{MiscellaneousPUB}{Production}{Carestream Health Inc.

}{Unrestricted}

Publication No. 8H4199

21JAN10

Calibration Procedure
for the
KODAK DIRECTVIEW
CR 500/800/825/850/900/950/975 Systems
and
Classic/Elite CR Systems
Service Codes: 1883, 3519, 3520, 4366, 4825, 4826,
5258, 5259, 5634
Important
• Qualified service personnel must do these procedures.
• See the Service Portal for possible updates before doing this modification.
• When doing the procedures in this document, you must use safe work practices and wear the correct personal
protective equipment (for example, safety eyewear) according to your company’s standard operating
procedures.

Note
All references in this document to CR Mammography Cassettes and screens apply to the following unless otherwise
specified:
• KODAK DIRECTVIEW CR Mammography Cassette with EHR-M Screen.
• KODAK DIRECTVIEW CR Mammography Cassette with EHR-M2 Screen.
• CARESTREAM CR Mammography Cassette with EHR-M3 Screen.
• CARESTREAM CR Mammography Cassette with SNP-M1 Screen.

Note
CR Mammography Cassettes are not available for sale in the United States.

© CARESTREAM HEALTH, INC. 2010

PLEASE NOTE The information contained herein is based on the experience and knowledge relating to the
subject matter gained by Carestream Health, Inc. prior to publication.
No patent license is granted by this information.
Carestream Health, Inc. reserves the right to change this information without notice, and makes
no warranty, express or implied, with respect to this information. Carestream Health shall not be
liable for any loss or damage, including consequential or special damages, resulting from any
use of this information, even if loss or damage is caused by Carestream Health’s negligence or
other fault.
This equipment includes parts and assemblies sensitive to damage from electrostatic
discharge. Use caution to prevent damage during all service procedures.

Table of Contents
Description Page

Calibrating the CR Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Preparing the Cassettes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Preparing the Equipment for the GEN RAD Cassettes . . . . . . . . . . . . . . . 4
Exposing the GEN RAD Cassettes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Using the GEN RAD Cassettes for Calibrating the Scan . . . . . . . . . . . . . . 7
View and Plot Collector Profiles for the GEN RAD Cassettes . . . . . . . . . . 8
Preparing the Equipment for the CR Mammography Cassettes . . . . . . . . 9
Exposing the CR Mammography Cassettes . . . . . . . . . . . . . . . . . . . . . . . 12
Using the CR Mammography Cassettes for Calibrating the Scan . . . . . . . 12
View and Plot Collector Profiles for the CR Mammography Cassettes . . . 14
Publication History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

2 21JAN10 – 8H4199
Calibrating the CR Systems
Preparing the Cassettes

PHOSPHOR CASSETTE
SCREEN Important
You must start with the largest size cassette.
[1] Move the latch to the right to release the phosphor
screen.

T
ub
e
S
id
e
[2] Remove the phosphor screen from the cassette.
[3] Check that the phosphor screen:
• is correctly fastened to the cassette
• edges are not lifted
• does not have changes in color
[4] Clean the phosphor screens.
[5] Install the phosphor screen into the cassette.
hole
LATCH [6] Insert a tool into the hole to snap and close the
cassette.
[7] Check that the latch on the cassette is operating
correctly.
[8] From the Main Menu, touch Erase Cassette.
Snap
Close [9] Insert the cassette into the CR System.
To [10] Do Step 1–Step 9 again for all size cassettes.
Open

H177_2443GCA
H177_2443GC

8H4199 – 21JAN10 3
MISCELLANEOUS PUBLICATION

Preparing the Equipment for the GEN RAD Cassettes

X-RAY
TUBE Caution
• Dangerous Voltage
COLLIMATOR • Do NOT use a bucky or a grid during this
LIGHT procedure.
• Exposure to the air kerma conversion factor is
8.76 microGy per mR.
• 100 mR corresponds to 100 x 8.76 = 876 microGy
or 0.876 mGy.
[1] Move the X-ray tube to 180 cm (72.0 in.) above
the floor.

