OM

0459
GE Healthcare

Operator Manual
Senographe 2000 D Acquisition System

CopyrightE 2006 by General Electric Company inc. All rights reserved.

Do not duplicate.
Revision 1
5179217–1–100
FOR TRAINING PURPOSES ONLY!
NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
 NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
WARNING

X–RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR

UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED

FOR TRAINING PURPOSES ONLY!

Though this equipment is built to the highest standards of electrical and mechanical safety, the
useful x–ray beam becomes a source of danger in the hands of the unauthorized or unqualified
operator. Excessive exposure to x–radiation causes damage to human tissue.
Therefore, adequate precautions must be taken to prevent unauthorized or unqualified persons
from operating this equipment or exposing themselves or others to its radiation.
Before operation, persons qualified and authorized to operate this equipment should be familiar with
the Recommendations of the International Commission on Radiological Protection, contained in
Annals Number 60 of the ICRP, and with applicable national standards, and should have been
trained in use of the equipment.
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
REGULATORY REQUIREMENTS
This product complies with the regulatory requirements of the following:

- Council Directive 93/42/EEC concerning medical devices: the 0459 label affixed to the product
testifies compliance to the Directive.
For a system, the location of the CE marking label is described in the system manual.
European registered place of business:
GE Medical Systems Europe
Quality Assurance Manager
BP 34
F 78533 BUC CEDEX France
Tel: +33 (0)1 30 70 40 40

- Code of Federal Regulations Title 21, Subchapter J – Radiological Health.

- Underwriters’ Laboratories, Inc. (UL), an independent testing laboratory.
- Canadian Standards Association (CSA).
- International Electrotechnical Commission (IEC), international standards organization, when
applicable.

FOR TRAINING PURPOSES ONLY!

Compliance with these standards is evidenced by the presence of the appropriate labels on the
exterior of the Generator cabinet.
- USA/HHS:

CAUTION United States Federal law restricts this device to use by or on the order of a
physician.

- General Electric Medical Systems is ISO 9001 and EN 46001 certified.

- The original document was written in English.

  
      
All components of the Senographe 2000 D system (Generator Cabinet, Gantry, Acquisition
WorkStation Cart) are designed to be suitable for use within the patient environment, and are
compliant with the relevant standards (UL 2601, IEC 601.1.1).

 
Note: Since the equipment allows the physician to store information on the patient with the function
IMAGE ANNOTATIONS, the European Directive regarding “the protection of the people with
regard of data management on their private life and to the free circulation of these data” requests
to the computerized file users (radiologists, physicians) not to store data related to their:
– race,
– philosophical opinions,
– religious opinions,
– political opinions,
– etc.

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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
Electromagnetic Compatibility (EMC)
This equipment complies with IEC60601–1–2 Edition 2 EMC standard for medical devices.
This equipment generates, uses, and can radiate radio frequency energy. The equipment
may cause radio frequency interference to other medical and non-medical devices and radio
communications. To provide reasonable protection against such interference, this product
complies with radiated emissions as per CISPR11 Group 1, Class A standard limits.
Detailed requirements and recommendations about power supply distribution and installation
are listed in the Pre–Installation Manual (pim) shipped with your system. However, there is no
guarantee that interference will not occur in a particular installation.
If this equipment is found to cause interference (which may be determined by turning the
equipment on and off), the user (or qualified service personnel) should attempt to correct the
problem by one or more of the following measure(s):
– reorient or relocate the affected device(s)
– increase the separation between the equipment and the affected device
– power the equipment from a source different from that of the affected device
– consult the point of purchase or service representative for further suggestions

FOR TRAINING PURPOSES ONLY!

The manufacturer is not responsible for any interference caused by using other than
recommended interconnect cables or by unauthorized changes or modifications to this
equipment. Unauthorized changes or modifications could void the users’ authority to operate
the equipment.
All interconnect cables to peripheral devices must be shielded and properly grounded. Use of
cables not properly shielded and grounded may result in the equipment causing radio
frequency interference.
Do not use devices which intentionally transmit RF Signals (Cellular Phones, Transceivers, or
Radio Controlled Products) in the vicinity of this equipment as it may cause performance
outside the published specifications. Recommended separation distances are detailed in the
Pre–Installation Manual (pim) shipped with your system. Keep the power to this type of
devices turned off when near this equipment.
The medical staff in charge of this equipment is required to instruct technicians, patients, and
other people who may be around this equipment to comply fully with the above requirement.
Further data and recommendations for meeting Electromagnetic Compatibility requirements
for a typical installation are given in the Pre–Installation Manual (pim) shipped with your
system. Note that the magnetic field of an MRI device located nearby may cause a risk of
interference. Magnetic field amplitude limits are specified in the Pre–Installation Manual (pim)
shipped with your system.

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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
Recycling:
Machines or accessories at end–of–life:

The elimination of machines and accessories must be in accordance with national regulations for
waste processing.
All materials and components that could pose a risk to the environment must be removed from the
end–of–life machines and accessories (examples: dry and wet cell batteries, transformer oil, etc.).
Please consult your local General Electric Medical Systems representative before discarding these
products.

Packing materials:

The materials used to pack our equipment are recyclable. They must be collected and processed in
accordance with the regulations in force for the country where the machines or accessories are
unpacked.

FOR TRAINING PURPOSES ONLY!

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GE Healthcare

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OM 5179217–1–100
Senographe 2000 D Acquisition System

FOR TRAINING PURPOSES ONLY!

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
TABLE OF CONTENTS
Regulatory requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CHAPTER 1 – SAFETY RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
1. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2. POTENTIAL ADVERSE EFFECTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3. EMERGENCY SWITCHES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
4. MOVEABLE COMPONENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
5. BEFORE STARTING AN EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
6. ACQUISITION AND STORAGE OF IMAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
7. AOP MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
8. RESIDUAL IMAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
9. DAMAGE TO THE DIGITAL DETECTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

FOR TRAINING PURPOSES ONLY!

CHAPTER 2 – INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
1. DEVICE DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2. INDICATIONS FOR USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
3. CONTRAINDICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
4. TRAINING PROGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
5. HOW TO USE THE MANUAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
6. QUALITY CONTROL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
7. CONVENTIONS FOR THIS MANUAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
7-1 Typographical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
7-2 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
8. SYSTEM COMPONENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
8-1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
8-2 Senographe 2000 D X-ray System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
8-3 Digital Detector and Image Receptor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
8-4 Acquisition Workstation Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
8-4-1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
8-4-2 Three-Section Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
8-4-3 Light Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
8-4-4 Writing Table/Mouse Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
8-4-5 Accessory Storage Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
8-4-6 Uninterruptible Power Supply (UPS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

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NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
8-4-7 External Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
9. ACCESSORIES AND OPTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
9-1 Senographe 2000 D Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
9-2 System Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CHAPTER 3 – SENOGRAPHE 2000 D GANTRY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
1. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
2. COMPONENT OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
2-1 X-ray System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
2-1-1 Tube-arm Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
2-1-2 Receptor-arm Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
2-1-3 Image Receptor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
2-2 Generator Cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
2-3 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
2-4 Optional Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

FOR TRAINING PURPOSES ONLY!

CHAPTER 4 – GANTRY CONTROL CONSOLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
1. CONSOLE OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
2. CONTROL CONSOLE OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
3. LEFT-HAND SECTION OF CONTROL CONSOLE . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
4. CENTRAL SECTION OF CONTROL CONSOLE KEYBOARD . . . . . . . . . . . . . . . . . . 48
5. RIGHT-HAND SECTION OF CONTROL CONSOLE . . . . . . . . . . . . . . . . . . . . . . . . . . 50
6. VIEW NAME SELECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
6-1 View Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
6-2 Automatic View Name Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
6-2-1 The automatic view selection process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
6-2-2 Angles used in automatic view selection; default values . . . . . . . . . . . . . . . . . . . . . . . 53
6-3 Manual View Name Selection (Standing or Sitting Patients) . . . . . . . . . . . . . . . . . . . . 54
6-4 View Names for Recumbent Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
CHAPTER 5 – ACQUISITION WORKSTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
1. OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
1-1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
2. WORKSTATION UNIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
3. STARTUP AND SHUTDOWN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
4. HARDWARE CONTROLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
4-1 Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
4-2 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
5. WINDOWS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6. ON-SCREEN TOOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6-1 Cursor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6-2 Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
6-3 Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
6-4 Scroll Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
CHAPTER 6 – START UP AND SHUTDOWN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
1. START UP PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
2. SYSTEM SHUTDOWN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
3. EMERGENCY SHUTDOWN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
4. GANTRY RESET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
5. GENERATOR CABINET PUSH-BUTTONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
CHAPTER 7 – BROWSER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

FOR TRAINING PURPOSES ONLY!

1. OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
2. BROWSER RESTART . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
3. SYSTEM SHUTDOWN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
4. LOCK SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
5. BROWSER DISPLAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
5-1 Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
5-2 List format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
5-3 Application Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
5-4 Network Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
5-5 Status display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
6. BROWSER MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
6-1 Selecting Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
6-2 Selecting Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
6-3 Status of Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
6-4 Sorting Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
6-5 Deleting Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
6-6 Interchange Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
7. NETWORK TRANSFER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
7-1 Network options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
7-2 Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
8. TOOLS MENU UTILITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
8-1 Filter Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
8-2 Browser preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
8-3 Medical Application preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
8-4 Edit Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
8-5 Set patient anonymous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
9. FILTERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
9-1 To select a registered filter or create a temporary filter: . . . . . . . . . . . . . . . . . . . . . . . . 82
9-2 Temporary Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
9-3 Registered Filters, Filter Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
CHAPTER 8 – WORKLIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
1. WORKLIST FUNCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
2. IMAGE ACQUISITION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
2-1 MEDICAL PROCEDURE CARD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
2-2 Image Acquisition – New Patient... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

FOR TRAINING PURPOSES ONLY!

2-3 Edit Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
2-4 Image Acquisition – New Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
2-5 Image Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
3. BAR CODE SCANNER (OPTION) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
3-1 Optional bar code scanner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
3-1-1 How to read a bar code symbol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
3-1-2 Set default configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
3-1-3 How to enter an AWS text field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
3-1-4 What If ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
CHAPTER 9 – VIEWER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
1. OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
1-1 Viewing Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
1-2 Mosaic Image Browser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
1-3 Image Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
2. VIEW CONTROL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
2-1 Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
2-2 2D Localization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
2-3 Contrast and Brightness sliders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
2-4 Image Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
3. ANNOTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
3-1 Annotation Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
3-2 Graphics & Meas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

8
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
3-3 Geom. Transformations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
4. FUNCTION PANEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
4-1 Medical Procedure Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
4-2 Scrapbook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
4-3 Reprocess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
4-4 Close Exam (Exit Viewer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
4-5 Quality Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
4-6 Print to LaserCam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
4-7 Middle Mouse Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
4-7-1 Magnifying glass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
4-7-2 Image scroll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
4-7-3 Contrast/Brightness control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
5. SCRAPBOOK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
5-1 Layout formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
5-2 Scrapbook functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

FOR TRAINING PURPOSES ONLY!

5-3 Composer area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
5-4 Page navigation area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
CHAPTER 10 – IMAGE ACQUISITION PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . 111
1. OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
2. PREPARATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
2-1 Worklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
2-2 Preparing the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
3. CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
3-1 Standard exposures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
3-2 Magnification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
3-3 Examination of Chest Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
4. AOP MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
4-1 Use of Markers in AOP Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
4-2 Mammary implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
5. MANUAL MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
6. POSITIONING THE PATIENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
7. COMPRESSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
8. THICKNESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
9. IMAGE ACQUISITION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
10. PROCESSING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

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GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
CHAPTER 11 – PRINTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
1. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
2. PRINTER MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
3. PRINT FUNCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
3-1 Auto Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
3-2 Manual Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
3-3 Printing Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
3-4 Printing status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
3-5 Filming Queue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
3-6 Print Annotation Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
CHAPTER 12 – INTERCHANGE MEDIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
1. OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
2. USING THE INTERCHANGE MEDIA OPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

FOR TRAINING PURPOSES ONLY!

2-1 Handling CD-R Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
2-2 Saving Images on Recordable CD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
2-2-1 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
2-2-2 Preview option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
2-2-3 Checking the CD-R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
2-2-4 Availability of system while writing to CD-R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
2-3 Restoring Images from Recordable CD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
2-3-1 Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
2-3-2 Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
2-3-3 Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
2-4 Ejecting a Disk from the CD-R Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
CHAPTER 13 – MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
1. CLEANING AND DISINFECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
1-1 Monitor cleaning instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
1-2 General Information about disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
1-3 Cleaning Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
1-4 Low Level or Intermediate Level Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
1-5 High Level Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
1-6 RECOMMENDED GERMICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
1-6-1 Low or Intermediate Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
1-6-2 High Level Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
2. RECOMMENDED PLANNED MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
2-1 Planned maintenance performed by the Radiologic Technologist . . . . . . . . . . . . . . . 141

10
GE Healthcare Senographe 2000 D Acquisition System
REV 1 OM 5179217–1–100

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
2-2 Planned maintenance performed by the Medical Physicist . . . . . . . . . . . . . . . . . . . . . 141
2-3 Planned maintenance performed by the Field Service Engineer . . . . . . . . . . . . . . . . 141
CHAPTER 14 – ERROR MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
1. ERROR MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
CHAPTER 15 – SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1. TECHNICAL SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1-1 Electrical Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1-1-1 Line voltage specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1-1-2 kVA load characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1-1-3 Input impedance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1-1-4 Generator Output (excluding tube) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1-1-5 Duty Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
1-1-6 Line Conditioner Resonance Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
1-1-7 Generator Power (excluding tube) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
1-2 Maximum Tolerance of Displayed Constants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

FOR TRAINING PURPOSES ONLY!

1-3 Workstation Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
1-4 Digital Detector FOV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
2. RADIATION AND FILTER INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
2-1 Radiation Reference Axis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
2-2 Technical Leakage Factor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
2-3 Filters and Anode Tracks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
2-4 Attenuation Equivalence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
3. AMBIENT CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
3-1 Operational Ambient Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
3-2 Transport and Storage Ambient Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
3-3 Ambient Light Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
4. TUBE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
5. DIMENSIONS AND WEIGHTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
6. MEANING OF SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

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FOREWORD
This manual is provided for Senographe 2000 D operators. It is designed to supply all the information
required for the correct use of this equipment.

The manual has been written to describe the use of the Senographe 2000 D in its most complete
configuration. If any of the options described in this manual are not included in your system, skip the
corresponding chapter or sections.
See your General Electric Medical Systems representative for the options available with the
Senographe 2000 D system.

FOR TRAINING PURPOSES ONLY!

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CHAPTER 1 – SAFETY RECOMMENDATIONS

CHAP. 1
1. INTRODUCTION
Routine mammography provides the best method of early detection of breast cancer, and every effort
should be made to encourage its acceptance by patients and all concerned organizations.
Examinations performed regularly without problems are an essential part of this process. All aspects
of mammographic exams, and especially safety, must be optimized to ensure effective diagnosis and
allow the development of screening programs.
Safety precautions and recommendations for the avoidance of potential hazards, and against misuse,
are given throughout this document. They must be made known to, and be practised by, all operators
of the Senographe 2000 D equipment.
This chapter is intended to bring attention to and emphasize some of the more important of these
precautions and recommendations.
You are strongly recommended to keep this manual with the equipment at all times. Review it from
time to time and be sure that you are familiar with all aspects of use of the equipment, and especially
those affecting safety.

FOR TRAINING PURPOSES ONLY!

Stop all examinations and call your GEMS (General Electric Medical Systems) Service representative
immediately if you believe that the equipment is not operating correctly.

2. POTENTIAL ADVERSE EFFECTS

D The following is a list of potential adverse effects that apply to mammography and are also
applicable to digital mammography using the Senographe 2000 D system:
– Excessive breast compression
– Excessive X–ray exposure
– Electric shock
– Infection
– Skin irritation, abrasions, or puncture wounds

3. EMERGENCY SWITCHES
D Emergency stop switches are provided on both sides of the Senographe 2000 D Gantry
examination column, easily accessible to the operator.
Push either of these switches to immediately cut power to the examination column.
All movements are stopped, and any compression which may have been applied to the patient
during an exam is released.
D If an emergency arises which requires complete removal of power from all parts of the system, the
mains isolator which supplies power to the system from the hospital supply must be switched off.
Find out where this isolator is located and how to operate it.
Note that all image and patient information being processed at the time of cutting power will be
lost, and that power for the environmental control of the Digital Detector will be cut (this may entail
a delay before the system can be brought back into use).

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4. MOVEABLE COMPONENTS
The equipment includes a number of moveable components.
CHAP. 1

Users must be instructed to monitor all movements, and to take all due care and precautions when
moving any part of the equipment in the vicinity of themselves or other persons.
To ensure safe operation at all times, the Senographe 2000 D compression system is fitted with a
magnetic braking mechanism, which prevents the compression paddle from falling in the event of
power loss. If power loss does occur while a patient is under compression, a force of around 5 daN
remains on the compression paddle. Disengage the patient by raising the paddle gently by hand (do
not try to raise it too quickly) to counteract the compression force.
To minimize potential injury to the patient in decompression mode, the upward movement of the
compression paddle is stopped if a downward force greater than 3 daN is applied.

5. BEFORE STARTING AN EXAM

Check the system:
D Check that the compression paddles, the Bucky (grid) or breast support, and the magnification

FOR TRAINING PURPOSES ONLY!

platform if in use, are all well inserted in their supports, and are being used as recommended.
D The magnification platform must not be used when the column is rotated outside the range +90_ to
–90_. In this position, it is possible for the patient’s abdomen to obscure the field of view.
D No modifications to system hardware or software may be made without prior approval from GEMS.
GEMS cannot guarantee the integrity of the system if this recommendation is not followed.
D No application programs of any sort may be loaded onto the system computer without prior
approval from GEMS. GEMS cannot guarantee the integrity of the system if this recommendation
is not followed.
D Only accessories and components supplied by or specifically recommended by GEMS may be
used with the system. GEMS cannot guarantee the integrity of the system if this recommendation
is not followed.
D Only Senographe 2000 D compression paddles may be used with the system. Use of other
paddles may adversely affect image quality by causing inaccurate measurements of breast
thickness.
D All accessories should be checked regularly to ensure that they have no sharp edges or corners
which might cut, pinch, or otherwise hurt a patient.
Check the patient:
Before beginning the mammogram, observe the following points:
D Before positioning the patient, make a visual assessment of the breast area, and note anything
which may affect or be adversely affected by the correct positioning of the breast for the
mammogram, for example, warts, scarring, or skin which is not intact. In patients with large
breasts, perspiration under the breast can cause the skin to soften, and become paper-thin.
To position the breast properly for a mammogram in the CC position, it is essential that the breast
is lifted away from the chest wall and gently pulled forward, in order to visualize the maximum
amount of breast tissue. Such pulling and lifting is necessary for correct positioning, but can cause
damaged skin to tear slightly, and may cause bleeding.

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If any condition exists which may cause unusual discomfort or tearing of the skin, the patient
should be told of the importance of correct positioning, and should be warned in advance of the
possibility that minor tearing and /or slight bleeding might occur.

CHAP. 1
D Use suitable techniques for the positioning of patients with breast implants.
D It is normal that the front part of the breast support is warm to the touch, as it contains electronic
components which generate heat. However, the temperature is never high enough to be harmful.
To ensure that examinations are carried out under optimum conditions, any unusual rise in
temperature causes a warning message to be displayed on the monitor screen, forbidding
examinations. Any further rise causes the detector system to be automatically shut down.
D GEMS can take no responsibility for injury to the patient caused by the use of heating or warming
devices external to the system.

6. ACQUISITION AND STORAGE OF IMAGES

Images acquired during examinations are stored on an internal disk system for preliminary
assessment, before permanent archiving or printing to film. The system is designed to avoid all
foreseeable problems during the acquisition and storage operations. Precautions include continuous
checks on all components and the provision of a battery-backed UPS (Uninterruptable Power Supply),

FOR TRAINING PURPOSES ONLY!

to allow correct processing of images to be completed before shutdown in the event of a power failure.
Certain conditions may cause a loss in the ability of the system to acquire high quality images or a risk
that images might not be correctly saved (for example, if the UPS batteries are not sufficiently charged
to ensure correct shutdown). For these conditions a warning message is displayed on the AWS
monitor and/or the Gantry Control Console. A list of possible error messages, with explanations and
suggested actions, is given in Chapter 14. “Error Messages”.
You should note the following recommendations:
D Always follow the correct system shutdown procedure as described in Chapter 6 “Startup and
Shutdown”.
D In spite of the presence of the UPS, it is not advisable to switch off power while an image is being
processed and stored.
D If defects or failures on the disk system are observed, call your GEMS Service representative. It
may be possible to recover information on the disk if the damage is not too severe.

7. AOP MODE
The Senographe 2000 D provides an AOP (Automatic Optimization of Parameters) operating mode.
This mode is designed to optimize image quality for the examination of breasts with a compressed
thickness between 10 mm (0.4 inch) and 85 mm (3.35 inches).
However, there are some types of examination for which manual selection of parameters may be more
suitable. These are discussed in Chapter 10, Image Acquisition Procedure.

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8. RESIDUAL IMAGES
Repeated exposures made with a high contrast object in the digital detector area may lead to the
CHAP. 1

creation of a ghost image, caused by an excessive difference of residual charges between cells of the
detector. The time taken for this ghost image to disappear depends upon the magnitude of the
residual charges.
This effect can occur during checks to measure the X-ray field which use a dosimeter ionization
chamber in the beam. To avoid it, use one of the following solutions:
D Reduce the contrast of the object by including it in a field protected by an X-ray attenuator of
adequate thickness.
D Use the internal dose measurement facility.
D Protect the digital detector by means of a 3 mm steel plate for the duration of the measurements.

