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SIREMOBIL Compact L
SP
Quality Assurance
System
© Siemens, 2009
10409105
© Siemens, 2009
All documents may only be used for rendering
services on Siemens Healthcare Products. Any
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served.
2009
2 Copyright / Version / Disclaimer
1Copyright / Version / Disclaimer
Copyright
“© Siemens, 2009“ refers to the copyright of a Siemens entity such as Siemens Aktienge-
sellschaft - Germany, Siemens Shenzhen Magnetic Resonance Ltd. - China, Siemens
Shanghai Medical Equipment Ltd. - China, Siemens Medical Solutions USA Inc. - USA
and/or Siemens Healthcare Diagnostics Inc. - USA.
Document Version
Siemens reserves the right to change its products and services at any time.
In addition, manuals are subject to change without notice. The hardcopy documents corre-
spond to the version at the time of system delivery and/or printout. Versions to hardcopy
documentation are not automatically distributed. Please contact your local Siemens office
to order current version or refer to our website http://www.healthcare.siemens.com.
Disclaimer
Siemens provides this documentation “as is“ without the assumption of any liability under
any theory of law.
The installation and service of equipment described herein requires superior understand-
ing of our equipment and may only be performed by qualified personnel who are specially
trained for such installation and/or service.
System identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Required measuring and auxiliary equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Test conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Parameters of the organ programs for performing the IQ quick test . . . . . . . . . . . . . . 7
Edge enhancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Noise reduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Motion detector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Image artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Definition of the evaluation numbers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Description of the artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Image quality acceptance in the factory performed completely and documented by:
Handover to customer Q
During maintenance Q
NOTE The items listed are detailed in the SPC (Spare Parts Catalog)
if there is no other reference. Exception: items marked with
an asterisk ( * ).
• Corresponding to the following table, in each case one of the available organ programs
has to be programmed temporarily for the existing operating modes.
• First note the parameter values in the organ programs and reprogram them after com-
pletion of the IQ quick test.
• Perform programming according to the Operator Manual of the system.
• Perform the tests in sections 3 through 7 with the programmed values stated in the
table.
*1 MEMOSKOP CX: Values of the parameters for performing the IQ quick test deviate from
the standard programming of the organ programs (factory setting).
Tab. 1 Setpoints
*1 The tolerance values apply to brand new items (condition upon delivery)
The maximum adjustable luminance falls over the life of the TFT monitors.
The monitor is considered worn out when the highest luminance that can be set falls below:
- 120 cd/m2 (for EIZO MX190 and EIZO MX191).
- 350 cd/m2 (for BARCO MVGD1318 MKII and EIZO DSB 1906-DC).
Measuring luminance 0
• Open the Memoskop SMPTE test image (Opening Memoskop CX test images / p. 39)
and display it on both TFT monitors with LUT 1.
• Perform the luminance measurement with the luminance meter (e.g. SMFit Spotmeter).
NOTE Do not exert any pressure on the LCD display of the monitor
during the measurement with the luminance meter.
(Setpoint val-
ues, Factory Place of use
see(Tab. 1 / p. 1 Measured luminance: Measured luminance:
1)
Left monitor
100 % field cd/m2 cd/m2
Left monitor
0 % field cd/m2 cd/m2
Right monitor
100 % field cd/m2 cd/m2
Right monitor
0 % field cd/m2 cd/m2
The monitor is considered worn out when the highest luminance that can be set falls below:
- 120 cd/m2 (for EIZO MX190 and EIZO MX191).
- 350 cd/m2 (for BARCO MVGD1318 MKII and EIZO DSB 1906-DC).
Remarks: ..........................................................................................................
• Open the Memoskop SMPTE test image (Opening Memoskop CX test images / p. 39)
and display it on both TFT monitors with LUT 1.
• Visually evaluate the SMPTE test image on both monitors.
Fig. 1: SMPTE_2
Prerequisites 0
• For the following tests for fluoroscopy, pulsed fluoroscopy, and DR, the parameters
must be programmed according to the specifications in section 1, paragraph "Test con-
ditions", (Test conditions / p. 7).
• Attach a 2.1-mm Cu precision X-ray filter for prefiltering in the area of the radiation exit.
• Select the "Mid" level as the dose rate; this corresponds to
0.185 µGy/s ±15% with survey format for a 23 cm I.I.
Evaluation 0
• The actual values documented at the factory must be obtained again at the place of
use. Admissible deviations: Tube voltage (kV) ±1 kV, tube current (mA) ±10%
Tab. 2 Control curves_1
NOTE The dynamic test in conjunction with the plexi capillary test
is used to detect small contrast differences.
• Measuring setup:
- Remove the 2.1-mm precision X-ray filter from the beam path.
- Attach the dynamic test without holder but with heart contour diaphragm and plexi
capillary test right in front of the I.I. input (plexi capillaries close to I.I.).
