Philips MX 8000 User manual

Multislice

CT Imaging

Systems

Volume 1

Part No. 490-7180-4006

PHILIPS MEDICAL SYSTEMS (CLEVELAND), INC.

HIGHLAND HEIGHTS, OHIO

the copyright laws of the United States

This document prepared and distributed by

Technical Communications Department.

NOTICES

This manual and the information contained herein are confidential and proprietary to Philips Medical Systems, Inc. Only Philips or its Licensees have the right to use the information. Any unauthorized use, disclosure or reproduction is a violation of the licenses and/or Philips’s proprietary rights and will be prosecuted to the full extent of the Law.

The information contained in this manual conforms with the configuration of the equipment as of the date of manufacture. Revisions to the equipment subsequent to the date of manufacture will be addressed in service updates distributed to the Philips Technical Service Organization.

Philips Medical Systems assumes no responsibility for the use, nor for any consequences which may result from the use or interpretation of the information contained herein subsequent to the date of manufacture by anyone other than Philips employees or authorized representatives of Philips.

DISCLAIMER

Neither Philips Medical Systems, Inc., nor any of its worldwide affiliates shall be obliged in any manner in respect to bodily injury and/or property damage arising from this product or the use thereof if the unit is not operated and maintained in strict compliance with instructions and safety precautions contained herein, in all supplements hereto and according to all terms of warranty and sale relevant to this product.

Table of Contents

SAFETY GUIDELINES

Safety Guidelines............................................................................................ 1-1

General Hazards............................................................................................. 1-3

IEC-601 Classification..................................................................................... 1-4

Electrical Ratings ............................................................................................ 1-4

Environmental Protection................................................................................ 1-5

Owner’s Responsibility.................................................................................... 1-5

System Operation and Maintenance ...............................................................1-5

Safety Precautions.......................................................................................... 1-6

Safety Devices and Procedures ...................................................................... 1-7

Main Power Switch.......................................................................................... 1-7

STOP Buttons................................................................................................. 1-7

Manual Patient Release .................................................................................. 1-8

Returning the System to Normal Operation..................................................... 1-8

Patient Handling and Positioning ....................................................................1-9

Immobilizing the Patient ............................................................................. 1-9

Table Movements .................................................................................... 1-10

Patient Scanning...................................................................................... 1-12

Protection Measures ................................................................................ 1-13

Weekly Tests of Safety Devices.................................................................... 1-14

Cleaning the System..................................................................................... 1-15

Table and Its Extensions............................................................................... 1-15

Oil Leaks....................................................................................................... 1-16

Radiation Warning Lamps............................................................................. 1-16

Laser Marker................................................................................................. 1-17

Warning Labels............................................................................................. 1-18

SYSTEM DESCRIPTION

Multi-Slice Gantry ........................................................................................... 2-2

Operating Station............................................................................................ 2-2

Computing System.......................................................................................... 2-3

Display Monitor ............................................................................................... 2-3

Patient Intercom.............................................................................................. 2-4

Archives.......................................................................................................... 2-4

Hard Disks ...................................................................................................... 2-4

Erasable (Rewritable) Optical Disk (optional).................................................. 2-5

AMC – Filming Control Device (optional)......................................................... 2-5

Scan Control Panel......................................................................................... 2-6

Scan Window.................................................................................................. 2-9

Mx8000 Series Operation Manual, Vol. 1 TOC - 1

Table of Contents

Scan Window Toolbox.............................................................................. 2-11

Scan Status Display ................................................................................. 2-12

Menu Bar.................................................................................................. 2-13

Tool Bar ................................................................................................... 2-18

Graphic Tool Box ..................................................................................... 2-20

Patient Catalog ............................................................................................. 2-21

Gantry and Patient Table.............................................................................. 2-26

Gantry Panel................................................................................................. 2-27

Patient Table ................................................................................................ 2-30

Patient Supports (Positioning Aids)............................................................... 2-32

X-Ray and Detection systems....................................................................... 2-40

MxView Diagnostic Console (optional).......................................................... 2-40

SCANNER OPERATION

General........................................................................................................... 3-1

System Power-Up........................................................................................... 3-1

System Shut-down.......................................................................................... 3-2

Emergency Procedures .................................................................................. 3-3

Operating the Gantry Tilt and Table................................................................ 3-4

Patient Positioning in Gantry........................................................................... 3-5

Scanning Procedure ....................................................................................... 3-9

Surview Scan (for Plan on Surview) ............................................................. 3-17

