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Common CT Systems
CT

Quality Assurance
System

Acceptance testing according to IEC 61223-3-5

10017857
08874427
08872017
08377520
07734713
07732444
07732436
07732428
07732410
07543106
07543015
07541985
07407039
07407013
07406502
07393114
07114023
07005502
04806118
03815490
03813933
03812950
03810160
03810152
03810137
03810079
03804890

© Siemens AG 2005
The reproduction, transmission or use
of this document or its contents is not
permitted without express written
authority. Offenders will be liable for
damages. All rights, including rights
created by patent grant or registration
of a utility model or design, are
reserved.

Print No.: CT00-000.820.03.02.02 English

Replaces: CT00-000.820.03.01.02 Doc. Gen. Date: 09.05
2 Revision / Disclaimer
1Revision / Disclaimer

Document revision level

The document corresponds to the version/revision level effective at the time of system
delivery. Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.

Disclaimer
The installation and service of equipment described herein is to be performed by qualified
personnel who are employed by Siemens or one of its affiliates or who are otherwise
authorized by Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated
with or authorized by Siemens or one of its affiliates are directed to contact one of the
local offices of Siemens or one of its affiliates before attempting installation or service pro-
cedures.

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09.05 CS CS 22 Medical Solutions
Table of Contents 3
1- 0Table of Contents

1 _______ General information______________________________________________ 4

General Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Area of application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Documents required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Tools, text and auxiliary means . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Location of identification labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Informing the expert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
When is an acceptance test required? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
When is a partial acceptance test required? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Determining reference values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Safety notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Protection against electrical voltages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Radiation Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2 _______ Information for Acceptance Testing ________________________________ 9

Use of test phantoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Documenting the test results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

3 _______ Preparations for the Acceptance Test ______________________________ 11

Selecting the test routines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Layout of the Quality IEC acceptance platform (since VB20) . . . . . . . . . . . . . . . . . . 13
Preparations for the phantoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

4 _______ Description of the Acceptance Test________________________________ 16

Description of the test functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

PATIENT positioning accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Preview Image Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Slice - TOMOGRAPHIC SECTION THICKNESS . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Homogeneity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
NOISE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SPATIAL RESOLUTION (MTF) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Table Pos.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Dose Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Dose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
CTDIW Head and CTDIW Body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Gantry tilt: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

5 _______ Acceptance Reports ____________________________________________ 23

Language selected for the protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Location for storing the protocols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Printing out protocols.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

6 _______ Changes to Previous Version_____________________________________ 27

7 _______ Index _________________________________________________________ 28

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4 General information
2-
General Remarks
1General information

Area of application 0

The document applies to all CT SOMATOM systems.

Documents required 0

P The acceptance protocols generated electronically are part of the document.

Together with the results, they are automatically stored as pdf file during the test.(Loca-
tion for storing the protocols. / p. 24)
Currently the protocols are available in German or English only.
The language can be set under Configuration ->Technical in the service menu.(Language
selected for the protocols / p. 23)

Tools, text and auxiliary means 0

You need the following tools, test and auxiliary means for the acceptance test (the mate-
rial numbers are located in SPC) (Tab. 1 / p. 4):
Tab. 1 Tools, text and auxiliary means

Name
Weight: approx. 135 kg for weighing down the table
- Tape measure, 100 cm
Angle support for set of phantoms
Phantom support1
20 cm water phantom
30 cm water phantom
Wire phantom
Wire phantom_100
Slice thickness phantom
Support for low-contrast phantom
Low-contrast phantom
CCR combi phantom
Dosimeter Dali CT, WK92 or DIADOS
CT measurement chamber with cable and holder
Inclinometer
X-ray film AGFA STRUCTURIX D7DW 13 x 18 cm

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General information 5

1. The phantom support is part of the 'Sliding Gantry' option. It is not required
for standard configurations.

CAUTION [ hz_serdoc_F13G10U01M01 ]
Poor image quality through wrong adjustment values may be cre-
ated during tune up.
Risk of misalignment!
¹ Only phantoms delivered with the CT system may be
used for system adjustments.
¹ The water phantom has to have the same temperature as
the examination room.

Location of identification labels 0

Refer to the document "Labeling" in the System Owner manual.

