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Version 5.2 Quick Start Guide - Standard Imaging User Manuals

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1. Test Type Leaf Position Multi Port Leaf Transmission A Save As dialog will be displayed Choose a directory and select Save Phantom Setup Place the MIMI phantom on the couch and align with the isocenter using the lasers Acquire a set of 2D or 3D projections images and analyze them with the linac s image analysis system 2D 2D or 3D 3D matching algorithm This will provide the X Y and Z offsets of the Using the MIMI phantom track deviations in coincidence of imaging and radiation isocenters Image Analysis phantom compared to the reference image History View 1 Select the History View tab Imager QA Winde History View 2 Select a linac 1 Open IGRT by selecting Application gt IGRT from the main menu 2 Use the Linac Select tab and resulting dialog to indicate the department and linac the data corresponds to 3 Select the desired Date Range using the available pre sets or select specific calendar dates Start Date 4 Choose to view either Active or Archived records 5 Select Apply and data will be displayed as specified 6 Use the Table and Chart Tabs to switch between views y View amp Reports Table View Chart View Table View To exclude a record from being displayed in the chart select the associated Don t Show check box To archive data that are not relevant select it in the Table and select
2. or buttons to Zoom out again History View 4 Choose to view either Active or 2 Select a Quick Select profile Archived records To exclude a record from being displayed in the chart select the Table and Chart associated Don t Chart check CBCT trends will be displayed 5 Select Apply and data will be displayed as specified box a able oe chart Select the Export tab In the resulting 6 Use the Table and Chart Tabs EEEE E Use the drop down menu in the Rod cee the desired PROCESS to switch between views relevant select it in the Table and upper right to navigate between preme eles calendar and active TT multiple pages of results Larchived settings as needed then select OK To re activate an archived record select it in the archived Table and select Activate A Save As dialog will be displayed Choose a directory and select Save Radiation Light Field uses specialized phantoms to perform two different tests PIPSPRO SOFTWARE Light Field test Use the FC 2 phantom to determine the coincidence between the projected light field and the Radiation Light Field actual radiation delivered Advanced Light Field test Use the FC 2 and Center Marker phantoms together to determine the position of the jaws Phantom Setup Image Analysis FC 2 phantom Position the phantom 100 cm from the 1 Open Radiation Light Field by 3 Select Radiation Light 5 Mar
3. phantom it should be set up according to manufacturer recommendations or Phantom and Phantom Acquire MV images with 3 5 MU Acquire kV images CBCT 6 Results will be displayed in a new with 70 100 kV and the lowest exposure mAs settings CT Series tab page within the Image Analysis 2 Select a Quick Select profile view CBCT Images can be acquired with the CatPhan model 503 504 and 600 phantoms Set up the phantom according to the manufacturer s instructions or enter machine information 4 Edge and Configuration ROI markups Quick Select will be placed in automatically 7 To save results to the database select Save Acquire images using 2 5 mm slices and the smallest field highest resolution available 3 IE View To discard results and try again select Reset Table View Chart View l 1 Select the History View tab 3 Select the desired Date Range met Select the Report tab In the resulting using the available pre sets or dialog select the desired Quick Select Imager Q Winde select specific calendar dates profile Adjust calendar and active archived settings as needed then select OK A Print Preview dialog will To view details about a specific To zoom in on an area of the be displayed Select Save or Print as Start Date record select the Show Detail chart click and drag across desired check box the section use the
4. the image 1st marker center 4 Place two fiducial markers by clicking the appropriate spots on 2 marker furthest from center 6 Use the tabs at the top of the History View to view either Left or Right Bank data Lett Bank All Muttiport Tests Table View IPB RPP ewes sel al aa aa a RELLERRELERE f To see the chart for a particular leaf select the associated checkbox in the Trend Leaf column The chart will be displayed directly below the table To archive data that are not relevant select it in the Table and select Archive in the left panel To re activate an archived record select it in the archived Table and select Activate Chart View To zoom in on an area of the chart click and drag across the section use the A or buttons to zoom out again 5 Select the button corresponding to the test you wish to perform PIPSPRO SOFTWARE 6 Results will be displayed in a new tab page within the Image Analysis view 7 To save results to the database select Save To discard results and try again select Reset Select the Export tab In the resulting dialog select the desired Date Range and Test Type Adjust calendar and active archived settings as needed then select OK Export Parameters Varian Linac 1 Start Date 9 10 2013 End Date 2 19 2015
