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HiSpeed FX/i

0459
*

Operator Manual
2295149–100 Brought to you BY
KARTHICK
Revision 0
cutekarti4u@gmail.com
Original Draft in English

Copyright 2001
by General Electric Company
WARNING
X–RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR
UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED
Though this equipment is built to the highest standards of electrical and mechanical safety, the useful x–ray beam becomes
a source of danger in the hands of the unauthorized or unqualified operator. Excessive exposure to x–radiation causes damage
to human tissue.
Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment
or exposing themselves or others to its radiation.
Before operation, persons qualified and authorized to operate this equipment should be familiar with the Recommendations
of the International Commission on Radiological Protection, contained in Annals Number 26 of the ICRP, and with applicable
national standards.
Regulatory Requirements

This product complies with regulatory requirements of the following:

- European Directive 93/42/EEC concerning medical devices 0459

The configurations delivered:


– without any option or accessory,
or
– exclusively with one or several options and/or accessories listed
below, have been declared in compliance with the European
Directive 93/42/EEC and therefore bear the CE marking:
- Green QSD 1990 Standard issued by MDD (Medical Devices Director-
ate, at the UK Department of Health).
- Medical Device Good Manufacturing Practice Manual issued by the
FDA (Food and Drug Administration, United States Department of
Health).
- Requirements from Underwriters Laboratories, Inc. (UL), independent
laboratory.
- Requirements from Canadian Standards Association (CSA).
- Requirements from the International Electrotechnical Commission
(IEC), international standards organization.

General Electric Medical Systems, the manufacturer of this product, is ISO


9001 certified.

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EMC Performance

This CT system may characteristically cause electromagnetic interference


with other equipment, either through air or connecting cables.
The term EMC ( ElectroMagnetic Compatibility ) means the capability of the
equipment, which curbs electromagnetic influence from other equipment
and at the same time does not affect other equipment with similar electro-
magnetic radiation from itself. This product is designed to fully comply with
the group 1 EN60601–1–2 ( IEC60601–1–2 ), Class A, in EMC regulations.
In terms of EMC performance, limit value 12dB relaxation in electromagnet-
ic interference of permanently–installed medical system used in a lead–
shielded area, is applied to this product.

Notice upon Installation of the Product


- Locate the equipment as far as possible from other electronic equip-
ment.
- Be sure to use either any cables provided by GEYMS or ones desig-
nated by GEYMS. Wire these cables following these installation proce-
dures.

General Notice
- Designation of Peripheral Equipment Connectable to This Product

Avoid using other equipment than designated. Failure to comply with this
instruction may result in poor EMC performance of the product.
- Notice against User Modification

Never modify this product. Unilateral user modification may cause degrada-
tion in EMC performance. Modifications of product include ;
D Changes in cable ( length, material, wiring etc.)
D Changes in system installation/layout
D Changes in system configuration/components
D Changes in means of fixing the system/parts ( cover open/close,
cover screwing )
- Operate the system with all covers closed. If you open any cover for
some reason, be sure to shut it before starting/resuming operation.
Operating the system with any cover open could affect EMC perfor-
mance.

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Countermeasures against EMC–related Issues

Generally it is pretty difficult to grapple with EMC–related issues.


It may take much time and cost.

General countermeasures

Electromagnetic interference with other equipment


D Electromagnetic interference may be alleviated by positioning other
equipment far from the system.
D Electromagnetic interference could be mitigated by changing the
relative location/installation angle between the system and other
equipment.
D Electromagnetic interference may be eased by changing wiring
locations of power/signal cables of other equipment.
D Electromagnetic influence could be reduced by altering the path of
power supply for other equipment.

Notice on Service
- Ensure all screws are tight after servicing.
Loose screws may cause the degradation in EMC performance.
- In case the high frequency gasket of this system is broken, replace it
with a new one immediately.

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Safety

Safety !

WARNING!

FAILURE TO FOLLOW THE OPERATING INSTRUCTIONS AND


SAFETY PRECAUTIONS COULD RESULT IN INJURY TO THE
PATIENT, YOURSELF, OR OTHERS.

General Safety
- Keep the patient in view at all times. Never leave the patient unattended.
Always stay alert to safety concerns involving the patient’s condition and
equipment operation.
- Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and
make sure they accommodate cradle travel. Position these lines so they
cannot catch on anything within the patient vicinity or between the table and
gantry during cradle travel or gantry tilt.
- Always follow the exam procedures provided in the operator manual. Verify
correct entry of identification, patient positioning, and other patient data
before proceeding with the exam. Incorrect procedures or patient data entry
could cause misinterpretation of the exam results.
- Conduct Image Quality checks and follow the maintenance schedule outlined
in your HiSpeed FX/i operator manual. Discontinue use of the equipment
whenever you notice equipment damage, or a malfunction occurs. Do not
use the equipment until qualified service personnel correct the problem.
Never use the equipment unless all the protective covers are in place.

Radiation Safety
- Use of controls or adjustments, or performance of procedures other than
those specified herein may result in hazardous radiation exposure.
- Always use proper technique factors for each procedure to minimize X–Ray
exposure while still producing the best diagnostic results.
- Be sure to have an operator wear X–ray protection vest when a work is
needed near the gantry while X–ray is being emitted.

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Safety
Mechanical Safety
- Never open, or remove, the gantry covers. (Only qualified service personnel
should remove covers.)
- Do not enter the scan room when the gantry covers have been opened or
removed. Never allow a patient or staff member to enter the scan room when
the gantry covers have been removed for maintenance or PM. (Never allow
anyone but qualified service personnel to enter the scan room during gantry
maintenance or PM.)
- To prevent the pinching or crushing of extremities, keep hands and feet away
from the edge of the moving table top/cradle and its surrounding equipment.
(Be especially careful when positioning patients who weigh more than 250
pounds.)
- Physically assist all patients on and off the table, and into position on the
cradle.
- While a patient is being loaded onto a CT table from a gurney, make sure via
the following measures that the gurney NEVER moves.
D Lock all the casters of the gurney.
D Hold the gurney very firmly.
If the gurney moves while loading a patient, it may create a gap between the
table and the gurney posing the danger of the patient falling through the gap.
- Return the gantry to the 0_ upright position, latch the table, and set it at a
comfortable height for patient loading and unloading.
- Avoid any patient contact with the CT gantry during gantry tilt and cradle
movement (manual or software driven). Once again, pay close attention to
large patients; make sure you don’t pinch skin or extremities between the
cradle and the gantry.
- The concentrated weight of short, heavy patients can cause the cradle to
make contact with the gantry. Make sure you don’t drive the cradle into the
gantry cover, and make sure you don’t pinch skin or extremities between the
cradle and the gantry.
- Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and
make sure they accommodate cradle travel. Position these lines so they
cannot catch on anything within the patient vicinity or between the table and
gantry during cradle travel or gantry tilt.

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Safety
- Do not use the table base as a foot rest. You could entrap and injure your
foot while lowering the table.
- Don’t place your hands inside the gantry cover when tilting the gantry.
The gantry can pinch or crush your hands!
- Only use the cradle extender to support the patient’s head or feet during a
scan study. The cradle extender supports up to 75 pounds; the head holder
supports up to 30 pounds. Neither device supports the full weight of a
patient. If you sit, stand or otherwise apply excessive pressure to these
devices, they will break or come off the cradle, and may cause injury.
- Periodically check all accessories for damage and remove from service if
damaged or cracked. Also check the accessory attachment plate fixed to the
end of the cradle. Repair or replace if loose or damaged.
- The cradle has a maximum distributed load capacity of 450 lb. (205 kg).
GE assures incremental accuracy and normal traverse speeds up to 300
pounds. Exceeding the 450 lb. (205 kg) maximum limit could result in
degraded positioning performance, increased table lowering speed,
equipment damage and/or injury.

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Safety
Electrical Safety
- Avoid all contact with any electrical conductors.
- Wait at least 10 minutes after the last scan before you turn off [Main Power].
This gives the circulating oil sufficient time to cool the X–Ray tube.

Laser Beam Safety


- The laser beam used for patient positioning can cause eye injuries.
Instruct a patient not to stare into the laser beam.

Software Safety
- Should a malfunction occur, or a patient condition develop that requires
interrupting a scan series, push (Abort) on the right end of the OC scan
panel to stop X–Ray.
- Wait for image annotation to complete before filming. If you press the
exposure button too soon, the film records a composite of two different scans.
- DICOM protocol has a “dialect”, which may cause some troubles like
disappearances of some portion of image annotations, when connecting to
the station where data transfer is not confirmed.

Emergency Stop
- In the event of a hardware failure that could cause serious damage, such as

smoke, fire or unintentional cradle movement, press one of the red


[Emergency Stop] switches located on the operator console, at the gantry
control panels, or on the X–ray Generator. Low power to the electronic
components in the computer and data acquisition system remains ON.
- When Emergency Stop is applied, the moving cradle and tilting gantry may
overrun by less than 10 mm and less than 0.5 degrees, respectively.

GE provides training support. Contact your local GE sales


representative to arrange training sessions to meet your needs.

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Safety
Radio Waves Safety
Never use the following devices near this equipment.
Use of these devices near this equipment may induce erratic function
of the equipment.

Devices not to be used near this equipment


Devices which intrinsically transmit radio waves such as;
cellular phone, transceiver, mobile radio transmitter and radio–controlled toy,
etc.
Keep those devices power–off near this equipment.

.
NOTE Medical staff in charge of this equipment is required to
instruct technicians, patients and other people who may be
around the equipment to fully comply with the above
regulation.

.
NOTE Your system also has a warning label on a console that
warns of the above hazard.

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Safety
Warning Labels

Labels on Keyboard
- The following labels are attached to the upper side of the keyboard.

CAUTION
Patient may be pinched between gantry and table during
Prescribed Tilt. To avoid pinching, before using Prescribed
Tilt, make sure that patient does not contact the gantry.

CAUTION
Press Stop Scan button to stop cradle motion or scanning.

WARNING
This X–ray unit may be dangerous to patient and operator
unless safe exposure factors and instructions are observed.

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Safety

Laser Alignment Light Caution/Warning


The HiSpeed system employs semiconductor laser alignment lights for patient
landmarking. This type of alignment light casts a thin red light on the patient
for the purpose of positioning and landmarking.
- The following label is attached at three locations of the gantry aperture.

LASER APERTURE
DO NOT STARE
INTO BEAM

- The following labels are attached to the lower part of the gantry.

LASER RADIATION
DO NOT STARE INTO BEAM
600–700nm LASER DIODE LASER RADIATION
1 MILLIWATT MAXIMUM OUTPUT DO NOT STARE INTO BEAM
CLASS 2 LASER PRODUCT 600–700nm LASER DIODE
IEC 825–1:1993 1 MILLIWATT MAXIMUM OUTPUT
CLASS II LASER PRODUCT

CAUTION: Exposing eyes to the laser alignment lights may


result in eye injury.
Do not stare directly into the laser beam.
Instruct patients to close their eyes during landmarking to avoid
eye exposure to the alignment light while laser light is on.
Closely monitor all patients and prevent them from accidentally
staring into the beam.
Do not leave the laser beam on after you position the patient.

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Safety
- The following label is attached at the rear side of the gantry pedestal.

MADE FOR GENERAL ELECTRIC CO.


MILWAUKEE, WISCONSIN BY
GE YOKOGAWA MEDICAL SYSTEMS, LTD
7–127 ASAHIGAOKA 4–CHOME, HINOSHI, TOKYO, JAPAN

MODEL xxxxx
SERIAL yyyyy
MANUFACTURED n month, 19xx CLASS 1

SOURCE: 90A/380–480V3~ 50/60Hz


SOURCE: 30A/200V~ 50/60Hz
SOURCE: 30A/115V ~ 50/60Hz
SOURCE: 15A/115V ~ 50/60Hz

COMPLIES WITH RADIATION


PERFORMANCE STANDARDS, 21 CFR SUBCHAPTER J

CAUTION : Use of controls or adjustments or performance of


procedures other than those specified herein
may result in hazardous radiation exposure.

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Safety

Information of Laser Alignment Lights Beam

Beam source location


The following drawing shows the locations of the laser beam source, A, B, C,
D, E, F, G and H.
X–axis direction

Positioning
Positioning
Light B, E
Light A, D
G H
Y–axis Positioning
direction Light C, F

Gantry Front

X–axis View

Scan plane
90 deg. 90 deg.
External plane

Gantry front cover


Gantry front cover

Light A Beam radiation area Light C

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Safety
Y–axis View

Scan plane External plane

Gantry front cover

Light B

90 deg.

Beam radiation area

Gantry front cover

Front View

Beam radiation area


Light F

80 deg. 80 deg.
External plane

Light D
4 deg.

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Safety

Front View

Light E

3 deg.
90 deg.

External plane
Beam radiation area

Front View

55 deg. 35 deg.

Light H
Light G 90 deg. 90 deg.
Scan plane
Beam radiation area

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Safety

Cradle Caution
- The following label is attached to the end of the cradle.

CAUTION
Do not grasp the side of the cradle.

Accessory Caution
- The following labels are attached to the standard headholder and shallow
headholder.

CAUTION
Accessory may fall and cause injury if not latched to
cradle. Make sure that accessory is latched to underside of
cradle.

CAUTION
Excessive weight can break accessory and cause injury.
Do not load more than 34 Kg or 75 pounds.

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Safety

- The following labels are attached to the coronal headholder.

CAUTION
Accessory may fall and cause injury if not latched to
cradle. Make sure that accessory is latched to underside of
cradle.

CAUTION
Excessive weight can break accessory and cause injury.
Do not load more than 34 Kg or 75 pounds.

CAUTION
Do not hit the accessory against the gantry. Patient injury
or equipment damage could result.

- The following labels are attached to the cradle extender.

CAUTION
Accessory may fall and cause injury if not latched to
cradle. Make sure that accessory is latched to underside of
cradle.

CAUTION
Excessive weight can break accessory and cause injury.
Do not load more than 45 Kg or 99 pounds.

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Safety

Radio Wave Caution


- The following label is attached to the operator console.

CAUTION
Do not use the following devices near this equipment.
Cellular phone, radio transceiver, mobile radio transmitter,
radio–controlled toy, etc.
Use of these devices near this equipment could cause this
equipment to perform outside the published specfications.
Keep power to these devices turned off when near this
equipment.

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Safety
Precaution for The CT System Disposal
The elimination of machines and accessories must be in accordance with
national regulations for waste processing.
In the CT system there are certain materials used that could cause
environmental hazards if disposed of improperly. Those materials include lead
blocks in the gantry and oil in the tank and the X–ray tube. Be sure to contact
GEMS service personnel prior to disposing of the CT system or any CT
component to ensure safe and proper disposal.

Packing Materials
The materials used to pack our equipment are recyclable. They must be
collected and processed in accordance with the regulations in force for the
country where the machines or accessories are unpacked.

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Safety
Technical documents
GE will provide CT users with the following documents at their request to help
them repair malfunction on their own.
- Diagrams
- Components part lists
- Descriptions
- Calibration instructions

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Table of Contents

Chapter 1
SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
General Procedure of CT Examination . . . . . . . . . . . . . . . . . . . . . . . 1-1
Main Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Gantry Display Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Operator Console (OC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20
Standard Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20
Head Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-21
Body Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25
System Power On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

Chapter 2
SCAN TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Icon Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Function of Each Icon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Function of Each Icon 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Patient Schedule 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Protocol Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Auto Voice Record 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
Protocol Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
Retro Recon1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21
Recon Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-25
Tube Warmup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-27
Scanner Utilities 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-30
Raw Data Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-30
User Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-36

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Chapter 3
DISPLAY TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . . 3-1
Primary/Secondary Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Image Display Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Autoview Layouts 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Review Layouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
List/Select 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Routine Display 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Roam Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Explicit Magnify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Flip/Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
ProView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
GSE (Gray Scale Enhancement) . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Display Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
List/Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Ellipse ROI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Measure Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Cross Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
User Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Exam Pg / Series Pg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Hide/Show Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Erase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Screen Save . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Measurements 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21
MIROI (Multiple Image ROI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22
Report Pixels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23
Display Preference 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24
Annotation Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25
Next/Prior Each Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27
Next/Prior Series Binding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27
Continuous Report Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27
Manual Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-28
Auto Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29
Accelerator Bar 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-30

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Chapter 4
SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Patient Positioning 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
New Patient 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Scout Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Auto Store . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Auto Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Axial/Helical Scan Prescription 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Axial/Helical Prescription (View/Edit) Screen . . . . . . . . . . . . . . . 4-13
Continuous Scan Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Prescribe Scan Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Prospective Multiple Reconstruction . . . . . . . . . . . . . . . . . . . . . . 4-21
Icons of the Axial/Helical Scan Prescription screen (1) . . . . . . 4-23
Icons of the Axial/Helical Scan Prescription screen (2) . . . . . . 4-28
Show Localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33
SmaerRecon (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-38
Axial/Helical Scan in Progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
Axial/Helical Scan End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-41
Priority Recon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-42
Next Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-43
Repeat Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-44
One More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-46
Repeat Last Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-47
Biopsy Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-48
SmartPrep 1 (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-50
Smart Addition 1 (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-56

Chapter 5
FILMING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
AutoFilm 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
AutoFilm Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Manual Film . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Manual Film Composer 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

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QUALITY ASSURANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Phantom Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Scan the QA Phantom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
High Contrast Spatial Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Slice Thickness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Low Contrast Detectability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Noise and Uniformity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Weighted CTDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Dose and Performance 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Dose and Performance 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Dose and Sensitivity Profile at Phantom Center . . . . . . . . . . . . . . . 6-21

Chapter 7
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Component Identification for HiSpeed . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Component Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
MX165ZJ X–Ray Tube Assembly Information . . . . . . . . . . . . . . . . . 7-3
MX165ZJ Diagnostic Source Assembly . . . . . . . . . . . . . . . . . . . . . . 7-3
MX165ZJ CT Scan Ratings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
MX165ZJ X–Ray Tube IEC Information . . . . . . . . . . . . . . . . . . . . . . 7-6
MX165ZJ Cathode Emission and Filament Characteristics . . . . . . 7-7
MX165 ZJ Anode Heating and Cooling Curves . . . . . . . . . . . . . . . 7-9
MX165ZJ X–Ray Tube Assembly Information . . . . . . . . . . . . . . . . . 7-10
Generator Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
The Attenuation Equivalent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-15
Periodic Maintenance by Qualified Personnel . . . . . . . . . . . . . . . . . 7-16
Maintenance by CT Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-18
Symbols and Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-19
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23

Index

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Chapter 1
SYSTEM
Overview of CT System and Examination
Overview
The HiSpeed computed tomography (CT) system consists of four major
components and some peripheral gear. Four major components are the
gantry, table, operator console(OC) and power distribution unit.
The primary objective of this CT system is to obtain for medical diagnoses
the two or three–dimensional images of internal structure of human body.

General Procedures of CT Examination :

3. ȡThe operator prescribes the examination(scan) procedures at the OC


while the patient is positioned on the table in the scan room.

4. ȡAs the operator initiates the scan procedures with the patient in the
gantry aperture, the X–ray unit inside the gantry rotates around the
patient body emitting the fan–shaped X–ray beam to the body. The
X–ray penetrates the body and is received by the detector, then it is
converted to the electrical data.

5. ȡThe data acquired in the above step is processed into the images by
the computer at the OC. Then, the images are initially displayed on the
CRT of the OC and subject to manipulation for analysis. The images can
also be filmed later for diagnoses by a physician.

6. ȡThe image data can be saved in some electronic media like optical disk
for later analysis and also be transferred to some other stations for
remote diagnoses.

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Main Components

Gantry
Display Panel

Emergency Emergency
Button Button

Control Control
Panel Panel
Positioning
Positioning Light &
Light Breath Navi

Positioning
Light

Front

Function
The gantry incorporates the X–ray tube unit, the HiLight detector and DAS
(Data Acquisition System) inside. It also provides the following functions.

D Display Panel
The display panel shows the readings of the gantry tilt, table height, position
of land mark, latch status, scannable range and tilt range.
Refer to the Gantry Display Panel page for the function descriptions.

D Emergency Button
Pressing the emergency button stops every mechanical movement and the
X–ray emission.

D Control Panel
The control panel incorporates the several buttons to mainly control the
movements of the gantry and table. Each front and rear cover has two
control panels. Refer to the Gantry Control Panel page for the function
descriptions.

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D * Positioning Light & Breath Navi


The laser beam will be emitted through here that will be used to position a
patient. Breath Navi gives the visual breathing instructions to a patient with
hearing problem.
(* Laser beam and Breath Navi may not be available in Americas.)

Gantry Specifications

D Aperture : 70 cm
D Tilt : +/– 30 degrees
D Tilt speed : 1 degree/second
D Focus to isocenter : 541 mm
D Focus to detector : 949 mm
D Rotation speed : 360 degrees in 1.0, 1.5, 2.0, 3.0 seconds

X–ray Tube Specifications

D Anode heat storage capacity : 3.5 MHU


D Anode heat dissipation : 820 KHU/min. (maximum)
D Casing heat dissipation : 300 KHU/min. (constant)
D Dual focal spots : 0.9 mm 0.62 mm, 1.2 mm 1.2 mm
(Focal size depends on slice thickness and mA.)

HiLight Detector Specifications

D Channels : 816
D View : 972

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Gantry Control Panel

Internal Landmark External


Tilt Range Landmark
& Lamp
Scannable
Range
Display External
Landmark

Positioning
Light

Table Up

Cradle Out
Practice

Table Down
Cradle In
Gantry Tilt
LED Lamp
IMS Table
Move
Fast
Gantry Tilt
Lamp
Gantry Tilt

Function
The gantry control panel enables you to move or control the movement of
the gantry, table or cradle with the following buttons.

D Cradle In/Out
Use this to move the cradle toward or away from the gantry aperture.

D Table Up/Down
Use this to move the table up or down.

D Fast
Use this to increase the speed of cradle in/out. This does not apply to table
up/down.

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D Gantry Tilt
Use this to tilt the gantry toward or away from the cradle.

WARNING!

The touch sensor on the gantry cover works only during the remote tilt
operation at the OC. It does not work when the tilt operation is done at the
Control Panel.

D Gantry Tilt Lamp


The system turns on this lamp when gantry tilt is needed.

D IMS Move
Use this to manually extend the cradle (IMS table). The IMS table can be
operated only at the gantry control panel. The LED above the IMS Move
button indicates the status of the IMS table use (not at the home position).
The scannable range sticker on the cradle shows the edge of scannable
range with IMS table fully stretched.

D Positioning Light
Use this to turn on or off the internal/external positioning lights.

WARNING!

The laser beam used for patient positioning can cause eye injuries.
Be sure to instruct a patient never to stare into the beam.

D External Landmark
Use this to move the anatomy beneath the external positioning light.
When the gantry tilt is set at zero degrees, this button must be depressed for
more than 0.5 seconds. Make sure that the [Distance from Landmark]
display on Gantry Display Panel shows the number around 190 mm.
When the gantry is tilted, keep depressing the button until the External
Landmark Lamp gets dim in order for the system to adjust the table height.

D External Landmark Lamp


While this lamp is on, keep depressing the External Landmark button until
this lamp gets dim to adjust the table height.

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D Internal Landmark
Use this to move the anatomy beneath the internal light to adjust scan
location zero.

D Tilt Range & Scannable Range


Use this to display the gantry tilt range and the scannable range at certain
table height.

D Practice
Use this to test the * Breath Navi function.
(*Breath Navi is the small device attached to the edge of the gantry aperture
that gives the visual breathing instructions to a patient with hearing problem.)

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Gantry Display Panel

Positioning Release
Distance from Iso–Center Light On/Off Interference Cradle Lock

SI SI

Distance from Landmark Tilt/Angle X–ray On


(mm) Range

Function
The gantry display panel shows the following readings and indications.

D X–ray On
The X–ray On lamp illuminates during X–ray exposure.

D Tilt / Angle Range


The Tilt/Angle Range field shows the reading of either the current tilt or the
tilt range limits at the current table height/cradle extension. The numerical
reading is preceded by either S (superior) or I (inferior).

D Distance from Landmark


The Distance from Landmark field shows the reading of the distance (mm)
between the landmark and the anatomy in the X–ray path. The numerical
reading is preceded by either S (superior) or I (inferior).

D Distance from Iso–Center


The Distance from Iso–Center field shows the reading of the distance (mm)
between the iso–center and the top of the table.

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D Release Cradle Lock


The Release Cradle Lock lamp turns on while the cradle is unlatched.

D Interference
The Interference lamp turns on when some mechanical interference occurs.

D Positioning Light On/Off


The Positioning Light turns on or off when the positioning light button on the
control panel is toggled.

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Table

Cradle

Foot Switch
(Table Up)

Speaker

Home Position
Latch Button

Function
The table is used to load a patient for scanning.

D Cradle
The cradle moves into or out of the gantry aperture.

D Latch Button
The latch button is used to latch or unlatch the cradle. The unlatched cradle
can be manually slid. The Display Panel shows whether the cradle is
latched.

D Foot Switch
The foot switch is used to automatically raise the table to the level of 140cm.,
then move the cradle inward.

D Home Position
The home position pedal is used to automatically position the table to its
lowest level and the gantry to zero tilt.

D Speaker
The speaker is used to deliver oral instructions to a patient.

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Table Specifications

D Vertical range : from 40 cm to 95 cm (cradle height from floor)


D Vertical elevation speed : 18.3 mm/second on average
D Maximum cradle travel : 1620 mm
(Note: Table Height, Gantry Tilt, and scanning software determine the
scannable range. )
D Cradle speed : 20 mm/second (Slow mode), 100 mm/second (Fast mode)
D Table load capacity : maximum 205 Kg (450 lbs.)

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Operator Console (OC)


Scan/Display Monitor

Mouse

Keyboard

Main Switch
CD–ROM Drive
MOD Drive

Function
The operator console (OC) is mainly used for the operator to set up the scan
procedures and process the resultant image data.

D Scan/Display Monitor
The 21–inch monitor on the OC can be mainly used for two purposes,
scanning patients and displaying images.

D Keyboard/Mouse
Please refer to the User Interface page.

D MOD Drive
Image data can be stored in 2.3 GB MOD (magnetic optical disk).
Caution : It is highly recommended to always take back–up image data
because there may be a possibility of medium breakdown.

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User Interface
The HiSpeed system employs the user interface that enables the operator to
easily interact with the OC workstation. The user interface consists of a
mouse and keyboard.

Mouse

Middle button

Left button Right button

General operations of the mouse are as follows:

D “Click”
Press a button once then release it quickly.
D “Double / triple click”
Click two/three times quickly.
D “Click and drag”
Press and hold the button and move the mouse across the pad.

Main functions of each button are as follows:

D Left button
To select any of icon, item, function, etc.
D Middle button
To change window width and/or level by moving the mouse left/right and/or
up/down respectively with the button pressed.
D Right button
To scroll the image or modify the image zoom factor.

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Keyboard
The workstation includes a keyboard for entering text at on–screen prompts
and numeric data in data entry fields.
The upper part of the keyboard includes scan–related buttons and
safety–related buttons.

Move to Stop Start Stop Emergency Volume


Scan Move Scan Pause Scan Stop
Prescribed X–ray on Mic.
Tilt Reset Talk (Intercom)

Functions of each button and key are described on the following pages.