180 cm
(72.0 in.)
Important
CASSETTE A lead sheet and the help of a licensed radiological
technologist (RT) is necessary for this procedure.
tape [2] Ask the RT to energize the X-ray equipment and
the collimator light on the X-ray tube.
[3] Place the cassette on the floor under the beam of
light.
[4] Align the beam of light with a 5.0 cm (2.0 in.) area
of light on the floor around the cassette.
H177_0004GCC 5.0 cm
H177_0004GC (2.0 in.)
Important
You must place the tape correctly.
[5] Place the tape on the floor around the edges of
the beam of light.
[6] Use tape to fasten the copper and aluminum
filters, TL-5259, to each other.
X-RAY TUBE
Important
The copper filter must be directly next to the X-ray tube.
[7] Insert both of the filters into the bottom of the
X-ray tube. If necessary, use tape to adhere the
filters to the bottom of the X-ray tube.
COPPER FILTER

tape

H149_0013ACC
ALUMINUM FILTER H149_0013AC

4 21JAN10 – 8H4199
 Important
DOSIMETER A lead sheet and the help of an RT is necessary for this
procedure.
[8] Use the following values for the first setup of the
X-ray equipment:
• 80 ± 1 kVp
• 80 mAs
[9] Remove the from the floor.

LEAD SHEET H149_0014ACA

H149_0014AC

Important
You must use a lead sheet or a lead apron under the dosimeter. If a lead sheet or a lead apron is not used, the values
on the dosimeter will be false by a maximum of 20%.
[10] Place a lead sheet or a lead apron and the dosimeter, TL-5930, in the center of the area.

LCD DISPLAY

READ/RESET
SWITCH

F
OF

ON

POWER
SWITCH

H187_2596BCA
H187_2596BC

[11] Move the:

• Power switch on the dosimeter to the ON position.
• READ/RESET switch to the RESET position and then to the READ position.
[12] Check that 0.00 displays on the LCD display.
[13] Ask the RT to expose the dosimeter.
[14] Check that the dosimeter displays a value of 20.0 mR ± 2.0 mR on the LCD display.
[15] Is the value correct?
Yes No
Advance to Step 19. Continue with Step 16.

8H4199 – 21JAN10 5
MISCELLANEOUS PUBLICATION

[16] Is the value:

Less than specification 18 mR? Less than specification 18 mR?
a. Ask the RT to increase the mAs setting on the a. Ask the RT to decrease the mAs setting on the
X-ray equipment. X-ray equipment.
b. Continue with Step 17. b. Continue with Step 17.

[17] Ask the RT to expose the dosimeter.

[18] Check that the dosimeter displays a value of 20.0 mR ± 2.0 mR on the LCD display. Is the value correct?
Yes No
Continue with Step 19. Do Step 16–Step 18 again.

[19] Record the number on the LCD display.

Note
You must use the recorded number when you do the calibration procedure.
[20] Ask the RT to expose the dosimeter 3 times to check that the values remain within
± 0.2 mR of the value that you recorded in Step 19.

Note
If the values are not within the specification, use another X-ray source.

Exposing the GEN RAD Cassettes

X-RAY
TUBE Important
• The arrow on the cassette must be parallel to the
X-ray tube.
• Do NOT use a lead sheet during this procedure.

[1] Remove the lead sheet and the dosimeter from

the floor.
ARROW [2] Place the cassette in the center of the tape.
[3] Ask the RT to expose the cassettes every 2
minutes.
180 cm
(72.0 in.)
CASSETTE
Important
tape • After exposing the cassette, you must wait 5
minutes before starting this procedure.
• Every minute that you wait beyond 5 minutes
causes the exposure index value to decrease by 5.
[4] Wait 5 minutes from the time of exposure of the
first cassette.
H177_0004GCA 5.0 cm
H177_0004GC (2.0 in.)

6 21JAN10 – 8H4199
Using the GEN RAD Cassettes for Calibrating the Scan
[1] From the Main Menu, click:
• Service Functions
• Diagnostics
• Scan Calibration

[2] Enter the number from the LCD display from Step 19 of Preparing the Equipment for the GEN RAD Cassettes
into the MR VALUE field.
[3] Insert the first cassette into the system.
[4] Touch Start Calibration Scan.
[5] Insert the exposed cassettes every 2 minutes.

Important
If the calibration is NOT successful, an error code occurs.
[6] Was the calibration successful?
Yes No
The procedure is complete. Continue with Step 7.

[7] At the Last Calibrated Date screen, locate the existing date and time for the corresponding cassette.
[8] Locate and correct the corresponding error code in the error log.

Note
For error codes 16019 and 16020, you must see the adjustment procedure for the Galvo Rotation for your CR
System.

8H4199 – 21JAN10 7
MISCELLANEOUS PUBLICATION

View and Plot Collector Profiles for the GEN RAD Cassettes
[1] From the Main Menu, touch:
• Service Functions
• Diagnostics
• View Collector Profiles
[2] Select the 35 x 43 cm cassette.

Important
Dust in the collector or the illumination of the laser beam on the collector may cause spikes on the collector profile.

Pixel Value

No Spikes

[3] Observe the collector profiles on the graphic.

