Technical Publication: Direction 5416905-1en Revision 1 Brightspeed Series Application Tips and Work-Arounds

GE Healthcare
Technical
Publication
Direction 5416905-1EN
GE Medical Systems does business as GE Healthcare
Revision 1
BrightSpeed Series Application Tips and
Work-Arounds
This Manual Supports the Following Product Names:
BrightSpeed Elite
BrightSpeed Elite Select
BrightSpeed Excel Select
BrightSpeed Edge Select
© 2011 by General Electric Company, All rights reserved.

Page Intentionally Left Blank
Direction 5416905-1EN Rev.1 BrightSpeed Series Application Tips and Work-Arounds
DAMAGE IN TRANSPORTATION
All packages should be closely examined at time of delivery. If damage is apparent write “Damage In
Shipment” on ALL copies of the freight or express bill BEFORE delivery is accepted or “signed for” by a GE
representative or hospital receiving agent. Whether noted or concealed, damage MUST be reported to the
carrier immediately upon discovery, or in any event, within 14 days after receipt, and the contents and
containers held for inspection by the carrier. A transportation company will not pay a claim for damage if an
inspection is not requested within this 14 day period.
Call Traffic and Transportation, Milwaukee, WI (262) 785 5052 or 8*323 5052 immediately after damage is
found. At this time be ready to supply name of carrier, delivery date, consignee name, freight or express bill
number, item damaged and extent of damage. Complete instructions regarding claim procedure are found in
Section S of the Policy And Procedures Bulletins. 14 July 1993.
CERTIFIED ELECTRICAL CONTRACTOR STATEMENT
All electrical Installations that are preliminary to positioning of the equipment at the site prepared for the
equipment shall be performed by licensed electrical contractors. In addition, electrical feeds into the Power
Distribution Unit shall be performed by licensed electrical contractors. Other connections between pieces of
electrical equipment, calibrations and testing shall be performed by qualified GE Healthcare Technologies
personnel. The products involved (and the accompanying electrical installations) are highly sophisticated, and
special engineering competence is required. In performing all electrical work on these products, GE will use its
own specially trained field engineers. All of GE’s electrical work on these products will comply with the
requirements of the applicable electrical codes.
The purchaser of GE equipment shall only utilize qualified personnel (i.e., GE’s field engineers, personnel of
third-party service companies with equivalent training, or licensed electricians) to perform electrical servicing
on the equipment.
IMPORTANT...X-RAY PROTECTION
X-ray equipment if not properly used may cause injury. Accordingly, the instructions herein contained should
be thoroughly read and understood by everyone who will use the equipment before you attempt to place this
equipment in operation. The General Electric Company, Healthcare Technologies, will be glad to assist and
cooperate in placing this equipment in use.
Although this apparatus incorporates a high degree of protection against x-radiation other than the useful
beam, no practical design of equipment can provide complete protection. Nor can any practical design compel
the operator to take adequate precautions to prevent the possibility of any persons carelessly exposing
themselves or others to radiation.
It is important that anyone having anything to do with x-radiation be properly trained and fully acquainted
with the recommendations of the National Council on Radiation Protection and Measurements as published in
NCRP Reports available from NCRP Publications, 7910 Woodmont Avenue, Room 1016, Bethesda, Maryland
20814, and of the International Commission on Radiation Protection, and take adequate steps to protect
against injury.
The equipment is sold with the understanding that the General Electric Company, Healthcare Technologies, its
agents, and representatives have no responsibility for injury or damage, which may result from improper use
of the equipment. Various protective materials and devices are available. It is urged that such materials or
devices be used.
OMISSIONS & ERRORS
Customers, please contact your GE Sales or Service representatives. GE personnel, please use the GEMS CQA
Process to report all omissions, errors, and defects in this publication.
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4
LEGAL NOTES
COPYRIGHTS
All Material Copyrighted(c) 2001-2011 by the General Electric Company, All rights reserved.
REVISON HISTORY
Revision Date Reason for change

1 03/10/2011 BrightSpeed Series – 09BW35.X
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TABLE OF CONTENTS
Legal Notes.............................................................................................................................................................5
Table of Contents ....................................................................................................................................................7
Precautions BrightSpeed Series – 09bW35.11 Release..............................................................................................9
ALL SYSTEMS ..................................................................................................................................................9
SCAN ..........................................................................................................................................................10
GATED SCANNING ..........................................................................................................................................13
IQ SNAP ......................................................................................................................................................13
DOSE REPORT ...............................................................................................................................................13
DICOM STRUCTURED DOSE REPORT ...................................................................................................................14
SMARTVIEW – OPTION................................................................................................................................14
SMARTSTEP - OPTION....................................................................................................................................15
D3D...........................................................................................................................................................15
DMPR ........................................................................................................................................................16
EXAM SPLIT - OPTION....................................................................................................................................17
CD/DVD - INTERCHANGE ................................................................................................................................18
MEDIA TOWER ( FOR SYSTEM WITH NO DVD-RAM DRIVE ) .....................................................................................19
DATA EXPORT ................................................................................................................................................19
EDIT PATIENT DATA ....................................................................................................................................19
ECG TRACE - OPTION ...................................................................................................................................20
NEURO 3D FILTER - OPTION ...........................................................................................................................20
PATIENT SCHEDULE .........................................................................................................................................21
PERFORMED PROCEDURE STEP (PART OF CONNECT PRO) - OPTION ............................................................................21
PROTOCOL MANAGEMENT .................................................................................................................................21
RECONSTRUCTION ..........................................................................................................................................22
RECON MANAGEMENT .....................................................................................................................................23
IMAGE WORKS...............................................................................................................................................23
EXAM RX DISPLAY ..........................................................................................................................................24
ADD SUBTRACT ..............................................................................................................................................25
BONE MINERAL DENSITY - OPTION....................................................................................................................25
VOLUME VIEWER - OPTION .............................................................................................................................25
ADVANTAGE CT COLONOGRAPHY (PRO) - OPTION .................................................................................................28
ADVANCED VESSEL ANALYSIS XPRESS - OPTION....................................................................................................28
AUTOBONE - OPTION ....................................................................................................................................28
PERFUSION 4 - OPTION..................................................................................................................................29
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DENTASCAN - OPTION...................................................................................................................................29
REFORMAT ...................................................................................................................................................29
ARCHIVE - OPTION.......................................................................................................................................30
ADVANCED LUNG ANALYSIS.......................................................................................................................31
NETWORK ....................................................................................................................................................32
FILMING .......................................................................................................................................................32
AW DIRECT CONNECT .....................................................................................................................................33
IMAGE MANAGEMENT ......................................................................................................................................33
LEARNING SOLUTIONS .....................................................................................................................................34
ADAPTIVE STATISTICAL ITERATIVE RECONSTRUCTION (ASIR).........................................................................34
LANGUAGE TRANSLATION ISSUES - 09BW35.11 RELEASE........................................................................................35
8
PRECAUTIONS BRIGHTSPEED SERIES – 09BW35.11 RELEASE