Plan on Surview............................................................................................ 3-19

The Plan Window .................................................................................... 3-19

Defining the Position of a Scan Series..................................................... 3-23

Scanning Workflow ...................................................................................... 3-29

Examination Flow ........................................................................................ 3-34

Scan Protocols.............................................................................................. 3-36

Protocol Selection.................................................................................... 3-36

Protocol Parameter Windows .................................................................. 3-37

Modifying Protocols ................................................................................. 3-39

Common Protocols Parameters.................................................................... 3-40

Surview Protocol........................................................................................... 3-47

Surview Scan Parameters ....................................................................... 3-47

Surview Reconstruction Parameters........................................................ 3-48

Axial Protocol................................................................................................ 3-49

Axial Scan Parameters ............................................................................ 3-49

Axial Reconstruction Parameters............................................................. 3-55

TOC-2 Mx8000 Series Operation Manual, Vol. 1

Table of Contents

Helix Protocol................................................................................................ 3-58

Helix Scan Parameters ............................................................................ 3-58

Helix Reconstruction Parameters............................................................. 3-64

Add Reconstructions..................................................................................... 3-67

Reconstruction Function ......................................................................... 3-68

Reconstruction Process ........................................................................... 3-69

Miscellaneous Menu ..................................................................................... 3-71

Calibrations.............................................................................................. 3-72

Generate Protocol.................................................................................... 3-74

Tube Conditioning Program ..................................................................... 3-77

Impulse Response ................................................................................... 3-77

Slice Width............................................................................................... 3-78

Voice Recorder ........................................................................................ 3-80

ARCHIVE MANAGER

Overview......................................................................................................... 4-1

Archive Manager Window ............................................................................... 4-2

Selecting Images ............................................................................................ 4-6

Displaying a List of Selected Patients ............................................................. 4-9

Displaying an Image in the Quick Viewer...................................................... 4-11

Copying Files between Devices and Stations................................................ 4-12

Deleting Files ................................................................................................ 4-13

Locking and Unlocking Files ......................................................................... 4-13

Sorting Patient Files in Patients & Series Mode ............................................ 4-14

Sorting Image Files in Image List Mode ........................................................ 4-15

Free Space ................................................................................................... 4-16

Verifying Connection..................................................................................... 4-16

Disk Maintenance.......................................................................................... 4-16

Queue Manager............................................................................................ 4-18

Logout........................................................................................................... 4-19

VIEWER

Overview......................................................................................................... 5-1

Viewer Window ............................................................................................... 5-2

Retrieval of Images from Archive .................................................................... 5-5

Saving Images................................................................................................ 5-5

Image Selection Modes................................................................................... 5-6

Mx8000 Series Operation Manual, Vol. 1 TOC - 3

Table of Contents

Setting Number of Images in the Viewer Window........................................... 5-7

Sorting Images ............................................................................................... 5-8

Rearranging Images in the Viewer................................................................ 5-10

Add Parameters Frame ................................................................................ 5-11

Add Blank Image .......................................................................................... 5-12

Scrolling Through the Images ....................................................................... 5-12

Zoom and Pan.............................................................................................. 5-13

Enhance ....................................................................................................... 5-14

Cine .............................................................................................................. 5-15

Rotate Image by 90 degrees......................................................................... 5-17

Flip Image..................................................................................................... 5-17

Image Parameters........................................................................................ 5-18

Dual Images ................................................................................................. 5-19

Multiple Groups/Stack Reading..................................................................... 5-20

Defining Groups............................................................................................ 5-20

Filming Every Second, Third or n

Windowing .................................................................................................... 5-24

The Window.............................................................................................. 5-24

The Window Center and Width................................................................. 5-24

Windowing Procedure............................................................................... 5-25

Using the Windowing Bars............................................................................ 5-26

Changing the Preset Windows...................................................................... 5-27

Inverse Image............................................................................................... 5-28

Dual (Double) Window .................................................................................. 5-28

Highlight Window .......................................................................................... 5-30

Alternate Window.......................................................................................... 5-31

Automatic Windowing ................................................................................... 5-31

Multiformat in Viewing Window ..................................................................... 5-32

Image ..................................................... 5-23

GRAPHICS

Overview......................................................................................................... 6-1

Description...................................................................................................... 6-1

Accuracy of Measurements............................................................................. 6-2

Using Graphic Elements................................................................................. 6-3

Placing A Graphic Element......................................................................... 6-3

Changing an Existing Graphic Element ...................................................... 6-4

