GE Healthcare

CT/e
Operator Manual

GE Medical Systems does business as GE Healthcare

CT/e
Operator Manual, English
5126652-100
Revision：6
© 2006 General Electric Company
All rights reserved.
 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 issue.
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.
Chapter 1
SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Overview of CT System and Examination . . . . . . . . . . . . . . . . . . . 1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
General Procedures of CT Examination : . . . . . . . . . . . . . . . . 1
Main Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Gantry Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Gantry Display Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Operator Console (OC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Standard Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Head Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Body Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
System Power On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
HIPAA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Shut Down and Start Up the System . . . . . . . . . . . . . . . . . . . . . . 26
Login and Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Configure Users for the System . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Chapter 2
SCAN TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Icon Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Function of Each Icon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Patient Schedule 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Select Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
View More Info . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Add Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Edit Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Delete Selected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Delete All . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Protocol Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Auto Voice Record 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Protocol Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Retro Recon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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Recon Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 25
Suspended Entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 26
Recon Queue Management . . . . . . . . . . . . . . . . . . . . . . ... 26
Tube Warm-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 27
Tube Warmup 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 28
Save Rawdata to MOD . . . . . . . . . . . . . . . . . . . . . . . . . . ... 33
Restore/Delete from MOD . . . . . . . . . . . . . . . . . . . . . . . . ... 34
Reserve/Release Rawdata . . . . . . . . . . . . . . . . . . . . . . . ... 35
Initialize MOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 36
Save Rawdata to DVD . . . . . . . . . . . . . . . . . . . . . . . . . . ... 39
Restore/Delete from DVD . . . . . . . . . . . . . . . . . . . . . . . . ... 40
Reserve/Release Rawdata . . . . . . . . . . . . . . . . . . . . . . . ... 41
Initialize DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 42
User Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 43

Chapter 3
DISPLAY TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . ... 1
Primary/Secondary Viewport . . . . . . . . . . . . . . . . . . . . . . . . ... 2
Focus Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 2
Image Display Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 3
Layouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 3
Autoview Layouts 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 4
Review Layouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 6
Multiple Image Display (MID) . . . . . . . . . . . . . . . . . . . . . ... 6
List/Select 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 7
Routine Display 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 9
Roam / Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 10
Explicit Magnify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 11
Flip/Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 12
ProView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 13
GSE (Gray Scale Enhancement) . . . . . . . . . . . . . . . . . . ... 14
Display Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 14
List / Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 15
Ellipse ROI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 15
Measure Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 16
Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 16
Cross Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 17
User Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 18
Exam Pg / Series Pg . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 19
Hide/Show Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 20
Erase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 20
Screen Save . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 20

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Measurements 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
MIROI (Multiple Image ROI) . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Report Pixels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Display Preference 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Annotation Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Next/Prior Each Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Next/Prior Series Binding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Continuous Report Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Manual Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Auto Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Accelerator Bar 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Chapter 4
SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Patient Positioning 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
New Patient 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Scout Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Icons on Scout prescription screen . . . . . . . . . . . . . . . . . . . . . 7
Auto Store . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Auto Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Axial/Helical Scan Prescription 1 . . . . . . . . . . . . . . . . . . . . . . . . . 13
Axial/Helical Prescription (View/Edit) Screen . . . . . . . . . . . . . . 13
Continuous Scan Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Prescribe Scan Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Prospective Multiple Reconstruction . . . . . . . . . . . . . . . . . . . . 21
Prospective Multiple Reconstruction . . . . . . . . . . . . . . . . . . . . 22
Icons of the Axial/Helical Scan Prescription screen (1) . . . . . . 23
Icons of the Axial/Helical Scan Prescription screen (2) . . . . . . 28
Show Localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Show Localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Axial/Helical Scan in Progress . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Axial/Helical Scan End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Priority Recon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Next Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Repeat Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
One More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Repeat Last Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

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Biopsy Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Biopsy Rx prescription . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Smart Addition 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Chapter 5
FILMING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 1
AutoFilm 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 1
Start New Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 5
Continue Same Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 5
Cancel Film Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 5
AutoFilm Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 10
Manual Film . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 11
Manual Film Composer 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 12
Image removal from Film Composer . . . . . . . . . . . . . . . . ... 16
Load images by drag and drop . . . . . . . . . . . . . . . . . . . . ... 16
Load images by F1 function key . . . . . . . . . . . . . . . . . . . ... 16
Page filming by F2 function key . . . . . . . . . . . . . . . . . . . ... 17
MID (Multiple Image Display) filming by F3 function key ... 17
Series filming by F4 function key . . . . . . . . . . . . . . . . . . ... 18

Chapter 6
QUALITY ASSURANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 1
Phantom Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 2
QA Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 2
Phantom Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 3
Scan the QA Phantom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 4
Test and Analysis of the Phantom Images . . . . . . . . . . . ... 4
Contrast Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 5
High Contrast Spatial Resolution . . . . . . . . . . . . . . . . . . . . . ... 6
Slice Thickness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 7
Positioning Light Accuracy (optional) . . . . . . . . . . . . . . . . . . ... 8
Low Contrast Detectability . . . . . . . . . . . . . . . . . . . . . . . . . . ... 9
Noise and Uniformity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 10
Typical Results and Allowable Variations . . . . . . . . . . . . . . . ... 11
Contrast Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 11
High Contrast Spatial Resolution . . . . . . . . . . . . . . . . . . ... 11
Nominal Slice Thickness . . . . . . . . . . . . . . . . . . . . . . . . . ... 11
Low Contrast Detectability . . . . . . . . . . . . . . . . . . . . . . . ... 11
Noise and CT Number of Water . . . . . . . . . . . . . . . . . . . ... 11
Weighted CTDI100 (CTDIW) . . . . . . . . . . . . . . . . . . . . . . . . . ... 12
Dose and Performance 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 13

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 Statement of Typical Technique . . . . . . . . . . . . . . . . . . . . . . . . 13
CT Dose Index (CTDI) For Typical Technique At Various Positions On The
Phantom Image. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CTDI Over A Range of Techniques . . . . . . . . . . . . . . . . . . . . . 14
Helical Dose For Typical Helical Technique . . . . . . . . . . . . . . . . . 14
Dose and Performance 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Statement of Typical Technique . . . . . . . . . . . . . . . . . . . . . . . . 15
CTDI100 For Typical Technique At Various Positions On The Phantom Image.
15
CTDI100 Over A Range of Techniques . . . . . . . . . . . . . . . . . . . 16
Dose and Sensitivity Profile at Phantom Center . . . . . . . . . . . . . 17
Image Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
MTF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Nominal Tomographic Section Thickness . . . . . . . . . . . . . . . . 21
Sensitivity Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Phantoms and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Dose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Modulation Transfer Function (MTF) . . . . . . . . . . . . . . . . . . . . 22
Slice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Deviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
CTDI and CTDIW Typical Techniques . . . . . . . . . . . . . . . . . . . 23
Dose Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Chapter 7
TECHNICAL SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . 1
Component Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Component Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
X-Ray Tube Assembly Information . . . . . . . . . . . . . . . . . . . . . . . . 3
Diagnostic Source Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Leakage Technique Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Minimum Inherent Filtration . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
X-Ray Tube IEC Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
X-ray Tube Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
X-ray Tube Insert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
X-ray Tube Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
X-ray Tube Insert Information . . . . . . . . . . . . . . . . . . . . . . . . . 5
Nominal Anode Input Power . . . . . . . . . . . . . . . . . . . . . . . . . . 6

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 Maximum Anode Heat Capacity . . . . . . . . . . . . . . . . . . . ... 6
Maximum Anode Heat Dissipation . . . . . . . . . . . . . . . . . ... 6
Anode Heating and Cooling Curves . . . . . . . . . . . . . . . . . . . ... 7
Single Load Rating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 7
Serial Load Ratings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 7
Rotating Anode Supply . . . . . . . . . . . . . . . . . . . . . . . . . . ... 7
Tube Assembly Information . . . . . . . . . . . . . . . . . . . . . . . . . ... 8
Tube Assembly Heating and Cooling Curves . . . . . . . . . . . . ... 10
Leakage Radiation - Loading Factors . . . . . . . . . . . . . . . ... 10
Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 10
Transportation and Storage . . . . . . . . . . . . . . . . . . . . . . ... 10
Transport Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 10
Generator Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 11
Main Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 11
Generator Rating and Duty Cycle . . . . . . . . . . . . . . . . . . ... 11
Measurement Basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 12
The Attenuation Equivalent . . . . . . . . . . . . . . . . . . . . . . . . . ... 13
Periodic Maintenance by Qualified Personnel . . . . . . . . . . . ... 14
Maintenance by CT Users . . . . . . . . . . . . . . . . . . . . . . . . . . ... 16
Symbols and Classification . . . . . . . . . . . . . . . . . . . . . . . . . ... 17
Class 1 Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 20
Type B Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 20
Ordinary Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 20
Operation Of Equipment . . . . . . . . . . . . . . . . . . . . . . . . . ... 20
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 21

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6
 Regulatory Requirements

This product complies with regulatory requirements of the following:

o 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:
o Green QSD 1990 Standard issued by MDD (Medical Devices Directorate, at
the UK Department of Health).
o Medical Device Good Manufacturing Practice Manual issued by the FDA
(Food and Drug Administration, United States Department of Health).
o Requirements from Underwriters Laboratories, Inc. (UL), independent
laboratory.
o Requirements from Canadian Standards Association (CSA).
o 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 electromagnetic
radiation from itself. This product is designed to fully comply with the group 1
EN60601-1-2: Edition 2 (2001) [ IEC60601-1-2:Edition 2 (2001)], Class A, in
EMC regulations. In terms of EMC performance, limit value 12dB relaxation in
electromagnetic interference of permanently-installed medical system used in a
lead-shielded area, is applied to this product.
CT/e system compliance below EMC Emissions and Immunity Declaration(See
below Table 1 and 2)

Table 1

EMC Emissions Declaration For CT/e

The CT/e is intended for use in the electromagnetic environment specified
below. The customer or the user of the CT/e should assure that it is used in
such an environment.
Emissions Test Compliance Electromagnetic Environment Guide
RF emissions Group 1 The CT/e uses RF energy only for its
CISPR 11 internal function. Therefore, its RF
emissions are very low and are not likely
to cause any interference in nearby
electronic equipment.
RF emissions Class A The CT/e , when installed in such a
CISPR 11 shielded location, is suitable for use in all
establishments other than domestic and
those directly connected to the public
low-voltage power supply network that
supplies buildings used for domestic
purposes.

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 Table 2

EMC Immunity Declaration For CT/e

The CT/e is intended for use in the electromagnetic environment specified below.
The customer or the user of the CT/e should assure that it is used in such an
environment.
Immunity Test IEC 60601-1-2 Compliance Electromagnetic Environment
Test Level Level Guidance
Electrostatic ± 6 KV contact ± 6 KV Floors should be wood, concrete,
discharge ± 8 KV air contact or ceramic tile. If floors are covered
(ESD) ± 8 KV air with synthetic material, the relative
IEC 61000-4-2 humidity should be at least 30%.
Electrical fast ±2 KV for power ±2 KV for Mains power quality should be that
transient/burst supply lines power supply of a typical commercial or hospital
IEC 61000-4-4 ±1KV for input/ lines environment
output lines ±1KV for
input/output
lines
Surge ± 1 KV line-line ± 1 KV line-
line
Mains power quality should be that
IEC 61000-4-5 ± 2KV line- of a typical commercial or hospital
ground ± 2KV line-
environment
ground
Voltage dips, Mains power quality should be that
short <5% UT of a typical commercial or hospital
interruptions environment. If the user of the
and voltage (>95% dip in CT/e requires continued operation
variations on UT) for 5 sec during power mains interruptions, it
power supply is recommended that the CT/e be
input lines IEC powered from an uninterruptible
61000-4-11 power supply or a battery.
Power Power frequency magnetic fields
frequency (50/ 3 A/m 3 A/m should be at levels characteristic of
60Hz) a typical location in a typical
magnetic field commercial or hospital
IEC 61000-4-8 environment.
Note : UT is the a.c. mains voltage prior to application of the test level.

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 Notice upon Installation of the Product
o Locate the equipment as far as possible from other electronic equipment.
o Be sure to use either any cables provided by GEYMS or ones designated by
GEYMS. Wire these cables following these installation procedures.