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Scan–related buttons
D Prescribed Tilt (Outside Americas market only)
Prescribed Tilt enables you to tilt the gantry to the prescribed angle without
operating at the gantry panel.
This button starts to flash following the [Move to Scan] button when the
gantry tilt is prescribed at the View/Edit Screen and the [Confirm] icon is
selected.
When this button is flashing, you can hold it down to remotely tilt the gantry
till it automatically stops at the prescribed angle (maximum  30 degrees).
Note : The gantry tilts only while the button is being held down.

WARNING!
During this remote tilt operation there may be a danger of the gantry cover
hitting the patient unless the operator is very closely watching the tilt
movement. The touch sensor on the gantry cover is supposed to stop the
tilt movement when it detects the physical contact with the patient body.
However, that sensor is just an auxiliary safety device. Prior to the actual
tilt the operator must ensure without relying on the sensor that the gantry
cover will not come in contact with the patient body.
Breath Navi (look guide) does not have a function of touch sensor.
The touch sensor on the gantry cover works only during the remote tilt
operation at the OC. It does not work when the tilt operation is done at the
Control Panel.
The front touch sensor (option) must be used in case it is hard to see the
front gantry cover from the console.
See the next page for the locations the front and rear touch sensors are
built in.

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The locations and sizes of Front/Rear Touch Sensor

75 deg.

Front Touch Sensor


(optional purchase)
545mm 370mm

SC* SC* : Scan Center

Front

664mm

Rear Touch Sensor


579mm

SC* : Scan Center


SC*

Rear

Note : After the Touch Sensor worked and stopped the gantry, tilt the gantry
to the opposite direction to release it.

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D Move to Scan
Press this button when lit to move the cradle to the prescribed scan start
location.

D Stop Move
Press this button to stop the cradle when it is traveling.

D Start Scan
Press this button when lit to start scans.

D Pause
Press this button to temporarily halt scans. Scans pause after completing the
current one scan. Press Start Scan button to resume scans.

D X–ray on
This button lights up during X–ray emission.

D Stop Scan
Press this button to stop the current or halted scan.

D Emergency Stop
This button cuts off the power to the equipment inside the scan room.
All mechanical movements and X–ray radiation are halted.
Note : This button DOES NOT affect the power of OC and laser camera.

D Reset
This button restores the power to the equipment inside the scan room after
Emergency Stop is applied. ( Use a pen head or something like that to press
this button. A finger must be too big.)
The whole system can be reset by turning on the main switch.

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Communication button
D Talk (Intercom)
Hold down this button to give some verbal instructions to the patient during a
study.
D Volume
Use these dials to adjust the voice volume of patient or operator.

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Keyboard keys
D Function key
F1, F2, F3 and F4 function keys are used for filming–related operations.
Please refer to Chapter 5 [FILMING] for detailed information.
F1 F2 F3 F4
Film Film Film Film
Image Page MID Series

F5 function key is used to return to the window width and level that have
been used most recently.

F5
Previous
W/L

F6–F11 function keys are used to preset the specific window width and level
for specific anatomical areas. The procedure is as follows.

F6 F7 F8 F9 F10 F11
Abdo– Head Lung Media– Spine Verte– Drop on
men stinum bra Auto Film

1. ȡSelect the image as a primary one (green border) whose WW and WL


you wish to register as default.

2. ȡPress [Shift+F6–F11] to register those WW and WL as preset


conditions.

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D Image Analysis related keys


These keys are used for image analysis purposes. Please refer to Chapter 3
[DISPLAY TOP LEVEL SCREEN] for each key’s function.

Erase Disp
Norm

Ellipse Grid
Trace
ROI On/Off

Meas User Zoom


Dist Annot Roam

D Key top
These keys are mainly used to input texts and numbers.

Enter

Shift

Prior Exam Next Exam


Prior Next

– [Enter] : Use this to conclude the entry.


– [ʬ/ʭ] : Use these to move forward or backward through items on
desktop.
– [ʬ/ʭ/ʫ/ʪ] : Use these to adjust window level and width of images.
– [Prior Exam/Prior] : Use this to return to prior exam or image.
– [Next Exam/Next] : Use this to go to next exam or image.

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Accessories
The system utilizes the various accessories to facilitate the scan.

Standard Accessories

- Cradle pad
- Cradle extender
- Arm board
- Head holder
- Security straps
- Phantoms to calibrate and check performance
- Phantom holder
- Console chair
- Operator manual

Optional Accessories
- Coronal head holder assembly
- Shallow head holder assembly

WARNING!

Do not use any accessories other than those provided by GE. Use of other
accessories may cause unexpected troubles or physical injuries.

Also, if anything other than GE accessories is placed in the path of x–ray


beams, it may affect image quality.

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Head Accessories
Standard Head Holder Assembly

(Front side)
(Back side)

Label
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE, WISCONSIN BY
GE YOKOGAWA MEDICAL SYSTEMS, LTD.
7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN
MODEL 2201806
SERIAL
MANUFACTURED OCTOBER 1997

Shallow Head Holder (option)


Wedge (Large, Small)
(Back side)

Label
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE, WISCONSIN BY
GE YOKOGAWA MEDICAL SYSTEMS, LTD.
7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN
MODEL 2183827
SERIAL
MANUFACTURED OCTOBER 1997

Head Strap

Chin Strap

Coronal Head Holder Assembly (option)


Coronal Head Cushion

Coronal Head Neck Pad

Label
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE, WISCONSIN BY
GE YOKOGAWA MEDICAL SYSTEMS, LTD.
7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN
MODEL 2201805
SERIAL
MANUFACTURED OCTOBER 1997

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Standard Head Holder Assembly


D Standard Head Holder
Use during normal head studies, with a supine patient. Use the head band,
chin strap, and coil spacers (wedges) to secure the head in the proper
position. The material is metal–free.
D Head Holder Cushion
Place this cushion on the Standard head holder. Use it to cushion the head
and hold it in position during the study. Two sizes are available.
D Head Band
Place the wide area of the head band between the head holder and head
holder cushion, with the straps hanging on either side of the head holder,
before the patient lays on the table. Move the patient’s head into position on
the cushion, cross each end of the band over the forehead, and fasten the
pad of Velcro “loops” to the “hooks” on the back of the head holder. Use the
head band to position and stabilize the head during a study.
D Chin Band
Center the hole in the band over the patient’s chin, and fasten the pad of
Velcro “loops” to the “hooks” on the back of the head holder. Use the chin
band to position and stabilize the head during a study.

Coronal Head Holder Assembly (option)


D Coronal Head Holder
Use this head holder during direct coronal studies. The patient lays in the
supine position, with the head tipped backward into the coronal head holder.
Use the head band and chin strap to secure the head in the direct coronal
position. The material is metal–free.
D Neck Pad
Place this pad vertically in the Coronal head holder to cushion the rear
head.

WARNING!

Be extremely careful to avoid contact between the coronal head holder


and the gantry while lowering the table in the aperture. Patient injury to the
neck or equipment damage could result.

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Body Accessory Use


D Knee Pad Assembly
Place the knee pad on the cradle. Rest the patient’s legs, with knees slightly
bent, on the knee pad –or– Rest the patient’s head on the knee pad, and
use the knee pad strap to secure the hands over the patient’s head, to
prevent catching the patient’s fingers between the cradle and table surfaces.

D Knee Pad Strap


Attaches to the three Velcro “loop” patches on the knee pad with Velcro
“hooks”; use to secure the legs or arms to the knee pad. (See above)

D Cradle Pad
Use during standard studies; attaches to the cradle with Velcro “hooks.”

D Cradle Extender
Attach the cradle extender to the end of the table nearest the gantry, to
increase the overall cradle length, and position the body area of interest
inside the scannable range. Use the extender to support the patient’s head
or feet during a body scan. The material is metal–free.

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Security Strap Kit


D Body Strap A
Use the 60 mm wide strap to position and secure the patient’s head to the
Head Cushion; or use as needed to secure blankets or clothing. Follow
Body Strap B directions to attach and secure the straps. One set provided
with system.

D Body Strap B
Use the 150 mm wide straps to secure the body to the cradle, to reduce
patient movement; to secure blankets or clothing, to prevent contact with the
cradle surface; or, to cover and secure the patient’s hands. Slide the nylon
guide, opposite the Velcro ends of the straps, into the raceway attached to
both side edges of the cradle. Slide the strap along the length of the cradle
to position it over the patient, and fasten the Velcro ends together to secure
the patient. Three sets provided with the system

D Body Strap C
Use the 370 mm wide strap in the same manner as Body Strap B.
One set provided with system.

D Extension Strap
Use the extension strap with the corresponding body straps to secure large
or obese patients. Attach Velcro “hooks” to “loops” on the body strap to
increase the length. Each set of body straps has an extension strap; five
provided with the system.

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Body Accessories

Knee Pad

Cradle Pad

Knee Pad Strap

Cradle Extender
(Back side)

Cradle Extender Pad

Label
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE, WISCONSIN BY
GE YOKOGAWA MEDICAL SYSTEMS, LTD.
7–127 ASAHIGAOKA 4–CHOME, HINOSHI TOKYO, JAPAN
MODEL 2201803
SERIAL
MANUFACTURED OCTOBER 1997

37cm. Body Strap Extender Strap (15cm.)

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Attach/Detach Head Holder and Cradle Extender

CAUTION

Prevent damage to metal–free accessories !


Carefully examine the metal–free clasp assembly on the
accessory and the catch on the cradle before attempting to
attach the accessory for the first time.

To attach an accessory:
D Make sure the clasp on the accessory is unlatched, and hanging freely.
Hold the clasp in the unlatched position while you attach the accessory.
D Align the accessory tongue with the pocket at the end of the cradle.
Keep fingers clear of the cradle. Slide the tongue all the way into the
pocket until it rests snugly against the angled face of the cradle.
D Gently pull the clasp toward the floor and away from the gantry until it
hooks the catch on the cradle. Push the hinged–end of the clasp toward
the cradle until it snaps into place.

To detach an accessory:
D Pull the hinged–end of the clasp toward the floor and away from the
gantry until it snaps open and clears the catch.
D Gently slide the accessory toward the gantry until it clears the cradle.
If the accessory offers any resistance, check to make sure the clasp
cleared the catch on the cradle.

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System
System Power On/Off
How to turn on the system power (Usually power is on 24 hours a
day.)

1. ȡTurn on the main switch located on the lower right side of the OC.

2. ȡThe system will start up and the Scan/Display monitor on the OC will
automatically proceed to its Top Level screen.

How to turn off the system power (Usually power is on 24 hours


a day.)

1. ȡClick on the [Shutdown] icon on the upper left corner of the screen.

Shutdown

2. ȡThe system will automatically proceed to the point where you can turn
off the main switch.

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Chapter 2
SCAN TOP LEVEL SCREEN
After the system starts up, the following screen appears on the CRT as
default Top Level screen. This screen will also appear when the [Scan] icon
on the upper left corner is selected while in the either Display or Image
Works mode.

Scan

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Scan Top Level Screen

Icon Selection

D When a certain icon is selected, it highlights in blue.


D Icons currently not available are displayed in gray.
D When the second icon is selected after the first one was selected, the first
icon highlights in green and its upper right corner folds.

Functions of each icon are described on the following pages.

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Scan Top Level Screen
Function of Each Icon 1

This icon leads to the scan screen.

Scan
This icon leads to the Display screen.
The icons on the Display screen are described in the later
chapter.
Display

This contains Reformation, 3D, Network and other advanced


image analysis applications. Refer to {Image Works} section.
Image Works

Use this to shut down the system.

Shutdown

This is only for service purpose. Users are not allowed to


touch this.

Service

This icon leads to the InSite service.


(This icon is not available unless InSite
option is installed.)
iLinq

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Function of Each Icon 2

Remaining disk space

To see current messages

D Remaining Disk Space


This area shows the remaining disk space. ( The above example shows that
the disk can hold 148 images of 512x512 matrix, which amounts to 595
images of 256x256 matrix.)

D Reconstruction Status
This area shows the exam, series and image number of the exam that is
currently being reconstructed.

D Archive Status
This area shows the status of images being archived.

D Network Status
This area shows the status of networking.

D Filming Status
This area shows the status of filming.

D Current Messages
Click here to open the Current Messages screen.

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Scan Top Level Screen
New Patient
New Patient icon is located at the left side of the screen.

New Patient

FunctionȧSelect this icon first to begin a new patient exam.


Refer to the chapter 4 [Scan] for detailed information.

1. ȡClick on the [New Patient] icon to open the following New Patient
screen.

Patient Information Protocol Selection


Exam Number
Accession Number
Patient ID

Patient Name

Birthdate Sex
Age
Weight Kilograms Pounds

Referring Physician
Radiologist

Operator
History

Exam Description
Protocol Number

End
Exam

2. ȡEnter necessary patient information.


Note : Patient ID must be put to proceed. (required)

3. ȡChoose a desired scan protocol from the Default Protocol area located
on the right side of the New Patient screen.

4. ȡThe system automatically proceeds to the View/Edit screen.

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Scan Top Level Screen
Patient Schedule 1
Patient Schedule icon is located below the New Patient icon.

Patient Schedule

FunctionȧPatient Schedule allows you to enter patient data ahead of time.


Once it is time to perform a specific patient exam, you can select from the
created list, enter the patient ID or requisition number to call up the patient
data.
1. ȡ Click on [Patient Schedule] to open the following Schedule list.
Patient Schedule
Schedule

Status Req. Number Patient ID Patient Name Date Time Exam Description
C 0654 8120 Kim McCquaer 6/15/98 10:23AM
C 0718 8255 Dave Sonaty 6/12/98 02:19PM
C 0788 8764 Laura Sepcic 6/09/98 03:26PM
C 8332 5300 Juliet Herman 6/02/98 11:23AM
N 9102 2761 Brad Fox 5/27/98 10:46AM

Select View Add Edit Delete Delete


Quit Selected All
Preferences
Next Prior
Patient More Info Patient Patient

On the left side of the column under Status, there are two letters. C stands
for Completed and N for New. The completed exam at the top of the list is
the last completed exam. The only active functions at this point are [Quit]Ȣ
[Add Patient], [Delete All], [Preferences] and Next/Prior arrows.
Note : Active icons have clear black characters on them whereas inactive
icons have dim characters.

2. ȡOnce a patient is selected, the other icons become active.


Functions of each icon are described on the following pages.

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Scan Top Level Screen
Patient Schedule 2
Select Patient

Select
Patient

Take the following steps to use [Select Patient].

1. ȡSelect [New Patient].

2. ȡSelect [Patient Schedule].

3. ȡSelect the desired patient on the Schedule list.

4. ȡSelect [Select Patient]. The patient data will then be placed in the New
Patient data area.
Note : The patient data will also be called up by typing in the patient ID.

View More Info

View
More Info

While your HiSpeed system is connected with HIS/RIS and if your HiSpeed
system has Connect Pro option, select [View More Info] to get more
information on the patient.

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Scan Top Level Screen
Patient Schedule 3
Add Patient

Add
Patient

Select [Add Patient] to open the following menu to add patients to the
schedule. Patient data, date and time of the exam and the protocol can be
entered here.

Patient Schedule Protocol Selection


Accession Number
Patient ID
Anatomical Selector
Patient Name

Birthdate Sex
Age
Weight Kilograms Pounds

Referring Physician
Radiologist

Operator
History

Exam Description
Protocol Number

Date Time

Cancel Accept

– Accession Number : Within 16 characters


– Patient ID : Within 16 characters
– Patient Name : Within 64 characters
– Sex : M (Male) or F (Female)
– Birthdate : Year, Month, Day
– Age : Years, Months, Weeks, Days
– Weight : Kgs or Pounds

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Scan Top Level Screen
Patient Schedule 4
– Reference Physician : Within 32 characters
– Radiologist : Within 32 characters
– Operator : Within 3 characters
– History : Within 60 characters
– Exam Description : Within 22 characters
– Protocol Number : Within 5 characters
– Date : Exam date, Year, Month, Day
– Time : Exam time, Hour, Minute

Edit Patient

Edit
Patient

Select [Edit Patient] to bring up the Patient Information screen to edit patient
data.

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Scan Top Level Screen
Patient Schedule 5
Delete Selected

Delete
Selected

[Delete Selected] allows you to delete specific patients from the Schedule
list.

1. ȡTo delete only one patient, click on that patient’s information, then select
[Delete Selected].

2. ȡTo delete multiple patients in order, click on one patient, then go to the
last patient and press and hold the Shift key, then click on that patient.
Then, select [Delete Selected].
To delete multiple patients out of order, press and hold the Control key,
then click on the desired patients and select [Delete Selected].

3. ȡA confirmation message “Are you sure you want to delete selected


patients ?” appears. If OK, click on [OK].

Delete All

Delete
All

[Delete All] allows you to delete all of the patients.

1. ȡThe following screen appears after selecting [Delete All].

Delete All

All All All


Completed New

OK Cancel

2. ȡSelect [All Completed] to delete all scan–completed patients.


Select [All New] to delete all new patients.
Select [All] to delete both of the above patients.
Note : The default is [All Completed].

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Scan Top Level Screen
Patient Schedule 6
Preferences

Prefer-
ences

[Preferences] allows you to set the sort order and delete time.

1. ȡThe following screen appears upon the selection of [Preferences].

Preferences

Update Schedule Yes No Sort By : Date/


Automatically ? Name ID
Time

Show Update Delete Completed


Yes No
Parameters ? Exams After : Days

Default Update Parameters

This All CT All


Get Patient List For : System Systems Systems

Today
With a Date Range :
Days Before Today

Days After Today

All Dates

OK Cancel

2. ȡThe patient list can be sorted by Date/Time, Name or ID.

3. ȡIf you want the system to automatically delete completed exams, you
can click in the Days box and type in the number of days desired.
The default is 0 (zero).

4. ȡSelect [OK] to conclude the entry.

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Scan Top Level Screen
Protocol Management
Protocol Management icon is located at the right side of the New Patient
icon.

Protocol Management

Function : Protocol Management includes two functions, which are [Auto


Voice Record] and [Protocol Management].

1. ȡThe following screen appears upon the selection of [Protocol


Management].

Auto Voice Protocol


Record Management

Quit

2. ȡSelect [Auto Voice Record] to set up Auto Voice or select [Protocol


Management]

Select [Quit] to quit.

Functions of [Auto Voice Record] and [Protocol Management] are described


on the following pages.

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Scan Top Level Screen
Auto Voice Record 1
Function : This function allows you to give the patient recorded vocal
instructions.

1. ȡThe following screen appears when you click on [Protocol Management]


icon.

Auto Voice Protocol


Record Management

Quit

2. ȡThe following Auto Voice Record screen appears upon the selection of
[Auto Voice Record].

Language Selection English


Auto Voice Record

Name Pre-Message Post-Message Name Pre-Message Post-Message


1. Suspension 11.
2. Inspiration 12.
3. Expiration 13.
4. 14.
5. 15.
6. 16.
7. 17.
8. 18.
9. 19
10. 20.
Create New Message Message Management

Record Stop 0.0 Play Delete Set

Play Save Message Done

Twenty protocols in all are available. The first three are preset in the system
and can not be changed. Other 17 protocols are programmable.

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Scan Top Level Screen
Auto Voice Record 2
As for the first three protocols, there are nine language options.
In order to choose any one of them, click on the [English] button on the Auto
Voice Record menu on the previous page to open the following menu.

Auto Voice Language Selection

English–male English–female Japanese French

German Spanish Mexican Spanish Italian

Korean

Cancel

Click on any one of them for your purpose.

3. ȡTo create a new Auto Voice instruction message, point and click in the
Name area where you wish to put the protocol. Type in the name and
press the Enter key.
After pressing the Enter key, the Pre and Post Message areas become
active.

4. ȡGo to the Create New Messages area to create new instruction


messages.

Create New Messages

Record Stop 0.0

Play Save Message

The only active icon at this point is [Record].

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Scan Top Level Screen
Auto Voice Record 3

5. ȡOnce you are ready to record, select [Record]. The time clock to the
right will start. The maximum recording time is 20 seconds.

6. ȡWhen finished with recording, select [Stop]. Select [Play] to listen to


what was recorded.

7. ȡTo save the recorded message as a protocol, click on the Pre or Post
Message box and select [Save Message].

8. ȡThe Message Management area allows you to play or delete an existing


Auto Voice protocol. To delete a protocol, select the protocol name and
then select [Delete Set].

Message Management

Play Delete Set

Done

To play a message, simply select the message box you wish to play
and select [Play].

9. ȡTo leave the Auto Voice Record menu, select [Done].

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Scan Top Level Screen
Protocol Management 1
Function : This function allows you to create, edit or delete scan protocols.

1. ȡThe following screen appears when you click on [Protocol Management]


icon.

Auto Voice Protocol


Record Management

Quit

2. ȡThe following screen appears upon the selection of [Protocol


Management] on the above screen. This is the Adult Protocol menu.
The Infant Protocol menu is also selected by clicking on the Infant tab.
Protocol Management

Infant tab Adult tab

Quit

3. ȡSelect a protocol or an anatomic region to open the menu on the next


page.

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Scan Top Level Screen
Protocol Management 2

4. ȡYou can build up to 15 protocols for each anatomical region.

Protocol Name Default

New Duplicate Edit Delete

Done Cancel

5. ȡTo duplicate (copy) an existing protocol, first choose the protocol and
select [Duplicate]. Then, you may slightly modify it to create a new
protocol that will have the similar parameters to the original protocol.

6. ȡTo edit or delete an existing protocol, first choose the protocol and
select [Edit] or [Delete] respectively.

7. ȡTo create a new protocol, select [New].

8. ȡAfter selecting [New], enter the protocol name on the highlighted line
and press the Enter key. To set a protocol as the default for the region,
select the [Default] button next to the protocol. Only one protocol can
become the default for the region.

9. ȡNext, select the Series Type that will begin the protocol and click on
[OK].

Select New Series Type

Scout Axial

OK Cancel

The following Protocol Setup screen will appear.

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Scan Top Level Screen
Protocol Management 3
The following screen is an example of axial scan protocol setup.
Protocol Parameters Setup Screen

Protocol : Series:

Anatomical
Reference

Series Description

Auto Show
Store Auto mA OFF Localizer

Auto Transfer Auto Film Recon SmartRecon


Setup Area OFF

Add Split Delete


Current Selected Scan Timing Recon Film
Group
Prior Next Group Group

Images Scan Start End No. of Thick Image Gantry CTDIw


Type Loc. Loc. Images Pitch SFOV kV mA
(mm) Int’val Tilt (mGy)

1–8 Axial S50.0 S10.0 8 5 5 0 Body 120 180

9–15 Axial S10.0 I60.0 7 10 10 0 Body 120 160

Create Repeat
Prior Next Delete
Cancel New Accept
Series Series Series Series Series

10. ȡIn the above screen, the [Scan] icon parameters (Thick, Image Int’val,
pitch, etc.) are supposed to be filled. In order to enter Timing, Recon
and Film parameters, click on the [Timing], [Recon] and [Film] icon,
respectively. The menus for Timing, Recon and Film are shown on the
following pages.

Prior/Next : Prior or Next key appears on the screen only when more
than three groups are prescribed.

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Scan Top Level Screen
Protocol Management 4
The following Timing menu will appear when you click on the [Timing] icon.
Scan Timing Recon Film

Prep Breath Auto


ISD Breathe
Group Hold Voice
(sec) (sec) Time No.
(sec)

The following Recon menu will appear when you click on the [Recon] icon.
Scan Timing Recon Film

DFOV R/L A/P Recon Image Matrix Motion Special


Center Center Type
(cm) (mm) (mm) Filter Size Correct Filter

Show Show Show


Recon1 Recon2 Recon3
Y N N

The following Film menu will appear when you click on the [Film] icon.
Scan Timing Recon Film

Auto Frame Width Level Mag User


Interval Flip Rotate Anno. GSE
Film Format 1 1 Factor

Recon 1 Recon 1 Recon 2 Recon 2 Recon 3 Recon 3


Film Set Film Set Film Set Film Set Film Set Film Set
1 2 1 2 1 2

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Scan Top Level Screen
Protocol Management 5
Select [Prior Series] to display the prior series protocols.
Select [Next Series] to display the next series protocols.
Select [Repeat Series] to add the same series protocols.
Select [Delete Series] to delete the displayed series protocols.
Refer to the chapter 4 for the function of other icons or buttons.

11. ȡAfter all the scout view parameters have been entered, select [Create
New Series] button on the front page screen to create the next series.
Then, the following screen appears.

Select New Series Type

Scout Axial

Create Create
Before After Cancel

12. ȡSelect the series type from [Scout] or [Axial].


Also, select [Create Before] or [Create After] to determine if the series
will be put before or after the first series you built.

13. ȡAgain, enter scan parameters for the series selected.

14. ȡAfter all the series and the parameters have been created, touch
[Accept] button to save the protocol.

15. ȡYou will then return to the beginning so that you may choose to
duplicate, delete, edit or create a new protocol. Or you can select
[Done] and then [Quit] to exit the protocol section.

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Scan Top Level Screen
Retro Recon 1
Retro Recon icon is located below the Patient Schedule icon.

Retro Recon

Function : Retrospective reconstruction allows you to change the


reconstruction parameters that were previously used for the exam. Through
Retro Recon you are allowed to change DFOV(Display Field of View),
AP(Anterior/Posterior) and RL(Right/Left) Centering, Recon Type, Matrix
Size, Segmenting and Peristaltic Motion Correction for axial series.
1. ȡFirst click on the [Retro Recon] icon. The following screen appears
listing up to 1000 scan data. Click on the [Update] button to update the
list or select [Quit] to exit.

Retro Recon List Select Screen


Retro Recon List Select
Exams Series
Patient ID Patient Name Exam # Date Time Suite Series # Series Description Landmark

Prior Next Prior Next

Select Update
Quit Series

2. ȡPoint and click on the exam and series you wish to reconstruct
retrospectively and then choose [Select Series] at the bottom center.
The system automatically proceeds to the Retro Recon View/Edit screen.

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Scan Top Level Screen
Retro Recon 2

3. ȡAfter selecting [Select Series], the following screen appears displaying


all of the groups in the selected series. Y(Yes) in the Retro column
means that group will be reconstructed. If you do not wish to recon the
group, simply point and click on the “Y” icon for the group to toggle it to
N(No).
When the [Images] icon is selected, the right side of the screen is as follows.

Prior Next Images Recon


Scan Scan Scan
Retro Start End Retro Retro No. of Image Gantry
Type SFOV
Location Location Start End Images Interval Tilt

List
Quit Exams Confirm

When the [Recon] icon is selected, the right side of the screen is as follows.

Prior Next Images Recon


Scan Scan Scan R/L A/P Recon Image Motion Recon Matrix Special Graphic
Retro Start End DFOV Center Center
Type (cm.) Type Filter Correct Mode Size Filter Retro
Location Location (mm) (mm)

Y N

Y N

Y N

List
Quit Exams Confirm

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Scan Top Level Screen
Retro Recon 3

4. ȡEnter the parameter changes and select [Confirm].


