English

Instructions for use

Philips Allura 3D-RA - Basic Operation Release 6.2
 Allura 3D-RA - Basic
Operation
INSTRUCTIONS FOR USE

Release 6.2

English
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Philips Healthcare
 Published by Philips Medical Systems Nederland B.V.

Philips Medical Systems Nederland B.V. reserves the right to

make changes to both this document and to the product it
describes. Product specifications are subject to change without
notice. Nothing contained within this document is intended as
any offer, warranty, promise or contractual condition, and must
not be taken as such.

© Koninklijke Philips Electronics N.V. 2012

All Rights are reserved. Reproduction in whole or in part in any
form or by any means, electrical, mechanical or otherwise is
prohibited without the written consent of the copyright holder.

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Issue Number 4522 203 03151

Philips Medical Systems Nederland B.V.

Veenpluis 4-6
5684 PC Best
The Netherlands

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Unauthorized copying of this publication may not only infringe
copyright but also reduce the ability of Philips Medical Systems
Nederland B.V. to provide accurate and up-to-date information
to responsible organizations.

Non-Philips product names may be trademarks of their

respective owners.

Philips Healthcare
Published in The Netherlands.

0-2 Allura 3D-RA - Basic Operation Release 6.2

 Contents

1 Introduction.............................................................................................. 1-1

1.1 About Allura 3D-RA................................................................. 1-1

1.2 About these Instructions for Use................................................ 1-1
1.3 Intended use.............................................................................. 1-3
1.3.1 Intended Use of Allura 3D-RA.................................... 1-4
1.4 Compatibility............................................................................ 1-5
1.4.1 Options....................................................................... 1-6
1.5 Contra-indications..................................................................... 1-7
1.6 Training.................................................................................... 1-7

2 Safety......................................................................................................... 2-1

2.1 Important safety directions........................................................ 2-1

2.2 Warnings................................................................................... 2-1
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3 System overview...................................................................................... 3-1

3.1 Configuration............................................................................ 3-1

3.1.1 Image acquisition......................................................... 3-1
3.1.2 3D reconstruction (standard)....................................... 3-2
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3.2 View activity.............................................................................. 3-3

3.3 Main display area....................................................................... 3-4
3.3.1 Reconstruction tabs...................................................... 3-4
3.3.2 Orientation indicator................................................... 3-4
3.3.3 Rotation arrows........................................................... 3-4
3.3.4 Limited reliability indicator.......................................... 3-5
3.3.5 Configuring the main display area................................ 3-5
3.3.6 Configuring view settings............................................. 3-6
3.4 Toolbar...................................................................................... 3-7

Allura 3D-RA - Basic Operation Release 6.2 Contents 0-3

Contents

3.5 Function panel........................................................................... 3-11

3.5.1 Expand function panel................................................. 3-11
3.6 Control panel............................................................................ 3-12
3.7 Stand orientation display........................................................... 3-12

4 Maintenance.............................................................................................. 4-1

4.1 Planned Maintenance Program.................................................. 4-1

5 Glossary..................................................................................................... 5-1

5.1 Abbreviations............................................................................. 5-1

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Index.......................................................................................................... I-1

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0-4 Contents Allura 3D-RA - Basic Operation Release 6.2

 1 Introduction

1.1 About Allura 3D-RA

Allura 3D-RA is a software product that runs on the Interventional
Workspot. It is a dedicated, high-performance product, which extends the
functionality of compatible X-ray equipment with the powerful capability of
3D X-ray imaging.
Images are acquired on the X-ray equipment using a rotation scan and are
exported to 3D-RA for further analysis. With 3D-RA, users can view a
range of 3D volumes displaying:
• angiography
• vertebroplasty
• hyperdense calcified plaque
• soft tissue.
3D-RA provides users with several processing tools for performing analysis
on 3D volumes. During analysis, exportable objects, such as snapshots, can
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be created to record areas of interest.