Informing the expert 0

We recommend that you inform the expert in a timely manner about the date planned for
the acceptance test.
Advantages:
• Timely coordination with the acceptance testing of constructional radiation protection,
possible repeat tests are eliminated.
• The customer can work with the CT system earlier than planned.

When is an acceptance test required? 0

An acceptance test is required when

• a new CT system is installed
• a CT system changes sites
• a CT system changes operators

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6 General information
Tab. 2 Acceptance test

Test positions 1

High-contrast resolution
Low-contrast resolution
Light localizer position

Tilting the slice plane

Positioning the table

Dose measurements
X-ray tube voltage
Slice thickness
Event

Homogeneity

Dose profile
Water value

Pixel noise
Initial installation X X X X X X X X X X X X
Change in operator X X X X X X X X X X X X

1. X = test is mandatory

When is a partial acceptance test required? 0

A partial acceptance is required after

• Repairs, replacement of parts, new adjustments,
The subsequent constancy test is out of spec's.
• Changing the operating parameters/charcteristics of a CT system
Tab. 3 Partial acceptance test

Test positions 1
High-contrast resolution
Low-contrast resolution
Light localizer position

Tilting the slice plane

Positioning the table

Dose measurements
Repair
X-ray tube voltage

Replacement
Slice thickness

Homogeneity

Dose profile
Water value

New adjustment
Pixel noise

Light beam projector X

Tilt drive
Tilt sensor X
Tilt display
Table drive
X
Table travel acquisition
Collimators
Collimator drive X X X
Collimator control

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General information 7

Test positions 1

High-contrast resolution
Low-contrast resolution
Light localizer position

Tilting the slice plane

Positioning the table

Dose measurements
Repair

X-ray tube voltage

Replacement

Slice thickness

Homogeneity

Dose profile
Water value
New adjustment

Pixel noise
X-ray Tube Unit X X X
DMS module X X X
DMS X X X X X X
Changing the operating
X X X X X X X X X
parameters/characteristics

1. X = test is mandatory

Determining reference values 0

When putting a new CT system into operation or a component of the CT system, accesso-
ries or the test equipment that could change the test results, an initial constancy test has
to be performed directly after the acceptance test or status test that showed satisfactory
characteristics of the standard functions. The purpose of the initial constancy test is to
establish a new reference value (or values) for the parameter(s) tested.

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Medical Solutions 09.05 CS CS 22
8 General information

Safety notes 0

WARNING [ hz_serdoc_F13G01U12M01 ]
Failure to observe the guidelines specified in this document may
lead to serious injury or loss of life.
Risk of accident and/or injury!
¹ The guidelines contained in this document have to be
strictly followed.

Carefully read through the following instructions as well as the newest version of the
• General Safety Notes (TD00-000.860.01 / General Safety Notes)
• Read through Product- specific safety notes (CT02-023.860.01 / Product-specific
safety notes)
carefully prior to working with the CT system.

Protection against electrical voltages 0

WARNING [ hz_serdoc_F13G01U13M02 ]
High voltages and/or mechanical movements (e.g. gantry rotation)
may lead to accidents and injuries when opening system covers.
Risk of accident and injury!
¹ Only authorized service personnel is allowed to open
system covers.

Radiation Safety 0

CAUTION [ hz_serdoc_F13G09U01M01 ]
Not following X-rays protective regulations may lead to radiation
exposure to you and/or other persons.
Risk of radiation exposure!
Observe radiation protection regulations when X-rays are
switched on, e.g. :
¹ Never work inside the gantry room.
¹ Do not leave the system unattended.
¹ Make sure there is no one inside the gantry room.
¹ Make sure that no person can enter the gantry room
unnoticed (e.g. lock doors if necessary).

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Information for Acceptance Testing 9
3-
Use of test phantoms
2Information for Acceptance Testing

• The test phantoms are attached to the angle bracket at the head end of the CT patient
table.

NOTE In case the 'Sliding Gantry' option is installed, the test phantoms
are attached to phantom holder 478022K1130.
The phantom holder is located on the tabletop of the patient table.
As counterbalance weight, insert the CCR body phantom opposite
the holder.
You can adjust the height of the phantom holder.

