Professional Documents
Culture Documents
Foreword
Proprietary Notice and Disclaimer
The information herein disclosed is the property of iCRco., Inc. Information in this document
is subject to change without notice and does not represent a commitment by iCRco to
incorporate changes or improvements in units previously sold or shipped.
Trademarks
Terms
Any one of the following iCR products will be referred to as the CR unit throughout this
document: iCR 1000
, R iCR 1000 Dual
,
R iCR 2600
, R iCR 2600 Dual
,
R iCR 2600SF
,R
iCR 3600
,
R iCR Vet
,
R iCR Vet Dual
,
R iCR Mobile
, R iCR 1-D
,
R iCR Chiro
,
R iCR Chiro
Dual
R iCR VertX
R Any one of the following iCR products will be referred to as iCR dual
unit throughout this document: iCR 1000 Dual
, R iCR 2600 Dual
, R iCR Vet Dual
,
R iCR
Chiro Dual
R Any one of the following iCR products will be referred to as iCR desktop unit
throughout this document: iCR VertX
R
iCRco., Inc.
Adress: 2580 West 237th Street Torrance, CA, 90503
Telephone: 310.921.9559
FAX: 310.776.7960
Email: info@icrcompany.com
Web: www.icrcompany.com
CR Information
Please Enter the details of the CR system here:
CR Model:
Serial Number:
Date Purchased:
1 Introduction 9
1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.2 FCC Noti cation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.3 iCRco Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.4 Hardware Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.5 Software Limited Warranty/Support . . . . . . . . . . . . . . . . . . . . . . . . 10
1.6 Warranty Product Technical Requirements . . . . . . . . . . . . . . . . . . . . . 10
1.7 Requesting Warranty Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.8 Additional Warranty Limitations and Extent of Warranty . . . . . . . . . . . . . 11
1.9 Limitation of Remedies and Liability/Exclusion of Damages . . . . . . . . . . . 12
2 Pre-Installation 13
2.1 Voltage Requirements for iCR 3600 . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.2 Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.3 Systems Speci cations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.4 Physical requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.5 Connectivity and power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
4 Hardware Installation 17
4.1 PC Speci cations for iCR 3600 and iCR 3600-SF . . . . . . . . . . . . . . . . . 17
4.2 USB 2.0 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4.3 Power Locations for iCR 3600 and iCR 3600-SF . . . . . . . . . . . . . . . . . . 17
4.4 Installing Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4.5 Power and Scan Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4.6 International Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4.7 Wall Mounting Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
4.8 Mounting Computer Bracket to the CR base . . . . . . . . . . . . . . . . . . . . 18
4.9 Installing of USB cable from CR unit to PC . . . . . . . . . . . . . . . . . . . . . 19
4.10 Power-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
4.11 NOTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
4.12 Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
7 Theory of Operation 60
7.1 Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
7.2 System Con guration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
7.2.1 Optical Beam Path . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
7.2.2 Galvonometer Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
7.2.3 Indicator Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
7.2.4 Anti-Jitter Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
7.2.5 PMT Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.2.6 Power Distribution Board . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.2.7 LED Eraser Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.2.8 Motor Controller Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.2.9 Analog to Digital Conversion . . . . . . . . . . . . . . . . . . . . . . . . 62
7.2.10 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
7.2.11 PMT Ampli er . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
8 Service Adjustments 64
8.1 Optics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
8.2 PMT Sub System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
9 Periodic Maintenance 66
9.1 Cleaning Optical Mirrors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
10 Diagnostics 68
10.1 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
10.1.1 Vertical Lines in Images: . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
10.1.2 Horizontal Lines and Banding in Images . . . . . . . . . . . . . . . . . . 70
10.2 Initializing the CR Motor Controller . . . . . . . . . . . . . . . . . . . . . . . . . 72
Safety Information
Be sure to read and understand the installation and operating instructions before applying
power to the CR unit.
NOTE:
A NOTE indicates important information that helps you make better use of your CR and
Software.
DANGER:
A DANGER indicates that personal injury may occur if the Service person does not perform
the procedure correctly.
NOTICE:
A NOTICE indicates either potential damage to hardware or loss of data and tells you how
to avoid the problem.
WARNING:
A WARNING indicates that a user must be constantly aware of something that may prove
hazardous.
CAUTION:
A CAUTION indicates that damage to the product may occur if the user does not perform
the procedure correctly.
Laser Safety
The CR unit incorporates a Red ≥ 30mw high-power solid-state laser diode. The CR covers
protect the service person from direct exposure to laser light. These covers will protect
a user/service person only if they are properly installed. Covers must be removed and
replaced by properly trained service personnel. Contact iCRco if there are any issues with
the covers being damaged and replace them.
CAUTION:
THIS EQUIPMENT EMPLOYS A LASER. LASER RADIATION MAY BE PRESENT IF THE CR
SYSTEM IS OPERATED WITHOUT COVERS. AVOID LASER BEAM. DIRECT EYE EXPOSURE TO
LASER LIGHT MUST BE AVOIDED.
