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
Page 2
2Revision / 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.
13 ______ Changes to previous version _____________________________________ 55
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Introduction5
Notes and symbols0
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. 1GEFAHR / 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. 2WARNUNG / 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. 3VORSICHT / CAUTION
Tab. 4ACHTUNG / 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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Page 6
6Introduction
Tab. 5HINWEIS / 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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Introduction7
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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Page 8
8Introduction
System identification1.2
Material no.: ___________________ Serial no.: ________________________
•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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Introduction11
Activating, deactivating, and selecting the exam sets relevant for the IQ test0
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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Page 12
12Introduction
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 test0
NOTE
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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.
Page 12 of 56
Medical Solutions
Page 13
Introduction13
•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:
•Switch off the ambient light sensor of the monitor, if present.
•Measure the 0% dark field with the SMfit spotmeter.
NOTE
Do not exert any pressure on the LCD display of the monitor
during the measurement with the SMfit spotmeter.
•Use the luminance measured previously in the "Monitor brightness" section in the 100%
bright field to calculate the contrast.
•Calculate the contrast as follows and enter it in the table:
Monitor, measured luminance in 100% bright field
Contrast =
_______________(divided by)_______________
Monitor, measured luminance in 0% dark field
Color monitors 0
SetpointsFactoryPlace of use
Left monitor
0% dark field
Luminance setpoint:
≤ 1 cd/m2
Measured luminance:
.................... cd/m2
Measured luminance:
.................... cd/m2
Left monitor
Contrast
Right monitor
0% dark field
Right monitor
Contrast
Contrast setpoint:
≥ 200
Luminance setpoint:
≤ 1 cd/m2
Contrast setpoint:
≥ 200
Calculated contrast:
....................
Measured luminance:
.................... cd/m2
Calculated contrast:
....................
Calculated contrast:
....................
Measured luminance:
.................... cd/m2
Calculated contrast:
....................
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Page 20
20Monitors
Monochrome monitors0
SetpointsFactoryPlace of use
Left monitor
0% dark field
Left monitor
Contrast
Right monitor
0% dark field
Right monitor
Contrast
Luminance setpoint:
≤ 1 cd/m2
Contrast setpoint:
≥ 350
Luminance setpoint:
≤ 1 cd/m2
Contrast setpoint:
≥ 350
Measured luminance:
.................... cd/m2
Calculated contrast:
....................
Measured luminance:
.................... cd/m2
Calculated contrast:
....................
Measured luminance:
.................... cd/m2
Calculated contrast:
....................
Measured luminance:
.................... cd/m2
Calculated contrast:
....................
Visual evaluation of the SMPTE calibration test image0
•Display the SMPTE calibration test image on both monitors.
•Visually evaluate the SMPTE calibration test image on both monitors.
FactoryLeft monitorRight monitor
All gray values are clearly visible:❐ Yes / ❐ No❐ Yes / ❐ No
The 5% field and the 95% field are visible:❐ Yes / ❐ No❐ Yes / ❐ No
Place of useLeft monitorRight monitor
All gray values are clearly visible:❐ Yes / ❐ No❐ Yes / ❐ No
The 5% field and the 95% field are visible:❐ Yes / ❐ No❐ Yes / ❐ No
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Monitors21
Fig. 2:SMPTE calibration test image
Pos. 10% field
Pos. 25% field
Pos. 395% field
Pos. 4100% field
Close local service.
•Close Local Service again, otherwise the measurement field is displayed and, as a
result, influences the image for the subsequent checks.
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Page 22
22Checking the ADR control characteristics
Requirements0
3-3Checking the ADR control characteristics
•The indicated exam sets must be selected for fluoroscopy, pulsed fluoroscopy, DCM,
and DR. See the "Loading the exam sets relevant for the IQ test" section.
•Attach a 2.1 mm Cu precision X-ray filter for prefiltering in the area of the radiation exit.
•All exposures are pre-contrast images (no additional object in the beam path).