• The water, slice thickness and wire phantom can be combined into a phantom set.
In addition, the low-contrast phantom can be mounted to the wire phantom via an
adapter ring.
• For all measurements, the phantom set has to be centered in the measurement field
and the gantry has to be fully upright.
• If the test phantoms do not include a serial number, identify them retroactively.
The identification allows for identifying the test means for subsequent constancy tests.

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10 Information for Acceptance Testing

Documenting the test results 0

P • Enter the results of the acceptance test into the respective test protocol:
• The documentation of the acceptance test also includes pictures of the test bodies, the
test film of the measurements of the dose profile as well as the acceptance report on
film.
To generate the film documentation, use the camera function in the QUALITY platform.
• The respective Siemens office has to be keep the entire acceptance test documenta-
tion on file for 10 years.
A copy of the filled out test protocol has to be given to the operator of the X-ray
equipment and filed in the Owner Manual.

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Preparations for the Acceptance Test 11
4-
Selecting the test routines
3Preparations for the Acceptance Test

Test since VB20

1. Click the IEC ACCEPTANCE function in the QUALITY platform.
2. Follow the program instructions Click on the solid circle to select all measurements.
Tab. 4 Circle selection (solid = select all, empty = select nothing, half-moon = select default)

Fig. 1: Selection of tests

3. Start the individual tests with GO.

4. As the first step, the tester has to enter his name and the serial numbers of the test
phantoms.

Fig. 2: Enter the tester's name and the phantom serial numbers

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Medical Solutions 09.05 CS CS 22
12 Preparations for the Acceptance Test

5. Follow the program instructions

Instructions on how to position the phantoms are located under (Preparations for the
phantoms / p. 14)
The description for each individual test is located in the section on(Description of the
test functions / p. 16)

Test with software versions < VB20

1. Click the ACCEPTANCE function in the QUALITY platform.
2. Follow the program instructions Select all possible measurements. The following mea-
surements are required:
- Light marker
- External light marker
- Sag / Cor. light marker
- Prev. Image Pos.
- Slice
- Homogeneity
- Noise
- MTF
- Low Contrast
- Table Pos.
- Dose Profile
- Dose
- CTDIw Body
- CTDIw Head
- Gantry tilt:
3. Start the individual tests with GO and end them with DONE . The description for each
individual test is located in the section on(Preparations for the phantoms / p. 14)
4. Call the following individual functions, one after the other: ’Dose, TopoDose, DosePro-
file and GantryTilt’ . They are not included under ACCEPTANCE.
5. Follow the program instructions The description for each individual test is included in
the sections "Measuring the dose in the system axis", "Measuring the topogram dose"
and "Measuring the dose profile."

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Preparations for the Acceptance Test 13

Layout of the Quality IEC acceptance platform (since VB20) 0

Fig. 3: Quality Acceptance Platform in SOMARIS/5

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Medical Solutions 09.05 CS CS 22
14 Preparations for the Acceptance Test

Preparations for the phantoms 0

Fig. 4: Phantom set

Pos. 1 Holder
Pos. 2 Water phantom
Pos. 3 Slice phantom
Pos. 4 Wire phantom
Pos. 5 Low-contast-phantom or Allignment-phantom

CAUTION In addition you will need the 30 cm water phantom for the IEC ac-
ceptance test.
¹ Otherwise, the water value, homogeneity, and noise will
not be determined correctly.

1. Combine the water, slice thickness, wire and low-contrast phantom into a test phantom
set.
2. Set the gantry tilt to 0 degree (gantry is fully upright)
3. Place a weight of approx. 135 kg onto the tabletop of the patient table.

NOTE Item number 3 is omitted when the 'Sliding Gantry' option is in-
stalled.

4. Position the test phantom set in the measurement field.

Without the 'Sliding Gantry' option:

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Preparations for the Acceptance Test 15

- Move the CT table up to 145 mm (display)

¹ The phantom set must be centered in the measurement field and cannot be
tilted downward.

With the 'Sliding Gantry' option:

- If necessary, turn the height adjustment of the phantom holder.
¹ The phantom set must be centered in the measurement field and cannot be
tilted downward.