The precautions listed in this section contain information and tips that may be useful for certain situations
encountered while using of the BrightSpeed Series systems.
ALL SYSTEMS
 Make sure there is no tilt on the grantry prior to starting Fast Calibration or any system calibration
process. Use the Prescribed Tilt button to return the gantry to Home if the system indicated that there
is a tilt on the gantry. X-ray ON is initiated by the calibration processes immediately after the gantry
returns to Home position. Do not enter the scan room after initiating any Scan or Calibration process
unless these processes are paused or stopped.
 In the event the system shuts down by itself and the “System Halted” message appears on the screen, turn
power off to the OC and wait 30 seconds and then turn power on again. If the system fails to start up
successfully, contact service immediately.
 The Dynaplan screen may be blank after Confirm to scan is selected or after a desktop switch, indicating
the screen transition was not completed successfully. Switch desktops to refresh the screen or try opening
Retro Recon and closing it to force a screen refresh. The system is able to start scan with the Dynaplan
screen blank. Use the X-Ray On light on the keyboard and gantry display and the scan time counter on the
gantry controls to monitor the scans.
 Do not remove images while scanning. Always remove images when the system is idle. Removing images
while the system is acquiring and reconstructing data could cause the system to lock up and require a
reboot and/or force the system to go into data base recovery.
 If the system goes into data base recovery, it may take up to 8-10 hours to regenerate the database if there
are a large number of images on the system. Exams may loose their Archive notation after database
recovery is complete.
 If the Head Holder does not attach firmly to the cradle, contact your local service representative to apply
patches supplied in kit 2327335 (P9230JV).
 The Large Font may not be applied in Vewer and ExamRx.
 When CT table heights changed after landmark set, set landmark again.
 If it is not possible to move the table down, check to make sure there is nothing in the path of the table.
Check the message log to determine if a collision sensor is thought to be enabled preventing downward
movement. Try to move the table up and then down. It may be necessary to contact your local service
representative for further assistance.
 Saving images in Interchange (CD/DVD) while scanning may cause long interscan delays (ISD) to be missed.
Do not save images to CD-R or DVD-R while scanning. Additionally, saving to CD/DVD while running FastCal
can cause the Browser to become blank resulting in the system having to rebuild the database.
 CT Applications UIF may not be able to start up successfully if the last shutdown is in an abnormal manner,
please restart system.
 Neither 1.25mm retrospective reconstruction thickness nor 1.25mm prospective reconstruction is available
in 2Χ0.625mm configuration regardless of its show on the UIF.
 The image browser only shows the first Series Description entered in Retro Recon. If you wish to display the
Series Description from subsequent Retro Recon requests. Select Image Works, Select the range of images
that corresponds to the subsequent Series description in the browser, Select Viewer, Select Series Text
page. You may now screen save the text page to document the Series description.
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All Systems continued
 Switching desktops may be slow or display stacking when Volume Viewer or one of the applications on the
Operator Console is active.
 The CD/DVD drive or MOD drive may fail to initialize properly after reconfiguration is run. Power cycle the
SCSI drive tower and then perform a system restart to restore functionality.
 When launching a program such as the service desktop, wait till the service desk screen is displayed before
switching desktops. Switching desktops before the UI is displayed may cause the screen to be displayed on
that desktop.
 If the system is shutdown and power is turned off to the console, all the LED lights on the gantry display
may illuminate and flash with the 888.88 in the displays for horizontal table location, vertical height
indicator and gantry tilt.
 If your system is installed with Multiple IG’s. If one of the Image Generators does not start or is found to not
be functioning properly at system start up a pop dialog will be posted indicating that one or more of the IG’s
is not functional. The system can function with one or 2 IG’s, but recon times will be slower. Contact Service.
 Auto mA will calculate a higher mA value from Scouts acquired at 180 degree azimuth compared to 0
degree azimuth when the object is not centered in the scan field of view. It is recommended to use 0 degree
azimuth when scanning with Auto mA.
 The clock on the system may gain time. Please contact your field engineer to reset the time or if your site
has a Network time server the system can be configured to synch time to the timer server when the system
is rebooted.
SCAN
 For BrightSpeed Elite, a scan may fail to resume with an error message unable to bring up Tube Rotor for
XXX seconds. The rotor can only be boosted every 90 seconds and the error will occur if the abort shuts off
the tube rotor within this 90 second window. Be patient and resume the scan after the time indicated.
 For BrightSpeed select series, a scan may fail to resume with an error message unable to bring up Tube
Rotor for XXX seconds. The rotor can only be boosted every 180 seconds and the error will occur if the abort
shuts off the tube rotor within this 180 second window. Be patient and resume the scan after the time
indicated.
 Caution: Copying images in Interchange (CD/DVD) while scanning may cause long interscan delays (ISD) to
be missed or may cause Auto Voice to fail to play. Do not copy or restore images using CD-R or DVD-R
while scanning. (FCTge51659, 47733, 45959)
 In Axial scan mode, the scan direction is not maintained when scanning inferior to superior when a group is
added. When adding a group for axial scan mode, be sure to verify that the scan direction is correct.
 If AutoVoice cannot be heard, check the settings on Image Works. Select AutoVoice Volume on the Image
Works desktop in the toolbar. Using the sliders set the value between 50-85%, select [Save] and then
[Default] to set the new saved value as the default.
 If multiple accession numbers are selected, the last accession number selected will be listed in the images
header. The accession number is stored in a different DICOM field (0040, 0275) when multiple records are
selected. Exam Split can be used to send images to the PACS with the associated accession number for a
particular procedure.
 If any of the Direct Vis applications under Auto App is enabled under the Recon tab, Add Group will display
some fields as insensitive as it will be combined with the current DMPR or Direct3D session. Turn DMPR or
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Scan continued
Direct3D off for the added group if you no longer want it to be included as part of the DMPR or Direct3D
session. This will allow changes to any of the acquisition parameters.
 The scannable range is dependent on the table height and landmark that has been set. The black line on
the cradle does not indicate the scannable range. This line is used by your service engineer to characterize
the cradle during install.
 Graphic RX may fail to start. No image will be shown for Show Localizer. Check to see if the scout images
are in the Browser. If the images are in the Browser, toggle Show Localizer on and off. Use the Restart
Show Loc button in the Tool Bar on Image Works desktop.
 If the localizer is not shown, use report cursor in ExamRx Display free viewport to determine the Start/End
locations and R/L and A/P centers for the acquisition. A reboot may be required to recover after the exam is
ended if Restart Show Loc fails to restart the graphic prescription mode or if the scout never reconstructs.
 Use the Stop Scan button to stop scan between multiple helical groups not the Stop Move button.
 The system may not tilt the gantry when pressing the remote tilt button. Release the button and press it
again to continue.
 Images prescribed using “One More” are not displayed in the AutoView viewport. They are added to the
AutoLink viewport or can be selected from the Browser.
 Blocked reference channels may cause image artifacts. Make sure that there are no blankets, clothing,
tubing, or straps hanging down below the table when scanning that could cause a blockage. Keep items
wrapped close to the table by using the patient restraint straps.
 There are several items that should be reviewed for every acquisition. Routinely check the following list of
items before confirming to scan: 1) the start/end locations for each recon; 2) direction of scan, 3) the mA
table for Auto or SmartmA for each scan you perform.
 Due to screen stacking issues, if Performed Procedure Step (PPS) is enabled, the dialog box to complete the
PPS state may be hidden. A system reboot will be required to recover.
 If a Scout is aborted, Dynaplan will display an additional line in the informational area for scout 2 but no
additional scans will be taken.
 Occasionally during a SmartPrep acquisition, the Dynaplan screen may show the Scan Phase series as
scanned after the transition from Monitor to Scan Phase. When the acquisition is complete, make sure to
review the data to ensure it is complete.
 In Biopsy Mode, entering a C in the tilt field does not copy the current tilt for the gantry. In Biopsy Mode, tilt
must be entered manually.
 If the scouts do not appear, check the recon queue. If the scouts are listed at the bottom of the queue list,
please wait for reconstructions to complete. Do not rescan the patient.
 If the series description for Recon 2 and Recon 3 are not filled in, they will remain blank when the images
are reconstructed.
 If the SmartPrep baseline scan fails to reconstruct or get added to the database, there is no message to
indicate the failure. If the image does not exist, return to ViewEdit screen and restart SmartPrep.
 The length of a recorded AutoVoice message may be shorter after it is recorded and saved then during the
recording of the message.
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Scan continued
 If you change the Landmark after scout has been taken, graphic Rx will not allow user to change A/P
centers on lateral scout. Since the landmark changed, a new scout should be done so Graphic prescription
can be used and a more accurate calculation of the mA requirements can be performed for AutomA or
SmartmA if enabled.
 If breath hold and breathe times are prescribed for Cine acquisitions, the coverage time will be displayed
incorrectly.
 The Optimize mA pop-up will be displayed on top of the ECG Trace. Therefore, make sure to close the
Optimize mA window once the mA has been set.
 If the language for AutoVoice is changed, the prep delay may not show the correct value. The RealTime
display however will show the correct time.
 The ROI’s may not be seen on the baseline image in SmartPrep. The graph, however, will continue to
update as expected. Watch the graph and transition from monitor to scan phase based on results seen
there.
 In series with 2 groups where there is a long delay between group 1 and 2, page up / page down may not
respond in the AutoLink viewport until images of the second group begin to be reconstructed and added
into the AutoLink viewport.
 If the space bar and the Alt key are depressed during SmartPrep baseline scan, Dynaplan disappears. Open
and close Retro Recon to redisplay the Dynaplan screen.
 If you encounter the message that you need to delete images to be able to scan the current series, first
remove images to create space for scanning, next if Scouts have not been taken, end the exam and start a
new exam. However, if scouts have been acquired use Select New Protocol and prescribe the series again.
 If a scan group contains 1 image and Recon 1 thickness is thicker than Recon 2 thickness. The thinner recon
2 data set may not be contiguous. This occurs due to the setting of the start location. If you have multiple
groups with 1 image set the start location of Recon 1 at a interval equal to the thinnest recon thickness
selected.
 The Scan Phase will fail to start scanning in SmartPrep if the Auto Scan button has been turned off. Prior to
confirming a scan with SmartPrep verify that Auto Scan is On.
 The Patient Schedule and Retro recon buttons may remain highlighted even when these functions are no
longer active.
 If a scan aborts, press resume as quickly as possible to resume the scan.
 Do not switch quickly between Retro Recon, New Patient and Patient Schedule. Screens may get in a state
where they are no longer visible.
 The minimum interval for 1i 1.25 mode is 5mm.
 The 1i 1.25 mm mode intended for high resolution lung imaging and 2i 0.625 mm mode intended for high
resolution bone imaging are a special higher resolution modes where normal imaging specifications like
noise, CT number accuracy and uniformity do not apply.
 You may see a scan abort due to a beam tracking error. Press [Resume] to continue. Please perform a Quick
Snap using Quick Snap from the Tool Chest in the Image Works Desktop prior to ending the Exam. It is best
to report the incident to Service.
 Incidences have been seen where the system fails to transition to the Scan Phase in Smart Prep. Press
[Scan Phase] or [Resume] to continue. . Please perform a Quick Snap using Quick Snap from the Tool Chest
in the Image Works Desktop prior to ending the Exam. It is best to report the incident to Service.
12
Scan continued
 Running the table in the short foot print configuration. The restriction in cradle range is not active when the
cradle is unlatched. Please take care when moving the cradle to not run into objects or walls.
 Dynaplan and the SmartPrep display screen may fail to update when scanning the Monitor phase. All
images will be generated.
GATED SCANNING
 The gating button may turn red when the patient experiences a big jump in heart rate such as when there
is a PVC. The system usually will recover and read the signal. Sometimes you may have to toggle the gating
button Off/On to get the heart rate signal synched up again. Care should be taken when starting the scan if
the patient continues to have PVC’s.
 The acquisition window for SmartScore acquisitions is shown improperly. The system is acquiring the data
correctly.
 Do not select Cine segment for ungated studies.
 Gating will be enabled if Cancel is selected in the Gating pop-up. Enable and disable gating using the On/Off
toggle in the pop-up and Accept to enable changes.
 The coverage time shown in the Thickness/Speed pop-up will not be correct if breathe hold and breathe
times have been prescribed in the protocol.
 The Cine time between images field may disappear in the Thickness pop up if column edit is used to launch
the thickness pop up before and after changing the scan type from Helical to Cine. To avoid this always use
row edit to launch and display the thickness pop up.
 AdvancedApplications post processing options may become unresponsive in the Image Works
desktop when desk top switching is used. To avoid this problem do not switch desktops while model
build is in progress or when manipulating the model in Advanced Applications.( FCTge51654)
IQ SNAP
 If you get a message at the end of IQ Snap that indicates it failed, contact service.
DOSE REPORT
 The window level for the Dose Report screen saved text page may need to be adjusted to make the
information visible when transferred to a PACS or workstation. The hanging protocols or file identification of
the Dose Report on the PACS may cause the screen save image not to be displayed with a
viewable/appropriate window/level.
 If a Dose Report is not generated at End of exam. Please perform a Quick Snap and contact GE as soon as
possible.
 The font on a filmed Dose Report text page may not be as bright as it appears on the monitor.
 The phantom size for dose calculation for SmartPrep Monitor scans is not shown. The same size phantom
used to calculate dose for the series is used for the SmartPrep images.
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Dose Report continued
 Auto Film of the Dose Report will be enabled even if Cancel is selected in the Auto Film Set Up window. To
avoid this select OK in the Auto Film Set Up window to turn On or Off for filming of the Dose Report.
 A Dose Report created on Linux system cannot be sent to an IRIX based system.
 The Dose Report secondary capture can not be exported. The jpeg has unreadable text. (FCTge51622,
51378)
DICOM STRUCTURED DOSE REPORT

