QUICK

REFERENCE
VOLUME

© TOSHIBA MEDICAL SYSTEMS CORPORATION 2007

ALL RIGHTS RESERVED
Introduction

This simplified manual describes the routine operating procedures for

multislice CT systems.
For the safety precautions, procedures in emergencies, and other such information, refer
to the operation manuals for the corresponding CT system.
Before using the CT system, be sure to read the operation manuals for the system.

Notation Conventions
CAUTION:
Indicates information related to safety. Be sure to observe the precaution.
Otherwise, injury, loss of data, or other harm may result.
* The safety precautions are given in detail in the operation manuals for the CT
system. Be sure to read the operation manuals.

Indicates useful information for system operation.

The monitor icons on the upper left or right of each page indicate the monitor to be used
for the operations described on the page.
Indicates that the operating procedures described on the page are to be
performed using the scan monitor. These procedures are generally related to
scanning.
Indicates that the operating procedures described on the page are to be
performed using the image processing monitor. These procedures are generally
related to image processing, filming, and image saving to a DVD-RAM.

* The company names and product names described in this manual are registered
trademarks of the corresponding companies.
* No part of this manual may be copied or reprinted, in whole or in part, without prior
written permission.
* The contents of this manual are subject to change without prior notice and without
legal obligation.
 Contents
Table of
Table of Contents Operational flow
Page
1 Power ON/Warm-up 2

2 Preparation for scanning 6

Entering patient information 6

Patient setting 8

3 Scanning 10

Scanning of the head 10

Scanning of the chest and abdomen 12
Image display/Image processing 22
Image display 22
Image processing 24
CT number measurement 25
Distance measurement 26
Image enlargement 27
Patient information changes 28
MPR image generation 29
Raw data processing 47
4 Filming 50

Filming condition setting 50

Image selection 52
5 Image file management 56

Deletion of unnecessary images 56

Sorting of images 57
Image saving to a DVD-RAM 59
Image reading from a DVD-RAM 60

6 Power OFF 62

Appendix Troubleshooting 64

1
 Power ON/Warm-up

This section describes the procedure for turning ON the power and warming up the system.

1. Turning ON the power

1. Turn ON the power switch of the Navibox.

Power switch
OFF ON

2. An interactive screen or a logon screen is displayed.

When the logon screen is displayed, log on to the system.

Interactive screen Logon screen

3. If X-ray exposure has not been performed for three hours or longer, a warm-up
instruction message is displayed.

* Warm-up is required to protect the X-ray tube.

(1) Confirm that the couch top is fully pulled out from the gantry.
(2) Confirm that nobody is in the scanning room.
(3) Press the scan start key .

4 5 6
3 7
2 8
1 9
0 10 SEC.

Num Caps Scroll

Lock Lock Lock
2 3

AU TO

Î Warm-up will be completed in approximately 5 minutes.

2
 Power ON/Warm-up

POWER ON/
Warm-up
To stop warm-up (for example, in an emergency), press the abort button .

If more than 80% of the image disk is filled, the following message is displayed.

80

Although image acquisition is possible even after this message is displayed, delete
unnecessary images before the image disk becomes full. (Refer to P. 56.)

The approximate number of images that can be saved on the image disk is
displayed in the HD-Image field in the Command Box.

3
 Power ON/Warm-up

2. Command Box/Scan monitor

Move the cursor to the left edge of the monitor screen and click the left mouse
button to display the Command Box.

Remaining storage capacity of the

hard disk
Number of images registered in the
reconstruction request queue
Number of images registered in the
filming request queue
Number of images registered in the
image transfer request queue

Gantry/Couch position

X-ray tube heat generation

Multi AutoView

Preparation for scanning

Raw data processing

Utilities

4
 Power ON/Warm-up

POWER ON/
Warm-up
3. Command Box/Image processing monitor
Move the cursor to the left edge of the monitor screen and click the left mouse
button to display the Command Box.

Remaining storage capacity of the

hard disk
Remaining storage capacity of the
DVD disk
Number of images registered in the
filming request queue
Number of images registered in the
image transfer request queue

Single AutoView

Multi AutoView
Raw data processing

MPR

3D processing
Clinical

Utilities

5
 Preparation for scanning

This section describes the procedures for entering patient information and setting the
patient.

1. Entering patient information

Always enter the patient ID and name. Perform entry of other items if required.

For an emergency examination, click .

A temporary patient ID and temporary patient name are entered automatically.

In this case, however, be sure to select Utility → Information Change to enter the
correct patient ID and name after the study is completed.

6
 Preparation for scanning

To register an examination appointment

1) Click the button and then select "Register Appointment".

for scanning
Preparation
The Patient Information window shown below is displayed.

2) Enter the required information in the patient information entry/display section

(refer to page 6).

3) Click the button.

The patient information is added to the list.

4) Click the button to close the list.

To perform a registered examination

1) Click the button and select "Appointment Table".

The examination appointment list is displayed.

2) Click the patient to be examined.
The patient information is displayed in the patient information entry/display
section.

3) Click the button to close the list.

To perform scanning without making an examination appointment, click the

button to close the appointment table.

7
 Preparation for scanning

2. Patient setting
1. Immobilize the patient.

CAUTION: When immobilizing the patient, observe the

precautions described in the operation manual (Basic
Volume) for the CT system. When moving the couch
top, make sure that the patient’s hands do not get
caught.

2. Move the patient couch and the couch top.

<5> Projector switch

<3> FAST
<2> IN/OUT
<4> FREE <6> Auto-slide switch

<7>Couch zero-clear switch

<1> UP/DOWN (Hold down this switch
for more than 2 s.)