5. Switch the light localizer on.

6. Position the slice thickness phantom in the measurement field.
- Test the position of the phantom:
¹ The light band of the inside light markers has to be centered exactly above the
points of intersection of the re- ference markers on the phantom.
7. Follow the additional program instructions.
8. Control the results of each sub-measurement to ensure that they are within the toler-
ance margin:

NOTE The test results with the acceptable tolerance margins are shown
in the result window. After you completed the test run, the image
of a condensed test protocol is shown. The test protocol also in-
cludes the tolerances, as well as the markers (< / >) for falling be-
low or exceeding the tolerance margins.

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16 Description of the Acceptance Test
5-
Description of the test functions
4Description of the Acceptance Test

PATIENT positioning accuracy 0

The correlation of the axial PATIENT positioning light and scan plane is tested by posi-
tioning and scanning a thin absorber.

Test of external and sag. / Cor. light marker

1 2

Fig. 5: Phantom position after the measurement

Pos. 1 Correct phantom position
Pos. 2 Incorrect phantom position

The test phantom set is centered in the measurement field. It cannot be tilted downward.
The slice thickness phantom is positioned in the measurement field so that the light band
of the inner light markers is exactly centered above the intersection points of the reference
markers on the phantom. A measurement is made and the position of the test phantom in
the slice plane is assessed.
The position of the phantom is correct when the long and short bar "1/Evaluation of the
phantom positon after the measurement" are positioned one above the other. If the long
bar can be seen to the left of the short bar "2/Evaluation of the phantom position after the
measurement", the CT table (refer to note) has to be shifted by 1 mm with FEED IN prior
to each new measurement. If the long bar is shown on the right of the short bar, then
move the table with FEED OUT by one millimeter before each new measurement.
The deviation of the light marker from the slice plane results from the sum of the displace-
ment steps of the table (refer to note) that were required to position the phantom correctly
in the slice plane.

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09.05 CS CS 22 Medical Solutions
Description of the Acceptance Test 17

NOTE Is the 'Sliding Gantry' option installed, the gantry is shifted accord-
ingly.

Preview Image Position 0

Position the quality phantom so that the light marker cuts across the front of the phantom.
The respective mode is loaded and the topogram is started.
A (green line) is displayed in the topogram that should be pulled to the center of the slice
thickness phantom.

Fig. 6: Preview Image Position

Subsequently the scan is generated and the slice position is checked. It may be neces-
sary to move the table in our out to obtain the optimal slice position(refer to the
image(Fig. 5 / p. 16)).

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18 Description of the Acceptance Test

Slice - TOMOGRAPHIC SECTION THICKNESS 0

The TOMOGRAPHIC SECTION THICKNESS is evaluated by measuring the width of the

image of one or more ramps of suitable material where the ramp(s) intersect with the scan
plane. The width is defined as the FULL WIDTH AT HALF MAXIMUM.

Measuring the slice thickness

The slice thicknesses are checked by using a slice thickness phantom that contains two
aluminum strips L100 mm x B25 mm x H12 mm. To correctly determine the slice thick-
ness, the following prerequisites have to be met with respect to the position of the phan-
tom in the measurement field:

1. The phantom has to be positioned exactly in the Z direction of the slice plane. The Z
position is correct if the long and the short bars lie above one another in the tomogram.
Refer to "1/Evaluation of the phantom position after the measurement" for testing the
position of the light marker.
2. - The two aluminum strips must appear lying horizontally in the tomogram image.
The program tomographs the aluminum strips for each selectable slice thickness and cal-
culates the current slice thickness from the tomograms.

Homogeneity 0

Measuring the homogeneity and the water value

A water phantom is centered in the measurement field. The CT numbers are measured in
five test surfaces in four tomograms each. Each test surface covers approx. 10% (Ø
20mm for 20 cm phantom, Ø 30mm for 30 cm phantom) of the intersecting plane of the
test body.
The maximum absolute value of the difference between the mean CT number of the cen-
tric test surface and the CT numbers of the four peripheral test surfaces is the measure of
inhomogeneity.

NOISE 0

Measuring image element noise, tube voltage

To determine the element noise in the image, a circular test body of 20 cm and 30 cm
diameter is filled with water and centered in the measurement field.
The image element noise is determined on the basis of the standard deviation of the CT
numbers in the differential images from two tomograms of the water phantom that were
scanned one after the other.
Together with MTF, the image element noise is an average measure for low-contrast res-
olution. During this test, the current value of the high tension at the X-ray tube is shown as
well.

