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GE CT/e Operator Manual
Citation preview
GE HealthcareGE Healthcare
CT/e Operator Manual
GE Medical Systems does business as GE Healthcare
CT/e
Operator Manual, English
5126652-100
Revision6 2006 General Electric CompanyAll rights reserved.
WARNING
X-RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR
UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED
Though this equipment is built to the highest standards of electrical and mechanical safety, the useful x-ray beam becomes a source of danger in the hands of the unauthorized or unqualified operator. Excessive exposure to x-radiation causes damage to human issue.
Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment or exposing themselves or others to its radiation.
Before operation, persons qualified and authorized to operate this equipment should be familiar with the Recommendations of the International Commission on Radiological Protection, contained in Annals Number 26 of the ICRP, and with applicable national standards.
Chapter 1
SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Overview of CT System and Examination . . . . . . . . . . . . . . . . . . . 1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1General Procedures of CT Examination : . . . . . . . . . . . . . . . . 1
Main Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Gantry Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Gantry Display Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Operator Console (OC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Standard Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Head Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Body Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
System Power On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24HIPAA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Shut Down and Start Up the System . . . . . . . . . . . . . . . . . . . . . . 26Login and Logout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Configure Users for the System . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Chapter 2
SCAN TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Icon Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Function of Each Icon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Patient Schedule 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Select Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7View More Info . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Add Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Edit Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Delete Selected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Delete All . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Protocol Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Auto Voice Record 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Protocol Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Retro Recon 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211CT/e Operator Manual
Recon Management 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Suspended Entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Recon Queue Management . . . . . . . . . . . . . . . . . . . . . . . . . 26
Tube Warm-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Tube Warmup 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Save Rawdata to MOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33Restore/Delete from MOD . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Reserve/Release Rawdata . . . . . . . . . . . . . . . . . . . . . . . . . . 35Initialize MOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Save Rawdata to DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39Restore/Delete from DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . 40Reserve/Release Rawdata . . . . . . . . . . . . . . . . . . . . . . . . . . 41Initialize DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42User Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Chapter 3
DISPLAY TOP LEVEL SCREEN . . . . . . . . . . . . . . . . . . . . . . . . 1Primary/Secondary Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Focus Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Image Display Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Layouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Autoview Layouts 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Review Layouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Multiple Image Display (MID) . . . . . . . . . . . . . . . . . . . . . . . . 6List/Select 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Routine Display 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Roam / Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Explicit Magnify . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Flip/Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12ProView . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13GSE (Gray Scale Enhancement) . . . . . . . . . . . . . . . . . . . . . 14Display Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14List / Select . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Ellipse ROI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Measure Distance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Grid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Cross Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17User Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Exam Pg / Series Pg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Hide/Show Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Erase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Screen Save . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202 CT/e Operator Manual
Measurements 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21MIROI (Multiple Image ROI) . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Report Pixels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Display Preference 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Annotation Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Next/Prior Each Viewport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Next/Prior Series Binding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Continuous Report Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Manual Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Auto Film Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Accelerator Bar 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Chapter 4
SCAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Patient Positioning 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1New Patient 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Scout Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Icons on Scout prescription screen . . . . . . . . . . . . . . . . . . . . . 7Auto Store . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Auto Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Axial/Helical Scan Prescription 1 . . . . . . . . . . . . . . . . . . . . . . . . . 13Axial/Helical Prescription (View/Edit) Screen . . . . . . . . . . . . . . 13Continuous Scan Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Prescribe Scan Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Prospective Multiple Reconstruction . . . . . . . . . . . . . . . . . . . . 21Prospective Multiple Reconstruction . . . . . . . . . . . . . . . . . . . . 22Icons of the Axial/Helical Scan Prescription screen (1) . . . . . . 23Icons of the Axial/Helical Scan Prescription screen (2) . . . . . . 28Show Localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Show Localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Auto mA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Axial/Helical Scan in Progress . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Axial/Helical Scan End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Priority Recon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40Next Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41Repeat Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42One More . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44Repeat Last Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453CT/e Operator Manual
Biopsy Scan 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Biopsy Rx prescription . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Smart Addition 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Chapter 5
FILMING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1AutoFilm 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Start New Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Continue Same Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Cancel Film Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
AutoFilm Composer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Manual Film . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Manual Film Composer 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Image removal from Film Composer . . . . . . . . . . . . . . . . . . . 16Load images by drag and drop . . . . . . . . . . . . . . . . . . . . . . . 16Load images by F1 function key . . . . . . . . . . . . . . . . . . . . . . 16Page filming by F2 function key . . . . . . . . . . . . . . . . . . . . . . 17MID (Multiple Image Display) filming by F3 function key . . . 17Series filming by F4 function key . . . . . . . . . . . . . . . . . . . . . 18
Chapter 6
QUALITY ASSURANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Phantom Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2QA Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Phantom Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Scan the QA Phantom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Test and Analysis of the Phantom Images . . . . . . . . . . . . . . 4Contrast Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
High Contrast Spatial Resolution . . . . . . . . . . . . . . . . . . . . . . . . 6Slice Thickness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Positioning Light Accuracy (optional) . . . . . . . . . . . . . . . . . . . . . 8Low Contrast Detectability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Noise and Uniformity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Typical Results and Allowable Variations . . . . . . . . . . . . . . . . . . 11
Contrast Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11High Contrast Spatial Resolution . . . . . . . . . . . . . . . . . . . . . 11Nominal Slice Thickness . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Low Contrast Detectability . . . . . . . . . . . . . . . . . . . . . . . . . . 11Noise and CT Number of Water . . . . . . . . . . . . . . . . . . . . . . 11
Weighted CTDI100 (CTDIW) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Dose and Performance 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 CT/e Operator Manual
Statement of Typical Technique . . . . . . . . . . . . . . . . . . . . . . . . 13CT Dose Index (CTDI) For Typical Technique At Various Positions On The Phantom Image. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . 13CTDI Over A Range of Techniques . . . . . . . . . . . . . . . . . . . . . 14Helical Dose For Typical Helical Technique . . . . . . . . . . . . . . . . . 14
Dose and Performance 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Statement of Typical Technique . . . . . . . . . . . . . . . . . . . . . . . . 15CTDI100 For Typical Technique At Various Positions On The Phantom Image. 15CTDI100 Over A Range of Techniques . . . . . . . . . . . . . . . . . . . 16
Dose and Sensitivity Profile at Phantom Center . . . . . . . . . . . . . 17Image Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21MTF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Nominal Tomographic Section Thickness . . . . . . . . . . . . . . . . 21Sensitivity Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Phantoms and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Dose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Modulation Transfer Function (MTF) . . . . . . . . . . . . . . . . . . . . 22Slice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Deviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23CTDI and CTDIW Typical Techniques . . . . . . . . . . . . . . . . . . . 23Dose Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Chapter 7
TECHNICAL SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . 1Component Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Component Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2X-Ray Tube Assembly Information . . . . . . . . . . . . . . . . . . . . . . . . 3Diagnostic Source Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Leakage Technique Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Minimum Inherent Filtration . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
X-Ray Tube IEC Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5X-ray Tube Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5X-ray Tube Insert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5X-ray Tube Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5X-ray Tube Insert Information . . . . . . . . . . . . . . . . . . . . . . . . . 5Nominal Anode Input Power . . . . . . . . . . . . . . . . . . . . . . . . . . 65CT/e Operator Manual
Maximum Anode Heat Capacity . . . . . . . . . . . . . . . . . . . . . . 6Maximum Anode Heat Dissipation . . . . . . . . . . . . . . . . . . . . 6
Anode Heating and Cooling Curves . . . . . . . . . . . . . . . . . . . . . . 7Single Load Rating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Serial Load Ratings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Rotating Anode Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Tube Assembly Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Tube Assembly Heating and Cooling Curves . . . . . . . . . . . . . . . 10
Leakage Radiation - Loading Factors . . . . . . . . . . . . . . . . . . 10Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Transportation and Storage . . . . . . . . . . . . . . . . . . . . . . . . . 10Transport Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Generator Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Main Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Generator Rating and Duty Cycle . . . . . . . . . . . . . . . . . . . . . 11Measurement Basis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
The Attenuation Equivalent . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Periodic Maintenance by Qualified Personnel . . . . . . . . . . . . . . 14Maintenance by CT Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Symbols and Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Class 1 Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Type B Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Ordinary Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Operation Of Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216 CT/e Operator Manual
Regulatory Requirements
This product complies with regulatory requirements of the following:
o European Directive 93/42/EEC concerning medical devices The configurations delivered:
- without any option or accessory,
or
- exclusively with one or several options and/or accessories listed below, have been declared in compliance with the European Directive 93/42/EEC and therefore bear the CE marking:
o Green QSD 1990 Standard issued by MDD (Medical Devices Directorate, at the UK Department of Health).