Use the Up/Down switches (<1> ) and In/Out switches

(<2> ) to adjust the patient couch position. For scanning, the couch
position must be set so that the external projector beams are aligned with the
center of the region of interest (in the height direction) and with the median line.
For scanoscopy, the beams must be aligned with the scanoscopy start line.
The external projectors can be turned ON by pressing the Projector switch
(<5> ).
To move the couch top at a high speed, press the IN/OUT switch (<2>) and the
FAST switch (<3> ) simultaneously. Press the FREE switch (<4> ) to
move the couch top manually. At this time, the green lamp on the switch lights.
To cancel manual mode, press the switch again.

Since the interlock mechanism (which disables couch-top IN movement if the

couch height is too low) is disabled when the FREE switch is ON, take special care
to avoid interference between the couch top and the gantry when moving the
couch top.

8
 Preparation for scanning

3. Move the patient to the scan start position. Press and hold down the Auto-slide
switch (<6> ) until the patient couch stops.

To set the display of the adjusted couch position to "0", hold down the Couch zero-

for scanning
Preparation
clear switch (<7> ) for more than 2 seconds.

4. Press the projector switch (<5> ) to turn OFF the projectors.

The beam from the projector is aligned with the center of a group of slices (even
number of slices). Therefore, in S&V or S&S scan mode, the slices away from the
center of the group are not aligned with the projection plane. This must be taken
into consideration when performing patient positioning.
(The figure below shows an example of 4-slice scanning.)

Toward couch

1 2 3 4

9
 Scanning of the head

1. Preparation
1. Enter the patient information and perform patient setting.
2. Select an appropriate eXam Plan for the examination.
<1> Select the region.
<2> Select the eXam Plan.

<1>

<2>

3. The patient information and scanning information are displayed.

Check the patient ID, patient name, insertion direction, and posture.
<1> Patient ID
<1>
<2> Patient name <2>

<3> Insertion direction

<4> Posture <3>
<5> Scan direction <4>

<5>

4. The scan parameters for the eXam Plan are displayed. (Refer to P. 19.)

To change the preset parameters

1) Click each target parameter and change it as required.

2) After changing the parameters, click .

10
 Scanning of the head

2. Scan
1. Press the Scan start key when it lights.

4 5 6
3 7
2 8
1 9
0 10 SEC.

Num Caps Scroll

Lock Lock Lock
2 3

AU TO

of the head
Scanning
Î Scanning starts.
To interrupt scanning: Press the scan interruption key .

2. When scanning is completed, the window for specifying additional scanning is

displayed.
To perform additional scanning:
Enter the number of scans and other required information and then click
.

To close the additional scan window:

Click at the lower right of the monitor screen.

To perform scanning using the same scan parameters:

Click of the monitor screen. Refer to P. 18.

3. Completion
1. To end an examination, click .

2. Press the Auto-home switch . The patient couch returns to the home
position.
3. Transfer the patient off the patient couch.

11
 Scanning of the chest and abdomen (helical scanning)

1. Preparation
1. Enter the patient information and perform patient setting.
2. Select an appropriate eXam Plan for the examination.
<1> Select the region.
<2> Select the eXam Plan.

<1>

<2>

3. The patient information and scanning information are displayed.

Check the patient ID, patient name, insertion direction, and posture.
<1> Patient ID
<1>
<2> Patient name <2>

<3> Insertion direction

<4> Posture <3>
<5> Scan direction <4>

<5>

4. The scan parameters for the eXam Plan are displayed. (Refer to P. 19.)

12
 Scanning of the chest and abdomen

To change the scan parameters

1) Click the row "No." on which the scan parameters are displayed.
2) Click the "Scan Details" tab and change the desired parameters.

Scanning of the
chest and
abdomen
3) After changing the parameters, Click .

To change the scanoscopy parameters

1) Click the row "No." on which the scanoscopy parameters are displayed.
2) Click the "Scan Details" tab and change the desired parameters.

3) After changing the parameters, Click .

To acquire both frontal and lateral scanograms

Select "Dual Scano" from the "Scano Mode" menu.
Click the "Scanoscopy angle display diagram" in the patient position confirmation
window and then select the scan angle and order.

To interrupt the first scanoscopy, click , which is displayed during

scanoscopy. The second scanoscopy is started starting from the position at which
the first scanoscopy was interrupted.

13
 Scanning of the chest and abdomen

2. Scanoscopy (projection image acquisition)

1. Press the Scan start key when it blinks.

4 5 6
3 7
2 8
1 9
0 10 SEC.

Num Caps Scroll

Lock Lock Lock
2 3

AUTO

Î The patient couch moves.

2. Press the Scan start key when it lights.

Î Scanoscopy starts.

14
 Scanning of the chest and abdomen

3. Scan planning
1. A scanogram (TOP image) is displayed. Perform scan planning using this
image.

Scanning of the
chest and
abdomen
2. Move the scan position and change the scan range.

To move the scan position

The scan position movement direction can be set using , , and
. When is set, movement of the solid lines on the scanogram is
restricted to the up/down direction; when is set, movement of the
solid lines is restricted to the left/right direction; but when is set, the
solid lines can be moved in any desired direction.
indicates the scan direction.

Range to be 1
scanned.
(C-FOV)
Range for which
reconstruction is
to be performed.
(D-FOV)

Changing the scan range

is used for dragging in the left/right direction,
while is used for dragging in the axial direction.

