GE Healthcare

Technical Publication
Direction 5219970-100
GE Medical Systems does business as GE Healthcare

Revision 3
LightSpeed RT/LightSpeed Xtra
Application Tips and Work-Arounds
This Manual Supports the Following Product Names:
LightSpeed RT16
LightSpeed Xtra

0459

Copyrighted © by General Electric Company, 2007

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DAMAGE IN TRANSPORTATION

All packages should be closely examined at time of delivery. If damage is apparent write “Damage In
Shipment” on ALL copies of the freight or express bill BEFORE delivery is accepted or “signed for” by a GE
representative or hospital receiving agent. Whether noted or concealed, damage MUST be reported to the
carrier immediately upon discovery, or in any event, within 14 days after receipt, and the contents and
containers held for inspection by the carrier. A transportation company will not pay a claim for damage if an
inspection is not requested within this 14 day period.
Call Traffic and Transportation, Milwaukee, WI (262) 785 5052 or 8*323 5052 immediately after damage is
found. At this time be ready to supply name of carrier, delivery date, consignee name, freight or express bill
number, item damaged and extent of damage. Complete instructions regarding claim procedure are found in
Section S of the Policy And Procedures Bulletins. 14 July 1993.

CERTIFIED ELECTRICAL CONTRACTOR STATEMENT

All electrical Installations that are preliminary to positioning of the equipment at the site prepared for the
equipment shall be performed by licensed electrical contractors. In addition, electrical feeds into the Power
Distribution Unit shall be performed by licensed electrical contractors. Other connections between pieces of
electrical equipment, calibrations and testing shall be performed by qualified GE Healthcare personnel. The
products involved (and the accompanying electrical installations) are highly sophisticated, and special
engineering competence is required. In performing all electrical work on these products, GE will use its own
specially trained field engineers. All of GE’s electrical work on these products will comply with the requirements
of the applicable electrical codes.
The purchaser of GE equipment shall only utilize qualified personnel (i.e., GE’s field engineers, personnel of
third-party service companies with equivalent training, or licensed electricians) to perform electrical servicing
on the equipment.

IMPORTANT...X-RAY PROTECTION

X-ray equipment if not properly used may cause injury. Accordingly, the instructions herein contained should
be thoroughly read and understood by everyone who will use the equipment before you attempt to place this
equipment in operation. The General Electric Company, Healthcare, will be glad to assist and cooperate in
placing this equipment in use.
Although this apparatus incorporates a high degree of protection against x-radiation other than the useful
beam, no practical design of equipment can provide complete protection. Nor can any practical design compel
the operator to take adequate precautions to prevent the possibility of any persons carelessly exposing
themselves or others to radiation.
It is important that anyone having anything to do with x-radiation be properly trained and fully acquainted
with the recommendations of the National Council on Radiation Protection and Measurements as published in
NCRP Reports available from NCRP Publications, 7910 Woodmont Avenue, Room 1016, Bethesda, Maryland
20814, and of the International Commission on Radiation Protection, and take adequate steps to protect
against injury.
The equipment is sold with the understanding that the General Electric Company, Healthcare, its agents, and
representatives have no responsibility for injury or damage which may result from improper use of the
equipment. Various protective materials and devices are available. It is urged that such materials or devices be
used.

OMISSIONS & ERRORS

Customers, please contact your GE Sales or Service represenatives. GE personnel, please use the GEMS CQA
Process to report all omissions, errors, and defects in this publication.

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LEGAL NOTES

COPYRIGHTS

All Material Copyrighted(c) 2007 by the General Electric Company, All rights reserved.

REVISON HISTORY

Revision Date Reason for change

1 3/19/2007 Initial Release for 07BW08.2
2 4/30/2007 Updated for release of 07BW08.3
3 9/5/2007 Information Update

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TABLE OF CONTENTS
Legal Notes ...................................................................................................................................................................5
Table of Contents...........................................................................................................................................................7

LightSpeed RT /LightSpeed Xtra 07BW08.3 release ...........................................9

16

SOFTWARE VERSION ......................................................................................................................................... 9

TUBE WARM UP AND CALIBRATION........................................................................................................................ 9
CONTRAST INFORMATION PRESETS ...................................................................................................................... 10
MULTI LANGUAGE AUTO VOICE .......................................................................................................................... 10
AUTO APPLICATIONS – DIRECT VIS ..................................................................................................................... 11
IQ SNAP...................................................................................................................................................... 12
ANONYMOUS PATIENT ANONYMIZATION LEVEL ....................................................................................................... 13
SERIES NAME FOR REFORMATS .......................................................................................................................... 16
RETROSPECTIVE SERIES NAMING ......................................................................................................................... 16
AUTO TRANSFER SCOUT BY SERIES...................................................................................................................... 17
TUBE WARM UP CHECK.................................................................................................................................... 17
DATA EXPORT SAVE STATE................................................................................................................................ 18
LARGE PATIENT FONT ...................................................................................................................................... 18
SCREEN SAVE EXAM AND SERIES TEXT PAGE.......................................................................................................... 19
CONNECT PRO UPDATE PARAMETERS ................................................................................................................... 19

Precautions 07BW08.3 .....................................................................................................................20

SYSTEM ....................................................................................................................................................... 20
SCAN.......................................................................................................................................................... 21
SMARTVIEW (OPTION) ..................................................................................................................................... 23
Scanning ............................................................................................................................................... 23
Display .................................................................................................................................................. 23
SmartView Retro Recon.......................................................................................................................... 25
DOSE REPORT ............................................................................................................................................... 25
D3D/VARIVIEWER .......................................................................................................................................... 25
DMPR........................................................................................................................................................ 25
DATA EXPORT ............................................................................................................................................... 26
ECG TRACE ................................................................................................................................................. 27
PATIENT SCHEDULE ........................................................................................................................................ 27
PERFORMED PROCEDURE STEP (PART OF CONNECT PRO) .......................................................................................... 27
PROTOCOL MANAGEMENT................................................................................................................................. 27

