Calibration PDF

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2198945-100
Revision 0
ADVANTX DLX CALIBRATION

sm
Service Manual
do not duplicate
Copyright 1997 by General Electric Co.

GE Medical Systems ADVANTX DLX CALIBRATION
REV 0 sm 2198945-100
TABLE OF CONTENTS
CHAPTER TITLE PAGE
REVISION HISTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
LIST OF EFFECTIVE PAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
5 CALIBRATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
SECTION 1 – CALIBRATION STEERING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
1–1 Vascular Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
1–2 Cardiac Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
1–3 Software Aperture Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
1–4 For Biplane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2
SECTION 2 – CALIBRATION PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3
2–1 System Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3
2–2 Technical Menu Selections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3
Job Card CAL 0 A – SOFTWARE APERTURE CALIBRATION CURVE . . . . . . . . . . . . . . . . . 5–5
Job Card CAL 0 B – DEFAULT VASCULAR APERTURE SETTING . . . . . . . . . . . . . . . . . . . . 5–15
Job Card CAL 0 C – DEFAULT CARDIAC APERTURE SETTING . . . . . . . . . . . . . . . . . . . . . 5–27
Job Card CAL 0 D – DSA STEPPING APERTURE CALIBRATION . . . . . . . . . . . . . . . . . . . . 5–37
Job Card CAL 0 E – APERTURE CALIBRATION FOR MP11 . . . . . . . . . . . . . . . . . . . . . . . . . 5–49
Job Card CAL 0 F – BOLUS/SPIN APERTURE CALIBRATION . . . . . . . . . . . . . . . . . . . . . . . 5–59
Job Card CAL 0 G – DSA STEPPING APERTURE CALIBRATION . . . . . . . . . . . . . . . . . . . . 5–69
Job Card CAL 0 H – DEFAULT PHOTOSPOT APERTURE SETTING . . . . . . . . . . . . . . . . . . 5–81
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TABLE OF CONTENTS (CONT.)
CHAPTER TITLE PAGE
6 IMAGE QUALITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

SECTION 1 – DLX IMAGE QUALITY INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
SECTION 2 – COMMON PROCEDURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
2–1 Accessing the DLX Technical Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
2–2 Using the Box Statistics Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
2–3 Quitting the Technical Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
2–4 Quitting DLXINSTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
2–5 Recording Image Quality Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
2–6 Quitting the DLX Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Job Card IMG 0 A – VASCULAR SYSTEM NOISE CHECK (DLX + VIC) . . . . . . . . . . . . . . . 6-5
Job Card IMG 0 B – SYSTEM NOISE CHECK DLX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Job Card IMG 0 C – DLX BLACK LEVEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Job Card IMG 0 D – BRIGHTNESS UNIFORMITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-27
Job Card IMG 0 E – IMAGE QUALITY MEASUREMENT (MTF) . . . . . . . . . . . . . . . . . . . . . . 6-37
Job Card IMG 0 F – TEMPORAL UNIFORMITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-49
Job Card IMG 0 G – APERTURE CURVE TEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-57
Job Card IMG 0 H – MEASUREMENT CV PHANTOM LEVELS . . . . . . . . . . . . . . . . . . . . . . 6-63
Job Card IMG 0 I – ADJUSTMENTs FOR GE and DISTAR IN ROOM MONITORS . . . . . . . 6-71
Job Card IMG0 J – MULTIFORMAT CAMERA ADJUSTMENT . . . . . . . . . . . . . . . . . . . . . . . 6-79
Job Card IMG 0 N – SCATTER CHECK IN BIPLANE MODE . . . . . . . . . . . . . . . . . . . . . . . . 6–81
Job Card IMG 0 P – CONSOLE ADJUSTMENTS FOR DISTAR MONITORS . . . . . . . . . . . . 6-89
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D THIS SERVICE MANUAL IS AVAILABLE IN ENGLISH ONLY.

WARNING D IF A CUSTOMER’S SERVICE PROVIDER REQUIRES A LANGUAGE OTHER
THAN ENGLISH, IT IS THE CUSTOMER’S RESPONSIBILITY TO PROVIDE
TRANSLATION SERVICES.
D DO NOT ATTEMPT TO SERVICE THE EQUIPMENT UNLESS THIS SERVICE
MANUAL HAS BEEN CONSULTED AND IS UNDERSTOOD.
D FAILURE TO HEED THIS WARNING MAY RESULT IN INJURY TO THE SERVICE
PROVIDER, OPERATOR OR PATIENT FROM ELECTRIC SHOCK,
MECHANICAL OR OTHER HAZARDS.
D CE MANUEL DE MAINTENANCE N’EST DISPONIBLE QU’EN ANGLAIS.

AVERTISSEMENT D SI LE TECHNICIEN DU CLIENT A BESOIN DE CE MANUEL DANS UNE AUTRE
LANGUE QUE L’ANGLAIS, C’EST AU CLIENT QU’IL INCOMBE DE LE FAIRE
TRADUIRE.
D NE PAS TENTER D’INTERVENTION SUR LES ÉQUIPEMENTS TANT QUE LE
MANUEL SERVICE N’A PAS ÉTÉ CONSULTÉ ET COMPRIS.
D LE NON-RESPECT DE CET AVERTISSEMENT PEUT ENTRAÎNER CHEZ LE
TECHNICIEN, L’OPÉRATEUR OU LE PATIENT DES BLESSURES DUES À DES
DANGERS ÉLECTRIQUES, MÉCANIQUES OU AUTRES.
D DIESES KUNDENDIENST–HANDBUCH EXISTIERT NUR IN

ENGLISCHER SPRACHE.
WARNUNG
D FALLS EIN FREMDER KUNDENDIENST EINE ANDERE SPRACHE BENÖTIGT,
IST ES AUFGABE DES KUNDEN FÜR EINE ENTSPRECHENDE ÜBERSETZUNG
ZU SORGEN.
D VERSUCHEN SIE NICHT, DAS GERÄT ZU REPARIEREN, BEVOR DIESES
KUNDENDIENST–HANDBUCH NICHT ZU RATE GEZOGEN UND VERSTANDEN
WURDE.
D WIRD DIESE WARNUNG NICHT BEACHTET, SO KANN ES ZU VERLETZUNGEN
DES KUNDENDIENSTTECHNIKERS, DES BEDIENERS ODER DES PATIENTEN
DURCH ELEKTRISCHE SCHLÄGE, MECHANISCHE ODER SONSTIGE
GEFAHREN KOMMEN.
D ESTE MANUAL DE SERVICIO SÓLO EXISTE EN INGLÉS.

AVISO D SI ALGÚN PROVEEDOR DE SERVICIOS AJENO A GEMS SOLICITA UN IDIOMA
QUE NO SEA EL INGLÉS, ES RESPONSABILIDAD DEL CLIENTE OFRECER UN
SERVICIO DE TRADUCCIÓN.
D NO SE DEBERÁ DAR SERVICIO TÉCNICO AL EQUIPO, SIN HABER
CONSULTADO Y COMPRENDIDO ESTE MANUAL DE SERVICIO.
D LA NO OBSERVANCIA DEL PRESENTE AVISO PUEDE DAR LUGAR A QUE EL
PROVEEDOR DE SERVICIOS, EL OPERADOR O EL PACIENTE SUFRAN
LESIONES PROVOCADAS POR CAUSAS ELÉCTRICAS, MECÁNICAS O DE
OTRA NATURALEZA.
iii
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D ESTE MANUAL DE ASSISTÊNCIA TÉCNICA SÓ SE ENCONTRA

DISPONÍVEL EM INGLÊS.
ATENÇÃO
D SE QUALQUER OUTRO SERVIÇO DE ASSISTÊNCIA TÉCNICA, QUE NÃO A
GEMS, SOLICITAR ESTES MANUAIS NOUTRO IDIOMA, É DA
RESPONSABILIDADE DO CLIENTE FORNECER OS SERVIÇOS DE TRADUÇÃO.
D NÃO TENTE REPARAR O EQUIPAMENTO SEM TER CONSULTADO E
COMPREENDIDO ESTE MANUAL DE ASSISTÊNCIA TÉCNICA.
D O NÃO CUMPRIMENTO DESTE AVISO PODE POR EM PERIGO A SEGURANÇA
DO TÉCNICO, OPERADOR OU PACIENTE DEVIDO A‘ CHOQUES ELÉTRICOS,
MECÂNICOS OU OUTROS.
D IL PRESENTE MANUALE DI MANUTENZIONE È DISPONIBILE

SOLTANTO IN INGLESE.
AVVERTENZA
D SE UN ADDETTO ALLA MANUTENZIONE ESTERNO ALLA GEMS RICHIEDE IL
MANUALE IN UNA LINGUA DIVERSA, IL CLIENTE È TENUTO A PROVVEDERE
DIRETTAMENTE ALLA TRADUZIONE.
D SI PROCEDA ALLA MANUTENZIONE DELL’APPARECCHIATURA SOLO DOPO
AVER CONSULTATO IL PRESENTE MANUALE ED AVERNE COMPRESO IL
CONTENUTO.
D NON TENERE CONTO DELLA PRESENTE AVVERTENZA POTREBBE FAR
COMPIERE OPERAZIONI DA CUI DERIVINO LESIONI ALL’ADDETTO ALLA
MANUTENZIONE, ALL’UTILIZZATORE ED AL PAZIENTE PER
FOLGORAZIONE ELETTRICA, PER URTI MECCANICI OD ALTRI RISCHI.
iv
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REVISION HISTORY
REV DATE REASON FOR CHANGE

0 February, 1998 Initial revision.
LIST OF EFFECTIVE PAGES
PAGE REVISION PAGE REVISION PAGE REVISION

NUMBER NUMBER NUMBER NUMBER NUMBER NUMBER
Title page 0
i thru vi 0
5–1 thru 5–90 0
6–1 thru 6–96 0
NUMBER FORMAT REVISION

2198945-100TPH A4 0
v
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Blank page
vi
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CHAPTER 5 – CALIBRATION
SECTION 1
CALIBRATION STEERING
1–1 Vascular Calibration
ADX–E/ADX
DEFAULT VASCULAR PERFORM JOB CARD CAL 0 B

APERTURE SETTING
OPTIONS:
ADX–E
FOR THE OPTION DSA STEPPING
DSA MP E2 APERTURE SETTING MP E2 PERFORM JOB CARD CAL 0 D
ADX
DSA STEPPING MP12 PERFORM JOB CARD CAL 0 G
APERTURE SETTING MP 12
ADX
DSA MP 11 PERFORM JOB CARD CAL 0 E
APERTURE SETTING MP 11
ADX–E
FOR THE OPTION BOLUS/SPIN
BOLUS/SPIN APERTURE SETTING PERFORM JOB CARD CAL 0 F
ADX–E
FOR THE OPTION PHOTOSPOT
PHOTOSPOT APERTURE SETTING PERFORM JOB CARD CAL 0 H
1–2 Cardiac Calibration
ADX–E/ADX
DEFAULT CARDIAC
PERFORM JOB CARD CAL 0 C
APERTURE SETTING
1–3 Software Aperture Calibration
The Software Aperture Calibration Curve procedure, CAL 0 A, only needs to be performed if
criteria are not met in the IMG 0 G procedure.
5–1
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1–4 For Biplane
Repeat for each plane as done for monoplane. Job card CAL 0D, CAL 0F and CAL 0G won’t
be performed on the lateral plane since bolus chasing, DSA stepping and SPIN are available
only on the frontal plane.
Check that the SOD of the lateral X ray tube is set at 70 cm (minimum SOD) when
CAUTION performing any JOB CARD on the lateral subsystem.
Note: For lateral calibration, set the x–ray beam in the same direction as the one described in the
JOB CARD for the frontal plane
Note: With the SOD set at 70 cm on the lateral plane, the configuration is similar to the frontal
configuration and JOB CARD are valid as well for calibrating or verifying the lateral
plane.
5–2
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SECTION 2
CALIBRATION PROCEDURES
2–1 System Set-up
SOD SID
ÉÉÉÉÉÉÉÉÉÉÉÉÉ
OBJECT TABLE PANEL

OR
30 cm (12”)
Cu 30 cm (12”)
ÉÉÉÉÉÉÉÉÉÉÉÉÉ ÉÉÉÉÉÉÉÉÉÉ
Alu
plexiglass
Table top at isocenter and X–Ray tube at minimum SID Table top at isocenter and X–Ray
Tube at minimum SID
Cu
Min SID
2–2 Technical Menu Selections
Click on Technical Menu in the DLX Others Menu to access the Tech Menu function.
Click on EXIT to quit the Technical Menu function.
5–3
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Blank page
5–4
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ADVANTX DLX CALIBRATION Job Card CAL 0 A 1 of 10
Purpose: SOFTWARE APERTURE CALIBRATION Version No.: 1

CURVE Date: 11–95
Time: 1 hour Personnel: 1
PROCEDURE SYNOPSIS
Note: THE DETAILED PROCEDURE BEGINS ON PAGE 3 OF THIS JOB CARD.
PURPOSE To build a look–up table repeating the function dose = f (aperture) for a constant
brightness on the PUT in progressive scan mode (512 and 1024).
SET–UP Positioner Grid IN / PA / Table = ISO / collimator in Auto mode /

II = 12” (30cm) above table top (Isocenter) /
X–ray tube at minimum SID
Advantx VASC 512 / NO SUB / FS small or medium / FOV 9 inch (22 cm) /
70 KVp / 160 mA / Dose D / Segment # 1,2,3 is 1 i/s for 5.0s
DLX Be ready for ACQ on patient before entering TECHMENU
Techmenu / AEC = OFF / 10 bits / Level Adjust = ON / NDF =ON
Set Iris Aperture to 100 / 40 ms exposure time
Box Stat default: 50 x 50
Phantom 1/4” thick aluminum plate filtration + 1/32” copper plate filtration,
or 2mm of copper
PROCEDURE 1– Take repeated exposures, the adjust kVp, mA and exposure time (for final adjustment
should be ≥ 25ms) to obtain a mean value equal to 250 ± 3.
2– Click on ACC Table – Iris Aperture is set to 100.
3– Store the final value in the STORE field: DLX increments the aperture to 110.
4– Take an exposure with the same parameters.
5– Store the value for this aperture position: DLX increments the aperture to the next
position (increment plus 10).
6– Repeat steps 4 and 5 until DLX displays the complete aperture curve table.
7– Click on EXIT to quit.
RESULTS The entire ACC table is displayed with variations of less than 1% after
approximately 330.
ACTIONS This procedure is not mandatory. Refer to IMG 0 G for the ACC test.
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SOFTWARE APERTURE CALIBRATION CURVE

Job Card CAL 0 A 2 of 10
Blank page
5–6
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DETAILED PROCEDURE
The purpose of this calibration procedure is to build a Progressive Scan Aperture Look–up table that
correctly represents the gamma correction function of the Advantx Pick–up Tube.
SECTION 1
DESCRIPTION
The Software Aperture Calibration Curve is used by the DLX Application software to automatically
choose the correct aperture setting after a trial exposure to ensure that proper Peak Video levels are
maintained during subsequent exposures.
The Peak Video (scaled at 0 to 255) versus delta Aperture Step table is used by the system software to
project a Mask Peak Video from a Trial Peak Video, and to calculate the recommended aperture change.
This table is only used in progressive–scan, low gain operations (DLX 512 or 1024 Vascular acquisitions).
The functions resulting from Peak Video to Aperture are nonlinear and provide correction for the gamma
characteristics of the Advantx VIC TV Pick–up Tube.
SECTION 2
SYSTEM USAGE
The DLX System Application Software database provides the operator with an initial aperture position
based on the operator selected Dose. (Refer to Job Card CALO B for setting this initial Aperture position in
the Vascular mode).
During a DLX 512 or 1024 Vascular acquisition,the Aperture position is recalculated and automatically
reset after a trial exposure. After each subsequent DLX 512 Vascular or 1024 Vascular Trial exposure, the
Aperture position is recalculated and automatically reset based on the Mean Value measured in the DLX
generated ROI (Region of Interest) window.
SECTION 3
WHEN TO PERFORM PROCEDURE
The Peak Video versus delta Aperture step is not a linear function and is unique to each Advantx/DLX
System. Therefore, we recommend that you generate a new Software Aperture Calibration Curve
whenever you replace the TV Camera Pick–up Tube, or when you have recalibrated the Advantx VIC and
haved not passed the IMG 0 G procedure.
SECTION 4
TOOLS REQUIRED
+ 1/4 inch thick aluminum plate filtration
+ 1/32 inch thick copper plate filtration
or, 2 mm copper
5–7
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SECTION 5
PROCEDURE
5.1 Boot Advantx Application and make these softkey selections on the Advantx Console
D DLX VASCULAR – TECHNIQUES

– 70 kVp
– 160 mA
– Dose D
– Focal spot small or medium
– FOV – 9 inch Field of View (22 cm)
– Segment #1, 2, 3 is 1 i/s for 5.0s
D DLX VASCULAR MODE SELECTIONS
– 512 Line Display
– 40 ms
– NO SUB Image Display
Note: To be done for each plane in a Biplane system.
5.2 System Set–Up
– PA = posterior anterior.
– Set collimator blades to fully open.
– Set table top at Isocenter.
– Place a 1/4 inch aluminum plate, and 1/32 inch copper plate, on top of the collimator (Vascular
Systems) or on the table top centered in FOV (R and F Systems). Place copper closest to the Image
Intensifier.
– Adjust the Image Intensifier to 12 inches (30 cm) above table top.
– Set the X–ray tube to the minimum SID (Vascular Systems).
5.3 Start the Application
1. Boot the DLX. Login: dlx <cr>. The PATIENT BROWSER FROM DISK screen appears. Refer to
the DLX Operator’s Manual for instructions on booting the DLX, and selecting DLX screens.
2. Click on NEW PATIENT.
3. Create a new patient and enter an identification number.
4. Click on START EXAM.
5–8
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5.4 Boot the DLX Technical Menu
1. Access the Technical Menu. See the Chapter 6 Introduction for more information on the Technical
Menu.
2. Edit the Technical Menu as follows:
– 10 Bits,
– AEC = OFF.
100
Note: When you perform a prep, the Iris Ref. automatically goes to the default value.
5–9
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5.5 Adjust DLX Roi Box
1. Click on CAMERA CENTER in the Technical Menu to center,

by default, the DLX ROI box on the monitor image.
Click again on CAMERA CENTER to cancel the function.
2. Click on STATISTICS, and select BOX STATS.

3. Use the mouse to adjust the ROI box size on the 50 mm
square displayed on DLX Console Image monitor (*).
4. When the box is adjusted, use the mouse to exit from

the Box Statistics function (*).
(*) Use screen information.
5.6 Prep/Expose Switch Usage
During the following steps you must fully release the PREP switch between exposures to continue with the
next exposure.
5.7 Pick–Up Tube Image “fold–over” Misregistration
Due to the brightness response characteristics of the Advantx VIC TV Pick–up Tube, the Pick–up Tube
tends to “fold–over” the image if the image on the tube is too bright. You may notice this during the
following step when you increase the exposure time and the DLX System indicates a decrease in the mean
value. Normally an increase in exposure time results in an increase in the mean value displayed.
To avoid this misregistration, always approach the desired 98% mean value from a lower value (or dimmer
image). If the mean value is too high, reduce the exposure time and continue the step approaching the
correct mean value using a dimmer image.
Note: If 98%, or 250 ± 3 LSB, cannot be reached, recalibrate the VIC.
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5.8 Correct Starting Point For Curve
During the following procedure, start building the Aperture Calibration Curve for the DLX System at 98%
(250 ± 3) Mean Value. If you start building the curve at mean values outside of this range, the curve will not
properly correct Aperture positions during Application software acquisition sequences.
Be sure that the first mean value (Aperture position 100) that you store is 250 ± 3.
5.9 Establish First Position On Aperture Curve
Establish an Advantx DLX System set–up that yields a 250 ± 3 mean value on the DLX Console Image
monitor Density Histogram display for the first exposure (Aperture position 100).
– Take a single Mask exposure using the Advantx Console handswitch.

– Click on LEVEL ADJUST in the Technical Menu to display the mean value on the DLX Console
Image monitor. Note the Density Histogram mean value displayed. If the mean value is 250 ± 3,
skip to step 5.12. If not, go on to step 5.10.
5.10 Exposure Time Adjustments
1. Disable the AEC mode in Technical Menu by clicking on AEC. The icon will be gray.
– Type: 40 <cr>.
– To increase the mean value during the following exposure, increase the exposure time.
– To decrease the mean value during the following exposure, decrease exposure time.
– Do not select an exposure time that is less than 25msec.
2. Continue taking repeated Mask exposures and adjusting the exposure time until the mean value is as
close as possible to 250.
Note: If required, make one or more of the following adjustments and continue taking Mask exposures
until mean value is 250.
Keep the system set–up as close as possible to the customer’s usage.
– kVp (coarse adjust) final setting

– mA (medium adjust) final setting
– Filtration (medium adjust) final set–up (Cu, Al, plexiglass)
– SID (fine adjust) final setting
Do not change the system set–up once you have established a mean value of 250 for the first exposure
(Aperture position 100). Since the DLX System interpolates between data points (aperture positions),
changing this reference will corrupt the accuracy for the remaining data points.
5–11
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5.11 Store Values
1. With the mouse, click on ACC TABLE.

