AquilionCXL - Operation for Service, 15 June 2012

2.2 Operation for Service

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 Contents
• Power ON and OFF
• Exam Plans
• Scanning
• Shortcuts and Scenic Routes
• Screenshots
• Setups
• Network and Connectivity
• Back-ups

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 Power ON and OFF

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 Power ON and OFF - normal operation
• Breakers on distribution panel and system transformer

• Breakers on Gantry - Couch - Recon Box and CPU Box

• Power ON
Power switch on CPU Box - All breakers must be ON
Allow time until the interactive windows are displayed before performing any operations

• Power OFF
Allow time until all processes have completed
On S-console: Select Utility - Shutdown and click OK
Allow time until "safe to turn off" before switching OFF
Allow at least one minute after switching OFF before switching ON again
Shutdown the system once per day - for file cleanup, initialization and log management
Shutdown and restart the system after any service intervention - confirm normal operation,
before the next patient

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 Power OFF - alternatives
Shutdown CT software and log off kingbird
Ctrl-Esc - CT system shutdown
Shutdown from logon window

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 Exam Plans

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 Exam Plans
Preset scan sequence - fully customizable
If required - password protection for preset functions

Initially Service loads "Original Examplans"

Factory defaults - suitable for most applications

Applications Support fine tunes the Original Examplans as part of initial

applications training

Fine tuned exam plans should be backed up

for later restoration - e.g. after software upgrade

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 Exam Plan - Pre-set Password

Special Configuration

Initial password: password

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 Scanning
Operation manuals
Visual Guide

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 Scanning
Check OLP

Register patient

Select preset exam plan

Review settings
for each element - edit if necessary each tab, from left to right

Dual scanogram

Scan plan

Scan

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 Shortcuts and Scenic Routes

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 Shortcuts and Scenic Routes

CAUTION - DO NOT EXPERIMENT

• The computers are components of the CT system - not PCs

they run software exclusively for the CT system - and no other software
the CT application runs in a Unix emulator in Windows XP

• Operators access the CT application software - NEVER Windows or Unix

• Service staff access Windows and Unix with caution and according to
validated instructions - service manuals - support information

• No caution will make the system behave abnormally

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 Shortcuts and Scenic Routes
• CT application software designed for SINGLE CLICK mouse operation
Double-click - exceptions
Multiple-clicking causes abnormalities - on any computer
Read before Clicking

• Keep Service PC under control - malware

• Korn Shell and Windows Taskbar conflict occasionally

e.g.: characters cannot be typed - only capitals can be typed

Ctrl-Alt-Del followed by Esc to recover normal behaviour

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 Windows
CT is user kingbird

Ctrl-Esc Windows Start menu

Tab [ ) ] to enable

Right-click on Start quick access to Windows explorer

Right click on All Programs

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 Unix - the Korn Shell
Ctrl-Alt-w Korn Shell - Unix from MKS
for CT related commands and utilities: use x:
names without spaces

Start - Run - sh -L Korn Shell

Right-click in top bar access Korn Shell properties

Close the Korn shell by typing exit or by closing the window

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 Unix - common operations in the Korn Shell
enabletaskbar on shows and enables Windows taskbar
enabletaskbar off hides Windows taskbar
explorer opens Windows explorer
notepad file opens the file with notepad
write file opens the file with WordPad
ExtendSeg allows S&S with all rows
Tab [ ) ] auto complete file and folder names
Arrow up/down [][] Scroll through commands typed in current shell
Mouse-over with
left button depressed select string - position cursor first!
right-click twice paste at cursor position
Quick edit mode must be enabled under Properties

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 CT Application
Ctrl-Alt-i System information
Ctrl-Alt-t System Setup menu - not good for settings!

F1 Movement Gantry & Couch

F2 Measure ROIs
F3 Scale Crosshair
F4 I-select Image Selector
F5 Batch processing
F6 Point ROI
F7 Screen-Shot Screen shot of CT image to IDD
F11 Help Interactive

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 Screenshots

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 Screenshots
PrtSc whole screen to clipboard
Alt-PrtSc active window

Paste into WordPad - for multiple screenshots and notes

Paste into Paint - for just one screenshot - save as jpg

Save in S:\ - copy to service PC by FTP or USB - edit as necessary

Screenshot of CT image: Set WL and WW

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 Setups

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 Setups
• All settings made during and after installation

• Different levels
User's
Service engineer's

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 System Setup
Kornshell - chkconfig aquilion off - shut down - restart - System Setup

Ctrl-Alt-t = NOT OK to change settings!

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 chkconfig aquilion off - Flag is automatically turned ON after using Change System

woodpecker

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 Change System
Select correct System Name and click Set
AquilionCXL: licence keys required!

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 Change System
Select correct Tube & Generator and click Set
Then click Quit and allow two minutes

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 Change System
Serial Number - Hospital Name - Frequency - Mic control - click Set

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 Change System
Initialize - Exam plans and Calibration management info

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 Change System
ScanCondition Editor - Do not click on this!

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 chkconfig aquilion off

Create Image Directories

Initialize image or raw data or both

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 Change Language

• English
• IR100 for special character input - additional setup

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 chkconfig aquilion off

Change Computer Name

• Set Computer Name - IP address and gateway

• Make the settings and click Update

• Do not reboot from Windows!