Evaluation0
NOTE
The specified exam sets must be used for the checks.
The activation of the exam sets is described in the introduction chapter.
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Checking the ADR control characteristics23
ADR control curve for the fluoroscopy mode3.1
•Select fluoro.
•Select I.I. full format.
•Select the "General, All region, SERVICE_Q_S2" exam set.
•Select medium dose level.
X
X
•Radiation on.
•Read off the kV and mA values displayed on the operating panel.
•Radiation off.
•Record the values in Tab. 1, Line S2.
•Fluoro and I.I. full format remain selected.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Select medium dose level.
•Radiation on.
•Read off the kV and mA values displayed on the operating panel.
•Radiation off.
•Record the values in Tab. 1, Line HC2.
•The actual values documented at the factory must be obtained again at the place of
use. Admissible deviations: Tube voltage (kV) ± 1 kV, tube current (mA) ± 10%.
Tab. 6
Cont. fluoro
ADR control curves (included in
the exam set)
Setpoints Actual values
FactoryPlace of use
kVmAkVmAkVmA
S2
(General, All region,
SERVICE_Q_S2, Mid Dose)
HC 2
(General, All region,
SERVICE_Q_C_HC2, Mid Dose)
66 - 721,0 - 1,2
62 - 642,5 - 3,7
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24Checking the ADR control characteristics
ADR control curves for the pulsed fluoroscopy mode3.2
•Select pulsed fluoro.
•Select I.I. full format.
•Select the "General, All region, SERVICE_Q_S2" exam set.
•Select medium dose level.
•Pulse frequency 8 (7.5) pulses per second
X
X
•Radiation on.
•Read off the kV and mA values displayed on the monitor.
•Radiation off.
•Record the values in Tab. 2, Line S2/8 Fps.
•Pulsed fluoro and I.I. full format remain selected.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Select medium dose level.
•Radiation on.
•Read off the kV and mA values displayed on the monitor.
•Radiation off.
•Record the values in Tab. 2, Line HC2/8 Fps.
•The actual values documented at the factory must be obtained again at the place of
use. Admissible deviations: Tube voltage (kV) ± 1 kV, tube current (mA) ± 10%.
Ta b . 7
Pulsed fluoro
ADR control curves
(included in the exam set)
SetpointsActual values
FactoryPlace of use
kVmAkVmAkVmA
S2/8 Fps
(General, All region,
SERVICE_Q_S2, Mid Dose)
HC2/8 Fps
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
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64 - 7014,3 - 18,6
60 - 6336,0 - 56,3
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Checking the ADR control characteristics25
ADR control curve for the DCM mode3.3
X
DCM option present:
If no: The "ADR control curve for the DCM mode" section does not
apply.
Ye s No
•Select DCM.
•Select I.I. full format.
•Select the "General, All region, SERVICE_Res_HC2" exam set.
•Pulse frequency 8 (7.5) pulses per second
•Select high dose level.
•Radiation on.
•Read off the kV and mA values displayed on the monitor.
•Radiation off.
•Record the values in Tab. 2, Line HC2/8 Fps.
•The actual values documented at the factory must be obtained again at the place of
use. Admissible deviations: Tube voltage (kV) ± 1 kV, tube current (mA) ± 10%.
Tab. 8
DCM
SetpointsActual values
ADR control curve
(included in the exam set)
HC2/8 Fps
(General, All region,
SERVICE_Q_C_HC2, High
Dose)
FactoryPlace of use
kVmAkVmAkVmA
65 - 69 173 - 250
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26Checking the ADR control characteristics
ADR control curves for the DR mode3.4
•Select DR.
•Select I.I. full format.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Select medium dose level.
X
•Radiation on.
•Read off the kV and mAs values displayed on the monitor.
•Radiation off.
•Record the values in Tab. 3, Line DR 1000W.
•The actual values documented at the factory must be obtained again at the place of
use. Admissible deviations: Tube voltage (kV) ± 1 kV, Tube current (mA) ± 10%.