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RECONSTRUCTION .......................................................................................................................................... 27
RECON MANAGEMENT ..................................................................................................................................... 28
EXAM RX DISPLAY .......................................................................................................................................... 28
IMAGE WORKS .............................................................................................................................................. 28
EXAM SPLIT .................................................................................................................................................. 29
DENTASCAN ................................................................................................................................................. 29
BONE MINERAL DENSITY .................................................................................................................................. 29
ADD SUBTRACT.............................................................................................................................................. 29

VOLUME VIEWER ........................................................................................................................................... 30

ADVANTAGE CT COLONOGRAPHY (PRO, PLUS, BASE)............................................................................................... 30
CARDIQ ANALYSIS ......................................................................................................................................... 31
CARDEP...................................................................................................................................................... 31
ADVANCED VESSEL ANALYSIS ............................................................................................................................ 31

ADVANCED LUNG ANALYSIS .............................................................................................................................. 31

PERFUSION .................................................................................................................................................. 32
REFORMAT ................................................................................................................................................... 32
ARCHIVE ...................................................................................................................................................... 32
CD/DVD INTERCHANGE .................................................................................................................................. 33
NETWORK .................................................................................................................................................... 33
FILMING ...................................................................................................................................................... 33
IMAGE MANAGEMENT ...................................................................................................................................... 33
LEARNING SOLUTIONS ..................................................................................................................................... 34

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LIGHTSPEED RT16/LIGHTSPEED XTRA 07BW08.3 RELEASE

SOFTWARE VERSION
This release supports LightSpeed RT16/LightSpeed Xtra systems. This Tips and Workaround document applies
to systems running 07BW08.3 software,

TUBE WARM UP AND CALIBRATION

To optimize image quality, an updated Tube Warmup and FastCal procedure has been implemented.The
following procedure is recommened:
FastCal - FastCal should be performed once per day. The sytem will determine if a tube warm up needs
to be performed before running FastCal.
Tube Warmup – If the sytem has been idle for 75 minutes, a tube warm up will be required to be able to
use the small focal spot. Only the large focal spot will be used until a tube warmup is performed. A pop up
will be displayed informing you of a required tube warm up

Select OK and then select Daily Prep to run Tube Warmup.

If you are unable to run tube warmup at that time and decide to cancel, a message will appear in the Alert
Message Box to remind you that only the large focal spot can be used till a tube warmup has been
completed.

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CONTRAST INFORMATION PRESETS

Contrast Information Presets – supports use of presets or direct entry for IV or GI contrast information.

Select the IV or GI contrast icon to directly input contrast information.

Select Preset List for GI and IV to select contrast information from preset list.

MULTI LANGUAGE AUTO VOICE

Multi Language Auto Voice – provides the capability to change the language of the Pre-recorded Auto Voice
message selections 1, 2 and 3. There are 10 language choices - English Male, English Female, Japanese,
French, German, Spanish, Mexican Spanish, Italian, Korean and Chinese. A change in the selected langage is in
effect for the protocol until End Exam, then software returns to the default AutoVoice language. The selected
language will play for all protocols where AutoVoice message 1, 2 or 3 has been prescribed in a protocol,
regardless of the language built in the protocol.
The default language for pre-recorded messages is English Male for this software update. The default
language is set by your Service Representative at installation of the softare. Configurations changes for the
default language will be saved as part of the System State and carried forward into the next software reload or
release.

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AutoVoice Record Screen

AutoVoice Language Selection Screen.

AUTO APPLICATIONS – DIRECT VIS

Auto Apps – Direct VIS column on the ViewEdit screen is now called Auto Apps. Auto Apps supports the
selection of Neuro Filter option and Direct Vis options of Direct MPR and Direct3D.

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IQ SNAP
IQ Snap – provides the ability to reserve the scan data files related to images with IQ issues for further
investigation. Select the images that you want to reserve the scan data files in the Browser on Image Works
desktop make an anonymous series or a set of anonymous images for the series with IQ issues. Select the
anonymous Exam in the Browser and select IQ Snap in the Tool Bar in Image Works. Select OK in the IQ Snap
pop-up to reserve the scan data files as anonymous. Do not initiate an IQ Snap while the system is actively
scanning or reconstructing data.
The maximum number of images that can be selected for IQ Snap is 500 images. All the images need to be in
the same series. If there are IQ issues in more than one series, each series needs to be done separately.
The Num Lock key on the 10 number keypad must be off. If Num Lock is on, IQ Snap will not execute and it will
appear the system is hung up.

Select IQ Snap in the Tool Bar on Image Works

If the images selected are not anonymous, a pop-up will appear instructing the user to make the data
anonymous.

IQ Snap cont.
Select OK, to continue. Select the images in the Bowser and create an Anonymous series or image by
selecting Utilities in the Title Bar of the Browser.

IQ Snap pop-up is displayed on Left Head. Select OK after selecting desired images in the Browser, making
them anonymous and selecting the anonymous set of images.

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The corresponding scan data files will be reserved for images in the anonymous exam. You can verify the scan
data is reserved by selecting Recon Mgnt; then selecting Release Scan Data. For Helical, the scan data
reserved is for the group or scan the group the images are related to. For Axial mode, the scan data reserved
will be the axial rotation the images are related to. For Axial mode, you may want to select a group of images
on either side of the image where an IQ issue is seen to make sure enough scan data will be available later.

