FujiFilm APERTO Lucent User manual

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

Q2ec-FM0049
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Manufacturer
FUJIFILM Healthcare Corporation
2-1, Shintoyofuta, Kashiwa-shi,
Chiba, 277-0804 Japan
CE Marking
Only for EU countries
The Medical Device as specified below and related options meet the provisions of the EC-Directive 93/42/EEC.
Product Name : MR Imaging System
Product Classification : IIa
Model : APERTO Lucent
AIRIS Vento
Manufacturer : FUJIFILM Healthcare Corporation
2-1, Shintoyofuta, Kashiwa-shi,
Chiba, 277-0804 Japan
European : FUJIFILM Healthcare Deutschland GmbH
Otto-von-Guericke-Ring 3,
D-65205 Wiesbaden, Germany
Representative Phone: [phone]
Fax: [phone]
WEEE Marking
Only for EU countries
Do not dispose medical devices together with household waste!
In observance of the European Directive on waste electrical and electronic equipment and its implementation in
accordance with national law, medical devices that have reached the end of their product life must be collected
separately and returned to an environmentally compatible recycling facility.
Please contact your local FUJIFILM Healthcare Corporation distributor for information about qualified recycling
facility.
Symbol Description

Q2ec-FM0049
This symbol indicates prohibited conditions or actions. The description accompanying this symbol indicates conditions or
actions that are prohibited.
This symbol indicates possible danger that could result in light or moderate injury of personnel, partial equipment damage,
or deletion of computer data if the warning is ignored and the equipment is handled incorrectly.
This symbol indicates a recommended procedure, condition, or action that requires careful attention when operating the
equipment.
Preface
This symbol indicates a potential (latent) danger that could result in death or serious injury of personnel, total destruction
of equipment, or fire if the warning is ignored and the equipment is handled incorrectly. The following is an example of a
potential danger:
(Ex.) Failure to observe this warning could result in death if the cover is opened and a high-voltage terminal is touched.
NOTICE
Before using MR Imaging System APERTO Lucent, or AIRIS Vento carefully read this manual and the instruction manual for each
product and the receiver coils to take full advantage of performance features of these products.
In particular, make sure that you completely understand and observe all safety precautions.
Items requiring special attention are indicated with one of the following symbols, depending on the level of danger.
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.
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Click
Position the cursor over an object, and then press the left mouse button.
Most system operations are performed by using a mouse. The following terminology is used to describe the basic mouse operations.
Double-click
Position the cursor over an object, and then press the left mouse button twice in rapid succession.
Drag
Click an object, and then move the mouse while continuing to hold down the left mouse button.
Drag & drop
Move an object to another location by dragging it, and then releasing the mouse button to leave it at the new location.
■Terms describing mouse operations
Zooming in on and zooming out from an image
Specify Select Mode for the mouse.
Select an image. While holding down the Ctrl key, rotate the wheel between the left and
right mouse buttons away from you to zoom in on the selected image, or rotate the wheel
toward you to zoom out from the image.
■Image operations
Moving an image
Specify Select Mode for the mouse.
Select an image. You can move the image by holding down either mouse button and
dragging.
When the mouse is in Select Mode, you can use the mouse to zoom in on, zoom out from, and move images.
Right-click
Position the cursor over an object, and then press the right mouse button.
Specifying Select Mode
Right-click an image. In the
menu that appears, choose
Select Mode.
Mouse Operations
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Q2ec-FM0049
Contents
Manufacturer (2)
CE Marking (2)
WEEE Marking (2)
Preface (3)
Mouse Operations (4)
Contents (5)
Chapter 1 Device Configuration
1.1 Gantry・Table（APERTO Lucent）and Operation console 1
1.2 Switch unit 2
Chapter 2 Starting the System
2.1 Starting the system 3
2.2 Launcher 4
Chapter 3 Preparing for Imaging
3.1 Preparing the patient 5
3.2 Gantry and Control panel 6
Chapter 4 Registering Patient Data 7-8
Chapter 5 Explanation of Window Items
5.1 Exam window – Imaging 9
5.2 Exam window – Review 10
Chapter 6 Imaging
6.1 Scanogram imaging 11
6.2 Imaging of T2 weighted images 12-13
6.3 Imaging of T1 weighted images or FLAIR images (reservation) 14-15
6.4 Imaging of diffusion weighted images (DWI) (reservation):for Gating 16-19
6.5 Imaging of MRA imaging(reservation) 20
6.6 How to put gating sensor 21
6.7 Position Links 22-23
Chapter 7 Reviewing Images
7.1 Displaying images in the Review window 24-25
7.2 Changing the layout of the Review window 26-27
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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
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1.1 Gantry・Table（APERTO Lucent）and Operation console
1
Chapter 1 Device Configuration
Table
Gantry
Control
panel
Operation console
Switch unit

