AcQSim Installation & Technical Manual PDF

Philips Medical Systems
AcQSim Installation Manual

Computed Tomography
Part Number: 4535 670 25411 DRS Number: C88:TM1 Revision: K
All pages of this document contain proprietary and confidential information of Philips Medical Systems (Cleveland), Inc. The documents are intended for current Philips Medical
Systems (Cleveland), Inc. personnel or are licensed to Philips Medical Systems (Cleveland), Inc. customer for use by the customer's in-house service employee on equipment
located at the customer's designated site. Copying, disclosure to others or other use is prohibited without the express written authorization of Philips Medical Systems
(Cleveland), Inc. Law Department. Report violation of these requirements to the Philips Medical Systems (Cleveland), Inc. Law Department, Highland Heights, Ohio.
Service Publication, Philips Medical Systems (Cleveland) Inc. Highland Hts., OH 44143
2003 All rights reserved under the copyright laws of the United States.
2003
Philips Medical Systems (Cleveland), Inc. Highland Hts., OH 44143
All rights reserved under the copyright laws of the United States
This document prepared by the Service Publications Department.
Note any additions/corrections via an electronic Field Feedback Form.
SYMBOL DESCRIPTIONS
Attention symbol. Radiation warning symbol.
Laser warning symbol. Biohazard warning symbol.
Magnetism warning symbol. Projectile warning symbol.
Electrical warning symbol.

REVISION HISTORY
REVISION DATE COMMENTS

1 1/10/94 Original Issue
2 5/18/94 Incorporated reviewer’s comments; printed for review.
3 8/16/94 Incorporated reviewer’s comments; printed for review.x
4 8/29/94 Incorporated information from installations; Added Glossary; Restructured laser alignment procedure
5 9/10/94 Incorporated reviewer’s comments and printed for review purposes only.
A 9/30/94 Installed reviewers’ final comments and released to Rev. A.
B 3/30/96 Updated to 3.2 software; Added AcQSim Configuration menu, Appendix B; Reorganized text sections:
Sections 1 – 3 became Sections 1 – 5; Rewrote Installation Instructions, Section 2; Added AcQSim Per-
formance Verification, Section 6; Changed DRS Number from C883:I1 to C883:TM1
B–1 5/30/96 Updated to 3.2D software; Incorporated reviewer’s comments; printed for review.
C 9/23/96 Updated to 3.3 software; Support for two different plotters; Incorporated reviewer’s comments; printed for
review.
C–1 10/22/96 Incorporated reviewer’s comments and printed for blue sheet review.
C–2 12/17/96 Incorporated Blue Sheet Comments; Removed Final LLK Check from Section 2 and Place it in Section 3.
C–3 5/20/97 Added the AcQSim LAP LASER in the appendix section.
C–4 6/13/97 Updated Manual and restructure sections. Incorporated reviewer’s comments; moved LAP Laser to sec.
3, printed for review.
C–5 9/26/97 Incorporated reviewer’s comments for AcQSim Configuration Menu in “Appendix B” and printed for blue
sheet review.
D 11/21/97 Incorporated reviewer’s final comments. Updated to 3.4 software. Manual Ready for CCB Release
D–1 8/20/98 Move LAP Laser section forward to Section 2. Reassemble into 12–Tab format.
D–2 11/12/98 Include changes for VQ 4.0 software. Added Exact Top section.
E 04/23/99 Make changes to networking sections per engineering St. Davids. Release for final review.
E–1 06/20/00 Make changes to installation section. Add graphic views of Column(s) and Control Keypad.
F 11/06/00 Make changes to include Astro, UltraZ and release 4.1 software. Add Screen pictures for AcQSim–CT
Laser Calibration. Added RTOG and DICOM print.
G 5/17/01 Make changes to AcQSim Quality Assurance. Bring in graphics for Barker. Remove mention of Barker
in the installation section and refer only to barker section. Improve description of Sagittal LTU Calibration
and alignment.
G–1 7/15/01 Include changes for new keypad. Make minor graphics changes.
G–2 11/20/01 Re–brand front matter and footers to Philips Medical Systems.
G–3 5/28/02 Minor revision; removed several references to Barker Laser systems within the docuement. Link to Bark-
er information is still available on the CFE menu listing.
G–4 7/23/02 Update information concerning printer obsolesence in Networking, Printers section.
G–5 10/23/02 Incorporate instructor and student comments to Install section.
H 03/18/03 Change manual part number from T55E–1021 to 12 digit Philips number.
J 03/19/03 Release of manual with 12 digit Philips number 4535 670 25411.
K 11/03/03 Update to adjustment plate and LAP laser figures in installation section.
NOTICE
THE INFORMATION CONTAINED IN THIS MANUAL CONFORMS WITH THE CONFIGURATION OF THE EQUIPMENT AS OF THE DATE OF MANUFACTURE. REVISIONS TO THE EQUIPMENT
SUBSEQUENT TO THE DATE OF MANUFACTURE WILL BE ADDRESSED IN SERVICE UPDATES DISTRIBUTED TO PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC. TECHNICAL SERVICE
ORGANIZATION.
TO THE USER OF THIS MANUAL

THE USER OF THIS MANUAL IS DIRECTED TO READ AND CAREFULLY REVIEW THE INSTRUCTIONS, WARNINGS AND CAUTIONS CONTAINED HEREIN PRIOR TO BEGINNING
INSTALLATION OR SERVICE ACTIVITIES. WHILE YOU MAY HAVE PREVIOUSLY INSTALLED OR SERVICED EQUIPMENT SIMILAR TO THAT DESCRIBED IN THIS MANUAL, CHANGES IN
DESIGN, MANUFACTURE OR PROCEDURE MAY HAVE OCCURRED WHICH SIGNIFICANTLY AFFECT THE PRESENT INSTALLATION OR SERVICE.
THE INSTALLATION AND SERVICE OF EQUIPMENT DESCRIBED HEREIN IS TO BE PREFORMED BY AUTHORIZED, QUALIFIED PHILIPS MEDICAL SYSTEM (CLEVELAND), INC. PERSONNEL.
ASSEMBLERS AND OTHER PERSONNEL NOT EMPLOYED BY NOR DIRECTLY AFFILIATED WITH PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC. TECHNICAL SERVICES ARE DIRECTED
TO CONTACT THE LOCAL PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC. OFFICE BEFORE ATTEMPTING INSTALLATION OR SERVICE PROCEDURES.
INSTALLATION AND ENVIRONMENT

EXCEPT FOR INSTALLATIONS REQUIRING CERTIFICATION BY THE MANUFACTURER PER FEDERAL STANDARDS, SEE THAT A RADIATION PROTECTION SURVEY IS MADE BY A
QUALIFIED EXPERT IN ACCORDANCE WITH NCRP 102, SECTION 7, AS REVISED OR REPLACED IN THE FUTURE. PERFORM A SURVEY AFTER EVERY CHANGE IN EQUIPMENT,
WORKLOAD, OR OPERATING CONDITIONS WHICH MIGHT SIGNIFICANTLY INCREASE THE PROBABILITY OF PERSONS RECEIVING MORE THAN THE MAXIMUM PERMISSIBLE DOSE
EQUIVALENT.
Diagnostic Imaging Systems – MECHANICAL-ELECTRICAL WARNING

ALL OF THE MOVEABLE ASSEMBLIES AND PARTS OF THIS EQUIPMENT SHOULD BE OPERATED WITH CARE AND ROUTINELY INSPECTED IN ACCORDANCE WITH THE MANUFACTURER’S
RECOMMENDATIONS CONTAINED IN THE EQUIPMENT MANUALS.
ONLY PROPERLY TRAINED AND QUALIFIED PERSONNEL SHOULD BE PERMITTED ACCESS TO ANY INTERNAL PARTS. LIVE ELECTRICAL TERMINALS ARE DEADLY; BE SURE LINE
DISCONNECTS ARE OPENED AND OTHER APPROPRIATE PRECAUTIONS ARE TAKEN BEFORE OPENING ACCESS DOORS, REMOVING ENCLOSURE PANELS, OR ATTACHING
ACCESSORIES.
DO NOT UNDER ANY CIRCUMSTANCES, REMOVE THE FLEXIBLE HIGH TENSION CABLES FROM THE X-RAY TUBE HOUSING OR HIGH TENSION GENERATOR AND/OR THE ACCESS
COVERS FROM THE GENERATOR UNTIL THE MAIN AND AUXILIARY POWER SUPPLIES HAVE BEEN DISCONNECTED. FAILURE TO COMPLY WITH THE ABOVE MAY RESULT IN SERIOUS
OR FATAL BODILY INJURIES TO THE OPERATOR OR THOSE IN THE AREA.
ELECTRICAL-GROUNDING INSTRUCTIONS
THE EQUIPMENT MUST BE GROUNDED TO AN EARTH GROUND BY A SEPARATE CONDUCTOR. THE NEUTRAL SIDE OF THE LINE IS NOT TO BE CONSIDERED THE EARTH GROUND.
ON EQUIPMENT PROVIDED WITH A LINE CORD, THE EQUIPMENT MUST BE CONNECTED TO PROPERLY GROUNDED, THREE-PIN RECEPTACLE. DO NOT USE A THREE-TO-TWO PIN
ADAPTER.
Diagnostic Imaging Systems – RADIATION WARNING

X-RAY AND GAMMA-RAYS ARE DANGEROUS TO BOTH OPERATOR AND OTHERS IN THE VICINITY UNLESS ESTABLISHED SAFE EXPOSURE PROCEDURES ARE STRICTLY OBSERVED.
THE USEFUL AND SCATTERED BEAMS CAN PRODUCE SERIOUS OR FATAL BODILY INJURIES TO ANY PERSONS IN THE SURROUNDING AREA IF USED BY AN UNSKILLED OPERATOR.
ADEQUATE PRECAUTIONS MUST ALWAYS BE TAKEN TO AVOID EXPOSURE TO THE USEFUL BEAM, AS WELL AS TO LEAKAGE RADIATION FROM WITHIN THE SOURCE HOUSING OR
TO SCATTERED RADIATION RESULTING FROM THE PASSAGE OF RADIATION THROUGH MATTER.
THOSE AUTHORIZED TO OPERATE, PARTICIPATE IN OR SUPERVISE THE OPERATION OF THE EQUIPMENT MUST BE THOROUGHLY FAMILIAR AND COMPLY COMPLETELY WITH THE
CURRENT ESTABLISHED SAFE EXPOSURE FACTORS AND PROCEDURES DESCRIBED IN PUBLICATIONS, SUCH AS: SUBCHAPTER J OF TITLE 21 OF THE CODE OF FEDERAL
REGULATIONS, “DIAGNOSTIC X-RAY SYSTEMS AND THEIR MAJOR COMPONENTS”, AND THE NATIONAL COUNCIL ON RADIATION PROTECTION (NCRP) NO. 102, “MEDICAL X-RAY AND
GAMMA-RAY PROTECTION FOR ENERGIES UP TO 10 MEV-EQUIPMENT DESIGN AND USE”, AS REVISED OR REPLACED IN THE FUTURE.
THOSE RESPONSIBLE FOR PLANNING OF X-RAY AND GAMMA-RAY EQUIPMENT INSTALLATIONS MUST BE THOROUGHLY FAMILIAR AND COMPLY COMPLETELY WITH NCRP NO. 49,
“STRUCTURAL SHIELDING DESIGN AND EVALUATION FOR MEDICAL OF X-RAYS AND GAMMA-RAYS OF ENERGIES UP TO 10 MEV”, AS REVISED AND REPLACED IN THE FUTURE. FAILURE
TO OBSERVE THESE WARNINGS MAY CAUSE SERIOUS OR FATAL BODILY INJURIES TO THE OPERATOR OR THOSE IN THE AREA.
INTRODUCTION
WHAT THIS DOCUMENT COVERS
NOTE
To see Important information on Work Sequence see CFE menu listing: Service >
Installation > AcQSim Installation.
This document provides the installation instructions for the AcQSim Patient Localization package consisting of:
• A Laser Light Kit (LLK)

• The Therapy Top table.
• Two printers (including cables and S-bus board)
• AcQPlan option (see CFE menu item Service > Options)
Software installation (at the Voxel Q) is covered in other documentation; however, this instruction set does include the software changes
needed to activate the system.
Besides installing the Laser Light kit you will align the five patient positioning beams, from the three laser units, to three precise planes.
These planes, seen as lines of red light on the patient, indicate to the operator where to mark the patient’s skin to identify tumor locations.
See Figure 1.
Scanner installation is covered in documentation provided with the scanner. Note that AcQSim systems are currently shipping with the
Therapy Top. You will want to install the Therapy Top according to the Installation Flow Table.
THE ACQSIM SYSTEM - ONCODIAGNOSTICS
The AcQSimTM system optimizes CT-based localization and treatment planning for cases where CT is the preferred modality for target
volume definition. AcQSim achieves this optimization by integrating the localization (the CT scan and the ACQSIM program on the Voxel
Q) and patient marking processes (the AcQSim program and the laser light kit) into one session at the CT scanner.
The AcQSim software allows the Radiologist / Oncologist to rapidly visualize and localize a tumor and critical anatomy, then subsequently
mark the patient’s skin. Laser light sources, external to the CT Scanner and similar to those found in therapy treatment facilities, visually
define the center of the localized region for the marking process.
10/23/02 Philips Medical Systems Confidential and Proprietary Information, Refer to title page.
Why lasers? Because they provide a very brilliant, visible red beam of light that can be focused very accurately due to their color purity.
For complete information on the operation of this system, please see the AcQSim Operator’s Guide.
THE ACQSIM SYSTEM - MECHANICAL
The complete AcQSim Oncodiagnostic Simulation / Localization system consists of the AcQSim package, Therapy Pad, Therapy Top,
quality control phantom, two printers, software, and a patient localization package), a Philips Q-series CT scanner system, and a Voxel-Q
visualization station. AcQSim is a CT-based tumor localizer used prior to radiation therapy treatment planning.
The patient localization system (also referred to as the Laser Light Kit or LLK), consists of three laser units and a control Keypad:
• Two fixed (non-movable), lateral laser units, mounted on the suite walls or free-standing columns. Each of these units projects
two visible red laser beams: one horizontal and one vertical.
• A third, single, movable laser unit mounted near the ceiling, directly over the patient (preferred), or mounted on the wall at the
foot end of the Patient Support. This sagittal laser unit projects a visible red beam (vertically) along the surface of the Patient
Support, and therefore, along the sagittal plane of the patient. This is referred to as the z–axis laser.
• The Control Keypad contains circuitry necessary to issue commands and display positioning information for the sagittal laser.
The sagittal laser can be accurately positioned from the patient’s midline (0 cm) to approximately 28 cm to the left or right of the patient’s
midline. This mimics the lateral movement of a conventional simulator table or treatment unit table (CT scanners do not provide lateral table
movement).
Click here for the Glossary of terms.
Click here for Installation Process Flow Table.
Click here for an Interconnect Diagram of AcQSim System.
Click here for UltraQ Floppy Disk Drive Installation. (AcQPlan only)
Click here for AcQPlan and enabling.
FIGURE 1 AcQSim System
This arrangement of three lasers and five beams visually identifies - with a red beam of light on the patient’s skin - the X, Y, and Z-axis
positions of the calculated isocenter or edges of a tumor.
The two ink-jet printers provide data printout (black/white) and patient profiles (color).
OPERATION
First, the Philips CT Scanner acquires density information (AP and lateral pilot scans, and a set of axial images through the desired
anatomy). Next, the operator transfers this information to the Voxel-Q Visualization station via DICOM (Ethernet) connection. At the Voxel
Q the operator outlines the tumor and other critical structures with the contouring software package.
The AcQSim software on the Voxel Q provides the operator with the tumor’s isocenter in the form of scanner table and sagittal laser position
information, which it displays on the monitor. The operator then positions the Patient Support and the Sagittal laser at the displayed
coordinates. Next, the operator turns on the ACQSim lasers to project red lines on the surface of the patient. These lines indicate the location
of the tumor or its edges. Lastly, the operator physically marks the projected laser lines on the patient’s skin.
Data/charts are printable on the two printers.
Refer to the ACQSim Product Data guide (PD1075) for additional information and to the Operator’s Guide.
SOFTWARE
Voxel-Q Software revision 4.1 or higher must be installed. This software contains the AcQSim laser and Patient Support position software,
and the printer software.
Previous revision levels are obsolete and are not supported by this document.
The software must have ACQSim as an active function. If there are problems, contact Service Engineering. A Service Support Engineer
will log in to the Voxel-Q and activate the ACQSim functions.
WORK SEQUENCE (RELEASE 4.1)

The AcQSim LLK Process Installation Flow Table provides the work sequence required to successfully install the AcQSim lasers onto 3
separate Philips Scanners: PQ Series, Ultra Z and AcQSim–CT While there are many similarities with all 3 systems, some important
differences remain:
Verify Gantry Laser Calibration

Gantry and Patient Support Verification
Mark Center of Scan Plane – Establish X & Z Axis
Correct for Lateral Laser Offset
Perform AcQSim Quality Assurance
TIME REQUIRED
16 man-hours (2 service engineers @ one 8-hour day).
To meet the above time, the engineers must have had training and/or experience with these installations. Be aware that currently there
is no installation time allocated for the oncology health physicist to accept the system.
WHAT YOU WILL DO

From a training standpoint, your process will be:
1. Use the ‘eyes’ of the Gantry (images) and a movable reference point (a scan localization dot) to develop a visual marker for Gantry
isocenter.
2. From this isocenter you will visually create each of the axes: X (left-right), Y (up-down), and Z (in-out).
3. Establish (on masking tape) the X-axis reference on the Therapy Pad as a line across the top, the Z-axis as a line the length of the
top, and the Y-axis as the Therapy Pad height. These will be known as the X-, Y-, and Z-axis reference lines.
4. Displace the X-axis reference line 500 mm (Y and Z do not change) and establish an isocenter for the ACQSIM lasers.
5. Use this AcQSim isocenter as the reference axes for mounting the three laser units.
6. Align the five AcQSim lasers to the three axes on the Therapy Pad and a calibration phantom.
NOTES ON SYSTEM ACCURACY

The process of Radiation Therapy Planning - RTP - is a multi-step process of detection, localization, planning and treatment process, as
mentioned earlier in this chapter. Of these steps, not even detection is done with conventional scanner accuracy. Proper localization
requires + or – 1 millimeter accuracy. Achieving this accuracy requires the BEST effort on the part of you, the Philips AcQSim installer.
This accuracy can be achieved in nearly all installations -- all it requires is proper care and attention to details.
One of the items related to achieving this accuracy is the weight loading of the Patient Support with the Therapy Pad. This process equates
to an average patient weight over a typical distance on the Patient Support. Weight placement is not extremely critical, but it is necessary.
ACQSIM LLK INSTALLATION PROCESS FLOW TABLE
This AcQSim Installation Process Flow Table provides the work sequence required to successfully install the AcQSim lasers onto 3 separate
Philips Scanners: PQ Series, Ultra Z and AcQSim–CT While there are many similarities with all 3 systems, some important differences
remain:
Verify Gantry Laser Calibration

Gantry and Patient Support Verification
Mark Center of Scan Plane – Establish X & Z Axis
Correct for Lateral Laser Offset
Perform AcQSim Quality Assurance
Task Comments
Assemble the required Tools and Mounting This must be done before starting installation!
Hardware.
Verify Gantry Laser Calibration (PQ) This is critical to the overall performance of the
(Ultra Z, AcQSim–CT) system.
Install Therapy Top (All Systems) This must be done prior to Gantry And Patient
Support Verification
Initial Patient Support and Gantry Verification Prechecks for levelness and vertical tracking.
(All Systems)
Check Initial Patient Support Positioning at Use the Scanning functions to verify couch is
Isocenter: (PQ) (Ultra Z, AcQSim–CT) aligned at the Gantry Isocenter.
Mark Center of Scan Plane, Establish X & Z Axis. The X–axis is for aligning the AcQSim Side Lasers,
(PQ) (Ultra Z, AcQSim–CT) The Z–axis is for aligning the Sagittal Laser.
Begin the LAP Installation (All Other) Read the overview before routing cables.
Install Cables. (All Other) Look for correct Plugs at Control Box
Mount Sagittal Laser. (All Other) Heavy! Use two people. Note 2
Align Sagittal Laser. (All Other)
Mount Side Lasers. (All Other)
Align Side Lasers. (All Other)
Task Comments
Final Side Laser Alignment (All Systems)
Correct for Lateral Laser Offset (PQ)
(Ultra Z, AcQSim–CT) (MX–8000)
Calibrate Sagittal Laser Tracking (All Systems)
Final (Laser Light) Check. (All Systems)
Install Printers. Change Paper tray. Check printers.
Perform Networking Configuration for AcQSim Configure the AcQSim software network variables
into the Voxel Q.
Perform AcQSim Quality Assurance: (PQ)
(Ultra Z, AcQSim–CT)
Turn Over to Oncology Dept. Note 3
NOTES:
1. Pay particular attention to this process because all AcQSim laser ‘reference’ positions depend on the Gantry lasers being precisely
aligned with the scan plane. Alignment requires that the Gantry lasers not only cross the center of the scan plane, but that they be in
the scan plane for all vertical Patient support motion.
2. All Laser mountings must be in accordance with Philips specifications and designs. Site Planning documents require solid walls (i.e.,
concrete, concrete block, etc). Plaster board walls supported by wooden or steel studs are not acceptable (steel beams are
acceptable).
3. Time charges are to be in accordance with Service standards. Reference the INSTALLATION ACTIVITY REPORTING MATRIX in
Section 1 of the “Q-Series Installation Manual.”
REFERENCE LITERATURE
The following documents are related to the AcQSim product:
AcQSim Operator’s Manual (C883:F2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T55B-1027

AcQSim Product Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PD1075
Calibration Manual, PQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T55E-323
Placement and Siting Considerations for AcQSim Laser Positioning
Lights (for Site Planning Staff and Installation Coordinators) . . . . . . . . . . . . . . IQ-001-005
Laser Mounting (LAP) Template . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T75B–1010
IMPORTANT BACKGROUND INFORMATION

Philips has superseded the older Barker designed lasers for AcQSim with lasers supplied from a German company called Laser
Applikationen (LAP). The design of the lasers is completely different from that of the Barker design, however, from a customer standpoint,
the laser functions are identical. Please note that these lasers are in no way meant for upgrading existing Barker laser sites. If sites
would like to purchase the new lasers, you must get the whole kit, nothing is reused from the Barker kit, except the columns. A LAP laser
cannot be used in a Barker site and vise–versa. For details on adjusting currently installed AcQSim systems with BARKER lasers go to
Misc > Barker Adjustments in the CFE menu listing.
CALIBRATE GANTRY LASERS (PQ SERIES ONLY)
Tools Required: FSE Tool Kit, 3 business cards, transparent or masking tape, mechanical pencil, black electrical tape
Estimated Time: 60 min.
WARNING
THE SCAN FRAME WILL ROTATE TO THE “HOME” POSITION WHEN THE LASER
BUTTON IS PRESSED. USE CAUTION WHEN POWERING UP THE GANTRY.
FAILURE TO COMPLY MAY RESULT IN INJURY TO PERSONNEL.
1. Turn on the Gantry lasers.

2. Position the Patient Support vertically at Y = 0. and horizontally at relative zero or isocenter.
3. In the IQOUT program, position the collimator to the 1mm position by typing (in Hex) cl –1 1 and press <Enter>. Since there is no
smaller value than 1mm, this tells the collimator to close (–1) and position to 1mm (1).
NOTE
For Pre 4.1 XSC versions, the smallest collimator value is 1.5mm. Therefor, while in
IQOUT, type (in Hex) cl f <Enter>. This will result in a collimator value of 1.5mm.
4. Cover the 3 and 9 o’clock lasers openings over the laser opening with black electrical tape. (The lasers have covers which can be
loosened and slid across the opening. However, this may cause the laser to move slightly).
5. Adjust the 12 o’clock laser so the beam is aligned between detector channel 1799 and 1800 (2400 detector system) (899 and 900 for
1200 detector system, 3599 and 3600 for 4800 detector system). To adjust the laser, you must loosen the allen head screw at the
mounting bracket stud, then move the laser right or left as needed. Tighten after adjusting. Refer to Figure 2.
6. Turn the lasers OFF. Disable the Gantry scan drives by placing the upper cover interlock switch in the middle position.
7. Manually rotate the scan frame ccw until the x–ray tube and collimator are at the 8:00 position.
WARNING
USE EXTREME CAUTION WHEN OPERATING OR WORKING ON EQUIPMENT
WITH COVERS REMOVED. DANGEROUS VOLTAGES ARE EXPOSED WHEN THE
GANTRY COVERS ARE REMOVED. FAILURE TO COMPLY CAN CAUSE SERIOUS
INJURY OR DEATH TO PERSONNEL.
8. Lay a business card across collimator opening and tape it to the slip ring.
9. Put two marks on each edge of the card that line up with the collimator opening. With a ruler, draw a line connecting the two marks.
Using a mechanical lead pencil will produce a line approx. .5mm thick.
10. Move the collimator to approximately the 6:00 position. Repeat steps 8 and 9. Then rotate the scan frame around ccw so the collimator
is at the 4:00 position and repeat the card marking steps. You should now have a marked card taped at the 8:00, 6:00 and 4:00 position.
Cards in Figure 1 are colored gray.
11. Enable the scan drives by pulling the interlock switch out. Press the laser button on the front of the Gantry.
12. Disable the main drive. Adjust the 12:00 laser so the line falls on the line of all three cards. Figure 2 shows the the laser adjustment
screws.
13. Rotate the scan frame ccw until the laser is directly below the 6:00 card. The laser line should fall directly on the card line. Adjust the
laser as necessary. While rotating, you can quickly see if the laser line is falling on the 8:00 and 4:00 cards correctly. Repeat this step
until the laser line falls directly on the card line at both top and bottom positions.
14. Now cover the laser opening of the 12:00 laser. Uncover the 3:00 and 9:00 laser openings. Rotate the scan frame ccw until the the
12:00 laser is near the top (this only makes the next adjustment easier and does not have to be exact). Lasers should still be on.
15. Check the line of the 3:00 laser and ensure that the horizontal beam falls directly on the bottom laser port of the 9:00 laser. Check
the 9:00 laser and ensure that the horizontal beam falls directly on the top laser port of the 3:00 laser. Adjust either laser as necessary.
16. Cover the 9:00 laser opening. Rotate the scan frame so the 3:00 laser is pointing down at the 6:00 card. Repeat the alignment
procedure of step 13.
17. After the 3:00 laser is aligned, cover its laser opening and uncover the opening of the 9:00 laser. Repeat the alignment procedure of
step 13.
18. Enable the main drive. Press the laser button so the Gantry rotates to “home” position. Disable the main drive.
19. Align a phantom on a centered couch. Wrap a piece of paper around the 6” section of the phantom and secure in place. Push the
couch in until the laser line falls on the paper. If properly aligned, you should see a continuous, solid line all the way around the paper.
If a laser is out of alignment, you will see a blurring or two solid lines. If this is the case, locate the misaligned laser and re–adjust.
CARDS SECURED AT
8:00, 6:00 and 4:00
POSITIONS WITH
LINES DRAWN. NOTE HOW
CARD LINE
ALIGNS WITH
8:00 COLLIMATOR
OPENING.
6:00
4:00
FIGURE 1 CARD ALIGNMENTS – 8:00, 6:00 AND 4:00 POSITIONS
LOOSEN ALLEN HEAD SCREW TO ADJUST
LASER RIGHT OR LEFT ON 12:00 LASER
SKEW ADJUSTMENT 12:00 AND

3:00 LASERS
NEW
STYLE
LASER
LASER OPENING (COVERED AT
SPECIFIC TIMES OF THE CALIBRATION)
BEAM PIVOTING
ADJUSTMENT SCREW
NEW STYLE LASER
ADJUSTING 9:00 LASERS

SCREWS
SHUTTER SCREW
FIGURE 2 LASER ALIGNMENT SCREWS
LASER ALIGNMENT VERIFICATION
20. Keep the paper on the phantom. Once you are confident that lasers are aligned, remove the alignment cards and CAREFULLY replace
the cone (it is easy to bump the 12:00 and 3:00 lasers when doing this).
21. Verify the laser alignment on the paper once more. Run the following procedure for a final verification:
22. Unfold and cut an ordinary paper clip to a one inch length . Tape the clip to the top of the 6–inch water phantom laterally, so that it is
in the plane of the slice, between the white and clear sections of the 6” portion of the phantom.
23. Turn on the lasers and make sure the beam is directly on the paper clip.
24. From the ELTP, create a new test patient entry.
25. Select the Protocol Selection option, click on the phantom icon and choose the Half Water protocol.
26. Select the Planning option at the bottom of the screen.
27. The tube must be warmed up before scanning.
28. Click on the Scan Button. Click on Start scan. The pilot will appear. Click on slice thickness of 1mm. Make sure the Scan (mm) is
set to +1.0 Start and +1.0 End so the couch will not move when it scans.
29. Click on the Scanning/Recon button. Click on Advance to Scan, then Start Scan.
30. Observe the resulting axial image. The lasers are positioned properly if the clip is visible in the image. If this is not the case, the
calibration procedure should be done again.
This completes the Calibrate Gantry Lasers Procedure for PQ Series.
CALIBRATE GANTRY LASERS (ULTRA Z, ACQSIM–CT)
LASER ALIGNMENT CALIBRATION

Introduction: The purpose of this procedure is to align the positioning lasers so that they properly indicate the center of the X–ray
beam.
Tools Required: FSE Tool Kit, 3 index cards (approx. 4 x 6 in.), transparent or masking tape, mechanical pencil, black electrical tape
Estimated Time: 60 min.
NOTE
The 3 Gantry Lasers are essentially the same for Ultra Z and AcQSim–CT with one
small difference. The 9:00 O’clock laser has been split into (2) separate lasers on AcQ-
Sim–CT. The ‘X’ direction is at 10:00 O’clock and the ‘Z’ direction is placed at 9:00
O’clock. See Figure 4.
LASER ALIGNMENT PROCEDURE:
1. Remove Gantry power.

