HiSpeed DXi Operator Manual

HiSpeed DX/i
0459
Operator Manual
2295150100
Revision 0
Original draft in English
Copyright 2001
by General Electric Company
WARNING
XRAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR
UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED
Though this equipment is built to the highest standards of electrical and mechanical safety, the useful xray beam becomes
a source of danger in the hands of the unauthorized or unqualified operator. Excessive exposure to xradiation causes damage
to human tissue.
Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment
or exposing themselves or others to its radiation.
Before operation, persons qualified and authorized to operate this equipment should be familiar with the Recommendations
of the International Commission on Radiological Protection, contained in Annals Number 26 of the ICRP, and with applicable
national standards.
Regulatory Requirements
This product complies with regulatory requirements of the following:
- European Directive 93/42/EEC concerning medical devices
0459
The configurations delivered:
without any option or accessory,

or
exclusively with one or several options and/or accessories listed

below, have been declared in compliance with the European
Directive 93/42/EEC and therefore bear the CE marking:
- Green QSD 1990 Standard issued by MDD (Medical Devices Directorate, at the UK Department of Health).
- Medical Device Good Manufacturing Practice Manual issued by the
FDA (Food and Drug Administration, United States Department of
Health).
- Requirements from Underwriters Laboratories, Inc. (UL), independent
laboratory.
- Requirements from Canadian Standards Association (CSA).
- Requirements from the International Electrotechnical Commission
(IEC), international standards organization.
General Electric Medical Systems, the manufacturer of this product, is ISO

9001 certified.
CT HiSpeed DX/i Operator Manual

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EMC Performance
This CT system may characteristically cause electromagnetic interference
with other equipment, either through air or connecting cables.
The term EMC ( ElectroMagnetic Compatibility ) means the capability of the
equipment, which curbs electromagnetic influence from other equipment
and at the same time does not affect other equipment with similar electromagnetic radiation from itself. This product is designed to fully comply with
the group 1 EN6060112 ( IEC6060112 ), Class A, in EMC regulations.
In terms of EMC performance, limit value 12dB relaxation in electromagnetic interference of permanentlyinstalled medical system used in a lead
shielded area, is applied to this product.
Notice upon Installation of the Product

- Locate the equipment as far as possible from other electronic equipment.
- Be sure to use either any cables provided by GEYMS or ones designated by GEYMS. Wire these cables following these installation procedures.
General Notice
- Designation of Peripheral Equipment Connectable to This Product
Avoid using other equipment than designated. Failure to comply with this
instruction may result in poor EMC performance of the product.
- Notice against User Modification
Never modify this product. Unilateral user modification may cause degradation in EMC performance. Modifications of product include ;
D
Changes in cable ( length, material, wiring etc.)
Changes in system installation/layout
Changes in system configuration/components
Changes in means of fixing the system/parts ( cover open/close,

cover screwing )
- Operate the system with all covers closed. If you open any cover for
some reason, be sure to shut it before starting/resuming operation.
Operating the system with any cover open could affect EMC performance.
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Countermeasures against EMCrelated Issues

Generally it is pretty difficult to grapple with EMCrelated issues.
It may take much time and cost.
General countermeasures
Electromagnetic interference with other equipment
D
Electromagnetic interference may be alleviated by positioning other

equipment far from the system.
Electromagnetic interference could be mitigated by changing the

relative location/installation angle between the system and other
equipment.
Electromagnetic interference may be eased by changing wiring

locations of power/signal cables of other equipment.
Electromagnetic influence could be reduced by altering the path of

power supply for other equipment.
Notice on Service
- Ensure all screws are tight after servicing. Loose screws may cause
the degradation in EMC performance.
- In case the high frequency gasket of this system is broken, replace it
with a new one immediately.

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Safety
Safety
WARNING!
FAILURE TO FOLLOW THE OPERATING INSTRUCTIONS AND
SAFETY PRECAUTIONS COULD RESULT IN INJURY TO THE
PATIENT, YOURSELF, OR OTHERS.
General Safety
- Keep the patient in view at all times. Never leave the patient unattended.
Always stay alert to safety concerns involving the patients condition and
equipment operation.
- Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and
make sure they accommodate cradle travel. Position these lines so they
cannot catch on anything within the patient vicinity or between the table and
gantry during cradle travel or gantry tilt.
- Always follow the exam procedures provided in the operator manual. Verify
correct entry of identification, patient positioning, and other patient data
before proceeding with the exam. Incorrect procedures or patient data entry
could cause misinterpretation of the exam results.
- Conduct Image Quality checks and follow the maintenance schedule outlined
in your HiSpeed DX/i operator manual. Discontinue use of the equipment
whenever you notice equipment damage, or a malfunction occurs. Do not
use the equipment until qualified service personnel correct the problem.
Never use the equipment unless all the protective covers are in place.
Radiation Safety
- Use of controls or adjustments, or performance of procedures other than
those specified herein may result in hazardous radiation exposure.
- Always use proper technique factors for each procedure to minimize XRay
exposure while still producing the best diagnostic results.
- Be sure to have an operator wear Xray protection vest when a work is
needed near the gantry while Xray is being emitted.

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Safety
Mechanical Safety
- Never open, or remove, the gantry covers. (Only qualified service personnel
should remove covers.)
- Do not enter the scan room when the gantry covers have been opened or
removed. Never allow a patient or staff member to enter the scan room when
the gantry covers have been removed for maintenance or PM. (Never allow
anyone but qualified service personnel to enter the scan room during gantry
maintenance or PM.)
- To prevent the pinching or crushing of extremities, keep hands and feet away
from the edge of the moving table top/cradle and its surrounding equipment.
(Be especially careful when positioning patients who weigh more than 250
pounds.)
- Physically assist all patients on and off the table, and into position on the
cradle.
- While a patient is being loaded onto a CT table from a gurney, make sure via
the following measures that the gurney NEVER moves.
D Lock all the casters of the gurney.
D Hold the gurney very firmly.
If the gurney moves while loading a patient, it may create a gap between the
table and the gurney posing the danger of the patient falling through the gap.
- Return the gantry to the 0_ upright position, latch the table, and set it at a
comfortable height for patient loading and unloading.
- Avoid any patient contact with the CT gantry during gantry tilt and cradle
movement (manual or software driven). Once again, pay close attention to
large patients; make sure you dont pinch skin or extremities between the
cradle and the gantry.
- The concentrated weight of short, heavy patients can cause the cradle to
make contact with the gantry. Make sure you dont drive the cradle into the
gantry cover, and make sure you dont pinch skin or extremities between the
cradle and the gantry.
- Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and
make sure they accommodate cradle travel. Position these lines so they
cannot catch on anything within the patient vicinity or between the table and
gantry during cradle travel or gantry tilt.
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Safety
- Do not use the table base as a foot rest. You could entrap and injure your
foot while lowering the table.
- Dont place your hands inside the gantry cover when tilting the gantry.
The gantry can pinch or crush your hands!
- Only use the cradle extender to support the patients head or feet during a
scan study. The cradle extender supports up to 75 pounds; the head holder
supports up to 30 pounds. Neither device supports the full weight of a
patient. If you sit, stand or otherwise apply excessive pressure to these
devices, they will break or come off the cradle, and may cause injury.
- Periodically check all accessories for damage and remove from service if
damaged or cracked. Also check the accessory attachment plate fixed to the
end of the cradle. Repair or replace if loose or damaged.
- The cradle has a maximum distributed load capacity of 450 lb. (205 kg).
GE assures incremental accuracy and normal traverse speeds up to 300
pounds. Exceeding the 450 lb. (205 kg) maximum limit could result in
degraded positioning performance, increased table lowering speed,
equipment damage and/or injury.

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Safety
Electrical Safety
- Avoid all contact with any electrical conductors.
- Wait at least 10 minutes after the last scan before you turn off [Main Power].
This gives the circulating oil sufficient time to cool the XRay tube.
Software Safety
- Should a malfunction occur, or a patient condition develop that requires
interrupting a scan series, push
(Abort) on the right end of the OC scan
panel to stop XRay.

- Wait for image annotation to complete before filming. If you press the
exposure button too soon, the film records a composite of two different scans.
- DICOM protocol has a dialect, which may cause some troubles like
disappearances of some portion of image annotations, when connecting to
the station where data transfer is not confirmed.
Emergency Stop
- In the event of a hardware failure that could cause serious damage, such as
smoke, fire or unintentional cradle movement, press one of the red
[Emergency Stop] switches located on the operator console, at the gantry
control panels, or on the Xray Generator. Low power to the electronic
components in the computer and data acquisition system remains ON.
- When Emergency Stop is applied, the moving cradle and tilting gantry may
overrun by less than 10 mm and less than 0.5 degrees, respectively.
GE provides training support. Contact your local GE sales

representative to arrange training sessions to meet your needs.
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Safety
Radio Waves Safety
Never use the following devices near this equipment.
Use of these devices near this equipment may induce erratic function
of the equipment.
Devices not to be used near this equipment

Devices which intrinsically transmit radio waves such as;
cellular phone, transceiver, mobile radio transmitter and radiocontrolled toy,
etc.
Keep those devices poweroff near this equipment.
NOTE
Medical staff in charge of this equipment is required to

instruct technicians, patients and other people who may be
around the equipment to fully comply with the above
regulation.
Your system also has a warning label on a console that

warns of the above hazard.
NOTE

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Safety
Warning Labels
Labels on Keyboard
- The following labels are attached to the upper side of the keyboard.
CAUTION
Patient may be pinched between gantry and table during
Prescribed Tilt. To avoid pinching, before using Prescribed
Tilt, make sure that patient does not contact the gantry.
CAUTION
Press Stop Scan button to stop cradle motion or scanning.
WARNING
This Xray unit may be dangerous to patient and operator
unless safe exposure factors and instructions are observed.

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Safety
Laser Alignment Light Caution/Warning
The HiSpeed system employs semiconductor laser alignment lights for patient
landmarking. This type of alignment light casts a thin red light on the patient
for the purpose of positioning and landmarking.
- The following label is attached at three locations of the gantry aperture.
LASER APERTURE
DO NOT STARE
INTO BEAM
- The following labels are attached to the lower part of the gantry.
LASER RADIATION
DO NOT STARE INTO BEAM
600700nm LASER DIODE
1 MILLIWATT MAXIMUM OUTPUT
CLASS 2 LASER PRODUCT

IEC 8251:1993
LASER RADIATION
DO NOT STARE INTO BEAM
600700nm LASER DIODE
1 MILLIWATT MAXIMUM OUTPUT
CLASS II LASER PRODUCT
CAUTION: Exposing eyes to the laser alignment lights may

result in eye injury.
Do not stare directly into the laser beam.
Instruct patients to close their eyes during landmarking to avoid
eye exposure to the alignment light while laser light is on.
Closely monitor all patients and prevent them from accidentally
staring into the beam.
Do not leave the laser beam on after you position the patient.

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Safety
- The following label is attached at the rear side of the gantry pedestal.
MADE FOR GENERAL ELECTRIC CO.
MILWAUKEE, WISCONSIN BY
GE YOKOGAWA MEDICAL SYSTEMS, LTD

7127 ASAHIGAOKA 4CHOME, HINOSHI, TOKYO, JAPAN
MODEL xxxxx
SERIAL
yyyyy
MANUFACTURED n month, 19xx
SOURCE: 90A/380480V3~
SOURCE: 30A/200V~
SOURCE: 30A/115V ~
SOURCE: 15A/115V ~
CLASS 1
50/60Hz
50/60Hz
50/60Hz
50/60Hz
COMPLIES WITH RADIATION

PERFORMANCE STANDARDS, 21 CFR SUBCHAPTER J
CAUTION : Use of controls or adjustments or performance of

procedures other than those specified herein
may result in hazardous radiation exposure.
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Safety
Information of Laser Alignment Lights Beam
Beam source location
The following drawing shows the locations of the laser beam source, A, B, C,
D, E, F, G and H.
Xaxis direction
Positioning
Light B, E
Positioning
Light A, D
G
Yaxis
direction
Positioning
Light C, F
Gantry Front
Xaxis View
Scan plane
External plane
90 deg.
90 deg.
Gantry front cover
Light A

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Gantry front cover

Beam radiation area
Light C
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Safety
Yaxis View
Scan plane
External plane
Gantry front cover
Light B
90 deg.
Beam radiation area
Gantry front cover
Front View
Beam radiation area
Light F
80 deg. 80 deg.
External plane
Light D
4 deg.
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Safety
Front View
Light E
3 deg.
90 deg.
External plane
Beam radiation area
Front View
55 deg.
Light G
90 deg.
35 deg.
90 deg.
Light H
Scan plane
Beam radiation area

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Safety
Cradle Caution
- The following label is attached to the end of the cradle.
CAUTION
Do not grasp the side of the cradle.
Accessory Caution
- The following labels are attached to the standard headholder and shallow
headholder.
CAUTION
Accessory may fall and cause injury if not latched to
cradle. Make sure that accessory is latched to underside of
cradle.
CAUTION
Excessive weight can break accessory and cause injury.
Do not load more than 34 Kg or 75 pounds.
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Safety
- The following labels are attached to the coronal headholder.
CAUTION
cradle.
CAUTION
CAUTION
Do not hit the accessory against the gantry. Patient injury
or equipment damage could result.
- The following labels are attached to the cradle extender.
CAUTION
cradle.
CAUTION

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Safety
Radio Wave Caution
- The following label is attached to the operator console.
CAUTION
Do not use the following devices near this equipment.
Cellular phone, radio transceiver, mobile radio transmitter,
radiocontrolled toy, etc.
Use of these devices near this equipment could cause this
equipment to perform outside the published specifications.
Keep power to these devices turned off when near this
equipment.
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Safety
Precaution for The CT System Disposal
The elimination of machines and accessories must be in accordance with
national regulations for waste processing.
In the CT system there are certain materials used that could cause
environmental hazards if disposed of improperly. Those materials include lead
blocks in the gantry and oil in the tank and the Xray tube. Be sure to contact
GEMS service personnel prior to disposing of the CT system or any CT
component to ensure safe and proper disposal.
Packing Materials
The materials used to pack our equipment are recyclable. They must be
collected and processed in accordance with the regulations in force for the
country where the machines or accessories are unpacked.

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Safety
Technical documents
GE will provide CT users with the following documents at their request to help
them repair malfunction on their own.
- Diagrams
- Components part lists
- Descriptions
- Calibration instructions
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Table of Contents
Chapter 1
SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General Procedure of CT Examination . . . . . . . . . . . . . . . . . . . . . . .
Main Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gantry Display Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operator Console (OC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Standard Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Head Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Body Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
System Power On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1-1
1-1
1-2
1-2
1-4
1-6
1-8
1-10
1-11
1-11
1-12
1-16
1-16
1-17
1-21
1-23
Chapter 2
SCAN TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . .
2-1
Icon Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Function of Each Icon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Function of Each Icon 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patient Schedule 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Protocol Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Auto Voice Record 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Protocol Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Retro Recon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Recon Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tube Warmup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Scanner Utilities 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Raw Data Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
User Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2-2
2-3
2-4
2-5
2-6
2-12
2-13
2-16
2-21
2-25
2-27
2-30
2-30
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Chapter 3
DISPLAY TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . .
3-1
Primary/Secondary Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Image Display Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Autoview Layouts 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Review Layouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
List/Select 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Routine Display 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Roam Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Explicit Magnify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Flip/Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ProView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GSE (Gray Scale Enhancement) . . . . . . . . . . . . . . . . . . . . . . . . .
Display Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
List/Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ellipse ROI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measure Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cross Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
User Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Exam Pg / Series Pg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hide/Show Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Erase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Screen Save . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Measurements 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MIROI (Multiple Image ROI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Report Pixels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Display Preference 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Annotation Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Next/Prior Each Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Next/Prior Series Binding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Continuous Report Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Manual Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Auto Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accelerator Bar 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3-2
3-3
3-4
3-6
3-7
3-9
3-10
3-11
3-12
3-13
3-14
3-14
3-15
3-15
3-16
3-16
3-17
3-18
3-19
3-20
3-20
3-20
3-21
3-22
3-23
3-24
3-25
3-27
3-27
3-27
3-28
3-29
3-30
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Chapter 4
SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-1
Patient Positioning 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Patient 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Scout Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Auto Store . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Auto Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Axial/Helical Scan Prescription 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Axial/Helical Prescription (View/Edit) Screen . . . . . . . . . . . . . . .
Continuous Scan Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prescribe Scan Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prospective Multiple Reconstruction . . . . . . . . . . . . . . . . . . . . . .
Icons of the Axial/Helical Scan Prescription screen (1) . . . . . .
Icons of the Axial/Helical Scan Prescription screen (2) . . . . . .
Show Localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SmartRecon (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Axial/Helical Scan in Progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Axial/Helical Scan End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Priority Recon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Next Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repeat Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
One More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repeat Last Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Biopsy Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SmartPrep (Option)1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Smart Addition (Option)1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-1
4-4
4-6
4-11
4-12
4-13
4-13
4-14
4-15
4-21
4-23
4-28
4-31
4-33
4-38
4-40
4-41
4-42
4-43
4-44
4-46
4-47
4-48
4-50
4-56
Chapter 5
FILMING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-1
AutoFilm 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AutoFilm Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Manual Film . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Manual Film Composer 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5-1
5-10
5-11
5-12

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iii
Chapter 6
QUALITY ASSURANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-1
Phantom Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Scan the QA Phantom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
High Contrast Spatial Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Slice Thickness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Low Contrast Detectability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Noise and Uniformity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Weighted CTDI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dose and Performance 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dose and Performance 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dose and Sensitivity Profile at Phantom Center . . . . . . . . . . . . . . .
6-2
6-4
6-6
6-7
6-9
6-10
6-12
6-13
6-17
6-21
Chapter 7
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7-1
Component Identification for HiSpeed . . . . . . . . . . . . . . . . . . . . . . . .

Component Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MX165ZJ XRay Tube Assembly Information . . . . . . . . . . . . . . . . .
MX165ZJ Diagnostic Source Assembly . . . . . . . . . . . . . . . . . . . . . .
MX165ZJ CT Scan Ratings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MX165ZJ XRay Tube IEC Information . . . . . . . . . . . . . . . . . . . . . .
MX165ZJ Cathode Emission and Filament Characteristics . . . . . .
Tube MX165 ZJ Anode Heating and Cooling Curves . . . . . . . . . .
MX165ZJ XRay Tube Assembly Information . . . . . . . . . . . . . . . . .
Generator Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Attenuation Equivalent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Periodic Maintenance by Qualified Personnel . . . . . . . . . . . . . . . . .
Maintenance by CT Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Symbols and Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7-1
7-2
7-3
7-3
7-4
7-6
7-7
7-9
7-10
7-13
7-15
7-16
7-18
7-19
7-23
Index
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Chapter 1
SYSTEM
Overview of CT System and Examination
Overview
The HiSpeed computed tomography (CT) system consists of four major
components and some peripheral gear. Four major components are the
gantry, table, operator console(OC) and power distribution unit.
The primary objective of this CT system is to obtain for medical diagnoses
the two or threedimensional images of internal structure of human body.
General Procedures of CT Examination :

1. The operator prescribes the examination(scan) procedures at the OC
while the patient is positioned on the table in the scan room.
2. As the operator initiates the scan procedures with the patient in the
gantry aperture, the Xray unit inside the gantry rotates around the
patient body emitting the fanshaped Xray beam to the body. The
Xray penetrates the body and is received by the detector, then it is
converted to the electrical data.
3. The data acquired in the above step is processed into the images by
the computer at the OC. Then, the images are initially displayed on the
CRT of the OC and subject to manipulation for analysis. The images can
also be filmed later for diagnoses by a physician.
4. The image data can be saved in some electronic media like optical disk
for later analysis and also be transferred to some other stations for
remote diagnoses.

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System
Main Components
Gantry
Display Panel
Emergency
Button
Emergency
Button
Control
Panel
Control
Panel
Positioning
Light
Positioning
Light
Front
Function
The gantry incorporates the Xray tube unit, the HiLight detector and DAS
(Data Acquisition System) inside. It also provides the following functions.
D Display Panel
The display panel shows the readings of the gantry tilt, table height, position
of land mark, latch status, scannable range and tilt range.
Refer to the Gantry Display Panel page for the function descriptions.
D Emergency Button
Pressing the emergency button stops every mechanical movement and the
Xray emission.
D Control Panel
The control panel incorporates the several buttons to mainly control the
movements of the gantry and table. Each front and rear cover has two
control panels. Refer to the Gantry Control Panel page for the function
descriptions.
D Positioning Light
The halogen beam will be emitted through here that will be used to position a
patient.
1-2

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Gantry Specifications
D Aperture : 70 cm
D Tilt : +/ 30 degrees
D Tilt speed : 1 degree/second
D Focus to isocenter : 541 mm
D Focus to detector : 949 mm
D Rotation speed : 360 degrees in 1.5, 2.0, 3.0 seconds
Xray Tube Specifications

D Anode heat storage capacity : 3.5 MHU
D Anode heat dissipation : 820 KHU/min. (maximum)
D Casing heat dissipation : 300 KHU/min. (constant)
D Dual focal spots : 0.9 mm 0.62 mm, 1.2 mm 1.2 mm
(Focal size depends on slice thickness and mA.)
HiLight Detector Specifications

D Channels : 740
D View : 972

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System
Gantry Control Panel
Internal Landmark
Tilt Range
&
Scannable
Range
Display
External
Landmark
Lamp
External
Landmark
Positioning
Light
Table Up
Cradle Out
Table Down
Cradle In
Gantry Tilt
Lamp
Fast
Gantry Tilt
Lamp
Gantry Tilt
Function
The gantry control panel enables you to move or control the movement of
the gantry, table or cradle with the following buttons.
D Cradle In/Out
Use this to move the cradle toward or away from the gantry aperture.
D Table Up/Down
Use this to move the table up or down.
D Fast
Use this to increase the speed of cradle in/out. This does not apply to table
up/down.
1-4

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D Gantry Tilt
Use this to tilt the gantry toward or away from the cradle.
WARNING!
The touch sensor on the gantry cover works only during the remote tilt
operation at the OC. It does not work when the tilt operation is done at the
Control Panel.
D Gantry Tilt Lamp
The system turns on this lamp when gantry tilt is needed.
D Positioning Light
Use this to turn on or off the internal/external positioning lights.
D External Landmark
Use this to move the anatomy beneath the external positioning light.
When the gantry tilt is set at zero degrees, this button must be depressed for
more than 0.5 seconds. Make sure that the [Distance from Landmark]
display on Gantry Display Panel shows the number around 190 mm.
When the gantry is tilted, keep depressing the button until the External
Landmark Lamp gets dim in order for the system to adjust the table height.
D External Landmark Lamp
While this lamp is on, keep depressing the External Landmark button until
this lamp gets dim to adjust the table height.
D Internal Landmark
Use this to move the anatomy beneath the internal light to adjust scan
location zero.
D Tilt Range & Scannable Range
Use this to display the gantry tilt range and the scannable range at certain
table height.

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System
Gantry Display Panel
Distance from IsoCenter
SI
Distance from Landmark

(mm)
Positioning
Light On/Off
Interference
Release
Cradle Lock
SI
Tilt/Angle
Range
Xray On
Function
The gantry display panel shows the following readings and indications.
D Xray On
The Xray On lamp illuminates during Xray exposure.
D Tilt / Angle Range
The Tilt/Angle Range field shows the reading of either the current tilt or the
tilt range limits at the current table height/cradle extension. The numerical
reading is preceded by either S (superior) or I (inferior).
D Distance from Landmark
The Distance from Landmark field shows the reading of the distance (mm)
between the landmark and the anatomy in the Xray path. The numerical
reading is preceded by either S (superior) or I (inferior).
D Distance from IsoCenter
The Distance from IsoCenter field shows the reading of the distance (mm)
between the isocenter and the top of the table.
1-6

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D Release Cradle Lock
The Release Cradle Lock lamp turns on while the cradle is unlatched.
D Interference
The Interference lamp turns on when some mechanical interference occurs.
D Positioning Light On/Off
The Positioning Light turns on or off when the positioning light button on the
control panel is toggled.

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System
Table
Cradle
Foot Switch
(Table Up)
Speaker
Home Position
Latch Button
Function
The table is used to load a patient for scanning.
D Cradle
The cradle moves into or out of the gantry aperture.
D Latch Button
The latch button is used to latch or unlatch the cradle. The unlatched cradle
can be manually slid. The Display Panel shows whether the cradle is
latched.
D Foot Switch
The foot switch is used to automatically raise the table to the level of 140cm.,
then move the cradle inward.
D Home Position
The home position pedal is used to automatically position the table to its
lowest level and the gantry to zero tilt.
D Speaker
The speaker is used to deliver oral instructions to a patient.
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Table Specifications
D Vertical range : from 40 cm to 95 cm (cradle height from floor)
D Vertical elevation speed : 18.3 mm/second on average
D Maximum cradle travel : 1620 mm
(Note: Table Height, Gantry Tilt, and scanning software determine the
scannable range. )
D Cradle speed : 20 mm/second (Slow mode), 100 mm/second (Fast mode)
D Table load capacity : maximum 205 Kg (450 lbs.)

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System
Operator Console (OC)
Scan/Display Monitor
Mouse
Keyboard
Main Switch
CDROM Drive
MOD Drive
Function
The operator console (OC) is mainly used for the operator to set up the scan
procedures and process the resultant image data.
D Scan/Display Monitor
The 21inch monitor on the OC can be mainly used for two purposes,
scanning patients and displaying images.
D Keyboard/Mouse
Please refer to the User Interface page.
D MOD Drive
Image data can be stored in 2.3 GB MOD (magnetic optical disk).
Caution : It is highly recommended to always take backup image data
because there may be a possibility of medium breakdown.
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User Interface
The HiSpeed system employs the user interface that enables the operator to
easily interact with the OC workstation. The user interface consists of a
mouse and keyboard.
Mouse
Middle button
Left button
Right button
General operations of the mouse are as follows:

D Click
Press a button once then release it quickly.
D Double / triple click
Click two/three times quickly.
D Click and drag
Press and hold the button and move the mouse across the pad.
Main functions of each button are as follows:

D Left button
To select any of icon, item, function, etc.
D Middle button
To change window width and/or level by moving the mouse left/right and/or
up/down respectively with the button pressed.
D Right button
To scroll the image or modify the image zoom factor.