2. Take a single Mask exposure with the hand switch.
3. Click on STORE in the APERTURE CALIBRATION CURVE window to store the mean value for
Aperture position 100. The DLX System will automatically increment the Iris Aperture value to 110.
4. Take a single Mask exposure and click on STORE to store the mean value for Aperture position 110.
The DLX System automatically sets the Technical Menu for the next Aperture position (120).
5. Continue taking exposures and loading mean values for each higher aperture position that the DLX
System prompts for (between 25 and 30 steps). While taking exposures and storing values, do the
following:
– Take a single Mask exposure for each Aperture position.
– Click on STORE to store the mean values.
– The DLX System is automatically setting the Technical Menu Screen for the next Aperture
position.
5.12 Termination
The DLX System automatically indicates that it has had enough aperture position mean values and has
completed the curve building. This occurs when the mean values change by less than 1% between aperture
positions.
– You can tell that the system has enough values when you click on STORE, and the new Aperture
Calibration Curve table is displayed on the DLX Console Image monitor.
– Click on END to close the APERTURE CALIBRATION CURVE window.
5.13 Verification
Click on ACC TABLE to check the Aperture

Calibration Curve Table.
– As the aperture (Iris) positions increase, mean

values should decrease, in a normal, sequential
progression.
– You may notice that the mean values are
relatively constant around the 24th Aperture
Position in the table (Iris Position 370).
This is normal and represents the point at
which the DLX System stopped taking
mean values during the Aperture
Calibration Curve Procedure.
5–12
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5.14 Record Table
Record the Aperture Calibration Curve table displayed on the DLX Console Image monitor in the SCAT
Report (Test Data Results).
5.15 Exit Technical Menu
Click on EXIT to quit the Technical Menu function.
5–13
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Blank page
5–14
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ADVANTX DLX CALIBRATION Job Card CAL 0 B 1 of 12
Purpose: DEFAULT VASCULAR APERTURE SETTING Version No.: 1

Date: 11–97
Time: 30 min Personnel: 1
PROCEDURE SYNOPSIS
Note: SEE PAGE 3 OF THIS JOB CARD FOR THE DETAILED PROCEDURE.
PURPOSE To calibrate the default Iris Aperture/NDF position used in the 512/1024 Vascular modes
for each dose selection.
SET–UP Positioner Grid IN / PA / Table = ISO / II 12”(30cm) above table top /

collimator in Auto mode / X–ray tube at minimum SID
Advantx DSA–NO STEP perform for both 512 and 1024 / NOSUB /
FS = small or medium / FOV 22 cm (9 inch) / 70 kVp / (depending on
adjustment) start with100 mA / SEGMENT # 1 = 1 i/s for 5 s
Techmenu / AEC = ON / 10 bits / Level Adjust = ON
Iris ref = **see Note below
Phantom From CV phantom: 2 1/4” plexiglass + 1/4 inch thick aluminum plate
filtration + 1/32 inch thick copper plate filtration,
or 2mm copper
Note: Perform a prep; the Iris Ref. automatically goes to the default
values. Refer to the Iris Reference Table in Section 5.7 (i.e. the
first value for Dose D 512 is 360 with NDF = ON).
PROCEDURE 1– Select Dose A/512 on Advantx Console.
2– Press the Exposure button to update the Dose on the Tech Menu to match that of the
Advantx.
3– Take repeated exposures and adjust mA/Focal spot/ and kVp to obtain 40 ± 15 ms
exposure time.
4– Adjust the Iris Aperture value and set NDF position, if necessary, to obtain a Mean
Value equal to 80 ±3 LSB, for the LCA system, on the fourth image doing successive
runs of 4 exposures.
5– Store the final aperture Value (click on STORE IRIS).
6– Repeat steps 1 to 5 selecting VASC 1024.
7– Repeat steps 1 to 6 selecting successively dose B, C and D (see the Iris Reference
Table in Section 5.7 for values).
RESULTS Record final Aperture values and Neutral Density Filter positions in the SCAT Report
(Test Data Results).
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DEFAULT VASCULAR APERTURE SETTING

Job Card CAL 0 B 2 of 12
Blank page
5–16
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DETAILED PROCEDURE
The purpose of this calibration is to determine and load initial aperture values for a particular Vascular
acquisition Dose selection (Dose A through D for both 512 and 1024 acquisitions). In addition, this
procedure can be used to determine the proper positioning of the Neutral Density Filter for optimum
aperture performance.
SECTION 1
DESCRIPTION
The default Vascular aperture values are used by DLX Application software to initially set the aperture
position to the value determined during this procedure for a given Dose and 512/1024 display selection.
Determining and loading these initial aperture values helps reduce the number of Trial exposures required
to determine an aperture position that will provide 80 ± 3 LSB as a mean value for a particular study.
SECTION 2
SYSTEM USAGE
The DLX System database provides the operator with an initial recommended aperture position based on
the selected Dose and 512/1024 display selection.
During a Vascular acquisition, the aperture position is recalculated and is automatically reset after a trial
exposure. After each subsequent Vascular Trial exposure, the aperture position is recalculated and reset
automatically based on the mean value measured in the DLX ROI (Region of Interest) window.
SECTION 3
Peak Video versus delta aperture step is not a linear function and is unique to each Advantx/DLX System.
Therefore, we recommend that you generate a new Software Aperture Calibration Curve whenever you
replace the TV Camera Pick–up Tube or recalibrate the Advantx VIC.
SECTION 4
TOOLS REQUIRED
2 1/4” plexiglass from CV phantom
or, 2 mm copper
5–17
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SECTION 5
PROCEDURE
5.1 Boot the Advantx Application and make the following soft key selections on the Advantx Console
DLX VASCULAR, OR DSA NO STEP for MP12
D TECHNIQUES
– Start with Dose A
– 70 kVp
– Depends on the adjustment (start with 100 mA)
– Focal spot depends upon the tube (small or medium)
D DLX VASCULAR MODE SELECTIONS
– 9 inch Field of View (22 cm)
5.2 Set–up system
Set–up the system as follows:
– Set collimator blades fully open (field size).
– Place the CV phantom filtration on the table top or, if using the 2 mm of Cu, place the Cu on the
collimator.
– Set X–Ray Tube (Vascular Systems) to the minimum SID.
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5.3 Start the DLX Application
1. Login: dlx <cr>. The PATIENT BROWSER FROM DISK screen appears. Refer to the DLX
Operator Manual for information on the DLX application, and selecting DLX screens.
4. Click on NEW EXAM.
5.4 Access the DLX Technical Menu
D Select Technical Menu in the DLX pop–up Main Menu.
5.5 Edit the DLX Technical Menu
D Select the following in the Technical Menu:

– Level Adjust: ON,
– AEC: ON,
– 10 bits.
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The Technical Menu:
***
Note: ***Perform a prep; the Iris Ref. automatically goes to the default value. See the Iris Reference
Table in Section 5.7.
1. Click on CAMERA CENTER in the Technical Menu to center, by default, the

DLX ROI box on the monitor image.
3. Use the mouse to adjust the ROI box size to a 50 mm square

on DLX Console Image monitor (*).
4. When the box is adjusted, use the mouse to
exit from the Box Statistics function (*).
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5.7 Entering Aperture and ND Filter Values
During this procedure, the DLX System uses the Aperture and Neutral Density Filter values entered in the
IRIS APERTURE and ND FILTER fields displayed on the Technical Menu Screen to determine Advantx
System Aperture position and Neutral Density Filter position.
Therefore, throughout this procedure you must enter values in the IRIS APERTURE field and select the
proper ND FILTER (ON or OFF) to start each vascular dose for 512 and 1024.
Please refer to the following table for the default values to be entered when beginning a calibration.
Note: The defaults values depend on the calibrated systems. The defaults values for a LCA are not exactly the
same as for a LC+ (LC/LP+) or a LCV+ (LCN+). Select in the following tables the one which
corresponds to the system being calibrated.
TABLE 1
Iris Aperture ND Filter

Dose
512 1024 512 1024
DEFAULT VALUES A 365 329 ON OFF
FOR 40 cm Image
Intensifier B 116/566 43/493 ON ON
C 218/658 167/617 ON ON
D 279/729 238/688 ON ON

Dose
512 1024 512 1024
DEFAULT VALUES A 67/517 394 ON OFF
FOR 32 cm Image
C 264/714 218/668 ON ON
D 339/789 287/337 ON ON

Dose
512 1024 512 1024
DEFAULT VALUES A 83/533 43/493 ON OFF
FOR 22 cm Image
C 286/736 240/690 ON ON
D 358/808 312/762 ON ON
Note: It is known that the iris values obtained after calibration can be very different from one system to one
another (because of actual II conversion factor or PUT sensitivity). Thus big differences between
default values and calibrated values can be observed on no broken systems and without miscalibration.
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These values reflect an Aperture position in tenths (from 0 to 440 corresponding to actual Advantx
Aperture positions from 0 to 44) and the position of the ND Filter. If ND Filter is selected, the DLX System
adds a value of 450 to the Aperture position value.
Examples:
– If the DLX System requires the Advantx System VIC to set the Aperture at position 23 and bring
in the ND Filter for Vascular Dose C, 512 Display, the Iris Value field parameter field will display
a value of 680 (Aperture position 230 and 450 to reflect that the ND Filter is in the light field). To
properly start this procedure for Vascular Dose C, 512 Display enter the value 230 in the Iris
Aperture field and select ON in the Technical Menu ND Filter field.
– If the DLX System requires the Advantx System VIC to set the Aperture at position 36 and leave
out the ND Filter for Vascular Dose A, 512 Display, the Iris Value field parameter field will display
a value of 360 (Aperture position 360 and 0 to reflect that the ND Filter is not in the light field).
To properly start this procedure for Vascular Dose A, 512 Display enter the value 360 in the Iris
Aperture field and select OFF in the Technical Menu ND Filter field.
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Due to brightness response characteristics of the Advantx VIC Image TV Pick–up Tube, the Pick–up Tube
following steps when you decrease the Aperture Value and the DLX System indicates a decrease in the Peak
Video display. Normally a decrease in Aperture value results in an increase in Peak Video display.
To avoid this misregistration, approach the desired mean value of 80 ± 3 LSB from a lower value (or
dimmer image). If the mean value is too high, increase the Aperture value and continue the procedure
approaching the correct mean value from a dimmer image.
5.9 Neutral Density Filter Usage
We recommend that you keep Aperture values for all Doses, 512 or 1024 Display, at at least 8 Aperture
steps (80) from Aperture range extremes (0 to 44) to keep selected Apertures in the middle of the Aperture
operating range. Use the ND Filter to maintain this requirement, if necessary.
Examples:
– To get an Iris Aperture value Aperture position that is greater than 360 with the ND Filter set to
OFF (Iris Value of 360) with a mean value of 80 ± 3 LSB for either 512 or 1024 Display of Doses
A, B, C, or D then:
Select ON as the ND Filter selection (filter in) in the Technical Menu screen for the affected Dose
and 512 or 1024 Display, and repeat the step that determines the correct Aperture position for the
affected Dose and 512 or 1024 Display.
– To get an Iris Aperture value Aperture position that is less than 80 with the ND Filter set to ON
(Iris Value of 530) with a mean value of 80 ± 3 LSB for either 512 or 1024 Display of Doses A,B,C
or D then:
Select OFF as the ND Filter selection (filter out) on the Technical Menu screen for the affected
Dose and 512 or 1024 Display, and repeat the step that determines the correct Aperture position
for the affected Dose and 512 or 1024 Display.
Note: In the case of you cannot adjust the iris aperture neither with NDF ON nor with NDF OFF to obtain
the right mean value, prefer to select NDF ON and adjust iris aperture to reach this mean value (this
case could happen very rarely).
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5.10 Dose A 512 Display, Aperture
Determine a Dose A, 512 Display, Aperture Setting that yields a mean value of 80 ± 3 LSB during a
Vascular Dose A, 512 Display Mask exposure.
1. Select Vascular Dose A, 512 Display on the

Advantx Console.
2. Set LEVEL ADJUST to ON in the Technical Menu
to display the mean value on the monitor screen.
3. Check that the AEC mode is selected in the

Technical Menu (area will be gray).
4. Press the PREP button on the handswitch.

5. Click on the IRIS APERTURE field and enter the
default value corresponding to Dose A 512 matrix.
Refer to Table 1.
6. Take repeated Mask exposures, using the Advantx Console handswitch, and adjust the mA until the
Advantx Console displays an exposure time of 40 mSec ± 15 mSec.
7. Take four successive Vascular Dose A, 512 Display Mask exposures.
Note: It is essential to make the measurement on an image in steady state, i.e. fourth image. Never calibrate
on a single shot image.
5.11 Mean Value Dose A, 512 Display
If the mean value in the LEVEL ADJUST screen is not 80 ± 3 LSB, STD DEV=
MEAN=
record the value and go on to step 5.12. PEAK=
If the mean value in the LEVEL ADJUST screen is 80 ± 3 LSB, skip to
step 5.13.
5.12 Aperture Value
1. Use the mouse to adjust iris aperture value in the Technical Menu.
Click on the IRIS APERTURE field and use the keyboard to enter a new Iris Aperture value. Larger
Aperture values result in lower mean values. Smaller Aperture values result in higher mean values.
2. Repeat step 7. in section 5.10 until the mean value for vascular the Dose A, 512 Display is 80 ± 3 LSB.
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5.13 Final Iris Aperture value storage
Click on Store to store the final Aperture value for the Vascular Dose A, 512 display.
IRIS
The Iris Aperture value should be displayed in the Iris Aperture table field of the Technical Menu.
– Click on IRIS to view the Iris

TABLE
Aperture table.
Record final Aperture value and Neutral Density
Filter position for Vascular Dose A, 512 Display
in the “DATA RECORDS” section of the
Service Manual.
5.14 Dose A 1024 Display Aperture
Determine a Dose A, 1024 Display Aperture Setting that yields a mean value of 80 ± 3 LSB during a
Vascular Dose A, 1024 Display Mask exposure.
1. Select Vascular Dose A, 1024 Display on the Advantx Console.

2. Select the AEC mode in the Technical Menu (area will be gray).
3. Press the PREP button on the handswitch to update the Dose value on the DLX Technical Menu.
4. Click on the Iris Aperture field and enter the default value corresponding to DOSE A 1024 matrix.
Advantx Console displays an exposure time of 40 ±15 mSec.
6. Take four Vascular Dose A, 1024 Display Mask exposures.
7. Set LEVEL ADJUST to ON in the Technical Menu to display the mean value on the monitor screen.
8. Adjust the IRIS APERTURE to obtain a mean value of 80 ± 3 LSB.
9. Click on STORE IRIS to store the iris value.
5.15 Other Doses Aperture Adjustment
Repeat these steps (above) for Doses B, C, and D for both 512 and 1024 Matrix.
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Blank page
5–26
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ADVANTX DLX CALIBRATION Job Card CAL 0 C 1 of 10
Purpose: DEFAULT CARDIAC APERTURE SETTING Version No.: 1

Date: 03–97
PROCEDURE SYNOPSIS
PURPOSE To calibrate the default Iris Aperture/NDF position used in CARDIAC mode for each
dose selection.

Advantx DLX CARDIAC/ Focal spot = medium or small / FOV 6” (16 cm) /
70 kVp / pulse width 10ms
Techmenu / Level Adjust = ON / 8 Bits / AEC = ON
Iris ref. = ***See Note / NDF filter = ON
Phantom From CV phantom: 2 1/4” plexiglass + 1/4 inch thick aluminum plate
filtration + 1/32 inch thick copper plate filtration,
or 2 mm copper
value. Refer to the Iris Reference Table in Section 3.6 (i.e. the
first value for Dose D is 170 with the ND filter = ON).
PROCEDURE 1– On the Advantx Console select Dose A / DENS QUANT = OFF.
2– In the DLX Technical Menu enter the Iris Aperture for Dose A Cardiac default.
3– Take repeated 2–3 s runs, using the Exposure button, and adjust the focal spot (or
kVp) to obtain an exposure time between 3 ms and 9ms.
4– Adjust Iris Aperture value to obtain a mean value equal to 98 ± 2 LSB on the last
image, doing successive runs.
5– Store the final Aperture Value.
6– Repeat steps 1 to 5 successively selecting Dose B, C, D and Cine.
RESULTS Record final aperture values in the SCAT Report (Test Data Results).
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DEFAULT CARDIAC APERTURE SETTING

Job Card CAL 0 C 2 of 10
Blank page
5–28
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DETAILED PROCEDURE
The purpose of this calibration procedure is to determine and load initial Aperture values for a particular Dose
selection (dose A through D, Cardiac and Cine) during subtracted DLX acquisitions.
Note: These Aperture values are used as a fixed Aperture for a particular Dose selection (Dose A through D,
Cardiac with Cine) during DLX Cardiac acquisitions in normal mode. In addition, this procedure can
be used to determine the proper positioning of the Neutral Density Filter for optimum Aperture
performance during any type of Cardiac acquisition.
SECTION 1
DLX CARDIAC WITHOUT DENS QUANT ACQUISITIONS
The Default Cardiac Aperture values are also used by DLX Application software without DENS QUANT
(ABC loop engaged). During these acquisition modes, selecting a particular Dose fixes the Aperture position
to the value determined for the selected Dose.
Because the Advantx DLX System does not perform an Aperture adjustment during any Trial sequence
without DENS QUANT (ABC loop engaged) selected, this Aperture position is not corrected for optimum
Peak Video.
SECTION 2
TOOLS REQUIRED
or 2 mm copper plate
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SECTION 3
PROCEDURE
3.1 Boot the Advantx Application Software and make the following Advantx Console soft key
selections
DLX CARDIAC
D TECHNIQUES
– 70 kVp
– Select PW (pulse width) at 10 ms
– Focal spot small or medium (depends on the tube)
– DLX CARDIAC MODE SELECTION
– DENS QUANT: OFF
– 6 inch Field of View
3.2 System Set–up
D Set–up the system as follows:

– Place the CV Phantom filtration on the table top (or the 2 mm copper plates on the collimator) and,
using FLUORO, center it in the Field of View.
– Adjust the Image Intensifier to 12 inches (30 cm) above the table top.
– Set the X–ray tube to the minimum SID (Vascular Systems).
3.3 Start Application and Edit the DLX Technical Menu
1. Login: dlx <cr>. The PATIENT BROWSER FROM DISK screen appears. Refer to Job Card VF1
and the DLX Operator Manual for information on the DLX application, and selecting DLX screens.
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3.4 Access Tech Menu
Access the Technical menu and make the following menu selections:
– AEC ON
– Level Adjust = ON,
– Box Stat default: 50 x 50,
– NDF = ON.
***
Note: ***Perform a prep; the Iris Ref. automatically goes to the default value. See the Iris Reference Table
in Section 3.6 (i.e. the first value for Dose D is 170 with ND filter ON).
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1. Click on CAMERA CENTER to center, by default, the

3. Use the mouse to adjust the ROI box size to a 50 mm
square on DLX Console Image monitor (*).
4. When the box is adjusted, use the mouse
to exit from the Box Statistics function (*).
3.6 Enter Aperture and ND Filter Values
During this procedure, the DLX System uses the Aperture and Neutral
Density Filter values entered in the IRIS APERTURE and
ND FILTER fields displayed on the Technical Menu Screen to
determine Advantx System Aperture position and Neutral
Density Filter position.
Please refer to the Table 1 for default values already entered when beginning the calibration.
TABLE 1
IRIS APERTURE DEFAULT VALUES

D
Dose
512 0N OFF
A 330 X
B 100/550 X
C 140/590 X
D 170/620 X
Cardiac + Cine 240 X
These values reflect an Aperture position in tenths (from 0 to 440 corresponding to actual Advantx Aperture
positions from 0 to 44) and the position of the ND Filter. If ND filter is selected, the DLX System adds a value
of 450 to the Aperture position value.
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Examples:
– If the DLX System needs the Advantx System VIC to set the Aperture to position 14 and include the ND
Filter for cardiac Dose C, 512 Display, the Iris Value field parameter field will display a value of 590
(Aperture position 140 and 450 to reflect that the ND Filter is in the light field). To start this procedure
for cardiac Dose C, 512 Display enter 140 in the Iris Aperture field and select ON in the Technical Menu
ND Filter field.
– If the DLX System needs the Advantx System VIC to set the Aperture at position 33 and to omit the
ND Filter for cardiac Dose A, 512 Display, the Iris Value field parameter field will display a value of 330
(Aperture position 330 and 0 to reflect that the ND Filter is not in the light field). To start this procedure
for cardiac Dose A, 512 Display, enter 330 in the Iris Aperture field and select OFF in the Technical
Menu ND Filter field.
Note: In this procedure the maximum mean value is 98 ± 2 LSB.
Due to the brightness response characteristics of the Advantx VIC TV Pick–up Tube, the Pick–up Tube tends
to “fold–over” the image if the image on the tube is too bright. You may notice this during the following steps
when you decrease the Aperture Value and the DLX System indicates a decrease in the mean value display.
Normally a decrease in Aperture value results in an increase in the displayed mean value.
To avoid this misregistration, approach the desired maximum mean value indication from a lower value (or
approaching the correct mean value with a dimmer image.
We recommend that you keep Aperture values for all Doses (512 or 1024 Display) at least 8 Aperture Steps
(80) from Aperture range extremes (0 to 44) in order to keep all selected Apertures in the middle of the
Examples:
– For an Iris Aperture position that is greater than 360 with the ND Filter OFF (Iris Value of 360) to obtain
a mean value = 98 ± 2 LSB for 512 Display only for Doses A,B,C, D or Cardiac and Cine then:
Select ON in the Technical Menu ND Filter field (filter in) for the affected Dose, and repeat the steps
that determine the correct Aperture position for this Dose.
– For an Iris Aperture position that is less than 80 with the ND Filter ON (Iris Value of 530) to obtain a
mean value = 98 ± 2 LSB for Doses A,B,C, D or Cardiac and Cine, then:
Select OFF in the ND Filter field (filter out) of the Technical Menu for the affected Dose and repeat the
steps that determine the correct Aperture position for this Dose.
Note: In the case of you cannot adjust the iris aperture neither with NDF ON nor with NDF OFF to obtain
the right mean value, prefer to select NDF ON and adjust iris aperture to reach this mean value (this
case could happen very rarely).
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3.9 DOSE A Aperture
Determine an Aperture Setting that yields a mean value of 98 ± 2 LSB during a Cardiac Dose A acquisition.
1. Select Cardiac Dose A on the Advantx Console.

2. Select the Technical Menu AEC mode (area will be gray).
3. Take a PREP exposure.
4. Position the cursor in the IRIS APERTURE field; delete the existing value, if necessary, and enter the
5. Take a Cardiac Dose A acquisition using the Advantx Console handswitch.
6. Check the mean value on the monitor screen.
7. Check that the exposure time is greater than 3 ms (3 ms ≤ time ≤ 9ms). If it is not, modify the the kVp or
the focal spot.
Note: It is essential to do this calibration on an image in steady state, after about 2 seconds. Never calibrate
iris on an image at the beginning of the acquisition.
3.10 Mean value Dose A, 512 Display
If the mean value is not 98 ± 2 LSB, go to step 3.11.
If the mean value is 98 ± 2 LSB, skip to step 3.12.
3.11 Adjust Aperture Value
1. Position the cursor in the IRIS APERTURE field; on the keyboard type the desired Iris Aperture
value.
– Larger Aperture values result in lower mean values. Smaller Aperture values result in higher mean
values.
2. Repeat steps 3.9.6 through 3.11 until the mean value for Cardiac Dose A, 512 Display is within
specifications.
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3.12 Store Final Iris Aperture Value
Click on Store to store the final Aperture value for Cardiac Dose A.
IRIS
– Click on IRIS to view the Iris Aperture table values for Cardiac Dose A.
TABLE
The Iris Aperture value should be displayed in the Technical Menu IRIS APERTURE 512 field.
Record final the Aperture value and Neutral Density Filter position for Cardiac Dose A 512 in the SCAT
Report (Test Data Results).
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3.13 Determine Remaining Aperture Value
Determine Dose B, C, D Cardiac and Cine Aperture Settings that yield the specified mean values and store
these 4 values in DLX System data base by repeating the above steps for Doses B, C, D Cardiac and Cine.
Record the final Aperture values and Neutral Density Filter positions in the SCAT Report (Test Data Results).
3.14 Check Iris Value
Select Doses A, B, C, D on the Advantx.
Make a PREP and check that the value is automatically displayed in the field.
3.15 Verify the Iris Table values
Click on IRIS to view the Iris Aperture table. Check that all information was correctly stored in the table.
TABLE
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ADVANTX DLX CALIBRATION Job Card CAL 0 D 1 of 12
Purpose: DSA STEPPING APERTURE CALIBRATION Version No.: 1

Date: 03–97
Note: This procedure is only used for MP E2 (LCA).
PROCEDURE SYNOPSIS
Do not select (highlight) the TEST RUN button during the calibration
CAUTION process.
PURPOSE To calibrate the default Iris Aperture/NDF position used in 512/1024 DA/DSA
STEPPING modes for each A and B Dose selection.
SET–UP Positioner Grid IN / Basic / X–ray tube at minimum SID / PA
Advantx DSA: DOSE B 512 / No Sub / focal spot = depends on Dose / FOV 22
cm (9 inch) / 70 kVp / 200 mA
STEP: Table ready for stepping with collimator in Auto mode / focal
spot = depends on tube / FOV 22cm (9 inch) / 70kVp / 200 mA / 1
frame per sec / Infinite duration (symbol ”–”)
/ Masks after ON
Techmenu / AEC = ON / Level Adjust = ON / 10 bits
Phantom From CV phantom: 2 1/4” plexiglass + 1/4 inch aluminum plate
filtration + 1/32 inch copper plate filtration on table top, or 2mm cop-
per, on the collimator
PROCEDURE 1– Select DSA and corresponding set–up parameters on Advantx Console.
2– Take repeated exposures and adjust SID to obtain a mAs value achievable in
STEPPING MODES (typically 5 mAs, with ± 0.1 mAs accuracy).
3– Select STEP 512 mode and corresponding set–up parameters on the Advantx Con-
sole. BE SURE THAT OPTIMIZ SUB BUTTON IS NOT SELECTED.
4– Select DOSE A. Dial in the exposure that will give the same mAs value as in step 2.
5– Adjust iris aperture value and set NDF position to obtain a mean value equal to
98 ± 3 LSB on the fourth image doing successive runs of 4 exposures.
7– Select dose B and dial 10 mAs.
8– Repeat steps 5 and 6.
9– Still in the STEP mode, repeat steps 4 through 8 selecting 1024 Matrix.
10– SELECT OPTIMIZ SUB BUTTON AND KEEP THIS STATUS UNTIL THE
END OF CALIBRATION. Repeat Steps 4 through 9 (starting with the STEP 512
mode) and adjust the iris to obtain a mean value equal to 80 ± 3 LSB.
RESULTS The Stepping mode is calibrated.
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DSA STEPPING APERTURE CALIBRATION

Job Card CAL 0 D 2 of 12
Blank page
5–38
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DETAILED PROCEDURE
The purpose of this calibration is to determine and load aperture values for a particular DSA stepping
acquisition Dose selection (Doses A and B, for both 512 and 1024 acquisitions).
SECTION 1
DESCRIPTION
The default Vascular DSA stepping Aperture values are used by DLX application software to set the
aperture position to the value determined during this procedure for a given Dose and 512/1024 display
selection.
– The settings are used for DSA stepping.