ANONYMOUS PATIENT ANONYMIZATION LEVEL

Anonymous Patient Anonymzing Level – changes are supported in the Tool Bar on Image Works desktop.
Selecting Anon Pat. Level provides the ability to change the annotation level to Full or Partial modes for
Anonymous Patient by Exam, Series Image in Utilities in the Browser on the Image Works desktop.

Anonymous Patient Anonymizing Level cont.

Tool Bar and Utilities are found on the Image Works desktop
Selecting Anon Pat. Level in the Tool Bar on Image Works will display one of two messages depending on the
current mode the software is set to.

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Select OK to change from Full Level to Partial Level. Select Cancel to remain at Full Anonymous Level.

Anonymous Patient Anonymizing Level cont.

Select OK to change from Partial Level to Full Level. Select Cancel to remain at Partial Anonymous Level.
In Full mode, the Exam Number, Patient ID, Patient Name, Exam Description and Series Description are listed as
ANON or ANONYMIZED. The following are removed from the images when made anonymous: Birthdate, Age,
Weight, Operator Name, and Site Name (Station). The following fields are blank: Sex, Referring Physician and
Accession Number. Full mode is the most HIPAA compliant mode.
In Partial mode, the Patient ID and Patient Name are listed as ANON. The following are removed from the
images when made anonymous: Birthdate, Age, Weight and Operator Name. The following fields are blank:
Sex, Referring Physician and Accession Number. The Site Name (Station), Exam Description and Series
Description are not removed.

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Anonymous Patient annotation for Full and Partial Levels

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SERIES NAME FOR REFORMATS

Series Name for reformats – can now be specified in Reformat or Volume Viewer when creating Batch
reconstructions. Select Filming Tools and Film/Save Options and enable Name Batch Series.

Once Name Batch Series has been enabled, you will be able to enter a protocol name for the reformat series
being created or use the default name for the protocol as the series description.

Name Batch Series menu

RETROSPECTIVE SERIES NAMING

The Series description can now be changed in Retrospective recon. This allows the user to specify a different
Series description from the original prospective series.

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AUTO TRANSFER SCOUT BY SERIES

Auto Transfer can now be prescribed for scout series. Up to 4 destinations may be selected.

TUBE WARM UP CHECK

The system will now verify if Tube Warm up has been completed when recommended. If the warm up has been
skipped or is not complete, a dialog will be posted and the mA will be limited for the first exam scanned after
Tube Warm Up was recommended. Large focal spot mA will be limited to 500 and Small focal spot will not be
available. To enable the full mA range for both the small and the large focal spots, select End Exam and
perform Tube Warm up from Daily Prep.

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DATA EXPORT SAVE STATE

Save state has been updated to add Save State for WW, WL, Roam and Zoom to the exported image.
The state is saved when the Save State selection is checked.

LARGE PATIENT FONT

The scan date has been added to the Large Patient Font selections. The settings are available for both Screen
and Film display.

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SCREEN SAVE EXAM AND SERIES TEXT PAGE

Screen save capability has been added to the Exam and Series text page displayed in the Image Works
desktop.

CONNECT PRO UPDATE PARAMETERS

Additons have been made to the update parameters when querying a HIS RIS system. Patient Name and
Patient ID have been added as selections

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PRECAUTIONS 07BW08.3

SYSTEM
• GE CT Image reconstruction is in an orientation viewing from the patient’s feet. The reconstructed
orientation is the orientation the image is installed in the image database and is the orientation
images are networked with to a remote viewing station. The patient position information stored in the
image header correctly reflects the orientation (RAS) information for the patient. Viewing applications
will correctly reflect Right, Left, Anterior and Posterior of the patient. The reconstructed image
orientation may differ from preferred anatomical viewing presentation in which the patient's Right is
on the viewers Left and patient's Left is on the viewers Right. For example when the patient is scanned
Head First and Prone the patients’s Left is on the viewer’s Left and the patient’s Right is on the viewer’s
Right. The image presentation will need to be modified to display preferred anatomical viewing. Some
viewing stations may not have the capability to flip the image presentation, but if the capability exists,
the user must use display tools such as Flip to change the presentation of the image. Some remote
viewing stations may have the capability to set default viewing protocols, this is another tool that can
be used to set an anatomical viewing presentation. Post processing applications such as VariViewer,
Direct MPR, Reformat and Volume Viewer automatically orient images in anatomical viewing
orientation. These applications create axial images in anatomical viewing presentation. The system
also provides the capability to create Gray Scale Presentation State Objects (GSPS) to flip the image
orientation.

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System cont.

• It is recommended that the system is rebooted every 24hrs

• The folowing message may be posted, after a system reboot, WARNING:Setup Error Log for ORP failed.
System Resets is recommended. Select Service desktop/System Resets reset the hardware.
• If the system is shutdown and power is turned off to the console, all the LED lights on the gantry
display may illuminate and flash with the 888.88 in the displays for horizontal table location, vertical
height indicator and gantry tilt on LightSpeed 5.X based and BrightSpeed based systems.
• If your system is installed with Multiple IG’s (16 frames per second recon). If one of the Image Generators
does not start or is found to not be functioning properly at system start up a pop dialog will be posted
indicating that one or more of the IG’s is not functional. The system can function with one or 2 IG’s, but recon
times will be slower. Contact Service.
• When connecting the Head Holder, Coronal Head Holder or Extender to the cradle, make sure these
accessories are firmly latched to the cradle.
• If the Head Holder does not attach firmly to the cradle, contact your local service representative to
apply patches supplied in kit 2327335 (P9230JV).
• Saving images to CD/DVD while scanning may cause long missed interscan delays. Do not save
images to CD or DVD while scanning
• When Shutdown is selected the prompt displayed when the shut down is complete is System halted.
When this prompt is displayed it is safe to turn off power to the console.
• The Dynaplan screen may be blank after a confirm scan or after a desktop switch. The screen
transition was not completed successfully. Switch desktops to refresh the screen. The system is able
to scan with the Dynaplan screen blank. Use the X-ray on light on the keyboard and gantry display
and the scan time counter on the gantry controls to monitor the scans.
• Do not remove images while scanning. Always remove images when the system is idle. Removing images
while the system is acquiring and reconstructing data could cause the system to lock up and require a
reboot and/or force the system to go into data base recovery.
• The clock on the system may gain time. Please contact your field engineer to reset the time or if your
site has a Network timeserver the system can be configured to synch time to the timer server when
the system is rebooted.
• All lights will light on the gantry display when power is removed from the operator console when
Shutdown is selected from the Pink Shutdown button. This is due to a reset that is being done when
the power is removed from the Operator console.

