Manual Operator OEC Elite English - UM - 5483603-8EN-18 - 1
Manual Operator OEC Elite English - UM - 5483603-8EN-18 - 1
Manual Operator OEC Elite English - UM - 5483603-8EN-18 - 1
GE OEC Elite®
Operator Manual
5483603-8EN-18
Rev. 1
© 2022
GE OEC Medical Systems, Inc.
All rights reserved.
Revision history
Revision history
Document # Revision # Release Date
5483603-8EN-18 Rev. 1 2022-05
Caution U.S. federal law restricts this device to sale by or on the order of a physician,
veterinarian, or other designated licensed practitioner as appropriate for its
clinical use.
IMPORTANT: SAVE THESE INSTRUCTIONS. PLEASE READ THIS MANUAL BEFORE USING
EQUIPMENT.
This manual may not be reproduced, in whole or in part, without the written permission of GE Healthcare.
Other product and company names mentioned herein are the property of their respective owners.
The contents of this document are accurate at the time of publication. However, changes in design and
additional features can, at any time, be incorporated in the hardware and software and may not be
reflected in this version of the document. Contact GE Healthcare Technical Support for clarification, if
discrepancies arise.
Images in this manual, including screen shots, hardware images, diagrams, icons, and labels, may vary
from actual system appearance.
All product documentation was originally drafted, approved, and supplied by the manufacturer in English.
SLES Appliance License. The Branded Product may include components of the SUSE Linux Enterprise
Server product (SLES). Licensee acknowledges and agrees to the following restriction with respect to
use of SLES notwithstanding the license grant in the SLES end user license agreement that may
accompany or otherwise apply to the copy of SLES Licensee received with the Licensed Software:
Licensee agrees to use SLES solely for the purpose of running the Branded Product and not as a
general purpose operating system. If Licensee did not receive a copy of the SLES end user license
agreement, it can be found at http://www.suse.com/licensing/eula/
ii
Medical directive / WEEE
Medical Directive
This product conforms with the Medical Device Directive, Council Directive 93/42/EEC: June
14,1993, as amended by 2007/47/07 (as applicable) following the provisions of Annex II, when
it bears the following CE Mark of Conformity.
Hereby, GE OEC Medical Systems, Inc. declares that the radio equipment type OEC Elite is in
compliance with Directive 2014/53/EU.
1. Navigate to the Support Documentation Library
(https://www.gehealthcare.com/documentationlibrary) in a web browser.
2. Once in the portal, enter RED DOC in Enter the document number or keyword field.
3. Select X-ray Surgery (XR) from the Modality filter menu.
4. Select X-RAY (SURGERY) OEC ELITE from the Products filter menu.
5. Click Search. The search results display.
6. Click the Download icon in the Actions column to save the document to your computer.
The separate collection symbol is affixed to a battery, or its packaging, to advise you that the
battery must be recycled or disposed of in accordance with local or country laws. The letters
below the separate collection symbol indicate whether certain elements (Pb=Lead,
iii
Medical directive / RED / WEEE
Cd=Cadmium, Hg=Mercury) are contained in the battery. To minimize potential effects on the
environment and human health, it is important that all marked batteries that you remove from
the product are properly recycled or disposed.
For information on how the battery may be safely removed from the device, please consult the
service manual or equipment instructions.
iv
Table of contents
Table of contents
Revision history ii
Medical Directive iii
Radio Equipment Directive (RED) iii
Waste of Electrical and Electronic Equipment (WEEE) iii
Table of contents v
1. Safety overview 1-1
1.1 Applicability 1-1
1.2 Owner responsibilities 1-1
1.2.1 System compatibility 1-1
1.2.2 Operator qualifications 1-1
1.2.3 Continued compliance 1-1
1.2.4 Unauthorized modifications 1-1
1.3 GE OEC responsibilities 1-2
1.4 Product description and summary of use 1-2
1.4.1 Device description 1-2
1.4.2 Intended use 1-2
1.4.3 Indications for use 1-3
1.4.4 Patient population 1-3
1.4.5 Use environment 1-3
1.4.6 Intended users 1-3
1.4.7 Intended clinical benefits 1-3
1.4.8 Contraindications for use 1-3
1.4.9 Potential side effects 1-3
1.4.10 Essential performance 1-4
1.4.11 X-ray equipment certification 1-4
1.4.12 After-sale operating and safety practices 1-4
1.5 General safety 1-5
1.5.1 Contact information 1-5
1.5.2 Reporting serious incidents 1-5
1.5.3 Safety hazard alerts 1-5
1.5.4 External devices 1-6
1.5.5 Wireless compliance and safety 1-6
1.5.6 Patient environment 1-8
1.6 Electrical safety 1-9
1.6.1 Electrical shock 1-9
1.6.2 Electrical fire 1-9
1.6.3 Explosion 1-10
1.6.4 Ground fault 1-10
1.6.5 Equipment malfunction 1-10
v
Table of contents
vi
Table of contents
vii
Table of contents
viii
Table of contents
ix
Table of contents
x
Table of contents
xi
Table of contents
xii
Table of contents
xiii
Table of contents
xiv
1. Safety overview
1. Safety overview
This manual describes operation about your OEC system. It is intended for qualified medical
personnel who have been trained in the use of medical imaging equipment. It is not designed to
replace or substitute for certified training in the radiological or medical field.
Functional capabilities and operation of the equipment are described here which can be used
in a variety of diagnostic, therapeutic, and surgical applications.
1.1 Applicability
This manual is provided for operators using the product for uses described in the 1.4.3
Indications for use. It has been written to describe the use of the system in its most complete
configuration. If any of the options described in this manual are not included on your system,
skip the corresponding chapter or section. Contact GE OEC Customer Service for the options
available in your market.
1-1
1. Safety overview
1-2
1. Safety overview
1-3
1. Safety overview
Elite uses low levels of ionizing X-ray radiation to limit the possibility of collateral side effects.
When used as intended in a clinical setting according to the Use environment (on page 1-3)
and under medical supervision of a physician, it is not reasonably anticipated to result in
unforeseeable or observable side effects.
1-4
1. Safety overview
1-5
1. Safety overview
Warning
Warning indicates a potentially hazardous situation that, if not avoided,
could result in death or serious injury.
Caution
Caution indicates a potentially hazardous situation that, if not avoided, may
result in moderate to minor injury, equipment damage or loss of data.
Connection to a network
The system can be connected to a facility network. When connecting the system to a network,
the Responsible Organization must analyze, evaluate, and control potential risks or hazardous
situations that may occur due to failure of the network connection. This analysis should
consider network configuration changes, equipment added to or removed from the network,
and updates or upgrades.
See 2.1.9 Set up network configuration beginning on page 2-12 for more information on
connecting to a network.
1-6
1. Safety overview
Caution Due to the fact that the frequencies used by 802.11a, 802.11b, 802.11g,
802.11n, and 802.16e wireless LAN devices may not yet be harmonized in all
countries, 802.11a, 802.11b, 802.11g, 802.11n, and 802.16e products are
designed for use only in specific countries, and are not allowed to be operated in
countries other than those of designated use. As a user of these products, you
are responsible for ensuring that the products are used only in the countries for
which they were intended and for verifying that they are configured with the
correct selection of frequency and channel for the country of use. Any deviation
from the permissible power and frequency settings for the country of use is an
infringement of national law and may be punished as such.
Note: This equipment has been tested and found to comply with the limits for a Class B
digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to
provide reasonable protection against harmful interference in a residential installation.
This equipment generates uses and can radiate radio frequency energy and, if not
installed and used in accordance with the instructions, may cause harmful interference
to radio communications. However, there is no guarantee that interference will not
occur in a particular installation. If this equipment does cause harmful interference to
radio or television reception, which can be determined by turning the equipment off
and on, the user is encouraged to try to correct the interference by one of the following
measures:
l Reorient or relocate the receiving antenna.
l Increase the separation between the equipment and receiver.
l Connect the equipment into an outlet on a circuit different from that to which the
receiver is connected.
l Consult the dealer or an experienced radio/TV technician for help.
1-7
1. Safety overview
Note: To comply with FCC’s RF Exposure Safety Limits for general population / uncontrolled
exposure, the antenna(s) used for this transmitter must be installed to provide a
separation distance of at least 20 cm from all persons and must not be co-located or
operating in conjunction with any other antenna or transmitter.
International
In many international countries, the patient environment is defined by IEC 60601-1. In areas in
which patients are normally cared for, the patient environment is the space with surfaces likely
to be contacted by the patient or an attendant who can touch the patient.
This encloses a space within the room 1.5 m beyond the perimeter of the bed (examination
table, surgical table, treatment booth, and so on) in its intended location.
1-8
1. Safety overview
Warning Electrical circuits inside the equipment may use voltages which are capable
of causing serious injury or death from electric shock. To avoid this hazard,
never remove any of the cabinet covers.
Warning To avoid the risk of electric shock, this equipment must only be connected to
a supply mains with protective earth.
1-9
1. Safety overview
1. Remove battery-backed power from the system by pressing the system disable switch
on the back of the Workstation.
2. Unplug the power cord from the AC receptacle.
3. Evacuate personnel from the area.
4. Only use a fire extinguisher that is approved for use on electrical fires.
5. Call your local fire department for help if necessary.
Warning The use of the wrong type of fire extinguisher presents electrical shock and
burn hazards. To avoid these hazards, a fire extinguisher which meets
applicable regulations and standards must be available in the room where the
equipment is being used. Remember that equipment that is equipped with
batteries is a source of electrical current, even when AC power is
disconnected.
1.6.3 Explosion
The system is not rated for use in a flammable gas or oxygen-rich environment.
If an abnormal condition occurs, such as the room fills with flammable gas, take steps to
prevent the gas from coming in contact with the equipment. Follow these guidelines:
l Do not turn the system off or unplug it from the AC receptacle.
l Do not operate any other electrically powered equipment.
l Evacuate all personnel from the area and ventilate with fresh air. Avoid operating any
automated (electrically operated) doors or windows.
l Contact your local fire department as soon as possible.
1-10
1. Safety overview
3. Do not operate the equipment until the service technician advises that it is operating
properly.
Warning Attach the equipment properly. Incorrectly attached equipment could fall,
causing injury to the patient or operator.
Note: See 16.5 Dimensions beginning on page 16-33 for the correct dimensions of items that
may be used in conjunction with this product.
1-11
1. Safety overview
l Take care to avoid pinching hands, fingers, or other body parts when moving or
positioning the system.
l Observe and prevent articles of clothing from getting caught in moving parts.
l Always observe mechanical assemblies when operating the motor to avoid collision with
a person or object.
l Use care when working around equipment to avoid unintentional motor actuation. Do not
carelessly place objects on the equipment or bump or lean against the equipment.
l Ensure that motion locks are secure after mechanical movements to prevent unintended
motion or collision with a person or object.
l Ensure that motion clutches are secure after motorized movements to prevent
unintended motion or collision with a person or object.
l A motion stop button is provided on the RUI and mini RUI to stop motion immediately, if
needed. See Motion stop switch beginning on page 3-78 for instructions and locations.
l A fast stop switch is provided on the cross-arm housing to stop X-ray generation and
motor motions, if needed. See 5.4.3 Fast stop switches beginning on page 5-9 for
additional information about the fast stop function.
l A bumper on the detector provides contact detection to stop motion if a collision occurs.
See Contact detection beginning on page 3-83 for information about this the bumper.
Excessive amounts of fluids such as antiseptics, cleaning solutions, or bodily fluids may
damage internal components if they are allowed inside the equipment and may require
unplanned service that is not covered by standard planned maintenance or service contract
coverage. Use drapes to protect equipment and do not apply excessive amounts of fluid when
cleaning.
1.7.6 Draping
Cover the C-Arm using a sterile draping system during use. Replace drapes after each use.
Custom fit, single-use sterile drapes specifically designed for OEC C-Arms can be purchased
from GE Healthcare. See 16.1.1 Communication center contact information beginning on page
16-1 to order any consumables.
Refer to the instructions provided with the draping system for details on how to drape the
1-12
1. Safety overview
system.
Note: Use of a footswitch cover is recommended during all medical procedures.
Draping the X-ray tube housing will inhibit air flow resulting in cooling inefficiencies. This may
result in the housing reaching its rated heat capacity sooner. You will receive messages
indicating the temperature of the housing. When the housing reaches its maximum rated heat
capacity, X-rays will be disabled until the housing has cooled. A message displays. See
HOUSING OVERHEATED, X-RAYS DISABLED Restart the system. on page 14-38 for more
information.
Caution Avoid covering the X-ray tube’s ventilation holes or system vents with a drape or
other obstruction. The system may overheat, resulting in downtime while the
system cools.
1-13
1. Safety overview
1-14
1. Safety overview
1-15
1. Safety overview
1-16
1. Safety overview
l If the device is connected to a network, the network should be private and inaccessible
by unauthorized personnel, including patients and the general public.
Note: All names appearing in example screens in this manual are fictitious. Any resemblance
to real people, living or dead is purely coincidental.
1-17
1. Safety overview
1-18
2. System setup
2. System setup
This chapter covers the basic software setup as well as basics of starting up the system,
shutting it down, and restarting it.
Note: Main system screens includes a breadcrumb trail at the top of the screen to help
navigation. These screens are introduced in this chapter using the full breadcrumb trail,
then referred to by the screen title thereafter.
Screens may vary depending on system configuration.
2-1
2. System setup
See DICOM Images, 3.3.3 View External Video beginning on page 3-21, 14.1.2 Event logs
beginning on page 14-1, and 14.1.3 Transfer status beginning on page 14-3 for more
information about the other buttons on this screen.
Touch the Setup... button to display the main Setup screen. By default, the main Setup screen
displays system, hardware and software information, and current connectivity.
X-rays are disabled when the Setup screens are being configured.
2-2
2. System setup
Figure 2-2: Main Setup screen with menu on the right side
Use the menu items on the right side of this screen to set up system options. Touch Exit to
return to the main Applications screen from any of the system option screens, or to the
previous screen from any submenu screens. If settings have been changed but not saved, a
message displays. Follow the message instructions.
2-3
2. System setup
Default Settings
Auto Swap at Beginning of Exposure
Select this check box to automatically move live images to the right side of the main sys-
tem monitor when the image is created. Clear the check box to require users to swap
images manually.
Auto Save at End of Exposure
Select this check box to automatically save static images as soon as the X-ray switch is
released. Clear the check box to require users to save images manually. Note that
Roadmap phase 1 always saves even if auto save is disabled because it is necessary
to save an image for Roadmap to work correctly.
Auto Playback When Cine Acquired
Select this check box to automatically begin cine playback as soon as the cine is
acquired. Clear the check box to require users to play cine runs manually.
Use Mini Cine Playback
Select this check box to automatically begin cine playback in the mini cine viewer as
soon as the cine is complete. Clear the check box to use the full cine viewer. If Auto
Playback When Cine Acquired is cleared, users must start cine playback manually.
2-4
2. System setup
2-5
2. System setup
2-6
2. System setup
Touch a profile option on the Default Profile setup screen to select that imaging profile as the
default.
Default Imaging Profile
General
The General profile provides image processing optimized for versatility, providing the
best images possible over a wide range of uses.
General HD
The General HD profile is optimized to provide small detail visibility with increased
sharpness.
Bolus Chase
The Bolus Chase profile is optimized for run-off procedures and for interventional pro-
cedures using small guidewires. It is tuned to provide the appearance and the advant-
ages of a subtracted run, although the image is not actually subtracted.
C-Spine (FPD systems)
On FPD systems, the C-Spine profile's X-ray technique and image processing are
optimized for cervical spine imaging to provide high visibility of vertebral bodies, pro-
cesses, facet joints, needles, and tools in short fluoro acquisitions.
Cardiac
The Cardiac profile is optimized for cardiac procedures. It reduces blooming artifacts
and enhances the visibility of moving features and vessels filled with a contrast agent
when compared to not using the profile. The moving features are interventional devices
2-7
2. System setup
such as guidewires, catheters, and stents that are inserted into vessels and manually
manipulated through vessels to the surgical location in the heart.
By default, systems are configured to use an enhanced noise reduction algorithm that
has image quality equivalent to a system with higher power capability, without an
increase in radiation dose. Enable or disable enhanced noise reduction using the Car-
diac check box on the Default Profile screen.
Orthopedic
The Orthopedic profile is optimized for bone contrast and small-detail visibility. It fea-
tures increased sharpness and increased noise reduction.
Pediatric
The Pediatric profile utilizes a lower dose optimized for small patients. This profile
provides image processing and is optimized for versatility, creating the best possible
images over a wide range of uses.
Spine (FPD systems)
On FPD systems, the Spine profile's X-ray technique and image processing are optim-
ized for thoracolumbar and sacral spine imaging to provide high visibility of vertebral
bodies, processes, facet joints, needles, and tools in short fluoro acquisitions.
Spine (II systems)
On II systems, the Spine profile's X-ray technique and image processing are optimized
for spine imaging from cervical to sacrum to provide high visibility of vertebral bodies,
processes, facet joints, needles, and tools in short fluoro acquisitions.
Vascular
The Vascular profile is optimized to visualize positive contrast agent-filled vessels, cath-
eters, stents, and other tools and devices in vascular procedures
By default, systems are configured to use an enhanced noise reduction algorithm that
has image quality equivalent to a system with higher power capability, without an
increase in radiation dose. Enable or disable enhanced noise reduction using the Vas-
cular check box on the Default Profile screen.
9900
The 9900 profile mimics the imaging behavior of the earlier GE OEC 9900 Elite system.
Note: The Spine and General HD profiles are not available on GSP systems.
Enable Profile Enhancement
Select to enable image enhancement. Select Cardiac to enable image enhancement
when using the Cardiac profile, and Vascular to enable image enhancement when
using the Vascular profile. Enhancement for these profiles is on by default.
Touch Save to save the settings or touch Exit to return to the main Applications screen. If
settings have been changed but not saved, a message displays. Follow the message
instructions.
2-8
2. System setup
Use the Applications > Setup > Patient Information screen to define the data that displays in
the image overlay, is saved to DICOM, and is printed.
Touch Patient in the menu to display the Patient Information setup screen.
Figure 2-5: Patient Information setup screen
2-9
2. System setup
settings have been changed but not saved, a message displays. Follow the message
instructions.
2-10
2. System setup
Touchpad Configuration
Pointer Configuration
Select Right-Handed or Left-Handed pointer configuration.
Pointer Acceleration
Select the pointer acceleration, from 1x (slowest) to 5x (fastest). Increasing accel-
eration allows you to move the cursor from one side of the screen to the other with less
motion on the touchpad.
Workstation Audio Configuration
Volume Level
Select a volume level, from 1% to 100%, for system alerts, the shutdown sound, and
keyboard clicks. When the level is changed, a test tone sounds.
Note: This does not control the volume of the OEC Touch / Touch Tableside. See
Volume and brightness control on the OEC Touch / Touch Tableside beginning
on page 3-111 for information on controlling the C-Arm control panel beep
volume.
Adjust C-Arm Alarm Pitch
Pitch Up
Touch to adjust the alarm pitch up. There are 18 distinct pitches.
Pitch Down
Touch to adjust the alarm pitch down.
Test
Touch to hear the alarm pitch.
2-11
2. System setup
When the system is connected to a network, a network status icon displays in the status bar on
left side of the screen.
Figure 2-8: Network status icon
The network status icon varies to indicate the type of network and its connectivity or status.
l An Ethernet icon indicates that the system is connected to a wired network.
l A green wireless icon indicates a strong wireless connection.
l A yellow wireless icon indicates a weak wireless connection.
l A wireless icon with a yellow warning triangle indicates that all the configured settings to
connect to the network are correct, but the system is waiting for an assigned IP address
2-12
2. System setup
from the network before it can perform any network related actions. This may happen if
the network that the system is connecting to is slow or unresponsive.
l A red circle with a strike-though indicates that there is no network connection.
Figure 2-9: Network status icons
Wired Strong wireless Weak wireless No
network network network network
Network Configuration
Touch Network in the menu to display the Applications > Setup > Network Configuration
screen. This screen displays the current network configuration details and provides a field to
enter or edit a Host Name.
If setting or editing the Host Name, touch Save, confirm the changes in the message, and then
touch Exit to return to the main Applications screen.
Figure 2-10: Network Configuration screen with a wired connection
2-13
2. System setup
Host Name
Displays the name of the host network, if applicable. Provide a name if this field is
blank.
Network Name SSID
Displays the wireless network name or Service Set Identifier (SSID) for hidden net-
works. This field is hidden when the system is connected to a wired network.
IP Address
Displays the host Internet Protocol (IP) address.
Subnet Mask
Displays the Subnet Mask address.
Gateway
Displays the Gateway address.
Primary DNS
Displays the primary Domain Name Server (DNS).
Secondary DNS
Displays the secondary Domain Name Server (DNS), if supplied.
Wired MAC Address
Displays the media access control (MAC) address of the wired network adapter.
Wireless MAC Address
Displays the media access control (MAC) address of the wireless network adapter.
Note: On slow wireless networks, the system can sometimes experience a delay during the
login process. One or more of the following measures can improve connection times:
l Connect to a wired network.
l Connect to a faster wireless network.
l Disconnect from the network entirely.
Touch Wireless in the menu to display the Applications > Setup > Network Configuration >
Wireless Networks screen.
2-14
2. System setup
Wireless Networking
Enable Wireless Networking
Select this check box to detect and access existing wireless networks, or clear it to dis-
able the wireless radio.
Refresh
Touch this to scan for currently available wireless networks.
Delete All
Touch this to delete all saved wireless network information on the system, including
imported certificates for those networks.
Wireless networks list
This screen lists detected wireless networks. The name of the detected wireless net-
works are listed in the first column. The signal strength is listed in the second column
and the signal quality is listed in the third column.
Connection column
This column displays an icon next to the connected network, if applicable.
Signal Quality column
This column displays icons indicating the wireless network's signal strength.
Touch Exit to return to the Network Configuration screen.
Edit or Add Wireless Network
Use the Applications > Setup > Network Configuration > Wireless Network Defin-
ition screen to edit existing networks or add a new network. Touch the name of the
2-15
2. System setup
network to edit network details, or touch Other... to add a wireless network with a hid-
den SSID.
Figure 2-12: Wireless Network Definition screen
2-16
2. System setup
PEAP-GTC, TTLS-MSCHAPV2, TTLS-MD5, or TLS. By default, the system uses
Automatic and cycles through all options to find correct type.
If FIPS 140-2 Enforcing is enabled, this field is not configurable, and only TLS is sup-
ported.
Load Certificates
If the selected network uses WPA/WPA2 EAP, touch this to manage certificates for the
network.
Username
Enter the username for an account on the wireless network. This is only configurable if
Security type is WPA/WPA2 EAP.
Password
Enter the wireless network or client certificate private key password.
Use DHCP
Select to allow the system to use Dynamic Host Configuration Protocol (DHCP) to auto-
matically obtain an IP address and other necessary network information from a server
on the network.
If the network does not have a DHCP server, enter the information on this screen manu-
ally.
IP Address
Enter the host Internet Protocol (IP) address.
Subnet Mask
Enter the Subnet Mask address.
Gateway
Enter the Gateway address. This is optional.
Primary DNS
Enter the primary Domain Name Server (DNS). This is optional.
Secondary DNS
Enter the secondary Domain Name Server (DNS). This is optional.
Connect
Touch to connect to the wireless network.
Cancel
Touch to return to the Network Configuration screen without saving any changes.
Forget
This is displayed when the system has previously attempted to connect to a network.
Touch to delete the saved data associated with the network and return to the Wireless
Network Definition screen.
Touch Exit to return to the Network Configuration screen.
2-17
2. System setup
Manage certificates
Use the Applications > Setup > Network Configuration > Wireless Network Defin-
ition > Certificates screen to import and delete certificate files on systems using EAP
authentication.
Figure 2-13: Certificates screen
2-18
2. System setup
Touch Wired in the menu to display the Applications > Setup > Network Configuration >
Wired Network screen.
2-19
2. System setup
If the network does not have a DHCP server, enter the information on this screen manu-
ally.
IP Address
Enter the host Internet Protocol (IP) address.
Subnet Mask
Enter the Subnet Mask address.
Gateway
Enter the Gateway address.
Primary DNS
Enter the primary Domain Name Server (DNS).
Secondary DNS
Enter the secondary Domain Name Server (DNS). This is optional.
Wired MAC Address
This displays the media access control (MAC) address of the wired network adapter.
Touch Save, confirm the changes in the message, and then touch Exit to return to the
main Applications screen.
2-20
2. System setup
Touch Save to save the settings and connect to the network. Touch Exit to return to the
Network Configurations screen.
Ping / Trace
Some system setup is limited to Administrative users only. Emergency and clinical users
do not have access to the screens and functions described in this section.
Touch Ping / Trace... or touch Ping / Trace in the menu to display the Applications > Setup >
Network Configuration > Ping / Trace screen.
Figure 2-15: Ping/Trace screen
Destination
Enter a network destination, an IP address or server name.
Results
Results of the network ping or trace route display in this text box.
Ping
Touch this button to test the network connection. See Test the network connection
beginning on page 2-22 for how to use the ping function.
Trace Route
Touch this button to display the network route between the system and the destination
network. See Trace the network connection route beginning on page 2-22 for how to
use trace route function.
2-21
2. System setup
If the network test is still unsuccessful, consult with the local network administrator and
check the system's network configuration and the network cable to make sure that they
are set up correctly.
2-22
2. System setup
Use the Applications > Setup > Regional Settings screen to set the hospital name, select
decimal, radiation, and SAP unit defaults, and set up the system time and date.
Touch Regional in the menu to display the Regional Settings setup screen.
Figure 2-16: Regional Settings setup screen
Hospital Name
The full or user-designated name of the hospital. This value displays on the image over-
lay.
Decimal Format
Select the preferred regional format, either 1,000.00 or 1.000,00.
Radiation Units
Select the preferred regional format, either gray (mGy, Gy) or roentgen (R).
DAP Units
Select the preferred format for Dose Area Product (DAP). If the selected radiation unit
is gray, choose from Gy cm2, cGy cm2, mGy m2, or mGy cm2. If the selected radiation
unit is roentgen, the default Rcm2 is selected.
Date/Time Settings
X-Ray Timer Units
Select the preferred regional format, either mm.d or mm:ss.d.
2-23
2. System setup
Set Automatically
Select to set the time and date automatically, using the local network. If this is selected,
choose one of the following:
l Use DHCP to request IP addresses and networking parameters automatically from
a DHCP server.
l Enter NTP Address and then enter a valid IP address to manually identify the
address that will synchronize all participating computers. If this setting is selected,
it must be verified using the Verify button to take effect.
Verify
Touch to check automatic time and date settings. The system will force a restart for
changes to take effect.
Depending on network conditions, verification may take longer than the expected 3-5
seconds or may fail, and startup time may be longer than expected. Contact the local
network administrator for assistance with NTP settings.
If the system is configured to set the date and time automatically, always touch Verify
after changing the UTC time zone offset prior to saving. The offset selection will not be
saved if it is not verified.
Set Manually
Select to enter a complete timer and date manually, if there is no local network.
Timezone Offset
Select the appropriate UTC (Coordinated Universal Time) time offset. Select the offsets
hour, half an hour, or fifteen minute increments. By default, the system uses -05:00,
which is Eastern Time.
Daylight Savings
Select if the local region uses Daylight Savings Time. This setting must be manually
cleared during Standard time.
Date Format
Select the preferred regional format, either MM/DD/YYYY, DD.MM.YYYY, or
YYYY/MM/DD.
Touch Save to save the settings or touch Exit to return to the main Applications screen. If
settings have been changed but not saved, a message displays. Follow the message
instructions.
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2. System setup
Use the Applications > Setup > Security screen set up security features.
Touch Security in the menu to display the Security setup screen.
Figure 2-17: Security setup screen
Set Up Login
Require Users to Log In
Select this check box to require a password after the system has been started up or
locked, or clear the check box to allow system use without a password.
If users are required to log in, an Emergency User button displays on the Login screen.
Emergency users do not have to enter a password and only have access to basic
emergency functionality such as creating exams and taking images.
If users are not required to log in to use the system, all users have Clinical user access
to the system. Any access to Administrative user functionality is restricted on systems
in this case. The exception is that the Require Users to Log In check box remains
available.
If Administrative user level changes need to be made on a system that does not require
users to log in, select the Require Users to Log In check box and then restart the
system. An Administrative user can then log in and make security changes to the
system.
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2. System setup
If desired, clear then Require Users to Log In check box once changes are complete.
When the system is restarted, it will not require a password and all users will once
again have Clinical user access.
Screen Saver
Screen Saver Delay Time (1 - 45 mins)
The screen saver dims the screen when the system is not in use, and is designed to
reduce wear and monitor burn-in on the system to increase the life of the monitor. It
does not log out or lock the system, and a password is not required to return the screen
to full brightness.
Enter the number of minutes until the system dims the screen. Select 0 to disable the
feature or select from 1 to 45 minutes. By default, the system waits 10 minutes.
Touch the screen or press any key on the keyboard, any control panel key, any Work-
station keypad key, RUI key, or any X-ray switch to return the screen to full brightness.
Note that pressing an X-ray switch also initiates an X-ray shot.
Notification
Notification Email Addresses
Enter email addresses to receive OS level audit log failures.
SMTP Server Address
Enter the mail server address for the email address entered above.
Banner Upload
Banner File
Select a banner to display.
To set up a banner:
1. Create a plain text (.txt) file containing the desired banner text on a
computer or laptop.
2. Save the text file to the root directory to a non-powered USB drive.
3. Insert the USB drive into a USB port on the system.
4. On the Security screen, touch the Banner File menu and select the text file
from the list
5. Touch Save and then touch Exit.
FIPS
Enable FIPS140-2 Enforcing
Select to enforce Federal Information Processing Standard Publication 140-2, a U.S.
government encryption security standard.
Networks supported under FIPS 140-2 are WPA2 PSK CCMP networks and WPA2
EAP TLS CCMP networks. Networks using WPA, WEP, or TKIP encryption are not sup-
ported by FIPS 140-2.
When FIPS 140-2 enforcing is enabled, networks with an unsupported security type will
not be selectable. If you attempt to connect to a network with a security type or
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2. System setup
encryption which is not supported by FIPS 140-2, a message displays and you are
prompted to select another network.
If a certificate imported on the Applications > Setup > Network Configuration > Wire-
less Network Definition > Certificates screen does not require a password, clear
Enable FIPS140-2 Enforcing to connect to the network.
Portable Media
Copy from/to Portable Media Enabled
Select to allow images and data to be copied from the system to portable media
devices such as USB devices or burned to DVDs. Select to allow images and data to be
copied from the system to portable media devices such as USB devices. Clear to pre-
vent images and data from being copied.
Patient Health Information
Delete All
Touch to delete all patient information and data, including exams and contents of the
Patient screen, before shipping a system or having it serviced. A confirmation message
displays. Follow the message instructions.
Touch Save to save the settings or touch Exit to return to the main Applications screen. If
settings have been changed but not saved, a message displays. Follow the message
instructions.
Antivirus
Touch Antivirus in the menu to display the McAfee Endpoint Security for Linux Threat
Prevention screen.
The screen displays an Entering Antivirus Mode message. Note that the system must be
restarted after exiting the antivirus software and resuming imaging.
Note: Do not perform McAfee agent updates from the ePO server.
Touch the Antivirus Scan tab to display the McAfee Endpoint Security for Linux Threat
Prevention > Antivirus Scan screen.
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2. System setup
Antivirus Details
Shows the latest versions of the antivirus software, antivirus engine, and DAT file.
Antivirus Scan
Start Scan
Touch to begin an OnDemand (manual) scan.
Status Information
Shows status of the antivirus software. Options include Not Started, Starting, Running,
Stopping, and Stopped.
Occasionally, the status display may not indicate that the scan has finished. If more
than 30 minutes have elapsed since starting the antivirus scan and the status indicates
that the scan is still running, restart the system to exit the antivirus scan.
Antivirus Scan Results Details
Last On-Demand Scan Result
Shows relevant details for the most recent OnDemand scan including the completed
time, number of scanned files, number of excluded files, any timeouts that occurred, the
number of infected files, and a link to the most recent OnDemand scan log.
Recent On-Access Scan Result
Not currently used.
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2. System setup
Antivirus Details
Shows the latest versions of the antivirus software, antivirus engine, and DAT file.
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2. System setup
Save Password
Select to save the password.
Apply EPO Settings
Touch to save these settings.
Status Information
Shows status of the current update, when an update is in process.
Touch the Antivirus Non-EPO Setup tab to display the McAfee Endpoint Security for Linux
Threat Prevention > Antivirus Non-EPO Setup screen.
Figure 2-20: Antivirus Non-EPO Setup screen
Antivirus Details
Shows the latest versions of the antivirus software, antivirus engine, and DAT file.
Instructions
Gives detailed instructions on updating the antivirus DAT and engine files.
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2. System setup
Status Information
Shows status of the current update, when an update is in process.
Authentication management
Touch Authentication Management in the menu to display the Applications > Setup >
Security > Authentication Management screen.
Figure 2-21: Authentication Management setup screen
Application Authentication
Application Authentication...
Touch to open the Application Authentication screen.
Audit Logging
Audit Logging...
Touch to open the Audit Logging screen.
Certificate Management
Certificate Management...
Touch to open the Certificate Management screen.
Application authentication
Touch Application Authentication ... from the Application Management screen to display the
Authentication Management > Application Management screen.
Application
Touch Application in the tab bar to display the Authentication Management > Application
Management > Application screen.
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2. System setup
Note: Most of this screen is not used for authentication implementation. Making changes to
the items listed in gray below will not change the system's functions.
Application
Enable Authorization
Select to enable authorization or clear to disable it.
When authorization is enabled, any local or enterprise user must have a role, and users
without an assigned role will be denied access if authorization is turned on.
Configurable delay after authentication failure (seconds)
Not currently used.
Inactivity Timeout (Minutes)
Not currently used.
Display Last Login Name
Not currently used.
Administrator Message
Not currently used.
Custom message to display on login page
Not currently used.
Apply Configuration
Touch to save authorization changes.
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2. System setup
Restore Configuration
Touch to discard changes and restore the previous authorization settings.
Local Users
Touch Local Users in the tab bar to display the Authentication Management > Application
Management > Local Users screen. Use this tab to administer users and user groups.
Figure 2-23: Authentication Management > Application Management > Local Users screen
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2. System setup
Apply Configuration
Touch to save local user changes.
Restore Configuration
Touch to discard changes and restore the previous local user settings.
Local Users
Displays the current list of local users. Select a user from this list to make changes to
the user's account. When a user is selected, the name is highlighted in the list and the
area to the right is populated with that user's details.
User display pane (untitled)
Displays information about the selected user.
Username
Displays the selected user's account name.
Full Name
Displays the selected user's full name.
Roles
Displays the selected user's assigned roles.
Change Password
Touch to change the selected user's password.
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2. System setup
Change Name
Touch to change the selected user's full name.
Remove User
Touch to delete the selected user from the system.
Groups
Displays the current list of groups.
Add To Groups
Touch to add the selected user to a group. A dialogue box displays. See Add user to
group(s) on page 2-36 for more information.
Remove From Groups
Touch to remove the selected user from a group. A dialogue box displays. See
Remove user from group(s) on page 2-36 for more information.
Locked
Select to prevent a user from logging in or clear to unlock a previously locked user to
allow them to log in.
Change Password on Next Login
Select to require the selected user to change their password the next time they use the
system.
Apply Configuration
Touch to save local user changes.
Restore Configuration
Touch to discard changes and restore the previous local user settings.
Add local user
Figure 2-24: Add Local User dialogue box on the Local Users screen
User ID
Enter a unique ID for the new user. User IDs are optional but strongly recommended,
and display on the lock screen when user is logged in. If no user ID is set for a user, the
lock screen will display without a user ID.
Fullname
Enter the new user's full name (given name and surname).
Password
Enter a password for the new user.
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2. System setup
Confirm Password
Re-enter the password.
Add User
Touch to add the user and close the dialogue box.
Cancel
Touch to cancel and close the dialogue box.
Add user to group(s)
Figure 2-25: Add Membership dialogue box on the Local Users screen
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2. System setup
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2. System setup
Enterprise Groups
Displays the current list of enterprise groups. Select a group from this list to make
changes. When a group is selected, the name is highlighted in the list and the group dis-
play pane to the right is populated with that group's details.
Group display pane (untitled)
Displays information about the selected group.
Group Name
Displays the selected group.
Remove Group
Touch to delete the selected group from the system.
Roles
Select roles to apply them to the group, or clear them to remove them from the group.
Choose from Administrator and Standard User.
Apply Roles
Touch to apply group role changes.
Group Members
Displays the user members of the selected group.
Add Membership
Touch to add users to a group. See Add Membership / Add Users to the Group on page
2-39 more information.
Remove Membership
Touch to remove users from a group. See Remove Membership on page 2-40 more
information.
Add Local Group
Figure 2-28: Add Local Group dialogue box
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2. System setup
2-39
2. System setup
Remove Membership
Figure 2-31: Remove Users From Group dialogue box
2-40
2. System setup
Figure 2-32: Authentication Management > Application Management > Enterprise setup
screen
2-41
2. System setup
Configuration Instructions
Displays step-by-step instructions for configuring an enterprise server,.
Auto-detect Server Name
Touch to look up the name of an enterprise server in the directory, if allowed by the
server. Note that not all servers are detectable. If a failure message displays, continue
to add the server manually.
Test Connection
Touch to test the connection to a new server.
A CONNECTION OK message displays next to the button if the test succeeded or a
CONNECTION BAD message displays if the test failed. If the connection fails, check
the server's IP address and verify that the system's DNS is running.
Generate Defaults
Touch to populate the server fields in the area to the right.
This should populate the Realm Name, Format, DN, Login Attribute, First Name
Attribute, Last Name Attribute, and Group Attribute fields with default values for the
selected directory server type. These fields can be configured manually and changed
after they are populated using Generate Defaults.
Username
Enter a username to test the server login functionality. The user must exist on the
server.
Password
Enter the user's password.
Login
Touch to log in to the server. This is a test login to determine that the connection works.
An alert message may display if any of the fields failed to populate or were incorrect.
This may mean that the enterprise server properties may not have been configured
correctly or a user's information is incomplete. Contact the server's owner if this
continues.
Login Results
Displays the login test results.
Server Configuration: 1
Server Name / IP
Enter the enterprise server's name or IP address.
Authentication Type
Select a server authentication type. Choose LDAP (for most Novell eDirectory Servers)
or Kerberos (for most Microsoft Active Directory Servers). LDAP is more commonly
used.
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2. System setup
Use SSL
Select to use SSL connections, if allowed by the enterprise server. Clear if the server
does not support SSL connections.
Note that using LDAP without enabling SSL is not recommended, as this setting allows
passwords to be sent unencrypted.
Verify Certificate
Select to use SSL connections, if allowed by the enterprise server. Clear if the server
does not support SSL connections.
Server Type
Select a server type. Choose Microsoft Active Directory, Novell eDirectory, or Other.
Realm Name
Enter the server's realm, usually its DNS domain name. This is the location where the
enterprise accounts are stored.
LDAP Configuration
These fields are typically pre-populated when Generate Defaults is used. However,
they can be configured manually and changed after they are populated using Generate
Defaults.
Format
Select a format from Domain (for most Microsoft Active Directory Servers) or dn(for
most Novell eDirectory and other servers).
DN
Enter a distinguished name location.
Login Attribute
Enter the attribute to help find a user's unique ID. On Microsoft Active Directory
Servers, use sAMAccountName. On Novell eDirectory servers, use cn.
First Name Attribute
Enter the attribute to help find a user's given name.
Last Name Attribute
Enter the attribute to help find a user's surname.
Group Attribute
Enter the attribute to help find a user's group(s). On Microsoft Active Directory Servers,
use memberOf.
Apply Configuration
Touch to apply configuration changes.
Restore Configuration
Touch to discard configuration changes.
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2. System setup
Audit logging
Touch Audit Logging... from the Application Management screen to display the
Authentication Management > Application Management > Application screen. Use this
screen to configure audit logging which is used for logging user account activity.
Audit Message Settings
Touch Audit Message Settings in the tab bar to display the Authentication Management >
Application Management > Audit Message Settings screen. Use this tab to configure
additional fields to be logged.
Figure 2-33: Authentication Management > Audit Logging > Audit Message Settings setup
screen
Audit Source ID
Enter a number or phrase will make audit logs also log that ID for identification
purposes
Patient Name Anonymized
Not currently used.
Save
Touch to save the audit ID.
Cancel
Touch to cancel changes.
Enterprise Repository
Touch Enterprise Repository in the tab bar to display the Authentication Management >
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2. System setup
Application Management > Enterprise Repository screen. Use this tab to configure a remote
server to accept system audit logs.
Figure 2-34: Authentication Management > Audit Logging > Enterprise Repository setup
screen
Enterprise Repository 1
Select On to enable a remote server or Off to disable it.
Host Name / IP
Enter the remote server's name or IP address.
Port Number
Enter the remote server's port number.
Protocol
Select a protocol. Choose from UDP or TCP. Note that UDP does not send an
acknowledgment that a log was received and TCP sends an acknowledgment. Choose
from UDP, TCP, or TLS. Note that UDP does not send an acknowledgment that a log
was received, TCP sends an acknownledgement, and TLS requires an certificate on
the system to encrypt the message.
Send Test Message
Touch to send a test message to the server. A message displays whether the test
message succeeded or failed.
Enterprise Repository 2
Select On to enable a second remote server or Off to disable it.
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2. System setup
Host Name / IP
Enter the second remote server's name or IP address.
Port Number
Enter the second remote server's port number.
Protocol
Select a protocol. Choose from UDP, TCP, or TLS. Note that UDP does not send an
acknowledgment that a log was received, TCP sends an acknownledgement, and TLS
requires an certificate on the system to encrypt the message.
Send Test Message
Touch to send a test message to the second server. A message displays whether the
test message succeeded or failed.
Save
Touch to save the remote server information.
Cancel
Touch to cancel changes.
Local Repository
Touch Local Repository in the tab bar to display the Authentication Management >
Application Management > Local Repository screen. Use this tab to configure and view audit
logs locally.
Figure 2-35: Authentication Management > Audit Logging > Local Repository setup screen
2-46
2. System setup
On / Off
Select On to save local audit logs or Off to disable it.
Refresh
Touch to refresh the logs displayed.
|<
Touch to go to the earliest page of logs.
<
Touch to go to the previous page of logs.
Page X / Y
Displays the current and total pages of logs..
>
Touch to go to the next page of logs.
>|
Touch to go to the latest page of logs.
Display Raw XML
Displays the raw XML of the log files, without any formatting.
Event ID / Time / Event Outcomes
Displays a list of logged events, the time they were logged, and any outcome of the
event.
Local Repository: XX Messages
Displays the total number of log messages in the local repository. Note that the local
repository contains logs for logins, logouts, password changes, and user creation.
Certificate management
Touch Certificate Management... from the Application Management screen to display the
Certificate Management screen. Use this screen to configure a certificate to encrypt
communications with remote servers.
2-47
2. System setup
2-48
2. System setup
Certificate Name
Enter the certificate name to import.
Select USB
Select the USB where the certificate is located. USB Connected! displays under the
field when a portable media device is detected.
Private Key
Select a private encryption key.
Certificate Content
Select a certificate from the certificate authority that contains the public encryption key.
Submit
Touch to submit changes.
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2. System setup
Reset
Touch to cancel changes.
Third Party Certificate pane
Figure 2-38: Authentication Management > Certificate Management screen with Third
Party Certificate pane
Certificate Name
Enter the certificate name to import.
Select USB
Select the USB where the certificate is located, if applicable.USB Connected! displays
under the field when a portable media device is detected.
Certificate Content
Select a certificate from the certificate authority that contains the public encryption key.
Certificate URL
Enter the URL where the certificate is located, if applicable.
Submit
Touch to submit changes.
Reset
Touch to cancel changes.
2-50
2. System setup
Figure 2-39: Authentication Management > Certificate Management screen with the
Configure Certificate pane
Certificates
Select an uploaded certificate for configuration.
Submit
Touch to submit changes.
Reset
Touch to cancel changes.
Touch Save to save the settings or touch Exit to return to the main Applications screen. If
settings have been changed but not saved, a message displays. Follow the message
instructions.
Certificate management
Touch Certificate Management in the menu to display the Applications > Setup > Security >
Certificate Management screen. Use this screen manage security certificates and to enable
and configure transport layer security for DICOM transactions.
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2. System setup
Figure 2-40: Certificate Management setup screen with Host Certificate as the selected
certificate type
Figure 2-41: Certificate Management setup screen with Trusted Certificate as the selected
certificate type
2-52
2. System setup
Certificate Management
Import / Export
Touch to select a location to import or export a certificate.
Certificate Type
Touch to select a certificate type. Choose from Host Certificate or Trusted Certificate.
The section below displays different depending on which is selected.
If Host Certificate is the elected type, the section below displays the following:
Using
Touch to select a certificate type. Choose from Certificate Authority or Self-Signed.
Certificate
Displays the current host certificate file or No Certificate if one has not been imported
or created.
Expires
Displays the host certificate expiration information.
Key
Displays Set if a private key has been created or imported or Not Set if there is no cer-
tificate.
Create Signing Request / Create Self-Signed Certificate
This button text depends on the Using field selection above.
If Certificate Authority is selected, touch to create a certificate signing request on the
Import/Export location. If Self-Signed is selected, touch to create a self-signed host cer-
tificate and private key.
Import... / Export
This button text depends on the Using field selection. Touch to import or export a cer-
tificate.
If Trusted Certificate is the selected certificate type, the section below displays the following:
Trusted Certificates list
This section lists trusted certificates on the system.
Subject column
This column displays the trusted certificate's applicability.
Expires column
This column displays the trusterd certificate's expiration date.
Import...
Touch to import a new certificate.
Delete
Touch to delete a selected certificate.
DICOM Over TLS Configuration
Enable DICOM Over TLS
Select to enable DICOM over TLS functionality on the system.
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2. System setup
2-54
2. System setup
Import
Touch to import the certificate.
If the certificate is a trusted certificate, a screen similar to the following displays.
Figure 2-43: Import Certificate screen for importing a trusted certificate
Disk encryption
Touch Disk Encryption in the menu to display the Applications > Setup > Security > Disk
Encryption screen.
The system must have at least one password set, either a user password or an auto boot
password, and can have up to two encryption passwords and one auto boot password. If a user
attempts to delete the last password, a message displays that it is the last password and
cannot be deleted.
Encryption passwords are created by an Administrative user. The auto boot password is
generated by the system software and is embedded internally.
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2. System setup
2-56
2. System setup
Update Password
Existing Password
Enter the current password.
If no encryption passwords are set, this field is unavailable.
Show Password (eye icon)
Touch and hold to show the password. When the button is released, the password is
obscured with symbols.
New Password
Enter the new password. Passwords must meet the following complexity requirements:
l Passwords must contain at least 15 characters.
l Passwords must contain at least 1 of each character class: upper case
letter, lower case letter, number, and symbol.
l Passwords are case-sensitive.
l No character may repeat more than 3 times.
l No character class (upper case letter, lower case letter, number, or symbol)
may repeat in a sequence more than 4 times.
l Passwords cannot be palindromes (the same forward and backward,
regardless of case).
l Previously used passwords cannot be reused.
l Certain easily-guessed words are not allowed, including password.
If a new password does not meet the complexity requirements, a DECRYPTION
PASSWORD CREATION FAILURE message displays.
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2. System setup
Retype Password
Enter the new password again.
Update Password
Touch to change the selected password.
Delete a password
Touch Delete to delete a specific password. A new section displays on the screen.
The system must have at least one password set, and the last password cannot be deleted.
If the auto boot password is deleted, an encryption password must be entered every time the
system starts.
Figure 2-46: Deleting a password on the Disk Encryption screen
Delete Password
Existing Password
Enter a current password. Use either encryption passwords.
Delete
Touch to delete the selected password.
Touch Save to save the settings or touch Exit to return to the main Applications screen. If
settings have been changed but not saved, a message displays. Follow the message
instructions.
Remote Logging
Touch Remote Logging in the menu to display the Applications > Setup > Security > Remote
Logging screen.
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2. System setup
2-59
2. System setup
Use the Applications > Setup > Utilities screen to display the line power information and
voltage display, set up a display test pattern, set up lift column functionality, and set up external
video display.
Touch Utilities in the menu to display the Utilities screen.
Figure 2-48: Utilities screen
Show / hide system voltage display is available only for Administrative users.
Show
Touch to display the system AC voltage and current on the bottom right of the screen.
Service personnel may instruct users to display this information for troubleshooting pur-
poses.
Figure 2-49: Voltage display in the left status bar
Hide
Touch to hide the AC voltage and current information.
Surgery Analytics
Status
Displays the status of the Surgery Analytics tool.
Information
Displays additional Surgery Analytics information.
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2. System setup
Remote Service
Connection Status
Displays the connection status. Options include:
l Not enabled – Connections are disabled.
l Not configured – Remote connections are not available until the service engineer
correctly configures the RSvP agent.
l Local network unavailable – The network is not connected.
l Local proxy connection refused – The system cannot access the proxy server
on a local network.
l Can’t reach Internet server – The system cannot connect to a GE back office
server.
l System is not recognized by Remote Service – The system ID (configured by
the service engineer) is not verified by the GE back office.
l Connecting – The RSvP agent running and trying to connect.
l Connected – The RSvP agent successfully connected and verified.
Display
Display Test Patterns...
Touch to open the Applications > Setup > Utilities > Display Test Patterns screen.
See Display Test Patterns beginning on page 2-65 for more information.
Display Video Output...
Touch to open the Applications > Setup > Utilities > Video Output screen. See Video
output beginning on page 2-66 for more information.
Touch Exit to return to the main Applications screen or touch the submenu item or the
corresponding button to access the Display Test Patterns screen.
Remote Service Platform (RSvP)
The InSite Remote Service Platform (RSvP) provides a secure remote connection to the GE
back office through the hospital network and allows users to automatically or manually upload
log packages for service activities. RSvP does not open listening network ports. All connections
are initiated from the agent on the system and connect only to validated GE servers using
unique identifiers and tokens for each request.
The RSvP agent provides connectivity for the following remote service features:
l Daily and manual log file uploads
l Screen Sharing
Remote service is disabled by default on the system. Contact Service to enable remote service
connections.
Once remote service is enabled, the Applications > Setup > Utilities screen includes a
Remote Service section, similar to the following:
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2. System setup
Touch Remote Service on the Utilities screen to control remote service connections. A screen
similar to the following displays:
2-62
2. System setup
Figure 2-51: Applications > Setup > Utilities > Remote Service screen
When RSVP screen sharing is enabled, the Patient, Reference, and Annotation tabs and
some functions on the Images tab are unavailable.
Connection
Local Network
Displays the network connection status. Options are Connected or Disconnected.
Local IP Address
Displays the system's IP address.
Remote Service
Displays the connection status. Options include:
l Not enabled – Connections are disabled.
l Not configured – Remote connections are not available until the service engineer
correctly configures the RSvP agent.
l Local network unavailable – The network is not connected.
l Local proxy connection refused – The system cannot access the proxy server
on a local network.
l Can’t reach Internet server – The system cannot connect to a GE back office
server.
l System is not recognized by Remote Service – The system ID (configured by
the service engineer) is not verified by the GE back office.
l Connecting – The RSvP agent running and trying to connect.
l Connected – The RSvP agent successfully connected and verified.
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2. System setup
Log Upload
System log files that previously could be exported to a USB device can now be uploaded
directly to the GE back office servers for analysis without a site visit. The system will not upload
logs during imaging activities. If a log is uploading when an X-ray switch is turned on, the
upload stops until the switch is released and imaging is complete.
To schedule log file uploads, contact Service.
Note: Log files do not contain PHI.
Daily Log Upload
Displays the selected option for log uploads. Options are Enabled and Disabled.
Last Log Upload
Displays the last successful upload date.
File Transfer Status
Displays the file transfer status. Options include Not Started, Transmitting, Stopped,
Failed, and Successful.
Start
Touch to begin a manual file transfer. A progress bar displays the status of the upload.
Stop
Touch to end a file transfer.
Screen Sharing
During a technical support call, customers can now initiate a screen sharing session.
Screen sharing uses a GE proprietary service connection and is not accessible by other
computers on the network. A GE remote service engineer will be able to see and con-
trol the main system monitor, but not the C-Arm touchscreen.
Note: PHI may be visible to the GE employee during screen sharing sessions.
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2. System setup
shuts down. Call for Service to enable or disable secure file transfer functionality.
A remote transfer status displays. Options include:
l Not enabled – Connections are disabled.
l Not configured – Remote connections are not available until the service engineer
correctly configures the RSvP agent.
l Local network unavailable – The network is not connected.
l Local proxy connection refused – The system cannot access the proxy server
on a local network.
l Can’t connect to Remote Service – The system cannot connect to a GE back
office server.
l System is not recognized by Remote Service – The system ID (configured by
the service engineer) is not verified by the GE back office.
l Connecting – The RSvP agent running and trying to connect.
l Connected – The RSvP agent successfully connected and verified.
Accept
Touch to start a secure file transfer session.
Reject (or Close)
Touch to reject a secure file transfer session request or to close an open session.
Touch Exit to return to the main Applications screen.
Display Test Patterns
Touch Display Test Patterns... or touch Test Patterns in the menu to display the Display Test
Patterns screen.
Figure 2-52: Display Test Patterns screen
2-65
2. System setup
Touch a test pattern button to display the test pattern or touch Exit to return to the Utilities
screen.
Available Test Patterns
Touch a test pattern button to display the test pattern. Options include:
l SMPTE l TG18-LN8-06 l TG18-LN8-15
l TG18-OIQ l TG18-LN8-07 l TG18-LN8-16
l TG18-UN80 l TG18-LN8-08 l TG18-LN8-17
l TG18-UN10 l TG18-LN8-09 l TG18-LN8-18
l TG18-LN8-01 l TG18-LN8-10 l TG18-MP
l TG18-LN8-02 l TG18-LN8-11 l TG18-UN80/UN10
l TG18-LN8-03 l TG18-LN8-12 AAPM:TG18/DIN6868-
157
l TG18-LN8-04 l TG18-LN8-13
l TG18-LN8-05 l TG18-LN8-14
Press any key or touch anywhere on the main system monitor to close this screen and return to
the Test Patterns screen.
Video output
Touch Video Output in the menu to display Applications > Setup > Utilities > Video Output
screen. An external monitor must be plugged in to the Video-out connector to display the
system image on an external screen.
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2. System setup
Workstation Connectors
Displays the available Workstation connectors.
Video Output 1 and 2
Displays the current output configuration for the screen setup displayed on devices
plugged into the external video connectors. Touch anywhere in the video output area to
configure the display options.
Touch an area of the screen to select or clear it from the display configuration. Blue dot-
ted borders indicate that an area can be selected or cleared. Yellow dotted borders
indicate that, in that configuration, the area cannot be cleared.
Video output can be configured in several ways:
Entire screen. All areas have yellow dotted borders. This is the default set-
ting.
Left side of the screen with header and footer. The image area has a yellow
dotted border and the header and footer has blue dotted borders.
Left side of the screen only, without header or footer. The image area has a
yellow dotted border.
Right side of the screen with header and footer. The screen area has a yel-
low dotted border and the header and footer has blue dotted borders.
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2. System setup
Right side of the screen only without header and footer. The screen area has
a yellow dotted border.
Apply
Touch Apply to save the display configuration and activate the external display.
Note: The C-Arm can only be used in conjunction with a paired Workstation with matching
serial numbers.
Each system is shipped with a sheet of colored dot system pairing labels.
Figure 2-55: System pairing labels sheet
The system pairing labels are provided so that users can mark a compatible C-Arm and
Workstation to aid in system pairing during setup and after storage.
2-68
2. System setup
2-69
2. System setup
If one or more breakers continue to trip, discontinue use, unplug the system, and call for
service.
The underside of the C-Arm contains a large circuit breaker, CB1, shown in Figure 2-58. CB1
disconnects the C-Arm batteries from the circuit and is used when the system is shipped or
transported, or during rough handling.
Figure 2-58: C-Arm CB1
If CB1 is switched off when the system starts up, a PRECHARGE CIRCUIT TIMEOUT or
PRECHARGE VOLTAGE ERROR message displays. To reset CB1:
1. Turn off system power and allow the system to shut down.
2. Reach under the C-Arm at the location indicated in Figure 2-58 and push the circuit
breaker switch forward.
3. Turn the system on.
If the PRECHARGE CIRCUIT TIMEOUT or PRECHARGE VOLTAGE ERROR message
recurs, call for service.
If the system suffers a failure while starting up, the following displays on the screen. Call for
service.
Figure 2-59: System startup failure
2-70
2. System setup
Note that the system allows the Workstation to be turned on before connecting the C-
Arm to the Workstation.
3. Insert the Workstation interconnect cable into the connector located on the right side
cover of the C-Arm by aligning the index marks (red dots) on the connector and pushing
the connector in until it locks in place.
Caution If the connector does not lock in place, unreliable system operation may result.
4. Connect the footswitch and/or handswitch to the sockets on the C-Arm interface panel
located on the left side cover. Verify that each connector locks in place.
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2. System setup
5. Motorized systems only: Plug the Remote User Interface (RUI) into the RUI connector on
the C-Arm interfact panel.
6. Turn the keyswitch located on the C-Arm interface panel to the 45° X-rays and Motion
Enabled position to enable X-rays and any motorized mechanical movement.
7. Press the power switch to turn on the system.
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2. System setup
The switch lights up, indicating that the power is turned on. Both the Workstation and the C-Arm
will begin their startup sequence.
The system starts up and is fully functional within 175 seconds, or just under 3 minutes.
Note: If NTP is enabled and the network is experiencing connectivity issues, startup time may
be longer than expected. Verify the NTP server on the Regional Settings setup screen.
Contact the local network administrator for assistance with NTP settings. See 2.1.10
Set up regional settings beginning on page 2-23 for more information.
Note: During the startup sequence, all lights on the C-Arm control panel and on the footswitch
and handswitch, if connected, illuminate. The C-Arm control panel remains dark until
the end of initialization. When the system is initialized, the C-Arm control panel displays
the default technique screen.
The system has completed the startup sequence when the Workstation displays either the
Login screen or the Patient screen on the right side of the main system monitor.
The C-Arm controls will default to the following settings at start up:
Image Orientation Select either Retain Last or Reset to Home. See 2.1.6 Set up pos-
ition defaults beginning on page 2-10 for more information.
Field Size NORM
Collimation The iris is fully opened. The leaf / leaves are opened and rotated
180° from the stops.
Brightness / Auto Brightness / Contrast is selected.
Contrast
Generator Auto Technique is selected along with the standard Auto Bright-
ness / Contrast. Pulse is off. kV and mA may vary by detector size.
Note: If a problem is encountered during power up, an error message may be displayed. See
14.3 Messages beginning on page 14-6 for more information.
2-73
2. System setup
For clinical use, enter a username and password, and touch Login. Clinical use allows access
to all non-Administrative operations described in the manual, depending on the type of system
and software.
Login
Username
Enter the username. If the system is locked, displays the current user.
Password
Enter the password.
Login
Touch to log into the system.
Change User
If the system is locked, touch to log out the current user, clear the user displayed in the
Username field, and log in with a new username.
Change Password...
If a password has expired or been forgotten, touch to set up a new one.
2-74
2. System setup
Last Login
Once the user is logged in, if that user has previously logged in, the date and time of the
last login displays. Otherwise, No previous logins displays.
On rare occasions, all administrative and clinical users cannot log in and an
AUTHENTICATION ERROR Invalid login and/or password detected message displays. If
this occurs, call for service. Use the Emergency login to access the system.
Emergency login
For emergency use, enter your name and touch Emergency Login. A password is not required.
Emergency access is limited to the following screens and functions:
l Patient tab - enter patient information including additional information for an emergency
patient
l Mode and Profile screens - select modes and profiles
l Images tab - view images for the current exam, move images to a new study, and end
the exam
l External Video screen - view an external video source (for example, an endoscope) on
the system monitor
Change password
If a password has expired or forgotten, use the Change Password... button to set up a new
password. The Login screen displays a new section, similar to the following.
Figure 2-64: Change Password fields on the Login screen
2-75
2. System setup
Change Password
Username
Enter the username.
Old Password
Enter the previous (old) password.
New Password
Enter the new password. A check mark displays when the password meets the system
complexity requirements. Complexity requirements include:
l Passwords must be at least 8 characters.
l Passwords are case-sensitive.
l Previously used passwords cannot be reused.
l Certain easily-guessed words are not allowed, including password.
If a new password does not meet the complexity requirements, a LOGIN
PASSWORD ERROR message displays.
Confirmed New Password
Enter the new password again. A check mark displays when the retyped password
matches the new password.
Confirm
Touch to save the new password and return to the normal Login screen.
Cancel
Touch to cancel and return to the normal Login screen.
Show Password (eye icon)
Touch and hold to show the password. When the button is released, the password is
obscured with symbols.
Note: Until the correct password is entered and accepted by the system, X-rays and all
switches and remotes are disabled.
Note: On slow wireless networks, the system can sometimes experience a delay during the
login process. One or more of the following measures can improve connection times:
l Connect to a wired network.
l Connect to a faster wireless network.
l Disconnect from the network entirely.
Log out
When you have finished using the system, you can log out by pressing the Logout button or
simply by shutting down the system. When you press the Logout button, a confirmation dialog
box displays. Touch OK to log out or touch Cancel to return to work on the system.
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2. System setup
Note: If the system is not configured to use a password, the Logout button is hidden.
Startup checklist
Use the following checklist when preparing the system for use.
1. Place the C-Arm and Workstation in a position that leaves the various cables and
connectors easily accessible and from which the system can easily be moved into
position for use.
2. Check the cables and connectors for breaks, wear, bent pins or prongs, or any other
damage. Do not use worn or damaged cables.
3. Visually inspect the system for damage and missing parts.
Caution Do not turn on electrical power if any of the covers are not in place or broken.
Hazardous electrical or mechanical parts could be exposed. Damaged parts may
lose their degree of protection against harmful ingress of liquids or may fall.
Contact service to replace the damaged or missing parts.
4. If using the C-Arm, plug the interconnect cable from the Workstation into the interconnect
socket on the C-Arm.
Note: The system allows the Workstation to be turned on before connecting the C-Arm to the
Workstation, but the C-Arm should not be connected while the system is starting up.
Note: If the C-Arm was not already connected, it can be connected after the system has
completed the startup sequence.
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2. System setup
7. Systems with a Touch Tableside device only: Plug in the Touch Tableside cable into the
Touch Tableside socket.
8. Systems with a Touch Tableside device only: Plug the mini Remote User Interface (RUI)
into the RUI connector on the C-Arm interface panel.
9. Plug handswitches and/or wired footswitches (if applicable) into the appropriate sockets
on the C-Arm interface panel.
10. If using a wireless footswitch, press the Mode switch on the footswitch to confirm that the
mode changes on the system.
11. If using a wired network connection, plug the Ethernet cable in.
12. If using a wired external video device, plug the device into the system and check its
operation.
13. Motorized systems only: Plug the Remote User Interface (RUI) into the RUI connector on
the C-Arm interface panel.
Caution Cords and cables connected to the Workstation and C-Arm can become trip
and/or snag hazards in the work area. Make sure that all cords and cables are
routed to eliminate trip and/or snag hazards. Personnel working around the
Workstation and C-Arm should be aware of all cords and cables whenever they
move around the system or the system is moved.
14. When startup is complete, the Login screen displays if password protection is enabled.
Enter the password and touch OK.
15. Place the C-Arm keyswitch to the 45° X-rays and Motion Enabled position.
16. Check the lift column operation by pressing the lift column switches on the cross-arm
housing.
17. Motorized systems with Touch Tableside device only: Check the lift column operation by
pressing the lift column switches on the mini RUI.
18. Move the C-Arm through its complete range of motion both lateral rotation and cephalad
/ caudal tilt making sure that motion is smooth without binding or rough motion.
19. Motorized systems only: Squeeze the bumper and verify that a CONTACT DETECTED
message displays and that all motion stops.
20. Check the operation of the Touch / Tableside C-Arm control panel by adjusting the kV
value manually using the kV button.
21. Motorized systems only: If using an RUI or mini RUI, orient the RUI to the C-Arm and the
patient, as described in Orientation beginning on page 3-74.
22. Check the imaging system.
l Put on appropriate personal protective equipment, for example, a lead
apron.
l Make sure that no unprotected people are in the immediate vicinity and
place a radio opaque object in the X-ray field. Take a 1-second fluoro image.
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2. System setup
l During the shot, make sure that the values for shot time, dose rate, and
cumulative dose displayed in the bottom right corner of the left side of the
main system monitor are greater than 0.
l Check the image quality.
l Check image manipulation: rotation, flip vertical, flip horizontal.
l Open, close, and rotate the iris and leaf collimators.
l Check any other modes of operation, such as subtraction, that will be used
during the proposed clinical procedure.
If the system fails any of the checks, do not proceed with clinical use of the system.
Call for service. Otherwise, the system is ready for clinical use.
Note: Once the system shutdown message displays, the shutdown cannot be aborted. Wait
for the shutdown to finish before restarting the system.
Note: Because the system contains battery-backed power supplies, shutting down using the
power switch does not completely remove power from the system. To remove power,
shut down the system and unplug the system from the wall socket after normal
shutdown is complete.
Caution Never unplug the power cord until shutdown is complete and power is off.
Note: Remove all power from the system before moving the system or if a problem occurs
which prevents normal operation. All power should also be removed when planned
maintenance or cleaning is performed.
2-79
2. System setup
Warning All power to the system has not been removed until the Workstation is
unplugged from the electrical outlet.
Shutdown checklist
Use this checklist when shutting down the system after use.
Note that the system allows the C-Arm to be unplugged before turning off the Workstation, or
while the Workstation is shutting down.
1. Return all C-Arm moving assemblies to their most compact positions, lower the vertical
column, and retract the cross-arm.
2. Motorized systems only: Move the C-Arm image detector to the 0,0 position (vertical with
no lateral rotation or cephalad / caudal tilt).
3. Press the power switch on the front of the system. The power switch begins to blink as
the system shuts down. A shutdown message displays in the status bar. Shutdown time
varies according to what the system was doing when the power switch was pressed.
Shutdown takes a minimum of 10 seconds. The Workstation power switch continues to
blink for 10 seconds to indicate the wait time.
4. After the system is completely shut down and the Workstation power switch has stopped
blinking, disconnect the Workstation power cord from the AC outlet, coil it, and store it on
the Workstation.
5. If the system is connected to the site network by wired Ethernet, disconnect the Ethernet
cable before moving the Workstation.
6. Disconnect any switch cables from the C-Arm connector panel and store the cables and
switches on the C-Arm.
7. Disconnect the C-Arm interconnect cable, coil it, and store it on the Workstation. Ensure
that any other cables and connectors are accessible and can be easily moved into place
for use.
Shutdown is complete.
Caution Data loss can occur if the system startup sequence is interrupted. In order to
prevent data loss, the system cannot be shut down during startup sequence.
Under normal conditions the Workstation should always be shut down using the power switch
2-80
2. System setup
on the front of the Workstation. If a situation arises that requires the immediate shutdown of the
system or the normal shutdown does not complete properly, the Workstation is equipped with a
system disable switch.
Figure 2-66: System disable switch
Pressing the system disable switch immediately shuts down the system. To restore system
operation, unplug the power cord for 10 seconds, plug it back in to the power outlet, and press
the power switch.
If pressing the system disable switch does not stop X-rays, press a fast stop switch or
disconnect the power plug from the wall outlet.
2-81
2. System setup
2-82
2. System setup
2.2.4 Immediate system shutdown beginning on page 2-80 for detailed instructions for
restarting the Workstation.
If the system fails to respond or continues to lock up, call for service.
2-83
2. System setup
2-84
3. System operation
3. System operation
This chapter describes how to use the system, including physical positioning and operating
controls.
Note: Main system screens includes a breadcrumb trail at the top of the screen to help
navigation. These screens are introduced in this chapter using the full breadcrumb trail,
then referred to by the screen title thereafter.
Screens may vary depending on system configuration.
3-1
3. System operation
Online eIFU
The most current versions of operator documentation is available on the Internet.
To access manuals online:
1. Navigate to the Support Documentation Library
(https://www.gehealthcare.com/documentationlibrary) in a web browser
2. Under the Customer Documentation Portal header, click VISIT THE SITE.
3-2
3. System operation
3. Once in the portal, enter the part number in the Enter Document Number or keyword
field.
4. Click Search. The search results display.
5. Click the Download icon in the Actions column to save the document to your computer.
Paper copies
A paper copy of the operator manual can be ordered at no additional cost.
Send a request to your Sales or Service representative. They will transfer your request to
[email protected].
In application of the EU Commission Regulation on electronic instructions for use of medical
devices, in the European Union, your request should be treated within 7 days.
3-3
3. System operation
Reverse image
Location: C-Arm control panel and RUI
Use Reverse image to reverse a live static image or live cine run produced while X-
rays are generated, or a Last Image Hold (LIH) image.
Touch the left button to reverse the image left to right, and touch the right button to
reverse the image top to bottom. The icon on the C-Arm control panel is highlighted
when a reversal is applied. Reverse image remains selected when the button is
touched, and will be applied to subsequent images.
This feature is used with the most recent shot in order to aid setting optimal
orientation for the next live shot. Recalled static images, recalled cine runs, and
swapped images cannot be reversed.
Mode
Location: C-Arm control panel, handswitch, footswitch, and the RUI
Use Mode to toggle through available modes, or between standard fluoroscopy
and the vascular imaging modes when using a Vascular or Cardiac system. The
currently selected modes display in the status bar. See 5.1.1 Select modes
beginning on page 5-1 for more information on modes and using Mode.
Mode on the C-Arm control panel
The C-Arm control panel includes an area for selecting modes, assigning X-ray
switches, and applying pulse rates. This area mimics the layout of both the
footswitch and the Reference > Mode screen. See 5.1.3 X-ray mode setup
beginning on page 5-1 for more information on selecting modes and assigning
pulse rates.
Figure 3-2: Mode selection on the C-Arm control panel
Field of View
Location: C-Arm control panel and RUI
Use Field of View to select the desired X-ray field size. The radio button indicates
which field of view is enabled:
Text Icon Field Size Field Size Field Size Field Size
(9 in II) (12 in II) (21 cm FPD) (31 cm FPD)
NORM 22 cm diameter 29 cm diameter 21 cm x 21 cm 31 cm x 31 cm
MAG1 16 cm diameter 20 cm diameter 15 cm diameter 21 cm diameter
MAG2 12 cm diameter 16 cm diameter 11 cm diameter 15 cm diameter
The system can be configured so that the boundaries of the beam limiting device
are visible on the main system monitor with the X-ray field at its maximum size for
each magnification mode. Contact service to have the system configured.
