Manual CT General Electric

GE Healthcare
CT/e Single, Dual, HiSpeed Dual

CT Series
Quick Step Guide
GE Hangwei Medical Systems does business as GE Healthcare
This Manual Supports the Following Product Names:
CT/e, ProSpeed I
CT/e Dual, HiSpeed Dual, ProSpeed II
CT/e Single, Dual, HiSpeed Dual CT Series

Quick Step Guide, English
5440945-1EN
Revision 1
© 2012 General Electric Company
All rights reserved.
Revision History
REVISION HISTORY
REV DATE REASON FOR CHANGE

1 06, 2012 Initial Release
5440945-1EN Rev.1 i
© 2012 General Electric Company. All rights reserved.
CT/e Single, Dual, HiSpeed Dual CT Series Quick Step Guide
This page intentionally left blank.
ii 5440945-1EN Rev.1
Safety
SAFETY
This chapter provides information about safety precautions and procedures. It is important
for you to read and understand the contents of this chapter so the correct precautions and
procedures are followed.
This manual should be kept near the console for easy access.
If necessary, additional training is available from a GE Applications Specialist. Contact
your institution’s GE sales representative for additional information about further safety
and operational training.
The CT scanner complies with IEC 60601-1, GB9706.1 and UL 60601-1.
The system is classified as a Class I, IPX0 equipment, not suitable for use in the
presence of a flammable anaesthetic mixture with oxygen or nitrous oxide. It is rated
for continuous operation with intermittent loading. No sterilization is applied. The
patient movement cradle is considered a Type B applied part.
The system is intended to be used for head and whole body computed tomography.
Warning: Failure to follow the operating instructions and safety precautions could
result in injury to the patient, yourself, or others.
General Safety
• 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.
• 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.
• 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.
• 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.
5440945-1EN Rev.1 1
Radiation Safety
• Use of controls or adjustments, or performance of procedures other than those

specified herein may result in hazardous radiation exposure.
• Always use proper technique factors for each procedure to minimize XRay exposure
while still producing the best diagnostic results.
• 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.
Mechanical Safety
• Never open, or remove, the gantry covers. (Only qualified service personnel should
remove covers.)
• 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.)
• 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.)
• Physically assist all patients on and off the table, and into position on the cradle.
• 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.
• Return the gantry to the 0° upright position, latch the table, and set it at a comfortable
height for patient loading and unloading.
• 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.
• 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.
• 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
2 5440945-1EN Rev.1
Safety
within the patient vicinity or between the table and gantry during cradle travel or gantry
tilt.
• Do not use the table base as a foot rest. You could entrap and injure your foot while
lowering the table.
• Don't place your hands inside the gantry cover when tilting the gantry. The gantry can
pinch or crush your hands!
• 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 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.
• 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.
• 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.
Electrical Safety
• Avoid all contact with any electrical conductors.

• 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
• 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.
• 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.
• 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.
5440945-1EN Rev.1 3
Emergency Stop
• 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 or at the gantry control panels. Low power to
the electronic components in the computer and data acquisition system remains ON.
• When Emergency Stop is applied, the moving cradle may overrun by less than 10 mm
and less than 0.5 degrees, respectively.
GE provides training support. Contact your local GE sales representative to
arrange training sessions to meet your needs.
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.
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.
4 5440945-1EN Rev.1
Safety
“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 1.0 second scans. This can occur in axial or helical scans. If you have scanned axially
or helically with a 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.
Warning Labels
Labels on Keyboard
• 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.
Caution: 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.
5440945-1EN Rev.1 5
• The following label is attached at the rear side of the gantry pedestal.
GE HANGWEI MEDICAL SYSTEMS CO. LTD

No.2, North YONG CHANG STREET
ECONOMIC-TECHNOLOGICAL DEVELOPMENT ZONE
BEIJING, P.R.CHINA
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE WISCONSIN, U.S.A
MODEL xxxxxxx
S/N yyyyyyy
MANUFACTURED CLASS 1
DESC GANTRY
SOURCE: 30A/200V~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.
Cradle Caution
• The following label is attached to the end of the cradle.
Caution: Do not grasp the side of the cradle.
Accessory Caution
• 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.
6 5440945-1EN Rev.1
Safety
Caution: Excessive weight can break accessory and cause injury. Do not load more than
34 Kg or 75 pounds.
• The following labels are attached to the coronal headholder.
34 Kg or 75 pounds.
Caution: Do not hit the accessory against the gantry. Patient injury or equipment
damage could result.
• The following labels are attached to the cradle extender.
34 Kg or 75 pounds.
Radio Wave Caution

• 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.
5440945-1EN Rev.1 7
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 the waste of electrical and electronic equipment
must not be disposed 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.
Name and Concentration of Hazardous Substances
Explanation of Pollution Control Label