15
 Scanning of the chest and abdomen

3. If necessary, change the preset parameters in the "Scan Details" tab of the
eXam Plan window. (For details concerning the eXam Plan parameters, refer
to page 19.)

4. After scan planning is completed, click .

16
 Scanning of the chest and abdomen

4. Scan
1. The patient couch movement confirmation window is displayed.
Click .
* For S&S, skip to step 3.
2. Press the Scan start key when it blinks.

Î The patient couch moves.

3. Press the Scan start key when it lights.

Î Scanning starts.

Scanning of the
chest and
abdomen
Click the Helical Skip button after scanning of the required range is completed.
4. When scanning is completed, the window for specifying additional scanning is
displayed.
To perform additional scanning:
Enter the number of scans and other required information and then click
.
To close the additional scan window:
Click at the lower right of the monitor screen.
To perform scanning using the same scan parameters:
Click at the lower right of the monitor screen.

17
 Scanning of the chest and abdomen

5. Completion
1. To end an examination, click .

2. Press the Auto-home switch . The patient couch returns to the home
position.
3. Transfer the patient off the patient couch.

To perform scanning using the same scan conditions

To repeat scanning (e.g. in contrast examinations) using the same scan
conditions, use the Repeat eXam function.

1) Click at the lower right of the window. The scan conditions that were
used in the previously executed plan are displayed in the Repeat eXam
window.

2) Confirm the scan conditions and click . The scan plan window for
the plan is displayed. Perform the same operations as for normal scan
planning. (The scan parameters can also be changed.)
If no scan plan is set, the Scan start key lights.

18
 Scanning of the chest and abdomen

Details concerning the eXam Plan parameters (1)

"Scan Details" tab
„ For Scano

<1> Scan angle

<2> Scan direction

Scanning of the
chest and
abdomen
<1> Scan angle
Select the scanoscopy angle.
When SIDE scanoscopy (90° or 270°) is selected, the tilt angle can be set
during scan planning.
<2> Scan direction
Select the couch-top movement direction (IN or OUT).
„ For S&S or S&V

Range

Waiting time
<1> Slice thickness

<1> Scan slice thickness

When this button is clicked, the following window opens.
Select the scan slice thickness.

19
 Scanning of the chest and abdomen

(Continued from P. 19)

„ For Helical

<1> Slice thickness

<2> Helical pitch

Scan range

<1> Scan slice thickness, <2> Helical pitch

When <1> or <2> is clicked, the following window opens.
Select the desired scan slice thickness or helical pitch.

*: Helical pitch is defined as follows:

Helical pitch = (Couch-top movement distance per gantry
rotation)/(Scan slice thickness)

20
 Scanning of the chest and abdomen

Details concerning the eXam Plan parameters (2)

(Continued from P. 20)
"Recon. Details" tab

<1> Image slice thickness <2> Reconstruction interval

<3> Image-quality
parameter

Scanning of the
chest and
abdomen
<4> Number of reconstructed images

<1> Image slice thickness (mm)

This is the slice thickness of the reconstructed image. Select the desired
slice thickness from the pull-down menu.
<2> Reconstruction interval (mm)
The reconstruction interval can be selected from the pull-down menu.
It is also possible to specify the reconstruction interval by clicking the
"Others" tab and entering a numerical value in increments of 0.1 mm. Note,
however, that if a numerical value that is not one of the reconstruction interval
choices included in the pull-down menu is entered, additional time may be
required for reconstruction. Therefore, selection from the pull-down menu is
recommended.
<3> Image-quality parameter
When this button is clicked, the following window is displayed.
Select the image-quality parameter.

<4> Number of reconstructed images

The number of reconstructed images is automatically calculated and
displayed.

21
 Image display/Image processing

This section describes the procedures for displaying and processing acquired images.

1. Image display
1. Click the start button for Autoview-s or Autoview-m in the Command Box.

2. Click in the startup window. The patient directory is displayed.

3. Select the data file of the image to be displayed from the patient directory and
click the button.

4. Click the image processing button .

The Image Selector window is displayed.

5. In the Image Selector window, click the image to be displayed.

Image Matrix window

Number of selected images/total

number of images

22
 Image display/Image processing

Information regarding the image matrix display format

<1> Autoview-s

Monitor to be used:
Start button
Only one patient is displayed
at a time.
Directory Display size: 640 x 640 matrix
Full screen display
Click under the
Layout tab of the Command
Box.

<2> Autoview-m

Image processing
Monitors to be used:

Image display/
Start button
Up to four patients can be
displayed at a time.
Directory
Display size: 512 x 512 matrix

<3> MPR

Monitor to be used:
Coronal, sagittal, and axial
Start button images can be displayed
simultaneously.
Directory

23
 Image display/Image processing

2. Image processing
„ Image processing buttons
Use these buttons to perform various image processing tasks.

Cine view

Filming (Refer to P. 36.) Image selector

Scanogram/CT image display change

(Refer to P. 55.)
Distance measurement etc.
(Refer to P. 26.) Enlargement/Reduction (Refer to P. 27.)
Annotation
Image filter setting Image rotation
Scale

Screen-saving CT number
Reset (enlargement, panning, inversion)

Batch processing Window configuration

Addition/Subtraction

Inset CT number

Non-linear window
Grid Volume calculation
Stereotaxy (option)

Dynamic study Quantitative bone mineral study

(option)

Xe study (option) Cardiac analysis (option)

Clinical tools GSPS process (option)

24
 Image display/Image processing

The CT number measurement, distance measurement, and image enlargement

procedures are described below.