1.2 About these Instructions for Use

To identify the Instructions for Use and the software tool for which they are
intended to be used, a label identifying the software has been placed on the
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CD. The product itself can be identified using the About box of the related
software tool. Both the label and the About box of the installed software
tool indicate the following:
• Name of the software tool
• Release number of the software tool

Allura 3D-RA - Basic Operation Release 6.2 Introduction 1-1

1.2 About these Instructions for Use

All Instructions for Use supplied with the software tool are identified using
the name and release number (first two digits) of the software tool, as
indicated in the footer of each document. Before using these Instructions for
Use with your system, ensure that it corresponds with the software tool
installed.
The English language version of the Instructions for Use was originally
drafted, approved, and supplied by Philips Healthcare.
The following table provides details of the documentation that has been
supplied with the software tool:
Documents forming the instruction set

Allura 3D-RA - Basic Operation

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Allura 3D-RA - Extended Operation
Interventional Workspot - Basic Operation
Interventional Workspot - Extended Operation

The combination of documents, indicated in the table above, describes the

most extensive configuration of the software tool, with the maximum
number of options and accessories. Not every function described may be

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available on your product.
These documents are intended to assist operators in the safe and effective
operation of the product described. The “user” is considered to be the body
with authority over the equipment; “operators” are those persons who
actually handle the equipment.

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Before attempting to operate the software tool, you must read these
Instructions for Use, noting and strictly observing all WARNINGS and
CAUTION notices.

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 Intended use 1.3

Pay special attention to all the information given and procedures described
in the Safety section.

WARNING A WARNING alerts you to a potential serious outcome, adverse event or safety
hazard. Failure to observe a warning may result in death or serious injury to the user
or patient.

CAUTION A CAUTION alerts you to where special care is necessary for the safe and effective
use of the product. Failure to observe a caution may result in minor or moderate
personal injury or damage to the product or other property, and possibly in a remote
risk of more serious injury, and/or cause environmental pollution.

NOTE A NOTE highlights unusual points as an aid to the user.

This document provides basic information to help you understand and

operate the core functions of the software. For full details of every function
available in the software, you should also read the “Extended Operation”
Instructions for Use, which are provided in electronic format on media
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supplied with the software. Please contact your hospital administrator for
details.
If the media containing the Instructions for Use are not available, please
contact your local Philips Healthcare representative or the manufacturer.
Information about the acquisition of images with the correct protocol is
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contained in the relevant Instruction for Use of the compatible X-ray

equipment. The operator is expected to have received training for the
correct operation of the X-ray equipment.

1.3 Intended use

This Philips product is intended to be installed, used, and operated only in
accordance with the safety procedures and operating instructions given in
these Instructions for Use for the purposes for which it was designed. The

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1.3 Intended use

purposes for which the product is intended is given below. However,

nothing stated in these Instructions for Use reduces users’ responsibilities for
sound clinical judgment and best clinical procedure.
Installation, use, and operation of this product are subject to the law in the
jurisdictions in which the product is being used. Users must only install,
use, and operate the product in such ways as do not conflict with applicable
laws, or regulations that have the force of law.
Uses of the product for purposes other than those intended and expressly
stated by the manufacturer, as well as incorrect use or operation, may relieve
the manufacturer (or the manufacturer’s agent) from all or some
responsibility for resultant non-compliance, damage or injury.

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WARNING Images created by the viewing application are artificially reconstructed images.
Although the greatest care has been taken in the design and development of the
product, and its operation has been tested and confirmed in extensive clinical tests,
the very nature of the type of image does not fully exclude the possibility of artifacts.
Diagnosis or treatment cannot be based on these images. All findings and decisions/

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diagnoses must be confirmed by the use of conventional (2D) X-ray imaging.

CAUTION In the United States, Federal law restricts this device to sale, distribution, and use by,
or on the order of, a physician.