o Medical Device Good Manufacturing Practice Manual issued by the FDA (Food and Drug Administration, United States Department of Health).
o Requirements from Underwriters Laboratories, Inc. (UL), independent laboratory.
o Requirements from Canadian Standards Association (CSA). o Requirements from the International Electrotechnical Commission (IEC),
international standards organization.General Electric Medical Systems, the manufacturer of this product, is ISO 9001 certified.
0459iCT/e Operator Manual
EMC Performance This CT system may characteristically cause electromagnetic interference with other equipment, either through air or connecting cables. The term EMC ( ElectroMagnetic Compatibility ) means the capability of the equipment, which curbs electromagnetic influence from other equipment and at the same time does not affect other equipment with similar electromagnetic radiation from itself. This product is designed to fully comply with the group 1 EN60601-1-2: Edition 2 (2001) [ IEC60601-1-2:Edition 2 (2001)], Class A, in EMC regulations. In terms of EMC performance, limit value 12dB relaxation in electromagnetic interference of permanently-installed medical system used in a lead-shielded area, is applied to this product.CT/e system compliance below EMC Emissions and Immunity Declaration(See below Table 1 and 2)
Table 1
EMC Emissions Declaration For CT/e The CT/e is intended for use in the electromagnetic environment specified below. The customer or the user of the CT/e should assure that it is used in such an environment.
Emissions Test Compliance Electromagnetic Environment Guide
RF emissions CISPR 11
Group 1 The CT/e uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions CISPR 11
Class A The CT/e , when installed in such a shielded location, is suitable for use in all establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.ii CT/e Operator Manual
Table 2
EMC Immunity Declaration For CT/e The CT/e is intended for use in the electromagnetic environment specified below. The customer or the user of the CT/e should assure that it is used in such an environment.
Immunity Test IEC 60601-1-2 Test Level
Compliance Level
Electromagnetic Environment Guidance
Electrostatic discharge (ESD) IEC 61000-4-2
6 KV contact
8 KV air
6 KV contact
8 KV air
Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
Electrical fast transient/burst IEC 61000-4-4
2 KV for power supply lines1KV for input/output lines
2 KV for power supply lines
1KV for input/output lines
Mains power quality should be that of a typical commercial or hospital environment
Surge IEC 61000-4-5
1 KV line-line 2KV line-ground
1 KV line-line
2KV line-ground
Mains power quality should be that of a typical commercial or hospital environment
Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11
95% dip in UT) for 5 sec
Mains power quality should be that of a typical commercial or hospital environment. If the user of the CT/e requires continued operation during power mains interruptions, it is recommended that the CT/e be powered from an uninterruptible power supply or a battery.
Power frequency (50/60Hz) magnetic field IEC 61000-4-8
3 A/m 3 A/mPower frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.
Note : UT is the a.c. mains voltage prior to application of the test level.iiiCT/e Operator Manual
Notice upon Installation of the Producto Locate the equipment as far as possible from other electronic equipment.o Be sure to use either any cables provided by GEYMS or ones designated by
GEYMS. Wire these cables following these installation procedures.
General Noticeo Designation of Peripheral Equipment Connectable to This ProductAvoid using other equipment than designated. Failure to comply with this instruction may result in poor EMC performance of the product.
o Notice against User ModificationNever modify this product. Unilateral user modification may cause degradation in EMC performance. Modifications of product include ;
Changes in cable ( length, material, wiring etc.) Changes in system installation/layout Changes in system configuration/components Changes in means of fixing the system/parts ( cover open/close, cover screw-
ing )
o Operate the system with all covers closed. If you open any cover for some reason, be sure to shut it before starting/resuming operation. Operating the system with any cover open could affect EMC performance. iv CT/e Operator Manual
Countermeasures against EMC-related IssuesGenerally it is pretty difficult to grapple with EMC-related issues.It may take much time and cost.
General countermeasuresElectromagnetic interference with other equipment
Electromagnetic interference may be alleviated by positioning other equip-ment far from the system.
Electromagnetic interference could be mitigated by changing the relative loca-tion/installation angle between the system and other equipment.
Electromagnetic interference may be eased by changing wiring locations of power/signal cables of other equipment.
Electromagnetic influence could be reduced by altering the path of power sup-ply for other equipment.
Electromagnetic environment specified below Table 3 and Table 4.vCT/e Operator Manual
Table 3
EMC Immunity Declaration For CT/e The CT/e is intended for use in the electromagnetic environment specified below. The customer or the user of the CT/e should assure that it is used in such an environment.
Immunity Test
IEC 60601-1-2 Test Level
Compliance Level
Electromagnetic Environment Guidance
Conducted RFIEC 61000-4-6
Radiated RFIEC 61000-4-3(alternative method: IEC 61000-4-21)
3 Vrms150 kHz to 80 MHz
3 Vrms80 MHz to 2,5 GHz
3 V
3 V/m
Protable and mobile RF communications equipment should be used no closer to any part of the CT/e , including cables, than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter.
Recommended Separation Distance
Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m).Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, a should be less than the compliance level in each frequency range. b
Interference may occur in the vicinity of equipment marked with the following symbol:
P=d ]35,3[ (see Table 4)
P=d ]35,3[ 80 MHz to 800 MHz (see Table 4)
P=d ]37[ 800 MHz to 2,5 GHz (see Table 4)
vi CT/e Operator Manual
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the CT/e is used exceeds the applicable RF compliance level above, the CT/e should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the CT/e .b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m.
Note : These guidlines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.viiCT/e Operator Manual
Table 4
Notice on Service
o Ensure all screws are tight after servicing. Loose screws may cause the degradation in EMC performance.
o In case the high frequency gasket of this system is broken, replace it with a new one immediately.
Recommended separation distances between portable and mobile RF communications equipment and the CT/e The CT/e is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the CT/e can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the CT/e as recommended below, according to the maximum output power of the communications equipment.
Rated Maximum Output Power (P) if Trabsnitter Watts (W)
Separation distance according to frequency of transmitter m
150 kHz to 80 MHz
Separation Distance meters
80 MHz to 800 MHz
Separation Distance meters
800 MHz to 2,5 GHz
Separation Distance meters
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the separation distance can be estimated using the equation in the corresponding column, where P is the maximum output power rating of the transmitters in watts (W) according to the transmitter manufacturer.
Note : At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note : These guidlines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.
P=d ]35,3[ P=d ]
35,3[ P=d ]
37[viii CT/e Operator Manual
Safety
WARNING!
FAILURE TO FOLLOW THE OPERATING INSTRUCTIONS AND SAFETY PRECAUTIONS COULD RESULT IN INJURY TO THE PATIENT, YOURSELF, OR OTHERS.
General Safetyo Keep the patient in view at all times. Never leave the patient unattended.
