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SIREMOBIL Compact L
SP

Quality Assurance
System

Image Quality Quick Test, Ser. No. 11000 and higher

© Siemens, 2009

10409105

© Siemens, 2009
All documents may only be used for rendering
services on Siemens Healthcare Products. Any
document in electronic form may be printed
once. Copy and distribution of electronic docu-
ments and hardcopies is prohibited. Offenders
will be liable for damages. All other rights are re-
served.

Print No.: SPR2-135.820.10.06.02 English


Replaces: SPR2-135.820.10.05.02 Doc. Gen. Date: 03.12
CS PS XP WH&SG
n.a.

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.

SIREMOBIL Compact L SPR2-135.820.10.06.02 Page 2 of 42 © Siemens, 2009


03.12 CS PS XP WH&SG
Table of Contents 3
0Table of Contents

1 _______ System identification and test conditions____________________________ 5

System identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Required measuring and auxiliary equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Test conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Parameters of the organ programs for performing the IQ quick test . . . . . . . . . . . . . . 7

2 _______ TFT monitors ___________________________________________________ 9

Overview of TFT monitors with connection options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9


Installed present . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Monitor brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Luminance setpoint values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Measuring luminance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Visual evaluation of the SMPTE test image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

3 _______ Checking the ADR control curves _________________________________ 14

Checking the ADR control curves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14


Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ADR control curves for the fluoroscopy mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ADR control curves for the pulsed fluoroscopy mode . . . . . . . . . . . . . . . . . . . . . . . . 15
ADR control curves for the DR mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

4 _______ Capillary test __________________________________________________ 17

Capillary visibility test for Memoskop CX 5000 SUB . . . . . . . . . . . . . . . . . . . . . . . . . . . 18


Subtraction mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Roadmap mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

5 _______ Memoskop functional checks_____________________________________ 23

Edge enhancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Noise reduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Motion detector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

6 _______ Resolution ____________________________________________________ 27

Checking the resolution and minimum contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

7 _______ Checking the control systems ____________________________________ 29

Programming the previously noted values of the organ programs . . . . . . . . . . . . . . . . . 31

8 _______ Image Artifacts_________________________________________________ 32

Image artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Definition of the evaluation numbers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Description of the artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

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03.12 CS PS XP WH&SG
4 Table of Contents

Evaluation of the image artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34


Other artifacts: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

9 _______ Customer-specific organ programs ________________________________ 35

Programming the organ programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35


SIREMOBIL Compact/L without keyboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
SIREMOBIL Compact/L with keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Checking newly programmed ADR control curves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

10 ______ Final Work Steps _______________________________________________ 38

11 ______ Annex ________________________________________________________ 39

Opening Memoskop CX test images. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39


Memoskop CX standard programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

12 ______ Changes compared to previous version ____________________________ 42

SIREMOBIL Compact L SPR2-135.820.10.06.02 Page 4 of 42 © Siemens, 2009


03.12 CS PS XP WH&SG
System identification and test conditions 5
1-
System identification
1System identification and test conditions

Material no.: ............................... Serial no.: ..................................


Customer/clinic:
...................................................................................................
Address: ................................... City: ..........................................
State/province: Country:
......................................... ..........................................
Phone no.: ................................ Contact person: ...........................
System no.: .............................. Office: .....................................
Responsible system engineer: ....................................................

Image quality acceptance in the factory performed completely and documented by:

Name (block letters): ....................................... Dept: .................................


Signature: ....................................... Date: .................................

Customer installation date: .............................................

IQ quick test performed at:

Handover to customer Q
During maintenance Q

Settings deviating from the standard based on:

Country-specific Regula- Q Special customer Q


tions requests
Reason: .........................................................................................
..............................................................................................................

Name (block letters): .............................. Office: ........................


Signature: ..............................