Electrical Hazards
The equipment must be serviced by properly trained technicians certi ed by iCRco, Inc. Do
not connect the CR unit with a damaged or sub-standard power cable. Do not use an exten-
sion cord with this device. The CR unit should be properly grounded and power connections
inspected to ensure safe operation. Use at least a 1500VA (1500W) uninterruptible power
supply (UPS) with this device, as it is sensitive to variations in power.
NOTICE:
The CR unit must be connected to a uninterruptible power supply (UPS). Failure to use a
(UPS) will void the warranty.
WARNING:
THIS EQUIPMENT IS OPERATED WITH HAZARDOUS VOLTAGES WHICH CAN SHOCK, BURN
OR CAUSE DEATH.
1.1 Overview
The CR unit is an ultra high resolution Computed Radiography device. It is designed to scan
cassettes containing phosphor screens (CR plates) using patented technology. CR plates
are transported past a scanning head without bending or using rollers. This Flat Scan Path
results in ultra high resolution images with high delity across the entire image. High res-
olution is achieved from the CR plates by coupling the at scan path with a high energy laser.
The CR unit collects 16 Bit data that is converted to a DICOM 3.0 image and can be
stored, viewed, manipulated, and sent to any other storage device, printer, or viewing
station through DICOM. This document contains a basic technical overview of the CR unit
including the optical systems, electronic components, and driving software subsystems.
A general description of the systems functionality and user interfaces will be described.
Unpacking of the hardware is covered and software installation, service adjustments and
troubleshooting are also included. This document is intended for users or service people
who need to understand the basic underlying principles of operation for the CR unit.
are warranted to be free of defects in materials and workmanship for a period of (3) years
from the date of original shipment subject to limitations set forth herein. If a product proves
to be defective in material or workmanship during the warranty period, iCRco will, at its
sole option, repair or replace the product with a similar product. Repaired and replacement
products may be or include refurbished or remanufactured parts. Any replacement item
assumes the remaining warranty period of the original product. iCRco provides no warranty
for any third party hardware or software included with any product or later acquired.
iCRco agrees to provide one (1) year of telephonic and/or e-mail based support for
QPC XSCAN32 software originally provided with any new iCRco product from the date of
original shipment from iCRco. All software support shall be limited to making reasonable
efforts to resolve iCRco software issues and shall be limited to iCRco's regular business
hours. In addition, iCRco will provide revisions and upgrades to its software upon request
(when available) during the rst year after the software was originally shipped from the
iCRco factory. The initial support period will include support via remote login software
(GoToMeeting), only if the customer has access to the Internet from that PC and only if the
customer agrees iCRco shall have no liability in connection with its support efforts. Remote
login software allows iCRco technical support to remotely access the customer's PC via the
Internet for the purposes of rendering technical support. Please note that this warranty,
including software support, does not include computer hardware, third party software or
operating system or network issues, which are outside the control of iCRco.
UPS or equivalent. For warranty evaluation and service, iCRco requires the customer to
provide a network drop (DSL or Dialup) or the minimum of a phone line accessible by an
extension cord to the product enabling iCRco technicians to perform remote diagnostics on
installed equipment. In addition, each iCRco product must be installed, maintained and
operated in accordance with the respective product manual. Failure to comply with these
requirements will result in a voided warranty claim.
Warranty service requires all authorized returns be shipped to the iCRco factory pre-
paid and insured. All such authorized returns are the customer's responsibility. For products
sold and located within the United States, iCRco will pay for return shipping.
Products being returned are only to be shipped in iCRco approved shipping containers. The
original box and packaging materials are approved and should be kept for moving and/or
shipping the product. Original and approved packaging my also be purchased from iCRco.
iCRco shall have no liability nor responsibility for warranty service to any product that is
not shipped in an iCRco approved shipping container or that is damaged from incorrect
packaging or damaged during shipping.
outside of its speci cations, the use of supplies, parts, materials, software, or interfaces not
furnished, authorized or recommended by iCRco. If the product, including any software has
been opened, tampered with, modi ed or altered in any way without written authorization
by iCRco, the warranty will also no longer apply.
This warranty applies only to products manufactured by, or for, iCRco, and that can
be identi ed by an iCRco serial number as originally af xed to the product. Any modi ca-
tion to the iCRco serial number tag or its attachment to the product shall immediately void
this warranty.
This warranty is non-transferable and subsequent owners must contact iCRco to establish if
the equipment is eligible for an extended warranty.
1. The cooling fan sucks air into the device. There is a lter in front of the fan to ensure
that the air in the CR is clean.
2. The cooling fan ensures that the pressure in the case is slightly higher than the outside
pressure. Thus dust and dirt do not enter the device through the scan head.
3. All the optics are sealed in the optic cavity, separate from the electronics. Although
these systems are in place, in a dusty environment, small amounts of dust and/or
dirt may enter the optic cavity. This dust could affect image quality. To prevent this
potential issue, it is recommended that the unit be installed and operated in a clean,
dry environment.
NOTE:
Some systems have a removable lter housing that enables the easy removal of lter for
cleaning. Rinse under warm water and air dry before replacing.
