SIREMOBIL Iso-C

SP

Image Quality Quick Test

© Siemens AG 1997
The reproduction, transmission or
use of this document or its contents
is not permitted without express
written authority. Offenders will be
liable for damages. All rights,
including rights created by patent
grant or registration of a utility
model _or_ design,_are_ reserved.

English
Print No.: SPR2-230.037.01.08.02 Doc. Gen. Date: 03.03
Replaces: SPR2-230.037.01.07.02
0-2 Revision

Chapter Page Revision

0 all 08

Document revision level 0

The document corresponds to the version/revision level effective at the time of system delivery.
Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.

Disclaimer 0

The installation and service of equipment described herein is to be performed by qualified personnel
who are employed by Siemens or one of its affiliates or who are otherwise authorized by Siemens or
one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated with or autho-
rized by Siemens or one of its affiliates are directed to contact one of the local offices of Siemens or
one of its affiliates before attempting installation or service procedures.

SIREMOBIL Iso-C SPR2-230.037.01 Page 2 of 4 Siemens AG

Rev. 08 03.03 CS PS 24 Medical Solutions
Contents 0-3

Page
Document revision level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 - 2
Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 - 2

1 _______Introduction ___________________________________________________ 1 - 1

System ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1
Safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Notes and symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Required measurement devices and auxiliary materials . . . . . . . . . . . . . . . .1-3
Test requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

2 _______Checking the ADR curves________________________________________ 2 - 1

Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1
ADR curves for fluoroscopy operating mode . . . . . . . . . . . . . . . . . . . . . .2-1
ADR curves for pulsed fluoroscopy operating mode . . . . . . . . . . . . . . . . . .2-3
ADR curves for DR operating mode. . . . . . . . . . . . . . . . . . . . . . . . . . .2-4

3 _______Resolution ____________________________________________________ 3 - 1

Checking the resolution and the minimum contrast . . . . . . . . . . . . . . . . . . . 3 - 1

4 _______Capillary test __________________________________________________ 4 - 1

Capillary test for Memoskop C-SUB or

Memoskop C-SUB & Mod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2
Subtraction mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2
Roadmap mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 4

5 _______Memoskop functional checks ____________________________________ 5 - 1

Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1
Edge enhancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1
Noise reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1
Motion detector (factory only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

6 _______Checking the control systems (factory only) ________________________ 6 - 1

7 _______Image artifacts _________________________________________________ 7 - 1

Image artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1

Definition of the rating numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1
Description of the artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1
Image artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Other artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

8 _______Programming the organ programs ________________________________ 8 - 1

SIREMOBIL Iso-C without keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1

Siemens AG SPR2-230.037.01 Page 3 of 4 SIREMOBIL Iso-C

Medical Solutions Rev. 08 03.03 CS PS 24
0-4 Contents

Page
SIREMOBIL Iso-C with keyboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1
Checking the newly programmed ADR curves . . . . . . . . . . . . . . . . . . . . . 8 - 1

9 ______ Multispot 2000 _________________________________________________9 - 1

Functional check at the factory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Setting the multiformat camera at the customer's site . . . . . . . . . . . . . . . . . 9-3
Multispot 2000-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Multispot 2000 1/4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Checking the Multispot resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Multispot 2000-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Multispot 2000 -1/4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7

10 _____ 3D High resolution_____________________________________________10 - 1

Required service materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 - 1

Preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 - 1
Performing the test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 - 2
Measurement run. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 - 8
Checking 3D high resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 10

11 _____ 3D calibration _________________________________________________ 11 - 1

Adjustment of the calibration phantom . . . . . . . . . . . . . . . . . . . . . . . . . 11 - 1

Without 3D navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 - 3
With 3D navigation and removable image intensifier navigation shield . . . . . . . . 11 - 6
Calibration with navigation shield removed . . . . . . . . . . . . . . . . . . . . .11 - 6
Calibration with navigation shield fitted . . . . . . . . . . . . . . . . . . . . . . 11 - 10
With 3D navigation and fixed mounted image intensifier navigation shield of the MEDIVI-
SION company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 - 14
Checking the total accuracy of the 3D navigation . . . . . . . . . . . . . . . . . . 11 - 18
Possible errors and corrective measures. . . . . . . . . . . . . . . . . . . . . . . 11 - 20

12 _____ Final steps ___________________________________________________12 - 1

Protective conductor test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 - 1

13 _____ Appendix ____________________________________________________13 - 1

Calling up the stored test patterns . . . . . . . . . . . . . . . . . . . . . . . . . . .13 - 1

Memory with keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 - 1
Memory without keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 - 1
Standard programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 - 1

14 _____ Changes to previous version ____________________________________14 - 1

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Rev. 08 03.03 CS PS 24 Medical Solutions
Introduction 1 1-1

System ID 1

Part no. ______________ Serial no. _____________________

Customer/cli- ________________________________________________
nic:
Address ______________ City: ________________________
State: ______________ Coun- ______________________
try:
Tel. no.: ______________ Contact person:
__________________
System no.: ______________ Regional office:
_______________________
Responsible system engineer: ______________________________

Image quality acceptance test performed completely in the factory and documented by:
Name (print): __________________ Dept.: __________________
Signature: __________________ Date: __________________

Date of system installation at _______________

the customer site:

Image quality quick test performed in connection with:

Turnover to the customer
maintenance

Adjustments deviating from standard specifications due to:

Country-specific regulations Special customer request
What was modified:_______________________________________________
________________________________________________________________
_________________________________________________________________
_Reason:_____________________________________________________
_________________________________________________________________

Name (print): __________________ Regional ______________

office:
Signature: __________________

Siemens AG SPR2-230.037.01 Seite 1 von 4 SIREMOBIL Iso-C

Medical Solutions Rev. 08 03.03 CS PS 24
1-2 Introduction

Safety information 1

CAUTION When performing the work steps and tests, the product-specific
safety information contained in the documents, as well as the
general safety information TD00-000.860.01... must be observed.

Notes and symbols 1

Emphasized texts in technical documentation have the following meaning:

DANGER DANGER indicates an immediate danger that could result in death

or serious physical injury.

WARNING WARNING indicates a risk of danger that could result in death or

serious physical injury.

CAUTION CAUTION used with the safety alert symbol indicates a risk of
danger that could result in slight or moderate physical injury and/
or damage to property.

NOTICE NOTICE used without the safety alert symbol indicates a risk of
danger that, if disregarded, could result in an undesirable result
or state other than death, physical injury or property damage.