SCAN
• Warning: When scanning for interventional (biopsy) studies the image thickness and number of
images per rotation affect the display rate of the images. Faster display rates such as those achieved
with the 16 FPS option (3IG) may skip images in display. It is best to use Biopsy mode for interventional
studies. Do not use an Auto View layout that has more than 1 Auto View image viewport. Do not use
Axial modes greater than 1i or Helical scan slice thickness 2.5 mm or less. A secondary review in a free
display viewport must be done.

• After turning on Recon 2 or 3 and the slice thickness is equal to Recon 1 if adjusting the start location
graphically, the line may jump back to the recon 1 start location. Click and drag slowly to adjust the

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Start Location or you may have to move the location further than needed and then move it back to
the desired location.

Scan cont.

The image interval in Recon 2 and 3 will be reset to the Recon 1 interval when Recon 2 or 3 is turned
Off/On. Verify that the interval is set to that desired before confirming the scan.
The system may not tilt the gantry when pressing the remote tilt button. Release the button and press tilt
again to continue.
You may not be able to type on the View Edit screen even though the field is in focus. The CD/DVD main
menu grabbing the focus of the cursor causes this. Select Image Works and close the CD/DVD menu to
recover.
The Patient Schedule and Retro recon buttons may remain highlighted even when these functions are no
longer active.
Do not switch quickly between Retro Recon, New Patient and Patient Schedule. Screens may get in a state
where they are no longer visible
Show localizer does not show the Scan Field of View when prescribing scans. When scanning head studies,
verify that you have your patient centered at ISO center to assure that the entire head is included in the
SFOV.
Do not select Cine segment for ungated studies.
WW and WL adjustment, roam, zoom and adjusting graphic localizer lines on a long scout may be slow.
• The DFOV handles may be outside of the image when switching SFOV and the Scan Type is Cardiac Helical.
If you cannot see the handles. Type the desired DFOV on the Viewedit screen.
If a scan group contains 1 image and Recon 1 thickness is thicker than Recon 2 thickness. The thinner
recon 2 data set may not be contiguous. This occurs due the setting of the start location. If you have
multiple groups with 1 image set the start location of Recon 1 at a interval equal to the thinnest recon
thickness selected
• If any Direct Vis app is enabled under the Recon tab, Add Group will display some fields as insensitive as it will be
combined with the current DMPR, Direct3D or VariViewer session. Turn DMPR, Direct3D or VariViewer off for the
added group if you no longer want it to be included as part of the DMPR, Direct3D or VariViewer session. This will
allow changes to any of the acquisition parameters.
• The gating button may turn red when the patient experiences a big jump in heart rate such as when there
is a PVC. The system usually will recover and read the signal. Sometimes you may have to toggle the
gating button Off/On to get the heart rate signal synched up again. Care should be taken when starting
the scan if the patient continues to have PVC’s.
A scan may fail to resume with an error message unable to bring up Tube Rotor for XXX seconds. The rotor
can only be boosted every 90 seconds and the error will occur if the abort shuts off the tube rotor within
this 90 second window. Be patient and resume the scan after the time indicated.
If PPS Is enabled the Complete dialog displayed when End Exam is selected may be hidden. A system
reboot will be needed to recover.
If Auto Voice cannot be heard, check the setting on the Tool Chest in Image Works. Select Auto Voice
Volume. Using the sliders set the value between 50-85%, Select [Save] and then [Default] to set the new
saved value.
Graphic RX may fail to start and fail to display an image. Check to see if the scout images are in the
browser. If the images are in the Browser, toggle Show Localizer Off and On. If this still fails to display the
scout image, use the Restart Show Loc button in the Tool Chest in the Image Works Desktop.

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Scancont.

If Show Localizer is fails to restart, use report cursor in Exam Rx Display in a free viewport to determine the
Start and End locations and the R/L and A/P centers for the acquisition. There is no need to rescan the
patient. A reboot may be needed to recover after the exam is ended if Restart Show Loc fails to restart the
graphic prescription process or if the scout fails to reconstructs.
If a scout is aborted, Dynaplan will display an additional line in the informational area for scout 2, but no
additional scans will be taken.
If a scan aborts, press resume as quickly as possible to resume the scan.
You may see a scan abort due to a beam tracking error. Press [Resume] to continue. Please perform a
Quick Snap using Quick Snap from the Tool Chest in the Image Works Desktop prior to ending the Exam. It
is best to report the incident to Service.
Incidences have been seen where the system fails to transition to the Scan Phase in Smart Prep. Press
[Scan Phase] or [Resume] to continue. . Please perform a Quick Snap using Quick Snap from the Tool
Chest in the Image Works Desktop prior to ending the Exam. It is best to report the incident to Service.
• ECG Modulation may deliver a lower than prescribed modulation of mA when a large range of phases is
prescribed for the phase range. Keep the phase range for ECG Modulation between 30 and 90%.
• Running the table in the short foot print configuration. The restriction in cradle range is not active when
the cradle is unlatched. Please take care when moving the cradle to not run into objects or walls.
• If you select Exam Split and the software is not functioning properly, check to make sure that the software
feature has been installed successfully
• When prescribing a scan on a scout that is over 1000mm, a lag time may be seen. Move the scan lines
slowly when prescribing the scan.