Scan Rate
Scan Rate 60 lines/second
Interface
USB 2.0 or DAC (SCSI III)
Dimensions
iCR 3600 10W x 22H x 44L inches
Power Requirements
Domestic 100 to 120V, 50/60Hz, 3.5A
International 220 to 240V, 50/60Hz, 1.75A
Temperature Conditions
10 to 35◦ C - operating
-18 to 65◦ C - non-operating
Humidity
20 to 80% non-condensing
Vibration/Acceleration
3-4G Max (in shipping)
Altitude
0 to 9,500 ft. - operating
Weight
iCR 3600 78 lbs
1. Insert the QPC XSCAN32 Software CD into your PC. It will run automatically.
4. Read through the Software License Agreement and select the Yes button if the user agrees to
the terms.
5. Select the QPC XSCAN32 Software and Software Key Drivers components and select the Next
button.
6. Select Scanning Station or Reading Station from the Select Station Type dialog and select the
Next button.
7. Select the appropriate Modality Type from the dialog (i.e. Medical, Podiatry, Dental, Veterinary,
Mammography, etc.)
8. Select your Hardware Type from the Select Hardware Component dialog. Depending on the
user's choices from step 6 and 7 this dialog will differ. Select the Next button.
12. Click the Finish button when QPC XSCAN32 has nished installing.
Processor: Pentium D
RAM: 1 GB or more
OS: Windows XP
HDD: 250 GB or more
2. Plug the other end of the power switch cord into the UPS.
3. Align the computer with the mounting bracket and line up the holes.
4.10 Power-Up
The power switch is normally located on the lower left side of the device. When the CR is started up,
the fan located above the power supply turns on.
4.11 NOTE
The CR unit should be allowed to warm up for ve minutes prior to use in order to stabilize the
system.
4.12 Technique
• The CR, like most CR systems, mimics a 200 speed system. Although the response of CR
imaging plates is not identical to lm, and the dynamic range is far superior to that of lm, a
200 lm speed technique should be used to minimize Schott noise so that images do not look
grainy on the monitor.
• The CR scanning system utilizes a 16 bit image capture process, so in some cases it is possible
to use 400 speed techniques and window and level the images to obtain acceptable results.
If lm images are no longer being taken with the equipment, Phototiming sensors should
be adjusted for CR exposures. This is very important as digital cassettes attenuate x-rays
differently than conventional screen- lm cassettes, so Phototiming may be off. 99% of all CR
imaging issues are related to improper technique.
• It is very important to calibrate the imaging system. Typically, CR imaging systems reduce
repeat exposures to below 5%, so additional exposure to a patient from retakes is minimized.
GRIDS: The presence of a grid in a Bucky tray can cause issues with your images.
• If the grid is stationary, the user may need to change it to avoid artifacts (103 LPI Grids can
cause a problem if they are not oscillating). 12 to 1 grids can cause issues because the grid
factor can affect the dose to the patient.
Unlike other CR solutions, the CR unit does not allow for contact to the delicate phosphor imaging
plate. The hard X-ray cassette is designed to protect the plate and allow for it to be read by the CR
digitizer.
WARNING
THIS EQUIPMENT EMPLOYS A LASER. LASER RADIATION MAY BE PRESENT IF THE CR UNIT IS
OPERATED WITHOUT COVERS IN PLACE. AVOID LASER BEAM. DIRECT EYE EXPOSURE TO LASER
LIGHT MUST BE AVOIDED.
Once the cassette is placed in the CR unit and the door is closed, the user can bring up the scanning
interface and scan the image.
iCRco Cassettes
5. Select the anatomy from the pull down menu located on the left
of the Scan dialog. Running your mouse over different regions of
the anatomy will bring up a pop up menu. Scroll through the pop
up menu until you nd the correct anatomy and select it with a
left mouse button click.
6. Select the cassette size by clicking the correct button (i.e. 14x17
in, 10x12 in, 8x10 in).
7. The CR will begin scanning the plate. The preview window will
display the image as it is scanning. Once it has nished scanning,
it will automatically import the image into QPC XSCAN32.
If the user is currently viewing the processed image, QPC XSCAN32 will display
the text Processed Image and the processing values used in the patient
information overlay. As an example, the image on the right was processed with
gain of 2 and processing strength of 2.
The delicate imaging plate is embedded within a rigid cassette in such a way that nothing touches
the plate during the scanning or handling process. The cassette is carbon ber with an embedded
aluminum/lead back plane.
The cassette is loaded tube side toward the device at an angle with the arrows pointing up-
wards. The cassette will rotate easily onto the scan bar at the bottom of the cassette.
If the user is positioning an 8x10 or 10x12 in. cassette, make sure to follow the cassette size guides
on the bezel. In other words, the user should be able to see a white border around the cassette.
It should be gently pushed as far as it can go to the left hand side such that the plate remains ush
against the surface and has no give in either direction.
If the user can not see all of the white border, then the user may have misloaded the cassette and it
may get stuck when entering or returning.
• For example, move the sliders to change the gain to 5 and the
Frequency Enhancement to 3, then click Process to apply
these new parameters.
NOTE:
The user can update the preset to save these values for future use.
NOTE:
Retakes are uncommon with CR. Optimization is the most important step in achieving high
image quality. Be sure image is processed (check annotation note) and window/level properly.
