Troubleshooting with the Image Phantom (Revised)

In order to visualize the image phantom properly, select 66 kV and

6 mA during x-ray scans.

Tape the copper strip over the vertical line on the sensor as further beam attenuation. Note: The
copper strip cannot extend below the bottom of the sensor

The Phantom images can be precisely measured by using the application program called “IMAGEJ”
which is included within the Progeny Imaging workstation software. Other image management
applications programs may also be used if they include a reliable, calibrated measuring feature.

Note: Proper positioning of the image phantom and the cuspid laser is
essential to phantom image evaluation.

Misalignment of the image phantom or the Cuspid Laser will affect all
subsequent images produced.
 Verify the image phantom is firmly placed on the patient table. The position
of the image phantom should leave no gaps between the phantom
mounting block and the patient table casting.

The cuspid laser must be in the center position. Use the smallest alignment pin and insert it in the hole
underneath the Cuspid Laser to center the Laser wheel. Remove the pin.

PHYSICAL MANIFESTATIONS

Note: Ideally alignment circles are equally focused both above and below the horizontal centerline

Round alignment circles only in focus above the horizontal line (below out of focus)

1. This indicates that the focal trough is too far from the vertical column.
2. Perform the X axis patient table alignment.
3. If problem persists, inspect the condition of the cuspid position potentiometer. Replace if necessary.
4. Perform cuspid position pot calibration.
Round alignment circles only in focus below the horizontal line (above out of focus)

1. This indicates that the focal trough is too close to the vertical column.
2. Perform the X axis patient table alignment.
3. If problem persists, inspect the condition of the cuspid position potentiometer. Replace if necessary.
4. Perform cuspid position pot calibration.

The central horizontal line has an arch

1. The requirement is an arch of less than 6 millimeters

2. An arch in the horizontal line, either up or down from the center could be an indication of a
mechanical distortion in the symmetry of the overhead casting.
3. Perform realignment of X, Y and R axis and patient table alignment.
4. If not corrected Seek replacement of the Pan system with a Refurbished unit.

Vertical lines are not equidistant from center

1. The specified length on each side from center is 78 mm ± 3 mm and ± 3mm between sides
2. Perform the C-Arm “Zero Position” alignment.
3. If problem persists, perform Y-axis alignment.

Horizontal line is too long / too short

1. The specified line length is 156 mm ± 6 mm,

2. If the image measurement is not within the tolerance specified perform the X axis patient table
alignment.
3. If problem persists, inspect the condition of the cuspid position potentiometer. Replace if necessary.
4. Perform cuspid position pot calibration.

Vertical lines are not perpendicular to the horizontal plane

1. The requirement is to be perpendicular; center line is within 4° L/R line is within 6°

2. Verify that the vertical lines are equidistant.
3. If so, perform the Y-axis table alignment.
4. Inspect the condition of alignment between the x-ray tube, collimator and sensor.
5. Seek replacement of the Pan system with a Refurbished unit.

Horizontal line is tilted

1. The tolerance is a tilt of less than 6 mm

2. Perform the patient table alignment
3. If problem persists it may be due to a tilt in the horizontal line, either up or down from the center is
an indication of mechanical distortion in the symmetry of the overhead casting.
4. Seek replacement of the Pan system with a Refurbished unit

TMJ markers are not equivalent

1. Perform the C-Arm “Zero Position” alignment.

2. If problem persists, perform Y-axis alignment.
 Good Image Example

Poor Image Examples

 Vantage Alignment
Required Tools:
Pan Alignment Kit - # 002-10398-00

Suggested Tool Compliment

• T10 Torx Driver
• 4 mm Hex Driver (with ball tip)
• 3mm Hex Driver
• 2.5mm Hex Driver
• Spring Puller

Enter Service Mode using the following:

Select the Options Button, Select Service Icon, Enter Pass Code: 77469 and Select OK
Move the Temple support wands down by loosing their mounting screw and turning the wands.