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System
Keyboard
The workstation includes a keyboard for entering text at onscreen prompts
and numeric data in data entry fields.
The upper part of the keyboard includes scanrelated buttons and
safetyrelated buttons.
Prescribed
Tilt
Move to
Scan
Stop
Move
Start
Scan
Pause
Volume
Stop Emergency
Scan Stop
Xray on
Mic.
Reset
Talk (Intercom)
Functions of each button and key are described on the following pages.
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Scanrelated buttons
D Move to Scan
Press this button when lit to move the cradle to the prescribed scan start
location.
D Stop Move
Press this button to stop the cradle when it is traveling.
D Start Scan
Press this button when lit to start scans.
D Pause
Press this button to temporarily halt scans. Scans pause after completing the
current one scan. Press Start Scan button to resume scans.
D Xray on
This button lights up during Xray emission.
D Stop Scan
Press this button to stop the current or halted scan.
D Emergency Stop
This button cuts off the power to the equipment inside the scan room.
All mechanical movements and Xray radiation are halted.
Note : This button DOES NOT affect the power of OC and laser camera.
D Reset
This button restores the power to the equipment inside the scan room after
Emergency Stop is applied. ( Use a pen head or something like that to press
this button. A finger must be too big.)
The whole system can be reset by turning on the main switch.

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System
Communication button
D Talk (Intercom)
Hold down this button to give some verbal instructions to the patient during a
study.
D Volume
Use these dials to adjust the voice volume of patient or operator.
Keyboard keys
D Function key
F1, F2, F3 and F4 function keys are used for filmingrelated operations.
Please refer to Chapter 5 [FILMING] for detailed information.
F1
Film
Image
F2
F3
F4
Film
Page
Film
MID
Film
Series
F5 function key is used to return to the window width and level that have
been used most recently.
F5
Previous
W/L
F6F11 function keys are used to preset the specific window width and level
for specific anatomical areas. The procedure is as follows.
F6
Abdo
men
F7
F8
Head
Lung
F9
F10
F11
Media
stinum
Spine
Verte
bra
Drop on
Auto Film
1. Select the image as a primary one (green border) whose WW and WL

you wish to register as default.
2. Press [Shift+F6F11] to register those WW and WL as preset
conditions.
1-14

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D Image Analysis related keys
These keys are used for image analysis purposes. Please refer to Chapter 3
[DISPLAY TOP LEVEL SCREEN] for each keys function.
Erase
Disp
Norm
Ellipse
ROI
Trace
Grid
On/Off
Meas
Dist
User
Annot
Zoom
Roam
D Key top
These keys are mainly used to input texts and numbers.
Enter
Shift
Prior Exam
Prior
Next Exam
Next
[Enter] : Use this to conclude the entry.

[/] : Use these to move forward or backward through items on
desktop.
[///] : Use these to adjust window level and width of images.
[ Prior Exam/Prior ] : Use this to return to prior exam or image.
[ Next Exam/Next ] : Use this to go to next exam or image.

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System
Accessories
The system utilizes the various accessories to facilitate the scan.
Standard Accessories
- Cradle pad
- Cradle extender
- Arm board
- Head holder
- Security straps
- Phantoms to calibrate and check performance
- Phantom holder
- Console chair
- Operator manual
Optional Accessories
- Coronal head holder assembly
- Shallow head holder assembly
WARNING!
Do not use any accessories other than those provided by GE. Use of other
accessories may cause unexpected troubles or physical injuries.
Also, if anything other than GE accessories is placed in the path of xray
beams, it may affect image quality.
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Head Accessories
Standard Head Holder Assembly
(Front side)
(Back side)
Label
GE YOKOGAWA MEDICAL SYSTEMS, LTD.
7127 ASAHIGAOKA 4CHOME, HINOSHI TOKYO, JAPAN
MODEL 2201806
SERIAL
MANUFACTURED OCTOBER 1997
Wedge (Large, Small)

Shallow Head Holder (option)
(Back side)
Label
MODEL 2183827
SERIAL
Head Strap
Chin Strap
Coronal Head Holder Assembly (option)

Coronal Head Cushion
Coronal Head Neck Pad
Label
MODEL 2201805
SERIAL

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System
Standard Head Holder Assembly
D Standard Head Holder
Use during normal head studies, with a supine patient. Use the head band,
chin strap, and coil spacers (wedges) to secure the head in the proper
position. The material is metalfree.
D Head Holder Cushion
Place this cushion on the Standard head holder. Use it to cushion the head
and hold it in position during the study. Two sizes are available.
D Head Band
Place the wide area of the head band between the head holder and head
holder cushion, with the straps hanging on either side of the head holder,
before the patient lays on the table. Move the patients head into position on
the cushion, cross each end of the band over the forehead, and fasten the
pad of Velcro loops to the hooks on the back of the head holder. Use the
head band to position and stabilize the head during a study.
D Chin Band
Center the hole in the band over the patients chin, and fasten the pad of
Velcro loops to the hooks on the back of the head holder. Use the chin
band to position and stabilize the head during a study.
Coronal Head Holder Assembly (option)

D Coronal Head Holder
Use this head holder during direct coronal studies. The patient lays in the
supine position, with the head tipped backward into the coronal head holder.
Use the head band and chin strap to secure the head in the direct coronal
position. The material is metalfree.
D Neck Pad
Place this pad vertically in the Coronal head holder to cushion the rear
head.
WARNING!
Be extremely careful to avoid contact between the coronal head holder
and the gantry while lowering the table in the aperture. Patient injury to the
neck or equipment damage could result.
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Body Accessory Use
D Knee Pad Assembly
Place the knee pad on the cradle. Rest the patients legs, with knees slightly
bent, on the knee pad or Rest the patients head on the knee pad, and
use the knee pad strap to secure the hands over the patients head, to
prevent catching the patients fingers between the cradle and table surfaces.
D Knee Pad Strap
Attaches to the three Velcro loop patches on the knee pad with Velcro
hooks; use to secure the legs or arms to the knee pad. (See above)
D Cradle Pad
Use during standard studies; attaches to the cradle with Velcro hooks.
D Cradle Extender
Attach the cradle extender to the end of the table nearest the gantry, to
increase the overall cradle length, and position the body area of interest
inside the scannable range. Use the extender to support the patients head
or feet during a body scan. The material is metalfree.

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System
Security Strap Kit
D Body Strap A
Use the 60 mm wide strap to position and secure the patients head to the
Head Cushion; or use as needed to secure blankets or clothing. Follow
Body Strap B directions to attach and secure the straps. One set provided
with system.
D Body Strap B
Use the 150 mm wide straps to secure the body to the cradle, to reduce
patient movement; to secure blankets or clothing, to prevent contact with the
cradle surface; or, to cover and secure the patients hands. Slide the nylon
guide, opposite the Velcro ends of the straps, into the raceway attached to
both side edges of the cradle. Slide the strap along the length of the cradle
to position it over the patient, and fasten the Velcro ends together to secure
the patient. Three sets provided with the system
D Body Strap C
Use the 370 mm wide strap in the same manner as Body Strap B.
One set provided with system.
D Extension Strap
Use the extension strap with the corresponding body straps to secure large
or obese patients. Attach Velcro hooks to loops on the body strap to
increase the length. Each set of body straps has an extension strap; five
provided with the system.
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Body Accessories
Knee Pad
Cradle Pad
Knee Pad Strap
Cradle Extender
(Back side)
Cradle Extender Pad
Label
MODEL 2201803
SERIAL
37cm. Body Strap

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Extender Strap (15cm.)
1-21
System
Attach/Detach Head Holder and Cradle Extender
CAUTION
Prevent damage to metalfree accessories !
Carefully examine the metalfree clasp assembly on the
accessory and the catch on the cradle before attempting to
attach the accessory for the first time.
To attach an accessory:
D Make sure the clasp on the accessory is unlatched, and hanging freely.
Hold the clasp in the unlatched position while you attach the accessory.
D Align the accessory tongue with the pocket at the end of the cradle.
Keep fingers clear of the cradle. Slide the tongue all the way into the
pocket until it rests snugly against the angled face of the cradle.
D Gently pull the clasp toward the floor and away from the gantry until it
hooks the catch on the cradle. Push the hingedend of the clasp toward
the cradle until it snaps into place.
To detach an accessory:
D Pull the hingedend of the clasp toward the floor and away from the
gantry until it snaps open and clears the catch.
D Gently slide the accessory toward the gantry until it clears the cradle.
If the accessory offers any resistance, check to make sure the clasp
cleared the catch on the cradle.
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System Power On/Off
How to turn on the system power (Usually power is on 24 hours a
day.)
1. Turn on the main switch located on the lower right side of the OC.
2. The system will start up and the Scan/Display monitor on the OC will
automatically proceed to its Top Level screen.
How to turn off the system power (Usually power is on 24 hours

a day.)
1. Click on the [Shutdown] icon on the upper left corner of the screen.
Shutdown
2. The system will automatically proceed to the point where you can turn
off the main switch.

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System
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Chapter 2
SCAN TOP LEVEL SCREEN

After the system starts up, the following screen appears on the CRT as
default Top Level screen. This screen will also appear when the [Scan] icon
on the upper left corner is selected while in the either Display or Image
Works mode.
Scan

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Scan Top Level Screen

Icon Selection
D When a certain icon is selected, it highlights in blue.
D Icons currently not available are displayed in gray.
D When the second icon is selected after the first one was selected, the first
icon highlights in green and its upper right corner folds.
Functions of each icon are described on the following pages.
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Function of Each Icon 1
This icon leads to the scan screen.
Scan
This icon leads to the Display screen.

The icons on the Display screen are described in the later
chapter.
Display
This contains Reformation, 3D, Network and other advanced

image analysis applications. Refer to {Image Works} section.
Image Works
Use this to shut down the system.

Shutdown
This is only for service purpose. Users are not allowed to

touch this.
Service
This icon leads to the InSite service.

(This icon is not available unless InSite
option is installed.)
iLinq

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Function of Each Icon 2
Remaining disk space
To see current messages
D Remaining Disk Space

This area shows the remaining disk space. ( The above example shows that
the disk can hold 148 images of 512x512 matrix, which amounts to 595
images of 256x256 matrix.)
D Reconstruction Status
This area shows the exam, series and image number of the exam that is
currently being reconstructed.
D Archive Status
This area shows the status of images being archived.
D Network Status
This area shows the status of networking.
D Filming Status
This area shows the status of filming.
D Current Messages
Click here to open the Current Messages screen.
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New Patient
New Patient icon is located at the left side of the screen.
New Patient
FunctionSelect this icon first to begin a new patient exam.

Refer to Chapter 4 [Scan] for detailed information.
1. Click on the [New Patient] icon to open the following New Patient
screen.
Protocol Selection
Patient Information
Exam Number
Accession Number
Patient ID
Patient Name
Birthdate
Sex
Age
Weight
Kilograms
Pounds
Referring Physician
Radiologist
Operator
History
Exam Description
Protocol Number
End
Exam
2. Enter necessary patient information.

Note : Patient ID must be put to proceed. (required)
3. Choose a desired scan protocol from the Default Protocol area located
on the right side of the New Patient screen.
4. The system automatically proceeds to the View/Edit screen.

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Patient Schedule 1
Patient Schedule icon is located below the New Patient icon.
Patient Schedule
FunctionPatient Schedule allows you to enter patient data ahead of time.

Once it is time to perform a specific patient exam, you can select from the
created list, enter the patient ID or requisition number to call up the patient
data.
1. Click on [Patient Schedule] to open the following Schedule list.
Patient Schedule
Schedule
Status Req. Number Patient ID
Patient Name
Date
Time
0654
8120
Kim McCquaer
6/15/98
10:23AM
0718
8255
Dave Sonaty
6/12/98
02:19PM
0788
8764
Laura Sepcic
6/09/98
03:26PM
8332
5300
Juliet Herman
6/02/98
11:23AM
9102
2761
Brad Fox
5/27/98
10:46AM
Quit
Select
Patient
View
More Info
Add
Patient
Edit
Patient
Delete
Selected
Delete
All
Exam Description
Preferences
Next Prior
On the left side of the column under Status, there are two letters. C stands
for Completed and N for New. The completed exam at the top of the list is
the last completed exam. The only active functions at this point are [Quit]
[Add Patient], [Delete All], [Preferences] and Next/Prior arrows.
Note : Active icons have clear black characters on them whereas inactive
icons have dim characters.
2. Once a patient is selected, the other icons become active.
Functions of each icon are described on the following pages.
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Patient Schedule 2
Select Patient
Select
Patient
Take the following steps to use [Select Patient].

1. Select [New Patient].
2. Select [Patient Schedule].
3. Select the desired patient on the Schedule list.
4. Select [Select Patient]. The patient data will then be placed in the New
Patient data area.
Note : The patient data will also be called up by typing in the patient ID.
View More Info
View
More Info
While your HiSpeed system is connected with HIS/RIS and if your HiSpeed
system has Connect Pro option, select [View More Info] to get more
information on the patient.

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Patient Schedule 3
Add Patient
Add
Patient
Select [Add Patient] to open the following menu to add patients to the
schedule. Patient data, date and time of the exam and the protocol can be
entered here.
Patient Schedule
Protocol Selection
Accession Number
Patient ID
Anatomical Selector
Patient Name
Sex
Birthdate
Age
Weight
Kilograms
Pounds
Referring Physician
Radiologist
Operator
History
Exam Description
Protocol Number
Date
Cancel
Time
Accept
Accession Number : Within 16 characters

Patient ID : Within 16 characters
Patient Name : Within 64 characters
Sex : M (Male) or F (Female)
Birthdate : Year, Month, Day
Age : Years, Months, Weeks, Days
Weight : Kgs or Pounds
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Patient Schedule 4
Reference Physician : Within 32 characters
Radiologist : Within 32 characters
Operator : Within 3 characters
History : Within 60 characters
Exam Description : Within 22 characters
Protocol Number : Within 5 characters
Date : Exam date, Year, Month, Day
Time : Exam time, Hour, Minute
Edit Patient
Edit
Patient
Select [Edit Patient] to bring up the Patient Information screen to edit patient
data.

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Patient Schedule 5
Delete Selected
Delete
Selected
[Delete Selected] allows you to delete specific patients from the Schedule
list.
1. To delete only one patient, click on that patients information, then select
[Delete Selected].
2. To delete multiple patients in order, click on one patient, then go to the
last patient and press and hold the Shift key, then click on that patient.
Then, select [Delete Selected].
To delete multiple patients out of order, press and hold the Control key,
then click on the desired patients and select [Delete Selected].
3. A confirmation message Are you sure you want to delete selected
patients ? appears. If OK, click on [OK].
Delete All
Delete
All
[Delete All] allows you to delete all of the patients.

1. The following screen appears after selecting [Delete All].
Delete All
All
Completed
OK
All
New
All
Cancel
2. Select [All Completed] to delete all scancompleted patients.

Select [All New] to delete all new patients.
Select [All] to delete both of the above patients.
Note : The default is [All Completed].
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Patient Schedule 6
Preferences
Preferences
[Preferences] allows you to set the sort order and delete time.
1. The following screen appears upon the selection of [Preferences].
Preferences
Update Schedule Yes
Automatically ?
No
Sort By :
Show Update
Parameters ?
No
Delete Completed
Exams After :
Yes
Date/
Time
Name
ID
Days
Default Update Parameters

Get Patient List For :
This
System
All CT
Systems
All
Systems
Today
With a Date Range :
Days Before Today

Days After Today
All Dates
OK
Cancel
2. The patient list can be sorted by Date/Time, Name or ID.

3. If you want the system to automatically delete completed exams, you
can click in the Days box and type in the number of days desired.
The default is 0 (zero).
4. Select [OK] to conclude the entry.

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Protocol Management
Protocol Management icon is located at the right side of the New Patient
icon.
Protocol Management
Function : Protocol Management includes two functions, which are [Auto

Voice Record] and [Protocol Management].
1. The following screen appears upon the selection of [Protocol
Management].
Auto Voice
Record
Protocol
Management
Quit
2. Select [Auto Voice Record] to set up Auto Voice or select [Protocol

Management]
Select [Quit] to quit.
Functions of [Auto Voice Record] and [Protocol Management] are described
on the following pages.
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Auto Voice Record 1
Function : This function allows you to give the patient recorded vocal
instructions.
1. The following screen appears when you click on [Protocol Management]
icon.
Auto Voice
Record
Protocol
Management
Quit
2. The following Auto Voice Record screen appears upon the selection of
[Auto Voice Record].
Language Selection
Name
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
English
Auto Voice Record

Name
Pre-Message Post-Message
Suspension
Pre-Message Post-Message
11.
12.
13.
14.
15.
16.
17.
18.
19
20.
Inspiration
Expiration
Message Management
Create New Message

Record
Stop
Play
Save Message
0.0
Play
Delete Set
Done
Twenty protocols in all are available. The first three are preset in the system
and can not be changed. Other 17 protocols are programmable.

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Auto Voice Record 2
As for the first three protocols, there are nine language options.
In order to choose any one of them, click on the [English] button on the Auto
Voice Record menu on the previous page to open the following menu.
Auto Voice Language Selection
Englishmale
Englishfemale
German
Spanish
Japanese
French
Mexican Spanish
Italian
Korean
Cancel
Click on any one of them for your purpose.

3. To create a new Auto Voice instruction message, point and click in the
Name area where you wish to put the protocol. Type in the name and
press the Enter key.
After pressing the Enter key, the Pre and Post Message areas become
active.
4. Go to the Create New Messages area to create new instruction
messages.
Create New Messages
Record
Stop
Play
Save Message
0.0
The only active icon at this point is [Record].
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Auto Voice Record 3
5. Once you are ready to record, select [Record]. The time clock to the
right will start. The maximum recording time is 20 seconds.
6. When finished with recording, select [Stop]. Select [Play] to listen to
what was recorded.
7. To save the recorded message as a protocol, click on the Pre or Post
Message box and select [Save Message].
8. The Message Management area allows you to play or delete an existing
Auto Voice protocol. To delete a protocol, select the protocol name and
then select [Delete Set].
Message Management
Play
Delete Set
Done
To play a message, simply select the message box you wish to play
and select [Play].
9. To leave the Auto Voice Record menu, select [Done].

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Protocol Management 1
Function : This function allows you to create, edit or delete scan protocols.
1. The following screen appears when you click on the [Protocol
Management] icon.
Auto Voice
Record
Protocol
Management
Quit
2. The following screen appears upon the selection of [Protocol

Management] on the above screen. This is the Adult Protocol menu.
The Infant Protocol menu is also selected by clicking on the Infant tab.
Protocol Management
Infant tab
Adult tab
Quit
3. Select a protocol or an anatomic region to open the menu on the next

page.
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4. You can build up to 15 protocols for each anatomical region.
Protocol Name
New
Duplicate
Done
Default
Edit
Delete
Cancel
5. To duplicate (copy) an existing protocol, first choose the protocol and

select [Duplicate]. Then, you may slightly modify it to create a new
protocol that will have the similar parameters to the original protocol.
6. To edit or delete an existing protocol, first choose the protocol and
select [Edit] or [Delete] respectively.
7. To create a new protocol, select [New].
8. After selecting [New], enter the protocol name on the highlighted line
and press the Enter key. To set a protocol as the default for the region,
select the [Default] button next to the protocol. Only one protocol can
become the default for the region.
9. Next, select the Series Type that will begin the protocol and click on
[OK].
Select New Series Type
Scout
OK
Axial
Cancel
The following Protocol Setup screen will appear.

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The following screen is an example of axial scan protocol setup.
Protocol Parameters Setup Screen
Protocol :
Series:
Anatomical
Reference
Series Description
Auto
Store
Auto mA OFF
Show
Localizer
Auto Transfer
Auto Film
Setup
Recon
Area
Add
Group
Prior Next
Images Scan
Type
Split
Current
Group
SmartRecon
OFF
Delete
Selected
Group
Scan
Start
Loc.
End
Loc.
No. of
Images
Thick
(mm)
Image
Intval
Pitch
Film
Recon
Timing
Gantry
Tilt
SFOV
kV
mA
18
Axial
S50.0
S10.0
Body
120
180
915
Axial
S10.0
I60.0
10
10
Body
120
160
Cancel
Prior
Series
New
Series
Create
New
Series
Repeat
Series
Delete
Series
CTDIw
(mGy)
Accept
10. In the above screen, the [Scan] icon parameters (Thick, Image Intval,
pitch, etc.) are supposed to be filled. In order to enter Timing, Recon
and Film parameters, click on the [Timing], [Recon] and [Film] icon,
respectively. The menus for Timing, Recon and Film are shown on the
following pages.
Prior/Next : Prior or Next key appears on the screen only when more
than three groups are prescribed.
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The following Timing menu will appear when you click on the [Timing] icon.
Scan
Prep
Group
(sec)
ISD
(sec)
Breath
Hold
(sec)
Recon
Timing
Film
Auto
Voice
No.
Breathe
Time
The following Recon menu will appear when you click on the [Recon] icon.
Scan
DFOV
(cm)
R/L
Center
(mm)
A/P
Center
(mm)
Recon
Timing
Recon
Type
Image
Filter
Show
Recon1
Y
Film
Matrix
Size
Show
Recon2
N
Motion
Correct
Special
Filter
Show
Recon3
N
The following Film menu will appear when you click on the [Film] icon.
Scan
Auto
Film
Frame
Format
Interval

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Flip
Timing
Recon
Film
Width
1
Level
1
Mag
Factor
Rotate
User
Anno.
Recon 1
Film Set
1
Recon 1
Film Set
2
Recon 2
Film Set
1
Recon 2
Film Set
2
Recon 3
Film Set
1
GSE
Recon 3
Film Set
2
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Select [Prior Series] to display the prior series protocols.
Select [Next Series] to display the next series protocols.
Select [Delete Series] to delete the displayed series protocols.
Refer to the chapter 4 for the function of other icons or buttons.
11. After all the scout view parameters have been entered, select [Create
New Series] button on the front page screen to create the next series.
Then, the following screen appears.
Scout
Create
Before
Axial
Create
After
Cancel
12. Select the series type from [Scout] or [Axial].

Also, select [Create Before] or [Create After] to determine if the series
will be put before or after the first series you built.
13. Again, enter scan parameters for the series selected.
14. After all the series and the parameters have been created, touch
[Accept] button to save the protocol.
15. You will then return to the beginning so that you may choose to
duplicate, delete, edit or create a new protocol. Or you can select
[Done] and then [Quit] to exit the protocol section.
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Retro Recon 1
Retro Recon icon is located below the Patient Schedule icon.
Retro Recon
Function : Retrospective reconstruction allows you to change the

reconstruction parameters that were previously used for the exam. Through
Retro Recon you are allowed to change DFOV(Display Field of View),
AP(Anterior/Posterior) and RL(Right/Left) Centering, Recon Type, Matrix
Size, Segmenting and Peristaltic Motion Correction for axial series.
1. First click on the [Retro Recon] icon. The following screen appears
listing up to 1000 scan data. Click on the [Update] button to update the
list or select [Quit] to exit.
Retro Recon List Select Screen
Retro Recon List Select
Exams
Patient ID
Patient Name
Exam #
Date Time
Series
Suite
Series #
Landmark
Prior Next
Prior Next
Quit
Series Description
Select
Series
Update
2. Point and click on the exam and series you wish to reconstruct
retrospectively and then choose [Select Series] at the bottom center.
The system automatically proceeds to the Retro Recon View/Edit screen.

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Retro Recon 2
3. After selecting [Select Series], the following screen appears displaying
all of the groups in the selected series. Y(Yes) in the Retro column
means that group will be reconstructed. If you do not wish to recon the
group, simply point and click on the Y icon for the group to toggle it to
N(No).
When the [Images] icon is selected, the right side of the screen is as follows.
Images
Prior Next
Retro
Scan
Type
Scan
Scan
End
Start
Location Location
Recon
Retro No. of Image Gantry

SFOV
End Images Interval Tilt
Retro
Start
Y
Y
Y
List
Exams
Quit
Confirm
When the [Recon] icon is selected, the right side of the screen is as follows.
Images
Prior Next
Retro
Scan
Scan
End
Start
Location Location
DFOV
(cm.)
R/L
Center
(mm)
A/P
Center
(mm)
Recon
Type
Image
Filter
Motion
Correct
Recon
Mode
Matrix
Size
Special Graphic
Filter
Retro
Quit
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Scan
Type
Recon
List
Exams
Confirm

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Retro Recon 3
4. Enter the parameter changes and select [Confirm].
Retro Start : Start location of retro recon
Retro End : End location of retro recon
Image Intval : Image interval (in case of Helical)
DFOV : Display Field of View (4.8cm to SFOV)
DFOV A/P R/L Center : Anterior/Posterior and Right/Left center of
DFOV
Recon Type : SOFT, STND, STD+, DETL, CHEST, BONE, EDGE or
PFRM
Image Filter : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21,
E22, E23, E3), Lung (L1, L2, L3)
Motion Correct : Motion correction
Recon Mode : (See next page.)
Matrix Size : 256x256 or 512x512
Special Filter : ANR (Advanced Noise Reduction) (1 or 2),
AAR (Advanced Artifact Reduction) (1 or 2)
ANR filter allows you to reduce noise without compromising spatial
resolution. It contributes to a decrease in standard deviation by
approximately 10%, which may be equivalent to onestep decrease in
mA. Note : ANR is compatible only with SOFT, STND, and STD+.
AAR filter allows you to reduce artifacts normally shown around arms.
When you click on the [Special Filter] button or the each Special Filter
field, the following menu appears.
Select the desired Special Image Filter.
None
ANR 1
ANR 2
AAR 1
AAR 2
Cancel
[ANR 2] has a stronger effect than [ANR 1]. Also, [AAR 2] has a
stronger effect than [AAR 1]. Select either of them or select [None] not
to use these filters.

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Retro Recon 4
Graphic Retro : If you wish to display on the image the circle cursor to
graphically prescribe the retro recon area instead of typing in DFOV,
R/L Center and A/P Center, toggle N (No) on each field to Y (Yes).
If the displayed circle cursor is too big to handle, type in the smaller
enough DFOV to display the entire circle cursor, then change its size
and location using one of four squares outside the cursor and the
center dot of the cursor respectively to designate the recon area.
5. Select the [Recon Mode] button to open the following screen. (*Smart
Helical Option is needed to have [Plus] button.)
Recon Mode section allows you to edit the scan type and the amount of
data for reconstruction. .
Recon Mode
Axials:
Full
Helicals:
Segment
Full
Cines:
Segment
Full
OK
Plus
Cancel
The scan types available to edit will be active.