3. CT number measurement

1. Click the image processing button .

2. Select the ROI type.

The CT number measurement procedure is explained using a circular ROI as
an example. Click the circular ROI button.

Drag to adjust
the size of the
ROI.

Image processing
Image display/
Drag to move
the ROI.

3. Adjust the position and size of the ROI.

• Movement : Drag the line of the ROI.
• Size adjustment : Drag one of the " " marks that form the four corners near
the circumference of the circular ROI.
4. CT value is displayed in the image.
The calculation result displayed at the lower portion of the image can be moved
by dragging the mouse.

25
 Image display/Image processing

4. Distance measurement

1. Click the image-processing button .

2. Click the linear ROI button.

3. Click the measurement start point.

When a line is displayed, click the measurement end point using the right
mouse button. The line segment is set.
4. The distance is displayed near the end point.

26
 Image display/Image processing

5. Image enlargement (simple enlargement)

There are two enlargement methods: simple enlargement from images and
zooming reconstruction from raw data. The simple enlargement method is
described below. For the zooming reconstruction method, refer to P. 48.

1. Use the enlargement display tool to adjust the enlargement ratio.

Select the desired magnification ratio by clicking it with the left mouse button.

Image processing
Image display/
Simple enlargement/reduction can also be performed by dragging the mouse while
holding down the middle and right mouse buttons simultaneously.
The ratio can be edited using [Menu].

27
 Image display/Image processing

6. Patient information changes

1. Select [[Utility]] in the Command Box and then [[Info.Change]].
2. Select the image data file to which a change is to be made and click .

3. Change the related information as required. After entry is completed, be sure

to press [Enter] on the keyboard.

4. After the changes are completed, click .

To change the related information in the raw data

Use the scan monitor to change the related information in the raw data. Select
[[Utility]] in the Command Box followed by [[Info. Change]] and change the data file
source host to [[Raw data]].
The subsequent procedures are the same as those described above for changing
the related information in the image data.

28
 MPR image generation

1. Mouse operations
Mouse operations in MPR mode are as follows:

Dragging with the

middle button
Image movement
Pointer display Dragging with the
right button
Window condition
(WL/WW) change
Pointer display
Rotating the wheel
Image feeding

Dragging with the

right button while
holding down the
Dragging with the middle button
right button while Magnification ratio
holding down the adjustment
left button Pointer display
Image feeding

MPR image
generation
Pointer display

[Ctrl] + dragging
ctrl the right mouse
button
Image rotation
Pointer display

29
 MPR image generation

2. MPR processing in "Autoview-m"

The procedures for MPR processing in the Autoview-m window are described
below.
This is suitable for MPR processing in routine studies.

1. Click (Autoview-m) to open the Autoview-m window.

2. Click (Directory).

3. Select the desired "Study"/"Series" and then click [OK].

At this time, select volume data for "Series".
"vol." is displayed in the "Comment" column for volume data.

Study

Series

4. Right-click in the frame (A, B, C, D) of the Main tab in which an image is

displayed and select the plane to be generated (sagittal, coronal, or axial) from
the pull-down menu.

Right-click

Select the plane

to be generated.

30
 MPR image generation

5. The image of the selected plane is displayed.

The plane position can be moved in the forward/backward (left/right) directions
by operating the mouse wheel.

To change the image thickness

If the image thickness needs to be changed due to excessive noise or for any
other reason, click (Slice Thickness) in the "Tool1" tab. Select the desired
image thickness from the pull-down menu.

MPR image
generation
To select MIP display mode
When the MPR image is thick, it can be displayed in MIP display mode.
Click (Slab MIP) in the "Tool1" tab and then select [Maximum Value] from the
pull-down menu.

31
 MPR image generation

To adjust the plane angle

In the case that the plane is not symmetrical etc., the plane angle can be adjusted
by clicking (Rotate) in the "Tool1" tab and then rotating the plane image.

To save the image

Press the [F7] key on the keyboard. The active image enclosed in a yellow frame
is saved as a screen-save image and added to the "Image selector".

32
 MPR image generation

3. Automatic MPR image generation

1. Drag the slide bar displayed at the right edge of the image frame.
Move it vertically to set the start position.

Drag this.

2. When the start position has been set, click the right mouse button.
[Start] and [End] are displayed in the pull-down menu. Click [Start].

MPR image
generation
Click [Start].

33
 MPR image generation

3. A reference image is displayed next to the active frame (yellow frame).

Reference image

4. Drag the knob of the slide bar to set the end position.
Click the right mouse button to display the pull-down menu and then click
[End].
It is possible to change the range by dragging the green line segments
displayed on the reference image.

34
 MPR image generation

5. When the start position for automatic generation has been set, (Batch
MPR) in the "Tool1" tab is automatically started up.

Lock Number

Lock Interval

Save
Preview
Filming

6. To preset the number of automatically generated images, place a checkmark

for "Lock Number" and enter the number of images to be generated in the
corresponding field. (The image interval varies depending on the image

MPR image
generation
generation range.)
7. To set the image interval for generated images, place a checkmark for "Lock
Interval" and enter the numerical value for the image interval. (The number of
generated images varies depending on the image generation range.)
8. To check the images that have been set, click [Preview].
9. Click [Save]. The generated MPR images are saved to the "Image Selector".

35
 MPR image generation

10. When [Filming] is clicked, a series of processes from saving the MPR images
that have been set to loading the saved images to virtual film are automatically
performed.

36
 MPR image generation

4. MPR processing in "MPR" mode

When (MPR) is selected, oblique images, curved MPR images, and spine
MPR images can be generated.

