User Manual Pro-CT MK II v.5

Pro-CT mk II
Last update 20.01.2020
PRO-PROJECT HENRYK KARTASZYŃSKI

Kwiatowa 43A Street, 22-105 Okszow, Poland
tel.: +48 668 453 266; fax: +48 82 545 24 40
www.pro-project.pl
e-mail: contact@pro-project.pl
Pro-CT mk II
CE – Marking
• This product bears CE-Marking “CE” in accordance with the Council Directive
93/42/EEC about Medical Devices, and fulfils essential requirements of Annex 1 of the
Directive.
The product is a class I device without a measuring function (MDD).
General information
• This user manual is an integral part of the product and should always be kept near the
device. Observance of the manual is a prerequisite for proper performance and correct
operation of the device.
• General warranty period: 1 years and can be indefinitelly extended if the product is
registered in a Pro-Control.online account with a valid subscription.
Even if your product is not supported by the software, in terms of auto-analysis, you
may use your PCO subscription to extend its warranty. Number of products you want
to cover with extended warranty cannot be greater than the limit of supported equipment
of your subscription. So, 1 with the ECO subscription, 3 with BASIC and unlimited
with PRO.
• This technical documentation is in conformity with the device specifications and all
applicable safety standards valid on the day of printing.
All rights are reserved for devices, techniques and names appearing in the manual.
Safety instructions
• Dispose of packaging material according to the applicable waste disposal regulations

and keep it out of the reach of children.
• The product is a medical device. Only a person with sufficient knowledge and skill may
use the device.
• Before using the device, the operator must ascertain that it is in correct working order
and operating condition.
• The operator must be trained in the use of the device.
Copyright: PRO-PROJECT 2
Pro-CT mk II
Disclaimer
• Operator safety, specific measuring accuracy and interference-free operation can be
guaranteed only if original devices and parts are used. Safe operation and proper device
performance are not guaranteed if accessories or consumables from other manufacturers
are used.
• Pro-Project cannot be held liable for any damage resulting from the use of accessories
or consumables from other manufacturers
• Pro-Project considers itself responsible for safety, reliability and performance of the
device only if assembly, extension, readjustment, modification or repair is carried out
by Pro-Project or by persons/companies authorized by Pro-Project, and only if the
device is used in compliance with the technical documentation.
Pro-CT mk II
Pro-CT mk II
The Pro-CT mk II phantom may be used for carrying out acceptance and constancy tests of
computed tomography systems according to IEC 61223-3-5 and the AAPM (American Association
of Physicists in Medicine) guidelines.
This phantom consists of several test modules placed inside of the cylindrical container that can be
mounted either directly on a holder of the CT table or on an adjustable stand. It allows for accurate
alignment for measurements on and off the table. Markings on the phantom and leveling aids
provide further facilitation of the positioning process.
The phantom can be used to do the following tests:

• Geometric distortion
• CT number (HU) measurement
• Noise / Uniformity
• Artefacts
• MTF
• SSP, LSF, PSF
• CNR
• Spatial resolution
• Spatial resolution in Z dimension
• Contrast resolution
• Low contrast resolution
• Slice profile
• Alignment
• Linearity
• Beamwidth
Technical data (can be modified to customer specifications):

• Main module contains PMMA section with array of holes 2mm in diameter, 10mm deep
placed in 10mm intervals
• Outside diameter 220mm
• Optional external beam hardening rings:
o 380mm outside diameter
Pro-CT mk II
o 350mm outside diameter

o 300 – 380mm outside oval diameter o 450 – 550mm outside oval diameter
• Positioning stand for on and off table measurements
• Carrying case 
Low contrast module

• diameter: 200mm  
• thickness 30mm  
• made of PMMA
• contains three groups of low-contrast objects. In each group, there are rods of the same
density, 20 mm in height and with diameters: 1, 2, 3, 4, 5, 7, 9, 11, 13, 15mm. Contrast
difference between groups and surrounding material is 0.3, 0.6 and 1%  
• optional subslice targets having a nominal 1.0% contrast and z-axis lengths of 3, 5, and 7
mm. For each of these lengths, there are objects of 3, 5, 7 and 9 mm in diameter (04-311)
• optional stacked 25 mm diameter contrast-to-noise discs made of aluminum, PTFE, POM-
C (delrin), PE-300 and air suspended in PMMA (04-312)
Sensitometric / contrast module