2. Open the top front Gantry gull wing. Remove the lower front Gantry cover and the front Gantry cone.
3. Enable the scan drives by pulling the gullwing interlock switch out and turn on Gantry power.
WARNING
THE SCAN FRAME WILL ROTATE WHEN GANTRY IS POWERED UP. USE
CAUTION WHEN POWERING UP THE GANTRY. FAILURE TO COMPLY MAY
RESULT IN INJURY TO PERSONNEL.
4. In the Gscope program, position the collimator to the 1mm position by typing cl 10 (Ultra Z) or cl 20 (AcQSim–CT) and press <Enter>.
LOOSEN ALLEN HEAD SCREW TO ADJUST
LASER RIGHT OR LEFT ON 12:00 LASER
LASER
ADJUSTMENT
SCREWS
DUAL
BEAM
LASER
LASER OPENING (COVERED AT
SPECIFIC TIMES OF THE CALIBRATION)
12:00 AND 3:00 LASERS
SINGLE BEAM LASER
ADJUSTING
SCREWS 9:00 & 10:00 LASERS
SHUTTER SCREW
FIGURE 3 LASER ALIGNMENT SCREWS
9:00 and 10:00
O’Clock Lasers
FIGURE 4 9:00 and 10:00 O’Clock Split Laser on AcQSim–CT Scanframe
5. Depress the laser button to turn the lasers ON. (You may have to lower the gullwing momentarily to do this.)
6. Cover the 3 and 9 o’clock lasers (two lasers at 9 o’clock for AcQSim CT) openings over the laser opening with black electrical tape.
Refer to Figure 3.
7. Adjust the 12 o’clock laser so the beam is aligned between detector channel 1799 and 1800 at the bottom of the gantry. To adjust the
laser, you must loosen the allen head screw at the mounting bracket stud, then move the laser right or left as needed. Tighten after
adjusting. Refer to Figure 3.
WARNING
USE EXTREME CAUTION WHEN OPERATING OR WORKING ON EQUIPMENT
WITH COVERS REMOVED. DANGEROUS VOLTAGES ARE EXPOSED WHEN THE
GANTRY COVERS ARE REMOVED. FAILURE TO COMPLY CAN CAUSE SERIOUS
INJURY OR DEATH TO PERSONNEL.
8. Turn the lasers OFF. Disable the Gantry scan drives by placing the upper cover interlock switch in the middle position.
9. Manually rotate the scan frame ccw until the x–ray tube and collimator are at the 8:00 position.
10. Lay an index card across collimator opening and tape it to the slip ring.
11. Put two marks on each edge of the card that line up with the collimator opening. With a ruler, draw a line connecting the two marks.
Using a mechanical lead pencil will produce a line approx. .5mm thick.
12. Move the collimator to approximately the 6:00 position. Repeat steps 10. and 11. Then rotate the scan frame around ccw so the
collimator is at the 4:00 position and repeat the card marking steps. You should now have a marked card taped at the 8:00, 6:00 and
4:00 position. Cards in Figure 5 are colored gray.
WARNING
13. Enable the scan drives by pulling the interlock switch out. Press the laser button on the front of the gantry.
14. Disable the main drive. Adjust the 12:00 laser so the line falls on the line of all three cards. Figure 3 shows the the spring–mounted
laser adjustment screws. Note that adjustment screws interact with each other.
15. Rotate the scan frame ccw until the 12:00 laser is directly below the 6:00 card. The laser line should fall directly on the card line. Adjust
the 12:00 laser as necessary. While rotating, you can quickly see if the laser line is falling on the 8:00 and 4:00 cards correctly. Repeat
this step until the laser line falls directly on the card line at both top and bottom positions.
16. Now cover the laser opening of the 12:00 laser. Uncover the 3:00 and both 9:00 laser openings. Rotate the scan frame ccw until the
12:00 laser is near the top (this only makes the next adjustment easier and does not have to be exact). Lasers should still be on.
17. Check the line of the 3:00 laser and ensure that the horizontal beam falls directly on the bottom laser port of both 9:00 lasers. Check
the 9:00 lasers in the same manner on the 3:00 laser and adjust either laser as necessary.
18. Cover both 9:00 laser openings. Rotate the scan frame so the 3:00 laser is pointing down at the 6:00 card. Adjust the 3:00 laser as
necessary. While rotating, you can quickly see if the laser line is falling on the 8:00 and 4:00 cards correctly. Repeat this step until
the laser line falls directly on the card line at both top and bottom positions.
19. After the 3:00 laser is aligned, cover its laser opening and uncover the openings of the 9:00 lasers. Rotate the scan frame so the 9:00
laser is pointing down at the 6:00 card. Adjust the 9:00 laser as necessary. While rotating, you can quickly see if the laser line is falling
on the 8:00 and 4:00 cards correctly. Repeat this step for both 9:00 lasers until the laser line falls directly on the card line at both top
and bottom positions.
WARNING
20. Enable the main drive. Press the laser button so the gantry rotates to “home” position. Disable the main drive and uncover lasers.
21. Align a phantom on a centered couch. Wrap a piece of paper around the 6” section of the phantom and secure in place. Push the
couch in until the laser line falls on the paper. If properly aligned, you should see a continuous, solid line all the way around the paper.
If a laser is out of alignment, you will see a blurring or two solid lines. If this is the case, locate the misaligned laser and re–adjust.
CARDS SECURED AT
8:00, 6:00 and 4:00
POSITIONS WITH
LINES DRAWN. NOTE HOW
CARD LINE
ALIGNS WITH
8:00 COLLIMATOR
OPENING.
6:00
4:00
PL0080
FIGURE 5 CARD ALIGNMENTS – 8:00, 6:00 AND 4:00 POSITIONS
LASER ALIGNMENT VERIFICATION
22. Keep the paper on the phantom. Once you are confident that lasers are aligned, remove the alignment cards and CAREFULLY replace
the cone (it is easy to bump the 12:00 and 3:00 lasers when doing this).
23. Verify the laser alignment on the paper once more. Run the following procedure for a final verification:
24. Unfold and cut an ordinary paper clip to a one inch length . Tape the clip to the top of the 6 inch water phantom laterally, so that it is
in the plane of the slice, between the MTF and Low Contrast sections of the phantom (approximately 70mm from the tip of the peg).
25. Turn on the lasers and make sure the beam is directly on the paper clip.
26. From the Clinical Scanning GUI, create a new test patient entry.
27. Select the Protocol Selection option, click on the phantom icon and choose the Half Water protocol. Press Select.
28. Select the Planning option at the bottom of the screen.
29. The tube must be warmed up. In Pilot Planning, select the OM Landmark and Confirm with the mouse. Another Pilot screen will appear.
Select 60mA. Click on Confirm.
30. Click on the Advance to Scan Button. Click on Start scan. The pilot will appear. Click on the Extent Tab under Scan Parameters
Selection, and select a slice thickness of 1mm. Make sure the Scan Extents (mm) are set to +1.0 Start and +1.0 End so the couch
will not move when it scans.
31. Click on the Scanning/Recon button. Click on Advance to Scan, then Start Scan.
32. Observe the resulting axial image. The lasers are positioned properly if the clip is visible in the image. If this is not the case, the
calibration procedure should be done again.
This completes the Calibrate Gantry Lasers Procedure for Ultra Z Series.
VERIFY GANTRY LEVELNESS (ALL)

Verify that each column of the Gantry is level from front to back using the 4–foot level atop each column. Install shims beneath each column
to level.
Verify that the Gantry is level from the left column to the right column using the water level. Install shims as necessary.
VERIFY INITIAL PATIENT SUPPORT VERTICAL TRACKING (ALL)

1. Extend the Patient Support top fully into the Gantry.
2. Place the 4–foot level on a rigid portion of the exposed top surface subframe of the pedestal. If the table is not level both front–to–rear
and side–to–side, adjust the leveling screws in the baseplate. Final leveling should be done with shims.
USE CARE WHEN ROTATING THE LEVELING SCREWS. Maintain an evenness with the screws. Excessive rotation of one or two
screws may cause the baseplate to lift and may introduce an undesired twist in the Patient Support frame.
VERIFY PATIENT SUPPORT PERPENDICULAR TO GANTRY
In these steps you verify that the Patient Support is installed perpendicular to both the scan plane and Gantry aperture.
GANTRY AND PATIENT SUPPORT VERIFICATION (PQ ONLY)
In this section you will verify the following in this order:
1. Verify that the Gantry is level.
2. Verify patient support levelness and vertical tracking.
3. Verify that the Patient Support is perpendicular to the Gantry and Scan Plane.
4. Verify the basic positioning of the Gantry lasers.
CHECK INITIAL PATIENT SUPPORT POSITIONING AT ISOCENTER: (PQ ONLY)
1. Vertically position the Patient Support at 450 millimeters. Place the Patient Support top at absolute position 600 millimeters, or with
the front end of the Patient Support top just past isocenter.
2. Perform a Full Field axial scan using Full–Field Test protocol.
a. Measure the distance from the left edge of the couch top to the nearest edge of the scan field, using the “Mark” cursor option.
b. Measure the distance from the right edge of the couch top to the nearest edge of the scan field. These two distances must be within
± 3mm of each other. If they are not, reposition the Patient Support, scan again, and verify.
ÅÅÅÅÅÅÅÅÅÅÅ
THESE TWO
DIMENSIONS
MUST BE EQUAL.
FIGURE 6 Where to Measure Table Center
WARNING
SHOCK HAZARD. ADJUSTMENTS TO THE PATIENT SUPPORT REQUIRE COVER
REMOVAL. POWER DOWN AND DISCONNECT THE GANTRY FROM THE AC
MAINS. 208 AND 120 VAC ARE EXPOSED. FAILURE TO COMPLY CAN RESULT IN
ELECTRIC SHOCK OR EVEN DEATH.
NOTE
If the results of the following step require you to reposition the Patient Support, use the
instructions in the appropriate scanner Installation manual.
CHECK INITIAL PATIENT SUPPORT POSITIONING AT ISOCENTER (ULTRA Z OR ACQSIM–CT)
1. Visually position the Patient Support (end) at near Isocenter so that the Patient Support top just past Isocenter.
2. Perform a Pilot scan using Full Water Test protocol. Hit “Landmark on” then “Confirm”. “Landmark” takes the place of the Horizontal
Zero Positioning on the PQ Scanner.
3. Move the cursor to the end of the Patient Support. Perform an Axial scan (AcQSim–CT = 2mm slice thickness, Ultra Z = 1mm). When
the image reconstructs, hit “Visualize” at the lower right corner of the screen.
4. Zoom to view the Right portion of the Patient Support using the tool shown in NO TAG. Set L=–1000, W=500 in order to view the Patient
Support properly. Using the Distance tool, Measure from the right edge of the couch top to the nearest edge of the scan field. See
Figure 8.
5. Re–zoom the image to view the left edge of the couch top to the nearest edge of the scan field. These two distances must be within
1mm of each other.
Use the
cursor to
“grab” the
Zoom tool
and move it
to the
desired
location.
FIGURE 7 Zoom Tool on Ultra Z and AcQSim–CT
Measure distance
using crayon tool
to edge of scan
field
Right Edge
of Patient
Support
FIGURE 8 Ultra Z or AcQSim–CT Patient Support Verification
VERIFY PATIENT SUPPORT IS PERPENDICULAR TO THE GANTRY. (ALL)
1. Measure from the right side, upper corner of the foot end of the Patient support to the top retaining pin of the right side Gantry column.
See Figure 9. Use a metric tape measure. Do not use a string.
2
MEASURE TO
COVER RETAINING
1 PIN
MEASURE FROM (BEHIND COVER)
TOP FOOT-END
CORNERS
USE A TAPE MEASURE,
NOT A STRING!
CHECKING PATIENT SUPPORT ALIGNMENT
FIGURE 9 How To Set Patient Support Perpendicular to the Gantry
2. Repeat this for the left side of the Patient Support top.
Fill In this Table:
Right Side Measurement

Left Side Measurement
Difference (within + 3 mm)
This distance should equal the corresponding distance measured on the right side: ± 3 millimeters. If the two measurements are not
within this limit, reposition the rear of the Patient Support (maintain the front edge measurement !!), and verify.
3. Recheck levelness of Patient Support.
Scan and Verify Patient Support is Centered in Scan field (PQ only)
The purpose here is to verify what was previously done by scanning the patient support top.
Perform a Full Field axial scan using the Full–Field protocol. Use the ruler option to measure the distance between the edge of the scan
field and each table top edge.
The distance from the left edge of the Patient Support top to scan field edge should equal that for the right edge: ± 2 mm. If it is not, reposition
the Patient Support, scan, and verify. Tighten Patient Support Bolts.
(UltraZ and AcQSim–CT)
Repeat the Patient Support Isocenter Verification for each end of the Patient Support.
Verify Patient Support Vertical and Horizontal Calibration

Verify that the vertical and horizontal positioning of the Patient Support is calibrated. Reference the appropriate calibration manual:
IQ = T55E–154; PQ = T55E–323; UltraZ = T55E–1285.
4. Move the Patient Support fully out of the Gantry aperture and to the end stop.
5. Vertically position the Patient Support to 250 millimeters.
6. Verify vertical tracking by hanging a plumb–line so that it passes by the side of the Patient Support. The plumb–line should barely touch
the Patient Support. You may use an IV pole or other appropriate means.
FINAL PATIENT SUPPORT LEVELING (ALL)

This step will verify whether or not the Patient Support is tracking properly while raising and lowering the couch. If the couch is not level
it will not track properly as shown by using a plumb line and string.
Tools Required: Plumb–line (with weight), tape and pen or pencil.
7. Apply a piece of masking tape indicate the position of the plumb–line and mark the exact position of the plum–line with a pencil or pen.
See Figure 10
PLUMB–LINE
HUNG FROM
CEILING OR IV
POLE.
FIGURE 10 Location of plum–line for Patient Support Leveling

8. Lower the Patient Support to 100mm. The mark must be within 1 mm of the plumb–line.
9. Raise the Patient Support to 450mm. The mark must be within 1 mm of the plumb–line.
10. The next action you take depends on how well the line of the plumb–line and mark match:
• If the Patient Support top is within spec over this range (100 to 450 mm), this is acceptable. continue on to the next
sub–section.
• If the Patient Support top is not within ‘spec’ over this range (100 to 450 mm of vertical travel) this is not acceptable. GO TO
THE NEXT STEP.
11. Adjust the plumb (vertical motion travel) of the Patient Support by adding or subtracting shims under the Patient Support base. (It will
be necessary to re–torque the Patient Support mounting bolts after loosening and either adding or subtracting shims.)
12. After making adjustments to the base mounting, set the Patient Support to 250 mm, verify the position of each mark next to the plumb
line (either could have moved slightly). Then, repeat Steps 8. through 10.
MARK CENTER OF SCAN PLANE, ESTABLISH X & Z AXIS. (PQ ONLY)

Place masking tape across the width of the therapy top approximately 100mm from the front edge. Place another piece of masking
tape in the center and down the full length of the top. See Figure below.
1. Turn Gantry lasers on. Horizontally position the top so that the Gantry Sagittal and Transaxial lasers fall on the Therapy Top,
approximately 100 mm from the front edge.
2. At the intersection of the Sagittal and Transaxial lasers apply a scan BB (included with LTU kit) to the top surface of the Therapy Pad.
3. Move the Patient Support top in and perform a Half–Field (H–F) horizontal pilot (2 mm, IQ; 1 mm, PQ) to image the scan BB. Use the
cursor to determine the distance of the BB from scan center (where scan center = Y = 0 millimeters). As necessary, vertically
re–position the Patient Support to place the scan BB at Y = 0 millimeters. Write down the vertical position as displayed on the
Gantry Touch Panel.
Patient Support Vertical Position ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ

ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ
Patient Support Horizontal Position
For Y =
ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ For Z =
4.
ÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ
Perform a half–field vertical pilot to image the scan BB (suggest: W = 150, L = 100). Use the cursor to determine the distance of the
BB from isocenter (where isocenter X = 0 mm). As necessary, re–position the scan BB to X = 0 on the Therapy Top. Repeat the pilot
to verify that the center of the scan BB is at exactly X= 0 millimeters. This is now the central scan BB.
5. Based on the H–F pilot plan, take an axial scan of the BB (slice thickness: IQ = 2 mm; PQ = 1 mm). Verify that the axial scan ‘cuts’
the center of the BB by repeating the axial scan with the Patient Support horizontally positioned +/– 1 mm from relative zero. Horizontally
position the Patient Support to ensure the axial scan “cuts” the BB exactly in half. Write down the horizontal position as displayed
on the Gantry Touch Panel. Important!! “Zero” the relative horizontal position using the Gantry front panel.
100mm FROM
FRONT EDGE
Place tape on therapy

pad in order to secure it
to the patient support and
to provide a good marking
surface.
FIGURE 11 Apply Scan Localization dots
6. Apply two additional scan BBs to the Therapy Pad. Place them in the plane of the axial slice; that is, parallel with the Gantry laser light
line. Place one to the left of the central BB, and about 30 mm from the left edge of the Therapy Top. Place the other BB to the right
of the central BB, and about 30 mm from the right edge of the Therapy Top.
7. Perform a vertical pilot using the Full–Field (F–F) test protocol. Image the three scan BBs. Reposition the left and right BBs as necessary
to align them horizontally with the central BB at position X = 0mm.
8. With the Patient Support still horizontally positioned at relative zero, take an axial scan of the BBs (slice thickness: IQ = 2 mm; PQ =
1 mm). Verify that scan cuts the left and right BBs exactly in half. Verify this by repeating the scan at ±1 mm from relative zero (if you
correctly positioned the BBs, you should see them decrease in size.) Reposition the left and right BBs as necessary to align them in
the scan plane with the central BB.
9. Verify that the Gantry Transaxial laser beam is contained within the scan plane:
a. Turn the lasers on and visually verify that each of the three scan BBs (table at Y= 0) is in the middle of the Gantry 12 O’clock
Transaxial laser beam. If any scan BB is not in the middle of the beam, adjust the laser.
b. Verify that the transaxial laser tracks the center of the three BBs as the Patient Support is raised from vertical center position (Y
= 0 mm) to maximum height. If it does not, adjust the laser.
10. Verify that the Gantry 12 O’clock Sagittal laser beam illuminates the table center line throughout vertical travel (this is the Z–axis laser
for the Gantry):
a. Visually verify that the Gantry 12 O’clock Sagittal laser illuminates the center of the central scan BB (table at Y=0). If it does not,
adjust the laser.
b. Verify that the Gantry Sagittal laser tracks the center of the central BB as the Patient Support travels between vertical center
position (table at Y=0) and maximum height.
11. Position the Patient Support top horizontally so the three Scan BB’s are out of the scan field. Place a straight edge next to the BB’s
and carefully trace a line along the BB’s. Extend this line out to the edges of the Patient Support top using a fine tip marker.
This line runs parallel to the Gantry X axis and now is your X–axis reference line for positioning and aligning the ACQSIM Side
Lasers.
12. Do the following steps to mark the Z–axis reference line on the Patient Support top ( a strip of masking tape should already be in place
in the center of the full length of the Therapy Pad):
a. Move the Patient Support top fully into the Gantry. Turn the Gantry Lasers on.
b. Mark the intersection of the Gantry Sagittal and Transaxial lasers onto the center strip (Z axis) of masking tape.
c. Pull the top out approximately 500 mm and again mark the intersection of the Gantry Sagittal and Transaxial lasers onto the center
strip (Z axis) of masking tape.
d. Continue this process over the full length of horizontal travel, and at increments of approximately 500 mm.
e. Connect these points using a straight edge. Then CAREFULLY and ACCURATELY extend this line to the foot–end of the couch.
This is the Gantry Z–axis and is now your Z–axis reference for positioning and aligning the AcQSim LTU Sagittal Laser.
13. Verify Gantry Sagittal Laser (12 O’clock laser) illumination of the Z–axis reference line on the Patient Support. See Figure 12.
a. Position the Patient Support at vertical center (table at Y=0mm).
b. Horizontally position the top at relative zero (the X–axis reference line is at Gantry isocenter).
c. Turn the Gantry lasers on.
d. Observe the red laser line on the center line you drew on the Therapy Pad:
• If the sagittal laser line lies atop the z–axis line (for its full length), go to the step titled, “Install Laser Light Kit.”
• If the laser light line does not lie atop the Z–axis line, then:
(1) Measure + and – 150 mm along the Z–axis line from the point of intersection with the X–axis reference line.
(2) At these two points the sagittal laser line must be within 1 mm of the Z–axis. (See Figure 12) If it is not, adjust the Sagittal
laser as required.
(3) After the alignment meets these requirements, go back to step 1 and re–verify Patient Support positioning.
GANTRY SAGITTAL
LASER BEAM
<1 MM
+150 MM
MASKING TAPE ON
COUCH TOP WITH
X-AXIS REFERENCE MASKING TAPE ON COUCH WITH
LINE. Z-AXIS REFERENCE LINE.
FIGURE 12 Measure Gantry Sagittal Laser Mis–Alignment
MARK CENTER OF SCAN PLANE, ESTABLISH X & Z AXIS. (ULTRAZ & ACQSIM–CT)
1. Turn Gantry lasers on. Horizontally position the top so that the Gantry Sagittal and Transaxial lasers fall on the Therapy Top,
approximately 100 mm from the front edge.
2. At the intersection of the Gantry Sagittal and Transaxial lasers apply a scan BB (included with LTU kit) to the top surface of the Therapy
Top. See Figure 11.
3. Move the Patient Support top in and perform a horizontal pilot (AcQSim–CT = 2mm; UZ = 1mm) to image the scan BB. Set Pilot Angle
by clicking on FOV and Tilt Tab and select left = 90 or R = 270 degrees. Check DFOV & Tilt = 0, 0. Based on the Pilot Scan, take
an Axial Scan (plan about 5 slices). To view the scanned image (BB) set Window = 400, Level = 200. Use the “Report Cursor”
measuring tool to determine the distance of the BB from scan center (where scan center is: Y = 0 mm). Record vertical position
as displayed on Gantry Display Panel.
Patient Support Vertical Position

For Y =
4. Move the Patient Support to illuminate the Scan BB. You will now perform a full–field vertical pilot to image the scan BB. Slice thickness:
(AcQSim–CT = 2mm, Ultra Z = 1mm) Choose “landmark” and hit “confirm”. Notice that the Gantry Display for Horizontal Position
toggles to 0. This is the zero Position. Set AP=0 and Confirm. Select “Advance to Scan”.
5. Based on the above pilot scan, plan 5 or more axial scans centered over the BB (slice thickness: AcQSim–CT = 2mm; UZ = 1mm).
Set Window = 400, Level = 200. Toggle through the reconstructed images and choose the best axial scan that ’cuts’ the center of the
BB in half. Use the measurement tool “Report Cursor” to verify that X = 0mm + / –1mm.
FIGURE 13 Reconstructed image showing X=0 using the Report Cursor Tool
6. Apply two additional scan BBs to the Therapy Pad. Place them in the plane of the axial slice; that is, parallel with the Gantry laser light
line. Place one to the left of the central BB, and about 30 mm from the left edge of the Therapy Top. Place the other BB to the right
of the central BB, and about 30 mm from the right edge of the Therapy Top. See Figure 11.
7. Perform a vertical pilot using the Full–Field protocol. Image the three scan BBs.
8. Based on the above pilot scan, plan 5 or more axial scans centered over the three BBs (slice thickness: AcQSim–CT = 2mm; UZ =
1mm). Set Window = 400, Level = 200. Toggle through the reconstructed images and choose the best axial scan that ‘cuts’ the center
of the BBs in half. Reposition the Left or Right BBs as necessary and re–scan in order to ‘cut’ all 3 BB’s in half.
9. Verify that the Gantry Transaxial laser beam is contained within the scan plane:
a. Turn the lasers on and visually verify that each of the three scan BBs (table at Y= 0) is in the middle of the Gantry 12 O’clock
Transaxial laser beam. If any scan BB is not in the middle of the beam, adjust the laser.
b. Verify that the transaxial laser tracks the center of the three BBs as the Patient Support is raised from vertical center position (Y
= 0 mm) to maximum height. If it does not, adjust the laser.
10. Verify that the Gantry 12 O’clock Sagittal laser beam illuminates the table center line throughout vertical travel (this is the Z–axis laser
for the Gantry):
a. Visually verify that the Gantry 12 O’clock Sagittal laser illuminates the center of the central scan BB (table at Y=0). If it does not,
adjust the laser.
b. Verify that the Gantry Sagittal laser tracks the center of the central BB as the Patient Support travels between vertical center
position (table at Y=0) and maximum height.
11. Position the Patient Support top horizontally so the three Scan BB’s are out of the scan field. Place a straight edge next to the BB’s
and carefully trace a line along the BB’s. Extend this line out to the edges of the Patient Support top using a fine tip marker.
This line runs parallel to the Gantry X axis and now is your X–axis reference line for positioning and aligning the ACQSIM Side
Lasers.
NOTE: THIS
VIEW SHOWS
THE OLDER
THERAPY PAD
WHICH IS NO
LONGER USED
WITH ACQSIM.
ONLY THE
THERAPY TOP
SHOULD BE
INSTALLED
HERE.
FIGURE 14 Marking the ‘X Axis’ Reference Line