BE SURE THAT THE IMAGE HAS BEEN PROCESSED PROPERLY (WINDOW/LEVEL, ROTATE, etc.)
BEFORE SENDING TO THE ARCHIVE.
3. Sending Images to Archive:
After images have been optimized, and orientated properly, highlight image icons. Select the
DICOM Send button on the main toolbar along the top of the screen. This will send images to
the pre-selected target(s). Alternatively, the user may manually select the targets from the
DICOM list.
Default settings can be con gured by the user to automatically send images. Go to image
transfer preferences to enable this option.
After the images have been scanned, optimized and accepted by the user the images will
automaticcaly be sent to the the pre-con gured target.
iCRco provides quick start guides to all features of QPC XSCAN32. These guides can be found
online at:
http://www.icrcompany.com/quickstart_downloads.html
.
Hold the Middle Scroll button down and move the mouse up and down to adjust level and from side
to side to adjust window.
To window and level through more gray values at a tie, hold down the Ctrl key and use the Middle
Scroll button. This will perform a faster window and level on images with a large histogram (i.e. CR
and DR images).
To window and level through less gray values at a time (i.e. single step through window and level
values), hold down the Shift key and use the Middle Scroll button. This will perform a slower window
and level on images with a smaller histogram (i.e. CT and MR images).
Hold down the right mouse button and move the mouse up and down to magnify and reduce the
size of the image. (Alternatively the user can hold down the middle mouse button and move the
mouse up and down to magnify.) To magnify an area of interest in the image, hold down the Shift
key and the Left mouse button and move it over the area of interest.
Similarly, on a
laptop the user
may right click
and drag along
the touchpad in-
terface to zoom.
Hold down the Left mouse button and move the mouse around the screen. This is useful when the
image is magni ed.
@
The left mouse button is used to pan im-
@
R
@
ages. To pan through the image faster,
hold down the Ctrl key and the Left
mouse button.
To resize the smart box, hold down the left mouse button on
the border of the smart box and move the mouse forwards and
backwards (or up and down if adjusting the bottom edge).
To resize both edges of the smart box at the same time hold
down the Ctrl key and Left mouse button on any of the four corners of
the smart box and move the mouse.
To move the smart box around the image hold down the left
mouse button anywhere inside the smart box and drag the mouse
around the image.
The Smart Box's size and position can be adjusted to yield different results. This allows the user
fast and ef cient image processing methods. Examples of these features are shown above.
Function Keys
NOTE:
CD/DVD Creation Software is NOT part of the QPC XSCAN32 Software. This section is optional for
users who already have CD/DVD Creation Software already installed on their respective PCs.
1. In the patient information window select the patient(s) to be placed on the CD/DVD. To select
multiple patients, hold down your Ctrl key on the keyboard and using your left mouse button
select each patient.
2. Click on the Create CD button in the toolbar. Selected patients will be copied into the patient
CD layout folder (C:\XscanCDFolder).
NOTE:
If this is the rst time using the patient CD creator
feature, a prompt will appear indicating the user
to browse for the location of the DVD/CD Creator
software. Alternatively, if Nero software is already
installed on the PC - Select the option Use Nero
scripting to create CD/DVD .
3. Put the CD/DVD into the drive and select the Burn
button.
1. When the software has nished initializing and copying the patient CD, a `ready to create CD'
prompt will appear, select Yes.
2. The DVD/CD Creator software will open. Select source folder C:\XscanCDFolder and drag the
folder and two les into the data project region. NOTE: The user must not create their own
folders on the CD/DVD. The autorun.inf le must appear on the top level (i.e. under the root
directory) of the CD/DVD.
NOTE:
The user can change the cassette size by clicking under the
column Cassette Size and selecting the actual size. This will
be saved for future use in the database.
NOTE:
The user can remove the association by selecting the bar-
code from the list and selecting the Delete Barcode button.
5. The barcode will be added into the barcode list with the default cassette
size 14x17.
6. Repeat steps 3 to 5 for each cassette that will be associated with the study.
NOTE:
This can be corrected later in QPC XSCAN32 when viewing images.
QPC XSCAN32 will automatically open the study that the cassette is associated
with. The CR scan interface will open with the details of the associated patient.
Other Tips
The CR scan interface also allows the user to nd
barcodes in the database. The patient information
displayed in the CR scan interface will change
depending on the barcode selected for scanning.
The image below indicates that the image will appear under the patient Joe Smith and the barcode
for the cassette that will be scanned is 01003.
There is an option in the CR scan interface settings that requires the user to scan the barcode before
they are able to scan cassettes into the interface. In other words, they have to tell the CR scan
interface which barcode they are scanning. If no barcode has been selected for scanning the user
will be prompted to nd a barcode.
NOTE:
The current date and time is used for the folder
name of the archived databse.
NOTE:
The current database in QPC
XSCAN 32 must be empty.
3. To search a particular archive, select the archive location by selecting the Browse button. i.e.
select C:\ XSCAN32\ Archive\
6. The user can re ne the search further by changing the Match eld.
6.13 CR Processing
4. You can press the Reset button to restore the original image data
set.
NOTE:
The user can also press the Process button again and the original
data set will be automatically restored and processed again.