• diameter: 200 mm  
• thickness: 30 mm  
• contains 9 sensitometric samples shaped like rods (ø25 mm): PTFE, PE-300, POM-C, ABS,
PA-6, PET, air, plastic water equivalent and PMMA – modules body
• optional insert with 3 Ti rods 5mm in diameter (04-315)
 
Geometry module
• diameter: 200 mm  
• thickness: 30 mm  
• contains two pairs of aluminium wire ramps whose slope angle tangent is equal to 0.5.  
• middles of ramps intersect on the same plane allowing very precise evaluation of the slice
location  
Pro-CT mk II
• contains four air rods (ø5 mm) placed in vertexes of a square (sides 100 mm long). The rods
are placed on the vertical and horizontal axes of the module. This makes it possible to
precisely evaluate the correctness of shape and geometry imaging.  
• contains 8 rods from the air in the vertices of the regular octagon close to the outer perimeter
of the phantom for evaluating symmetry and circular geometry
• optional eight spheres to evaluate the scanner’s imaging of subslice spherical volumes,
diameters: 1.0, 1.5, 2.0, 3.0, 4.0, 6.0, 8.0 and 10.0 mm (04-313)  
Spatial / high contrast resolution module

• diameter: 200 mm
• thickness: 30 mm
• contains 13 concentrically placed high contrast elements for spatial resolution evaluation
from 1 to 13 LP/cm
• two tungsten carbide beads ø0.28 mm for MTF and SSP calculation
• Linear Spread Function (LSF) PTFE / PMMA interface
• Point Spread Function (PSF) - 0.25 mm stainless steel wire in air  
• optional, additional concentrically placed high contrast elements for spatial resolution
evaluation from 14 to 30 LP/cm (04-314)
Water filled module

• diameter: 200 mm
• thickness: 35mm
• screws for easy fill up and empty procedures
Product features:
• complies with:
o IEC 61223-3-5
o IEC 61223-2-6
o AAPM guidelines o ACR guidelines
• CE certified
• the Manual provides detailed guidelines for carrying out each test, results assessment
and registration
Pro-CT mk II
Procedures for carrying out tests with the Pro-CT mk II
Put about 10-14kg counterweight on the stand

before mounting the phantom on it.
Case is about 4kg. Adding, for example,

two 5l water containers into it will be enough.
This is an example. Be sure to comply with your local regulations.
Pro-CT mk II
Pro-CT mk II
Pro-CT mk II
Artefacts (Homogenous module)
Pro-CT mk II
Procedure:
1. place phantom module on a stand on a CT table
2. level the phantom so the horizontal light markers go through the upper edge of the stand
– this marks the half of the module
3. scanning plane should be placed on the middle of the module
4. start the scan
5. make visual evaluation of the image
Recommendations:
• there should be no significant artefacts or distortions visible.
Pro-CT mk II
Noise level (Homogenous module)
Pro-CT mk II
Procedure:
4. start the scan
5. measure a standard deviation of HU in 500mm2 ROI (Region Of Interest) in centre of
module image
Note! Reference value should be evaluated by performing a series (about 5) of measurements
for completely functional CT scanner (right after installation). They should be repeated after
each modifications or repairs of the device.
Recommendations:
• standard deviation in ROI shouldn’t differ more than ± 20% from reference values.
Pro-CT mk II
Homogeneity (Homogenous module)
Pro-CT mk II
Procedure:
4. start the scan
5. measure a mean value of HU in 500mm2 ROIs (Region Of Interest): in centre of the
module and in four places near its border
Note! Reference value should be evaluated by performing a series (about 5) of

measurements for completely functional CT scanner (right after installation). They
should be repeated after each modifications or repairs of the device.
Recommendations:
• difference in HU value between the centre and sides should be constant in time – differ
less than ± 4 HU from reference values.
Pro-CT mk II
HU values (Sensitometric module)
Pro-CT mk II
Procedure:
4. start the scan
5. measure a mean value of HU in ROIs (Region Of Interest) placed in centre of each
sensitometric sample and body of the module

measurements for completely functional CT scanner (right after installation). They should
be repeated after each modifications or repairs of the device.
Recommendations:
• difference in mean HU values for each sensitometric sample and module body should
be constant in time – differ less than ± 4 HU from reference values.
Pro-CT mk II materials
Electron Density Relative