12. Do the following steps to mark the Z–axis reference line on the Patient Support top ( a strip of masking tape should already be in place
in the center of the full length of the Therapy Pad):
a. Move the Patient Support top fully into the Gantry. Turn the Gantry Lasers on.
b. Mark the intersection of the Gantry Sagittal and Transaxial lasers onto the center strip (Z axis) of masking tape.
c. Pull the top out approximately 500 mm and again mark the intersection of the Gantry Sagittal and Transaxial lasers onto the center
strip (Z axis) of masking tape.
d. Continue this process over the full length of horizontal travel, and at increments of approximately 500 mm.
e. Connect these points using a straight edge. Then CAREFULLY and ACCURATELY extend this line to the foot–end of the couch.
This is the Gantry Z–axis and is now your Z–axis reference for positioning and aligning the AcQSim LTU Sagittal Laser.
13. Verify Gantry Sagittal Laser (12 O’clock laser) illumination of the Z–axis reference line on the Patient Support (See Figure 10):
a. Position the Patient Support at vertical center (table at Y=0mm).
b. Horizontally position the top at relative zero (the X–axis reference line is at Gantry isocenter).
c. Turn the Gantry lasers on.
d. Observe the red laser line on the center line you drew on the Therapy Pad:
• If the sagittal laser line lies atop the z–axis line (for its full length), go to the next page “AcQSim LAP Laser
Installation”.
• If the laser light line does not lie atop the Z–axis line, then:
(1) Measure + and – 150 mm along the Z–axis line from the point of intersection with the X–axis reference line.
(2) At these two points the sagittal laser line must be within 1 mm of the Z–axis. (See Figure 12) If it is not, adjust the Sagittal
laser as required.
(3) After the alignment meets these requirements, go back to step 1 and re–verify Patient Support positioning.
ACQSIM LAP LASER INSTALLATION (OVERVIEW)
PARTS SUPPLIED
The AcQSim Laser Light Kit (LLK) consists of the Sagittal Laser Tracking Unit (LTU), 2 lateral (side) lasers, 5 cables, and the Control
Keypad.
Philips has superseded the old–style (Barker) lasers with lasers supplied from a German company called Laser Applikationen (LAP).
Although Philips is no longer installing the older Barker–style lasers, you may encounter a customer site that has the Barker–style lasers
installed. The figure below shows (side and sagittal) lasers supplied by LAP.
SAGITTAL LASER TRANSPORT UNIT (LTU)
ACQSIM SIDE
LASERS
(QTY 2)
CONTROL
KEYPAD
LENS COVER
FIGURE 15 Laser Light Kit Components
TOOLS AND HARDWARE REQUIRED
In addition to the standard FSE tool kit, the following, local purchase items will absolutely be needed for the installation (check each one
as you get it) :
- 4–foot level with metric scale (nylon or Teflon works well)
- 1–meter, metric scale. Metal only
- Tape measure (must include millimeters)
- String (should be length of maximum room dimension) Yellow nylon cord (small gauge) is recommended.
- 1 plumb bob (string to be long enough to reach from floor to ceiling).
- Masking tape (suggest at least 1 inch wide, 2–inch wide is better)
- Step ladder (2 may be required for sagittal laser mounting).
- Water level, 1/2 inch I.D. tubing, 25 ft.
- Center punch
- Torque wrench (suitable for torque up to 25 ft–lbs )
- Standard Service Engineers tool kit
- Mounting hardware – (LTU uses 3/8” hardware; Side Lasers use 1/4” hardware, inc. washers).
- Scanner room must be capable of being darkened.
- The following taps and drills:
Tap Size Tap Drill

1/4–20 (Barker) #6 or .204
3/8–16 (Barker) Letter O or .316
ÏÏÏÏÏÏÏÏÏÏÏ
ÏÏÏÏÏÏÏÏÏÏÏÏ
ÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏ
5/16–16 (LAP)
ÏÏÏÏÏÏÏÏÏÏÏ
1/4–inch
-
ÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏÏ
Cutting Fluid (optional, but preferred)
- Blank sheet of paper (will be used for laser alignment)
- Weights: a total of 170 lbs. (77 kg).
- Carpenter’s square for LTU ceiling mounting.
CONSTRAINTS
The following are limitations to, or considerations for, the installation:
• For a front wall installation of the LTU, the wall must be within 23 ft. (7 m) of the isocenter of the CT scanner.
• For a ceiling installation, the LTU (sagittal laser) location must allow clearance for Gantry forward tilt and permit the front Gantry Gull
Wing to be opened.
• The LTU must be located between 35 inches (90 cm) and 40 inches from the Gantry isocenter (ceiling installations).
• There must be provisions for darkening the scan room in order to see the laser beams.
• The considerations of the Site Planning document IQ–001–005 take precedence over any instructions in this manual.
• Table weights: the installation and QA procedures require a weight of 170 lbs (77 kg) ±10 lbs. (±4.5 kg). This weight shall be on the
Therapy Pad, and shall be spread over the area from immediately behind the ODI phantom to a point about 5 ft (150 cm) from the head
end of the Patient Support top. This total weight will consist of a series of smaller weights. The weight(s) shall be placed so as to not
block any laser beam from striking the phantom. the weights shall not be concentrated at any one point on the Therapy Pad and shall
allow the Patient Support top (with Therapy Pad) to be moved into the Gantry opening.
NOTICE
GROUNDING RELIABILITY CAN ONLY BE ACHIEVED WHEN CONNECTED TO “HOSPITAL GRADE” OR “HOSPITAL
ONLY” TYPE RECEPTACLES.
INSTALL (LAP) LASER LIGHT KIT
In this section you:
• Run the cables

• Mount the Sagittal laser
• Align sagittal laser to the Z–axis
• Mount the side lasers
• Verify mechanical alignment of side lasers
• Focus the side lasers
• Align the side lasers
• Perform final checks
• Install covers
RUN CABLES
1. Remove the cables from the shipping container. The Laser Light Kit (or LLK) uses 4 cables plus power to the Sagittal Laser.
2. Route the cables to their correct locations. Cable troughs, conduit or ducts should be available for this purpose. Figure 17 illustrates
the routing of the cables only. For LAP laser installations the Control Keypad should be located in the CT Scanning Suite. Figure 18
shows the overall interconnect diagram for AcQSim installation.
FIGURE 16 LAP LTU Laser mounted on opposing wall.
NOTE
Ideally, the LAP Laser assembly should be mounted on the ceiling directly above the
patient support. However, it may be necessary to install on a wall as shown in Figure 16.
SAGITTAL LASER
J1 - LEFT SIDE LASER
J2 - RIGHT SIDE LASER
J3 Not used LEFT SIDE
J4 - KEY–PAD LASER
J5 – NOT USED
RIGHT
SIDE
LASER
CONTROL
KEY–PAD
FIGURE 17 LAP LASER CABLE ROUTING
3. Connect the power cord to the LAP Sagittal Laser. (LTU). For Interconnect Diagram, see Figure 18.
a. If you are locating the Control Keypad at or near the Console, connect to the Console power outlet or to the outlet strip supplied
with the Voxel Q. The Control Keypad should be located in the CT Scanning Suite for easy physician access.
b. If you are locating the Control Keypad in the CT Scanning Suite, connect to a 120 vac outlet. The power supply automatically
senses input voltage and will switch accordingly. No 240vac conversion is necessary for the LAP Control Keypad.
MOUNT SAGITTAL LASER
Three mounting methods are available for the sagittal laser:
• Option A involves mounting the laser directly to the surface of the ceiling.
• Option B involves mounting the laser to the ceiling using Uni–Struts.
• Option C involves mounting the laser to the front wall (wall nearest the end of the couch).
LATERAL LASER ASSY LATERAL LATERAL
LASER LASER
Philips P/N 83969 LEFT RIGHT
LTU CONTROL BOARD, LAP

Philips P/N 310501
Philips P/N L11110

J1
SAGITTAL LASER BLOCK J2
Philips P/N 310500 Philips P/N L11110
J3 NOT USED
J4
Philips P/N L11109
PWR TRANSFORMER W/ CABLE
Philips P/N L11111
J5
LASER TRACKING UNIT NOT USED

Philips P/N 83968
SITE SUPPLIED
Philips P/N 83970
KEYPAD ASSEMBLY
TO AC
FIGURE 18 INTERCONNECT DIAGRAM, ACQSIM LAP LASERS
CAUTION
MOUNTING THE SAGITTAL LASER TO THE CEILING (OPTIONS A AND B) COULD
INTERFERE WITH THE OPERATION OF SOME CEILING OR WALL–MOUNTED
INJECTOR ARMS. VERIFY CLEARANCES BEFORE INSTALLING THE LTU.
The optimal location for the sagittal laser should have been determined by Site Planning. This location must have been prepared and
marked by a contractor prior to the start of the sagittal laser installation.
NOTE
Uni–Strut is a specific support system. Other systems could be acceptable. Check
with Site Planning.
Option A – Mount To A Ceiling

In this procedure you will:
• Mark the ceiling location for the ACQSIM LAP Style Sagittal laser.
• Mount the sagittal laser.
Please Note: In these steps we use the word ceiling to refer to a prepared mounting surface that meets Philips Medical
Systems requirements. This designated area contains the approved mounting plate (1/4–inch mild steel) and acceptable laser guards, as
deemed necessary. Plywood and drywall are not acceptable mounting surfaces.
1. On the Therapy Pad:
a. Measure out from the isocenter of the Gantry approximately 30 inches (75 cm). Mark this point on the Z–axis line on the Therapy
Pad.
b. Measure out from the isocenter of the Gantry approximately 45 inches (50 cm). Mark this point on the Z–axis line on the Therapy
Pad.
2. At the ceiling:
a. Drop a weight from the ceiling to create a plum line. Move the line at the ceiling so that the plummet is directly over one of the
marks on the Therapy Top. Two people will be required to perform this step with accuracy. After you achieve alignment, mark this
location on the ceiling.
b. Move the plummet at the ceiling so that it is above the other mark on the Therapy Pad. Mark the ceiling.
c. Lay the plum line away and draw a line between these two marks. This is the centerline for the AcQSim sagittal laser.
3. Retrieve the LAP Sagittal Laser (LTU) from the shipping container.
WARNING
LIFTING HAZARD. THE LTU WEIGHS 50 POUNDS. FAILURE TO EXERCISE CARE
WHEN LIFTING THE LTU CAN RESULT IN PERSONNEL INJURY.
Sagittal Laser mounted in various

locations; Note the hinge change
(click here).
FIGURE 19 Sagittal LAP Laser Mounting Positions.
4. Place the template supplied in the kit (T57B–1010) so that the line marked “Isocenter” lines up with your reference line on the ceiling
and the top edge of the template (edge closest to the Gantry) is 35 to 40 inches from Gantry isocenter.
5. Mark with a pencil (or other non–permanent marker) the 4 mounting holes of the LTU bracket on the ceiling.
6. Remove template.
CAUTION
MECHANICAL CONTACT HAZARD. MOUNTING THE LTU TO THE CEILING
(OPTIONS A AND B) COULD INTERFERE WITH THE OPERATION OF SOME CEIL-
ING OR WALL–MOUNTED INJECTOR ARMS OR WITH THE FRONT GULL WING.
ENSURE THERE IS ADEQUATE INJECTOR ARM CLEARANCE.
The following steps assume that the LTU will be mounted on a metal plate and not plywood.
7. Center punch the marked locations for the (4) mounting holes. Drill out the holes using a 1/4” drill bit. Then tap the holes with the 5/16”
x 16 tap (LAP Style). Cutting oil is recommended.
8. Use 5/16” hardware to mount the Sagittal laser to the ceiling. The sagittal laser MUST BE MOUNTED with the cables exiting the unit
on the left side of the Gantry (when viewed facing the Gantry standing at the foot of the patient support). Do not mount the sagittal laser
in any other orientation. This will cause the readout to incorrectly display positive and negative numbers relative to isocenter.
WARNING
LIFTING HAZARD. THE LTU WEIGHS 50 POUNDS (LAP) AND THE BARKER UNIT
WEIGHS 77 POUNDS. FAILURE TO EXERCISE CARE WHEN LIFTING THE LTU
CAN RESULT IN PERSONNEL INJURY.
9. If the desired angular position cannot be achieved due to ceiling position of the laser, the mounting feet on the sagittal laser must be
removed and reversed so that the hinges open the opposite direction. To do this, remove the sagittal laser cover (four 3.5mm allen
screws under plastic buttons) and remove the four (4) mounting screws that hold the mounting feet to the laser body.
10. Remount the feet on the opposite side of the laser so the hinges now open on the opposite side.
11. The sagittal laser angular movement is set by positioning the metal brace on the side of the laser feet into the appropriate holes that
allow the desired angle. Holes are drilled to allow for approximately 0–30 degrees of moment and fixed at every 5 degrees.
12. Mount the Sagittal Laser using four (4) 5/16” bolts through slotted holes in hinged base.
Option B – Mount To A Ceiling Using Uni–Struts
In this option you will:
• Install the LTU assembly to Uni–Struts placed in the ceiling.

• Verify the center of the Uni–strut support is located between 35 to 40 inches from Gantry isocenter.
CAUTION
MOUNTING THE LTU TO THE CEILING (OPTIONS B AND C) COULD INTERFERE
WITH THE OPERATION OF SOME CEILING OR WALL–MOUNTED INJECTOR
ARMS.
Site Planning determines the optimal location for the sagittal laser. This location must have been prepared and marked by a contractor prior
to the start of the sagittal laser installation.
NOTE
Uni–Strut is a specific support system. Other systems could be acceptable. Check
with Site Planning.
1. Retrieve the Sagittal Laser from the shipping container.

2. Bolt the LAP Sagittal Laser to the Uni–Struts as in Figure 20. Do not tighten the mounting bolts at this time. The Uni–Strut allows
adequate sideways adjustment so at this point, approximately center the bracket on the Uni–Strut frame.
MOUNTING BRACKET
PLUMB LINE DROPPED TO
CENTER LINE ON COUCH
FIGURE 20 Drop Mounting Bracket Centerline To The Couch

3. Drop a plumb line from the center of the Uni–Strut assembly to the Z–axis reference line on the couch. See Figure 20
4. Adjust the bracket (sideways) until the plumb–line is touching the couch top Z–axis line.
5. Move the plumb–line along the bracket center line to the front of the bracket. If the plumb–line is not directly above the couch Z–axis
line, adjust the bracket until the center line meets with the couch z–axis reference line.
6. Tighten the bracket mounting bolts.
7. The sagittal laser MUST BE MOUNTED with the cables exiting the unit on the left side of the Gantry (when viewed facing the Gantry
standing at the foot of the patient support). Do not mount the sagittal laser in any other orientation. This will cause the readout to
incorrectly display positive and negative numbers relative to isocenter.
8. If the desired angular position cannot be achieved due to ceiling position of the laser, the mounting feet on the sagittal laser must be
removed and reversed so that the hinges open the opposite direction. To do this, remove the sagittal laser cover (four 3.5mm allen
screws under plastic buttons) and remove the four (4) mounting screws that hold the mounting feet to the laser body.
9. Remount the feet on the opposite side of the laser so the hinges now open on the opposite side.
10. The sagittal laser angular movement is set by positioning the metal brace on the side of the laser feet into the appropriate holes that
allow the desired angle. Holes are drilled to allow for approximately 0–30 degrees of moment and fixed at every 5 degrees.
WARNING
LIFTING HAZARD. THE LAP LTU WEIGHS 50 POUNDS. FAILURE TO EXERCISE
CARE WHEN LIFTING THE LTU CAN RESULT IN PERSONNEL INJURY.
11. Mount the Sagittal Laser using four (4) 5/16” bolts through slotted holes in hinged base.
12. Connect the two (Side) laser cables to the LTU. See Figure 18.
13. Connect the interface cable from the Control Keypad to the LTU.
Option C – Mount To An Opposing Wall

Please Note: In these steps we use the word wall to refer to a prepared mounting surface that meets Philips requirements. This
designated area contains the approved mounting plate (1/4–inch mild steel) and acceptable laser guards, as deemed necessary. Plywood
and drywall are not acceptable mounting surfaces.
For the front wall mounting method you will:
• Use the Patient Support Z–axis reference line to define the center line of the AcQSim LTU mounting location
• Mount the AcQSim Sagittal laser.
1. Run a string from the Gantry end of the Patient Support, exactly along the Therapy Pad Z–axis to the wall at the foot–end of the Patient
Support.
2. While keeping the string tight and in a straight line, do the following: (See Figure 21)
a. mark the wall (temporarily) where the string touches the wall. Suggestion: after you get a general idea of where the mark should
be, put a big piece of masking tape on the wall. Then make the actual mark on the masking tape.
b. Hang a plummet from the string, approximately one inch away from the wall and mark a piece of masking tape on the floor. This
is point A. The tape is placed on the floor and marked because the FE will not be able to properly see the mark if it were on the
wall. Refer to Figure 22.
c. Put the plumb and the string aside.
STRING FROM FRONT EDGE
OF COUCH, ALONG CENTER
LINE TO WALL.
MARK ‘X’
ON WALL
FIGURE 21 Extend Couch Centerline To The Wall
3. Create the center line for the Wall–mounted Sagittal laser:

a. Extend a line from the floor, through the vertical center line, up to, and slightly above, the designated area prepared for the LTU
assembly (the “wall”).
b. Make sure the plumb line touches point A on the floor and mark another X, this will be point B.
c. Connect Point B to Point A and continue 150–200 mm further. These two marks on the floor establish another Z–axis reference
line. See Figure 22.
Suggestion: An alternate method - tape the string to the head–end of the Patient Support. One person holds the string at the wall
(aligned along the Z–axis reference line), and holds the plumb to define two marks on the floor about 100–200 mm apart and about
200–300 mm from the wall. The second person transfers the plumb locations to the masking tape and then extend a line through these
two ’points’ to create the second Z–axis reference line.
CENTER-OF-TRAVEL CHALK LINE
B
OUTLINE OF AREA PREPARED PER

SITE PLANNING SPECIFICATIONS
MARK
ON
WALL
PLUM LINE
POINT A
FIGURE 22 Mark Sagittal Laser Centerline On Wall
4. Retrieve the LTU mounting bracket from the shipping container. The FSE must remove the Laser’s Hinge Assembly (both sides) and
reverse them so that the Laser will exhibit the correct angular orientation. See Figure 19 and Figure 23.
5. As far up on the wall as possible, draw a line perpendicular to the z–reference line previously made and using a 4–foot level, extend
the line about 4 feet across the wall in a horizontal line.
6. Place the AcQSim LAP Install Template (P/N: T57B–1010) up against the wall and align the top mounting holes.
Beam Rotation
Laser Housing
Screw
showing (3) Lateral
Movement Adjustment
Not used (J3) Screws.
LATERAL LASER CONNECTORS

Not used (J5) (J1, J2)
KEYPAD CONNECTOR (J4)
AC POWER ENTRY MOUNTING SCREWS
ANGULAR BRACKET
SHOULDER SCREW(S)
FIGURE 23 Sagittal Laser Hinge Base
Wall mounted sagittal LTU as viewed from the left
In order to achieve the

correct angle, the entire
hinge assembly (outlined
in Blue) must be
reversed for LAP lasers
which are WALL
MOUNTED. Remove
the mounting screws and
the hinge then turn the
entire assembly around.
This is the correct

orientation
FIGURE 24 Hinge Orientation for WALL Mounted Sagittal
7. Place the template supplied in the kit so that the center–of–travel holes of the template line up with your center–of–travel line, on the
wall.
8. The sagittal laser MUST BE MOUNTED WITH THE CABLES EXITING the unit on the left side of the Gantry (when viewed facing the
Gantry standing at the foot of the patient support). Do not mount the sagittal laser in any other orientation This will cause the readout
to incorrectly display positive and negative numbers relative to isocenter.
9. After you properly position the template (it is level and is aligned with the center line), mark with a pencil (or other non–permanent
marker) the 4 mounting holes of the LTU bracket on the wall.
10. Remove template.
CAUTION
MECHANICAL CONTACT HAZARD. MOUNTING THE LTU TO THE WALL (OPTIONS
A AND B) COULD INTERFERE WITH THE OPERATION OF SOME CEILING OR
WALL–MOUNTED INJECTOR ARMS OR WITH THE FRONT GULL WING. ENSURE
THERE IS ADEQUATE INJECTOR ARM CLEARANCE.
The following steps assume that the LTU will be mounted on a metal plate and not plywood.
11. Center punch the marked locations for the (4) mounting holes. Drill out the holes using a 5/16 (.312) drill bit. Then tap the holes with
the 3/8” x 16 tap. Cutting oil is recommended.
12. Place the LTU bracket at its approximate location on the wall, using two people. Position the bracket so that the elongated holes on
the sides of the bracket are on top. See Figure 23. Make sure that the center line of the bracket (center travel guide holes) is aligned
with the wall center–of–travel line.
13. Use 3/8” hardware to mount the bracket to the wall. Use the 4–foot level to adjust the LTU until it is level. Torque the bolts to 25 ft–lbs.
WARNING
LIFTING HAZARD. THE LTU WEIGHS 35 POUNDS. FAILURE TO EXERCISE CARE
WHEN LIFTING THE LTU CAN RESULT IN PERSONNEL INJURY.
NOTE
Some LTU mounting brackets have additional threaded holes in the bracket, just above
the arc–shaped slot. You can use this hole to temporarily store the shoulder screw while
you are installing the LTU into the bracket.
14. Connect the two (Side) laser cables to the LTU. See Figure 18 for the interconnect diagram..
15. Connect the interface cable from the Control Keypad to the LTU.
ALIGN SAGITTAL LASER TO THE Z AXIS (ALL)
1. Remove any loose items from the Therapy Pad and turn on the LTU Sagittal laser. Turn power on by depressing the “(SHIFT) & Laser
On” button at the LAP Control Keypad.
2. Align the AcQSim Sagittal Laser –– Phase 1:
a. Drop a plum–line from the center of the Sagittal laser barrel.
b. Use the control box (see Keypad Operations) to laterally position the laser so that the plumb hangs over the Z–axis line on the
floor (or on the couch, as appropriate). Important!! The tolerance here is critical and must be within + / – 1mm of the Z–axis
line. 0= Fast Manual Move. 1=Slow Manual Move.
c. After completing the alignment, set the AcQSim position indicator to 0 mm. Use the 3–digit code “012” to set the Zero Point.
d. Remove the plumb line from the Sagittal laser.
3. Adjust the LTU Angle:
a. Loosen (but do not remove) the side shoulder screws of the LTU.
b. Adjust the angle of the LTU in the wall (or ceiling) bracket to fully (evenly) llluminate the patient support.
c. Tighten the side shoulder screws that secure the laser assembly to the mounting bracket.
4. Align the Sagittal Laser to the Z Axis –– Phase 2:
In this phase of alignment, you will ensure that the beam from the AcQSim Sagittal laser is parallel to the Z–axis reference line on the
couch top.
a. Turn the AcQSim Sagittal Laser on.
b. At the foot end of the Therapy Pad measure the distance between the projected AcQSim Sagittal laser beam and the Z–axis
reference line. Write this measurement in the box below.
c. At the head end of the Therapy Pad measure the distance between the projected AcQSim Sagittal laser beam and the Z–axis
line. Write this measurement in the box below.
Z–Axis Accuracy Measurements

Value from Step
Value from Step
Difference (<2 mm)
d. The two measured distances should be equal or within 2 millimeters of each other. If not, adjust the AcQSim Sagittal laser using
the (3) set screws to make the projected light beam parallel to the Z–axis reference line. See Figure 23.
You have just adjusted the beam from the AcQSim sagittal laser to project a line parallel with the Z–axis reference line. In the next step you
will bring the plane of the AcQSim Sagittal laser into alignment with the plane of the Gantry Sagittal laser.
5. Align the Sagittal Laser to the Z Axis –– Phase 3:

In this step (see Figure 25) you will begin to bring the Z–plane of the AcQSim sagittal laser beam into concurrence with the Z–Axis plane
of the Gantry sagittal laser.
a. Close the Gantry front Covers!
b. Drop a plum–line just off the face of the Gantry front cover. Make it long enough to intersect (point to) the Z–axis reference line
on the Therapy Pad.
c. Mark the Gantry front cover where the plumb line touches it. Suggestion: Put a strip of masking tape on the cover.
d. Extend the extra string from this mark to the Z–axis line on the Therapy Pad at the foot end of the Patient Support top. Fasten
with masking tape on both ends.
The string and the Z–axis line establish the Z plane. In the next step you will align the plane of the AcQSim Sagittal (Z–axis) laser
with the now–defined Z plane.
6. Turn on the LAP laser and align the Sagittal Laser to the Z–axis –– Phase 4:
This step completes the alignment of the Sagittal Laser to the Z–Plane, which is a combination of the Z–axis line and the Plumb Line.
a. Align the LTU laser to illuminate both the full length of the plumb line and the Z–axis line. Accomplish this by repositioning the LTU
laser laterally (left / right) with the AcQSim control box. If beam rotation adjustment is necessary, adjust the beam rotation
screw and carefully rotate the AcQSim laser barrel to project the laser line parallel to the Z–axis reference line. The LAP lasers
will only adjust about +/–5–degrees for fine adjustment. See Figure 23.
NOTE
In the above step, the LAP beam rotation screw will only adjust +/– 5 degrees.
The assembly can be damaged with excessive rotation.
Proper alignment occurs when the shadow cast from the string falls on the Z–axis line, and the projected AcQSim sagittal laser
beam falls along each side of the Z–axis line on the Therapy Pad.
b. If this adjustment is not possible, it may be due to a ‘bowing’ of the laser beam projected from the AcQSim sagittal laser; though
this is unlikely. Do the following:
1) Remove the end of the string attached at the foot end of the Patient Support top.
2) Position the X–axis reference line at –500 mm from isocenter.
3) On the Z–axis reference line, measure from the X–axis reference line 250 mm toward the foot end of the couch top. Make a
mark on the Z–axis reference line at this point.
4) Attach the string to the Z–axis line at this mark. Repeat the previous alignment procedure for the LTU laser.
5) If alignment of the LTU laser is still unacceptable, investigate LTU for signs of mechanical damage. Repair or replace as
necessary.
7. At the AcQSim Control Keypad zero the position of the LTU.
3
TRANSFER PLUMB
LINE LOCATION TO
TAPE ON FRONT
ACQSIM SAGITTAL COVER
LASER BEAM
5
ALIGN ACQSIM SAGITTAL BEAM TO
STRING AND COUCH CENTER LINE 2
PULL STRING FROM SUSPEND