 For more information refer to section 9.5 in the DICOM Conformance Statement.
 The DICOM Structured Dose Report can be configured to either a Radiation Dose SR SOP or an Enhanced SR
SOP.
 The DICOM Structured Dose Report cannot be save to DVD or CD on the Advantage Windows system.
 If the Dose SR report (Series 997) is loaded along with the Dose Report (Series 999) secondary capture, due
to the Dose SR report being invalid to export, you will not be able to reach the Dose Report to export it.
Make sure the Dose SR file is saved and/or networked to appropriate locations, delete it and then load the
exam in Data Export so the Dose Report secondary capture can be exported. (FCTge51663, 51379)
SMARTVIEW – OPTION
SCANNING
 Scanning may abort in SmartView. Release the foot pedal and press the foot pedal to continue.
 If the optimize window is up when scanning is confirmed for SmartView Multi Slice. The optimize button will
display on the SmartView Multi Slice dynaplan screen. The only way to remove it is to pause and return to
viewedit and turn off optimize.
 After releasing the foot pedal in SmartView the turn aorund time to make another exposure is
approximately 4 seconds.
 When building a SmartView protocol, if the Bump distance is changed to something other than ½ the slice
thickness, the new bump distance will not be saved correctly in the protocol.
DISPLAY
 The WW and WL can be adjusted to a value that is not clincally relevent. This may cause SmartView display
to hang ans acquistion to stop. Keep WW and WL values in a clinically relevent range to avoid this.
 The image in focus in any viewport will be loaded in the Real Time Display Free viewport when SmartView
Multi Slice is entered.
 The system may take a while to display the List Select screen in Real Time Display. Please be patient
 You may be able to roam a image outside of the Viewport in SmartView display.
 The Grid may turn back on after a SmartView exposure is made even if it has been turned off.
 It may be hard to get the angle of measure distance back to zero.
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SmartView – Option continued
 Measure distance may fail to maintain if the distance is at an angle. Verify that the measurement is at the
desired location and if it is not adjust the measurement to the correct location.
 User Annotation in Real Time Display has limitations
 The cursor does not default to the end of the line. Make sure the cursor is in the correct location
when editing the anntoation graphic
 The annotation box can only be moved by clicking and dragging on the red box
 The arrow cannot be removed
 Annotation Text is left justified. When typing the annotation the annotation may go outside of the
viewport
 The handles for the measure distance graphic may not be displayed if the image is zoomed. Either reset the
zoom to a Mag Factor to 1.0 or roam the image to see the handles.
 SmartView images may fail to remove. Perform a system Restart to remove the images.
 SmartView series of greater than 2000 images may fail to transfer to a remote host when Auto Transfer by
Exam is selected. Verify that the desired images are transferred.
SMARTVIEW MULTI SLICE RETRO RECON

 Retro Recon of 3i acquisitons will produce 2i images.
SMARTSTEP - OPTION
 If the cradle is unlatched using the interventional hand held controller and user steps on the foot peddle to
make an exposure, the message “Release the Foot Peddle” will be seen. Check the gantry display to see if
the cradle is unlatched. If it is, latch the cradle and exposures will be able to be performed.
 The foot exposure pedal is active as long as the system is prepped. Make sure not to step on the foot pedal
unless you are ready to make exposures.
 Make sure to review parameters for SmartStep when you transition into SmartStep from a current scan or
create a new series for SmartStep. Check patient orientation, rotation time and Recon Type. The Scan Type
will always be axial.
 If the gantry tilt is changed while the scanner is no longer in the ready condition, user may not be able to
prep until the gantry is returned to the prior tilt value.
 Transition from SmartStep to Biopsy mode will display message indicating AutomA has been disabled even
though AutomA was not enabled.
 If you want to enable the alignment lights during a SmartStep procedure, use the button on the Hand Held
Controller. If the Alignment Light button is selected on the gantry controls, the gantry will decelerate and
stop.
D3D
 The display fromat on ExamRx is kept as D3D format after Resize display on D3D. Click the AutoView layout
icon or the Review layout icon and choose a layout you desire to recover.
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D3D continued
 Save State for D3D does not display correctly in Volume Rendering. A 3D model will need to be rebuilt from
the original data.
DMPR
 Batch protocols will not work in DMPR if they are created on an Oblique image. To avoid this, create any
additional protocols for use in the Axial, Coronal, and /or Sagittal viewports only in reformat and/or volume
viewer.
 If the auto batch protocol is prescribed for an exam and the user quits out of DMPR, all auto batch protocols
will finish before images for the next patient’s DMPR session will be displayed in the DMPR display layout.
 If the user has prescribed auto batch protocols and quits DMPR before the auto edge detection start, the
reformatted images will not be completed.
 In order to page/scroll through images during DMPR reconstruction, the user should use the Oblique view
for paging. Once the reconstruction is complete, the image may change DFOV to accommodate all the
data in DMPR.
 The Direct Film composer may come forward during batch filming or may be displayed the first time DMPR
is used after a reboot. If this occurs, click on the minimize button to hide the film composer.
 If a scan is stopped before all the images for a DMPR session are acquired, it may not be possible to
activate the interactive mode because all the images are not yet available. User will have to quit the DMPR
session to return to 2D display and generate any reformatted image they may want in Reformat on Image
Works desktop.
 User can delete the image series that is currently active/loaded in DMPR. Do not delete exams when DMPR
has not been completed.
 Screen refresh issues may be seen when system transitions into building the DMPR model. Once the model
is built, the screen layout corrects itself.
 Image annotation may move randomly in the DMPR viewport if the image is zoomed after adding
annotation. Zoom the image first then add annotation to avoid this situation.
 DMPR protocols can be modified and renamed, however they cannot be deleted.
 If DMPR bottom is not dispalyed, please use Reformat on ImageWorks.
 If the DMPR icon is listed as “unavailable”, a system reboot will be need to clear the error. No other DMPR
sessions will be shown until the system is rebooted.
 DFOV for AutoBatch axial images defaults to the DFOV of the scan range instead of the DFOV in the
protocol.
 If a reformatted image is magnified, the 3D cursor may be displayed outside the viewport on a specific view.
Hold the shift key and click with the left mouse button on the image to make the 3D cursor appear on the
image. Images created in DMPR are orientated in an anatomical viewing orientation where the patient’s left
is on the viewer’s right, patient’s right is on the viewer’s left, anterior is at the top of the viewport and
posterior is at the bottom of the viewport. DMPR will automatically orient image reconstruction to this
convention. For example, for a patient orientation and entry of Head First Prone, images will automatically
be flipped to anatomical viewing orientation. Any Batch or Manual reformat images will be oriented in this
convention.
16
DMPR continued
 There is an image limit of 2000 images for DMPR sessions for 16 slice systems and 1200 images for 4
and 8 slice systems. If more than 2000 or 1200 images are prescribed, the scanner will not allow the
user to enable DMPR. The system will not allow more than 2000 or 1200 images to be prescribed
with DMPR On. If more than 2000 or 1200 images are needed, turn DMPR off and preprocess images
using Reformat instead of DMPR.
 The RAS limits may show greater than the scan range when the image DFOV is greater than the scan
coverage.
 If additional images are added to series where DMPR is turned on after the initial group of images is done,
these images will not be added to the DMPR session. The number of images expected in a DMPR session is
when the scan is confirmed and cannot be amended after the scan starts.
 Do not switch to the Image Works desktop until the first DMPR images have displayed. The DMPR Icon may
become hidden.
 The accession number is not displayed on DMPR images regardless of annotation level.
 DMPR will continue and make auto batch reformats even if there are missing images.
 If ROIs are moved outside of the Image Volume in DMPR, the shape and statistics reported of the ROI may
change. (FCTge51628, 50534)
 If the desktop is changed before the DMPR model has begun to build, screen-stacking issues may occur
which you may not be able to recover from. Wait untill the DMPR has begun building before switching
desktops (FCTge51665, 51357)
 DMPR images in the axial plane may be blurry or have stepped edges. This occurs to a mismatch of the FOV
of the image data set and the FOV the DMPR protocol was built with. Recommend to use Reformat in Image
Works to process the data (FCTge 47831) .
 For DMPR application, if the the scan is backward from the gantry to table side, the tilt localizer may
not match the sagittal images. If so, please do the MPR by reformat again, or make sure the scan
is toward the gantry before opening the DMPR application. (FCTge55432)
EXAM SPLIT - OPTION

