, the system availability etc. If you need more PMs, order extra copies of this document or copy the schedules.
Priority Code Pr (Priority) – 1 2 3 4 Frequency Code Fr (Frequency) – S A Description Semi–Annually (every 6 months) Annually (every 12 months) Safety and Regulatory Image Quality Procedures that make the system unavailable for scanning Procedures that can be performed while the customer is scanning Description

Safety and Regulatory
ITEM PM0101 PM0102 PM0103 PM0105 PM0301 PM0201 PM0501 PM0502 PM0503 PM0504 PM0505 PM0506 PM0507 PM0508 PM0509 PM0607 SUB– SYSTEM System System System System Gantry O.C Table Table Table Table Table Table Table Table Table XG DESCRIPTION Verify Emergency OFF buttons (Gantry / Console / PDU) Check x–ray ON lights or buzzer/operation of scan abort Caution Label Check Check Error Logs Check the number of Gantry revolutions Verify Audio Function Check Head Holder Check Table Cover Check Gap sponge Gap between Table Cover and Cradle Check Cradle Rail Holder Stability Check Check Touch Sensor operation Verify Unlatch Function Check Gantry / Table interlock Check Parts Pr Fr 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 S S S S S S S S S S S S S S S S Annual PM Schedule A B b b b b b b b b b b b b b b b b b b b b b b b b b b b b b b b b

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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

Specification
Image Quality
ITEM PM0104 PM0302 PM0401 SUB– SYSTEM System Gantry DAS DESCRIPTION Image Check (Image Performance) Clean Mylar ring cover Check/Clean Detector face Subtotal Pr Fr 2 2 2 S S S Annual PM Schedule A B b b b 1:00 b b b 1:00

System Performance
ITEM PM0106 PM0107 PM0108 PM0109 PM0202 PM0203 PM0204 PM0205 PM0206 PM0303 PM0304 PM0305 PM0306 PM0307 PM0308 PM0309 PM0402 PM0403 PM0510 PM0511 PM0512 PM0513 PM0514 PM0515 PM0601 PM0602 PM0603 PM0604 PM0605 PM0606 PM0701 PM0702 PM0703 SUB– SYSTEM System System System System O.C O.C O.C O.C O.C Gantry Gantry Gantry Gantry Gantry Gantry Gantry DAS DAS Table Table Table Table Table Table XG XG XG XG XG XG PDU PDU PDU DESCRIPTION Perform Filter Curve Test Check Ground Cable Terminals Check DAS Count Image Performance Clean Air Filter Inspect FANs Verify Mouse for smooth operation Clean Display monitor/Console exterior Check Cables / Power Cable Terminals Verify cables and hardware are tight Gantry cover cleaning Check Positioning lights Check Gantry anchor / Gantry Isolation Main bearing grease–up Check drive belt for wear Check RF Shoe Position Verify Detector Heater Control Inspect FANs Clean Cradle tray / Table cover Check for Oil Leak Grease–up Check Table anchors / Table isolation Inspect FANs Inspect Cradle Wire Tension Check/Clean Radiator FAN Check X–ray tube oil and HV connector Check HV Tank and HV connector Check Power cable connection Check Tube over heat safety Check KV and mA Inspect FANs Check Power Cable Terminals Check Power Line Voltage Subtotal Total Pr Fr 3 3 3 2 3 3 3 4 3 3 4 3 3 3 3 3 3 3 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 A A A A S S S S S S S S A A A A S S S S A A S S S S S S S A S A A Annual PM Schedule A B 0:15 0:10 0:15 1:00 0:10 0:10 0:10 0:10 0:15 0:15 0:10 0:10 0:10 0:10 0:20 0:20 0:10 0:10 0:10 0:10 0:05 0:20 0:05 0:10 0:10 0:05 0:05 0:05 0:05 0:15 0:15 0:05 0:05 0:20 0:05 0:10 0:10 0:10 0:10 0:10 0:10 0:20 0:20 0:20 0:20 0:05 0:05 0:15 0:15 1:00 0:05 0:05 0:05 0:05 4:30 6:55 5:30 7:55

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Specifications
Maintenance by CT Users
The following maintenance by CT users is highly recommended. Periodically check if those items function properly.
D D D Emergency stop : Press the button to confirm the system stops. Cradle latch operation : Press the button to confirm the cradles latches. Clean covers

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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

Specification
Symbols and Classification

Symbol

Publication 417–5032 335–1 335–1

Description Alternating Current Three–phase alternating current
Three–phase alternating current with neutral conductor

3N

~ ~ ~
3

Direct Current 417–5019 Protective earth (ground)

348

Attention, consult ACCOMPANYING DOCUMENTS

417–5008

OFF (Power: disconnection from the mains)