5. view Stereotactic Phantom Setup Align a spherical Winston Lutz style phantom at isocenter as defined by the light field crosshairs Collimate the treatment beam with a stereotactic cone or MLC Acquire 8 separate images at differing gantry and couch angles The recommended angles are as Perform a Winston Lutz style test and track changes over time Image Analysis 1 Open Stereotactic by selecting Application gt Stereotactic from the main menu 2 Use the Linac Select tab and follows Gantry Couch 60 130 230 300 60 130 230 300 2 Select a linac IEC 61217 Ko 0 270 Yan resulting dialog to indicate the department and linac the data corresponds to Table View 3 Select the desired Date Range 3 Select a folder to load images from via Stereotactic gt Set Load Folder in the main menu needed 5 Markups will be placed 4 Auto Load images by selecting Stereotactic gt Auto Load Images or load images manually by selecting an image box and image file from the browse list then Stereotactic gt Load Image Stererotactic Results Set Load Folder Gantry amp Couch s verified Load Image Ctrl L dX mm d mm dZ mm automatically Enter values as 6 Verify the Gantry and Couch angles then select Calculate Chart View All Chartable Stereotactic Results using the available pre sets or select specific calendar date
6. 2 Www STANDARDIMAGING S com STANDARD IMAGING INC TEL 800 261 4446 3120 Deming Way TEL 608 831 0025 Middleton WI 53562 1461 FAX 608 831 2202 Mar 2015 2015 Standard Imaging Inc DOC 80714 01 Version 5 2 Quick Start Guide PIPSPRO SOFTWARE Wa STANDARDIMAGING 4 General Precautions Warnings and Cautions alert users to dangerous conditions that can occur if instructions in the manual are not obeyed Warnings are conditions that can cause injury to the operator while Cautions can cause damage to the equipment A gt P Pe DBB PIPSPRO SOFTWARE CAUTION Federal law in the U S A and Canadian law restricts the sale distribution or use of this product to by or on the order of a licensed medical practitioner This product should be used under the guidance of a medical physicist CAUTION The Save and Save As functions of the PIPSpro System are intended solely to save solutions of interest or potential reuse Specific patient information or identifiers should not be saved using these functions CAUTION To minimize the potential for computer issues do not run PIPSpro concurrently with other software programs CAUTION Proper use of this product depends on careful reading of all instructions and labels CAUTION For accurate results in the MLC QA Module the MLC QA Phantom must be positioned carefully to ensure that the corner spherical marker is aligned to isoc
7. Archive in the left panel To re activate an archived record select it in the archived Table and select Activate 3 No images are used in the IGRT module PIPSPRO SOFTWARE 4 When ready select Save Results Instead enter deviation values determined by the linac s image analysis system into the appropriate fields Chart View To zoom in on an area of the chart click and drag across the section use the or buttons to Zoom out again The data will be saved to the database and available for review in the History View Start Date 9 5 2013 End Date 12 13 2013 Select Show Start Date 9 5 2013 End Date 12 13 2013 Imager M Comparison Type 2D 2D 3D 3D Select the Report tab In the resulting dialog select the desired settings Adjust calendar and active archived settings as needed then select OK A Print Preview dialog will be displayed Select Save or Print as desired Select the Export tab In the resulting dialog select the desired settings Adjust calendar and active archived settings as needed then select OK A Save As dialog will be displayed Choose a directory and select Save PIPSPRO SOFTWARE Use the Leaf Speed module to calculate Loss of Leaf Speed as Leaf S pee d specified in TG 142 Table V for linear accelerators with Varian Millennium MLC s gt Logfile Analysis 1 Open Leaf Speed by selecti
8. ed linac when prompted In the following Export dialog adjust calendar and active archived settings as needed then select OK J ASave As dialog will be displayed Choose a directory and select Save Use multiple tests to analyze the accuracy of the multi leaf collimator and track its performance over time Tests include Leaf Position Multi Port Leaf Transmission Phantom Setup Using the In Air Comparison Jig position the MLC phantom with the isocenter so that the Couch will not be in the way of the treatment beam Note that the phantom has 5 radio opaque spheres in an L shape The sphere in the corner of the L should be aligned to isocenter using in room lasers main menu corresponds to Refer to the PIPSpro User Manual for details about test specific MLC configurations 3 Select the desired Date Range and Image Type controls to specify which data to display Start Date 9 10 2013 End Date 12 18 2013 Test Type Leaf Position Mutti Port Leaf Transmission 4 Choose to view either Active or Archived records 5 Select Apply and data will be displayed as specified 1 Open MLCQA by selecting Application gt MLCQA from the 2 Use the Linac Select tab and resulting dialog to indicate the department and linac the data Image Analysis 3 Select MLCQA gt Load Image in the main menu Load the image file for the test you wish to perform