This symbol indicates the product contains hazardous materials in excess
of the limits established by the Chinese standard SJ/T11363-2006
Requirements for Concentration Limits for Certain Hazardous Substances in
Electronic Information Products. The number in the symbol is the
Environment-friendly Use Period (EFUP), which indicates the period during
which the toxic or hazardous substances or elements contained in
electronic information products will not leak or mutate under normal operating conditions
so that the use of such electronic information products will not result in any severe
environmental pollution, any bodily injury or damage to any assets. The unit of the period is
"Year".
In order to maintain the declared EFUP, the product shall be operated normally according to
the instructions and environmental conditions as defined in the product manual, and
periodic maintenance schedules specified in Product Maintenance Procedures shall be
followed strictly.
Consumables or certain parts may have their own label with an EFUP value less than the
product. Periodic replacement of those consumables or parts to maintain the declared EFUP
shall be done in accordance with the Product Maintenance Procedures.
8 5440945-1EN Rev.1
Safety
This product must not be disposed of as unsorted municipal waste, and must be collected
separately and handled properly after decommissioning.
Table i-1 Table of hazardous substances' name and concentration
Component Hazardous substances' name

Name (Pb) (Hg) (Cd) (Cr(VI)) (PBB) (PBDE)
Operator
X O O X X X
Console
Gantry X O X X X X
LCD Monitor O X O O O O
Power
X O X X X X
Distribution Unit
Scan Table X O X X O O
O: Indicates that this toxic or hazardous substance contained in all of the
homogeneous materials for this part is below the limit requirement in
SJ/T11363-2006.
X: Indicates that this toxic or hazardous substance contained in at least one
of the homogeneous materials used for this part is above the limit
requirement in SJ/T11363-2006.
Data listed in the table represents best information available at the
time of publication
Applications of hazardous substances in this medical device are
required to achieve its intended clinical uses, and/or to provide
better protection to human beings and/or to environment, due to
lack of reasonably (economically or technically) available substitutes.
This product consists of devices that may contain mercury, which must be recycled or
disposed of in accordance with local, state, or federal laws. (Within this system, the backlight
lamps in the monitor display contain mercury.)
The X-Ray Collimator contains the following potentially hazardous materials:
Lead: Lead salts are toxic and their ingestion may cause serious problems. The
manipulation/ handling of lead is subject to regulations.
Warning: Do not discard the X-Ray Tube Assembly among industrial waste or domestic
garbage.
5440945-1EN Rev.1 9
Warning: A damaged X-ray Tube Assembly should not be dispatched through the
national postal service.
The X-Ray Tube Assembly contains the following potentially hazardous materials:
Lead: Lead salts are toxic and their ingestion may cause serious problems. The
manipulation/ handling of lead is subject to regulations.
Oil: Univolt 54 and Crosstrans 206 mineral oil are not toxic, but the prevailing
environmental regulations should be observed for their disposal or recuperation. For
example, it is forbidden to dispose of these oils in the wastewater or sewage system or
in the natural environment.
Your local GEHC field service will advise you on the suitable means of disposal.
The X-Ray Tube Assembly to be discarded should be forwarded to the GEHC Service
network, and it will be disposed of in a GEHC recycling center.
10 5440945-1EN Rev.1
Table Of Content
Table of Contents
REVISION HISTORY..................................................................................................................................i-i
SAFETY ....................................................................................................................................................... i-1
General Safety ............................................................................................................................... i-1
Radiation Safety............................................................................................................................ i-2
Mechanical Safety........................................................................................................................ i-2
Electrical Safety ...................................................................................................... i-3
Software Safety............................................................................................................................. i-3
Emergency Stop............................................................................................................................ i-4
Radio Waves Safety .................................................................................................................... i-4
Devices not to be used near this equipment................................................................... i-4
IMPORTANT SAFETY INFORMATION...................................................................................... i-4
Warning Labels ............................................................................................................................. i-5
Labels on Keyboard ............................................................................................................ i-5
Cradle Caution....................................................................................................................... i-6
Accessory Caution ............................................................................................................... i-6
Radio Wave Caution ........................................................................................................... i-7
Precaution for the CT System Disposal.............................................................................. i-8
Packing Materials ......................................................................................................................... i-8
Name and Concentration of Hazardous Substances ................................................. i-8
Explanation of Pollution Control Label....................................................................... i-8
Chapter 1 System
Overview of CT System and Examination ........................................................................1-1
Overview..................................................................................................................................1-1
General Procedures of CT Examination :..................................................................1-3
Main Components.......................................................................................................................1-4
Gantry.......................................................................................................................................1-4
Table..........................................................................................................................................1-5
OC ...............................................................................................................................................1-5
Chapter 2 Patient Examination

