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Operating Manual
V7.1~
© FUJIFILM Healthcare Corporation 2016. All rights reserved.
Q2ec-FM0049-02

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Summary of Contents for FujiFilm APERTO Lucent

  • Page 1 Operating Manual V7.1~ © FUJIFILM Healthcare Corporation 2016. All rights reserved. Q2ec-FM0049-02...
  • Page 2: Ce Marking

    Please contact your local FUJIFILM Healthcare Corporation distributor for information about qualified recycling facility.
  • Page 3: Preface

    This symbol indicates a recommended procedure, condition, or action that requires careful attention when operating the NOTI CE equipment. Screen shots for APERTO Lucent are used as an example in this manual. They might be different from the screen shots displayed if you are using AIRIS Vento. ( 3 )...
  • Page 4: Mouse Operations

    Mouse Operations Most system operations are performed by using a mouse. The following terminology is used to describe the basic mouse operations. ■ Terms describing mouse operations Click Position the cursor over an object, and then press the left mouse button. Right-click Position the cursor over an object, and then press the right mouse button.
  • Page 5: Table Of Contents

    CE Marking WEEE Marking Preface Mouse Operations Contents Chapter 1 Device Configuration 1.1 Gantry・Table(APERTO Lucent)and Operation console 1.2 Switch unit Chapter 2 Starting the System 2.1 Starting the system 2.2 Launcher Chapter 3 Preparing for Imaging 3.1 Preparing the patient 3.2 Gantry and Control panel...
  • Page 6: Contents

    Contents Chapter 8 Image Processing 8.1 Clipping processing and MIP rotation 28-35 8.2 MIP Rotating 36-37 Chapter 9 Filming 38-41 Chapter 10 Saving Images and DICOM Transfer(CD-R/DVD±R) 42-43 Chapter 11 Shutting Down the System 11.1 Procedures for shutting down the system 44-45 11.2 If normal shutdown fails 46-49...
  • Page 7: Chapter 1 Device Configuration

    Chapter 1 Device Configuration 1.1 Gantry・Table(APERTO Lucent)and Operation console Gantry Control panel Table Operation console Switch unit Q2ec-FM0049...
  • Page 8: Switch Unit

    Chapter 1 Device Configuration 1.2 Switch unit The switch unit is the red frame part. Top view ● Emergency ● Volume controls ● System status display stop button [ECG] Electrocardiographic sound volume Imaging is impossible if [AUTO VOICE] Automatic voice volume Imaging is possible if both EMERGENCY or SYSTEM CPU and GANTRY are lit.
  • Page 9: Chapter 2 Starting The System

    Chapter 2 Starting the System 2.1 Starting the system Switch unit Press the CPU button on the switch CPU button unit. The button lights up. Operation window GANTRY button Press the GANTRY button. The button lights up and the MRI unit turns on. The window shows the startup progress.
  • Page 10: Launcher

    Chapter 2 Starting the System 2.2 Launcher Patient Registration Maintenance Remaining time Displays a window for registering Used by maintenance personnel. Displays the amount of time patient data. required for imaging to finish. Patient Directory Rapid Registration Indicator Displays a window for viewing, Displays a window for registering Indicates the progress of imaging specifying, and saving patient data.
  • Page 11: Chapter 3 Preparing For Imaging

    Chapter 3 Preparing for Imaging 3.1 Preparing the patient Place the pads and coil on the table. Prepare the patient. Position the patient on the table, and adjust the positions of the patient and the coil by moving the pad or table horizontally until the region to be scanned is aligned with the isocenter.
  • Page 12: Gantry And Control Panel

    3.2 Gantry and Control panel A control panel is provided on both sides of the gantry. Emergency operations The control panel for APERTO Lucent is shown below as an example. STOP: Emergency Stop (Disables all operations.) RELEASE: Releases the emergency lock and enables operations.
  • Page 13: Chapter 4 Registering Patient Data

    Chapter 4 Registering Patient Data Click in the Launcher. Launcher The Patient Registration window appears. Register patient information. Items marked with an asterisk (*) are required. If no information is entered for an item, its default value is used. Select an anatomical region. Select a region from the tabs on the left, and then select one of the detailed areas displayed in the images on the right.
  • Page 14 Chapter 4 Registering Patient Data Select a protocol. Select an orientation. Select a condition. Click The Exam window opens. Q2ec-FM0049...
  • Page 15: Chapter 5 Explanation Of Window Items