9. enter and that the supporting arm is perpendicular to the gantry rotation CAUTION The MLC module expects all tests to be performed with the collimator at either 0 90 180 or 270 degrees Collimator angle accuracy should be verified before acquiring images for analysis in the MLC module Variance in the expected angle could result in incorrect positions being reported for individual MLC leaves WARNING Issues identified through the use of this product must be investigated and appropriately resolved and or noted WARNING Proper application of the QC 3 Phantom QCkV 1 Phantom and or FC 2 Phantom requires the use of the PIPSpro Software WARNING Where applicable Standard Imaging products are designed to be used with the versions of common radiation delivery devices treatment planning systems and other common computer software products or systems used in the delivery of ionizing radiation available at the time the Standard Imaging product is released Standard Imaging does not assume responsibility liability and or warrant against problems with the use reliability safety or effectiveness that arise due to the evolution updates or changes to these products or systems in the future It is the responsibility of the customer or user to determine if the Standard Imaging product can be properly used with these products or systems CAUTION For professional use only As desired by IAEA English is the default language for labeling and man
10. fic sis 2 History View Test Type 10X10 10 X 10 Adv Show All record select the Show Detail check box Use the tabs at the bottom of the chart to switch between the 15X15 15X15Adv Print Preview dialog will be displayed Generate cn Select Save or Print as desired 4 Choose to view either Active or To exclude a record from being 2 Select a linac Archived records displayed in the chart select the SE aE AA ne za associated Don t Chart check Posto ehar 5 Select Apply and data will be box displayed as specified To zoom in on an area of the Export Records Elekta Linac 1 Sdect the Export tab Selevtthe desired To archive data that are not chart click and drag across i i h ed he ion 6 Use the Table and Chart Tabs relevant select it in the Table and the section use the amp or amp Een i acai to switch between views select Archive in the left panel buttons to zoom out again mui os JE RES alec archived settings as needed then select To re activate an archived record Tes Tips OK Table View Chart View select it in the archived Table and eae ee 15X15 15X15 Adv A Save As dialog will be displayed select Activate Export Cn Choose a directory and select Save Phantom Setup Both gantry and couch StarShot images need to be acquired on film standard radiographic or radiochromic Close lower collimators to
11. form a narrow slit and through which radiation is delivered at multiple Use StarShot images to establish the diameter of the center of rotation for the linac gantry couch or collimator Image Analysis 1 Open StarShot by selecting Application gt StarShot from the main menu 3 Select StarShot gt Load Image in the main menu Select the desired image 4 Place a single fiducial marker by clicking on the image The marker should be placed near the center of the intersecting projections PIPSPRO SOFTWARE 6 Results will be displayed in a new tab page within the Image Analysis view 2 Use the Linac Select tab as resulting dialog to indicate the department and linac the data corresponds to 4 Under Settings select the Angle Type from the drop down menu angles Scan film as a grayscale image with a resolution of 72 96 dpi Save in a lossless image format such as bitmap bmp Se Image Size 1024X 768 Pixels DPI Value Note If separate images were acquired for each angle the images will need to be combined using PIPSpro a image processing tools Rahe 7 To save results to the database select Save Image Type Angle Type 5 Select Calculate Markups will be placed automatically To discard results and try again select Reset History View Table View TES i G a Select the Report tab Select the desired 1 Select the His
12. kups will automatically be 6 Results will be displayed in a source using the optical distance indicator ODI The selecting Application gt Radiation Field gt Load Images in the main placed around the outer spherical new tab page within the Image light field is turned on and alighted to the appropriate Light Field from the main menu menu Select the desired image markers Analysis view square on the phantom With the gantry pointing straight down deliver 10x10 cm or 15x15 cm field 2 Use the Linac Select tab and 4 Select Calculate resulting dialog to indicate the Center Marker phantom After the FC 2 phantom department and linac the data Analysis is aligned place the Center Marker phantom on top corresponds to Align it so that the cross hair and spherical marker are Calculate aligned to the center of the light field Acquire images using 3 5 MU 7 To save results to the database select Save To discard the results and try again select Reset History View Table View Chart View ads Select the Report tab Select the desired Date Range Select Show All 1 Select the History View tab 3 Select the desired Date Range using the available pre sets or ation Imager QA Winde select specific calendar dates linac when prompted In the following Reports dialog adjust calendar and active archived settings as needed then Date Range select OK Select To view details about a speci
13. ng Application gt Once loaded PIPSpro will attempt to find a Quick Results will be displayed in a new tab page within Leaf Speed from the main menu Select that matches the selected files If there the Image Analysis view is no matching Quick Select you can create a 2 Use the Machine drop down menu in the new Quick Select after calculating and saving the left panel to specify the machine your files were results Edit values in the Manual select box to created with match preferred nominal values as needed Concerning DynaLog Files MLC QA using DynaLog files requires new methods of data acquisition as well as a basic understanding of the information in DynaLog files and how it is interpreted by PIPSpro For further information refer to the following in the PIPSpro user manual Appendix C Acquiring DynaLog Files Appendix D DynaLog Files and Logfile Analysis _ Vanan Linac 2 5 To save results to the database select Save To approve the saved results select Approve 3 Select Load File A browser will open which Only Physicists and Physicians may approve pre interprets your logfile pairs and presents LS database results valid pairs as a single entry in a fable Select the 4 When ready select Calculate To discard unsaved results select Reset desired file then select Open
14. s Date Range All Active Stereotactic Results Start Date 1 1 2000 End Date Select To view details about a specific Rs Start Date check box 4 Choose to view either Active or Archived records 5 Select Apply and data will be displayed as specified box record select the Show Detail To exclude a record from being displayed in the chart select the associated Don t Chart check To zoom in on an area of the chart click and drag across the section use the or buttons to zoom out again To archive data that are not 6 Use the Table and Chart Tabs to switch between views CROSS panel Table View Chart View and select Archive in the left relevant select them in the Table To re activate an archived record select it in the archived Table and select Activate PIPSPRO SOFTWARE 7 Results will be displayed in the lower left corner of the Image Analysis view Results Gantry Couch s ventied Reset dXimm d mm dZ mm 0 4 1 1 0 3 8 To save results to the database select Save To discard results and try again select Reset Select the Report tab Select the desired linac when prompted In the following Reports dialog adjust calendar and active archived settings as needed then select OK L A Print Preview dialog will be displayed Select Save or Print as desired Select the Export tab Select the desir
15. tory View tab able View All Active Regular Collimator Tests 3 Select the desired Date Range and Image Type controls to ee a 9 10 2013 10 30 Imm shift horizon 00 a 9 10 2013 2 36 Imm shift horizon 00 44 linac when prompted In the following Reports dialog adjust calendar and active archived settings as needed then select OK Imager QA Winde To exclude a record from being displayed in the chart select the associated Don t Chart check History View A Print Preview dialog will be displayed box J Select Save or Print as desired To zoom in on an area of the chart click and drag across the section use the or buttons to Zoom out again To archive data that are not 4 Choose to view either Active or relevant select it in the Table and Archived records select Archive Selected in the left panel 2 Select a linac Select the Export tab Select the desired linac when prompted In the following select it in the archived Table and Export dialog adjust calendar and active 6 Use the Table and Chart Tabs select Activate archived settings as needed then select to switch between views OK 5 Select Apply and data will be displayed as specified To re activate an archived record A Save As dialog will be displayed Choose a directory and select Save Table View hat
16. uals If translated versions are available resolve any difference in favor of the English versions Introduction This Quick Start Guide provides basic instruction for how to use the PIPSpro software This includes a one page guide for each module in the following order T 2 6 T Imager QA Radiation Light Field StarShot Stereotactic MLCQA IGRT Leaf Speed Please note that this guide only includes the basic instructions for each module and does not include every possible detail or function For more in depth information including installation setup refer to the main PIPSpro User Manual PIPSPRO SOFTWARE Imager QA is designed to analyze flat panel planar and CT j m ag e r A Cone beam and Diagnostic images for quality assurance and to track possible changes in performance over time Phantom Setup Image Analysis Planar Align QC 3 QCkV or QCkV R phantom at a 1 Open Imager QA by selecting 3 Use buttons in the left panel to 5 If needed adjust markups using CBCT Results Use the drop down 45 degree angle so that the number 1 on the phantom Application gt Imager QA from the load images the controls located on the right menu in the upper right to navigate faces the gantry Lines and marks on the surface of main menu Planar panel between multiple pages of results the phantom assist aligning it with the central beam Phantom and Flood Field line If using the TOR 18

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