4 GANTRY CENTER LINE PLUMB LINE
TO FOOT END OF TABLE OVER Z-AXIS
REFERENCE
LINE
1
MASKING TAPE (ON THERAPY PAD)
WITH Z-AXIS REFERENCE LINE
FIGURE 25 Align Sagittal Beam With Z–Plane
MOUNT SIDE LASERS

Two mounting options are available for the side lasers.
• Option A involves mounting the lasers to the side walls.
• Option B involves using free–standing metal columns for laser mounting.
The type of mounting required depends on the physical characteristics of the room. Site Planning determines the optimum mounting method.
Option A – Wall Mounting
In this section we describe how to mount both lasers to the walls of the suite. However, some sites may actually use one column–mounted
laser and one wall–mounted laser. Use the appropriate locating and mounting information from each section.
1. Turn the Gantry lasers on.
2. Position the Patient Support at vertical center (Y = 0 mm) and horizontally to align the X–axis reference line with the Gantry Transaxial
laser. See Figure 26. Zero the Patient Support relative horizontal position. Move the Patient Support top to -500 millimeters.
NOTE – PQ Only
If the Gantry has been turned off, the horizontal zero position (Z=0mm) must be re–es-
tablished. Position the patient support horizontally to the recorded ‘absolute zero posi-
tion’ previously recorded here . Zero this position by depressing the Gantry front panel
“zero” button and move the patient support to –500 millimeters.
GANTRY TRANSAXIAL
LASER BEAM ON X-AXIS
REFERENCE LINE OF
THERAPY PAD.
FIGURE 26 First Laser Alignment Step
Please Note: In these steps we use the word wall to refer to a prepared mounting surface that meets Philips requirements. This designated
area contains the approved mounting plate (1/4–inch mild steel) and acceptable laser guards, as deemed necessary. Plywood and drywall
are not acceptable mounting surfaces.
3. Place a 4 foot level against the scan BB’s that mark the x–axis position and from one side wall to another stretch a string tightly across
and aligned with the X–axis reference line. See Figure 27 below. Place a mark on each wall where the line touches the wall.
4. On the left wall, use the 4–foot level (or the torpedo level) to draw a 12–inch long, vertical line, centered on the mark. Repeat this on
the right wall.
PULL STRING FROM WALL TO

WALL USING THE REFERENCE
LINE ON THE THERAPY PAD
MARK WALL
4 FOOT LEVEL
MARK WALL
FIGURE 27 Set Lateral Laser Height
ESTABLISH VERTICAL ELEVATION OF WALL LASERS
In the following steps you will use the front edge and top surface of the Therapy Pad as the reference for vertical center and for the level
of the liquid in a water level. The water level will be used again later in establishing the center of the top side laser barrels at at vertical
center.
NOTE
A water level is not something that needs to be purchased –one can be made from any
clear, flexible, waterproof tubing that is at least 7 feet in length.
1. Place one end of the liquid (water) level at the front, top surface of the Therapy Pad. This becomes the vertical center level reference.
See Figure 28.
2. Move the other end of the liquid level tube to the vertical mark on the right wall (that is, designated mounting area) Figure 28 illustrates
this process. With the level of the liquid at the height of vertical center, transfer this height to the right wall mark. Repeat this at the vertical
mark on the left wall. (These marks define the vertical center for each of the wall lasers.
Please Note: In these steps we use the word wall to refer to a prepared mounting surface that meets Philips requirements. This designated
area contains the approved mounting plate (1/4–inch mild steel) and acceptable laser guards, as deemed necessary. Plywood and drywall
are not acceptable.
3. Use the 4–foot level (or the torpedo level) as a straight–edge and extend the just–made vertical center marks at each wall with a
horizontal line 12 inches long. Both walls are now marked with a 12–inch by 12–inch cross–hair.
4. Retrieve the side laser template from the kit. At the left wall, align the horizontal and vertical lines of the template with the cross–hairs.
Mark the location of the four mounting holes. Repeat this at the right wall.
NOTE – Design Change

AcQsim installation hardware now includes new columns that are designed to fit PQ,
AcQSim–CT (Ultra Z) and MX–8000 scanner systems. The laser orientation for ALL
systems EXCEPT MX–8000 is with the power switch facing down. See Figure
Figure 29
5. At each wall, center punch the marked locations for the mounting holes. Drill 1/4–inch tap holes (#6 drill or .204) at the center–punched
locations for the mounting hardware. Then thread the hole with the 1/4–20 tap. Cutting oil is recommended.
6. Obtain the two wall–mount laser units. For each unit, remove the 4 screws holding the side laser cover to its assembly and remove
the cover. Install the mounting screws through the mounting holes on the Adapter Plate. See Figure 29
DETAIL A
DRAW HORIZ AT
WATER LEVEL
LEVEL OF
LIQUID IN
TUBE
VIEW A
FIGURE 28 Establishing the Lateral Laser Height At The Wall
NOTE:
For new installations
using the new universal
fit columns, mount the
laser unit so that the
power switch and cable VERTICAL
face down. LASER
WINDOW
LATERAL
LASER INCLINE
ADAPTER ADJUSTMENT
PLATE
HORIZONTAL
LASER
WINDOW
VERTICAL
INCLINE
ADJUSTMENT
FIGURE 29 Set Adjustment Plate To Center–Of–Travel

7. At the left laser, place a torpedo level on the top of the back plate. Level the laser unit. Repeat this at the right wall for the second laser
unit.
8. Connect the power cables to each laser. Insure the lens cover for each laser is closed. Depress and lock the “Power” push buttons
at each side laser.
9. The side laser mounted in an exposed location, will require that its cover be installed later in the procedure. If the lasers are mounted
in recessed locations, the covers are not necessary.
OPTION B – COLUMN MOUNT
This section describes how to mount each side laser on a column. However, some sites may actually use one column–mounted laser and
one wall–mounted laser. Use the appropriate information from each section.
2. Position the Patient Support at vertical center (Y = 0 mm) and horizontally to align the X–axis reference line with the Gantry Transaxial
laser. See Figure 26. Zero the relative horizontal position. Move the Patient Support top to –500 mm. Later, this distance will be
measured and will defined as the CTSIM–OFFSET Value.
3. Unpack the columns and remove the top covers.
4. Draw a line down the center of each column about 30 cm long.
5. Move the columns to the approximate floor mounting location. Keep in mind that you need a 6” radius around each column for access.
Columns must be within 23 feet (7 m) of the Z–axis reference line on the Patient support top.
6. Lay a string along the X–axis reference line, then stretch it tightly from left to right column locations. See Figure 27 Position each
column so this string touches the center line of each column while maintaining the exact alignment with the X–axis reference line.
Insure the front face of the column is perpendicular to the X–axis reference line. Using the 4 foot sprit level, insure the columns are
plumb. Shim the column base as required.
7. Mark, on the floor, the outline of each column base and the mounting holes.
8. Drill the 4 mounting holes for each column. Use the appropriate anchoring hardware as specified in the site drawings to secure columns
to the floor.
VERTICAL INCLINE
ADJUSTMENT HOLE
VERTICAL LASER
LATERAL INCLINE
ADJUSTMENT HOLE
HORIZONTAL LASER
NOTE:
For new
installations using
the new universal
fit columns, mount
the laser unit so
that the power
switch and cable
face down.
FIGURE 30 Vertical Column
9. Run the lateral laser cable through the bottom or rear hole of the column. The only connector that will fit through the hole is the end
that goes to the sagittal laser. This is done now because once the lasers are mounted to the columns, it is difficult to reach the cable
when it is inserted through the bottom access hole.
10. Attach the aluminum Adapter Plate to the column using the four (4) flat head 1/4–20x1–1/2” screws. The nuts will fit in the recessed
slots located on the adapter plate. Do not use any washers.
11. At the left laser unit hang a plumb line next to one side of the Adapter Plate. Plumb the laser Adapter Plate and tighten the mounting
hardware. (Some re–adjustment may be required later) The torpedo level can also be used for this.
12. Repeat Step 13 at the right column for the second laser unit.
13. Remove the cover from the lateral laser by loosening the four (4) screws using a 3mm Allen wrench.
14. Attach the laser power cables (right angle type) to the laser unit. Push the power–on button on bottom (or top) of the laser unit. See
Figure 32.
Plum Line to
Mounting Plate.
Lens cover
removed prior
to making
adjustments
(4) Nuts
are held
captive in
recessed
slots
FIGURE 31 Side Laser mounted on column
Angular Adjustment of
Focusing Ring
Vertical Beam
(Rotation) (Width of Beam)
Lateral Adjustment
of Vertical Beam
Fixed Reference Lateral Incline

Point of Laser Adjustment of
Assembly Vertical Beam
Focusing Ring
(Width of Beam)
Vertical Incline
Adjustment of Angular Adjustment of
Horizontal Beam Horizontal Beam
(Rotation)
Height Adjustment of
Power supply connector and
Horizontal Beam
On / Off switch faces down for
PQ, Ultra Z, and AcQSim–CT
FIGURE 32 Lap Laser Mounted on Column.
ALIGN ACQSIM SIDE LASERS (ALL)
In this section you will:
• Verify mechanical alignment of AcQSim Side Lasers

• Align Calibration Phantom at Gantry Isocenter.
• Focus the AcQSim side Lasers
• Coarse align the side lasers
• Perform a fine and final alignment
Verify Mechanical Alignment of AcQSim Side Lasers
The mechanical alignment of Column and Wall mounted lasers is the same, as described below.
2. Position the Patient Support to just below vertical center (Y = 0mm). Position the Patient Support horizontally to align the X–axis
reference line with the Gantry Transaxial laser. Zero the Patient Support relative position (at the Gantry touch panel – Q Series only).
Move the Patient Support top to –500 mm. (for Ultra Z or AcQSim–CT, note the Gantry horizontal display and move patient support
out of the Gantry 500mm.)
3. Align the string along the X–axis reference line; then, stretch it tightly from laser to laser. If the string is hitting the Patient Support,
lower the horizontal position by several millimeters. The string should intersect the approximate center of the top laser barrel
of each side laser unit. See Figure 33 If not, adjust the horizontal position of the Adapter Plate.
X–Axis reference line
Pull string from LASER to moved back 500mm from
LASER. Ends of the string Isocenter.
should be at the center of
the top (Vertical) LASER
barrel.
FIGURE 33 Align Side Lasers Perpendicular to the Patient Support
Establish the center of the bottom side laser barrels at at vertical center (Y=0mm).
1. Position the Patient Support back up to vertical center (Y=0mm). Keep the Patient Support Horizontal position at –500mm.
2. Place one end of the water level at the top surface of the Therapy Pad and in line with the X–axis reference line.
3. Take the other end of the water level and hold it against the bottom laser barrel. Move the Adapter Plate vertically until the water level
is at the center of the barrel. See Figure 34.
Water level top Water level

of Therapy pad. at bottom
laser barrel
Use a water–level to align the (Bottom) laser to the couch top.

FIGURE 34
Align Calibration Phantom at Gantry Isocenter
The following three steps guide you through the proper placement and alignment of the calibration phantom.
1. Place the calibration phantom on the Therapy Pad. Refer to figure below.
a. Move the couch top fully out of the Gantry.
b. Position the phantom so that the side calibration circles on the phantom are facing the side walls.
c. Set the front edge of the phantom (with the bubble level) approximately 12 in. (30.5 cm) back from the front edge of the Patient
Support and in the approximate center of the therapy pad.
GANTRY LASER BEAMS
1. POSITION FRONT EDGE OF PHANTOM

12 in. (30.5 cm) BACK ON PATIENT SUPPORT.
2. POSITION PHANTOM (AND COUCH TOP)

SO THAT LASER BEAM INTERSECTS
THE CENTER ALIGNMENT MARKS.
FIGURE 35 Set Phantom Location On Couch

2. Load Patient Support with weights. Weights must be placed behind phantom such that they do not block any laser beam from hitting
the phantom. Weights should be placed / stacked uniformly from approximately 10 or 12 inches (250 to 300mm) from the front edge
of the Therapy Pad and be stacked uniformly to about 5 feet (1500mm) from the front edge of the Therapy Pad.
3. Level the phantom (center the bubble in the level) with the three leveling screws.
4. Position and align the calibration phantom on the Therapy Pad in the following manner:
a. Turn the Gantry lasers on.

b. Move the Patient Support top horizontally and vertically to align the cross–hair of the calibration phantom with the Gantry Sagittal
and Transaxial laser beams. See Figure 35. Move the phantom left and right to align it under the beams.
c. Secure the phantom to the Therapy Pad with tape.
d. Zero the Gantry horizontal position display (Q Series only)
Ultra Z and AcQSim–CT: note the Gantry horizontal display and move the Patient Support out 500mm).
5. Establish Phantom location relative to Gantry isocenter: (Q Series only)
a. Perform a half–field (H–F) horizontal pilot. Set Window Width W = 800, Window Level L = 400.
b. On the pilot image, position the cursor at the top surface of the phantom. Determine the distance of the phantom top surface from
isocenter and vertically position the Patient Support to place the phantom top at vertical center.
c. Repeat the pilot and verify that the top surface of the phantom is exactly centered at Y= 0mm, or isocenter.
d. In the box below, write down this new Patient Support vertical center position. It is shown as “Y•” and is called “wye dot” (that is,
the position displayed on the Gantry touch panel is now a different value of “Y”).
Fill In: Patient Support Vertical Position

Y=________
6. Ultra Z and AcQSim–CT: Initiate a Pilot scan and use the Adult Brain Protocol. This should automatically set Pilot Angle to Rt = 270
degrees. Check DFOV & Tilt = 0, 0.
Using the reconstructed Pilot study, plan 5 axial scans in the middle region of the phantom.
Step through the reconstructed axial images and choose the best one (with the fewest phantom grooves shown in the image). Hint:
use the Zoom tool and Window / Level to obtain the clearest image of the top surface of the phantom. Click the Measurement
tab and select the “Report Cursor” tool. Using the mouse, carefully place the cursor on the phantom and verify that the top surface
is exactly Y= 0mm, or isocenter.
If the measured Y is not within specification, then the patient support should be adjusted up / down vertically (placed phantom back
into the Scan center) and another Pilot / axial scan must be taken to re–measure this value. Record the Patient Support vertical
position below.
Fill In: Patient Support Vertical Position

Y=________
ALIGN THE SIDE LASERS

Side Lasers’ Vertical Beam:
1. Verify the correct position of the calibration phantom (Gantry lasers “on”):
a. Move the Patient Support horizontally to set the central (top) cross–hairs of the calibration phantom at Gantry isocenter
(illuminated by the Gantry Transaxial and Sagittal laser beams). Zero the Patient Support relative horizontal position.
b. Move the Patient Support top vertically to Y• position and thereby set the side cross–hairs of the calibration phantom at Gantry
Y = 0 (cross–hairs illuminated by the Gantry side lasers).
2. Move the Patient Support top to –500mm.
3. Using a Plum–Line hung from an IV Pole, place the Plum–Line just in front of the horizontal and vertical laser barrel (right unit) until
it is aligned near the lens of the horizontal (bottom) laser. The center of the calibration phantom should be exactly –500mm from
isocenter. See Figure 37.
4. Depress the power on button on the Left Laser Unit. The Right Laser Unit can remain off. Turn on the control box to illuminate the
laser. The left laser beams project to the face of the right laser unit on the right side. Adjust the left laser so that it first illuminates
the the vertical cross–hair of the phantom’s calibration target with the vertical laser beam. Then, move the Plum–Line slightly so that
it is also illuminated by the laser. If beam rotation is necessary, adjust the beam rotation screw so the string is fully illuminated. Then
adjust the RIGHT laser unit so that it is directly in line with the Plumb–Line. See Figure 37.
5. Turn power off at the left laser unit. Move the left plumb line in front of the left laser unit, just in front of the horizontal and vertical laser
barrels. Turn power on at the right laser unit. Adjust the right laser so that it first Illuminates the vertical cross–hair of the phantom’s
side calibration target with the vertical laser beam. Then, move the Plum–Line slightly so that it is also illuminated by the laser. If beam
rotation is necessary, adjust the beam rotation screw so the string is fully illuminated. Then adjust the LEFT Laser Unit so that it is directly
in line with the plumb line. See Figure 37.
Side Lasers’ Horizontal Beams:

6. Adjust the right laser unit horizontal beam to precisely illuminate the horizontal cross–hair of the calibration side circle. This beam
should also intersect the full length of the top surface of the phantom. See Figure 37. The plum–line is not necessary at this point.
7. Slide the Patient support back and forth and verify that the Left and Right horizontal laser(s) maintain full illumination of the Phantom
top surface. If Angular adjustment of the horizontal beam is necessary, see Figure 36 for adjustment point.
Horizontal Laser Beam

projected along the
Phantom Edge.
Horizontal Laser
Angulation Adjustment
FIGURE 36 Side Laser Adjustment points.
Laser shown illuminating
vertical plumb–line.
Laser shown illuminating

vertical and horizontal
marker on Phantom.
FIGURE 37 Laser shown illuminating the vertical plumb–line
FINAL SIDE LASER ALIGNMENT
The following steps require a blank sheet of typing or copy paper.
1. Hold the sheet of paper in a vertical position between the side lasers — the two left–side beams and the two right–side beams create
a “plus” sign on the paper. Start at approximately 1 meter from either laser.
2. Examine the laser cross–hairs projected from both units onto the paper. Examine the cross–hairs. The beams should be superimposed,
if alignment is accurate. Figure 38 illustrates the appearance of aligned and mis–aligned side laser beams.
The projection on the paper of the horizontal (coronal) and vertical (transaxial) laser beams of the distant side laser unit typically appear
out of focus due to beam dispersion. Walk towards the laser on the other side. Watch the pattern as you move. When you are at the
Z–axis reference line on the Therapy Pad the focus of the beams should be equal. As you continue to move towards the opposite laser,
the beam from the first laser starts to go out of focus. When you are about 1 meter from the second laser, the two cross–hairs should
still be superimposed, but the cross–hairs of the distant laser usually become noticeably out of focus. See Figure 38.
NEAR
LASER NEAR
FAR LASER FAR
LASER LASER
BEAMS FROM BOTH

LASERS CENTERED MISALIGNED
PROPERLY BEAMS
MUST STAY LIKE THIS
30CM EACH SIDE OF
CENTER
FIGURE 38 Aligned and Mis–Aligned Lateral Laser Beams
If any alignment problems exist, the two sets of beams will not superimpose. While it is desirable to have the beams stay superimposed
from one side wall to the other, it is acceptable to have some deviation at the opposing walls. Acceptable limits are: the beams stay
superimposed within a 1 mm maximum deviation, 30 cm from each side of center. (Note: properly installed, you can expect that the
AcQSim vertical and horizontal laser beams will easily superimpose on each other within ±1 mm across the width of the Gantry.) Figure 38
illustrates non–aligned and aligned beams.
KEYPAD OPERATIONS
Keypad Functions:
Below is a picture of the LAP keypad. All movement is controlled from this device. You have three modes to move the sagittal laser line:
The setpoint New LAP Keypad

password
is always “012”
The new keypad

Turn Sagittal Laser uses the comma as
on by depressing a decimal point.
(SHIFT) & Laser On
FIGURE 39 Old and New style LAP Keypad
Keypad Commands (New Style LAP Keypad)
Upon power–up, the display will read “Picker AcQSim, 01/99 v5.3”. “Wake Up” the Keypad by pressing “Position mm” and the unit will
respond with the Sagittal Laser Position.
1. Standard mode – Key in the desired position in mm, eg. <230> <Enter>: Laser moves to the selected position, minus before the
number moves into opposite direction. In this mode, the Laser is only switched on, when the selected position is correctly reached.
(Control function, avoids faulty markings).
NOTE – All keypads

Lasers will automatically turn off after a period of 10 minutes of inactivity. Press
“(SHIFT) & Laser On” on the control keypad to turn on Lasers again.
WARNING!
Laser Radiation – Avoid direct eye exposure
2. Manual mode – Pressing the arrow keys will move the laser to any point relative to zero setpoint, the speed is selectable by pressing
the numerical keys in this mode (keys 1...0, slow...fast), the actual position is shown on the display. In this mode the Laser is
permanently ON, (if not switched OFF with the Laser ON/OFF function).
3. Fixed positions – You can move the Laser to previously stored fix positions (99 positions are storable). Key: Move to a desired position
and hit “Set Fixed Position” Type “01” for position 1 then hit “Enter”. To go to a Fixed Position, hit “Go to Fixed Position” then key
in the number.
4. Setting the Zero Position – Manually move the Sagittal Laser to the new “Zero” position then hit Shift > Set Zero. Key in
“012” for the password.
Keypad Commands (Older Keypad)
Upon power–up, the display will read “Picker AcQSim, 12/96 v4.6e”. Press “Position X” and the unit will auto reference and then stop at
the zero setpoint. The setpoint password is always “012”.
Older style Keypad Key Functions
Function Key Strokes Notes

Move to Relative Position <Position X> <XX> <Enter> Where XX is position (mm) from zero setpoint
Laser On <Shift> <Laser On>
Laser Off <Shift> <Laser Off>
Manual Movement <Shift> <Manual> User arrow keys to move laser
Speed Adjust <Shift> <Manual> <X> Where X is 1, 2$0 from slowest to fastest
Zero Set <Shift> <Manual> Move to desired zero location (isocenter)
<Shift><Set Zero><012><Enter> Where “012” is the code to allow setpoint change
Set Fixed Position <Shift><Set Fix Position><XX> Where XX is 01 to 99 to store the fixed position
Move to Fixed Position <Shift><Fix Position><XX> Where XX is 01 to 99, to move to stored position
POWER UP/ POWER DOWN PROCEDURES

Use the following procedures to power up / down the Voxel Q. The power up procedure covers both power up and login.
POWER UP
CAUTION
BEFORE POWERING THE VOXEL Q SYSTEM (MONITOR AND TOWER) VERIFY
THE LINE POWER IS 120 VAC.
1. Move the circuit breaker at the rear of the Tower to ON.

2. Set the Monitor Power ON/OFF switch to ON. The green power indicator will illuminate.
3. The Voxel Q does an auto boot as soon as power is applied. At the end of the boot–up sequence the software displays the following
on the monitor:
voxelq login:_
4. Type startup <Enter> at the login prompt.

5. The monitor will display:
Password:_
6. Type voxel89 <Enter> .

7. Voxel Q responds with a % prompt. Type vx <Enter> and Voxel Q loads the application software.
POWER DOWN PROCEDURE – FROM APPLICATIONS SCREEN

1. Select environment from the pull–down menu.
2. Select powerdown.
3. The monitor displays:
Program terminated
Type b(boot) c(continue) or n(new command node)
The monitor displays the > prompt.
4. Turn the front panel keyswitch on the Tower to OFF. The power down procedure is now complete.
POWER DOWN PROCEDURE – FROM % PROMPT

1. At the % prompt type exit <Enter>
2. At the login prompt type halt <Enter>
3. At the password prompt type voxel89 <Enter>
4. The monitor displays:
Program terminated
Type b (boot) c (continue) or n (new command node)
The monitor displays the > prompt.
5. Turn the front panel keyswitch on the Tower to OFF. The power down procedure is now complete.
TO CHECK SOFTWARE REVISION LEVEL – FROM THE % PROMPT
FOR VOXELQ
1. At the % prompt enter cat /usr/sun4.sft/makevx/VERSION <Enter>.

The screen displays the current software version.
FOR ULTRAQ
1. At the % prompt, enter cat /usr/sol5.sft/makevx/VERSION <Enter>.