[Full] uses fullrotation data, whereas [Segment] uses partialrotation data.
*Smart Helical Option offers [Plus] function that uses 1.6rotation data.
Make the appropriate selection.
6. Click on the [Confirm] button to start retro recon.
Newly retroreconstructed images will be saved as a new series with
Retro annotation.
7. If you need to retrorecon another exam/series, select [List Exams]
button. Select [Quit] to exit.
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Recon Management 1
Recon Management icon is located at the right side of the Retro Recon icon.
Recon Mgmt
Function : Within the Recon Management function, you can have access to
Suspended Entries and Recon Queue Management.
1. Select [Recon Mgmt] to open the following screen.
Recon Management
Suspended Entries
Patient ID
Exam #
Delete
Suspended
Entries
Series #
Unsuspended
Entries
Image #
Update
List
Type
Prior
Next
Recon Queue Management:

Pause
Queue
Restart
Queue
View
Queue
Entries
Delete
Retro
Entries
Quit
Functions of each button are described on the following pages.

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Recon Management 2
Suspended Entries
These are basically images that were not reconstructed for some reason and
were placed in a Queue.
D [Delete Suspended Entries]
Select this button to delete the suspended entries. Once the images are
deleted, they can not be reconstructed prospectively, but they can be
reconstructed retrospectively.
D [Unsuspended Entries]
Select this button to try to reconstruct the images again after selecting image
entries.
D [Update List]
Select this button to update the Unsuspended Entries List if any entries need
to be added while Recon Management was open.
Recon Queue Management

D [Pause Queue]
Select this button to stop the reconstruction process. This might be useful if
you have just started a Retro Recon, but maybe incorrect parameters were
entered. Instead of having the system reconstruct all of the incorrect images,
you can select [Pause Queue] to stop the reconstruction and then delete the
images that have not been yet reconstructed.
D [Restart Queue]
Select this button to restart the reconstruction queue after you stopped it for
some reason.
D [View Queue Entry]
Select this button to display a menu that shows what is in the reconstruction
queue. You can select [Cancel] to leave the View Queue function or select
[Update List] to update the queue entries list.
D [Delete Retro Entries]
Select this button to delete entries that remain in the reconstruction queue.
This is used in conjunction with [Pause Queue].
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Tube Warmup
Tube Warmup icon is located below the Retro Recon icon.
Tube Warmup
Function : Tube Warmup allows you to have access to the Tube Warmup
and Daily Calibration procedures.
Note : Tube Warmup is required when more than two hours have passed
since the last scan or whenever the system recommends it.
1. Click on the [ Tube Warmup] icon. The following screen will appear.
[ Tube Warmup] button on the screen allows you to conduct only the
tube warmup procedure. [Daily Calibration] allows you to perform both
the tube warmup and daily calibration procedures. [Daily Calibration] is
selected by default.
Tube Warmup
Daily Calibration
Tube Warmup
Menu1
Warming up the tube as recommended will provide the high quality

images and extend the life of the tube.
Make sure that no one is in the scan room and the gantry aperture is
clear during warmup.
Cancel
OK
2. Select the [ Tube Warmup] button, then [OK] to proceed to the tube
warmup procedure or select the [Cancel] button to exit.

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Tube Warmup 2
3. Upon selection of [OK], the following scan menu will appear.
Select [Confirm] to initiate the tube warmup.
Service Scan
Exam ID: 218120
Service Tool: Warm up Scan
Menu 2
Scan Type
Axial
Scan Time
Voltage
Current
2.0
80
80
Thickness
Focus
1.0
Large
seconds
kV
mA
mm
Remaining scan : 18
Press <Confirm> and Start scan> to start scan
Confirm
Cancel
4. Several seconds after selecting [Confirm], the [Start Scan] button on the
keyboard flashes. Press it to start Xray radiation.
The system automatically performs four tube warmup scans.
Note : When you select the [ Tube Warmup] button more than 30 hours
later since the last daily calibration, the following message will be posted
to urge you to perform daily calibration.
Service Scan
Warning
Please execute Daily Calibration to provide the

high quality images.
Do you continue the tube warmup ?
Yes
No
Selecting [Yes] leads you to Menu 2 and [No] to Menu 1.
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Tube Warmup 3
5. When you select the [Daily Calibration] at Menu 1, Menu 2 will appear.
Service Scan
Exam ID: 218120
Service Tool: Warm up Scan
Menu 2
Scan Type
Axial
Scan Time
Voltage
Current
2.0
80
80
Thickness
Focus
1.0
Large
seconds
kV
mA
mm
Remaining scan : 18
Press <Confirm> and Start scan> to start scan
Cancel
Confirm
Upon selection of [Confirm], the system first performs the same scan
protocol as Tube Warmup and daily calibration later.

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Scanner Utilities 1
Raw Data Function
Scanner Utilities icon is located at the right side of the Tube Warmup icon.
Scanner Utilities
Function : From Scanner Utilities you can have access to either Rawdata
Function or User Calibration.
1. Click on the [Scanner Utilities] icon. The following screen will appear.
Scanner Utilities
Rawdata
User
Calibration
Functions
Quit
2. Select [Rawdata Functions] to open the following default screen.

This screen will also appear when you select [Save to MOD] from the
pulldown menu of Function Selection. (See next page.)
File
Function Selection
Rawdata Selection
Save Rawdata to MOD

Select RawData
Exam:
Exam #
Name
Date
Reserve
Exam No:
Series # Type Acqus
Reserve Patient Position
Series No:
Acqs # Type Rotation Azimuth Location Scan Time kV mA Thick Focus SFOV Reserve Date/Time
Start Save
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Scanner Utilities 2
Raw Data Function
File
Exit
Function Selection
Save to MOD
Restore/Delete from MOD
Reserve/Release
Initialize MOD
Rawdata Selection
Whole Exam
Whole Series
Individual Raw
When you select the [File] button, the [Exit] button appears.
Select [Exit] to exit from Rawdata Functions.
When you select the [Function Selection] button, the pulldown

menu appears which contains the [Save to MOD],
[Restore/Delete from MOD], [Reserve/Release] and [Initialize
MOD] buttons.
When you select the [Rawdata Selection] button, the pulldown

menu appears which contains the [Whole Exam], [Whole
Series] and [Individual Raw] buttons.

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Scanner Utilities 3
Raw Data Function
Save Rawdata to MOD
When you select [Save to MOD] from the [Function Selection] pulldown
menu, the following screen will appear.
File
Function Selection
Rawdata Selection
Save Rawdata to MOD

Select RawData
Exam:
Exam #
Name
Date
Reserve
Exam No:
Series # Type Acqus
Series No:
Start Save
1. Select any of raw data that you wish to save to MOD (Magnetic Optical
Disk). You can also use [Whole Exam], [Whole Series] or [Individual
Raw] button from the [Rawdata Selection] pulldown menu.
2. After selecting the raw data, click on the [Start Save] button to start
saving the raw data into the MOD.
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Scanner Utilities 4
Raw Data Function
When you select [Restore/Delete from MOD] from the [Function Selection]
pulldown menu, the following screen appears.
File
Function Selection
Rawdata Selection

Select RawData
Exam:
Exam #
Date
Name
Reserve
Exam No:
Series # Type Acqus
Series No:
Restore
Delete
1. Select any of raw data that you wish to restore from MOD to the system
disk, or that you wish to delete from MOD. You can also use [Whole
Exam], [Whole Series] or [Individual Raw] button from the [Rawdata
Selection] pulldown menu.
2. After selecting the raw data, click on the [ Restore] or [Delete].

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Scanner Utilities 5
Raw Data Function
Reserve/Release Rawdata
When you select [Reserve/Release] from the [Function Selection] pulldown
File
Function Selection
Rawdata Selection
Reserve/Release Rawdata
Select RawData
Exam:
Exam #
Date
Name
Reserve
Exam No:
Series # Type Acqus
Series No:
Reserve
Release
1. Select any of raw data that you wish to reserve or release.

( Reserve rawdata means to protect rawdata from being deleted.
Release rawdata means to release the protection.)
2. After selecting the rawdata, select [Reserve] or [Release].
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Scanner Utilities 6
Raw Data Function
Initialize MOD
When you select [Initialize MOD] from the [Function Selection] pulldown
Initialize MOD
Initialize MOD will take approximately 34 minutes.
Press Yes to continue or No to quit.
Yes
No
1. Select [Yes] to start initializing the MOD.

2. Select [No] to exit.

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Scanner Utilities 7
User Calibration
1. Select [User Calibration] to open the following screen.
Calibration
Sequence
Air
Calibration
Cancel
kV
Air & Phantom
Calibration
80
120
140
OK
2. Select either [Air Calibration] or [Air & Phantom Calibration].

Also, select kV from 80, 120 or 140.
3. Select [OK] to perform calibrations, or [Cancel] to cancel.
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Chapter 3
DISPLAY TOP LEVEL SCREEN

The following screen will appear when you click on the [Display] icon on the
upper left corner of the screen while in the either Scan or Image Works
mode.
Display
Image Area

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3-1
Display Top Level Screen

Primary/Secondary Viewport
Focus Selection
Focus means which viewport is active for image display. There are two
kinds of focus, which are primary and secondary focuses. Primary focus
viewport has a blue border, whereas the secondary focus viewport has a
yellow border.
Every image analysis or manipulation function is available in primary focus.
Image analysis or manipulation functions available in the secondary focus
are as follows: Window W/L, Magnification, Pan/Zoom, Flip/Rotate, Display
Normal, and Erase Graphics.
You can select the primary or secondary focus by clicking on the desired
viewport as follows:
D Double click
To select primary focus viewport and deselect other viewports
D Single click
To select a new primary focus viewport and change the previous primary to
secondary
D Triple click
To select a new primary focus viewport and change all the other viewports to
secondary
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Image Display Layout
Layouts
On the Display desktop, there is a choice between two layouts for viewing
images. They are the Autoview Layouts and the Review Layouts. During
scanning the Autoview Layouts will primarily be used.
Click on the left side of this button to select Autoview Layouts and on the right side for Review
Layouts.
Autoview Layouts
Clicking here with Autoview Layouts leads to

the screen format choice from three formats.
Clicking here with Review Layouts leads to the

screen format choice of five format for Full Screen or
Viewport.
Review Layouts
Each layout is described on the following pages.

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Autoview Layouts 1
1. Select Autoview Layouts at the Exam Rx Display menu to open the
Autoview Layouts menu.
Autoview Layouts
Autoview Layouts menu

Scout
Auto
View
Auto
Link
Auto
Link
Auto
Film
Auto
View
Auto
Link
Auto
View
Back
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Autoview Layouts 2
There are four different types of viewport for six other Autoview Layouts.
D Autoview
This viewport always displays in real time the most recently reconstructed
image. Next/Prior buttons do not work here.
D Auto Reference
This viewport displays a Scout image with reference lines that show the
locations of Autoview images. Front Scout and side Scout can be toggled by
Next/Prior buttons.
D Auto Film
This viewport displays an image for auto filming and occupies the upper left
quadrant. This can be done by selecting the folded corner at the top right of
the viewport. To return the viewport to the cross reference display, select the
folded corner again.
D AL (Auto Link)
While reconstruction is active, the lower right viewport will automatically
display the first image of the series being currently reconstructed. The
viewport will be annotated with AL to indicate that Auto Link is on. All display
features and Next/Prior can be used with Auto Link.
D Free
This viewport can be used to display any image from other exam or series.

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3-5

Review Layouts
Multiple Image Display (MID)
Review Layouts can be used during scanning, but you will be unable to view
the current autoviewed image or autofilming.
1. Display an image in primary focus viewport.
2. Select Review Layouts at the Exam Rx Display menu to open the
Review Layouts menu.
Exam Rx Display menu
Review Layouts
Review Layouts menu

[Full Screen
Format]
[Viewport
Format]
3. Select [Full Screen Format] to display the selected layout on the entire
screen. Select [Viewport Format] to display the selected layout in
primary focus viewport.
4. Select one of the four formats.
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List / Select 1
Selecting this function will give you a listing of the exams and other
information about the exams on the system disk.
1. Select List / Select at the Exam Rx Display menu.
List / Select
2. The following List/Select browser appears.

Note : The List/Select browser does not appear when the system disk
contains no data.
A
Sort
Examinations :
Exam
3145
3512
Series
Img
Name
J.Herman
B.Fox
Exam #47, May 05 92, SMITH, JON

Date
Description
S 50.0
S 45.0
10.0/
10.0/
+0.0
+0.0
R5.0
R5.0
S 40.0
10.0/
+0.0
R5.0
5
6
Ser
1
Type
PROSP
Imgs
Description Mod
18
CT
one series
2 examinations
Gntry
(deg)
CT
CT
Jan 08 98
Dec 23 97
Img Ctr Thck/SP

SI (mm) (mm)
Mod Fmt
S 35.0
S 30.0
S 25.5
10.0/
10.0/
10.0/
+0.0
+0.0
+0.0
Img Ctr
RL
R5.0
R5.0
R5.0
Img Ctr
AP
SFOV
(cm)
Res
Matrix
Midscn Archive
50
50
Lung
Lung
512
No
512
No
Lung
512
No
A0.0
50
50
Lung
512
A0.0
A0.0
50
50
Lung
Lung
512
No
No
512
No
A0.0
A0.0
A0.0
Accept
60 images
Cancel
Number of images stored: 1101, Available disk space: 948 256x256 image(s), or 236 512x512 image(s).
C
A: Examination List
B: Series List
C: Image List

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List / Select 2
3. Select exam, series and image to display.
4. Click on the [Accept].
Once all images are loaded, the first image in the series will be
displayed in a primary focus viewport (blue border).
5. Use [Next] or [Prior] key on the keyboard to go through images forward
or backward.
Click on the [Cancel] to exit without selecting anything.
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Routine Display 1
1. Select [Routine Display] at the Exam Rx menu.
Routine Display
2. The following Routine Display menu will appear.

Routine Display
Roam
Explicit
Magnify
Flip/
Rotate
GSE
Display
Normal
List/
Select
Ellipse
ROI
Measure
Distance
Grid
On/Off
Cross
Reference
User
Annotation
Exam Pg
Zoom
ProView
Hide
Graphics
Erase
Series Pg
Screen
Save
Back
3. Click on [Back] to return to Exam Rx menu.

Function of each icon is described on the following pages.

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Routine Display 2
Roam / Zoom
1. Place the desired image in primary focus viewport.
2. Select [Routine Display] at the Exam Rx menu to open the Routine
Display menu.
3. Select [Roam] or [Zoom] on the Routine Display menu.
4. After selecting [Roam], place the mouse cursor over the image you wish
to roam and hold down the right mouse button, then move the mouse to
roam the image. When you release the mouse button, the image will be
deposited on that point. Select [Display Normal] to return the image to
its original position.
After selecting [Zoom], place the mouse cursor over the image you wish
to zoom and hold down the right mouse button, then move the mouse
right (or up) to magnify or left (or down) to minify the image. When you
release the mouse button, the image will retain the zoom and the
magnification factor will be displayed at the bottom of the annotation on
the upper right of the image. The valid magnification ranges are from
0.5 to 8 and from1.0 to 4.0 in a 1024 matrix viewport.
Select [Display Normal] to return the image to its original size.
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Routine Display 3
Explicit Magnify
This function allows you to numerically set an image magnification factor.
1. Select [Routine Display] and click on [Explicit Magnify] on the Routine
Display menu.
2. The following Enter Magnification on Factor menu appears.
Enter Magnification Factor
0.5
1.0
1.5
2.0
Other:
Valid magnification factors are between 0.5 and 8.0.

Cancel
3. Select one of the preset magnification factors or type in your own.

The valid ranges are from 0.5 to 8.0 and from1.0 to 4.0 in a 1024 matrix
viewport.
4. This magnification will be applied to all viewports in focus.
Select [Display Normal] to return the image to its original size.

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Routine Display 4
Flip/Rotate
1. Place the desired image in primary focus and select [Routine Display].
2. Select [Flip/Rotate] on the Routine Display menu.
3. The following Flip/Rotate menu appears.
FLIP/ROTATE
FLIP:
FLR
FTB
FTB/FLR
ROTATE:
RR
RL
Cancel
4. Select one from FLR (Flip Left to Right), FTB (Flip Top to Bottom),
FTB/FLR, RR (Rotate to Right) or RL (Rotate to Left).
5. This selection will be applied to all viewports in focus.
Select [Display Normal] to return the image to its original orientation.
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Routine Display 5
ProView
This function allows you to select an edge enhancement or smoothing filter
to be applied to images.
1. Images must be in primary focus.
2. Select [ProView] on the Routine Display menu.
3. The following Select Image Filter menu appears.
Select Image Filter
Edge
E1
E2
E3
Lung
Smooth
S1
S2
S3
Off
Cancel
4. Click on any button of the selections.

The Edge enhancement filters are useful for filming bone windows. The Lung
enhancement is designed specifically to film lung windows.
E1 : Weak
E2 : Moderate
E3 : Intense
Lung : Lung window
Note : When a filter is applied, images are annotated as E1, E2, E3 or Lung
above the vertical tickmark scale on the right side of the image.
The Smooth filters are used to film soft tissue windows or when you need to
decrease the appearance of noise on images.
S1 : Minimum
S2 : Moderate
S3 : Maximum
Off : Without filter
Note : When a filter is applied, images are annotated as S1, S2 or S3 above

the vertical tickmark scale on the right side of the image.
Note : These filters can also be selected on the Auto Film Tab card.
Note : These filters can not be applied to Scout images.

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Routine Display 6
GSE (Gray Scale Enhancement)
This function allows you to alter the slope and gamma curve. This is useful in
head studies to improve the graywhite matter differentiation.
2. Select [GSE] on the Routine Display menu.
3. The following Gray Scale menu appears.
Gray Scale
G1
G2
G3
Off
Cancel
4. Click on any of the selections.

G1 : Weak
G2 : Moderate
G3 : Intense
Off : No filter
Note : When a filter is applied, the image is annotated as G1, G2 or G3 just

above the vertical tickmark scale on the right side of the image.
Note : These filters can also be selected on the Auto Film Tab card.
Note : These filters can not be applied to Scout images.
Display Normal
2. Select [Display Normal] to return an image to its normal state if
Roam/Zoom, Explicit Magnify, Flip/Rotate and ProView are used. It will
also erase graphics for Elliptical ROI, Measure Distance, Grid, Cross
Reference and User Annotations.
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Routine Display 7
List / Select
1. When you select [List/Select], the browser appears.
2. You can then select an image to view in a viewport or viewports,
depending on what is in focus. Simply select an Exam, Series and
Image, then select [Accept].
Ellipse ROI
2. Select [Ellipse ROI] to perform a Region Of Interest measurements.
3. The ellipse ROI cursor will be displayed in blue (active) on the image.
To move the ROI cursor, place the mouse cursor in the center of the
ellipse, then click and drag it with the left mouse button. The other way
to move the ROI cursor is to place the mouse cursor on the number next
to the ellipse or on the line, then click and drag it with the left mouse
button. To change the size, click and drag the small box outside the
ROI cursor. To rotate the ROI cursor, click and rotate the solid cursor on
the line.
4. Place the mouse cursor out of the ellipse, then, click the left mouse
button once to calculate the ROI of the ellipse. The ellipse ROI cursor
turns white (inactive) and is deposited there.
Note : Once the ellipse ROI cursor turns white, it can not be modified, but
you can turn it blue again by placing the mouse cursor inside the ROI cursor
and click the left mouse button once. Then, you can change the size and
location of the ROI cursor again.
The figures of the Mean, Standard Deviation and Area are displayed at the
bottom right of the image . The ROI measurements can be done many times,
but the system will display only the last three results on the image.
Select [Erase] to erase the ROI.

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Routine Display 8
Measure Distance
2. Select [Measure Distance].
3. A line with two small boxes at each end will appear in blue (active).
4. To move the line, place the mouse cursor on the line and hold down the
left mouse button, then drag the line to a new location. To change the
length of the line, place the mouse cursor over the small box and hold
down the left mouse button, then drag the box until you get a desired
length.
5. Place the mouse cursor out of the line, then, click the left mouse button
once to calculate the length of the line. The line turns white (inactive)
and is deposited there.
Note : Once the line turns white, it can not be modified, but you can turn it
blue again by placing the mouse cursor on the line and click the left mouse
button once. Then, you can change the length and location of the line again.
At the bottom right of the image area, a real time readout of the distance will
be shown. The Distance measurement can be done many times, but the
system will display only the last three results on the image.
Select [Erase] to erase the line.
Grid
2. Select [Grid On/Off].
3. The grid appears on the image.
4. To move the grid, first click left on the center of the grid. It becomes
active (blue), then drag it to the desired position. To deposit the grid,
click outside the grid.
5. To take the grid off, click on [Grid On/Off] again.
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Routine Display 9
Cross Reference
This function allows you to display the cross reference lines on a Scout
image.
1. Display a Scout image in primary focus.
2. Select [Cross Reference]. The following Post Reference Lines menu
appears.
Post Reference Lines
Series Number
Image Numbers
All
First/Last
Increment
OK
Cancel
3. [Series Number] : Enter the desired series number.

[Image Number] : Enter the desired image number.
[All] : Select this for all images.
[First/Last] : Select this to show only the first and last image line.
[Increment] : Select this to show image lines with incremental interval.
4. Select [OK] to display the image lines on the Scout or select [Cancel] to
exit.

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Routine Display 10
User Annotation
2. Select [User Annotation] to show the following active (blue) arrow cursor
on the image.
3. You can move both the box and arrow at once by placing the mouse
cursor anywhere on the blue line, then click and hold down the left
mouse button, then move it. You can move just the arrow or box by the
same way except you would place the mouse cursor on just the area
you wish to move instead of the blue line.
4. Type in the necessary information, then click the left mouse button to
conclude the type entry. Make sure when typing the annotation that the
mouse cursor is inside the image area.
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Routine Display 11
Exam Pg / Series Pg
1. Select [Exam Pg] or [Series Pg] to open the exam page or series page
of the exam in primary focus.
2. The following is an example.
Text Page Box
Pat. name: T. YOKOGAWA
Pat. ID: Y8120
Age: 34
Sex: M
Weight: 65 Kg
Exam no: 81293

July 17 97
Referred by:
Radiologist:
Operator:
Exam Description:
History:
Contrast:
Ser
Images
Ref
Scan Range
Type
18
OM
S 50
I115
PROSP
26
SN
I65
I350
PROSP
Quit
Manual Film
Series Description
Recon2
Auto Film
Use buttons on the lower right to go through pages.

3. Select [Manual Film] to put the page into Manual Film Composer or
select [Auto Film] to put the page into Auto Film Composer.
4. Select [Quit] to exit from the page.

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Routine Display 12
Hide/Show Graphics
1. Select [Hide Graphics] to temporarily hide any graphics, annotation or
measurement.
2. The [Hide Graphics] button works as a toggle. Once you have selected
Hide, then the button changes to [Show Graphics], allowing you to show
any graphics, annotation or measurement.
Erase
The Erase function allows you to erase annotations, cursors and
measurements.
To erase, simply click on [Erase]. If you have multiple annotations or cursors
on the image, the erase function will erase the active one (blue).
Screen Save
Screen Save will save everything that is on the image in primary focus.
2. Select [Screen Save].
Note : Screen Saved image will be kept under series number 99.
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Measurements 1
[Measurements] provides access to the more advanced image
measurements
Measurements
Clicking on [Measurements] opens the following menu.
Ellipse
ROI
Trace
ROI
Measure
Distance
Measure
Angle
Grid
On/Off
Hide
Graphics
Erase
Screen
Save
MIROI
Report
Pixels
Box
ROI
Back

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Measurements 2
MIROI (Multiple Image ROI)
This function gives a graphical representation of CT number change over
time. This is useful for multiple scans done at one location or for segmented
reconstruction of a scan.
2. Select [MIROI] from the Measurements menu. The following menu
appears.
MIROI Analysis
Image Range
Scale for HU
All
Absolute
Define Region Ellipse ROI
OK
Relative
Box ROI
Trace ROI
Cancel
3. The first selection on the menu is Image Range. The default is All.
If you wish to select certain image range, first click on [All] to turn it off,
then type in the number range.
4. The next selection is Scale for HU (Hounsfield Units). The default is
Relative, meaning the HU scale will display the first CT number as zero
and display the difference in CT numbers from one scan to another.
The Absolute scale will display the actual CT numbers and the
difference from one scan to another.
5. Define Region selection allows you to choose the Ellipse, Box or Trace
ROI.
6. Choose [OK] to continue or [Cancel] to cancel the function.
Once you select [OK], the analysis will be automatically done with the
resulting graph displayed.
You can use [Screen Save] to save the plotted graph.
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Measurements 3
Report Pixels
This function allows you to get individual pixel values readings from a certain
small area.
1. Select [Report Pixel] from the Measurements menu.
2. An 11x11 pixel box will appear along with the Report Pixels menu. The
size of the pixel box can not be changed but you can move the box to
the desired location by clicking and dragging on the letters RP or on the
box itself.
3. Once you placed the box, select [OK].
Report Pixels
Position Box and Select OK
Cancel
OK
A graph like the following example will be displayed showing the pixel values
within the box.
Report Pixels
ID: 8120
I 84 I 85 I 86 I 87 I 88 I 89 I 90 I 91 I 92 I 93 I94
I 165
I 166
I 167
I 168
I 169
I 170
I 171
I 172
I 173
I 174
I 175
20
20
22
21
18
17
18
17
17
18
17
21
22
23
20
18
18
18
17
17
17
17
23
24
24
20
19
19
19
17
18
18
18
23
23
23
20
21
21
21
21
21
21
21
19
20
24
24
22
20
20
20
21
21
21
20
20
25
25
24
21
20
19
20
19
19
21
22
25
23
22
22
20
20
20
20
20
21
25
25
23
21
21
21
21
21
21
21
20
22
22
22
20
20
20
20
21
21
21
25 26
24 26
23 23
23 23
20 21
20 21
20 21
20 20
20 20
20 20
20 20
You can save this chart by [Screen Save].

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Display Preference 1
Display Preference provides access to functions that affect how images will
be displayed.
1. Select [Display Preference] from the Exam Rx menu.
Display Preference
2. The following Display Preference menu appears.