SMARTVIEW (OPTION)
SCANNING
• Scanning may abort in SmartView. Release the foot pedal and press the foot pedal to continue
• After releasing the foot pedal in SmartView the turn around time to make another exposure is
approximately 4 seconds
• If the optimize window is up when scanning is confirmed for SmartView Multi Slice. The optimize
button will display on the SmartView Multi Slice dynaplan screen. The only way to remove it is to
pause and return to viewedit and turn off optimize.
• When building a SmartView protocol, if the Bump distance is changed to something other than ½ the
slice thickness, the new bump distance will not be saved correctly in the protocol.

DISPLAY
• Images from a previous exam’s SmartView series may display in the reference viewport. If the images
are not the ones desired, use List Select in SmartView display to select the correct images.

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• The WW and WL can be adjusted to a value that is not clincally relavent. This may cause SmartView
display to hang ans acquistion to stop. Keep WW and WL values in a clinically relevent range to avoid
this.

Display cont.

• The image in focus in any viewport will be loaded in the Real Time Display Free viewport when
SmartView Multi Slice is entered
• The system may take a while to display the List Select screen in Real Time Display. Please be patient
• You may be able to roam a image outside of the Viewport in SmartView display
• It may be hard to get the angle of measure distance back to zero.
• Measure distance may fail to maintain if the distance is at an angle. Verify that the measurement is at
the desired location and if it is not, adjust the measurement to the correct location.
• The Grid may turn back on after a SmartView exposure is made even if it has been turned off.
• User Annotation in Real Time Display has limitations
o The cursor does not default to the end of the line. Make sure the cursor is in the correct
location when editing the anntoation graphic
o The annotation box can only be moved by clicking and dragging on the red box
o The arrow cannot be removed
o Annotation Text is left justified. When typing the annotation the annotation may go outside of
the viewport
• The handles for the measure distance graphic may not be displayed if the image is zoomed. Either
reset the zoom to a Mag Factor to 1.0 or roam the image to see the handles
• SmartView images may fail to remove. Perform a system Restart to remove the images.
• SmartView WW and WL preferences are not maintained across software loads. You must reset the
preferences after a software load.
• SmartView series of greater than 2000 images may fail to transfer to a remote host when Auto
Transfer by Exam is selected. Verify that the desired images are transferred.
• Selecting the F4 function key will cause any display window to crash.
• Some screens may contain English text for non English versions. Translation of the function will be
included in the Learning Reference Guide for the system
• The warning message screen listed in the Learning and Reference Guide 2369740-247 Rev. 8,
page 6-18 Figure 6-12 does not match the actual screen shown on the operator console.

Screen shown on User interface Figure 6-12

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SMARTVIEW RETRO RECON

• Retro Recon of 3i acquisitons will produce 2i images.

DOSE REPORT
• The window level for the Dose Report, screen saved text page may need to be adjusted to make the
information visible when transferred to PACs or workstation. The hanging protocols or file identification of
the Dose Report on the PACS may cause the screen save image not to be displayed with viewable
window/level.
• If a Dose Report is not generated at End of exam. Please perform a Quick Snap and contact GE as soon as
possible.
• The font on a filmed Dose Report text page may not be as bright as on the monitor.
• The phantom size which dose was calculated on is not shown for SmartPrep monitor scans. The same size
phantom used to calculate dose for the series is used for the SmartPrep images.

D3D/VARIVIEWER
• VariViewer will not be installed if DMPR option is installed.
• When angle measurements are applied to a image created with Save Image in Varivewer and is then
screen saved, the angle measure will show 0 degrees. Use User Annotation to annotate the angle
measurement on the image prior to screen saving the image.

DMPR
• Images in DMPR are oriented in anatomical viewing orientation where the Patient’s left is on the viewer’s
right, Patient’s right is on the viewer’s left, Anterior is at the top of the image and Posterior is at the bottom
of the images. DMPR will automatically orient image reconstruction orientation to this convention. For
example images from a patient orientation and entry of Head first prone will be automatically flipped to
anatomical viewing orientation. Any batch or manual reformat images will be oriented in this convention.
• Scan groups added after the initial confirm will not add images to DMPR. Make sure that the initial scan
groups covers the area desired in order to visualize it in DMPR.
• Batch protocols will not work in DMPR if they are created on an Oblique image. To avoid this, create any
additional protocols in the Axial, Coronal, and /or Sagittal viewports only in reformat and/or volume viewer.
• Batch protocols with multiple steps are not compatible with DMPR. If multi-step protocols are used,
multiple sets of the reformats will be created
• If the auto batch protocol prescribed for an exam and the user quits out of DMPR, all auto batch protocols
will finish before images for the next patient’s DMPR session will be displayed in the DMPR display layout.
• If the user has prescribed auto batch protocols and quits DMPR before the auto batch protocols start, the
reformatted images will not be completed.