– To begin this procedure a DSA Dose B acquisition is needed to get the techniques (kVp, mAs) that
yield a Dose B, in that mode using the AEC. These parameters are then used for the fixed time DSA
STEP acquisitions.
– The settings used for DSA stepping Dose A iris calibration are such that the resulting Dose A, in
that mode, is equal to a DSA Dose B. (Dose A DSA Step = Dose B DSA No EDR = 250 uR.)
– The settings will be different if the EDR is used or is equal. The EDR video path is used in the DSA
Stepping mode and in the DSA Stepping mode with the Optimized Sub button NOT hightlighted.
The no EDR (linear) video path is used in the DSA Stepping mode with the Optimized Sub button
highlighted.
SECTION 2
SYSTEM USAGE
The DLX System Database provides the operator with an Aperture position based on the selected Dose and
512/1024 display selection.
– This aperture is used in acquisition, and corresponds to a film sensibility. Because the DSA
STEPPING mode uses fixed time, the operator can select the Dose he wants (as with a manual
fluoro).
– The Dose value displayed on Advantx console (A or B) is only used during acquisition to inform
the DLX which Iris value to use. In this procedure, its modification has no effect.
– If a good image is obtained in DSA Stepping Dose A for a given technique, the same image should
be obtained in Dose B with twice the mAs value.
SECTION 3
See chapter steering.
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SECTION 4

TOOLS REQUIRED
30 cm (12”) 30 cm (12”)
2 1/4” plexiglass from the CV phantom Cu
ÉÉÉÉÉÉÉÉÉ ÉÉÉÉÉÉÉÉ
OR
Alu
+ 1/4” aluminum plate filtration plexiglass
+ 1/32” copper plate filtration Table top at isocenter and

Table top at isocenter and
X–Ray tube at minimum SID
or, 2 mm copper on the collimator
Cu
Min SID
SECTION 5
PROCEDURE
DO NOT SELECT (HIGHLIGHT) THE TEST RUN BUTTON DURING

WARNING THE CALIBRATION PROCESS.
5.1 Boot Advantx
1. Boot the Advantx Application Software, and make the following softkey selections on the Advantx
Console:
D TECHNIQUES
– VASCULAR 512 DSA
– 70 kVp
– 200 mA
– Large Focal Spot (depending on Dose)
Note: VIC – To be calibrated before performing this procedure.
– DLX VASCULAR MODE SELECTION
– 9 inch Field of View (22cm)
– Dose B
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5.2 System Set–up
– Set collimator blades to fully open (field size).
– Position the filtration plates on the table top so that they are centered in the beam.
– Position table top at isocenter.
– Adjust II to 30 cm (12 inches) above isocenter.
– Set the X–ray tube to the minimum SID.
5.3 Boot DLX Technical Menu
Boot the DLX Application Software and access the Technical Menu Screen on the DLX Console Monitor
as described below:
6. Access the Technical Menu.
7. Make the following Technical Menu selections:
– 10 bits,
– AEC = ON,
– Level Adjust = ON.
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Access the Technical Menu:
Note: When you perform a prep the Iris Ref. automatically goes to the default value.
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5.4 Adjust DLX ROI Box
Center and adjust the DLX ROI (Region of Interest), the area where the DLX System measures Peak Video,
size to approximately a 50 mm square (the default size) as displayed on DLX Console Image Monitor.
– Click on CAMERA CENTER to center, by default, the DLX ROI box on the monitor image.
– Click on STATISTICS in the Technical Menu, and select BOX STATS.
– Click on RESIZE.
– Use the mouse to adjust the ROI box size to a 50 mm square on DLX Console Image monitor.
– When the box is adjusted, click on the CLOSE button to exit from the Box Statistics function.
5.5 Edit DLX
Modify the Technical Menu Screen on the DLX Console Dialog monitor.
– AEC: ON
– LEVEL ADJUST: ON
Use the ARROW keys on DLX Console programmable keypad or the mouse to move cursor to desired
Technical Menu Screen fields. Use the DLX Console mouse and keyboard to modify entries in each field.
5.6 Entering Aperture and ND Filter values
Technical Menu IRIS APERTURE and ND Filter fields to determine the Advantx System Aperture
position and Neutral Density Filter position.
Throughout this procedure, you must enter values in the Iris Apert and ND Filter fields to start each
Vascular Dose and 512 or 1024 Display Aperture Setting. To determine these initial values, decode the
values displayed in the ACQUISITION PARAMETERS field of the Technical Menu for the dose and
display to be calibrated.
The values displayed in the ACQUISITION PARAMETERS field for a particular Vascular Dose and 512
or 1024 Display represent the current DLX System database values.
Aperture positions from 0 to 44) and the position of the ND Filter. If ND filter is selected, the DLX System
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5.7 Dose B 512 Display mAs Value
– Select the DSA mode on the Advantx console.

– Determine a Dose B, 512 Display mAs value.
– Take repeated exposures and adjust the kV and the Image Intensifier height to obtain 5 mAs, with
± 0.1 mAs accuracy.
Note: Note the mAs value, mA value and kVp values displayed on Advantx console.
5.8 Prepare system for an Acquisition
Prepare the Advantx console, the positioner console and the DLX console for an Acquisition in order to
calibrate the iris aperture.
– On the Advantx console, select Lower Limbs.

LOWER
LIMBS
– On the Advantx console, select STEP.

STEP
BOLUS
– Open the collimator and iris on the TSSC.

– On the Stepping Control Box press the Fixed Sequ. button.
Fixed Sequ.
– On the Stepping Control Box press the Store Position button.
– Check that on the Advantx console, the Mask After button is displayed.
MASK
AFTER
Note: If the Mask After button is not displayed, press the Mask Before button, then the Mask None button.
The Mask After button is now displayed (this avoids changes in the table top position).
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Determine a Dose A, 512 Display Aperture Setting that will give a mean value of 98 ± 3 LSB during a Dose
A, 512 Display Mask exposure.
On Advantx console select the following parameters:
– Dose A
– Select the same kVp and mA as in step 5.7
– Select the same mAs as used in step 5.7
– Leave the Image Intensifier at the same setting (height) as was used in step 5.7
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5.10 Aperture Value Adjustments
Take four exposures, and select BOX STATS.
Adjust the IRIS APERTURE value in the Technical Menu screen by positioning the cursor on the IRIS
APERTURE field. Use the DLX keyboard to type the desired value.
Note mean value displayed on image monitor. Adjust Iris Aperture and take several exposures until the
mean value = 98 ± 3.
Store the final aperture value for DSA Stepping Dose A 512 Display as follows:
– Click on Store to store the final Aperture value.

IRIS
– Click on IRIS to view the Iris Aperture table values.

TABLE
Record the final Aperture value and Neutral Density Filter position for the DSA Stepping Dose A, 512
Display in the SCAT Report (Test Data Results).
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5.11 Dose A 1024 Display Aperture for DSA Stepping
Determine a DSA Stepping Dose A, 1024 Display Aperture Setting that yields a 98 ± 3 LSB mean value
during a DSA Stepping Dose A, 1024 Display Mask exposure.
– On the Advantx console, select 1024 in ACQUISITION PARAMETERS.

– Perform step 5.10 for 1024 acquisition Dose A.
5.12 Dose B 512 Display Aperture for DSA Stepping
Determine a DSA Stepping Dose B, 512 Display Aperture Setting that yields a 98 ± 3 mean value during a
DSA Stepping Dose B, 512 Display Mask exposure.
– On the Advantx console, select 10 mAs.

– On the Advantx console select Dose B.
– Perform the procedure in section 5.10 for the 512 acquisition Dose B.
– On the Advantx console select 1024 in ACQUISITION PARAMETERS.

– Perform step 5.10 for 1024 acquisition Dose B.
5.14 Display Apertures Using OPTIMIZ SUB
1. SELECT OPTIMIZ SUB BUTTON AND KEEP THIS STATUS UNTIL THE END OF THE
SECTION 5.14 CALIBRATION PROCEDURE.
2. Repeat steps 5.9 through 5.13 (starting with DSA–STEP 512 mode) and adjust the iris to obtain a mean
value equal to 80 lsb ± 3.
– DSA Step No EDR Dose A, 512
– DSA Step No EDR Dose B, 512
3. Record values in the OPTIMIZE column of the DSA Stepping Aperture Setting SCAT report.
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Blank page
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ADVANTX DLX CALIBRATION Job Card CAL 0 E 1 of 10
Purpose: APERTURE CALIBRATION FOR MP11 Version No.: 1

Date: 11–95
Note: This procedure is only applicable for MP11.

DETAILED PROCEDURE
The purpose of this calibration is to determine and load Aperture values for a particular acquisition Dose
selection (Doses A and B for both 512 and 1024 acquisitions). In addition, this procedure can be used to
determine the proper positioning of the Neutral Density Filter for optimum Aperture performance.
SECTION 1
DESCRIPTION
The default Vascular stepping Aperture values are used by DLX application software to set the Aperture
position to the value determined during this procedure for a given Dose and 512/1024 display selection.
– Dose A in Vascular is the same as Dose B in Vascular DSA.

– This procedure first asks for a DSA acquisition to be done at Dose B to get the X–ray Techniques
(kVp, mAs) that give a Dose B in DSA. (These parameters are then entered manually. )
– Dose B in Vascular is twice Dose A in Vascular.
SECTION 2
SYSTEM USAGE
– This aperture is used in acquisition, and corresponds to a film sensibility. (In a fixed time mode,
the operator can select the dose he wants, as with a manual fluoro.)
– The dose value displayed on Advantx console (A or B) is only used during acquisition to inform
– If a good image is obtained in Dose A for a given Technique, the same image should be obtained
in Dose B with twice the mAs value.
SECTION 3
See CALIBRATION and IMAGE QUALITY steering.
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APERTURE CALIBRATION FOR MP11

Job Card CAL 0 E 2 of 10
SECTION 4
TOOLS REQUIRED
2 1/4” plexiglass
or, 2 mm copper
SECTION 5
PROCEDURE
WARNING DO NOT SELECT (HIGHLIGHT) THE TEST RUN BUTTON DURING

THE CALIBRATION PROCESS.
5.1 Boot Advantx
Console:
D TECHNIQUES
DA
– DA VASCULAR 512 DSA ( the DSA

key in the Record Technic Adjust Screen)
– 70 kVp
– 200 mA
– 0.6 Focal Spot
D VIC
Note: To be calibrated before performing this procedure.
D DLX VASCULAR MODE SELECTION
– Dose B
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5.2 System Set–up

– Place the aluminium and copper filtration plates on top of diaphram, or on table top positioned at
isocenter.
– On the AFM console, select position AP or PA.
– Set X–ray Tube (Vascular Systems) to the minimum SID.
Boot the DLX Application Software and access the Technical Menu Screen on the DLX Console Monitor:
5.4 Edit DLX Technical Menu
D Use the DLX pop-up Main Menu to access the Technical Menu.
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Select the following in the Technical Menu:
– AEC (ON),
– 10 bits,
– Level Adjust: OFF,
– OFFSET INC: 0,
– ND FILTER: OFF,
– Iris Aperture: 330,
– Stat Mode: RAW.
Note: Enter the aperture value (0 to 440) in IRIS APERT and the ND filter value (ON or OFF) based on the
value displayed in the ACQ PRMS field for the dose and matrix, 512 or 1024, mode selected.
Use the ARROW keys on the DLX Console programmable keypad or the mouse to move cursor to desired
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Center and adjust the DLX ROI (Region of Interest) (the area where the DLX System measures Peak
Video) size to approximately a 50 mm square as displayed on DLX Console Image Monitor.
Aperture positions from 0 to 44) and the position of the ND Filter (if ND filter is selected, the DLX System
adds a value of 450 to the Aperture position value).
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Determine a Dose B, 512 Display mAs value that yields as accurately as possible one of the three following
values: 6.4 mAs, 8 mAs, 10 mAs.
Take repeated exposures using the Advantx handswitch and adjust the kVp on the Advantx console until
the console displays an exposure time of 40 ms ± 10ms and a mAs value very close to one of the three values
6.4, 8 or 10.
Note: The mAs, mA and kVp values are displayed on Advantx console.
5.8 Prepare System for an Acquisition
Prepare the Advantx console, the AFM console and the DLX console for an Acquisition.
DA
– On the Advantx console, select DA .
DSA
– Center AFM table laterally. Longitudinally, move the table at least 20 cm from its limits.
– Add the aluminium and copper filtrations.
SELECT/
– If is highlighted on PVC, press VALIDATE.
VALIDATE
CLEAR STORE
– Press for more than five seconds, flashes.
SEQUENCE POSITION
– Open the collimator and iris on the PVC.

STORE
– Press
POSITION
– Move the table about 10 cm.

– Close the collimator on the PVC.
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STORE
– Press again.
POSITION
TEST/ TEST/
– Press simultaneously
RETURN RETURN
and wait until the table returns to its initial position.

– On the Advantx console, select: Dose A
– Segment One: Rate: 1.0 1.0
– Duration: – – <– maximum value
– Pos nbr : 1 2
– % mAs: 100% 100%
5.9 Determine DA 1024 Light Bias
TEST/
D On the positioner console (PVC), press
RETURN
until the table goes to the second position (the collimator automatically closes).
D On the Advantx Console, select the minimum kVp, 0.25 mAs and 1024.
D On the DLX Console, close the iris and ND filter by selecting: ND Filter: ON
IRIS Aperture: 440
D Take an exposure, then press BOX STATS.
D Record the mean value, that is displayed on image monitor, on the SCAT Report (Test Data Results).
D Take a series of three exposures, and adjust the Offset INC until the mean value displayed, when you
press BOX STATS, is close to 2.5+ 0.5 LSB.
D Record the newly displayed offset value on the SCAT Report (Test Data Results).
D Calculate the ”light bias correction (LBCV)” as follows:
LBCV = VAROFF x 0.153 + 0.50,
where VAROFF is the absolute value of the OFFSET INC variation.
VAROFF = OFFSET INC value.
D Take the integer part of the LBCV and record the number in the table.
TEST/
D On the Positioner Console (PVC), press
RETURN
until the table arrives at the first position (the collimator automatically opens).
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Note: The OFFSET INC value used in paragraph 5.9 for the determination of light bias correction in 1024
matrix is also used later, when calibrating the iris apertures in that mode.
Note: There is no correction in DA 512 since the FLURO vs. Offset is calculated by the DLX in a similar mode
(DLX fluoro).
Determine a Dose A, 512 Display Aperture Setting that yields a 100 ± 5 mean value during a Dose A, 512
Display Mask exposure.
D On Advantx console select:

– Dose A
– Select the same kVp and mA as in DSA step 6
– Select the same mAs as used in DSA step 6 (6.4, 8 or 10)
– Focal spot: 0.6
– 9 inch FOV (22 cm)
D Check that aluminium and copper filtrations are in place.
Duration: – –
Pos nbr: 1 2
% mAs: 100% 100%
D On the DLX Console, enter DA EDR Dose A in the ACQUISITION PARAMETERS field of
Technical Menu Screen.
D Reset the OFFSET INC value to zero.
Take an exposure then select BOX STATS.
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Store the final aperture value for DA EDR DOSE A 512 Display as follows:
D Click on Store to store the final Aperture value.

IRIS
D Click on IRIS to view the Iris Aperture table values.

TABLE
Record the final Aperture value, and Neutral Density Filter position for EDR Dose A, 512 Display, on the
SCAT Report (Test Data Results).
Determine a DA EDR Dose A, 1024 Display Aperture Setting that yields a 100 ± 5 mean value during a DA
Dose A, 1024 Dispaly Mask exposure.
D On the Advantx console, select 1024 in ACQUISITION PARAMETERS.

D On the DLX, enter the OFFSET INC value that you recorded on the SCAT Report (Test Data Results)
sheet.
D Repeat step 5.11 for 1024 acquisition Dose A.
5.13 Dose B 512 Display Aperture
Determine a DA EDR Dose B, 512 Display Aperture Setting that yields a 100 ± 5 mean value during a Dose
B, 512 Display Mask exposure.
D On the Advantx console, select twice the value of preceeding mAs.

Note: Selecting Dose B on the Advantx console has no effect.
D On DLX console, select DA EDR dose B in the ACQUISITION PARAMETERS field of the
Technical Menu.
D Reset the OFFSET INC value to zero.
D Repeat step 5.11 for 512 acquisition Dose B.
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Determine a DA EDR Dose B, 1024 Display Aperture Setting that yields a 100 ± 5 mean value during a
Dose B, 1024 Display Mask exposure.
D On the Advantx console, select 1024 in ACQUISITION PARAMETERS.

D On the DLX, enter the OFFSET INC value that you recorded on the SCAT report (Test Data Results)
sheet.
D Perform step 5.11 for 1024 acquisition Dose B.
5.15 Enter new Light Bias values
D Reset Advantx and boot the “BOOT and CONFIG” Advantx calibration floppy.
D Select the system configuration unit where Light Bias values are set (refer to the Advantx calibration
User’s Guide).
D If the new mean value recorded on the SCAT report (Test Data Results) sheet is greater than the original
value, then select the DLX VASC DA EDR1024 field and add the Light Bias Correction Value (LBCV)
to the current number.
D If the new mean value recorded on the SCAT report (Test Data Results) sheet is smaller than the
original value, select successively the following fields of acquisition, and add the Light Bias
Correction Value to the current value.
– CONVENTIONAL, PULSCAN FLUORO, DLX/DF FLUORO CINE/DF DYNAMIC LIVE,
DLX CARD DEF, DLX VASC DA EDR 512, DLX VASC DA EDR 1024, PHOTOSPOT, SPOT–
FILM, FILM CHANGER
Note: This step, enter new light bias, is done to enter the Light Bias Correction used to correct the black level
in DA EDR 1024 as well as to be certain that the Light Bias value entered in the configuration is never
less than the recommended value.
Note: Original and new mean values are the values found in Section 5.9, record these values on the SCAT
report (Test Data Results) sheet.
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ADVANTX DLX CALIBRATION Job Card CAL 0 F 1 of 10
Purpose: BOLUS/SPIN APERTURE CALIBRATION Version No.: 1

Date: 03–97
PROCEDURE SYNOPSIS
Note: This procedure is to be performed for the Bolus/Spin No Mask Mode on systems that do not have
the DSA Stepping option.
PURPOSE To calibrate the default Iris Aperture/NDF position used in the 512/1024 Bolus/Spin No
Mask Mode for the only available dose B in the No Mask mode.
collimator in Auto mode
Advantx If only Bolus OR both Bolus and spin options are installed, select Bolus
No Mask Mode. If only the Spin option is installed, select SPIN to per-
form calibration .
Perform 512 and 1024 / NOSUB /large focal spot/ FOV 22 cm (9 inch) /
rate = 1 i/s for 5 s.
Do NOT select Start/Stop on positioner if Bolus is selected.
Select Start/Stop if Spin is selected.
Phantom If Bolus is selected: CV phantom, 2 1/4” plexiglass + 1/4 inch thick alumi-
num plate filtration + 1/32 inch thick copper plate filtration.
If Spin is selected: install 2 mm copper plate on the X–Ray tube cover, and
carry out the necessary (Adhesive tape, etc...) so that the plate remains in
place.
Note: Perform a prep; the Iris Ref. automatically goes to the default values:
DA EDR dose A is displayed on technical menu whereas dose B is selected on
Advantx console. This is normal. Refer to the Iris Reference Table in Section 5.7.
PROCEDURE 1– Select Dose B/512 on Advantx Console.
2– Press the Prep button to update the iris aperture on the Tech Menu to match that of
the Advantx dose.
3– Take one sequence (4 images). Expose time should be between 5 and 20 ms.
4– Adjust the Iris Aperture value and set NDF position, if necessary, to obtain a Mean
Value equal to 98 ±3 LSB on the image, on the fourth image dpoing successive runs
of 4 exposures.
5– Store the final aperture Value (click on STORE IRIS).
6– Repeat steps 1 to 5 selecting VASC 1024 Dose B.
RESULTS Record final Aperture values and Neutral Density Filter positions in the SCAT Report (Test
Data Results).
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BOLUS/SPIN APERTURE CALIBRATION

Job Card CAL 0 F 2 of 10
Blank page
5–60
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DETAILED PROCEDURE
The purpose of this calibration is to determine and load initial aperture values for Bolus chasing and Spin
acquisitions in the No Mask mode. In addition, this procedure can be used to determine the proper
positioning of the Neutral Density Filter for optimum aperture performance.
SECTION 1
DESCRIPTION
There are three acquisition modes for Bolus/Spin: Mask Before, Mask After, and No Mask.
In the Mask Before and Mask After Modes, the acquisition is done in the linear mode (low gain path in the
VIC camera) to create a high quality image for subtracted images.
In the No Mask Mode, the acquisition is done in the EDR mode (high gain path in the VIC camera) to
guarantee a large dynamic range in unsubtracted images.
In the Mask Before and Mask After Modes, the iris aperture data used by the system is the same as that used
for the DSA mode. Therefore, Dose A and B iris aperture values are the same as Dose A and B DSA mode
values.
In the No Mask Mode, the Dose B iris aperture data used by the system is the same as for DSA stepping
Dose A.
D For the Mask Before Acquisition and Mask After Acquisition modes refer to the Job Card CAL 0 B
Default Vascular Aperture Setting.
D For the No Mask mode, on a system with the DSA Stepping option, refer to the procedure in Job Card
CAL 0 D “Stepping Iris Aperture Calibration”.
D If the system does not have the DSA Stepping option, for the No Mask mode, carry out the following
procedure.
SECTION 2
SYSTEM USAGE
the selected Dose and 512/1024 display selection.
SECTION 3
Peak Video versus delta aperture step is not a linear function and is unique to each Advantx/DLX System.
Therefore, we recommend that you generate a new Software Aperture Calibration Curve whenever you
replace the TV Camera Pick–up Tube or recalibrate the Advantx VIC.
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SECTION 4
TOOLS REQUIRED
If only Bolus OR both Bolus and Spin options are installed:
2 1/4” Plexiglass from CV phantom
If only Spin option is installed, install 2 mm copper plate on the X–Ray tube cover, and carry out the
necessary (Adhesive tape, etc...) so that the plate remains in place.
SECTION 5
PROCEDURE
Note: Non applicable for 3D Spin.
5.1 Boot the Advantx Application and make the following soft key selections on the Advantx Console
DLX VASCULAR
D BOLUS/SPIN MODE SELECTIONS

– If only Bolus OR both Bolus and Spin options are installed:NO Mask Mode, BOLUS.
– If Spin only is installed: NO Mask Mode, SPIN.
D TECHNIQUES
– Rate=1 fr/s
– Large focal spot
5.2 Set–up system

– Place the CV phantom filtration on the table top or, if using the 2 mm of Cu, place the Cu on the
collimator (in particular, if Spin has been selected).
– Adjust the Image Intensifier (air bag sensor) to 12 inches (30 cm) above table top.
– The Start/Stop position on the positioner should not be entered if Bolus is selected.
– Enter Start/Stop positions if Spin is selected.
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– AEC: ON,
– 10 bits.
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The Technical Menu
***
Note: ***Perform a prep; the Iris Ref. automatically goes to the default value. Be aware that the iris aper-
ture Bolus/Spin No Mask, Dose B is the same as for DA Stepping EDR Dose A. See the Iris Refer-
ence Table in Section 5.7.

