Application

Module 5
 Interlocks
• C-Arm Movement • Mirror and Filter
– Vertical motion and rotation
disabled when 13lb or
Interlock
greater of compression is – Prevents X-Ray when
displayed mirror or filter are not
• Automatic Compression positioned correctly
Release
– Installing a localization
• Smart Paddle System
paddle disables the Position Interlock
automatic compression – X-Ray is prevented if
release
paddle does not
• Early Release
match the view.
– Immediate termination of
exposure if X-Ray switches
are released prior to the
end of exposure
 Safety
• No rotation on loss of power
• Compression release is disabled
when localization paddle is
installed
• Compression force limited to 45lbs
• 3 Emergency Stop switches
– Turns off gantry in Emergency
– Not for normal use.
 Power Up and Down
• Pre-Start Checks • Daily
– Check Physical – Re-Start the
Integrity system
• Mechanical Controls
• Weekly
– Emergency Off
– Complete power
switches
down
• Turn on system
– Press Power On
– Login to the OS
– Login to the
Application
 System Startup process
Icons on CDE appear,
Power Applied Computer Login As Processes start Application
to Sun performs POST “tech” Digital Detector Launches
Computer Checks temp bar

AWS ~10 mins

Gantry receives Grid Cycles,
Power Collimator
Cycles

Gantry
Brick Receives Brick booting Brick booted Starts
Power Array
Off Blinking Off
Off On Off Off Blinking On

Brick ~4 mins
Clicking Heard Array
HV Checks Running

Array ~2 mins
 Logins & Passwords
• Logins for Operating
System Level (OSL)
access: – reboot Allows the
– tech Access allows the user to initiate a
technologist to capture reboot from the
images. After accessing the Solaris log in screen.
system, the technologist
then signs in to the – shutdown Allows the
application with a unique user to power down
identifier. the Acquisition Station
– mgr Access allows a Lead computer.
Tech to create reports, delete
patients from the database,
and edit procedures.
– apps Has the most
privileges, with access to
administration and service
functions.
Usernames and Passwords are case sensitive;
type lower case letters
Log On to the Operating System
Common Desktop Environment
Application Main Screen
Automatic Array Shutdown and Startup
• Configure the system to
automatically shutdown the array at
night (TB-00213.)
• In the morning, the array can be
automatically started before anyone
arrives so that the array has time to
warm up to temperature.
• This features is enabled or disabled
by Hologic Field Service
 Acquiring Images
Choosing a patient

Patient
Add New
Patient

Procedur Procedure
Local dB e
Search for View
existing
View
patient
manually or View
using BCR Modality View
Worklist
Choosing a Patient Using the Modality Worklist Query
• Modality Worklist
– that allows you to retrieve patient information
from a Radiology Information System (RIS).
– This feature follows the DICOM Modality
Worklist standard, and requires your facility to
have a DICOM Modality Worklist provider.
• If this feature is configured on your
system, the Enter or search for patient
window contains an enhanced user
interface that includes two tabs:
– Worklist tab.
– Local dB tab
Choosing a Patient Using the Modality
Worklist Query (cont.)
• Worklist tab. This tab includes two
subtabs.
– The Patient Query tab
• allows you to search for a
patient in the Modality Worklist
provider using several
different search criteria.
– The Todays Worklist tab
• allows you to retrieve a daily
worklist of patients and visits
from the RIS.
• Local dB tab
– allows you to manually enter
patient information, or search the
local database for a patient.
Local database
Acquiring Images
 Making X-Ray
• Press both X-Ray buttons
• Generator Status
– Boost
– Rotor
– X-Ray On
– X-Ray Off
• Hold the X-Ray buttons until the
high pitched tone stops
Preview Image
 Options
• Technique Used
• Comments
– Not printed on film
• Markers
– View Left and Right
– Standard Markers
Left and Right
– Click and Drag and
Drop
 Options
• Magnification
• Measure
• Region of Interest
(ROI)
• Orientation
 Patient Orientation and Image Laterality
Image Laterality Patient Orientation Column
Laterality is the localization of a The value in the patient orientation
particular side of the body. For column represents the image orientation
example, is the image the left hand in the Y direction as viewed in the Image
or the right hand. There are four Preview window. The values for this
Image Laterality values the user can option are:
select: A for Anterior L for Left
R for Right P for Posterior H for Head
L for Left R for Right F for Feet
U for Unpaired
B for Both (Left and Right)