Always stay alert to safety concerns involving the patient's condition and equipment operation.
o Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and make sure they accommodate cradle travel. Position these lines so they cannot catch on anything within the patient vicinity or between the table and gantry during cradle travel or gantry tilt.
o Always follow the exam procedures provided in the operator manual. Verify correct entry of identification, patient positioning, and other patient data before proceeding with the exam. Incorrect procedures or patient data entry could cause misinterpretation of the exam results.
o Conduct Image Quality checks and follow the maintenance schedule outlined in your CT/e operator manual. Discontinue use of the equipment whenever you notice equipment damage, or a malfunction occurs. Do not use the equipment until qualified service personnel correct the problem. Never use the equipment unless all the protective covers are in place.
Radiation Safetyo Use of controls or adjustments, or performance of procedures other than
those specified herein may result in hazardous radiation exposure.
o Always use proper technique factors for each procedure to minimize X-Ray exposure while still producing the best diagnostic results.
o Be sure to have an operator wear X-ray protection vest when a work is needed near the gantry while X-ray is being emitted.
!ixCT/e Operator Manual
Mechanical Safetyo Never open, or remove, the gantry covers. (Only qualified service personnel
should remove covers.)
o Do not enter the scan room when the gantry covers have been opened or removed. Never allow a patient or staff member to enter the scan room when the gantry covers have been removed for maintenance or PM. (Never allow anyone but qualified service personnel to enter the scan room during gantry maintenance or PM.)
o To prevent the pinching or crushing of extremities, keep hands and feet away from the edge of the moving table top/cradle and its surrounding equipment. (Be especially careful when positioning patients who weigh more than 250 pounds.)
o Physically assist all patients on and off the table, and into position on the cradle.
o While a patient is being loaded onto a CT table from a gurney, make sure via the following measures that the gurney NEVER moves.
Lock all the casters of the gurney. Hold the gurney very firmly.If the gurney moves while loading a patient, it may create a gap between the table and the gurney posing the danger of the patient falling through the gap.
o Return the gantry to the 0 upright position, latch the table, and set it at a comfortable height for patient loading and unloading.
o Avoid any patient contact with the CT gantry during gantry tilt and cradle movement (manual or software driven). Once again, pay close attention to large patients; make sure you don't pinch skin or extremities between the cradle and the gantry.
o The concentrated weight of short, heavy patients can cause the cradle to make contact with the gantry. Make sure you don't drive the cradle into the gantry cover, and make sure you don't pinch skin or extremities between the cradle and the gantry.
o Check the lengths of all patient health lines (IV tubing, oxygen lines, etc.) and make sure they accommodate cradle travel. Position these lines so they cannot catch on anything within the patient vicinity or between the table and gantry during cradle travel or gantry tilt.
o Do not use the table base as a foot rest. You could entrap and injure your foot while lowering the table.
o Don't place your hands inside the gantry cover when tilting the gantry. The gantry can pinch or crush your hands!
o Only use the cradle extender to support the patient's head or feet during a scan study. The cradle extender supports up to 75 pounds; the head holder x CT/e Operator Manual
supports up to 30 pounds. Neither device supports the full weight of a patient. If you sit, stand or otherwise apply excessive pressure to these devices, they will break or come off the cradle, and may cause injury.
o Periodically check all accessories for damage and remove from service if damaged or cracked. Also check the accessory attachment plate fixed to the end of the cradle. Repair or replace if loose or damaged.
o The cradle has a maximum distributed load capacity of 180 kg. GE assures incremental accuracy and normal traverse speeds up to 180kg. Exceeding the 180 kg maximum limit could result in degraded positioning performance, increased table lowering speed, equipment damage and/or injury.xiCT/e Operator Manual
Electrical Safetyo Avoid all contact with any electrical conductors. o Wait at least 10 minutes after the last scan before you turn off [Main Power].
This gives the circulating oil sufficient time to cool the X-Ray tube.
Software Safetyo Should a malfunction occur, or a patient condition develop that requires
interrupting a scan series, push (Abort) on the right end of the OC scan panel to stop X-Ray.
o Wait for image annotation to complete before filming. If you press the exposure button too soon, the film records a composite of two different scans.
o DICOM protocol has a "dialect", which may cause some troubles like disappearances of some portion of image annotations, when connecting to the station where data transfer is not confirmed.
Emergency Stopo In the event of a hardware failure that could cause serious damage, such as
smoke, fire or unintentional cradle movement, press one of the red [Emergency Stop] switches located on the operator console, at the gantry control panels, or on the X-ray Generator. Low power to the electronic components in the computer and data acquisition system remains ON.
o When Emergency Stop is applied, the moving cradle and tilting gantry may overrun by less than 10 mm and less than 0.5 degrees, respectively.
GE provides training support. Contact your local GE sales repre-sentative to arrange training sessions to meet your needs.xii CT/e Operator Manual
Radio Waves SafetyNever use the following devices near this equipment.Use of these devices near this equipment may induce erratic function of the equipment.
Devices not to be used near this equipmentDevices which intrinsically transmit radio waves such as;cellular phone, transceiver, mobile radio transmitter and radio-controlled toy, etc. Keep those devices power-off near this equipment.
Note : Medical staff in charge of this equipment is required to instruct technicians, patients and other people who may be around the equipment to fully comply with the above regulation.
Note : Your system also has a warning label on a console that warns of the above hazard. xiiiCT/e Operator Manual
IMPORTANT SAFETY INFORMATIONAs a manufacturer of CT systems, we would like to take a moment to remind all Technologists and Radiologists that clinical interpretation errors can be made due to motion artifacts in large vessels, i.e. Thoracic Aorta. These motion artifacts may emulate a vessel dissection. Interpretation errors may cause misdiagnosis or unnecessary surgery. Vessel motion artifacts have been documented in Radiology literature for some time.
Motion artifacts in large vessels may be caused when using any manufacturers CT scanner capable of scanning with 1 second or less rotation times. The pulsation of the vessel creates a double margin of the vessel emulating a dissection. The motion artifact is an interaction between the pulsation of the vessel and the rotation time of the scan.
As an aide, we have updated the CT system with the following information to help rule out artifact or real pathology in clinical situations where a vessel dissection may be apparent.
It has been documented in radiology literature that an artifact may occur in the chest that bears the double margin of the great vessels, which emulates a dissection of the vessel during 0.5 to 1.0 second scans. This can occur in axial or helical scans. If you have scanned axially or helically with a 0.5 to 1.0 second rotation time and observe this phenomenon, rescan the area with a 2 second axial scan to verify if it is artifact or patient pathology.
Please ensure that the appropriate personnel in your CT Department are made aware of this notice. If you have any questions regarding this notice, please contact your local GE representative.
If you would like to review additional information in the clinical literature please review the following publication: Gotway, Michael: Helical CT evaluation of the thoracic aorta. Applied Radiology: Sept. 2000, 7-28. xiv CT/e Operator Manual
Warning Labels
Labels on Keyboard
o The following labels are attached to the upper side of the keyboard.
Patient may be pinched between gantry and table during Prescribed Tilt. To avoid pinching, before using Prescribed Tilt, make sure that patient does not contact the gantry.
Press Stop Scan button to stop cradle motion or scanning.
This X-ray unit may be dangerous to patient and operator unless safe exposure factors, instructions and maintenance schedules are observed. To be used by authorized personnel only.
CAUTION
CAUTION
WARNINGxvCT/e Operator Manual
o The following label is attached at the rear side of the gantry pedestal.
COMPLIES WITH RADIATIONPERFORMANCE STANDARDS, 21 CFR SUBCHAPTER J
CAUTION : Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure.
GE HANGWEI MEDICAL SYSTEMS CO.LTDNo.2,NORTH YONG CHANGE STREETECONOMIC-TECHNOLOGICAL DEVELOPMENT ZONEBEIJING, P.R.CHINA
MADE FOR GENERAL ELECTRIC CO.MILWAUKEE WISCONSIN, U.S.A BY
MODELS/NMANUFACTUREDDESCSOURCE:
SOURCE:SOURCE:
SOURCE:
CLASS 1
xxxxxxxyyyyyyy
GANTRY30A/200V~50/60Hz30A/115V~50/60Hz15A/115V~50/60Hz50A/380~480V3~50/60Hzxvi CT/e Operator Manual
Cradle Caution
o The following label is attached to the end of the cradle.