1. Perform the Y Axis Alignment Procedure

a. Enter service mode and touch the picture of the overhead.
b. Select Axis Service and Diagnostics.
c. Select the Y axis.
d. Manually move the overhead until the large alignment pin fits in the zero-position hole.

e. Remove the pin and touch ‘Set Alignment’.

f. Wait for the system to stop moving.
g. Select ‘Move to Home’ and wait for the movement to stop
h. Confirm that the flag is centered in the optical sensor.

i. Select ‘Move to Zero’ and wait for movement to stop. When movement has stopped,
re-insert the pin in the zero-position hole, and confirm that it inserts fully.
j. The Y-opto Delta should report ‘OK’, If the value is OK proceed; if not- Adjust the Opto
slightly. Repeat steps D through J until you receive ‘OK’.
k. Note the expected RTC value range is between 15,500-17,500, moving the opto forward
increases the value.
l. Select-Touch ‘Finish’ twice to return to service screen.
2. Perform the X Axis Alignment Procedure
a. Enter service mode and touch on the overhead.
b. Select Axis Service and Diagnostics.
c. Select the X axis.
d. Manually move the overhead until the medium alignment pin fits in the zero-position
hole. The overhead can be moved using the column keys or by turning the black lead
screw (threaded rod) manually.

e. Remove the pin and select ‘Set Alignment’.

f. Wait for the system to stop moving.
g. Select ‘Move to Home’ and when the movement has stopped, confirm that the flag is
centered in the optical sensor.

h. Select ‘Move to Zero’ and wait for movement to stop. When movement has stopped,
insert the pin in the zero-position hole, and confirm that it inserts fully. If it doesn’t
insert fully, go back and repeat step 2.d.
i. Select ‘Finish’ twice to return to service screen.
3. Perform the C Arm Alignment Procedure
Note: This can only be done when the X-axis is in zero position.

a. Enter service mode and touch the picture of the overhead.

b. Select Axis Service and Diagnostics.
c. Select the R axis.
d. Rotate the C-arm until the screw that is visible in the cover slot lines up with the pinion gear
shank

e. Insert the medium alignment pin in the zero-position hole.

f. Remove the pin and select ‘Set Alignment’.

g. Wait for the system to stop moving.
h. Select ‘Move to Home’ and when the movement has stopped, confirm that the micro switch
lever is at the high position (pan1) or flag is in the opto (pan2.0, 2.1).
i. Select ‘Move to Zero’ and wait for movement to stop. When movement has stopped, insert
the medium alignment pin in the zero-position hole, and confirm that it inserts fully.
If it doesn’t insert fully, go back and repeat step 3.d.
j. Select ‘Finish’ twice to return to service mode.
4. Perform the Collimator Calibration Procedure
a. Select (touch) on the tube-head in the image.
b. select Calibrate Collimator.
c. Select Calibrate axis.
d. Wait until the status line asks you to make an exposure.
e. Wait until the ‘Moving’ status indicator goes back to grey.
f. Hold down the exposure switch until the cooling indicator lights, or the audible X-ray
indicator finishes.
g. The status line will indicate the necessary angular adjustments to the collimator. Using
a hex key, loosen the two screws holding the collimator in place and tighten them until
they just contact the collimator body.
h. Turn the angle adjustment screw the amount indicated in the status line (the angle
needs to be under 0.25).
i. Tighten the two screws holding the collimator in place.
j. Select on ‘Continue’.
k. When the cooling indicator clears, the status line will ask for an exposure.
l. Wait until the ‘Moving’ status indicator goes back to grey.
m. Hold down the exposure switch until the cooling indicator lights, or the audible X-ray
indicator finishes.
n. If the angular adjustment was enough (the angle needs to be under 0.25), the procedure
will move to the next step. If not, the status line will indicate the necessary adjustment.
Repeat steps g through m until the procedure stops asking for angular adjustment.
o. Wait until the status line asks you to make an exposure.
p. Wait until the ‘Moving’ status indicator goes back to grey.
q. Hold down the exposure switch until the cooling indicator lights, or the audible X-ray
indicator finishes.
r. If the calibration is successful, the status line will indicate this. If not, repeat steps j
through q. You will need to make one final exposure to verify the calibration. If not,
repeat steps j through q. The angle needs to be under 0.25.
s. Wait until the status line asks you to make an exposure.
t. Wait until the ‘Moving’ status indicator goes back to grey.
u. Hold down the exposure switch until the cooling indicator lights, or the audible X-ray
indicator finishes.
v. The status line will indicate successful verification.
w. Select on ‘Finish’ 2 times to end.
5. Image Verification
a. Using the imaging workstation computer.
b. From the imaging software (or PI) Launch the PTwain and connect the Pan.
c. Launch (or load and Launch) Image J on the PC.
Note: if loading you may need to also load java as ImageJ requires Java.
d. Mount the Phantom with adaptor on the patient positioning table.
Note: Insure the cuspid laser is in the zero position, using the small pin to
insert at the bottom of the patient table. If the laser is in the zero
position the wheel to move the laser cannot move back and forth
e. Tape the copper strip over the vertical line on the sensor, approximately 5mm from the
lower edge.
f. Set the kV to 66 and the mA to 6