    Chapter 5 Explanation of Window Items 5.1 Exam window – Imaging Viewport Acquisition Plan Positioning images are The scan tasks in the acquisition plan are displayed. Protocol Properties displayed. You can set the A maximum of eight scan tasks displayed in the The tasks in the protocol and the slice line positions in this Acquisition Plan area are automatically executed in...
  • Page 16: Exam Window - Review

    Chapter 5 Explanation of Window Items 5.2 Exam window – Review Scroll method setting Layout settings Sets up the Viewport layout. Applies the layout changes for one Synchronizes the scrolling series to all other series. of multiple series. Optimizes the number of sections Changes the layouts of (maximum of 16) making up a window so series.
  • Page 17: Chapter 6 Imaging

    Chapter 6 Imaging This chapter explains how to use APERTO Lucent for imaging of the brain by using protocol “Brain [SCANOGRAM-T2-T1-FLAIR-DWI-MRA]” as an example. The types of imaging included in the selected protocol are displayed in the Protocol Properties display area in the upper left corner of the Exam window.
  • Page 18: Imaging Of T2 Weighted Images

    Chapter 6 Imaging 6.2 Imaging of T2 weighted images Select T2 AX 6mm. Position the slice lines. A: Set the angle Position the cursor in area A (the cursor changes to ), and then drag the cursor in the direction you want to adjust the angle.
  • Page 19 Chapter 6 Imaging - 6.2 Imaging of T2 weighted images - Click Imaging starts. When imaging starts, the progress indicator and the remaining time appear at the far right of the Launcher. Check the images. You can reserve the next imaging operation before the current imaging operation has finished.
  • Page 20: Imaging Of T1 Weighted Images Or Flair Images(Reservation)

    Chapter 6 Imaging 6.3 Imaging of T1 weighted images or FLAIR images(reservation) You can reserve the next imaging operation during the current imaging operation. The reserved imaging operation automatically starts when the current imaging operation finishes. Select T1 AX 6mm or FLAIR AX 6mm. Check the positions of the slice lines.
  • Page 21 Chapter 6 Imaging - 6.3 Imaging of T1 weighted images or FLAIR images(reservation) - Click Imaging is reserved. The reservation indicator appears to the left of T1 AX 6mm. Checking the progress of imaging Remaining The progress indicator and the remaining Click time/required time appear at the far right of the...
  • Page 22: Imaging Of Diffusion Weighted Images (Dwi) (Reservation):For Gating

    Chapter 6 Imaging 6.4 Imaging of diffusion weighted images (DWI) (reservation):for Gating Before you start DWI, you need to perform volume shimming to improve the uniformity of the static magnetic field. If measurement is performed under any of the following circumstances from 1) 2) 3), after volume shimming, perform the volume shimming again because the measurement will have invalidated the result of volume shimming: 1) Measurement performed after a change of patient Orientation by using Patient Registration window, 2) Measurement performed after a change of receiving coil,...
  • Page 23 Chapter 6 Imaging - 6.4 Imaging of diffusion weighted images (DWI) (reservation):for Gating - Select DWI MS/FS AX. Check the position of the slice lines. If the slice lines are blue , the same slice lines as those of the link source have been set by Position Link.
  • Page 24 Chapter 6 Imaging - 6.4 Imaging of diffusion weighted images (DWI) (reservation):for Gating - WaveForm Pulse Check Beat Rate. If the pulse wave is not displayed, click open a dialog box and set the pulse wave. Click The ScanParameterList window opens. If gating is required, the necessary items are specified under Gating.
  • Page 25 Chapter 6 Imaging - 6.4 Imaging of diffusion weighted images (DWI) (reservation):for Gating - Click Imaging is reserved. Reservation marker displayed on the left of DWI AX. Do not perform DWI immediately after NOTI CE the first scanogram or MRA. The Frequency graph window opens.
  • Page 26: Imaging Of Mra Imaging(Reservation)

