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April 2005
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Report 05019
ONI OrthOne® 1 T
MR imaging system
Department of Health
logo
DH
log o
The MHRA DES does not have access to any information held by the Agency in
its capacity as the Competent Authority in the UK, apart from any information
already in the public domain. The reports will contain data given by the
manufacturer on the regulatory status of their devices but, apart from this, they
are not an indicator of the regulatory status of a product. Occasionally, DES
refers products to the regulatory arm of the MHRA for considerations of
breaches of the legislation governing medical devices. DES plays no further
part in any regulatory investigation that ensues and does not have advance
notification of any regulatory action that may follow.
MHRA
Orders Department
Room 1207
Hannibal House
Elephant & Castle
London
SE1 6QTQ
Colour reports
Full colour versions of all reports published after 2002 are available from the
NHSnet at www.medical-devices.nhs.uk
ONI Medical Systems
OrthOne® 1 T
MR Imaging System
MagNET
Department of Bioengineering
Imperial College London
Exhibition Road
London
SW7 2AZ
Information on reproduction outside these terms can be found on the HMSO website
(www.hmso.gov.uk) or email: hmsolicensing@cabinet-office.x.gsi.gov.uk.
Summary 1
Introduction
Scope, structure and MHRA 2
Conformity with standards and EC directives 3
Details of assessment 3
Key reference 3
Description 4
System specification
Magnet and gradient system 6
Computer system 9
Patient handling 11
Operator console 13
Radio-frequency (RF) coils 19
Sequences and packages 20
Technical evaluation
Acoustic noise 23
Emergency systems 24
List of safety information 25
Introduction to evaluation 28
180 mm coil evaluation 29
123 mm coil evaluation 43
Functionality evaluation 51
Conclusion
Technical summary tables 55
Overall comments on technical performance 56
Acknowledgements 57
Appendix
Manufacturer’s comments 58
Manufacturers QA method 59
Background information 60
Contact details 61
Clinical fast sequences used for evaluation 62
• 180 mm coil ghosting performance (for both 1 and 2 NSA for the 2nd
echo of the dual echo sequence†)
• 2D and 3D imaging speed.
* Not directly compared with 1 T average because of small coil size but high results for SNR and uniformity
†
Two dual echo sequences were used instead of a single four echo sequence. See manufacturer’s
comments for explanation of result.
05019: ONI OrthOne® 1T
1
Introduction
This report does not attempt to explain MRI. Readers who are unfamiliar
with this modality may have difficulty understanding the results presented
in this report. In this case, advice should be sought from a suitably
qualified specialist.
Structure
The summary section of this report comprises an executive summary of
technical evaluations findings.
The main body of the report is divided into two sections. The first presents the
system specifications, system information and safety evaluation, and the
second gives the technical evaluation results. The conclusion section includes
tables that compare the technical test results with the average values of
systems with similar magnetic field strengths, as well as overall comments on
the performance of this system. The results contained in this report are
published after consultation with the manufacturer. Their comments are
included in the Appendix.
2
Introduction
MHRA
The Medicines and Healthcare products Regulatory Agency (MHRA), an
executive agency of the Department of Health, was created on 1 April 2003
from the merger of the Medical Devices Agency and the Medicines Control
Agency. Further details are available in the Appendix and on the agency’s
website: www.mhra.gov.uk
Details of assessment
Table 3: Technical assessment
Site Date of assessment
New England Baptist Hospital, Boston, USA 23 July 2004
Capio Ullevål Stadion, Oslo, Norway 11 February 2005
Key reference
Table 4: MR model abbreviation codes for 1 T systems
Manufacturer Model Code
05019: ONI OrthOne® 1 T
3
Description
4
Introduction
The gradient system features a maximum amplitude of 15 mT/m and a slew rate
of 60 mT/m/ms.
The host computer system now features a single Pentium IV computer with
HyperThreading Technology running Windows XP (embedded). The system
features a CPU speed of 2.8 GHz giving a reconstruction speed of 5 2562
images per second (full FOV) and 1024 MB RAM main memory.
5
System specification
Specification data are those from the MHRA reports indicated and were correct
at the time of going to press (subsequent updates or newer versions from the
manufacturers are not accounted for).