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Rev. 08 03.03 CS PS 24 Medical Solutions
Introduction 1-3

Required measurement devices and auxiliary materials 1

• Set of 10 x 0.3 mm Cu X-ray filters e. g. 44 06 120 RV090

• 2.1 mm Cu precision X-ray filter e. g. 99 00 598 XE999

• 25 mm Al measurement stand, type 26765 according to DIN 6868 part 50

or
1.2 mm Cu from the radiation filter set e. g. 97 98 596 G5321 and
17 µm Cu strip 11 67.662 G5247

• Set of resolution test patterns 28 71 820 RE999

Factory: resolution test type 41a

• Densitometer e.g., X-rite 331 97 02 416 Y1996

or PTW-BC21 including Black-Check
Type 5321 and Light box type 53213

TV dynamic range test kit e. g. 37 90 156 X1963

or 97 50.001 X1963
contains: TV dynamic test 37 90.164 X1963
Heart contour diaphragm 37 90.172 X1963
Capillary test 37 90.180 X1963
Holder 87 13.901 X1963
Lead step test 87 09 743 X1963

• Protective conductor meter e. g. 44 15 899 RV090

• Service PC

• Service Software SIREMOBIL Iso-C

• Service PC SIREMOBIL serial interface cable e. g. 99 00 440 RE999

• Calibration phantom Iso-C 3D with Navi 75 51 620 G5486

(replaces calibration phantom Iso-C 3D serial no.
71 39 947)

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1-4 Introduction

Test requirements 1

• The entire system must be functioning properly; in addition, make sure that the following
are installed:
- Grid,
- X-ray I.I. cover, and
- Sirephos cover (without DHHS spacer).
• If the nominal values are not attained, the system must be adjusted or repaired according
to the service instructions.
• Mark the appropriate boxes y/n with "y" for yes or "n" for no.

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Checking the ADR curves 2 2-1

Prerequisites 2

• The standard settings are programmed for fluoroscopy, pulsed fluoroscopy and DR (see
appendix).
• Attach the 2.1 mm Cu precision radiation filter for prefiltration to the X-ray port on the
tube assembly.
• Select "mid" as the dose rate; this corresponds to a dose rate of
X-ray I.I. 23 (9"): 0.185 µGy/s ±15% with survey format (see User-Setup).
X-ray I.I. 27 (11"): 0.14 µGy/s ±15% with survey format (see User-Setup).

Evaluation 2

NOTICE The ADR curves programmed as standard have to be checked.

If other ADR curves have been programmed at the customer's
request, first check the standard programmed characteristics for
comparison to ensure that nothing has changed on the system
following delivery from the factory.
Use the mA button to select the curves for each of the selected
operating modes.

ADR curves for fluoroscopy operating mode 2

• Select
• Select the image intensifier format; the LED of the button is off.

• Select Sirematic HC 1 ADR curve; the LED of the mA button is off.

• Radiation on.
• Read the indicated kV and mA values on the control panel.
• Radiation off.
• Enter the values in Tab. 1.
• Select Sirematic HC 2 ADR curve; the LED of the mA button is on.
• Radiation on.
• Read the indicated kV and mA values on the control panel.
• Radiation off.

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2-2 Checking the ADR curves
• Enter the values in Tab. 1.
• The actual values documented in the factory must be reproduced at the application site.
Permissible deviations: Tube voltage (kV) ± 1kV, tube current (mA) ± 10 %.

ADR Nominal values Actual values

curvesfluoros- (factory) Factory Application site
copy
KV mA KV mA KV mA
Sirematic HC 1 63 - 68 KV 1.9 - 3.8 mA
Sirematic HC 2 61 - 66 KV 2.1 - 4.7 mA
Tab. 1

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Rev. 08 03.03 CS PS 24 Medical Solutions
Checking the ADR curves 2-3

ADR curves for pulsed fluoroscopy operating mode 2

• Select . Select the image intensifier full image format; the LED of the button is
off.
• Select Sirematic HC 1 ADR curve; the LED of the mA button is off.
• Radiation on.
• Read the indicated kV and mA values on the control panel.
• Radiation off.
• Enter the values in Tab. 2.
• Select Sirematic HC 2 ADR curve; the LED of the mA button is on.
• Radiation on.
• Read the indicated kV and mA values on the control panel.
• Radiation off.
• Enter the values in Tab. 2.
• The actual values documented in the factory must be reproduced at the application site.
Permissible deviations: Tube voltage (kV) ± 1kV, tube current (mA) ± 10 %.

ADR Nominal values Actual values

curves (factory)
Factory Application site
pulsedfluoros-
copy KV mA KV mA KV mA
Sirematic HC 1 63 - 68 KV 1.9 - 3.8 mA
Sirematic HC 2 61 - 66 KV 2.1 - 4.7 mA
Tab. 2

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2-4 Checking the ADR curves

ADR curves for DR operating mode 2

• Select "Mid" as the dose rate (User setup).

• Sel . Select the image intensifier full image format; the LED of the button is off.
• Radiation on.
• Read the indicated kV and mA values on the control panel.
• Radiation off.
• Enter the values in Tab. 3.
• The actual values documented in the factory must be reproduced at the application site.
Permissible deviations: Tube voltage (kV) ± 1kV, tube current (mA) ± 10 %.

ADR Nominal values Actual values

curves (factory)
Factory Application site
DR
KV mA KV mA KV mA
DR 850W 61 - 66 KV 2.7 - 6.5 mA
Tab. 3

• Select "High" as the dose rate (user setup).

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Rev. 08 03.03 CS PS 24 Medical Solutions
Resolution 3 3-1

Checking the resolution and the minimum contrast 3

• Prerequisites:
- Select FLUO and "Mid" as the dose rate level.
- Select Sirematic HC 1 ADR curve; the LED of the mA button is off.
- Set edge enhancement for optimum recognition of resolution.
- Press the button for noise reduction;
the LED of the button must be off.
- Set the contrast (LUT 3 or 4) for the monitors to optimum recognition of resolution.
- Factory: use resolution test type 41 A.
- Application site: use resolution test type 41 A.
Attach the resolution test directly to the grid in the center of the image intensi-
fier. It should be located at an angle of approximately 45º to the grid lines.
- Factory:
Attach 25 mm AL measurement stand to the image intensifier.
- Application site:
If a 25 mm measurement stand is present (with 0.4 mm notch), attach it
close to the image intensifier.
Otherwise:
Attach the 17µm Cu strip directly to the grid next to the resolution test, and
place an additional 1.2 mm Cu filtration in the beam path, close to the tube.
- Switch radiation "ON." Determine the resolution of the LIH image and enter it in Tab. 1.
- If overframing occurs at the edge of the image intensifier, eliminate this with
collimation.
- Switch radiation "OFF." Determine the resolution of the LIH image and enter it in Tab.
1.
- In each case, check that the minimum contrast is detectable, i.e. whether the line pairs
indicate visible modulation.
• Evaluation
- Determine the line pairs/mm and enter the value in Tab. 1.

Nominal resolution Actual resolution errors [Lp/mm]

Image values [Lp/mm]
Operating
intensifier
mode I.I. 23 (9") I.I. 27 (11") Factory Application site
format
Monitor 1 Monitor 2 Monitor 1 Monitor 2
During ≥ 1.2 ≥ 1.0 n/a n/a
Full format
radiation
LIH Full format ≥ 1.2 ≥ 1.0
During ≥ 1.6 ≥ 1.6 n/a n/a
Zoom
radiation
LIH Zoom ≥ 1.6 ≥ 1.6
Tab. 1

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3-2 Resolution
Minimum contrast detectable?

Fac- Application

Full format: y/n Full format: y/n

Zoom: y/n Zoom: y/n

The minimum contrast must always be visible.

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Rev. 08 03.03 CS PS 24 Medical Solutions
Capillary test 4 4-1

NOTICE The dynamic test in conjunction with the Plexi capillary test is
used to display small differences in contrast.

