ACQUIRING IMAGES IN 3D DSA ANGIOGRAPHY SYSTEM

HAND SWITCH

  • Set the orientation patient in system : Head First – Supine
  • Open 4D Task Card in Touch Screen Console.
  • Select desired 3D protocol
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  • Press down and deflect left joystick away from you.
    • The system will move to the  starting position for 3D acquisition
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  • Follow ‘Acquisition Instruction’ that appear on screen
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  • Position region of interest at the ISO center
    • Laser indicator is not available on the system
    • Laser indicator in the image is for showing the step to position patient at ISO center
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  • Perform fluoroscopy briefly
    • to ensure AP position at ISO center
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  • Press down and deflect left joystick away from you
    • System will move to lateral position
  • Perform fluoroscopy briefly
    • to ensure the lateral position at the ISO center
    • Adjust table height to center ROI at the ISO center
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Entering the Test Phase:

  • to ensure there is no collision happen during 3D acquisition
  • Press down and deflect left joystick away from you to start the Test Phase
  • A message will appear on the screen “3D Test Phase”
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  • Press down and deflect the left joystick away from you
    • Test Phase rotation will start immediately
    • Manually release left joystick if there are any possible collision. Press down and deflect left joystick again to continue the Test Phase rotation
    • C-arm rotation will stop automatically after completing the rotation.
    • Perform fluoroscopy briefly to complete the Test Phase
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DSA Acquisition

  • Consist of 3 rotation:
    • Mask rotation
    • Return rotation (no X-ray)
    • Fill rotation (after contrast injection)

3D DSA Acquisition

 

-Mask Rotation Phase

  1. Press and hold Acquisition button
  2. Press and hold Start/pause acquisition button to start DSA Acquisition

 

-After Return Rotation Phase Completed

  1. Release Start/pause acquisition button to pause DSA Acquisition. !!Do not release Acquisition button.
  2. Inject contrast

 

-Fill Rotation Phase

  1. Press Start/pause Acquisition button  to continue DSA acquisition until completing the acquisition.
  2. 3D DSA images and VRT will automatically appear on screen.