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• In order to page/scroll through images during DMPR reconstruction, the user should use the Oblique view
for paging. Once the reconstruction is complete, the image may change DFOV to accommodate all the
data in MPR.
• There is an image limit of 2000 images for DMPR sessions for 16 slice systems and 1200 images for 4 and
8 slice systems. If more than 2000 or 1200 images are prescribed, the scanner will not allow the user to
enable DMPR.
• The Direct Film composer may come forward during batch filming. If this occurs, click on the minimize
button to hide the film composer.
• If a reformatted image is magnified, the 3D cursor may be displayed outside the viewport on a specific
view. Hold the shift key and click with the left mouse key on the image to make the 3D cursor appear on
the image to correct this.
• User can delete the image series that is currently active/loaded in DMPR. Do not delete exams when
DMPR has not been completed.
• The DFOV for auto batch axials defaults to the DFOV of the scan range instead of the DFOV in the protocol.
• The RAS limits may show greater than the scan range when the Image DFOV is greater than the scan
coverage.
• The accession number is not displayed on DMPR images regardless of annotation level.
• If you experience the system creating multiple sets of reformats and you do not have multiple protocols
selected, there are hidden copies of protocols that may have been created when modifying existing
protocols in Reformat or VolumeViewer. Contact service to have the hidden copies removed.
• If the tilt is greater than zero or less than 1 degree for a batch reformat in DMPR, the reformatted images
will show lines in them. Make sure the plane being prescribed in batch mode is orthogonal or the tilt for
the batch prescription is greater than 1 degree.
• There have been incidences in DMPR where the batch reformat images have been scrambled such that an
image at a certain level is displayed at a different location or an image of another plane is shown in the
reformats. Use Reformat on Image Works to generate a new set of reformatted images.

DATA EXPORT
• Patient name may be truncated near the end of the string when anonymizing the data.
• When sending patient report twice, using the ftp option, the second report will be sent to Homedir instead
of reportDir.
• Do not have an active System state save or restore active when Create CD is selected. This may corrupt
the system state disk.
• Only use CD –R media for saving reports. If DVD –R media is used it can take over 5 minutes to save the
report.
• Scout images scanned with an Azimuth of 180 or 270 will display flipped and rotated in Data Export. If you
wish to export scout images scan them using a 0 or 90 Azimuth for display that is not flipped or rotated.
• Reports will fail to transfer in FTP if report name contains numbers.
• When using ftp to send images, patient anonymization does not work. Must use cd-rom to save
anonymized data.
• Color Images exported may not have the same color as the original screen save image

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ECG TRACE
• This ECG trace on the console is not to be used as a diagnostic tool (i.e., there may be a flat line, but it could
be due to Ethernet becoming disconnected, etc).
• The ECG trace may appear on the screen after a reboot if the ECG monitor is on during a reboot.
• If the ECG Trace is not displayed on the monitor of the operator Console, check to see that the IVY 3150
monitor is set to Ethernet mode and the Ethernet cable is connected to the gantry. If the mode was
changed from Data to Ethernet, cycle power to the IVY monitor to enable Ethernet mode.
• The ECG Trace may not be saved on the OC during periods when the system may be heavily loaded.
• Occasionally, the ECG Trace does not close at End Exam. Select New Patient and then End Exam.

PATIENT SCHEDULE
• The Patient Schedule button may not display the Work List from the HIS/RIS server if the network is slow.
Try again to update the Work List.

PERFORMED PROCEDURE STEP (PART OF CONNECT PRO)

• Complete PPS status for series in the order the series was created. PPS update will fail if done in an out of order.
• The PPS server may stop and fail to send the request. You may have to select Complete multiple times to
get the series to update to the complete the state.
• Add/Sub does not update images for PPS correctly at this time.
• Dose Text Page images do not update images for PPS correctly at this time.

PROTOCOL MANAGEMENT
• Protocol Management will be slow to access on the first time after a system reboot.
• The Dose information in protocols used from Most Recent does not reflect the dose actually used for the
protocol. If the protocol contains manual mA, retype the mA value to update the dose display. If Auto mA
is used, the dose will not be reflected correctly in Protocol Management, however it will be updated at scan
time for the current patient being scanned and based off a valid scout image.
• If the weight of a child is at the cross over point of a weight category, because of rounding errors, the
correct weight category might not be selected. Please confirm the weight-based category selected
against the label and the patient’s weight to ensure correct protocol is selected.
• The bump distance will not be saved correctly in SmartStep or SmartView series if the value is something
other than ½ the slice thickness.

RECONSTRUCTION
For 16-slice acquisitions Full recon mode has been disabled for scans with Head or Ped Head SFOV and
slice thickness of 0.625 or 1.25mm.

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Anatomy scanned off center from ISO center such as extremities, may have loss of resolution when data is
acquired helically. Always make sure to center to anatomy of interest as close to ISO center as possible.
Images reconstructed from Recon 2 that are thinner than the Recon 1 slice thickness may be reconned with
interval equal to the Recon 1 slice thickness. The will occur if the scan groups contain 1 image or if the scans
were taken with One More Scan. This may create a non-contiguous data set that if used in Reformat or Volume
Viewer may result in less than optimal image quality. To avoid this the start location of Recon 1 recon 2 or Recon
3 must be an interval of the thinnest recon thickness from the previous group.
• Retro recon may not be able to get the exact same image locations or number of images as prospective
recon. This is due to rounding of the values for the start and end locations. To avoid this mismatch,
prescribe start and end locations using even numbers. In some cases retro recon may show a end location
greater than the prospective recon, adjust the end location to be equal to the prospective end location.

RECON MANAGEMENT
• Scan File Save will not finished even though the Saved File message has been posted. The problem is due
to the time takes to unmount the DVD. You may have to wait 5 - 7 minutes or longer for the DVD to
unmount. Please note: the save is complete when the write light on the DVD drive has turned green. Then,
the DVD is unmounted.

• Scan data must be saved to a DVD on Linux based systems when Save Scan Data is selected. Make sure
that you have a DVD RAM cartridge in the drive to save the data.

EXAM RX DISPLAY
• Exam and Series text pages may be slow if there are a large number of images in the exam/series.
• The Browser may fail to close if a Text Page is displaying
• MIROI may fail to produce a graph if next prior is selected when performing MIROI. Redisplay the series
and begin the MIROI process again.

