Siemens Arcadis Avantic Quality Assurance

SiemensMedical SolutionsMühlhäusser
ARCADIS Avantic
Quality Assurance
System
SP
Image Quality Quick Test for Software Version VC10A and later
10143408
© Siemens
The reproduction, transmission or use of this document or its contents is not permitted without express written authority. Offenders will be liable for damages. All rights, including rights created by patent grant or registration of a utility model or design, are reserved.
Print No.: Replaces: SPR2-330.820.30.01.02
SPR2-330.820.30.02.02
English Doc. Gen. Date: 02.08
2007

2 Revision / Disclaimer

1Revision / Disclaimer
Document revision level
The document corresponds to the version/revision level effective at the time of system delivery. Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.
Disclaimer
The installation and service of equipment described herein is to be performed by qualified personnel who are employed by Siemens or one of its affiliates or who are otherwise authorized by Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated with or authorized by Siemens or one of its affiliates are directed to contact one of the local offices of Siemens or one of its affiliates before attempting installation or service pro­cedures.
ARCADIS Avantic SPR2-330.820.30.02.02 Siemens
02.08 CS PS SP
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Medical Solutions
Table of Contents 3
0Table of Contents
1 _______ Introduction ____________________________________________________ 5
Notes and symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
General safety information (in existing documents) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
System identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Required measuring equipment and tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Basic measuring conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Activating, deactivating, and selecting the exam sets relevant for the IQ test. . . . . . 11
Loading the ASPIA test images relevant for the IQ test . . . . . . . . . . . . . . . . . . . . . . 12
Avantic tableside control (overview) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2 _______ Monitors ______________________________________________________ 17
Monitors present. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Color monitors ❐ present . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Monochrome monitors ❐ present . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Monitor brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Color monitors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Monochrome monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Monitor contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Color monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Monochrome monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Visual evaluation of the SMPTE calibration test image. . . . . . . . . . . . . . . . . . . . . . . 20
3 _______ Checking the ADR control characteristics __________________________ 22
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ADR control curve for the fluoroscopy mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ADR control curves for the pulsed fluoroscopy mode. . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ADR control curve for the DCM mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ADR control curves for the DR mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
4 _______ Checking the image position _____________________________________ 27
Checking the image position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
5 _______ Resolution ____________________________________________________ 29
Checking the resolution and minimum contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Evaluation of resolution and minimum contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Evaluation of resolution without prefiltering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
6 _______ Capillary test __________________________________________________ 33
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4 Table of Contents
Dynamic Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Capillary visibility test during fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Capillary visibility test during subtraction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Capillary visibility test for roadmap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Pixelshift function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
7 _______ Contrast ______________________________________________________ 40
Edge enhancement, contrast enhancement, and object movements . . . . . . . . . . . . . . . 40
Edge enhancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
LUT selection change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Motion unsharpness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
8 _______ Checking the Controls___________________________________________ 43
9 _______ Digital preprocessing ___________________________________________ 45
Digital preprocessing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Vignetting compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
10 ______ Image Disturbances_____________________________________________ 48
Image Disturbances (artifacts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Definition of the assessment numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Description of the artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Evaluation of the image disturbances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
11 ______ Local printer ___________________________________________________ 51
Local Printer - Sony UPD970/UPD990 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Function Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
12 ______ Final work steps________________________________________________ 52
Customer-specific organ programs (exam sets) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Checking newly programmed ADR control characteristics . . . . . . . . . . . . . . . . . . . . 52
Protective conductor test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
13 ______ Changes to previous version _____________________________________ 55
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Medical Solutions

Introduction 5

Notes and symbols 0

1- 1Introduction
The signal words are used and classified in anticipation of the new Medical Solutions CS standard which is based on ANSI standard Z535.4.
Emphasized text in this technical documentation has the following meanings:
Tab. 1 GEFAHR / DANGER
Bei einer unmittelbar drohenden Gefahr, die bei Nichtvermeidung zum Tod oder zu einer schweren Körperverletzung führt.
Indicates when there is an immediate danger that leads to death or serious physical injury.
Tab. 2 WARNUNG / WARNING
Bei einer Gefahr, die bei Nichtvermeidung zum Tod oder zu einer schweren Körperverletzung führen kann.
Indicates a risk of danger that may lead to death or serious phys­ical injury.
Tab. 3 VORSICHT / CAUTION
Tab. 4 ACHTUNG / NOTICE
Bei einer Gefahr, die bei Nichtvermeidung zu einer leichten oder mittleren Körperverletzung und/ oder zu einer Sachbeschädi­gung führt oder führen kann.
Indicates a risk of danger that leads to slight or moderate physi­cal injury and/or damage to property.
Bei einer Gefahr, die bei Nichtvermeidung zu einem unerwünscht­en Ergebnis oder Zustand führt oder führen kann (nicht Tod , Körperverletzung oder Sachbeschädigung).
Indicates a risk of danger that if disregarded leads or may lead to a potential situation which may result in an undesirable result or state (not death, physical injury or property damage).
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6 Introduction
Tab. 5 HINWEIS / NOTE
Ist als Tipp zu verstehen. Der Anwender muss diese Anweisung nicht unbedingt beachten. Er erfährt jedoch Vorteile, wenn er dies tut.
Should be understood as a tip. The user does not absolutely have to observe these instructions. However, there will be advan­tages if he does.
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Medical Solutions
Introduction 7