© Siemens, 2009 SPR2-135.820.10.06.02 Page 5 of 42 SIREMOBIL Compact L


03.12 CS PS XP WH&SG
6 System identification and test conditions

Required measuring and auxiliary equipment 1.1

NOTE The items listed are detailed in the SPC (Spare Parts Catalog)
if there is no other reference. Exception: items marked with
an asterisk ( * ).

• Radiation filter set, e.g. 97 98 596


• Precision X-ray filter, 2.1 mm Cu, e.g. 99 00 598
• 25 mm AL measuring stand, type 26765 acc. to DIN 6868
Part 50*
or
1.2 mm Cu (e.g., from radiation filter set 97 98 596) plus
17 µm Cu strips, e.g. 11 67 662
• Resolution test set type 41 28 71 820
Factory: Resolution test, type 41a
• Dynamic test case, e.g. 37 90 156
or 97 50 001
containing: TV dynamic test 37 90 164
Heart contour diaphragm 37 90 172
Capillary test 37 90 180
Mount 87 13 901
Veiling glare test 87 09 743
• Luminance measuring device, e.g., SMFit spotmeter 77 52 848
• Protective ground wire meter, SECUTEST SIII+ or equiva- Refer to SPC
lent,
• Service PC *
• Service software * (see system binder)
• Serial interface cable for service PC – SIREMOBIL, e.g. 99 00 440

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03.12 CS PS XP WH&SG
System identification and test conditions 7

Test conditions 1.2

• Completely functioning system; ensure that the following are installed:


- Grid,
- I.I. cover,
- Sirephos cover (without DHHS spacer)
• If the setpoint values are not attained, the system must be adjusted or repaired accord-
ing to the Troubleshooting Guide.
• Mark the boxes Q Y/N with "Y" for yes or "N" for no.

Parameters of the organ programs for performing the IQ quick test 0

• 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.

NOTE All parameters in normal type correspond to the program-


ming of the factory setting (default programming). Parame-
ters in bold type deviate from the factory setting.
As long as organ program 1 in the corresponding operating
modes still corresponds to the factory setting, only the
parameters marked with "*1" need to be temporarily repro-
grammed.

NOTE For systems without a keyboard, see (SIREMOBIL Compact/L


without keyboard / p. 35).

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03.12 CS PS XP WH&SG
8 System identification and test conditions

Organ program for performing the IQ quick test


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 HC1 *1 HC1 *1 n.a. n.a. (iodine) n.a.
(iodine)
SIREMATIC push HC2 HC2 n.a. n.a. n.a.
Noise red. low MD1 *1 K=4 K=8 n.a. n.a.
(K4:K1)
Noise red. High MD2 K=8 K = 16 n.a. n.a.
(K16:K2)
Dose reduction low n.a. high n.a. n.a. n.a.
Dose reduction high n.a. high *1 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 n.a. n.a. n.a. MAX MAX
Landmark n.a. n.a. n.a. NO NO
Video signal at docum n.a. n.a. n.a. POS POS
Image display n.a. n.a. n.a. POS POS
Duration of the phase B1 n.a. n.a. n.a. 0 sec n.a.
Disk transfer rate n.a. n.a. n.a. 0 n.a.
(Phase B1)
Disk transfer rate n.a. n.a. n.a. 3 n.a.
(Phase B2)

*1 MEMOSKOP CX: Values of the parameters for performing the IQ quick test deviate from
the standard programming of the organ programs (factory setting).

SIREMOBIL Compact L SPR2-135.820.10.06.02 Page 8 of 42 © Siemens, 2009


03.12 CS PS XP WH&SG
TFT monitors 9
2-
Overview of TFT monitors with connection options
2TFT monitors

18” TFT monitor BARCO MVGD 1318 MKII DVI - DVI


Part number: 86 30 498
EIZO MX190 19" TFT monitor DVI - DVI
Part number: 104 10 770
EIZO MX191 19" TFT monitor DVI - DVI
Part Number: 104 10 730
19" TFT monitor, EIZO DSB 1906-DC DVI - DVI
Part number: 86 77 051