Accessory Caution
o The following labels are attached to the standard headholder and shallow head holder.
Do not grasp the side of the cradle.
Accessory may fall and cause injury if not latched to cradle. Make sure that accessory is latched to underside of cradle.
Excessive weight can break accessory and cause injury. Do not load more than 34 Kg or 75 pounds.
CAUTION
CAUTION
CAUTIONxviiCT/e Operator Manual
o The following labels are attached to the coronal headholder.
o The following labels are attached to the cradle extender.
Accessory may fall and cause injury if not latched to cradle. Make sure that accessory is latched to underside of cradle.
Excessive weight can break accessory and cause injury. Do not load more than 34 Kg or 75 pounds.
Do not hit the accessory against the gantry. Patient injury or equipment damage could result.
Accessory may fall and cause injury if not latched to cradle. Make sure that accessory is latched to underside of cradle.
Excessive weight can break accessory and cause injury. Do not load more than 45 Kg or 99 pounds.
CAUTION
CAUTION
CAUTION
CAUTION
CAUTIONxviii CT/e Operator Manual
Radio Wave Caution
o The following label is attached to the operator console.
Do not use the following devices near this equipment. Cellular phone, radio transceiver, mobile radio transmitter, radio-controlled toy, etc.Use of these devices near this equipment could cause this equipment to perform outside the published specifications. Keep power to these devices turned off when near this equipment.
CAUTIONxixCT/e Operator Manual
xx CT/e Operator Manual
Precaution for The CT System DisposalThe elimination of machines and accessories must be in accordance with national regulations for waste processing.In the CT system there are certain materials used that could cause environmental hazards if disposed of improperly. Those materials include lead blocks in the gantry and oil in the tank and the X-ray tube. Be sure to contact GEMS service personnel prior to disposing of the CT system or any CT component to ensure safe and proper disposal.
This symbol indicates that waste electrical and electronic equipment must not be disposed of as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment.
Packing MaterialsThe materials used to pack our equipment are recyclable. They must be collected and processed in accordance with the regulations in force for the country where the machines or accessories are unpacked.
xxiCT/e Operator Manual
Technical documentsGE will provide CT users with the following documents at their request to help them repair malfunction on their own.
o Diagramso Components part listso Descriptionso Calibration instructions
xxii CT/e Operator Manual
Blank page
Chapter 11-1CT/e Operator ManualSYSTEM
Overview of CT System and Examination
OverviewThe CT/e computed tomography (CT) system consists of four major components and some peripheral gear. Four major components are the gantry, table, operator console(OC) and power distribution unit (PDU). The primary objective of this CT system is to obtain for medical diagnoses the two or three-dimensional images of internal structure of human body.
General Procedures of CT Examination :
1. The operator prescribes the examination(scan) procedures at the OC while the patient is positioned on the table in the scan room.
2. As the operator initiates the scan procedures with the patient in the gantry aperture, the X-ray unit inside the gantry rotates around the patient body emitting the fan-shaped X-ray beam to the body. The X-ray penetrates the body and is received by the detector, then it is converted to the electrical data.
3. The data acquired in the above step is processed into the images by the computer at the OC. Then, the images are initially displayed on the Monitor of the OC and subject to manipulation for analysis. The images can also be filmed later for diagnoses by a physician.
4. The image data can be saved in some electronic media like optical disk for later analysis and also be transferred to some other stations for remote diagnoses.
SYSTEM
Main Components
Gantry
FunctionThe gantry incorporates the X-ray tube unit, the HiLight detector and DAS (Data Acquisition System) inside. It also provides the following functions.
Display PanelThe display panel shows the readings of the gantry tilt, table height, position of land mark, latch status, scannable range and tilt range.Refer to the Gantry Display Panel page for the function descriptions.
Emergency ButtonPressing the emergency button stops every mechanical movement and the X-ray emission.
Control PanelThe control panel incorporates the several buttons to mainly control the movements of the gantry and table. Each front and rear cover has two control panels. Refer to the Gantry Control Panel page for the function descriptions.
Positioning Light & Breath NaviThe Halogen beam will be emitted through here that will be used to position a patient. Breath Navi gives the visual breathing instructions to a patient with hearing problem.
Display Panel
EmergencyButton
Control Panel
EmergencyButton
PositioningLight
PositioningLight
Breath Navi1-2 CT/e Operator Manual
SYSTEM
Gantry Specifications
Aperture : 65 cm. Tilt : +/- 20 degrees Tilt speed : 1 degree/second Height to isocenter : 90 cm. Rotation speed : 360 degrees in 1.0, 1.5, 2.0, 3.0, 5.0 seconds
X-ray Tube Specifications
Anode heat storage capacity : 2.0 MHU Anode heat dissipation : 500 KHU/min. (maximum) Casing heat dissipation : 275 KHU/min. (constant) Focal size : 0.7 mm 0.6 mm
HiLight Detector Specifications
Channels : 720 1-3CT/e Operator Manual
SYSTEM
Gantry Control Panel
FunctionThe gantry control panel enables you to control the movement of the gantry, table or cradle with the following buttons.
Cradle In/OutUse this to move the cradle toward or away from the gantry aperture.
Table Up/DownUse this to move the table up or down.
FastUse this to increase the speed of cradle in/out. This does not apply to table up/down.
Tilt Range &ScannableRange
InternalLandmarkExternal
Landmark
Fast
DisplayDistance fromIsoCenter
PositioningLight
Cradle Out
Gantry TiltLamp
Gantry Tilt
Gantry TiltLamp
Table Down
Cradle In
Table Up
PositioningLight
Practice
Fast1-4 CT/e Operator Manual
SYSTEM
Gantry Tilt Use this to tilt the gantry toward or away from the cradle.
WARNING!
The touch sensor on the gantry cover works only during the remote tilt operation at the OC. It does not work when the tilt operation is done at the Control Panel.
Gantry Tilt Lamp The system turns on this lamp when gantry tilt is needed.
Positioning Light Use this to turn on or off the internal/external positioning lights.
External LandmarkUse this to move the anatomy beneath the external positioning light.
Internal LandmarkUse this to move the anatomy beneath the internal light to adjust scan location zero.
Tilt Range & Scannable RangeUse this to display the gantry tilt range and the scannable range at certain table height.
PracticeUse this to test the * Breath Navi function.(*Breath Navi is the small device attached to the edge of the gantry aperture that gives the visual breathing instructions to a patient with hearing problem.)
Display Distance from Iso-Center Use this to display the distance between the iso-center and the top of the table. 1-5CT/e Operator Manual
SYSTEM
Gantry Display Panel
FunctionThe gantry display panel shows the following readings and indications.
X-ray OnThe X-ray On lamp illuminates during X-ray exposure.
Tilt / Angle RangeThe Tilt/Angle Range field shows the reading of either the current tilt or the tilt range limits at the current table height/cradle extension. The numerical reading is preceded by either S (superior) or I (inferior).
Distance from LandmarkThe Distance from Landmark field shows the reading of the distance (mm) between the landmark and the anatomy in the X-ray path. The numerical reading is preceded by either S (superior) or I (inferior).
Distance from Iso-CenterThe Distance from Iso-Center field shows the reading of the distance (mm) between the iso-center and the top of the table. This is displayed when the Display Distance from Iso-Center button on the gantry panel is pressed.
InterferenceThe Interference lamp turns on when some mechanical interference occurs.
Distance from Landmark (mm)Xray On
Distance from IsoCenter (mm)
Tilt/AngleRange
Interference1-6 CT/e Operator Manual
SYSTEM
Table
FunctionThe table is used to load a patient for scanning.