– Retro Start : Start location of retro recon
– Retro End : End location of retro recon
– Image Int’val : Image interval (in case of Helical)
– DFOV : Display Field of View (4.8cm to SFOV)
– DFOV A/P R/L Center : Anterior/Posterior and Right/Left center of
DFOV
– Recon Type : SOFT, STND, STD+, DETL, CHEST, BONE, EDGE or
PFRM
– Image Filter : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21,
E22, E23, E3), Lung (L1, L2, L3)
– Motion Correct : Motion correction
– Recon Mode : (See next page.)
– Matrix Size : 256x256 or 512x512
– Special Filter : ANR (Advanced Noise Reduction) (1 or 2),
AAR (Advanced Artifact Reduction) (1 or 2)
ANR filter allows you to reduce noise without compromising spatial
resolution. It contributes to a decrease in standard deviation by
approximately 10%, which may be equivalent to one–step decrease in
mA. Note : ANR is compatible only with SOFT, STND, and STD+.
AAR filter allows you to reduce artifacts normally shown around arms.
When you click on the [Special Filter] button or the each Special Filter
field, the following menu appears.

Select the desired Special Image Filter.

None ANR 1 ANR 2 AAR 1 AAR 2 Cancel

[ANR 2] has a stronger effect than [ANR 1]. Also, [AAR 2] has a
stronger effect than [AAR 1]. Select either of them or select [None] not
to use these filters.

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Scan Top Level Screen
Retro Recon 4
– Graphic Retro : If you wish to display on the image the circle cursor to
graphically prescribe the retro recon area instead of typing in DFOV,
R/L Center and A/P Center, toggle N (No) on each field to Y (Yes).
If the displayed circle cursor is too big to handle, type in the smaller
enough DFOV to display the entire circle cursor, then change its size
and location using one of four squares outside the cursor and the
center dot of the cursor respectively to designate the recon area.

5. ȡSelect the [Recon Mode] button to open the following screen. (*Smart
Helical Option is needed to have [Plus] button.)
Recon Mode section allows you to edit the scan type and the amount of
data for reconstruction. .

Recon Mode

Axials: Full 2 3 4 5 6

Helicals: Segment Full Plus

Cines: Segment Full

OK Cancel

The scan types available to edit will be active.


[Full] uses full–rotation data, whereas [Segment] uses partial–rotation data.
*Smart Helical Option offers [Plus] function that uses 1.6–rotation data.
Make the appropriate selection.

6. ȡClick on the [Confirm] button to start retro recon.


Newly retro–reconstructed images will be saved as a new series with
“Retro” annotation.

7. ȡIf you need to retro–recon another exam/series, select [List Exams]


button. Select [Quit] to exit.

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Scan Top Level Screen
Recon Management 1
Recon Management icon is located at the right side of the Retro Recon icon.

Recon Mgmt

Function : Within the Recon Management function, you can have access to
Suspended Entries and Recon Queue Management.

1. ȡSelect [Recon Mgmt] to open the following screen.

Recon Management
Suspended Entries
Patient ID Exam # Series # Image # Type

Delete
Suspended Unsuspended Update
Entries Entries List Prior Next

Recon Queue Management:

Pause Restart View Delete


Queue Retro
Queue Queue Entries Entries

Quit

Functions of each button are described on the following pages.

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Recon Management 2
Suspended Entries
These are basically images that were not reconstructed for some reason and
were placed in a Queue.
D [Delete Suspended Entries]
Select this button to delete the suspended entries. Once the images are
deleted, they can not be reconstructed prospectively, but they can be
reconstructed retrospectively.
D [Unsuspended Entries]
Select this button to try to reconstruct the images again after selecting image
entries.
D [Update List]
Select this button to update the Unsuspended Entries List if any entries need
to be added while Recon Management was open.

Recon Queue Management


D [Pause Queue]
Select this button to stop the reconstruction process. This might be useful if
you have just started a Retro Recon, but maybe incorrect parameters were
entered. Instead of having the system reconstruct all of the incorrect images,
you can select [Pause Queue] to stop the reconstruction and then delete the
images that have not been yet reconstructed.
D [Restart Queue]
Select this button to restart the reconstruction queue after you stopped it for
some reason.
D [View Queue Entry]
Select this button to display a menu that shows what is in the reconstruction
queue. You can select [Cancel] to leave the View Queue function or select
[Update List] to update the queue entries list.
D [Delete Retro Entries]
Select this button to delete entries that remain in the reconstruction queue.
This is used in conjunction with [Pause Queue].

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Tube Warm–up
Tube Warmup icon is located below the Retro Recon icon.

Tube Warmup

Function : Tube Warmup allows you to have access to the Tube Warmup
and Daily Calibration procedures.
Note : Tube Warmup is required when more than two hours have passed
since the last scan or whenever the system recommends it.

1. ȡClick on the [ Tube Warmup] icon. The following screen will appear.
[ Tube Warmup] button on the screen allows you to conduct only the
tube warm–up procedure. [Daily Calibration] allows you to perform both
the tube warm–up and daily calibration procedures. [Daily Calibration] is
selected by default.
ȡȡ

Tube Warmup

Daily Calibration

Tube Warmup
Warming up the tube as recommended will provide the high quality
Menu1 images and extend the life of the tube.

Make sure that no one is in the scan room and the gantry aperture is
clear during warmup.

Cancel OK

2. ȡSelect the [ Tube Warmup] button, then [OK] to proceed to the tube
warmup procedure or select the [Cancel] button to exit.

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Tube Warmup 2
3. ȡUpon selection of [OK], the following scan menu will appear.
Select [Confirm] to initiate the tube warm–up.

Service Scan

Service Tool: Warm up Scan Exam ID: 218120

Scan Type Axial


Scan Time 2.0 seconds
Voltage 80 kV
Current 80 mA
Menu 2
Thickness 1.0 mm
Focus Large

Remaining scan : 18
Press <Confirm> and Start scan> to start scan

Cancel Confirm

4. ȡSeveral seconds after selecting [Confirm], the [Start Scan] button on the
keyboard flashes. Press it to start X–ray radiation.
The system automatically performs four tube warm–up scans.
Note : When you select the [ Tube Warmup] button more than 30 hours
later since the last daily calibration, the following message will be posted
to urge you to perform daily calibration.
Service Scan
Warning

Please execute “Daily Calibration” to provide the


high quality images.
Do you continue the tube warmup ?

Yes No

Selecting [Yes] leads you to Menu 2 and [No] to Menu 1.

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Tube Warmup 3
5. ȡWhen you select the [Daily Calibration] at Menu 1, Menu 2 will appear.

Service Scan

Service Tool: Warm up Scan Exam ID: 218120

Scan Type Axial


Scan Time 2.0 seconds
Voltage 80 kV
Current 80 mA
Menu 2
Thickness 1.0 mm
Focus Large

Remaining scan : 18
Press <Confirm> and Start scan> to start scan

Cancel Confirm

Upon selection of [Confirm], the system first performs the same scan
protocol as Tube Warmup and daily calibration later.

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Scanner Utilities 1
Raw Data Function
Scanner Utilities icon is located at the right side of the Tube Warmup icon.

Scanner Utilities

Function : From Scanner Utilities you can have access to either Rawdata
Function or User Calibration.

1. ȡClick on the [Scanner Utilities] icon. The following screen will appear.

Scanner Utilities

Rawdata User
Functions Calibration

Quit

2. ȡSelect [Rawdata Functions] to open the following default screen.


This screen will also appear when you select [Save to MOD] from the
pulldown menu of Function Selection. (See next page.)

File Function Selection Rawdata Selection


Save Rawdata to MOD
Select RawData
Exam: Exam No:
Exam # Name Date Reserve Series # Type Acqus Reserve Patient Position

Series No:
Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Start Save

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Scanner Utilities 2
Raw Data Function

File When you select the [File] button, the [Exit] button appears.
Exit
Select [Exit] to exit from Rawdata Functions.

Function Selection When you select the [Function Selection] button, the pulldown
Save to MOD menu appears which contains the [Save to MOD],
[Restore/Delete from MOD], [Reserve/Release] and [Initialize
Restore/Delete from MOD
MOD] buttons.
Reserve/Release
Initialize MOD

Rawdata Selection When you select the [Rawdata Selection] button, the pulldown
Whole Exam menu appears which contains the [Whole Exam], [Whole
Series] and [Individual Raw] buttons.
Whole Series
Individual Raw

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Scanner Utilities 3
Raw Data Function
Save Rawdata to MOD
When you select [Save to MOD] from the [Function Selection] pulldown
menu, the following screen will appear.

File Function Selection Rawdata Selection


Save Rawdata to MOD
Select RawData
Exam: Exam No:
Exam # Name Date Reserve Series # Type Acqus Reserve Patient Position

Series No:
Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Start Save

1. ȡSelect any of raw data that you wish to save to MOD (Magnetic Optical
Disk). You can also use [Whole Exam], [Whole Series] or [Individual
Raw] button from the [Rawdata Selection] pulldown menu.

2. ȡAfter selecting the raw data, click on the [Start Save] button to start
saving the raw data into the MOD.

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Scanner Utilities 4
Raw Data Function
Restore/Delete from MOD
When you select [Restore/Delete from MOD] from the [Function Selection]
pulldown menu, the following screen appears.

File Function Selection Rawdata Selection


Restore/Delete from MOD
Select RawData
Exam: Exam No:
Exam # Name Date Reserve Series # Type Acqus Reserve Patient Position

Series No:
Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Restore Delete

1. ȡSelect any of raw data that you wish to restore from MOD to the system
disk, or that you wish to delete from MOD. You can also use [Whole
Exam], [Whole Series] or [Individual Raw] button from the [Rawdata
Selection] pulldown menu.

2. ȡAfter selecting the raw data, click on the [ Restore] or [Delete].

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Scanner Utilities 5
Raw Data Function
Reserve/Release Rawdata
When you select [Reserve/Release] from the [Function Selection] pulldown
menu, the following screen will appear.

File Function Selection Rawdata Selection


Reserve/Release Rawdata
Select RawData
Exam: Exam No:
Exam # Name Date Reserve Series # Type Acqus Reserve Patient Position

Series No:
Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time

Reserve Release

1. ȡSelect any of raw data that you wish to reserve or release.


( “Reserve” rawdata means to protect rawdata from being deleted.
“Release” rawdata means to release the protection.)

2. ȡAfter selecting the rawdata, select [Reserve] or [Release].

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Scanner Utilities 6
Raw Data Function
Initialize MOD
When you select [Initialize MOD] from the [Function Selection] pulldown
menu, the following screen will appear.

Initialize MOD

Initialize MOD will take approximately 3–4 minutes.


Press Yes to continue or No to quit.

Yes No

1. ȡSelect [Yes] to start initializing the MOD.

2. ȡSelect [No] to exit.

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Scanner Utilities 7
User Calibration

1. ȡSelect [User Calibration] to open the following screen.

Calibration

Sequence kV

Air Air & Phantom 80 120 140


Calibration Calibration

Cancel OK

2. ȡSelect either [Air Calibration] or [Air & Phantom Calibration].


Also, select kV from 80, 120 or 140.

3. ȡSelect [OK] to perform calibrations, or [Cancel] to cancel.

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Chapter 3
DISPLAY TOP LEVEL SCREEN
The following screen will appear when you click on the [Display] icon on the
upper left corner of the screen while in the either Scan or Image Works
mode.

Display

Image Area

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Primary/Secondary Viewport

Focus Selection
“Focus” means which viewport is active for image display. There are two
kinds of focus, which are primary and secondary focuses. Primary focus
viewport has a blue border, whereas the secondary focus viewport has a
yellow border.
Every image analysis or manipulation function is available in primary focus.
Image analysis or manipulation functions available in the secondary focus
are as follows: Window W/L, Magnification, Pan/Zoom, Flip/Rotate, Display
Normal, and Erase Graphics.

You can select the primary or secondary focus by clicking on the desired
viewport as follows:

D Double click
To select primary focus viewport and deselect other viewports

D Single click
To select a new primary focus viewport and change the previous primary to
secondary

D Triple click
To select a new primary focus viewport and change all the other viewports to
secondary

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Image Display Layout

Layouts
On the Display desktop, there is a choice between two layouts for viewing
images. They are the Autoview Layouts and the Review Layouts. During
scanning the Autoview Layouts will primarily be used.

Click on the left side of this button to select Au-


toview Layouts and on the right side for Review
Layouts.

Clicking here with Autoview Layouts leads to


Autoview Layouts the screen format choice from three formats.

Clicking here with Review Layouts leads to the


screen format choice of five format for Full Screen or
Viewport.

Review Layouts

Each layout is described on the following pages.

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Autoview Layouts 1

1. ȡSelect Autoview Layouts at the Exam Rx Display menu to open the


Autoview Layouts menu.

Autoview Layouts

Autoview Layouts menu

Scout Auto Auto Auto


View Film View
Auto Auto
Link Link

Auto Auto
Link View

Back

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Autoview Layouts 2
There are four different types of viewport for six other Autoview Layouts.

D Autoview
This viewport always displays in real time the most recently reconstructed
image. Next/Prior buttons do not work here.

D Auto Reference
This viewport displays a Scout image with reference lines that show the
locations of Autoview images. Front Scout and side Scout can be toggled by
Next/Prior buttons.

D Auto Film
This viewport displays an image for auto filming and occupies the upper left
quadrant. This can be done by selecting the folded corner at the top right of
the viewport. To return the viewport to the cross reference display, select the
folded corner again.

D AL (Auto Link)
While reconstruction is active, the lower right viewport will automatically
display the first image of the series being currently reconstructed. The
viewport will be annotated with AL to indicate that Auto Link is on. All display
features and Next/Prior can be used with Auto Link.

D Free
This viewport can be used to display any image from other exam or series.

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Review Layouts
Multiple Image Display (MID)
Review Layouts can be used during scanning, but you will be unable to view
the current autoviewed image or autofilming.

1. ȡDisplay an image in primary focus viewport.

2. ȡSelect Review Layouts at the Exam Rx Display menu to open the


Review Layouts menu.

Review Layouts

Review Layouts menu

[Full Screen
Format]

[Viewport
Format]

3. ȡSelect [Full Screen Format] to display the selected layout on the entire
screen. Select [Viewport Format] to display the selected layout in
primary focus viewport.

4. ȡSelect one of the four formats.


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List / Select 1
Selecting this function will give you a listing of the exams and other
information about the exams on the system disk.

1. ȡSelect List / Select at the Exam Rx Display menu.

List / Select

2. ȡThe following List/Select browser appears.


Note : The List/Select browser does not appear when the system disk
contains no data.
A B

Sort
Examinations : Exam #47, May 05 92, SMITH, JON
Exam Name Date Description Mod Fmt A Ser Type Imgs Description Mod
3145 J.Herman Jan 08 98 CT 1 PROSP 18 CT
3512 B.Fox Dec 23 97 CT

2 examinations one series


Series
Img Img Ctr Thck/SP Gntry Img Ctr Img Ctr SFOV Res Matrix Midscn Archive
S–I (mm) (mm) (deg) R–L A–P (cm)

1 S 50.0 10.0/ +0.0 R5.0 A0.0 50 Lung 512 No


2 S 45.0 10.0/ +0.0 R5.0 A0.0 50 Lung 512 No
3 S 40.0 10.0/ +0.0 R5.0 A0.0 50 Lung 512 No
4 S 35.0 10.0/ +0.0 R5.0 A0.0 50 Lung 512 No
5 S 30.0 10.0/ +0.0 R5.0 A0.0 50 Lung 512 No
6 S 25.5 10.0/ +0.0 R5.0 A0.0 50 Lung 512 No Accept
60 images
Cancel
Number of images stored: 1101, Available disk space: 948 256x256 image(s), or 236 512x512 image(s).

C
A: Examination List
B: Series List
C: Image List

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List / Select 2

3. ȡSelect exam, series and image to display.

4. ȡClick on the [Accept].


Once all images are loaded, the first image in the series will be
displayed in a primary focus viewport (blue border).

5. ȡUse [Next] or [Prior] key on the keyboard to go through images forward


or backward.

Click on the [Cancel] to exit without selecting anything.

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Routine Display 1

1. ȡSelect [Routine Display] at the Exam Rx menu.

Routine Display

2. ȡThe following Routine Display menu will appear.


Routine Display

Roam Explicit Flip/


Zoom Magnify Rotate

ProView Display List/


GSE Normal Select

Ellipse Measure Grid


ROI Distance On/Off

Cross User Exam Pg


Reference Annotation Series Pg

Hide Screen
Erase
Graphics Save

Back

3. ȡClick on [Back] to return to Exam Rx menu.

Function of each icon is described on the following pages.

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Routine Display 2
Roam / Zoom

1. ȡPlace the desired image in primary focus viewport.

2. ȡSelect [Routine Display] at the Exam Rx menu to open the Routine


Display menu.

3. ȡSelect [Roam] or [Zoom] on the Routine Display menu.

4. ȡAfter selecting [Roam], place the mouse cursor over the image you wish
to roam and hold down the right mouse button, then move the mouse to
roam the image. When you release the mouse button, the image will be
deposited on that point. Select [Display Normal] to return the image to
its original position.
After selecting [Zoom], place the mouse cursor over the image you wish
to zoom and hold down the right mouse button, then move the mouse
right (or up) to magnify or left (or down) to minify the image. When you
release the mouse button, the image will retain the zoom and the
magnification factor will be displayed at the bottom of the annotation on
the upper right of the image. The valid magnification ranges are from
0.5 to 8 and from1.0 to 4.0 in a 1024 matrix viewport. .

Select [Display Normal] to return the image to its original size.

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Routine Display 3
Explicit Magnify
This function allows you to numerically set an image magnification factor.

1. ȡSelect [Routine Display] and click on [Explicit Magnify] on the Routine


Display menu.

2. ȡThe following Enter Magnification on Factor menu appears.

Enter Magnification Factor

0.5 1.0 1.5 2.0 Other:

Valid magnification factors are between 0.5 and 8.0.

Cancel

3. ȡSelect one of the preset magnification factors or type in your own.


The valid ranges are from 0.5 to 8.0 and from1.0 to 4.0 in a 1024 matrix
viewport.

4. ȡThis magnification will be applied to all viewports in focus.

Select [Display Normal] to return the image to its original size.

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Routine Display 4
Flip/Rotate

1. ȡPlace the desired image in primary focus and select [Routine Display].

2. ȡSelect [Flip/Rotate] on the Routine Display menu.

3. ȡThe following Flip/Rotate menu appears.

FLIP/ROTATE
FLIP:

FLR FTB FTB/FLR

ROTATE:

RR RL

Cancel

4. ȡSelect one from FLR (Flip Left to Right), FTB (Flip Top to Bottom),
FTB/FLR, RR (Rotate to Right) or RL (Rotate to Left).

5. ȡThis selection will be applied to all viewports in focus.

Select [Display Normal] to return the image to its original orientation.

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Routine Display 5
ProView
This function allows you to select an edge enhancement or smoothing filter
to be applied to images.

1. ȡImages must be in primary focus.

2. ȡSelect [ProView] on the Routine Display menu.

3. ȡThe following Select Image Filter menu appears.

Select Image Filter

Edge E1 E2 E3 Lung

Smooth S1 S2 S3 Off

Cancel

4. ȡClick on any button of the selections.

The Edge enhancement filters are useful for filming bone windows. The Lung
enhancement is designed specifically to film lung windows.
E1 : Weak E2 : Moderate E3 : Intense Lung : Lung window
Note : When a filter is applied, images are annotated as E1, E2, E3 or Lung
above the vertical tickmark scale on the right side of the image.

The Smooth filters are used to film soft tissue windows or when you need to
decrease the appearance of noise on images.
S1 : Minimum S2 : Moderate S3 : Maximum Off : Without filter
Note : When a filter is applied, images are annotated as S1, S2 or S3 above
the vertical tickmark scale on the right side of the image.

Note : These filters can also be selected on the Auto Film Tab card.
Note : These filters can not be applied to Scout images.

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Routine Display 6
GSE (Gray Scale Enhancement)
This function allows you to alter the slope and gamma curve. This is useful in
head studies to improve the gray–white matter differentiation.

1. ȡImages must be in primary focus.

2. ȡSelect [GSE] on the Routine Display menu.

3. ȡThe following Gray Scale menu appears.

Gray Scale

G1 G2 G3 Off

Cancel

4. ȡClick on any of the selections.

G1 : Weak G2 : Moderate G3 : Intense Off : No filter


Note : When a filter is applied, the image is annotated as G1, G2 or G3 just
above the vertical tickmark scale on the right side of the image.

Note : These filters can also be selected on the Auto Film Tab card.
Note : These filters can not be applied to Scout images.

Display Normal

1. ȡImages must be in primary focus.

2. ȡSelect [Display Normal] to return an image to its normal state if


Roam/Zoom, Explicit Magnify, Flip/Rotate and ProView are used. It will
also erase graphics for Elliptical ROI, Measure Distance, Grid, Cross
Reference and User Annotations.

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Routine Display 7
List / Select

1. ȡWhen you select [List/Select], the browser appears.

2. ȡYou can then select an image to view in a viewport or viewports,


depending on what is in focus. Simply select an Exam, Series and
Image, then select [Accept].

Ellipse ROI

1. ȡImages must be in primary focus.

2. ȡSelect [Ellipse ROI] to perform a Region Of Interest measurements.

3. ȡThe ellipse ROI cursor will be displayed in blue (active) on the image.
To move the ROI cursor, place the mouse cursor in the center of the
ellipse, then click and drag it with the left mouse button. The other way
to move the ROI cursor is to place the mouse cursor on the number next
to the ellipse or on the line, then click and drag it with the left mouse
button. To change the size, click and drag the small box outside the
ROI cursor. To rotate the ROI cursor, click and rotate the solid cursor on
the line.

4. ȡPlace the mouse cursor out of the ellipse, then, click the left mouse
button once to calculate the ROI of the ellipse. The ellipse ROI cursor
turns white (inactive) and is deposited there.
Note : Once the ellipse ROI cursor turns white, it can not be modified, but
you can turn it blue again by placing the mouse cursor inside the ROI cursor
and click the left mouse button once. Then, you can change the size and
location of the ROI cursor again.
The figures of the Mean, Standard Deviation and Area are displayed at the
bottom right of the image . The ROI measurements can be done many times,
but the system will display only the last three results on the image.

Select [Erase] to erase the ROI.

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Routine Display 8
Measure Distance

1. ȡImages must be in primary focus.

2. ȡSelect [Measure Distance].

3. ȡA line with two small boxes at each end will appear in blue (active).

4. ȡTo move the line, place the mouse cursor on the line and hold down the
left mouse button, then drag the line to a new location. To change the
length of the line, place the mouse cursor over the small box and hold
down the left mouse button, then drag the box until you get a desired
length.

5. ȡPlace the mouse cursor out of the line, then, click the left mouse button
once to calculate the length of the line. The line turns white (inactive)
and is deposited there.
Note : Once the line turns white, it can not be modified, but you can turn it
blue again by placing the mouse cursor on the line and click the left mouse
button once. Then, you can change the length and location of the line again.
At the bottom right of the image area, a real time readout of the distance will
be shown. The Distance measurement can be done many times, but the
system will display only the last three results on the image.

Select [Erase] to erase the line.

Grid

1. ȡImages must be in primary focus.

2. ȡSelect [Grid On/Off].

3. ȡThe grid appears on the image.

4. ȡTo move the grid, first click left on the center of the grid. It becomes
active (blue), then drag it to the desired position. To deposit the grid,
click outside the grid.

5. ȡTo take the grid off, click on [Grid On/Off] again.

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Routine Display 9
Cross Reference
This function allows you to display the cross reference lines on a Scout
image.

1. ȡDisplay a Scout image in primary focus.

2. ȡSelect [Cross Reference]. The following Post Reference Lines menu


appears.

Post Reference Lines

Series Number

Image Numbers All First/Last

Increment

OK Cancel

3. ȡ[Series Number] : Enter the desired series number.


[Image Number] : Enter the desired image number.
[All] : Select this for all images.
[First/Last] : Select this to show only the first and last image line.
[Increment] : Select this to show image lines with incremental interval.

4. ȡSelect [OK] to display the image lines on the Scout or select [Cancel] to
exit.

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Routine Display 10
User Annotation

1. ȡImages must be in primary focus.

2. ȡSelect [User Annotation] to show the following active (blue) arrow cursor
on the image.

3. ȡYou can move both the box and arrow at once by placing the mouse
cursor anywhere on the blue line, then click and hold down the left
mouse button, then move it. You can move just the arrow or box by the
same way except you would place the mouse cursor on just the area
you wish to move instead of the blue line.

4. ȡType in the necessary information, then click the left mouse button
outside the box to conclude the type entry. Make sure when typing the
annotation that the mouse cursor is inside the image area.

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Routine Display 11
Exam Pg / Series Pg

1. ȡSelect [Exam Pg] or [Series Pg] to open the exam page or series page
of the exam in primary focus.

2. ȡThe following is an example.

Text Page Box


Pat. name: T. YOKOGAWA
Exam no: 81293
Pat. ID: Y8120
July 17 97
Age: 34 Sex: M Weight: 65 Kg
Referred by:
Radiologist:
Operator:
Exam Description:
History:
Contrast:

Ser Images Ref Scan Range Type Series Description

2 18 OM S 50 I115 PROSP Recon2


3 26 SN I65 I350 PROSP

Quit Manual Film Auto Film

Use ʭʬ buttons on the lower right to go through pages.

3. ȡSelect [Manual Film] to put the page into Manual Film Composer or
select [Auto Film] to put the page into Auto Film Composer.

4. ȡSelect [Quit] to exit from the page.

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Routine Display 12
Hide/Show Graphics

1. ȡSelect [Hide Graphics] to temporarily hide any graphics, annotation or


measurement.

2. ȡThe [Hide Graphics] button works as a toggle. Once you have selected
Hide, then the button changes to [Show Graphics], allowing you to show
any graphics, annotation or measurement.

Erase
The Erase function allows you to erase annotations, cursors and
measurements.
To erase, simply click on [Erase]. If you have multiple annotations or cursors
on the image, the erase function will erase the active one (blue).

Screen Save
Screen Save will save everything that is on the image in primary focus.

1. ȡImages must be in primary focus.

2. ȡSelect [Screen Save].

Note : Screen Saved image will be kept under series number 99.

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Measurements 1
[Measurements] provides access to the more advanced image
measurements

Measurements

Clicking on [Measurements] opens the following menu.

Box Ellipse Trace


ROI ROI ROI

Measure Measure Grid


Distance Angle On/Off

Hide Erase Screen


Graphics Save

Report
MIROI
Pixels

Back

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Measurements 2
MIROI (Multiple Image ROI)
This function gives a graphical representation of CT number change over
time. This is useful for multiple scans done at one location or for segmented
reconstruction of a scan.

1. ȡImages must be in primary focus.

2. ȡSelect [MIROI] from the Measurements menu. The following menu


appears.

MIROI Analysis

Image Range All

Scale for HU Absolute Relative

Define Region Ellipse ROI Box ROI Trace ROI

OK Cancel

3. ȡThe first selection on the menu is Image Range. The default is All.
If you wish to select certain image range, first click on [All] to turn it off,
then type in the number range.

4. ȡThe next selection is Scale for HU (Hounsfield Units). The default is


Relative, meaning the HU scale will display the first CT number as zero
and display the difference in CT numbers from one scan to another.
The Absolute scale will display the actual CT numbers and the
difference from one scan to another.

5. ȡDefine Region selection allows you to choose the Ellipse, Box or Trace
ROI.

6. ȡChoose [OK] to continue or [Cancel] to cancel the function.

Once you select [OK], the analysis will be automatically done with the
resulting graph displayed.

You can use [Screen Save] to save the plotted graph.