1. Click (MPR).

Click (Directory) and then select the desired Study/Series to display the
volume data.
2. A coronal image is displayed in the upper left frame, a sagittal image is
displayed in the lower right frame, and an axial image is displayed in the lower
left frame. The plane that is displayed can be changed by dragging the colored
line segment indicating the position of the corresponding plane, as shown in
the figure below.

When this line

segment is dragged,
the position of the
axial plane changes.

MPR image
generation
When this line segment
is dragged, the position of
the coronal plane changes.

When this line segment is

dragged, the position of
the sagittal plane changes.

37
 MPR image generation

5. Oblique image generation

1. Click (Oblique) in the "Tool1" tab.

An oblique image is displayed in the lower right frame.

Oblique image

2. A line segment for oblique image generation (oblique cursor) is displayed on

the coronal plane image in the upper left frame.
To move the oblique cursor to the desired frame, double-click the mouse
button inside the target frame.
3. To translate or rotate the oblique cursor, drag the red circle at the center of the
oblique cursor line segment. To generate the image for the desired plane,
move the oblique cursor line segment to the appropriate position by dragging
the red circle.

Thickness
change

Line segment
rotation

Line segment
movement

For the procedures for continuously generating MPR images, refer to page 33
"Automatic MPR image generation".

38
 MPR image generation

Double oblique image generation

To generate a double oblique image, double-click the oblique plane and set the
oblique cursor on the oblique image.

MPR image
generation

39
 MPR image generation

6. Curved MPR image generation

1. Click (Curved MPR) in the "Tool2" tab.

2. The curved MPR operation window is displayed.

3. Click on the image on which the curve is to be drawn and then draw the curve.
The curved MPR image along the multisegment line is displayed in the Ob
plane frame located at the lower right of the image display area.
Click the points along the target region one by one while changing the target
plane position by rotating the mouse wheel.

Left-click to
draw a curve.

40
 MPR image generation

4. To set the curve, double-click it.

Double-click the
curve to set it.

5. The curved MPR image is displayed.

MPR image
generation

41
 MPR image generation

To delete the last point

To delete the last point, click [Back Trace].

Back trace

To edit the multisegment line that has been drawn

To edit the multisegment line that has been drawn, drag the desired point on the
line.

Drag the point to edit

the multisegment line.

When [Sub curve] is clicked, the multisegment line is displayed on all plane
images, permitting the multisegment line to be edited from three directions.

42
 MPR image generation

To display plane images perpendicular to the multisegment line that has

been drawn
Cross-cut images perpendicular to the multisegment line that has been drawn can
be displayed. To display cross-cut images, click [CrossCut] in the "CrossCut" tab.

CrossCut

MPR image
generation
Batch MPR

To save curved MPR images and cross-cut images

To save curved MPR images and cross-cut images, use (Batch MPR). Use
the slide bar for the generated images to specify the start and end points.
(For details concerning Batch MPR, refer to page 35.)

43
 MPR image generation

7. Spine MPR image generation

To generate oblique MPR images along the vertebral body or intervertebral space,
use [Spine MPR].

1. Click (Spine MPR) in the "Tool2" tab.

2. Click [New].

3. A line segment indicating the oblique MPR plane is displayed.

The line segment can be moved by dragging it.
Dragging { on the end of the line segment changes the angle of the line
segment.

Editing on the coronal

plane image

Editing on the sagittal

plane image

Oblique MPR image

44
 MPR image generation

4. To add a new line segment, click [Copy] and drag the line segment to move it
to the location where the line segment is to be added.
Drag { on the end of the line segment to adjust the angle so that it matches
the angle of the vertebral body or intervertebral space.

Dragging the line segment

moves the line segment.

Dragging on the end of

MPR image
generation
the line segment changes
the angle of the line segment.

45
 MPR image generation

5. When [Filming] is clicked, a series of processes from saving the Spine MPR
image that has been set to loading the saved image to virtual film are
automatically performed.

Filming

6. To generate a new protocol, preset the Spine MPR information items (position,
number of images, image interval, etc.) and save them by clicking [Protocol
Save].

Protocol Save

46
 Raw data processing

The methods for image reconstruction from raw data (zooming, function change,
reconstruction pitch change) are described below.

1. Raw data selection

1. Click in the Command Box.

2. The raw data directory is displayed.

Raw data directory

symbol

3. Click the target patient and then click the target series.
4. Click . The following window is displayed.

processing
Raw data

Only data obtained by helical scanning or

dynamic scanning is displayed.

47
 Raw data processing

2. Parameter changes
1. Change the parameters as required.

Image-quality
parameter

ROI setting
ROI setting for
zooming
reconstruction

ROI setting for zooming reconstruction

For single-lung zooming, internal ear zooming, 3D, etc., select zooming
reconstruction to enlarge only the region of interest. Note that this technique can
be used only when images for the selected raw data already exist.
1) Select the image for which an ROI is to be set from the Image Matrix window.
The image is displayed in the upper right frame.
2) Determine the ROI position and size.
Helical scan information area

Reconstruction
pitch (mm)

Image slice thickness (mm)

The image slice thickness can be
adjusted in 0.5-mm increments and
Number can be set to a value between 1 and
of reconstructed 10 times the scan slice thickness for
8-slice scanning and 16-slice scanning
images and between 1 and 5 times the scan
slice thickness for 4-slice scanning.
Note that the upper limit is 20 mm.

2. After changing of the parameters is completed, click .

48
 Raw data processing

When MULTIPLE SELECTION is displayed

When helical scan raw data sets for 2 series or more are selected, MULTIPLE
SELECTION is displayed in the position display column.