Monochrome and Inverse Overlays............................................................ 6-4

Copying Graphic Elements......................................................................... 6-5

Copying to Selection ................................................................................. 6-5

TOC-4 Mx8000 Series Operation Manual, Vol. 1

Table of Contents

Deleting Graphic Elements......................................................................... 6-6

Temporarily Removing Overlays................................................................. 6-6

Graphic Elements Operation........................................................................... 6-7

Line ............................................................................................................ 6-7

Straight Line ............................................................................................... 6-7

Curved Line (Bezier)................................................................................... 6-8

Freehand Line ............................................................................................ 6-9

ROI (Region of Interest) ........................................................................... 6-10

Cursor ......................................................................................................6-13

Arrow........................................................................................................ 6-14

Text .......................................................................................................... 6-15

Angle........................................................................................................ 6-16

Grids ............................................................................................................. 6-17

Coordinate Grid ........................................................................................ 6-17

Grid on Image........................................................................................... 6-18

Scales ...................................................................................................... 6-18

Histogram ..................................................................................................... 6-19

Profile ........................................................................................................... 6-20

Display Options............................................................................................. 6-21

Titles.............................................................................................................. 6-22

MASTERFILM

Overview......................................................................................................... 7-1

MasterFilm Window ........................................................................................7-2

Filming Images ............................................................................................... 7-5

Film Format..................................................................................................... 7-6

Master Film Monitor .......................................................................................7-6

Print Film......................................................................................................... 7-7

Selecting Another Printer ................................................................................ 7-8

Clear Film Queue............................................................................................ 7-8

Modifying Film Parameters ............................................................................. 7-8

Image Manipulations..................................................................................... 7-10

Image Selection......................................................................................... 7-10

Rearranging Images in the MasterFilm...................................................... 7-10

Add Parameters Frame ............................................................................. 7-11

Add Blank Image....................................................................................... 7-12

Zoom And Pan .......................................................................................... 7-12

Enhance .................................................................................................... 7-12

Windowing .................................................................................................... 7-13

Mx8000 Series Operation Manual, Vol. 1 TOC - 5

Table of Contents

Graphic Elements For Measurements And Annotations ................................ 7-13

Flip Image ..................................................................................................... 7-13

Scrolling Through the Images ....................................................................... 7-13

Gray Scale .................................................................................................... 7-13

Dual Images.................................................................................................. 7-14

Sorting Images.............................................................................................. 7-14

Multiple Groups/Stack Filming....................................................................... 7-14

Multiformat .................................................................................................... 7-15

BOLUS PRO ULTRA (Option)

Overview ........................................................................................................ 8-1

Hardware Requirements ................................................................................ 8-2

Features of Bolus Pro Ultra ............................................................................ 8-2

How BolusPro Ultra Works ............................................................................. 8-3

Planning Procedures ...................................................................................... 8-4

The Surview Scan....................................................................................... 8-4

Starting Bolus Pro Ultra ............................................................................. 8-4

Locator Planning......................................................................................... 8-6

Tracker Planning ........................................................................................ 8-7

Clinical Scan Planning ................................................................................ 8-9

Executing Bolus Pro Ultra After Planning...................................................... 8-10

Locator Scan ............................................................................................ 8-10

Tracker and Clinical Scans ....................................................................... 8-12

Additional Clinical Scan ............................................................................ 8-14

Hints.............................................................................................................. 8-14

CONTINUOUS CT (Option)

General .......................................................................................................... 9-1

Principles of Operation ................................................................................ 9-1

CCT Components .......................................................................................... 9-2

Special Safety Instructions for CCT Accessories ........................................... 9-3

Preparations for Biopsy ................................................................................. 9-4

CCT Scan Parameters .................................................................................. 9-5

CCT Reconstruction Parameters .................................................................. 9-7

Starting the Biopsy Procedure ...................................................................... 9-8

Lesion Localization Process .......................................................................... 9-9

Radiation Information .................................................................................. 9-11

Scattered Radiation Information ................................................................. 9-12

TOC-6 Mx8000 Series Operation Manual, Vol. 1

Appendix A – Using Windows

Appendix B – Image Performance Quality Assurance

Appendix C – User Information

Table of Contents

Mx8000 Series Operation Manual, Vol. 1 TOC - 7

DOCUMENT EFFECTIVITY

E.C.O. REV. DATE DESCRIPTION CHAP. PAGES APPR.