Ta b . 9
DR takeoverSetpoints Actual values
FactoryPlace of use
kVmAskVmAskVmAs
DR 1000W
K=16
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
62 - 654,2 - 6,8
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Checking the image position27
Checking the image position0
4-4Checking the image position
Requirements0
Place a long, thin, straight object (e.g. wire solder bent straight) near the I.I. -- at an exact
right angle to the C-arm orientation.
Place a second object next to it -- for direction determination (see (Fig.3/p.27)).
Fig. 3:Image position
Pos. 1C_arm_alignment
The rotation angle of the image on the display of the basic unit must be 0.
If necessary, set the angle to 0.
XRecord an image (see (Fig.4/p.28)).
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28Checking the image position
Fig. 4:Results image
Evaluation0
The object must appear on the screen in an exactly horizontal position.
FactoryPlace of use
Image position OK?❐Ye s❐No❐ Ye s❐ No
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Resolution29
Checking the resolution and minimum contrast0
5-5Resolution
Requirements0
•Use resolution test type 41 (factory and place of use).
•Attach the resolution test directly to the I.I. grid in the center of the I.I. at an angle of
approx. 90 degrees with respect to the grid lines (45 degrees with respect to the CCD
structure).
•In the factory: Place a 25 mm AL measuring stand on the I.I.
•Place of use: If the 25 mm AL measuring stand (with 0.4 mm recess) is present, attach it
near the I.I., otherwise attach the 17 µm Cu strip directly to the I.I. grid next to the resolution test. Additionally, place a 1.2 mm Cu filter in the beam path. Fading at the I.I. edge
can be eliminated via collimation.
•Select the indicated operating mode (fluoro/DCM/DR (1000W)) and the respective I.I.
format according to the "Resolution" table.
•Additionally, select the indicated exam set after selecting the appropriate operating
mode (fluoro/DCM/DR (1000W)).
X
•Radiation on.
•Show the resolution test phantom.
•Set the monitor contrast to optimum resolution.
•Set the edge enhancement to optimum resolution.
•Radiation OFF.
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Page 30
30Resolution
Evaluation of resolution and minimum contrast0
DCM option present:
Ye s No
If no: Checking the resolution and minimum contrast during DCM
mode does not apply.
•Determine the resolution of the LIH image and enter it in the Resolution table.
NOTE
Tab. 10Resolution
Operating mode
(Exam set)
DL (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
Use the electronic zoom function and windowing in the Viewing task card if necessary.
I.I. for-
mat
I.I. 33 setpoints
for resolution
Actual resolution values
[LP/mm]
Factory
Full for-
mat
≥ 1.4 LP/mm
Place of
use
DL (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DL (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DL (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DCM (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DCM (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
Zoom 1≥ 1.8 LP/mm
Zoom 2≥ 2.2 LP/mm
Zoom 3≥ 2.5 LP/mm
Full for-
mat
≥ 1.2 LP/mm
Zoom 1≥ 1.6 LP/mm
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Resolution31
Operating mode
(Exam set)
DCM (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DCM (HC2)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DR (1000W)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DR (1000W)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
I.I. for-
mat
I.I. 33 setpoints
for resolution
Zoom 2≥ 2.0 LP/mm
Zoom 3≥ 2.2 LP/mm
Full for-
mat
≥ 1.4 LP/mm
Zoom 1≥ 1.8 LP/mm
Actual resolution values
[LP/mm]
Factory
Place of
use
DR (1000W)
(General, All region,
Zoom 2≥ 2.2 LP/mm
SERVICE_Q_C_HC2, Mid
Dose)
DR (1000W)
(General, All region,
Zoom 3≥ 2.5 LP/mm
SERVICE_Q_C_HC2, Mid
Dose)
•Also check the minimum contrast during the resolution test and enter it in the minimum
contrast table.
Is the minimum contrast visible?