In this case, click and select the target raw data from the displayed list.

To cancel the reconstruction request after clicking

Click in the Command Box.

processing
Raw data
Then, click [[Select All]] followed by [[Delete]].

49
 Filming

This section describes the filming procedures.

1. Filming condition setting

1. Start up Autoview-s or Autoview-m and display images.
2. Confirm the window conditions of the images.

Press one of 1 2 3
on the keyboard to set the appropriate window
conditions.

4 5 6
3 7
2 8
1 9
0 10 SEC.

Num Caps Scroll

Lock Lock Lock
2 3

AUTO

If none of 1 2
is appropriate, set the preset window conditions to
3

Current in step 3 below.

3. Click the filming button . The following filming window is displayed. In

the window, confirm the number of frames and the preset window conditions.

Setting the number of frames

Preset window
When window #1, 2, or 3
is selected, the window
conditions registered to
the corresponding Preset
window are set. When
Current is selected, the
window conditions of the
currently displayed image
are used.

50
 Filming

Changing the window conditions

The window conditions can be changed using one of the following three methods.
1) Using the window control knobs
2) Pressing the desired window key (The key lights.)

4 5 6
3 7
2 8
1 9
0 10 SEC.

Num Caps Scroll

Lock Lock Lock
2 3

Window level Window width

AUTO

control knob control knob

1 Preset 1 2 Preset 2 3 Preset 3

3) Moving the mouse cursor in the image display area

Changing the
window width
Changing the
window level

Procedure for saving the window conditions

The current window conditions can be registered to Preset window 3.
1) Press the window save key ( ) to light its lamp.
Filming

2) Change the window conditions of the image.

3) When another image is displayed, the changed window conditions are saved
and registered to Preset window 3.
4) When the window save key ( ) is pressed again, the lamp goes out,
indicating that the window conditions save mode is released.

Note that the window conditions are not saved unless another image is
displayed.

51
 Filming

2. Image selection
„ For automatic filming
Select the images to be filmed in the Image Matrix window and click the
button in the filming window.

Click here to select all the images

in the series.

„ For manual filming

Press the store key on the keyboard or click in the filming

window. The currently displayed image is displayed in the filming window.

4 5 6
3 7
2 8
1 9
0 10 SEC.

Num Caps Scroll

Lock Lock Lock
2 3

AUTO

For manual filming

When manual filming is performed, make sure that no windows are overlapping the
image. The image will be output on film with the overlapping windows as is,
because the hard copy function is used for filming.

52
 Filming

If incorrect images are read

1) Click the button to delete the images.
2) Select the deletion mode (refer to the selections listed below) in the displayed
window.
Frame : The currently selected image (with the yellow frame) is deleted.
Sheet : The currently displayed sheet is deleted.
All sheets : All sheets in the filming window are deleted.

Sheet switching button

To check an image

When the frame of an image read into the filming window using is double-
clicked, the image is enlarged and displayed in the image display area for
checking.
Filming

Note that this function is not available for images read using .

53
 Filming

3. Filming
1. After image selection is completed, click in the filming window or press
on the keyboard.

4 5 6
3 7
2 8
1 9
0 10 SEC.

Num Caps Scroll

Lock Lock Lock
2 3

AUTO

Checking the filming progress status

1) Select Tool → Filming Queue.
The Filming Queue window is displayed.

Urgent Filming button

To give priority to a filming job

1) From the list, select the filming job to which priority is to be given.

2) Click the urgent filming button .

54
 Filming

To display line segments

1) Select the target image from the Image Matrix window.

2) Click the scanogram/CT image display change button . The line

segments indicating the slice positions are displayed on the scanogram.

3) To change the displayed line segments, reselect the target image in the Image
Matrix window and click [[I-selector]].

Filming

4) Click [[close]]. The line segments indicating the slice positions disappear.

55
 Image file management

This section describes the image file management procedures including deletion, sorting,
and transfer to an DVD-RAM.

1. Deletion of unnecessary images

Both the scan monitor and image-processing monitor can be used to delete
unnecessary images.

1. Click in the Command Box.

The directory list is displayed.

2. Select the data to be deleted and click .

3. A deletion confirmation window is displayed. After confirmation, click
.

56
 Image file management

2. Sorting of images
1. Click in the Command Box. The image directory list is
displayed.

2. Click the study button to select the target patient, click the series button

to select the target series, and then click the image button .

3. Click the button.

management
Image file

57
 Image file management

4. The following window opens. In the window, specify the sorting order.

For abdominal scanning images acquired with the patient insertion direction set to
Head First, set "Couch position" to "–" (descending order) to display images
sequentially in the head-to-foot direction.

5. Click .

58
 Image file management

3. Image saving to a DVD-RAM

1. Click in the Command Box on the image processing monitor.

2. The file utility menu is displayed.

Insert a DVD-RAM disk and enable it by clicking the Media button. When the
confirmation window is displayed, click .

* When the system is started up with an image storage DVD-RAM placed in

the DVD-RAM drive, the DVD-RAM is enabled automatically.
* To use a new DVD-RAM, format it by selecting [Options] → [DVD-RAM
formatting]. Be sure to enter a name in the label input window. After clicking
[OK], click [Media] in the file utility menu.
3. Select the data to be saved and click .