417–5007

ON (Power: connection to the mains)

Dangerous voltage Emergency Stop

Warning sign RADIATION of LASER APPARATUS

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Specifications

Symbol

Publication

Description

Type B Applied Part

417–5339

X–Ray source assembly Emitting

417–5009

Stand by

Start

Table Set

Abort

Intercom

(On Operator Console) Power ON Stand by Light ON Light OFF

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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

Specification

Symbol

Description

Microphone (Mic)

Contrast

Brightness

50°C

System storage prior to installation: Maintain storage temperature between –10o C and +60o C (–14o to 140o F)

System storage prior to installation: Maintain non–condensing storage humidity below 95%

Humidity 10–90% Excluding Condensation

DO NOT store system longer than 90 days

Air Pressure 700–1060hPa

System storage and shipment Maintain Air Pressure between 750 and 1060hPa

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Specifications
Class 1 Equipment
Any permanently installed equipment containing operator or patient accessible surfaces must provide backup protection against electric shock, in case the BASIC INSULATION fails. In addition to BASIC INSULATION, Class 1 equipment contains a direct connection to a PROTECTIVE (EARTH) CONDUCTOR which prevents shocks when a person touches a broken piece of equipment or touches two different equipment surfaces simultaneously.

Type B Equipment
CLASS I, II, or III EQUIPMENT or EQUIPMENT with INTERNAL ELECTRICAL POWER SOURCES provide an adequate degree of protection against electric shock arising from (allowable) LEAKAGE CURRENTS or a breakdown in the reliability of the protective earth connection

Ordinary Equipment
Enclosed EQUIPMENT without protection against the ingress of water.

Operation Of Equipment
CONTINUOUS OPERATION WITH INTERMITTENT LOADING. Operation in which EQUIPMENT is connected continuously to the SUPPLY MAINS. The stated permissible loading time is so short that the long term on–load operating temperature is not attained. The ensuing interval in loading is, however, not sufficiently long for cooling down to the long term no–load operating temperature. EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN or NITROUS OXIDE.

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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

Specification
Cleaning
The CT system is not waterproof. It is not designed to protect internal components against the ingress of liquid. Decontamination or cleanliness of the CT system (i.e. gantry, table, console and accessories) is the sole responsibility of the health care provider owning and/or operating the CT system. Tips for Cleaning : Use soft cloth damped with (hot) water to remove any dirt or stains. Even blood stains can be wiped off with damp soft cloth. Caution : Avoid chemical damage to surfaces. Some detergent or cleaning agent may damage the surface. Disclaimer : GEMS bears no responsibility for sterilization of system surfaces. GEMS shall not be held liable for any contagion which may have stemmed from contaminated stains on the system surfaces.

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Specifications
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CT HiSpeed FX/i Operator Manual Dir. 2295149-100 Rev. 0

A
Accelerator Bar, 3 30 Accessories, 1 17 Body Accessory Use, 1 20 Coronal Head Holder Assembly, 1 19 Head Holder Assembly, 1 19 Security Strap Kit, 1 21 Auto Film Composer, 3 29 Auto Store, 4 11 Auto Transfer, 4 12 Autoview Layouts, 3 4 Axial/Helical Scan End, 4 41 Next Series, 4 43 One More, 4 46 Priority Recon, 4 42 Repeat Last Group, 4 47 Repeat Series, 4 44 Axial/Helical Scan in Progress, 4 40 Scan Progress screen, 4 40 Axial/Helical Scan Prescription, 4 13 [Film] icon, 4 20 [Recon] icon, 4 18 [Scan] icon, 4 15 [Timing] icon, 4 17 Add Group, 4 24 Auto mA, 4 33 Autofilm Setup, 4 23 Biopsy Rx, 4 25 Cine Scan, 4 14 Confirm, 4 29 Create New Series, 4 28 Delete Selected Group, 4 25 End Exam, 4 28 Gastrointestinal contrast, 4 30 Helical Scan, 4 14 Introvenous contrast, 4 30 Next Series, 4 28 One More, 4 29 Optimize Rx, 4 26 Pause, 4 29

Preview, 4 27 Priority Recon, 4 29 Prospective Multiple Reconstruction , 4 21 Recon Area, 4 24 Repeat Series, 4 29 Resume, 4 30 Select New Protocol, 4 28 Show Localizer, 4 23 4 31 Show Recon 1,2,3, 4 19 Smart Prep, 4 25 4 50 SmartRecon (Option), 4 38 Special Filter, 4 19 Split Current Group, 4 24 View/Edit Screen, 4 13