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1.2 Switch unit
Chapter 1 Device Configuration
The switch unit is the red frame part.
Top view
[STOP] Stops imaging. GANTRY
CPU
Imaging is impossible if
EMERGENCY or SYSTEM
ERROR is lit
[ECG] Electrocardiographic sound volume
[AUTO VOICE] Automatic voice volume
control
[MIC] Microphone volume control
●Imaging operation
[START] Starts imaging.
●System status display
[TALK] Enables conversation with a patient in
the shielded room.
Adjust the speaker volume.
[PAUSE] Pauses imaging.
Mute the speaker volume.
●Emergency
stop button
●Volume controls
Imaging is possible if both
CPU and GANTRY are lit.
●Power
supply

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Press the GANTRY button.
The button lights up and the MRI unit turns on.
The window shows the startup progress.
1
2
Press the CPU button on the switch
unit.
The button lights up.
Switch unit
CPU button
GANTRY button
3Make sure that startup has finished.
When startup finishes, both CPU READY and
MR READY on the switch unit light up and the
Launcher appears in the window.
Starting up takes about four minutes.
Operation window
Launcher
3
1
2
Chapter 2 Starting the System
2.1 Starting the system

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2.2 Launcher
5System Settings
Displays a window for setting up
the system environment.
1 2 3 4 5 6 7 8 9 10 11
4Protocol / Task Library
Displays a list of protocols and
tasks.
Shutdown
Shuts down the system.
9
Remaining time
Displays the amount of time
required for imaging to finish.
13
3Waveform
Displays waveform information.
Help
Displays version information.
8
Indicator
Indicates the progress of imaging
that is being performed.
12
12 13
1 6
Patient Registration
Displays a window for registering
patient data.
Maintenance
Used by maintenance personnel.
Database Usage
Displays how much of the
database has been used.
10
2Patient Directory
Displays a window for viewing,
specifying, and saving patient data.
Rapid Registration
Displays a window for registering
abbreviated patient data when
emergency imaging is required.
7
Media Usage
Displays how much of the media
(such as a DVD) has been used.
11
Chapter 2 Starting the System

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Move the table.
Use the light localizer to determine the center
position for imaging. Next, hold down the
(SET) button on the gantry control panel to
move the table until the position set by the light
localizer is aligned with the isocenter.
5
1Place the pads and coil on the table.
2
3
To prevent eye damage from the laser
beam, have patients close their eyes or
take other appropriate measures.
3
When you move the table by
pushing the button,
table speed can be slower by
pushing it again.
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.
Chapter 3 Preparing for Imaging
3.1 Preparing the patient
Prepare the patient.
NOTICE
Pad

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A control panel is provided on both sides of the gantry.
The control panel for APERTO Lucent is shown below as
an example.
6
3.2 Gantry and Control panel
Imaging operations
PAUSE: Temporarily stops imaging.
ABORT: Stops imaging.
START: Starts imaging.
12
13
14
Table position information
CLEAR: Resets the table position information.
3
4
Displays the table position as numeric values. The upper value shows the
vertical position, and the lower value shows the horizontal position.
RELEASE: Releases the emergency lock and enables operations.
2
STOP: Emergency Stop (Disables all operations.)
Table movement
Moves the table to the left or right.
IN: Moves the table up and into the gantry.
5
6
9
10
OUT: Moves the table out of the gantry and lowers it.
7
8
SET :Moves the table so that the position set by the light localizer
aligns with the isocenter.
LASER: The light localizer turns on.
11 Displays shoes the vertical position.
15 Light up in scanning.
4
1
2
3
4
5
67
8
9
10 11
12 13
4
9
1415
1
Emergency operations
Displays shoes the horizontal position.
top Not top
▲
▲
:left ●:center :right
Chapter 3 Preparing for Imaging

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Launcher
Click in the Launcher.
The Patient Registration window appears.
1
Register patient information.
Items marked with an asterisk (*) are required.
If no information is entered for an item, its
default value is used.
2
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.
3
Adding a region to the FAVORITES
tab
For easy use, add frequently
examined regions to the FAVORITES
tab.
Right-click the region
you want to add (in this
example, the L-Spine),
and then click Add to
Favorites.
The region
is added to
the tab.
Chapter 4 Registering Patient Data
1
23

