Whole-body X-ray CT System

ECLOS

Daily QC Phantom

INSTRUCTION MANUAL

Special Notes to Operators and Maintenance Managers

 Before using this system, be sure to thoroughly read this manual and make yourself
familiar with this system.
 After reading this manual, keep it in a legible place adjacent to the system.

HITACHI MEDICAL CORPORATION

Tokyo, Japan

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Copyright © Hitachi Medical Corporation. 2007. All rights reserved.

QS4 45462
 This manual explains the Daily QC Phantom for quality control of the Hitachi Whole-body
X-ray CT System.

Symbols used in this manual:

This symbol indicates an indirect danger that could result in death, serious
injury, or serious property damage such as fire or total loss of equipment.

This symbol indicates possible danger that could result in light or moderate
injury, partial equipment damage, or computer data loss.

This symbol indicates prohibited conditions or actions. The description that

accompanies this symbol indicates conditions or actions that are prohibited.

This symbol indicates precautions to be observed. The description that

accompanies this symbol indicates conditions that require care or that may
cause danger.

This symbol indicates any recommended procedure, condition, or action that

requires care when operating the equipment.

This symbol indicates supplementary information.

Trademarks and registered trademarks:

Company names and product names described in this instruction manual are trademarks
or registered trademarks of each company.

Precautions that must be taken when exporting this system:

When exporting this equipment, be sure to check the Foreign Exchange and Foreign
Trade Control, and perform the necessary procedures. If any question arises, contact
Hitachi or an authorized representative.

Revision history:
First edition: April 2007

QS4 45462
 Preface
This instruction manual describes the Daily QC Phantom for quality control of the Hitachi
Whole-body X-ray CT System. Before using the Daily QC Phantom, read this instruction
manual thoroughly to understand functions of the Daily QC Phantom for correct and safe use.
The Daily Check ROI function is used for evaluation of CT images of the Daily QC Phantom;
therefore, keep the relevant instruction manual on hand for reference.

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 Contents

Preface ......................................................................................................................................................i

Contents .................................................................................................................................................. iii

1. General ........................................................................... 1

2. Composition of the Daily QC Phantom ........................... 3

3. Using the Daily QC Phantom .......................................... 5

3.1 Preparatory Work for the Daily QC Phantom .....................................................................................5

3.2 Scanning the Daily QC Phantom .......................................................................................................6

3.2.1 Setting a scan protocol and scan parameters .......................................................................................6

3.2.2 Mounting and positioning....................................................................................................................7

3.2.3 Scan ...................................................................................................................................................12

3.3 Measuring the CT number ...............................................................................................................13

4. Specification.................................................................. 17

Appendix ........................................................................... 19
A.1 Entering the CT number ..................................................................................................................19

A.2 Phantom Mounting Bracket .............................................................................................................20

INDEX ............................................................................... 25

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 1 General

1. General
The Daily QC Phantom can be used for quality control of the Whole-body X-ray CT System.
The CT number can be checked using the CT image of the Daily QC Phantom.

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1 General

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 2 Composition of the Daily QC Phantom

2. Composition of the Daily QC Phantom

The Daily QC Phantom is composed of the following components:

(1) Outside appearance

Cap Reservoir

CT number label

Positioning mark
(3 locations)

Bearing

Air vent screw

(2) Inside structure

Inside the phantom, 4 types of pegs (Teflon, acrylic, polyethylene and air) are provided.

Acrylic Polyethylene

Teflon Air

Water

Sectional view CT image (Ex.: WL=0, WW=150)

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2 Composition of the Daily QC Phantom

Do not use anything as a substitute for accessories supplemented to the system

and the Daily QC Phantom.
To prevent a hazard, never install and use the Daily QC Phantom in any method
other than specified.
Do not use the Daily Phantom for any purpose other than specified.

Do not carry the Daily QC Phantom by the reservoir. Or otherwise, it can be

damaged.

Reservoir

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 3 Using the Daily QC Phantom

3. Using the Daily QC Phantom

3.1 Preparatory Work for the Daily QC Phantom
1 Filling the Daily QC Phantom with distilled water
Remove the cap and pour distilled water into the reservoir through the inlet. Fill the
Daily QC Phantom with distilled water.

