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MAMMOMAT Inspiration
SP

Installation and Startup

System

Magnification Table 1.5

© Siemens, 2008

10139851

© Siemens, 2008
All documents may only be used for rendering
services on Siemens Healthcare Products. Any
document in electronic form may be printed
once. Copy and distribution of electronic docu-
ments and hardcopies is prohibited. Offenders
will be liable for damages. All other rights are re-
served.

Print No.: SPB7-330.814.05.04.02 English

Replaces: SPB7-330.814.05.03.02 Doc. Gen. Date: 10.13
CS SD SP/CO
n.a.

2008
2 Copyright / Version / Disclaimer
1Copyright / Version / Disclaimer

Copyright
“© Siemens, 2008“ refers to the copyright of a Siemens entity such as Siemens Aktienge-
sellschaft - Germany, Siemens Shenzhen Magnetic Resonance Ltd. - China, Siemens
Shanghai Medical Equipment Ltd. - China, Siemens Medical Solutions USA Inc. - USA,
Siemens Healthcare Diagnostics Inc. - USA and/or Siemens Healthcare Diagnostics Prod-
ucts GmbH - Germany.

Document Version
Siemens reserves the right to change its products and services at any time.
In addition, manuals are subject to change without notice. The hardcopy documents corre-
spond to the version at the time of system delivery and/or printout. Versions to hardcopy
documentation are not automatically distributed. Please contact your local Siemens office
to order current version or refer to our website http://www.healthcare.siemens.com.

Disclaimer
Siemens provides this documentation “as is“ without the assumption of any liability under
any theory of law.
The installation and service of equipment described herein requires superior understand-
ing of our equipment and may only be performed by qualified personnel who are specially
trained for such installation and/or service.

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Table of Contents 3
0Table of Contents

1 _______ General Information______________________________________________ 4

Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
General remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Product-specific remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Conventions and abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Required aids and tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Required documents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
System and option requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Items included in the shipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2 _______ Install _________________________________________________________ 9

Unpacking. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Transport damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
System preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Checking the snap-fit of the magnification table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Adjusting the snap-fit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

3 _______ Startup _______________________________________________________ 13

Set detector to “Mag 1.5” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Functional test of mag table detection switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Collimator alignment for magnification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Required equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Adjusting collimation size:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
AEC configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Setting the AEC algorithm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
AEC target parameter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Detector calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

4 _______ Final work steps________________________________________________ 24

Quality test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Visual inspection: Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Final check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
System handover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

5 _______ Changes to Previous Version _____________________________________ 29

6 _______ List of Hazard IDs ______________________________________________ 30

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4 General Information
1-
Notes
1General Information

Safety information 0

NOTE To avoid any risk of injury to persons and/or damage to the

system, read and observe the General Safety Notes
(TD00-000.860.01...).

NOTE Observe the safety information in the document “Mammog-

raphy; Safety Information; System; Safety Information
including IEC 62353” (SP00-000.860.03...).

Icons
X Warning about ionizing radiation or radioactive substances. Tests and adjustments that
must be performed with the radiation switched on are indicated by this radiation warning
icon.

V Dangerous electrical voltage > 25 VAC or > 60 VDC.

C Caution! General hazard warning.

E ESD: Warning about electrostatically sensitive components.

Safety labeling

DANGER DANGER indicates an immediate danger that if disregarded

will cause death or serious physical injury.
¹

WARNING WARNING indicates a possible danger that if disregarded

can cause death or serious physical injury.
¹

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General Information 5

CAUTION CAUTION used with the safety alert icon indicates a possible
danger that if disregarded will or can lead to minor or moder-
ate physical injury and/or property damage.
¹

NOTICE NOTICE used without the safety alert icon indicates a possi-
ble danger that if disregarded can or will lead to an undesir-
able outcome or state other than death, physical injury or
property damage.
¹

NOTE NOTE is used to indicate information that explains the proper

way to use devices or to carry out a process; i.e., provides
pointers and tips.

General remarks 0

n.a.

NOTICE The screenshots in this document are used for illustration

and orientation purposes.
¹ Therefore, the actual screen may vary.

NOTICE The installation of software not released or validated for the

system is strictly prohibited.
¹ Otherwise, the syngo software or one or more of its
applications may malfunction.

Product-specific remarks 0

After installation of the magnification table option, a “MAG” detector calibration must be
performed.
The coexistent use of magnification table 1.5 and 1.8 is not allowed.
The magnification table must be installed in the order indicated in these instructions.