The screen displays the current software version.
CORRECT FOR LATERAL LASER OFFSET
WHAT YOU WILL DO

In this section you determine the offset of the lateral laser and install a correction into the software to effectively bring the error to “zero.”
WHY A SOFTWARE CORRECTION FOR LATERAL OFFSET

The following procedure MUST be performed even if all beams are aligned exactly to specification. This procedure is especially important
when the side lasers cannot be located at their optimum location of 500 mm from Gantry isocenter. This may occur due to physical limitations
of the room, or because of obstacles interfering with the recommended positioning of the lasers.
The actual distance from isocenter must always be manually loaded into the software. The actual distance from isocenter is called the
OFFSET and the procedure for determining and entering the OFFSET distance follows.
CHECK SOFTWARE REVISION

Software must be release 4.1 or higher on VoxelQ.
MEASURE OFFSET (PQ ONLY)

1. Place the Nuclear Assoc. calibration phantom on the Therapy Top and level it using the adjustment screws and ‘bubble’ indicator.
2. Position the Patient Support top to align the crosshairs of the calibration phantom to the Gantry transaxial and sagittal laser beams.
3. Zero the Patient Support horizontal position indicator.
4. Turn on the AcQSim side lasers.
5. Move the Patient Support top out of the Gantry until the beams from the AcQSim side lasers align with the vertical lines of the phantom’s
side calibration circles.
6. Record the relative horizontal distance displayed on the Gantry Touch Panel. This is the OFFSET distance. Software refers to this
distance as “CT SIM OFFSET”. This value will be entered into the Voxel Q Imaging workstation later.
Enter Gantry Touch Panel Displayed Horizontal Value
__________ = CTSIM offset
MEASURE OFFSET (ULTRA Z, ACQSIM–CT)
1. Place the Nuclear Assoc. calibration phantom on the Therapy Top and level it using the adjustment screws and “bubble” indicator.
2. Position the Patient Support top to align the crosshairs of the calibration phantom to the Gantry transaxial and sagittal laser beams.
Note the horizontal position displayed on gantry display.
3. Turn on the AcQSim side lasers.
4. Move the Patient Support top out of the Gantry until the beams from the AcQSim side lasers align with the vertical lines of the phantom’s
side calibration circles.
5. Record the relative horizontal distance displayed on the Gantry Touch Panel. This is the OFFSET distance. This number will almost
always be “500mm” unless there are physical limitations at the customer site which made it impossible to place the AcQSim Lateral
lasers at 500mm from Gantry isocenter. AcQSim software refers to this distance as “CT SIM OFFSET”. This value will be entered
into the Voxel Q Imaging workstation later.
Enter Gantry Touch Panel Displayed Horizontal Value
__________ = CTSIM offset
ENTER OFFSET INTO ACQSIM APPLICATION – ALL (NEW FOR 4.1)
After recording the distance indicated on the Gantry readout (CTSIM offset value), login to the Voxel Q (startup / voxel89) and enter the
application by typing vx <enter>.
After the application image screen loads, verify your software revision in the upper right hand corner of the screen. It should be version
4.1
Using the mouse, click on Packages then click on AcQSim.
Once the AcQSim screen opens click on Tools then click on Laser Calibration.
The following message will appear: “Please enter laser calibration password” (case sensitive): picker <enter>.
The following screen will appear. See Figure 13.
Enter the offset value into the apropriate area. Before selecting “ok” proceed to “Calibrate Sagittal Laser Tracking” section on the following
page.
Next, click on “Current Calibration UID” and fill in the required data. The information contained here is not critical, however each region
in the “Laser Calib ID” box must contain at least one character. See Figure 13.
This must contain at least
one character per line.
Enter CT Sim
Offset here
Calibration Data
entered here
FIGURE 13 Laser Calibration Screen – AcQSim CT 4.1
CALIBRATE SAGITTAL LASER TRACKING (ALL)
Following the physical installation, perform a tracking calibration of the LTU to achieve maximum positional accuracy.
1. Verify the Therapy Top is sitting level on the Patient Support top. Turn on the Gantry lasers and establish an X-axis reference line parallel
to the transaxial laser beam. Mark the intersection of the sagittal laser line.
2. Horizontally position the patient Support @-500mm (this is not critical).
3. Align the metric scale with the X-axis reference line (perpendicular to the Z-axis of the Patient Support).
4. Center the metric scale on the Z-axis reference line. e.g. for a one meter scale, align the 50cm or 500mm mark with the Z-axis reference
line (Refer to Figure 14).
5. At the control box, position the LTU sagittal laser at multiples of 10mm increments, left and right of center (0.0 mm).
NOTE
Moving the Sagittal laser from isocenter toward the right (as viewed from the end of
couch looking at the scanner) will result in the readout going more negative.
6. At each command position of the LTU sagittal laser line, verify its point of intersection with the metric scale. Compute the distance
traveled from the center point of the metric scale. Record the actual distance traveled in the table below. An example of the table
information follows, using a one meter scale.
Control Box One Meter
Positional Readout Metric Scale Position Actual Distance Traveled (mm)
0.0 500 (initial position) 0.0

+10.0 489.5 10.5
+20.0 479.5 20.5
+30.0 469.5 30.5
+40.0 459.0 41
+50.0 449.0 51 (500-449)
etc. etc.
After recording each of the values in the table, go to the next step and load them into the system. Use the table on the following page to
record the values: The values will be entered onto the screen shown in Figure 13.
TAPE TAPE
0 cm 50 cm 100 cm
0 cm
X-AXIS REFERENCE LINE 1 METER SCALE
Z-AXIS REFERENCE LINE

FIGURE 14 CM Scale To Reference Lines
After entering CTSIM, Laser Offset and Laser Calibration UID information, select “OK” and then click “Tools” and “Archive Laser Calib.”
You will be instructed to insert a site data tape. When a backup tape is made this CTSIM, Offset and UID information will be archived and
easily retrievable when restoring the VoxelQ software from a backup tape.
Positional Readout Actual Distance (mm) Positional Readout Actual Distance (mm)
10.0 –10.0
20.0 –20.0
30.0 –30.0
40.0 –40.0
50.0 –50.0
60.0 –60.0
70.0 –70.0
80.0 –80.0
90.0 –90.0
100.0 –100.0
110.0 –110.0
120.0 –120.0
130.0 –130.0
140.0 –140.0
150.0 –150.0
160.0 –160.0
170.0 –170.0
180.0 –180.0
190.0 –190.0
200.0 –200.0
210.0 –210.0
220.0 –220.0
230.0 –230.0
240.0 –240.0
250.0 –250.0
SET ACQSIM PREFERENCES ON VOXELQ (NEW FOR 4.1)
Quit the AcQSim application by selecting “Exit” at the bottom right corner of the screen. Quit the VoxelQ application by click “Study” and
then “Quit”.
When the login prompt appears, login as config / voxel89 and select option f “AcQSim / AcQPlan configuration”.
Select Option b “AcQSim Preferences”.
The following prompt(s) will appear.
Enter values for following fields:
MxTWIN Table Height in cm? [n] n <enter>

Accept UltraZ Datasets? [y] Y <enter>
Accept Mx8000 Datasets? [n] n <enter>
Accept MxTwin Datasets? [n] n <enter>
Setting the following variables:
MxTWIN Table Height in cm? n

Accept UltraZ Datasets? y
Accept Mx8000 Datasets? n
Accept MxTwin Datasets? n
Is this ok? [y] y <enter>.
This completes AcQSim Preferences.
Clean Up!
a. Remove all tape.

b. Clean the therapy pad
c. Clean the scanner, the lasers, and the Voxel Q tower, monitor, etc.
FINAL LASER LIGHT KIT CHECK (ALL)
At this point in the procedures, all installation and alignment procedures have been completed. You will now perform a final test of the Laser
Light Kit. The following procedure checks the mechanical and geometric accuracy of the lasers in relation to the CT Scanner isocenter. This
final check can be done on the PQ, Ultra Z and AcQSim–CT by using techniques previously employed during setup and calibration of the
AcQSim lasers.
1. Verify that the Therapy Top is sitting level on the Patient Support top.
2. Load the Patient Support with 170 lbs (77 kg).
3. Attach a scan BB at the center of the Nuclear Associates calibration phantom central cross-hair. Place the calibration phantom on the
Therapy Top and level it.
4. Turn on the AcQSim lasers and the Gantry lasers. Align the central cross-hairs of the calibration phantom to the Gantry Sagittal and
Transaxial lasers. Insure the calibration phantom is level. Zero the Patient Support relative position.
GANTRY LASER BEAMS
1. POSITION FRONT EDGE OF PHANTOM

AT FRONT EDGE OF COUCH TOP.
2. POSITION PHANTOM (AND COUCH TOP)

SO THAT LASER BEAM INTERSECTS THE
CENTER ALIGNMENT MARKS.
NUCLEAR ASSOCIATES
CALIBRATION PHANTOM
FIGURE 15 Set Phantom Location On Couch
5. Move the Patient Support top out to the relative horizontal position -500 millimeters. Adjust the vertical position of the Patient Support
so that the AcQSim coronal (horizontal) laser beams project onto the horizontal calibration line of the phantom’s side calibration circles.
Figure 16 below illustrates the proper alignment for the horizontal beams.
PHANTOM AT FRONT EDGE
AcQSim (SIDE) LASER BEAM

(HORIZONTAL BEAM SHOWN)
FIGURE 16 Set Couch To Lateral Laser Horizontal Beam
6. The transaxial (vertical) laser beams should exactly illuminate the vertical lines of the phantom calibration circles. Figure 17 illustrates
the correct alignment.
JJJJJJJJJJJJ
JJJJJJJJJJJJ
JJJJJJJJJJJJ
JJJJJJJJJJJJ
JJJJJJJJJJJJ
JJJJJJJJJJJJ
AcQSim (SIDE) LASER BEAM
JJJJJJJJJJJJ
JJJJJJJJJJJJ
(VERTICAL BEAM PARTIALLY SHOWN)
JJJJJJJJJJJJ
JJJJJJJJJJJJ
JJJJJJJJJJJJ
JJJJJJJJJJJJ
FIGURE 17 Set Couch To Lateral Laser Vertical Beam
7. At the LTU Control Box set the position for 0.0 millimeters. The Sagittal laser should exactly illuminate the sagittal line of the central
cross-hair of the phantom. See Figure 18
SAGITTAL LASER
LINE
FIGURE 18 Set Couch To Sagittal Laser Line

8. Move the Patient Support through its horizontal travel while verifying that the Gantry and LTU Sagittal laser beams and the coronal
laser beams remain aligned with the marks on the phantom.
9. Take vertical and horizontal pilot scans of the calibration phantom. Use full-field test protocol.
10. Use the cursor functions at the scanner console and check that the scan BB is at X = 0, in the vertical pilot, and at Y = 0, in the horizontal
pilot.
11. Move the LTU Sagittal laser to the +50 mm position (use the control box) and check that the laser beam coincides with the side alignment
marks on top of the phantom. Move the LTU Sagittal laser to the –50 mm position and check that the beam coincides with the other
side alignment marks.
12. Reposition the Patient Support top to align the side calibration circles of the phantom with the side laser beams.
13. Place the Optical Distance Indicator (ODI) phantom atop the calibration phantom base.
14. Note the vertical height of the couch (vertical center). Lower the table 100mm from its present position. Check that the horizontal
(Coronal) laser beam from the left side laser intersects the second line on the upright section of the ODI phantom (Refer to Figure 19).
Turn the ODI phantom and verify that the horizontal (Coronal) laser beam from the right side laser intersects at the same point.
ACQSIM HORIZONTAL
LASER BEAM
50 mm
FIGURE 19 Optical Distance Indicator (ODI)

15. An error of +/– 1 mm is acceptable.
16. Store the ODI phantom. Remove the weight load from Patient Support. Wipe off the Patient Support and equipment.
INSTALL LASER COVERS (ALL)
Before installing covers, ensure the cables run through the provided strain relief.
1. Install the covers for the two lateral lasers.

2. Install the cover for the Laser Tracking Unit.
3. Dress (organize) all Sagittal laser LTU cables to provide a neat appearance.
4. Insert three screws in the top of the LTU cover and three screws in the lower side of the cover.
YOU HAVE NOW COMPLETED THE INSTALLATION OF THE LASER LIGHT KIT PORTION OF ACQSIM. CONTINUE ON TO THE
“ACQSIM QUALITY ASSURANCE” PORTION OF THIS MANUAL. See CFE menu listing; Service manuals > Quality Assurance.
PARTS (LAP)
DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART # . . . QTY.

AcQSim System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6745 . . . . . . 1
AcQSim Flat Table Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173800 . . . 1
AcQSim Exact Therapy Top (kit) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179870 . . . 1
AcQSim Side Laser Support Col, Assy . . . . . . . . . . . . . . . . . . . . . . . . 177990 . . . Opt.
Laser Light Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178299 . . . 1
Remote Keypad Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83970 . . . . . 1
Laser Tracking Unit, Assy (LTU) . . . . . . . . . . . . . . . . . . . . . . . . 83968 . . . . . 1
Assy, Lateral Laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83969 . . . . 2
Cable Assy, Keypad / LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L11109 . . . . 1
Cable Assy, Lateral / LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L11110 . . . . 2
Cable Assy, LTU Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L11111 . . . . 1
Phantom, Nuclear Associates ............................ 96212 . . . . . 1
ACQSIM SERVICE KIT: 179829
SAGITTAL LASER BLOCK P/N 310500

LTU CONTROL BOARD P/N 310501
SAGITTAL LTU P/N 83968
LATERAL LASER ASS’Y P/N 83969
REMOTE KEYPAD ASS’Y P/N 83970
KEYPAD/LTU CABLE P/N L11109
LATERAL/LTU CABLE P/N L11110
LTU/PS CABLE P/N L11111
MODULE LEVEL REPLACEMENT PARTS (BARKER)
Item Part No. Quantity
ACQSIM System 6745 1
AcQSim Flat Table Pad (Therapy Table Top Assy) . . . . . . . . . . . . . . . . . . . . . . . . . . 173800 . . . 1

AcQSim Side Laser Support Col, Assy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177990 . . . Opt.
Laser Support Column Assy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171808
Laser Light Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177822

Cable Kit, LLK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177906 . . . 1
Cable, Control Box to Left Lateral Laser . . . . . . . . . . . . . . . . . . . . . . 96367 . . . . . 1
Cable, Control Box to LTU, Encoder . . . . . . . . . . . . . . . . . . . . . . . . . . 96261 . . . . . 1
Cable, Control Box to LTU, Motor Power . . . . . . . . . . . . . . . . . . . . . . 96260 . . . . . 1
Cable, Control Box to LTU, Sagittal Laser . . . . . . . . . . . . . . . . . . . . . 96163 . . . . . 1
Cable, Control Box to Right Lateral Laser . . . . . . . . . . . . . . . . . . . . . 96164 . . . . . 1
Control Box, ACQSIM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96374 . . . . . 1
Assy, Motion Control Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96369
Line Cord, LLK, 120 V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96370
Label, ETL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T32–751 . . 1
Laser Tracking Unit, Assy (LTU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96254 . . . . . 1
Assy, Motor Control Bd, LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96256
Bellows, LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96257
Laser, Diolase 1 Laser unit, LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96159
Motor assy, LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96168
Positioning Table, sub–assy, Baseplate, LTU . . . . . . . . . . . . . . . . . . . 96204
Assy, Lateral Laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96255 . . . . . 2
Laser, Diolase 2 Laser Unit, Lateral . . . . . . . . . . . . . . . . . . . . . . . . . . 96160
230V Kit, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96375 . . . . . 1
Phantom, Laser Alignment, Telalign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96212 . . . . . 1
Lead Marker, 1.5 mm dia., X–spot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96802 . . . . . 1 Bx
ILLUSTRATED PARTS BREAKDOWN (BARKER)
.Item sub–item .Part No. Qty
Kit, AcQSim Service Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179665 . . . Opt
1 Baseplate Assy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96204 . . . . . 1

2 Laser, LTU, Diolase 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96159 . . . . . 1
3 Motor Control Bd., LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96256 . . . . . 1
4 Motor, LTU, Assy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96168 . . . . . 1
5 Bellows, LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96257 . . . . . 1
6 Control Box, ACQSIM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96374 . . . . . 1
7 LTU Motion Control Interface Assy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96369 . . . . . 1
8 Laser, Lateral, (Diolase 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96160 . . . . . 1
9 Cable, Control Box to LTU, Laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96163 . . . . . 1
10 Cable, Control box to LTU Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96260 . . . . . 1
11 Cable, Control Box to LTU, Encoder . . . . . . . . . . . . . . . . . . . . . . . . . 96261 . . . . . 1
12 Cable, Control Box to Left Lateral Laser . . . . . . . . . . . . . . . . . . . . . . 96367 . . . . . 1
13 Cable, Control Box to Right lateral Laser . . . . . . . . . . . . . . . . . . . . . . 96164 . . . . . 1
14 Line Cord, LLK, 120 vac, 10 ft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96370 . . . . . 1
Cable, Daedal Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96815 . . . . . 1
Cable, Power Distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96814 . . . . . 1
Hardware Kit, LTU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96205 . . . . . 1
Hardware Kit, Lateral Laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96200 . . . . . 1
Not shown on Illustrated Parts Breakdown (IPB)
230 volt Kit, International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96375 . . . . . 1
Cable, LTU, Armored . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96368 . . . . . 1
Cable, LTU, Retractable (coiled), Laser Power . . . . . . . . . . . . . . . . 96253 . . . . . 1
Fuse Assortment, International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179669 . . . 1
Fuse, Tubular, 1A, 250V, 2AG . . . . . . . . . . . . . . . . . . . . . . . . . . T27–2 . . . . 2
Fuse, Tubular, 0.25A, 250V, 2AG . . . . . . . . . . . . . . . . . . . . . . . T27A–208 . 1
Fuse, Tubular, 0.5A, 250 V, 2AG . . . . . . . . . . . . . . . . . . . . . . . T27A–209 . 2
Fuse, Tubular, 0.75, 250V, 3AG . . . . . . . . . . . . . . . . . . . . . . . . T27A–92 . . 1
Fuse, Tubular, 0.25A, 250V, 3AG . . . . . . . . . . . . . . . . . . . . . . T27A–42 . . 1
Fuse Assortment, Standard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179668 . . . 1
Fuse, Tubular, 2A, 250V, 2AG . . . . . . . . . . . . . . . . . . . . . . . . . . T27A–15 . . 2
Fuse, Tubular, 0.25A, 250V, 2AG . . . . . . . . . . . . . . . . . . . . . . . T27A–208 . 1
Fuse, Tubular, 0.5A, 250 V, 2AG . . . . . . . . . . . . . . . . . . . . . . . T27A–209 . 2
Fuse, Tubular, 1.5A, 250V, 3AG . . . . . . . . . . . . . . . . . . . . . . . . T27A–071 . 1
Fuse, Tubular, 0.5A, 250V, 3AG . . . . . . . . . . . . . . . . . . . . . . . . T27A–026 . 1
Hardware, Lateral Laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96200 . . . . . 1
Hardware, LTU Laser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96205 . . . . . 1
BASEPLATE
ASSEMBLY 1
LASER, LTU 2
3
MOTOR
CONTROL 4
BOARD LTU MOTOR
BELLOWS 5
COVER
LATERAL
8
LASER
9
10 CONTROL BOX 6
11 MOTION CONTROL 7
14 INTERFACE
12
13
FIGURE 20 Barker Parts Layout
PRINTER PARTS
AcQSim Printer Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177956 1

Cable, Assembly, 2 serial/2 parallel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177958 1
Cable, 2S/2P Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L8411 1
Panel, AcQSim cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96272 1
Interface Card 4S/2P, S-bus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96268 1
Printer HP Deskjet (series) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96266 1
Printer, Lexmark 4079 Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83928 1
Parallel IEEE Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L11279 2
THERAPY TOP PARTS LIST

THERAPY TOP KIT – P/N 179870
QTY. Part Number
AcQSim Therapy Table (1) 310508

Hanger, AcQSim Therapy Table (1) 310748
Rear Plate, AcQSim Therapy Table (1) 310749
Hardware
Rubber Strips, 8’ x 1” x .060 thick (2) T25B–1027
Instructions, AcQSim Therapy Top (1) T55E–1264
MedTec Calibration Bar (1) 311772
ACQSIM QUALITY ASSURANCE
In this section you perform a laser positioning quality assurance test on the AcQSim lasers. Completion of this process verifies the alignment
of the AcQSim lasers and ensures that a CT–imaged object can be targeted or “illuminated” with the AcQSim lasers. The goal of the
Radiologist using the AcQSim–CT simulator is to accurately locate and mark scanned areas of human tissue that contain a targeted tumor.
Once the body is marked, the patient can then be moved to the desired method of Radiation Treatment Planning (RTP).
PREREQUISITES
• Software must be at 4.1 or higher.
• Gantry laser calibration / verification must have been done.
• 170 lbs (77 kg) of Patient Support load must be available.
LASER VERIFICATION
This process consists of 6 steps:
• Initial Steps
• Image the Scan BB
• Use DICOM to Push or Get the QA study to the Voxel Q
• Localize the Scan BB
• Contour the Scan BB
• Illuminate the Target using the AcQSim Laser Light system
INITIAL STEPS
1. Place the flat therapy pad on the Patient support.
2. Affix a Scan BB (X–SpotR) to the front, vertical face of the ODI phantom. The selected location is not critical.
3. Position the Patient Support and Gantry:
a. Position the Patient Support Horizontally within the scan aperture (specific position is not important; however, the top must be
within the scan aperture). Load the Patient Support top with the required weight. Distribute this weight over the 5 feet (1.52m).
b. Position the Patient Support top vertically so the scan BB is close to Vertical isocenter.
c. Verify that the Gantry is at zero degrees (0_) tilt.
4. Turn the Gantry laser on. The sagittal and transaxial laser lines should be visible on the therapy pad.
5. Place the ODI phantom on the therapy pad some arbitrary distance left or right of the Z–axis (this is the Gantry sagittal laser line). Align
the flat face of the ODI phantom base with the Gantry transaxial laser line. Secure the phantom to the therapy pad with masking tape.
6. Position the Patient Support top for a full–field pilot scan.
IMAGE THE SCAN BB (PQ ONLY)
NOTE
Any study acquired for the AcQSim software localization process must include axial
slices (containing the volume of interest) and the corresponding horizontal and vertical
pilots. The horizontal and vertical pilots must start from the same initial horizontal posi-
tion.
1. Select a full–field water protocol. Modify Protocol Parameters to the following values:
System Parameters Value

PQ Scan: Slice Thickness 1.5 mm
Couch Index 1.0 mm
Pilot Horizontal Pilot
2. Verify that the Patient Support top is still at the initial horizontal position recorded in the preceding section.
3. Perform a full–field horizontal pilot.
4. Adjust the vertical position of the Patient Support (as needed ) to image the ODI phantom and the scan BB.
5. At the ELTP “Pre–Scan Status” page select [Change Couch Position]. Enter the Initial Horizontal Position recorded earlier and press
[Enter]. Select [Move Couch].
6. Select [Return to Protocol Parameters] and advance to the “Pilot Parameters” screen by touching [Next Screen] (one or two times,
depending on where you are). Set pilot parameters for a vertical pilot scan.
7. Perform a Full–field vertical pilot.
8. Review both the Vertical and Horizontal Pilots and select the one that best images the Scan BB.
9. Locate the Scan BB in the pilot. Press [F8] to select Plan Study. Set up the study for five axial slices so that the third axial slice will
be centered on the Scan BB.
10. Proceed and acquire the five axial slices.
11. Review the five axial slices and verify that the Scan BB was imaged.
INITIALIZE THE VOXEL Q WITH ACQSIM SOFTWARE
1. Power up the Voxel Q and allow the system to boot up to the Voxel login prompt. This may take several minutes.
2. At the “voxel login” prompt enter startup <Enter>.
3. At the password prompt enter voxel89 <Enter>
4. At the “%” prompt enter vx <Enter> to load the applications software.
TRANSFER THE QA STUDY TO THE VOXEL Q

The QA study can be transferred to the Voxel Q either by ‘pushing’ from the scanner or by doing a ‘get’ at the Voxel Q.
‘Get’ the QA Study from the Scanner
1. From the Voxel Q menu bar, select Study, then select Network, then select Get.
2. From the list of remote nodes (host names) select the name of the scanner on which you did the study. To cancel and exit the network
option, click the left mouse button outside the menu.
3. After you select the remote node (host name), the screen displays a list of patient studies. Move the cursor over the QA study name
and click the left mouse button. Then click the left mouse button outside the patient directory box. This will transfer the study to the
Voxel Q.
PUSH THE QA STUDY (FROM PQ) TO (VOXEL Q)
NOTE
The directions in the following steps apply to Voxel Q workstations interfaced to a Q–se-
ries Scan Console using DICOM through an Ethernet cable.
1. At the Q–series scanner Console, display the Image Maintenance menu by pressing [Shift] and [Pat Dir].
2. Select HyperLan Net by pressing [F4] and display the HyperLan Network Operations menu. The time to complete this step varies, so
be patient.
3. Verify that Current Manual Remote Node is set for the Voxel Q. If not, select [F7], set up according to instructions, the press [Prev
Page] to exit.
4. Press [F2] to select Send and display the Patient/Study Directory.
5. Select the QA study that you just did and mark it by pressing [F3], set mark .
6. Press [F1] to proceed. This displays the Transfer Status page which indicates the transfer of the study.
7. When the transfer completes, press [Prev Page] several times (usually 3) until you return to Single Image display.
LOCALIZE THE SCAN BB (VOXEL Q)

1. At the Voxel Q select [Study].
2. Select [Open] to display the Patient Directory.
3. Select the QA study you transferred. As soon as you select it, the Voxel loads the image.
4. From the pull down menus, click Packages > AcQSim to load the AcQSim system software. (Note: before enabled options can come
“alive”, the packages list requires that an image be displayed.)
5. From the Localization window click on the Pilot button. The Voxel displays the two pilot views and the first axial slice, in three of the
four viewports.
6. Point to the Lateral Pilot viewport and click the middle mouse button to enable the viewport (the viewport frame will be highlighted in
color). The scan BB, affixed to the ODI phantom should be visible with a setting window width = 300 and window level = 40.
7. Select Zoom and Pan to fully zoom in on the scan BB and center it in the lateral pilot viewport. “Zoom” the Scan BB. Three ways to
zoom: 1. in the view control box, click on the up/down arrows, or 2. slide the bar graph location, or 3. use the keyboard [Zoom In] or
[Zoom out] buttons. To pan, place the cursor on the axial image and then click and drag the view around.
8. Point to the axial view port and click the middle mouse button to enable this viewport.
9. In the Lateral Pilot viewport, locate and click on the center of the Scan BB. Using the first mouse button the scan BB should appear
in the image now displayed in the Axial Slice viewport. Arrows alongside the views show the location of the currently displayed slice.
Slice selection can be made by: a) clicking on the up/down arrows, b) sliding the bar graph location, or c) clicking at the desired
location on either of the views.
10. In the Localize window select both Zoom and Pan to fully zoom in on the Scan BB and then center it in the Axial Slice Viewport.
CONTOUR THE SCAN BB (VOXEL Q)

1. Set Window Width and Window Level to enhance the Scan BB in the central axial slice displayed in the axial slice viewport.
2. Determine which axial slices contain the Scan BB. You may want to record them in the following table. Several methods are: 1) At
the “Localize” option, click on the [Slice] button, 2) Display a particular slice by clicking on the UP Arrow or DOWN Arrow buttons y
or b in the view control box or on the keyboard till you select the desired slice, 3) Place the cursor on the slice and click the left mouse.
Axial Slices: ____________________
The following steps tell you how to contour the scan BB in each axial slice in which it appears. (Note that the Window Width and Level may
need to be adjusted to visualize the edges of the Scan BB.)
3. Select the first (lowest numbered) slice in which the Scan BB is visible.
4. In the create contour box, select /click Rubber band or free hand.
5. Example using the rubber band method, trace a contour around the slice of the scan BB by clicking the cursor at points around the
Scan BB. Ensure that the contour closes: the information window displays “CONTOUR CLOSED”. Using rubber band method, end a
contour by setting the last point within the box which indicates the starting point for the contour. Edit a contour by either selecting the
‘stretch’ option in the Modify Contour box or by pressing the right mouse button and picking the appropriate option. Other options
available are: move, scale, stretch or (to redo) clear slice.
6. Draw a contour around the Scan BB for each axial slice in which it appears.
You can
a. Draw a new contour for each slice or . . .
b. Move to the “copy contour” box and select [Copy Inferior]. This copies the current contour to the next higher–numbered slice
and displays it. Then, fit the contour to the Scan BB using the [Stretch] option in the modify contour box.
7. After you contour all slices of the Scan BB, go to the [Isocenter Manager] window, in the [compute–isocenter] box, select [Standard].
8. Record the Isocenter parameters displayed in the Isocenter Information box.
Sagittal Laser: (+ or –) __________mm

Couch abs ht: __________mm
Couch abs Z: __________mm
9. You can print a copy of the Isocenter information by going to the Miscellaneous box and clicking on [Worksheet].
ILLUMINATE THE TARGET VIA ACQSIM LASER SYSTEM (PQ)

1. Power–on the AcQSim Laser System.
2. At the AcQSim controller, set the position of the AcQSim Sagittal laser to the value recorded in the preceding table (“Sagittal Laser”).
Notice that this is a “signed” number that reads “+” or “–”.
3. Position the Patient Support (Horizontally and Vertically) by doing the following:
a. At the ELTP, horizontally reposition the Patient Support to the Couch Absolute Z (couch abs z) position recorded in the above table.
b. At the Gantry Control panel, vertically reposition the Patient Support to the Absolute Vertical Position (Couch abs ht) recorded
in the preceding table.
4. Examine the ODI Phantom and the Scan BB. The Scan BB should be illuminated by five laser lines:
a. the Sagittal laser line (Z–axis)
b. the left side laser unit transaxial line (horizontal)
c. the left side laser unit coronal laser line (vertical)
d. the right side laser unit transaxial laser line (horizontal)
e. the right side laser unit coronal laser line (vertical)
Each laser line must be within 1mm of illuminating the center of the Scan BB Verify this for each laser port by opening only one
port at a time. When all ports are verified to be within specifications, open all ports and turn the lasers off.
If the above specification is not met, redo the calibration of the AcQSim laser system.
5. If specifications are met, return the ODI phantom to its storage location and remove the weight(s) from the Patient Support / Therapy
Top.
IMAGE THE SCAN BB (ULTRA Z, ACQSIM–CT)
NOTE
The study being sent to the Voxel Q will contain both spiral and pilot images, however
the axial and pilot images are kept in separate files and have the same file name (unlike
the Q Series).
1. Select the inner ear protocol, which should have the following values:
System Parameters Value

