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NeuViz Dual

Multi-Slice CT Scanner System


User Manual(Volume 1)

Neusoft Medical Systems

454110019578
Rev.2.7
NeuViz Dual
User Manual

Content (Vol 1)

Chapter 1 Safety Instruction..…...…………………………………………….1-0

Chapter 2 System Description…………………………………………………2-0

Chapter 3 Daily Operations…………………………………………………….3-0

Chapter 4 Scan……..…………………………………………………………….4-0

Chapter 5 Archive Management……………………………………………….5-0

Chapter 6 Maintenance….……………………………………………………...6-0

Chapter 7 Quality Assurance…………………………………………………..7-0

Appendix Recycling Passport…………………………………………………8-0

454110019578 Content
Rev.2.7
NeuViz Dual
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Chapter 1 Safety Instruction


1.1 About This Manual ............................................................................. 1-1
1.2 Intended Use ....................................................................................... 1-3
1.3 Compliance ......................................................................................... 1-4
1.4 EMC Property...................................................................................... 1-5
1.4.1 Resolved measures related with EMC ................................... 1-5
1.5 General Safety Matters....................................................................... 1-7
1.6 Safety Matters ..................................................................................... 1-9
1.6.1 X-Ray Safety............................................................................. 1-9
1.6.2 Mechanical Safety Matters .................................................... 1-10
1.6.3 Patient Scanning Safety ........................................................ 1-11
1.6.4 Electrical Safety and Grounding........................................... 1-12
1.6.5 Laser Safety ........................................................................... 1-12
1.6.6 Implosion Hazard ................................................................... 1-12
1.6.7 Explosion Safety .................................................................... 1-13
1.6.8 Fire Safety .............................................................................. 1-13
1.6.9 Oil Leaks................................................................................. 1-13
1.6.10 Emergency procedures ......................................................... 1-13
1.6.10.1 Emergency Stop ......................................................... 1-13
1.6.10.2 Emergency Patient Release ....................................... 1-14
1.6.10.3 Weekly Test of Safety Devices.................................... 1-14
1.7 Warning Information......................................................................... 1-15
1.8 Environmental Requirement ............................................................ 1-16
1.9 Training.............................................................................................. 1-17

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Chapter 1 Safety Instruction

1.1 About This Manual

This manual is intended to assist users and operators in the safe and effective
operation of the device described. Before attempting to operate the device, you
must read this manual thoroughly, paying particular attention to all Dangers,
Warnings and Cautions incorporated in it. You must pay special attention to all
the information given and procedures described in the Safety section.
In this instruction manual, three safety prompts are included, which are Notes,
Warning and Caution. Before this manual is read, the above safety prompts
must be clearly acquainted with. The following is the definition of safety
prompts:

WARNNING: WARNING means that the situation described will cause


death or injury to operators, patients, or others if the
safety information is not obeyed.

Caution: Caution means that the situation described can cause


personal injury or death to operators or someone else if
the safety information is not obeyed.
Notes: Notes means that the situation described may cause
device damage, data loss or disorder of the system if the
safety information is not obeyed.
This manual is applicable for NeuViz Dual CT scanner of both low and high
configurations.
The documentation for the NeuViz Dual User Manual is supplied in two parts.
Volume 1- Instruction for Use
Containing the following sections:
y Safety Instruction
y System Description
y Daily Operations
y Scan
y Archives Management

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y Maintenance
y Quality Assurance
Volume 2- Instruction for Use
Containing the following sections:
y Operation Interface
y 2D Viewer
y MPR Viewer
y 3D Viewer
y Brain Perfusion
y Dental
y Film
y Report

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1.2 Intended Use

The NeuViz Dual CT Scanner is intended to be used and operated only in


accordance with the safety instructions and operating procedures given here
for the purpose for which it was designed. The purpose for which the device is
intended is given below. However, nothing stated in this instruction manual
reduces user’s and operator’s responsibilities for sound clinical judgment and
best clinical procedure.
The NeuViz Dual CT Scanner is intended for use as a diagnostic patient
imaging device that produces images that correspond to tissue density. The
quality of the images depends on the level and amount of X-ray energy
delivered to the tissue. CT imaging displays both high-density tissue, such as
bone, and soft tissue. When interpreted by a trained physician, CT images
yield useful diagnostic information. It is intended for use in the whole body.
Use and operation of this device is subject to the law in the jurisdiction(s) in
which the device is being used. Both users and operators must use and
operate the device only in such ways as do not conflict with applicable laws or
regulations which have the force of law.

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1.3 Compliance

The NeuViz Dual CT scanner complies with relevant requirements in IEC60601


Standard. Electromagnetic compatibility of the system complies with relevant
requirements in IEC60601-1-2 Standard.
Table 1-1 IEC60601 Classification

Type of protection against


Class I Equipment
electric shock

Degree of protection
Type B Applied Part
against electric shock

Degree of protection
against harmful ingress of Ordinary Device
water

Interference with other


IEC 60601-1-2 Group1, Class A Device
device

Continuous operation with intermittent


The mode of operation
loading

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1.4 EMC Property

Definition: EMC (electromagnetic compatibility) is the ability of the device to


restrict the electromagnetic disturbance from other device without producing
similar electromagnetic disturbance to other device.
This CT scanner will cause electromagnetic disturbance to other device by air
or connecting cables in character. The design of this product fully complies with
EMC standard.

Caution: Using devices such as cellular phone, transmitter-receiver,


remote control toy that transmit radio waves near the
device may interfere with the proper function of the
product. Switch the above devices off if it is near to the CT
scanner.
Keep this device as far as possible from other electronic
devices when installing.
Make sure to use cables provided or designed by our
company and connect the cables according to installation
regulations.
Please use specified peripherals that can connect with
this product. Avoid using other non-specified devices, or
EMC property might be reduced.
Never attempt to modify this product. Alteration to the
product could lead to reduction of EMC property. The
alteration includes: alteration of cables, alteration of
system installation/laying out, alteration of system
configuration/components, alteration of fixed
system/accessory methods, etc.
Ensure that all the bolts are fastened after maintenance. Loose bolts could lead
to reduction of EMC property.
1.4.1 Resolved measures related with EMC
y Keep other devices far from this product to reduce electromagnetic
disturbance.
y Electromagnetic disturbance will be reduced through adjusting the
position /angle between the system and other device.
y Electromagnetic disturbance will be reduced through altering the
connecting position of other device’s power/signal cables.
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y Electromagnetic disturbance will be reduced through altering the


power channel of other device.

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1.5 General Safety Matters

WARNNING: Whenever the device is found to be broken or function


disorderly, it should be stopped at once. Do not use the
device until some qualified maintenance person has
solved the problems.

Caution: Don’t load any software or data other the operating


software or image data into the local hard disk of
operating console; or it could cause disorder in the
system.
The type designation displayed in the operating interface
of this manual might be different from the type purchased.
Such difference will not influence the appliance of the
operating procedures and methods. Information for
specified type could be found in this manual.
Configuration of the device purchased might be different
from what is described in this manual. Please take your
purchase contract as final.
Operations shall be performed according to the Operation
Manual, and the maintenance shall be performed
according to the Service Manual.
Working procedures must be abided by at all time. Before
examination, the information about person examined shall
be checked to secure the correctness. Mistaken input
information of checked person could lead to wrong
explanation of examination results.
The operator should be able to observe the patient at any
time. It is strictly forbidden that no one takes care of the
patient. Pay attention to safety matter, including the state
of patients and running state of device.
Don’t spatter the liquid on the system.

WARNNING: If there is any damage or function exception of the


scanner, call your service organization and do not operate

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the scanner until the problem is corrected by qualified


NMS personnel.

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1.6 Safety Matters

1.6.1 X-Ray Safety

X-Ray Safety
Failure to control, regulate or operate the device in compliance with
instructions and procedures described in this manual may cause danger and
radiation leak.
The useful X-rays may result in danger if used by unskilled operator although
this device is designed and manufactured in accordance with electric and
mechanical safety regulations and standards. Excessive X-rays can result in
serious body injuries.
Avoid “unqualified” and “unauthorized” personnel to operate the device so as to
protect the patient, operator or any other persons from unexpected X-ray
radiation.

WARNNING: Only qualified personnel can operate the device described


in this manual.
The CT Scanning room should be inspected and approved
for its X-ray protection by related management department
before it is put into use to protect the operator and other
persons from being radiated by X-ray.
When system discharges, pay attention to system safety
directions and follow the directions to operate the device
to secure the safety of the operator and the any other
person from the harm of X-rays or other harms.
The system provides three types of safety prompts:
y Sound Prompt: There is sound in the sound box mounted at operating
station when the device discharges.
y Light Prompt:There is a ddischarge pilot lamp installed on the digital
display of scanning gantry.
y Software Prompt:When system discharges, there are prompting words
on the software interface of operating station.

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If it is necessary for the operator to enter the room when the system is
discharging, he/she must wear protective clothing (lead apron).

Caution: When a patient is being scanned, exposure of the patient


shall be reduced to the utmost provided the best
photograph could be achieved.
1.6.2 Mechanical Safety Matters

Only authorized maintenance personnel can open or dismantle the cover of


scanning gantry. Never allow patients or working staff to enter the Scan Room
when the scanning gantry cover is dismantled for repair or periodical
maintenance.
Ensure that nobody has touched the moving parts of the scanning system,
especially the positions that could not be viewed from the operating station.
Ensure that no stumbling blocks in the moving range between gantry and
patient table. Nothing unnecessary to the scanning is allowed to be put on the
surface of the patient table.
Ensure that different parts of the patient, including hands, arms and legs, are
not hanged on the edge of table or touch the cover of gantry.
Patients are not allowed to ware thighs that fall easily such as glasses, barrette
or watch,
Patients are not allowed to put their arms or legs close to the top of moving
patient table or edges of cradle to their arms and legs from clamping and
crushing.
Pay attentions that the affiliated facilities and glue hose do not touch the cradle
and gantry for patient who takes intravenous injection or enhanced scanning.
Take proper measures to make sure the wheel couch do not move when the
patient is transferred from wheel couch to CT patient table so that no harm is
done to the patient during this process.
Adjust the tilt angle of scanning gantry to 0°, lock the patient table and set the
height at a suitable position to place the patient properly.
For head scanning, the patient should keep his arms crossed on the body
instead of on the edge of cradle.
For scanning abdomen and parts below, the patient should have his arms
crossed on the chest or hold his head by arms. Elbows are not allowed to touch
gantry cover when the patient is holding his head.

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When gantry tilts or the cradle moves, make sure that the patient does not
tough CT gantry.
Pay special attention to big patient to protect their skin or limbs from being
cramped by cradle and gantry.
The maximum load capability of the cradle is 200kg. Scanning accuracy can be
guaranteed within 200kg. If the weight exceeds this limit, the result might be:
y Property reduction of positioning of system.
y Reduction of scanning speed
y Damage and/or harm to patient
Check the connection of cradle end periodically. If it is damaged or loosed,
please repair and replace it.
1.6.3 Patient Scanning Safety
When performing a scan on a patient, please adhere to the following safety
instructions and rules:
y Close all doors of the Scan Room before a scan process is initiated.
Unless given permission by the doctor in charge, allow no one to enter
the Scan Room during the scan process.
y Advise the patient not to move during the positioning or scanning
procedures.
y Ensure that the patient's fingers and clothing do not get caught in
device during patient positioning.
y Advise the patients not to raise their heads or move their bodies during
scans.
y Remind the patients not to touch any external apparatus, such as
infusions and resuscitation device.
y Unchecked accessories can cause artifacts, injuries to the patient and
operating personnel or damage to the device. Therefore, only use
accessories approved by NMS and replace defective accessories by
new original accessories immediately.
y Ensure that all patient-support accessories (head holders, table
mattress, patient table extension, side rails, arm supports, leg support,
knee support, pediatric cradle) are whole and not damaged.
y Check that the head holders and leg supports are securely locked to
the patient table.
If damages or defects should occur on the system (patient table, Gantry) on
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add-ons or accessories, safety of operation is no longer guaranteed. Watch out


for such damages and have these parts repaired or replaced immediately.
y After typing the Scan Increment value and pressing ENTER, check that
the desired value was correctly typed.
y Before pressing the MANUAL or AUTO SCAN keys, check that all scan
parameters, as displayed on the screen, were correctly entered.
1.6.4 Electrical Safety and Grounding
None-professional persons are not allowed to remove covers from this device.
High electrical voltages are present within this device. Removing covers could
lead to serious personal injuries.
Avoid any touch with the conductors.
Switch off the device before cleaning. Never let washing liquid splash into the
inside of gantry. If this happens, do not switch on the CT until it is completely
dried.
Don’t install condensation tubes on the top of the gantry to prevent condensed
water from dropping onto gantry. If water penetrates into gantry, it will cause
short-circuit and even system breakdown.
The system 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 device
provided with a line cord, the device must be connected to a properly grounded,
three-pin receptacle. Do not use a three-to-two pin adapter.
Don’t connect the multi-slot socket inside PC cabinet with any other devices
except for the monitor, operating computer and the switch power for hub and
CT box.
The power is 50kVA for low configuration NeuViz Dual CT scanner to function
normally. The power is 65kVA for high configuration NeuViz Dual CT scanner to
function normally. Do not start the system when electric power is not adequate.
Never use unstable generator for power supply or it could lead to damage to
computer or other device.
The main power should not be shut off in at least 30 minutes after the last
scanning is finished. This provides enough time for the cycled oil to cool the
X-ray tube.
1.6.5 Laser Safety
Instruct the patient not to stare into the beam before scanning because the
laser beam for patient positioning could bring harm to the eyes.
1.6.6 Implosion Hazard

Do not subject the system to serious mechanical shock, as the cathode ray
tube (CRT) can fracture if struck or jarred. This may result in flying pieces of

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glass and phosphor coating that can cause serious injury.


1.6.7 Explosion Safety

This device must not be used in the presence of explosive gases or vapors,
such as certain anaesthetic gases. Use of electrical device in an environment
for which it was not designed can lead to fire or explosion.