Tab. 11Minimum contrast
FactoryPlace of use
Full format
Ye sN o
Zoom 1
Ye sN o
Full format
Ye s N o
Zoom 1
Ye s N o
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Page 32
32Resolution
Zoom 2
Ye sN o
Zoom 3
Ye sN o
Zoom 2
Ye s N o
Zoom 3
Ye s N o
Evaluation of resolution without prefiltering0
•Subsequently remove the 25 mm Al or 1.2 mm Cu prefilter.
•Collimate to the resolution test.
•Perform the resolution test for DR again without prefilter as above.
Tab. 12Evaluation of resolution without prefiltering
Operating modeI.I. formatSetpoints
Resolution
FactoryPlace of
Actual value
Resolution [LP/mm]
use
DR (1000W)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DR (1000W)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DR (1000W)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
DR (1000W)
(General, All region,
SERVICE_Q_C_HC2, Mid
Dose)
23 cm I.I.Monitor 1Monitor 1
Full for-
mat
Zoom 1≥ 2.0 LP/mm
Zoom 2≥ 2.5 LP/mm
Zoom 3≥ 3.1 LP/mm
≥ 1.6 LP/mm
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Capillary test33
Dynamic Test0
6-6Capillary test
SUBTRACTION option present:
If no:
The sections Capillary visibility test during subtraction, Capillary visibility test for roadmap, and Pixelshift function do not apply.
NOTE
The dynamic test in conjunction with the plexi capillary test
is used to detect small contrast differences.
Capillary visibility test during fluoroscopy0
Measurement setup
•Remove the 1.2 mm Cu precision X-ray filter from the beam path.
•Place the dynamic test without holder, with heart contour diaphragm and plexi capillary
test on an X-ray-compatible table. The plexi capillaries are close to the I.I.
Ye s No
X
Requirements
•Select full format.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Set the dose rate level to "High."
•Set a distance from the I.I. to the dynamic test that allows for the image field to be cov-
ered completely.
•Set noise reduction to high. (The LED in button 11 of the control console (heart button)
does not light up.)
•Set edge enhancement to the lowest level (button: ).
•Select linear LUT (LUT_Linear).
Evaluation of the monitor image
•Switch radiation on and evaluate the live image during irradiation.
•Check off non-visible plexi capillaries in (Fig.5/p.34) (from left to right 2L - 1 - 5R).
Setpoints
¹ The plexi capillaries not identified in (1/Fig.5/p.34) must be visible.
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34Capillary test
Fig. 5:Monitor image
Pos. 1Target value
Pos. 2Factory
Pos. 3Place of use
Pos. 4Group - 3 mm wide
Pos. 5Group - 2 mm wide
Pos. 6Group - 1 mm wide
Capillary visibility test during subtraction0
Measurement setup
•Place the dynamic test without holder, with heart contour diaphragm and plexi capillary
test on an X-ray-compatible table. The plexi capillaries are close to the I.I.
•Mechanically clamp the plexi capillary test so that the plexi capillaries can be moved by
the rubber ball during the subtraction exposure.
Requirements
•Select full format.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Set the dose rate level to "High."
•Set a distance from the I.I. to the dynamic test that allows for the image field to be cov-
ered completely.
•Select subtraction.
¹ SUB LUT 3MH is selected (pre-setting).
•Set edge enhancement to the lowest level (button: ).
Trigger subtraction
•Switch radiation on.
X¹ After 3 seconds of radiation, the mask is set automatically.
•Then cause the plexi capillary test to move by squeezing the rubber ball.
•After another 3 seconds, switch the radiation off.
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Capillary test35
Evaluation of the capillary visibility
•Use the mouse in the scroll bar to scroll back in the viewing task card to where the white
and black capillaries are best visible (2 to 3 images).
NOTE
NOTE
For improved visibility,
SUB LUT 4MH can also be selected as needed.
Do not evaluate the first white line.
Start the evaluation with the first black line.
•Check off non-visible black plexi capillaries in the "Subtraction, black lines" table (from
left to right 2L - 1 - 5R).