System Power On ........................................................................................................................2-1
System Power On Method...............................................................................................2-1
Tube Warm-Up.............................................................................................................................2-3
Patient Positioning ......................................................................................................................2-5
Control Panel .................................................................................................................................2-6
Display Panel .................................................................................................................................2-6
Main landmarks for CT examination ..................................................................................2-6
New Patient....................................................................................................................................2-8
Scout Scan................................................................................................................................... 2-10
Scout Prescription Screen ............................................................................................ 2-10
5440945-1EN Rev.1 TOC-1

Scout Scan Process......................................................................................................... 2-11

Axial/Helical Scan..................................................................................................................... 2-12
Axial/Helical Prescription Screen.............................................................................. 2-12
Define the Scan Plane of Scout (please refer figure below) ......................... 2-14
Implementation of the Scan ....................................................................................... 2-14
End of the Scan................................................................................................................. 2-15
Chapter 3 Retro Recon

Retro Recon....................................................................................................................................3-1
Chapter 4 Image Display

Primary/Secondary Viewport ................................................................................................4-2
Image Display Layout................................................................................................................4-2
Autoview Layouts........................................................................................................................4-3
Review Layouts ............................................................................................................................4-4
List/Select........................................................................................................................................4-5
Routine Display.............................................................................................................................4-7
Measurements..............................................................................................................................4-8
Display Preference......................................................................................................................4-9
Chapter 5 Image Works

Display Patient Image ...............................................................................................................5-1
Browser Menu...............................................................................................................................5-2
Viewer Menu and Controls......................................................................................................5-3
View Patient Image ....................................................................................................................5-3
Setting Window Width/Levels (W/L) ...................................................................................5-5
DICOM Export................................................................................................................................5-6
Data Export ....................................................................................................................................5-7
Chapter 6 Filming
Film Function Keys......................................................................................................................6-1
Film Composer..............................................................................................................................6-1
Loading Images in the Film Composer .............................................................................6-3
Loading Images by using one of the following four methods. ......................6-3
Remove one Image from Film Composer................................................................6-3
Clearing all Images from Film Composer ................................................................6-3
Printing Images in the film..............................................................................................6-4
Chapter 7 Image Remove

Remove Patients Image ...........................................................................................................7-1
Disc Capacity Confirm ......................................................................................................7-1
Remove Patient Images...................................................................................................7-1
TOC-2 5440945-1EN Rev.1

Table Of Content
Chapter 8 System Shutdown

System Power Off........................................................................................................................8-1
5440945-1EN Rev.1 TOC-3

TOC-4 5440945-1EN Rev.1

System
Chapter 1
System
Overview of CT System and Examination
Overview
The CT/e Single, Dual, HiSpeed Dual CT Series computed tomography (CT) system
consists of three major components and some peripheral gear.
Three major components are the gantry, table and operator console (OC).
5440945-1EN Rev.1 1-1

Figure 1-1
CT/e, ProSpeed I Series
CT/e Dual, ProSpeed II Series
HiSpeed Dual, ProSpeed II Series
1-2 5440945-1EN Rev.1

System
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 such as CD-ROM for later
analysis and also be transferred to some other stations for remote diagnoses.
5440945-1EN Rev.1 1-3

Main Components
Gantry
Figure 1-2
Distance from Iso-Center (mm)
Interference
Distance from Landmark (mm) Tilt/Angle Range X-ray On

Display Panel
Emergency Button Emergency Button
Breath Navi
Control Panel
Positioning Light Positioning Light
Internal
External Landmark Tilt Range &
Display Landmark Scannable
Distance from Range
Iso-Center Practice Positioning
Light
Table Up
Cradle In
Positioning
Light
Table Down
Cradle Out
Fast Gantry Tilt Lamp
Gantry Tilt Lamp
Gantry Tilt
1-4 5440945-1EN Rev.1

System
Table
Figure 1-3
Cradle
OC
Figure 1-4
Main Switch DVD-RAM Drive
CD-ROM Drive
Main Switch
5” MOD Drive (Option)
3.5” MOD Drive
MOD Drive (Option)

DVD-RAM Drive
Connections for
Linq and Service
Computer Functons
Computer Power
O/OFF Switch
5440945-1EN Rev.1 1-5

1-6 5440945-1EN Rev.1

Patient Examination
Chapter 2
Patient Examination
System Power On
System Power On Method

1. Press and release the main power switch on OC once, then the green indicator lights.
Figure 2-1
2. Wait for the system to start (about 10 minutes) until the monitor automatically enters
the following display top level screen.
Note： Select [OK] if a red dialog box prompts the tube warm-up.
5440945-1EN Rev.1 2-1

Figure 2-2
2-2 5440945-1EN Rev.1

Patient Examination
Tube Warm-Up
Confirm that there is no objects in gantry aperture.
1. Click on [Tube Warmup] icon.
Figure 2-3
2. Display the screen as below. Click on [Tube Warmup] button, then click on [OK].
Figure 2-4
5440945-1EN Rev.1 2-3

3. Click on [Yes] in below window.

Figure 2-5
4. Click on [Confirm] to start tube warm-up in following window.