CradleThe cradle moves into or out of the gantry aperture.
Latch ButtonThe latch button is used to latch or unlatch the cradle. The unlatched cradle can be manually slid. The Display Panel shows whether the cradle is latched.
SpeakerThe speaker is used to deliver oral instructions to a patient.
Foot SwitchThe Foot switch is placed at the foot of the table. When the operator steps on it, the switch turns on and activates functional buttons on the gantry panel.1-7CT/e Operator Manual
SYSTEM
Table Specifications
Vertical range : from 40 cm to 90 cm (cradle height from floor) Vertical elevation speed : 17 mm/second on average Maximum cradle travel : 1520mm
Note : Table Height, Gantry Tilt, and scanning software determine the scannable range.
Cradle travel speed : 20 mm/second (Slow mode), 100 mm/second (Fast mode)
Cradle travel pitch : 0.5 mm Table load capacity : maximum 180 Kg 1-8 CT/e Operator Manual
SYSTEM
Operator Console (OC)
FunctionThe operator console (OC) is mainly used for the operator to set up the scan procedures and process the resultant image data.
Scan/Display Monitor The 17-inch monitor (21-inch optional) on the OC can be mainly used for two purposes, scanning patients and displaying images.
Keyboard/MousePlease refer to the User Interface on page 1-10.
Main SwitchPlease refer to the System Power On/Off on page 1-22.
CD-ROM DriveThis drive is dedicated to service or application software installation.
3.5MOD (Magnetic Optical Disk) DriveRaw data can be stored in 3.5-inch MOD.
5MOD (Magnetic Optical Disk) Drive (option)Image data can be stored in 5-inch MOD
Caution : It is highly recommended to always take back-up image data because of a possibility of medium breakdown.
5 MOD Drive
CDROM Drive
Main Switch
3.5 MOD Drive1-9CT/e Operator Manual
SYSTEM
If you installed the DVD-RAM drive, pls pay attention below drives description:
DVD-RAM DriveRaw data can be stored in DVD-RAM.
5MOD (Magnetic Optical Disk) Drive (option)Image data can be stored in 5-inch MOD
5 MOD Drive(Option)
DVD-RAM Drive
Main Switch1-10 CT/e Operator Manual
SYSTEM
User Interface
The CT/e system employs the user interface that enables the operator to easily interact with the OC workstation. The user interface consists of a mouse and keyboard.
Mouse
General operations of the mouse are as follows:
"Click"Press a button once then release it quickly.
"Double / triple click" Click two/three times quickly.
"Click and drag" Press and hold the button and move the mouse across the pad.
Main functions of each button are as follows:
Left buttonTo select any of icon, item, function, etc.
Middle buttonTo change window width and/or level by moving the mouse left/right and/or up/down respectively with the button pressed.
Right buttonTo scroll the image or modify the image zoom factor.
Left button
Middle button
Right button1-11CT/e Operator Manual
SYSTEM
KeyboardThe workstation includes a keyboard for entering text at on-screen prompts and numeric data in data entry fields.The upper part of the keyboard includes scan-related buttons and safety-related buttons.
Functions of each button and key are described on the following pages.
Move toScan
StopMove
StartScan Pause
Xray on
StopScan Emergency
StopTalk Button
Volume Dial
Mic.1-12 CT/e Operator Manual
SYSTEM
Scan-related buttons
Move to ScanPress this button when lit to move the cradle to the prescribed scan start location.
Stop MovePress this button to stop the cradle when it is traveling.
Start ScanPress this button when lit to start scans.
PausePress this button to temporarily halt scans. Scans pause after completing the current one scan. Press Start Scan button to resume scans.
X-ray onThis button lights up during X-ray emission.
Stop ScanPress this button to stop the current or halted scan.
Emergency StopThis button cuts off the power to the equipment inside the scan room.All mechanical movements and X-ray radiation are halted.
Note : This button affects the power neither to OC nor laser camera.1-13CT/e Operator Manual
SYSTEM
Communication button/dials
Talk (Intercom)Hold down this button to give some verbal instructions to the patient during an exam.
VolumeUse these dials to adjust the voice volume of patient or operator.1-14 CT/e Operator Manual
SYSTEM
Keyboard keys
Function keyF1, F2, F3 and F4 function keys are used for filming-related operations. Please refer to Chapter 5 [FILMING] for detailed information.
F5 function key is used to return to the window width and level that have been used most recently
F5-11 function keys are used to preset the specific window width and level for specific anatomical areas. The procedure is as follows.
1. Firstly select the image as a primary one (green border) of which WW and WL you wish to register as default.
2. Press [Shift+F5~F11] to register those WW and WL as preset conditions.
FilmSeries
FilmPage
FilmMID
FilmImage
F1 F2 F3 F4
PreviousW/L
F5
Abdo Head Lungmen
Media Spine Drop onstinum
Vertebra Auto Film
F6 F7 F8 F9 F10 F111-15CT/e Operator Manual
SYSTEM
Image Analysis related keysThese keys are used for image analysis purposes. Please refer to Chapter 3 [DISPLAY TOP LEVEL SCREEN] for each key's function.
Key topThese keys are mainly used to input texts/numbers and display images.
- [Enter] : Use this to conclude the entry.
- [ / ] : Use these to move forward or backward through items on desktop.- [ / / / ] : Use these to adjust window level and width of images.- [Prior Exam/Prior] : Use this to return to prior exam or image.
- [Next Exam/Next] : Use this to go to next exam or image.
DispEraseNorm
EllipseROI
Trace GridOn/Off
MeasDist
UserAnnot
ZoomRoam
Enter
Shift
Next Exam
NextPrior Exam
Prior1-16 CT/e Operator Manual
SYSTEM
Accessories
The system utilizes the various accessories to facilitate the scan.
Standard Accessorieso Cradle pado Cradle extendero Standard head holder assemblyo Security strapso Phantoms to calibrate and check performanceo Phantom holdero Console chairo Operator manual
Optional Accessorieso Coronal head holder assemblyo Shallow head holder assemblyo Arm Support
WARNING!
Do not use any accessories other than those provided by GE. Use of other accessories may cause unexpected troubles or physical injuries.
Also, if anything other than GE accessories is placed in the path of x-ray beams, it may affect image quality.1-17CT/e Operator Manual
SYSTEM
Head Accessories
Head Strap
Chin Strap
Coronal Head Holder Assembly (option)Coronal Head Cushion
Standard Head Holder Assembly
Coronal Head Neck Pad
(Front side)(Back side)
MADE FOR GENERAL ELECTRIC CO.MILWAUKEE, WISCONSIN BYGE YOKOGAWA MEDICAL SYSTEMS, LTD.7127 ASAHIGAOKA 4CHOME, HINOSHI TOKYO, JAPANMODEL 2201806SERIALMANUFACTURED OCTOBER 1997
MADE FOR GENERAL ELECTRIC CO.MILWAUKEE, WISCONSIN BYGE YOKOGAWA MEDICAL SYSTEMS, LTD.7127 ASAHIGAOKA 4CHOME, HINOSHI TOKYO, JAPANMODEL 2201805SERIALMANUFACTURED OCTOBER 1997
Label
Label
(Back side)
LabelMADE FOR GENERAL ELECTRIC CO.MILWAUKEE, WISCONSIN BYGE YOKOGAWA MEDICAL SYSTEMS, LTD.7127 ASAHIGAOKA 4CHOME, HINOSHI TOKYO, JAPANMODEL 2183827SERIALMANUFACTURED OCTOBER 1997
Shallow Head Holder (option)Head Holder Wedge1-18 CT/e Operator Manual
SYSTEM
Standard Head Holder Assembly
Standard Head HolderUse during normal head studies, with a supine patient. Use the head band, chin strap, and coil spacers (wedges) to secure the head in the proper position. The material is metal-free.