Annotation
Levels
Maintain
User
Annotation
Not
Auto Minify
Not
available)
available)
Auto
Enlarge
Not
available)
Inverse
Video
Next/Prior
Each
Viewport
Next/Prior
Series
Binding
Continuous
Report
Cursor
Back
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Annotation Levels
This function allows you to change the annotation levels of the screen and
film.
1. Select [Annotation Levels] from the Display Preference menu.
The following menu appears.
Annotation Levels
Screen
Film
No Annotation
No Annotation
Partial Annotation
Partial Annotation
Full Annotation
Full Annotation
Advanced Annotation
Advanced Annotation
Customize
Customize
Cancel
2. You can change the annotation level by clicking on the diamond or the
words for Screen and Film. The selected choice will be highlighted in
blue.
No Annotation : Only window width and level
Partial Annotation : Exam number, image number, anatomic
reference, table location, patient name, date of exam, RAS coordinate,
and the measuring scale
Full Annotation : All image annotations (Default)
Advanced Annotation : Customized annotation

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3. Select [Customize] to review or edit the annotation levels of Advanced
Annotation. The following menu appears.
Customize
1. Hospital Name
2. Patient Name
3. Patient ID
4. ESI Information
5. Scan Time
6. Scan Parameters
7. View Parameters
8. Top Marker
9. Bottom Marker
10. Left Marker
11. Right Marker
W. Windowing
G. Graphic Annotation
OK
Cancel
4. Click on to select the items of annotation.
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Next/Prior Each Viewport
This function is used with a multiple image display. With this function on,
when you select to look at the next or prior set of images, you will only get
one new image each time you select next or prior.
With this function off, selecting the next or prior image in the multiple image
display will give you a new set of images. The default is off.
Next/Prior Series Binding

With this function on, you can go to the next or prior series within an exam if
you reach the end of a series using the next or prior image functions.
With this function off, when you reach the end of a series, selecting next
image will return you to the first image of that series.
Continuous Report Cursor

This function allows you to see the RAS coordinates when you place the
mouse cursor on an image.
When the function is on, place the mouse cursor on the area of interest.
The coordinate readout will be displayed at the bottom of the image
annotation, on the upper left of the viewport. You will notice a V, denoting the
CT number of the one pixel located directly under the cursor.
This information does not show up when filmed.

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Manual Film Composer
Refer to the later chapter for the detailed function description.
1. Select [Manual Film Composer] from the Exam Rx Display menu.
[Manual Film
Composer]
2. The following Film Composer will appear.

Film Composer
Formats
Laser Camera
Options
Current status is :
Clear
Print
3-28

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Auto Film Composer
Refer to the later chapter for the detailed function description.
1. Select [Auto Film Composer]
[Auto Film
Composer]
2. The following Auto Film Composer will appear.

Auto Film
Clear
Print

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Accelerator Bar 1
There is an Accelerator Bar at the bottom of the Exam Rx menu.
Accelerator Bar
You can type in here various commands to invoke various functions.

Command
Abbreviation
filter
fi
gray scale
enhance
gse
g1, g2, g3, off
exam
e<exam#>
image
i<image#>
next exam
ne
next series
ns
previous exam
screen annotation none

screen annotation partial
screen annotation full
auto fit
e1, e2, e3, s1, s2, s3, lung, off
pe
an
ap
af
screen annot- ac
ation custom
annotation
agp
groups
3-30
Contents
on(off) x x x
afit
flip left right
flr
flip top
bot
tom
ftb

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Accelerator Bar 2
Command Abbreviation
rotate left
rl
rotate right
rr
normal
no
scroll
sc
window
level
window
width
set initial
windowing
zoom
inverse
Contents
<x pixel> <y pixel>
wl
ww
siw
zo
<factor>
iv
angle
ang
cross ref
xr
cross ref
append
xra
cross ref off
noxr
<x1><y1><x2><y2><x3><y3>
[s]<series#>
tick marks
tm
on, off
tick mark
vertical
tick mark
horizontal
tmv
on, off
tmh
on, off
grid
on, off
grid
user annot
ua
erase graphic
eg
erase
all graphics
eag
hide graphics
hg
show graphics
sg
print series
prs
text page
exam
text page
series
text page
roi
te
ts
tpr

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3-31

Accelerator Bar 3
Command Abbreviation
mouse mode
scroll
mmr
mouse mode
zoom
user test
page
mmz
series binding
r image
matte
e image
matte
3-32
Contents
utp
sb
on, off
rmatte
ematte
screen save
scnsave
blank viewport
blank
report pixel
rp
Reference
Scout
ri_X
Show Scout image of series X

on reference image

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Chapter 4
SCAN
Patient Positioning 1
The scan procedure starts with patient positioning.
Image quality depends on proper patient positioning. Poor patient positioning
may result in artifacts and inaccurate CT value.
WARNING!
Avoid patient injury ! Use the security straps provided with the system to
immobilize the patient. The security straps secure the patient to the table
and prevent the patient from falling to the floor. Never leave a patient
unattended while the patient is in the scan room. A violent patient may
break the straps or become unsecured.
Be extremely careful with patient IV or oxygen lines, patients hands and
feet and loose clothing to avoid patient injury during table travel.
The cradle has a maximum distribution load capacity of 450 pounds (205
Kg). Exceeding this load limit could affect some mechanical performance.

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4-1
Scan
1.In order to safely lay a patient on the cradle, make sure first that the
cradle is locked. (Refer to Chapter 1 for the function of Gantry Display
Panel.)
Gantry Display Panel
Distance from isocenter
Positioning light
Interference
On/Off
SI
Release
cradle lock
SI
Tilt
angle/range
Distance from Landmark (mm)
Xray On
2.Press a Positioning Light button on the Gantry Control Panel to light a

halogen marker
Control Panel.)
. (Refer to Chapter 1 for the function of Gantry
3.Match the halogen marker to an anatomical landmark of the patient by

using control buttons on the Gantry Control Panel.
External
light
190 mm
Internal
light
Tomographic
plane
Patient positioning ends when the table location figure is displayed on the
display panel.
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Main landmarks for CT examination
The following landmarks are usually used in CT examinations.
GB
OM
SN
EM
CM
XY
IC
UB
SP
GB : Glabella
OM : Orbital Meatal line
EM : External Auditory Meatus
SN : Sternal Notch
XY : Xyphoid
CM : Costal Margin
UB : Umbilicus
IC : Iliac Crest
SP : Symphysis Pubis

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Scan
New Patient 1
Select [New Patient] to initiate a new examination.
New Patient
1.Select [New Patient] to open the following Patient Information/Protocol

Selection screen.
Patient Information
Protocol Selection
Exam Number
Accession Number
Patient ID
Patient Name
Sex
Birthdate
Age
Weight
Kilograms
Pounds
Referring Physician
Radiologist
Operator
History
Exam Description
Protocol Number
End
Exam
2.Enter the patient demographic data.

Note : As a minimum, the patient ID must be entered.
Exam Number : Within 12 characters
Accession Number : Within 16 characters
Patient ID : Within 16 characters
Patient Name : Within 64 characters
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New Patient 2
Sex : M (Male) or F (Female)
Birthdate : Year, Month, Day
Age : Years, Months, Weeks, Days
Weight : Kgs or Pounds
Referring Physician : Within 32 characters
Radiologist : Within 32 characters
Operator : Within 3 characters
History : Within 60 characters
Exam Description : Within 22 characters
Protocol Number : Within 5 characters
Note : Patient Name and Exam Description will be posted in Image Works
Browser.
3.Each of the ten anatomic regions contains 15 protocols. To select the
default protocol for the region, point and click on the protocol next to the
number. To view and select one of the 15 protocols for the region, point
and click on the region itself on the full body icon.
4.When scanning a pediatric patient, the Pediatric Anatomical Selector is
initiated by touching the pediatric icon. This will minify the Adult
Anatomical Selector.
Upon the selection of the protocol, the system automatically proceeds to the
Scout prescription screen on the next page.

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Scan
Scout Scan 1
Scout Prescription Screen
When you finish entering the necessary data on the New Patient screen, the
following screen will open for Scout scan prescription.
ID :
Name :
Protocol :
Exam:
Series:
Anatomical
Reference
Image Area
Series Description
Auto
Store
Auto Transfer
Delete
Selected
Scout
Add
Scout
Scout
Num
End
Exam
Scan
Type
Scout
Scout
Select
New
Protocol
Next
Series
Start
Loc.
Create
New
Series
End
Loc.
kV
Repeat
Series
mA
Scout
Plane
Auto
Voice
No.
One
More
Confirm
Note : Make sure the patients position in the protocol you have selected
matches that on the CT table. Compare your patients position with the
onscreen picture in the upper left corner of the screen. Changes to the
patients position in the protocol can be made by Arrow icons on the
picture. In order to reverse the position of Headfirst or Feetfirst, point and
click on the
icon. In order to change the position of Decubitus left/right or
or
icon.
Supine/Prone, point and click on the
Before entering or modifying any starting or ending locations for a Scout
view, the system will determine if an anatomic reference point has been
established. If it has not, the starting and ending location parameters will be
highlighted in red. To proceed, you must establish an anatomic reference
point by using the internal or external landmark buttons on the gantry control.
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Scout Scan 2
Image Area : Images will be displayed here. This image area can be
enlarged to full screen by clicking on the small square icon located in the
upper right corner.
Icons on Scout prescription screen

Add Scout
Add
Scout
Select this to add the same Scout as the last one.
Delete Selected Scout

Delete
Selected
Scout
Select this to delete the selected Scout series.
End Exam
End
Exam
Select this to end the current exam.
Select New Protocol

Select
New
Protocol
Select this to return to the Protocol Selection screen and choose a new
protocol for a different region.
Next Series
Next
Series
Select this to choose a next series in the protocol.

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Scan
Scout Scan 3
Create New Series
Create
New
Series
Select this to create a new series.
Repeat Series
Repeat
Series
Select this to repeat the current series.
One More
One
More
Select this to repeat the current Scout series.
Confirm
Confirm
Select this to accept the prescription and proceed to Xray radiation.

This icon will change to the following [Pause] icon during the scan.
Pause
Pause
Select this icon to temporarily halt the scan. This icon will change to the
[Resume] icon shown below during the pause.
Resume
Resume
Select this icon to resume the scan.
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Scout Scan 4
1.Enter or modify each parameter for a Scout scan.
[Scan Type] : Select Scout.
[Start Loc.] : Scan start location
[End Loc.] : Scan end location
Note : Scout locations must be preceded with S (superior) or I
(inferior). Superior means the direction towards patients head from
the zero mm location, namely reference point. Inferior means the
direction towards patients feet from the zero mm location. Scout
scans are performed from the superior to the inferior regardless of the
patient position.
Note : The valid Scout range is between 50mm and 1000mm.
[kV] : 80,120,140 kVDefault 120 kV
[mA] : 60150 mA (at 80 kV), 10150 mA (at 120 kV),
10150 mA (at 140 kV)
[Scout Plane] : azimuth: 5degree increment (However, to be able to
graphically prescribe axial or helical scan locations, the Scout planes
must be zero, 90, 180 or 270 degrees only.)
Note : If the data field is highlighted in orange, it means the original data has
been modified. Also, if the data field is highlighted in red, it means the
system can not accept that entry.
2.After entering or modifying parameters, select [Confirm] to initiate a
Scout scan. The following Scan Progress screen appears.
Scan Progress
Exam:128 Series:1
Number Type
kV mA
Plane
Start
10
End
Seconds
S65.0
001
Scout 120 80
S65.0
I120.0
I120.0
Biopsy
Rx
Scanning
End
Exam
Delay Timer
Next
Series
Repeat
Series
Patient Handling
One
More
Repeat
Last
Group
Priority
Recon
Pause

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Scan
Scout Scan 5
3.Press [Move to Scan] button on the key board when it flashes.
Scan Related Buttons on the Keyboard
Move to Scan
Stop Move
Start Scan
Pause
Xray on
Stop Scan
4.Press [Start Scan] button when it is lit.

The system automatically starts the prescribed Scout scan.
Note : A scan will be automatically aborted unless you press [Start Scan]
within 30 seconds after it is lit.
5.After finishing the first Scout scan, you may select [Repeat Series]
button on the Scan Progress screen to repeat the same Scout series.
6.If there is an axial series in the protocol you used, you can proceed to
Axial/Helical View/Edit screen by clicking on [Next Series] button on the
Scan Progress screen.
7.If you need to return to the Scout prescription screen, select the
following [Return to Rx] icon.
CAUTION
Measurements of Distance and/or Angle on the Scout image do not
necessarily yield accurate data. Do not use those data to avoid
misdiagnosis.
End of Scout scan

If you wish to end the exam after the Scout scan, select [End Exam] on the
Scan Progress screen.
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Auto Store
Function : Auto Store enables you to automatically store images to the
media just after reconstruction.
First make sure that an archive medium is placed in the MOD drive.
MOD Drive
1.Click on [Auto Store] on the Axial View/Edit screen.

Name :
Protocol :
ID :
Exam:
Series:
Anatomical
Reference
Series Description
Auto
Store
Auto
Store
Auto Transfer
Show
Localizer
Auto Film
Setup
Recon
Area
2.When Auto Store is on, all series will be automatically stored into the
MOD after completion of reconstruction.

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Scan
Auto Transfer
Function : Auto Transfer enables you to automatically transfer reconstructed
images to another view station.
1.Click on [Auto Transfer] on the Axial View/Edit screen to open the Auto
Transfer Remote Host Selection menu.
Auto Transfer Remote Host Selection
Host 1
Exam
Image
Host 2
Exam
Image
Host 3
Exam
Image
Host 4
Exam
Image
CT 2
CT 3
AW 1
AW 2
MR 1
MR 2
OK
Cancel
Prior
Next
2.After clicking on [Host x], select host(s) from the list to which you wish to
transfer the data. You can select up to four hosts (Host1Host4).
3.After selecting host(s), choose either [Exam] or [Image] as the unit of
transfer data. Then, select [OK] to close the menu.
4.In case of [Exam] selection, the system automatically starts to transfer
data immediately after selecting [End Exam], whereas in case of [Image]
the system automatically starts to transfer data immediately after
completion of reconstruction.
Note : This function can be applied to only Scout and prospective images.
Other types of images, such as 3D, retrospective, or screensaved, should
be manually transmitted.
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Axial/Helical Scan Prescription 1
Axial/Helical Prescription (View/Edit) Screen
After Scout scan, you may proceed to the following Axial/Helical Prescription
screen to perform axial, helical or cine scans.
Name :
ID :
Exam:
Protocol :
Series:
Anatomical
Reference
Image Area
Series Description
Auto
Store
Auto Transfer
Auto mA OFF
Show
Localizer
Auto Film
Setup
Recon
Area
Add
Group
Prior Next
Images Scan
Type
Start
Loc.
Split
Current
Group
SmartRecon
OFF
Delete
Selected
Group
End No. of
Loc. Images
Thick
(mm)
Scan
Image
Intval
Pitch
Timing
Gantry
Tilt
Recon
SFOV
kV
Film
mA
CTDIw
(mGy)
Optimize
Rx
Preview
Biopsy
Rx
Smart
Prep
End
Exam
Select
New
Protocol
Next
Series
Create
New
Series
Repeat
Series
One
More
Priority
Recon
Confirm
Image Area : Images will be displayed here. This image area can be
enlarged to full screen by clicking on the small square icon located in the
upper right corner.
Prior/Next : Prior or Next key appears on the screen only when more than
three groups are prescribed.

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Scan
Continuous Scan Modes (Option)
This HiSpeed system provides continuous multiple 360degree scan modes
called Helical or Cine.
Helical Scan : Continuous multiple 360degree data acquisition is achieved
with continuous table travel. Images taken with this mode are annotated as
HE (helical).
Cine Scan : Continuous multiple 360degree data acquisition is achieved
without table travel. Images taken with this mode are annotated as CI (cine).
Clinical Benefits of Helical/Cine Scans

D Scan speed
Since there is no interscan delay between each slice acquisition, scan speed
is much faster than conventional axial scans.
Faster scan also helps reduce the total amount of contrast agent.
D No misregistration of anatomy
Since one scan sequence is performed during patients breath hold, it
contributes to very little misregistration of anatomy.
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Prescribe Scan Parameters
1.Enter the parameters or modify them in the protocol if necessary.
The following screen appears as default or when you click on the [Scan]
icon. The screen changes when you click on the [Timing], [Recon] or
[Film] icon to each own parameters one.
Add
Group
Images Scan Start

Type Loc.
Split
Current
Group
Delete
Selected
Group
End No. of
Loc. Images
Scan
Thick
(mm)
Image
Intval
Pitch
Timing
Gantry
Tilt
Film
Recon
SFOV
kV
mA
CTDIw
(mGy)
Optimize
Rx
Preview
Biopsy
Rx
Smart
Scan
End
Exam
Select
New
Protocol
Next
Series
Create
New
Series
Repeat
Series
One
More
Priority
Recon
Confirm
D When you wish to use the common parameters for all scan groups as to
Scan Type, Thick, Image Intval, Pitch, Gantry Tilt, SFOV, kV or mA, click
on each column head and then select the alternative.
D When you wish to select parameters separately for each group, click on
each data field.
D Each parameter is described on the following page.

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Scan
[Scan Type] : Click here to open the following menu.
Select the desired Scan Type
Scan Type
Axial
Rotation Time
Rotation Length
Helical
1.5
Segment
Cine
2.0
3.0
Full
OK
Cancel
Scan
Type
Scan Type: Axial, Helical, Cine

Rotation Time (second): Time needed for 360degree rotation
( 3.0 unavailable for Helical)
Rotation Length: Amount of data for one scan
[Start Loc.] : Scan start location preceded with S (Superior)
or I (Inferior). 0.1 increment with Helical
[End Loc.] : Scan end location preceded with S (Superior) or
I (Inferior). 0.1 increment with Helical
[No. of Images] : The number of images will be automatically
calculated in the end of data entry.
[Thick (mm)] : Slice thickness: 1, 2, 3, 5, 7, 10 mm
[Image Intval] : Image interval
[Pitch] : The ratio between the slice thickness and the distance a
cradle travels during one rotation time in Helical scan (0.1 increment)
[Gantry Tilt] : 30 degrees (by 0.5 degrees)
[SFOV] : Scan Field of View: PedHead (18cm), Head (25cm),
Small (25 cm), Medium (35cm), Large (45.5 cm),
ShoulderL (45.5 cm)
[kV] : 80, 120, 140 kV
[mA] : 60150 mA (at 80 kV), 10150 mA (at 120 kV),
10150 mA (at 140 kV), 5 mA increment
[CTDIw] : Dose index for each group will be automatically calculated
and shown.
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2.Click on the [Timing] icon to open the following time parameters menu.
Scan
Prep
Group
(sec)
ISD
(sec)
Breath
Hold
(sec)
Timing
Breathe
Time
(sec)
Recon
Film
Auto
Voice
No.
Click on each parameter item and select or type in the value.

[Prep Group (Delay)] : Delay time between pressing [Start Scan]
button and the start of Xray radiation (0360 seconds)
[ISD] : Interscan delay (1300 seconds)
[Breath Hold] : Duration in which a patient is required to hold breath
[Breathe Time] : Patient breathing time (560 seconds)
[Auto Voice No.] : Auto Voice setting number

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Scan
3.Click on the [Recon] icon to open the following reconstruction
parameters menu.
Scan
DFOV
(cm)
R/L
Center
(mm)
A/P
Center
(mm)
Recon
Timing
Recon
Type
Image
Filter
Show
Recon1
Y
Matrix
Size
Show
Recon2
N
Film
Motion
Correct
Special
Filter
Show
Recon3
N
Click on each parameter item and select or type in the value.

[DFOV] : Display Field of View: 48455 mm (by 1 mm)
[R/L Center] : Reconstruction center in the right or left direction
preceded with R (Right) or L (Left)
[A/P Center] : Reconstruction center in the anterior or posterior
direction preceded with A (Anterior) or P (Posterior)
[Recon Type] : SOFT, STND, STD+, DETL, CHST, BONE, EDGE or
PFRM
[Image Filters] : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21,
E22, E23, E3), Lung (L1, L2, L3)
Note : These filters are not available when CHST is selected at [Recon
Type].
[Matrix Size] : 256 x 256, 512
512
[Motion Correct] : Motion correction

Note : Motion Correct does not apply to the following cases.
Helical/Cine scans and Segment Rotation Length
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[Special Filter] : ANR (Advanced Noise Reduction) (1 or 2)
AAR filter allows you to reduce artifacts shown around arms.
None
ANR 1
ANR 2
AAR 1
AAR 2
Cancel
stronger effect than [AAR 1]. Select either of them or select [None]
not to use this filter.
[Show Recon 1, 2, 3] : These buttons are used for prospective
multiple reconstruction.

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Scan
4.Click on the [Film] icon to open the following menu for auto filming.
You may skip this procedure if you do not use autofilm.
Scan
Auto
Film
Frame
Format
Interval
Timing
Level
1
Width
1
Flip
Recon 1
Film Set
1
Recon 1
Film Set
2
Film
Recon
Mag
Factor
Recon 2
Film Set
1
Rotate
User
Anno.
Recon 2
Film Set
2
Recon 3
Film Set
1
GSE
Recon 3
Film Set
2
Click on each button to enter or select data.

[Auto Film] : Toggle between autofilm On and Off.
[Frame Format] : Four formats
[Interval] : 15 sheets
[Flip] : FTB (Flip to Bottom), FTB/FLR (Flip to Bottom/Flip to Left
Right), FLR (Flip Left Right)
[Width 1] : First choice of window width (14096)
[Level 1] : First choice of window level (1024 to 3072)
[Mag Factor] : 0.52.0 times
[Rotate] : Left 90 degrees, right 90 degrees, 180 degrees
[User Anno] : User annotation
[GSE] : Gray Scale Enhancement (G1, G2, G3, Off)
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Prospective Multiple Reconstruction
Function : This enables you to prospectively prescribe up to two additional
reconstruction sets for each scan group within one series.
Make sure that the [Recon] tab card is selected on the right side of View/Edit
screen to prescribe Prospective Multiple Reconstruction. If the card is not
selected, click on the axial image icon.
Scan
Recon
Y/N
DFOV
(cm)
R/L
Center
(mm)
Recon
Timing
A/P
Center
(mm)
Recon
Type
Image
Filter
Matrix
Size
Film
Motion
Correct
Special
Filter
N
N
Show
Recon1
Y
Show
Recon2
N
Show
Recon3
N
There are three buttons at the bottom of the Recon menu.

They are [Show Recon 1], [Show Recon 2] and [Show Recon 3].
[Show Recon1 Y] is highlighted in blue and contains recon parameters
prescribed beforehand.
1.Select [Show Recon2 N] to prescribe the second recon set.
2.Once [Show Recon2 N ] is selected, there appears [Recon Y/N] column
at the left end of the Recon menu. These parameters are default from
Recon1. You may change some or all of those parameters. The altered
parameters will become those of Recon2. Lastly, toggle N (No) to Y
(Yes) to allow the group to be reconstructed with those parameters.
[Show Recon2 N] will be changed to [Show Recon2 Y] and highlighted
in blue.
[DFOV] : Display Field of View: 48 to 455 mm (by 1 mm)
[R/L Center] : Reconstruction center in the right or left direction
preceded with R (Right) or L (Left)
[A/P Center] : Reconstruction center in the anterior or posterior
direction preceded with A (Anterior) or P (Posterior)
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Scan
[Recon Type] : SOFT, STND, STD+, DETL, CHEST, BONE, EDGE or
PERM
[Image Filters] : Smooth (S1, S11, S2, S21, S3), Edge (E1, E2, E21,
E22, E23, E3), Lung (L1, L2, L3)
[Matrix Size] : 256 x 256, 512
512
[Motion Correct] : Motion correction

[Special Filter] : ANR (Advanced Noise Reduction) (1 or 2)
AAR filter allows you to reduce artifacts shown around arms.
None
ANR 1
ANR 2
AAR 1
AAR 2
Cancel
stronger effect than [AAR 1]. Select either of them or select [None]
not to use this filter.
When you need to return to the parameters of Recon 1 , simply select [Show
Recon 1].
3.If you need to perform the third reconstruction, select [Show Recon 3],
then take the same steps as Recon 2.
4.Select [Confirm] to initiate a scan.
Note : During the scan, only the set of Recon 1 will be reconstructed.
In order to activate Recon 2 or 3, select any of the following buttons.
[End Exam], [Create New Series], [Next Series], [Select New Protocol],
or [Repeat Series]
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Icons of the Axial/Helical Scan Prescription screen (1)
Autofilm Setup
Autofilm
Setup
Select this icon to open the following menu for autofilming.

Autofilm Setup
Destination
Laser Camera
Format
Size
Normal
Slide
Copies
Auto Start Auto Print

Yes
Yes
Exam Page Series Page

Yes
Scout
Yes
XRefScout
Film Direction
Top to Bottom
Auto Film Composer Show Grayscale
e/s/i
OK
Yes
Cancel
Please refer to the later chapter of Filming for detailed descriptions.
Show Localizer
Show
Localizer
Click this icon to display the Scout image with graphical lines that show the
scan locations prescribed beforehand. You can graphically modify the
start/end location, interval, image number, or DFOV. Those changes will be
reflected on the scan prescription screen in orange color.
Please refer to the later pages for detailed descriptions.

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Scan
Recon Area
Recon
Area
Select this icon to display a circle cursor over the image, then change the
size and location of the cursor to designate the recon area instead of typing
in DFOV, R/L Center and A/P Center at the Axial/Prescription screen.
Add Group
Add
Group
First select a certain scan group, then click on this icon to add that group just
after the current group.
Split Current Group

Split
Current
Group
Select this icon to split the selected scan group.

1.First select the desired scan group you wish to split.
2.Then, click on the above icon to open the following menu.
Split Group
Enter location or image number
OK
Cancel
3.Enter the location or image number at which you wish to split the group.
Then, select [OK].
Note : If you enter an invalid number, the warning message will appear.
Image number is outside of group image range.
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Delete Selected Group
Delete
Selected
Group
First, select a scan group that you wish to delete, then click on this icon.
Biospy Rx
Biopsy
Rx
Select this icon to prescribe Biopsy Rx.

Please refer to the later pages for the function description of Biopsy Rx.
Smart Prep
Smart
Prep
Select this to prescribe Smart Prep.

Refer to the later pages for the function description of Smart Prep.