ExamRx Display cont.

• The lower right viewport may fail to function after switching layouts. Switch layouts from Auto view to
Review and choose a new layout to recover.
• The Exam Text page will list the scan range incorrectly when the patient is scanned Head first.

IMAGE WORKS
• The format buttons when viewing the GSPS series in the Viewer are a bit confusing. The format buttons
shown do not always match the format listed in text.
• If more than 1 GSPS object is contained in a GSPS series the Viewer will always display the first object in
the series regardless of the object selected
• Occasionally, it may not be possible to remove some images even though they are not locked for archive,
network, DMPR, Direct3D, AutoFilm, SmartView or displayed in a viewport. These files will be unlocked after
the next system reboot.
• The Exam Text page will list the scan range incorrectly when the patient is scanned Head first.

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• Anonymous Patient does not check that there is enough disk space to install the new anonymous exam.
Prior to starting Anonymous patient make sure you have enough disk space available.
• Images created in Add Subtract will fail to do measurements such as ROI, measurements. Use Exam Rx
display is measurements are desired on these images.
• If an exam is not listed within Image works or the Exam RX browser - select refresh list. If the exam still fails
to display, reboot the system

EXAM SPLIT
• Images will fail to send if the Reference Study sequence is missing and was not included in the Patient
record sent from the HIS/RIS.
• The WW and WL values are reversed when using the Preset WW and WL buttons in Exam Split.
Manually adjust the WW and WL with the mouse to get the desired value
• The accession number will not be in the image header for exams split when Exam Split is in the VES
mode.
• All images may fail to send if a series of images 2000 or greater is used.

DENTASCAN
Do not use Extended CT Number range for images that will be processed in Dentascan. This application
does not support Extended CT Number range.
The intended use of Dentascan is to film real life-size images of the mandible for planning of implants. The
DFOV prescribed for the scan should not exceed the DFOV calibrated for filming. If you need to image the
entire mandible, use the oblique cursor and position it in the middle of left and right ramus to film each
side.

BONE MINERAL DENSITY

Do not use Extended CT Number range for images that will be processed in BMD on an Advantage
Windows or Mindways system. These applications do not support Extended CT Number range.

ADD SUBTRACT
• Comb images will not contain the e/s/i used for the added image.
• Successive actions in the program are not automatically put in a New Series. Select New Series each time
you do another calculation if you want the data in separate series.
• Images created in Add Subtract will fail to do measurements such as ROI, measurements. Use Exam Rx
display is measurements are desired on these images.

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VOLUME VIEWER
• The Review Controller is displayed over the top of the Film Composer and wizard panels that have been
moved into the area of the review Controller. Consider closing the Review Controller or moving the Film
Composer or wizard panels to a location away from the Review Controller so they will not covered by the
Review Controller.
• Volume Viewer may hang when switching between Image Works and Exam RX display. Avoid switching
and deselecting a exam in the browser.
• When creating a new layout shortcut, it is always placed on the anatomy protocol selection page. If you
do not wish to have it displayed there, you can remove it.
• Switching desktops may be slow when Volume Viewer or one of the applications on the Operator Console
is active.
• For 3D ROI created on small-segmented volume for viewports small than 512, the statistics on the small-
segmented volume views maybe incorrect because part of the original volume may be included.
• Filming VR images from inside Volume Viewer may produce poor results. Save the images and film from
the Viewer or Mini Viewer.
• The Volume Viewer may lock up when the film composer is full and F1 is used to capture another image.
To correct this issue, change the review step and the viewport will be reset.

ADVANTAGE CT COLONOGRAPHY (PRO, PLUS, BASE)

• If you switch from Image Works prior to the filtering step being completed, the model will not continue on
to the next step. Return to Image Works to complete the model.
• Images fail to save in color when color save is selected.
• The Save State series for CT Colonography exams need to be launched from Volume Viewer not from the
Adv CTC Pro/Plus button in the Browser.
• Filming using the Function keys inside of Adv CTC Pro/Plus does not work. Screen Save the images and
film from the Viewer.
• The Save Tacking file can not be networked. Save Tracking should only be done on the system you are
going to restore tracking files for reviewing colonography data.

Advantage CT Colonography (Pro, Plus, Base)

• Annotation to bookmark information to a report results in unusable wizard panels. Do not send bookmark
information to report.
• Dissec Review Full layout is a dual monitor configuration and is identical to Dissec Review layout on a
single monitor configuration. On the OC, the Dissce Review layout should be used.
• Book text entry panel cannot be closed. Do not open the text panel by clicking on the bookmark active
annotation.

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CARDIQ ANALYSIS
• Save Tracking cannot be networked. Only perform save tracking on the system that you would like to
restore and review the tracking file from.

CARDEP
• User can edit while in Endocardial View, but is not a supported functionality. User should not edit the
endocardial view, because the functionality is not supported. User should use normal view to edit.

ADVANCED VESSEL ANALYSIS

• A problem with the measurements performed after using the manual contour edition tool within a Vessel
analysis protocol has been identified and corrected. The user should be aware of new measurement
accuracy guidelines for Advanced Vessel Analysis
Measurement Accuracy
CAUTION: Accuracy of cross-section distance measurements should be +/- 10% for vessels
with a diameter between 10 and 20 voxels. It should be +/- 5% for vessels with a diameter
greater than 20 voxels.
CAUTION: Accuracy of cross-section area measurements should be +/- 40% for vessels with
a diameter between 10 and 20 voxels. It should be +/- 20% for vessels with a diameter
greater than 20 voxels.
CAUTION: Accuracy of volume measurements should be +/- 40% for vessels with a diameter
and a length between 10 and 20 voxels. It should be +/- 20% for vessels with a diameter and
a length greater than 20 voxels.
CAUTION: Accuracy should be better than +/- 10 degrees for angle measurements.
• It is not possible to film the AVA report directly to film composer. User must save the report to the hard
drive as screen saves and then send images to the film composer using the Viewer.
• Switching view types after vessel tracking causes the segmented volume to be lost and replaced with the
full volume. Limit the view type switching to the upper left viewport after vessel tracking to prevent losing
the segmented volume.