WARNNING: Flammable or potentially explosive disinfecting sprays


must not be used, since the resultant vapor could ignite,
causing fatal or other serious personal injury and/or
damage to device.
1.6.8 Fire Safety

Use of electrical device in an environment for which it was not designed can
lead to fire or explosion. Conductive fluids that seep into the active circuit
components of the operator’s console may cause short circuits that can result
in electrical fires. Therefore, do not place any liquid or food on any part of the
consoles or other modules of the system.
Fire regulations for the type of medical area being used should be fully applied,
observed and enforced. Fire extinguishers should be provided for both
electrical and non-electrical fires.
All operators of this CT system should be fully aware of and trained in the use
of fire extinguishers and other fire-fighting device, and in local fire procedures.
1.6.9 Oil Leaks

The x-ray tube and H.V. generator are oil-cooled. This is a closed-circuit
system that is sealed.

Caution: If oil leaks are detected, shut down the CT immediately


and contact the nearest NMS field service office.
1.6.10 Emergency procedures
1.6.10.1 Emergency Stop
To stop scanning, Patient Table and X-ray radiation immediately, press the red

stop button on the top of gantry panel or on the scan control panel.

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Caution: Emergency stop could bring damage to the device and


shorten the endurance of device.
1.6.10.2 Emergency Patient Release
When the gantry tilts, in the event of power failure or other condition such as
slope motor breakdown, to release the patient use the following procedures:
When the cradle is on locked out condition, press down the button of urgency
release on the bottom of cradle to free the cradle.
y When the cradle is on locked out condition, press down the button of
urgency release on the bottom of cradle to free the cradle;
y Hold Rear cover of cradle by hand, and pull backward;
y Help the patient to dismount;
y The cradle could be reset safely.
1.6.10.3 Weekly Test of Safety Devices
Perform the following tests weekly. If any of the tests fail, contact your service
organization and do not operate the scanner until the problem is corrected.
(1) Power-up the CT.
(2) When the CT is ready for scanning, press the Emergency Stop button.
The sound of the scanner braking to a stop should be heard.
(3) Next, try moving the Patient Table and tilting the Gantry using the
buttons on the Gantry Panel, and ensure that no motion takes place.
(4) Repeat steps 2 and 3 for each of the Emergency Stop Panels.
(5) Press an Emergency Stop button on the Gantry Panel. Pull the
stretcher and check that it moves easily.
(6) Perform a Head scan using the Head Phantom in the center of the
scan circle. Check with the CURSOR/LINE that the diameter of the
large Plexiglas pin is 50 ±1 mm.
(7) Verify that the Mylar window covering the slice plane is whole and
undamaged.

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1.7 Warning Information

Please pay attention to Warning labels of each part. Refer to Service Manual
for other safety warning labels
In the process of operation and maintenance, system software will display
Warning or Error information in accordance with conditions. Please follow the
directions to operate. Refer to Service Manual for detailed information.

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1.8 Environmental Requirement

y Improper treatment to some materials in the CT scanner may bring


environmental pollution. These materials include lead block in gantry,
oil in conservator and X-ray tube. Whenever the CT scanner or any
element in the CT scanner is disposed, contact our service personnel
for proper disposal in accordance with national waste disposal
regulations.
y Packing materials of the device is reclaimable. They must be collected
and disposed in accordance with local regulations where the machine
or accessories are opened.

y Dispose of in accordance with your country’s requirements.


Please contact your NMS distributor or your municipal waste collection
facility for information on proper disposal.

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1.9 Training

y NMS provides training programs. Contact local supplier for training


affairs.
y Training includes medical diagnosis, X-ray and CT scanner operation
and maintenance.
y Operation and maintenance training of CT scanner will be performed
on site when installation is finished.

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Chapter 2 System Description


2.1 System Summary ................................................................................. 2-2
2.1.1 Operating Principle..................................................................... 2-2
2.1.2 System Composition .................................................................. 2-2
2.1.3 Introduction to Different System Components ........................ 2-3
2.1.3.1 Scan Gantry ..................................................................... 2-3
2.1.3.2 Couch ............................................................................... 2-4
2.1.3.3 Operator Console ............................................................. 2-5
2.1.3.4 CT BOX ............................................................................ 2-6
2.1.3.5 Laser Imager .................................................................... 2-6
2.1.3.6 Regulated Power supply Unit (RPU) ................................ 2-6
2.1.3.7 Advanced Image Workstation ........................................... 2-6
2.1.3.8 Auto-develop Machine ...................................................... 2-7
2.2 Gantry.................................................................................................... 2-8
2.2.1 Control panel............................................................................... 2-8
2.2.2 Power Switch ............................................................................ 2-11
2.2.3 Display Panel ............................................................................ 2-12
2.2.4 Laser Localizer.......................................................................... 2-13
2.3 CT BOX................................................................................................ 2-15
2.4 Accessories ........................................................................................ 2-17
2.5 System Start-up .................................................................................. 2-19
2.5.1 Checkup before Start-up .......................................................... 2-19
2.5.1.1 Environment ................................................................... 2-19
2.5.1.2 Power Supply ................................................................. 2-19
2.5.2 Start-Up...................................................................................... 2-20
2.6 Shutdown ............................................................................................ 2-21
2.7 Key Technical Data ............................................................................. 2-23

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Chapter 2 System Description

2.1 System Summary

This system uses the attenuated X-Ray signal to reconstruct the body images
for the purpose of clinical diagnosis after X-Ray penetrates the scanned body.
Double detectors equipped in the system can acquire two images
simultaneously during each exposure.

2.1.1 Operating Principle


After patient positioning, operator set appropriate scan planning through
operating console and start scan.
Once a scan starts, the gantry rotates around the patient while the X-ray tube
discharges. The detectors collect and transform the X-Ray into electronic
signal after the X-Ray penetrates the body.
Then, DAS (Data Acquisition System) acquires electronic signals and converts
into digital signal, which is called raw data and received by operating console
computer. The computer then performs image reconstruction based on raw
data and displays the reconstructed images on the screen. The images can
also be printed as films through laser imager and transferred in DICOM format.
The images can be saved into CD ROM and hard disk.

2.1.2 System Composition


The system includes four main components and some peripheral equipment.
Main Components:
− Gantry
− Couch
− Operator Console
− CT BOX.

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Figure 2-1 Front view

Table 2-1 System Composition List

Item Qty. Specification

Gantry 1 Installed in scanning room.

Couch 1 Installed in scanning room.

Operator Console 1 Installed in operating room.

CT BOX 1 Installed in operating room.

Laser Imager 1 Optional. Installed in operating room.

Advanced Image Optional. Recommended to install in


1
Workstation the physician’s diagnosis room.

Optional. Installed in separate


Auto-develop
1 auto-develop room if the laser imager
Machine
is a wet imager.

2.1.3 Introduction to Different System Components


2.1.3.1 Scan Gantry
The scan gantry is the kernel components to complete the scanning task. Its
main function is to perform the X-ray exposure and data acquisition. Beside
X-Ray tube, HV generator, and data acquisition system, the gantry includes the
following components whose detailed information is to be given in the following
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section:
• Control Panel
• Power Switch
• Display Panel
• Laser Localizer
2.1.3.2 Couch
The couch carries patient to the scan position into the gantry for scanning.
It consists of the following components:
• Cradle - can independently move in or out the gantry from the couch;
• Device releases - consisting of two buttons one on each side of the cradle.

Figure 2-2 Front view

Rapid or Emergency release of a patient table can be achieved by grabbing the


green switches along either side of the table. This unlocks the table from its
driving mechanism and allows it to be manually extended or retracted. Press
the green switches again, the patient table is lock and cannot be moved
manually.

WARNNING: The table supports a maximum patient weight of 200kg in


the lying position.
The cradle cushion is made of foamed plastics coated with
vinyl. The accessories of head holder (head holder
cushion, neck pad, coronary chin pad and knee pad) are
made of polyurethane. The cradle and head holder are
made of carbon fiber. Paints employed in product shall
meet ISO 10993 for biocompatibility. These materials may
not cause allergy to patients when they touch them.
Employ cleaning methods and materials that have a
known non-allergic history.

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The patient table will move back when the operator
initiating the scanner.

Caution: The complement cushion is easy to clean and disinfect.


2.1.3.3 Operator Console
The operator console is the central processing unit and data processor of CT
scanner. Through the operating console, the operator can complete such tasks
as scan planning, scan control, patient/image browse and image output or
transfer image and so on.
The operator console consists of the following components:
• LCD Monitor
• Operator Computer
• Mouse and Standard Keyboard

WARNNING: It is not allowed that users install software or upload data


other than operating software / image data on local hard
disc.
The operator computer is located in a so-called PC cabinet. Inside the PC
cabinet, there is a multi-slot socket and a switch power, which supply the power
for CT box and a hub. See Figure 2-3 and Figure 2-4.

Figure 2-3 PC cabinet

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Figure 2-4 Rear of PC cabinet (cover removed)

WARNNING: Don’t connect the multi-slot socket inside PC cabinet with


any other devices except for the monitor, operating
computer and the switch power for hub and CT box.
2.1.3.4 CT BOX
CT BOX consists of several buttons to control gantry, couch, X-Ray exposure
and intercom system. For more information, refer to the corresponding
sections.
2.1.3.5 Laser Imager
The laser imager is used to receive image data and print out films. For more
information, refer to the User Manual from its manufacture.
The Laser imager must be complied with the IEC60601-1.
2.1.3.6 Regulated Power supply Unit (RPU)
The three-phase alternating current RPU provides stable voltage for various
elements. Refer to its instruction manual for the technical specification and
data.
2.1.3.7 Advanced Image Workstation
The advanced image workstation is an independent computer system with
special CT software. Through the image workstation, the operator can transfer
the patient images for browse and diagnosis, or output image to laser imager
for taking photos.
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2.1.3.8 Auto-develop Machine
It is necessary to develop the films only when the user has a wet laser camera.

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2.2 Gantry

Figure 2-5 Control panels on gantry

2.2.1 Control panel

Figure 2-6 Control panel

On the right and left side of gantry, there is a control panel respectively. The
buttons on the control panels perform the table in, table out, ascending and
lowering operations of the couch and tilting operation of the gantry manually to
position patients for scanning. As is shown in Figure 2-6.

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z Emergency Stop Button


In case of emergency, press this button to switch off the power of
couch and the gantry. As a result, any motions and X-Ray exposure
suspend immediately to protect the patient being examined and the
system. Once it is pressed, the gantry stops within ±0.5 degree and
the couch stops within 10mm.
The Emergency Stop Button remains engaged before manually reset
by the user.
For more details of system shutdown and startup, refer to sections
Shutdown and Start-up.

z Positive Tilt
Press this button to tilt the gantry away from the operator.

z Negative Tilt
Press this button to tilt the gantry towards the operator.

z Head Position
Press this button to elevate couch to a pre-defined height, and then
move the table into the gantry bore. If the table height isn’t less than
the pre-defined height, the table moves into the gantry bore directly.

z Body Position

Refer to the description of Head Position button. The final table


height is greater than that of head position.

z Table Elevation and Table Descent


Press to elevate or lower the patient couch.

z Cradle Out
Press to move the table out of the gantry bore horizontally.

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z Quick Cradle In

Press it together with Head Position button to move table in at a


speed of 50mm/s at Head Position height;
Press it together with Body Position button to move table out at a
speed of 50mm/s at Body Position height.
Press it together with Cradle Out button to move table out at a speed
of 50mm/s.

z Movement Reset
Click this button, if the gantry tilts, it will go back to 0 degree position,
and the cradle out operation is performed before the couch descent
operation from the original position if the couch is not cradled out. If
it’s on the original position, then the couch descent operation is
performed directly.

z Table position Clear

Press to set current table position as the original position. As a result,


the table position becomes zero.

z Safety Range Display and Laser Localizer Switch

Press and hold for a while, display the maximal range of couch in,
couch up, positive gantry tilt, and turn on laser localizer. Press and
hold again, display the maximal range of couch out, couch down,
negative gantry tilt, and turn off laser localizer. The laser beam
automatically turns off after 1 minute.

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Table 2-2 Display panel function List

What do you What are displayed on display panel …


do … HOR. TABLE VERT. TABLE GANTRY TILT
Press and hold The max table The highest The max
once position into the bore table height positive degree
Release button Current table position Current table Current tilt
height degree
Press twice The max table The lowest table The max
position out of the height negative degree
bore
Release Current table position Current table Current tilt
height degree
Press third time Same as the first Same as the first Same as the first
press press press
Notes: The table is not supposed to be up and lower quickly.
Every button of the control panels is activated only when
its LED is OFF. Otherwise, it does not work.

WARNNING: Observe the condition of patient when operation the CT


Box and control panel.

2.2.2 Power Switch


The switch is located on the right side of the gantry. It is a group of circuit
breakers. Pull it to ON to switch power on and push it to OFF to switch power
off.

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Figure 2-7 Power Switch

It is the power switch to CT scanner. When the voltage of power supply is lower
than required or the emergency stop button is pressed, it turns to OFF position
and the scanner is shutdown. User has to switch it on manually when power
supply meets the requirement or the emergency stop button is reset.
For more details of system shutdown and startup, refer to sections Shutdown
and Start-up.

2.2.3 Display Panel


It is located in the middle of the gantry top, shown as the figure below.

Figure 2-8 Display Panel

− GANTRY LIMIT
It is a system advance indicator light and it is not available now.
− TABLE LIMIT
It turns to red when the table height or table position is out of its
limitation. Otherwise, it is off.
− TILT LIMIT
It turns to red when the gantry tilts to a degree out of the limitation.
Otherwise, it is off.
− VERT. TABLE
Display the current table height relative to the floor. (Unit: mm)
− HOR. TABLE
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Display the current table position relative to the end of couch or the

set position. See the description of button . (Unit: mm)

− GANTRY TILT
Display the current tilt angle of the gantry. Negative tilt means the
top of the gantry tilts to the end of couch. Positive tilt means the top
of the gantry tilts to the front of couch. The angle is from -30.0° to
+30.0°. (Unit: degree)
− MANUAL SCAN
It is a system advance indicator light and it is not available now.
− X-RAY ON
It turns to yellow during X-Ray exposure. Otherwise, it is off.