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Scan
Optimize Rx
Optimize
Rx
When the system decides that some change in scan techniques is needed to
complete the entire scan, this icon lights up in red. At this point you may
enter the following Technique Optimize screen by clicking on it.
Technique Optimize screen example
Tube cooling is needed at image ; 26
Optimize Method :
Group
by
Group
Image
Upfront
Delay
(sec)
mA
Group
Delay
(sec)
240
145
4665
Tube cooling is needed at image : At the top of the screen the message
appears that informs you at which image the tube cooling will be needed with
the current scan techniques. In the above example it is 26.
Optimize Method : Optimize Method tells you how the change in technique
will occur. In the above example it says Group by Group meaning the
technique must be changed by scan group. Also, in the above example,
since the image 26 belongs to the first group, all the images in the first group
from 1 to 45 are equally subject to changes in technique. The system will
calculate and display up to three factors for the scans to be able to continue.
Those three factors are;
Upfront Delay (sec) : Prescan delay
mA : Tube current used for that scan group
Group Delay (sec) : Delay time between scan groups
Rectifying any one of those three factors will display a message Tube
cooling is No Longer Needed enabling the system to continue scans.
Notice: When the system estimates the cooling time to be more than 600
seconds, it shows in the [Upfront Delay] box.
Finally select [Optimize in Progress] highlighted in blue to exit.
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Preview
Preview
This function enables you to graphically view prior to the scan the interaction
between scan process and the combination of Breath Hold and Breathe
Time.
When you click on this icon after axial scan prescriptions, the following
screen will appear.
Preview Screen
Prior
Next
Images Type kV mA Time Thk Tilt
Start
End
10
20
40
30
Seconds
S80.0
001010 Helical 120 250 10.0
S0.0
S80.0 S30.0
011022 Helical 120 250 12.0
S0.0
S10.0 I50.0
023027 Helical 120 250
S0.0
I60.0
S30.0
S10.0
I50.0
I60.0
5.0
I85.0
I85.0
Step
Biopsy
Rx
Scroll
If the prescribed scan sequence is too long for a displayed time scale, use
Step or Scroll button to view the entire sequence for the corresponding time
scale. (Step/Scroll buttons appear on the screen only when too long scan
sequence is prescribed.)
When more than three groups are prescribed, use Prior or Next key to go
through the pages. (Prior or Next key appears only when more than three
groups are prescribed.)

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Scan
Icons of the Axial/Helical Scan Prescription screen (2)
End Exam
End
Exam
Select this icon to end the current exam.
Select New Protocol

Select
New
Protocol
Click on this icon to select another protocol.
Next Series
Next
Series
Click on this icon to select another series within the protocol. Please refer to
the later page for the function description.
Create New Series

Create
New
Series
Select this icon to open the following menu and create a new series that
does not exist in a protocol.
Scout
Axial
ATTENTION: This will remove all unscanned groups.
OK
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Cancel

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Repeat Series
Repeat
Series
Select this icon to repeat the current series. Please refer to the later page for
the function description.
Priority Recon
Priority
Recon
Select this icon to give the priority to a certain image to be reconstructed

earlier than other images. Refer to the later page for the details.
One More
One
More
Select this to repeat the last one scan. Please refer to the later page for the
function description.
Confirm
Confirm
Select this icon to proceed to Xray radiation after confirming all scan
prescriptions. This icon will change to the following [Pause] icon during the
scan.

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Scan
Pause
Pause
Select this icon to temporarily halt the scan. Scans pause after completing
the current one scan. This icon will change to the [Resume] icon shown
below. (Note : It is best to use the Stop Scan button on the key board to stop
the scan immediately. The use of the Pause icon may not stop the scan
immediately due to the signal transmission timelag.)
Resume
Resume
Select this icon to resume the scan.
Intravenous contrast icon
IV
Select this icon when you use intravenous contrast agent.
Gastrointestinal contrast icon
GI
Select this icon when you use gastrointestinal contrast agent.
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Show Localizer
Function : Show Localizer allows you to graphically show the prescribed
scan lines on the Scout image.
1.Click on [Show Localizer] located on the upper left corner of the
View/Edit screen.
Name :
Protocol :
ID :
Exam:
Series:
Anatomical
Reference
View/Edit screen
Show
Localizer
Series Description
Auto
Store
Auto Transfer
AutomA OFF
Show
Localizer
Auto Film
Setup
Recon
Area
SmartRecon
OFF
2.The Scout image appears with lines that show prescribed scan locations.
3.In order to adjust the slice location, click and hold on the X mark in
blue, then drag the entire group horizontally to the desired location.
4.In order to adjust the DFOV center, click and hold on the X mark in blue
with the Shift key pressed down, then drag the entire group vertically to
the desired location.

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Scan
Show Localizer
5.In order to adjust the location of only one group, first doubleclick on the
group to select, then do the above operation. (When you select a certain
group by doubleclicking on it, it turns blue.)
6.In order to add or delete a slice at the top of the group, click and hold on
the small blue solid square and move the mouse to the desired
direction.
If you wish to add or delete a slice at the bottom of the group, click and
hold on the small blue hollow square and move the mouse to the
desired direction.
7.In order to adjust the size of DFOV, click and hold on the small diamond,
then extend it or contract it.
8.In order to adjust the gantry tilt, click and hold on the small circle, then tilt
it to the desired angle.
Note : Blue lines on the axial images show the mechanical center (the
pair of two slices) of the detector, not the slice.
Note : When the gantry tilt is applied on the Localizer, the last image in
each scan group will be automatically removed.
This is because with the matrix type detector tilting the gantry increases
slice intervals which cause the slice overlaps between groups as the
system keeps the original start locations for each scan group. To avoid
the slice overlaps the system automatically removes the slice(s)
depending on the scan mode and the tilt angle.
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Auto mA
Function : The Auto mA feature enables the system to reduce mA and
patient dose with negligible effect on image quality. The system varies mA
according to patient shape and a predetermined algorithm for scan location.
Principle : The Auto mA feature requires one Scout scan, either AP or LAT
in the diagram below, to obtain necessary information on Xray attenuation.
0-degree Scout (AP)
Tube
Patient
90-degree Scout (LAT)

Tube
The system automatically increases mA at the scan locations where Xray

attenuation is relatively high and decreases mA at the scan locations where
Xray attenuation is relatively low. In the example below, the mA is set low at
the start scan location (lung area), then the mA will increase at the location
of liver area, then it will decline at the location of abdomen area.
Start
End
mA
Start

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End
Scan location
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Scan
Auto mA
Prescribe Auto mA
One Scout data is necessary to prescribe the Auto mA.
(Note : When more than one Scout scan is available like AP and LAT, the
Auto mA feature uses the last Scout scan as the necessary data.)
1.Click on the [AutomA OFF] located on the upper left corner of the
View/Edit screen. (Default setting is OFF.)
View/Edit screen
Name :
Protocol :
ID :
Exam:
Series:
Anatomical
Reference
AutomA OFF
Series Description
Auto
Store
Auto Transfer
AutomA OFF
Show
Localizer
Auto Film
Setup
Recon
Area
SmartRecon
OFF
2.The following [Select AutomA Mode] menu appears.

Select AutomA Mode
Off
IQ
Normal
LowDose
MaxmA
Cancel
Select one of the four modes, IQ, Normal, LowDose or MaxmA.

The menu disappears upon the selection.
[IQ] : Select this mode when high image quality is needed.
The possible highest mA of this mode is the highest among IQ,
Normal and LowDose modes.
[AutomA OFF] will change to [AutomA IQ].
[Normal] : This mode is most commonly recommended.
[AutomA OFF] will change to [AutomA Normal].
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Auto mA
[LowDose] : Select this mode when the lowest patient dose is
required. The possible highest mA of this mode is the lowest among
IQ, Normal and LowDose modes.
[AutomA OFF] will change to [AutomA LOWDOSE].
[MaxmA] : Select this mode to define your own desired maximum mA
other than IQ, Normal or LowDose mode.
[Off] : Select this when you wish to end any of AutomA modes after
using it.
[Cancel] : Select this to cancel the AutomA mode.
Automatic mA Range Selection
In case of [IQ], [Normal] or [LowDose] mode:
The system calculates proper Auto mA values and draws a chart like the
below one (The chart is not displayed on the screen.). Based on this chart,
the system automatically applies either one of the two mA ranges (10190
mA / 100maximum mA ) to each scan group.
mA
200
Auto mA Calculation (example)
100
10
scan location
The two ranges do not alternate with each other within a single scan group.
In some cases this causes the systemcalculated mA to be clipped(cut) for a
certain slice. The following are examples.
Example 1 : With the [10190mA] range selected, even if 210mA is
calculated for a certain slice, only 190mA will be applied to the slice.
In other words, mA values more than 190mA are clipped.
Example 2 : With the [100max.mA] range selected, even if 80mA is
calculated for a certain slice, 100mA will be applied to the slice.
In other words, mA values less than 100mA are clipped.

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Scan
Auto mA
Auto mA Clipping
The CT operator can intentionally set the upper limit of mA in the modes of
IQ, Normal and LowDose. This feature is useful for tube cooling wait.
Enter the desired mA value into the [mA] field.
The following charts show the example of Clipping by Operator at 200mA.
Without Clipping (example)
300
250
200
mA
150
100
50
1
9 10 11 12 13 14 15 16
Slice
Clipping by Operator @200mA (example)
300
250
200
mA
150
100
50
1
10 11 12 13 14 15 16
Slice
Automatic Max mA Range Selection

In case of [MaxmA] mode:
Based on the mA value prescribed at [MaxmA] mode, the system
automatically selects either one of the two mA ranges as the below chart
shows.
mA input
4-36
Automatically selected range
10190
10190
200max.
100max.

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Auto mA
The status of ON/OFF or mode of the AutomA feature is shown on
the bottom of the Preview screen.
3.The following menu appears upon the selection of [mA] on the View/Edit
screen.
Enter the desired mA
60
80
100
130
150
200
250
300
mA Table
Cancel
When [AutomA OFF] is posted, the [mA Table] key looks dim
indicating it is not functional.
Select or enter the desired maximum mA.
When any one of four modes (IQ, Normal, LowDose, MaxmA) is
selected, all mA choice boxes look dim, whereas the [mA Table] key
looks solid. Click on the [mA Table] key to open the following mA
Table Information menu.
mA Table Information
Scan#
1
2
3
4
5
mA
150
150
150
140
6
7
8
140
130
100
100
100
10
11
100
100
OK
(Example)
The above menu shows the expected mA at each scan location.

Click on [OK] to close the menu.

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Scan
SmartRecon (Option)
Function : The SmartRecon feature can be used along with Helical or Cine
scans to generate realtime reconstructed images at the rate of six images
per second with 256x256 matrix.
Notice : Images taken with the SmartRecon feature are not recommended
for diagnosis since 256x256 matrix is used.
Conditions :
D 512x512 matrix is not available for SmartRecon.
D SmartRecon can not be used for ordinary axial scans.
D SmartRecon is always succeeded by ordinary prospective reconstruction.
(SmartRecon can not be prescribed alone.)
D SmartRecon is prescribed by series.
D The available scan time for SmartRecon is 0.8 or 1.0 second.
D While performing SmartRecon, the system halts all network and archiving
tasks, also all image analyses like 3D, Reformat, etc. are suspended.
D During SmartRecon all the function buttons on the desktop except for
[Shut Down] are not usable.
D Images generated by SmartRecon will not be stored into the system disk
but into the memory buffer.
D The AutomA feature can be applied to SmartRecon.
D The [Priority Recon] button can not be applied to SmartRecon.
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SmartRecon (Option)
1.Click on [SmartRecon OFF] located on the upper left corner of the
View/Edit screen. (Default setting is OFF.)
View/Edit screen
Name :
Protocol :
ID :
Exam:
Series:
Anatomical
Reference
SmartRecon
OFF
Series Description
Auto
Store
Auto Transfer
AutomA OFF
Show
Localizer
Auto Film
Setup
Recon
Area
SmartRecon
OFF
[SmartRecon OFF] turns to [SmartRecon ON].

2.As the Helical or Cine scans proceed, the system reconstructs and
displays images at the rate of six images/second.
3.Upon the completion of the SmartRecon the operator may return to the
View/Edit screen to start the prospective reconstruction.

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Scan
Axial/Helical Scan in Progress
1.Click on the [Confirm] icon after confirming all prescribed scan
parameters.
End
Exam
Select
New
Protocol
Create
New
Series
Next
Series
Repeat
Series
One
More
Priority
Recon
Confirm
View/Edit screen
Confirm
2.Press the [Move to Scan] button when lit, then, press the [Start Scan]
button to start a scan.
3.The system automatically proceeds to the Scan Progress screen.
Scan Progress
Exam:285 Series:2
0
Images Type
10
20
S65.0
020035 Helical 120 180
8.0
40
30
kV mA Time Thk Tilt Start End

S110.0
S165.5
Seconds
S180.0
0 S65.0 S180.0
Biopsy
Rx
Scanning
End
Exam
Delay Timer
Next
Series
Repeat
Series
Patient Handling
One
More
Repeat
Last
Group
Priority
Recon
Pause
Note : A warning message will appear in the Patient Handling box if the
the scanning object is off center.
Note : A scan will be automatically aborted unless you press [Start
Scan] within 30 seconds after it is lit.
The system automatically performs the prescribed axial or helical scan.
You can monitor the progress of the scan on the above Scan Progress
screen.
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Axial/Helical Scan End
Upon the completion of the scan, the message All scans completed will
appear in the Scanning box of Scan Progress screen. If you wish to end the
current exam here, take the following steps.
1.After the scan, click on [End Exam] icon located on the lower left corner
of the Scan Progress screen.
Scan Progress
Exam:285
Series:2
Images Type
kV mA Time Thk Tilt
Start
End
10
S65.0
020035 Helical 120 180
8.0
20
30
S110.0
S165.5
40
Seconds
S180.0
S65.0 S180.0
Biopsy
Rx
Scanning
Patient Handling
Delay Timer
All scans completed.
End
Exam
Next
Series
Repeat
Series
One
More
Repeat
Last
Group
Priority
Recon
End Exam
2.Or, you may select Return to View/Edit screen icon located on the right
side of Scan Progress screen to return to the View/Edit screen.
Return to View/Edit screen
3.Select [End Exam] on the lower left corner of the View/Edit screen to
end the current exam. The screen automatically returns to Top Level
screen.

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Scan
Priority Recon
Function : Priority Recon allows you to designate and reconstruct an image
earlier than any other image in the reconstruction queue. Upon the selection
of this function, the system will start to reconstruct the designated image just
after reconstructing the current image.
1.In the scan process, if you wish to reconstruct a certain image earlier
than any other image, select [Priority Recon] located on the bottom right
of Scan Progress screen.
Scan Progress
0
Images Type
kV mA Time Thk Tilt
Start
10
S65.0
020035 Helical 120 180
8.0
20
40
30
End
S110.0
Seconds
S180.0
S165.5
S65.0 S180.0
Biopsy
Rx
Scanning
Delay Timer
Next
Series
End
Exam
Repeat
Series
Patient Handling
One
More
Repeat
Last
Group
Priority
Recon
Pause
Priority Recon
The system starts to reconstruct the designated image just after

completion of the current reconstruction.
2.After completion of the whole scan, if you wish to give the reconstruction
priority to the lastly scanned image, select [Priority Recon] on the
bottom right of the View/Edit screen.
End
Exam
Select
New
Protocol
Next
Series
Create
New
Series
Repeat
Series
One
More
Priority
Recon
Confirm
View/Edit screen
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Priority Recon

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Next Series
Function : Next Series allows you to directly proceed to a scan prescription
screen if the next axial or helical series is included in the protocol.
1.Click on [Next Series] on the following scan end screen.
Scan Progress
0
Images Type
kV mA Time Thk Tilt
Start
10
S65.0
020035 Helical 120 180
8.0
20
40
30
End
S110.0
Seconds
S180.0
S165.5
S65.0 S180.0
Biopsy
Rx
Scanning
Delay Timer
Patient Handling
Repeat
Series
Next
Series
End
Exam
Repeat
Last
Group
One
More
Priority
Recon
Next Series
2.The system automatically proceeds to the View/Edit screen that shows

the parameters of the series in the protocol. You may modify
parameters.
View/Edit Screen
Add
Group
Images
Scan
Type
Start
Loc.
Delete
Selected
Group
Split
Current
Group
End
Loc.
No. of
Images
Scan
Thick
(mm)
Timing
Image
Intval
Film
Recon
Optimize
Pitch
Gantry
Tilt
SFOV
kV
mA
CTDIw
(mGy)
Rx
Preview
Biopsy
Rx
End
Exam
Select
New
Protocol
Next
Series
Create
New
Series
Repeat
Series
One
More
Priority
Recon
Confirm
3.After confirming the parameters, select [Confirm] to start scan.

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Scan
Repeat Series 1
Function : Repeat Series allows you to automatically proceed to the scan
prescription screen for the most recent series.
1.Click on [Repeat Series] on the following scan end screen.
Scan Progress
0
Images Type
kV mA Time Thk Tilt
Start
10
S65.0
020035 Helical 120 180
8.0
20
30
End
S110.0
S165.5
40
Seconds
S180.0
S65.0 S180.0
Biopsy
Rx
Scanning
Patient Handling
Delay Timer
End
Exam
Repeat
Series
Next
Series
One
More
Repeat
Last
Group
Priority
Recon
Repeat Series
2.There appears the following Select Previous Series menu which lists all
the previously scanned series that have the same Patient Position
/Orientation (supine/prone, head first/feet first) as the most recently
scanned one. The most recently scanned series tops the list and gets
highlighted.
Select Previous Series
Series 8
Description of Series 8
Series 7
Series 6
Series 5
Series 4
Series 3
OK
Highlighted
Cancel
The list can show up to ten series on one screen. When it contains
more than ten series, there appear(s) Prior and/or Next button on the
screen.
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Repeat Series 2
After selecting and highlighting any one of the series, select [OK] to
confirm the selection. To cancel this step, click on [Cancel].
3.After the selection of [OK], the system automatically proceeds to the
View/Edit screen that shows the parameters of the series chosen in the
Select Previous Series menu. You may modify parameters here.
View/Edit Screen
Images
Scan
Type
Delete
Selected
Group
Split
Current
Group
Add
Group
Start
Loc.
End
Loc.
No. of
Images
Scan
Thick
(mm)
Image
Intval
Timing
Film
Recon
Optimize
Pitch
Gantry
Tilt
SFOV
kV
mA
CTDIw
(mGy)
Rx
Preview
Biopsy
Rx
End
Exam
Select
New
Protocol
Next
Series
Create
New
Series
Repeat
Series
One
More
Priority
Recon
Confirm
4.After confirming the parameters, select [Confirm] to start scan.

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Scan
One More
Function : One More allows you to scan one more slice that will have
exactly the same parameters as the most recently scanned image.
1.Click on [One More] on the following scan end screen.
Scan Progress
0
Images Type
kV mA Time Thk Tilt
Start
10
S65.0
020035Helical 120 180
8.0
20
40
30
End
S110.0
Seconds
S180.0
S165.5
S65.0 S180.0
Biopsy
Rx
Scanning
Delay Timer
Patient Handling
End
Exam
Next
Series
Repeat
Series
One
More
Repeat
Last
Group
Priority
Recon
One More
2.Press [Move to Scan] button when lit.

3.Then, press [Start Scan] button when lit to start a scan.
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Repeat Last Group
Function : Repeat Last Group allows you to scan the most recently scanned
group again with the same condition.
1.Click on [Repeat Last Group] on the following scan end screen.
Scan Progress
0
Images Type
kV mA Time Thk Tilt
Start
10
S65.0
020035 Helical 120 180
8.0
20
40
30
End
S110.0
Seconds
S180.0
S165.5
S65.0 S180.0
Biopsy
Rx
Scanning
Delay Timer
Patient Handling
End
Exam
Next
Series
Repeat
Series
Repeat
Last
Group
One
More
Priority
Recon
Repeat Last Group
2.Press [Move to Scan] button when lit.

3.Then, press [Start Scan] button when lit to start a scan.
Note : Newly scanned series will have the same series number as the
previous one.

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Scan
Biopsy Scan 1
Function : The Biopsy Rx feature allows you to easily repeat the scan
location during the biopsy procedures.
Biopsy Rx prescription
1.Biopsy Rx can be accessed through the [Biopsy Rx] icon on the right
side of Axial/Helical Prescription screen.
Add
Group
Images Scan Start

Type Loc.
Split
Current
Group
Delete
Selected
Group
End No. of
Loc. Images
Scan
Image
Intval
Thick
(mm)
Pitch
Gantry
Tilt
Film
Recon
Timing
SFOV
kV
mA
CTDIw
(mGy)
Optimize
Rx
Preview
Biopsy
Rx
End
Exam
Select
New
Protocol
Next
Series
Create
New
Series
Repeat
Series
One
More
Priority
Recon
Confirm
2.The following screen appears upon the selection of [Biopsy Rx].

Biopsy Rx
Biopsy Reference
Superior
Centered
Inferior
Get Alignment
Internal
Light Location
Biopsy Location
Number of Images
External
Gantry Tilt
Thickness
Helical Pitch
Image Interval
Confirm
Biopsy Rx
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Cancel

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Biopsy Scan 2
3.In order to determine the reference centering location in a biopsy scan,
select [Superior], [Centered] or [Inferior] at Biopsy Reference field.
[Superior] means scanning from the landmark toward patients head.
[Centered] means scanning around the landmark.
[Inferior] means scanning from the landmark toward patients feet.
4.At Biopsy Location field, enter the location of the biopsy scan to be
performed.
Or
5.When the internal light is used, select [Internal], or, when the external
light is used, select [External] at Get Alignment Light Location field.
6.Enter the following parameters.
Number of Images :
Gantry Tilt :
Thickness :
Helical Pitch :
Image Interval :
7.Click on the [Confirm Biopsy Rx] button.
8.Press [Move to Scan] button when it lights up. Then, press [Start Scan]
to start the biopsy scans.

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Scan
Smart Prep 1 (Option)
Function : The Smart Prep feature allows you to monitor contrast
enhancement change during injection, to assure the acquisition of axial or
helical scans while optimum levels of contrast are present.
Three phases of Smart Prep

Smart Prep consists of three phases, which are a Baseline, Monitor and
Scan Phase.
D Baseline phase
This phase requires one unenhanced scan through a particular area of
anatomy that will be the point of interest to monitor.
D Monitor phase
This phase requires the operator to take up to 20 scans at one location while
the IV (introvenous) contrast is being administered. You will be able to watch
these scans on the CRT as the scans are proceeding.
D Scan phase
This phase performs your scan prescription that will be started by the
operator when the optimum level of contrast enhancement is reached, either
by visual evaluation or by a preset threshold selection.
Parameters of Smart Prep

Some of the parameters used during the Smart Prep prescription are preset
and unchangeable. They are 256 matrix, Soft Tissue algorithm and 0.6sec
scan time.
Note : Because monitoring scans will not be used for diagnostic purposes,
these techniques are used to make sure that the patient receive the minimal
dose.
Autovoice
During the Smart Prep the Autovoice function will only be available after the
scan phase is initiated. So, the operator may have to give oral breathing
instructions through the intercom during Baseline and Monitor phase and at
the beginning of Scan phase.
Scout and scan prescription
When you perform Smart Prep, the Prep Delay can be excluded from
parameters. Even if you use it, Smart Prep will override it by putting SP in
place of the number.
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Smart Prep 2
Smart Prep prescription
1.Smart Prep can be accessed through the [Smart Prep] icon on the
Axial/Helical Prescription screen.
Scan
Thick
(mm)
Image
Intval
Pitch
Timing
Gantry
Tilt
Recon
SFOV
kV
Film
mA
CTDIw
(mGy)
Optimize
Rx
Preview
Biopsy
Rx
Smart
Prep
Repeat
Series
One
More
Smart
Prep
Priority
Recon
Confirm
2.When the Smart Prep is not incorporated in the protocol, toggle the [Off]
button to [On] on the Smart Prep screen.
To [On]
Smart Prep screen

Smart Prep
Off
Monitor
Location
mA
Monitoring Monitoring Enhancement Scan Phase

Delay
ISD
Threshold
Delay
Show
Localizer
Accept
Cancel
Each parameter is described on the following page.

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Smart Prep 3
3.Enter the following parameters for the Smart Prep prescription.
Monitor Location : Location of monitoring scan
mA : Tube current for Base Line and all Monitoring scans
(10100mAby 5 mA
Monitoring Delay : The delay before the Monitoring scan begins
(060 seconds, by 0.1 sec.This delay works in conjunction with the
administration of IV contrast.
Monitoring ISD : The delay between each monitoring scan
(360 secondsby 0.1 sec.)
Enhancement Threshold : The difference in CT value between the
Baseline ROI and the one at which you wish to start the Scan Phase.
( For example: If you want to start the scan phase when the CT value
of the area of interst reaches 70, then assuming the Baseline ROI is
30, the Enhancement Threshold will be 40.)
Scan Phase Delay : The delay between the time you press [Start
Scan] button and the time the actual scan begins (360 seconds, by
0.1 sec.)
Note : The slice selection at Scan Phase may affect Scan Phase
delay. The selection of 7/10mm with Helical or 7/10mm x 2i will affect
the delay. This is because the selection of only up to 5mm x 2 is used
at Monitoring Scan.
Show Localizer : Select this to display the Scout image with a line on
it. With this line, you will be setting the location of the Baseline and
subsequent Monitoring scans.
Note : If there is the difference between Monitoring location and Scan Phase
start location, the Scan Phase will be delayed due to the cradle travel. For
example, it takes some four seconds for the cradle to travel 300mm.
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Smart Prep 4
4.After completing all the entries, select [Accept]. The system will return to
the View/Edit screen.
5.Click on [Confirm] and press [Start Scan] when lit to initiate the Baseline
scan.
Scan Progress screen shows the Baseline group, Monitor group and scan
prescription.
Scan Progress
Exam:285
Series:2
0
Images
Type
kV mA Time Thk Tilt
Start
10
20
30
40
50
Seconds
S0.0
001001 Axial
0.6
10 S0.0
S0.0
S0.0
002021 Axial 120 040 12.0
10 S0.0
S0.0
S0.0
001002 Axial
10
S0.0
I10.0
120 040
60
End
S0.0
S0.0
120 080
5.0
S0.0
Scanning
Biopsy
Rx
Patient Handling
Delay Timer
Next
Series
End
Exam
Monitor
Phase
Repeat
Last
Group
Scan
Phase
Priority
Recon
Pause
Note : When you select [Accept] on the Smart Prep prescription screen, the
following Timing menu shows SP in the Prep Group (delay) field, meaning
the Smart Prep Monitoring delay has been set.
Scan
Prep
Group
(sec)
ISD
(sec)
Breath
Hold
(sec)
Timing
Breathe
Time
Recon
Film
Auto
Voice
No.
SP
SP

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Smart Prep 5
6.After the Baseline scan, its image will be displayed. Also, six display
functions for Smart Prep will be presented.
Smart Prep Display
Zoom
Hide
Graphics
Display
Normal
Ellipse
ROI
Erase
Explicit
Mag
Baseline image
Refer to the Chapter 3 [Display] for the each display function.