9. DAMAGE TO THE DIGITAL DETECTOR

The digital detector contains thallium doped cesium iodide, a substance which requires special

FOR TRAINING PURPOSES ONLY!

precautions for handling and recycling. If the protective casing of the digital detector sustains damage,
please consult your local GEMS representative.

CAUTION
If the digital detector casing is punctured, the detector must be removed by
authorized GE Service personnel wearing protective gloves and dust masks;
send the protective items for disposal along with the defective detector.

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CHAPTER 2 – INTRODUCTION

1. DEVICE DESCRIPTION
Senographe 2000 D is the new Digital Mammography System from GE Medical Systems. It has been
designed to perform Screening examinations as well as Diagnostic Views (including Spot
compression, Magnified and/or Coned views). It is a modular system that eliminates the need for film
cassettes, and takes advantage of digital technology, including on-screen image display, Networking,
Filming, and Archiving.
The Senographe 2000 D is equipped with a dual track X-ray tube (molybdenum/rhodium) and a digital

CHAP. 2
detector. The digital detector is a flat panel of amorphous silicon on which cesium iodide is deposited
to maximize detection of X-rays. Positioning operations and X-ray exposure are controlled by the
Control Panel which also controls power to all parts of the Senographe 2000D system.
D Senographe 2000 D’s digital technology offers the capability to acquire Images in near-real time
and to process them, with the ability to vary brightness and contrast levels and manipulate images.
D It also offers high examination productivity as compared with screen/film, and introduces new
applications such as Networking and Archiving.

FOR TRAINING PURPOSES ONLY!

D Senographe 2000 D is built on the DMR Platform, recognized for Image Quality superiority. The
Rhodium spectrum of the Senographe 2000 D’s tube is well adapted to Digital Imaging.
The Senographe 2000 D includes an acquisition workstation (“AWS”) monitor, keyboard and mouse,
computer, electronics, accessory storage, and uninterruptible power supply. The AWS is used for
image acquisition, processing, and display. The AWS can also be used for database management,
and can send images to archive, review, or filming.
D The Acquisition Workstation displays acquired images in the room, allowing immediate evaluation
of breast positioning and possible motion blur, or adjustment of brightness and contrast.
Archiving, Networking, and Filming are all possible from the Acquisition Workstation, which can
produce any number of equally high quality film copies as needed.
A hard-copy laser-film printer may be used for image interpretation. Printer window width and
window level are set automatically, based on the image content. Images are displayed per film 1
on 1.
The Acquisition Workstation can also display and print SCPT (Secondary Capture) images (if they
have the modality MG). This allows the user to view images which have been reviewed and
annotated on a Senographe 2000 D review workstation.
Several options are available for use with the Senographe 2000 D system. These options include a
Senographe 2000 D review workstation, a mass archiving system, a laser camera, networking
capabilities, and CD-ROM interchange media.
D The optional Review Workstation is a stand-alone workstation, with its own dedicated computer
and image database, connected to the Acquisition workstation by a high speed link. It supports
image display and manipulation.
This powerful computer is equipped with two dedicated, very high resolution B & W monitors and a
dedicated keypad. Networking is possible from this workstation, as well as printing and receiving
images from an archive device.

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2. INDICATIONS FOR USE
The Senographe 2000 D system generates digital mammographic images which can be used for
screening and diagnosis of breast cancer.
The Senographe 2000 D system is intended to be used in the same clinical applications as traditional
mammographic film/screen systems.

3. CONTRAINDICATIONS
There are no known contraindications.
CHAP. 2

4. TRAINING PROGRAM
Users must ensure that they receive training on the Senographe 2000D with GE Medical Systems
training programs prior to use on patients. GE Medical System training programs will address the new
MQSA training regulations in product labeling to ensure that prospective users are aware of the
required eight hours of training for any medical physicist, technologist, or interpreting physician.

FOR TRAINING PURPOSES ONLY!

5. HOW TO USE THE MANUAL
Because of the ergonomic graphical interface, you will find the Senographe 2000 D easy to use.
You should take time to study the manual to become fully familiar with all features, and to learn how to
use the more complex functions to their full extent.
The manual contains safety and regulatory information that you must be familiar with before using the
system.
The notes below describe the organization of the manual.
The Regulatory Requirements at the beginning of this manual (pages 1 and 2) and the chapter on
Safety Recommendations (chapter 1) are extremely important, describing safety and regulatory issues
that you must thoroughly understand before attempting to use the Senographe 2000 D system.
The remainder of this introductory chapter contains a general description of system features. Chapters
3 and 4 are dedicated to operations in the Senographe 2000 D.
To become familiar with the windows, menus, and controls used on the Senographe 2000 D
workstation, refer to Chapter 5 “Acquisition Workstation”.
The Browser is the main window used to start the other Senographe 2000 D applications, or to select
images for review, transfer or archiving. See Chapter 7 “Browser” for a description of its functions.
A guide to standard procedures for performing an image acquisition is given in Chapter 10 “Image
Acquisition Procedure”.
To transfer images to other workstations or to a mass archiver, consult the appropriate section in
Chapter 7 “Browser”.
To save images on recordable CDs for communication purposes, consult Chapter 13 “Interchange
Media”.
Some of the terms in this manual are specific to medical imaging systems or to the Senographe 2000
D system.

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6. QUALITY CONTROL
To assure continued high level operation of the Senographe 2000D, the recommended quality control
procedures described in Senographe 2000 D QAP QC Manual, and the recommended planned
maintenance procedures described in Section 2 of Chapter 13, should be performed.

7. CONVENTIONS FOR THIS MANUAL

7-1 Typographical

CHAP. 2
Throughout the text in this manual, certain type styles and symbols are used to differentiate between
one tool or graphic and another:
D Menu titles appear in bold face: Application menu.
D Menu options appear in bold face, within brackets: [Exit].
D Graphical buttons appear in bold face, within parentheses: (View).
D On-screen tools appear in bold face, within braces: {Scroll Bar}.
D On-screen prompts and messages appear in italics: Login:.

FOR TRAINING PURPOSES ONLY!

D User typed-in responses appear in bold face italics: Senographe 2000 D.
D Keyboard hardkeys and mouse buttons are underlined: Enter or left.

7-2 Definitions
The various safety and cautionary notes throughout this manual are defined as follows:

A HAZARD EXISTS THAT WILL CAUSE SERIOUS INJURY.

DANGER

A HAZARD EXISTS,THAT COULD CAUSE SERIOUS INJURY.

WARNING

CAUTION
A hazard exists that will or could cause minor injury.

Used for instructions to the user to prevent damage to property.

NOTICE

Note: Used to draw attention to information that is important for the user to know.

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8. SYSTEM COMPONENTS

Control Console and Generator Senographe 2000 D

protective screen Cabinet Gantry
CHAP. 2

FOR TRAINING PURPOSES ONLY!

AWS Cart Digital Detector

8-1 Overview
1. The Senographe 2000 D Gantry is equipped with a digital detector. Gantry operations and X-ray
exposures are controlled by the Control Console, usually mounted on a protective screen, which
also controls power to all parts of the Senographe 2000 D system.
2. The Senographe 2000 D Cart includes the AWS monitor, keyboard and mouse, computer,
electronics, accessory storage, and UPS (Uninterruptable Power Supply).
3. Accessories (standard and optional).
The following sections describe each of these components.

8-2 Senographe 2000 D X-ray System

The Senographe 2000 D is equipped with a dual track X-ray tube (molybdenum/rhodium) and a digital
detector. Mammographic examinations can be made with standing, sitting, or recumbent patients; both
contact and magnification views are available.

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Images are acquired by direct digitization; they are displayed immediately on the AWS monitor and are
stored for later diagnostic review. They can be processed and/or filmed.
AOP (Automatic Optimization of Parameters) and manual setting modes are provided for control of
X-ray parameters; the system provides auto-collimation and other leading features.

8-3 Digital Detector and Image Receptor

The Digital Detector is built into the Image Receptor, shown below. It is a flat panel of amorphous
silicon on which cesium iodide is deposited to maximize detection of X-Rays and transmission of light
photons. The high definition digital images produced are sent to the Acquisition Workstation for
visualization and processing.

CHAP. 2
The upper surface of the Image Receptor is a removable grid (Bucky); when the grid is not required, it
is easily removed and replaced by an optional breast holder without grid.

FOR TRAINING PURPOSES ONLY!

Compression
Paddle

Bucky

Image Receptor

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8-4 Acquisition Workstation Cart

Monitor screen
Keyboard
Mouse pad
Light box
CHAP. 2

Three-section table

Access to workstation
computer and optional
CD-R Interchange Me-
dia unit

FOR TRAINING PURPOSES ONLY!

Accessory storage unit

Uninterruptible
Power Supply

8-4-1 Overview
The Senographe 2000 D AWS (Acquisition Workstation) is used for image acquisition and display,
database management, and to send images to archive, review or filming. Refer to Chapter 5
“Acquisition Workstation” for a detailed description of the workstation functions.
The workstation is installed in the AWS Cart shown above.
Inside the cart are housed the workstation electronics (AWS computer, IDC image detection
controller), an accessory storage unit, the Uninterruptible Power Supply (UPS), and the optional CD-R
unit for interchange purposes.

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8-4-2 Three-Section Table

AWS
Monitor
Numeric

CHAP. 2
keypad

Light box

FOR TRAINING PURPOSES ONLY!

Mouse and
Light switch Release button Keyboard Release button
writing table/mouse pad
The three-section table consists of the workstation keyboard, light box and writing surface/mouse pad.
It can be raised for easy access to the accessories which can be stored below the table.
The left and right sides of the table (light box and writing table/mousepad) can be lowered out of the
way if necessary.
D To lower a side table, pull it slightly upwards, push the release button beneath it to release the
lock, and lower it carefully (do NOT drop).
D To return a side table to its working position, lift it to the horizontal position, then pull it slightly
upwards until the lock springs back into place.

CAUTION
The three-section table is not designed to hold items in excess of 20 kg weight.

8-4-3 Light Box

You can use the light box for viewing comparison mammograms.

THE LIGHT BOX ON THE AWS CART MUST NOT BE USED FOR FINAL
WARNING
INTERPRETATION OF EXAMINATIONS. THE AMBIENT LIGHT CONDITIONS IN
THE EXAMINATION ROOM, AND THE RESULTING LIGHT LEVEL OF THE LIGHT
BOX, ARE INCOMPATIBLE WITH ITS USE FOR FINAL INTERPRETATIONS.

THE AWS MONITOR MUST NOT BE USED FOR FINAL INTERPRETATION OF

WARNING
EXAMINATIONS. IT IS SET UP FOR OPTIMUM VISUALIZATION WITH AN
AMBIENT LIGHT LEVEL OF 50 LUX. LEAVING THE AWS LIGHT BOX
ILLUMINATED WITHOUT A FILM IN PLACE MAY DEGRADE THE REVIEW
QUALITY OF IMAGES DISPLAYED ON THE MONITOR.

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8-4-4 Writing Table/Mouse Pad
The space to the right of the keyboard, with the integrated mouse pad, can be used for manipulating
the mouse, and as a writing surface. There is a recess for holding pens and pencils.
Note: For the comfort of left handed users, the mouse can also be operated on any other horizontal
surface of the three-section table. Your Field Engineer can position the mouse cable for
optimum convenience for all users according to your requirements.

8-4-5 Accessory Storage Unit

CHAP. 2

The Accessory Storage Unit is located inside the drawer at the bottom of the Senographe 2000 D cart.
Open the drawer by depressing the small catch in the upper part of the opening. The unit is designed
to store items removed from the Senographe 2000 D, or other accessories. Access to the
compartments of the storage unit can be from the front of the cart, or the unit can be turned 90
degrees either way for access from the side. Ask your Field Engineer.

8-4-6 Uninterruptible Power Supply (UPS)

FOR TRAINING PURPOSES ONLY!

UPS front panel
To assure system safety in the case of disturbances in the mains supply, the Senographe 2000 D
system incorporates an Uninterruptible Power Supply (UPS), housed in the lower part of the
Senographe 2000 D cart.
During power fluctuations or brief interruptions, the UPS assures a continuous supply to the
workstation and the acquisition system, thereby preventing mains disturbances being transmitted to
the system.
When a power failure occurs the UPS continues to supply power to the Workstation during the time
needed for the workstation to shut down in an orderly manner.

8-4-7 External Connections

Three connectors at the rear of the cart are used for external
communications connections. From left to right, they are:
1. (Not currently used) Connection to local printer.
2. Modem connection to telephone network.
3. Ethernet connection to local network.

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9. ACCESSORIES AND OPTIONS

9-1 Senographe 2000 D Accessories

The Senographe 2000 D is delivered with a set of breast compression paddles, including an axillary
paddle, and a magnification platform. Accessories available as options include:
D Breast holder.
D Graduated biopsy compression paddle (for 2D localization) with optical localizer.
D Extra X-ray shield.

CHAP. 2
D X-ray remote control hand switch.
D Hydraulic chair.
D Quadruple foot switch (providing up/down control as well as compression control).
D Bar Code Scanner for automatic entry of patient information.

9-2 System Options

System options available include:

FOR TRAINING PURPOSES ONLY!

D Review workstation.
D Mass archiving system. When this option is installed and connected to the Senographe 2000 D,
acquired images can be sent to the mass archiving device for permanent storage, either
automatically or on request. A list of all patients ever imaged on the Senographe 2000 D system
can be kept on the mass archiving device, making future retrievals fast and easy.
D Laser Camera. To provide “hard copies” of images, the Senographe 2000 D system can be
connected to a high resolution DICOM MG compatible laser camera for film printing.

ONLY IMAGES PRODUCED BY GE-RECOMMENDED LASER CAMERAS CAN BE

WARNING
USED FOR FINAL INTERPRETATION OF EXAMINATIONS. FOR COMPATIBLE
PRINTERS SEE THE LATEST PRODUCT DATA SHEETS FOR THIS SYSTEM,
WHICH YOU BE OBTAINED FROM YOUR LOCAL GE SALES REPRESENTATIVE.

D Networking. The Senographe 2000 D is DICOM compliant, allowing it to be connected in a

network with other compliant devices for the exchange of images. Networking allows transmission
of images acquired with the Senographe 2000 D system to other DICOM-compatible review
stations, using the “Network Push” function of the AWS Browser. In some cases, detailed
evaluations will be needed for the implementation of customized connections.
D CD-R Interchange Media. A CD-R (CD-Recordable) unit can be installed in the Senographe
2000 D cart, allowing selected sets of images to be saved on CD-ROMs for communication
purposes (e.g., recording images for referring physicians, training, personal image library,etc.). It is
NOT recommended for permanent archiving.
See your General Electric Medical Systems Representative for more information on accessories and
options.

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CHAPTER 3 – SENOGRAPHE 2000 D GANTRY

1. INTRODUCTION
The Senographe 2000 D Gantry is an X-ray system used for mammography examinations, which can
be made with the patient in the standing or sitting position and for various views and magnification
factors.
Major features of the Senographe 2000 D Gantry are the dual anode track x-ray tube, the entirely
automatic AOP exposure mode, its ergonomic design, and of course its digital detector.
Operation of the Gantry is controlled from the Gantry Control Console, which also controls power to
the Gantry and to the other components of the Senographe 2000 D system.
Ergonomic design: the Gantry is designed to ensure speed and convenience of patient positioning,
as well as patient examination comfort.

Dual-Track x-ray tube:

CHAP. 3
D Each of the two anode tracks is composed of a different metal, allowing the best compromise

FOR TRAINING PURPOSES ONLY!

between subject contrast and dose given to the patient.
D The rhodium (Rh) track provides improved penetration with a reduced radiation dose to the very
dense breast. The molybdenum (Mo) track provides high quality mammography images in all
other cases.
D Standard or magnification examinations can be performed with either track. Focal spot sizes are:
0.3 for contact exams and 0.15 for magnification exams.

AOP Mode:
D The AOP (Automatic Optimization of Parameters) Mode controls radiation. For a given priority
(dose reduction, subject contrast or compromise of dose and contrast), the AOP Mode provides
automatic selection of the optimum radiographic parameters (track, filter, kV, and mAs).
A manually controlled mode is also available.

CAUTION
Breast compression is essential when using the AOP mode. Refer to the
Caution on use of compression in the AOP section of Chapter 10.

Digital Detector:
D The digital detector produces images by direct digitization. It contains a flat panel of amorphous
silicon on which cesium iodide is deposited to maximize detection of X-Rays and transmission of
light photons. The high definition digital images produced are sent to the acquisition workstation for
visualization and processing.
The detector is built into the Image Receptor, which functions as a breast support. This includes an
easily removable Bucky, which can be interchanged with an optional Breast Holder (without grid).

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2. COMPONENT OVERVIEW
The Senographe 2000 D Gantry includes the following components:
 X-ray system

 Control console

 Generator Cabinet

 Protective screen

 Digital Detector

Note: Mandatory marking labels such as CE marking, UL Listing labels, and FDA labels are
located on the bottom left hand side of the Generator Cabinet.
CHAP. 3

FOR TRAINING PURPOSES ONLY!







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2-1 X-ray System
The X-ray system is equipped with a Telescopic Column which supports the Examination Arm.
The Telescopic Column must be secured to the floor using the fixed base plate.

CHAP. 3
FOR TRAINING PURPOSES ONLY!




 Readout.

 Connecting cables to generator.

 Emergency Stop push-buttons (one on each side).
 Compression/Decompression pedals; the four-pedal option also raises and lowers the Image
Receptor.
 Tube-arm Support.
 Receptor–arm Support.

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D Readout: The Readout display normally shows the following information (left to right):
Compressed breast thickness
Compression force
Field size
Magnification factor
When the Positioning Arm is rotated manually, the display shows the new angle for two seconds
after the brake control button is released.
D Positioning Arm: This consists of two arms (the Tube-arm Support and the Receptor-arm
Support), which are connected to the Telescopic Column by a common rotating shaft. The
Positioning Arm can be rotated through 360 degrees (+180/–180 degrees) around this shaft.
Note: Do not attempt to use the handle at the rear of the arm to disengage and rotate the tube-arm
support separately. The system will not allow exposures to be made with this arm
disengaged.
D Rotation Shaft: This couples the Positioning Arm to the Telescopic Column. Silk-screened
markings indicate the angles of rotation.
D Telescopic Column: This consists of two cylinders: a fixed cylinder and a telescoping cylinder,
which elevates the Positioning Arm.
CHAP. 3

FOR TRAINING PURPOSES ONLY!

D Emergency Stop: There are two Emergency Stop push-buttons, one on each side of the
Telescopic Column.
Note: If the Telescopic Column touches an obstacle during downward movement, the movement is
stopped.

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2-1-1 Tube-arm Support





CHAP. 3
FOR TRAINING PURPOSES ONLY!
The main components of the Tube-arm Support are listed below:

D X-ray Tube and Tube Housing Assembly  An Up/Down (↑↓) control is located at the top of
the assembly.
D Collimator  Contains the diaphragm and the light centering controls.

D Diaphragm Control  Two control buttons (one on each side of the collimator) are used to
select the required format:
Press either button once to select the last format used and to illuminate the centering light.
Press the button again, as often as required, to toggle between the three formats:
Large format: 19 x 23 cm
Medium format: 13 x18 cm
Reduced format: 9 x 9 cm.
D Centering Light  To illuminate the field coverage for 30 seconds, press the button located at
the rear of the collimator.
D Face protection  This is mounted on the front of the X-ray Tube and Tube Housing Assembly.
It can be easily removed.

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2-1-2 Receptor-arm Support




 
CHAP. 3

FOR TRAINING PURPOSES ONLY!



!


The main components of the Receptor-arm Support are listed below:

D Guide Rail  and Compression system including magnification platform and compression
paddle.
D The compression system comprises the paddle holder  , the manual compression adjustment
knobs  , and the interchangeable compression paddle  .

Compression and decompression are controlled manually or by the foot pedals  placed on
the floor.
Maximum compression force, speed of compression and decompression height are
programmed by the system SET-UP functions.
Manual adjustments to compression force can be made using the knobs  , located on each
side of the compression paddle arm. Turn the top of the knob towards the patient to increase
compression, away from the patioent to decrease compression.
To change a compression paddle: slide the paddle arm sideways from the compression paddle
support.

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Note: As a safety measure, the compression system is fitted with magnetic braking to avoid the
paddle falling in the event of a power cut. If such a power cut occurs during an examination, a
force of around 5 daN could remain on the compression paddle. To disengage the patient,
raise the paddle steadily (do not try to lift it quickly) to counteract this compression force.
Note: Pressing a compression pedal or moving one of the thumbwheels illuminates the centering
light.

D The Magnification Platform  is installed by latching the platform onto the Receptor–arm in the
holes provided for the selected magnification (located on either side of the Receptor–arm).
To unlock the magnification platform, press the lever located on the left of the platform and pull the
platform forward (as shown on the label on top left side of platform). When the magnification
platform is inserted the small focal spot is automatically selected, and the FOV is reduced to 9 x 9.
Magnification factors are defined in the middle of a 4 cm thick breast, i.e., 2 cm above the
magnification platform. The useable magnification factors corresponding to each pair of holes, with
an SID of 660 mm, are:
D Middle holes: 1.8
D Bottom holes: 1.5

CHAP. 3
FOR TRAINING PURPOSES ONLY!
Do not use the upper holes for insertion of a magnification platform during
NOTICE
patient examinations

Always make sure that the magnification platform is correctly locked in place
NOTICE
before starting an exam.