Patient Orientation Row

The value in the patient orientation row
represents the image orientation in the X
direction as viewed in the Image Preview
window. The values for this option are:
A for Anterior L for Left
P for Posterior H for Head
R for Right F for Feet
ROI Statistics
Exposure Index
 Accept or Reject
• Accept • Reject
– Image is sent to – Image moved to
the output Reject storage
– Must provide a
reason for Reject
 Accept a Rejected Image
• Note: Rejected images can be un-
rejected until the procedure is
closed.
• Click Review
• Select the tab.
• Click the image to be unrejected.
• Click Set Accept
– Image now goes to the output.
 File Menu, Exit
• Power off the computer
– Shutdown
• Restart the computer
– Reboot
• Log out of the
computer
– Exit to OS Login
• Sign in as a different
user
– Application Logout
Edit, Standard Setup
 Order Editor
• Each technologist has a default
order in which the positions are
presented.
 Adding new users
• As seen from the apps level
Changing your Password
1. From the Edit menu, choose Change User Password.
The Change Password window displays.
2. In the Enter Current Password field, type your current
password, then click the OK button.
Note: An asterisk (*) character displays for each character you
type to protect the privacy of the password.
3. Type the new password in the Enter New Password field
and in the Reenter New Password field.
Note: This is required to verify that you are typing the new
password correctly, since you cannot see what characters you
are typing.
4. To save the change, click the OK button.
To cancel the change, click the Cancel button.
 Image Management - tech
• Admin, Image
Management
• Search for Patient
• Select an Image or
All Images
• Select an Output
– Adjust the output
settings for a printer
• Click Resend
 Protect Patients
• Patients that are not protected are
marked for reclamation.
– Typically QC patients are protected.
• QC_Weekly
– Mo Flat Field
– Rh Flat Field
– ACR Phantom
• Printer_Laser
– SMPTE to printer
 Gain Calibrate
• The purpose of this process is to
compensate the x-ray image for electronic
gain variations from pixel to pixel.
• This process also compensates for other
characteristics, such as x-ray field non-
uniformity including the heel effect of the
x-ray tube, conversion gain variations in
a-Se material, and non-uniformity in the
image receptor cover or x-ray tube filter
materials.
 Gain Calibrate
• To apply gain correction, multiple difference
images of a 4 cm thick acrylic plate covering the
image receptor's active area are acquired and
arithmetically averaged to create a single gain
calibration file.
• This gain calibration is done periodically by the
user (typically every 14 days). The resulting gain
calibration file is stored on the acquisition station
computer hard disk, and is loaded into computer
memory before each image acquisition cycle.
During image acquisition, each pixel value of the
difference image is multiplied by the
corresponding gain calibration factor to correct for
image pixel to pixel variations in the image.
 Admin Menu
• Tech • Mgr • Apps
– Image Management – Spool Management – Spool Management
– Protect Patients – Protect Patients – Protect Patients
– Delete Patients – Delete Patients
– Repeat Management – Repeat Management
– Generator Toolbox – Generator Toolbox
– Manage Queues – Manage Queues – Manage Queues
– Eject – Eject – Eject
– Import – Import – Import
– Retrieve Priors – Retrieve Priors – Retrieve Priors
– Log Backup – Log Backup
– Calibrate – Calibrate – Calibrate
– DR Image Viewer
– DR Device Control – DR Device Control – DR Device Control
– Available Disk Space – Available Disk Space – Available Disk Space
– Paddle Configuration – Paddle Configuration
Info Screen