NOTE:
Last Name, First Name, Date and DOB are re-
quired elds. The user can also make Patient ID a
required eld by clicking on the Options menu →
Preferences → Defaults tab
3. Click the Save or Save and View button after the patient details have been entered.
NOTE:
The Save and View button will create/edit the patient and open the exam immediately for
viewing or scannning of images.
NOTE:
When the user opens an exam with no images QPC XSCAN32
will automatically open the default scan interface. The user
can change the default scan interface by clicking on Options
→ Preferences → Scanner tab.
6.15 CR Masking
1. Open an image for viewing.
Before After
6.16 Annotations
Line Annotations
Creates a straight line on the image.
2. Left mouse click on the area of the image to set the rst endpoint.
4. Left mouse click on the area of the image to set the second endpoint.
2. Left mouse click on the area of the image to set the rst endpoint.
NOTE:
The line will be extended through the entire image.
4. Left mouse click on the area of the image to set the second endpoint.
Arrow Annotation
Creates an arrow on the image, which will point to a region of interest.
2. Left mouse click on the area of the image to set the end of the arrow.
4. Left mouse click to set the second endpoint of the arrow head.
2. Left mouse click on the area of the image to set the start point of the cross hair.
4. Left mouse click on the area of the image to set the cross hair.
2. Hold down the left mouse button on the part of the image that is desired to start drawing then
drag the mouse.
Ellipse Annotation
Creates an un lled ellipse on the image. This feature is used to show a region of interest on the
image.
2. Left mouse click on the area of the image to start the ellipse.
Box Annotation
Creates an un lled box on the image. Used to show a region of interest on the image.
2. Left mouse click on the area of the image to start the box.
Text Annotation
Creates a text annotation on the image.
2. Left mouse click on the area of the image to set the upper left corner of the text box.
5. The text box will become white with a ashing cursor. Type text.
Measurement Annotation
Used to measure the distance of a straight line on the image. This can be in inches, cm, mm and
pixels.
2. Left mouse click on the image to set the rst endpoint of the measurement.
3. Move the mouse to where the endpoint of the measurement will be.
4. Left mouse click to set the endpoint of the measurement. The measurement will appear below
the line.
5. To place the text in this default, position left mouse click on the same point again. To move
the text out of the way, move the mouse to the desired location and left mouse click to set the
placement of the text.
2. Left mouse click on the image to set the vertex (center point) of the angle.
3. Move the mouse to where the endpoint of the rst vector will be.
5. Move the mouse to where the endpoint of the second vector will be.
6. Left mouse click to set the endpoint of the second vector. The angle measurement will appear.
7. To place the angle text in this default position, left mouse click on the same point again. To
move the angle text out of the way or to change angles, move the mouse to the desired
location and left mouse click to set the placement.
Templates
Used to load and draw custom templates.
Select the Templates button on the annotations toolbar.
Annotation Defaults
Used to change the default font name, font size and colors.
Select the Defaults button on the annotations toolbar.
Measurements Units
Used to toggle between the current measurement
units.
Selecting Annotations
1. Move the mouse over the annotation. The mouse
pointer will become a pointing hand.
Moving Annotations
1. Select the annotation.
Resizing Annotations
1. Select the annotation.
NOTE:
For measurement annotations the size/angle will change accordingly. One of the handles provided
for measurement annotations will also allow the user to reposition the text.
3. Select either the Left or Right marker. When the user clicks on the
Left/Right Marker button, the Left marker icon will appear. If the user
clicks the Left/Right Marker button again, the Right marker icon will
appear. Clicking again will toggle back to the Left marker.
4. Move the mouse onto the part of the image where the marker needs to
appear. When the user moves the mouse over the image a Left or Right
marker icon will appear in place of the mouse.
NOTE:
If the moving icon is highlighted, this indicates that it will return to its original
position. If an icon is dragged forwards in position (i.e. the image number
of the highlighted icon is higher than the moving icon) then all icons between
its original position and its new position will move backwards and each image
number decreases by one. If an icon is dragged backwards in position (i.e. the
image number of the highlighted icon is less than the moving icon) then all icons
between its original position and its new position will move forward and each
image number increases by one. If no icons are highlighted when dragging,
then the image will be returned to its original position.
1. To activate the Modality Worklist Query interface click on the Worklist Query button in the QPC
XSCAN32 patient information window.
2. The QPC XSCAN32 Modality Worklist Query dialog will open. Click on Query Worklist button to
query the HIS/RIS system.
Query Worklist Button
CO KAA
C A
C A
C A
C A
C A
C A
C A
C A
C A
C A
C A
Search elds. For A
example, to search The user can also specify query options such as:
A
Retrieve Selected P
Patient(s) button.
PP
PP
PP
q
P
Queried patients ap-
pear in the patient
list. An envelope
indicates a patient -
that has not been
retrieved. A check
mark indicates a pa-
tient that has been
retrieved.
4. The patients will appear in the QPC XSCAN32 patient information window within seconds of
being retrieved from the Modality Worklist Query dialog.
NOTE:
QPC XSCAN32 supports multiple page reports.