6
System specification
7
System specification
Figure 2. Image of the left knee acquired with the 180 mm quadrature coil
05019: ONI OrthOne® 1 T
8
System specification
Computer system
Table 13: Main computer system - architecture
ONI
Type Single Pentium IV with HyperThreading
Technology
Operating system Windows XP (Embedded)
CPU GHz 2.8
Word length bit 32
Memory size MB 1024 RAM
Hard disk: Removable
Software GB 80
Hard disk:
Images GB 2
2
Image capacity 512 images 4000
(uncompressed)
Archive Drive
Size MB 9626 (4813/side)
2
Image capacity 256 images 59,000
(uncompressed)
9
System specification
10
System specification
Patient handling
Table 20: Patient comfort
Feature User information
Magnet design Superconducting with open bore
View of patient from console Straight ahead (patient head external to magnet)
Patient accessibility during
Patient head & trunk external to magnet during scanning
scanning / positioning
Bore lighting Not required (patient head external to magnet during
scanning)
Bore ventilation Not required
Patient intercom Customer supplied
Music system Customer supplied
Panic button Not required (patient head visible to technologist during
scanning)
Closed circuit TV Customer Supplied
11
System specification
12
System specification
Operator console
Table 25: Operator console – configuration
Key components User information
Console PC Based
Keyboard Standard QWERTY computer keyboard
Mouse 2 button mouse with centre wheel
Software Windows XPe, Cedara & ONI-MSI V2.0
* mouse not shown, power control unit not shown, emergency quench control not shown, computer table
not part of system.
05019: ONI OrthOne® 1 T
13
System specification
14
System specification
15
System specification
16
System specification
Image subtraction No
Image multiplication No
Image division No
Image histograms No
Image averaging Yes, using MPR function
17
System specification
18
System specification
3. # elements for LP: number of elements used for linearly polarised (LP)
detection.
Figure 6. Image of the right wrist acquired with the 123 mm quadrature coil
05019: ONI OrthOne® 1 T
19
System specification
20
System specification
21
System specification
22
Technical evaluation
Acoustic noise
Table 51 displays 2D and 3D fast imaging pulse sequences chosen as
indicative of the worst cases in clinical imaging. The acoustic noise levels for
these sequences are displayed in Table 52. These levels are provided for
indication only. Variations in factors such as room acoustics may mean that
similar noise levels may not be reproduced at a different site - even with an
identical pulse sequence. Acoustic noise levels are given in terms of the
continuous equivalent level, LAeq, which is A-weighted root-mean-square sound
pressure level (SPL) averaged over the measurement period of 1 minute. The
peak noise Lpeak measured on a linear weighting scale is also recorded. The
relevant safety levels follow.
Staff
NOISE AT WORK REGULATIONS 1989 (UK): Employers have legal duty to
protect the hearing of their employees. Hearing protection must be available for
workers exposed to 85 dB(A) and must be worn if levels exceed 90 dB(A).
Hearing protection must also be worn if the peak noise level exceeds 140 dB.
Employers are responsible for performing risk assessments for employees
exposed to noise. This would include staff present in the MR scan room during
imaging.
23
Technical evaluation
Table 51: Fast imaging pulse sequences for ‘worst case’ acoustic noise
System Sequence
Type/TE/TR/Matrix/FOV/Flip Angle/Slice Width/Slices/Time
ON-ORT 2D GE/5.1/572/160x160/160/30°/2/64/1:34
3D GE/3.6/11/160x160/160/30°/1.0/150/4:45
Table 52: Acoustic noise levels for ‘worst case’ pulse sequences
System Acoustic noise dB(A)
LAeq dB(A) Lpeak dB
ON-ORT 80.0 95.0
73.6 94.4
Emergency systems
Table 53: Shutdown buttons
Buttons User information
Electrical shutdown (on equipment) Yes
Electrical shutdown (on site) Yes
Magnet shutdown (on site) Yes
24
Technical evaluation
Yes
Does the calculation purely rely on the patient weight entered by the operator?
No, the calculation is based on patient weight, coil, anatomy and sequence.
Does the system show the predicted SAR level before the start of a scan?
Yes
Does the system show a message if the sequence exceeds the safety limit?
Yes
Yes
Can the operator ignore the warning and continue the scan?