1.3.1 Intended Use of Allura 3D-RA

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Device description
Allura 3D-RA is a software product (Interventional Tool) intended to
provide high-speed and high resolution 3D visualization of vessels and
bones anatomy. Allura 3D-RA is intended to be used in combination with
an Allura X-ray system.
Allura 3D-RA generates a 3D reconstruction to visualize vascular anatomy,
and helps to identify vascular pathologies from a single contrast-enhanced
rotational angiogram. It can be used during any angiography procedure and
can cover any anatomical area including cerebral, abdominal, and
peripheral. It also allows for 3D visualization of the spine.

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 Compatibility 1.4

Medical Purpose
Allura 3D-RA is intended to assist physicians in analyzing two dimensional
X-ray images by creating three dimensional views from sets of two
dimensional images created during rotational angiographic runs.
Allura 3D-RA is intended to assist in the diagnosis and treatment of
endovascular diseases, for example, stenosis, aneurysms, and arteriovenous
malformations.
Allura 3D-RA also supports measurement of lesion dimensions and
anatomical distances.
Patient Population
Allura 3D-RA is suitable for use with the entire human population.
Intended Operator Profile
The Operator is a physician who is fully skilled and responsible for sound
clinical judgment and for applying the best clinical procedure, for example:
• Interventional radiologist
• Interventional neuro-radiologist
• Vascular or Cardiac surgeon
• Interventional Cardiologist
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• Skilled radiology technician (or nurse) assisting the physician.

Clinical Environment
Allura 3D-RA can be used in the control room and in the exam room of an
interventional suite or operating room.
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1.4 Compatibility
Allura 3D-RA is compatible with Allura X-ray systems.
To make use of the software, the X-ray system must be equipped with the
following options (depending on the X-ray system in use):
• Rotational Scan (Allura Xper FD10 series)
• FD Rotational Angio (Allura Xper FD20 series)
• Rotational Angio (Allura CV20 series)

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1.4 Compatibility

It is recommended that the X-ray system is equipped with the following

options:
• Continuous Autopush
• Real Time Link
If the Real Time Link option is installed, Continuous Autopush is not
needed.

NOTE The date of manufacture is displayed on the device label.

The product described in this manual should not be used in combination

with other products or components unless such other products or
components are expressly recognized as compatible by Philips Healthcare. A
list of such products and components is available from the manufacturer.

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Changes or additions to the product should only be carried out by Philips
Healthcare or by third parties expressly authorized by Philips Healthcare to
do so. Such changes or additions must comply with all applicable laws and
regulations that have the force of law within the jurisdictions concerned,
and with best engineering practice.

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WARNING Changes or additions to the product that are carried out by persons without the
appropriate training or using unapproved spare parts may lead to the warranty being
voided. As with all complex technical products, maintenance by persons not
appropriately qualified or using unapproved spare parts carries serious risks of
damage to the product and of personal injury.

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1.4.1 Options
3D on Xper
3D on Xper is an optional package for the X-ray system that can be used
with the Interventional Tool. 3D on Xper comprises:
• 3D APC (Automatic Stand Positioning) allows the frontal stand to be
moved to a working position without using X-ray. Instead, previously
stored projections are used
• Follow C-arc allows movements of the frontal stand (without X-ray) to
automatically update the view displayed in the main display area.

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 Contra-indications 1.5

NOTE 3D on Xper is included in the standard configuration for biplane systems.

Real Time Image Link

Real Time Image Link allows the Interventional Workspot to receive images
as soon as they are acquired by a connected X-ray system. This provides
faster imaging via a near instantaneous transfer of the run to the
Interventional Workspot.
Xper module
The Xper module is an optional accessory to improve the flexibility of the
equipment for medical staff. This option extends control of the software to
the examination room and removes the necessity to leave the patient during
examinations to view images.
The Xper module requires the following X-ray system options:
• Slave Monitor
• Select External Video from the External Video Package

1.5 Contra-indications
The images made with the product use X-ray imaging as the source data,
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obtained from compatible X-ray equipment. All contra-indications that

apply for X-ray procedures described in the Instructions for Use for the
compatible X-ray equipment also apply for the procedures mentioned in
these Instructions for Use.
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1.6 Training
Users of this product must have received adequate training on its safe and
effective use before attempting to operate the product described in this
Instructions for Use. Training requirements for this type of device will vary
from country to country. Users must make sure they receive adequate
training in accordance with local laws or regulations. As a minimum level of
training, users should read and understand these Instructions for Use (Basic
Operation and Extended Operation).