3-4
3. System operation
Pulse
Location: C-Arm control panel and RUI
Use Pulse to enable pulsed imaging mode using the current pulse rate, selected
on the Reference > Mode screen. A preset number of X-ray pulses are generated
each second while the X-ray switch is pressed. Pulsed X-rays can reduce total
radiation dose, and cannot be used with Digital Spot mode.
3-5
3. System operation
To change the pulse rate of a selected mode, touch and hold the Pulse button on
the image control panel. A menu displays next to the Pulse button. Select a pulse
rate.
Figure 3-3: Pulse rate selection on the C-Arm control panel
Tap the Pulse button to switch between pulse and continuous modes.
The C-Arm control panel also includes an area for selecting modes, assigning X-
ray switches, and applying pulse rates. This area mimics the layout of both the
footswitch and the Reference > Mode screen, and includes drop-down lists for
selecting a frame rate for each mode. See 5.1.3 X-ray mode setup beginning on
page 5-1 for more information on selecting modes and assigning frame rates.
Low Dose
Location: C-Arm control panel and RUI
Use Low Dose to select the low dose function.
Touch this button to reduce the exposure dose rate to the patient. Touch it again to
return to normal dose. The icon on the C-Arm control panel is highlighted when low
dose is enabled.
3-6
3. System operation
eAlarm Reset
Location: C-Arm control panel and RUI
Use Alarm Reset to reset the alarm on the C-Arm and briefly to silence the alarm,
turn off the LED (on the RUI), and clear related error messages.
Touch and hold Alarm Reset for at least two seconds to reset the accumulated
exposure time to zero and silence the alarm.
The C-Arm tracks the amount of time that X-rays are generated when an X-ray
switch is pressed. The amount of accumulated exposure time is indicated on the C-
Arm control panel.
If pulse mode is enabled, the amount of time accumulated depends on the length
of time an X-ray switch is pressed and the length of the pulses and the number of
pulses per second.
Systems sound an alarm and the icon on the C-Arm control panel flashes at the
end of each 5 minute (by default) interval of accumulated fluoroscopy time.
Systems can be configured to terminate X-rays when the “continuous” fluoro time
reaches a preset limit. The default is 10 minutes maximum. Thirty seconds prior to
termination an alarm will sound. Touch Alarm Reset to silence the alarm. Release
the X-ray switch and then press the X-ray switch again to enable X-rays.
Note: A service representative can adjust the time duration before X-rays are
terminated.
3-7
3. System operation
Swap
Location: C-Arm control panel, image control keypad, RUI, and bottom left of the
main system monitor
Use Swap while generating live X-rays or after X-rays have been terminated.
l While generating live X-rays or while playing back a cine run - touch or
press Swap to copy one frame of the live X-ray and move it to the right side
of the main system monitor. Touch or press Swap again to discard the
previously swapped image and replace it with the new image.
l After X-rays have been terminated - the last frame of the exposure is
retained on the left side of the main system monitor (last image hold). Touch
or press Swap to swap the images displayed on the left and right sides of the
monitor.
l If the right side of the main system monitor is blank, touch or press Swap to
copy the image on the left side of the main system monitor to the right side of
the main system monitor.
3-8
3. System operation
Location: C-Arm control panel, virtual control panel, image control keypad, and
RUI
Use Brightness and Contrast to view and change the contrast and brightness level
of the image displayed on the left side of the main system monitor.
Figure 3-4: Contrast and brightness display on the virtual
control panel, with Contrast selected
3-9
3. System operation
To adjust them:
Make sure that the Auto Brightness / Contrast LED on the image control keypad
and the RUI on motorized systems is off and the icon on the C-arm control panel is
not highlighted, indicating that manual adjustment is enabled, and then do one of
the following:
l On the C-arm control panel: Touch the slider beneath the image and drag to
the right to increase the value, or to the left to decrease it.
l On the Image control keypad: Press Contrast to change the level of contrast
or Brightness to change the level of brightness.
l On the virtual control panel: Touch the slider at the right and drag up to
increase the value, or down to decrease it.
Smart Metal
Location: Virtual control panel and C-Arm control panel
Use Smart Metal to minimizes the effect of metals on image sharpness or quality.
Instead of using metal in the image (such as plates, pins, and screws) to determine
brightness and contrast (potentially causing image errors such as blooming),
Smart Metal uses other features to set brightness and contrast.
Smart Metal can be disabled or enabled on the Applications > Setup > Image
Acquisition screen, and must be enabled for use. See Set up image acquisition on
page 2-4 for more information.
Smart Metal values are 0 to 100, in increments of 1.
Smart Metal can also be accessed by using Auto Brightness / Contrast on the C-
Arm control panel or RUI. Use Brightness / Contrast to adjust autohistogram
levels and reduce the appearance of metal in the image. Use the top to increase
contrast and decrease brightness. Use the bottom to increase brightness and
decrease contrast.
To use this feature on the C-Arm control panel:
1. Ensure that the Auto Brightness / Contrast icon on the C-Arm control panel
is selected or the LED on the image control keypad is illuminated, indicating
that automatic brightness / contrast is enabled.
2. Touch Smart Metal on the C-Arm control panel.
3. The Smart Metal default level bar will display on the left side of the main
system monitor and on the C-Arm control panel.
4. Adjust the level of metal rejection using the up and down arrows on the
virtual control panel or adjusting the slider on the C-Arm control panel.
5. Touch Smart Metal to exit. The icon will turn off, indicating the system is in
manual contrast/ brightness mode.
6. Touch Auto Brightness / Contrast to enable automatic brightness / contrast
again, if necessary.
3-10
3. System operation
Negate
Location: Virtual control panel, C-Arm control panel, and image control keypad
Use Negate to invert the display of light and dark values in an image.
Figure 3-5: Negate displays
3-11
3. System operation
Zoom
Location: Virtual control panel, image control keypad, and Reference screen
On the C-Arm control panel, zoom is accomplished with a gesture on the
touchscreen and is described below. Zoom fine adjustment can also be
accomplished using the Zoom icon on the image display on the left side of the C-
Arm control panel, also described below.
Use Zoom to magnify the image on the screen.
Figure 3-6: Zoom display
3-12
3. System operation
To zoom out, place two fingers on the screen and pinch them together.
The image will contract on the screen.
3-13
3. System operation
Enhance
Location: Virtual control panel, C-Arm control panel, and image control keypad
Use Enhance to emphasize edges and increase image detail and sharpness.
Figure 3-9: Enhance display on the virtual control panel
On the virtual control panel, touch Enhance, and then touch the slider at the left and
drag up to increase the enhancement or down to decrease it.
On the image control keypad, press the top portion of the key to increase the
enhancement or the bottom portion to decrease it. Enhancement values are 0 to 10, in
increments of 1.
On the C-Arm control panel, touch Enhance in the image processing bar on the left side
of the screen, and then touch the slider at the right and drag up to increase the
enhancement or down to decrease it.
Changes to enhancement are indicated by a corresponding rise or fall in the light-
colored portion of the indicator bar on the left side of the main system monitor. The
indicator bar disappears two seconds after Enhance is released or the button is
pressed. The indicator bar disappears immediately when any X-ray switch is pressed.
Note: Enhancement can be applied to static and dynamic images. This function can
be applied to live and post-processed images.
3-14
3. System operation
On the virtual control panel, touch Noise Filter and then touch the slider at the right
and drag up to increase noise filtering or down to decrease it.
On the image control keypad, press the top portion of the key to increase the
filtering or the bottom portion to decrease it.
Changes to noise filtering are indicated by a corresponding rise or fall in the light-
colored portion of the indicator on the left side of the main system monitor. No
light-colored bar showing on the indicator means minimal filtering is applied. The
indicator disappears two seconds after the slider is released or the button is
pressed. The indicator disappears immediately when any X-ray switch is pressed.
Averaging provides image noise reduction to create a smoother image. Noise
filtering can be applied during live fluoro for all image modalities. Higher levels of
noise filtering produce a smoother (or less noisy) image, but may also cause more
lag when imaging moving objects or anatomy. Choose from minimal, low, medium,
and high levels of filtering.
Note: Noise filtering is a real-time processing function and cannot be adjusted on
static images.
Reset
3-15
3. System operation
Note: Each C-Arm and Workstation is marked with a set of system pairing labels, colored dot
that correspond on compatible components. System pairing labels may be yellow,
green, purple, red, orange, blue, or indigo. Always match the system pairing labels
before connecting a Workstation and a C-Arm.
If the Workstation is used as an independent Workstation to review or navigate on previously
captured images, plug it into an active, compatible AC receptacle and turn the Workstation on.
If the Workstation is to be used with a compatible C-Arm, connect the Interconnect Cable from
the Workstation to the C-Arm and check it for proper operation. The system does not need to
be shut down to disconnect or connect a C-Arm to the Workstation. When the interconnect
cable is disconnected while the system is running, there is a 10-second wait period before
power is applied to the C-Arm. If the interconnect cable is connected within that 10-second wait
period, power will not be applied to the C-Arm until the wait period is complete.
The following illustration and list show the location of Workstation components.
Figure 3-11: Workstation components
1. X-Ray On indicator
2. Monitor latch
3. Image control keypad
4. Printer shelf
5. Interconnect cable, wrapped on cable
hanger
6. Monitor handle
7. Power switch (green illuminated button)
8. Workstation handle
9. Power cord, wrapped on cable hanger
10. Fan vents (one on each side)
11. Workstation brake pedal
3-16
3. System operation
The Workstation back panel has a green indicator light that illuminates when the Workstation
receives AC line power from an active electrical outlet.
Circuit breakers are located below the green indicator light and on the right side of the back
panel. See 2.2.2 Turn on the system beginning on page 2-69 for more details on each circuit
breaker.
Figure 3-12: Workstation back panel
1. System disable switch
2. Illuminated green indicator light
3. Circuit breakers
Brake pedal
The Workstation brake pedal has three positions that control wheel movement. The pedal is
located on the left side of the Workstation. The pedal positions are:
1. Fully locked position: None of the wheels can roll or pivot.
2. Steering position: The wheels close to the pedal roll in a straight line, and the wheels
opposite pivot freely. Place the brake pedal in this position to move the Workstation long
distances.
3. Free movement position: All wheels pivot freely. Place the brake pedal in this position to
easily maneuver the Workstation during final positioning.
Figure 3-13: The Workstation brake pedal
3-17
3. System operation
3.3.1 Monitor
The main system monitor can be positioned and tilted for optimal viewing.
Caution Only use the monitor handle to position the monitor. Pulling on other parts of the
monitor assembly to position the monitor could damage the monitor assembly.
Caution Do not hang on, lean on, or load the monitor arm. Doing so may cause a tip
hazard.
Caution Do not drape cables over the monitor or monitor arm. Pulling a cable draped over
the monitor assembly could cause the monitor to move unexpectedly.
Caution Make sure hands and fingers are clear when latching the monitor to avoid
pinching.
Note: The monitor may become warm to the touch after extended use. This is normal.
3-18
3. System operation
Warning Connect only medical devices that comply with UL/IEC 60601 Standards.
Contact GE Healthcare for a list of compliant devices.
Connecting a non-compliant device could cause injury to the operator, the
patient, or the equipment.
3-19
3. System operation
Plug in external devices to the Workstation, using the appropriate connection, as shown in
Figure 3-15: Workstation external connections.
Note: The Workstation can provide a signal to an approved injector through the Room
Interface connector. This signal is sent when the Syringe icon displays during Subtract
procedures, and when the Workstation sends a signal during HLF with Cine and Digital
Cine Pulse procedures. A custom cable must be constructed or obtained from an
approved injector manufacturer or GE OEC Medical Systems, Inc.
3-20
3. System operation
Door Interlock
This signal prevents X-rays from being produced when the room door is open.
If the system will not produce X-rays when the door is closed but produces X-rays when the
door is open, the system may be configured incorrectly for the room door's switch. Call for
service.
Injector
This controls a power contrast injection connector output. A signal is sent when the Syringe
icon displays during a Subtract procedure. See 11. Contrast agent injector beginning on page
11-1 for details on using a power contrast injector.
Call Technical Support for a list of approved injectors that work with the system. See 16.1.1
Communication center contact information beginning on page 16-1 for phone numbers.
Room In Use sign
This signal controls a Room In Use sign. When the system is turned on and ready to take X-
rays, the Room In Use light illuminates.
Room X-Rays On lamp
This signal controls a Room X-Rays On lamp. When X-rays are being produced, the Room X-
Rays On lamp illuminates. It does not pulse with pulsed X-rays.
1. Plug the external device into the Video-in (DVI-D) connector, shown in 3.3.2 Workstation
external connections on page 3-19.
2. Touch the Applications tab.
3. Touch External Video.... The External Video screen displays.
3-21
3. System operation
Note: If no external device is connected, this screen still displays. Connect an external video
device as instructed in step 1, above.
4. Touch Display. The external video displays on the right side of the main system monitor.
5. Touch Exit to stop the external video display, and then disconnect the external video
source.
Caution Clean the external connector area with dry cloths only. Do not use liquid cleaners
on this area.
3-22
3. System operation
Caution Become familiar with the location and mechanical operation of all controls prior
to moving the system.
Use the following procedure to move the Workstation, including into and away from a patient
location.
1. Verify that the Workstation is completely shut down.
2. Unplug the Workstation power cord. Wrap and secure the cable around the cable
hangers.
3. Disconnect the interconnect cable from the C-Arm and wrap it around the Workstation
interconnect cord wrap.
4. Disconnect any other external connections, DICOM, and so on.
5. Motorized systems only: stow the RUI in the tray at the rear of the Workstation, and wind
the cable around the Workstation handle to secure it. Do not transport the RUI together
with the C-Arm.
Figure 3-19: RUI stowed on the rear of the Workstation
6. Using the monitor handle, face the monitor to the front and lock it into the monitor latch
(See Figure 3-14: Monitor from front, in latched position on page 3-18). Make sure hands
and fingers are clear when latching the monitor to avoid pinching.
7. Unlock the wheel brakes on the Workstation, and place the brake in the appropriate
position, as described in Figure 3-13: The Workstation brake pedal on page 3-17.
8. Guide the Workstation to its destination using the handles, as shown in Figure 3-20:
Moving the Workstation.
9. When you reach your destination, apply the wheel brakes on the Workstation.
3-23
3. System operation
Caution Two people should maintain control of the Workstation when moving up or down
an incline. Do not move the Workstation over inclines greater than 10°. Do not
move the Workstation up or down stairs or steps. Do not lock the Workstation in
place on an incline greater than 5°.
Note: The monitor enclosure should be checked for damage if the system collides with any
object.
3-24
3. System operation
Caution Do not place objects on the keyboard. Objects on the keyboard may result in
unintended keyboard presses.
Multiple keyboards are available, and the keyboard present on the system depends on the
system's location. The configurations and functionality of each keyboard is identical. Only
labeling distinguishes the keyboards. Layout options are:
3-25
3. System operation
The virtual keyboard displays in the location where it was last placed and with the last used
layout. If the system has been restarted, the virtual keyboard displays at the bottom of the right
side of the main system monitor.
Figure 3-26: Virtual keyboard
The virtual keyboard operates similarly to a hardware keyboard. Touch the letters to enter
characters in text entry fields.
3-26
3. System operation
Touch the symbols key, marked with ?#@, to display the numerals and symbols keys.
Figure 3-29: Virtual keyboard with numerals and symbols selected
Touch the alphanumeric key, marked with ABC, to display lowercase keys.
3-27
3. System operation
1. Tab key
2. Caps lock key (one on
each side)
3. Space bar
4. Arrow keys
5. Enter key
6. Backspace key
7. Delete key
The touchpad is located on the bottom of the keyboard. To select a button on the touchscreen
3-28
3. System operation
with the touchpad, use your finger on the touchpad to move the mouse cursor over the desired
button and then press the left touchpad button or tap the touchpad.
Touchscreen buttons can also be selected by using the Tab key to move to a button. Once the
button is selected and highlighted with a dashed line, press Enter.
Note: A touchscreen button possesses focus when its text label has a dotted border. Press
Enter to activate the button with focus. A button is selected when it possesses the
focus.
Caps Lock
Toggles between all upper case letters and mixed case letters. The LED,
located in the upper right corner of the keyboard, illuminates when Caps
Lock is enabled, and the keyboard types only upper case letters. When
disengaged, the keyboard types mixed case letters. The default setting for
Caps Lock is engaged.
3-29
3. System operation
Switch Applications
Location: Image control keypad
Use Switch Applications to navigate quickly between the current screen and either
the Reference screen or the Applications screen, or the current application
displayed on the Applications screen, such as the Applications > DICOM Image
Viewer or the External Video screen. If either the Reference screen or the
Applications screen is the current screen, this key toggles them on the main
system monitor.
3.4.5 Touchpad
Caution Do not use sharp or metal objects on the touchpad. A sharp or metal object can
damage the touchpad.
The touchpad controls the mouse cursor and can be used to select buttons on the touchscreen
monitor.
Figure 3-33: Touchpad
1. Touchpad
2. Left button for normal select / click
function
3. Right button for right-click function
Use your finger on the touchpad to move the mouse cursor over the desired control on the
3-30
3. System operation
touchscreen monitor. When the cursor is in position, either click the left button or tap lightly on
the touchpad to select and execute the control.
Touchpad sensitivity and button configuration can be set up on the Applications > Setup >
Touchpad/Audio screen. See 2.1.7 Set up touchpad and audio beginning on page 2-10.
3.4.7 Tabs
Use the tabs located at the top of the right side of the main system monitor to access screens.
3-31
3. System operation
3-32
3. System operation
Touch Blank to clear the entire screen completely. Press any key on the keyboard or touch the
system touchscreen to return to the active screen display.
3-33
3. System operation
3-34
3. System operation
3-35
3. System operation
Caution This feature can be disabled by a Field Engineer but could result in poor image
quality and increased exposure to patient.
Attempting to take very short exposures in quick succession may not operate as
expected. This could result in degraded image quality of the initial or subsequent
exposures.
With Target Technique Reached selected, X-rays may continue to be produced
following the release of a momentary X-ray switch press until the desired
technique has stabilized.
With Selected Noise Filter Applied selected, X-rays may continue to be
produced until the system finishes processing the image to produce a stabilized
image.
Caution Taking very rapid and short exposures repeatedly over an extended period of
time may cause errors to occur. Avoid continuous tapping on the X-ray switch
over long periods of time.
Standard C-Arm with 9 in (23 cm) Standard C-Arm with 12 in (31 cm)
image intensifier and L-arm image intensifier and L-arm
3-36
3. System operation
3-37
3. System operation
3-38
3. System operation
Super C-Arms
The items listed below identify only the components on the Super C-Arm that differ from other
GE OEC C-Arms. See 3.6.1 Positioning the Super C-Arm beginning on page 3-50 for
positioning information.
Figure 3-41: Super C-Arm component identification
3-39
3. System operation
Standard C-Arms
The Standard C-Arm has an image intensifier and an L-arm for moving the C-Arm into
SmartView positions. The items listed below identify only the components on the Standard C-
Arm that differ from other GE OEC C-Arms. See 3.6.2 Positioning the Standard C-Arm
beginning on page 3-55 for positioning information.
Figure 3-42: Standard C-Arm component identification
Ergo C-Arms
The Ergo C-Arm has a flat panel detector and an L-arm for moving the C-Arm into SmartView
positions. It also includes a longer lateral rail allowing for greater lateral rotation, and a
removable stop device for the rail. The items listed below identify only the components on the
Ergo C-Arm that differ from other GE OEC C-Arms. See 3.6.3 Positioning the Ergo C-Arm
beginning on page 3-62 for positioning information.
Figure 3-43: Ergo C-Arm component identification
Motorized C-Arms
The Motorized C-Arm includes a motor assembly, a clutch for moving the C-Arm manually, a
3-40
3. System operation
bumper assembly for detecting contact, and a Remote User Interface (RUI) for controlling the
motorized movement and other functions. The items listed below identify only the components
on the Motorized C-Arm that differ from other GE OEC C-Arms. See 3.7.7 Positioning the
Motorized C-Arm beginning on page 3-83 for positioning information.
Figure 3-44: Motorized C-Arm component identification
3-41
3. System operation
3-42
3. System operation
3-43
3. System operation
3. Pull the grid away from the flat panel detector and gently slide the tabs out of the slots.
Attaching the anti-scatter grid to a flat panel system
1. Align the two tabs along one edge of the grid with the slots in the flat panel detector, and
slide the tabs into the slots.
Figure 3-50: Anti-scatter grid tab and slot
2. Push the grid's metal latch in with your fingertips, and gently swing the grid into the flat
panel detector.
3. Release the metal latch. Ensure that the grid is properly seated and latched into the flat
panel detector before operating the C-Arm.
Image intensifier
Removing the anti-scatter grid from an image intensifier system
To remove the grid, slide the grid out of the holder.
3-44
3. System operation
When the grid is removed, a yellow strip is visible along the edge, indicating that the grid has
been removed. Always reattach the grid immediately following the procedure.
Figure 3-52: Yellow indicator strip on II with removed grid
3-45
3. System operation
Note: In order to avoid premature or unnecessary wear and tear of cables attached to the
system, pay special attention to the cables and avoid running over them with carts or
other equipment.
Caution Use the handles provided on the C-Arm to position mechanical assemblies. The
handles are provided for your safety.
1. Return all moving assemblies to their most compact positions. Lower the vertical column
and retract the cross-arm. Motorized systems only: Place the C-Arm in the 0,0 position.
2. Lock all movable mechanical assembly brakes: the C-Arm lateral rotation brake, the
cephalad / caudal tilt brake, the Wig-wag brake, and the horizontal cross-arm brake.
3. Remove all power from the system.
4. Disconnect the interconnect cable from the C-Arm and wrap it around the Workstation
interconnect cord wrap.
5. Store the footswitch on the rack located on the rear of the C-Arm and store the
handswitch in the holster located on the C-Arm's left front cover.
Figure 3-53: Footswitch stored in rack on rear of C-Arm
3-46
3. System operation
6. Motorized systems only: Disconnect the RUI and place it in the tray at the back of the
Workstation. Do not transport the RUI together with the C-Arm.
7. Place the C-Arm's right steering handle in the 0° position and unlock the wheel brakes.
8. Guide the C-Arm by pushing with the steering handles, or by pulling with the positioning
handles.
Caution Do not move the C-Arm over inclines greater than 10°. Do not move the C-Arm
up or down stairs or steps. Do not lock the C-Arm in place on an incline greater
than 5°.
9. When you reach your destination place the C-Arm’s wheel brakes in the locked position.
Figure 3-54: Moving the C-Arm
3-47
3. System operation
transport. The rear wheels turn at approximately the same angle as the right steering handle.
Figure 3-56: Right steering handle
Caution To avoid losing control of the C-Arm, always reduce transport speed before
moving the steering handle out of the 0° position.
Caution If the Wig-wag brake is set to the extreme right, use caution not to injure your
knuckles when turning the steering handle 90° to the left.
Note: The rear wheels can be positioned in this manner whether the brakes are applied or
not.
3-48
3. System operation
Figure 3-57: Typical clinical arrangement for non-motorized OEC Elite systems
1. C-Arm
2. Workstation
3. Table
4. Footswitch
(varies)
Never place patient anatomy directly on the detector or use the detector as a work surface.
Avoid any direct patient contact with the detector.
Note: The bottom rail of the cross-arm is coated with a thin oil surface to protect it from
moisture. Do not wipe this oil off the cross arm.
See 3.5.2 C-Arm components beginning on page 3-39 for locations of the brakes and other
components on each type of C-Arm.
See 16.5 Dimensions beginning on page 16-33 for differences in dimensions and degrees of
rotation.
See 3.7.7 Positioning the Motorized C-Arm beginning on page 3-83 for information on
positioning the Motorized C-Arm.
3-49
3. System operation
Caution Pinch points exist between the C-Arm support assembly and the C-Arm. Do not
place fingers or allow clothing in between these assemblies when positioning the
C-Arm.
Caution Grasp one of the C-Arm positioning handles to prevent uncontrolled C-Arm
movement whenever you release the brake.
3-50
3. System operation
Caution Guide the C-Arm carefully with both hands until the C-Arm is in the position you
want and then lock the brake.
3-51
3. System operation
Note: The cross-arm brake may be used to apply light tension, and allow some movement of
the cross-arm, while restricting free-drift.
3-52
3. System operation
Caution When accessories are attached to the C-Arm, releasing the lateral or cephalad /
caudal tilt brake could cause the C-Arm to move.
Caution A possible pinch point exists between the C-Arm and the tip of the front cover. Do
not place your foot on the tip of the front cover while operating the vertical column
or while positioning the C-Arm.
3-53
3. System operation
housing.
Figure 3-65: Motorized vertical column switches on the cross-arm housing
Figure 3-66: Motorized vertical column switches on the Touch Tableside device
Initialization takes approximately five seconds, after which lift motion is enabled. If the column
does not move after the system is turned on, wait approximately five seconds after releasing
the key and then press the key again. This wait should give the lift motor time to initialize. If the
column still does not move, check that the keyswitch is not in the System Standby position, a
fast stop switch is not engaged, or that a key is not stuck.
A 0.3 second delay is built into the up and down switch operations. If the vertical column
switches are pressed rapidly, the lift column may not move. If the column does not move after a
switch press, release the switch, wait a second, and then press the switch again to resume
movement.
3-54
3. System operation
The Wig-wag brake on the Super C-Arm is a set of wing-like bars on either side of the vertical
column underneath the cross-arm housing. The Wig-wag brake can be loosened or tightened
using variable resistance, so the brake can be set to allow motion while avoiding drift.
To position the Wig-wag:
1. Release the Wig-wag brake by pulling the brake handles, located on the vertical column,
toward the back of the C-Arm loosen it.
2. Move the C-Arm into position.
3. Lock or tighten the Wig-wag brake by pushing the brake handles forward.
Figure 3-68: Wig-wag brake in the fully locked
position (left) and fully unlocked position (right)
3-55
3. System operation
Caution Pinch points exist between the C-Arm support assembly and the C-Arm. Do not
place fingers or allow clothing in between these assemblies when positioning the
C-Arm.
Caution Grasp one of the C-Arm positioning handles to prevent uncontrolled C-Arm
movement whenever you release the brake.
3-56
3. System operation
The brake's locked and unlocked positions are indicated by lock and unlock icons. Turn the
brake handle to the unlock position to tilt the C-Arm.
Caution Guide the C-Arm carefully with both hands until the C-Arm is in the position you
want and then lock the brake.
3-57
3. System operation
Note: The cross-arm brake may be used to apply light tension, and allow some movement of
the cross-arm, while restricting free-drift.
3-58
3. System operation
Caution When accessories are attached to the C-Arm, releasing the lateral or cephalad /
caudal tilt brake could cause the C-Arm to move.
Caution A possible pinch point exists between the C-Arm and the tip of the front cover. Do
not place your foot on the tip of the front cover while operating the vertical column
or while positioning the C-Arm.
3-59
3. System operation
Press the vertical column extension or retraction switches located on top of the cross-arm
housing.
Figure 3-76: Motorized vertical column switches on the cross-arm housing
Figure 3-77: Motorized vertical column switches on the Touch Tableside device
Initialization takes approximately five seconds, after which lift motion is enabled. If the column
does not move after the system is turned on, wait approximately five seconds after releasing
the key and then press the key again. This wait should give the lift motor time to initialize. If the
column still does not move, check that the keyswitch is not in the System Standby position, a
fast stop switch is not engaged, or that a key is not stuck.
A 0.3 second delay is built into the up and down switch operations. If the vertical column
switches are pressed rapidly, the lift column may not move. If the column does not move after a
switch press, release the switch, wait a second, and then press the switch again to resume
movement.
3-60
3. System operation
The Wig-wag brake on the Super C-Arm is a set of wing-like bars on either side of the vertical
column underneath the cross-arm housing. The Wig-wag brake can be loosened or tightened
using variable resistance, so the brake can be set to allow motion while avoiding drift.
To position the Wig-wag:
1. Release the Wig-wag brake by pulling the brake handles, located on the vertical column,
toward the back of the C-Arm loosen it.
2. Move the C-Arm into position.
3. Lock or tighten the Wig-wag brake by pushing the brake handles forward.
Figure 3-79: Wig-wag brake in the fully locked
position (left) and fully unlocked position (right)
SmartView rotation
SmartView rotation moves the C-Arm in a gyroscopic motion. It simultaneously rotates and tilts
the C-Arm in up to three axes around the patient or table. By unlocking the L-Arm, cephalad /
caudal tilt, and lateral rotation brakes, the C-Arm can be moved around the patient in a 3-D
manner, achieving angles that normally would require movement of the entire C-Arm and some
angles that cannot be practically achieved in other ways. The L-arm joint is marked with a scale
to aid in positioning. The scale and brake are color-coded in gray.
The L-arm rotates 180° in either direction (for a total of 360°).
3-61
3. System operation
3-62
3. System operation
Caution Pinch points exist between the C-Arm support assembly and the C-Arm. Do not
place fingers or allow clothing in between these assemblies when positioning the
C-Arm.
Caution Grasp one of the C-Arm positioning handles to prevent uncontrolled C-Arm
movement whenever you release the brake.
3-63
3. System operation
Removable stop
Because the lateral rail allows the C-Arm to be rotated past 90°, a removable stop is provided.
Place the stop at 90° to prevent rotation past that point, or at any location to allow quick return
to a previous position.
To insert the removable stop:
1. Bend the stop at the hinge.
Figure 3-84: Removable stop bent at the hinge
3-64
3. System operation
3. Turn the stop until it rests firmly under the rails, aligned at the desired degree marking,
and press down on the handle to straighten the stop at the hinge.
Figure 3-86: Removable stop in place and straightened at the hinge
If the stop is too loose or tight, use the recessed knob to adjust it.
3-65
3. System operation
Caution Guide the C-Arm carefully with both hands until the C-Arm is in the position you
want and then tighten the brake.
3-66
3. System operation
The horizontal brake can be loosened or tightened using variable resistance, so the brake can
be set to allow motion while avoiding drift.
Figure 3-89: Positioning the horizontal cross-arm
Note: The cross-arm brake may be used to apply light tension, and allow some movement of
the cross-arm, while restricting free-drift.
3-67
3. System operation
Warning When positioning the vertical column, observe moving assemblies to prevent
patient contact and ensure the safety of anyone near the C-Arm.
Caution When accessories are attached to the C-Arm, releasing the lateral or cephalad /
caudal tilt brake could cause the C-Arm to move.
Caution A possible pinch point exists between the C-Arm and the tip of the front cover. Do
not place your foot on the tip of the front cover while operating the vertical column
or while positioning the C-Arm.
3-68
3. System operation
Figure 3-93: Motorized vertical column switches on the Touch Tableside device
Initialization takes approximately five seconds, after which lift motion is enabled. If the column
does not move after the system is turned on, wait approximately five seconds after releasing
the key and then press the key again. This wait should give the lift motor time to initialize. If the
column still does not move, check that the keyswitch is not in the System Standby position, a
fast stop switch is not engaged, or that a key is not stuck.
A 0.3 second delay is built into the up and down switch operations. If the vertical column
switches are pressed rapidly, the lift column may not move. If the column does not move after a
switch press, release the switch, wait a second, and then press the switch again to resume
movement.
The Wig-wag brake on the Ergo C-Arm is a set of wing-like bars on either side of the vertical
column underneath the cross-arm housing.
The Wig-wag brake can be loosened or tightened using variable resistance, so the brake can
be set to allow motion while avoiding drift.
To position the Wig-wag:
3-69
3. System operation
1. Release the Wig-wag brake by pulling the brake handles, located on the vertical column,
toward the back of the C-Arm loosen it.
2. Move the C-Arm into position.
3. Lock or tighten the Wig-wag brake by pushing the brake handles forward.
Figure 3-95: Wig-wag brake in the fully locked position (left) and fully unlocked position (right)
SmartView rotation
SmartView rotation moves the C-Arm in a gyroscopic motion. It simultaneously rotates and tilts
the C-Arm in up to three axes around the patient or table. By unlocking the L-Arm, cephalad /
caudal tilt, and lateral rotation brakes, the C-Arm can be moved around the patient in a 3-D
manner, achieving angles that normally would require movement of the entire C-Arm and some
angles that cannot be practically achieved in other ways. The L-arm joint is marked with a scale
to aid in positioning. The scale and brake are color-coded in gray.
The L-arm rotates 180° in either direction (for a total of 360°).
The L-arm brake can be loosened or tightened using variable resistance, so the brake can be
set to allow motion while avoiding drift.
3-70
3. System operation
3-71
3. System operation
1. Release the lateral and cephalad / caudal tilt brakes and rotate the C-Arm into its 0°
lateral and cephalad / caudal tilt position.
Figure 3-98: Rotate the C-Arm
2. Unlock the rear wheel brakes, move the system away from the patient, and then lock the
rear wheel brakes again.
Figure 3-99: Move the C-Arm away from the patient
3-72
3. System operation
3.7.1 Safety
Be sure that you are familiar with the safety information and procedures covered in Chapter 1,
Safety, in this manual. In addition to that information, you should be familiar with the safety
features specific to the motorized C-Arm system.
Note: The Remote User Interface is not watertight. It has limited protection from spray only.
Any fluid immersion of the RUI will cause damage to the system.
Warning Use great care when operating all motorized features. Although the system
detects and mitigates the effects of a collision, it is still possible for a moving
C-Arm to hit a person or object with enough force to cause injury or
equipment damage.
Warning Do not put anything around or near the joystick that could squeeze against
the safety switch and cause the joystick to be continuously enabled. When a
joystick is continuously enabled, any use can result in unintentional
movement of the C-Arm, causing injury or equipment damage.
Warning Make sure the cross-arm brake and the foot brake are both applied before
using any motorized movement feature. Failure to do so may cause
unintended movement across the floor, resulting in injury or equipment
damage. Unintended movement can also occur when you use a motion stop
switch or a fast stop switch with the brakes off.
3-73
3. System operation
Caution Make sure to mount the RUI in a spot where it will not interfere with the
movement of the C-Arm.
Orientation
Before you begin using the system with a patient you must orient the C-Arm and RUI to the
patient so that the motion controls on the RUI move the C-Arm as you expect.
3-74
3. System operation
Note: The OEC Touch / Touch Tableside includes a joystick that can move the C-Arm.
Because the control panel can be moved, the C-Arm uses the position setting of the
RUI as the point of view, regardless of the location and position of the touchscreen.
Warning Failure to orient the C-Arm and RUI with the table before using the joystick
could result in injury to the patient and/or operator and/or damage to the
system. Always update the orientation of the C-Arm and the RUI to the table
when they are moved to a different position.
The orientation buttons are located to the right of the RUI joystick.
Figure 3-103: Orientation buttons are to the right of the joystick
Use the following steps to orient the C-Arm. The steps described are for illustration only. C-Arm
and patient positions will vary for actual clinical procedures.
1. Imagine the patient lying face up on the table as shown in the following diagram. Position
the C-Arm gantry to the left of the patient with the image detector over the patient’s chest.
Figure 3-104: Typical clinical arrangement for motorized OEC Elite systems
1. C-Arm
2. Workstation
3. Table
4. Footswitch (varies)
5. RUI
Figure 3-105: C-Arm orientation button (top) and RUI orientation button (bottom)
3-75
3. System operation
2. Press the C-Arm orientation button (the top button) until the LED that matches the
position of the C-Arm with respect to the patient lights. In this case, this will be the top
LED.
3. Press the RUI orientation button (the bottom button) until the LED that matches the
position of the RUI with respect to the patient lights. In this case, this will be the bottom
LED.
4. Test the orientation by moving the joystick.
l Start with the image detector at the 0,0 position (vertical with no lateral rotation or
cephalad / caudal tilt). Squeeze the joystick and push it away from you. This should
cause the image detector to rotate away from you, and the angular display on the left
side of the main system monitor to read LAO with the angular values increasing. This
means the image detector is moving to the patient’s left. Stop the movement after the
C-Arm orbits a few degrees.
l Return the image detector to the 0,0 position. Squeeze the joystick and pull it toward
you. This should cause the image detector to rotate toward you, and the angular
display on the left side of the main system monitor to read RAO with the angular
values increasing. This means the image detector is moving toward the patient’s right.
Stop the movement after the C-Arm orbits a few degrees.
l Return the image detector to the 0,0 position. Squeeze the joystick and push it to your
left. This should cause the image detector to tilt to your left, and the angular display on
the left side of the main system monitor to read CRA with the angular values
increasing. This means the image detector is moving toward the patient’s head. Stop
the motion after the C-Arm rotates a few degrees.
l Return the image detector to the 0,0 position. Squeeze the joystick and push it to your
right. This should cause the C-Arm to tilt to your right, and the angular display on the
left side of the main system monitor to read CAU with the angular values increasing.
This means the image detector is moving toward the patient’s feet. After the C-Arm
rotates a few degrees, return the image detector to the 0,0 position.
Figure 3-106: Motorized C-Arm with image detector at the 0,0 position
3-76
3. System operation
1. Joystick (See
Joystick beginning
on page 3-80)
2. Motion stop switch
(See Motion stop
switch on page 3-78)
3. Lift column keys
(See Lift column
keys on page 3-80)
4. C-Arm orientation
and LED indicator
(See C-Arm Orientation beginning on page 3-80)
5. RUI orientation and LED indicator (See RUI Orientation beginning on page 3-80)
6. Rotate image (See Rotate image on page 3-3)
7. Reverse image and LED indicators (See Reverse image on page 3-4)
8. Field of View and LED indicators (See Field of View on page 3-4)
9. Save (See Save on page 3-7)
10. Swap (See Swap on page 3-8)
11. Mode (See Mode on page 3-4)
12. Collimator Leaf Rotation (See Collimator Leaf Rotation on page 3-5)
13. Collimator Iris Open / Close (See Collimator Iris Open / Close on page 3-5)
14. Collimator Leaf Open / Close (See Collimator Leaf Open / Close on page 3-5)
15. Brightness / Contrast (See Manual Brightness / Contrast beginning on page 3-9)
16. Auto Brightness / Contrast and LED indicator (See Auto Brightness / Contrast on page
3-8)
17. Pulse and LED indicator (See Pulse on page 3-5)
18. Low dose and LED indicator (See Low Dose on page 3-6)
3-77
3. System operation
19. Virtual control panel and C-Arm position panel (See 3.4.9 Virtual control panel
beginning on page 3-33 and 3.7.9 C-Arm position panel beginning on page 3-88.
20. Images (See Images beginning on page 3-81)
21. RUI arrows and enter key (See RUI arrows and Enter key beginning on page 3-81)
22. Alarm reset and LED indicator (See eAlarm Reset on page 3-7)
3.7.4 Buttons
The movement and orientation buttons on the RUI are unique to the motorized system. See 3.2
General system controls beginning on page 3-3 for information about the system buttons that
are duplicated on the RUI.
The motorized C-Arm has a fast stop button on the cross-arm housing and a motion stop button
on the Remote User Interface (RUI). Systems with an OEC Touch Tableside have an additional
motion stop switch on the mini RUI.
Function of the fast stop and motion stop switches is similar with one significant difference. Any
of the switches can be pressed to stop all motorized motion on the C-Arm. Pressing a fast stop
switch also disables all X-rays. Pressing a motion stop switch does not disable X-rays.
Warning If pressing a fast stop switch fails to stop motor movement or X-rays, turn off
the system power switch or disconnect the power plug from the AC outlet.
Call for service.
To re-enable X-rays and motorized C-Arm motion, reset the fast stop switch by turning it to the
left and allowing it to pop up, and then restart the system.
The RUI and mini RUI each have a motion stop switch located above the joystick. Pressing the
motion stop switch disables all motorized C-Arm motion controlled from the RUI but does NOT
3-78
3. System operation
disable X-rays.
Figure 3-109: The RUI motion stop switch is above the Orientation keys
To re-enable motorized C-Arm motion, reset the motion stop switch by turning it and allowing it
to pop up. C-Arm motion is disabled until the motion stop switch is reset. If you receive a
MOTION STOP PRESSED message, check the state of the motion stop switch to make sure it
has been reset.
Note: When the C-Arm motion has been stopped using the motion stop switch, you can
manually move the C-Arm's lateral position. See 3.7.8 Manual movement beginning on
page 3-87 for more information on manual movement.
Warning Do not wrap anything around the joystick that may simulate the operator
squeezing the joystick. Squeezing the joystick can cause the C-Arm to move
unexpectedly and injure the patient or operator or damage the C-Arm.
3-79
3. System operation
Joystick
The Joystick moves the C-Arm through lateral rotation and cephalad / caudal tilt
motion. When properly oriented, the image detector moves away or toward you
when you move the joystick forward or back. The image detector moves to your left
or right when you move the joystick in those directions. See 3.7 Motorized C-Arm
overview beginning on page 3-72 for information on orienting the C-Arm and RUI.
Note: The joystick has a safety switch that prevents the C-Arm from moving unless you
squeeze the joystick shaft as you move it. This safety feature ensures that the C-Arm
does not move unexpectedly should the joystick be moved accidentally.
Note: The C-Arm may coast or continue to move slightly after it is moved with the joystick.
This is normal.
Warning Failure to orient the C-Arm and RUI to the patient prior to system use could
injure the patient or operator, or damage the equipment.
Orientation keys
The orientation keys are used to orient the C-Arm and RUI so that the image detector moves in
the expected direction when you use the joystick.
C-Arm Orientation
Press the C-Arm orientation key to select the correct image detector position in
relation to the patient, indicated by the LED.
RUI Orientation
Press the RUI orientation key to select the correct RUI position in relation to the
patient, indicated by the LED.
3-80
3. System operation
System operation
The RUI allows access to some of the system functions for image storage and basic image
manipulation. See 3.4 System controls beginning on page 3-24 for a more detailed explanation
of the capabilities and function of each key,
Images
Press this key to display the Images screen. From this screen, you can review, print,
and archive stored images and dose information. See 8.1 Images beginning on
page 8-1 for more information.
Remote image processing
Press this key to display the virtual control panel and the C-Arm position panel.
See 3.4.9 Virtual control panel beginning on page 3-33 for information on using the
virtual control panel.
See 3.7.9 C-Arm position panel beginning on page 3-88 for information on using the
C-Arm position panel.
RUI arrows and Enter key
Use the arrow keys on the RUI to move the cursor on the main system monitor
between controls on the screen.
Moving the cursor to one of the tabs at the top of the screen select that tab and
opens the associated screen.
When you place the cursor on a touchscreen button, the button possesses the
focus and can be activated by pressing the Enter key found in the center of the RUI
arrows. When selecting items such as zoom boxes or markers, press the Enter key
and then use the arrow keys. To remove the focus after moving an object, press the
Enter key again.
Note: The RUI may be used to activate any touchscreen button.
3-81
3. System operation
The motorization status icon also displays on the C-Arm position panel on the Touch /
Tableside C-Arm control panel.
Figure 3-112: Motorization status icon on the C-Arm position panel
The motorization status icon varies to indicate the availability of motorization. An icon with a
white arrow indicated that motion is enabled. An icon with a red X indicates that motion is
disabled. An icon with a yellow alert symbol indicates that motion is restricted by speed or
angle.
3-82
3. System operation
Contact detection
Caution Collisions can cause serious injury to patients and equipment. Always observe
C-Arm motion and be aware of the C-Arm position in relation to the patient to
avoid interruptions during procedures.
The C-Arm is equipped with a contact detection system that activates whenever the contact
detection bumper, mounted on the image detector, contacts another object.
3-83
3. System operation
When the contact detection assembly encounters minimal resistance, motorized motion
(except for lift column motion) is partially disabled and a CONTACT DETECTED message
displays on the left side of the main system monitor. An audible alarm sounds. If the C-Arm was
contacted while moving, it can be backed away from the contacted object, but cannot be moved
toward the object. Clear the blockage to dismiss the message and fully re-enable motorized
motion.
Note: Before using the system, always test the contact detection assembly to make sure the
system stops properly upon contact. If the system does not stop properly, the assembly
should be removed or serviced immediately to prevent injury to the operator or patient.
Should a collision occur to another part of the C-Arm, the system detects the increased
resistance to movement and shuts down all motorized features. A COLLISION DETECTED
message displays on the left side of the main system monitor. Motion stops when the system
senses forces that exceed predefined internal limits. To re-enable motorized movement, clear
any blockage and move the C-Arm 3° back from the point of collision.
Additionally, the virtual joystick on the Touch / Tableside C-Arm control panel displays warning
icon in the direction of an uncleared contact, and a blue indicator showing the direction to move
the C-Arm to clear the problem. See 3.7.9 C-Arm position panel on page 3-88 for more
information.
Note: If contact is detected by the contact detection assembly when the joystick is not active,
(for example if the contact assembly is bumped when the C-Arm is not in motion) the
system limits motion speed to 3°/second when the joystick is activated and used to
move the C-Arm. Once the contact is cleared, normal motion speed is restored.
Note: Clear any contact or collision condition and make sure all motorized features are
responding correctly to RUI motion controls before turning off or restarting the system.
Failure to do so causes the next system startup to bring the system up with all
motorized features disabled.
The C-Arm can tilt through a complete circle. The C-Arm can move 270° in one direction and
90° in the opposite direction, as shown in the following picture. Angular position and direction of
movement information displays on the left side of the main system monitor.
3-84
3. System operation
Lateral movement
Caution Make sure the C-Arm and RUI are properly oriented before using joystick for
motorized movement.
Motorized C-Arms can be rotated laterally a total of 141° (53° overscan and 88° underscan).
Information about angular position and direction of movement displays on the left side of the
main system monitor.
Use the joystick to position the C-Arm laterally.
Note: When the lateral clutch is opened for manual movement, there is a slight increase in the
range of motion. See Manual lateral movement beginning on page 3-88 for more
information in the lateral clutch.
3-85
3. System operation
Warning When positioning the vertical column, observe moving assemblies to prevent
patient contact and ensure the safety of anyone near the C-Arm.
Caution When accessories are attached to the C-Arm, releasing the lateral or cephalad /
caudal tilt brake could cause the C-Arm to move.
Caution A possible pinch point exists between the C-Arm and the tip of the front cover. Do
not place your foot on the tip of the front cover while operating the vertical column
or while positioning the C-Arm.
3-86
3. System operation
Figure 3-119: Motorized vertical column switches on the Touch Tableside device
Initialization takes approximately five seconds, after which lift motion is enabled. If the column
does not move after the system is turned on, wait approximately five seconds after releasing
the key and then press the key again. This wait should give the lift motor time to initialize. If the
column still does not move, check that the keyswitch is not in the System Standby position, a
fast stop switch is not engaged, or that a key is not stuck.
A 0.3 second delay is built into the up and down switch operations. If the vertical column
switches are pressed rapidly, the lift column may not move. If the column does not move after a
switch press, release the switch, wait a second, and then press the switch again to resume
movement.
3-87
3. System operation
1. Release the cross-arm brake by turning the brake handle, located at the top of the cross-
arm housing, counterclockwise to loosen it.
2. Push or pull the cross-arm to the desired position. Use the centimeter scale located on
the cross-arm as an aid in positioning.
3. Lock or tighten the cross-arm brake by turning the brake handle clockwise.
Note: The cross-arm brake may be used to apply light tension, and allow some movement of
the cross-arm, while restricting free-drift.
3-88
3. System operation
Touch the virtual control panel button on the main system monitor to open the C-Arm
position panel.
Touch the C-Arm position panel button on the Touch / Tableside C-Arm control panel.
3-89
3. System operation
Figure 3-123: C-Arm position panel on the OEC Touch / Touch Tableside
3-90
3. System operation
1. On the C-Arm position panel, use the RUI arrow keys to navigate to the Back (arrow)
button.
2. Press Enter on the RUI to select the preset position.
3. Press and hold the Enter key on the RUI.
4. When the C-Arm reaches the selected position, release the Enter key.
3-91
3. System operation
displays the C-Arm position panel on the OEC Touch / OEC Touch Tableside C-Arm control
panel, with a message in the status bar.The virtual joystick displays showing a warning icon in
the direction of the collision or uncleared contact, and a blue indicator showing the direction to
move the C-Arm to clear the problem.
Figure 3-125: C-Arm position panel showing the (1) warning and (2) the direction to move the
C-Arm to clear the problem.
3-92
3. System operation
2. Unlock the rear wheel brakes, move the system away from the patient, and then lock the
rear wheel brakes again.
Figure 3-127: Move the C-Arm away from the patient
Note: Older systems shipped with a C-Arm control panel integrated into the cross-arm
housing. This hardware is no longer available. If your system has an older C-Arm
control panel, refer to the original Operator Manual. Prior manuals are available online.
See Online eIFU beginning on page 3-2 for instructions on accessing manuals.
Caution The OEC Touch / Touch Tableside monitor is for reference only. It is not meant to
be used for diagnosis.
Caution The OEC Touch / Touch Tableside includes a USB port that is used during
manufacture and is not intended for use by end users or service personnel. Do
not plug anything into this port, as it does not send signal to or from the system.
Do not remove the cover. Do not touch the USB port or the OEC Touch / Touch
Tableside and the patient at the same time.
3-93
3. System operation
Caution The OEC Touch / Touch Tableside tablet includes a non-functioning camera.
The camera is disabled, and cannot be used to take photos of video. Avoid
placing stickers or gummy paper over the camera, as this can affect touchscreen
functionality.
3-94
3. System operation
1. Image display
2. Image processing bar - See Image processing on the OEC Touch / Touch Tableside on
page 3-103 for details.
3. Home panel button
4. Images panel button - See Images screen on the OEC Touch / Touch Tableside on
page 3-106 for details.
5. C-Arm position panel button - See C-Arm position panel on the OEC Touch / Touch
Tableside (Motorized systems only) on page 3-107 for details.
6. Context-sensitive area - use the buttons to the right to select profiles, mode setup, or
cine display.
7. Profiles button - See Profile selection on the OEC Touch / Touch Tableside on page 3-
108 for details.
8. Mode button - See Mode selection on the OEC Touch / Touch Tableside on page 3-109
for details.
9. Cine display button - See Cine record and frame rate selection on the OEC Touch /
Touch Tableside on page 3-110 for details.
10. Messages and technique display area - See Message, technique, and system status
display on the OEC Touch / Touch Tableside on page 3-110 for details.
11. C-Arm status display area - See Message, technique, and system status display on the
OEC Touch / Touch Tableside on page 3-110 for details.
12. Image control and processing area - See Image control panel on the OEC Touch /
Touch Tableside on page 3-95 for details.
Caution The OEC Touch / Touch Tableside tablet includes a non-functioning camera.
The camera is disabled, and cannot be used to take photos of video. Avoid
placing stickers or gummy paper over the camera, as this can affect touchscreen
functionality.
3-95
3. System operation
Figure 3-129: Image control panel on the OEC Touch / Touch Tableside
Warning If pressing a fast stop switch fails to stop motor movement or X-rays, turn off
the system power switch or disconnect the power plug from the AC outlet.
Call for service.
To re-enable X-rays and motorized C-Arm motion, reset the fast stop switch by turning it to the
left and allowing it to pop up, and then restart the system.
3-96
3. System operation
System Disconnected /
Connected Unavailable
3-97
3. System operation
If an OEC 3D Touch Tableside device is plugged in to the OEC Elite C-Arm, an image similar to
the following displays on the Touch Tableside monitor.
Figure 3-133: C-Arm and Touch Tableside incompatibility display
If an incompatible Touch Tableside device is left connected to the C-Arm, the system will
malfunction. Disconnecting the incompatible Touch Tableside device will return the system to
normal functionality.
Positioning the Touch Tableside device
Caution Use the handle to position the Touch Tableside device. Pulling on other parts of
the device could damage it.
Caution Do not hang on, lean on, or load the Touch Tableside device. Doing so may
cause a tip hazard.
Caution Do not drape cables over the Touch Tableside device. Pulling a cable draped
over the device could cause it to move unexpectedly.
The Touch Tableside device is lightweight and rolls easily. Always set the four wheel brakes
once the cart is in position.
To set the wheel brakes, use your foot to press the front portion of the brake latch down until the
brake clicks. To release them, use your foot to press the back portion of the brake until the
brake clicks.
3-98
3. System operation
Figure 3-134: Touch Tableside device wheel brakes operation (A: Unlocked B: Locked)
The monitor tilts from approximately 40° to 70°. To adjust its position, grip either side of the
monitor and move to the desired position. If necessary, place a foot on the base to stabilize the
cart during adjustment.
Figure 3-135: Touch Tableside device monitor tilt
The entire Touch Tableside device can be positioned vertically from 37 to 43 inches, measured
at the handle using a hydraulic lift. To adjust the vertical position, lift up on the lift latch, slide the
Touch Tableside device to the desired height, then release the latch to lock it in place.
Figure 3-136: Touch Tableside device vertical latch operation
3-99
3. System operation
Caution Collisions can cause serious injury to patients and equipment. Always observe
C-Arm motion and be aware of the C-Arm position in relation to the patient to
avoid interruptions during procedures.
If a non-motorized OEC Touch Tableside device is connected to a motorized system that also
has an RUI connected, the C-Arm position panel button does not display. Additionally, when
any motorized motion actions are performed, an hourglass icon displays on the OEC Touch
Tableside C-Arm control panel.
Monitor swivel
The monitor on motorized systems swivels approximately 90° each to the left or right. To adjust
its position, grip either side of the monitor and move to the desired position. If necessary, place
a foot on the base to stabilize the cart during adjustment.
Figure 3-138: Touch Tableside device monitor swivel (Motorized systems only)
3-100
3. System operation
Mini RUI
Motorized systems include a mini RUI mounted on the Touch Tableside device. The mini RUI
includes a motion stop switch, a joystick, and lift column switches.
Warning Do not put anything around or near the joystick that could squeeze against
the safety switch and cause the joystick to be continuously enabled. When a
joystick is continuously enabled, any use can result in unintentional
movement of the C-Arm, causing injury or equipment damage.
Use the mini RUI latch to position the controller left to right. The mini RUI can travel
approximately 2 inches from the center in either direction, but cannot be removed.
To adjust the mini RUI position, pull up on the latch, slide the mini RUI to the desired position,
and then push down firmly on the latch to lock the mini RUI in place.
If there is no RUI or mini RUI connected to a motorized system, the C-Arm position panel
button does not display.
Caution Make sure hands and fingers are clear when latching the mini RUI to avoid
pinching.
3-101
3. System operation
OEC Touch
The OEC Touch is mounted on the cross-arm housing. It is intended to provide the C-Arm
operator a direct, unobstructed view of images displayed on the left side of the main system
monitor and to provide additional functionality from the C-Arm. The monitor is classified as a
continuous operation system.
The screen swivels approximately 270° left or right, and tilts approximately 30° up, and
approximately 5° down. To adjust the screen position, grip either side of the monitor and move
to the desired position.
Caution Do not use the screen as a handle or place of leverage to move, manipulate, or
physically adjust the position of the C-Arm.
3-102
3. System operation
1. Rotate
control
2. Rotation
angle
3. Rotate
buttons
3-103
3. System operation
mA
Touch this button on the C-Arm control panel) or press this key before or during
exposure to manually adjust mA for fluoroscopy and override auto technique
setting. Use the top arrow to increase mA or the bottom arrow to decrease mA.
Note: Manual adjustments to mA before an HLF exposure are not applied and
the system will revert to its default settings. Adjustments made during an
HLF exposure will be applied to subsequent HLF exposures until the Auto
Technique key is pressed.
3-104
3. System operation
3-105
3. System operation
3-106
3. System operation
Figure 3-146: Cine display panel on the OEC Touch / Touch Tableside
C-Arm position panel on the OEC Touch / Touch Tableside (Motorized systems only)
Use the C-Arm position panel to set up to three C-Arm preset positions and to move the
motorized C-Arm into these positions. See 3.7.9 C-Arm position panel beginning on page 3-88
for information on using the C-Arm position panel.
Figure 3-147: C-Arm position panel on the OEC Touch / Touch Tableside
3-107
3. System operation
Figure 3-148: Virtual joystick (Left: selected. Right: joystick moved to the right)
3-108
3. System operation
Figure 3-151: Mode selection panel on the OEC Touch / Touch Tableside
Once a mode pair is selected, the panel displays the selected modes. The layout mimics the
footswitch layout, with the Mode button in the center occupying the same location as the Mode
switch on the footswitch. Use the Mode button to change between fluoroscopy and vascular
modes.
Figure 3-152: 2-pedal Mode display panel on the OEC Touch / Touch Tableside
3-109
3. System operation
Figure 3-153: 3-pedal Mode display panel on the OEC Touch / Touch Tableside
To change the pulse rate of a selected mode, touch and hold the Pulse button on the image
control panel. A menu displays next to the Pulse button. Select a pulse rate.
Figure 3-154: Pulse rate selection on the OEC Touch / Touch Tableside
Cine record and frame rate selection on the OEC Touch / Touch Tableside
Use the C-Arm control panel to select cine record options including frame rate. See 6.1 Cine
setup beginning on page 6-3 for information on setting up cine modes and selecting frame
rates.
Figure 3-155: 2-pedal Mode display panel with the cine setup options menu open
Touch the Record mode / frames per second button to select the frames per second or select
the --FPS-- to disable cine recording.
Message, technique, and system status display on the OEC Touch / Touch Tableside
The C-Arm control panel displays relevant system messages, technique, and system status
information.
Figure 3-156: Message display on the OEC Touch / Touch Tableside
3-110
3. System operation
Figure 3-157: Technique display and C-Arm status panel on the OEC Touch / Touch
Tableside
1. kVp
2. mA
3. Exposure time
4. Dose Area Product (DAP)
5. Cumulative Air Kerma (CAK)
6. Air Kerma Rate (AKR)
7. X-ray tube housing heat percentage
8. X-ray anode heat percentage
9. Anti-scatter grid icon
3-111
3. System operation
Figure 3-159: Volume control (1) and brightness control (2) on the OEC Touch / Touch
Tableside
Touch and drag the sliders to the right to increase the beep (alarm) volume and C-Arm control
panel brightness or to the left to decrease the volume and brightness.
Note: This does not control the system volume or main system monitor brightness. See 2.1.7
Set up touchpad and audio beginning on page 2-10 for information on controlling the
Workstation volume and brightness.
3-112
4. Patient information and exams
Note: For proper documentation of images, always enter patient information before beginning
a new exam. If a patient name is not entered, images will be saved under the default
name UNNAMEDXXX, where "XXX" is a system-assigned number. The prefix
"UNNAMED" can be modified on the Applications > Setup > Patient Information
screen. See Emergency Patient Information on page 2-9 for details on modifying this
setting.
The Patient screen displays automatically at system start-up.
4-1
4. Patient information and exams
4-2
4. Patient information and exams
4-3
4. Patient information and exams
Pregnancy Status
Displays the patient's pregnancy status, if applicable. This content is pulled from a RIS
Query Retrieve and is not editable.
When complete, do one of the following:
l Begin taking images. The Patient screen closes automatically and the Reference
screen displays. The patient just entered becomes the current patient.
l Touch Exit. The patient just entered becomes the current patient, the Patient screen
closes, and the Reference screen displays. The system is ready to begin taking X-rays.
l Touch New Exam. The patient information just entered is saved in the scheduled exams
list and the Patient screen fields clear to allow another patient to be entered.
Note: C-Arm settings are not retained with the exam information. Each time New Exam or
Scheduled Exams is selected, if the Home setting is selected on the Applications >
Setup > Position Defaults screen, the collimator leaves and iris on the C-Arm adjust to
a full open position, and the C-Arm settings, such as the fluoro timer, brightness /
contrast, noise filtering, and mode settings, all return to the system's default settings.
When returning to re-image the patient, any parameters used for that patient may need
to be specified again.
4-4
4. Patient information and exams
4-5
4. Patient information and exams
Description
Enter a procedure description, up to 64 characters. Descriptions for completed and
abandoned exams cannot be edited or added.
If the exam was created from a scheduling server or if a retrieved image does not con-
tain Protocol Code Meaning data, this displays the procedure description from the
scheduling server, and is not editable.
Procedure Information
The procedure information is based on DICOM standards.
If the information is not entered correctly for a procedure, these default values are used. In this
case, the information printed on the patient summary and dose summary and included in the
Radiation Dose Structured Report (RDSR) may not match the procedure actually performed,
and the patient record may therefore not provide accurate information about the exam.
Anatomic Region
Select the anatomic region imaged during the exam. The default is Topography
Unknown.
Patient Orientation
Select the patient's orientation during the exam. The default is Recumbent.
Orientation Modifier
Select the patient's orientation modifier during the exam. The default is Supine.
Patient/Table Relationship
Select the patient / table relationship during the exam. The default is Headfirst.
Procedure Intent
Select the intent or purpose for the exam, based on the context of invocation. The
default is Therapeutic Intent.
MPPS Server Alias
Displays the server alias if the exam was created from a scheduling server.
Age
Displays the patient's age.
Weight
Displays the patient's weight, if available from a scheduling server.
Height
Displays the patient's height, if available from a scheduling server.
4-6
4. Patient information and exams
Note: Editing general patient information modifies information stored with all images for that
patient exam. Editing the Comment field during an exam changes the information on
the new image and any subsequent images. Comments information for previous
images stays the same.
Note: The Comment line is always active and does not require this procedure to edit.
1. Touch Edit.
2. Touch the patient field to be edited.
3. Edit information as needed.
4. Touch Exit to save changes and return to the Reference screen.
Note: To edit patient information on a previously saved record in the scheduled exams or
saved exams lists, recall the exam and follow the instructions for editing information.
To edit comments:
1. Touch the Patient tab to open the Patient screen.
2. Touch the Comment field.
3. Enter new information.
4. Touch Exit to save changes and return to the Reference screen.
The comment displayed in the upper-left side of the left side of the main system monitor display
updates for the current image and subsequent images. Use the Comment function in
Annotations to add post-processing comments to an image.
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4. Patient information and exams
Note: If exams are scheduled during or prior to an exam, select the correct current patient to
be imaged before continuing exam.
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4. Patient information and exams
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4. Patient information and exams
The Scheduled Exams screen displays a list of scheduled patients. If the list is longer
than can be displayed in a single screen, use the arrow keys on the keyboard or the
Page Up / Page Down arrows on the screen to page through the list. Use Search By,
Search For, Sort By, and Sort Order to find specific scheduled exams. Search and sort
can be used together, or individually. The list updates automatically as the search and
sort criteria change.
l To search, select a Search By criterion, from Patient Name, Patient ID, Physician
Name, Procedure Description, or Accession Number, and then enter a few letters or
numbers to search for. The list updates automatically as the search results narrow.
l To sort, select a Sort By criterion, from Patient Name, Patient ID, Exam Date Time,
or Physician Name, and then select a sort strategy, Ascending (from A to Z, or from
earliest to most recent) or Descending (from Z to A, or from most recent to earliest).
2. Select a check box next to a patient's name to select the associated patient.
3. Touch OK to close the Scheduled Exams screen and display the Patient screen for the
selected patient.
Begin imaging once these steps are complete.
Note: Ensure that the correct patient name displays on the Patient screen before producing
X-rays; otherwise, images may be stored under an incorrect patient’s name.
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4. Patient information and exams
4. Enter information into the Schedule Filter screen to search for patient records that meet
the filter criteria. Once entered, these search terms remain until a new exam is begun.
Search on any combination of fields, including Patient Last Name, Patient First Name,
Patient ID, Procedure ID, Accession #, Physician Last Name, and Physician First
Name.
Some servers support wildcards. If so, use * for a general search of a name, such as
Jones*. Check the server's DICOM Conformance Sheet for more information.
Touch Clear Fields to remove all search terms and start over.
5. In addition, the system can also search exams on DICOM servers. Once entered, these
search terms remain until they are changed by the user.
Select Include AE Title and Include Local Station Name to search for exams on a
selected configured DICOM server.
Select an imaging type from modality options: RF (X-ray Radio Fluoroscopic Image
Storage), XA (X-ray Angiographic Image Storage), SC (Secondary Capture Image
Storage), or ALL (to search all types).
Note: No error checking is done for date or time values, so results from the server will vary if
these values are entered in a different format or are incorrectly entered.
6. Touch OK. The Schedule Filter screen closes, a DICOM Search in Progress...
message displays, and then Scheduled Exams screen displays. To exit to the
Scheduled Exams screen without filtering, touch Cancel.
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4. Patient information and exams
7. Touch Update Schedule and the patient names, filtered according to the criteria entered
in the filter screen, display.
8. Select a patient from the list.
9. Touch OK to return to the Patient screen. The selected patient is the current patient.
The system is now ready to take X-rays.
Note: Always ensure the correct patient name displays on the Patient screen before
producing X-rays, or images may be stored under an incorrect patient’s name.
Note: Each time New Exam or Scheduled Exams is selected, the C-Arm settings, fluoro
timer, brightness / contrast, noise filtering and mode settings return to the system's
default settings.
C-Arm settings are not displayed with the exam information. When a new current
patient is selected, imaging parameters are reset to the system default values. When
returning to re-image the patient, any parameters used for that patient need to be
specified again. See 2. System setup beginning on page 2-1 for any settings that can
be selected by default.
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4. Patient information and exams
5. Touch Append. If there is at least one exam step left, Append Step screen displays.
Otherwise, the Procedure Step fields become editable. Additional exam steps can be
manually appended to the procedure.
Figure 4-9: The Append Step Screen screen
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4. Patient information and exams
6. Select the next exam step from the list, and then touch OK.
7. Complete the exam step, taking as many X-rays as needed.
8. Repeat steps 4-7 for each exam step.
9. When the entire procedure is complete, touch End Exam on the Images tab. The End
Exam screen displays.
10. Select Complete Exam. The system sends information for the procedure to the MPPS
server and notifies the MPPS server that the procedure is complete.
Figure 4-10: The End Exam Screen screen
When multiple exam steps exist for a manually created patient record, follow this procedure to
combine them into a single procedure and to correctly communicate the procedure status to the
MPPS server.
1. On the Patient screen, touch New Exam and enter patient information into appropriate
fields.
2. Take an X-ray shot to begin the procedure. The system notifies the MPPS server that the
procedure is in progress. Complete the exam step, taking as many X-rays as needed.
3. To append the next exam step, touch Patient and then touch Additional Info.... The
Additional Information screen displays.
4. Touch Append. The ID and Description fields under Procedure Step become editable.
5. Enter the Procedure Step ID and Description information. Then Press OK.
6. Complete the exam step, taking as many X-rays as needed.
7. Repeat steps 4-6 for each exam step.
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4. Patient information and exams
8. When the entire procedure is complete, touch End Exam on the Images tab. The End
Exam screen displays.
9. Select Complete Exam. The system sends information for the procedure to the MPPS
server and notifies the MPPS server that the procedure is complete.
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4. Patient information and exams
This screen lists patient exams that have been saved on the system. The current or
reviewing exam always displays at the top of the list.
If the list is longer than can be displayed in a single screen, use the arrow keys on the
keyboard or the Page Up / Page Down arrows on the screen to page through the list.
3. Select an exam from the list.
This screen offers a number of options. Depending on the current state of a selected
exam, some buttons will be unavailable. Possible states are Current, Reviewing,
Paused, Completed, and Abandoned.
l Resume the selected current, paused, or reviewing exam. To continue the exam and
add more images, touch Resume Exam. The Patient screen for this patient displays.
This patient becomes the current patient. Completed and abandoned exams cannot
be resumed.
l Review the selected exam. To display the images from the selected exam, touch
View Exam. The Images screen displays, with the patient information and images
associated with the selected patient.
Exams being reviewed display with the notation REVIEWING and a gray banner
displays on the top of the left image region to indicate the system is in reviewing
mode.
l Create a new exam for the selected patient. To start a new exam for the selected
patient, touch New Exam. The Patient screen for this patient displays. This patient
becomes the current patient, and the patient information is automatically populated
allowing for shorter setup time.
l Complete the selected exam. Multiple exams can be completed at once. To end the
selected exam, touch Complete. A COMPLETE SELECTED EXAM(S)? message
displays. Once an exam is completed, no images can be added. The Saved Exams
screen displays.
If an MPPS server is in use, completing an exam sends information to the MPPS
server. See 4.2.4 Append step procedure on page 4-12 for more information.
Completed exams display with the notation, COMPLETED. From here, view or delete
the exam, or begin a new exam for this patient, or touch Close to return to the Patient
screen for the current patient.
l Abandon the selected exam. Multiple exams can be abandoned at once. To end an
exam without saving it, touch Abandon. An Abandon Exam dialogue box displays.
Select a reason for abandoning the exam, and then touch Abandon. An ABANDON
SELECTED EXAM WITH SELECTED ABANDON CODE? message displays. To
abandon the exam, touch OK. To return to the Saved Exams screen without
abandoning the exam, touch Cancel. Once an exam is abandoned, no images can be
added. The Saved Exams screen displays.
If an MPPS server is in use, abandoning an exam sends information to the MPPS
server. See 4.2.4 Append step procedure on page 4-12 for more information.
Abandoned exams display with the notation, ABANDONED. From here, view or
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4. Patient information and exams
delete the exam, or begin a new exam for this patient, or touch Close to return to the
Patient screen for the current patient.
Abandon reasons include:
l Change of procedure for correct charging
l Discontinued Prosedure Step rescheduled
l Discontinued Prosedure Step rescheduling recommended
l Discontinued for unspecified reason
l Doctor canceled procedure
l Duplicate order
l Equipment change
l Equipment failure
l Incorrect procedure ordered
l Incorrect side ordered
l Incorrect worklist entry selected
l Injection Site Extravasation
l Nursing unit canceled
l Patient allergic to media/contrast
l Patient condition prevented continuing
l Patient did not arrive
l Patient expired
l Patient pregnant
l Patient refused to continue procedure
l Patent taken for treatment or surgery
l Radiopharmaceutical Adverse Reaction
l Resource inadequate
l Resource pre-empted
l Workitem assignment rejected by assigned resource
l Delete an exam. To delete a completed, abandoned, and retrieved exam, select the
exam and touch Delete. Multiple exams can be deleted at once. A DELETE
SELECTED EXAM(S)? message displays. If the exam has images attached to it, a
DELETE EXAMS CONTAINING IMAGES QUEUED TO BE SAVED TO PACS?
message displays. Deleted exams and their images cannot be recovered or archived.
Touch Close to exit the Saved Exams screen. The Patient screen displays, with the current
patient's information.