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03.12 CS PS XP WH&SG
10 TFT monitors

Installed present 2.1

• Check off the monitor currently installed

18” TFT monitor BARCO MVGD 1318 MKII Q


EIZO MX190 19" TFT monitor Q
EIZO MX191 19" TFT monitor Q
19" TFT monitor, EIZO DSB 1906-DC Q

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03.12 CS PS XP WH&SG
TFT monitors 11

Monitor brightness 2.2

Luminance setpoint values 0

Tab. 1 Setpoints

0 % field: 100% field:


18” TFT monitor BARCO MVGD 1318 MKII 0.5 +0.4/-0.2 cd/m2 400 +10/-30 cd/m2 *1
Part number: 86 30 498
EIZO MX190 19" TFT monitor ≤ 0.5 cd/m2 180 +/- 10 cd/m2 *1
Part number: 104 10 770
EIZO MX191 19" TFT monitor ≤ 0.5 cd/m2 180 +/- 10 cd/m2 *1
Part Number: 104 10 730
19" TFT monitor, EIZO DSB 1906-DC < 1.0 cd/m2 400 +/- 20 cd/m2 *1
Part number: 86 77 051

*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.

• Switch off the ambient light sensor, if present.

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03.12 CS PS XP WH&SG
12 TFT monitors

(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: ..........................................................................................................

SIREMOBIL Compact L SPR2-135.820.10.06.02 Page 12 of 42 © Siemens, 2009


03.12 CS PS XP WH&SG
TFT monitors 13

Visual evaluation of the SMPTE test image 2.3

• 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.

Factory Left monitor Right monitor


All grayscale values are clearly visible: Q Y/N Q Y/N
The 5% field and the 95% field are visible: Q Y/N Q Y/N

Place of use Left monitor Right monitor


All grayscale values are clearly visible: Q Y/N Q Y/N
The 5% field and the 95% field are visible: Q Y/N Q Y/N

Fig. 1: SMPTE_2

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03.12 CS PS XP WH&SG
14 Checking the ADR control curves
3-
Checking the ADR control curves
3Checking the ADR control curves

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

NOTE The specified ADR control curves must be examined accord-


ing to section 1, "Test conditions" (Test conditions / p. 7). If
other ADR control curves are to be programmed upon cus-
tomer request, the characteristic curves specified in section
1, "Test conditions" (Test conditions / p. 7) must first be pro-
grammed and tested to ensure via comparison that the sys-
tem has not changed since factory delivery.

The button can be used to select the characteristic


curves available for each selected operating mode.

ADR control curves for the fluoroscopy mode 0

• Test conditions: See (Test conditions / p. 7).

• and select I.I. full format.


• Select Sirematic HC 1 ADR control curves; the LED in the button is off.
X • Radiation on.
• Read off the kV and mA values displayed on the control panel.
• Radiation off.
• Enter the values in (Tab. 2 / p. 15).
• Select Sirematic HC 2 ADR control curves; the LED in the button is on.
X • Radiation on.
• Read off the kV and mA values displayed on the control panel.
• Radiation off.
• Enter the values in (Tab. 2 / p. 15).

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03.12 CS PS XP WH&SG
Checking the ADR control curves 15

• 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

ADR Setpoint values (factory) Actual values


control curves Factory Place of use
Fluoroscopy
kV mA kV mA kV mA
Sirematic HC 1 63-68 KV 1.9-3.8 mA
Sirematic HC 2 61-66 KV 2.1-4.7 mA

ADR control curves for the pulsed fluoroscopy mode 0

• Test conditions: See (Test conditions / p. 7).

• and select I.I. full format.