General Notice
o 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.
o Notice against User Modification
Never modify this product. Unilateral user modification may cause degradation
in EMC performance. Modifications of product include ;
• Changes in cable ( length, material, wiring etc.)
• Changes in system installation/layout
• Changes in system configuration/components
• Changes in means of fixing the system/parts ( cover open/close, cover screw-
ing )
o 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 performance.

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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
• Electromagnetic interference may be alleviated by positioning other equip-
ment far from the system.
• Electromagnetic interference could be mitigated by changing the relative loca-
tion/installation angle between the system and other equipment.
• Electromagnetic interference may be eased by changing wiring locations of
power/signal cables of other equipment.
• Electromagnetic influence could be reduced by altering the path of power sup-
ply for other equipment.
• Electromagnetic environment specified below Table 3 and Table 4.

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 Table 3

EMC Immunity Declaration For CT/e

The CT/e is intended for use in the electromagnetic environment specified below. The customer or the
user of the CT/e should assure that it is used in such an environment.
Immunity IEC 60601-1-2 Compliance Electromagnetic Environment Guidance
Test Test Level Level
Protable and mobile RF communications equipment
should be used no closer to any part of the CT/e ,
including cables, than the recommended separation
distance calculated from the equation appropriate for
the frequency of the transmitter.
Conducted 3 Vrms 3V
RF Recommended Separation Distance
150 kHz to
IEC 61000- 80 MHz 3,5
4-6 d =[ ] P (see Table 4)
3

3,5
d =[ ] P 80 MHz to 800 MHz (see Table 4)
3

Radiated 3 Vrms 3 V/m 7

RF d = [ ] P 800 MHz to 2,5 GHz (see Table 4)
80 MHz to 3
IEC 61000- 2,5 GHz
4-3 Where P is the maximum output power
(alternative rating of the transmitter in watts (W)
method: IEC according to the transmitter manufacturer
61000-4- and d is the recommended separation
21) distance in metres (m).
Field strengths from fixed RF transmitters,
as determined by an electromagnetic site
survey, a should be less than the
compliance level in each frequency range. b
Interference may occur in the vicinity of
equipment marked with the following
symbol:

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vi
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the
location in which the CT/e is used exceeds the applicable RF compliance level above,
the CT/e should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating
the CT/e .
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/
m.
Note : These guidlines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects, and people.

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 Table 4

Recommended separation distances between portable and mobile

RF communications equipment and the CT/e
The CT/e is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the CT/e can help prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communications equipment (transmitters) and the CT/e as recommended
below, according to the maximum output power of the communications equipment.
Rated Maximum Separation distance according to frequency of transmitter
Output Power (P) if m
Trabsnitter Watts
(W) 150 kHz to 80 MHz to 800 MHz to
80 MHz 800 MHz 2,5 GHz
3,5 3,5 7
d =[ ] P d =[ ] P d =[ ] P
3 3 3
Separation Separation Distance Separation Distance
Distance meters meters meters
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the separation
distance can be estimated using the equation in the corresponding column, where P is
the maximum output power rating of the transmitters in watts (W) according to the
transmitter manufacturer.
Note : At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
Note : These guidlines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects, and people.

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

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 Safety !

WARNING!
FAILURE TO FOLLOW THE OPERATING INSTRUCTIONS AND SAFETY
PRECAUTIONS COULD RESULT IN INJURY TO THE PATIENT, YOURSELF,
OR OTHERS.

General Safety
o 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.
o 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.
o 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.
o Conduct Image Quality checks and follow the maintenance schedule
outlined in your CT/e 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
o Use of controls or adjustments, or performance of procedures other than
those specified herein may result in hazardous radiation exposure.
o Always use proper technique factors for each procedure to minimize X-
Ray exposure while still producing the best diagnostic results.
o 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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 Mechanical Safety
o Never open, or remove, the gantry covers. (Only qualified service personnel
should remove covers.)
o 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.)
o 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.)
o Physically assist all patients on and off the table, and into position on the
cradle.
o While a patient is being loaded onto a CT table from a gurney, make sure via
the following measures that the gurney NEVER moves.
• Lock all the casters of the gurney.
• 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.
o Return the gantry to the 0° upright position, latch the table, and set it at a
comfortable height for patient loading and unloading.
o 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.
o 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.
o 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.
o Do not use the table base as a foot rest. You could entrap and injure your
foot while lowering the table.
o Don't place your hands inside the gantry cover when tilting the gantry. The
gantry can pinch or crush your hands!
o 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

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x
 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.
o 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.
o The cradle has a maximum distributed load capacity of 180 kg. GE assures
incremental accuracy and normal traverse speeds up to 180kg. Exceeding
the 180 kg maximum limit could result in degraded positioning performance,
increased table lowering speed, equipment damage and/or injury.

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 Electrical Safety
o Avoid all contact with any electrical conductors.
o 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.

Software Safety
o 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.
o 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.
o 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
o 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.
o 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 repre-

sentative to arrange training sessions to meet your needs.

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 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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xiii
 IMPORTANT SAFETY INFORMATION
As a manufacturer of CT systems, we would like to take a moment to remind all
Technologists and Radiologists that clinical interpretation errors can be made
due to motion artifacts in large vessels, i.e. Thoracic Aorta. These motion
artifacts may emulate a vessel dissection. Interpretation errors may cause
misdiagnosis or unnecessary surgery. Vessel motion artifacts have been
documented in Radiology literature for some time.

Motion artifacts in large vessels may be caused when using any manufacturer’s
CT scanner capable of scanning with 1 second or less rotation times. The
pulsation of the vessel creates a double margin of the vessel emulating a
dissection. The motion artifact is an interaction between the pulsation of the
vessel and the rotation time of the scan.

As an aide, we have updated the CT system with the following information to

help rule out artifact or real pathology in clinical situations where a vessel
dissection may be apparent.

“It has been documented in radiology literature that an artifact may

occur in the chest that bears the double margin of the great vessels, which
emulates a dissection of the vessel during 0.5 to 1.0 second scans. This
can occur in axial or helical scans. If you have scanned axially or helically
with a 0.5 to 1.0 second rotation time and observe this phenomenon,
rescan the area with a 2 second axial scan to verify if it is artifact or patient
pathology.

Please ensure that the appropriate personnel in your CT Department are made
aware of this notice. If you have any questions regarding this notice, please
contact your local GE representative.

If you would like to review additional information in the clinical literature please
review the following publication: Gotway, Michael: Helical CT evaluation of
the thoracic aorta. Applied Radiology: Sept. 2000, 7-28.

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xiv
 Warning Labels

Labels on Keyboard
o 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, instructions and maintenance
schedules are observed. To be used by authorized
personnel only.

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xv
 o The following label is attached at the rear side of the gantry pedestal.
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE WISCONSIN, U.S.A BY
GE HANGWEI MEDICAL SYSTEMS CO.LTD
No.2,NORTH YONG CHANGE STREET
ECONOMIC-TECHNOLOGICAL DEVELOPMENT ZONE
BEIJING, P.R.CHINA

MODEL xxxxxxx
S/N yyyyyyy CLASS 1

MANUFACTURED
DESC GANTRY
SOURCE: 30A/200V~50/60Hz
SOURCE: 30A/115V~50/60Hz
SOURCE: 15A/115V~50/60Hz
SOURCE: 50A/380~480V3~50/60Hz

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

CAUTION

Do not grasp the side of the cradle.

Accessory Caution
o The following labels are attached to the standard headholder and shallow
head holder.

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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xvii
 o 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.

o 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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xviii
 Radio Wave Caution
o 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 specifications.
Keep power to these devices turned off when near this
equipment.

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 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.

This symbol indicates that waste electrical and electronic

equipment must not be disposed of as unsorted municipal
waste and must be collected separately. Please contact an
authorized representative of the manufacturer for information
concerning the decommissioning of your equipment.

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

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 Blank page

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xxii
 Chapter 1
SYSTEM
Overview of CT System and Examination
Overview
The CT/e 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 (PDU).
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 :

1. The operator prescribes the examination(scan) procedures at the OC while
the patient is positioned on the table in the scan room.

2. As 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.

3. The 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 Monitor
of the OC and subject to manipulation for analysis. The images can also be
filmed later for diagnoses by a physician.

4. The 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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SYSTEM
Main Components

Gantry

Emergency Display Panel

Button Emergency
Button

Breath Navi
Control Panel

Positioning Positioning
Light Light

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

• 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.

• Emergency Button
Pressing the emergency button stops every mechanical movement and the X-
ray emission.

• 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.

• Positioning Light & Breath Navi

The Halogen 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.

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1-2
 SYSTEM
Gantry Specifications
• Aperture : 65 cm.
• Tilt : +/- 20 degrees
• Tilt speed : 1 degree/second
• Height to isocenter : 90 cm.
• Rotation speed : 360 degrees in 1.0, 1.5, 2.0, 3.0, 5.0 seconds

X-ray Tube Specifications

• Anode heat storage capacity : 2.0 MHU
• Anode heat dissipation : 500 KHU/min. (maximum)
• Casing heat dissipation : 275 KHU/min. (constant)
• Focal size : 0.7 mm × 0.6 mm

HiLight Detector Specifications

• Channels : 720

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1-3
SYSTEM
Gantry Control Panel
Internal Tilt Range
External Landmark &
Display Landmark Scannable
Distance from Range
Iso–Center
Practice Positioning
Light

Fast

Table Up
Cradle In
Positioning
Light
Table Down

Cradle Out
Fast Gantry Tilt
Lamp
Gantry Tilt
Lamp
Gantry Tilt

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

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

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

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

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 SYSTEM
• 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.

• Gantry Tilt Lamp

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

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

• External Landmark
Use this to move the anatomy beneath the external positioning light.

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

• Tilt Range & Scannable Range

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

• 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.)

• Display Distance from Iso-Center

Use this to display the distance between the iso-center and the top of the
table.

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1-5
SYSTEM
Gantry Display Panel

Distance from Iso–Center (mm)

Interference

Distance from Landmark (mm) Tilt/Angle

Range X–ray On

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

• X-ray On
The X-ray On lamp illuminates during X-ray exposure.

• 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).

• 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).

• 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. This is displayed when the
Display Distance from Iso-Center button on the gantry panel is pressed.

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

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Table

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

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

• 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.

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

• Foot Switch
The Foot switch is placed at the foot of the table. When the operator steps on it,
the switch turns on and activates functional buttons on the gantry panel.

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Table Specifications
• Vertical range : from 40 cm to 90 cm (cradle height from floor)
• Vertical elevation speed : 17 mm/second on average
• Maximum cradle travel : 1520mm
Note : Table Height, Gantry Tilt, and scanning software determine the
scannable range.
• Cradle travel speed : 20 mm/second (Slow mode), 100 mm/second (Fast
mode)
• Cradle travel pitch : 0.5 mm
• Table load capacity : maximum 180 Kg

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 SYSTEM
Operator Console (OC)

Main Switch

CD–ROM Drive
5” MOD Drive
3.5” 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.

• Scan/Display Monitor
The 17-inch monitor (21-inch optional) on the OC can be mainly used for two
purposes, scanning patients and displaying images.

• Keyboard/Mouse
Please refer to the User Interface on page 1-10.

• Main Switch
Please refer to the System Power On/Off on page 1-22.

• CD-ROM Drive
This drive is dedicated to service or application software installation.

• 3.5’’MOD (Magnetic Optical Disk) Drive

Raw data can be stored in 3.5-inch MOD.

• 5”MOD (Magnetic Optical Disk) Drive (option)

Image data can be stored in 5-inch MOD
Caution : It is highly recommended to always take back-up image data because
of a possibility of medium breakdown.

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If you installed the DVD-RAM drive, pls pay attention below drive’s description:

Main Switch
DVD-RAM Drive
5” MOD Drive(Option)

• DVD-RAM Drive
Raw data can be stored in DVD-RAM.

• 5”MOD (Magnetic Optical Disk) Drive (option)

Image data can be stored in 5-inch MOD

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User Interface
The CT/e 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:

• "Click"
Press a button once then release it quickly.

• "Double / triple click"

Click two/three times quickly.

• "Click and drag"

Press and hold the button and move the mouse across the pad.

Main functions of each button are as follows:

• Left button
To select any of icon, item, function, etc.

• Middle button
To change window width and/or level by moving the mouse left/right and/or up/
down respectively with the button pressed.