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1.6 Training

The following training options are also available:

• User Guide
If you require further information about training in the use of this product,
please contact your local Philips Healthcare representative. Alternatively,
contact the manufacturer.

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 2 Safety

2.1 Important safety directions

For full details of the safety requirements for using the software installed on
the Interventional Workspot, please refer to the Safety chapter of the
“Interventional Workspot - Basic Operation” Instructions for Use.

2.2 Warnings
Task-specific safety warnings are provided with the procedures in these
Instructions for Use.
General warnings, and warnings contained in the “Extended” Instructions
for Use, are provided here.
Intended use and compatibility
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WARNING Do not use the product for any purpose other than those for which it is intended. Do
not use the product with products other than that which Philips Medical Systems
recognizes as compatible. Operation of the product for unintended purposes, or with
incompatible products, could lead to fatal or other serious injury. It could also lead to
clinical misdiagnosis.
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Making measurements

WARNINGS • All measurements made using the software are prone to ‘vessel thickening effect’.
This effect is based on the subjective nature of the vessel segmentation level
definition. This means that slight changes in the window width and window level
can result in different vessel segment diameter. In order to compensate for this
effect and assure accuracy of the performed segmentation, the following technique
should be followed: by manually sliding the window width (from left to right) a

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2.2 Warnings

point of noise disappearance can be detected. This particular point is clearly

detectable if very slight movements of the line are performed. This position, if
correctly defined, provides accurate vessel definition.
• The histogram setting may influence the shape of the volume and thus influence
the assessment of the severity and length of a stenosis.
• The measured distance in millimeters and cross section in mm2 is dependent on the
user defined histogram setting (WW/WL), as this influences the boundaries as seen
by the system.
• The measured distance in millimeters is dependent on the user defined histogram
setting (WW/WL), as this influences the boundaries as seen by the system.
• The measured volume in mm3 is dependent on the user defined histogram setting
(WW/WL), as this influences the boundaries as seen by the system.
• Quick measurement is a 2D measurement on a 3D image. You should be aware

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that this measurement method does not take into account any vessel tortuosity
and possible cross section anomalies. To achieve maximum measurement accuracy
you must position the 3D image in such a way that the measurement has minimal
2D distortion (foreshortening).

Performing analysis

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WARNING To do reliable analysis, the start and end markers must be positioned such that the
path from start to end fully contains the area of interest. To ensure correct results,
you must verify that the centerpath line follows the center of the required vessel tree
in the main display area after the analysis is complete.

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 3 System overview

3.1 Configuration
3.1.1 Image acquisition
Image acquisition is performed with the rotational scan / rotational angio
feature of the X-ray equipment. During acquisition, the C-arm may be
positioned as follows:
• Head position for Allura Xper FD10 and FD10/10
• Head or Side position for Allura Xper FD20, FD20/10 and FD20/20
(only one Side position - Nurse or Doctor - can be calibrated for
acquisition)
• Nurse position for Allura CV20.
Be aware that metal objects such as cables, coils or tooth repairs may cause
streaked artifacts in the image. Objects with high X-ray absorption may also
cause artifacts to appear.
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Regular calibration is essential to maintain image quality. Should semi-

circular artifacts appear over clinical data in the image, call Service to
recalibrate the system.
You can configure how the initial reconstruction is processed when it is
received by the Workspot, including the size, resolution, and smoothness of
the reconstruction. For details, please refer to the “User preferences” section
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of the “Interventional Workspot - Extended Operation” Instructions for

Use.