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6 General Information

Time and number of persons

The complete installation and startup of the “magnification table” require about 4 hours.
The upgrade can be performed by one person.
Additional time must be calculated for performing the acceptance tests or constancy test
according to the national regulations.

Acceptance test
It is recommended that the MAMMOMAT Inspiration acceptance test be performed when-
ever a new MAMMOMAT Inspiration system has been installed and changes that might
affect performance have been made to an existing system.
The MAMMOMAT Inspiration acceptance test includes all QA procedures in this Quality
Control Manual in order to ensure that a basic minimum image quality criterion is met
before the system is used with patients.
All annual tests from the Quality Control Manual must be performed.
Additional tests must be performed in accordance with the applicable regulations in the
country where the system is installed.
• Tests according to §16 of the X-ray Ordinance must be performed in Germany.
• In the USA, tests must be performed in accordance with the DHHS.

System access privileges

Passwords
Required passwords are not included in this document. You can obtain them from the rel-
evant USC or RSC.

Conventions and abbreviations 0

Item Description
MAG Magnification
MDB Mag detection board
MU MammoUnit
WH AWS Acquisition workstation

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General Information 7

Requirements 1.1

Required aids and tools 0

Tools
Standard tool kit
All magnification compression paddles delivered
ANRAD Image Result CD delivered with the detector (in the system binder)

Required documents 0

Document Print number

General Safety Information TD00-000.860.01...
Safety Information, System SP00-000.860.03...
Protocol, Startup, Service and Maintenance SPB7-330.835.01...
including IEC 62353
User Manual SPB7-330.620.01...
Quality Assurance SBP7-330.820.01...

System and option requirements 0

The functional capability of the MAMMOMAT Inspiration must be checked and in perfect
order before the magnification table is installed.
Any deficiencies detected must be corrected before any work steps are performed!

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8 General Information

Items included in the shipment 1.2

Item Quantity Component Material No.

1 1 Magnification table 1.5 10139851
2 1 Mag 1.5 magnification 10139853
paddle (optional)
3 1 Mag 1.5 spot magnifi- 10139855
cation paddle
(optional)

Fig. 1: Magnification table

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Install 9
2-
Unpacking
2Install

Transport damage 0

The magnification table is delivered in 1 package.

1. Inspect the contents for damage. The surface of the MAG table should not be
scratched.

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10 Install

System preparation 2.1

The system software and hardware are prepared for the magnification table. No specific
installation is needed. Any adaptation to the mechanical tolerances of the system that may
be necessary is described in the “Startup” section.

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Install 11

Checking the snap-fit of the magnification table 2.2

The snap-fit of the magnification table can be adjusted to ensure correct fit on the object
table.
1. Guide the magnification table over the object table until the very end.
¹ The snap-fit on each side (left and right) locks.
¹ If the MAG table is not securely attached, perform the steps under “Adjusting the
snap-fit”.

Adjusting the snap-fit 0

1. Loosen the two screws of the snap-fit on each side of the table.

Fig. 2: Position the MagTable

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12 Install

2. Move the table within the available space so that the snap-fit lines up with the groove of
the object table. To secure the new position, tighten the screws on each side.

Fig. 3: Object table, MagTable nut

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Startup 13
3-
Set detector to “Mag 1.5”
3Startup

The magnification option will be configured within the MammoUnit web service interface
“Detector”. Depending on which other option is installed, set the detector to “Anrad Mag
1.5”, “Anrad Stereo Mag 1.5” or “Anrad Tomo Mag 1.5”.

1. Open the local service interface, select “Acquisition System -> open the Service Web
Interface”.
¹ The MammoUnit service interface will open.
¹ The firmware version (e.g. VC01E) is displayed on the “web service interface”,
upper right corner.
2. From the main menu select “Detector” and choose “Anrad Mag 1.5”, “Anrad Stereo
Mag 1.5” or “Anrad Tomo Mag 1.5” depending on which option is installed.

Fig. 4: Set detector to magnification

3. Switch the MammoUnit off and then on again (the values entered take effect).

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14 Startup

Functional test of mag table detection switch 3.1

1. Set up the system to the point where the following conditions are met: A compression
paddle is inserted
- The system is switched on, system is ready for examination.
- The mag table is not assembled.
- A compression paddle is inserted.
- The compression is set to a thickness of approximately 20 mm.
2. Register a patient.
3. Enable a PV icon (Projection View).
4. In the WH AWS status bar, check to make sure the “large focus” symbol is visible.

Fig. 5: Magnification table detected

5. Remove the compression paddle.
¹ The active PV icon will be deselected!
6. Insert the magnification table up to the mechanical stop or until it is locked in position.
7. Check to make sure the compression paddle moves up to the new mechanical zero
position.