Inlet

When it is hard to pour distilled water into the reservoir due to air inside, remove
the air vent screw for easy filling.
Air bubbles in the Daily QC Phantom can be removed relatively easily if adding
the surface active agent (e.g. Fuji WELL, Kodak PHOTO-FLOW of
concentration 0.1%, etc).

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3 Using the Daily QC Phantom

2 Tightening the cap and air vent screw

Tighten the cap and air vent screw securely and wipe off water drops attached to around
the Daily QC Phantom thoroughly. Also check that there is no water leak.

Mounting the phantom with water leak left as it is can cause a failure of the CT
system.
Tightening the cap or air vent screw too much can cause damage of the Daily QC
Phantom. Tighten them to the extent that there is no looseness of the screw and
no water leak.

3.2 Scanning the Daily QC Phantom

Start scanning the Daily QC Phantom after confirming that the warming-up of the CT system
and air calibration are completed and the system is ready for normal scan.

3.2.1 Setting a scan protocol and scan parameters ･･････････････････････････

Set a scan protocol for the Daily QC Phantom. Set the scan protocol of abdominal parameters
and save it.
The method of setting the scan protocol and scan parameters is found in the ECLOS Instruction
Manual "Radiography".

Setting and saving the scan protocol and scan parameters should be carried out only
when the Daily QC Phantom is scanned for the first time.

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 3 Using the Daily QC Phantom

1 Newly setting a scan protocol and scan parameters

Follow the table shown below to newly set a scan protocol and scan parameters. For the
Protocol Name, set any name self-intelligible.

Region Name Abdomen

Protocol
0 Pos. Reset OFF
Scan Type Dynamic
Tube Current 250 mA
Tube Voltage 120 kV
Scan Time 0.8 sec.
FOV 250 mm
(X, Y) (0, 0)
Slice thickness 10.0 mm × 1i
Direction Stay
Scan Settings
No. of Scan(s) 1
Gantry tilt 0.0 deg.
Filter 32
Image Filter 0
Upper WW 150
Upper WL 0
B.H.C. OFF
B.G.C. OFF
Unspecified item can be set freely. Set it as necessary.

2 Saving the scan protocol and exiting

Save the scan protocol thus set and exit protocol setting.

3.2.2 Mounting and positioning ･･････････････････････････････････････････････

Use the phantom mounting bracket to mount and position the Daily QC Phantom. For using the
phantom mounting bracket, refer to "Appendix A.2 Phantom Mounting Bracket".

1 Attaching the phantom mounting bracket to the tabletop

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3 Using the Daily QC Phantom

2 Removing air in the phantom

When air remains in the Daily Phantom filled with distilled water, tilt the Daily QC
Phantom to free air bubbles into the reservoir.

Reservoir

Air bubble
Water

When the reservoir is filled with air and air returns to the inside of the phantom when
the Daily QC Phantom is stood vertically, distilled water is short. Replenish the
phantom with distilled water.

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 3 Using the Daily QC Phantom

3 Mounting the Daily QC Phantom on the phantom mounting bracket

So that air collected in the reservoir does not return to the phantom, hold the Daily QC
Phantom with the reservoir upward and mount it on the phantom mounting bracket
attached to the tabletop.

Phantom mounting bracket

Before using the Daily QC Phantom, be sure to check that there is no water leak. If
using it with water leak left as it is, a failure of the CT system can result.

Mount the Daily QC Phantom with the reservoir upward. If the phantom is set with
the reservoir downward, air enters the phantom and a correct image may not be
acquired.

4 Turning on the light localizer and moving the tabletop until the light
localizer strikes the Daily QC Phantom

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3 Using the Daily QC Phantom

5 Adjusting the fore/back position and tilt angle

Adjust the fore/back position and tilt angle of the Daily QC Phantom. Adjust the
fore/back position by moving the tabletop fore/back and the tilt angle by turning the angle
adjusting knob of the phantom mounting bracket.
Adjust the position of the phantom so that three positioning marks located at the top and
left and right sides of the Daily QC Phantom are aligned.

Light
localizer

Positioning
mark

Light localizer

6 Adjusting the angle of rotating direction

Adjust the angle of rotating direction of the Daily QC Phantom. Adjust the angle of
rotating direction based on the relationship between the positioning mark located at the
left and right sides and the light localizer.
Adjust so that the amount of displacement of the positioning mark and light localizer
becomes the same in the same direction.