E9913906 0 Mar

1999

E13000003 0 May

2000

E13000048 0 Nov

2000

E13000067 0 Apr

2001

E13000067 1 Jun

2001

E13000111 0 Nov

2001

New Release All All S. Rubinstein

Update to V2 All All S. Rubinstein

Update v2 with Dual system

Update to v2.2 Beta edition

Release v2.2 All All S. Rubinstein

Release v2.21 All All S. Rubinstein

All All S. Rubinstein

Diagnostic Imaging Systems

RADIATION WARNING

X-RAY AND GAMMA RAYS ARE DANGEROUS TO BOTH OPERATOR AND OTHERS IN THE VICINITY UNLESS ESTABLISHED SAFE EXPOSURE PROCEDURES ARE STRICTLY OBSERVED.

THE USEFUL AND SCATTERED BEAMS CAN PRODUCE SERIOUS OR FATAL BODILY INJURIES TO PATIENTS AND PERSONS IN THE SURROUNDING AREA IF USED BY AN UNSKILLED OPERATOR. ADEQUATE PRECAUTIONS MUST ALWAYS BE TAKEN TO AVOID EXPOSURE TO THE USEFUL BEAM, AS WELL AS TO LEAKAGE RADIATION FROM WITHIN THE SOURCE HOUSING OR TO SCATTERED RADIATION RESULTING FROM THE PASSAGE OF RADIATION THROUGH MATTER.

THOSE AUTHORIZED TO OPERATE, PARTICIPATE IN OR SUPERVISE THE OPERATION OF THE EQUIPMENT MUST BE THOROUGHLY FAMILIAR AND COMPLY COMPLETELY WITH THE CURRENT ESTABLISHED SAFE EXPOSURE FACTORS AND PROCEDURES DESCRIBED IN PUBLICATIONS, SUCH AS: SUBCHAPTER J OF TITLE 21 OF THE CODE OF FEDERAL REGULATIONS, "DIAGNOSTIC X-RAY SYSTEMS AND THEIR MAJOR COMPONENTS," AND THE NATIONAL COUNCIL ON RADIATION PROTECTION (NCRP) NO. 102, "MEDICAL X-RAY AND GAMMA-RAY PROTECTION FOR ENERGIES UP TO 10 MEV-EQUIPMENT DESIGN AND USE, " AS REVISED OR REPLACED IN THE FUTURE.

THOSE RESPONSIBLE FOR THE PLANNING OF X-RAY AND GAMMARAY EQUIPMENT INSTALLATIONS MUST BE THOROUGHLY FAMILIAR AND COMPLY COMPLETELY WITH NCRP NO. 49, "STRUCTURAL SHIELDING DESIGN AND EVALUATION FOR MEDICAL OF X-RAYS AND GAMMA-RAYS OF ENERGIES UP TO 10 MEV," AS REVISED AND REPLACED IN THE FUTURE.

FAILURE TO OBSERVE THESE WARNINGS MAY CAUSE SERIOUS OR FATAL BODILY INJURIES TO THE OPERATOR OR THOSE IN THE AREA

Diagnostic Imaging Systems

MECHANICAL - ELECTRICAL WARNING

ALL OF THE MOVEABLE ASSEMBLIES AND PARTS OF THIS EQUIPMENT SHOULD BE OPERATED WITH CARE AND ROUTINELY INSPECTED IN ACCORDANCE WITH THE MANUFACTURER'S RECOMMENDATIONS CONTAINED IN THE EQUIPMENT MANUALS.

ONLY PROPERLY TRAINED AND QUALIFIED PERSONNEL SHOULD BE PERMITTED ACCESS TO ANY INTERNAL PARTS. LIVE ELECTRICAL TERMINALS ARE DEADLY; BE SURE LINE DISCONNECT SWITCHES ARE OPENED AND OTHER APPROPRIATE PRECAUTIONS ARE TAKEN BEFORE OPENING ACCESS DOORS, REMOVING ENCLOSURE PANELS, OR ATTACHING ACCESSORIES.

DO NOT, UNDER ANY CIRCUMSTANCES, REMOVE THE FLEXIBLE HIGH TENSION CABLES FROM THE X-RAY TUBE HOUSING OR HIGH TENSION GENERATOR AND/OR THE ACCESS COVERS FROM THE GENERATOR UNTIL THE MAIN AND AUXILIARY POWER SUPPLIES HAVE BEEN DISCONNECTED.