Figure 2-6
2-4 5440945-1EN Rev.1

Patient Examination
5. After several seconds, the [Start Scan] button on the keyboard starts to flash (shown as
below). Press the [Start Scan] button to start X-ray On. There is sounds indicating X-ray
on. The system automatically performs Warm-up scan.
Figure 2-7
Move to Start Scan Emergency Volume Dial
Stop Move X-ray on Talk Button
Scan Pause Stop San Stop Mic.
6. Click on [OK] to exit the Tube Warm-up function when the warm-up is completed.
Patient Positioning
The scan procedure starts with patient positioning.
Image quality depends on proper patient positioning.
Poor patient positioning may result in artifacts and can cause CT number incorrect.
Use control panel and display panel on the gantry for patient positioning.
5440945-1EN Rev.1 2-5

Control Panel
Figure 2-8
Internal
External Landmark Tilt Range &
Display Landmark Scannable
Distance from Range
Iso-Center Practice Positioning
Light
Table Up
Cradle In
Positioning
Light
Table Down
Cradle Out
Fast Gantry Tilt Lamp
Gantry Tilt Lamp
Gantry Tilt
Display Panel
Figure 2-9
Distance from Iso-Center (mm)
Interference
Distance from Landmark (mm) Tilt/Angle Range

X-ray On
Main landmarks for CT examination

The following landmarks are usually used in CT examinations.
2-6 5440945-1EN Rev.1

Patient Examination
Figure 2-10
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
1. Make sure that the Latch Button on cradle is in the depressed position.
2. Press the positioning light button on the Gantry Control Panel. The positioning marker
lights and a red laser positioning line appears in the Gantry aperture.
5440945-1EN Rev.1 2-7

Figure 2-11
3. According to the anatomical location for examination to determine the patient

positioning reference point. For example, select OM line for head examination.
Align cross mark of Positioning Light to body positioning reference point. (refer to Figure
2-11)
（1） Align cross mark please use Cradle In/Out button on Figure 2-8 Gantry Control Panel.
（2） Simultaneously press the Fast and Cradle In/Out button to move the cradle faster in
horizontal direction.
4. Press External Landmark button. When horizontal position of table is 190mm on Gantry
Display Panel the patient positioning process is completed.
New Patient
1. Click on [Scan], then click on [New patient].
Figure 2-12
2. Enter the Patient Information/Protocol Selection screen, input the patient data:
First input the patient ID and patient name. Other information are optional.
2-8 5440945-1EN Rev.1

Patient Examination
Figure 2-13
Patient ID
Patient Name
Scan
Protocol
3. Select the patient position you want to scan. Each of the ten anatomic regions contains
15 protocols.
To select the default protocol for the region, point and click on the protocol bar in right side
of body position (see Figure arrow).
To select one of the 15 protocols for the region, point and click on the region itself on the full
body icon and then select protocol bar.
After the new patient information input and protocol selection is completed, the system
automatically enter the scout scan screen in next page.
5440945-1EN Rev.1 2-9

Scout Scan
Scout Prescription Screen

Figure 2-14
Note： Compare your patient's position with the on-screen picture in the upper left corner
of the screen. Make sure the patient's position in the protocol you have selected
matches that on the CT table. (For example, as shown in figure above, position is
Head-first, supine)
If not matches, change patient’s position in the protocol by using Arrow icons (Refer
to Figure 2-14, three arrows are available as in the ellipse.).
Note： The white box is for scan parameters.
If the Start Loc. and End Loc. parameters are highlighted in red, press the External
Landmark button on Gantry Control Panel to set up an anatomical reference point
(External Landmark button location see Figure 2-8).
2-10 5440945-1EN Rev.1

Patient Examination
Scout Scan Process

1. Enter the parameters or modify them for Scout scan. You can use one of the default
parameters.
Note： Start location and End location must start with S or I.
As shown in below Figure, the Scan Plane is the landmark.
Figure 2-15
S Scan Plane I
Scan Plane
S is direction from Landmark to Head.