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Description of the Acceptance Test 19

SPATIAL RESOLUTION (MTF) 0

SPATIAL RESOLUTION is best described by the MODULATION TRANSFER FUNC-

TION curve obtained from the Fourier transform of the point spread function.

NOTICE There are two different phantoms for:

¹ For IEC acceptance “wire in plastic”
¹ For older systems “wire in air” .

Measuring high-contrast resolution

The spatial resolution at high contrast is determined by an assessment of the modulation
transfer function (MTF). A wire phantom is used with special evaluation software for this
purpose.
Through the introduction of the quality acceptance test according to IEC 61223-3-5, the
system offers two phantoms with different wire sections: Embedded wire in air (DIN
6868-53) and embedded wire in plasticIEC 61223-3-5). The nominal values for wire in air
represent the theoretical system values better than any other. The nominal values for
wire in plastic are somewhat lower due to the larger systematic measurement errors
caused by the image noise in plastic. However both phantoms are equally suitable for
quality assurance.
The MTF measurement is performed in the standard and the high resolution mode.
Depending on the system, evaluation is for 2 or 4 images each (slices).
The resolution is represented in line pairs per centimeter ( LP/cm ) for 50% MTF, 10%
MTF and 2% MTF.

Determination of the contrast scale (CT value of air)

NOTE This measurement is not required for the acceptance test in Ger-
many!

The contrast scale CS states the change of the effective attenuation coefficient of a
water-equivalent material that is required to change the mean CT number of this material
by 1.
Two density values are required for determining the contast scale. Only an air scan is per-
formed for this. As a second value, the water value is taken over from previous measure-
ments.

Table Pos. 0

Positional accuracy of the PATIENT SUPPORT includes both longitudinal positioning and
backlash evaluation.
The accuracy of longitudinal PATIENT SUPPORT positioning is evaluated by moving the
PATIENT SUPPORT a defined distance in one direction and confirming the distance trav-
elled.

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Medical Solutions 09.05 CS CS 22
20 Description of the Acceptance Test

The accuracy of moving the PATIENT SUPPORT in one direction and moving it back to
the starting position is known as backlash.

Test of table positioning

Test run with and without the 'Sliding Gantry' option:

A weight of 135 kg is positioned on the tabletop of the CT patient table. After a marker is
affixed to the stationary and moving part of the upper part of the table, the tabletop is
moved program-controlled by a defined distance horizontally in both directions.
The display is not initalized to "0".
The tabletop moves:

1. <--------300 mm-------- continuously in the direction of

the gantry
2. <--------300 mm-------- Continuously away from the gan-
try
3. <--------300 mm-------- Continuously away from the gan-
try
4. <--------300 mm-------- continuously in the direction of
the gantry
5. <--------300 mm-------- In steps of 10 mm
6. <--------300 mm-------- In steps of 10 mm
7. <--------300 mm-------- In steps of 10 mm
8. <--------300 mm-------- In steps of 10 mm

The actual distance moved is measured in each case at the table with a tape measure.
The exact measurement value (e.g. 300.5) has to be entered into the program platform.
The program takes this value and computes the difference between the actually driven
and electronically displayed travel path.

Dose Profile 0

Measuring the dose profile

The dose profile is measured in air with an X-ray film without foil. The values of the dose
profiles (full width at half maximum) refer to the decay of the axial dose function to 50%.
The base width of the dose profile in the sum of the full width at half maximum and the
flank width. The flank width is a constant size for a given focal spot size and system
geometry. For the small focal spot it is 1.9 ± /0.2 mm and for the large focal spot it is 2.8 ±
/0.2 mm.
The following relationship results
¹ Full width at half maximum = base width - flank width

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Description of the Acceptance Test 21

NOTE The base width closely aproximates the width of the film blacken-
ing, if the film is not too over or underexposed.