D The Image Receptor  functions as a breast support and includes a removable grid (see
below).

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2-1-3 Image Receptor
The Image Receptor contains the Digital Detector and associated components for image acquisition.
Its upper surface supports the breast during examinations and is removeable. Two interchangeable
units are available, one with grid (the Bucky), and one without (the optional Breast Holder). Note that
exposures cannot be made with the Bucky and the Magnification Platform both present. It is possible,
but not recommended, to make exposures with the Breast Holder and the Magnification Platform both
present.

CAUTION
Never make an examination without either the Bucky or the Breast Holder or the
Magnification Platform fitted; the unprotected edge of the Digital Detector may
damage sensitive skin when compression is applied.

"

#
CHAP. 3

FOR TRAINING PURPOSES ONLY!

!



D The Bucky or the optional Breast Holder # slides into the top of the Image Receptor:

Removal: Turn the two release catch levers " towards you to release the Bucky or breast
holder, then pull it out.
Insertion: Insert the Bucky or optional breast holder in the rails, then push it in until you hear a
click.

D Up/Down Control Buttons ! are located at the top and bottom of each handrail. Use these
buttons to adjust the height of the Image Receptor by raising or lowering the Receptor-Support
Arm. A protecting rim prevents patient access to the buttons. The height of the Image Receptor
can also be adjusted by footswitches if the four-pedal option is present.
The height of the Image Receptor is adjustable between 761 mm (30 inches) and 1451 mm
(57 inches); it can be rotated through 360° (+180° to -180°).

D The levers  which are used on the other Senographe systems to alter SID are not operational.
The SID on Senographe 2000 D systems cannot be changed.

CAUTION
Surfaces which contact the breast (e.g., Bucky, Breast Holder, and compression
paddles) must always be kept clean; see Chapter 13.

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2-2 Generator Cabinet
The Generator Cabinet  contains power switching equipment, the generator and system
management electronics, and a chiller/dryer (connected to the Digital Detector for control of the
detector environment).

 

CHAP. 3
FOR TRAINING PURPOSES ONLY!
D The cabinet is mounted on wheels for easy installation; it is not recommended that it be moved in
normal operation.
D Do not obstruct the ventilation slots.
D The push-buttons  visible on the cabinet supply power to the Cart and to the UPS. They are
normally used only for Service operations.

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2-3 Accessories
Accessories delivered with the basic configuration of the Senographe 2000 D Gantry include:
D Square spot compression paddle.
D Small round spot compression paddle.
D 19 x 23 cm compression paddle.
D Axillary compression paddle.
D Protective screen.
D Magnification platform.
D Face protection.
D Bucky with grid.

2-4 Optional Accessories

Optional accessories available for the Senographe 2000 D Gantry include:
CHAP. 3

FOR TRAINING PURPOSES ONLY!

D Optical localizer (consisting of cross hair and biopsy paddle) for two dimensional biopsy.
D Examination chair.
D Accessories storage unit.
D Remote handswitch.
D Breast Holder.
D Bar code scanner

CAUTION
Only Senographe 2000 D recommended accessories should be used with this
equipment. Failure to heed this warning may cause unexpected functions and
possible data loss.

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CHAPTER 4 – GANTRY CONTROL CONSOLE

1. CONSOLE OVERVIEW
The Control Console is the interface between the Operator and the Senographe 2000 D Gantry.
It provides three functions:
D Receives operator commands.
D Displays replies and/or machine messages.
D Controls power up/down for all components of the Senographe 2000 D system.
 
Control Console CDRH

kV mAs

FOR TRAINING PURPOSES ONLY!

GE Medical Systems

CHAP. 4


Control Console 2001 (in forward production from February 2002)

 



 The Control Console can be placed on a suitable flat surface or installed on the protective
lead screen.
 Connecting cable to generator.

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 Plug for remote handswitch.

 Plug for connecting cable to generator.

The following optional moveable accessory is available for the Console:

 Remote Handswitch for Prep and Exposure.

For information on using the Control Console, refer to Section 3.

Note: The symbol located on the control panel means that you must read the appropriate
chapter in the operator manual before taking any action.

FOR TRAINING PURPOSES ONLY!

CHAP. 4

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2. CONTROL CONSOLE OVERVIEW

Control Console CDRH

       
Alternative
symbol:

kV mAs

FOR TRAINING PURPOSES ONLY!

   ! # "    ! "   #

CHAP. 4
Control Console 2001 (in forward production from February 2002)

     !  #

   ! # "     "   

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The Control Keyboard includes the following switches and displays:

1 System power on switch I 12 kV selection

2 Gantry power off switch STOP or O 13 mAs selection
3 SETUP/MEDICAL Menu 14 AOP, Manual Mode selection
4 Readout 15 Exposure Enable indicator lamp
5 Focal Spot selection 16 Exposure indicator lamp
6 Focal Track selection 17 Exposure Disable indicator lamp
7 Filter selection 18 Centering Light ON-button
Exposure Interrupt indicator button and
8 Left Breast Selection 19
reset
9 Right Breast Selection 20 Prep
10 Special Views selection 21 Exposure button
11 kV and mAs readout 22 Compression release Button

FOR TRAINING PURPOSES ONLY!

CHAP. 4

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3. LEFT-HAND SECTION OF CONTROL CONSOLE
Control Console CDRH
Alternative
symbol:
   

FOR TRAINING PURPOSES ONLY!

   ! # "

CHAP. 4
Control Console 2001 (in forward production from February 2002)

 
 

   ! # "

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The left-hand section of the Control Console Keyboard is used to control system startup and
shutdown, and to initialize or select generator parameters.
 System power on switch I
Press the key to switch power to the Gantry and to the other system components; the
indicator lamp lights and the system startup procedure begins. The Control Console displays
the last configuration used.

 Gantry power off switch STOP or

Press the key to power off the Gantry only; the indicator lamp lights.
Note: For more information on startup and shutdown procedures, refer to Chapter 6.

FOR TRAINING PURPOSES ONLY!

CHAP. 4

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 SET UP Menu
Press this key to access the Medical, Maintenance, and Installation menus.
The Medical Menu is used to modify parameters, as shown:

APPLICATION MODE

VIEW MEDICAL LANGUAGE Password

UNAVAILABLE

FOR TRAINING PURPOSES ONLY!

RECUMBENT PATIENT
+ – VALID FRANC ENGL DEUTS ESPAN ITALI PORTU

CHAP. 4
MEDICAL SET UP
SPEED FORCE DECOMP BEEP HEIGHT FILM

UNAVAILABLE Seno 2000 D

COMPRESSION SPEED WITH BEEP

FAST SLOW YES NO

MAX COMPRESS FORCE daN: xx daN END OF EXPOSURE DECOMP DECOMPRESSION HEIGHT: yy cm
+ – VALID YES NO + – VALID

xx, yy indicates that a single value is displayed or can be

modified or entered.

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 Readout
The readout display comprises two 40-character lines.
D The upper line displays information, safety, and error messages.
D The lower line displays selected parameters: focal spot, focal track, filter, breast
laterality, view names, presence of magnification, and angle
 Focal Spot selection
Small and large focal spot selection.
Note: This selection is normally made automatically. By default, the system selects the large focal
spot when a standard exam is selected, and the small focal spot when magnification is
selected. The selection can be changed manually, but exposures are not possible when the
automatic setting is overridden.
D Press the key to toggle between small or large focal spot (0.15 or 0.3, respectively).
D The readout indicates the size of the selected focal spot.
 Anode Track selection
Press the key to switch between the two anode tracks, molybdenum (Mo) and rhodium (Rh).

FOR TRAINING PURPOSES ONLY!

D In Manual mode, press the key to select the anode track.
The readout indicates the track selected.
D In AOP (Automatic Optimization of Parameters) mode, selection is automatic, and
pressing the key has no effect.
 Filter selection
Press the key to switch between the two filters, molybdenum (Mo) and rhodium (Rh).
CHAP. 4

D In Manual mode, press the key to select the filter.

The readout indicates the filter selected.
Note: Certain filter/anode track pairs are inhibited according to the selected kV value. The system
automatically selects an authorized filter and displays the selection.
D In AOP mode, filter selection is automatic, and pressing the key has no effect.
! # Breast Laterality
When acquiring an image, press the appropriate button to select the left or right breast..
Press the button ! to indicate that a LEFT Breast is being imaged; or press the button # to
indicate that a RIGHT Breast is being imaged.
Note: Selection of breast laterality (left or right breast) is mandatory. If laterality is not selected by
the operator, the exposure command is disabled.

" Special Views selection (for standing or sitting patients)

View names are normally determined automatically; the view names used are based on the
ACR view name convention; see section 6 for more information. This key is used to modify the
view name if a special view is used.

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D Automatic view selection:
After the operator selects breast laterality, the system determines and displays the correct view
name according to the Gantry arm angle. View names selected automatically are:
RCC, LCC, RMLO, LMLO, LSIO, RSIO, LML, RML, LLM, RLM, LLMO, RLMO, LFB, RFB.
If magnification is in use, the letter M is automatically added to the view name after the
laterality letter (e.g., LMCC for a mag view on the left breast in the CC position).
D Special view selection (for standing or sitting patients):
When a special view is used which does not correspond to the automatic view selection, press
the Special Views Selection key as often as required until the desired view name is displayed.
Refer to Section 6 for details.
D Recumbent patients:
The automatic and special view selection procedure applies only to standing or sitting patients.
View names for recumbent patients (patients unable to stand or sit for the mammogram) are
selected by using the SETUP key to access the <RECUMBENT> menu. See Section 6.

FOR TRAINING PURPOSES ONLY!

CHAP. 4

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4. CENTRAL SECTION OF CONTROL CONSOLE KEYBOARD
The central section of the Control Console Keyboard is used to select and display the kV and mAs
values.
Control Console CDRH 

FOR TRAINING PURPOSES ONLY!

  
CHAP. 4

Control Console 2001 (in forward production from February 2002)



  

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 kV and mAs Readout

D In manual mode the readout displays the kV and mAs values selected by the
operator.
D When an AOP mode is selected, the kV readout displays the code of the selected
mode: CNT (Contrast), DOSE, or STD (Standard). The mAs readout displays AUTO.
D At end of exposure, the kV readout displays the kV values selected and the first
letter of the code of the selected mode (C, D, or S); the mAs readout displays the
mAs value.
 kV selection

D In manual mode, turn the kV knob to select the required kV value; the displayed
value changes as the knob is turned. Available values are 22 kV through 49 kV in
steps of 1 kV. There is no mechanical stop; you can continue to turn the knob past
the minimum or maximum value (22 kV or 49 kV), but the displayed value no longer
changes.
D In AOP mode,turning the knob has no effect.
 mAs selection

FOR TRAINING PURPOSES ONLY!

D In manual mode, turn the mAs knob to select the required mAs value; the displayed
value changes as the knob is turned. Available values are 4 mAs through 500 mAs,
but some parameter selections may change these limits, e.g. the X–ray Console can
display as high as 600 mAs whereas the exposure is automatically limited to 500
mAs. There is no mechanical stop; you can continue to turn the knob past the
minimum or maximum value, but the displayed value no longer changes.

CHAP. 4
D In AOP mode, turning the knob has no effect.
 AOP and Manual Mode selection
Press the key to step through the four possible modes; three AOP modes and Manual mode.
D Three AOP modes are available, according to the priority required:
CNT: Contrast. Priority is given to optimum subject contrast.
STD: Standard. Gives a compromise between good contrast and dose reduction.
DOSE: Dose. Priority is given to dose reduction.
At the start of compression, the selected priority code is displayed on the kV readout.
When the exposure is complete, the initial letter of the code selected is displayed on
the kV readout.
D Manual mode is used to manually select kV and mAs values.

CAUTION
Breast compression is essential when using the AOP mode. Refer to the Caution on
use of compression in the AOP section of Chapter 10.

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5. RIGHT-HAND SECTION OF CONTROL CONSOLE
This section is used to prepare and initiate an exposure, control the centering light, and for
decompression and system reset.
Control Console CDRH

    

FOR TRAINING PURPOSES ONLY!

  !
CHAP. 4

Control Console 2001 (in forward production from February 2002)

    

  !

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 Exposure Enable lamp
D When lit, exposure is enabled.
 Exposure indicator lamp
D Lamp is lit from start to end of exposure.
D A buzzer sounds at the end of exposure.
 Exposure Disable lamp
D When this lamp is lit, exposure is disabled. Follow instructions displayed on readout
on left section of Control Console.

 Centering Light ON button

D Press key to switch on the centering light for 30 seconds. The key lights.
Note that the light does not function when an exposure is initialized.
 Exposure Interrupt button (with indicator lamp).
When the exposure is terminated the lamp is lit and a buzzer sounds.

FOR TRAINING PURPOSES ONLY!

Press the key to stop the buzzer and reset the system.
 Prep button with indicator lamp.
Press the key to prepare the exposure (anode rotation).
When the Exposure Enable lamp lights, exposure can be triggered.
Note: If the Prep button is released before the lamp is lit, the preparation is cancelled; preparation
stops one second after release.

CHAP. 4
 Exposure button
Press and hold this button while the Prep key is lit to make an exposure. To stop exposure
immediately, release the key.
A buzzer sounds at the end of exposure.
Note: In AOP mode and following preparation (anode rotation), exposure is made in two stages:
D An absorption measurement exposure of about 4 ms, which allows selection of the
optimum kV, focal track, and filter combination for the chosen priority.

There is a short pause during which kV, focal track, and filter are set automatically.
D An exposure during which image acquisition is made.

The operator must maintain pressure on the button until the buzzer stops to get
proper exposure.
! Compression release button
Press to release compression. The compression paddle automatically moves up to the
pre-programmed auto-decompression height.
Note: If auto-decompression is selected in the set-up menu, compression is released automatically
at the end of the exposure.

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6. VIEW NAME SELECTION
D View names (Projection Position Codes) used by the Senographe 2000 D system are described
below in the section View Names.
D View names are normally selected automatically, according to the selected laterality, the presence
or absence of the magnification platform, and the gantry angle, as described in the section
Automatic View Name Selection.
D For views which do not correspond to the automatic selection, the operator must select additional
information manually, as described below in the sections Special Views Selection and View
Names for Recumbent Patients.

6-1 View Names

View names used by the Senographe system are shown here. They are based on the ACR (American
College of Radiologists) standardized abbreviations for mammography projection position codes.

Description Code Comment

Prefixes selected by operator (laterality):
Right R Laterality selected by operator

FOR TRAINING PURPOSES ONLY!

Left L Laterality selected by operator
Prefix selected automatically (magnification):
Magnification M Selected automatically if the Mag. stand is present
View Names selected automatically (applicable only to standing or sitting patients):
CranioCaudal CC Inferior side of breast against receptor
MedioLateral Oblique MLO Inferior lateral side of breast against receptor
CHAP. 4

MedioLateral (90_) ML Lateral side of breast against receptor

LateroMedial (90_) LM Medial side of breast against receptor
LateroMedial Oblique LMO Superior medal side of breast against receptor
CranioCaudal (from below) FB Superior side of breast against receptor
Superolateral to Inferiormedial Oblique SIO Inferior medial side of breast against receptor
View Names selected manually:
Exaggerated CranioCaudal XCCL As CC with patient rotated laterally
Exaggerated CranioCaudal XCCM As CC with patient rotated medially
Cleavage CV As CC but inferior side of both breasts against receptor
Axillary Tail AT As MLO; axillary breast medially and anteriorly onto receptor
Suffixes selected manually
Implant Displaced ID Implant pushed back and flattened against chest wall
Tangential TAN Area of interest projected close to skin surface
Spot Compression S Spot compression with or without magnification
Roll Lateral RL Roll the breast slightly in lateral direction
Roll Medial RM Roll the breast slightly in medial direction

Prefixes and suffixes are used with the main view names; for example, RMMLO equals Right
Magnified MedioLateral Oblique, and LCCRL equals Left CranioCaudal with upper breast tissue
Rolled Laterally.

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6-2 Automatic View Name Selection

6-2-1 The automatic view selection process

Laterality Magnification
The operator selects the breast The system senses the presence or
laterality, Left or Right. absence of the magnification platform

Angulation
The system selects a view name according to the Tube angles are measured from the vertical 0_
tube angle and the laterality. Default values for the position, with positive angles counter-clockwise
angles used are given in the table below. when facing the Gantry. The sketch shows the
0_ tube at –45_. –45_

CC

MLO or MLO or
SIO SIO

FOR TRAINING PURPOSES ONLY!

+90_ ML or LM ML or LM –90_

LMO LMO

FB

180_

CHAP. 4
Example:
The tube is at –45_ and the selected laterality is R, so the inferior side
Operator selected laterality: R. of the breast is against the receptor. The system therefore selects
Magnification platform: Present. the view name SIO, and adds the laterality prefix R. Because the
Tube angle: –45_. magnification platform is present, it also adds the prefix M.

Automatically selected view name: R M SIO

6-2-2 Angles used in automatic view selection; default values

View Name Tube Head to Left Tube Head to Right

Selected
Minimum Maximum Minimum Maximum
CC –10_ +10_ Only one setting for CC
MLO or SIO +11_ +79_ –79_ –11_
ML or LM +80_ +100_ –100_ –80_
LMO +101_ +169_ –169_ –101_
FB +170_ +180_ –180_ –170_
Note that these values can be changed by the user:

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6-3 Manual View Name Selection (Standing or Sitting Patients)
D If a special view is being used which does not correspond to one of the view names selected
automatically, use the Special Views Selection key (key " in section 3) to modify the view
name. Press the key as often as required until the correct modified name is displayed. There
are two types of modifier:
Modifiers which are added as a suffix:
ID, TAN, RL, RM, S (e.g., RCC becomes RCCRM).
Modifiers which replace the standard view names:
XCCL, XCCM, or CV replace CC or FB.
AT replaces MLO.

When the patient is positioned for a Cleavage view (CV), external markers must
NOTICE
be used to assist in determining laterality when viewing the image. Place a Right
(R) or Left (L) marker in the lateral aspect of the breast of interest, or place
markers on the lateral side of each breast. Markers must be placed outside of
the 140 mm x 160 mm ROI used by AOP (see Chapter 10, section 4-1).

6-4 View Names for Recumbent Patients

For patients unable to stand or sit for mammograms, the change of view imposed by the recumbent

FOR TRAINING PURPOSES ONLY!

position means that the automatically selected view name is not correct.
Follow the instructions below to change the view name
1. Position the tube to the desired angle.
2. Select the laterality, L or R.
3. Press the control console SET UP key (key  in section 3) once.
CHAP. 4

4. Press VIEW to select the RECUMBENT PATIENT menu, overriding the automatically selected
view name.
5. Press the + or – key as often as required until the correct view name is displayed.
6. Press VALID to select and save the displayed name.
7. Press SET UP twice to return to the main menu and acquire the patient image.
D Repeat these steps for each view acquired on the recumbent patient.
D The table given on the following page is intended as an aid in selecting appropriate view names for
use with recumbent patients
Each row of the table starts with a sketch showing the tube position for one of the main tube
angulations. It then gives, first for the Left breast, then for the Right breast:
– The view name corresponding to that angulation for a standing patient. This is the view name
which is automatically selected and displayed by the system.
– A sketch showing the path of X-rays through the breast of a recumbent patient with her head to
the left, with the corresponding view name. In the RECUMBENT PATIENT menu, press the –
key as often as required until this view name is displayed.
– A sketch showing the path of X-rays through the breast of a recumbent patient with her head to
the right, with the corresponding view name. In the RECUMBENT PATIENT menu, press the +
key as often as required until this view name is displayed.
In each sketch the patient is shown from the rear.

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Left Breast Right Breast
Tube Automatic Recumbent View Automatic Recumbent View
Angulation View Name View Name
Selection Head to Left Head to Right Selection Head to Left Head to Right

LML LLM RLM RML

LCC RCC

LMLO LLMO RSIO RMLO

LSIO RMLO

LCC LFB RCC RFB

LML RML

FOR TRAINING PURPOSES ONLY!

LSIO LMLO RMLO RLMO
LLMO (RMLO)

LLM LML RML RLM

CHAP. 4
LFB
RFB

LLMO LMLO RMLO RSIO

(LMLO) RLMO

LFB LCC RFB RCC

LML RLM

(LMLO) LSIO RLMO RMLO

LMLO RSIO

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CHAPTER 5 – ACQUISITION WORKSTATION

1. OVERVIEW

1-1 Introduction
The AWS (Acquisition Workstation) is housed in the AWS Cart. It has its own dedicated computer and
image data base. It supports:
D Image acquisition from the Digital Detector
D Image display and manipulation
D Management of Patient information and the Exam Database
D Image transfer to other workstations using the DICOM standard
D Filming of images (on optional laser printer)
D Archiving images (on optional mass archiving system)
D Saving of images on recordable CD-ROMs (if the CD-R Interchange Media option is present)

FOR TRAINING PURPOSES ONLY!

Senographe 2000 D applications are based upon a graphical, multi-window, mouse-driven interface.
Images, lists, menus, and control panels are displayed within graphical windows on the Workstation
monitor. Selections are made using buttons, menus and control panels, etc., by pointing and clicking
with the mouse.

CAUTION
Software programs other than those supplied by General Electric Medical
Systems specifically for use with this system must NOT be loaded onto the
system.

CAUTION
The AWS Cart is mounted on wheels so that it can be easily positioned for
maximum convenience in the examination room. It should NOT be considered a
“mobile”unit. Take great care if you must move it in the vicinity of any person or
equipment. Do not move it during an examination.