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Select an orientation.
Select a protocol.
4
5
7Click .
The Exam window opens.
Chapter 4 Registering Patient Data
4
5
6
7
Select a condition.
6

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Acquisition Plan
The scan tasks in the acquisition plan are displayed.
A maximum of eight scan tasks displayed in the
Acquisition Plan area are automatically executed in
succession during a single operation.
Scan Parameters
You can specify parameters related to imaging.
You might find it helpful to specify frequently
used parameters on the Basic tab. To add
parameters to the Basic tab, click Config
at the bottom of the All tab.
Viewport
Positioning images are
displayed. You can set the
slice line positions in this
area.
Scan time
The time required for imaging
is displayed. (This time does
not change as imaging
progresses.)
Preview window
The images produced by imaging are
automatically displayed. When you
select a series under the task
(Protocol Properties) or under Output
Series, the images in the selected
series are displayed.
Output Series
The series for which imaging has
finished are displayed in black.
By double-clicking a series or
dragging and dropping the series into
the Viewport, you can use images in
the series for positioning.
5.1 Exam window – Imaging
Chapter 5 Explanation of Window Items
Protocol Properties
The tasks in the protocol and the
image series are displayed.
Tasks can be added and deleted.
The tasks are composed of the scan
tasks, the image processing tasks
and the review task.
During the tasks are running is
displayed, and during imaging of the
tasks are reserved is displayed,
and when imaging has finished
is displayed.

Q2ec-FM004910
Image size and WW/WL settings
Sets the mouse to Select Mode.
Toggles between single-window
selection and series selection.
Allows the mouse to adjust
WW/WL.
Allows the mouse to adjust the
image size.
Allows the mouse to adjust the
image position.
Sets AUTO WW/WL.
Returns an enlarged or reduced
image to its original size.
Scroll method setting
Synchronizes the scrolling
of multiple series.
Layout settings
Optimizes the number of sections
(maximum of 16) making up a window so
that series fit into one window.
Sets up the Viewport layout. Applies the layout changes for one
series to all other series.
Changes the layouts of
series.
5.2 Exam window – Review
Chapter 5 Explanation of Window Items

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6.1 Scanogram imaging
1In the Exam window, click .
Imaging starts.
On the left of Scano S/C/A, the indicator
appears, indicating that imaging is in progress.
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.
Obtain positioning images (Scanograms).
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.
You do not have to perform all the types of imaging that are displayed. You can
skip unnecessary imaging and continue or terminate the examination.
Chapter 6 Imaging
1Make sure that imaging has finished.
If appears to the left of Scano S/C/A,
imaging has finished.
2
2

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Position the cursor in area B (the cursor
changes to ), and then drag the
cursor to move the slice lines.
Position the cursor in area A (the cursor
changes to ), and then drag the
cursor in the direction you want to
adjust the angle.
1Select T2 AX 6mm.
2Position the slice lines.
Click in the top right corner of the image
to display the image in full-screen mode.
In full-screen mode, click again to return
to normal display mode.
If you want to enlarge an image
B
A
A: Set the angle
B: Move
Before enlargement After enlargement
6.2 Imaging of T2 weighted images
2
Chapter 6 Imaging
1

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3
Chapter 6 Imaging
- 6.2 Imaging of T2 weighted images -
Click .
Imaging starts.
3
4Check the images.
You can reserve the next imaging
operation before the current
imaging operation has finished. To
reserve the next imaging operation,
go to 6.3.
You can check the images in the preview
window. You can also switch the display to the
Review window to check the images there.
The Review window displays the images in a
series at the same time, or displays multiple
series side by side. For details about the
images displayed in the Review window, see
Chapter 7.
When imaging starts, the progress
indicator and the remaining time
appear at the far right of the
Launcher.
4
About the AutoPose function
Auto Pose Brain function analyzes scanogram images by acquired 2D scanogram
sequence. This function can be executed in the imaging of a head only. Please perform
normal imaging in the examination of the region except a head. About the Auto Pose
basic slice position, you can change in the Auto Pose Setting window.

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1
2
Select T1 AX 6mm or FLAIR AX 6mm.
Check the positions 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.
To reset the slice lines:
1) Remove the position link with the link source
(see 6.7).
2) Position the slice lines (see 6.2, step 2).
3) Set a position link from the slice lines to the
imaging that will be performed later
(see 6.7).
You can reserve the next imaging operation during the current imaging operation. The reserved imaging operation automatically starts when the
current imaging operation finishes.
6.3 Imaging of T1 weighted images or FLAIR images(reservation)
Chapter 6 Imaging
2
1