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3.1 Configuration

WARNINGS • For optimal image quality, ensure that the patient does not move during the
rotation scan, using appropriate supports and straps if necessary.
• For optimal image quality, be sure to use the correct injection protocol so that
vessels are properly filled with contrast agent for the entire duration of the
rotation scan.
• The reliability of vessel reconstruction might be affected when anatomical
structures with high X-ray absorption qualities are in the field of view (for
example, when viewing arteries in the base of the skull or vessels between dense
ear bone structures).

NOTES •

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When using biplane X-ray systems, only the frontal stand is supported.
• The table must not be tilted when acquiring a rotation scan.
• Wedge shutters must not be used when acquiring a rotation scan.
• When acquiring a rotation scan, the pivot angle must be 0 degrees.

Scan ranges (30 fps)

Geometry Range (axial) Images Time (approx.)

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Side (Doctor) -90° to +90° 240 8s
Side (Nurse) +90° to -90° 240 8s
Head -120° to +120° 120 6s

3.1.2 3D reconstruction (standard)

After acquisition, the rotation scan is transferred to the Interventional

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Workspot, and the initial 3D reconstruction is displayed. Additional
reconstructions can be created of zoomed areas of interest within the initial
reconstruction.

NOTE The Real Time Image Link option allows the software to receive images as soon as
they are acquired.

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 View activity 3.2

3.2 View activity

3D volumes are displayed and manipulated in the View activity.
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Figure 3.1 View activity overview

Legend

1 Main display area 2 Reconstruction tabs 3 Orientation indicator

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4 Rotation arrows 5 Limited reliability 6 Toolbar

indicator
7 Function panel 8 Control panel 9 Stand orientation

The reconstruction is displayed in the main display area of the screen and is
manipulated directly with the mouse and using function buttons in the
control panel and the toolbar.

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3.3 Main display area

Snapshots, movies and VRML files can be created at any time during
processing. These are saved with the run and are available for viewing,
storing or printing.

NOTE The Xper module option can be used to control the application from the examination
room, without leaving the patient.

3.3 Main display area

The main display area shows the reconstruction selected for investigation.
Several indicators are also displayed. A maximum of three reconstructions
are possible.

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3.3.1 Reconstruction tabs
Reconstruction 1 is by default the original reconstruction. Click the tab to
display the reconstruction. Reconstruction 2 and Reconstruction 3 are
derived from further processing of the original reconstruction. Their tabs are
only enabled if a second and third reconstruction are available.

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NOTE The Reconstruction tabs are used to indicate the status of the volume displayed in the
main display area. If the displayed volume is from a subtracted run, the
Reconstruction tabs indicate ‘Subtraction’. If Overlay is enabled, the Reconstruction
tabs indicate ‘Overlay’.

3.3.2 Orientation indicator

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The Orientation indicator can be displayed by selecting it from the View
settings menu. It indicates the orientation of the patient in relation to the
user, according to the way the reconstruction is displayed in the main
display area. The orientation indicator rotates with the reconstruction.

3.3.3 Rotation arrows

Click on a rotation arrow to rotate the reconstruction 90° in the direction of
the arrow.

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 Main display area 3.3

3.3.4 Limited reliability indicator

The limited reliability indicator is displayed in the main display area when
the reconstruction has been generated from a Fast Imaging Mode run.

WARNING Fast Imaging Mode uses fewer images or a lower resolution during acquisition
(depending on selected Xper setting). This results in decreased reliability of displayed
anatomy and any measurements performed on it.

3.3.5 Configuring the main display area

Normal view
Normal view is the default viewing mode, and displays a single view of the
reconstruction in the main display area:
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3.3 Main display area

Orthogonal view
Orthogonal view divides the main display area into four viewports. The top
left viewport displays rotatable view of the reconstruction, while the other
three viewports display fixed orthogonal views: Coronal (Frontal), Sagittal
(Lateral left) and Axial:

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3.3.6 Configuring view settings
The View settings menu provides controls for configuring the interface:
Menu item Description

Patient Info The Patient info submenu allows one of three levels of
detail to be selected. The levels available are: None,

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Essential or All. The default setting is Essential.
Axes Turns the display of axes on or off. The following axes are
displayed: L-R (Left and Right), H-F (Head and Feet) and A-
P (Anterior and Posterior).
Cubebox Turns the display of the cubebox on or off. The cubebox
depicts the outer boundaries of the reconstructed volume.
Orientation Indicator Turns the display of the human anatomy model on or off.
The anatomy model displays the orientation of the patient
in relation to the view shown in the main display area.
Histogram Value Turns the display of WW and WL settings in the histogram
on or off.