    Chapter 6 Imaging 6.5 Imaging of MRA imaging (reservation) If you are planning to perform DWI, do NOTI CE so before starting MRA imaging. Select MRA 3DTOF. Position the slice lines. The imaging range is different from that for other types of images, such as T2 weighted images.
  • Page 27: How To Put Gating Sensor

    Chapter 6 Imaging 6.6 How to put gating sensor Pay an attention to using and keeping of a gating sensor because a cable of gating sensor is mage from light pipe and fragile for strong NOTI CE pressure. White Mark White Hook White Mark White button...
  • Page 28: Position Links

    Chapter 6 Imaging 6.7 Position Links To apply the slice lines and positioning images set for one imaging operation to other imaging operations, use position links. Example: Setting for T2 weighted images Applied to T1 weighted images Relationship between link sources and targets <Link source>...
  • Page 29 Chapter 6 Imaging - 6.7 Position Links - Select the link source. In the Acquisitions area, select the imaging operation whose slice line position you want to use. You do not need to select anything when releasing the link. Click About the display if a position link has been set Position Copy Position Link...
  • Page 30: Chapter 7 Reviewing Images

    Chapter 7 Reviewing Images The Review window displays the images in a series simultaneously, or displays multiple series in a side-by-side layout. Section 7.1 describes how to display images, and section 7.2 describes how to change the layout of the Review window. 7.1 Displaying images in the Review window Select Review.
  • Page 31 Chapter 7 Reviewing Images - 7.1 Displaying images in the Review window - Under the task or under Output Series, double-click the series you want to review. The images in the series are displayed in the Viewport. You can also display images by dragging and dropping the series into the Viewport.
  • Page 32: Changing The Layout Of The Review Window

    Chapter 7 Reviewing Images 7.2 Changing the layout of the Review window In the Review window, click The window for selecting a layout appears. Select the 1 x 2 layout. The window is divided into two sections. Click When you click this button, the layout you select in the next step will be applied to all series displayed in the Viewport.
  • Page 33 Chapter 7 Reviewing Images - 7.2 Changing the layout of the Review window - Click The images of each series are displayed in the 2 x 2 (4 images for each series) layout shown at the left. Q2ec-FM0049...
  • Page 34: Chapter 8 Image Processing

    Chapter 8 Image Processing 8.1 Clipping processing and MIP rotation MIP processing is automatically performed when the MRA imaging has finished. The indicator is displayed to the left of MIP during processing, and then disappears when processing finishes. When the MRA imaging has finished, select MIP.
  • Page 35 Chapter 8 Image Processing - 8.1 Clipping processing and MIP rotation - Drag to enclose the required region in the lower left image. Clipping lines change to green when dragged or selected. Otherwise, they are white. In Tab, click the appropriate button. The result of the operation is displayed at the lower-right area.
  • Page 36 Chapter 8 Image Processing - 8.1 Clipping processing and MIP rotation - Click Only the area you enclosed in the lower left image remains in the images in the window other than the lower right image. Click to choose Minus Free Shape.
  • Page 37 Chapter 8 Image Processing - 8.1 Clipping processing and MIP rotation - Drag to enclose the unnecessary region. The area you enclosed is deleted from the lower right image. Click The area you enclosed in step 7 is deleted from the images in the window other than the lower right image.
  • Page 38 Chapter 8 Image Processing - 8.1 Clipping processing and MIP rotation - Click MIP rotated images are created. While the indicator under moving, you can stop processing by clicking HF axis RL axis HF axis RL axis Creation of rotated images by using the HF axis (showing the AX plane) and RL axis (showing the SAG plane) is specified.
  • Page 39 Chapter 8 Image Processing - 8.1 Clipping processing and MIP rotation - In the Review window, check the rotated images. Select Review to change the display to the Review window, and check the rotated images. If the Review window already displays images of another series, you can delete (release) them so that only the rotated images are...
  • Page 40 Chapter 8 Image Processing - 8.1 Clipping processing and MIP rotation - If you need a more detailed selection, you can perform processing while rotating the lower-right image. Perform the following steps when you have finished step 8. In the lower right image, drag the mouse in the direction you want to rotate the image.
  • Page 41 Chapter 8 Image Processing - 8.1 Clipping processing and MIP rotation - Click again to cancel the selection. The cursor returns to the pencil shape (the cursor for clipping). Drag to enclose the unnecessary region in the lower right image. The enclosed area is deleted.
  • Page 42: Mip Rotating