1. Open a patient study for viewing and select the image icons to stich together.
3. Organize the images in the correct viewing order. For example, if the images appear as they
do in Figure 1, then click on the Swap Images button.
Figure 1 Figure 2
Tips:
1. Images must have at least 1 inch of overlapping data
CORRECT.
Overlapping data appears in both images
NOTE:
The user can collimate on any other edges.
INCORRECT.
These two edges should not be collimated.
3. Do not move the angle of the anatomy between x-rays. For example, if two images of an arm
are taken on two different cassettes, do not move the angle of the arm for the second x-ray.
4. Do not change the resolution between x-rays. (All images must be the same scan resolution.)
NOTE:
If the user doesn't have the window in the task bar open, Options → Preferences → Image
Transfer Tab → Select Use DICOM to transfer images.
3. The Image Targets dialog will appear. Select the target(s) to send the selected images to.
5. The status of the send will appear in the Event Log of the DICOM Controller window.
NOTE:
If sending to another XSCAN32 application, the user can turn compression on and select a
compression type (low, medium, high).
The Advanced DICOM Printer allows the user to ip, rotate, zoom,
pan, invert and window/level images. To manipulate the images select
the image in the preview window (the selection will be shown by the
green box surrounding the image).
The user can ip, rotate and invert by using the buttons on
the left hand side of the DICOM Printer dialog.
The user can zoom by using the right mouse button on the selected image.
To pan the image, use the left mouse button on the selected image.
NOTE:
The user can only pan the image when it is zoomed up.
To window/level the user can either use the middle scroll button on
the mouse or alternatively, type the required window/level into the
edit boxes on the left hand side of the Advanced DICOM Printer dialog
and then press the Update button to change the window/level for the
image.
The user can also press the 1:1 button to tell the Advanced DICOM Printer dialog to print images at
1:1 resolution.
The user can use the orientation button to change from landscape to portrait view.
Change margins
The margin tab permits the user to specify, in English or metric units,
the size of the borders on the printed image. The top and bottom
borders on the page can be adjusted independently of the borders to
the left and the right hand side of the page.
• Text position (includes top left, top center, top right, bottom left,
bottom center, bottom right),
• Print the title for the eld (i.e. the title Date: would
be printed in front of the date eld).
Print preview
When the user has nished dragging and dropping the desired images onto the preview window and
manipulating size, position and window/level (if necessary), press the Print button in the bottom left
hand corner of the DICOM Printer dialog. Please ensure all the printer settings are correct rst.
To move between pages and move to rst and last pages, click on the
arrow buttons.
2. Check target information for both applications (Advanced DICOM Print and DICOM Application
Printer Server). Select Advanced DICOM Print and click on Con gure DICOM button. The
DICOM Con guration dialog will appear. The target details for this application are usually:
AET: ADV_PRINT DICOM, PORT: 4008, IP: 127.0.0.1, Click on Select to see full details of this
target. If Advanced DICOM Print has not been entered as an item in the targets list, please
add it with the above details. Then select this new target and click OK. Click OK on the DICOM
Con guration to save settings. Close QPC XSCAN32 and reopen Select DICOM Application
Printer Server and click on Settings button. The DICOM Con guration dialog will appear. The
target details for this application are usually: AET: PRINT DICOM, PORT: 3008, IP: 127.0.0.1,
Click on Select to see full details of this target. If DICOM Application Printer Server has not
been entered as an item in the targets list, please add it with the above details. Then select
this new target and click OK. Close QPC XSCAN32 and reopen. Go to Advanced DICOM Print
and Test Printer (assuming that the user has the DICOM_PRINT target selected as the default
printer to print). To set the default printer, select the Printer tab in ADVANCED DICOM PRINT
and select DICOM_PRINT button. Try printing. If fails, recheck that multiple instances are not
open in task manager.
3. Make sure no options are selected that should not be selected. If the printer does not support
border properties, then unselect. If the printer does not support background properties, then
unselect. If the printer does not support 12-bit images, then unselect. Try printing. If fails
recheck that multiple instances are not open in task manager.
4. Make sure correct print options are selected. If printing to a windows printer, the user cannot
have BLUE_FILM selected (unless it has BLUE_FILM). You need to select PAPER. The default
for a regular windows printer for paper size is 8x12 inches. Try other options if this fails. If the
user has the wrong paper size selected, it will bring up a failed message in DICOM Application
Printer Server and the message log will say incorrect paper size.
• AET SF_DICOM
• Port: 4009
Options
The Store and Forward Utility defaults to receiving compressed images and forwarding them on
decompressed. If you want to receive compressed images and send them on compressed to the
PACS system, then unselect the option Receive compressed image, forward uncompressed.
NOTE:
The Store and Forward Utility may report the status as complete but the PACS system may still
reject the image. If the image has an incorrect DICOM tag or it is a duplicate study, series or image
UID. Always con rm that the PACS system has received the image before deleting images from the
capture station.
The 3600 produces a hospital quality image from a medical grade storage-phosphor image plate.