 The accession number will not be in the image header for exams split when Exam Split is in the Virtual Exam
Split (VES) mode
 All images may fail to send if a series with 2000 or greater images is used in Exam Split.
 In VES, the lateral scout may not be displayed as normally expected.
 If you select Exam Split and the software is not functioning, verify that the option is installed.
 The WW and WL values are reversed when using the Preset WW and WL buttons in Exam Split. Manually
adjust the WW and WL with the mouse to get the desired value.
 Exam Split will hang and fail to load images if Series 999 (Dose Report secondary screen capture) is included
in the series selected for Exam Split. To avoid this do not select Series 999 for Exam Split and manually send
this series to the desired host. (FCTge51669, 51101)
17
CD/DVD - INTERCHANGE
 If a CD created using CD/DVD on the CT Console does not run, make sure the security settings in advanced
settings in Internet Explorer are set to allow active contents of the CD to run on the PC computer. The first
time that a CD using the Centricity DICOM Viewer Rev 2.1 CDROM is loaded onto a Windows PC, the user
account must have administrative privileges. Follow the steps in the table below to enable viewing of the
CD or DVD. Contact service for further assistance if the steps below do not restore functionality.
Symptom IE Version Workaround
CD Viewer does not auto- 6.0 and above 1) Go To 'Tools' Menu in IE
launch 2) Select Internet Options
3) Go to Advanced Tab
4) Scroll down to Security Settings
5) Turn on "Allow active content from CDs to
run on My Computer"
CD Viewer does not auto- 6.0 and above 1) Try option above. If it still does not work,
launch follow the steps below.
2) Click on Start->Run
3) Enter the command “e:\autorun.exe”, where
e: represents the CD or DVD Drive.
IE launches, but displays “This 6.0 and above 1) Go To 'Tools' Menu in IE
page requires scripting 2) Select Internet Options
support. Please obtain IE 5.0 or
higher or enable scripting” 3) Go to Advanced Tab
4) Scroll down to Security Settings
5) Turn on "Allow active content from CDs to
run on My Computer"
IE launches, but displays “This 6.0 and above 1) A message will be shown at the top of the
page requires scripting browser - “To help protect your security,
support. Please obtain IE 5.0 or Internet Explorer has restricted this file from
higher or enable scripting” showing active content tat could access
your computer. Click here for options.”
2) Click on this message and then click on
“Allow Blocked Content”. See Figure 1 below
for a snapshot of the browser.
3) Click on Yes on the subsequent popup
asking for confirmation.
Popup is displayed “Active 6.0 and above Click on OK.
content can harm your
computer or disclose personal
information. Are you sure you
want to allow CDs to run active
content on your computer?”
 CD/DVD uses Internet Explorer not Netscape.
 The main menu for CD/DVD may appear on top of the Save/Restore screen, just click on the Save/Restore
screen to bring it forward or switch desktops if both screens are hidden.
18
CD/DVD – Interchange continued

 The CD/DVD drive or MOD drive may fail to initialize properly after reconfiguration is run. Power cycle the
SCSI drive tower and then perform a system restart to restore functionality.
 Occasionally, data selected for save to CD or DVD-R may not be able to be removed until a system reboot is
performed.
MEDIA TOWER ( FOR SYSTEM WITH NO DVD-RAM DRIVE )

The operator console provides DVD-RW drive on the media tower. DVD-RW drive supports the following.
 The CD/DVD option (Interchange) in the Browser on the ImageWorks desktop uses the DVD-R drive to write
to CD-R or DVD-R, and can restore data from CD-R and DVD-R.
 The Data Export option in the Browser on the ImageWorks desktop can only save information to CD-R.
 Use to save ECG traces, Export Protocols.
 Use to save scan files, protocols and service files to DVD-RAM media without the cartridge.
 Use to access the electronic copies of the operator documentation.
DATA EXPORT
 AVI files exported will have 2 sets of image annotation on top of each other on the images.
 Patient name may be truncated near the end of the string when anonymzing the data.
 When using ftp to send images, patient anonymization does not work. Must use CD-Rom to save
anonymized data.
 When sending patient report twice, using the ftp option, the second report will be sent to Homedir instead
of reportDir.
 Reports will fail to transfer in FTP if report name contains numbers.
 Make sure the media in the DVD drive is not actively saving or restoring a Save State before you select
Create CD. If there is an active save or restore of a System State in progress, the information on the DVD
could be corrupted.
 Scout images acquired with an Azimuth of 180 or 270 will be displayed flipped and rotated in Data Export.
If you wish to export scout images that are not flipped and rotated, acquire them using a 0 or 90 Azimuth.
 Exported color images may not have the same color as the original screen save image.
 Only use CD –R media for saving reports. If DVD –R media is used it can take over 5 minutes to save the
report.
EDIT PATIENT DATA

 When editing patient data, if there are save states in the exam, Edit Patient Data leaves behind a screen
save image of the Save Sate format with original information. Review files and remove as needed.
(FCTge51641, 51348)
19
ECG TRACE - OPTION

 The ECG trace on the console should not be used as a diagnostic tool (i.e. there may be a flat line, however,
it could be due to Ethernet becoming disconnected, etc).
 The ECG trace may appear on the screen after a reboot if the ECG monitor is on during a reboot.
 If the ECG Trace is not displayed on the monitor of the operator Console, check to see that the IVY monitor is
set to Ethernet mode and the Ethernet cable is connected to the gantry. If the mode was changed from
Data to Ethernet, cycle power to the IVY monitor to enable Ethernet mode.
 The ECG Trace may not be saved on the OC during periods when the system is heavily loaded.
 Occasionally, the ECG Trace does not close at End Exam. Select New Patient and then End Exam to correct
this issue.
 The acquisition area (white line) displayed on the waveform in ECG Trace represents the gated image
location prescribed in the gating window and does not represent X-ray On location.
 For high heart rates (116-120) where the heart period is very short, the temporal window for the acquisition
may fill a significant portion of the cardiac cycle causing, the ECG Trace to appear primarily in the white
color indicating position of the acquisition window.
 The acquisition window is shown to overlay the R-peak for SmartScore acquisition is incorrect. The scanner,
however, is acquiring the data is correctly.
 If the ECG monitor is not connected and a protocol with gating on is selected; after turning off gating from
the View Edit screen and transitioning to Dynaplan screen, the ECG Viewer button will appear highlighted
even though gating is not enabled. To regain gating, click the gating button and turn gating On and then
accept.
 The ECG Trace may disappear when moving to next series or selecting another protocol. Toggle the gating
button to reestablish the ECG Trace. (FCTge51626,51442)
 The ECG Viewer/Editor may get hidden when switching desk tops from Image Works to ExamRx. Try
clicking on ECG Viewer to redisplay the Viewer/Editor window ro switching desktops again. You may need
to exit RetroRecon and reselect the series again to bring the ECG Viewer /Editor back (FCTge51661, 47719)
NEURO 3D FILTER - OPTION

 Neuro3D Filter is to be used with neurological studies such as Circle of Willis, Carotids, Head, Orbits, and
Sinuses. The maximum number of images that should be put into Neuro3D Filter is 500 images.
 You cannot access any of the Image Works options while Neuro 3D Filter is in progress.
 If Neuro 3D Filter (Image Filter) fails to launch, a reboot will be required in order to recover.
 Some system operation may become slow while Neuro 3D Filter is running, such as ExamSplit.
 If there are duplicate slice locations or scans with zero interval in a series, it will not be possible to apply
Neuro 3D Filter to these image.
 If multiple sessions of Neuro 3D Filter are in the queue, system may get slow due to high CPU use by Neuro
3D Filter. System will recover by waiting till Neuro 3D Filter sessions are done, otherwise reboot as needed.
 Do not switch desktops while the Neuro 3D Filter tool is initializing. An error will be posted that the images
selected are invalid. Wait till the images are loaded.
20
Neuro 3D Filter – Option continued
 Multi group tilted axial scan may not be able to be processed retrospectively due to image spacing
differences between the groups.
• When using Neuro 3D Filter from the Image Works desktop, you need to close the Neuro 3D Filter window if
you want to filter a different set of images. (FCTge51672, 51374)
PATIENT SCHEDULE
 The Patient Schedule button may not display the Work List from the HIS/RIS server if the network is slow.
Try again to update the Work List.
 If the Patient Schedule updates the first time after a system reboot and then fails to update for further
queries, contact you IT administrator to make sure there are no internal network issues. If there are no
internal network issues, contact your local service representative.
 Requested Procedure ID need to be entered in Patient Schedule.
 More than the allowed limit of characters can be entered for Patient ID, Patient Name, Referring Physician,
Exam Description in Add Patient.
PERFORMED PROCEDURE STEP (PART OF CONNECT PRO) - OPTION