• Measurement setup:
- Remove the 2.1 mm radiation filter from the beam path.
- Attach the dynamic test without the image intensifier fixing but with heart contour
diaphragm and Plexi capillary test directly in front of the I.I. input (Plexi capillaries close
to image intensifier).
• Prerequisites:
- Select FLUO ( button) standard settings (see appendix)
- Select Sirematic HC1. The LED of the mA button is off.
- Select full format by pressing the button.
- Select high noise reduction; the LED of the button is off.
- Edge enhancement ( button) off.
- Select LUT 1.
- Switch on radiation and evaluate the live image.
• Evaluation of the monitor image
- Nominal value
The unmarked Plexi capillaries in Fig. 1a must be visible.
- Cross off Plexi capillaries in Fig. 1b that are not visible.
.
Nomi- Fac- Applica-
Group
3 mm
wide

2 mm
wide

1 mm
wide

Fig.1a Fig.1b Fig.1c

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4-2 Capillary test

Capillary test for Memoskop C-SUB or

Memoskop C-SUB & Mod 4

Memoskop C-SUB or Memoskop C-SUB & Mod is present: y/n

If "no," omit the capillary test.

for Memoskop C-SUB or Memoskop C-SUB & Mod.

Subtraction mode 4

Measurement setup:
• Attach the dynamic test without the image intensifier fixing but with the heart contour
diaphragm and Plexi capillary test directly in front of the image intensifier input (Plexi
capillaries close to image intensifier).
Prerequisites
• Select SUB.
• Use the standard settings.
(Set the dose rate level at "High" in the user setup)
Noise reduction for mask: k = 32; check subtraction k-factor, phase A
Noise reduction for fill: k = MD2; check subtraction k-factor, phase B in Technical Setup)
• Select full format by pressing the button.
• Edge enhancement off; select = the softest display.

Procedure
• Release the scene (radiation on)
• After 3 seconds, the mask is automatically set.
The message "Inject" appears on the monitor.
• Start the Plexi capillary test by pressing the rubber ball.
• Shut off radiation after 3 seconds.
• Skip back one image for the white lines.
• Continue flipping back through images until the maximum contrast of the dark lines is
visible.

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Rev. 08 03.03 CS PS 24 Medical Solutions
Capillary test 4-3
Evaluation 1
• Select LUT 4 on both monitors by pressing the keys.
• Find the capillary lines to be evaluated on monitor B in the individual matrix fields.
They should be separated according to black and white.

NOTICE Do not evaluate the first white line. Start the evaluation with the
first black line.

• Enter the results in table 1 and table 2. If a line is not recognizable, identify it with x.

Nominal values Factory Application site

2L 1 5R 2L 1 5R 2L 1 5R Group
Black Upper
group 3
Black X
mm
Black X X X wide
Black Middle
group 2
Black X X
mm
Black X X X wide
Black Lower
group 1
Black X
mm
Black X X X wide
Tab. 1

Nominal values Factory Application site

2L 1 5R 2L 1 5R 2L 1 5R Group
White Upper
group 3
White X X
mm
White X X X wide
White Middle
group 2
White X X
mm
White X X X wide
White Lower
group 1
White X
mm
White X X X wide
Tab. 2

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4-4 Capillary test
Evaluation 2
• Evaluate the 3 mm white capillary line (the large line) in fields 2L, 1, and 5R on monitor B.
No obvious brightness differences should be visible between the fields.
No obvious differences in brightness Application
Factory
are visible in fields 2L, 1, and 5R. site
y/n
y/n

• Evaluate the 3 mm black capillary line (the large line) in fields 2L, 1, and 5R on monitor B.
No obvious differences in brightness should be visible between the fields.
No obvious differences in brightness Application
Factory
are visible in fields 2L, 1, and 5R. site
y/n
y/n

Roadmap mode 4

Measurement setup:
• Attach the dynamic test without the image intensifier fixing but with the heart contour
diaphragm and Plexi capillary test directly in front of the image intensifier input (Plexi
capillaries close to image intensifier).
Prerequisites
• Select Roadmap.
• Use the standard settings.
• Set the dose rate level at "High" in the user setup)
Noise reduction for Phase A: k = 16; check subtraction k-factor, phase A
Noise reduction for Phase B: k = 8; check subtraction k-factor, phase B in Technical
Setup)
Noise reduction for Phase C: k = MD2; check in User Setup or Technical Setup)
• Select full format.
• Edge enhancement off.

Procedure
• Release the scene (radiation on; phase A)
• After >= 2 seconds, the mask is automatically set. The message "Inject" appears on the
monitor.
• Do not shift the Plexi capillaries. (radiation remains on; phase B)
• Shut off radiation after 3 seconds.
• Release radiation again. (Phase C)
• Start the Plexi capillary test by pressing the rubber ball.
• Shut off radiation after another 3 seconds.

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Rev. 08 03.03 CS PS 24 Medical Solutions
Capillary test 4-5
Evaluation
• Select LUT on both monitors by pressing the keys.
• Find the capillary lines to be evaluated on monitor B in the individual matrix fields.
They should be separated according to black and white.

NOTICE Do not evaluate the first white line. Start the evaluation with the
first black line.

• Enter the results in table 3 and table 4. If a line is not recognizable, identify it with x.

Nominal values Factory Application site

2L 1 5R 2L 1 5R 2L 1 5R Group
Black Upper
group 3
Black X X
mm
Black X X X wide
Black Middle
group 2
Black X X X
mm
Black X X X wide
Black Lower
group 1
Black X X
mm
Black X X X wide
Tab. 3

Nominal values Factory Application site

2L 1 5R 2L 1 5R 2L 1 5R Group
White Upper
group 3
White X X X
mm
White X X X wide
White Middle
group 2
White X X X
mm
White X X X wide
White Lower
group 1
White X X
mm
White X X X wide
Tab. 4

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4-6 Capillary test
Diese Seite wurde bewusst leer gelassen.

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Rev. 08 03.03 CS PS 24 Medical Solutions
Memoskop functional checks 5 5-1

Prerequisites 5

- Attach the dynamic test without the image intensifier fixing but with the heart contour
diaphragm and Plexi capillary test directly in front of the image intensifier input (Plexi
capillaries close to image intensifier).
- Select FLUO.
- Contrast setting for monitors - step 1 (LUT = 1).
- Edge enhancement = 0

Edge enhancement 5

- Switch on fluoroscopy briefly. The LIH image is visible on the monitor.

- Press the button for edge enhancement several times.
The 2 levels of edge enhancement are selected consecutively. Edge enhancement
stage 1 - Edge enhancement stage 2 ...)
Fac- Applica-
- Edge enhancement function test o.k.? y/n y/n
(The bright - dark - transitions become clearly visible
when selecting level 1 or 2)

Noise reduction 5

- Press the button for selecting the noise reduction factor ; the LED of the button
must light up (low noise reduction).
- Switch fluoroscopy on briefly and assess the noise impression of the image during
radiation.
- Press the button for selecting the noise reduction factor ; the LED of the button is
off (high noise reduction).
- Switch on fluoroscopy briefly and assess the impression of the image with radiation on.
The noise should be less.
Fac- Applica-
- Noise reduction functioning o.k.? y/n y/n
(Image noise is less with the LED of the
key off).