Head Holder Cushion Place this cushion on the Standard head holder. Use it to cushion the head and hold it in position during the study. Two sizes are available.
Head BandPlace the wide area of the head band between the head holder and head holder cushion, with the straps hanging on either side of the head holder, before the patient lays on the table. Move the patient's head into position on the cushion, cross each end of the band over the forehead, and fasten the pad of Velcro "loops" to the "hooks" on the back of the head holder. Use the head band to position and stabilize the head during a study.
Chin Band Center the hole in the band over the patient's chin, and fasten the pad of Velcro "loops" to the "hooks" on the back of the head holder. Use the chin band to position and stabilize the head during a study.
Coronal Head Holder Assembly (option)
Coronal Head HolderUse this head holder during direct coronal studies. The patient lays in the supine position, with the head tipped backward into the coronal head holder. Use the head band and chin strap to secure the head in the direct coronal position. The material is metal-free.
Neck Pad Place this pad vertically in the Coronal head holder to cushion the rear head.
WARNING!
Be extremely careful to avoid contact between the coronal head holder and the gantry while lowering the table in the aperture. Patient injury to the neck or equipment damage could result.1-19CT/e Operator Manual
SYSTEM
Body Accessory Use
Knee Pad AssemblyPlace the knee pad on the cradle. Rest the patient's legs, with knees slightly bent, on the knee pad -or- Rest the patient's head on the knee pad, and use the knee pad strap to secure the hands over the patient's head, to prevent catching the patient's fingers between the cradle and table surfaces.
Knee Pad Strap Attaches to the three Velcro "loop" patches on the knee pad with Velcro "hooks"; use to secure the legs or arms to the knee pad. (See above)
Cradle PadUse during standard studies; attaches to the cradle with Velcro "hooks."
Cradle ExtenderAttach the cradle extender to the end of the table nearest the gantry, to increase the overall cradle length, and position the body area of interest inside the scannable range. Use the extender to support the patient's head or feet during a body scan. The material is metal-free.1-20 CT/e Operator Manual
SYSTEM
Security Strap Kit
Body Strap AUse the 60 mm wide strap to position and secure the patient's head to the Head Cushion; or use as needed to secure blankets or clothing. Follow Body Strap B directions to attach and secure the straps. One set provided with system.
Body Strap BUse the 150 mm wide straps to secure the body to the cradle, to reduce patient movement; to secure blankets or clothing, to prevent contact with the cradle surface; or, to cover and secure the patient's hands. Slide the nylon guide, opposite the Velcro ends of the straps, into the raceway attached to both side edges of the cradle. Slide the strap along the length of the cradle to position it over the patient, and fasten the Velcro ends together to secure the patient. Three sets provided with the system
Body Strap CUse the 370 mm wide strap in the same manner as Body Strap B.One set provided with system.
Extension StrapUse the extension strap with the corresponding body straps to secure large or obese patients. Attach Velcro "hooks" to "loops" on the body strap to increase the length. Each set of body straps has an extension strap; five provided with the system.1-21CT/e Operator Manual
SYSTEM
Body Accessories
Knee Pad
Knee Pad Strap
Cradle Extender
Cradle Pad
(Back side)
Cradle Extender Pad
Extender Strap (15cm..)37cm.. Body Strap
MADE FOR GENERAL ELECTRIC CO.MILWAUKEE, WISCONSIN BYGE YOKOGAWA MEDICAL SYSTEMS, LTD.7127 ASAHIGAOKA 4CHOME, HINOSHI TOKYO, JAPANMODEL 2201803SERIALMANUFACTURED OCTOBER 1997
Label1-22 CT/e Operator Manual
SYSTEM
Attach/Detach Head Holder and Cradle Extender
Prevent damage to metal-free accessories !Carefully examine the metal-free clasp assembly on the accessory and the catch on the cradle before attempting to attach the accessory for the first time.
To attach an accessory:
Make sure the clasp on the accessory is unlatched, and hanging freely.Hold the clasp in the unlatched position while you attach the accessory.
Align the accessory tongue with the pocket at the end of the cradle.Keep fin-gers clear of the cradle. Slide the tongue all the way into the pocket until it rests snugly against the angled face of the cradle.
Gently pull the clasp toward the floor and away from the gantry until it hooks the catch on the cradle. Push the hinged-end of the clasp toward the cradle until it snaps into place.
To detach an accessory:
Pull the hinged-end of the clasp toward the floor and away from the gantry until it snaps open and clears the catch.
Gently slide the accessory toward the gantry until it clears the cradle.If the accessory offers any resistance, check to make sure the clasp cleared the catch on the cradle.1-23CT/e Operator Manual
SYSTEM
System Power On/Off
How to turn on the system power (Usually power is on 24 hours a day.)
1. Turn on the main switch located on the lower right side of the OC.
2. The system will start up and the Scan/Display monitor on the OC will automatically proceed to its Top Level screen.
How to turn off the system power (Usually power is on 24 hours a day.)
1. Click on the [Shutdown] icon on the upper left corner of the screen.
2. The system will automatically proceed to the point where you can turn off the main switch.
Shutdown1-24 CT/e Operator Manual
SYSTEM
HIPAA
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was signed by President Clinton on July 21, 1996 and has the general objectives to:
Guarantee health insurance coverage of employees.
Reduce health care fraud and abuse.
Introduce/implement administrative simplifications in order to augment effectiveness and efficiency of the health care system in the United States.
Protect the health information of individuals against access without consent or authorization. Within HIPAA there are Administrative Simplification regulations that, in early 2001, are in work.
GE Medical Systems has a longstanding reputation of providing customizable, clinical solutions to protect the privacy and security of your organization's unique clinical workflow, as well as your patient's confidentiality. Our scanner, software and services already incorporate many of the core HIPAA requirements. We are committed to working with you, our customer, to provide additional value to help you meet the continuing HIPAA challenge.
Please recognize the intended use of the product when determining how critical any privacy risk is, relative to patient care and safety. GE is very concerned with providing the best care to the patients; and in some cases we have determined that patient care is more important than the risk to privacy. In these cases we take every precaution to minimize the privacy risk.
Security and Privacy are maintained across a Healthcare system. Any product that is placed into an uncontrolled environment will not be secure and can not protect privacy. As we design scanners we design them to be implemented in a "Secure Environment". A secure environment is based on multiple layers of security, a concept known as defense in depth. For example: a Best Practice that is gaining much attention places firewalls between departments, as well as at a DMZ, between all extranets, and the external Internet access point. In this example a radiology firewall may allow DICOM and HL7 traffic through, but no other protocols. These DICOM and HL7 protocols would be blocked at the DMZ and again at the Internet Firewall.
HIPAA requires you to log on to the scanner and log off when you are done scanning for a period of time. If you do not log off the system will log you off and you will have to log back on.
HIPAA can be set up for groups of users. You can be an Empowered, Admin, Operator or Service user. Empowered users can modify protocols and do service functions. Admin users can set up user and delete users. Operator users can perform all scanning functions. Service users can do everything.
Note : HIPAA is an option that can be turned on or off by your Field Engineer.1-25CT/e Operator Manual
SYSTEM
Shut Down and Start Up the System
To keep your system operating at optimal performance, you need to shut down and start up the system every 24 hours.
1. From the desktop selection area, click [Shutdown].
- A pop-up attention box appears.
2. From the pop-up attention box, select the option you wish to do.
- Logout User allows enables you to login as a different user.
NOTE: For information on how to Login and Logout, refer to: Login and Logout.
- Restart brings the system all the way down to the power off point and then re-boots the system.
- Shutdown brings the system all the way down to the power off prompt. You can then turn power off to the system.
3. Click [OK].
4. If you selected Shutdown or Restart a series of menus and messages appear.
- If Restart was selected the system automatically restarts the system.