No, as required by the IEC regulations. First level and second level of control are the same
for extremity according to the IEC regulations.
Yes, an average forward rf power trip point is set in amplifier based on local SAR limits,
anatomy, weight and coil.
05019: ONI OrthOne® 1 T
25
Technical evaluation
Safety notice MDA SN 9517. Risk of burns to patients, with attached monitoring
leads, undergoing MRI scan: Medical Devices Agency. July 1995.
26
Technical evaluation
Other bodies
IEC 60601-2-33:2002 (Medical Electrical Equipment. Part 2. Particular
Requirements for Safety. Section 2.33 Specifications for Magnetic Resonance
Equipment for Medical Diagnosis). www.iec.ch
NHS advice
Health Building Note 6, Supplement 1: Accommodation for Magnetic
Resonance Imaging. Produced by NHS Estates, published by HMSO PO Box
276, London SW8 5DT. ISBN 0113217307.
Health Building Note 6, Volume 3: Extremity and open MRI, magnetic shielding
and construction for radiation protection. Produced by NHS Estates, published
by HMSO PO Box 276, London SW8 5DT. ISBN 0113224869.
27
Technical evaluation
Introduction to evaluation
The technical performance of the ONI OrthOne® 1 T is provided in this section
of the report. Evaluated whole-body 1 T systems are shown in Table 57.
28
Technical evaluation
z
05019: ONI OrthOne® 1 T
29
Technical evaluation
Scan parameters
Interpretation of results
The image SNR value obtained on a system is influenced by many factors. For
example, system factors such as the main magnetic field strength Bo and the
design of the radiofrequency receive and transmit systems can affect the SNR.
Other factors are the choice of sequence and imaging parameters.
The comparison made in Graph 1 shows the image SNR normalised for voxel
size, scan time, coil quality factor, and sampling bandwidth for 1 T systems.
There was no correction for coil quality factor for the ONI OrthOne®.
The image SNR and normalised SNR results are presented in Table 59.
Comment on results
05019: ONI OrthOne® 1 T
The SNR values for this coil were slightly above average for a 1 T system.
30
Technical evaluation
ON-ORT
System
MEAN-1T-WB†
†
Results from head coils
05019: ONI OrthOne® 1 T
31
Technical evaluation
Scan parameters
Interpretation of results
The fractional uniformity was calculated over a distance of 140 mm, with the
midpoint positioned at the centre of the test object. The optimum value is 1,
indicating 100% of the signal is considered uniform over the measured distance.
The MagNET protocol specifies that the fractional uniformity should be
calculated as the fraction of the profile lying within ± 10% of its mean value.
The fractional uniformity measurements in the two directions for each plane are
presented in Table 61. The comparison made in Graph 2 shows the mean
fractional uniformity for 1 T systems. Fractional uniformity for whole body
systems is calculated over a slightly larger distance of 160 mm.
Uniformity contour plots are also shown in Figure 8. Red indicates areas of
high signal, with green, blue and white indicating areas of progressively lower
signal. For the 180 mm coil, the level of the high signal (red) is chosen to be 90-
100% of the maximum signal.
Graph 3 shows the uniformity profiles in the x-, y-, and z- directions.
05019: ONI OrthOne® 1 T
Comment on results
The overall uniformity performance of this coil was above average for a 1 T
system.
32
Technical evaluation
ON-ORT
System
MEAN-1T-WB†
700
600
500 X-direction
Grey Level
Y-direction
400
Z-direction
300
200
100
0
0 32 64 96 128 160 192 224
Pixel Number
05019: ONI OrthOne® 1 T
33
Technical evaluation
34
Technical evaluation
Scan parameters
Interpretation of results
The MAG_CB_MTF test object was used to measure resolution from a MTF
block. The MTF was measured for a 256 x 256 image acquisition matrix in the
PE and FE directions for all three imaging planes.
The MAG_CB_BARS test object contains a set of 0.5 mm resolution bars. This
phantom was imaged using the same protocol as MAG_CB_MTF.
Figure 9 shows intensity profiles across the 0.5 mm bars in the frequency and
phase encode directions for the transverse plane.