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4. Patient information and exams
This screen lists any previous exams on the system for the current patient ID. If the list is
longer than can be displayed in a single screen, use the arrow keys on the keyboard or
the Page Up / Page Down arrows on the screen to page through the list. Sort the exams
by Exam Date, Patient Name, Patient ID, Physician Name, or Modality, and select a
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4. Patient information and exams
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4. Patient information and exams
Figure 4-15: Retrieve screen for copying from a portable media device
4. The Retrieve screen displays with Source list of possible locations to retrieve from
(including any Worklist server or portable media device mounted on the system) as well
as the Patient Last Name, Patient First Name, and Patient ID for the current patient.
Change any of the search terms, as needed, and select a Study Date, from All, Today,
Since Yesterday, Last 3 Days, Last 7 Days, or Last 30 Days.
Touch Clear Fields to remove all the text entries and search for a different patient. The
Study Date reverts to Last 3 Days when the fields are cleared.
Touch Query to search for matching exams on the server or portable media device. The
bottom of the screen displays an alphabetical list of matching exams. If the list is longer
than can be displayed in a single screen, use the arrow keys on the keyboard or the
Page Up / Page Down arrows on the screen to page through the list.
Touch MWL Studies to retrieve the current exam if it originated from a Modality Worklist
entry and has a referenced study ID number. This button is unavailable if the current
exam did not originate from a Modality Worklist entry.
Use Sort By to sort exams by Patient Name, Patient ID, Date, or Modality, and Sort
Order to arrange the records in Ascending or Descending order.
5. Select exams to copy and do one of the following:
l Touch Retrieve to copy the records from the selected DICOM source to the system.
This button is only available when the source is a DICOM server.
l Touch Copy to copy the records from the selected portable media device to the
system. This button only displays when the source is a portable media device.
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4. Patient information and exams
l Touch Close to cancel the retrieve operation and return to the Previous Exams
screen.
Note: If any problems occur during import from or export to a portable media device, use an
external check to ensure that the read and write functionality of the portable media
device is working properly, that the device has sufficient storage available, and that it
contains the expected data.
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4. Patient information and exams
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5. Imaging
5. Imaging
This chapter describes how to produce images using the basic fluoroscopy features provided
on all systems and how to produce images using vascular imaging modes provided on
Vascular and Cardiac systems.
Note: Main system screens includes a breadcrumb trail at the top of the screen to help
navigation. These screens are introduced in this chapter using the full breadcrumb trail,
then referred to by the screen title thereafter.
Screens may vary depending on system configuration.
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5. Imaging
highlighted bar displays next to the selected button and the status bar reflects the change.
l The left X-ray switch can be set for Fluoro or for Roadmap modes.
l The right X-ray switch can be set for HLF, Digital Spot, Digital Cine Pulse, or
Subtract modes.
l Cardiac systems only: The far-right X-ray switch can be set for Digital Cine Pulse
mode
Additionally, the pulse rate and the digital cine pulse rate can be set.
The active modes and related settings display in the status bar on the right side of the screen.
The Mode screen is similar to the following.
Figure 5-1: Mode screen with Vascular / Cardiac modes selected
1. Standard
fluoroscopy modes
2. Vascular / Cardiac
modes
3. Status bar
Status bar
The status bar is located at the bottom of the monitor. During an exam, the configured active
mode pair displays in the right side of the status bar.
The status bar shows the setting of the footswitch, handswitch, and X-ray switch buttons. See
Footswitches and modes beginning on page 5-54 in this section for more information.
The active modes display in the right side of the status bar, similar to these:
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5. Imaging
All information next to the or icon describes which imaging, anatomical profile, and
pulse or cine rate is applied using the X-ray switch with that label.
With these modes active:
l Initiate a fluoro shot by pressing the left X-ray switch.
l Initiate an HLF shot by pressing the right X-ray switch.
l On a three-pedal system, initiate a 30 PPS digital cine shot by pressing the far-right
switch.
1. Standard fluoroscopy
mode pairs
2. Vascular mode pairs
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5. Imaging
Figure 5-5: Mode pair status bar with Roadmap and Subtract modes selected
Figure 5-6: Mode pair status bar with Fluoro and HLF modes selected
1. To select an appropriate anatomical profile for imaging, touch the Profile icon in the
status bar or touch Profile… on the Mode screen. A screen similar to the following
displays.
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5. Imaging
2. Select the desired profile. The profile's icon displays in the status bar.
3. Touch OK to return to the Mode screen.
Changing the image profile allows you to quickly adjust the behavior of the system for optimal
performance in specific imaging situations. Selecting a profile optimizes image processing for
the procedure to be performed. All systems may not include all available profiles. Available
profiles include the following.
General
The General profile provides image processing optimized for versatility, providing the
best images possible over a wide range of uses.
General HD
The General HD profile is optimized to provide small detail visibility with increased
sharpness.
Bolus Chase
The Bolus Chase profile is optimized for run-off procedures and for interventional pro-
cedures using small guidewires. It is tuned to provide the appearance and the advant-
ages of a subtracted run, although the image is not actually subtracted.
C-Spine (FPD systems)
On FPD systems, the C-Spine profile's X-ray technique and image processing are
optimized for cervical spine imaging to provide high visibility of vertebral bodies, pro-
cesses, facet joints, needles, and tools in short fluoro acquisitions.
Cardiac
The Cardiac profile is optimized for cardiac procedures. It reduces blooming artifacts
and enhances the visibility of moving features and vessels filled with a contrast agent
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5. Imaging
when compared to not using the profile. The moving features are interventional devices
such as guidewires, catheters, and stents that are inserted into vessels and manually
manipulated through vessels to the surgical location in the heart.
By default, systems are configured to use an enhanced noise reduction algorithm that
has image quality equivalent to a system with higher power capability, without an
increase in radiation dose. Enable or disable enhanced noise reduction using the Car-
diac check box on the Default Profile screen.
Orthopedic
The Orthopedic profile is optimized for bone contrast and small-detail visibility. It fea-
tures increased sharpness and increased noise reduction.
Pediatric
The Pediatric profile utilizes a lower dose optimized for small patients. This profile
provides image processing and is optimized for versatility, creating the best possible
images over a wide range of uses.
Spine (FPD systems)
On FPD systems, the Spine profile's X-ray technique and image processing are optim-
ized for thoracolumbar and sacral spine imaging to provide high visibility of vertebral
bodies, processes, facet joints, needles, and tools in short fluoro acquisitions.
Spine (II systems)
On II systems, the Spine profile's X-ray technique and image processing are optimized
for spine imaging from cervical to sacrum to provide high visibility of vertebral bodies,
processes, facet joints, needles, and tools in short fluoro acquisitions.
Vascular
The Vascular profile is optimized to visualize positive contrast agent-filled vessels, cath-
eters, stents, and other tools and devices in vascular procedures
By default, systems are configured to use an enhanced noise reduction algorithm that
has image quality equivalent to a system with higher power capability, without an
increase in radiation dose. Enable or disable enhanced noise reduction using the Vas-
cular check box on the Default Profile screen.
9900
The 9900 profile mimics the imaging behavior of the earlier GE OEC 9900 Elite system.
Note: The Spine and General HD profiles are not available on GSP systems.
The selected profile optimizes image processing for the selected type of imaging. Changing an
image profile affects the detail of captured images.
Note: The default profile can be set to any of the profiles available in the Profile screen. See
2.1 System Overview beginning on page 2-1 for information on selecting a default
profile.
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5. Imaging
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5. Imaging
l When automatic technique control is selected, the Auto button on the C-Arm control
panel is highlighted. If an X-ray control switch is pressed, the system automatically
adjusts the kV and mA to acquire an X-ray image.
l When manual technique control is selected, the Auto button on the C-Arm control panel
is not highlighted.
If an X-ray control switch is pressed, kVp and mA can be independently adjusted before
or during the generation of X-rays.
When manual technique control is selected, the current kVp value remains the same, but
the mA / gain changes, based on the currently selected automatic brightness setting.
This occurs when the system is switched between standard does to low dose, between
Fluoro modes to HLF modes, between continuous modes to pulsed modes, and between
magnification modes.
The system defaults to automatic technique control of X-ray technique (kVp and mA).
Note: Automatic technique control is recommended for most imaging situations. The system
automatically acquires the desired X-ray image with technique factors that minimize the
amount of radiation exposure.
If the system is switched from manual technique control to automatic technique control, current
kVp values remain the same, but the mA / gain changes, based on the currently selected
automatic brightness setting.
If the system is switched from automatic technique control to manual technique control, the
kVp, mA, and gain values remain the same if the manual mA limits are identical to the Auto mA
limits.
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5. Imaging
Note: In some cases, the C-Arm control panel may display a different technique than displays
on the LIH. When setting the technique manually, base any adjustments on the LIH
values, not the technique displayed on the C-Arm control panel.
If the fast stop switch is pressed, on purpose or inadvertently, while an operator is pressing the
vertical column switch, vertical column operation will cease and X-rays will be disabled. After
both switches have been released it may be possible to operate the vertical column; however,
X-rays will remain disabled until the system is restarted.
If the fast stop switch is pressed when a run-away condition exists, vertical column motion will
cease and X-rays will be disabled. Under this condition it is not possible to operate the vertical
column or take X-rays. Call your service representative.
If the fast stop switch has been pressed to disable unintended X-rays, do not restart the
system. Call your service representative.
Note: C-Arm motorized lift column motion can be used after releasing a fast stop switch.
However, after you press a fast stop switch, you must restart the system before you can
take X-rays or use other motorized functions.
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5. Imaging
5-10
5. Imaging
Footswitch models
Figure 5-12: Two-pedal and three-pedal footswitches
Handswitch
Figure 5-13: Handswitch
5-11
5. Imaging
Caution Do not stretch the handswitch cord further than 3.048 m (10 feet). This may result
in damage to the cord. If the cord is damaged and touches the floor, it is a safety
hazard. Call the Communications Center for assistance.
Mode mismatches
The basic two- and three-pedal footswitch or four-button handswitch may not operate as
expected when paired with a system model for which it is not intended.
The three-pedal footswitch is intended for use with Cardiac systems. When a three-pedal
footswitch is attached to a non-Cardiac system, it functions as a two-pedal footswitch using the
first two switches and the Mode switch. In this case, the third switch will cause a beep to sound
when pressed but will have no functionality with the system.
The two-pedal footswitch is intended for use with non-Cardiac systems. When a two-pedal
footswitch is connected to a Cardiac system, the Digital Cine Pulse mode that is usually
assigned to the third pedal of a three-pedal footswitch is unavailable unless it is configured for
the second switch using the Mode screen.
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5. Imaging
Note: Placing the equipment in the System Standby position disables X-rays and motorized
operation so these features will not be activated unintentionally. A message displays on
the C-Arm control panel indicating that the keyswitch is in the System Standby position.
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5. Imaging
5-14
5. Imaging
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5. Imaging
3. Touch Zoom. The Zoom screen displays on the right side of the main system monitor,
with a slider and a yellow box to indicate the magnified area of the reference image, and
the left side of the screen displays the magnified portion of the image. The Image display
area of the OEC Touch / Touch Tableside also display the magnified portion of the
image.
Figure 5-16: The magnified portion of the image (left) and the Zoom screen (right)
4. Adjust the zoom using the up and down arrows on the slider, and move the yellow box to
the area to be magnified, as needed. The left side of the screen displays the adjusted
image. Images can be zoomed up to 4x in 0.2 increments.
5. When the desired adjustments are complete, touch OK. The zoomed reference image
displays on the left side of the main system monitor. The right side of the screen displays
the Reference screen. Note that the Zoom button now displays an icon of a magnifying
glass with a minus (-) sign in the center.
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5. Imaging
6. Take additional images, cine runs, subtractions or roadmaps, as needed. The digital
zoom settings will be applied to each subsequent image. Saved images will be saved as
both a full, non-zoomed image and as a zoomed image denoted with a D to indicate that
the image is Derived. The image label also includes the image number from which the
image was derived.
When a zoomed image displays on the left side of the main system monitor, you can turn off the
digital zoom on the LIH image by touching the Zoom button with a minus (-) sign. Touch Zoom
again to turn zoom on and off.
To turn off the digital zoom on a dynamic image, press Zoom on the image control keypad and
drag the slider all the way down to 1x, then touch OK.
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5. Imaging
5-18
5. Imaging
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5. Imaging
A screen similar to the following displays on the right side of the main system monitor.
Figure 5-19: Mode screen
Touch Profile... to change the imaging profile. Select a mode, then touch OK to return to the
Mode screen.
Note: The Profile… button is not active if the Workstation is not connected to a C-Arm.
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5. Imaging
Mode screen on the OEC Touch / Touch Tableside C-Arm control panel
Systems with a OEC Touch / Touch Tableside C-Arm control panel also provide Mode screen
functionality from the C-Arm control panel.
Touch Mode on the OEC Touch / Touch Tableside C-Arm control panel.
Figure 5-20: Mode button on the OEC Touch / Touch Tableside C-Arm control panel
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5. Imaging
Use the drop-down lists to select acquisition rates (fps) for each selected mode.
Figure 5-22: Acquisition rates on the OEC Touch / Touch Tableside C-Arm control panel
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5. Imaging
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5. Imaging
Note: Pulse rates available may vary based on which system you have purchased.
When continuous mode is active, no pulse rate (PPS) displays in the status bar.
Figure 5-23: Status bar – continuous mode
Note: Combined use of both a pulsed fluoro mode and the low dose mode may have a
compounding effect in degrading image quality.
Note: To reselect continuous operation, press the Pulse key on the C-Arm control panel or
select Continuous on the Mode screen. The pulse rates will no longer display in the
status bar.
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5. Imaging
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5. Imaging
2. Press the appropriate X-ray switch on the footswitch or handswitch to make exposures.
3. When complete, touch or press Low Dose again to return to normal dose.
Caution Digital spot always terminates immediately when the footswitch is released.
Note: Early footswitch release causes the exposure to terminate prematurely. Continue
pressing the switch until the system automatically terminates the exposure.
Note: If the digital spot mode is misused for real-time imaging, the image display delay may
be longer than the delay seen in radioscopy.
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5. Imaging
Note: Vascular and Cardiac systems include all standard fluoroscopy features.
When the system is first turned on, the default available imaging modes and the active
anatomical profile display in the status bar.
5-27
5. Imaging
A screen similar to the following displays on the right side of the main system monitor.
5-28
5. Imaging
To change the active mode, select the desired button. The highlighted bar displays next to the
selected button and the status bar reflects the change.
Mode screen on the OEC Touch / Touch Tableside C-Arm control panel
The OEC Touch / Touch Tableside C-Arm control panel also provides Mode screen
functionality.
Touch Mode on the OEC Touch / Touch Tableside C-Arm control panel.
Figure 5-28: Mode button and panel on the OEC Touch / Touch Tableside C-Arm control
panel
To change the pulse rate of a selected mode, touch and hold the Pulse button on the image
control panel. A menu displays next to the Pulse button. Select a pulse rate.
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5. Imaging
Figure 5-29: Pulse rates on the OEC Touch / Touch Tableside C-Arm control panel
5-30
5. Imaging
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5. Imaging
Note: If you are injecting contrast manually, begin injecting the contrast when the Syringe
icon displays on the left side of the main system monitor.
Note: The Syringe icon varies depending on the type of contrast selected. If negative contrast
is used, it includes a CO2 notation. The functionality is otherwise unchanged.
The sequence of events shown on the timeline includes:
1. The right X-ray switch is pressed to begin the
exposure. The X-ray technique stabilizes.
2. The mask is acquired and technique is locked.
3. The mask image has been acquired and the subtraction process begins.
The left side of the main system monitor displays a uniform gray result and the system
begins subtracting images and displaying them. As long as the subtraction continues,
new images are subtracted from the mask obtained at the beginning of the cine run. As
images are acquired, a Syringe icon displays indicating that the system is ready for
contrast to be injected.
4. Contrast is injected, and the subtracted images display on the left side of the main
system monitor. Vessels are highlighted with contrast.
5. The contrast concentration peaks.
6. Contrast concentration decreases to a minimum.
7. When the footswitch is released:
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5. Imaging
l If Auto Playback is enabled, the subtraction cine run plays back automatically on the
left side of the main system monitor
l If Auto Playback is disabled, the last subtracted image displays on the left side of the
main system monitor.
Note: Early release of the X-ray switch terminates the subtraction process before it is
complete. Avoid tapping the footswitch in subtraction mode.
Subtraction procedure
Note: The Subtract button and Syringe icon varies depending on the type of contrast
selected. If negative contrast is used, they include a CO2 notation. The functionality is
otherwise unchanged.
1. If you want to use a reference image during the subtraction, select the image and press
Swap to display the image on the right screen before beginning.
2. Press the Mode switch to activate vascular mode, if necessary.
3. Verify that Subtract displays in the status bar or that the Subtract mode button. If
negative contrast is selected, additionally verify that a dark colored vessel icon displays
on the Touch / Touch Tableside C-Arm control panel.
Figure 5-32: Subtract button (with the negative contrast agent icon) on the Touch / Touch
Tableside C-Arm control panel
Cine is set automatically. To change the cine frame rate, use the Reference > Cine >
Setup screen. See 6. Dynamic recording beginning on page 6-1 for more information.
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5. Imaging
4. Press and hold the right X-ray switch to begin the subtraction process and create a
mask automatically.
Acquiring and creating the mask image can take from 2.0 to 4.6 seconds, depending on
the mode and contrast used.
Table 5-3: Time to acquire and create a mask
Positive Negative
Mode
contrast contrast
Continuous mode 2.1 seconds 2.0 seconds
15pps pulsed subtract mode 3.3 seconds 3.25 seconds
8pps pulsed subtract mode 4.6 seconds 4.5 seconds
5. After the mask is acquired, continue pressing the right X-ray switch to subtract
subsequent images from the mask. Subtraction begins when a subtracted image and the
cine disc icon display on the left side of the main system monitor.
6. A Syringe icon displays on the left side of the main system monitor, signaling the
operator to inject the contrast medium. If an approved injector is properly connected to
the system, a signal is sent to the injector.
Subtracted images display on the left side of the main system monitor as the
contrast concentration peaks and decreases to a minimum. The unsubtracted view
of the current live image displays on the right side of the main system monitor as a
reference. If you selected a reference image in step 1, touch the Reference Image
Swap button to switch between the unsubtracted image and the reference image.
5-34
5. Imaging
3. Touch Reset at the center of the mask adjustment controls to restore the mask to its
original position.
5-35
5. Imaging
Landmarking
In some subtracted images, it may be necessary to see the position of vessels in relation to
certain background anatomies. Landmarking allows you to vary the percentage of background
anatomy that displays in a subtracted image. This function is available for subtraction and
roadmapping.
To vary the percentage of background anatomy:
1. Touch Adjust Mask on the Reference screen or the Cine Playback screen.
5-36
5. Imaging
Note: The Syringe icon varies depending on the type of contrast selected. If negative
contrast is selected, the icon includes a CO2 notation.
Roadmap procedure
Note: The Roadmap button and Syringe icon varies depending on the type of contrast
selected. If negative contrast is used, they include a CO2 notation. The functionality is
otherwise unchanged.
1. If you want to use a reference image during the subtraction, select the image and press
Swap to display the image on the right screen before beginning.
2. On the Reference screen, touch Mode to open the Mode screen and select Roadmap
mode.
3. Press the Mode switch on the footswitch or handswitch to toggle from Roadmap mode to
Fluoro mode, and verify that Fluoro displays in the status bar. See Switching mode pairs
5-37
5. Imaging
using the footswitch or handswitch beginning on page 5-13 for details on the Mode
switch.
4. Press the left X-ray switch to create a fluoro image to confirm position.
5. Press the Mode switch on the footswitch or handswitch to toggle from Fluoro mode to
Roadmap mode, and verify that Roadmap-1 displays in the status bar.
6. Press the left X-ray switch to initiate the first phase of roadmapping. Roadmap–1
displays in the left side of the status bar.
7. While the left X-ray switch is being pressed, the Syringe icon displays on the left side
of the main system monitor. Inject contrast media.
8. Release the left X-ray switch when a satisfactory image displays on the left side of
the main system monitor and the contrast is at, or near, peak concentration in the area of
interest. The system enters phase 2 automatically when the X-ray switch is released.
The roadmap mask is created automatically and displays on the left side of the main
system monitor. This mask is saved, and the thumbnail on the Images screen displays a
mask icon.
Figure 5-37: Thumbnail with mask icon
9. Press the left X-ray switch again to begin roadmapping. Roadmap–2 displays on the
left side of the status bar. The saved mask is subtracted from the new fluoro image. The
resulting roadmap displays on the left side of the main system monitor, while the right
side of the main system monitor displays the current live fluoro image. If you selected a
reference image in step 1, touch the Reference Image Swap button to switch between
the roadmap image and the reference image. The X-ray technique is locked.
5-38
5. Imaging
10. As long as Roadmap-2 displays in the status bar, continue roadmapping as many times
as necessary by pressing the left X-ray switch. The original contrast image is used as
the roadmap mask.
11. To exit Roadmap mode, press the Mode switch on the footswitch or handswitch.
5-39
5. Imaging
registration.)
Note: Roadmap CO2 can only be used with Subtract CO2 images. The system automatically
selects the correct Roadmap mode based on the contrast agent used when the image
was originally created.
5-40
5. Imaging
5-41
5. Imaging
Warning During pulsed digital cine HLF, the mA can increase to as much as 150
mA. This can subject the patient and those working around the X-ray field
to a significantly larger dose of radiation than they would receive during
normal pulsed fluoro operation. To minimize X-ray exposure hazards, use
HLF with discretion.
On Vascular systems, the right X-ray switch can be set to invoke Digital Cine Pulse mode
imaging. The pulse rate selection box on the Mode screen allows the user to display and
change the preset rate.
1. Verify that Digital Cine Pulse displays in the status bar.
2. Select a pulse rate on the Mode screen to enable pulsed operation.
Figure 5-39: Pulse rate selection buttons on the Mode screen
3. Select a digital cine pulse rate to set a pulse rate of 15 or 30 PPS from the Digital Cine
Pulse box on the Mode screen. Verify that the selected pulse rate displays in the status
bar.
The frame rate displayed is the same as the pulse rate. Acquisition occurs at that rate.
4. Press the right X-ray switch. The digital cine run is acquired automatically.
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5. Imaging
Note: Cine runs automatically include a cue at the beginning of the run. Regulations require
the cine run to include all frames captured, including the frames captured while the
image stabilizes. These frames do not contain usable images, and therefore a cue is
placed at the beginning of the usable frames.
Note: The X-ray switch may not detect short or rapid presses, such as those created by toe-
tapping on the footswitch. A Digital Cine Pulse run may not be saved because the user
released the pedal or X-ray switch prior to at least two pulses, that is before the system
started taking a Digital Cine Pulse.
5-43
5. Imaging
5-44
5. Imaging
The information and list above is adapted from the Alliance for Radiation Safety in Pediatrics
Imaging’s Image Gently website. For more information about pediatric patient safety in
fluoroscopy and other X-ray emitting technologies you can consult the following online
resources:
l Image Gently (www.imagegently.org)
l Image Wisely (Radiation Safety in Adult Medical Imaging) (www.imagewisely.org)
l Society of Pediatric Radiology (SPR) (http://www.pedrad.org)
l American Association of Physicists in Medicine (AAPM) (www.aapm.org)
l American College of Radiology (ACR) (http://www.acr.org)
l Pediatric X-ray imaging information on the FDA website (www.fda.gov)
l International Atomic Energy Association’s Radiation Protection of Patients
(rpop.iaea.org)
5-45
5. Imaging
5-46
5. Imaging
Note: Actual patient entrance air kerma rates may vary significantly depending on the
distance between the focal spot and the patient's skin surface.
Warning When the patient is positioned more than 30 cm from the image detector, the
dose received by the patient is higher than the indications displayed on
Workstation.
The Air Kerma display option on the system provides two indications of Air Kerma, the
Cumulative Air Kerma and the Air Kerma Rate.
l The Cumulative Air Kerma (CAK) is an indication of the accumulated Air Kerma at the
Patient Entrance Reference Point for the duration of the exam. The number is at 0 at the
beginning of the exam and increases for each X-ray exposure. The CAK value is
automatically reset to 0 at the beginning of each new exam. CAK is displayed in terms of
mGy or R.
l The Air Kerma Rate (AKR) is an indication of the instantaneous rate of radiation. During
an X-ray exposure, the AKR displays in units of mGy/min or R/min. Otherwise, the
system displays the AKR as 0 mGy/min.
Note: Air Kerma is useful in predicting short-term deterministic effects from radiation. See
5.13 Deterministic effects of ionizing radiation on humans beginning on page 5-56 for
more information.
Note: The system does NOT disable X-ray production at any radiation dose threshold.
5-47
5. Imaging
The system can display CAK and AKR using different units.
Table 5-4: CAK and AKR units
Measurement Units Conversion
CAK or Entrance Dose Gy or R 1Gy corresponds to 114 Roentgens
(R).
AKR or Entrance Exposure mGy/min or R/min 1Gy corresponds to 114 Roentgens
Rate (R).
Note: The system does NOT disable X-ray at any radiation dose threshold.
The DAP specification for accuracy is based on the IEC 60601-2-43.
5-48
5. Imaging
Note: Pedal time is the total time an X-ray control is pressed during an exam, while exposure
time is the total time X-rays are being generated during an exam. These times may be
different, such as when pulsed modes are used.
Note: In Pulsed modes, the total time that X-rays were generated displays in the Time
column, rather than the length of time that the X-ray switch was pressed.
Note: The displayed AKR and CAK values are based on a reference point 70 cm from the
focal spot (30 cm from the detector entrance) along the X-ray beam axis. The
reference point location is based on international convention and typical usage of a
multi-use mobile fluoroscopy system. GE OEC has selected this location to represent a
typical intersection of patient surface and the X-ray beam axis. Actual patient AKR and
CAK may vary significantly depending on source-to-skin distance.
5-49
5. Imaging
RDSRs are copied to a portable media device, a portable DICOM viewer can be written to the
device and can be used to review those images on a PC.
The RDSR displays in the Images tab on the main system monitor and the Touch / Tableside
C-Arm control panel for completed exams:
Figure 5-42: RDSR icon
Regulations require dose to be recorded for all radiation events, so the RDSR lists all dose
accumulated during the exam, including dose that does not result in a saved image.
A Digital Cine Pulse run may be reported as a continuous shot in the RDSR because the user
released the pedal or X-ray switch prior to at least two pulses, that is before the system started
taking a Digital Cine Pulse.
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5. Imaging
1. Technique limits may vary based on local regulations, kV setting, and imaging mode.
2. The auto save feature may be enabled to automatically save the last image held on the
left side of the main system monitor display during imaging. When the auto save feature
is enabled, the system automatically saves the image displayed on the main system
monitor when the X-ray switch is released.
3. The auto save feature does not apply to Roadmap-1 and Digital Spot modes, as these
modes always save automatically.
4. Maximum time is based on configuration.
5. Pulsed digital cine always records. Auto record cannot be turned off for pulsed digital
cine runs.
The maximum reference air kerma rate and reference air kerma per frame is delivered with the
following loading factors:
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5. Imaging
l HLF: 120kV/16mA
l Pulsed HLF: 120kV/35mA
l Digital spot: 120kV/33mA
l Digital cine pulse: 120kV/125mA
Imaging Modes
When you select a mode, the previous mode is disengaged.
Fluoro / Roadmap (both positive and negative contrast)
kV: 40 - 120
mA: 0.2 - 10
Mode Description: Fluoro mode displays live fluoroscopic images. Roadmap mode displays
live fluoroscopic images to be used in Roadmapping.
Enable mode: Fluoro mode is enabled by default.
Acquire X-rays: To take a Fluoro shot, press the left X-ray switch on the footswitch,
handswitch, or the X-ray On switch on the C-Arm.
Screen indic- When Fluoro mode is enabled, the C-Arm control panel displays the default
ations: technique. The status bar displays Fluoro or Roadmap, as follows:
or
Pulsed Fluoro
kV: 40 - 120
mA: 0.2 - 28
Mode Description: Pulsed Fluoro mode generates a user-selected number of X-ray pulses
each second while the X-ray switch is pressed. Use of a pulsed fluoro
mode can significantly reduce the dose rate, but image quality may be
degraded in this mode as a result.
Enable mode: To enable Pulsed Fluoro mode, press the Pulse key on the C-Arm or select
a Pulse rate on the Mode screen.
Acquire X-rays: To take a Pulsed Fluoro shot, press the left X-ray switch on the
footswitch, handswitch, or the X-ray On switch on the C-Arm.
Mode indications: When Pulsed Fluoro mode is enabled, one of the Pulse options on the
Mode screen is filled and the status bar displays Fluoro and the pulse rate
(PPS), as follows:
High Level Fluoro (HLF) / Subtract (both positive and negative contrast)
kV: 40 - 120
HLF mA: 0.2 - 20
Subtract mA: 0.2 - 40
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5. Imaging
Mode Description: High Level Fluoro (HLF) mode decreases noise level and improves image
quality by increasing fluoroscopic mA. Continuous HLF uses mA levels up
to 20 mA. HLF mode is limited to 30 seconds per shot. Subtract mode uses
HLF imaging for Subtraction imaging, which can use mA levels up to 40
mA.
Enable mode: HLF mode is enabled by default in some locations. In others, HLF is
unarmed; press the HLF button to arm HLF for each shot.
Acquire X-rays: To take an HLF shot, press the right X-ray switch on the footswitch or
handswitch.
Mode indications: When HLF mode is enabled, the status bar displays HLF or Subtract, as
follows:
or
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5. Imaging
Acquire X-rays: Vascular systems: Press the right X-ray switch on the footswitch or
handswitch.
Mode indications: When Digital Cine Pulse mode is enabled, the status bar displays Digital
Cine and the pulse rate (PPS) and, if applicable, frames per second (FPS),
as follows:
Digital Spot
kV: 40 - 120
mA: 1.4 - 75
Mode Description: Digital Spot mode creates a short-duration, high-mA exposure to produce a
high-quality single image.
Note: Digital Spot mode works independently of the low dose feature. In
Digital Spot mode, dose levels are similar regardless of whether
low dose is enabled or disabled.
Enable mode: To enable Digital Spot mode, touch Digital Spot on the Mode screen.
Acquire X-rays: To take a Digital Spot shot, first press the left X-ray switch on the
footswitch or handswitch, allowing the system to acquire the appropriate
technique, and then press the right X-ray switch. The system locks the
kV technique and increases mA for the Digital Spot exposure. See 16.3.3
Modes of operation beginning on page 16-9 for the relationship of fluoro
technique to Digital Spot technique.
Mode indications: When Digital Spot mode is enabled, the status bar displays Digital Spot,
as follows:
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5. Imaging
5-55
5. Imaging
Digital Blinks at Blinks at LIVE pulses on bottom left Single audible beep (at a
Cine 3-5 Hz 3-5 Hz of the monitor higher pitch than the
Pulse Fluoro beep) followed by
higher pitched pulsed
beep.
When the alarm is triggered, the system generates a constant alarm until the Alarm Reset key
is pressed.
5-56
6. Dynamic recording
6. Dynamic recording
The system can record dynamic images, called cine runs. The Reference > Cine > Cine
Setup screen allows you to enable and disable cine acquisition for the various image modes
and to set cine acquisition rates.
Warning Use caution while the Workstation is in use. The system is always running
during operation of the Workstation. Any sudden, intense impact can damage
the system and could result in loss of previously recorded cine runs and
prevent further imaging.
Note: Main system screens includes a breadcrumb trail at the top of the screen to help
navigation. These screens are introduced in this chapter using the full breadcrumb trail,
then referred to by the screen title thereafter.
Screens may vary depending on system configuration.
During acquisition, cine images are recorded until the exam is complete.
Note: Cine runs can be archived to a portable media device for further review after the exam
completes. See 8.3 Retrieve a saved exam beginning on page 8-14 for information
about archiving cine runs.
When acquiring a cine run, the system will not save the run until after the video has stabilized
and 2 frames have been captured. Runs shorter than 5 frames will be discarded.
At lower cine acquisition rates, it may take up to 2 seconds to record a cine run successfully.
When recording begins, a frame counter displays on the left side of the main system monitor.
When a Digital Cine Pulse run is saved, an automatic cue point is created at the beginning of
the stable, usable frames. As a result, all Digital Cine Pulse runs are marked with a "trimmed"
thumbnail in the Images screen.
When available cine space is shown to be full, there is still enough storage space left to
complete the exam. When there is no more storage space left, an X-RAYS TEMPORARILY
DISABLED message displays and exams cannot be started or resumed until space is freed.
See 8.7 Check disk space on page 8-29 for details on how to check used and remaining space
on the disk. If disk space is low, use one of the methods described in 8.8 Archive images
beginning on page 8-30 to save exams, or delete images as described in 8.9 Delete exams and
images beginning on page 8-36.
To display the Cine screen, touch Cine... from the Reference screen.
6-1
6. Dynamic recording
6-2
6. Dynamic recording
6-3
6. Dynamic recording
6-4
6. Dynamic recording
If a mode is not available on this screen, contact service to enable the mode for your system.
Pulsed digital cine always records. Auto record cannot be turned off for pulsed digital cine runs.
Depending on regulations, disabling automatic recording of Subtract runs may not be allowed
in some locations. By default, cine acquisition is enabled for Subtract mode.
6-5
6. Dynamic recording
The status bar displays the acquisition rate (FPS) when cine acquire is enabled for that mode
and the mode is selected.
Figure 6-7: Status bar showing a fluoro cine rate of 8 FPS
6-6
6. Dynamic recording
Figure 6-8: Cine Setup screen - pulsed mode rate and time remaining display
Touch OK to save any changes and close the Cine Setup screen.
6-7
6. Dynamic recording
Note: If an error displays while a cine run is playing and cine images are being transferred,
touch OK to acknowledge the error message and return to the cine run playback.
For best results, allow transfer processes to complete before viewing cine runs.
To review a cine run:
1. Touch the Images tab to display the Images screen and all images and cine runs for the
current patient.
Note: See 8.3 Retrieve a saved exam beginning on page 8-14 for selecting a cine run from a
different patient exam.
2. Select the thumbnail of the cine run in the Images screen. Cine playback occurs on the
left side of the main system monitor and the Cine screen displays on the right side of the
main system monitor.
3. As playback progresses through the acquired images, the frame number changes to
indicate the position of the frame within the run.
6-8
6. Dynamic recording
4. Replay continues to loop until you touch the Play / Pause ( ) button to pause the run
to view a single frame or exit.
Figure 6-11: Cine playback buttons
l Touch to move forward by a
single frame.
l Touch to move back by a
single frame.
l Touch to move forward by 10
frames.
l
Touch to move back by 10
frames.
l
Touch to begin, pause, or
resume cine playback.
l Touch Minimize to close the Cine
screen and display the cine
playback controls on the selected
cine run. See 6.2.6 Mini cine
playback beginning on page 6-17
for an explanation of the Mini Cine
controls.
6-9
6. Dynamic recording
The total number of runs is noted as Run X of X. This number does not correspond with the
image number of the cine run in the Images screen. The run number indicates the cine run
currently being reviewed and the number of runs available for review.
6-10
6. Dynamic recording
6-11
6. Dynamic recording
6-12
6. Dynamic recording
Figure 6-15: Mask indicator bar with a mask frame (2) and cues set (1 and 3)
2. Pause the run. Use the playback buttons to display the frame in the cine run that will be
the starting cue.
3. Touch Set Left to set the beginning cue.
4. Advance to the chosen ending frame. Touch Set Right to set the ending cue. Playback
displays the images located between the cues.
5. To delete the cues, touch Clear Left or Clear Right.
6. Touch OK to close the Set Cues dialog box.
Note: The cues remain set on the cine run until they are cleared. If a run with cues is archived,
only the portion of the session between the cues will be archived.
Cine runs with cues saved display a thumbnail with a trim icon on the Images screen. The
thumbnail on the Images screen may display a frame which is not included in the trimmed cine
run.
Figure 6-16: Cine run thumbnail with trim icon
6-13
6. Dynamic recording
Note: Digital cine pulse runs automatically include a cue at the beginning of the run.
Regulations require the cine run to include all frames captured, including the frames
captured while the image stabilizes. These frames do not contain usable images, and
therefore a cue is placed at the beginning of the usable frames.
To view the run in unsubtracted form, touch View Subtracted again. The button is no longer
highlighted and the cine run displays unsubtracted.
Note: Roadmaps cannot display in unsubtracted form.
6-14
6. Dynamic recording
Use the Peak Opacify button during post-processing to view a subtraction run with
opacification. The areas darkened by the contrast media remain dark in the playback of the run,
providing maximum vessel display.
6-15
6. Dynamic recording
Adjust mask
Figure 6-19: Adjust Mask button
See Adjust the mask beginning on page 5-35 for information on how to adjust the mask or
landmarking on an image.
Roadmap mask
Figure 6-20: Roadmap Mask button
6-16
6. Dynamic recording
Use this button to select an image or frame to be used as a mask. Select from a Last Image
Hold, a recalled image, or a frame from a subtracted or unsubtracted cine run. See Produce a
Roadmap mask from a cine run beginning on page 5-40.
Note: Mini cine controls provide the same functionality as the equivalent Cine screen controls
described previously in this chapter.
6-17
6. Dynamic recording
2. Adjust the zoom using the up and down arrows on the slider, and move the yellow box to
the area to be magnified, as needed. The left side of the screen displays the adjusted
image. Images can be zoomed up to 4x in 0.2 increments.
3. When the desired adjustments are complete, touch OK. The zoomed dynamic image
displays according to the system's default settings.
To turn off the digital zoom on a dynamic image, press Zoom on the image control keypad and
drag the Zoom slider all the way down to 1x, then touch OK.
6-18
7. Image annotation and measurement
When Annotations is opened, the current image from the left side of the main system monitor
also displays on the right side of the main system monitor, within the Annotations screen. If no
image is currently selected, the Annotations screen displays no image, and the Markers...,
Measure..., and Add Comment buttons are disabled.
7-1
7. Image annotation and measurement
Touch Exit on the Annotations screen at any time to display the Reference screen.
A toolbar displays on the left side of the screen. similar to the following:
Figure 7-3: Annotations toolbar on the
Touch / Touch Tableside C-Arm control panel
1. Measurements selection
button - touch to switch to the
Measurements toolbar
2. Directional Arrow marker
buttons
3. Left (L) / Right (R) marker
buttons
4. Comment button
5. Virtual Keyboard button
6. Delete Annotation button
7-2
7. Image annotation and measurement
7-3
7. Image annotation and measurement
The markers object bar includes four directional arrows and L (left) and R (right) markers.
2. Touch a marker button in the object bar. The marker displays on both sides of the
monitor.
3. To position a marker, touch the marker on the right side of the main system monitor and
drag it to the desired position. To fine tune the position, use the arrow keys on the
keyboard. Each press of an arrow key moves the selected marker by four pixels.
4. To add more markers, repeat steps 2 and 3. Up to five markers can be placed on any
image.
5. Press Save to save a copy of the image with the markers. This step is only for static
images because annotations save automatically on cine runs.
6. Touch OK to close the Markers screen. The annotated image remains displayed on the
left side of the main system monitor until you press an X-ray switch or recall a saved
image.
7-4
7. Image annotation and measurement
2. Enter text in the comment box. Comments have no character limit but can be only as
long as the width of the image.
7-5
7. Image annotation and measurement
l To position the comment box on the image, select the comment box on the right side
of the main system monitor and drag it. Use the keyboard arrow keys to fine-position
each comment box. Each press of an arrow key moves the box four pixels.
l To add additional comments, touch Add Comment and enter another comment. Up to
five comments can be placed on any image.
3. Press Save to save a copy of the image with the comments. This step is only for static
images because annotations save automatically on cine runs.
7-6
7. Image annotation and measurement
Measurement units are millimeters (mm) for distance measurements, percent (%) for stenosis
measurements, and degrees (°) for angle measurements. Failure to correctly calibrate the
system may result in inaccurate distance measurements. When calibrated accurately, distance
measurements are accurate to within 0.4 mm or better. When calibration is performed, the
reference calibration value displays in the upper-right corner of the Calibrate screen. See 7.4.1
Calibration beginning on page 7-8 for how to calibrate before measuring an image.
Measurements can be applied to a saved image, a cine run, a recalled image, an image
magnified using the zoom feature, a Last Image Hold (LIH) image, and the current image
displayed. Note that a cine run pauses when entering the Annotations feature. Measurements
applied to a cine run display on the entire cine run.
Up to eight annotations - five distance measurements, two angle measurements, and one
stenosis measurement - can be placed on any image.
To position the measurement box on the image, touch and drag the endpoint. Use the
keyboard arrow keys to fine-position each endpoint. Each press of an arrow key moves the box
one pixel.
Caution Measurements should only be performed on images created with the detector
parallel to the anatomy to be measured. If the detector is not parallel to the
anatomy during imaging, measurements may be inaccurate.
Note: Because the left side of the main system monitor does not display a box around the
endpoint, endpoints may be more easily placed while looking at the left side of the main
system monitor.
7-7
7. Image annotation and measurement
7.4.1 Calibration
Note: Calibration must be performed before distance measurements are applied and should
be performed before stenosis measurements are applied. Stenosis can display only a
percentage if no calibration is performed.
To perform a calibration between two points, place a measuring device in the plane of interest.
For the most accurate calibration and subsequent measurements, place the anatomy to be
measured as close as possible to the center of the detector, and place the measuring device for
calibration as close as possible to the anatomy and in the same plane of the anatomy. The
magnification mode may also affect the accuracy.
The distance on the image should be marked during calibration and the length value entered in
the mm or French measurement box. Once the value is entered, the reference value for the
fixed length displays in the upper-right corner of the Calibrate screen.
When calibration is changed during a procedure, the values in length for stenosis and distance
adjust to the new calibration values.
On cine run frames, each frame of a cine run will receive measurement calculations based on
the same calibration values when measurements are applied. When the frame is saved, it is
saved as a single frame with the current calibration and cannot be modified when calibration is
adjusted. Calibration performed on a single frame of a cine run is used for measurements on
any frame of that cine run. Because anatomy can move throughout a cine run, it is best to
calibrate on the same frame that will be used for measurement. If the frame is saved, it is saved
as a single frame with the current calibration. To change the calibration on a cine run frame,
recall the frame and perform calibration on it again.
When zoom is enabled on an image, the reference calibration values are scaled to match the
7-8
7. Image annotation and measurement
zoom factor.
Perform calibration
1. Touch Calibrate on the Measure screen.
Figure 7-9: Calibrate screen
7-9
7. Image annotation and measurement
3. Touch one crosshair at either end of the line and position the beginning point of
measurement.
4. Touch the second crosshair and position the endpoint of measurement. The distance
measurement displays in millimeters below and to the right of the endpoint.
5. Press Save to save a copy of the image with the measurement information. This step is
only for static images because annotations save automatically on cine runs.
6. Touch OK to close the Measure screen. The annotated image remains displayed on the
left side of the main system monitor until you press an X-ray switch or recall a saved
image.
7-10
7. Image annotation and measurement
2. Touch the crosshairs at the ends of one line and position the endpoints of the angle.
3. Touch the crosshairs at the ends of the other line and position the endpoints of angle.
The endpoints do not have to intersect on the screen. The angle measurement displays
next to the arc between the two lines and updates as the lines are moved.
4. Press Save to save a copy of the image with the angle measurement. This step is only
for static images because annotations save automatically on cine runs.
5. Touch OK to close the Measure screen. The annotated image remains displayed on the
left side of the main system monitor until you press an X-ray switch or recall a saved
image.
7-11
7. Image annotation and measurement
3. Place the shorter dashed default line to mark the stenotic area.
4. Place one longer, dotted line across a normal vessel distal to the stenotic region.
5. Place the other dotted line across a normal vessel proximal to the stenotic region.
6. Press Save to save a copy of the image with the stenosis measurement information.
This step is only for static images because annotations save automatically on cine runs.
7. Touch OK to close the Measure screen. The annotated image remains displayed on the
left side of the main system monitor until you press an X-ray switch or recall a saved
image.
7-12
7. Image annotation and measurement
7-13
7. Image annotation and measurement
Alternatively, on the C-Arm control panel, touch the Digital Pen icon under the image on
the left side of the screen.
7-14
7. Image annotation and measurement
Figure 7-15: Digital Pen button on the OEC Touch / Touch Tableside C-Arm control panel
2. Draw or otherwise mark the image on the right side of the main system monitor. The
markups display on both sides of the monitor, and remain displayed for the entire exam,
unless the markups are deleted.
Figure 7-16: Digital Pen markups displayed on both sides of the monitor
7-15
7. Image annotation and measurement
3. Touch Digital Pen again to turn off the feature. The button toggles between enabled and
disabled states.
To delete digital pen markups, use one of the following methods:
l Start a new exam.
l Resume a previous exam.
l Touch the Delete button at the top-right corner of the Annotations screen, beneath
Measure... or from the image processing bar on the C-Arm control panel, under the
image. The last markup is deleted. To delete multiple markups, touch Delete multiple
times.
Figure 7-17: Delete button on the Annotations screen
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7. Image annotation and measurement
Figure 7-18: Delete button on the OEC Touch / Touch Tableside C-Arm control panel
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7. Image annotation and measurement
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8. Review and archive
8.1 Images
Use the Images screen to display static images and cine runs from previous or retrieved
exams, for review or modification.
Touch the Images tab to display the Images screen.
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Caution When copying to or from a portable media device, touch Load to make the
device available. Wait until the device information displays on the screen before
beginning the copy operation. Load time and copy rates may vary among
portable media devices, and the read speed of a device can be as much as 10x
faster than the write speed.
8. To. Touch to select the target destination for the copy operation. Device information
displays below to indicate the selected device and, for portable media devices, its used
and free space. Use this information to determine if the selected images will fit on the
device.
9. This button varies based on the target destination:
l Touch Options... to display the Images > Portable Media Options screen to
select save options for images and to format a portable media device
l Touch Layout... to select layout options for printing.
10. This button varies based on the target destination:
l Touch Print to send selected images to a printer.
l Touch Move to move selected images to the system or to a new study.
l Touch Send to send the selected images to a portable media device or a DICOM
server.
11. Select All. Touch to select all images in the gallery for copying or printing.
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Even though the thumbnail is damaged, the image itself is still available and can be displayed
by selecting the damaged thumbnail icon displayed in its place.
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If the current patient has more than one exam stored on the system, the Available Exams drop-
down list displays the exams in the Imaging Modality, Exam Status, Procedure Description
format. Modality can include native OEC images, or CT, MR, XA, RF, or SC. Exam status can
include Current, Paused, Completed, or Abandoned.
Use the Previous Exams button to select exams to be included in this list.
1. Touch Previous Exams... on the Images screen.
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The Images > Previous Exams screen displays, along with a list of exams found on the
system for the current patient.
For each exam for the same patient ID, the Previous Exams screen displays the
procedure description, exam modality, number of images, origin (manually acquired or
retrieved), accession number, date and time of the exam, physicians's name, number of
reports, and exam status (Current, Retrieved, Completed, or Abandoned).
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Note: Use Retrieve... to open the Images > Retrieve screen, to retrieve exams from a
DICOM server or a portable media device. See 8.3.2 Retrieve exams from a DICOM
server beginning on page 8-15 and 8.3.1 Retrieve exams from a portable media device
beginning on page 8-14.
2. Use Sort By to sort exams by Date, Patient Name, Patient ID, Physician Name, or
Modality, and Sort Order to arrange the records in Ascending or Descending order.
3. Touch the check box next to the exam(s) to display in the Available Exams drop-down
list. A green check mark displays in any selected exam's check box.
To exclude an exam from the list of available exams, clear the check mark next to that
exam.
4. Touch OK to exit the Previous Exams screen. The Images screen displays the current
exam.
5. Touch the Available Exams arrow to display the selected exams.
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Reviewing exams
When a patient exam is viewed from the Patient > Saved Exams screen, and is not an exam
for the current patient, the procedure data bar displays differently:
Figure 8-9: Reviewing exam procedure data
Touch Exit in the procedure data bar to return to the Patient screen for the current patient, with
the current patient information displayed in the procedure data bar.
Image types
X-ray images display in both real time and as static, saved images. Four image type
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designators display in the lower left corner of the image to identify the type of image displayed:
l Live images display on the left side of the screen with a flashing designator, LIVE, to
indicate that they are being created in real time and that X-rays are being generated.
l The most recent image saved at the end of a radiation event displays on the left side of
the screen with the designator, LIH, to indicate that it is the last held image and that X-
rays are no longer being generated. If the LIH is saved, the saved image number
displays below the designator.
l If an LIH is swapped to the right side of the screen and then back to left side of the
screen, it displays with the designator, REFERENCE, to avoid confusion between
swapped images and future LIH images from additional exposures.
l Saved images display on the left side of the screen, and display with the designator
RECALLED. The saved image number displays below the designator, and may also
include a D to indicate that the image was derived from another image, and has been
zoomed and then saved. The image label also includes the image number from which
the image was derived.
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8. Review and archive
Motorized systems display the rotation angles of the C-Arm on live and LIH shots:
Figure 8-11: Sample Live or LIH image on motorized systems - differences only
1. Procedure description
2. Patient ID
3. Patient name
4. Physician name
5. Accession number
6. Comments (up to 2 lines)
7. Patient birthdate
8. Patient gender
9. Type of image: RECALLED
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The brightness and contrast values are located to the left of the brightness and contrast icons in
the upper-right corner of the image (Figure 8-14).
To display the enhance value, press the Enhance key once. The enhance value displays as a
vertical, graduated column on the left side of the image as shown in Figure 8-14.
In the examples shown in Figure 8-14, the brightness value is 36, the contrast value is 28, and
the enhance value is 3.
Figure 8-14: Location of brightness, contrast, and enhance values
1. Brightness value
and icon
2. Contrast value
and icon
3. Enhance value
displayed on
graduated
vertical column
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8. Review and archive
Figure 8-15: Before brightness increase Figure 8-16: After brightness increase
If the overall image appears brighter than desired, or if a bright area of features is saturated, or
if there is a loss of anatomy (or skin lines) that should be visible, decrease the brightness.
1. Decrease the brightness by 1-2 units and observe the overall image appearance.
2. Repeat the adjustment until the desired image brightness and quality are achieved.
Figure 8-17 shows an image before the brightness level was decreased. Figure 8-18 shows the
same image after the brightness level was decreased.
Figure 8-17: Before brightness decrease Figure 8-18: After brightness decrease
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Figure 8-19 shows an image before contrast level adjustment. Figure 8-20 shows the same
image after the contrast level was increased.
Figure 8-19: Before contrast level increase Figure 8-20: After contrast level increase
If the anatomical structures (bones, contrast filled vessels, and other features of interest) are
too contrasted, too dark, too noisy, or saturated in the bright areas, reduce the contrast level to
improve the overall image. Such images may be described as “grainy.”
1. Decrease the contrast by 1-2 units and observe the overall image appearance.
2. Repeat the adjustment until the desired image contrast and quality are achieved.
Figure 8-21 shows an image before the contrast level was decreased. Figure 8-22 shows the
same image after the contrast level was decreased.
Figure 8-21: Before contrast level decrease Figure 8-22: After contrast level decrease
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1. Decrease the enhancement by one unit and observe the change in the image.
2. Repeat the adjustment until the desired image quality is achieved.
Using lower enhancement may suppress noise and improve the image quality of local
structures, but may also sacrifice image sharpness (for example, for small anatomy and quiet
image). A tradeoff should be made based on personal preference. The following figures
provide example images before and after enhance adjustment.
The images in Figure 8-23 and Figure 8-24 were taken with the Spine profile. A higher
enhancement level will produce a sharper image (Figure 8-23), but may cause a noisy or grainy
appearance, especially for large and dense anatomy.
The modified image in Figure 8-24 uses the same brightness and contrast settings as in Figure
8-23, but with a lower enhancement value.
Reducing the enhancement level reduces the noisy and grainy appearance. This may improve
the system tolerance to patient size and density differences, resulting in more consistent
images.
Figure 8-23: Higher enhancement level Figure 8-24: Lower enhancement level
If the image has proper brightness and contrast levels but the anatomical structures (bones,
contrast filled vessels, and other features of interest) need to be sharper to reveal more details,
increase the enhancement level to improve the sharpness of local structures.
1. Increase the enhancement by one unit and observe the change. Greater enhancement
may introduce more noise into the image. A trade-off should be made based on personal
preference.
2. Repeat the adjustment until the desired image quality is achieved.
Figure 8-25 shows an image before enhance adjustment. Figure 8-26 shows the same image
after the enhance level was adjusted.
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8. Review and archive
1. In the Copy area of the screen, near the top right, in the From menu, select the location
containing the patient exam.
2. In the To location, select a location to copy to. Select System to copy to the system.
Images can be copied to any available destination, as long as the source and destination
devices are different.
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8. Review and archive
Figure 8-27: Images screen copying from a portable media device to the system
3. Touch View.... The Retrieve screen displays, with the current patient information in the
query fields.
Note: See Access previous exams on the system for the current patient beginning on page 4-
17 for information on retrieving exams, including using the options on the Retrieve
screen.
4. Touch Query to search for any exams associated with the current patient on portable
media device.
5. Exams display at the bottom of the Retrieve screen. Select an exam and touch Copy to
copy it to the To location, or touch Close to return to the Images screen.
6. If prompted, follow the steps for reconciling a patient, as described in Reconcile exams
copied from a portable media device beginning on page 4-21.
Always touch Eject USB before removing a USB device. Removing a USB device without
ejecting it can make it unusable.
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8. Review and archive
Note: DICOM queries are canceled if an X-ray switch is pressed during a query. They are
noted as Failed in the transfer log.
DICOM transfers are suspended if an X-ray switch is pressed during transfers. They
are noted as Queued in the transfer log, and resume when the X-ray switch is released.
If there are archived exams or preoperative studies for the current patient, retrieve them from a
DICOM store serve using this procedure:
1. In the Copy area of the Images screen, near the top right, select a DICOM server as the
From location.
2. Select System as the To location.
Figure 8-28: Images screen with a DICOM storage server selected as the From location
3. Touch View. The Retrieve screen displays with the current patient's information
populated and the selected DICOM server in the Source field. Select a different source,
if necessary.
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4. In the patient search area at the top of the screen, use the fields to find the specific
patient. Search any combination of fields, including Patient First Name, Patient Last
Name, Patient ID, and Study Date. Use * for a general search of a name, such as
Jones*.
Change any of the search terms, as needed, and select a Study Date, from All, Today,
Since Yesterday, Last 3 Days, Last 7 Days, or Last 30 Days.
Touch Clear Fields to remove all the text entries and search for a different patient. The
Study Date reverts to Last 3 Days when the fields are cleared.
5. Touch Query. The system searches the selected source for records that match the
search fields, and populates the bottom portion of the screen with all matching results.
Note: If the list in the DICOM Retrieve window is too long to fit on one screen, use the arrows
on the right side of the window to page up and page down through the list to find a
specific record.
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8. Review and archive
Figure 8-30: Retrieve screen with search results and a selected record
6. Use Sort By to sort exams by Patient Name, Patient ID, Date, or Modality, and Sort
Order to arrange the records in Ascending or Descending order.
7. Touch the check box next to the exam(s) to import. A green check mark displays in any
selected exam's check box.
8. Touch Retrieve. A DICOM Retrieve in Progress message is displayed. Once the
system has finished importing the exam, the message closes and the Images screen
displays the retrieved exam.
Retrieved exams display the notation Retrieved in the exam title in the Available Exams
drop-down list and in the list of exams on the Saved Exams screen.
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Note: For software versions 1.0.XXXX and 1.2.XXXX: If you save several images as part a
single exam and then decide to move some images to a different existing exam, the
moved images retain the original exam's anatomical additional information. The addi-
tional information will need to be edited after the images are moved.
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Images are added to the new study in the order they are selected from the Images
screen.
3. In the Location area of the screen, near the top right, select System as the From
location, and select New Study as the To location. The information area below the To
field changes to display options for moving images to a new study.
Figure 8-32: Options for moving images to a new study
4. Select the appropriate patient information setting to copy the selected images.
l Select Use Existing to use the current patient's information, and then touch Move.
The Images > New Study screen displays, showing the current patient
information. Touch OK. The selected images are moved to a new study with the
current patient's information.
l Select New to create a new patient, and then touch Move. The Images > New
Study screen displays in editable format. Enter the new patient information and
then touch OK. The selected images are moved to a new study with the new
patient's information.
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5. Touch the Patient tab, and then touch Saved Exams... and select the new study.
6. Touch Resume Exam. The new study displays in the Images screen.
Note: All images saved during a specific radiation event are moved, even if only some images
were selected to be moved. Manually delete any unwanted images, if necessary.
Note: If Select All is used, the dose summary and all images are moved from the original
study to the new study, and the patient summary is copied to the new study. The
original study and patient summary are not deleted. A dose summary icon is retained
with the original study but the dose summary information is not retained with the
original study.
2. Touch View under Dose Summary. The Dose Summary screen displays. See 5.12.4
Dose summary beginning on page 5-48 for more information about this screen.
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2. Touch View under Patient Summary. The Patient Summary screen displays.
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Note: Do not change the onboard (local) printer's driver configurations using controls on the
local printer. Doing so can disrupt the communication between the system and the
printer, which can cause print processes to fail.
Note: If the onboard (local) printer is disconnected at the USB port, wait 1 minute before
plugging it back it in. Plugging it in too soon may result in the printer being unavailable.
Unplug it, wait 1 minute, and then plug it back in.
Note: For HIPAA compliance, remove identifying information from the image using the
Patient Information setup screen prior to printing.
Note: DICOM print processes are suspended if an X-ray switch is pressed during transfers.
They are noted as Queued in the transfer log, and resume when the X-ray switch is
released.
Note: Local print processes are suspended if an X-ray switch is pressed during transfers, and
resume when the X-ray switch is released.
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Note: If an onboard (local) printer is selected, the Onboard Print Options screen displays.
This screen is otherwise the same as the DICOM Print Options screen.
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Figure 8-36: Images screen with the DICOM printer and 4-up layout selected
8. Select a thumbnail and then select an area on the layout. The image number or summary
icon displays in that region of the layout, indicating that the image will print in that area of
the layout.
Figure 8-37: Images screen with 4-up print layout. Image 3 and
the dose summary are ready to print
The number of images printed at one time is limited by the device type and selected print
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format. Continue to select images and load them into the layout until all available
positions are filled.
If a thumbnail is selected and placed into a layout area already containing an image, the
last selected image number replaces the previous image number.
9. Touch Print. As images are sent to the print device, a PLEASE WAIT message displays.
To cancel the copy process, touch Cancel on the message screen. Once the process has been
canceled, a PLEASE WAIT message with no Cancel button displays until the cancel command
is completed.
Note: If the Sony printer's Copy button is pressed, the copy printed is of the last image
printed, not the image currently displayed on the screen.
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Figure 8-38: 1-up print layout with dose summary ready to print
5. Touch Layout... to change the print layout, if desired. See 8.6.2 Print images beginning
on page 8-23 for information on selecting layouts.
6. Touch Print.
Note: The dose summary can be placed into a layout and printed with images. See 8.6.2 Print
images beginning on page 8-23 for information on printing images.
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5. Touch Layout... to change the print layout, if desired. See 8.6.2 Print images beginning
on page 8-23 for information on selecting layouts.
6. Touch Print.
Note: The patient summary can be placed into a layout and printed with images. See 8.6.2
Print images beginning on page 8-23 for information on printing images.
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A green check mark indicates that the system has sufficient disk space. A yellow warning
symbol indicates that disk space is low. The system may still have enough space to complete
the current exam, but files should be archived or deleted soon. A red X indicates that the
system is out of disk space, and X-rays are disabled.
Figure 8-41: Disk space status icons
Additional details on available disk space displays on the Saved Exams screen, similar to the
following:
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If disk space is low, use one of the methods described in 8.8 Archive images beginning on page
8-30 to save exams, or delete images as described in 8.9 Delete exams and images beginning
on page 8-36.
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Note: When patient information is transferred to a DICOM store, the data is then under the
control of another system. The other system is then responsible for HIPAA compliance.
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Note that when a USB device is selected, its used and free capacity displays, along with the
amount of space needed for all selected images.
Figure 8-45: Images screen with a DVD burner selected
When a DVD burner is selected, the type of media displays under the To field, and the disc's
capacity displays, along with the amount of space needed for all selected images. Always load
a writable DVD into the tray. If a DVD burner is selected, but the burner does not have a
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writable disc inserted, the message Tray Empty displays under the To field. If the disc is not
writeable or empty, then the free space will be set to 0 and the Send button will be disabled.
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Note: When images are copied from the system to a portable media device, an index.html
file is created on the portable media device to display stored images using a web
browser.
Use the Firefox browser to open and display the index.html file stored on the
portable media device. Other browsers will not display the file.
Static images
1. In the Copy area of the Images screen, near the top right, select a From location, usually
System.
2. Select a storage device as the To location. Device information displays below to indicate
the selected device and, for portable media devices, its Capacity and Free space.
3. Press and hold the Ctrl on the keyboard and touch the thumbnails of the images to
archive. For portable media devices, the Capacity, Free, and Selected space will update
as thumbnails are selected. Use this information to determine if the selected images will
fit on the device.
If all of the images in the directory will fit on one device, touch Select All to select all of
the images in the directory. Continue selecting images until the Capacity reaches 0.
4. Touch Send on the Images screen to copy the selected images.
As images are sent to the storage device, a PLEASE WAIT message displays. To cancel the
copy process, touch Cancel on the message screen. Once the process has been canceled, a
PLEASE WAIT message with no Cancel button displays until it has completed the cancel
command.
Refer to the portable media device's capacity before beginning the copy process. Images can
be copied to a portable media device until the INSUFFICIENT MEDIA CAPACITY or
SELECTED IMAGE(S) ARE BIGGER THAN THE CURRENT MEDIA CAPACITY message
displays. To continue copying images, insert another device and touch OK in the dialog box.
See Figure 8-44: Images screen with a USB device selected on page 8-32.
Always touch Eject USB before removing a USB device. Removing a USB device without
ejecting it can make it unusable.
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Cine runs
Note: Multiple cine runs can be queued for archiving, but for best results, allow the copying
process to complete before taking X-rays or disconnecting the C-Arm.
The cine run thumbnail contains an image number and the letter C.
1. Select the cine run thumbnail . The cine run plays on the left side of the main system
monitor and the Cine screen displays on the right side of the main system monitor.
2. Touch OK to close the Cine screen.
3. In the Copy area of the screen, near the top right, select a From location, usually
System.
4. Select a storage device as the To location. The information area below the To field
changes to display the Capacity and Free space in the selected device.
5. Touch Send.
Note: If cues are set, only the active portion of the cine run between the cues is archived.
Note: DICOM limits the maximum size of a single cine run to 4.29 GB. Use the Set Cues
functionality to make cine runs smaller for archiving.
Cancel archive
To stop the archive process , touch Cancel on the Send in Progress message, and then touch
Yes on the Cancel message.
To cancel the archive process and clear the selected images before the system begins
archiving, touch Exit on the Images screen.
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Use the DICOM Image Viewer screen to view and manipulate images and cine runs.
The controls on this screen are as follows.
1x1 Layout - Displays when the layout is 1x1. Touch to select the next layout
option.
2x2 Layout - Displays when the layout is 2x2. Touch to select the next layout
option.
3x3 Layout - Displays when the layout is 3x3. Touch to select the next layout
option.
4x4 Layout - Displays when the layout is 4x4. Touch to select the first layout
option.
Hide Overlay - Displays when the Overlay is hidden. Touch to select the next
overlay option.
Show Overlay - Displays when the Overlay is visible. Touch to select the pre-
vious overlay option.
Negate – Inverts the image into a negative image.
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Zoom – Zooms in or out on the image. The zoom factor displays under the but-
ton.
Window Center – Adjusts the brightness of the image. Drag the slider to the
right to make the image darker, or to the left to make it brighter. The window
center value displays in the bottom right corner of the image as C:XXX.
Window Width – Adjusts the dynamic range of the image, similar to contrast.
Drag the slider to the right to give the image higher contrast (greater range
between the lightest and darkest areas of the image), or to the left to give it
lower contrast (less range between the lightest and darkest areas of the
image). The window width value displays in the bottom right corner of the
image as W:XXX.
Reset – Removes all changes and resets the selected image to its original
form.
If the selected image is a cine run, the cine viewer controls at the bottom of the
screen are enabled. The total frames and current frame number displays under
the cine controls.
Play / Pause – Initiates play back of a cine run or pauses a cine run that is
playing.
Back 1 Frame – Goes back one frame in a cine run.
Note: To use the cine controls, the cine run must be displayed in the 1x1 layout.
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8-40
9. Laser Aimer
9. Laser Aimer
All flat panel detector systems are equipped with an integrated Laser Aimer.
The Laser Aimer produces a set of laser cross-hairs which is used to indicate the central axis of
the X-ray beam. Call for service to have the cross-hairs adjusted.
Note: An add-on, detachable Laser Aimer may be purchased for systems without the
integrated Laser Aimer. See 16.1.1 Communication center contact information
beginning on page 16-1 to order.
Warning If the laser aimer is on, do not look directly into the laser apertures.
When the Laser Aimer is not in use, switch it off. Verify that the laser beam is off by checking
the On/Off switch. If the switch is illuminated, the laser is on and appropriate precautions
should be taken.
Figure 9-2: Laser Aimer On/Off switch positions
9-1
9. Laser Aimer
9-2
10. DICOM setup and configuration
The American College of Radiology (ACR) and the National Electrical Manufacturers
Association (NEMA) developed the Digital Imaging and Communications in Medicine (DICOM)
standard.
The standard uses an object-oriented design to query the worklist, archive, and print images.
During network transfers, both images and patient information are sent. This patient
information may be the result of a DICOM WorkList Query or it may be manually entered in the
Patient screen by the technologist. Patient birth dates can be part of the manually-entered
patient data.
The system must be configured to access the DICOM network. Configuration identifies the
system to the network and defines DICOM network servers.
All devices that meet the DICOM standard are required to have a Conformance Statement that
defines how the device implements the standard. To configure devices, enter information
contained in the device's Conformance Statement or obtained from the local network
administrator.
Note: Network communications are always initiated by the system.
Note: The system supports 10 Base-T, 100 Base-T, and 1000 Base-T Ethernet connections.
Note: Main system screens includes a breadcrumb trail at the top of the screen to help
navigation. These screens are introduced in this chapter using the full breadcrumb trail,
then referred to by the screen title thereafter.
Screens may vary depending on system configuration.
10-1
10. DICOM setup and configuration
Figure 10-1: Applications > Setup screen with menu on the right side
Touch DICOM in the menu to display the Applications > Setup > DICOM screen and display
the DICOM menu items on the right side of the screen.
Caution Only qualified users should make changes to DICOM settings. Incorrect settings
may cause loss of DICOM functionality.
10-2
10. DICOM setup and configuration
Use the DICOM screen to edit existing DICOM servers, set up new DICOM servers, view
configured DICOM servers, and set up default DICOM settings.
If DICOM servers are already configured, the screen will display values in one or more of the
fields.
Station Name
Displays the unique name, internal to the system, used to identify the server in the list
of available destination devices.
AE Title
Displays the DICOM Application Entity Title for the local server. AE Titles are limited to
a maximum of 16 characters, and are case-sensitive. This title is used for queries. The
title also is used by the Retrieve Server in response to store requests.
Edit Local Server...
Touch to change the local DICOM server settings. See 10.1.1 Set up DICOM local
server beginning on page 10-4.
Add Server
If no servers are configured, or to add more servers, use this section to configure one or
more servers. A local server must be configured first.
Server Type
Select a server type from the menu. Options include Store / Store Commit, MWL /
MPPS, Query / Retrieve, and DICOM Print.
Add...
Touch to add a new DICOM server of the selected type.
10-3
10. DICOM setup and configuration
Configured Servers
Server Alias
Displays the server unique name for each configured server.
Server Type
Displays the server type for each configured server.
Edit...
Touch to edit a selected server.
Delete
Touch to delete a selected server.
Default Servers
Default Store Server
Displays the server alias for a configured store / store commit server. If more than one
server is configured, use the menu to select a default.
Default RDSR Server
Displays the server alias for a configured Radiation Dose Structured Report (RDSR)
server. If more than one server is configured, use the menu to select a default.
Default Print Server
Displays the server alias for a configured print server. If more than one server is con-
figured, use the menu to select a default.
Default MWL / MPPS Store Server
Displays the server alias for a configured Modality Work List (MWL) or Modality Per-
formed Procedure Step (MPPS) server. If more than one server is configured, use the
menu to select a default.
Default Query / Retrieve Server
Displays the server alias for a configured query / retrieve server. If more than one
server is configured, use the menu to select a default.
Touch Save to save the settings. If no changes have been made, the Save button is
unavailable.
Touch Exit to return to the main Applications screen without saving any changes; a SAVE
CHANGES BEFORE EXITING? message displays. Follow the message instructions.
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10. DICOM setup and configuration
Obtain the following information from the facility's network administrator or from the device's
DICOM Conformance Statement and enter it in on this screen:
Station Name
Enter the unique name, internal to the system, used to identify the server in the list of
available destination devices.
AE Title
Enter the DICOM Application Entity Title. AE Titles are limited to a maximum of 16 char-
acters, and are case-sensitive. This title is used for queries. The title also is used by the
retrieve server in response to store requests.
Retrieve / Storage Commit Port
Enter the port number assigned to the server running on the system. The default value
is 10004. Valid values are 104 and 1025-49150.
Days to Cache Retrieved Images
Select the number of days, up to 7, that retrieved documents will remain in the local
cache. The default is 3.
Wired
Displays the IP Address and MAC address for the wired network, if one is configured.
Wireless
Displays the IP Address and MAC address for the wireless network, if one is con-
figured.
Verify
Touch to test that the settings are correct. If the system is not connected, a CANNOT
MAKE NETWORK CONNECTION message displays. Touch OK and follow the
10-5
10. DICOM setup and configuration
message instructions.
If the settings are correct and the system negotiates the network, a PORT
VERIFICATION SUCCESSFUL message displays. Touch OK to continue.
Otherwise, an INVALID PORT ENTRY OR PORT IN USE message displays. Touch
OK to continue and then check the settings entered. If the settings are correct but the
port verification fails, contact the facility's Network Administrator.
Touch Save to save the settings. If no changes have been made, the Save button is
unavailable.
Touch Exit to return to the main Applications screen without saving any changes; a SAVE
CHANGES BEFORE EXITING? message displays. Follow the message instructions.