CHAP. 5

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2. WORKSTATION UNIT

The Senographe 2000 D Acquisition Workstation features:

D A computer unit (with internal hard disk unit for system software and image storage), housed inside

FOR TRAINING PURPOSES ONLY!

the Senographe 2000 D AWS Cart
D A monitor, located on top of the cart
D An alphanumeric keyboard, and a mouse and pad, integrated in the three-section table at the front
of the cart.
The computer desktop unit is equipped with an internal 3-1/2” floppy disk drive and an internal
CD-ROM drive.
Note: The internal CD-ROM drive is for GE Service use only (for updating or installing software). It
is not able to read image files from systems equipped with the CD-R (CD Recording)
Interchange Media option.

CAUTION
The monitor should be used in a suitably dark environment when reviewing a
digital image. The optimum ambient light level is 50 lux.

THE AWS MONITOR MUST NOT BE USED FOR FINAL INTERPRETATION OF

CHAP. 5

WARNING
EXAMINATIONS. IT IS SET UP FOR OPTIMUM VISUALIZATION WITH AN
AMBIENT LIGHT LEVEL OF 50 LUX. LEAVING THE AWS LIGHT BOX
ILLUMINATED WITHOUT A FILM IN PLACE MAY DEGRADE THE REVIEW
QUALITY OF IMAGES DISPLAYED ON THE MONITOR.

3. STARTUP AND SHUTDOWN

D Refer to Chapter 6 for power up and power down procedures.

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4. HARDWARE CONTROLS

4-1 Mouse
The mouse is a hand-operated device which is maneuvered Left Middle Right
across the surface of a pad. The on-screen cursor mimics the
movement of the mouse, allowing movement among windows
and menus. For instance, moving the mouse to the right causes
the cursor to move to the right, and so on.
The left mouse button is used to select functions and items.
The middle and right mouse buttons are used for specific
functions, described in the appropriate sections of this manual.
“Click” means to press and release a button without moving the cursor.
“Double-click” means to click a button twice in rapid succession.
“Press and drag” means to move an item across the screen. With the cursor on the item, press and
hold the appropriate button while moving the mouse across the pad, “dragging” the selected item.

FOR TRAINING PURPOSES ONLY!

“Drag and drop” means to drag an item and “drop” it in a new location. Drag the item as described
above (“press and drag”), then drop it in the required position by releasing the button. Specific “drag
and drop” operations are described in more detail in the appropriate sections of this manual.
Important: ”Clicking the mouse button”, “pressing a button”, “selecting a menu item”, etc. in this
manual always refer to using the left mouse button, unless the middle or right mouse
button is specifically mentioned.

4-2 Keyboard
The keyboard is used for entering text at on-screen prompts and alphanumeric data in data entry
fields.
Use the Delete or Back Space key to erase entered text or data.
The use of the Shift and Control keys is described in the appropriate sections of this manual.

CHAP. 5
Note: The Front key. The workstation can run more than one application at the same time (e.g.,
the Browser application can run in the background while an exam is being acquired). The
active screen is in the foreground, hiding the others. The Front key on the keyboard is used to
bring running applications to the front. If several programs are running, press it as often as
necessary to bring the desired screen to the front.

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5. WINDOWS
There are several types of windows that will be encountered as you use the Senographe 2000 D
Acquisition Workstation.
The most important ones are:
D The Browser is the main window used to manage the database, start the Review application, etc.
See Chapter 7 Browser.
D The Worklist is used to display a list of scheduled operations. From this window you can start
image acquisition and review operations. See Chapter 8 Worklist.
D The Viewer is used by the acquisition and review applications to display and process the images.
See Chapter 9 Viewer.
These main windows give access to other windows, such as the Medical Procedure Card window, the
Annotations window in the Viewer, various user selection windows, etc.
Also, small message windows concerning procedures in progress appear on your monitor as you
perform various functions. Some of these disappear on their own, others remain on the screen and the
application remains blocked until the message is acknowledged by clicking on (OK) or (Cancel).
Note: If the system does not respond because two or more windows are open one on top of

FOR TRAINING PURPOSES ONLY!

another, it is possible to recover by pressing the Front key on the keyboard (several times if
needed) to access hidden windows.

6. ON-SCREEN TOOLS

6-1 Cursor
The cursor is the on-screen tool which you maneuver across the screen using the
mouse, to display pull-down menus, make function selections, and manipulate lists,
images, and windows.
The cursor changes shape or orientation to indicate a change in function. Some examples:
D When you click on a menu item to open a pull-down menu, the cursor changes to an
arrow pointing to the right, to indicate you can now make a selection in the pull-down
CHAP. 5

menu.
D The cursor changes into a watchface if a function that you have selected takes more
than a moment to implement; no further function selection is available until the
procedure is completed.
Once the procedure is finished, the cursor returns to an arrow shape, indicating that the
workstation is ready to accept further input.

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6-2 Buttons

$% &
Most windows contain buttons to activate specific functions. These functions are
described in detail elsewhere in this manual.
To select (or activate) a button, click on it.
When a button’s label is shaded grey rather than white, it means that the button’s function is currently
not available.

6-3 Menus
Certain buttons activate specific functions directly. Others activate drop-down menus that allow you a
choice of functions.
To select (or activate) a function in a menu, move the cursor onto the menu item and click. The
workstation carries out your command, and the menu disappears.
When a menu item is shaded grey rather than white, it means that the function is currently not
available.

6-4 Scroll Bar

FOR TRAINING PURPOSES ONLY!

A scroll bar is an on-screen tool that you use to page through data that cannot be fully displayed at
once on the screen or in a particular window, such as lists of patients or exams in the Browser.

To move through the data controlled by the scroll bar (images, items in a Browser
list, etc.), you can place the cursor on the vertical rectangular bar within the scroll
bar.
Then, press and hold the left mouse button, and drag the cursor up or down to
move backward or forward through the list. The vertical bar within the scroll bar
shows you where you are within the list compared to the list as a whole.
Release the mouse button when the desired data are displayed.

Or, if you want to move through the data one item at a time, place the cursor on
either the upper or lower arrow and click the left mouse button. Each click moves
you up or down by one item of the data.
CHAP. 5

If you want to move through the data one page at a time, place the cursor either
above or below the vertical bar and click the left mouse button. Each click now
moves you up or down by one page of data.

A scroll bar becomes active only if the display capacity of the list is exceeded.
Otherwise, the vertical bar fills the full height of the scroll bar and clicking on the
vertical bar or the arrows has no effect.

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CHAPTER 6 – START UP AND SHUTDOWN

1. START UP PROCEDURE
To power up the system, press the power switch I on the Control Console. Power is applied to the
whole system (Gantry, Cart, Digital Detector, etc.); green power indicators are lit on the Generator, the
Cart, and the monitor.
A series of system initialization messages appears on the Workstation screen, then the Login: prompt
is displayed. Type sdc (all lower case) followed by <Enter>. When the password prompt appears, type
adw3.1<Enter>. The AWS Browser is displayed after a short delay.

2. SYSTEM SHUTDOWN
To power down the system, click the System Shutdown button on the AWS Browser window. A
confirmation message is displayed asking if the entire system should be shut down, If the response is
Yes, power is removed from the Senographe 2000 D Gantry and other system components, while the
Acquisition Workstation begins a controlled shutdown, designed to safeguard data. Complete system
and UPS shut down takes about two minutes from switch-off.

FOR TRAINING PURPOSES ONLY!

The Acquisition Workstation follows an automatic shut down procedure which protects
NOTICE
image and patient data. No prompts are displayed. Do not disturb this procedure by
attempting to enter commands at this time.

CAUTION
NEVER switch off at the UPS (Uninterruptible Power Supply) except in emergency
(risk of data loss).

3. EMERGENCY SHUTDOWN
D In an emergency, to cut power to the Gantry: Press one of the Emergency Stop push-buttons;
there is one on each side of the Telescopic Column.
D In an emergency, to cut power to all system components: Switch off the main circuit breaker
that supplies power from the hospital system to the Senographe 2000 D system. All image and
patient information being processed at the time is lost, and the Conditioner which controls the
Digital Detector environment is switched off.

4. GANTRY RESET
Certain configuration operations require the Gantry to be switched off and restarted. It is usually
desirable to reset the Gantry without disturbing the operation of the Acquisition Workstation.
To do this, switch off the Gantry and Generator by pressing the Control Console power switch STOP
CHAP. 6

or . Switch them on again by pressing the power switch I.

5. GENERATOR CABINET PUSH-BUTTONS

Push-buttons mounted on the Generator cabinet control power to the AWS Cart and to the UPS. They
are provided for service and emergency use; they should not be used in normal operation.

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CHAPTER 7 – BROWSER
1. OVERVIEW

CHAP. 7
Network Filter Lock screen Tools menu
panel panel button button

Dicom

IC_LMO
SdC

JFR_RWSS
'()
Status line
No Filter
Auto Push status
GE Medical Systems

Tue 16 July 10:42

Remaining exposure(s): 12% Auto delete: OFF

Auto print: ON
Auto Print status
Sort by: Name Sort by: Number
Auto push: ON Review Exam
Display 2 or 4 button
windows examinations list Worklist button

QAP button

À
1/2 examinations

Patients list Sort by: Number

List Function buttons

series list (under each list)
1/10 Patients
1/2 series
Sort by: button

FOR TRAINING PURPOSES ONLY!

Sort by: Number above each list
Power off
images list
Remove
Drop Area

The Browser window illustrated above (usually simply called “the Browser”) is displayed when the
Senographe 2000 D system is first switched on. Note that the Tools menu function (section 9) allows a
number of Browser display options, so the windows and icons displayed may differ from that shown
here.
The Browser is used to:
D Shut down the Senographe 2000 D system.
D Link with the HIS/RIS (Hospital/Radiology Information System).
D Access to the Worklist for setting up and starting patient examinations.
D Select images in the workstation database for review.
D Manage the database (in particular to remove images that are no longer required).
D Transfer images to the Review Workstation or to other workstations.
D Save images on recordable CDs for data interchange (if the CD writer option is present).
D Archive images (if the optional mass archiving system is present).

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2. BROWSER RESTART
If it is necessary to restart (reset) the Browser, proceed as follows:
CHAP. 7

– Place the cursor in the title bar at the top of the Browser window.
– Use the left mouse button to drag the window down, leaving a blank space on the screen
above the window.
– Place the cursor in the blank space; click the right button.
– Select (Restart Browser) from the drop-down menu.
Restart Browser If Network, Printing, or Save operations are in progress, a warning
Network queue (non empty) box is displayed, allowing you to proceed with the restart or to
cancel it; the jobs in progress are interrupted and may be lost when
Restart Browser the Browser is restarted. Network transfers are stopped, but are
automatically retried after the restart. Printing and save operations
OK Cancel are stopped, and must be launched again after the restart. Note
that interrupted save operations to a CD-R may result in a partially
saved file on the disk; the disk will be unuseable and must be
replaced before the operation is repeated.

FOR TRAINING PURPOSES ONLY!

3. SYSTEM SHUTDOWN
D To shut down the Senographe 2000 D system, click on the Power off icon at the
lower right of the Browser window. Power is removed from the Senographe 2000
D Gantry and Generator; the AWS system follows a shutdown procedure lasting
about two minutes, designed to ensure that no information is lost.

4. LOCK SCREEN
D This function may be used, for example, to prevent others from using the system
when a Physicist is carrying out tests and must leave them temporarily
unfinished.
D To lock the browser screen in its current state, preventing others from using it,
click the Lock screen icon at the top right of the screen.
D To unlock the screen, press the Return key, then enter the password when
requested (refer to the start up procedure given in Chapter 6).

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5. BROWSER DISPLAY

CHAP. 7
5-1 Lists
The Browser contains lists showing the patients, examinations, series, and images presently on the
image disk:
D Patients list: patients for whom examinations are stored on the image disk,
D Examinations list: examination for the selected patient
Note: examinations are sometimes referred to as studies.
D Series list: the different series of images within the selected examination; Raw, Processed, and
Screen Save images.
D Images list: images within the selected series.
The number of items (patients, examinations, series, or images) currently selected, and the total
number of items contained in the list, is displayed at the lower right corner of each list.
In addition to raw and processed images acquired locally by the Acquisition Workstation, the browser
lists may also include SCPT (Secondary Capture) images.

FOR TRAINING PURPOSES ONLY!

5-2 List format
The Browser displays lists of patients, exams, etc., in two formats:

– Two-list format; Patients and examinations.

– Four-list format: Patients, examinations, Series, and Images.

To change from one format to the other, click the appropriate small icon just above the Patient list.

5-3 Application Controls

The Application control buttons to the right of the Browser lists are used to review images stored on
the workstation database, to start Quality Assurance Procedures (QAP), to input patient demographics
from the HIS/RIS, or to send a message to the local GE Service Center.
D To review images stored on the workstation: select the desired images on the
Browser, then click on the (Review Exam) button.
D To link with the HIS/RIS and access the Worklist management function: click on
the (Worklist) button.

ÀÀ D To start Quality Assurance Procedures: click on the (QAP) button; select the
required procedure from the list presented.

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5-4 Network Panel
The Network panel at the top of the Browser displays (in the form
CHAP. 7

Dicom SdC
'()
of icons) the remote hosts and storage devices (such as CD–R)
IC_LMO JFR_AWS
currently connected to your workstation. See section 7 for more
information.

5-5 Status display

Icons and text on the Browser Status line give status information. Not all icons are present at any one
time, depending on the installed options and current operations. Possible status indications are, from
left to right of the screen:
D Network status. A dot moving along the lower line indicates that a network
transfer is in progress,

D Media transfer status. A dot moving along the lower line indicates that a media
restore operation (e.g., from CD-ROM) is in progress,

FOR TRAINING PURPOSES ONLY!

D Database query. If present, indicates that a query is in progress (local hard disk
access). This icon may appear only very briefly. Any error messages that may
result from a database query are also displayed in this position.
D Filter indicator. If present, indicates that a filter is currently applied (see section
9) . Click on the indicator to display the current local filter window.
D Current date and time, and Auto Delete status. Shown in text form just below the
GE logo at the right of the screen. The status of the Auto Print, Auto Push, and
Auto Delete options is also shown (ON or OFF). Auto-delete should normally be
OFF.
D Disk space available is shown as the number of Remaining exposures. Note that
each exposure includes two images (raw and processed).

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6. BROWSER MANAGEMENT

CHAP. 7
6-1 Selecting Images
If more items are present in a list than can be displayed at one time, use the scroll bar on
the right of the list to move through the items in the list (see Chapter 5 “Acquisition
Workstation”, for information on how to use the scroll bar).

An arrow button beneath a list indicates that more columns of information may be available;
click on the button to view the additional information.

6-2 Selecting Images

To work with the images stored on the Workstation database (image review, network transfer, etc.),
first select the desired images on the Browser. Select in turn the desired patient, study, and series, by

FOR TRAINING PURPOSES ONLY!

clicking on them. Each selected item is highlighted.
If any image of an examination is selected, all images of the series will be loaded and displayed.
To select a number of specific images, hold down the Ctrl key on the keyboard, and click on each of
the desired images. To select a range of images, click on the first one in the range, then hold down the
Shift key and click the last one in the range.

6-3 Status of Series

The Status column in the Series list is used for single letter flags which indicate the status of the
series:
A Archived (storage committment received from a mass archive system).
C Copied onto CD-R media.
P Sent to a printer (this does not guarantee that the image(s) have been printed).
S Sent to a network entity.
L Locked Click on the Lock button to lock an item.
U Unlocked Click on the Unlock button to unlock an item.
* In use (being reviewed, archived, or transferred).
Images from in-use studies cannot be removed.

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6-4 Sorting Lists
To sort the items in the lists according to different criteria:
CHAP. 7

Sort by: Name D Click on the (Sort by:) button above the list you want to sort, then select the
desired sorting option in the drop-down menu.
– Patient lists can be sorted by: Identifier, Name, Last study date.
– Exam lists can be sorted by: Date, Identifier, Description, Performing physician, Referring
physician.
– Series lists can be sorted by: Number, Type, Identifier, Name, Last study date.
– Image lists can be sorted by: Number, Old–new date, New–old date.

6-5 Deleting Images

To delete patients, examinations, series, or images from the image disk of the workstation:
D Select the items you want to delete in the corresponding list, then click on the
(Delete) button under that list (if the button is not displayed, it can be turned on
using the Tools menu).

FOR TRAINING PURPOSES ONLY!

D OR Drag the selected item using the middle mouse button, and drop it on the
large (Delete) icon at the bottom right hand corner of the screen.
A message window pops up asking you to confirm the delete operation. Click on (OK) to
confirm, or click on (Cancel) to cancel the operation.
If a (Delete) button is displayed in grey, this indicates that the selected item is currently in use
by an application (Viewer or network transfer), and therefore cannot be deleted.
D If the mass storage option is present, an Auto Delete function can be set. This
automatically deletes items from the local database when they have been
committed by the storage device. The function must be activated by GE Service.

6-6 Interchange Media

If the Interchange Media option is installed on the system, you can use the (Push)
button below the patient list, Exam list or Image list on the Browser to save selected
information on CD-R (CD-Recordable) disks.
See Chapter 13 (Interchange Media).

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7. NETWORK TRANSFER

CHAP. 7
7-1 Network options
The Senographe 2000 D system can be provided with a networking
Dicom SdC
'()
option, allowing you to transmit acquired images to other
IC_LMO JFR_AWS
DICOM-compatible review stations. When the system is connected
to other workstations or storage devices, they are represented by
icons in the Network panel.
The Senographe 2000 D can also be connected to a mass archiving system. The acquired images will
then be sent automatically or manually (user’s choice) to the archiving device for permanent storage.
A list of patients imaged on the Senographe 2000 D system will be maintained on the mass archiving
device, ensuring quick and easy data retrieval.

7-2 Transfer
To copy patients, studies series, or images to another workstation or storage device (“remote host”):
D Select the items you want to copy to the remote host in the Patient name, Study

FOR TRAINING PURPOSES ONLY!

ID, series , or imageslist.
D Either: Drag the selected group, using the middle mouse button, and drop it
over the icon representing the remote host in the Network Panel,
Or: Use the Push function; click on the (Network Push) button under the list, to
open the Network Push window (if the button is not displayed, it can be turned
on using the Tools menu). A Network Push window is displayed, listing remote
hosts:

Push selected exam(s) on...

List of remote hosts
MCT_OC0
NMR1_OC0
ZNR2_IC0 D Click on name of remote host
to select (highlight) it.

If necessary, use the scroll bar to move

through available remote hosts.
Selected remote host
ZNR2_IC0

OK Cancel
D (OK) : initiate transfer
(Cancel) : cancel operation

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Notes:
D During a transfer, the Network icon shows a transfer animation.
CHAP. 7

D It is possible to start or review an exam on the workstation while a transfer is in progress.

D Studies which are being reviewed, saved, or transferred are flagged as “In use”. When an item
is in use it is protected, and cannot be deleted.
D When the transfer is finished, the network icon returns to its static position; the images are now
available on the selected distant workstation (remote host).
D If the remote host cannot be reached, a pop-up message reports this fact; you should verify
that the remote host is operational and check the network cabling.
Call your network manager if the problem persists.
D If the “Auto Push” option is selected from the Browser, then all images in this exam will be
automatically sent to the selected destination after exam closure.
D To archive exams on the mass archiver, the archiver must be selected in the same way as a
remote host (select its icon as the drag-and-drop target, or its address as the push destination).
During a network transfer:
D To monitor network transfer tasks, click on the Network status display to open the Network

FOR TRAINING PURPOSES ONLY!

queues window:

Network queues
Push images
Job currently in
65/3/1(Active)
progress
2899 (Pending)
273/3 (Pending)

Pause Resume Clear

Pull images
65/3/1(Active)
2899 (Pending)
(Pause): temporarily halt the 273/3 (Pending)

queue Click on job to select

(hold Ctrl to select more
(Resume): restart a paused
queue than one) then click on
(Clear) to remove job(s)
(Refresh): update the queue Pause Resume Clear from queue
window (the queue window is NOT
updated automatically each time Refresh Done
(Done): close queue
a job is finished). window

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8. TOOLS MENU UTILITIES
To access the various system utilities in the Tools menu:

CHAP. 7
D Click on the (Tools menu) button (near the top right of the Browser screen) to
display the utilities menu, then select the desired item from the drop-down
menu:
Filter management
Browser preferences
Messages *
Network management *
Worklist management *
Printer Management *
Medical Application preferences
Edit Patient
Set patient anonymous
Service desktop *
Restart Browser
Shutdown *
Note: * Do not attempt to use items shown here with an asterisk. They are intended for use only

FOR TRAINING PURPOSES ONLY!

by your Field Service Engineer and are not described here; uninformed use may lead to
unpredictable results.

8-1 Filter Management

Click on Filter management in the Tools menu to Update, Add, or Remove registered filters. See
section 9.

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8-2 Browser preferences
Click on Browser preferences in the Tools menu to display the Preferences window, which allows
CHAP. 7

preferences to be set for Layout, Filter and Sort.

D Click on the selection box (1) to display windows for each of these choices in turn. Each window
displays options which are selected by clicking to “depress” the associated buttons.

Preferences
1
Set preferences for: Layout

D After making selections in each window, use the five buttons at the bottom of the window to apply
or save the changes:
– Save Apply the changes to the current display and save them. They will continue to be
applied until changed.
– Apply Apply the changes to the current display but do not save them. They will be lost
when you leave the browser.

FOR TRAINING PURPOSES ONLY!

