Company Confidential

Business Line X-ray

04

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APPLICATION NOTES
Allura Xper FD10 January 2004

TABLE OF CONTENTS

I Restart system .......................... 2

II Splitting examinations............ 2
III Patient type............................ 2
IV Subtraction remask............... 3
V Query / Retrieve...................... 3
VI Store & recall function.......... 3
V Did you know….. .................... 3

The Business Line X-Ray Application notes is for internal use only. Distribution within BL X-Ray and related staff in the
PMS organisation. Issue by CV Application and Clinical Science, QP, Best, the Netherlands, http://pww.xray.ms.philips.com

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I Restart system
Whenever during an intervention a problem
occurs with the system you have several
possibilities.
a. Cold restart.
Switch off the system and back on
again using the switch-on button on the
Review module.
This way the system starts from scratch
performing all self-checks. A cold
restart takes approximately 6 to 8
minutes.
b. Warm restart
After a system hang-up, warm restart
offers the possibility to have fast restart
fluoro. Press the switch-on button until
it starts flashing. After some seconds an
eye-icon appears on the screen, offering
the low dose fluoro. At this moment the
system stops to continue starting up
until the user has pressed the ok button
on the view monitor to allow to
continue restarting the system. At this
moment nothing is possible until the
system is fully functioning again. This
takes approx 3 mintues
c. Warm restart Geometry
Whenever the geometry of the system is
blocked, the system offers to perform a
geo-warm restart and have a full
functional system immediately except
for the geometry movement.
When the geometry blocks, press the
emergency button first, followed by
pressing the switch-on button.
After only a few seconds the system
functions again.
II Splitting examinations
If two patients have accidently been merged
into one patient folder, there is a possibility to
have it archived normally.
However splitting is limited to:
1. Systems without a work list
management
2. Correct archiving only possible if
examination is not closed yet
3. System is configured with auto-archive
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4. Archiving can only be done with manual
transfer
Procedure steps:
- Complete the patient examination.
- Deflag all runs that do not belong to the
entered patient name.
- Move the folder under the archive task
- Press Transfer
- Select the Acquisition file
- Highlight the `flagged` runs
- Select a destination and press ok to
transfer the selected images to the
archive work station
- Open the patient tab and modify the
patient identification and press ok
- Press Transfer
- Select the Acquisition file
- Highlight the `unflagged` runs
- Select a destination and press ok to
transfer the selected images to the
archive work station
The only way to have this split also on the data
monitor is when the system has the query /
retrieve function.
Now it is possible to delete the whole study and
retrieve from the workstation.
III Patient type
Filling in the patient type does influence the IQ.
Patient type is default set to normal unless the
system is attached to a Work List Management
(WLM).
The following scenarios exist:
A. Without a worklist management
(HIS/RIS/CIS)
Without the WLM, the entered weight
and height in the patient tab, does not
influence the exposure/fluoro settings.
The entered patient type in the exam tab,
does effect the settings. The effect you
can see when you change the patient type
during the study.
B. With a worklist management
When you are connected to a WLM, the
height and weight of the patient is
entered automatically.
When configured, this information is
translated automatically to set a preferred
patient type.
 This automatic selected preferred
patient type can be configured off in the
EPX settings.
The patient type can, at any time during
the study, be changed.
IV Subtraction remask
The subtraction remask function incorporates
two ways of selecting a new mask image.
a. Remask
Pressing “active image” the active
image on the screen will be used as new
mask image. The next image with the
new mask image will be displayed.
Pressing “last image” will automatically
select the last image of the active run as
the new mask image.
b. Move mask
Pressing “forward” or “reverse” will
move the mask image (next or previous)
while looking at a specific image. This
function offers to enhance the image
quality of the active subtracted image.
This function is also available on the Xper
Module as a submenu under the Processing
task.
However on the Xper module the names of the
subtraction –remask functions are different.
- Open the Remask submenu:
- The arrows + and – refer to “Move mask”,
forward / reverse
- Sub Rem = active image
- Last Rem = Last image
V Query / Retrieve
The system offers query/retrieve function. If
desired a patient examination present on
another workstation or archive station,
connected to our system, can be retrieved back
into our system.
Procedure steps:
• Go to the ‘Archive main task’
• Press “Search”
• Select the Location
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• Fill in the patient name or
perform a search (queri) for the
patient
• Select the desired patient from the
search list and press ‘Import’
Note:
1. The function query/ retrieve is not an
option on our system.
2. However on the workstation or archive
station (such as Xcelera), it might require
a licence!
3. The retrieve speed of the images is very
slow ( approx. 1 frame per second!)
VI Store & recall function
Whenever the user presses the Store buttons on
the Geometry module, it stores only the
geometry positions of the G-arc. It does not store
the shutters or wedge positions.
V Did you know…..
1. We now have an application training kit
• This is not delivered with the system
• You can order this via the publication list
• We hope you take this to every customer as
part of the handover
2. You can use another local keyboard
• This has to be configured on the system
• You need a hardware key to have access to
these configuration settings
Procedure steps:
- Insert the PMS hardware key
- Attach another keyboard
- Press Ctrl – Esc
- Go to Configuration
- Open the input locales tab and
select the desired keyboard –
language
- Press Set as default.
The keyboard is now configured.
3. Changing the attending physicians name
during an examination will result in having an
empty physicians field on the archive station.
This is because of Dicom standards.
4. History tab
Whenever a patient has had a previous study
 and the old study still exists on the database release = direct. This means when the joystick
of the system, it will show in the history tab. is pressed the table brake is off ( table
When the user clicks on (one of) the floating).
previous study folder, the images will appear In the visub systems, this function could also
on the review monitor and also on the live be set to: alternate. This means that the table
monitor. This offers to review quickly the brake is off, when pressing the joystick and
previous study in the exam room. release the joystick. It will only return to table
Note that the physician is looking at the brake is on, upon pressing the joystick again.
previous study folder. As soon as an action However due to a bug of the software the
is done (e.g. fluoro), the system returns latter function is currently not available. It
automatically to the current examination will be solved as soon as possible.
folder.
Copying images of this old study folder to
the reference monitor, will store the images
into the reference file of the previous
study!!!
5. Archive QA results
* Default factory settings will store QA
result file automatically when pressing Close
examination.
* However before this action is done
automatically, the QA result file needs to be
saved and the user has to quit the program.
6. Auto wedge follow
* This function is default activated and
results in the wedge moving according a
predefined curve, while rotating and
angulating the Geometry.
* However in the situation where a user
manipulates the position of the curve
constantly and a user uses the Store and
Recall buttons a lot, this might lead to dis-
comfort of the auto wedge follow function.
This is because the recall button does only
recall the geometry positions and not the
wedge position.
In this case, it might be better to disable the
auto wedge follow.
7. No name patient
* Whenever the button ‘close examination’
is pressed, a no-name patient is entered as
new acquisition patient.
* Please remember that the first patient of
the next day is the no-name patient that was
entered automatically on the previous day!
This means that when the user starts the
examination using the no-name patient, it
will be archived on the previous day!!
8. The float table top function can not be
changed. This joystick is set to: auto brake

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