Ultra Z Scan: Slice Thickness 1.0 mm
Couch Index 1.0 mm
AcQSim–CT Scan: Slice Thickness 2.0 mm
Couch Index 1.0 mm
2. Turn on the gantry laser and move the patient support so that the gantry’s transaxial laser falls on the ODI phantom.
3. Click on Planning and when the landmark option opens click Landmark confirm.
4. Set pilot range to: +100mm and –100mm and confirm.
5. Click on Advance To Scan, then click on Start Scan and wait for the pilot scan to complete.
6. Locate the Scan BB in the pilot and adjust the Window: 2000, Level: 500.
You will now plan an Axial study;

A) Use the Zoom tool to zoom in on the Scan BB.
B) Drag the vertical cursor to the right of the Scan BB and drag the line to the right so that 5 or 6 slices are planned.
C) Click on Scanning / Recon then Advance to Scan > Start Scan.
7. Once the slices have reconstructed, review the axial slices and verify that the Scan BB was imaged.
POWER–UP AND INITIALIZE THE VOXEL Q

1. Power up the Voxel Q and allow the system to boot.
2. At the “voxel login” prompt enter startup <Enter>
3. At the password prompt enter voxel89 <Enter>
4. At the “%” prompt enter vx <Enter> to load the applications software.
TRANSFER THE QA STUDY TO THE VOXEL Q

The QA study can be transferred to the Voxel Q either by ‘pushing’ from the scanner or by doing a ‘get’ at the Voxel Q.
‘Get’ the QA Study from the Scanner
1. From the Voxel Q menu bar, select Study, then select Network, then select Get.
2. From the list of remote nodes (host names) select the name of the scanner on which you did the study. To cancel and exit the network
option, click the left mouse button outside the menu.
3. After you select the remote node (host name), the screen displays a list of patient studies. Move the cursor over the QA study name
and click the left mouse button. Then click the left mouse button outside the patient directory box. This will transfer the study to the
Voxel Q.
PUSH THE QA STUDY FROM ULTRA Z OR ACQSIM–CT TO (VOXEL Q)
NOTE
The directions in the following steps apply to Voxel Q workstations interfaced to a Ultra
Z or AcQSim–CT Scan Console using DICOM through an Ethernet cable.
1. At the Ultra Z or AcQSim–CT Console, click Study > DICOM > Send. You must select the study folder being sent and destination
(Networked Voxel Q) and hit “Send”. Note: The Ultra Z and AcQSim–CT will send pilot and axial data within the same folder, but it
will appear in different folders on the Voxel Q patient directory.
LOCALIZE THE SCAN BB (VOXEL Q)

1. At the Voxel Q click Study > Open to open the Patient Directory.
2. Find the study you transferred and select the file name that has multiple slices in it (do not select the pilot file, they have the same
file name) As soon as you select it, the Voxel Q will load the study.
3. Click on Packages > AcQSim. This allows the AcQSim program option to load. (Note: before enabled options can come “alive”, the
packages list requires that an image be displayed.)
4. Click on Virtual Flouro then click the GTV (Gross Tumor Volume) option.
5. Use the view tools in order to “Pan” and “Zoom” the Scan BB so that it is clearly visible within the view port.
6. Point to the Lateral Pilot viewport and click the middle mouse button to enable the viewport (the viewport frame will be highlighted in
color). The scan BB, affixed to the ODI phantom should be visible with a setting window width = 300 and window level = 40.
7. Select Zoom and Pan to fully zoom in on the scan BB and center it in the lateral pilot viewport. “Zoom” the Scan BB. Three ways to
zoom: 1) in the view control box, click on the up/down arrows, or 2) slide the bar graph location, or 3) use the keyboard [Zoom In]
or [Zoom out] buttons. To pan, place the cursor on the axial image and then click and drag the view around.
Next, you will contour the Scan BB.
CONTOUR THE SCAN BB (VOXEL Q)
1. Set Window Width and Window Level to enhance the Scan BB in the central axial slice displayed in the axial slice viewport.
2. Determine which axial slices contain the Scan BB. You may want to record them in the following table. Several methods are: 1) At
the “Localize” option, click on the [Slice] button; 2) Display a particular slice by clicking on the UP Arrow or DOWN Arrow buttons y
or b in the view control box or on the keyboard till you select the desired slice; 3) Place the cursor on the slice and click the left mouse
button.
Axial Slices: ____________________

The following steps tell you how to contour the scan BB in each axial slice in which it appears. (Note that the Window Width and Level may
need to be adjusted to visualize the edges of the Scan BB.)
3. Select the first (lowest numbered) slice in which the Scan BB is visible.
4. In the create contour box, right click Shape and choose Circle. This is the easiest way to create a contour, however you may
experiment with other tools if you wish.
5. Draw a contour around the Scan BB for each axial slice in which it appears.
6. After you contour all slices of the Scan BB, go to the Isocenter Manager window and click done.
7. A blue GTV information dialog box will appear, click Enter.
8. Click patient marked. Enter the physician ID by entering your initials or any 3 letters <Enter>.
9. Right click the Print Worksheet button in order to see your worksheet for the information below. You may also print the worksheet
if the Voxel Q is connected to a printer.
10. Record the Isocenter parameters displayed in the Isocenter Information box.
X = Sagittal Laser: (+ / –) __________mm

Y = Couch height __________mm
Z = Couch index __________mm
ILLUMINATE THE TARGET VIA ACQSIM LASER SYSTEM (ACQSIM–CT, ULTRA Z)
1. Power–on the AcQSim Laser System.
2. At the AcQSim controller, set the position of the AcQSim Sagittal laser to the value recorded in the preceding table (“Sagittal Laser”).
Notice that this is a “signed” number and reads “+” or “–”.
3. Position the Patient Support (Horizontally and Vertically), by doing the following:
a. Horizontally reposition the Patient Support to the Couch Absolute Z (couch abs z) position recorded in the above table.
b. At the Gantry Control panel, vertically reposition the Patient Support to the Absolute Vertical Position (Couch abs ht) recorded
in the preceding table.
4. Examine the ODI Phantom and the Scan BB. The Scan BB should be illuminated by five laser lines:
a. the Sagittal laser line (Z–axis).
b. the left side laser unit transaxial line (horizontal)
c. the left side laser unit coronal laser line (vertical)
d. the right side laser unit transaxial laser line (horizontal)
e. the right side laser unit coronal laser line (vertical)
Each laser line must be within 1mm of illuminating the center of the Scan BB. Verify this for each laser port by opening only one
port at a time. When all ports are verified to be within specifications, open all ports and turn the lasers off.
If the above specification is not met, redo the calibration of the AcQSim laser system.
5. If specifications are met, return the ODI phantom to its storage location and remove the weight(s) from the Patient Support / Therapy
Top.
BARKER LASER INFORMATION
SAGITTAL LASER TRACKING UNIT (LTU)
FIGURE 1 Barker LTU
The Laser Tracking Unit (LTU) consists of 7 basic pieces: cover, laser, mounting assembly, worm gear tracking unit, DC power supply, motor
control board and the wall mounting bracket. All five laser beams (sagittal and side lasers) are factory set at 3.5 meters. Range of focus
is 1 to 7 meters.
WORM GEAR
WALL
TRACKING UNIT
MOUNTING
BRACKET
LASER
MOUNTING
ASSEMBLY LOOSEN,
DO NOT
REMOVE
COVER
FIGURE 2 Barker Laser Tracking Unit
CONTROL UNIT (BARKER)
The control unit is used for motion control and positioning of the sagittal laser. Additionally, it simultaneously activates all three lasers.
FRONT PANEL
The most frequently used laser controls are located on the front panel. The power ON/OFF switch is located on the rear panel. The front
panel contains the following items:
1. Laser ON/OFF switch and indicator
2. Laser tracking control
3. Position display monitor
FIGURE 3 Barker Laser Control Unit
REAR PANEL
The system connectors and the on/off switch are mounted on the back panel of the control unit. The system connectors are:
Power receptacle with integrated ON/OFF switch & Line fuses
Connectors and fuses for left & right lasers
Connector & fuse for sagittal (LTU) laser power
Connector for LTU motor power
Connector for sagittal laser position encoder signals
RS232 connector (not used)
Reset button (used to set the display to zero)
OVERVIEW
The Barker LTU and Barker Sagittal Lasers are an older design and have been superseded with lasers provided by a German company
called Laser Applikationen (LAP) Currently there are many customer sites in the field that use the Barker style lasers. The goal of
this section is to cover their adjustment points only. The steps provided here will accomplish or verify the following:
1. The horizontal beam passes through the horizontal calibration line of the calibration phantom and the horizontal centerline of the top
laser barrel on the opposite laser assembly.
2. The vertical beam passes through the vertical calibration line of the calibration phantom and the vertical centerline of both laser barrels
on the opposite laser assembly.
3. The horizontal (0) and vertical (90) beams are at right angles to each other.
4. The horizontal and vertical beams are at critical (best and sharpest) focus at the Patient Support.
The adjustment points for requirements 1 and 2 are located on the laser bracket. These adjustments are termed radial and linear to describe
the relative motion of the beam as the adjustment is made.
Due to the design of the laser bracket, interaction occurs between adjustments; in other words: changing one adjustment affects another.
Therefore, any person making adjustments must judge as to which adjustment point to move to achieve the desired beam movement.
The adjustment point for requirement 3 is the laser barrel itself. These adjustments are termed angular to describe the angle of the beam
from true horizontal or true vertical. Rotating the laser barrel changes the angle of the beam.
The adjustment point for requirement 4 is located in front of the laser barrel. Two recessed screws moved simultaneously will adjust the
point where critical focus occurs.
The following pages discuss the specific adjustment points for the side lasers and their effect on the laser beam. Adjustment points for
the sagittal laser are similar to the side laser adjustments and have the same effects.
RADIAL ADJUSTMENTS (BARKER)
The side laser bracket has 3 spring loaded hex nuts used for radial movement of the beam. See Figure 4:
Adjusting these hex nuts

swings the beam in an arc
up / down or sideways
FIGURE 4 Side Laser – Radial Adjustments

Radial movement is defined as an arc–like sweep of the beam as the hex nuts are adjusted. The three hex nut adjusters interact with each
other and the beam movement obtained depends on the combination of hex nuts adjusted. The combination of movement possible is as
follows:
1. To swing beam up or down:

Adjust top two hex nuts together, or adjust bottom hex nut
2. To swing beam sideways:

Adjust either side hex nut, or adjust bottom hex nut together with one side hex nut.
NOTE
The adjustment affects both
horizontal and vertical
beams.
AcQSim LEFT SIDE LASER
“B” Only the horizontal beam is

shown in this illustration
AcQSim RIGHT SIDE LASER
HORIZONTAL BEAM AT EXTREME

END OF ADJUSTMENT
FIGURE 5 Vertical Beam Reaction To Radial Adjustments
AcQSim LEFT SIDE LASER
HORIZONTAL BEAM
AT EXTREME END OF
ADJUSTMENT
NOTE
THE ADJUSTMENT AFFECTS BOTH
HORIZONTAL AND VERTICAL BEAMS. AcQSim RIGHT SIDE LASER
ONLY THE HORIZONTAL BEAM IS

SHOWN IN THIS ILLUSTRATION.
HORIZONTAL BEAM
AT EXTREME END OF
ADJUSTMENT
FIGURE 6 Horizontal Beam Reaction to Radial Beam Adjustments
HORIZONTAL POSITION LINEAR ADJUSTMENT
This adjustment moves the vertical beam sideways in a linear motion. To move the beam sideways, you adjust a recessed hex screw located
on the side of the adjustment plate. You must first loosen three hold down screws before turning the adjustment screw. Maximum
adjustment is about ±1/2 inch. See Figure 7:
Loosen these screws

to allow adjustments
Hex screw on side moves

the beam sideways
FIGURE 7 Side Laser Horizontal Linear Adjustments
NOTE
The adjustment affects both
horizontal and vertical beams
Only the vertical beam is

shown in this illustration
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
“B”
FIGURE 8 Beam Reaction To Horizontal Position Linear Adjustment
VERTICAL POSITION LINEAR ADJUSTMENTS
This adjustment moves the horizontal beam up or down in a linear vertical motion. To move the beam vertically you adjust a recessed hex
screw located on the top of the adjustment plate. You must first loosen three hold–down screws before turning the adjustment screw.
Maximum adjustment is about ±1/2 inch. See Figure 9:
HEX SCREW ON TOP LOOSEN THESE SCREWS
MOVES THE BEAM TO ALLOW ADJUSTMENTS
UP OR DOWN
FIGURE 9 Side Laser Vertical linear Adjustment
NOTE
THE ADJUSTMENT AFFECTS BOTH
HORIZONTAL AND VERTICAL BEAMS.
ONLY THE HORIZONTAL BEAM IS

SHOWN IN THIS ILLUSTRATION.
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
“B”
“B”
FIGURE 10 Beam Reaction To Vertical Position Linear Adjustments
ANGULAR ADJUSTMENTS
BEAM ROTATION
This adjustment rotates the beam about its central axis. Do this adjustment to set the beam to a correct vertical or horizontal position. To
adjust the angle of a laser beam, simply rotate (turn) the lens holder. The beams are factory adjusted to be at right angles (DIOLASE 2)
to each other and are aligned to the casing.
LINE ROTATION
FIGURE 11 Beam Rotation Adjustment
CAUTION
OPENING AND CLOSING THE LASER COVER CAN RESULT IN CHANGES TO THE
ADJUSTED VERTICAL OR HORIZONTAL BEAM POSITION. USE CARE WHEN
MOVING THE LASER COVER.
FOCUS
Use this adjustment to focus individual laser beams on the area where patients will be marked. To focus a laser, adjust the screws on either
side of the lens (see figure below). Use a 1.5–mm Allen–key to turn the screws very carefully in equal amounts of about 1/8 of a turn. It
is important that the two screws are turned in equal amounts.
CAUTION
BREAKAGE HAZARD. DO NOT TURN FOCUSING SCREWS MORE THAN 1/8 OF A
TURN AT ONE TIME. FAILURE TO COMPLY CAN RESULT IN BREAKAGE TO THE
LASER HEAD.
ADJUST TO FOCUS
DO NOT ADJUST
FIGURE 12 Laser Beam Focus Adjustments
GLOSSARY
This glossary lists the terms used in this manual that are specific to this installation.
AcQSim Isocenter
1) The central geometric point of the axes of the AcQsim laser beams.
2) The midpoint of the laser X–, Y–, and Z–axes.
AcQSim Left/Right Side Horizontal Lasers
The side lasers that provide the visual x–axis reference on the patient/phantom. This is the lower of the two laser ports.
AcQSim Left/Right Side Vertical Lasers
The side lasers that provide the visual y–axis reference on the patient/phantom. This is the upper of the two laser ports.
AcQSim Sagittal Laser
The single, overhead or end–wall mounted, movable laser that provides the visual, sagittal reference line on the patient/phantom. This
is the red, laser light line that is seen on the length of the table; that is, the head–to–foot reference line.
Aperture
The circular opening through the center of the Gantry into which the patient is placed for scanning. The scan field is in the aperture.
Column Mount(ed) Laser(s)
An optional mounting method for the AcQSim X– and Y–axis laser units. Typically used where the Patient Support is not parallel to
the wall.
Coronal
A view of the body as if it were cut on a frontal plane and viewed from the front or back.
Coronal Laser
See: Gantry Coronal Lasers.
FOV
(Field of View) the volume which the scanner is capable of imaging. There are two angles (half–field, 240 mm; full–field, 480 mm) and
several thicknesses).
Gantry Coronal Lasers/Laser Beams
For Gantries with 3 O’clock and 9 O’clock lasers, these lasers provide a visible reference for the Y axis of the scanner (i.e., the left
and right lasers project a visible line on the patient/phantom that denotes the elevation where Y = 0. This is the horizontal laser beam
from the 9 O’clock and 3 O’clock lasers.
Gantry 3 O’clock and 9 O’clock Laser Units
Laser units that provide both a vertical and horizontal visible beam on the patient or phantom to identify the scan plane (vertical beam)
and the vertical center (horizontal beam) of the scan field.
Gantry 12 O’clock laser Unit
A laser unit that projects two visible, vertical beams down onto the patient or phantom. One beam, crosswise to the Gantry Aperture,
identifies the scan plane. The second beam, in line with the axis of the aperture, identifies the scan axis.
Gantry Isocenter
1) The central geometric position of all image axes. Image radiographic axes X, Y, and Z are at this point. 2) The midpoint of the X–,
Y–, and Z–axes.
Gantry Sagittal Laser Line
The visible red light line projected by the Gantry 12 O’clock laser onto the long axis of the Patient Support, patient, or phantom. See:
Gantry 12 O’clock laser.
Gantry Transaxial Laser
The 12 O’clock laser that provides a visible reference for the X axis of the scanner (that is, it projects a visible line across the
patient/phantom). Also, this is the vertical laser beam from the 9 O’clock and 3 O’clock lasers on Gantries with three lasers.
Gantry Transaxial Laser Line
The visible red light line projected by the Gantry transaxial laser(s) onto the Patient Support, patient, or phantom. See: Gantry
Transaxial laser.
Gantry X Axis
A horizontal line perpendicular to the scan axis that intersects the Gantry isocenter. The Gantry transaxial laser represents this plane.
Gantry Y Axis
A vertical line perpendicular to the scan axis and intersecting the Gantry isocenter. The Gantry Sagittal laser represents this plane.
Gantry Z Axis
A horizontal line in–line with Gantry axis.
Isocenter
The ‘point’ in free space within the Gantry aperture that is the center of all images and marks the crossing point of any two diameter
lines inscribed within the detectors’ field of view. This is the central point of the X, Y and Z axis for their repsective planes. (See: FOV)
Laser Beam
A beam of (usually) monochromatic visible red light projected through a lens from a solid state lamp. This light beam can be controlled
to very tight tolerances. We refer to this as the light beam.
Laser Line
The visible, red line projected by a laser onto an object.
Liquid Level
A tube or hose filled with water (usually) designed to be used as a two–point level with flexible end–points.
LTU
The Laser Tracking Unit; mounted on the ceiling or the wall at the foot end of the Patient Support, this unit provides the support for
the left–right positioning mechanisms for the ACQSIM sagittal laser.
Prepared Surface
The three pre–defined mounting locations for the lasers that include the supporting material and (optionally) the laser unit protection.
Sagittal
A view of the body as if it were cut on a front–to–back median plane and observed from the side.
Sagittal Laser
See: ACQSIM sagittal laser.
Transverse
A view of the body as if it were cut on a plane perpendicular to the spine. A view (slice) across the body, perpendicular to the spine.
Typically, CT scans are referred to as axial or transverse slices.
Wall Mount(ed) Laser(s)
A mounting method for the ACQSIM X– and Y–axis laser units. Typically used where the Patient Support is parallel to the wall.
X–Axis Reference Line
A line that represents the orientation of the X–axis plane. During the ACQSIM installation this line is drawn onto the Patient Therapy pad
(from left side to right side) and provides a reference point for the ACQSIM transaxial lasers.
Y–Axis Reference
This is the vertical elevation of an object detected through the scanner “optics” as being at the position of “Y = 0.” During this installation,
an x–ray marker (scan BB) or a specific location on the laser phantom becomes the y–axis or Y = 0 reference plane.
Z–Axis Reference Line
A line that represents the orientation of the Z–axis plane. During the ACQSIM installation this line is drawn onto the Patient Therapy pad
(from head end to foot end) and provides a reference line for the ACQSIM sagittal laser and an alignment line for the Gantry sagittal laser.
ACQSIM NETWORKING
AcQSim Configuration
Configure RTP Connections
Network Hostname address setup
AcQSim Preferences
DICOM Configuration
DICOM Print
RTOG Export
ACQSIM NETWORK CONFIGURATION
In this section you configure the AcQSim software network variables into the Voxel Q. These are options and are done only as required.
PREREQUISITES
Software must be at 4.1 or higher.
INITIAL STEPS
Login to the Voxel Q in the following manner:
voxelq login : config <Enter>
password: voxel89 <Enter>
The Voxel Q responds with:

a Enter Host Network addresses
b Enter Codonics address (np600 only)
c Network Applications Configuration
d Show Product Options
e Camera/Printer Configuration
f AcQSim Configuration
g Change Hostname
h Image Preview Configuration
I epi-View Configuration
j Product Option Configuration
k Obtain System ID for Option Configuration
l Update Configuration Files for New Hostid
m Configure mouse
n Configure local network parameters
o Reboot System
p Fix DR–11 after slot swap
s Add swap space to system
t Set date, time and time zone
q Quit
Enter option : “AcQSim Configuration” <Enter>
The system displays the following menu:
AcQSim Configuration menu:
a Configure RTP connections

b AcQSim preferences
c Network Hostname/Address setup
d Configure AcQSim printers/plotters
e Change AcQSim password
f configure special cadplan import/export flags
q Quit
Enter option:_
CONFIGURE OPTIONAL RTP CONNECTIONS – OPTION A
There are several RTP configurations available to the user of the AcQSim/Voxel Q software. Formats available are: ROCS, CADPLAN,
AcQPlan and others in accordance with the configured CADPLAN RTP option license.

q Quit
Enter option:_
NETWORK HOSTNAME/ADDRESS SETUP FOR AN RTP SYSTEM – OPTION C
Do these steps from the main menu to install a hostname and address so the Voxel can communicate with an RTP system, if the option
license is in effect.
Log in (config ) and enter the Voxel password (voxel89). The screen displays the following menu:
g Change Hostname
m Configure mouse
o Reboot System
q Quit
Enter option :AcQSim Configuration <Enter>

q Quit
Enter option:_
Select : “Network Hostname/Address setup” and press <Enter>. The monitor displays the following menu:
a. Add a host and address
b Test connections
c Show network configuration
d Delete a host
q Quit
Enter option:
Enter: “Add a host and address” and press <Enter>. The monitor displays the following:
Enter host name to add to table [ ]: rocs <Enter>
The following sets up the internet address of the host. This

will have the form: XXX.XXX.XXX.XXX. For example: 128.2.2.2. A local
network administrator may want to provide this address.
Enter the internet address [ ] : (address) <Enter>
After you enter the address, the program returns to the Address menu.
a Add a host and address
b Test connections
d Delete a host
q Quit
Enter option:
Enter : “Show network configuration” and press <Enter>. The monitor displays the configuration information in a format similar to the
following example:
Local host name is: mcp
Network configuration is
#
#Sun Host Database
#
#If NIS is running, this file is only consulted when booting
#
127.0.0.1 Localhost
#
144.54.160.34 mcp loghost
144.54.160.1 sparkie
144.54.160.53 rocs

b Test connections
d Delete a host
q Quit
Enter option:
ACQSIM CONFIGURATION MENU
INTRODUCTION
The following pages detail each of the individual AcQSIM configuration sub–menus. Specific details on installation are contained elsewhere
in this manual. Use the Table of Contents to find the desired topic.
1. To open the main configuration, type config at the login prompt and press <Enter>. At the password prompt, enter voxel89 and press
<Enter>.
The following menu appears on the screen:

g Change Hostname
m Configure mouse
o Reboot System
q Quit
Enter option:
2. Enter: “AcQSim Configuration” to open the AcQSim configuration menu:

q Quit
Enter option:_
The following pages detail each of the AcQsim menu options.
CONFIGURE RTP CONNECTIONS – OPTION A
Configuration Note: 3.4 software and higher: UNIX file system may be exported from AcQSim as in the previous releases or imported
from a remote node depend on the requirement to support multiple AcQSim is recommened for cases with a single AcQSim and single
RTP system.
Up to three proprietary RTP system connections could be configured on the AcQSim for images. Note that RTP systems with DICOM
connections don’t have an images directory. They all share one pair of “Sim Plan Export” and “RTP Plan Import” directories.
IMPORTANT NOTE
This section details how the network and the AcQSim software must be configured. It details how to configure AcQSim
for the export and import of both image and treatment planning data. It is the responsibility of the third party manufac-
turer to configure the system to which AcQSim will be connected. The software to execute the networking functions is
described in detail in the AcQSim Operators manual, but in effect image transfers are initiated through either the Pack-
age menu (proprietary connections) or the Network menu (DICOM only) and treatment planning data transfer functions
are initiated from within AcQSim Virtual Simulation (Export) and Verification (Import).
It is possible to validate the configuration for any of the proprietary connections and that part of DICOM based connections involving
treatment planning data transfer by looking in the appropriate directories as indicated in the text following “Setting up the following export
directories”.
To check that the AcQSim is configured properly, watch the messages after responding to “Is it OK?” prompt. The export, import and image
directories should have been created and the base directory should be exported as shown in the examples. Initiate the network image
transfer from the Packages menu for ROCS, ADAC and CADPLAN and RTOG export plan data from AcQSim Virtual Simulation or
Verification Connectivity menu. The system should write the data into the configured directories. This can be verified by “cd” ing to the
specific directories and listing the files with the “ls” command; for example:
% cd /pic/connect/images_rocs
% ls <Enter>
You should get a listing of files with .IMG and .DAT extensions for ROCS ONLY. Other types of files may be indicated for other RTP network
connections.
Imported plan data can be confirmed after using the Import function from within AcQSim Verification Plan Manager.
EXAMPLES
The following are examples. Actual entries (names, addresses, etc.) are site dependent, but follow the formats shown here. The following
examples are the result of selecting “a” at the AcQSim Configuration menu. Bold type indicates user or FSE–entered responses.
ROCS
From the AcQSim configuration menu, enter option a and pres <Enter> . The program displays information that is local–site dependent
and is only similar to the following:
RTOG Export (New for 4.1)
The RTOG Export is now an option with release 4.1. This package allows the user to write treatment planning information to files in the
format used by the RTOG 3–D conformal radiation therapy clinical trials which are conducted under the auspices of the American College
of Radiology. Files written in the RTOG format describe CT scans, patient structures (organs), beam geometries, dose distributions, and
dose–volume histograms. It is expected that these files will be sent to the 3D Quality Assurance Center at Washington University, St. Louis
for evaluation as part of clinical trials. The user interface provides a means to send the files via the unix ftp command.
The RTOG Export directory should be created by following the Configure RTP Connection steps as detailed below. Verify that the RTOG
Export directory is created by “cd” ing to it’s directory. The actual RTOG file export is initiated while in the AcQSim application software
under “Options”, “RTOG Format Export”.
In Unix, the RTOG Export directory is: /pic/rtp/RTOG

q Quit
Enter option: “Configure RTP Connections”
Connectivity directories for studies, plans and DRRs :
Enter File Systemtype (l=local/r=remote) [ l ] :
Directory = [ /tmp ] : /pic/connect/images_rocs
Is this OK ? [ y ] : <Enter>
/pid connect/images_rocs did not exist. /pid connect/images created.
CADPLAN
Connectivity directories for studies, plans and DRRs :
Enter File Systemtype (l=local/r=remote) [ l ] :
Directory = [/tmp]: /pic/connect
Is this OK ? [ y ] : <Enter>
/pic/cadplan did not exist. /pic/cadplan created.
1. Enter option a and press <Enter> . The program displays information that is local–site dependent and is only similar to the following:
Enter File System type (l=local/r=remote) [ l ] :
Directory = [ /tmp ] : /pic/connect/images_rocs
Is this OK ? [ y ] :
All the connections (proprietary or DICOM) would have the following two options to configure:
Sim Plans Export
Directory = [ /tmp ] : /pic/connect/export_plan
Is this OK ? [ y ] : y
/pic/connect/export_plan did not exist. /pic/connect/export_plan created.
RTP Plans Import
Enter File System type (l=local/r=remote) [ i ] :
Source Directory = [ cadplan:/users/cad/acqsim ] :
Mount Directory = [ /pic/connect/images_cadplan ] :
Please remove old entries for cadplan:users/cad/acqsim from /etc/vfstab
If there are connections to Portal Vision or IMPAC they could be configured similar to the rtp
systems as follows.
DRR Save – CART
Directory = [ /pic/connect/CART ] :
/pic/connect/CART did not exist. /pic/connect/CART created.
DRR Saves – IMPAC
Directory = [ /pic/connect/DRR ]:
/pic/connect/DRR did not exist. /pic/connect/DRR created.
Done configuring acqsim connections ....
2. If you enter y, the program returns to the main AcQSim menu. If you enter n, the program prompts you to enter values. The program
responds with a display similar to the following for a “y” response:
/pic/rocs did not exist. /pic/rocs created.
/pic/rocs/export_dir did not exist. /pic/rocs/export_dir created.
/pic/rocs/import_dir did not exist. /pic/rocs/import_dir created.
/pic/rocs/images did not exist. /pic/rocs/images created.
Exported /pic/rocs
Done
AcQSim Preferences – Option B

q Quit
Enter option:
NEW 4.1 MENU CHANGE
1. Enter option “AcQSim Preferences” and press <Enter> . The following display appears:
Enter values for following fields:
MxTWIN Table Height in cm? [n] n <enter>

