ANATOM 64C ClearView Operation Manual

Operation Manual
ANATOM 64 Clarity
X-ray Computed Tomography System
Shenzhen Anke High-tech Co.,Ltd.
Add: Block B, LingYa Industrial Zone, Tangtou No.1 Road, Shiyan Sub-district, Bao'an District,
Shenzhen, 518108, P.R.China
Tel: 86-755-2668 8889 / 800-830-6169
Fax: 86-755-26695307
Technical support website: http://www.anke.com

Legal Statement
The copyright to this manual is owned by Shenzhen Anke High-tech Co.,Ltd. Any
organization or individual isn’t allowed to abstract, duplicate or translate it in any manner
without the prior written permission of the copyright owner.
All right reserverd.
Together with other Anke trademarks are all the trademarks of Shenzhen Anke
High-tech Co., Ltd. (hereinafter referred to as Anke).
Caution
The purchased products, services or features, etc shall be bound by the commercial
contract and provisions of Anke. All or partial products, services or features described in
this document may be outside of the scope of your purchase or use, and Anke does not
make any express or implied statement or warranty on the contents of this
documentunless otherwise stipulated.
The contents of this document might be updated from time to time due to the product
upgrade or other reasons. Unless otherwise stipulated, this document shall only serve as a
guide, and any statement, information and suggestions in this document will not
constitute any express or implied warranty.
This product complies with the design requirements on environmental protection and
personal safety, and the storage, use and disposal of the product shall be conducted
strictly in accordance with the product manual, relevant agreements and the laws and
regulations of relevant countries.
Document Information
 Document No：82-S01809
 Version：R1.3
Revision History
Rev. Date Details of Changes
R1.0 2017-06-27 First version released.
R1.1 2018-01-25 Update CT safety precations.
Update 3D Module, system basic information and user layout buttons in Film
R1.2 2019-05-06
module and so on.
R1.3 2019-08-23 View and Patient module add seveal clinical needs.
Feedback
In order to improve the quality of the user document of Anke and provide better services to you, your
suggestions and opinions are expected, please fax them to: 86-755-26695307, or mail them to: Block
B, LingYa Industrial Zone, Tangtou No.1 Road, Shiyan Sub-district, Bao'an District, Shenzhen, 518108,
E-mail: service@anke.com.
Your suggestions will be considered in next version. Thank you!
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Table of Contents
Chapter 1 Preface.......................................................................................................................................... 1
1.1 About the Manual ................................................................................................................................ 1
1.2 Design Purpose .................................................................................................................................... 1
1.3 Contents ............................................................................................................................................... 2
1.4 Relevant Manuals ................................................................................................................................ 3
1.5 Conventions ......................................................................................................................................... 3
1.6 Compatibility ....................................................................................................................................... 4
1.7 Regulatory Compliance ....................................................................................................................... 5
1.8 Training................................................................................................................................................ 5
Chapter 2 CT Safety ..................................................................................................................................... 7

2.1 Safety Instructions ............................................................................................................................... 7
2.1.1 Safety Cautions .......................................................................................................................... 7
2.1.2 Sufficient Training ..................................................................................................................... 8
2.1.3 Safe Operation ........................................................................................................................... 8
2.2 General Safety ..................................................................................................................................... 8
2.3 Electrical Safety ................................................................................................................................... 9
2.4 Mechanical Safety ............................................................................................................................. 10
2.5 Emergency Stop ................................................................................................................................. 12
2.6 Explosion Safety ................................................................................................................................ 13
2.7 Fire Safety.......................................................................................................................................... 14
2.8 Electromagnetic Compatibility .......................................................................................................... 14
2.9 Radiation Protection .......................................................................................................................... 15
2.9.1 Radiation Protection Equipment .............................................................................................. 15
2.9.2 Protective Measures ................................................................................................................. 16
2.9.3 Radiation Dose ........................................................................................................................ 17
2.9.4 Sensitivity Distribution ............................................................................................................ 21
2.9.5 Geometrical Efficiency in Z Direction .................................................................................... 26
2.9.6 Half-value Layer (HVL) .......................................................................................................... 28
2.9.7 Extra-focal Radiation Limit ..................................................................................................... 29
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2.9.8 Stray Radiation Pattern.............................................................................................................29
2.10 Electrical Output on the Aspects of Loading Factor/Coefficient......................................................31
2.11 Deterministic Effects ........................................................................................................................32
2.12 Safety of Laser Positioning Lamp ....................................................................................................33
2.13 Biocompatibility ...............................................................................................................................33
2.14 Environmental Pollution...................................................................................................................34
2.15 Safety of Medical Electrical System ................................................................................................34
2.16 Planned Maintenance and Routine Inspection..................................................................................34
2.17 Cleaning, Disinfection ......................................................................................................................37
2.17.1 Cleaning .................................................................................................................................37
2.17.2 Disinfeciton ............................................................................................................................38
2.18 Symbols and Labels .........................................................................................................................39
2.19 Intended Use.....................................................................................................................................44
2.20 Contraindication ...............................................................................................................................44
2.21 Life Cycle .........................................................................................................................................44
2.22 Customer Service .............................................................................................................................45
2.23 Registration Information ..................................................................................................................45
Chapter 3 Introduction to CT System........................................................................................................47

3.1 Overview ............................................................................................................................................47
3.2 Gantry .................................................................................................................................................47
3.2.1 Gantry Display .........................................................................................................................49
3.2.2 Gantry Keyboard ......................................................................................................................51
3.2.3 Breath Indicator ........................................................................................................................56
3.3 Patient Table .......................................................................................................................................57
3.4 PDU ....................................................................................................................................................59
3.5 Operating Console ..............................................................................................................................61
3.5.1 Monitor .....................................................................................................................................61
3.5.2 Mouse .......................................................................................................................................61
3.5.3 Intercom ...................................................................................................................................62
3.6 Power On and Power Off ...................................................................................................................65
3.6.1 Power On ..................................................................................................................................65
3.6.2 Power Off .................................................................................................................................66
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3.7 Daily Turn On and Turn Off .............................................................................................................. 66
Chapter 4 Operation/Scan Interface ......................................................................................................... 67

4.1 Overview ........................................................................................................................................... 67
4.2 CT Scan Procedures ........................................................................................................................... 67
4.3 System Login ..................................................................................................................................... 68
4.3.1 Login........................................................................................................................................ 68
4.3.2 Exit .......................................................................................................................................... 69
4.3.3 Log Off .................................................................................................................................... 70
4.3.4 System Information ................................................................................................................. 70
4.3.5 Help ......................................................................................................................................... 70
4.4 Update Code and Dog........................................................................................................................ 71
4.5 Operation Interface Introduction ....................................................................................................... 72
4.6 Warm up & Calibration...................................................................................................................... 73
4.6.1 Warm up................................................................................................................................... 73
4.6.2 Fast Calibration........................................................................................................................ 75
4.6.3 Full Calibration ........................................................................................................................ 76
Chapter 5 Scan Module .............................................................................................................................. 79

5.1 Scan Interface .................................................................................................................................... 79
5.2 Patient Preparation for Scanning ....................................................................................................... 80
5.3 Lay the Patient ................................................................................................................................... 80
5.4 Register .............................................................................................................................................. 81
5.4.1 Register a New Patient............................................................................................................. 81
5.4.2 Emergency Patient Registration ............................................................................................... 82
5.4.3 Appointment ............................................................................................................................ 82
5.4.4 Select a Patient From Worklist ................................................................................................ 83
5.4.5 Select a Patient From Scanned................................................................................................. 84
5.5 Select Scan Protocols......................................................................................................................... 85
5.6 Scan Process ...................................................................................................................................... 87
5.6.1 Modify Scan Protocols ............................................................................................................ 89
5.6.2 Workflow of a Routine Scan .................................................................................................... 90
5.6.3 Workflow of a Enhancement Scan ........................................................................................... 92
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5.6.4 Stop a Scan ...............................................................................................................................95
5.6.5 Add a Scan................................................................................................................................95
5.6.6 Exit a Scan................................................................................................................................96
5.7 Image Setting......................................................................................................................................97
5.7.1 Measure Images........................................................................................................................97
5.7.2 Adjust Images ...........................................................................................................................97
5.8 Images Transmission ..........................................................................................................................98
Chapter 6 View Module...............................................................................................................................99

6.1 Image Loading and Quit .....................................................................................................................99
6.1.1 Image Loading..........................................................................................................................99
6.1.2 Quit Current Patient .................................................................................................................99
6.2 View Interface ....................................................................................................................................99
6.3 Select Series /Images ........................................................................................................................100
6.4 Image Layout Unit ...........................................................................................................................101
6.5 View Images .....................................................................................................................................103
6.5.1 Side Bar ..................................................................................................................................103
6.5.2 Browser Buttons .....................................................................................................................104
6.5.3 View Images in Movie Mode .................................................................................................105
6.5.4 View Image Details ................................................................................................................105
6.6 Image Measurement .........................................................................................................................107
6.6.1 Angle Measurement................................................................................................................108
6.6.2 Distance Measurement ...........................................................................................................109
6.6.3 CT value Measurement ..........................................................................................................109
6.6.4 Marks...................................................................................................................................... 112
6.6.5 Shared measurements in same series ...................................................................................... 113
6.6.6 Selection Status Recovery ...................................................................................................... 114
6.6.7 Clear Measurement Records .................................................................................................. 115
6.7 Adjust Images ................................................................................................................................... 115
6.7.1 Move Images .......................................................................................................................... 116
6.7.2 Zoom Images .......................................................................................................................... 116
6.7.3 Change Images Direction ....................................................................................................... 117
6.7.4 Windowing images ................................................................................................................. 117
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6.7.5 Reset Images .......................................................................................................................... 118
6.7.6 Display/Hide Texts ................................................................................................................ 119
6.7.7 Grid Coordinate Display ........................................................................................................ 119
6.8 Comparison Unit.............................................................................................................................. 119
6.9 Export images .................................................................................................................................. 121
6.10 Images Transmission ..................................................................................................................... 122
Chapter 7 3D Module ............................................................................................................................... 125

7.1 Loading Images ............................................................................................................................... 125
7.2 3D Interface ..................................................................................................................................... 125
7.3 MPR ................................................................................................................................................. 126
7.3.1 MPR Interface Properties ...................................................................................................... 126
7.3.2 MPR and MPR Batch ............................................................................................................ 127
7.3.3 CPR and CPR Batch .............................................................................................................. 129
7.4 3D .................................................................................................................................................... 132
7.4.1 3D Display Methods .............................................................................................................. 132
7.4.2 VOI ........................................................................................................................................ 136
7.4.3 3D Management .................................................................................................................... 136
7.4.4 3D Position ............................................................................................................................ 138
7.4.5 3D rotating ............................................................................................................................. 138
7.4.6 Tissue Cutting ........................................................................................................................ 139
7.4.7 Boning ................................................................................................................................... 140
7.4.8 Observation point................................................................................................................... 141
7.5 Virtual Endoscope ............................................................................................................................ 142
7.5.1 Display the Endoscope Model ............................................................................................... 142
7.5.2 Set Endoscopic Path .............................................................................................................. 146
7.6 Display Image .................................................................................................................................. 149
7.7 Image Measurement......................................................................................................................... 151
7.8 Images Transmission ....................................................................................................................... 151
Chapter 8 Film Module ............................................................................................................................ 153

8.1 Send Images to Film ........................................................................................................................ 153
8.2 Film Interface .................................................................................................................................. 153
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8.3 Create and save printer images .........................................................................................................154
8.4 Select and Arrange Images ...............................................................................................................155
8.5 Image Layout Unit ...........................................................................................................................155
8.6 Image Tools ......................................................................................................................................158
8.7 Image Adjustment ............................................................................................................................159
8.7.1 Display Gray Bar ....................................................................................................................160
8.7.2 Customize Rotation ................................................................................................................161
8.7.3 DisplayTopo Lines and Topo Image .......................................................................................162
8.8 Functions of Right-click Menu.........................................................................................................162
8.8.1 Copy and Paste .......................................................................................................................163
8.8.2 Annotation Font Size ..............................................................................................................163
8.9 Image Print Unit ...............................................................................................................................164
Chapter 9 Patient Management Module..................................................................................................167

9.1 Patient Management Interface ..........................................................................................................167
9.2 Select Data Source ...........................................................................................................................168
9.3 Data Management ............................................................................................................................168
9.3.1 Mofidy Patient Information ....................................................................................................168
9.3.2 Delete/Restore Data................................................................................................................169
9.3.1 Lock/ Unlock Data .................................................................................................................170
9.3.2 Search Patient Data ................................................................................................................171
9.4 Import and export data .....................................................................................................................172
9.4.1 Copy DVD data ......................................................................................................................172
9.4.2 Upload to image server...........................................................................................................173
9.4.3 Export to Specified Directory.................................................................................................175
9.4.4 Export to DVD .......................................................................................................................175
9.5 Post-reconstruction ...........................................................................................................................177
9.6 Images Transmission ........................................................................................................................177
Chapter 10 Report Module .......................................................................................................................179

10.1 Loading Report Module .................................................................................................................179
10.2 Create a Report ...............................................................................................................................180
10.3 Save and Print Reports ...................................................................................................................183
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10.4 Template Management Unit .......................................................................................................... 184
Chapter 11 Service Module ...................................................................................................................... 189

11.1 Warm-up and Calibration ............................................................................................................... 189
11.2 Configuration Management unit .................................................................................................... 189
11.2.1 Basic Information Setting .................................................................................................... 189
11.2.2 Corner Information Settings ................................................................................................ 191
11.2.3 WW/WL Setting .................................................................................................................. 192
11.2.4 Set Hot keys ......................................................................................................................... 194
11.2.5 Voice Management............................................................................................................... 195
11.2.6 Workstation Management .................................................................................................... 197
11.2.7 User Management Unit ........................................................................................................ 198
11.2.8 Permissions Assignment ...................................................................................................... 201
11.2.9 Scan Configuration .............................................................................................................. 202
11.2.10 Printer Management ........................................................................................................... 203
11.2.11 Dose Alert Settings............................................................................................................. 204
11.3 Disk Management .......................................................................................................................... 207
11.4 Log Management Unit ................................................................................................................... 208
11.4.1 Search Logs of the System................................................................................................... 208
11.4.2 Export Log ........................................................................................................................... 209
11.5 Diagnostic Template ...................................................................................................................... 209
11.5.1 Create a Diagnostic Template .............................................................................................. 210
11.5.2 Modify a Diagnostic Template ............................................................................................ 211
11.5.3 Delete a Diagnostict Template ............................................................................................. 212
11.6 View the Dose Report .................................................................................................................... 212
Chapter 12 Protocol Management Module ............................................................................................. 215

12.1 Loading Protocol Module .............................................................................................................. 215
12.2 Backup and Revert Protocols......................................................................................................... 216
12.3 Modify Scan Protocols .................................................................................................................. 217
12.3.1 Create a Scan Protocol ......................................................................................................... 217
12.3.2 Modify a Scan Protocols ...................................................................................................... 218
12.3.3 Copy a Scan Protocol........................................................................................................... 219
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12.3.4 Delete a Scan Protocol .........................................................................................................220
12.4 Modify Scan Items .........................................................................................................................221
12.4.1 Create a Scan Item................................................................................................................221
12.4.2 Copy a Scan Item .................................................................................................................222
12.4.3 Rename a Scan Item .............................................................................................................222
12.4.4 Delete a Scan Item................................................................................................................223
12.5 Add/delete a Recon Item ................................................................................................................223
12.6 Modify Scan Paremeters ................................................................................................................224
12.7 Modify Reconstruction Parameters ................................................................................................226
Appendix A Guidance and Manufacturer’s Declaration-IEC60601-1-2.............................................. A-1
Appendix B Technical Information ..........................................................................................................B-1
Appendix C Glossary................................................................................................................................ C-1
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Chapter 1 Preface
Abstract
This chapter mainly gives an introduction to the purpose and format of this Manual. It
provides a brief introduction to the contents of this Manual, including the purpose,
skills necessary for readers and the graphical conventions on all the visual symbols in
the manual.
1.1 About the Manual

This Manual is compiled particularly for CT operators, and provides the information
necessary for correct operation of this system. It's designed to present the necessary
system components and the features for the purpose of realizing the maximal potential,
rather than the methods to measure X-ray computed tomography (CT) or to conduct
various types of clinical analysis.
This Manual shall be always put together with the equipment. It's very important to
regularly go over the process and safety precautions described in the Manual. It's
required to read and understand the contents described in this Manual before using this
product.
1.2 Design Purpose

To reach the design purpose for this device, it's required to operate it according to the
safety precautions and operating instructions provided in this Manual. The scope of
application is merely limited to its design purpose. Any content in this Manual will not
reduce the obligations of the user or operator to make proper medical diagnosis and
formulate the optimal medical schemes.
The theory of CT is that X-ray attenuates to different extents while various tissues in
the human body are radiated by X-ray. Just by using such feature, CT can indicate
different tissues and their spatial locations in the selected area. For instance, CT may
detect any tissue (e.g. tumor tissue) with abnormal density, and reconstruct its image
by a computer and display it on the monitor after proper processing. A well-trained
doctor can obtain useful diagnosis information from CT images.
1
ANATOM 64 Clarity X-ray Computed Tomography System Operation Manual
This equipment may be applied to X-ray CT of the head, body, heart and vessels and
other parts of a patients of all ages.
The equipment must be operated strictly in accordance with relevant local laws and
regulations. Users and operators are not allowed to operate the equipment unless they
comply with relevant laws and regulations.
The manufacturer will not undertake or only undertake partial responsibilities if any
user/operator uses the equipment for any other purpose rather than those described by
the manufacturer, or improper use or operation results in any incompatibility,
equipment damage or personal injury.
1.3 Contents
This part describes the main contents of this book, introduces the key points of each
chapter, and guides users to use this book pertinently.
Chapter Name Overview

This chapter mainly gives an introduction to the
purpose and format of this Manual. It provides
a brief introduction to the contents of this
Chapter 1 Preface Manual, including the purpose, skills necessary
for readers and the graphical conventions on all
the visual symbols in the Manual.
This chapter mainly presents the information
Chapter 2 CT Safety about CT safety precautions and process
This chapter mainly presents the key hardware
components of CT system and provides
Chapter 3 Introduction to CT System necessary background information of the
system.
This chapter mainly gives a brief introduction
to the console software and helps users achieve
Chapter 4 Operation/Scan Interface
a macro-image of the software.
This chapter mainly describes the general

Chapter 5 Scan process of CT scans and image views &
processing.
This chapter mainly describes the displaying,
Chapter 6 View viewing, measurement of 2D data and
interaction with other modules.
This chapter mainly describes viewing,
Chapter 7 3D
browsing and reconstruction of 3D images
2
Chapter 1 Preface
Chapter Name Overview

（MPR、CPR、VR、SSD、MIP）.
This chapter mainly introduces image layout
Chapter 8 Film
and printing.
This chapter mainly describes layout, functions
Chapter 9 Patient management
of and how to use patient managemnt interface.
This chapter mainly introduces the operation
Chapter 10 Report
steps and precautions of report module.
This chapter mainly introduces the operation
Chapter 11 Service
steps and precautions of report module.
This chapter mainly describes how to preset
Chapter 12 Protocol management
scanning protocol of this system.
1.4 Relevant Manuals

ANATOM 64 Clarity X-Ray CT System Operation Manual comprises of the
information necessary for operating the equipment. The following manuals may help
understand equipment operation, but they're not essential.
Belows are relevant manuals matching the equipment, but not delivery attachment
documentation. If clients would like to know more, please contact Anke service.
 ANATOM 64 Clarity X-Ray CT System Maintenance Manual
 ANATOM 64 Clarity X-Ray CT System Installation Manual
1.5 Conventions
The following conventions and symbols are adopted in this book.
1． Convention on symbols
“< >” indicates key name, button name and information entered by the operator from
the terminal; “[ ]” indicates man-machine interface, menu bar, data sheet, field name,
etc, and multilevel menu is separated by "→".For example, multilevel menu [File →
Add→ Folder] indicates the item [Folder] under the submenu [Add] under [File].
2． Convention on keyboard operation
Format Meaning
Indicate key names and button names. For example, <Enter>,
Characters in angle
<Tab>, <Backspace> and <a> indicate Enter, Tab, Backspace
brackets
and lowercase a respectively.
3
Format Meaning
Indicates pressing several keys on the keyboard at the same time.
<Key 1+Key 2> For example, <Ctrl+Alt+B> indicates pressing “Ctrl”, “Alt” and
“B” simultaneously.
Indicates pressing the first key, release it, and press the second
<Key 1, Key 2> key. For example, <Ctrl, N> indicates press <Ctrl> first, release it,
and press <N>.
3． Convention on mouse operation
Format Meaning
Single click Rapidly press and release the left mouse button
Double click Rapidly press twice and release the left mouse button
Right click Rapidly press and release the right mouse button
Drag Press and hold the left mouse button, and move the mouse
4． Symbol
The following safety symbol indicating different connotations may appear in this
Manual:
Safety Symbols Meaning

indicates serious accident of equipment damage or personal
Danger injury may occur if the safety warnings are ignored
indicates major accident of equipment damage or personal
Warning injury may occur if the safety warnings are ignored
indicates damage of equipment, loss of data, deterioration of
equipment performance or any other unpredictable
Caution
aftermath may occur if the safety warnings are ignored
Note indicates the contents belong to the additional information

of the text, emphasis on and supplementation to the text
1.6 Compatibility
Except for the compatible devices and components particularly designated by Anke,
the equipment cannot be used together with any other device or component.
The equipment shall not be modified and/or added with parts, unless otherwise
authorized by Anke. The modification and /or addition of parts shall comply with the
local laws and effective regulations. Modification and/or addition of parts by the user
may result in unexpected equipment damage or personal injury.
4
Chapter 1 Preface
1.7 Regulatory Compliance

This equipment is completely in compliance with relevant international and national
laws, and you're welcome to consult Anke Company for relevant information.
If operated properly, the device also complies with international and national laws and
standards on Electromagnetic Compatibility (EMC). These laws and standards set forth
electromagnetic radiation dosage allowable for the equipment and the equipment's
capability in resisting the interference of electromagnetic radiation from the outside.
IEC Classification 60601-1 Class:
Electric shock protection type Class I equipment