10-6
10. DICOM setup and configuration
10-7
10. DICOM setup and configuration
Obtain the following information from the facility's network administrator or from the device's
DICOM Conformance Statement and enter it in on this screen:
Print Server Configuration
Server Alias
Enter the unique name, internal to the system, used to identify the server in the list of
available destination devices.
Hostname / Server IP Address
Enter the unique host name or IP address assigned to the configured server.
Port Number
Enter the port number assigned to the server running on the system. The default value
is 104. Valid values are 1-65535.
AE Title
Enter the DICOM Application Entity Title. AE Titles are limited to a maximum of 16 char-
acters, and are case-sensitive. This title is used for queries. The title also is used by the
Retrieve Server in response to store requests.
Timeout
Select a limit to set the time, from 10 to 999 seconds, that the system waits for a
response from the server before timing out, or select 0 to allow the system to try to
reconnect to a server indefinitely.
Configuration Information
See the DICOM Conformance statement for configuration information options.
10-8
10. DICOM setup and configuration
Minimum Density
Select a minimum print density, from 0-400. See the DICOM Conformance Statement
for the device.
Maximum Density
Select a maximum print density, from 0-400. See the DICOM Conformance Statement
for the device.
Ambient Illumination cd/m2
Select the appropriate ambient illumination, from 0-4000.
Reflective Ambient Light cd/m2
Select the appropriate reflective ambient light, from 0-400.
Printer Settings
Border Density
Select the appropriate image border density, Black or White.
Empty Density
Select the appropriate image empty density, Black or White.
Copies
Enter the default number of copies printed each time a print command is sent to the
printer, from 1-10. This can be overridden at the time of printing.
Print Priority
Select the priority of the print jobs, High, Medium, or Low.
Destination
Select the print destination, Magazine or Processor.
Medium Type
Select the print medium, Paper, Clear Film, or Blue Film.
Film Size
Select the film size:
l 8 x 10 l 11 x 14 l 24 x 30
l 10 x 12 l 14 x 14
l 10 x 14 l 14 x 17
Format 1-4
Select the format for the print output for the X-rays.
The format definition determines the printed format for the X-ray images in columns and
rows. The format choices are limited to those available from the selected printer. The
total number of images printed on one film sheet is the product of the two numbers. For
example, 2 columns multiplied by 3 rows, equals a total of six images printed on one
film.
The system supports the following formats (columns x rows):
10-9
10. DICOM setup and configuration
l 1x1 l 2x2 l 3x3 l 4x4
l 1x2 l 2x3 l 3x4 l 4x5
Bit Depth
Select a bit depth, 8 bits or 12 bits.
Verify
Touch to test that the settings are correct. If the system is connected, a DICOM
SERVER VERIFIED SUCCESSFULLY message displays. Touch OK and follow the
message instructions.
Otherwise, a VERIFY FAILED message displays. Touch OK to continue and then
check the settings entered. If the settings are correct but the verification fails, contact
the facility's Network Administrator.
Touch Save to save the settings. If no changes have been made, the Save button is
unavailable.
Touch Exit to return to the main Applications screen without saving any changes; a SAVE
CHANGES BEFORE EXITING? message displays. Follow the message instructions.
10-10
10. DICOM setup and configuration
Obtain the following information from the facility's network administrator or from the device's
DICOM Conformance Statement and enter it in on this screen:
Server Information
Server Alias
Enter the unique name, internal to the system, used to identify the server in the list of
available destination devices.
Hostname / Server IP Address
Enter the unique host name or IP address assigned to the configured server.
Port Number
Enter the port number assigned to the server running on the system. The default value
is 104. Valid values are 1-65535.
AE Title
Enter the DICOM Application Entity Title. AE Titles are limited to a maximum of 16 char-
acters, and are case-sensitive. This title is used for queries. The title also is used by the
Retrieve Server in response to store requests.
Timeout
Select a limit to set the time, from 10 to 999 seconds, that the system waits for a
response from the server before timing out, or select 0 to allow the system to try to
reconnect to a server indefinitely.
Information Model
Select the appropriate information model for the server that is being configured. For the
appropriate information model see the AACS Admin or to the DICOM conformance
10-11
10. DICOM setup and configuration
statement for the server. Select a model that has both find and move support. Find and
move support are necessary for the Query/Retrieve application to function properly.
l Patient Root - start queries at the patient level, then the series level.
l Study Root - start queries at the study level, then the series level.
Verify
Touch to test that the settings are correct. If the system is connected, a DICOM
SERVER VERIFIED SUCCESSFULLY message displays. Touch OK and follow the
message instructions.
Otherwise, a VERIFY FAILED message displays. Touch OK to continue and then
check the settings entered. If the settings are correct but the verification fails, contact
the facility's Network Administrator.
Touch Save to save the settings. If no changes have been made, the Save button is
unavailable.
Touch Exit to return to the main Applications screen without saving any changes; a SAVE
CHANGES BEFORE EXITING? message displays. Follow the message instructions.
10-12
10. DICOM setup and configuration
Obtain the following information from the facility's network administrator or from the device's
DICOM Conformance Statement for each DICOM storage server on the network:
DICOM Store Server Configuration
Server Alias
Enter the unique name, internal to the system, used to identify the server in the list of
available destination devices.
Hostname / Server IP Address
Enter the unique host name or IP address assigned to the configured server.
AE Title
Enter the DICOM Application Entity Title. AE Titles are limited to a maximum of 16 char-
acters, and are case-sensitive. This title is used for queries. The title also is used by the
Retrieve Server in response to store requests.
Port Number
Enter the port number assigned to the server running on the system. The default value
is 104. Valid values are 1-65535.
Timeout
Select the maximum length of time to allow for verification. Select 0 for no maximum
time, or select from 10 to 999 seconds.
Verify
Touch to test that the settings are correct. If the system is connected, a DICOM
SERVER VERIFIED SUCCESSFULLY message displays. Touch OK and follow the
message instructions.
10-13
10. DICOM setup and configuration
Otherwise, a VERIFY FAILED message displays. Touch OK to continue and then
check the settings entered. If the settings are correct but the verification fails, contact
the facility's Network Administrator.
Modality
Select the image modality supported by the storage device. The system supports the
following modalities:
l RF - X-ray Radio Fluoroscopic Image Storage - static and cine. RF images can use
Store Overlay setting (see below).
l XA - X-ray Angiographic Image Storage - static and cine. XA images can use Store
Overlay setting (see below).
l SC - Secondary Capture Image Storage - 1K x 1K static image only. Multi-SC is
supported.
l CR - Computed Radiography image storage. CR images are single-frame screen
capture type image with annotation and markers, and can use the Merge Overlay
setting (see below).
Image Size
Select the image size supported by the storage device, either Full size or Half size.
Store Overlay
Select the appropriate image overlay setting for storage of overlay information asso-
ciated with an image as data separate from the image. RF or XA must be selected for
the Modality to use this setting.
If Merge Overlays is selected, this is unavailable.
Table 10-1 below explains the Store Overlay and Merge Overlays behavior in detail.
l Always - Always store overlay information with the image. With this setting,
additional data elements are sent with every image, whether or not the user added
any post-processed Markers or Comments to the image.
l If Annotated - Store overlay information only if the image is annotated. With this
setting, two additional data elements are sent in addition to the image data if the
user adds any post-processing markers or comments to the image. The first image
data element contains the clinical image, the second contains markers, comments,
arrows and the measurement results, and the third contains all the information in
the periphery of the image, such as patient demographics, X-ray technique,
window and level settings, and institute name, date, and time.
l Never - Never store overlay information with the image. With this setting, no
additional information or data elements is sent. This optimizes network transfer
speed, but any markers or comments added to the image will not be sent with the
image.
Merge Overlays
Select the check box to have annotation and patient information combined into a single
overlay and then stored with the image, or clear the check box to store the information
separately.
10-14
10. DICOM setup and configuration
Selecting this check box creates burned-in overlays. Any text or annotation information
is applied directly to the clinical image. The information becomes part of the image and
cannot be removed. Burned-in overlays only work with SC modality images. SC must
be selected for the Modality to use this setting.
l Merge - Selecting this check box creates burned-in overlays. Any text or
annotation information is applied directly to the clinical image. Select one of the
following options:
l To single overlay - Annotations and image information overlays are
stored together in a single overlay.
l To image - Annotations and image information become part of the
image and cannot be removed. Burned-in overlays only work with SC
modality images. SC must be selected for the Modality to use this
setting.
Image overlay behavior varies depending on the Store Overlay and Merge
Overlay settings.
Table 10-1: Image overlay behavior
Store Merge Merge Image Resulting
Overlay Overlay Overlay has overlays
Setting Setting Option annotations? produced
2: image information,
Yes
No n/a annotations
No 1:image information
0: image information and
Yes
annotations burned to image
Always Image
0: image information burned
No
Yes to image
1: image information and
Single Yes
annotations combined
Overlay
No 1: image information
2: image information,
Yes
No n/a annotations
No 0
0: image information and
If Yes
Image annotations burned to image
Annotated
No 0
Yes
1: image information and
Single Yes
annotations combined
Overlay
No 0
Never n/a n/a n/a 0: nothing burned to image
10-15
10. DICOM setup and configuration
10-16
10. DICOM setup and configuration
and AR title are configured properly on the system. If the message persists, call for service.
Additional DICOM messages may display if there is a problem with DICOM functionality:
l DICOM ERROR Check the Transfer Status Screen on the system for detailed error
information. Follow the instructions in the Transfer Status Screen to resolve the
issue, or call for service. See page 14-31 for more information on this message.
l DICOM MOVE DESTINATION UNKNOWN Make sure that PACS is configured to
allow images to be retrieved. See page 14-31 for more information on this message.
l DICOM SERVER OUT OF RESOURCES, TRY AGAIN LATER This is probably a
temporary condition caused by currently high usage of the server. If this message
persists, call for service. See page 14-31 for more information on this message.
l DICOM SERVER RESPONSE MISSING REQUIRED DICOM TAGS See the DICOM
Log for more information or call for service.See page 14-31 for more information on
this message.
10-17
10. DICOM setup and configuration
10-18
11. Contrast agent injector
Connect the interface cable to the room interface connector and to the J40 universal interface
connector on the control room console connector panel on the injector. See 3.3.2 Workstation
external connections on page 3-19 for more information in external connectors.
Figure 11-1: Room interface connector
11-1
11. Contrast agent injector
In Fluoro, Digital Spot, and HLF mode without cine, the system does not send a signal to the
injector.
11-2
12. Labels and symbols
12.1 Labels
Warning / caution labels define potential hazards and advise against misuse that might result in
personal injury. Familiarize yourself with these labels and their meanings in order to ensure a
safe environment for both the patient and yourself.
This section identifies the locations and descriptions of labels that may appear on your system.
Table 12-1
Label
Table 12-2
Label
12-1
12. Labels and symbols
Table 12-3
Label
Table 12-4
Label
Table 12-5
Label
12-2
12. Labels and symbols
Table 12-6
Label
Location Wrapped around the power cord, near the power plug.
Description This label indicates the grounding reliability requirements of the system.
Table 12-7
Label
Location Workstation yoke, near the USB port inside the accessory compartment.
Description This label warns users to not touch the connectors and patients at the same time.
Table 12-8
Label
12-3
12. Labels and symbols
Table 12-9
Label
Table 12-10
Label
Location On the side of the Workstation yoke near the power switch.
Description This label indicates that the Workstation mechanical sub-assemblies should be placed
in their most compact position before the system is transported or moved. See 3.3.5
Move the Workstation beginning on page 3-23 for directions on moving the Work-
station.
Table 12-11
Label
Table 12-12
Label
12-4
12. Labels and symbols
Table 12-13
Label
(example)
Table 12-14
Label
(example)
Table 12-15
Label
12.2 Symbols
This section identifies the locations and descriptions of symbols that may appear on your
system.
12-5
12. Labels and symbols
Table 12-16
Symbol
Table 12-17
Symbol
Table 12-18
Symbol
12-6
12. Labels and symbols
Table 12-19
Symbol
Location X-ray warning label, C-Arm power/cable connections area, C-Arm X-ray On switch,
and the X-rays and Motion Enabled position of the C-Arm keyswitch.
Description This symbol indicates the emission or imminent emission of X-radiation.
Table 12-20
Symbol
Location On the back of the Workstation next to the external connector panel, inside the Work-
station arch next to the USB ports, inside the Workstation printer bay, and on the C-
Arm interface panel and just below the High Voltage cable port.
Description This symbol indicates that the system is sensitive to electrostatic discharge. Protective
measures must be taken to prevent ESD discharge when connecting or disconnecting
external equipment.
Warning Do not touch the pins of connectors identified with this symbol
unless ESD precautionary procedures are used.
Table 12-21
Symbol
Location On the C-Arm lateral rotation assembly and the Workstation monitor arm.
Description This symbol identifies potential hand / finger pinch point areas. Keep hands and fingers
away from these areas when parts are in motion.
Table 12-22
Symbol
12-7
12. Labels and symbols
Table 12-23
Symbol
Table 12-24
Symbol
Table 12-25
Symbol
Location Motorized systems only: Remote User Interface (RUI) and mini RUI.
Description This symbol indicates the motion stop switch. Pressing this switch disables all
motorized motion.
Table 12-26
Symbol
Location On the system rating label and inside the accessory compartment, near the accessory
power outlet.
Description This symbol indicates alternating current (AC) power.
Table 12-27
Symbol
Location Adjacent to the Equipotential terminals (one on Workstation, one on C-Arm) and near
the equipotential lug on the rear bottom of the Touch Tableside device.
Description This symbol indicates the Equipotential terminal. These terminals allow connection
between the system and the equipotential bus bar of the facility.
12-8
12. Labels and symbols
Table 12-28
Symbol
Location Inside the monitor arm, near the protective earth screw.
Description This symbol shows the location of the protective earth screw and indicates that the sys-
tem is protected against electric shock by a protective earth connection.
Table 12-29
Symbol
Table 12-30
Symbol
Table 12-31
Symbol
Table 12-32
Symbol
12-9
12. Labels and symbols
Table 12-33
Symbol
Table 12-34
Symbol
Table 12-35
Symbol
Table 12-36
Symbol
Table 12-37
Symbol
12-10
12. Labels and symbols
Table 12-38
Symbol
Table 12-39
Symbol
Table 12-40
Symbol
Table 12-41
Symbol
Table 12-42
Symbol
Table 12-43
Symbol
12-11
12. Labels and symbols
Table 12-44
Symbol
Table 12-45
Symbol
Table 12-46
Symbol
Table 12-47
Symbol
#
Location AKR display device label, H.V. generator/X-ray control label, image detector label,
beam limiting device label, system nameplate / rating label (C-Arm and Workstation),
skin spacer anti-scatter grid label, bottom of the three-pedal footswitch, wireless
footswitch receiver, and the OEC Touch Tableside.
Description This symbol indicates the model number or part number of the system or component.
Table 12-48
Symbol
Location By the lateral rotation brake handle, cephalad / caudal tilt brake handle, cross-arm
brake handle, Wig-wag brake handle, and the rear caster pedal on the C-Arm.
Description This symbol indicates the locked position of brake handle or pedal.
12-12
12. Labels and symbols
Table 12-49
Symbol
Location By the lateral rotation brake handle, cephalad / caudal tilt brake handle, cross-arm
brake handle, Wig-wag brake handle, and the rear caster pedal on the C-Arm.
Description This symbol indicates the unlocked position of brake handle or pedal.
Table 12-50
Symbol
Location Above the cephalad / caudal tilt brake handle on the C-Arm.
Description This symbol indicates the motion direction of the cephalad / caudal tilt brake handle.
Table 12-51
Symbol
Table 12-52
Symbol
Table 12-53
Symbol
12-13
12. Labels and symbols
Table 12-54
Symbol
IPX3
Location On the OEC Touch Tableside system label and RUI label.
Description This symbol indicates that the electrical switching mechanism within the device is pro-
tected from exposure to the effects of up to 5 minutes of water spray. Placement inside
a protective cover is recommended.
Table 12-55
Symbol
Table 12-56
Symbol
Location AKR display device label, H.V. generator/X-ray control label, image detector label,
beam limiting device label, the skin spacer, anti-scatter grid label, system name-
plate/rating label (C-Arm and Workstation), footswitch, and the OEC Touch Tableside.
Description This symbol indicates the manufacturer of the system or component.
Table 12-57
Symbol
Location AKR display device label, H.V. generator/X-ray control label, image detector label,
beam limiting device label, system nameplate/rating label (C-Arm and Workstation),
footswitch, and the OEC Touch Tableside.
Description This symbol indicates the date of manufacture of the system or component.
Table 12-58
Symbol
Location AKR display device label, H.V. generator/X-ray control label, image detector label,
beam limiting device label, system nameplate/rating label (C-Arm and Workstation),
footswitch, and the OEC Touch Tableside.
Description This symbol indicates the serial number of the system or component.
12-14
12. Labels and symbols
Table 12-59
Symbol
Location On the Workstation, C-Arm, and OEC Touch Tableside rating labels.
Description This symbol indicates the device's approximate weight in kilograms.
Table 12-60
Symbol
Location On the Workstation, C-Arm, and OEC Touch Tableside rating labels.
Description This symbol indicates the catalog number or commercial product name of the system
or component.
Table 12-61
Symbol
12-15
12. Labels and symbols
12-16
13. Quality assurance, maintenance, and storage
Note: Main system screens includes a breadcrumb trail at the top of the screen to help
navigation. These screens are introduced in this chapter using the full breadcrumb trail,
then referred to by the screen title thereafter.
Screens may vary depending on system configuration.
13-1
13. Quality assurance, maintenance, and storage
Caution Be careful not to spill or splash liquids where they can enter electronic
assemblies.
Always turn the system off and disconnect power before cleaning.
Do not spray or use liquid cleaners in areas of electrical connections.
Do not let the system sit soiled for longer than 4 hours.
Cleaning procedure
Cleaning is intended to remove soil and contaminants from the surface of the system. Perform
this procedure after every use and any time the system has visible dirt, dust, or contaminants
on the surface, such as after extended storage.
1. Ensure the system has been properly shut down.
2. Unplug the power cord from the wall outlet.
3. Visually inspect the equipment for damage to covers, cables, connectors, labels, and
monitor screens for unacceptable deterioration, such as corrosion (beyond surface rust
spotting), large areas of discoloration or discoloration deeper than yellowing, pitting,
cracked seals, large scale finish lifting or peeling, large bubbles, damage to monitor
screen, label adhesive failure resulting in a majority of label being detached, loss of text
or symbol that obscures meaning of label, or peeling or delamination of label material.
Caution Do not turn on electrical power if any of the covers are not in place or broken.
Hazardous electrical or mechanical parts could be exposed. Damaged parts may
lose their degree of protection against harmful ingress of liquids or may fall.
Contact service to replace the damaged or missing parts.
4. Apply any of the approved cleaners / disinfectants to a cloth and gently wipe surfaces.
Be careful not to drip liquids where they can enter electronic assemblies through panel or
cover seams.
5. Detach the removable X-ray grid from the C-Arm and gently wipe all surfaces.
6. Rinse grid with water and wipe with a clean cloth and / or swab to remove any excess
liquid.
7. Use a soft bristle brush to clean seams and crevices.
8. Apply liquid cleaners / disinfectants directly to the brush and gently brush surfaces.
9. Clean all surfaces thoroughly to remove any signs of dust or soil, paying special attention
to parts of the system that may be positioned over the patient.
10. Rotate the C-Arm and actuate all moveable parts to access and clean all areas of the
system. Pay special attention to the C-Arm cables.
13-2
13. Quality assurance, maintenance, and storage
Caution Liquids, if allowed to drip into the equipment, can cause electrical short circuits
leading to electric shock and fire hazards.
Caution If liquids should accidentally spill into the system electronics, DO NOT connect
the power cord to a power supply connection or turn the system on until the
liquids have dried or evaporated completely.
Disinfecting procedure
Disinfection is intended to destroy viruses, mycobacteria, fungi, and vegetative bacteria from
the system. Perform this procedure any time the system has come into contact with bodily
fluids, such as after use.
1. Follow all cleaning procedure steps.
2. Ensure the system has been properly shut down and that the power cord has been
unplugged from the wall outlet.
3. To disinfect the system, apply any of the approved cleaners / disinfectants to the surface
of the system and keep them wet for the disinfectant manufacturer's recommended time.
Disinfectants must remain wet for the recommended time in order to properly disinfect
the surface. Be careful not to drip liquids where they can enter electronic assemblies
through panel or cover seams.
13-3
13. Quality assurance, maintenance, and storage
d. Main system monitor bezel. Be careful not to get disinfectant on the screen.
e. Workstation keyboard and top of work area.
f. OEC Touch and / or OEC Touch Tableside C-Arm control panel.
g. Lift switches on Cross-arm. Be careful not to drip liquids into the Cross-arm seams
around the switches.
h. X-ray switches on Cross-arm. Be careful not to drip liquids into the Cross-arm
seams around the switches.
i. C-Arm handles.
j. Handswitch.
k. Footswitch.
l. Motorized system only: RUI and / or Mini RUI.
4. Once the surfaces have been kept wet for the requisite time, allow the system to air-dry
and then wipe the disinfected surfaces with a clean, soft cloth, making sure to leave no
residue.
13.2.2 Definitions
Planned maintenance must be performed by qualified and authorized service engineers. In this
context:
l Qualified means that the service engineer has been trained and has had practical
experience in the required routines so that he/she is capable of performing service work
on the system.
l Authorized means that the service engineer is recognized by the system owner as a
qualified service engineer and is therefore authorized to perform maintenance work on
the system.
Upon system start-up, GE Healthcare recommends designating one employee who is
responsible for ensuring that routine checks, preventive inspection, and maintenance work are
performed and that evidence is retained.
13-4
13. Quality assurance, maintenance, and storage
In addition to repair services, GE Healthcare also offers its customers complete planned
maintenance service, including inspection and planned maintenance on GE Healthcare
systems. These services can be provided either on a service call basis or in the form of a
flexible maintenance contract.
If you have not received a quotation for the performance of planned maintenance and
inspection from our GE Healthcare Services team, your local GE Healthcare sales
representative will provide this information for you. Your GE Healthcare representative can
provide a quotation for planned maintenance and inspection.
Activity Interval
Safety checks (see page 13-5) Every 12 months
Planned maintenance (see page 13-6) Every 12 months
Recommended preventive replacement frequency (see page 13-6) Every 12-36 months
Replacement due to wear and tear (see page 13-8) As described below
Safety checks
The following safety checks help maintain the system in a safe operating condition. Depending
on the results, planned maintenance or repair may be required. The checkpoints are specified
in legal regulations and / or safety standards.
13-5
13. Quality assurance, maintenance, and storage
Planned maintenance
Planned maintenance helps to reduces unanticipated errors and to ensure minimum system
requirements are met over the life of the system.
These checks test the effects of various operating conditions (high or partial load, temperature,
dust particle size, humidity, gases, vapors). If necessary, preventive maintenance or repair
measures are performed as a result. The status of parts subject to wear is determined by
recording and analyzing performance parameters.
13-6
13. Quality assurance, maintenance, and storage
13-7
13. Quality assurance, maintenance, and storage
13-8
13. Quality assurance, maintenance, and storage
NCRP Publications
7910 Woodmont Avenue
Suite 400
Bethesda, Maryland 20814-3095
http://ncrponline.org/publications
QA checks frequency
Perform these checks at the listed frequency. Some checks are part of the Startup checklist,
and should be performed before the system's first use each day.
Extensive use warrants increasing the frequency of QA checks. In addition, circumstances
13-9
13. Quality assurance, maintenance, and storage
such as accidents during transport or exposure to excessive fluids may warrant that QA checks
be performed to verify operation of the equipment. Refer to each QA check section for details
on when specific checks may need to be performed.
If problems are found during these checks, contact a qualified service engineer.
Table 13-6: Mechanical QA check (see page 13-11)
Item Frequency
Brake operation (Wig-wag, cross-arm, L-arm, lateral, cephalad /
caudal tilt, wheels, and / or steering, depending on C-Arm model)
Daily or
Lift column, rotation, and tilt movement operation
as needed
Vertical column lift operation
Skin spacer attachment
Table 13-7: Electrical QA check (see page 13-14)
Item Frequency
Cables and connectors integrity
Static drag wires integrity and cleanliness
Daily or
System startup operation
as needed
Fans and vents operation and cleanliness
Laser Aimer operation
Table 13-8: Fast stop QA check (see page 13-14)
Item Frequency
Vertical column lift fast stop operation
FAST STOP ACTIVATED message display Daily or
Fast stop switch reset as needed
Fast stop operation after restart
13-10
13. Quality assurance, maintenance, and storage
Table 13-9: Image quality and dosimetry QA checks (see page 13-15)
Item Frequency
X-ray QA check - System positioning, imaging system operation includ-
ing image manipulation controls and iris and leaf collimators operation, Daily or
and Handswitch / footswitch operation - Reference: DIN 6868-57, DIN as needed
6868-150
Auto technique check - Reference: 21CFR 1020.30 (h)(3)(vi), 21CFR
1020.30 (h)(3)(vii)
Half Value Layer check - Reference: 21 CFR 1020.30 (m)(1), IEC
60601-1-3:2008 cl. 7.1
FPD image resolution check - Reference: Internal spec equivalent to
IEC 61223-3-1
II image resolution check - Reference: IEC 61223-3-1
FPD entrance dose check Reference: 21 CFR 1020.32(d)(2), IEC
60601-1-3:2008 cl. 6.5 Annually or
II entrance dose check- Reference: 21 CFR 1020.32(d)(2), IEC 60601- as needed
1-3:2008 cl. 6.5
Reference Air Kerma Rate (AKR) accuracy check- Reference: 21 CFR
1020.30 (h)(6)(i), 21 CFR 1020.32 (k)(4), 21 CFR 1020.32(k)(6), IEC
60601-2-43:2010 cl. 203.6.4.5
Reference Cumulative Air Kerma (CAK) accuracy check- Reference:
21 CFR 1020.30 (h)(6)(i), 21 CFR 1020.32(k)(4), 21 CFR 1020.32 (k)
(6), IEC 60601-2-43:2010 cl. 203.6.4.5
Quality control check
Table 13-10: Motorized system QA check (see page 13-12)
Item Frequency
System startup
System positioning
RUI buttons and joystick operation
Lateral clutch and motion operation Annually or
Motion disabled operation, including MOTION STOP PRESSED mes- as needed
sage display
Contact Bumper integrity and operation, including CONTACT
DETECTED message display
13-11
13. Quality assurance, maintenance, and storage
4. Non-motorized systems only: Lock and unlock the C-Arm lateral rotation brake to check
its operation. Check lateral rotation of the C-Arm for ease of movement. Release the C-
Arm and verify that there is no drift.
5. Non-motorized systems only: Lock and unlock the cephalad / caudal tilt brake to check
its operation. Check cephalad / caudal tilt for ease of movement.
6. Check the operation of the C-Arm rear wheel pedal brakes for ease of movement and
proper control of the wheels.
7. Check for proper operation of the C-Arm steering handle and control of the rear wheels.
Check for ease of movement.
8. Check the operation of the Workstation brake pedal for ease of movement and proper
control of the wheels.
9. Check the Workstation wheels for ease of movement.
10. Check the monitor latch. Make sure the monitor latches securely.
11. Raise and lower the vertical column by pressing the switches located on top of the cross-
arm housing.
12. Check that the skin spacer mounts to the X-ray tube cover. If the skin spacer is not
available, obtain a replacement.
13. OEC Touch Tableside systems only: Inspect the OEC Touch Tableside connector cable
for signs of wear or abrasion, loose, bent, or missing connector pins, and worn strain
reliefs.
14. Check the operation of the OEC Touch Tableside wheel pedal brakes for ease of
movement and proper control of the wheels.
15. Check the OEC Touch Tableside vertical latch for ease of movement and proper
operation.
16. Motorized OEC Touch Tableside systems only: Raise and lower the vertical column by
pressing the switches located on the mini RUI.
13-12
13. Quality assurance, maintenance, and storage
available, attach the RUI to the C-Arm rail under the cross-arm housing. Check the RUI
mechanical latch for proper operation.
5. Turn on the system and allow it to start up completely.
6. Verify that the system starts successfully with no motion-related error messages. See
14.3 Messages beginning on page 14-6 for details on any messages that display during
the startup sequence. Verify that no uncommanded motion occurs at any time during the
startup process.
7. Imagine a patient lying face up on the table. Visualize the location of the patient’s head,
feet, right side, and left side.
8. Press the RUI orientation button until the correct LED illuminates, designating the current
location of the RUI with respect to the imagined patient.
9. Adjust the C-Arm orientation button on the RUI to designate the current location of the C-
Arm with respect to the imagined patient. Press the button until the correct LED
illuminates.
10. Verify that the vertical column buttons on the RUI operate correctly.
11. Verify that the RUI image acquisition buttons operate properly.
12. Disengage and hold the lateral clutch and verify manual lateral motion. Check lateral
rotation for ease of movement.
13. Engage the lateral clutch and verify that you cannot manually move the C-Arm in an
lateral motion.
14. Verify that the joystick moves the C-Arm through lateral rotation and cephalad / caudal
tilt without any error messages.
15. While the C-Arm is in motion, press the motion stop switch on the RUI and verify that
movement stops. Verify that lateral rotation, cephalad / caudal tilt, and vertical lift column
motion are disabled, and that a MOTION STOP PRESSED message displays in the
status bar and on the C-Arm control panel.
16. Twist the motion stop switch so that it pops up. Verify that the MOTION STOP
PRESSED message no longer displays.
17. Verify that there is no damage to the contact bumper.
18. Press firmly on the contact bumper and verify that an audible alarm sounds and a
CONTACT DETECTED message displays.
19. Remove your hand from the contact bumper and verify that the CONTACT DETECTED
message no longer displays and the audible alarm stops.
20. Motorized OEC Touch Tableside systems only:
a. Plug the Touch Tableside and mini RUI into the system.
b. Check the RUI mechanical latch for proper operation.
c. Verify that the joystick moves the C-Arm through lateral rotation and cephalad /
caudal tilt without any error messages.
13-13
13. Quality assurance, maintenance, and storage
d. While the C-Arm is in motion, press the motion stop switch on the mini RUI and
verify that movement stops. Verify that lateral rotation, cephalad / caudal tilt, and
vertical lift column motion are disabled, and that a MOTION STOP PRESSED
message displays in the Workstation status bar and on the C-Arm control panel.
screen.
e. Twist the motion stop switch so that it pops up. Verify that the MOTION STOP
PRESSED message no longer displays.
Warning Do not look directly into the lasers. You can damage your eyes by looking
into even a low-powered laser light source.
13-14
13. Quality assurance, maintenance, and storage
1. Press and hold one of the vertical column control switches and, while motion is
occurring, press the fast stop switch so that it locks into position.
2. Verify that vertical column motion stops and that the FAST STOP ACTIVATED
message displays in the status bar and on the C-Arm control panel.
3. Press any X-ray switch and verify that X-rays are disabled.
4. Twist the fast stop switch that was locked in step 1 so that it pops out.
5. Turn off the system and then restart it.
Note: Images and annotations will be lost when the system is restarted unless you have
saved them. If you have saved images, you can access them through the Images tab.
X-ray QA check
Warning This procedure produces X-rays. Take the appropriate precautions.
1. Position the C-Arm so that the X-ray tube is directly above the image detector.
2. Place a suitable test object on the removable grid of the image detector.
3. Verify that auto mode is selected. The LED or icon next to the Auto Technique key on
the C-Arm control panel will be illuminated or selected.The icon next to Auto Technique
on the C-Arm control panel will be selected.
13-15
13. Quality assurance, maintenance, and storage
If this test fails, ensure that at least 20 minutes have passed since the system was started up.
13-16
13. Quality assurance, maintenance, and storage
View the monitor from no further away than 2 meters. Check the contrast and adjust ambient
light for improved visibility, and then try again.
7. Add a second 1 mm copper plate and press a fluoro X-ray switch. Verify that the kVp
values are within the range indicated in the table.
8. Add a third 1 mm copper plate and press a fluoro X-ray switch. Verify that the kVp values
are within the range indicated in the table.
9. Remove all copper plates.
If this test fails, try again with a different set of plates.
13-17
13. Quality assurance, maintenance, and storage
6. Disable Auto Technique on the C-Arm control panel and manually set the technique to
80 kV and 3 mA.
Note: The HVL is a measurement of beam quality. The components that contribute to the
HVL are the X-ray tube and cover, primary and variable collimators.
7. With no aluminum (0 mm) plates in the path of the beam, make a fluoro exposure until
the AKR on the Dosimeter stabilizes.
8. Note the initial (0 mm) AKR reading.
9. Divide the AKR reading by 2 to determine the ½ AKR value.
10. Continue to fluoro and add aluminum plates to the path of the beam (at the closest point
to the collimator) until the AKR value reaches the value calculated in step 9.
11. When the AKR reading reaches the ½ value calculated in step 9, the total thickness of
plates placed in the path of the beam is the system's Half Value Layer.
12. Verify that the HVL is ≥ 4.0 mm Al @ 80 kVp.
If this test fails, ensure that the dosimeter probe is centered and 30cm above the grid, and then
try again.
3. While taking auto fluoro exposures, observe the converging lines, from wider to narrower
separations, until approximately 50% of the converging line-pairs disappear.
Note: In order to minimize the effects of moiré pattern interference in the area of interest, the
tool may be slightly shifted from the position shown.
4. Adjust the brightness and contrast to achieve optimum resolution of the converging line-
pairs.
13-18
13. Quality assurance, maintenance, and storage
5. Verify that the resolution in line pairs/millimeter is equal to or greater than the following
values:
Table 13-12: FPD image resolution specifications
Field Size 21 cm 31 cm
Norm ≥ 2.5 lp/mm ≥ 1.8 lp/mm
Mag1 ≥ 3.0 lp/mm ≥ 2.2 lp/mm
Mag2 ≥ 3.3 lp/mm ≥ 2.4 lp/mm
If this test fails, ensure that the converging end of the Line Pair tool is centered on the detector
and is angled 45° from either the horizontal or vertical axis. Adjust Noise level, Brightness, and
Contrast to maximize visibility, and then try again.
1. II Grid
2. Camera H-scan
2. Observe the converging lines, from wider to narrower separations, until approximately
50% of the converging line-pairs disappear.
If the line-pairs disappear for a short distance and 50% (or more) reappear, that pattern
should be viewed again, further along, until 50% of the pairs disappear. In order to
minimize the effects of moiré pattern interference in the area of interest, the tool may be
slightly shifted from the position shown.
3. While taking Auto Fluoro X-ray exposures, adjust the brightness and contrast to achieve
optimum resolution (converging line pair tool). Verify compliance with the resolution
specification in Norm, Mag1 and Mag2 modes as shown in the table below.
Table 13-13: II image resolution specifications
Field Size 9" 12"
Norm ≥ 2.3 lp/mm ≥ 1.7 lp/mm
Mag1 ≥ 3.2 lp/mm ≥ 2.3 lp/mm
Mag2 ≥ 3.8 lp/mm ≥ 3.0 lp/mm
If this test fails, ensure that the converging end of the Line Pair tool is centered on the detector
13-19
13. Quality assurance, maintenance, and storage
and is angled 45° from either the horizontal or vertical axis. Adjust Noise level, Brightness, and
Contrast to maximize visibility, and then try again.
Note: Measurements can be done using either an ION CHAMBER such as the 150 or 180 cc
for the low dose reading (low energies), or SOLID STATE DETECTORS that are
designed and calibrated to measure low dose energies measurements with copper in
the beam. The trigger level on the solid state dosimeter may need to be set to 'LOW
DOSE' for the test. If using an RTI Piranha dosimeter, use the external dose probe.
4. Place the dosimeter in the center of the grid on the image receptor. Make certain there is
no dosimeter stand or any other object on the image receptor.
5. Ensure that Standard ABS (not low dose) is selected on the C-Arm control panel. Take
an HLF shot to verify the operation of the dosimeter.
6. Select the Orthopedic profile on the Profile screen.
7. Select Auto Technique on the C-Arm control panel.
8. Select Norm field size on the C-Arm control panel.
9. Fully open the collimator iris and shutter.
10. Take a continuous fluoro exposure for 5 to 10 seconds (until the dosimeter reading
stabilizes) and observe the dose rate on the dosimeter. The dose is very low, so ensure
that the reading has stabilized. You may need to take more than one shot.
11. Verify that the observed dose rate on the dosimeter is within the range specified below.
See Determining your settings on page A-2 for information which settings your system
uses.
Table 13-14: Continuous fluoro dose rates for FPD entrance dose checks
Software Detector / Dom Int'l 1 Int'l 2 Int'l 3 Int'l 4 Int'l 5 Int'l 6
version ABS table (µGy/min)
1.0.XXXX / 21 cm 36-42 16-21 16-21 n/a n/a n/a n/a
1.2.XXXX 31 cm 27-31 13-17 13-17 n/a n/a n/a n/a
2.X.X.XXXX / 21 cm 40-46 22-26 36-42 26-31 43-51 17-21 40-46
3.1.X.XXXX 31 cm 30-34 14-17 28-33 22-26 34-40 14-17 30-34
12. Navigate to the Reference > Mode screen and select HLF mode.
13. Select 8 pps pulse rate.
13-20
13. Quality assurance, maintenance, and storage
14. Take an HLF pulsed exposure for 5 to 10 seconds (until the dosimeter reading stabilizes)
and observe the dose rate on the dosimeter.
15. Verify that the observed dose rate on the dosimeter is within the range specified below.
Table 13-15: HLF pulsed dose rates for FPD entrance dose checks
Software Detector / Dom Int'l 1 Int'l 2 Int'l 3 Int'l 4 Int'l 5 Int'l 6
version ABS table (µGy/min)
1.0.XXXX / 21 cm 68-82 38-47 68-82 n/a n/a n/a n/a
1.2.XXXX 31 cm 49-59 18-23 49-59 n/a n/a n/a n/a
2.X.X.XXXX / 21 cm 68-82 42-49 68-82 27-32 68-82 41-49 68-82
3.1.X.XXXX 31 cm 49-59 18-22 49-58 18-22 49-59 18-21 49-59
16. Remove the copper plates and enable Auto Technique and continuous mode.
If this test fails, ensure that the dosimeter is calibrated and is centered on the detector, and
then try again. Alternately, try again with a different dosimeter.
Note: Measurements can be done using either an ION CHAMBER such as the 150 or 180 cc
for the low dose reading (low energies), or SOLID STATE DETECTORS that are
designed and calibrated to measure low dose energies measurements with copper in
the beam. The trigger level on the solid state dosimeter may need to be set to 'LOW
DOSE' for the test. If using an RTI Piranha dosimeter, use the external dose probe.
13-21
13. Quality assurance, maintenance, and storage
Table 13-16: Continuous fluoro dose rates for II entrance dose checks
Detector / ABS table Domestic Int'l 1 Int'l 2 Int'l 3 Int'l 4 Int'l 5 Int'l 6
9" (µGy/min) 40-46 22-26 36-42 26-31 43-51 17-21 40-46
12" (µGy/min) 30-34 14-17 28-33 22-26 34-40 14-17 30-34
1. Set the dosimeter with the middle of the detector at 30 cm ± 3 mm above the surface of
the image receptor and centered in the X-ray beam.
2. Ensure that the collimator cover and removable anti-scatter grid are installed and no
copper plates are in the beam.
3. Set the dosimeter to measure dose rate in units of Gy/min.
4. Verify the main system monitor displays dose rate units in mGy/min.
Figure 13-4: AKR dose reading
13-22
13. Quality assurance, maintenance, and storage
8. During the exposure, also note the dose rate reading from the dosimeter. This is the
Measured AKR.
9. Ensure the units of measurement used for calculations are the same. Use the following
conversion factors to convert the units if needed.
l 1 μGy is equal to 0.001 mGy
l 1 mGy is equal to 1000 μGy
l 1 R is equal to 8.76 mGy
10. Use the following formula to calculate AKR accuracy:
Note: Do not use a 150 cc or 180 cc ion chamber for this measurement. Use an ion chamber
that is smaller or a solid state dosimeter.
If this test fails, ensure that the dosimeter is calibrated and is centered on the detector, and
then try again. Alternately, try again with a different dosimeter.
1. Set the dosimeter at 30 cm ± 3 mm above the surface of the image receptor and
centered in the X-ray beam.
2. Set the dosimeter to read the cumulative dose in units of Gy.
13-23
13. Quality assurance, maintenance, and storage
8. Note the CAK reading from the dosimeter. This is the Measured CAK.
9. Note the displayed CAK as indicated in Figure 13-5.
10. Ensure the units of measurement used for calculations are the same. Use the following
conversion factors to convert the units if needed.
l 1 μGy is equal to 0.001 mGy
l 1 mGy is equal to 1000 μGy
l 1 R is equal to 8.76 mGy
11. Use the following formula to calculate CAK accuracy:
Any imaging mode may be used for the quality control check, but HLF mode is the closest
imaging mode to the medium dose rate mode described in the AAPM report.
To perform a quality control check:
1. Touch the Applications tab, and then touch Setup.... The Applications > Setup screen
displays.
13-24
13. Quality assurance, maintenance, and storage
2. Touch Quality Control Mode in the menu. The Applications > Setup > Quality Control
Mode screen displays.
3. Perform the procedure your site has selected for calculating the calibration factor.
4. Follow the screen instructions.
5. Press Save to save the image(s) generated during the procedure.
6. After the site-specific procedure is complete, use the fields provided on the Quality
Control Mode screen to record the following values:
l Calibration Factor: the factor by which a measured or calculated value is multiplied to
obtain the estimated real world value, as determined by your site's selected protocol.
l Local Regulatory Uncertainty Limit: the uncertainty of the recorded value, as
determined by your site's selected protocol. Values range from 0% to 100%.
l Calibration Responsible Party: the individual or organization responsible for
calibration. This field may also include useful data such as the unique ID number for
the dosimeter used.
l Name of Executed Protocol Document: the identification name or number of the
internal protocol document used to test the system, as determined by your site.
7. To archive images during the quality control check:
Note: The RDSR is not available until the quality control check is complete. See To
archive images and the RDSR after exiting quality control mode beginning for
information on exporting the RDSR.
a. Without saving or exiting quality control mode, touch Images. The Images screen
displays with the current quality control exam displayed.
b. Insert a portable media device and touch Load USB.
c. Touch Options to display the Images > Portable Media Options screen.
l Select the DICOM Viewer Compatible check box to archive the images for
presentation.
l Select the OEC Compatible check box to archive the images for processing. These
images are stored on the portable media device as DICOM-formatted files.
d. Touch OK to exit the Portable Media Options screen.
e. Select the image thumbnail and touch Send.
f. Touch Applications to return to the Quality Control Mode screen.
8. Touch Save and then touch Exit.
Quality control images and the associated RDSR can also be archived to a portable media
device or to a PACS server after the quality control check is complete. The quality check exams
automatically complete once the check is finished.
To archive images and the RDSR after exiting quality control mode:
1. Touch the Patient tab and select the quality control entry. It will be listed as QC Data
13-25
13. Quality assurance, maintenance, and storage
Entry and will include the date of the quality control test in YYYY-MM-DD format.
2. Touch View Exam. The Images screen displays with the selected quality control exam
displayed.
3. To archive the images and RDSR to a PACS server in For Presentation format:
a. Select the server as the To location.
b. Select the thumbnails and touch Send.
4. To archive the images and RDSR to a portable media device:
a. Insert a portable media device and touch Load USB.
b. Touch Options to display the Portable Media Options screen.
l Select the DICOM Viewer Compatible check box to archive the images for
presentation.
l Select the OEC Compatible check box to archive the images for processing. These
images are stored on the portable media device as DICOM-formatted files.
c. Touch OK to exit the Portable Media Options screen.
d. Select the thumbnails and touch Send.
13.4.1 Storage
Note: See 16.1.5 Environmental conditions beginning on page 16-3 for information on
environmental requirements for storage of the Workstation and C-Arm.
To prepare the system for storage, follow these steps:
1. Connect the Workstation and C-Arm with the interconnect cable.
2. Plug the system into a power outlet for up to 24 hours, until the batteries are fully
charged.
3. Once the system is fully charged, turn it off and unplug the power cord from the power
outlet.
4. Turn off the circuit breaker located under the right C-Arm wheel.
5. Disconnect the interconnect, footswitch, and other cables.
6. Place the C-Arm into transport position, as shown in the C-Arm Transport Position label
located above the C-Arm interconnect cable receptacle. See Transport Label on page
12-4 for more information.
7. Pack all accessories and store them with the system.
8. Set all brakes on the C-Arm including the lateral rotation brake, the cephalad / caudal tilt
brake, the Wig-wag brake, and the horizontal cross-arm brake.
13-26
13. Quality assurance, maintenance, and storage
When the system is stored or unused for longer than 90 days, follow these conditioning steps
every three months to ensure that the tube remains viable:
1. Connect the Workstation and C-Arm with the interconnect cable.
2. Plug the system into a power outlet for up to 24 hours, until the batteries are fully
charged.
3. Turn the keyswitch to the X-rays and Motion Enabled position.
4. Activate HLF X-ray exposure for one minute at each of the following settings:
l 40 kV / 20 mA
l 60 kV / 20 mA
l 80 kV / 20 mA
l 100 kV / 20 mA
l 120 kV / 20 mA
If the C-Arm is stored longer than three months without X-ray tube conditioning performed as
described above, contact your biomedical team or GE Field Engineer to perform the X-ray
Generator Warm-up service instructions before using the C-Arm.
If the C-Arm is stored longer than six months without X-ray tube conditioning performed as
described above, the X-ray tube will be out of service warranty and will need replacement.
13.4.2 Shipment
Note: See 3.3.5 Move the Workstation beginning on page 3-23 and 3.5.6 Move the C-Arm
beginning on page 3-46 for detailed information on moving the system.
Caution Two people should maintain control of the Workstation or C-Arm when moving up or
down an incline. Do not move the Workstation or C-Arm over inclines greater than
10°. Do not move the Workstation or C-Arm up or down stairs or steps. Do not lock the
Workstation or C-Arm in place on an incline greater than 10°.
To prepare the system for shipment, follow these steps:
13-27
13. Quality assurance, maintenance, and storage
13-28
14. Troubleshooting and messages
Note: Main system screens includes a breadcrumb trail at the top of the screen to help
navigation. These screens are introduced in this chapter using the full breadcrumb trail,
then referred to by the screen title thereafter.
Screens may vary depending on system configuration.
14-1
14. Troubleshooting and messages
2. Touch Date to select a date range. Options are Today, 2 Days, 1 Week, 2 Weeks, 1
Month, 3 Months, 6 Months, 1 Year, and All.
3. Enter Text to search for, if applicable.
4. Touch Apply to search for matching records, or Reset to clear search fields.
Matching events display on the screen. Select a specific event to see specific details about the
event, including the Date and Time it occurred, the Event ID associated with the event, and
additional Data about the event.
14-2
14. Troubleshooting and messages
The Transfer Status screen displays a list of transfers, including print jobs and transfers to and
from portable media devices and DICOM servers. If the list is longer than can be displayed in a
single screen, use the arrow keys on the keyboard or the Page Up / Page Down arrows on the
screen to page through the list.
To view the status of specific transfers:
Enter text to search for in any of the displayed columns, such as a patient's name, accession
number, exam date, transfer status, destination details (AE title, address, or port), date or time
requested, date or time of the results, or the status code.
Alternately, use the dropdown menus to search for specific criteria. Use View Status, View
Exams, Sort By, and Sort Order to find specific transfers. View and sort criteria can be used
together or individually. The list updates automatically as the view and sort criteria change.
l To view by transfer status, select a View Status criterion from Active, Queued,
Complete, Failed, or All.
l To view by exam status, select a View Exams criterion from Current, Today's, or All.
14-3
14. Troubleshooting and messages
l To sort, select a Sort By criterion, from Patient Name, Patient ID, Date, or Status, and
then select a Sort Order, Ascending (from A to Z, or from earliest to most recent) or
Descending (from Z to A, or from most recent to earliest).
Select a check box next to a transfer to view detailed information in the Data Transfer Details
area at the bottom of the screen.
Touch Close to return to the Applications screen.
14.1.5 No X-ray
If the system fails to take X-rays, turn off the system following the shutdown procedure. Wait 10
seconds, and then turn on the system. Should this condition persist, shut down the system and
call for service.
14.1.6 No boot
Do not interrupt system power until the system has fully completed the boot cycle. If the system
fails to start up within 3 minutes, shut down the system, wait 10 seconds, and then press the
power switch again. Should this condition persist, shut down the system and call for service.
14-4
14. Troubleshooting and messages
The status bar shows a percentage of the temperature of the X-ray tube anode and X-ray tube
housing.
The system displays the following temperature-related messages.
When the anode is hot, the following messages display in the status bar and on the C-Arm
control panel:
When the anode overheats, the following messages display in the status bar and on the C-Arm
control panel:
When the housing is hot, the following messages display in the status bar and on the C-Arm
control panel:
When the housing overheats, the following messages display in the status bar and on the C-
14-5
14. Troubleshooting and messages
14.3 Messages
The following messages display on OEC systems.
Follow all message instructions and call for service if a message repeatedly displays or cannot
be cleared.
System messages display in four locations:
l On the OEC Touch / OEC Touch Tableside C-Arm control panel. See 3.8.1 OEC Touch /
Touch Tableside C-Arm control panel on page 3-93 for information on location of C-Arm
control panel messages.
l On the main system monitor:
l In the status bar, located at the bottom of the monitor;
l In a dialog box with one or more acknowledgment buttons; or
l Across the full screen on the monitor.
4-HOUR WARM-UP REQUIRED Proceeding without waiting may affect image quality.
This message displays in the status bar when the system has been stored for
more than 60 days. A warm-up period is necessary for ion removal from the
image intensifier tube.
When this message displays, the following message displays on the C-Arm
control panel:
4-HOUR WARM-UP REQUIRED, PRESS ANY KEY
Leave the system on with no operation for 4 hours, and then press any C-Arm
control panel key or RUI control panel key.
14-6
14. Troubleshooting and messages
A/D CHARGER SENSOR OUT OF RANGE, RESTART THE SYSTEM If this message per-
sists, call for service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Charger Current
Sensor. The system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D CHARGER SENSOR OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
A/D CURRENT OUT OF RANGE, RESTART THE SYSTEM If this message persists, call
for service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Filament Current
Sensor. The system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D CURRENT OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
14-7
14. Troubleshooting and messages
A/D FILAMENT SENSOR OUT OF RANGE, RESTART THE SYSTEM If this message per-
sists, call for service.
This message displays in the status bar when a fault in the data conversion
process is detected in any of the analog-to-digital channel for the Filament B+
Sensor. The system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D FILAMENT SENSOR OUT OF RANGE, RESTART THE SYSTEM A/D
FILAMENT SENSOR OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
A/D FLUX OUT OF RANGE, RESTART THE SYSTEM If this message persists, call for ser-
vice.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Flux Sensor. The
system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D FLUX OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
14-8
14. Troubleshooting and messages
A/D HIGH MA OUT OF RANGE, RESTART THE SYSTEM If this message persists, call for
service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the High mA Sensor. The
system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D HIGH MA OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
A/D HOUSING TEMP OUT OF RANGE, RESTART THE SYSTEM If this message per-
sists, call for service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Housing Temperature
Sensor. The system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D HOUSING TEMP OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
14-9
14. Troubleshooting and messages
A/D INVERTER OUT OF RANGE, RESTART THE SYSTEM If this message persists, call
for service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Inverter B+ Sensor.
The system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D INVERTER OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
A/D KVP SENSOR OUT OF RANGE, RESTART THE SYSTEM If this message persists,
call for service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the kVp Sensor. The
system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D KVP SENSOR OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
14-10
14. Troubleshooting and messages
A/D LOW MA OUT OF RANGE, RESTART THE SYSTEM If this message persists, call for
service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Low mA Sensor. The
system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D LOW MA OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
A/D STATOR OUT OF RANGE, RESTART THE SYSTEM If this message persists, call for
service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Stator Sensor. The
system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D STATOR OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
14-11
14. Troubleshooting and messages
A/D VOLTAGE OUT OF RANGE, RESTART THE SYSTEM If this message persists, call
for service.
This message displays in the status bar when a fault in the data conversion
process is detected in the analog-to-digital channel for the Filament Voltage
Sensor. The system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
A/D VOLTAGE OUT OF RANGE, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
ABANDON SELECTED EXAM WITH SELECTED ABANDON CODE? Touch Yes to aban-
don the selected exam, or No to cancel.
This message displays in a dialog box when the system is prompted to abandon
an exam. The system documents the selected reason code, and creates a
complete Radiation Dose Structure Report as a part of this action.
Follow the message instructions.
ACCESS ANTIVIRUS FEATURE? The antivirus feature disables access to X-rays and
requires a manual system restart when complete. Touch Yes to continue or No to cancel.
This message displays in a dialog box when the user requests access to the
antivirus feature.
Follow the message instructions.
ANATOMICAL PROFILE DISABLED The system has detected a problem with one or
more anatomical profiles. These profiles will be unavailable. To restore or correct these
profiles, call for service.
This message displays in a dialog box when an anatomical imaging profile did not
pass the integrity check, does not have a compatible format revision, or is
unavailable because it is not supported for the current system configuration.
Touch OK and follow the message instructions.
14-12
14. Troubleshooting and messages
ANODE IS HOT, HLF DISABLED Allow the anode to cool to regain High Level X-rays.
This message displays in the status bar when the anode temperature is at 80% of
its rated heat capacity or greater. This message alternates with the technique
displayed on the C-Arm control panel, while an alarm sounds. HLF is not allowed
as long as this condition persists. Continued use without cooling may damage the
X-ray tube. Fluoroscopy is not prevented but the tube should be allowed to cool
before making another exposure.
When this message displays, the following message displays on the C-Arm
control panel:
HOT, HLF DISABLED
Press the Alarm Reset key on the C-Arm control panel to silence the alarm and
follow the message instructions.
ANTIVIRUS FILE UPDATE REQUIRED The antivirus file has not been updated in the last
7 days. Contact the security administrator.Touch OK to continue.
This message displays in a dialog box during startup when the virus files are old.
Follow the message instructions.
ARE YOU SURE YOU WANT TO APPEND STEP TO EXAM? Touch Yes to append the
step to the exam, or No to cancel.
This message displays in a dialog box when the system is prompted to append a
step manually or to use a worklist step.
Follow the message instructions.
ASSOCIATE CURRENT IMAGES WITH THIS PATIENT? Touch Yes to associate the cur-
rent images with this patient, or No to cancel.
This message displays in a dialog box when patient information that is associated
with the images is selected to be copied to the system.
Follow the message instructions.
14-13
14. Troubleshooting and messages
AUTHENTICATION FAILURE Invalid login and/or password detected. Touch OK and try
again.
This message displays in a dialog box when a username or password is entered
incorrectly.
Follow the message instructions.
AUTHENTICATION FAILURE This account has been locked. Use Emergency Login or
contact the administrative user to gain access to the system. Touch OK to continue.
This message displays in a dialog box during startup when the user attempts to
login, but their account is locked by the Security Administrator.
Follow the message instructions.
BATTERY LOW, HIGH LEVEL X-RAYS DISABLED Leave the C-Arm connected and
plugged into the wall to charge.
This message displays in the status bar when the battery charge drops below
40%. High-level X-rays are disabled until the battery is charged.
When this message displays, the following message displays on the C-Arm
control panel:
BATTERY LOW
Follow the message instructions. Make sure that the interconnect cable in place
between the C-Arm and the Workstation. The Workstation power switch should
be turned to the off position. A full battery recharge typically requires a few hours.
14-14
14. Troubleshooting and messages
BUMPER ATTACHED
Motorized systems only: This message displays for 3 seconds at the top of the left
side of the main system monitor when the contact detection assembly switch is
electrically connected to the system.
BUMPER REMOVED
Motorized systems only: This message displays for 3 seconds at the top of the left
side of the main system monitor when the contact detection assembly switch is
electrically disconnected from the system. When the bumper is removed, the
system limits motion speed to 3° per second.
14-15
14. Troubleshooting and messages
C-ARM HAS BEEN CONNECTED TO WORKSTATION Wait while the C-Arm restarts.
This message displays in a dialog box when a C-Arm is reconnected to a
Workstation without restarting the Workstation. The message erases when the C-
Arm has started up successfully.
C-ARM POWER LOST, X-RAYS DISABLED Restart the system. If this message persists,
call for service.
This message displays in the status bar when AC Power to the C-Arm is lost even
though the Workstation has AC power.
When this message displays, the following message displays on the C-Arm
control panel:
C-ARM POWER LOST, X-RAYS DISABLED
Follow the message instructions.
C-ARM REBOOT REQUIRED, RESTART THE SYSTEM If this message persists, call for
service.
This message displays in the status bar when there has been a problem with the
software that operates on the C-Arm component.
When this message displays, the following message displays on the C-Arm
control panel:
C-ARM RESTART REQUIRED
Follow the message instructions.
14-16
14. Troubleshooting and messages
CAMERA IRIS ERROR, RESTART THE SYSTEM If this message persists, call for ser-
vice.
This message displays in the status bar when the camera iris must be calibrated.
When this message displays, the following message displays on the C-Arm
control panel:
CAMERA IRIS ERROR
Follow the message instructions.
CANCEL COPY OPERATION? Touch Yes to cancel the copy operation, or No to con-
tinue.
This message displays in a dialog box when the user presses the Cancel button
on the Copy in Progress... screen.
Follow the message instructions.
CANNOT ACCESS USER MANUAL Verify that the User Manual USB device is inserted
into a system USB port. If this message persists, call for service.
This message displays in a dialog box when the user tries to access the user
manual files on the USB device but the system cannot access the files due to
corruption or because the USB device is not inserted.
Touch OK and follow the message instructions, or touch Cancel.
14-17
14. Troubleshooting and messages
CANNOT CONNECT TO DICOM SERVER Verify that the target server is online, and that
its IP address, port number and AE Title are configured properly on the system. If this mes-
sage persists, call for service.
This message displays in a dialog box when the system detects that the
connection to the DICOM server can't be established, due to an incorrect IP
address or port number, or an offline server.
Touch OK and follow the message instructions.
CANNOT CONNECT TO DICOM SERVER Check your TLS configuration and verify that
the target server is online, and that its IP address, port number and AE Title are con-
figured properly on the system. If this message persists, call for service.
This message displays in a dialog box when TLS is enabled and the user
attempts to transfer images to a DICOM server with a missing or invalid
certificate.
Touch OK and follow the message instructions.
14-18
14. Troubleshooting and messages
CANNOT MAKE NETWORK CONNECTION Make sure that the Workstation is connected
to the network.
This message displays in a dialog box when the system is unable to perform a
Verify (DICOM Setup and Ping/Trace) or unable to perform a C-FIND Query
because the network connection is not available.
Touch OK and follow the message instructions.
CANNOT MOUNT FILE SYSTEM ON PORTABLE MEDIA Check the connection for the
portable media device. If the device is a USB flash drive, format the device.
This message displays in a dialog box when the system is unable to mount the file
system on the USB device during startup.
Touch OK and follow the message instructions.
14-19
14. Troubleshooting and messages
CERTIFICATE CREATION SUCCESS Self-signed certificate and private key have been
created. Touch OK to continue.
This message displays in a dialog box when the user has successfully created the
self-signed certificate and private key.
Follow the message instructions.
CERTIFICATE EXPORT FAILURE The selected certificate was not exported to portable
media device. Check the device. Touch OK to continue.
This message displays in a dialog box when they system failed to export the Self-
Signed or Host Certificate to a portable media device.
Follow the message instructions.
CERTIFICATE EXPORT SUCCESS The certificate has been successfully exported to port-
able media device. Touch OK to continue.
This message displays in a dialog box when the user has successfully exported
the self-sign or host certificate to a portable media device.
Follow the message instructions.
14-20
14. Troubleshooting and messages
CHARGER FAILED, RESTART THE SYSTEM Continued use will disable the system. Call
for service.
This message displays in the status bar when the battery charger fails at startup.
The system will not operate in this condition.
When this message displays, the following message displays on the C-Arm
control panel:
CHARGER FAILED, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
CHARGER FAILED Continued use will disable the system. Call for service.
This message displays in the status bar when a charger failure occurs during
operation. The message alternates with the technique displayed on the C-Arm
control panel. Continued use will result in loss of system functionality. This can
only be repaired by a service technician.
When this message displays, the following message displays on the C-Arm
control panel:
CHARGER FAILED
Follow the message instructions.
Checking File System This process may take up to 5 minutes. DO NOT TURN OFF
POWER while this message is displayed. To avoid future file system checks do not turn
off power before the Patient Information or Login screen is displayed.
This message displays during the startup procedure when a file system check is
being performed.
See If the system fails to start normally beginning on page 2-69 for more
information.
CINE RUN INCOMPLETE One or more frames in this playback have been lost. If this mes-
sage persists, call for service.
This message displays in a dialog box when a cine playback in progress has lost
a frame.
Touch OK and follow the message instructions.
14-21
14. Troubleshooting and messages
CINE RUN INCOMPLETE One or more frames have been lost. If this message persists,
call for service. 2 This message displays in a dialog box when a frame was lost during cine
acquisition. The loss can show up as a duplicate frame in the playback or will have a miss-
ing frame or frames.
Touch OK and follow the message instructions.
CINE STORAGE FULL X-rays will be disabled until space is available. Archive older
exams to PACS or portable media device and then delete the exams from the system to
free space.
This message displays in a dialog box when no more image storage space is
available. X-rays are disabled while in this state.
Touch OK to continue and then delete old exams to free space for new images to
be saved.
CLUTCH OPEN
Motorized systems only: This message displays at the top of the left side of the
main system monitor when the clutch is released and the C-Arm is free to orbit.
Normally this is possible only when someone holds the clutch handle in the
release position.
If this message displays with no one touching the clutch handle, call for service.
COLLIMATOR IRIS POSITION ERROR Dose reporting accuracy may be affected. Call for
service.
This message displays in the status bar when the collimator iris potentiometer is
not working and the iris position cannot be determined. This can only be repaired
by a service technician.
When this message displays, the following message displays on the C-Arm
control panel:
IRIS POSITION ERROR
Follow the message instructions.
14-22
14. Troubleshooting and messages
14-23
14. Troubleshooting and messages
COLLISION DETECTED
Motorized systems only: This message displays at the top of the left side of the
main system monitor when the system detects a decrease in velocity and
increased resistance to movement. Motorized lateral and motorized cephalad /
caudal tilt motion stops. This message erases and motorized movement is again
enabled when the condition clears.
Use the joystick to move the C-Arm away from the collision.
COMPLETE SELECTED EXAM(S)? You cannot add X-ray events to completed exams.
Touch Yes to complete the selected exam(s), or No to cancel.
This message displays in a dialog box when the user asks the system to complete
an exam or exams. The system will create a complete Radiation Dose Structure
Report as a part of this action.
Follow the message instructions.
CONTACT DETECTED
Motorized systems only: This message displays at the top of the left side of the
main system monitor when the contact detection assembly (bumper) senses
pressure from a contacting object. Any motorized lateral or motorized cephalad /
caudal tilt movement underway stops. This message erases and motorized
movement is again enabled when the condition clears.
14-24
14. Troubleshooting and messages
CONTROL PANEL KEY STUCK, CHECK KEYS FOR OBSTRUCTIONS Press any key. If
this message persists, call for service.
This message displays in the status bar when a key is pressed on the C-Arm
control panel during startup, possibly indicating a stuck C-Arm control panel key.
When this message displays, the following message displays on the C-Arm
control panel:
KEY STUCK, RELEASE AND PRESS ANY KEY
Follow the message instructions.
COPIED IMAGES MAY NOT DISPLAY AS EXPECTED The Imaging Profile used to gen-
erate the copied images does not exist on this system. The General profile will be used to
display the copied images. Image quality will be affected
This message displays in a dialog box when an OEC Compatible exam from an
external media is imported, or when an exam on the system is viewed when the
profile used for acquisition of the image is not present.
Touch OK to continue.
COPIED IMAGES MAY NOT DISPLAY AS EXPECTED The Imaging Profile version used
to generate the copied images is different from the version on the system. Image quality
may be affected.
This message displays in a dialog box when an OEC Compatible exam is
imported from an external media or when viewing an exam on the system which
was acquired with a different version. This may also occur after a system
upgrade.
Touch OK to continue.
COPY COMPLETE
This message displays in a dialog box when the selected copy operation is
completed. The message erases after 3 seconds.
CORRUPTED IMAGES DELETED Corrupted images were detected at startup and could
not be repaired. These images have been deleted. This may be the result of a power loss
or improper shutdown. If this message persists, call for service.
This message displays in a dialog box when the system starts up after corrupted
images were deleted at startup.
Touch OK and follow the message instructions.
14-25
14. Troubleshooting and messages
CSR EXPORT SUCCESS Certificate Signing Request has been copied to portable media.
Touch OK to continue.
This message displays in a dialog box when the user has successfully created the
Certificate Signing Request and exported it to portable media.
Follow the message instructions.
DATA ON PORTABLE MEDIA NOT SUPPORTED Data on the selected media device
includes DICOM objects that cannot be copied to the system. See the DICOM Log for the
specific patient and exam data that cannot be copied.
This message displays in a dialog box when an exam displayed from a USB
device contains DICOM objects not currently supported by the system for
viewing.
Touch OK and follow the message instructions.
DATABASE CLEANUP FAILED Retry the database cleanup operation. If this message
persists, call for service.
This message displays in a dialog box when database cleanup was unsuccessful.
Touch OK and follow the message instructions.
DATE OR TIME CHANGES REQUIRE RESTART Press OK to accept changes. You will
be prompted to restart the system.
This message displays in a dialog box when the date or time is changed. The
system will needs to restart to apply these changes. When this message is
confirmed,
Note that the system will set the time entered when this message is confirmed. If
there is delay in confirming the message, the new time may not reflect the current
time used as a reference for setting system time.
Follow the message instructions. The system will restart automatically.
14-26
14. Troubleshooting and messages
DECRYPTION PASSWORD CREATION FAILURE The new and re-typed decryption pass-
words do not match. Touch OK to continue.
This message displays in a dialog box when the new encryption password does
not match the retyped password.
Touch OK and re-enter the password.
DECRYPTION PASSWORD DELETED The decryption password has been removed from
the system. Touch OK to continue.
This message displays in a dialog box when the user successfully deletes the
decryption password from the system.
Follow the message instructions.
DELETE ALL PATIENT HEALTH INFORMATION AND SAVED IMAGES? Touch Yes to
delete all information, or No to cancel.
This message displays in a dialog box when the operator invokes the Patient
Health Information Delete All option on the Applications > Setup > Security
screen.
Follow the message instructions.
DELETE All SAVED WIRELESS NETWORK CONFIGURATION DATA? The wireless net-
work information saved to the system including usernames and passwords will be per-
manently deleted. Wireless networks will need to be reconfigured for use. Touch Yes to
continue editing, or touch No to cancel.
This message displays in a dialog box when the operator touches Delete All
Saved Networks on the Applications > Setup > Network Configuration >
Wireless Networks screen.
Follow the message instructions.
14-27
14. Troubleshooting and messages
DELETE SELECTED EXAM(S)? Touch Yes to delete the selected exams, or No to cancel.
This message displays in a dialog box when the user asks the system to delete an
exam or exams from the system. The system will check after confirmation for
storage of all locally acquired images in the exam(s) to PACS or external media
like a portable media device. Once exams are deleted, they cannot be restored.
Follow the message instructions.
14-28
14. Troubleshooting and messages
DELETE SELECTED IMAGE(S)? Selected images are queued for storage. Touch Yes to
delete images anyway, or No to cancel.
This message displays in a dialog box when images selected for deletion are still
in the DICOM message queue and therefore have not been received by the
PACS server. This can happen if the system is not connected to the network.
Once images are deleted, they cannot be restored.
Follow the message instructions.
14-29
14. Troubleshooting and messages
DETECTOR MAP MISSING Image quality may degrade. If this message persists, call for
service.
This message displays in the status bar when the application fails to read detector
configuration data, or reads incorrect or invalid configuration data.
When this message displays, the following message displays on the C-Arm
control panel:
DETECTOR MAP MISSING
Follow the message instructions.
14-30
14. Troubleshooting and messages
DICOM ERROR Check the Transfer Status Screen on the system for detailed error inform-
ation. Follow the instructions in the Transfer Status Screen to resolve the issue, or call for
service.
This message displays in a dialog box when a DICOM device has been
configured improperly, for example, if a report is configured with a format layout
that the printer cannot support.
Touch OK and follow the message instructions.
DICOM MOVE DESTINATION UNKNOWN Make sure that PACS is configured to allow
images to be retrieved.
This message displays in a dialog box when the DICOM Server does not know
the destination for the retrieve command.
Touch OK and follow the message instructions.
DICOM OVER TLS ENABLED All subsequent transfers will use DICOM Transport Layer
Security. Ensure all configured servers are compliant with TLS 1.2. Touch OK to continue.
This message displays in a dialog box when the user has successfully configured
DICOM over TLS.
Follow the message instructions.
DICOM SERVER OUT OF RESOURCES, TRY AGAIN LATER This is probably a tem-
porary condition caused by currently high usage of the server. If this message persists,
call for service.
This message displays in a dialog box when a request is sent to either a DICOM
printer or a DICOM Server or RIS, and the DICOM device reports that it is out of
resources or busy.
Touch OK and follow the message instructions.
DICOM SERVER RESPONSE MISSING REQUIRED DICOM TAGS See the DICOM Log
for more information or call for service.
This message displays in a dialog box when a DICOM server response does not
have the DICOM tags required by the DICOM Standard.
Touch OK and follow the message instructions. Refer to the server
manufacturer's DICOM Conformance statement to confirm missing data.
14-31
14. Troubleshooting and messages
DISABLE DICOM OVER TLS? DICOM transfers will no longer be secured. Touch Yes to
continue or No to leave enabled.
This message displays in a dialog box when the user clears the DICOM over TLS
configuration box.
Follow the message instructions.
DISABLE REMOTE LOGGING OVER TLS Remote log transfers will no longer be secured.
Touch Yes to continue or No to leave enabled.
This message displays in a dialog box when the user disables Remote Logging
TLS.
Follow the message instructions.
DUPLICATE NAME NOT ALLOWED The entered server alias name or system label is
already in use by another DICOM server configuration or system drive. Enter a different
name or label. Touch OK to continue.
This message displays in a dialog box when an entered DICOM server alias
name is already in use by another DICOM server or system label for use in the
drop-down list during system move, send, or print operations.
Follow the message instructions.