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Measurements 3
Report Pixels
This function allows you to get individual pixel values readings from a certain
small area.

1. ȡSelect [Report Pixel] from the Measurements menu.

2. ȡAn 11x11 pixel box will appear along with the Report Pixels menu. The
size of the pixel box can not be changed but you can move the box to
the desired location by clicking and dragging on the letters RP or on the
box itself.

3. ȡOnce you placed the box, select [OK].

Report Pixels

Position Box and Select OK

OK Cancel

A graph like the following example will be displayed showing the pixel values
within the box.

Report Pixels
ID: 8120
I 84 I 85 I 86 I 87 I 88 I 89 I 90 I 91 I 92 I 93 I94

I 165 20 21 23 23 19 20 21 21 20 25 26
I 166 20 22 24 23 20 20 22 25 22 24 26
I 167 22 23 24 23 24 25 25 25 22 23 23
I 168 21 20 20 20 24 25 23 23 22 23 23
I 169 18 18 19 21 22 24 22 21 20 20 21
I 170 17 18 19 21 20 21 22 21 20 20 21
I 171 18 18 19 21 20 20 20 21 20 20 21
I 172 17 17 17 21 20 19 20 21 20 20 20
17 17 18 21 21 20 20 21 21 20 20
I 173
I 174 18 17 18 21 21 19 20 21 21 20 20
17 17 18 21 21 19 20 21 21 20 20
I 175

You can save this chart by [Screen Save].

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Display Preference 1
Display Preference provides access to functions that affect how images will
be displayed.

1. ȡSelect [Display Preference] from the Exam Rx menu.

Display Preference

2. ȡThe following Display Preference menu appears.

Maintain
Annotation
User
Levels
Annotation
ɊNot available)

Auto
Auto Minify
Enlarge

ɊNot available) ɊNot available)

Inverse Next/Prior
Video Each
Viewport

Next/Prior Continuous
Series Report
Binding Cursor

Back

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Display Preference 2
Annotation Levels
This function allows you to change the annotation levels of the screen and
film.

1. ȡSelect [Annotation Levels] from the Display Preference menu.


The following menu appears.

Annotation Levels
Screen Film

No Annotation No Annotation

Partial Annotation Partial Annotation


Full Annotation Full Annotation
Custom Annotation Custom Annotation

Customize Customize

Cancel

2. ȡYou can change the annotation level by clicking on the diamond or the
words for Screen and Film. The selected choice will be highlighted in
blue.
– No Annotation : Only window width and level
– Partial Annotation : Exam number, image number, anatomic
reference, table location, patient name, date of exam, RAS coordinate,
and the measuring scale
– Full Annotation : All image annotations (Default)
– Custom Annotation : Customized annotation

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Display Preference 3

3. ȡSelect [Customize] to review or edit the annotation levels of Advanced


Annotation. The following menu appears.

Customize

1. Hospital Name
2. Patient Name
3. Patient ID
4. ESI Information
5. Scan Time
6. Scan Parameters
7. View Parameters
8. Top Marker
9. Bottom Marker
10. Left Marker
11. Right Marker
W. Windowing
G. Graphic Annotation

OK Cancel

4. ȡClick on ʢ to select the items of annotation.

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Display Preference 4
Next/Prior Each Viewport
This function is used with a multiple image display. With this function on,
when you select to look at the next or prior set of images, you will only get
one new image each time you select next or prior.
With this function off, selecting the next or prior image in the multiple image
display will give you a new set of images. The default is off.

Next/Prior Series Binding


With this function on, you can go to the next or prior series within an exam if
you reach the end of a series using the next or prior image functions.
With this function off, when you reach the end of a series, selecting next
image will return you to the first image of that series.

Continuous Report Cursor


This function allows you to see the RAS coordinates when you place the
mouse cursor on an image.
When the function is on, place the mouse cursor on the area of interest.
The coordinate readout will be displayed at the bottom of the image
annotation, on the upper left of the viewport. You will notice a V, denoting the
CT number of the one pixel located directly under the cursor.
This information does not show up when filmed.

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Manual Film Composer
Refer to the later chapter for the detailed function description.

1. ȡSelect [Manual Film Composer] from the Exam Rx Display menu.

[Manual Film
Composer]

2. ȡThe following Film Composer will appear.

Film Composer

Formats Laser Camera

Options
Current status is :
Clear

Print

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Auto Film Composer
Refer to the later chapter for the detailed function description.

1. ȡSelect [Auto Film Composer]

[Auto Film
Composer]

2. ȡThe following Auto Film Composer will appear.

Auto Film

Clear

Print

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Accelerator Bar 1
There is an Accelerator Bar at the bottom of the Exam Rx menu.

Accelerator Bar

You can type in here various commands to invoke various functions.


Command Abbreviation Contents
filter fi e1, e2, e3, s1, s2, s3, lung, off

gray scale gse g1, g2, g3, off


enhance
exam e e<exam#>
image i i<image#>
next exam ne
next series ns

previous exam pe
screen annota-
an
tion none
screen annota-
ap
tion partial
screen annota-
af
tion full
screen annot- ac
ation custom
annotation agp on(off) x x x
groups
auto fit afit
flip left right flr
flip top ftb
bottom

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Accelerator Bar 2
Command Abbreviation Contents
rotate left rl
rotate right rr
normal no
scroll sc <x pixel> <y pixel>
window wl
level
window ww
width
set initial siw
windowing
zoom zo <factor>
inverse iv
angle ang <x1><y1><x2><y2><x3><y3>
cross ref xr [s]<series#>
cross ref xra
append
cross ref off noxr
tick marks tm on, off
tick mark tmv on, off
vertical
tick mark tmh on, off
horizontal
grid grid on, off

user annot ua
erase graphic eg
erase eag
all graphics
hide graphics hg
show graphics sg
print series prs

text page te
exam
text page ts
series
text page tpr
roi

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Accelerator Bar 3
Command Abbreviation Contents
mouse mode mmr
scroll
mouse mode mmz
zoom
user test
page utp

series binding sb on, off


r image
rmatte
matte
e image
matte ematte

screen save scnsave

blank viewport blank

report pixel rp
Reference Show Scout image of series X
ri_X
Scout on reference image

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Chapter 4
SCAN
Patient Positioning 1
The scan procedure starts with patient positioning.
Image quality depends on proper patient positioning. Poor patient positioning
may result in artifacts and inaccurate CT value.

WARNING!

Avoid patient injury ! Use the security straps provided with the system to
immobilize the patient. The security straps secure the patient to the table
and prevent the patient from falling to the floor. Never leave a patient
unattended while the patient is in the scan room. A violent patient may
break the straps or become unsecured.

Be extremely careful with patient IV or oxygen lines, patient’s hands and


feet and loose clothing to avoid patient injury during table travel.

The cradle has a maximum distribution load capacity of 450 pounds (205
Kg). Exceeding this load limit could affect some mechanical performance.

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Patient Positioning 2
1.ȡIn order to safely lay a patient on the cradle, make sure first that the
cradle is locked. (Refer to Chapter 1 for the function of Gantry Display
Panel.)
Gantry Display Panel
Positioning light Release
Distance from iso–center On/Off Interference cradle lock

SI SI

Distance from Landmark (mm) Tilt X–ray On


angle/range

2.ȡPress a Positioning Light button on the Gantry Control Panel to light a

laser marker . (Refer to Chapter 1 for the function of Gantry Control


Panel.)

WARNING!

The laser beam used for patient positioning can cause eye injuries.
Be sure to instruct a patient never to stare into the beam.

3.ȡMatch the laser marker to an anatomical landmark of the patient by


using control buttons on the Gantry Control Panel.

External 190 mm
laser
Internal
laser

Tomographic
plane

Patient positioning ends when the table location figure is displayed on the
display panel.

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Patient Positioning 3

ȡȡȡȡȡMain landmarks for CT examination


The following landmarks are usually used in CT examinations.

GB
OM

SN
EM

CM
XY

UB IC

SP

GB : Glabella
OM : Orbital Meatal lineȡ
EM : External Auditory Meatus
SN : Sternal Notchȡ
XY : Xyphoid
CM : Costal Margin
UB : Umbilicusȡ
IC : Iliac Crestȡ
SP : Symphysis Pubisȡ

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New Patient 1
Select [New Patient] to initiate a new examination.

New Patient

1.ȡSelect [New Patient] to open the following Patient Information/Protocol


Selection screen.

Patient Information Protocol Selection


Exam Number
Accession Number
Patient ID

Patient Name

Birthdate Sex
Age
Weight Kilograms Pounds

Referring Physician
Radiologist

Operator
History

Exam Description
Protocol Number

End
Exam

2.ȡEnter the patient demographic data.


Note : As a minimum, the patient ID must be entered.

– Exam Number : Within 12 characters


– Accession Number : Within 16 characters
– Patient ID : Within 16 characters
– Patient Name : Within 64 characters

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New Patient 2
– Sex : M (Male) or F (Female)
– Birthdate : Year, Month, Day
– Age : Years, Months, Weeks, Days
– Weight : Kgs or Pounds
– Referring Physician : Within 32 characters
– Radiologist : Within 32 characters
– Operator : Within 3 characters
– History : Within 60 characters
– Exam Description : Within 22 characters
– Protocol Number : Within 5 characters

Note : Patient Name and Exam Description will be posted in Image Works
Browser.

3.ȡEach of the ten anatomic regions contains 15 protocols. To select the


default protocol for the region, point and click on the protocol next to the
number. To view and select one of the 15 protocols for the region, point
and click on the region itself on the full body icon.

4.ȡWhen scanning a pediatric patient, the Pediatric Anatomical Selector is


initiated by touching the pediatric icon. This will minify the Adult
Anatomical Selector.

Upon the selection of the protocol, the system automatically proceeds to the
Scout prescription screen on the next page.

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Scout Scan 1

Scout Prescription Screen


When you finish entering the necessary data on the New Patient screen, the
following screen will open for Scout scan prescription.

Name : ID :

Protocol : Exam: Series:

Anatomical
Reference

Image Area

Series Description

Auto
Store

Auto Transfer

Add Delete
Scout Selected
Scout

Scout Auto
Scout Scan Start End mA
kV Voice
Num Type Loc. Loc. Plane No.

1 Scout

2 Scout

Select Next Create


End Repeat One
New New
Exam Protocol Series Series Series More
Confirm

Note : Make sure the patient’s position in the protocol you have selected
matches that on the CT table. Compare your patient’s position with the
on–screen picture in the upper left corner of the screen. Changes to the
patient’s position in the protocol can be made by Arrow icons on the
picture. In order to reverse the position of Head–first or Feet–first, point and
click on the icon. In order to change the position of Decubitus left/right or
Supine/Prone, point and click on the or icon.
Before entering or modifying any starting or ending locations for a Scout
view, the system will determine if an anatomic reference point has been
established. If it has not, the starting and ending location parameters will be
highlighted in red. To proceed, you must establish an anatomic reference
point by using the internal or external landmark buttons on the gantry control.

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Scout Scan 2
Image Area : Images will be displayed here. This image area can be
enlarged to full screen by clicking on the small square icon located in the
upper right corner.

Icons on Scout prescription screen

Add Scout

Add
Scout

Select this to add the same Scout as the last one.

Delete Selected Scout


Delete
Selected
Scout

Select this to delete the selected Scout series.

End Exam

End
Exam

Select this to end the current exam.

Select New Protocol


Select
New
Protocol

Select this to return to the Protocol Selection screen and choose a new
protocol for a different region.

Next Series

Next
Series

Select this to choose a next series in the protocol.

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Scout Scan 3
Create New Series
Create
New
Series

Select this to create a new series.

Repeat Series

Repeat
Series

Select this to repeat the current series.

One More

One
More

Select this to repeat the current Scout series.

Confirm

Confirm
Select this to accept the prescription and proceed to X–ray radiation.
This icon will change to the following [Pause] icon during the scan.

Pause

Pause
Select this icon to temporarily halt the scan. This icon will change to the
[Resume] icon shown below during the pause.

Resume

Resume
Select this icon to resume the scan.

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Scout Scan 4

1.ȡEnter or modify each parameter for a Scout scan.


– [Scan Type] : Select Scout.
– [Start Loc.] : Scan start location
– [End Loc.] : Scan end location
Note : Scout locations must be preceded with S (superior) or I
(inferior). “Superior” means the direction towards patient’s head from
the zero mm location, namely reference point. “Inferior” means the
direction towards patient’s feet from the zero mm location. Scout
scans are performed from the superior to the inferior regardless of the
patient position.
Note : The valid Scout range is between 50mm and 1000mm.

– [kV] : 80,120,140 kVɊDefault 120 kVɋ


– [mA] : 60–200 mA (at 80 kV), 10–200 mA (at 120 kV),
10–160 mA (at 140 kV)
– [Scout Plane] : azimuth: 5–degree increment (However, to be able to
graphically prescribe axial or helical scan locations, the Scout planes
must be zero, 90, 180 or 270 degrees only.)

Note : If the data field is highlighted in orange, it means the original data has
been modified. Also, if the data field is highlighted in red, it means the
system can not accept that entry.

2.ȡAfter entering or modifying parameters, select [Confirm] to initiate a


Scout scan. The following Scan Progress screen appears.

Scan Progress
Exam:128 Series:1

0 10
Number Type kV mA Plane Start End
Seconds
S65.0 I120.0
001 Scout 120 80 0 S65.0 I120.0

Biopsy
Rx
Scanning Delay Timer Patient Handling

End Next One Repeat


Repeat Last Priority
Exam Series Series More Group Recon
Pause

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Scout Scan 5

3.ȡPress [Move to Scan] button on the key board when it flashes.

Scan Related Buttons on the Keyboard

Move to Scan Stop Move Start Scan Pause X–ray on Stop Scan

4.ȡPress [Start Scan] button when it is lit.


The system automatically starts the prescribed Scout scan.
Note : A scan will be automatically aborted unless you press [Start Scan]
within 30 seconds after it is lit.

5.ȡAfter finishing the first Scout scan, you may select [Repeat Series]
button on the Scan Progress screen to repeat the same Scout series.

6.ȡIf there is an axial series in the protocol you used, you can proceed to
Axial/Helical View/Edit screen by clicking on [Next Series] button on the
Scan Progress screen.

7.ȡIf you need to return to the Scout prescription screen, select the
following [Return to Rx] icon.

ȡȡ

CAUTION
Measurements of Distance and/or Angle on the Scout image do not
necessarily yield accurate data. Do not use those data to avoid
misdiagnosis.

End of Scout scan


If you wish to end the exam after the Scout scan, select [End Exam] on the
Scan Progress screen.

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Auto Store
Function : Auto Store enables you to automatically store images to the
media just after reconstruction.

First make sure that an archive medium is placed in the MOD drive.

MOD Drive

1.ȡClick on [Auto Store] on the Axial View/Edit screen.

Name : ID :
Protocol : Exam: Series:

Anatomical
Reference

Series Description

Auto Auto Show


Store Localizer
Store
Auto Transfer Auto Film Recon
Setup Area

2.ȡWhen Auto Store is on, all series will be automatically stored into the
MOD after completion of reconstruction.

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Auto Transfer
Function : Auto Transfer enables you to automatically transfer reconstructed
images to another view station.

1.ȡClick on [Auto Transfer] on the Axial View/Edit screen to open the Auto
Transfer Remote Host Selection menu.

Auto Transfer Remote Host Selection

Host 1 Exam Image

Host 2 Exam Image

Host 3 Exam Image

Host 4 Exam Image

CT 2
CT 3
AW 1
AW 2
MR 1
MR 2

OK Cancel
Prior Next

2.ȡAfter clicking on [Host x], select host(s) from the list to which you wish to
transfer the data. You can select up to four hosts (Host1ɁHost4).

3.ȡAfter selecting host(s), choose either [Exam] or [Image] as the unit of


transfer data. Then, select [OK] to close the menu.

4.ȡIn case of [Exam] selection, the system automatically starts to transfer


data immediately after selecting [End Exam], whereas in case of [Image]
the system automatically starts to transfer data immediately after
completion of reconstruction.

Note : This function can be applied to only Scout and prospective images.
Other types of images, such as 3D, retrospective, or screen–saved, should
be manually transmitted.

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Axial/Helical Scan Prescription 1

Axial/Helical Prescription (View/Edit) Screen


After Scout scan, you may proceed to the following Axial/Helical Prescription
screen to perform axial, helical or cine scans.

Name : ID :
Protocol : Exam: Series:

Anatomical
Reference

Image Area
Series Description

Auto Show
Store Auto mA OFF Localizer

Auto Transfer Auto Film Recon SmartRecon


Setup Area OFF

Add Split Delete


Current Selected Scan Timing Recon Film
Group Group
Prior Next Group

Optimize
Images Scan Start End No. of Thick Image
Pitch
Gantry
mA
CTDIw
Type Loc. Loc. Images SFOV kV (mGy) Rx
(mm) Int’val Tilt

Preview

Biopsy
Rx

Smart
Prep

End Select Create


Next Repeat One Priority
New New
Exam Protocol Series Series Series More Recon
Confirm

Image Area : Images will be displayed here. This image area can be
enlarged to full screen by clicking on the small square icon located in the
upper right corner.

Prior/Next : Prior or Next key appears on the screen only when more than
three groups are prescribed.

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Axial/Helical Scan Prescription 2

Continuous Scan Modes


This HiSpeed system provides continuous multiple 360–degree scan modes
called Helical or Cine.
Helical Scan : Continuous multiple 360–degree data acquisition is achieved
with continuous table travel. Images taken with this mode are annotated as
HE (helical).
Cine Scan : Continuous multiple 360–degree data acquisition is achieved
without table travel. Images taken with this mode are annotated as CI (cine).

Clinical Benefits of Helical/Cine Scans


D Scan speed
Since there is no interscan delay between each slice acquisition, scan speed
is much faster than conventional axial scans.
Faster scan also helps reduce the total amount of contrast agent.
D No misregistration of anatomy
Since one scan sequence is performed during patient’s breath hold, it
contributes to very little misregistration of anatomy.

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Axial/Helical Scan Prescription 3

Prescribe Scan Parameters

1.ȡEnter the parameters or modify them in the protocol if necessary.


The following screen appears as default or when you click on the [Scan]
icon. The screen changes when you click on the [Timing], [Recon] or
[Film] icon to each own parameters one.

Add Split Delete


Current Selected Scan Timing Recon Film
Group
Group Group

Optimize
Images Scan Start End No. of Thick Image
Pitch
Gantry CTDIw Rx
Type Loc. Loc. Images SFOV kV mA (mGy)
(mm) Int’val Tilt

Preview

Biopsy
Rx

Smart
Prep

Select Create
End Next Repeat One Priority
New New
Exam Protocol Series Series Series More Recon
Confirm

D When you wish to use the common parameters for all scan groups as to
Scan Type, Thick, Image Int’val, Pitch, Gantry Tilt, SFOV, kV or mA, click
on each column head and then select the alternative.
D When you wish to select parameters separately for each group, click on
each data field.
D Each parameter is described on the following page.

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Axial/Helical Scan Prescription 4
– Scan Type : Click here to open the following menu.

Select the desired Scan Type

Scan Type Axial Helical Cine

Rotation Time 1.0 1.5 2.0 3.0

Rotation Length Segment Full

OK Cancel

Scan
Type

Scan Type: Axial, Helical, Cine


Rotation Time (second): Time needed for 360–degree rotation
( “3.0” not available for Helical)
Rotation Length: Amount of data for one scan

– [Start Loc.] : Scan start location preceded with S (Superior)


or I (Inferior). 0.1 increment with Helical
– [End Loc] : Scan end location preceded with S (Superior) or
I (Inferior). 0.1 increment with Helical
– [No. of Images] : The number of images will be automatically
calculated in the end of data entry.
– [Thick (mm)] : Slice thickness: 1, 2, 3, 5, 7, 10 mm
– [Image Int’val] : Image interval
– [Pitch] : The ratio between the slice thickness and the distance a
cradle travels during one rotation time in Helical scan ( 0.1 increment)
– [Gantry Tilt] :  30 degrees (by 0.5 degrees)

– [SFOV] : Scan Field of View: Ped–Head (18cm), Head (25cm),


Small (25cm), Medium (35cm), Large (50cm),
Shoulder–L (50cm)
– [kV] : 80, 120, 140 kV
– [mA] : 60–250 mA (at 80 kV), 10–250 mA (at 120 kV),
10–250 mA (at 140 kV), 5 mA increment
– [CTDIw] : Dose index for each group will be automatically calculated
and shown.

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Axial/Helical Scan Prescription 5

2.ȡClick on the [Timing] icon to open the following time parameters menu.

Scan Timing Recon Film

Prep Breath Breathe Auto


Group
ISD Voice
(sec) Hold Time
(sec) (sec) (sec) No.

Click on each parameter item and select or type in the value.

– [Prep Group (Delay)] : Delay time between pressing [Start Scan]


button and the start of X–ray radiation (0–360 seconds)
– [ISD] : Inter–scan delay (1–300 seconds)
– [Breath Hold] : Duration in which a patient is required to hold breath
– [Breathe Time] : Patient breathing time (5–60 seconds)
– [Auto Voice No.] : Auto Voice setting number

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Axial/Helical Scan Prescription 6

3.ȡClick on the [Recon] icon to open the following reconstruction


parameters menu.

Scan Timing Recon Film

DFOV R/L A/P Recon Image Matrix Motion Special


(cm) Center Center Type Filter
(mm) (mm) Size Correct Filter

Show Show Show


Recon1 Recon2 Recon3
Y N N

Click on each parameter item and select or type in the value.

– [DFOV] : Display Field of View: 48–500 mm (by 1 mm)


– [R/L Center] : Reconstruction center in the right or left direction
preceded with R (Right) or L (Left)
– [A/P Center] : Reconstruction center in the anterior or posterior
direction preceded with A (Anterior) or P (Posterior)
– [Recon Type] : SOFT, STND, STD+, DETL, CHST, BONE, EDGE or
PFRM
– [Image Filters] : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21,
E22, E23, E3), Lung (L1, L2, L3)
Note : These filters are not available when CHST is selected at [Recon
Type].
– [Matrix Size] : 256 x 256, 512 512

– [Motion Correct] : Motion correction


Note : Motion Correct does not apply to the following cases.
Helical/Cine scans and Segment Rotation Length

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Axial/Helical Scan Prescription 7
– [Special Filter] : ANR (Advanced Noise Reduction) (1 or 2)
AAR (Advanced Artifact Reduction) (1 or 2)
ANR filter allows you to reduce noise without compromising spatial
resolution. It contributes to a decrease in standard deviation by
approximately 10%, which may be equivalent to one–step decrease in
mA. Note : ANR is compatible only with SOFT, STND, and STD+.
AAR filter allows you to reduce artifacts shown around arms.
When you click on the [Special Filter] button or the each Special Filter
field, the following menu appears.

Select the desired Special Image Filter.

None ANR 1 ANR 2 AAR 1 AAR 2 Cancel

[ANR 2] has a stronger effect than [ANR 1]. Also, [AAR 2] has a
stronger effect than [AAR 1]. Select either of them or select [None]
not to use this filter.

– [Show Recon 1, 2, 3] : These buttons are used for prospective


multiple reconstruction.

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4.ȡClick on the [Film] icon to open the following menu for auto filming.
You may skip this procedure if you do not use autofilm.

Scan Timing Recon Film

Auto Frame Width Level Mag User


Interval Flip Rotate GSE
Film Format 1 1 Factor Anno.

Recon 1 Recon 1 Recon 2 Recon 2 Recon 3 Recon 3


Film Set Film Set Film Set Film Set Film Set Film Set
1 2 1 2 1 2

Click on each button to enter or select data.

– [Auto Film] : Toggle between autofilm On and Off.


– [Frame Format] : Four formats
– [Interval] : 1–5 sheets
– [Flip] : FTB (Flip to Bottom), FTB/FLR (Flip to Bottom/Flip to Left
Right), FLR (Flip Left Right)
– [Width 1] : First choice of window width (1–4,096)
– [Level 1] : First choice of window level (–1,024 to 3,072)
– [Mag Factor] : 0.5–2.0 times
– [Rotate] : Left 90 degrees, right 90 degrees, 180 degrees
– [User Anno] : User annotation
– [GSE] : Gray Scale Enhancement (G1, G2, G3, Off)

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Prospective Multiple Reconstruction
Function : This enables you to prospectively prescribe up to two additional
reconstruction sets for each scan group within one series.

Make sure that the [Recon] tab card is selected on the right side of View/Edit
screen to prescribe Prospective Multiple Reconstruction. If the card is not
selected, click on the axial image icon.

Scan Timing Recon Film

Recon R/L A/P Recon Image Matrix Motion Special


DFOV Center
Center
Y/N (cm) (mm) (mm) Type Filter Size Correct Filter

Show Show Show


Recon1 Recon2 Recon3
Y N N

There are three buttons at the bottom of the Recon menu.


They are [Show Recon 1], [Show Recon 2] and [Show Recon 3].
[Show Recon1 Y] is highlighted in blue and contains recon parameters
prescribed beforehand.

1.ȡSelect [Show Recon2 N] to prescribe the second recon set.

2.ȡOnce [Show Recon2 N ] is selected, there appears [Recon Y/N] column


at the left end of the Recon menu. These parameters are default from
Recon1. You may change some or all of those parameters. The altered
parameters will become those of Recon2. Lastly, toggle N (No) to Y
(Yes) to allow the group to be reconstructed with those parameters.
[Show Recon2 N] will be changed to [Show Recon2 Y] and highlighted
in blue.

– [DFOV] : Display Field of View: 48–500 mm (by 1 mm)


– [R/L Center] : Reconstruction center in the right or left direction
preceded with R (Right) or L (Left)
– [A/P Center] : Reconstruction center in the anterior or posterior
direction preceded with A (Anterior) or P (Posterior)

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Prospective Multiple Reconstruction
– [Recon Type] : SOFT, STND, STD+, DETL, CHEST, BONE, EDGE or
PERM
– [Image Filters] : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21,
E22, E23, E3), Lung (L1, L2, L3)
– [Matrix Size] : 256 x 256, 512 512
– [Motion Correct] : Motion correction
– [Special Filter] : ANR (Advanced Noise Reduction) (1 or 2)
AAR (Advanced Artifact Reduction) (1 or 2)
ANR filter allows you to reduce noise without compromising spatial
resolution. It contributes to a decrease in standard deviation by
approximately 10%, which may be equivalent to one–step decrease in
mA. Note : ANR is compatible only with SOFT, STND, and STD+.
AAR filter allows you to reduce artifacts shown around arms.
When you click on the [Special Filter] button or the each Special Filter
field, the following menu appears.

Select the desired Special Image Filter.

None ANR 1 ANR 2 AAR 1 AAR 2 Cancel

[ANR 2] has a stronger effect than [ANR 1]. Also, [AAR 2] has a
stronger effect than [AAR 1]. Select either of them or select [None]
not to use this filter.

When you need to return to the parameters of Recon 1 , simply select [Show
Recon 1].

3.ȡIf you need to perform the third reconstruction, select [Show Recon 3],
then take the same steps as Recon 2.

4.ȡSelect [Confirm] to initiate a scan.