• Prerequisites:
- Test conditions: See (Test conditions / p. 7).
If "n", then the capillary visibility test for Memoskop CX 5000 SUB does not apply.
Subtraction mode 0
Measurement setup
• Attach the dynamic test without holder but with heart contour diaphragm and plexi capil-
lary test right in front of the I.I. input (plexi capillaries close to I.I.).
Prerequisites
• Test conditions: See (Test conditions / p. 7).
• Select SUB.
• Use the following settings.
- Dose rate level "High" = 0.37µGy/s ±15% for 23-cm (9") I.I.;
- Noise reduction for mask k = 16;
- Noise reduction for fill k = 8;
- SUB phase A time 1.5 seconds
• Select full format.
• No edge enhancement.
Use
X • Trigger a scene (radiation on)
• After ≥ 2 seconds, the mask is set automatically. The message "Inject" appears on the
monitor.
• Then cause the plexi capillary test to move by pressing the rubber ball.
• After another 3 seconds, switch the radiation off.
Evaluation 1
• Select LUT 4.
• On monitor B determine the capillary lines to be identified in the individual matrix fields.
They should be separated according to black and white.
NOTE Do not evaluate the first white line. Start with the first black
line.
• Enter the result in (Tab. 5 / p. 19) and (Tab. 6 / p. 19); mark any non-visible lines with x.
Black Middle
Black X X Group
2 mm
Black X X X
wide
Black Bottom
group
Black X
1 mm
Black X X X wide
White Middle
White X X Group
2 mm
White X X X
wide
White Bottom
group
White X
1 mm
White X X X wide
Evaluation 2
• On monitor B, evaluate the white 3-mm capillary line in fields 2L, 1, and 5R.
There must not be any noticeable difference in brightness in the fields.
• On monitor B, evaluate the black 3-mm capillary line in fields 2L, 1, and 5R.
There must not be any noticeable difference in brightness in the fields.
Roadmap mode 0
Measurement setup
• Attach the dynamic test without holder but with heart contour diaphragm and plexi capil-
lary test right in front of the I.I. input (plexi capillaries close to I.I.).
Prerequisites
• Test conditions: See (Test conditions / p. 7).
• Select roadmap.
• Use the following settings:
- Dose rate level "High" = 0.37 µGy/s ±15% for 23 cm (9") I.I.;
- Noise reduction for phase 1(K1) k = 16;
- Noise reduction for phase 2(K2) k = 8;
- Noise reduction for phase 3 (K3) MD2
- Roadmap phase A time 1.5 seconds
• Select full format.
• No edge enhancement.
Use
X • Trigger a scene (radiation on; phase 1)
• After ≥ 2 seconds the mask is set automatically. The message "Inject" appears on the
monitor.
• Do not move the plexi capillaries. (Radiation remains on; phase 2)
• After another 3 seconds, switch the radiation off.
X • Release radiation again. Phase (3)
• Cause the plexi capillary test to move by pressing the rubber ball.
• After another 3 seconds, switch the radiation off.
Evaluation
• Select LUT 4.
• On monitor B determine the capillary lines to be identified in the individual matrix fields.
They should be separated according to black and white.
NOTE Do not evaluate the first white line. Start with the first black
line.
• Enter the result in (Tab. 7 / p. 21) and (Tab. 8 / p. 21); mark any non-visible lines with x.
Tab. 7 Capillary test_3
Black Middle
Black X X X Group
2 mm
Black X X X
wide
Black Bottom
group
Black X X
1 mm
Black X X X wide
White Middle
White X X X Group
2 mm
White X X X
wide
• Press the button for selecting the noise reduction factor ; the LED of the button
must light up (low noise reduction).
X • Switch fluoroscopy on briefly and assess the noise impression of the image during radi-
ation.
• Press the button for selecting the noise reduction factor ; the LED of the button is
off (high noise reduction).
X • Switch fluoroscopy on briefly and assess the noise impression of the image during radi-
ation.
button off).
Prerequisites
• Test conditions: See (Test conditions / p. 7).
• Remove the dynamic test without holder, with heart contour diaphragm and plexi capil-
lary test, from the I.I. input screen and place on a separate surface (e.g. table).
• In addition attach a screwdriver centrally on the dynamic test.
• Position the C-arm with respect to the separate surface so that the dynamic test is over
or under the I.I. input screen. The plexi capillaries are close to the I.I.
• Call up fluoro.
• Select low noise reduction (MD1); the LED in the button is on.
X • Radiation on.
• Move the C-arm horizontally during fluoroscopy.
¹ During movement of the C-arm toward the capillary test, the live image shows
only a slight trailing effect. The image noise is more clearly visible in the moving
parts of the image.
• Radiation "off".
• Select high noise reduction (MD2); the LED in the button is off.
