Version 3.0 Instructions for Use and Tutorial
Contents
1. EH Ea Ha Activate After the SI representative has confirmed your customer status he or she will provide you an Activation Code for you to enter in the appropriate fields Once the Activation Code has been entered select Activate to complete the registration process and begin using IMSure QA IMSure QA Software Installing and Registering IMSure QA Continued Upgrading from your current version of IMSure QA The first time you open IMSure QA 3 0 after installation the migration module will automatically launch The migration module will automatically search the Program files for earlier installations of the software Choose the installation you would like to copy from and then decide which information you would like to migrate by checking the appropriate boxes The migration module will check the preferences file of the previous installation you have chosen to determine where to copy the data from If you choose to migrate your physics data plan files and or users data these will be copied to the default locations in the IMSure QA 3 0 directory to prevent overwriting If you plan on using a network folder for your physics data plan files and or users data this information will need to be manually copied to these locations If you choose not to migrate your data at this time the migration module can be accessed at anytime by going to Modules Migrate Data Uninstalling IMSure QA To uninstall IMSure QA follow2. Preferred Map Type specific to Eclipse maps allows the user to choose Optimal or Total Actual Maps for import Error thresholds Used during calculations to warn the user when the error range is exceeded Warnings may be adjusted for IMRT Gamma Map and MU calculations These values may be left at default by selecting Cancel or they may be edited to suit your needs IMSure QA Software IMSure QA Software Importing Plan Data 1 From the IMRT QA screen select Import Plan Calculate Dose 2 Select a plan from the plan list You may also browse for plans in other subfolders or across a network Import Plan alculate Map 3 Other selections at this point a Details Display more detailed information about the selected plan b Anonymize Create a new plan file with a new patient name machine and or energy c Accept plan Continue importing the plan 4 Select Next 5 If you selected an IMRT plan containing fluence maps such as a DICOM file you will go immediately to the Plan Edit page Otherwise you will be shown the Map Import page On the Map page selecting the corresponding map file s and select Next 6 Verify the leaf positions are correct You may have to modify the Options to get the correct orientation or map resolution Map Resolution The map resolution of some ASCII map formats does not include in formation about the map pixel resolution The user m
3. the instructions below Go the Control Panel Double click on Add Remove Programs Highlight MSure QA or DICOM Router Click on Remove Click Yes to confirm IMSure QA uninstallation will complete Click Ok et Soh a If you have added files or directories to the IMSure QA main directory these will remain and you will need to manually delete the IMSure QA directory from Windows Explorer IMSure QA Software Starting and Configuring IMSure QA Starting IMSure QA for the First Time 1 8 9 Wiser Mame Level Superuser Select IMSure from the Start Menu When starting IMSure for the first time the User Management dialog is displayed and the system warns that no users currently exist Add User Edit User Delete User Cancel IMSure automatically creates a Superuser account This account is used to create new users Select the Add User button Create a new account for each user Only those at Superuser level may add new users Physicist level may access any module except User Management User level may only access IMRT QA MU Calc and Import Tool modules The user name must be 12 characters or less The password is optional and may be left blank Select OK to exit and save the user Select OK again to exit the User Management dialog User Superuser Password a E dil Pard Lae The Login dialog is then displayed Login w
4. A www STANDARDIMAGING amp coM Version 3 0 O IMSure QA Software Instructions for Use and Tutorial STANDARD IMAGING INC TEL 800 261 4446 7601 Murphy Drive TEL 608 831 0025 Middleton WI 53562 2532 FAX 608 831 2202 Nov 2006 2006 Standard Imaging Inc www standardimaging com DOC 80518 01 Wa STANDARDIMAGING 4 General Precautions Warnings and Cautions alert users to dangerous conditions that can occur if instructions in the manual are not obeyed Warnings are conditions that can cause injury to the operator while Cautions can cause damage to the equipment A A A A gt D WARNING Federal law in the U S A and Canadian law restricts the sale distribution or use of this product to by or on the order of a licensed medical practitioner This product should be used under the guidance of a medical physicist CAUTION To minimize the potential for computer issues do not run IMSure QA concurrently with other software programs CAUTION Install IMSure QA software only on approved Operating Systems The current version of IMSure QA is designed for use only on NT Windows 2000 and Windows XP Operating Systems WARNING Should IMSure QA results differ from the treatment planning results further review of each is needed to determine which results are most appropriate CAUTION Active plans are deleted when Preferences are modified When any Preference is modified in the User Prefere