Comment on results
From the MTF measurements the resolution performance in both the FE and
05019: ONI OrthOne® 1 T
35
Technical evaluation
Table 63: Pixel dimension measurements (mm) for 2562 matrix (nominal
pixel size 0.49 mm)*
Transverse Sagittal Coronal Mean ± SD
PE 0.52 ± 0.01 0.52 ± 0.01 0.52 ± 0.01 0.52 ± 0.01
FE 0.51 ± 0.01 0.52 ± 0.01 0.51 ± 0.01 0.51 ± 0.01
*The optimum value is 0.50 ± 0.05 mm
36
Technical evaluation
Scan parameters
Coefficient of variation
The Coefficient of Variation (CV) is defined as:
standard deviation
CV = x 100%
mean
Interpretation of results
The geometric linearity results are obtained from a set of horizontal and vertical
distance measurements in the acquired images. The closer these values are to
the actual separation distance of 40 mm, the better the performance. and Table
67 show the values obtained for imaging planes and gradients, respectively.
The coefficient of variation indicates the degree of variation of the distance
measurements from one another. The lower the coefficient, the lower the in-
plane distortion, and the better the performance. As whole body 1 T systems
are evaluated using a separation distance of 120 mm no comparative data are
presented.
05019: ONI OrthOne® 1 T
Comment on results
The geometric linearity performance measured on this system was within
experimental error.
37
Technical evaluation
38
Technical evaluation
Scan parameters
Table 68: 180 mm coil; slice profile and slice width measurement
parameters.
Standard protocol Actual protocol
Test object MAG_GEOM MAG_CB_SW
Loading None None
Sequence SE SE
TE (ms) 30 30
TR (ms) 1000 1000
NSA 1 1
FOV (mm) 256 160
Matrix (PE x FE) 256 x 256 160 x 160
(Interpolated to 256 x 256)
Bandwidth (kHz) Manufacturer’s choice ± 25.0
Slice width (mm) 3, 5 3, 5
Scan time (min:sec) 4:16 2:40
Image plane TRA, SAG, COR TRA, SAG, COR
Interpretation of results
The slice profiles should have minimum side lobes, no ringing, and no central
drop-out. Graph 4 shows the measured profiles in the transverse plane. The
measured slice widths for the three imaging planes presented in Table 69
should lie within 10% of the nominal slice width. Graph 5 and Graph 6 show
comparisons of the mean 3 mm and 5 mm slice width measurements for 1 T
systems.
Comment on results
The values obtained in all three planes for both 3 mm and 5 mm slice widths
were within 10% of the nominal slice widths.
400
350
300
250
200
150
100
50
0
0 10 20 30 40 50 60 70 80
Pixel Number
39
Technical evaluation
ON-ORT
System
MEAN-1T-WB†
MEAN-1T-WB†
System
ON-ORT
40
Technical evaluation
Scan parameters
Interpretation of results
The OrthOne® system offers a spin echo sequence with up to two echoes.
Therefore two scans (sequence 1 and sequence 2) were performed for both 1
and 2 NSA to obtain images with all four echo-times listed above.
Table 71 presents the ghosting results for each echo. Ghosting is calculated by
the ratio of the maximum image ghost minus the background noise to the image
signal.
Graph 7 and Graph 8 present results for this system for 1 and 2 NSA
respectively.
Comment on results
For both 1 and 2 NSA the ghosting performance for the 1st echo of each
sequence (30 ms and 90 ms) was significantly better than the ghosting
05019: ONI OrthOne® 1 T
performance for the 2nd echo of each sequence (60 ms and 120 ms). For both
1 and 2 NSA the ghosting performance for the 1st echo of each sequence was
well above average for a 1 T system whilst the ghosting performance for the 2nd
echo of each sequence was worse than average. See the manufacturer’s
comments on p58 for an explanation.
41
Technical evaluation
1 1 0.29 2 1 0.20
1 2 2.28 2 2 2.58
1 3 0.51 2 3 0.10
1 4 2.81 2 4 2.87
MEAN-1T-WB†
1st echo
System
2nd echo
3rd echo
4th echo
ON-ORT
*Optimal value = 0
†
Results from head coils
MEAN-1T-WB†
1st echo
System
2nd echo
3rd echo
4th echo
ON-ORT
05019: ONI OrthOne® 1 T
*Optimal value = 0
†
Results from head coils
42
Technical evaluation
Scan parameters
Interpretation of results
The image SNR value obtained on a system is influenced by many factors. For
example, system factors such as the main magnetic field strength Bo and the
design of the radiofrequency receive and transmit systems can affect the SNR.