Note
Correct values display:
• no large differences in the pixel values - 10 or more, or spikes
• offset is between 500 and 2000
• amplitude is less than 4000
[4] Is the collector profile from Step 3 correct?
Yes No
Advance to Step 7. Continue with Step 5.

8 21JAN10 – 8H4199
 [5] Is the pixel value above 150?
Yes No
Do: Continue with Step 6.
• Adjustment procedure for the fold mirror for your CR System.
• Exposing the GEN RAD Cassettes on Page 6.
• Using the GEN RAD Cassettes for Calibrating the Scan on Page 7.
• View and Plot Collector Profiles for the GEN RAD Cassettes on Page 8.
• KODAK DIRECTVIEW Total Quality Tool on all cassette sizes.

Caution
Use caution when cleaning the collector.
[6] If large differences appear in the pixel values of spikes, use a lint-free cloth to clean dust that might be blocking
the beam of light to the collector.
[7] Do:
• Exposing the GEN RAD Cassettes on Page 6.
• Using the GEN RAD Cassettes for Calibrating the Scan on Page 7.
• KODAK DIRECTVIEW Total Quality Tool on all size cassettes.
• View logs and check that the linearity is less than 0.5 on the 18 x 24 cm cassette.

Preparing the Equipment for the CR Mammography Cassettes

Caution
• Dangerous Voltage
X-RAY TUBE
• The help of a licensed RT is necessary for this
procedure.
• You must use the largest size patient support
available.
• The exposure to air kerma conversion factor is
8.76 microGy per mR.
• 100 mR corresponds to 100 x 8.76 = 876 microGy
or 0.876 mGy.
[1] Ask the RT to energize:
• X-ray equipment
• Collimator light on the X-ray tube
[2] Select the largest focal spot for your size patient
support.

COLLIMATOR
LIGHT
H187_2599GCA
H187_2599GC

8H4199 – 21JAN10 9
MISCELLANEOUS PUBLICATION

X-RAY Important
TUBE
Do NOT place the tape in the image area.
[3] Use tape to fasten the 2 aluminum filters, 6C3015,
onto the bottom of the X-ray tube.

2 ALUMINUM
FILTERS

TAPE

H187_2600ACA
H187_2594AC

Important
The help of an RT is necessary for this procedure.
[4] Use the following values for the set up of the X-ray
equipment:
• 28 kVp
• 160 mAs

Note
The mAs value above is a recommended starting point
for doing calibration.
PATIENT [5] Set the Target/Filter to Mo/Mo.
SUPPORT [6] Place the dosimeter:
• on the patient support
• 6.0 cm (2.4 in.) from the edge

6.0 cm
(2.4 in.)

edge

H187_2601GCA
H187_2601GC DOSIMETER

10 21JAN10 – 8H4199
 LABEL
20.0m = 3300 CV GenRaD Calibration
10.0m = 3000 CV GenRaD Flat/Phantom
LCD DISPLAY
F m = 3000 CV Mammo Calibration
OF m = 2700 CV Mammo Flat/Phantom
ON

POWER
SWITCH

READ/RESET H187_2598BCA
SWITCH H187_2598BC

[7] Move the power switch on the dosimeter to the ON position.

[8] Press the READ/RESET switch.
[9] Check that 0.00 displays on the LCD display.
[10] Ask the RT to expose the dosimeter.
[11] Record the:
• value displayed on the LCD display of the dosimeter
• value recorded next to Mammo Calibration on the label
[12] Is the value displayed ± 10% of the Mammo Calibration Value recorded on the label?
Yes No
Advance to Step 17. Do Step 13–Step 16.

[13] Is the value displayed:

Greater than 10% less than the Mammo
Calibration value on the label?
a. Ask the RT to increase the mAs setting on the
X-ray equipment.
b. Continue with Step 14.
Greater than 10% more than the Mammo
Calibration value on the label?
a. Ask the RT to decrease the mAs setting on the
X-ray equipment.
b. Continue with Step 14.

[14] Press the READ/RESET switch.

[15] Ask the RT to expose the dosimeter.
[16] Is the value displayed ± 10% of the Calibration Value recorded on the label?
Yes No
Continue with Step 17. a. Do Step 14–Step 16 again.
b. Or, if you cannot obtain the correct value after 3 attempts, record the closest
value.
c. Continue with Step 17.

[17] Record the number on the LCD display.

Note
You must use the recorded number when you do the calibration procedure.
[18] Ask the RT to expose the dosimeter 3 times to check that the values remain within
± 0.5 of the value that you recorded in Step 17.