B
Biopsy Scan, 4 47

C
Control Panel, 1 4 Cradle In/Out, 1 4 External Landmark, 1 5 Fast, 1 4 Gantry Tilt , 1 5 Gantry Tilt Lamp, 1 5 IMS Move, 1 5 Internal Landmark, 1 5 Positioning Light , 1 5 Practice, 1 5 Table Up/Down, 1 4 Tilt Range & Scannable Range, 1 5

D
Daily Prep Tube Warmup, 2 27 Display Panel, 1 6 Distance from Iso-Center, 1 6 Distance from Landmark, 1 6 Interference, 1 7 Positioning Light On/Off, 1 7

Release Cradle Lock, 1 7 Tilt / Angle Range, 1 6 X-ray On, 1 6 Display Preference, 3 24 Annotation Levels, 3 25 Continuous Report Cursor, 3 27 Next/Prior Each Viewport, 3 27 Next/Prior Series Binding, 3 27

X-ray Tube Specifications, 1 3

I
Icon Selection, 2 2 Image Display Layout, 3 3

F
FILMING, 5 1 Auto Film Composer, 5 10 AutoFilm, 5 1 Auto Film Composer, 5 4 Auto Print, 5 6 Auto Start, 5 5 Copies, 5 3 Destination, 5 3 Exam Page/Series Page, 5 3 Film Direction, 5 2 Format, 5 2 Scout, 5 3 Show Gray Scale, 5 4 Size, 5 3 XRef-Scout, 5 4 Manual Film, 5 11 Manual Film Composer, 5 12 F1 function key, 5 16 F2 function key, 5 17 F3 function key, 5 17 F4 function key, 5 18

L
List / Select, 3 7

M
Manual Film Composer, 3 28 Measurements, 3 21 MIROI (Multiple Image ROI), 3 22 Report Pixels, 3 23

N
New Patient, 2 5 4 4

O
Operator Console, 1 10 Keyboard/Mouse, 1 10 MOD Drive, 1 10 Scan/Display Monitor, 1 10

G
Gantry, 1 2 Control Panel, 1 2 Detector Specifications, 1 3 Display Panel, 1 2 Emergency Button, 1 2 Gantry Specifications, 1 3 Positioning Light & Breath Navi, 13

P
Patient Positioning, 4 1 landmarks, 4 3 Patient Schedule, 2 6 Add Patient, 2 8 Delete All, 2 10 Delete Selected, 2 10 Edit Patient, 2 9 Preferences, 2 11 Select Patient, 2 7

View More Info, 2 7 Primary/Secondary Viewport, 3 2 Protocol Management, 2 12 Auto Voice Record, 2 13 Protocol Management, 2 16 [Film] icon, 2 19 [Recon] icon, 2 19 [Scan] icon, 2 18 [Timing] icon, 2 19

Explicit Magnify, 3 11 Flip/Rotate, 3 12 Grid, 3 16 GSE, 3 14 Hide/Show Graphics, 3 20 List / Select, 3 15 Measure Distance, 3 16 ProView, 3 13 Roam / Zoom, 3 10 Screen Save, 3 20 User Annotation, 3 18

Q
QUALITY ASSURANCE, 6 1 6 22 Dose and Performance, 6 13 6 14 6 17 6 19 High Contrast Spatial Resolution, 66 Image Performance, 6 25 Low Contrast Detectability, 6 9 Noise and Uniformity, 6 10 Phantom Description, 6 2 Phantom Setup, 6 3 Scan the QA Phantom, 6 4 Slice Thickness, 6 7 Weighted CTDI, 6 12

S
Scanner Utilities, 2 28 Raw Data Function, 2 28 User Calibration, 2 34 Scout Scan, 4 6 Add Scout, 4 7 Confirm, 4 8 Create New Series, 4 8 Delete Selected Scout, 4 7 End Exam, 4 7 Next Series, 4 7 One More, 4 8 Pause, 4 8 Repeat Series, 4 8 Resume, 4 8 Scan Progress screen, 4 9 Select New Protocol, 4 7 System Power On/Off, 1 24

R
Recon Management, 2 25 Retro Recon, 2 21 Graphic Retro, 2 24 Review Layouts, 3 6 Multiple Image Display (MID), 3 6 Routine Display, 3 9 Cross Reference, 3 17 Display Normal, 3 14 Ellipse ROI, 3 15 Erase, 3 20 Exam Pg / Series Pg, 3 19

T
Table, 1 8 Cradle, 1 8 Foot Switch, 1 8 Home Position, 1 8 Latch Button, 1 8 Speaker, 1 8 Table Specifications, 1 9

U
User Interface, 1 11 Keyboard, 1 12 Communication button, 1 14 Keyboard keys, 1 15 Scan-related buttons, 1 13 Mouse, 1 11

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