Material Gravity Sample HU
[10^23e/cm^3] Electron Density
Air 0.00 -1020 0,004 0,001
Water 1,00 -5 3,343 1,0
PTFE 2,16 941 6,243 1,868
LDPE 0,93 -87 3,160 0,945
POM-C 1,41 320 4,557 1,363
ABS 1,05 -39 3,400 1,017
PA-6 1,13 61 3,730 1,116
PET 1,36 247 3,160 0,945
PMMA 1,18 106 3,833 1,147
Pro-CT mk II
Spatial resolution (High contrast modules)
Pro-CT mk II
Procedure:
4. start the scan
5. evaluate the number of distinguishable high contrast patterns.
6. optional, additional Z high contrast resolution (aluminum/polymer) - 5.0, 8.3, 10.0,
12.5, 16.7, 20.0 LP/cm (04-421)

Recommendations:
• number of distinguishable high contrast objects should not differ from reference values.
Pro-CT mk II
Low contrast resolution (Low contrast module)
Pro-CT mk II
Procedure:
4. start the scan
5. evaluate the number of distinguishable low contrast objects in each group.

Diameters of rods are: 1, 2, 3, 4, 5, 7, 9, 11, 13, 15mm
Least visible group is 0.3%, second - 0.6% and the best visible 1%.
Recommendations:
• number of distinguishable low contrast objects in each group should not differ from
reference values.
Pro-CT mk II
FWHM measurement (Geometry module)
Pro-CT mk II
Procedure:
3. scanning plane should be placed on the middle of the module (positioning in this case
is very important)
4. start the scan
To calculate FWHM (Full Width at Half Maximum) for wire ramps maximal HU values for
background and ramps must be evaluated. To find the ramp maximum restrict the window to 1
or lowest selectable value. Move the window centre to the point when ramp image almost
disappears. This level value is maximum for the ramp. Background can be evaluated using
ROI tool – mean value of HU near ramps.
Net HU peak = maximal HU value for ramps – background
Half peak net = Net HU peak / 2
HU Value at half maximum = Half peak net + background
5. set window centre to calculated HU value and window width to 1

6. measure ramp length to get FWHM
Pro-CT mk II
Image geometry (Geometry module)
Pro-CT mk II
Procedure:
is very important)
4. start the scan
5. measure distances between four rods in horizontal, vertical and diagonal directions.
Rods are placed in vertexes of square 10x10cm rotated 450. Diameter of each rod is
5mm.
Recommendations:
• dimensions measured on the image shouldn’t differ from actual values more than
±1mm.
Pro-CT mk II
Slice thickness (Geometry module)
Procedure:
Pro-CT mk II
is very important)
4. start the scan
5. measure length of ramp images using FWHM procedure. Divide the mean value by 2 to
get the slice thickness
Recommendations:
• measured slice thickness should not differ more than ±20% form actually set value.
Pro-CT mk II
Alignment (Geometry module)
Procedure:
is very important)
Pro-CT mk II
4. start the scan

5. mark main axes of the module by drawing lines passing vertically and horizontally
through middles of four rods.
6. measure distances between middles of ramp images and module axes to get actual
position of slice.
Module contains two sets of opposing ramps which middles are passing through actual
axes of the module.
Recommendations:
• measured distance should not be greater than 2mm
Pro-CT mk II
Pro-CT Mini
Copyright: PRO-PROJECT
Pro-Dent CT Mini
32
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PRO-PROJECT
Pro-Dent CT Mini
33
Copyright:
PRO-PROJECT
Pro-Dent CT Mini
34
Copyright:
PRO-PROJECT
Pro-Dent CT Mini
35
Copyright:
PRO-PROJECT
TEST RESULTS
Pro-CT mk II
HOMOGENOUS MODULE
Unit: ……………………………………......…..………………………………………………
X-Ray device: …...…………………………........……………………………………………...
Reference values
HU standard deviation in centre ROI
1 2 3 4 5 Mean
Mean difference between centre and side ROIs
1 2 3 4 5 Mean
Test results
Date
Artefacts visible
[Yeas / No]
No
Mean value in
centre ROI [HU]
Difference from
the reference [%]
≤ 20%
Mean difference
between centre and
side ROIs [HU]
Difference from
the reference
[HU]
≤ 4 HU
Pro-CT mk II
SENSITOMETRIC MODULE
Unit: ……………………………………......…..………………………………………………
X-Ray device: …...…………………………........……………………………………………...
Reference values
Mean HU value in sample I
1 2 3 4 5 Mean
Mean HU value in sample II