Note : During the scan, only the set of Recon 1 will be reconstructed.
In order to activate Recon 2 or 3, select any of the following buttons.
[End Exam], [Create New Series], [Next Series], [Select New Protocol],
or [Repeat Series]

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Icons of the Axial/Helical Scan Prescription screen (1)

Autofilm Setup

Autofilm
Setup

Select this icon to open the following menu for autofilming.

Autofilm Setup
Destination
Laser Camera

Format Size Auto Start Auto Print


Normal Slide Yes Yes

Copies Exam Page Series Page


1
Yes Yes

Scout XRef–Scout
Film Direction
Top to Bottom

Auto Film Composer Show Grayscale

e/s/i Yes

OK Cancel

Please refer to the later chapter of Filming for detailed descriptions.

Show Localizer

Show
Localizer

Click this icon to display the Scout image with graphical lines that show the
scan locations prescribed beforehand. You can graphically modify the
start/end location, interval, image number, or DFOV. Those changes will be
reflected on the scan prescription screen in orange color.
Please refer to the later pages for detailed descriptions.

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Recon Area

Recon
Area

Select this icon to display a circle cursor over the image, then change the
size and location of the cursor to designate the recon area instead of typing
in DFOV, R/L Center and A/P Center at the Axial/Prescription screen.

Add Group

Add
Group

First select a certain scan group, then click on this icon to add that group just
after the current group.

Split Current Group


Split
Current
Group

Select this icon to split the selected scan group.

1.ȡFirst select the desired scan group you wish to split.

2.ȡThen, click on the above icon to open the following menu.

Split Group
Enter location or image number

OK Cancel

3.ȡEnter the location or image number at which you wish to split the group.
Then, select [OK].
Note : If you enter an invalid number, the warning message will appear.
“Image number is outside of group image range.”

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Delete Selected Group
Delete
Selected
Group
First, select a scan group that you wish to delete, then click on this icon.

Biopsy Rx

Biopsy
Rx

Select this icon to prescribe Biopsy Rx.


Please refer to the later pages for the function description of Biopsy Rx.

Smart Prep

Smart
Prep

Select this to prescribe Smart Prep.


Refer to the later pages for the function description of Smart Prep.

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Optimize Rx

Optimize
Rx

When the system decides that some change in scan techniques is needed to
complete the entire scan, this icon lights up in red. At this point you may
enter the following Technique Optimize screen by clicking on it.
Technique Optimize screen example
Tube cooling is needed at image ; 26
Optimize Method :
Group
by
Group
Image
Upfront Group
Delay Delay 1–45
(sec) mA
(sec)
240 46–65

Tube cooling is needed at image : At the top of the screen the message
appears that informs you at which image the tube cooling will be needed with
the current scan techniques. In the above example it is 26.
Optimize Method : Optimize Method tells you how the change in technique
will occur. In the above example it says “Group by Group” meaning the
technique must be changed by scan group. Also, in the above example,
since the image 26 belongs to the first group, all the images in the first group
from 1 to 45 are equally subject to changes in technique. The system will
calculate and display up to three factors for the scans to be able to continue.
Those three factors are;
– Upfront Delay (sec) : Pre–scan delay
– mA : Tube current used for that scan group
– Group Delay (sec) : Delay time between scan groups
Rectifying any one of those three factors will display a message “Tube
cooling is No Longer Needed” enabling the system to continue scans.
Notice: When the system estimates the cooling time to be more than 600
seconds, it shows “––” in the [Upfront Delay] box.
Finally select [Optimize in Progress] highlighted in blue to exit.

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Preview

Preview

This function enables you to graphically view prior to the scan the interaction
between scan process and the combination of Breath Hold and Breathe
Time.
When you click on this icon after axial scan prescriptions, the following
screen will appear.

Preview Screen
Prior Next
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
Seconds
S80.0 S30.0
001–010 Helical 120 250 10.0 5 S0.0 S80.0 S30.0

S10.0 I50.0
011–022 Helical 120 250 12.0 5 S0.0 S10.0 I50.0

I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0
Biopsy
Rx

Step Scroll

If the prescribed scan sequence is too long for a displayed time scale, use
Step or Scroll button to view the entire sequence for the corresponding time
scale. (Step/Scroll buttons appear on the screen only when too long scan
sequence is prescribed.)
When more than three groups are prescribed, use Prior or Next key to go
thorugh the pages. (Prior or Next key appears only when more than three
groups are prescribed.)

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Icons of the Axial/Helical Scan Prescription screen (2)

End Exam

End
Exam

Select this icon to end the current exam.

Select New Protocol


Select
New
Protocol

Click on this icon to select another protocol.

Next Series

Next
Series

Click on this icon to select another series within the protocol. Please refer to
the later page for the function description.

Create New Series


Create
New
Series

Select this to open the following menu and create a new series that does not
exist in a protocol.

Select New Series Type

Scout Axial

ATTENTION: This will remove all unscanned groups.

OK Cancel

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Repeat Series

Repeat
Series

Select this icon to repeat the current series. Please refer to the later page for
the function description.

Priority Recon

Priority
Recon

Select this icon to give the priority to a certain image to be reconstructed


earlier than other images. Refer to the later page for the details.

One More

One
More

Select this to repeat the last one scan. Please refer to the later page for the
function description.

Confirm

Confirm

Select this icon to proceed to X–ray radiation after confirming all scan
prescriptions. This icon will change to the following [Pause] icon during the
scan.

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Pause

Pause

Select this icon to temporarily halt the scan. Scans pause after completing
the current one scan. This icon will change to the [Resume] icon shown
below. (Note : It is best to use the Stop Scan button on the key board to stop
the scan immediately. The use of the Pause icon may not stop the scan
immediately due to the signal transmission timelag.)

Resume

Resume

Select this icon to resume the scan.

Intravenous contrast icon

IV

Select this icon when you use intravenous contrast agent.

Gastrointestinal contrast icon

GI

Select this icon when you use gastrointestinal contrast agent.

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Show Localizer
Function : Show Localizer allows you to graphically show the prescribed
scan lines on the Scout image.

1.ȡClick on [Show Localizer] located on the upper left corner of the


View/Edit screen.
Name : ID :
Protocol : Exam: Series:

Anatomical
Reference
View/Edit screen

Show
Series Description
Localizer
Auto Show
Store AutomA OFF Localizer

Auto Transfer Auto Film Recon SmartRecon


Setup Area OFF

2.ȡThe Scout image appears with lines that show prescribed scan locations.

3.ȡIn order to adjust the slice location, click and hold on the “X” mark in
blue, then drag the entire group horizontally to the desired location.

4.ȡIn order to adjust the DFOV center, click and hold on the “X” mark in blue
with the Shift key pressed down, then drag the entire group vertically to
the desired location.

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Show Localizer
5.ȡIn order to adjust the location of only one group, first doubleclick on the
group to select, then do the above operation. (When you select a certain
group by doubleclicking on it, it turns blue.)

6.ȡIn order to add or delete a slice at the top of the group, click and hold on
the small blue solid square and move the mouse to the desired
direction.
If you wish to add or delete a slice at the bottom of the group, click and
hold on the small blue hollow square and move the mouse to the
desired direction.
7.ȡIn order to adjust the size of DFOV, click and hold on the small diamond,
then extend it or contract it.
8.ȡIn order to adjust the gantry tilt, click and hold on the small circle, then tilt
it to the desired angle.

Note : Blue lines on the axial images show the mechanical center (the
pair of two slices) of the detector, not the slice.

Note : When the gantry tilt is applied on the Localizer, the last image in
each scan group will be automatically removed.
This is because with the matrix type detector tilting the gantry increases
slice intervals which cause the slice overlaps between groups as the
system keeps the original start locations for each scan group. To avoid
the slice overlaps the system automatically removes the slice(s)
depending on the scan mode and the tilt angle.

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Auto mA
Function : The Auto mA feature enables the system to reduce mA and
patient dose with negligible effect on image quality. The system varies mA
according to patient shape and a predetermined algorithm for scan location.
Principle : The Auto mA feature requires one Scout scan, either AP or LAT
in the diagram below, to obtain necessary information on X–ray attenuation.

0-degree Scout (AP)

Tube

Patient 90-degree Scout (LAT)


Tube

The system automatically increases mA at the scan locations where X–ray


attenuation is relatively high and decreases mA at the scan locations where
X–ray attenuation is relatively low. In the example below, the mA is set low at
the start scan location (lung area), then the mA will increase at the location
of liver area, then it will decline at the location of abdomen area.

Start End

mA

0 Scan location
Start End

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Auto mA
Prescribe Auto mA
One Scout data is necessary to prescribe the Auto mA.
(Note : When more than one Scout scan is available like AP and LAT, the
Auto mA feature uses the last Scout scan as the necessary data.)

1.ȡClick on the [AutomA OFF] located on the upper left corner of the
View/Edit screen. (Default setting is “OFF“.)
View/Edit screen
Name : ID :
Protocol : Exam: Series:

Anatomical
Reference

AutomA OFF Series Description

Auto Show
Store AutomA OFF Localizer

Auto Transfer Auto Film Recon SmartRecon


Setup Area OFF

2.ȡThe following [Select AutomA Mode] menu appears.

Select AutomA Mode

Off IQ Normal LowDose MaxmA Cancel

Select one of the four modes, IQ, Normal, LowDose or MaxmA.


The menu disappears upon the selection.
– [IQ] : Select this mode when high image quality is needed.
The possible highest mA of this mode is the highest among IQ,
Normal and LowDose modes.
[AutomA OFF] will change to [AutomA IQ].
– [Normal] : This mode is most commonly recommended.
[AutomA OFF] will change to [AutomA Normal].

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Auto mA
– [LowDose] : Select this mode when the lowest patient dose is
required. The possible highest mA of this mode is the lowest among
IQ, Normal and LowDose modes.
[AutomA OFF] will change to [AutomA LOWDOSE].
– [MaxmA] : Select this mode to define your own desired maximum mA
other than IQ, Normal or LowDose mode.
– [Off] : Select this when you wish to end any of AutomA modes after
using it.
– [Cancel] : Select this to cancel the AutomA mode.

Automatic mA Range Selection


In case of [IQ], [Normal] or [LowDose] mode:
The system calculates proper Auto mA values and draws a chart like the
below one (The chart is not displayed on the screen.). Based on this chart,
the system automatically applies either one of the two mA ranges (10–190
mA / 100–maximum mA ) to each scan group.
mA Auto mA Calculation (example)
200

100

10
scan location

The two ranges do not alternate with each other within a single scan group.
In some cases this causes the system–calculated mA to be clipped(cut) for a
certain slice. The following are examples.
Example 1 : With the [10–190mA] range selected, even if 210mA is
calculated for a certain slice, only 190mA will be applied to the slice.
In other words, mA values more than 190mA are clipped.
Example 2 : With the [100–max.mA] range selected, even if 80mA is
calculated for a certain slice, 100mA will be applied to the slice.
In other words, mA values less than 100mA are clipped.

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Auto mA
Auto mA Clipping
The CT operator can intentionally set the upper limit of mA in the modes of
IQ, Normal and LowDose. This feature is useful for tube cooling wait.
Enter the desired mA value into the [mA] field.
The following charts show the example of Clipping by Operator at 200mA.

Without Clipping (example)


300

250

200
mA
150

100

50

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Slice

Clipping by Operator @200mA (example)


300

250

200
mA
150

100

50

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Slice

Automatic Max mA Range Selection


In case of [MaxmA] mode:
Based on the mA value prescribed at [MaxmA] mode, the system
automatically selects either one of the two mA ranges as the below chart
shows.

mA input Automatically selected range

10–190 10–190

200–max. 100–max.

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Auto mA
The status of ON/OFF or mode of the AutomA feature is shown on
the bottom of the Preview screen.

3.ȡThe following menu appears upon the selection of [mA] on the View/Edit
screen.
Enter the desired mA

60 80 100 130 150 200 250 300 mA Table Cancel

When [AutomA OFF] is posted, the [mA Table] key looks dim
indicating it is not functional.
Select or enter the desired maximum mA.
When any one of four modes (IQ, Normal, LowDose, MaxmA) is
selected, all mA choice boxes look dim, whereas the [mA Table] key
looks solid. Click on the [mA Table] key to open the following mA
Table Information menu.
mA Table Information
Scan# mA

1 150
2 150
3 150
4 140
5 140
6 130
7 100
8 100
9 100
10 100
11 100

OK

(Example)
The above menu shows the expected mA at each scan location.
Click on [OK] to close the menu.

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SmartRecon (Option)
Function : The SmartRecon feature can be used along with Helical or Cine
scans to generate realtime reconstructed images at the rate of six images
per second with 256x256 matrix.
Notice : Images taken with the SmartRecon feature are not recommended
for diagnosis since 256x256 matrix is used.
Conditions :
D 512x512 matrix is not available for SmartRecon.
D SmartRecon can not be used for ordinary axial scans.
D SmartRecon is always succeeded by ordinary prospective reconstruction.
(SmartRecon can not be prescribed alone.)
D SmartRecon is prescribed by series.
D The available scan time for SmartRecon is 0.8 or 1.0 second.
D While performing SmartRecon, the system halts all network and archiving
tasks, also all image analyses like 3D, Reformat, etc. are suspended.
D During SmartRecon all the function buttons on the desktop except for
[Shut Down] are not usable.
D Images generated by SmartRecon will not be stored into the system disk
but into the memory buffer.
D The AutomA feature can be applied to SmartRecon.
D The [Priority Recon] button can not be applied to SmartRecon.

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SmartRecon (Option)
1.ȡClick on [SmartRecon OFF] located on the upper left corner of the
View/Edit screen. (Default setting is “OFF“.)
View/Edit screen
Name : ID :
Protocol : Exam: Series:

Anatomical
Reference

SmartRecon
Series Description OFF

Auto Show
Store AutomA OFF Localizer

Auto Transfer Auto Film Recon SmartRecon


Setup Area OFF

[SmartRecon OFF] turns to [SmartRecon ON].

2.ȡAs the Helical or Cine scans proceed, the system reconstructs and
displays images at the rate of six images/second.

3.ȡUpon the completion of the SmartRecon the operator may return to the
View/Edit screen to start the prospective reconstruction.

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Axial/Helical Scan in Progress

1.ȡClick on the [Confirm] icon after confirming all prescribed scan


parameters.

Select Create
End New Next Repeat One Priority
New
Exam Protocol Series Series Series More Recon
Confirm

View/Edit screen
Confirm
2.ȡPress the [Move to Scan] button when lit, then, press the [Start Scan]
button to start a scan.

3.ȡThe system automatically proceeds to the Scan Progress screen.


Scan Progress
Exam:285 Series:2
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
S80.0 Seconds
S30.0
001–010 Helical 120 250 10.0 5 S0.0 S80.0 S30.0

S10.0 I50.0
011–022 Helical 120 250 12.0 5 S0.0 S10.0 I50.0

I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0
Biopsy
Rx
Scanning Delay Timer Patient Handling

End Next Repeat One Repeat Priority


Last
Exam Series Series More Group Recon
Pause

Note : A warning message will appear in the Patient Handling box if the
the scanning object is off center.
Note : A scan will be automatically aborted unless you press [Start
Scan] within 30 seconds after it is lit.
The system automatically performs the prescribed axial or helical scan.
You can monitor the progress of the scan on the above Scan Progress
screen.

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Axial/Helical Scan End
Upon the completion of the scan, the message “All scans completed” will
appear in the Scanning box of Scan Progress screen. If you wish to end the
current exam here, take the following steps.

1.ȡAfter the scan, click on [End Exam] icon located on the lower left corner
of the Scan Progress screen.

Scan Progress
Exam:173 Series:2
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
Seconds
I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0

Biopsy
Rx
Scanning Delay Timer Patient Handling
All scans completed.

Next One Repeat


End Repeat Priority
Last
Exam Series Series More Group Recon

End Exam

2.ȡOr, you may select “Return to View/Edit screen” icon located on the right
side of Scan Progress screen to return to the View/Edit screen.ȡ

ȡȡ Return to View/Edit screen

3.ȡSelect [End Exam] on the lower left corner of the View/Edit screen to
end the current exam. The screen automatically returns to Top Level
screen.

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Priority Recon
Function : Priority Recon allows you to designate and reconstruct an image
earlier than any other image in the reconstruction queue. Upon the selection
of this function, the system will start to reconstruct the designated image just
after reconstructing the current image.

1.ȡIn the scan process, if you wish to reconstruct a certain image earlier
than any other image, select [Priority Recon] located on the bottom right
of Scan Progress screen.

Scan Progress
Exam:173 Series:2
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
Seconds
I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0

Biopsy
Rx
Scanning Delay Timer Patient Handling

Next Repeat One Repeat


End Priority
Last
Exam Series Series More Group Recon
Pause

Priority Recon

The system starts to reconstruct the designated image just after


completion of the current reconstruction.

2.ȡAfter completion of the whole scan, if you wish to give the reconstruction
priority to the lastly scanned image, select [Priority Recon] on the
bottom right of the View/Edit screen.

Select Next Create Repeat


End New One Priority
New
Exam Protocol Series Series Series More Recon
Confirm

View/Edit screen Priority Recon

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Next Series
Function : Next Series allows you to directly proceed to a scan prescription
screen if the next axial or helical series is included in the protocol.

1.ȡClick on [Next Series] on the following scan end screen.


Scan Progress
Exam:173 Series:2
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
Seconds
I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0

Biopsy
Rx
Scanning Delay Timer Patient Handling

All scans completed.

Next One Repeat


End Repeat Priority
Last
Exam Series Series More Group Recon

Next Series
2.ȡThe system automatically proceeds to the View/Edit screen that shows
the parameters of the series in the protocol. You may modify
parameters.
View/Edit Screen

Add Split Delete


Current Selected Scan Timing Recon Film
Group Group Group

Optimize
Images Scan Start End No. of Thick Image Gantry
Pitch SFOV kV mA CTDIw Rx
Type Loc. Loc. Images (mm) Int’val Tilt (mGy)

Preview

Biopsy
Rx

End Select Next Create Repeat Priority


One
New New
Exam Protocol Series Series Series More Recon

Confirm

3.ȡAfter confirming the parameters, select [Confirm] to start scan.

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Repeat Series 1
Function : Repeat Series allows you to automatically proceed to the scan
prescription screen for the most recent series.

1.ȡClick on [Repeat Series] on the following scan end screen.


Scan Progress
Exam:173 Series:2
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
Seconds
I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0

Biopsy
Rx
Scanning Delay Timer Patient Handling
All scans completed.

Next Repeat One Repeat


End Priority
Last
Exam Series Series More Group Recon

Repeat Series

2.ȡThere appears the following Select Previous Series menu which lists all
the previously scanned series that have the same Patient Position
/Orientation (supine/prone, head first/feet first) as the most recently
scanned one. The most recently scanned series tops the list and gets
highlighted.

Select Previous Series

Series 8 Description of Series 8 Highlighted


Series 7 Description of Series 7
Series 6 Description of Series 6
Series 5 Description of Series 5
Series 4 Description of Series 4
Series 3 Description of Series 3

OK Cancel

The list can show up to ten series on one screen. When it contains
more than ten series, there appear(s) Prior and/or Next button on the
screen.

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Repeat Series 2
After selecting and highlighting any one of the series, select [OK] to
confirm the selection. To cancel this step, click on [Cancel].
3.ȡAfter the selection of [OK], the system automatically proceeds to the
View/Edit screen that shows the parameters of the series chosen in the
Select Previous Series menu. You may modify parameters here.
View/Edit Screen

Add Split Delete


Current Selected Scan Timing Recon Film
Group Group Group

Optimize
Images Scan Start End No. of Thick Image Gantry CTDIw
Type Loc. Loc. Images Pitch SFOV kV mA Rx
(mm) Int’val Tilt (mGy)

Preview

Biopsy
Rx

End Select Next Create Repeat One Priority


New New
Exam Protocol Series Series Series More Recon

Confirm

4.ȡAfter confirming the parameters, select [Confirm] to start scan.

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One More
Function : One More allows you to scan one more slice that will have
exactly the same parameters as the most recently scanned image.

1.ȡClick on [One More] on the following scan end screen.

Scan Progress
Exam:173 Series:2
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
Seconds
I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0

Biopsy
Rx
Scanning Delay Timer Patient Handling
All scans completed.

Next Repeat One Repeat


End Priority
Last
Exam Series Series More Group Recon

One More

2.ȡPress [Move to Scan] button when lit.

3.ȡThen, press [Start Scan] button when lit to start a scan.

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Repeat Last Group
Function : Repeat Last Group allows you to scan the most recently scanned
group again with the same condition.

1.ȡClick on [Repeat Last Group] on the following scan end screen.

Scan Progress
Exam:173 Series:2
0 10 20 30 40
Images Type kV mA Time Thk Tilt Start End
Seconds
I60.0 I85.0
023–027 Helical 120 250 5.0 5 S0.0 I60.0 I85.0

Biopsy
Rx
Scanning Delay Timer Patient Handling
All scans completed.

Next Repeat One Repeat


End Priority
Last
Exam Series Series More Group Recon

Repeat Last Group

2.ȡPress [Move to Scan] button when lit.

3.ȡThen, press [Start Scan] button when lit to start a scan.

Note : Newly scanned series will have the same series number as the
previous one.

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Biopsy Scan 1
Function : The Biopsy Rx feature allows you to easily repeat the scan
location during the biopsy procedures.

Biopsy Rx prescription

1.ȡBiopsy Rx can be accessed through the [Biopsy Rx] icon on the right
side of Axial/Helical Prescription screen.

Add Split Delete


Current Selected Scan Timing Recon Film
Group
Group Group

Optimize
Images Scan Start End No. of Thick Image
Pitch
Gantry
SFOV kV mA
CTDIw Rx
Type Loc. Loc. Images (mm) Int’val Tilt (mGy)

Preview

Biopsy
Rx

Select Create
End Next Repeat One Priority
New New
Exam Protocol Series Series Series More Recon
Confirm

2.ȡThe following screen appears upon the selection of [Biopsy Rx].

Biopsy Rx

Biopsy Reference Superior Centered Inferior

Get Alignment
Biopsy Location Internal External
Light Location

Number of Images Gantry Tilt

Thickness

Helical Pitch Image Interval

Confirm
Cancel
Biopsy Rx

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Biopsy Scan 2

3.ȡIn order to determine the reference centering location in a biopsy scan,


select [Superior], [Centered] or [Inferior] at Biopsy Reference field.
[Superior] means scanning from the landmark toward patient’s head.
[Centered] means scanning around the landmark.
[Inferior] means scanning from the landmark toward patient’s feet.

4.ȡAt Biopsy Location field, enter the location of the biopsy scan to be
performed.
Or

5.ȡWhen the internal light is used, select [Internal], or, when the external
light is used, select [External] at Get Alignment Light Location field.

6.ȡEnter the following parameters.


– Number of Images :
– Gantry Tilt :
– Thickness :
– Helical Pitch :
– Image Interval :

7.ȡClick on the [Confirm Biopsy Rx] button.

8.ȡPress [Move to Scan] button when it lights up. Then, press [Start Scan]
to start the biopsy scans.

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Smart Prep 1(Option)
Function : The Smart Prep feature allows you to monitor contrast
enhancement change during injection, to assure the acquisition of axial or
helical scans while optimum levels of contrast are present.

Three phases of Smart Prep


Smart Prep consists of three phases, which are a Baseline, Monitor and
Scan Phase.
D Baseline phase
This phase requires one unenhanced scan through a particular area of
anatomy that will be the point of interest to monitor.
D Monitor phase
This phase requires the operator to take up to 20 scans at one location while
the IV (introvenous) contrast is being administered. You will be able to watch
these scans on the CRT as the scans are proceeding.
D Scan phase
This phase performs your scan prescription that will be started by the
operator when the optimum level of contrast enhancement is reached, either
by visual evaluation or by a preset threshold selection.

Parameters of Smart Prep


Some of the parameters used during the Smart Prep prescription are preset
and unchangeable. They are 256 matrix, Soft Tissue algorithm and 0.6–sec
scan time.
Note : Because monitoring scans will not be used for diagnostic purposes,
these techniques are used to make sure that the patient receive the minimal
dose.

Autovoice
During the Smart Prep the Autovoice function will only be available after the
scan phase is initiated. So, the operator may have to give oral breathing
instructions through the intercom during Baseline and Monitor phase and at
the beginning of Scan phase.

Scout and scan prescription


When you perform Smart Prep, the Prep Delay can be excluded from
parameters. Even if you use it, Smart Prep will override it by putting “SP” in
place of the number.

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Smart Prep 2

Smart Prep prescription

1.ȡSmart Prep can be accessed through the [Smart Prep] icon on the
Axial/Helical Prescription screen.

Scan Timing Recon Film

Optimize
Thick Image Gantry CTDIw
Pitch SFOV kV mA Rx
(mm) Int’val Tilt (mGy)

Preview

Biopsy
Rx

Smart Smart
Prep Prep

Repeat One Priority


Series More Recon
Confirm

2.ȡWhen the Smart Prep is not incorporated in the protocol, toggle the [Off]
button to [On] on the Smart Prep screen.

To [On]
Smart Prep screen
Smart Prep

Off

Monitor Monitoring Monitoring Enhancement Scan Phase


Location mA Delay ISD Threshold Delay
Show
Localizer

Accept Cancel

Each parameter is described on the following page.

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Smart Prep 3

3.ȡEnter the following parameters for the Smart Prep prescription.

– Monitor Location : Location of monitoring scan


– mA : Tube current for Base Line and all Monitoring scans
(10–100mAȢby 5 mAɋ
– Monitoring Delay : The delay before the Monitoring scan begins
(0–60 seconds, by 0.1 sec.ɋThis delay works in conjunction with the
administration of IV contrast.
– Monitoring ISD : The delay between each monitoring scan
(3–60 secondsȢby 0.1 sec.)
– Enhancement Threshold : The difference in CT value between the
Baseline ROI and the one at which you wish to start the Scan Phase.
( For example: If you want to start the scan phase when the CT value
of the area of interst reaches 70, then assuming the Baseline ROI is
30, the Enhancement Threshold will be 40.)
– Scan Phase Delay : The delay between the time you press [Start
Scan] button and the time the actual scan begins (3–60 seconds, by
0.1 sec.)
Note : The slice selection at Scan Phase may affect Scan Phase
delay. The selection of 7/10mm with Helical or 7/10mm x 2i will affect
the delay. This is because the selection of only up to 5mm x 2 is used
at Monitoring Scan.
– Show Localizer : Select this to display the Scout image with a line on
it. With this line, you will be setting the location of the Baseline and
subsequent Monitoring scans.

Note : If there is the difference between Monitoring location and Scan Phase
start location, the Scan Phase will be delayed due to the cradle travel. For
example, it takes some four seconds for the cradle to travel 300mm.

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Smart Prep 4

4.ȡAfter completing all the entries, select [Accept]. The system will return to
the View/Edit screen.

5.ȡClick on [Confirm] and press [Start Scan] when lit to initiate the Baseline
scan.

Scan Progress screen shows the Baseline group, Monitor group and scan
prescription.

Scan Progress
Exam:285 Series:2
0 10 20 30 40 50 60
Images Type kV mA Time Thk Tilt Start End
Seconds
S0.0
001–001 Axial 120 040 0.6 10 S0.0 S0.0 S0.0
S0.0

002–021 Axial 120 040 12.0 10 S0.0 S0.0 S0.0


S0.0
001–002 Axial 120 080 5.0 10 S0.0 S0.0 I10.0
Biopsy
Rx
Scanning Delay Timer Patient Handling

Next Monitor Repeat


End Scan Priority
Last
Exam Series Phase Phase Group Recon

Pause

Note : When you select [Accept] on the Smart Prep prescription screen, the
following Timing menu shows “SP” in the Prep Group (delay) field, meaning
the Smart Prep Monitoring delay has been set.