– Reload last saved After making and applying changes, use this button to apply the last
saved preferences.
– Reset Apply default settings.
– Cancel Cancel your changes and close the window.
D Layout. This window allows selection of icons and windows to be displayed in the Browser
window, as shown below:
Allow Deletion by
Drag and Drop Display only Patient name
and examinations lists
Display Delete icon
below each list
Display Network Transfer
Display Patient name,
icon below each list
examinations, Series, and
Display Interchange Media Image lists
icon below each list
Display Lock icon below the
series list, to allow image
protection. A flag in the list
shows protection status as
U (unlocked) or L (locked).

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Filter. This window allows you to specify whether filters (selected from a list of registered filters) should
be applied to lists of items held locally (in the AWS) and/or items held remotely (e.g., in a networked
remote host).

CHAP. 7
No Filter Click here to select a filter to
be applied to local lists

No Filter
Click here to select a filter to
be applied to remote lists

D Sort. Use this window to specify a preferred order for displaying lists of patients and examinations,
series and images:

Modality MG

Sort patients by: Last study date

Sort series by:: Type

FOR TRAINING PURPOSES ONLY!

Sort images by: Number

Sort exams by: Date

Split series:

Yes No

Note: 1. Do not change the default choice of MG for Modality.

2. Leave the selection of Split series: as Yes. Other selections are not valid for this system.

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8-3 Medical Application preferences
Select this option to open a window in which you can set Medical Application preferences for Auto
CHAP. 7

Push, Auto Print, Annotations, Auto Delete, Test Hosts, and Names. To change a setting, click the
button beside the option to switch it between selected ( or ) and deselected ( or ). After
making changes, click (Save) to apply them, or Close to leave the window without saving.
Auto Push
Select Auto Push ON or OFF, the type of images to be transferred, and the name of the desired
remote host.
medAppPrefs
Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

ON
Auto Push
OFF

Remote Hosts

loupiac Raw Proc Both None

stamour Raw Proc Both None

Raw Proc Both None

FOR TRAINING PURPOSES ONLY!

Save Close

Auto Print
Select Auto Print ON or OFF and the name of the desired DICOM printer. Click the Printing properties
button to set printing properties if required (refer to Chapter 11 Printing). Only the default print mode of
Fit to Film is available.
medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

ON
Auto Print
OFF
DICOM printers
Print mode Fit to Film
dummy

Number Of Copies (1.. 9) 1

Printing properties ...

Save Close

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Annotations
Select the level of screen and print annotation desired. Screen annotation are chosen from Full,
Partial, None, or Custom; the list of annotation types at the middle of the window shows the current

CHAP. 7
default selections for the selected level. For print annotations, select the model (1, 2, or 3) to be used
by default (refer to Chapter 11 Printing).

medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

Screen annotations Patient information Printing Annotations

Acquisition date and time Model 1
Full
Partial Hospital information Model 2
Model 3
None X Ray parameters
Custom
Anatomicalinformation
Processing information

Display parameters
Measurements

Save Close

FOR TRAINING PURPOSES ONLY!

Auto Windowing
Images are stored with four windowing levels: High Standard, Low, and User . Select which level is to
be used as the default when an image is displayed. If User is selected, and no User level has been
defined (by a user saving the image with modified levels), the Standard setting is used instead.

medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

Auto Windowing

Standard
High
Low
User

Save Close

However, if the Premium View option is present and enabled (see Image process below), selecting
User value is considered as if Standard value was chosen. The User level can be overwritten if the
user saves the image with modified levels.

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Quality Check
Use this screen to change the default value of the Quality Check parameter to OK or NOT OK. The
chosen value is automatically applied to all subsequently acquired images, but can be changed by the
CHAP. 7

operator during review after acquisition (see Chapter 9).

medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

OK
Default image quality check
NOT OK

Save Close

FOR TRAINING PURPOSES ONLY!

Auto Delete
Select Auto Delete ON or OFF, and specify the profile of images to be automatically deleted. Raw
and/or processed images can be automatically removed from the AWS disk when they have been
transferred (Sent) to another workstation, or Committed by a mass archiver.
Note that when the function is turned on, at least one of the profile buttons must be selected, and if
the used disk capacity reaches 95% the oldest exams are deleted by the system to make space for
new ones.
medAppPrefs
Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

ON
Auto Delete
OFF

Auto Delete Profile

Raw Images Sent Both Images Sent Processed Images Committed

Processed Images Sent Raw Images Committed Both Images Committed

Save Close

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Test Hosts
Use this screen to test remote host connections. Select the host(s) to be tested in the three windows
(Remote Workstations, Remote Printers, and Remote HIS/RIS servers), and click the Test selected

CHAP. 7
hosts ... button to start the test. A message is displayed to indicate whether the test was successful or
the host could not be reached.

medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

Select remote hosts you want to test :

Remote Workstations : Remote Printers : Remote HIS/RIS servers :

Test selected hosts ...

Save Close

FOR TRAINING PURPOSES ONLY!

Names
Use this screen to enter and store the names of Operators, Performing physicians, and Referring
physicians. The stored names may then be recalled from the database when required, avoiding the
need for retyping each time a Medical Procedure Card is created or updated.

medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

Define or modify names in database :

Operators Performing physicians Referring physicians

Operator 1 Performing Physicians 1 Referring Physician 1

add
Operator 2 Referring Physician 2

modify

delete

Save Close

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Image process
If the Premium View feature is not installed on your equipment, the following screen is displayed:
CHAP. 7

medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

No configuration needed

Save Close

If the Premium View feature is installed on your equipment, the following screen is displayed:

FOR TRAINING PURPOSES ONLY!

medAppPrefs

Auto Push Auto Print Annotations Auto Windowing Quality Check Auto Delete Test Hosts Names Image process

Premium View

Enable
Disabled

Save Close

Use this screen to enable or disable Premium View.

If Premium View is enabled, it is applied to all eligible processed images generated by the Medical
Application.
If Premium View is disabled (this is the default setting when Premium View is first installed), Thick-
ness Equalization is applied to all eligible processed images generated by the Medical Application.
Refer to Chapter 10 Image Acquisition Procedure, section 10 Processing for more information on Pre-
mium View and Thickness Equalization.

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8-4 Edit Patient
This option is normally turned off, but may be turned on by a GE Service Engineer if required. It allows

CHAP. 7
information on the patient Medical Procedure Card (described in the Worklist chapter) to be viewed
and modified after the exam has been closed. Changes are made by creating a new patient or a new
examination; the original file is always kept for security reasons.
Any changes made to the Patient identity information cause a new patient file to be created, with
copies of the existing exams. Fields which can be changed are: name, ID, date of birth, and sex.
When changes are made and a save is requested a confirmation message is displayed. If the save is
confirmed a message is displayed as a warning that a new entry will be made in the database, and
suggests that the old information should be manually removed. Note that if the old records are not
deleted, repeated use of this facility can rapidly use up disk space.

8-5 Set patient anonymous

This option allows an anonymous set of images to be created, for discussion with colleagues, etc.
Select one or more patients in the Patient name list, then click on the Set patient anonymous option in
the Tools menu. The patient examinations are copied and used to create a new patient with the name

FOR TRAINING PURPOSES ONLY!

NO NAME and a unique randomly created ID.

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9. FILTERS
Filters allows the lists of patients and exams shown in the Browser to be “filtered”; in other words, to
CHAP. 7

display only items which correspond to your chosen criteria (for example, between chosen dates, with
certain Patient name or IDs, etc.).
Filters can be temporary, in which case they wil be lost after the current session. or can be “registered”
as a named filter which can then be recalled for later use.

9-1 To select a registered filter or create a temporary filter:

The legend under the button in the Filter Panel at the top of the Browser
shows the current selection for the Browser Filter.

Temp. Filter

D To change the current selection, click on the (Filter) button in the Filter Panel
and make your selection from the drop-down menu:
Custom1 [Custom...] Use registered filters that have defined and saved

FOR TRAINING PURPOSES ONLY!

Custom2 beforehand (named Custom1 and Custom2 in this example),
Temp. Filter
No Filter [Temp. Filter] Use a temporary filter,
[No Filter] Display all available patients, examinations and series.

9-2 Temporary Filter

For occasional queries, use a temporary filter. The filter is used only for the current Browser session,
and is not saved.
D Click on the (Filter) button and select [Temp. Filter] in the drop-down menu.
The Local temporary filter window is displayed in which you can specify the
filter characteristics:
Temp. Filter

D Filters can be specified at Patient level, Exam level, and Series level. By default, Patient level is
selected first, but you can select these levels in any order; click the appropriate box to start
specifying filter criteria.
– Patient level: you can choose to begin the listing with a specified Patient name or Patient ID.
– Exam level: you can choose to begin the listing with a specified Exam description, Performing
physician or Referring physician name. or to list only exams made between certain dates
and/or times. Do not use the offered choice of mammography exams (MG) or exams from other
modalities (DX), as the AWS cannot display images from other modalities.
– Series level: you can choose to list only exams with a specified text in the Series description,
and to list only SCPT (secondary capture), Raw, or Processed exams.

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D When you have made your selections in each level, click one or more of the boxes at the bottom of
the screen (Patient, Exam or Series) to specify at which level the filter is to apply.
Each choice made at patient, exam, or series level allows you to choose how the specified text is

CHAP. 7
to be used to select listed items:
– “Begins with”. Items are displayed if they begin with the specified letter or word(s).
– “Contains”. Items are displayed if their description contains the specified text.
– “Is”. Items are displayed only if their description matches the specified text exactly.
D At any time you can click Clear to delete the choices made and start again, or Cancel to return to
the previous screen.
D When your selections are correct, click Apply.
The filter is applied, but is lost when the current session ends.

9-3 Registered Filters, Filter Management

For repeated queries, use custom filters. A custom filter is defined and saved (registered) separately.
Once defined and saved, the name of the custom filter is added to the Filter menu. It can then be

FOR TRAINING PURPOSES ONLY!

used at any time, using the (Filter) button and drop-down menu.
D To create, update or remove a custom filter, select Filter management in the Tools
menu:
The Filter selection window is displayed, giving a list of registered filters and a list of
options:
Update Modify a registered filter (selected from the list)
Add Create a new registered filter
Remove Remove a registered filter
Done Return to the previous screen
D The default choice is Add. If you select Add or Update, the Local filter window is displayed, in
which you can specify the new or modified filter characteristics.
This window is identical to that used for a temporary filter, except that you must specify a name to
identify the filter. On completion, you are asked to Save the new or modified filter.
D To apply the filter, return to the Browser and select the filter using the (Filter) icon.

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GE Healthcare Senographe 2000 D Acquisition System
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CHAPTER 8 – WORKLIST
1. WORKLIST FUNCTION
The Worklist is a list of scheduled tasks. Typically, it shows all patients scheduled for examination
during a working day.
When the Senographe 2000 D system is connected to a Dicom Worklist Management SCP (Service
Class Provider) system, entering the Worklist function displays a Worklist downloaded from the SCP
system, using the Dicom Basic Worklist Management Service. Downloading information in this way
reduces the workload on the AWS, increasing throughput and decreasing the risk of errors. However,
Worklist entries can also be made locally, from the AWS.

CHAP. 8
Click on the Worklist icon at the right of the Browser window to display the Worklist window
as shown below. To start an exam, select the required patient task in the list. Selections
can be made by clicking with the left mouse button, or by entering appropriate text in one of
the three Selection Criteria text boxes above the list; Patient ID,Patient Last Name, or
Accession Number. When the correct patient task has been selected, click the (Start
Exam) button or double-click on your selection to continue with Image Acquisition. See
oveleaf for more information.
Worklist as of 16:16 January 07 2000

FOR TRAINING PURPOSES ONLY!

Selection Criteria

Patient ID Patient Last Name Accession Number

Status Input Start Date&Time +Patient Name Patient ID Procedure Description Accession # Study ID
Jan 07 200 15:15 jones areths 2 left breast 2
Jan 07 200 15:10 smith anna 3 right breast 1

Refresh Worklist Query... Edit... Browser

New Patient... Delete Delete All Start Exam

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– The Worklist title shows the date and time of the last update (manual or from HIS/RIS).
– Click the (Browser) button to return to the Browser window.
– By default, when the window opens, the Worklist is sorted by Patient Name, the first item in the
list in which the number of images is zero is selected, the cursor is in the first selection criteria
entry field, and the default push-button is Start Exam.
– The Worklist information is displayed in columns. You can sort the entries according to the
information in any column, in ascending or descending order, by clicking the title at the head of
the column. For example, to sort on patient name, click the (Patient Name) button. The entries
are automatically displayed in ascending order of name, and a + sign appears in front of the
title (+Patient Name). Click the button again; a – sign appears in front of the title (–Patient
CHAP. 8

Name), and the entries are now displayed in descending order of name.
– Items in the Worklist are selected/deselected in the usual way by pointing and clicking.
Non-consecutive multiple items are selected by holding down the Control key while clicking. To
select a range of consecutive multiple items, select an item, then hold down the Shift key while
clicking another; both items and all in between are selected.
– To find and select an item in the list, use the Selection Criteria at the top of the window. As
soon as a character entry is made in one of the boxes (Patient ID, Patient Last Name,
Accession #), the window scrolls to show and select the first matching entry. When an entry is

FOR TRAINING PURPOSES ONLY!

made in one of the criteria boxes, the other two are automatically cleared.
– Click on the (Refresh Worklist) button to download the current worklist from the configured
Dicom Worklist Provider. If the Dicom worklist feature is not installed, or the Provider is not
configured, this button is greyed out and not active.
While the list is being updated, an indicator WORKLIST LOAD IN PROGRESS... is displayed,
the Refresh Worklist button becomes Cancel Load, and all buttons except Cancel Load and
Browser are disabled.
– Click (Query...) to display the Query definition window, to define the networked Worklist
parameters.
– To delete selected patients, click the (Delete) push-button. To delete all patients, click the
Delete All push-button. User confirmation is requested before deletion.
– Click (New Patient...) to display an empty Medical Procedure Card window, allowing a new
patient to be added to the list.
– Click the (Edit...) button (only active if a single item is selected) to display the Medical
Procedure Card window with data for the selected item, allowing you to view and/or add
information.
– With the correct patient selected in the Worklist, click (Start Exam) or double-click your
selection to display the Viewer window and allow image acquisition for the scheduled patient.

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2. IMAGE ACQUISITION

2-1 MEDICAL PROCEDURE CARD

The Medical Procedure Card (MPC) is used to enter all patient–, procedure– and operator–related
data. This data will be saved together with the exam images.
There are three ways to enter the data:
D Manually.
The technologist enters the information directly into the MPC fields.
Note: only the Patient data fields are mandatory to create an MPC.

CHAP. 8
D Through a DICOM HIS/RIS system
In this case the Worklist receives directly from the Hospital or Radiology Information System the
patient and/or procedure information needed to fill in the MPC.
Information received in this way cannot be modified.
D Using a Barcode Scanner (Optional on Senographe 2000 D)
If your facility produces barcode labels to identify patients and their scheduled exams, all the data
stored on the barcodes can be scanned with the Barcode scanner option. Scanning produces an

FOR TRAINING PURPOSES ONLY!

MPC for each patient scanned, saving time and reducing errors as compared with an exclusively
manual data entry process.
Medical Procedure Card Medical Procedure Card
PATIENT PATIENT
PATIENT
Name Last Name : Save

First Name First Name : START

EXAM Cancel
Patient ID Patient ID :

Birth Date :
Birth Date Year Month Day Start Exam
CANCEL
Sex : Male Female Other

Sex Female
PROCEDURE
Study ID :
EXAM: DIGITAL SPOT
Study Description :
Operator
Accession Number :

Performing Physician Procedure Description :

Referring Physician Operator :

Hospital Name Performing Physician :

Referring Physician :
Exam Description
Scheduled date & time : Jan 05 2000 16:45

When you select a single patient in the Worklist and click (Edit...), or when you click (New Patient...)
or (Start Exam), the Medical Procedure Card window is displayed.

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D For a new patient, all fields are blank; move the cursor (use the mouse, or use the Tab or Enter
keys to move through the fields) inside the Last Name and First Name fields and enter the patient
name. Then move the cursor inside the Patient ID field and enter the patient ID.
D For a new study (existing patient) the patient information fields cannot be modified.
Fill in the other fields as required, then click on the (Start Exam) button. The Medical Procedure Card
window closes, and the Viewer is displayed.
D For a patient selected on the HIS/RIS worklist, verify that the information in all fields of the medical
procedure card is correct and click (Start Exam) to begin the exam, or (Cancel).
Note: Patient Last Name and Patient ID are mandatory: you cannot start an exam if these fields are
not filled in. The remaining information on the card is optional.
CHAP. 8

D After the first acquisition has been made, the information in the Medical Procedure Card cannot be
changed. However, errors can be corrected by creating duplicate information using the Edit Patient
option in the Tools menu (described in the Browser chapter). The original information is saved for
security.

2-2 Image Acquisition – New Patient...

To start an exam for a new patient:

FOR TRAINING PURPOSES ONLY!

D Click on the (New Patient...) button.
The Medical Procedure Card window is displayed.
Note: A patient must have unique identifiers (name and ID mandatory, first name optional).
D When the card entries are complete, click on (Save) to add the patient to the Worklist for future
use, (Start Exam) to begin the exam, or (Cancel) to exit.
If (Start Exam) is selected, the Viewer opens with the Medical Procedure Card displayed.
Check the information displayed. If it is not correct, do not proceed; select (Cancel) and confirm to
close the Viewer. On returning to the Worklist, select the correct patient and select (Edit...). Make
any changes required, then click (Start) to again open the Viewer with the Medical Procedure Card
displayed. If the information is now correct, begin the first acquisition.

2-3 Edit Patient

To edit patient information (only possible before making the first acquisition for the patient):
D Select the patient in the list and click on the (Edit...) button.
The Medical Procedure Card window is displayed.
This function is not available for information received from an HIS/RIS worklist.
D When the changes to card entries are complete, click (Save) or (Start Exam).

2-4 Image Acquisition – New Examination

To add an exam for an existing patient:
D Select the Patient Name in the Patient list on the Worklist by clicking on it.
D Click on (Start Exam).
The remaining procedure is the same as for a new patient, except that the patient information fields in
the Medical Procedure Card are already complete and cannot be modified (displayed in grey).

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2-5 Image Review
To review images stored on the workstation image disk, return to the Browser screen:
D In the Browser screen, select the desired images. Select first the patient, and then the exam
(study) by clicking on them.
To select only a specific image for display, click on it in the list. To add more images, click on them
in the list while holding down the Ctrl key on the keyboard. t.
D Click the (Review Exam) button.
The same functions that are available after image acquisition (image adjustment, measurements,
annotations, etc.) are also available in review mode, with the exception of the 2D Localization function.

CHAP. 8
FOR TRAINING PURPOSES ONLY!

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3. BAR CODE SCANNER (OPTION)

3-1 Optional bar code scanner

The Senographe 2000 D scanner is a fast and accurate optional tool for scanning bar code symbols in
AWS applications.
Available with an 80mm CCD scanning window and an integrated keyboard decoder, this scanner
captures entire bar code symbols instantly. The integrated decoder then transmits the data to the AWS
workstation just as if data were entered from the AWS keyboard.
The supported bar codes symbologies are:
CHAP. 8

D Code 3 of 9 (standard & full–ASCII).

D EAN 13.
D Code 128.

FOR TRAINING PURPOSES ONLY!

Handle light

Figure 1 – bar code scanner – top view

Handle Trigger

Figure 2 – bar code scanner – bottom view

LED & CCD beam window

Figure 3 – bar code scanner – side view

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3-1-1 How to read a bar code symbol
The Senographe 2000 D bar code scanner is simple to use – just aim and shoot. Before using it,
make sure all cable connections are secure.
1. Hold the scanner handle horizontally (Figure 3 – ) directly over the bar code.

Figure 4 – Sample bar code symbol (code 128)

CHAP. 8
2. Press the scanner trigger located below the scanner handle: the scan red LED beam lights. The
scanner has successfully read the symbol if:
D You hear a beep.
D The LED beam turns off.
D The handle light turns red.
3-1-2 Set default configuration

FOR TRAINING PURPOSES ONLY!

The scanner should already be configured. If not, programming the scanner is easy. You just scan bar
code menus.
In case you need to reset the bar code scanner to the supported AWS configuration, follow the steps
below:
1. Reset the bar code scanner to the factory settings. Wait until you hear 3 beeps.

2. Start Settings . You shall hear 2 beeps.

3. Set Full ASCII transmission to allow extended Code 39 characters transmission.

4. Set Extended Full ASCII to allow Function keys transmission on two characters.

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5. Configure the keyboard emulation model setting.

6. Enter code 719 to support the AWS QWERTY keyboard.

CHAP. 8

7. Set the keyboard to CAP LOCK OFF mode after symbol transmittal.

FOR TRAINING PURPOSES ONLY!

8. End Settings. You will hear 2 beeps.

Refer to the scanner documentation for more details on how to setup the scanner.

3-1-3 How to enter an AWS text field

1. Click to set the AWS keyboard focus in the text field you want to enter.
2. Scan the bar code symbol as described in section § 3-1-1. The decoded text is displayed in the
text field just as if you typed it using the keyboard.

3-1-4 What If ...

Nothing happens when you follow the operating instructions:
D Check the system power.
D Check for loose cable connections.

The AWS workstation goes back to monitor ok prompt:

Resetting or disconnecting/reconnecting the bar code scanner may make the workstation return to the
AWS monitor ok prompt. In this case
D type the go command to return to the normal working mode.