- If Shutdown was selected, turn off the OC power, if not already off with thepower switch on the front of the console and then turn the power switch on torestart the system.
5. To power up the system push the power switch on the front of the operator console and the system will automatically restart.1-26 CT/e Operator Manual
SYSTEM
Login and Logout
Use this procedure when you are going to scan on the system. You need to login to the scanner so the scanner knows which user you are. When you leave the system you should log off the system. This is for security purposes.
1. At the login screen select Login from the Operation pull down menu.
NOTE: If you need to log in quickly for emergency purposes only, click [Emergency Login].
2. From the Select User pull down click on your user name.
- This name is assigned by your system administrator.
3. Click in the Password area and type in your password.
4. Click [OK].
5. To logout of the system, click [Shutdown].
- The Shutdown window appears.
6. Click [Logout User].
7. Click [OK].
- The system logs you out and waits for the next login.1-27CT/e Operator Manual
SYSTEM
Configure Users for the System
To add users to the system for use, you must be a user with the administrative option added to your name in order to complete this procedure. Normal users do not have permission for this area.
1. At the Login window, select Login & Administer users from the Operation pull down menu.
- For information on how to login to the system, refer to: Login and Logout
2. Select your user name from the Select User pull down menu.
- You have to be an assigned administer to add or remove users from the system.
3. Enter your Password.
4. Click the [User, Groups, Permission] tab.
- This brings up the HIPAA User Management Screen Figure 3-1.
5. Click [New User].
6. From the pull down menu Click Add a New User.
- Type in the information.
- The user name must not contain any spaces.
NOTE: The initial password is the user name the first time the new user logs in. The new user is then prompted to change their password.
7. Click all the boxes that apply to that user.
- This will give them permission for different areas of the scanner.1-28 CT/e Operator Manual
SYSTEM
8. Click [Password constraints].
- Click all the boxes that apply.
NOTE: By entering 0 in the Max bad logins before account is locked text area this allows the user have unlimited bad password attempts. If you enter a number here and the user logs the number that you enter, the system locks that users out and the Admin user has to unlock that user. To unlock a user from bad password attempts, click [User, Groups, Permission] and select Lock User. Select the user name from the list and click [Unlock User].
Do not lock a user under the lock user tab. This is used for resetting maximum attempts locks.
9. Click [Exit Admin].
- This closes the Admin screen.
10. Click the Scan desktop.
- This returns you to the scanning desktop.1-29CT/e Operator Manual
SYSTEM
Figure 3-1 HIPAA User Management Screen1-30 CT/e Operator Manual
Chapter 22-1CT/e Operator ManualSCAN TOP LEVEL SCREENAfter the system starts up, the following screen appears on the CRT as default Top Level screen. This screen will also appear when the [Scan] icon on the upper left corner is selected while in the either Display or Image Works mode.
Scan
SCAN TOP LEVEL SCREEN
Icon Selection
When a certain icon is selected, it highlights in blue. Icons currently not available are displayed in gray. When the second icon is selected after the first one was selected, the first
icon highlights in green and its upper right corner folds.
Functions of each icon are described on the following pages.2-2 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Function of Each Icon 1
This icon leads to the scan screen.
This icon leads to the Display screen.The icons on the Display screen are described in the later chapter.
This contains Reformation, 3D, Network and other advanced image analysis applications. Refer to {Image Works} section.
Use this to shut down the system.
This is only for service purpose. Users are not allowed to touch this.
This shows Date, Time and Disk capacity at each matrix.
Scan
Display
Image Works
Shutdown
Service
December 22 5:49 PM
512: 148 256: 5952-3CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Function of Each Icon 2
Reconstruction StatusThis area shows the exam, series and image number of the exam that is currently being reconstructed.
Archive StatusThis area shows the status of images being archived.
Network StatusThis area shows the status of networking.
Filming StatusThis area shows the status of filming.
Current MessagesClick here to open the Current Messages screen.
To Current Messages2-4 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
New Patient
New Patient icon is located at the left side of the screen.
Function : Select this icon first to begin a new patient exam.Refer to the chapter 4 [Scan] for detailed information.
1. Click on the [New Patient] icon to open the following New Patient screen.
2. Enter necessary patient information.
Note : Patient ID must be put to proceed. (required)
3. Choose a desired scan protocol from the Default Protocol area located on the right side of the New Patient screen.
4. The system automatically proceeds to the View/Edit screen.
New Patient
Patient Information
Exam Number
Accession Number
Patient ID
Patient Name
SexBirthdate
Age
Weight Kilograms Pounds
Referring Physician
Radiologist
Operator
History
Exam Description
Protocol Number
EndExam
Protocol Selection
Req.Proc.ID
Format:LastName^FirstName^Middle^Prefix^Suffix
mon day yr
Years Months Weeks Days2-5CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Patient Schedule 1
Patient Schedule icon is located below the New Patient icon.
Function : Patient Schedule allows you to enter patient data ahead of time. Once it is time to perform a specific patient exam, you can select from the created list, enter the patient ID or requisition number to call up the patient data.
1. Click on [Patient Schedule] to open the following Schedule list.
On the left side of the column under Status, there are two letters. C stands for Completed and N for New. The completed exam at the top of the list is the last completed exam. The only active functions at this point are [Quit], [Add Patient], [Delete All], [Preferences] and Next/Prior arrows.
Note : Active icons have clear black characters on them whereas inactive icons have dim characters.
2. Once a patient is selected, the other icons become active.Functions of each icon are described on the following pages.
Patient Schedule
Schedule
Status Req.Number Patient ID Patient Name Date Time Exam Description
C 0235 8123 Joerge Bush 7/17/01 10:25AMC 0374 9120 Collin Powel 7/23/01 11:04AMC 0379 6273 Bin Ladin 9/11/01 8:54AMN 0538 7823 Bill Clinton 9/21/01 1:30PM
Quit SelectPatientView
More InfoAdd
PatientEdit
PatientDelete
SelectedDelete
All Preferences Next Prior
Patient Schedule2-6 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Patient Schedule 2
Select Patient
Take the following steps to use [Select Patient].
1. Select [New Patient].
2. Select [Patient Schedule].
3. Select the desired patient on the Schedule list.
4. Select [Select Patient]. The patient data will then be placed in the New Patient data area.
Note : The patient data will also be called up by typing in the patient ID.
View More Info
While your CT/e system is connected with HIS/RIS and if your CT/e system has Connect Pro option, select [View More Info] to get more information on the patient.
SelectPatient
ViewMore Info2-7CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Patient Schedule 3
Add Patient
Select [Add Patient] to open the following menu to add patients to the schedule. Patient data, date and time of the exam and the protocol can be entered here.
- Accession Number : (within 16 characters)
- Patient ID : (within 16 characters)
- Patient Name : (within 64 characters)
- Sex : M (Male) or F (Female)
- Birthdate : Year, Month, Day
- Age : Years, Months, Weeks, Days
- Weight : Kgs or Pounds
AddPatient
Patient Schedule
Accession Number
Patient ID
Patient Name
SexBirthdate
Age
Weight Kilograms Pounds
Referring Physician
Radiologist
Operator
History
Exam Description
Protocol Number
Cancel
Protocol Selection
Accept
Anatomical Selector
Date TimeMon Day Yr Hour: Min Am/Pm
Format:LastName^FirstName^Middle^Prefix^Suffix
mon day yr
Years Months Weeks Days2-8 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Patient Schedule 4
- Reference Physician : (within 32 characters)
- Radiologist : (within 32 characters)
- Operator : (within 3 characters)
- History : (within 60 characters)
- Exam Description : (within 22 characters)
- Protocol Number : (within 5 characters)
- Date : Exam date, Year, Month, Day
- Time : Exam time, Hour, Minute
Edit Patient
Select [Edit Patient] to bring up the Patient Information screen to edit patient data.