Electric shock protection level Type B equipment
Water protection level Common equipment
The equipment isn't suitable for use in the
Safety level in the occasions of flammable
occasions of flammable anesthetic gas, oxygen
anesthetic gas, oxygen or nitric oxide
or nitric oxide
IEC 60601-1-2 Group 1 Class A radiological
Possibly interfere with other equipment
equipment
Operation mode Intermittent loading continuous mode
1.8 Training
This Manual will not give instructions on X-ray CT. You need to have sufficient
knowledge to be competent to perform various diagnostic Imaging processes during the
treatment. Such knowledge can be achieved through various education means,
including clinical work experiences, fundamental subjects of hospitals and some
radiological technology related courses in many universities.
Before operating the equipment, the operator has to receive sufficient training so as to
use the equipment safely and efficiently according to the instructions in the Operation
Manual.
The training contents may be varied in different countries. It's embodied in the
difference in the laws and regulations of different regions, and the operators must be
well trained on these aspects.
5
Warning:
Do not operate the equipment before sufficient training. Otherwise, it may cause
serious quipment damage, persoanl injury or possible misdiagnose.
Please contact Anke if you expect more information about the training.
6
Chapter 2 CT Safety
Abstract
This chapter mainly presents information about CT safety precautions and process.
2.1 Safety Instructions

All of Anke's products are produced in accordance with the strictest safety standard.
However, all medical electronic products need to be used and maintained properly,
particularly in relation to personal safety.
It's critical to read carefully and remember all the danger warnings and safety warnings
on the equipment.
Meanwhile, it's also critical to strictly follow the descriptions, all warnings and
cautions provided under “CT Safety” the Operation Manual, so as to ensure the safety
of both the patients and operators.
Caution:
Before examining the patients with this equipment, you're advised to read, understand
and master the contents related to emergency stop described in Chapter 1 "CT safety".
Warning:
Make sure the checking procedures described under the chapter "Daily Maintenance"
in the Maintenance Manual have been satisfactorily completed before any scan, and
preventive maintenance is the latest. If any fault is detected or doubted in the
equipment or system, do not use this system until it's recovered. Operating equipment
or system with defective components may cause unnecessary radiation or other injuries
to the operators or patients.
2.1.1 Safety Cautions
Before using this equipment, make sure you have carefully read and remembered all
the danger warnings, safety cautions and emergency braking procedures described in
7
this section. Failure to observe the safety requirements described in this Manual may
lead to serious equipment damage or personal injury.
2.1.2 Sufficient Training
Do not operate this equipment unless you have received sufficient and correct training.
Do not operate the equipment if you're not sure of the operating method.
If not properly trained, operating this equipment may lead to equipment damage or
severe personal injury, and it may also result in clinical misdiagnose.
Warning:
Do not try to move, modify, discard or block the safety components in the equipment,
because this may cause serious equipment damage or personal injury.
2.1.3 Safe Operation
The guide for the operators and patients provided in this text aims at better image
quality. Failure of fulfillment of the operation procedures (also including Cautions,
Danger, Warnings, etc) described in this text may cause potential hazard to human
body, damage the equipment, and impact the image quality.
After proper installation of the system, addition or replacement with any software or
hardware not authorized by Anke may cause:
 Potential hazard to the operators and/or patients
 Deterioration of the image quality
 Equipment failure
 Equipment damage
Anke won't be responsible for the deterioration of image quality, personal injury or
equipment damage caused by unauthorized software installations or hardware
replacements.
2.2 General Safety

 Always pay attention to the patients, and do not allow patients to act alone.
 Move the patient out of the patient table upon emergency.
8
Chapter 2 CT Safety
 Put all the covers back into place before using the equipment. The covers may
protect the users and patients from collision or electric shock by the moving
component, and may also protect the equipment.
 Keep the equipment clean. Remove the liquid of the equipment and/or spilt
injection to prevent harm to the health and impact on internal parts. Clean the
equipment with warm soapy water or neutral disinfectant.
 Get familiar with hardware functions, so as to detect serious problems. Do not

use the CT scanning device where any damage or failure is detected.
 When any problem is detected in the equipment, please contact the after-sales
personnel of Anke. Do not handle it by yourself, because Anke will not
undertake any responsibility for any damage caused by human reason.
 Do not run any software that not dedicated to this system on the computer.
 It may hurt the patients if you operate this equipment with an implantable or
wearable medical device. Please contact with manufacturer to get more safety
information before using the equipment.
2.3 Electrical Safety
Warning:
Do not disassemble or remove the cover or cables of this equipment. As there are
high-voltage currents inside this equipment, disassembly of the cover or cable may lead
to fatal injury or serious personal injury.
Avoid contact with any electrical conductor.
To ensure safe and reliable equipment performance, the room or area for this
equipment must comply with the laws related to the electrical safety of equipment or
laws and regulations with legal force.
Only the after-service personnel of Anke are authorized to install, debug, repair or
modify the equipment. The users are not allowed to disassemble or install the
equipment without permission, and Anke won't undertake the responsibility for the
human-caused damage.
9
Before cleaning, disinfection or sterilization of this equipment, it's advised to

disconnect the power supply and insulate it from the power grid.
2.4 Mechanical Safety
Danger:
When the Gantry tilts or the patient table moves, pay close attention to the patient and
equipment to avoid impacting or squeezing the patient. In the event of accidental
movement or unstoppable movement, press the emergency stop button on the console
or Gantry.
Danger:
To avoid impacting or squeezing the four limbs of the patient, it's advised to separate
the feet and hands from the top/ board of the moving patient table and the interface
equipment, and separate from the base and flank board of the patient table. (Special
attention should be attached when placing any patient with big body size)
1． Before moving the patient table and Gantry, check whether there is any
obstacle around the equipment. When moving the patient table or Gantry,
always observe the movement process.
2． Help the patient get onto and off the patient table or table board in person.
3． When moving the patient in or out, restore the declination of the Gantry to
vertical direction 0°, lock the table board and adjust the patient table to an
appropriate height.
4． When tilting or moving the Gantry or table board, try to avoid contact between
the patient and the Gantry.
5． When the movement of table board is restricted or blocked, the collision

indicator on the Gantry display will be illuminated; the interference can be
removed by changing the Gantry inclination, moving the table board or
adjusting the table height.
10
Chapter 2 CT Safety
6． Before use, check whether any component is damaged. If there is any, please
stop using it.
7． As the maximum weight the patient table can bear is 205kg, please do not place
any patient or object above such weight onto the patient table.
8． Patient table’s movement limit is no more than 10mm and gantry’s movement
angle limit is no more than 0.5º when normally stopped.
9． During operation, if the patient is stuck due to an error, press "Table Lock" of
the keyboard on the gantry, the patient table is unlocked, then push the table out
and set patient free.
10． Position the patients to prevent crash or squeezing due to movements of patient
table or gantry tilting.
Caution：
 Ensure that the arms of the patient will not be impacted during scanning, and the
clothes or hair of the patient are not twisted in the internal parts of the device.
 It’s extremely important to make sure that the infusion tube, the breathing tube,
the catheter and the ECG cable are not twisted in the gap between the patient table and
the side of gantry. These components can not withstand any tensile stress.
 Make sure that the patient mattresses are not twisted in the patient table.
 Use the specified positioning aids.
Danger:
If the weight of any patient is above 205kg, do not place the patient onto the
patienttable, because this may cause the patient table to topple and the patient to fall
off.
11
2.5 Emergency Stop

This CT scanner is equipped with 5 emergency stop buttons. One of them is located on
the control box of the console to control remote stop, and the other 4 are located in
front of and behind the Gantry respectively. Upon a press on any such button, the
power supply of the patient table and Gantry will be switched off, including the
ongoing X-ray exposure.
1. E-stop key 2.E-stop indicator
Figure 2-1 Emergency stop button on the console
1.E-stop indicator 2.E-stop key
Figure 2-2 Emergency stop buttons on the Gantry (front)
 Press and hold down the e-stop button, and meanwhile, the e-stop indicator is
illuminated, indicating it's currently at emergency stop state.
12
Chapter 2 CT Safety
 Press again on the e-stop button, the E-stop indicator is off.
There is an emergenct shutdown key on the PDU, as shown in Figure 2-3.
Figure 2-3 Emergency shutdown button on the PDU
1． PDU Power-On indicator, the green indicator is illuminated when Power-on.
2． Emergenct Shutdown Key
 Press the key and the indicator will be off, and then open the door and power
off the main switch.
 Rotate the mergency shutdown key, and then open the door and power on the
main switch.
2.6 Explosion Safety

This equipment should be kept clear of explosive gases or steam, e.g. some anesthetic
gases. Otherwise, fire or explosion might be caused.
13
Danger:
It's forbidden to use flammable or potentially explosive disinfectant spray, because the
generated steam may burn and cause personal injury and/or equipment damage.
2.7 Fire Safety

Use of medical equipment in any place not dedicated to it may cause fire or explosion.
It's required to observe and fulfill the regulations on use of such medical facilities. Fire
extinguishers for fire caused by both electricity and non-electricity must be equipped.
They should be labeled clearly and correctly, and be maintained in accordance with the
instructions of the manufacturer and placed at accessible locations.
All medical equipment operators should comprehensively understand and grasp the
rules for using fire extinguishers and other fire devices.
Danger:
In case of electric or chemical fire, special fire extinguishers bearing particular labels
should be used. Use of water or other liquid against electric fire may lead to fatal or
serious injury.
Warning:
If possible, try to switch the equipment off the power grid and other power supply
before fire fighting. this may reduce the danger of electric shock.
2.8 Electromagnetic Compatibility
Warning:
As this equipment generates, uses and radiates RF energy, it may interfere with other
medical or non-medical devices and wireless communication. This equipment is fully
in compliance with EMC standard and capable to provide reasonable protection
againstsuch interference.
14
Chapter 2 CT Safety
If it's found that this equipment produces interference, the user should settle the
problem by one or more methods listed below:
 Re-determine the direction of the affected equipment or re-arrange the affected

equipment.
 Increase the distance between this equipment and the affected equipment.
 Use a power supply different from that of the affected equipment to provide
power supply to this equipment.
 For more advices, please consult Anke's after service personnel.
The manufacturer will not undertake any responsibility for the interference caused by
using interconnecting cable not recommended or modifying or changing the equipment
without authorization. Unauthorized modification or change may deprive the user of
the rights to operate the equipment.
Unless technically prohibited, all interconnecting cables linking to peripheral

equipment should be shielded and grounded correctly. In case any cable not correctly
screened and grounded is used, the equipment may produce RF interference.
2.9 Radiation Protection

For the safety protection of operators and patients, all local laws and regulations with
legal force should be observed. Do not operate this equipment if you have any doubt.
2.9.1 Radiation Protection Equipment
Dedicated equipment is a component of radiation protection procedure:
1． Control area
The console is located outside of the radiation control area. The patient can be
observed through the lead glass window, and the Gantry and patient table can be
operated by remote control.
Caution:
During scan, try to operate the system by the console.
2． Radiation shielding
15
If the scan has to be released from inside the control area, or the accompanying
personnel have to stay within the control area, safety protection measures
(e.g.protective clothes, etc) must be adopted.
3． Exposure indicators
The exposure indicators are located above the Gantry display and the back surface
of the Gantry.
If the scan has been started, the exposure indicators are illuminated. If the
exposure indicators are not illuminated when the scan has been started, please stop
operation immediately and contact the after service personnel of Anke.
2.9.2 Protective Measures
The following protective measures should be adopted to protect operators and patients.
1． Backup hour meter
In case of hour meter error, the backup hour meter will limit total scan time
within 110% of the pr-eset time. If the scan time exceeds this time length
pre-set in the backup hour meter, the x-ray source will be automatically
shutdown to avoid personal injury by over dose radiation.
2． Personnel
During scan, any person that intends to approach the patient should adopt the
following protective measures.
 Wearing protective suit;
 Wearing individual measuring instruments;
 Standing in the area shielded from radiation;
 Only qualified and authorized personnel are allowed to operate this

equipment. "Qualified" personnel refer to those qualified to work on such
electronic medical equipment in the place where the equipment is used,
"authorized" personnel refer to personnel authorized by the equipment owner.
16
Chapter 2 CT Safety
Warning:
Improper use of X-ray equipment may lead to personal injury. Please read and
understand the guidance provided in this book before operating the equipment. Anke
would assist you to put this system into operation.
3． Patients
Doctors are responsible to protect patients from unnecessary radiation.
 If possible, always use gonadal shield;
 In case of children scan, please choose Children Mode.
 Be prudent during scan for the pregnant women .
4． Reduce radiation load
Adopt some measures to avoid overlapped examinations, so as to reduce the

radiation load implied on the patients.
 Give detailed advice to the patients not to move during scan and observe
the breathing instructions (lest any motion artifact is produced). If
necessary, fix thepatient with a safety belt.
 Use the technical indicators provided by the radiologist or diagnostician.

Use the dosage that generates optimal diagnosis result and minimum X-ray
exposure;
 Advise the patient to take off all his/her jewelry, hairpins, etc (lest any
metallic artifact is produced);
 Make sure the system is clean, because the remaining contrast agent may
produce artifacts.
2.9.3 Radiation Dose
2.9.3.1 Dose Phantom
Dose phantom is an organic glass cylinder. The diameter of the phantom for head
measurement is 160mm, the diameter of the phantom for body measurement is 320mm,
and its height should not be less than 140mm.
17
The phantom should have holes big enough to accommodate the radiation detector,
these holes should be parallel with the symmetry axis of the phantom, and its center
point A should be located at the center of the phantom, the peripheral holes are located
10mm below the phantom surface at 90° intervals, as shown in Figure 2-4.
Figure 2-4 Body phantom
2.9.3.2 CTDI Measurement
Measurement methods:
CTDI100(Center): CTDI performs check along the rotation axis of the phantom.
CTDI100(Surface): CTDI is capable to check 10mm below the surface. Positions B, C,

D, E (12 o'clock, 6 o'clock, 9 o'clock and 3 o'clock)
CTDI100 (Periphery): Check the average value of CTDI100 measurement around the
phantom.
Weighted CTDI100 (CTDIw) is defined as:

1 2
Weighted CTDI100（CTDIw）= CTDI100(Center)+ CTDI100(Periphery)
3 3
CTDI100 and CTDIw（body phantom）
The diameter of the phantom is 320mm, mainly used to examine patients with big,
medium and small sizes.
1． Dose measurement data
(Technical condition: 120kVp, 100mA, 4 rotation, large focal spot,collimator

20mm)
18
Chapter 2 CT Safety
Bowtie Filter
Small Large
CTDI
CTDI100(center) (mGy) 4.85 5.13
CTDI100(Periphery) (mGy) 9.14 10.47
WeightedCTDI100（CTDIw）(mGy) 7.71 8.68
2． Other parameters remain unchanged, CTDIw correction factors corresponding

different kVp values are shown in the table below.
Bowtie Filter
Small Large
kVp
80 0.33 0.34
100 0.63 0.63
120 1.00 1.00
140 1.43 1.42
3． Other parameters remain unchanged, and CTDIw correction factors

corresponding to different collimator widths are shown in the table below.
Bowtie Filter
Small Large
Collimator
20 mm 1.00 1.00
10 mm 1.06 1.06
5 mm 1.19 1.20
2.5 mm 1.36 1.37
1.25 mm 1.85 1.86
4． Other parameters remain unchanged, the corresponding relation between

CTDIw correction factors and current time product (mAs) is shown below:
Factor = [ average mA per rotation ] / 100 mA * 60 r/min / [ rotation speed in RPM ]
CTDI100 and CTDIw（head phantom）
The diameter of the phantom is 160mm, mainly used to examine heads and pediatric
patients.
1． Dose measurement data
(Technical condition: 120 kVp, 100mA, 4 rotation, large focal spot, collimator
width: 20mm)
Bowtie Filter
Small Large
CTDI
CTDI100(center) (mGy) 16.62 16.97
19
CTDI100(Periphery) (mGy) 17.64 18.90

WeightedCTDI100（CTDIw）(mGy) 17.30 18.26
2． Other parameters remain unchanged, CTDIw correction factors corresponding

different kVp values are shown in the table below.
Bowtie Filter
Small Large
kVp
80 0.36 0.37
100 0.65 0.65
120 1.00 1.00
140 1.39 1.39
3． Other parameters remain unchanged, and CTDIw correction factors

corresponding to different collimator widths are shown in the table below.
Bowtie Filter
Small Large
Collimator
20 mm 1.00 1.00
10 mm 1.07 1.07
5 mm 1.22 1.22
2.5 mm 1.40 1.40
1.25 mm 1.91 1.91
4． Other parameters remain unchanged, the corresponding relation between

CTDIw correction factors and mAs is shown below:
Factor = [ average mA per rotation ] / 100 mA * 60 r/min / [ rotation speed in RPM]
Volume CTDIW(CTDIvol)
Volume CTDIW（CTDIvol）is defined as below:
 piral scan: CTDIvol = CTDIw / pitch coefficient（pitch coefficient>0）
 Step-gathering axial scan: CTDIvol = CTDIw * [collimator width] / [scan

increment], (scan increment>0)
 Axial scan without increment: CTDIw * [Scan number of patient table at the
fixed position]
 Cine: CTDIvol = CTDIw * [ Number of Rotations ]
CTDI（Air）
Dose in Air at Isocenter is shown as below.
20
Chapter 2 CT Safety
Focal Collimator Bowtie Dose

position kV mA*s mGy/100mAs CTDI100
Spot (mm) Filter (mGy)
Center 120 100 L 20 S 5.439 5.439 27.2
Center 80 100 L 20 S 2.158 2.158 10.8
Center 100 100 L 20 S 3.623 3.623 18.1
Center 140 100 L 20 S 7.255 7.255 36.3
Center 120 100 L 10 S 3.02 3.02 30.2
Center 120 100 L 5 S 1.579 1.579 31.6
Center 120 100 L 2.5 S 1.135 1.135 45.4
Center 120 100 L 1.25 S 0.9149 0.915 73.2
Center 120 100 L 20 L 5.559 5.559 27.8
Center 80 100 L 20 L 2.272 2.272 11.4
Center 100 100 L 20 L 3.793 3.793 19.0
Center 140 100 L 20 L 7.532 7.532 37.7
Center 120 100 L 10 L 3.147 3.147 31.5
Center 120 100 L 5 L 1.642 1.642 32.8
Center 120 100 L 2.5 L 1.179 1.179 47.2
Center 120 100 L 1.25 L 0.9471 0.947 75.8
Maximum error
The error tolerance for all doses should limit in ±20%.
2.9.4 Sensitivity Distribution
 Below is sensitivity distribution under varied pitches @ collimator width: 20mm
Collimation Pitch Slice Thickness (mm) Measurement (mm) Error (%)

0.625 0.956 53.10
1.25 1.229 -1.67
0.5 2.5 2.187 -12.52
5 4.639 -7.22
10 9.52 -4.76
0.625 0.958 53.36
1.25 1.236 -1.09
20mm 0.75 2.5 2.211 -11.57
5 4.629 -7.41
10 9.406 -5.94
0.625 0.939 50.31
1.25 1.207 -3.42
1 2.5 2.16 -13.59
5 4.59 -9.52
10 9.52 -4.804
21
0.625 0.927 48.40

1.25 1.199 -4.09
1.375 2.5 2.16 -13.55
5 4.54 -9.16
10 9.31 -6.89
Pitch=0.5, Collimation=20mm
p0.5 20mm 0.625,fwhm=0.95686 err=53.0978 p0.5 20mm 1.25,fwhm=1.2292 err=-1.6662
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
p0.5 20mm 2.5,fwhm=2.187 err=-12.5196 p0.5 20mm 5,fwhm=4.639 err=-7.2199 p0.5 20mm 10,fwhm=9.5239 err=-4.761
1 1 1
0.9 0.9 0.9
0.8 0.8 0.8
0.7 0.7 0.7
0.6 0.6 0.6
0.5 0.5 0.5
0.4 0.4 0.4
0.3 0.3 0.3
0.2 0.2 0.2
0.1 0.1 0.1
0 0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
1 1.2 1
0.9 0.9
1
0.8 0.8
0.7 0.8 0.7
0.6 0.6
0.6
0.5 0.5
0.4
0.4 0.4
0.3 0.2 0.3
0.2 0.2
0
0.1 0.1
0 -0.2 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
22
Chapter 2 CT Safety

1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
1 1.2 1
0.9 0.9
1
0.8 0.8
0.7 0.8 0.7
0.6 0.6
0.6
0.5 0.5
0.4
0.4 0.4
0.3 0.2 0.3
0.2 0.2
0
0.1 0.1
0 -0.2 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
1 1.2 1
0.9 0.9
1
0.8 0.8
0.7 0.8 0.7
0.6 0.6
0.6
0.5 0.5
0.4
0.4 0.4
0.3 0.2 0.3
0.2 0.2
0
0.1 0.1
0 -0.2 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
 Below is sensitivity distribution under varied pitches @ collimator width: 10mm
Collimation Pitch Slice Thickness (mm) Measurement (mm) Error (%)

0.625 0.971 55.31
1.25 1.245 -0.39
0.5 2.5 2.206 -11.76
10mm
5 4.626 -7.48
10 9.029 -9.71
0.75 0.625 0.9635 54.16
23
1.25 1.233 -1.361