•Check off non-visible white plexi capillaries in the "Subtraction, white lines" table (from
left to right 2L - 1 - 5R).
Setpoints
¹ The black plexi capillaries not identified in the "Setpoints" column of the "Sub-
traction, black lines" table must be visible.
¹ The white plexi capillaries not identified in the "Setpoints" column of the "Sub-
traction, white lines" table must be visible.
Tab. 13Subtraction, black lines
SetpointsFactoryPlace of use
2L15R2L15R2L15RGroup
BlackTo p
BlackX
BlackXXX
Group
3 mm
Width
BlackMiddle
BlackX
BlackXXX
Group
2 mm
Width
BlackBottom
BlackX
BlackXXX
Group
1 mm
Width
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36Capillary test
Tab. 14Subtraction, white lines
SetpointsFactoryPlace of use
2L15R2L15R2L15RGroup
WhiteTo p
WhiteX
WhiteXXX
WhiteMiddle
WhiteX
WhiteXXX
WhiteBottom
WhiteX
WhiteXXX
Evaluation of visual brightness impression
Group
3 mm
Width
Group
2 mm
Width
Group
1 mm
Width
•On monitor A, evaluate the white, 3 mm capillary line in fields 2L, 1 and 5R. There must
not be any noticeable difference in brightness in the fields.
No noticeable difference in brightness FactoryPlace of use
visible in fields 2L, 1 and 5R: Yes No
Ye s
No
Capillary visibility test for roadmap0
Measurement setup
•Place the dynamic test without holder, with heart contour diaphragm and plexi capillary
test on an X-ray-compatible table. The plexi capillaries are close to the I.I.
•Mechanically clamp the plexi capillary test so that the plexi capillaries can be moved by
the rubber ball during the subtraction exposure.
Requirements
•Select full format.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Set the dose rate level to "Mid."
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Capillary test37
•Set a distance from the I.I. to the dynamic test that allows for the image field to be cov-
ered completely.
•Select roadmap.
¹ SUB LUT 3MH is selected (pre-setting).
•Set edge enhancement to the lowest level (button: ).
Start roadmap
•Switch radiation on (phase A).
X¹ After 3 seconds of radiation, the mask is set automatically (phase B).
¹ Do not move the plexi capillary test (rubber ball).
•After another 3 seconds, switch the radiation off.
•Switch radiation on again (phase C).
X¹ The LUT must have switched over to LUT Road 3 (pre-setting). If SUB LUT 3MH
has correctly switched over to LUT Road 3, the image background changes from
light to dark.
•Move the plexi capillary test by squeezing the rubber ball.
•Radiation remains switched on during the evaluation.
Evaluation of the capillary visibility
•Radiation remains switched on during the evaluation.
NOTE
Do not evaluate the first white line.
Start the evaluation with the first black line.
•Check off non-visible black plexi capillaries in the "Roadmap, black lines" table (from
left to right 2L - 1 - 5R).
•Check off non-visible white plexi capillaries in the "Roadmap, white lines" table (from
left to right 2L - 1 - 5R).
•After the capillary visibility is evaluated, switch radiation off.
Setpoints
¹ The black plexi capillaries not identified in the "Setpoints" column of the "Road-
map, black lines" table must be visible.
¹ The white plexi capillaries not identified in the "Setpoints" column of the "Road-
map, white lines" table must be visible.
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38Capillary test
Tab. 15Roadmap, black lines
SetpointsFactoryPlace of use
2L15R2L15R2L15RGroup
BlackTo p
BlackX
BlackXXX
Group
3 mm
Width
BlackMiddle
BlackX
BlackXXX
Group
2 mm
Width
BlackBottom
BlackX
BlackXXX
Group
1 mm
Width
Tab. 16Roadmap, white lines
SetpointsFactoryPlace of use
2L15R2L15R2L15RGroup
WhiteTo p
WhiteX
WhiteXXX
Group
3 mm
Width
WhiteMiddle
WhiteX
WhiteXXX
Group
2 mm
Width
WhiteBottom
WhiteX
WhiteXXX
Group
1 mm
Width
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Capillary test39
Evaluation of LUT change from phase B to phase C
•As described in the "Start roadmap" section, LUT Road 3 must automatically be
selected when changing to phase C.