• Select Sirematic HC 1 ADR control curves; the LED in the button is off.
X • Radiation on.
• Read off the kV and mA values displayed on the control panel.
• Radiation off.
• Enter the values in (Tab. 3 / p. 15).
• Select Sirematic HC 2 ADR control curves; the LED in the button is on.
X • Radiation on.
• Read off the kV and mA values displayed on the control panel.
• Radiation off.
• Enter the values in (Tab. 3 / p. 15).
• 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. 3 Control curves_2

ADR Setpoints Actual values


control curves (factory)
pulsed Factory Place of use
Fluoroscopy
kV mA kV mA kV mA
Sirematic HC 1 63-68 KV 1.9-3.8 mA
Sirematic HC 2 61-66 KV 2.1-4.7 mA

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03.12 CS PS XP WH&SG
16 Checking the ADR control curves

ADR control curves for the DR mode 0

• Test conditions: See (Test conditions / p. 7).

• and select I.I. full format.


X • Radiation on.
• Read off the kV and mA values displayed on the control panel.
• Radiation off.
• Enter the values in (Tab. 4 / p. 16).
• 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. 4 Control curves_3

Setpoints Actual values


ADR
control curves (factory) Factory Place of use
DR kV mA kV mA kV mA
DR 850W 61-66 KV 2.7-6.5 mA

SIREMOBIL Compact L SPR2-135.820.10.06.02 Page 16 of 42 © Siemens, 2009


03.12 CS PS XP WH&SG
Capillary test 17
4Capillary test 4-

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).

- Select fluoro ( button).


- Select Sirematic HC1. (LED of the button is off).
- Select full format.

- Select high noise reduction; the LED of the button is off.

- Edge enhancement ( button) off.


- Select LUT 1.
X - Switch radiation on and evaluate the live image during radiation.
• Evaluation of the monitor image
- Setpoint
The plexi capillaries not identified in (1a/Fig. 2 / p. 17) must be visible.
- Cross off plexi capillaries in (Fig. 2 / p. 17) that are not visible.

Fig. 2: Capillary test

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03.12 CS PS XP WH&SG
18 Capillary test

Capillary visibility test for Memoskop CX 5000 SUB 4.1

Memoskop CX 5000 SUB is present: Q Y/N

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.

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03.12 CS PS XP WH&SG
Capillary test 19
Tab. 5 Capillary test_1

Setpoints Factory Place of use


2L 1 5R 2L 1 5R 2L 1 5R Group
Black Top
group
Black X
3 mm
Black X X X wide

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

Tab. 6 Capillary test_2

Setpoints Factory Place of use


2L 1 5R 2L 1 5R 2L 1 5R Group
White Top
group
White X X
3 mm
White 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

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03.12 CS PS XP WH&SG
20 Capillary test

• 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.

No noticeable difference in brightness Factory Place of use


visible in fields 2L, 1 and 5R: Q Y/N Q Y/N

• 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.

No noticeable difference in brightness Factory Place of use


visible in fields 2L, 1 and 5R: Q Y/N Q Y/N

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.

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03.12 CS PS XP WH&SG
Capillary test 21

• 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

Setpoints Factory Place of use


2L 1 5R 2L 1 5R 2L 1 5R Group
Black Top
group
Black X X
3 mm
Black X X X wide

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

Tab. 8 Capillary test_4

Setpoints Factory Place of use


2L 1 5R 2L 1 5R 2L 1 5R Group
White Top
group
White X X X
3 mm
White X X X wide

White Middle
White X X X Group
2 mm
White X X X
wide

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03.12 CS PS XP WH&SG
22 Capillary test

Setpoints Factory Place of use


2L 1 5R 2L 1 5R 2L 1 5R Group
White Bottom
group
White X X
1 mm
White X X X wide

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03.12 CS PS XP WH&SG
Memoskop functional checks 23
5Memoskop functional checks 5-
Prerequisites
• Test conditions: See (Test conditions / p. 7).
• 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.).
X • Call up fluoro.
• Contrast setting for monitors in step 1 (LUT = 1).
• Edge enhancement = 0

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03.12 CS PS XP WH&SG
24 Memoskop functional checks

Edge enhancement 5.1

• Release fluoroscopy briefly. The LIH image is visible on the monitor.

• Press the button for edge enhancement several times.