2.2.4 Laser Localizer


The system has two laser localizers, on the right hand side and the middle of
gantry respectively, to assist patient positioning. Each localizer generates two
perpendicular laser beams.
Press a key on the control panel to turn on the localizers. When only the patient
position is needed to determine and no control on gantry and couch is needed,
it is suggested that only the fast cradle in key be pressed.

Laser Localizer is on when press the buttons on the gantry except the ,

, buttons.

The localization precision of the laser localizer is ±1mm.


If one image generate during a circle, the laser localizer indicate the
constructed image position
If two images generate during a circle, the laser localizer indicate the middle
position of these two images.

WARNNING: Before turning on the laser localizers, instruct the patients


to keep their eyes closed until you turn OFF the laser
localizers.
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WARNNING: Be sure to turn off laser localizers before leaving patient’s


side.

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2.3 CT BOX

Figure 2-9 CT BOX

CT-BOX has a display panel, which displays the status of gantry and table, and
a scan control panel.
Table 2-3 CT BOX Buttons List

No Name Description

Display Couch code, scope of number


a Couch code LED displayed is 0~1600mm.

Display Couch Height, scope of number


b Couch Height LED displayed is 0~544mm.

Display gantry tilt degree, the first place


c Tilt Display of the LED is used to display minus

It turns to green during X-Ray exposure


Radiation Warning
d and turns to yellow when the tube is
Lamp
ready for exposure. Otherwise, it is OFF.
Press to tilt the gantry away from the
e Negative Tilt
operator.
f Positive Tilt Press to tilt the gantry towards to the

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operator.

Press to talk to the patient in scan room.


g Intercom Switch Otherwise, you can hear the voice from
scan room.
Press to confirm scan and start X-Ray
exposure. It turns to green when the
h Scan Start
tube is ready for exposure. Otherwise, it
is OFF.
i Table Elevation Press to elevate table.
Press to stop scan and X-Ray exposure.
j Scan Stop It turns to green during X-Ray exposure.
Otherwise, it is OFF.
Press to move the table into the gantry
k Cradle In Horizontally
bore horizontally.
Table Accelerate Accelerate the table movement speed.
l
Horizontally
Press to move the table out of the gantry
m Cradle Out Horizontally
bore horizontally.
n Table Descent Press to lower the table.
In case of emergency, press this button
to switch off the power of couch and the
gantry. As a result, any motions and
X-Ray exposure suspend immediately
to protect the patient being examined
o Emergency Stop and the system. Once it is pressed, the
gantry stops within ±0.5 degree and the
couch stops within 10mm.
The Emergency Stop Button remains
engaged before manually reset by the
user.
It has two volume turning button on each
Intercom Volume
p side of the CT BOX to adjust the
tuning
intercom volume.
Press Quick Cradle In button together with Head Position button, Body Position
button or Cradle Out button to move Couch quick.

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2.4 Accessories

The CT scanner described here provides the following accessories:

1. Coronary chin pad – Optional item. This head


holder is used for coronal head scans of
patients lying on their backs. The slope of the
holder positions the patient with the neck
extended and the head dropped back.

2. Neck Pads – standard item. For patient


comfort.

3. Head holder cushion and straps – Standard


item. The head holder is used for most routine
child or adult CT head exams. The angle of
the holder positions the head naturally for a
routine brain scan and minimizes the required
gantry angle to achieve optimal results.
Patients straps for immobilization.

4. Head Pad – standard item. For patient comfort.

5. Knee Pad – standard item. For patient comfort.

These accessories are made of polyurethane and won’t cause allergy to


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patient who touch them directly.

WARNNING: Do not use any positioning aids not mentioned in this


section.
Non-original patient supports may cause danger for the
patient through collisions with the Gantry. Image quality
may also decrease.
If a head holder or support is not engaged securely, it can
come loose causing injury to the patient.
Positioning aids must be used exclusively for their
intended purpose: head holder only for positioning the
head.

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2.5 System Start-up

2.5.1 Checkup before Start-up


2.5.1.1 Environment
User is required to check environment such as temperature and humidity,
which affect the scanner performance especially image quality, before system
startup or the first scan. The requirements of power supply for the system to
function properly are detailed below:
Table 2-4 Environments List

Operating Room Scan Room


Ambient Temperature 18℃~28℃ 18℃~24℃
20%~80%, 30%~60%,
Relative Humidity
no condensing no condensing
Atmosphere 70kPa~106kPa
Pressure

Caution: Keep the scan room clean and tidy because dust and
corrosive air may shorten the service life of the whole
system.
2.5.1.2 Power Supply
The requirements of power supply for the system to function properly are
detailed below:
Table 2-5 Power Supply List

Three-phase four-wire power


Type of power supply (among which are 3 phase lines,
PE)
≥50kVA for Low-end NeuViz Dual
Rated power
≥65kVA for High-end NeuViz Dual

Frequency 50±1Hz or 60±1Hz

Rated Voltage Three-phase 380V

Maximum fluctuation Less than ±10% under nominal


of voltage steady status
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The total input Maximum 5%


harmonic distortion
The fluctuation of single-phase
Phase equilibrium voltage should not be more than 5%
of the nominal phase voltage
≤ 1000V (peak voltage) in less than
Instantaneous voltage
100ns
-5%~+10% under nominal steady
Day fluctuation of
status for 50Hz, or - 5%~+6% for
voltage
60Hz
The ground wire of user equipment
Grounding shall be connected to ground of
Isolation transformer

Caution: The capacity of the transformer of the main power supply


should not be less than 50kVA (for low-end) and 80kVA (for
high-end).

2.5.2 Start-Up

Figure 2-10 System Start-Up Procedures

After the procedures above, the operating console monitor displays the main
interface of operating software automatically.
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2.6 Shutdown

Figure 2-11 Main Interface

Click the 【Shutdown】 button on the main interface to shutdown system


automatically. And follow the procedures below to switch off power supply.

Figure 2-12 System Shutdown Procedures

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WARNNING: The user should strictly comply with the start-up and
shutdown system procedures.

Caution: To optimize tube and lengthen its service life, wait 30


minutes for the tube cooling, and then shutdown system.

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2.7 Key Technical Data

Table 2-6 Technical Data Table

Low-end NeuViz Dual High-end NeuViz Dual


Nominal X-ray
tube voltage
Maximum tube current Maximum tube current
together
200mA for nominal 300mA for nominal
with the highest
voltage 80kV, 100kV, voltage 80kV, 100kV,
X-ray tube
120kV, 140kV 120kV, 140kV
current (Large
focal spot)
Nominal X-ray Maximum tube current
tube voltage 300mA for nominal
together voltage 80kV
with the highest
X-ray tube Maximum tube current
current (Small Maximum tube current 260mA for nominal
focal spot) voltage 100kV
200mA for nominal
voltage 80kV, 100kV, Maximum tube current
120kV, 140kV 230mA for nominal
voltage 120kV

Maximum tube current


200mA for nominal
voltage 140kV
The maximum
tube voltage and
current
140kV×200mA 140kV×300mA
generated by
high voltage
generator
The nominal 24kW, working at 120kV, 36kW, working at
output power 200mA,and loading time 120kV , 300mA , and
of 4s loading time of 4s
The maximum 28kW, working at 140kV, 42kW, working at
200mA, and loading time 140kV , 300mA, and
output power
of 54s loading time of 38s

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Chapter 3 Daily Operations


3.1 Daily Operation Introduction ............................................................... 3-1
3.2 Tube Warm Up ...................................................................................... 3-2
3.3 Air Calibration....................................................................................... 3-4
3.4 Protocol................................................................................................. 3-7
3.4.1 Protocol edit Interface ................................................................ 3-7
3.4.1.1 Protocol edit...................................................................... 3-9
3.4.2 Display Edit ............................................................................... 3-12
3.5 Schedule and Scan............................................................................. 3-15

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Chapter 3 Daily Operations

3.1 Daily Operation Introduction

The main function buttons of the Daily Operation Module in system main
interface are shown below:

Figure 3-1 Main Function Buttons in Daily Operation Module

The daily operations include the following items: Tube Warm-Up, Air
Calibration, Schedule, Scan, and Protocol.

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3.2 Tube Warm Up

When the system has been powered down for a long time (for example, when
start up the equipment every day), the tube heat will drop down. If the tube heat
is below 15%, warm up the tube first. If the tube heat is below 15% at start-up
process, the tube warm-up prompts will appear. Follow the prompts and
perform the following operation to warm up the tube:

In main interface, click 【Tube Warm-Up】button , and a dialog box will


appear as follows:

Figure 3-2 Dialog Box for Tube Warm-up

Click【Start】, and the system will perform warm-up procedure automatically.


Related warm-up information will be displayed In the 【Message Box】. When
the message box shows that warm-up is completed, click【Exit】to return to
main interface.
If users select High Heat with “√” marked in front, three choices can be
selected for High Heat as figure shown below:

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Figure 3-3 Dialog Box for High Heat Tube Warm-up

Caution: Monitor the information in the【Message Box】 to see


whether it is normal or not during the process. Press【Stop
Scan】immediately, if any contra-indication occurs.
It is forbidden to perform tube warm-up if the tube heat is over 20%.

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3.3 Air Calibration

Click 【Air Calibration】button, enter the Air Calibration interface.

Figure 3-4 Air Calibration Interface

A complete air calibration should be performed if the temperature or humidity in


the scanning room changes.
1) Press【Start】button, the scan begins with the default parameters in list. If
wants to stop the process, press button【Stop】.

2) Users can add custom calibration parameters by press


【Para.Setting】button.

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Figure 3-5 Calibration Parameters Setting

If parameter items are marked with blue, all of corresponding parameters in the
list are selected with check mark, as figure is shown below:

Figure 3-6 Select All Parameters

If【Scan Name】is marked with blue, users can select calibration conditions
according to the scan name in the list.

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Figure 3-7 Select Scan Name

3) Press 【Start】button to start calibration. Press 【Stop】button can stop the


calibration.
4) Air calibration finish.
Notes: If there is a great change in the temperature or humidity in
the scanning room, it will cause ring artefacts or central
artefact in images.

Caution: There must be no objects in the scan field, which could


cause the system to incorrectly calibrate one or more
detectors, and introduce image artifacts.

WARNNING: Do not perform Sensitivity Calibration when there is


someone in the scanning room.

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3.4 Protocol

Click【Protocol】 button on system main interface, the following protocol


edit interface appears.

Figure 3-8 Protocol Edit Interface

Tags on the top of the interface, which include 【Protocol edit】, 【Display edit】,
【Recon.Kernel】, 【Film Template】can be selected.
3.4.1 Protocol edit Interface
System consider 【Protocol edit】tag interface as default interface. Users can
select adult or Children protocols by clicking the 【Adult Protocols】 or
【Children Protocols】 tab on the left of the protocols display panel, see figure
below, pink means infant protocol, azure means children protocol with age
more than 12 months.

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Figure 3-9 Interface of Children Protocol

1. Operators can select any operation region by clicking the corresponding


part on the body model.

Figure 3-10 Selection of Scan Part


Meanwhile, the scan protocol buttons are displayed on the right side of the
interface.

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2. When the protocol edit is needed, select the protocol button on the right
side of the interface. When the mouse moves on a protocol button,
corresponding tips will appear.

Figure 3-11 Information Tips


Click the selected protocol button, detailed information will appear below the
interface.

Figure 3-12 Detail Information of Selected Protocol

3.4.1.1 Protocol edit


Users can add, delete, modify and save protocol as needed through clicking
the button on the right.

1. 【Edit Protocol】 : To edit parameters of selected protocol, click


【Edit Protocol】button or double click the mouse on protocol name frame in
the list window.
z 【Surview】Interface is default interface . Other edit tags interfaces are
【Scan】,【Contrast】,【Voice】,【Reconstruct】 and 【Protocol】.

Figure 3-13 Surview Interface of Edit Protocol

Users can add, delete, save parameters of scan series for selected

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protocol. Press 【Add】after filling the parameters, the series will be
added and displayed on the selected protocols list.

Figure 3-14 Add a new Scan Series

z 【Scan】Interface: With【Scan】interface, users can add a new axial or


helical scan. Please refer to Chapter 5 for parameters description.

Figure 3-15 Scan Interface of Edit Protocol

z 【Voice】Interface: Mark check with Auto Voice , The Voice


tag turns available, press 【Voice】to modify the voice parameters for
protocol. If the protocol activate the voice function, there will be a trump

displayed on the protocol button, such as .

Figure 3-16 Voice Interface of Edit Protocol

z 【Reconstruction】 interface is used to set reconstruction parameters


of scan. Users can select the Recon. Mode parameter and Display
Mode parameter from the list

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Figure 3-17 Reconstruction Interface of Edit Protocol

z 【Protocol】interface is used to classify the protocol.

Figure 3-18 Protocol Interface of Edit Protocol

【Set as the default protocol for this anatomy】: Set this protocol as the
default protocol for selected anatomy.
【Auto Film】: The check box determines whether film the image after
scan, and select the desired film template from the
list.(refer to Film Template description in this chapter)
【limit’s kind】&【limit to】: Two kinds of limit can be selected, age and
weight. Users can type in the range in
blank sheet.
【Species】: Classify the protocol, and decide what kind of patient can
use this protocol, Adult, Child or Infant
【Scan Type】: Classify the protocol, and decide what type of the
protocol is. Four types can be selected, Surview, axial,
helical and compound. (refer to Patient Register
interface )
z Add/Save/Delete/Back operation on 【Edit Protocol interface】: Users
can press【Update】button on 【Edit Protocol interface】 to save the
protocol which was changed.
To delete the selected series of selected protocols, click 【Delete】
button.
To return to the Protocol Edit Interface, click 【Back】button.

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Figure 3-19 Add/Save/Delete/Back button

2. 【Del. Protocol】 : To delete the selected protocol, click【Del.