5. ata files should be backed up on a regular basis CAUTION Protect the CD ROM surface from fingerprints scratches and other damage Do not store the CD ROM in direct sunlight or warm and humid places WARNING The use of IMSure QA does not preclude the need for routine machine QA IMSure QA Software Table of Contents PAGE General Precautions System Requirements Installing and Registering IMSure QA Starting and Configuring IMSure QA Importing Data and Calculating IMRT Dose and Maps NO RB GW DN IMSure QA Software Wa STANDARDIMAGING lt 7601 MURPHY DRIVE MIDDLETON WI 53562 2532 USA WWW STANDARDIMAGING COM System Requirements System Requirements Operating System Microsoft Windows NT4 SP6 Windows 2000 SP4 Windows XP SP1 Processor Intel or AMD 600 MHz or greater Memory 256 MB or greater Hard Drive 50 MB or greater Screen Resolution 1024 x 768 or higher recommended CD ROM Drive 2X speed or greater Windows is a registered trademark of Microsoft Corporation Product Standards Designed to meet IEC 60601 1 4 C IMSure QA Software Installing and Registering IMSure QA Installing IMSure QA 1 Insert the Installation CD into your CD ROM drive If the installation program does not start automatically click the Start button and select Run Then type E Setup exe where E is the drive letter of the CD ROM drive 3 Select which installation
6. ay interactively adjust this pixel size by editing the desired value in the Map Resolu tion box The default setting for Map Resolution is set in the User Preferences module under the Physics section but may be modified here for import of the selected file RTP sequence leaf orientation correction Some TPS plans are saved with RTP leaf sequence information that are not available to IMSure via special Machine Files Plans from these systems must be carefully reviewed for correct leaf orientation If the Leaf orientation is incorrect the leaves may be swapped on the horizontal axis or the vertical axis or both by checking the Flip Leaves X and Flip Leaves Y boxes This flips the leaves for all fields in the plan The default setting for these check boxes is set in the User Preferences module under the Physics section but may be modified here for import of the selected file Map Orientation Correction Some maps are saved with orientation information that is not available to IMSure Maps from these systems must be carefully reviewed for orientation If the orientation is incorrect the maps may be flipped on the horizontal axis or the vertical axis or both by checking the Flip Maps X and Flip Maps Y boxes This flips all maps in the plan The default setting for these check boxes may be found in the User Preferences menu option of the IMRT QA window under the Physics section 7 Select Finish to import plan i
7. erify results by checking the Calculated Dose and Difference fields
8. is issued a software key The key is an eight digit number attached to the CD ROM packaging There are two types of keys Demo and Perpetual Demo This type of key allows the user to use the software application for a period of 60 days Once this period has ex pired and the user has not purchased the perpetual key the registration software will not allow the user to use the software Perpetual This type of key will allow the user to use the software indefinately The processes described below are identical for both types of software keys Initial Software Installation After you have installed the Standard Imaging software application and at tempt to run it for the first time you will be greeted with the following software Registration Options form Registration Options Please select your registration method Internet registration allows you to electronically send your registration information This option will automatically activate your license after registration is completed You would have likely received your software via a CD and there will be an enclosed CDKey Internet Registration Phone registration allows you to present your registration information to a customer representitive This option will automatically activate your license after registration is completed You would have likely received your software via a CD and there will be an enclosed CDKey C Phone Registration Internet Registratio
9. ith your new account name and password 10 The DICOM Router module does not require a login Configuri 1 2 ng Preferences Select Preferences by clicking the Preferences button on the toolbar or by choosing Preferences from the Modules menu From here you may modify General Preferences a b Machine Folder The default location of the machine folder where the physics machine data Physics dat is stored Plan Folder The default location of the plan files for import to IMSure Fluence Map Folder If your map files are separate from plan files this provides a default directory location for fluence map files User Management Folder The default location of the folder where the users file that stores the users information including usernames and passwords can be found Facility Name and Plan Summary Footer Used to customize the hardcopy and exported Summary reports Physics Preferences a b 3 Imported Map Resolution Default import resolution of fluence maps The resolution may also be changed during import Calculated Map Resolution Used during calculations make the resolution smaller for greater accuracy but slower calcula tions Auto flip on import Used during import of plans and fluence maps when the data file does not specify orientation i e non DICOM files Either or both of the leaf and map orientations can be automatically flipped in the x and or y direction
10. n If the software is loaded onto a computer that has Internet access you can register the software from the host computer Phone Registration If the software has been loaded onto a computer that does NOT have Internet access you must use the Phone registration method How to Perform an Internet Registration To register your Standard Imaging software via the Internet please complete the Internet Registration form Internet Registration Please enter your registration information and click the Register button when you are Finished Salutation l First Name Middle Initial Last Name Address City State l Zip Code Phone Fax Email CD Key Host Id Product Id Required Fields lt Back Register CD Key This information is attached to the CD ROM packaging Once you have completed the form and selected Register the informa tion is forwarded to Standard Imaging for validation If successful you can begin using IMSure QA How to Perform a Phone Registration To register your Standard Imaging software via the telephone call Standard Imaging at the telephone number displayed on the form and provide us with the following information CD Key jewel case Product ID see form Host ID see form Phone Registration x Please Contact Standard Imaging Inc at 1 800 261 4446 to obtain an Activation Code Product Id Host Id Activation Code Ha Hl EH