The 2 levels of edge enhancement are selected consecutively.
(edge enhancement off – edge enhancement level 1 – edge enhancement level 2 ...)

Factory Place of use


• Function control of edge enhancement OK? Q Y/N Q Y/N
(The bright-dark transitions become clearly visible
when selecting level 1 or 2 edge enhancement)

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03.12 CS PS XP WH&SG
Memoskop functional checks 25

Noise reduction 5.2

• 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.

Factory Place of use


• Noise reduction functioning properly? (Image noise Q Y/N Q Y/N
is less with the LED of the

button off).

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03.12 CS PS XP WH&SG
26 Memoskop functional checks

Motion detector 5.3

NOTE Perform only in the factory.

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.

Evaluation of the monitor image

Factory
• Motion detector OK? Q Y/N
(Differences between trailing effect and image
noise)

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03.12 CS PS XP WH&SG
Resolution 27
6-
Checking the resolution and minimum contrast
6Resolution

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.

• Press the noise reduction factor button .


The LED of the button must not illuminate.
• Set the contrast setting (LUT) for the monitors to optimum resolution detection.
• Factory: Use resolution test type 41 A.
• Place of use: Use resolution test type 41.

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:

Attach a 25-mm AL measuring stand to the image intensifier.

• Place of use:

If a 25-mm AL measuring stand is present (with 0.4-mm notch), attach it


close to the image intensifier. Otherwise: Attach 17 µm Cu directly to the grid
next to the resolution test and attach 1.2 mm Cu in the beam path close to
the tube.

• If overexposure occurs at the I.I. edge, collimate accordingly.


X • Switch radiation "on", determine the resolution during radiation, and enter it in
(Tab. 9 / p. 28).
• Switch radiation "OFF", determine the resolution of the LIH image, and enter it in
(Tab. 9 / p. 28).
• Check in each case whether the minimum contrast is detectable. (Notch in 25 mm AL or
17-µm Cu strip).

Evaluation
• Enter the determined line pairs/mm in (Tab. 9 / p. 28).

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03.12 CS PS XP WH&SG
28 Resolution
Tab. 9 Resolution

Actual resolution values [lp/mm]


Operating I.I. format Setpoints Factory Place of use
Mode Resolution [LP/mm]
Monitor 1 Monitor 2 Monitor 1 Monitor 2

During radi- Full format ≥ 1,4 n.a. n.a.


ation
During radi- Zoom ≥ 1,8 n.a. n.a.
ation
LIH Full format ≥ 1,4
LIH Zoom ≥ 1,8

Minimum contrast detectable?

Factory
Full format: Q Y/N
Zoom Q Y/N

Place of use:
Full format: Q Y/N
Zoom Q Y/N

The minimum contrast must always be visible.

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03.12 CS PS XP WH&SG
Checking the control systems 29
7Checking the control systems 7-

NOTE Perform only in the factory.

The following control systems are active for the specified prefiltering:

ADR With approx. 6.9 mm Cu and dynamic test in the beam


path
Iris diaphragm control With approx. 8.4 mm Cu and dynamic test in the beam
path
AGC With approx. 10.5 mm Cu and dynamic test in the beam
path

The test is used to check the functioning of these control systems.

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.

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03.12 CS PS XP WH&SG
30 Checking the control systems

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

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03.12 CS PS XP WH&SG
Checking the control systems 31

Programming the previously noted values of the organ programs7.1


NOTE Before performing the IQ quick test, the organ programs were
set in accordance with section 1, "Test conditions" (Test
conditions / p. 7).
These must be reprogrammed to the previously noted param-
eter values.

NOTE For systems without a keyboard, see (SIREMOBIL Compact/L


without keyboard / p. 35).

• Program the organ programs back to the original and previously noted parameter val-
ues.

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03.12 CS PS XP WH&SG
32 Image Artifacts
8-
Image artifacts
8Image Artifacts

• 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:

Definition of the evaluation numbers 0

1= No noise and artifacts were detected during startup.