• 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.

Volume Dial
Move to Stop Start Stop
Scan Move Scan Pause Scan Emergency
X–ray on Stop Mic.
Talk Button

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

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 SYSTEM
Scan-related buttons

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

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

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

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

• X-ray on
This button lights up during X-ray emission.

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

• 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 affects the power neither to OC nor laser camera.

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Communication button/dials

• Talk (Intercom)
Hold down this button to give some verbal instructions to the patient during an
exam.

• Volume
Use these dials to adjust the voice volume of patient or operator.

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 SYSTEM
Keyboard keys

• 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

F5-11 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. Firstly select the image as a primary one (green border) of which WW and
WL you wish to register as default.

2. Press [Shift+F5~F11] to register those WW and WL as preset conditions.

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• 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

• Key top
These keys are mainly used to input texts/numbers and display images.

Enter

Shift

Prior Exam Next Exam

Prior Next

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

- [↑ / ↓] : Use these to move forward or backward through items on desktop.
- [↑ / ↓ / ← / →] : 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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 SYSTEM
Accessories
The system utilizes the various accessories to facilitate the scan.

Standard Accessories
o Cradle pad
o Cradle extender
o Standard head holder assembly
o Security straps
o Phantoms to calibrate and check performance
o Phantom holder
o Console chair
o Operator manual

Optional Accessories
o Coronal head holder assembly
o Shallow head holder assembly
o Arm Support

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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SYSTEM
Head Accessories
Standard Head Holder Assembly

(Back side)
(Front 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

Head Holder Wedge Shallow Head Holder (option)

(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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 SYSTEM
Standard Head Holder Assembly

• 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.

• 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.

• 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.

• 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)

• 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.

• 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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SYSTEM
Body Accessory Use

• 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.

• 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)

• Cradle Pad
Use during standard studies; attaches to the cradle with Velcro "hooks."

• 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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 SYSTEM
Security Strap Kit

• 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.

• 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

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

• 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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SYSTEM
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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 SYSTEM
Attach/Detach Head Holder and Cradle Extender

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:
• Make sure the clasp on the accessory is unlatched, and hanging freely.Hold
the clasp in the unlatched position while you attach the accessory.
• Align the accessory tongue with the pocket at the end of the cradle.Keep fin-
gers clear of the cradle. Slide the tongue all the way into the pocket until it
rests snugly against the angled face of the cradle.
• 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:
• Pull the hinged-end of the clasp toward the floor and away from the gantry
until it snaps open and clears the catch.
• 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 Power On/Off
How to turn on the system power (Usually power is on 24 hours a day.)

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

2. The 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. Click on the [Shutdown] icon on the upper left corner of the screen.

Shutdown

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

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 SYSTEM
HIPAA
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was
signed by President Clinton on July 21, 1996 and has the general objectives to:
– Guarantee health insurance coverage of employees.
– Reduce health care fraud and abuse.
– Introduce/implement administrative simplifications in order to augment
effectiveness and efficiency of the health care system in the United
States.
– Protect the health information of individuals against access without
consent or authorization. Within HIPAA there are Administrative
Simplification regulations that, in early 2001, are in work.
GE Medical Systems has a longstanding reputation of providing customizable,
clinical solutions to protect the privacy and security of your organization's unique
clinical workflow, as well as your patient's confidentiality. Our scanner, software
and services already incorporate many of the core HIPAA requirements. We are
committed to working with you, our customer, to provide additional value to help
you meet the continuing HIPAA challenge.
Please recognize the intended use of the product when determining how critical
any privacy risk is, relative to patient care and safety. GE is very concerned with
providing the best care to the patients; and in some cases we have determined
that patient care is more important than the risk to privacy. In these cases we
take every precaution to minimize the privacy risk.
Security and Privacy are maintained across a Healthcare system. Any product
that is placed into an uncontrolled environment will not be secure and can not
protect privacy. As we design scanners we design them to be implemented in a
"Secure Environment". A secure environment is based on multiple layers of
security, a concept known as defense in depth. For example: a Best Practice
that is gaining much attention places firewalls between departments, as well as
at a DMZ, between all extranets, and the external Internet access point. In this
example a radiology firewall may allow DICOM and HL7 traffic through, but no
other protocols. These DICOM and HL7 protocols would be blocked at the DMZ
and again at the Internet Firewall.
HIPAA requires you to log on to the scanner and log off when you are done
scanning for a period of time. If you do not log off the system will log you off and
you will have to log back on.
HIPAA can be set up for groups of users. You can be an Empowered, Admin,
Operator or Service user. Empowered users can modify protocols and do
service functions. Admin users can set up user and delete users. Operator
users can perform all scanning functions. Service users can do everything.
Note : HIPAA is an option that can be turned on or off by your Field Engineer.

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SYSTEM
Shut Down and Start Up the System
To keep your system operating at optimal performance, you need to shut down
and start up the system every 24 hours.
1. From the desktop selection area, click [Shutdown].
- A pop-up attention box appears.

2. From the pop-up attention box, select the option you wish to do.
- Logout User allows enables you to login as a different user.
NOTE: For information on how to Login and Logout, refer to: Login and Logout.
- Restart brings the system all the way down to the power off point
and then re-boots the system.
- Shutdown brings the system all the way down to the power off
prompt. You can then turn power off to the system.
3. Click [OK].
4. If you selected Shutdown or Restart a series of menus and messages
appear.
- If Restart was selected the system automatically restarts the system.
- If Shutdown was selected, turn off the OC power, if not already off
with thepower switch on the front of the console and then turn the
power switch on torestart the system.
5. To power up the system push the power switch on the front of the operator
console and the system will automatically restart.

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 SYSTEM
Login and Logout
Use this procedure when you are going to scan on the system. You need to login
to the scanner so the scanner knows which user you are. When you leave the
system you should log off the system. This is for security purposes.
1. At the login screen select Login from the Operation pull down menu.
NOTE: If you need to log in quickly for emergency purposes only, click
[Emergency Login].
2. From the Select User pull down click on your user name.
- This name is assigned by your system administrator.
3. Click in the Password area and type in your password.
4. Click [OK].

5. To logout of the system, click [Shutdown].

- The Shutdown window appears.
6. Click [Logout User].
7. Click [OK].
- The system logs you out and waits for the next login.

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SYSTEM
Configure Users for the System
To add users to the system for use, you must be a user with the administrative
option added to your name in order to complete this procedure. Normal users do
not have permission for this area.
1. At the Login window, select Login & Administer users from the Operation
pull down menu.
- For information on how to login to the system, refer to: Login and
Logout

2. Select your user name from the Select User pull down menu.
- You have to be an assigned administer to add or remove users from
the system.
3. Enter your Password.
4. Click the [User, Groups, Permission] tab.
- This brings up the HIPAA User Management Screen Figure 3-1.
5. Click [New User].
6. From the pull down menu Click Add a New User.
- Type in the information.
- The user name must not contain any spaces.
NOTE: The initial password is the user name the first time the new user logs in.
The new user is then prompted to change their password.
7. Click all the boxes that apply to that user.
- This will give them permission for different areas of the scanner.

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 SYSTEM
8. Click [Password constraints].
- Click all the boxes that apply.
NOTE: By entering 0 in the Max bad logins before account is locked text area
this allows the user have unlimited bad password attempts. If you enter a
number here and the user logs the number that you enter, the system
locks that users out and the Admin user has to unlock that user. To unlock
a user from bad password attempts, click [User, Groups, Permission]
and select Lock User. Select the user name from the list and click [Unlock
User].
Do not lock a user under the lock user tab. This is used for resetting
maximum attempts locks.

9. Click [Exit Admin].

- This closes the Admin screen.
10. Click the Scan desktop.
- This returns you to the scanning desktop.

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SYSTEM
Figure 3-1 HIPAA User Management Screen

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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
• When a certain icon is selected, it highlights in blue.
• Icons currently not available are displayed in gray.
• 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

December 22 5:49 PM
512: 148 256: 595

This shows Date, Time and Disk capacity at each matrix.

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SCAN TOP LEVEL SCREEN
Function of Each Icon 2

To Current Messages

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

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

• Network Status
This area shows the status of networking.

• Filming Status
This area shows the status of filming.

• 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

Function : Select this icon first to begin a new patient exam.

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

1. Click on the [New Patient] icon to open the following New Patient screen.
Patient Information Protocol Selection
Exam Number
Accession Number
Patient ID
Format:LastName^FirstName^Middle^Prefix^Suffix
Patient Name

mon day yr
Birthdate Sex
Years Months Weeks Days
Age
Weight Kilograms Pounds

Referring Physician
Radiologist

Operator
History

Exam Description
Protocol Number
Req.Proc.ID

End
Exam

2. Enter necessary patient information.

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

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

4. The 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

Function : Patient 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. 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 0235 8123 Joerge Bush 7/17/01 10:25AM
C 0374 9120 Collin Powel 7/23/01 11:04AM
C 0379 6273 Bin Ladin 9/11/01 8:54AM
N 0538 7823 Bill Clinton 9/21/01 1:30PM

Select View Add Edit Delete Delete

Quit Patient More Info Patient Patient Selected All
Preferences
Next Prior

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], [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. Once 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. Select [New Patient].

2. Select [Patient Schedule].

3. Select the desired patient on the Schedule list.

4. Select [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 CT/e system is connected with HIS/RIS and if your CT/e 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.
Schedule Patient Protocol Selection
Accession Number
Patient ID
Format:LastName^FirstName^Middle^Prefix^Suffix Anatomical Selector
Patient Name

mon day yr
Birthdate Sex
Years Months Weeks Days
Age
Weight Kilograms Pounds

Referring Physician
Radiologist

Operator
History

Exam Description
Protocol Number

Mon Day Yr Hour: Min Am/Pm

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. To delete only one patient, click on that patient's information, then select
[Delete Selected].

2. To 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. A 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. The following screen appears after selecting [Delete All].

Delete All

All All All

Completed New

OK Cancel

2. Select [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

Preferences

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

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

Preferences

Update Schedule Date/

Yes No Sort By : Name ID
Automatically? Time

Show update Delete Completed

Parameters? Yes No Days
Exams After:

Edit Modality No
Use Study UID? Yes No Yes
worklist?

Default Update Parameters

Get Patient List For: This All CT All
system Systems Systems

With a Date Range: Today

Days Before Today

Days after Today

All Dates

OK Cancel

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

3. If 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. Select [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. The following screen appears upon the selection of [Protocol

Management].

Auto Voice Protocol

Record Management

Quit

2. Select [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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Auto Voice Record 1
Function : This function allows you to give the patient recorded vocal
instructions.

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

icon.

Auto Voice Protocol

Record Management

Quit

2. The 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 protocols are preset in the
system and can not be changed. Other 17 protocols are programmable.

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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.

AutoVoice Language Selection

English male English female Japanese French

German Spanish Mexican Spanish Italian

Korean Chinese

Cancel

You can select any one of them to listen to it. In order to select any one of them
for the scan, you are required to do so through the [Auto Voice No.] button on
the Scout (or Axial/Helical) Prescription Screen. (Refer to Chapter 4.)

3. To 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. Go 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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Auto Voice Record 3
5. Once you are ready to record, select [Record]. Then, press the [Talk] button
on the keyboard and speak the verbal instruction to the microphone. The
time clock to the right will start. The maximum recording time is 20 seconds.

6. When finished with recording, select [Stop]. Select [Play] to listen to what
was recorded.

7. To save the recorded message as a protocol, click on the Pre or Post

Message box and select [Save Message].

8. The 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. To leave the Auto Voice Record menu, select [Done].

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

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

icon.

Auto Voice Protocol

Record Management

Quit

2. The 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. Select a protocol or an anatomic region to open the menu on the next page.

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Protocol Management 2
4. You can build up to 15 protocols for each anatomical region.
Protocol Name Default

New Duplicate Edit Delete

Done Cancel

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

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

8. After 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. Next, 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 appears.

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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 Film SmartRecon

Auto Transfer
Setup OFF

Add Split Delete

Group Current Selected Scan Timing Recon Film
Prior Next Group Group

Images Scan Start End No. of Thick Image Gantry CTDIvol

Type Loc. Loc. Images Pitch SFOV kV mA
(mm) Intval Tilt DLP

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

Smart
Prep
RX

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

10. In 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 for one screen.

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Protocol Management 4
The following Timing menu will appear when you click on the [Timing] icon.