3. Click on RESIZE.

on DLX Console Image monitor.
5. When the box is adjusted, click on the CLOSE button to
exit from the Box Statistics function.
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IRIS APERTURE and ND FILTER fields displayed on the Technical Menu Screen to determine Advantx
System Aperture position and Neutral Density Filter position.
TABLE 1
DEFAULT VALUES

D
Dose
512 1024 512 1024
DA EDR Dose A 260/710 210/660 ON ON
Aperture positions from 0 to 44) and the position of the ND Filter. If ND Filter is selected, the DLX System
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5.8 Pick–Up Tube Image “fold–over” Mis-registration
Due to brightness response characteristics of the Advantx VIC Image TV Pick–up Tube, the Pick–up Tube
following steps when you decrease the Aperture Value and the DLX System indicates a decrease in the Peak
Video display. Normally a decrease in Aperture value results in an increase in Peak Video display.
To avoid this incorrect registration, approach the desired mean value of 98 ± 3 LSB from a lower value (or
We recommend that you keep Aperture values for 512 and 1024 Display at at least 8 Aperture steps (80)
from Aperture range extremes (0 to 44) to keep selected Apertures in the middle of the Aperture operating
range. Use the ND Filter to maintain this requirement, if necessary.
Examples:
– To get an Iris Aperture value Aperture position that is greater than 360 with the ND Filter set to
OFF (Iris Value of 360) with a mean value of 98 ± 3 LSB for the 512 and 1024 Display of Dose
B then:
Select ON as the ND Filter selection (filter in) in the Technical Menu screen for 512 and 1024
Display, and repeat the step that determines the correct Aperture position for 512 and 1024 Display.
– To get an Iris Aperture value Aperture position that is less than 80 with the ND Filter set to ON
(Iris Value of 530) with a mean value of 98 ± 3 LSB for Dose B 512 and 1024 Display, then:
Select OFF as the ND Filter selection (filter out) on the Technical Menu screen for 512 and 1024
Display, and repeat the step that determines the correct Aperture position for 512 and 1024 Display.
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5.10 Dose B 512 Display, Aperture
Determine a Dose B 512 Display, Aperture Setting that will give a mean value of 98 ± 3 LSB in Bolus/Spin
Dose B, No Mask Mode, 512 Display.
1. Check that LEVEL ADJUST to ON in the

Technical Menu to display the mean value
on the monitor screen.
default value corresponding to DA EDR Dose A
(dose B is displayed normally on Advantx console
for Bolus No Mask) 512 matrix. Refer to Table 1.
5. Take a Bolus/Spin Dose B, No Mask Mode, 512
Display sequence. Wait for 4 images.
Verify that the phantom covers the image completely. The regulation algorithm calculates kVp and
exposure times. The exposure time should be more than 5 ms and less than 20 ms.If not, adjust SID or
filtration.
5.11 Mean Value Dose B, 512 Display
If the mean value in the LEVEL ADJUST screen is not 98 ± 3 LSB, record
the value and go on to step 5.12.
If the mean value in the LEVEL ADJUST screen is 98 ± 3 LSB, skip to STD DEV=
step 5.13. MEAN=
PEAK=
Note: It is essential to make the measurement on an image in steady state,
i.e. fourth image. Never calibrate on a single shot image.
5.12 Aperture Value
2. Repeat step 7. in section 5.10 until the mean value for the Dose B, 512 Display is 98 ± 3 LSB.
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5.13 Final Iris Aperture Value Storage
Click on Store to store the final Aperture value for the Bolus/Spin Dose B (which is the same as DA EDR
IRIS
Dose A), No Mask Mode, 512 Display.
– Click on IRIS to view the Iris Aperture table.

TABLE
Record final Aperture value and Neutral Density Filter position for Bolus/Spin Dose B, No Mask Mode,
512 Display on the SCAT Report (Test Data Results).
Determine a Dose B, 1024 Display Aperture Setting that yields a mean value of 98 ± 3 LSB during a
Bolus/Spin Dose B (which is the same as DA EDR Dose A), No Mask Mode, 1024 Display exposure.
Repeat the procedures in sections 5.10 through 5.13 for the 1024 Display.
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ADVANTX DLX CALIBRATION Job Card CAL 0 G 1 of 12
Purpose: DSA STEPPING APERTURE CALIBRATION Version No.: 1

Date: 03–97
Note: This procedure is only used for MP 12.
PROCEDURE SYNOPSIS
Do not select (highlight) the TEST RUN button during the calibration
CAUTION process.
PURPOSE To calibrate the default Iris Aperture/NDF position used in 512/1024 DA/DSA
STEPPING modes for each A and B Dose selection.
SET–UP Positioner Grid IN / Basic / X–ray tube at minimum SID / PA
Advantx DSA: DOSE B 512 / No Sub / focal spot = depends on Dose / FOV 22
cm (9 inch) / 70 kVp / 200 mA
STEP: Table ready for stepping with collimator in Auto mode / focal
spot = depends on tube / FOV 22cm (9 inch) / 70kVp / 200 mA / 1
frame per sec / Infinite duration (symbol ”–”)
/ Masks after ON
Techmenu / AEC = ON / Level Adjust = ON / 10 bits
Phantom From CV phantom: 2 1/4” plexiglass + 1/4 inch aluminum plate
filtration + 1/32 inch copper plate filtration, or 2mm copper, on the
collimator
PROCEDURE 1– Select DSA and corresponding set–up parameters on Advantx Console.
2– Take repeated exposures and adjust SID to obtain a mAs value achievable in
STEPPING MODES (typically 5 mAs, with ± 0.1 mAs accuracy).
3– Select STEP 512 mode and corresponding set–up parameters on the Advantx Con-
sole. BE SURE THAT OPTIMIZ SUB BUTTON IS NOT SELECTED.
4– Select DOSE A. Dial in the exposure that will give the same mAs value as in step 2.
5– Adjust iris aperture value and set NDF position to obtain a mean value equal to
98 ± 3 LSB on the fourth image doing successive runs of 4 exposures.
7– Select dose B and dial 10 mAs.
8– Repeat steps 5 and 6.
9– Still in the STEP mode, repeat steps 4 through 8 selecting 1024 Matrix.
10– SELECT OPTIMIZ SUB BUTTON AND KEEP THIS STATUS UNTIL THE
END OF CALIBRATION. Repeat Steps 4 through 9 (starting with the STEP 512
mode) and adjust the iris to obtain a mean value equal to 80 ± 3 LSB.
RESULTS The Stepping mode is calibrated.
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Job Card CAL 0 G 2 of 12
Blank page
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DETAILED PROCEDURE
The purpose of this calibration is to determine and load aperture values for a particular DSA stepping
acquisition Dose selection (Doses A and B, for both 512 and 1024 acquisitions).
SECTION 1
DESCRIPTION
The default Vascular DSA stepping Aperture values are used by DLX application software to set the
aperture position to the value determined during this procedure for a given Dose and 512/1024 display
selection.
– The settings are used for DSA stepping.

– To begin this procedure a DSA Dose B acquisition is needed to get the techniques (kVp, mAs) that
yield a Dose B, in that mode using the AEC. These parameters are then used for the fixed time DSA
STEP acquisitions.
– The settings used for DSA stepping Dose A iris calibration are such that the resulting Dose A, in
that mode, is equal to a DSA Dose B. (Dose A DSA Step = Dose B DSA No EDR = 250 uR.)
– The settings will be different if the EDR is used or is equal. The EDR video path is used in the DSA
Stepping mode and in the DSA Stepping mode with the Optimized Sub button NOT hightlighted.
The no EDR (linear) video path is used in the DSA Stepping mode with the Optimized Sub button
highlighted.
SECTION 2
SYSTEM USAGE
– This aperture is used in acquisition, and corresponds to a film sensibility. Because the DSA
STEPPING mode uses fixed time, the operator can select the Dose he wants (as with a manual
fluoro).
– The Dose value displayed on Advantx console (A or B) is only used during acquisition to inform
– If a good image is obtained in DSA Stepping Dose A for a given technique, the same image should
be obtained in Dose B with twice the mAs value.
SECTION 3
See chapter steering.
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SECTION 4

TOOLS REQUIRED
30 cm (12”) 30 cm (12”)
2 1/4” plexiglass from the CV phantom Cu
OR
Alu
+ 1/4” aluminum plate filtration plexiglass
+ 1/32” copper plate filtration Table top at isocenter and

Table top at isocenter and
or, 2 mm copper on the collimator
Cu
Min SID
SECTION 5
PROCEDURE
DO NOT SELECT (HIGHLIGHT) THE TEST RUN BUTTON DURING

WARNING THE CALIBRATION PROCESS.
5.1 Boot Advantx
Console:
D TECHNIQUES
– VASCULAR 512 DSA
– 70 kVp
– 200 mA
– Large Focal Spot (depending on Dose)
Note: VIC – To be calibrated before performing this procedure.
– DLX VASCULAR MODE SELECTION
– Dose B
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5.2 System Set–up
– Position the filtration plates on the table top so that they are centered in the beam.
– Position table top at isocenter.
– Adjust II to 30 cm (12 inches) above isocenter.
– Set the X–ray tube to the minimum SID.
5.3 Boot DLX Technical Menu
Boot the DLX Application Software and access the Technical Menu Screen on the DLX Console Monitor
as described below:
7. Make the following Technical Menu selections:
– 10 bits,
– AEC = ON,
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Access the Technical Menu:
Note: When you perform a prep the Iris Ref. automatically goes to the default value.
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Center and adjust the DLX ROI (Region of Interest), the area where the DLX System measures Peak Video,
size to approximately a 50 mm square (the default size) as displayed on DLX Console Image Monitor.
5.5 Edit DLX
Modify the Technical Menu Screen on the DLX Console Dialog monitor.
– AEC: ON
– LEVEL ADJUST: ON
Use the ARROW keys on DLX Console programmable keypad or the mouse to move cursor to desired
5.6 Entering Aperture and ND Filter values
Aperture positions from 0 to 44) and the position of the ND Filter. If ND filter is selected, the DLX System
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– Select the DSA No Step mode on the Advantx console.

– Determine a Dose B, 512 Display mAs value.
– Take repeated exposures and adjust SID to obtain a mAs value that is achievable in the Stepping
Mode (typically 3.2, 4, or 5 mAs, with ± 0.1 mAs accuracy).
Note: Note the mAs value, mA value and kVp values displayed on Advantx console.
5.8 Prepare system for an Acquisition
Prepare the Advantx console, the positioner console and the DLX console for an Acquisition in order to
calibrate the iris aperture.
NO STEP
– On the Advantx console, select STEP.
STEP
– OPTIMIZ SUB IS NOT SELECTED.

– Center LCA table laterally. Longitudinally, move the table at least 20 cm from its limits.
Position the copper and aluminum plates, and the plexiglass on the table.
SELECT/
– If VALIDATE is highlighted on PVC, press VALIDATE.
CLEAR
– On SEQUENCE press SEQUENCE for more than five seconds, and
STORE
POSITION will flash.
– Open the collimator and iris on the PVC.
STORE
– Press POSITION button.
– Move the table about 10 cm.
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STORE
– Press POSITION
again.
TEST/ TEST/
– Press simultaneously RETURN RETURN
and wait until the table returns to its initial position.

– On the Advantx console, select: Dose A
– Duration: – – <– maximum value
– Pos nbr : 1 2
– % mAs: 100% 100%
5.9 Dose A 512 Display Aperture for DA/DSA Stepping
Determine a Dose A, 512 Display Aperture Setting that will give a mean value of 98 ± 3 LSB during a Dose A,
512 Display Mask exposure.
– On Advantx console select the following DSA STEPPING parameters:

– Dose A
– Select the same kVp and mA as in DSA step 5.7
– Select the same mAs as used in DSA step 5.7 (6.4, 8 or 10)
– Focal spot: large (depending on the tube)
– 9 inch FOV (22 cm)
– Check that aluminium and copper filtrations are in place.

Duration: – 1 – 2
Pos nbr :
% mAs: 100% 100%
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Take four exposures, and select BOX STATS.
Store the final aperture value for DSA Stepping Dose A 512 Display as follows:
– Click on Store to store the final Aperture value.

IRIS
– Click on IRIS to view the Iris Aperture table values.

TABLE
Record the final Aperture value and Neutral Density Filter position for the DSA Stepping Dose A, 512
Display in the SCAT Report (Test Data Results).
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5.11 Dose A 1024 Display Aperture for DSA Stepping
Determine a DSA Stepping Dose A, 1024 Display Aperture Setting that yields a 98 ± 3 LSB mean value
during a DSA Stepping Dose A, 1024 Display Mask exposure.
– On the Advantx console, select 1024 in ACQUISITION PARAMETERS.

– Perform step 5.10 for 1024 acquisition Dose A.
– On the Advantx console, select 10 mAs.

– On the Advantx console select Dose B.
– Perform the procedure in section 5.10 for the 512 acquisition Dose B.
– On the Advantx console select 1024 in ACQUISITION PARAMETERS.

– Perform step 5.10 for 1024 acquisition Dose B.
5.14 Display Apertures Using OPTIMIZ SUB
1. SELECT OPTIMIZ SUB BUTTON AND KEEP THIS STATUS UNTIL THE END OF THE
SECTION 5.14 CALIBRATION PROCEDURE.
2. Repeat steps 5.9 through 5.13 (starting with DSA–STEP 512 mode) and adjust the iris to obtain a mean
value equal to 80 lsb ± 3.
3. Record values in the OPTIMIZE column of the DSA Stepping Aperture Setting SCAT report.
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Blank page
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ADVANTX DLX CALIBRATION Job Card CAL 0 H 1 of 10
Purpose: DEFAULT PHOTOSPOT APERTURE SETTING Version No.: 1

Date: 03–97
PROCEDURE SYNOPSIS
PURPOSE To calibrate the default Iris Aperture/NDF position used in the 1024 Photospot mode for
each dose selection.

Advantx DLX Photospot perform for 1024 / NOSUB /
FS = small or medium / FOV 22 cm (9 inch) / 70 kVp / 50 mA
Phantom 2 1/4” plexiglass + 1/4 inch thick aluminum plate filtration + 1/32
inch thick copper plate filtration, or 2 mm Copper.
values. Refer to the Iris Reference Table in Section 5.7 (i.e. the
first value for Dose D 1024 is 320 with NDF = ON).
PROCEDURE 1.Select Dose A on Advantx Console.
2.Press the Exposure button to update the Dose on the Tech Menu to match that of the
Advantx.
3.Take repeated exposures and adjust mA/Focal spot/ and kVp to obtain 40 ± 15 ms
exposure time.
4.Adjust the Iris Aperture value and set NDF position, if necessary, to obtain a Mean
Value equal to 42 ±2 LSB on the fourth image doing successive runs of 4 expo-
sures.
5.Store the final aperture Value (click on STORE IRIS).
6.Repeat steps 1 to 5 selecting successively dose B, C and D (see the Iris Reference
Table in Section 5.7 for values).
RESULTS Record final Aperture values and Neutral Density Filter positions in the SCAT Report
(Test Data Results).
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DEFAULT PHOTOSPOT APERTURE SETTING

Job Card CAL 0 H 2 of 10
Blank page
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DETAILED PROCEDURE
The purpose of this calibration is to determine and load initial aperture values for a particular Photospot
acquisition Dose selection (Dose A through D for 1024 acquisitions). In addition, this procedure can be
used to determine the proper positioning of the Neutral Density Filter for optimum aperture performance.
SECTION 1
DESCRIPTION
The default Photospot aperture values are used by DLX Application software to initially set the aperture
position to the value determined during this procedure for a given Dose and 1024 display selection.
SECTION 2
SYSTEM USAGE
the selected Dose and 1024 display selection.
SECTION 3
We recommend that you generate the default Photospot aperture setting whenever you replace the TV
Camera Pick–up Tube or recalibrate the Advantx VIC.
SECTION 4
TOOLS REQUIRED
or 2 mm Copper.
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SECTION 5
PROCEDURE
5.1 Boot the Advantx Application and make the following soft key selections on the Advantx
Console
DLX PHOTOSPOT
D TECHNIQUES
– Start with Dose A
– 70 kVp
– Depends on the adjustment (start with 50 mA)
– Focal spot depends upon the tube (small or medium)
D DLX PHOTOSPOT MODE SELECTIONS
5.2 Set–up system
– Place the 2 1/4” plexiglass, 1/4” aluminum and 1/32” copper filtration on the table top. Place the
filtration in the following order: copper on top, aluminum in the middle, plexiglass on the
bottom ; if using 2 mm Copper, place it on the collimator.
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– AEC: ON,
– 10 bits.
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The Technical Menu
***
Note: ***Perform a prep; the Iris Ref. automatically goes to the default value. See the Iris Reference Table
in Section 5.7.

3. Click on RESIZE.

on DLX Console Image monitor.
5. When the box is adjusted, click on the CLOSE button to
exit from the Box Statistics function.
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IRIS APERTURE and ND FILTER fields displayed on the Technical Menu Screen to determine
Advantx System Aperture position and Neutral Density Filter position.
proper ND FILTER (ON or OFF) to start each vascular dose for 1024.
TABLE 1
DEFAULT VALUES

D
Dose
1024 1024
A 80 ON
B 170 ON
C 245 ON
D 320 ON
Aperture positions from 0 to 44) and the position of the ND Filter. If ND Filter is selected, the DLX
System adds a value of 450 to the Aperture position value.
Example:
– If the DLX System requires the Advantx System VIC to set the Aperture at position 24 and bring
in the ND Filter for Photospot Dose C, 1024 Display, the Iris Value field parameter field will
display a value of 690 (Aperture position 240 and 450 to reflect that the ND Filter is in the light
field). To properly start this procedure for Photospot Dose C, 1024 Display enter the value 245
in the Iris Aperture field and select ON in the Technical Menu ND Filter field.
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Due to brightness response characteristics of the Advantx VIC Image TV Pick–up Tube, the Pick–up
Tube tends to “fold–over” the image if the image on the tube is too bright. You may notice this during the
following steps when you decrease the Aperture Value and the DLX System indicates a decrease in the
Peak Video display. Normally a decrease in Aperture value results in an increase in Peak Video display.
To avoid this misregistration, approach the desired mean value of 42 ± 2 LSB from a lower value (or
We recommend that you keep Aperture values for all Doses, 1024 Display, at at least 8 Aperture steps
(80) from Aperture range extremes (0 to 44) to keep selected Apertures in the middle of the Aperture
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5.10 Dose A 1024 Display, Aperture
Determine a Dose A, 1024 Display, Aperture Setting that yields a mean value of 42 ± 2 LSB during a
Photospot Dose A, 1024 Display exposure.
1. Select Photospot Dose A, 1024 Display on the

Advantx Console.
2. Set LEVEL ADJUST to ON in the Technical Menu
to display the mean value on the monitor screen.
Refer to Table 1.
Advantx Console displays an exposure time of 40 mSec ± 15 mSec.
7. Take four successive Photospot Dose A, 1024 Display exposures.
5.11 Mean Value Dose A, 1024 Display
Note: The mean digital reading is important for the aperture setting. Since the contrast and brightness
defaults in technical menu are different than the defaults in applications, the image’s appearance is
different from tech menu to applications. Actually, the images in tech menu look darker than the
images in applications.
If the mean value in the LEVEL ADJUST screen is not 42 ± 2 LSB,

record the value and go on to step 5.12. STD DEV=
MEAN=
PEAK=
If the mean value in the LEVEL ADJUST screen is 42 ± 2 LSB,
skip to step 5.13.
5.12 Aperture Value
2. Repeat step 7 in section 5.10 until the mean value for Photospot Dose A, 1024 Display is 42 ± 2 LSB.
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5.13 Final Iris Aperture value storage
Click on Store to store the final Aperture value for the Photospot Dose A, 1024 display.
IRIS
– Click on IRIS to view the Iris Aperture table.

TABLE
Record final Aperture value and Neutral Density

Filter position for Photospot Dose A, 1024 Display
in the “DATA RECORDS” section of the Service Manual.
Photospot Dose A
Photospot Dose B
Photospot Dose C
Photospot Dose D
5.14 Other Doses Aperture Adjustment
Repeat these steps (above) for Doses B, C, and D for 1024 Matrix.
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CHAPTER 6 – IMAGE QUALITY
SECTION 1
DLX IMAGE QUALITY INTRODUCTION
This chapter provides instructions for the system’s initial Image Quality checks as well as
checks to correct Image Quality problems. Most of the Image Quality Job Cards are divided
into two parts: first, a short overview of the procedure, and secondly a detailed procedure.
Carry out the Calibration procedures before beginning the Image Quality checks. See the
Installation, Calibration, and Image Quality Steering Guides for more information. The
Image Quality Steering Guide is shown on page 6–3.
SECTION 2
COMMON PROCEDURES
2–1 Accessing the DLX Technical Menu
For many of the procedures in this chapter, you will need to use the DLX TECHNICAL
MENU. To do this:
1. Log in as dlx.
2. When the system initialization has finished, the Patient Browser screen appears. Select,
start, or resume an exam before accessing the Technical Menu.
3. Position the cursor near the bottom of the screen and press the left mouse button.
The DLX Main Menu appears.
4. With the mouse button still pressed, select the DLX Others Menu.
5. Still pressing the mouse button, go to the TECHNICAL MENU and release the mouse
button.
2–2 Using the Box Statistics Function
1. Access the TECHNICAL MENU (described above in section 2–1).

2. Click on STATISTICS (using the left mouse button).
3. Click on BOX STATS. The MOUSE HELPER screen appears.
6-1
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Right mouse button functioning:

– Click once to enable box sizing. Double-clicking continues the same function
(sizing).
– Click again to move the box. Double-clicking continues the same function
(displacing the box).
Left mouse button functioning:
– Press the left mouse button once to calculate the standard deviation and the mean
value. If you move mouse the box moves also, press the left button again to
recalculate the standard deviation and the mean value.
– After pressing the left button once, if you move mouse the box moves also. To
recalculate, press the left button again.
– Press the left mouse button and hold while moving the box; press the left button again
to recalculate the standard deviation and the mean value.
Center mouse button functioning:
– Click once to quit the BOX STATS function.
2–3 Quitting the Technical Menu
– Click on EXIT in the upper right hand corner of the Technical Menu screen.
2–4 Quitting DLXINSTAL
– Click on DLX Application in the pop-up DLX Main Menu to exit from
DLXINSTAL, and start the application.
2–5 Recording Image Quality Values
For each of the Image Quality procedures, you will need to record the results. IQ results
should always be recorded in the chapter Data Records, found in the back of this Service
Manual. Certain IQ values can also be recorded in the IQ Tool, for easy access.
– Click on the IQ Tool in the Service Tool Box.

– Enter the IQ value in the appropriate box.
– The IQ Tool automatically records the date and the system. This information can be
backed up on a floppy disk, if necessary.
2–6 Quitting the DLX Application
1. Click on the Exit icon in the lower right corner of the flat panel screen. The
Shutdown window appears.