ADVANCED LUNG ANALYSIS

Advanced Lung analysis requires an excellent data set to track the change in lesion size over time. The
recommended scan protocol has been updated to provide a better data set.
16 slice system
Scan Type Helical
Rotation time 0.5s
Number of Rows 16

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Pitch 0.562:1
Table speed 5.62
Slice Thickness 0.625 mm
mA 90 mA (total mAs must be >40)
Algorithm Bone

PERFUSION
• User annotation text disappears when annotation is greater than12 characters on one line. User should
limit annotation to 12 characters per line.

REFORMAT
• If the W/L values selected from the pull downs in reformat do not match your W/L Users Prefs, go to User
Preferences in the Viewer, review values saved in User Prefs, correct if necessary, and then select Save as
Default. If this does not resolve the issue contact your service representative.
• If the F-keys for W/L are selected while Preview mode is in an active state, Reformat may close.
• Reformat may display a longer z range (S-I) than actually scanned. This is due to additional pixels that are
added in reformat. Image data is only available for the range scanned.
• If there was an abnormal shutdown such as a power failure and Reformat was open, it may not be
possible to open Reformat after power is restored and the system rebooted due to a corrupt log file.
Please contact service to have the corrupt log file removed.
• When deleting reformat protocols, exit reformat after removing the protocol and then enter Reformat
again to build a new protocol if you are going to use the same name. If you stay in Reformat, multiple
copies of the protocol will be made. These multiple copies of the protocol with the same name will be
hidden but when used in DMPR will create multiple sets of reformatted images.

ARCHIVE
Archive may fail and slow the system when more than 200 images are queued by image. To avoid this, try
to archive by series if possible. Detach the MOD, and then resume the queue to restart archive.
The system may report that the archive media is full even though the media has just been labeled when
Save by image is selected. To avoid this, try selecting a smaller range of images if possible.

Archive cont.

Archived DICOM RGB images from a Vitrea workstation may fail to restore. There is no recovery for these
types of images.
Color images saved to MOD from Advanced Applications processing will fail to restore on a AW system.
Use Network or save images to CD using CD/DVD to avoid this. This also includes Color function maps from
Perfusion.

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CD/DVD INTERCHANGE
The CD/DVD main menu will grab focus of the cursor from other windows, close the main menu to restore
focus to other windows. The main menu will always be on top of other screens on the right monitor. Move the
main menu away from the Restore menu for easier selection of items in the restore menu.

NETWORK
• Images with PPS enabled cannot be networked to a HiSpeed CT/i system. The HiSpeed CT/i does not
support Performed Procedure Step

FILMING
• Image settings such as WW/WL, flip rotate, zoom, and roam are not maintained across all images when
initiating F4 print series from a MID Viewport format. Use a 512-size viewport to initiate a F4 Print Series.

• If the F1 key is used to film the Text Page ROI, Exam Text Page and Series Text Page, the text pages will be
filmed to the film composer last selected in the pop-up for text page. Use the filming selections in the text
page screens to film the information displayed correctly.

• Two film composers may be displayed at the same time if a film composer is launched inside Reformat or
one of the Volume Viewer applications. Only one of the film composers will be active. Close the inactive
one and continue to film in the active one.

• The Filming Function keys (F1, F2, F3) do not launch the Film Composer in reformat or Volume Viewer. Go
to Filming Tools and Film Composer to launch the Film Composer before using the F-keys for filming in the
Reformat or Volume Viewer options.

• If there is an active DMPR session and you switch to an AutoView layout, images filmed to the Manual Film
Composer from the lower left viewport will not be filmed using square viewport format.
• After End Exam, if the Dose Report is filmed in the lower right viewport to the Manual Film Composer,
image will not be filmed using square viewport format.
• Some cameras may fail to film color saved post processed images. Turn off Color Save in Film Save options
to avoid this.

IMAGE MANAGEMENT
• Removal of images should be done with the system in an idle state. Failing to remove images at idle times
can cause image install timeouts that can then cause recon to shutdown and can cause the browser to
fail to respond. The user may also see a blank list in the browser. The system should not be shutdown until
the image space has been updated fully from the remove. The length of time to synchronize the database
is proportional to the number of images being removed. This will assure that all images are reconstructed,
displayed and installed into the database without error and that image space is updated correctly.

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LEARNING SOLUTIONS
After a desktop switch back to Learning Solutions desktop the guide returns to the home page instead of
returning to the page opened on when the switch occurred. The document is slightly behind the home page. Left
click and drag on the home page border to move the home page so you may access the Learning and
Reference Guide pdf file.
When enter is selected in search the Learning and Reference Guide pdf file will close. Use the bookmarks on left
side to search through the document.
Full screen mode displays the document split between the left and right monitor.

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35
Manufacturer Address:

GE HANGWEI MEDICAL SYSTEMS CO., LTD.

NO. 2 NORTH YONG CHANG STREET
BEIJING ECONOMIC - TECHNOLOGICAL DEVELOPMENT ZONE
BEIJING, 100176, P. R. CHINA

GE MEDICAL SYSTEMS, LLC

3000 N. GRANDVIEW BLVD., WAUKESHA, WI., U.S.A.

www.gehealthcare.com

Imagination at work