Accept UltraZ Datasets? [y] Y <enter>
Accept Mx8000 Datasets? [n] n <enter>
Accept MxTwin Datasets? [n] n <enter>
The screen will then report back your choices for confirmation:
MxTWIN Table Height in cm? n

Accept UltraZ Datasets? y
Accept Mx8000 Datasets? n
Accept MxTwin Datasets? n
Is this ok? [y] y <enter>.
NETWORK HOSTNAME/ADDRESS SETUP FOR AN RTP SYSTEM – OPTION C


q Quit
Enter option:
1. Enter option “Network Hostname/Address setup” and press <Enter>. The following menu appears:
b Test connections
d Delete a host
q Quit
Enter option:
HINT: Before adding a host or testing connections, select c and check the current configuration. An example configuration is:
Local host name is : godzilla
#
#Internet host table
#
127.0.0.1 localhost
144.54.160.18 godzilla loghost
144.54.160.1 stdavids sparkie
144.54.37.11 ct
144.54.162.8 colorhp
144.54.162.9 hpdesignjet
144.54.53.107 dvq1 mfg1
144.54.53.108 dvq2 mfg2
2. Enter option a and press <Enter>. A screen similar to the following appears:
Enter host name to add to table [ ] : excalibur <Enter>
Enter the host name of your choice. A screen display similar to the following appears:
The following sets up the internet address of the host. This

will have the form : XXX.XXX.XXX.XXX. Example 128.2.2.2 A local
network administrator may want to provide this address.
Enter the Internet address [ ] : 144.54.160.31 <Enter>
b Test connections
d Delete a host
q Quit
Enter option: “Show Network Configuration”
Local host name is : godzilla
#
#Internet host table
#
127.0.0.1 localhost
144.54.160.18 godzilla loghost
144.54.160.1 stdavids sparkie
144.54.37.11 ct
144.54.162.8 colorhp
144.54.162.9 hpdesignjet
144.54.53.107 dvq1 mfg1
144.54.53.108 dvq2 mfg2
144.54.160.31 excalibur
3. Enter the appropriate internet address of the newly added host and press <Enter>. The program
returns to the menu.
4. Enter option q and press <Enter>. This returns you to the main AcQSim menu.
Configure AcQSim Printers/Plotters – Option D
q Quit
Enter option:
1. Enter option “Configure AcQSim printers/plotters” and press <Enter>.
Reading options, please wait ...
Printer Configuration Options:

1) Select a printer
2) Add/Create printe
3) Remove/Delete printer
4) Test printer
5) Query printer queue
6) Clean printer queue
7) Printer queue status
8) Reset printer
9) Show printer configuration
10) Restart print spooler

11) Install Drivers
12) Set as default text printer
13) Select plotter model
q) Exit menu
Curent printer is {AcQPrint}. Option [ ] : 1 “Select a printer”
List of available printers:
1) AcQPrint (HP DeskJet)

2) AcQPlot (Lexmark 4079 plus)
3) Unsupported Postscript Printer
Please select a printer [ AcQPrint ] : 1
How to configure for a remote Printer

Note: Use the hostname of network printer when using HP 5M or Seiko 830ps / 1830ps. for local printer answer “n” for “Do you want
to configure for remote printing”.

1) Select a printer
2) Add/Create printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 2 “Add / Create Printer”
Are you sure you want to add a printer {AcQPrint} [ n ] : y

Do you want to configure {AcQPrint} for remote printing ? [ n ] : y
Enter remote host for {AcQPrint} [godzilla] : mephisto
Adding printer {AcQPrint} for a SOLARIS system

Configuring for remote printing to ’mephisto’
‘mephisto’ has been modified.
Added ‘mephisto’ to ‘lpsystem’
destination “AcQPrint” now accepting requests
printer “AcQPrint” now enabled
1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 4 “Test Printer”
Successfully sent job to {AcQPrint} ....

Test page successfully sent to {AcQPrint}

1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 5 “Query printer queue”
Querying printer {AcQPrint} queue ....

waiting for AcQPrint to become ready (offline ?)
Rank Owner Job Files Total Size
1st root 238 acQsim..worksheet 2427 bytes

1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 6 “Clean printer queue”
Removing all jobs from {AcQPrint} queue ....

AcQPrint–238 dequeued
1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 7 “Printer queue status”
AcQPrint:
queueing is enabled
printing is enabled
no entries

1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 8 “Reset printer”
Resetting printer {AcQPrint} queue ....

AcQPrint:
queueing enabled
AcQPrint:
printing enabled
AcQPrint:
queueing enabled
failed

1) Select a printer
4) Test printer
8) Reset printer
11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 9 “Show printer configuration”
Configuration:
Banner: on
Content types: any
Device:
Interface:
Modules: default
Printer type: unknown
Comment:
HP Deskjet
Status:

1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 10 “Restart print Spooler”
Removing ALL jobs from ALL printers
failed
failed
failed
failed
failed
failed
failed
failed
failed
Shutting down print schduler

Print services stopped.
Killing print schduler
kill–9 173
Restarting print schduler
Print services started.

1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ } : 12 “Set as default text printer”
Default printer is same as current printer {AcQPrint}.
Please hit return to continue ....

1) Select a printer
4) Test printer
8) Reset printer

11) Install Drivers
q) Exit menu
Current printer is {AcQPrint}. Option [ ] : 13 “Select plotter model”

Select from the following:
1) PaintJet XL300
2) Lexmark 4079 plus
3) postScript levII
Current plotter model is PaintJet XL300
Enter selection [ 1 ] :
New selection is PaintJet XL300. Is this ok ? [ y ] : y
Current printer is {AcQPrint}. Option [ ] : q

q Quit
Enter option:
CHANGE ACQSIM PASSWORD – OPTION E
Enter option: “Change AcQSim Password” and press <Enter> The following menu appears:
Do you wish to see the current AcQSim Password? (Y/N) [Y]
The current AcQSim password is ‘picker’.
Do you wish to change the current AcQSim Password? (Y/N) [ n ]
Done configuring AcQSim Password

f configure special CADPLAN import/export flags
q Quit
Enter option:
DICOM CONFIGURATION
NOTE
Continue to set up the VQ for DICOM only if you will be pushing from the VQ to another
DICOM compliant node (RTP is a DICOM-compliant node). The Voxel Q is factory set
to receive DICOM pushes on port 104 (application title: DICOM_STORAGE), and can
handle multiple associations.
NOTE
Once the hardware and IP address setups are complete, the following procedure must
be run so the VQ knows which hosts in the host database support ethernet-p or DICOM
network connections.
1. Login as ‘config’ <Enter>. Password: voxel89 <Enter>. The following menu will appear:

g Change Hostname
m Configure mouse
o Reboot System
q Quit
Enter option:
2. Choose option “Network Application Configuration”. The Voxel Q responds by scrolling the current network configuration and the
following menu:
Network Application Configuration Menu
a Display Entire Configuration
b Network Filming Configuration
c HPQ (PICKER MR) Network Configuration
d Ethernet-P Configuration
e DICOM Configuration
f Image Preview Configuration
g DICOM filming Configuration
q Quit
3. For DICOM connection: Choose option “DICOM Configuration” . The following menu will appear:
DICOM Network Config Menu

a Display DICOM Configuration
b Add an entry
c Delete an entry
q Exit Menu
Enter Option : [q]:
4. To add an entry to the system select option “Add an entry” . A similar menu will appear:
DICOM Configuration
Index Host Name Port Number Application Title
–––––––––––––––––––––––––––––––––––––––––––––––––––––––
Enter hostname : [ ]:
5. Enter the host name of this local Voxel Q . After entering, the following will appear:
Enter port number : [104]:
NOTE
To push images from the Voxel Q via DICOM, you must configure each DICOM node
you wish to send to. You will need to know:
1) Application Entity Title for that node.
2) The TCP port number the Service Class Provider is listening to.
3) The IP address of the node.
The information is entered by logging in as config.
NOTE
To receive images from the remote system use the default values for example: port 104/
application title, if this is not applicable enter in remote port number and application title.
6. Enter the port number by pressing <Enter> to accept the default. If the default is not chosen, the port number must match the DICOM
port number of the system that is pushing (For example, a PQ scanner is set up for port number 2100: choose 2100 here). After
entering, the following menu will appear:
Enter Called Application Title : [DICOM_STORAGE]:
7. Enter the Called Application Title by pressing <Enter> to accept the default. If the default is not chosen, the Application Title must match
the DICOM port number of the system that is pushing (For example, a PQ scanner is set up with an Application Title of VQ1 - choose
VQ1 here).
8. The following menu will appear:
Override Calling Application Title? (y/n) [n]:
9. To override the The calling AE Title, enter “y”, otherwise enter “n” and the menu below step 10 appears. If the user responds “y”,
to the question in step 8, the following menu appears:
Enter Calling Application Title : [DICOM_STORAGE]:
10. Enter the calling AE Title. The calling AE Title is the DICOM AE Title used by the Voxel Q in opening an association as an SCU with
the DICOM node being specified. The following menu appears:
Node Type Menu
a VoxelQ
b IQ
c PQ
d PICKER_IMACS
e New Preview
f Other
Enter Option: [f]:
11. Choose the node type of the DICOM node being specified. The following menu will appear:
Current Config Options = “current options”
Config Options Menu
a Clear options
b Add options
q Quit
12. Select “Clear Options” to clear the current config options. Select “Add options” if required. Select “Quit” if no other options are
needed.
13. If “Add options” is selected, the following menu appears:
Config Options Menu
a COLOR_HSV
b NOGRP5000
c RTSSCOORD_BAD
d RTPLANGEOMETRY_DEVICE
e RTIMAGE_12BIT
f RTIMAGE_NOBURNTANNOTATIONS
q Quit (add nothing)
14. What follows is a brief description of these configuration options. With the exception of the option “RTSSCOORD_BAD”, these options
are described in the Voxel Q Workstations DICOM Conformance Claim. In all cases if you are uncertain about the setting of an option
you should refer the customer to the conformance claim (P/N T55Y–1009).
Note that if any of these options are changed, the customer should be sure to validate the affected DICOM connections.
COLOR_HSV – This option determines what photometric interpretation (0028,0004) will be used when sending color images.
Entering this option causes color images to be sent in HSV format. The default behavior is to send color images as RGB. You should
use this option if the receiving DICOM system does not support RGB color images but does support HSV.
NOGRP5000 – This option determines whether or not group 5000 Curve Modules will be sent with CT images. Entering this option
prevents group 5000 Curve Modules from being sent with CT images. The default behavior is to send group 5000 Curve Modules
with CT images. You should use this option if the receiving DICOM system rejects CT images containing group 5000 Curve Modules.
RTSSCOORD_BAD – This option determines whether the coordinate system used in Structure Sets is DICOM compliant or not.
Entering this option causes a non–compliant coordinate system to be used. The default behavior is to use the standard
DICOM–compliant coordinate system. You should use this option only if the receiving DICOM system is NOMOS and you have been
told that its software does not correctly implement the standard with respect to Structure Set coordinates.
RTPLANGEOMETRY_DEVICE – This option determines whether RT Plan plan geometry (300A,000C) is sent as
“TREATMENT_DEVICE” or “PATIENT”. Entering this option causes plan geometry to be sent as “TREATMENT_DEVICE”. The default
behavior is to send plan geometry as “PATIENT”. You should use this option if the receiving system requires plan geometry to be
“TREATMENT_DEVICE”.
RTIMAGE_12BIT – This option determines whether RT Images are sent with 8 bit or 12 bit pixel data. Entering this option causes
pixel data to be sent as 12 bit. It also implicitly sets the RTIMAGE_NOBURNTANNOTATIONS option described below. The default
behavior is to send pixel data as 8 bit. You should use this option if the receiving system supports 12 bit pixel data and the customer
has requested that AcQSim be configured to transmit 12 bit pixel data.
RTIMAGE_NOBURNTANNOTATIONS – This option determines whether or not BEV (Beam’s Eye View) organ contours, block
outlines, MLC outlines, beam outlines, and coordinate axes are “burnt in” to RT Image pixel data. Entering this option prevents this
information from being “burnt in” to RT Image pixel data. The default behavior is to “burn in” the information in RT Image pixel data.
You should use this option if the customer requests that this data be “burnt in” to RT Image pixel data.
15. When an option is selected the following menu will appear again: (Multiple config options may be entered by repeating the process).
DICOM Network Config Menu
a Display DICOM Configuration

b Add an Entry
c Delete an Entry
q Exit Menu
Enter Option [q]:
16. Enter “q” to return to the “Network Application Configuration Menu” described in step 2 above. Enter “q” again to return to the
menu described in step 1 above. When prompted, select “n” to reboot the system. Rebooting is required in order for the changes
to take effect.
NOTE+
This is the name given to a DICOM application running on a node somewhere on the
network. This name is used by DICOM to uniquely identify the application on the net-
work. Each node should have a unique Application Entity Title. (The uniqueness is not
critical now, but will be in the future when pulling in DICOM is implemented.
DICOM PRINT
Login as ‘config’ <Enter>. Password: voxel89 <Enter>. The following menu will appear:

g Change Hostname
m Configure mouse
o Reboot System
q Quit
Enter option:
Select Network Applications Configuration, then hit <Enter>. The following menu appears:
Network Application Configuration Menu
a Display Entire Configuration
b Network Filming Configuration
c HPQ (PICKER MR) Network Configuration
d Ethernet-P Configuration
e DICOM Configuration
f Image Preview Configuration
g DICOM filming Configuration
q Quit
Select DICOM filming Configuration, then hit <Enter>. The following menu appears:
Proceed setup of DICOM filming Configuration by following screen prompts.
ssss
ssss
ssss
ssss
ssss
ssss
END OF PRELIMINARY NETWORKING INSTRUCTIONS
CONFIGURE SPECIAL CADPLAN IMPORT FLAGS – OPTION F
INITIAL STEPS
Login to the Voxel Q in the following manner:
The Voxel Q responds with:

g Change Hostname
m Configure mouse
o Reboot System
q Quit
Enter option : “AcQSim Configuration” <Enter>

q Quit
Enter option:_
Enter option: “Configure special CADPLAN import / export flags” and press <Enter> The following menu appears:
This menu will let you configure CADPLAN beam data import and some special flags to fix CADPLAN plan import problems.
Cadplan Plan IMPORT/EXPORT fixes
1) NO CADPLAN import/export fixes

2) ALL CADPLAN import/export fixes (Version 2.7.9)
3) Selective CADPLAN import/export fixes
4) Quit
All CADPLAN import/export fixes DISABLED
Choice: [ ]
CADPLAN Beam Data Import:

Do you want to enable it? (Y/N) [ n ]
Done configuring Special CADPLAN import flags
NOTE
Select option “ALL CADPLAN import/export fixes” when running CADPLAN version
2.7.9.
g Change Hostname
m Configure mouse
o Reboot System
q Quit
Enter option: q <Enter>
Note : To have the new configuration take effect, the system must be rebooted.
PRINTERS
NOTE
The various printer choices that have been available in the past have now been super-
ceded by the Lexmark Optra 45N. No other printers will be offered but those already
in the field will still be supported in VQ 4.1.1 and VQ 4.2.
PREREQUISITES
• Software must be 4.0 or higher for printer and laser use.
• AcQSim software package must be enabled in the Voxel Q.
TOOLS REQUIRED
• Standard FSE Tool Kit
• Wrist strap and grounding mat
PARTS SUPPLIED
AcQSim Printer Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177956 1

Cable, Assembly, 2 serial/2 parallel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177958 1
Cable, 2S/2P Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L8411 1
Interface Card 4S/2P, S-bus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96268 1
Printer HP Deskjet (Obsolete) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96266 1
Printer, Lexmark Optra 45N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312440 1
Parallel IEEE Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L11279 2
INSTALLATION INSTRUCTIONS
These instructions are in two parts:
• S-Bus Board and Internal Cable Installation instructions: These steps will be done only if your site is an existing site that does
not have the S-bus board and cables installed. Do all these steps, then continue with the Printer Installation instructions.
• Printer Installation instructions All sites will perform this procedure.
S-BUS BOARD AND INTERNAL CABLE INSTALLATION INSTRUCTIONS
1. Power down the Voxel Q and disconnect from the ac main by doing the following: (at the Applications screen):
a. Go to the Applications screen and select environment from the pull-down menu.
b. Select powerdown.
c. The Voxel Q monitor displays:
Program Terminated
Type b(boot) c(continue) or n(new command mode)
d. Turn the key switch to “OFF”. Set Voxel Q rear panel Main Breaker to OFF. Power down is complete.
NOTE
Power down can also be done from the % prompt. See the User’s manual for information
on this procedure.
2. Remove side and front covers; open the rear door:

a. Remove the small grill from the front of the tower (gently pull outward).
b. Loosen the middle 1/4-turn fastener located in the front, top section of the Tower. Then pull the cover out and up.
c. Loosen the 1/4-turn fasteners at the rear of a side cover. Slide the panel toward the rear, then remove it. Do the same process
for the other panel.
d. Loosen the two 1/4-turn fasteners on the rear door and swing the rear door open.
CAUTION
AN ELECTROSTATIC HAZARD EXISTS FOR DEVICES USED ON THE CIRCUIT
BOARDS INSIDE THE CONSOLE. USE A GROUNDED STATIC WRIST BAND TO
PREVENT ELECTROSTATIC DAMAGE OF PCB COMPONENTS. FAILURE TO COM-
PLY MAY RESULT IN DAMAGE TO ELECTRONIC COMPONENTS ON THE CIRCUIT
BOARDS.
3. Using proper grounding procedures remove the Host assembly board from the tower by doing the following:
a. Disconnect power and data cables.
b. Remove 4 mounting screws.
c. Remove the Host assembly from the tower and place on a properly grounded work surface.
CAUTION
USE CARE WHEN INSERTING THE S-BUS BOARD INTO THE HOST ASSEMBLY.
S-BUS BOARD PINS CAN BE DAMAGED IF THE BOARD IS IMPROPERLY
INSERTED INTO THE S-BUS SLOT.
4. Verify the settings of the S-bus board dip switches. Figure 21 illustrates the location of the dip switches.
1
SET SW-1 TO ‘ON’
ALL OTHERS: SET TO ‘OFF’
I/O CONNECTOR
VLSI
‘S’ BUS
CONNECTOR
ON BACK SIDE
VLSI
FIGURE 21 S-Bus Board Dip Switch Settings
5. Install the new 4S/2P S-Bus Interface board (p/n 96268) in any available slot in the host assembly as shown in Figure 22 However,
if Slot 1 is already filled, any slot is acceptable. The board should fit firmly into the mating connector on the Host board.
4S/2P INTERFACE CARD (POSSIBLE LOCATION)
HOST ASSY - SIDE VIEW REAR VIEW
FIGURE 22 4S/2P S-Bus Interface Board Installed on Host Assembly
6. Reinstall the Host Assembly in the Voxel Q.

a. Remount using the 4 mounting screws.
b. Connect all cables.
7. Install cable assembly (part no. 177958) between the S-Bus Interface and the back panel of the tower by doing the following;
a. Insert the 62-pin D-type connector into the matching S-Bus Interface card connector. Tighten the security screws on the cable
shell to secure the connector.
b. Remove the rear panel from the four connectors.
c. Run the cable to the rear alongside, not under the fans. Ensure that the cable does not block airflow to the boards. Use cable
ties as necessary to tie the cable to the side of the fan area.
d. Reinstall the four connectors onto the panel. Install serial 1 and Parallel 1 in the top two holes; install Serial 2 and Parallel 2 into
the bottom two holes.
e. Remove one of the inserts on the rear door of the Voxel Q tower, refer to Figure 24. Save the four screws for the next step.
f. Mount the serial / parallel cable panel into this location on the rear door.
PRINTER
PLOTTER
FIGURE 23 Cable Routing Through Tower To Printers

8. Reinstall all the panels (sides, top) onto the tower.
9. Install the transmitters into the ports labeled Printer 1 and Printer 2. Tighten the connector security screws supplied with the
transmitters.
PRINTER INSTALLATION INSTRUCTIONS
NOTE
The various printer choices that have been available in the past have now been super-
ceded by the Lexmark Optra 45N. No other printers will be offered but those already
in the field will still be supported in VQ 4.1.1 and VQ 4.2.
1. Unpack the printers and place in the customer-defined locations.

a. Typically, the Lexmark is placed near the Voxel Q.
b. Typically, the Deskjet (now obsolete) is placed in the scan room.
2. Discard all packing materials. Store the printer documentation with the customer manuals.
Power and Data Cables Information: We supply 25 feet (8 m) of cable. Longer runs of cable can be used. This cable may be
purchased where phone accessories are sold; however, data communications cable provides better signals. Newer Systems are
shipped with 10’ parallel printer cable. These must be IEEE–1284 certifield to be used on the Voxel Q.
3. Install the HP Deskjet Printer (obsolete)

The Deskjet works with various input voltages, but is supplied with the domestic, 120 VAC cord set. Contact an H-P dealer for other
configurations. This printer is no longer sold as an option. (This information is kept for field support only)
a. Connect the printer to AC power.

b. Install a receiver into the printer’s input port. Tighten the connector security screws.
c. Connect this printer to the Voxel Q port labeled “Printer 1”. (Figure 24) (You can use either RJ-11 connector.)
4. Install the Lexmark Optra 45N Inkjet Printer
NOTE
The Optra 45N has extensive printing capabilities in regards to paper formatting sizes
including ledger sizes (11x17 inch). Using VQ 4.2, it is possible to print without selecting
the correct paper tray manually. Using VQ 4.1.1, the operator must select the correct
tray before printing.
We supply the Lexmark with the domestic 120 VAC cord set. For other voltages, use the appropriate cord set.
a. Connect the plotter to AC power. Use the correct cord set and change fuses as needed.
b. Connect this printer to the Voxel Q port labeled “Printer 2”. (You can use either RJ-11 connector.)
ON 1 2 3 4
TRANSMITTER SETTING
SHOWN AT 5 SECONDS
RE-USE EXISTING #6 MTG
HARDWARE SUPPLIED WITH REAR
DOOR ASSEMBLY (4 PLACES)
DESKJET LEXMARK
(REAR VIEW) (REAR VIEW)
FIGURE 24 Rear View of Tower: Printer Interconnect Panel and Cables

5. Install paper into the printers.
a. Deskjet: standard 8-1/2 x 11-inch copy paper.
b. Lexmark: 11 x 17-inch copy paper.
6. Lexmark 4079 Plus Only: From the Lexmark front panel, set the parallel port mode from “fastbytes” (default) to “standard” port.
7. Several menu items must be set on the Lexmark plotter. See “Lexmark Optra 45N Setup”.
POWER UP
1. Apply power to the Voxel Q.
2. Apply power to each printer:
a. Press the power button on the Deskjet.
b. Press the READY button on the Lexmark.
LEXMARK OPTRA 45N SETUP
The Lexmark Plotter has a front panel menu screen which is used to setup the printer’s configuration. See Figure 25 below, for menu flow
chart. Most of the menu items do not have to be set. The menu items that are important are called out in the figure below. For additional
details on each menu item, see the manufacturers manual for the Lexmark Optra 45N.
LEXMARK OPTRA 45N FRONT
PANEL SETUP SCREENS
SUPPLIES MENU PAPER MENU TESTS MENU JOB MENU SETUP MENU
CHANGE CARTRIDGE PRINTER LANGUAGE: PS/2
PAPER SIZE: 11X17 ALIGN CARTRIDGES CANCEL JOB
FINISHING MENU * PRINT TIMEOUT: 0
PAPER TYPE: D CLEAN HEADS RESET PRINTER WAIT TIMEOUT: D PCL EMUL
PRINT BUFFER AUTO CONTINUE: D MENU *
JAM RECOVERY: AUTO
PRINT DEMO
COLOR MENU
COLOR CORRECTION
PRINT QUALITY
POSTSCRIPT MENU PARALLEL MENU
PRINT PS ERROR: 0 PCL SMARTSWITCH: ON

FONT PRIORITY: RESIDENT PS SMARTSWITCH: D NETWORK MENU * INFRARED MENU * LOCALTALK MENU *
NPA MODE: D SERIAL MENU *
IMAGE SMOOTHING: 0
PROTOCOL: FASTBYTES ON
PARALLEL MODE 1: ON
PARALLEL MODE 2: ON
WHILE CERTAIN MENU ITEMS ARE LISTED WITH D = DEFAULT

A SEMI–COLON THOSE VALUES SHOULD BE 1 = ENABLE
SET. 0 = DISABLE
* = NOT USED
WHERE THERE IS NO SEMI–COLON, THE MENU
ITEM IS LISTED FOR OPTIONAL INFORMATION.
ADAPTED FROM OPTRA 45N PLOTTER USERS GUIDE
LEXMARK, INTERNATIONAL INC. 1998
FIGURE 25 LEXMARK PLOTTER SETUP
CODONICS NP–1660 DICOM PRINTER
PRINTER TRAY MUST This Printer is now
BE INSTALLED IN Obsolete. Information is
ORDER TO ACCESS being kept for existing
KEYPAD FUNCTIONS hardware support in the
field
NETWORK AC INPUT
CONNECTION
Codonics printer
user information
FIGURE 26 Codonics Printer Model NP–1660
PRINTER NETWORK SETUP (SEE LCD SCREEN ON PRINTER)
NOTE
These network instructions are adapted from the NP–1600 printer and are considered
preliminary until final testing is completed.
1. Connect the Codonics printer to the network receptacle nearest to it. Apply power and turn printer on.
2. Install Codonics printer tray. The Codonics printer screens will not operate without the printer tray installed.
3. At the Codonics printer keypad, press “ONLINE” (this key is equivalent to ‘enter’ for most purposes) until the display reads “SETUP
ADMIN”. Press the “STATUS” key until the display reads “SETUP: NETWORK”.
4. Press “ONLINE” to obtain the “NETWORK: IP ADDR” screen and press “ONLINE” again. Notice that the default IP address is shown
and a blinking cursor is positioned at the number to be set. This IP address is set by pressing or accordingly.
5. The IP address to be edited will increment by pressing “ONLINE” (this shifts the cursor to the next 3–digit number). Notice that there
are (4) 3–digit numbers that make up the IP address (example: 144.054.046.015). When complete, the screen will read “NETWORK:
IP ADDR”. This is now the Codonics printer IP address.
6. Press “STATUS” until the screen reads “NETWORK: GATEWAY”. Press “ONLINE” to obtain the current (default) number. This
Gateway address is modified by pressing or accordingly. When done, the Codonics screen will read “NETWORK: GATEWAY”.
7. Press “STATUS” until the “NETWORK: EXIT” screen is obtained. Press “ONLINE” to exit this screen. the printer screen should now
indicate “READY”.
PRINTER / PLOTTER TEST PROCEDURE
1. The following commands verify printer and plotter operation.
a. Login to the Voxel Q in the following manner:
The Voxel responds with:

g Change Hostname
m Configure mouse
o Reboot System
p FIX DR–11 after slot swap
q Quit
Enter option : AcQSim Configuration
b. The system displays the following menu:

f configure special cadplan import flags
q Quit
Enter option: Configure AcQSim printers / plotters
2. Configuring of the AcQSim printers and plotters is usually not needed. However, when it is needed, as in the case of having two Voxel
Q workstations and one set of printers, select “Configure AcQSim printers / plotters” and press <Enter> Follow the on-screen
instructions.
3. Reset the AcQSim printers and plotters and restart the printer daemon by selecting option d and pressing <Enter>. The following comes
up on the monitor:
Loading options, Please wait . . . .