FactoryPlace of use
LUT changed when changing from phase B to
phase C:
Ye s No
Ye s
No
Pixelshift function0
Requirements
The subtraction image from the roadmap test is present.
•Select the roadmap image in the Viewer.
•Select pixelshift in the SUB task card.
Evaluation
•Using the arrow tool, move the mask successively in all directions:
¹ Apart from the black and white edge strips, no artifacts may occur.
•Using the Auto Pixelshift tool, select a location.
¹ In this location the shifted mask must return to artifact-free superimposition.
FactoryPlace of use
Pixelshift function OK?❐Ye s❐No❐ Yes❐ No
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Page 40
40Contrast
Edge enhancement, contrast enhancement, and object move-
7-7Contrast
ments
NOTE
Edge enhancement0
Requirements
•Place the dynamic test without holder, with heart contour diaphragm and plexi capillary
test, on the I.I. input screen. The plexi capillaries are close to the I.I.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Select medium dose level.
•Set edge enhancement to the lowest level.
X
•Release fluoroscopy briefly.
¹ Use the LIH image to evaluate the edge enhancement.
Only perform edge enhancement, LUT selection change, and
motion unsharpness at the factory.
0
Evaluation of the monitor image
•Activate the button for selecting edge enhancement on the control console several
times.
¹ The individual edge enhancement levels (20%, 40%, ...) are selected one after
another.
•Evaluate the edge enhancement function.
Factory
Function control of edge enhancement OK?
=> The bright-dark transitions are clearly visible when a higher
percentage edge enhancement level is selected.
❐
Ye s
❐
No
LUT selection change0
Requirements
•Place the dynamic test without holder, with heart contour diaphragm and plexi capillary
test, on the I.I. input screen. The plexi capillaries are close to the I.I.
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Select medium dose level.
•Set edge enhancement to the lowest level.
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Contrast41
X•Release fluoroscopy briefly.
¹ Use the LIH image to evaluate the LUT selection change.
Evaluation of the monitor image
•Activate the LUT selection change button.
¹ The image contrast changes.
•Evaluate the LUT selection change function.
Factory
LUT selection change function in order?❐Ye s❐ No
Motion unsharpness0
DCM option present:
If no: Motion unsharpness section does not apply.
Requirements
Ye s No
•Remove the dynamic test without holder, with heart contour diaphragm and plexi capil-
lary test, from the I.I. input screen and place on a separate surface (e.g. table).
•Additionally, place a screwdriver in the center of the dynamic test.
•Position the C-arm with respect to the separate surface so that the dynamic test is over
or under the I.I. input screen. The plexi capillaries are close to the I.I.
NOTE
If no suitable surface is available, the dynamic test with heart
contour diaphragm and plexi capillary test can also be
placed directly on the I.I. input screen.
An X-ray-absorbing object (e.g. long aluminum rod or the
like) must by moved over the dynamic test in the beam path
during radiation.
Pay attention to radiation protection!
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Select medium dose level.
Evaluation of the monitor image
X
•Fluoroscopy on.
•Move the C-arm horizontally during fluoroscopy.
¹ A smearing effect is clearly visible on the image during movement of the C-arm
with respect to the capillary test.
•Radiation off.
•Select the DCM operating mode.
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42Contrast
•The "General, All region, SERVICE_Q_C_HC2" exam set is selected.
•Select medium dose level.
•Select the maximum pulse frequency.
X
•Radiation (DCM) on.
•Move the C-arm horizontally during DCM.
¹ The object is depicted in sharp focus but in multiple images when the C-arm is
moved with respect to the capillary test.
•Radiation off.