14-32
14. Troubleshooting and messages
EDITING PATIENT INFORMATION WILL CHANGE OTHER EXAMS The patient being
edited has other exams on the system. The edits will affect all of the patient's exams.
Touch Yes to continue editing. Touch No to cancel.
This message displays in a dialog box when the user edits patient information in
an exam when the patient has multiple exams. The edited information will apply to
all exams for the edited patient that exist on the system.
Follow the message instructions.
EXPIRED CERTIFICATE The certificate selected for import has expired. Touch OK to
return to the Import screen and import a different certificate.
This message displays in a dialog box when the user attempts to import a file that
has expired.
Follow the message instructions.
EXPORT SUCCESS Certificate signing request has been created and successfully expor-
ted to portable media device. Touch OK to continue.
This message displays in a dialog box when the user has successfully created
and exported the certificate signing request.
Follow the message instructions.
EXPORT SUCCESS The certificate has been successfully exported to portable media
device. Touch OK to continue.
This message displays in a dialog box when the user has successfully exported
the self-sign or host certificate to portable media.
Follow the message instructions.
EXPOSURE SETTING CHANGE Enabling Switch Released may lead to degraded image
quality because of limited X-ray exposure. Touch OK to continue.
This message displays in a dialog box when Switch Released is selected on the
Applications > Setup > Image Acquisition screen. In this mode, X-rays will
terminate as soon as the X-ray control is released. This may lead to poor image
quality. See Terminate Short Exposure When on page 2-6 for more information
on using this setting.
Follow the message instructions.
14-33
14. Troubleshooting and messages
EXTERNAL VIDEO DISPLAY CANNOT BE TURNED OFF Reboot the system. If the prob-
lem persists, call service.
This message displays across the full main system monitor when the system
cannot turn off the display of an external video source on the system monitor.
Disconnect the external video source cable from the Workstation, and then follow
the message instructions.
FAST STOP ACTIVATED Twist the switch to reset it and then restart the system.
This message displays in the status bar when the fast stop switch has been
pressed.
When this message displays, the following message displays on the C-Arm
control panel:
FAST STOP ACTIVATED
Check the position of the switch. If the switch is depressed, twist the red portion to
release it, and then follow the message instructions.
14-34
14. Troubleshooting and messages
FILE CANNOT BE IMPORTED The selected file format is not supported. Select a different
format and try again.
This message displays in a dialog box when a user tries to import a file of an
incompatible format.
Follow the message instructions.
File System Check Complete To avoid future file system checks do not turn off power
before the Patient Information or Login screen is displayed. Normal system boot will now
continue.
This message displays during the startup procedure when a file system check
was performed and has completed successfully.
See If the system fails to start normally beginning on page 2-69 for more
information.
File System Corruption Detected System files have been corrupted and are not recov-
erable. This system is no longer usable. Please call service.
This message displays during the startup procedure when the file system is
corrupted and must be reinstalled.
See If the system fails to start normally beginning on page 2-69 for more
information.
14-35
14. Troubleshooting and messages
FORMAT USB DEVICE? ALL DATA WILL BE LOST. The USB device will be formatted
and all existing data will be permanently lost. The maximum size for the format is 2 TB. If
the device is larger than this, the excess space will not be used. Touch Yes to format the
USB device, or No to cancel.
This message displays in a dialog box when the user selects the format control.
The USB device will be formatted to FAT32 file system and all data will be deleted
and cannot be restored. A progress bar displays to indicate the formatting
progress, and disappears when formatting is complete.
Follow the message instructions.
GRID INSERTED
This message displays for 3 seconds in the status bar and on the C-Arm control
panel when the grid has been inserted into a Flat Panel Detector system.
GRID REMOVED
This message displays for 3 seconds in the status bar and on the C-Arm control
panel when the grid has been removed from a Flat Panel Detector system.
14-36
14. Troubleshooting and messages
HARDWARE ERROR, X-RAYS DISABLED Restart the system. If this message persists,
call for service.
This message displays in the status bar when a hardware error causes the time
value used for the anode heat calculation is less than the previous anode heat
calculation time or not available.
When this message displays, the following message displays on the C-Arm
control panel:
HARDWARE ERROR, X-RAYS DISABLED
Follow the message instructions.
HLF OVERTIME
This message displays in the status bar and on the C-Arm control panel when the
HLF (High Level Fluoro), subtract, or digital cine exposure has exceeded the
preset time limit, and X-rays have been terminated.
The time interval parameters are dependent on the pulses per second defined for
the system. This is a safety precaution that discourages excessive continuous
exposure while in HLF mode.
Release the footswitch.
14-37
14. Troubleshooting and messages
HOUSING IS HOT, HLF DISABLED Allow the system to cool to regain High-Level X-rays.
This message displays in the status bar when the housing temperature is at 80%
or more of its rated heat capacity. This message alternates with the technique
displayed on the C-Arm control panel , while an alarm sounds. Fluoroscopy is not
prevented but the tube should be allowed to cool before another exposure. HLF
and film exposures are not allowed while the system is in this state.
When this message displays, the following message displays on the C-Arm
control panel:
HOUSING IS HOT
Press the Alarm Reset key on the C-Arm control panel to silence the alarm, and
allow the system to cool.
14-38
14. Troubleshooting and messages
IMAGE DISPLAY INCORRECT The pixel aspect ratio of the image is not 1:1. This image
will be distorted on the display.
This message displays in a dialog box when the resolution of a displayed
retrieved image is less than the original.
Touch OK to continue.
IMAGE PROCESSING ERROR, X-RAYS DISABLED The system has detected a problem
with the way the images are processed. The system will not operate. Restart the system. If
this message persists, call for service.
This message displays across the full main system monitor when the system
detects a problem with the image processing chain. X-rays are disabled while in
this state and images cannot be recalled from the Images screen.
Follow the message instructions.
IMAGE STORAGE FULL X-rays will be disabled until space is available. Archive older
exams with single images to PACS or portable media device and then delete the exams
from the system to free space.
This message displays in a dialog box when no more image storage space is
available. Delete old exams to free space for new images to be saved. X-rays are
disabled while in this state.
Follow the message instructions.
IMAGE TOO BIG TO COPY The size of a selected cine exceeds the limits specified in the
DICOM standard. Touch OK to clear the message, then clear the selection, use the Cine
player to Set Cues to shorten the run, and then try the copy operation again.
This message displays in a dialog box when a cine run is selected that exceeds
the DICOM standard limit of 4.29 GB or USB max files size of 4 GB.
Setting the cues to trim a cine run or copying the file as half-size or in XA or SC
formats will reduce the file size.
Follow the message instructions.
14-39
14. Troubleshooting and messages
INCORRECT PASSPHRASE The system cannot decrypt the passphrase protected key.
Touch OK to enter the passphrase again or Cancel to go back to the Certificate screen.
This message displays in a dialog box when the user attempts to load a pass
phrase protected key and does not enter the correct passphrase.
Follow the message instructions.
INSUFFICIENT LOCAL STORAGE Navigate to the Saved Exams screen and delete
exams marked as Retrieved in the Status column to free space and allow additional
exams to be retrieved .
This message displays in a dialog box when the system does not have enough
space to store retrieved exams from the Image server.
Touch OK and follow the message instructions.
14-40
14. Troubleshooting and messages
INTERLOCK FAILURE- CHECK FAST STOP. Reset if activated, then restart the system.
If this message persists, call for service.
This message displays at the top of the left side of the main system monitor on
Touch / Tableside C-Arm control panel systems when the interlock circuit fails
during the startup procedure.
When this message displays, the following message displays on the C-Arm
control panel:
INTERLOCK FAILURE, RESET THE FAST STOP AND RESTART
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
INVALID CERTIFICATE The certificate selected for import could not be read. Touch OK to
return to the Import screen and import a different certificate.
This message displays in a dialog box when the user attempts to import an invalid
file.
Follow the message instructions.
INVALID PORT ENTRY OR PORT IN USE Could not open the port on the firewall. Accep-
ted values for ports are 104 or 1025-49150. The last valid port entry will be restored. Try
using a different port number.
This message displays in a dialog box when an incorrect port entry for a local
server is entered.
Touch OK and follow the message instructions.
INVALID PRIVATE KEY The system cannot read the private key. Try a different key.
Touch OK to continue.
This message displays in a dialog box when when the system cannot read a
private key that is being imported.
Follow the message instructions.
INVALID TIMEOUT VALUE Accepted values for time-outs are:0 - Timeout disabled. 10-
999 seconds.
This message displays in a dialog box when an invalid IP Address is entered.
Touch OK to clear the message, and enter an accepted timeout value.
14-41
14. Troubleshooting and messages
JOYSTICK FAILURE Motion is disabled. Disconnect and then reconnect the RUI. If this
message persists, call for service.
Motorized systems only: This message displays in a dialog box when the system
fails to communicate with the joystick.
Touch OK and follow the message instructions.
JOYSTICK STUCK Check the joystick. Disconnect and then reconnect the RUI. If this mes-
sage persists, call for service.
Motorized systems only: This message displays in a dialog box when the system
detects that the joystick is deflected from the neutral position at system startup.
Clear anything that is pressing on the joystick, touch OK, and then follow the
message instructions.
KEY AND CERTIFICATE MISMATCH The host certificate does not match the private key
and will not be imported. Check the host certificate. Touch OK to continue.
This message displays in a dialog box when a user attempts to import a system
certificate that does not match the key on the system.
Follow the message instructions.
14-42
14. Troubleshooting and messages
KEYPAD STUCK Make sure there is nothing pressing on the Workstation keypad. The
keypad will be disabled until the system is restarted. If this message persists, call for ser-
vice.
This message displays in a dialog box when the system detects that the
Workstation keypad is stuck during startup. Check for objects sitting or pressing
on the keypad. The system can be operated without the keypad.
Touch OK and follow the message instructions.
14-43
14. Troubleshooting and messages
KV ON IN ERROR, RESTART THE SYSTEM If this message persists, call for service.
This message displays in the status bar when high voltage is being generated
without an X-ray switch being activated. This indicates a fault with the high
voltage generator. The system will not operate with this error.
When this message displays, the following message displays on the C-Arm
control panel:
KV ON IN ERROR, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
LIFT SWITCH STUCK Check for obstructions. If this message persists, call for service.
This message displays in a dialog box when the lift switch is pressed continuously
for 30 seconds. This may indicate a foreign object is pressing against the switch
or a faulty switch or lift circuit.
Follow the message instructions. If there is nothing pressing against the switch,
this message may indicate a faulty switch or lift circuit.
Touch OK and follow the message instructions.
LOGIN ACCOUNT LOCKED Maximum number of unsuccessful login attempts were made
in the last 15 minutes. Account will be locked for the next 15 minutes. Touch OK to con-
tinue.
This message displays in a dialog box when the maximum number of
unsuccessful login attempts were made in the last 15 minutes.
Follow the message instructions.
LOW DISK SPACE Delete archived or unneeded exams from the Saved Exams screen to
make more space. If this message persists, call for service.
This message displays in a dialog box when, during the startup procedure, the
system detects less disk space than is expected.
See 8.9 Delete exams and images on page 8-36 for information on freeing space
on the system.
Touch OK and follow the message instructions.
14-44
14. Troubleshooting and messages
MA ON IN ERROR Restart the system. If this message persists, call for service.
This message displays in the status bar when X-ray current (tube current) has
been detected without an X-ray switch being activated, indicating a fault with the
X-ray generator. The system will not operate with this error.
When this message displays, the following message displays on the C-Arm
control panel:
MA ON IN ERROR, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
MANUAL FILE TRANSFER FAILED A manual remote file transfer did not complete
because the system was shut down. Touch OK to continue and then touch the Start button
to try file transfer again.
This message displays in a dialog box when the previous manual remote file
transfer did not complete because the system was shut down.
Follow the message instructions.
MANUAL FILE TRANSFER FAILED A manual remote file transfer did not complete
because an X-ray was taken. Touch OK to continue and then touch the Start button to try
file transfer again.
This message displays in a dialog box when the previous manual remote file
transfer did not complete because an X-ray was taken.
Follow the message instructions.
14-45
14. Troubleshooting and messages
MEDIA FILE FORMAT ON DEVICE NOT SUPPORTED Some devices may not function
for all operations. Touch Yes to safely dismount the device and remove the device. Then
insert a device with supported format and try again. See the operator's manual for sup-
ported file formats. Touch No to leave the device mounted and then use the Portable
Media Options screen to format the media device.
This message displays in a dialog box when the user tries to copy to
unrecognized USB media.
Follow the instructions in the message.
MEDIA FILE SYSTEM HAS AN ERROR. FORMAT? Touch Yes to format the device and
load the newly formatted file system. Touch No to repair the media file system using a
standard personal computer. This will eject the device.
This message displays in a dialog box when the user tries to mount a mass
storage device with a supported file system that has an error.
Follow the instructions in the message.
MOTION ERROR, MOTION DISABLED Motion component failure detected. Restart the
system. If this message persists, call for service.
Motorized systems only: This message displays in a dialog box when the number
of servo faults or uncommanded motions exceed limits or when a potentiometer
failure occurs.
Touch OK and follow the message instructions.
14-46
14. Troubleshooting and messages
MOTION ERROR Press OK to enable motion. If this message persists, call for service.
Motorized systems only: This message displays in a dialog box when the system
receives an uncommanded motion or a bad status from a servo controller.
Follow the message instructions.
MOTION FAILURE System is not ready for movement. Wait for at least 2 seconds, then
re-attempt motion. If this message persists, call for service.
Motorized systems only: This message displays for 3 seconds at the top of the left
side of the main system monitor on motorized when the system fails to move after
a motion command from the joystick. This may be because the motion servo node
has not completely reset after a power loss.
Follow the message instructions. If the problem is not resolved after following the
instructions, restart the system.
MOTION FAILURE Restart the system. If this message persists, call for service.
Motorized systems only: This message displays in a dialog box when the system
fails to move after a motion command from the joystick, but the system has not
detected an error.
Touch OK and follow the message instructions.
MOTION FIRMWARE INCOMPATIBLE Restart the system. If this message persists, call
for service.
Motorized systems only: This message displays in a dialog box when the system
determines that Motion PION firmware is not compatible during startup. This can
only be repaired by a service engineer.
Touch OK and follow the message instructions.
14-47
14. Troubleshooting and messages
NETWORK NOT RESPONDING This may have been caused by the network connection
being broken or the server resetting the network connection. Contact the network admin-
istrator.
This message displays in a dialog box when the network connection has been
broken for DICOM MWL Query, Image Query/Retrieve, Store, Print or MPPS.
This may have been caused by the network connection being broken or the
server resetting the network connection.
Follow the message instructions.
NETWORK UNAVAILABLE DICOM requests will be queued and transferred when the net-
work is available. To transfer items now, ensure that the Workstation is connected to a net-
work.
This message displays in a dialog box when the system is unable to perform a
DICOM Store or Print transfer because the network connection is not available.
Touch OK and follow the message instructions.
NEW PASSWORD AND RETYPED PASSWORD DO NOT MATCH Enter the new pass-
word again. Make sure the retyped password matches the new password.
This message displays in a dialog box when the new passwords do not match
when changing the password.
Touch OK and follow the message instructions.
NO MATCH FOUND Modify the search criteria using the Schedule Filter.
This message displays in a dialog box when a DICOM query finds no images on
the MWL server.
Touch OK and follow the message instructions.
14-48
14. Troubleshooting and messages
NO PRIVATE KEY FOR HOST CERTIFICATE The host certificate will not be imported.
Touch OK to continue.
This message displays in a dialog box when the user attempts to import a host
certificate and no private key has been or is being configured.
Follow the message instructions.
NTP SERVER CONNECTION FAILED Check the settings and try again.
This message displays in a dialog box when the system could not connect to the
NTP server using the definition set by the user.
Touch OK, check and correct the definition, and confirm that the NTP server
exists.
NTP SERVER CONNECTION VERIFIED The specified NTP server is reachable. Press
OK to continue.
This message displays in a dialog box when the system has verified that it can
successfully connect to the NTP server using the definition set by the user.
Touch OK to continue.
NTP SERVER CONNECTION VERIFIED To update the time on the system press OK, you
will be prompted to restart the system.
This message displays in a dialog box when the system has verified that it can
successfully connect to the NTP server using the definition set by the user.
Touch OK to continue.
14-49
14. Troubleshooting and messages
ONBOARD PRINTER ERROR Check the onboard printer error display and refer to the
printer operating instructions for more information.
This message displays in a dialog box when the printer reports a hardware error
condition while printing an image.
Touch OK and follow the message instructions.
OVERLOAD FAULT
This message displays in the status bar and on the C-Arm control panel for 3
seconds, and may indicate a fault in the high voltage regulator circuit or a spit (HV
arc) occurs.
The first time this fault is detected, the message appears only briefly after an
exposure. When this fault occurs during an exposure, the system automatically
disables X-rays, the message remains on the display.
OVERLOAD FAULT Restart the system. If this message persists, call for service.
This message displays in the status bar and may indicate a fault in the high
voltage regulator circuit or a spit (HV arc) has occurred. When this fault occurs
during an exposure, the system automatically disables X-rays and the message
remains on the display.
When this message displays, the following message displays on the C-Arm
control panel:
OVERLOAD FAULT, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
OVERVOLTAGE FAULT
This message displays in the status bar and on the C-Arm control panel for 3
seconds, and may indicate an X-ray generator failure or a spit (HV arc) occurs.
The first time this fault is detected, the message appears only briefly after an
exposure. When this fault occurs during an exposure, the system automatically
disables X-rays and the message remains on the display.
14-50
14. Troubleshooting and messages
OVERVOLTAGE FAULT Restart the system. If this message persists, call for service.
This message displays in the status bar and may indicate that an X-ray generator
failure or a spit (HV arc) has occurred. When this fault occurs during an exposure,
the system automatically disables X-rays and the message remains on the
display.
When this message displays, the following message displays on the C-Arm
control panel:
OVERVOLTAGE FAULT, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
PASSPHRASE ERROR The selected key does not require a passphrase. Touch OK to
continue.
This message displays in a dialog box when the user enters a passphrase but
none is needed.
Follow the message instructions.
PASSWORD ERROR Password does not meet system requirements. Check system
requirements and try again. Touch OK to continue.
This message displays in a dialog box when the login password does not meet
the system's password requirements.
Follow the message instructions.
PASSWORD RESET REQUIRED Your password has expired. Touch OK to reset pass-
word.
This message displays in a dialog box when the Administrative user has set the
username to require password re-entry or the password has expired.
Follow the message instructions.
14-51
14. Troubleshooting and messages
PATIENT ID CONFLICT DETECTED. The entered patient ID has been changed to the
default patient ID because it conflicted with an existing patient ID for a different patient.
Check the patient information.
This message displays in a dialog box when the manually entered Patient ID was
found to match an existing Patient ID with different Patient Name, Date of Birth, or
Gender after an X-ray event has occurred. The Patient ID is replaced by the next
available default Patient ID in the sequence.
Touch OK, and follow the message instructions.
PERFORM FULL DATABASE CLEANUP? The system will need to be restarted and
cleanup will occur before the system completes normal startup. This operation allows the
system to continue running without database errors. NOTE: Failure to perform this oper-
ation on a periodic basis will result in database corruption and loss of the data. Touch Yes
to perform a full database cleanup, or No to cancel.
This message displays in a dialog box when the user selects the control to
perform a full database cleanup.
Follow the message instructions.
14-52
14. Troubleshooting and messages
PLEASE WAIT
This message displays on the C-Arm control panel during startup when the C-Arm
is initializing but is not yet capable of taking a shot.
Wait until the message clears before using the system.
PORTABLE MEDIA ERROR Current portable media operation will be canceled. See the
Transfer Status log for more information or call for service.
This message displays in a dialog box when the system fails to complete a data
transfer to a USB device.
Touch OK, check the Transfer Status log for details, and then try again.
If this message persists, try a different USB device or call for service.
POWER COMMUNICATION FAILURE Turn off system power. If power does not turn off
in 20 seconds, press the red System Disable Switch switch. Unplug the power cord for 10
seconds then plug the power cord in and turn on system power. If this message persists,
call for service.
This message displays in a dialog box when the system loses communication
with the Power PION.
Touch OK and follow the message instructions if necessary.
POWER CONFIGURATION NOT SET X-rays and battery charger are disabled. Call for
service.
This message displays in a dialog box when the intended operating AC line range
has not been configured, after a clean software installation, or when New Exam is
selected, until system is configured. The battery charger is disabled as long as
this condition persists.
Touch OK and follow the message instructions.
14-53
14. Troubleshooting and messages
POWER ERROR DETECTED X-rays are disabled. Restart the system. If this message
persists, call for service.
This message displays in a dialog box when the system detects one of the
following voltage/current sensor failures:
l AC Mains Voltage sensor fail if reading greater than 264 VAC or less than
50 VAC.
l AC Mains Current sensor fail (100-127 V range) if reading greater than 27
A or less than 1 A, or, for 200-240 V range, if reading greater than 13.7 A or
less than 0.35 A.
l T1 Secondary Voltage sensor fail if reading above 264 V or below 100 V.
X-rays are disabled until the system reboots without an error. The log file
identifies the failed sensor.
Follow the message instructions.
POWER LOST The system will shut down in 20 seconds unless power is restored.
This message displays in a dialog box when the system detects that power has
been lost or dips below what is required for system operation and the system has
begun the automatic shutdown process. The automatic shutdown waits 20
seconds for power to be restored. If power is restored, the system will return to full
operation within 5 seconds. If power is not restored, the system will automatically
shut down.
The message clears automatically if power is restored before shutdown begins.
PRECHARGE CIRCUIT TIMEOUT Check C-Arm circuit breaker and restart the system.
This message displays in the status bar when the contact relay has failed to close
during the startup process. This condition requires that the system be restarted.
When this message displays, the following message displays on the C-Arm
control panel:
PRECHARGE CIRCUIT TIMEOUT, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Shut down the systems and, with the power off, check the circuit breaker
identified as CB1. Then restart the system. See Figure 2-58: C-Arm CB1 on page
2-70 for details on turning on CB1.
14-54
14. Troubleshooting and messages
PRECHARGE VOLTAGE ERROR Check C-Arm circuit breaker and restart the system. If
this message persists, call for service.
This message displays in the status bar when the precharge voltage has been
sensed as too high during the startup process. This condition requires that the
system be restarted.
When this message displays, the following message displays on the C-Arm
control panel:
PRECHARGE VOLTAGE ERROR, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Shut down the systems and, with the power off, check the circuit breaker
identified as CB1. Then restart the system. See Figure 2-58: C-Arm CB1 on page
2-70 for details on turning on CB1.
REMOTE FILE TRANSFER FAILED Remote file transfer failed because of network con-
nectivity issues. Check network connection settings. Touch OK to continue and then touch
the Start button to try file transfer again.
This message displays in a dialog box when a remote file transfer has failed due
to network connection loss.
Follow the message instructions.
REMOTE FILE TRANSFER STOPPED Touch OK to continue and then touch the Start but-
ton to try file transfer again.
This message displays in a dialog box when a remote file transfer has been
stopped.
Follow the message instructions.
14-55
14. Troubleshooting and messages
REMOTE LOGGING OVER TLS ENABLED All subsequent remote log transfers will use
Transport Layer Security. Ensure the configured servers is compliant with TLS 1.2. Touch
OK to continue.
This message displays in a dialog box when Remote Logging TLS is successful
enabled.
Follow the message instructions.
REMOTE LOGGING OVER TLS ERROR The system is missing a host certificate or
private key. Remote Logging Over TLS will remain disabled. Touch OK to continue.
This message displays in a dialog box when theuser attempts to enable Remote
Logging TLS but there is no host certificate or private key.
Follow the message instructions.
REMOTE LOGGING OVER TLS ERROR The system is missing a trusted certificate.
Remote Logging TLS will remain disabled. Touch OK to continue.
This message displays in a dialog box when theuser attempts to enable Remote
Logging TLS but there is no certificate.
Follow the message instructions.
REMOTE LOGGING OVER TLS ERROR UDP is configured for the remote server.
Change to TCP, then re-enable Remote Logging Over TLS. Remote Logging Over TLS
will remain disabled. Touch OK to continue.
This message displays in a dialog box when the user attempts to enable Remote
Logging over TLS but UDP is selected.
Follow the message instructions.
REMOTE SERVER VERIFICATION FAILURE Test Log message was not accepted by the
Remote Server. Check the configuration.
This message displays in a dialog box when the user enters an invalid server
configuration.
Follow the message instructions.
REMOTE SERVER VERIFICATION SUCCESS Test Log message was sent successfully
to the Remote Server.
This message displays in a dialog box when the system is able to connect with
the configured remote server.
14-56
14. Troubleshooting and messages
RUI ERROR
Motorized systems only: This message displays at the top of the left side of the
main system monitor when the system fails to communicate with the Remote
User Interface (RUI).
Touch OK and check the RUI connection at the C-Arm. If that fails to correct the
problem, follow the message instructions.
RUI KEY STUCK Check the RUI for obstructions. Disconnect and then reconnect the RUI.
If this message persists, call for service.
Motorized systems only: This message displays in a dialog box when the system
detects that key(s) are being continuously pressed on the RUI.
Touch OK and ensure that RUI keys are not being pressed or contacted, and then
follow the message instructions.
14-57
14. Troubleshooting and messages
SATURATION FAULT
This message displays in the status bar when the system detects a fault in the
IGBT circuit. The system will terminate the X-ray.
SAVE CHANGES BEFORE EXITING? Changes have not been saved. Touch Yes to save
changes, or No to exit the form without saving changes.
This message displays in a dialog box when information is entered on a screen,
but have not been saved before the user tries to exit or navigate to another screen
or tab.
Follow the message instructions.
SAVE FAILURE A setting is invalid. Change the setting to a valid value before saving.
This message displays in a dialog box when system setting changes are outside
of the valid range.
Touch OK and follow the message instructions.
SAVE FAILURE The specified hostname does not conform to RFC 952. Change the host-
name to a valid value before saving.
This message displays in a dialog box if the specific system setting is outside of
the valid range. The system will highlight the field with the invalid value.
Touch OK and follow the message instructions.
14-58
14. Troubleshooting and messages
SCHEDULED EXAM LIST FULL Delete a manually entered exam to allow a new exam.
This message displays in a dialog box when the New Exam button is selected on
the Patient screen but the scheduled exam list is already full.
Touch OK and follow the message instructions.
SELECTED IMAGE(S) ARE BIGGER THAN THE CURRENT MEDIA CAPACITY Deselect
some images or use higher-capacity media.
This message displays in a dialog box when a single frame or a cine selected is
bigger than the current media capacity.
Touch OK and follow the message instructions.
14-59
14. Troubleshooting and messages
SHOT FAILED, X-RAYS DISABLED Clear the message. If this message persists, call for
service.
This message displays in the status bar when the system does not receive a
synchronization signal during a shot.
When this message displays, the following message displays on the C-Arm
control panel:
SHOT FAILED, X-RAYS DISABLED, PRESS ANY KEY
Press any C-Arm control panel key to clear the message, and follow the message
instructions.
SOFTWARE ERROR A service software error has occurred. Restart the system.
This message displays in a dialog box when an internal software error occurs.
Touch OK and follow the message instructions.
STATOR NOT ON Restart the system. If this message persists, call for service.
This message displays in the status bar when the X-ray tube stator is not on, and
the tube's anode cannot rotate. The system will not operate with this error.
When this message displays, the following message displays on the C-Arm
control panel:
STATOR NOT ON, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
STATOR STANDBY
This message displays for 3 seconds in the status bar and on the C-Arm control
panel when the X-ray tube stator is in standby mode.
SWITCH PRESS TOO SHORT, NO X-RAYS PRODUCED Press and hold X-ray switch
until exposure starts.
This message displays for 3 seconds in the status bar when an X-ray switch is
released prior to X-rays being produced.
14-60
14. Troubleshooting and messages
SYSTEM BACKUP MISSING The system backup settings file was not found. If this is not
corrected the system may become inoperable. Call for service.
This message displays in a dialog box when the system backup settings file is
missing. This indicates that the system settings may be lost in the near future,
which will leave the system inoperable. This can only be repaired by a service
technician.
Touch OK and follow the message instructions.
SYSTEM SOFTWARE ERROR Restart the system. If this message persists, call for ser-
vice.
This message displays in a dialog box when the system encounters an error that
may allow some functionality to continue in use, while other functionality is
disabled.
Touch OK and follow the message instructions.
SYSTEM STANDBY
This message displays in the status bar when the system has been idle for longer
than 30 minutes.
When this message displays, the following message displays on the C-Arm
control panel:
SYSTEM STANDBY, PRESS ALARM RESET
Press the alarm reset key to continue.
SYSTEM WILL NOT BOOT The system has detected a problem with the license files. The
system will not operate. Call for service.
This message displays across the full main system monitor when the System
Identity Management device is not valid or not found. The system is not in a
known valid state and therefore the startup procedure will not continue.
Follow the message instructions.
SYSTEM WILL NOT BOOT System software verification failed. Call for service.
This message displays across the full main system monitor ] when an RPM
verification failure has occurred.
Follow the message instructions.
14-61
14. Troubleshooting and messages
TLS ERROR The system is missing a host certificate or private key. DICOM over TLS will
remain disabled. Touch OK to continue.
This message displays in a dialog box when DICOM TLS is configured, but no
system key is detected
Follow the message instructions. Import a system key if DICOM TLS is required.
TLS WARNING No trusted certificate has been uploaded to the system. DICOM Transfers
will fail until a trusted certificate has been added. Touch OK to continue or Cancel to dis-
able DICOM over TLS.
This message displays in a dialog box when DICOM TLS is configured, but no
DICOM server certificates are detected.
Follow the message instructions. Import a DICOM server certificate if DICOM TLS
is required.
TOO MANY MATCHES FOUND Narrow the search criteria and retry the search.
This message displays in a dialog box when a DICOM query results in too many
results.
Touch OK, refine the search criteria, and try the search again.
TOUCHSCREEN UNAVAILABLE The system may be used with the keyboard. Press
Enter on the keyboard to acknowledge this message. If this message persists, call for ser-
vice.
This message displays in a dialog box when the system detects that the
touchscreen is not connected to the system during startup. Because the
touchscreen has failed, the message cannot be acknowledged by touching the
screen.
Follow the message instructions. Use the keyboard and C-Arm control panel to
navigate.
14-62
14. Troubleshooting and messages
UNABLE TO COMMUNICATE WITH USB DEVICE An unsupported device has been con-
nected to the system. This may be an encrypted USB, or a USB device that cannot com-
municate with the system.
This message displays in a dialog box when a USB device is inserted and cannot
be recognized by the system. The system will not recognize external DVD and
encrypted USB mass storage devices.
Touch OK and follow the message instructions.
UNABLE TO CONNECT Certificates are required for TLS wireless connections under
FIPS140-2 enforcing. Disable FIPS140-2 enforcing before connecting to this network if
certificates are not used.
This message displays in a dialog box when a user attempts to connect to a
wireless EAP TLS network without certificates when FIPS140-2 enforcing is
enabled.
Touch OK and then follow the message instructions.
UNABLE TO DELETE OLDER EXAMS Exams older than the user-configured time to
retain exams are present on the system, but cannot be automatically deleted because
they contain images that have not been stored to PACS or a portable media device. Save
images or delete old exams.
This message displays in a dialog box at startup if exams older than the user-
configured time to retain exams has been reached and the exams contain images
that have not been archived.
Touch OK and follow the message instructions.
UNABLE TO DELETE OLDER EXAMS Exams older than the user-configured time to
retain exams are present on the system, but cannot be automatically deleted because
they contain performed procedure step information that has not been sent to the MPPS
server. Retry the MPPS transfers or delete the old exams.
This message displays in a dialog box at startup if exams older than the user-
configured time to retain exams has been reached and the exams contain
incomplete MPPS transfers,
Touch OK and follow the message instructions.
14-63
14. Troubleshooting and messages
UPS BATTERY LOW The system may be used, but it might not shut down correctly if wall
power (AC Mains) is lost. Allow the batteries to charge for 8 hours. If this message per-
sists, call for service.
This message displays in a dialog box when the Workstation power supply (UPS)
reports a low charge. The charger state is checked once at startup and may result
in this message. Other Workstation battery low messages display during
operation.
Touch OK and follow the message instructions.
USB FORMAT FAILED This USB device will not work. Use a different USB device. Touch
OK to continue.
This message displays in a dialog box when a user-initiated USB format fails to
format the USB device.
Follow the message instructions.
VERIFY FAILED
This message displays in a dialog box when the system fails to verify that network
connections are made appropriately.
Touch OK, check the Network settings, and then retry.
14-64
14. Troubleshooting and messages
WIRELESS HARDWARE FAILURE Use wired network connection. If this message per-
sists, call for service.
This message displays in a dialog box when there is a problem with the wireless
interface card.
Touch OK and follow the message instructions.
14-65
14. Troubleshooting and messages
WORKSTATION AND C-ARM DO NOT MATCH Disconnect the C-Arm from the Work-
station, and connect the correct C-Arm.
This message displays in a dialog box when the user connects an improperly
paired C-Arm and Workstation.
When this message displays, the following message displays on the C-Arm
control panel:
WORKSTATION AND C-ARM DO NOT MATCH
Touch OK and follow the message instructions. A system restart is not required if
a properly paired C-Arm is reconnected to the Workstation.
WORKSTATION SOFTWARE ERROR Restart the system. If this message persists, call
for service.
This message displays across the full main system monitor when the system
encounters an error that is not recoverable and that prevents the system from
being used.
Follow the message instructions.
X-RAY SWITCH SECURITY ERROR Restart the system. If this message persists, call for
service.
This message displays in the status bar when the X-ray security line has been
detected as enabled during the startup procedure.
When this message displays, the following message displays on the C-Arm
control panel:
X-RAY SWITCH SECURITY ERROR, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Verify that switches are not being enabled by a foreign object, or disconnect the
handswitch and/or footswitch and attempt to restart the system. If the system
restarts, the disconnected device may contain a fault that requires service.
If this message persists, there is an internal fault preventing system operation.
Follow the message instructions.
14-66
14. Troubleshooting and messages
X-RAY SWITCH STUCK Check for foreign objects and restart the system.
This message displays in the status bar when one of the X-ray exposure switches
has been detected as enabled during the startup procedure.
When this message displays, the following message displays on the C-Arm
control panel:
X-RAY SWITCH STUCK, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Verify that switches are not being enabled by a foreign object, or disconnect the
handswitch and/or footswitch and attempt to restart the system. If the system
restarts, the disconnected device may contain a fault that requires service.
If this message persists, there is an internal fault preventing system operation.
Call for service.
14-67
14. Troubleshooting and messages
X-RAYS DISABLED, RECHARGE FOR 24 HOURS Shut down the system and leave
plugged in.
This message displays in the status bar when the system has been in storage for
more than six months, and the batteries need recharging. X-rays are disabled.
When this message displays, the following message displays on the C-Arm
control panel:
X-RAYS DISABLED, RECHARGE FOR 24 HOURS
Follow the message instructions. Make sure the interconnect cable is properly
connected, and wait 24 hours before use. The system does not need to be turned
on.
X-RAYS DISABLED Restart the system. If this message persists, call for service.
This message displays in the status bar when X-ray generation subsystem is shut
down due to the detection of an active X-ray generation output signal during
startup.
When this message displays, the following message displays on the C-Arm
control panel:
X-RAYS DISABLED, RESTART THE SYSTEM
Motorized systems only: When this message displays, all motorized motion (other
than lift motion) is disabled and the following message displays in a dialog box:
MOTION ERROR, MOTION DISABLED Motion component failure detected.
Restart the system. If this message persists, call for service.
Follow the message instructions.
X-RAYS DISABLED
This message displays in the status bar and on the C-Arm control panel when the
system is incapable of taking X-rays.
Restart the system. If the message persists, call for service.
X-RAYS TEMPORARILY DISABLED Image storage is not available to record X-ray res-
ults. Archive older exams to PACS or portable media device, and then delete the exams
from the system to free space. The Image Storage icon in the System Status Tray displays
status.
This message displays in a dialog box when image storage space has reached
zero and no more space is available. X-rays are disabled while in this state.
Touch OK and follow the message instructions.
14-68
15. Privacy and security
Caution The system must be physically secured to prevent unintended access to internal
data including PI/PHI.
15-1
15. Privacy and security
When exporting data, the system allows you to de-identify the data. However, if the exported
data is not de-identified, the data may contain personal information (PI).
Caution Portable media devices and the content on them must be handled per applicable
regulations and guidelines for handling personal information (PI) / protected
health information (PHI).
15-2
15. Privacy and security
15-3
15. Privacy and security
15-4
16. Technical specifications and references
US: +1-800-874-7378
Canada: +1-800-668-0732
Fax
If you have a catalog and a GE Fax Order form, complete the form and fax it to +1-801-355-
8114. If you do not have a catalog, you can obtain one by dialing the number listed for your
geographical location.
16-1
16. Technical specifications and references
1. VAC values vary +/- 10% with the exception of 127 VAC, which varies +5%/-
10%.
2. Actual standby current may vary depending on the model and installed
options.
3. When the system is in Standby mode, motorized motion is disabled and the
stator and filament are on but the system is not taking x-rays.
l Line Frequency: 60/50 Hz
l Maximum line impedance: 0.3 Ω @ 100-127 VAC and 0.6 Ω @ 200-240 VAC
Technique factors at maximum line current condition: Peak power demand is determined by
the battery charger current limit and all accessories and features currently installed. The
system uses Battery Buffered power for X-ray Generation, as such Technique factors minimally
affects the maximum line current, and line current is generally independent of the technique.
16-2
16. Technical specifications and references
Line regulation: 10% at nominal voltage at maximum radiographic exposure. Line regulation is
based on measurements made at the input (primary winding) of the isolation transformer under
standby conditions and at maximum radiographic exposure by the following equation:
Line regulation = 100 (Vn - Vi)/Vi
Where Vn = no load voltage (standby), and Vi = loaded voltage (maximum radiographic
exposure).
l System maximum continuous power dissipation: 5600 BTU/Hr.
l Workstation maximum continuous power dissipation: 2100 BTU/Hr.
l C-Arm maximum continuous power dissipation: 3500 BTU/Hr.
16-3
16. Technical specifications and references
Caution At initial setup or when removing from storage, stabilize for 24 hours at ambient
temperature and humidity before applying power.
Failure to observe this warning will result in damage to equipment.
16-4
16. Technical specifications and references
l Video-out (DisplayPort):
l 3.3 VDC 500 mA current source
l Supports outputs of the full system monitor image, centered and with the aspect
ratio maintained, to an external monitor at resolutions of 3840x2160, 2560x1600,
2560x1440, 2048x1536, 1920x1200, 1920x1080, and 1280x1024
l DICOM: Ethernet interface
*Maximum non-destructive voltages that can be connected to signal I/O ports: 7 Volts DC
USB specifications
USB media must have a minimum 40MB/second read/write speed to assure at least a 1 image
per second read/write speed.
Unencrypted USB 2.0 (2x) or greater
Accepted file system formats:
l NTFS - The USB device must be formatted on a Windows PC. Use NTFS formatting for
large (128 GB or larger) drives.
l FAT16
l FAT32 - The USB device can be formatted on the system. System start-up may be slow
if a large USB device is inserted.
16-5
16. Technical specifications and references
The wireless Effective Radiated Power (ERP) and the mean Equivalent Isotropically Radiated
Power (EIRP) for each frequency are listed in the table below.
Table 16-2: ERP and EIRP for each frequency band
Radiated Power 5 GHz 2.4 GHz
Maximum EIRP +35.96 dBm +35.3 dBm
Maximum ERP +33.81 dBm +33.15 dBm
Security
l WEP-128, WPA-PSK (TKIP)
l WPA2-PSK (AES-CCMP)
l PEAP: EAP-MS-CHAP v1 & v2, LEAP, EAP-FAST security methods
16-6
16. Technical specifications and references
Nominal (highest) kVp with highest obtainable current (when operated at that kVp)
l Fluoro Mode: 120 kVp @ 10 mA
l HLF: 120 kVp @ 20 mA
l Fluoroscopy Pulsed Mode: 120 kVp @ 28 mA
l Pulsed HLF: 120 kVp @ 35 mA
l Continuous Subtract: 120 kVp @ 27 mA
l Pulsed Subtract: 120 kVp @ 35 mA
l Digital Spot: 120 kVp @ 33 mA
l Digital Cine Pulse: 120 kVp @ 125 mA
Nominal (highest) mA with the highest obtainable kVp (when operated at that mA)
l Fluoro Mode: 10 mA @ 120 kVp
l HLF: 20 mA @ 120 kVp
l Fluoroscopy Pulsed Mode: 28 mA @ 120 kVp
l Pulsed HLF : 40 mA @ 105 kVp
l Continuous Subtract: 40 mA @ 80 kVp
l Pulsed Subtract: 40 mA @ 105 kVp
16-7
16. Technical specifications and references
16-8
16. Technical specifications and references
The graphs below depict the relationship of kV and mA between Fluoroscopy and Digital Spot
techniques. See 5.7.8 Digital Spot mode beginning on page 5-26 for more information.
16-9
16. Technical specifications and references
Figure 16-1: Relationship of kV and mA between Fluoroscopy and Digital Spot technique
21 cm A. Digital Spot mA
B. Fluoroscopy mA
C. Mag2 field size
D. Mag1 field size
E. Normal field size
31 cm
16-10
16. Technical specifications and references
16-11
16. Technical specifications and references
Stored Housing
Time
Energy Temp
(minutes)
(kJ) (°C)
The figure above illustrates the heating and cooling of the X-ray tube housing assembly without
any modifications. The tables below show the heating and cooling of the X-ray tube and anode
of each C-Arm model, with available cooling options.
Table 16-5: X-ray tube housing cooling values
C-Arm Max Continuous Operation time until Max Heat
Cooling Rate automatic shutoff Capacity
21 cm FPD Super C-Arm (Passive)
21 cm FPD Ergo C-Arm (Passive) 120 minutes @
266 watts
31 cm FPD Ergo C-Arm (Passive) 60kVp / 5mA
(22.5 kHU/min)
9 in II Super C-Arm (continuous fluoro)
12 in II Standard C-Arm 1.14 MJ
21 cm FPD Super C-Arm (Active 15) 80 minutes @ (1.6 MHU)
405 watts
100kVp / 5mA
31 cm FPD Super C-Arm (Active 15) (34 kHU/min) (continuous fluoro)
120 minutes @
180 watts
9 in II Standard C-Arm 60kVp / 4mA
(15 kHU/min)
(continuous fluoro)
16-12
16. Technical specifications and references
Stored
HU Time
Energy
% (minutes)
(kJ)
16-13
16. Technical specifications and references
16-14
16. Technical specifications and references
16-15
16. Technical specifications and references
Reference Points:
A. Focal spot (X-ray tube 0.8mm Al filtration)
B. Primary collimator (2.03mm Al filtration)
C. Variable collimator (3.3mm Al filtration)
D. Secondary collimator
E. Collimator cover (0.3mm Al filtration)
F. Skin spacer
G. Patient entrance reference point
H. Removable anti-scatter grid
I. Image detector cover
J. Image detector
K. Maximum symmetrical radiation field (21 x 21 cm,
31 x 31 cm, 9 in diameter, or 12 in diameter,
depending on image detector size and type)
Distances between relevant reference points in the
image:
l A-E – Minimum skin space distance (20 cm)
l A-F – Standard skin space distance (30 cm)
l A-G – Focal spot to AKR/CAK measurement point (70 cm)
l A-J – Focal spot to image distance (SID) (100 cm ± 5%)
16-16
16. Technical specifications and references
16-17
16. Technical specifications and references
16-18
16. Technical specifications and references
16-19
16. Technical specifications and references
21 cm FPD
Figure 16-9: Isokerma map (21 cm) – Lateral configuration with X-ray beam at 1 m height, at
90 kVp. Isokerma curves are given (µGy/Gy x cm2)
Figure 16-10: Isokerma map (21 cm) – Vertical configuration with X-ray beam at 1 m height, at
90 kVp. Isokerma curves are given (µGy/Gy x cm2)
16-20
16. Technical specifications and references
Figure 16-11: Isokerma map (21 cm) – Lateral configuration with X-ray beam at 1.5 m height,
at 90 kVp. Isokerma curves are given (µGy/Gy x cm2)
Figure 16-12: Isokerma map (21 cm) – Vertical configuration with X-ray beam at 1.5 m height,
at 90 kVp. Isokerma curves are given (µGy/Gy x cm2)
16-21
16. Technical specifications and references
31 cm FPD
Figure 16-13: Isokerma map (31 cm) – Lateral configuration with X-ray beam at 1 m height, at
90 kVp - Isokerma curves are given (µGy/Gy x cm2)
Figure 16-14: Isokerma map (31 cm) – Vertical configuration with X-ray beam at 1 m height, at
93 kVp - Isokerma curves are given (µGy/Gy x cm2)
16-22
16. Technical specifications and references
Figure 16-15: Isokerma map (31 cm) – Lateral configuration with X-ray beam at 1.5 m height,
at 90 kVp - Isokerma curves are given (µGy/Gy x cm2)
Figure 16-16: Isokerma map (31 cm) – Vertical configuration with X-ray beam at 1.5 m height,
at 93 kVp - Isokerma curves are given (µGy/Gy x cm2)
16-23
16. Technical specifications and references
9 in II
Figure 16-17: Isokerma map (9 inch) – Lateral configuration with X-ray beam at 1 m height, at
92 kVp - Isokerma curves are given (µGy/Gy x cm2)
Figure 16-18: Isokerma map (9 inch) – Vertical configuration with X-ray beam at 1 m height, at
94 kVp - Isokerma curves are given (µGy/Gy x cm2)
16-24
16. Technical specifications and references
Figure 16-19: Isokerma map (9 inch) – Lateral configuration with X-ray beam at 1.5 m height,
at 92 kVp - Isokerma curves are given (µGy/Gy x cm2)
Figure 16-20: Isokerma map (9 inch) – Vertical configuration with X-ray beam at 1.5 m height,
at 94 kVp - Isokerma curves are given (µGy/Gy x cm2)
16-25
16. Technical specifications and references
12 in II
Figure 16-21: Isokerma map (12 inch) – Lateral configuration with X-ray beam at 1 m height, at
92 kVp - Isokerma curves are given (µGy/Gy x cm2)
Figure 16-22: Isokerma map (12 inch) – Vertical configuration with X-ray beam at 1 m height,
at 94 kVp - Isokerma curves are given (µGy/Gy x cm2)
16-26
16. Technical specifications and references
Figure 16-23: Isokerma map (12 inch) – Lateral configuration with X-ray beam at 1.5 m height,
at 92 kVp - Isokerma curves are given (µGy/Gy x cm2)
Figure 16-24: Isokerma map (12 inch) – Vertical configuration with X-ray beam at 1.5 m height,
at 94 kVp - Isokerma curves are given (µGy/Gy x cm2)
16-27
16. Technical specifications and references
16-28
16. Technical specifications and references
16.4.6 Immunity
OEC mobile C-Arm are suitable for use in the specified electromagnetic environment. The
purchaser or user should ensure that it is used in an electromagnetic environment as described
below:
Table 16-10: Electromagnetic environments
Immunity test IEC 60601-1-2 Compliance level Electromagnetic environment
test level
Electrostatic Software version Software version Floors are wood, concrete, or
discharge 1.0.XXXX / 1.0.XXXX / ceramic tile, or floors are covered
(ESD) IEC 1.2.XXXX: 1.2.XXXX: with synthetic material and the rel-
61000-4-2 6 kV contact 6 kV contact ative humidity is at least 30%.
8 kV air 8 kV air
Software version Software version
2.X.X.XXXX / 2.X.X.XXXX /
3.1.X.XXXX: 8 kV 3.1.X.XXXX:8 kV
contact contact
15 kV air 15 kV air
Electrical fast 2 kV for power 2 kV for power Mains power quality is that of a typ-
transient/burst supply lines supply lines ical commercial and/or hospital
IEC 61000-4-4 1 kV for input/ 1 kV for input/ environment.
output lines output lines
Surge IEC 1 kV differential 1 kV differential Mains power quality is that of a typ-
61000-4-5 mode mode ical commercial and/or hospital
2 kV common 2 kV common environment.
mode mode
16-29
16. Technical specifications and references
16-30
16. Technical specifications and references
a Field strengths from fixed transmitters, such as base stations for cellular telephones and land mobile
radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be estimated accurately.
To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be performed. If the measured field strength exceeds the RF compliance level above, observe the
system to verify normal operation in each use location. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the system.
b Over the frequency range 150 kHz to 80 MHz, field strengths are less than 3 V/m.
16-31
16. Technical specifications and references
Frequency of Transmitter 150 KHz to 80 80 MHz to 800 MHz 800 MHz to 2.5
MHz GHz
Equation d=1.2 d=1.2 d=2.3
For transmitters rated at a power not listed above, the distance (d) in meters (m) can be
estimated using the equation in the corresponding column, where P is the power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note: These are guidelines. Actual conditions may vary.
Limitations management
Using the recommendation distance from Table 16-11: Separation distances on page 16-32,
between 150 KHz and 2.5 GHz, some slight disturbances might be recorded at image level; the
disturbed image can’t be confused with a medical pathology, and the equipment keeps its
medical utility.
16-32
16. Technical specifications and references
16.5 Dimensions
Weights reported are maximum raw weights without accessories or options.
31 cm MD
9 in Super
21cm Super
31 cm Super ≤ 422 lbs (191 kg) 25.8 in (66cm) 25.8 in (66 cm)
21 cm Ergo
31 cm Ergo
9 in Standard
12 in Standard
Measurement C D E F
21 cm MD
31 cm MD
9 in Super
21cm Super
31 cm Super 34.1 in (87 cm) 7 in (17 cm) 13 in (34 cm) 68.1 in (173 cm)
21 cm Ergo
31 cm Ergo
9 in Standard
12 in Standard
Measurement G H
21 cm MD
31 cm MD
9 in Super
21cm Super
21 cm Ergo
31 cm Ergo
9 in Standard
12 in Standard
16-33
16. Technical specifications and references
Measurement I J
21 cm MD
31 cm MD
9 in Super
21cm Super
21 cm Ergo
31 cm Ergo
9 in Standard
12 in Standard
Measurement K L M
21 cm MD
31 cm MD
9 in Super
21cm Super
21 cm Ergo
31 cm Ergo
9 in Standard
12 in Standard
16-34
16. Technical specifications and references
Measurement D E F G
21 cm MD 39 in (99 cm) 21 in (53 cm) 72 in (182 cm) 90 in (228 cm)
31 cm MD 39 in (99 cm) 21 in (53 cm) 72 in (182 cm) 90 in (228 cm)
9 in Super 38 in (97 cm) 20 in (51 cm) 70 in (178 cm) 88 in (224 cm)
21cm Super 38 in (97 cm) 20 in (51 cm) 70 in (178 cm) 88 in (224 cm)
31 cm Super 38 in (97 cm) 20 in (51 cm) 70 in (178 cm) 88 in (224 cm)
21 cm Ergo 36 in (91 cm) 18 in (46 cm) 65 in (164 cm) 83 in (210 cm)
31 cm Ergo 36 in (91 cm) 18 in (46 cm) 65 in (164 cm) 83 in (210 cm)
9 in Standard 36 in (91 cm) 18 in (46 cm) 68 in (173 cm) 86 in (219 cm)
12 in Standard 36 in (91 cm) 18 in (46 cm) 71 in (180 cm) 89 in (226 cm)
Measurement H I J
21 cm MD 50 in (127 cm) 99 in (251 cm) 105 in (266 cm)
31 cm MD 50 in (127 cm) 99 in (251 cm) 105 in (266 cm)
9 in Super 50 in (127 cm) 98 in (249 cm) 106 in (269 cm)
21cm Super 50 in (127 cm) 98 in (249 cm) 106 in (269 cm)
31 cm Super 50 in (127 cm) 98 in (249 cm) 106 in (269 cm)
21 cm Ergo 50 in (127 cm) 101 in (255 cm) 109 in (275 cm)
31 cm Ergo 50 in (127 cm) 101 in (255 cm) 109 in (275 cm)
9 in Standard 50 in (127 cm) 96 in (244 cm) 104 in (264 cm)
12 in Standard 50 in (127 cm) 101 in (255 cm) 109 in (275 cm)
Measurement K
21 cm MD 53°
31 cm MD 53°
9 in Super 55°
21cm Super 55°
31 cm Super 55°
21 cm Ergo 55°
31 cm Ergo 55°
9 in Standard 25°
12 in Standard 25°
16-35
16. Technical specifications and references
Measurement L M
16-36
17. Country and regional information
Label
Location On C-Arm rear cover label panel and inside the C-Arm arc, next to the image detector.
Description This is a USA FDA certification label that certifies that the image detector meets applic-
able federal standards and regulations as of the date of manufacture.
Table 17-2
Label
17-1
17. Country and regional information
Table 17-3
Label
Table 17-4
Label
Location On C-Arm rear cover label panel and inside the C-Arm arc, next to the image detector.
Description This is a USA FDA registration label that provides manufacturer contact information,
product certification and registration information.
Table 17-5
Label
17-2
17. Country and regional information
Table 17-6
Symbol
Table 17-7
Symbol
17-3
17. Country and regional information
Table 17-8
Label
Symbol
Location Combined certification label on the footswitch and the back of the Workstation.
Description This symbol indicates that the system has been tested and certified by the Canadian
Standards Association to comply with applicable U.S. and Canadian Standards.
17.3 Argentina
Table 17-10
Label
17-4
17. Country and regional information
Symbol
Location Combined wireless certification label on right side of the Workstation, wireless foot-
switch, wireless footswitch receiver.
Description This symbol indicates compliance with ACMA radio communications regulatory
arrangements and mandatory technical standards as required for Australia and New
Zealand.
17.5 Brazil
17.5.1 Registration and importer information in Brazil
Produto Sistema de Raio-X com Arco em C Móvel
Modelo OEC Elite
Descrição Aparelho Móvel para Raio X
CNPJ 00.029.372/0001-40
Registro
80071260383
ANVISA N°
Nome do
GE OEC Medical Systems, Inc.
Fabricante
Endereço do 384 Wright Brothers Dr.
Fabricante Salt Lake City, UT 84116 - EUA
Nome do GE HEALTHCARE DO BRASIL COMÉRCIO E SERVIÇOS PARA
Importador EQUIPAMENTOS MEDICOS-HOSPITALARES LTDA.
Endereço do Av. Magalhães de Castro 4800,
Importador 10º andar, conjuntos 101 e 102,
11º andar, conjuntos 111 e 112, e
12º andar, conjuntos 121 e 122,
Torre 3,
Cidade Jardim,
CEP: 05676120 - São Paulo/SP- Brasil
Telefone do
3004 2525 (Capitais e Regiões Metropolitanas)
Atendimento
08000 165 799 (Demais Localidades)
ao clienter
Responsável
Karolina Morangoni Torres - Registro CREA/SP n° 5069785521
Técnico
17-5
17. Country and regional information
17.5.2 Labels
Table 17-12
Label
Table 17-13
Label
17-6
17. Country and regional information
17.6 Canada
Table 17-14
Symbol
Location Combined certification label on the footswitch and the back of the Workstation.
Description This symbol indicates that the system has been tested and certified by the Canadian
Standards Association to comply with applicable U.S. and Canadian Standards.
Table 17-15
Label
Table 17-16
Label
17-7
17. Country and regional information
Table 17-17
Label
17.7 China
Table 17-18
Symbol
Location On the Chinese Workstation rating label on the side of the Workstation frame.
Description This symbol indicates the product contains hazardous materials in excess of the limits
established by the Chinese standard GB/T 26572 Requirements for Concentration Lim-
its for Certain Hazardous Substances in Electronic Information Products. The number
in the symbol is the Environment-friendly Use Period (EFUP), which indicates the
period during which the toxic or hazardous substances or elements contained in elec-
tronic information products will not leak or mutate under normal operating conditions so
that the use of such electronic information products will not result in any severe envir-
onmental pollution, any bodily injury or damage to any assets. The unit of the period is
“Year.”
17-8
17. Country and regional information
Table 17-19
Symbol
Location C-Arm rear cover label panel and combined certification label on back of the Work-
station.
Description See Medical Directive on page iii.
Table 17-20
Symbol
Location On the Workstation, C-Arm, Touch Tableside, and wireless footswitch rating labels.
Description This symbol accompanies the name and the address of the authorized representative
in the European Community.
Table 17-21
Symbol
17.9 Iran
Table 17-22
Label
17-9
17. Country and regional information
17.10 Japan
Table 17-23
Symbol
17.11 Kazakhstan
GE OEC Medical Systems has designated the following entity to act as the authorized
representative to receive claims in Kazakhstan:
General Electric Kazakhstan LLP
Timiryazev St 28V, office 307, Almaty, 050040
Kazakhstan
Telephone: +7 727 3560020
17.12 Mexico
Table 17-24
Label
17-10
17. Country and regional information
17.13 Peru
Table 17-25
Label
17.14 Russia
Table 17-26
Symbol
Location On the Russian Workstation rating label on the side of the Workstation frame.
Description This symbol indicates the device has been certified for compliance to established Rus-
sian medical device standards.
Table 17-27
Symbol
17-11
17. Country and regional information
Symbol
Location Below the combined wireless certification label on right side of the Workstation.
Description This symbol indicates wireless compliance as required for Saudi Arabia.
17.16 Singapore
Table 17-29
Symbol
Location Below the combined wireless certification label on right side of the Workstation.
Description This symbol indicates wireless compliance as required for Singapore.
17-12
17. Country and regional information
Label
17.18 Turkey
Table 17-31
Label
17-13
17. Country and regional information
17-14
Appendix A: Dose rates
Note: 4PPS applies to standard and low dose Fluoro and HLF modes, but does not apply to
Roadmap or Subtract modes.
Note: Actual AKR dose rates were measured at a distance greater than 20 cm above the
PMMA abdomen phantom and adjusted to the dose rate at 30 cm from the detector, at
the AKR dose rate reference point (item A on Figure A-1), to minimize the effects of
backscatter from the phantom. Tolerances are referenced in the C-Arm generator
operating parameters section of this manual.
For Digital Spot, the value shown in the AKR row is actually CAK, listed in mGy, not
AKR. For all other modes, AKR is listed in mGy/min.