General safety information (in existing documents) 1.1

WARNING
Danger of injury, death, or material damage.
Non-compliance can lead to death, injury, or material dam­age.
Please note:
¹ The product-specific safety information in the start-up
instructions and system service documentation,
¹ The general safety information in TD00-000.860.01,
and
¹ The safety information in accordance with ARTD Part
2.
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8 Introduction

System identification 1.2

Material no.: ___________________ Serial no.: ________________________
Customer/clinic: ____________________________________________________
Address: _____________________ City: ____________________________
State/province: ________________________ Country: ____________________________
Phone no.: ___________________ Contact person: _____________________
System no.: ___________________ Office: ______________________________
Responsible system engineer: _______________________________________
Image quality acceptance in the factory performed completely and documented by:
Name (block letters):
Signature:
Customer installation date: _______________
IQ quick test performed at:
Handover to customer During maintenance
Settings deviating from the standard based on:
Country-specific Regula­tions
Reason: _________________________________________________________
____________________________________________________________________
Name (block letters): __________________ Office:______________
__________________
__________________
Spec. customer wishes
Dept:
Date:
__________________
__________________
Signature: __________________
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Medical Solutions
Introduction 9

Required measuring equipment and tools 1.3

Set of X-ray filters, 10 x 0.3 mm Cu 44 06 120 RV090
Precision X-ray filter, 2.1 mm Cu 99 00 598 XE999
25 mm AL measuring stand, type 26765 acc. to DIN 6868
Part 50
or
1.2 mm Cu from the X-ray filter set
17 µm Cu strips
97 98 596 G5321 and
11 67 662 G5247
Resolution test set type 41 28 71 820 RE999
Densitometer e.g. X-Rite 331 97 02 416 Y1996
or PTW-BC21 including black check
Type 5321 and light box type 53213
Dynamic test case 37 90 156 X1963
or 97 50 001 X1963
containing: TV dynamic test 37 90 164 X1963
Heart contour diaphragm 37 90 172 X1963
Capillary test 37 90 180 X1963
Mount 87 13 901 X1963
Veiling glare test
87 09 743 X1963
SMfit Spotmeter 77 52 848
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10 Introduction

Requirements 1.4

Basic measuring conditions 0

Completely functioning system; ensure that
- the grid is attached to the I.I. input.
- the cover is attached to the POWERPHOS over the tube collimator.
A "mid" level fluoro dose rate means: (full format; setting tolerance 10%).
33 cm I.I.: 0,131 µGy/s - fluoro (at the I.I.
input), grid factor 1.5 must be used.
A "high" level fluoro dose rate means: (full format; setting tolerance 10%).
33 cm I.I.: 0,262 µGy/s - fluoro (at the I.I.
input), grid factor 1.5 must be used.
In addition, dose multipliers predefined in the unit are used for the different operating
modes.
The setpoints listed in the following chapters apply for a "mid" or "high" dose level; in the
case of deviating settings, setpoints may have to be adapted.
When requested to switch
- Noise reduction K-factor
- Edge
- Motion detection
- Fluoroscopic characteristic
- or other parameters in the organ programs, select or change a correspondingly pre­defined organ program or, if possible, change the parameter directly in the acquisi­tion task card.
The "Service_X_..." exam sets in "General, All Body Region" must be activated in the
ExamSet Editor prior to starting work and returned to the hidden pool after completion of the work. See the following paragraph "Loading/unloading the exam sets relevant for the IQ test."
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Medical Solutions
Introduction 11