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5-2 Memoskop functional checks

Motion detector (factory only) 5

• Prerequisites
- Select FLUO.
- Select low noise reduction (MD 1); the LED in the button is on.
- In addition, place a screwdriver on the center of the dynamic test.
- Radiation "ON."
- When activating the key for image rotation, the live image shows only a slight trailing
effect.
The image noise is more clearly visible in the moving parts of the image.
- Radiation "OFF."
- Select low noise reduction (MD 2); the LED in the button is off.
- Radiation "ON."
- When activating the key for image rotation, the live image shows a greater trailing
effect than for low noise reduction
The image noise is more clearly visible in the moving parts of the image.
- Radiation "OFF."
- Remove the screwdriver form the image intensifier.
• Evaluation of the monitor image
Fac-
- Motion detection o.k.? y/n
(Trial effect vs. image noise)

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Checking the control systems (factory only) 6 6-1
The following control systems are in operation with the indicated prefiltration:
ADR at approx. 6 mm Cu and dynamic test in the beam path
Iris diaphragm at approx. 8.1 mm Cu and dynamic test in the beam path
AVR at approx. 11.1 mm Cu and dynamic test in the beam path

This test is used to check the operation of these control systems.

Prerequisites
• For SIREMOBIL Iso-C with 2 monitors, both must be set for approximately the same
(synchronous) brightness and contrast (LUT, brightness and contrast setting).

Preparations
• Attach the dynamic test without the image intensifier fixing:
- with heart contour diaphragm,
- without Plexi capillary test to the image intensifier.
• Select FLUO: dose rate level "Mid."
• Select Sirematic HC1 ADR curve; the LED of the mA button is off.
• Select LUT 1 for both monitors (if existing).
• Select edge enhancement at maximum recognition of bright/dark transitions.
• Switch X-ray image intensifier to full format.
• Open the collimator to maximum aperture.
• Prefilter with copper until 106 kV to 109 kV is displayed.
Switch on fluoroscopy briefly (approx. 6 mm Cu is required).
• Radiation ON.
• Evaluate the brightness of the fluoro image.
• Radiation OFF.

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6-2 Checking the control systems (factory only)
Evaluation 1
• Attach an additional 2.1 mm Cu at the radiation output.
• Radiation ON;
The generator maximum 110 kV / 3mA must be attained.
• Store the LIH image as reference image.
• Evaluate the brightness of the fluoro image.
• The brightness with approx. 6 mm Cu prefiltration and dynamic test should be
approximately equal to the brightness with 8.1 mm Cu and the dynamic test.
Factory
Brightness with ADR and iris diaphragm control the same? y/n

Evaluation 2
• Attach an additional 3 mm Cu at the radiation output.
• Radiation ON.
• Evaluate the brightness of the fluoro image.
• The brightness with approx. 8.1 mm Cu prefiltration and dynamic test should be
approximately equal to the brightness with 11.1 mm Cu and the dynamic test.

Factory
Brightness with ADR and iris diaphragm control the
y/n
same?

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Image artifacts 7 7-1

Image artifacts 7

• Cross off all image artifacts which have been detected during setting and image quality
tests in the table provided in the image quality test certificate.
• If any image artifacts are detected which are not listed in the table, these must be
described under "Other artifacts."
• To evaluate the respective artifacts, there are three rating numbers which indicate the
extent of each artifact:

Definition of the rating numbers 7

1 = No artifacts could be determined during start-up.

2 = A few artifacts occurred sporadically during start-up. The cause could not be located
and the "error" could not be corrected. The artifacts do not negatively influence the
overall appearance of the images and do not compromise the diagnostic value of the
images in any way. The artifacts are determined to be tolerable.
3 = During start-up, artifacts occurred frequently or with greater severity and they nega-
tively influenced the overall appearance of the images or compromised their diagno-
stic value. Therefore, the artifacts were determined to be intolerable, and the system
could not be turned over to the customer.

Description of the artifacts 7

• Hum:
Inhomogeneity caused by electro-magnetic fields in imaging systems. This artifact may
significantly influence the diagnostic value of the images depending on the degree.
Optimally, this artifact should not occur at all. However, extremely low levels can be
tolerated. Hum artifacts appear as periodic, horizontal bright and dark structures in the
image; they appear briefly and are not specific to one location.
• Interference stripes:
Very high frequency electro-magnetic fields appear in the image as bright or dark,
sometimes very short, transverse marks in the image. They appear briefly. Stripes
caused by contaminants on the surfaces of lenses, etc. should be included in this group.
In this case, they are specific to one location and appear constantly. Stripes cannot be
tolerated.
• Ghosting: These artifacts are object contours displayed twice, with the second contour
generally shifted laterally. They are caused by reflections in long, poorly adjusted video
cables. Clearly visible ghosting cannot be tolerated.
• Background structures are stationary, grid-shaped patterns primarily in dark regions of
the image. They are also referred to as "standing noise."
• Pixel errors are image pixels without image information. They are visible on the monitor
as bright and black dots the size of pixels.

Some types of pixel errors can be tolerated, while others cannot. The TV camera is
carefully inspected with respect to pixel errors at the TV test bay prior to shipment. TV
cameras can be turned over to the customer only if the number of pixel errors meets
factory specifications. These pixel errors can be tolerated and must be documented in
the IQ test certificate.

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7-2 Image artifacts

Image artifacts 7

Required value for the assessment of the artifact: Only 1 and 2 can be tolerated.

Factory Start-up
Type of artifact Rating of the artifact *1
1 2 3 1 2 3
Hum
Interference stripes
Ghost images (reflections)
Background structures
Pixel errors

*1 Rating number of artifact

1 = No artifacts
2 = Slight artifacts
3 = Disturbances that cannot be tolerated

Remarks:___________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Other artifacts 7

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

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Programming the organ programs 8 8-1
(Upon customer request only, at the application site.)
The customer has selected the standard organ programs: y/n

If "y": omit this chapter.

SIREMOBIL Iso-C without keyboard 8

• Connect the service PC to the external service interface.

• Install the Memoskop service program on the service PC using the installation routine on
the diskette.
The service diskettes are located in the Log Book, Register 10.
• Call up the Memoskop service program and program the organ programs requested by
the customer.
• Print out the programmed values using the print function in the Memoskop service
program. Sign and date the printout and file it in the customer's copy of the operating
instructions in the chapter "Curves and Diagrams."

SIREMOBIL Iso-C with keyboard 8

The customer can change the organ programs himself using the operating instructions.
The programmed parameters can be read out again by the customer by calling up "User
Setup."

Checking the newly programmed ADR curves 8

Prerequisites
The test of the standard programmed ADR curves (Sirematic HC1 and Sirematic HC2)
was already performed. Refer to chapter 2 of these instructions.
• Select "Mid" as the dose rate level. This corresponds to a dose rate of
➪ X-ray I.I. 23 (9"): 0.185 µGy/s ±15% with survey format.
➪ X-ray I.I. 27 (11"): 0.14 µGy/s ±15% with survey format.
• If required, temporarily set the dose rate levels in the organ programs to "Mid."
Procedure
• Select FLUO.
• Attach a 2.1 mm Cu precision radiation filter for prefiltration to the radiation output.
• After selecting the respective fluoro organ program and activating the mA key, the
programmed ADR curves can be selected.
• Switch fluoro ON.

NOTICE Note the programmed dose rate level. To check the newly pro-
grammed ADR curves, temporarily set the dose rate level to "Mid"
(see above).

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8-2 Programming the organ programs
Evaluation
• Read the kV and mA values displayed on the control panel and enter them for the
associated ADR control curve in table 1.
• Switch fluoro OFF.
• Select any additionally programmed ADR control curves by selecting the corresponding
organ programs and the mA key. Enter the kV and mA values in table 1.