11. nces Module all existing plan data is cleared out and reset to default Users are cautioned not to change Preferences when plans are in progress WARNING Enter complete and correct data Ensure that complete and correct data has been entered by viewing the data on the screen before proceeding WARNING Poor quality Imported Fluence Maps and or Maps with an incorrect resolution may reduce correlation of the Difference Map and increase the Maximum Difference It is the responsibility of the user to visually verify Imported Fluence Maps and to ensure that Fluence Map resolutions are correctly defined in User Preferences WARNING Conduct Acceptance and routine QA Testing Itis the responsibility of the user to conduct Acceptance Testing on the machine specified for treatment and to conduct routine QA Testing at appropriate intervals Algorithm information is provided in this IMSure QA User Manual WARNING Verify file selection before import and verify imported data It is the user s responsibility to select the correct Plan and Fluence Map Files for import Patient name and selected plan data is displayed prior to Plan import to assist in this process After import verify plan data before proceeding gt Be B D gt gt A WARNING Machines must be commissioned before use Verify physics data prior to commissioning Only machines commissioned prior to the initiation of a treatment plan may be used to com
12. nto IMRT QA 8 The MU Calc Import function uses the same plan selection screen Select the desired plan On the same screen click Fin ish to import the plan into the MU Calc module Importing Data and Calculating IMRT Dose and Maps Calculating IMRT Dose and Maps 1 Before calculating dose make sure all the data fields are com pleted a SSD Fill in SSD values for each field if neccessary Field a ale FieldID 01 070 CAK SSD fem PSSD em ef Depth fer A TPS Dose cGy IMSure Dose cGy zD b Depth Fill in the depth for each field or select Auto Calculate Depths c PSSD and Eff Depth Fill in the PSSD and Eff Depth for each field if neccessary d Fill in the Calculation Point location and TPS Dose Calc Pt Mame P crm r crm cm TPS Dose chy 152 5 cGy IMSure Dose ch Diff The following diagram illustrates the coordinate system used for IMSure calculation points e Enter optional fields for PSSD and Effective Depth if de sired f Select Calculate Map to calculate the fluence maps Verify the results by selecting Calculated Difference and Gamma from the Display Options g Select Calculate Dose to calculate the dose to the specified calc point V
13. plete that plan If a machine is recommissioned while a plan is in progress the new data will be used starting with the next new plan WARNING Verify all printed data Verify that printed data matches the screen display All pages need to be accounted for and correctly collated Correct paper size and printer conditions need to be verified for all print jobs WARNING Verify exported reports After exporting a report for electronic storage users are advised to verify the file before closing the plan WARNING Verify all physics data Ensure that physics data is complete and correct after entering or importing data by viewing the data screens in the Physics Data Module CAUTION Assign unique names to each machine Do not attempt to assign the same name to more than one machine CAUTION Verify precision levels when importing tables Precision levels on imported tables may affect calculations due to rounding CAUTION Only one user may access the Physics Data Module concurrently On networked machines with a shared Physics Data file only one user may access the Physics Data Module at any one time CAUTION Machine changes are effective when the next plan is initiated The machine that is commissioned at the initiation of a plan is used to complete that plan If machine parameters are changed while a plan is in progress the change does not take effect until the current plan is closed CAUTION Back up data files D
14. you want to install IMSure QA or DICOM Router 4 Accept the default Destination Folder or choose another folder and then click Next NOTE The default folder is C Program Files Standard Imaging MSure 3 0 If you have a previous version of MSure QA installed the new version will install in a separate folder 5 The installation program will install the necessary files Click Fin ish when complete The installation of IMSure QA Software includes a choice for installing PDF Creator PDF Creator is an Open Source utility program that allows us ers to export any printable document to a PDF file IMSure QA requires a program of this type in order to export calculation reports as a PDF If you already have a PDF creation utility program present on your computer you do not need to install this option Registering IMSure QA An automated software licensing algorithm is embedded into each Standard Imaging software application Its intended use is to prevent piracy and unauthorized use of Standard Imaging software products Standard Imag ing utilizes a multi layered encryption algorithm to ensure that only legally licensed end users may access the protected software applications based on electronic security keys Through an automated key creation and distribu tion process Standard Imaging is able to provide a quick and completely automated means of licensing a software product Software Keys Each Standard Imaging software application
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