Scan Timing Recon Film

Prep Breath Auto

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

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 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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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. After 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. Select 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. Again, enter scan parameters for the series selected.

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

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

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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. First 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. Point 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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Retro Recon 2
3. After 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] tab 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 Location SFOV
Location Start End Images Interval Tilt

List
Quit Exams Confirm

When the [Recon] tab 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

[Image FLR] enables you to flip left/right the image by series.

Image FLR

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Retro Recon 3
4. Enter 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: 48mm (minimum)-SFOV (maximum)
- DFOV A/P R/L Center : Anterior/Posterior and Right/Left center of DFOV
- Recon Type : SOFT, STND, STD+, DETL, CHEST, BONE, EDGE
- Image Filter : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21, E22,
E23), Lung (L1, L2, L3)
- Motion Correct : Motion correction
- Recon Mode : (See next page.)
- Matrix Size : 256x256, 320x320, 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, 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 these
filters.

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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. Select 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. Click on the [Confirm] button to start retro recon.

Newly retro-reconstructed images will be saved as a new series with
"Retro" annotation.

7. If you need to retro-recon another exam/series, select [List Exams] button.

Select [Quit] to exit.

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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. Select [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.

• [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.

• [Unsuspended Entries]
Select this button to try to reconstruct the images again after selecting image
entries.

• [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

• [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.

• [Restart Queue]
Select this button to restart the reconstruction queue after you stopped it for
some reason.

• [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.

• [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 Warm-up and
Daily Calibration procedure.

1. Click 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.

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

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Tube Warmup 2
3. Upon 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: 51212

Scan Type Axial

Scan Time 5.0 seconds
Voltage 120 kV
Current 80 mA
Menu 2
Thickness 1.0 mm
Focus Large

Remaining scan : 9
Press <Confirm> and <Start scan> to start scan

Cancel Confirm

4. Several 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.

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. When you select the [Daily Calibration] at Menu 1,Menu 2 will appear.

Service Scan

Service Tool: Warm up Scan Exam ID: 51214

Scan Type Axial

Scan Time 2.0 seconds
Voltage 120 kV
Current 80 mA
Menu 2
Thickness 1.0 mm
Focus Large

Remaining scan : 73
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
Funtion or User Calibration.
Note : Make sure which drive do you installed in the system. If you install the
MOD drive, Rawdata will save to 3.5” MOD; If you install the DVD drive,
Rawdata will save to the DVD.

Below is MOD drive, UIF appear as following:

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

Scanner Utilities

Rawdata User
Functions Calibration

Quit

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

When you select the [Function Selection] button, the

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

When you select the [Rawdata Selection] button, the

Rawdate Selection
pulldown menu appears which contains the [Whole
Whole Exam
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. Select 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. After selecting the raw data, click on the [Start Save] button to start saving
the raw data into the MOD.
Note : Image data must be stored in other MOD(s) than the one for raw data.

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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. Select 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. After 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. Select 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. After selecting the rawdata, select [Reserve] or [Release].

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Scanner Utilities 6
Raw Data Function

Initialize MOD
Use this function to initialize completely new MODs. (Previously initialized MODs
for image storage can not be initialized by this.)
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. Select [Yes] to start initializing the MOD.

2. Select [No] to exit.

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Raw Data Function
Below is DVD drive, UIF appear as following:
1. Click on the[Scanner Utilities] icon.The following screen will appear.

Scanner Utilities

Rawdata User
Functions Calibration

Quit

2. Select [Rawdata Function] to open the following default screen.

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

File Function Selection Rawdata Selection

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

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

Start Save

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

When you select the [Function Selection] button, the

Function Selection
pulldown menu appears which contains the [Save to
Save to DVD DVD], [Restore/Delete from DVD], [Reserve/Release]
Restore/Delete from DVD and [Initialize DVD] buttons.
Reserve/Release
Initialize DVD

When you select the [Rawdata Selection] button, the

Rawdate Selection
pulldown menu appears which contains the [Whole
Whole Exam
Exam], [Whole Series] and [Individual Raw] buttons.
Whole Series
Individual Raw

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Raw Data Function

Save Rawdata to DVD

When you select [Save to DVD] from the [Function Selection] pulldown menu,
the following screen will appear.

File Function Selection Rawdata Selection

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

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

Start Save

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

2. After selecting the raw data, click on the [Start Save] button to start saving
the raw data into the DVD.
Note : Image data must be stored in other MOD(s) than the one for raw data.

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Raw Data Function

Restore/Delete from DVD

When you select [Restore/Delete from DVD] from the [Function Selection]
pulldown menu, the following screen appears.

File Function Selection Rawdata Selection

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

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

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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. Select 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. After selecting the rawdata, select [Reserve] or [Release].

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Raw Data Function

Initialize DVD
When you select [Initialize DVD] from the [Function Selection] pulldown menu,
the following screen will appear.

Initialize DVD

Initialize DVD will take approximately 3  4 minutes.

Press Yes to continue or No to quit.

Yes No

1. Select [Yes] to start initializing the DVD.

2. Select [No] to exit.

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Scanner Utilities 7
User Calibration
1. Select [User Calibration] to open the following screen.

Calibration

Sequence kV

Air Air & Phantom 120 140

Calibration Calibration

Cancel OK

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

Also, select kV from 120 or 140.

3. Select [OK] to perform calibration scans, 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:
• Double click
To select primary focus viewport and deselect other viewports
• Single click
To select a new primary focus viewport and change the previous primary to
secondary
• 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 eight formats.

Clicking here with Review Layouts leads to the

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

Autoview Layouts

Each layout is described on the following pages.

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Autoview Layouts 1
1. Select 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.

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

• 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.

• 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.

• 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.

• 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. Display an image in primary focus viewport.

2. Select 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. Select [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. Select 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. Select List / Select at the Exam Rx Display menu.

List / Select

2. The 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. Select exam, series and image to display.

4. Click 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. Use [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. Select [Routine Display] at the Exam Rx menu.

Routine Display

2. The following Routine Display menu will appear.

Routine Display

Roam Explic it Flip/

Zoom Magnify Rotate

ProV iew 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. Click 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. Place the desired image in primary focus viewport.

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

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

4. After 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. Select [Routine Display] and click on [Explicit Magnify] on the Routine

Display menu.

2. The 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. Select 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. This 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. Place the desired image in primary focus and select [Routine Display].

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

3. The following Flip/Rotate menu appears.

FLIP/ROTATE
FLIP:

FLR FTB FTB/FLR

ROTATE:

RR RL

Cancel

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

5. This 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. Images must be in primary focus.

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

3. The following Select Image Filter menu appears.

Select Image Filter

Edge E1 E2 E21 E22 E23 E3 Lung

Smooth S1 S11 S2 S21 S3 Off

Cancel

4. Click 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. Images must be in primary focus.

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

3. The following Gray Scale menu appears.

Gray Scale

G1 G2 G3 Off

Cancel

4. Click 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. Images must be in primary focus.

2. Select [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. When you select [List/Select], the browser appears.

2. You 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. Images must be in primary focus.

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

3. The 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. Place 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. Images must be in primary focus.

2. Select [Measure Distance].

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

4. To 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. Place 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. Images must be in primary focus.

2. Select [Grid On/Off].

3. The grid appears on the image.

4. To 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. To 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. Display a Scout image in primary focus.

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

appears.

Post Reference Lines

Series Number

Image Numbers All First/Last

Increment

OK Cancel

3. [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. Select [OK] to display the image lines on the Scout or select [Cancel] to
exit.

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Routine Display 10

User Annotation
1. Images must be in primary focus.

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

3. You 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. Type in the necessary information, then click the left mouse button outside
the image area 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. Select [Exam Pg] or [Series Pg] to open the exam page or series page of
the exam in primary focus.

2. The 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 ↓ ↑ buttons on the lower right to go through pages.

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

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

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Routine Display 12

Hide/Show Graphics
1. Select [Hide Graphics] to temporarily hide any graphics, annotation or
measurement.

2. The [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. Images must be in primary focus.

2. Select [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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DISPLAY TOP LEVEL SCREEN
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. Images must be in primary focus.

2. Select [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. The 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. The 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. Define Region selection allows you to choose the Ellipse, Box or Trace
ROI.

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

Once you select [OK], the analysis will be automatically done with the
resultinggraph 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. Select [Report Pixel] from the Measurements menu.

2. An 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. Once 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 I 94

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
I 173 17 17 18 21 21 20 20 21 21 20 20
I 174 18 17 18 21 21 19 20 21 21 20 20
I 175 17 17 18 21 21 19 20 21 21 20 20

You can save this chart by [Screen Save].

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DISPLAY TOP LEVEL SCREEN
Display Preference 1
Display Preference provides access to functions that affect how images will be
displayed.

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

Display Preference

2. The following Display Preference menu appears.

Maintain
Annotation
User
Levels Annotation
(Not available)

Auto
Auto Minify Enlarge

(Not available) (Not available)

Next/Prior
Inverse Each
Video Viewport

Next/Prior Continuous
Series Report
Binding Cursor

Back

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 DISPLAY TOP LEVEL SCREEN
Display Preference 2

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

1. Select [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

Save as
Cancel
default

2. You 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 TOP LEVEL SCREEN
Display Preference 3
3. Select [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
14. Display Parameters
15. Filter
16. Date of Birth
W. Windowing
G. Graphic Annotation

OK Cancel

4. Click on □ 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 nextimage
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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DISPLAY TOP LEVEL SCREEN
Manual Film Composer
Refer to the later chapter for the detailed function description.

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

[Manual Film
Composer]

2. The following Film Composer will appear.

Film Composer

Formats Laser Camera

Options
Current status is :
Clear

Print

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 DISPLAY TOP LEVEL SCREEN
Auto Film Composer
Refer to the later chapter for the detailed function description.

1. Select [Auto Film Composer]

[Auto Film
Composer]

2. The 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 enhance gse g1, g2, g3, off
exam e e<exam#>
image i i<image#>
next exam ne
next series ns
previous exam pe
screen annotation
an
none
screen annotation
ap
partial
screen annotation
af
full
screen annotation
ac
custom
annotation groups agp on(off) x x x
auto fit afit
flip left right flr
flip top bottom ftb

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 DISPLAY TOP LEVEL SCREEN
Accelerator Bar 2
Command Abbreviation Contents
rotate left rl
rotate right rr
normal no
scroll sc <x pixel> <y pixel>
window level wl
window width ww
set initial windowing siw
zoom zo <factor>
inverse iv
angle ang <x1><y1><x2><y2><x3><y3>
cross ref xr [s]<series#>
cross ref append xra
cross ref off noxr
tick marks tm on, off
tick mark vertical tmv on, off
tick mark horizontal tmh on, off
grid grid on, off
user annot ua
erase graphic eg
erase all graphics eag
hide graphics hg
show graphics sg
print series prs
text page exam te
text page series ts
text page roi tpr

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DISPLAY TOP LEVEL SCREEN
Accelerator Bar 3
Command Abbreviation Contents
mouse mode scroll mmr
mouse mode zoom mmz
user test utp
page series binding sb on, off
r image matte rmatte
e image matte ematte
screen save scnsave
blank viewport blank
report pixel rp

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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 400 pounds (180
Kg). Exceeding this load limit could affect some mechanical performance.

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SCAN
Patient Positioning 2
1. In 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.)

Distance from Iso–Center (mm)

Interference

Distance from Landmark (mm) Tilt/Angle

Range X–ray On

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

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

Panel.)

3. Match the Halogen marker to an anatomical landmark of the patient by

using control buttons on the Gantry Control Panel.