• Settings reflect to Windows, hosts table and CT

application software

hosts table: c:\WINDOWS\system32\drivers\etc

• Add non-standard computer name to hosts table

manually

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 chkconfig aquilion off

RDD Setup

• The RDD
Menu to manage RDD settings

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 chkconfig aquilion off

Special Configuration

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 Special Configuration
Not all items are relevant

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 Console

Do not use Console!

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 Shutdown

• Shuts down system

• aquilion flag still OFF: chkconfig aquilion on

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 chkconfig aquilion off

Quit

• Quits the System Setup menu

if opened from Engineer Utility or by Ctrl-Alt-T
• Shuts down the system
if restarted with chkconfig aquilion off
confirm chkconfig aquilion on before shutdown!

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 Image Display Preferences

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 Mouse Mode
Type_V is preferred if a Vitrea is used as workstation

Type _T Toshiba mode - default

Type _V Vital images - corresponds to Vitrea
Type_Z Zio - Japan only

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 System Setup Utility (User's)

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 Info mask

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 Network and Connectivity

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 Networking and connectivity
1. Plan

2. Network setup for the CT

IP address - Computer name - Hosts table

3. Hosts table
Add IP addresses and suitable Host names for the connectivity partners
Add an empty line at the end

4. Load DICOM options and Protocol setup

X-link or Toshiba Protocol and DICOM local and remote nodes
Fine tuning
Imager presets - MWM setup - etc.

5. Reboot and Test

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 Network Setup for the CT
• Change Computer Name
Default computer name is Aquilion

• Hosts table - in: C:/WINDOWS/system32/drivers/etc/hosts

Do not remove default host names
Add IP addresses and suitable host names as necessary for connectivity
Add empty line at the end - or the last host is not recognised

127.0.0.1 localhost

192.168.0.1 Aquilion Asteion Aq-Main As-Main

192.168.0.2 Anet Aq-Sub As-Sub

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 Backups

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 Back-ups
1. Raw data - by operator
Back-up to DVD-RAM on D-con or optional Raw data server

2. Calibration data - by technical service

Routine back-up of NRA water data to S: - includes calib.dat from system disk
calib.dat back-up on DVD-RAM by site specific settings back-up tool

3. Image data - by operator

Routine back-up by archiving to PACS, DVD-RAM or DICOM media: DVD-R

4. Site specifics back-up and Site specifics back-up tool

- Mostly the responsibility of technical service
CT system settings
Record by handwriting - file copying and site specifics back-up server

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 Backup Tool
Utility - Maintenance Utility - Backup Tool

1. Click Backup Tool on D-con

2. Wait
3. Backup tool appears

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 Functions of the Backup Tool

Make backup
System disk to DVD-RAM

Manual mode Restore backup

DVD-RAM to System disk

SCAN or DISPLAY

Format DVD-RAM

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 Format new DVD-RAM
Insert DVD-RAM in drive
1. Click DVD Format
2. Confirm Yes
UDF1.5 only
No physical format
3. Click Start
4. Click Yes
1
3

4
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 Format new DVD-RAM
5. Click OK - formatting complete

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 Make backup in Manual Mode
Always use Manual Processing Mode

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 Manual Mode
Select the items one-by-one - while
keeping Ctrl depressed
or:
Click All Select and deselect items one-
by-one while keeping Ctrl depressed

Accept the suggested Directory Input

This is automatic and makes sense!

Click Exec and allow some time

Progress is shown at the bottom

Click Quit

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 Restore backup in Manual Mode
Use Manual Mode

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 Manual Mode
Select the backup from the list
on the left

Select the items one-by-one

from the list on the right -
keeping Ctrl depressed
or:
Click AllSelect and deselect
unwanted items one-by-one
keeping Ctrl depressed

Click Exec and allow some time

Progress is shown at the
bottom

Click Quit

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 Precautions
• The Backup Tool does not include all site specific data
• Site specific data not included in the Backup Tool has to be backed up in an alternative way
• The list of items in the Backup Tool may be different for different software revisions
• Items in the Backup Tool may not be compatible between software revisions
• Some site specific settings may require additional processing for backup or restoration -
regardless of whether or not they are included in the Backup Tool
• A site specifics backup should be made as a precaution against data loss:
- after completion of installation work
- after completion of installation related Applications system setup
- after changing any site specific settings - and after periodic maintenance
• A site specifics backup should also be made before software upgrade
• Restoration of items from the Backup tool cannot easily be undone
Restoration of incompatible items will make the system behave abnormally
Therefore it is recommended to also make a site specific backup of all default settings using
the Backup Tool immediately after software installation

• Site specific data requires proper management

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 Alternative: automatic mode
Automatic backup of all site specific settings
excluding Error Log
Allow a few minutes for completion

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 Disclaimer

This document contains confidential and proprietary information of Toshiba.

It may not be copied, distributed or shown to any third party, nor its contents
disclosed to any third party without Toshiba’s prior written consent.

These materials support a Toshiba training course.

They do not stand alone as a reference and are not current, accurate or
complete for any other use.

They do not replace or supersede Toshiba reference documentation (manual)

in any way. Should there be any conflict in what is contained in these
materials and any Toshiba manual, in every case the manual supersedes the
information contained herein.

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