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 Toolbar 3.4

Menu item Description

Patient Orientation Opens the Patient orientation dialog. This dialog ensures
the vessels are displayed in the correct orientation in the
If the Patient Orientation
main display area:
dialog is not available, patient
orientation has been managed Head first: patient’s head at the head of the table
automatically.
Feet first: patient’s feet at the head of the table
Supine: patient lying face up
Prone: patient lying face down
Decubitus Right: patient lying on the right side
Decubitus Left: patient lying on the left side.
Configure Tool Buttons Opens the Configure Buttons dialog, allowing you to select
which function buttons are visible in the function panel.
The Histogram function button is always visible. Tools for
which the appropriate license is not installed are
unavailable.
All available functions can be selected from the Tools
menu, irrespective of whether they are displayed in the
function panel.
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3.4 Toolbar
The toolbar provides quick access to several tools for making direct
modifications to the image in the main display area. Tools are selected by
clicking on the appropriate button.
Select
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The Select tool is used for basic functions such as moving objects within the
view, making measurements, or making a freeform cut.
Rotate volume
Use this tool to rotate the volume in any direction in the main display area.
Rotation is performed on any axis around the center of the display.

NOTE In orthogonal view, only the variable view (top left) can be rotated.

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3.4 Toolbar

Rotate around an axis

Use this tool to rotate the volume around the fixed ‘x’ or ‘y’ axis (vertically
or horizontally). Rotation is performed around the center of the display.

NOTE In orthogonal view, only the variable view (top left) can be rotated.

Rotate in a plane
Use this tool to rotate the volume around the fixed ‘z’ axis (perpendicular to
the viewing plane). Rotation is performed around the center of the display.

NOTE In orthogonal view, only the variable view (top left) can be rotated.

Pan
Use this tool to move the reconstruction in the main display area.

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Zoom
Use this tool to zoom in or zoom out of the view in the main display area.

NOTE The zoom tool enlarges the view in the main display area, but does not increase the
level of detail in the volume. To increase the level of detail, create a new
reconstruction of the area of interest; this is known as ‘reconstructive zooming’.

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Annotation
Use this tool to add an annotation. Up to five annotations can be defined
for each reconstruction.

NOTE Annotations are not repositioned if the reconstruction is rotated or modified.

Render mode

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Use this tool to set the render mode.
Available render modes

Volume Rendered

Volume Color Rendered

Gradient Rendered

Shaded Surface

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 Toolbar 3.4

Available render modes

Sum

MIP

NOTE 512³ volumes cannot be rendered using Shaded Surface.

If the selected render option is Volume Rendered or Volume Color

Rendered, you can make an additional selection of render quality.
On the Display menu, click Render Quality, and then click one of the
settings:
• Normal
• High
When render quality is set to high, depth perception is improved. However,
performance may be reduced with this setting.
Viewing mode
Use this tool to set the viewing mode.
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Available viewing modes

Normal

Orthogonal

Default views
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Use this tool to display a default view of the reconstruction.

Default views

AP

PA

Lateral Left

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3.4 Toolbar

Default views

Lateral Right

Caudo Cranial

Cranio Caudal

NOTE Actual rotation and angulation values depend on the X- ray equipment in use.

Snapshot
Use this tool to take a snapshot of the main display area. You can export the
snapshot in DICOM- or PC-compatible format using the Export activity.

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NOTE Use the View settings menu to ensure that the main display area contains the desired
display settings for the snapshot.