2.5 2.179 -12.84
5 4.567 -8.66
10 9.052 -9.48
0.625 0.963 54.08
1.25 1.232 -1.453
1 2.5 2.169 -13.23
5 4.528 -9.446
10 9.027 -9.73
0.625 0.986 57.74
1.25 1.264 1.11
1.375 2.5 2.233 -10.67
5 4.465 -6.69
10 9.021 -9.79
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
1 1 1
0.9 0.9 0.9
0.8 0.8 0.8
0.7 0.7 0.7
0.6 0.6 0.6
0.5 0.5 0.5
0.4 0.4 0.4
0.3 0.3 0.3
0.2 0.2 0.2
0.1 0.1 0.1
0 0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
24
Chapter 2 CT Safety
1 1 1
0.9 0.9 0.9
0.8 0.8 0.8
0.7 0.7 0.7
0.6 0.6 0.6
0.5 0.5 0.5
0.4 0.4 0.4
0.3 0.3 0.3
0.2 0.2 0.2
0.1 0.1 0.1
0 0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
1 1 1
0.9 0.9 0.9
0.8 0.8 0.8
0.7 0.7 0.7
0.6 0.6 0.6
0.5 0.5 0.5
0.4 0.4 0.4
0.3 0.3 0.3
0.2 0.2 0.2
0.1 0.1 0.1
0 0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
p1.375 10mm 0.625,fwhm=0.98587 err=57.7389 p1.375 10mm 1.25,fwhm=1.2639 err=1.11
1 1
0.9 0.9
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5
1 1.2 1.2
0.9
1 1
0.8
0.7 0.8 0.8
0.6
0.6 0.6
0.5
0.4 0.4
0.4
0.3 0.2 0.2
0.2
0 0
0.1
0 -0.2 -0.2
-2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 -15 -10 -5 0 5 10 15 -15 -10 -5 0 5 10 15
25
2.9.5 Geometrical Efficiency in Z Direction

Collimator Width(mm) FWHM(mm) Z_efficiency
20 20.18 79%
10 10.16 72.4%
5 5.2 65%
2.5 2.9 52.5%
1.25 2.69 36%
1． When collimator width is 20mm:
26
Chapter 2 CT Safety
27
4． When collimator width is 2.5mm:
5． When collimator width is 1.25mm:
2.9.6 Half-value Layer (HVL)
Half-value layer when measuring X-ray tube voltages 80 kVp, 100 kVp, 120 kVp and
140 kVp under narrow beam condition.
Half-value layer/mm Al is shown in the table below:
28
Chapter 2 CT Safety
(kVp）
80 100 120 140
Bowtie Filter
Small Bowtie 4.96 6.29 7.25 8.36
Large Bowtie 4.8 5.94 6.9 7.7
2.9.7 Extra-focal Radiation Limit
2.9.8 Stray Radiation Pattern
Below is the X-ray stray radiation pattern when the system is working. To be
responsible for the users, we put forward appropriate shielding requirements on
operators.
Condition:
29
320mm body phantom
120kV，360mA，2s，20mm，1 rotation acquisition mode: 32*0.625mm
Unit: uSv/scan (uSv/720mAs)
Top View
30
Chapter 2 CT Safety
Side View
2.10 Electrical Output on the Aspects of Loading Factor/Coefficient

1． The nominal X-ray tube voltage is 140kV, the maximal X-ray tube current that
can be achieved from the high-voltage generator is 360 mA when operating
under X-ray tube voltage.
2． The maximum X-ray tube current is 420mA, the maximal X-ray tube voltage
that can be achieved from the high-voltage generator is 120kV when operating
under the X-ray tube current.
3． The maximum output power is 50kW, the corresponding X-ray tube voltage of
this output power is 120kV, and X-ray tube current is 420mA.
4． The nominal electric power is 50kW, the corresponding X-ray tube voltage of
this output power is 120kV, X-ray tube current is 420mA, and the loading time
is 4s.
31
2.11 Deterministic Effects

During normal use, the patient may be exposed to CTDI100 1Gy (peripheral) or higher
radiation dose levels, and the effect may become apparent at that level. High radiation
dose management is the key to keep the radiation safety. With radiation dose, air ratio
of kinetic energy release, air kerma energy, image quality and radiation quality related
to the available scan settings include: Ma, kV, scan time, use the detector coverage.
The following table lists the scanning time (s) required for the same scanning position
to reach the CTDI100 1Gy peripheral irradiation dose at 200 mA. The time shown in
the scan time and the product of the 200mA are generated CTDI100 1Gy (outer)
required mAs. Note that for each of the tables in the table, the combination of the mA
and the scan time to achieve or exceed any of the mAs in this table may have a
radiation effect. For obese patients, mA may be larger than the practical example
shown in the table, should be used to get the mAs to determine the patient's exposure.
Test conditions for 200mA, 1 second speed, the use of film scanning mode.
Protocol Head Body Cardiac

CTDI
kVp 160mm 320mm 320mm
Phantom
Collimation Large Focal Large Focal Large Focal Large Focal Large Focal Large Focal
1.25 35 36 62 64 62 64
2.5 57 59 100 102 100 102
80KV 5 83 84 145 146 145 146
10 88 88 153 153 153 153
20 100 100 175 175 175 175
1.25 20 21 33 35 33 35
2.5 32 33 54 55 54 55
100KV 5 46 46 77 77 77 77
10 49 49 82 82 82 82
20 56 56 93 93 93 93
1.25 13 16 21 25 21 25
2.5 21 24 34 37 34 37
120KV 5 30 30 49 50 49 50
10 32 32 52 52 52 52
20 36 36 60 60 60 60
1.25 9 12 15 16 15 16
2.5 15 17 24 25 24 25
140KV
5 22 22 35 35 35 35
10 23 23 37 37 37 37
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Chapter 2 CT Safety
20 26 42 42
2.12 Safety of Laser Positioning Lamp

A label is fixed near the laser positioning lamp, as shown in Figure2-5, indicating laser
generation there.
Figure 2-5 Label for laser
Warning:
Laser beams may cause damage to eyes.
Tell the patient to close his/her eyes before switching on the laser.
Make sure the laser positioning lamp has been switched off before departure from the
patient.
 When the laser positioning key is pressed, the key is highlighted, and
meanwhile, the laser positioning lamp is switched on.
 Instruct the patient to keep his/her eyes closed before the laser positioning lamp
is switched off.
 When the laser positioning lamp is turned on, it will automatically enable 60s
delay, and it will be turned off automatically in case of failure of switching off
within 60s.
2.13 Biocompatibility
All the components used in this equipment are in compliance with the requirements on
the biocompatibility of components contacting with human body as described in
relevant provisions of ISO10993-1.
33
2.14 Environmental Pollution

As some materials used in this equipment may be harmful to the environment, it's
advised not to reject the abandoned components or system carelessly. They should be
reclaimed by the organizations designated by manufacturer or the local government.
2.15 Safety of Medical Electrical System

Make sure the protective grounding of all the medical electrical devices and
non-medical electrical devices in the system are concurrently connected to the common
grounding wire terminal.
The signal input and output ports in the system must be connected with the equipment
specified by this Company. In case of connecting with any equipment not specified by
this Company, the equipment must comply with IEC 60601-1 Medical Electrical
Equipment Party 1: General Requirements on Safety or equivalent safety standards,
and the system after connection should meet the requirements of IEC60601-1-1
Medical Electrical Equipment Party 1-1: Collateral Standard General Requirements on
the Safety of Medical Electrical System.
2.16 Planned Maintenance and Routine Inspection

This system not only requires users to operate it correctly but also to carry out regular
maintenance and inspection. Such maintenance and regular inspection are necessary to
ensure the safety, effectiveness and reliability of equipment operation.
During the warranty period, only Anke or the agent authorized by Anke is allowed to
make maintenance and changes on the equipment. In the latter case, there will be a
copy of technical specifications available, including all the changes in nominal
parameters and work conditions that may be used. The names of relevant companies
and maintenance dates are recorded in the technical specifications.
We strongly advise users to keep the maintenance records, including the maintenance
dates, maintenance personnel and any useful descriptions.
The user is required to formulate a set of routine inspection procedures.
Daily maintenance
 X-ray tube: Conduct preheating and fast calibration every morning, for the
purpose of protecting the tube and getting better images.
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Chapter 2 CT Safety
 The requirements on temperature and humidity are shown in the table below:
before power on CT system, the scanner room must meets requirements in the
table for more than half an hour and preset humidity before scanning. The
environment requirements which describe in Table 2-1 meet the cooling
requirements for CT system and envirement requirements for submodules.
Table 2-1 Requirements on operation environment
Items Scope
Temperature Scanner room:20℃~26℃; Console room:18℃~28℃
Scanner room:30%~70% （ No Condensation ）； Console
Humidity
room:20%~80%
 Disadvantages of dryness
（1） Likely to generate static charges.
（2） Dusts tend to be gathered onto the machine causing creepage and
mechanical failure.
 Ventilation
Normal ventilation is required in the machine room, and it's advised to install a
scavenger fan. The ions produced upon tube exposure may corrode the circuit
board and is harmful to human body.
 Electrostatic protection
Plastic flooring or carpet should not be paved in the machine room, and the
humidity in the machine room should not be lower than the required standard.
 Wireless transmitting and receiving devices
Any other wireless transmitting and receiving device outside of the system may
affect the system communication. Therefore, the patient is required to turn off
these devices, e.g. pager, mobile phone, radio, etc.
 Patient table
Clean and disinfect the table board, accessories of the patients, immobilizing
bandage and table sheets according to the sanitation and healthcare
requirements.
Weekly maintenance
35
 Clean the outer surface of the console with a piece of lint-free cloth dipped with
neutral detergent without any abrasive effect.
 Clean the monitor screen with a piece of lint-free cloth dipped with
isopropanol.
 Clean the display and the console with a piece of lint-free cloth dipped with
neutral detergent without any abrasive effect.
 Clean and disinfect the outer enclosure of the Gantry.
 Make sure all the functions of patient's accessories, e.g. nylon fastener tape for
fixing patients, are in normal condition.
Maintenance Cycle
Maintenance cycle is shown in Table Table 2-1, maintenance may also be done
according to stipulations in the contract if agreed by the user.
Table 2-1 Maintenance Cycle
Components Operation Cycle

X-ray Tube Replace 150,000/200,000 rotate
Replace every 3 years,
Carbon Brush Replace or Clean
Clean every 3 months
Each year or upon call for
Slipring Clean
maintenance
Every 3 years or
Belts Clean
upon call for maintenance
Confirm it works properly and Each year or
Heat exchanger
clear away dusts if necessary upon call for maintenance
Each year or
HV module Check
Each year or
SSC box Check
Check fans and clear away dusts Each year or
RSC box
if necessary upon call for maintenance
Each year or
Collimator Check
Check installation of the drive
Drive pulley and Each year or
pulley and driven pulley, and
driven pulley upon call for maintenance
clean with isopropyl alcohol
Antenna Clear away dusts and clean with Each year or
36
Chapter 2 CT Safety
Components Operation Cycle

isopropyl alcohol upon call for maintenance
Each year or
Data receiver Check
Confirm fans work properly and Each year or
Gantry top fans
clear away dusts if necessary upon call for maintenance
Each year or
Brakes Confirm all brakes work properly
Each year or
Laser alignment Confirm alignment is correct
Check fans and clear away dusts Each year or
Computer of scan
if necessary upon call for maintenance
Check and confirm all cables Each year or
Cables of system
are safe and properly connected. upon call for maintenance
Each year or
Patient table Check
2.17 Cleaning, Disinfection

The equipment should be cleaned and disinfected frequently, as described below:
Warning:
It's advised to switch off power supply during cleaning and disinfection process to
avoid electric shock occurs.
Caution:
Prevent water and other liquids from entering the equipment to avoid short circuit.
The methods for equipment and room disinfection must comply with the local laws on
equipment use and laws and regulations with legal force.
2.17.1 Cleaning
Components coated with paint and aluminum surface can only be cleaned with a piece
of wet cloths dipped with soft detergent, and then dried with a piece of dry cloth. It's
forbidden to use any corrosive cleaner or any resolvent and corrosive detergent
orpolishing agent. If you have any doubt on any leaner, please do not use it.
37
Do not use any abrasive polishing agent. Non-abrasive wax can be used to protect the
coating.
2.17.2 Disinfeciton
All the equipment components, including accessories and junction cables, can be
cleaned and disinfected by a piece of cloth dipped with disinfectant.
Do not use any corrosive or resolvent disinfectant. If you have any doubt on a
disinfectant, please do not use it.
Danger:
It's forbidden to use flammable and explosive disinfectant for spraying, because their
steam may burn and cause personal injury and equipment damage.
Warning:
Spray isn't recommended for disinfection of medical equipment room, because the
steam may penetrate into the equipment and lead to electrical short circuit and
corrosion.
In case of non-flammable and non-explosive spraying disinfectant, switch off the

power supply of the equipment and cool it down before use.
To prevent disinfectant moisture from entering the equipment due to convection, do not
spray disinfectant unless the equipment is entirely covered by a piece of plastic.
When the disinfectant has been volatilized, the plastic can be removed and the
equipment can be disinfected by the recommended method.
In case spraying is adopted, the operator has to make sure all the steam has been
volatilized completely before switching on the power supply of the equipment.
The methods for equipment and room disinfection must comply with the local laws on
equipment use and laws and regulations with legal force.
Disclaimer:
 Anke isn't responsible for the disinfection of the system surface.
38
Chapter 2 CT Safety
 Anke isn't responsible for the infectious diseases breeding on contaminants

andsystem surface.
2.18 Symbols and Labels

Some Symbols are attached onto this equipment, as shown Table2-2 below.
Table 2-2 Warning signs
Symbols Description
Grounding
Laser radiation
High voltage!
Hand injury
Ionizing radiation
Danger! High voltage!
Electric Shock
Max load
PDU safety considerations
PDU safety operating
Refer to user manual.
Date of manufacture
39
Symbols Description
Manufacturer
Authorized representative in the European

Community
E.U. marketing marked
Labels of this system and where they are stuck:
1． Figure 2-6 is a system label, pasted on the Gantry.
Figure 2-6 System label
2． Figure 2-7 is a gantry label, pasted on the gantry.
Figure 2-7 Gantry label
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Chapter 2 CT Safety
3． Figure 2-8 is a patient table label, pasted on the patient table.
Figure 2-8 Patient Table lable
4． Figure 2-9 is a console label, pasted on the console.
Figure 2-9 Console label
5． Figure 2-10 is a PDU label, pasted on the surface of the PDU Box.
41
Figure 2-10 PDU label
6． Figure 2-11 is a detector label, pasted on the detector.
Figure 2-11 Detector label
7． Figure 2-12 is an intercom label, pasted on the intercom.
Figure 2-12 Intercom label
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Chapter 2 CT Safety
8． Figure 2-13 is a high-voltage generator label, affixed on the high-voltage

generator.
Figure 2-13 High-voltage generator label
9． Figure 2-14 is a tube component label, affixed on the tube component.
Figure 2-14 Tube component label
10． Figure 2-15 is a collimator label, affixed on the collimator.
43
Figure 2-15 Collimator label
2.19 Intended Use

This CT system is intended to use human cross-section CT scan, provide clinical
information to medical bodies.
Scope: People who are suitable for inspection. The clinical trials don’t include children,
and children’s scanning conditions, radiation doses and contrast doses are different
from adults. Be careful with children.
2.20 Contraindication
CT scan for pregnant women should be treated with caution; the need for gonad and
thyroid structure of X-ray sensitive should do X ray protection during CT scan.
In order to get images with high quality, make sure that the patient’s heart rate does not
exceed 65 bpm before cardiac scan. If the patient has a heart rate of more than 65 bpm,
this could generate movement artifacts and cause a certain impact to the diagnosis.
When the patient’s heart rate exceeds 60 bpm, we do not recommand to continue the
cardiac scan.
2.21 Life Cycle

The life cycle of this ANATOM 64 Clarity CT system is designed for 10 years. When
the life cycle of this CT system ends, use of this CT system shall be stopped. The life
cycle of tube is 100,000 times, and the detector is 1 years.
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Chapter 2 CT Safety
Warning:
When this CT system’s life cycle ends, its safety and effectivness will degrade in some
degree. To continue to use this CT system will damage operator and patient.
2.22 Customer Service

Company: Shenzhen Anke High-tech Co,.Ltd
Add: Block B, LingYa Industrial Zone, Tangtou No.1 Road, Shiyan Sub-district,
Bao'an District, Shenzhen, 518108
Service: 400 830 6169
2.23 Registration Information

Registor: Shenzhen Anke High-tech Co,.Ltd
Manufacturer: Shenzhen Anke High-tech Co,.Ltd
Add: Block B, LingYa Industrial Zone, Tangtou No.1 Road, Shiyan Sub-district,
Bao'an District, Shenzhen, 518108
Production Date: Please refer to the lables on CT
Identification Number:
45
Chapter 3 Introduction to CT System
Abstract
This chapter mainly presents the key hardware components of CT system and provides
necessary background information of the system.
3.1 Overview
This chapter mainly presents relevant hardware components, mainly including: PDU,
Gantry (includes detector、HV Generator、tube and collimiator), patient table and
console (includes computer、monitor and intercom). The background information of the
system provided in this chapter is very necessary for understanding other topics
discussed in the following chapters and sections.
3.2 Gantry
The Gantry is as shown in Figure 3-1 and Figure 3-2.
47
Figure 3-1 Gantry (Front)
（1）Gantry display
（2）Emergency stop indicator
（3）Emergency stop button
（4）Gantry keyboard
48
Figure 3-2 Gantry（Back）
（1）Emergency stop indicator
（2）Emergency stop button
（3）Gantry keyboard
3.2.1 Gantry Display
The Gantry display shows the current states of the Gantry and the patient table, as
shown in Figure 3-3.
49
Figure 3-3 Gantry Display
1． Manufacturer name
2． X-ray exposure indicator: shows X-ray exposure status. Illumination of it

means exposure is on.
3． E-stop indicator: indicating the state of the e-stop, It's in e-stop state when the
indicator is illuminated, and it' will stop the movement of the patient table and
Gantry and as well as the ongoing X-ray exposure.
4． Table board unlocking indicator: indicating the horizontal unlocking state of

the patient table, and it's in unlocking state when the indicator is illuminated.
After table board unlocking, it can "float freely".
5． Laser positioning lamp: indicating the state of the laser positioning lamp. It's
ON when the indicator is illuminated.
6． DMS pre-heat indicator: the indicator is on when DMS pre-heat is ongoing.
50
7． ECG indicator: When ECG is connected and successfully started up，the

indicator is illuminated and real time heart rate is displayed.
8． Tube voltage.
9． Tube current.
10． Scan duration.
11． Patient table horizontal position: horizontal position displayed as absolute

position, ranging: 0mm~1850mm.
12． Patient table vertival position: vertical position displayed as absolute position,
the range is over 500mm.
13． Gantry tilt angle: current tile angle. Positive angle means gantry top tilts
towards patient table; negative angle means gantry top moves away from
patient table. unit:°.
3.2.2 Gantry Keyboard
Gantry keyboard includes some keys, used to control the movement of the Gantry and
the table. The Gantry keyboard is located on the Gantry, with one arranged on the front
and back respectively, in bilateral symmetry. The Gantry keyboard is shown in Figure
3-4.
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Figure 3-4 Gantry Keyboard
1． Shows current tilt angle of the gantry
Postive angle means gantry top tilt towards the patient table, negative angle
means the gantry top tilt off the patient table. Tilt increases by 0.5 ° ,
ranging :-30°~30°.
2． Shows current vertical positon of patient table.
Vertical position ranging: over 500mm.
3． Shows current horizontal positon of patient table.
Horizontal position ranging: 0mm~1850mm.
4． StopScan
The StopScan key is illuminated during scan loading or scanning ongoing,

normal operation status.
52
In case of emergency，the scan may be stopped upon a press on StopScan; If

scan is completed while reconstruciton is ongoing, a press on StopScan will not
stop reconstruction; In case of ongoing countdown before x-ray expousre, a
press on StopScan will stop the countdown and exposure preparation.
5． StartScan
StartScan flashes upon scan preparation completion, a normal operable status.
Press StartScan and scan starts; If delay is pre-set, upon press of StartScan, an
icon of delayed exposure and a countdown hour meter will be displayed, as
shown in Figure 3-5. Time from press of StartScan will be counted down, upon
completion of which x-ray exposure will start automatically.
1.delayed exposure indicator 2.countdown hour meter 3.X-ray exposure indicator
Figure 3-5 Delayed Exposure
6． Table Up
Raise the patient table. This key is illuminated at an operable status when the
system is at a static or rotary standby mode.
When the key is held down, the patient table will be raised; Upon release of the
key, the patient table will stop rising.
7． Table In (approaching the Gantry): Make the patient table move towards the
gantry. This key is illuminated at an operable status when the system is at a
static or rotary standby mode.
When the key is held down, it's highlighted, and the patient table will move
forward; The key light will go off upon release, and meanwhile, the patient table
stops moving.
8． Fast
53
This key is illuminated at an operable status when the system is at a static or

rotary standby mode.
Press this key together with Table Up, Table Down, Table In and TableOut,
gantry tilt in or tilt out, operations will be accelerated. Upon release of this key,
acceleration stops.
9． Table Out (Away from the gantry)
Make patient table move backward. This key is illuminated at an operable

status when the system is at a static or rotary standby mode. When the key is
held down, patient table moves out of the gantry. Upon release, patient table
stops moving; If this key is pressed in the middle of scanning, the ongoing scan
stops, patient talbe moves out, and the system will get into a state of rotating
and waiting for scan.
10． Table Down
Make the patient table descend. This key is illuminated at an operable status
when the system is at a static or rotary standby mode.
When the key is held down, the patient table will descend; Upon release of the
key, the patient table will stop rising. Upon press of the key in the middle of a
scan, the scan will stop and the patient table will descend and come to the
normal operable status.
11． Index to Scan Plane

When the key is held down, the patient table moves to the scan plane and the
illumination of the key is off. If released in the middle before the patient table
moves to the scan plance, the key flashes indicating the movement needs to be
continued. After movement of the patient table to the scan plane, the key
illumination is off and any change of the patient talbe will cause the key to be
illuminated, an operable status.
12． Alignment Lamp Toggle
Alignment Lamp Toggle has two states, i.e. ON and OFF. This key is not
highlighted and laser light is off by default. When pressed, the key is highlighted
54
and the laser light is switched on, and meanwhile, 60s delay is enabled. Upon
another press, the key light goes off, and meanwhile, the laser light is switched
off. If the laser light isn't switched off within 60s, the laser light will be switched
off automatically after 30s.
Laser alignment lamp is only used for patient positioning. Patient should close
eyes when the laser alighnment lamp is on.
13． Table Lock Toggle
By default, patient talbe is locked and the key is off.
When this key is held down, the patient table is unlocked and this key is
highlighted; When this key is highlighted and the display on the gantry has an
highlighted patient table unlock icon, the table can move freely. Press this key
again, the table is locked and this key as well as the table unlock icon on hte
display is off. This key can not be used when scan loading or scan is ongoing.
14． System Unload

When the key is held down, it's highlighted, the patient table moves back to its
original position and descends to the lowest position; Meanwhile, the tilt angle of
the gantry is reset (returns to 0), and it stops moving upon release, and the key
isn't highlighted anymore.
15． System Load

The key is highlighted when it's held down, the patient table rises to the highest
position and more forwards to External Land Mark, and it stops moving upon
release and the key isn't highlighted anymore.
16． Tilt in
Make the Gantry top tilt towards the patient table. This key is illuminated at an
operable status when the system is at a static standby mode.
When held down, the key is highlighted and the Gantry begins to tilt; Upon
release, the key light goes off, and meanwhile, the Gantry stops moving.
55
Maximum tilt angle: +30°
17． Tilt out
Make the Gantry top tilt off the patient table. This key is illuminated at an
operable status when the system is at a static standby mode.
When held down, the key is highlighted and the Gantry begins to tilt; Upon
release, the key light goes off, and meanwhile, the Gantry stops moving.
Maximum tilt angle: +30°
3.2.3 Breath Indicator
Breathing indicator is used to effectively indicate the breathing of the patient,

particularly the lung and heart scanning time, so as to reduce the impact of breathing
on the image and improve the image quality.
A breathing indicator is located on the front cover and back cover of the Gantry
respectively. The breathing indicator is as shown in Figure3-6 and Figure3-7.
Figure 3-6 Breath Indicator (Breathing)
Figure 3-7 Breath Indicator (Holding-breath)
1． Inhaling indicator
When the automatic voice prompts "Breath in, and hold breath", the green
indicator representing "breath" will be illuminated.
56
2． Breath countdown
When the holding-breath indicator is illuminated, the countdown is ready; and

when X-ray exposure begins, breath countdown will be started.
3． Holding-breath indicator
Upon an automatic voice prompt for holding breath, the breathing indicator will
go off, and the amber indicator indicating "holding breath" will be highlighted.
3.3 Patient Table

Patient table is used to load the patient for scanning, as shown in Figure 3-8.
Figure 3-8 Patient Table
1． Table board
The table board can move into or out of the bore of the gantry.
2． Table up/down Foot switch
The foot switch is located below the seat leg of the table. When the operator steps
on “UP” button, the table goes up; when the operator steps on “DOWN” button,
the table falls down.
The waterproof rating of the foot swith is IP68.