 Complete PPS status for series in the order the series was created. PPS update will fail if done out of order.
 The PPS server may stop and fail to send the request. You may have to select Complete multiple times to
get the series to update to the complete the state.
 Add/Sub does not update images for PPS correctly at this time.
 Dose Text Page images do not update images for PPS correctly at this time.
 Dose Report images do not update PPS correctly at this time. The Complete status will must be done
manually.
PROTOCOL MANAGEMENT
 The Dose information in protocols used from Most Recent does not reflect the dose actually used for the
protocol. If the protocol contains manual mA, retype the mA value to update the dose display. If Auto mA is
used, the dose will not be reflected correctly in Protocol Management, however it will be updated at scan
time for the current patient being scanned and based off a valid scout image. Refer to the Dose Report
screen save for the patient for dose information for that exam.
 If a landmark is set while Protocol Management is open. When the next exam is started, user may see
notification that the landmark has changed even though no change has been made.
 Protocol Management is slow to access the first time after a system reboot.
 The bump distance will not be saved correctly in SmartStep or SmartView series if the value is something
other than ½ the slice thickness.
21
Protocol Management continued

 If the weight of a child is at the cross over point of a weight category, due to rounding errors, the correct
weight category might not be selected. Please confirm the weight-based category selected against the
label and the patient’s weight to ensure correct protocol is selected.
 Tab key should not be used when building protocols. If Tab key and Cancel are selected while building
protocols, the protocol below the one being built could be deleted.
 AutoVoice Record and Stop will be unavailable if the AutoVoice language is changed while playing a
prerecorded Auto Voice. A system Restart will be required to recover from this issue.
 If cancel is selected while entering a new protocol, the protocol name may remain.
RECONSTRUCTION
 Retro Recon may not be able to get the exact same image locations as prospective recon. This is due to
rounding of the values for the start and end locations. To avoid these mismatches, prescribe start and end
locations using even numbers. In some cases retro recon may show a end location greater than the
prospective recon, adjust the end location to be equal to the prospective end location.
 Images reconstructed from Recon 2 that are thinner than the Recon 1 slice thickness may be
reconned with interval equal to the Recon 1 slice thickness. The will occur if the scan groups contain 1
image or if the scans were taken with One More Scan. This may create a non-contiguous data set that
if used in Reformat or Volume Viewer may result in less than optimal image quality. To avoid this the
start location of Recon 1 recon 2 or Recon 3 must be an interval of the thinnest recon thickness from
the previous group.
 Anatomy scanned off center from ISO center such as extremities, may have loss of resolution when data is
acquired helically. Always make sure to center to anatomy of interest as close to ISO center as possible.
 Recon may suspend if the system has a failure when reading the offset vectors. Resume recon to force
completion of the reconstruction of the images. Notify service if the images fail to recon after the resume.
 For 16-slice acquisitions Full recon mode has been disabled for scans with Head or Ped Head SFOV and
slice thickness of 0.625 or 1.25mm, except Full recon mode with IQ Enhance 0.562:1 or 0.938:1 pitch.
 If Recon pauses and fails to reconstruct data, in Recon Management, pause and resume the recon queue.
If Recon does not restart, a reboot will be required. Make sure to perform a Quick Snap and notify service
before rebooting the system.
 The images created in Retro Recon may be different from those of the prospective scan if a scan abort
occurred during the acquisition.
 There is no error message given if Full mode is selected for a cine segment acquisition. A full mode
reconstruction cannot be done because there is not enough data.
 When performing column edit for slice thickness changes on a series with multiple groups, depending on
the detector coverage selected for the groups, software may indicate that some slice thicknesses maybe
invalid even though they are already set to the minimum slice thickness possible.
 If Images did not appear to reconstruct and there were no images in the queue for reconstruction, check
for suspended images. If no suspended images, perform a QuickSnap first and then reboot the system and
see if images are available. If the images are still not available, contact service. New Series will be turned
off if you go to Patient Schedule or New Patient and return to Retro Recon.
22
Reconstruction continued
 If you want to remove entries from the Retro Recon queue, first pause the Recon and then select and delete
the desired entries. If one of the entries is in process, it may not delete. Restart the queue and then try to
delete it.
 Graphic Retro is not available after Edit Patient or Anonymous were done.
 Non contiguous groups may be created when add group and Recon 2 or 3 is on. Prior to confirming the
scan double check that the interval between the end location of group 1 and the start location of Group 2
for Recon 2 and 3 is equal to the slice thickness selected.( FCTge47994)
RECON MANAGEMENT
 Scan File Save will not finish even though the Saved File message has been posted. The problem is due to
the time takes to it unmount the DVD. You may have to wait 5 - 7 minutes or longer for the DVD to
unmount. Please note: the save is complete when the light on the DVD drive has turned green. Then, the
DVD is unmounted.
 Due to size of scan data files, only one helical scan data file can be saved on each side of a DVD-Ram.
 Only one helical scan file can be saved to each side of a DVD. If more scan files are selected for save to DVD
than fit on the DVD, an error may occur that prevents the system from rebooting fully up the next time the
system is restarted.
 If Recon pauses and fails to reconstruct data, in Recon Management, pause and resume the recon queue.
If Recon does not restart, a reboot will be required. Make sure to perform a Quick Snap and notify service
before rebooting the system. (FCTge51657)
IMAGE WORKS
 Occasionally, it may not be possible to remove some images even though they are not locked for archive,
network, DMPR, Direct3D, AutoFilm, or displayed in a viewport. These files will be unlocked after the next
system reboot. Make sure the images are not in the archive or network queue, check the AutoFilm viewport
to make sure there are no images waiting to be filmed, use the command blank to remove an image from a
viewport.
 Anonymous Patient does not check to see if there is an enough disk space to create an anonymous exam.
Make sure there is plenty of disk space before creating an anonymous patient exam.
 The Exam Text page will list the scan range incorrectly when the patient is scanned Head first.
 The format buttons when viewing a GSPS series in the Viewer are a bit confusing. The format buttons
shown do not always match the format listed in the text.
 The title bar for the Browser in Image Works may be decreased in size. Select Refresh in the menu bar or
switch desktop to redisplay the Browser.
 AutoView viewport may be seen on the Image Works desktop. Go to Exam Rx and switch to review layout
and back to reset screen stacking.
 If more than 1 GSPS object is contained in a GSPS series the Viewer will always display the first object in the
series regardless of the object selected.
 If an exam is not listed within Image works or the Exam RX browser - select refresh list. If the exam still fails
to display, reboot the system.
23
Image Works continued

 If images are missing from the Browser, check to make sure the images are not suspended in recon. Try
refreshing the Browser. If the images still don’t appear a reboot may be required to force a rebuild of the
patient list.
 Images created in Add Subtract will fail to do measurements such as ROI, measurements. Use Exam Rx
display is measurements are desired on these images.
EXAM RX DISPLAY
 Exam and Series text pages may be slow if there are a large number of images in the exam/series.
 Exam Rx Display may unexpectedly terminate and all the viewports will be blanked. ExamRx Display will
automatically restart if it terminates. User will need to redisplay images in the viewports.
 Only 1500 images can be saved in a Series Text page.
 The Exam Text page will list the scan range incorrectly when the patient is scanned Head first.
 If Flip/Rotate in Recon and Continuous Cursor are enable on a system, the RAS coordinated displayed on
the left side of the image will have the Flip/Rotate annotation intermixed with the RAS information. If
Flip/Rotate was not applied to the image, there will be a blank space in between the RAS information.
 If an exam is not listed within Image works or the Exam RX browser - select refresh list. If the exam still fails
to display, reboot the system
 If images are missing from the Browser, check to make sure the images are not suspended in recon. Try
refreshing the Browser. If the images still don’t appear, a reboot may be required to force a rebuild of the
patient list.
 If image in AutoView port is not displayed on AutoView layout, please flip page-turner in viewport twice,
images are shown in AutoView port.
 Scout image on the "XR-AV-Free-AL" viewport layout might be merged into ImageWork desktop and can
not be seen on the ExamRx occasionally . Please change the viewport layout from "XR-AV-Free-AL" layout to
"1 on 1" layout, and then return to former layout to solve the issue.
 AutoFilm and AutoView viewports may appear blank however images may be available in AutoLink or be
shown in the AutoFilm film composer. Select different desktop or toggle between AutoView and Review
layouts. An incorrect stacking of screens causes the blank viewports. A reboot will be required if switching
desktops or toggling layouts do not correct the issue.
 MIROI may fail to produce a graph if next prior is selected when performing MIROI. Re-display the series and
begin the MIROI process again.
 The AutoView viewport or the free viewport (lower right) may not be visible or may not be updating after
switching layout or desktops. Switch layouts from AutoView to a Review layout and choose a new layout to
recover.
 You may see display reliability issues if you do not perform a System Restart every 24 hours as
recommended.
 The Browser may fail to close if a Text Page is displaying.
 The blank command does not function to blank the viewport that has a MIROI graph displayed in it.
24
Exam Rx Display continued