Turn the Daily QC Phantom to align the positioning mark and light localizer on
one side.

Light
localizer

Positioning
mark

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 3 Using the Daily QC Phantom

Check the positioning mark on the other side, and turn the Daily QC Phantom by a
half of deviation.

Light localizer

Turn by a half of
deviation

Positioning mark

When the positioning mark and light localizer are apart largely, adjust the height of
the tabletop.

7 Adjusting the height

Adjust the height of the Daily QC Phantom.
Turn the height adjusting dial of the phantom mounting bracket to adjust the height of the
Daily QC Phantom so that the positioning mark aligns with the light localizer.

When the positioning marks at the left and right sides do not align with the light
localizer, the angle of rotating direction is not correct. Turn the Daily QC Phantom
again to adjust the angle of rotating direction.
When the position cannot be adjusted even if fully turning the height adjusting dial,
adjust the height of the tabletop and use the height adjusting dial to adjust it again.

8 Adjusting the left/right position

Adjust the left and right position of the Daily QC Phantom.
Turn the left/right adjusting dial of the phantom mounting bracket to adjust the left/right
position of the Daily QC Phantom so that the positioning mark at the top of the Daily QC
Phantom aligns with the light localizer.

9 Checking the position of the Daily QC Phantom

Check that the positioning marks at three locations of the top and left/right sides align
with the light localizer. This completes positioning.

The positioning mark should align with the light localizer within 2mm. If a
deviation is too big, a correct slice image may not be acquired.

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3 Using the Daily QC Phantom

3.2.3 Scan ･･････････････････････････････････････････････････････････････････

Use the scan protocol and scan parameters registered for the Daily QC Phantom to scan the
Daily QC Phantom of which positioning is completed.
How to start the scan is found in the ECLOS Instruction Manual "Radiography".

When the scan protocol and scan parameters have not been set and saved, refer to
"3.2.1 Setting a scan protocol and scan parameters".

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 3 Using the Daily QC Phantom

3.3 Measuring the CT number

To measure the CT number of the Daily QC Phantom slice image, use the Daily Check ROI
function. For detailed description of how to use the Daily Check ROI, refer to "Daily Check
ROI Instruction Manual".

1 Starting the Daily Check ROI

Click "Daily Check ROI" in Analyze of Image Viewer Menu.
The following figure shows a sample of menu display. In your system, a detail of menu
may be changed.

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3 Using the Daily QC Phantom

2 Fitting ROI's to the CT image of the Daily QC Phantom

Fit circle ROI's to the following six locations. The size of ROI's should be long axis
(Radius X) 18 and short axis (Radius Y) 18 (1,077 pixels).

A. Phantom (water) Center

B. Phantom (water) Peripheral D E
C. Teflon
D. Acrylic
Center
E. Polyethylene C F
F. Air
A

Fit ROI B so that the B

distance of A-B and that
of A-C are the same.

Fit ROI's to the center of each peg as far as possible. It fitting it to the peripheral of
the peg, accurate CT number measurements are not available due to the edge
enhanced effect.

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 3 Using the Daily QC Phantom

3 Reading information of each ROI

Read information of each ROI in the Daily Check ROI dialog box.

Read these values.

4 Checking the CT number of each ROI

Compare the CT number written on the CT number label with that of each ROI, and
confirm that they are within the range shown in the table below.
A, B Water 0.0 ± 10.0
|A - B| Water (Uniformity check) 10.0 or less
C Teflon ± 60.0
D Acrylic ± 10.0
E Polyethylene ± 10.0
F Air - 1000.0 ± 20.0

When the CT number is not written on the CT number label, the CT number to be a
reference needs to be measured and registered. For details, refer to "Appendix A.1
Entering the CT number".

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 4 Specification

4. Specification
Name Daily QC Phantom
Outside
210 × 232 × 90 (width × height × depth [mm])
dimensions
Weight (before feed water) 1.0 kg
(after feed water) 2.1 kg
CT number Water 0 (depending on definition of the CT number)
Teflon Written on the phantom (+930 ±60 [ref.])
Acrylic Written on the phantom (+125 ±10 [ref.])
Polyethylene Written on the phantom (-55 ±15 [ref.])
Air -1,000 (depending on definition of the CT number)

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4 Specification

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 Appendix

Appendix
A.1 Entering the CT number
When the Daily QC Phantom is used for the first time, the CT number of each peg needs to be
entered in the CT number label.
Measure the CT number to be a reference in the following procedure after completing
installation and various adjustments, and enter the CT number in the CT number label stuck
near each peg of the Daily QC Phantom.

