SOMATOM go.

All

Daily QA
Serial Number: 118190

RS Puri Cinere
 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Daily QA

Demographical Data

Customer System Service

Customer RS Puri Cinere Product SOMATOM Tester Name RS Puri Cinere

Name Name go.All

Customer ID 40034398 Material 11061638 Service Ferry Winata

Number Center Name

Hospital RS Puri Cinere Serial 118190 Street Jl.TB

Name Number Simatupang
kav 88

Street Equipment 1043862085 Street Perkantoran

Number Number Hijau Arkadia
Tower F

Street Modality CT Zip Code

Number

Zip Code Handed Over City Jakarta

Date Selatan

City Software VA20A District

Version

District Country ID

Country ID Phone 08111902684

Customer 081317465354 Fax

Phone
Number

E-Mail ferry.winata@s
iemens-healthi
neers.com

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 2 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Summary

Function Start Time Result

Homogeneity 3/18/2020 4:33:29 PM OK

Noise 3/18/2020 4:35:00 PM OK

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 3 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Table of Contents
1 Homogeneity 5
1.1 Test Description 5
1.2 Common Parameters 5
1.3 Test Data 5
2 Noise 12
2.1 Test Description 12
2.2 Common Parameters 12
2.3 Test Data 12

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 4 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

1 Homogeneity
1.1 Test Description
N/A

1.2 Common Parameters

Parameters

Scan Type Sequence

Number of Images 4

Slice Width Reconstructed 5.00 mm

Collimation 32x0.7 mm

UHR FALSE

Shaped Filter Standard

Tin Filter FALSE

Window Width 500 HU

Window Center 0 HU

FoV 250 mm

1.3 Test Data

1.3.1 Typical pediatric body mode

Parameters

System A

Voltage 110 kV

(continued)

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 5 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Parameters

System A

Current 122 mA

Scan Time 0.5 s

Rotation Time 0.5 s

Body Region Body

Kernel Br40f

Radius of ROIs

[mm]

Radius of Central ROI 15.00

Radius of Peripheral ROI 10.00

Water Value Results

Slice Water Value Results for System A [HU]

Tolerance: -4.00 … 4.00

Slice 1 0.46

Slice 2 0.05

Slice 3 0.77

Slice 4 0.30

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 6 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Results for System A

Slice Center [HU] Diff.3 [HU] Diff.6 [HU] Diff.9 [HU] Diff.12 [HU]
Tolerance: Tolerance: Tolerance: Tolerance: Tolerance:
-4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00

Slice 1 0.46 -0.07 0.28 -0.09 -0.45

Slice 2 0.05 -0.22 0.05 -0.23 -0.06

Slice 3 0.77 -0.89 -1.07 -0.85 -0.96

Slice 4 0.30 -0.45 -0.43 -0.35 -0.02

1.3.2 Typical head mode

Parameters

System A

Voltage 120 kV

Current 200 mA

Scan Time 1.0 s

Rotation Time 1.0 s

Body Region Head

Kernel Hr40f

Radius of ROIs

[mm]

Radius of Central ROI 10.00

Radius of Peripheral ROI 10.00

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 7 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Water Value Results

Slice Water Value Results for System A [HU]

Tolerance: -4.00 … 4.00

Slice 1 -0.99

Slice 2 -0.98

Slice 3 0.01

Slice 4 -0.61

Results for System A

Slice Center [HU] Diff.3 [HU] Diff.6 [HU] Diff.9 [HU] Diff.12 [HU]
Tolerance: Tolerance: Tolerance: Tolerance: Tolerance:
-4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00

Slice 1 -0.99 1.03 1.18 0.94 0.90

Slice 2 -0.98 0.96 0.83 0.80 0.81

Slice 3 0.01 0.08 0.12 -0.35 -0.30

Slice 4 -0.61 0.70 0.79 0.30 0.32

1.3.3 Typical pediatric head mode

Parameters

System A

Voltage 110 kV

Current 95 mA

Scan Time 1.0 s

Rotation Time 1.0 s

(continued)

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 8 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Parameters

System A

Body Region Head

Kernel Hr40f

Radius of ROIs

[mm]

Radius of Central ROI 10.00

Radius of Peripheral ROI 10.00

Water Value Results

Slice Water Value Results for System A [HU]