 The Dynaplan screen may be blank after Confirm to scan is selected or after a desktop switch, indicating
the screen transition was not completed successfully. Switch desktops to refresh the screen or try opening
Retro Recon and closing it to force a screen refresh. The system is able to start scan with the Dynaplan
screen blank. Use the X-Ray On light on the keyboard and gantry display and the scan time counter on the
gantry controls to monitor the scans. (FCTge 51636, 48861)
ADD SUBTRACT
 Comb images will not contain the e/s/i used for the added image.
 Successive actions in Add/Subtract are not automatically put in a New Series. Select New Series each time
you do a new calculation where you want to keep the data separate.
 There maybe errors when transfer Add/Sub series to some type of PACS server. So please avoid to change
the images by Add/Sub if you need to send them to PACS sever. (FCTge56112)
BONE MINERAL DENSITY - OPTION

 When acquiring data for Bone Mineral Density studies for processing on the Advantage Windows
Workstation with Image Analysis software, mA values below 100mA should never be prescribed. Using mA
values lower than 100mA may impact results.
 Do not use Extended CT Number range for images that will be processed in BMD on an Advantage Windows
or Mindways system. These applications do not support Extended CT Number range.
VOLUME VIEWER - OPTION

 Refer to 5325481 – Advanced Apps on OC III documentation for more information about advanced
processing applications on the operator console.
 In Volume Viewer, Custom Protocol does not allow user to create steps to build a new protocol. Select an
existing protocol, modify it and save with new name to create a new protocol. (FCTge51634, 50142,
FCTge36880)
 - If a saved model is opened and saved again, when the resaved model is reopened, the state is not the
same as it was when it was resaved. Always save a model with a new name. (FCTge51638, 48570)
 When Color Save image in Volume Viewer is saved as Screen Save in Viewer / Mini Viewer, the image will
not be correctly displayed on other hosts.( FCTge48568)
 Do not drag the square beneath the opacity zero line Volume Viewer may hang. If VolumeViewer hang
occurs, perform a system reboot and then launch VR/Reformat. (FCTge48582)
 When you use custom protocol for building 2D/3D model, system may not display 2D/3D model correctly.
(FCTge50122)
25
Volume Viewer continued

 Volume Viewer may terminate abruptly while using the Vessel Analysis and Auto Select applications.
Vessel Analysis and Auto Select use advanced segmentation algorithms that require a large quantity of
memory on the host computer. When applying these analyses on very large datasets, the limits of memory
capacity may be reached, resulting in the abrupt termination of the Volume Viewer application.
Following the recommendations listed below will help you to avoid these issues.
1.Exit the application between each data loading
After you finish reviewing a dataset, we strongly recommend that you exit the application using the exit
button to free the memory from unnecessary information.
26

2.Load images without High Resolution option
Unselecting the High Resolution option on the Protocol page will result in loading images in 256 x 256
resolution. This will free a lot of memory due to image down sampling.
To illustrate the down sampling impact on image quality, here is an example of an Abdominal CTA
exam loaded with and without the High Resolution option.
High resolution On High resolution Off
27

3. Save State to store complex analysis in several segments.
Segmentation actions will consume memory when performed either with Auto Select tools (Add and
Remove Structure, Vessels or Bone), scalpel or any other edition tools
Using these tools repeatedly may challenge the memory. It is then recommended to save frequently your
work using the Save State. This will provide you the capability to restore very easily in Volume Viewer a
segmented model in the same state you saved it and to continue segmentation.
ADVANTAGE CT COLONOGRAPHY (PRO) - OPTION

 Do not use Extended CT Number range for images that will be processed in Advantage CT Colonography.
This application does not support Extended CT Number range.
ADVANCED VESSEL ANALYSIS XPRESS - OPTION

AUTOBONE - OPTION
 AutoBone on the CT console does not support Calcification Removal in Review Steps or from active
annotation on the images.
28
PERFUSION 4 - OPTION
 User annotation text disappears when annotation is greater than twelve characters on one line. User
should limit annotation to 12 characters per line.
 Perfusion maps will not print to the Manual Film Composer directly from Perfusion, if Auto Print and Auto
Clear are not enabled. Set the Manual Film Composer Options for Auto Print and Auto Clear to on or save
the maps to disk and manually film the images. (FCTge51649, 47462)
DENTASCAN - OPTION
 Do not use Extended CT Number range for images that will be processed in DentaScan. This application
does not support Extended CT Number range.
 The intended use of DentaScan is to film real life-size images of the mandible for the planning of implants.
The DFOV prescribed for the scan should not exceed the DFOV calibrated for filming. If you need to image
the entire mandible, use the oblique cursor and position it in the middle of left and right ramus to film each
side.
 The installation of camera for filming in DentaScan may fail if the camera is connected to a DASM.
REFORMAT
 If axial images used in reformat do not line up correctly as expected. Contact your service representative.
 If a message is displayed indicating images are too far apart or failed to build a reformat model for series
with a large number of images, try to launch Reformat again. When the series has a large number of
images, the system may not have identified how many images are in the series before Reformat tries to
start. Wait a second after selecting a series with a large number of images before launching Reformat.
 If the W/L values selected from the pull down menu in reformat do not match your W/L Users Prefs, go to
User Preferences in the Viewer, review values saved in User Prefs, correct if necessary, and then select Save
as Default. If this does not resolve the issue contact your service representative.
 If the F-keys for W/L are selected while Preview mode is in an active state, Reformat may close
unexpectedly.
 Reformat may display a longer z range (S-I) than actually scanned. This is due to additional pixels that are
added in reformat. Image data is only available for the range scanned.
 If a protocol is built in Reformat while an exam is still open, it will appear on the DMPR list of protocols but
will not be selectable. Always build any needed protocols for DMPR prior to starting an exam that you want
to use the reformat protocol in.
 There is no cancel option when using Name Series feature.
 If there was an abnormal shutdown such as a power failure and Reformat was open, it may not be possible
to open Reformat after power is restored and the system rebooted due to a corrupt log file. Please contact
service to have the corrupt log file removed.
29
Reformat continued
 When deleting reformat protocols, exit reformat after removing the protocol and then enter Reformat again
to build a new protocol if you are going to use the same name. If you stay in Reformat, multiple copies of
the protocol will be made. These multiple copies of the protocol with the same name will be hidden but
when used in DMPR will create multiple sets of reformatted images.
 When changing interval or slice thickness for batch reformats, an [Enter] is required after the entry to keep
the change.
 Reformat does not include the slice location for axial plane images. If axial plane slice location is needed,
generate the images in DMPR or do PMR or Retro Recon of the data.
 When building protocols in reformat, review the steps before saving the protocol.
 When using the following viewport set up it may not be able to adjust the tilted oblique prescription, set
upper right viewport to axial, upper left viewport to oblique and lower left viewport to oblique. Use the axial
viewport to set the first oblique, use the upper left viewport to set the second oblique; depending on the
rotation, you may not be able to shift the lines right or left.
 When more than one set of source images are loaded, the W/L may change when scrolling through the
Oblique viewport images.
 Reformat may run out of memory when multiple groups are loaded which have total of greater than 1500.
 Remember when building protocols to be used in DMPR only single step protocols are valid in DMPR. Make
sure the Next Step button is not selected before you save the protocol.
 For the Enhanced Xtream Injector if the injection is still in progress, when End Exam is pressed, autostore
may not be successful. The Contrast Text Page should be manually saved to the archive device.
(FCTge51667,51441)
 Bath reformat inner ear images, there may show high-density dots or faint artifact with Bone + and Lung
recon type. To avoid it, you may select one of the methods:
 To do the bath reformat at AW
 Relaunch the Reformat; Restart the system;
 Change the recon type;
 Use reformat thickness of 0.2mm
ARCHIVE - OPTION
 Archive may fail and slow the system when more than 200 images are queued by image. To avoid this, try
to archive by series if possible. Detach the MOD, and then resume the queue to restart archive.
 The system may report that the archive media is full even though the media has just been labeled when
Save by Image is selected. To avoid this, try selecting a smaller range of images if possible.
 Archived DICOM RGB images from a Vitrea workstation may fail to restore. There is no recovery for these
types of images.
 Select Detach from the Archive pull down in Image Works prior to selecting eject on the MOD drive.
 Color images saved to MOD from Advanced Applications post processing such as VR images saved from
CardIQ or VolumeViewer and screen saved functional map for Perfusion will fail to restore on an AW.
Restore the images to OC and network them to the AW or save the images to CD using CD/DVD and restore
them from CD on the AW.
30
Archive continued
 If Storage Commit has a large number of failures, the system may shutdown. Make sure that the PACS
system is receiving images and negotiation for setting of the archive flag is successful.
 If the system does not recognize the MOD, remove the MOD media from the MOD drive, turn power on/off
to the media tower and then do a Restart.
 The mid scan time information in the Archive Browser is blank. When the images are restored to the
system, all information is seen in the Image Works.
ADVANCED LUNG ANALYSIS