4. Select the DVD-RAM button and click .

management
Image file

59
 Image file management

4. Image reading from a DVD-RAM

1. Click in the Command Box on the image processing monitor.

* When the system is started up with an image storage DVD-RAM placed in

the DVD-RAM drive, steps 2 and 3 below are not required because the
DVD-RAM is enabled automatically.
2. The file utility menu is displayed. Insert a DVD-RAM and enable it by clicking
the Media button. When the confirmation window is displayed, click .

3. Click in the file utility menu.

In the displayed window, click the DVD-RAM button and then click
.

4. After selecting the data, click .

60
 Image file management

5. Select the copy destination and click .

management
Image file

61
 Power OFF (Shutdown)

1. Confirm that "Reconstruction: 0", "Filming: 0", and "Archive: 0" are displayed in
the Command Box on both the scan monitor and image processing monitor.
If filming or image transfer is in progress, wait until there are no items
remaining in any of the queues. Confirm that the indications are "0".

Confirm that the indications are "0".

2. At the scan monitor, select [[Utility]] in the Command Box and then
[[Shutdown]].
3. After a short interval, the following message is displayed on the scan monitor.
When is clicked, the shutdown process starts. This process takes about
2 minutes.

4. When the following message is displayed on both the scan monitor and image
processing monitor, turn OFF the power of the Navibox.

62
 Power OFF

When the following message is displayed

The following message is displayed when image transfer to the image
processing monitor has not been completed.
In this case, click and wait until image transfer is completed.

The following message is displayed on the image processing monitor when

shutdown is not completed within the specified time. Click .

Power OFF

63
Appendix Troubleshooting

The reference pages describing the causes and required actions for the most commonly
occurring problems during operation are given below. If a problem occurs, first check
the following items. For problems not described here, contact your Toshiba service
representative.

If scanning cannot be performed (Î P. 65)

• If scanning stops suddenly
• If helical scanning cannot be performed

If it is not possible to proceed to the next operation

(Î P. 66)
• If mouse operation cannot be performed
• If entry cannot be performed or it is not possible to proceed to the next operation
• If filming and image transfer are not terminated

If a warning message is displayed (Î P. 67)

• If a communication error warning window is displayed
• If the message "Arc occurred in previous scan." is displayed
• If a message indicating that more than 80% of the image disk is filled is displayed

When the power of the system is turned OFF and then

ON again (Î P. 68)
• If the power of the Navibox has been turned OFF directly
• If the switch on the distribution board has been turned OFF
• If the system has stopped due to a power interruption
• If the emergency stop button has been pressed to stop gantry operation

Other problems (Î P. 70)

• If faint ring artifacts occur on the images
• If liquid has entered the system

64
If scanning cannot be performed
If scanning stops suddenly

Corrective measures

<1> Click the button including the word "Reset" in the error message window (for
example, [[XC Reset]]).
After clicking the button, click [[Confirm]]. When the scan start button lights,
scanning can be resumed.
<2> If corrective measure <1> is ineffective, terminate the eXam Plan and select it
again. When the scan start button lights, scanning can be resumed.
<3> If corrective measure <2> is ineffective, reboot the system. In this case, patient
registration must be performed again.
When the scan start button lights, scanning can be resumed.

65
Appendix
If it is not possible to proceed to the next
operation
If mouse operation cannot be performed

Corrective measures

<1> Press the [Ctrl], [Alt], and [Del] keys of the keyboard simultaneously. The
system shuts down and restarts.
<2> If corrective measure <1> is ineffective, turn OFF the power of the Navibox.
Wait for several seconds and turn ON the power of the Navibox again. After the
power is turned ON, recovery processing is performed by the software. Wait
until recovery processing is completed.
* If recovery processing is performed when the power is turned ON, the next shutdown operation
takes longer than normal.

If entry cannot be performed or it is not possible to proceed to the

next operation

Corrective measures

Use the reset function to return the system to its normal operating status.
* The operating procedures for the reset function differ depending on the abnormality. Refer to
subsection 4.4 "Reset Function" of section 4 "Power ON/OFF Procedures" of the operation
manual (basic volume).

If filming and image transfer are not terminated

Corrective measures

<1> Click the area indicating the remaining number of filming queue items to display
the job list. (Refer to P. 4 and 5.)
Write down the contents of the jobs indicated as errors in the list and then delete
the jobs. Termination processing can then be performed.
<2> If corrective measure <1> is ineffective, inform your Toshiba service
representative of the contents of the error.

66
If a warning message is displayed
If a communication error warning window is displayed

Corrective measures

If a warning window indicating the occurrence of an error during communication

between the scan monitor system and the image processing monitor system is
displayed, select [[YES]] in the warning window. The system is rebooted.
* If an emergency examination is being conducted and it is necessary to continue scanning, select
[[NO]] in the warning window. In this case, only the scan monitor system remains available.

If the message "Arc occurred in previous scan." is displayed

Corrective measures

If the message "Arc occurred in previous scan." is displayed after scanning, the
obtained images are likely to be abnormal. Immediately check the reconstructed
images to see whether there is an abnormality.
* This message indicates that discharge of the X-ray tube occurred during the most recent scan.

If a message indicating that more than 80% of the image disk is filled
is displayed

Corrective measures

If a message indicating that more than 80% of the image disk is filled is displayed,
scanning may be disabled when the remaining disk space is reduced further.
Therefore, provide sufficient free space on the image disk before starting scanning.

67
Appendix
When the power of the system is turned OFF
and then ON again
If the power of the Navibox has been turned OFF directly

Corrective measures

Wait for several seconds and then turn ON the power of the system. After the power
is turned ON, recovery processing is performed by the software. Wait until recovery
processing is completed.
Recovery processing may take up to 1 hour. If the system is used to examine
emergency patients, another diagnostic modality should be available.
* If recovery processing is performed when the power is turned ON, the next shutdown operation
takes longer than normal.