1 Scanning the Daily QC Phantom

After performing Warm up and Air Calibration, scan the Daily QC Phantom five times.
For a scan procedure and scan parameters, see Section 3.

2 Checking the CT number of each ROI

Use the Daily Check ROI to check the CT number of each ROI, and confirm that CT
numbers of all five frames scanned in Step1 are within the range in the table shown
below.

A, B Water 0.0 ±10.0

|A - B| Water (Uniformity check) 10.0 or less
C Teflon +930.0 ±60.0
D Acrylic +125.0 ±10.0
E Polyethylene -55.0 ±15.0
F Air -1000.0 ±20.0

3 Entering the CT number of each ROI in the CT number label

For the CT number of Teflon, Acrylic, Polyethylene, calculate a mean of five images
respectively and enter them in the CT number label.
Ex.) Teflon: 937.13 / 935.42 / 934.58 / 934.71 / 935.43
(937.13 + 935.42 + 934.58 + 934.71 + 935.43) / 5 = 935.454
In this case, enter "+935" in the CT number label of Teflon.

When entering the CT number in the CT number label, use a oil felt pen so that the
values entered do not vanish.

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Appendix

A.2 Phantom Mounting Bracket

There are two kinds of phantom mounting brackets, namely for CT-WT-16s and for CT-WT-16L.
The following instruction is for mounting the phantom mounting bracket for CT-WT-16s as well
as for CT-WT-16L.

1 Mounting
Turn the knob counterclockwise and loosen the fixing plate L under the condition
shown below.

knob

Fixing plate L Fixing plate

Lift up the phantom mounting bracket and insert the phantom mounting bracket in
the direction until the end bracket touches the tabletop end as illustrated
below.

Tabletop

End brancket

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 Appendix

Adjust the fixing plate R to the right edge of tabletop and clip the tabletop by
sliding the fixing plate L in the direction.
Turn the knob to fix the phantom mounting bracket.

If the bracket is not fixed properly, the bracket may possibly fall down during the
calibration resulting in damage of the scanner cover.

Knob

Fixing plate L
Fixing plate
Tabletop

Fixing plate R

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Appendix

2 Mounting the phantom

Insert the hole portion of the phantom onto the shaft of the phantom mounting bracket.

Shaft Hole Phantom

3 Adjusting the phantom position

Adjust the phantom position by moving the fine move mounting base. The fine move
mounting base moves toward D, U, L, or R when turning the DU adjusting dial or LR
adjusting dial in the indicating directions on the DU nameplate and LR nameplate.

Dial indication Moving quantity

Between bold lines (between numeric values) 0.1mm
Between lines (minimum scale division) 0.02mm

DU nameplate

DU adjusting dial

Fine move mounting base

LR adjusting dial U
L

R
D

LR nameplate

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 Appendix

4 Adjusting the phantom angle

Adjust the phantom angle by turning the knob clockwise to tilt the phantom as
illustrated below.

Knob

Keep the phantom leveled by tilting the phantom by a deflection component of the
table top as illustrated below.

Horizontal direction

Tabletop

Angle
adjustment

Deflection of table top

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Appendix

5 Removing the phantom mounting bracket

Loosen the knob to make the fixing plate L free to move, and slide the fixing plate L
outward. Remove the phantom mounting bracket from the tabletop.

Knob

Fixing plate L
Tabletop

Fixing plate L

Before storing the phantom mounting bracket, ground the insertion part of the
phantom as illustrated below.

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 INDEX

INDEX
Mounting and positioning ............................................7
Ａ
Appendix.................................................................... 19
Ｐ
Phantom Mounting Bracket........................................20
Ｃ Preparatory Work for the Daily QC Phantom...............5
Composition of the Daily QC Phantom ....................... 3
Ｓ
Ｅ Scan............................................................................12
Entering the CT number............................................. 19 Scanning the Daily QC Phantom..................................6
Setting a scan protocol and scan parameters ................6
Ｇ Specification...............................................................17
General......................................................................... 1
Ｕ
Ｍ Using the Daily QC Phantom.......................................5
Measuring the CT number ......................................... 13

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