I is direction from Landmark to Foot.
The Scout planes must be 0, 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 the
input.
2. After entering or modifying parameters, select [Confirm] in the lower right corner. The
following Scan Progress screen appears.
Figure 2-16
3. Press [Move to Scan] button on the key board when it flashes (as arrow1 pointing in
figure below). Then the Table starts to move to the Start location on the Scan plane.
Press [Start Scan] button when it lights (as arrow2 pointing in figure below), then the
system automatically starts the prescribed Scout scan.
5440945-1EN Rev.1 2-11

Figure 2-17
1 2
4. Upon finishing the Scout scan, select [Return to Rx] icon (as arrow pointing in Figure
2-16) to exit Scout Scan.
5. Click on [Create New Series] on the bottom of the screen, then the below screen
displays.
Figure 2-18
6. Click on [Axial].
7. Click on [OK] to proceed to the Axial Scan screen on next page.
Axial/Helical Scan
Axial/Helical Prescription Screen

After Scout scan, you can proceed to the following Axial/Helical Prescription screen:
2-12 5440945-1EN Rev.1

Patient Examination
Figure 2-19
Click [Show Localizer] on the top left of screen (as arrow1 pointing in figure above). Upper
right of screen will display the Scout image with graphical lines that show the scan locations
prescribed beforehand.
5440945-1EN Rev.1 2-13

Define the Scan Plane of Scout (please refer figure below)

Figure 2-20
Adjust
Adjust DFOV
DFOV AdjustTiltTilt
Adjust Angle
Angle
Adjust
AdjustEnd
EndLocation
Location Adjust StartLocation
Adjust Start Location
Adjust Group Location

Adjust Group Location
1. Move the cursor to the blue solid small box, then click and hold the left mouse button,
meantime you can drag left and right to adjust scan start slice. Move the cursor to the
blue hollow small box, then click and hold the left mouse button, meantime you can
drag left and right to adjust scan end slice.
2. In order to adjust the size of DFOV, click and hold the left mouse button on the small
diamond, then extend it or narrow it.
3. To adjust [DFOV Center], move the cursor to the center of a red "X" mark, then click
[Shift] and hold, meantime click and hold the left mouse button and drag vertically to
move the whole group to the desired position on vertical direction.
4. To scan a multiple group, click [Add Group] (as arrow 2 pointing in Figure 2-19) to add a
scan group. To define each slice location of a group separately, move the cursor to the
group, then double-click. The group will become blue. Set locations by following above
step 1 to 4.
Implementation of the Scan

1. Click on the [Confirm] icon after confirming all prescribed scan parameters.
Figure 2-21
2. Press the [Move to Scan] button when lit (As arrow 1 pointing in figure below), Cradle
start to move to the prescribed start scan position in the scan plane (position of
Localizer). Then wait for the [start scan] button to be lit (As arrow 2 pointing in figure
below) press the [Start Scan] button to start a scan.
2-14 5440945-1EN Rev.1

Patient Examination
Figure 2-22
1 2
3. The system automatically proceeds to the Scan Progress screen.

Figure 2-23
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. Meanwhile, upper right
corner of the screen displays the latest reconstruction of tomography images.
End of the Scan

Upon the completion of the scan, the message "All scans completed" will appear in the
Scanning box of Scan Progress screen (As arrow 1 pointing in figure below). Then take the
following steps.
1. If you wish to end the current exam here, click on [End Exam] located on the lower left
corner of the Scan Progress screen (As arrow 2 pointing in figure below).
5440945-1EN Rev.1 2-15

Figure 2-24
3
1
2. If you want to add scan, click [Return to Rx] icon on the right side of scan process screen
(as arrow 3 pointing in figure above) to return to View / Edit screen ( Figure 2-19). Click
[Add Group] (as arrow 2 pointing in Figure 2-19) to define a new scan group. Re-start a
new scan. After the additional scan is completed, press [End Exam] to end the current
exam. The screen will automatically return to the scan top level screen (Figure 2-2).
3. Enter the scan room. Withdraw the Table out of the Gantry aperture by using Gantry
Control Panel. Assist the patient to get off the Table and leave the scan room.
Note： For more information on other functions of scanning, refer to Operator Manual.
2-16 5440945-1EN Rev.1

Retro Recon
Chapter 3
Retro Recon
Retro Recon
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. Click on [Scan], then click on [Retro Recon].
Figure 3-1
2. Point and click on the exam and series you wish to reconstruct retrospectively and then
choose [Select Series] at the bottom center.
3. After selecting [Select Series], a screen appears displaying all of the groups in the After
selecting [Select Series], a screen appears displaying all of the groups in the selected
series. [Y] (Yes) in the Retro column means that the group will be reconstructed.
4. Enter the parameter changes and select [Confirm].
5. Select the [Recon Mode] button.
6. Click on the [Confirm] button to start retro recon.
7. If you need to retro-recon another exam/series, select [List exams] button. Select [Quit]
to exit.
5440945-1EN Rev.1 3-1

3-2 5440945-1EN Rev.1

Image Display
Chapter 4
Image Display
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.
Figure 4-1
Display
Image Area
Image Area
5440945-1EN Rev.1 4-1

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
Image Display Layout

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.
Figure 4-2
Click on the left side of this button to select Autoview Layouts
and on the right side for Review Layouts.
Clicking here with Autoview Layouts leads to the screen format

AutoviewLayouts
Autoview Layouts 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
Autoview Layouts
Each layout is described on the following pages.
4-2 5440945-1EN Rev.1

Image Display
Autoview Layouts
Figure 4-3
Autoview Layouts
Autoview Layouts menu
Auto Layouts menu

Scout Auto Auto Auto
View Film View
Auto Auto
Link Link
Auto Auto
Link View
Back
5440945-1EN Rev.1 4-3

Review Layouts
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.
Figure 4-4
Review Layouts
ReviewLayouts
Review Layoutsmenu
menu
[Full Screen
[Full Screen Format
Format]
Viewport Format]
[Viewport
Format]
4-4 5440945-1EN Rev.1

Image Display
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.
List/Select
1. Select List/Select.
Figure 4-5
List / Select
2. The following browser appears.