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The scanner does not read a bar code symbol:
D Be sure the scanning system is programmed to read the type of bar code you are trying to scan.
Refer to section § 3-1-2 “Set default configuration”.
D Be sure the bar code symbol is not defaced.
D The scan head must touch and cover every bar and space on the symbol as shown in Figure 5 – .
You can tilt the scanner forward or backward. Practice will quickly show you the ranges to work
within.

CHAP. 8
Right Wrong

Figure 5 – Scan the entire symbol

FOR TRAINING PURPOSES ONLY!

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CHAPTER 9 – VIEWER

1. OVERVIEW
D The Viewer window is displayed:
– when the Review Exam button in the Browser window is clicked after selection of a Patient,
examinations or series. The Viewer window opens and displays the first selected image.
– when the Start Exam button in the Worklist window is clicked after selection of a Patient in the
Worklist. The Viewer window opens, with the Medical Procedure Card displayed, ready to
display the acquired image.
The Viewer is used to display, manipulate, and analyze images that have been acquired using the
Digital Detector or recalled from the image disk for review.

CHAP. 9
FOR TRAINING PURPOSES ONLY!
1
Zoom

D Most of the screen is used for the Viewing Area (1), in which images are displayed.
D At the left of the screen, there is a Command window, which includes three main sections:
– The Mosaic Image Browser (2).
– The Control Panel (3).
Two selection buttons at the top of the panel allow one of two different Control Panels (View
Control and Annotation) to be displayed, according to the functions required.
Functions available from the two panels are described in section 2.
– Function panel (4). Provides access to the Medical Procedure Card, image reprocessing,
image printing, Middle mouse button function selection, and exit from the Viewer.
D To leave the Viewer, click the (Close Exam) button in the Function panel. All changes to
annotations are saved. If changes have been made to brightness or contrast settings, you are
asked to Exit with save, Exit without save, or Cancel.

All processed images in Medical Application preferences are in log format. To

NOTICE
make measurements on an image acquired in Medical Application preferences,
the raw image (which is in linear format) should be used.

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1-1 Viewing Area
You can choose to have one, two or four images displayed in the viewing area. See section 2 (View
Control) on how to select the desired layout.
To make it easier to view the images in the viewing area, you can place a ”shutter” (mask) over the
command window.
D Press the F10 function key (in the top row on the keyboard) to place the shutter. Press the F10 key
again to bring the command window back into view.

1-2 Mosaic Image Browser

The Mosaic Image Browser shows the content of the current exam in the form of
thumb-nail (reduced size) images. Up to eight such images can be displayed at
one time.
If the current exam contains more than eight images, use the Img. up/down
arrow buttons to scroll through the full set.
To view images from the next or previous Series or Exam, use the
CHAP. 9

corresponding up-down arrow buttons (Ser. or Exam.).

FOR TRAINING PURPOSES ONLY!

Click on the desired image in the Mosaic Image Browser to display it in the
viewing area.
A white dot on the reduced image in the Mosaic Image Browser identifies the currently displayed
image.

A camera icon appears above the arrow buttons when the Viewer is being used for image
acquisition. When the Viewer is used for image review, the icon appears with a bar , and image
acquisition is inhibited.

1-3 Image Selection

To work on an image in the viewing area, it must be selected (active). To select an image, click
anywhere on it. The selected image is identified by a large white dot in the upper left corner.

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2. VIEW CONTROL
To use the View Control Control Panel, click on the View Control “eye” icon to highlight it.

D View Composition. Click on the appropriate icon to display a single

View Composition
image, two images side by side, two images one above the other, or
View Composition four images.
Zoom Images are arranged in order (left to right, top to bottom) according to
Fit to True the order in which they were captured. To display images on the
Zoom Screen Size
monitor according to the ACR standard, they should therefore be
Fit to True
Screen Size captured in the order: RCC, LCC, RMLO, LMLO.
Display Parameters D Zoom. Click on the appropriate Zoom icon to choose a Zoom factor.
Display Parameters See description below.
D 2D Localization. Click on this icon to display horizontal and vertical
lines on the screen; they can be moved with the mouse to identify a
particular position on the image. This facility is available only in
acquisition mode (with the camera icon displayed in the Mosaic

CHAP. 9
FOR TRAINING PURPOSES ONLY!
area). See description below.
Inv. Standard D Contrast and Brightness (window width and window level) sliders .
Inv. Standard
See description below.
D Image Control. Use these controls to choose appropriate display
parameters. See description below.

2-1 Zoom
When the image is first displayed in the viewing area, it is displayed with a Zoom factor called “Fit to
Screen”. The Zoom factor is calculated so that all of the image is displayed in the space available in
the viewing area.
D Click on the appropriate (Zoom) button to select the desired Zoom factor:
Zoom=1 corresponds to a full resolution display: each pixel on the screen corresponds to a pixel
on the Digital Detector.
Zoom=1/2 corresponds to a half resolution display: a pixel on the screen corresponds to the
average of 4 pixels on the Digital Detector.
Fit to Screen: the image is displayed at a Zoom factor that optimizes the screen layout.
True Size: the image on the screen is displayed with the same size as that of the breast that is
being imaged. This facility is not available when viewing SCPT images.

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2-2 2D Localization
In acquisition mode (with the camera icon displayed in the Mosaic area), the 2D Localization
function allows you to display and position a set of cross-hairs on the image.
These are used on images acquired using the Graduated Biopsy Compression Paddle (option) to
precisely locate a point of interest on the image, in order to introduce a neddle.
D Click on the (2D Localization) button to display the cross-hairs on the image.
D Move the mouse pointer onto the intersection of the cross-hairs, then press and
hold the left mouse button. The cursor changes to a pencil shape, and you can
move the cross–hairs by moving the mouse.
Move the cross-hairs exactly over the point of interest; you can now read their
position relative to the graduations of the compression paddle on the image.
D Click again on the (2D Localization) button to remove the cross-hairs.
Note: When you close the exam, any 2D Localization cross-hairs on an image will be saved with the
image, and will be displayed again when the image is selected for review at a later stage.
On an image that has been saved on the database and is recalled in image review mode, the
CHAP. 9

2D Localization cross-hairs can no longer be modified or deleted.

FOR TRAINING PURPOSES ONLY!

2-3 Contrast and Brightness sliders
To use the sliders for precise adjustment of image contrast and brightness, you can:
D Select the cursor of the slider and drag it left or right as required. The value above the cursor
changes accordingly and the screen displays the change in contrast or brightness.
D Click on the left arrow or right arrow buttons, just below each slider, to change contrast or
brightness by small increments.
D Click inside the slider bar, on the left or on the right of the cursor, to change contrast or brightness
by large increments.
The adjustment only acts on the currently selected image (primary selection, indicated by the large
white dot in the top left corner).
Note: You can also use the Auto. contrast button (see Image Control, below) or the Multi-Function
mouse button (the middle button) for contrast and brightness control (see section 4-7, Middle
Mouse Button).

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2-4 Image Control

Invert
Click the Inv. button to invert the image contrast and brightness values, so that any microcalcifications
present appear black. Press the button again to return the display to the original default values, so
that microcalcifications appear white.

Auto Windowing
D Four windowing values are stored with the image: Standard, High, Low and User. Use the Medical
Application Preferences Auto Windowing panel (see Chapter 7) to select which of these values is
to be used by default when first displaying an image in the viewer. When User is selected, and no
User windowing levels have been defined (by a user saving the image with modified levels), the
standard setting is used instead.
D The button at the bottom right of the View Control panel shows the name of the windowing value
currently applied. To change it, click the button and select the desired setting from the drop-down
menu.

3. ANNOTATION

CHAP. 9
FOR TRAINING PURPOSES ONLY!
To use the Annotation Level Control Panel, click on the Annotation “pencil” icon to
highlight it.

Annotation Level
D Annotation Level. Click on the appropriate icon to select the required
Full Partial None Custom annotation level. See description below.

Graphics & Meas.

D Graphics & Meas. Click on the appropriate icon to select and display
a measurement tool, to add annotations, or to hide or erase displayed
tools and annotations. See description below.
Hide Erase all

Geom. Transformations D Geom. Transformations Click on the appropriate icon to flip or rotate
the image, or on Display Normal to return to the original display. See
description below.

Display Normal

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3-1 Annotation Level
System annotations are displayed automatically. They show exam-related information such as patient
name, patient ID, kV and mAs used, etc. The user can add further annotations (see Graphics &
Meas.).
D To select which annotations are displayed, click on the desired button
Full Partial None Custom on the control panel.:
(Full): All annotations are displayed.
(Partial): A predefined subset of annotations is displayed. This facility
is not available when viewing SCPT images.
(None): No annotation is displayed on the image.
(Custom): This button opens the Custom window (shown below)
with the list of available annotation groups. This facility is not available
when viewing SCPT images
Custom Annotations window:
  
Patient name, first name, patient ID, date of birth
1 : Patient information
Exam date, exam type
CHAP. 9

2 : Acquisition date and time

Hospital/Unit name, name of performing physician

FOR TRAINING PURPOSES ONLY!

3 : Hospital information
4 : X Ray parameters kV, mAs, track, filter, focal spot, exposure mode, compressive force,
thickness, ESE, AGD,
5 : Anatomical information Laterality, Mag. factor
6 : Processing information
Incidence
7 : Display parameters
8 : Measurements Brightness, contrast, zoom factor
Annotation associated with measurements
OK Cancel

D A small square button is displayed next to each group. To select the annotation groups that you
want displayed, click on the corresponding button. To deselect a group, click on the square a
second time.
D Click on (OK) to use the selected annotations, or on (Cancel) to cancel the operation.

3-2 Graphics & Meas.

These buttons allow you to add graphic and text annotations to the image, and perform
measurements.
You can add several graphic annotations (line segments and ellipses) on the same image. Each
annotation is identified by a number, which is displayed next to it. The corresponding measurements,
with the same identification number, are displayed in the bottom right corner of the image.
Only the three most recent measurements are displayed. To recall an earlier measurement value on
the screen, click on the corresponding line segment or ellipse.

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Segment
D Click the (Segment) button to place on the image a line segment that you can
use to measure the distance between two points.
The squares at each end of the segment are called handles.
D Press and drag on either of the handles to move the corresponding end of the segment to the
desired position. The size and angle of the segment follow the movement of the handles.
D To move the whole segment, select the segment by clicking on any point along the line (except the
handles) and drag the segment to the desired position.
The length of the segment (in millimeters) and the angle between the segment and the vertical (in
degrees) are displayed in the bottom right corner of the image.

Ellipse
D Click the (Ellipse) button to place on the image an ellipse, that you can use to
highlight an area of interest, or to measure the area delimited by the ellipse.
The ellipse is displayed with four handles around it, four tick marks on the ellipse
itself, and a cross mark in the center.

CHAP. 9
FOR TRAINING PURPOSES ONLY!
D To change the size and shape of the ellipse, press and drag on the handles.
D To rotate the ellipse around its center, press and drag on any of the tick marks.
D To move the actual ellipse, press anywhere on the ellipse (except for the tick marks), or on the
center cross, and drag the ellipse to its desired position.
The area of the ellipse (in square millimeters), and the mean and standard deviation of the pixel
values within the ellipse, are displayed in the bottom right corner of the image.

CAUTION
All measurement calculations for graphical annotations (length, surface area,
etc.) are made in a reference plane which is 2 cm above the breast contact
surface. These values therefore do not correspond to the true size of a
pathological feature unless it is situated in the reference plane.

The gray levels of pixels in raw images follow a linear law; those in
processed images follow a logarithmic law.

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Text Annotation
This function allows you to add text annotations on the image, for example to highlight a specific point
for further reference, or as a communication tool for another practitioner.
D Click the button marked (aA) to open the Annotations window, shown below:

Annotations
CHAP. 9

FOR TRAINING PURPOSES ONLY!

Arrow
Apply Cancel No arrow

Text annotations window

Move the mouse pointer inside the text area. You can now enter the required text.
Use the Enter key to start a new line. To make corrections, move the mouse pointer to the desired
place, and click, to position the text cursor. You can now insert text, or use the Backspace key to
delete text.
An arrow pointing to the area of interest can be attached to the annotation. To do this, select the
small square next to Arrow.
When you have entered the text, press the (Apply) button. The window closes, and the text
annotation appears on the image.
To position the text annotation, select it and drag it to the desired position.
If you chose to attach an Arrow, you can now also select the tip of the Arrow and drag it to the desired
position. The length of the Arrow is adjusted automatically.

CAUTION
Annotations added by the operator on the Acquisition Workstation will be lost
during image transfer to the Review Workstation.

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Displaying and Removing User Annotations

To hide all user annotations (graphics and text) on an image temporarily:

Hide
D Click the (Hide/Show) button.
To display the annotations again:
D Click the button a second time.
The button legend alternates between (Hide) and (Show). When (Hide) is
displayed, other measurement tools are not available.

To delete a user annotation (graphic or text) permanently:

D Select the annotation by clicking on it. The annotation is highlighted.
D Click the (Eraser) button to delete the highlighted annotation.

To delete ALL USER annotations (graphics and text) present on the image
Erase all permanently:

CHAP. 9
FOR TRAINING PURPOSES ONLY!
D Click the (Erase all) button. You are asked to confirm the deletion (Yes or No).

Note: The system annotations cannot be deleted, but you can use the Annotation Level buttons to
set the amount of system annotation displayed. See Annotation Level Level above.

3-3 Geom. Transformations

The buttons in the “Geom. Transformations” section of the panel allow you to flip or rotate the image to
improve viewing comfort or for easier comparison with other images.
D Click the button for the desired action.

Flip image around horizontal axis. The top of the image becomes the bottom, and
vice-versa. Left/right orientation is unchanged.

Flip the image around vertical axis. The left of the image becomes the right, and
vice-versa. Up/down orientation is unchanged.

Rotate the entire image 90 degrees to the left.

Rotate the entire image 90 degrees to the right.

D Click Display Normal to return the image to the initial orientation (regardless of how many flip and
rotate operations were performed).

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4. FUNCTION PANEL
The Function Panel is used to exit from the Viewer, as well as for access to
information on the Medical Procedure Card, Quality Check, image reprocessing,
print to Laser camera, and middle mouse button functions.
Reprocess QUALITY CHECK

4-1 Medical Procedure Card

D Click this button to view information on the currently selected patient.

4-2 Scrapbook
Click this button or press the F3 keyboard button to open the Scrapbook. This
allows you to position selected images on Scrapbook “pages”, ready for printing.
CHAP. 9

FOR TRAINING PURPOSES ONLY!

See section 5 for more information.

4-3 Reprocess
D Click this button to apply the default processing algorithm to the currently
Reprocess
selected image. If the image has already been correctly processed, or if it is an
SCPT image, the operation will have no effect.

4-4 Close Exam (Exit Viewer)

D Click this button to leave the Viewer. If an exam has been reviewed with no
changes, the Viewer closes with no message.
– If changes have been made to image WW or WL, a confirmation box is
displayed (Exit with save, Exit without save, Cancel).
– If New Acquisition has been selected, but closed before images were
acquired, a confirmation box is displayed (Yes or No).

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4-5 Quality Check
The Quality Check function is used with Auto Print to allow the user to discard images before printing
from the AWS. Images are allocated into two groups: OK, and NOT OK. Only images allocated as
good (OK) are automatically printed, but all images are kept in the exam file.
D When first acquired, all images are given the default Quality Check value of OK. If required, the
default value can be set to NOT OK, using the Medical Application preferences Quality Check
panel (see Chapter 7).
D While viewing an image (raw or processed) in acquisition mode, the Quality
QUALITY
Check button in the Viewer Function panel indicates the current value
CHECK OK
(QUALITY CHECK OK or QUALITY CHECK NOK). Click the button to
QUALITY switch the status of the image to the other value. The new value is applied
CHECK NOK to both images (raw and processed).

D This facility is available only in acquisition mode (with the camera icon displayed in the Viewer
Mosaic area). At other times the button is grayed out and the wording on the button is QUALITY
CHECK.
D If Auto Print is active, it applies only to images with a Quality Check value of OK. Images with a

CHAP. 9
Quality Check value of NOT OK are not automatically printed at the close of the exam.

FOR TRAINING PURPOSES ONLY!

4-6 Print to LaserCam
D Click this button to print the displayed image to a Laser camera (if present).
Refer to Chapter 11.

4-7 Middle Mouse Button

D Click one of the buttons on this panel to select one of three functions
to be performed by the middle mouse button. See below for
descriptions of these functions; the default is Contrast brightness
control (WW/WL).

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4-7-1 Magnifying glass
Provides a magnified view (x 2) of part of the image in a moveable square zone.
D Click with the left mouse button on the (Magnifying glass) button to select the
function.
D To use the function, move the mouse pointer to the part of the view you are
interested in; press and hold the middle mouse button.
Note: Any annotations or graphics in the magnified zone temporarily disappear.

4-7-2 Image scroll

When all of an image is not visible, for example when you have magnified an image by using the
Zoom function, this function allows you to move the visible window around the image.
D Click with the left mouse button on the (Scroll) button to select the function.
D To use the function, move the mouse pointer onto the view; press and hold the
middle mouse button to move the image as required.
Note: If the full content of the image is already displayed, the Image Scroll function has no
CHAP. 9

FOR TRAINING PURPOSES ONLY!

effect.

4-7-3 Contrast/Brightness control

This function allows image contrast and brightness to be adjusted by moving the mouse.
D Click with the left mouse button on the (Contrast/Brightness) button to select
this function.
D To use the function, move the mouse pointer onto the view; press and hold the
middle mouse button:
Contrast is controlled by a horizontal movement of the mouse, to the right for
more contrast, and to the left for less.
Brightness is controlled by a vertical movement of the mouse, up to decrease
brightness, and down to increase it.
Note: Image contrast and brightness can also be adjusted using the Contrast and Brightness
sliders,or the Auto Contrast control, all available from the View Control Control Panel.

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5. SCRAPBOOK

CAUTION
The Scrapbook function allows more than one image to be printed on a single
film for ease of comparison and reference. Films with multiple images must NOT
be used for diagnostic purposes.
D The Scrapbook function allows the user to select images and arrange them in any desired order for
printing, by positioning them on “virtual pages” in the Scrapbook. Pages can contain mutiple
images, according to the layouts available with the currently selected printer, and each page can
have a different layout. Pages can be sent for printing individually or all at once.
D A “delete after print” option can be turned on or off, as required. It causes pages to be
automatically deleted after printing.
D Only images from a single patient can be loaded into the Scrapbook at one time. Images may be
loaded from different exams; a warning is displayed when the first image of the new exam is
loaded.
D To use the function, either click the Scrapbook button on the Viewer Control Panel (see section
4-2) or press the F3 keyboard function button. The Scrapbook window is displayed:
D Layout Formats. Use these buttons to select the format desired

CHAP. 9
FOR TRAINING PURPOSES ONLY!
for the current page. See description below.

D Scrapbook functions. Use these buttons to select Scrapbook

functions; Print,Print Menu, Options Menu, and Delete Menu.
See descriptions below.

D Composer area. This area shows the contents of the current

Scrapbook page. It is divided into slots for images, according to
the selected layout for the page. Use this area to add and
remove Scrapbook images. See description below.

D Page navigation area. Use the arrows to display the next

or previous pages. See description below.
D Printer information area. Shows the current
printer settings.

D Close button. Use this button to close and empty the

Scrapbook. If the Scrapbook contains unprinted images, a
warning dialog box asks for confirmation of the Close action.

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5-1 Layout formats
D Layout Formats. Four user-defined buttons show available formats for
page layouts. These are usually: 1 x 1, 2 x 1, 1 x 2, 2x 2.
Select the format desired for the current page by clicking on the
appropriate button.
D If the currently selected printer has been configured to allow more than four layouts, the additional
layouts can be selected in two ways:
– Click the fifth (rightmost) button to display a menu of all page layouts available for the current
printer; select the desired layout from the menu to apply it to the current page.
– The user-defined buttons can be re-programmed to select different layouts; refer to <Options
Menu> in section 5-2.

5-2 Scrapbook functions

Print
D Click this button to print all pages of the Scrapbook.
CHAP. 9

FOR TRAINING PURPOSES ONLY!

Print Menu
D Click this button to display a menu of print options:
Print page: Prints the contents of the current Scrapbook page.
Print all pages : Prints all pages of the Scrapbook.
Printing status: Displays the Printing status panel (see Chapter 11).
Printer Configuration: Displays the Print Manager panel.

Options Menu
D Click the Options Menu button to display a two-line pull-down menu;
– Select Options to display a checkbox which allows you to enable or disable
Options
the “delete after print” option.
Layout Preferences
– Select Layout Preferences to display a menu of all page layouts available for
the current printer. To re-program one of the user-defined layout buttons
(section 5-1), select the desired format and apply it to the button by “drag
and drop”.
Delete Menu
D Click this button to display a two-line pull-down menu;
Select Delete Page to remove the current page from the Scrapbook.
Delete Page Select Delete All Pages to remove all pages from the Scrapbook.
Delete All Pages

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5-3 Composer area
This area displays the image or images held on the current Scrapbook page in thumbnail (reduced
size) form. Each thumbnail displays the full image, with the same settings (brightness, contrast, invert,
rotate, and flip) and the same graphic annotations as the image displayed in the Viewer. However the
zoom and the position of the image if it has been roamed in the Viewer are not taken into account,
either for display or when printing.
Use the area to add and remove Scrapbook images:
D Use the right mouse button to “drag and drop” an image from the Mosaic Image Browser to an
empty slot on a Scrapbook page displayed in the Composer area.
D Press the keyboard function key F4 to load the image currently displayed in the Viewer into the
next free slot of the current page of the Scrapbook. If there is no free slot, a new empty page is
created and displayed, with the same layout format as the current page.
If the Scrapbook is not open, the F4 key has no effect.
D To remove an individual image from the Scrapbbook, click with the right mouse button on the
thumbnail image in the composer area, and answer Yes to the delete confirmation dialog which is
displayed.