1 2 3 4 5 Mean
Mean HU value in sample III

1 2 3 4 5 Mean
Mean HU value in sample IV

1 2 3 4 5 Mean
Mean HU value in sample V

1 2 3 4 5 Mean
Mean HU value in sample VI

1 2 3 4 5 Mean
Mean HU value in sample VII

1 2 3 4 5 Mean
Mean HU value in sample VIII

1 2 3 4 5 Mean
Mean HU value in module’s body IX

1 2 3 4 5 Mean
Pro-CT mk II
Test results
Date
II
III
Difference IV
from
reference
V
values [|HU|]
≤ 4 HU VI
VII
VIII
IX
Pro-CT mk II
LOW CONTRAST MODULE

Unit: ……………………………………......…..………………………………………………
X-Ray device: …...…………………………........……………………………………………...
Reference values
Number of low contrast objects (group I)
1 2 3 4 5 Mean
Number of low contrast objects (group II)
1 2 3 4 5 Mean
Number of low contrast objects (group III)
1 2 3 4 5 Mean
Test results
Date
Number of
low contrast
objects
II
≥ reference
value
III
Pro-CT mk II
SPATIAL RESOLUTION MODULE

Unit: ……………………………………......…..………………………………………………
X-Ray device: …...…………………………........……………………………………………...
Reference values
Number of distinguishable high contrast patterns
1 2 3 4 5 Mean
Test results
Date
Number of high
contrast patterns
≥ reference value
Pro-CT mk II
GEOMETRY MODULE
Unit: ……………………………………......…..………………………………………………
X-Ray device: …...…………………………........……………………………………………...
Test results
Date
Distance II
between
rods [mm]
III
IV
I
Rod
diameter II
[mm] III
IV
Mean ramp length (D)

[mm]
Mean ramp thickness

(S) [mm]
Slice thickness
(D - S) * 0,5
Difference between
set-up and measured
value [%]
≤ 20%
Mean distance of
ramp middles from
module axes (Sd)
[mm]
≤ ±2mm

User Manual Pro-CT MK II v.5

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Pro-CT mk II

Last update 20.01.2020

PRO-PROJECT HENRYK KARTASZYŃSKI

• Dispose of packaging material according to the applicable waste disposal regulations

The phantom can be used to do the following tests:

Technical data (can be modified to customer specifications):

o 350mm outside diameter

Low contrast module

Sensitometric / contrast module

Spatial / high contrast resolution module

Water filled module

Procedures for carrying out tests with the Pro-CT mk II

Put about 10-14kg counterweight on the stand

Case is about 4kg. Adding, for example,

This is an example. Be sure to comply with your local regulations.

Artefacts (Homogenous module)

Noise level (Homogenous module)

Homogeneity (Homogenous module)

Note! Reference value should be evaluated by performing a series (about 5) of

HU values (Sensitometric module)

Note! Reference value should be evaluated by performing a series (about 5) of

Electron Density Relative

Air 0.00 -1020 0,004 0,001

Water 1,00 -5 3,343 1,0

PTFE 2,16 941 6,243 1,868

LDPE 0,93 -87 3,160 0,945

POM-C 1,41 320 4,557 1,363

ABS 1,05 -39 3,400 1,017

PA-6 1,13 61 3,730 1,116

PET 1,36 247 3,160 0,945

PMMA 1,18 106 3,833 1,147

Spatial resolution (High contrast modules)

Note! Reference value should be evaluated by performing a series (about 5) of

Low contrast resolution (Low contrast module)

Note! Reference value should be evaluated by performing a series (about 5) of

FWHM measurement (Geometry module)

5. set window centre to calculated HU value and window width to 1

Image geometry (Geometry module)

Slice thickness (Geometry module)

Alignment (Geometry module)

4. start the scan

X-Ray device: …...…………………………........……………………………………………...

HU standard deviation in centre ROI

Mean difference between centre and side ROIs

X-Ray device: …...…………………………........……………………………………………...

Mean HU value in sample II

Mean HU value in sample III

Mean HU value in sample IV

Mean HU value in sample V

Mean HU value in sample VI

Mean HU value in sample VII

Mean HU value in sample VIII

Mean HU value in module’s body IX

LOW CONTRAST MODULE

X-Ray device: …...…………………………........……………………………………………...

Number of low contrast objects (group I)

Number of low contrast objects (group II)

Number of low contrast objects (group III)

SPATIAL RESOLUTION MODULE

X-Ray device: …...…………………………........……………………………………………...

Number of distinguishable high contrast patterns

X-Ray device: …...…………………………........……………………………………………...

Mean ramp length (D)