57
3． Accessories of patient table
The assessories are patient table pad, head holder and head holder pad.
The patient table pad and head holder pad are made of PU leather, and the head
holder is made of carbon fiber. All are shown in Figure 3-9.
1.head holder pad 2.head holder 3.patient table pad
Figure 3-9 Patient table accessaries
Warning:
If not fixed well, the head holder may becomes loose and hurt the patient. Make sure
the head holder is well insorted into the socket on the patient table before using it.
Caution:
It is highly recommend wrapping the patient table pad with disposable sheet to prevent
soiling during scanning.
58
3.4 PDU
PDU provides power supply to the patient table and Gantry. The unit is a separate
hardware, which together with the patient table and Gantry are usually located in the
same room.
1． PDU power indicator, the indicator turns gress when power on.
2． Emergency stop button
59
The function of PDUs in Figure 3-10 is the same, we will provide the adequate PDU
according to the local power voltage.
Figure 3-10 The Internal of PDUs
1． Main switch of PDU
60
3.5 Operating Console

The console is used by the operator mainly for setting scan protocols and processing
the generated imaging data.
Figure 3-11 Operating Console
The console mainly consists of:
 Monitors
 Computers
 Mouse
 Keyboard
 Intercom
3.5.1 Monitor
Monitor requirements: 24 inches wide screen.
3.5.2 Mouse
Shortcuts frequently used on the keyboard are shown in Table 3-1.
61
Table 3-1 Mouse terminology
operation Function
Roll the mouse wheel View the previous/next page
left click and drag Enlarge or shrink an image
Press the mouse wheel and drag Remove an image
Right click and drag Adjust window width of an image
Double click the left button Max./Current window switch
3.5.3 Intercom
Intercom is shown as Figure 3-12.
Figure 3-12 Intercom
1． Emergency stop button
E-stop button is placed on the intercom, used for remote control of the Gantry
and patient table. Upon a press on the e-stop button, the power supply of patient
table and gantry will be switched off, including the ongoing X-ray exposure.
Press again to restore.
2． Emergency stop indicator
62
Upon a press on the e-stop button, the red emergency shutdown indicator is
illuminated, indicating it's currently under emergency shutdown state.
3． System switch on/off key
Press on the key for 3s to start the system, the system switch on indicator is
illuminated and the gantry display shows the process of system switch on.
Press on the key for 3s to shutdown the system, the system switch off indicator
is illuminated and the gantry display shows the process of system shutdown
4． Exposure indicator
Indicate the exposure state of X-ray. It's at exposure state if the amber indicator is
on.
5． Microphone voice adjustment knob
Adjust the voice of the doctor to the patient.
6． Communication indicator
When pressing the key, the speaking indicator is illuminated and release of the
key makes the listening indicator on.
7． Sound volume adjustment of the speaker
Adjust the voice volume of patient replies to the doctor.
8．Sound volume control
Control the automatic sound of the gantry (recorded voice).
9． Communication key
Press the key to enable the doctor to talk to the patient; Release the key to
enable the patient to talk to the doctor. The key is released by default.
10． System Unload

When the key is held down, it's highlighted, the patient table moves back to its
original position and descends to the lowest position; Meanwhile, the tilt angle of
the gantry is reset (returns to 0), and it stops moving upon release, and the key
isn't highlighted anymore.
63
11． Table Out (Away from Gantry)
Make patient table move backward. This key is illuminated at an operable

status when the system is at a static or rotary standby mode. When the key is
held down, patient table moves out of the gantry. Upon release, patient table
stops moving; If this key is pressed in the middle of scanning, the ongoing scan
stops, patient talbe moves out, and the system will get into a state of rotating
and waiting for scan.
12． Table move/Gantry tilt
This key is a combination of patient table movement and gantry tilt.
When the scan interface indicates the patient table needs to move to the
required place, this key flashes, an operable status. Press and hold this key and
it becomes highlighted. The key light is off when the patient table reaches the
required place; If this key is released before the patient table reaches the
required place, the key flashes and the scan interface indicates the continual of
the operation.
Upon scan completion, the scan interface indicates the gantry needs to move to
a designated angle, meanwhile this key flashes, an operable status. Press and
hold of this key, it becomes highlighted. The key is off when the gantry rotates
to the designated angle. If released before the gantry rotates to the designated
angle, this key flashes and the scan interface indicates the continual of the
operation.
The operating and scan interface shows real time changes of patient table
positions and gantry angles.
13． Table In (approaching the Gantry)
Make the patient table move towards the gantry. This key is illuminated at an
operable status when the system is at a static or rotary standby mode.
When the key is held down, the patient table will move forward; when release
this key, the patient table stops moving.
14． StartScan
StartScan flashes upon scan preparation completion, a normal operable status.
64
Press StartScan and it becomes highlighted. The light of the key is off and
exposure indicator is on when exposure starts.
15． StopScan
The StopScan key is illuminated during scan loading or scann ongoing, an

operable status.
In case of emergency，the scan may be stopped upon a press on StopScan; If

scan is completed while reconstruciton is ongoing, a press on StopScan will not
stop reconstruction; In case of ongoing countdown before x-ray expousre, a
press on StopScan will stop the countdown and exposure preparation.
3.6 Power On and Power Off
Caution：
Power on and power off the system can only be used for partical conditions, such as
service engineers or the blackout in hosipital and so on. For operators, please refer to
3.7 Daily turn on and turn off.
3.6.1 Power On
Before power on the system, please make sure that the environment of scannning room
is in an appropriate condition.
Follows are basic steps to power on the system:
1． Open the door of distribution box, switch on the main power switch.
2． Check the state of red E-stop button:
 If it is pressed, rotate E-stop button on PDU’s door, then go to step3;
 If it is not pressed, please go to step3 directly.
3． Open the door of PDU, put the main switch to “ON”, and the indicator on the
door turns to green, PDU is power on.
4． Press the [system switch on/off] button on the intercom 3 seconds to open the
power of gantry, and the screen shows the process of power on.
5． Switch on the computer and monitor power supply on the console.
65
Warning：
If the PDU is powered off for more than 30 min, after power on, you need to wait an
hour before calibration and scanning.
3.6.2 Power Off
Follows are basic steps to power off the system:
1． Press the [system Start/Shutdown] button on the intercom for 3s to switch off
gantry power supply and the display on the gantry shows the process of system
shutdown.
2． Open the door of PDU, put the main switch to “OFF”.
3． Open the door of distribution box, switch off the main power switch.
3.7 Daily Turn On and Turn Off

The CT system provides one button to turn on or turn off the system, that’s can meet
hospital’s daily demanding.
A button to turn off the system
You can turn off the system by one of the methods.
 Press the [system Start/Shutdown] button on the intercom for 3 seconds to

switch off gantry power supply.
 Or in the CLEAR View interface, click [Main Menu→Close Device] to switch

off gantry power supply, the screen shows the process of shutdown.
A button to turn on the syetem
If you turn off the CT system by one button, you can follow the steps to turn on system.
1． Press the [system switch on/off] button on the intercom 3 seconds to open the
power of gantry, and the screen shows the process of power on.
2． Switch on the computer and monitor power supply on the console.
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Abstract
This chapter mainly gives a brief introduction to the console software and helps users
achieve a macro-image of the software.
4.1 Overview
The Clearview software is developed on the Windows platform, applicable to the CT
systems.
The software has strict user authorization, and user responsibility and authority are
separated. The system covers patient registration, examination, image 3D, 3D
processing and other procedures, and it also supports film printing and can be
connected to HIS system according to the condition of the hospital.
The operating interface is concise and is easy to operate.
4.2 CT Scan Procedures

CT scan procedures are shown as below Figure 4-1.
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Figure 4-1 Operation/Scan procedures
4.3 System Login
4.3.1 Login
Before executing scan in the system, the user needs to log into the system, so that the
system can identify the user type.
1． After the computer is started, the login interface is prompted automatically, as
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Figure 4-2 System Login
2． The user logs in this system.
 Enter [User ID]. This user name is assigned by the administrator.
 Enter [Password].
3． Click<Ok> to enter CT system interface.
4.3.2 Exit
Quit safely before leaving the system. If it is scanning or has unfinished scanning, you
cannot exit the system. Please close the current patient before exit the system.
1． Click the button at the bottom right corner of the interface.
2． Enter the interface as shown in Figure 4-3.
Figure 4-3 Exit & Log off
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3． Select [Close Computer] to close the computer on the console, this is mainly
used to restart ClearVIEW software.
4.3.3 Log Off
When switching to another Login account, the current user login should be canceled.
1． Current login account is shown at the bottom of the interface, check if account
switch is necessary.
2． Click , select[Log off], Login interface pop up as shown in Figure4-2.
3． Enter new account and password to log in.
4.3.4 System Information
2． Select [About] and the details of system information pop up.
Figure 4-4 System Information
4.3.5 Help
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2． Select [Help] and you get the Operation Manual of this system.
4.4 Update Code and Dog
1． Click the button at the bottom right corner of the interface, select
[About] to check to expire of code and dog. The code will be alarm 3 days
before expiration, and dog will be alarm 7 days before expiration. Users should
apply for new code or dog updating file from ANKE before expiration.
Figure 4-5 Check dog and code valid date
2． Update code
Copy new code file which Anke provides to U Disk, then click <Update Code>
key, a dialogue box appears, choose the new code from U Disk and you can
activate the new code.
3． Update dog
Click <Update Dog> button, and pops up an interface to update the dog. First,
you have to generate a request file and email to zengkai@ankenj.com, then
update dog after you get the updating file.
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4.5 Operation Interface Introduction

Upon completion of warm-up, the sytem automatically enters Operation/Scan
Interface.and Scan interface is displayed by default.
This section describes the system taking [Scanning] interface as an example in Figure
4-6.
Figure 4-6 Operation/Scan interface（Scan interface as an example）
1． Image display area
2． Tool Bar
3． System function area.（Current module highlighted）
Functions of modules such as [Scan], [View], [3D], [Film], [Patient], [Report],

[Service], [Protocol] are described in the following chapters in details.
4． Set button, Press the botton to exit, log in/off system and view version
information, or get help.
5． Date, Time
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6． Current user
7． Remain space of the disk where the scan data is stored.
8． RC,SC connection status.
 When RC or SC is connceted, is displayed;
When RC or SC is disconnected, is displayed.
9． Display the current heatcapacity.
10． Operation indication, system operation information is displayed here.
4.6 Warm up & Calibration
Warning：
Nothing can be placed in the gantry during warm up or calibration. Anything in the
gantry may cause disturbance to the scan images.
The daily calibration frequency for users is shown below.
Table 4-1 Daily calibration frequency
Calibration items Frequency

Fast calibration Once a day
Air calibration、scout calibration Once a month
Angle calibration Once a month
Water calibration Once every three months
4.6.1 Warm up
Warm up is conducive to a pro-longed tube life and reduce probability of human

disturbance.
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 Notes:
If the heat capacity in the ClearVIEW is less than 10, do a warm up. If you keep on
scanning, the system will remind you to do a warm up before scanning.
 Notes:
If the PDU is powered off for more than 30 min that makes detector cool, you have to
wait about one hour after power on, which can warm up detector to its working
temperature.
Select [service→Daily Maintenance], click to enter warm-up interface. Click

<Load> button to start warming up, when the progress bar is full, the warm-up is
completed.
Figure 4-7 Warm-up
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4.6.2 Fast Calibration
Fast calibration is one part of the daily operation after warm up, which can ensure the
high quality images. So we suggest that do a fast calibration every 24 hours.
1． Select [Service→Daily Maintenance], click to enter warm up interface.

If you haven’t done a fast calibration for more than 24 hours, a prompt window
will pop up.
2． Click <Confirm> to enter fast calibration, as shown in Figure 4-8. If the system
hasn’t been done a basic calibration or a full calibration for more than 3 months,
you have to do a full calibration first.
Figure 4-8 Fast calibration
3． Choose parameters of the fast calibration, and then click <Load> to execute
calibration. The system will check the period of validity in this loading.
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4． The interface appears a safety tip box, please follow the tips to make sure
everything is done in the field. Click <Confirm> after completion.
5． After loading, the system reminds you to tilt gantry / move patient table, and
the <Table move/gantry tilt> button on the intercom blinks in blue at the same
time. Press and hold this button until the gantry/table move to the destination,
and the promping box disappears.
6． At the moment, the <StartScan> button on the intercom blinks in green, press
the button to start the calibration. The indicators in the system’s interface and
on the intercom light up simultaneously during exposure.
7． The in front of the calibration paremeters turns to green after the

calibration completed.
4.6.3 Full Calibration
To get high quality images, we need to do a full calibration if the system has run a long
period.
1． Select [Service→Daily Maintenance], click to enter full calibration

interface.
Warning：
Before execute every calibration, a safety tip box will be pop up, please make sure that
all the requirements have been met.
2． Select <Air Calibration> button to enter air and scout calibration interface.
（1） Choose parameters to execute calibration, then click <Load>.
（2） The interface appears a safety box, please follow the tips to make sure
everything is done in the field. Click <Confirm> after completion, as shown in
Figure 4-9.
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Figure 4-9 Air Calibration
（3） After loading, the system reminds you to tilt gantry / move patient table,
and the <Table move/gantry tilt> button on the intercom blinks in blue at the
same time. Press and hold this button till the gantry/table move to the
destination and the promping box disappears.
（4） At the moment, the <StartScan> button on the intercom blinks in green,
press the button to start the calibration. The indicators in the system’s interface
and on the intercom light up simultaneously during exposure.
（5） The that in front of the calibration paremeters turns to green after
the calibration completed.
3． Select <Angle Calibration> button to enter angle calibration interface. The

details of the operation are same to step 2.
4． Select <Water Calibration> button to enter water calibration interface.
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（1） Put the phantom on the phantom mounting bracket, as shown in Figure 4-10.
Figure 4-10 Lay the phantom
（2） Choose parameters to execute calibration, then click <Load>.
（3） The interface appears a safety box, please follow the tips to make sure
everything is done in the field. Click <Confirm> after completion,
（4） If the height of the table cannot meet the requirements, the interface will pop up
[Moving patient table] box, press and hold <Moving> button until the table
moves to the presetting position.
（5） After loading, the system reminds you to tilt gantry / move patient table, and
the <Table move/gantry tilt> button on the intercom blinks in blue at the same
time. Press and hold this button until the gantry/table move to the destination,
and the promping box disappears.
（6） At the moment, the <StartScan> button on the intercom blinks in green, press
the button to start the calibration. The indicators in the system’s interface and
on the intercom light up simultaneously during exposure.
（7） The that in front of the calibration paremeters turns to green after the
calibration is completed.
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Chapter 5 Scan Module
Abstract
This mainly describes general procedures for CT scan operation and image viewing &
processing.
5.1 Scan Interface

Upon completion of routine maintenance, user enters [Scan Interface] as Figure 5-1.
Figure 5-1 Scan interface
Scan interface consists of the following units:
I． Image display unit
II． Scan control unit
III．Meansurement and Markers unit
IV．Information display unit
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5.2 Patient Preparation for Scanning

1． Check and remove metal items at the position to be examined to avoid artifacts,
including hair clips, keys, coins or other metalic buttons, etc.
2． Soothe patient by explaining the noise made by the machine during scan.
3． Let patients take depressants as required by the doctor if the patient is not
cooperative, such as a baby or fainted person.
4． Patient of chest scan needs breathing exercise following the breathing

instructions or breathing indicator to avoid artifacts caused by breathing or
chest movements. Click in the [Scan] interface can do a breath training

with patients before scanning.
Figure 5-2 Breath training
5． Check drug allergy history and diseases that don't go with contrast agent for
patient that needs CT enhancement and determine if allergy test is necessary.
5.3 Lay the Patient

Scan process starts from patient positioning, which determines image quality. Improper
positioning causes image distortion.
1． Fix headholder or foot pad onto the patient table board at the end towards the
gantry.
2． When the table board is locked, make clear if lying on the back or on the side is
needed, if the head or the feet need move into the gantry and then let the patient
lie down.
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If needed, fix the scanned part of patient with auxiliary devices.
Caution:
To avoid patient injury during table motion, more attention should be paid to patient
hands, feet, loose clothes and IV drip pipes and oxygen pipes. Make sure no obejct
becomes an obstacle during table motion.
3． Lift the patient table board as requested by patient body part to scan.
4． Switch on the laser lamp and make it parallel with the anatomy reference and
align with the center of the anatomy part.
Danger:
Always instruct the patient to avoid staring at the laser, the positioning laser may cause
damage to eyes.
5.4 Register
Before scanning, register the patient, through one of the following methods.
 Register a new patient
 Emergency patient registration
 Select a patient from worklist
 Appointment
 Scanned patient
5.4.1 Register a New Patient
Add patient information to the patient management interface by ways as below.
1． Click <Register> button in the [Scan] interface and the patient registration
interface pops up as Figure 5-3.
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Figure 5-3 Register a New Patient
2． Type patient and doctor information, the words in red are required items. Click
<Start Scan> to register and enter [Select Scan Protocol] interface.
5.4.2 Emergency Patient Registration
For the convenience of emergency scan, this system provides emergency

registration. All necessary input items are automatically named by the system,
which can be modified or filled later in [patient] module.
Click <Emergency> button in Figure 5-3 to finish patient registration.
5.4.3 Appointment
Appointment means that you can register patients’ information in advance to save time.
Patients who are already registered but not scanned will be transferred into the
appointment list automatically.
1． In Figure 5-3 interface, fill [Patient Information] and [Doctor Information],

then click <Appointment> button to register this patient in advance.
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2． Select [Appointment] tab to enter Figure 5-4.
Figure 5-4 Appointed patients
3． Click <Refresh> button to show all appointed patients of the system in the list.
4． After the patient is selected, click <Start Scan> button to load appointed patient
information to [Register] tab.
5.4.4 Select a Patient From Worklist
If you want to connect Worklist server, pre-set the IP address in [Service] to connect
the station server of the hospital.
1． Select [Worklist] tab in [New Patient Manager] interface, as shown in Figure

5-5.
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Figure 5-5 Select patient from worklist
2． Choose worklist server, then click <Refresh> button.
3． Select one patient from the list, click <Start Scan> button to load patient
information to [Register] tab.
5.4.5 Select a Patient From Scanned
A registered patient (or HIS) or patient of second visit can be searched as below:
1． Select [Scanned] tab in Figure 5-5, as shown in Figure 5-6.
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Figure 5-6 Scanned patients
2． Search the specific patient in the [Filter], then choose the patient and click
<Rescan> button to load the scanned patient information to [Register] tab.
5.5 Select Scan Protocols