CHAP. 9
FOR TRAINING PURPOSES ONLY!
5-4 Page navigation area
D This area displays the current page number and the total number of
pages in the Scrapbook, and contains two navigation arrows:
D Click the left arrow to display the contents of the previous page; if the current page is the first
page, a warning message is displayed.
D Click the right arrow to display the next page. If the current page is the last one, a new empty page
is created and displayed, with the same layout format as the current page.

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GE Healthcare

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CHAPTER 10 – IMAGE ACQUISITION PROCEDURE

1. OVERVIEW
This chapter explains the procedure for standard examinations using the Senographe 2000 D, from
the preparatory tasks to be performed on the equipment (selection of exposure mode, configuration,
etc.) through patient positioning, with notes on the exposure sequence and image processing. In the
section on Manual Mode, you will find a table of suggested parameter settings.
An exam using the Senographe 2000 D acquisition application is performed in exactly the same way
as a conventional exam (e.g., using a Senographe DMR) in terms of operation and patient positioning.
The major difference is that you use a Digital Detector instead of a conventional film/screen cassette.
The images are available on the Senographe 2000 D Acquisition Workstation screen within a few
seconds after the exposure.
Raw images can be viewed immediately after they have been acquired, followed by processed
images. Images of earlier exams can be recalled from the image disk for review.

FOR TRAINING PURPOSES ONLY!

2. PREPARATION

2-1 Worklist
Exposures can only be made after patient/exam selection from the Worklist (Chapter 8). If the
examination has not been scheduled and included in the Worklist, a new entry can be made, but

CHAP. 10
image acquisition is not permitted until basic patient information has been recorded in the system.
After selection of the patient for whom you want to start acquiring images, press the Start Exam
button to continue with image acquisition. The Viewer window (Chapter 9) opens, and exposures are
permitted.

2-2 Preparing the Equipment

Set the image receptor, field size, and compression paddle for the required view.
No specific tube warm-up procedure is needed at power on.
Different field sizes and compression paddles can be used.
Choose the appropriate exposure mode. This may be AOP mode (Automatic Optimization of
Parameters), described in section 4, or Manual mode, described in section 5.
Use of the AOP Mode provides the best quality/dose compromise, according to the priority selected by
the operator, but is not suitable for all examinations.
The digital detector incorporates a removable grid. In general, use of the grid is recommended for
standard exposures, but not when magnification is used (no exposure is allowed when the grid and
magnification platform are both present). See section 3 (Configuration).

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3. CONFIGURATION

3-1 Standard exposures

D For standard exposures (contact examinations), the large focal spot is selected by default.
Exposures are not permitted if the small focal spot is selected.
Check (on the control panel display) that the focal spot selection is shown as Large.
D Standard exposures can be made with or without the grid; use of the grid is recommended.

3-2 Magnification
D In magnification, the grid should be removed; the small focal spot is selected by default. Exposures
are not permitted if the grid is present or the large focal spot is selected.
Check (on the control panel display) that the focal spot selection is shown as Small.
D Always make sure that the magnification platform is correctly locked in place before starting an
exam.
D The object-detector distance depends on the coefficient of magnification required.

FOR TRAINING PURPOSES ONLY!

D In manual mode, increasing the kV setting by 1 or 2 kV will reduce exposure time.

3-3 Examination of Chest Wall

Select configurations and kV values to suit thickness and density of region examined.
CHAP. 10

Use of the grid is recommended.

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4. AOP MODE
The AOP (Automatic Optimization of Parameters) Mode controls radiation and allows the system to
select the main parameters.
It can be used for standard exposures, magnified exposures, or for the examination of the chest wall.
See section 3 for additional notes on configuration.
Before each exposure made in AOP mode a brief absorption measurement exposure is made to
determine the thickness and density of the breast being examined. This information, together with the
priority set by the operator, allows optimization of exposure parameters. The exposure is then made,
using the track/filter/kV/mAs configuration which supplies the lowest dose with respect for the user’s
imaging priority.
The operator chooses one of three options, according to the priority required:
D CNT Contrast Gives priority to subject contrast.
D DOSE Dose Gives priority to dose reduction.
D STD Standard Selects a compromise between contrast and dose.

CAUTION
BREAST COMPRESSION OF AT LEAST 3 daN (30 NEWTONS OR 6.7 POUNDS) IS

FOR TRAINING PURPOSES ONLY!

ESSENTIAL WHEN USING THE AOP MODE.

The system automatically selects the following parameters:

D Anode track (Mo or Rh)
D Filter (Mo or Rh)

CHAP. 10
D kV values
D mAs values
D Focal spot
Note: By default, the system selects the large focal spot when a standard exam is selected, and the
small focal spot when magnification is selected. Exposures are not possible if these settings
are overridden.

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4-1 Use of Markers in AOP Mode
The algorithm used in AOP mode searches for the most dense part of the breast, and uses this as a
reference in its calculations. It is therefore important to avoid the presence of dense objects in the
area used by the algorithm.
When using AOP mode, do not place large markers such as view name markers in the area used by
the AOP algorithm. They may be used anywhere outside this area. Small markers less than 3 mm
diameter, such as BB markers, may be used as required.

CAUTION
Markers larger than 2 mm2 must not be present in the area used by the AOP
algorithm. Large markers will affect the calculation of tissue density, which may
lead to a degraded image.
Contact mode:
No large markers in shaded area
In contact mode exposures using AOP, the area used
is an area of 160 mm by 140 mm adjacent to the
chest wall side and centered on the image receptor
160 mm
(the shaded area in the diagram).
AOP ROI
140 mm

FOR TRAINING PURPOSES ONLY!

4-2 Mammary implants
CHAP. 10

Use of AOP mode is not recommended for examinations of patients with mammary implants. Manual
mode should be used.

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5. MANUAL MODE
The Manual Mode can be used for standard exposures, implant views, magnified exposures, or for the
examination of the chest wall. See section 3 for additional notes on configuration.
The operator selects the following parameters:
D Focal track (Mo, Rh)
D Filter (Mo, Rh)
D kV
D mAs values
Note: By default, the system selects the large focal spot (0.3) when a standard exam is selected,
and the small focal spot (0.15) when magnification is selected. Exposures are not possible if
these settings are overridden.
Select the desired track/filter configuration according to the thickness and density of the breast to be
examined, then select suitable kV and mAs values.
Note that while the examination of a very dense breast using the rhodium or molybdenum tracks
provides similar contrast images, the same breast examined via the rhodium track benefits from better

FOR TRAINING PURPOSES ONLY!

tissue visualization and a lower average glandular dose.
Refer to Table 1 below (Suggested Manual Techniques) for suggested parameter selections according
to breast type and thickness.
Table 2 (Maximum and recommended kV ranges) lists the available maximum and recommended kV
ranges.
For thick (>6 cm) or dense breasts, the Mo/Rh and Rh/Rh configurations may provide equivalent or

CHAP. 10
better image quality with reduced patient dose.
As subject contrast depends on kV values used, note that an increase in the kV value may reduce the
radiation dose to the patient. Potential contrast losses will be handled by digital image processing.
A reduction in the kV value improves contrast but increases the radiation dose to the patient.
In manual mode, the choice of priority to dose reduction or to the desired Signal to Noise Ratio is left
to the discretion of the operator.
Note: If the operator selects an incorrect configuration (filter selection error), the system selects an
authorized configuration and automatically changes the filter. A warning message appears
on the first line of the readout.

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Table 1 – Suggested Manual Techniques

Compressed Homogeneously fatty 50% fatty, 50% dense Homogeneously dense

breast
thickness kVp mAs Target/ kVp mAs Target/ kVp mAs Target/
(mm) Filter Filter Filter

With grid (contact examination):

< 30 25 25 Mo/Mo 27 25 Mo/Mo 27 25 Mo/Mo

30–40 26 32 Mo/Mo 27 45 Mo/Mo 28 50 Mo/Mo

40–50 28 45 Mo/Mo 28 63 Mo/Rh 30 45 Rh/Rh

50–60 27 80 Mo/Rh 28 63 Rh/Rh 31 56 Rh/Rh

60–70 29 80 Mo/Rh 31 56 Rh/Rh 32 63 Rh/Rh

70–80 29 80 Rh/Rh 32 63 Rh/Rh 32 140 Rh/Rh

> 80 30 90 Rh/Rh 32 140 Rh/Rh 32 160 Rh/Rh

FOR TRAINING PURPOSES ONLY!

Without grid (magnification examination):

< 30 25 25 Mo/Mo 27 28 Mo/Mo 27 32 Mo/Mo

30–40 26 40 Mo/Mo 27 50 Mo/Mo 28 56 Mo/Mo

40–50 28 56 Mo/Mo 28 80 Mo/Rh 29 100 Mo/Rh

CHAP. 10

50–60 29 71 Mo/Mo 31 71 Mo/Rh 30 63 Rh/Rh

60–70 29 80 Mo/Rh 30 63 Rh/Rh 32 63 Rh/Rh

70–80 29 71 Rh/Rh 31 71 Rh/Rh 32 125 Rh/Rh

> 80 30 80 Rh/Rh 31 160 Rh/Rh 32 140 Rh/Rh

Table 2 – Maximum and recommended kV ranges

)'* $+) *, )

- )'((

Mo Mo 22 thru 35 25 thru 28

Mo Rh 22 thru 40 26 thru 39

Rh Rh 25 thru 49 27 thru 35

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6. POSITIONING THE PATIENT
Women undergoing a mammography examination often feel apprehensive because of the
examination and the ensuing diagnosis.
To reassure the patient, receive her in a warm room and provide a simple but precise explanation of
the procedure. Pay particular attention to breast compression, which can cause discomfort, but is
essential in order to produce a high quality exam and ensure reliable diagnosis.
It is best to examine the breast during the first half of the menstrual cycle (1st through 14th day). The
breasts are less tender and less painful before ovulation.
Examination of the breast requires the patient to disrobe from the waist up. An appropriate cover
should be provided during the waiting period.
It is important to relax the patient. Any contraction of the pectoral muscles or muscles of the arm can
cause an error in positioning.
Elevate the breast and center it on the image receptor over all its surface:
1. Remove folds from the skin.
2. Bring out the nipple and position it in profile when possible. Do not sacrifice breast tissue for
nipple profile.

FOR TRAINING PURPOSES ONLY!

3. Bring out the inframammary angle for applicable views.
4. Compress until the breast surface is taut to the touch (see section 7). Take great care with patients
with mammary implants.
5. Use the centering light to check the field size, and ensure there are no artifacts obscuring the
breast (e.g. hair, earrings, etc.).

CHAP. 10

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7. COMPRESSION
To apply compression to the breast, depress the compression pedal. Manual adjustment can be made
using the two knobs, located on each side of the compression paddle holder. Take great care with
patients with mammary implants. The compression force is displayed on the Gantry readout panel,
and can be displayed on the image as an annotation (see Chapter 9, section 3-1).
Note: If the compression force is less than 3 daN, the display shows 0 daN.
The maximum compressive force on this unit is 20 daN.
It is important to use adequate breast compression because the benefits in image quality and dose
reduction are significant:
D Compression reduces motion blurring by immobilizing the breast.
D Compression reduces geometric blurring by ensuring direct contact between the breast and the
image receptor and by spreading glandular breast tissue.
D Compression improves subject contrast and reduces scattered radiation in proportion to the
reduction in thickness of tissue irradiated.
D Compression spreads the breast laterally, giving it a uniform and reduced thickness. This reduces
exposure and consequently the mean glandular dose.

FOR TRAINING PURPOSES ONLY!

Good compression is obtained when the compressed breast is taut to the touch.
Note: As a safety measure, the compression system is fitted with magnetic braking to avoid
the paddle falling in the event of power loss. If power loss occurs during an
examination, a force of around 5 daN will remain on the compression paddle.
Disengage the patient by lifting the paddle gently (do not try to lift it quickly) to
counteract this compression force.
CHAP. 10

Note: Automatic decompression can be programmed to occur when the exposure is terminated.

CAUTION After exposure, press (located on the right of the Control Console) for
decompression if automatic decompression is not selected in the program.

CAUTION
In the absence of the compression paddle, leave the space free between the
bottom of the paddle arm and the top of the image receptor assembly.

8. THICKNESS
The thickness of the compressed breast is used in determining the glandular dose (AGD), and for
AOP calculations. It is displayed on the Gantry readout panel, and can be displayed on the image as
an annotation (see Chapter 9, section 3-1).
Note: If the compression force is less than 3 daN, a thickness of 45 mm is displayed, regardless of
the true thickness of the breast.

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9. IMAGE ACQUISITION
Note: When Right/Left image pairs are acquired, it is recommended that, the Right image should
always be acquired before the Left. This ensures consistent display when using the 2 x 1
view; selection of the first image displays the pair with the two chest walls in the center of the
screen.
D The image acquisition function must be entered from the Worklist function. Select the correct
patient in the Worklist (a new patient can be created if necessary), and click the Start Exam button
in the Worklist window, to display the Viewer window and permit exposures.
D When ready for the exam, check the image information displayed on the Gantry Console. It should
include:
– The Support Arm angle, if other than 0°.
– The magnification coefficient (e.g., M 1.5), if magnification is used.
D Select the breast laterality (right or left), or Cleavage if no laterality. The Console should now show:
– Laterality (R or L).
– View name (e.g., LCC, RML, LLM, etc.).

FOR TRAINING PURPOSES ONLY!

D Check the displayed view name. For special views or recumbent patients, modify the view name
manually:
a. Special Views for standing or sitting patients. Refer to section 6-3 in Chapter 4; use the Special
Views Selection key (key " in section 3, Chapter 4) to modify the view name.
b. Recumbent patients. Refer to section 6-4 in Chapter 4; press the control console SET UP key
(key  in section 3) and use the VIEW/RECUMBENT PATIENT menu to select the

CHAP. 10
appropriate view name.

When the patient is positioned for a Cleavage view (CV), external markers must
NOTICE
be used to assist in determining laterality when viewing the image. Place a Right
(R) or Left (L) marker in the lateral aspect of the breast of interest, or place
markers on the lateral side of each breast. Markers must be placed outside of
the 140 mm x 160 mm ROI used by AOP see Chapter 10.
D To display the acquired images on the AWS in the same order as films hung in the conventional
order on a viewbox, it is suggested that patient images should be acquired in the following order:
RCC
LCC
RMLO
LMLO.
D When all parameters are correctly chosen and the patient prepared, make the exposure in the
usual way using the Prep and Exposure buttons.
D After the exposure, the image acquired by the Digital Detector is automatically transferred to the
workstation, added to the exam and displayed on the Viewer screen as a raw image. During the
transfer of the raw image all user interface functions are disabled.

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D The new image has the chosen default Quality Check value (OK, or NOT OK). This can be
changed at any time while viewing the image (raw or processed), by clicking on the Quality Check
icon in the View Control panel; the new value is applied to both the raw and processed images.
Refer to section 4-5 in Chapter 9.
D Processing of the image is started automatically. See below for a discussion of processing
considerations.
D The processed image replaces the raw image within a few seconds; it is displayed with a standard
contrast level, but the user can choose a higher or lower contrast level using the View Control
contrast setting (see Chapter 9 “Viewer”). After changing contrast select (Auto) to display the
image with the new setting.
D As soon as an image has been transferred and displayed on the screen, the system is ready for
the next exposure. The images (first raw, then processed) from the new exposure replace the
previous image in the Viewer.

FOR TRAINING PURPOSES ONLY!

CHAP. 10

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10. PROCESSING
Images received from the Digital Detector are displayed on the monitor as raw images immediately
after acquisition. Raw images are low contrast. After acquisition, a number of calculations are applied
to the image to create the processed image, which replaces the raw image on the screen.
Note that both processed and raw images are saved. The raw images are saved in the DICOM MG
“for processing” format so that processing can be carried out later if required, perhaps using a
hospital-specific algorithm. The processed images are saved in the DICOM MG “for presentation”
format, ready for review.
The main calculations that can be applied to create the processed image are:
D Collimator Detection. This applies a black mask around the useful image area, covering areas
which would otherwise be white. It allows more comfortable viewing.
D Pseudo-log Transformation. This facilitates the manipulation of brightness and contrast during the
review. After the transformation the image dynamic range is reduced to 12 bits, without loss of
clinical information.
D Thickness Equalization or Premium View . If the Premium View option is not present or is not
enabled in medical preferences (see Chapter 7 Browser, section 8-3 Medical Application
preferences), Thickness Equalization is applied. If the Premium View option is present and

FOR TRAINING PURPOSES ONLY!

enabled, Premium View is applied:
– Thickness Equalization. Subcutaneous tissues can be difficult to see on the screen because of
monitor display limitations. This is corrected by applying a thickness equalization algorithm to
decrease the image dynamic range. Image information beyond a threshold level of gray,
selected to correspond to subcutaneous tissues, is modified for more visibility. The end result is
clear visibility of the medical information in all regions of the breast. When this algorithm is
used, the processing description applied is referred to as Proc 1.
The Thickness Equalization algorithm is not applied to the following images:
– Magnified, Spot and Collimated views.
– Images in which the breast tissue covers 100% of the digital detector panel area.
– Images with certain combinations of manually selected parameters.
The processing description applied to these images, when the thickness equalization
algorithm is not used, is referred to as Proc 0.
– Premium View (option). This is an image processing algorithm which increases the visibility of
breast structures. The main advantage is to provide a single breast image in which the contrast
in the fatty tissues is similar to that obtained by setting WW (window width) and WL (window
level) for optimum visualization of fatty tissues, and the contrast in the fibro-glandular tissue is
similar to that obtained by setting WW and WL for optimal visualization of fibro-glandular
tissues. The Premium View algorithm also includes a thickness equalization algorithm to
enhance the visibility of subcutaneous tissues.
Under certain specific conditions (e.g. particular exposure techniques) the Premium View
algorithm cannot be applied.
Note: Premium View is an image processing algorithm optimized for the structure of breast
images.
– When imaging an object with thick or sharp borders (e.g., a phantom), you may see
an enhanced brightness at the border of the object. This enhancement is normal
and is not expected to affect correct phantom scoring.

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D Auto-contrast. This improves image quality by optimizing the levels of brightness (window level)
and contrast (window width) in the image.
D As soon as the selected algorithm has been applied, the processed image replaces the raw image
on the screen. The operator can select which of four levels of contrast should be applied (High,
Low, Standard, or User defined, selected in the Viewer Control Panel window).
For Premium View, there is no predefined user value, but User level can be set if the user saves
the image with modified levels.

FOR TRAINING PURPOSES ONLY!

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CHAPTER 11 – PRINTING

1. INTRODUCTION
Any GE-recommended high resolution DICOM laser camera can be connected to the Senographe
2000 D for printing hard copies of digital images. For compatible printers, see the latest product data
sheets for this system, which you can obtain from your local sales representative.
Printing is very simple. You can use the Auto Print function for automatic printing of newly acquired
images on the closure of an exam, or manual printing to print individual images from the Viewer window.
Note that only processed images can be sent for printing by the Senographe 2000 D, and that only
one image per film is available; prints are approximately 95% of natural size.
Modifications made to the image (other than window width and window level) are not printed.

CAUTION
Only films formatted to print a single mammogram per sheet of film may be
used for diagnostic purposes, and only images printed to 8 x 10 inch film have
been validated for diagnostic purposes. Do NOT use films formatted to print
multiple images per sheet of film for diagnostic purposes.

FOR TRAINING PURPOSES ONLY!

CAUTION
The size of the printed mammogram depends on the type of workstation used to
send the image to the printer, and which printing method is used to print the
film. Use the following table for guidance.
Clinical studies validating full–field digital mammography performance have
only been carried out using the image size designated as ’Reference’ in the
following table.

Table 1 – Relative Sizes of Printed Mammograms From Review and Acquisition Workstations
Workstation Printing Method Linear Size Comparison
RWS or Seno. Advantage Print Original Image Reference
RWS or Seno. Advantage Print Screen 3% reduction
AWS, Print Models 1 and 2 Automatic or Manual Print Same as reference
AWS, Print Model 3 Automatic or Manual Print 4.5% reduction
CHAP. 11

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2. PRINTER MANAGEMENT
Printers are set up and declared to the system at the time of installation by the GE Field Engineer;
printer information cannot be changed by the user.

The access to this function is from the tools menu

3. PRINT FUNCTIONS

3-1 Auto Print

Auto Print is a function allowing the user to automatically initiate the printing of exam images on
closure of the exam from the AWS.
To use Auto Print, access the Auto Print setup tool. Click on Auto Print in the Medical Application
preferences window (available in the Browser Tools menu menu, as described in section 8 of
Chapter 7, Browser).
Only images with a Quality Check value of OK are automatically printed by the Auto Print function.

FOR TRAINING PURPOSES ONLY!

Images with a Quality Check value of NOT OK are not automatically printed at the close of the exam.
Facilities available from the Auto Print window are:
D DICOM printers: contains the list of all the available DICOM printers that have been declared
for printing. Click on a printer in the list to select it.
D Auto Print buttons: click the On button to turn Auto Print on for the selected printer or the Off
button to turn it off. The selected button becomes dark gray.
D Save button: click this button to confirm any changes made and close the window.
D Close button: click this button to close the Medical Application preferences window. If the user
has made changes to the Auto Print window, a Warning window opens requesting the user to
either use:
– Save button (to save the changes and return to the Browser).
– Cancel button (to close the Warning window and return to the Auto Print window).
CHAP. 11

– Discard button (to close without saving the changes and return to the Browser).
D Print mode: only Fit to Film. Can not be changed by the user in current Senographe 2000 D
release.
D Number of Copies box: enter the required number of copies in this box.
D Printing properties button: click this button to open the Printing Properties window
(see below § 3-3).