External 190 mm
beam
Internal
beam

Tomographic
plane

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

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 SCAN
Patient Positioning 3
Main 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 line
EM : External Auditory Meatus
SN : Sternal Notch
XY : Xyphoid
CM : Costal Margin
IC : Iliac Crest
UB : Umbilicus
SP : Symphysis Pubis

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

New Patient

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

Selection screen.
Patient Information Protocol Selection
Exam Number
Accession Number
Patient ID
Format:LastName^FirstName^Middle^Prefix^Suffix
Patient Name

mon day yr
Birthdate Sex
Years Months Weeks Days
Age
Weight Kilograms Pounds

Referring Physician
Radiologist

Operator
History

Exam Description
Protocol Number
Req.Proc.ID

End
Exam

2. Enter 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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 SCAN
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. Each 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. When 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 T ransfer

Add Delete
Scout Selected
Scout

Scout Auto
Scout Scan Start End mA
kV Plane
Voice
Num Type Loc. Loc. 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 icon 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. Enter 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 scan range is between 50 and 700mm.
- [kV] : 120,140 kV(Default 120 kV)
- [mA] : 20-200 mA (at 120 kV), 20-160 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. After 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 Repeat One Repeat

Priority
Last
Exam Series Series More Group Recon
Pause

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Scout Scan 5
3. Press [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. Press [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 [Stop Scan] within
30 seconds after it is lit.

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

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

Measurements of Distance and/or Angle on the Scout image do

not necessarily yield accurate data. To avoid misdiagnosis do
not use those data.

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

Name : ID :
Protocol : Exam: Series:

Anatomical
Reference

Series Description

Auto Auto Show

Store AutomA OFF Localizer
Store
Auto T ransfer Auto Film Recon
Setup Area

2. When Auto Store is on, all series will be automatically stored into the MOD
after you click on [End Exam].

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

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

Auto Transfer Remote Host Selection

Transfer Transfer
Host 1 By Exam By Image
Transfer Transfer
Host 2 By Exam By Image
Transfer Transfer
Host 3 By Exam By Image
Transfer Transfer
Host 4 By Exam By Image

AW 1
AW 2
AW 3
AW 4
MR 1
MR 2

OK Cancel
Prior Next

2. After 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 (Host1-Host4).

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

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

4. In 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 AutomA OFF Localizer

Auto T ransfer Auto Film Recon SmartRecon

Setup Area OFF

Add Split Delete

Current Selected Scan Timing Recon Film
Group Group
Prior Next Group

Scan Start Optimize

Images End No. of Thick Image Gantry CTDIvol
Pitch SFOV kV mA not needed
Type Loc. Loc. Images (mm) Int val Tilt DLP

Preview

Biopsy
Rx

Smart
Prep
RX

End Select Create

Next Repeat One Priority
New New
Exam Protocol Series Series More Recon
Series
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 CT 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).
Maximum Helical/Cine Duration : 30 seconds ( 60 seconds = optional)

Clinical Benefits of Helical/Cine Scans

• 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.

• 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. Enter 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 Gantry CTDIvol not needed
Type Loc. Loc. Images Pitch SFOV kV mA
(mm) Int val Tilt DLP

Preview

Biopsy
Rx

Smart
Prep
RX

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

• 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.
• When you wish to select parameters separately for each group, click on each
data field.
• 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 5.0

Rotation Length Segment Full Plus

OK

Scan Type : Axial, Helical, Cine

Rotation Time (second) : Time needed for 360-degree rotation ( "3.0" & "5.0"
unavailable for Helical)
Rotation Length : Amount of data for one scan (SmartHelical offers [Plus] that
uses 1.6-rotation data.)
- [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)] : 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 (by 0.1 pitch)
- [Gantry Tilt] : # 20 degrees (by 0.5 degrees)
- [SFOV] : Scan Field Of View: Ped-Head (18 cm), Head (25 cm), Small (25
cm), Medium (35 cm), Large (43 cm), Shoulder-L (43cm)
- [kV] : 120, 140 kV
- [mA] : 20-200 mA (at 120 kV), 20-160 mA (at 140 kV)
5 mA increment
- [CTDIvol] : Dose index for each group will be automatically calculated and
shown.

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Axial/Helical Scan Prescription 5
1. Click 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 time between pressing [Start Scan] button and the
start of X-ray radiation (0-300 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
- [Auto Voice No.] : Auto Voice setting number

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Axial/Helical Scan Prescription 6
1. Click 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

Center Center Type
(cm) (mm) (mm) Filter 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 mm to 430 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, CHEST, BONE, EDGE
- [Image Filters] : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21, E22,
E23, E3), Lung (L1, L2, L3)
- [Matrix Size] : 256×256, 320×320, or 512×512
- [Motion Correct] : Motion correction
Note : Motion Correct does not apply to the following cases. Helical/Cine
scans, 18/25cm SFOV, BONE/EDGE Recon Type, 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, 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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Axial/Helical Scan Prescription 8
4. Click 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 (1-4096)
- [Level 1] : First choice of window level (-1024 to 3072)
- [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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Axial/Helical Scan Prescription 9
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] icon is selected on the right side of View/Edit screen
to prescribe Prospective Multiple Reconstruction.

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

2. Once [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: 48mm (minimum) to used SFOV
(maximum) (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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Axial/Helical Scan Prescription 10
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, 320 x 320 or 512 x 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, 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.

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 Recon1 , simply select [Show
Recon1].

3. If you need to perform the third reconstruction, select [Show Recon3], then
take the same steps as Recon2.

4. Select [Confirm] to initiate a scan.

Note : During the scan, only the set of Recon1 will be reconstructed. In order to
activate Recon2 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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Axial/Helical Scan Prescription 11

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
Formats Size Auto Start Auto Print
Normal Slide Yes Yes

Copies Exam Page Series Page

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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Axial/Helical Scan Prescription 12
Recon Area

Recon
Area

Select this 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 to add that group just after the
current group.

Split Current Group

Split
Current
Group

Select this to split the selected scan group.

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

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

Split Group
Enter location or image number

OK Cancel

3. Enter 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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Axial/Helical Scan Prescription 13
Delete Selected Group
Delete
Selected
Group

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

Biospy Rx

Biopsy
Rx

Select this to prescribe Biopsy Rx.

Refer to the later pages for the function description of Biopsy Rx.

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Axial/Helical Scan Prescription 14
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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Axial/Helical Scan Prescription 15
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 button after axial scan prescriptions, the following screen
appears.

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 120 150 10.0 5 S0.0 S80.0 S30.0

S10.0 I50.0
011 022 Helical 120 150 12.0 5 S0.0 S10.0 I50.0

I60.0 I85.0
023 027 Helical 120 150 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
through the pages. (Prior or Next key appears on the screen only when more
than three groups are prescribed.)

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Axial/Helical Scan Prescription 16

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

End Exam

End
Exam

Select this to end the current exam.

Select New Protocol

Select
New
Protocol

Click on this to select another protocol.

Next Series

Next
Series

Click on this 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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Axial/Helical Scan Prescription 17
Repeat Series

Repeat
Series

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

Priority Recon

Priority
Recon

Select this 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 [Pause] icon shown below during the
scan.

Pause

Pause

Select this icon to temporarily halt the scan. This icon will change to the
[Resume] icon shown on the next page during the pause.

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Axial/Helical Scan Prescription 18
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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Axial/Helical Scan Prescription 19
Show Localizer
Function : Show Localizer allows you to graphically show the prescribed scan
lines on the Scout image.

1. Click on [Show Localizer] located on the upper left corner of the View/Edit
screen.
View/Edit screen
Name : ID :
Protocol : Exam: Series:

Anatomical
Reference

Show
Series Description
Localizer
Auto Show
Store AutomA OFF Localizer

Auto T ransfer Auto Film Recon

Setup Area

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

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Axial/Helical Scan Prescription 20
Show Localizer
3. In order to adjust the slice location, click and hold on the "X" mark in red,
then drag the entire group horizontally to the desired location.

4. In 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.

5. In 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. In 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. In order to adjust the size of DFOV, click and hold on the small diamond,
then extend it or contract it.

8. In order to adjust the gantry tilt, click and hold on the small circle, then tilt it
to the desired angle.

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 SCAN
Axial/Helical Scan Prescription 21
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 an AP and LAT Scout scans to obtain
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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SCAN
Axial/Helical Scan Prescription 22
Auto mA
Prescribe Auto mA
You must have two orthogonal Scout data taken at 120kV before prescribing the
Auto mA.

1. Click 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 T ransfer Auto Film Recon SmartRecon

Setup Area OFF

2. The 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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 SCAN
Axial/Helical Scan Prescription 23
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 AutomA calculation (example)

100

10
Scan location

Auto mA Clipping 1 (By system)

The generator of this CT system has two mA-output ranges, which are [10-
190mA] and [100-max.mA]. The system selects either one of them for a certain
scan group. 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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SCAN
Axial/Helical Scan Prescription 24
Auto mA
Auto mA Clipping 2 (By operator)
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:
Beased 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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 SCAN
Axial/Helical Scan Prescription 25
Auto mA
The status of ON/OFF or mode of the AutomA feature is shown on the bottom of
the Preview screen.

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

Enter the desired mA

60 80 100 130 150 200 mA Table Cancel

When [AutomA OFF] is posted, the [mA Table] key looks dim indicating it
is not functionable.
Select or enter the desired maximum mA.
When any one of three modes (IQ, Normal, LowDose) 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
7 110
8 110
9 110
10 110
11 110

OK

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

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SCAN
Axial/Helical Scan in Progress
1. Click on the [Confirm] icon after confirming all prescribed scan parameters.
Select

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

View/Edit screen
Confirm

2. Press the [Move to Scan] button when lit, then, press the [Start Scan]
button to start a scan.

3. The 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

ProjectedSeriesDLP:
AccumulatedExamDLP:

End Next Repeat One Repeat Priority AutomA

Last
Exam Series Series More Group Recon OFF
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.

4. 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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 SCAN
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. After the scan, click on [End Exam] located on the lower left corner of the
Scan Progress screen.

Scan Progress
Exam:285 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
ProjectedSeriesDLP: All scans completed.
AccumulatedExamDLP:

End Next Repeat One Repeat AutomA

Priority
Last OFF
Exam Series Series More Group Recon

End Exam

2. Or, 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.

Return to View/Edit screen

3. Select [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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SCAN
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. In 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:285 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
ProjectedSeriesDLP:
AccumulatedExamDLP:

Next Repeat Repeat AutomA

End One Priority
Last OFF
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. After 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 Create
End New Next Repeat One Priority
New
Exam Protocol Series Series Series More Recon
Confirm

View/Edit screen Priority Recon

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 SCAN
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. Click on [Next Series] on the following scan end screen.

Scan Progress
Exam:285 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
ProjectedSeriesDLP: All scans completed.
AccumulatedExamDLP:

Next Repeat One Repeat AutomA

End Priority
Last OFF
Exam Series Series More Group Recon

Next Series

2. The 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
not needed
Images Scan Start End No. of Thick Image Gantry CTDIvol
SFOV kV mA
Type Loc. Loc. Images (mm) Int val Tilt DLP
Preview

Biopsy
Rx

ProjectedSeriesDLP: Smart
AccumulatedExamDLP: Pre
RX

End Select Next Create Repeat One Priority

New New
Exam Protocol Series Series Series More Recon

Confirm

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

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

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

Scan Progress
Exam:285 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

ProjectedSeriesDLP: All scans completed

AccumulatedExamDLP:

End Next Repeat One Repeat AutomA

Priority
Last
Exam Series Series More Group Recon OFF

Repeat Series

2. There 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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 SCAN
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].

1. After 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
not needed
Images Scan Start End No. of Thick Image Gantry CTDIvol
SFOV kV mA
Type Loc. Loc. Images (mm) Int val Tilt DLP
Preview

Biopsy
Rx

ProjectedSeriesDLP: Smart
AccumulatedExamDLP: Pre
RX

End Select Next Create Repeat Priority

One
New New
Exam Protocol Series Series Series More Recon

Confirm

2. After confirming the parameters, select [Confirm] to start scan.

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SCAN
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.

3. Click on [One More] on the following scan end screen.

Scan Progress
Exam:285 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
ProjectedSeriesDLP: All scans completed
AccumulatedExamDLP:

Next Repeat One Repeat AutomA

End Priority
Last OFF
Exam Series Series More Group Recon

One More

4. Press [Move to Scan] button when lit.

5. Then, press [Start Scan] button when lit to start a scan.

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

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

Scan Progress
Exam:285 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
ProjectedSeriesDLP: All scans completed
AccumulatedExamDLP:

End Next Repeat One Repeat AutomA

Priority
Last OFF
Exam Series Series More Group Recon

Repeat Last Group

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

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

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

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

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

Scan Timing Recon Film

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

Preview

Biopsy Biopsy
Rx Rx

Repeat One Priority

Series More Recon
Confirm

2. The 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 1 2 3 5 7 10

Helical Pitch Image Interval

Confirm
Cancel
Biopsy Rx

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 SCAN
Biopsy Scan 2
3. In 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. When the internal light is used, select [Internal], or, when the external light
is used, select [External] at Get Alignment Light Location field.