Select scan protocols while maintaining better exams. This may help users save much
time and keep consistency of exams, becauses every exam is conducted in the same
way. Users may define scan protocols and items, based on the hospital's work
procedures. This system is equipped with general scan protocols.
1． Upon completion of patient registration, click <Start Scan> in registration

interface and enter scan protocol selection interface as Figure 5-7.
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Figure 5-7 Interface of Scan Protocol
2． Group patients by age
Divide patients into [adult] and [Child], and child can also be grouped
according to age and weight.
3． Select body parts to be scanned
 head
 neck
 chest
 abdomen
 lumbar/thoracic vertebrae
 pelvic cavity
 spine
 arm,leg
4． Choose a protocol in the group which divided by the patient’s age. Please see
Chapter 12 Protocol Management Module for more information about protocol
configuration.
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5． Select patient body part.
 Head first - supine
 Head first – prone
 Feet first- supine
 Feet first - prone
 Head first – left lateral
 Head first – right lateral
 Feet first – left lateral
 Feet first – right lateral
Caution:
Patient direction on the screen should be same as direction of patient being scanned.
6． Select [Add Type], [Replace] was chose by default.
 Select [Replace] when you start a new protocol or replace the existed ones;
 Select [Append] when you add more protocols to the existed ones.
7． Upon selection, click <OK> to enter scanning interface.
5.6 Scan Process
Caution:
The interval must be more than 2 minutes during the scans in different patients. Don’t
scan if the tube heat capacity is over 90% which can avoid tube damage.
Caution:
For cardiac scan if there is an unstable heart rate, there will be a poor image quality
dialogue pops up after the completion of scan.
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Upon selcetion, scan protocols are automatically displayed on the scanning interface
waiting for loading.
Figure 5-8 Scan Interface
1． Current scan protocol
2． Patient information (name, age and gender)
3． Dose information
 mAs：The value is calculated automatically by the system, equals to mA *

RotSpeed
 CTDIvol：The value is calculated automatically by the system, and the

formulation can be seen in 2.9.3.2 CTDI measurement.
4． Scan items edit area
5． The current scan protocol
6． Load and cancel scan
7． Scan parameters
8． Reconstruction parameters
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5.6.1 Modify Scan Protocols
Scan protocol modification includes: add scan protocols, change scan parameters, edit
scan items.
Add/replace a scan protocol
1． Click [Add Protocol] to add a protocol, an interface pops up as shown in Figure

5-7.
2． Selected the protocol that needs to be added or replaced.
3． Click <Ok> to add a protocol, or click<cancel> to cancel addition.
Modify protocol parameters
Both the scan and reconstruction parameters can be edited Please refer to Chapter 12
Protocol Management Module for scan parameters and explanations.
Caution:
If the current is too large or excessive scan times, the interface will pops up a dialogue
to alarm the scan dose is too high.
Replicate a scan item
Replicate a scan item is used to add a scan item in a protocol, or an enhancement scan
is needed for comparison after a helical scan.
1． Choose a scan item in the scan item list.
2． Click <Copy Scan> in the scan items edit area, and this scan item can be
replicated.
Delete a scan item
1． Select a scan item to be deleted in the scan item list.
2． Right click the scan item and select [delete] in the pop-up menu to delete the
scan item, as shown in Figure 5-9.
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Figure 5-9 Delete a scan item
Add a reconstruction
Multi-recons can be pre-set for each scan, the selected reconstruction can be copied
when you choose to <add Recon>.
1． Choose a scan item to be added a reconstruction in the scan items.
2． Click <Add Recon> in the scan items edit area, and a reconstruction can be
added. A circle and a reconstructive item will be added in the interface.
Delete a reconstruciton
Right click the recon item and select [Delete Recon] in the pop-up menu, as shown in
Figure 5-9.
5.6.2 Workflow of a Routine Scan

1． Confirm the scan protocol, then click <Load> in the scan interface to start
scanning.
2． When the load is complete, the interface indicates to move the gantry/patient
table, and meanwhile the <Table Movement/Gantry tilt> button on the intercom
flashes in blue. Press the button until the gantry/table moves to the desired
position and the prompt box on the interface disappears.
3． The interface indicates to expose, meanwhile the <StartScan> button on the

intercom flashes in green, press the button to start a scout scan.
4． Define the scope of following scan, as shown in Figure 5-10.
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Figure 5-10 Scout scan images
5． Click <Load> to start the following scanning.
6． When the load is complete, the interface indicates to move the gantry/patient
table, meanwhile the <Table Movement/Gantry tilt> button on the intercom
flashes in blue. Press the button until the gantry/table moves to the desired
position and the prompt box on the interface disappears.
7． The interface indicates to expose, and meanwhile the <StartScan> button on the
intercom flashes in green, Press the button to start a scout scan.
Caution:
Press <Emergency Stop> button on the intercom in an emergency, the scanning will be
stopped immediately, and the whole system will be locked.
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Figure 5-11 Route scan images
5.6.3 Workflow of a Enhancement Scan

1． Trigger the enhancement scan by delay time set in the protocol.
（1） Firstly, perform scout and helical scan, the steps are same as 5.6.2
Workflow of a routine scan.
（2） Click <Load> to continual following enhancement scan. When the load
is complete, the interface indicates to move the gantry/patient table, meanwhile
the <Table Movement/Gantry tilt> button on the intercom flashes in blue. Press
the button until the gantry/table moves to the desired position and the prompt
box on the interface disappears.
（3） Configure the matching injector, when the interface indicates to expose,
the <StartScan> button on the intercom flashes in green, Press this button and
injector button.
（4） Wait for the end of count-down for delay time, the system will start a
enhancement scan automatically.
2． If you choose BlousTrack protocol, which means to monitor the concentrations

of contrast media in blood vessel to trigger a scan by the CT threshold that is
set before. You can get the best enhancement scan images according to the
differences of circulation in blood.
（1） Firstly, perform scout and helical scan, the steps are same as 5.6.2
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Workflow of a routine scan.
（2） Choose a slice on the scout image to perform a per-monitor scan, as

Figure 5-12 Monitor area
（3） When the pre-monitor scan is complete, set the CT threshold in the
[Monitor] tab, the default threshold value is 100, as shown in Figure 5-13, and
then click <Set Track Region>.
Figure 5-13 CT threshold
（4） Move the mouse to the scanned image, and the mouse pointer changes
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to a green circle which is sizable. Put the green circle into blood vessel to be
monitored.
Figure 5-14 Monitor area
（5） Press <StartScan> button and injector button at the same time. If the
delay time in the interface is over, the system will begin to monitor the CT
value through exposure which will be over when the scan times set in the
system are completed. When the monitoring to the blood vessels of CT value
reaches the threshold, the system automatically trigger the next scan.
（6） If the real-time curve can’t reache the threshold value, click <Skip
Monitor> in the [Monitor] tab after scan is completed to trigger the next scan
manually.
（7） Tilt gantry/move patient table according to the indicates pops up in the
interface. When the delay time is over, the system will excute next
enhancement scans automatically.
Caution:
Press <Emergency Stop> button on the intercom in an emergency, the scanning will be
stopped immediately, and the whole system will be locked.
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5.6.4 Stop a Scan
In case of emergency, the ongoing scan may be canceled by pressing StopScan button
on the intercom; If scan is completed but recon is ongoing, press StopScan will not
stop recon; If a countdown mechanism is going on before x-ray exposure, press on
StopScan will stop the countdown and exposure preparation.
5.6.5 Add a Scan
Add scan items
You can add one or more scan items after the current scan is completed, please see
5.6.1 Modify scan protocols for details.
Repeat a scan item
Repeat a scan means to have a second scan to the patient on same conditions, which is
used if image quality of the previous scan isn't good enough (i.g. artifacts caused by
patient movements).
1． Choose the scan item which need re-scan in the scan item list.
2． Right-click the scan item and select [Rescan].
When more than one scan is programmed in the same TOMOGRAPHIC PLANE there
will be a warning in the interface that this mode has been selected, and the
OPERATOR shall confirm that this is to occur before initiating the scan series.
Append a scan
If the scope of the current scan is not enough, you can append a scan in the scanning
direction. Appending scan cannot only be performed until all the renconstrutive tasks
of the current scan item is done.
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Figure 5-15 Append a scan
Add a bloustrack
Right-click the enhancement scan ,select [Add Blous Track] in the right-click menu,
Figure 5-16 shows the added bloustrack.
Figure 5-16 Add a bloustrack
5.6.6 Exit a Scan

1． Upon scan completion, the user may click <Close Patient> on [Scan] interface
to end the current scan.
 No patient information or image is displayed on the [Scan] interface. Patient

scan is completed.
2． The user may view images on the [Scan] interface.
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 If image quality meets clinical requirement, enter the shield room to free
patient positioning, instruct patient to leave or wait for the film.
 Rescan is needed if image quality doesn't meet clinical requirement (i.g.

motion arifacts).
Caution:
After exam completed, the user shall quit scan program to avoid unnecessary tube
heating and rotation. When the user quits scan program, the gantry will let the slip ring
stop as soon as possible. Before quiting scan program, the slip ring will rotate for a
while due to inertia, which should be avoided as the abrasion to slip ring, belt and
carbon brush caused by this rotation is meaningless.
5.7 Image Setting
5.7.1 Measure Images
Measurements in an image including:
 Measurement by angle;
 Measurement by distance;
 CT value measurement tools: ellipse, rectangle, irregular shape or points;
Please refer to 6.6 Image measurement for details.
Caution:
Whether images are enlarged or shrunk, the data measured is calculated from the
original pixel.
5.7.2 Adjust Images
Adjustments including:
 Helical flip
 Vertical flip
 Rotate 90°clockwise
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 Rotate 90°anti-clockwise
5.8 Images Transmission

Images can be transmitted to the following modules.
Figure 5-17 Send to modules
 <Send images to view>
 <Send images to film>
 <Send images to 3D>
The system will switch to the interface after sending images.
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Chapter 6 View Module
Abstract
This chapter mainly describes the displaying, viewing, measurement of 2D data and
interaction with other modules.
6.1 Image Loading and Quit
6.1.1 Image Loading
Load images through the following ways:
 Select one or more series in [Patient] interface and click button in the
[Program] area to jump to [View] interface. Please refer to 9.6
Post-reconstruction for detailed operating procedures.
 Click in the [View→Patient] to load images from dababase.
 Click in the [View → Patient] to open DICOMDIR images from

designated directory.
6.1.2 Quit Current Patient
Click button in <Patient> tab, and the current patient quit.
6.2 View Interface

Upon completion of image loading, the user may view the images in [view], as shown
in Figure 6-1.
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Figure 6-1 View interface
1． Observation window
2． Patient list
Show all patients in the view and high light the current patient, and you can load 3
patients mostly in the list.
3． Image tool unit
6.3 Select Series /Images

The following are provided to enable users' operation on images:
 select a single series/image
 select multi series /images
 select all images
 cancel the series /image selection
 shortcut: Ctrl+left mouse button, shift+left mouse button
Select in the local box of [Selection mode] as shown in Figure 6-2.
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Figure 6-2 Image selection
Images/series selection procedures are as below:
 Select [image], click a image in the observation window to finish selection of a

single image.
 Select [series], click a series in the observation window to finish a series

selection.
 Select [All], click any place in observation window to select all images of
current page.
 Press Ctrl in stacked or tiled mode to select multi series /images in observation
window.
 Press Shift in stacked or tiled mode and meanwhile click the first and last series
/ images to select continuous series /images.
 Notes:
Border of selected series/images is yellow in observation window.
Exchange series
 Press and hold Alt and drag the mouse can exchange the position of any two
series.
6.4 Image Layout Unit

Several image layout modes are provided in [View] intertface to view series/images.
Select large view to observe diagnostic details and small view to browse full views.
Image layout tools are located in the [Layout] area as shown in Figure 6-3.
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Figure 6-3 Image layout
The user may view all scan images in tile mode and view each reconstructed images in
stack. Meanwhile, 5 layout modes to view images are provided. The user may also
customize layout, film playing mode is also supported.
1． View images in stack and tile modes.
 Stacked and tiled modes are available to view images. In stacked mode, all
images of a series are displayed in stack only the first image of each series can
be seen.
Press ALT +mouse, you can transfer the location of any two series in stack
mode.
 In tiled mode, all images of a series are displayed in tile. When View the last
image of the current series, scroll down the mouse wheel to view the images of
the next series; when View the first image of the current series, scroll up the
mouse wheel to view images of the previous series.
2． View images in fixed layouts
5 fixed layouts are available to view series/images in [view] interface:
1*1、1*2、2*2、3*3、4*4.
3． View images in a customized layout
If the fixed layouts fails to meet actural needs of users, you can customize the
layout interface. Press the left mouse button and drag to select the desired row
and column pattern providing up to 10 lines 9 columns of the pattern.
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Figure 6-4 Customize the layout
6.5 View Images

You can view images in [View] interface through the following ways:
 Mouse wheel
 Side bar
 Brower buttons
 Film play
6.5.1 Side Bar
In stacked mode the mouse is placed on the right side of the series border as shown in
Figure 6-5, which can be viewed by dragging the scroll bar.
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Figure 6-5 Side bar
6.5.2 Browser Buttons
In different image layout, the number of images shown on each page is also different.
You can press browse buttons to view the series/images on next page, till the last one.
The browser buttons are located on the [Browser] tab, as shown in Figure 6-6.
Figure 6-6 Browser buttons
 Click / button to view the previous/next image.
 Click / button to view the previous/next series.
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 Click button to view the first image of the current series.
 Click button to view the last image of the current series.
6.5.3 View Images in Movie Mode
This funciton allows viewing all images of the same series rapidly.
1． Select one or more series in stacked mode, or select any image in tiled mode.
2． Click on the [Browse] tab and pops up the [Movie Control] dialog.
Figure 6-7 View in movie mode
3． Drag the slider bar to control movie playing speed.
4． Click to play images of the current protocol in sequence.
5． Click , to play images of the current protocol one by one in reverse

order.
6． Click to pause the current playing.
6.5.4 View Image Details
Image details can be viewed in [View] interface.
1． Right click any image to pop up menu as shown in Figure 6-8.
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Figure 6-8 Right-click menu
2． Select [Image Information] in the pop-up menu to view scanning details as

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Figure 6-9 Image details
6.6 Image Measurement

Measurements in an image:
 Measurement by angle;
 Measurement by distance;
 CT value measurement tools: ellipse, rectangle, irregular shape or points;
Caution:
Whether images are enlarged or shrunk, the data measured is calculated from the
original pixel.
Measurement tools are located as shown in Figure 6-10.
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Figure 6-10 Measurement Tools
6.6.1 Angle Measurement

1． Select the interested image in observation window.
2． Click in [Tools] tab, and the mouse pointer changes to ..
3． Click and hold the left key in the image to draw a line as the first side.
4． Pull out another line as the second side and the angle is shown on the image.
5． When the second side is completed, the measured angle value is diaplayed
directly on the image as shown in Figure 6-11.
Figure 6-11 Angle Value Measurement
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6.6.2 Distance Measurement

2． Click in [Tools] tab, and the mouse pointer changes to .
3．Select the distance in the image that needs to be measured, then press the left
mouse button to drag out a straight line.
4． When the measurement is complete, the distance value and unit measured are
displayed on the image as shown in Figure 6-12.
Figure 6-12 Distance measurement
6.6.3 CT value Measurement
CT value measurement tools: ellipse, rectangular, irregular shapes and points.
Rectangular/Ellipse
2． Click / in [Tools] tab, and the pointer changes to or
3． Click the image and drag ROI（a Rectangular or ellipse）.
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4． When finished, the measurement results are displayed on the image as shown in
Figure 6-13. Current measurement area, max./min. CT value and
avverage/standard CT value can be seen.
Figure 6-13 Rectangular/Ellipse Measurement
Polygon
2． Click in [Tools] tab, and the pointer changes to .
3． Click the infection point (polygon) one by one to draw a region.
4． End the polygon measurement with a double-click and the result is displayed
on the image as shown in Figure 6-14. You can view the current measured area,
length, max/min CT value, average/standard CT value.
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Figure 6-14 Polygon Measurement
Point
2． Click in [Tools] tab.
3． Click the point that requires measurement of CT value and its current
coordinate and CT value are displayed as shown in Figure 6-15.
Figure 6-15 CT Value
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Move measurements position
1． In the observation window, choose the measurement data that needs to move
the position, and the pointer changes to .
2． When the position of measurement moved, the CT value also changes

according to the actural value.
Figure 6-16 Move measurements position
6.6.4 Marks
Marking includes: text marking and arrow marking.
2． Click / in [Tools] tab, and the pointer changes to / .
3． Type notes in text form in the textbox as shown in Figure 6-17.
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Figure 6-17 Marks
4． If the marks position affects the display of the image, move away the marked
position by mouse.
6.6.5 Shared measurements in same series

1． Select a series in the [Layout→stack] mode.
2． In the right-click menu choose [Share Markers In Same Series], as shown in

Figure 6-18.
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Figure 6-18 Share Markers in Same Series
3． Add measurements on one image of a series such as angles, disrances, CT

values and so on, which can applied to in the same series.
6.6.6 Selection Status Recovery
After the following operations, the mouse will be on the previous selection status.
Click in the local box in <Window Interaction Mode> area to release the
mouse.
Operations are as below:
 Angle
 Distance
 CT value
 Mark
 Zoom in/out
 Move
 Window width and level
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6.6.7 Clear Measurement Records
Clear the specified measurement record
Choose a measurement record to be cleared in the image, and press [Delete] key on the
keyboard.
Clear all measurement records
1． Select the image that needs to clear measurement records in observation

window.
2． Click in [tools] tab to clear all measurement records of the image or

series.
6.7 Adjust Images

Adjust images in [View] interface, adjustments including:
 Move images
 Zoom images
 Rotate images
 Adjust WW/WL
 Display/hide text
 Display grid
Figure 6-19 Image Adjustment tools
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6.7.1 Move Images
Images can be centralized in observation window for purpose of filming or viewing.

Images can be moved in observation window if needed due to patient anatomic
variation(lateral curvature),slight movement, or input wrong deviation, etc.
Image movement is applied to images of same selection.
1． Select interested images/series in the obsercation window.
 The border of the seleted image is yellow.
2． Select in [Window Interaction Mode] area, then move mouse to the
selected image; or press mouse wheel to let the pointer changes to .
3． Click and drag the image to the desired position.
6.7.2 Zoom Images
Image can be enlarged or shrunk in [View] to make the image fit the observation
window. If the enlarged/shrunk image isn't suitable for viewing in the observation
window, move it to center.
Image enlarging or shrinking is applied to the selected images.
1． Select the interested images/protocol in observation window.
2． Select in [Window Interaction Mode] area and move the mouse to the
selected image; or press the left mouse button to let the pointer changes to
3． Click and drag the mouse in the image and set the size needed.
 Right drag the mouse to enlarge the image and left drag to shrink.
Notes:
The original image can be enlarged or shrunk up to 10 times.
4． Image can be moved if it is not suitable for observation.
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6.7.3 Change Images Direction
The user can rotate images vertically or horizontally, or rotate vertically and
horizontally simultaneously. Images can be rotated 90 ° clockwise or rotate 90 °
counterclockwise.
1． Select the interested image/series in observation window.
2． Select in [Image] tab and the selected images/series rotate horizontally.
3． Select in [Image] tab and the selected images/series rotate vertically.
4． Select / in [Image] tab and the selected images/series rotate

clockwise/counterclockwise.
6.7.4 Windowing images
In order to facilitate the doctor to observe, the system provides the function that can
view different window values in the same reconstruction algorithm.
6.7.4.1 Window With the Mouse
If you are not satisfying with the preset window values in a specific scanning, adjust it
and can apply to all images during the scanning.
1． Click in [Window Interaction Mode] area; Or right-click mouse button
and move to the image, the pointer changes to .
2． Press and hold the left mouse button and drag the mouse up/down to adjust
window width, and rightward/leftward to adjust window level.
 The adjusted values are displayed at the bottom right corner of the segment.
6.7.4.2 Define Window Values
Set window values for particular series/images:
1． Select interested images/series in observation window.
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2． Select two window values in image reconstruction or .
 is the value reconstruct online, and is not available now.
3．Or select window values pre-defined by click on <Default Tissue Window and
Level> as below:
Figure 6-20 Predefined window settings
6.7.5 Reset Images
The <Reset> button returns image display to its original status. This function is applied
to zooming, moving or windowing images.
1． Select interested image/series in observation window.
2． Click in [Image] tab to recover the selected image to its original status.
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6.7.6 Display/Hide Texts
Click in [Image] tab to hide or dispaly text informations on the images.
6.7.7 Grid Coordinate Display

1． Select images/series that needs to display in observation window.
2． Click <Grid> in [image] tab to display green grid coordinate on the image.
3． Click <Grid> again to cancel grid coordinate.
4． The user may set grid distance and grid reference point in drop-down list of
<Grid> as shown in Figure 6-21.
Figure 6-21 Grid Reference Points(bottom left corner and center)
6.8 Comparison Unit

Series comparison unit supports comparison among series of the same patient as well
as diffferent patients.
Comparison toolbar is shown in Figure 6-22.
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Figure 6-22 Series Comparison Toolbar
1． Add series
（1）In observation window, select series of the same patient or different

patients that need comparison.
（2）Click to add series, each series added is displayed in the small

window at the bottom.
2． Clear series
Click to clear all added series in the small window.
3． Series comparison
Click to display the comparison which is base on the location of slices,

as seen in Figure 6-23.
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Figure 6-23 Series comparison
4． Quit comparison
Click to quit protocol comparison mode. The current patient status in

the [Load Patient List] changes to normal.
6.9 Export images

You can export the images in the [View] module to the local as a screenshot. As shown
in Figure 6-24.
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Figure 6-24 Export images

The designated series or image can be sent to 3D, Film and Report.
1． Select the series or images in the left column that needs to be sent to 3D, film
and report.
2． Select the destination to transfer images in [Patient] tab, as shown in Figure

6-25. The page is automatically loaded into the destination.
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Figure 6-25 Image transmission
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Chapter 7 3D Module
Abstract
This chapter mainly describes viewing, browsing and reconstruction of 3D images
（MPR、CPR、VR、SSD、MIP）.
7.1 Loading Images

3D module and view module share the same data management unit. Image loading in
3D module can be conducted in the following ways:
 Select a series in [Patient] interface and click in [Program] area to turn

to [3D] interface.
 Select a series in [View] interface, and click in [Patient] tab to turn to

[3D] interface.
Caution:
If the transmitted series is not suitable for 3D display, or more than one series is
selected to process, the series can not be displayed in 3D module.
7.2 3D Interface
After loading of images, the 3D interface is shown as Figure 7-1. The left side is a
display area, with MPR (Standard axial view, Standard coronal view, Standard sagittal
view ) and VR images loaded by default. The right side is a toolbar.
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Figure 7-1 3D interface
The following functionalites are integrated into the 3D module:
1．Image display area
2．Image tool unit
7.3 MPR
Mutil-plane Reconstruction (MPR) refers to reconstruction can be carried out along a
plane or curved plane. If the gantry is not tilt when the CT images are generated, the
reconstructed images (cross section) are perpendicular to the sagittal plane and the
coronal plane. Any plane that is not parallel to these planes is called a slope.
7.3.1 MPR Interface Properties
 The cross lines on the image can indicate the positions of two imaging planes in
the other two segments.
 Move the mouse to the middle of one indicator in the segment, and the cursor
changes to moving status. Press and hold the left mouse button up or down or
left or right to move the indicator line, and the image will be changed in real
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Chapter 7 3D Module
time.
 Move the mouse to the sides of one indicator in the segment, and the cursor
changes to rotating status. Press and hold the left mouse button to rotate the
indicator line, and the image will be changed in real time.
 Adjust the slice thickness of MPR’s cross plane, sagittal plane and coronal
plane to improve the definition of slice images. Choose the slice thickness from
the right-click menu of MPR images.
7.3.2 MPR and MPR Batch

1． Select [MPR→MPR] in [3D] interface to enter MPR reconstruction, as shown
in Figure 7-2.
Figure 7-2 Enter MPR reconstruction
2． Select [Slice thickness] and [Slice Dic] or [Slice number] to be reconstructed.