A-1
Appendix A: Dose rates
A-2
Appendix A: Dose rates
A-3
Appendix A: Dose rates
A-4
Appendix A: Dose rates
A-5
Appendix A: Dose rates
International 1
A-6
Appendix A: Dose rates
A-7
Appendix A: Dose rates
A-8
Appendix A: Dose rates
International 2
A-9
Appendix A: Dose rates
A-10
Appendix A: Dose rates
A-11
Appendix A: Dose rates
A-12
Appendix A: Dose rates
21cm with grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 79.00 81.00 82.00 79.00 81.00 82.00 77.00 81.00 83.00 77.00 81.00 84.00 79.00 81.00 83.00
(General Pro- mA 3.20 4.70 6.30 1.40 2.10 2.80 5.50 9.10 14.00 2.70 4.50 7.10 29.00 50.00 48.00
file) AKR* 11.00 17.20 24.20 4.84 7.59 10.80 18.00 33.50 56.30 8.98 16.60 28.50 0.20 0.47 0.79
Continuous kV 79.00 81.00 83.00
(Spine Pro- mA Same as above 28.00 49.00 48.00
file) AKR* 0.50 1.04 1.76
kV 78.00 79.00 81.00 77.00 79.00 80.00 78.00 84.00 91.00 77.00 84.00 91.00
4 PPS mA 8.60 13.00 18.00 1.70 2.40 3.40 22.00 31.00 40.00 11.00 15.00 20.00
AKR* 4.01 6.10 8.81 0.86 1.26 1.80 10.10 17.00 26.60 5.04 8.45 13.30
kV 77.00 79.00 80.00 77.00 79.00 80.00 79.00 85.00 94.00 79.00 85.00 93.00
8 PPS mA 8.50 12.00 18.00 3.40 5.10 7.20 23.00 32.00 40.00 11.00 16.00 20.00
AKR* 6.75 10.20 14.90 2.81 4.30 6.25 18.60 31.80 48.80 9.32 15.70 24.40
kV 77.00 79.00 80.00 76.00 79.00 80.00 83.00 90.00 103.00 82.00 90.00 102.00
15 PPS mA 8.60 12.00 17.00 3.40 5.10 7.20 26.00 37.00 40.00 13.00 18.00 20.00
AKR* 8.71 12.80 18.50 3.62 5.55 8.05 29.60 51.70 75.30 14.90 25.70 38.30
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 72.00 79.00 88.00 72.00 77.00 86.00
Continuous mA 21.00 23.00 21.00 13.00 17.00 17.00
AKR 59.40 79.30 95.80 37.80 55.80 74.20
N/A
kV 74.00 80.00 90.00 74.00 79.00 89.00
8 PPS mA 21.00 23.00 21.00 15.00 17.00 17.00
AKR 14.30 19.40 23.60 10.00 14.30 18.50
N/A
kV 79.00 86.00 96.00 77.00 84.00 96.00 74.00 81.00 93.00 77.00 78.00 77.00
15 PPS mA 20.00 22.00 20.00 17.00 17.00 16.00 113.00 149.00 126.00 39.00 57.00 71.00
AKR 20.10 27.70 33.80 16.10 21.20 27.00 40.60 67.70 78.30 15.90 23.40 28.70
kV 74.00 82.00 93.00 78.00 78.00 77.00
30 PPS mA N/A 115.00 149.00 126.00 39.00 57.00 72.00
AKR 83.50 136.00 158.00 32.30 47.10 57.80
Subtract CO2 Low Roadmap CO2 Low
Subtract CO2 Roadmap CO2
Imaging Mode Dose Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00
Continuous mA 8.70 14.00 17.00 6.20 11.00 13.00 2.20 3.50 4.90 1.50 2.30 3.20
AKR* 41.60 65.00 80.40 29.70 49.80 64.00 10.50 16.70 23.40 7.00 11.10 15.40
kV 96.00 95.00 95.00 96.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 95.00
8 PPS mA 9.30 14.00 18.00 6.60 11.00 14.00 6.20 9.80 14.00 3.70 6.00 8.50
AKR* 11.00 16.40 20.10 8.03 12.70 16.10 7.36 11.20 15.60 4.66 7.16 9.91
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 95.00
15 PPS mA 14.00 23.00 28.00 10.00 17.00 22.00 6.20 9.60 14.00 3.70 6.00 8.50
AKR* 21.00 32.30 39.40 15.10 24.80 31.50 9.47 14.00 19.50 6.08 9.23 12.70
* AKR is mGy/min
A-13
Appendix A: Dose rates
21cm with grid (Cardiac profile) - Domestic (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 81.00 82.00 79.00 81.00 82.00 77.00 81.00 83.00 77.00 81.00 83.00 79.00 81.00 83.00
Continuous mA 4.30 5.90 6.70 1.40 2.10 2.80 5.40 9.10 14.00 2.70 4.50 7.10 29.00 50.00 48.00
AKR 14.60 21.80 25.70 4.89 7.54 10.80 17.90 33.30 56.40 8.87 16.50 28.00 0.20 0.47 0.79
kV 77.00 79.00 81.00 77.00 79.00 81.00 78.00 84.00 91.00 77.00 84.00 91.00
4 PPS mA 12.00 16.00 19.00 3.50 5.20 7.30 22.00 31.00 40.00 11.00 15.00 20.00
AKR 5.26 7.82 9.29 1.70 2.60 3.77 10.10 16.80 26.50 5.03 8.44 13.30
kV 77.00 79.00 80.00 77.00 79.00 80.00 79.00 85.00 94.00 79.00 85.00 93.00
8 PPS mA 11.00 16.00 18.00 3.40 5.10 7.20 23.00 32.00 40.00 11.00 16.00 20.00 N/A
AKR 8.85 13.10 15.70 2.83 4.31 6.26 18.50 31.70 48.80 9.31 15.70 24.40
kV 77.00 79.00 80.00 76.00 79.00 80.00 83.00 90.00 103.00 82.00 90.00 102.00
15 PPS mA 11.00 16.00 18.00 3.40 5.10 7.20 26.00 37.00 40.00 13.00 18.00 20.00
AKR 11.10 16.50 19.70 3.61 5.56 8.02 29.70 51.60 76.00 14.90 25.70 38.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 72.00 79.00 88.00 73.00 78.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR 59.80 79.70 96.60 39.80 57.30 75.30
N/A
kV 74.00 81.00 90.00 73.00 79.00 89.00
8 PPS mA 21.00 23.00 21.00 15.00 17.00 17.00 N/A
AKR 14.20 19.50 23.50 9.96 14.40 18.40
kV 79.00 86.00 97.00 77.00 85.00 96.00 74.00 81.00 93.00 77.00 78.00 77.00
15 PPS mA 20.00 22.00 20.00 17.00 17.00 16.00 113.00 149.00 126.00 39.00 57.00 71.00
AKR 20.10 28.00 34.00 16.30 21.30 27.10 40.60 67.10 78.40 15.90 23.30 28.70
kV 74.00 82.00 93.00 78.00 78.00 77.00
30 PPS mA N/A 115.00 149.00 126.00 39.00 57.00 72.00
AKR 83.60 136.00 158.00 32.40 47.10 57.80
* AKR is mGy/min
A-14
Appendix A: Dose rates
21cm without grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 67.00 70.00 72.00 67.00 70.00 72.00 64.00 69.00 72.00 64.00 69.00 72.00 68.00 72.00 73.00
(General Pro- mA 2.10 3.40 5.00 0.94 1.50 2.20 3.50 6.40 11.00 1.80 3.20 5.30 17.00 36.00 55.00
file) AKR* 4.81 8.70 13.80 2.14 3.85 6.13 7.26 16.10 29.70 3.65 7.94 14.90 0.09 0.20 0.41
kV 68.00 72.00 73.00
Continuous
mA Same as above 18.00 36.00 54.00
(Spine Profile)
AKR* 0.21 0.49 1.04
kV 66.00 69.00 71.00 65.00 69.00 70.00 65.00 72.00
76.00 65.00 72.00 76.00
4 PPS mA 5.70 9.10 14.00 1.10 1.70 2.60 14.00 22.00
35.00 7.20 11.00 18.00
AKR* 1.72 3.13 4.90 0.37 0.65 1.00 4.05 8.18
15.20 2.07 4.06 7.62
kV 65.00 69.00 70.00 65.00 69.00 70.00 66.00 73.00
77.00 66.00 73.00 77.00
8 PPS mA 5.70 9.00 13.00 2.30 3.60 5.50 15.00 23.00
37.00 7.40 11.00 18.00
AKR* 2.90 5.28 8.23 1.22 2.18 3.47 7.49 15.10
28.20 3.85 7.50 14.10
kV 65.00 69.00 70.00 65.00 68.00 70.00 69.00 77.00
82.00 69.00 76.00 82.00
15 PPS mA 5.70 9.20 13.00 2.20 3.60 5.50 17.00 25.00
40.00 8.50 12.00 20.00
AKR* 3.72 6.83 10.30 1.55 2.76 4.45 12.00 24.10
44.20 6.39 12.00 22.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 68.00 74.00 63.00 67.00 72.00
Continuous mA 10.00 19.00 21.00 4.90 11.00 17.00
AKR* 20.20 45.30 61.90 9.69 24.50 47.80
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.80 12.00 18.00
AKR* 5.84 11.40 15.60 2.80 6.65 12.20
N/A
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 67.00 69.00 70.00
15 PPS mA 17.00 21.00 22.00 8.20 14.00 18.00 59.00 103.00 109.00 24.00 39.00 51.00
AKR* 10.30 17.40 23.50 5.46 11.00 18.20 14.30 31.80 39.90 6.94 11.90 15.70
kV 64.00 70.00 75.00 68.00 69.00 70.00
30 PPS mA N/A 60.00 104.00 109.00 24.00 39.00 51.00
AKR* 28.90 64.40 80.80 14.10 24.10 31.70
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 84.00 86.00 87.00 84.00 86.00 87.00 84.00 85.00 87.00 84.00 86.00 87.00
Continuous mA 4.30 8.90 12.00 3.00 6.70 9.60 1.30 2.20 3.40 0.85 1.40 2.30
AKR* 15.50 33.90 47.50 10.60 25.20 38.10 4.57 8.11 13.40 3.03 5.42 8.88
kV 85.00 87.00 89.00 84.00 87.00 88.00 83.00 85.00 87.00 83.00 85.00 87.00
8 PPS mA 4.60 9.30 13.00 3.10 7.00 10.00 3.50 6.00 9.50 2.10 3.70 5.90
AKR* 4.29 8.81 12.50 3.03 6.75 10.00 3.22 5.61 9.08 2.09 3.53 5.74
kV 84.00 86.00 88.00 84.00 86.00 88.00 83.00 85.00 87.00 82.00 85.00 87.00
15 PPS mA 7.30 14.00 20.00 4.90 11.00 16.00 3.50 6.00 9.30 2.10 3.60 5.80
AKR* 8.39 16.60 23.90 5.74 12.60 19.10 4.16 7.17 11.30 2.75 4.57 7.34
* AKR is mGy/min
A-15
Appendix A: Dose rates
21cm Cardiac without grid - Domestic (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 72.00 67.00 70.00 72.00 64.00 69.00 72.00 64.00 69.00 72.00 68.00 72.00 73.00
Continuous mA 2.60 4.50 5.30 0.95 1.50 2.20 3.50 6.30 11.00 1.80 3.20 5.30 17.00 36.00 55.00
AKR 5.92 11.80 14.60 2.16 3.88 6.14 7.21 16.00 29.60 3.62 7.88 14.80 0.09 0.20 0.41
kV 66.00 69.00 71.00 65.00 69.00 71.00 65.00 72.00 76.00 65.00 72.00 76.00
4 PPS mA 7.10 12.00 14.00 2.40 3.70 5.70 14.00 22.00 35.00 7.20 11.00 18.00
AKR 2.11 4.15 5.17 0.73 1.30 2.09 4.03 8.18 15.30 2.07 4.08 7.67
kV 65.00 69.00 70.00 65.00 68.00 70.00 66.00 73.00 77.00 66.00 73.00 77.00
8 PPS mA 7.00 12.00 14.00 2.30 3.60 5.50 15.00 23.00 37.00 7.40 11.00 18.00 N/A
AKR 3.56 6.96 8.67 1.22 2.18 3.50 7.45 15.10 28.20 3.85 7.52 14.10
kV 65.00 69.00 70.00 65.00 68.00 70.00 69.00 77.00 82.00 69.00 76.00 82.00
15 PPS mA 7.10 12.00 14.00 2.20 3.60 5.50 17.00 25.00 40.00 8.50 12.00 20.00
AKR 4.59 8.71 10.80 1.55 2.76 4.46 12.00 24.30 44.20 6.40 12.00 22.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 64.00 68.00 74.00 64.00 67.00 73.00
Continuous mA 11.00 19.00 21.00 5.50 11.00 17.00
AKR 22.00 46.20 63.10 11.10 26.20 48.90
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.80 12.00 18.00 N/A
AKR 5.74 11.50 15.70 2.82 6.73 12.30
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 67.00 69.00 69.00
15 PPS mA 17.00 21.00 22.00 8.40 14.00 18.00 59.00 103.00 109.00 24.00 39.00 51.00
AKR 10.40 17.60 23.60 5.63 11.30 18.30 14.10 31.80 39.80 6.90 11.90 15.70
kV 64.00 70.00 75.00 68.00 69.00 70.00
30 PPS mA N/A 59.00 105.00 109.00 24.00 39.00 51.00
AKR 28.80 64.90 80.60 14.00 24.20 31.80
* AKR is mGy/min
A-16
Appendix A: Dose rates
31cm with grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 77.00 80.00 80.00 76.00 79.00 79.00 76.00 79.00 83.00 76.00 79.00 82.00 79.00 82.00 82.00
(General Pro- mA 2.10 3.40 4.80 0.90 1.50 2.10 3.90 6.10 9.80 1.90 3.00 4.90 21.00 41.00 49.00
file) AKR* 6.76 12.00 17.40 2.88 5.12 7.44 12.50 21.50 38.70 6.06 10.70 19.10 0.18 0.38 0.68
kV 79.00 81.00 82.00
Continuous
mA Same as above 21.00 41.00 49.00
(Spine Profile)
AKR* 0.45 0.92 1.67
kV 79.00 81.00 82.00 77.00 80.00 81.00 77.00 81.00 86.00
77.00 81.00 86.00
4 PPS mA 6.20 9.90 14.00 1.20 1.90 2.70 16.00 25.00 35.00
8.10 12.00 17.00
AKR* 3.02 5.20 7.43 0.65 1.08 1.51 7.42 12.50 20.70
3.76 6.22 10.30
kV 78.00 81.00 81.00 77.00 80.00 81.00 79.00 82.00 88.00
79.00 82.00 88.00
8 PPS mA 6.10 9.80 14.00 2.40 3.90 5.70 17.00 26.00 36.00
8.40 13.00 18.00
AKR* 5.09 8.70 12.50 2.14 3.65 5.19 13.80 23.40 39.00
6.99 11.50 19.30
kV 78.00 81.00 81.00 77.00 80.00 81.00 83.00 86.00 94.00
83.00 86.00 94.00
15 PPS mA 6.10 9.70 14.00 2.40 3.90 5.70 19.00 29.00 38.00
9.70 14.00 19.00
AKR* 6.58 11.00 15.60 2.79 4.70 6.73 22.30 37.80 61.10
11.90 18.80 30.70
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 73.00 67.00 70.00 70.00
Continuous mA 13.00 20.00 17.00 7.40 12.00 17.00
AKR* 29.60 50.90 48.10 16.60 28.90 43.10
N/A
kV 68.00 71.00 74.00 68.00 70.00 72.00
8 PPS mA 14.00 21.00 17.00 7.90 12.00 17.00
AKR* 7.78 12.70 12.30 4.43 7.47 10.90
N/A
kV 71.00 74.00 79.00 70.00 73.00 76.00 74.00 77.00 85.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.10 14.00 18.00 74.00 131.00 150.00 31.00 53.00 73.00
AKR* 12.80 18.90 19.40 7.06 12.10 16.90 26.30 52.80 77.70 12.00 21.00 27.30
kV 74.00 78.00 86.00 75.00 76.00 75.00
30 PPS mA N/A 75.00 132.00 150.00 32.00 54.00 74.00
AKR* 54.10 108.00 158.00 24.40 42.40 55.40
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00
Continuous mA 6.50 8.90 11.00 4.60 6.80 8.40 1.40 2.50 3.70 0.93 1.70 2.40
AKR* 35.50 48.10 56.90 24.90 36.50 45.20 7.71 13.60 19.70 5.03 8.97 13.20
kV 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 94.00
8 PPS mA 6.90 9.40 11.00 4.70 7.10 8.80 3.90 7.10 10.00 2.40 4.30 6.30
AKR* 9.37 12.50 14.40 6.59 9.64 11.80 5.40 9.39 13.20 3.49 5.84 8.36
kV 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 93.00 94.00 94.00
15 PPS mA 11.00 15.00 17.00 7.80 11.00 14.00 3.90 7.10 10.00 2.30 4.20 6.30
AKR* 17.70 23.90 28.00 13.30 18.20 22.40 6.99 12.00 16.50 4.60 7.53 10.80
* AKR is mGy/min
A-17
Appendix A: Dose rates
31cm Cardiac with grid - Domestic (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 81.00 83.00 78.00 82.00 83.00 77.00 81.00 85.00 77.00 81.00 85.00 79.00 82.00 82.00
Continuous mA 2.90 4.50 5.60 0.97 1.60 2.30 4.10 6.50 11.00 2.00 3.20 5.40 21.00 41.00 49.00
AKR 9.93 17.00 21.90 3.31 5.98 9.13 13.50 24.20 45.70 6.75 11.90 23.00 0.18 0.38 0.68
kV 79.00 82.00 83.00 78.00 81.00 83.00 79.00 83.00 91.00 79.00 83.00 90.00
4 PPS mA 8.20 13.00 16.00 2.50 4.20 6.20 17.00 27.00 38.00 8.60 13.00 19.00
AKR 3.92 6.59 8.59 1.29 2.25 3.43 8.23 14.20 25.10 4.22 7.14 12.50
kV 78.00 81.00 83.00 77.00 81.00 83.00 80.00 84.00 93.00 81.00 84.00 93.00
8 PPS mA 8.10 13.00 16.00 2.50 4.00 6.00 18.00 28.00 38.00 8.90 14.00 19.00 N/A
AKR 6.66 11.30 14.50 2.15 3.76 5.75 15.30 26.70 46.10 7.85 13.30 23.10
kV 78.00 81.00 82.00 77.00 80.00 82.00 85.00 89.00 102.00 84.00 89.00 101.00
15 PPS mA 8.10 12.00 16.00 2.40 4.00 6.00 20.00 32.00 38.00 10.00 16.00 19.00
AKR 8.54 13.90 18.10 2.77 4.75 7.31 24.90 43.70 72.10 12.40 21.70 36.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 71.00 76.00 68.00 71.00 73.00
Continuous mA 14.00 21.00 18.00 8.10 13.00 17.00
AKR 34.20 54.90 56.10 19.20 33.30 49.70
N/A
kV 69.00 72.00 78.00 69.00 72.00 75.00
8 PPS mA 16.00 22.00 18.00 8.70 13.00 18.00 N/A
AKR 8.98 13.70 14.40 5.12 8.55 12.70
kV 72.00 75.00 84.00 71.00 75.00 81.00 75.00 80.00 92.00 76.00 77.00 77.00
15 PPS mA 18.00 22.00 19.00 9.80 15.00 18.00 80.00 135.00 150.00 33.00 58.00 82.00
AKR 14.20 20.30 22.60 7.92 13.60 20.00 30.20 59.60 91.50 13.30 23.50 33.00
kV 76.00 81.00 92.00 76.00 78.00 78.00
30 PPS mA N/A 80.00 135.00 150.00 34.00 58.00 82.00
AKR 61.10 120.00 183.00 26.80 47.60 66.70
* AKR is mGy/min
A-18
Appendix A: Dose rates
31cm Cardiac without grid - Domestic (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 69.00 71.00 65.00 69.00 71.00 63.00 68.00 73.00 63.00 68.00 73.00 66.00 69.00 71.00
Continuous mA 1.80 3.20 3.80 0.62 1.10 1.60 2.50 4.30 7.20 1.30 2.10 3.60 13.00 26.00 47.00
AKR 3.69 7.69 9.91 1.31 2.55 4.14 4.91 10.30 20.30 2.46 5.11 10.20 0.07 0.16 0.31
kV 65.00 69.00 71.00 64.00 68.00 70.00 65.00 70.00 76.00 65.00 70.00 76.00
4 PPS mA 4.90 9.00 11.00 1.60 2.70 4.10 11.00 18.00 25.00 5.30 8.80 13.00
AKR 1.41 3.03 3.81 0.49 0.95 1.52 3.00 6.10 10.80 1.53 3.10 5.40
kV 65.00 69.00 70.00 64.00 68.00 70.00 66.00 71.00 77.00 66.00 71.00 77.00
8 PPS mA 4.80 8.90 10.00 1.60 2.70 4.00 11.00 18.00 26.00 5.50 9.10 13.00 N/A
AKR 2.40 5.11 6.40 0.83 1.59 2.55 5.53 11.20 19.90 2.84 5.74 9.95
kV 65.00 69.00 70.00 64.00 68.00 70.00 69.00 74.00 81.00 69.00 74.00 81.00
15 PPS mA 4.80 9.00 10.00 1.50 2.60 4.00 12.00 20.00 29.00 6.20 10.00 15.00
AKR 3.05 6.59 8.00 1.07 2.03 3.25 8.79 17.80 32.10 4.66 8.86 16.00
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 6.10 10.00 11.00 3.10 6.10 10.00
AKR 10.50 20.10 23.20 5.32 11.80 21.10
N/A
kV 61.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.70 11.00 12.00 3.20 6.80 11.00 N/A
AKR 2.81 5.35 6.18 1.37 3.21 5.56
kV 63.00 65.00 68.00 62.00 66.00 66.00 64.00 68.00 72.00 65.00 67.00 68.00
15 PPS mA 8.20 14.00 15.00 4.10 8.40 14.00 39.00 80.00 130.00 19.00 35.00 53.00
AKR 4.63 9.00 10.20 2.38 5.43 8.92 9.35 22.70 43.70 5.09 10.10 15.00
kV 64.00 68.00 72.00 66.00 68.00 68.00
30 PPS mA N/A 39.00 81.00 130.00 19.00 36.00 53.00
AKR 19.10 45.90 87.60 10.30 20.60 30.40
* AKR is mGy/min
A-19
Appendix A: Dose rates
31cm without grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 64.00 67.00 69.00 63.00 67.00 69.00 62.00 67.00 71.00 62.00 67.00 71.00 66.00 69.00 71.00
(General Pro- mA 1.30 2.30 3.40 0.57 0.98 1.50 2.40 4.10 6.80 1.20 2.00 3.40 13.00 26.00 47.00
file) AKR* 2.57 5.15 8.25 1.09 2.20 3.56 4.44 9.37 18.30 2.17 4.58 9.05 0.07 0.16 0.31
kV 66.00 69.00 71.00
Continuous
mA Same as above 13.00 26.00 46.00
(Spine Profile)
AKR* 0.16 0.39 0.74
kV 65.00 69.00 70.00 64.00 68.00 69.00 64.00 69.00
74.00 63.00 69.00 74.00
4 PPS mA 3.90 6.80 9.90 0.73 1.30 1.90 10.00 17.00
24.00 5.00 8.30 12.00
AKR* 1.14 2.30 3.51 0.24 0.46 0.71 2.68 5.45
9.53 1.34 2.74 4.78
kV 65.00 69.00 70.00 64.00 68.00 70.00 64.00 70.00
75.00 64.00 69.00 75.00
8 PPS mA 3.80 6.70 9.80 1.50 2.60 3.90 10.00 17.00
24.00 5.20 8.50 12.00
AKR* 1.91 3.86 5.99 0.81 1.57 2.43 4.96 10.10
17.60 2.52 5.08 8.76
kV 65.00 69.00 70.00 64.00 68.00 70.00 67.00 73.00
79.00 68.00 73.00 78.00
15 PPS mA 3.90 6.70 9.90 1.50 2.60 3.90 12.00 19.00
27.00 5.90 9.70 13.00
AKR* 2.47 5.00 7.71 1.06 2.03 3.16 7.83 16.00
27.60 4.16 8.39 13.70
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 60.00 63.00 64.00 60.00 63.00 64.00
Continuous mA 5.60 9.00 9.90 2.70 5.40 9.20
AKR* 9.29 16.90 20.00 4.44 10.10 18.00
N/A
kV 61.00 64.00 65.00 61.00 63.00 64.00
8 PPS mA 6.20 10.00 11.00 2.90 6.00 10.00
AKR* 2.52 4.64 5.33 1.20 2.79 4.77
N/A
kV 62.00 65.00 67.00 62.00 65.00 66.00 63.00 67.00 70.00 65.00 67.00 67.00
15 PPS mA 7.70 13.00 14.00 3.80 7.80 12.00 36.00 75.00 118.00 18.00 33.00 47.00
AKR* 4.22 7.98 9.01 2.14 4.83 7.81 8.19 20.20 37.20 4.53 8.98 12.80
kV 63.00 67.00 71.00 65.00 67.00 67.00
30 PPS mA N/A 36.00 76.00 121.00 18.00 33.00 48.00
AKR* 16.80 41.70 76.80 9.15 18.40 26.30
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00
Continuous mA 3.50 5.90 7.80 2.40 4.40 6.30 0.92 1.80 2.80 0.61 1.20 1.80
AKR* 14.60 26.70 36.50 9.94 19.70 29.40 3.84 8.20 13.10 2.55 5.40 8.63
kV 85.00 89.00 90.00 85.00 88.00 90.00 84.00 87.00 89.00 84.00 87.00 89.00
8 PPS mA 3.60 6.30 8.30 2.40 4.50 6.60 2.50 5.00 7.70 1.50 3.00 4.70
AKR* 3.87 7.14 9.67 2.72 5.20 7.77 2.75 5.56 8.79 1.80 3.53 5.51
kV 85.00 89.00 89.00 85.00 88.00 89.00 84.00 87.00 89.00 83.00 87.00 89.00
15 PPS mA 5.70 9.90 13.00 3.80 7.40 10.00 2.50 4.90 7.80 1.50 3.00 4.70
AKR* 7.65 13.90 18.10 5.27 10.50 14.50 3.59 7.13 11.40 2.39 4.60 7.09
* AKR is mGy/min
A-20
Appendix A: Dose rates
9 in with grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 80.00 83.00 79.00 81.00 83.00 77.00 81.00 84.00 77.00 81.00 84.00 78.20 79.91 81.55
Continuous mA 3.30 4.80 6.40 1.40 2.10 2.80 5.60 9.30 15.00 2.80 4.60 7.30 26.95 48.80 47.24
AKR* 12.60 19.40 28.10 5.45 8.64 12.30 20.70 38.30 66.40 10.30 19.00 32.70 0.21 0.50 0.82
kV 79.00 81.00 84.00 79.00 81.00 84.00 79.00 86.00 97.00 79.00 86.00 96.00
4 PPS** mA 9.40 14.00 18.00 1.90 2.90 3.80 24.00 34.00 40.00 12.00 17.00 20.00
AKR* 5.10 7.82 11.10 1.14 1.78 2.51 12.90 22.10 34.30 6.37 10.90 17.40
kV 79.00 81.00 83.00 79.00 81.00 84.00 81.00 88.00 100.00 80.00 87.00 99.00
8 PPS mA 9.30 14.00 18.00 3.60 5.40 7.20 25.00 35.00 40.00 12.00 17.00 20.00 N/A
AKR* 8.63 13.20 18.60 3.48 5.52 7.76 24.10 41.20 63.40 11.90 20.40 31.60
kV 79.00 80.00 83.00 78.00 81.00 84.00 85.00 94.00 108.00 85.00 93.00 108.00
15 PPS mA 9.30 13.00 18.00 3.50 5.30 6.90 28.00 38.00 38.00 14.00 19.00 20.00
AKR* 10.90 16.30 23.60 4.33 6.86 9.70 38.80 66.50 92.90 19.10 33.10 48.60
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 80.00 89.00 72.00 78.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 66.20 90.10 111.00 43.90 63.90 83.70
N/A
kV 75.00 82.00 92.00 73.00 79.00 89.00
8 PPS mA 20.00 23.00 21.00 15.00 18.00 17.00 N/A
AKR* 16.10 22.20 27.40 11.50 16.20 20.80
kV 80.00 87.00 98.00 77.00 85.00 97.00 76.00 85.00 98.00 79.00 79.00 79.00
15 PPS mA 19.00 22.00 20.00 17.00 17.00 16.00 125.00 149.00 127.00 42.00 62.00 76.00
AKR* 22.90 31.70 38.90 18.30 24.00 30.90 53.10 84.60 102.00 20.30 29.70 35.40
kV 76.00 86.00 99.00 79.00 79.00 79.00
30 PPS mA N/A 126.00 149.00 128.00 42.00 63.00 76.00
AKR* 108.00 172.00 207.00 40.70 60.10 71.60
* AKR is mGy/min
A-21
Appendix A: Dose rates
9 in without grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 68.00 69.00 66.00 68.00 69.00 63.00 67.00 69.00
63.00 67.00 69.00 66.21 68.40 69.76
Continuous mA 2.10 3.10 4.60 0.92 1.40 2.00 3.40 5.80 9.50
1.70 2.90 4.70 16.21 35.97 55.76
AKR* 4.50 7.49 11.50 2.03 3.34 5.14 6.67 13.20 23.90
3.35 6.70 11.90 0.08 0.19 0.40
kV 65.00 67.00 68.00 65.00 67.00 69.00 63.00 69.00 73.00
64.00 69.00 73.00
4 PPS** mA 5.60 8.60 13.00 1.20 1.80 2.70 14.00 20.00 32.00
6.90 9.90 16.00
AKR* 1.66 2.75 4.16 0.39 0.63 0.97 3.74 6.88 12.60
1.94 3.45 6.30
kV 65.00 67.00 68.00 64.00 67.00 68.00 64.00 70.00 74.00
65.00 70.00 74.00
8 PPS mA 5.50 8.50 12.00 2.20 3.30 5.00 14.00 21.00 33.00
7.20 10.00 17.00 N/A
AKR* 2.78 4.65 7.02 1.14 1.88 2.94 6.95 12.70 23.20
3.60 6.37 11.60
kV 64.00 67.00 68.00 64.00 67.00 68.00 68.00 74.00 78.00
68.00 73.00 77.00
15 PPS mA 5.50 8.50 12.00 2.10 3.20 4.80 16.00 23.00 37.00
8.30 11.00 18.00
AKR* 3.52 5.92 8.67 1.42 2.36 3.63 11.10 20.10 36.60
6.08 10.10 18.30
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 69.00 63.00 65.00 68.00
Continuous mA 8.40 16.00 19.00 4.50 9.20 16.00
AKR* 16.30 34.80 47.50 8.72 19.80 39.30
N/A
kV 63.00 66.00 71.00 63.00 66.00 70.00
8 PPS mA 9.70 17.00 19.00 5.10 10.00 17.00 N/A
AKR* 4.46 9.00 12.00 2.40 5.21 9.99
kV 64.00 69.00 75.00 65.00 68.00 74.00 63.00 67.00 70.00 67.00 68.00 67.00
15 PPS mA 14.00 20.00 21.00 7.50 12.00 18.00 55.00 90.00 97.00 23.00 35.00 41.00
AKR* 8.20 14.40 19.00 4.92 8.92 15.50 13.10 25.90 31.30 6.44 10.20 12.00
kV 63.00 68.00 71.00 67.00 68.00 67.00
30 PPS mA N/A 56.00 92.00 98.00 23.00 35.00 42.00
AKR* 26.60 52.80 63.30 13.10 20.70 24.10
* AKR is mGy/min
A-22
Appendix A: Dose rates
12in with grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 80.00 81.00 79.00 81.00 81.00 77.00 79.00 83.00
77.00 80.00 83.00 78.00 82.00 82.00
Continuous mA 2.10 3.30 4.80 0.94 1.50 2.20 3.90 6.00 9.60
2.00 3.00 4.90 21.00 45.00 47.00
AKR* 7.17 12.30 18.10 3.29 5.56 8.18 12.90 21.60 38.40
6.57 11.00 19.50 0.16 0.39 0.73
kV 79.00 81.00 82.00 79.00 81.00 82.00 77.00 80.00 85.00
78.00 80.00 86.00
4 PPS** mA 6.00 9.70 14.00 1.20 2.00 2.90 16.00 23.00 33.00
7.90 12.00 17.00
AKR* 2.99 5.09 7.32 0.73 1.19 1.73 7.09 11.70 19.00
3.73 5.97 9.75
kV 79.00 81.00 81.00 78.00 81.00 82.00 78.00 81.00 87.00
79.00 81.00 87.00
8 PPS mA 6.00 9.60 14.00 2.40 3.80 5.60 16.00 24.00 34.00
8.20 12.00 17.00 N/A
AKR* 5.09 8.64 12.40 2.17 3.63 5.41 13.20 21.70 35.50
6.89 11.10 18.10
kV 79.00 81.00 81.00 78.00 81.00 82.00 82.00 85.00 93.00
82.00 85.00 93.00
15 PPS mA 6.00 9.70 14.00 2.30 3.70 5.50 18.00 28.00 38.00
9.10 14.00 19.00
AKR* 6.61 11.10 15.80 2.77 4.55 6.82 21.40 34.90 58.40
10.90 17.40 29.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 70.00 74.00 67.00 70.00 71.00
Continuous mA 13.00 20.00 17.00 7.10 11.00 16.00
AKR* 30.90 52.90 51.50 16.80 28.30 44.00
N/A
kV 69.00 71.00 75.00 69.00 71.00 72.00
8 PPS mA 14.00 21.00 18.00 7.80 12.00 17.00 N/A
AKR* 8.17 13.10 12.90 4.60 7.44 11.10
kV 71.00 74.00 82.00 71.00 73.00 77.00 74.00 77.00 84.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.40 14.00 18.00 69.00 122.00 140.00 30.00 51.00 65.00
AKR* 13.40 19.70 20.90 7.74 12.10 17.20 24.90 48.60 68.90 11.90 20.30 25.10
kV 74.00 77.00 84.00 75.00 76.00 75.00
30 PPS mA N/A 70.00 123.00 140.00 30.00 52.00 66.00
AKR* 51.00 98.40 140.00 23.70 41.10 50.80
* AKR is mGy/min
A-23
Appendix A: Dose rates
12in without grid - Domestic
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 67.00 69.00 65.00 68.00 70.00 63.00 67.00 71.00
64.00 67.00 71.00 65.00 69.00 70.00
Continuous mA 1.40 2.20 3.30 0.60 0.98 1.50 2.40 4.00 6.60
1.20 2.00 3.30 12.00 27.00 51.00
AKR* 2.90 5.21 8.24 1.30 2.37 3.76 4.86 9.26 17.70
2.47 4.70 9.00 0.06 0.15 0.30
kV 65.00 68.00 70.00 65.00 68.00 70.00 64.00 67.00 72.00
64.00 68.00 73.00
4 PPS** mA 3.90 6.40 9.50 0.79 1.30 2.00 9.70 15.00 21.00
4.80 7.80 11.00
AKR* 1.19 2.19 3.42 0.29 0.50 0.77 2.68 4.72 7.95
1.41 2.58 4.41
kV 65.00 68.00 70.00 65.00 68.00 70.00 64.00 69.00 74.00
65.00 69.00 74.00
8 PPS mA 3.80 6.30 9.40 1.50 2.50 3.70 10.00 16.00 23.00
5.10 8.10 11.00 N/A
AKR* 2.02 3.70 5.78 0.87 1.53 2.42 4.97 9.28 15.50
2.56 4.80 7.94
kV 65.00 68.00 70.00 65.00 68.00 70.00 67.00 72.00 77.00
68.00 72.00 77.00
15 PPS mA 3.80 6.40 9.60 1.40 2.40 3.60 11.00 18.00 25.00
5.80 9.20 13.00
AKR* 2.59 4.80 7.50 1.10 1.91 2.98 7.91 14.60 24.80
4.32 7.92 12.60
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 64.00 65.00 61.00 63.00 64.00
Continuous mA 5.70 8.40 9.60 2.70 5.00 8.40
AKR* 10.40 17.00 20.50 4.81 10.00 17.30
N/A
kV 62.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.40 9.40 11.00 2.90 5.60 9.10 N/A
AKR* 2.85 4.56 5.51 1.31 2.70 4.51
kV 63.00 65.00 67.00 63.00 65.00 65.00 64.00 64.00 70.00 65.00 68.00 66.00
15 PPS mA 7.90 12.00 13.00 3.80 7.30 11.00 35.00 67.00 96.00 17.00 31.00 40.00
AKR* 4.73 7.92 9.25 2.31 4.74 7.48 7.99 18.80 30.80 4.58 9.08 10.70
kV 63.00 66.00 68.00 65.00 66.00 66.00
30 PPS mA N/A 35.00 69.00 98.00 17.00 31.00 41.00
AKR* 16.80 37.50 61.40 9.20 16.80 24.00
* AKR is mGy/min
A-24
Appendix A: Dose rates
International 1
* AKR is mGy/min
A-25
Appendix A: Dose rates
21cm without grid - International 1
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 67.00 70.00 72.00 68.00 71.00 72.00 66.00 73.00 78.00 66.00 73.00 78.00 68.00 72.00 74.00
(General Pro- mA 1.20 2.40 3.00 0.53 1.10 1.30 2.20 3.00 4.40 1.60 1.70 2.60 17.00 36.00 55.00
file) AKR* 2.77 6.29 8.36 1.27 2.80 3.78 4.88 8.47 14.80 3.46 4.85 8.96 0.08 0.20 0.46
kV 68.00 72.00 74.00
Continuous
mA Same as above 17.00 35.00 54.00
(Spine Profile)
AKR* 0.20 0.49 0.96
kV 66.00 69.00 71.00 66.00 69.00 70.00 66.00 73.00
78.00 66.00 73.00 78.00
4 PPS mA 3.20 6.40 8.10 0.62 1.20 1.60 7.40 12.00
17.00 3.70 5.90 8.70
AKR* 1.01 2.24 3.02 0.24 0.48 0.63 2.29 4.63
8.11 1.16 2.37 4.12
kV 66.00 69.00 71.00 65.00 69.00 70.00 67.00 74.00
79.00 67.00 74.00 79.00
8 PPS mA 3.20 6.30 8.00 1.30 2.50 3.20 7.70 12.00
18.00 3.80 6.20 9.10
AKR* 1.71 3.78 5.07 0.76 1.58 2.09 4.27 8.61
15.00 2.16 4.48 7.73
kV 65.00 69.00 71.00 65.00 68.00 70.00 70.00 77.00
84.00 70.00 77.00 84.00
15 PPS mA 3.20 6.40 8.10 1.30 2.50 3.20 5.10 11.00
17.00 2.50 5.60 8.70
AKR* 2.20 4.85 6.54 1.00 2.02 2.70 4.10 11.00
20.60 2.15 5.81 10.90
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 68.00 74.00 63.00 67.00 72.00
Continuous mA 10.00 19.00 21.00 5.00 11.00 17.00
AKR* 20.30 45.30 61.60 9.76 24.40 47.60
N/A
kV 64.00 69.00 75.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.90 12.00 18.00
AKR* 5.83 11.40 15.50 2.86 6.62 12.20
N/A
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 68.00 69.00 69.00
15 PPS mA 17.00 21.00 22.00 8.30 14.00 18.00 46.00 103.00 149.00 22.00 38.00 56.00
AKR* 10.40 17.50 23.50 5.51 11.00 18.10 11.10 31.60 55.80 6.31 11.80 17.40
kV 64.00 70.00 75.00 68.00 69.00 70.00
30 PPS mA N/A 46.00 105.00 149.00 21.00 39.00 57.00
AKR* 22.70 64.70 112.00 12.60 24.00 35.20
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 84.00 86.00 87.00 84.00 86.00 87.00 84.00 85.00 87.00 84.00 86.00 87.00
Continuous mA 4.30 8.90 12.00 3.00 6.70 9.60 1.30 2.20 3.40 0.85 1.40 2.30
AKR* 15.50 33.90 47.50 10.60 25.20 38.10 4.57 8.11 13.40 3.03 5.42 8.88
kV 85.00 87.00 89.00 84.00 87.00 88.00 83.00 85.00 87.00 83.00 85.00 87.00
8 PPS mA 4.60 9.30 13.00 3.10 7.00 10.00 3.50 6.00 9.50 2.10 3.70 5.90
AKR* 4.29 8.81 12.50 3.03 6.75 10.00 3.22 5.61 9.08 2.09 3.53 5.74
kV 84.00 86.00 88.00 84.00 86.00 88.00 83.00 85.00 87.00 82.00 85.00 87.00
15 PPS mA 7.30 14.00 20.00 4.90 11.00 16.00 3.50 6.00 9.30 2.10 3.60 5.80
AKR* 8.39 16.60 23.90 5.74 12.60 19.10 4.16 7.17 11.30 2.75 4.57 7.34
* AKR is mGy/min
A-26
Appendix A: Dose rates
31cm with grid - International 1
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 77.00 77.00 78.00 75.00 77.00 78.00 74.00 80.00 85.00 74.00 80.00 85.00 79.00 81.00 82.00
(General Pro- mA 0.96 2.60 3.60 0.43 1.10 1.60 1.90 3.30 5.00 1.30 2.30 3.50 21.00 41.00 49.00
file) AKR* 3.12 8.81 12.50 1.33 3.73 5.34 5.50 12.20 21.10 3.73 8.44 14.70 0.18 0.37 0.68
kV 79.00 82.00 82.00
Continuous
mA Same as above 22.00 40.00 49.00
(Spine Profile)
AKR* 0.45 0.91 1.68
kV 78.00 79.00 80.00 76.00 78.00 79.00 76.00 82.00
90.00 76.00 82.00 90.00
4 PPS mA 2.80 8.20 11.00 0.52 1.50 2.10 6.80 12.00
17.00 3.30 6.20 8.20
AKR* 1.46 4.09 5.51 0.35 0.81 1.10 3.05 6.58
11.20 1.50 3.36 5.65
kV 78.00 79.00 79.00 77.00 78.00 79.00 77.00 83.00
92.00 76.00 83.00 92.00
8 PPS mA 2.80 8.00 11.00 1.10 3.10 4.30 7.20 13.00
17.00 3.40 6.40 8.50
AKR* 2.46 6.82 9.18 1.08 2.73 3.75 5.76 12.20
20.90 2.81 6.26 10.60
kV 77.00 79.00 79.00 76.00 78.00 79.00 81.00 88.00
98.00 79.00 87.00 98.00
15 PPS mA 2.70 8.00 11.00 1.10 3.00 4.30 5.90 9.20
12.00 2.60 4.30 5.80
AKR* 3.14 8.66 11.30 1.46 3.46 4.79 6.98 13.20
21.60 3.28 6.35 11.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 73.00 67.00 69.00 70.00
Continuous mA 13.00 20.00 17.00 7.40 12.00 17.00
AKR* 29.70 50.70 48.00 16.60 28.70 43.20
N/A
kV 68.00 71.00 74.00 68.00 70.00 72.00
8 PPS mA 14.00 21.00 17.00 8.00 12.00 17.00
AKR* 7.74 12.70 12.20 4.47 7.45 10.90
N/A
kV 71.00 73.00 79.00 70.00 73.00 76.00 74.00 77.00 85.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.10 14.00 18.00 56.00 89.00 122.00 20.00 47.00 65.00
AKR* 12.80 18.80 19.40 7.06 12.10 16.80 20.00 35.70 62.90 7.71 18.30 24.20
kV 73.00 77.00 86.00 75.00 76.00 75.00
30 PPS mA N/A 57.00 91.00 123.00 20.00 48.00 66.00
AKR* 40.60 73.40 129.00 15.60 37.60 49.30
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00
Continuous mA 6.50 8.90 11.00 4.60 6.80 8.40 1.40 2.50 3.70 0.93 1.70 2.40
AKR* 35.50 48.10 56.90 24.90 36.50 45.20 7.71 13.60 19.70 5.03 8.97 13.20
kV 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 94.00
8 PPS mA 6.90 9.40 11.00 4.70 7.10 8.80 3.90 7.10 10.00 2.40 4.30 6.30
AKR* 9.37 12.50 14.40 6.59 9.64 11.80 5.40 9.39 13.20 3.49 5.84 8.36
kV 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 93.00 94.00 94.00
15 PPS mA 11.00 15.00 17.00 7.80 11.00 14.00 3.90 7.10 10.00 2.30 4.20 6.30
AKR* 17.70 23.90 28.00 13.30 18.20 22.40 6.99 12.00 16.50 4.60 7.53 10.80
* AKR is mGy/min
A-27
Appendix A: Dose rates
31cm without grid - International 1
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 64.00 66.00 68.00 63.00 66.00 67.00 61.00 68.00 73.00 61.00 68.00 72.00 66.00 68.00 70.00
Continuous
mA 0.69 1.70 2.30 0.31 0.75 1.00 0.93 2.00 3.20 0.64 1.40 2.20 12.00 29.00 51.00
(General Profile)
AKR* 1.34 3.75 5.52 0.57 1.59 2.32 1.63 4.74 9.12 1.12 3.28 6.23 0.07 0.17 0.32
kV 66.00 68.00 70.00
Continuous
mA Same as above 12.00 28.00 50.00
(Spine Profile)
AKR* 0.16 0.41 0.78
kV 65.00 67.00 69.00 63.00 66.00 68.00 63.00 69.00 77.00
63.00 69.00 77.00
4 PPS mA 1.90 5.00 7.00 0.38 0.95 1.30 3.70 8.10 11.00
1.80 4.00 5.40
AKR* 0.59 1.60 2.43 0.15 0.34 0.49 1.01 2.75 4.99
0.51 1.35 2.48
kV 64.00 67.00 69.00 64.00 67.00 68.00 64.00 70.00 78.00
64.00 70.00 78.00
8 PPS mA 1.90 4.90 6.90 0.79 2.00 2.70 3.80 8.30 11.00
1.90 4.10 5.60
AKR* 1.01 2.70 4.07 0.46 1.15 1.65 1.85 5.07 9.27
0.95 2.51 4.66
kV 64.00 67.00 69.00 63.00 66.00 68.00 66.00 73.00 82.00
66.00 73.00 81.00
15 PPS mA 1.90 4.90 7.00 0.79 2.00 2.70 2.40 4.90 6.70
1.10 2.40 3.20
AKR* 1.32 3.47 5.22 0.62 1.50 2.14 1.73 4.45 8.12
0.92 2.32 4.09
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 60.00 63.00 64.00 60.00 63.00 64.00
Continuous mA 5.60 8.90 10.00 2.70 5.40 9.10
AKR* 9.32 16.90 20.10 4.41 10.10 17.90
N/A
kV 61.00 64.00 65.00 61.00 63.00 64.00
8 PPS mA 6.20 10.00 11.00 2.90 6.10 10.00
AKR* 2.53 4.63 5.34 1.21 2.80 4.73
N/A
kV 62.00 65.00 67.00 62.00 65.00 66.00 63.00 66.00 70.00 65.00 67.00 66.00
15 PPS mA 7.70 13.00 14.00 3.80 7.80 12.00 19.00 49.00 94.00 11.00 29.00 41.00
AKR* 4.21 7.81 9.00 2.13 4.86 7.76 4.37 13.30 29.70 2.81 7.93 11.20
kV 63.00 67.00 70.00 65.00 67.00 67.00
30 PPS mA N/A 19.00 50.00 95.00 11.00 29.00 42.00
AKR* 8.75 27.20 59.80 5.61 16.10 23.00
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00
Continuous mA 3.50 5.90 7.80 2.40 4.40 6.30 0.92 1.80 2.80 0.61 1.20 1.80
AKR* 14.60 26.70 36.50 9.94 19.70 29.40 3.84 8.20 13.10 2.55 5.40 8.63
kV 85.00 89.00 90.00 85.00 88.00 90.00 84.00 87.00 89.00 84.00 87.00 89.00
8 PPS mA 3.60 6.30 8.30 2.40 4.50 6.60 2.50 5.00 7.70 1.50 3.00 4.70
AKR* 3.87 7.14 9.67 2.72 5.20 7.77 2.75 5.56 8.79 1.80 3.53 5.51
kV 85.00 89.00 89.00 85.00 88.00 89.00 84.00 87.00 89.00 83.00 87.00 89.00
15 PPS mA 5.70 9.90 13.00 3.80 7.40 10.00 2.50 4.90 7.80 1.50 3.00 4.70
AKR* 7.65 13.90 18.10 5.27 10.50 14.50 3.59 7.13 11.40 2.39 4.60 7.09
* AKR is mGy/min
A-28
Appendix A: Dose rates
9 in with grid - International 1
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 80.00 82.00 78.00 80.00 82.00 78.00 84.00 91.00 78.00 84.00 91.00 78.35 79.52 81.13
Continuous mA 1.80 3.70 4.60 0.77 1.60 2.00 3.50 4.60 6.20
2.50 2.60 3.70 25.97 49.00 47.29
AKR* 6.86 15.00 19.70 2.94 6.49 8.69 13.20 20.80 34.10 9.27 12.00 20.20 0.20 0.50 0.91
kV 80.00 81.00 83.00 79.00 81.00 84.00 80.00 87.00 95.00 80.00 87.00 94.00
4 PPS** mA 5.10 11.00 13.00 1.00 2.20 2.80 14.00 20.00 26.00 6.90 9.90 13.00
AKR* 2.86 5.99 7.92 0.68 1.39 1.91 7.60 13.30 21.50 3.88 6.68 10.90
kV 79.00 81.00 82.00 79.00 80.00 83.00 81.00 89.00 97.00 81.00 88.00 96.00
8 PPS mA 5.00 10.00 13.00 2.00 4.10 5.30 12.00 20.00 27.00 6.30 10.00 13.00 N/A
AKR* 4.82 10.10 13.20 2.01 4.15 5.70 12.30 24.70 40.30 6.40 12.30 19.90
kV 79.00 80.00 82.00 78.00 81.00 84.00 86.00 94.00 103.00 86.00 94.00 103.00
15 PPS mA 5.00 10.00 13.00 1.90 4.00 5.10 10.00 13.00 18.00 5.30 6.50 9.00
AKR* 6.14 12.50 16.70 2.58 5.25 7.32 14.90 22.90 39.60 8.04 12.10 20.60
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 79.00 89.00 72.00 77.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 66.00 89.80 110.00 43.80 63.50 83.40
N/A
kV 75.00 82.00 91.00 74.00 79.00 90.00
8 PPS mA 20.00 22.00 21.00 15.00 18.00 17.00 N/A
AKR* 16.10 22.10 27.40 11.60 16.10 20.90
kV 80.00 87.00 98.00 77.00 85.00 97.00 76.00 85.00 98.00 79.00 79.00 79.00
15 PPS mA 19.00 22.00 20.00 17.00 17.00 16.00 99.00 118.00 133.00 34.00 47.00 72.00
AKR* 22.90 31.70 38.90 18.10 24.00 30.90 42.40 67.10 107.00 16.20 22.40 33.90
kV 76.00 85.00 99.00 79.00 79.00 79.00
30 PPS mA N/A 100.00 119.00 134.00 34.00 47.00 73.00
AKR* 85.70 135.00 218.00 32.60 45.40 68.60
* AKR is mGy/min
A-29
Appendix A: Dose rates
9 in without grid - International 1
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 68.00 69.00 67.00 68.00 70.00 65.00 70.00 75.0065.00 70.00 75.00 66.80 68.63 70.15
Continuous mA 1.20 2.20 2.70 0.52 0.98 1.20 2.00 2.70 3.80 1.40 1.50 2.30 15.29 34.45 55.37
AKR* 2.63 5.37 6.92 1.20 2.41 3.16 4.20 7.09 11.80 2.99 4.09 7.16 0.08 0.19 0.40
kV 65.00 68.00 69.00 66.00 68.00 70.00 66.00 71.00 75.0065.00 71.00 76.00
4 PPS** mA 3.20 6.00 7.50 0.67 1.30 1.60 7.30 11.00 15.00 3.50 5.50 7.90
AKR* 0.98 1.98 2.59 0.26 0.48 0.66 2.20 3.99 6.63 1.08 2.06 3.53
kV 65.00 67.00 69.00 65.00 67.00 69.00 66.00 72.00 76.0066.00 72.00 77.00
8 PPS mA 3.20 5.90 7.30 1.30 2.30 2.90 6.60 11.00 16.00 3.30 5.70 8.20 N/A
AKR* 1.67 3.30 4.32 0.74 1.38 1.82 3.55 7.38 12.40 1.81 3.82 6.41
kV 65.00 67.00 69.00 65.00 67.00 69.00 69.00 75.00 80.0069.00 75.00 80.00
15 PPS mA 3.20 5.90 7.40 1.20 2.20 2.90 4.20 7.70 13.00 2.10 3.80 6.70
AKR* 2.15 4.26 5.51 0.95 1.77 2.37 3.40 7.40 14.50 1.82 3.79 7.64
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 69.00 63.00 65.00 68.00
Continuous mA 9.00 16.00 19.00 4.50 9.20 16.00
AKR* 17.40 35.10 48.30 8.74 19.60 39.50
N/A
kV 63.00 66.00 70.00 63.00 66.00 70.00
8 PPS mA 9.50 17.00 19.00 5.10 9.90 17.00 N/A
AKR* 4.38 9.02 12.00 2.41 5.16 9.98
kV 64.00 69.00 74.00 65.00 68.00 74.00 63.00 67.00 70.00 67.00 67.00 67.00
15 PPS mA 13.00 20.00 21.00 7.40 12.00 18.00 39.00 66.00 111.00 18.00 26.00 39.00
AKR* 8.17 14.30 18.90 4.84 8.83 15.40 9.24 18.80 35.60 5.23 7.52 11.20
kV 63.00 68.00 71.00 67.00 68.00 67.00
30 PPS mA N/A 40.00 66.00 112.00 18.00 26.00 39.00
AKR* 18.80 38.40 72.00 10.60 15.30 22.80
* AKR is mGy/min
A-30
Appendix A: Dose rates
12in with grid - International 1
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 78.00 79.00 79.00 79.00 80.00 75.00 81.00 85.0075.00 81.00 86.00 79.00 80.00 80.00
Continuous mA 0.99 2.60 3.70 0.46 1.20 1.70 1.90 3.30 4.50 1.30 2.30 3.20 21.00 49.00 48.00
AKR* 3.45 9.18 13.20 1.60 4.18 6.04 5.89 12.50 19.40 4.19 8.77 13.80 0.17 0.50 0.81
kV 79.00 79.00 80.00 79.00 80.00 81.00 76.00 81.00 90.0076.00 82.00 90.00
4 PPS** mA 2.80 7.80 11.00 0.59 1.60 2.30 6.50 12.00 16.00 3.20 6.10 8.10
AKR* 1.49 3.89 5.46 0.42 0.94 1.34 2.95 6.16 10.70 1.52 3.32 5.57
kV 78.00 79.00 80.00 78.00 79.00 80.00 77.00 82.00 91.0077.00 83.00 92.00
8 PPS mA 2.80 7.70 11.00 1.10 3.00 4.30 6.90 12.00 15.00 3.40 6.30 7.60 N/A
AKR* 2.51 6.54 9.20 1.18 2.79 3.97 5.59 11.50 17.80 2.85 6.16 9.41
kV 79.00 79.00 80.00 78.00 79.00 81.00 81.00 88.00 98.0081.00 87.00 99.00
15 PPS mA 2.80 7.80 11.00 1.10 2.90 4.20 5.70 8.60 10.00 2.70 4.20 5.50
AKR* 3.34 8.57 11.70 1.59 3.55 5.09 6.82 12.10 18.90 3.52 6.27 10.70
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 70.00 74.00 67.00 70.00 71.00
Continuous mA 13.00 20.00 17.00 7.10 11.00 16.00
AKR* 31.20 52.60 51.50 16.80 28.20 43.90
N/A
kV 69.00 71.00 75.00 69.00 71.00 72.00
8 PPS mA 14.00 21.00 17.00 7.80 12.00 17.00 N/A
AKR* 8.22 13.20 13.00 4.61 7.43 11.10
kV 71.00 74.00 81.00 71.00 73.00 76.00 73.00 76.00 84.00 75.00 76.00 75.00
15 PPS mA 16.00 22.00 18.00 9.40 14.00 18.00 52.00 82.00 109.00 19.00 45.00 58.00
AKR* 13.30 19.60 20.60 7.75 12.10 17.20 18.80 32.50 53.90 7.59 18.00 22.30
kV 74.00 76.00 84.00 75.00 76.00 75.00
30 PPS mA N/A 52.00 82.00 110.00 19.00 45.00 58.00
AKR* 38.10 65.50 109.00 15.30 36.20 44.60
* AKR is mGy/min
A-31
Appendix A: Dose rates
12in without grid - International 1
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 67.00 68.00 66.00 67.00 69.00 63.00 68.00 73.00
63.00 68.00 73.00 65.00 67.00 69.00
Continuous mA 0.69 1.70 2.30 0.31 0.75 1.00 0.95 2.00 2.80 0.68 1.40 2.00 12.00 29.00 56.00
AKR* 1.52 3.88 5.63 0.68 1.74 2.56 1.87 4.86 8.03 1.34 3.42 5.70 0.05 0.15 0.31
kV 66.00 67.00 69.00 65.00 67.00 69.00 63.00 68.00 76.00
64.00 68.00 76.00
4 PPS** mA 1.90 4.80 6.70 0.40 1.00 1.40 3.60 7.70 10.00 1.80 3.80 5.20
AKR* 0.64 1.56 2.35 0.18 0.39 0.56 1.03 2.63 4.48 0.55 1.33 2.37
kV 66.00 67.00 69.00 66.00 67.00 69.00 64.00 70.00 77.00
64.00 69.00 77.00
8 PPS mA 1.90 4.80 6.60 0.76 1.90 2.70 3.80 8.00 10.00 1.90 3.90 5.10 N/A
AKR* 1.09 2.67 3.95 0.51 1.16 1.69 1.91 4.87 7.91 1.02 2.46 4.23
kV 65.00 67.00 69.00 65.00 67.00 69.00 67.00 73.00 81.00
67.00 73.00 81.00
15 PPS mA 1.90 4.80 6.70 0.75 1.80 2.50 2.40 4.80 5.80 1.20 2.40 2.80
AKR* 1.43 3.45 5.18 0.68 1.47 2.13 1.84 4.38 6.89 1.04 2.35 3.68
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 5.80 8.40 9.50 2.70 5.00 8.40
AKR* 10.50 16.90 20.50 4.76 9.91 17.30
N/A
kV 61.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.30 9.20 11.00 2.90 5.50 9.10 N/A
AKR* 2.75 4.47 5.44 1.32 2.68 4.53
kV 63.00 65.00 68.00 63.00 65.00 66.00 63.00 66.00 70.00 65.00 66.00 66.00
15 PPS mA 7.80 12.00 13.00 3.80 7.20 11.00 19.00 47.00 81.00 11.00 27.00 35.00
AKR* 4.65 7.92 9.37 2.28 4.71 7.52 4.64 12.80 25.60 2.95 7.51 9.95
kV 64.00 66.00 70.00 65.00 66.00 66.00
30 PPS mA N/A 18.00 47.00 81.00 11.00 27.00 35.00
AKR* 9.08 26.20 51.30 5.93 15.30 20.00
* AKR is mGy/min
A-32
Appendix A: Dose rates
International 2
Countries: Australia
21cm with grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 79.00 80.00 82.00 79.00 80.00 82.00 77.00 81.00 84.00 77.00 81.00 83.00 79.00 81.00 83.00
(General Pro- mA 2.80 3.50 5.00 1.20 1.50 2.20 5.50 9.10 14.00 2.70 4.50 7.10 27.00 49.00 48.00
file) AKR* 9.73 12.50 18.80 4.36 5.59 8.33 17.90 33.40 56.90 8.91 16.50 28.30 0.20 0.46 0.78
Continuous kV 79.00 81.00 83.00
(Spine Pro- mA Same as above 27.00 49.00 47.00
file) AKR* 0.49 1.02 1.79
kV 78.00 79.00 80.00 77.00 78.00 80.00 78.00 84.00 91.00 77.00 84.00 91.00
4 PPS mA 7.60 9.40 14.00 1.50 1.80 2.70 22.00 31.00 40.00 11.00 15.00 20.00
AKR* 3.58 4.58 6.83 0.78 0.97 1.42 10.10 17.00 26.60 5.05 8.49 13.30
kV 77.00 79.00 80.00 77.00 78.00 80.00 79.00 85.00 94.00 79.00 85.00 93.00
8 PPS mA 7.50 9.30 14.00 3.00 3.70 5.50 23.00 32.00 40.00 11.00 16.00 20.00
AKR* 6.04 7.68 11.50 2.54 3.17 4.85 18.60 31.70 48.90 9.32 15.70 24.40
kV 77.00 79.00 80.00 77.00 78.00 80.00 83.00 90.00 103.00 82.00 90.00 103.00
15 PPS mA 7.60 9.30 14.00 3.00 3.70 5.60 26.00 37.00 40.00 13.00 18.00 20.00
AKR* 7.76 9.87 14.40 3.26 4.08 6.26 29.80 51.70 75.70 14.90 25.80 38.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 72.00 79.00 88.00 72.00 77.00 86.00
Continuous mA 21.00 23.00 21.00 13.00 17.00 17.00
AKR* 59.40 79.30 95.90 37.80 55.80 74.10
N/A
kV 74.00 80.00 90.00 74.00 79.00 89.00
8 PPS mA 21.00 23.00 21.00 15.00 17.00 17.00
AKR* 14.30 19.40 23.50 9.96 14.30 18.50
N/A
kV 78.00 86.00 96.00 77.00 84.00 96.00 74.00 81.00 93.00 77.00 78.00 77.00
15 PPS mA 20.00 22.00 20.00 17.00 17.00 16.00 113.00 149.00 149.00 39.00 57.00 79.00
AKR* 20.00 27.70 33.90 16.10 21.10 26.90 40.80 67.70 93.00 16.00 23.50 31.70
kV 74.00 82.00 93.00 78.00 78.00 77.00
30 PPS mA N/A 115.00 149.00 149.00 39.00 57.00 80.00
AKR* 83.70 137.00 188.00 32.30 47.30 64.10
Subtract CO2 Low Roadmap CO2 Low
Subtract CO2 Roadmap CO2
Imaging Mode Dose Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00
Continuous mA 8.70 14.00 17.00 6.20 11.00 13.00 2.20 3.50 4.90 1.50 2.30 3.20
AKR* 41.60 65.00 80.40 29.70 49.80 64.00 10.50 16.70 23.40 7.00 11.10 15.40
kV 96.00 95.00 95.00 96.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 95.00
8 PPS mA 9.30 14.00 18.00 6.60 11.00 14.00 6.20 9.80 14.00 3.70 6.00 8.50
AKR* 11.00 16.40 20.10 8.03 12.70 16.10 7.36 11.20 15.60 4.66 7.16 9.91
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 95.00
15 PPS mA 14.00 23.00 28.00 10.00 17.00 22.00 6.20 9.60 14.00 3.70 6.00 8.50
AKR* 21.00 32.30 39.40 15.10 24.80 31.50 9.47 14.00 19.50 6.08 9.23 12.70
* AKR is mGy/min
A-33
Appendix A: Dose rates
21cm without grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 67.00 70.00 72.00 67.00 71.00 72.00 64.00 69.00 72.00 64.00 69.00 72.00 68.00 72.00 74.00
(General Pro- mA 1.90 2.50 3.90 0.82 1.10 1.70 3.50 6.30 11.00 1.80 3.20 5.30 17.00 36.00 55.00
file) AKR* 4.32 6.43 10.90 1.91 2.84 4.84 7.30 16.00 29.70 3.63 7.89 14.90 0.08 0.20 0.41
kV 68.00 72.00 74.00
Continuous
mA Same as above 17.00 35.00 54.00
(Spine Profile)
AKR* 0.20 0.48 0.97
kV 66.00 69.00 71.00 66.00 69.00 71.00 65.00 72.00
76.00 65.00 72.00 76.00
4 PPS mA 4.90 6.60 11.00 0.96 1.30 2.10 14.00 22.00
35.00 7.20 11.00 18.00
AKR* 1.51 2.32 3.98 0.34 0.50 0.83 4.07 8.22
15.30 2.07 4.07 7.67
kV 66.00 69.00 71.00 66.00 69.00 70.00 66.00 73.00
77.00 66.00 73.00 77.00
8 PPS mA 4.90 6.50 11.00 2.00 2.60 4.40 15.00 23.00
37.00 7.40 11.00 18.00
AKR* 2.55 3.90 6.70 1.10 1.64 2.81 7.50 15.20
28.20 3.85 7.52 14.10
kV 66.00 69.00 70.00 65.00 68.00 71.00 69.00 77.00
82.00 69.00 76.00 82.00
15 PPS mA 4.90 6.60 11.00 1.90 2.60 4.40 17.00 25.00
40.00 8.50 13.00 20.00
AKR* 3.27 5.00 8.38 1.41 2.10 3.62 12.10 24.30
44.20 6.39 12.00 22.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 68.00 74.00 63.00 67.00 72.00
Continuous mA 10.00 19.00 21.00 4.90 11.00 17.00
AKR* 20.10 45.50 61.60 9.67 24.60 47.80
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.80 12.00 18.00
AKR* 5.85 11.30 15.50 2.80 6.66 12.20
N/A
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 67.00 69.00 70.00
15 PPS mA 17.00 21.00 22.00 8.20 14.00 18.00 59.00 103.00 149.00 24.00 39.00 57.00
AKR* 10.40 17.50 23.50 5.46 11.10 18.20 14.30 31.80 55.50 6.97 12.00 17.50
kV 64.00 70.00 75.00 68.00 69.00 70.00
30 PPS mA N/A 60.00 104.00 149.00 24.00 39.00 57.00
AKR* 29.10 64.30 112.00 14.00 24.30 35.20
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 84.00 86.00 87.00 84.00 86.00 87.00 84.00 85.00 87.00 84.00 86.00 87.00
Continuous mA 4.30 8.90 12.00 3.00 6.70 9.60 1.30 2.20 3.40 0.85 1.40 2.30
AKR* 15.50 33.90 47.50 10.60 25.20 38.10 4.57 8.11 13.40 3.03 5.42 8.88
kV 85.00 87.00 89.00 84.00 87.00 88.00 83.00 85.00 87.00 83.00 85.00 87.00
8 PPS mA 4.60 9.30 13.00 3.10 7.00 10.00 3.50 6.00 9.50 2.10 3.70 5.90
AKR* 4.29 8.81 12.50 3.03 6.75 10.00 3.22 5.61 9.08 2.09 3.53 5.74
kV 84.00 86.00 88.00 84.00 86.00 88.00 83.00 85.00 87.00 82.00 85.00 87.00
15 PPS mA 7.30 14.00 20.00 4.90 11.00 16.00 3.50 6.00 9.30 2.10 3.60 5.80
AKR* 8.39 16.60 23.90 5.74 12.60 19.10 4.16 7.17 11.30 2.75 4.57 7.34
* AKR is mGy/min
A-34
Appendix A: Dose rates
31cm with grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 77.00 77.00 78.00 76.00 77.00 78.00 76.00 79.00 83.00 76.00 79.00 82.00 79.00 81.00 82.00
(General Pro- mA 1.90 2.90 3.50 0.84 1.30 1.50 3.90 6.10 9.80 1.90 3.00 4.90 21.00 41.00 49.00
file) AKR* 6.36 9.76 11.80 2.71 4.18 5.04 12.40 21.60 38.90 6.12 10.70 19.10 0.18 0.38 0.68
kV 79.00 81.00 82.00
Continuous
mA Same as above 21.00 40.00 48.00
(Spine Profile)
AKR* 0.45 0.93 1.67
kV 79.00 79.00 80.00 77.00 78.00 78.00 78.00 81.00 86.00
77.00 81.00 86.00
4 PPS mA 5.70 8.90 11.00 1.10 1.60 1.90 16.00 25.00 35.00
8.10 12.00 17.00
AKR* 2.85 4.41 5.45 0.61 0.89 1.05 7.44 12.50 20.80
3.74 6.26 10.30
kV 78.00 79.00 79.00 78.00 78.00 79.00 79.00 82.00 88.00
79.00 82.00 87.00
8 PPS mA 5.70 8.70 11.00 2.20 3.40 4.10 17.00 26.00 36.00
8.40 13.00 18.00
AKR* 4.78 7.41 8.99 2.01 3.00 3.59 13.80 23.30 38.90
7.00 11.50 19.20
kV 78.00 79.00 79.00 77.00 78.00 78.00 83.00 86.00 94.00
82.00 86.00 94.00
15 PPS mA 5.70 8.80 10.00 2.20 3.40 4.00 19.00 29.00 38.00
9.40 14.00 19.00
AKR* 6.20 9.41 10.80 2.63 3.83 4.54 22.20 37.60 61.00
11.30 18.80 30.80
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 72.00 67.00 69.00 70.00
Continuous mA 13.00 20.00 17.00 7.30 11.00 17.00
AKR* 29.60 50.80 47.90 16.60 28.60 43.00
N/A
kV 68.00 71.00 74.00 68.00 70.00 72.00
8 PPS mA 14.00 21.00 17.00 7.90 12.00 17.00
AKR* 7.76 12.60 12.20 4.45 7.46 10.90
N/A
kV 71.00 73.00 79.00 70.00 73.00 76.00 74.00 77.00 85.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.10 14.00 18.00 84.00 130.00 150.00 36.00 53.00 73.00
AKR* 12.80 18.80 19.40 7.05 12.10 16.90 30.20 52.40 77.80 13.60 21.00 27.30
kV 74.00 78.00 86.00 75.00 76.00 75.00
30 PPS mA N/A 86.00 132.00 150.00 36.00 54.00 74.00
AKR* 61.50 108.00 158.00 27.80 42.30 55.50
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00
Continuous mA 6.50 8.90 11.00 4.60 6.80 8.40 1.40 2.50 3.70 0.93 1.70 2.40
AKR* 35.50 48.10 56.90 24.90 36.50 45.20 7.71 13.60 19.70 5.03 8.97 13.20
kV 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 94.00
8 PPS mA 6.90 9.40 11.00 4.70 7.10 8.80 3.90 7.10 10.00 2.40 4.30 6.30
AKR* 9.37 12.50 14.40 6.59 9.64 11.80 5.40 9.39 13.20 3.49 5.84 8.36
kV 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 93.00 94.00 94.00
15 PPS mA 11.00 15.00 17.00 7.80 11.00 14.00 3.90 7.10 10.00 2.30 4.20 6.30
AKR* 17.70 23.90 28.00 13.30 18.20 22.40 6.99 12.00 16.50 4.60 7.53 10.80
* AKR is mGy/min
A-35
Appendix A: Dose rates
31cm Cardiac with grid - International 2 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 79.00 81.00 79.00 79.00 81.00 77.00 81.00 85.00 77.00 81.00 85.00 79.00 81.00 82.00
Continuous mA 2.10 3.10 4.20 0.90 1.40 1.90 4.10 6.50 11.00 2.00 3.20 5.40 21.00 41.00 49.00
AKR 7.14 11.00 15.70 3.14 4.91 6.86 13.50 24.00 45.80 6.75 12.00 22.90 0.18 0.38 0.68
kV 79.00 80.00 81.00 78.00 79.00 81.00 79.00 83.00 90.00 79.00 83.00 90.00
4 PPS mA 5.70 9.10 12.00 2.40 3.70 4.90 17.00 27.00 38.00 8.60 13.00 19.00
AKR 2.80 4.52 6.25 1.21 1.86 2.59 8.23 14.20 25.00 4.24 7.15 12.50
kV 78.00 80.00 81.00 78.00 79.00 80.00 80.00 84.00 93.00 81.00 84.00 93.00
8 PPS mA 5.70 8.90 12.00 2.30 3.50 4.60 18.00 28.00 38.00 8.90 14.00 19.00 N/A
AKR 4.80 7.61 10.30 2.03 3.09 4.21 15.30 26.70 46.00 7.85 13.30 23.10
kV 78.00 79.00 80.00 77.00 78.00 80.00 84.00 89.00 102.00 84.00 89.00 101.00
15 PPS mA 5.70 8.90 11.00 2.20 3.50 4.60 20.00 32.00 38.00 10.00 16.00 19.00
AKR 6.13 9.64 12.60 2.61 3.94 5.27 24.80 43.60 72.00 12.40 21.80 36.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 71.00 76.00 68.00 71.00 73.00
Continuous mA 15.00 21.00 18.00 8.10 13.00 17.00
AKR 34.70 54.90 56.20 19.10 33.30 49.80
N/A
kV 69.00 72.00 78.00 69.00 72.00 75.00
8 PPS mA 15.00 22.00 18.00 8.70 13.00 18.00 N/A
AKR 8.95 13.80 14.40 5.10 8.51 12.70
kV 72.00 75.00 84.00 71.00 75.00 81.00 75.00 80.00 92.00 76.00 77.00 77.00
15 PPS mA 18.00 22.00 19.00 9.80 15.00 18.00 91.00 134.00 150.00 38.00 57.00 82.00
AKR 14.20 20.30 22.40 7.89 13.60 20.00 34.10 58.90 90.80 15.00 23.40 32.70
kV 76.00 80.00 91.00 76.00 78.00 78.00
30 PPS mA N/A 91.00 135.00 150.00 38.00 58.00 82.00
AKR 68.80 119.00 182.00 30.20 47.50 66.70
* AKR is mGy/min
A-36
Appendix A: Dose rates
31cm without grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 64.00 66.00 68.00 63.00 66.00 68.00 62.00 67.00 71.00 62.00 67.00 71.00 66.00 68.00 70.00
(General Pro- mA 1.20 1.90 2.40 0.53 0.82 1.10 2.40 4.10 6.80 1.20 2.00 3.40 12.00 28.00 51.00
file) AKR* 2.46 4.13 5.61 1.02 1.75 2.42 4.44 9.35 18.40 2.15 4.60 9.07 0.06 0.16 0.31
kV 66.00 68.00 70.00
Continuous
mA Same as above 12.00 28.00 50.00
(Spine Profile)
AKR* 0.16 0.41 0.77
kV 65.00 68.00 69.00 64.00 66.00 68.00 64.00 69.00
74.00 63.00 69.00 74.00
4 PPS mA 3.60 5.60 6.90 0.67 1.10 1.30 10.00 17.00
24.00 5.00 8.20 12.00
AKR* 1.07 1.81 2.38 0.23 0.37 0.49 2.69 5.47
9.60 1.35 2.74 4.76
kV 65.00 67.00 69.00 64.00 67.00 69.00 64.00 70.00
75.00 64.00 70.00 75.00
8 PPS mA 3.60 5.50 6.80 1.40 2.20 2.70 10.00 17.00
24.00 5.20 8.60 12.00
AKR* 1.81 3.05 4.01 0.76 1.25 1.67 4.95 10.20
17.60 2.52 5.12 8.78
kV 65.00 67.00 69.00 64.00 66.00 68.00 67.00 73.00
79.00 68.00 73.00 78.00
15 PPS mA 3.60 5.60 6.90 1.40 2.20 2.70 12.00 19.00
27.00 5.90 9.70 13.00
AKR* 2.32 3.91 5.13 1.00 1.63 2.14 7.91 16.00
27.70 4.20 8.44 13.70
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 60.00 63.00 64.00 60.00 63.00 64.00
Continuous mA 5.60 8.90 9.90 2.70 5.40 9.20
AKR* 9.32 16.80 20.10 4.43 10.10 18.10
N/A
kV 61.00 64.00 65.00 61.00 63.00 64.00
8 PPS mA 6.20 10.00 11.00 2.90 6.00 10.00
AKR* 2.53 4.61 5.31 1.21 2.79 4.77
N/A
kV 62.00 65.00 67.00 62.00 65.00 66.00 63.00 67.00 71.00 65.00 67.00 67.00
15 PPS mA 7.70 13.00 14.00 3.80 7.80 12.00 41.00 74.00 119.00 20.00 33.00 47.00
AKR* 4.23 8.00 9.00 2.14 4.85 7.82 9.29 20.00 37.40 5.05 9.14 12.90
kV 63.00 67.00 71.00 65.00 67.00 67.00
30 PPS mA N/A 41.00 76.00 121.00 20.00 33.00 48.00
AKR* 19.00 41.20 77.10 10.20 18.40 26.40
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00
Continuous mA 3.50 5.90 7.80 2.40 4.40 6.30 0.92 1.80 2.80 0.61 1.20 1.80
AKR* 14.60 26.70 36.50 9.94 19.70 29.40 3.84 8.20 13.10 2.55 5.40 8.63
kV 85.00 89.00 90.00 85.00 88.00 90.00 84.00 87.00 89.00 84.00 87.00 89.00
8 PPS mA 3.60 6.30 8.30 2.40 4.50 6.60 2.50 5.00 7.70 1.50 3.00 4.70
AKR* 3.87 7.14 9.67 2.72 5.20 7.77 2.75 5.56 8.79 1.80 3.53 5.51
kV 85.00 89.00 89.00 85.00 88.00 89.00 84.00 87.00 89.00 83.00 87.00 89.00
15 PPS mA 5.70 9.90 13.00 3.80 7.40 10.00 2.50 4.90 7.80 1.50 3.00 4.70
AKR* 7.65 13.90 18.10 5.27 10.50 14.50 3.59 7.13 11.40 2.39 4.60 7.09
* AKR is mGy/min
A-37
Appendix A: Dose rates
31cm Cardiac without grid - International 2 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 67.00 69.00 66.00 68.00 69.00 63.00 68.00 73.00 63.00 68.00 73.00 66.00 68.00 70.00
Continuous mA 1.30 2.00 2.50 0.57 0.88 1.10 2.50 4.30 7.20 1.30 2.20 3.60 12.00 28.00 51.00
AKR 2.79 4.60 6.18 1.23 2.04 2.75 4.95 10.30 20.20 2.47 5.16 10.10 0.06 0.16 0.31
kV 65.00 68.00 70.00 65.00 67.00 69.00 65.00 70.00 76.00 65.00 70.00 76.00
4 PPS mA 3.60 5.60 7.00 1.50 2.30 2.90 11.00 18.00 25.00 5.30 8.80 12.00
AKR 1.07 1.82 2.45 0.47 0.78 1.04 3.00 6.11 10.80 1.53 3.12 5.39
kV 65.00 67.00 69.00 64.00 67.00 69.00 66.00 71.00 77.00 66.00 71.00 77.00
8 PPS mA 3.60 5.60 7.00 1.40 2.20 2.80 11.00 18.00 26.00 5.50 9.10 13.00 N/A
AKR 1.80 3.11 4.17 0.79 1.29 1.73 5.52 11.20 19.90 2.82 5.76 9.94
kV 65.00 67.00 69.00 64.00 66.00 69.00 69.00 74.00 81.00 69.00 74.00 81.00
15 PPS mA 3.60 5.60 7.00 1.40 2.20 2.80 12.00 20.00 29.00 6.20 10.00 15.00
AKR 2.32 3.95 5.31 1.02 1.64 2.20 8.80 17.80 32.00 4.66 8.92 16.00
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 6.10 10.00 11.00 3.00 6.10 10.00
AKR 10.50 20.20 23.50 5.17 11.90 21.00
N/A