2. Click on EXIT.
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ILLUSTRATION 6–1
DLX IMAGE QUALITY STEERING
START 2 DLX BLACK OK

OK LEVEL
1 NOISE CHECK
DLX + VIC IMG0C
(CARD + VASC)
IMG0A
NO
NO
CHECK CHECK
. VID CHAIN GND
. BEAM CURRENT . VAD BOARD
. CABLES (VID +GEBUS) . DARK CURRENT
. DLX HIGH GAIN
. LIGHT BIAS
. P.U.T ROTATION
NOISE
DLX ONLY
IMG0B
3 SPATIAL
OK 4 MTF
UNIFORMITY OK
(VASC)
(VASC)
IMG0E
IMG0D
NO
NO
CHECK CHECK
. II FOCUS
. II LENS FOCUS
. GRID ALIGNMENT
. P.UT. LENS FOCUS
. XRT TO II ALIGNMENT
. CAMERA ELECTROMAGNETIC FOCUS
. PICK UP TUBE BEAM ALGN.
. P.U.T. ROTATION
. PICK UP TUBE BEAM ALIGNMENT
STEPS 1, 2, 3, 4 AND 5
OK WERE SUCCESSFULLY OK IRIS APERTURE OK
TEMPORAL
5 UNIFORMITY COMPLETED WITH NO
CURVE
TEST
(VASC) ADJUSTMENTS DONE IMG 0G
OK OK
IMG0F
NO NO
IRIS APERTURE
NO CALIBRATION IRIS APERTURE
CHECK (CARD = VASC = DA) CURVE
CAL B–C–D–F–H CALIBRATION
. LIGHT BIAS ADJ. CAL 0A
. IRIS
. DOSE
. AEC
IF OPTION PRESENT
CV LEVELS
MULTI–FORMAT
(VASC + CARD)
MONITOR CAMERA
IMG0H
ADJUSTMENTS ADJUSTMENT END
CHECK IMG0I + IMG0P (HARD–COPY)
. GAINS IMG0J
. IRIS
. EDR
MANDATORY
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ILLUSTRATION 6–2
BIPLANE MODE IMAGE QUALITY STEERING
DLX BIPLANE MODE

START FRONTAL PLANE: LATERAL PLANE:
YES
refer to Ill 6–1 refer to Ill 6–1 SCATTER OK END
IMG0 N
NO
CHECK :
. TIMING EXP–GATE
. VBLANK SIGNALS
. GEIM OUTPUTS
. II BLANKING SIGNALS
. II G2 STABILIZATION
MANDATORY PROCEDURE
Check that the SOD of the lateral X ray tube is set at 70 cm (minimum SOD) when
CAUTION performing any JOB CARD on the lateral subsystem.
Note: For lateral calibration, set the x–ray beam in the same direction as the one described in the
JOB CARD for the frontal plane
Note: With the SOD set at 70 cm on the lateral plane, the configuration is similar to the frontal
configuration and JOB CARD are valid as well for calibrating or verifying the lateral
plane.
6-4
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ADVANTX DLX CALIBRATION Job Card IMG 0 A 1 of 8
Purpose: VASCULAR SYSTEM NOISE CHECK (DLX + Version No.: 1

VIC) Date: 04–97

Note: SEE PAGE 3 OF THIS JOB CARD FOR THE DETAILED CHECK PROCEDURE.
PURPOSE To test for system noise levels in the VIC and the DLX. Perform the test in:
– VASCULAR or DSA–NO STEP 512 / 1024
– VASCULAR or DA–STEPPING 1024
– DLX Fluoro Manual Mode
SET–UP Positioner Grid IN / PA / collimator blades closed / 1 mm lead ( or 2 mm copper
filtration) over the collimator to block residual radiation
Advantx DSA–NO STEP 512 and 1024 / NO SUB / FS = small / min kVp /
lowest mA for the selected focal spot / mA min / Dose A /
mask to run = 1s / segment #1 = 1 i/s for 5s
DA–STEPPING 1024 / NO SUB / FS = Small / min kVp / min mA
Manually blank VIC Camera S225 / VIC 1 / A11 ( S225 ON = up)
FOV 9 inch (22 cm)
DLX Fluoro / Manual / kVp min / mA min
Techmenu / AEC = OFF / exposure time = 2 ms / 10 bits / Iris = 400 /
NDF = ON / Level Adjust = ON
PROCEDURE 1. Select DSA – NO STEP 512 and corresponding set-up parameters on Advantx
Console.
2. Adjust OFFSET INC to 127. (Note that once you have taken an exposure a new,
different value, and not 127, is displayed; this is normal.)
3. Take an exposure.
4. Click on BOX STATS and move the box around the image – look for the maximum
Standard Deviation reading (do not measure on areas representing structured noise).
5. Check that the S.D. is within specifications, and record the value on the SCAT (Test
Data Results) data sheet.
6. Repeat Steps 1 through 4 selecting DSA – NO STEP 1024 Mode.
7. Repeat Steps 1 through 4 selecting DA – STEPPING 1024 Mode.
8. Repeat Steps 1 through 4 making DLX Fluoro exposures.
9. Return to normal operating conditions: S225 (OFF = down) on VIC 1 / A11.
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VASCULAR SYSTEM NOISE CHECK (DLX + VIC)

Job Card IMG 0 A 2 of 8
ANALYSIS Criteria : VASCULAR or DSA – NO STEP 512 S.D ≤ 0.26

VASCULAR or DSA – NO STEP 1024 S.D ≤ 0.68
DA – STEPPING 1024 S.D. ≤ 1.96
DLX Fluoro S.D. ≤ 1.14
ACTION Check: Advantx cabinet grounding, VIC to DLX cabinet grounding, VIC to DLX
cabinet cables should not be close to GE bus cables, for sufficient blanking.
6-6
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DETAILED PROCEDURE
This performance procedure checks that the noise level through the Advantx TV Camera to the DLX
processor and display video signal chain is within specified SNR values.
SECTION 1
TOOLS REQUIRED
1 mm lead, or 2 mm copper filtration, over the collimator to block residual radiation
SECTION 2
PROCEDURE
2.1 Boot the Advantx Application Software and select the following on the Advantx Console:
D TECHNIQUES
– DLX VASCULAR
– kVp min
– mA min
– 9 inch (22 cm) Field of View
– Dose A
– Small focal spot
– Auto Inject–OFF
– Mask to Run Delay–1.O Sec
– Segment One Rate–1.O Sec
– Segment One Duration–5.0 Sec
– Manual
– DLX Fluoro
Refer to Advantx Operation Manuals for instructions on booting the Advantx Application Software and
selecting DLX Vascular screens on the Advantx Console.
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2.2 Begin the DLX Acquisition
Login at the prompt:

login: dlx <cr>. The PATIENT BROWSER FROM DISK screen appears.
Refer to the DLX Operator Manual for instructions on booting the DLX application software, and selecting
DLX screens.

2. Create a new patient (for example: NOISE) and enter an identification number.
The SEQUENCE VIEWER screen appears.
2.3 Blank the TV Camera
Manually blank the Advantx VIC TV camera and reset the Advantx console to enable Vascular
acquisitions.
1. Manually blank Advantx VIC TV Camera by placing S225 (MAN TARGET BLANK) on VIC Sync
and set the Timing Board VIC1 A11 to ON (up).
Note: You do not need to reset the Advantx, as the system may not pass offsets.
2. Reselect DLX VASCULAR using the softkey on the Advantx console.
2.4 Set–up the System
D Set collimator blade(s) to fully closed.

D PA = posterior anterior.
D Leave the grid in the positioner.
D Place 1 mm lead, or 2 mm copper, over collimator to be certain that residual radiation is blocked
(particularily recommended for circular collimators).
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Select the Technical Menu in the pop–up DLX Main Menu.
2.6 Edit the DLX Technical Menu Screen
Enter the following parameters in the DLX Technical Menu screen as shown in Illustration
AUCUN LIEN .
– AEC = 2 ms,
– 10 bits,
– Iris = 400,
– NDF = ON,
ILLUSTRATION 6–3
THE TECHNICAL MENU SCREEN
4
2
400
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2.7 Adjust the DLX ROI
1. Click on CAMERA CENTERING in the Technical Menu. The DLX ROI (Region of Interest) box
size is adjusted to 50 mm square (the default size).
2. Click again on CAMERA CENTERING to exit from the CAMERA CENTERING function.
2.8 Establish the Offset Value
1. Enter the value 127 in OFFSET INC.

Note: Once you have taken the exposure a new, different value, and not 127, is displayed in OFFSET INC;
this is normal – continue.
2.9 Measure the maximum noise level in an image
In the DLX Technical Menu screen, click on BOX STATS in the STATISTICS menu. Move the box until
you reach the maximum standard deviation value.
Check to see if the standard deviation meets the specifications; if so, record the standard deviation value on
the SCAT Report (Test Data Results), and continue with the procedure. See also ”Recommendations” in
Section 2.12.
MODE STANDARD DEVIATION

Vascular or DSA No Step 512 S.D ≤ 0.26
Vascular or DSA No Step 1024 S.D ≤ 0.68
DA Stepping 1024 S.D. ≤ 1.96
DLX Fluoro S.D. ≤ 1.14
2.10 If the 1024 Display option is installed, repeat the preceding procedure
Repeat the procedure with the 1024 line display parameter selected on the Advantx console.
2.11 Return Advantx System to normal operating conditions
1. Unblank Advantx VIC TV Camera by placing S225 (MAN TARGET BLANK) on VIC Sync and set
Timing Board VIC1 A11 to OFF (down).
2. Reset the Advantx System by turning the Advantx console power first OFF, then ON.
6-10
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2.12 Recommendations
If any of the standard deviation values exceed the specifications, do the following:
– Check the Advantx VIC TV Camera head grounding.

– Check Advantx VIC to DLX cabinet grounding.
– Check that the Advantx VIC to DLX Cabinet Video cables are not near the GE Bus cables. If these
cables are too close, DLX images may be affected by Arcnet noise.
– Be sure to have sufficient VIC TV Camera blanking. You should not be able to see the TV Camera
blanking circle on DLX images. Adjust the Fluoro Beam Current if you are having VIC TV Camera
blanking problems.
Note: Reference Advantx Calibration Unit V053, Beam Current.
6-11
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Blank page
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ADVANTX DLX CALIBRATION Job Card IMG 0 B 1 of 6
Purpose: SYSTEM NOISE CHECK DLX Version No.: 1

Date: 04–97

PURPOSE To test for noise level on the DLX only. Perform the test in: DSA–NO STEP 512 / 1024,
or Vascular 512 / 1024.
SET–UP Positioner N/A

Advantx DSA–NO STEP 512 and 1024, or Vascular 512/1024 / minimum kVp /
FOV 9 inch (22cm) / Focal Spot = small /
minimum mA (lowest mA for the selected focal spot)
Techmenu / 10 bits / Level Adjust = ON /
Video disconnected from DLX filter
Phantom N/A
PROCEDURE 1– Select 512 on the Advantx Console.

2– Adjust OFFSET INC to 127. (Note that once you have taken an exposure a new,
different value, and not 127, is displayed; this is normal.)
3– Take one exposure.
4– Click on BOX STATS in the STATISTICS menu, and move the box around on the
screen image to find the maximum Standard Deviation reading.
5– Check that the S.D. is within specifications, and record the value on the SCAT
Records (Test Data Results) data sheet.
6– Repeat Steps 1 to 5, selecting 1024 Matrix.
ANALYSIS Criteria : DSA – NO STEP 512 S.D ≤ 0.13

DSA – NO STEP 1024 S.D ≤ 0.13
ACTION Check the VDP rack board DLX1A1A31 VAD3.
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SYSTEM NOISE CHECK DLX

Job Card IMG 0 B 2 of 6
Blank page
6-14
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DETAILED PROCEDURE
This performance procedure checks that the DLX processor noise level and display video signal chain are
within specified SNR values.
SECTION 1
TOOLS REQUIRED
None.
SECTION 2
PROCEDURE
D TECHNIQUES
– DLX VASCULAR
– Minimum kVp
– Minimum mA
– 9 inch (22cm) Field of View
– Dose A
– Auto Inject–OFF
– Mask to Run Delay–1.O sec
– Segment One Rate–1.O sec
– Segment One Duration–5.0 sec
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2.2 Begin the DLX Acquisition
Login at the prompt:

login: dlx <cr>. The PATIENT BROWSER FROM DISK screen appears.
Refer to the DLX ”Operator Manual” for instructions on booting the DLX application and selecting
screens.
1. Disconnect the video cable from the DLX1A4T1 video filter input on the DLX cabinet.
2. Click on NEW PATIENT in the PATIENT BROWSER FROM DISK screen .
3. Create a new patient (name: NOISE – in uppercase letters) and enter an identification number.
The SEQUENCE VIEWER screen appears.
Access the Technical Menu.
Note: Refer to the ”Technical Menu Engineer’s Guide” in the Service Manual for more information on the
Technical Menu field selections.
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ILLUSTRATION 6–4
EDIT THE TECHNICAL MENU
4
2
4
400
Click on CAMERA CENTERING. The DLX ROI (Region of Interest) box appears on the monitor screen
adjusted to a 50 mm square (the default size).
Click again on CAMERA CENTERING to exit the Camera Centering function.
1. Edit the DLX Technical Menu Screen displayed on the DLX Console monitor to reflect the parameter
field entries shown in Illustration AUCUN LIEN .
2. Enter the value 127 in OFFSET INC.
Note: Once you have taken the exposure a new, different value, and not 127, is displayed in OFFSET INC;
this is normal – continue.
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2.6 Measure the Maximum Noise Level in an Image
Click on BOX STATS and move the box until you reach the maximum standard deviation value.
Check to see if the standard deviation meets the specifications; if so, record the standard deviation value on
the SCAT Report (Test Data Results), and continue with the procedure. See also ”Recommendations” in
Section 2.9.
MODE STANDARD DEVIATION

DSA – NO STEP 512 S.D ≤ 0.13
DSA – NO STEP 1024 S.D ≤ 0.13
2.7 Select 1024 Matrix on the Advantx console
Select 1024 Matrix on the Advantx console, and repeat steps 2.1 through 2.6.
2.8 Return the DLX system to Normal Operating Conditions
Reconnect the video cable from VIC to the DLX cabinet video filter.
2.9 Recommendations
If any of the standard deviation values exceed the specifications, check the VDP rack board DLX1A1A31
VAD3.
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ADVANTX DLX CALIBRATION Job Card IMG 0 C 1 of 8
Purpose: DLX BLACK LEVEL Version No.: 1

Date: 04–97

PURPOSE To check and measure the actual black level on a digital image acquired for each DLX
acquisition mode and verify DLX offset calculation is correct.
SET-UP Positioner Grid IN / Collimator blades fully closed / 1 mm lead (apron) or copper
plates on collimator (2 x 1/32 inch, or 2 x 1 mm copper plates)
Advantx DSA-NO STEP 512 NO SUB / Power Off/On the Advantx console to
force the sytem to calculate offsets
For Vascular mode – Dose A: small focal spot / 40 kVp / mA = mini-
mum / FOV = nominal
For DLX fluoro: manual / minimum kVp, mA, and FOV
Techmenu / 10 bits / NDF filter ON / Iris Aperture = 400 /
AEC = OFF / Exposure time = 2 ms, level adjust ON
Phantom 1 mm lead (apron), or copper plates on collimator (2 x 1/32 inch copper
plates, or 2 x 1 mm copper plates)
PROCEDURE 1– Select DSA–NO STEP 512 and corresponding setup parameters on Advantx Console.
2– Adjust OFFSET INCREMENT to 0.
3– Take five exposures; verify that the displayed mean values do not vary by more than
4 LSB. Record the last displayed mean value.
4– If the mean value is < 0.1, increase the OFFSET INCREMENT by 4 and repeat step
3. Continue to increment by 4; repeat step 3 until the mean value is > 0.1.
5– Calculate the black level:
Offset Increment
Black Level = Mean –
4
6– Record the displayed offset value and the calculated black level value on the SCAT
Records (Test Data Results).
7– Repeat steps 1 to 6 selecting 1024 mode.
8– Repeat steps 1 to 6 selecting DLX Fluoro.
9– Repeat steps 1 to 7 selecting DA–STEPPING mode. running fluoro for 5 seconds.
10– Disconnect Video cable from DLX filter and reboot the Advantx for offset
calculation.
11– Reconnect the Video cable.
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DLX BLACK LEVEL

Job Card IMG 0 C 2 of 8
ANALYSIS Typical OFFSET values for all doses is 62 ± 4 (without Video level on DLX).
The means of the five exposures should not differ by more than 4 LSB.
Typical black level value for all modes should be +/–2 LSB:
–2 LSB black level 2 LSB
ACTION SYSTEM CHECK: Light Bias instability
PUT rotation
VIC dark current and beam alignment
VIC/DLX video gains
DIGITAL CHECK: VAD board offset adjustment
DETAILED PROCEDURE
SECTION 1
DESCRIPTION
This procedure measures the DLX black level (in LSB). The black level of an image is an important
parameter that affects the visibility of the arteries in the image background.
The black level is the level at which, for a given point on the Image Intensifier, absolutely no X–rays (direct
or scattered) fall. The black level is easily measured (lowest technical parameters, collimator blades
closed) for each DLX acquisition mode.
This procedure verifies also if the DLX offset calculation is correct without Video signal at the VAD input.
SECTION 2
WHEN TO USE PROCEDURE
This procedure should be carried out:
– just after installation, when the VIC is completely calibrated,

– after any parameter adjustment involving a change in the lowest video level values,
– after any component replacement that affects the lowest video level values,
– after any customer complaint about image contrast, detail visibility or image/video levels.
SECTION 3
TOOLS REQUIRED
1 mm lead (lead apron), or 2 x 1/32 inch copper, or 2 x 1 mm copper plates.
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DLX BLACK LEVEL

SECTION 4
PROCEDURE
4.1 SET–UP
1. Power OFF then power ON the Advantx console to force an offset calculation (during the boot).
2. Boot the Advantx Application Software.
3. Make the following selections on the Advantx Console.
– Dose A
– DSA No Stepping 512, No Sub
– 40 kVp
– Minimum mA
– FOV nominal
D FLUORO SELECTION
– DLX Fluoro
– Manual mode
– Minimum kVp, minimum mA
– FOV minimum
D POSITIONER
– Set the collimator blades to fully closed.
4. Place a strong filtration in the path of the X-ray beam, for example a 1 mm lead (apron) or 2 mm copper
plates on the collimator, so that no X-rays reach the II entrance plane.
Lead or
copper
X–ray tube
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DLX BLACK LEVEL

4.2 Enter the DLX Technical Menu
1. Login: dlx <Return>. The PATIENT BROWSER FROM DISK screen appears.
2. Click on NEW PATIENT. Enter a new patient (name:) and an identification number.
3. Select NEW EXAM.
5. Carry out the following steps to access the Technical Menu:
– Click near the bottom of the screen (with

the left mouse button).
– Press the button until the DLX Main
Menu appears.
– Drag with the mouse to select Technical Menu.
– Release on Technical Menu.
Edit the DLX Technical Menu screen displayed on the DLX console dialog monitor so that the parameter
field entries are set to the values shown in Illustration 6–5. Use the mouse to move the cursor to the desired
Technical Menu fields. Use the mouse and the keyboard to edit the parameter fields.
Edit the IRIS APERTURE and ND Filter DLX Technical Menu screen parameter fields as follows:
– Set Level Adjust to ON, and 8/10 bits to 10

– Set the exposure time to 2 ms.
– Set NDF filter to ON.
– Enter the maximum Iris Aperture value: 400.
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DLX BLACK LEVEL

ILLUSTRATION 6–5
400
4.4 Measure the Black Level and Offset value
1. Take five exposures, using the console handswitch. Check that the mean values displayed after each
exposure do not differ from each other by more than 4 LSB.
2. Record the last displayed mean value.
3. If this mean value is less than 0.1, then increase the OFFSET INCREMENT by 4 and repeat step 3.
Continue to increment by 4 and repeat step 3 until the mean value is > 0.1. The offset increment of 4 is
chosen because a 4 LSB offset increment corresponds to a change of 1 LSB mean value on the DLX
monitor.
4. Calculate the black level: Black Level = Mean Value – (Offset Increment 4). This value is the black
level value on the monitor, which corresponds to a dynamic range of 0 to 255 LSB on the DLX monitor.
5. Record the offset value (displayed on the DLX console) and the calculated black level value, on the
data sheet in the chapter “Data Records”.
4.5 Measure the Black Level and Offset values in the 1024 mode
1. Select the 1024 mode on the Advantx console.

2. Repeat the procedure described in section 4.4 for the 1024.
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DLX BLACK LEVEL

4.6 Measure the the Black Level and Offset values in DLX fluoro (using the foot switch)
1. Select the DLX fluoro on the Advantx console.

2. Repeat the procedure described in section 4.4, using the fluoro foot switch instead of the handswitch.
Press the switch for 5 seconds for each exposure.
4.7 Measure the Black Level and Offset values in the DA Stepping mode
1. Select the DA STEPPING 512 mode on the Advantx console.

3. Select the DA STEPPING 1024 mode on the Advantx console.
4.8 Measure the Offset values without video on DLX
1. Disconnect the video cable on the filter (DLX1 A74).

2. Power OFF, then power ON the Advantx console to force an offset calculation.
3. Boot Advantx application software.
4. Enter DLX technical menu.
5. Record the offset values on Data sheet.
6. Reconnect the video cable.
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DLX BLACK LEVEL

SECTION 5
ANALYSIS
1. If any of the offset values are not 62"4, with the video disconnected from the VIC, check the DLX
VAD board.
2. The observed means of the sets of five exposures should not differ by more than 4 LSB. This confirms
black level stability.
3. In all acquisition modes, the calculated black level values should be: " 2 LSB (–2 v black level v 2).
Although, in reality, black level values on the DLX monitor can only be positive or nul, this calculated
black level value gives a representative value of the video signal’s black level value before digitization.
It represents the video’s black level, which corresponds to a scale of 0 to 255 LSB on the DLX monitor.
If any of these values are different than expected in any of the acquisition modes, check:
– light bias levels,
– PUT rotation,
– VIC black level,
– PUT beam alignment,
– VIC gains.
Note: This procedure can be performed with inverted horizontal and/or vertical sweeps, in order to
check the black level stability with these sweeps.
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DLX BLACK LEVEL

Blank page
6-26
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ADVANTX DLX CALIBRATION Job Card IMG 0 D 1 of 10
Purpose: BRIGHTNESS UNIFORMITY Version No.: 1

Date: 04–97

PURPOSE To check the image spatial uniformity for the largest field of view.
SET–UP Positioner Grid In / PA / Table = ISO / II 12”(30cm) above table top /

Collimator in Auto mode
Advantx DSA–NO STEP 512 & 1024 / NO SUB / Focal spot = large /
FOV = Nominal/ 75kVp / 640 mA or 800 mA / Dose D
Techmenu / Box size = 5 mm x 5 mm centered / Level Adj. = ON
Shutter = 400 pixels for 50 Hz (instead of 512)
367 pixels for 60 Hz (instead of 470)
AEC = OFF
Phantom 2 1/4” Plexiglass + 1/4” aluminum plate filtration + 1/32” copper plate
filtration, from CV phantom, on tabletop,
or: 2mm copper on collimator
PROCEDURE 1– Select
and corresponding Set–up parameters on the Advantx
Console Check that the filtration completely covers the image.
2– Take repeated exposures and adjust the exposure time to obtain a mean value equal to
100 ± 3. (Exposure time should be ≥ 15 ms; if not, reduce mA)
3– Click on Statistics and choose Segment Stats. Position lines as shown in
Illustration 6–6.
4– Calculate the uniformity value as follows:
Max – Min x 100
B.U. (%) =
Mean value
5– Select FOV = 22 cm for 40 cm II and FOV=16 for 30 cm II and for 22 cm II and
repeat steps 1 through 4.
6– Select the 1024 mode and repeat steps 1 through 5.
ANALYSIS Criterion: For each 512 or 1024 matrix:
II 40: FOV 40, BU < 50 %; FOV 22, BU< 35 %
II 30: FOV 30, BU < 45 %; FOV 16, BU < 35 %
II 22: FOV 22, BU < 45 %; FOV 16, BU < 35 %
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BRIGHTNESS UNIFORMITY
Job Card IMG 0 D 2 of 10
ACTION System check: Grid Alignment, XRT to II adjustment, PUT alignment, and beam
alignment.
DETAILED PROCEDURE
This Image Performance Check procedure determines whether the Advantx DLX System imaging chain
meets specified Brightness Level Uniformity criteria across an unsubtracted flat field image.
SECTION 1
TOOLS REQUIRED
2 x 1/4” Plexiglass from CV phantom

+ 1/4” aluminum plate filtration
+ 1/32” copper plate filtration
or; 2 mm copper
SECTION 2
PROCEDURE
D TECHNIQUES
– DLX VASCULAR
– 75 kVP
– 640 mA or 800 mA
– Dose D
– Mask to Run Delay – 1.0 Sec
– Segment One Rate – 1.5 Sec (60Hz) – 1.3 Sec (50Hz)
– Segment One Duration – 2.2 Sec
– Segment One Delay – 0.0 Sec
– Segment two Duration – 0.0 Sec
– Segment Three Duration – 0.0 Sec
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ILLUSTRATION 6–6
SEGMENT STATISTICS SCREEN ON MONITOR
L1
L2
D FOV SELECTIONS
– Select the nominal FOV:
- 9 inch Field of View (23 cm) for 9 inch (23 cm) Image Intensifiers, or
- 12 inch Field of View (30 cm) for 12 inch (30 cm) Image Intensifiers, or
- 16 inch Field of View (40 cm) for 16 inch (40 cm) Image Intensifiers.
2.2 Set–up the system as follows:
1. Set collimator blades to fully open.

2. Position Table top at isocenter ; place the copper plate(s) on top of the collimator, or, place the CV
phantom filtration on the tabletop (centered in the field of view).
3. Adjust the Image Intensifier to 12” (30 cm) above the table top.
4. Set the X–Ray tube to the minimum SID.
5. Leave the Image Intensifier grid in place.
6. In conventional fluoro, verify the filtration covers exactly the image.
Note: For 40cm II, it should be necessary to lower the table top to the lowest position.
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2.3 Enter the DLX Technical Menu
1. To access the Technical Menu, click on Technical Menu in the DLX Others Menu:
2. Edit the Technical Menu.
ILLUSTRATION 6–7
THE TECHNICAL MENU
4
10
***Aperture should be set

to Dose D default.
***
2.4 Modify the shutter diameter as follow:
1. In DLX Technical Menu, select Shutter Size function.