1) Select a Printer
4) Test Printer
5) Query Printer queue
8) Reset printer

10) Install Drivers
q) Exit Menu
Current printer is { AcQPrint }. Option [ ]:
4. Test the Deskjet by selecting “Test Printer” and pressing <Enter>
5. Test the Lexmark plotter by first selecting option “select a printer” <Enter>. Select “AcQPlot” as the printer.
6. Once AcQPlot is selected as the current printer, then select option “Test Printer” and press <Enter>.
7. Clean up, straighten up all loose cables and paper. Throw away packaging materials (unless customer wants to keep it). Wipe down
equipment with a damp cloth or glass cleaner, as necessary.
CONFIGURING LOCAL PRINTER AND PLOTTER

This procedure can be used on 3.4 or greater software to configure a local printer or local plotter on an AcQSim System. Local
printers/plotters are directly connected to the Voxel Q being configured via a full handshaking parallel printer cable.
Install Local Printer:
Preliminary:
Installation of the printer hardware and connection to the Voxel Q system is completed and functional using full handshaking parallel printer
cables.
Enter the configuration program via...
su config
voxel89
Select AcQSim Configuration
Select Configure AcQSim printers/plotters
Select Install Drivers
This installs the drivers for the S–Bus Aurora printer card. Install Drivers should ONLY be done on the system that has the
printers connected directly to the dual printer ports of the Voxel Q being configured.
Select a printer
A list of available printers is displayed
Select your AcQPrint printer from the list.
Select Add/Create printer
Answer ‘y’ to ‘Are you sure you want to add printer {AcQPrint} [ n ] : y
Answer ‘n’ to ‘Do you want to configure {AcQPrint} for remote printing? [ n ] : n
This starts the printer Daemon. If completed successfully, the following message appears.
printer ‘AcQPrint’ now enabled
Reboot the system

Select Test printer
A test print should be printed completing the configuration of this printer. If the test page does not print, use the following
printer configuration options for troubleshooting.
Install Local Plotter:

Preliminary:
Installation of the plotter hardware and connection to the Voxel Q system is completed and functional using full handshaking parallel printer
cables.
su config
voxel89
Select Install Drivers
This installs the drivers for the S–Bus Aurora printer card. Install Drivers should ONLY be done on the system that has the
printers connected directly to the dual printer ports of the Voxel Q being configured.
Select a plotter model
Select the Paintjet XL300 or Lexmark 4079 Plus
Select printer
A list of available printers and plotter is displayed
Select your AcQPlot plotter from the list.
Answer ‘y’ to ‘Are you sure you want to add printer {AcQPlot} [ n ] : y
Answer ‘n’ to ‘Do you want to configure {AcQPlot} for remote printing? [ n ] : n
printer ‘AcQPlot’ now enabled
Reboot the system

Select Test printer
CONFIGURING REMOTE PRINTER AND PLOTTER
This procedure can be used on 3.4 (or higher) software to configure a remote printer or remote plotter on an AcQSim System. Remote
printers/plotters will print through an ethernet connection using another Voxel Q as a server.
Install Remote Printer:

Preliminary:
The server Voxel Q system completely configured and functioning for local printing. The Ethernet connection between the systems should
be installed and functional.
su config
voxel89

Select Network Hostname/Address setup
Select Add a host and address
Enter host name to add to table [ ] : vqserver
Enter the Internet address [ ] : 144.54.160.31
Select Test connections
This tests the Ethernet connection between the Voxel Q and the printer.
‘q’ quit back to the AcQSim Configuration

Select a printer
Select your AcQPrint printer from the list.

Answer ‘y’ to ‘Are you sure you want to add printer {AcQPrint} [ n ] : y
Answer ‘y’ to ‘Do you want to configure {AcQPrint} for remote printing? [ n ] : y
Enter the remote host for {AcQPrint} [godzilla] : vqserver
This starts the printer Daemon. If completed successfully, the following message appears. printer AcQPrint’ now enabled
Select Test printer
A test print should be printed completing the configuration of this printer. On a remote printing job, give the system about two
minutes to print. If the test page does not print, use the following printer configuration options for troubleshooting.
CONFIGURING SEIKO POSTSCRIPT NETWORK PRINTER (OBSOLETE)
Prerequisites:
The Seiko printer should be installed onto the network and functional.
Seiko printer configuration
The ‘seiko830ps_ebl’ option must be enabled.

Configure the printer’s ‘IP’ address and netmask. (Done on the printer)
su config
voxel89

Enter host name to add to table [ ] : hp5m

Select a printer
Select your AcQColor Seiko printer from the list.
If the HP5M printer is not listed, this indicates the seiko830ps_ebl option is NOT enabled.

Answer ‘y’ to ‘Are you sure you want to add printer {AcQColorSeiko} [ n ] : y
Answer ‘n’ to ‘Do you want to configure {AcQColorSeiko} for remote printing? [ n ] : n
printer ‘AcQColorSeiko’ now enabled
Reboot system
Select Test printer
A test print should be printed completing the configuration of this printer.

If the test page does not print, use the following printer configuration options for troubleshooting.
SEIKO PRINTER NETWORK CONFIGURATION (OBSOLETE)
Prerequisites:
Obtain an IP address for the printer from the network administrator.

Obtain a network subnet mask from the network administrator.
If the printer is on a different subnet than the workstations, Obtain the IP address of the router connected to the printer.
The printer has been assembled and tested per the printer documentation.
The printer is connected onto the network.
Use the front panel of the printer to enter this information as follows.
Press the MENU key to access the menu.
Press + or – to display ETHERNET SETUP
Press MENU to display IP ADDRESS1
Use + or – to adjust the first octet to the correct value (0–255).
Use + or – to adjust the second octet to the correct value (0–255).
Use + or – to adjust the third octet to the correct value (0–255).
Use + or – to adjust the fourth octet to the correct value (0–255).
If all systems are on the same subnet, configuration is complete. Press CANCEL/RESET to exit the menu.
Press MENU to display IP MASK1
Press MENU to display ROUTER ADR1
Press CANCEL/RESET to exit the menu.
From any remote system, ping the printer IP address and verify it is answering.
HP–5M CONFIGURATION (OBSOLETE)
Prerequisites:
Obtain an IP address for the printer from the network administrator.

Obtain a network subnet mask from the network administrator.
If the printer is on a different subnet than the workstations, Obtain the IP address of the router connected to the printer.
The printer has been assembled and tested per the printer documentation.
The printer is connected onto the network.
Use the front panel of the printer to enter this information as follows.
Select [ON LINE] to take the printer off line.

Select [MENU] until the MIO CONFIG MENU appears.
Select [ITEM] until CFG METWORK=NO* appears (this message appears even when the network if configured).
Select [+} until the CFG NETWORK=YES appears.
Select [ENTER]. CFG NETWORK=YES* appears.
Select [ITEM]. CFG TCP/IP=NO* appears.
Select [+]. CFG TCP/IP=YES appears.
Select [ENTER]. CFG TCP/IP=YES* appears.
Select [ITEM] to manually configure TCP/IP parameters.
Select [+] to display BOOTP=NO.
Select [ENTER] to display BOOTP=NO*.
Select [ITEM] until IP BYTE 1=<value*> appears.
Click [+] until the IP value is correct.
Select [ENTER] to save the value.
Select [ITEM] to continue to the next value.
Repeat the above four steps for each octet of the IP address.
Use the same procedure to enter the following parameters.
SM = Subnet mask
LG = server IP address
GW = default gateway
TIMEOUT.
The timeout default is 90 seconds. Up to 3600 seconds can be configured. If the
Select [ON LINE] when configuration is complete.
CONFIGURE HP–5M POSTSCRIPT NETWORK PRINTER (OBSOLETE)
Prerequisites: The HP–5M printer should be installed onto the network and functional.
HP–5M Configuration
Configure the printer”s ‘ip’ address and netmask. (Done on the printer)
su config
voxel89

Enter host name to add to table [ ] : hp5m

Select a printer
Select your AcQColorHP printer from the list.
If the HP5M printer is not listed, this indicates the hp5m_ebl option is NOT enabled.

Answer ‘y’ to ‘Are you sure you want to add printer {AcQColorHP} [ n ] : y
Answer ‘n’ to ‘Do you want to configure {AcQColorHP} for remote printing? [ n ] : n
This starts the printer Daemon. If completed successfully, the following message appears. printer ‘AcQColorHP’ now enabled
Select Test printer
ACQPLAN OPTION
INTRODUCTION
AcQPlan is a three–dimensional radiotherapy treatment planning system (RTP) and simulation system for use in external beam
radiotherapy treatment delivery. AcQPlan allows for the user to identify structures necessary for the development of a dosimetric plan. After
a treatment plan is developed, dose computations can be calculated and visualized volumentrically in 3–D in any plane. After installing,
calibrating and adjusting the AcQSim System, the following steps must be performed prior to using AcQPlan. AcQPlan is only available
in Software Rev 4.0 or later.
1) Therapy Top Installed
2) UltraQ Floppy Disk Drive installed.
3) AcQPlan option enabled (Software Rev 4.0 or later).
THERAPY TOP
Introduction
The Therapy Top is a 53cm. wide carbon fiber couch top that may be installed on any Philips PQ or IQ scanner patient support for use with
AcQSim/AcQPlan software. This top provides radiation oncologists with a patient positioning system that is identical to the Clinac TM family
of linear accelerators, ensuring identical patient setup between CT scanning and treatment.
Prerequisites
Philips PQ, Ultra Z or AcQSim Scanner.
Estimated Time
1 hour
Parts included in the Kit – P/N 179870
QTY. Part Number
AcQSim Therapy Table (1) 310508

Hanger, AcQSim Therapy Table (1) 310748
Rear Plate, AcQSim Therapy Table (1) 310749
Hardware
Rubber Strips, 8’ x 1” x .060 thick (2) T25B–1027
Instructions, AcQSim Therapy Top (1) T55E–1264
MedTec Calibration Bar (1) 311772
Tools Required
Drill
Drill Bit – 3/16”
Torpedo Level 4’
Phillips Screw Driver
Mounting hardware (wall anchors) for wall bracket (obtain locally and use 0.19” – 0.25” dia screws).
Upgrade Summary
The Therapy Top is fitted for easy on/off installation on the patient support. The first time the top is installed on the patient support, a rear
panel must be fastened to the back of the patient support couch top. This rear panel is used to align the Therapy Top each time it is installed.
Procedure
1. Place the Therapy Top on top of the patient support as show in Figure 27. The front edge of the Therapy Top is contoured to fit firmly
onto the front of the patient support, see Figure 28. You may have to back–out the thumbscrews on the back of the top to allow it to
rest on the top edge of the patient support.
THERAPY TOP
PATIENT SUPPORT
FIGURE 27 Placement of Therapy Top
FRONT EDGE OF
THERAPY TOP
FRONT EDGE OF
PATIENT SUPPORT
FIGURE 28 Front View Placement
2. Insert the rear panel between the base of the thumbscrews and the back of the patient support as shown in Figure 29. Press down
on the rear of the therapy table and tighten the thumbscrews to temporarily secure the table and rear plate to the couch top.
THERAPY TABLE
THUMBSCREWS
REAR PLATE
PATIENT SUPPORT
FIGURE 29 Rear View Placement
3. Place a torpedo level across the therapy table at index holes H5. Check level marking to make sure the top is in intimate contact with
the couch top. Check level at locations F3 and F11. If the table top is not level, remove top and install rubber strip shim (supplied with
top) on the underside of the table directly on top of the rubber strip on the side that is low. Re–install the top and verify leveling. Repeat
if necessary.
4. Install the MedTec calibration lockbar into the index hole H5. Lock the bar into position as shown in Figure 30. Make sure the locking
mechanism is located on the right side of the rear table (as viewed from the end of the patient support.).
MEDTEC CALIBRATION
LOCKBAR
THERAPY
TOP
PATIENT
SUPPORT
FIGURE 30 Lockbar Placement

5. Turn on the sagittal laser and move couch so isocenter line is visible on alignment lockbar.
6. Move the sagittal laser left or right to align with centerline of alignment lockbar.
7. Remove the lockbar and re–install it into index location F11. Move the couch in or out so the laser line is visible on the lockbar. Do not
move the sagittal laser.
8. Loosen thumbscrews enough to allow the top to be repositioned so the laser isocenter is aligned with the centerline on alignment
lockbar. Apply downward pressure on the table top to insure top is in intimate contact with the couch top. Tighten thumbscrews.
9. Using the 3/16” drill and the back plate as a drill template, position the back plate at the rear of the couch top and drill out the two holes
as shown in Figure 31. Install the screws, lockwasher and acorn nut as shown to secure the back plate to the rear of couch top.
(2) SCREWS
BACK PLATE
LOCKWASHER
AND ACORN NUT
REAR OF THE
COUCH TOP
FIGURE 31 Back Plate Placement

10. Locate a place on the wall to install the therapy top hanger. The hanger must be mounted at least 100“ from the floor to the top surface
of the hanger. See Figure 32 for details. Make sure there is adequate clearance on each side of the hanger to allow for storage of the
therapy top.
THERAPY WALL
TOP BRACKET
FIGURE 32 Therapy Top Hangar Placement

11. After locating a suitable location for the bracket, check level and mark the center of the three mounting holes. Depending on the type
of wall, install the locally obtained mounting hardware and bracket as shown in Figure 33 .
THERAPY LEVEL
TOP WALL
BRACKET
(3) MOUNTING HOLES
FIGURE 33 Wall Bracket Placement

12. Unit is now ready for use.
ULTRA Q FLOPPY DISK DRIVE
Introduction
AcQPlan software used on the Ultra Q platform requires a floppy disk drive to be installed. This procedure will instruct service personnel
how to install and test the drive on an Ultra Q system.
Prerequisites
Ultra Q System
Voxel Q 4.0 or higher software loaded on system
Estimated Time
1 hour
Parts Included With Kit – 179854
Description QTY. Part Number
Floppy Drive, 3.5” Sun Compatible (1) 310979
Mtg. Bracket, Floppy/Keyswitch VQ (1) 310956
Cable assy, AC Front Panel (1) L8289
Misc. Hardware
Power Cable, VQ Peripheral (1) L8291
Power Adapter Cable (1) 310957
Cable Assy, Floppy Drive VQ (1) L11374
PCB Assy, USA Board (Rev B or Higher) (1) 174686
Installation Instructions (1) T55E–1266
Tools Required
Standard Service Engineers Tool Kit
Upgrade Summary
The floppy drive, once installed in the Ultra Q, will allow the operator to input data from various therapy machines into the Ultra Q. The floppy
is capable of reading 1.44Mb media format under DOS or UNIX file systems. Older systems with a USA board will be upgraded with a new
board having the 34 pin connector installed for the floppy interface.
Procedure
1. Power down the Ultra Q. Exit the VX software (if necessary) by pressing the CNCL key, answer yes. You are now at the /client/startup
% prompt.
2. At the /client/startup % prompt, type logout.
3. When the login: prompt appears, enter the following (operator’s response is in bold):
login: halt <Enter>
4. When the system returns to the OK prompt, turn power off using the keyswitch.
5. Remove AC power cord from rear of Ultra Q.
6. Remove left/right side panels and front panel on Ultra Q. Refer to Figure 34.
SMALL FRONT
GRILL
LEFT AND RIGHT

SIDE PANELS
FRONT PANEL
FRONT VIEW
FIGURE 34
7. Open rear door on the tower and disconnect the keyswitch plug from the power tray. This connector has two black wires that are routed
on the right side of the tower and up to the keyswitch.
8. Remove the (4) four screws retaining the keyswitch assembly to the (tower) rail device assembly. Refer to Figure 35.
9. Pull the keyswitch bezel assembly out of the tower.
NOTE
Check the original mounting brackets on the keyswitch bezel assembly, they could
be similar to brackets provided in the kit. If so, use the original brackets and install
the new floppy bezel assembly to brackets. If the original mounting brackets are dif-
ferent, then use the new brackets and proceed to next step.
KEYSWITCH BEZEL
ASSEMBLY
(2) RETAINING
SCREWS PER
SIDE
RAIL DEVICE
ASSEMBLY
FIGURE 35
10. Remove the left and right device mounting brackets from the bezel assembly. Do this by removing the vertical (8) eight screws (per
side) to the sheet metal of sub–chassis assembly. Refer to Figure 36.
CAUTION
HOLD THE SUB–CHASSIS ASSEMBLY WHILE REMOVING THE VERTICAL
SCREWS. THIS WILL PREVENT THE SUB–CHASSIS ASSEMBLY FROM DROP-
PING AND HELP IN REMOVAL OF SCREWS. FAILURE TO COMPLY CAN RESULT
IN DAMAGE TO EQUIPMENT AND INJURY TO SERVICE PERSONNEL.
DEVICE MOUNTING
BRACKETS
SHEET METAL
SUB–ASSEMBLY
(8) VERTICAL
SCREWS PER
SIDE
RAIL DEVICE
ASSEMBLY
FIGURE 36
11. Carefully lower the rail device assembly down. Use caution while tilting back the top of rail device to gain access for removing the (2)
two rear screws in the device mounting bracket. Carefully place the rail device upright, remove the (2) two front screws and the device
mounting brackets.
12. Install the floppy interface cable L11374 into the floppy drive. Observe polarity and cable marking for correct end to use.
13. Install floppy power adapter 310957 into floppy drive. Install peripheral power cable L8291 into floppy power cable 310957.
14. Install floppy/bezel assembly into tower. Secure with (4) four 6–32x1/4” screws. Make sure bezel front is properly aligned with front
panel. Adjust if necessary. Refer to Figure 37.
NEW KEYSWITCH
BEZEL ASSEMBLY
(2) RETAINING
PROPERLY
SCREWS PER
ALIGNED
SIDE
RAIL DEVICE FIGURE 37

ASSEMBLY
15. Route keyswitch wire along right side of power tray and plug connector into the rear of power tray labeled J1. Secure bundled wires
with tyraps. Refer to Figure 38.
FRONT
KEYSWITCH
WIRE
POWER
DISTRIBUTION
BOARD
POWER TRAY
FIGURE 38
16. Install floppy power cable into an unused power receptacle on power distribution board.
17. Verify that the USA board does not have J1 (34 pin floppy connector) installed. If installed, skip to step 31.
18. Remove two DC power supply cables from the UltraSparc motherboard at J2601 and J2603. Remove the Ultra power supply.
PAIR OF TWO BOARDS.
64MB SIMM DRAM
60NS MEMORY
#86998
ULTRASPARC
MOUNTING BRACKET
#83995
USA PCB
ASSEMBLY
#174686
ULTRASPARC1
167MHz MOTHERBOARD
#86992–A
CARD GUIDE
#T36S–162
FIGURE 39
19. Remove the 50 pin SCSI cable from the USA board.
20. Remove all cables from the rear panel of the UltraSparc motherboard.
21. Remove UltraSparc motherboard from the tower. Refer to Figure 39.
22. Loosen the four captive screws on the rear panel of the UltraSparc motherboard and slide the board out of metal bracket enough to
allow removal of the USA board. Refer to Figure 39.
CAUTION
BE VERY CAREFUL WHEN REMOVING THE ULTRASPARC MOTHERBOARD
AND WORKING OVER THE 64MB MEMORY BOARDS. THE PAIR OF MEMORY
BOARDS CAN EASILY BE MOVED OUT OF POSITION, IF CONTACT OCCURS,
THEN RESET MEMORY BOARDS BACK IN THEIR PROPER CONNECTION.
23. Remove and replace the USA board with the new supplied USA board having the J1 floppy connector. Secure the USA board back
in position.
24. Install the motherboard back into bracket. Tighten the four screws on the rear panel.
25. Install UltraSparc motherboard assembly back into the tower. Replace all cables on rear of the motherboard.
26. Connect the two DC power supply cables from the UltraSparc power supply to UltraSparc motherboard at J2601 and J2603.
27. Install the floppy interface cable into J1 of the USA board.
28. Install the internal SCSI cable into J1259 of the USA board.
29. Install AC power cord to the tower. Replace the two side covers and front cover. The front of drives and cover of the system should
be lined up for proper fitting. Refer to Figure 40.
FRONT COVER
DRIVES ARE
LINED UP
FIGURE 40
30. Power on the Ultra Q using keyswitch.
31. Halt the booting process by typing Control ALT End.
32. At the OK prompt, type boot –rv <Enter>
33. The system will boot and load device drivers for the floppy. When the login: prompt appears, enter the following (operator’s response
is in bold):
login: startup <Enter>
34. To verify the floppy is working, insert a blank floppy disk into drive.
35. At the /client/startup% prompt, type volcheck <Enter>
36. Type fdformat –dU <Enter> The system will respond with:
Formatting 1.44MB in /vol/dev/rdiskette0/no_name
Press return to start formatting floppy
37. Type eject: <Return>

38. Re–insert the floppy in the drive and type volcheck <Enter>
39. Type cp /etc/hosts /floppy/floppy0/ . <Enter>
40. Type cat /floppy /floppy0/hosts <Enter> The hosts file should print out to the display.
41. Type eject and remove floppy.
42. The system is now available for use.
ACQPLAN OPTION ENABLING

1. After installing the 4.0 or greater software upgrade please provide the hostid and system serial number to Roger Sikes (CT
Manufacturing) via email address sikes@ct-mfg.ct.picker.com.
2. CT Manufacturing and Customer Order Management (COM) will process the option order. The FSE will receive (via a fax or email
message) a 11 character alpha numeric password(s) to enable the option(s) on site or remotely.
3. At the VoxelQ / UltraQ, proceed to access the configuration menu by typing “config” at the “login” prompt and select option “Product
Option Configuration”. For the complete “Option Enabling” procedure, see the VoxelQ / UltraQ Technical Manual P/N: T55E–1005.
4. Select option 2 from the Option Variable Configuration menu.
5. The response will ask you to enter the option name example; dental_ebl, followed by the phrase, enter in the secret key (which is the
password) P8yRtK5gYXE.
NOTE
The secretkey (password) must be 11 characters long and includes numbers, letters
and might include ending punctuation marks.
6. If the secret key/password is entered incorrectly the response will be “So sorry, wrong key”.
7. Once the secret key is entered correctly the response will be: Enabled: dental_ebl=y
8. Select option to quit and reboot the system.
9. This completes the procedure to enable one option.

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Philips Medical Systems

AcQSim Installation Manual

Part Number: 4535 670 25411 DRS Number: C88:TM1 Revision: K

Philips Medical Systems (Cleveland), Inc. Highland Hts., OH 44143

Laser warning symbol. Biohazard warning symbol.

Magnetism warning symbol. Projectile warning symbol.

Electrical warning symbol.

REVISION DATE COMMENTS

TO THE USER OF THIS MANUAL

INSTALLATION AND ENVIRONMENT

Diagnostic Imaging Systems – MECHANICAL-ELECTRICAL WARNING

Diagnostic Imaging Systems – RADIATION WARNING

• A Laser Light Kit (LLK)

THE ACQSIM SYSTEM - ONCODIAGNOSTICS

THE ACQSIM SYSTEM - MECHANICAL

Click here for the Glossary of terms.

Click here for Installation Process Flow Table.

Click here for an Interconnect Diagram of AcQSim System.

Click here for AcQPlan and enabling.

Data/charts are printable on the two printers.

WORK SEQUENCE (RELEASE 4.1)

Verify Gantry Laser Calibration

WHAT YOU WILL DO

NOTES ON SYSTEM ACCURACY

Verify Gantry Laser Calibration

The following documents are related to the AcQSim product:

AcQSim Operator’s Manual (C883:F2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T55B-1027

IMPORTANT BACKGROUND INFORMATION

CALIBRATE GANTRY LASERS (PQ SERIES ONLY)

1. Turn on the Gantry lasers.

FIGURE 1 CARD ALIGNMENTS – 8:00, 6:00 AND 4:00 POSITIONS

SKEW ADJUSTMENT 12:00 AND

NEW STYLE LASER

ADJUSTING 9:00 LASERS

FIGURE 2 LASER ALIGNMENT SCREWS

24. From the ELTP, create a new test patient entry.

26. Select the Planning option at the bottom of the screen.

27. The tube must be warmed up before scanning.

This completes the Calibrate Gantry Lasers Procedure for PQ Series.

LASER ALIGNMENT CALIBRATION

LASER ALIGNMENT PROCEDURE:

1. Remove Gantry power.

12:00 AND 3:00 LASERS

SINGLE BEAM LASER

FIGURE 3 LASER ALIGNMENT SCREWS

FIGURE 4 9:00 and 10:00 O’Clock Split Laser on AcQSim–CT Scanframe

FIGURE 5 CARD ALIGNMENTS – 8:00, 6:00 AND 4:00 POSITIONS

VERIFY GANTRY LEVELNESS (ALL)

VERIFY INITIAL PATIENT SUPPORT VERTICAL TRACKING (ALL)

VERIFY PATIENT SUPPORT PERPENDICULAR TO GANTRY

GANTRY AND PATIENT SUPPORT VERIFICATION (PQ ONLY)

In this section you will verify the following in this order:

1. Verify that the Gantry is level.

2. Verify patient support levelness and vertical tracking.

4. Verify the basic positioning of the Gantry lasers.

CHECK INITIAL PATIENT SUPPORT POSITIONING AT ISOCENTER: (PQ ONLY)

2. Perform a Full Field axial scan using Full–Field Test protocol.

FIGURE 6 Where to Measure Table Center

FIGURE 7 Zoom Tool on Ultra Z and AcQSim–CT

FIGURE 8 Ultra Z or AcQSim–CT Patient Support Verification

Right Side Measurement

3. Recheck levelness of Patient Support.

(UltraZ and AcQSim–CT)