kV 61.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.70 11.00 12.00 3.20 6.80 11.00 N/A
AKR 2.82 5.33 6.18 1.37 3.23 5.54
kV 63.00 65.00 68.00 62.00 66.00 66.00 64.00 68.00 72.00 66.00 67.00 68.00
15 PPS mA 8.20 14.00 15.00 4.10 8.40 14.00 44.00 80.00 130.00 21.00 36.00 52.00
AKR 4.59 8.91 10.20 2.37 5.43 8.91 10.60 22.80 43.60 5.70 10.10 15.00
kV 64.00 68.00 72.00 66.00 68.00 68.00
30 PPS mA N/A 44.00 81.00 130.00 21.00 36.00 53.00
AKR 21.60 45.80 86.80 11.50 20.50 30.20
* AKR is mGy/min
A-38
Appendix A: Dose rates
9 in with grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 80.00 82.00 79.00 80.00 82.00 77.00 81.00 84.00 77.00 81.00 84.00 78.31 79.37 80.89
Continuous mA 2.90 3.60 5.10 1.30 1.60 2.20 5.60 9.30 15.00
2.80 4.60 7.30 26.22 49.25 47.33
AKR* 11.20 14.40 21.80 4.87 6.28 9.59 20.70 38.40 65.80 10.20 19.00 32.80 0.20 0.50 0.90
kV 80.00 81.00 83.00 79.00 81.00 84.00 80.00 86.00 96.00 79.00 86.00 97.00
4 PPS** mA 8.40 10.00 14.00 1.70 2.10 3.00 24.00 34.00 40.00 12.00 17.00 20.00
AKR* 4.63 5.82 8.60 1.03 1.35 2.05 12.90 21.90 33.90 6.42 10.90 17.30
kV 79.00 80.00 82.00 79.00 80.00 83.00 81.00 87.00 99.00 80.00 87.00 99.00
8 PPS mA 8.20 10.00 14.00 3.20 4.00 5.70 25.00 35.00 40.00 12.00 18.00 20.00 N/A
AKR* 7.73 9.77 14.50 3.13 4.07 6.12 24.10 41.10 63.00 11.90 20.40 31.60
kV 79.00 80.00 82.00 79.00 80.00 84.00 85.00 94.00 108.00 85.00 93.00 108.00
15 PPS mA 8.30 10.00 14.00 3.10 3.90 5.60 28.00 38.00 38.00 14.00 19.00 20.00
AKR* 9.96 12.10 18.30 3.92 5.12 7.85 39.00 66.70 92.90 19.10 33.00 48.80
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 80.00 89.00 72.00 77.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 66.20 90.10 111.00 43.90 63.50 83.20
N/A
kV 75.00 82.00 91.00 73.00 79.00 89.00
8 PPS mA 20.00 22.00 21.00 15.00 18.00 17.00 N/A
AKR* 16.20 22.20 27.30 11.50 16.20 20.80
kV 80.00 87.00 98.00 77.00 85.00 97.00 76.00 85.00 99.00 79.00 79.00 79.00
15 PPS mA 19.00 22.00 20.00 17.00 17.00 16.00 124.00 149.00 148.00 42.00 62.00 87.00
AKR* 22.80 31.60 38.90 18.20 24.10 30.90 53.00 84.30 120.00 20.50 29.70 40.80
kV 76.00 85.00 98.00 79.00 79.00 79.00
30 PPS mA N/A 125.00 149.00 149.00 42.00 62.00 88.00
AKR* 107.00 168.00 237.00 41.00 59.70 82.50
* AKR is mGy/min
A-39
Appendix A: Dose rates
9 in without grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 68.00 69.00 67.00 68.00 69.00 63.00 67.00 69.0063.00 67.00 69.00 66.80 68.75 70.08
Continuous mA 1.80 2.30 3.80 0.80 1.00 1.70 3.40 5.80 9.50 1.70 2.90 4.80 15.47 34.64 55.76
AKR* 4.00 5.47 9.65 1.83 2.50 4.25 6.69 13.20 24.00 3.36 6.65 12.00 0.08 0.19 0.40
kV 65.00 67.00 69.00 65.00 68.00 69.00 63.00 69.00 73.0064.00 69.00 73.00
4 PPS** mA 4.80 6.20 11.00 1.00 1.30 2.20 14.00 20.00 32.00 6.90 9.90 16.00
AKR* 1.46 2.04 3.57 0.35 0.50 0.83 3.75 6.88 12.60 1.93 3.46 6.27
kV 65.00 67.00 68.00 65.00 67.00 69.00 64.00 70.00 74.0065.00 70.00 74.00
8 PPS mA 4.80 6.10 10.00 1.90 2.40 4.20 14.00 21.00 33.00 7.20 10.00 16.00 N/A
AKR* 2.45 3.41 6.01 1.03 1.44 2.51 6.92 12.60 23.30 3.59 6.36 11.50
kV 65.00 67.00 68.00 65.00 67.00 69.00 68.00 74.00 78.0068.00 73.00 77.00
15 PPS mA 4.70 6.20 10.00 1.80 2.30 4.00 16.00 23.00 37.00 8.30 11.00 18.00
AKR* 3.06 4.40 7.53 1.29 1.82 3.14 11.20 20.30 36.60 6.08 10.10 18.30
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 69.00 63.00 65.00 68.00
Continuous mA 8.50 16.00 19.00 4.50 9.20 16.00
AKR* 16.30 34.70 48.10 8.74 19.70 38.90
N/A
kV 63.00 66.00 71.00 63.00 66.00 70.00
8 PPS mA 9.60 17.00 19.00 5.00 9.90 16.00 N/A
AKR* 4.43 8.92 12.00 2.39 5.16 9.91
kV 64.00 69.00 75.00 65.00 68.00 74.00 63.00 67.00 71.00 67.00 67.00 67.00
15 PPS mA 14.00 20.00 21.00 7.50 12.00 18.00 56.00 90.00 144.00 23.00 35.00 50.00
AKR* 8.20 14.30 18.90 4.91 8.84 15.40 13.00 25.90 46.60 6.45 10.10 14.20
kV 63.00 68.00 71.00 67.00 68.00 67.00
30 PPS mA N/A 56.00 91.00 144.00 23.00 35.00 50.00
AKR* 26.70 52.50 93.60 13.10 20.70 28.70
* AKR is mGy/min
A-40
Appendix A: Dose rates
12in with grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 78.00 79.00 79.00 79.00 80.00 77.00 80.00 83.0077.00 80.00 83.00 79.00 80.00 80.00
Continuous mA 2.00 2.90 3.20 0.87 1.30 1.50 3.90 6.00 9.70
2.00 3.00 4.90 21.00 49.00 47.00
AKR* 6.84 10.20 11.40 3.06 4.57 5.30 12.90 21.60 38.60 6.50 11.00 19.50 0.16 0.51 0.80
kV 79.00 79.00 80.00 79.00 79.00 81.00 77.00 80.00 86.0078.00 80.00 86.00
4 PPS** mA 5.70 8.50 9.50 1.20 1.80 2.10 16.00 23.00 33.00 7.90 12.00 17.00
AKR* 2.87 4.22 4.83 0.70 1.00 1.23 7.12 11.70 19.30 3.73 5.98 9.76
kV 79.00 79.00 80.00 78.00 79.00 80.00 78.00 81.00 87.0079.00 81.00 87.00
8 PPS mA 5.60 8.40 9.20 2.20 3.30 3.80 16.00 24.00 34.00 8.20 12.00 17.00 N/A
AKR* 4.82 7.15 8.04 2.05 3.02 3.57 13.20 21.70 36.20 6.92 11.00 18.10
kV 79.00 79.00 80.00 78.00 79.00 81.00 82.00 85.00 93.0082.00 85.00 93.00
15 PPS mA 5.70 8.60 9.30 2.10 3.20 3.70 18.00 28.00 38.00 9.10 14.00 19.00
AKR* 6.31 9.35 10.30 2.61 3.78 4.57 21.40 35.00 58.30 10.90 17.30 29.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 70.00 74.00 67.00 70.00 71.00
Continuous mA 13.00 20.00 17.00 7.10 11.00 16.00
AKR* 31.20 52.80 51.70 16.80 28.20 43.90
N/A
kV 69.00 71.00 76.00 69.00 71.00 72.00
8 PPS mA 14.00 21.00 18.00 7.80 12.00 17.00 N/A
AKR* 8.21 13.10 13.00 4.59 7.41 11.10
kV 71.00 74.00 81.00 71.00 73.00 77.00 74.00 77.00 84.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.40 14.00 18.00 79.00 122.00 150.00 35.00 51.00 72.00
AKR* 13.50 19.70 20.70 7.75 12.10 17.30 28.60 48.60 75.10 13.60 20.40 27.50
kV 74.00 77.00 84.00 75.00 76.00 75.00
30 PPS mA N/A 80.00 123.00 150.00 35.00 52.00 72.00
AKR* 57.90 98.00 150.00 27.30 41.10 55.30
* AKR is mGy/min
A-41
Appendix A: Dose rates
12in without grid - International 2
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 67.00 68.00 66.00 67.00 69.00 63.00 67.00 71.0063.00 67.00 71.00 66.00 67.00 69.00
Continuous mA 1.30 1.90 2.20 0.56 0.82 0.95 2.40 4.00 6.60 1.20 2.00 3.30 12.00 29.00 55.00
AKR* 2.78 4.25 5.28 1.22 1.92 2.37 4.86 9.31 17.70 2.45 4.70 8.98 0.06 0.16 0.31
kV 66.00 67.00 69.00 66.00 67.00 70.00 64.00 68.00 73.0064.00 68.00 73.00
4 PPS** mA 3.60 5.30 6.00 0.73 1.10 1.30 9.70 16.00 22.00 4.90 7.80 11.00
AKR* 1.12 1.75 2.10 0.28 0.42 0.52 2.69 5.01 8.53 1.37 2.57 4.39
kV 66.00 67.00 69.00 65.00 67.00 69.00 64.00 68.00 74.0065.00 69.00 74.00
8 PPS mA 3.50 5.30 6.00 1.40 2.10 2.40 10.00 16.00 23.00 5.10 8.10 11.00 N/A
AKR* 1.90 2.97 3.61 0.83 1.26 1.55 4.97 9.25 15.70 2.59 4.77 7.94
kV 65.00 67.00 69.00 65.00 67.00 69.00 68.00 72.00 77.0068.00 72.00 77.00
15 PPS mA 3.50 5.30 6.00 1.30 2.00 2.30 11.00 18.00 25.00 5.80 9.20 13.00
AKR* 2.44 3.81 4.66 1.05 1.59 1.97 7.91 14.60 24.90 4.28 7.94 12.50
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 5.70 8.50 9.60 2.70 5.00 8.40
AKR* 10.40 17.00 20.70 4.81 9.92 17.40
N/A
kV 62.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.40 9.20 11.00 2.90 5.50 9.10 N/A
AKR* 2.84 4.44 5.46 1.31 2.66 4.53
kV 63.00 65.00 67.00 63.00 65.00 66.00 63.00 66.00 70.00 65.00 66.00 66.00
15 PPS mA 7.90 12.00 13.00 3.80 7.30 11.00 39.00 68.00 108.00 19.00 30.00 44.00
AKR* 4.71 7.87 9.29 2.28 4.74 7.58 9.61 18.70 33.70 5.20 8.51 12.40
kV 63.00 66.00 70.00 65.00 66.00 66.00
30 PPS mA N/A 40.00 69.00 109.00 19.00 31.00 45.00
AKR* 19.30 37.70 68.60 10.60 17.30 24.90
* AKR is mGy/min
A-42
Appendix A: Dose rates
International 3
Countries: Denmark
21cm with grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 79.00 80.00 82.00 79.00 80.00 82.00 78.00 84.00 90.00 78.00 84.00 90.00 79.00 81.00 83.00
(General Pro- mA 2.10 3.40 4.00 0.92 1.50 1.80 2.50 4.30 5.50 1.70 2.60 2.80 28.00 50.00 48.00
file) AKR* 7.14 12.40 15.00 3.28 5.54 6.78 8.42 17.70 26.60 5.92 10.60 13.30 0.20 0.47 0.77
kV 79.00 81.00 83.00
Continuous
mA Same as above 27.00 49.00 48.00
(Spine Profile)
AKR* 0.49 1.01 1.80
kV 78.00 79.00 80.00 77.00 78.00 79.00 78.00 84.00
91.00 78.00 84.00 91.00
4 PPS mA 5.60 9.30 11.00 1.10 1.80 2.00 8.30 18.00
25.00 4.10 9.10 12.00
AKR* 2.63 4.54 5.31 0.61 0.96 1.11 3.95 10.00
16.30 1.99 5.12 8.19
kV 77.00 79.00 80.00 77.00 78.00 79.00 79.00 86.00
93.00 79.00 85.00 92.00
8 PPS mA 5.50 9.20 10.00 2.20 3.70 4.20 8.70 19.00
25.00 4.30 9.40 13.00
AKR* 4.44 7.65 8.84 1.92 3.17 3.74 7.39 18.80
30.30 3.74 9.58 15.20
kV 77.00 79.00 79.00 77.00 78.00 79.00 84.00 91.00
99.00 82.00 91.00 98.00
15 PPS mA 5.50 9.30 10.00 2.20 3.70 4.20 6.80 16.00
22.00 3.10 8.00 11.00
AKR* 5.74 9.80 11.10 2.50 4.07 4.75 8.45 23.10
38.80 4.08 12.30 19.30
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 72.00 79.00 87.00 72.00 77.00 86.00
Continuous mA 21.00 23.00 21.00 13.00 17.00 17.00
AKR* 59.30 79.30 95.70 37.90 55.60 74.30
N/A
kV 74.00 80.00 90.00 74.00 79.00 89.00
8 PPS mA 21.00 23.00 21.00 15.00 17.00 17.00
AKR* 14.30 19.30 23.60 10.00 14.20 18.50
N/A
kV 79.00 86.00 96.00 77.00 84.00 96.00 74.00 81.00 93.00 77.00 78.00 77.00
15 PPS mA 20.00 22.00 20.00 17.00 17.00 16.00 113.00 148.00 149.00 39.00 57.00 79.00
AKR* 20.10 27.80 33.80 16.10 21.10 27.00 40.60 67.60 93.60 16.20 23.40 31.60
kV 74.00 82.00 93.00 78.00 78.00 77.00
30 PPS mA N/A 115.00 149.00 149.00 39.00 57.00 79.00
AKR* 83.60 136.00 188.00 32.40 47.10 63.80
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00
Continuous mA 8.70 14.00 17.00 6.20 11.00 13.00 2.20 3.50 4.90 1.50 2.30 3.20
AKR* 41.60 65.00 80.40 29.70 49.80 64.00 10.50 16.70 23.40 7.00 11.10 15.40
kV 96.00 95.00 95.00 96.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 95.00
8 PPS mA 9.30 14.00 18.00 6.60 11.00 14.00 6.20 9.80 14.00 3.70 6.00 8.50
AKR* 11.00 16.40 20.10 8.03 12.70 16.10 7.36 11.20 15.60 4.66 7.16 9.91
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 95.00
15 PPS mA 14.00 23.00 28.00 10.00 17.00 22.00 6.20 9.60 14.00 3.70 6.00 8.50
AKR* 21.00 32.30 39.40 15.10 24.80 31.50 9.47 14.00 19.50 6.08 9.23 12.70
* AKR is mGy/min
A-43
Appendix A: Dose rates
21cm without grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 67.00 70.00 72.00 68.00 71.00 72.00 66.00 73.00 78.00 66.00 73.00 78.00 68.00 72.00 74.00
(General Pro- mA 1.40 2.30 2.70 0.62 1.00 1.20 1.50 2.80 3.90 1.10 1.70 2.00 17.00 36.00 55.00
file) AKR* 3.26 6.05 7.54 1.47 2.70 3.37 3.38 8.14 13.30 2.36 4.92 6.71 0.08 0.20 0.41
kV 68.00 72.00 74.00
Continuous
mA Same as above 17.00 35.00 54.00
(Spine Profile)
AKR* 0.20 0.48 0.96
kV 66.00 69.00 71.00 66.00 69.00 70.00 66.00 73.00
78.00 66.00 73.00 78.00
4 PPS mA 3.70 6.20 7.30 0.73 1.20 1.40 4.90 12.00
17.00 2.50 6.00 8.70
AKR* 1.16 2.17 2.73 0.27 0.47 0.58 1.52 4.63
8.09 0.79 2.38 4.12
kV 66.00 69.00 71.00 65.00 69.00 70.00 67.00 74.00
79.00 67.00 74.00 79.00
8 PPS mA 3.70 6.10 7.20 1.50 2.40 2.90 5.10 12.00
18.00 2.50 6.30 9.10
AKR* 1.95 3.63 4.58 0.86 1.53 1.89 2.86 8.62
15.20 1.47 4.51 7.70
kV 66.00 69.00 71.00 65.00 68.00 70.00 70.00 77.00
84.00 70.00 77.00 84.00
15 PPS mA 3.70 6.20 7.30 1.50 2.40 2.90 3.30 11.00
17.00 1.60 5.60 8.80
AKR* 2.51 4.69 5.89 1.12 1.95 2.44 2.76 11.10
20.70 1.49 5.85 11.00
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 68.00 74.00 63.00 67.00 72.00
Continuous mA 10.00 19.00 21.00 4.90 11.00 17.00
AKR* 20.20 45.50 61.90 9.69 24.60 47.40
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.80 12.00 18.00
AKR* 5.83 11.40 15.60 2.82 6.68 12.10
N/A
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 68.00 69.00 69.00
15 PPS mA 17.00 21.00 22.00 8.20 14.00 18.00 51.00 103.00 149.00 24.00 39.00 56.00
AKR* 10.40 17.60 23.60 5.49 11.10 18.10 12.50 31.60 55.70 7.04 11.90 17.30
kV 64.00 70.00 75.00 67.00 69.00 69.00
30 PPS mA N/A 52.00 104.00 149.00 24.00 39.00 57.00
AKR* 25.50 64.70 112.00 14.00 24.10 34.90
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 84.00 86.00 87.00 84.00 86.00 87.00 84.00 85.00 87.00 84.00 86.00 87.00
Continuous mA 4.30 8.90 12.00 3.00 6.70 9.60 1.30 2.20 3.40 0.85 1.40 2.30
AKR* 15.50 33.90 47.50 10.60 25.20 38.10 4.57 8.11 13.40 3.03 5.42 8.88
kV 85.00 87.00 89.00 84.00 87.00 88.00 83.00 85.00 87.00 83.00 85.00 87.00
8 PPS mA 4.60 9.30 13.00 3.10 7.00 10.00 3.50 6.00 9.50 2.10 3.70 5.90
AKR* 4.29 8.81 12.50 3.03 6.75 10.00 3.22 5.61 9.08 2.09 3.53 5.74
kV 84.00 86.00 88.00 84.00 86.00 88.00 83.00 85.00 87.00 82.00 85.00 87.00
15 PPS mA 7.30 14.00 20.00 4.90 11.00 16.00 3.50 6.00 9.30 2.10 3.60 5.80
AKR* 8.39 16.60 23.90 5.74 12.60 19.10 4.16 7.17 11.30 2.75 4.57 7.34
* AKR is mGy/min
A-44
Appendix A: Dose rates
31cm with grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 77.00 77.00 78.00 76.00 77.00 78.00 74.00 80.00 85.00 74.00 80.00 85.00 79.00 82.00 82.00
(General Pro- mA 1.50 2.80 4.00 0.65 1.20 1.70 2.60 3.60 5.40 1.80 2.50 3.80 21.00 41.00 49.00
file) AKR* 4.99 9.50 13.50 2.10 4.05 5.82 7.77 13.30 22.90 5.39 9.27 15.90 0.18 0.37 0.67
kV 79.00 82.00 82.00
Continuous
mA Same as above 21.00 40.00 48.00
(Spine Profile)
AKR* 0.45 0.93 1.67
kV 79.00 79.00 80.00 77.00 78.00 79.00 76.00 82.00
90.00 75.00 82.00 90.00
4 PPS mA 4.50 8.60 12.00 0.84 1.60 2.20 6.80 12.00
17.00 3.30 6.20 8.20
AKR* 2.25 4.30 5.93 0.50 0.87 1.19 3.05 6.56
11.20 1.48 3.34 5.64
kV 78.00 79.00 80.00 77.00 78.00 79.00 77.00 83.00
92.00 76.00 83.00 92.00
8 PPS mA 4.40 8.50 12.00 1.80 3.30 4.70 7.20 13.00
17.00 3.40 6.40 8.50
AKR* 3.74 7.23 9.95 1.61 2.92 4.08 5.73 12.20
20.90 2.80 6.23 10.60
kV 78.00 79.00 79.00 77.00 78.00 79.00 81.00 88.00
98.00 79.00 87.00 98.00
15 PPS mA 4.40 8.50 12.00 1.70 3.30 4.60 5.90 9.20
12.00 2.60 4.20 5.80
AKR* 4.82 9.17 12.30 2.11 3.73 5.19 6.96 13.10
21.60 3.27 6.25 11.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 72.00 67.00 69.00 71.00
Continuous mA 13.00 20.00 17.00 7.30 11.00 17.00
AKR* 29.60 50.80 47.90 16.60 28.60 43.40
N/A
kV 68.00 71.00 74.00 68.00 70.00 72.00
8 PPS mA 14.00 21.00 17.00 7.90 12.00 17.00
AKR* 7.76 12.60 12.20 4.44 7.44 10.90
N/A
kV 71.00 73.00 79.00 70.00 73.00 76.00 74.00 77.00 85.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.10 14.00 18.00 64.00 101.00 134.00 23.00 53.00 73.00
AKR* 12.70 18.80 19.40 7.06 12.00 16.90 22.80 40.40 69.30 8.80 21.00 27.40
kV 74.00 77.00 85.00 75.00 76.00 75.00
30 PPS mA N/A 65.00 103.00 135.00 23.00 54.00 74.00
AKR* 46.60 83.60 141.00 17.60 42.70 55.60
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00
Continuous mA 6.50 8.90 11.00 4.60 6.80 8.40 1.40 2.50 3.70 0.93 1.70 2.40
AKR* 35.50 48.10 56.90 24.90 36.50 45.20 7.71 13.60 19.70 5.03 8.97 13.20
kV 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 94.00
8 PPS mA 6.90 9.40 11.00 4.70 7.10 8.80 3.90 7.10 10.00 2.40 4.30 6.30
AKR* 9.37 12.50 14.40 6.59 9.64 11.80 5.40 9.39 13.20 3.49 5.84 8.36
kV 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 93.00 94.00 94.00
15 PPS mA 11.00 15.00 17.00 7.80 11.00 14.00 3.90 7.10 10.00 2.30 4.20 6.30
AKR* 17.70 23.90 28.00 13.30 18.20 22.40 6.99 12.00 16.50 4.60 7.53 10.80
* AKR is mGy/min
A-45
Appendix A: Dose rates
31cm Cardiac with grid - International 3 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 79.00 81.00 79.00 79.00 81.00 75.00 82.00 89.00 76.00 82.00 88.00 79.00 82.00 82.00
Continuous mA 1.60 3.10 4.40 0.72 1.40 1.90 2.90 4.00 6.00 2.00 2.80 4.20 21.00 41.00 49.00
AKR 5.65 10.80 16.40 2.50 4.79 7.24 8.97 15.50 27.50 6.32 10.80 19.10 0.18 0.37 0.67
kV 78.00 80.00 82.00 78.00 79.00 81.00 78.00 84.00 95.00 77.00 84.00 95.00
4 PPS mA 4.50 8.80 13.00 1.90 3.60 5.20 7.40 14.00 18.00 3.60 6.80 9.10
AKR 2.22 4.41 6.53 0.98 1.82 2.76 3.47 7.60 13.70 1.71 3.88 6.91
kV 78.00 80.00 81.00 77.00 79.00 81.00 79.00 86.00 97.00 78.00 86.00 97.00
8 PPS mA 4.50 8.70 12.00 1.80 3.40 5.00 7.80 14.00 19.00 3.70 7.20 9.40 N/A
AKR 3.75 7.43 10.90 1.63 3.01 4.57 6.52 14.50 25.70 3.19 7.43 13.10
kV 78.00 79.00 81.00 77.00 78.00 80.00 83.00 91.00 104.00 81.00 90.00 104.00
15 PPS mA 4.40 8.70 12.00 1.70 3.40 4.90 7.00 10.00 16.00 3.10 5.20 7.90
AKR 4.78 9.43 13.40 2.12 3.84 5.68 8.49 15.40 32.20 3.96 8.16 16.80
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 71.00 76.00 68.00 71.00 73.00
Continuous mA 15.00 21.00 18.00 8.00 13.00 17.00
AKR 34.70 54.80 56.40 19.00 33.30 49.80
N/A
kV 69.00 72.00 78.00 69.00 72.00 75.00
8 PPS mA 15.00 22.00 18.00 8.70 13.00 18.00 N/A
AKR 8.92 13.70 14.50 5.10 8.51 12.70
kV 72.00 75.00 84.00 71.00 75.00 81.00 75.00 80.00 91.00 76.00 77.00 77.00
15 PPS mA 18.00 22.00 19.00 9.80 15.00 18.00 73.00 110.00 142.00 26.00 57.00 81.00
AKR 14.10 20.30 22.50 7.87 13.60 19.90 27.00 47.80 85.40 10.50 23.40 32.70
kV 75.00 80.00 92.00 76.00 78.00 77.00
30 PPS mA N/A 73.00 111.00 143.00 27.00 58.00 82.00
AKR 54.90 97.00 174.00 21.60 47.40 66.50
* AKR is mGy/min
A-46
Appendix A: Dose rates
31cm without grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 64.00 66.00 68.00 63.00 66.00 68.00 62.00 68.00 73.00 61.00 68.00 73.00 66.00 68.00 70.00
(General Pro- mA 0.99 1.80 2.50 0.43 0.79 1.10 1.30 2.20 3.50 0.91 1.50 2.40 12.00 28.00 51.00
file) AKR* 1.96 4.00 5.97 0.81 1.69 2.56 2.34 5.14 9.89 1.60 3.53 6.87 0.06 0.17 0.32
kV 66.00 68.00 70.00
Continuous
mA Same as above 12.00 28.00 50.00
(Spine Profile)
AKR* 0.16 0.40 0.77
kV 65.00 68.00 69.00 63.00 66.00 68.00 63.00 69.00
77.00 63.00 69.00 77.00
4 PPS mA 2.90 5.40 7.60 0.54 1.00 1.40 3.70 8.10
11.00 1.80 4.00 5.40
AKR* 0.86 1.75 2.62 0.19 0.36 0.53 1.01 2.75
4.93 0.51 1.35 2.50
kV 65.00 67.00 69.00 64.00 67.00 68.00 64.00 70.00
78.00 64.00 70.00 78.00
8 PPS mA 2.80 5.30 7.50 1.10 2.10 3.00 3.80 8.30
11.00 1.90 4.10 5.70
AKR* 1.45 2.95 4.38 0.62 1.21 1.80 1.86 5.08
9.19 0.94 2.53 4.69
kV 65.00 67.00 69.00 64.00 66.00 68.00 66.00 73.00
82.00 66.00 73.00 81.00
15 PPS mA 2.80 5.40 7.60 1.10 2.10 3.00 2.30 4.90
6.60 1.10 2.40 3.20
AKR* 1.86 3.79 5.62 0.83 1.58 2.32 1.72 4.43
8.08 0.93 2.31 4.12
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 60.00 63.00 64.00 60.00 63.00 64.00
Continuous mA 5.60 8.90 9.90 2.70 5.30 9.30
AKR* 9.31 16.90 19.90 4.43 10.10 18.30
N/A
kV 61.00 64.00 65.00 61.00 63.00 64.00
8 PPS mA 6.20 10.00 11.00 2.90 6.00 10.00
AKR* 2.52 4.61 5.28 1.20 2.79 4.76
N/A
kV 62.00 65.00 67.00 62.00 65.00 66.00 63.00 66.00 70.00 65.00 67.00 66.00
15 PPS mA 7.70 13.00 14.00 3.80 7.80 12.00 21.00 56.00 107.00 12.00 33.00 47.00
AKR* 4.23 7.90 8.98 2.14 4.84 7.79 4.86 15.10 33.50 3.08 8.98 12.80
kV 63.00 67.00 71.00 65.00 67.00 67.00
30 PPS mA N/A 21.00 57.00 108.00 12.00 33.00 48.00
AKR* 9.84 31.00 68.40 6.17 18.40 26.40
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00
Continuous mA 3.50 5.90 7.80 2.40 4.40 6.30 0.92 1.80 2.80 0.61 1.20 1.80
AKR* 14.60 26.70 36.50 9.94 19.70 29.40 3.84 8.20 13.10 2.55 5.40 8.63
kV 85.00 89.00 90.00 85.00 88.00 90.00 84.00 87.00 89.00 84.00 87.00 89.00
8 PPS mA 3.60 6.30 8.30 2.40 4.50 6.60 2.50 5.00 7.70 1.50 3.00 4.70
AKR* 3.87 7.14 9.67 2.72 5.20 7.77 2.75 5.56 8.79 1.80 3.53 5.51
kV 85.00 89.00 89.00 85.00 88.00 89.00 84.00 87.00 89.00 83.00 87.00 89.00
15 PPS mA 5.70 9.90 13.00 3.80 7.40 10.00 2.50 4.90 7.80 1.50 3.00 4.70
AKR* 7.65 13.90 18.10 5.27 10.50 14.50 3.59 7.13 11.40 2.39 4.60 7.09
* AKR is mGy/min
A-47
Appendix A: Dose rates
31cm Cardiac without grid - International 3 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 67.00 69.00 66.00 68.00 70.00 63.00 69.00 74.00 63.00 69.00 75.00 66.00 68.00 70.00
Continuous mA 1.00 1.90 2.70 0.45 0.86 1.20 1.40 2.30 3.80 0.98 1.60 2.70 12.00 28.00 51.00
AKR 2.21 4.47 6.86 0.97 1.99 3.07 2.67 5.68 11.30 1.85 3.94 8.02 0.06 0.17 0.32
kV 65.00 67.00 70.00 65.00 67.00 69.00 64.00 71.00 79.00 64.00 70.00 79.00
4 PPS mA 2.90 5.40 7.80 1.20 2.20 3.20 3.90 8.50 12.00 1.90 4.20 6.00
AKR 0.86 1.75 2.72 0.38 0.75 1.15 1.12 3.05 5.72 0.58 1.52 2.94
kV 65.00 67.00 69.00 64.00 67.00 69.00 65.00 72.00 80.00 65.00 71.00 80.00
8 PPS mA 2.80 5.40 7.70 1.10 2.20 3.10 4.10 8.80 12.00 2.00 4.30 6.20 N/A
AKR 1.44 3.01 4.57 0.64 1.25 1.89 2.09 5.74 10.70 1.07 2.83 5.52
kV 64.00 67.00 69.00 64.00 66.00 69.00 68.00 75.00 85.00 67.00 74.00 84.00
15 PPS mA 2.80 5.40 7.80 1.10 2.10 3.00 2.50 5.20 7.30 1.20 2.50 3.50
AKR 1.86 3.82 5.89 0.84 1.59 2.40 1.91 5.02 9.42 1.04 2.57 4.78
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 6.10 10.00 11.00 3.00 6.10 10.00
AKR 10.40 20.10 23.20 5.13 11.80 21.30
N/A
kV 61.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.70 11.00 12.00 3.20 6.80 11.00 N/A
AKR 2.81 5.31 6.18 1.37 3.21 5.58
kV 63.00 65.00 68.00 62.00 66.00 66.00 63.00 68.00 72.00 65.00 67.00 68.00
15 PPS mA 8.20 14.00 15.00 4.10 8.40 14.00 23.00 59.00 113.00 12.00 35.00 53.00
AKR 4.57 8.81 10.20 2.37 5.39 8.96 5.58 16.60 37.90 3.23 10.10 15.10
kV 64.00 68.00 72.00 65.00 68.00 68.00
30 PPS mA N/A 23.00 59.00 114.00 12.00 36.00 53.00
AKR 11.20 33.70 76.70 6.41 20.60 30.40
* AKR is mGy/min
A-48
Appendix A: Dose rates
9 in with grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 80.00 82.00 79.00 80.00 82.00 78.00 84.00 91.00 78.00 84.00 90.00 78.43 79.41 80.89
Continuous mA 2.10 3.50 4.20 0.92 1.60 1.80 2.60 4.50 5.70
1.80 2.70 2.80 26.26 49.34 47.24
AKR* 8.19 14.30 17.80 3.53 6.28 7.86 9.73 20.30 31.20 6.69 12.10 15.40 0.21 0.50 0.90
kV 80.00 81.00 83.00 79.00 81.00 84.00 80.00 87.00 95.00 80.00 87.00 94.00
4 PPS** mA 6.10 10.00 12.00 1.20 2.10 2.60 9.40 20.00 26.00 4.60 9.80 13.00
AKR* 3.38 5.78 7.23 0.79 1.32 1.75 5.26 13.10 21.50 2.58 6.62 10.80
kV 79.00 80.00 82.00 79.00 80.00 83.00 81.00 88.00 97.00 81.00 88.00 96.00
8 PPS mA 6.00 10.00 12.00 2.40 4.00 4.70 9.70 20.00 27.00 4.80 10.00 13.00 N/A
AKR* 5.69 9.68 12.00 2.38 4.04 5.15 9.64 24.50 40.40 4.82 12.40 19.90
kV 79.00 80.00 82.00 78.00 80.00 83.00 86.00 94.00 103.00 85.00 94.00 103.00
15 PPS mA 6.10 9.90 12.00 2.20 3.80 4.60 8.80 18.00 24.00 4.00 8.90 12.00
AKR* 7.36 12.10 15.20 2.97 5.05 6.51 13.00 30.80 53.10 6.05 16.40 26.50
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 79.00 89.00 72.00 77.00 86.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 66.00 89.70 110.00 43.40 63.50 83.10
N/A
kV 75.00 82.00 91.00 73.00 79.00 89.00
8 PPS mA 20.00 23.00 21.00 15.00 18.00 17.00 N/A
AKR* 16.10 22.20 27.40 11.50 16.10 20.80
kV 80.00 87.00 98.00 77.00 85.00 97.00 76.00 85.00 99.00 79.00 79.00 79.00
15 PPS mA 19.00 22.00 20.00 17.00 17.00 16.00 124.00 149.00 149.00 42.00 62.00 87.00
AKR* 22.80 31.70 38.80 18.10 23.90 30.90 52.90 84.30 120.00 20.50 29.70 40.80
kV 76.00 85.00 98.00 79.00 79.00 79.00
30 PPS mA N/A 125.00 149.00 149.00 42.00 63.00 87.00
AKR* 107.00 168.00 237.00 40.80 60.10 82.10
* AKR is mGy/min
A-49
Appendix A: Dose rates
9 in without grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 68.00 69.00 67.00 68.00 70.00 65.00 70.00 75.0065.00 70.00 75.00 66.80 68.63 70.04
Continuous mA 1.40 2.10 2.40 0.61 0.94 1.10 1.50 2.60 3.40 1.00 1.60 1.70 15.41 34.30 55.52
AKR* 3.10 5.10 6.16 1.41 2.32 2.82 3.16 6.80 10.60 2.21 4.11 5.41 0.08 0.19 0.40
kV 65.00 68.00 69.00 66.00 68.00 70.00 65.00 71.00 75.0065.00 71.00 76.00
4 PPS** mA 3.70 5.70 6.70 0.78 1.20 1.50 4.80 11.00 16.00 2.40 5.50 8.00
AKR* 1.13 1.89 2.32 0.29 0.47 0.60 1.47 3.95 6.62 0.76 2.08 3.52
kV 65.00 67.00 69.00 65.00 67.00 69.00 66.00 71.00 76.0066.00 72.00 76.00
8 PPS mA 3.60 5.60 6.60 1.40 2.20 2.60 5.00 11.00 16.00 2.50 5.70 8.10 N/A
AKR* 1.88 3.15 3.88 0.82 1.34 1.66 2.77 7.28 12.40 1.39 3.84 6.35
kV 65.00 67.00 69.00 65.00 67.00 69.00 69.00 75.00 80.0069.00 75.00 80.00
15 PPS mA 3.60 5.60 6.60 1.40 2.20 2.60 3.30 10.00 16.00 1.60 5.20 8.20
AKR* 2.40 4.02 4.97 1.05 1.70 2.20 2.68 9.44 17.40 1.45 5.02 9.23
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 69.00 63.00 65.00 68.00
Continuous mA 8.50 16.00 19.00 4.50 9.20 16.00
AKR* 16.50 34.70 48.10 8.65 19.60 39.20
N/A
kV 63.00 66.00 70.00 63.00 66.00 70.00
8 PPS mA 9.70 17.00 19.00 5.00 9.90 16.00 N/A
AKR* 4.50 8.96 12.00 2.40 5.15 9.91
kV 64.00 69.00 74.00 65.00 68.00 74.00 63.00 67.00 71.00 67.00 67.00 67.00
15 PPS mA 14.00 20.00 21.00 7.50 12.00 18.00 49.00 90.00 143.00 23.00 35.00 50.00
AKR* 8.22 14.30 18.80 4.93 8.85 15.40 11.40 25.80 46.00 6.47 10.20 14.20
kV 63.00 68.00 71.00 67.00 68.00 67.00
30 PPS mA N/A 49.00 91.00 144.00 23.00 35.00 50.00
AKR* 23.30 52.30 92.90 13.10 20.70 28.90
* AKR is mGy/min
A-50
Appendix A: Dose rates
12in with grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 78.00 79.00 79.00 79.00 80.00 75.00 81.00 85.0075.00 81.00 86.00 79.00 80.00 80.00
Continuous mA 1.60 2.80 4.00 0.69 1.30 1.80 2.70 3.60 5.40 1.90 2.50 3.80 21.00 49.00 48.00
AKR* 5.41 9.85 14.20 2.43 4.50 6.51 8.34 13.50 23.20 5.87 9.40 16.50 0.17 0.50 0.81
kV 79.00 79.00 80.00 79.00 79.00 81.00 76.00 81.00 90.0076.00 82.00 90.00
4 PPS** mA 4.40 8.30 12.00 0.92 1.70 2.50 6.50 12.00 16.00 3.20 6.10 8.10
AKR* 2.22 4.11 5.88 0.58 0.98 1.42 2.93 6.16 10.70 1.52 3.33 5.57
kV 78.00 79.00 80.00 79.00 79.00 80.00 77.00 82.00 91.0077.00 83.00 92.00
8 PPS mA 4.30 8.20 11.00 1.70 3.30 4.70 6.90 12.00 15.00 3.40 6.30 7.60 N/A
AKR* 3.77 6.97 9.88 1.68 2.94 4.27 5.60 11.40 17.80 2.84 6.17 9.40
kV 79.00 79.00 80.00 78.00 79.00 81.00 81.00 88.00 98.0081.00 87.00 98.00
15 PPS mA 4.40 8.30 11.00 1.60 3.10 4.50 5.70 8.60 10.00 2.70 4.20 5.40
AKR* 4.95 9.07 12.50 2.15 3.71 5.40 6.80 12.10 18.70 3.54 6.29 10.60
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 70.00 74.00 67.00 70.00 71.00
Continuous mA 13.00 20.00 17.00 7.10 11.00 16.00
AKR* 31.10 52.80 51.60 16.90 28.20 43.80
N/A
kV 69.00 71.00 75.00 69.00 71.00 72.00
8 PPS mA 14.00 21.00 17.00 7.80 12.00 17.00 N/A
AKR* 8.20 13.10 13.00 4.60 7.44 11.20
kV 71.00 74.00 81.00 71.00 73.00 76.00 74.00 77.00 84.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.40 14.00 18.00 59.00 94.00 131.00 22.00 51.00 72.00
AKR* 13.40 19.70 20.70 7.75 12.10 17.20 21.40 37.40 64.50 8.63 20.40 27.60
kV 74.00 77.00 84.00 75.00 76.00 75.00
30 PPS mA N/A 60.00 94.00 132.00 22.00 51.00 72.00
AKR* 43.70 75.10 132.00 17.30 41.00 55.40
* AKR is mGy/min
A-51
Appendix A: Dose rates
12in without grid - International 3
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 67.00 68.00 66.00 67.00 69.00 63.00 68.00 73.0063.00 68.00 73.00 66.00 68.00 69.00
Continuous mA 1.00 1.80 2.50 0.45 0.81 1.10 1.30 2.10 3.40 0.94 1.50 2.40 12.00 30.00 56.00
AKR* 2.19 4.11 6.11 0.99 1.87 2.78 2.64 5.27 9.71 1.85 3.67 6.91 0.06 0.15 0.31
kV 66.00 67.00 69.00 66.00 67.00 69.00 63.00 68.00 76.0064.00 68.00 76.00
4 PPS** mA 2.90 5.20 7.20 0.59 1.10 1.50 3.70 7.70 10.00 1.80 3.80 5.20
AKR* 0.91 1.71 2.53 0.23 0.41 0.61 1.03 2.63 4.48 0.55 1.34 2.39
kV 65.00 67.00 69.00 66.00 67.00 69.00 64.00 69.00 77.0064.00 69.00 77.00
8 PPS mA 2.80 5.10 7.20 1.10 2.10 2.90 3.80 8.00 10.00 1.90 3.90 5.10 N/A
AKR* 1.53 2.89 4.30 0.69 1.23 1.83 1.90 4.86 7.91 1.02 2.46 4.23
kV 65.00 67.00 69.00 65.00 67.00 69.00 67.00 73.00 81.0067.00 73.00 81.00
15 PPS mA 2.80 5.20 7.30 1.10 2.00 2.80 2.30 4.70 5.70 1.20 2.40 2.80
AKR* 1.99 3.72 5.53 0.88 1.54 2.29 1.84 4.30 6.85 1.05 2.36 3.71
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 64.00 65.00 61.00 63.00 64.00
Continuous mA 5.70 8.40 9.60 2.70 5.00 8.40
AKR* 10.40 17.00 20.40 4.97 9.94 17.30
N/A
kV 62.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.40 9.30 11.00 2.90 5.50 9.10 N/A
AKR* 2.82 4.46 5.47 1.31 2.68 4.54
kV 63.00 65.00 67.00 63.00 65.00 66.00 63.00 66.00 70.00 65.00 66.00 66.00
15 PPS mA 7.90 12.00 13.00 3.70 7.20 12.00 21.00 53.00 102.00 12.00 30.00 45.00
AKR* 4.71 7.86 9.26 2.27 4.73 7.62 5.07 14.60 32.20 3.26 8.52 12.40
kV 63.00 66.00 70.00 65.00 66.00 67.00
30 PPS mA N/A 21.00 54.00 103.00 12.00 31.00 45.00
AKR* 10.20 29.70 65.10 6.54 17.30 24.90
* AKR is mGy/min
A-52
Appendix A: Dose rates
International 4
Countries: Japan
21cm with grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 79.00 80.00 82.00 79.00 81.00 82.00 77.00 81.00 83.00 77.00 81.00 83.00 79.00 81.00 83.00
(General Pro- mA 3.50 5.10 7.00 1.50 2.30 3.10 5.40 9.10 14.00 2.70 4.50 7.10 28.00 49.00 48.00
file) AKR* 11.90 18.70 26.70 5.33 8.33 11.80 17.90 33.40 56.40 8.95 16.60 28.30 0.20 0.48 0.78
Continuous kV 79.00 81.00 83.00
(Spine Pro- mA Same as above 28.00 49.00 47.00
file) AKR* 0.51 1.02 1.74
kV 78.00 79.00 81.00 77.00 79.00 80.00 78.00 84.00 91.00 77.00 84.00 91.00
4 PPS mA 9.50 14.00 19.00 1.80 2.70 3.80 22.00 31.00 40.00 11.00 15.00 20.00
AKR* 4.39 6.72 9.68 0.93 1.37 1.97 10.10 16.90 26.50 5.04 8.49 13.30
kV 77.00 79.00 80.00 77.00 79.00 80.00 79.00 85.00 94.00 79.00 85.00 93.00
8 PPS mA 9.40 14.00 19.00 3.80 5.60 7.90 23.00 32.00 40.00 11.00 16.00 20.00
AKR* 7.41 11.20 16.30 3.08 4.72 6.86 18.60 31.80 48.80 9.31 15.80 24.30
kV 77.00 79.00 80.00 77.00 79.00 80.00 83.00 90.00 103.00 82.00 90.00 102.00
15 PPS mA 9.50 14.00 19.00 3.70 5.60 7.90 26.00 37.00 40.00 13.00 18.00 20.00
AKR* 9.52 14.00 20.40 3.94 6.11 8.72 29.70 52.00 75.40 15.00 25.70 38.30
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 72.00 79.00 88.00 72.00 77.00 86.00
Continuous mA 21.00 23.00 21.00 13.00 17.00 17.00
AKR* 59.40 79.40 95.90 37.90 55.60 73.90
N/A
kV 74.00 80.00 90.00 73.00 79.00 89.00
8 PPS mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 14.30 19.40 23.60 9.80 14.20 18.40
N/A
kV 78.00 86.00 96.00 77.00 84.00 96.00 74.00 82.00 93.00 77.00 78.00 77.00
15 PPS mA 20.00 22.00 20.00 17.00 17.00 16.00 113.00 149.00 126.00 39.00 57.00 72.00
AKR* 20.00 27.80 33.80 16.10 21.10 26.90 40.80 67.80 78.10 16.00 23.40 28.70
kV 74.00 82.00 93.00 78.00 78.00 77.00
30 PPS mA N/A 115.00 149.00 126.00 39.00 57.00 72.00
AKR* 83.50 136.00 159.00 32.40 47.30 58.10
Subtract CO2 Low Roadmap CO2 Low
Subtract CO2 Roadmap CO2
Imaging Mode Dose Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00
Continuous mA 8.70 14.00 17.00 6.20 11.00 13.00 2.20 3.50 4.90 1.50 2.30 3.20
AKR* 41.60 65.00 80.40 29.70 49.80 64.00 10.50 16.70 23.40 7.00 11.10 15.40
kV 96.00 95.00 95.00 96.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 95.00
8 PPS mA 9.30 14.00 18.00 6.60 11.00 14.00 6.20 9.80 14.00 3.70 6.00 8.50
AKR* 11.00 16.40 20.10 8.03 12.70 16.10 7.36 11.20 15.60 4.66 7.16 9.91
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 95.00
15 PPS mA 14.00 23.00 28.00 10.00 17.00 22.00 6.20 9.60 14.00 3.70 6.00 8.50
AKR* 21.00 32.30 39.40 15.10 24.80 31.50 9.47 14.00 19.50 6.08 9.23 12.70
* AKR is mGy/min
A-53
Appendix A: Dose rates
21cm with grid (Cardiac profile) - International 4 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 80.00 82.00 79.00 81.00 82.00 77.00 81.00 83.00 77.00 81.00 83.00 79.00 81.00 83.00
Continuous mA 4.30 5.90 7.00 1.50 2.30 3.10 5.50 9.10 14.00 2.70 4.50 7.10 28.00 49.00 48.00
AKR 14.60 21.50 26.70 5.36 8.33 11.80 17.90 33.40 56.40 8.85 16.50 28.20 0.20 0.48 0.78
kV 77.00 79.00 81.00 77.00 79.00 81.00 78.00 84.00 91.00 77.00 84.00 91.00
4 PPS mA 12.00 16.00 19.00 3.90 5.80 8.10 22.00 31.00 40.00 11.00 15.00 20.00
AKR 5.29 7.83 9.63 1.85 2.86 4.13 10.00 16.90 26.40 5.05 8.48 13.30
kV 77.00 79.00 80.00 77.00 79.00 80.00 79.00 85.00 94.00 79.00 85.00 93.00
8 PPS mA 11.00 16.00 19.00 3.80 5.60 7.90 23.00 32.00 40.00 11.00 16.00 20.00 N/A
AKR 8.87 13.20 16.30 3.08 4.73 6.86 18.60 31.80 48.90 9.29 15.70 24.40
kV 77.00 79.00 80.00 76.00 79.00 80.00 83.00 90.00 103.00 82.00 90.00 102.00
15 PPS mA 11.00 16.00 19.00 3.70 5.60 7.90 26.00 37.00 40.00 13.00 18.00 20.00
AKR 11.20 16.50 20.40 3.94 6.13 8.82 29.90 51.60 76.00 14.90 25.70 38.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 79.00 88.00 73.00 78.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR 59.70 79.80 96.30 40.00 57.30 75.10
N/A
kV 74.00 81.00 90.00 74.00 79.00 89.00
8 PPS mA 21.00 23.00 21.00 15.00 18.00 17.00 N/A
AKR 14.20 19.50 23.60 9.99 14.40 18.50
kV 79.00 86.00 97.00 77.00 84.00 96.00 74.00 81.00 93.00 77.00 78.00 77.00
15 PPS mA 20.00 22.00 20.00 17.00 17.00 16.00 113.00 148.00 126.00 39.00 57.00 71.00
AKR 20.20 27.90 34.10 16.40 21.20 27.00 40.80 67.40 78.40 16.00 23.50 28.70
kV 74.00 82.00 93.00 78.00 78.00 77.00
30 PPS mA N/A 115.00 149.00 126.00 39.00 57.00 72.00
AKR 83.30 136.00 159.00 32.40 47.30 58.00
* AKR is mGy/min
A-54
Appendix A: Dose rates
21cm without grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 66.00 70.00 72.00 67.00 70.00 72.00 64.00 69.00 72.00 64.00 69.00 72.00 68.00 72.00 74.00
(General Pro- mA 2.30 3.70 5.50 1.00 1.60 2.50 3.50 6.30 11.00 1.80 3.10 5.30 18.00 36.00 55.00
file) AKR* 5.20 9.55 15.20 2.35 4.21 6.74 7.21 16.00 29.90 3.66 7.88 14.80 0.08 0.20 0.41
kV 68.00 72.00 73.00
Continuous
mA Same as above 18.00 36.00 54.00
(Spine Profile)
AKR* 0.21 0.49 1.03
kV 66.00 69.00 71.00 65.00 68.00 70.00 65.00 72.00
76.00 65.00 72.00 76.00
4 PPS mA 6.30 10.00 15.00 1.20 1.90 2.90 14.00 22.00
36.00 7.20 11.00 18.00
AKR* 1.89 3.39 5.43 0.40 0.70 1.09 4.06 8.16
15.40 2.07 4.04 7.63
kV 65.00 69.00 70.00 65.00 68.00 70.00 66.00 73.00
77.00 66.00 73.00 77.00
8 PPS mA 6.20 9.80 15.00 2.50 4.00 6.10 15.00 22.00
37.00 7.40 11.00 18.00
AKR* 3.18 5.66 9.11 1.33 2.37 3.80 7.47 15.10
28.40 3.84 7.48 14.00
kV 65.00 69.00 70.00 65.00 68.00 70.00 69.00 77.00
82.00 69.00 76.00 82.00
15 PPS mA 6.30 9.80 15.00 2.50 4.00 6.10 17.00 25.00
40.00 8.50 12.00 20.00
AKR* 4.10 7.13 11.40 1.69 3.02 4.89 12.00 24.20
44.50 6.40 12.00 22.10
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 68.00 74.00 63.00 67.00 72.00
Continuous mA 10.00 19.00 21.00 4.90 11.00 17.00
AKR* 20.10 45.30 62.00 9.69 24.40 47.50
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.80 12.00 18.00
AKR* 5.77 11.30 15.60 2.82 6.59 12.10
N/A
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 68.00 69.00 69.00
15 PPS mA 17.00 21.00 22.00 8.20 14.00 18.00 59.00 103.00 109.00 24.00 39.00 51.00
AKR* 10.30 17.50 23.60 5.49 11.00 18.20 14.20 31.60 40.10 6.98 11.90 15.60
kV 64.00 70.00 75.00 68.00 69.00 70.00
30 PPS mA N/A 60.00 104.00 109.00 24.00 39.00 51.00
AKR* 29.20 64.30 81.00 14.00 24.10 31.50
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 84.00 86.00 87.00 84.00 86.00 87.00 84.00 85.00 87.00 84.00 86.00 87.00
Continuous mA 4.30 8.90 12.00 3.00 6.70 9.60 1.30 2.20 3.40 0.85 1.40 2.30
AKR* 15.50 33.90 47.50 10.60 25.20 38.10 4.57 8.11 13.40 3.03 5.42 8.88
kV 85.00 87.00 89.00 84.00 87.00 88.00 83.00 85.00 87.00 83.00 85.00 87.00
8 PPS mA 4.60 9.30 13.00 3.10 7.00 10.00 3.50 6.00 9.50 2.10 3.70 5.90
AKR* 4.29 8.81 12.50 3.03 6.75 10.00 3.22 5.61 9.08 2.09 3.53 5.74
kV 84.00 86.00 88.00 84.00 86.00 88.00 83.00 85.00 87.00 82.00 85.00 87.00
15 PPS mA 7.30 14.00 20.00 4.90 11.00 16.00 3.50 6.00 9.30 2.10 3.60 5.80
AKR* 8.39 16.60 23.90 5.74 12.60 19.10 4.16 7.17 11.30 2.75 4.57 7.34
* AKR is mGy/min
A-55
Appendix A: Dose rates
21cm Cardiac without grid - International 4 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 72.00 67.00 70.00 72.00 64.00 69.00 72.00 64.00 69.00 72.00 68.00 72.00 74.00
Continuous mA 2.60 4.50 5.50 1.00 1.60 2.40 3.50 6.30 11.00 1.80 3.20 5.30 18.00 36.00 55.00
AKR 5.92 11.70 15.20 2.37 4.26 6.67 7.23 15.90 29.80 3.62 7.92 14.70 0.08 0.20 0.41
kV 66.00 69.00 71.00 65.00 69.00 71.00 65.00 72.00 76.00 65.00 72.00 76.00
4 PPS mA 7.10 12.00 15.00 2.60 4.10 6.30 14.00 22.00 36.00 7.20 11.00 18.00
AKR 2.12 4.13 5.44 0.80 1.43 2.30 4.05 8.16 15.40 2.08 4.08 7.62
kV 65.00 69.00 70.00 65.00 69.00 70.00 66.00 73.00 77.00 66.00 73.00 77.00
8 PPS mA 7.00 12.00 15.00 2.50 4.00 6.00 15.00 22.00 37.00 7.50 11.00 18.00 N/A
AKR 3.58 6.94 9.12 1.33 2.39 3.80 7.49 15.10 28.40 3.86 7.54 14.00
kV 66.00 69.00 70.00 65.00 68.00 70.00 69.00 77.00 82.00 69.00 77.00 81.00
15 PPS mA 7.10 12.00 15.00 2.50 4.00 6.10 17.00 25.00 40.00 8.50 13.00 20.00
AKR 4.60 8.69 11.40 1.69 3.04 4.88 12.00 24.20 44.50 6.40 12.10 22.10
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 64.00 68.00 75.00 64.00 67.00 73.00
Continuous mA 11.00 19.00 21.00 5.60 11.00 17.00
AKR 22.20 46.00 63.40 11.20 26.40 48.80
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.80 12.00 18.00 N/A
AKR 5.79 11.40 15.70 2.80 6.77 12.30
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 68.00 69.00 69.00
15 PPS mA 17.00 21.00 22.00 8.40 14.00 18.00 59.00 102.00 109.00 24.00 39.00 51.00
AKR 10.50 17.50 23.60 5.62 11.30 18.30 14.20 31.60 40.10 6.98 12.00 15.60
kV 64.00 70.00 75.00 68.00 69.00 69.00
30 PPS mA N/A 59.00 104.00 109.00 24.00 39.00 51.00
AKR 28.90 64.00 81.10 14.00 24.30 31.40
* AKR is mGy/min
A-56
Appendix A: Dose rates
31cm with grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 77.00 80.00 80.00 76.00 79.00 80.00 76.00 79.00 82.00 76.00 79.00 82.00 79.00 81.00 82.00
(General Pro- mA 2.40 3.70 5.30 1.00 1.60 2.30 3.90 6.10 9.80 1.90 3.00 4.90 21.00 41.00 49.00
file) AKR* 7.95 13.30 19.20 3.34 5.69 8.28 12.40 21.60 38.40 6.11 10.60 19.00 0.18 0.38 0.68
kV 79.00 81.00 82.00
Continuous
mA Same as above 21.00 40.00 48.00
(Spine Profile)
AKR* 0.45 0.92 1.66
kV 79.00 81.00 81.00 77.00 80.00 81.00 78.00 81.00 86.00
77.00 81.00 86.00
4 PPS mA 7.20 11.00 16.00 1.40 2.10 3.00 16.00 25.00 35.00
8.10 12.00 17.00
AKR* 3.49 5.68 8.13 0.74 1.17 1.64 7.46 12.50 20.80
3.77 6.25 10.30
kV 78.00 81.00 81.00 78.00 80.00 81.00 79.00 82.00 88.00
79.00 82.00 87.00
8 PPS mA 7.10 11.00 15.00 2.80 4.30 6.20 17.00 26.00 36.00
8.40 13.00 18.00
AKR* 5.87 9.53 13.70 2.46 3.98 5.69 13.90 23.20 38.90
6.98 11.60 19.20
kV 78.00 81.00 81.00 77.00 80.00 81.00 83.00 86.00 94.00
83.00 86.00 93.00
15 PPS mA 7.10 11.00 15.00 2.80 4.30 6.30 19.00 29.00 38.00
9.70 14.00 19.00
AKR* 7.60 12.00 17.10 3.16 5.12 7.36 22.40 37.80 61.10
11.80 18.80 30.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 72.00 67.00 69.00 70.00
Continuous mA 13.00 20.00 17.00 7.30 11.00 17.00
AKR* 29.40 50.60 47.80 16.50 28.60 43.10
N/A
kV 68.00 71.00 74.00 68.00 70.00 72.00
8 PPS mA 14.00 21.00 17.00 7.90 12.00 17.00
AKR* 7.75 12.70 12.20 4.43 7.44 10.90
N/A
kV 71.00 73.00 79.00 70.00 73.00 76.00 74.00 77.00 85.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.10 14.00 18.00 74.00 130.00 150.00 31.00 53.00 73.00
AKR* 12.70 18.90 19.40 7.04 12.10 16.80 26.30 52.50 78.00 11.90 20.90 27.30
kV 74.00 77.00 86.00 75.00 76.00 75.00
30 PPS mA N/A 75.00 132.00 150.00 32.00 54.00 74.00
AKR* 53.70 107.00 158.00 24.40 42.30 55.50
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00
Continuous mA 6.50 8.90 11.00 4.60 6.80 8.40 1.40 2.50 3.70 0.93 1.70 2.40
AKR* 35.50 48.10 56.90 24.90 36.50 45.20 7.71 13.60 19.70 5.03 8.97 13.20
kV 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 94.00
8 PPS mA 6.90 9.40 11.00 4.70 7.10 8.80 3.90 7.10 10.00 2.40 4.30 6.30
AKR* 9.37 12.50 14.40 6.59 9.64 11.80 5.40 9.39 13.20 3.49 5.84 8.36
kV 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 93.00 94.00 94.00
15 PPS mA 11.00 15.00 17.00 7.80 11.00 14.00 3.90 7.10 10.00 2.30 4.20 6.30
AKR* 17.70 23.90 28.00 13.30 18.20 22.40 6.99 12.00 16.50 4.60 7.53 10.80
* AKR is mGy/min
A-57
Appendix A: Dose rates
31cm Cardiac with grid - International 4 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 81.00 83.00 78.00 82.00 83.00 77.00 81.00 85.00 77.00 81.00 85.00 79.00 81.00 82.00
Continuous mA 2.90 4.50 5.80 1.10 1.70 2.60 4.10 6.50 11.00 2.00 3.20 5.40 21.00 41.00 49.00
AKR 9.93 16.80 22.50 3.86 6.53 10.00 13.50 24.00 45.60 6.72 11.90 22.70 0.18 0.38 0.68
kV 79.00 82.00 83.00 78.00 81.00 83.00 79.00 83.00 90.00 79.00 83.00 90.00
4 PPS mA 8.10 13.00 16.00 2.90 4.60 6.80 17.00 27.00 38.00 8.60 13.00 19.00
AKR 3.90 6.59 8.83 1.47 2.45 3.75 8.23 14.30 24.90 4.21 7.12 12.50
kV 78.00 81.00 83.00 78.00 81.00 83.00 80.00 84.00 93.00 80.00 84.00 93.00
8 PPS mA 8.10 13.00 16.00 2.80 4.40 6.60 18.00 28.00 38.00 8.90 14.00 19.00 N/A
AKR 6.66 11.20 14.90 2.45 4.09 6.27 15.30 26.70 45.90 7.84 13.20 23.10
kV 78.00 81.00 82.00 77.00 80.00 82.00 84.00 89.00 102.00 84.00 88.00 101.00
15 PPS mA 8.10 12.00 16.00 2.80 4.40 6.60 20.00 32.00 38.00 10.00 16.00 19.00
AKR 8.50 13.90 18.50 3.14 5.20 8.03 24.80 43.50 71.80 12.40 21.60 36.10
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 71.00 76.00 68.00 71.00 73.00
Continuous mA 14.00 21.00 18.00 8.10 13.00 17.00
AKR 34.30 55.10 56.00 19.10 33.10 49.70
N/A
kV 69.00 72.00 78.00 69.00 72.00 75.00
8 PPS mA 15.00 22.00 18.00 8.70 13.00 18.00 N/A
AKR 8.93 13.70 14.40 5.10 8.51 12.70
kV 72.00 75.00 84.00 71.00 75.00 81.00 75.00 80.00 91.00 76.00 77.00 77.00
15 PPS mA 18.00 22.00 19.00 9.80 15.00 18.00 80.00 134.00 150.00 33.00 57.00 81.00
AKR 14.20 20.20 22.50 7.91 13.60 19.90 29.90 58.70 90.50 13.20 23.40 32.80
kV 75.00 80.00 91.00 76.00 78.00 77.00
30 PPS mA N/A 80.00 135.00 150.00 33.00 58.00 82.00
AKR 60.30 119.00 182.00 26.60 47.40 66.10
* AKR is mGy/min
A-58
Appendix A: Dose rates
31cm without grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 64.00 67.00 69.00 63.00 67.00 69.00 62.00 67.00 71.00 62.00 67.00 71.00 66.00 69.00 71.00
(General Pro- mA 1.50 2.50 3.70 0.65 1.10 1.60 2.40 4.10 6.80 1.20 2.00 3.40 12.00 26.00 47.00
file) AKR* 3.01 5.76 9.08 1.25 2.43 3.93 4.44 9.35 18.30 2.15 4.54 9.04 0.07 0.15 0.30
kV 66.00 69.00 71.00
Continuous
mA Same as above 12.00 25.00 45.00
(Spine Profile)
AKR* 0.16 0.38 0.73
kV 65.00 69.00 70.00 64.00 68.00 69.00 64.00 69.00
74.00 64.00 69.00 74.00
4 PPS mA 4.50 7.40 11.00 0.84 1.40 2.10 10.00 17.00
24.00 5.00 8.30 12.00
AKR* 1.30 2.53 3.87 0.27 0.50 0.78 2.68 5.49
9.58 1.36 2.76 4.75
kV 65.00 69.00 70.00 64.00 68.00 70.00 64.00 70.00
75.00 64.00 70.00 75.00
8 PPS mA 4.40 7.30 11.00 1.80 2.90 4.30 10.00 17.00
24.00 5.20 8.60 12.00
AKR* 2.19 4.24 6.44 0.92 1.71 2.65 4.97 10.20
17.60 2.52 5.11 8.77
kV 65.00 69.00 70.00 64.00 68.00 70.00 67.00 73.00
79.00 68.00 73.00 78.00
15 PPS mA 4.40 7.40 11.00 1.80 2.90 4.30 12.00 19.00
27.00 5.90 9.70 13.00
AKR* 2.82 5.50 8.06 1.20 2.21 3.44 7.86 16.00
27.70 4.17 8.39 13.80
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 60.00 63.00 64.00 60.00 63.00 64.00
Continuous mA 5.60 8.90 9.90 2.70 5.40 9.20
AKR* 9.32 16.90 20.00 4.44 10.10 18.00
N/A
kV 61.00 64.00 65.00 61.00 63.00 64.00
8 PPS mA 6.20 10.00 11.00 2.90 6.00 10.00
AKR* 2.53 4.63 5.29 1.20 2.78 4.74
N/A
kV 62.00 65.00 67.00 62.00 65.00 66.00 63.00 67.00 70.00 65.00 67.00 66.00
15 PPS mA 7.70 13.00 14.00 3.70 7.70 12.00 36.00 74.00 118.00 18.00 33.00 47.00
AKR* 4.22 8.04 9.01 2.11 4.83 7.79 8.21 20.10 37.20 4.56 9.08 12.80
kV 63.00 67.00 71.00 65.00 67.00 67.00
30 PPS mA N/A 36.00 76.00 120.00 18.00 33.00 48.00
AKR* 16.70 41.30 76.40 9.08 18.40 26.20
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00
Continuous mA 3.50 5.90 7.80 2.40 4.40 6.30 0.92 1.80 2.80 0.61 1.20 1.80
AKR* 14.60 26.70 36.50 9.94 19.70 29.40 3.84 8.20 13.10 2.55 5.40 8.63
kV 85.00 89.00 90.00 85.00 88.00 90.00 84.00 87.00 89.00 84.00 87.00 89.00
8 PPS mA 3.60 6.30 8.30 2.40 4.50 6.60 2.50 5.00 7.70 1.50 3.00 4.70
AKR* 3.87 7.14 9.67 2.72 5.20 7.77 2.75 5.56 8.79 1.80 3.53 5.51
kV 85.00 89.00 89.00 85.00 88.00 89.00 84.00 87.00 89.00 83.00 87.00 89.00
15 PPS mA 5.70 9.90 13.00 3.80 7.40 10.00 2.50 4.90 7.80 1.50 3.00 4.70
AKR* 7.65 13.90 18.10 5.27 10.50 14.50 3.59 7.13 11.40 2.39 4.60 7.09
* AKR is mGy/min
A-59
Appendix A: Dose rates
31cm Cardiac without grid - International 4 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 69.00 71.00 65.00 69.00 71.00 63.00 68.00 73.00 63.00 68.00 73.00 66.00 69.00 71.00
Continuous mA 1.80 3.20 3.90 0.71 1.20 1.70 2.50 4.30 7.20 1.30 2.10 3.60 12.00 26.00 47.00
AKR 3.70 7.67 10.30 1.50 2.80 4.58 4.92 10.30 20.40 2.46 5.13 10.20 0.07 0.15 0.30
kV 65.00 69.00 71.00 64.00 68.00 70.00 65.00 70.00 76.00 65.00 70.00 76.00
4 PPS mA 4.90 9.00 11.00 1.80 3.00 4.60 11.00 18.00 25.00 5.30 8.80 13.00
AKR 1.41 3.02 3.97 0.56 1.04 1.67 3.00 6.08 10.80 1.53 3.12 5.44
kV 65.00 69.00 70.00 64.00 68.00 70.00 66.00 71.00 77.00 66.00 71.00 77.00
8 PPS mA 4.80 8.90 11.00 1.80 2.90 4.40 11.00 18.00 26.00 5.50 9.10 13.00 N/A
AKR 2.38 5.08 6.70 0.94 1.74 2.79 5.52 11.20 20.00 2.83 5.75 10.00
kV 65.00 69.00 70.00 64.00 68.00 70.00 69.00 74.00 81.00 69.00 74.00 81.00
15 PPS mA 4.80 9.00 11.00 1.80 2.90 4.40 12.00 20.00 30.00 6.20 10.00 15.00
AKR 3.05 6.57 8.36 1.21 2.23 3.57 8.77 17.70 32.30 4.65 8.89 16.10
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 6.10 10.00 11.00 3.10 6.20 10.00
AKR 10.50 20.00 23.30 5.31 12.00 21.20
N/A
kV 61.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.70 11.00 12.00 3.20 6.80 11.00 N/A
AKR 2.80 5.31 6.21 1.37 3.21 5.60
kV 63.00 65.00 68.00 62.00 66.00 66.00 64.00 68.00 72.00 66.00 67.00 68.00
15 PPS mA 8.20 14.00 15.00 4.10 8.50 14.00 39.00 80.00 131.00 19.00 36.00 53.00
AKR 4.61 8.91 10.20 2.37 5.45 8.98 9.37 22.60 44.00 5.10 10.10 15.10
kV 64.00 68.00 72.00 66.00 68.00 68.00
30 PPS mA N/A 39.00 81.00 131.00 19.00 36.00 53.00
AKR 19.00 45.90 87.80 10.20 20.50 30.40
* AKR is mGy/min
A-60
Appendix A: Dose rates
9 in with grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 81.00 83.00 79.00 80.00 83.00 77.00 81.00 84.00 77.00 81.00 84.00 78.31 79.76 81.36
Continuous mA 3.60 5.30 7.10 1.60 2.30 3.10 5.60 9.30 15.00
2.80 4.60 7.30 27.00 48.95 47.58
AKR* 13.80 21.80 30.90 5.98 9.41 13.60 20.60 38.30 65.70 10.20 18.80 32.70 0.21 0.50 0.82
kV 79.00 81.00 84.00 79.00 81.00 84.00 80.00 86.00 96.00 79.00 86.00 96.00
4 PPS** mA 10.00 15.00 20.00 2.10 3.10 4.10 24.00 34.00 40.00 12.00 17.00 20.00
AKR* 5.48 8.65 12.20 1.23 1.89 2.70 13.00 22.00 34.00 6.38 11.00 17.40
kV 79.00 81.00 83.00 79.00 81.00 83.00 81.00 88.00 100.00 80.00 87.00 99.00
8 PPS mA 10.00 15.00 20.00 4.00 6.00 7.90 25.00 35.00 40.00 12.00 17.00 20.00 N/A
AKR* 9.21 14.50 20.50 3.79 5.98 8.46 24.10 41.30 63.30 11.90 20.30 31.70
kV 78.00 81.00 83.00 78.00 81.00 84.00 85.00 94.00 108.00 85.00 93.00 108.00
15 PPS mA 10.00 15.00 20.00 3.80 5.80 7.60 28.00 38.00 39.00 14.00 19.00 20.00
AKR* 11.50 17.90 25.60 4.70 7.52 10.60 38.90 66.40 93.00 19.10 33.10 48.90
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 80.00 89.00 72.00 77.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 66.10 90.10 110.00 43.60 63.30 83.50
N/A
kV 75.00 82.00 91.00 74.00 79.00 89.00
8 PPS mA 20.00 22.00 21.00 15.00 18.00 17.00 N/A
AKR* 16.10 22.10 27.40 11.50 16.10 20.90
kV 80.00 87.00 98.00 77.00 85.00 97.00 76.00 85.00 97.00 79.00 79.00 79.00
15 PPS mA 19.00 22.00 20.00 17.00 17.00 16.00 124.00 149.00 124.00 42.00 62.00 73.00
AKR* 22.90 31.70 38.90 18.20 24.10 31.00 53.20 84.20 96.70 20.30 29.80 34.30
kV 76.00 85.00 98.00 79.00 79.00 79.00
30 PPS mA N/A 125.00 149.00 124.00 43.00 63.00 74.00
AKR* 107.00 169.00 197.00 41.20 60.10 69.30
* AKR is mGy/min
A-61
Appendix A: Dose rates
9 in without grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 68.00 69.00 66.00 68.00 69.00 63.00 67.00 69.00
63.00 67.00 69.00 66.41 68.44 69.61
Continuous mA 2.30 3.40 5.10 1.00 1.50 2.20 3.40 5.80 9.50 1.70 2.90 4.70 16.51 35.87 56.15
AKR* 4.98 8.24 12.60 2.22 3.67 5.59 6.66 13.20 23.90 3.37 6.64 11.90 0.08 0.19 0.40
kV 65.00 67.00 68.00 65.00 67.00 69.00 63.00 69.00 73.00
65.00 69.00 73.00
4 PPS** mA 6.20 9.50 14.00 1.30 1.90 2.90 14.00 20.00 32.00 15.00 9.90 16.00
AKR* 1.82 3.05 4.57 0.42 0.68 1.04 3.75 6.91 12.60 4.29 3.44 6.26
kV 64.00 67.00 68.00 64.00 67.00 68.00 64.00 70.00 74.00
65.00 70.00 74.00
8 PPS mA 6.10 9.30 14.00 2.40 3.70 5.50 14.00 21.00 33.00 7.20 10.00 16.00 N/A
AKR* 3.03 5.06 7.72 1.24 2.06 3.22 6.93 12.70 23.10 3.58 6.33 11.50
kV 64.00 67.00 68.00 64.00 67.00 68.00 68.00 74.00 78.00
68.00 73.00 77.00
15 PPS mA 6.10 9.40 13.00 2.30 3.50 5.30 16.00 23.00 37.00 8.20 11.00 18.00
AKR* 3.87 6.52 9.44 1.52 2.55 4.01 11.30 20.30 36.70 6.00 10.00 18.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 69.00 63.00 65.00 68.00
Continuous mA 8.30 16.00 19.00 11.00 9.20 16.00
AKR* 16.10 34.90 47.80 21.80 19.60 39.10
N/A
kV 63.00 66.00 71.00 63.00 66.00 70.00
8 PPS mA 9.70 17.00 19.00 5.10 9.90 16.00 N/A
AKR* 4.46 9.02 12.00 2.40 5.16 9.94
kV 64.00 69.00 75.00 65.00 68.00 74.00 63.00 68.00 71.00 67.00 68.00 67.00
15 PPS mA 13.00 20.00 21.00 7.50 12.00 18.00 56.00 90.00 93.00 23.00 35.00 40.00
AKR* 8.17 14.40 18.90 4.91 8.84 15.40 13.10 25.90 30.10 6.51 10.20 11.50
kV 63.00 68.00 71.00 67.00 68.00 67.00
30 PPS mA N/A 56.00 91.00 93.00 23.00 35.00 40.00
AKR* 26.50 52.70 60.30 13.10 20.70 23.20
* AKR is mGy/min
A-62
Appendix A: Dose rates
12in with grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 80.00 81.00 78.00 81.00 81.00 77.00 80.00 83.0077.00 80.00 83.00 78.00 82.00 82.00
Continuous mA 2.40 3.60 5.30 1.10 1.60 2.40 3.90 6.00 9.60
2.00 3.00 4.80 21.00 45.00 47.00
AKR* 8.36 13.30 19.60 3.75 6.03 8.99 12.90 21.70 38.50 6.53 11.00 19.30 0.16 0.39 0.74
kV 79.00 81.00 81.00 78.00 81.00 82.00 77.00 80.00 85.0077.00 80.00 86.00
4 PPS** mA 7.00 11.00 15.00 1.50 2.20 3.20 16.00 24.00 33.00 7.90 12.00 16.00
AKR* 3.44 5.50 7.98 0.82 1.29 1.85 7.12 11.80 19.00 3.69 6.00 9.71
kV 78.00 81.00 81.00 78.00 81.00 82.00 78.00 81.00 87.0079.00 81.00 87.00
8 PPS mA 6.90 10.00 15.00 2.70 4.20 6.10 16.00 24.00 34.00 8.20 12.00 17.00 N/A
AKR* 5.84 9.28 13.40 2.46 3.93 5.81 13.20 21.80 35.40 6.93 11.00 18.10
kV 79.00 81.00 81.00 78.00 81.00 82.00 82.00 86.00 93.0082.00 85.00 93.00
15 PPS mA 7.00 10.00 15.00 2.60 4.00 5.90 18.00 28.00 38.00 9.10 14.00 19.00
AKR* 7.63 11.70 17.20 3.08 4.88 7.27 21.50 35.00 58.30 10.90 17.50 29.60
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 70.00 74.00 67.00 70.00 71.00
Continuous mA 13.00 20.00 17.00 7.10 11.00 16.00
AKR* 31.00 52.90 51.40 16.90 28.20 43.70
N/A
kV 69.00 71.00 76.00 68.00 71.00 72.00
8 PPS mA 14.00 21.00 17.00 7.80 12.00 17.00 N/A
AKR* 8.20 13.10 13.00 4.57 7.41 11.20
kV 71.00 74.00 81.00 71.00 74.00 77.00 74.00 77.00 83.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.40 14.00 18.00 69.00 122.00 141.00 31.00 52.00 67.00
AKR* 13.40 19.70 20.80 7.77 12.20 17.20 25.10 48.50 67.40 12.00 20.60 25.80
kV 74.00 77.00 85.00 75.00 76.00 76.00
30 PPS mA N/A 70.00 123.00 140.00 31.00 52.00 67.00
AKR* 50.70 98.40 144.00 24.50 41.50 51.80
* AKR is mGy/min
A-63
Appendix A: Dose rates
12in without grid - International 4
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 68.00 69.00 65.00 68.00 69.00 63.00 67.00 71.0064.00 67.00 71.00 65.00 69.00 70.00
Continuous mA 1.60 2.40 3.60 0.70 1.10 1.60 2.50 4.00 6.60 1.20 2.00 3.30 12.00 27.00 52.00
AKR* 3.38 5.84 9.06 1.51 2.61 4.10 4.90 9.29 17.80 2.47 4.72 9.04 0.06 0.15 0.30
kV 66.00 68.00 70.00 65.00 68.00 70.00 64.00 68.00 73.0064.00 68.00 73.00
4 PPS** mA 4.50 7.00 10.00 0.92 1.40 2.20 9.80 16.00 22.00 4.90 7.80 11.00
AKR* 1.37 2.37 3.69 0.33 0.55 0.86 2.70 5.01 8.56 1.38 2.58 4.40
kV 65.00 68.00 70.00 65.00 68.00 70.00 64.00 69.00 74.0065.00 69.00 74.00
8 PPS mA 4.40 7.00 10.00 1.70 2.80 4.10 10.00 16.00 23.00 5.10 8.10 11.00 N/A
AKR* 2.30 4.04 6.25 0.98 1.68 2.63 4.99 9.29 15.80 2.59 4.80 7.99
kV 65.00 68.00 69.00 65.00 68.00 70.00 67.00 72.00 77.0068.00 72.00 77.00
15 PPS mA 4.40 7.00 10.00 1.70 2.60 4.00 11.00 18.00 25.00 5.80 9.30 13.00
AKR* 2.95 5.19 7.84 1.23 2.08 3.27 7.94 14.80 25.10 4.30 7.97 12.50
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 64.00 65.00 61.00 63.00 64.00
Continuous mA 5.70 8.50 9.60 2.70 5.00 8.40
AKR* 10.40 17.10 20.60 4.84 10.00 17.40
N/A
kV 62.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.40 9.40 11.00 2.90 5.50 9.10 N/A
AKR* 2.84 4.57 5.50 1.31 2.68 4.54
kV 63.00 65.00 67.00 63.00 65.00 66.00 63.00 66.00 70.00 65.00 66.00 67.00
15 PPS mA 7.90 12.00 13.00 3.70 7.30 11.00 35.00 69.00 99.00 17.00 31.00 41.00
AKR* 4.73 7.97 9.29 2.27 4.72 7.57 8.48 18.80 31.00 4.76 8.59 11.60
kV 63.00 66.00 70.00 65.00 66.00 67.00
30 PPS mA N/A 35.00 69.00 100.00 17.00 31.00 41.00
AKR* 17.30 38.00 62.90 9.54 17.40 23.20
* AKR is mGy/min
A-64
Appendix A: Dose rates
International 5
Any country may select this for reduced dose. However, image quality will be
adversely affected.