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Startup 15

8. Check to make sure the “large focus” icon in the AWS status bar changes to “small
focus”.
¹ The magnification table will be detected with the magnet glued within the table
and with the snap-fit on each side of the mag table.
¹ If the table detection fails, perform the steps in the section “Adjust the position
of the magnification table”.

Fig. 6: MagTable pin and the magnet for detection

9. Insert the magnification paddle and set it to a thickness of approximately 20 mm.
10. Wait until the detector subsystem reconnects.
¹ When the mag table is being used for the first time of the day, this can take sev-
eral minutes.
11. Enable the PV icon.
12. Retrieve the mag table.
¹ The AWS status bar shows the large focus icon again.
¹ The active PV icon will be deselected!

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16 Startup

13. If any of these steps fails, the magnification detection board underneath the object
table must be adjusted in position. Refer to the section “Adjust the position of the
mag-detection board”.

Fig. 7: Magnification detection board (MDB)

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Startup 17

Collimator alignment for magnification 3.2

Required equipment 0

- All compression paddles delivered

Adjusting collimation size: 0

1. Guide the magnification table over the object table to the end (magnification mode).
2. Open the MammoUnit web service interface “Collimator”.
¹ The current collimation parameter can be found under “Details”.

NOTE Make a note of the correct parameter to avoid another adjust-

ment in case of malfunction!

3. Register a new service test patient “Collimator” with procedure QC raw and, for exam-
ple, 20 PVs with LCC.
4. Select manual mode with 26KV, 5mAs, and Mo/Mo.
5. Insert the biggest available paddle for magnification.
X 6. Expose one image and wait until it is displayed.
7. Select “Image/Inverse” from the UI.
8. Change the window level (brightness and contrast) so that the blades of the collimator
are visible. If necessary, use the “zoom from point” function to display all sides (chest
wall, left, right, rear) in detail.
¹ Check whether the blades of the collimator are visible (chest wall, left, right, rear).
¹ Remember that the edges of the paddle plate may be visible in the image!
Remove the plastic from the frame if necessary.
9. Using the MammoUnit web service interface/collimator, set the blades (chest wall, left,
right, rear) with the “In” buttons so that all the blades will be visible in the next exposed
image.
Perform the following steps:

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18 Startup

- Set "Select lamellae to set" to “Moly small” in the MU service menu.

- Move the blades with “Step size”: Large, medium, small, or single.
X - Release an exposure then change the collimation again until all blades are visible.

Fig. 8: Adjusting the collimation

Tab. 1 Step size table

Step size Digit value Distance (mm)

Large 100 5
Medium 50 2.5
Small 10 0.5
Single 1 0.05

10. Now open the collimation (chest wall, left, right, rear) again (stepwise) so that the
blades will not be visible (fine adjustment) in the next exposed image.
¹ The X-ray/light field can have a misalignment (sum of misalignments on opposite
sides) which may not exceed 2% of SID (13 mm).
X 11. Repeat adjustment steps 4-10 with target W/Rh. In that case for "Select lamellae to
set", select: “Tungsten small” in the MU service menu.
X 12. Now check all available paddles for magnification, insert a paddle, release an expo-
sure, and ensure that no collimator blades are visible. Otherwise, repeat the adjust-
ment according to steps 4-10 for the specific target.

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Startup 19

AEC configuration 3.3

Setting the AEC algorithm 0

From Local Service:

1. Navigate to the Acquisition System page.
2. Select AEC Configuration.
3. From the selection bar, select the AEC algorithm “AEC 2 runs, use minimum excl.
Pectoral V3.0,” and check the box “Use AEC gain correction”.

Fig. 9: AEC configuration

4. Click “Save” to apply the changes.

AEC target parameter 0

Basically, the standard AEC target will not be changed. The following tables are shown for
orientation purposes only.

Target values for screening

Screening target val- Value

ues
Mo / Mo) 5700
M0 / Rh 5700
W / Rh 5700

Target values for magnification

Mag target values Value

Mo / Mo) 5000
M0 / Rh 5000
W / Rh 5000

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20 Startup

Target values for tomo

Tomo target values Value

W / Rh 10000*

*)This target value for the tomosynthesis option may be modified accordingly to fulfill the
Quality Control “Test 1: Glandular dose”.