ADR Typical values Actual values on site

Curves
kV mA kV mA
SIREMATIC LD 80 - 96 0.2 - 0.4
SIREMATIC S1 67 - 79 0.9 - 1.5
SIREMATIC S2 65 - 75 1.1 - 1.9
SIREMATIC HC1 63 - 68 1.9 - 3.8
SIREMATIC HC2 61 - 66 2.1 - 4.7
IODINE 61 - 65 2.1 - 5.0

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Multispot 2000 9 9-1
Multispot 2000 present?
y/n
If "n": omit this chapter.

Since the Multispot 2000 must be optimally set for the film used and the development
required at the user's site, only a functional test is performed at the factory.

Functional check at the factory 9

The functional check must be performed for all possible image subdivisions, in each case
with positive and negative image display.
Definition: Positive image display means that the hardcopy image is identical with the
monitor display.

Prerequisites 9

• Select memory test image (appendix).

• Set LUT to position 1.
• A camera warm-up of 20 minutes must be observed.
• Select the image subdivision to be tested.
• Select the image display (positive/negative) to be tested.
• Set the relevant B, C, D values shown in Table 1:

positive image display negative image display

B C D B C D
at 50 Hz at 60 Hz at 50 Hz at 60 Hz
refresh refresh refresh refresh
rate rate rate rate

Multispot 2000 1/4, 008 550 035 042 020 660 035 042
full format
Multispot 2000 1/4, 008 550 016 019 020 660 016 019
4-on-1 image
Multispot 2000-2 008 550 021 025 020 660 021 025

Tab. 1

• Enter the film type used and the emulsion number:

Film type: Kodak EKTASCAN DNB; Emulsion number: ________________

• Enter the film density values measured in Table 2.

NOTICE In the case of deviations from the nominal value 2 (film density
40%), B must be corrected (adjusted).

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9-2 Multispot 2000
Mark the fields which are not applicable in Table 2 with n/a.

Setting values Film density

Factory function check
B C D Nominal Factory
value
MS 2000 1/4, full image, 0% ≤ 0.27
(1)
negative image display 40% 1.0 ± 0.3
(2)
100% ≥ 2.4
(3)
MS 2000 1/4, full image, 0% ≥ 2.4
(1)
positive image display 40% 1.3 ± 0.3
(2)
100% ≤ 0.27
(3)
MS 2000 1/4, 4-on-1 0% ≤ 0.27
image, (1)
negative image display 40% 1.0 ± 0.3
(2)
100% ≥ 2.4
(3)
MS 2000 1/4, 4-on-1 0% ≥ 2.4
image, (1)
positive image display 40% 1.3 ± 0.3
(2)
100% ≤ 0.27
(3)
MS 2000-2, 0% ≤ 0.27
(1)
negative image display 40% 1.0 ± 0.3
(2)
100% ≥ 2.4
(3)
MS 2000-2, 0% ≥ 2.4
(1)
positive image display 40% 1.3 ± 0.3
(2)
100% ≤ 0.27
(3)
Tab. 2

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Multispot 2000 9-3

Setting the multiformat camera at the customer's site 9

The setting must be performed for all possible image subdivisions, in each case with the
image display (positive and/or negative) requested by the customer. Mark the settings not
performed with n/a in the relevant table.
Definition: Positive image display means that the hardcopy image is identical with the
monitor display.
• Film type used: ______________ Emulsion number: ______________

• Select memory test image (appendix).

• A camera warm-up of 20 minutes must be observed.
• Set LUT to position 1.
• Start the setting procedure with the B, C, D values shown in Table 2.
• Select the image subdivision to be set in each case.
• Select the image display to be set in each case.
• Change B until the 40% gray level (see Fig. 1) corresponds to the nominal value Dnominal
(see tables 3 to 6).
• Change C until the film density values for white and black correspond to the nominal
values (see tables 3 to 6).
When increasing the contrast values (C), ensure that the 100%, 90% fields and/or the 0%,
10% fields can be distinguished from one another.

Multispot 2000-2 9

Negative image display:

• Enter the values determined in Table 3.
• Enter the values programmed for B, C, and D in Table 3.
Positive image display:
• Enter the values determined in Table 4.
• Enter the values programmed for B, C, and D in Table 4.

Multispot 2000 1/4 9

Negative image display

Full-field image (1/1)

• Enter the values determined in Table 3.
• Enter the values programmed for B, C, and D in Table 3.

4-on-1 image (1/4)

• Enter the values determined in Table 5.
• Enter the values programmed for B, C, and D in Table 5.

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9-4 Multispot 2000
Positive image display:

Full-field image (1/1)

• Enter the values determined in Table 4.
• Enter the values programmed for B, C, and D in Table 4.

4-on-1 image (1/4)

• Enter the values determined in Table 6.
• Enter the values programmed for B, C, and D in Table 6.

59
/ 1
A B

3 1

Fig. 1

Memory test image on the monitor [Film = Positive image display] (Fig. 1)

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Multispot 2000 9-5
Application site:
Film density values for Multispot 2000-2 or Multispot 2000 1/4 with full-field image
and negative image display:

Field Nominal values Film density D Programmed values

Film density Dnom
0% (1) ≤ 0.25 B
40% (2) 1.0 ± 0.1 C
100% (3) ≥ 2.5 D
Tab. 3

Application site:
Film density values for Multispot 2000-2 or Multispot 2000 1/4 with full-field image
and positive image display:

Field Nominal values Film density D Programmed values

Film density Dnom
0% (1) ≥ 2.4 B
40% (2) 1.3 ± 0.1 C
100% (3) ≤ 0.25 D
Tab. 4

Application site:
Film density values for Multispot 2000 1/4 with 4-on-1 image and negative image
display:

Field Nominal values Film density D Programmed values

Film density Dnom
0% (1) ≤ 0.25 B
40% (2) 1.0 ± 0.1 C
100% (3) ≥ 2.5 D
Tab. 5

Application site:
Film density values for Multispot 2000 1/4 with 4-on-1 image and positive image dis-
play:

Field Nominal values Film density D Programmed values

Film density Dnom
0% (1) ≥ 2.4 B
40% (2) 1.3 ± 0.1 C
100% (3) ≤ 0.25 D
Tab. 6

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9-6 Multispot 2000

Checking the Multispot resolution 9

Prerequisites 9

• Select FLUO (standard settings, see appendix).

- Select Sirematic HC1 ADR curve; the LED of the mA button is off.
• Select image intensifier full format.
• Set contrast setting for monitor B to LUT 1.
• Factory: Resolution test Type 41A; Application site: Resolution test Type 41.
• Attach the resolution test directly to the grid in the center of the image intensifier.
It should be located at an angle of approximately 45º to the grid lines.
• Factory: Attach 25 mm AL measurement stand close to the image intensifier.

• Application If a 25 mm measurement stand is present (with 0.4 mm notch), attach it

site: close to the image intensifier.
Otherwise: Fasten17µm Cu next to the resolution test directly on the grid,
and attach 1.2 mm Cu in the beam path close to the tube.

• If overframing occurs at the edge of the image intensifier, eliminate this with collimation.
• Switch radiation ON, and let it stabilize.
• Switch radiation OFF.
• Transfer (store) LIH image on monitor B.
• Select negative image display of the Multispot.

Multispot 2000-2 9

• Expose the film (both partial exposures) and develop it.

• Evaluate both partial exposures.
• Enter the lower resolution value in Table 7.