WARNING If patient information is displayed in the main display area, this is also captured in the
snapshot. You must handle personal data in accordance with any privacy laws in

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force.

Contrast and Brightness

Use this tool to adjust the contrast and brightness of the main display area
by dragging with the mouse.
Position interactor

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This tool is used when viewing a volume as a slab. It allows you to select a
suitable slab for viewing. Drag with the mouse to move through the volume.
Movie interactor
This tool is not used in the software.
Hide primary volume (contrast)
When available, this tool turns the visibility of the primary volume
(contrast) on and off. It is available in Overlay mode when the overlay
volume is visible.

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 Function panel 3.5

Hide overlay volume

When available, this tool turns the visibility of the overlay volume on and
off. It is available in Overlay mode when the primary volume is visible.
3D Overlay
This tool is not used in the software.

3.5 Function panel

An array of functions are provided for manipulating the 3D volume.
Functions are activated by clicking the corresponding function button in the
function button panel.

Not all available functions are displayed by default in the Function button
panel. You can configure which function buttons are visible using the
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‘Configure tool buttons’ option in the View settings menu. This allows you
to customize the panel to display the functions you use most often.

NOTE The Histogram function button is always visible.

Clicking a function button opens the control panel for that function; the
control panel appears below the function button panel.
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3.5.1 Expand function panel

A maximum of 9 function buttons are displayed by default. Click this
button to display the ‘drop-down’ section of the function button panel and
access any additional available function buttons. If only 9 or fewer function
buttons are configured, this button is not shown.

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3.6 Control panel

3.6 Control panel

The control panel provides access to the variable controls associated with
each function button. The contents of the control panel vary according to
the selected function.

3.7 Stand orientation display

The stand orientation display is always visible at the bottom of the control
panel. It provides a graphical representation of the stand position, including
the corresponding rotation and angulation of the view currently displayed in
the main display area.

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WARNINGS • The angle information displayed is for the frontal stand only.
• If you apply these values to the stand, it results in a projection in the X-ray
equipment that is (apparently) identical to the one displayed in the software.
However, even though the projections are identical, the images may still differ in a

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rotation around an axis perpendicular to the screen and could lead an
inexperienced viewer to make a misinterpretation of the images. You can
synchronize the orientations by pressing Follow C-arc on the Xper module.

NOTES • Cardio angle indications (RAO/LAO, CRA/CAU) can be configured by a Service

engineer, if preferred.
• When using 3D APC on the Xper module, you may find that the orientation of the
volume and current stand position are not synchronised (due to an unobtainable
stand position). To synchronise the volume orientation with the stand position,
press Follow C-arc.

3-12 System overview Allura 3D-RA - Basic Operation Release 6.2

 Stand orientation display 3.7

Biplane systems: lateral stand limitations

The presented rotation and angulation information can only be applied as
displayed to the lateral stand if either one of the following conditions are
satisfied:
• The frontal stand is in the SIDE position, the ROTATION angle is 0°
and the ANGULATION is between +45° and -45°.
• The frontal stand is in the SIDE position, the ANGULATION angle is
0° and the ROTATION is between 0° and +90° (normal lateral stand) or
between 0° and -90° (180° reversed lateral stand).
Unattainable projections
A warning symbol is displayed in the stand orientation display if the image
orientation displayed cannot be obtained by the X-ray equipment. In
particular orientations, however, the warning symbol is displayed although
the orientation is in fact obtainable.
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Allura 3D-RA - Basic Operation Release 6.2 System overview 3-13

3.7 Stand orientation display

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3-14 System overview Allura 3D-RA - Basic Operation Release 6.2