5. Enter the following parameters.

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

6. Click on the [Confirm Biopsy Rx] button.

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

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SCAN
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.
• Baseline phase
This phase requires one unenhanced scan through a particular area of
anatomy that will be the point of interest to monitor.
• 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.
• 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, 0.6–sec scan
time and 10–mm slice thickness.
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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 SCAN
Smart Prep 2
Smart Prep prescription
1. Smart Prep can be accessed through the [Smart Prep] icon on the Axial/
Helical Prescription screen.

Name : ID :
Protocol : Exam: Series:

Anatomical
Reference

Image Display Area

Series Description

Auto Show
Store AutomA OFF Localizer

Auto T ransfer Auto Film Recon

Setup Area

Add Split Delete

Current Selected Scan Timing Recon Film
Group Group
Prior Next Group

Scan Optimize
Images Start End No. of Thick Interval Gantry CTDIvol
SFOV kV mA not needed
Type Loc. Loc. Images (mm) (mm) Tilt DLP

Preview

Smart
ProjectedSeriesDLP: Prep Smart Prep
AccumulatedExamDLP: RX

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

2. When 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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SCAN
Smart Prep 3
3. Enter the following parameters for the Smart Prep prescription.
- Monitor Location : Location of monitoring scan
- mA : Tube current for Base Line and all Monitoring scans
(40–100mA, by 5mA )
- Monitoring Delay : The delay before the Monitoring scan begins
(0–60 seconds, by 0.1 sec.)This delay works in conjunction with the
administration of IV contrast.
- Monitoring ISD : The delay between each monitoring scan
(3–60 seconds, by 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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 SCAN
Smart Prep 4
4. After completing all the entries,select [Accept].The system will return to the
View/Edit screen.

5. Click 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 120 140 2.0 10 S0.0 S0.0 S0.0
S0.0

002–021 Axial 120 140 12.0 10 S0.0 S0.0 S0.0

S0.0
001–002 Axial 120 180 5.0 10 S0.0 S0.0 I10.0

Scanning Delay Timer Patient Handling

ProjectedSeriesDLP:
AccumulatedExamDLP:

Next Monitor Repeat AutomA

End Scan Priority
Last
Exam Series Phase Phase Group Recon OFF

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 ISD Breath Breathe Auto Group

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

SP

SP

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SCAN
Smart Prep 5
6. After 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. You can calculate up to three ROIs by selecting [Ellipse ROI].

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

simultaneously the IV contrast.

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

Most recently
Graph reconstructed image

Time Baseline image

• In the lower right quadrant the Baseline image with ROIs is displayed.
• 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.
• The upper right quadrant will be displaying in real time the most recently
reconstructed image.
• 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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 SCAN
Smart Prep 6
• The Scan desktop screen will now look similar to the following one.

Most recently
Graph
reconstructed image

Preview

10. As 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

T
T: Threshold

0 4 2

11. When the line depicting the ROI gets close to the threshold
enhancement, select [Scan Phase] on the Scan Progress screen to
initiate the Scan Phase. See the Note below.
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 stop. A screen save will be used for later
inspection.

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SCAN
Blank page

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 SCAN
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.
• Scan Type : Axial or Helical (360-degree data)
• Segment and Helical Plus incompatible with this option
• Available Helical pitch : 1.0 - 3.0
• This option can be applied to group by group.
• Only contiguous images (Interval = Thickness) to be added
• Possible thickness of added image : 2, 3, 4, 5, 6, 7, 10 mm
• Possible number of images to be added : 2, 3, 4, 5, 6, 7, 10
• 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. Click 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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SCAN
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. In 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 5

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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 SCAN
Smart Addition 3
3. Click 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. Prescribe 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. Proceed 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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SCAN
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
• Data obtained with 7mm or 10mm slice thickness can not be used.
• Recon Mode : Full
• Contiguous image data ( no overlap, no gap)
• Available Helical pitch : 1.0 - 3.0
• 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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 SCAN
Smart Addition Retro Recon 2
1. After 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. Select the desired image thickness from the Fig.1 menu or click on
[Cancel].

3. After 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. To 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
Formats Size Auto Start Auto Print
Normal Slide Yes Yes

Copies Exam Page Series Page

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;

• Format
There are 11 options for film format. Click on one of them.

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

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

• 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 arrows to increase or decrease the number. The valid range is
from 1 to 99.

• 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.

• 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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FILMING
AutoFilm 4
• 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].

• 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.

• 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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 FILMING
AutoFilm 5
• 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.

Auto Start Film Sets

Film Set 1
No Auto start Auto start
Auto start New Sheet Same Sheet

Film Set 2
No Auto start Auto start
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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FILMING
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.

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

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 FILMING
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. Click 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. Click on each button and select or type in a parameter.

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

Auto Film

On Off Cancel

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

MID Format

Cancel

• 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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FILMING
AutoFilm 8
• 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

• Width 1
The first choice for window width (1 ～ 4096)

• Level 1
The first choice for window level (-1024 ～ 3072)

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

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

Rotation

None Cancel

• User Anno(tation)
Maximum four lines

User Annotation

Accept Cancel

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 FILMING
AutoFilm 9
• 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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FILMING
AutoFilm Composer
Click on the [AutoFilm 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 [AutoFilm Composer] icon again to remove the composer.

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 FILMING
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] hjjkk
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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FILMING
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

Clear
Current status is :
Print

• 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.

• 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.

• Formats
Click on any one of the eleven formats. It will be reflected on the composer.

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 FILMING
Manual Film Composer 2
If you select the [Option] icon, the following Print options menu
Options
appears.

Print options

Slideformat: 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
slide format.
Off
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

grayscale onto a film.
Off
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

automatically start printing immediately after all the frames are
Off filled.
On

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FILMING
Manual Film Composer 3
Auto clear page: Select On from the Auto clear page pull-down menu to
automatically clear all the frames after the completion of
Off printing.
On

Select either [E/S/I] or [Image] from the Icon labels pull-down

Icon labels:
menu to put either Exam/Series/Image number or Image
Image itself, resepctively, into the frame.

Number of copies: Click on the [ ▲ ] or [ ▼ ] button to increase or decrease

respectively the number of copies. Or, type in the desired
1
number into the numerical entry field.

When filming function keys are being used, this selection will
Expose order:
determine the order with which the images will be printed into
Left/Right
Top/Bottom the frames of the composer.
Right/Left
Bottom/Top

Select [Done] to accept the entries and close the Print

Done options window.

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 FILMING
Manual Film Composer 4
If the Auto clear function is off under the Print options menu,
Clear
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.

If the Auto printing function is off under the Print options

Print
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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FILMING
Manual Film Composer 5

Image removal from Film Composer

1. If you wish to remove an image on the Film Composer window, click on that
image.

2. There appears a message "Do you really want to delete this image?"

3. Select [Yes] to delete, or select [No] not to delete.

Load images by drag and drop

1. In 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. Repeat the above steps as needed.

Load images by F1 function key

Another way to load images onto the Film Composer is as follows.

1. Move the cursor onto the desired image and press the F1 key.

2. The 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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 FILMING
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. Move the cursor over any one of the displayed images and press the F2
key.

2. The 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 function 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. Move the cursor over any one of the displayed images and press the F3
key.

2. The 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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FILMING
Manual Film Composer 7

Series filming by F4 function key

The following menu will appear when you press the F4 key.

Format Image Selection

 Use Film Composer 1   5
 Viewer Format 1 5

Interval: Print all Image Current Print Job

No Current Job
Cancel All

Print Last Sheet No

Print Series Close

• 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.

• Image Selection
This determines the number of images in the series for filming.
Use the slide bar to set the number.

• Interval
Print all Images : all images

• 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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 FILMING
Manual Film Composer 8
• 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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FILMING
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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. If the constancy testing is needed, please
refer to IEC 61223-2-6. These procedures ask you to scan a known material
(usually a phantom) under a prescribed set of conditions, and then compare
your results to 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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QUALITY ASSURANCE
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 effects clinical image quality. At minimum,
acquire a single 10mm scan of Sections 1 and 3 of the Performance Phantom
each day.
Grayscale:
Select On from the Grayscale pull-down menu to print a
grayscale onto a film.
Off
On
Note : If the selected printing machine does not support
grayscale, the Grayscale button is shown in gray, indicating it is
not usable.

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 QUALITY ASSURANCE
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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QUALITY ASSURANCE
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 ECONSTRUCTION
[NEW PATIENT] kV - 120 CAL FOV - 25cm
[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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 QUALITY ASSURANCE
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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QUALITY ASSURANCE
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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 QUALITY ASSURANCE
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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QUALITY ASSURANCE
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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 QUALITY ASSURANCE
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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QUALITY ASSURANCE
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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 QUALITY ASSURANCE
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 CT Number of Water

When you correctly image and analyze the water section of the phantom, you
should see a CT number for water of 0 ± 4 HU. Expect the noise in the center of
the image to approximately equal 4.0, with a suggested variation of 20%.

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QUALITY ASSURANCE
Weighted CTDI100 (CTDIW)
Explained below is information that relates image quality to radiation dose, as
required by the IEC standard, in compliance with the IEC committee draft for
vote of IEC60601-2-44, dated August 8, 1997. Please review this information.

Head 300 mAs (mGy)

1 mm 2 mm 3 mm 5 mm 7 mm 10 mm
120 kV 58 52 49 48 48 48
140 kV 83 73 69 68 68 68

Body 195 mAs (mGy)

1 mm 2 mm 3 mm 5 mm 7 mm 10 mm
120 kV 18 15 15 14 14 14
140 kV 25 22 21 20 20 21

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 QUALITY ASSURANCE
Dose and Performance 1
Explained below is 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) 43 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.

POSITION HEAD BODY

B
A 4.7 rad 1.0 rad
B 4.7 rad 1.6 rad
E A C C 4.5 rad 1.7 rad
D 4.4 rad 1.5 rad
D E 4.7 rad 1.6 rad
CTDI has no angular maximum near the surface for
360° scanning

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QUALITY ASSURANCE
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 0.07 0.08
200 mA A 1.34 1.55
1.0 sec A 0.50 0.67
5.0 sec A 2.52 3.36
7.0 mm A 0.63 0.85
5.0 mm A 0.78 0.67
3.0 mm A 0.61 0.48
2.0 mm A 0.55 0.37
1.0 mm A 0.51 0.23
140 kV A 1.43 1.49

Explained below is 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) 43 cm FOV
120 kV 120 kV
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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 QUALITY ASSURANCE
Dose and Performance 2
Explained below is information that relates image quality to radiation dose, as
required by the IEC standard, in compliance with the IEC committee draft for
vote of IEC60601-2-44, dated August 8 1997.

Statement of Typical Technique

HEAD BODY
25 cm Field of View (FOV) 43 cm FOV
120 kV 120 kV
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.

POSITION HEAD BODY

B
A 47 mGy 9 mGy
B 49 mGy 17 mGy
E A C C 47 mGy 18 mGy
D 46 mGy 15 mGy
D E 49 mGy 17 mGy
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 0.07 0.08
200 mA A 1.34 1.55
1.0 sec A 0.50 0.67
5.0 sec A 2.52 3.36
7.0 mm A 0.70 1.00
5.0 mm A 1.00 1.00
3.0 mm A 1.02 1.02
2.0 mm A 1.08 1.07
1.0 mm A 1.25 1.25
140 kV A 1.38 0.78

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 QUALITY ASSURANCE
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,
1 mm, 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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 QUALITY ASSURANCE
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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6-21
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 23 from 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 23° from 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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QUALITY ASSURANCE
Imaging Performance
Explained below is information that relates image performance, as required by
IEC standard, in compliance with the IEC 61223-3-5, First edition, August 2004.
The measurement procedure is described in IEC standard 61223-3-5.