•Evaluate the motion unsharpness test.
•Remove the screwdriver that was placed there before.
The following controls are active for the specified prefiltering.
Automatic dose rate control (ADR)with approximately 9 to 11 mm Cu and
Automatic TV iris collimator control (AIR)with approximately 11 to 13 mm Cu and
The test is used to test the functioning of these controls.
Requirements
Perform only in the factory.
dynamic test in the beam path
dynamic test in the beam path
•Both monitors must be set to give approximately the same brightness and contrast
impression (synchronism) (LUT, brightness and contrast setting).
Preparations
•Attach the dynamic test without holder and plexi capillary test, but with heart contour
diaphragm, to the I.I.:
•Select the "General, All region, SERVICE_Q_HC2" exam set.
•Select medium dose level.
•Select the fluoro operating mode.
X
X
•Switch the I.I. to full format.
•Completely open the collimator.
•Prefilter with Cu until 120 kV to 124 kV are displayed. To do this, switch on fluoroscopy
briefly (approx. 9 mm to 11 mm Cu necessary).
¹ Automatic dose rate control (ADR) is active.
•Radiation on.
•Select linear contrast LUT. (LUT_Linear)
•Evaluate the brightness of the fluoroscopy image.
•Radiation off.
•Save the LIH image and display it on the reference monitor.
TV iris collimator control
•Additionally, attach 2.1 mm Cu to the radiation exit.
•Radiation on.
¹ Generator limit 125 kV/4.3 mA must be reached.
¹ The automatic TV iris collimator control (AIR) is active.
•Select linear contrast LUT. (LUT_Linear)
•Evaluate the brightness of the fluoroscopy image.
•Radiation off.
•Save the LIH image.
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44Checking the Controls
•Display both images on both monitors.
¹ Display the image saved during active ADR on the right monitor.
¹ Display the image saved during active AIR on the left monitor.
¹ Both images are displayed with the linear LUT (LUT_Linear).
•Evaluate the brightness impression of the fluoroscopic image generated during active
AIR and compare it to that of the reference image generated during active ADR.
¹ The brightness impression should be approximately the same.
Evaluation
Factory
Same brightness impression? Yes No
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Digital preprocessing45
Digital preprocessing0
9-9Digital preprocessing
NOTE
Vignetting compensation0
Requirements
•Attach a 2.1 mm Cu prefilter close to the tube.
•Set the monitor contrast to linear.
Test sequence
•Select the "General, All region, SERVICE_Q_C_HC2" exam set.
•Select medium dose level.
X
•Release fluoroscopy for approx. 10 seconds and save the image using the ATB button.
Perform only in the factory.
Exception: Also perform a check after replacing the image
intensifier.
•Select local service (menu: <Options>-<Service>-<Local Service>).
¹ When the local service window is open and the measurement function is selected
in the Viewing task card, the corresponding brightness value (min/max/mean/SD)
can be displayed by selecting an image region with the mouse.
•Minimize the local service window or move it to the right monitor.
•Select the previously saved image in the viewer.
•In the Tools menu bar of the imaging system, select Measure ---> Rectangle ↵ .
•Select the 5 fields according to the "measuring field" image. To do this, place the mouse
pointer on a corner of the field to be measured and select the field according to the "display values" image while pressing the left mouse button.
¹ The brightness data is displayed for every marked field.
•Read off the average brightness value (mean) for every field.
¹ Divide the average (mean) of each of the fields at the edge by the average (mean)
of the middle field and then multiply each result by 100 (brightness outside to
brightness middle (in %) --> (Mean X / (Mean 1/ 100))).
•Evaluate the vignetting compensation function.
¹ The values calculated should be in the range of 80% to 120%.
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46Digital preprocessing
Evaluation
Fig. 6:VC10A_VignMeas2
Brightness value
Brightness in %
•Evaluate the vignetting compensation function.
Procedure for correcting the setting of the vignetting compensation:
•Log in to Service Software.