Protocol】.

3. 【Exit】 : To exit the protocol modification module, click【Exit】.

3.4.2 Display Edit


To enter the display edit interface, click 【Display Edit】on the Tab button. You
can manage the current protocols through the following three buttons.

Figure 3-20 Display Protocol List

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1. 【Add】: Click【Add】button, the following modify edit dialog box will appear.
Fill property values in the corresponding blank for the new display protocol
added.

Figure 3-21 Add New Display Edit Dialog Box

2. 【Modify】: Select a protocol in the data list and click 【Modify】 button, the
edit dialog box will pop up (same as Display Edit Dialog Box, but users
cannot change the Name item). Modify the protocol selected in the edit
dialog box.

Figure 3-22 Modify Display Edit Dialog Box

3. 【Delete】: Click 【Delete】button, the dialog box of deletion will appear.


Click 【Confirm】 to delete the selected protocol.

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Figure 3-23 Delete Prompt Box

On reconstruct interface of Scan Parameter setting, all of the Display edit


name list as follows:

Figure 3-24 Display Edit List on Reconstruct Interface

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3.5 Schedule and Scan

Please refer to chapter 4 for more details of【Schedule】 & 【Scan】

Function.

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Chapter 4 Scan
4.1 Schedule ............................................................................................... 4-1
4.1.1 Patient Positioning...................................................................... 4-1
4.1.2 Patient Schedule ......................................................................... 4-1
4.1.2.1 Patient Register Interface.................................................. 4-1
4.1.2.2 Register Interface .............................................................. 4-3
4.1.2.3 All Scanned ....................................................................... 4-8
4.2 Main Scan Interface.............................................................................. 4-9
4.2.1 Scan Control Panel ..................................................................... 4-9
4.2.2 Display Current Information..................................................... 4-11
4.2.3 Setting Scan Parameters .......................................................... 4-11
4.2.3.1 Pilot Scan .........................................................................4-11
4.2.3.2 Add Scan Series.............................................................. 4-16
4.2.3.3 Axial/Helical Scan Parameter .......................................... 4-16
4.2.3.4 Axial Scan ....................................................................... 4-18
4.2.3.5 Spiral Scan ...................................................................... 4-18
4.2.3.6 Reinforced and Scan Triggering ...................................... 4-18
4.2.3.7 Parameter of Voice.......................................................... 4-23
4.2.3.8 Parameter of Image Construction.................................... 4-24

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4.1 Schedule

4.1.1 Patient Positioning


Position the patient to be scanned in the optimal scan place before patient
register.

Caution: When the patient table is not non-metal material, avoid


scanning the metal part in the head support connection in
case it may influence the scan effect.
4.1.2 Patient Schedule

Click the 【Schedule】button , and the following schedule interface will


appear:

Figure 4-1 Patient Schedule Interface

4.1.2.1 Patient Register Interface

Click the icon on the top left of the interface, then enter the Register

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interface, as is shown in follows:

Figure 4-2 Register Interface

Click the icon on the top left of the interface, then enter the All
Scanned interface, as is shown in follows:

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Figure 4-3 All Scanned interface

4.1.2.2 Register Interface


Registered Patient refers to that who has been registered already but not
scanned.
As is shown in Figure 4-2, the registered patient’s basic information is listed on
the left of the interface. Below 【Catalog】are the associated registration
operation, including 【Schedule Patient】,【Schedule again】,【Delete Patient】
and 【Search】. Press the icon【Begin】below【Start Scan】,then scanning starts
happening to the selected registered patient on the left.
4.1.2.2.1 Catalog
【Schedule Patient】
Click 【Schedule Patient】 below【Catalog】,then enter the following interface:

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Figure 4-4 Schedule Patient Interface

【Patient ID】
Compulsory information. Numbers or letters can be inputted. The identification
is the unique serial number for each patient, and the operator is to set patient
ID according to the rules of the hospital. The maximum length of patient
identification is 30 characters.
【First Name】and【Last Name】
Compulsory information. Attention: do not input “.”; and the maximum length of
patient name is 255 characters.
【Gender】
Compulsory information. Click the circle radio button before the option, a black
dot will appear indicating that the item is selected.
【Age】
Compulsory information. The age number will change automatically according
to the Birthday field filled. Fill the patient age in the age text box and click the
list arrow next to the age text box to select the desired unit from the list
displayed.

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【Birthday】
Compulsory information. The year of birth will change automatically according
to the age filled if the age field is active otherwise modify the month value and
day value by either directly modifying the number before the day and month
item or by clicking the list arrow to open a drop down menu of selections, and
select the patient birthday from the perpetual calendar on it.
【Age Group】
Compulsory information. There are three groups for selecting: Infant, Child and
Adult. Click the circle according to the age of the patient.
【Height】
Non-compulsory information. Input the patient’s height (unit: cm).
【Weight】
Non-compulsory information. Input the patient’s weight (unit: kg).
【Accession Number】
Non-compulsory information, for the management of patient ID in the hospital.
【Voice Language】
Compulsroy information. Select the voice prompted acceptable to the patient.
【Referring Physician】
For display only. No alteration is allowed. You can add a user in configuration.
Refer to Chapter 5 in User Manual for detailed information.
【Requesting Physician】
Non-compulsory information, Input the information about Referrer.
【Operator Name】
Non-compulsory information, Input the Performer information.
【Description】
Non-compulsory information. Patient related information can be inputted per
diagnostic requirements with the valid content within 100 characters.
Notes: ‘*’ mark before the compulsory blank will disappear after
filling in.
【Schedule again】
Select a registered patient, then click 【Schedule again】under 【Catalog】to
modify the existing information about the patient.

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【Delete Patient】
Select a registered patient, then click 【Delete Patient】under 【Catalog】. The
following dialog box appears:

Figure 4-5 Delete Patient

Click 【Confirm】to finish the deletion. Click 【Exit】to cancel the deletion.
【Search】
Click 【Search】under 【Catalog】. Then the following dialog box appears:

Figure 4-6 Search

In which, press in the icon , then appears

. Users could select what they want among the

selections. Click in the icon , users could select


any time they want among the selections.
4.1.2.2.2 Start Scan
Select a registered patient, then click 【Begin】under 【Start Scan】. Following
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is the detailed operation steps:
Click 【Begin】to enter the following interface:

Figure 4-7 Register

After patient confirmation, click 【Next】to enter the following interface:

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Figure 4-8 Protocol

On the left of the above scanning interface, there is a body graphics. Users
could select the region to be checked at random, including Head, Eye, Neck,
Vertebra, Abdomen, Extremity, Ear, Sinus, Lung, Lumber, Pelvis and Others.
Click the anatomy symbol beside the body graphics to select the region to be
scanned, and at the same time appears the scan mode to be used to scan the
selected region.
Click 【Next】to begin scanning.
4.1.2.3 All Scanned
For more details, refer to 1.2.2 Registered Interface.

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4.2 Main Scan Interface

Figure 4-9 Main Scan Interface

4.2.1 Scan Control Panel

Figure 4-10 Scan Control Panel

【Scan】: Start scan. If users want to cancel or stop scan, they can use stop
button on CT BOX.
【Cancel Scan】:

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【End Study】: Finish current patient scan
【Exit】: Exit scan interface but do not finish current patient scan
Click 【Scan】 to start the scan. Make sure that nobody irrelevant with the
patient is in the room and the protective door is closed before scanning. The
radiation information in the interface shall be observed carefully when scan is
being performed. If a contra-indications exist, press 【Stop】button on CT-Box
to stop the scan, or click the emergency stop switch on the physician’s console
to terminate X-ray production.

Figure 4-11 Scan prompt

Caution: Do not enter the Scan Room until the x-ray production is
completely ended to prevent harm from radiation.

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4.2.2 Display Current Information

Figure 4-12 Information Display Bar

4.2.3 Setting Scan Parameters


You can add a scan series, delete a scan series, change patient positioning,
select preset scan mode and set detailed parameters of various scans and
image constructions in this interface.
【Add Scan】: Add a new series, with the current series as the template. (Only
the first series can be set as film series.)
【Add Recon】
【Dup】
【Delete】: Delete current selected series that has not been scanned.
【Save】
4.2.3.1 Pilot Scan
Pilot scan, namely positioning scan, is a scan mode that the gantry remains still
during the scan process while the couch moves to the set direction. The plane
photograph image of scanned region of patient can be acquired in pilot scan.
Operators can set the positioning line and gantry tilt angle on the film, and

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select the region to be scanned in order to control the subsequent scans.
The first series of each patient can be film series. When the first series in the
list is selected, the film option card can be used if the series has not been
scanned, and the series can be set as film series. You can set the following
parameters for the film series.
【PA】: To select the tube position during scan. The positive scan is that the
pilot scan is performed by the tube right above the gantry.
【Lateral】: To select the tube position during scan. the lateral scan is that the
pilot scan is performed by the tube from the right side of the gantry.
【Couch In】: To select the direction of couch motion with the direction of
“Couch In”.
【Couch Out】: To select the direction of couch motion with the direction of
“Couch Out”.
【Auto Voice】: Whether to perform the auto breath navigation.
【Start (mm)】: To set the couch position at the beginning of the scan process.
If the initial position is empty, the present couch position is set as the initial
position. Unit: mm.
【Length (mm)】: Effective displacement of the couch movement, used for
imaging during the pilot scanning process. It is used to set the film length. Unit:
mm.
【Current (mA)】: Current parameter for scan. Unit: mA.
【Voltage (kV)】: Voltage parameter for scan. Unit: kV.
【FOV】: Image construction parameter, In pilot scan, if the scan length is not
above 500 mm, the view is 500; if the scan length is above 500mm, the Rec
FOV is equal to scan length.
【Window Width】: The window width of the film image.
【Window Location】: The window level of the film image.

Figure 4-13 Pilot Parameters

Perform the image construction while the pilot scan is being performed, and
the film is displayed directly after scan is completed.
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Figure 4-14 Film Display

4.2.3.1.1 Film Positioning


Main aim of pilot scan is positioning for axial/spiral scan series. Abundant
positioning functions are provided in the system for you to operate conveniently.
Operators can define multi scan series through positioning multi group of
positioning lines.
The positioning line group is a scan series with the same scan parameters and
it can be composed of one or more positioning lines. If it is composed of more
than one lines, it is displayed as a parallelogram positioning box. The scan
range and image construction view can be determined clearly through the
positioning line group with the vertical length determining the scan range and
horizontal length determining the image construction view.
Operators can realize the operations towards the positioning line group
through mouse and keyboard.
4.2.3.1.2 Add Positioning Series
Right click the film image and select【Add Series】in the pop up menu, and a
new group of positioning lines will be displayed in the film image, with the same
functions as【Add Scan】in the following panel.
4.2.3.1.3 Select Positioning Series
Operators can either select the corresponding positioning series directly by

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clicking the mouse on the image, or select the items in the【Mode Name】list.
4.2.3.1.4 Adjust Positioning Series
„ Adjust Start Position
The 【Start Position】parameters can be inputted in the scan parameters or in
the quick parameter panel. Alternatively, select corresponding series in the film
image and press the left mouse button in the series, then move the cursor in
the direction of couch to adjust the initial position. If the series exceeds the
display range of the film, the initial position can be adjusted only by inputting
the parameters in【Start Position】.
„ Adjust Scan Length
The parameters of【Scan Length】can be inputted in the scan parameters or in
the quick parameter panel. Alternatively, select the series in the film image
through pressing the left mouse button on initial border or ending border of the
series frame, then moving the cursor in the direction of the couch to adjust the
scan length. If the series exceeds the display range of the film, the view can be
adjusted only by inputting parameters in【Scan Length】. In addition, if the
method of dragging borders of the frame is used, the【Start Position】 will be
modified at the same time.
„ Adjust View
The 【Image Construction View】 parameters can be inputted in the Image
Construction parameters panel. Alternatively, select the corresponding series
directly in the film image and press the left mouse button on either side of the
frame, then move the cursor in the direction of perpendicular to couch to adjust
the view. If the series exceeds the display range of the film, the view can only
be adjusted by inputting the parameters in【Start Position】.
„ Adjust Central Coordinate of Image Construction
For the positive film, the parameters of【Center X】can be inputted in Image
Construction parameters panel . Alternatively, select the series in the film
image and press the left mouse button while pressing the Shift key at the same
time in the series, then move the cursor in the direction of perpendicular to
couch to adjust the coordinate. If the series exceeds the display range of the
film, it is can only be adjusted by inputting the parameters in【Center X】. In
addition, press the Ctrl key on the image to adjust, both the【Start Position】and
【Center Y】will be modified at the same time.
For the lateral film, the above adjusted parameter shall be【Center Y】.
„ Adjust Gantry Tilt Angle
For the lateral film, if the machine tilt angle is allowed ,the parameters of【Tilt】

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can be inputted in the scan parameters or in the quick parameter panel.
Alternatively, select the corresponding series in the film image and press the
left mouse button on each of the four corners, then move the cursor in the
direction of couch to adjust the tilt angle. If the series exceeds the display
range of the film, the tilt angle can only be adjusted by inputting the parameters
in【Tilt】.
„ Flip Scan Direction
The operator may select the scan series to be adjusted, press the right mouse
button and select【Flip Series】from the pop-up menu to flip and change the
scan direction.
4.2.3.1.5 Delete Positioning Series
To delete selected positioning series press Delete; or click the right mouse
button and select【Delete Present Series】from the popup menu .The functions
are the same as that of 【Delete】function in the panel below. (Only when the
series selected from the【Selected Protocol】list is not scanned.)
4.2.3.1.6 Right Button Menu
You can perform various frequently used operations through the right-button
menu at any time. The right-button menu in film includes three kinds of
operations: series operation, image adjustment and display control.

Figure 4-15 Right Button Menu

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4.2.3.2 Add Scan Series
If users want to add other scan protocol series, press 【Add Scan】button to
enter protocol select interface, figure is shown as below:

Figure 4-16 Add Scan Protocol Series

Four tags on the left of the protocol display frame can be seen on the above
figure, including Pilot, Axial, Helical and Exam. For protocols in Exam, each
protocol has no less than two scan series.
Select a protocol, then press【Next】to return scan interface.
4.2.3.3 Axial/Helical Scan Parameter
All the optional parameters of axial scan, helical scan are listed here.