EditPatient2-9CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Patient Schedule 5
Delete Selected
[Delete Selected] allows you to delete specific patients from the Schedule list.
1. To delete only one patient, click on that patient's information, then select [Delete Selected].
2. To delete multiple patients in order, click on one patient, then go to the last patient and press and hold the Shift key, then click on that patient. Then, select [Delete Selected].
To delete multiple patients out of order, press and hold the Control key, then click on the desired patients and select [Delete Selected].
3. A confirmation message "Are you sure you want to delete selected patients ?" appears. If OK, click on [OK].
Delete All
[Delete All] allows you to delete all of the patients.
1. The following screen appears after selecting [Delete All].
2. Select [All Completed] to delete all scan-completed patients.
Select [All New] to delete all new patients.
Select [All] to delete both of the above patients.
Note : The default is [All Completed].
DeleteSelected
DeleteAll
Delete All
AllCompleted
AllNew
All
OK Cancel2-10 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Patient Schedule 6
Preferences
[Preferences] allows you to set the sort order and delete time.
1. The following screen appears upon the selection of [Preferences].
2. The patient list can be sorted by Date/Time, Name or ID.
3. If you want the system to automatically delete completed exams, you can click in the Days box and type in the number of days desired. The default is 0 (zero).
4. Select [OK] to conclude the entry.
Preferences
Preferences
OK Cancel
Sort By : Date/Time
Name ID
Delete Completed Exams After: Days
Update Schedule Automatically? Yes No
Show updateParameters? Yes No
Use Study UID? Yes No Yes NoEdit Modalityworklist?
Default Update Parameters
Get Patient List For: Thissystem
All CTSystems
AllSystems
With a Date Range: Today
Days Before Today
Days after Today
All Dates2-11CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Protocol Management
Protocol Management icon is located at the right side of the New Patient icon.
Function : Protocol Management includes two functions, which are [Auto Voice Record] and [Protocol Management].
1. The following screen appears upon the selection of [Protocol Management].
2. Select [Auto Voice Record] to set up Auto Voice or select [Protocol Management]
Select [Quit] to quit.
Functions of [Auto Voice Record] and [Protocol Management] are described on the following pages.
Protocol Management
Auto VoiceRecord
ProtocolManagement
Quit2-12 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Auto Voice Record 1
Function : This function allows you to give the patient recorded vocal instructions.
1. The following screen appears when you click on [Protocol Management] icon.
2. The following Auto Voice Record screen appears upon the selection of [Auto Voice Record].
Twenty protocols in all are available. The first three protocols are preset in the system and can not be changed. Other 17 protocols are programmable.
Auto VoiceRecord
ProtocolManagement
Quit
Auto Voice Record
Name1.2.3.4.5.6.7.8.9.
11.12.13.14.15.16.17.18.1920.
Create New Message Message Management
0.0 Delete Set
10.
Language Selection English
Inspiration
Suspension
Expiration
Pre-Message Post-Message Name Pre-Message Post-Message
Done
Record Stop
Play Save Message
Play2-13CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Auto Voice Record 2
As for the first three protocols, there are nine language options.In order to choose any one of them, click on the [English] button on the Auto Voice Record menu on the previous page to open the following menu.
You can select any one of them to listen to it. In order to select any one of them for the scan, you are required to do so through the [Auto Voice No.] button on the Scout (or Axial/Helical) Prescription Screen. (Refer to Chapter 4.)
3. To create a new Auto Voice instruction message, point and click in the Name area where you wish to put the protocol. Type in the name and press the Enter key.
After pressing the Enter key, the Pre and Post Message areas become active.
4. Go to the Create New Messages area to create new instruction messages.
The only active icon at this point is [Record].
AutoVoice Language Selection
English male English female Japanese
German Spanish
French
Mexican Spanish
Cancel
Italian
Korean Chinese
Record Stop
Play Save Message
0.0
Create New Messages2-14 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Auto Voice Record 3
5. Once you are ready to record, select [Record]. Then, press the [Talk] button on the keyboard and speak the verbal instruction to the microphone. The time clock to the right will start. The maximum recording time is 20 seconds.
6. When finished with recording, select [Stop]. Select [Play] to listen to what was recorded.
7. To save the recorded message as a protocol, click on the Pre or Post Message box and select [Save Message].
8. The Message Management area allows you to play or delete an existing Auto Voice protocol. To delete a protocol, select the protocol name and then select [Delete Set].
To play a message, simply select the message box you wish to play and select [Play].
9. To leave the Auto Voice Record menu, select [Done].
Play
Message Management
Delete Set
Done2-15CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Protocol Management 1
Function : This function allows you to create, edit or delete scan protocols.
1. The following screen appears when you click on [Protocol Management] icon.
2. The following screen appears upon the selection of [Protocol Management] on the above screen. This is the Adult Protocol menu. The Infant Protocol menu is also selected by clicking on the Infant tab.
3. Select a protocol or an anatomic region to open the menu on the next page.
Auto VoiceRecord
ProtocolManagement
Quit
Quit
Protocol Management
Adult tabInfant tab2-16 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Protocol Management 2
4. You can build up to 15 protocols for each anatomical region.
5. To duplicate (copy) an existing protocol, first choose the protocol and select [Duplicate]. Then, you may slightly modify it to create a new protocol that will have the similar parameters to the original protocol.
6. To edit or delete an existing protocol, first choose the protocol and select [Edit] or [Delete] respectively.
7. To create a new protocol, select [New].
8. After selecting [New], enter the protocol name on the highlighted line and press the Enter key. To set a protocol as the default for the region, select the [Default] button next to the protocol. Only one protocol can become the default for the region.
9. Next, select the Series Type that will begin the protocol and click on [OK].
The following Protocol Setup screen appears.
Protocol Name Default
New Edit Delete
Done Cancel
Duplicate
Scout
OK Cancel
Axial
Select New Series Type2-17CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Protocol Management 3
The following screen is an example of axial scan protocol setup.
10. In the above screen, the [Scan] icon parameters (Thick, Image Int'val, pitch, etc.) are supposed to be filled. In order to enter Timing, Recon and Film parameters, click on the [Timing], [Recon] and [Film] icon, respectively. The menus for Timing, Recon and Film are shown on the following pages.
Prior/Next : Prior or Next key appears on the screen only when more than three groups are prescribed for one screen.
Anatomical
Prior Next
Series Description
Prior Next Accept
Split
RepeatCancel Delete
Protocol Parameters Setup Screen
Reference
Protocol :
Auto FilmSetup
ShowLocalizer
AutoStore
AddGroup CurrentGroup
DeleteSelectedGroup
Images ScanType
StartLoc.
EndLoc.
No. ofImages
Thick(mm)
ImageIntval Pitch
GantryTilt SFOV kV mA
Scan Timing FilmRecon
Series Series Series Series
Series:
CTDIvol DLP
Axial
Axial
S50.0 S10.0 5 581 8 0 120 180
9 15 7S10.0 I60.0 10 10 0 120 160
Body
Body
Auto mA OFF
SmartReconOFF
Auto Transfer
SmartPrepRX
Create NewSeries2-18 CT/e Operator Manual
SCAN TOP LEVEL SCREEN
Protocol Management 4
The following Timing menu will appear when you click on the [Timing] icon.
The following Recon menu will appear when you click on the [Recon] icon.
The following Film menu will appear when you click on the [Film] icon.
PrepGroup ISD
(sec)
BreathHold(sec)
BreatheTime
AutoVoice
No.
Scan Timing Recon Film
(sec)
DFOV(cm)
R/LCenter(mm)
A/PCenter(mm)
ReconType
ImageFilter
MatrixSize
MotionCorrect
SpecialFilter
ShowRecon1
ShowRecon2
ShowRecon3
Y N N
Scan Timing Recon Film
AutoFilm
FrameFormat
Interval Flip Width1
Level1
MagFactor