21cm with grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 78.00 80.00 81.00 79.00 81.00 82.00 78.00 84.00 90.00 78.00 84.00 90.00 78.00 81.00 82.00
(General Pro- mA 1.60 2.30 3.40 0.70 1.00 1.50 3.10 4.50 6.00 1.60 2.30 3.00 29.00 49.00 48.00
file) AKR* 5.33 8.54 12.80 2.45 3.84 5.71 10.40 18.30 29.10 5.28 9.13 14.40 0.20 0.47 0.76
kV 78.00 81.00 82.00
Continuous
mA Same as above 29.00 49.00 48.00
(Spine Profile)
AKR* 0.50 1.02 1.77
kV 77.00 79.00 80.00 77.00 78.00 79.00 78.00 84.00
91.00 79.00 84.00 91.00
4 PPS mA 4.10 6.30 9.20 0.80 1.20 1.80 13.00 18.00
25.00 6.30 9.10 12.00
AKR* 1.93 3.08 4.62 0.48 0.70 0.98 5.91 10.10
16.40 3.03 5.16 8.19
kV 76.00 79.00 80.00 76.00 78.00 79.00 80.00 86.00
93.00 80.00 86.00 92.00
8 PPS mA 4.00 6.20 9.10 1.60 2.50 3.60 13.00 19.00
25.00 6.50 9.50 13.00
AKR* 3.24 5.17 7.78 1.44 2.22 3.24 11.00 18.80
30.30 5.64 9.61 15.20
kV 76.00 79.00 80.00 76.00 78.00 79.00 83.00 91.00
99.00 83.00 91.00 98.00
15 PPS mA 4.00 6.20 9.20 1.60 2.40 3.60 9.40 16.00
22.00 4.60 8.00 11.00
AKR* 4.11 6.68 10.00 1.90 2.87 4.15 11.40 23.00
38.50 5.82 12.30 19.30
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 72.00 79.00 88.00 72.00 77.00 86.00
Continuous mA 21.00 23.00 21.00 13.00 17.00 17.00
AKR* 59.40 79.10 96.00 37.80 55.70 74.20
N/A
kV 74.00 80.00 90.00 74.00 79.00 89.00
8 PPS mA 21.00 23.00 21.00 15.00 17.00 17.00
AKR* 14.40 19.40 23.60 10.10 14.30 18.40
N/A
kV 79.00 86.00 96.00 77.00 84.00 96.00 74.00 81.00 93.00 77.00 78.00 77.00
15 PPS mA 20.00 22.00 20.00 17.00 17.00 16.00 98.00 149.00 120.00 34.00 57.00 56.00
AKR* 20.10 27.80 33.80 16.10 21.20 26.90 35.20 67.60 74.60 14.00 23.40 22.50
kV 74.00 82.00 93.00 77.00 78.00 77.00
30 PPS mA N/A 99.00 149.00 119.00 34.00 57.00 57.00
AKR* 71.60 136.00 148.00 28.20 47.30 45.90
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00 95.00
Continuous mA 8.70 14.00 17.00 6.20 11.00 13.00 2.20 3.50 4.90 1.50 2.30 3.20
AKR* 41.60 65.00 80.40 29.70 49.80 64.00 10.50 16.70 23.40 7.00 11.10 15.40
kV 96.00 95.00 95.00 96.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 95.00
8 PPS mA 9.30 14.00 18.00 6.60 11.00 14.00 6.20 9.80 14.00 3.70 6.00 8.50
AKR* 11.00 16.40 20.10 8.03 12.70 16.10 7.36 11.20 15.60 4.66 7.16 9.91
kV 95.00 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 95.00
15 PPS mA 14.00 23.00 28.00 10.00 17.00 22.00 6.20 9.60 14.00 3.70 6.00 8.50
AKR* 21.00 32.30 39.40 15.10 24.80 31.50 9.47 14.00 19.50 6.08 9.23 12.70
* AKR is mGy/min
A-65
Appendix A: Dose rates
21cm without grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 67.00 70.00 72.00 67.00 71.00 72.00 66.00 73.00 78.00 66.00 73.00 78.00 67.00 71.00 73.00
(General Pro- mA 0.93 1.50 2.30 0.43 0.69 1.00 1.80 3.00 4.40 0.93 1.50 2.20 18.00 36.00 55.00
file) AKR* 2.09 4.00 6.44 0.98 1.82 2.92 4.09 8.46 14.90 2.08 4.25 7.41 0.09 0.20 0.40
kV 67.00 71.00 74.00
Continuous
mA Same as above 18.00 36.00 54.00
(Spine Profile)
AKR* 0.21 0.49 0.97
kV 65.00 69.00 71.00 65.00 68.00 70.00 66.00 73.00
78.00 66.00 73.00 78.00
4 PPS mA 2.50 4.00 6.30 0.48 0.78 1.20 7.40 12.00
17.00 3.70 6.00 8.70
AKR* 0.75 1.41 2.31 0.19 0.33 0.50 2.29 4.63
8.11 1.16 2.42 4.12
kV 65.00 68.00 70.00 64.00 68.00 70.00 67.00 74.00
79.00 67.00 74.00 79.00
8 PPS mA 2.40 4.00 6.20 0.97 1.60 2.50 7.80 13.00
18.00 3.80 6.30 9.10
AKR* 1.26 2.39 3.88 0.57 1.03 1.64 4.30 8.80
15.10 2.15 4.51 7.69
kV 64.00 68.00 71.00 64.00 68.00 70.00 71.00 77.00
84.00 70.00 77.00 84.00
15 PPS mA 2.40 4.00 6.20 0.95 1.60 2.40 5.10 11.00
17.00 2.50 5.60 8.70
AKR* 1.60 3.01 5.01 0.75 1.33 2.10 4.17 11.10
20.60 2.13 5.84 10.90
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 68.00 74.00 63.00 67.00 72.00
Continuous mA 10.00 19.00 21.00 4.90 11.00 17.00
AKR* 20.10 45.30 62.00 9.60 24.60 47.20
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 6.00 12.00 18.00
AKR* 5.84 11.40 15.60 2.90 6.64 12.10
N/A
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 74.00 67.00 69.00 69.00
15 PPS mA 17.00 21.00 22.00 8.20 14.00 18.00 45.00 103.00 105.00 21.00 39.00 39.00
AKR* 10.40 17.60 23.60 5.49 11.00 18.10 10.80 31.60 38.60 6.09 11.80 12.00
kV 64.00 70.00 75.00 68.00 69.00 69.00
30 PPS mA N/A 45.00 104.00 106.00 21.00 39.00 39.00
AKR* 21.90 64.40 78.10 12.30 24.00 24.30
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 84.00 86.00 87.00 84.00 86.00 87.00 84.00 85.00 87.00 84.00 86.00 87.00
Continuous mA 4.30 8.90 12.00 3.00 6.70 9.60 1.30 2.20 3.40 0.85 1.40 2.30
AKR* 15.50 33.90 47.50 10.60 25.20 38.10 4.57 8.11 13.40 3.03 5.42 8.88
kV 85.00 87.00 89.00 84.00 87.00 88.00 83.00 85.00 87.00 83.00 85.00 87.00
8 PPS mA 4.60 9.30 13.00 3.10 7.00 10.00 3.50 6.00 9.50 2.10 3.70 5.90
AKR* 4.29 8.81 12.50 3.03 6.75 10.00 3.22 5.61 9.08 2.09 3.53 5.74
kV 84.00 86.00 88.00 84.00 86.00 88.00 83.00 85.00 87.00 82.00 85.00 87.00
15 PPS mA 7.30 14.00 20.00 4.90 11.00 16.00 3.50 6.00 9.30 2.10 3.60 5.80
AKR* 8.39 16.60 23.90 5.74 12.60 19.10 4.16 7.17 11.30 2.75 4.57 7.34
* AKR is mGy/min
A-66
Appendix A: Dose rates
31cm with grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 74.00 76.00 77.00 73.00 75.00 77.00 74.00 80.00 85.00 73.00 80.00 84.00 79.00 81.00 82.00
(General Pro- mA 1.20 2.00 3.00 0.54 0.87 1.30 1.80 3.40 5.00 0.89 1.60 2.50 21.00 41.00 49.00
file) AKR* 3.68 6.39 9.75 1.55 2.71 4.17 5.47 12.30 21.20 2.60 5.94 10.40 0.18 0.38 0.67
kV 79.00 82.00 82.00
Continuous
mA Same as above 21.00 40.00 48.00
(Spine Profile)
AKR* 0.44 0.92 1.66
kV 75.00 78.00 79.00 74.00 76.00 77.00 76.00 82.00
90.00 75.00 81.00 90.00
4 PPS mA 3.70 6.10 9.00 0.69 1.10 1.70 6.80 12.00
17.00 3.30 6.20 8.20
AKR* 1.69 2.92 4.38 0.38 0.60 0.89 3.04 6.58
11.20 1.49 3.33 5.65
kV 75.00 78.00 79.00 74.00 77.00 78.00 77.00 83.00
92.00 76.00 83.00 92.00
8 PPS mA 3.70 6.00 8.80 1.40 2.40 3.50 7.20 13.00
17.00 3.40 6.40 8.50
AKR* 2.83 4.90 7.37 1.21 2.02 2.98 5.73 12.20
20.70 2.80 6.24 10.60
kV 75.00 77.00 78.00 74.00 76.00 77.00 81.00 88.00
98.00 79.00 87.00 98.00
15 PPS mA 3.60 6.00 8.90 1.40 2.30 3.40 5.90 9.20
12.00 2.60 4.20 5.80
AKR* 3.56 6.23 9.35 1.60 2.60 3.81 6.94 13.20
21.50 3.27 6.29 11.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 73.00 67.00 69.00 70.00
Continuous mA 13.00 20.00 17.00 7.30 11.00 17.00
AKR* 29.50 50.50 48.00 16.50 28.30 43.20
N/A
kV 68.00 71.00 74.00 68.00 70.00 72.00
8 PPS mA 14.00 21.00 17.00 7.90 12.00 17.00
AKR* 7.74 12.60 12.20 4.43 7.42 10.90
N/A
kV 71.00 73.00 79.00 70.00 73.00 76.00 73.00 77.00 85.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.10 14.00 18.00 56.00 89.00 122.00 20.00 47.00 65.00
AKR* 12.70 18.80 19.30 7.04 12.00 16.80 19.80 35.70 62.50 7.65 18.30 24.10
kV 74.00 77.00 85.00 75.00 76.00 75.00
30 PPS mA N/A 57.00 90.00 123.00 20.00 47.00 65.00
AKR* 40.50 73.10 127.00 15.30 37.60 48.90
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00
Continuous mA 6.50 8.90 11.00 4.60 6.80 8.40 1.40 2.50 3.70 0.93 1.70 2.40
AKR* 35.50 48.10 56.90 24.90 36.50 45.20 7.71 13.60 19.70 5.03 8.97 13.20
kV 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 94.00
8 PPS mA 6.90 9.40 11.00 4.70 7.10 8.80 3.90 7.10 10.00 2.40 4.30 6.30
AKR* 9.37 12.50 14.40 6.59 9.64 11.80 5.40 9.39 13.20 3.49 5.84 8.36
kV 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 93.00 94.00 94.00
15 PPS mA 11.00 15.00 17.00 7.80 11.00 14.00 3.90 7.10 10.00 2.30 4.20 6.30
AKR* 17.70 23.90 28.00 13.30 18.20 22.40 6.99 12.00 16.50 4.60 7.53 10.80
* AKR is mGy/min
A-67
Appendix A: Dose rates
31cm Cardiac with grid - International 5 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 76.00 78.00 80.00 76.00 78.00 80.00 75.00 82.00 88.00 75.00 82.00 88.00 79.00 81.00 82.00
Continuous mA 1.40 2.20 3.30 0.60 0.96 1.50 2.00 3.70 5.50 1.00 1.80 2.80 21.00 41.00 49.00
AKR 4.24 7.36 11.90 1.88 3.24 5.26 6.28 14.10 25.30 3.17 7.12 12.70 0.18 0.38 0.67
kV 75.00 78.00 81.00 75.00 78.00 80.00 78.00 84.00 95.00 77.00 84.00 95.00
4 PPS mA 3.80 6.20 9.50 1.50 2.50 3.80 7.40 14.00 18.00 3.60 6.80 9.10
AKR 1.69 3.00 4.83 0.75 1.26 2.00 3.47 7.60 13.60 1.71 3.89 6.94
kV 75.00 78.00 80.00 74.00 77.00 79.00 79.00 86.00 97.00 78.00 86.00 97.00
8 PPS mA 3.70 6.10 9.40 1.50 2.40 3.70 7.80 14.00 19.00 3.70 7.20 9.50 N/A
AKR 2.85 5.05 8.10 1.25 2.11 3.31 6.50 14.50 25.50 3.20 7.50 13.20
kV 75.00 78.00 79.00 74.00 77.00 79.00 83.00 91.00 104.00 81.00 90.00 104.00
15 PPS mA 3.60 6.10 9.10 1.40 2.40 3.70 7.00 10.00 16.00 3.10 5.20 7.90
AKR 3.60 6.41 9.74 1.62 2.71 4.20 8.48 15.50 32.10 3.96 8.17 16.90
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 71.00 76.00 68.00 71.00 73.00
Continuous mA 15.00 21.00 18.00 8.10 13.00 17.00
AKR 34.70 55.30 56.10 19.10 33.10 49.90
N/A
kV 69.00 72.00 78.00 69.00 72.00 75.00
8 PPS mA 15.00 22.00 18.00 8.70 13.00 18.00 N/A
AKR 8.92 13.70 14.40 5.13 8.51 12.70
kV 72.00 75.00 84.00 71.00 75.00 81.00 75.00 80.00 91.00 76.00 77.00 77.00
15 PPS mA 18.00 22.00 19.00 9.80 15.00 18.00 64.00 98.00 132.00 23.00 51.00 73.00
AKR 14.10 20.10 22.40 7.87 13.60 19.80 23.70 42.20 79.00 9.15 20.70 29.20
kV 75.00 80.00 91.00 76.00 78.00 77.00
30 PPS mA N/A 64.00 99.00 133.00 24.00 51.00 73.00
AKR 48.10 86.00 161.00 18.90 41.80 59.20
* AKR is mGy/min
A-68
Appendix A: Dose rates
31cm without grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 65.00 67.00 61.00 64.00 66.00 61.00 68.00 73.00 61.00 68.00 72.00 63.00 66.00 69.00
Continuous
mA 0.71 1.20 1.90 0.31 0.52 0.81 0.93 2.00 3.20 0.45 0.99 1.60 15.00 31.00 55.00
(General Profile)
AKR* 1.26 2.45 4.20 0.51 1.02 1.77 1.63 4.72 9.11 0.77 2.29 4.42 0.07 0.17 0.32
kV 63.00 67.00 69.00
Continuous
mA Same as above 15.00 31.00 53.00
(Spine Profile)
AKR* 0.18 0.42 0.79
kV 63.00 66.00 68.00 61.00 64.00 67.00 63.00 69.00 77.00
63.00 69.00 77.00
4 PPS mA 2.10 3.60 5.70 0.38 0.67 1.00 3.70 8.10 11.00
1.80 4.00 5.40
AKR* 0.58 1.11 1.90 0.13 0.23 0.38 1.00 2.74 4.97
0.51 1.35 2.48
kV 62.00 66.00 68.00 61.00 65.00 67.00 64.00 70.00 78.00
64.00 70.00 78.00
8 PPS mA 2.10 3.60 5.60 0.82 1.40 2.20 3.80 8.30 11.00
1.90 4.10 5.60
AKR* 0.99 1.87 3.18 0.42 0.78 1.29 1.85 5.08 9.24
0.95 2.53 4.67
kV 62.00 65.00 68.00 61.00 65.00 67.00 66.00 73.00 82.00
66.00 73.00 81.00
15 PPS mA 2.10 3.50 5.60 0.81 1.40 2.20 2.40 4.90 6.60
1.10 2.40 3.20
AKR* 1.26 2.37 4.02 0.56 1.02 1.64 1.74 4.42 8.08
0.93 2.32 4.12
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 60.00 63.00 64.00 60.00 63.00 64.00
Continuous mA 5.60 8.90 10.00 2.70 5.40 9.10
AKR* 9.32 16.70 20.10 4.43 10.10 17.90
N/A
kV 61.00 64.00 65.00 61.00 63.00 64.00
8 PPS mA 6.20 10.00 11.00 2.90 6.00 10.00
AKR* 2.52 4.60 5.33 1.20 2.79 4.73
N/A
kV 62.00 65.00 67.00 62.00 65.00 66.00 63.00 66.00 70.00 65.00 66.00 66.00
15 PPS mA 7.70 13.00 14.00 3.80 7.80 12.00 19.00 49.00 94.00 11.00 29.00 41.00
AKR* 4.21 7.98 8.98 2.13 4.85 7.74 4.33 13.30 29.60 2.79 7.91 11.20
kV 63.00 67.00 71.00 65.00 67.00 67.00
30 PPS mA N/A 19.00 50.00 95.00 11.00 29.00 42.00
AKR* 8.80 27.20 60.00 5.60 16.30 23.00
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00
Continuous mA 3.50 5.90 7.80 2.40 4.40 6.30 0.92 1.80 2.80 0.61 1.20 1.80
AKR* 14.60 26.70 36.50 9.94 19.70 29.40 3.84 8.20 13.10 2.55 5.40 8.63
kV 85.00 89.00 90.00 85.00 88.00 90.00 84.00 87.00 89.00 84.00 87.00 89.00
8 PPS mA 3.60 6.30 8.30 2.40 4.50 6.60 2.50 5.00 7.70 1.50 3.00 4.70
AKR* 3.87 7.14 9.67 2.72 5.20 7.77 2.75 5.56 8.79 1.80 3.53 5.51
kV 85.00 89.00 89.00 85.00 88.00 89.00 84.00 87.00 89.00 83.00 87.00 89.00
15 PPS mA 5.70 9.90 13.00 3.80 7.40 10.00 2.50 4.90 7.80 1.50 3.00 4.70
AKR* 7.65 13.90 18.10 5.27 10.50 14.50 3.59 7.13 11.40 2.39 4.60 7.09
* AKR is mGy/min
A-69
Appendix A: Dose rates
31cm Cardiac without grid - International 5 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 66.00 69.00 63.00 66.00 68.00 63.00 69.00 74.00 63.00 69.00 74.00 63.00 66.00 69.00
Continuous mA 0.78 1.30 2.10 0.35 0.57 0.90 1.00 2.10 3.50 0.50 1.00 1.70 15.00 31.00 55.00
AKR 1.50 2.85 4.98 0.67 1.27 2.16 1.89 5.17 10.50 0.96 2.58 5.20 0.07 0.17 0.32
kV 63.00 66.00 69.00 62.00 66.00 68.00 64.00 71.00 79.00 64.00 70.00 79.00
4 PPS mA 2.20 3.70 5.90 0.88 1.50 2.30 3.90 8.50 12.00 1.90 4.20 5.90
AKR 0.59 1.13 1.99 0.27 0.49 0.82 1.12 3.07 5.78 0.58 1.53 2.91
kV 62.00 66.00 68.00 62.00 65.00 68.00 65.00 72.00 80.00 65.00 71.00 80.00
8 PPS mA 2.10 3.60 5.70 0.84 1.40 2.30 4.10 8.90 13.00 2.00 4.30 6.30 N/A
AKR 1.00 1.91 3.32 0.44 0.81 1.36 2.08 5.78 10.80 1.07 2.84 5.55
kV 62.00 65.00 68.00 61.00 65.00 67.00 68.00 75.00 85.00 67.00 74.00 84.00
15 PPS mA 2.10 3.60 5.70 0.83 1.40 2.20 2.50 5.20 7.30 1.20 2.50 3.50
AKR 1.26 2.40 4.20 0.58 1.04 1.72 1.90 5.03 9.49 1.04 2.58 4.74
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 6.10 10.00 11.00 3.00 6.10 10.00
AKR 10.40 20.00 23.50 5.16 11.80 20.90
N/A
kV 61.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.70 11.00 12.00 3.20 6.80 11.00 N/A
AKR 2.80 5.31 6.24 1.37 3.22 5.50
kV 63.00 65.00 68.00 62.00 66.00 66.00 63.00 68.00 72.00 65.00 67.00 68.00
15 PPS mA 8.10 14.00 15.00 4.10 8.40 14.00 20.00 52.00 100.00 11.00 31.00 46.00
AKR 4.54 8.83 10.20 2.37 5.41 8.88 4.93 14.70 33.60 2.89 8.89 13.10
kV 63.00 68.00 72.00 65.00 67.00 68.00
30 PPS mA N/A 20.00 52.00 100.00 11.00 31.00 46.00
AKR 9.89 29.50 67.70 5.78 18.00 26.40
* AKR is mGy/min
A-70
Appendix A: Dose rates
9 in with grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 80.00 82.00 78.00 80.00 82.00 78.00 84.00 91.00 78.00 84.00 91.00 77.42 79.56 80.70
Continuous mA 1.60 2.40 3.50 0.69 1.10 1.60 3.20 4.60 6.20
1.60 2.30 3.10 27.15 48.85 47.33
AKR* 5.93 9.79 15.00 2.54 4.26 6.56 12.10 20.80 33.70 5.94 10.50 16.90 0.20 0.49 0.90
kV 78.00 81.00 82.00 78.00 82.00 84.00 80.00 87.00 94.00 80.00 87.00 95.00
4 PPS** mA 4.50 7.00 10.00 0.93 1.50 2.20 14.00 20.00 26.00 6.90 9.90 13.00
AKR* 2.47 4.12 6.10 0.62 1.00 1.51 7.62 13.20 21.50 3.87 6.70 10.90
kV 78.00 81.00 82.00 78.00 81.00 82.00 81.00 88.00 97.00 81.00 88.00 96.00
8 PPS mA 4.40 6.90 10.00 1.80 2.70 4.00 12.00 20.00 27.00 6.30 10.00 13.00 N/A
AKR* 4.13 6.85 10.10 1.78 2.86 4.34 12.20 24.60 40.20 6.38 12.40 19.90
kV 78.00 81.00 82.00 78.00 81.00 83.00 85.00 94.00 103.00 86.00 94.00 103.00
15 PPS mA 4.50 7.00 10.00 1.70 2.60 3.90 10.00 13.00 18.00 5.30 6.50 9.10
AKR* 5.34 8.86 12.90 2.32 3.68 5.63 14.90 22.90 39.40 8.04 12.20 20.70
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 79.00 89.00 72.00 77.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 66.20 89.80 110.00 43.50 63.40 83.40
N/A
kV 75.00 82.00 91.00 73.00 79.00 89.00
8 PPS mA 20.00 22.00 21.00 15.00 18.00 17.00 N/A
AKR* 16.20 22.10 27.40 11.50 16.10 20.80
kV 80.00 87.00 98.00 77.00 85.00 97.00 76.00 85.00 99.00 79.00 79.00 79.00
15 PPS mA 19.00 22.00 20.00 17.00 17.00 16.00 100.00 119.00 127.00 34.00 47.00 66.00
AKR* 22.90 31.70 38.90 18.00 24.00 30.80 42.60 67.00 103.00 16.40 22.80 31.30
kV 76.00 85.00 99.00 79.00 79.00 79.00
30 PPS mA N/A 101.00 119.00 127.00 34.00 47.00 67.00
AKR* 86.20 136.00 207.00 33.20 45.30 62.80
* AKR is mGy/min
A-71
Appendix A: Dose rates
9 in without grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 68.00 69.00 66.00 68.00 70.00 65.00 70.00 75.00
66.00 71.00 75.00 65.59 68.28 69.80
Continuous mA 0.90 1.40 2.10 0.41 0.63 0.94 1.80 2.70 3.80 0.90 1.40 1.90 16.35 35.57 55.27
AKR* 1.96 3.39 5.31 0.92 1.55 2.43 3.85 7.02 11.80 1.96 3.65 6.02 0.08 0.19 0.39
kV 64.00 67.00 69.00 65.00 68.00 70.00 66.00 71.00 75.00
65.00 71.00 76.00
4 PPS** mA 2.40 3.80 5.70 0.52 0.82 1.30 7.30 11.00 15.00 3.50 5.50 7.90
AKR* 0.71 1.24 1.98 0.21 0.34 0.53 2.20 3.95 6.65 1.10 2.07 3.55
kV 64.00 66.00 68.00 64.00 67.00 69.00 66.00 71.00 76.00
66.00 72.00 76.00
8 PPS mA 2.30 3.70 5.60 0.93 1.50 2.30 6.60 11.00 16.00 3.30 5.70 8.10 N/A
AKR* 1.19 2.05 3.29 0.55 0.93 1.46 3.57 7.34 12.30 1.80 3.82 6.35
kV 64.00 66.00 68.00 64.00 67.00 69.00 69.00 75.00 80.00
69.00 75.00 80.00
15 PPS mA 2.30 3.70 5.70 0.90 1.50 2.30 4.20 7.70 13.00 2.10 3.80 6.70
AKR* 1.52 2.63 4.25 0.73 1.24 1.94 3.39 7.36 14.50 1.81 3.79 7.61
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 69.00 63.00 65.00 68.00
Continuous mA 8.90 16.00 19.00 4.50 9.20 16.00
AKR* 17.30 34.80 47.70 8.69 19.70 39.40
N/A
kV 63.00 66.00 70.00 63.00 66.00 70.00
8 PPS mA 9.50 17.00 19.00 5.10 9.90 16.00 N/A
AKR* 4.38 8.96 11.90 2.41 5.15 9.95
kV 64.00 69.00 74.00 65.00 68.00 74.00 63.00 67.00 70.00 67.00 67.00 67.00
15 PPS mA 13.00 20.00 21.00 7.40 12.00 18.00 40.00 66.00 99.00 19.00 26.00 34.00
AKR* 8.14 14.20 18.80 4.83 8.84 15.30 9.32 18.80 31.70 5.33 7.55 9.94
kV 63.00 68.00 71.00 67.00 68.00 67.00
30 PPS mA N/A 40.00 66.00 99.00 18.00 26.00 35.00
AKR* 19.00 38.30 63.60 10.60 15.40 20.10
* AKR is mGy/min
A-72
Appendix A: Dose rates
12in with grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 76.00 77.00 78.00 76.00 78.00 79.00 75.00 81.00 85.0075.00 81.00 86.00 76.00 79.00 79.00
Continuous mA 1.30 2.00 3.00 0.57 0.92 1.40 1.90 3.30 4.50 0.96 1.70 2.30 26.00 49.00 48.00
AKR* 4.17 6.82 10.50 1.84 3.15 4.87 5.94 12.40 19.40 3.03 6.33 10.00 0.19 0.49 0.87
kV 76.00 78.00 80.00 76.00 78.00 81.00 76.00 81.00 90.0076.00 82.00 90.00
4 PPS** mA 3.70 5.90 8.90 0.77 1.30 1.90 6.50 12.00 16.00 3.20 6.10 8.10
AKR* 1.71 2.87 4.48 0.46 0.73 1.12 2.91 6.27 10.70 1.52 3.30 5.55
kV 76.00 78.00 79.00 76.00 78.00 79.00 77.00 82.00 91.0077.00 83.00 92.00
8 PPS mA 3.60 5.80 8.80 1.40 2.40 3.50 6.90 12.00 15.00 3.40 6.30 7.60 N/A
AKR* 2.88 4.85 7.51 1.30 2.13 3.23 5.58 11.60 17.90 2.83 6.12 9.53
kV 76.00 78.00 80.00 76.00 78.00 80.00 81.00 88.00 98.0081.00 87.00 98.00
15 PPS mA 3.60 5.90 9.00 1.40 2.30 3.40 5.60 8.60 10.00 2.70 4.10 5.30
AKR* 3.75 6.35 9.90 1.71 2.76 4.18 6.63 12.10 18.80 3.50 6.21 10.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 70.00 74.00 68.00 70.00 71.00
Continuous mA 13.00 19.00 17.00 7.10 11.00 16.00
AKR* 31.30 51.20 51.50 16.90 28.20 43.80
N/A
kV 69.00 71.00 75.00 69.00 71.00 72.00
8 PPS mA 14.00 21.00 17.00 7.80 12.00 17.00 N/A
AKR* 8.21 13.30 13.00 4.59 7.43 11.20
kV 71.00 74.00 81.00 71.00 73.00 76.00 73.00 76.00 84.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 19.00 9.40 14.00 18.00 52.00 83.00 110.00 19.00 46.00 58.00
AKR* 13.30 19.80 20.80 7.77 12.10 17.20 19.00 33.00 54.60 7.67 18.30 22.30
kV 73.00 77.00 84.00 75.00 76.00 75.00
30 PPS mA N/A 53.00 84.00 110.00 19.00 46.00 58.00
AKR* 38.40 67.20 111.00 15.60 36.70 45.10
* AKR is mGy/min
A-73
Appendix A: Dose rates
12in without grid - International 5
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 67.00 64.00 66.00 68.00 63.00 68.00 73.00
63.00 68.00 73.00 63.00 66.00 68.00
Continuous mA 0.76 1.20 1.90 0.34 0.54 0.84 0.96 2.00 2.80 0.49 0.99 1.40 15.00 33.00 56.00
AKR* 1.51 2.61 4.37 0.69 1.20 2.03 1.88 4.86 8.07 0.98 2.44 4.12 0.06 0.17 0.38
kV 63.00 66.00 68.00 63.00 66.00 69.00 63.00 69.00 76.00
64.00 68.00 76.00
4 PPS** mA 2.10 3.50 5.50 0.45 0.74 1.20 3.70 7.70 10.00 1.90 3.80 5.20
AKR* 0.63 1.09 1.85 0.17 0.29 0.47 1.04 2.64 4.48 0.55 1.34 2.40
kV 63.00 65.00 68.00 63.00 66.00 68.00 64.00 70.00 77.00
64.00 69.00 77.00
8 PPS mA 2.10 3.40 5.40 0.84 1.40 2.20 3.80 8.00 10.00 1.90 3.90 5.10 N/A
AKR* 1.06 1.84 3.11 0.49 0.83 1.36 1.91 4.88 7.94 1.02 2.45 4.21
kV 63.00 66.00 68.00 63.00 66.00 68.00 67.00 73.00 81.00
67.00 73.00 81.00
15 PPS mA 2.10 3.40 5.40 0.81 1.30 2.10 2.30 4.70 5.70 1.20 2.40 2.80
AKR* 1.38 2.39 4.04 0.64 1.08 1.77 1.83 4.32 6.88 1.05 2.35 3.68
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 64.00 65.00 61.00 63.00 64.00
Continuous mA 5.80 8.50 9.60 2.80 5.00 8.40
AKR* 10.50 17.10 20.50 5.00 10.00 17.40
N/A
kV 62.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.40 9.40 11.00 2.90 5.50 9.10 N/A
AKR* 2.84 4.56 5.50 1.32 2.67 4.51
kV 63.00 65.00 67.00 63.00 65.00 66.00 63.00 66.00 70.00 65.00 66.00 67.00
15 PPS mA 7.90 12.00 13.00 3.80 7.30 12.00 19.00 47.00 81.00 11.00 27.00 35.00
AKR* 4.73 7.93 9.29 2.28 4.75 7.62 4.61 13.00 25.40 2.97 7.63 9.96
kV 63.00 66.00 70.00 65.00 66.00 67.00
30 PPS mA N/A 18.00 47.00 81.00 11.00 27.00 36.00
AKR* 9.15 26.20 51.30 5.95 15.30 20.10
* AKR is mGy/min
A-74
Appendix A: Dose rates
International 6
* AKR is mGy/min
A-75
Appendix A: Dose rates
21cm without grid - International 6
Standard Fluoro / Low DoseFluoro /
6 Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 67.00 70.00 72.00 67.00 70.00 72.00 64.00 69.00 73.00 64.00 69.00 72.00 68.00 72.00 73.00
(General Pro- mA 2.10 3.40 5.00 0.94 1.50 2.20 3.50 6.30 11.00 1.80 3.20 5.30 18.00 36.00 55.00
file) AKR* 4.78 8.69 13.80 2.14 3.91 6.13 7.29 15.90 30.10 3.64 7.97 14.80 0.08 0.20 0.40
kV 68.00 72.00 73.00
Continuous
mA Same as above 18.00 36.00 54.00
(Spine Profile)
AKR* 0.21 0.49 1.04
kV 66.00 69.00 71.00 65.00 69.00 70.00 65.00 72.00
76.00 65.00 72.00 76.00
4 PPS mA 5.70 9.10 14.00 1.10 1.80 2.60 14.00 22.00
35.00 7.20 11.00 18.00
AKR* 1.73 3.12 4.93 0.37 0.65 1.00 4.07 8.10
15.30 2.08 4.08 7.59
kV 65.00 69.00 70.00 65.00 69.00 70.00 66.00 73.00
77.00 66.00 73.00 77.00
8 PPS mA 5.60 9.00 13.00 2.30 3.60 5.50 15.00 22.00
37.00 7.40 11.00 18.00
AKR* 2.89 5.26 8.26 1.22 2.19 3.45 7.50 15.00
28.40 3.85 7.56 14.00
kV 65.00 69.00 70.00 65.00 68.00 70.00 69.00 77.00
82.00 69.00 77.00 81.00
15 PPS mA 5.70 9.10 13.00 2.20 3.60 5.50 17.00 25.00
40.00 8.50 12.00 20.00
AKR* 3.72 6.77 10.30 1.56 2.78 4.43 12.10 24.00
44.30 6.42 12.10 22.00
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 68.00 74.00 63.00 67.00 72.00
Continuous mA 10.00 19.00 21.00 4.90 11.00 17.00
AKR* 20.10 45.10 62.10 9.70 24.70 47.40
N/A
kV 64.00 69.00 76.00 64.00 68.00 74.00
8 PPS mA 12.00 20.00 21.00 5.80 12.00 18.00
AKR* 5.82 11.20 15.50 2.82 6.69 12.10
N/A
kV 65.00 72.00 81.00 66.00 71.00 79.00 64.00 70.00 75.00 67.00 69.00 69.00
15 PPS mA 17.00 21.00 22.00 8.20 14.00 18.00 59.00 102.00 109.00 24.00 39.00 51.00
AKR* 10.40 17.30 23.60 5.49 11.10 18.10 14.30 31.30 40.00 6.95 12.00 15.60
kV 64.00 70.00 75.00 68.00 69.00 70.00
30 PPS mA N/A 59.00 104.00 109.00 24.00 39.00 51.00
AKR* 29.00 64.10 80.80 14.00 24.30 31.50
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 84.00 86.00 87.00 84.00 86.00 87.00 84.00 85.00 87.00 84.00 86.00 87.00
Continuous mA 4.30 8.90 12.00 3.00 6.70 9.60 1.30 2.20 3.40 0.85 1.40 2.30
AKR* 15.50 33.90 47.50 10.60 25.20 38.10 4.57 8.11 13.40 3.03 5.42 8.88
kV 85.00 87.00 89.00 84.00 87.00 88.00 83.00 85.00 87.00 83.00 85.00 87.00
8 PPS mA 4.60 9.30 13.00 3.10 7.00 10.00 3.50 6.00 9.50 2.10 3.70 5.90
AKR* 4.29 8.81 12.50 3.03 6.75 10.00 3.22 5.61 9.08 2.09 3.53 5.74
kV 84.00 86.00 88.00 84.00 86.00 88.00 83.00 85.00 87.00 82.00 85.00 87.00
15 PPS mA 7.30 14.00 20.00 4.90 11.00 16.00 3.50 6.00 9.30 2.10 3.60 5.80
AKR* 8.39 16.60 23.90 5.74 12.60 19.10 4.16 7.17 11.30 2.75 4.57 7.34
* AKR is mGy/min
A-76
Appendix A: Dose rates
31cm with grid - International 6
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 77.00 79.00 80.00 76.00 79.00 79.00 76.00 79.00 82.00 76.00 79.00 82.00 79.00 82.00 82.00
(General Pro- mA 2.10 3.30 4.80 0.89 1.50 2.10 3.90 6.10 9.70 1.90 3.00 4.90 21.00 41.00 49.00
file) AKR* 6.81 12.00 17.20 2.87 5.15 7.44 12.40 21.50 38.30 6.05 10.50 19.10 0.18 0.38 0.67
kV 79.00 81.00 82.00
Continuous
mA Same as above 21.00 40.00 49.00
(Spine Profile)
AKR* 0.45 0.92 1.68
kV 79.00 81.00 81.00 77.00 80.00 80.00 77.00 81.00 86.00
77.00 80.00 86.00
4 PPS mA 6.20 9.90 14.00 1.20 1.90 2.70 16.00 25.00 35.00
8.00 12.00 17.00
AKR* 3.03 5.18 7.43 0.64 1.08 1.50 7.37 12.50 20.60
3.72 6.21 10.30
kV 78.00 81.00 81.00 77.00 80.00 81.00 79.00 82.00 88.00
79.00 82.00 87.00
8 PPS mA 6.10 9.70 14.00 2.40 3.90 5.60 17.00 25.00 36.00
8.40 13.00 18.00
AKR* 5.07 8.67 12.40 2.13 3.62 5.16 13.80 23.00 38.70
6.98 11.60 19.20
kV 78.00 80.00 81.00 77.00 80.00 81.00 83.00 86.00 95.00
82.00 86.00 94.00
15 PPS mA 6.10 9.70 14.00 2.40 3.90 5.70 19.00 29.00 38.00
9.50 14.00 19.00
AKR* 6.56 10.90 15.50 2.76 4.65 6.70 22.50 37.80 62.00
11.30 18.70 30.70
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 67.00 70.00 72.00 67.00 69.00 70.00
Continuous mA 13.00 20.00 17.00 7.30 11.00 17.00
AKR* 29.60 50.50 47.50 16.50 28.60 43.00
N/A
kV 68.00 71.00 74.00 68.00 70.00 72.00
8 PPS mA 14.00 21.00 17.00 7.90 12.00 17.00
AKR* 7.74 12.60 12.20 4.42 7.42 10.90
N/A
kV 71.00 73.00 79.00 70.00 73.00 76.00 74.00 77.00 85.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.10 14.00 18.00 74.00 130.00 150.00 31.00 53.00 73.00
AKR* 12.70 18.80 19.40 7.01 12.10 16.90 26.40 52.60 77.90 11.90 20.90 27.40
kV 74.00 77.00 86.00 75.00 76.00 75.00
30 PPS mA N/A 75.00 131.00 150.00 32.00 54.00 74.00
AKR* 53.80 106.00 158.00 24.40 42.30 55.30
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 95.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00 94.00
Continuous mA 6.50 8.90 11.00 4.60 6.80 8.40 1.40 2.50 3.70 0.93 1.70 2.40
AKR* 35.50 48.10 56.90 24.90 36.50 45.20 7.71 13.60 19.70 5.03 8.97 13.20
kV 95.00 95.00 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 94.00
8 PPS mA 6.90 9.40 11.00 4.70 7.10 8.80 3.90 7.10 10.00 2.40 4.30 6.30
AKR* 9.37 12.50 14.40 6.59 9.64 11.80 5.40 9.39 13.20 3.49 5.84 8.36
kV 95.00 95.00 95.00 95.00 94.00 94.00 94.00 94.00 94.00 93.00 94.00 94.00
15 PPS mA 11.00 15.00 17.00 7.80 11.00 14.00 3.90 7.10 10.00 2.30 4.20 6.30
AKR* 17.70 23.90 28.00 13.30 18.20 22.40 6.99 12.00 16.50 4.60 7.53 10.80
* AKR is mGy/min
A-77
Appendix A: Dose rates
31cm Cardiac with grid - International 6 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 81.00 83.00 79.00 82.00 83.00 77.00 81.00 85.00 77.00 81.00 85.00 79.00 82.00 82.00
Continuous mA 2.20 3.60 5.30 0.97 1.60 2.30 4.10 6.50 11.00 2.00 3.20 5.40 21.00 41.00 49.00
AKR 7.55 13.40 20.60 3.34 5.97 9.12 13.60 23.90 45.90 6.77 12.00 22.80 0.18 0.38 0.67
kV 78.00 81.00 83.00 78.00 81.00 83.00 79.00 83.00 91.00 79.00 83.00 90.00
4 PPS mA 6.20 10.00 15.00 2.50 4.20 6.20 17.00 26.00 38.00 8.60 13.00 19.00
AKR 2.99 5.26 8.02 1.29 2.25 3.42 8.23 14.20 25.10 4.23 7.13 12.60
kV 78.00 81.00 83.00 77.00 81.00 83.00 80.00 84.00 93.00 81.00 84.00 93.00
8 PPS mA 6.20 9.90 15.00 2.50 4.00 6.00 18.00 28.00 38.00 9.00 14.00 19.00 N/A
AKR 5.13 8.82 13.60 2.14 3.76 5.75 15.30 26.70 45.90 7.86 13.30 23.00
kV 78.00 81.00 82.00 77.00 81.00 82.00 85.00 89.00 102.00 84.00 89.00 101.00
15 PPS mA 6.10 9.90 15.00 2.40 4.00 6.00 20.00 32.00 38.00 10.00 16.00 19.00
AKR 6.49 11.10 16.90 2.77 4.80 7.33 24.80 43.50 72.20 12.40 21.70 36.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 71.00 76.00 68.00 71.00 73.00
Continuous mA 15.00 21.00 18.00 8.10 13.00 17.00
AKR 34.60 55.00 56.30 19.10 33.30 49.70
N/A
kV 69.00 72.00 78.00 69.00 72.00 75.00
8 PPS mA 15.00 22.00 18.00 8.70 13.00 18.00 N/A
AKR 8.92 13.70 14.40 5.11 8.54 12.70
kV 72.00 75.00 84.00 71.00 75.00 81.00 75.00 80.00 91.00 76.00 78.00 77.00
15 PPS mA 18.00 22.00 19.00 9.80 15.00 18.00 80.00 134.00 150.00 33.00 58.00 82.00
AKR 14.20 20.20 22.50 7.92 13.60 19.90 29.90 58.70 90.40 13.20 23.50 32.80
kV 75.00 80.00 91.00 76.00 78.00 77.00
30 PPS mA N/A 80.00 134.00 150.00 34.00 58.00 82.00
AKR 60.20 118.00 181.00 26.70 47.80 66.30
* AKR is mGy/min
A-78
Appendix A: Dose rates
31cm without grid - International 6
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
Continuous kV 64.00 67.00 69.00 63.00 67.00 69.00 62.00 67.00 71.00 62.00 67.00 71.00 66.00 69.00 71.00
(General Pro- mA 1.30 2.30 3.40 0.57 0.98 1.50 2.40 4.10 6.90 1.20 2.00 3.40 12.00 26.00 46.00
file) AKR* 2.60 5.19 8.29 1.08 2.20 3.54 4.41 9.35 18.40 2.16 4.59 9.01 0.07 0.15 0.30
kV 66.00 69.00 71.00
Continuous
mA Same as above 12.00 25.00 45.00
(Spine Profile)
AKR* 0.16 0.38 0.72
kV 65.00 69.00 70.00 64.00 67.00 69.00 64.00 69.00
74.00 64.00 69.00 74.00
4 PPS mA 3.90 6.70 9.90 0.72 1.30 1.90 10.00 17.00
24.00 5.00 8.30 12.00
AKR* 1.13 2.29 3.52 0.24 0.46 0.71 2.68 5.47
9.58 1.35 2.76 4.75
kV 65.00 69.00 70.00 64.00 68.00 69.00 64.00 70.00
75.00 64.00 70.00 75.00
8 PPS mA 3.80 6.60 9.90 1.50 2.60 3.90 10.00 17.00
24.00 5.20 8.60 12.00
AKR* 1.90 3.83 6.01 0.80 1.56 2.42 4.96 10.10
17.60 2.52 5.11 8.73
kV 65.00 69.00 70.00 64.00 68.00 70.00 67.00 73.00
79.00 68.00 73.00 78.00
15 PPS mA 3.80 6.70 9.90 1.50 2.60 3.90 12.00 19.00
27.00 5.90 9.70 13.00
AKR* 2.46 4.95 7.72 1.06 2.04 3.14 7.88 15.90
27.90 4.18 8.42 13.70
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 60.00 63.00 64.00 60.00 63.00 64.00
Continuous mA 5.60 8.90 10.00 2.70 5.40 9.10
AKR* 9.30 16.70 20.10 4.43 10.10 17.90
N/A
kV 61.00 64.00 65.00 61.00 63.00 64.00
8 PPS mA 6.20 10.00 11.00 2.90 6.00 10.00
AKR* 2.51 4.60 5.34 1.21 2.78 4.74
N/A
kV 62.00 65.00 67.00 62.00 65.00 66.00 63.00 67.00 70.00 65.00 67.00 66.00
15 PPS mA 7.70 13.00 14.00 3.80 7.80 12.00 36.00 74.00 118.00 18.00 33.00 47.00
AKR* 4.22 7.87 9.01 2.13 4.86 7.77 8.17 20.00 37.20 4.55 9.16 12.80
kV 63.00 67.00 71.00 65.00 67.00 67.00
30 PPS mA N/A 36.00 75.00 120.00 18.00 33.00 48.00
AKR* 16.80 40.80 76.40 9.09 18.40 26.00
Subtract CO2 Low Roadmap CO2
Subtract CO2 Roadmap CO2
Imaging Mode Dose Low Dose
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00 85.00 88.00 89.00
Continuous mA 3.50 5.90 7.80 2.40 4.40 6.30 0.92 1.80 2.80 0.61 1.20 1.80
AKR* 14.60 26.70 36.50 9.94 19.70 29.40 3.84 8.20 13.10 2.55 5.40 8.63
kV 85.00 89.00 90.00 85.00 88.00 90.00 84.00 87.00 89.00 84.00 87.00 89.00
8 PPS mA 3.60 6.30 8.30 2.40 4.50 6.60 2.50 5.00 7.70 1.50 3.00 4.70
AKR* 3.87 7.14 9.67 2.72 5.20 7.77 2.75 5.56 8.79 1.80 3.53 5.51
kV 85.00 89.00 89.00 85.00 88.00 89.00 84.00 87.00 89.00 83.00 87.00 89.00
15 PPS mA 5.70 9.90 13.00 3.80 7.40 10.00 2.50 4.90 7.80 1.50 3.00 4.70
AKR* 7.65 13.90 18.10 5.27 10.50 14.50 3.59 7.13 11.40 2.39 4.60 7.09
* AKR is mGy/min
A-79
Appendix A: Dose rates
31cm Cardiac without grid - International 6 (2020-09-09)
Standard Fluoro / Low Dose Fluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 69.00 71.00 65.00 69.00 71.00 63.00 68.00 73.00 63.00 68.00 73.00 66.00 69.00 71.00
Continuous mA 1.40 2.40 3.60 0.62 1.10 1.60 2.50 4.30 7.20 1.30 2.20 3.60 12.00 26.00 46.00
AKR 2.95 5.76 9.34 1.29 2.55 4.16 4.92 10.20 20.50 2.46 5.17 10.20 0.07 0.15 0.30
kV 65.00 69.00 71.00 64.00 68.00 70.00 65.00 70.00 76.00 65.00 70.00 76.00
4 PPS mA 3.90 6.80 10.00 1.60 2.70 4.10 11.00 18.00 25.00 5.30 8.80 13.00
AKR 1.13 2.29 3.62 0.49 0.95 1.52 3.00 6.08 10.80 1.52 3.11 5.44
kV 64.00 69.00 70.00 64.00 68.00 70.00 66.00 71.00 77.00 66.00 71.00 77.00
8 PPS mA 3.90 6.70 9.90 1.60 2.70 4.00 11.00 18.00 26.00 5.50 9.10 13.00 N/A
AKR 1.92 3.86 6.09 0.83 1.59 2.54 5.52 11.20 20.10 2.83 5.75 10.00
kV 64.00 69.00 70.00 64.00 68.00 70.00 69.00 74.00 81.00 69.00 74.00 81.00
15 PPS mA 3.80 6.70 9.90 1.50 2.60 4.00 12.00 20.00 30.00 6.20 10.00 15.00
AKR 2.45 4.97 7.63 1.06 2.03 3.25 8.77 17.80 32.40 4.64 8.89 16.10
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 6.10 10.00 11.00 3.10 6.20 10.00
AKR 10.40 20.10 23.50 5.30 12.00 21.30
N/A
kV 61.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.70 11.00 12.00 3.20 6.80 11.00 N/A
AKR 2.81 5.31 6.24 1.37 3.21 5.59
kV 63.00 65.00 68.00 62.00 66.00 66.00 64.00 68.00 72.00 65.00 67.00 68.00
15 PPS mA 8.20 14.00 15.00 4.10 8.50 14.00 39.00 80.00 130.00 19.00 36.00 53.00
AKR 4.59 8.90 10.30 2.35 5.47 8.95 9.41 22.70 43.80 5.08 10.10 15.10
kV 64.00 68.00 72.00 66.00 68.00 68.00
30 PPS mA N/A 39.00 81.00 131.00 19.00 36.00 53.00
AKR 19.10 45.80 88.10 10.20 20.50 30.40
* AKR is mGy/min
A-80
Appendix A: Dose rates
9 in with grid - International 6
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 79.00 80.00 83.00 78.00 81.00 83.00 77.00 81.00 84.00 77.00 81.00 84.00 78.12 79.68 81.40
Continuous mA 3.30 4.80 6.40 1.40 2.10 2.80 5.60 9.30 15.00
2.80 4.60 7.30 26.90 48.95 47.33
AKR* 12.50 19.50 27.90 5.43 8.62 12.30 20.60 38.40 66.00 10.30 18.90 32.70 0.21 0.50 0.82
kV 80.00 81.00 83.00 79.00 81.00 84.00 80.00 86.00 97.00 79.00 86.00 97.00
4 PPS** mA 9.40 14.00 18.00 1.90 2.90 3.80 24.00 34.00 40.00 12.00 17.00 20.00
AKR* 5.13 7.86 11.00 1.12 1.77 2.47 12.90 22.10 34.30 6.43 11.00 17.30
kV 79.00 81.00 83.00 79.00 81.00 83.00 81.00 88.00 100.00 80.00 87.00 99.00
8 PPS mA 9.30 14.00 18.00 3.60 5.50 7.20 25.00 36.00 40.00 12.00 18.00 20.00 N/A
AKR* 8.68 13.20 18.50 3.48 5.53 7.74 24.20 41.30 63.60 11.90 20.50 31.70
kV 79.00 81.00 83.00 79.00 81.00 84.00 85.00 94.00 108.00 85.00 93.00 108.00
15 PPS mA 9.30 13.00 18.00 3.50 5.30 7.00 28.00 38.00 38.00 14.00 19.00 20.00
AKR* 11.00 16.40 23.40 4.35 6.88 9.76 38.80 66.70 93.00 19.20 32.90 48.60
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 73.00 79.00 89.00 72.00 77.00 87.00
Continuous mA 21.00 23.00 21.00 14.00 17.00 17.00
AKR* 66.00 89.80 110.00 43.70 63.60 83.60
N/A
kV 75.00 82.00 92.00 74.00 79.00 89.00
8 PPS mA 20.00 22.00 21.00 15.00 18.00 17.00 N/A
AKR* 16.10 22.20 27.40 11.50 16.20 20.80
kV 80.00 87.00 98.00 77.00 85.00 97.00 76.00 85.00 98.00 79.00 79.00 79.00
15 PPS mA 19.00 22.00 20.00 17.00 17.00 16.00 125.00 149.00 132.00 43.00 62.00 81.00
AKR* 23.00 31.80 38.80 18.20 24.00 30.90 53.50 84.70 106.00 20.60 29.80 38.00
kV 76.00 85.00 98.00 79.00 79.00 79.00
30 PPS mA N/A 126.00 149.00 132.00 42.00 63.00 81.00
AKR* 108.00 170.00 212.00 41.00 60.20 76.90
* AKR is mGy/min
A-81
Appendix A: Dose rates
9 in without grid - International 6
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 66.00 68.00 69.00 66.00 68.00 69.00 63.00 67.00 69.0063.00 67.00 69.00 66.41 68.36 69.69
Continuous mA 2.10 3.10 4.60 0.92 1.40 2.00 3.40 5.80 9.50 1.70 2.90 4.80 16.30 35.72 55.91
AKR* 4.52 7.48 11.40 2.04 3.36 5.14 6.67 13.20 23.90 3.38 6.60 12.00 0.08 0.19 0.40
kV 65.00 67.00 68.00 64.00 67.00 69.00 63.00 69.00 73.0064.00 69.00 73.00
4 PPS** mA 5.60 8.50 13.00 1.10 1.80 2.70 14.00 20.00 32.00 6.90 9.90 16.00
AKR* 1.65 2.73 4.14 0.38 0.62 0.97 3.73 6.83 12.40 1.93 3.45 6.32
kV 64.00 67.00 68.00 64.00 67.00 68.00 64.00 70.00 74.0065.00 70.00 74.00
8 PPS mA 5.50 8.40 12.00 2.20 3.30 5.00 14.00 21.00 33.00 7.20 10.00 16.00 N/A
AKR* 2.77 4.61 6.93 1.13 1.88 2.94 6.88 12.60 23.00 3.58 6.32 11.40
kV 64.00 67.00 67.00 64.00 67.00 68.00 68.00 74.00 77.0068.00 73.00 77.00
15 PPS mA 5.50 8.50 12.00 2.10 3.20 4.80 16.00 23.00 37.00 8.20 11.00 18.00
AKR* 3.46 5.88 8.56 1.40 2.34 3.61 11.20 20.00 36.30 6.00 9.99 18.20
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 63.00 65.00 69.00 63.00 65.00 68.00
Continuous mA 8.80 16.00 19.00 4.50 9.30 16.00
AKR* 17.20 34.50 47.30 8.78 19.90 39.20
N/A
kV 63.00 66.00 70.00 63.00 66.00 70.00
8 PPS mA 9.30 17.00 19.00 5.10 9.90 16.00 N/A
AKR* 4.30 8.90 11.90 2.40 5.16 9.96
kV 64.00 69.00 74.00 65.00 68.00 74.00 63.00 67.00 71.00 67.00 67.00 67.00
15 PPS mA 14.00 20.00 21.00 7.30 12.00 18.00 56.00 90.00 105.00 23.00 35.00 45.00
AKR* 8.33 14.20 18.80 4.77 8.85 15.50 13.10 25.60 33.80 6.47 10.20 12.90
kV 63.00 67.00 71.00 67.00 68.00 67.00
30 PPS mA N/A 56.00 91.00 105.00 23.00 35.00 45.00
AKR* 26.30 52.00 67.70 13.10 20.50 26.00
* AKR is mGy/min
A-82
Appendix A: Dose rates
12in with grid - International 6
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 78.00 80.00 81.00 79.00 81.00 81.00 77.00 80.00 83.0077.00 80.00 83.00 78.00 82.00 82.00
Continuous mA 2.10 3.30 4.80 0.94 1.50 2.20 3.90 6.00 9.60
2.00 3.00 4.90 21.00 45.00 47.00
AKR* 7.21 12.20 18.00 3.29 5.54 8.20 12.90 21.60 38.40 6.54 10.90 19.40 0.16 0.39 0.72
kV 79.00 81.00 82.00 78.00 81.00 82.00 77.00 80.00 85.0077.00 80.00 86.00
4 PPS** mA 6.00 9.60 14.00 1.30 2.00 2.90 16.00 23.00 33.00 7.90 12.00 16.00
AKR* 2.98 4.99 7.33 0.73 1.19 1.72 7.14 11.70 19.10 3.72 5.98 9.74
kV 78.00 81.00 81.00 78.00 81.00 82.00 78.00 81.00 87.0079.00 81.00 87.00
8 PPS mA 6.00 9.60 14.00 2.40 3.80 5.60 16.00 25.00 34.00 8.20 12.00 17.00 N/A
AKR* 5.05 8.63 12.40 2.17 3.61 5.32 13.30 21.90 35.60 6.91 11.00 18.10
kV 78.00 81.00 82.00 78.00 81.00 82.00 83.00 86.00 93.0082.00 85.00 93.00
15 PPS mA 6.00 9.70 14.00 2.30 3.60 5.40 19.00 28.00 38.00 9.20 14.00 19.00
AKR* 6.53 11.20 15.80 2.75 4.51 6.65 21.60 35.40 58.70 10.90 17.60 29.40
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 68.00 70.00 74.00 67.00 70.00 71.00
Continuous mA 13.00 20.00 17.00 7.10 11.00 16.00
AKR* 31.00 52.30 51.80 16.90 28.20 44.00
N/A
kV 69.00 71.00 76.00 69.00 71.00 72.00
8 PPS mA 14.00 21.00 17.00 7.80 12.00 17.00 N/A
AKR* 8.23 13.10 13.10 4.60 7.44 11.20
kV 71.00 74.00 81.00 71.00 73.00 77.00 74.00 77.00 84.00 75.00 76.00 75.00
15 PPS mA 17.00 22.00 18.00 9.40 14.00 18.00 71.00 124.00 150.00 31.00 52.00 73.00
AKR* 13.50 19.80 20.90 7.73 12.10 17.30 25.70 49.50 75.60 12.10 20.80 28.00
kV 74.00 77.00 85.00 75.00 76.00 76.00
30 PPS mA N/A 71.00 125.00 150.00 31.00 52.00 73.00
AKR* 51.80 101.00 152.00 24.10 41.70 56.50
* AKR is mGy/min
A-83
Appendix A: Dose rates
12in without grid - International 6
Standard Fluoro / Low DoseFluoro /
HLF Low Dose HLF Digital Spot
Imaging Mode Roadmap Roadmap
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 65.00 67.00 69.00 65.00 68.00 70.00 63.00 67.00 71.0064.00 67.00 71.00 65.00 69.00 70.00
Continuous mA 1.40 2.20 3.30 0.60 0.98 1.50 2.40 4.00 6.60 1.20 2.00 3.30 12.00 27.00 51.00
AKR* 2.91 5.20 8.23 1.30 2.37 3.78 4.89 9.28 17.80 2.49 4.73 9.04 0.06 0.15 0.30
kV 65.00 68.00 70.00 65.00 68.00 70.00 64.00 68.00 73.0064.00 68.00 73.00
4 PPS** mA 3.90 6.40 9.50 0.79 1.30 2.00 9.80 16.00 22.00 4.90 7.80 11.00
AKR* 1.19 2.18 3.42 0.29 0.51 0.78 2.70 5.02 8.53 1.38 2.57 4.39
kV 65.00 68.00 70.00 65.00 68.00 70.00 64.00 69.00 74.0065.00 69.00 74.00
8 PPS mA 3.80 6.30 9.40 1.50 2.50 3.80 10.00 16.00 23.00 5.10 8.10 11.00 N/A
AKR* 2.01 3.67 5.77 0.87 1.54 2.40 4.99 9.26 15.70 2.58 4.78 7.96
kV 65.00 68.00 70.00 65.00 68.00 70.00 68.00 72.00 77.0068.00 73.00 77.00
15 PPS mA 3.80 6.40 9.60 1.40 2.40 3.60 11.00 18.00 25.00 5.80 9.30 13.00
AKR* 2.57 4.74 7.51 1.10 1.92 3.00 7.95 14.70 24.90 4.29 7.96 12.60
Low Dose Digital
Subtract Subtract Low Dose Digital Cine Pulse
Imaging Mode Cine Pulse
Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2 Norm Mag1 Mag2
kV 61.00 63.00 65.00 61.00 63.00 64.00
Continuous mA 5.70 8.40 9.60 2.70 5.00 8.40
AKR* 10.40 16.90 20.70 4.82 10.00 17.40
N/A
kV 62.00 64.00 66.00 61.00 64.00 65.00
8 PPS mA 6.40 9.40 11.00 2.90 5.50 9.10 N/A
AKR* 2.83 4.55 5.49 1.31 2.68 4.53
kV 63.00 65.00 67.00 63.00 65.00 66.00 63.00 66.00 70.00 65.00 66.00 66.00
15 PPS mA 7.90 12.00 13.00 3.80 7.20 12.00 35.00 69.00 108.00 17.00 31.00 44.00
AKR* 4.70 7.98 9.32 2.28 4.72 7.61 8.49 18.70 34.00 4.80 8.57 12.40
kV 63.00 66.00 70.00 65.00 66.00 66.00
30 PPS mA N/A 35.00 69.00 109.00 17.00 31.00 45.00
AKR* 17.10 38.10 69.10 9.55 17.30 24.90
* AKR is mGy/min
A-84
Appendix B: IQ and dose QA check data form
B-1
Appendix B: IQ and dose QA check data form
B-2
Index
Index Authentication
Application authentication
Enterprise setup 2-40
A Groups setup 2-37
Access modes 5-1 Local users setup 2-33
Additional Information Screen 4-4 Application authentication setup 2-31
After-sale operating and safety prac- Audit logging setup 2-44
tices 1-4
Certification management setup 2-47
Air kerma 5-47
Authentication setup 2-31
Air kerma rate 5-47
Autosave 5-18
Alarms 5-14
Available exams 8-4
Cumulative exposure 5-14
B
X-ray termination 5-14
Battery pack 3-35
Annotations
Blank button 3-33
Fine-tune placement 7-3
Blank key 1-16
Annotations screen 7-1
Brazil regional information 17-5
Anode warm and hot thresholds 14-4
Burns
Antivirus setup 2-27
Contact 1-13
Application authentication
Radiation 1-14
Enterprise setup 2-40
Buttons 3-80
Groups setup 2-37
Motorized C-Arm 3-78
Local users setup 2-33
Movement 3-80
Application authentication setup 2-31
Orientation 3-80
Archive images 8-30
Workstation operation 3-81
Configure storage device 8-33
Copy to archive device 8-35 C
I-1
Index
I-2
Index
I-3
Index
I-4
Index
I-5
Index
I-6
Index
I-7
Index
I-8
Index
I-9
Index
I-10
Index
A/D high MA out of range 14-9 Calibrate FPD maps 14-17, 14-36
A/D housing temp out of range 14-9 Camera iris calibration required 14-17
A/D inverter out of range 14-10 Camera iris error 14-17
A/D kVp sensor out of range 14-10 Cancel copy operation? 14-17
A/D low MA out of range 14-11 Cannot access user manual 14-17
A/D stator out of range 14-11 Cannot change password 14-18
A/D voltage out of range 14-12 Cannot communicate with the
Workstation keypad 14-18
Abandon selected exam with
selected abandon code? 14-12 Cannot connect to
DICOM server 14-18, 14-18
Access antivirus feature? 14-12
Cannot make connection to wire-
Anatomical profile(s) disabled 14-12
less network - Network is not
Anode is hot 14-13 FIPS compliant 14-18
Anode overheated 14-13 Cannot make connection to wire-
less network - Verify settings 14-19
Anti-virus file update required 14-13
Cannot make network con-
Append step to exam? 14-13 nection 14-19
Associate current images with Cannot mount file system on
this patient? 14-13 USB flash drive 14-19
Authentication failure 14-14 Cannot write to portable media 14-19
Account temporarily locked 14-14 Certificate creation failure 14-19
Invalid login and/or password 14-14 Certificate creation success 14-20
Banner imported successfully 14-14 Certificate export failure 14-20
Battery low 14-14 Certificate export success 14-20
Battery notice 14-15 Certificate import success 14-20
Bumper attached 14-15, 14-15 Certificate signing request not
C-Arm control panel dis- written to portable device 14-20
connected 14-15 Change security setting
C-Arm firmware incompatible 14-16 defaults? 14-20
C-Arm has been connected to Charger failed 14-21
Workstation 14-16 Charger failed, restart the sys-
C-Arm has been disconnected tem 14-21
from Workstation 14-16 Checking file system 14-21
C-Arm power lost 14-16 Cine run incomplete - One or
C-Arm reboot required 14-16 more frames have been lost 14-22
C-Arm restart required 14-16 Cine run incomplete - One or
more frames in this playback
Calibrate FPD dose 14-17, 14-36 have been lost 14-21
I-11
Index
I-12
Index
I-13
Index
I-14
Index
I-15
Index
I-16
Index
I-17
Index
Patient Horizontal
I-18
Index
I-19
Index
I-20
Index
I-21
Index
I-22
Index
I-23
Index
I-24
Index
Shut down / turn off 2-79, 2-80 Image handling and pro-
cessing 3-7, 7-12
Shutdown checklist 2-80
Auto brightness and contrast 3-8
Software setup 2-1
Enhance 3-14
Start up / Turn on 2-69, 2-77, 13-9
Manual brightness and con-
Startup checklist 2-77, 13-9
trast 3-9
Touchpad/Audio screen 2-10
Negate 3-11
Unresponsive 2-82
Noise filter (averaging) 3-15
Utilities
Reset 3-15
Remote Service Platform
Save image 3-7
(RSvP) screen 2-61
Smart Metal 3-10
Test patterns 2-65
Swap 3-8
Video output 2-66
Zoom 3-12
Utilities setup screen 2-59
Workstation operation
System compatibility 1-1
Images screen 3-81
System controls
Remote image processing 3-81
C-Arm functions 3-3
RUI Arrow keys 3-81
Alarm reset 3-7
Switch Applications 3-30
Auto technique 3-105
System information 16-1
Collimator Leaf Open/Close 3-5
System security feature 3-33
Collimator Leaf Rotation 3-5
Field of view 3-4 T
I-25
Index
I-26
Index
I-27
Index