Scan Timing Recon Film

Prep Breath Auto


Group
ISD Breathe
Voice
(sec) Hold Time
(sec) (sec) No.

SP

SP

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Smart Prep 5

6.ȡAfter the Baseline scan, its image will be displayed. Also, six display
functions for Smart Prep will be presented.

Smart Prep Display

Display Ellipse
Zoom ROI
Normal

Hide Explicit
Erase
Graphics Mag
Baseline image

Refer to the Chapter 3 [Display] for the each display function.

7.ȡYou can calculate up to three ROIs by selecting [Ellipse ROI].

8.ȡAfter calculating ROIs, click on [Monitor Phase] and inject


simultaneously the IV contrast.

9.ȡAfter you press the [Start Scan] button, the system will automatically
proceed to the Monitoring scans through the Monitoring delay.
D The Display desktop screen will now look similar to the following one.

Most recently
Graph
reconstructed image

Time Baseline image

D In the lower right quadrant the Baseline image with ROIs is displayed.
D The lower left quadrant will be displaying in real time the time when each
monitoring scan is acquired, based on the onset of the monitoring delay.
It also displays each of the ROI values of that scan.
D The upper right quadrant will be displaying in real time the most recently
reconstructed image.
D The upper left quadrant will be displaying in real time the enhancement
threshold graph, comparing the ROI of each monitoring scan with the time
from the start of the monitoring delay. If you did not take any ROI on the
Baseline image, this quadrant will be blank.

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Smart Prep 6
D The Scan desktop screen will now look similar to the following one.

Most recently
Graph
reconsructed image

Preview

10.ȡAs the monitoring scans are being acquired, you can watch the lines
climbing toward the enhancement threshold on the graph in the upper
left quadrant.
Upper left quadrant

140

T
T: Threshold

20 40 60

11.ȡWhen the line depicting the ROI gets close to or at the threshold
enhancement, select [Scan Phase] on the Scan Progress screen to
initiate the Scan Phase.
Note : If the scan location of Monitoring Phase does not match the start
location of Scan Phase, the scan start will be delayed by the time the cradle
takes to move. For example, it takes some four seconds for the cradle to
move 300 mm. It is highly recommended that the scan location of Monitoring
Phase match the start location of Scan Phase.
Note : When the system initiates the Scan Phase, the real time calculation of
the Smart Prep quadrant will be stopped. A screen save will be used for
later inspection.

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Smart Addition (Option) 1
Function
The Smart Addition feature allows you to prospectively add two or more
Axial/Helical images into one image. This is beneficial for brain studies since
the added images will generate much less artifact particularly around
posterior fossa area.

Conditions/Restrictions
The following conditions/restrictions must be met to use the Smart Addition
option.
D Scan Type : Axial or Helical (360–degree data)
D Segment and Helical Plus incompatible with this option
D Available Helical pitch : 1.0 – 3.0
D This option can be applied to group by group.
D Only contiguous images (Interval = Thickness) to be added
D Possible thickness of added image : 2, 3, 4, 5, 6, 7, 10 mm
D Possible number of images to be added : 2, 3, 4, 5, 6, 7, 10
D When Smart Addition is prescribed for [Recon 1], both [Recon 2] and
[Recon 3] will be automatically designated for Smart Addition.
Also, when Smart Addition is not prescribed for [Recon 1], Smart Addition
can not be prescribed for [Recon 2] nor [Recon3].

Procedure

1.ȡClick on the [ Thick (mm)] key in the Scan Tab menu.


The Image Thickness selection menu opens (See next page).

Thick
Scan Timing Recon Film

Thick Image Gantry CTDIw


Pitch SFOV kV mA
(mm) Int’val Tilt (mGy)

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Smart Addition 2
Fig.1 Image Thickness selection menu

Select the desired Thickness (mm) Smart Addition

1 2 3 5 7 10 Cancel

Note : The Smart Addition key is not available unless your CT system
has Smart Addition option installed. Also, even if your CT system has
the Smart Addition option installed, the Smart Addition key remains dim
(inactive) unless the right Scan Type is selected.

2.ȡIn order to activate the Smart Addition option, click on the [Smart
Addition] key. Then, the Fig.2 Smart Addition Image Thickness
selection menu opens.
Fig.2 Smart Addition Image Thickness selection menu

Select the desired Thickness (mm) Smart Addition

Image Thickness (mm)

2 3 4 5 6 7 10

Beam Thickness (mm) Multiplication Factor

1 2 3 5 ɟ5

OK Cancel

On this menu select Beam Thickness (original image thickness) and


Image Thickness (thickness of added images), then the Multiplication
Factor (number of images to be added) is automatically determined.
Since the Multiplication Factor is an integer, there are restrictions on the
combination of Beam Thickness and Image Thickness. For example,
when 2mm is selected as Beam Thickness, Image Thickness of 3, 5,
and 7 are unavailable.
The example of Fig.2 shows 1mm and 5mm are selected as Beam
Thickness and Image Thickness, respectively. So, the Multiplication
Factor is automatically set to 5.

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Smart Addition 3

3.ȡClick on [OK] to accept the selection. Then, the Fig.2 menu disappears
and the selected thickness is posted in the [ Thickness] field on the
View/Edit screen like the example below.

Example

5
1x5

The example shows that Beam Thickness is 1mm, Multiplication Factor


5 and Image Thickness 5mm.
Click on [Smart Addition] if you need to return to Fig.1 menu.
Click on [Cancel] to remove the Fig.2 menu and return to the View/Edit
screen.

4.ȡPrescribe all the other parameters as well.


[Interval] in Smart Addition means the interval between “added” images.
The possible maximum value is the image thickness of added image
and the possible minimum value is Beam Thickness.
In the example below, 1mm silces are added by three images.
When the possible maximum value of 3mm is set at [Interval], added
images are combined like image numbers of [1, 2, 3], [4, 5, 6], [7, 8, 9]
and [10, 11, 12]. In case of the possible minimum value of 1mm, added
images are combined like [1, 2, 3], [2, 3, 4], [3, 4, 5] and [4, 5, 6].

Smart Addition Example : 1mm x 3


Interval : 3mm

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Image number

Beam Thickness : 1mm

5.ȡProceed to the scan after entering all the necessary parameters.


Added images have the image annotations of ADDx (x: Multiplication
Factor) next to the slice thickness annotation.

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Smart Addition Retro Recon (Option) 1
Function
With Smart Addition option images can be retrospectively added from the
raw data obtained from the usual scans.

Conditions/Restrictions
D Data obtained with 7mm or 10mm slice thickness can not be used.
D Recon Mode : Full
D Contiguous image data ( no overlap, no gap)
D Available Helical pitch : 1.0 – 3.0
D Two or more images data

When the above conditions/restrictions are not completely observed, the


keys under [ Thick (mm)] field in the Image tab are dimly displayed indicating
Smart Addition retro recon is unavailable.

Thick key

Images Recon
Scan Scan Scan
Retro Start End Retro Retro No. of Thick Image Gantry
Type Location Interval Tilt SFOV
Location Start End Images (mm)

List
Quit Exams Confirm

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Smart Addition Retro Recon 2

1.ȡAfter confirming the [Thick] key is boldly displayed (active), click on the
[Thick] key to open the following Fig.1 Image Thickness selection menu.

Fig.1 Image Thickness selection menu

Select the desired Image Thickness

1 2 3 4 5 6 7 10 Cancel

Since the number of images to be added is an integer, the slice


thickness of the added image depends on the beam thickness
(thickness of original image). The chart below shows beam thickness
and valid/invalid added image thickness.

Beam Thickness Valid Thickness Invalid Thickness

1 mm 1, 2, 3, 4, 5, 6, 7, 10 mm
2 mm 2, 4, 6, 10 mm 1, 3, 5, 7 mm
3 mm 3, 6 mm 1, 2, 3, 5, 7, 10 mm
5 mm 5, 10 mm 1, 2, 3, 4, 6, 7 mm

On the real menu of Fig.1 the valid thickness numbers are displayed
boldly whereas the invalid thickness numbers are displayed dimly
depending on the beam thickness.

2.ȡSelect the desired image thickness from the Fig.1 menu or click on
[Cancel].

3.ȡAfter entering all necessary parameters click on [Confirm] to start


retrospective reconstruction of added images.
Added images have the image annotations of ADDx (x: Multiplication
Factor) next to the slice thickness annotation.

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Chapter 5
FILMING
AutoFilm 1
Function : AutoFilm provides a wide variety of options so you can tailor the
filming to a specific need for your scan protocol or edit the existing filming
parameters as needed.
There are two pieces to the AutoFilm setup. One is setting the parameters
for the film, which can be accessed through [AutoFilm Setup] button on the
View/Edit screen. The other piece is setting the parameters for the image,
which can be accessed through the [Film] tab card.

View/Edit screen
Name : ID :
Protocol: Exam: Series:

Anatomical
Reference

Series Description

Auto Show
Store Localizer

Auto Transfer Auto Film Recon


Setup Area

AutoFilm Setup

Film tab card


Scan Timing Recon Film

Auto Frame Width Level Mag User


Interval Flip Rotate GSE
Film Format 1 1 Factor Anno.

Recon 1 Recon 1 Recon 2 Recon 2 Recon 3 Recon 3


Film Set Film Set Film Set Film Set Film Set Film Set
1 2 1 2 1 2

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AutoFilm 2

1. ȡTo open the Autofilm Setup page, select the [AutoFilm Setup] icon at
the top of the scan monitor while in the Axial/Helical series. These
parameters will be set up per series or temporarily edited while in the
protocol.

Autofilm Setup
Destination
Laser Camera

Format Size Auto Start Auto Print


Normal Slide Yes Yes

Copies Exam Page Series Page


1
Yes Yes

Scout XRef–Scout
Film Direction
Top to Bottom

Auto Film Composer Show Grayscale

e/s/i Yes

OK Cancel

Note: Once a scan has been acquired, you can not go back to the Autofilm
Setup page, unless you select a new series or a new protocol.

Description of each function is as follows;

D Format
There are 12 options for film format. Click on one of them.

D Film Direction
You can have the images filmed Top–to–Bottom or Bottom–to–Top. Click on
the blue highlighted arrow to toggle.

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AutoFilm 3
D Destination
This determines what type of printer the images will be filmed on. Click on
YB buttons to select the destination (printer). The current destination is
displayed in the message area.

D Size
You can choose to film either in the normal setting or slide setting.

D Copies
You can choose how many copies you want the camera to print. Select the
number you want by either clicking in the box and typing in the number or
clicking on YB arrows to increase or decrease the number. The valid
range is from 1 to 99.

D Exam Page/Series Page


This allows you to film the Exam Page and/or Series Page. Toggle between
Yes and No. These pages will be filmed at the end of the film and will not be
added to the film until a new series or [End Exam] is selected.

D Scout
This allows you to autofilm a Scout image. Select Scout icon to open the
following menu.

Film Scout Yes No

Scout Series Number

Scout Number Window Width


Magnification Factor Window Level

Accept

In order to autofilm a Scout image, select [Yes] first, then enter other
parameters. Lastly select [Accept].

Note: The valid range for Magnification Factor is from 0.5 to 8.0. If a Scout
image exceeds 500mm in length, the magnification factor must be less than
1.0 to view the entire Scout image.

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AutoFilm 4
D XRef–Scout
This allows you to film a Scout image with cross–reference lines that show
axial scan locations. Select [XRef–Scout] icon to open the following menu.

Film Scout With Reference Yes No

Scout Series Number

Scout Number Window Width


Magnification Factor Window Level

Image Range All First/Last

Accept

At Image Range selection, select [All] for axial images and [First/Last] for the
first and last axial image.
Note: The valid range for Magnification Factor is from 0.5 to 8.0. If a Scout
image exceeds 500mm in length, the magnification factor must be less than
1.0 to view the entire Scout image.
After entering all parameters, select [Accept].

D Show Gray Scale


This allows you to choose whether to have the gray scale displayed on the
film. Simply toggle between Yes and No.
Note: This selection is not available if your laser camera interface is digital.

D Auto Film Composer


This selection will determine which will be captured on the AutoFilm
composer, an image itself or numbers of exam/series/image. Select either
[Image] icon or [e/s/i] icon.

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AutoFilm 5
D Auto Start
If you select [Auto Start] icon to Yes, the following menu will appear. You can
select whether to have your film sets automatically start filming.

AutoFilm Setup
Auto Start Film Sets
No Auto start Auto start
Film Set 1
Auto start New Sheet Same Sheet

No Auto start Auto start


Film Set 2
Auto start New Sheet Same Sheet

No Auto start Auto start


Film Set 3
Auto start New Sheet Same Sheet

Accept Cancel

If you select [No Auto start] on the above menu, the system will not
automatically start filming. In this case the operator is to decide when to start
filming.
If Autofilm is on and the Autofilm viewport is showing, once you start
scanning, you can choose from one of the three options at the bottom of the
Autofilm window. The following three icons are those options.
Start New Sheet
Start
New Sheet

[Start New Sheet] will start a new sheet of film with the format that has been
selected from the Autofilm Setup page.

Continue Same Sheet


Continue
Same Sheet

[Continue Same Sheet] will continue filming on the current sheet in the
Autofilm composer with the same format as the Autofilm composer.

Cancel Film Series


Cancel
Film Series

[Cancel Film Series] will stop Autofilm for that series.

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AutoFilm 6
If you select [No Autostart] with autofilm on but the autofilm viewport is not
shown, the following message will appear.

Exam: 4
Series: 1
is ready for auto filming

Show Film Cancel


Viewport

If you select [Show Film Viewport], the autofilm viewport will be displayed,
then you can select [Start New Sheet], [Continue Same Sheet] or [Cancel
Film Series].
Autofilm viewport

Start Continue Cancel


New Sheet Same Sheet Film Series

If you select [Autostart New Sheet], the Autofilm process automatically uses
[Start New Sheet] function.
If you select [Autostart Same Sheet], the Autofilm process automatically
uses [Continue Same Sheet] function.
After making all the necessary selections, select [Accept] to continue or
select [Cancel] to cancel. In both cases, the system returns to the Autofilm
Setup page.

D Auto Print
[Auto Print] is a toggle button between Yes and No. If you select Yes, then
the last film of the exam will be automatically printed, whether the Autofilm
composer is filled or not. If you select No, then you will need to select Print
on the Autofilm composer.

2. ȡOn the Autofilm Setup page, select [OK] to accept all entries. Or, select
[Cancel] to cancel.

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AutoFilm 7
The Autofilm parameters for the images can be prescribed or modified by
selecting the Film Tab Card on the View/Edit screen.

1. ȡClick on the Film Tab Card to open the following menu for Autofilming
parameters entry. You may skip this step if you do not intend to perform
Autofilming.
Film Tab Card
Scan Timing Recon Film

Auto Frame Width Level Mag User GSE


Interval Flip Rotate
Film Format 1 1 Factor Anno.

Recon 1 Recon 1 Recon 2 Recon 2 Recon 3 Recon 3


Film Set Film Set Film Set Film Set Film Set Film Set
1 2 1 2 1 2

2. ȡClick on each button and select or type in a parameter.

D Auto Film
Select On or Off on the following menu after clicking on [Auto Film].
Auto Film

On Off Cancel

D Frame Format
Select one of the four formats in the following menu by clicking on it.
MID Format

Cancel

D Interval
Select one of the five choices as to which image to film.1= every image, 2=
every other image, 3= every third image, and so on.

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AutoFilm 8
D Flip
Select one of the following options. [FTB] (Flip Top to Bottom), [FTB/FLR]
(Flip Top to Bottom/Flip Left to Right), [FLR] (Flip Left to Right), [None]

Flip

FTB FTB/FLR FLR None Cancel

D Width 1
The first choice for window width (1Ɂ 4096)

D Level 1
The first choice for window level (–1024Ɂ 3072)

D Mag Factor
Valid image magnification factor range is from 0.5 to 4.0

D Rotate
Right 90 degrees, left 90 degrees, or 180 degrees

Rotation

None Cancel

D User Anno(tation)
Maximum four lines

User Annotation

Accept Cancel

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AutoFilm 9
D GSE (Gray Scale Enhancement)
Select one of the four choices.

Gray Scale

G1 G2 G3 Off

Cancel

G1 : lowest contrast G2 : medium contrast G3 : highest contrast


Off : no effect
The name of the grayscale will be annotated just above the tick mark.

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Auto Film Composer
Click on the [Auto Film Composer] icon in the Display mode to display the
following Autofilm Composer. You do not necessarily have to display this
composer during autofilming.
You can move the Autofilm Composer on the screen by holding the cursor
anywhere in the title bar area, then dragging the composer to the desired
location.

Auto Film

Pause Filming

Clear
Print

Film format reflects the one prescribed on the AutoFilm Setup page.
Each port can contain either an image or a set of exam, series and image
number depending on the prescription on the AutoFilm Setup page.

Click on the [Auto Film Composer] icon again to remove the composer.

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Manual Film
Function : Manual Film allows you to manually film images.
The Manual Film Composer can be initiated from several locations including
the Exam Rx Desktop, Image Works browser, Image Works viewer and
Image Works miniviewer.

Exam Rx Display menu

[Autoview
[Review Layouts]
Layouts]

[Manual Film
Composer]

When you perform Manual Filming, you have to use one or two viewports in
the Review Layouts, or one or two viewports in the bottom of the Autoview
Layouts.

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Manual Film Composer 1
Upon the selection of [Manual Film Composer], the following Manual Film
Composer will appear.
You can move the Manual Film Composer on the screen by holding the
cursor anywhere in the title bar area, then dragging the composer to the
desired location.

Film Composer close button

Formats Laser Camera

Options
Current status is :
Clear

Print

D Film Composer close button


In order to close the Film Composer, click on the small button at the upper
right corner of the composer, or click on the [Manual Film Composer] icon
again.

D Laser Camera
The destination of printing will be changed. If you wish to have a destination
other than a laser camera, place the cursor over the word “Laser Camera”,
press and hold down the left mouse button to open a pull–down menu, then
select a desired destination.

D Formats
Click on any one of the twelve formats. It will be reflected on the composer.

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Manual Film Composer 2

Options If you select the [Option] icon, the following Print options menu
appears.

Print options

Slide format: Greyscale:


Off Off

Auto printing: Auto clear page:


Off Off

Icon labels: Expose order:


Image Left/Right
Top/Bottom
Number of copies:
1
Done

Slide format: Select On from the Slide format pull–down menu to employ a
Off slide format.
On Note : If the selected printing machine does not support slide
format, the Slide format button is shown in gray, indicating it is
not usable.

Grayscale: Select On from the Grayscale pull–down menu to print a


Off grayscale onto a film.
On Note : If the selected printing machine does not support
grayscale, the Grayscale button is shown in gray, indicating it is
not usable.

Auto printing: Select On from the Auto Printing pull–down menu to


Off automatically start printing immediately after all the frames are
On filled.

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Manual Film Composer 3
Auto clear page: Select On from the Auto clear page pull–down menu to
Off automatically clear all the frames after the completion of
On
printing.

Icon labels: Select either [E/S/I] or [Image] from the Icon labels pull–down
menu to put either Exam/Series/Image number or Image itself,
Image
resepctively, into the frame.

Number of copies: Click on the [ʥ] or [ʧ] button to increase or decrease


1 ʥ ʧ respectively the number of copies. Or, type in the desired
number into the numerical entry field.

Expose order: When filming function keys are being used, this selection will
Left/Right determine the order with which the images will be printed into
Top/Bottom the frames of the composer.
Right/Left
Bottom/Top

Done Select [Done] to accept the entries and close the Print
options window.

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Manual Film Composer 4

Clear If the Auto clear function is off under the Print options menu,
select [Clear] on the Film Composer to clear the page of images
to start over or start a new sheet.
The message “Clear the current page” will appear. Select [OK] to clear or
click on [Cancel] to cancel.
Note : If the Auto clear page is on, the Film Composer will automatically
disappear after printing.

Print If the Auto printing function is off under the Print options menu,
select [Print] on the Film Composer to print the current page of
images.
The status line at the bottom of the composer will start the message
“Printing...” and the images will be sent to the printing queue. Once the
queue is filled with images, the printing will start.

As the Film Composer communicates with the camera, the status


is posted at the bottom of the composer, for example, “print
queue empty”, “printing”, “film supply low”, or “output device not
connected”.
Note : Messages posted in green mean everything is OK. Messages in
yellow are warnings. Messages in red mean a problem exists.
Note : When there exists an arrow button in the message area, you can get
the details by clicking on it.

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Manual Film Composer 5
Image removal from Film Composer

1. ȡIf you wish to remove an image on the Film Composer window, click on
that image.

2. ȡThere appears a message “Do you really want to delete this image?”

3. ȡSelect [Yes] to delete, or select [No] not to delete.

Load images by drag and drop

1. ȡIn order to load an image onto the Film Composer, click and hold the
cursor on the image, then drag it to an image frame, then release the
cursor to deposit the image.

2. ȡRepeat the above steps as needed.

Load images by F1 function key


Another way to load images onto the Film Composer is as follows.

1. ȡMove the cursor onto the desired image and press the F1 key.

2. ȡThe image will be automatically placed into the next available frame
Note : This method may be faster than the drag & drop method, however,
you can not jump the frame.

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Manual Film Composer 6
Page filming by F2 function key
You can use this function to load one sheet of images onto the Film
Composer.
Note : The Film Composer must be empty beforehand. If it is not empty, use
the [Clear] button to empty the Film Composer.

1. ȡMove the cursor over any one of the displayed images and press the F2
key.

2. ȡThe displayed images will be loaded onto the Film Composer in order of
the displayed images.
Note : In order to perform page filming, the formats must be the same
between the displayed images and the Film Composer. If the formats are
different, the format of the Film Composer automatically turns to that of the
displayed images as you press the F2 key.
Note : When you are using the Viewer or Mini Viewer, you can also use the
[Film Page <F2>] button to perform page filming.

MID (Multiple Image Display) filming by F3 key


You can use this function to load the multiple image display onto one film
frame.
Note : When you perform MID filming, the image resolution will decrease a
little bit compared with the page filming.

1. ȡMove the cursor over any one of the displayed images and press the F3
key.

2. ȡThe displayed images will be loaded onto the Film Composer in order of
the displayed images.
Note : When you are using the Viewer or Mini Viewer, you can also use the
[Film MID <F3>] button to perform MID filming.

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Manual Film Composer 7
Series filming by F4 function key
The following menu will appear when you press the F4 key.

Format Image Selection


Z Use Film Composer 1 ← → 18
Z Viewer Format 1 18

Interval Current Print Job


Z Print all Images No Current Job
Z 1/2
Z 1/3 Cancel All

Print Last Sheet No

Print Series Cancel

D Format
– Use Film Composer : Select this to use the same format as the current
Film Composer.
– Viewer Format : Select this to change the Film Composer format to
that of Viewer Format.

D Image Selection
This determines the number of images in the series for filming.
Use the slide bar to set the number.

D Interval
Print all Images : all images
1/2 : every other image
1/3 : every three images

D Current Print Job


This area displays the list of jobs in the current queue.
You can cancel all the jobs with [Cancel All].

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Manual Film Composer 8
D Print Last Sheet
This selection determines whether the last sheet will be printed before it is
filled with images.

After completing all entries, select [Print Series] to start series filming.
Note : If you wish to cancel the filming after clicking on [Print Series], press
F4 and click on [Cancel All].

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Chapter 6
QUALITY ASSURANCE
Overview

In order to assure consistent image quality over the lifetime of the


diagnostic radiology equipment, users must establish and actively maintain
a regular Quality Assurance (QA) program. These procedures ask you to
scan a known material (usually a phantom) under a prescribed set of
conditions, and then compare your results with the predicted or optimum
values. Because you repeat these tests frequently, if not daily, you notice
changes in image quality values before the problem becomes visible. If
you do notice a degradation in image quality or a change in QA values you
can schedule a site visit and let the service person or imaging physicist run
more sophisticated tests. Their early intervention could prevent a major
breakdown.

User QA begins with baseline performance data obtained by performing


the QA tests as soon as the system meets operating system specifications.
Take the first set of baseline performance data right after installation and
update it any time the system undergoes an upgrade or a major repair that
affects image quality. An x–ray tube change is one example. Compare
your daily QA checks against these baselines. The Quality Assurance
program documents any change in image quality over time.

Although you can save baseline images to visually compare with your daily
QA checks, you don’t have to. The numerical data supplied during the
actual testing provides the necessary objective data for comparison. This
section contains a sheet titled QA DATA FORM that you can copy and use
to record this numerical data.

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Phantom Description

Use the Quality Assurance and Performance Phantom provided with your
CT scanner to assess system performance and establish an ongoing
Quality Assurance program. The phantom’s design provides maximum
performance information with minimum effort. This phantom measures six
aspects of image quality. It contains three sections, each corresponding to
a single scan plane. The following illustration contains a list of the sections
and corresponding tests.

Section 1 Section 2 Section 3

High Contrast Resolution Low Contrast Detectability Noise and Uniformity


Contrast Scale
Slice Thickness
Positioning Light Accuracy

QA Schedule

The most effective Quality Assurance program involves obtaining basic


performance data once a day, or at least 2–3 times per week. You must
obtain data frequently and on a regular basis in order to detect any
changes in system performance that might occur before it affects clinical
image quality. At minimum, acquire a single 10mm scan of Sections 1 and
3 of the Performance Phantom each day.

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Phantom Setup

Place the performance phantom on the phantom holder and level it. (Tape
a small piece of cardboard or a washer to the phantom, if necessary to
accomplish this.) Position the phantom using the laser alignment lights as
follows:
1. Align the axial light to the circumferential line marking Section 1.
2. Align the coronal light to the horizontal lines on either side of the phantom.
3. Align the sagittal light (where it strikes the top of the phantom) to the vertical
line on the face of the phantom.
4. Position the phantom and press the Internal Land button on the gantry.

The performance phantom contains three sections. When you correctly


follow the positioning instructions listed above, Section 1 corresponds to
0.0 mm table position, Section 2 (Low Contrast Detectability) to the 35.0
mm location and Section 3 (Noise and Uniformity) corresponds to the 50.0
mm location.

Circumferential
reference line
Vertical reference line

Horizontal
reference line

Horizontal
reference line

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Scan the QA Phantom

Follow the normal Single Scan protocol. Scan three locations, one for each
QA phantom section. If you set up the phantom as described on the
previous page, prescribe scan location 0.0 for section 1 of the phantom,
35.0 for section 2 and 50.0 for section 3. Use the scan parameters
suggested in Table 1. You can use other parameters, but the performance
results won’t match the data in this manual.
TABLE 1

SOFTKEY PROMPT SCAN VALUE RECONSTRUCTION

[NEW PATIENT] kVp – 120 CAL FOV – Small


[HEAD FIRST] mA – 100 Recon FOV – 25cm
Time – 3 sec centered
[HEAD] Thickness – 10mm*
[SINGLE SCAN] Scan Mode – Single Recon Mode – Standard

*Check image thickness and positioning light accuracy by acquiring a


number of images and varying the slice thickness between scans.