2. Adjust the shutter diameter to 400 (50Hz system) or 367 (60MHz system) with the cursors in the
shutter size window.
3. Click on “Store”, then “Close”.
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2.5 Adjust the DLX ROI box and Reset the ROI Box to Default Size
Note: The DLX ROI (Region of Interest) box is the area where DLX System measures mean level and standard
deviation.
1. Click on CAMERA CENTERING in the Technical Menu to enter the Camera Centering function.
The DLX ROI (Region of Interest) box is adjusted to 50mm square (the default size).
2. Click on CAMERA CENTERING a second time to exit the Camera Centering function.
1. Edit the Technical Menu on the DLX Console monitor so that the parameter field entries are the same
as those shown in Illustration 6–7.
2. Use the mouse to move the cursor to the desired Technical Menu fields. Use the mouse and keyboard
to modify the values in each field.
2.7 Determine the Required Exposure Time
Find a Advantx Aperture position that yields a Mean Value (Level) of 100 3 indication during a Vascular
Dose D, 512 Display, with an exposure time of 15 ms or more:
1. Take a Vascular Dose D, 512 Display, exposure, using the Advantx Console Handswitch. Start with the
Exposure Time set to 10 ms.
2. Click on BOX STATS in the Technical Menu to enter Box Statistics function; check the Mean Value
and the Exposure Time.
3. If the Mean Value indicated on the DLX Console Image monitor screen is not 100 3:
Record the value, then adjust the EXPOSURE TIME value in the Technical Menu (use the mouse to
position the cursor on the EXPOSURE TIME field, and the keyboard to enter the desired value).
Repeat from step 1., using the new exposure time.
– Larger Exposure Time values result in larger mean value indications.
– Smaller Exposure Time values result in smaller mean value indications.
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4. If the Mean Value indicated on the DLX Console Image monitor screen is 100 3:
Check that the exposure time is 15 ms or more. If it is not, select a lower mA value on the Advantx
console. Repeat from step 1., using the new mA value.
5. Repeat steps 1. through 4. until the mean value indicated for Vascular Dose D, 512 Display is 100 3,
and the Exposure Time is 15 ms or more.
2.8 512 DLX System Uniformity
Determine the DLX System Brightness Uniformity for the Mean Value of the 100 3 image determined in
step 2.6 (the % difference between the maximum and minimum level must be < 40%) using the Technical
Menu SEGMENT STATS function.
1. Click on CAMERA CENTERING in the Technical Menu.

2. Click on SEGMENT STATS in the Technical Menu.
3. Draw a SEGMENT STATS L1 Horizontal Line across the
center of the image (approximately 270° to 90° ).
The line should be 367 pixels in length (60Hz DLX), or
400 pixels in length (50Hz DLX).
3.1. The DLX monitor displays a circle, a box in the center of the image, and a starting circled point
for the L1 Line in the center portion of the image. See the diagram on illustration 6–8.
ILLUSTRATION 6–8
0 - 360
270 90
L1 LINE
starting point L1 LINE
ending point
180
3.2. Position the starting point in the left portion of the circle. Click with the mouse to confirm the
L1 Line starting point. See diagram on illustration 6–8.
3.3. The DLX monitor displays the L1 Line with a circled end–point. Place L1 Line end–point cross
hair in the right portion of the circle. See diagram above.
3.4. Check that L1 Line is 367 (for 60Hz DLX), or 400 for (50Hz DLX), pixels in length (as
displayed in lower left box on image) and that it is horizontal, near the horizontal line of the
camera centering function (approximately at 270° to 90°).
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3.5. Click again to confirm the L1 Line end–point.

3.6. The DLX Console monitor erases the L1 line circled end point and displays a circled starting
point for the L2 continuous line in the left portion of the image.
4. Draw a SEGMENT STATS vertical L2 continuous dotted line, across the center of the image
(approximately 0° to 180°). The line should be 367 pixels in length (60Hz DLX), or 400 pixels in
length (50Hz DLX).
4.1. Position the starting point in the upper portion of the circle. See Illustration 6–9.
Click to confirm the L2 starting point.
4.2. Position the L2 ending point. See Illustration 6–9.
The DLX Console Image Monitor displays the L2 continuous line with a circled end–point
cross hair.
ILLUSTRATION 6–9
0 - 360 L1 LINE
starting point
270 90
180 L1 LINE
ending point
4.3. Check that the vertical L2 continuous line is 367 (for 60Hz DLX, or 400 (for 50Hz DLX), pixels
in length (as displayed in lower left box on image), and is vertical, close to the vertical line of
the camera centering function (approximately at 0° to 180°).
5. Click on the left button of the mouse three times to display a full SEGMENT PROFILE DISPLAY
image on DLX Console Image monitor.
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6. From the full SEGMENT PROFILE DISPLAY image, record the following absolute values:
ILLUSTRATION 6–10
Maximum Level Minimum Level
_____________ ____________
The vertical axis is divided into 10 segments, to simplify level evaluation
BOTH ABSOLUTE VALUES CAN BE FROM THE SAME LINE.
7. Calculate the Brightness Uniformity:

Maximum Level – Minimum Level
BU%= x 100
Center Level (100 ± 3)
8. Select FOV 22 cm for 40 cm II, or FOV 16 cm for 22 cm and 30 cm II.
2.9 1024 DLX System Uniformity
1. Select 1024 Matrix and FOV nominal on the Advantx console.
2. Repeat the procedures 2.6 through 2.8 for 1024. The lines length is now 800 pixels (50Hz system) or
734 pixels (60Hz pixels).
2.10 Reset the Shutter Diameter
The shutter diameter must be reset to its original diameter:

1. In DLX Technical Menu, select Shutter Size function.
2. Adjust the shutter diameter to 512 (50Hz system) or 470 (60 Hz system) with the cursors in the shutter
size window.
Enter: 1 <Return>
Enter: 512 <Return> for a 50 Hz system, or
Enter: 470 <Return> for a 60 Hz system.
3. Click on “Store”, then “Close”.
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2.11 Acceptance criteria
Whatever the matrix size, the Brightness Uniformity value should be:
For each 512 or 1024 matrix:

II 40: FOV 40, BU < 50 %; FOV 22, BU< 35 %
II 30: FOV 30, BU < 45 %; FOV 16, BU < 35 %
II 22: FOV 22, BU < 45 %; FOV 16, BU < 35 %
2.12 Recommendations
1. For each II and smallest measured FOV, if the Brightness Uniformity value is not correct, the video
camera is likely to be faulty. Repeat the measurements with Horizontal and Vertical sweeps reversed.
Check and/or adjust, in the corresponding 512 or 1024 mode:
– P. U. Tube alignments
– Beam alignments
2. If the Brightness Uniformity value is correct for the smallest FOV, but not for the largest FOV, the
problem is probably linked to one or more of the following:
Grid non-uniformity; XRT non-uniformity;
I. I. non-uniformity; Geometric misalignment between these components.
To isolate the origin of the non-uniformity:

– Use the DAS1 (or RMI162B) tool to check the X-ray tube, grid, and I.I. alignment.
– Check symmetry by rotating the grid through 180° and repeating the measurements of this job card.
– Check for grid edge attenuation by removing the grid and repeating the measurements of this job
card. This can be done for different SIDs.
– To observe the impact of the XRT heel effect; remove the grid, change the SID, and repeat the
measurements of this job card.
– Using standard Field service tools, it is not possible to diagnose I.I. non-uniformity problems
directly; suspect the I.I. if the other components have been tested correct.
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ADVANTX DLX CALIBRATION Job Card IMG 0 E 1 of 12
Purpose: IMAGE QUALITY MEASUREMENT (MTF) Version No.: 1

Date: 04–97

PURPOSE To measure the image system MTF in VASC 512 and 1024 at two spatial frequency
values which represent system use.
SET–UP Positioner SID 1m / Grid IN / collimator Auto mode
Advantx 512 or 1024 / 50kVp / 100 mA / 9 inch FOV (22 cm) / Small focal spot
/ No SUB / Dose D
Technical Menu / 10 bits / AEC = OFF / start with 20 ms Exposure time
Phantom Resolution wedge, taped to the center of the grid with the lines running
vertically on the monitor, centered at:
0.6 lp/mm (50Hz) in 512 and 1024 (0.55 lp/mm in 60Hz), or
1.2 lp/mm (50Hz) in 1024 (1.1 lp/mm in 60Hz)
PROCEDURE 1– Select 512. The NDF and Iris aperture are automatically set when you do a prep.
2– Center the resolution wedge in fluoro as above. The measurement of white level,
black level and standard deviation should be made as in Illustration 6–11.
3– Take exposures, adjusting the exposure time to obtain a white level of 200 ± 3 lsb;
store the white level value (see Illustration 6–11 for the box position). Set LEVEL
ADJUST to ON.
4– Measure the white level with LEVEL ADJUST (see Illustration 6–11) and store it
(click on WHITE LEVEL).
5– Measure the black level with BOX STATS (see Illustration 6–11) and store it (click
on BLACK LEVEL).
6– Measure the standard deviation in the resolution wedge with BOX STATS (see
Illustration 6–11) and store it (click on STD DEV).
7– Record the MTF value from the Technical Menu on the SCAT Records (Test Data
Results).
8– Select 1024, Dose D. (The ND filter and Iris Aperture are automatically set.) Repeat
steps 2 through 7 for : 0.6 lp/mm and 1.2 lp/mm (50Hz) or,
0.55 lp/mm and 1.1 lp/mm (60 Hz).
9– Record the MTF value from the Technical Menu on the SCAT Records (Test Data
Results) data sheet.
ANALYSIS For 512 the MTF > 40% at 0.6 lp/mm
For 1024 the MTF > 40% at 0.6 lp/mm / MTF > 18% at 1.2 lp/mm
ACTION – Adjust the PUT/II lens focus (with iris open = maximum
standard deviation).
– Adjust the PUT/II focalisations.
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IMAGE QUALITY MEASUREMENT (MTF)

Job Card IMG 0 E 2 of 12
ILLUSTRATION 6–11
BOX POSITIONS FOR BLACK/WHITE LEVELS
Step 3: White Level
Step 5: Black Level
Step 6: Standard Deviation

CAMERA CENTERING CROSS
STEP
5
STEP
3 STE
P6
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DETAILED PROCEDURE
This measurement procedure gives the value of the modulation transfer function (MTF) for particular
spatial frequencies in the imaging system. The MTF is one of the most important parameters in the imaging
system.
SECTION 1
DESCRIPTION
The MTF is measured at a spatial frequency of 0.6 lp/mm for 512 Matrix, and at two spatial frequencies, 0.6
lp/mm and 1.2 lp/mm, for 1024 Matrix. These spatial frequency values were chosen because they are
representative of the detail size the user observes on the monitor, and because an imaging system
misadjustment can easily be detected for these values. Depending on the line frequency, the measurement
values chosen are 0.6 lp/mm and 1.2 lp/mm for 50HZ, or 0.55 lp/mm and 1.1 lp/mm for 60Hz.
The imaging system MTF is found by using a resolution wedge centered on the II entrance plane, and
measuring two densities, and one standard deviation, on the monitor image using the DLX Box Statistics
function.
SECTION 2
WHEN TO USE PROCEDURE
– just after installation, when the system is completely calibrated,

– after any component replacement in the imaging system (from the II to the monitor),
– after any service mode or component adjustment involving the imaging system,
– any time the customer, or the field service engineer, has a complaint or doubt about the image
quality performance.
SECTION 3
TOOLS REQUIRED
Resolution wedge = Funk pattern type 23 (0.05 or 0.1 mm lead thickness), or

Nuclear Associates type # 07–523 (46–197871P2)
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SECTION 4
PROCEDURE
4.1 SET–UP
Boot the Advantx Application Software. Select the following on the Advantx Console:
D TECHNIQUES
– DLX VASCULAR
– 50 kVp
– 100 mA
– Smallest Focal Spot for selected kVp and mA
– Dose D
– L and U positions to 0°
D POSITIONER
– Adjust SID to 1 meter (3 feet).
– Leave the Image Intensifier grid in place.
– Set the collimator blades to the Automatic mode.
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1. Login: dlx <cr>. The PATIENT BROWSER FROM DISK screen appears.
3. Select NEW EXAM.
Edit the DLX Technical Menu screen displayed on the DLX console dialogue monitor so that the
parameter field entries are set to the same values as those shown in Illustration 6–12. Use the mouse to
move the cursor to the desired Technical Menu fields. Use the mouse and the keyboard to edit the
parameter fields.
Start with a 20 ms exposure time, 10 bits, and AEC = OFF in the Technical Menu.
ILLUSTRATION 6–12
20
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4.4 Center the Resolution Wedge in the II Entrance Plane
– Click on CAMERA CENTERING to enter the Camera Centering function.
– Tape the resolution wedge on the II grid and, using the DLX fluro, center it as shown in Illustration
6–13. The area to be measured, 0.6 lp/MM for 50HZ or 0.55 lp/mm for 60Hz, must be centered
on the camera centering function cross. The lower spatial frequencies should be towards the top
of the image, with the higher frequencies towards the bottom of the image.
– Click on CAMERA CENTERING a second time to exit from the Camera Centering function.
4.5 Position DLX ROI box for White Level Measurement
– Click on BOX STATS to enter the Box Statistics function.
– Use the BOX STATS function to position the DLX ROI box over the
resolution wedge.
– Position and size DLX ROI box as shown in Illustration 6–13.

The box size should be approximately 5 x 5 mm (15 x 15 pixels). Position the
box to the left of the resolution wedge, about 10 mm from the wedge’s left edge.
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ILLUSTRATION 6–13
MTF MEASUREMENT SET–UP
POSITION RESOLUTION WEDGE SO THAT

0.55 or 0.6 LP/MM MARK IS CENTERED ON THE
CAMERA CENTERING FUNCTION CROSS
PATIENT HEAD
0.55 LP/MM (60 Hz) or

0.6LP/MM (50Hz)
RESOLUTION
CAMERA CENTERING WEDGE
CIRCLE
PATIENT FEET
POSITION RESOLUTION WEDGE SO THAT
MAIN AXIS OF PATTERN IS PERPENDICULAR
TO TV SCAN DIRECTION
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4.6 Determine required Exposure Time
Find an Advantx Exposure Time that yields a mean value of 200 ± 3 during a vascular Dose D, 512 Display
Mask exposure.
1. Take a Vascular Dose D, 512 Display Mask exposure using the Advantx Console handswitch.
– Set LEVEL ADJUST to ON.
– If the Mean Value indicated on the DLX Console Image Monitor screen is not 200 3, go to step
2.
– If Mean Value indicated on DLX Console Image Monitor screen is 200 3, store the white level
value in the White Level area of the DLX Technical Menu, and go to step 4.7.
2. Adjust the exposure time (ms) value in the Technical Menu using the mouse to move the cursor to the
Exposure time (ms) parameter field. Use the keyboard to enter the desired value.
Note: Start with a low value (i.e. between 5ms to 20ms) to prevent fold–over misregistration. Larger Exposure
Time values result in larger mean value indications. Smaller Exposure Time values result in smaller
mean value indications.
3. Repeat steps 1. and 2. until the Mean Value indication for Vascular Dose D, 512 Display, is 200 3.
4.7 Determine MTF value for 512 Matrix
Determine DLX System MTF value for a Vascular Dose D, 512 MTF Value Display exposure using the
Exposure time determined in step 4.6.
1. Determine and load Black Level value for the DLX ROI box that is placed in the flat response gray area
of the resolution wedge, displayed on the image acquired in step 4.6.
– Click on BOX STATS to enter Box Statistics function. ROI BOX
– Position the ROI box to the left in the lead area of the
resolution wedge.
or
Gray Areas of resolution wedge
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– Adjust the ROI box to the largest possible size without covering over any of the resolution wedge
markings.
– Store the black level value in the Technical Menu BLACK LEVEL field.
2. Determine the Standard Deviation value for a wide ROI box that is centered over the line pairs at the
0.55 lp/mm or 0.6 lp/mm resolution wedge mark in the image from step 4.6. Load this Standard
Deviation value.
ROI BOX
– Click on BOX STATS in the STATISTICS
menu to enter Box Statistics function.
– Position the ROI box in the center of the or

0.6 lp/mm or 0.55 lp/mm line pairs area.
– Adjust the ROI box to the largest possible

width without touching the gray portion of
the displayed resolution wedge. Gray Areas of resolution wedge
– Adjust the ROI box height to a value approximately five times smaller than the box width. It may
be necessary to reduce the width to avoid touching the gray areas of the resolution wedge.
– Store the standard deviation value in the Technical Menu STANDARD DEVIATION field.
– The system automatically calculates the MTF value and displays it in the MTF field.
– Record the MTF value in the SCAT Records (Test Data Results).
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4.8 Determine 1024 Matrix MTF Values
1. Select 1024 Matrix on the Advantx Console.

2. Determine the MTF value for 0.6 lp/mm (50Hz) or 0.55 lp/mm (60Hz) in 1024 Matrix.
– Repeat steps 4.4 through 4.7.
3. Determine the MTF value for 1.2lp/mm (50Hz) or 1.1lp/mm (60Hz) in 1024 Matrix.
– Repeat steps 4.4 centerin the 1.2 lp/mm (50Hz) or 1.1 lp/mm (60Hz) area in place of the 0.6 lp/mm
(50Hz) or 0.55 lp/mm (60Hz).
– Repeat steps 4.5 through 4.7.
SECTION 5
ANALYSIS
All measured MTF values should meet these specifications:
MATRIX SPATIAL FREQUENCY MTF

512 0.6 or 0.55 lp/mm 40%
1024 0.6 or 0.55 lp/mm 40%
1024 1.2 or 1.1 lp/mm 18%
If any of the measured values is lower than the given limit, in the appropriate mode, 512 or 1024, check:
– II or camera lens adjustment,

– II focalization for 9 inch (22 cm) FOV,
– PUT focalizations,
– PUT beam alignment,
– PUT beam current.
This procedure describes the MTF measurement procedure for a 9 inch (22 cm) FOV. It is, however, also
possible to measure other FOVs.
Due to time/cost restraints, it is not necessary to repeat this procedure for other FOVs each time you check
the MTF. The 9 inch (22 cm) MTF is effective for adjusting the video camera, although it does not provide
information for other FOV focalizations, or Camera Lens adjustment.
Therefore, the two following procedures are strongly recommended for II or PUT focalization
optimization and for Camera lens adjustment.
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Recommended procedure for II and PUT focalization optimization:
1. Measure the MTF value as above for the chosen FOV in 512 or 1024 mode, in the APPLICATION
mode.
2. In the SERVICE mode, record the corresponding value for the II or PUT focalization to be adjusted.
3. In the SERVICE mode, change the II or PUT focalization value.
4. Repeat steps 1. through 3. until the MTF value reaches its maximum.
The following procedure is also recommended for camera lens adjustments:
1. Open the VIC iris near the maximum setting (for example 10), and set the NDF Filter to ON in the
Technical Menu.
2. Adjust exposure time so that the mean value in the centered 0.6 lp/mm area is within 100 and 120 LSB
(that corresponds to about 200 LSB for the white area, but level accuracy is not needed at this time).
3. Read the standard deviation in the 0.6 lp/mm area.
4. Rotate the camera lens.
5. Repeat steps 2. and 4. until the standard deviation is maximum. The techniques must not change during
these operations.
Note: Because you are not performing a measurement, you do not have to adjust the white level to 200 LSB
during this lens adjustment. For the best results at this point, rotate the lens to obtain the highest
standard deviation value. When you have obtained this, the maximum difference between black and
white lines in the resolution wedge has been reached, and the MTF is at its maximum value.
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ADVANTX DLX CALIBRATION Job Card IMG 0 F 1 of 8
Purpose: TEMPORAL UNIFORMITY Version No.: 1

Date: 04–97

PURPOSE To test the system’s ability to give the same levels during an entire sequence.
SET–UP Positioner Grid IN / PA / Table = ISO / II = 30 cm (12”) above table top
Advantx Vascular 1024 / 80 kVp / 640 mA / Dose C / No Sub /
FOV = 9 inches (22cm) / Large Focal Spot
DLX Acquire / New Patient / Name
Phantom CV II phantom, centered on the image.
PROCEDURE 1– Measurement in FAST RUN, perform the step 3.4.
2– Measurement in SLOW RUN, perform the step 3.5.
ANALYSIS Check the expected accuracy of + 4%. See Tables 1 and 2.
ACTION Check: light bias, iris aperture and Corrective Factor Setting T009, X–Ray Generator per-
formance, etc... See paragraph 3.6.
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TEMPORAL UNIFORMITY
Job Card IMG 0 F 2 of 8
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TEMPORAL UNIFORMITY
DETAILED PROCEDURE
SECTION 1
DESCRIPTION
This Image Performance test procedure determines whether the Advantx DLX System provides good
stability of image brightness during an aquisition. This parameter is particularily important for substracted
images.
Note: This procedure performs the measurement in the same way it is done in Advantx–E Calibration User’s
Guide for LCA/LCV+/LC+, T009 Unit, in the verification part.
SO it is not necessary to redo the procedure if T009 has been done successfully and if nothing has been
changed after. In that case, just copy the results of T009 Tables 2 and 3 into tables 1 and 2 of this
procedure.
SECTION 2
TOOLS REQUIRED CV II Phantom
CV II Phantom, including :
30 cm (12”)
– CV Phantom with :
aluminum
ÉÉÉÉÉÉÉ
ÄÄÄÄ
– 2 1/4” plexiglass from CV phantom plexiglass
– 1/4 inch thick aluminum plate filtration Table top at isocenter
X–ray tube at min SID
SECTION 3
PROCEDURE
3.1 Boot the Advantx Application Software and select the following on the Advantx Console
. TECHNIQUES
. DLX VASCULAR
. Large focal spot
. 80 kVp
. 640 mA
. DLX VASCULAR MODE SELECTION
. 1024 Matrix
. NO SUB Image Display
. Dose C
. FOV SELECTION
. Select a 22cm (9 inch) FOV
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TEMPORAL UNIFORMITY
3.2 Set–up the System
1. Set collimator blades to fully open.
2. Place the CV II Phantom on the table top, centered carefuuly in the beam.
3. Set the table top at isocenter.
4. Adjust the Image Intensifier so that it is 30cm (12”) from the table top.
5. Leave the Image Intensifier Grid in place.
3.3 Create a New Patient
3. Enter a new patient (name: TEMPORAL) and an identification number (xxx).
4. Select NEW EXAM.
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3.4 Measurement in Fast Run
1. Set following sequence for 50 Hz (60 Hz):
6.3 (7.5) fps 0.0s 3.1 (3.8)fps 0.0s 1.6 (1.9) fps
0.5 s 3.0 s 5.0 s 5.0 s
2. Perform a TRIAL using default ROI, with no manual adjustment of SIZE, POSITION, or LEVEL.
3. Acquire the sequence
4. Enter Advanced Processing/Measure/Dilution Curve on DLX
5. Adjust size and position of a measuring box on the CV phantom LUNG Region, close to the center (see
figure).
Be sure NOT TO MOVE the box between this and following sequences.
ILLUSTRATION 6–1
6. On dilution curve, measure levels on images corresponding approximately to times of 3, 7 and 12s and the
level of which is representative of the steady state in the segment.
Note: Levels shall be strictly inferior to 250. If MEAN>250, calibration of iris values shall be checked.
7. Complete table 1
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3.5 Measurement in Slow Run
1. In same conditions, set following sequence for 50 Hz (60 Hz)::
2.1 (2.5) fps 0.0s 1.6 (1.9) fps 0.0s 1.1 (1.3) fps
0.5 s 8.0 s 8.0 s 10.0 s
2. Perform a TRIAL using default ROI, with no manual adjustment of SIZE, POSITION, or LEVEL.
3. Acquire the sequence
4. Enter Advanced Processing/Measure/Dilution Curve on DLX
5. Adjust size and position of a measuring box on the CV phantom LUNG Region, close to the center (see
figure).
Be sure NOT TO MOVE the box between this and following sequences.
ILLUSTRATION 6–2
6. On dilution curve, measure levels on images corresponding approximately to times of 7, 14 and 24 s, and
the level of which is representative of the steady state in the segment.
Note: Levels shall be strictly inferior to 250. If MEAN>250, calibration of iris values shall be checked.
7. Complete table 2
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3.6 Analysis
This procedure is designed to verify that the level stability during one acquisition is right, for the most
difficult types of acquisitions for the system.
If results in table 1 (Relative Difference in Fast Run) or in first part of table 2 (Relative Difference in Slow
Run) are not within the expected accuracy (± 4%), that means some component has not a good stability;
check:
. iris aperture
. light bias
. X–Ray generator performances (filament boost, kVp waveform, etc)
. AEC stability
. II high voltage, power supply
. PUT grids power supply
. XRT output ratio, tube spits
To help finding the origin of the problem, same procedure could be performed, changing the acquisition
conditions (i.e; acquisition matrix, FOV, etc) or mounting the camera head on the IET to separate the
camera from the system.
Table 2 compares same frame rate in presence of a fast segment or not. If results in second part of table 2
FAST to SLOW Relative Difference) are not within the expected accuracy, that means the iris corrective
factor is not well calibrated, so check:
. light bias
. iris aperture
. Iris corective factor setting (T009 for 1024 matrix)
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TABLE 1
VERIFICATION (FAST RUN)
Approximative Time 3 7 12
(s)
Image Number
(1) (2) (3)
MEAN LEVEL
(1) – (3) (1) – (3)

= 100 x –––––––– = 100 x ––––––––
(3) (3)
Relative Difference vs.