Select [Lock Slice number] check box to lock reconstruction slice Number.
3． Click [Mode] list, Select Min/Max/Mean.
 Min：Minimum density projection
 Max：Maximum density projection
 Mean：Normal view
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4． If the user clicks [slice distance same as slice thickness] check box, slice
thickness automatically becomes the value of slice distance. If [Slice Distance]
is locked, [Slice Thickness] becomes locked, too.
5． Select MPR images to be processed, and then click , image slice

positions appear on the target image. The reconstructed images are generated
on the lower right side as shown in Figure 7-3.
Figure 7-3 MPR Images
6． The start plane, end plane and tilt angle of image slice can be adjusted on the
target image as shown in Figure 7-4.
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Chapter 7 3D Module
Figure 7-4 MPR Batch Processing Scope
7． Scroll mouse wheel or drag slider bar to view images on the new generated
images, and meanwhile the white indicating lines show the path of image
movement on the target image, as shown in Figure 7-4.
8． Save and Delete
 Click to delete new generated MPR images.
 Click in [Save] tab to save the generated MPR images to directory

of the patient in database.
 Click in [Save] tab to send the generated MPR images to [Film]

interface.
7.3.3 CPR and CPR Batch
CPR function can make curved, overlapping blood vessels, trachea or bowel and other
structures strenched straightly fully in the same plane.
1． Select [MPR→CPR] on [3D] interface to enter CPR mode, as shown in

Figure 7-5.
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Figure 7-5 Enter CPR Mode
2． Select [Mode] list and select Slice/Mean/Min/Max.
3． Click to add points among the tissues (blood vessel, airway, bone
marrow, etc) that need observation on any MPR image. The reconstructed CPR
images are displayed on the lower right side.
Figure 7-6 CPR Images
4． Click to modify describing points of the curve path, Click to

move the path to change CPR images.
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Chapter 7 3D Module
5． Click to pop up interface of CPR group setting, as shown in Figure 7-7.
Figure 7-7 CPR Group
6． Input [Slice Dic] and [Slice Num] for batch processing of CPR images, as
Figure 7-8 CPR Batch Processing Scope
7． Scroll the mouse wheel or drag the slider bar on the new generated image to
view the image, meanwhile the yellow lines on the targeted image show its
relative position, as shown in Figure 7-8.
8． Save and delete
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 Click to delete the new generated CPR images.
 Click in [Save] tab to save the generated cross-section CPR images

to the patient series.
 Click in [Save] tab to send the cross-section CPR images to [Film]

interface.
7.4 3D
3D reconstruction is an intuitive technology that can see the human anatomical
structure, the shape and size of the lesion, and know the relationship with the
surrounding tissues.
7.4.1 3D Display Methods
VR
VR (Volume Rendering) is the technology for direct projection of 3D volume data into
2D images by extracting geometric elements from the data.
1． Choose [3D→Display→VR] to enter the VR display mode.
2． Select VR template
Click <VR Template> to view VR template list, as show in Figure 7-9. The
system provides many display modules in default. Double-click it to apply to
VR displaying interface.
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Chapter 7 3D Module
Figure 7-9 Select a VR template
3． Edit VR templates
（1） Click [Edit] tab to enter VR template edit interface, as shown in Figure
7-10. The default VR template provided by the system is the result of multiple
authentications and also supports to edit.
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Figure 7-10 Edit VR templates
（2） Click <New> to pop up Figure 7-11. Select [Type] and type new VR
template [Name]. Click <OK> and you can see the current VR image as a new
VR template icon in the VR template list.
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Chapter 7 3D Module
Figure 7-11 Add transfer function
（3） Choose the VR template to be deleted, and click <Delete>.
SSD
SSD (Shared Surface Display) is displaying images with graphics algorithm by

extracting anatomic structure from database and forming chorogram through basic
pixel.
1． Choose [3D→Display→SSD] to enter the SSD display mode.
2． Drag the cursor to adjust the value of SSD, and the results of adjustments can
be seen in the SSD image.
Figure 7-12 Configure CT threthold
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Maximun/Minimun Intensity Projection
MIP/ MinIP( (Maximun/Minimun Intensity Projection) is a displaying method that

gives a designated projection direction to image series, in which all projection lines go
through countless pixels but only the pixel with the maximun/minimun value is kept.
MIP is often used to show the direction of blood vessels, and MinIP is often used to
reflect the organizational structure of biliary tract, airway and others.
7.4.2 VOI
VOI refers to shield non-interested area with cutting plate removes the excess
components.
1． Select <VOI> in the [Method] area, and a red three-dimensional box will be
displayed on the 3D image to cover the entire image.
2． Select one plane of the VOI box and move it along the plane to the area of
uninterest, as showin in Figure 7-13.
Figure 7-13 VOIBOX
7.4.3 3D Management
3D management refers to cull 3D image by sagittal, cross-section and coronal plane.
1． Select [3D management] in the [Method] area pops up the following interface.
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Chapter 7 3D Module
Figure 7-14 Display management
2． After checking the three planes, the position of the cull plane can be seen in the
3D image, as shown in Figure 7-15.
Figure 7-15 Cull planes
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3． Select the positive or negative culling position of each plane, which can be
displayed in real time on the 3D image. If you need to adjust the position or
orientation of the cutting plane, you can move the position and orientation of
the cross-line on each standard view.
7.4.4 3D Position
The system provides 6 positions, as shown below. Click a position and can be
displayed in real time on the 3D image.
Figure 7-16 Position
A: Anterior
P: Posterior
L: Left
R:Right
H: Head
F: Foot
7.4.5 3D rotating
Images auto rotating can only be applied to 3D images.
1． Select [3D→Batch] on [3D] interface to enter 3D batch, as shown in Figure

7-17.
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Chapter 7 3D Module
Figure 7-17 Enter 3D rotate mode
2． Set [Total Rot Angle], [Rot Angle per Step] or [Total no. of Rot] under
[Parameters] to adjust playing speed.
3． Select rotation direction under [Control] and click <Start> to enable 3D image
to rotate and generate series.
4． Save 3D images
 Click to save generated 3D video locally as AVI form;
 Click to save generated 3D series to the directory of the patient in

the database;
 Click to send generated 3D series to [Film] interface.
7.4.6 Tissue Cutting
Tissue cutting means to remove/keep tissue by drawing cutting scope on 3D images.
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1． Select or in [TissueSeg] area. Cut inside means to remove the

interesting area, and Cut outside means to remove areas other than the
interesting part.
2． Draw the cutting scope on 3D images. Right click t to remove/keep tissue, as

Figure 7-18 Tissue Cutting
3． Click to cancel cutting operation at the previous step; Click to

cancel all cutting operations.
4． Upon completion, end the tissue cutting with a right-click.
7.4.7 Boning
Boning is to hide the bone tissue by setting CT threshold range.
1． Select in [Boning] area.
2． Click on the boning tissue on 3D images for deboning operation.
3． Modify related CT threshold as shown in Figure 7-19.
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Chapter 7 3D Module
Figure 7-19 Modify CT Shreshold
4． Click repetitively on the bone to be removed until completion.
5． The system provides several ways to auto deboning: Head, Abdomen, leg and
CTA. Figure 7-20 are VR and MIP images applied deboning.
Figure 7-20 Deboning Operation
6． Click to cancel the deboning operation in the previous step and click
to cancel all deboning operations.
7． Upon completion, right click the mouse to cancel the deboning status.
7.4.8 Observation point

1． Select <Obsv> in the [Method] area, then you can a red observation point in the
3D image, please see Figure 7-21. Put the mouse on observation point for
surface picking.
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Figure 7-21 Observation point
2． Click <Obsv> again to hide the observation point function.
7.5 Virtual Endoscope
7.5.1 Display the Endoscope Model

1． Select [Endo→Display] on [3D] interface to enter virtual endoscope interface,
as shown in Figure 7-22.
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Chapter 7 3D Module
Figure 7-22 Enter VE
2． Select virtual endoscope display template in [Model] list.
（1） Templates provided by this system can be selected. Select [Transfer

Function] in the [Model] list, and an interface pops up as shown in Figure 7-23.
Several pre-set endoscope display templates can be provided by the system.
Please refer to 7.4.1 3D Display Methods for detailed operations.
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Figure 7-23 VE templates
（2） Or click to customize VE template, as shown in Figure 7-24.
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Chapter 7 3D Module
Figure 7-24 Tissue Model Patameter
（3） Set [Tissue Name],[Tissue Value],[Tissue Color],[Tunnel Type] and

[View Angle],[Brightness] respectively and click <OK>.
（4） Click to edit current template.
（5） Click to delete current template.
3． After model selection, the brightness, view angle, color, step lengh and position
may still be adjusted according to the interface.
4． Select [ViewPt Ctrl] check box and the cross –line on the image becomes a
controlling point.
5． Click to adjust the controlling point. Click to adjust the position of controlling
point and right click to adjust direction of controlling point as shown in Figure
7-25. The bottom right corner is the endoscop under controlling points.
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Figure 7-25 Virtual Endoscope Display
7.5.2 Set Endoscopic Path

1． Select [Endo→Endoscopic path] on [3D] interface to enter the setting interface
of virtual endoscope guided path, as shown in Figure 7-26.
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Chapter 7 3D Module
Figure 7-26 Endoscopic Path
2． Define endoscope guided path
（1） Select a guided path in [Endoscopic] list.
（2）Or click to add a guided path. User may add several guided paths.
（3） Guided paths provied by the sytstem can be edited or deleted.
3． Add controlling points
（1） Select [ViewPt Ctrl] check box, the cross-line becomes a controlling
point.
（2） Upon completion of guided path setting, click on the cross-section

image to select position of controlling point and right-click to set direction of
controlling point, as shown in Figure 7-27.
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Figure 7-27 Add Controlling Points
（3） After defining position and direction, click <Add point> to see
coordinate of new added controlling points in [Control] list.
（4） Add points one by one following the above operation.
（5） Select a group of controlling points and click <Delete Point> to delete
the controlling point.
4． Replay endoscopic path
（1） Click in [Playback] area to view virtual endoscopic images

under this guided path.
（2） Click to stop playing.
（3） [Position] is used to display the position of current playing image in

guided path.
（4） [Speed] can adjust playing speed.
（5） Select the [Sync Image] check box to synchronize each cross-section
image when playing endoscopic images.
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Chapter 7 3D Module
5． Click to pop up series progress bar. Upon completion, the series is

saved to the patient list in the database.
6． Click to send VE batch images to [Film].
7． Click to save video locally.
7.6 Display Image

Image display toolbar is as shown in Figure 7-28.
Figure 7-28 Display Image Toolbar
1． Click to hide the corner information on the image and click again to
recover.
2． The cross-line means the two lines that meet at right angles displayed on
standard MPR. Click to hide the cross-line on MPR images and click
again to recover.
3． Click to highlight the button. Click the cross-line on the image and
drag or rotate, the cross-line maintains a fixed angle, as shown in Figure 7-29.
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Figure 7-29 Lock the Crossline
4． Remove patient table
Open [3D] interface and a prompt box pops up checking if patient table shall be
removed.
The user may also directly click to enable a prompt box to pop up
asking if patient table shall be removed. Click<Yes> to remove the table board
and check if the removal is correct. Shown in Figure 7-30 is the comparisson of
before and after patient table removal.
Figure 7-30 Remove Patient Table
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Chapter 7 3D Module
5． Image layout
The system provides 2*2, 3*1 and 3*2.
6． Click to clear all configuration and recover the original values
7． Reset window width and level in the drop-down menu of <WW/WL Def>
8． Click to close the current patient in the 3D interface.
7.7 Image Measurement

Only apply to 2D images such as MPR, CPR, any slopes, etc.
Figure 7-31 Image Measurement
Contents of measurement include:
 CT value measurement tools: rectangular, ellipse, polygon,pixel value;
 Angle Measurement
 Distance measurement
 Text and notes
Please refer 6.6 Image Measurement for detailed operating steps.

Used for transmission of images on [3D] interface. Functions are shown in Figure 7-32.
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Figure 7-32 Image Transmission
 Save to database
Save the image window that needs to save. Click to pop up [Save]
interface and save images to existing image series or new created image series,
as shown in Figure 7-33.
Figure 7-33 Save to Database
 Select image windows that need to send, and click , the screen shot of
images in this window are sent to [Film] interface.
 Select image windows that need to save, and click , the screen shot of
images in this window are saved to local.
 Click to directly capture the whole screen of 3D interface and save to

local.
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Chapter 8 Film Module
Abstract
This chapter mainly introduces image layout and printing.
8.1 Send Images to Film

This unit and patient management unit share data management unit. Images can be
transmitted to film in the following interface:
 Select one or more groups of series/images in [Patient] interface and click
in [Program] area to jump to film interface. Refer to 9.6 Images

Transmission for detailed operating steps.
 Select [Save] tab on [3D] interface and click .
 Select one or more groups of series/images on [View] interface and click
in [patient] tab to jump to film interface.
8.2 Film Interface

The images to be printed are displayed in [Film] area. Users may view, re-arrange
images, adjust windows, and enlarge or shrink images before printing.
After finishing transmitting images that need filming, users may view images in [Film].
Click [Film] to enter the interface, as shown in Figure 8-1.
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Figure 8-1 Film Interface
1． Image area
2． Image printing area
3． Toolbar
8.3 Create and save printer images

 Click <New Film> to clear the current printer tasks and continual the new one.
 Click <Save and Close> to save images of current interface, and to start a new
task.
 click <Open Film> to open the stored film images.
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Figure 8-2 Create and save printer images
8.4 Select and Arrange Images

Please refer to 6.3 Select Series /Images for detailed series/images selection operations.
Set direction of images to be printed in [Page Direction] area, choose Portrait or

Landscape, as shown in Figure 8-3.
Figure 8-3 Page Direction
8.5 Image Layout Unit

Several layout types are provided in [Film] to view series/images. Diagnostic details
can be viewed in large format display and select small format display for full view.
Different combined results can be displayed upon selection of combined grid display.
Image layout tools are located in [Layout] area, as shown in Figure 8-4.
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Figure 8-4 Image Layout
Images on several pages can be displayed in tabs. Meanwhile, this system provides 3
fixed layouts to view images. Users may also customize image layout, film playing
images is also supported.
1． View images in tabs.
When current page can't display all images, tabs are displayed on the upper right
corner, as shown in the following picture. Click <Previous>/<Next> or[1]/[2]tabs.
The red tab means the current page, and the green tab means more pages.
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Figure 8-5 Image display in pages
2． Image display in screen grid
3 fixed layouts are provided in views to view series/images: 3*2, 5*4, 7*5.
Click to rearrange the current page, if you select [Apply layout to all pages]
check box, you can apply the new layout to all pages.
3． Set conventional layout
（1） if you want to set the current layout as the conventional one, select
[Save Layout as U1/U2], as show in Figure 8-6. The system provides two
conventional layout buttons for users to define.
Figure 8-6 Set converntional layout
（2） Click U1/U2 in Figure 8-4 to use the defined layout.
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4． View images in customized layout.
View layout can be customized if the fixed layout fails to meet user demand,
with maximum 10 rows and 9 columns. Select [Apply layout to all pages]
check box, you can apply the new layout to all pages.
Figure 8-7 Customized Layout（Film）
5． Merge and Split images
 Simultaneously select image to be merged and click <Merge>.
 Select the images to be split, click to recover to its original layout.
8.6 Image Tools

Graphs and notes can be added to images in [Film], including distance, angle value,
ellipse, rectangular, polygon, point, and text, arrow. Positon of the notes is adjustable.
Several notes can be displayed in the same view and notes can be deleted respectively
or all by one operation.
Measure an image, different from image measurement in [Scan] and [View]: the
measurement data in film can be printed as image notes, but measurement data in scan
and view can only be viewed temporarily.
Click [Film→Tools] on interface, as shown in Figure 8-8.
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Figure 8-8 Measurement Tools
Adjustment in image includes:
 Measure by angle
 Measure by distance
 CT value measure tools: ellipse, rectangular, polygon and point
Refer to 6.6 Image Measurement for detailed operations.
8.7 Image Adjustment

Image can be adjusted on [Film] interface, including:
 Move images
 Zoom images
 Rotate images
 Set window values
 Display/hide text info
 Display grid coordinate
 Gray bar
 Customize rotation
 Topo Line
 Topo Image
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Figure 8-9 Image Adjustment (Film)
Refer to 6.7 Adjust Images and the following section for detailed operations.
8.7.1 Display Gray Bar
1． Click in [Image] tab to display on the image, as shown in the left side
in red lines in Figure 8-10. The gray bar can be the reference of CT value.
Figure 8-10 Gray Bar
2． Click again to cancel display.
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8.7.2 Customize Rotation
1． Click in [Image] tab and green rotation frame appears on the image, as
Figure 8-11 Customize Rotation（1）
2． Drag the small red circle on the upper right corner of the rotation frame and the
angle value is synchroneously displayed on the image as shown in Figure 8-12.
Figure 8-12 Customize Rotation（2）
3． Click again to cancel the selected frame on the image.
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8.7.3 DisplayTopo Lines and Topo Image
1． Click in [Image] tab to display all Topo lines on scout image.
Figure 8-13 Topo Lines
2． Click in [Image] tab to display scout image on the bottom right corner
of each image and location of the current image in scout image, as shown in
Figure 8-14.
Figure 8-14 Topo Image
3． Click again to cancel selection.
8.8 Functions of Right-click Menu

Copy, paste, delete, display/hide text and notes. Functions of the right-click menu are
same as previous introduction.
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Figure 8-15 Right-Click Menu
8.8.1 Copy and Paste

1． Select the image to be moved, press [Ctrl+c] /[Ctrl+x] or select [Cut] /[Copy] in
the right-click menu.
2． Choose the position to be paste, select [Paste (before)]/[Paste (After)] in the

right-click menu, press [Ctrl+v] is to paste after image in default.
3． Press [Ctrl+z] or select [Undo] to cancel the previous operation.
8.8.2 Annotation Font Size
The system provides annotation font size adjustment in order to display the
appropritate font in the corner information for user to print images.
Select [Annotation font size] in the right-click menu, and the font size is shown below.
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Figure 8-16 Annotation Font Size
8.9 Image Print Unit

Upon completion of all image settings, print images at [Print] area.
Figure 8-17 Print
 Create a new print
 Click to view the image interface to be printed.
 DICOM print requires pre-set of DICOM printer in the [Service]. There is a

confirmation box prompts if the number of print pages is more than 10, and it is
not allowed to print if the number is over 20.
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 Select Number of copies to print and click for execution.
Printing progress and completion status can be seen [Patient→Queue Manager], as

Figure 8-18 Image Printing Progress
You can view the failed films in the [Print failed list], as shown in Figure 8-19. And
you can click <reprint> button to print again.
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Figure 8-19 Print failed list
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Chapter 9 Patient Management Module
Abstract
This chapter mainly describes interface layout, funcntions and operation instructions of
patient management module.
9.1 Patient Management Interface

Patient management inerface is responsible for data storage and management, upon
opening of which users can check data of current patient.
Figure 9-1 Patient Management Interface
 The main page shows all the patient data of the current data source, Select data
of a patient and the corresponding scan series are displayed in [Series] tab.
 Select a series to preview, the images can be zoomed, moved or even the
WW/WL can be adjusted.
 The tool bar on the right side is used to manage patient data.
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9.2 Select Data Source

After enter the patient module, select data source to view, manage the data of different
locations.
In the [Data Source] area box choose data source, as shown in Figure 9-2.
Figure 9-2 Select Data Source
 Select <Local DB> to display patient data in current database in the left side
list.
 DVD disk is inserted in the DVD driver. Select and the patient data in the disk
is displayed in the left side list.
9.3 Data Management

Data management means you can search, modify, lock and even delete data. The
authority to management data is assigned by hospital manager.
9.3.1 Mofidy Patient Information
This is used to modify registration information of patient, especially registration for

emergency treatment.
1． Select patient data in the database that needs to be modified in the left side list.
2． Click in [Data Management] area to pop up patient information

modification interface, as shown in Figure 9-3
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Figure 9-3 Modify Patient Informaiton
3． Click <OK> upon completion of modification.
9.3.2 Delete/Restore Data
This is used to delete/restore patient data in database.
1． Delete patient data
（1） Select the patient or a series under the patient in current database that
needs to be deleted in the left side list.
（2） Click in [Data Management] area to pop up patient deletion

confirmation dialogue. If the patient data is not uploaded or scanned on the
same day, the confirmation dialogue will prompt several times to avoid
accidental deletion.
2． Restore patient data
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Click in [Data Management] area to restore the patient data which has
been deleted before.
Figure 9-4 Restore patient data
9.3.1 Lock/ Unlock Data
Lock is used to prevent deletion or modification of important patient data by mistake.
1． Select the patient data to be locked in current database from the left side list.
2． Click in [Data Management] area. A lock on the left end of the patient
column indicates current state.
Figure 9-5 Lock Data
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3． Click again and the Lock sign disappears.
9.3.2 Search Patient Data
 In database, patient information can be sorted by name, patient ID, exam ID,
age or gender, as shown in Figure 9-6.
Figure 9-6 Sorting
 Type name, patient ID, time or their combination on [Filter] area to filter patient
data.
Figure 9-7 Search Patient
Click <Clear> to cancel the filtered result.
 Search a patient
（1） Click <Find> to pop up [Find] interface as shown in Figure 9-8.
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Figure 9-8 Patient Search Interface
（2） The user may search patient by [name], [ID], [Gender], [Age], [Check point] or
their combination
9.4 Import and export data