X • Radiation on.
• Move the C-arm horizontally during fluoroscopy.
¹ During movement of the C-arm toward the capillary test, the live image shows a
greater trailing effect than when low noise reduction is selected. The image noise
is less clearly visible in the moving parts of the image.
• Radiation "off".
• Remove the screwdriver that was placed there earlier.
Factory
• Motion detector OK? Q Y/N
(Differences between trailing effect and image
noise)
Prerequisites:
• Test conditions: See (Test conditions / p. 7).
• Call up Fluoro and the ”Mid” dose rate level.
• Select Sirematic HC1 ADR curves; the LED in the button is off.
• Set the edge enhancement to optimum resolution detection.
Place the resolution test directly on the grid in the center of the image inten-
sifier so that it is at an approx. 45 degree angle to the grid lines.
• Factory:
• Place of use:
Evaluation
• Enter the determined line pairs/mm in (Tab. 9 / p. 28).
Factory
Full format: Q Y/N
Zoom Q Y/N
Place of use:
Full format: Q Y/N
Zoom Q Y/N
The following control systems are active for the specified prefiltering:
Prerequisites
• In the case of SIREMOBIL Compact with 2 monitors, both monitors must be set to give
approximately the same brightness and contrast impression (synchronism) (LUT,
brightness and contrast setting).
Preparations
• Test conditions: See (Test conditions / p. 7).
• Attach the dynamic test to the image intensifier:
- Without holder
- With heart contour diaphragm
- Without plexi capillary test
• Select fluoro: "Mid" dose rate level.
• Select Sirematic HC1 ADR curves; the LED in the button is off.
• Select LUT1 for both monitors.
• Set the edge enhancement to maximum detectability of bright/dark transitions.
• Switch the I.I. to full format.
• Completely open the collimator.
• Prefilter with Cu until 106 kV to 109 kV are displayed.
X Activate fluoroscopy briefly. (approx. 6.9 mm Cu required)
• Radiation on.
• Evaluate the brightness of the fluoroscopy image.
• Radiation off.
Evaluation 1
• Additionally, attach 1.5 mm Cu to the radiation exit.
X • Radiation on.
¹ The generator limit 110kV/3mA must be reached.
• Store the LIH image as a reference image.
• Evaluate the brightness of the fluoroscopy image.
• The brightness impression with approx. 6.9 mm Cu prefiltration and dynamic test
should be approximately the same as the brightness impression with approx. 8.4 mm
Cu and dynamic test.
Factory
Same brightness impression with ADR and iris diaphragm control? Q Y/N
Evaluation 2
• Additionally, attach 2.1 mm Cu to the radiation exit.
X • Radiation on.
• Evaluate the brightness of the fluoroscopy image.
• The brightness impression with approx. 8.4 mm Cu prefiltration and dynamic test
(saved reference image) should be approximately the same as the brightness impres-
sion with approx. 10.5 mm Cu and dynamic test.
Factory
Same brightness impression with ADR and AGC? Q Y/N
• Program the organ programs back to the original and previously noted parameter val-
ues.
• Check off all image artifacts found during settings and IQ tests in the table in the IQ Test
Certificate.(Evaluation of the image artifacts / p. 34).
• If image artifacts are detected that are not listed in the table, describe them under
"Other artifacts".
• Three evaluation numbers that indicate the extent of the artifact are provided for evalu-
ation:
2= Minor noise, artifacts occurred sporadically during startup. The cause could not
be localized and the "error" could not be corrected. The artifacts scarcely affect
the good overall image impression, and the ability to make a medical diagnosis
from the images is not impaired in any way. Therefore, the artifacts are tolerable.
3= More frequent or stronger noise/artifacts that interfere with the overall impression
of the image or impair the ability of the images to be diagnosed medically
occurred during startup and are therefore no longer tolerable. The system must
not be shipped or handed over to the operator in this condition.
Hum:
Non-homogeneousness that is caused by electro-magnetic radiation in the image produc-
ing systems are unattractive and disturbing. Depending on the type of artifact, they can
have a very negative effect on the ability to evaluate the images. They are tolerable only to
a very slight degree. Hum artifacts are visible as sporadic, horizontal light-dark patterns in
the image; they are temporary and are not limited to a specific location.
Streaks:
Very high-frequency electromagnetic radiation is visible in the image as light or dark, some-
times very short, horizontal lines (temporary).
Streaks that are caused by dirt on optically effective surfaces must also be recorded here.
They are limited to a specific location and are not temporary. Streaks are barely tolerable.
Ghost images:
These are object contours that are usually offset to one side and appear double. They are
caused by reflections in poorly adapted, long video cables. Clearly visible ghost images are
not tolerable.
Background structures:
Background structures are permanent, grid-shaped patterns, primarily in dark image sec-
tions, that are also called "fixed noise."