Tolerance: -4.00 … 4.00

Slice 1 -1.13

Slice 2 -0.48

Slice 3 -0.22

Slice 4 -1.20

Results for System A

Slice Center [HU] Diff.3 [HU] Diff.6 [HU] Diff.9 [HU] Diff.12 [HU]
Tolerance: Tolerance: Tolerance: Tolerance: Tolerance:
-4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00

(continued)

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 9 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Slice 1 -1.13 1.23 0.84 0.64 0.72

Slice 2 -0.48 0.19 0.46 -0.33 -0.24

Slice 3 -0.22 -0.14 0.12 -0.46 -0.68

Slice 4 -1.20 1.01 0.70 0.31 0.96

1.3.4 Typical body mode

Parameters

System A

Voltage 120 kV

Current 216 mA

Scan Time 0.5 s

Rotation Time 0.5 s

Body Region Body

Kernel Br40f

Radius of ROIs

[mm]

Radius of Central ROI 10.00

Radius of Peripheral ROI 10.00

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 10 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Water Value Results

Slice Water Value Results for System A [HU]

Tolerance: -4.00 … 4.00

Slice 1 0.34

Slice 2 0.70

Slice 3 0.92

Slice 4 -0.02

Results for System A

Slice Center [HU] Diff.3 [HU] Diff.6 [HU] Diff.9 [HU] Diff.12 [HU]
Tolerance: Tolerance: Tolerance: Tolerance: Tolerance:
-4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00 -4.00 … 4.00

Slice 1 0.34 0.05 -0.02 0.07 0.34

Slice 2 0.70 -0.41 -0.39 -0.77 -0.40

Slice 3 0.92 -0.75 -1.02 -1.16 -1.09

Slice 4 -0.02 0.35 0.12 0.22 0.27

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 11 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

2 Noise
2.1 Test Description
N/A

2.2 Common Parameters

Parameters

Scan Type Sequence

Number of Images 4

Slice Width Reconstructed 5.00 mm

Collimation 32x0.7 mm

UHR FALSE

Shaped Filter Standard

Tin Filter FALSE

Window Width 500 HU

Window Center 0 HU

FoV 250 mm

2.3 Test Data

2.3.1 Typical pediatric body mode

Parameters

System A

Voltage 110 kV

(continued)

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 12 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Parameters

System A

Current 122 mA

Scan Time 0.5 s

Rotation Time 0.5 s

Body Region Body

Kernel Br40f

Radius of ROIs 40 mm

Result

Slice Results for System A [HU] Status

Tolerance: 6.63 … 8.97

Slice 1 7.61 In Tol.

Slice 2 7.59 In Tol.

Slice 3 7.70 In Tol.

Slice 4 7.50 In Tol.

2.3.2 Typical head mode

Parameters

System A

Voltage 120 kV

(continued)

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 13 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Parameters

System A

Current 200 mA

Scan Time 1.0 s

Rotation Time 1.0 s

Body Region Head

Kernel Hr40f

Radius of ROIs 40 mm

Result

Slice Results for System A [HU] Status

Tolerance: 3.37 … 4.57

Slice 1 3.96 In Tol.

Slice 2 4.03 In Tol.

Slice 3 3.93 In Tol.

Slice 4 3.91 In Tol.

2.3.3 Typical pediatric head mode

Parameters

System A

Voltage 110 kV

(continued)

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 14 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Parameters

System A

Current 95 mA

Scan Time 1.0 s

Rotation Time 1.0 s

Body Region Head

Kernel Hr40f

Radius of ROIs 40 mm

Result

Slice Results for System A [HU] Status

Tolerance: 5.56 … 7.52

Slice 1 6.38 In Tol.

Slice 2 6.44 In Tol.

Slice 3 6.47 In Tol.

Slice 4 6.31 In Tol.

2.3.4 Typical body mode

Parameters

System A

Voltage 120 kV

(continued)

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 15 of 17

 RS Puri Cinere | SOMATOM go.All | Serial Number: 118190 | Customer ID: 40034398

Parameters

System A

Current 216 mA

Scan Time 0.5 s

Rotation Time 0.5 s

Body Region Body

Kernel Br40f

Radius of ROIs 40 mm

Result

Slice Results for System A [HU] Status

Tolerance: 4.42 … 5.98

Slice 1 5.23 In Tol.

Slice 2 5.12 In Tol.

Slice 3 5.17 In Tol.

Slice 4 5.06 In Tol.

© Siemens Healthcare GmbH, 2020 | 3/18/2020 4:32:04 PM Page 16 of 17

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Henkestr. 127
91052 Erlangen
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Phone: +49 9131 84-0
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