It is crucial to import and export image data, for all the postprocess is on the basis of
complete transmission which conforms to DICOM 3.0 protocol.
The authority to transfer data is assigned by hospital manager and the general users do
not have the operation authority by default.
9.4.1 Copy DVD data

1． Choose data source as DVD.
2． Select data to be copied in left side list., more patients can be selected.
3． Click in [Data Managemen] area to pop up copy interface, as shown

inFigure 9-9.
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Figure 9-9 Copy data
4． Select [LocalDB] to copy data to local database and click <OK>.
5． Wait until completion of data copy. View local database in [Data Source] to
show successful data copy.
 Notes:
The system doesn't repeat copy of existing data in LocalDB. It is advisable to see if the
patient information is already saved in database by checking patient data before copy.
9.4.2 Upload to image server
The designated patient images can be uploaded to image servers, the configuration of
servers refers to 11.2.5 Workstation Management.
1． Select images to be uploaded in the left side list.
2． Select image storage device in drop-down list in [Image Upload] area and click
<upload> button to begin uploading.
Figure 9-10 Image upload
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3． Or you can send patient data or series to image server by select [send to PACS]
in the right-click menu.
Figure 9-11 Image upload 2
4． Upload progress can be viewed in [Queue Management] area, as shown in

Figure 9-12.
Figure 9-12 Details of Image upload
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9.4.3 Export to Specified Directory
Export patient data is to export data to local or other images storage devices.
User can export patient data from any data source to the designated directory.
1． Select the patient data to be exported in current database from the left side list.
2． Click in [Data Manager] area to pop up dialogue box and select

exporting directory.
3． Select if data are exported anonymously, as shown in Figure 9-13
Figure 9-13 Export Data Anonymously
4． When data export starts, a progress bar appears and it will disappear when data
export is completed.
9.4.4 Export to DVD
User can copy patient data in the database to DVD.
1． Insert DVD disc and select data source as DVD.
2． Select patients to be burnt in the left side list.
3． Click in [Data Management] area to pop up copy interface.
4． Click <OK> to send the data to burning mode.
5． Select DVD in [Data Source] to enter DVD burning mode, as shown in Figure
9-14.
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Figure 9-14 DVD Burning
 [List of data to be burnt]: The green indicating bar shows occupation rate of
the data to be burnt in the DVD capacity.
 Click <ClearCD> to clear all patients to be burnt in current list.
 New disk needs to be formatted, click <format> to pop up disk format

interface, as shown in Figure 9-15.
Figure 9-15 Format Disk
6． If format is not needed, directly click <Burn> to burn patient information into
DVD.
7． If the burning is complete, the interface prompts the burning is over, and the
DVD is ejected. Uers can insert DVD into the driver to view patients date.
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9.5 Post-reconstruction
1． Choose a patient to be post-reconstructed in the patients list, and then click
to enter post-reconstruction interface.
2． Click <Add Recon> to create a new recon, edit these parameters and click
<Start Recon> to execute recon. Please see Figure 9-16.
Figure 9-16 Post-reconstruction

Patient data or series can be sent to [view], [3D] or [Film] interface in [Patient]. The
images which sent to the other modules are sorted by its ID.
1． Select patient, series or designated images to be transmitted in the left side list.
2． Select destination to be transmitted in the [Program] area, as shown in Figure

9-17. The page will be loaded to target module automatically.
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Figure 9-17 Image transmission
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Chapter 10 Report Module
Abstrast
This chapter mainly introduces the operation steps and precautions of report module.
10.1 Loading Report Module

Report module can be loaded on following interfaces:
 Click in the [Program] area on [Patient] interface to jump to [Report]

interface.
 Select [Report] tab in [Patient] interface, if the patient already has a report,
select [View report] in the right-click menu.
Figure 10-1 View patient report
 Click in [Patient] tab on [View] interface to jump to [Report] interface.
 Click in [Report] interface and pops up Figure 10-2 which lists all the
reports of patients. Choose a report and click <Open>.
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Figure 10-2 Open an existing report
10.2 Create a Report

User may view, create, edit the report.
1． Click on the [Report] interface to create a report, as shown in Figure

10-3.
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Figure 10-3 Create a report
2． Choose the patient who need a report in the database, and then select a template,
click <New> button to create a report in the [Report] interface, as shown in
Figure 10-4. The report interface is editable.
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Figure 10-4 Example of a report
3． The doctor can decide whether to apply the report template to the new blank
report based on the scan results. Select the body part to be examined in [Report
Template] and double click the corresponding template. The template can be
loaded in [Findings] and [Diagnosis] of the new report. Selection of patient
template is shown in Figure 10-5. Users can edit the corresponding template
and click <Update Template> to save it.
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Figure 10-5 Select report template
4． Select [Emergency Report] check box in the upper right corner and a remark
can be added in the report, see Figure 10-6.
Figure 10-6 Emergency report
10.3 Save and Print Reports

Steps for saving and printing reports are as below:
 Save a report
Click to save the current report to database, which can be viewed in

[Patient] interface.
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Figure 10-7 View Existing Report
 Review a report
Click to send the current report to the doctor with the authority to
review. The authority to review the report is assigned by the hospital manager.
 Print a report
Click to preview the current report..
Click to print the current report.
10.4 Template Management Unit

The system provides three kinds of report templates.
1． Click in the [Operate] area to replace the current report template, as

184
Figure 10-8 Replace report template
2． Right click one template to set it as the default template, as shown in Figure
10-9.
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Figure 10-9 set default template
3． If you choost a template with images, you have to pre-load images in the
database to [Report] interface. Choose images to be sent in the [View] interface,
and then click in the [Patient] area to transmit images to [Image List] in
the [Report] interface, as shown below.
Figure 10-10 Image list
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4． Choose a blank box in the report, and then double-click the image to be loaded
in the [Image list]. Repeat these steps to load another image, as shown in
Figure10-11.
Figure 10-11 Load images successful
5． Double-click the images in Figure 10-12 to edit or measure.
Figure 10-12 Edit images in report
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6． If you want to change the image in report, select [Delete] in right-click menu
and then repeat Step3 to add a new one.
Figure 10-13 Delete an image
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Chapter 11 Service Module
Abstract
This chapter introduces servcie modules of the system. Users may set the operating
system based on demand.
11.1 Warm-up and Calibration

Please refer to 4.5 Operation Interface Introduction for details.
11.2 Configuration Management unit

Configuration management unit provides basic information setting, corner information
setting, WW/WL setting, voice management, user management, permissions
assignment, printer management and dose alert setting.
Select in the [System Management] to enter basic information setting

interface.
11.2.1 Basic Information Setting
Caution：
Administrator or above has the privilege of configuring the settings while the ordinary
users can only view them.
System basic information includes hospital information and machine information, and
click <Save> button after information is typed.
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Figure 11-1 Basic information settings
 [Auto upload images]: the images in Patient module is automatically upload to

the workstation, this function is closed by default and need superadmin or
above to enable.
 [Pacs list]:if you enable [Auto upload images], you can also upload images to
multiple workstations at the same time.
 [Recon thin slice in helical scan]: To helical scan, the thickness of 0.625mm can
add to reconstruction under 20mm collimation. It is closed by default and only
superadmin or above can enable it.
 [MPPS]：Enable Mpps can keep the communication with HIS of hospital. It is

closed by default and only superadmin or above can enable it.
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 [ECG module]: the system supports 7800 and iM60 ECG monitors. You need to
select one according to actual ECG monitor during installation.
 [Patient name preference in pinyin]: in5.4.4 Select a Patient From Worklist, you
can set whether use Pinyin or Chinese first when search patient in the worklist
server.
 [Auto switch to Film when send images]: In the [View]/[3D]/[Patient], user

can decide whether or not switch to [Film] module directly when send images
to.
11.2.2 Corner Information Settings
Caution：
Select [Corner information settings] to enter the interface, as shown in Figure 11-2.
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Figure 11-2 Corner information settings
Users can increase, decrease or adjust corner information from actual demanding.
Choose a corner information in the list and click <Merge/Split> button, “**”will be
added in front of this information, which indicates that the information is conbined
with the previous one. Click <Merge/Split> again to split.
11.2.3 WW/WL Setting
Caution：
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Users can customize the window width and level to be display in each module.
1． Select [WW/WL setting] to dispaly the window width and level interface as
Figure 11-3 Edit window width and level
2． Add a new WW/WL
（1） Click <Add> in the WL interface and Figure 11-4 appears.
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Figure 11-4 Add a new WW/WL
（2） Enter [Name], [Window Width] and [Window Level] value and the type
can be [Slice] or [Topo]. Click <OK> to add a window width and level value in
the list.
3． Modify WW/WL
Choose window width and level value to be edit in Figure 11-3, click <Modify>
to edit all parameters except [Name].
4． Delete WW/WL
Select items that need to be deleted in Figure 11-3 and click <Delete> to delete
corresponding items.
11.2.4 Set Hot keys
The system provides the following hot keys by default and the user can also define it
by him/her habits.
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Figure 11-5 Set hot keys
11.2.5 Voice Management
Caution：
Administrator or above has the privilege of configuring the recordings while the
ordinary users can only view or play them.
Voice recording funciton is used to set the prompt sound file by system default. Two
audio prompt messages can be recorded, with one used before and after scanning
respectively. Voice recording is used to provide continuous instructions for breathing
during scanning for precise time counting. A microphone is equipped on the gantry and
on the console for operator - patient communication.
1． Select [Voice Management] to enter Figure 11-6. The default voice is English.
Figure 11-6 Voice Recording
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2． Add a new voice record.
（1） Click <Add> and pops up an interface, as in Figure 11-7.
Figure 11-7 Add a new voice record
（2） Type new voice manually and choose add it to voice list, this can make
it easier to choose during scanning.
（3） Choose [Voice before exam] and click <Record>, when speak to
microphone on the intercom. The recording time is controlled in 4 minntes if
the timeout expires.
（4） Click <Stop> and the system will automatically save the recordings.
（5） Record [Voice after exam] as steps described in Steps 2(3) and 2(4).
（6） If you like to play any recorded voice messages, click <Play> to play
back the audition.
 Notes:
Start and end voice recording as rapidly as possible to minimize time used on starting
and ending of the audio messages.
3． Modify a voice record.
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（1） Choose a voice record in the list and click <Modify> to edit it.
（2） Select the recording you want to modify in the list and click the
<Record> button to re-record the voice. For the convenience of management
please try to keep the recording content and interface display recording
information consistent.
4． Delete a voice record
Choose a voice record in the list and click <Delete> to delete it.
11.2.6 Workstation Management
Caution：
Pre-set transmission and storage mediun of images, restart the ClearView software after
the workstations are configured.
1． Select [Workstation Management] to enter this interface.
2． Click <add> button and pops up Figure 11-8.
Figure 11-8 Create a workstation
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3． Type [Name], [IP Address] and [Port], the [Connection type] can be
worklistScp and StorageScp. Click <OK> to complete the setting.
 WorklistScp refers to Worklist server that used to register patients

information.
 StorageScp refers to PACS server that used to upload images.
4． Click to <Connected Test> to test the connection with workstation.
5． Choose a workstation in the list and click <Modify> to reset IP address, port,
name and connection type.
6． Choose a workstation information in the list and click <Delete> button,and then
in the prompt box to confirm the deletion of the workstation information.
11.2.7 User Management Unit
For management convenience, this system has hospital manager, department manager
and operator. The user may log into the scanner after user configuration. The password
is used for verification when the user logs in. The administrator plans users for the
sytem based on actual needs.
Select [User Management] to enter this interface, as shown in Figure 11-9.
Figure 11-9 User Management Interface
Reset password
Hospital manager has right to modify any user's password. If a user forgets his or her
password, hospital manager can reset a password for the user without knowing the
original password. The department manager also has the right to reset the password for
its subordinate operator.
1． Select any user that need reset password at the user list.
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 The background of the selected user becomes highlights.
2． Click <Change password> and pops up an interface, as shown in Figure 11-10.
Figure 11-10 Modify Password
4． Enter the new password and click <OK>.
Add users
Hospital manager is the administrator of this system, used to manage authority and
system maintenance. In general, a department manager account is created for each
department, and an operator account is created for each doctor to facilitate their
independent operation.
1． Click<Add > and an interface pops up, as shown in Figure 11-11.
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Figure 11-11 Add Users
2． Type [User ID], [User Name], [Password] and [Level], click <OK> to add a
new user.
User privileges can be divided into 4 levels:
Level Rights
Service engineer’s exclusive account with the highest authority.
Engineer Engineer has high-level authority of after-sales maintenance besides the
operation of ClearVIEW interface.
Hospital manager has authority to operate on the interface except deleting
Hosiptical Manager
engineer account and modifying its password.
Department Manager Permissions are assigned by hospital manager.
Operator Permissions are assigned by hospital manager.
Modify user information
You can modify user information when you want to change the user privilege or type
the error information.
1． Select the user to be modified at user display area (select one row each time).
the selected user becomes highlights.
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2． Click <Modify > and an interface pops up as shown in Figure 11-12. Only
[User Name] and [Level] can be modified.
Figure 11-12 Modify User Information
3． Click <OK> to modify.
Delete a user
Administrator has the right to delete a user that is not needed. It is advisable to delete
users that are not needed regularly.
Select a user in the list and click <Delete>. Then a dialog box pops up, click <OK> to
delete the user.
11.2.8 Permissions Assignment
Only engineer and hospital manager have the right to assign permission.
1． Select [Permissions Assignment] to enter the interface below when hospital

manager is logging in.
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Figure 11-13 Permission assignment interface
2． The privilege is set by user level. The hospital manager can assign the
permission of department manager and operator in the software respectively.
11.2.9 Scan Configuration
Scan configuration is shown as Figure 11-14. Users can set some of the scan
configuration according to their habits.
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Figure 11-14 Scan configuration
 [Pitch]: different pitches can be defined by different collimators. Users can set
the values of pitch manually, the range is 0.1-2.
11.2.10 Printer Management
Caution：
Printer management is to configure information of Dicom printer which used in [Film]

interface, after configuration restart the ClearVIEW softwart can apply this function.
1． Select [Printer management] to enter the interface, as shown in Figure 11-15.
Figure 11-15 Configure printer
2． Click <Add> to enter interface in Figure 11-16.
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Figure 11-16 Add a printer
3． Type [Printer Name], [IP Address], [Port] and print information. Click <OK> to
add a printer.
4． Click <Test> to printer a film to check connection status.
5． Choose a printer and click <Modify> to reset IP address, port and print
information.
6． Choose a printer and Click <Delete>, confirm to delete the printer address in
the prompt box.
11.2.11 Dose Alert Settings
Caution：
Dapartment manager and operator have only the right to view alert setttings while
engineer and hospital manager can configure them.
In order to reduce the patient’s excessive radiation, the system set dose alert according
to different body parts and ages.
1． Select [Dose Alert Settings] to enter the interface, as shown in Figure 11-17.
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Figure 11-17 View alert settings
2． If the user is hospital manager, double-click anyone and pops up dose alert
settings interface, as in Figure 11-18. You can customize the value of dose alert.
205
Figure 11-18 Modify dose alert standard
3． If the DLP in a scan series is over the maximun value, there will be pop up a
warning prompt box, click <OK> to continue scanning.
Figure 11-19 DLP in a scan series
If the accumulated dose in the scanning process is exceed the maximum value, the
following box will pops up as shown in Figure 11-20. The user should describe
the reason for exceeding the dose and re-enter the user name and password to
continue scanning.
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Figure 11-20 Accumulated dose in one person
11.3 Disk Management
Caution：
Administrator or above has the privilege of configuring the setting while the ordinary
Disk management is used to manage data in local disk.
1． Click in [Server→System Management], as shown in Figure 11-21.
Figure 11-21 Disk management
2． Choose the patient to be deleted, and then click <Delete> to delete it.
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3． Files or images temporarily stored in [Clear Cache], click <Delete>.
11.4 Log Management Unit

Log management unit records all conditions during system operaiton. Log funciton can
receive and analyze information sent by the system. Administrator may search the logs
and details thus recorded.
11.4.1 Search Logs of the System
Search logs of the sytem by account, starting and ending time to find out any abnormal
situations in time.
1． Click in [Server→System Management], as shown in Figure 11-22.
Figure 11-22 Log Management Interface
2． Input searching parameters on the upper right side.
 Search interface is as shown in Figure 11-23. You can search by [UserID],

[Description] and [Date].
Figure 11-23 Log Filter
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3． Click <Search> to display results that meet the searching elements on the left
side. Click <Clear> to clear filters.
11.4.2 Export Log
Click in the [Server→System Management],and pops up exporting interface.

Click <Export> button to export all logs to local disk.
Figure 11-24 Export Logs
11.5 Diagnostic Template

Several diagnostic templates are offered by this system for body parts to be examined.
Operations of the template include: Creating, modifying, deleting templates.
Click in [Server→System management]to pop up diagnostic template interface.

As shown in Figure 11-25.
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Figure 11-25 Diagnostic templates
11.5.1 Create a Diagnostic Template
Operating procedures for creating a diagnostic are as below:
1． Click <Add> on diagnostic interface to pop up add template interface.
2． Type [Part of Exam] and [Diagnosis]. Edit words for the new template in
[Findings] and [Suggestion], as shown in Figure 11-26.
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Figure 11-26 Add Template
3． Click <Add> to complete creating a template. The new template can be viewed
at the list of body position.
11.5.2 Modify a Diagnostic Template
Operating procedures for modifying a diagnostic template are as below:
1． Select the diagnostic template that needs to be modified on diagnostic template

interface, and then edit words in [Findings] and [Suggestion].
2． The <Modify> button which is dimmed translates to available, click <Modify>

and pops up Figure 11-27.
211
Figure 11-27 Modify Template
3． Click <OK> to modify it.
11.5.3 Delete a Diagnostict Template
Operating procedures for deleting a diagnostic template are as below:
1． Select the diagnostic template that needs to be deleted on diagnostic template

interface and click <Delete> to pop up a prompt box for confirmation of
deletion.
2． Click <OK> to delete the diagnostic template.
11.6 View the Dose Report

Dose report unit can be used to view the dose that each patient suffer during the
scanning, and only the hospital manager and service engineer have the view rights.
Click in [Server→System Management] to view all patient’s dose reports, and

uers can search dose reports by name or patient ID.
212
Figure 11-28 View Dose Report
213
Chapter 12 Protocol Management Module
Abstract
This chapter mainly describes how to preset scanning protocol of this system.
12.1 Loading Protocol Module

When creating an indenpendent case, scan protocols can be modified in reference to
5.6.1 Modify scan protocols. Modifications of this kind are only applied to scan
programs for particular patients, but can not modify an existing scan program. The
system may provide some typical scan protocol by default. Scan protocols can be
edited following instructions of this chapter.
Each scan must be started from scan protocol. The pre-set scan protocols may help
save time and conduct scan procedures quickly.
A scan protocol is built by protocol, and it contains all scan parameters. A scan protocol
can be built into adult mode and child mode. The system may provide some typical
scan protocol by default, and user may customize scan protocols based on actual needs.
1． Open the [Protocol] interface, as shown in Figure 12-1.
215
Figure 12-1 Protocol management interface
（1） Body parts
（2） Protocol area. The image-quality test protocol is used for factory inspection but
not for clinical diagnoses; only the engineer has the authority to select it in a
scanning.
（3） Protocol classification: adult / child, factory/user define
（4） Scan protocols editing area
（5） Scan items editing area
（6） Scan parameters
2． Select [Adult/Child], [Factory/User define/All].
3． Select body part and coressponding scan protocols respectively.
4． Click procotol and scan items and parameters can be viewed below.
12.2 Backup and Revert Protocols

 Click <Backup Protocols> in the [Protocol] interface, and then choose directory
216
to backup the scanning protocols.
 Click <Revert Protocols> in the [Protocol] interface, and then choose local
protocals to recover current ones.
12.3 Modify Scan Protocols
12.3.1 Create a Scan Protocol

1． Click <New Protocol> in scan protocol editing area, and pops up Figure 12-2.
Figure 12-2 Create a protocol
2． Type [Protocol Name], [Age Type], [Scan Organ], [Default Protocol] and [Scan
Type], Click <OK> to complete it. The scan parameters are shown in Table
12-1.
Table 12-1 Parameters in New Protocol
Parameter Description
Protocol Name Named by users
Age Type Adult or child
Scan Organ Head, neck, shoulder, chest, spine, abdomen, pelvic cavity, upper
217
limbs, lower limbs
Default Protocol Yes or no
Scan Type  Helical
 Axial
 Perfusion
 Two Phase Enhance
 Three Phase Enhance
 Cadic
12.3.2 Modify a Scan Protocols

1． Choose the scan protocol to be modified in the [Protocol] interface.
2． Click <Modify Protocol> in in scan protocol editing area, and pops up Figure
12-3.
Figure 12-3 Modify a protocol
3． [Protocol Name], [Age Type], [Scan Organ], [Default Protocol] are editable.
4． Click <OK> to modify this protocol.
218
12.3.3 Copy a Scan Protocol
The steps of copying a scan protocol are as follows:
1． Choose the scan protocol to be copied in the [Protocol] interface in Figure 12-1.
2． Click <Copy Protocol> in in scan protocol editing area, and pops up Figure
12-4.
Figure 12-4 Copy a protocol
3． [Protocol Name], [Age Type], [Scan Organ], [Default Protocol] are editable.
4． Click <OK> to copy the protocol, the successed copied protocol highlights in
Figure 12-5.
219
Figure 12-5 Copied protocol
12.3.4 Delete a Scan Protocol
The steps of deleting a scan protocol are as follows:
1． Choose the scan protocol to be deleted in the [Protocol] interface in Figure