g. Bring the Pan to ‘Green Ready’ by taping the return button until Ready is Green.
h. Capture the images of the phantom.
i. Click on the diskette on the PTwain screen and save the image to the workstation
desktop.
j. Open the image in Image J. by dragging and dropping the image to image J
k. Click on Image/Properties/ and make sure the units are set to mm, and the pixel size is
set to 0.096 width and height. Click OK.
l. Using the line tool, draw a line between the following features in the image
After each line, hit ctrl-m
i. Using the straight-line selections command, measure the width of the image
from the center vertical line to the R/L vertical line adjacent to the R/L. Distance
should be 78 mm ± 3mm
ii. Using the straight-line selections command, measure the width of the image
from the vertical line adjacent to the R to the vertical line adjacent to the L.
Distance should be 156 mm ± 6mm
iii. The actual measurements determine the next steps 1st set size X-Axis Table
adjustment then balance as needed with Y-axis table adjustment.

If measurement is not within the desired range

1. Select option
2. Services/77469
3. Select overhead and select Axis service and Diagnostics
4. Select X-axis
a. Select move to table (once unit stop moving)
b. Make adjustment according to the measurement (See below
guidance for x-axis adjustment)
c. Once adjustment is made, select set table
d. Exit out, capture phantom image
e. Take measurement, if measurement out of range repeat as
needed
5. If angle measurement is off
a. Select option
b. Services/77469
c. Select overhead and select Axis and diagnostics
d. Select y-axis
 i. Select move to table (once unit stop moving
ii. Make adjustment according to the measurement (See
following note: for y-axis adjustment
iii. Once adjustment is made, select set table
iv. Exit out, capture phantom image
v. Take measurement, if measurement out of range repeat
step (5i to 5iv)

X Axis Table Position Adjustments

b. To make the Phantom Image larger – Move the X axis screw in counterclockwise
direction, this will move the overhead towards the column
c. To make Phantom Image smaller – Move the X axis screw in clockwise direction, this will
move the overhead away from the column
d. Ratio of movement of lead screw is 1:3
e. Example: For moving the image from overall length of 154 mm to 157 mm, that is
increase of image length by 3 mm requires screw block to be moved by 1mm.

To change length of left side – right side image

Move Y axis table position

➢ To make Phantom Image larger at left hand side on the monitor – Move the Y axis screw
in counterclockwise direction, this will move the overhead towards right when the PAN
is viewed from the front
➢ To make Phantom Image smaller on the left – Move the Y axis screw in clockwise
direction, this will move the overhead towards left when the PAN is viewed from the
front
➢ Ratio of movement of lead screw is 5mm per revolution (Usually move in increments of
1/8th of rotation)

To change angle of the center 2 lines on the image

Move Y axis table position

➢ To Make lines move counterclockwise – Move the Y axis screw in clockwise direction,
this will move the overhead towards left when the PAN is viewed from the front
➢ To Make lines move clockwise – Move the Y axis screw in counterclockwise direction,
this will move the overhead towards right when the PAN is viewed from the front
➢ Ratio of Movement of screw not defined (Usually move in increments of 1/16th of
rotation).

6. Confirm system alignment and functionally by using the Image Phantom making a couple test
images.