Other factors are the choice of sequence and imaging parameters.
The image SNR and normalised SNR results are presented in Table 73. SNR
is normalised for voxel size, scan time, and sampling bandwidth. No correction
was made for coil quality factor.
Comment on results
The SNR values for this coil were high. Due to the small size of this coil no
comparison is made with whole body 1 T systems.
05019: ONI OrthOne® 1 T
43
Technical evaluation
44
Technical evaluation
Scan parameters
Interpretation of results
Uniformity profiles in the x-, y-, and z- directions are provided in Graph 9.
Uniformity contour plots are also shown in Figure 8. Red indicates areas of
high signal, with green, blue and white indicating areas of progressively lower
signal. For the 123 mm coil, the level of the high signal (red) is chosen to be 90-
100% of the maximum signal.
Comment on results
The uniformity values for this coil were high. Due to the small size of this coil no
comparison is made with whole body 1 T systems.
05019: ONI OrthOne® 1 T
45
Technical evaluation
4000
Grey Level
3500
3000
2500
2000
1500
1000
500
0
0 32 64 96 128 160 192 224
Pixel Number
46
Technical evaluation
Scan parameters
Table 76: 123 mm coil; slice profile and slice width measurement
parameters.
Standard protocol Actual protocol
Test object MAG_GEOM MAG_CB_SW
Loading None None
Sequence SE SE
TE (ms) 30 30
TR (ms) 1000 1000
NSA 1 1
FOV (mm) 256 100
Matrix (PE x FE) 256 x 256 160 x 160
(Interpolated to 256 x 256)
Bandwidth (kHz) Manufacturer’s choice ± 25.0
Slice width (mm) 3, 5 3, 5
Scan time (min:sec) 4:16 2:40
Image plane TRA, SAG, COR TRA, SAG, COR
Interpretation of results
The slice profiles should have minimum side lobes, no ringing, and no central
drop-out. Graph 10 shows the measured profiles in the transverse plane. The
measured slice widths for the three imaging planes presented in Table 77
should lie within 10% of the nominal slice width. Graph 11 and Graph 12 show
comparisons of the mean 3 mm and 5 mm slice width measurements for 1 T
systems.
Comment on results
The values obtained in the transverse plane for both 3 mm and 5 mm slice
widths were within 10% of the nominal slice widths.
400
05019: ONI OrthOne® 1 T
350
300
250
200
150
100
50
0
0 10 20 30 40 50 60 70 80
Pixel Number
47
Technical evaluation
MEAN-1T-WB†
System
ON-ORT‡
MEAN-1T-WB†
System
ON-ORT‡
48
Technical evaluation
Scan parameters
Interpretation of results
The OrthOne® system offers a spin echo sequence with up to two echos.
Therefore two acquisitions (sequence 1 and sequence 2) were performed for
both 1 and 2 NSA to obtain images with all four echo-times listed above.
Table 78 presents the ghosting results for each echo. Ghosting is calculated by
the ratio of the maximum image ghost minus the background noise to the image
signal. Graph 13 and Graph 14 present results for this system for 1 and 2 NSA
respectively.
Comment on results
For both 1 and 2 NSA the ghosting performance for the 1st echo of each
sequence (30 ms and 90 ms) was significantly better than the 2nd echo of each
05019: ONI OrthOne® 1 T
sequence (60ms and 120 ms). For 2 NSA the ghosting performance for the 1st
echo of each sequence was well above average for a 1 T system whilst the
ghosting performance for the 2nd echo of each sequence was worse than the
average. See the manufacturer’s comments on p58 for an explanation.
49
Technical evaluation
1 1 0.24 2 1 0.57
1 2 2.18 2 2 2.26
1 3 1.66 2 3 0.61
1 4 2.30 2 4 2.17
MEAN-1T-WB†
1st echo
System
2nd echo
3rd echo
4th echo
ON-ORT
*Optimal value = 0
†
Results from head coils
MEAN-1T-WB†
1st echo
System
2nd echo
3rd echo
4th echo
ON-ORT
05019: ONI OrthOne® 1 T
*Optimal value = 0
†
Results from head coils
50
Technical evaluation
Functionality evaluation
Functionality: multiple slice measurements
Scan parameters
Interpretation of results
The multiple slice acquisition protocol is chosen with the objective of maximising
the coverage with good resolution. Table 81 presents a comparison of multiple
slice protocols on systems of equivalent field strength.