Resolution nominal values [Lp/mm] Actual resolution values [Lp/mm]

negative image display negative image display
I.I. 23 (9") I.I. 27 (11") Factory Application site
>1.2 >1.0
Tab. 7

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Multispot 2000 9-7
Multispot 2000 -1/4 9

• Expose a film at full format.

• Evaluate the exposure.
• Enter the values in Tab. 7.
• Expose a film in 4-on-1 format (all partial exposures).
• Evaluate all 4 partial exposures.
• Enter the lowest resolution in Tab. 8.

Image format Nominal resolution values [Lp/ Actual resolution values [Lp/mm]
mm] negative image display
negative image display
I.I. 23 (9") I.I. 27 (11") Factory Application site
Full format >1.2 >1.0

4-on-1 image >1.2 >1.0

Tab. 8

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9-8 Multispot 2000
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3D High resolution 10 10 - 1

NOTE The 3D limiting resolution can be obtained only if the system is in

a properly calibrated condition.

Required service materials 10

Resolution test 28 71 820 RE999

Calibration phantom Iso-C 3D with Navi 75 51 620 G5486

Preparations 10

• Move the C-arm to the horizontal position.

Position: image intensifier on the basic system (see Fig. 1).
• Take the required stand out of the "Calibration Phantom Service Case".
• Attach the resolution test (lead strip test pattern) to the stand so that it is horizontal to the
floor.
• Position the resolution test in the isocenter of the C-arm. Navigate from the side and
longitudinal to the C-arm (see Fig. 2 and Fig. 3).
• If present use the laser light localizer to aid in locating the isocenter.

Fig. 1 Side view of the test configuration Fig. 2 Test configuration viewed from above

Fig. 3 Test configuration viewed from the system

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10 - 2 3D High resolution

Performing the test 10

• To switch to 3D mode,simultaneously press the Ctrl and D keys on the MEMOSKOP

keyboard.
• Select 3D taskcard. The syngo screen will appear on the right monitor (Fig. 4).

Fig. 4 Syngo start screen

• Click on the Start Scan button in the 3D taskcard.

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3D High resolution 10 - 3
The following dialog box will appear (Fig. 5):

Fig. 5 Orientation menu

• Click on one leg.

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10 - 4 3D High resolution

Fig. 6 Dialog box for selecting patient position and the direction of radiation

The following screen appears (Fig. 6).

• Press the A button.

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3D High resolution 10 - 5

Fig. 7

• Press the B button. This activates the "Start 3D Scan" button (Fig. 7).
• Now select scan protocol "Slow."
• Click on the "Start 3D Scan" button.

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10 - 6 3D High resolution

Fig. 8

This screen will appear (Fig. 8).

• Manually move the C-arm to the end position (into the limit switch).
Position: X-ray tube located on main unit.
The following screen appears (Fig. 9).

Fig. 9

• Manually move the C-arm to the start position (into the limit switch).
Position: image intensifier located on main unit.

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3D High resolution 10 - 7
The following screen will appear following a successful manual test run (Fig. 10).

Fig. 10

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10 - 8 3D High resolution

Measurement run 10

• Start 3D scan with left footswitch.

• Keep foot on footswitch for approx. 2 minutes.
• In the left (Siremobil) monitor, check to see that the lead strip test pattern is lined up in
the isocenter.
Visible modulations (~ with projection 50) of up to 1.8 LP/mm should appear.
• The lead strip test pattern must be positioned in the center of the monitor image.
• If the object position greatly deviates from the isocentric object position, the
measurement will be interrupted and the object will be repositioned (refer to
"Preparation").

During the scan, the following pop-up window will appear (Fig. 11).

Fig. 11

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3D High resolution 10 - 9
Following a successful measurement, the following image will appear (Fig. 12).

Fig. 12

• Remove foot from the footswitch.

Once you have reached the end of the measurement, the reconstructed volume will auto-
matically appear in MPR display in the 3D card (Fig. 13).

Fig. 13 Syngo interface following successful data input and back projection.

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10 - 10 3D High resolution

Checking 3D high resolution 10

Objective:
Determine an optimal slice plane for imaging the lead strip test pattern in a Syngo window.
• Select the plane perpendicular to the lead strip test pattern with the vertical bar
(see Fig. 14).
• Next, select a slice plane in the center of the lead strip test pattern (see Fig. 15).

Fig. 14 Slice plane setting in the upper left window.

Fig. 15 Slice plane setting in the lower left window.

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3D High resolution 10 - 11
• If the lead strip test pattern is slanted in relation to the floor plane, correct the slice plane
by rotating in Free Mode.
• A syngo image should display a plane parallel to the lead strip test pattern
(see Fig. 16).

Fig. 16 Rotating the slice plane.

Fig. 17 Plane parallel to the lead strip test pattern.

• Next, by double clicking on the image "Slice parallel to lead strip test pattern," create a
full-field display of the lead strip test pattern (Fig. 17).
• Check the 3D high resolution (1LP/mm). For this purpose, it may be necessary to review
previous windows.

3D high resolution achieved:

y/n

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10 - 12 3D High resolution
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3D calibration 11 11 - 1

Adjustment of the calibration phantom 11

Fig. 1 Setting the I.I. laser light localizer correctly Fig. 2 Calibration phantom

Fig. 3 Vertical adjustment Fig. 4 Horizontal adjustment

• Take the required stand out of the "Calibration Phantom Service Case".
• Attach the calibration phantom to the stand.
• Adjust the laser light localizer to the tube assembly center (Fig. 1).
• Position the calibration phantom in the C-arm (Fig. 2).
With available light localizer:
• Using the laser light localizer, align the C-arm correctly to the markings on the calibration
phantom, first in the vertical (Fig. 3) and then in the horizontal (Fig. 4) C-arm position.
Without laser light localizer:
• Align the C-arm correctly to the markings on the calibration phantom, first in the vertical
(Fig. 3) and then in the horizontal (Fig. 4) C-arm position. Briefly perform fluoroscopy and
check the position of the C-arm relative to the calibration phantom (see also Fig. 5).

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11 - 2 3D calibration
• Check that the calibration phantom is positioned in the isocenter. To do so, check both
the horizontal and vertical adjustment at least 2x (see also Fig. 5).
➪ Example of a correctly positioned calibration phantom. The tips of the sphere
pattern must not be visible at the top and bottom image edge (Fig. 5).

Fig. 5

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3D calibration 11 - 3

Without 3D navigation 11

NOTE Without 3D navigation the old calibration phantom Iso C 3D Part

No. 71 39 947 can still be used.

• After booting press Ctrl and D and the system switches into the 3D mode.
• Select Calibration Iso C 3D in the "Home Menu".
➪ The following window appears (Fig. 6).

Fig. 6

• Maximize the display on the screen.

• After the "Reset all Calibration Data! Are you sure?" display appears click OK.
• Select the C-arm position.
• Bring the C-arm into this position.
• Select the number of images.
• Click "Go".
• Press the left foot switch, this releases the measuring run. Keep the foot switch pressed
down (Fig. 7).
➪ The "Calibration successful" display appears at the end of the measuring run.

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11 - 4 3D calibration

Fig. 7

• Click OK.

NOTE All 8 positions must be calibrated.