12-1.
2． Click <Delete Protocol> in in scan protocol editing area, and pops up a delete
confirmation box.
Figure 12-6 Confirm the deletion prompt box
3． Click <OK> and pops up a delete confirmation box again.
220
Figure 12-7 Confirm the deletion prompt box again
4． Click <OK> to delete it.
12.4 Modify Scan Items
12.4.1 Create a Scan Item
Click <Add TOPO>, <Add Helical>, <Add Axial> and <Add BlousTrack> in the scan
items editing area to add a new scan item. The highlighting in Figure 12-8 is the
created axial scan.
Figure 12-8 Add a axial scan item
221
12.4.2 Copy a Scan Item
Choose the scan item need to be copied in scan items list, and click <Copy Scan> to
copy a scan item. The highlighting in Figure 12-9 is the copied scan item.
Figure 12-9 Copy a scan item
12.4.3 Rename a Scan Item

1． Right-click the scan item to be copied in the scan items list, select [Rename] in
the right-click menu.
Figure 12-10 Rename a scan item
2． The [Rename scan] interface pops up, as shown in Figure 12-11. Modify the
scan name.
222
Figure 12-11 Rename scan
3． Click <OK> to complete it.
12.4.4 Delete a Scan Item
Choose the scan item to be delete, and then click <Delete Scan> or select [Delete Scan]
in right-click menu to delete it.
12.5 Add/delete a Recon Item

The circles in the scan items list represent recon items, there can be no more than 5
recon items.
 Choose the scan item need to add a recon item, and click <Add Recon>. As
shown in Figure 12-12, the red circle is the added recon item.
Figure 12-12 Add a recon item
 Choose the recon item need to be deleted, and click <Delete Recon> or select
[Delete Recon] in right-click menu to delete it.
223
12.6 Modify Scan Paremeters

1． Select one scan item in the [Item] area, and its correspongding scan parameters
are displayed on the upper right side, as shown in Figure 12-13. The description
of the scan paremeters, please refer to Table 12-2 and Table 12-3.
Figure 12-13 Scan parameters
Table 12-2 Topogram Scan paremeters
kV Tube voltage, i.e. 80kV，100 kV，120 kV and 140kV
Tube current, choose a value between 10mA to 420mA, with 10mA as
mA
increment.
Scan Length The scan length of topo scan
The position of tube in 0 degree, 90 degree, 180 degree, 270 degress,or
Tube Position
double scout.
Table direction determines patient table move in or move out gantry when
Direction
scanning, including tableIn and tableOut
Series Description The description of current Topo scan.
WW/Ll provide by the system: TopoHead, TopoNeck, TopoBody,
WW/WL
TopoLimbs, TopoSpine, PediatricBody, PediatricLimbs.
WW/WL Customized by users
Table 12-3 Other Scan paremeters
224
Scan types includes Helical, Axial, Perfusion, Two phase enhance, Three
Scan type
phase enhance, cadic
Enhancement Whether or not enhanced scanning
kV Tube voltage, i.e. 80kV，100 kV，120 kV and 140kV
Tube current, choose a value between 10mA to 420mA, with 10mA as
mA
increment.
Scan length The length of scanning. The length is a slice in pre-monitor phase.
Refers to the time for tube rotate a round (Unit:s), includes 0.5(optional),
RotSpeed
0.8, 1.0, 1.5, 2.0
Total collimator, determines the minimum thickness, used for
reconstruction.
Coverage
For helical, collimator includes 20mm and 10mm
For axial, collimator includes 20mm, 10mm, 5mm, 2.5mm and 1.25mm
Table direction determines patient table move in or move out gantry when
Direction
scanning, including tableIn and tableOut
Voice Open or close the voice, the default language is English.
Bowtie Bowtie filter can be head or body
The gantry need tilt in lumber disc axial examination, the tilt angel is
Tilt
between ±30°
You can get a series of images which have different title angles with scan
Digital Tilt
plane by post-processing, and the digital tilt range is between 50°.
Pitch is a helical scan paremeter, determins the patient table speed and
acquisition speed.
The bigger pitch value is , the faster table moves, the shorter scan period is.
Pitch
Pitch can be 0.5，0.75，1.0, 1.375or 1.5, bigger pitch value enables larger
coverage area within a given scan time, but sometimes may generate low
quality image. Pitch should be selected based on image quality.
Focus Spot Big or small, the smaller the focus spot, the higher resolution of images.
DFS Flying Focal Spot, none or X/Z axis.
Enable or disable AEC, automatic modulate mA on the body or parts. It is
Adose only related with and can only be seen on the topogram when it is enabled.
The Adose Mode can be selected from Quality, Balance and LowDose.
Whether or not groupscan, if you choose YES, the system will
GroupScan automatically expose after the last scan. Generally, we choose groupscan in
enhanced, perfusion or lumbar disc scan.
The center of topogram, we set a little offset in lumbar disc scan and
Scan Center
thorax-Abdomen scan
The times of scan in one slice, such as once in pre-monitor phase, 30th in
Count
monitor phase and 20th in head perfusion.
ExpInterval The interval in two explosion, the default interval in monitor phase is 2s
225
Whether or not trigger the next scan by CT threshold, if you choose yes,
Blous Track
you have to set the value of CT threshold. The default value is 100.
The time from pressing startscan to scan starting, Unit: s. Generally, it
Delay
refers to delay time after using the bolus injector.
2． Click <Save> to save the modification.
12.7 Modify Reconstruction Parameters

1． Select one recon item in the [Item] area, and its correspongding scan
parameters are displayed on the right side, as shown in Figure12-14. The
description of the recon paremeters, please refer to Table 12-4.
Figure 12-14 Recon parameters
Table 12-4 Recon parameters
Parameter Descripiton
Description To descripe the current reconstruction
Thickness of reconstruction image, 0.3125, 0.625，1.25，2.5，5，7.5，10 can
Thickness
be selected, Unit:mm
The space between two slices, 0.3125, 0.625, 1.25, 2.5, 5, 7.5, 10 can be
Spacing
selected. Unit: mm.
226
Kernel has effect on image sharpness and reconstruction parameter of noisy.

Includes: Soft, image display is smooth, which used for 3D, thin layer of
noise reduction;
Standard, image display is moderate, which used for displaying generally sofu
tissue;
Filter
Lung/Bone, image display is sharp, which used for displaying edge
enhancement lung/bone
Sharp, display image in high resolution, used for evaluate high resolution of
tiny structure, i.e. inner ear.
Edge, used in image quality test.
Provides by the system: Head, Sinus, Inner ear, Pediatric Inner ear, Neck,
WW/WL Lung, Mediastinum, liver and so on.
Or you can type the WW/WL value by yourself.
Matrix 512×512 or 1024×1024
FOV determines displaying area and spatial resolution in image. The value is
FOV between 10 to 520. The modification of FOV corresponding to the changes of
width of scan frame.
Center X, Center Y The center of reconstruction images, can be centered on the lesion.
mirror The reconstruction images can be mirrored from left to right or top to bottom
Amast Enable or disable metal artifact correction
Abast Enable or disable bone artifact conrrection
Denoise The range is 0-1
2． Click <Save> to save the modification.
227
Appendix A Guidance and Manufacturer’s
Declaration-IEC60601-1-2
Warning:
Guidance and manufacturer’s declaration-electromagnetic emission for all EQUIPMENT AND SYSTEMS.
Guidance and manufacturer’s declaration – electromagnetic emissions

The 64 Clarity is intended for use in the electromagnetic environment specified below. The customer
or the user of the 64 Clarity should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment – guidance
RF emissions Group 1 The 64 Clarity uses RF energy only for its internal
CISPR 11 function. Therefore, its RF emissions are very low and
are not likely to cause any interference in nearby
electronic equipment.
RF emissions Class A The 64 Clarity is suitable for use in all establishments
CISPR 11 other than domestic and those directly connected to the
Harmonic emissions N/A public low-voltage power supply network that supplies
IEC 61000-3-2 buildings used for domestic purposes.
Voltage N/A
fluctuations/flicker
emissions
IEC 61000-3-3
Guidance and manufacturer’s declaration – electromagnetic immunity
The 64 Clarity is intended for use in the electromagnetic environment specified below. The customer or
the user of the 64 Clarity should assure that it is used in such an environment.
Immunity test IEC 60601 Compliance level Electromagnetic environment –
test level guidance
Electrostatic ±8 kV contact ±8kV Contact Floors should be wood, concrete or

discharge ±15 kV air ±15kV Air ceramic tile. If floors are covered with
A-1
(ESD) synthetic material, the relative humidity

IEC 61000-4-2 should be at least 30 %. If ESD
interfere with the operation of
equipment, counter measurements
such as wrist strap, grounding shall be
considered.
Electrical fast ±2 kV for power ±2 kV for Power Mains power quality should be that of
transient/burst supply lines supply lines a typical commercial or hospital
IEC 61000-4-4 environment.
Surge ±1 kV differential ±1kV differential Mains power quality should be that of
IEC 61000-4-5 mode mode a typical commercial or hospital
±2 kV common ±2kV common environment.
mode mode
Voltage dips, 0 % UT 0 % UT Mains power quality should be that of
short (100 % dip in UT) (100 % dip in UT) a typical commercial or hospital
interruptions for 0,5 cycle for 0,5 cycle environment. If the user of the 64
and 0 % UT 0 % UT Clarity requires continued operation
voltage (100 % dip in UT) (100 % dip in UT) during power mains interruptions, it is
variations for 1 cycles for 1 cycles recommended that the 64 Clarity be
on power 70 % UT 70 % UT powered from an uninterruptible power
supply (30 % dip in UT) (30 % dip in UT) supply or a battery.
input lines for 25/30cycles for 25/30cycles
IEC 0 % UT 0 % UT
61000-4-11 (100 % dip in UT) (100 % dip in UT)
for 250/300 cycles for 250/300 cycles
Power 30A/m 30 A/m Power frequency magnetic fields
frequency should be at levels characteristic of a
(50/60 Hz) typical location in a typical commercial
magnetic field or hospital environment.
IEC 61000-4-8
Guidance and manufacturer’s declaration – electromagnetic immunity –
for EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING
Guidance and manufacturer’s declaration – electromagnetic immunity

The 64 Clarity is intended for use in the electromagnetic environment specified below. The customer
or the user of the 64 Clarity should assure that it is used in such an environment.
Immunity IEC 60601 Compliance Electromagnetic environment –

test level
test level guidance
A-2
ANATOM 64 Clarity X-ray System—Operation Manual
Conducted 3 Vrms 3 Vrms Portable and mobile RF

RF 150 kHz to 150 kHz to communications equipment should be
IEC 80 MHz 80 MHz used no closer to any part of the 64
61000-4-6 （ 6V in ISM and （ 6V in ISM Clarity, including cables, than the
amateur radio bands and amateur recommended separation distance
between 0.15MHz radio bands calculated from the equation applicable
and 80 MHz） between to the frequency of the transmitter.
0.15MHz and 80 Recommended separation distance
MHz） p
d = 1.2
d = 1.2
p 80 MHz to 800 MHz
d = 2.3
p 800 MHz to 2,5 GHz
3 V/m
where P is the maximum output
Radiated RF 80 MHz to 3 V/m
power rating of the transmitter in watts
IEC 2,7 GHz 80 MHz to
(W) according to the transmitter
61000-4-3 2,7 GHz
manufacturer and d is the
recommended separation distance in
metres (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey, should be
less than the compliance level in each
frequency range.
Interference may occur in the vicinity
of equipment marked with the following
symbol:
Recommended separation distances between portable and mobile RF communications

equipment and the EQUIPMENT or SYSTEM –
For EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING
Recommended separation distances between Portable and mobile RF

communications equipment and the 64 Clarity
The 64 Clarity is intended for use in an electromagnetic environment in which radiated RF
A-3
disturbances are controlled. The customer or the user of the 64 Clarity can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile
RF communications equipment (transmitters) and the 64 Clarity as recommended below,
according to the maximum output power of the communications equipment.
Rated maximum Separation distance according to frequency of transmitter
output power of m
transmitter 150 kHz to 80 MHz 80 MHz to 800 800 MHz to 2.5
W p MHz GHz
d = 1.16
d = 1.16
p d = 2.33
p
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
A-4
Appendix B Technical Information
1． Gantry
Feature Description
Dimension of gantry（length×width
2313mm×1144mm×1956mm
×heigtht）
Weight of gantry 2120kg
Minimum patient opening 700mm
The distance between focal spot to
540mm
iso-center
Position indicator Transverse, Sagittal
The consistency between the center of
the position light field and the center ≤2mm
of the narrowest tomographic section
Gantry tilt ±30°, in 0.5° increments
Transverse (internal and external)
Scan plane indicators Coronal
Sagittal
Bowtie filter Head, Body and Pediatric, selectable by protocol
Automatic exposure control (mA Yes
modulation) Azimuthal and Z axial modulation provided
External X-ray enable Foot pedal provided
ECG gated Provided
Breath graphical display
Auto-voice management Hold message (Record/Playback)
Breath message (Record/Playback)
Emergency scanning provided
2． Patient table
Feature Description
Minimum height No more than 430mm
Vertical-movable range No less than 500mm
Horizontal-movable range No less than1850mm
Horizontal-scannable range No less than 1800mm
Horizontal - speed 150mm/s maximum
Horizontal speed accuracy +/- 0.5 %
Horizontal – position accuracy +/- 0.25mm
Horizontal – position repeatability +/-0.25mm with a distributed load
B-1
Vertical – speed 20mm/s maximum

Vertical – position accuracy < 2 mm
Vertical – position repeatability < 2mm
Maximum patient weight 205kg distributed load
3． Detector
Feature Descripiton
Detector material GOS
Width of detector material 1.6mm
Numbers of detector columns 912×32
Coverage (projected to center of
500mm
rotation)
Pixel size (center) 0.625mm×0.6mm
4． PDU
Feature Descripiton
Input voltage 3～，AC380V / AC480V
Output voltage AC220V/AC380V, DC24V/DC48V
5． HVPS
Feature Description
Input power 400VAC, +10/-20% ~3PH, 50/60Hz 190A
kV selections’ range 60kV～140kV
Tube kV accuary ±0.5%
mA selection’ range 10mA～420mA
Tube mA accuary ±2%
Maximun continuous output of HV
50kW
generator
6． Tube
Feature Description
Nominal voltage 140kV
Heat capacity 5.5MHU
Maximum cooling rate 9.6 kW
Small focal spot: 0.6mm×1.2mm
Nominal focal spot（IEC 60336）
Large focal spot: 1.1mm×1.2mm
Target angle 7°
7． Console
Feature Description
B-2
CPU Intel(R) Xeon(R) W-2123

Memory 64G
Hard disk 2T
Monitor resolution 1920×1200
Monitor size 24″
Monitor type Color LCD
Contrast 1000:1
Diagnosis / Preview Preview
8． Collimator
Helical scan :10mm, 20mm for selected;

Beam limiting width Axial scan: 1.25mm, 2.5mm, 5mm, 10mm, 20mm
for selected
Operating voltage 48VDC
Operating power 48VA
Minimum Al equivalent 1.5mm Al
9． Scanning
Feature Description
Maximum numbers per rotation 64
Rotate speed 0.5s (Optional), 0.8s, 1s, 1.5s, 2s for selected
Maximum continuous helical scan
120s
duration
Radiation output linear <2.0 %
Scan Field of View 520mm
Scout azimuthal position 0°, 90°, 180° and 270°
Scout speed 150 mm/s
Scout indicator accuracy <1.0 mm
The default pitch is 0.5, 0.75, 1.0, 1.375 or 1.5, user
Pitch can also set pitch manually in the [Sevice] module, the
range is 0.1-2.
Nominal helical reconsturction slice 0.3125mm, 0.625 mm, 1.25 mm, 2.5 mm, 5 mm,
Thickness 7.5 mm 和 10 mm
Cine maximum continuous rotation 120s
Image matrix size 512×512，1024×1024
Range of CT numbers Extended range, from -32767 to 32768
Reconstruction speed Up to 65 frames per second
Operating noise ≤70dB (A weighting)
10． Image Quality
B-3
Feature Description
21lp/cm@0%MTF ； 15lp/cm @10%MTF ；

High contrast detectability
12lp/cm@50%MTF
Head: 2.0mm@0.3% （ 38mGy ）； 3.0mm@0.3%

（25mGy）
Low contrast detectability
Body: 2.0mm@0.3% （ 18mGy ）； 3.0mm@0.3%
（12mGy）
Image noise 0.25%@28mGy
Air: -1000HU±10HU
CT accurancy
Water: 0±3HU
CT uniformity Water:±3HU
Artifact none
11． Environment
 Operation
Feature Description
Examination room:20℃~26℃;
Temperature
Control room:18℃~28℃
Ambient temperature, rate of change -3 ℃/hr~ 3℃/hr
Humidity @ ambient Examination room:30% ~70% RH
(non-condensing) Control room:20% ~80% RH
Atmospheric pressure 700hPa～1060hPa
 Storage & Transport
Feature Description
Temperature -20℃~55℃
Humidity @ ambient
≤80 % RH
(non-condensing)
Continuous Elapsed time in storage 90 days
12． Accesories
Type Including
Patient table pad
Head holder
Head holder pad
Necessary accessaries
Calibration Phantom(s)
Phantom holder
Tilting head holder
B-4
Foot extension board

Optional accessaries
Patient restraints
13． Lifetime
Lifetime expected of 10 years @52 weeks/yr, 6 days/wk, 12 hrs/day, 10

patients/hour
14． Warranty
1year
B-5
Appendix C Glossary
C
CT Computer Tomography
CTA Computer Tomography Angiography
CTDI CT Dose Index
CPR Curve-planner Reformation
D
DAS Data Acquisition System
DLP Dose Length Product
DMS Data Measurement System
DVD Digital Versatile Disc
DVI Digital Video Interactive
E
EMC Electromagnetic Compatibility
F
FOV Field Of View
FRU Field Replaceable Unit
FWHM Full Width at Half Max
FWTM Full Width at Tenth Max
H
HDMI High Definition Mulimedia Interface
C-1
H, F, L, R, A, P Head, Foot, Left, Right, Anterior, Posterior
HIS Hospital Information System

HU Hounsfield Unit
HVL Half Value Layer
HVPS High-voltage Power Supply
I
IEC International Electrotechnical Commission
IP Internet Protocol
ISO International Organization
M
MIP Maximum Intensity Projection
MinIP Minimum Intensity Projection
MPPS Modality Performed Procedure Step
MPR Mutil-planner Reformation
MTF Modulation Transfer Function
P
PC Personal Computer
PDU Power Distribution Unit
R
RC Reconstruction Control
ROI Region Of Interest
RSC Rotary Scan Controller
C-2
S
SC Scan Control
SSD Shared Surface Display
SSP Slice Sensitivity Profile
U
UPS Un-interruptible Power Supply
V
VGA Video Graphics Array
VR Volume Rendering
C-3

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Operation Manual

Shenzhen Anke High-tech Co.,Ltd.

Tel: 86-755-2668 8889 / 800-830-6169

Technical support website: http://www.anke.com

R1.0 2017-06-27 First version released.

R1.1 2018-01-25 Update CT safety precations.

Your suggestions will be considered in next version. Thank you!

Chapter 2 CT Safety ..................................................................................................................................... 7

Chapter 3 Introduction to CT System........................................................................................................47

Chapter 4 Operation/Scan Interface ......................................................................................................... 67

Chapter 5 Scan Module .............................................................................................................................. 79

Chapter 6 View Module...............................................................................................................................99

Chapter 7 3D Module ............................................................................................................................... 125

Chapter 8 Film Module ............................................................................................................................ 153

Chapter 9 Patient Management Module..................................................................................................167

Chapter 10 Report Module .......................................................................................................................179

Chapter 11 Service Module ...................................................................................................................... 189

Chapter 12 Protocol Management Module ............................................................................................. 215

Appendix A Guidance and Manufacturer’s Declaration-IEC60601-1-2.............................................. A-1

Appendix B Technical Information ..........................................................................................................B-1

Appendix C Glossary................................................................................................................................ C-1

1.1 About the Manual

1.2 Design Purpose

Chapter Name Overview

This chapter mainly describes the general

Chapter Name Overview

1.4 Relevant Manuals

 ANATOM 64 Clarity X-Ray CT System Maintenance Manual

 ANATOM 64 Clarity X-Ray CT System Installation Manual

2． Convention on keyboard operation

3． Convention on mouse operation

Safety Symbols Meaning

Note indicates the contents belong to the additional information

1.7 Regulatory Compliance

IEC Classification 60601-1 Class:

Electric shock protection type Class I equipment

2.1 Safety Instructions

2.1.1 Safety Cautions

2.1.2 Sufficient Training

2.1.3 Safe Operation

 Potential hazard to the operators and/or patients

 Deterioration of the image quality

2.2 General Safety

 Move the patient out of the patient table upon emergency.

 Get familiar with hardware functions, so as to detect serious problems. Do not

2.3 Electrical Safety

Avoid contact with any electrical conductor.

Before cleaning, disinfection or sterilization of this equipment, it's advised to

2.4 Mechanical Safety

5． When the movement of table board is restricted or blocked, the collision

 Use the specified positioning aids.

2.5 Emergency Stop

1. E-stop key 2.E-stop indicator

Figure 2-1 Emergency stop button on the console

1.E-stop indicator 2.E-stop key

Figure 2-2 Emergency stop buttons on the Gantry (front)

 Press again on the e-stop button, the E-stop indicator is off.

There is an emergenct shutdown key on the PDU, as shown in Figure 2-3.

Figure 2-3 Emergency shutdown button on the PDU

1． PDU Power-On indicator, the green indicator is illuminated when Power-on.

2． Emergenct Shutdown Key

2.6 Explosion Safety

2.7 Fire Safety

2.8 Electromagnetic Compatibility