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. (Regarding
the optional slice thickness less than 1.0mm, the deviation from the expected
values should less than ±0.5mm.)
Dose

CTDIw Head Statement of Typical Technique:

49mGy ±40% Axial,Head sFOV,25cm dFOV,120kV,150mA,2s,10 mm

CTDIw Body Statement of Typical Technique:

13mGy ±40% Axial,Large sFOV,43cm dFOV,120kV,130mA,1.5s,10mm

CTDIfree air
Statement of Typical Technique:
Head
77mGy ±40% Axial,Head sFOV,25cm dFOV,120kV,150mA,2s,10mm

CTDIfree air
Statement of Typical Technique:
Body
50mGy ±40% Axial, Large sFOV, 43cm dFOV, 120kV, 130mA, 1.5s, 10mm
68mGy ±40% Axial, Large sFOV, 43cm dFOV, 140kV, 130mA, 1.5s, 10mm
58mGy ±40% Axial, Large sFOV, 43cm dFOV, 120kV, 130mA, 1.5s, 1mm
58mGy ±40% Axial, Large sFOV, 43cm dFOV, 120kV, 130mA, 1.5s, 2mm
54mGy ±40% Axial, Large sFOV, 43cm dFOV, 120kV, 130mA, 1.5s, 3m
52mGy ±40% Axial, Large sFOV, 43cm dFOV, 120kV, 130mA, 1.5s, 5mm
50mGy ±40% Axial, Large sFOV, 43cm dFOV, 120kV, 130mA, 1.5s, 7mm

Noise, Uniformity and Water CT Number

Head
Noise: Less than 0.35%
Uniformity: Less than 3HU
Water Mean CT Number: 0 ±3HU
Statement of Typical Technique:

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 QUALITY ASSURANCE
Axial Head sFOV, 25cm dFOV, 120kV, 150mA, 2s,10mm, 200mm water
Body
Noise: Less than 0.9%
Uniformity: Less than 4 HU
Water Mean CT No. 0±4 HU
Statement of Typical Technique:
Axial, Large sFOV, 36cm dFOV, 120kV, 130mA, 1.5s,10mm, 300mm water

Spatial Resolution

Head Statement of Typical Technique

Std
• 3.6 lp/cm±20% lp/cm@ 50%MTF Axial/1.5S/10mm /120kV/150mA/Head
• 6.4 lp/cm±20% lp/cm@ 10%MTF
sFOV/25cm dFOV/STD
HiRes
Axial/1.5S/10mm /120kV/150mA/Head
• 11.2 lp/cm±20% lp/cm@ 50%MTF
• 14.1 lp/cm±20% lpcm@ 10%MTF sFOV/10cm dFOV/PFRM

Body Statement of Typical Technique

Std
Axial/1.5S/10mm/120kV/150mA/Large
• 3.6 lp/cm±20% lp/cm@ 50%MTF
• 6.4 lp/cm±20% lp/cm@ 10%MTF sFOV/25cm dFOV/STD
HiRes
Axial/1.5S/10mm/120kV/150mA/Large
• 11.2 lp/cm±20% lp/cm@ 50%MTF
• 14.1 lp/cm±20% lp/cm@ 10%MTF sFOV/10cm dFOV/PFRM

Low Contrast Resolution

Be visible: 3mm/0.3%@ CTDI center < 40mGy
Statement of Typical Technique:
Axial/1.5S/10mm /120kV/150mA/Small sFOV/19.2cm dFOV/STD/ Bowtie Filter
Helical//1.5S/10mm /120kV/150mA/Small sFOV/19.2cm dFOV/STD/Bowtie
Filter

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6-26
Quality Assurance DA TA FORM
NOISE
CONTRAST ALIGN LOW CONTRAST RES-
HIGH SLICE
DATE SCALE OLUTION
CONTRAST THICK
MEAN STD. SPATIAL NESS MEAN CT# MEAN STD
CT# DEV Y/N TOP BOTTOM CT# DEV

PLEXIGLAS 1.6mm WATER

1.3mm MEMBRANE
WATER
1.0mm DIFFERENCE
DIFFERENCE
0.8mm HOLES
QUALITY ASSURANCE

PLEXIGLAS 1.6mm WATER

1.3mm MEMBRANE
WATER
1.0mm DIFFERENCE
DIFFERENCE HOLES
0.8mm

PLEXIGLAS 1.6mm WATER

1.3mm MEMBRANE
WATER
1.0mm DIFFERENCE
DIFFERENCE HOLES
0.8mm

PLEXIGLAS 1.6mm WATER

1.3mm MEMBRANE
WATER
1.0mm DIFFERENCE
DIFFERENCE
0.8mm HOLES

CT/e Operator Manual

 Chapter 7
TECHNICAL SPECIFICATIONS
Component Identification
Component Model Number Location of Name Plate CDRH Certified
Gantry 2244227 Rear lower center Yes
2244227-X
X-Ray Tube 2232785-2 Housing surface
Housing
Yes
X-Ray Tube 46-274891G1 Housing surface
Insert
Collimator 2244123 Front of collimator Yes
2259785
2259785-X
Table 2244226 Gantry side of pillar Yes
2244226-X
Operator 2245646 Rear lower right corner Yes
Console 2245646-X
PDU 2298849 Rear lower right corner Yes
Generator 2227720 Front of generator Yes
Axial 2201806 No
Headholder
Coronal 2201801 No
Headholder
Water P9110LA On holding block No
Phantom
42cm Phantom P9110LD On holding block No

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7-1
TECHNICAL SPECIFICATIONS
Component Labels
MADE FOR GENERAL ELECTRIC CO. MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE WISCONSIN BY MILWAUKEE WISCONSIN BY
GE Hangwei MEDICAL SYSTEMS, Co.LTD. GE Hangwei MEDICAL SYSTEMS, Co.LTD.
No.2,North Yong Chang Street No.2,North Yong Chang Street
Beijing Economic-Technological Development Zone,P.R.C Beijing Economic-Technological Development Zone,P.R.C

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 NUMBER SUPPLY SUPPLY SUPPLY
CURRENT VOLTAGE FREQUENCY
Gantry 2244227,2244227-X 50A 380-480V3~ 50/60Hz
30A 200V~ 50/60Hz
30A 115V~ 50/60Hz
15A 115V~ 50/60Hz
Table 2244226,244226-X 10A 115V~ 50/60 Hz
Operator 2245646,2245646-X 20A 115V~ 50/60Hz
Console
(SYSTEM)* CT/e 60A 380 /400/ 50/60 Hz
415/440/
460/ 480V3~

COMPONENT (Note 5) (Note 6) (Note 7) (Note 8) (Note 9) (Note 10)

MODEL SUPPLY SUPPLY SUPPLY KVA SUPPLY
NUMBER VOLTAGE CURRENT CURRENT FREQUE
NCY
PDU 2298849 380/400/ 60A 20A 50 KVA 50/60Hz
(400V) 415/ 440/
460/
480V3~

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7-2
 TECHNICAL SPECIFICATIONS
X-Ray Tube Assembly Information
Tube Unit Identification
System/Tube Description Housing Insert Insert
Catalog No. graphite Model Number Model Number Catalog No.
anode
MX135 CT X-Ray tube 2232785-2 46-274891G1 D0095G
TH1.1 assembly

Improvements in the heat handling capabilities of this unit may result in new
catalog and Model number assignments

Diagnostic Source Assembly

Leakage Technique Factors

Tube Assembly Model No. 2232785-2 and CT Collimator Model No. 2244123:
140 kV, 24 mA

Minimum Inherent Filtration

Minimum inherent filtration of 6.0 mm aluminum equivalent at 70 kV:
• Tube Unit:
Tube Insert - 0.8 mm aluminum equivalent at 70 kV
Tube Housing - 0.2 mm aluminum equivalent at 70 kV
• Collimator (lower plate) - 0.5 mm aluminum
• Collimator (upper plate) - 4.5 mm aluminum equivalent at 70 kV

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7-3
TECHNICAL SPECIFICATIONS
TARGET LODING in Kilowatts FOR EACH SCAN TECHNIQUE
mA 120kV 140kV
60 7.2 8.4
80 9.6 11.2
100 12.0 14.0
130 15.6 18.2
160 19.2 22.4
200 24.0

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.

COOLING DELAY TIME at 120kV

Scan Anode Cooling Delays

Technique 2.0 sec 3.0 sec
120kV and
60mA 70 70
80mA 70 70
100mA 73 73
130mA 73 73
160mA 73 73
200mA 88 108

COOLING DELAY TIME at 140 kV

Scan Anode Cooling Delays

Technique 2.0 sec 3.0 sec
140kV and
60mA 70 70
80mA 70 70
100mA 73 73
130mA 73 73
160mA 73 73

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7-4
 TECHNICAL SPECIFICATIONS
X-Ray Tube IEC Information

X-ray Tube Housing

Model 2232785-2

X-ray Tube Insert

Model 46-274891G1

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 INSERT
Model 46-274891G1
Focal spot 0.4mmW x 0.7mmL (NEMA standard)
Target Material Tungsten/Rhenium Alloy Focal Track on graphite base
Target Angle 7°
Maximum Potential Difference 140 kV
High Potential Generator : General Electric CT/e System Constant Potential
X-Ray Tube Filament Supply : Maximum Voltage : 140kV
Maximum Current : 160 mA

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7-5
TECHNICAL SPECIFICATIONS
Nominal Anode Input Power
This tube accommodates GE CT/e Computed Tomography Systems with a
nominal anode input power of 24 kW for 3 seconds.

Maximum Anode Heat Capacity

2.0 MHU

Maximum Anode Heat Dissipation

500kHU/min

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7-6
 TECHNICAL SPECIFICATIONS
Anode Heating and Cooling Curves
Cooling Curve

Heating Curves
Stored Heat (KJ)

Time(sec) Time(min)

Single Load Rating

24 kW for 3 seconds

Serial Load Ratings

Controlled by the CT/e system operating software

Rotating Anode Supply

Designed to operate on the CT/e system (See accompanying system
documentation.)

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TECHNICAL SPECIFICATIONS
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 : 70
Nominal Focal Spot Values : Focal Spot : 0.7 (W) x 0.4 (L) mm
Focal Spot Modulation Transfer Functions : MTF for X-Ray Tube
Assembly Standard magnification = 1.3
Width Length

Frequency (lp/mm) Frequency (lp/mm)

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 TECHNICAL SPECIFICATIONS
Maximum Potential Difference : 140 kVp
Inherent Filtration
1.0 mm Al at 70 kV Tube 0.8 mm Al
IEC 522/1976 Housing 0.2 mm Al
Electrical Connections
See curves and diagrams
Emissions Characteristics
Connection stator, Thermal and Pressure overload switches
Principle Dimensions
Length 21.1 inches (53.6 cm)
Height 13.8 inches (35.0 cm)
Depth 26.8 inches (68.1 cm)
Weight 168 lbs (76.4 kg) (±10%)
X-Ray Tube Conditioning
The system software controls X-Ray tube conditioning. (See accompanying
system documentation.)
Maximum X-Ray Tube Assembly Heat Storage Capacity
2.0 MHU
Continuous Heat Dissipation of X-Ray Tube Assembly
X-Ray Tube and Heat Exchanger 275kHU/min

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TECHNICAL SPECIFICATIONS
Tube Assembly Heating and Cooling Curves
Tube Housing Heating Curves Tube Housing Cooling Curve
3000 2500

Stored Heat(KJ)
2500 2000
Storage (kJ)

2000 1500
1500 1kW
2 kW 1000
3.4 kW
1000
500
500
0
00 200 400 600 800 1000 1200 0 10 20 30 40 50 60

Time (s) Time(min)

Note : Cooling and heating curves reflect maximum tube performance. 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 kV - 24 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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 TECHNICAL SPECIFICATIONS
Generator Specifications

Main Power Supply

• Line voltage (no-load) 380, 400, 415, 440, 460 or 480 VAC
• 3-phase, 50 or 60 Hz ±0.2 Hz.
• Phase-to-phase balance within 3% of lowest phase-to-phase voltage.
• Line regulation 5% or less at maximum technique factor.
• Maximum line current demand, 100 Amps RMS (50/60 Hz) at 120 kV, 200
mA.