The optical assembly provides a ying spot laser with a focal spot size of 50 microns. The laser
scans across the plate and data is captured at a given rate. Each sample is reassembled to create
an image. The capture sampling rate can be modi ed to create images with resolutions from 100
microns (250 DPI) to 200 microns (120 DPI). The unit can scan images up to 35 cm x 48 cm. The
laser spot focused to 50 microns is moved back and forth across an imaging plate as the plate is
moved through the digitizer. The resultant Digital X-ray can be viewed, manipulated and stored and
even printed to a lm or paper image. The images are stored and manipulated using the standard
medical image format (DCM) and the medical imaging transfer protocol, DICOM 3.0.
The round laser spot is focused through a collimation lens to produce a round output beam.
The beam is de ected by a galvanometer scanner to produce the scan across the plate. The folding
mirrors bend the beam and the focused laser spot travels vertically down the plate as it moves
horizontally across the scan head.
In order to reach the plate, the beam passes through an integrating collection cylinder. As it
hits the surface of the plate, the red light from the focused laser stimulates blue emission from
the image plate in direct proportion to the X-ray energy stored in the image plate as a result of
the exposure. This blue light is collected by the integrating cylinder. The red light is blocked from
reaching the photomultiplier tubes by blue glass lters.
The collected blue light is detected by photomultiplier tubes, which convert the photons into
a signal.
This signal is then logarithmically ampli ed, corrected for spatial variations in the system sen-
sitivity across the width of the screen, and then digitized by an A/D converter.
The galvo motor shaft oscillates back and forth through an arc of approximately 30 degrees
at a rate of 90Hz. A small mirror attached to the shaft intercepts the static laser beam and sweeps
(scans) it across the width of the image plate.
7.2.10 Calibration
Gain Adjustment
Gain Control is used to compensate for reduction in sensitivity of the PMT detectors due to age. The
gain can be adjusted in the software.
2. Create/open patient
3. Click on Scan (if it is a patient with no images the scan dialog will automatically appear).
5. Click on the Settings button and type in the password `earl'. It is case sensitive.
6. A dialog box will appear where the user can manually change the gain.
8.1 Optics
This procedure contains complete eld optical alignment instructions for the iCRLaser light will be
on. Please follow all warnings and cautions listed in the Introduction, Installation and Maintenance
sections of this manual. Changing any module in the optical path will require a realignment of the
optical system. All optics surfaces are extremely sensitive to any abrasion and should be cleaned
using an optical grade cloth (not a lint cleaning cloth).
Optical Adjustments:
NOTE:
The following alignment procedures are not required unless a component used in the procedure has
been replaced. Alignment should not be attempted unless the service engineer has been factory
trained.
1. Laser Light
2. Folding Mirrors (Long and short mirrors inside back scan head)
NOTE:
Allow the CR to warm up for at least ve minutes prior to making any adjustments.
CAUTION:
When making these adjustments, be aware that the Photomultiplier tube is EXTREMELY sensitive
to light. When you remove the cover, use a photographic dark cloth to prevent ambient light from
damaging the tube or effecting your gain adjustment.
PMT Output Voltage Adjustment
1. Disconnect the High Voltage connector.
3. Create/open patient
4. Click on Scan (if it is a patient with no images the scan dialog will automatically appear).
9. Adjust the offset potentiometer R420 on the PMT Board so that the line in the focus dialog is
located close to 0.
Block Diagram
System Maintenance is classi ed in four categories: Daily Maintenance, Routine Maintenance, Peri-
odic Cleaning, and Periodic Gain Check. Daily Maintenance and Routine Maintenance are normally
performed by the system operator. Periodic Cleaning and Periodic Gain Check are performed by a
trained service engineer.
DANGER:
CAUTION:
BE SURE TO USE PROPER ESD PRACTICE WHEN TOUCHING ELECTRICAL COMPONENTS IN THE iCR
WITH THE COVERS OFF.
CAUTION:
DO NOT CLEAN THE GALVO MIRROR. DUST AND FIBERS IN THE LASER BEAM PATH MAY AFFECT
THE RADIOGRAPHIC IMAGE.
CAUTION:
DO NOT CLEAN THE GALVO MIRROR. DUST AND FIBER IN THE LASER BEAM PATH MAY AFFECT THE
RADIOGRAPHIC IMAGE.
WARNING:
IT IS IMPORTANT THAT THE COVERS REMAIN ON THE SYSTEM AT ALL TIMES. THE COVERS SHOULD
ONLY BE REMOVED FOR SERVICE, AND THEN IMMEDIATELY REPLACED. THIS WILL MINIMIZE DUST
ENTRY.
1. The main objective is to remove particles that may cause vertical lines in images.
4. Remove the fan lter and clean with warm soapy water.
7. Clean the laser entry slot of the light collection chamber with lens tissue and a compressed
gas duster.
8. Remove any lint that may be adhering to the laser output slot. Use lens tissue and a
compressed gas duster.
9. Digitize an image and check for vertical lines. If lines remain, look for lint and particles
corresponding to the position of the remaining lines. A ashlight can be used to illuminate lint
particles.
3. Reach in and clean the long mirror and short mirrors through the access panels.
4. Some type of lens/glass cleaner or lens wipes to clean the mirrors may be used. (Clean the
side that is closest to the inside of the CR.)