•Click on "MainSystem" and "Next."
• Click on "Image Intensifier."
Center
scan field
___________
n.a.
¹ The values calculated should be in the range of 80% to 120%.
¹ Correct the vignetting compensation if necessary.
Left
measurement
field [%]
___________
___________
Right
measurement
field [%]
___________
___________
Upper
measurement
field [%]
___________
___________
Lower
measurement field
[%]
__________
__________
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Digital preprocessing47
•Enter the new value in the "Vignetting" field and confirm with the Enter key.
- Standard vignetting compensation = "2"
- For calculated values "< 80%" increase the value by one step.
- For calculated values "> 120%" decrease the value by one step.
- For a calculated lowest value of "< 80%", measured in one of the outer measurement
fields, but when the simultaneously calculated highest value is ">120%" in another
one of the outer measurement fields, program the vignetting compensation in such a
way that the degree by which the brightness exceeds and falls short of the average
brightness lies more or less symmetrically around 100%.
•Click on "Save" and confirm.
¹ The Main System will automatically be restarted.
•Perform the "Vignetting compensation" test again.
Result
•If the vignetting compensation was adjusted:
¹ Setting modified from: _____ to: _____
Factory or after replacing
I.I.
Vignetting compensation OK?❐Ye s❐No
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48Image Disturbances
Image Disturbances (artifacts)0
10-10Image Disturbances
•Check off all image disturbances found during settings and IQ tests in the table in the IQ
Test Certificate.
•If image disturbances are detected that are not listed in the table, describe them under
"Other disturbances."
•Three assessment numbers indicating the extent of the disturbance are provided for
each assessment of the relevant disturbance.
Definition of the assessment numbers0
1 =No disturbances and artifacts were detected during startup.
2 =Minor disturbances, artifacts occurred sporadically during startup. The cause
could not be localized and the "error" could not be corrected. The disturbances
scarcely affect the good overall image impression, and the ability to make a
medical diagnosis from the images is not impaired in any way. Therefore, the
artifacts are tolerable.
3 =During start-up, more frequent or stronger disturbances/artifacts occurred that
disturb the overall impression of the image or impair the ability of the images to
be diagnosed medically and are therefore no longer tolerable. The system must
not be shipped or handed over to the operator in this condition.
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Image Disturbances49
Description of the artifacts10.1
•Hum:
Inconsistencies resulting from electromagnetic interference in the imaging systems are
unattractive and disturbing. Depending on the nature of the disturbance, they can considerably impair the ability of the images to be evaluated and should ideally not occur at
all. They are tolerable only to a very slight degree. Hum disturbances are visible as sporadic, horizontal light-dark patterns in the image; they are temporary and are not limited
to a specific location.
•Streaking:
Very high-frequency electromagnetic radiation is visible in the image as light or dark,
sometimes very short, horizontal lines (temporary). Interference stripes that are caused
by dirt on optically effective surfaces must also be recorded here. They are limited to a
specific location and are not temporary. Streaks are barely tolerable.
•Ghost images:
These are object contours that are usually offset to one side and appear double. They
are caused by reflections in poorly adapted, long video cables. Clearly visible ghost
images are not tolerable.
•Background structures are permanent, grid-shaped patterns, primarily in dark image
sections, that are also called "fixed noise."
•Pixel errors are image pixels without image information. They are visible on the moni-
tor as dark or light pixel-size dots. There are tolerable and intolerable pixel errors. The
TV camera is inspected very precisely in the test area for pixel errors and only TV cameras with pixel errors corresponding to an internal specification according to type and
number are provided to customers. These tolerable pixel errors must be documented in
the IQ measuring protocol.
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50Image Disturbances
Evaluation of the image disturbances10.2
Setpoint for assessment of the disturbance: Only 1 and 2 are allowed.
FactoryPlace of use
Nature of the disturbance, artifact
Hum
Interference stripes
Ghost images (reflections)
Background structures
Pixel errors *2
Other interference:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Comments: