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MiniCAT™ User Manual v5.2

1. 7 Reconstruction will begin automatically This takes approximately one minute Note A timer will inform the user when the next acquisition can be performed Sequential acquisitions must be at least 10 minutes apart MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm 7 0 VIEWING IMAGES This chapter explains how to open a study view images using various viewing options and tools make annotations and select images for output 7 1 Open Study 1 To open the study from the Patient Database click the next to the patient s name to view records listed under that patient E J DIE Adult Sinus Sample 2 6 3 2009 9 51 37 AM Sinus 20s 600 Unknown Adult Sinus Sample 2 3 The study will open in the Multi planar Reconstruction MPR window This is the default setting for viewing and manipulating reconstructed images Axial coronal sagittal and 3D views are all visible at once Tip An overlay containing patient s name and other information appears in the upper left corner Press Ctrl O to toggle this text on and off MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 7 2 Viewing Options The Navigation menu is located in the upper right corner This menu contains several image viewing options They are described below Four views are displayed at once This is a powerful way to navigate the 3D scan volume A series of axial slices are displayed A series of coronal sli
2. 3 5 Uninterruptible Power Supply UPS The MiniCAT M system is equipped with an Uninterruptible Power Supply UPS which contains a backup battery with enough capacity to complete one scan with reconstruction If the facility power MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH goes out while a scan is in progress e The system will continue to be powered by the UPS battery e The scan in progress will complete as usual e No information will be lost e The UPS will beep indicating that the battery is being consumed Note When the scan is complete it is recommended that the system be shut down and the main circuit breaker turned off until continuous power is restored A new scan should not be initiated on battery power MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC x 4 0 PATIENT DATABASE The Patient Database is the user interface to patient records and studies 4 1 Patient Database The Patient Database window is automatically opened when the MiniCAT M software application is launched Patient Database New Patient Search Type data for Patient you want to Find Add Note The Patient Database window will close and revert back to the login screen after two hours of inactivity 4 2 Enter New Patient 1 To enter a new patient click Start Over in the lower left portion of the Patient Database window MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC
3. Distance Tool In the MPR viewer the Distance Tool measures the distance between two points on an image in millimeters 1 Click on the Distance Tool icon in the toolbar to activate the tool Left click on the starting point of your desired measurement e Click once on each endpoint Do not hold mouse button down MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm Move the cursor to the end point of your desired measurement and left click A distance value will appear Note The distance values are milimeters Pat Name Patient ID Date of Birth Acg Date Pixel Size 36 00 Line objects can be moved by left clicking the line and dragging it to the desired location Line objects can be modified by right clicking the line A drop down menu will appear with the following options Edit Change name Change Color Set current color as default Visible shape Delete Line Options Description Change Name Changes the name of the line Change Color Changes the line color Set current color as default Sets the current color of the line as the default color for subsequent lines MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC wt Line Options Description Visible De selecting this option makes the line disappear from view Bring the object back to view by right clicking the corresponding object from the Regions menu and selecting Visible Delete Deletes the line objec
4. MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH Sinus 20s 600 Sinus 40s 600 Modulation Transfer Function MTF 100 90 80 ro 60 50 Percent Contrast 40 30 20 10 0 1 2 3 4 5 6 H 8 1786 Spatial Frequency oscillations centimeter Sinus 10s 300 Sinus 20s 300 Modulation Transfer Function MTF 100 90r 80 70 60 50 Percent Contrast 40 30r 20r 0 1 2 3 E 5 6 7 9324 Spatial Frequency oscillations centimeter MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC s Sinus 10s 150 Modulation Transfer Function MTF Percent Contrast 1 2 3 a 5 6 7 8755 Spatial Frequency oscillations centimeter T Bone 20s 600 T Bone 40s 600 Modulation Transfer Function MTF T I T j I 40 30 20 Percent Contrast cn Gl co c c c c uh Ww W 14d kb 3M eg e AM Fi Fd C P Da a I al fe A fe 10 0 2 4 6 8 10 12 14 3689 Spatial Frequency oscillations centimeter MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC le 10 3 X Ray Specifications X Ray Specifications Source Block Manufacturers Source Ray Inc Imaging Sciences International Inc ISI iia Tube Current Range S PRIMA BU EE ce Block Model Tube Voltage Target Angle 15 degrees Minimum Inherent Filtration 2 0 mm AI 125 kVp d Line Voltage e of Line Voltage lation our ax arg Focal Spot Size 0 5
5. Superior of central slice 32 8 1 6 mm Inferior of central slice 39 1 1 9 mm Number of detector elements 1536 x 1920 Element Spacing dimensions 0 127 x 0 127 mm Image Noise The following table gives the noise for each imaging protocol with maximum deviations Noise Level of water Protocol Name s attenuation Sinus 20s 600 Sinus 40s 600 2 88 1 00 NEN Sinus 10s 300 Sinus 20s 300 4 86 2 18 EE Sinus 10s 150 7 09 2 60 Ed T Bone 20s 600 T Bone 40s 600 Dd 2 9 NEN MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ow Tomographic Section Thickness The following table gives the tomographic section thickness for each imaging protocol with maximum deviations Tomographic Section Protocol Name s Thickness mm Sinus 20s 600 Sinus 40s 600 0 542 0 048 Ld Sinus 10s 300 Sinus 20s 300 0 547 0 071 Sinus 10s 150 0 536 0 130 LS T Bone 20s 600 T Bone 40s 600 0 532 0 043 Loe Measuring Nominal Tomographic Section Thickness is obtained by finding the full width half maximum FWHM resolution of the Slice Sensitivity Profile SSP The SSP is obtamed by scanning a small sub voxel bead in the QC module However the nominal tomographic section thickness is fixed for each protocol and is not selectable prior to acquisition Slice Sensitivity Profiles MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm Sinus 20s 600 Sinus 40s 600 1 TS
6. USER MANUA Table of Contents 1 0 READ THIS FIRST 1 1 Safety Guidelines ee ee 1 2 Table of SYMDOIS nie net een 1 3 Electromagnetic Interference 14 Cleaning ANG SetVICG x uossicue eue Sk as nerem eee EINE ns TO Data Beete ee 1 6 Regulatory Compliance eeseeeeeee eene 2 0 INTRODUCTION 2 WEE en TEE 2 2 MiniCAT e EE 2 3 Online User Manual E 2 4 System Hardware 5 1 cde reis coron or ran ve e cases esmeoneesrensuente 2 5 Other Compornenhls gege ege orae Uno or coacto se o eov ue ta odes tienne 2 6 Quick Reference Guide eeseeeese eere 3 0 STARTUP AND SHUTDOWN 3 1 Emergency Shutdown eese eene 3 2 5ystem SAUMUR eee Tes o oC M eu Ee ds 3 3 User Management E 3 4 System Shuldown 5 1 ecce coe ees op ren EEN In raro renun rero nra aures 3 5 Uninterruptible Power Supply UPS 4 0 PATIENT DATABASE 4 1 Patient Re EE 4 2 Enter New Patient ner deeg genes 4 3 Find Existing Palient ie ere ages te he he AA Advanced SeaECli EE 4 5 Delete Patient Record AO PUTO FIS ee De ee NU UM 5 0 DAILY CALIBRATION 6 0 ACQUIRING IMAGES 6 1 Select Imaging Protocol e eeeeeeeee 6 2 Prepare the Patient ss sens e M
7. 2014 Xoran Technologies LLC RW Selected images 5 columns BW Selected Images Window Level The Window Le vel values determine the brightness and contrast of the displayed image To adjust 1 Click on the Window Le vel icon in the toolbar MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm 2 The cursor will change to show that you are using the W L tool Now click and drag anywhere in the image e Window value increases as the mouse is moved to the right of the image and decreases to the left Level value increases as the mouse is moved towards the top of the image and decreases towards the bottom 2b Alternatively you can manually input the desired window level values or adjust the sliders in the Window Level pane D Windowl Level Fb 35 Window p zzz l Lewel oo 650 3 The window level values appear in the patient information overlay labeled W L Image Output ST 0 4 mm Pat Name Sinus S ample Pat Reg No Anonymous Acq Date 08 20 2004 4 Preset options for window level can be applied Click on the down arrow next to the brightness contrast icon and a drop down menu will appear e Select Bone to restore the window and level values to their default values MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Default Range Custom Bone vy Save Current Window Level Edit Predefined window Level e Select Set Window Level to manually
8. 2014 Xoran Technologies LLC tes Differential Uniformity keV Material Au 60 0 203 0 406 0 203 61 0 202 0 402 0 2 62 0 201 0 397 0 196 63 0 2 0 395 0 195 64 0 199 0 391 0 192 65 0 198 0 389 0 191 66 0 197 0 384 0 187 67 0 196 0 382 0 186 68 0 196 0 38 0 184 69 0 195 0 376 0 181 70 0 194 0 374 0 18 71 0 193 0 372 0 179 12 0 192 0 369 0 177 73 0 192 0 367 0 175 74 0 191 0 365 0 174 75 0 19 0 363 0 173 76 0 189 0 361 0 172 71 0 189 0 359 0 17 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ts 78 79 80 81 82 83 84 85 86 87 88 89 90 0 188 0 187 0 187 0 186 0 186 0 184 0 183 0 183 0 182 0 182 0 181 0 181 0 18 0 356 0 354 0 352 0 35 0 35 0 348 0 346 0 343 0 343 0 341 0 339 0 339 0 337 0 168 0 167 0 165 0 164 0 164 0 164 0 163 0 16 0 161 0 159 0 158 0 158 0 157 25 Scan the QC Phantom with the QC module placed on the central slice the Front label facing forward and the entire module placed centrally in the field of view Scan the phantom with Sinus 20s 600 Sinus 10s 300 Sinus 10s 150 and T Bone 20s 600 26 Open the Sinus 20s 600 reconstruction and locate the central slice click Study Details The MiniCAT User Manual v5 2 central slice 1s the opposite of zmm Draw a 65 80 mm circular region within the Teflon material insert
9. 24 6 mGy cm T Bone 40s 600 76 9 mGy cm Tube current modulation or Pulsed Beam Limited mA Collimation dose reduction technique Total effective dose estimate Sinus 20s 600 0 17 mSv per acquisition Sinus 10s 300 0 09 mSv Sinus 10s 150 0 04 mSv T Bone 20s 600 0 14 mSv Prescribed rotation time Sinus 20s 600 20 seconds Sinus 10s 300 10 seconds Sinus 10s 150 10 seconds T Bone 20s 600 20 seconds Sinus 40s 600 40 seconds sinus 20s 300 20 seconds Sinus 10s 150 10 seconds ncrement Detector collimation mm Sinus 189 mm Temporal Bone 105 mm Slice thickness Sinus Selectable 0 4 mm minimum reconstructed poral Bone Selectable 0 3 mm mmimum reconstructed Te Pitch or table feed N A Scan FOV Sinus 16 x 10 5 cm Temporal Bone 16 x 6 cm Gantry tilt angle N A Kernel filter Sinus Hann Temporal Bone Ramp MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Image Receptor Dimensions Active area 241 3 x 192 5 mm Source to Image Receptor Distance CF Cover 685 86 1 37 mm Source to Image Receptor Distance Active Area 700 86 1 40 mm Source to Isocenter Distance 480 34 0 96 mm Central Slice Location Central Slice Laser 5 mm Primary Beam Dimension at Isocenter for Sinus scans 167 2 2 5 x 129 5 1 9 mm Superior of central slice 32 7 1 6 mm Inferior of central slice 96 8 4 8 mm Primary Beam Dimension at Isocenter for Temporal 167 2 2 5 x 71 9 1 1 mm Bone scan
10. Nominal SSP 0 8 A Ee a 99 Outer Boundary i NM Inner Boundary 9 8 d n E 0 7 JI dr H o tit ak 06 if M DG fi LAS a j 1 E i M ii i E 05 k D d g i i EREI ii i D E AN uU i F 1 03L y H A d fl 0 2 d oe 1 0 8 0 6 0 4 0 2 0 0 2 UA 0 6 0 8 1 Distance mr Sinus 10s 300 Sinus 20s 300 Nominal SSP Outer Boundary nner Boundary Sensitivity normalized g T IA t an Jn IT 1 0 8 0 6 0 4 0 2 g 0 2 0 4 0 6 0 8 1 Distance mm Sinus 10s 150 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 1 T T T T 7T l Nominal SSP wi M XA Outer Boundary Inner Boundary 0 8 al 0 7 rF si 0 6 F Sensitivity normalized e Cn T 0 E a TT LV l l I i 1 0 8 0 6 0 4 0 2 0 0 2 0 4 Distance mm T Bone 20s 600 T Bone 40s 600 E eS il 0 6 0 8 1 1 T T T T PAR Nominal SSP 09 Outer Boundary Inner Boundary 0 8 j 0 7 r sl a a T Sensitivity normalized e A Cn T 0 ma l l i l 1 0 8 0 6 0 4 0 2 0 0 2 0 4 Distance mm MTF Profiles 4 lu 0 6 0 8 1 The Modulation Transfer Function MTF is the amplitude frequency response of the imaging protocol and is a commonly used measure of system blur The MTF profiles are given in the figures 2014 Xoran
11. 1 In the Acquisition window click Scout E Cry Run Start Acquisition E E EIEIE X 2 The following dialogue box will appear MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC s Radiation Warning Clear area in front of scanner before continuing Stand behind the barrier OK Cancel Caution Make sure that all required radiation safety procedures are complied with before proceeding 3 Remain behind the barrier and click OK The Scout image will be acquired 4 Check the Scout image to make sure that the following criteria are met If the Scout image does not meet these criteria the patient should be re positioned For sinus scans e The sinuses are within the window e Patient head appears facing sideways e Head is upright not tilting forward or backward e Space exists between the tip of nose and edge of the scout image e The top part of the upper lip is included MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC An example of a good sinus Scout View is shown below An example of a poor sinus Scout View is shown below Improper patient positioning is indicated by the visibility of the maxilla and upper teeth and no space in front of the nose For temporal bone scans e The temporal bone area is centered in the Scout View image Note For temporal bone imaging a Scout may not be the best method to assess a patient s positioning Xoran recommends using only t
12. 2014 Xoran Technologies LLC tes 27 Record the Teflon mean value in the CT section of the User QC Spreadsheet Exit T atone Ius 090 at Reg No 5555555 LJ ate of Birth 09 15 2008 09 16 2008 120 00 8 30 5000 1500 beta Gert an e Regions gamma deg 8 8 T Ellipse 1 B Ellipse 2 E Ellipse 3 J Slice Sensitivity Profile 1 Text 1 Text 2 Selected Images mean 562 91 mean 48 d 2372 Karte 33 f 7854 m 78 m inus600 QC 9716 2008 09 16 2008 3 22 18 PM Sinus 20s 600 28 Record the coordinates X Y of center of the Teflon region in the X Y section of the User QC spreadsheet NOTE The coordinates are located in the upper right region of the MPR window 29 Scroll axially in the superior direction about 3 cm to the Water Module of the QC Phantom Draw a 65 80 mm circular region at approximately the same X Y location Record the mean value in this region in the CT v Section of the User QC Spreadsheet 30 Repeat Steps 26 29 for Sinus 10s 300 Sinus 10s 150 and T Bone 20s 600 Tolerance Sinus 20s 600 0 00023 to 0 00034 Sinus 10s 300 0 00021 to 0 00041 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 127 Sinus 10s 150 0 00021 to 0 00037 T Bone 20s 600 0 00019 to 0 00036 11 8 Image Noise Equipment and Scan Quality Control Phantom Sinus 20s 600 Sinus 10s 300 Sinus 10s 150 T Bone 20s 600 Procedure 1 Draw a circular region of 55
13. Optical drive An optical drive with recording capability is required for burning exported images to CD or DVD Fast network card is required 100Mb s or more Network The computer should be able to reach Xoran dedicated router through local network USB port An available USB port is required for HASP key provided by Xoran A local or network printer is required in order to print image reports 10 7 IGS Compatibility The following tables summarize the compatibility of MinCAT with other image guided systems Compatible with Xoran IT3500 ENTrak ConneCTstat IT3500 EN Trak ConneCTstat IT3000 IT2000 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Medtronic LandmarX Xomed Compatible with Xoran LandmarX Evolution LandmarX Evolution Plus LandmarX Yes Element LandmarX genl LandmarX gen2 Medtronic Stealth Treon Ion Tria Medtronic Treon Plus w ENT software Tria Plus w ENT software Medtronic Fusion BrainLAB Requires Pac Xfer Version 5 2 or Higher parom eneen ven eseagupies MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 11 0 QUALITY CONTROL TESTS Overview Xoran encourages MiniC ATTM owners to develop a quality control program with the assistance of a qualified medical physicist In this section we recommend some tests which can be included in the program MiniCAT owners participating in an MmiCAT service agreement are eligible to receive assist
14. Rotate the wheel forward or E back to scroll through an image stack MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 2 The slider Pat Name Sinus Sample Pat Heg No Anonymous Acq Date 09 20 2004 E WL 2000 7 203 3 The cut plane lines Each viewing window has colored vertical and horizontal lines called cut plane lines The lines represent the location of the other two views shown in the MPR window For example in the Sagittal view shown below The green line represents the Axial slice plane The orange line represents the Coronal slice plane e Cut plane lines can be moved by clicking and dragging This causes the images in the other view windows to change e Two cut plane lines may be moved together simultaneously by grabbing the lines at their intersection MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH Slice Thickness The slice thickness is displayed in the upper right corner of each image in MPR view in a box labeled ST em 7 3 9 Slice thickness can be changed by clicking on the ST box and selecting from the list e Minimum Slice Thickness ST for Sinus 0 4 mm Columns The number of slice images displayed on the screen in Axial Coronal or Sagittal views can be v altered using the Columns pull down menu The following examples show 3 columns top versus 5 columns bottom in Coronal view 3 columns MiniCAT TM User Manual v5 2
15. i xe BS g mAs 75 60 K 2 WA 1200 83 alpha deg 0 0 beta deg 0 0 gamma deg 8 6 EI Regions Ellipse 1 J Ellipse 2 E Ellipse 3 A Ellipse 4 m Ellipse 5 J Text 1 Text2 Text 3 B Text 4 B Texts J Slice Sensitivity Profile 1 m Text 6 E Text 7 Sagittal 402 7 800 100 Eus M B Selected Images Pr Change Color Set current color as default Visible Select Go To lete Region Resolution Cal QC Scan 08 06 2008 11 39 17 AM Resolution Calibration Procedure MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm 1 Find the tungsten bead in the axial direction of the Sinus 20s 600 scan 2 Select the Slice Sensitivity Profile tool from the Toolbox menu 3 Place SSP selection on the center of the tungsten bead 4 Right click SSP selection and select Show Profile 5 Ifa warning appears for poor signal not enough samples or poor centering center SSP selection tool on tungsten bead again 6 Record the Width value reported by the software in the SSP measured row of the User QC spreadsheet 7 Repeat these steps for the Sinus 10s 300 Sinus 10s 150 T Bone 20s 600 and compare with the tolerances below Tolerance Sinus 20s 600 0 494 to 0 589 Sinus 10s 300 0 476 to 0 618 Sinus 10s 150 0 406 to 0 665 T Bone 20s 600 0 489 to 0 574 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ZA LT
16. 2 2014 Xoran Technologies LLC 2 Place the cursor anywhere in the image except over the colored lines e Left click to zoom in e Right click to zoom out Rotate 1 Click and hold anywhere on the screen e Drag the cursor in the direction you want to rotate the view MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Cross sectional Views 1 Click the edge of one of the planes and move it towards the other parallel plane 7 8 Comparison Tool 1 To enable the comparison tool select any two reconstructed studies e To select multiple studies click on two studies while holding Ctrl 2 Right click and select Compare Delete Import Export Ordering Physician e When reconstructed studies from different patients are compared a confirmation window will appear asking to proceed MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 3 Side by side single planar views will appear You can switch between the coronal view shown below sagittal and axial MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 8 0 MODALITY WORKLIST CLIENT The Modality Worklist Client software allows patient demographic information to be electronically transmitted to the MinCAT scanner so that the operator does not need to enter the data manually The imaging order is placed electronically by an external information system and a DICOM file is generated containing patient demographic informa
17. 2 2014 Xoran Technologies LLC lp 10 2 Imaging Properties Imaging Properties Slice Thickness 0 3 mm minimum for Temporal Bone reconstructed 0 4 mm mmimum for Sinus reconstructed Reconstruction Time Sinus Field of View Cross sectional Temporal Bone Field of View Axial Temporal Bone Field of View Cross 16 0 cm sectional Number of Slices in a typical sinus scan approximately 270 Axial slices Number of Data Channels Used 744 Sinus scans 412 Temporal bone scan Views MPR Axial Coronal Sagittal Oblique 3D TMJ Side by Side Gray Scale Display 256 levels Display Window Adjustable level and width Compatibility DICOM 3 0 Acquisition Protocols SourceRay Source Tube Tube Exposure Scan Default Voltage Current Time Reconstruction Protocol j SMOOTH 400x400 0 4 0 4 f1 SMOOTH 400x400 0 4 0 4 f1 10s SMOOTH 400x400 0 4 0 4 fl MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC le T Bone 20s 58 80 SHARP 536x536 0 3 600 os LINE o 038 Resolution 48 30 SHARP 800x800 0 2 ners DK 020 Water 48 30 SMOOTH 400x400 en fins mm mAs T 04 04 f Legacy Acquisition Protocols ISI Source zer i pum E me e em m prede s DE onu ne EE pop Water SMOOTH 400x400 du 120 kVp 16 ms E 48 mAs 40s 0 4 0 4 f Legacy Acquisition Protocols SourceRay Source So Per foe S ne 20s con ron 4 uv fou Be 10s Pee jum eg 40s um uu ra 80
18. EA 2 Enter patient data in the fields Patient Patient ID 82025677 2m First Mame CCR 3114 1947 EE Gender Male Female 3 After entering the information in the required fields click Save on the bottom left of the screen Ke ie LLL e e e LE Save Start Over Find 4 3 Find Existing Patient 1 To find an existing patient click Start Over The Find button will be enabled and the patient data fields will become blank MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC EA 2 Patient records can be searched by name patient ID or birthdate Enter any known information in the patient data fields For example type the first few letters of the patient s last name New Patient Search Patient ID First Mame Last Name Doe Date of Birth rat OCH ayy Sender BE Female 3 After you enter your search criteria click Find A list of matching patients will be displayed Search Results Found 1 patient record 4 Click on the to view studies listed under this patient s name ET Scan Title O DateTime Procedure Ordering Physician i Doe Jahn E 0820 2007 v sinus CT Recon 8 20 2004 10 11 26 AM Unknown There are three types of study files They are described below MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Study File Description Type A Scout is the single X ray image that is used to ensure that the patient is properly
19. a Me nie I Fan ue a 995 s e sons mer 7 mA zuel 600 i NO p lt N N S JE 2 8 m IN Un Un Un 9 gt S gt 0 SMOOTH 400x400 TS 0 4 0 4 fl eC QR Ko 2 SS E 5 gt 48 3 mAs MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Reconstruction Protocols Coronal Sagittal Voxel Width Voxel Filter Type Slices Slices Depth Height SMOOTH 400x400 0 4 400 400 0 4 0 4 Hann 0 4 f1 SHARP 536x536 0 3 536 536 0 3 0 3 Ramp 0 3 f0 0 2 f0 Filter Type Provides sharp image detail with high contrast resolution Provides smooth image detail with low noise MiniCAT Scan Parameters Maximum number of slices Cone Beam CT per acquisition Reformat technique Multi planar reconstruction kVp mAs 600 Frame Sinus 120 kVp 48 mAs 300 Frame Sinus 120 kVp 24 mAs 150 Frame Sinus 120 kVp 12 mAs T Bone 20s 600 125 kVp 58 mAs T Bone 40s 600 IST 125 kVp 76 mAs T Bone 40s 600 SourceRay 125 kVp 58 mAs Dose length product sinus 20s 600 97 0 mGy cm sinus 10s 300 49 2 mGy cm sinus 10s 150 24 6 mGy cm T Bone 20s 600 76 9 mGy cm ISI Source sinus 40s 600 85 2 mGy cm sinus 20s 300 42 5 mGy cm MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Sinus 10s 150 20 6 mGy cm T Bone 40s 600 62 8 mGy cm SourceRay Source Sinus 40s 600 97 0 mGy cm Sinus 20s 300 49 2 mGy cm Sinus 10s 150
20. adjust the window and level values for an image and save adjusted values as a new preset Rotate The Rotate tool allows images to be rotated in MPR view e Find the double ended arrow on the right side of the image e Click and drag the arrow up and down to rotate the image e Rotation angle adjustments are recorded in the patient information overlay listed as alpha beta and gamma angles values in degrees Pat Mame Sinus 5 ample 3 ST 0 4 mm Pat Heg No Anonymous Date of Birth 07 06 1962 Acq Date 0872072004 Pixel Size 0 40 mm kVp 120 00 m s 46 72 WL alpha deg t beta deg gamma deg Coronal 200 400 100 SELECT Images can be restored to their original non rotated orientations by selecting the Restore Original Tilt option from the Toolbox menu or by pressing Ctrl T MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Ctrl O Show Ruler Restore Original Tilt Craft Jr Restore Positions and Sizes Ctrl P Slice Sensitivity Profile Tool Apply Filter View Jobs Queue Load Planning File Save Planning File Study Details 7 5 Annotation Tools The tools below allow you to make distance measurements and create comment overlays on images All measurement and annotation tools can be used in any window where images are displayed To view annotations within a scan click the appropriate annotation within the Regions area Regions TM 1 Text Label 1 Bi Line 1
21. holding down the left mouse button and dragging them to the desired location e Make changes to the TMJ lines by moving the cursor over them until the TMJ lines change color and then right clicking with the mouse A drop down menu will appear with options Make similar changes by right clicking the corresponding TMJ lines in the Navigation menu and choosing from the following menu options MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Change name Change Color Set current color as default w Visible GoTo Delete TMJ Options Change Name Change Color Set current color as default Visible Go To Delete Description Changes the name of the TMJ object Changes the TMJ line color Sets the current color of the TMJ object as the default color for subsequent TMJ objects De selecting this option makes the line disappear from view Bring the object back to view by right clicking the corresponding object from the Regions menu and selecting Visible Takes you to the TMJ window the screen that appears after you define a pair of TMJ lines Deletes the pair of TMJ lines 7 7 3D Viewing Window To enable the 3D viewing window click the Tools menu from the Patient Database and select Show 3D To reconstruct the 3D window after an acquisition click Show in the bottom right corner of the 3D plane in the MPR window Zoom 1 Select the Pan Zoom tool from the toolbar MiniCAT User Manual v5
22. mm NEMA R 120V AC 50 60 Hz 10A r m s max lne current ate integrated into diagnostic system Rang egu 2 R Technique Factors that 125 kVp 58 8 mAs Constitute the Maximum Line Current Condition X ray Generator Duty Cycle Pulsed 50 duty cycle 11 30 ms pulse on time Pulse Train 30 pulses sec Hz Pulse Train Time 40 seconds on 10 minutes off Less than 5 ms 125 kVp 7 mA PN measured 50 90 of the voltage waveform MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Leakage Radiation Less than 100 mR Hr Leakage Technique Factors SourceRay Source 125 kV 7 mA 0 014 s pulse width 30Hz 8 duty cycle Leakage Technique Factors IS1 125 kV 7 mA 0 018 s pulse width 15Hz 16 duty Source cycle Beam Quality half value layer 9 4 mm equivalent Al 120 kVp HVL SourceRay Source 9 7 mm equivalent Al 125 kVp Beam Quality half value layer 10 6 mm equivalent Al 120 kVp HVL ISI Source 10 9 mm equivalent Al 9 125 kVp Minimum Permanent Filtration 11 7 mm Al equivalent SourceRay Source Minimum Permanent Filtration Tee ISI Source Measurement Criteria for Peak Voltage Current and Pulse Width 50 90 of the voltage waveform 125 kVp 58 8 mAs Maximum Single Exposure Rating onstant Potential No More Than 15 Residual Heat in Anode Nom Maximum Single Exposure Rating Single Phase Full Wave Rectified No More Than 15 Residual Heat in Anode Nominal Focal Sp
23. move adjust or manipulate the scanner or patient durmg image acquisition This could result in unnecessary radiation exposure injury to the patient and or damage to the equipment Caution This X ray unit may be dangerous to patient and operator unless safe exposure factors and operating instructions are observed Unauthorized use is prohibited Xoran Technologies LLC is released of all responsibility and indemnity for injury that may result from X ray radiation or the improper use of the device e tis the responsibility of the user to learn about X ray radiation health risks and to adopt and follow proper X ray radiation safety policies and procedures before operatng the MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC EN MiniCAT M e All federal and state regulations pertaining to radiation safety must be observed please refer to your state radiation safety regulations for specific requirements about the safe and proper use of the scanner e Stand behind the operator s barrier when using X ray ead shielded aprons and dose monitoring badges may be required ALARA The principle of As Low As Reasonably Achievable ALARA has been implemented into the imaging protocols of the Mm ATTM and this principle shall be exercised by the user at all times In this way unnecessary exposure to radiation can be avoided ALARA principles shall be exercised by the user at all times Only required personnel should be in th
24. protocol before positioning the patient in the scanner 1 After entermg new patient information or selecting an existing patient click Acquire New a LL Acquire New 2 The Patient Confirmation window will appear Confirm that the patient selected from the Patient Database 1s the one you want to scan Click Acquire New to proceed 3 The Acquisition window will appear 4 Select the appropriate protocol from the Protocol menu The standard protocol options are as follows Sinus 20s 600 20 second imaging protocol with 600 frames i e adult sinus scans Sinus 10s 300 10 second imaging protocol with 300 frames Scan is faster and lower dose but image quality will be somewhat reduced compared to Sinus 20s 600 i e adult follow up sinus scans and or pediatric scans Sinus 10s 150 10 second imaging protocol with 150 frames is a very low dose sinus scan i e adult follow up sinus scans and or pediatric scans T Bone 20s 600 20 second temporal bone imaging protocol with 600 frames provides higher spatial resolution than the Sinus 20s protocol and field of view is somewhat smaller Water QC To be used only for specified quality control tests Resolution QC To be used only for specified quality control tests MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Note Additional protocols are available for creating images compatible with various image guided surgery
25. slice pixel value Using the Distance Tool draw a vertical line centered horizontally across the scout Create a circular region of 100 mm 20 mm centered at the crosshairs MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Regions Ellipse 1 E Lina M Line 2 Ta 1 M Selected Images Central Slice Value 17 Record mean value of the region in the appropriate section of the User QC Spreadsheet 18 Go to tool box and click Save Planning File and save as Sinus Contrast 19 Open each sinus scout load the planing file and record the mean value of the region in the appropriate section of the User QC Spreadsheet 20 Open the Scout of a temporal bone Scout 21 Repeat steps 12 16 for the temporal bone Scout 22 Go to tool box and click Save Planning File and save as T Bone Contrast 23 Open each temporal bone Scout load the planing file and record the mean value of the region in the appropriate section of the User QC Spreadsheet 24 Using the Attenuation Table below lookup the nearest attenuation value for water and trace the row right to find the Teflon Water Differential A Record this number in the appropriate section of the User QC Spreadsheet If the water attenuation value corresponds to more then one energy multiple table rows record the mean value of the Teflon Water Differential Attenuation units cnr Energy Water Teflon Teflon Water MiniCAT TM User Manual v5 2
26. systems If you have need for a protocol compatible with a specific IGS system please call 800 70 XORAN 800 709 6726 A Xoran Customer Service representative will be happy to assist you 5 Select the ordering physician e To add a new ordering physician click the Add Physician icon to the right of the Ordering Physician e To change the ordering physician on a study right click a patients name in the Patient Database and select Ordering Physician Note The Acquisition window will close and revert back to the Patient Database after 30 minutes of inactivity 6 2 Prepare the Patient Note It is advisable to ask female patients of childbearing age if they are or may be pregnant Prior to the scan e Instruct the patient to remove jewelry hair accessories and glasses e Instruct the patient to sit upright relax and face straight ahead e The patient can hold the Patient E Stop control in lap or hands e Small lasers will be used for positioning Remind the patient to close eyes A Scout may be taken to verify position e A Dry Run can demonstrate scanner movement without emitting X rays During the scan e Instruct the patient to sit as still as possible for best image quality e Instruct the patient to avoid talking chewing yawning swallowing coughing or slouching e Instruct the patient to breathe naturally moving head as little as possible e The scan will be completed in 20 seconds or less The overhead gantr
27. 0 BTU hr Caution Allow system temperature to adapt to room temperature before powering up the MiniCAT M scanner hardware or workstation server Installation Relocation The MiniCAT M cannot be installed or relocated by the user Proper and safe setup requires specialized trainmg and must be performed by a Xoran Technologies Customer Service Engineer Call Xoran 1 800 70 XORAN 800 709 6726 for assistance MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 107 Apparent Resistance of Supply Mains For the purpose of obtaining the apparent resistance of supply mains on the MiniCAT CT system resistance is determined according to the following formula Uo U1 R l1 Where Uois the no load MAINS VOLTAGE U1 is the MAINS VOLTAGE under load l is the mains current under load MiniCAT CT system utilize single phase power Measurements were performed between phase and neutral Measured results Uo 121 1V AC U1 120 7V AC l 2 8 3A Result Apparent Resistance of Supply Mains R 0 048 ohms MiniCAT Viewing Station Computer Installation Requirements It is recommended that the MiniC AT Viewing Station computer when used in a Practice Examination Setting be dedicated for MiniCAT software and Patient Record Access ONLY with a workstation class desktop computer When a Viewing Station is used on a multi use computer platiorm environment such as an Administrative Station or a Physician s Off
28. 0 mm 20mm in the background reference area of the QC module centered left to right and below top to bottom the line pairs of the phantom in a uniform region 2 Record the standard deviation S measured in the appropriate cell of the User QC Spreadsheet Note that Contrast Scale must be performed before the Image Noise test FRE e mean 10 431 stdev 20 98 4 951 35 mim y un CC v EE 3 Repeat these steps for each of the clinical scans Tolerance Sinus 20s 600 1 88 to 3 87 Sinus 10s 300 2 69 to 7 04 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm Sinus 10s 150 4 49 to 9 69 T Bone 20s 600 3 54 to 7 91 11 9 Nominal Tomographic Section Thickness and Slice Sensitivity Profile Equipment and Scan Quality Control Phantom Sinus 20s 600 Sinus 10s 300 Sinus 10s 150 T Bone 20s 600 Measuring Nominal Tomographic Section Thickness is obtained by finding the full width hali maximum FWHM resolution of the Slice Sensitivity Profile SSP The SSP is obtained by scanning a small sub voxel bead in the QC module Specifically the custom QC module contains a 0 280 mm tungsten bead in the upper half of the phantom Note See below picture as reference Ka Image Output Exit UO gt gt gt x H Gg E Pat Name Configuration 2 Paul D ST 30mm D nn T a Pat Reg No 2223 Date of Birth 08 05 2008 Acq Date 08 06 2008 Pixel Size 0 20
29. 20s 600 Procedure 1 Acquire a Scout for Sinus 20s 600 Sinus 10s 300 Sinus 10s 150 Label these scans Contrast Scan 1 2 Place a 30 mm Water Module over the source The 30 mm water module should be centered over the aperture of the source The 30 mm water module can be attached to the gantry with strong tape but make sure the tape will not be blocking any part of the x ray beam 3 Acquire a Scout for T Bone 20s 600 Label this scan Contrast Scan 1 as well 4 Acquire a Scout for Sinus 20s 600 Sinus 10s 300 Sinus 10s 150 Label these scans Contrast Scan 2 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC de 10 11 12 13 14 15 16 Place a second 30 mm Water Module over the first Acquire a Scout for T Bone 20s 600 Label this scan Contrast Scan 2 as well Remove one 30 mm Water Module so one is still in place Acquire a Scout for T Bone 20s 600 Label this scan Contrast Scan 3 Remove the remaining 30 mm Water Module Acquire a Scout for Sinus 20s 600 Sinus 10s 300 Sinus 10s 150 Label these scans Contrast Scan 3 as well Open a scout view of one of the sinus scans Select Show Ruler from the Toolbox Zoom m to align the edges of the Scout with the ruler tick marks Open the Study Details and note the Central slice pixel value Using the Distance Tool draw a horizontal line across the scout Y value that matches the Central
30. 536 0 130 mm tomographic section thickness T Bone 40s 600 125 kVp 7 mA 18 ms pulses 600 pulses 75 6 mAs 10 6 mm Al equivalent fixed filtration 0 532 0 043 mm tomographic section thickness The nominal tomographic section thickness is fixed for each protocol and is not selectable prior to MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC toe acquisition CTDI Measurements ISI Source Cmemm m Te Protocol ISI P s Y Lan ne wm Dmm Center 8 o clock position 90 from max 180 from max 270 from max Protocol CTDI G m MEN NEE Max periphery Periphery Periphery Periphery Center 2 o clock position 90 from max 180 from max 270 from max T Bone 40s 600 7 1 9 10 6 Installation Requirements Room Requirements Recommended Room Size Internet Connectivity High speed connection is required for service maintenance MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Note The operator of the MiniCAT M must be able to make visual and audio contact with the patient bemg scanned while behind radiation barrier Power Japan Japan Requirement Line Voltage 200V 100V 220 240V 115V Line Frequency 50 60 Hz 50 60 Hz 50 60 Hz 50 60 Hz Line Current 2 5A 5A 2 5A 5A r m s standby line voltage Line Current r m s max Measured Line voltage load 125 kVp 58 8 mAs Main Circuit 5A 10A 5A 10A Breaker MiniCAT input voltage regulation ra
31. C se 4 5 Delete Patient Record You can delete a patient record by right clicking on the patient s name and choosing Delete Patient from the drop down menu Export All Studies Patient Details Caution This action permanently deletes files from your system Be sure to follow any required procedures for record retention and data backup before deleting patient records 4 6 Purge Files To purge unneeded patients and studies in your system follow these steps 1 Select the Purge option from the Tools menu Advanced Search Modality Worklist Tools Log Out View Jobs Queue 2 Specify date interval to purge 3 Select study type s to purge MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 4 Press OK to remove the files permanently from your system Purge Files Select Studies to Purge Studies olderthan 5 years D Acquired before Acquired betw Study Type study Type Caution This action permanently deletes files from your system Be sure to follow any required procedures for record retention and data backup before purging files MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC s 5 0 DAILY CALIBRATION For best image quality the MiniCAT M system must be calibrated daily Calibration should be performed after the system has been powered on for at least one hour It is recommended to leave the MiniCAT M system on overnight and calibrate each morning Cau
32. CUSTOMER SERVICE 800 709 6726 international 1 734 418 5100 XOR AN 5210 South State Rd V Ann Arbor MI 48108 info xorantech com www xorantech com
33. DI normalized to Sinus 20s 600 Sinus 10s 150 protocol at location of maximum CTDI at periphery MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC c 2 1 c 1v Dose profile for each selectable nominal Please see results above tomographic section thickness for CTDI values and Section 10 2 for slice sensitivity profiles c 2 0 c v A statement of the maximum deviation All protocols from these results The dose profile for each selectable nominal tomographic section thickness 1s not available because the patient position is fixed throughout the acquisition The dose profile does not vary across the field of view because of the cone beam geometry The nominal tomographic section thickness is fixed for each protocol and is not selectable prior to acquisition Patient Effective Dose Estimates Total Effective Dose Imaging Protocol Estimate mSv 1 5 0 Legacy Protocols ISI Source The CT conditions of operation used to provide dose and imaging performance information below are as follows Sinus 40s 600 120 kVp 5 mA 16 ms pulses 600 pulses 48 mAs 10 6 mm Al equivalent fixed filtration 0 542 0 048 mm tomographic section thickness Sinus 20s 300 120 kVp 5 mA 16 ms pulses 300 pulses 24 mAs 10 6 mm Al equivalent fixed filtration 0 547 0 071 mm tomographic section thickness Sinus 10s 150 120 kVp 5 mA 16 ms pulses 150 pulses 12 mAs 10 6 mm Al equivalent fixed filtration 0
34. IGS holder cheekbone Align with tragus Align with corner of eye Insert temple wedges squarely and Secure patient s head securely on sides of patient s head with forehead strap 4 Scan Patient S Caution X ray radiation emitted Follow radiation safety protocols S Scout confirms patient position E _ Sinus Scan Scout Temporal Bone Scout Sinus Scan Scout with GE Headset Click Start Acquisition to initiate the scanning process and follow the on screen prompts e When the scan is complete the gantry will rewind and reconstruction will start automatically 5 View and Export Images MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC EH e The study will open in the Multi planar Reconstruction MPR window This is the default setting for viewing and manipulating reconstructed images Axial coronal sagittal and 3D views are all visible at once e Click Image Output from any image viewing window to export images if applicable 6 Initiate Scan Transfer to XoranConnect e After the acquisition and reconstruction are complete click Exit in the viewer window to initiate scan transfer and allow it to be available on XoranConnect Note Press the FI HELP key to access the online user manual MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC dt 2 3 0 STARTUP AND SHUTDOWN 3 1 Emergency Shutdown In the case of an emergency the system rotation can be stopped and X ray emission can b
35. Label Options Description Global Text will be visible on all the other slices in the dataset within the same viewing window Delete Deletes the text box 7 6 Oblique and TMJ Tools The Oblique and Two Points Oblique tools can be used in any plane Oblique Tool 1 Click on the Oblique icon When this icon is active you have the ability to flatten oblique and curved objects into a two dimensional view 2 Left click to deposit pomts along the desired pathway and double click on the last point to end the line An example is shown below 3 The following screen will appear MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC e A new entry appears in the Regions menu as Oblique 1 You can toggle between this view and others by selecting the desired view in the navigation menu top right corner or clicking on the view in the Regions menu The image on the left side shows the oblique pathway e The image at the top right shows the cut along the oblique pathway The slice thickness is 0 4 mm and can be changed by left clicking on the Slice Thickness ST value in the top right corner of the image and selecting a new value e The thumbnail images in the bottom right frame are cuts that are perpendicular to the oblique pathway These are equally spaced along the length of the oblique pathway e The highlighted thumbnail image indicates the location within the oblique pathway as represented by the perforate
36. Power Cord Symbol Non Ionizing Electromagnetic Radiation Symbol Serial Connection Symbol RMS UK Ltd Somerset BS48 4NU United Kingdom 1 3 Electromagnetic Interference The MiniCAT M has been tested and found to comply with the limits for Class A equipment pursuant to IEC 60601 1 2 These limits are designed to provide reasonable protection against harmful interference in a commercial environment The MiniCAT M generates uses and can radiate electromagnetic energy If the MinCAT is not installed and used in accordance with these instructions it may cause harmful interference to surrounding equipment MiniCAT is intended for use in an electromagnetic environment specified below The user of the MiniCAT M should ensure that it is used in such an environment Immunity Test Electrostatic Environment Guidance Electrostatic Discharge Compliant to 4 KV Floors should be wood concrete or ceramic tile If floors are synthetic the relative humidity should be at least 30 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Immunity Test Electrostatic Environment Guidance EFT and Surge Electrical power quality should be that of a typical commercial or hospital environment See Electrical Power Requirements in section 10 6 Voltage Dips Dropout Mains power quality should be that of a typical commercial or hospital environment If the user requires continued operation during power mains interruption
37. Reference Materials Equipment and Scan Quality Control Phantom Resolution QC scan Procedure 1 Using the Resolution QC scan scroll to the midpoint of the four reference material inserts Teflon LDPE Acrylic Air in the axial view of the reconstructed QC Phantom scan 2 Draw a circular region entirely within each of the reference material boundaries Each circular region should range in size from 65 80 square millimeters 3 Record the mean value for each material and compare with the acceptable range for each Tolerance MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC te Air 1000 to 650 HU Teflon gt 550 HU Acrylic 50 to 250 HU LDPE 200 to 0 HU 11 3 Spatial Resolution Equipment and Scan Quality Control Phantom Resolution QC scan High Contrast Procedure 1 Using the Resolution QC scan position the Quality Control phantom at the central slice MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 117 2 To verify high contrast resolution scroll to the graded line pair targets in the axial view of the reconstructed scan and adjust the window level and zoom level to achieve good viewing characteristics of the graded line pairs see picture below SM 7 um The picture below is an example of a typical window level for accurate Ip cm viewing LISTER 7738 2011 0 mean 58 18 By WindowiLevel tdev 109 97 Y0 69 mm a M i Pe mean 88 A4 Stdev 105 74 Y0 69 mm
38. Technologies LLC MiniCAT User Manual v5 2 ECH below Maximum Deviation The spatial frequency corresponding to the 50 and 10 contrast levels in the MTF graphs will have the guaranteed lower bounds listed in the table below Lower bounds on 50 and 10 contrast cut off frequencies for MTFs of different protocols in units of oscillations per centimeter Protocol 50 Contrast 10 Contrast Sinus 20s 600 Sinus 40s 600 33 0 Sinus 10s 300 Sins 205 0 333 69 Apparatus The apparatus for MTF measurement consists of an acrylic cylinder phantom 10 cm in diameter and 2 5 cm long axially embedded with a tungsten wire filament The tungsten wire filament is 50 microns in diameter Data Acquisition Methodology An acquisition and reconstruction of the phantom is made in the desired imaging mode with the tungsten filament centered horizontally in the field of view and vertically about the equatorial plane of the scanner the plane of rotation of the focal spot The vertical axis of the phantom should be aligned as closely as possible with the z axis of the scanner Note that the vertical axis of the phantom is NOT the axis parallel to the wire filament Rather it is the axis around which the acrylic casing of the wire is circularly symmetric The phantom was positioned to maximize the view of the axial length of the phantom More viewable slices translate into more data for estimation and improved MTF estimation accuracy
39. YIIC SS il Il D H i i IN Teflon 15 13 41 Ipfem LOPE i Bac kground pt A Reference a E e Oum Low C antrast Details A chlic Fig 5 Top Left the QC Phantom and the Custom QC and Uniformity Material modules in the MiniCAT Top Right Photo of the QC Module Bottom Left Simplified drawing of the QC Module Bottom Right Coronal and Axial images of an MiniCAT scan of the QC phantom Procedure Before QC 1s conducted a Daily Calibration should be performed MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ts 1 Scan the QC Phantom with the QC module placed on the central slice the Front label facing forward and the entire module placed centrally in the field of view Scan the phantom with the appropriate protocol s specified in the respective QC test 11 1 Laser Accuracy To confirm alignment light accuracy 1 Press and hold the Alignment Light button on the controller to turn on laser Press button once to turn on the laser for a few seconds e Press and hold for three seconds to turn on the laser for five minutes e Side lasers should align with the alignment stickers on perimeter of X ray detector X Tay detector Laser is not properly Laser is property aligned aligned Call for service MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ts e Front laser should hit the center of the headrest and or gantry Head Holder Patient Chair 11 2 CT Number of
40. ance performing these test procedures from Xoran Customer Service personnel However Xoran recommends and your state may require that a medical physicist perform an independent evaluation Xoran provides a quality control phantom to use for these quality control tests Xoran has developed these procedures to scan only the smuses and temporal bones which are high contrast or bone window imaging tasks that require isotropic high spatial resolution and do not require the level of contrast resolution needed for other imaging tasks such as brain or muscle tissue scanning etc Xoran designed the MiniCAT M according to the ALARA As Low As Reasonably Achievable principle by minimizing the radiation dose to the patient while providing the image quality necessary for scanning the sinuses and temporal bones Should your MiniCAT M system fail any of the following quality control tests contact Xoran Customer Service at 800 70 XORAN for corrective action MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 11 9 Nominal Tomographic Section Thickness and Annually Slice Sensitivity Profile Note The required frequency of QC tests may vary according to state regulations accrediting organizations or your medical physicist MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ts The Quality Control Phantom iL US GL C module Qc sd mm EE Gi 0 28 im Details pd 4 3 mm T air Jes 7 up jeten ACT
41. at to which the MiniCAT M is connected e Contact Xoran Customer Service for additional assistance 1 4 Cleaning and Service Cleaning Schedule It is recommended that the equipment be cleaned and disinfected in the followmg manner Between Patients e Clean patient head holder with alcohol Do not spray Daily e Clean dust from surfaces by wiping with a dry or slightly damp cloth Do not use any chemicals on any part of the MiniCA T M Monthly e Check for defective X ray indicator lights and sounds Gently vacuum dust from fans behind acquisition workstation and server if applicable e Open server front panel and gently vacuum dust accumulation if applicable Service and Maintenance It is recommended that the equipment be inspected and serviced annually Inspection and service must be performed by Xoran Technologies LLC or other technician licensed and qualified to service this equipment Circuit diagrams component parts lists descriptions and calibration instructions can be made available upon request Service preventative maintenance for the first year of equipment operation is covered by Xoran Technologies under the equipment warranty Ongoing service and preventative maintenance can be purchased under a service agreement with Xoran Technologies It is the responsibility of the user to ensure that the equipment is maintained in compliance with the manufacturer recommended maintenance schedule The manufacturer and the assemb
42. available image modification operations MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm e Perform image output actions including exporting and printing images and DICOM push Note The Xoran server supports up to 5 concurrent connections and up to 20 client connections The following features will not be available to users on a Viewing Station e Acquisition and daily calibration e Reconstruction of raw Study File data CPU and GPU e Modality Worklist support e Patient Record Management creating modifying and deleting patients e Modifying Study Header e Deleting Study File e Importing Study Files e Study File Purge e User Management NOTE 1 The 3D View functionality will be assured to function with a Xoran Specified Computer System Note A Xoran Specified Computer System will require the user to limit the installation of miscellaneous third party software Additional software programs installed on your workstation could impact the efficient function of the Xoran 3D View 2 The 3D View option may not work with standard computer systems minimum computer hardware and software specifications for Viewing Stations are supplied in section 10 6 of this User Manual Installation Requirements 3 Xoran does NOT assure that 3D Viewing will work as intended to on a NON Xoran Supplied Computer System Note Only use original components provided with the MiniCAT M Do not use any other parts or accessori
43. ces are displayed Coronal A series of sagittal slices are displayed A 3D viewer is displayed MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC User selected slices are displayed see next section on how to select Selected Slices To change the view click on the desired view option in the navigation menu For example clicking Coronal will present the coronal series of slices as shown below 7 3 Select Slices The Selected Slices view option allows you to view slices which have been selected by the user Slices can be selected in order to be printed or exported 1 Select a view option in the navigation menu Axial Coronal Sagittal or MPR 2 Click SELECT n the lower right corner of any image to select the image MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 8 3 When an image is selected the label will change to the word SELECTED 5 Right clicking on the Selected Image thumbnail will provide a menu of the following options MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Copy Remove Remove All Go To Autosort Change Selection Slice Option Copy Remove Selected Remove All Go To Autosort Change Selection Description Copy Selected Image Removes a single image from the Selected Images series Removes all images in the Selected Images window Displays the selected slice in MPR view Orders your selected slices from anterior to
44. d line on the left image and the top right image MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Ke _ e Move the oblique line by hovering over it with the cursor until it is active it will change color grabbing it by holding down the left mouse button and dragging it to the desired location e Make changes to the oblique line by moving the cursor over it until the oblique line changes color and then right clicking the mouse A drop down menu will appear with options Make similar changes by right clicking the corresponding oblique line in the Navigation menu and choosing from the menu options Edit Change name Change Color Set current color as default Visible shape Go To Delete Insert Point Delete Point Oblique Options Description Change Name Changes the name of the object MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Oblique Options Description Change Color Changes the color Set current color as default Sets the current color of the oblique object as the default color for subsequent oblique objects Visible De selecting this option makes the line disappear from view Bring the object back to view by right clicking the corresponding object from the Regions menu and selecting Visible Go To Opens the Oblique window the new screen that appears after you define an oblique line Delete Deletes the oblique line Insert Pont Inserts an additional point to the oblique obj
45. e halted by pressing the Emergency Stop E Stop button The operator E Stop is located on the Operator Control Box on the operator s desk The Patent E Stop is located on the Patient Controller which can be held by the patient during the scan Patient E Stop Operator E Stop When activated the E Stop control immediately shuts down the scanner cutting power to all moving parts and ceasing the emission of X rays The operator or patient should press the E Stop in case of emergency or system malfunction where the safety of the patient or operator is at risk such as e Extreme patient motion during acquisition Le standing up e Software malfunction i e frames do not appear during image acquisition A person or object enters the gantry path during acquisition After pressing the E Stop e Have the patient exit the scanner Rotate the E Stop button clockwise to reset the MiniCAT M system Contact Xoran Customer Service if additional support is required After pushing the E Stop the overhead gantry can be manually rotated so that the patient can safely MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ws exit the scanner software after resetting the E Stop IN Caution Turn E Stop clockwise to reset It is also recommended to restart MiniC ATTM 3 2 System Startup Caution It is recommend that the scanner remain on at all times If the scanner has been shut down for any reason please allow one hour fo
46. e room when the scanner is in use Personal Dosimetry The purpose of a radiation dosimetry program is to measure the radiation dose equivalent from occupationally exposed radiation workers You must check with your state radiation safety program to ascertain your state s specific radiation dosimetry requirements X Ray Warning System When the MiniCAT M is in use and X rays are being emitted you will see a yellow flashing light located on top of the operators console complemented with an audible chirping sound In addition it is possible to install external warning lights and or audible alarms when the X ray source is enabled in ready state Call Xoran Customer Service to learn more about these options if required in your area Door Interlock System The MinCAT is equipped with provisions for an optional door interlock circuit This type of circuit shuts off power to the X ray source when the door is opened Call Xoran Customer Service to learn more about these options if required in your area Extension Cords Cables MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC a Do not use any extension cords which have not been provided with the MintCAT Use only the interface cables provided with the MinCAT Do not alter the cabling configuration Additional Software and Accessories Do not connect any items or equipment to the MiniCAT M which are not part of the system or install any additional software Either o
47. ect Delete Point Deletes the selected point from the oblique object Two Points Oblique Tool 1 Click on the Two Points Oblique icon When this icon is active you have the ability to flatten oblique and curved objects into a two dimensional view 2 Left click to deposit two points along the desired pathway An example is shown below a yellow line with cross hairs representing the click points 3 The following window will appear MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC e Anew entry appears in the navigation menu as Two Points Oblique 1 You can toggle between this view and others by selecting the desired view in the navigation menu top right corner or clicking on the view in the Regions menu The image on the left side shows the oblique pathway e The image on the lower right shows the cut along the oblique pathway The slice thickness is 0 4 mm and can be changed by left clicking on the Slice Thickness ST value in the top right corner of the image and selecting a new value e Move the oblique line by hovering over it with the cursor until it is active it will change color grabbing it by holding down the left mouse button and dragging it to the desired location e Make changes to the oblique line by moving the cursor over it until the oblique line changes color and then right clicking the mouse A drop down menu will appear with options Make similar changes by right clicking the corresp
48. eeeeneeseeseeeeeeeeeees 118 REN DC CO A EE aote t 119 TG URHOTMHV TES EE 120 11 7 Contrast Scale 1 1 iie uo eC E ou Earn iaaa US SR ISSUE EORR OP sagesse siens EUST 121 FC IMAUS NOISO uide e to are a a en DLL ae rete a eluate 127 11 9 Nominal Tomographic Section Thickness and Slice Sensitivity Profile 128 INDEX 130 MiniCAT User Manual v5 2 2014 Xoran Technologies LLC Rev06 DCO 1889 Part 40026 CD V5 2 10 27 2014 a EE 1 0 READ THIS FIRST This section contains important safety information about using your MiniCAT M 1 1 Safety Guidelines Although several safety considerations were made in the design no amount of safety features can completely eliminate the risk associated with X ray radiation Improper use may result in injury Emergency Stop In the event of an emergency i e any moving component collides with any parts of the equipment items in the environment or that could cause physical injury to the patient the operator should utilize the Emergency Stop E Stop button to turn off the power to all moving parts in order for the patient to be safely removed from the machine Patient E Stop Operator E Stop All persons operating or occupying the area around the scanner must be properly trained on the principles of radiation safety The persons authorized to operate the equipment will be properly tramed by Xoran Technologies on the principles of operation Operators of the equip
49. elow e Fora Temporal Bone scan the laser should project the crosshairs on the patient s tragus as shown below MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH 7 Insert temple wedges squarely and securely on sides of head Included with each head holder are three pairs of different sized temple wedges to fit patients of varying head sizes 8 Secure forehead strap as shown below 5 P al kZ E i wm p 9 Remind the patient to remain still and relax while positioned in the scanner 6 4 Dry Run and Scout Perform Dry Run MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ss The Dry Run function rotates the overhead gantry without activatmg the X ray source This function allows the patient to become more familiar and comfortable with the system This can help to reduce patient motion during the actual CT scan 1 Check the Dry Run box and the Acquisition button will change to Dummy Acquisition Dry Run e Dummy Scguisition 2 A caution will appear Make sure that nothing is in the path of the rotating overhead gantry 3 Click OK and the gantry will rotate and rewind without firing the X ray source Acquire Scout A Scout is a single lateral X ray taken to verify that the patient is positioned properly Caution Distances in Scout image are not to scale Scout should not be used for any purpose other than positioning patient
50. er s responsibility to ensure adequate data backup is performed Call Xoran Customer Service for recommendations on how to perform data backup most effectively MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 9 1 6 Regulatory Compliance MiniCAT has been tested and or evaluated against and found to be compliant with the following standards requirements e IEC 60601 1 2003 04 25 ED 1 with Revisions up to 2003 06 30 e IPC 60601 1 1 2000 Collateral Standard General Requirements for Radiation Protection for Diagnostic X ray Equipment e IPC 60601 1 2 2001 Al 2004 Class A for Emissions Immunity for Non Life Supporting Equipment e EC 60601 1 3 1994 Particular Requirements for Safety of X ray Equipment e IPC 60601 1 4 General Requirements for Safety Collateral Standard Programmable Electrical Medical S ystems e IEC 60601 2 32 1994 Particular Requirements For the Safety of X ray Equipment for Computed Tomography e IPC 60601 2 44 2001 Particular Requirements For the Safety of X ray Equipment for Computed Tomography e CAN CSA C22 2 No 601 1 M90 Collateral Standard Safety Requirements for Medical Electrical Systems 3485 5 G x enne TM Intertek 0413 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Equipment Class Protection against electric shock Class I Applied part has degree of protection against electric shock Type B Applied Part Class of equipment against ingress o
51. es MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm 2 6 Quick Reference Guide Note This page is a brief overview of the MimCAT M Please attend MintCAT training with a qualified instructor and read the complete MinCAT User Manual before operating the equipment PREPARATION 1 Performa Daily Calibration For best results scanner should be powered on for at least one hour before calibration Note Refer to Section 3 2 for System Startup instructions Click Daily Calibration from the Tools menu or press the F9 CAL key S Caution X ray radiation emitted Follow radiation safety protocols 2 Enter Patient Information Enter patient information and click Save SCANNING 1 Select Patient From the Patient Database locate and highlight the patient record Click Acquire New and follow the on screen prompts 2 Select Procedure e Create a study title select the procedure and choose the ordering physician 3 Seat and Position Patient e Have patient remove jewelry glasses hair accessories etc from patient s head e Adjust height of patient chair until ear is positioned as shown Use alignment light to position patient based on imaging protocol see below Caution Laser light emitted Do not stare into the beam MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Align top of ear just Sinus Scan Temporal Bone Sinus Scan for GE below wing of head Align with high Scan
52. f liquids Ordinary Equipment IPXO Radiated emissions Class A FDA Class 2 Mode of Operation Continuous operation with intermittent loading MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC os 2 0 INTRODUCTION 2 1 Welcome XORAN Dear Valued Xoran Customer Thank you for purchasing the MiniC ATTM scanner We designed the MmCATTM scanner and the User Manual to be easy to use This User Manual gives you chronological step by step instructions for operating the scanner It also provides you with technical specifications of the MinCAT scanner To ensure the safe and proper use of your new scanner please make sure that you read and understand this User Manual before operating the scanner and follow the User Manual s operating and safety instructions when using the scanner The instructions in this User Manual are meant to supplement your Xoran on site traming your radiation safety trainmg as required by your State s Radiation Safety Regulations and your own professional traming and expertise Customer Service and Support is our first priority We want to do everything we can to help you use your new MiniC ATTM scanner in a safe and efficient manner If you have any questions please call us at 800 70 XORAN 800 709 6726 Our Customer Service Engineers will be happy to help you Sincerely Xoran Technologies LLC www xorantech com 2 2 MiniCAT Overview MiniCAT M is a compact upright volume c
53. f these actions can cause the system to malfunction and will result in voiding your warranty Disposal Follow local regulations on disposal of waste parts The X ray source assembly image sensor and all electronic circuits should be regarded as non environmental friendly waste product and should be disposed of in such a way as to minimize the hazard to the health of personnel and the value of property and the community Instructions Training Use The MiniCAT shall be used supervised or directed by an individual who is competently aware of the potential hazards involved from ionizing radiation and who 1s capable of minimizing these hazards Xoran provides comprehensive training and support for MinCAT users Xoran accepts no responsibility for the misuse of a MinCAT The user is responsible for compliance with their state s regulation for owning and operating a CT scanner Note The best practice is to consult with a qualified medical physicist to ensure safety and compliance Feel free to contact Xoran Customer Service for assistance in locating an appropriate medical physics professional in your area 1 800 70 XORAN 800 709 6726 1 2 Table of Symbols The following symbols can be found in this manual and on the equipment MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Type B Applied Part Electric Shock High Voltage This symbol alerts you to the presence of uninsulated dangerous voltage mside the enclo
54. ges the shape to a rectangle ellipse circle or square Deletes the shape object Text can be added to an image This simple but flexible tool can be useful for labeling anatomical features or making notes Click on the Text Tool icon or the Label Tool icon from the toolbar 2 Left click and drag the cursor diagonally on an area of the image where the text box will be located Click again to release Double click on the word Text or Label and begin typing MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC e Text and Label objects can be moved by left clicking inside the box and dragging it to the desired location e Text and Label objects can be modified by either double clicking inside the box or by right clicking inside the box A drop down menu will appear with the following options Edit Change Color Set current color as default Visible Global Shape Delete Text and Label Options Description Edit Edits the content of the text box Change Name Changes the name of the text box Change Color Changes the color of the font Set current color as default Set the current color of the font as the default font color for subsequent text boxes Visible De selecting this option makes the line disappear from view Bring the object back to view by right clicking the corresponding object from the Regions menu and selecting Visible MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Text and
55. gt MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm 3 Record the highest number of line pairs visually determined to be well distinguishable and compare with the tolerance below Tolerance The line pair pattern of 15 Ip cm should be distinguishable Low Contrast Procedure 1 Scroll to the six low contrast targets of the QC Module made of HDPE of sizes 10 8 6 4 3 and 2 mm diameter in the axial view of the reconstructed scan 2 Adjust the window level zoom level and slice thickness if necessary to achieve good viewing characteristics of all six targets Tolerance Greater or equal to 4 targets should be distinguishable 11 4 CT Number and Standard Deviation of Water Equipment and Scan Quality Control Phantom Water Calibration protocol MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC to Procedure 1 Scroll axially approximately 2 cm above the QC module to the large section of the water module 2 Select a region centered on the axial view of the disk make the region approximately 1500 sq mm 3 Record the STD and Mean values for water and compare with the tolerance below Tolerance STD of water lt 30 Mean 100 HU OCF actesy 0000000 72 2 7 25 2011 0 40 mm CORE mean 1 73 stdev 22 15 1519 75 mm we 11 5 Artifact Test Equipment and Scan Quality Control Phantom Water Calibration protocol Procedure 1 To look for ring artifacts
56. he laser alignment lights MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH 6 5 Start Acquisition 1 After confirming that your patient is properly positioned you are ready to acquire the CT scan 2 Stand behind the operator s barrier 3 Click Start Acquisition New Study ST 0 4 mm 120 kVp 46 30 mAs 20 s 7 10 2011 Adult Sinus Sample 1 Protocol Sinus 20s 600 DEN Ordering Physician Luick David Dry Run C sp mmm Start Acquisition 4 Confirm that the scanner has been powered on for at least 60 minutes Click OK to continue if a confirmation dialogue appears MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC s The following message will appear Radiation Warning Clear area in front of scanner before continuing Stand behind the barrier OK Cancel Caution Make sure that all required radiation safety procedures are complied with before proceeding 5 Remind the patient not to move 6 Click OK The scan acquisition will begin e The acquisition will take 20 seconds or less e The overhead gantry will rotate around the patient and a series of X ray images will be acquired e While the X ray source is turned on the system will make a chirping sound e When the scan is complete the overhead gantry will rewind to its original position Warning To stop the scanner in case of an emergency press the Emergency Stop E Stop button
57. ice where a laptop computer may be used it is recommended that a minimum of additional 3rd Party Software be installed and that anti virus software be utilized Xoran cannot assure that the Minimum Requirements outlined below will allow 3D Viewing to run optimally as intended Minimal Requirements Microsoft Windows 7 Professional Enterprise and Ultimate editions both 32 and 64 bits with any service pack revision or without a service pack are supported Windows 7 Starter and Home editions are not supported Operating system Compatibility with Windows Vista has not been tested It is recommended to perform an update of Windows Vista to Windows 7 before installing the application Windows Server all versions and editions and Windows 8 are not supported MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Minimal Requirements Hard drive empty space Graphics card MiniCAT TM User Manual v5 2 Linux Mac OS Xor any other non Microsoft based operating systems are not Supported Newer generations of Intel CPU s including Intel Pentium D Intel Core CPU S all generations or later At least 1 8GHz Intel CPU or faster AMD processors are not supported some MiniCAT features are not compatible with Intel Hyper Threading Technology and they require it to be disabled in the motherboard BIOS Study reconstruction if it is ever enabled is one of these features but reconstruction should not be available to viewi
58. in the image start at one axial extreme of the reconstructed QC Phantom scan and scroll through all slices to the other extreme looking at each axial slice Ensure that no rotations of the data have been applied 1 e restore original tilts The image below represents artifacts that are visible in a reconstruction This may indicate the need for offset and gain calibration MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Tolerance The images should be free from artifacts 11 6 Uniformity Test Equipment and Scan Quality Control Phantom Water QC scan Procedure 1 Scroll axially approximately 2 cm above the QC Module to the large section of the Water Module MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC um 2 Draw four more circular regions in addition to the 1500 sq mm region at the approximate locations as show Each region should range in size from 90 to 110 sq mm Meaty OP stdev 1816 95 03 mirm i i medn 9 84 mean 1 19 men 2 25 stdev 16 86 stdev 21 51 stdev 21118 gz mim 152053mm DS gi m eam vob stdev 18 74 865 39 mmm 3 Compare the mean values of each region and record the minimum and maximum values 4 Compare the total range with the tolerance below Tolerance The total range for mean values must be within or equal to 50 HU 11 7 Contrast Scale Equipment and Scan 2 30 mm Water Modules Sinus 20s 600 Sinus 10s 300 Sinus 10s 150 T Bone
59. iniCAT TM User Manual v5 2 O 2014 Xoran Technologies LLC Part 40026 CD V5 2 Rev 06 DCO 1889 10 27 2014 6 3 Seat and Position PallenEb co mes ie SEE E Cod Dee OU E PCCI UU OCDE 41 624 Diy ARUN and RE EE 44 0 9 Start ACQUISITIONS cote ne Gate e pice SN EE chat ct 48 7 0 VIEWING IMAGES 50 rea SUV nina cn Si ne Sn 50 1 2 VIEWING ODUONS ce ww M 51 Ted SCIO CU SIICOS nes ss cnnsscn esse ane cn eines anse sieve danses auen nana eee need csns eee 52 TA VIEWING VOOIS ne nn nn EE 55 29 aaen UOM E e E 62 7 6 Oblique and TMJ TOO IS cirian aa eds enter E ED inerte 67 VETE Br i Tei Aero o MT PONE 75 1 6 Gomparison TOO uis aeo nu eon En ose uc eve uic Eine cs datino GEES 77 8 0 MODALITY WORKLIST CLIENT 79 9 0 OUTPUT IMAGES 81 10 0 TECHNICAL SPECIFICATIONS 82 10 1 General INtOrimatlOn mtt Eaa els une nee 82 10 2 IMAGING PIODeLLIGS EE 84 10 3 X Ray Specifications ss rase essor Los min emo masse msn acte nen de s CER sue saone cdd ne macnne eue 95 10 4 Scatter MaD sraa te ae eee ee cae te eee ete ee ep US 97 10 5 DOSE INTONMAWON See ne RS a dos 100 10 6 Installation Hequiremenls essentiel 104 Ur Begleet 109 11 0 QUALITY CONTROL TESTS 111 11 1 L ser ACCUrACV E 114 11 2 CT Number of Reference Materials ccsccsceeeeseceeeeeeeeeeeeeneaeeeeesneneeseeonsasaseeeeeneaeees 115 T3 EHNEN UL mem 116 11 4 CT Number and Standard Deviation of Water cccecceeeceeeeeeeeeeeeee
60. l factors Sinus 20s 600 Sinus 40s 600 CTDI at center for typical factors T Bone 20s 600 MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ODAO 5 0 mGy CTDI at max periphery The location of Sinus 20s 600 maximum exposure for the Sinus protocol was found to be at Sinus 40s 600 approximately the 8 o clock position when facing the MiniC AT and looking down on the CTDI phantom CTDI at max periphery The location of T Bone 20s 600 7 1 mGy maximum exposure for the Temporal Bone protocol was found to be at T Bone 40s 600 approximately the 2 o clock position when facing the MiniCAT and looking down on the CTDI phantom c 2 1 c CTDI for locations at 90 180 and 270 Sinus 20s 600 degrees from the position of maximum at periphery respectively Sinus 40s 600 CTDI for locations at 90 180 and 270 T Bone 20s 600 6 8 6 9 degrees from the position of maximum at and 7 0 periphery respectively T Bone 40s 600 c 2 0 c For each selectable protocol that varies Sinus 10s 300 the duration of x ray exposure with all other factors are maintained the CTDI is Sinus 20s 300 normalized to Sinus 20s 600 protocol at center location mGy CTDI normalized to Sinus 20s 600 Sinus 10s 150 0 25 protocol at center location c 2 4 c Gi CTDI normalized to Sinus 20s 600 Sinus 10s 300 protocol at location of maximum CTDI at periphery Sinus 20s 300 CT
61. ler installer cannot be held responsible for the failure of the owner user to have the manufacturer s recommended MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC EA maintenance performed Mantenance Schedule Computer Maintenance e Remove dust and inspect Annually Replace Video Card Every 4 years UPS Maintenance Remove dust and inspect Annually Replace batteries Every 3 years Clean and inspect Annually Replace Head Select IM483 fan Annually Mm ATTM Maintenance Replace DC Power Supply Every 5 years Replace Receptor Cooling Fan Every 5 years Chair and laser alignment Annually Line Voltage Test Annually Electromechanical Safety Test Chassis to Ground Test Annually Leakage Current Test Annually Geometric Calibration Annually Application Maintenance Shutter Calibration Annually Water Attenuation Calibration Annually CT Number of Reference Materials Annually Spatial Resolution Annually CT Number and Standard Deviation of Water Annually Artifact Test Annually Quality Control Tests Uniformity Test Annually Contrast Scale Annually Image Noise Annually Nominal Tomographic Section Thickness and Slice Sensitivity Profile Annually 1 5 Data Backup Every effort has been made to ensure that patient data is stored safely on the MimCAT However it is recommended that periodic backup is performed to prevent data loss in the event of catastrophe or system failure It is the us
62. m Axial 216 268 1202 SELECT 3 Move the cursor up and to the right patients left to deposit the second point The line that connects these two points should cross over the center of the joint The second point chosen for this example is highlighted with the red arrow As soon as this point is selected the letter L appears over this line indicating the patient s left A second line appears on the patient s right side that may or may not be over the right condyle You can move this line so that it is positioned properly ST 0 4 mm Axial 216 266 1202 SELECT 4 The following screen will appear MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC e A new entry appears in the Navigation menu as TMJ 1 You can toggle between this view and others by selecting the desired view in the navigation menu top right corner or clicking on the view in the Regions menu e The two images in the upper right portion of the screen are the right and left mage cuts along the TMJ lines e The default slice thickness is 5 2 mm and can be changed by left clicking on the Slice Thickness ST value in the top right corner of each image and selecting a new value e The two panes of small mages are cuts that are perpendicular to the TMJ lines These are equally spaced along the length of each TMJ line e Move the TMJ lines by hovering over them with the cursor until they are active they will change color grabbing them by
63. mages in the Selected Images window The default image layout is 3 rows by 2 columns Export Xoran Study Exports Xoran study data to either a CD or USB flash drive Burn DICOM CD Burns a Xoran image data onto a CD in DICOM format which is compatible with most IGS systems Export to HTML Exports a Xoran study in HTML format viewable on any computer with a browser such as Internet Explorer Export to DICOM Exports the axial slices of a Xoran study onto a CD in DICOM format Axial Export to JPEG Exports a Xoran study in JPEG picture format DICOM Push Allows a study to be uploaded to a DICOM server such as a PACS system Call Xoran Customer Service to help set this up MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lp 10 0 TECHNICAL SPECIFICATIONS 10 1 General Information MiniCAT Scanner System Description MiniCAT is a compact upright volume computed tomography VCT imaging system designed for high resolution low radiation imaging of the sinuses skull base and temporal bones System Dimensions 40 Lx 36 W x67 H 102 cm x 91 cm x 170 cm Patient Support Overall Dimensions 28 Lx 18 W x50 H 71 cm x 46 cm x 127 cm Seat Height Adjustment 15 5 to 42 39 cmto 107 cm Maximum Patient Weight 350 Ibs 159 kg MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lp FRONT VIEW TOP VIEW 67 46 Gantry Rotation Diameter MiniCAT TM User Manual v5
64. ment must ascertain the regulatory requirements and the risks associated with the application of X ray radiation to patients The use of protective devices such as radiation barriers and protective aprons are always recommended Consult with a health physicist or other radiation protection expert to determine the MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC de appropriate radiation protection devices and practices Radiation Safety The gantry 1s self shielded to an extent However no design can guarantee that all X ray radiation 1s shielded Therefore we recommend that additional radiation protection devices are utilized when operating the equipment A health physicist or other radiation protection expert should evaluate the proposed areas in which the MmiCAT will be used to determine the radiation protection measures that must be taken The MintCAT is equipped with an operator control box that allows for the initiation of a scan while the operator is at a safe distance behind a protective barrier The operator control box also contains an emergency stop button to termmate X ray radiation and all powered motion of the equipment in the case of an emergency Testing or calibration should never be performed while a patient is positioned in or near the scanner The operator should utilize the appropriate radiation protection devices while testing or calibrating the equipment No attempt should be made to
65. ng station users by default At least 200MB of free hard drive space for setup At least 500MB free hard drive space for the application execution for temporary data storage Additional free hard drive space is required for normal functioning of operating system This space may vary depending of the operating system installed e g 1GB for Windows 7 For example MiniCAT workstation that is running Windows 7 will require at least 200MB 500MB 1GB 1 7GB of free hard drive space Xoran Verified Graphics Card and Drivers Nvidia GeForce GTS 250 GTS 450 GT 560 Nvidia Drivers 275 33 296 10 Note Above Graphics Cards designed for Desktop Computers NOT Laptops due to physical size and dimensions of card General Minimum Specifications applies to laptops as well Video card with at least 128MB memory is required The latest available official version of video drivers The MiniCAT 3D Viewing feature requires a 256MB video card with hardware Support for OpenGL and 3D textures Depending on the video card model and driver implementation this General Minimum Specification might not be sufficient for 3D to work as intended Xoran does not assure 3D Viewing will work as intended to even when the computer system configuration fulfills the General Minimum Specification not all video card Brands Models and Driver implementations are developed to the exact same specifications 2014 Xoran Technologies LLC Minimal Requirements
66. nge measured at UPS output 100 x Vio Loap Vionneo Vigapep S 2 NB unit must be used with provided line conditioner UPS Do not initiate a scan without AC power to the UPS For immunity to electrical noise a dedicated AC power line with a separate circuit breaker dedicated neutral and ground is recommended to install a MiniCAT A dedicated line is required if the above voltage regulation requirement at the UPS output cannot be met Line frequency range 47 Hz 63 Hz Note A dedicated electrical wall outlet with a separate circuit breaker and ground is recommended to protect against electrical noise MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Environmental Conditions It is recommended that the MiniCAT M is operated in a climate controlled environment where the ambient temperature does not exceed a range of 60 to 75 degrees Fahrenheit An operating environment where this suggested range cannot be regulated may reduce the expected life cycle o the MiniCAT M system Changes in temperature may cause the system to require additional calibration Equipment not suitable for use in the presence of a flammable anaesthetic mixture with air oxygen or nitrous oxide Operating Requirements 60 to 80 degrees Fahrenheit 16 to 26 degrees Celsius 10 to 90 humidity Transportation and Storage Requirements 14 to 104 degrees Fahrenheit 10 to 40 degrees Celsius 10 to 90 humidity Heat Dissipation Approx 500W 170
67. omputed tomography system designed for high resolution bone window imaging of the sinuses temporal bones and skull base MinCAT MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ds provides immediate access to images at the patient s point of care resulting in a faster diagnosis and treatment MiniCAT Intended Use The MiniCAT is an X ray imaging device that constructs a three dimensional model of the head and neck from images taken during a rotational X ray sequence The MiniCAT is optimized for the imaging of the maxillofacial complex temporal bone and sinuses 2 3 Online User Manual The most up to date version of this manual can always be viewed online at http help xorantech com MiniCAT 5 2 Navigate the online manual by clicking chapter headings in the table of contents on the left For a PDF copy click the convert to PDF button in the top right hand corner of the online manual Tip From the MiniCAT M software press the FI HELP key at any time to launch the online manual 2 4 System Hardware The following diagram shows the MiniCAT M system hardware with the main components identified MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC le These components will be referred to throughout this manual f Shielding Overhead Gantry X ray Detector X ray Source Head Holder Monitor Operator Desk Operator Control Box Chair Workstation Computer UPS Boos
68. onding oblique line in the Navigation menu and choosing from the menu options MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Change name Change Color Set current color as default Visible Go To Delete Two Points Oblique Options Change Name Change Color Set current color as default Visible Go To Delete TMJ Tool Description Changes the name of the object Changes the oblique line color Sets the current color of the Two Points Oblique object as the default color for subsequent Two Points Oblique objects De selecting this option makes the line disappear from view Bring the object back to view by right clicking the corresponding object from the Regions menu and selecting Visible Takes you to the Oblique window the screen that appears after you define an oblique line Deletes the oblique line The TMJ Temporomandibular Joint tool can be used in the Axial plane 1 Click on the TMJ icon CO When this icon is active you have the ability to look at the temporal mandibular jomts in a two dimensional view 2 Left click below and to the right of the patients left condyle this 1s a radiological view so patient s left is the right side of the image Alternatively you could choose a point below and to the left of the patient s right condyle The point chosen for this example is highlighted with the red arrow MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ST O4 m
69. ot Size 0 5 mm Target Angle 15 Target Current mA Target Corre mA Exposure Tree Sec Filament amp Emission Characteristics Anode Heating amp Cooling Curves SXR 130 15 0 5 SXR 130 15 0 5 Insert 0 5 Nominal Focal Spot Filament Potential Volts RMS Filament Current Amps RMS MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC SourceBlock Cooling Curve 60 0 en N J A 40 U 4 e E ass 4 10 4 Scatter Map Secondary Radiation Measurements Secondary scatter radiation was measured on the MiniCAT M at 6 azimuthal locations A through F and at radi 1 0 1 5 and 2 0 meters from isocenter and in the same plane as the central slice 1e level with the focal spot which was approximately 120 centimeters above the floor see diagram below The MinCAT was operated at 120 kVp and 48 3 mAs per Sinus 20s 600 protocol for all secondary radiation measurements reported MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC 10 Isocenter Mini CAT MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Secondary Dose Measurements Per Scan Level with Central Slice Azimuthal Location Dose Per Scan millirad 0 373 0 261 The secondary radiation doses were also recorded at 0 5 meters above and 0 5 meters below the horizontal plane intersection the central slice at azimuthal locations A through F and at a radius of 1 0 meter These measurements are reported in the follo
70. positioned for the scan Raw data is a sequence of images collected by the MmCATTM system during an acquisition This raw data is reconstructed using a tomographic algorithm to create 3D imagery The final result is known as the Reconstruction This 3D volume imagery can be viewed as a Series of coronal sagittal or axial slices as well as m many other 5 To open a study for viewing double click on its title 4 4 Advanced Search Patient studies may also be searched by ordermg physician imaging protocol or a range of dates when the studies were acquired 1 Click Start Over in the Patient Database window MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC EA 2 Select the Advanced Search option from the main menu Advanced Search Modality Vworklist X Taalz Logout 3 Enter search criteria into the Advanced Search window and click Search A list of matching patients will be displayed Advanced Search Patient Patient ID First Name Last Name Date of Birth DM dayyyy Gender Male Female Clear All Search Scan Title Protocol Ordering Physician Acquisition Date Acquired in the last day s Acquired on Acquired between Es and Cancel 3 Click on the to view studies listed under this patient s name in the Patient Database 4 To open a study for viewing double click on its title MiniCAT User Manual v5 2 2014 Xoran Technologies LL
71. posterior Allows the user to obtain pre selected sets of images which are customized by Xoran to fit your imaging needs Tip Hold down the SHIFT key to operate on multiple selected images at once Range Indicator MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ds The Range Indicator is a convenient way to select a series of slices It appears as a colored bar with tick marks representing the locations of selected slices The spacing between tick marks represents the pitch Click on the Range Indicator and drag it side to side to move the entire selected series all at once 7 4 Viewing Tools Zoom 1 Select the Pan Zoom tool from the toolbar 2 Place the cursor anywhere in the image except over the colored lines Left click to zoom mn e Right click to zoom out click this ae this eS I button MER WW e to zoom to zoom in out MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH Pan 1 Select the Pan Zoom tool from the toolbar 2 Place the cursor anywhere in the image except over the colored lines e Click and hold down the left mouse button e Move the mouse to pan the image until desired position is achieved Move images by holding down the left mouse button B T ij mm mmn while simultaneously moving the mouse the desired direction Scroll There are three ways to scroll through the axial coronal and sagittal slices 1 The mouse wheel
72. r Manual v5 2 2014 Xoran Technologies LLC lm e Edit User Users of the MimCAT system are classified as either an Ordering Physician or Technologist Each patient study should be assigned to an ordering physician Delete User A user account can be deleted from the system by selecting the selecting a user name and clicking Delete User All information about that user is removed from the system e Active Active users have the ability to log onto the system and use the MimCAT software Clearing the Active check box deactivates the user This prevents this user from using the scanner but preserves the user data for record keeping and or future reactivation purposes 3 4 System Shutdown Note It is recommended that the scanner remain on at all times If the scanner has been shut down for any reason please allow one hour for the scanner to warm up before scanning patients to ensure the best quality images User Logoff To log out click Log Out Modality WWorklist Turn Off Workstation Note All users should Log Out or shut down the workstation when it is not in use due to security of patient data and for best workstation performance MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH Turn Off directly from the Login screen Turn Off Scanner To turn off the scanner push the yellow OFF button on the Operator Control Box It is safe to leave the scanner on continuously
73. r the scanner to warm up before scanning patients to ensure the best quality images Both the MmCATTM scanner hardware and the workstation must be turned on for the system to function properly MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH Turn on MiniCAT Hardware To turn on the system push the green ON button on the Operator Control Box COST LI TENTE CARE Turn on the Workstation The workstation computer controls the Mm ATTM system hardware and software Press the power button to start the workstation Also turn on peripheral devices such as the workstation monitor printer and server if applicable at this time The Operator Control Box should be located on the operator s desk The lights on the Operator Control Box represent the following POWER The system is turned on READY The system is ready to perform a scan MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ds X RAY The X ray source is on emitting radiation ON FAULT When It this light indicates that the X ray has timed out Please contact Xoran Customer Service for assistance FAULT When rapidly flashing this light indicates a hardware initialization problem Please follow the system shutdown procedure followed by the system startup procedure If the problem persists please contact Xoran Customer Service for assistance flashing Note The same light configuration is on the front overhead co
74. s it is recommended that the equipment be plugged into an uninterruptible power supply included See Electrical Power Requirements and Apparent Resistance of Supply Mains in section 10 6 Conducted RF Portable and mobile communication equipment should be separated from the MiniCAT M by no less than 19 feet 6 meters Radiated RF The MiniCAT M is intended for use in an electromagnetic environment in which radiated disturbances are controlled The user can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment and the MiniCATTM as recommended below according to the maximum output power of the communications equipment Maximum Output Separation Separation Power 150 kHz to 800 800 MHz to 2 5 Watts GHz 100 nw dewey aere Note Field strengths from transmitters as determmed by an electromagnetic site survey should be less than the compliance level of 3 V m If the MiniCAT M is suspected of causing harmful interference to other surrounding equipment the user is encouraged to try to correct the interference by one or more of the following methods MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC lm e Turn the MimCAT off and on to verify that the interference is coming from the MiniCAT M e Move the other equipment further away from the MiniCAT M e Connect the other equipment into an outlet on a circuit different from th
75. sure voltage that may be sufficient to constitute a risk of shock Protective Earth Ground Grounding reliability can only be achieved when the equipment is connected to an equivalent receptacle marked Hospital Only or Hospital Grade Attention Consult accompanying notices and or warnings X ray Caution These symbols indicate the presence of X ray radiation This X ray device may be dangerous to patient and operator unless safe exposure factors and operating instructions are observed Pinch Point This symbol alerts you to the potential for injury due to moving mechanical parts Keep hands clear during operation X Ray Focal Spot This symbol appears on the X ray tube head showing the approximate location of the X ray focal FOCAL SPOT spot MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC CAUTION Class IT Laser This symbol alerts you to re the presence of Class II laser light Do not LASER RADIATION DO NOT STARE INTO BEAM stare into the beam A umw 670 nm CLASS I PRODUCT Laser Alignment Symbol Electrostatic Sensitive Symbol Circuit Breaker Symbol Patient Chair Symbol Emergency Stop Symbol MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Chair Ele vation Symbol Up Down Patient Symbol AC Power Symbol Power Symbol OFF Power Symbol ON DC Power Symbol MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC D Ps Medical Grade
76. t Circle and Rectangle Tools The Circle and Rectangle Tools allow a region of any image to be selected and report statistics of the image region within the shape outline 1 Click on the Circle Tool icon or the Rectangle Tool icon m in the toolbar to activate the tool 2 Left click on the center of the target region e Click once Do not hold mouse button down 3 Left click again on the edge of the target region and a shape object will appear The mean standard deviation and surface area values will appear inside the ellipse ECHT w l sfdev 467 B6 fetdev 442 57 449 25 Bai 416 00 mm2 e Shape objects can be moved by left clicking the line and dragging it to the desired location e Shape objects can be modified by right clicking the Ine A drop down menu will appear with the following options MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ls Change name Change Color Set current color as default v Visible Shape Delete Shape Options Change Name Change Color Set current color default Visible Shape Delete Text Tool a S Description Changes the name of the shape Changes the color of the shape Sets the current color of the shape as the default color for subsequent shapes De selecting this option makes the line disappear from view Bring the object back to view by right clicking the corresponding object from the Regions menu and selecting Visible Chan
77. ter Seat 2 5 Other Components The following is a list of other components that accompany the MimCAT M Call Xoran Customer Service for replacements as needed Part Number Description 15234 Phantom Holder 20008 Seat Cushion 20011 Workstation with Keyboard and Mouse 20132 Mouse Pad 15239 Carbon Fiber Head Holder MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Part Number Description 27276 Head Pads wedges 30022 Head Pads head strap 30824 01 Broadband Router 30006 Foot Stool 30010 HP 6940 Printer 30013 Pregnancy Sign 30015 Caution Sign 30600 SmartOnline Uninterruptible Power Supply 3023 1 00 Operator s Desk 30019 Booster Seat 30233 02 Samsung 21 5 LCD Monitor 40025 V5 0 MiniCAT Quick Reference Guide v5 0 40026 CD V5 1 Mm AT User Manual v5 1 60038 Phantom Set Additional MiniCAT Software Viewing Stations A MiniCAT Viewing Station is a computer that has MiniCAT software installed and is used as an additional client workstation within a Practice or Hospital environment Viewing Stations can be used for viewing Xoran studies and generating image outputs Viewing stations are connected to a Xoran server and they retrieve patient data and studies from the Xoran server over local area network The following features are available to users on Viewing Stations e Search and display patient information e View Study Files e Modify window level image selection annotations and perform other
78. tients Multiple Patients 1 record s with the same First Last name and DOB have been found Please mark the appropriate checkbox to save the study under an existing patient entry or to create a new one File Type John Hopkins 17391064 8 31 2009 Recon DemoACQ 12 22 2009 Male 8 31 2009 Raw Demo ACQ Create new patient entry Press Cancel any time to return to the previous screen John Hopkins 8 31 2009 John Hopkins 8 31 2009 Cancel If you choose to merge the records inconsistent data will be highlighted in red Click Yes to merge the data Patient Update Would you like to update Patient with Worklist data PatientiO First Name Last Name Jeff Iu Sex Date Of Birth 105 B 2 0807 MiniCAT TM User Manual v5 2 WWorklist Server Cancel 2014 Xoran Technologies LLC lp 9 0 OUTPUT IMAGES The MinCAT makes image output easy with preset protocols for printing burning to CD USB drive and transferring images over a network 1 If printing ensure that the desired slices appear under Selected Slices view 2 Click the Image Output menu along the main toolbar of the screen to view all output protocols Image Output 3 Left click on the desired image output protocol A sample list of Output Protocols are shown below For additional protocols please contact Xoran Customer Service Output Protocol Description Print Selected Images Automatically prints the i
79. tion A patient must not be in the scanner during Daily Calibration X rays will be emitted during Daily Calibration Daily Calibration Procedure 1 The area between the X ray source and detector must be free of all objects Remove the head holder phantom holder and any phantom that might be present before continuing 2a Select the Daily Calibration option from the Tools menu Advanced Search Modality Vvorklist Tools Log Out User Management D Em EE AUR Purge e View Jobs Queue Show All Studies Enable 3D view 2b Alternatively you can push the F9 CAL key Is 3 A message will appear to confirm that all objects have been removed from the field of view Click OK to proceed 4 A message will appear to start the calibration process Click Calibrate to begin 5 A message will appear asking you if it is OK to turn on the X ray source Ensure that you are behind the radiation barrier and click OK are followed before X rays are emitted Caution It is the user s responsibility to ensure that proper radiation safety procedures 6 Remain behind the radiation barrier until a message appears indicating the calibration is complete The calibration procedure will take approximately 5 minutes to complete MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC s 6 0 ACQUIRING IMAGES 6 1 Select Imaging Protocol Caution When protocol is selected the gantry may move Select
80. tion which is sent to the MiniCAT M The scanner operator simply selects the patient name from a list of scans that have been ordered and performs the scan The scan image data is attached to the demographic data and sent out to the facility PACS system An active internet connection is required to use the Modality Worklist Client Query A Query searches the hospital database for user defined information 1 Select a Worklist Server from the drop down menu 2 Enter as much patient specific data as possible in the appropriate fields 3 Click Query Modality Worklist Client Worklist Server First Name Last Name Patient ID Accession No Number of received records 3 Last Name E JER 17391064 John Hopkins 12 22 2009 M 95958523 DICOM DICOM 7 7 2010 M 91618078 Test Date 5 5 2003 MiniCAT User Manual v5 2 Modality Station AE Title Date From Date To Acc No Title 16408766 CT MiniCAT 06524247 CT MiniCAT 86900379 CT Cancel 2014 Xoran Technologies LLC lm 4 Select a record to accept into the Patient Database Click Accept All applicable data is automatically imported from the server into the Patient Database When a patient record in the server is similar Le two records have the same patient name and same birthdate to a patient record already in the Patient Database you can either merge the records by checking the box next to the patient name or create a new record if they are different pa
81. ver of the machine except the fault light The Yellow OFF button on the Operator Control Box can be used to turn off the Mm ATTM scanner hardware It is recommended that the system be left on at all times MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ts Launch MiniCAT Software 1 Double click on the MinCAT icon on the desktop if your system allows access to the Windows desktop If not proceed to step 2 below e Mini AT 2 Enter username and password Ka IRAN If system has exited to Windows login type ct as your user name and ct as the password to return to MiniC AT application Upon login Patient Database window will open MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Patient Database New Patient Search I A OL oo o o ie Type data for Patient you want to Find Add 3 3 User Management Any person operating the MintCAT system is called a user User information can be managed in the User Management window To launch select the User Management option from the Tools menu in the application User Management User N ame First N a me Last Name User Type 1 Account Ordering Physician Bakersfield Ordering Physician Ct Ordering Physician NewUser Edt ser DeleteUser Close The most common User Management actions are listed below e New User From the User menu select New User Fill in the user information into the fields MiniCAT TM Use
82. wing tables MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC Secondary dose measurements per scan 0 5 meters above central slice at radius of 1 meter Azimuthal Location Dose Per Scan millirad a CCE 10 5 Dose Information SourceRay Source The CT conditions of operation used to provide dose and imaging performance information below are as follows Sinus 20s 600 120 kVp 7 mA 11 5 ms pulses 600 pulses 48 3 mAs 11 7 mm Al equivalent fixed filtration 0 542 0 048 mm tomographic section thickness Sinus 10s 300 120 kVp 7 mA 11 5 ms pulses 300 pulses 24 15 mAs 11 7 mm Al equivalent MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC fixed filtration 0 547 0 071 mm tomographic section thickness Sinus 10s 150 120 kVp 7 mA 11 5 ms pulses 150 pulses 12 08 mAs 11 7 mm Al equivalent fixed filtration 0 536 0 130 mm tomographic section thickness T Bone 20s 600 125 kVp 7 mA 14 0 ms pulses 600 pulses 58 8 mAs 11 7 mm Al equivalent fixed filtration 0 532 0 043 mm tomographic section thickness The nominal tomographic section thickness is fixed for each protocol and is not selectable prior to acquisition Dose Measurements SourceRay Source Sinus 20s 600 Sinus 40s 600 Sinus 10s 300 2 6 49 2 Sinus 20s 300 T Bone 20s 600 T Bone 40s 600 21CFR1020 33 Description Protocol Subsection SourceRay Source c 2 0 a CTDI at center for typica
83. y will rotate The patient should close their eyes to avoid following this MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC ln motion With the head e The scanner makes a chirping sound as it performs the scan In case of any problem the patient can stop the scan by pressing the Patient E Stop button on the Patient Control Box After the scan e The overhead gantry will rewind when the scan is complete 6 3 Seat and Position Patient 1 After selecting the protocol and educating the patient seat the patient in the scanner Adjust the chair so that the patient s head 1s positioned in the scanner as shown below MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC BECH 2 The neck pad is positioned in the bottom bracket for adults and the top bracket for pediatric patients See example below 4 Seat the patient so the neck pad fits comfortably at the curve of their neck The patient s ears should be approximately 0 5 inches 1 cm below the sides of the head holder 5 Instruct the patient to close their eyes 6 Press the Alignment Light button on the controller to turn on the alignment lasers MiniCAT TM User Manual v5 2 2014 Xoran Technologies LLC e Press button once to turn on the laser for a few seconds Press and hold for three seconds to turn on the laser for five minutes e Fora Sinus scan the laser should project the crosshairs on the patient s high cheekbone as shown b

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MiniCAT™ User Manual v5.2