 Advanced Lung analysis requires an excellent data set to track the change in lesion size over time. The
recommended scan protocol has been updated to provide a better data set.
BrightSpeed Elite system
Scan Type Helical
Rotation time 0.5s
Number of Rows 16
Pitch 0.562:1
Table speed 5.62
Slice Thickness 0.625 mm
MA 90 mA (total mAs must be >40)
Algorithm Bone
BrightSpeed Excel Select system
Scan Type Helical
Rotation time 0.8s
Number of Rows 4
Pitch 0.75:1
Table speed 3.75
Algorithm Bone
BrightSpeed Edge Select system
Scan Type Helical
Rotation time 0.8s
Number of Rows 8
Pitch 0.625:1
Table speed 6.25 mm
Algorithm Bone
BrightSpeed Elite Select system
Scan Type Helical
Rotation time 0.8s
Number of Rows 16
Pitch 0.562:1
Table speed 5.62
31

Algorithm Bone
NETWORK
 Images with PPS enabled cannot be networked to a HiSpeed CT/I system. The HiSpeed CT/i does not
support Performed Procedure Step functionality.
 Transfer of the Dose Report screen save image will fail when sending to IRIX based LightSpeed and HiSpeed
products.
 Retrieving data from an Agfa PACS may have errors. Contact GE for further assistance.
 When using Direct Connect, query speed may be impacted proportionate to the size of the exam
database and if no filters are used. Using filters to specify a specific patient/exam will provide best
performance for Direct Connect. An alternative to improve query speed is to utilize DICOM query. This
will require 2 network connections, one for DICOM and one for Direct Connect, setup on the AW.
(Create one network title for the query on DICOM level and second for using Direct Connect). Use the
DICOM query to find patient/exam if not known. Then use the Direct Connect network entry to make a
filtered query on the specific patient/exam.
 Network History will fail to update once the memory limit for the feature is reached. Contact local service
representative or the On-Line Center for functionality to be restored.
 Remote queries from AW or other remote hosts to the OC may take a long time. Use a filtered Query to
narrow the range of data being requested.
 Auto transfer by exam may fail if the Exam contains SmartView images. This may be mostly seen if the
SmartView scan is done in multi bursts.
 If you cannot network images to a Centricity PACS RA-600. Send to an AW first and then to the RA-600.
 If large exams fail to transfer or network transfers are slow, contact service to investigate network set up.
 If there is failure to retrieve images from CT Operator Console, please try to push them to destination from
Operator Console side. (FCTge56207)
FILMING
 Image settings such as WW/WL, flip rotate, zoom, and roam are not maintained across all images when
initiating F4 print series from a MID Viewport format. Use a 512-size viewport to initiate a F4 Print Series.
 Auto Film may stop and the Continue Same Sheet button will be displayed. The Continue Same Sheet
button will be active, but when selected will not restart filming. Use Manual Film to complete filming the
exam and reboot the system before starting the next exam to recover from this issue.
 If the F1 key is used to film the Text Page ROI, Exam Text Page and Series Text Page, the text pages will be
filmed to the film composer last selected in the pop-up for text page. Use the filming selections in the text
page screens to film the information displayed correctly.
 Some cameras may fail to film color saved post-processed images. Turn off Color Save in Film Save option
to avoid this.
32
Filming continued
 Print Series might fail to capture images and print them to the Manual Film Composer. It may be necessary
to drag and drop the images in the film composer to film them. A system reboot may be required to clear
the issue.
 If there is an active DMPR session and user switches to an AutoView layout, images filmed to the Manual
Film Composer from the lower left viewport will not be filmed using square viewport format.
 After End Exam, if the Dose Report is filmed in the lower right viewport to the Manual Film Composer, image
will not be filmed using square viewport format.
 The Large Font may not be applied.
 The F1, F2, F3 key for Filming do not launch the Film Composer in reformat or Volume Viewer. Go to Filming
Tools and Film Composer to launch the film composer before using the F-keys for filming in reformat or
Volume Viewer.
 Filming queue does not remain paused when there are films with movies included in the queue.
 Two film composers may be displayed at the same time if a film composer is launched inside Reformat or
one of the Volume Viewer applications. Only one of the film composers will be active. Close the inactive one
and continue to film in the active one.
AW DIRECT CONNECT
 Slow update times for the Browser will be seen if AW Direct Connect is connected via shared network.
 If the system is multi-tasking while the system is being accessed via Direct Connect, the system operation
may become slow or hang until archive for a remote storage request is complete.
 When using Direct Connect, query speed may be impacted proportionately to the size of the exam
database and if filters are not used. Using filters to specify a specific patient/exam will provide the best
performance for Direct Connect.
 An alternate method to improve query speed is to utilize DICOM query. This will require 2 network
connections, one for DICOM and one for Direct Connect, set up on the AW. Create one network title fro
query on DICOM level and second for using Direct Connect.
 Use the DICOM query to find the patient/exam if not known;
 Then use the Direct Connect network entry to make a filtered query on the specific patient/exam.
IMAGE MANAGEMENT
 Removal of images should be done with the system in an idle state. Failing to remove images at idle times
can cause image install timeouts that can then cause recon to shutdown and can cause the browser to fail
to respond. The user may also see a blank list in the browser. The system should not be shutdown until the
image space has been updated fully from the remove. The length of time to synchronize the database is
proportional to the number of images being removed. This will assure that all images are reconstructed,
displayed and installed into the database without error and that image space is updated correctly.
33
LEARNING SOLUTIONS
 After a desktop switch back to Learning Solutions desktop the guide returns to the home page instead of
returning to the page opened on when the switch occurred. The document is slightly behind the home
page. Left click and drag on the home page border to move the home page so you may access the
Learning and Reference Guide PDF file.
 When viewing the Learning and Reference Guide in full screen mode, the displayed page will be split
between the right and left monitors. It is recommended not use full screen mode for this reason.
 Full screen mode displays the document split between the left and right monitor.
ADAPTIVE STATISTICAL ITERATIVE RECONSTRUCTION (ASIR)

 Images reconstructed with ASiR will not show the ASiR annotation when displayed in Volume
Viewer or Volume Viewer applications.
 ASiR is available with the Chest Recon Type. (FCTge49114)
34
LANGUAGE TRANSLATION ISSUES - 09BW35.11 RELEASE

The precautions listed in this section are directed toward issues related to the translation on specific screens in the
User Interface.
 When the system is configured in a language other than English the following may be seen:
Messages posted in the Real Time Information window or the Feature Status Area may be in
English,
Image annotation is not translated nor is the corresponding user interface text,
Terms that are globally accepted shown in English,
Buttons or menus on User Interface screens in English,
 When the system is configured in a language other than English, you may see the characters truncation in
your User Interface. Refer to a Learning and Reference Guide for correct operation.
 For Italian and Japanese languages, there are portions of the screens for Exam Rx Control Panel, AutoView
Layouts, Review Layouts, Display Preferences, Display Preferences, Routine Display and Measurements that
are not translated and remain in English at this time.
 The language you used may not be supported for the following applications. Refer to an Advanced Apps on
OC III manual to operate the applications below for multi language.
Advanced Vessel Analysis Xpress
Advantage CTC Pro
Auto Bone Xpress
Card EP
CardIQ Xpress 2.0 Plus
Dentascan
Perfusion4/ 4Neuro
 In Add Subtract when the system is configured in a language other than English, the Select Set and
Current Save Series text on the user interface revert back to English after selecting the button. To get
the translated text to display again, Quit Add/Sub and launch Add/Sub again. The English screens are
included for your reference.
English Screen Captures
35
Language Specific continued
 When the system is configured in a language other than English there are several items that will be
displayed at English in the protocol management/New Patient/ Retro Recon. The following table shows the
items that will be displayed in English and the translation.
Screen Capture English Text Translation

(French, German, Italian, Portuguese,
Spanish, Swedish, Danish, Dutch,
Finnish, Norwegian, Japanese,
Chinese)
None
Suspension
Inspiration
Expiration
Host
On
Off
36
 When the system is configured in a language other than English there are several items that will be
displayed in English on the protocol selector. The following table shows the items that will be displayed in
English and the translation.(FCTge51642)

(French, German, Italian, Portuguese,
Spanish, Swedish, Danish, Dutch,
Finnish, Norwegian, Japanese,
Chinese)
Head
Orbit
Neck
Upper Extremity
Chest
Abdomen
Spine
Pelvis
Lower Extremity
Miscellaneous
37

(French, German, Italian,
Portuguese, Spanish, Swedish,
Danish, Dutch, Finnish,
Norwegian, Japanese,
Chinese)
Pediatric
GE
User
Service
Most Recent
38
 When the system is configured in a language other than English, the user confirmation screen for the start
of Remote Training is not translated. The attention information is translated in the following table.
Portuguese, Spanish,
Swedish, Danish, Dutch,
Finnish, Norwegian,
Japanese, Chinese)
Preparing to start Training Mode
Attention
Your GE Healthcare Applications
Specialist has launched a TiP
Virtual Assist (TVA) program that
will allow access by the
applications specialist to patient
information entered as part of
normal scan prescription and the
ability to remotely assist you in
the operation of your GE
diagnostic medical imaging
equipment. To ensure that all
training and applications
instruction is delivered in a safe
and effective manner, it is GE
Healthcare policy that your
applications specialist under no
circumstances:
 Inputs, edits or deletes
patient demographic
information
 Confirms or ends an
exam
 Deletes
exam/series/images
from system disc
 Selects or edits
patient orientation
 Selects the coil type
for MR imaging
 Deletes protocols
from your system
Accept
Change Session Password
Cancel
39
 When the system is configured in German or Portuguese language and using Exam Split the following error
message pop up is not translated. The table below shows the English screen capture, English text and the
translated text.
English Screen Capture English Text Translation
(German, Portuguese)
You have selected an