7.You can calculate up to three ROIs by selecting [Ellipse ROI].
8.After calculating ROIs, click on [Monitor Phase] and inject
simultaneously the IV contrast.
9.After you press the [Start Scan] button, the system will automatically
proceed to the Monitoring scans through the Monitoring delay.
D The Display desktop screen will now look similar to the following one.
Graph
Most recently
reconstructed image
Time
Baseline image
D In the lower right quadrant the Baseline image with ROIs is displayed.
D The lower left quadrant will be displaying in real time the time when each
monitoring scan is acquired, based on the onset of the monitoring delay.
It also displays each of the ROI values of that scan.
D The upper right quadrant will be displaying in real time the most recently
reconstructed image.
D The upper left quadrant will be displaying in real time the enhancement
threshold graph, comparing the ROI of each monitoring scan with the time
from the start of the monitoring delay. If you did not take any ROI on the
Baseline image, this quadrant will be blank.
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Smart Prep 6
D The Scan desktop screen will now look similar to the following one.
Most recently
reconsructed image
Graph
Preview
10.As the monitoring scans are being acquired, you can watch the lines
climbing toward the enhancement threshold on the graph in the upper
left quadrant.
Upper left quadrant
140
T: Threshold
20
40
60
11.When the line depicting the ROI gets close to or at the threshold
enhancement, select [Scan Phase] on the Scan Progress screen to
initiate the Scan Phase.
Note : If the scan location of Monitoring Phase does not match the start
location of Scan Phase, the scan start will be delayed by the time the cradle
takes to move. For example, it takes some four seconds for the cradle to
move 300 mm. It is highly recommended that the scan location of Monitoring
Phase match the start location of Scan Phase.
Note : When the system initiates the Scan Phase, the real time calculation of
the Smart Prep quadrant will be stopped. A screen save will be used for
later inspection.

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Scan
Smart Addition (Option) 1
Function
The Smart Addition feature allows you to prospectively add two or more
Axial/Helical images into one image. This is beneficial for brain studies since
the added images will generate much less artifact particularly around
posterior fossa area.
Conditions/Restrictions
The following conditions/restrictions must be met to use the Smart Addition
option.
D Scan Type : Axial or Helical (360degree data)
D Segment and Helical Plus incompatible with this option
D Available Helical pitch : 1.0 3.0
D This option can be applied to group by group.
D Only contiguous images (Interval = Thickness) to be added
D Possible thickness of added image : 2, 3, 4, 5, 6, 7, 10 mm
D Possible number of images to be added : 2, 3, 4, 5, 6, 7, 10
D When Smart Addition is prescribed for [Recon 1], both [Recon 2] and
[Recon 3] will be automatically designated for Smart Addition.
Also, when Smart Addition is not prescribed for [Recon 1], Smart Addition
can not be prescribed for [Recon 2] nor [Recon3].
Procedure
1.Click on the [ Thick (mm)] key in the Scan Tab menu.
The Image Thickness selection menu opens (See next page).
Thick
Scan
Thick
(mm)
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Intval
Pitch
Timing
Gantry
Tilt
Recon
SFOV
kV
Film
mA
CTDIw
(mGy)

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Smart Addition 2
Fig.1 Image Thickness selection menu
Smart Addition
Select the desired Thickness (mm)
Cancel
10
Note : The Smart Addition key is not available unless your CT system
has Smart Addition option installed. Also, even if your CT system has
the Smart Addition option installed, the Smart Addition key remains dim
(inactive) unless the right Scan Type is selected.
2.In order to activate the Smart Addition option, click on the [Smart
Addition] key. Then, the Fig.2 Smart Addition Image Thickness
selection menu opens.
Fig.2 Smart Addition Image Thickness selection menu
Smart Addition
Select the desired Thickness (mm)

Image Thickness (mm)
2
Beam Thickness (mm)

1
10
Multiplication Factor
OK
Cancel
On this menu select Beam Thickness (original image thickness) and

Image Thickness (thickness of added images), then the Multiplication
Factor (number of images to be added) is automatically determined.
Since the Multiplication Factor is an integer, there are restrictions on the
combination of Beam Thickness and Image Thickness. For example,
when 2mm is selected as Beam Thickness, Image Thickness of 3, 5,
and 7 are unavailable.
The example of Fig.2 shows 1mm and 5mm are selected as Beam
Thickness and Image Thickness, respectively. So, the Multiplication
Factor is automatically set to 5.

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Smart Addition 3
3.Click on [OK] to accept the selection. Then, the Fig.2 menu disappears
and the selected thickness is posted in the [ Thickness] field on the
View/Edit screen like the example below.
Example
5
1x5
The example shows that Beam Thickness is 1mm, Multiplication Factor

5 and Image Thickness 5mm.
Click on [Smart Addition] if you need to return to Fig.1 menu.
Click on [Cancel] to remove the Fig.2 menu and return to the View/Edit
screen.
4.Prescribe all the other parameters as well.
[Interval] in Smart Addition means the interval between added images.
The possible maximum value is the image thickness of added image
and the possible minimum value is Beam Thickness.
In the example below, 1mm silces are added by three images.
When the possible maximum value of 3mm is set at [Interval], added
images are combined like image numbers of [1, 2, 3], [4, 5, 6], [7, 8, 9]
and [10, 11, 12]. In case of the possible minimum value of 1mm, added
images are combined like [1, 2, 3], [2, 3, 4], [3, 4, 5] and [4, 5, 6].
Smart Addition Example : 1mm x 3
Interval : 3mm
1 2 3 4
5 6 7 8 9 10 11 12 13 14 15 16 17 18
Image number
Beam Thickness : 1mm
5.Proceed to the scan after entering all the necessary parameters.

Added images have the image annotations of ADDx (x: Multiplication
Factor) next to the slice thickness annotation.
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Smart Addition Retro Recon (Option) 1
Function
With Smart Addition option images can be retrospectively added from the
raw data obtained from the usual scans.
Conditions/Restrictions
D Data obtained with 7mm or 10mm slice thickness can not be used.
D Recon Mode : Full
D Contiguous image data ( no overlap, no gap)
D Available Helical pitch : 1.0 3.0
D Two or more images data
When the above conditions/restrictions are not completely observed, the
keys under [ Thick (mm)] field in the Image tab are dimly displayed indicating
Smart Addition retro recon is unavailable.
Thick key
Images
Retro
Scan
Scan Scan
Retro
End
Start
Type Location
Location Start
Retro No. of Thick

End Images (mm)
Recon
Image Gantry
SFOV
Interval Tilt
Y
Y
Quit

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Exams
Confirm
4-59
Scan
Smart Addition Retro Recon 2
1.After confirming the [Thick] key is boldly displayed (active), click on the
[Thick] key to open the following Fig.1 Image Thickness selection menu.
Fig.1 Image Thickness selection menu
Select the desired Image Thickness
10
Cancel
Since the number of images to be added is an integer, the slice

thickness of the added image depends on the beam thickness
(thickness of original image). The chart below shows beam thickness
and valid/invalid added image thickness.
Beam Thickness
Valid Thickness
1 mm
1, 2, 3, 4, 5, 6, 7, 10 mm
Invalid Thickness
2 mm
2, 4, 6, 10 mm
3 mm
3, 6 mm
1, 2, 3, 5, 7, 10 mm
5 mm
5, 10 mm
1, 2, 3, 4, 6, 7 mm
1, 3, 5, 7 mm
On the real menu of Fig.1 the valid thickness numbers are displayed
boldly whereas the invalid thickness numbers are displayed dimly
depending on the beam thickness.
2.Select the desired image thickness from the Fig.1 menu or click on
[Cancel].
3.After entering all necessary parameters click on [Confirm] to start
retrospective reconstruction of added images.
Added images have the image annotations of ADDx (x: Multiplication
Factor) next to the slice thickness annotation.
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Chapter 5
FILMING
AutoFilm 1
Function : AutoFilm provides a wide variety of options so you can tailor the
filming to a specific need for your scan protocol or edit the existing filming
parameters as needed.
There are two pieces to the AutoFilm setup. One is setting the parameters
for the film, which can be accessed through [AutoFilm Setup] button on the
View/Edit screen. The other piece is setting the parameters for the image,
which can be accessed through the [Film] tab card.
View/Edit screen
Name :
ID :
Protocol:
Exam:
Series:
Anatomical
Reference
Series Description
Auto
Store
Show
Localizer
Auto Transfer
Auto Film
Setup
Recon
Area
AutoFilm Setup
Film tab card

Scan
Auto
Film
Frame
Format
Interval
Flip
Width
1
Recon 1
Film Set
1

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Recon
Timing
Level
1
Recon 1
Film Set
2
Mag
Factor
Recon 2
Film Set
1
Film
Rotate
User
Anno.
Recon 2
Film Set
2
Recon 3
Film Set
1
GSE
Recon 3
Film Set
2
5-1
Filming
AutoFilm 2
1. To open the Autofilm Setup page, select the [AutoFilm Setup] icon at
the top of the scan monitor while in the Axial/Helical series. These
parameters will be set up per series or temporarily edited while in the
protocol.
Autofilm Setup
Destination
Laser Camera
Format
Size
Normal
Auto Start Auto Print
Slide
Copies
Yes
Yes
Exam Page Series Page
Yes
Scout
Yes
XRefScout
Film Direction
Top to Bottom
Auto Film Composer Show Grayscale
e/s/i
OK
Yes
Cancel
Note: Once a scan has been acquired, you can not go back to the Autofilm
Setup page, unless you select a new series or a new protocol.
Description of each function is as follows;
D Format
There are 12 options for film format. Click on one of them.
D Film Direction
You can have the images filmed ToptoBottom or BottomtoTop. Click on
the blue highlighted arrow to toggle.
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Filming
AutoFilm 3
D Destination
This determines what type of printer the images will be filmed on. Click on
YB buttons to select the destination (printer). The current destination is
displayed in the message area.
D Size
You can choose to film either in the normal setting or slide setting.
D Copies
You can choose how many copies you want the camera to print. Select the
number you want by either clicking in the box and typing in the number or
clicking on YB arrows to increase or decrease the number. The valid
range is from 1 to 99.
D Exam Page/Series Page
This allows you to film the Exam Page and/or Series Page. Toggle between
Yes and No. These pages will be filmed at the end of the film and will not be
added to the film until a new series or [End Exam] is selected.
D Scout
This allows you to autofilm a Scout image. Select Scout icon to open the
following menu.
Film Scout
Yes
No
Scout Series Number

Scout Number
Window Width
Magnification Factor
Window Level
Accept
In order to autofilm a Scout image, select [Yes] first, then enter other
parameters. Lastly select [Accept].
Note: The valid range for Magnification Factor is from 0.5 to 8.0. If a Scout
image exceeds 500mm in length, the magnification factor must be less than
1.0 to view the entire Scout image.

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5-3
Filming
AutoFilm 4
D XRefScout
This allows you to film a Scout image with crossreference lines that show
axial scan locations. Select [XRefScout] icon to open the following menu.
Film Scout With Reference
Yes
No
Scout Series Number

Scout Number
Window Width
Magnification Factor
Window Level
Image Range
All
First/Last
Accept
At Image Range selection, select [All] for axial images and [First/Last] for the
first and last axial image.
Note: The valid range for Magnification Factor is from 0.5 to 8.0. If a Scout
image exceeds 500mm in length, the magnification factor must be less than
1.0 to view the entire Scout image.
After entering all parameters, select [Accept].
D Show Gray Scale
This allows you to choose whether to have the gray scale displayed on the
film. Simply toggle between Yes and No.
Note: This selection is not available if your laser camera interface is digital.
D Auto Film Composer
This selection will determine which will be captured on the AutoFilm
composer, an image itself or numbers of exam/series/image. Select either
[Image] icon or [e/s/i] icon.
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Filming
AutoFilm 5
D Auto Start
If you select [Auto Start] icon to Yes, the following menu will appear. You can
select whether to have your film sets automatically start filming.
AutoFilm Setup
Auto Start Film Sets
Film Set 1
No
Auto start
Auto start
New Sheet
Auto start
Same Sheet
Film Set 2
No
Auto start
Auto start
New Sheet
Auto start
Same Sheet
Film Set 3
No
Auto start
Auto start
New Sheet
Auto start
Same Sheet
Accept
Cancel
If you select [No Auto start] on the above menu, the system will not
automatically start filming. In this case the operator is to decide when to start
filming.
If Autofilm is on and the Autofilm viewport is showing, once you start
scanning, you can choose from one of the three options at the bottom of the
Autofilm window. The following three icons are those options.
Start New Sheet
Start
New Sheet
[Start New Sheet] will start a new sheet of film with the format that has been
selected from the Autofilm Setup page.
Continue Same Sheet
Continue
Same Sheet
[Continue Same Sheet] will continue filming on the current sheet in the
Autofilm composer with the same format as the Autofilm composer.
Cancel Film Series
Cancel
Film Series
[Cancel Film Series] will stop Autofilm for that series.

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5-5
Filming
AutoFilm 6
If you select [No Autostart] with autofilm on but the autofilm viewport is not
shown, the following message will appear.
Exam: 4
Series: 1
is ready for auto filming
Show Film
Viewport
Cancel
If you select [Show Film Viewport], the autofilm viewport will be displayed,
then you can select [Start New Sheet], [Continue Same Sheet] or [Cancel
Film Series].
Autofilm viewport
Start
New Sheet
Continue
Same Sheet
Cancel
Film Series
If you select [Autostart New Sheet], the Autofilm process automatically uses
[Start New Sheet] function.
If you select [Autostart Same Sheet], the Autofilm process automatically
uses [Continue Same Sheet] function.
After making all the necessary selections, select [Accept] to continue or
select [Cancel] to cancel. In both cases, the system returns to the Autofilm
Setup page.
D Auto Print
[Auto Print] is a toggle button between Yes and No. If you select Yes, then
the last film of the exam will be automatically printed, whether the Autofilm
composer is filled or not. If you select No, then you will need to select Print
on the Autofilm composer.
2. On the Autofilm Setup page, select [OK] to accept all entries. Or, select
[Cancel] to cancel.
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Filming
AutoFilm 7
The Autofilm parameters for the images can be prescribed or modified by
selecting the Film Tab Card on the View/Edit screen.
1. Click on the Film Tab Card to open the following menu for Autofilming
parameters entry. You may skip this step if you do not intend to perform
Autofilming.
Film Tab Card
Scan
Auto
Film
Frame
Format
Interval
Recon
Timing
Width
1
Flip
Recon 1
Film Set
1
Level
1
Recon 1
Film Set
2
Mag
Factor
Recon 2
Film Set
1
Film
Rotate
User
Anno.
Recon 2
Film Set
2
Recon 3
Film Set
1
GSE
Recon 3
Film Set
2
2. Click on each button and select or type in a parameter.

D Auto Film
Select On or Off on the following menu after clicking on [Auto Film].
Auto Film
On
Off
Cancel
D Frame Format
Select one of the four formats in the following menu by clicking on it.
MID Format
Cancel
D Interval
Select one of the five choices as to which image to film.1= every image, 2=
every other image, 3= every third image, and so on.
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5-7
Filming
AutoFilm 8
D Flip
Select one of the following options. [FTB] (Flip Top to Bottom), [FTB/FLR]
(Flip Top to Bottom/Flip Left to Right), [FLR] (Flip Left to Right), [None]
Flip
FTB
FTB/FLR
FLR
None
Cancel
D Width 1
The first choice for window width (1 4096)
D Level 1
The first choice for window level (1024 3072)
D Mag Factor
Valid image magnification factor range is from 0.5 to 4.0
D Rotate
Right 90 degrees, left 90 degrees, or 180 degrees
Rotation
None
Cancel
D User Anno(tation)
Maximum four lines
User Annotation
Accept
5-8
Cancel

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Filming
AutoFilm 9
D GSE (Gray Scale Enhancement)
Select one of the four choices.
Gray Scale
G1
G2
G3
Off
Cancel
G1 : lowest contrast G2 : medium contrast G3 : highest contrast

Off : no effect
The name of the grayscale will be annotated just above the tick mark.

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5-9
Filming
Auto Film Composer
Click on the [Auto Film Composer] icon in the Display mode to display the
following Autofilm Composer. You do not necessarily have to display this
composer during autofilming.
You can move the Autofilm Composer on the screen by holding the cursor
anywhere in the title bar area, then dragging the composer to the desired
location.
Auto Film
Pause Filming
Clear
Print
Film format reflects the one prescribed on the AutoFilm Setup page.
Each port can contain either an image or a set of exam, series and image
number depending on the prescription on the AutoFilm Setup page.
Click on the [Auto Film Composer] icon again to remove the composer.
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Filming
Manual Film
Function : Manual Film allows you to manually film images.
The Manual Film Composer can be initiated from several locations including
the Exam Rx Desktop, Image Works browser, Image Works viewer and
Image Works miniviewer.
[Autoview
[Review Layouts]
Layouts]
[Manual Film
Composer]
When you perform Manual Filming, you have to use one or two viewports in
the Review Layouts, or one or two viewports in the bottom of the Autoview
Layouts.

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5-11
Filming
Manual Film Composer 1
Upon the selection of [Manual Film Composer], the following Manual Film
Composer will appear.
You can move the Manual Film Composer on the screen by holding the
cursor anywhere in the title bar area, then dragging the composer to the
desired location.
Film Composer
Formats
close button
Laser Camera
Options
Clear
Current status is :
Print
D Film Composer close button

In order to close the Film Composer, click on the small button at the upper
right corner of the composer, or click on the [Manual Film Composer] icon
again.
D Laser Camera
The destination of printing will be changed. If you wish to have a destination
other than a laser camera, place the cursor over the word Laser Camera,
press and hold down the left mouse button to open a pulldown menu, then
select a desired destination.
D Formats
Click on any one of the twelve formats. It will be reflected on the composer.
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Filming
Options
If you select the [Option] icon, the following Print options menu
appears.
Print options
Slide format:
Greyscale:
Off
Auto printing:
Off
Auto clear page:

Off
Off
Icon labels:
Image
Number of copies:
Expose order:
Left/Right
Top/Bottom
1
Done
Slide format:
Off
Select On from the Slide format pulldown menu to employ a

slide format.
On
Note : If the selected printing machine does not support slide

format, the Slide format button is shown in gray, indicating it is
not usable.
Grayscale:
Select On from the Grayscale pulldown menu to print a

grayscale onto a film.
Off
On
Note : If the selected printing machine does not support

grayscale, the Grayscale button is shown in gray, indicating it is
not usable.
Auto printing: Select On from the Auto Printing pulldown menu to

Off
On
automatically start printing immediately after all the frames are

filled.

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5-13
Filming
Auto clear page:
Off
On
Icon labels:
Select either [E/S/I] or [Image] from the Icon labels pulldown

menu to put either Exam/Series/Image number or Image itself,
resepctively, into the frame.
Image
Number of copies:
Expose order:
Left/Right
Top/Bottom
Right/Left
Bottom/Top
Done
5-14
Select On from the Auto clear page pulldown menu to

automatically clear all the frames after the completion of
printing.
Click on the [] or [] button to increase or decrease

respectively the number of copies. Or, type in the desired
number into the numerical entry field.
When filming function keys are being used, this selection will
determine the order with which the images will be printed into
the frames of the composer.
Select [Done] to accept the entries and close the Print

options window.

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Filming
Clear
If the Auto clear function is off under the Print options menu,
select [Clear] on the Film Composer to clear the page of images
to start over or start a new sheet.
The message Clear the current page will appear. Select [OK] to clear or
click on [Cancel] to cancel.
Note : If the Auto clear page is on, the Film Composer will automatically
disappear after printing.
Print
If the Auto printing function is off under the Print options menu,
select [Print] on the Film Composer to print the current page of
images.
The status line at the bottom of the composer will start the message
Printing... and the images will be sent to the printing queue. Once the
queue is filled with images, the printing will start.
As the Film Composer communicates with the camera, the status

is posted at the bottom of the composer, for example, print
queue empty, printing, film supply low, or output device not
connected.
Note : Messages posted in green mean everything is OK. Messages in
yellow are warnings. Messages in red mean a problem exists.
Note : When there exists an arrow button in the message area, you can get
the details by clicking on it.

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5-15
Filming
Image removal from Film Composer
1. If you wish to remove an image on the Film Composer window, click on
that image.
2. There appears a message Do you really want to delete this image?
3. Select [Yes] to delete, or select [No] not to delete.
Load images by drag and drop

1. In order to load an image onto the Film Composer, click and hold the
cursor on the image, then drag it to an image frame, then release the
cursor to deposit the image.
2. Repeat the above steps as needed.
Load images by F1 function key

Another way to load images onto the Film Composer is as follows.
1. Move the cursor onto the desired image and press the F1 key.
2. The image will be automatically placed into the next available frame
Note : This method may be faster than the drag & drop method, however,
you can not jump the frame.
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Filming
Page filming by F2 function key
You can use this function to load one sheet of images onto the Film
Composer.
Note : The Film Composer must be empty beforehand. If it is not empty, use
the [Clear] button to empty the Film Composer.
1. Move the cursor over any one of the displayed images and press the F2
key.
2. The displayed images will be loaded onto the Film Composer in order of
the displayed images.
Note : In order to perform page filming, the formats must be the same
between the displayed images and the Film Composer. If the formats are
different, the format of the Film Composer automatically turns to that of the
displayed images as you press the F2 key.
Note : When you are using the Viewer or Mini Viewer, you can also use the
[Film Page <F2>] button to perform page filming.
MID (Multiple Image Display) filming by F3 key

You can use this function to load the multiple image display onto one film
frame.
Note : When you perform MID filming, the image resolution will decrease a
little bit compared with the page filming.
1. Move the cursor over any one of the displayed images and press the F3
key.
2. The displayed images will be loaded onto the Film Composer in order of
the displayed images.
Note : When you are using the Viewer or Mini Viewer, you can also use the
[Film MID <F3>] button to perform MID filming.

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Filming
Series filming by F4 function key
The folloiwng menu will appear when you press the F4 key.
Format
Z Use Film Composer
Z Viewer Format
Image Selection
1
Interval
Z Print all Images
Z 1/2
Z 1/3
Print Last Sheet
18
18
Current Print Job

No Current Job
Cancel All
No
Print Series
Cancel
D Format
Use Film Composer : Select this to use the same format as the current
Film Composer.
Viewer Format : Select this to change the Film Composer format to
that of Viewer Format.
D Image Selection
This determines the number of images in the series for filming.
Use the slide bar to set the number.
D Interval
Print all Images : all images
1/2 : every other image
1/3 : every three images
D Current Print Job
This area displays the list of jobs in the current queue.
You can cancel all the jobs with [Cancel All].
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D Print Last Sheet
This selection determines whether the last sheet will be printed before it is
filled with images.
After completing all entries, select [Print Series] to start series filming.
Note : If you wish to cancel the filming after clicking on [Print Series], press
F4 and click on [Cancel All].

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Filming
Blank page
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Chapter 6
QUALITY ASSURANCE
Overview
In order to assure consistent image quality over the lifetime of the
diagnostic radiology equipment, users must establish and actively maintain
a regular Quality Assurance (QA) program. These procedures ask you to
scan a known material (usually a phantom) under a prescribed set of
conditions, and then compare your results with the predicted or optimum
values. Because you repeat these tests frequently, if not daily, you notice
changes in image quality values before the problem becomes visible. If
you do notice a degradation in image quality or a change in QA values you
can schedule a site visit and let the service person or imaging physicist run
more sophisticated tests. Their early intervention could prevent a major
breakdown.
User QA begins with baseline performance data obtained by performing
the QA tests as soon as the system meets operating system specifications.
Take the first set of baseline performance data right after installation and
update it any time the system undergoes an upgrade or a major repair that
affects image quality. An xray tube change is one example. Compare
your daily QA checks against these baselines. The Quality Assurance
program documents any change in image quality over time.
Although you can save baseline images to visually compare with your daily
QA checks, you dont have to. The numerical data supplied during the
actual testing provides the necessary objective data for comparison. This
section contains a sheet titled QA DATA FORM that you can copy and use
to record this numerical data.