51
Technical evaluation
*Ordered on (III) number of slices, (I) matrix, (II)slice width, & (IV) scan time
05019: ONI OrthOne® 1 T
52
Technical evaluation
Interpretation of results
A fixed volume is acquired using clinical 2D and 3D fast imaging sequences.
The aim is to measure data acquisition speed in voxels/second. The voxel size
is defined by the matrix and the number of slices in the fixed range. Imaging
speed is calculated using the time required to acquire the images. Table 84
05019: ONI OrthOne® 1 T
53
Technical evaluation
Comment on results
The 2D and 3D imaging speed was below the average of 1 T systems
17902 14545
MEAN-1T-WB
System
ON-ORT
MEAN-1T-WB
System
05019: ONI OrthOne® 1 T
ON-ORT
54
Conclusion
55
Conclusion
Distortion No comment
Uniformity High
56
Acknowledgements
MagNET would like to acknowledge the support of Oni, Xograph and Medirad
Scandinavia AS during this evaluation.
05019: ONI OrthOne® 1T
57
Appendix
Manufacturer’s comments
The high ghosting in the second echo of the double echo conventional spin
echo sequence is a result of residual signal remaining from the 3 RF pulses for
certain sequence parameters and is not related to any underlying system
instability or imperfection. This will be corrected in a future software pulse
sequence release.
05019: ONI OrthOne® 1T
58
Appendix
Manufacturer’s QA method
The daily QA test consists of a scan using the 180 mm RF transmit coil and
Daily QA phantom provided with the system. The QA procedure is a built in
sequence with preset scan parameters. Analysis of the image is performed by
automatic generation of regions of interest. The SNR, noise and artifacts
(ghosting) is computed. The primary pass fail for the system is SNR.
The resultant image, regions of interest and computed SNR and noise are
presented to the operator and written to the system log file for review later by
the operator or service personnel.
05019: ONI OrthOne® 1 T
59
Appendix
Background information
MagNET
The assessment reported on the preceding pages was carried out by the
Magnetic resonance National Evaluation Team (MagNET) based at Imperial
College London. The project is supported by the Department of Health to
assess the imaging performance of commercially available clinical MR systems.
Resources from the National Health Service fund the project.
MHRA is also the Competent Authority for medical devices in the UK, with
responsibilities for negotiating European Directives and implementing and
enforcing UK Regulations for medical devices. MHRA’s European and
Regulatory Affairs section is responsible for this work and regularly issues
guidance on the Regulations. MHRA’s Device Technology and Safety Group is
responsible for investigating adverse incidents associated with medical devices
and their use, and helping to prevent further incidents by communicating
findings to those who make or use the devices. Further details about MHRA and
its activities can be found by visiting the MHRA website (www.mhra.gov.uk)
Manufacturer involvement
The choice of MR system to be evaluated is influenced by both new system
releases and customer demand. Both the user and clinical evaluations are
performed with the active participation of the manufacturer. The clinical sites are
chosen by MagNET from a short-list provided by the manufacturer. The
technical evaluation is carried out at a site agreed with the manufacturer, where
the performance of the system is within specification and is representative of
that model. Acknowledgement is made to the company for arranging and
supporting the examination of MR equipment. A copy of each report is sent to
the manufacturer of the equipment for comment before publication. These
comments are included in the published report.
05019: ONI OrthOne® 1 T
60
Appendix
Contact details
MagNET
In addition to answering queries on the evaluation reports, MagNET can provide
advice on detailed specification, general MR technology, acceptance testing
and quality assurance.
MagNET
Department of Bioengineering
Bagrit Centre
Imperial College London
London SW7 2AZ
# E-mail: enquiry@magnet-mri.org
Web page: http://www.magnet-mri.org/
# E-mail: des@mhra.gsi.gov.uk
Web page: http://www.mhra.gov.uk/
05019: ONI OrthOne® 1 T
61
Appendix
62