Exam, which doesn’t
have Requested
Code Meaning and
Code Description.
This application will
not support on this
image set. Click OK
to exit.
 When the system is configured in Portuguese, the entered patient weight and Pediatric Color category
selected attention message displays as Unknown translation. The following table shows the Portuguese
screen capture, English text of the actual message and translated text.
Portuguese Screen Capture English text for actual message Translation
(Portuguese)
Selected color is not suitable for
the entered patient weight
40
 When the system is configured in a language other than English, the user confirmation screen for the start
of Remote Training is not translated. The attention information is translated in the following table.
Portuguese Screen Capture English text for actual message Translation
Portuguese, Spanish, Swedish,
Danish, Dutch, Finnish,
Norwegian, Japanese, Chinese)
3D Noise Reduction Filter
Selected Series
Filter Settings
Low
Mid
High
Filter Progress
go
 When the system is configured in Portuguese, Swedish and Finnish languages, in Reformat the information
shown in the field for various pull-down menus may appear truncated.. The table below shows the English
screen capture and the translated explanation.(FCTge51620, FCTge51676)
Portuguese Screen Capture English text for actual message Translation(Portuguese, Swedish,
Finnish)
The information displayed window
for the pull-down menus may be
truncated. Click on the pull-down
to see the full information.
The names of protocols may still
appear truncated. When you
name protocols consider the name
length so it can easily be identified.
41
 When the system is configured in Finnish language, in Reformat in the Film Save pop-up some is not
translated. The table below shows the English screen capture, English text and the translated text.
(FCTge51620)
English Screen Capture English text for actual message Translation(Finnish)
Film/Save Options
Printer
FOV is a multiple of
Hide Cursor
Image Type for Reformat
Color Save VR Images
Color Save
Name Batch Series
Close
 When the system is configured in Portuguese and Danish languages, the following error message is not
translated. The table below shows the English screen capture, English text and the translated
text.(FCTge51620, 51676)
English Screen Capture English text for actual message Translation(Portuguese, Danish)
Press [Move to Scan] to move

the table
 When the system is configured in Danish languages, the following error message is not translated. The
table below shows the English screen capture, English text and the translated text.(FCTge51642)
42
Danish Screen Capture English text for actual message Translation(Danish)

Forb. Forsink.efter[start scan] er
40.0 Sekunder
 When the system is configured in Spanish language, in SmartStep the button for Flip/Rotate is not
(FCTge51630, 51679)
English Screen Capture English text for actual message Translation(Spanish)
Flip /Rotate
Flip:
FLR – Flip Left/Right
FTB – Flip Top/Bottom
FTB/FLR – Flip
Top/Bottom/Right/Left Rotate:
RR Rotate Right
RL – Rotate Left Cancel
 When the system is configured in Dutch and Spanish languages, in Reformat the Auto Select button is not
(FCTge51630, 51632, 51681, FCTge51642)
English Screen Capture English text for actual message Translation(Portuguese, Denish,Spanish, Dutch)
Batch
AutoBone Express
Auto Select
43
 When the system is configured in Dutch language, the following pop-up message in Real Time Information
is not translated. The table below shows the English screen capture, English text and the translated
text.( FCTge51681)
English Screen Capture English text for actual message Translation( Dutch)
Scan Timeout
 When the system is configured in Dutch language, the following pop-up message for Learning Solutions is
not translated. The table below shows the English screen capture, English text and the translated text.
(FCTge51681)
English Screen Capture English text for actual message Translation( Dutch)
Unable to locate the Computer
Based Training Lesson; please
insert the correct CD in the drive
and try this program again.
 When the system is configured in Portuguese language, in Volume Viewer the Anatomical Area selection
button has text that is truncated. The table below shows the English screen capture, English text and the
translated text. (FCTge51676, FCTge51620)
44
English Screen Capture English text for actual message Translation( Portuguese)
All Anatomy
Head
Neck
Chest
Cardiac
Abdomen
Spine
Upper Limbs
Lower Limbs
General
 When the system is configured in Japanese language, in SmartStep, the Dynaplan has text that is
truncated. The table below shows the English screen capture, English text and the translated text.
(FCTge46516)
English Screen Capture English text for actual message Translation ( Japanese)
Start location,
Slick Thickness,
Gantry Tilt
 When the system is configured in Portuguese language, the following pop-up message for Extend HU is not
(FCTge51642)
English Screen Capture English text for actual message Translation ( Portuguese)
Select OK will change

reconstruction to process
images with an extendEed
CT HU range. The system
will automatically shutdown
and reboot as part of the
process.
45
 When the system is configured in Finnish language, the dropdown menu at Reformat-film, there shows
same translation twice, and after press one of the selection, it was changed to “Processed Images”.. The
table below shows the Finnish screen capture, English text and the translated text. (FCTge51642)
Finnish Screen Capture English text for actual message Translation ( Finnish)
Processed Images
Käsitelyt Kuvat
Behandlede billde
 All of words (the list below and Application button in ImageWorks) should not be translated whenever and
wherever the word is used. The words of ScanType are not translated on CreateNewSeries popup, ScanType
popup and ScanType button for each Group on View/Edit. Also ScanType label for RetroRecon are not
translated.
Not translated Word list

Category Not translated Words Category Not translated Words
Scout Full
Axial Recon Mode Plus
ScanType
Helical Segment
Cine Recon IBO
Parameter kV Contrast GI
46
Category Not translated Words Category Not translated Words

name mA IV
ISD FLR
SFOV FipRotate FTB
DFOV FTB/FLR
Auto Apps Direct3D SmartScore Pro

Cardiac
name DirectMPR BPM
Edge Auto mA
Smooth Smart mA
Filming Filter E1 / E2 / E3 / E21 / E22 / E23 Smart Prep
S1 /S2 / S3 / S11 / S21 IQ Enhance
Lung Feature PMR
GSE GSE /G1 / G2 /G3 Name SmartStep
cm SmartView
mm Enhanced Xtream Injector
kg Xtream Injector
mA MIROI
kV Ped
mGy Head
Unit SFOV type
mGy-cm Small
ml Large
PSI Bone
kg/cm2 Bone Plus
kPa Detail
% Recon Edge
AP Kernel Lung
RL Soft
RAS
SI Std
A/P/R/L/S/I Chest
OM Ctdi(W)
SN Dose CTDIvol
Anatomical
XY DLP
Reference
IC Body 32
Phantom
SP Head 16
47
Brazil Plant information:
GE Healthcare do Brasil Comércio e Serviços para Equipamentos Médico- Hospitalares Ltda.
1405, Vereador Joaquim Costa Avenue, Hangar 7, Contagem/MG, Brazil,
Zip Code: 32.150-240, Tel..Fax: 055-031-3343-6800
SERVICE OFFICES
For service issues, contact the service office.
GE Healthcare Brazil
TEL: 0800122345
www.gehealthcare.com
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CERTIFIED ELECTRICAL CONTRACTOR STATEMENT

OMISSIONS & ERRORS

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Revision Date Reason for change

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PRECAUTIONS BRIGHTSPEED SERIES – 09BW35.11 RELEASE

All Systems continued

Dose Report continued

DICOM STRUCTURED DOSE REPORT

SmartView – Option continued

SMARTVIEW MULTI SLICE RETRO RECON

EXAM SPLIT - OPTION

CD/DVD – Interchange continued

MEDIA TOWER ( FOR SYSTEM WITH NO DVD-RAM DRIVE )

EDIT PATIENT DATA

ECG TRACE - OPTION

NEURO 3D FILTER - OPTION

Neuro 3D Filter – Option continued

PERFORMED PROCEDURE STEP (PART OF CONNECT PRO) - OPTION

Protocol Management continued

Image Works continued

Exam Rx Display continued

BONE MINERAL DENSITY - OPTION

VOLUME VIEWER - OPTION

Volume Viewer continued

Volume Viewer continued

High resolution On High resolution Off

Volume Viewer continued

ADVANTAGE CT COLONOGRAPHY (PRO) - OPTION

ADVANCED VESSEL ANALYSIS XPRESS - OPTION

ADVANCED LUNG ANALYSIS

MA 60 mA (total mAs must be >40)

 The Large Font may not be applied.

ADAPTIVE STATISTICAL ITERATIVE RECONSTRUCTION (ASIR)

LANGUAGE TRANSLATION ISSUES - 09BW35.11 RELEASE

English Screen Captures

Language Specific continued

Screen Capture English Text Translation

Language Specific continued

Screen Capture English Text Translation

Language Specific continued

Screen Capture English Text Translation

Language Specific continued

Language Specific continued

You have selected an

Language Specific continued

Language Specific continued

English Screen Capture English text for actual message Translation(Finnish)

Press [Move to Scan] to move

Language Specific continued

Danish Screen Capture English text for actual message Translation(Danish)

Language Specific continued

Language Specific continued

Select OK will change

Language Specific continued

Not translated Word list

Category Not translated Words Category Not translated Words

Auto Apps Direct3D SmartScore Pro

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