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6-1
Quality Assurance
Phantom Description
Use the Quality Assurance and Performance Phantom provided with your
CT scanner to assess system performance and establish an ongoing
Quality Assurance program. The phantoms design provides maximum
performance information with minimum effort. This phantom measures six
aspects of image quality. It contains three sections, each corresponding to
a single scan plane. The following illustration contains a list of the sections
and corresponding tests.
Section 1
High Contrast Resolution
Contrast Scale
Slice Thickness
Positioning Light Accuracy
Section 2
Low Contrast Detectability
Section 3
Noise and Uniformity
QA Schedule
The most effective Quality Assurance program involves obtaining basic
performance data once a day, or at least 23 times per week. You must
obtain data frequently and on a regular basis in order to detect any
changes in system performance that might occur before it affects clinical
image quality. At minimum, acquire a single 10mm scan of Sections 1 and
3 of the Performance Phantom each day.
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Quality Assurance
Phantom Setup
Place the performance phantom on the phantom holder and level it. (Tape
a small piece of cardboard or a washer to the phantom, if necessary to
accomplish this.) Position the phantom using the laser alignment lights as
follows:
1. Align the axial light to the circumferential line marking Section 1.
2. Align the coronal light to the horizontal lines on either side of the phantom.
3. Align the sagittal light (where it strikes the top of the phantom) to the vertical
line on the face of the phantom.
4. Position the phantom and press the Internal Land button on the gantry.
The performance phantom contains three sections. When you correctly

follow the positioning instructions listed above, Section 1 corresponds to
0.0 mm table position, Section 2 (Low Contrast Detectability) to the 35.0
mm location and Section 3 (Noise and Uniformity) corresponds to the 50.0
mm location.
Circumferential
reference line
Vertical reference line
Horizontal
reference line
Horizontal
reference line

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Quality Assurance
Scan the QA Phantom
Follow the normal Single Scan protocol. Scan three locations, one for each
QA phantom section. If you set up the phantom as described on the
previous page, prescribe scan location 0.0 for section 1 of the phantom,
35.0 for section 2 and 50.0 for section 3. Use the scan parameters
suggested in Table 1. You can use other parameters, but the performance
results wont match the data in this manual.
TABLE 1
SOFTKEY PROMPT
[NEW PATIENT]
[HEAD FIRST]
[HEAD]
[SINGLE SCAN]
SCAN VALUE
kVp 120
mA 100
Time 3 sec
Thickness 10mm*
Scan Mode Single
RECONSTRUCTION
CAL FOV Small
Recon FOV 25cm
centered
Recon Mode Standard
*Check image thickness and positioning light accuracy by acquiring a

number of images and varying the slice thickness between scans.
Test and Analysis of the Phantom Images

Begin the analysis as soon as the Section 1 image display appears. Make
copies of the form on the following page and record the QA results there.
Keep previously recorded QA results and compare them to the most recent
analysis for consistency.
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Quality Assurance
Contrast Scale
Section 1 of the phantom tests the contrast scale. CT assigns CT
numbers, also called (HU) Houndsfield Units, to the attenuation values of
XRay passing through a variety of material densities. The software
makes the attenuation visible by assigning shades of gray to groups of
numbers you select with Window Width/ Level functions during image
Display. For test purposes, the CT values of water and acrylic in the
phantom represent the standard against which you track your systems
contrast scale over time. The test for contrast scale follows:
1. Display a circle cursor (approximately 1 cm in diameter) from [Ellipse ROI] on
the image as shown in Figure 1. For consistency, use the same size cursor
and location each time you perform this test.
2. Position the cursor on the Plexiglass block and click the left mouse button once
to calculate the ROI. Record the mean CT number on the QA Data Form.
(Standard deviation record optional.)
3. Position the cursor over the water section and click the left mouse button once
to calculate the ROI. Record the mean CT number for water on the QA Data
form. (Standard deviation record optional.)
4. Subtract waters CT number from Plexiglass CT number and record the
difference on the QA Data form.
Position 1cm ROI over water
Position 1 cm ROI over Plexiglas
FIGURE 1

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6-5
Quality Assurance
High Contrast Spatial Resolution
Section 1 of the phantom contains six sets of bar patterns in a Plexiglass
block that you use to test high contrast spatial resolution. Each pattern
consists of sets of equally sized bars and spaces, in the following sizes: 1.6
mm, 1.3 mm, 1.0 mm, 0.8 mm, 0.6 mm, and 0.5 mm. Water fills the spaces
and provides about 12% (120 HU) contrast. Examine the bar patterns to
determine the limiting resolution, defined here as the smallest bar pattern in
which you see all five bars.
A more sensitive and quantitative method for assessing changes in system
resolution involves measuring the standard deviation of the pixel values in
a single or multiple bar pattern. ROI standard deviation provides a good
indicator of system resolution and a sensitive method to detect changes in
system resolution. The recommended procedure follows:
1. If necessary, click on [Erase] to remove previous ROI data.
2. Display and position a box cursor from [Box ROI] over the largest (1.6 mm) bar
pattern. The cursor should fit within the bar pattern as shown in Figure 2.
Adjust the size and position of the cursor as necessary.
3. Click the left mouse button once to calculate the ROI and record the standard
deviation on the QA data form.
4. (Optional) Repeat this procedure for the 1.3, 1.0, and 0.8 mm bar patterns.
Position box cursor

over largest bar
pattern, and size it
until it fits over the
pattern.
Optional: repeat
for 1.3mm pattern
Optional: repeat
for 1.0mm pattern
Optional: repeat
for 0.8mm pattern
FIGURE 2
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Quality Assurance
Slice Thickness
Section 1 of the phantom also tests slice thickness. Both sides of the
resolution block contain a pattern of air filled holes designed to
demonstrate slice thickness. (See Figure 3.)
Air filled
holes
FIGURE 3
The resolution block contains holes drilled 1 mm apart and aligned in the
direction of slice thickness (perpendicular to scan plane). Each visible hole
in the image represents 1 mm of beam thickness. The software assigns
less negative CT numbers to partial hole images or holes located on the
edge of the slice profile. To determine slice thickness, display the
image at the recommended window level and width, and count the
visible holes. Black holes in the image represent a full millimeter of slice
thickness. Gray holes count as fractions of a millimeter; two equally gray
holes count as a single 1 mm slice thickness.
Recommended window width: 300. Recommended window level:
100 for 3.0 mm slices, 0 for 5.0 mm, and +50 for 10.0 mm slices. Your
image may show less detail than this example.
Adjust the window width

and level, then count the
lines, which represent the
air filled holes.
FIGURE 4

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Each black line represents one millimeter of slice thickness. Gray lines
represent fractions of a millimeter
6-7
Quality Assurance
Positioning Light Accuracy (optional)
Refer to Figure 3 on the previous page: notice how the center hole in the
hole patterns on both sides of the resolution block appear longer than the
others. The manufacturers drilled the center holes deeper to help you
identify them in the image. The center hole position corresponds precisely
to the black line scribed on the circumference of the phantom. When you
use an accurate Positioning light and align the phantoms circumferential
line to the axial light, youll see a symmetrical hole pattern around the
center (longer) hole in the slice thickness pattern. See Figure 5. For best
results, use the 1.0 mm slice thickness.
Center hole position

corresponds to black line
around circumference of
phantom
Align black line on

phantom to positioning
light
FIGURE 5
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Quality Assurance
Section 2 of the QA phantom tests low contrast detectability, defined here
as the smallest hole size visible for a given contrast level at a given dose.
This phantom section contains a 0.75 mm thick polystyrene membrane
suspended in water and pierced by a series of holes in the following sizes:
10.0 mm, 7.5 mm, 5.0 mm, 3.0 mm, and 1.5 mm. The difference in CT
numbers between the water, and water plus plastic, equals the contrast in
Houndsfield Units (HU). Divide the HU value by ten to obtain the contrast
in percent. Measure the contrast between the plastic membrane and the
surrounding water in the following manner:
2. Display and position a box cursor from [Box ROI] over the image. Adjust the
cursor to a rectangle, approximately 1/2 cm high by 5 cm long, as shown in
Figure 6.
3. First position the cursor over the polystyrene membrane above the holes.
Click the left mouse button once to calculate the ROI. Record the mean CT
number in the Low Contrast resolution box on the QA Data Form.
4. Next place the cursor in the water section above the membrane and click the
left mouse button once to calculate the ROI. Record the mean CT number.
5. Subtract the CT number of the water from the CT number of the membrane and
record the difference.
6. Click on [Erase] to remove previous ROI data.
7. Repeat steps 3, 4, and 5. This time position the cursor below the membrane
holes, then move it over the water area below the membrane.
8. Count and record the number of visible holes to determine contrast.
A. Position box cursor over polystyrene
membrane
above
holes, and take ROI.
B. Position box cursor over water above

membrane and, take
ROI.
Subtract B from A
Count visible holes
C. Position box cursor over polystyrene

membrane
below
holes, and take ROI.
D. Position box cursor

over water below membrane, and take ROI.
Subtract D from C
FIGURE 6

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6-9
Quality Assurance
Section 3 of the phantom tests noise and uniformity. Take a wateronly
scan in Section 3 to provide a uniform image by which to assess image CT
number noise and uniformity. Enclose a region of interest, click the left
mouse button once to calculate the ROI, and the software calculates and
displays the standard deviation or noise of the pixels inside. The software
often divides the HU noise values by 1000 (representing the contrast scale
between air and water) and multiplies by 100 to convert HU to a
percentage of water attenuation.
The procedure for noise and uniformity testing follows:
2. Place a circle cursor approximately 2 cm in diameter on the center of the image
as shown in Figure 7. Adjust the size of the cursor as necessary.
3. Click the left mouse button once to calculate the ROI. Record the mean CT
number and standard deviation on the QA Data Form.
4. (Optional) Repeat the above instructions placing the cursor at the 12 oclock
position and once again at the 3 oclock position.
Optional: Take an ROI at the

12 oclock position.
Position circle cursor over
the center of the image,
and take ROI.
Optional: Take an
ROI at the 3 oclock
position.
FIGURE 7
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Quality Assurance
Typical Results and Allowable Variations
Because people determine clinical image quality, it remains subjective and
difficult to define. GE expects the standards of allowable variation in image
quality parameters to vary with the installation and image evaluator(s). GE
encourages you to establish and follow a Quality Assurance (QA) program
so you can discover any degradation of image quality before it effects
clinical images. Over time, institutions use the QA procedure to establish a
correlation between acceptable clinical image quality and acceptable
variations in the image performance indices included in the program. This
page contains suggested allowable variations; dont mistake them for
absolutes. Compare any parameter variation to the maximum deviation
specified in the next section called, Dose and Performance. Make sure
you used the prescribed technique, then inform service when the variations
reach the specified maximum deviation.
Contrast Scale
The difference in CT numbers between the Plexiglass resolution block and

water should equal 118, with a suggested allowable variation of 10%.
High Contrast Spatial Resolution
The standard deviation for an ROI in the 1.6 mm bar pattern should equal
36 HU, with a suggested allowable variation of 20%.
Nominal Slice Thickness
Slice thickness should not vary from the expected value by more than 50%
for thickness of 2.0mm or less and 1.0mm for thickness over 2.0mm,
when evaluated according to instructions.
Because this test relies upon the perceptual judgment of the person
counting visible and welldefined holes, we cant suggest an allowable
variation. Rather, we suggest you choose a single, barely visible hole and
closely monitor that particular hole during subsequent testing for
degradation in this image parameter.
Mean should equal 0 3.

Standard deviation should be less than 4.9

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Quality Assurance
Weighted CTDI100 (CTDIW) for MX165ZJ Tube
Explained below contains information that relates image quality to radiation
dose, as required by the IEC standard, in compliance with the
IEC60601244, dated (199902). Please review this information.
Head
80 kV
300 mAs
(mGy)
1 mm 2 mm 3 mm 5 mm 7 mm 10 mm
31
29
28
29
26
28
120 kV
70
65
68
72
74
76
140 kV
94
86
91
97
99
100
Body
195 mAs
(mGy)
80 kV
120 kV
20
19
20
21
22
23
140 kV
27
26
28
30
30
31
With SmartBeam Filter

Head
80 kV
300 mAs
(mGy)
15
15
18
15
16
15
120 kV
53
47
45
45
45
46
140 kV
76
67
64
64
64
65
Body
195 mAs
(mGy)
6-12
80 kV
120 kV
16
14
14
14
13
14
140 kV
24
21
20
19
20
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Quality Assurance
Dose and Performance 1 for MX165ZJ Tube
dose, as required by the federal government, in compliance with Federal
Regulations 21CFR 1020.33(c). The dose measurement procedure is
described in the Code of Federal Regulations 21CFR 1020.33. The Code
of Federal Regulations can be obtained from the U.S. government printing
office or can be viewed from the World Wide Web.
Statement of Typical Technique

HEAD
25 cm Field of View (FOV)
120 kVp
150 mA
2.0 sec scan time
10 mm slice thickness
Large Focus
BODY
50 cm FOV
120 kVp
130 mA
1.5 sec scan time
Large Focus
CT Dose Index (CTDI) For Typical Technique At Various Positions On The

Phantom Image.
B

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POSITION
HEAD
BODY
A
6.9 rad
1.3 rad
B
7.4 rad
2.7 rad
C
7.1 rad
2.5 rad
D
6.9 rad
2.0 rad
E
7.2 rad
2.5 rad
CTDI has no angular maximum near the surface for 360 scanning
6-13
Quality Assurance
Dose and Performance 1 for MX165ZJ Tube with SmartBeam
Filter
Regulations 21CFR 1020.33(c). The dose measurement procedure is
described in the Code of Federal Regulations 21CFR 1020.33. The Code
of Federal Regulations can be obtained from the U.S. government printing
office or can be viewed from the World Wide Web.

HEAD
120 kVp
150 mA
2.0 sec scan time
Large Focus
BODY
50 cm FOV
120 kVp
130 mA
1.5 sec scan time
Large Focus
CT Dose Index (CTDI) For Typical Technique At Various Positions On The

Phantom Image.
B
6-14
POSITION
HEAD
BODY
A
4.4 rad
0.9 rad
B
4.3 rad
1.6 rad
C
4.2 rad
1.5 rad
D
4.2 rad
1.3 rad
E
4.4 rad
1.5 rad
CTDI has no angular maximum near the surface for 360 scanning

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Quality Assurance
CTDI Over A Range of Techniques
Normalized to a value of 1 for typical technique and position A. (All other
technique settings at typical value.)
10 mA
350 mA
0.8 sec
3.0 sec
7.0 mm
5.0 mm
3.0 mm
2.0 mm
1.0 mm
80 kV
140 kV
POSITION
A
A
A
A
A
A
A
A
A
A
A
HEAD
0.06
2.33
0.40
1.52
0.89
0.75
0.56
0.44
0.34
0.38
1.39
BODY
0.07
2.70
0.52
2.01
0.81
0.62
0.38
0.31
0.16
0.30
1.48

Regulation 21CFR 1020.33(c). Please review this information.
Helical Dose For Typical Helical Technique

HEAD
120 kVp
150 mA
2.0 sec scan time
10 mm interval
BODY
50 cm FOV
120 kVp
130 mA
1.5 sec scan time
10 mm interval
If the Helical mAs, Slice Count and Intvl selection equals the Axial mAs,
Slice Count and Intvl selection, then Helical dose equals Axial dose.

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Quality Assurance
CTDI Over A Range of Techniques with SmartBeam Filter
10 mA
350 mA
0.8 sec
3.0 sec
7.0 mm
5.0 mm
3.0 mm
2.0 mm
1.0 mm
80 kV
140 kV
POSITION
A
A
A
A
A
A
A
A
A
A
A
HEAD
0.07
2.32
0.40
1.50
0.90
0.78
0.62
0.54
0.44
0.32
1.43
BODY
0.07
2.70
0.54
1.99
0.84
0.67
0.44
0.40
0.24
0.27
1.52

Regulation 21CFR 1020.33(c). Please review this information.
Helical Dose For Typical Helical Technique

HEAD
120 kVp
150 mA
2.0 sec scan time
10 mm interval
BODY
50 cm FOV
120 kVp
130 mA
1.5 sec scan time
10 mm interval
If the Helical mAs, Slice Count and Intvl selection equals the Axial mAs,
Slice Count and Intvl selection, then Helical dose equals Axial dose.
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Quality Assurance
Dose and Performance 2
dose, as required by the IEC standard, in compliance with the
IEC60601244 (199902).

HEAD
120 kVp
150 mA
2.0 sec scan time
Large Focus
BODY
50 cm FOV
120 kVp
130 mA
1.5 sec scan time
Large Focus
CTDI100 For Typical Technique At Various Positions On The Phantom Image.

B

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POSITION
HEAD
BODY
A
70 mGy
12 mGy
B
79 mGy
28 mGy
C
76 mGy
26 mGy
D
73 mGy
21 mGy
E
77 mGy
26 mGy
CTDI100 has no angular maximum near the surface for 360 scanning
6-17
Quality Assurance
CTDI100 Over A Range of Techniques
10 mA
350 mA
0.8 sec
3.0 sec
7.0 mm
5.0 mm
3.0 mm
2.0 mm
1.0 mm
80 kV
140 kV
6-18
POSITION
A
A
A
A
A
A
A
A
A
A
A
HEAD
0.06
2.32
0.40
1.51
0.98
0.95
0.89
0.86
0.92
0.36
1.23
BODY
0.07
2.71
0.52
2.01
0.97
0.93
0.86
0.80
0.81
0.13
0.64

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Quality Assurance
Dose and Performance 2 with SmartBeam Filter
dose, as required by the IEC standard, in compliance with
IEC60601244 (199902).

HEAD
120 kVp
150 mA
2.0 sec scan time
Large Focus
BODY
50 cm FOV
120 kVp
130 mA
1.5 sec scan time
Large Focus
CTDI100 For Typical Technique At Various Positions On The Phantom Image.

B

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POSITION
HEAD
BODY
A
45 mGy
8,4 mGy
B
46 mGy
17 mGy
C
45 mGy
15 mGy
D
45 mGy
13 mGy
E
47 mGy
16 mGy
CTDI100 has no angular maximum near the surface for 360 scanning
6-19
Quality Assurance
CTDI100 Over A Range of Techniques with SmartBeam Filter
10 mA
350 mA
0.8 sec
3.0 sec
7.0 mm
5.0 mm
3.0 mm
2.0 mm
1.0 mm
80 kV
140 kV
6-20
POSITION
A
A
A
A
A
A
A
A
A
A
A
HEAD
0.07
2.32
0.40
1.50
0.99
0.98
1.00
1.04
1.18
0.31
1.39
BODY
0.08
2.72
0.54
2.00
1.00
1.00
1.01
1.04
1.19
0.13
0.75

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Dose and Sensitivity Profile at Phantom Center
1.0
Axial, Body, Center,

120 kV, 130 mA,
10 mm, 1.5 sec.
0.5
Position (mm)
70
Dose Profile
1.0
140
Sensitivity Profile
120 kV, 130 mA,
7 mm, 1.5 sec.
0.5
Position (mm)
70
1.0
140
120 kV, 130 mA,
5 mm, 1.5 sec.
0.5
Position (mm)

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70
140
6-21
Quality Assurance
1.0

120 kV, 130 mA,
3 mm, 1.5 sec.
0.5
Position (mm)
70
Dose Profile
1.0
140
Sensitivity Profile
120 kV, 130 mA,
2 mm, 1.5 sec.
0.5
Position (mm)
70
1.0
140
120 kV, 130 mA,
1mm, 1.5 sec.
0.5
6-22
Position (mm)
70
140

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Quality Assurance
1.0
Axial, Head, Center,

120 kV, 150 mA,
10 mm, 2.0 sec.
0.5
Position (mm)
70
Dose Profile
1.0
140
Sensitivity Profile
120 kV, 150 mA,
7 mm, 2.0 sec.
0.5
Position (mm)
70
1.0
140
120 kV, 150 mA,
5 mm, 2.0 sec.
0.5
Position (mm)

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70
140
6-23
Quality Assurance
1.0

120 kV, 150 mA,
3 mm, 2.0 sec.
0.5
Position (mm)
70
Dose Profile
1.0
140
Sensitivity Profile
120 kV, 150 mA,
2 mm, 2.0 sec.
0.5
Position (mm)
70
1.0
140
120 kV, 150 mA,
1 mm, 2.0 sec.
0.5
6-24
Position (mm)
70
140

Dir. 2295150-100
Rev. 0
Quality Assurance
Image Performance
Noise
At Typical Technique In Center Of Phantom Using Standard Algorithm
HEAD
= 0.49 %
BODY
= 0.47 %
MTF
(same conditions as above)
M
O
D
U
L
A
T
I
O
N
(%)
BODY
HEAD
100
100
M
O
D
U
L
A
T
I
O
N
80
60
40
20
(%)
2
10
80
60
40
20
Line pairs/cm
10
Line pairs/cm
Nominal Tomographic Section Thickness

HEAD
10.0 mm
7.0 mm
5.0 mm
3.0 mm
2.0 mm
1.0 mm
BODY
10.0 mm
7.0 mm
5.0 mm
3.0 mm
2.0 mm
1.0 mm
Sensitivity Profile
See previous pages

Dir. 2295150-100
Rev. 0
6-25
Quality Assurance
Phantoms and Procedures
Dose
For best results, use the phantoms, dose profile and CTDI value calculation
procedures recommended in the CDRH final draft of Routine Compliance
Testing for Computed Tomography XRay Systems dated April 26, 1984.
Also, for best results, use the phantoms and CTDIW value calculation
procedures recommended in the IEC committee draft for vote of
IEC60601244, dated August 8, 1997.
Performance
Each test uses a 25 cm waterfilled acrylic phantom
Noise
Noise equals the standard deviation of an array of pixels contained in 674
mm square region of interest (ROI) for Head and 2696 mm square ROI for
Body. The software divides the standard deviation, expressed in
Houndsfield Units, by 1000 (representing the contrast scale between air
and water), then multiplies by 100 to give a value in percent.
Modulation Transfer Function (MTF)

A point spread function (PSF) image is obtained by scanning the GE
performance phantom (2100614) wire section. Software performs a two
dimensional Fourier Transform on the PSF to obtain the MTF.
Slice
Use a wire ramp section of Catphan phantom, inclined 23from the scan
plane.
Sensitivity
23_ from the scan plane to obtain sensitivity profiles.
6-26

Dir. 2295150-100
Rev. 0
Quality Assurance
Deviations
In order to come up with the maximum deviation, manufacturers must
imagine every possible situation, however unlikely, that might occur within
the entire user community. Our statements of deviation include a maximum
deviation to assure compliance with the regulation, as well as a statement
of expected deviations (2) in the large majority of our systems.
CTDI and CTDIW Typical Techniques

The anticipated maximum deviation for CTDI and CTDIW equals 40%.
The expected deviation equals 20%, except for the 40 mA or less and
1mm techniques, where variation increases (up to a factor of two) due to
the inherent deviation in small values.
Dose Profile
Anticipate a maximum deviation of 30% or 2.0mm, whichever is larger,
relating to dose profiles (FWHM). This value includes variability inherent in
the measurement of dose profile with TLD chips.
Performance
Noise : The noise squared (2) in a CT image is inversely proportional to
the xray dose used to make the image. The maximum deviation
anticipated for image noise equals 30%. Expected deviation equals
10%.
MTF: Expect deviations within 10% for values on the MTF curve
generated with data gathered according protocol. Maximum deviations
may reach 20% for other methodologies.
Sensitivity Profile: Expect the full width slice half maximum sensitivity
profiles to vary 20% or 1.0 mm, whichever is larger, when measured with
a wire ramp section of Catphan phantom, inclined 23from the scan plane.
If you use other methodologies, the maximum deviation may reach 1.5 mm
for all slice thicknesses, because these measurement errors have the
greatest effect on thin slices.

Dir. 2295150-100
Rev. 0
6-27
Quality Assurance
Blank page
6-28

Dir. 2295150-100
Rev. 0
Chapter 7
Technical Specifications
Component Identification for HiSpeed
Component
Model Number
Location of Name Plate
CDRH Certified
Gantry
2200997,
2200998,
2200999,
2201000
Rear lower center
Yes
XRay Tube
Housing
21990772
Housing surface
Yes
XRay Tube Insert
46309300G3
Housing surface
No
Collimator
2132959
Front of collimator
Yes
Detector
2187725
Front left corner
No
Table
2200192,
2200291,
2113694,
2200290
Gantry side of pillar
Yes
Cradle Extender
2201803
Operator Console
2153675
Rear lower right corner
Yes
PDU
2200194
Rear lower right corner
Yes
Generator
2186887
2227720
Front of generator
Yes
Axial Headholder
2201806
No
Coronal Headholder
2201805
No
25cm Phantom
46237991G1
On holding block
No
35cm Phantom
46266754G1
On holding block
No
42cm Phantom
46241707P544
On holding block
No

Dir. 2295150-100
Rev. 0
No
7-1
Specifications
Component Labels
MILWAUKEE WISCONSIN BY
7127 ASAHIGAOKA 4CHOME
HINOSHI, TOKYO, JAPAN

MILWAUKEE WISCONSIN BY
7127 ASAHIGAOKA 4CHOME
HINOSHI, TOKYO, JAPAN
MODEL (Note 1)
SERIAL
MANUFACTURED
SOURCE: (Note 2)
SOURCE: (Note 2)
SOURCE: (Note 2)
SOURCE: (Note 2)
A/ (Note 3)
A/ (Note 3)
A/ (Note 3)
A/ (Note 3)
CLASS I
V ~(Note 4)
V ~(Note 4)
V ~(Note 4)
V ~(Note 4)
MODEL (Note 5)
SERIAL
MANUFACTURED
VOLTS (Note 6)
AMPS MOMENTARY (Note 7)
AMPS CONTINUOUS (Note 8)
kVA (Note 9)
HZ (Note 10)
HZ
HZ
HZ
HZ
CLASS I
V~
A
A
COMPONENT
(Note 1)
MODEL
NUMBER
(Note 2)
SUPPLY
CURRENT
(Note 3)
SUPPLY
VOLTAGE
(Note 4)
SUPPLY
FREQUENCY
Gantry
2200997, 2200998,
2200999, 2201000
90A
30A
30A
380480V3
200V~
115V~
15A
115V~
50/60Hz
50/60Hz
50/60Hz
50/60Hz
Table
2200192, 2200291,
2113694, 2200290
10A
115V~
50/60 Hz
Operator Console
2153675
20A
115V~
50/60Hz
(SYSTEM)*
HiSpeed LX/i
HiSpeed FX/i
HiSpeed DX/i
100A
380
/400/415/440/460/480
V3~
50/60 Hz
COMPONENT
PDU
7-2
(Note 5)
MODEL
NUMBER
(Note 6)
SUPPLY
VOLTAGE
(Note 7)
SUPPLY
CURRENT
(Note 8)
SUPPLY
CURRENT
(Note 9)
KVA
(Note 10)
SUPPLY
FREQUENCY
2200194
380/400/415/44
0/460/480V 3~
100A
20A
65 KVA
50/60 Hz

Dir. 2295150100
Rev. 0
Specifications
MX165ZJ XRay Tube Assembly Information
MX165ZJ Tube Unit Identification
System/Tube
Catalog No.
Description
graphite
anode
Casing
Model Number
MX165 ZJ
XRay tube
assembly
21990772
Insert
N.A.
Insert
Model Number
Insert
Catalog No.
N.A.
46309300G3
D3110T
Improvements in the heat handling capabilities of this unit may result in new
catalog and Model number assignments
MX165ZJ Diagnostic Source Assembly

Leakage Technique Factors
Tube Assembly Model No. 2199077 140 kV, 26 mA
Minimum Inherent Filtration (Collimator model No. 2132959, 2247199)

Minimum inherent filtration of 2.7 mm aluminum equivalent at 140 kV:
D
Tube Unit:
Tube Insert 0.8 mm aluminum equivalent at 140 kV
Tube Housing 0.4 mm aluminum equivalent at 140 kV
Collimator (lower plate) 0.5 mm aluminum
Collimator (upper plate) 1.0 mm aluminum
Minimum Inherent Filtration (Collimator model No. 2247203)

Minimum inherent filtration of 6.2 mm aluminum equivalent :
D
Tube Unit:
Tube Insert 0.8 mm aluminum equivalent at 140 kV
Tube Housing 0.4 mm aluminum equivalent at 140 kV
Collimator (lower plate) 0.5 mm aluminum
Collimator (upper plate) 4.5 mm aluminum equivalent at 70 kV

Dir. 2295150-100
Rev. 0
7-3
Specifications
MX165ZJ CT Scan Ratings
These ratings apply to CT systems with computer controlled technique
selection, scan mode, scan duration, and scan series. The software uses a
cooling algorithm to determine anode and tube unit temperatures and
cooling delays. When necessary, the cooling algorithm delays scan initiation
to avoid exceeding maximum anode or tube unit temperatures.
TARGET LOADING in Kilowatts FOR EACH SCAN TECHNIQUE

mA
60
80
100
130
160
200
250
80 KV
120kV
140 kV
4.8
6.4
8.0
10.4
12.8
16.0
7.2
9.6
12.0
15.6
19.2
24.0
8.4
11.2
14.0
18.2
22.4
28.0
The following table lists cooling delay times (in seconds) used by the
software before each scan. These times assume maximum anode or tube
unit heat loading and include cycling the rotor for each scan.
Model No. MX165ZJ COOLING DELAY TIME at 80kV

Scan
Technique
80kV and
60mA
80mA
100mA
130mA
160mA
200mA
250mA
7-4
Focus
Size
S
S
S
S
S
S
S
Anode Cooling Delays

2.0 sec
3.0 sec
132
132
132
132
132
132
132
132
132
132
132
135
139
150

Dir. 2295150100
Rev. 0
Specifications
Model No. MX165ZJ COOLING DELAY TIME at 120kV
Scan
Technique
120kV and
60mA
80mA
100mA
130mA
160mA
200mA
Focus
Size
S
S
S
S
S
S

2.0 sec
3.0 sec
132
132
132
132
135
249
132
132
135
138
138
307
Model No. MX165ZJ COOLING DELAY TIME at 140 kV

Scan
Technique
140kV and
60mA
80mA
100mA
130mA
160mA

Dir. 2295150-100
Rev. 0
Focus
Size
S
S
S
S
S

2.0 sec
3.0 sec
131
132
133
133
191
132
135
139
142
232
7-5
Specifications
MX165ZJ XRay Tube IEC Information
Xray Tube Housing
Type
General Electric MX165 ZJ HSG
Model
21990772
Xray Tube Insert Fitted

Type
General Electric MX165 ZJ INSERT
Model
46309300G3
Xray Tube Assembly

In accordance with IEC 637/1979, the complete XRay tube assembly
carries two identification labels, one each for the housing and insert, marked
with the model types and numbers listed above.
Xray Tube Insert Information

Type
General Electric MX165 ZJ INSERT
Model
46309300G3
Focal spot
SE: 0.9mmW x 0.62mmL; LF: 1.2mmW x 1.2mmL
Target Material
Tungsten/Rhenium Alloy Focal Track on graphite base
Target Angle
7_
Maximum Potential Difference 140 kVp

High Potential Generator : General Electric CT HiSpeed System Constant
Potential
XRay Tube Filament Supply: Maximum Voltage: 140kV
Maximum Current : 350mA
7-6

Dir. 2295150100
Rev. 0
Specifications
MX165ZJ Cathode Emission and Filament Characteristics
HiSpeed Emission
Z1163 7_ Target
Large Focal Spot
Tube Current (mA)

1000
80 kVp
120 kVp
140 kVp
100
10
5.0
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
6.0
6.1
6.2
6.3
6.4
6.5
6.1
6.2
6.3
6.4
6.5
Filament Current (amps)

HiSpeed Emission
Z1163 7_ Target
Small Focal Spot
Tube Current (mA)

1000
80 kVp
120 kVp
140 kVp
100
10
5.0
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
6.0
Filament Current (amps)

Dir. 2295150-100
Rev. 0
7-7
Specifications
Nominal Anode Input Power
This tube accommodates GE HiSpeed Computed Tomography Systems with
a nominal anode input power of 42 kW for 3 seconds.
Maximum Anode Heat Capacity

3500kHU
Maximum Anode Heat Dissipation

820kHU/min
7-8

Dir. 2295150100
Rev. 0
Specifications
Tube MX165 ZJ Anode Heating and Cooling Curves
HiSpeed Anode Heating Curve
2598
30kW
35kW
2290
20kW
1982
10kW
1674
1366
1058
750
25
50
75
100
125
150
175
200
TIME (SECONDS)
HiSpeed Anode Heating Curve

2600
2400
2200
2000
1800
1600
1400
1200
1000
800
600
400
200
0
10
15
20
25
30
35
40
45
50
55
60
TIME (MINUTES)
NOTE
Cooling and heating curves reflect maximum tube performance.