If the switch on the distribution board has been turned OFF

Corrective measures

The action differs depending on the period of time for which the switch on the
distribution board is OFF. Contact your Toshiba service representative. Note the
following points when the power is turned ON.
<1> Confirmation of the air conditioner
In order to prevent system malfunctions due to a rise in the room temperature,
be sure to confirm that the air conditioner is operating.
<2> Warming up of the X-ray detector
When the power of the system remains OFF for a long time, a period of
approximately 2 hours is required for stabilization of the detectors in the CT
system after the power is turned ON. Do not perform scanning during this
period. Perform scanning for the TOS phantom and check that the image has
no artifacts before examination. For this test procedure, refer to subsection 3.1
"Pre-operation check" in the Basic volume.
<3> Recovery processing time
Recovery processing by the software is performed. Wait until recovery
processing is completed. Recovery processing may take up to 1 hour. If the
system is used to examine emergency patients, another diagnostic modality
should be available.

68
If the system has stopped due to a power interruption

Corrective measures

The CT scan system is not provided with a backup battery. Therefore the situation is
the same as in the above case ("If the switch on the distribution board has been
turned OFF"). First, turn OFF the power of the console.
Turn ON the power of the console after the power has returned. Recovery processing
will be performed. Note the following points when the power is turned ON.
<1> Confirmation of the air conditioner
In order to prevent system malfunctions due to a rise in the room temperature,
be sure to confirm that the air conditioner is operating.
<2> Warming up of the X-ray detector
When the power of the system remains OFF for a long time, a period of
approximately 2 hours is required for stabilization of the detectors in the CT
system after the power is turned ON. Do not perform scanning during this
period. Perform scanning for the TOS phantom and check that the image has
no artifacts before examination. For this test procedure, refer to subsection 3.1
"Pre-operation check" in the Basic volume.
<3> Recovery processing time
Recovery processing by the software is performed. Wait until recovery
processing is completed. Recovery processing may take up to 1 hour. If the
system is used to examine emergency patients, another diagnostic modality
should be available.

If the emergency stop button has been pressed to stop gantry

operation

Corrective measures

Perform shutdown processing and then turn OFF the power of the Navibox. Wait for
several seconds and then turn ON the power of the Navibox again.

69
Appendix
Other problems
If faint ring artifacts occur on the images

Corrective measures

Perform "Calibration data acquisition (air-calibration data)" described in section 3

"Pre-Operation Checks and Post-Operation Checks" of the operation manual (basic
volume).

If liquid has entered the system

Corrective measures

CT scan systems are not waterproof. Immediately shut down the system, turn OFF
the power supply, and contact your Toshiba service representative.

70
Appendix

71
INDEX
ABC
Additional scanning ............................... 11, 17
Artifacts ........................................................ 70
Auto-home switch ................................... 11, 17
Automatic filming .......................................... 52
Auto-slide switch............................................. 9
Batch MPR ............................................. 35, 43
Command Box............................................ 4, 5
Communication error .................................... 67
Couch position............................................ 8, 9
Cross cut ...................................................... 43
Curved MPR................................................. 40
CT number measurement............................. 25
DEF
Deletion mode .............................................. 53
Distance measurement................................. 26
DVD-RAM button.................................... 59, 60
Emergency stop button................................. 69
Enlargement ................................................. 27
Fast switch ..................................................... 8
File utility ................................................ 59, 60
Filming.........................................50, 52, 54, 66
GHI
Helical pitch .................................................. 20
Helical scan information area ....................... 48
Image Selector window ................................ 22
Image processing buttons............................. 24
Image reading .............................................. 60
Image saving ................................................ 59
Image transfer .............................................. 66
Information changes ..................................... 28
In/Out switches............................................... 8
JKL
MNO
Manual filming .............................................. 52
MPR ....................................................... 23, 29
Multiple selection .......................................... 49
Navibox .................................................... 2, 68
Number of reconstructed images.................. 21
Oblique................................................... 38, 44
72
PQR
Patient information........................ 6, 10, 12, 28
Power interruption......................................... 69
Preset parameters .................................. 10, 16
Preset window ........................................ 50, 51
Projector switch .......................................... 8, 9
Raw data .......................................... 28, 47, 49
Reconstruction interval ................................. 21
Reconstruction request................................. 49
Recovery processing ........................ 66, 68, 69
Repeat eXam................................................ 18
ROI ................................................... 25, 26, 48
STU
Scanogram ................................. 13, 15, 16, 55
Scan planning......................................... 15, 16
Scan range ................................................... 15
Sheet ............................................................ 53
Shutdown ......................................... 62, 63, 69
Simple enlargement...................................... 27
Slice thickness............................ 19, 20, 21, 31
Sort......................................................... 57, 58
Spine MPR ................................................... 44
Store key ...................................................... 52
Up/Down switches .......................................... 8
VWXYZ
Warm-up..................................................... 2, 3
Window conditions.................................. 50, 51
Zero-clear switch ............................................ 9
Zooming reconstruction .......................... 27, 48
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E
 REVISION RECORD

REV. DATE REASON PAGE SER. DOC.

(MM/YY) /AUTHOR CHANGED No. PRODUCT.

INI. 03/'07 Mr. Kawanabe ------- TM-WI2

*A 11/'07 Support of V3.3 Mr. Onuki All pages

No. 2B201-413EN*A
*
R-1