Note : The List/Select browser does not appear when the system disk contains no data.
5440945-1EN Rev.1 4-5

Figure 4-6
A Examination List B Series List
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 Image List
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.
4-6 5440945-1EN Rev.1

Image Display
Routine Display
Figure 4-7
Routine Display
Routine Display
Roam
Explicit Magnify Flip/Rotate
Zoom
ProView
Display Normal List/Select
GSE
Ellipse ROI Measure Distance Grid On/Off
Exam Pg
Cross Reference User Annotation
Series Pg
Hide Graphics Erase Screen Save
Back
5440945-1EN Rev.1 4-7

Measurements
Figure 4-8
Measurements
Box ROI Ellipse ROI Trace TOI
Measurement Distance Measure Angle Grid On/Off
Hide Graphics Erase Screen Save
MIROI Report Pixels
Back
4-8 5440945-1EN Rev.1

Image Display
Display Preference
Figure 4-9
Display Preference
Annotation Levels Maintain User

Annotation
(Not available)
Auto Minify Auto Enlarge
(Not available) (Not available)
Inverse Video Next/Prior Each
Viewport
Next/Prior Series Continuous Report

Binding Cursor
Back
5440945-1EN Rev.1 4-9

4-10 5440945-1EN Rev.1

Image Works
Chapter 5
Image Works
Display Patient Image

1. Click [Image Works] icon on the upper-left corner of the screen (as shown in the arrow)
to enters the image works processing.
Figure 5-1
2. Image Works Browser appears as below:

Note : A box displays patient examination information. B box displays series information of
current exam. C box shows a series of images and scan parameter information.
5440945-1EN Rev.1 5-1

Figure 5-2
A B
Browser Menu
Figure 5-3
1.The Application menu enables you to refresh (update) the Browser lists.
2.The Selection menu provides access to the multiple selection functions. Please refer to
Chapter 10 for each function.
3. The Remove menu provides access to the remove functions.
4. The Sort menu allows you to sort listed and displayed examinations and images.
5. The Network menu allows you to send or retrieve exams, series, and images to or from
other workstations on your network.
6. The Archive menu is used for saving and restoring items (i.e. exams, series, and images) on
an external archive device (optical disk drive, tape cartridge drive).
7. PPS:
- COMPLETE: Finished successfully.
- DISCONTINUED: Cancel or unsuccessful abort.
5-2 5440945-1EN Rev.1

Image Works
8. The Queue menu is used to access the various queues managed by the Advantage
Windows workstation (network, archive if the option is installed, filming, etc.).
9. The Utilities menu is used to copy a certain exam, series or image with anonymous patient
name.
10. The Message menu item is used to open a window that provides a summary list of all the
messages that have arrived since the Browser was opened.
Viewer Menu and Controls

Figure 5-4
1. Select the image you want in box A according to patients name, click on it, then the
information is selected.
2. Click the [Viewer] button located in lower right side of Browse, waiting for the image
loaded and displayed.
View Patient Image

Image Viewer divided two part, left side belong to Image Control Panel and right side belong
to Image Display area.
5440945-1EN Rev.1 5-3

Figure 5-5
1
2
5 4
1. Click [+] or [-] button in the[Series] (As arrow 1 pointing in figure above) to change the
image be displayed in different examination series of the same patients.
2. Click [+] or [-] button in the [Image] (As arrow 2 pointing in figure above) to display the
same images of the same series.
3. Click [Format] button (As arrow 4 pointing in figure above), the diagram format shown
as below. Click one of the optional image display area of the display format.
Figure 5-6
Note : To learn more about the instruction of various function keys on Image Control Panel,
please refer to Image Works in the operator manual.
5-4 5440945-1EN Rev.1

Image Works
Setting Window Width/Levels (W/L)

Clinical need to check the different anatomical sites, you can select the appropriate window
width and window level to which pixel values are visible in your images, with what degree of
contrast.
In 4 ways：
1. Using Preset Selections to Adjust W/L.
Click [Presets] button (As arrow 3 pointing in Figure 5-5), select the location you want to
observe, then the preset WW and WL of that location will display automatically.
Figure 5-7
Presets
Abdomen
Head
Lung
Mediastinum
Spine
Vertebra
2. Using the Middle Mouse button to Adjust W/L Interactively