Test and Analysis of the Phantom Images

Begin the analysis as soon as the Section 1 image display appears. Make
copies of the form on the following page and record the QA results there.
Keep previously recorded QA results and compare them to the most recent
analysis for consistency.

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Contrast Scale

Section 1 of the phantom tests the contrast scale. CT assigns CT


numbers, also called (HU) Houndsfield Units, to the attenuation values of
X–Ray passing through a variety of material densities. The software
makes the attenuation visible by assigning shades of gray to groups of
numbers you select with Window Width/ Level functions during image
Display. For test purposes, the CT values of water and acrylic in the
phantom represent the standard against which you track your system’s
contrast scale over time. The test for contrast scale follows:
1. Display a circle cursor (approximately 1 cm in diameter) from [Ellipse ROI] on
the image as shown in Figure 1. For consistency, use the same size cursor
and location each time you perform this test.
2. Position the cursor on the Plexiglass block and click the left mouse button once
to calculate the ROI. Record the mean CT number on the QA Data Form.
(Standard deviation record optional.)
3. Position the cursor over the water section and click the left mouse button once
to calculate the ROI. Record the mean CT number for water on the QA Data
form. (Standard deviation record optional.)
4. Subtract water’s CT number from Plexiglass’ CT number and record the
difference on the QA Data form.

Position 1cm ROI over water

Position 1 cm ROI over Plexiglas

FIGURE 1

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High Contrast Spatial Resolution

Section 1 of the phantom contains six sets of bar patterns in a Plexiglass


block that you use to test high contrast spatial resolution. Each pattern
consists of sets of equally sized bars and spaces, in the following sizes: 1.6
mm, 1.3 mm, 1.0 mm, 0.8 mm, 0.6 mm, and 0.5 mm. Water fills the spaces
and provides about 12% (120 HU) contrast. Examine the bar patterns to
determine the limiting resolution, defined here as the smallest bar pattern in
which you see all five bars.

A more sensitive and quantitative method for assessing changes in system


resolution involves measuring the standard deviation of the pixel values in
a single or multiple bar pattern. ROI standard deviation provides a good
indicator of system resolution and a sensitive method to detect changes in
system resolution. The recommended procedure follows:
1. If necessary, click on [Erase] to remove previous ROI data.
2. Display and position a box cursor from [Box ROI] over the largest (1.6 mm) bar
pattern. The cursor should fit within the bar pattern as shown in Figure 2.
Adjust the size and position of the cursor as necessary.
3. Click the left mouse button once to calculate the ROI and record the standard
deviation on the QA data form.
4. (Optional) Repeat this procedure for the 1.3, 1.0, and 0.8 mm bar patterns.

Position box cursor


over largest bar
pattern, and size it
until it fits over the
pattern.

Optional: repeat
for 1.3mm pat-
tern
Optional: repeat
for 1.0mm pat-
tern

Optional: repeat
for 0.8mm pat-
tern

FIGURE 2

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Slice Thickness

Section 1 of the phantom also tests slice thickness. Both sides of the
resolution block contain a pattern of air filled holes designed to
demonstrate slice thickness. (See Figure 3.)

Air filled
holes

FIGURE 3

The resolution block contains holes drilled 1 mm apart and aligned in the
direction of slice thickness (perpendicular to scan plane). Each visible hole
in the image represents 1 mm of beam thickness. The software assigns
less negative CT numbers to partial hole images or holes located on the
edge of the slice profile. To determine slice thickness, display the
image at the recommended window level and width, and count the
visible holes. Black holes in the image represent a full millimeter of slice
thickness. Gray holes count as fractions of a millimeter; two equally gray
holes count as a single 1 mm slice thickness.

Recommended window width: 300. Recommended window level:


–100 for 3.0 mm slices, 0 for 5.0 mm, and +50 for 10.0 mm slices. Your
image may show less detail than this example.

Adjust the window width


and level, then count the
lines, which represent the
air filled holes.

Each black line represents one milli-


FIGURE 4 meter of slice thickness. Gray lines
represent fractions of a millimeter

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Positioning Light Accuracy (optional)

Refer to Figure 3 on the previous page: notice how the center hole in the
hole patterns on both sides of the resolution block appear longer than the
others. The manufacturers drilled the center holes deeper to help you
identify them in the image. The center hole position corresponds precisely
to the black line scribed on the circumference of the phantom. When you
use an accurate Positioning light and align the phantom’s circumferential
line to the axial light, you’ll see a symmetrical hole pattern around the
center (longer) hole in the slice thickness pattern. See Figure 5. For best
results, use the 1.0 mm slice thickness.

Center hole position


corresponds to black line
around circumference of
phantom

Align black line on


phantom to positioning
light

FIGURE 5

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Low Contrast Detectability
Section 2 of the QA phantom tests low contrast detectability, defined here
as the smallest hole size visible for a given contrast level at a given dose.
This phantom section contains a 0.75 mm thick polystyrene membrane
suspended in water and pierced by a series of holes in the following sizes:
10.0 mm, 7.5 mm, 5.0 mm, 3.0 mm, and 1.5 mm. The difference in CT
numbers between the water, and water plus plastic, equals the contrast in
Houndsfield Units (HU). Divide the HU value by ten to obtain the contrast
in percent. Measure the contrast between the plastic membrane and the
surrounding water in the following manner:
1. If necessary, click on [Erase] to remove previous ROI data.
2. Display and position a box cursor from [Box ROI] over the image. Adjust the
cursor to a rectangle, approximately 1/2 cm high by 5 cm long, as shown in
Figure 6.
3. First position the cursor over the polystyrene membrane above the holes.
Click the left mouse button once to calculate the ROI. Record the mean CT
number in the Low Contrast resolution box on the QA Data Form.
4. Next place the cursor in the water section above the membrane and click the
left mouse button once to calculate the ROI. Record the mean CT number.
5. Subtract the CT number of the water from the CT number of the membrane and
record the difference.
6. Click on [Erase] to remove previous ROI data.
7. Repeat steps 3, 4, and 5. This time position the cursor below the membrane
holes, then move it over the water area below the membrane.
8. Count and record the number of visible holes to determine contrast.

A. Position box cur- B. Position box cur-


sor over polystyrene sor over water above
membrane above membrane and, take
holes, and take ROI. ROI.
Subtract B from A

Count visible holes

C. Position box cur-


sor over polystyrene
membrane below D. Position box cursor
holes, and take ROI. over water below mem-
brane, and take ROI.
Subtract D from C
FIGURE 6

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Noise and Uniformity

Section 3 of the phantom tests noise and uniformity. Take a water–only


scan in Section 3 to provide a uniform image by which to assess image CT
number noise and uniformity. Enclose a region of interest, click the left
mouse button once to calculate the ROI, and the software calculates and
displays the standard deviation or noise of the pixels inside. The software
often divides the HU noise values by 1000 (representing the contrast scale
between air and water) and multiplies by 100 to convert HU to a
percentage of water attenuation.

The procedure for noise and uniformity testing follows:


1. If necessary, click on [Erase] to remove previous ROI data.
2. Place a circle cursor approximately 2 cm in diameter on the center of the image
as shown in Figure 7. Adjust the size of the cursor as necessary.
3. Click the left mouse button once to calculate the ROI. Record the mean CT
number and standard deviation on the QA Data Form.
4. (Optional) Repeat the above instructions placing the cursor at the 12 o’clock
position and once again at the 3 o’clock position.

Optional: Take an ROI at the


12 o’clock position.
Position circle cursor over
the center of the image,
and take ROI.

Optional: Take an
ROI at the 3 o’clock
position.

FIGURE 7

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Typical Results and Allowable Variations

Because people determine clinical image quality, it remains subjective and


difficult to define. GE expects the standards of allowable variation in image
quality parameters to vary with the installation and image evaluator(s). GE
encourages you to establish and follow a Quality Assurance (QA) program
so you can discover any degradation of image quality before it effects
clinical images. Over time, institutions use the QA procedure to establish a
correlation between acceptable clinical image quality and acceptable
variations in the image performance indices included in the program. This
page contains suggested allowable variations; don’t mistake them for
absolutes. Compare any parameter variation to the maximum deviation
specified in the next section called, Dose and Performance. Make sure
you used the prescribed technique, then inform service when the variations
reach the specified maximum deviation.

Contrast Scale

The difference in CT numbers between the Plexiglass resolution block and


water should equal 118, with a suggested allowable variation of 10%.

High Contrast Spatial Resolution

The standard deviation for an ROI in the 1.6 mm bar pattern should equal
36 HU, with a suggested allowable variation of 20%.

Nominal Slice Thickness

Slice thickness should not vary from the expected value by more than 50%
for thickness of 2.0mm or less and ± 1.0mm for thickness over 2.0mm,
when evaluated according to instructions.

Low Contrast Detectability

Because this test relies upon the perceptual judgment of the person
counting visible and well–defined holes, we can’t suggest an allowable
variation. Rather, we suggest you choose a single, barely visible hole and
closely monitor that particular hole during subsequent testing for
degradation in this image parameter.

Noise and Uniformity

Mean should equal 0± 3.


Standard deviation should be less than 4.9

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Weighted CTDI100 (CTDIW) for MX165ZJ Tube


Explained below contains information that relates image quality to radiation
dose, as required by the IEC standard, in compliance with the
IEC60601–2–44, dated (1999–02). Please review this information.

Head 300 mAs (mGy)


1 mm 2 mm 3 mm 5 mm 7 mm 10 mm
80 kV 28 26 28 29 29 31
120 kV 70 65 68 72 74 76
140 kV 94 86 91 97 99 100

Body 195 mAs (mGy)


1 mm 2 mm 3 mm 5 mm 7 mm 10 mm
80 kV 8 7 8 8 9 9
120 kV 20 19 20 21 22 23
140 kV 27 26 28 30 30 31

With SmartBeam Filter


Head 300 mAs (mGy)
1 mm 2 mm 3 mm 5 mm 7 mm 10 mm
80 kV 18 16 15 15 15 15
120 kV 53 47 45 45 45 46
140 kV 76 67 64 64 64 65

Body 195 mAs (mGy)


1 mm 2 mm 3 mm 5 mm 7 mm 10 mm
80 kV 4 4 4 4 4 5
120 kV 16 14 14 14 13 14
140 kV 24 21 20 19 20 19

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Dose and Performance 1 for MX165ZJ Tube

Explained below contains information that relates image quality to radiation


dose, as required by the federal government, in compliance with Federal
Regulations 21CFR 1020.33(c). The dose measurement procedure is
described in the Code of Federal Regulations 21CFR 1020.33. The Code
of Federal Regulations can be obtained from the U.S. government printing
office or can be viewed from the World Wide Web.

Statement of Typical Technique

HEAD BODY
25 cm Field of View (FOV) 50 cm FOV
120 kVp 120 kVp
150 mA 130 mA
2.0 sec scan time 1.5 sec scan time
10 mm slice thickness 10 mm slice thickness
Large Focus Large Focus

CT Dose Index (CTDI) For Typical Technique At Various Positions On The


Phantom Image.

B POSITION HEAD BODY


A 6.9 rad 1.3 rad
B 7.4 rad 2.7 rad
E A C C 7.1 rad 2.5 rad
D 6.9 rad 2.0 rad
E 7.2 rad 2.5 rad
D CTDI has no angular maximum near the surface for 360° scanning

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Dose and Performance 1 for MX165ZJ Tube with SmartBeam


Filter

Explained below contains information that relates image quality to radiation


dose, as required by the federal government, in compliance with Federal
Regulations 21CFR 1020.33(c). The dose measurement procedure is
described in the Code of Federal Regulations 21CFR 1020.33. The Code
of Federal Regulations can be obtained from the U.S. government printing
office or can be viewed from the World Wide Web.

Statement of Typical Technique

HEAD BODY
25 cm Field of View (FOV) 50 cm FOV
120 kVp 120 kVp
150 mA 130 mA
2.0 sec scan time 1.5 sec scan time
10 mm slice thickness 10 mm slice thickness
Large Focus Large Focus

CT Dose Index (CTDI) For Typical Technique At Various Positions On The


Phantom Image.

B POSITION HEAD BODY


A 4.4 rad 0.9 rad
B 4.3 rad 1.6 rad
E A C C 4.2 rad 1.5 rad
D 4.2 rad 1.3 rad
E 4.4 rad 1.5 rad
D CTDI has no angular maximum near the surface for 360° scanning

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CTDI Over A Range of Techniques


Normalized to a value of 1 for typical technique and position A. (All other
technique settings at typical value.)
POSITION HEAD BODY
10 mA A 0.06 0.07
350 mA A 2.33 2.70
0.8 sec A 0.40 0.52
3.0 sec A 1.52 2.01
7.0 mm A 0.89 0.81
5.0 mm A 0.75 0.62
3.0 mm A 0.56 0.38
2.0 mm A 0.44 0.31
1.0 mm A 0.34 0.16
80 kV A 0.38 0.30
140 kV A 1.39 1.48

Explained below contains information that relates image quality to radiation


dose, as required by the federal government, in compliance with Federal
Regulation 21CFR 1020.33(c). Please review this information.

Helical Dose For Typical Helical Technique


HEAD BODY
25 cm Field of View (FOV) 50 cm FOV
120 kVp 120 kVp
150 mA 130 mA
2.0 sec scan time 1.5 sec scan time
10 mm slice thickness 10 mm slice thickness
10 mm interval 10 mm interval

If the Helical mAs, Slice Count and Intvl selection equals the Axial mAs,
Slice Count and Intvl selection, then Helical dose equals Axial dose.

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CTDI Over A Range of Techniques with SmartBeam Filter


Normalized to a value of 1 for typical technique and position A. (All other
technique settings at typical value.)
POSITION HEAD BODY
10 mA A 0.07 0.07
350 mA A 2.32 2.70
0.8 sec A 0.40 0.54
3.0 sec A 1.50 1.99
7.0 mm A 0.90 0.84
5.0 mm A 0.78 0.67
3.0 mm A 0.62 0.44
2.0 mm A 0.54 0.40
1.0 mm A 0.44 0.24
80 kV A 0.32 0.27
140 kV A 1.43 1.52

Explained below contains information that relates image quality to radiation


dose, as required by the federal government, in compliance with Federal
Regulation 21CFR 1020.33(c). Please review this information.

Helical Dose For Typical Helical Technique


HEAD BODY
25 cm Field of View (FOV) 50 cm FOV
120 kVp 120 kVp
150 mA 130 mA
2.0 sec scan time 1.5 sec scan time
10 mm slice thickness 10 mm slice thickness
10 mm interval 10 mm interval

If the Helical mAs, Slice Count and Intvl selection equals the Axial mAs,
Slice Count and Intvl selection, then Helical dose equals Axial dose.

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Dose and Performance 2

Explained below contains information that relates image quality to radiation


dose, as required by the IEC standard, in compliance with the
IEC60601–2–44 (1999–02).

Statement of Typical Technique

HEAD BODY
25 cm Field of View (FOV) 50 cm FOV
120 kVp 120 kVp
150 mA 130 mA
2.0 sec scan time 1.5 sec scan time
10 mm slice thickness 10 mm slice thickness
Large Focus Large Focus

CTDI100 For Typical Technique At Various Positions On The Phantom Image.

B POSITION HEAD BODY


A 70 mGy 12 mGy
B 79 mGy 28 mGy
E A C C 76 mGy 26 mGy
D 73 mGy 21 mGy
E 77 mGy 26 mGy
D CTDI100 has no angular maximum near the surface for 360° scanning

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Quality Assurance

CTDI100 Over A Range of Techniques


Normalized to a value of 1 for typical technique and position A. (All other
technique settings at typical value.)

POSITION HEAD BODY


10 mA A 0.06 0.07
350 mA A 2.32 2.71
0.8 sec A 0.40 0.52
3.0 sec A 1.51 2.01
7.0 mm A 0.98 0.97
5.0 mm A 0.95 0.93
3.0 mm A 0.89 0.86
2.0 mm A 0.86 0.80
1.0 mm A 0.92 0.81
80 kV A 0.36 0.13
140 kV A 1.23 0.64

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Quality Assurance

Dose and Performance 2 with SmartBeam Filter

Explained below contains information that relates image quality to radiation


dose, as required by the IEC standard, in compliance with
IEC60601–2–44 (1999–02).

Statement of Typical Technique

HEAD BODY
25 cm Field of View (FOV) 50 cm FOV
120 kVp 120 kVp
150 mA 130 mA
2.0 sec scan time 1.5 sec scan time
10 mm slice thickness 10 mm slice thickness
Large Focus Large Focus

CTDI100 For Typical Technique At Various Positions On The Phantom Image.

B POSITION HEAD BODY


A 45 mGy 8,4 mGy
B 46 mGy 17 mGy
E A C C 45 mGy 15 mGy
D 45 mGy 13 mGy
E 47 mGy 16 mGy
D CTDI100 has no angular maximum near the surface for 360° scanning

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Quality Assurance

CTDI100 Over A Range of Techniques with SmartBeam Filter


Normalized to a value of 1 for typical technique and position A. (All other
technique settings at typical value.)

POSITION HEAD BODY


10 mA A 0.07 0.08
350 mA A 2.32 2.72
0.8 sec A 0.40 0.54
3.0 sec A 1.50 2.00
7.0 mm A 0.99 1.00
5.0 mm A 0.98 1.00
3.0 mm A 1.00 1.01
2.0 mm A 1.04 1.04
1.0 mm A 1.18 1.19
80 kV A 0.31 0.13
140 kV A 1.39 0.75

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Dose and Sensitivity Profile at Phantom Center

1.0
Axial, Body, Center,
120 kV, 130 mA,
10 mm, 1.5 sec.

0.5

0
0 Position (mm) 70 140
Dose Profile Sensitivity Profile
1.0
Axial, Body, Center,
120 kV, 130 mA,
7 mm, 1.5 sec.

0.5

0
0 Position (mm) 70 140

1.0
Axial, Body, Center,
120 kV, 130 mA,
5 mm, 1.5 sec.

0.5

0
0 Position (mm) 70 140

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Quality Assurance

1.0
Axial, Body, Center,
120 kV, 130 mA,
3 mm, 1.5 sec.

0.5

0
0 Position (mm) 70 140
Dose Profile Sensitivity Profile
1.0
Axial, Body, Center,
120 kV, 130 mA,
2 mm, 1.5 sec.

0.5

0
0 Position (mm) 70 140

1.0
Axial, Body, Center,
120 kV, 130 mA,
1mm, 1.5 sec.

0.5

0
0 Position (mm) 70 140

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Quality Assurance

1.0
Axial, Head, Center,
120 kV, 150 mA,
10 mm, 2.0 sec.

0.5

0
0 Position (mm) 70 140
Dose Profile Sensitivity Profile
1.0
Axial, Head, Center,
120 kV, 150 mA,
7 mm, 2.0 sec.

0.5

0
0 Position (mm) 70 140

1.0
Axial, Head, Center,
120 kV, 150 mA,
5 mm, 2.0 sec.

0.5

0
0 Position (mm) 70 140

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Quality Assurance

1.0
Axial, Head, Center,
120 kV, 150 mA,
3 mm, 2.0 sec.

0.5

0
0 Position (mm) 70 140
Dose Profile Sensitivity Profile
1.0
Axial, Head, Center,
120 kV, 150 mA,
2 mm, 2.0 sec.

0.5

0
0 Position (mm) 70 140

1.0
Axial, Head, Center,
120 kV, 150 mA,
1 mm, 2.0 sec.

0.5

0
0 Position (mm) 70 140

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Image Performance

Noise

At Typical Technique In Center Of Phantom Using Standard Algorithm

HEAD BODY
σ = 0.49 % σ= 0.47 %

MTF

(same conditions as above)


HEAD BODY
100 100
M M
O 80 O 80
D D
U U
L 60 L 60
A A
T T
I 40 I 40
O O
N N
20 20
(%) (%)

0 2 4 6 8 10 0 2 4 6 8 10
Line pairs/cm Line pairs/cm

Nominal Tomographic Section Thickness


HEAD BODY
10.0 mm 10.0 mm
7.0 mm 7.0 mm
5.0 mm 5.0 mm
3.0 mm 3.0 mm
2.0 mm 2.0 mm
1.0 mm 1.0 mm

Sensitivity Profile

See previous pages

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Quality Assurance

Phantoms and Procedures

Dose

For best results, use the phantoms, dose profile and CTDI value calculation
procedures recommended in the CDRH final draft of “Routine Compliance
Testing for Computed Tomography X–Ray Systems” dated April 26, 1984.

Also, for best results, use the phantoms and CTDIW value calculation
procedures recommended in the IEC committee draft for vote of
IEC60601–2–44, dated August 8, 1997.

Performance

Each test uses a 25 cm water–filled acrylic phantom

Noise

Noise equals the standard deviation of an array of pixels contained in 674


mm square region of interest (ROI) for Head and 2696 mm square ROI for
Body. The software divides the standard deviation, expressed in
Houndsfield Units, by 1000 (representing the contrast scale between air
and water), then multiplies by 100 to give a value in percent.

Modulation Transfer Function (MTF)

A point spread function (PSF) image is obtained by scanning the GE


performance phantom (2100614) wire section. Software performs a two
dimensional Fourier Transform on the PSF to obtain the MTF.

Slice

Use a wire ramp section of Catphan phantom, inclined 23ɫfrom the scan
plane.

Sensitivity

23_ from the scan plane to obtain sensitivity profiles.

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Quality Assurance

Deviations

In order to come up with “the maximum deviation,” manufacturers must


imagine every possible situation, however unlikely, that might occur within
the entire user community. Our statements of deviation include a maximum
deviation to assure compliance with the regulation, as well as a statement
of expected deviations (2σ) in the large majority of our systems.

CTDI and CTDIW Typical Techniques

The anticipated “maximum deviation” for CTDI and CTDIW equals ±40%.
The expected deviation equals ±20%, except for the 40 mA or less and
1mm techniques, where variation increases (up to a factor of two) due to
the inherent deviation in small values.

Dose Profile

Anticipate a “maximum deviation” of ± 30% or 2.0mm, whichever is larger,


relating to dose profiles (FWHM). This value includes variability inherent in
the measurement of dose profile with TLD chips.

Performance

Noise : The noise squared (σ2) in a CT image is inversely proportional to


the x–ray dose used to make the image. The maximum deviation
anticipated for image noise equals ±30%. Expected deviation equals
±10%.

MTF: Expect deviations within ±10% for values on the MTF curve
generated with data gathered according protocol. Maximum deviations
may reach ±20% for other methodologies.

Sensitivity Profile: Expect the full width slice half maximum sensitivity
profiles to vary ±20% or 1.0 mm, whichever is larger, when measured with
a wire ramp section of Catphan phantom, inclined 23ɫfrom the scan plane.
If you use other methodologies, the maximum deviation may reach 1.5 mm
for all slice thicknesses, because these measurement errors have the
greatest effect on thin slices.

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Blank

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Chapter 7
Technical Specifications

Component Identification for HiSpeed

Component Model Number Location of Name Plate CDRH Certified

Gantry 2200997, Rear lower center Yes


2200998,
2200999,
2201000

X–Ray Tube 2199077–2 Housing surface Yes


Housing

X–Ray Tube In- 46–309300G3 Housing surface No


sert

Collimator 2132959 Front of collimator Yes

Detector 2187725 Front left corner No

Table 2200192, Gantry side of pillar Yes


2200291,
2113694,
2200290

Cradle Extender 2201803 No

Operator Con- 2153675 Rear lower right corner Yes


sole

PDU 2200194 Rear lower right corner Yes

Generator 2186887 Generator Yes


2227720

Axial Headholder 2201806 No

Coronal Head- 2201805 No


holder

25cm Phantom 46–237991G1 On holding block No

35cm Phantom 46–266754G1 On holding block No

42cm Phantom 46–241707P544 On holding block No

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Specifications
Component Labels
MADE FOR GENERAL ELECTRIC CO. MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE WISCONSIN BY MILWAUKEE WISCONSIN BY
GE YOKOGAWA MEDICAL SYSTEMS, LTD. GE YOKOGAWA MEDICAL SYSTEMS, LTD.
7–127 ASAHIGAOKA 4–CHOME 7–127 ASAHIGAOKA 4–CHOME
HINO–SHI, TOKYO, JAPAN HINO–SHI, TOKYO, JAPAN

MODEL (Note 5)
MODEL (Note 1)
SERIAL
SERIAL
MANUFACTURED CLASS I
MANUFACTURED CLASS I
VOLTS (Note 6) V~
SOURCE: (Note 2) A/ (Note 3) V ~(Note 4) HZ
AMPS MOMENTARY (Note 7) A
SOURCE: (Note 2) A/ (Note 3) V ~(Note 4) HZ
AMPS CONTINUOUS (Note 8) A
SOURCE: (Note 2) A/ (Note 3) V ~(Note 4) HZ
kVA (Note 9) HZ (Note 10)
SOURCE: (Note 2) A/ (Note 3) V ~(Note 4) HZ

COMPONENT (Note 1) (Note 2) (Note 3) (Note 4)


MODEL SUPPLY SUPPLY SUPPLY
NUMBER CURRENT VOLTAGE FREQUENCY
Gantry 2200997, 2200998, 90A 380–480V3 50/60Hz
2200999, 2201000 30A 200V~ 50/60Hz
30A 115V~ 50/60Hz
15A 115V~ 50/60Hz

Table 2200192, 2200291, 10A 115V~ 50/60 Hz


2113694, 2200290
Operator Console 2153675 20A 115V~ 50/60Hz
(SYSTEM)* HiSpeed LX/i 100A 380 50/60 Hz
HiSpeed FX/i /400/415/440/460/480
HiSpeed DX/i V3~

COMPONENT (Note 5) (Note 6) (Note 7) (Note 8) (Note 9) (Note 10)


MODEL SUPPLY SUPPLY SUPPLY SUPPLY
NUMBER VOLTAGE CURRENT CURRENT KVA FREQUENCY
PDU 2200194 380/400/415/44 100A 20A 65 KVA 50/60 Hz
0/460/480V 3~

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Specification
MX165ZJ X–Ray Tube Assembly Information

MX165ZJ Tube Unit Identification

System/Tube Description Casing Insert Insert


Catalog No. graphite Model Number Model Number Catalog No.
anode

MX165 ZJ X–Ray tube 2199077–2 N.A.


assembly
Insert N.A. 46–309300G3 D3110T

Improvements in the heat handling capabilities of this unit may result in new
catalog and Model number assignments

MX165ZJ Diagnostic Source Assembly

Leakage Technique Factors


Tube Assembly Model No. 2199077 140 kV, 26 mA

Minimum Inherent Filtration (Collimator model No. 2132959, 2247199)


Minimum inherent filtration of 2.7 mm aluminum equivalent at 140 kV:
D Tube Unit:
Tube Insert – 0.8 mm aluminum equivalent at 140 kV
Tube Housing – 0.4 mm aluminum equivalent at 140 kV
D Collimator (lower plate) – 0.5 mm aluminum
D Collimator (upper plate) – 1.0 mm aluminum

Minimum Inherent Filtration (Collimator model No. 2247203)


Minimum inherent filtration of 6.2 mm aluminum equivalent :
D Tube Unit:
Tube Insert – 0.8 mm aluminum equivalent at 140 kV
Tube Housing – 0.4 mm aluminum equivalent at 140 kV
D Collimator (lower plate) – 0.5 mm aluminum
D Collimator (upper plate) – 4.5 mm aluminum equivalent at 70 kV

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Specifications
MX165ZJ CT Scan Ratings
These ratings apply to CT systems with computer controlled technique
selection, scan mode, scan duration, and scan series. The software uses a
cooling algorithm to determine anode and tube unit temperatures and
cooling delays. When necessary, the cooling algorithm delays scan initiation
to avoid exceeding maximum anode or tube unit temperatures.