Make this setting one after the Setting Number of

other images
Angulation = 0 degrees
No. 1 50
Orbital = - 95 degrees
Angulation = 0 degrees 50
No. 2 Orbital = + 95 degrees

Angulation = 0 degrees
No. 3 100
Orbital = - 95 degrees
Angulation = 0 degrees
No. 4 100
Orbital = +95 degrees
The adjustment of the calibration
Intermediate step phantom must be checked once n.a.
again here
Angulation = 180 degrees
No. 5 50
Orbital = +95 degrees

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3D calibration 11 - 5

Make this setting one after the Setting Number of

other images
Angulation = 180 degrees
No. 6 50
Orbital = - 95 degrees
Angulation = 180 degrees
No. 7 100
Orbital = + 95 degrees
Angulation = 180 degrees
No. 8 100
Orbital = - 95 degrees

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11 - 6 3D calibration

With 3D navigation and removable image intensifier navigation

shield 11

NOTE This section applies for navigation systems in which it is possible

for the customer to remove the navigation shield from the image
intensifier.
The calibration must be performed in the 4 C-arm positions in
each case for 50 images and 100 images both without navigation
shield fitted and also with navigation shield fitted for each
available navigation system.
According to how many navigation systems have been entered on
the 3D PC, in each case 4 additional images of the C-arm
positions with the entered name of the navigation system as
heading and a selection button appear in the calibration window.

Calibration with navigation shield removed 11

NOTE The navigation shield (if fitted) must be removed from the image
intensifier before the calibration.

Example of a removable navigation shield (Fig. 8).

Fig. 8

• In the "Home Menu" service click the "Calibration Iso-C 3D" button.

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3D calibration 11 - 7
➪ The following window appears (Fig. 9).

Fig. 9

• Select the "No" option for registration unit fix mounted.

• Click the ">" button.
➪ According to how many navigation systems are available at the customer, the
calibration window appears (Fig. 10 shows as an example the full configuration
with 3 navigation systems).

Fig. 10

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11 - 8 3D calibration
• Select the "Without Navigation Shield" option.
• Select the C-arm position.
• Bring the C-arm into this position.
• Select the number of images.
• Click "Go".
• Press the left foot switch, the measuring run is released by this. Keep the foot switch
pressed (Fig. 11).
➪ The "Calibration successful" display appears at the end of the measuring run.

Fig. 11

• Click OK.

NOTE The calibration must be performed in all 4 C-arm positions both

with 50 and with 100 images.

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3D calibration 11 - 9

Make this setting one after the Setting Number of

other images
Angulation = 0 degrees
No. 1 50
Orbital = - 95 degrees
Angulation = 0 degrees 50
No. 2 Orbital = + 95 degrees

Angulation = 0 degrees
No. 3 100
Orbital = - 95 degrees
Angulation = 0 degrees
No. 4 100
Orbital = +95 degrees
The adjustment of the calibration
Intermediate step phantom must be checked once n.a.
again here
Angulation = 180 degrees
No. 5 50
Orbital = +95 degrees
Angulation = 180 degrees
No. 6 50
Orbital = - 95 degrees
Angulation = 180 degrees
No. 7 100
Orbital = + 95 degrees
Angulation = 180 degrees
No. 8 100
Orbital = - 95 degrees

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11 - 10 3D calibration
Calibration with navigation shield fitted 11

NOTE If more than one navigation system is used in combination with

the SIREMOBIL Iso-C 3D, then the calibration must be performed
with each navigation system + in each case the associated image
intensifier navigation shield in cooperation with the technician of
the navigation company.

NOTE The relevant navigation shield must be fitted on the image intensi-
fier using knurled screws / Allen keys. The calibration must be
performed together with the navigation system and thus at the
same time with a technician of the navigation company. During
the calibration it must be possible for the markers on the image
intensifier navigation shield and the calibration phantom to be
acquired ("seen") by the cameras of the navigation system.
Care must be taken that the correct navigation system is selected
in the calibration window.

• In the "Home Menu" service click on the "Calibration Iso-C 3D" button.
➪ The following window appears (Fig. 12).

Fig. 12

• Select the "No" option.

• Click the ">" button.

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3D calibration 11 - 11
➪ The following window appears (example) (Fig. 13).

Fig. 13

• Select the navigation system to be calibrated (e. g. 1st Navigation System, see Fig. 13)
(see software description setting for network nodes).
• Select the C-arm position. The selected C-arm position is displayed normally, all other
C-arm positions are displayed with a gray background.
• Bring the C-arm into this position.
• Select the number of images.
• Click "Go".
• Press the left foot switch, the measuring run is released by this. Keep the foot switched
pressed down (Fig. 14).

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11 - 12 3D calibration
➪ At the end of the measuring run the "Calibration successful" display appears.

Fig. 14

• Click OK.

NOTE For the selected navigation system the calibration must be per-
formed in all 4 C-arm positions both with 50 and with 100 images
(8 calibrations).

Make this setting one after the Setting Number of

other images
Angulation = 0 degrees
No. 1 50
Orbital = - 95 degrees
Angulation = 0 degrees 50
No. 2 Orbital = + 95 degrees

Angulation = 0 degrees
No. 3 100
Orbital = - 95 degrees
Angulation = 0 degrees
No. 4 100
Orbital = +95 degrees
The adjustment of the calibration
Intermediate step phantom must be checked once n.a.
again here
Angulation = 180 degrees
No. 5 50
Orbital = +95 degrees

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3D calibration 11 - 13

Make this setting one after the Setting Number of

other images
Angulation = 180 degrees
No. 6 50
Orbital = - 95 degrees
Angulation = 180 degrees
No. 7 100
Orbital = + 95 degrees
Angulation = 180 degrees
No. 8 100
Orbital = - 95 degrees

NOTE If further navigation systems are used in combination with the

SIREMOBIL Iso-C 3D, these must be selected and the calibration
performed in all 4 C-arm positions both with 50 and with 100
images (8 calibrations per navigation system).

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11 - 14 3D calibration

With 3D navigation and fixed mounted image intensifier

navigation shield of the MEDIVISION company 11

NOTE This section applies for the 3D navigation system of the

MEDIVISION company with fixed mounted image intensifier navi-
gation shield.
In this the navigation shield is connected firmly with the image
intensifier and cannot be removed by the customer.
The navigation shield must be already fitted permanently on the
image intensifier by the technician of the navigation system.
The calibration must be performed in the 4 C-arm positions in
each case for 50 images and 100 images with already fixed
mounted navigation shield.
The presence of the Medivision technician is not necessary for
the calibration.

NOTE The calibration of the navigation system for the SIREMOBIL Iso-C
3D is performed by Medivision with its own calibration phantom.
Also the check of the total accuracy of the 3D navigation.

• In the "Home Menu" service click the "Calibration Iso-C 3D" button.
➪ The following window appears (Fig. 12).

Fig. 15

• Select the "Yes" option.

• Click on the ">" button.

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3D calibration 11 - 15
➪ The following window appears (example) (Fig. 13).

Fig. 16

• Select the C-position. The selected C-arm position is displayed normally, all other C-arm
positions are displayed with a gray background.
• Bring the C-arm into this position.
• Select the number of images.
• Click on "Go".
• Press the left foot switch, the measuring run is released by this. Keep the foot switch
pressed down (Fig. 14).

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11 - 16 3D calibration
➪ At the end of the measuring run the "Calibration successful" display appears.

Fig. 17

• Click OK.

NOTE The calibration must be performed in all 4 C-arm positions both

with 50 and with 100 images (8 calibrations).