Figure 4-17 Axial Scan Parameters

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Figure 4-18 Helical Scan Parameters

【Scan Mode】: To specify the scan type: Axial Scan, Helical Scan.
【Voltage】: The scan voltage parameter. Unit: kV
【Current】: The scan current parameter. Unit: mA
【Collimation】: Slice thickness. Unit: mm.
【Rot. Time】: The Rotation speed, used to define the time of one rotation of
the tube. Unit: s.
【Sample】: The sampling numbers of each scan layer.
【Pitch】:Helical scan parameter. The pitch of spiral scans. Unit: mm.
【Increment】: Slice Increments. Unit: mm.
【Rot. Number】:Number of Scan layers.
【Start】: The start position of a series when the scan starts. Unit: mm.
【Scan Time】: Helical scan parameter. The time consumed in spiral scan.
【Tilt】: The tilt angle of the gantry. Unit: degree.
【Length】: The series length of a scan. Unit: mm.
【Scan Angle】: Effective angle of each scan layer, used to specify partial scan,
common scan and over scan.
【Couch】: Scan Directions, couch in/couch out.
【Auto Voice】: Whether to perform the auto breath navigation and select the
specific voice information for breath navigation system or not.
【Reconstruction】: Whether to reconstruct the images immediately after scan
process or not.
【Trigger】: It sets the option whether to adopt monitoring scan sequence and
sets the scan type. Axial scan trigger contains clinical scan, contrast and
manual. Helical scan trigger contains clinical scan and contrast. Select contrast,
the contrast parameter interface will be active.

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4.2.3.4 Axial Scan
Axial scans are the normal CT mode of slice-by-slice scanning while the
Patient Table is motionless during the exposure, and the tube rotates around
the patient while radiating rays. If multi layers scan is needed, the back couch
will move to the position of next layer automatically according to the operator’s
setting, after one layer is completed till all the axial scan operation is
completed.
The axial scan operation can be performed after the pilot scan is completed,
and start after positioning is carried out on the film image, or it can be
performed directly after the scan part is determined by laser localizer without
the pilot scan process.
4.2.3.5 Spiral Scan
During spiral scan process, the X-ray tube rotates continuously to produce
X-ray beam and the patient table is incrementing continuously in the axial
direction. So the X-ray track in the scanning area is a spiral movement for the
patient under inspection.
The spiral scan operation can be performed after the pilot scan is completed,
and start after positioning is carried out on the film image, or it can be
performed directly after the scan part is determined by laser localizer without
the pilot scan process.
4.2.3.6 Reinforced and Scan Triggering
If user set the【Trigger】 parameter of a scan series (non-pilot series) as
Manual to perform the manual scan. Namely, the operators can control the
start time of rays discharging time. After the scan preparation is completed, the
information prompt box for discharging rays by manual is displayed before the
X-ray exposure. There is a certain limit for manual operation: a time display is
shown on the top from zero time with the unit as second after the prompt box
pops up. After the time exceeds 180 seconds, the scan is aborted
automatically if it is not started. Click【Start Scan】in 180 seconds, the rays
discharging operation is started if the Auto Voice item is not selected. If the
Auto Voice item is selected, the scan operation is started after the
corresponding voice tips are sent out.
Select the Contrast Scan from the Trigger list, the Contrast label is active, refer
to the following figures:

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Figure 4-19 Select Contrast Scan

Figure 4-20 Non-Timed Contrast Scan Parameters

Figure 4-21 Timed Contrast Scan Parameters

【Trigger Type】: To specify monitoring scan type of the series: Localization


Layer Scan (Locator), Tracking Scan (Tracker).
【PID】: Time duration from the injection time in reinforced scan. Unit: s.
The reinforced scan is performed after certain contrast media is injected into
intravenous. The multi-phase scan is the reinforced scan under CT multi-phase
condition. According to the different preset time segments, the artery phase,
vena phase and delay phase scan are performed respectively. Further
diagnosis is performed according to the different reinforced characteristics of
illness in various phases. The reinforced scan is carried out through setting the
parameters in【Reinforce】, namely, the contrast medium is used.
„ Timed Scan
The【Bolus timing】of different scan series are set according to different
alteration curve of contrast medium in human body. For example, the
three-phase scan of liver sets three different scan series (best on the same
place), which represent the artery phase, vena phase and balance phase of
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liver. So the【Bolus timing】of the three series are set respectively. After the
scan is started, the rays generating start time of the scan series is set
automatically in the system.
„ Non-Timed Scan
Users perform contrast scan manually.
„ Bolus Tracking
Follow the steps to do bolus tracking.
(1) In scan type, select helical scan.
(2) Select Bolus Tracking in the trigger of contrast.

Figure 4-22 Select Bolus Tracking

(3) Bolus timing appears and the localization layer and the tracking layer
will be automatically added.
(4) The localization layer will be first scanned. After that, the shape of the

cursor turns to be . Users will be asked to draw ROI to trace


whether the contrast satisfies the values set for bolus tracking. After
drawing the ROI, the CT values will be automatically shown.

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Figure 4-23 Draw ROI

(5) Inject the contrast. Take care of the injection dosage and speed, and
properly set the associated parameters to guarantee an ideal scan
result.

Figure 4-24 Set parameters

(6) Press【scan】to start the scan of the tracking layer.

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Figure 4-25 Tracking layer scan

To stop tracking and skip to clinical scan, press【START CLINICAL SCAN】.

图 4-26 Start clinical scan

(7) Select【scan】the blue bar shows the scan speed and the gray bar
stands for the scan duration. After the blue bar is full of the gray bar,
the helical scan starts.

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Figure 4-27 Helical scan

4.2.3.7 Parameter of Voice


Activate voice label page by marking the Auto Voice with a check before it.

Figure 4-28 Voice Label Page

【Language】Select the desired language


【Pre - scan】Pre-message control box
【Post - scan】Post-message control box
【Play】Play
【Stop】Stop
In either the Pre-or Post- message control box, click the play button. The
message will play. Click Stop to stop the message during play.
The bottom part of the voice manager display contains the message recording
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control interface.
4.2.3.8 Parameter of Image Construction
To specify the parameters of certain image construction of certain scan series
as in the following figure.

Figure 4-29 Parameter of Image Construction (Axial Scan)

Figure 4-30 Parameter of Image Construction (Helical Scan)

The parameters include:【Image Construction Scheme】,【Center X】,【Center


Y】、【Filter Parameter】, 【Rec FOV】【, Reconstruction Layer】【
, Reconstruction
Interval】and【Reconstruction Matrix】
Refer to image reconstruction parameters.
【Display Mode】To set the default display mode of appointed image and reads
the corresponding parameters.
【Rec FOV】for changing the reconstructed Field Of View.
【WW】Window Width. To display the window width of an image.
【WL】Window Level . To display the window level of an image.
【The Count of】Count of the images

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Chapter 5 Archives Management


5.1 Archive Management Interface............................................................ 5-1
5.1.1 Patient Information List ............................................................. 5-2
5.1.2 Scan Series List / Image Series List ......................................... 5-2
5.1.3 Data List and Image Display ...................................................... 5-4
5.2 Data Operation ...................................................................................... 5-6
5.2.1 Data Source................................................................................. 5-6
5.2.2 Refresh ........................................................................................ 5-7
5.2.3 Search ......................................................................................... 5-8
5.2.4 Delete......................................................................................... 5-10
5.2.4.1 Delete Patient................................................................. 5-10
5.2.4.2 Delete Scan/Image Series...............................................5-11
5.2.4.3 Delete Scan/Image Data .................................................5-11
5.2.5 Fix Patient Data......................................................................... 5-12
5.2.6 Film Image................................................................................. 5-12
5.2.6.1 Copy to........................................................................... 5-13
5.2.6.2 Copy from....................................................................... 5-15
5.2.6.3 Usage of CD-R /CD-RW................................................. 5-17
5.2.7 Lock ........................................................................................... 5-18
5.2.8 Unlock ....................................................................................... 5-18
5.2.9 Load to Viewer .......................................................................... 5-19
5.2.10 Image Mergence ..................................................................... 5-19
5.3 Register and Scan .............................................................................. 5-21
5.3.1 Schedule .................................................................................... 5-21
5.3.2 Scan ........................................................................................... 5-21
5.4 Image Reconstruction ........................................................................ 5-22

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Chapter 5 Archive Management

5.1 Archive Management Interface

There are three available functions in the Archives Manager Module: Data
Management, Image Process and DICOM Output & Print.
The Archive Manager is used to browse the patient scan data and images in
the database; export or import data; query and edit the patient information,
scan data and image data; image reconstruction, image mergence, and 2D
display.
All the data of a patient includes patient information, scan data and the
generated image data.

Click in the main interface, the archives management interface is


displayed as below:

Figure 5-1 Archives Management Interface

The archives management interface is divided into information display area


and function button area, as shown above. The information display area is on
the left side including patient information list area, scan/image series list area,
data list, and image display area from top to bottom. The function button area
is on the right side including 【Data Operations】 button, 【Reconstructions】
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button,【Reg. and Scan】button and【Status】prompt information bar from top
to bottom.
5.1.1 Patient Information List
To display all the patient information of specified date source, including: patient
ID, patient name, sex, age, inspection time, inspection technician, lock or
unlock, scan description, birthday, weight, height, patient position, etc.
Select the data source (Local database or backup disk database) from the data

source function area on the right side of the management


interface, click a certain patient record in list area, and the corresponding row
will turn blue indicating that the patient information is selected. Meanwhile,
corresponding scan or image series information is displayed on the
scan/image series list and data display region below.

Figure 5-2 Patient Information List with Blue Selected Records

5.1.2 Scan Series List / Image Series List


z Definition of<Scan Series>:
For pilot scan and spiral scan, a scan series is a set of scan data which is a
slice or multi slices derived from a continuous X-ray exposure. For axial scan, a
scan series is the data set of a group scanning processes which are performed
continuously with identical parameters.
z Definition of<Image Series>:
For all or part of scan data, it’s the data set of a layer or multi layers of images
in a scanning process.
Notes: The scan series and the serial number of the image Series
are generated automatically in the system. For a certain
patient ID, the serial number of scan/image begins with 1,
while a new scan/image serial number is the serial number
of the last patient plus 1.

z Click【Scan Series】, all the scan series of the selected patient will be
displayed in the dialog box with the following scan information: Serial
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number, scan type, scan mode, voltage, current, rotate speed, initial
position, slice thickness, gantry tilting angle, pitch/couch length, scan
cylinder number, enhancement mark, data state, DAS information, couch
movement direction, sampling number, large and small focus etc.

z Click one of the scan series data record, and the corresponding row will
turn blue indicating that the scan series is selected. Meanwhile,
corresponding scan series information is displayed on the 【Data List】
display region below.

Figure 5-3 Scan Series List with Blue Selected Records

z Click【Image Series】, and the selected image series will be displayed in the
dialog box with the following information: Image thickness, scan mode,
enhancement mark, view, image numbers, window width, window position,
data status, image scheme, filtering parameter, etc., refer to figure 5-4.

z Click one of the image data record, the corresponding row will turn blue
indicating that the image series is selected. Meanwhile, the image series
information is displayed on【Data List】region below.

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Figure 5-4 Image Series List

5.1.3 Data List and Image Display

z Click【Scan Series List】to select a scan series, the generated information


of the selected series will be displayed in the 【Data List】display area,
including raw data number, general raw data number, couch position code,
study time, etc.

Figure 5-5 Scan Data Information in Data List Display Area

z Click【Image Series List】to select a scan series, the generated information

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of the selected series will be displayed in the 【Data List】display area,
including image number, general image number, couch position code, study
time, etc.

z Click one of the image records, and the selected row will turn blue.
Meanwhile, the image specified by the record will be displayed on display
area on the right side.

Figure 5-6 Generated Information from Image Data and the Corresponding Image

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5.2 Data Operation

Introduction to data operation buttons are as follows:

Figure 5-7 Introductions of Data Operation Buttons

5.2.1 Data Source


Two kinds of data sources are provided in the system. One is the local
database and the other is the database of backup disk. It shows whether the
data before the patient list is in local database or backup disk database.

z Click in Data Source, then appears Figure 5-8. Users could select
different backup disks as data source. All the patient information in the hard
disk will be displayed on the patient list area on the left side of the interface.

Figure 5-8 Data Source

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z Click with the left mouse button to select data from


the default backup database, all the patient information in the default
backup database will be displayed on the patient list area on the left side of
interface.

Figure 5-9 Patient Information List from Local

Notes: Data in default backup disk is only used for browse and
does not support operations as follows: Patient Login,
Change, Scan Pre-selection, Image Construction, Image
Composition and the change of Window Width or Window
Level.
Notes: Click various options on the patient list in figure 5-2 or
figure 5-9 to arrange patient data in order or reverted order
by the selected option.
5.2.2 Refresh

Click , and all the patient information of the selected data source will
be displayed on the patient list area.

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5.2.3 Search
Various search methods are provided for the operators to search the needed
data conveniently. Operators can search information with single condition or
multi combined conditions. Fuzzy searching function is supported in the
system.