    Chapter 8 Image Processing 8.2 MIP Rotating When Rotating is selected in Mode Projection, you can set a Tilt value to enable the rotation of images around a tilted axis. The images to the right are examples of rotation around the HF axis when a Tilt value is specified in order to make the Willis ring look larger.
  • Page 43 Chapter 8 Image Processing - 8.2 MIP Rotating - Check the Rotate and Tilt values. These values are displayed underneath the lower-right image. R:0T:-30 R:-90T:-30 In the StartAngle column, specify the Rotate and Tilt values, and then click The rotated MIP image is created. R:-90T:-30 Q2ec-FM0049...
  • Page 44: Chapter 9 Filming

    Chapter 9 Filming You can film images in the Review window. Select Review. The display changes to the Review window. Under Output Series, double-click a series that you want to film. The images in the series are displayed in the Viewport. (In the example at the left, five series are displayed.) Specify necessary settings such as WW/WL...
  • Page 45 Chapter 9 Filming Click in the upper right corner of the first series. Selectable items are displayed. You can also set (Filming Tool) in the Launcher and open the Filming window from the Launcher. In the displayed items, choose Filming Window. The Filming window appears.
  • Page 46 Chapter 9 Filming When all images have been inserted into the Filming window, click Filming is performed for all sheets. While the indicator under moving, you can stop processing by clicking Click to close the Filming window. You can set up the Filming window layout as follows: (c) Layout Editor window (a) Drop-down list (b) Layout Selector window...
  • Page 47 Chapter 9 Filming There are some ways to manually insert images. 8 7 7 In the Filming window , click The images in the selected series are inserted into the sheet. 8 Click The scanogram images of the series displayed in the Filming Window are inserted into the free frames.
  • Page 48: Chapter 10 Saving Images And Dicom Transfer(Cd-R/Dvd±R)

    Chapter 10 Saving Images and DICOM Transfer(CD-R/DVD±R) Click in the Launcher to display the Patient Directory. Click and select the DICOM transfer destination or the location where the images are to be saved. The transfer destination name differs depending on the settings of the facility. Select patient name (or series name) for which you want to save (or DICOM transfer) images.
  • Page 49 Chapter 10 Saving Images and DICOM Transfer(CD-R/DVD±R) Click DICOM transfer starts. The CD or DVD waits for data to be written. Click “Write CD/DVD” to start writing. When a single patient is selected, the viewer software is also loaded (only for a CD-R). Q2ec-FM0049...
  • Page 50: Chapter 11 Shutting Down The System

    Chapter 11 Shutting Down the System 11.1 Procedures for shutting down the system Press the GANTRY button on the GANTRY button switch unit. The MRI unit turns off. Close programs, other than the Launcher, that are displayed. Make sure that running jobs such as filming, media saving, or DICOM transfer have terminated.
  • Page 51 Chapter 11 Shutting Down the System - 11.1 Procedures for shutting down the system - Click in the Launcher. A Shutdown System dialog box appears. If the Patient Directory is displayed or any task is running, clicking causes the following dialog box to be displayed: Click to forcibly close...
  • Page 52: If Normal Shutdown Fails

    Chapter 11 Shutting Down the System 11.2 If normal shutdown fails Use the following method if the system cannot be shut down by performing the procedure in 11.1. This method forcibly terminates tasks. Information that has not been saved or that is being processed will be lost. If a problem occurs, logging the circumstances of the problem NOTI CE provides useful information that assists in determining the cause...
  • Page 53 Chapter 11 Shutting Down the System - 11.2 If normal shutdown fails - If the system does not shut down in step 1, hold down the Shift and Alt keys and then press the End key. A Shutdown confirmation dialog box appears. If you want to forcibly terminate tasks, click Information that has not been saved or that is...
  • Page 54 Chapter 11 Shutting Down the System - 11.2 If normal shutdown fails - CPU button Hold down the CPU button for at least 5 seconds. The system shuts down. If you need to turn on the system again after the shutdown, wait at least 20 seconds before doing If the system still has not shut down, go to step 5.
  • Page 55 Q2ec-FM0049...

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