Activating, deactivating, and selecting the exam sets relevant for the IQ test 0

NOTE
Exam sets relevant for the IQ test have been predefined to simplify image quality testing and can be loaded.
During normal operation, these are not active and are not visible to the customer.
The exam sets relevant for the IQ test must be activated prior to conducting the image quality test.
These exam sets must then be deactivated after completion of the IQ test.
Activating the exam sets relevant for the IQ test
Select the "Options" - "Configuration" menu after system start-up.
¹ The "syngo configuration panel" window is displayed.
Double-click on the "Examination set configuration" icon.
¹ The "Examination set configuration" window is displayed.
Select the "General" task card in the "Examination set configuration" window.
NOTE
For the exam sets relevant for the IQ test to be visible, no patient region may be selected in the graphic, virtual patient anatomy representation.
If a patient region is selected and is displayed lighter than its surroundings, click once in the gray field to the left or right outside of the image.
This deselects the previously selected patient region so it is no longer displayed lighter than its surroundings.
All available exam sets are displayed in the "Examination set pool" field in the "Exami-
nation set configuration" window.
¹ Already active exam sets have a light background.
¹ Inactive exam sets have a gray background.
Select each exam set beginning with "SERVICE_....." and copy it to the "Active exami-
nation sets" field by clicking on the button with the down arrow.
¹ All exam sets beginning with "SERVICE_..." are displayed in the "Active examina-
tion sets" field.
Click on the "Apply" button.
Click on the "OK" button.
¹ The "Examination set configuration" window closes.
¹ The exam sets relevant for the IQ test can be selected in the examination task
card after a patient is opened under "General."
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12 Introduction
Deactivating the exam sets relevant for the IQ test
Select the "Options" - "Configuration" menu after system start-up.
¹ The "syngo configuration panel" window is displayed.
Double-click on the "Examination set configuration" icon.
¹ The "Examination set configuration" window is displayed.
Select the "General" task card in the "Examination set configuration" window.
NOTE
For the exam sets relevant for the IQ test to be visible, no patient region may be selected in the graphic, virtual patient anatomy representation.
If a patient region is selected and is displayed lighter than its surroundings, click once in the gray field to the left or right outside of the image.
This deselects the previously selected patient region so it is no longer displayed lighter than its surroundings.
All available exam sets are displayed in the "Active examination sets" field in the
"Examination set configuration" window. Active exam sets have a light background.
Select each exam set beginning with "SERVICE_....." and remove them from the
"Active examination sets" field by clicking on the button with the up arrow.
¹ None of the exam sets beginning with "SERVICE_..." are displayed any longer in
the "Active examination sets" field.
Click on the "Apply" button.
Click on the "OK" button.
¹ The "Examination set configuration" window closes.
¹ The exam sets relevant for the IQ test are no longer available in the examination
task card after a patient is opened under "General."
Selecting the exam sets relevant for the IQ test in the examination task card
After system start-up, perform a patient registration for the IQ test.
After loading, the exam sets relevant for the IQ test can be selected in the examination
task card.
Select "General" in the list field above the graphic, virtual patient anatomy representa-
tion.
The exam sets relevant for the IQ test (beginning with "SERVICE_....") can then be
selected in the list field below the graphic, virtual patient anatomy representation.

Loading the ASPIA test images relevant for the IQ test 0

NOTE
ARCADIS Avantic SPR2-330.820.30.02.02 Siemens
02.08 CS PS SP
The ASPIA test images relevant for the IQ test are not select­able during normal system operation.
To load the images, the local service must be open.
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Medical Solutions
Introduction 13
Select local service on the system (menu: "Options" - "Service" - "Local service") and
enter the password.
Leave the local service open during use of the necessary test images.
Open the patient browser.
¹ The available test images are saved and retrievable under the following path:
"Patient" - "Patient list" - "Local database" - "Service patient" - "Test images."
If the test images are no longer needed, close the open test images and terminate the
local service.
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14 Introduction

Avantic tableside control (overview) 1.5

Fig. 1: Overview of button assignment on the control panel
Control panel buttons:
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Medical Solutions
Introduction 15
Key no. Function
1 Move each column up two times
2 Move each column down two times
3 Subtraction mode "SUB"
4 Digital radiography mode "DR"
5 Pulsed fluoroscopy mode "pulsed FLUORO"
6 Fluoroscopy mode "FLUORO"
7 Roadmap mode
8 Push button
9 Image rotation top/bottom (vertical)
10 Image rotation left/right (horizontal)
11 Image intensifier zoom
12 Noise reduction (K-factor selection)
13 kV - Control stop
14 Reserve 1
15 kV/mA adjustment (-)
16 kV/mA adjustment (+)
17 Reserve 2
18 Open X iris diaphragm
19 Close X iris diaphragm
20 Rotate filter diaphragms CCW
21 Rotate filter diaphragms CW
22 Open filter diaphragm
23 Close filter diaphragm
24 Reset fluoro buzzer; set fluoro clock to zero
25 Image cursor left
26 Image cursor right
27 Edge enhancement
28 Electronic zoom in the memory
29 Reserve 3
30 Look-up table for Monitor A
31 Look-up table for Monitor B
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16 Introduction
32 Laser
33 Scene backward/stop
34 Scroll forward in the image memory
35 Scroll backward in the image memory
36 Initiate the documentation unit
37 n/a
38 n/a
39 DCM mode
40 Dose button
41 Metal button
42 Saving an image
43 Pulses per second
44 Reserve 4
45 Scene forward/stop
Brake control buttons
No. Function
58 Orbital C-arm brake
59 Angular C-arm brake
60 Horizontal C-arm brake
61 Swivel C-arm brake
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Medical Solutions

Monitors 17

Monitors present 0

2- 2Monitors
Mark the monitor (color or monochrome monitor) present.
Enter the monitor model and manufacturer in the "Model / Manufacturer" field as indi-
cated on the model plate.
Color monitors present 0
Model / manufacturer ................../ ..................
Monochrome monitors present 0
Model / manufacturer ................../ ..................
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