Make this setting one after the Setting Number of

other images
Angulation = 0 degrees
No. 1 50
Orbital = - 95 degrees
Angulation = 0 degrees 50
No. 2 Orbital = + 95 degrees

Angulation = 0 degrees
No. 3 100
Orbital = - 95 degrees
Angulation = 0 degrees
No. 4 100
Orbital = +95 degrees
The adjustment of the calibration
Intermediate step phantoms must be checked once n.a.
again here
Angulation = 180 degrees
No. 5 50
Orbital = +95 degrees

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3D calibration 11 - 17

Make this setting one after the Setting Number of

other images
Angulation = 180 degrees
No. 6 50
Orbital = - 95 degrees
Angulation = 180 degrees
No. 7 100
Orbital = + 95 degrees
Angulation = 180 degrees
No. 8 100
Orbital = - 95 degrees

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11 - 18 3D calibration

Checking the total accuracy of the 3D navigation 11

NOTE For the navigation system of the MEDIVISON with fixed mounted
image intensifier navigation shield:
The calibration of the navigation system for the SIREMOBIL Iso-C
3D is performed by the MEDIVISION company with its own calibra-
tion phantom. Also the check of the total accuracy of the 3D navi-
gation.

NOTE For other navigation systems:

The check of the total accuracy after the calibration must be per-
formed with the navigation system and thus at the same time with
a technician of the navigation company.
During the 3D acquisition and the accuracy test it must be possi-
ble for the markers on the image intensifier, phantom and pointer
to be seen by the navigation system.

• Fasten the reference clamp to the phantom carefully (the phantom is the customer’s
property).
• Position the phantom in the isocenter of the SIREMOBIL Iso-C 3D.
• Perform 3D acquisition and transfer image data record to the navigation system.
• According to Fig. 15 approach in three planes in each case a marker cone with a pointer
up into the tip of the marker cone.

Marker

Fig. 18 Fig. 19

• If all three tips are within the imaged marker cone on the navigation screen of the
navigation company, then the accuracy of the 3D navigation is proven (Fig. 16).

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3D calibration 11 - 19
• Complete the table with data of the relevant navigation system.

Marker cone Tip of pointer

approached in within the marker cone imaged on the navigation system?
Navi system ............. Navi system ............... Navi system ..........
Plane 1 above
Plane 2 center
Plane 3 below

The check of the total accuracy of the 3D navigation is completed successfully:

Name of Siemens technician Date Signature

Name of navigation technician........ Date Signature

Name of navigation technician........ Date Signature

Name of navigation technician........ Date Signature

Remarks:

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11 - 20 3D calibration

Possible errors and corrective measures 11

Error Possible cause Corrective measure

Calibration unsuccessful Phantom positioned Position phantom correctly
incorrectly

Image distorted Lead balls missing in Order new calibration phantom

the calibration phantom

Poor image quality after cali- Calibration process Check 3D limiting resolution
bration and recalibrate, if necessary

Insufficient accuracy of 3D Interface at the calibra- Perform visual check of calibra-

navigation tion phantom not clean tion phantom for correct condi-
or damaged tion

Navigation marker ring Make sure the marker ring is

on I.I. not mounted cor- mounted correctly
rectly

Grid holder on the I.I. is Clean the I.I. and the grid hol-
dirty der

No registration possible during Markers are not detec- Contact engineer of navigation
calibration with marker ring ted in the starting posi- company
Calibration does not start tion

Calibration with 3D navigation Navigation system Contact engineer of navigation

unsuccessful faulty company

Other Other Read error messages in the

Eventlog Reader
Analyze and process errors
acc. to troubleshooting instruc-
tions

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Final steps 12 12 - 1

Protective conductor test 12

• If the SIREMOBIL Iso-C covers were removed, perform the protective conductor test in
accordance with ARTD part 2 (CD-ROM).

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12 - 2 Final steps
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Appendix 13 13 - 1

Calling up the stored test patterns 13

Memory with keyboard 13

You can call up Technical Setup for the memory by pressing CTRL + T.
Various test patterns can be called up from the first menu.

Memory without keyboard 13

• Connect the service PC to the external service interface.

• Install the Memoskop service program on the service PC using the installation routine on
the diskette.
The service diskettes are located in the Log Book, Register 10.
• Call up the Memoskop service program in the "Test pattern generation" menu.
Various test patterns can be called up from this menu.

Standard programming 13

The following default values are programmed in organ program 1 when the SIREMOBIL
Iso-C is delivered:

Organ program 1 (User Setup)

Operating mode FL IFL DR SUB Roadmap
Program name (*4) Standard Standard Standard Standard Standard
Doserate MID MID HIGH HIGH HIGH
SIREMATIC normal HC1 HC1 n.a. n.a. n.a.
(DR850W*1) (Iodine) (Iodine)
SIREMATIC push HC2 HC2 n.a. n.a. n.a.
(DR850W*1)
Noise red. Low MD1 K=4 K=8 n.a. n.a.
(K4:K1)
Noise red. High MD2 K=8 K = 16 n.a. n.a.
(K16:K2)
Dose reduction low n.a. high n.a. n.a. n.a.
Dose reduction high n.a. high n.a. n.a. n.a.
Auto LIH disk transfer (*2) NO NO n.a. n.a. n.a.
Auto transfer each image (*2) n.a. NO n.a. n.a. n.a.
Disk transfer rate (*2) 0 n.a. n.a. n.a. n.a.
Auto disk transfer (*2) n.a. n.a. YES n.a. n.a.
Subtraction (*3) n.a. n.a. n.a. MAX MAX
Landmark (*3) n.a. n.a. n.a. NO NO
Video signal at docum. (*5) n.a. n.a. n.a. POS POS
Image display (*3) n.a. n.a. n.a. POS POS

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13 - 2 Appendix

Organ program 1
Duration of the phase B1 (*3) n.a. n.a. n.a. 0 sec n.a.
Disk tranfer rate phase B1 (*3) n.a. n.a. n.a. 0 n.a.
Disk tranfer rate phase B2 (*3) n.a. n.a. n.a. 3 n.a.

(*1) Observe a cool-down phase of 30 sec. between 2 sequential DR exposures. Other-

wise, the ADR curve DR550W will be selected automatically.
(*2) For Memoskop C with hard disk only
(*3) For Memoskop C-SUB or Memoskop C-SUB & Mod only.
(*4) The name is listed as an example only and can be any program name.
(*5) Image display on film should correspond to image display on the monitor.

SUB & Roadmap

Windows / Level
/1 Brightness 100 /4 Brightness 115
/1 Contrast 195 /4 Contrast 225
/2 Brightness 105 /5 Brightness 120
/2 Contrast 205 /5 Contrast 235
/3 Brightness 110 /6 Brightness 127
/3 Contrast 215 /6 Contrast 245

SUB & Roadmap, SUB Road

Parameter Technical Setup
Subtraction K-Factor, phase A 32 n.a.
Subtraction K-Factor, phase B MD2 n.a.
Subtraction Time of phase A 3 n.a.
Roadmap K-Factor, phase A n.a. 16
Roadmap K-Factor, phase B n.a. 8
Roadmap K-Factor, phase C n.a. MD2
Roadmap Time of phase A n.a. 2

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Changes to previous version 14 14 - 1

Chap. 0 Cover page, revision level and contents newly generated.

Chap. 11 - 3 to 11-19 Revised and images actualized.

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14 - 2 Changes to previous version
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