Select the data source to be searched, click , and the patient search
dialog box will appear as below:

Figure 5-10 Patient Search Dialog Box

z Search by Patient ID
Select 【Patient ID】 in 【Patient Search】 interface, input the patient ID
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to be searched and click 【OK】, the filtering result will be displayed in the
list box.
z Search by Name
Select 【Name】in【Patient Search】 interface, input the name to be
searched and click 【OK】, the filtering result will be displayed in the list
box.
z Search by Sex
Select 【Sex】 in 【Patient Search】 interface, click the sex option to select
the desired sex, and click 【OK】, the filtering results will be displayed in
the list box.
z Search by Age
Select 【Age】 in 【Patient Query】 interface, input the age to be Searched
and click 【OK】, the filtering results will be displayed in the list box.
z Search by Study Date/Time
Select【Study Date/Time】in 【Patient Search】 interface, input the time
or select the study time to be searched, and click 【OK】, the filtering
results will be displayed in the list box.
z Search by Technician
Select 【Technician】in 【Patient Search】 interface, input the name of
the technician to be searched and click 【OK】, the filtering results will be
displayed in the list box.
z Search by Lock Option
Select 【Lock】 in 【Patient Search】interface, then select【Yes】or【No】,
and click【Ok】, the results will be displayed in the list box.
z Search by Pre-registered Patient
Select 【Pre-registered Patient】 in 【Patient Search】 interface, then
select【Yes】or【No】, and click【Ok】, the results will be displayed in the
list box.
z Search by Diagnostic Report Printing
Select 【Printed】in【Patient Search】interface, then select【Yes】or【No】,
and click【Ok】, the result will be displayed in the list box.
z Search by Protocol Name
Select 【Protocol Name】 in 【Patient Search】 interface, and select the
mode name from the pull down box on the right side, click 【Ok】, and the

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searched result will be displayed in the list box.
z Search by Description
Select 【 Description 】 in 【 Patient Search 】 interface, input the
technician diagnostic description in the edit box on the right side, and
click 【Ok】, the searched result will be displayed in the list box.
5.2.4 Delete
The delete operation supports patient delete, scan/image series delete and
scan/image data delete.
5.2.4.1 Delete Patient

Select the patient to be deleted from the patient list, click , and a
prompt dialog box will appear for delete operation confirmation.

Figure 5-11 Delete Prompt Box

Click 【Confirm】to delete the patient information. Click 【Exit】to cancel the
operation.

Caution: The delete operation can delete the scan/image data and
video data permanently. Be cautious to avoid losing data.
Notes: Press the left mouse button and Ctrl key simultaneously,
several patient records can be selected with blue color
highlight. Press the left mouse button and Shift key
simultaneously; several consecutive patient names or IDs
in list box can be selected.
The locked patient cannot be deleted until it is unlocked.

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5.2.4.2 Delete Scan/Image Series
Select the patient whose data is to be treated from the patient list, select the
scan/image series to be deleted from corresponding【Scan Series List】 and

【Image Series List】, then click , a prompt dialog box will appear for
delete operation confirmation.

Figure 5-12 Delete Scan/Image Series Dialog Box

Click【Confirm】 to delete the selected scan or image series. Click 【Exit】to


cancel the delete operate.
5.2.4.3 Delete Scan/Image Data
Select the patient whose data is to be treated from the patient list, select the
scan or image series to be operated from the corresponding【Scan Series List】
or 【 Image Series List 】 , then select the data to be deleted from the

corresponding data list, click , and a prompt dialog box will appear
for delete operation confirmation.

Figure 5-13 Delete Scan/Image Data Dialog Box

Click【Confirm】 to delete the selected data. Click 【Exit】to cancel the delete
operate.

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5.2.5 Fix Patient Data

Select the patient to be modified from the patient list, click , modify
dialog box will appear as below:

Figure 5-14 Fix Patient Data

Except for the operator, all information can be modified, including: Patient ID,
Name, Sex, Age, Birthday, Height, Weight and Information Description. The
operator is to ensure the validity and authenticity of the inputted patient
information.
Click 【Confirm】to complete the modification. Click【Exit】to cancel the
operation.
5.2.6 Film Image
Select a series to be printed in the Image series List, or select an image to be

printed in the Data List. Then click , after that appears the dialog box
below:

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Click【Confirm】to enter the Film Interface. For more details about Film, refer to
Volume 2.
5.2.6.1 Copy to

Select records from the list, click , the following interface will appear
to select store disks to store selected records:

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Figure 5-15 Storage Disk

Click the following two circumstances will appear:

(1)If the backup disk is not found, the following dialog box will appear:

Figure 5-16 Read Disk Status

To make sure whether the backup disk is inserted in a proper way, refer to
【Usage of CD-R/CD-RW】for detailed information.
(2)The status of backup disk is normal
If the status of backup disk is normal, the following dialog box will appear.
Select data type for export, the remaining disk space and the required space
for back up will be displayed simultaneously.

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Figure 5-17 Data Import/Export Dialog Box

For the data type to export, you can select raw data, image, or both. Click【OK】,
and the export operation is executed with the progress indicated by a progress
bar on the screen.

Figure 5-18 Progress Display of Backup Data

After the operation is completed, the following dialog box will appear to inquire
if the records in local database shall be reserved. Select【Yes】, and the data
are reserved; select【No】, and the data will no longer be reserved.

Figure 5-19 Dialog Box for the Confirmation of Reserving Data

5.2.6.2 Copy from

Click , and the following data updating window will appear


for data updating if the database version of backup disk is lower than the
required version.

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Figure 5-20 Backup Disk Upgrade Interface

Click , then the database of backup disk will be updated while the
data will be imported to the local disk at the same time. Select Upgrade option,
then the database of backup disk is upgraded while the data will not be
imported to the local disk.
If the backup database version is the same as the required one, the following
dialog box will appear. Select the data type for import, and the remaining disk
space and the required space will be displayed at the same time.

Figure 5-21 Import Data Selection Dialog Box

The data type of import can be raw data, image, or both. Click【OK】, and the
operation will be executed with the recovery progress indicated by a progress
bar on the screen.

Figure 5-22 Progress Display of Resuming Patient Data

After the import operation is completed, a dialog box will appear to inquire if the
records of database in the back up disk shall be reserved. Click 【Yes】, the

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data will be kept down; select【No】, the data will no longer be kept down.

Figure 5-23 Dialog Box for the Confirmation of Keeping Down Data

More than one patient data import or export can be performed simultaneously
through using the mouse and Shift or Ctrl combination key.
The import or export operation cannot be performed to the data or image
construction of a patient being scanned
5.2.6.3 Usage of CD-R /CD-RW
The CD Writing program of WINDOWS XP is loaded in the console system and
the following dialog box will appear when WINDOW XP is writing a CD:

Figure 5-24 CD Writing Interface

Input CD name, and then click “Next”, a progress bar will appear on the screen
to indicate the progress.

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Figure 5-25 CD Writing Progress Interface

If there is not enough space on CD-RW, you can erase the CD-RW on
WINDOWS XP operating system to release the space.

Figure 5-26 CD Management Interface

5.2.7 Lock
The system provides Lock function to enable the user to protect the date of
special patients from being modified or deleted accidentally.

Select the patient to be locked from the patient list and click to lock
the patient. The patient list lock item will become True at the same time.
5.2.8 Unlock

Select the patient to be unlocked from the patient list and click to
unlock the patient. The patient list lock item will become False at the same
time.
More than one patient lock or unlock operations can be performed by using the
mouse and Shift or Ctrl combination key.
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5.2.9 Load to Viewer

Select a patient from patient list, then click , and the system will load
images to enter image display and process interface, refer to Vol. 2 for 2D
display.
5.2.10 Image Mergence
Through the images mergence process, the image artifact effect can be
lessened without losing resolution power. For example, if the basilar images
composed by 3 layers of 3mm slices are composed, under the same resolution
power, the capacity artifact is decreased significantly compared with scanned
image with 10mm technology, as is shown in the following figure. In the
combine images operation, there are at least two images and the couch code
shall be continuous.

Figure 5-27 Example of Images Mergence

After the image sequences to compose are chosen in【Image Sequence List】,

click , and the【Combine images】dialog box pops up for the users to


input or select the composition interval, the image thickness after composition
is displayed automatically on the bottom. Then the combine images operation
is executed before a new image sequence is generated.

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Figure 5-28 Combine Images Interface

If the operation is successful, the newly generated image sequence


information will be displayed in the image series list.

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5.3 Register and Scan

Introduction to scan and reconstruction buttons are as follows:

Figure 5-29 Scan and Reconstruction Buttons

5.3.1 Schedule
Refer to Schedule in chapter 4 Scan for detailed information
5.3.2 Scan
Refer to Scan in chapter 4 for detailed information.

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5.4 Image Reconstruction

Image reconstruction with different parameters can be performed if there is no


reconstructed image in scanning process, or the position, size or effect of the
image is not satisfactory.

Click , after a patient is selected in patient list, and the reconstruction


dialog box will appear. The patient ID can also be selected in the image
reconstruction interface.
The reconstruction parameters of spiral scan are not identical with that of axial
scan, shown as follows:

Figure 5-30 Dialog Box for the Image Reconstruction of Spiral Scan

Figure 5-31 Dialog Box of Image Reconstruction of Axial Scan

Image reconstruction algorithm can be selected from the 【 Select Image


Construction Scheme】pull down menu.
There are 12 kinds of reconstruction as schemes in the system including: Head
Standard Reconstruction, Body Standard Reconstruction, Head Fast
Reconstruction, Body Fast Reconstruction, Head High Resolution
Reconstruction, Body High Resolution Reconstruction, Head Refined

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Reconstruction, Basilar Special Reconstruction, Head Metal Artifact, Body
Metal Artifact, Head Clear Reconstruction and Body Clear Reconstruction.
z According to the diagnosis requirements, related values can be selected or
inputted from the scan parameters.
z 【Thickness】:Image Reconstruction Thickness, It is used to specify the
number of reconstruction layers for every circle of scan and the thickness
of reconstruction layers. For single row CT scan, the setting is 1×(Slice
Thickness) all the time; for dual CT scan, the default value is 2×(Slice
Thickness), and another option is always 1×(2×Slice Thickness).
z 【FOV】:The image construction view. The default value is the last
inputted value with the range of 5cm-50cm.
z 【Filter】:The selection range is 0~1. Through the alteration of filter
parameters, the sharpness and noise level of reconstructed images can be
adjusted. The noise in the image increase as the sharpness of the image
increases, and vice versa. In general, the low contrast resolution
decreases as the spatial resolution (and the image noise) increase.
z 【Center X】:The unit is mm. The positive direction is from the left side to
the right side of the patient, and the rotation centre is coordinate origin.
Through the alteration on 【Central Coordinate X】【 , Central Coordinate Y】
and【FOV】, only the interested area can be reconstructed.
z 【Center Y】:The unit is mm. The positive direction is from the back (P) of
the patient to the front side (A) of the patient, and the rotation centre is
coordinate origin.
z 【Start Pos.】:Start Position, It is a parameter of the spiral scan. The
position of the first layer is defined as zero position, the parameter means
the initial position towards the zero position related to the image
reconstruction.
z 【Scan Distance】: It is a parameter of the spiral scan which gives the
region covered by the Helix. The parameter is given by the system and is
not editable.
z 【No. Slice】:As a parameter of the spiral scan, it set the number of layers
expected for each reconstruction.
z 【Interval】: It is used to set the distance between two consecutive
reconstructed slices.
z 【Starting Slice】:As a parameter of the axial scan, it shows the starting
slice of the reconstruction process.
z 【Ending Slice】:As a parameter of the axial scan, it shows the ending
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slice of the reconstruction process.
When all the related settings are set, click【Confirm】, and the reconstruction
task is added while the reconstruction information is displayed on the image
construction manager (Refers to Image Construction Manager Window). Click
Terminate button, and the present process can be stopped. Click the Exit
button, and the operation is canceled while the reconstruction window is
closed.

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Chapter 6 Maintenance
6.1 Introduction to Maintenance Interface............................................... 6-0

6.2 Air Calibration ...................................................................................... 6-1

6.3 Modification Setting ............................................................................ 6-2

6.3.1 Password Modification .............................................................. 6-2

6.3.2 ID Generator................................................................................ 6-2

6.3.3 Firewall Setup ............................................................................. 6-3

6.3.4 Exit............................................................................................... 6-3

6.4 System Log .......................................................................................... 6-4

6.5 Public Information ............................................................................... 6-6

6.6 Log Out User........................................................................................ 6-7

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6.1 Introduction to Maintenance Interface

Click the 【Maintenance】button, then the following interface shows up:

Figure 6-1 Maintenance Interface


Main function buttons are displayed below:

Figure 6-2 Main Function Buttons of Maintemance


The functions include 【 Air Calibration 】 , 【 System Log 】 , 【 Public
Information】, 【Log Out User】and 【Modification Setting】.

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6.2 Air Calibration

Click 【Air Calibration】button, then enter the Air Calibration


interface.
For more details, please refer to Chapter 3 Daily Operations.

WARNNING: Confirm no people in the scanning room before air


calibration.

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6.3 Modification Setting

Click 【 Modification Setting 】 button, following interface will be


displayed:

Figure 6-3 Modification Setting interface


6.3.1 Password Modification
Click 【Password Modification】, prompt dialog box will pop up as below:

Figure 6-4 Password Modification


Fill in the blank next to 【 Old 】 , 【 NewPassword 】 and 【 Confirm
Password】, then click 【Confirm】to perform the modification.
6.3.2 ID Generator
Click 【ID Generator】, prompt dialog box will pop up as blow:

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Figure 6-5 PID Generator


It is used to set PID Generate formula, click each 【 setting 】 to set its
corresponding parameter pattern, then the Preview frame displays a
compound generate PID sample.
6.3.3 Firewall Setup
Click Fire Wall Setup, dialog box will pop up.

Figure 6-6 Firewall Setup


6.3.4 Exit
Click 【Exit】to finish the Modification Setting

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6.4 System Log

System Log records the system operation and the time when it happens.Click

【Sys.Log】button, the following figure will be displayed.

Figure 6-7 System Log


z 【 Event List 】 :Records the operations of the system and related
information, which include Event Type, Event Description and Occure
Time.Event Type consists of System_Action, Patient Register, Scan,
Image Construct, Patient Delete, Errors, Shut down the system etc.,
Users can examine what system have done bthrough Event List.
z 【Select】:Select the Event to be viewed.
z 【Detail Content Display】:Look over detail information.
z 【Time Scope】:Display the Log information according to the period
of time.
z 【Search】: Search the Log information comply for the parametersfilled
in.