Target value for tomo configuration

The target values for tomo must be configured in such a way as to ensure the optimum
dose value. The result of the configuration, the dose value, must be documented in the
Operator Manual for the Mammomat Inspiration Tomosynthesis (Option) SPB7-330.621.03
.xx.xx / QC Test, Test 1 Glandular dose.
For the configuration, please proceed as follows:
1. Create a patient record in the local database.
2. Select the procedure "QC raw Tomo."
3. Select the AEC exposure technique.
- 26kV
- Anode/filter W/Rh
Advanced settings:
- Auto decomp off
- OPCOMP on
- AEC segmentation off
- “Normal” dose level
4. Place a 20 mm thick PMMA plate on the object table. (Fig. 10 / p. 20)

Fig. 10: PMMA position on the detector

5. Mount a compression plate: either 26 cm x 35 cm tomo or 24 cm x 30 cm low.

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Startup 21

6. Perform compression until OPCOMP is attained.

7. Perform an exposure.
8. Write down the AGD values displayed. The values must fall within the range from 0.9 to
1.0 mGy.
9. If any value falls outside the range, then proceed as follows:
a) change the value Target values for tomo: Service UI > Acquisition > AEC Configu-
ration
b) Repeat step 9 until the value falls inside the range.
10. If the value is inside the range (0.9 to 1.0 mGy), then write down the values displayed
for mAs and AGD in the Operator Manual / Tomo / QC test for TOMO, Test 1 Glandular
dose.
11. End the examination.
12. If you made any changes in the Service UI, then click Save.

Dose value for screening

Dose level Value

High dose level (%) 120
Medium high dose level 110
(%)
Normal dose level (%) 100
Medium low dose level 90
(%)
Low dose level (%) 80

Dose values for magnification

Dose level Value

High dose level (%) 120
Medium high dose level 110
(%)
Normal dose level (%) 100
Medium low dose level 90
(%)
Low dose level (%) 80

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22 Startup

Dose values for tomo

Dose level Value

High dose level (%) 250
Medium high dose level 225
(%)
Normal dose level (%) 200
Medium low dose level 175
(%)
Low dose level (%) 150

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Startup 23

Detector calibration 3.4

1. Open Windows Explorer.

¹ For example, log in to Local Service/Utilities/Escape to OS, enter “Start Explorer”
on the command line, and click “Go”. Windows Explorer opens.
2. Insert the “Anrad Image Result CD” in the drive. This image CD belongs to a specific
detector and can be found in the system binder.
3. Copy “Contact.cal” from the CD to the destination C:\temp.
4. Rename Contact.cal to Mag.cal in the folder C:\temp.
5. Copy Mag.cal to the destination “C:\AWS\Mosaic\calfiles”.
¹ Confirm that an older version of that file is overwritten.
6. Ensure that no compression paddle is installed.
7. Before starting the detector calibration procedure, ensure that the 4-cm plexi phantom
is clean and securely fastened to the collimator.
8. Perform detector calibration for “Magnification”.
¹ The previously performed detector calibration for “Contact” is recommended but
not required.
Once the detector calibration “Contact” has been performed, wait 10 minutes
before opening the first patient or registering a new patient.

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24 Final work steps
4-
Quality test
4Final work steps

1. Perform QA test 1, collimator assessment for magnification mode.

2. The acceptance test or constancy test must be performed in accordance with locally
applicable regulations.

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Final work steps 25

Visual inspection: Cleaning 4.1

1. Ensure that the system is clean and in good condition.

2. To avoid artifacts on the images after installing parts, clean the object table and the
magnification table, removing any dust or particles.

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26 Final work steps

Backup 4.2

1. Back up the MammoUnit as described in the document “Software Installation,

SPB7-330.816.01....”.
2. Back up the WH AWS as described in the document “Software Installation,
SPB7-330.816.01....”.

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Final work steps 27

Final check 4.3

1. The system will start without an error message.

2. Perform a partial function test of the MammoUnit movements (Compression, Lift, Rota-
tion).
3. Register a patient and release at least one exposure in -90 degrees and one exposure
in +90 degrees. (release the exposures with the footswitch if this option is installed).

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28 Final work steps

System handover 4.4

1. Hand over the MAMMOMAT Inspiration to the customer and inform him that the sys-
tem has been upgraded with the magnification table.

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Changes to Previous Version 29
5Changes to Previous Version 5-
Version < 03 > compared to version < 02 >

Capter Changes
<General information> The followings were changed section
• No changes.
< Startup> The following things were changed in this section:
• Instructions for AEC configuration added.
< Final work > The following things were changed in this section:
• No changes.
Changes to previous version The following things were changed in this section:
• This chapter has been updated to reflect document
changes.

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30 List of Hazard IDs
6List of Hazard IDs 6-
There are no Hazard IDs in this document.

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