FAILURE TO COMPLY WITH THE ABOVE MAY RESULT IN SERIOUS OR FATAL BODILY INJURIES TO THE OPERATOR OR THOSE IN THE AREA.

ELECTRICAL GROUNDING INSTRUCTIONS

THE EQUIPMENT MUST BE GROUNDED TO AN EARTH GROUND BY A SEPARATE CONDUCTOR. THE NEUTRAL SIDE OF THE LINE IS NOT TO BE CONSIDERED THE EARTH GROUND. ON EQUIPMENT PROVIDED WITH A LINE CORD, THE EQUIPMENT MUST BE CONNECTED TO A PROPERLY GROUNDED, THREE-PIN RECEPTACLE. DO NOT USE A THREE-TO-TWO PIN ADAPTER

INSTALLATION AND ENVIRONMENT

EXCEPT FOR INSTALLATIONS REQUIRING CERTIFICATION BY THE MANUFACTURER PER FEDERAL STANDARDS, SEE THAT A RADIATION PROTECTION SURVEY IS MADE BY A QUALIFIED EXPERT IN ACCORDANCE WITH NCRP 102, SECTION 7, AS REVISED OR REPLACED IN THE FUTURE. PERFORM A SURVEY AFTER EVERY CHANGE IN EQUIPMENT, WORKLOAD, OR OPERATING CONDITIONS WHICH MIGHT SIGNIFICANTLY INCREASE THE PROBABILITY OF PERSONS RECEIVING MORE THAN THE MAXIMUM PERMISSIBLE DOSE EQUIVALENT.

TO THE USER OF THIS MANUAL

THE USER OF THIS MANUAL IS DIRECTED TO READ AND CAREFULLY REVIEW THE INSTRUCTIONS, WARNINGS AND CAUTIONS CONTAINED HEREIN PRIOR TO BEGINNING INSTALLATION OR SERVICE ACTIVITIES. WHILE YOU MAY HAVE PREVIOUSLY INSTALLED OR SERVICED EQUIPMENT SIMILAR TO THAT DESCRIBED IN THIS MANUAL, CHANGES IN DESIGN, MANUFACTURE OR PROCEDURE MAY HAVE OCCURRED WHICH SIGNIFICANTLY AFFECT THE PRESENT INSTALLATION OR SERVICE.

THE INSTALLATION AND SERVICE OF EQUIPMENT DESCRIBED HEREIN IS TO BE PERFORMED BY AUTHORIZED, QUALIFIED PHILIPS MEDICAL SYSTEMS PERSONNEL. ASSEMBLERS AND OTHER PERSONNEL NOT EMPLOYED BY NOR DIRECTLY AFFILIATED WITH PHILIPS MEDICAL SYSTEMS TECHNICAL SERVICES ARE DIRECTED TO CONTACT THE LOCAL PHILIPS OFFICE BEFORE ATTEMPTING INSTALLATION OR SERVICE PROCEDURES.

This document prepared and distributed by

Technical Communications Department.

Address inquiries regarding this document to:

PHILIPS MEDICAL SYSTEMS, INC.

TECHNICAL COMMUNICATIONS DEPARTMENT

595 Miner Road

Highland Heights, Ohio 44143

Phone: (440) 483-3000

Fax: (440) 483-7209

CAUTION

Use of controls or adjustments or performance of procedures other than those specified herein may

result in hazardous radiation exposure.

CAUTION

CAUTIONCAUTION

LASER RADIATION – DO NOT STARE INTO BEAM

DIODE LASER – MAX OUTPUT POWER 1.0mW 650 NM EMITTED WAVE LENGTH

“CLASS II LASER PRODUCT”

PUBLICATION IMPROVEMENT RECOMMENDATION

Users of this publication are encouraged to report errors, omissions, and their recommendations for improving this publication. This sheet is published for that purpose. To file a Publication Improvement Recommendation, fill in the information requested below, fold, tape, and mail this prepaid business reply form.

Mx8000 Series Operation Manual, Vol. 1, Nov. 2001

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TABLE OF CONTENTS

SAFETY GUIDELINES .............................................................

SYSTEM DESCRIPTION .........................................................

SCANNER OPERATION ..........................................................

ARCHIVE MANAGER .............................................................

VIEWER ................................................................................

GRAPHICS ............................................................................

MASTERFILM ...........................................................................

BOLUS PRO ULTRA ..............................................................

CONTINUOUS CT ..................................................................

Appendix A – Using Windows ...............................................

Appendix B – Image Performance Quality Assurance ............

Appendix C – User Information .............................................