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Figure 6-8 Search Interface

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6.5 Public Information

Click 【Public Infoamation】, information about the CT Operation


Interfaces will be displayed as follows:

Figure 6-9 Public Information

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6.6 Log Out User

Click 【Log Off User】,a dialogue box will pop up as below:

Figure 6-10 Log Off User


Users should input user name and password, System judge the access of the
user according to the user name and password inputted.

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Chapter 7 Quality Assurance


7.1 Head and Body Phantom..................................................................... 7-2
7.2 Representative Quality Assurance Images........................................ 7-5
7.3 Check of Quality Assurance................................................................ 7-7
7.3.1 Routine Check ............................................................................ 7-7
7.3.1.1 Head Scan ....................................................................... 7-7
7.3.1.2 Body Scan........................................................................ 7-9
7.3.2 Monthly Check .......................................................................... 7-11
7.3.2.1 Measurement of Impulse Response............................... 7-11
7.3.2.2 Measurement of Slice Thickness.................................... 7-11
7.4 Dosage and Performance.................................................................. 7-13
7.4.1 Description of CTDI Dosage Phantom .................................... 7-13
7.4.2 CTDI/ Dosage Analysis Information ........................................ 7-14
4.2.1 CTDI/ Dosage Analysis Information of NeuViz Dual Low
Configuration ................................................................... 7-14
4.2.2 CTDI/Dosage Analysis Information of NeuViz Dual High
Configuration ................................................................... 7-16
7.4.3 Dosage and Sensitivity Curve ................................................. 7-18
7.4.4 odulation Transfer Function (MTF) ......................................... 7-20
7.4.5 Image Quality - Definitions ...................................................... 7-21
7.5 Radiation Protection .......................................................................... 7-23
7.6 Preventive maintenance .................................................................... 7-25
7.7 Cleaning the system .......................................................................... 7-26
7.8 Radiology Safety................................................................................ 7-27
7.9 X-Ray Tube Data................................................................................. 7-28
7.9.1 X-Ray System Specifications .................................................. 7-28
7.9.2 Generator Rating and Duty Cycle ........................................... 7-30
7.9.3 Technique Factors – Maximum Deviations ............................ 7-31
7.10 Gantry Laser Localizer .................................................................... 7-32
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7.11 CT Mean and Standard Deviation ................................................... 7-33
7.12 Description of the method to store quality assurance data as the
record ............................................................................................... 7-34

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Chapter 7 Quality Assurance


7.1 Head and Body Phantom

Imaging performance of the scanner is checked by scanning head and body


system phantoms.
When testing image quality, the system should be properly calibrated.
The phantom consists of two portions which cover the aspects of head and
body scans. This section covers the specifications of both the head and body
portions of the phantom. Familiarize yourself with this information before you
scan either portion. The illustration below shows the entire phantom.
The head phantom is a PVC shell filled with water. It is 200 mm in diameter and
consists of three layers (See figure 7-1 and figure 7-2):
z Physical layer for impulse response and tomographic section thickness
(slice width) measurements.
z Water layer for measuring noise.
z Multi-pin layer for checking contrast scale.
The body phantom is a nylon cylinder 300 mm in diameter. It has an absorption
of 100 士 10 HU and includes these features:
z Teflon pin-absorption 890 士 50 HU
z Water hole-absorption 0 士 10 HU

Figure 7-1 Phantom Composition

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Figure 7-2 Phantom Sectional View

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Table 7-1 Specification of Column Number

Column
Specification
Number
1 The nylon body includes six small polycarbonate columns whose
diameters are 3mm, 4mm, 5mm, 6mm, 7mm and 8mm respectively.
2 Polyethylene
3 Teflon
4 The organic glass has seven rows of holes with different diameters.
Each row has five holes with same diameter and interval.
Row 1 1.00 mm hole, interval 2.00 mm
Row 2 1.25 mm hole, interval 2.50 mm
Row 3 1.50 mm hole, interval 3.00 mm
Row 4 1.75 mm hole, interval 3.50 mm
Row 5 2.00 mm hole, interval 4.00 mm
Row 6 2.50 mm hole, interval 5.00 mm
Row 7 3.00 mm hole, interval 6.00 mm
5 Lexan
6 Perspex

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7.2 Representative Quality Assurance Images

Figure 7-3 Multi-Pin Layer Using Head Std(B) Protocol

Figure 7-4 Water Layer Using Head Std(B) Protocol

Figure 7-5 Body Layer Using Body Std (B) Protocol

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Figure 7-6 Physics Layer 7mm Slice Width Using Head Std (B) Protocol

Figure 7-7 MTF Using Head Std (B) Protocol

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7.3 Check of Quality Assurance

z Routine check:
Noise——water layer of head phantom
Contrast and Artifact——multi-column layer of head phantom
Noise and Artifact——body phantom
z Monthly check:
Impulse Response——physical layer of head phantom
Slice Thickness — — physical layer of head phantom, which is
corresponded with all the slice thickness.
7.3.1 Routine Check
7.3.1.1 Head Scan
1. Multi-Column Layer Image
The multi-column layer of head phantom is set in the scan center.
To scan and get images with the following scan parameters:
• For NeuViz Dual CT Low Configuration scanner, see the interface
below;

Figure 7-8 Head Scan Parameters of NeuViz Dual CT Low configuration Scanner

• For NeuViz Dual CT High Configuration scanner, see the interface


below.

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Figure 7-9 Head Scan Parameters of NeuViz Dual CT High configuration Scanner

The following is the reconstruction parameters:

Figure 7-10 Head Scan Reconstruction Parameters of NeuViz Dual CT Scanner

Make sure to check the image quality in compliance with the following quality
standard:
z No artifact in any image.
z The followings shall be distinguished:
All the distinguish holes (seven rows) appears in the image of the perspex
columns.
Five of six low contrast columns in nylon body can hardly be observed.
z The following standard (CT Value) of attenuation coefficient on different
columns shall be followed:

Column Name Scope of CT Value


Water 0士4
Polyethylene -60±15
Teflon +950±50
Perspex +l30±15
Polycarbonate +110±15
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Caution: All the measurement shall be performed separately in a


small ROI in the area range of the selected needle and
region. Because a variety of materials are used, the actual
attenuation coefficients are different from the listed ones.
The value on the image label shall be adopted in this
situation.
Water Layer
For the water layer, an additional head phantom water layer scan is performed
with the routine scan parameters. For all the images, the ROI (region of
interested) shall be set in the range of the phantom image center 7000±2000
mm2. Check the AV (Average Value) and SD (Standard Deviation) whether they
are with 0±4 HU and ≤0.6% respectively.
7.3.1.2 Body Scan
Put the body phantom in the middle of the scan circle.
To scan and perform image reconstruction with the following parameters:
• For NeuViz Dual CT Low Configuration, see the scan parameters in the
following interface.

Figure 7-11 Body Scan Parameters of NeuViz Dual CT Low configuration


Scanner

• For NeuViz Dual CT High Configuration, see the scan parameters in the
following interface.

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Figure 7-12 Body Scan Parameters of NeuViz Dual CT High configuration


Scanner

The parameters of image reconstruction are as follow:

Figure 7-13 Body Scan Reconstruction Parameters of NeuViz Dual CT Scanner

The following are some standards for image reconstruction:


z No artifact in any image.
z The phantom attenuation coefficient shall be 100±15HU (Or it is the CT
value on phantom label add or minus 15HU) and the SD value≤1.2%.

Caution: All the measurement shall be performed separately in a


small ROI in the area range of the selected needle and
region. Because a variety of materials are used, the actual
attenuation coefficients are different from the listed ones.
The value on the image label shall be adopted in this
situation.
For all the images, the ROI shall be around the center of
phantom image 14000±1000mm2. And the ROI shall not
touch the teflon column or water hole.

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7.3.2 Monthly Check
7.3.2.1 Measurement of Impulse Response

Press the “Head Position” button or ‘Body Position’ button ,

“Cradle Out” button , “Cradle Elevation” button or “Cradle

Descent” button on the control panel if necessary so as to adjust the


phantom position by means of laser localizer. Make sure that the phantom axis
with scan hole together while the axis is perpendicular to scanning surface. Put
a cushion in between the phantom or phantom holding and the couch if
necessary.
Then scan the phantom in lateral pilot (90°) direction, and the axis scan is
performed perpendicular to 0.18 mm copper wire in the middle of physical
layer.
Scan the phantom with examination parameters 120kV/150mA/2s/7mm and
small focal spot, and Head Std (B) for image reconstruction. (FOV=80)

Select the Maintenance and click the CT scan evaluation button


to display the scan evaluation interface, and select the desired image appears
alone in the image display widow.
Choose mode MTF, and select the image of the copper wire. Then click the

button to get the MTF.

The value should not less than 4.5 lp/cm.


7.3.2.2 Measurement of Slice Thickness

Press the “Cradle In” button or ‘Body Position’ button ,

“Cradle Out” button , “Cradle Elevation” button or “Cradle

Descent” button on the control panel if necessary so as to adjust the


phantom position by means of laser localizer. Make sure that the phantom axis
with scan hole together while the axis is perpendicular to scanning surface. Put
a cushion in between the phantom or phantom holding and the couch if
necessary.
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Then scan the phantom in the lateral pilot direction, and the axial scan is
carried out on the slope place perpendicular to width in the middle of physical
layer (namely the four rectangle center at the positions of 12, 3, 6 and 9 o’clock
of the image).
Scan with the parameters of routine examination, and acquire images with
standard head protocol. (Reconstruction View FOV=250mm)

Caution: Scan with the parameters of Head STD(B) examination.


Reconstruct with FOV=100 and Bone HR for the
measurement of slice thickness 0.8mm and 1.0mm.

Select the Maintenance and click the CT scan evaluation button


to display the scan evaluation interface, and select the desired image appears
alone in the image display widow.
Choose mode FWMH, and set the appropriate line number and FOV. Then
drag the left button of mouse in the right position of the image, a serial green
lines will appear. Set the position and angle of the lines, and click the button

to measure slice thickness.

Repeat the above steps, and execute 0.8mm (For this machine, it is alternative
layer thickness configuration), 1.0mm, 2.5 mm, 7.0mm and 10mm slice
thickness scan. Therefore, the range of slice thickness measured shall be: 0.8
± 0.5mm, 1.0 ± 0.5mm, 2.5 ± 1.0mm, 7.0 ± 1.0mm and 10 ± 1.0mm
respectively.

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7.4 Dosage and Performance

7.4.1 Description of CTDI Dosage Phantom


The CTDI dosimetry phantoms are placed in the center of the Gantry opening
on the standard head support with one of the dosimeters at the maximum dose
position

B1

B5
B4 B3

B2

Figure 7-14 Position Schematic Diagram of Measuring the CTDI Dosage

1. CTDI Phantoms
The CTDI dosimetry phantoms are right circular cylinders of polymethyl
methacrylate (lucite). The density of these phantoms is 1.19 g/cm3. The head
phantom measures 16 cm in diameter and the body phantom has a diameter of
32 cm. The length of each phantom is 15 cm.
The phantom provides means for the placement of dosimeter(s) along its axis
of rotation and along a line parallel to the axis of rotation, 1.0 cm from the outer
surface and within the phantom. The dosimeters are TLD crystals (3.2 mm x
3.2 mm x 0.9 mm) or 10 cm long pencil ionization chamber.
2. CTDI Definition
Computed Tomography Dose Index (CTDI) is the integral of the dose profile
along a line perpendicular to the tomographic plane divided by the product of
the nominal tomography section thickness and the number of tomograms
produced in a single scan, as follows:
1 +50mm
nT ∫-50mm
CTDI100 = D(z)dz

where:
D (z)=Dose to Air (CTDI100) at position z
T = Nominal tomographic section thickness

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n = Number of tomograms produced in a single scan
The CTDI definition assumes that for a multiple tomogram system the scan
increment between adjacent slices is nT.
Note:
1) The diameter of head phantom is 16 cm.
2) The diameter of body phantom is 32 cm
3) The material of phantom is Perspex.
4) B5:Center
5) The distance between the outside surface of phantom and the
center of B1 to B4 is 1 cm.
6) The location of the position where the CTDI gets to maximum is B5.
7.4.2 CTDI/ Dosage Analysis Information
4.2.1 CTDI/ Dosage Analysis Information of NeuViz Dual Low Configuration
Figure 7-15 Typical Parameter of Testing Dosage (NeuViz Dual Low)

Scan Parameters of NeuViz Dual CT Low Scanner (Head and Body):

Head Scan Reconstruction Parameters of NeuViz Dual CT Scanner:

Body Scan Reconstruction Parameters of NeuViz Dual CT Scanner:

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+50mm D(z)
CTDI100 = ∫ dz
-50mm NxT
CTDIw=1/3 CTDI100 (center) + 2/3 CTDI100 (peripheral)
Notes: The maximum deviation of the following CTDI value is±
20%.
Table 7-2 Dosage Value (CTDI) of Phantom on Different Positions under Typical
Parameter Condition (NeuViz Dual Low Configuration)

Unit:mGy

Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 B1 B2 B3 B4 B5 CTDIw
Head(FOV250) 38.5 34.5 38.2 34.3 33.2 35.3
Body(FOV350) 25.5 18.0 26.6 22.4 10.7 19.0
Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)
10mm 1.05 1.05
7mm 1 1
1mm 1.66 1.52
0.8mm 1.31 1.31
Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)

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3s 1.47 1.47
2s 1 1
1s 0.53 0.54
0.8s 0.43 0.44
Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)
200mA 1.36 1.37
150mA 1 1
30mA 0.17 0.18

Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)
80KV 0.27 0.23
120KV 1 1
140KV 1.27 1.32
Notes: Only one parameter can be modified each time, the
configuration of other parameters is typical value.
4.2.2 CTDI/Dosage Analysis Information of NeuViz Dual High
Configuration
Figure 7-16 Typical Parameter of Testing Dosage (NeuViz Dual High Configuration)

Scan Parameters of NeuViz Dual CT High Scanner (Head and Body):

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Head Scan Reconstruction Parameters of NeuViz Dual CT Scanner:

Body Scan Reconstruction Parameters of NeuViz Dual CT Scanner:

Notes: The maximum deviation of the following CTDI value is±


20%.
Table 7-3 Dosage Value (CTDI) of Phantom on Different Positions under Typical
Parameter Condition (NeuViz Dual High )

Unit:mGy

Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 B1 B2 B3 B4 B5 CTDIw
Head(FOV250) 34.1 36.2 37.4 35.4 32.6 34.7
Body(FOV350) 22.5 19.1 26.3 22.3 10.9 18.7
Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)
10mm 1.05 1.04
7mm 1 1

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1mm 1.66 1.54


0.8mm 1.41 1.29
Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)
3s 1.47 1.50
2s 1 1
1s 0.53 0.54
0.8s 0.43 0.44
Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)
300mA 1.99 2.02
150mA 1 1
30mA 0.20 0.21
Typical
120KV,150mA,2s,7mm
Parameters
CTDI100 of B5
Normalization Head (FOV250) Body (FOV350)
80KV 0.27 0.23
120KV 1 1
140KV 1.27 1.32
Notes: Only one parameter can be modified each time, the
configuration of other parameters is typical value.
7.4.3 Dosage and Sensitivity Curve
The maximum deviation of the following Dose and Sensitive curve is±20%.
1) 10mm Slice

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Figure 7-17 10mm Slice Dosage and Sensitivity Curve

2) 7mm Slice

Figure 7-18 7mm Slice Dosage and Sensitivity Curve

3) 0.8mm Slice

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Figure 7-19 0.8mm Slice Dosage and Sensitivity Curve

7.4.4 odulation Transfer Function (MTF)


Same conditions as the noise testing
If the MTF is 100% or 1.0, it means there is no signal loss.
If the MTF is 0.0, it means there is no signal.
Actually, when MTF is between 0.05 and 0.02, objects with high contrast and
small aperture cannot be distinguished.