8H4199 – 21JAN10 11
MISCELLANEOUS PUBLICATION

Exposing the CR Mammography Cassettes

Important
• The chest wall edge of the cassette must be 5.1 cm
(2.0 in.) off the edge of the patient support.
• Some systems have a raised edge at the tube side.
TUBE • If your system has a raised edge, the cassette and
SIDE
the 2 L-brackets cannot be placed more than
5.1 cm (2.0 in.) off the edge.
2 L-BRACKETS • Do NOT place the cassette or the 2 L-brackets on
PATIENT the raised edge.
SUPPORT

[1] Place on the patient support:

• A cassette with the chest wall edge of the
cassette 5.1 cm (2.0 in.) off the edge of the
patient support.
• 2 L-brackets on the edges of the cassette.
[2] Ask the RT to expose the 18 x 24 cm cassette.
RAISED
CHEST WALL EDGE [3] Wait 2 minutes.
EDGE 5.1 cm [4] Ask the RT to expose the 24 x 30 cm cassette.
H187_2595GCA
(2.0 in.)
H187_2595GC

Important
• After exposing the cassette, you must wait 5
minutes before starting this procedure.
• Every minute that you wait beyond 5 minutes
causes the exposure index value to decrease by 5.
[5] Wait 5 minutes from the time of exposure of the
first cassette.

Using the CR Mammography Cassettes for Calibrating the Scan

[1] Calculate:

[2] From the Main Menu, click:

• Service Functions
• Diagnostics
• Scan Calibration

12 21JAN10 – 8H4199
 [3] Enter the Scan Calibration Value from Step 1 in the MR VALUE field.
[4] Insert the first cassette into the system.
[5] Touch Start Calibration Scan.
[6] Insert the next exposed cassette.

Important
If the calibration is NOT successful, an error code occurs.
[7] Was the calibration successful?
Yes No
The procedure is complete. Continue with Step 8.

Important
Under Last Calibrated Date, the date and time displays only if the test passes.
[8] At the Last Calibrated Date screen, locate the existing date and time for the corresponding cassette.
[9] Locate and correct the corresponding error code in the error log.

Note
For error codes 16019 and 16020, you must see the adjustment procedure for the Galvo Rotation for your CR
System.

8H4199 – 21JAN10 13
MISCELLANEOUS PUBLICATION

View and Plot Collector Profiles for the CR Mammography Cassettes

[1] From the Main Menu, click:
• Service Functions
• Diagnostics
• View Collector Profiles
[2] Select the correct size of the cassette.

Important
Dust in the collector or the illumination of the laser beam on the collector may cause spikes on the collector profile.
[3] Observe the collector profile on the graphic.

Note
Correct values display:
• a pixel value of approximately 150 – use the Zoom Out button to verify
• no large differences in the pixel values – 10 or more, or spikes
[4] Is the collector profile correct for the newly calibrated cassettes?
Yes No
The calibration procedure is complete. a. Check:
• Flat-field test
• Phantom test
b. Continue with Step 5.

[5] Check the error log for the error code failure.
[6] Locate and correct the corresponding error code in the error log.

14 21JAN10 – 8H4199
 Important
For error codes 16019 and 16020, see the adjustment procedure for the Galvo Rotation for your CR System.
[7] Is the pixel value above 150?
Yes No
• Check: Continue with Step 8.
– Servo Gain is set correctly on the galvo
– Collector spacing to the plate is correct
– Beam alignment through the collector
• Do:
– Adjustment procedure for the fold mirror for your CR System.
– Exposing the CR Mammography Cassettes on Page 12.
– Using the CR Mammography Cassettes for Calibrating the Scan on
Page 12.
– View and Plot Collector Profiles for the CR Mammography Cassettes on
Page 14.
– KODAK DIRECTVIEW Total Quality Tool on all CR Mammography
Cassette sizes.

Caution
Use caution when you clean the collector.
[8] Do the following if large differences appear in the pixel values of spikes.
(a) Clean the collector using a lint-free cloth.
(b) Do again:
• Exposing the CR Mammography Cassettes on Page 12.
• Using the CR Mammography Cassettes for Calibrating the Scan on Page 12.
• View and Plot Collector Profiles for the CR Mammography Cassettes on Page 14.

8H4199 – 21JAN10 15
Publication History

Publication Publication Changed

Date No. ECO No. Pages File Name Notes
21JAN10 8H4199 --- All 8h4199.fm New Publication

CARESTREAM and DIRECTVIEW are trademarks of Carestream Health, Inc.

The Kodak trademark and trade dress are used under license from Kodak.

Printed in U.S.A. • 8h4199.fm

Carestream Health, Inc.

150 Verona Street
Rochester, NY 14608