Place the cursor where you want to modify the W/L on the image. Press and drag middle
mouse button.
To increase WW, drag cursor to the right; To decrease WW, drag cursor to the left;
To increase WL, drag cursor to the up; To decrease WL, drag cursor to the down.
3. Using Keyboard Arrow Keys to Adjust W/L
To increase WW, press the keyboard right-arrow ( → ) key; To decrease WW, press the
keyboard left-arrow ( ← ) key.
To increase level, press the keyboard up-arrow ( ↑ ) key; To decrease level, press the
keyboard down-arrow ( ↓ ) key.
Note : Pressing an arrow key, only increase or decrease a value.
Press and hold the arrow key, can change WW or WL continuously.
4. Using Command Accelerator
Click left on the Command Accelerator (As arrow 5 pointing in Figure 5-5), the cursor
appears inside.
To change WW, input as Figure 5-8. To change WL, input as Figure 5-9.
5440945-1EN Rev.1 5-5

Figure 5-8
WindowWidth
Window WidthValue
Value
Space Enter
Space Enter
Figure 5-9
WindowLevels
Window LevelsValue
Value
Space
Space Enter
Enter
DICOM Export
Using this function, the user not only store CT images in the media of CD-R, DVD-R, but also
restore the images in storage device into CT.
Note : DVD Export feature is available for recording DICOM images into above medium, but
so far DVD Export is not be considered as a way for long-term images storage.
Note : Please pay attention to the following declarations about Media requirements and
Operation requirements when you use the DICOM Export function.
1. Insert CD-R or DVD-R into disc drive.
2. Click on "DICOM Export" button that is located on the right side of the image brower
[ImageWorks].
3. Use Exam (Exam is default) button to select the saved Exam/Series/Images.
4. Use Save button to start the store images process.
5. Click on [OK] button to start engraving/storage with the progress bar popping up.
6. Click on [OK] button to complete image storage.
5-6 5440945-1EN Rev.1

Image Works
Data Export
Data Export allows you to either store or FTP images as JPEG, PNG, AVI, MPEG or MOV
formats. The files can only be burned to a CD-R and only one report can be burned at a time.
Once a CD-R has been burned, you cannot add more reports at a later time. It is not a
rewrite- able process.
5440945-1EN Rev.1 5-7

5-8 5440945-1EN Rev.1

Filming
Chapter 6
Filming
Film Function Keys

Table 6-1
Function Key Description

F1 Film Image
F2 Film Screen
F3 Film MID
F4 Print Series
Film Composer
Click on the [Manual Film Composer] or [Auto Film Composer] button (As arrow 1 pointing
in figure below) in the Image Viewer. The Film Composer window appears in the upper right
corner of the monitor.
5440945-1EN Rev.1 6-1

Figure 6-1
Auto Film
Clear
rint
3 2
6-2 5440945-1EN Rev.1

Filming
Choose the film format which you want display on the sheet of film in Film Composer
window and click it, then the filming frame in the Film Composer is change.
Loading Images in the Film Composer
Loading Images by using one of the following four methods.

1. Drag-and-drop image loading
Move the mouse cursor onto the image you want to load, press and hold left and drag to the
desired available film frame in the Film Composer. Release left to deposit the image. A few
seconds later a miniature reproduction of the image appears in the film frame. The placed
order, location and image number is decide as you wish.
2. Filming keyboard accelerator (Film Image key)
You can load the image by moving the mouse cursor onto it and pressing the Film Image
function key on the keyboard. The image is placed in the next available film frame in the Film
Composer.
The advantage of this method is that it can be quicker than dragging and drop-ping.
However, you cannot skip film frames using this method.
3. Page filming keyboard accelerator (Film Page Function key)
The Film Composer must be empty before this function can be used.
Move the mouse cursor onto any image in the viewing application and press the Film Page
function key on the keyboard. The images are loaded into the frames in the Film Composer
in the order in which they are displayed in the viewing application.
4. MID filming keyboard accelerator (Film MID key)
Move the mouse pointer onto any image in the viewing application and press the Film MID
function key on the keyboard. All the currently displayed images are placed into the next
available film frame in the Film Composer.
Remove one Image from Film Composer

If you wish to remove an image on the Film Composer window, click on that image. There
appears a message "Do you really want to delete this image?" Select [Yes] to delete, or
select [No] not to delete.
Clearing all Images from Film Composer

To erase all the images in the Film Composer, click left on the [Clear] button in it (As arrow 2
pointing in Figure 6-1) . The message "Clear the current page" pops up. Click [OK] to proceed
with the clear operation, or [Cancel] to abort the clear operation.
5440945-1EN Rev.1 6-3