Pixel errors:
These errors are image pixels with no image information. They are visible on the monitor
as dark or light pixel-size dots.
There are tolerable and intolerable pixel errors. The TV camera is inspected very precisely
in the test area for pixel errors and only TV cameras with pixel errors corresponding to an
internal specification according to type and number are provided to customers. These tol-
erable pixel errors must be documented in the IQ measuring protocol (Evaluation of the
image artifacts / p. 34).
Remarks:
........................................................................................................................
.........................................................................................................................
........................................................................................................................
........................................................................................................................
Other artifacts: 0
........................................................................................................................
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NOTE A service keyboard (either PS2, or USB with PS2 adapter) will
be delivered ex factory. The following work steps provide
instructions for connecting the keyboard via PS2. If a USB
keyboard was delivered, it can be connected to the USB port
on the front of the Memoskop CX.
• The SIREMOBIL Compact L with MEMOSKOP CX and license for 25 images (CX 25)
can be delivered without the operating keyboard if the customer so wishes. However, a
keyboard is necessary for configuring the MEMOSKOP CX.
• In this case, connect the the PS2 service keyboard included with delivery (before
switching on the system) to the "PC Keyboard" jack on the MEMOSKOP CX. (The PS2
keyboard is kept in the compartment for the system binder at the back of the monitor
cart.)
• The PS2 keyboard has all the keys from the operating keyboard (except for the "Home"
key) necessary for performing the settings in User Setup and Technical Setup.
• For the "Home" key ( ->I<- ), use the "Escape" key on the PS2 keyboard.
• To change the default organ programs, see the Operator Manual, chapter "Memoskop
digital image memory".
If the default organ programs are modified, the values programmed must be saved to
CD (See Startup Instructions, section "Memoskop CX": Parameter backup").
Additionally, the programmed values must be written down by hand, initialed and dated,
and filed in the customer's Operator Manual under the chapter "Curves and diagrams".
To change the default organ programs, see the Operator Manual, chapter "Memoskop dig-
ital image memory".
If the default organ programs are modified, the values programmed must be saved to CD
(See Startup Instructions, section "Memoskop CX": Parameter backup").
Prerequisites 0
The ADR control curves for Sirematic HC1 and Sirematic HC2 were already tested. See
(Checking the ADR control curves / p. 14).
• Select "Mid" as the dose rate level. This corresponds to a
dose rate of 0.185 µGy/s ±15% for a 23cm (9") I.I. and full format.
• If necessary, program the dose rate levels temporarily to "Mid" in the organ programs.
Use 0
• Select fluoro.
• Attach a 2.1-mm Cu precision X-ray filter for prefiltering in the area of the radiation exit.
• After selecting the respective fluoro organ program and then
activating the key, the programmed ADR control curves can be selected.
X • Subsequently release fluoroscopy.
Evaluation 0
• Read off the kV and mA values displayed on the control panel and enter them in
(Tab. 10 / p. 36) for the associated ADR control curves.
• Switch fluoroscopy off.
• Select any additionally programmed ADR control curves by selecting the
corresponding organ program and the button and enter the displayed kV and
mA values in (Tab. 10 / p. 36).
Tab. 10 Programs
The organ programs are stated with their default values in the Operator Manual of the
SIREMOBIL Compact L.
The following default values are programmed in organ program 1 when the SIREMOBIL
Compact L is delivered:
Organ program 1
Operating Mode FL IFL DR SUB Roadmap
Program name Standard Standard Standard SUB 2F/s Standard
Dose rate MID MID MID HIGH HIGH
SIREMATIC normal S2 S2 n.a. n.a. n.a.
SIREMATIC push HC2 HC2 n.a. n.a. n.a.
Noise red. low K=4 K=4 K=8 n.a. n.a.
Noise red. High K=8 K=8 K = 16 n.a. n.a.
Dose reduction low n.a. high n.a. n.a. n.a.
Dose reduction high n.a. mid n.a. n.a. n.a.
Auto LIH disk transfer NO NO n.a. n.a. n.a.
Auto transfer each image n.a. NO n.a. n.a. n.a.
Disk transfer rate 0 n.a. n.a. n.a. n.a.
Auto disk transfer n.a. NO YES n.a. n.a.
Subtraction (*1) n.a. n.a. n.a. MAX MAX
Landmark (*1) n.a. n.a. n.a. NO NO
Video signal at docum. (*1; *2) n.a. n.a. n.a. POS POS
Image display (*1; *2) n.a. n.a. n.a. POS POS
Duration of the phase B1 (*1) n.a. n.a. n.a. 0 sec n.a.
Disk transfer rate (phase B1) (*1) n.a. n.a. n.a. 0 n.a.
Disk transfer rate (phase B2) (*1) n.a. n.a. n.a. 2 n.a.