The film is positioned in the system axis perpendicular to the central ray. As the film car-
rier, a CCR combination phantom is used. The upper edge of this phantom is moved into
the center of rotation of the measurement phantom at a tolerance margin of 5 mm. The
film is shifted in Z direction before each exposure with changed slice thickness.
After the film has been developed, the base width (width of filme blackening) each individ-
ually exposed strip is measured in the center and entered manually into the input field.
For that purpose, call the DOSE PRO/EVALUATE function in the platform.

Dose 0

Measuring the dose in the axis of rotation

A dose measurement chamber is mounted to the tabletop. The dose measurement cham-
ber is positioned centrally in axial direction in the system axis so that the slice plane runs
through the center of the chamber. The measurement chamber should be aligned to the
center of rotation with a tolerance margin of 5 mm ( function ROI ). The measurement
chamber is connected with a suitable dose meter
The longitudinal dose product DLP ( mGy x cm ) shown by the dose meter after a scan
should be entered by hand in the input field.

NOTE For 80 kV, the measurement is performed in the head mode. The
body mode is used for 120/130/140 kV.

The program computes the dose in the system axis according to the following formula:

Fig. 7: Dose in the system axis (N = number of slices)

Measuring the topogram dose

A dose measurement chamber is mounted to the tabletop. The measurement chamber
should be aligned to the center of rotation with a tolerance margin of 5 mm ( function ROI
). Subsequently, position the chamber in the axial direction to the measurement field so
that the overview scan (topogram) is fully irradiated. The measurement chamber is con-
nected with a suitable dose meter
The longitudinal dose product DLP ( mGy x cm ) shown by the dose meter after a topo-
gram should be entered by hand in the input field.

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22 Description of the Acceptance Test

The program computes the topogram dose according to the fomula:

Fig. 8: Topogram dose

CTDIW Head and CTDIW Body 0

Test Procedure
CTDIW for the typical axial head and body conditions of operation.
Position CTDI Head (16 cm Plexi) / Body (32 cm Plexi) phantom in the center of the scan
field.
Position the phantom such that the inner light marker hits the engraved marking.
Click GO when ready.

Gantry tilt: 0

Inclination of the slice plane

This characteristic describes the angle that the slice plane forms with the vertical. This
angle is established by tilting the exposure device by a defined angle from the vertical
position.
What is being checked is the deviation between the mechanical and elecronic display at a
tilt angle of plus/minus 30° (Spirit: plus/minus 15°).
The mechanical measurement is performed with an inclination water level at the housing
of the exposure device.
The tilt angle measured with the inclination water level is entered by hand into the input
field of the platform. The program uses this value for computing the difference in angles.

NOTE The tilt shown at the exposure device cannot deviate by more than
+/- 2° from the measured value.

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Acceptance Reports 23
6-
Language selected for the protocols
5Acceptance Reports

Using the configuration under technical, the language for the protocols is selected in the
service menu.

Fig. 9: Select German or English as the protocol language

NOTICE Currently, only protocols in German or English are possible.

¹ If you need a protocol in the native language of the coun-
try, the regional unit should have it translated.

Additional languages will be available with subsequent software versions.

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24 Acceptance Reports

Location for storing the protocols. 0

During the acceptance test the protocols are automatically generated together with the
results of the measurement and stored as pdf files.
The path for the protocols is:
C:\Somaris\service\pdf\report\pdfreport

Fig. 10: Path of pdf protocols

The Explorer is selected via Utilities -> Escape to OS.

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Acceptance Reports 25

Fig. 11: Run the Windows Explorer via Utilities

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26 Acceptance Reports

Printing out protocols. 0

If the customer has a network printer with connection to the CT system, the protocols may
be printed out with this printer.
If not, the protocols can be printed with the help of the Explorer from C:\Somaris\ser-
vice\pdf\report\pdfrepor and copied to one or several floppies.
Take the floppies to a PC with a printer and print out the files.

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Changes to Previous Version 27
7-
6Changes to Previous Version

Section Revision Reason

(CR 050732)
3 Valid since VB20
CTTU-05-0015

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28 Index
8-
H
7Index

hz_serdoc_F13G01U12M01 . . . . . . . . . 8
hz_serdoc_F13G01U13M02 . . . . . . . . . 8
hz_serdoc_F13G09U01M01 . . . . . . . . . 8
hz_serdoc_F13G10U01M01 . . . . . . . . . 5

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