5. Apply the cleaner on the soft/lint free tissue directly. Do not put cleaner directly on the mirrors.
Clean the mirrors in a circular motion and do not apply a lot of force. Use a ashlight to make
sure that there are no dust particles or smearing residue on mirrors.
If a system failure occurs, it is necessary to diagnose the cause before affecting the repair. This
section describes the diagnostic tools and techniques used to isolate various types of system failures.
10.1 Troubleshooting
The cause of some failures may be obvious. In these cases, the Service Engineer may proceed
directly to the repair. Before beginning an investigation, it is a good practice to record as much
information about the current state of the system as possible. This information may include, but is
not limited to, symptoms, conditions under which symptoms exist, voltages, settings, cleanliness,
and visual state. Normal generic troubleshooting techniques apply. With knowledge of the system,
isolate the failure to a particular subsystem. With knowledge of the subsystem, trace the symptom
back to its cause. In many cases, failures are caused by lack of periodic maintenance and cleaning.
If a system is known to be behind schedule for its maintenance and cleaning at the time of the
failure, it is a good practice to clean and recalibrate the system before extensive troubleshooting. In
many cases this solves the problem or provides clues as to the cause.
Vertical lines in the images are caused by something in the scan path. In this case, it may be
stopping the laser from reaching the plate. There are two mirrors that the laser must re ect from.
Then the laser passes through the capture head and hits the CR plate/cassette assembly.
3. Put masking tape over the laser slot on the face of the scan head.
NOTE:
DO NOT SWITCH THE UNIT ON.
6. Drive the motor shaft until the slide is away from the home position.
7. Unplug the eraser light connection located in the power distribution board. (White connector)
DANGER:
DO NOT LOOK DIRECTLY AT THE LASER.
9. Note any particulates that may obstruct the laser line in the optical cavity.
10. Check that the laser is not hitting the back of the cylinder.
11. Check to see that all mirrors (excluding the galvo mirror) are clean. (Refer to Chapter 9)
12. Check the center of the scan slot where the tape was applied.
(A clear red line should form across the tape. Poor image quality will result if the beam is
interrupted.)
13. Check to see if the beam is in the center of the scan slot.
14. Check to see that the laser beam completely crosses over the trigger sensor.
17. Check to see that there are no hairs or particulates are across the scan slot.
Lines that appear on a CR image are caused by several different sources. It can be quite dif-
cult to separate these causes and nd the cure. Because light can interact with the scanning laser
capture system, it is important to remove the possible causes of lines in a systematic manner to
nd the solution. Lines that are parallel to the 14 inch direction are caused by light or mechanical
components. Lines that are parallel to the 17 inch direction are caused by dirt or particulates in the
laser path.
Solution
Change the grid to a 178 lines per inch grid, or rotate the cassette under the grid so that the grid
lines are perpendicular to the fast scan (14 inch) direction.
Take a table top test image (without a grid) to check to see if the lines are not present.
Solution:
Lines caused by light can be controlled in several ways. As an experiment, turn off all the lights in
the room, or cover the machine with a black cloth. Scan a test image and check to see if the lines
are still apparent.
If the lines disappear the problem can be identi ed in the eraser cover. Check for light leaks
by scanning a plate and looking for signs of red light leaking from the eraser cover.
Reduce the light levels in the scan room or repair the eraser cover. (A strip of black plastic
can be inserted into the cover at the gap to ensure that the delity of the cover.
Solution:
Expose a test image at a standard exposure and not the presence of lines. Reduce the exposure to
see if the lines are no longer present.
It is possible to drive noise into the system with a bad network cable. This noise is more likely to be
wavy lines.
Solution:
Check to be sure tha the UPS is connected properly. Unplug the internet connection and scan to
check for lines.
To determine if the laser is functioning, remove the main enclose, turn the laser on and visu-
ally determine if the laser is functioning. Ensure that the interior of the scanner is not exposed to
ambient light, as this will damage the Photo-Multiplier Tubes (PMT).
No Galvanometer Movement
If there is no Galvo movement, troubleshooting should start with checking the -15/+15 V circuits on
the power distribution board by pressing down the two test buttons on the board. If one or both
yellow lights are not lighting up it means that one or both fuses have blown and that the driving
power is interrupted. Proceed by checking all connection wires that concern the Galvo and Galvo
controller. Another source of this problem could be the Sequence Controller.
NOTE:
The SCL Setup Utility is case sensitive.
7. The Previous Command and Responses window should re-
turn with PM=2. (If it does not, make a note of what was
returned.)
8. Type in PM1 under the Command interface and press enter.
9. Type in PM under Command and press enter.
10. The Previous Command and Responses windows should
return with PM=1. (If it does not, make a note of what was
returned.)
11. Type in PM2 under the Command interface then press enter.
12. Type in PM under the Command interface then press enter.
13. The Previous Command and Responses windows should
return withi PM=2. (If it does not, make a note of what was
returned.)
NOTE:
Always leave the motor controller initiallized in PM2 mode.
It will not work otherwise.
14. Close the SCL Setup Utility if a PM=2 response was received.
(If PM=2 was not received contact your service and support
representative or iCRco technical support.)