 4 Maintenance

4.1 Planned Maintenance Program

Planned maintenance may only be carried out by qualified and authorized
personnel, and is comprehensively described in the Service documentation.
Philips provides a full planned maintenance and repair service on both a call
basis and a contract basis. Full details are available from your Philips Service
Organization.
A summary of the preventive maintenance program appears below. Where
you carry out planned maintenance as the user, you should always take all
practical steps to make sure that the Planned Maintenance Program is fully
up to date before using the product with a patient.
Preventive maintenance is required every 6 months for verification (and
recalibration, when necessary) of Allura 3D-RA.
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Allura 3D-RA - Basic Operation Release 6.2 Maintenance 4-1

4.1 Planned Maintenance Program

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4-2 Maintenance Allura 3D-RA - Basic Operation Release 6.2

 5 Glossary

5.1 Abbreviations
Abbreviation Explanation

2D 2-Dimensional
3D 3-Dimensional
APC Automatic Position Control
CAU Caudal
CRA Cranial
DICOM Digital Imaging and Communications in Medicine
LAO Left Anterior Oblique
PC Personal Computer
RAO Right Anterior Oblique
VRML Virtual Reality Mark-up Language (not used in StentBoost)
WL Window Level
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WW Window Width
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Allura 3D-RA - Basic Operation Release 6.2 Glossary 5-1

5.1 Abbreviations

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5-2 Glossary Allura 3D-RA - Basic Operation Release 6.2

 Index

Movie interactor tool 3-10

3D on Xper (option) 1-6
3D Overlay tool 3-11
N
A Normal view 3-5
Annotation tool 3-8
O
C Options 1-6, 1-7
Compatibility 1-5, 1-6 – 3D on Xper 1-6
Contra-indications 1-7 – Real Time Image Link 1-7
Contrast and Brightness tool 3-10 – Xper module 1-7
Orthogonal view 3-6
D
Default views tool 3-9 P
Pan tool 3-8
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F Planned maintenance program 4-1

Position interactor tool 3-10
Fast imaging mode 3-5

R
H
Real Time Image Link (option) 1-7
Hide overlay volume tool 3-11
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Render mode tool 3-8

Hide primary volume tool 3-10
Rotate around axis tool 3-8
Rotate in plane tool 3-8
I Rotate volume tool 3-7
Important safety directions 2-1
Intended use 1-3, 1-4 S
– Allura 3D-RA 1-4
Safety 2-1
– Important safety directions 2-1
M – Safety warnings 2-1
Maintenance 4-1 Scan ranges and rotation speeds 3-2

Allura 3D-RA - Basic Operation Release 6.2 Index I-1

Index

Select tool 3-7 – Zoom 3-8

Snapshot tool 3-10

V
T
View settings 3-6
Toolbar 3-7–3-11 Viewing mode tool 3-9
– 3D Overlay 3-11 Views 3-5, 3-6, 3-9
– Annotation 3-8 – default views 3-9
– Contrast and Brightness 3-10 – normal view 3-5
– Default views 3-9 – orthogonal view 3-6
– Hide overlay volume 3-11
– Hide primary volume 3-10
– Movie interactor 3-10 W

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– Pan 3-8 Warnings (safety) 2-1
– Position interactor 3-10
– Render mode 3-8
– Rotate around an axis 3-8 X
– Rotate in a plane 3-8 Xper module (option) 1-7
– Rotate volume 3-7
– Select 3-7

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– Snapshot 3-10 Z
– Viewing mode 3-9 Zoom tool 3-8

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I-2 Index Allura 3D-RA - Basic Operation Release 6.2

Philips Healthcare is part of
Royal Philips Electronics

www.philips.com/healthcare
[email protected]

Manufacturing address
Philips Medical Systems Nederland B.V.
Veenpluis 4-6
5684 PC Best
The Netherlands

0344

This Medical Device meets the provisions of the transposition

of the Medical Device Directive 93/42/EEC within the country
of origin of the Notified Body concerned with the device.

Printed in The Netherlands

4522 203 03151 * MAY 2012

© 2012 Koninklijke Philips Electronics N.V.

All rights are reserved. Reproduction or transmission in whole or in part, in any form or by any means, electronic,
mechanical or otherwise, is prohibited without the prior written consent of the copyright owner.