Printing Images in the film

To print the content of the Film Composer, click left on the [Print] button in it (As arrow 3
pointing in Figure 6-1).
The status line at the bottom of the Film Composer changes to "Printing..." and the image
data are sent to the camera to print. When it shows “Print OK”, the printing is complete.
click on the dot at the upper right corner of the Film Composer to exit Filming status.
Click the dot on upper right corner of the Film Composer, exit camera status.
6-4 5440945-1EN Rev.1

Image Remove
Chapter 7
Image Remove
Remove Patients Image
Disc Capacity Confirm

Observe image capacity room of the disk in the Information bar, the value of it means that
the number of images it can also contain.
Figure 7-1
Remove Patient Images

When you find out the capacity of image room in hard disk is reduce and unable to
accommodate the follow-up examination image, please delete the value of the image
without reservation to release space for follow-up examinations.
5440945-1EN Rev.1 7-1

Click [ImageWorks] to display Image Works Browser.

If it is in the image observed state, please click [Browser] to display Image Works Browser.
Figure 7-2
1. In the Image Works Browser, select the patient image you want to remove (As arrow 1
pointing in figure above), select and click it to examination.
By holding down the left mouse button while dragging or by holding down the shift and the
↓ key to select a number of examinations.
2. Click [Remove] button (As arrow 2 pointing in figure above)
Click [Remove examinations] in the drop-down menu.
3. Click [OK] (As arrow 3 pointing in figure above), the image will be delete.
4. You will see the image capacity is increase than before from the Information Bar, that is
disc space be released.
7-2 5440945-1EN Rev.1

System Shutdown
Chapter 8
System Shutdown
System Power Off

1. Click on [Shutdown] button.
Figure 8-1
2. The following window pop up, click on [OK].

Figure 8-2
5440945-1EN Rev.1 8-1

3. The dialog box will display.

- Attention
System is shutting down please wait . . .
4. The next dialogue is:
- System is shutting down please
wait . . .
5. When the system is shutting down will display following information:
- System Halted
6. Press the Power button on the OC, close Gantry/Table, Rotate, XG switch.
8-2 5440945-1EN Rev.1


Manual CT General Electric

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Manual CT General Electric

Uploaded by

Copyright:

Available Formats

GE Healthcare

CT/e Single, Dual, HiSpeed Dual

This Manual Supports the Following Product Names:

CT/e Single, Dual, HiSpeed Dual CT Series

REV DATE REASON FOR CHANGE

This page intentionally left blank.

• Use of controls or adjustments, or performance of procedures other than those

• Avoid all contact with any electrical conductors.

Radio Waves Safety

Devices not to be used near this equipment

IMPORTANT SAFETY INFORMATION

Caution: Press Stop Scan button to stop cradle motion or scanning.

GE HANGWEI MEDICAL SYSTEMS CO. LTD

COMPLIES WITH RADIATION

Caution: Use of controls or adjustments or performance of procedures other than

Caution: Do not grasp the side of the cradle.

Radio Wave Caution

Precaution for the CT System Disposal

Name and Concentration of Hazardous Substances

Explanation of Pollution Control Label

Component Hazardous substances' name

Chapter 2 Patient Examination

5440945-1EN Rev.1 TOC-1

Scout Scan Process......................................................................................................... 2-11

Chapter 3 Retro Recon

Chapter 4 Image Display

Chapter 5 Image Works

Chapter 7 Image Remove

TOC-2 5440945-1EN Rev.1

Chapter 8 System Shutdown

5440945-1EN Rev.1 TOC-3

This page intentionally left blank.

TOC-4 5440945-1EN Rev.1

Overview of CT System and Examination

5440945-1EN Rev.1 1-1

CT/e, ProSpeed I Series

CT/e Dual, ProSpeed II Series

HiSpeed Dual, ProSpeed II Series

1-2 5440945-1EN Rev.1

General Procedures of CT Examination :

5440945-1EN Rev.1 1-3

Distance from Landmark (mm) Tilt/Angle Range X-ray On

Positioning Light Positioning Light

1-4 5440945-1EN Rev.1

MOD Drive (Option)

5440945-1EN Rev.1 1-5

This page intentionally left blank.

1-6 5440945-1EN Rev.1

System Power On Method

5440945-1EN Rev.1 2-1

2-2 5440945-1EN Rev.1

5440945-1EN Rev.1 2-3

3. Click on [Yes] in below window.

4. Click on [Confirm] to start tube warm-up in following window.

2-4 5440945-1EN Rev.1

5440945-1EN Rev.1 2-5

Distance from Landmark (mm) Tilt/Angle Range

Main landmarks for CT examination

2-6 5440945-1EN Rev.1

5440945-1EN Rev.1 2-7

3. According to the anatomical location for examination to determine the patient

2-8 5440945-1EN Rev.1

5440945-1EN Rev.1 2-9