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.

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03.12 CS PS XP WH&SG
Image Artifacts 33

Description of the artifacts 8.1

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).

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03.12 CS PS XP WH&SG
34 Image Artifacts

Evaluation of the image artifacts 8.2

Setpoint for evaluation of the artifact: Only 1 and 2 are allowed.

Factory Place of use


Nature of the noise, artifact Assessment of the artifact *1
1 2 3 1 2 3
Hum
Streaks
Ghost images (reflections)
Background structures
Pixel errors

*1 Evaluation of the artifacts


1 = No noise, artifacts
2 = slight noise, artifacts
3 = intolerable noise, artifacts

Remarks:
........................................................................................................................
.........................................................................................................................
........................................................................................................................
........................................................................................................................

Other artifacts: 0

........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................
........................................................................................................................

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03.12 CS PS XP WH&SG
Customer-specific organ programs 35
9-
Programming the organ programs
9Customer-specific organ programs

(Only upon customer request, only at the place of use).

The customer has selected the standard organ programs: Q Y/N

In the case of "Y": section not applicable.

SIREMOBIL Compact/L without keyboard 0

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".

SIREMOBIL Compact/L with keyboard 0

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").

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03.12 CS PS XP WH&SG
36 Customer-specific organ programs

Checking newly programmed ADR control curves 9.1

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.

NOTE Pay attention to the programmed dose rate level. To check


the newly programmed ADR control curves, temporarily pro-
gram the "Mid" dose rate level (see above).

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

ADR Actual values at the place of


Typical values
use
characteristic
curves
kV mA kV mA
SIREMATIC LD 80 - 96 0,2 - 0,4
SIREMATIC S1 67 - 79 0,9 - 1,5

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03.12 CS PS XP WH&SG
Customer-specific organ programs 37

ADR Actual values at the place of


Typical values
use
characteristic
curves
kV mA kV mA
SIREMATIC S2 65 - 75 1,1 - 1,9
SIREMATIC HC1 63 - 68 1,9 - 3,8
SIREMATIC HC2 61 - 66 2,1 - 4,7
IODINE 61 - 65 2,1 - 5,0

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03.12 CS PS XP WH&SG
38 Final Work Steps
10Final Work Steps 10-
• The image quality quick test can normally be performed without opening the covers.
The protective earth test is not necessary.
• However, if the covers were removed from the SIREMOBIL Compact L, the protective
earth test must be performed.

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03.12 CS PS XP WH&SG
Annex 39
11-
Opening Memoskop CX test images
11Annex

CTRL + T can be used to call up the technical setup of the memory.


The various test images can be called up in menu 4, "Input setup."

NOTE For systems without a keyboard, see (SIREMOBIL Compact/L


without keyboard / p. 35).

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03.12 CS PS XP WH&SG
40 Annex

Memoskop CX standard programming 11.1

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.

(*1) Only for Memoskop CX 5000 SUB


(*2) Image display on film should correspond to image display on the monitor.

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03.12 CS PS XP WH&SG
Annex 41

SUB & Roadmap


Windows/level
/1 brightness 3120
/1 contrast 1600
/2 brightness 3280
/2 contrast 1680
/3 brightness 3440
/3 contrast 1760
/4 brightness 3600
/4 contrast 1840
/5 brightness 3760
/5 contrast 1920
/6 brightness 3920
/6 contrast 2032

SUB & roadmap K-factors/time


SUB phase A K-factor 16
SUB phase B K-factor 8
SUB phase A time (1/10 sec) 15
Roadmap phase A K-factor 16
Roadmap phase B K-factor 8
Roadmap phase C K-factor MD2
Roadmap phase A time (1/10 sec) 15

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03.12 CS PS XP WH&SG
42 Changes compared to previous version
12Changes compared to previous version 12-
• Chapter "TFT monitors":
EIZO DSB 1906-DC 19” TFT monitor added.

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03.12 CS PS XP WH&SG

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