System software monitors and controls tube operation.
Single Load Rating

Large Focal Spot: 42 kW for 3 seconds
Small Focal Spot: 24 kW for 3 seconds
(Same as the nominal anode input power)
Serial Load Ratings

Controlled by the HiSpeed CT system operating software
Rotating Anode Supply

Designed to operate on the HiSpeed CT system (See accompanying system
documentation.)

Dir. 2295150-100
Rev. 0
7-9
Specifications
MX165ZJ XRay Tube Assembly Information
Labels : The XRay Tube Assembly carries two identification labels. One
label identifies the Model and serial numbers of components (XRay Tube
and Housing), and provides the date and location of assembly manufacture.
The second label provides the name of the manufacturer. A third label
certifies compliance with USA Federal regulation 21 CFR Sub chapter J, and
lists the data and place of assembly manufacture.
Reference Axis: Normal to the window center.
Target Angle : 7_
Nominal Focal Spot Values : Small Focal Spot: 0.9 W x 0.62 L mm
Large Focal Spot: 1.2 W x 1.2 L mm
Focal Spot Modulation Transfer Functions: MTF for XRay Tube
Assembly Standard magnification = 1.3
1.0
MODULATION TRANSFER FUNCTION

LENGTH DIRECTION
0.9mm W x 0.62mm L FOCAL SPOT
STANDARD MAGNIFICATION 1.3
AEC 336/1982 NEMA XR5
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0.0
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
2.0
2.2
2.4
2.6
2.8
3.0
SPATIAL FREQUENCY LINE PAIRS/mm

1.0

LENGTH DIRECTION
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0.0
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
2.0
2.2
2.4
2.6
2.8
3.0
7-10

Dir. 2295150100
Rev. 0
Specifications
1.0

WIDTH DIRECTION
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0.0
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
2.0
2.2
2.4
2.6
2.8
3.0
Maximum Potential Difference : 140 kVp

Inherent Filtration
1.2 mm Al at 140 kV
IEC 522/1976
Tube 0.8 mm Al
Housing 0.4 mm Al
Electrical Connections
See curves and diagrams
Emissions Characteristics
Connection stator, Thermal and Pressure overload switches
Principle Dimensions
Length
Height
Depth
Weight
21.14 inches (53.7cm)

11.26 inches (28.6cm)
29.25 inches (74.3cm)
69.1 kg ( 10%)
XRay Tube Conditioning

The HiSpeed system software controls XRay tube conditioning. (See
accompanying system documentation.)
Maximum XRay Tube Assembly Heat Storage Capacity
3.5MHU
Continuous Heat Dissipation of XRay Tube Assembly
XRay Tube and Heat Exchanger

Dir. 2295150-100
Rev. 0
300kHU/min
7-11
Specifications
Tube Assembly MX165ZJ Heating and Cooling Curves
MX165ZJ Housing Cooling Curve MX165ZJ Housing Heating Curves
Stored Heat (Kilojoules)
Temperature Degrees Celsius
Stored Heat (Kilojoules)
2500
2000
1500
1000
500
0
10
20
30
40
Time (Minutes)
NOTE
50
2400
6kW
5kW
4kW
1800
3kW
1200
2kW
1kW
600
60
10
15
20
25
30
35
40
Time (Seconds)
Cooling and heating curves reflect maximum tube performance.

System software monitors and controls tube operation.
Leakage Radiation Loading Factors

Specified values of the loading factors determining measures for protective
shielding of XRay Tube Assembly against leakage radiation according to
IEC publication 407/1973 are 140 kVp 26 mA
Classification
IEC publication 536 /1978 and IEC Publication 6011 Class 1
Transportation and Storage
20 to +70 C, up to 95% Relative Humidity (noncondensing)
Commercial airlines accept XRay tube insert/housing shipments
Transport Packaging
Transport ONLY in packaging supplied by General Electric
7-12

Dir. 2295150100
Rev. 0
Specifications
Generator Specifications
Main Power Supply
D
Line voltage (noload) 415 or 380 or 480 VAC
3phase, 50 or 60 Hz 0.5 Hz.
Phasetophase balance within 3% of lowest phasetophase voltage.
Line regulation 5% or less at maximum technique factor.
Maximum line current demand, 100 Amps RMS (50/60 Hz) at 140 kV, 300
mA.
Generator Rating and Duty Cycle

D
Maximum Technique:
Maximum Output Rating:
Generator Duty Cycle:
140 kV, 300 mA

80kVA
Maximum Technique Factor
Max. Duty Cycle
140kV and 300mA
10%
kV, mA, and Timer Accuracy

Mode
Condition
Accuracy
Kilovoltage:Axial
120kV
7% of kV setting
Excluding initial 5 msec
Milliamperage: Axial
10 to 350mA

Dir. 2295150-100
Rev. 0
5 % of mA setting or
1mA (whichever is more)
Excluding initial 100 msec
7-13
Specifications
Scan Time: Axial
Selected Scan Time (sec)
3.0
2.0
1.5
1.0
0.7(half scan)
Actual Scan Time (sec)

3.0 10%
2.0 10%
1.5 10%
1.0 10%
0.7 10%
kV : Subject to an additional 5% accuracy of instrumentation used

for calibration and measurement.
mA : Subject to an additional 5% accuracy of instrumentation used
for calibration and measurement.
Exposure : Subject to an additional 3% accuracy of instrumentation used
Time : for calibration and measurement.
NOTE
Accuracy subject to the following conditions:

1. Line regulation 5% or less.
2. Line voltages within this specified range:
415 or 380 or 480 VAC +6% 5% (50 or 60Hz)
3. System powered for at least 30 minutes prior to
measurements.
4. Line voltage variations caused by external loads should not
exceed 1% or last longer than 0.5 second while scanning.
Measurement Basis
Tube Potential : Precision voltage divider, Model No. 46154966G1 reduces
high voltage generated across anode and cathode by 1000:1. Tube
Potential equals the average kilovoltage generated during the exposure,
excluding transients at the beginning and end. See Section 2 of the Xray
Alignment procedure in the Service documentation for the complete
measurement procedure.
Tube Current : Tube current equals the average milliamperage generated
during xray exposure. See Section 2 of the XRay Alignment procedure in
the Service documentation for the complete procedure.
Scan Time: Exposure time intervals equal the time during which the
kilovoltage equals or exceeds 75% of its peak value. Measure kilovoltage
with a precision voltage divider and an oscilloscope. Use the time base of
the oscilloscope to measure exposure duration.
7-14

Dir. 2295150100
Rev. 0
Specifications
The Attenuation Equivalent
Standard Head Holder : 0.3 mm aluminum equivalent at 100 kV
Shallow Head Holder : 0.35 mm aluminum equivalent at 100 kV
Coronal Head Holder : 0.8 mm aluminum equivalent at 100 kV
Cradle : 0.55 mm aluminum equivalent at 100 kV
Extender : 1.5 mm aluminum equivalent at 100 kV
CAUTION
To obtain the optimum results, make sure nothing is left in the path
of Xray beam that may have adverse effects on examinations.

Dir. 2295150-100
Rev. 0
7-15
Specifications
Periodic Maintenance by Qualified Personnel
Recommended PM frequency is 2 times a year for NP+/NP series scanners.
The frequency may vary due to local ordinance and the usage of the system, the
system availability etc. If you need more PMs, order extra copies of this document or
copy the schedules.
Priority Code
Pr (Priority)
Description
Safety and Regulatory
Image Quality
Procedures that make the system unavailable for scanning
Procedures that can be performed while the customer is scanning
Frequency Code
Fr (Frequency)
Description
SemiAnnually (every 6 months)
Annually (every 12 months)
Safety and Regulatory

ITEM
SUB
SYSTEM
PM0101
System
PM0102
System
PM0103
PM0105
PM0301
PM0201
PM0501
PM0502
PM0503
PM0504
PM0505
PM0506
PM0507
PM0508
PM0509
PM0607
System
System
Gantry
O.C
Table
Table
Table
Table
Table
Table
Table
Table
Table
XG
7-16
DESCRIPTION
Verify Emergency OFF buttons (Gantry /
Console / PDU)
Check xray ON lights or buzzer/operation of scan abort
Caution Label Check
Check Error Logs
Check the number of Gantry revolutions
Verify Audio Function
Check Head Holder
Check Table Cover
Check Gap sponge
Gap between Table Cover and Cradle
Check Cradle Rail
Holder Stability Check
Check Touch Sensor operation
Verify Unlatch Function
Check Gantry / Table interlock
Check Parts
Pr Fr
Annual PM Schedule
A
B
b
b
1
1
1
1
1
1
1
1
1
1
1
1
1
1
S
S
S
S
S
S
S
S
S
S
S
S
S
S
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b
b

Dir. 2295150100
Rev. 0
Specifications
Image Quality
ITEM
SUB
SYSTEM
PM0104
PM0302
PM0401
System
Gantry
DAS
DESCRIPTION
Image Check (Image Performance)
Clean Mylar ring cover
Check/Clean Detector face
Pr Fr
2
2
2
S
S
S
Subtotal
Annual PM Schedule
A
B
b
b
b
b
b
b
1:00
1:00
System Performance
ITEM
SUB
SYSTEM
PM0106
PM0107
PM0108
PM0109
PM0202
PM0203
PM0204
PM0205
PM0206
PM0303
PM0304
PM0305
PM0306
PM0307
PM0308
PM0309
PM0402
PM0403
PM0510
PM0511
PM0512
PM0513
PM0514
PM0515
PM0601
PM0602
PM0603
PM0604
PM0605
PM0606
PM0701
PM0702
PM0703
System
System
System
System
O.C
O.C
O.C
O.C
O.C
Gantry
Gantry
Gantry
Gantry
Gantry
Gantry
Gantry
DAS
DAS
Table
Table
Table
Table
Table
Table
XG
XG
XG
XG
XG
XG
PDU
PDU
PDU
DESCRIPTION
Perform Filter Curve Test
Check Ground Cable Terminals
Check DAS Count
Image Performance
Clean Air Filter
Inspect FANs
Verify Mouse for smooth operation
Clean Display monitor/Console exterior
Check Cables / Power Cable Terminals
Verify cables and hardware are tight
Gantry cover cleaning
Check Positioning lights
Check Gantry anchor / Gantry Isolation
Main bearing greaseup
Check drive belt for wear
Check RF Shoe Position
Verify Detector Heater Control
Inspect FANs
Clean Cradle tray / Table cover
Check for Oil Leak
Greaseup
Check Table anchors / Table isolation
Inspect FANs
Inspect Cradle Wire Tension
Check/Clean Radiator FAN
Check Xray tube oil and HV connector
Check HV Tank and HV connector
Check Power cable connection
Check Tube over heat safety
Check KV and mA
Inspect FANs
Check Power Cable Terminals
Check Power Line Voltage
Subtotal
Total

Dir. 2295150-100
Rev. 0
Pr Fr
3
3
3
2
3
3
3
4
3
3
4
3
3
3
3
3
3
3
4
3
3
3
3
3
3
3
3
3
3
3
3
3
3
A
A
A
A
S
S
S
S
S
S
S
S
A
A
A
A
S
S
S
S
A
A
S
S
S
S
S
S
S
A
S
A
A
Annual PM Schedule
A
B
0:15
0:10
0:15
1:00
0:10
0:10
0:10
0:10
0:15
0:15
0:10
0:10
0:10
0:10
0:20
0:20
0:10
0:10
0:10
0:10
0:05
0:20
0:05
0:10
0:10
0:05
0:05
0:05
0:05
0:15
0:15
0:05
0:05
0:20
0:05
0:10
0:10
0:10
0:10
0:10
0:10
0:20
0:20
0:20
0:20
0:05
0:05
0:15
0:15
1:00
0:05
0:05
0:05
0:05
4:30
6:55
5:30
7:55
7-17
Specifications
Maintenance by CT Users
The following maintenance by CT users is highly recommended.
Periodically check if those items function properly.
7-18
Emergency stop : Press the button to confirm the system stops.
Cradle latch operation : Press the button to confirm the cradles latches.
Clean covers

Dir. 2295150100
Rev. 0
Specifications
Symbols and Classification
Symbol
~
~
~
Publication
4175032
3351
3N
3351
Description
Alternating Current
Threephase alternating current
Threephase alternating current
with neutral conductor
Direct Current
4175019
348
Protective earth (ground)
Attention, consult
ACCOMPANYING DOCUMENTS
4175008
OFF (Power: disconnection

from the mains)
4175007
ON (Power: connection to
the mains)
Dangerous voltage
Emergency Stop
Warning sign
RADIATION of LASER
APPARATUS

Dir. 2295150-100
Rev. 0
7-19
Specifications
Symbol
Publication
Description
Type B Applied Part
4175339
4175009
XRay source assembly Emitting
Stand by
Start
Table Set
Abort
Intercom
(On Operator Console)

Power ON
Stand by
7-20
Light ON
Light OFF

Dir. 2295150100
Rev. 0
Specifications
Symbol
Description
Microphone (Mic)
Contrast
Brightness
50C
System storage prior to installation:

Maintain storage temperature between 10o C and +60o
C (14o to 140o F)
System storage prior to installation:

Maintain noncondensing storage humidity below 95%
Humidity 1090%
Excluding Condensation
Air Pressure
7001060hPa

Dir. 2295150-100
Rev. 0
DO NOT store system longer than 90 days
System storage and shipment

Maintain Air Pressure between
750 and 1060hPa
7-21
Specifications
Class 1 Equipment
Any permanently installed equipment containing operator or patient
accessible surfaces must provide backup protection against electric shock, in
case the BASIC INSULATION fails. In addition to BASIC INSULATION,
Class 1 equipment contains a direct connection to a PROTECTIVE (EARTH)
CONDUCTOR which prevents shocks when a person touches a broken
piece of equipment or touches two different equipment surfaces
simultaneously.
Type B Equipment
CLASS I, II, or III EQUIPMENT or EQUIPMENT with INTERNAL
ELECTRICAL POWER SOURCES provide an adequate degree of protection
against electric shock arising from (allowable) LEAKAGE CURRENTS or a
breakdown in the reliability of the protective earth connection
Ordinary Equipment
Enclosed EQUIPMENT without protection against the ingress of water.
Operation Of Equipment
CONTINUOUS OPERATION WITH INTERMITTENT LOADING.
Operation in which EQUIPMENT is connected continuously to the SUPPLY
MAINS. The stated permissible loading time is so short that the long term
onload operating temperature is not attained. The ensuing interval in
loading is, however, not sufficiently long for cooling down to the long term
noload operating temperature.
EQUIPMENT not suitable for use in the presence of a FLAMMABLE
ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN or NITROUS OXIDE.
7-22

Dir. 2295150100
Rev. 0
Specifications
Cleaning
The CT system is not waterproof. It is not designed to protect internal
components against the ingress of liquid.
Decontamination or cleanliness of the CT system (i.e. gantry, table, console
and accessories) is the sole responsibility of the health care provider owning
and/or operating the CT system.
Tips for Cleaning :
Use soft cloth damped with (hot) water to remove any dirt or stains.
Even blood stains can be wiped off with damp soft cloth.
Caution :
Avoid chemical damage to surfaces. Some detergent or cleaning agent may
damage the surface.
Disclaimer :
GEMS bears no responsibility for sterilization of system surfaces.
GEMS shall not be held liable for any contagion which may have stemmed
from contaminated stains on the system surfaces.

Dir. 2295150-100
Rev. 0
7-23
Specifications
Blank page
7-24

Dir. 2295150100
Rev. 0
A
Accelerator Bar, 330
Accessories, 116
Body Accessory Use, 119
Coronal Head Holder Assembly,
118
Head Holder Assembly, 118
Security Strap Kit, 120
Auto Film Composer, 329
Auto Store, 411
Auto Transfer, 412
Autoview Layouts, 34
Axial/Helical Scan End, 441
Next Series, 443
One More, 446
Priority Recon, 442
Repeat Last Group, 447
Repeat Series, 444
Axial/Helical Scan in Progress, 440
Scan Progress screen, 440
Axial/Helical Scan Prescription, 413
[Film] icon, 420
[Recon] icon, 418
[Scan] icon, 415
[Timing] icon, 417
Add Group, 424
Auto mA, 433
Autofilm Setup, 423
Biospy Rx, 425
Cine Scan, 414
Confirm, 429
Create New Series, 428
Delete Selected Group, 425
End Exam, 428
Gastrointestinal contrast, 430
Helical Scan, 414
Introvenous contrast, 430
Next Series, 428
One More, 429
Optimize Rx, 426
Pause, 429
Preview, 427
Priority Recon, 429
, 421
Recon Area, 424
Repeat Series, 429
Resume, 430
Select New Protocol, 428
Show Localizer, 423431
Show Recon 1,2,3, 419
Smart Prep, 425450
SmartRecon (Option), 438
Special Filter, 419
Split Current Group, 424
View/Edit Screen, 413
B
Biopsy Scan, 448
C
Control Panel, 14
Cradle In/Out, 14
External Landmark, 15
Fast, 14
Gantry Tilt, 15
Gantry Tilt Lamp, 15
Internal Landmark, 15
Positioning Light, 15
Table Up/Down, 14
Tilt Range & Scannable Range, 15
Cooling Curves, 712
D
Daily PrepTube Warmup, 227
Display Panel, 16
Distance from Iso-Center, 16
Distance from Landmark, 16
Interference, 17
Positioning Light On/Off, 17
Release Cradle Lock, 17
Tilt / Angle Range, 16

X-ray On, 16
Display Preference, 324
Annotation Levels, 325
Continuous Report Cursor, 327
Next/Prior Each Viewport, 327
Next/Prior Series Binding, 327
F
FILMING, 51
AutoFilm, 51
Auto Print, 56
Auto Start, 55
Copies, 53
Destination, 53
Exam Page/Series Page, 53
Film Direction, 52
Format, 52
Scout, 53
Show Gray Scale, 54
Size, 53
XRef-Scout, 54
Manual Film, 511
Manual Film Composer, 512
F1 function key, 516
G
Gantry, 12
Control Panel, 12
Detector Specifications, 13
Display Panel, 12
Emergency Button, 12
Gantry Specifications, 13
Positioning Light & Breath Navi,

12
X-ray Tube Specifications, 13
Generator Specifications, 713
H
How to analyze a phantom image,
1329
I
Icon Selection, 22
Image Display Layout, 33
Image QualityQuality Assurance
Data Form, 1329
L
List / Select, 37
M
Manual Film Composer, 328
Measurements, 321
MIROI (Multiple Image ROI), 322
Report Pixels, 323
N
New Patient, 2544
O
Operator Console, 110
Keyboard/Mouse, 110
MOD Drive, 110
Scan/Display Monitor, 110
P
Patient Positioning, 41
Landmarks, 43
Patient Schedule, 26
Add Patient, 28
Delete All, 210
Delete Selected, 210
Edit Patient, 29
Preferences, 211
Select Patient, 27
View More Info, 27
Primary/Secondary Viewport, 32
Protocol Management, 212
Auto Voice Record, 213
Protocol Management, 216
[Film] icon, 219
[Recon] icon, 219
[Scan] icon, 218
[Timing] icon, 219
R
Recon Management, 225
Retro Recon, 221
Review Layouts, 36
Multiple Image Display (MID), 36
Routine Display, 39
Cross Reference, 317
Display Normal, 314
Ellipse ROI, 315
Erase, 320
Exam Pg / Series Pg, 319
Explicit Magnify, 311
Flip/Rotate, 312
Grid, 316
GSE, 314
Hide/Show Graphics, 320
List / Select, 315
Measure Distance, 316
ProView, 313
Roam / Zoom, 310
Screen Save, 320
User Annotation, 318
QA Data Form, 1329
Scanner Utilities, 228

Raw Data Function, 228
User Calibration, 234
QUALITY ASSURANCE, 61
Dose and Performance, 613614
617619
High Contrast Spatial Resolution,
66
Image Performance, 625
Low Contrast Detectability, 69
Noise and Uniformity, 610
Phantom Description, 62
Phantom Setup, 63
Scan the QA Phantom, 64
Slice Thickness, 67
Weighted CTDI, 612
Scout Scan, 46
Add Scout, 47
Confirm, 48
Create New Series, 48
Delete Selected Scout, 47
End Exam, 47
Next Series, 47
One More, 48
Pause, 48
Repeat Series, 48
Resume, 48
Scan Progress screen, 49
Select New Protocol, 47
Quality Assurance Data Form, 1329
System Power On/Off, 123
T
Table, 18
Cradle, 18
Foot Switch, 18
Home Position, 18
Latch Button, 18
Speaker, 18
Table Specifications, 19
Technical Specifications
Generator Specifications, 713
MX165ZJ X-Ray Tube IEC Info.,
76
U
User Interface, 111
Keyboard, 112
Communication button, 114
Keyboard keys, 114
Scan-related buttons, 113
Mouse, 111
X
X-Ray Tube Assembly Information
Cooling Curves, 712
X-Ray Tube IEC Information
MX165ZJ, 76

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HiSpeed DX/i

The configurations delivered:

without any option or accessory,

exclusively with one or several options and/or accessories listed

General Electric Medical Systems, the manufacturer of this product, is ISO

CT HiSpeed DX/i Operator Manual

Notice upon Installation of the Product

Changes in cable ( length, material, wiring etc.)

Changes in system installation/layout

Changes in system configuration/components

Changes in means of fixing the system/parts ( cover open/close,

CT HiSpeed DX/i Operator Manual

Countermeasures against EMCrelated Issues

Electromagnetic interference may be alleviated by positioning other

Electromagnetic interference could be mitigated by changing the

Electromagnetic interference may be eased by changing wiring

Electromagnetic influence could be reduced by altering the path of

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

(Abort) on the right end of the OC scan

panel to stop XRay.

GE provides training support. Contact your local GE sales

CT HiSpeed DX/i Operator Manual

Devices not to be used near this equipment

Medical staff in charge of this equipment is required to

Your system also has a warning label on a console that

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CLASS 2 LASER PRODUCT

CAUTION: Exposing eyes to the laser alignment lights may

CT HiSpeed DX/i Operator Manual

GE YOKOGAWA MEDICAL SYSTEMS, LTD

COMPLIES WITH RADIATION

CAUTION : Use of controls or adjustments or performance of

CT HiSpeed DX/i Operator Manual

Gantry front cover

CT HiSpeed DX/i Operator Manual

Gantry front cover

Beam radiation area

Gantry front cover

Beam radiation area

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

- The following labels are attached to the cradle extender.

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual

Component Identification for HiSpeed . . . . . . . . . . . . . . . . . . . . . . . .

CT HiSpeed DX/i Operator Manual

General Procedures of CT Examination :

CT HiSpeed DX/i Operator Manual

CT HiSpeed DX/i Operator Manual