1.6(1.9)fp (%)
Max Difference ± 4% ± 4% N/A
TABLE 2
VERIFICATION (SLOW RUN)
Approximative Time 7 14 24
(s)
Image Number
(4) (5) (6)
MEAN LEVEL
(4) – (5) N/A (6) – (5)

= 100 x ––––––– = 100 x –––––––
(5) (5)
Relative Difference vs.
1.6(1.9)fp (%)
Max Difference ± 4% N/A ± 4%
(1) – (5) (2) – (5) (3) – (5)
FAST to SLOW = 100 x ––––––– = 100 x –––––––– = 100 x –––––––
(5) (5) (5)
Relative Difference vs. (7)

1.6(1.9)fp (%)
Max Difference ± 4% ± 4% ± 3%
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ADVANTX DLX CALIBRATION Job Card IMG 0 G 1 of 6
Purpose: APERTURE CURVE TEST Version No.: 1

Date: 04–97

PURPOSE To test two points on the look–up table, which represent the function dose = f aperture,
for a constant brightness on the PUT in the progressive scan mode (512 and 1024).

Collimator in Auto mode
Advantx Vasc 512 / NO SUB / Frame rate 1 i/s/5s / FOV = 9 inch (22 cm)
/ focal spot = small
DLX Acquire, New Patient, name the patient CURVE TEST
Phantom First phantom: 1/32 inch Cu
or 1 mm Cu
Second Phantom: 2 x 1/32 inch Cu,
or 2 x 1 mm Cu
PROCEDURE 1– Select Dose A, 60 kVp.
2– Make a trial with the first phantom, adjusting mA to obtain a trial exposure time
higher than 12.5 ms.
3– Take a first acquisition of 5 seconds.
4– Make a trial with the second phantom.
5– Take a second acquisition of 5 seconds.
6– In the process mode, measure the mean levels on the 4th images of each of the
acquisitions with the default box (50 mm x 50 mm) = m1 and m2.
7– Record m1 and m2 on the SCAT Report (Test Data Results) data sheet.
8– Select dose D, 70 kVp.
9– Repeat steps 2 to 7.
10– Repeat steps 1 to 8, selecting 1024.
ANALYSIS For each dose A and D, you should get: m1 x 0.9 < m2 < m1 x 110
m2 – m1
RATIO = x 100 ≤ 10%
m1
ACTION If test is not successful, refer to the system adjustment Software Aperture Calibration
procedure in CAL 0 A.
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APERTURE CURVE TEST

Job Card IMG 0 G 2 of 6
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APERTURE CURVE TEST

DETAILED PROCEDURE
SECTION 1
DESCRIPTION
This calibration test checks two points on a software aperture calibration curve which represent the gamma
correction function of the Advantx Pick–Up Tube.
The software aperture calibration curve is used by the DLX application software to automatically choose
the correct aperture setting after a trial exposure to ensure that proper Peak Video levels are maintained
during subsequent exposures.
A table of Peak Video levels (scaled from 0 to 255) versus delta Aperture Step is used by the system
software to project Mask Peak Video from Trial Peak Video and to calculate the recommended Aperture
change. This table is only used in progressive scan, low–gain operations (DLX 512 or 1024 Vascular
acquisitions). The resulting Peak Video to Aperture functions are nonlinear and provide correction for the
gamma characteristics of the Advantx VIC TV Pick–up Tube.
SECTION 2
SYSTEM USAGE
The DLX System Application Software Database provides the operator with an initial Aperture position
based on the operator selected Dose. (See Job Card CAL O B to set the initial Aperture position in the
Vascular mode).
During a DLX 512 or 1024 Vascular acquisition, the Aperture position is recalculated and automatically
reset after a Trial exposure.
After each subsequent DLX 512 Vascular or 1024 Vascular Trial exposure, the Aperture position is
recalculated and automatically reset based on the Peak Video measured in the DLX generated ROI (Region
of Interest) window.
Use the mouse to change the box size. Press the right button to change the size (repeat to stop the size
change). Press the left mouse button until the stats are calculated.
SECTION 3
Peak Video versus delta Aperture step is not a linear function and is unique to each Advantx/DLX System.
Therefore, we recommend that you test this Software Aperture Calibration Curve whenever you replace
the TV Camera Pick–up Tube or recalibrate the Advantx VIC.
If this test fails, generate a new Software Aperture Calibration Curve using Job Card CAL O A.
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APERTURE CURVE TEST

SECTION 4
TOOLS REQUIRED
Two (2) 1/32 inch thick copper filtration plates, or
Two (2) 1mm thick copper filtration plates
SECTION 5
PROCEDURE
5.1 Boot Advantx
Boot Advantx Application Software (see Advantx Console Operation Manual).
5.2 Advantx Set–up
Make the following softkey selections on the Advantx Set–Up Console:
D TECHNIQUES
– DLX VASCULAR
– 60 kVp
– 160 mA (to be adjusted later to obtain an Exposure Time greater than 25ms)
– Smallest Focus
– Segment One Rate – 1.0 i/Sec
– Segment One Duration – 5 Sec
– Dose A
5.3 System Set–up
1. Place one1/32 inch copper plate (or 1mm copper) on top of the set–up collimator (Vascular systems) or
on a table top centered in FOV (R and F systems).
2. Set the Image Intensifier to 12 inches (30 cm) above table top.
3. Adjust the X-ray tube (Vascular systems) to minimum SID.
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5.4 Boot DLX Acquisition and perform a first run
2. Click on NEW PATIENT. Enter a new patient (name: CURVE TEST) and an identification number.
4. Click on START EXAM. The SEQUENCE VIEWER screen appears.
5. Take a Trial exposure and check that you have an Exposure Time of greater than 12.5ms for this Trial
(that means actual exposure will be greater than 25ms). If it is not, adjust the mA to obtain more than
12.5ms.
6. Perform the first acquisition and wait for its completeion.
5.5 Install the second copper plate and perform a second run
1. Place the second 1/32 inch copper plate (or 1mm copper) on the previously installed copper plate.
2. Take a Trial exposure and check that you have an Exposure Time of greater than 12.5ms for this trial
(that means actual exposure will be greater than 25ms). If not, adjust the mA to obtain more than
12.5ms.
3. Perform a second acquisition and wait until completion.
5.6 Prepare the DLX for measurement
1. Click on Advanced in the SEQUENCE VIEWER screen.

Functions
2. Click on TOOL KIT and then on REGION STATS to display the REGION STATISTICS menu.
5.7 Perform a Mean measurement on previously acquired images
1. Select the fourth image of the first run (image acquired with one copper plate).
2. Click on BOX STATISITCS and note the mean value displayed on the image monitor: MEAN 1.
Record this value in the ”DATA RECORDS”section of the Service Manual.
3. Select the fourth image of the second run (image acquired with two copper plates).
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4. Click on BOX STATISITCS and note the mean value displayed on the image monitor: MEAN 2.
Record this value on the SCAT Report (Test Data Results) data sheet.
5. Calculate the mean ration and record it on the SCAT Report (Test Data Results) data sheet. The mean
ratio should be less than 10%.
MEAN 2 – MEAN 1
R = ____________________
M1
Note: MEAN 1 and MEAN 2 values should not differ by more than 10 %.
5.8 Select Dose D and repeat the test procedure
Repeat the complete procedure (5.2 to 5.7) with the parameters Dose D and 70 kVp selected on the Advantx
Console.
5.9 Select 1024 Matrix and repeat the test procedure
Repeat the complete procedure (5.2 to 5.8) with 1024 Matrix selected on the Advantx Console.
5.10 Interpretation and Actions
For each Dose A and D, and each 512 and 1024 Matrix, the R ratio should be less than 10%. If it is not, the
iris aperture curve is not correctly adjusted.
Perform the Software Aperture Calibration Procedure, CAL 0 A, then repeat the check procedures in this
Job Card.
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ADVANTX DLX CALIBRATION Job Card IMG 0 H 1 of 8
Purpose: MEASUREMENT CV PHANTOM LEVELS Version No.: 1

Date: 04–97

PURPOSE Establish a historical database to help in troubleshooting.

TOOLS CV1 phantom (without Cu and Alu)
CV2 phantom (without Cu)
On table top at isocenter, centered in DLX Technical Menu with ”Camera Centering”.
See Illustration 6–3.
SET-UP Positioner SID 1 m; Grid IN; PA; Table = ISO; Collimator In Auto Mode
Advantx In Application mode
Settings for cardiac and vascular:
25 i/sec (50 Hz) or 30 i/sec (60 Hz); 70 kVp; FOV 6 inch (16 cm);
focal spot = large; Dose A
DLX 1. In Application mode (for Cardiac and Vascular)
2. In Technical Menu (Be ready for ACQ on patient before entering
TECHMENU)
PROCEDURE A–1 – CARDIAC in Application Mode “Autostabilize”
1– Select Cardiac, Dose A, SID 1m, and use CV1.
2– Take an exposure; change focus as required to obtain an exposure time greater than
1.5 ms and less than 9 ms.
3– Make a 2 or 3 second run.
4– Measure the five CV1 phantom levels (lung, heart, media, abdomen, and ball) using
a 32 x 32 pixels box (about 1000 pixels). See Ilustration 6–3.
5– Record these five C1 values on the SCAT Report (Test Data Results) data sheet.
6– Repeat steps 1 to 5 for Doses B, C, and D. These measured values are cardiac 1 (C1).
A–2 – CARDIAC in Technical Menu (DLX)

1– Set AEC to ON.
2– Select 8 bits.
3– Adjust the Iris aperture and NDF to the Cardiac Dose A value, minus 150.
4– Take an exposure (a 2 or 3 second run).
5– Measure, on the CV, the values for each C2 area (lung, heart, media, abdomen, and
ball). See Ilustration 6–3.
6– Record these five C2 values on the SCAT Report (Test Data Results) data sheet.
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Job Card IMG 0 H 2 of 8
PROCEDURE B – VASCULAR – in Application Mode

1– Select the Advantx settings: 512, Dose C, NO SUB, 1 i/s during 5 s, 10 bits, focal
spot = large, FOV = 6 inches, 80 kVp, 640 mA, SID at 1m, and use the CV2.
2– Take a trial and adjust mA to obtain a trial exposure time of 30 10 ms.
3– Take four exposures.
4– Measure the mean value for each of the CV phantom areas (lung, heart, etc.) using a
32 x 32 pixels box (about 1000 pixels) in 512 matrix or a 64 x 64 pixels box (about
4000 pixels) in 1024 matrix. See Illustration 6–3.
5– Record these 5 vascular values (V) on the SCAT Records (Test Data Results) sheet.
6– Repeat steps 1 to 5 in Vascular 1024.
ANALYSIS A–1 – CARDIAC in Application Mode

1– Check that the C1 values are not more than 5% different from the reference values
listed on the SCAT Report data sheet.
2– Check that the values fall within the ranges listed below:
Area: lung heart media abdomen ball
Range: 140/190 70/120 20/50 10/30 5/20
A–2 – CARDIAC in Technical Menu

1– Check the C2 lung value; it should be < 255 LSB. There should be no fold–over or
bloomish area in the image.
B – VASCULAR
1– In vascular, the exposure time should not vary by more than 20 % compared to the
Ref. Exp. value on the SCAT data sheet.
2– The V values should not differ by more than 5% from the reference levels given in
the data sheet.
3– Check that the CV2 values fall within the ranges listed below:
512 Dose C Range: 200/250 90/140 20/60 10/40 5/20
1024 Dose C Range: 200/250 90/140 20/60 10/40 5/20
ACTION For each case, check:

A1 Cardiac: DLX offsets and gains, kVp, entrance dose, iris aperture and beam
current, brightness uniformity (beam alignment).
A2 Cardiac: EDR adjustments, beam current.
B Vascular: kVp, XRT output ratio, II conversion factor, II entrance dose, DLX
offset and gain, iris aperture, beam current, brightness uniformity (beam alignment).
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ILLUSTRATION 6–3
BOX POSITIONS FOR CV LEVEL MEASUREMENTS
lead DISK
area HEART
The center of each

box must be at the
middle of each radius
MEDIA LUNG of the shutter circle.
One of 4
boxes
ABDOMEN
DETAILED PROCEDURE
SECTION 1
DESCRIPTION
This measurement procedure establishes a historical database of the video levels obtained through a CV
phantom. This database must begin when the entire system is completely and correctly calibrated, and
especially after installation. When it is first performed, reference levels are set, to which all subsequent
measurements over the life of system should be compared.
The proper transmission of image levels from the II entrance plane to the DLX monitor is one of the most
important functions in the system. This transmission can vary over time, due to changes in component
characteristics such as XRT, II, and PUT during their life time.
SECTION 2
WHEN TO PERFORM THIS PROCEDURE
– just after installation, when the system is completely calibrated,

– after any parameter adjustment that involves a modification of image level transmission (i.e. kVp,
mA, dose, iris aperture, video gain),
– after any component replacement that affects transmission (i.e. XRT, II, PUT, video boards),
– if you want to check that system performance has not changed.
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SECTION 3
TOOLS REQUIRED
CV2 phantom (without Cu)
CV1 phantom (without Cu or Alu)
SECTION 4
PROCEDURE
4.1 The ADVANTX Set-up
1. Boot the Advantx Application Software and select the following on the Advantx Console for DLX
Cardiac in the Application mode:
– 70 kVp
– FOV 6 inch (16 cm)
– Pulse width adjusted to maximum.
– Dose A
– 25 i/s (50 Hz), or 30 i/s (60 Hz)
– Grid in
2. Set collimator to the Auto mode.
3. Set the table top at isocenter.
4. Place CV1 phantom on the table top (without aluminum and copper).
5. Adjust the SID to 1 meter (40”).
Note: PA = posterior–anterior.
4.2 Start the DLX Application Mode for Cardiac
1. Login: dlx <Return>. The PATIENT BROWSER FROM DISK screen appears.
3. Select NEW EXAM.
4. Select START EXAM.
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4.3 Cardiac Measurements in the DLX Application Mode
1. On the Advantx Console, select Cardiac, Autostabilize mode, 25 i/s (for 50 Hz) or 30 i/s (for 60 Hz).
2. Select Cardiac Dose A, set SID to 1m, and position CV1 as described below.
– Using DLX Technical Menu ; select Camera Centering Function..
– Take a DLX fluoro exposure and position the CV1 phantom center at the image center with HEART
at the top, and LUNG to the right of the image monitor. See Illustration 6–3 for the CV phantom
layout.
3. Take a cardiac run ; change X-ray tube focus as required to obtain an exposure time greater than 1.5 ms
and less than 9 ms.
4. Exit from DLX Technical Menu. In application, take a cardiac run (2 to 3 seconds).
5. In Application, click on Advanced Processing, then REGION STATS, then BOX STATS to access
the BOX STATS function. Use a 32 x 32 pixels box (about 1000 pixels) to measure the CV1 phantom
levels in the five areas (heart, abdomen, media, lung, and ball). The center of each box should be at the
middle of the each radius of the shutter circle. See Illustration 6–3.
6. Record this set of C1 values on the SCAT Report (Test Data Results) sheet.
7. Repeat steps 2. through 7 for Doses B, C, and D.
ILLUSTRATION 6–4
A – 207
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4.4 Cardiac Measurements in the DLX Technical Menu
1. In the Technical Menu (Ill. 6–4) select:

– AEC = ON
– 8 bits
2. Adjust the Iris Aperture and NDF position to a value equal to the Cardiac Dose A value minus 150.
(The PUT nanoamps will be multiplied by 4.5, and you can check the EDR adjustments.)
3. Take an exposure (2 to 3 seconds).
4. Measure the CV1 phantom levels in the five areas (heart, abdomen, media, lung, and ball) as described
in section 4.3.5. above.
5. Record these C2 values on the SCAT Report data sheet.
4.5 Vascular Measurements in the DLX Application
1. Position the CV2 phantom on the table top and set the SID to 1 meter (40”).
2. On the Advantx Console, select Vascular 512/NOSUB.
3. Make the following selections:
– 1 i/s for 5 sec
– FOV = 6 inches (16 cm)
– 80 kVp
– 640 mA
– Dose C
4. In the DLX Technical Menu, select AEC ON and Camera Centering Function. Verify the CV Phantom
center is at the image center using DLX fluoro.
5. The first time you perform this check procedure, take an exposure (AEC ON) and adjust the mA to
obtain an exposure time of 30 ±10 ms. Record this as the reference exposure time (ref. EXP).
6. Exit from DLX Technical Menu ; in Application take four images.
7. In the Application, click on Advanced Processing, then REGION STATS, then BOX STATS to
access the BOX STATS function. Use the BOX STATS function to measure the CV phantom levels in
the five areas (heart, abdomen, media, lungs, and ball) using a 32 x 32 pixels box (about 1000 pixels) in
512 matrix or a 64 x 64 pixels box (about 4000 pixels) in 1024 matrix. The center of each box should be
at the middle of each radius of the shutter circle. See Illustration 6–3.
8. Record this set of values (V) on the SCAT Records (Test Data Results) sheet.
9. Repeat this Vascular Measurement procedure for Vascular 1024.
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4.6 Analyzing Cardiac results
C1 If any one of the C1 set values differs by more than 5% from the reference level obtained during SCAT
measurements, check:
– DLX Cardiac offsets and gains,
– kVp in secondary contacting,
– Cardiac II entrance doses,
– Beam current
– Iris apertures.
– Brightness uniformity of the video camera
Check that the values fall within the ranges listed below:
Range: 140/190 70/120 20/50 10/30 5/20
C2 If one of the C2 set values is equal to 255 LSB, or if there is a visible saturation (fold–over) in the image,
check:
– EDR adjustments,
– Beam currents.
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4.7 Analyzing Vascular results
If the exposure time is 20% higher than the reference exposure time (ref. EXP), the AEC gives a higher exposure
time. Check:
– XRT technical parameters (kVp, mA),
– XRT output ratio,
– II conversion factor,
– II entrance Doses.
If any one of the V set values is more than 5% different than the reference level, check:
– DLX Vascular offsets and gains,
– kVp in primary contacting,
– Iris apertures,
– Brightness uniformity of the video camera
– Beam currents.
– Vascular upper threshold set up and setp optimal level parameters in DLX INSTAL software.
Check that the CV2 values fall within the ranges listed below:
512 Dose C Range: 200/250 90/140 20/60 10/40 5/20
1024 Dose C Range: 200/250 90/140 20/60 10/40 5/20
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ADVANTX DLX CALIBRATION Job Card IMG 0 I 1 of 8
Purpose: ADJUSTMENTS FOR GE AND DISTAR IN Version No.: 1

ROOM MONITORS Date: 04–97

PURPOSE To adjust monitor contrast and brightness according to ambient light in the room, and to
optimize these adjustments.
TOOLS – Luminance–meter (recommended model: Minolta LS100) and stand
– Calibrated gray reference card, part no. 2110360, with known reflection ratio RG (RG is
often 18%)
– 2 1/4” plexiglass + 1/4 inch thick aluminum plate filtration + 1/32 inch thick copper
plate filtration from CV phantom, or 2mm copper
SET–UP Room monitors positioned as they are for the physician during the exam.
All light measurement is done from the area where the physician is positioned during an
exam (near the patient).
DLX in Technical Menu. ADX Console = DLX Fluoro / Manual mA at minimum setting.
PROCEDURE 1– Position the gray reference card on the monitor screen.
2– Measure the reflected light on the gray card: LG.
3– Calculate the reference luminance: LR = LG / RG
and the ambient illumination: IA = LR x π.
Record these on the SCAT (Test Data Results). IA must be between 30 and 50 lux.
4– Remove the gray card, power OFF the monitor (power plug disconnected) and mea-
sure the phosphore luminance: LP.
5– Calculate the monitor screen reflection ratio RM = LP/LR
RM must be between 7.5 % and 8.5 %.
6– Power ON the monitor, wait several minutes for the monitor to stabilize.
7– Do a short fluoro without X–Ray on the II (collimator closed, lead on the II) and
measure the luminance at zero dose (black level): LO.
8– Adjust the monitor brightness to get: LO = LP x K, with K = 1.5 for vascular, and K
= 2 for cardiac.
9– With the DLX gray level 15 (255 LSB), measure the maximum luminance: LMAX.
10– Adjust the monitor contrast to get: LMAX = LO x 150.
11– Repeat steps 7 to 10 until you have LO and LMAX equal to the calculated values.
Record LO and LMAX on the data sheet.
12– Do Fluoro in Auto mode (collimator open with the copper filtration) and measure the
luminance LN at nominal (regulated) dose.
LN should be between 30 and 40 cd/m2. Record this value on the SCAT (Test Data
Results) data sheet.
ACTION See page 2 of this Job Card.
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ADJUSTMENTS FOR GE AND DISTAR IN ROOM

MONITORS Job Card IMG 0 I 2 of 8
ACTION – There must be no direct light reflecting on the monitor screen; if there is, modify the
room lighting to obtain better conditions.
– If IA > 50 lux, decrease the room lighting.
– LMAX can vary between LO x 120 and LO x 180, but must not exceed 360 cd/m2,
otherwise readjust LO to a lower level to get LO between LP x 1.2 and LP x 1.5.
– If LN is not between 30 and 40 cd/m2 and the monitor has been correctly adjusted,
there may be a misadjustment of video gains.
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DETAILED PROCEDURE
This adjustment procedure adjusts the room monitor brightness and contrast according to ambient light and
optimizes the image gray scale according to the dynamic range of the video.
SECTION 1
DESCRIPTION
A clear view of all the of the radiological image details on a monitor depends mainly on the monitor
observation conditions and the operating conditions, versus the dynamic range of the video signal.
This procedure helps to measure the observation conditions and adjust the operating conditions.
SECTION 2
The monitor, the final component on the video chain is quite important to Image Quality.
We suggest that you perform this monitor check procedure each time the customer is not perfectly satisfied
with its image quality, or each time an adjustment is made on the monitor.
SECTION 3
TOOLS REQUIRED
Luminance meter and a stand (recommended meter model: Minolta LS100)
Calibrated gray reference card (RG is often 18%) with known reflection ratio RG, Part number 2110360
From CV phantom:
2 1/4” plexiglass
or, 2 mm copper
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SECTION 4
PROCEDURE
4.1 System Set-up
1. Boot the Advantx Application Software and select the following on the Advantx Console:
– VASCULAR or CARDIAC,
– DLX Fluoro,
– 75 kVp,
– Manual mA at minimum.
2. Access the DLX Technical Menu.
3. In the Technical Menu, adjust the Manual mA to its minimum.
4. The positioner, table top, and room monitor should be positioned in the room as they are under working
conditions. Check:
– the monitor position,
– its height from the floor,
– its tilt,
– its direction towards the user.
5. The room lighting should be the same as under normal working conditions (check during fluoro if
there is an automatic switching of lights). Check:
– the artificial lighting (fluorescent, incandescent lighting),
– the adjustment of variable lighting,
– if there is natural lighting, and if it is the main lighting (curtains or door openings, meteorological
conditions).
If there is natural lighting, this procedure is not accurate. It is impossible

CAUTION to guarantee good performance with a room ambient light which is not
stable, and in which intensity is generally very high.
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Note: In vascular or cardiac rooms, it is important to have a low level of lighting to get a good contrast in the
blacks, yet the physician will need sufficient light on area of the patient where he is to introduce the
catheter. Therefore, a directional spot light is recommended, which provides a lighted area with a
diameter of several decimeters (approximately 2 to 5).
6. Position the luminance–meter (if possible on its stand on the table top) to about the same level and
position as the physician eyes would be under working conditions.
Typically, the monitor screen is between 1.1 and 1.9 meters for a high line rate, and twice this for a low
line rate.
4.2 Luminance Procedure
Note: Do not move the monitor during this procedure.

4.2.1 Reference Luminance (LR)
1. Position the gray reference card in the center of the monitor screen with the gray card towards the
luminance meter.
2. Measure the reflected light on the gray card center: LG.
3. Calculate the reference luminance : LR = LG / RG.
Note: 1. RG is the reflection ratio of the gray card; this card should be clean with no fingerprints.
Note: 2. The measurement can be repeated on the whole card. The ratio between the higher and lower values
should not exceed 2. This could happen if a spot light illuminates the monitor screen. If so, modify the
monitor position or the room lighting conditions.
4. Calculate the ambient illumination : IA : LR x π :

IA is correct only if the gray card has a lambertian response, therefore IA will be between 30 and 50 lux.
5. Record LR and IA on the SCAT (Test Data Results) data sheet.
6. Remove the gray card from the monitor.
4.2.2 Switched–off Phosphor (LP) Luminance
1. Power–off the monitor.