TARGET LOADING in Kilowatts FOR EACH SCAN TECHNIQUE

mA 80 KV 120kV 140 kV

60 4.8 7.2 8.4


80 6.4 9.6 11.2
100 8.0 12.0 14.0
130 10.4 15.6 18.2
160 12.8 19.2 22.4
200 16.0 24.0 28.0
250

The following table lists cooling delay times (in seconds) used by the
software before each scan. These times assume maximum anode or tube
unit heat loading and include cycling the rotor for each scan.

Model No. MX165ZJ COOLING DELAY TIME at 80kV

Scan Focus Anode Cooling Delays


Technique Size 2.0 sec 3.0 sec

80kV and
60mA S 132 132
80mA S 132 132
100mA S 132 132
130mA S 132 132
160mA S 132 135
200mA S 132 139
250mA S 132 150

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Specification
Model No. MX165ZJ COOLING DELAY TIME at 120kV

Scan Focus Anode Cooling Delays


Technique Size 2.0 sec 3.0 sec

120kV and
60mA S 132 132
80mA S 132 132
100mA S 132 135
130mA S 132 138
160mA S 135 138
200mA S 249 307

Model No. MX165ZJ COOLING DELAY TIME at 140 kV

Scan Focus Anode Cooling Delays


Technique Size 2.0 sec 3.0 sec

140kV and
60mA S 131 132
80mA S 132 135
100mA S 133 139
130mA S 133 142
160mA S 191 232

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Specifications
MX165ZJ X–Ray Tube IEC Information

X–ray Tube Housing


Type General Electric MX165 ZJ HSG
Model 2199077–2

X–ray Tube Insert Fitted


Type General Electric MX165 ZJ INSERT
Model 46–309300G3

X–ray Tube Assembly


In accordance with IEC 637/1979, the complete X–Ray tube assembly
carries two identification labels, one each for the housing and insert, marked
with the model types and numbers listed above.

X–ray Tube Insert Information


Type General Electric MX165 ZJ INSERT
Model 46–309300G3
Focal spot SE: 0.9mmW x 0.62mmL; LF: 1.2mmW x 1.2mmL
Target Material Tungsten/Rhenium Alloy Focal Track on graphite base
Target Angle 7_
Maximum Potential Difference 140 kVp
High Potential Generator : General Electric CT ProSpeed System Constant
Potential
X–Ray Tube Filament Supply: Maximum Voltage: 140kV
Maximum Current : 350mA

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Specification
MX165ZJ Cathode Emission and Filament Characteristics

ProSpeed Emission
Z1163 7_ Target
Large Focal Spot
Tube Current (mA)
1000

80 kVp 120 kVp 140 kVp


 Y D

100

10
5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 6.0 6.1 6.2 6.3 6.4 6.5

Filament Current (amps)

ProSpeed Emission
Z1163 7_ Target
Small Focal Spot
Tube Current (mA)
1000

80 kVp 120 kVp 140 kVp


 Y D

100

10
5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 6.0 6.1 6.2 6.3 6.4 6.5

Filament Current (amps)

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Specifications

Nominal Anode Input Power


This tube accommodates GE HiSpeed Computed Tomography Systems with
a nominal anode input power of 42 kW for 3 seconds.
Maximum Anode Heat Capacity
3500kHU
Maximum Anode Heat Dissipation
820kHU/min

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Specification
Tube MX165 ZJ Anode Heating and Cooling Curves
ProSpeed Anode Heating Curve
2598
35kW 30kW 20kW
2290

1982 10kW

1674

1366

1058

750
0 25 50 75 100 125 150 175 200
TIME (SECONDS)
ProSpeed Anode Cooling Curve
2600
2400
2200
2000
1800
1600
1400
1200
1000
800
600
400
200
0
0 5 10 15 20 25 30 35 40 45 50 55 60
TIME (MINUTES)
Cooling and heating curves reflect maximum tube performance.
.
NOTE
System software monitors and controls tube operation.

Single Load Rating


Large Focal Spot: 42 kW for 3 seconds
Small Focal Spot: 24 kW for 3 seconds
(Same as the nominal anode input power)
Serial Load Ratings
Controlled by the HiSpeed CT system operating software
Rotating Anode Supply
Designed to operate on the HiSpeed CT system (See accompanying system
documentation.)

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Specifications
MX165ZJ X–Ray Tube Assembly Information
Labels : The X–Ray Tube Assembly carries two identification labels. One
label identifies the Model and serial numbers of components (X–Ray Tube
and Housing), and provides the date and location of assembly manufacture.
The second label provides the name of the manufacturer. A third label
certifies compliance with USA Federal regulation 21 CFR Sub chapter J, and
lists the data and place of assembly manufacture.
Reference Axis: Normal to the window center.
Target Angle : 7_
Nominal Focal Spot Values : Small Focal Spot: 0.9 W x 0.62 L mm
Large Focal Spot: 1.2 W x 1.2 L mm
Focal Spot Modulation Transfer Functions: MTF for X–Ray Tube
Assembly Standard magnification = 1.3
1.0
MODULATION TRANSFER FUNCTION
0.9
LENGTH DIRECTION
0.8 0.9mm W x 0.62mm L FOCAL SPOT
0.7 STANDARD MAGNIFICATION 1.3
0.6 AEC 336/1982 – NEMA XR–5
0.5
0.4
0.3
0.2
0.1
0.0
0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0
SPATIAL FREQUENCY – LINE PAIRS/mm
1.0
0.9 MODULATION TRANSFER FUNCTION
LENGTH DIRECTION
0.8
1.2mm W x 1.2mm L FOCAL SPOT
0.7
STANDARD MAGNIFICATION 1.3
0.6 AEC 336/1982 – NEMA XR–5
0.5
0.4
0.3
0.2
0.1
0.0
0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0

SPATIAL FREQUENCY – LINE PAIRS/mm

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Specification
1.0
MODULATION TRANSFER FUNCTION
0.9
WIDTH DIRECTION
0.8 0.9mm W x 0.62mm L FOCAL SPOT
STANDARD MAGNIFICATION 1.3
0.7
AEC 336/1982 – NEMA XR–5
0.6

0.5

0.4

0.3

0.2

0.1

0.0
0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0

SPATIAL FREQUENCY – LINE PAIRS/mm


Maximum Potential Difference : 140 kVp
Inherent Filtration
1.2 mm Al at 140 kV Tube 0.8 mm Al
IEC 522/1976 Housing 0.4 mm Al

Electrical Connections
See curves and diagrams
Emissions Characteristics
Connection stator, Thermal and Pressure overload switches
Principle Dimensions
Length 21.14 inches (53.7cm)
Height 11.26 inches (28.6cm)
Depth 29.25 inches (74.3cm)
Weight 69.1 kg (± 10%)
X–Ray Tube Conditioning
The HiSpeed system software controls X–Ray tube conditioning. (See
accompanying system documentation.)
Maximum X–Ray Tube Assembly Heat Storage Capacity
3.5MHU
Continuous Heat Dissipation of X–Ray Tube Assembly
X–Ray Tube and Heat Exchanger 300kHU/min

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Rev. 0
Specifications
Tube Assembly MX165ZJ Heating and Cooling Curves
MX165ZJ Housing Cooling Curve MX165ZJ Housing Heating Curves
Temperature Degrees Celsius
2400

Stored Heat (Kilojoules)


2500
6kW 5kW
Stored Heat (Kilojoules)

4kW
2000 1800
3kW
1500
1200
2kW
1000
1kW
600
500

0 0
0 10 20 30 40 50 60 0 5 10 15 20 25 30 35 40

Time (Minutes) Time (Seconds)

Cooling and heating curves reflect maximum tube performance.


.
NOTE
System software monitors and controls tube operation.

Leakage Radiation – Loading Factors


Specified values of the loading factors determining measures for protective
shielding of X–Ray Tube Assembly against leakage radiation according to
IEC publication 407/1973 are 140 kVp – 26 mA
Classification
IEC publication 536 /1978 and IEC Publication 601–1 Class 1
Transportation and Storage
–20° to +70° C, up to 95% Relative Humidity (non–condensing)
Commercial airlines accept X–Ray tube insert/housing shipments
Transport Packaging
Transport ONLY in packaging supplied by General Electric

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Specification
Generator Specifications

Main Power Supply


D Line voltage (no–load) 415 or 380 or 480 VAC
D 3–phase, 50 or 60 Hz ±0.5 Hz.
D Phase–to–phase balance within 3% of lowest phase–to–phase voltage.
D Line regulation 5% or less at maximum technique factor.
D Maximum line current demand, 100 Amps RMS (50/60 Hz) at 140 kV, 300
mA.

Generator Rating and Duty Cycle


D Maximum Technique: 140 kV, 300 mA
D Maximum Output Rating: 80kVA
D Generator Duty Cycle:

Maximum Technique Factor Max. Duty Cycle

140kV and 300mA 10%

kV, mA, and Timer Accuracy

Mode Condition Accuracy


Kilovoltage:Axial 120kV ± 7% of kV setting
Excluding initial 5 msec
Milliamperage: Axial 10 to 350mA ± 5 % of mA setting or
± 1mA (whichever is more)
Excluding initial 100 msec

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Specifications
Scan Time: Axial

Selected Scan Time (sec) Actual Scan Time (sec)


3.0 3.0 ± 10%
2.0 2.0 ± 10%
1.5 1.5 ± 10%
1.0 1.0 ± 10%
0.7(half scan) 0.7 ± 10%

kV : Subject to an additional ± 5% accuracy of instrumentation used


for calibration and measurement.
mA : Subject to an additional ± 5% accuracy of instrumentation used
for calibration and measurement.
Exposure : Subject to an additional ± 3% accuracy of instrumentation used
Time : for calibration and measurement.
Accuracy subject to the following conditions:
.
NOTE
1. Line regulation 5% or less.
2. Line voltages within this specified range:
415 or 380 or 480 VAC +6% –5% (50 or 60Hz)
3. System powered for at least 30 minutes prior to
measurements.
4. Line voltage variations caused by external loads should not
exceed 1% or last longer than 0.5 second while scanning.

Measurement Basis
Tube Potential : Precision voltage divider, Model No. 46–154966G1 reduces
high voltage generated across anode and cathode by 1000:1. Tube
Potential equals the average kilovoltage generated during the exposure,
excluding transients at the beginning and end. See Section 2 of the X–ray
Alignment procedure in the Service documentation for the complete
measurement procedure.
Tube Current : Tube current equals the average milliamperage generated
during x–ray exposure. See Section 2 of the X–Ray Alignment procedure in
the Service documentation for the complete procedure.
Scan Time: Exposure time intervals equal the time during which the
kilovoltage equals or exceeds 75% of its peak value. Measure kilovoltage
with a precision voltage divider and an oscilloscope. Use the time base of
the oscilloscope to measure exposure duration.

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Specification
The Attenuation Equivalent

Standard Head Holder : 0.3 mm aluminum equivalent at 100 kV


Shallow Head Holder : 0.35 mm aluminum equivalent at 100 kV
Coronal Head Holder : 0.8 mm aluminum equivalent at 100 kV
Cradle : 0.55 mm aluminum equivalent at 100 kV
Extender : 1.5 mm aluminum equivalent at 100 kV

CAUTION

To obtain the optimum results, make sure nothing is left in the path
of X–ray beam that may have adverse effects on examinations.

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Dir. 2295149–100 7-15
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Specifications
Periodic Maintenance by Qualified Personnel

Recommended PM frequency is 2 times a year for NP+/NP series scanners.


The frequency may vary due to local ordinance and the usage of the system, the
system availability etc. If you need more PMs, order extra copies of this document or
copy the schedules.
Priority Code
Pr (Priority) – Description
1 Safety and Regulatory
2 Image Quality
3 Procedures that make the system unavailable for scanning
4 Procedures that can be performed while the customer is scanning
Frequency Code
Fr (Frequency) – Description
S Semi–Annually (every 6 months)
A Annually (every 12 months)

Safety and Regulatory


SUB– Annual PM Schedule
ITEM DESCRIPTION Pr Fr
SYSTEM A B
PM0101 System Verify Emergency OFF buttons (Gantry / 1 S b b
Console / PDU)
PM0102 System Check x–ray ON lights or buzzer/opera- 1 S b b
tion of scan abort
PM0103 System Caution Label Check 1 S b b
PM0105 System Check Error Logs 1 S b b
PM0301 Gantry Check the number of Gantry revolutions 1 S b b
PM0201 O.C Verify Audio Function 1 S b b
PM0501 Table Check Head Holder 1 S b b
PM0502 Table Check Table Cover 1 S b b
PM0503 Table Check Gap sponge 1 S b b
PM0504 Table Gap between Table Cover and Cradle 1 S b b
PM0505 Table Check Cradle Rail 1 S b b
PM0506 Table Holder Stability Check 1 S b b
PM0507 Table Check Touch Sensor operation 1 S b b
PM0508 Table Verify Unlatch Function 1 S b b
PM0509 Table Check Gantry / Table interlock 1 S b b
PM0607 XG Check Parts 1 S b b

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Specification
Image Quality
SUB– Annual PM Schedule
ITEM DESCRIPTION Pr Fr
SYSTEM A B
PM0104 System Image Check (Image Performance) 2 S b b
PM0302 Gantry Clean Mylar ring cover 2 S b b
PM0401 DAS Check/Clean Detector face 2 S b b
Subtotal 1:00 1:00

System Performance
SUB– Annual PM Schedule
ITEM DESCRIPTION Pr Fr
SYSTEM A B
PM0106 System Perform Filter Curve Test 3 A 0:15
PM0107 System Check Ground Cable Terminals 3 A 0:10
PM0108 System Check DAS Count 3 A 0:15
PM0109 System Image Performance 2 A 1:00
PM0202 O.C Clean Air Filter 3 S 0:10 0:10
PM0203 O.C Inspect FANs 3 S 0:10 0:10
PM0204 O.C Verify Mouse for smooth operation 3 S 0:15 0:15
PM0205 O.C Clean Display monitor/Console exterior 4 S 0:10 0:10
PM0206 O.C Check Cables / Power Cable Terminals 3 S 0:10 0:10
PM0303 Gantry Verify cables and hardware are tight 3 S 0:20 0:20
PM0304 Gantry Gantry cover cleaning 4 S 0:10 0:10
PM0305 Gantry Check Positioning lights 3 S 0:10 0:10
PM0306 Gantry Check Gantry anchor / Gantry Isolation 3 A 0:05
PM0307 Gantry Main bearing grease–up 3 A 0:20
PM0308 Gantry Check drive belt for wear 3 A 0:05
PM0309 Gantry Check RF Shoe Position 3 A 0:10 0:10
PM0402 DAS Verify Detector Heater Control 3 S 0:05 0:05
PM0403 DAS Inspect FANs 3 S 0:05 0:05
PM0510 Table Clean Cradle tray / Table cover 4 S 0:15 0:15
PM0511 Table Check for Oil Leak 3 S 0:05 0:05
PM0512 Table Grease–up 3 A 0:20
PM0513 Table Check Table anchors / Table isolation 3 A 0:05
PM0514 Table Inspect FANs 3 S 0:10 0:10
PM0515 Table Inspect Cradle Wire Tension 3 S 0:10 0:10
PM0601 XG Check/Clean Radiator FAN 3 S 0:10 0:10
PM0602 XG Check X–ray tube oil and HV connector 3 S 0:20 0:20
PM0603 XG Check HV Tank and HV connector 3 S 0:20 0:20
PM0604 XG Check Power cable connection 3 S 0:05 0:05
PM0605 XG Check Tube over heat safety 3 S 0:15 0:15
PM0606 XG Check KV and mA 3 A 1:00
PM0701 PDU Inspect FANs 3 S 0:05 0:05
PM0702 PDU Check Power Cable Terminals 3 A 0:05
PM0703 PDU Check Power Line Voltage 3 A 0:05
Subtotal 4:30 6:55
Total 5:30 7:55

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Dir. 2295149–100 7-17
Rev. 0
Specifications
Maintenance by CT Users
The following maintenance by CT users is highly recommended.
Periodically check if those items function properly.

D Emergency stop : Press the button to confirm the system stops.


D Cradle latch operation : Press the button to confirm the cradles latches.
D Clean covers

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Specification
Symbols and Classification

Symbol Publication Description

~ 417–5032 Alternating Current

~
3 335–1 Three–phase alternating current

~
3N 335–1 Three–phase alternating current
with neutral conductor

Direct Current

417–5019 Protective earth (ground)

348 Attention, consult


ACCOMPANYING DOCUMENTS

OFF (Power: disconnection


417–5008 from the mains)

ON (Power: connection to
417–5007 the mains)

Dangerous voltage

Emergency Stop

Warning sign
RADIATION of LASER
APPARATUS

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Dir. 2295149–100 7-19
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Specifications

Symbol Publication Description

Type B Applied Part

X–Ray source assembly Emitting


417–5339

417–5009 Stand by

Start

Table Set

Abort

Intercom

(On Operator Console)


Power ON Light ON
Stand by Light OFF

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Specification

Symbol Description

Microphone (Mic)

Contrast

Brightness

50°C System storage prior to installation:


Maintain storage temperature between –10o C and +60o
C (–14o to 140o F)

System storage prior to installation:


Maintain non–condensing storage humidity below 95%

Humidity 10–90% DO NOT store system longer than 90 days


Excluding Condensation

System storage and shipment


Air Pressure Maintain Air Pressure between
700–1060hPa 750 and 1060hPa

CT HiSpeed FX/i Operator Manual


Dir. 2295149–100 7-21
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Specifications

Class 1 Equipment
Any permanently installed equipment containing operator or patient
accessible surfaces must provide backup protection against electric shock, in
case the BASIC INSULATION fails. In addition to BASIC INSULATION,
Class 1 equipment contains a direct connection to a PROTECTIVE (EARTH)
CONDUCTOR which prevents shocks when a person touches a broken
piece of equipment or touches two different equipment surfaces
simultaneously.

Type B Equipment
CLASS I, II, or III EQUIPMENT or EQUIPMENT with INTERNAL
ELECTRICAL POWER SOURCES provide an adequate degree of protection
against electric shock arising from (allowable) LEAKAGE CURRENTS or a
breakdown in the reliability of the protective earth connection

Ordinary Equipment
Enclosed EQUIPMENT without protection against the ingress of water.

Operation Of Equipment
CONTINUOUS OPERATION WITH INTERMITTENT LOADING.
Operation in which EQUIPMENT is connected continuously to the SUPPLY
MAINS. The stated permissible loading time is so short that the long term
on–load operating temperature is not attained. The ensuing interval in
loading is, however, not sufficiently long for cooling down to the long term
no–load operating temperature.
EQUIPMENT not suitable for use in the presence of a FLAMMABLE
ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN or NITROUS OXIDE.

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Specification
Cleaning
The CT system is not waterproof. It is not designed to protect internal
components against the ingress of liquid.
Decontamination or cleanliness of the CT system (i.e. gantry, table, console
and accessories) is the sole responsibility of the health care provider owning
and/or operating the CT system.
Tips for Cleaning :
Ȧ Use soft cloth damped with (hot) water to remove any dirt or stains.
Ȧ Even blood stains can be wiped off with damp soft cloth.
Caution :
Avoid chemical damage to surfaces. Some detergent or cleaning agent may
damage the surface.
Disclaimer :
GEMS bears no responsibility for sterilization of system surfaces.
GEMS shall not be held liable for any contagion which may have stemmed
from contaminated stains on the system surfaces.

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Specifications
Blank page

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7-24 Dir. 2295149-100
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A Preview, 4Ć27
Priority Recon, 4Ć29
Accelerator Bar, 3Ć30 Prospective Multiple Reconstruction
, 4Ć21
Accessories, 1Ć17 Recon Area, 4Ć24
Body Accessory Use, 1Ć20 Repeat Series, 4Ć29
Coronal Head Holder Assembly, Resume, 4Ć30
1Ć19 Select New Protocol, 4Ć28
Head Holder Assembly, 1Ć19 Show Localizer, 4Ć23Ȥ4Ć31
Security Strap Kit, 1Ć21 Show Recon 1,2,3, 4Ć19
Auto Film Composer, 3Ć29 Smart Prep, 4Ć25Ȥ4Ć50
SmartRecon (Option), 4Ć38
Auto Store, 4Ć11 Special Filter, 4Ć19
Auto Transfer, 4Ć12 Split Current Group, 4Ć24
View/Edit Screen, 4Ć13
Autoview Layouts, 3Ć4
Axial/Helical Scan End, 4Ć41
Next Series, 4Ć43 B
One More, 4Ć46
Priority Recon, 4Ć42 Biopsy Scan, 4Ć47
Repeat Last Group, 4Ć47
Repeat Series, 4Ć44
Axial/Helical Scan in Progress, 4Ć40
C
Scan Progress screen, 4Ć40 Control Panel, 1Ć4
Axial/Helical Scan Prescription, 4Ć13 Cradle In/Out, 1Ć4
[Film] icon, 4Ć20 External Landmark, 1Ć5
[Recon] icon, 4Ć18 Fast, 1Ć4
[Scan] icon, 4Ć15 Gantry Tilt , 1Ć5
[Timing] icon, 4Ć17 Gantry Tilt Lamp, 1Ć5
Add Group, 4Ć24 IMS Move, 1Ć5
Auto mA, 4Ć33 Internal Landmark, 1Ć5
Autofilm Setup, 4Ć23 Positioning Light , 1Ć5
Biopsy Rx, 4Ć25 Practice, 1Ć5
Cine Scan, 4Ć14 Table Up/Down, 1Ć4
Confirm, 4Ć29 Tilt Range & Scannable Range, 1Ć5
Create New Series, 4Ć28
Delete Selected Group, 4Ć25
End Exam, 4Ć28 D
Gastrointestinal contrast, 4Ć30
Helical Scan, 4Ć14 Daily PrepȤTube Warmup, 2Ć27
Introvenous contrast, 4Ć30 Display Panel, 1Ć6
Next Series, 4Ć28 Distance from Iso-Center, 1Ć6
One More, 4Ć29 Distance from Landmark, 1Ć6
Optimize Rx, 4Ć26 Interference, 1Ć7
Pause, 4Ć29 Positioning Light On/Off, 1Ć7
Release Cradle Lock, 1Ć7 X-ray Tube Specifications, 1Ć3
Tilt / Angle Range, 1Ć6
X-ray On, 1Ć6
Display Preference, 3Ć24 I
Annotation Levels, 3Ć25 Icon Selection, 2Ć2
Continuous Report Cursor, 3Ć27
Next/Prior Each Viewport, 3Ć27 Image Display Layout, 3Ć3
Next/Prior Series Binding, 3Ć27

L
F List / Select, 3Ć7

FILMING, 5Ć1
Auto Film Composer, 5Ć10
AutoFilm, 5Ć1
M
Auto Film Composer, 5Ć4 Manual Film Composer, 3Ć28
Auto Print, 5Ć6
Measurements, 3Ć21
Auto Start, 5Ć5
MIROI (Multiple Image ROI), 3Ć22
Copies, 5Ć3
Report Pixels, 3Ć23
Destination, 5Ć3
Exam Page/Series Page, 5Ć3
Film Direction, 5Ć2
Format, 5Ć2
N
Scout, 5Ć3 New Patient, 2Ć5Ȥ4Ć4
Show Gray Scale, 5Ć4
Size, 5Ć3
XRef-Scout, 5Ć4
Manual Film, 5Ć11
O
Manual Film Composer, 5Ć12 Operator Console, 1Ć10
F1 function key, 5Ć16 Keyboard/Mouse, 1Ć10
F2 function key, 5Ć17 MOD Drive, 1Ć10
F3 function key, 5Ć17 Scan/Display Monitor, 1Ć10
F4 function key, 5Ć18

P
G Patient Positioning, 4Ć1
Gantry, 1Ć2 landmarks, 4Ć3
Control Panel, 1Ć2 Patient Schedule, 2Ć6
Detector Specifications, 1Ć3 Add Patient, 2Ć8
Display Panel, 1Ć2 Delete All, 2Ć10
Emergency Button, 1Ć2 Delete Selected, 2Ć10
Gantry Specifications, 1Ć3 Edit Patient, 2Ć9
Positioning Light & Breath Navi, Preferences, 2Ć11
1Ć3 Select Patient, 2Ć7
View More Info, 2Ć7 Explicit Magnify, 3Ć11
Flip/Rotate, 3Ć12
Primary/Secondary Viewport, 3Ć2
Grid, 3Ć16
Protocol Management, 2Ć12 GSE, 3Ć14
Auto Voice Record, 2Ć13 Hide/Show Graphics, 3Ć20
Protocol Management, 2Ć16 List / Select, 3Ć15
[Film] icon, 2Ć19 Measure Distance, 3Ć16
[Recon] icon, 2Ć19 ProView, 3Ć13
[Scan] icon, 2Ć18 Roam / Zoom, 3Ć10
[Timing] icon, 2Ć19 Screen Save, 3Ć20
User Annotation, 3Ć18

Q
S
QUALITY ASSURANCE, 6Ć1ć6Ć22
Dose and Performance, 6Ć13Ȥ6Ć14Ȥ Scanner Utilities, 2Ć28
6Ć17Ȥ6Ć19 Raw Data Function, 2Ć28
High Contrast Spatial Resolution, User Calibration, 2Ć34
6Ć6 Scout Scan, 4Ć6
Image Performance, 6Ć25 Add Scout, 4Ć7
Low Contrast Detectability, 6Ć9 Confirm, 4Ć8
Noise and Uniformity, 6Ć10 Create New Series, 4Ć8
Phantom Description, 6Ć2 Delete Selected Scout, 4Ć7
Phantom Setup, 6Ć3 End Exam, 4Ć7
Scan the QA Phantom, 6Ć4 Next Series, 4Ć7
Slice Thickness, 6Ć7 One More, 4Ć8
Weighted CTDI, 6Ć12 Pause, 4Ć8
Repeat Series, 4Ć8
Resume, 4Ć8
R Scan Progress screen, 4Ć9
Select New Protocol, 4Ć7
Recon Management, 2Ć25 System Power On/Off, 1Ć24
Retro Recon, 2Ć21
Graphic Retro, 2Ć24
Review Layouts, 3Ć6 T
Multiple Image Display (MID), 3Ć6
Table, 1Ć8
Routine Display, 3Ć9 Cradle, 1Ć8
Cross Reference, 3Ć17 Foot Switch, 1Ć8
Display Normal, 3Ć14 Home Position, 1Ć8
Ellipse ROI, 3Ć15 Latch Button, 1Ć8
Erase, 3Ć20 Speaker, 1Ć8
Exam Pg / Series Pg, 3Ć19 Table Specifications, 1Ć9
U
User Interface, 1Ć11
Keyboard, 1Ć12
Communication button, 1Ć14
Keyboard keys, 1Ć15
Scan-related buttons, 1Ć13
Mouse, 1Ć11

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