Generator Rating and Duty Cycle

• kV Range : 80*, 120, 140 kV(80kV can not be used for scanning.)
• mA Range : 10 to 200 mA
• Maximum Technique : 140 kV 160 mA, 120 kV 200 mA
• Maximum Output Rating : 24 kW
• Generator Duty Cycle :

Maximum Technique Factor Max. Duty Cycle

140kV and 160mA 9%

kV, mA, and Timer Accuracy

Mode Condition Accuracy

Kilovoltage : Axial 80 to 140kV ±3%
Excluding initial 3 msec
Milliamperage : Axial 10 to 200mA ± 5 % (or ± 1mA)
Excluding initial 100 msec

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TECHNICAL SPECIFICATIONS
kV : Subject to an additional ± 3% and ± 2kV accuracy of instrumentation used
for calibration and measurement.
mA : Subject to an additional ± 5% or ± 1mA accuracy of instrumentation used
for calibration and measurement.
Exposure : Subject to an additional ± 3% accuracy of instrumentation used
Time : for calibration and measurement.
Note : Accuracy subject to the following conditions :
1. Line regulation 5% or less.
2. Line voltages within this specified range : 380, 400, 415, 440, 460 or
480 VAC +10% -15% (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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 TECHNICAL SPECIFICATIONS
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 : 0.8 mm aluminum equivalent at 100 kV
Extender : 1.4 mm aluminum equivalent at 100 kV

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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TECHNICAL SPECIFICATIONS
Periodic Maintenance by Qualified Personnel
Recommended PM frequency is 2 times a year for CT/e, CT ProSpeed AI/FI
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.I

Priority Code
Pr (Priority) - Description
1 Safety and Rgulatory
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

Annual PM
SUB- Schedule
ITEM DESCRIPTION Pr Fr
SYSTEM
A B
PM0101 System Verify Emergency OFF buttons (Gantry 1 S ⇓ ⇓
/ Console / PDU)
PM0102 System Check X-ray ON lights or buzzer/ 1 S ⇓ ⇓
operation of scan abort
PM0103 System Caution Label Check 1 S ⇓ ⇓
PM0105 System Check Error Logs 1 S ⇓ ⇓
PM0301 Gantry Check the number of Gantry revolutions 1 S ⇓ ⇓
PM0201 O.C Verify Audio Function 1 S ⇓ ⇓
PM0501 Table Check Head Holder 1 S ⇓ ⇓
PM0502 Table Check Table Cover 1 S ⇓ ⇓
PM0503 Table Gap between Table Cover and Cradle 1 S ⇓ ⇓
PM0504 Table Check Cradle Rail 1 S ⇓ ⇓
PM0505 Table Holder Stability Check 1 S ⇓ ⇓
PM0506 Table Check Touch Sensor operation 1 S ⇓ ⇓
PM0507 Table Verify Unlatch Function 1 S ⇓ ⇓
PM0508 Table Check Gantry / Table interlock 1 S ⇓ ⇓
PM0607 XG Check Parts 1 S ⇓ ⇓

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 TECHNICAL SPECIFICATIONS
Image Quality
Annual PM
SUB-
ITEM DESCRIPTION Pr Fr Schedule
SYSTEM
A B
PM0104 System Image Check (Image Performance) 2 S ⇓ ⇓
PM0302 Gantry Clean Mylar ring cover 2 S ⇓ ⇓
PM0401 DAS Check/Clean Detector face 2 S ⇓ ⇓
Subtotal 1:30 1:30

System Performance
Annual PM
SUB-
ITEM DESCRIPTION Pr Fr Schedule
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 0:10 0:10
PM0205 O.C Clean Display monitor/Console exterior 4 S 0:15 0:15
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
PM0509 Table Clean Cradle tray / Table cover 4 S 0:15 0:15
PM0510 Table Check for Oil Leak 3 S 0:05 0:05
PM0511 Table Check Table anchors / Table isolation 3 A 0:05
PM0512 Table Inspect FANs 3 S 0:10 0:10
PM0513 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
PM0801 MOD Dry Cleaning 3 S 0:05 0:05
Subtotal 4:15 7:00
Total 5:45 8:30

*1 : Option

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TECHNICAL SPECIFICATIONS
Maintenance by CT Users
The following maintenance by CT users is highly recommended.
Check at least once a week if those items function properly.
• Emergency stop : Press the button to confirm the system stops.
• Cradle latch operation : Press the button to confirm the cradles latches.
• Clean covers
• System time accuracy: If the time is not accurate, adjust the time by using the
below method.
Method of date setting:
- Start the sytem. Wait when a window of ”You have 5 seconds to cancel
Application Startup” appears. Quickly click Cancel
- “Application Startup cancelled at user’s request. To manually start
application type ’startup&’ on the console window.” appears. Click OK.
- Click [Data Setting] on the up righ corner of the console window. The below
window appears:

- Adjust the system time and then click Set.

- On below popped up window, click Accept.

- The system will automatically reboot.

• The system must be cooled down for at least 2 hours after the date setting.
Otherwise the cooling curve will be changed.

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 TECHNICAL SPECIFICATIONS
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)

Attention, consult
348
ACCOMPANYING DOCUMENTS

OFF (Power: disconnection

417-5008
from the mains)

ON (Power: connection
417-5007
to the mains)

Dangerous voltage

Emergency Stop

Warning sign
RADIATION of LASER
APPARATUS

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TECHNICAL SPECIFICATIONS
Symbol Publication Description

Type B Applied Part

417-5339 X-Ray source assembly Emitting

417-5009 Stand by

Start

Table Set

Abort

Intercom

(On Operator Console)

Power ON Light ON
Stand by Light OFF

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 TECHNICAL SPECIFICATIONS
Symbol Description

Microphone (Mic)

Contrast

Brightness

70oCC
50
System storage prior to installation:
Maintain storage temperature between -20° C and
+70° C
-20oC

System storage prior to installation:

Maintain non-condensing storage humidity below 95%

Humidity 10-90%
Excluding DO NOT store system longer than 90 days
Condensation
Air Pressure System storage and shipment
700-1060hPa Maintain Air Pressure between 700 and 1060hPa

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TECHNICAL 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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 TECHNICAL SPECIFICATIONS
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 :
• Use soft cloth damped with (hot) water to remove any dirt or stains.
• 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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TECHNICAL SPECIFICATIONS
Blank page

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7-22
 A Optimize Rx, 4-26
Pause, 4-29
Accelerator Bar, 3-30 Preview, 4-27
Priority Recon, 4-29
Accessories, 1-15
Prospective Multiple Reconstruc-
Body Accessory Use, 1-18
tion, 4-21
Coronal Head Holder Assembly, 1- Recon Area, 4-24
17
Repeat Series, 4-29
Security Strap Kit, 1-19
Resume, 4-30
Standard Head Holder Assembly,
Select New Prortocol, 4-28
1-17
Show Localizer, 4-23, 4-31
Auto Film Composer, 3-29 Show Recon 1,2,3, 4-19
Auto Store, 4-11 Special Filter, 4-19
Split Current Group, 4-24
Auto Transfer, 4-12
View/Edit Screen, 4-13
Autoview Layouts, 3-4
Axial/Helical Scan End, 4-39
Next Series, 4-41 B
One More, 4-44
Biopsy Scan, 4-46
Priority Recon, 4-40
Repeat Last Group, 4-45
Repeat Series, 4-42
C
Axial/Helical Scan in Progress, 4-38
Scan Progress screen, 4-38 Control Panel, 1-4
Cradle In/Out, 1-4
Axial/Helical Scan Prescription, 4-13
External Landmark, 1-5
[Film] icon, 4-20
Fast, 1-4
[Recon] icon, 4-18
Gantry Tilt, 1-5
[Scan] icon, 4-15
Gantry Tilt Lamp, 1-5
[Timing] icon, 4-17
Internal Landmark, 1-5
Add Group, 4-24
Positioning Light, 1-5
Auto mA, 4-33
Practice, 1-5
Autofilm Setup, 4-23
Table Up/Down, 1-4
Biopsy Rx, 4-25
Tilt Range & Scannable Range, 1-5
Cine Scan, 4-14
Confirm, 4-29
Create New Series, 4-28
Delete Selected Group, 4-25
D
End Exam, 4-28 Daily Prep, Tube Warmup, 2-27
Gastrointestine contrast, 4-30
Display Panel, 1-6
Helical Scan, 4-14
Distance from Iso-Center, 1-6
Introvenous contrast, 4-30
Distance from Landmark, 1-6
Next Series, 4-28
Interference, 1-6
One More, 4-29
Tilt/Angle Range, 1-6
 X-ray On, 1-6
I
Display Preference, 3-24
Annotation Levels, 3-25 Image Display Layout, 3-3
Continuous Report Cursor, 3-27
Next/Prior Each Viewport, 3-27
Next/Prior Series Binding, 3-27 L
List/Select, 3-7
F
FILMING, 5-1 M
AutoFilm, 5-1
Manual Film Composer, 3-28
Auto Film Composer, 5-4
Auto Print, 5-6 Measurements, 3-21
Auto Start, 5-5 MIROI(Multiple Image ROI), 3-22
Copies, 5-3 Report Pixels, 3-23
Destination, 5-3
Exam Page/Series Page, 5-3
Film Direction, 5-2
Format, 5-2
N
Scout, 5-3
New Patient, 2-5, 4-4
Show Gray Scale, 5-4
Size, 5-3
XRef-Scout, 5-4
AutoFilm Composer, 5-10 O
Manual Film, 5-11
Operator Console, 1-9
Manual Film Composer, 5-12
Keyboard/Mouse, 1-9
F1 function key, 5-16
MOD Drive, 1-9
F2 function key, 5-17
Scan/Display Monitor, 1-9
F3 function key, 5-17
F4 function key, 5-18

P
G Patient Positioning, 4-1
Gantry, 1-2 Landmarks, 4-3
Control Panel, 1-2 Patient Schedule, 2-6
Detector Specifications, 1-3 Add Patient, 2-8
Display Panel, 1-2 Delete All, 2-10
Emergency Button, 1-2 Delete Selected, 2-10
Gantry Specifications, 1-3 Edit Patient, 2-9
Positioning Light & Breath Navi, 1-2 Preference, 2-11
X-ray Tube Specifications, 1-3 Select Patient, 2-7
View More Info, 2-7
Primary/Secondary Viewport, 3-2
Protocol Management, 2-12 ProView, 3-13
Auto Voice Record, 2-13 Roam/Zoom, 3-10
Protocol Management, 2-16 Screen Save, 3-20
[Film] icon, 2-18 User Annotation, 3-18
[Recon] icon, 2-18
[Scan] icon, 2-18
[Timing] icon, 2-18 S
Scanner Utilities, 2-28
Q Raw Data Function, 2-28
User Calibration, 2-34
QUALITY ASSURANCE, 6-1
Dose and Performance, 6-13, 6-15 Scout Scan, 4-6
High Contrast Spatial Resolution, Add Scout, 4-7
6-6 Confirm, 4-8
Image Performance, 6-21 Create New Series, 4-8
Low Contrast Detectability, 6-9 Delete Selected Scout, 4-7
Noise and Uniformity, 6-10 End Exam, 4-7
Phantom Description, 6-2 Next Series, 4-7
Phantom Setup, 6-3 One More, 4-8
Scan the QA Phantom, 6-4 Pause, 4-8
Slice Thickness, 6-7 Repeat Series, 4-8
Weighted CTDI, 6-12 Resume, 4-8
Scan Progress screen, 4-9
Select New Protocol, 4-7
R System Power On/Off, 1-22

Recon Management, 2-25

Retro Recon, 2-21 T
Review Layouts, 3-6
Table, 1-7
Multiple Image Display (MID), 3-6
Cradle, 1-7
Routine Display, 3-9 Latch Button, 1-7
Cross Reference, 3-17 Speaker, 1-7
Display Normal, 3-14 Table Specifications, 1-8
Ellipse ROI, 3-15
Erase, 3-20
Exam Pg/Series Pg, 3-19 U
Explicit Magnify, 3-11
Flip/Rotate, 3-12 User Interface, 1-10
Grid, 3-16 Keyboard, 1-11
GSE, 3-14 Communication button, 1-13
Hide/Show Graphics, 3-20 Keyboard keys, 1-13
Scan-related buttons, 1-12
List/Select, 3-15
Mouse, 1-10
Measure Distance, 3-16
 GE Medical System China

No.2, North Yong Chang Road

Beijing Economic&Technological Development Area
Beijing P.R.China 100176
Tel: (86-10) 67881880
Fax: (86-10) 67881850