Figure 7-20 MTF Illustrative Diagram (NeuViz Dual Low Configuration)

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Figure 7-21 MTF Illustrative Diagram (NeuViz Dual High Configuration)

7.4.5 Image Quality - Definitions


1. Noise
The phantoms are placed on the patient table stretcher.
a. Head phantom
200mm diameter water with a PVC shell.
The CT number of water is 0 ± 4
b. Body phantom
300mm diameter Nylon (Aculon).
The CT number is 100 ±15.
c. Noise is measured using an ROI of:

7000 ± 2000 m m2 area for head phantom


15000 ± 1000 m m2 area for body phantom
The SD, as displayed on the screen, is divided by (AV + 1000) and multiplied
by 100 to transform the CT numbers to a percentage of the material
absorption.
The maximum deviation from the stated noise is 20%.
2. Modulation Transfer Function

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The impulse response and the tomographic thickness (slice thickness) are not
dependent upon the phantom dimensions. They are therefore measured on the
physics layer of the system phantom.
The phantom physics layer diameter is 200 mm diameter with PVC shell. The
impulse response is measured on a 0.18 mm copper wire using the Impulse
Response program.
The MTF curve is calculated from the impulse response on a separate
computer.
The maximum deviation of the MTF curve is ± 15%.
3. Tomographic Thickness Measurement
In the phantom shown in the Image Performance Quality Assurance chapter,
two aluminium strips at 45 deg. give projections of the sensitivity profile in the
image plane.
The profiles of the projections are equivalent to the sensitivity profiles, and the
FWHM of the profile is the nominal tomographic thickness.
The profile is measured by the Slice Width program.
The maximum deviation of the sensitivity profiles is 20%.
Notes: The 0.8 mm and 1.0 mm results appear wider than actual
with the ramp method due to the limited resolution of the
image and the thickness of the measuring ramp.

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7.5 Radiation Protection

Only qualified and professional institution is to evaluate the shielding of


scanning room. The following factors should be taken into consideration:
device position, scan workload and materials of walls, floor, ceiling, doors and
windows.
The following figure illustrates the radiation level in the process of scanning a
nylon cylinder with 320mm diameter (Body Part) phantom in the scanning
room.

meters
1.5 1.0 0.5 0.0 -0.5 -1.0 -1.5

1.0 0.357 6.12 20.4 23.7 20.5 5.92 0.391

0.5 0.348 0.252 24.9 90.4 23.7 0.270 0.339


meters

0.0 0.287 0.278

-0.5 2.64 20.8 52.5 105 51.7 15.8 2.27

-1.0 8.45 13.3 21.9 28.5 22.1 13.8 8.20

-1.5 6.18 8.66 11.2 12.2 11.6 8.22 6.25

-2.0 4.64 5.53 6.43 6.87 6.25 5.49 4.45

Figure 7-22 Rays Contour Map(NeuViz Dual Low Configuration)

Scan Condition: 140KV, 2*10mm, 600mAs


Proportional Scale: 0.5m each lattice
Dosage: Unit: uGy/600mAs

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meters
1.5 1.0 0.5 0.0 -0.5 -1.0 -1.5

1.0 0.539 5.18 18.1 26.5 18.4 5.46 0.661

0.5 0.330 0.313


meters

0.0 0.347 0.328

-0.5 4.64 19.0 48.2 190 52.5 21.7 4.89

-1.0 7.86 13.4 20.9 26.8 22.1 14.4 8.30

-1.5 6.35 8.40 10.7 12.5 11.0 8.82 6.47

-2.0 4.70 5.44 6.14 6.35 6.10 5.50 4.66

Figure 7-23 Rays Contour Map (NeuViz Dual High Configuration)

Scan Condition: 140KV, 2*10mm, 900mAs


Proportional Scale: 0.5m each lattice
Dosage: Unit: uGy/900mAs

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7.6 Preventive maintenance


Routine preventive maintenance for the whole CT system is scheduled every
six months and should be performed by qualified NMS personnel.
Every six months, use the diagnostic program to check these items:
• Anode voltage
• Cathode voltage
• Emission current
• Exposure time

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7.7 Cleaning the system

Use a commercial biocide, approved by your governing authority to clean the


surface of the system including the table, headholders and accessories.
Alternatively, you can also use a solution of bleach and water mixed according
to EPA guidelines:
• standard cleaning requires 500-615 ppm available chlorine
• cleaning large amounts of body fluid requires 5,000-6,150 ppm
available chlorine
When cleaning the buttons and the inside of the Gantry opening, take care to
avoid leaking liquid inside.
Blood and contrast medium are health risks. Take appropriate health and
safety precautions when removing blood or residual contrast medium.

Caution: Do not use detergents or organic solvents to clean the


system. Strong detergents alcohol and organic cleaners
may damage the finish and also cause structural
weakening.

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7.8 Radiology Safety

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
patients and 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 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 the “Diagnostic X-ray systems and their major components,” section of
subchapter J of Title 21 of the Code of Federal Regulations, 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.
In addition, operators are strongly urged to acquaint themselves with the
current recommendations of the International Commission on Radiological
Protection, and in the United States, with those of the US National Council for
Radiological Protection.
• ICRP, Pergamon Press, Oxford, New York, Beijing, Frankfurt, Sao
Paul, Sydney, Tokyo, Toronto
• NCRP, Suite 800, 7910 Woodmont Avenue, Bethesda, Maryland
20814, USA
Those responsible for the 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.

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7.9 X-Ray Tube Data

7.9.1 X-Ray System Specifications


Leakage: Leakage of the tube housing assembly together with the beam
limiting device is less than 100 mR/hr @ 1 meter, 140 kV and 45 mA for
NeuViz Dual High Configuration (The generator X3601 combined with the
tube CTR1740 CQPN)/ @ 1 meter, 140 kV and 36 mA for NeuViz Dual Low
Configuration (The generator NSG-T10028A combined with the tube
CTR1725 CSPN).
1. Filtration: Minimum tube housing filtration is 1.5 mm aluminum using a 1.5
mm aluminum filter plate, at 75 kV.
2. Cooling Curves: Refer to the figures, Tube Cooling Curve

Figure 7-24 Tube Cooling Curve (CTR1740 CQPN)

Figure 7-25 Tube Cooling Curve (CTR1725 CSPN)

3. Rating Charts: Refer to Tube Rating Charts

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Figure 7-26 Tube Rating Charts (CTR1740 CQPN)

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Figure 7-27 Tube Rating Charts (CTR1725 CSPN)

4. Line Voltage and Regulation: Power supply input voltage is 3-Phase, 380
VAC ± 10%, nominal line-to-line, Delta or Wye, 49 to 51 Hz.
5. Line Current: Maximum line current is 85 A/phase(High Configuration)/ 61
A/phase(Low Configuration) at 380 V input voltage and 140 kV, 300 mA
(High Configuration)/ 140 kV, 200 mA (Low Configuration)
6. Technique Factor Criteria: measurements taken at 80% of peak voltage.
7.9.2 Generator Rating and Duty Cycle
X3601 made in SPELLMAN Co.,Ltd
Duty cycle: Intermittent load continuous operation, maximum transient load
ratio 12%
Rated input line voltage: 3-Phase, 380 VAC ± 10%,50/60Hz
Rated output voltage 140kV

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Rated output current:300mA
Rated output power:42kw
NSG-T10028A made in PNMS
Duty cycle: Intermittent load continuous operation, maximum transient load
ratio 12%
Rated input line voltage: 342-420VAC, 3 phases,50/60Hz
Rated output voltage 140kV
Rated output current:200mA
Rated output power:28kw
7.9.3 Technique Factors – Maximum Deviations
1. X-Ray Tube Voltage
The X-ray voltage is displayed on the Operator Console Screen. The actual
X-ray voltage during scan is within ± 10% of the displayed value, which is in
the range of 80 to 140 kV.
The X-ray voltage is measured on a resistive divider, which is calibrated during
the manufacturing process.
2. X-Ray Tube Current – Exposure Time Product
The actual current – exposure time product (in mAs) during a scan is within
± 30% of the value displayed on the Operator Workstation screen. The tube
current – exposure time product is measured by a dosimeter calibrated in mAs.
The dosimeter is calibrated by measuring the tube anode current on Barracuda
between X-ray ON and OFF during a long exposure.

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7.10 Gantry Laser Localizer

The system has two laser localizers on the gantry and it assists operator to
position the patient. Each localizer generates two perpendicular laser beams
The localization precision of the laser localizer is ± 1mm.
If one image generate during a circle, the laser localizer indicate the
constructed image position
If two images generate during a circle, the laser localizer indicate the middle
position of these two images.

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7.11 CT Mean and Standard Deviation

The SD, as displayed on the screen, is divided, by (AV + 1000) and multiplied
by 100 to transform the CT numbers to a percentage of the material
absorption.
The region of interest of image can be selected by the measuring tool of CT
value in the interface of the console and the CT number of the ROI (region of
interest) selected is calculated from the average CT value of all pixels in the
ROI. The CT mean number of every pixel, as displayed on the screen, is
calculate from the following formula:

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7.12 Description of the method to store quality assurance data

as the record

Quality assurance data can be stored in the normal patient scan format and
recalled at a later date. After loading the quality assurance image in the
interface of 2D image display and these quality assurance data can be
measured on images, these image marked with the data can be save in the
CD-ROM or Local disk or Removable disk through push the button “save
image” on the right side of the interface 2D image display. For the detail, please
refer to the chapter of image display in the instruction for uses 4541 100 19574

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Appendix RecyclingPassport

Product Name: Multi-slice CT Scanner System


Product Model NeuViz Dual (high) NeuViz Dual (low)
Identification Code 989605651321 989605651331
Total weight (in Kg) 2344 2366
Producer /Manufacturer Name Philips and Neusoft Medical Systems Co., Ltd
Address: Neusoft Park, Hun Nan Industrial Area,
Shenyang 110179, China

Recycle info Substances: Location


Hazardous Examples
Lead (Pb) Figure 2

To be removed
Batteries Type: Location
Lithium Coin Battery Figure 3

To be removed

Special attention Item Location


Air-spring Figure 1
Figure 6
Figure 8

Fluids / Gases Item Location


High pressure oil tank Figure 2

I
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NeuViz Dual (high):

Material content (global) Weight in Kg Materials content (continue) Weight in Kg


Lead (Pb) 28.1 Printed Circuits Boards 11
Iron (Fe) 1258.82 Tungsten (W) 0.1
Aluminum (Al) 591.6
Copper (Cu) 169 All other material types 287.3

NeuViz Dual (low):

Material content (global) Weight in Kg Materials content (continue) Weight in Kg


Lead (Pb) 28.1 Printed Circuits Boards 11
Iron (Fe) 1294.82 Tungsten (W) 0.1
Aluminum (Al) 585.6
Copper (Cu) 168 All other material types 280.3

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Locations as mentioned in the Passport ( Pictures information)

PCB

PCB

PCB

Figure 1 CT system

Al、Pb
Fe、W
Oil

Fe
oil

Al
Pb
Fe

Pb

Figure 2 Gantry front view (without cover)

III
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PCB

Fe Al

Figure 3 Gantry front view (without cover)

Al

PCB

Cu、Fe、Al

Figure 4 Gantry rear view (without cover)

IV
NeuViz Dual
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Al
Cu

PCB

Fe

Figure 5 Gantry left side (without cover)

Al

Cu

Fe

Figure 6 Gantry right side (without cover)

V
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Fe

Fe

Figure 7 Couch System (without cover)

PCB
Fe

Figure 8 Couch (inside view)

VI
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Fe

Al

Figure 9 Computer case front view

PCB

Fe

Figure 10 Computer case front view (door open)

VII
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Cu
PCB

Fe

Cu

Figure 11 Computer case rear view

VIII
Neusoft Medical Systems Co., Ltd.
Address: No.3-11, Wenhua Road, Heping District, Shenyang,
Liaoning, China, 110004
Manufactured by Philips and Neusoft Medical Systems Co., Ltd.
Address: Neusoft Park, Hun Nan Industrial Area, Shenyang 110179,
China
EU REP: EMDAR BV
Address: Ijsselburcht 3
POB 5486
6802 EL Arnhem Subject to change
The Netherlands

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