2. Disconnect the power supply.
3. Measure the phosphor luminance (LP) at the center of the screen, that is, the ambient light diffused by
the screen (see Note 2 of section 4.2).
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This measurement concerns only the light which is diffused by the

CAUTION phosphor, and not the reflection (as a mirror) of light on the CRT glass.
If there are very visible reflections, they MUST be eliminated by changing
the lighting (removing, switching off or moving the lights) or by moving
the monitor (position, tilt).
4. Calculate the monitor screen reflection ratio: RM = LP/LR.

Note: RM is a monitor feature, it should be between 7.5 % and 8.5 % for a GE or DISTAR monitor.
5. Power–on the monitor. Wait several minutes before beginning another measurement; this allows the
monitor to stabilize.
4.2.3 Zero Dose (L0) and Maximum Level (LMAX) Luminance
1. Completely close the collimator blades and place a strong filtration over the X–Ray beam (i.e. lead
shirt the II entrance plane).
2. Do a short fluoro (1 to 2s) at manual, and minimum mA. Release the fluoro foot pedal.
Note: In the DLX Technical Menu, the LIH function stores the last fluoro image – it is not necessary to
continue fluoro during all of the measurement.
3. Measure the screen center luminance at zero dose, L0. L0 is the luminance at zero dose; it corresponds
to 50 mV on the monitor’s video input. It may be necessary to change this level.
4. Adjust the monitor brightness knob to get:
L0 = LP x K where:
K = 1.5 for vascular, or K = 2 for cardiac.
5. Select and display GRAY 15 (255 LSB) in the DLX Technical Menu.
6. Measure the maximum luminance (LMAX) on the screen center. LMAX is the maximum luminance at
DLX level 255 LSB; it corresponds to 650 mV on the monitor’s video input. It may be necessary to
change this level.
7. Adjust the monitor contrast knob to get: LMAX = L0 x 150.
8. Repeat steps 2. through 7. until L0 and LMAX are equal to the calculated values.
Note: LMAX can vary between L0 x 120 and L0 x 180, but must not exceed 360 cd/m2; if this occurs, readjust
L0 to a smaller value between LP x 1.2 and LP x 1.5.
9. Record L0 and LMAX on the SCAT (Test Data Results) data sheet.
10. Open the collimator blades and remove the filtration from the X–Ray beam.
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4.2.4 Nominal Dose (LN) Luminance
1. Place the copper filtration in the X–Ray beam.

2. Do DLX fluoro in automatic (regulated) mode.
3. Measure the luminance (LN) on the screen center.
Note: If the lighting conditions are good and the monitor has been correctly adjusted, LN should be between
30 and 40 cd/m 2. If it is not, video gains may be incorrectly adjusted.
4. Record LN on the SCAT (Test Data Results) data sheet.
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Blank page
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ADVANTX DLX CALIBRATION Job Card IMG0 J 1 of 2
Purpose: MULTIFORMAT CAMERA ADJUSTMENT Version No.: 1

Date:
PURPOSE To adjust multiformat camera brightness and contrast.

TOOLS Densitometer
SET–UP DLX in Technical Menu – with the DSA pattern (16 gray levels) displayed.
Make several copies of the data records form.
Be careful to not touch the DLX console windowing buttons (linear curve 0 – 127 – 254).
PROCEDURE 1– Print a film using the multiformat camera.
2– Process the film.
3– Measure the Optical Density (OD) for each gray level, and record these values on the
”Multiformat Camera Reference Curves” graph.
4– Adjust the multiformat camera brightness and contrast.
5– Repeat steps 1 through 4 until the curve is as follows:
– For a video camera, all gray levels should be between the LASER UP curve and the
VIDEO curve. See Illustration 6–5.
– For a laser camera, all gray levels should be as close as possible to the ”LASER”
curve, or anywhere between the two adjacent curves (LASER UP and LASER LOW).
6– Fill in the data records form on the SCAT Records (Test Data results) sheet.
ACTION For more information, refer to the Multiformat Camera Service Manual.
DSA PATTERN
16 LEVELS
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MULTIFORMAT CAMERA ADJUSTMENT

Job Card IMG0 J 2 of 2
ILLUSTRATION 6–5
MULTIFORMAT CAMERA REFERENCE CURVES V3.1
LASER UP
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ADVANTX DLX CALIBRATION Job Card IMG 0 N 1 of 8
Purpose: SCATTER CHECK IN BIPLANE MODE Version No.: 1

Date:
SECTION 1
DESCRIPTION
This procedure checks that both planes acquire cardiac or vascular independently. This means that the image
acquired on one plane is the result only of the X–Rays coming from the XRT of that same plane. Scatter or
even direct X–Rays from the other plane should not affect this image.
This procedure uses particular positioner set–up positions to lighten the II of one plane with the XRT of the
other plane. This lets you check that the biplane acquisition timings are correct.
SECTION 2
. just after installation, when the system is completely calibrated,

. any time there is a doubt about the image quality performance in the biplane mode, even
though the quality is good for each individual monoplane mode.
SECTION 3
TOOLS REQUIRED
2 1/4 inch plexiglass from CV phantom
1/4 inch thick aluminum filtration plate
1/32 inch thick copper filtration plate
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SCATTER CHECK IN BIPLANE MODE

Job Card IMG 0 N 2 of 8
SECTION 4
PROCEDURE
CAUTION Warm up x–ray tube before performing this procedure.

Carefully move the LC/LP arms to avoid collision.
4.1 SET–UP
Boot the Advantx Application Software and select the following on the Advantx Console for both frontal and
lateral planes, depending upon whether the mode to be tested is Cardiac or Vascular.
. DLX CARDIAC MODE SELECTION

– Record View mode: FRT
– Record Medium: Disk
– Rotation enable: ON
– Fluoro detail: medium
– Dose D (frontal and lateral)
– Pulse: 10 ms (frontal and lateral)
– ABC mode: Autostabilize (frontal and lateral)
– Frame rate: 30 fps (frontal and lateral)
– Focal spot: 0.6 (frontal and lateral)
– DENTS QUANT: OFF (frontal and lateral)
– 60 kVp (frontal) 90 kVp (lateral)
. DLX VASCULAR MODE SELECTION

– Record View mode: FRT
– Matrix: 1024
– Rotation enable: ON
– SUB / NOSUB: NOSUB
– Mask / Run delay: 1.0 s
– Segment #1 rate: 3.1 fps
– Segment #1 duration: 5.0 s
– Segment #1 delay: 0 s
– Segment #2 duration: 0 s
– Segment #3 duration: 0 s
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– FOV: largest (frontal and lateral)

– Focal spot: 0.6 (frontal and lateral)
– 60 kVp/ 80 mA (frontal) 100 kVp/ 320 mA (lateral)
– Dose A (frontal) Dose C (lateral)
Note: The Record View mode selection is currently set for FRONTAL acquisitions only, and is to be
changed later when the system is operated in biplane mode. The kVp values are initial values that
will be readjusted as required when performing acquisitions. (They should be fairly close when
using the 12” CVII.)
Refer to the Advantx Operation Manual for instructions on booting the Advantx software and selecting
Cardiac or Vascular screens.
4.2 Modify the Vascular set–up optimum level in DLXINSTAL
1. Login at the prompt.

login: dlx <cr>
The PATIENT BROWSER FROM DISK screen appears.
2. Enter 100 as the new value for VASC SET–UP OPTIMUM LEVEL , in the DLXINSTAL tool, using the
procedure below.
– Type: 3 <cr> to select the ACQUISITION PARAMETERS menu.

– Select VASC SET–UP OPTIMUM LEVEL and record the original level on the data sheet in
”DATA RECORDS”.
– Type: 100 <cr> to enter the new value.
3. Use the DLX Main Menu to exit from DLXINSTAL.
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4.3 Begin the acquisition procedure
1. Click on NEW PATIENT. Enter a new patient (name:SCATTER) and an identification number
(ID:BIPLANE).
2. Select NEW EXAM.
4.4 System set–up for frontal testing
– Frontal positioner
. C–Arc = 0
. Horizontal pivot = 0
. Minimim SID
. Grid IN
– Lateral positioner
. Vertical pivot = 55
. Maximum SID
. C–Arc = 50
. Smallest SOD (distance from XRT to isocenter)
. Grid IN
1. Position the table top at isocenter.
2. Position CV phantom filtrations on the table top with the plexiglass on top of them.
3. Adjust the filter plates so that the lateral beam gets enough filtration.
– Check that the filtration is properly positioned: Select RECORD VIEW FRT and LAT (biplane
mode) and, taking repeated trials, move the filtration to obtain maximum dose ratio mAs LAT /
mAs FRT (usually 4) with an exposure time close to 50 ms (slightly modify the kVp / mA to adjust
the exposure time).
4.5 Frontal test acquisitions
1. Frontal Acquisition
– Select FRONTAL RECORD VIEW mode.

– If testing CARDIAC, do a 2 s acquisition run.
– If testing VASCULAR:
. Check that the trial yields a 50 ms exposure time.
. Do the complete sequence without adjusting the DLX knob A, B, and C positions.
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2. Biplane Acquisition
– Select BIPLANE RECORD VIEW mode on Advantx Console.

– If testing CARDIAC:
. Do a 2 s acquisition run.
– If testing VASCULAR:
. Do the complete sequence without taking a trial exposure (otherwise the iris aperture is
changed).
NOTE For the VASCULAR mode, be sure the exposure time displayed during the acquisition is close
to the maximum available (100 ms) on both planes.
4.6 System set–up for lateral testing
– Frontal positioner
. C–Arc = 0
. Horizontal pivot = –50
. Maximum SID
. Grid IN
– Lateral positioner
. Vertical pivot = 0
. C–Arc = 0
. Minimim SID
. Maximum SOD (distance from XRT to isocenter)
. Grid IN
For CARDIAC mode selection:
– 90 kVp (frontal) 60 kVp (lateral),

For VASCULAR mode selection:
– 100 kVp/ 320 mA (frontal) 60 kVp/ 80 mA (lateral)

– Dose: C (frontal) A (lateral)
4.7 Lateral testing – Lateral Acquisition
1. Select LATERAL RECORD VIEW mode.
2. If testing CARDIAC, do a 2 s acquisition run.
3. If testing VASCULAR:
. Check that the trial yields a 50 ms exposure time.

. Do the complete sequence without adjusting the DLX knob A, B, and C positions.
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4.8 Lateral testing – Biplane Acquisition
1. Select BIPLANE RECORD VIEW mode on Advantx Console.
2. If testing CARDIAC:
. Do a 2 s acquisition run.
3. If testing VASCULAR:
. Do the complete sequence without taking a trial exposure (otherwise the iris aperture is
changed).
NOTE For the VASCULAR mode, be sure the exposure time displayed during the acquisition is close
to the maximum available (100 ms) on both planes.
4.9 Scatter measurement
Box Stats measurements are done with BOX STATS for the Frontal testing (Rep. Lateral testing).
1. Go to the PATIENT DIRECTORY Menu.
2. Select the sequence acquired in step 1. of section 4.5 (for the lateral step 1. in 4.7).
3. Go to ADVANCED PROCESSING on the DLX.
4. Click on REGION STATS.
5. Select one of the last images in the run.
6. Click on BOX STATS; record the mean value on the data sheet in ”DATA RECORDS” as frontal/single
(do the same for lateral/single).
7. Select ABORT and go back to the PATIENT DIRECTORY Menu.
8. Select the sequence acquired in step 2 of section 4.5 (for the lateral step 2 in 4.7).
9. Go to ADVANCED PROCESSING on the DLX.
10. Click on REGION STATS.
11. Select one of the last images in the run.
12. Click on BOX STATS. Record the frontal/biplane mean value on the data sheet in ”DATA RECORDS”
(do the same for lateral/biplane).
Note: Use the BOX STATS default position (center) even though IIs do not project exactly on the image
center.
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4.10 Performance measurement
Determine performances in biplane mode for frontal testing.
1. Calculate the difference in LSB between frontal/single and frontal/biplane mean values (do the same for
lateral).
2. Determine the variation by dividing the above difference by the level recorded in FRONTAL RECORD
VIEW mode (frontal/single). Do the same for lateral.
3. Check that the ratio is less than 5%.
4. Restore the original value for VASC SET-UP OPTIMUM LEVEL. Access DLXINSTAL as described in
section 4.2.
5. Return the Advantx to its normal operating condition.
SECTION 5
ANALYSIS
If any resulting value for the frontal or lateral mode, in vascular or cardiac, does not meet the specified
values, check the following:
. II tube blanking signals (voltage on TP5/TP7 and BLK II PULSE on XRII board),
. II tube G2 stabilization,
. timing (EXPOSURE GATE / VBLANK SIGNALS).
Note: Typical values recorded in Vascular mode on a system where the Frontal II blanking was no longer
working:
frontal/single = 61 LSB
frontal/biplane = 182 LSB.
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Blank page
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ADVANTX DLX CALIBRATION Job Card IMG 0 P 1 of 8
Purpose: CONSOLE ADJUSTMENTS FOR DISTAR Version No.: 1

MONITORS Date:

PURPOSE To adjust monitor contrast and brightness according to ambient light in the room, and to
optimize these adjustments.
TOOLS – Luminance–meter (recommended model: Minolta LS100)
– Calibrated gray reference card, part no. 2110360, with known reflection ratio RG (RG is
often 18%)
SET–UP Console monitor positioned as it is for the physician during image processing.
All light measurement is done from the area where the physician is positioned during
image processing.
DLX in application mode.
PROCEDURE 1– Position the gray reference card on the monitor screen.
2– Measure the reflected light on the gray card: LG.
3– Calculate the reference luminance: LR = LG / RG
and the ambient illumination: IA = LR x π.
Record these in ”DATA RECORDS”. The IA should be between 10 and 30 lux, and
should not exceed 50 lux.
4– Remove the gray card, power OFF the monitor (power plug disconnected) and mea-
sure the phosphore luminance: LP.
5– Calculate the monitor screen reflection ratio RM = LP/LR. The RM must be less than
9 %.
6– Power ON the monitor, and wait several minutes for the monitor to stabilize.
7– On the SMPTE pattern, adjust the monitor brightnes so that you can just see the 5%
square inside the 0% square.
8– Display an image that doesn’t have too much contrast, and turn the DLX keypad
brightness/contrast buttons fully CCW to get a completely black image.
9– Measure the L0, and check that it matches the L0 value for the measured IA value
(see the L0 curve in Illustration 6–6). Readjust the monitor brightness, if necessary.
10– Turn the DLX keypad brightness knob fully CW to get a completely white image.
11– Measure LMAX, and adjust the monitor contrast so that the LMAX matches the LMAX
value which corresponds to the measured IA value.
12– Repeat steps 7 to 11 until the L0 and LMAX match the recommended values for IA.
13– Record the L0 and LMAX on the SCAT records (Test Data Results) sheet.
ACTION See page 2 of this Job Card.
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CONSOLE ADJUSTMENTS FOR DISTAR

MONITORS Job Card IMG 0 P 2 of 8
ACTION – There must be no direct light reflecting on the monitor screen; if there is, modify the
room lighting to obtain better conditions.
– If IA > 50 lux, decrease the room lighting.
– LO should fall within LP x 1.1 and LP x 1.3.
– The LO should not be too high, so as to not to “dazzle” the user’s eyes.
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DETAILED PROCEDURE
This adjustment procedure helps the service engineer measure the observation conditions, and adjust the
operating conditions accordingly.
SECTION 1
DESCRIPTION
The accurate perception of radiological image details on a monitor depends mostly on the observation and
operating conditions, as opposed to the dynamic range of the video signal.
It is very important that the image on the monitor match the filmed image as much as possible, which means
that their dynamic ranges should be as similar as possible.
SECTION 2
The monitor is the final component in the video chain, and its contribution to the overal image quality is
often forgotten.
We recommend that you perform this procedure any time the customer is not completely satisfied with the
monitor image quality, when you believe a monitor adjustment has been changed, or any time the image on
the monitor does not correspond to the image on film (the hard-copy camera).
SECTION 3
TOOLS REQUIRED
Luminance meter (recommended meter model: Minolta LS100)
Calibrated gray reference card (RG is often 18%) with known reflection ratio RG, p/n 2110360
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SECTION 4
PROCEDURE
4.1 System Set-up
1. Boot the DLX Application Software.

2. The console monitor should be positioned on the desk as it is under working conditions. Check:
– the monitor position,
– the monitor’s angle to the user,
– the distance between the monitor and the user.
3. The room lighting should be the same as under normal working conditions. Check:
– the artificial lighting (fluorescent, incandescent lighting),
– the adjustment of variable lighting,
– if there is natural lighting, and if it is the main lighting (curtains or door openings, meteorological
conditions).
If there is natural lighting, this procedure is not accurate. It is impossible

CAUTION to guarantee good performance with ambient light, which is not stable,
and in which intensity is generally very high.
Note: In vascular or cardiac rooms, it is especially desirable to have a low level of lighting to get a good contrast
in the blacks and to allow a high dynamic range between blacks and highlights.
4. Position the luminnce meter at the same level as the user’s eyes, and at the luminance meter’s minimum
focalization distance.
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4.2 Procedure
Note: Do not move the monitor during this procedure!

4.2.1 Reference Luminance (LR)
1. Position the gray reference card in the center of the monitor screen with the gray card towards the
luminance meter.
2. Measure the reflected light on the gray card center: LG.
3. Calculate the reference luminance: LR = LG / RG.
Note: 1. RG is the reflection ratio of the gray card; this card should be clean with no fingerprints.
Note: 2. The measurement can be repeated on the whole card. The ratio between the higher and lower values
should not exceed 2. This could happen if a spot light illuminates the monitor screen. If so, modify the
monitor position or the room lighting conditions.
4. Calculate the ambient illumination: IA : LR x π : IA is correct only if the gray card has a lambertian
response, therefore IA will be between 10 and 30 lux, and should not exceed 50 lux.
5. Record LR and IA on data sheet.
6. Remove the gray card from the monitor.
4.2.2 Switched-off Phosphor (LP) Luminance
1. Power-off the monitor.

2. Disconnect the power supply.
3. Measure the phosphor luminance (LP) at the center of the screen, that is, the ambient light diffused by
the screen (see Note 2 of section 4.2).
This measurement concerns only the light which is diffused by the

CAUTION phosphor, and not the reflection (as a mirror) of light on the CRT glass.
If there are very visible reflections, they MUST be eliminated by changing
the lighting (removing, switching off or moving the lights) or by moving
the monitor (position, orientation).
4. Calculate the monitor screen reflection ratio: RM = LP/LR.

Note: RM is a monitor feature; it should be less than 9 % for a DISTAR monitor.
5. Power ON the monitor. Wait several minutes before beginning another measurement; this allows the
monitor to stabilize.
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4.2.3 Zero Dose (L0) and Maximum Level (LMAX) Luminance
1. Display the SMPTE pattern on the monitor. Check that the DLX brightness and contrast window is
reset to the default value (depress the appropriate DLX keypad button).
2. Adjust the monitor brightness knob so that the 5% square (the smaller square inside the 0% square) is
just visible in the 0% square. Its level should be just above that of the 0% square.
3. In the DLX Browser screen, choose a patient, exam, and sequence image that does not have too much
contrast. There should be no completely black or white area.
4. Turn the brightness and contrast knobs, on the DLX keypad, fully counter-clockwise (CCW). You
should get a completely black image, with no white pixels. If you do not, return to step 3.
5. Measure the luninance, L0, of the black level with the luminance meter.
Illustration 6–6 shows the relation between the monitor luminance in cd/m2 and the ambient light in
lux. Adjust the L0 with the monitor brightness knob, to the recommended value, according to the
previously measured ambient light IA. For example, if IA = 30 lux, the L0 should be equal to 1.95
cd/m2.
6. Turn the brightness knob on the DLX keypad fully clockwise (CW). The image should be completely
white with no black pixels. If not, redo steps 3. and 4.
7. Measure the white level luminance (L0) with the luminance meter.
See Illustration 6–6 to find the recommended value for LMAX according to the previously measured
ambient light IA. Adjust the LMAX, using the monitor contrast knob, to this recommended value. For
example, if the IA = 30 lux, the LMAX should be equal to 190 cd/m2.
8. Repeat steps to until you obtain a L0 and LMAX equal to the recommended values. Record these on the
data sheet on the SCAT records (Test Data Results) sheet.
9. Record the L0 and LMAX on the SCAT records (Test Data Results) sheet.
Note: LO should be within LP x 1.1 and LP x 1.3 to maintain the maximum dynamic range.
Note: LMAX may be slightly different than the recommended value, but it should not be too much smaller to
avoid reducing the luminance dynamic range, and not too much higher so as not to “dazzle” the user’s
eyes.
Note: It is very important to carefully perform the adjustments. The image on the monitor should be as similar
as possible to the film image. While the dynamic range on the film is very big, optical densities are more
than 2.5 above base + fog, and this corresponds to a ratio LMAX /L0 of more than 300, it is very difficult
to achieve this goal without having the LMAX too high, causing the monitor to dazzle. The only way to
move towards this goal is to decrease the L0 , so as to decrease the ambient light to the minimum possible
level accepted by the user.
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ILLUSTRATION 6–6
DISTAR 15” CONSOLE MONITOR
6-95
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Technical

ADVANTX DLX CALIBRATION

Copyright 1997 by General Electric Co.

CHAPTER TITLE PAGE

TABLE OF CONTENTS (CONT.)

CHAPTER TITLE PAGE

6 IMAGE QUALITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

D THIS SERVICE MANUAL IS AVAILABLE IN ENGLISH ONLY.

D CE MANUEL DE MAINTENANCE N’EST DISPONIBLE QU’EN ANGLAIS.

D DIESES KUNDENDIENST–HANDBUCH EXISTIERT NUR IN

D ESTE MANUAL DE SERVICIO SÓLO EXISTE EN INGLÉS.

D ESTE MANUAL DE ASSISTÊNCIA TÉCNICA SÓ SE ENCONTRA

D IL PRESENTE MANUALE DI MANUTENZIONE È DISPONIBILE

REV DATE REASON FOR CHANGE

LIST OF EFFECTIVE PAGES

PAGE REVISION PAGE REVISION PAGE REVISION

5–1 thru 5–90 0

6–1 thru 6–96 0

NUMBER FORMAT REVISION

1–1 Vascular Calibration

DEFAULT VASCULAR PERFORM JOB CARD CAL 0 B

1–2 Cardiac Calibration

1–3 Software Aperture Calibration

1–4 For Biplane

2–1 System Set-up

2–2 Technical Menu Selections

Click on EXIT to quit the Technical Menu function.

ADVANTX DLX CALIBRATION Job Card CAL 0 A 1 of 10

Purpose: SOFTWARE APERTURE CALIBRATION Version No.: 1

Time: 1 hour Personnel: 1

SET–UP Positioner Grid IN / PA / Table = ISO / collimator in Auto mode /

SOFTWARE APERTURE CALIBRATION CURVE

SOFTWARE APERTURE CALIBRATION CURVE

+ 1/4 inch thick aluminum plate filtration

+ 1/32 inch thick copper plate filtration

SOFTWARE APERTURE CALIBRATION CURVE

D DLX VASCULAR – TECHNIQUES

SOFTWARE APERTURE CALIBRATION CURVE

5.4 Boot the DLX Technical Menu

SOFTWARE APERTURE CALIBRATION CURVE

5.5 Adjust DLX Roi Box

1. Click on CAMERA CENTER in the Technical Menu to center,

2. Click on STATISTICS, and select BOX STATS.

4. When the box is adjusted, use the mouse to exit from

(*) Use screen information.

5.6 Prep/Expose Switch Usage

5.7 Pick–Up Tube Image “fold–over” Misregistration

Note: If 98%, or 250 ± 3 LSB, cannot be reached, recalibrate the VIC.

SOFTWARE APERTURE CALIBRATION CURVE

5.8 Correct Starting Point For Curve

5.9 Establish First Position On Aperture Curve

– Take a single Mask exposure using the Advantx Console handswitch.

Keep the system set–up as close as possible to the customer’s usage.

– kVp (coarse adjust) final setting

SOFTWARE APERTURE CALIBRATION CURVE

5.11 Store Values

1. With the mouse, click on ACC TABLE.

Click on ACC TABLE to check the Aperture

– As the aperture (Iris) positions increase, mean

SOFTWARE APERTURE CALIBRATION CURVE

5.14 Record Table

5.15 Exit Technical Menu

Click on EXIT to quit the Technical Menu function.