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3-2 Manual Print
In addition to the Auto Print function, an image displayed on the Viewer screen can be printed at any
time under manual control.

Click the Print button in the Viewer Function panel to open the Print Request window.

Print Request

DICOM printers Print mode Fit to Film

Number Of Copies (1.. 9)

Printing properties ...

FOR TRAINING PURPOSES ONLY!

Print Queue Save Cancel

Facilities available from the Print Request window are:

D DICOM printers: contains the list of all the available DICOM printers that have been declared
for printing. Click on a printer in the list to select it.
D Print mode: Can not be changed. Fit to Film only.
D Number of Copies box: enter the required number of copies in this box.
D Printing properties button: click this button to open the Printing Properties window
(see below § 3-3).
D Print button: click this button to print the displayed image on the currently selected printer. CHAP. 11
D Queue button: click this button to open the Printing status window (see below § 3-4).
D Save button: click this button to confirm any changes made and close the window.
D Cancel button: click this button to cancel any changes made and close the window.

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3-3 Printing Properties
This window is accessed from either the Auto Print window or the Print Request window. It displays
the properties set for the selected printer.

Printer properties
AGFA LR5200

Format: Standard

Media type: Blue film

Destination: Processor

Film orientation: Portrait

Magnification type: Cubic

Film size: 8 in x 10 in

FOR TRAINING PURPOSES ONLY!

Save Done

D Format:, Magnification type, Film size: cannot be changed with the current Senographe 2000 D
release software.
D Media type: Blue film must be selected by default with Senographe 2000 D. Other choices will
incur printing errors.
D Destination: Processor must be selected by default when using Senographe 2000 D. Other
choices will incur printing errors.
D Film orientation: Portrait must be selected by default when using Senographe 2000 D. Other
choices will incur printing errors.
CHAP. 11

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3-4 Printing status

Printing status

AGFA (10) ABORTED

KODAK (11) OK

Queue Done

The Printing status window displays the status of the requested printing jobs. If a job shows the (OK)
comment, then the exam has successfully been sent to printing.
If the job shows the(ABORTED) comment, then this means that the job has been aborted manually by
the user, from the menu window buttons.

FOR TRAINING PURPOSES ONLY!

3-5 Filming Queue
This window is accessed from the Print Request window, or from the Printing status window by clicking
the Queue button.
It displays a list of jobs in the print Queue, allowing the user to check that print jobs have been
successfully sent to the printer (note that a local printer problem can prevent a job from being printed,
even if it is successfully sent to the printer). If any communication problems are observed with the
printer or network, the user is able to Refresh/Pause/Resume/Clear jobs listed in the Queue .

Queue

DICOM printer

AGFA (10) Active

KODAK (11) Pending
KODAK (12) Paused CHAP. 11

Pause Resume Clear

Refresh Done

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3-6 Print Annotation Models
When printing images to film, three models of annotation layout are available. They differ in the
position and type of annotation information to be printed.
Select the model to be used in the Medical Application Preferences <Annotations> panel (see
Chapter 7).
The illustrations below show the three models. In each case the model is illustrated by a view with the
chest wall to the right:

Model 1:
Institution. physician, and patient data at top,
followed by view data.
Image and exposure data at bottom.
Top and bottom annotation areas are aligned
to the border opposite the chest wall.

FOR TRAINING PURPOSES ONLY!

CHAP. 11

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Model 2:
Patient data at top, followed by view data.
Institution, image and exposure data at
bottom.
Top and bottom annotation areas are aligned
to the border opposite the chest wall.

FOR TRAINING PURPOSES ONLY!

Model 3:
View data at top, followed by exposure date
and time.
Patient data at bottom left, institution data at
bottom right, followed by exposure data.
The top annotation area is aligned to the
border opposite the chest wall. All bottom
annotations are restricted to the image footer
so as to avoid overlap with the image.

CHAP. 11

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CHAPTER 12 – INTERCHANGE MEDIA

1. OVERVIEW
The Interchange Media option provides a compact disk recording (CD-R) drive, installed inside the
Acquisition Workstation cart. It allows you to save and restore Senographe 2000 D image data using
standard 5-1/4” recordable compact disks (DICOM data format). Images saved in this way may, for
example, be passed to another radiologist for a second opinion.

CAUTION
The Interchange Media option is NOT recommended for permanent archiving.
GE does not guarantee the suitability of the media for such purposes.
The presence of the CD-R option is indicated by icons in the Browser window:
D An icon appears in the Network panel of the Browser window (upper left corner).

CDR

D An icon appears below each of the lists in the Browser window (these icons may
be turned off and on in the Browser preferences window, accessed through the
Tools menu, see Chapter 7).

FOR TRAINING PURPOSES ONLY!

2. USING THE INTERCHANGE MEDIA OPTION
Recordable CDs are considerably more sensitive to damage than the conventional CD-ROMs that you
may be familiar with. Respect the handling instructions below.

2-1 Handling CD-R Media

CAUTION
To avoid image loss, never touch the recordable surface of a recordable CD
(CD-R). Handle the disk only by the outer edge. Do not place it face down on a
hard surface. Fingerprints or scratches will make the disk unusable.
Before usage, verify that CD-R surface has no visible scratches. If there are any
scratches, do NOT use the CD-R.
D Store the disk in its protective case. Proper storage helps protect the data from damage due to
scratches on the disk surface.
D Do not leave the disk in direct sunlight or in a hot, humid environment. These conditions can warp
and damage the disk.
D Use only a felt tip permanent pen when labeling. Write only on the printed area or on the clear
inner diameter of the disk. Never use a ballpoint or hard point writing tool as it may damage the
disk. Do not use adhesive labels.
CHAP. 12

D Use a soft, lint-free cloth to remove spots, dust, or fingerprints from the disk. Always wipe from the
center to the outside edge of the disk. Never wipe the disk in a circular motion.
D Do not use any chemical-based cleaners. These can damage the disk.

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2-2 Saving Images on Recordable CD
Note: We recommend the use of Senographe 2000 D-compatible CD-R media that have been
officially validated for performance and reliability of patient data interchange on the
Senographe 2000 D system. These are identified by GE labeling. GE cannot take
responsibility for any data loss or incompatibility with other systems resulting from the use of
media not supported by Senographe 2000 D.
To order Senographe 2000 D-compatible media, contact your local sales representative.
A recordable CD (CD-R) can only be recorded once.
When saving image data on a CD-R, you must always use a BLANK CD-R.

2-2-1 Procedure
All image data that you want to save on a given CD-R must be selected beforehand, and will be
saved in a single pass. It is not possible to add data on a CD-R.
D Push the eject button under the tray on the CD-R drive. When the tray opens insert a new
(blank) recordable CD into the CD-R drive (see section 2-1 on how to handle recordable CDs)
and close the drive by pushing the button again. Wait for 40 seconds for the CD-R drive to be
ready (when light on CR-R drive stops blinking).

FOR TRAINING PURPOSES ONLY!

D On the Browser, select the patient or patients to be saved in the same manner as selecting
images for review (click on the required patient name in the browser list; to select multiple
patients, hold down the CTRL key and click successively on each required patient name).
D Use the middle mouse button to drag the selected patient(s) to the [CD-R] icon
in the Network panel
CDR

OR:
Click on the (Push) button below the patient list on the Browser (if the icon is not
present, it may be turned on by accessing Browser preferences from the Tools
menu). A window opens to show a list of available recording devices.

Save selected exam(s) on... Select the CD-R read/write device by clicking on its name in the
List of devices
displayed list, then click on (OK). If the Preview of CD–R content option
CDR read/write has been set (see below) a list of the data to be recorded on the CD-R is
displayed.
After about 15 minutes a message is displayed, indicating how much of
the CD-R capacity will be used.
Click on (Write) to start the operation, or on (Cancel) to cancel it.

Selected device
CHAP. 12

CDR read/write

OK Cancel

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Note: While selecting items (before you start the save), the operation can be
abandoned by clicking on the [CD-R] icon and selecting [Detach] in the
Query
drop-down menu. This stops the operation. The CD is ejected automatically
Option and can be used again.
Detach

2-2-2 Preview option

The Preview of CD–R content option automatically displays a list of the data to be recorded on the
CD-R after clicking on the (OK) button or after using “drag-and-drop” to start recording, but before
saving starts. The estimated time needed to write the data to the CD-R is also shown.
At this stage, you can still cancel the save operation and modify your selection if required.
If you have not set the Preview of CD–R content option, saving starts immediately after clicking on the
(Save) button, or after using “drag-and-drop”.
D To set this option on or off, click on the (CD-R) icon in the Network/Archive panel
on the main Browser and select [Option] in the drop-down menu.
Query
Option

FOR TRAINING PURPOSES ONLY!

Detach

2-2-3 Checking the CD-R

You are recommended to check for successful completion by browsing the CD-R at the end of the
save operation.
D To do so, click the (CD-R) icon on the main Browser, then select [Query] in the drop-down menu. If
all the patients selected for the save operation are not displayed on the Media Browser, an error
has occurred while recording the CD, and you will have to repeat the save operation.
D An error message appears next to the patient name if the associated information has not been
saved. If this occurs:
– Make a list of the patients correctly saved and those with an error.
– Insert a new CD-R and repeat the save process.
– If there are still errors, consult GE Service.

2-2-4 Availability of system while writing to CD-R

No other operation can be performed on the system while saving images on a CD-R. For a full CD-R
the save operation can take up to 45 minutes. If the system is required for image acquisition, the save
operation can be abandoned:
CHAP. 12

D Enter the Worklist in the usual way and request a new exam.
D A message is displayed asking if the write operation should be aborted. Answer (Yes) or (Cancel).
D If you choose (Yes), the write operation is abandoned, and the AWS application restarts. You must
wait for completion of the restart process and then repeat the request for the new exam. Note that
the partially written CD-R is not useable.

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2-3 Restoring Images from Recordable CD
You can restore and review Senographe 2000 D images from 5-1/4” recordable CDs that were
recorded either on the same or on another Senographe 2000 D system.
2-3-1 Procedure
D Check that there is enough room on your image disk to accommodate the
images being restored (used disk space display on the main Browser).
D Insert the CD containing the images into the CD-R drive (see section 2-1 for
handling precautions).
CDR read/write
D Click on the (CD-R) icon in the Network panel on the main Browser and select
Query [Query] in the drop-down menu to open the Media Browser:
Option
Detach

Return to Browser Refresh Tools menu

button button button
Media Browser: CDR

Quit button

FOR TRAINING PURPOSES ONLY!

Media Browser: CDR (04:01 PM) Status line
Sort by: Number Sort by: Number

examinations list
1/4 examinations

Patients list Sort by: Number

Sort by: button
above each list

images list
1/16 patients 1/2 series

Restore button
under each list

series list

D In the Media Browser:, select the patient(s) and/or exam(s) to be restored in the
same manner as on the main Browser (see Chapter 7 Browser).
D Sort the lists as required using the (Sort by:) buttons.
CHAP. 12

D After selecting the desired patient, exam, series or image item(s):

With the cursor on the selection, press and hold the middle mouse button and
drag the selection directly onto the (Return to Browser) button at top left.
OR
Click on the corresponding (Restore) button (if the icon is not present, it may be
turned on by accessing Browser Preferences from the Tools menu).

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The selected items are copied from the CD-R to the workstation database.
D Click on the (Return to Browser) button to return to the main Browser.
D See section 2-4 on how to eject the CD from the CD-R drive after the restore operation.

Note: During the restore, no other operations are possible on the Workstation.

When a patient name already exists in the Workstation database, any exams being restored
from the CD for that patient are appended to the existing exams.

2-3-2 Notes

The contents of the Media Browser: are up-to-date when the Media Browser: is first
opened. However, changes (such as after a save operation) are not displayed
automatically. Click on the (Refresh) button to update the Browser lists. The time of the
latest refresh is displayed on the status line.
The Media Browser: Tools menu contains the [Application management] menu item.

FOR TRAINING PURPOSES ONLY!

This item is for use of GE Service only.

The Main Browser and Media Browser: display the same columns of information in the Patients,
examinations, series and images lists. However, some of these columns may be empty in the Media
Browser:r. The full information will be displayed in the Main Browser after the images have been
restored.

2-3-3 Errors
If a problem occurs, an error message is displayed:
D The following message may be displayed during preparation for saving files and needs specific
action:
Save selection exceeds CD capacity. Save aborted
Explanation: You have selected more patient files than can be stored on a single CD.
Action: Select fewer patients to be saved on the CD.
If this message appears with only a single patient selected, you must delete some of the exams for
this patient before you can archive the patient.
D If a problem occurs during the save process, the error message Save failed is displayed.
First check that the CD-R drive is switched on, the blank recordable CD is correctly inserted in the
CD-R tray, and the tray is fully closed.
If the items above are correct, an error has occurred while recording the CD, and you will have to
repeat the save operation using a new blank CD.
CHAP. 12

D When restoring files, the operation is halted if there is not enough space on the Workstation disk to
restore the selected items (patients or exams). You can repeat the operation after freeing
Workstation disk space by deleting some patients that have already been saved.

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2-4 Ejecting a Disk from the CD-R Drive
As soon as the CD–R drive has been accessed for a save or restore operation, it is locked, and you
can no longer eject the disk by means of the eject button on the front of the drive.
You must first perform a “Detach” operation:
D Click on the storage device icon in the Main Browser and select [Detach] in the
drop-down menu.
Query D If the disk is not ejected automatically, press the eject button.
Option
Detach
If [Detach] is displayed in grey and no save or restore operation is in progress, the
archive device is already unlocked. Press the eject button to open the drive.
If a fault occurs (for example trying to start a restore operation with a blank disk in the drive), the
“Detach” operation is performed automatically, and the disk is ejected.

NEVER press the Open/Close button on the CD-R drive while a Save or restore
NOTICE
operation is in progress.

FOR TRAINING PURPOSES ONLY!

CHAP. 12

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CHAPTER 13 – MAINTENANCE

CHAP. 13
1. CLEANING AND DISINFECTION

1-1 Monitor cleaning instructions

It is important that monitors used for viewing mammographic images be kept clean and free of
fingerprints, dust, etc.
These instructions are applicable to LCD and CRT monitors.
Use a microfiber cloth to clean the monitor screen and housing. If necessary, moisten the cloth with
either clean water or ethyl alcohol (up to 96%). Do not allow any drops of cleaning liquid to remain on
the surface; extended contact may cause discoloration of the surface.

Do not use isopropyl (“rubbing”) alcohol.

NOTICE
Do not use cleaning agents which may attack the surface, such as petroleum
(mineral) spirits.

The front panel is extremely sensitive to mechanical damage. Avoid all scratches,

FOR TRAINING PURPOSES ONLY!

knocks, etc.

Do not apply the cleaning liquid directly to the monitor housing or screen.
Do not allow the cleaning liquid to enter the monitor housing; be sure to dampen the
cloth sparingly.

1-2 General Information about disinfection

CAUTION
Adequate cleaning and disinfection is necessary to prevent disease
transmission. Be sure to thoroughly clean and disinfect equipment surfaces that
contact the patient and all equipment surfaces likely to become soiled during
use.
The level of disinfection required for a patient contact device depends on the type of contact that
occurs:
D A CRITICAL device is one which routinely penetrates the skin or mucous membranes during use
and therefore poses a high risk of infection if it is not sterile. Such devices (e.g., surgical
instruments, needles, catheters or infusion sets) must be made sterile prior to use.
D A SEMI-CRITICAL device is one which contacts mucous membranes but does not penetrate
normally sterile areas of the body. Such devices (e.g., endoscopes, speculum) should be made
sterile whenever practical, but high level disinfection is usually acceptable prior to use.
D A NON-CRITICAL device is one which contacts intact skin during routine use. Such devices (e.g.,
patient exam tables, blood pressure cuff, etc.) present a much lower risk of infection and,
therefore, a low level disinfection is usually acceptable. However, in cases when there is concern
for cross contamination, an intermediate level disinfection should be done between patients.

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The patient contact surfaces of mammography equipment are noncritical, and either low level or
intermediate level disinfection is adequate for routine use. These surfaces are the bucky/Image
Receptor, compression paddles and magnification platform. Other surfaces, such as the face shield,
CHAP. 13

that may have casual contact with the patient and should be considered for intermediate level
disinfection are

CAUTION
Improper cleaning methods or the use of certain cleaning and disinfecting
agents can damage the equipment, cause poor imaging performance or
increase the risk of electric shock.
To avoid possible injury or equipment damage:
D Do not use harsh detergents, abrasive cleaners, high alcohol concentration or Methanol at any
concentration. If skin preparations contain high alcohol concentrations, allow sufficient drying time
before applying compression.
D Do not expose equipment parts to steam or high temperature sterilization.
D Never allow liquids to enter the internal parts of the equipment. Do not apply cleaning sprays or
liquids directly to the equipment; always use a clean cloth dampened with the spray or liquid. If you
become aware of liquid entry, disconnect the electrical supply and have the equipment checked by
qualified service personnel before returning it to use.

FOR TRAINING PURPOSES ONLY!

1-3 Cleaning Instructions
Patient contact surfaces should be washed with mild soap in lukewarm water. Removable parts that
do not contain electrical components, such as the compression paddles, may be removed from the
equipment and immersed if needed. Equipment parts such as the Bucky/Image Receptor that enclose
electrical components must not be immersed but rather cleaned with a soft dampened cloth, taking
care not to allow liquids to enter the equipment. Surfaces should be scrubbed as needed using a soft
sponge, gauze or cloth to remove all visible residue. Scrubbing with a soft bristle brush (such as a
toothbrush) may be necessary to reach corners or to remove material that has dried onto the surface.
Subsequent disinfection may not be effective if the surfaces are not thoroughly clean.
Rinse all surfaces with clean water to remove visible soap residue, taking care to avoid liquid entry to
internal equipment parts. Dry surfaces with a soft cloth to remove any visible residue.

1-4 Low Level or Intermediate Level Disinfection

Patient contact surfaces may be disinfected with a suitable liquid chemical germicide. Surfaces must
first be cleaned of all visible contamination (see above). The liquid germicide must have a minimum
contact time with the surface to be effective. Equipment parts should be wiped with a wet cloth or
sponge as directed by the instructions for use provided with the germicide. If needed, removable parts
not containing electrical components (compression paddles and magnification platform) can be
removed and immersed. Further rinsing or wiping with clear water and drying with a soft cloth should
be done to remove any germicide residue that may remain. Take care to avoid liquid entry to internal
equipment parts.

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1-5 High Level Disinfection
In the event that you feel a high level disinfection is necessary due to equipment contact with broken

CHAP. 13
skin, or being used with infected or immune compromised patients, the same patient contact surfaces
may be high level disinfected with a liquid chemical germicide rated for high level disinfection. The
same process used as that for intermediate level disinfection is generally followed; however, the time
of contact is usually much longer for high level disinfection.

1-6 RECOMMENDED GERMICIDES

The following legally marked products have been used on GE equipment without causing equipment
damage.

CAUTION
Always follow the germicide manufacturer’s instructions and precautions for
mixing, storage, method of application, contact time, rinsing requirements,
protective clothing, shelf life and disposal to help assure effective and safe use
of the product.

1-6-1 Low or Intermediate Disinfection

FOR TRAINING PURPOSES ONLY!

VESPHENE IIse, manufactured by Calgon Vestal Laboratories, St. Louis, MO, U.S.A., EPA Reg. No.
1043–87 (510(k) K931573)
According to the manufacturer, when used according to the manufacturers instructions, this product is
effective against:
Acinetobacter calcoaceticus, ATCC 19606
Candida albicans, clinical isolate
Candida parapslilosis, clinical isolate
Citrobacter freundii, ATCC 8090
Enterobacter aerogenes, ATCC 13048
Enterobacter cloacae, ATCC 23355
Escherichia coli, ATCC 25922
Klebsiella pneumoniae, ATCC 13883
Proteus mirabilis, clinical isolate
Proteus vulgaris, ATCC 13315
Pseudomonas aeruginosa, ATCC 15442
Pseudomonas aeruginosa, ATCC 27853
Salmonella choleraesuis, ATCC 10708
Salmonella typhi, ATCC 6539
Salmonella typhimurium, ATCC 14028
Serratia marcescens, ATCC 8100
Shigella flexneri, ATCC 12022
Shigella sonnei, ATCC 25931
Staphylococcus aureus, ATC 6538
Staphylococcus aureus, ATCC 25923
Staphylococcus aureus (MRSA), Multiply Methicillin resistant clinical isolate
Staphylococcus epidermidis, ATCC 12228

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Streptococcus faecalis, ATCC 19433
Streptococcus pyogenes, ATCC 19615
Trichophyton mentagrophytes
CHAP. 13

Mycobacterium tuberculosis var. bovis

Influenza A2 Japan
Herpes simplex type 2
vaccinia
adenovirus type 2
HIV–1 (AIDS) virus
LpHse, manufactured by Calgon Vestal Laboratories, St. Louis, MO, U.S.A., EPA Reg. No. 1043–92
(510(k) K931342)
According to the manufacturer, when used according to the manufacturer’s instructions, this product is
effective against all of the above, with the exception of Salmonella choleraesuis.

1-6-2 High Level Disinfection

CIDEX, manufactured by Johnson & Johnson Medical, Inc., Arlington, TX, U.S.A., EPA Reg. No.
7078–1, EPA Est. No. 36126–PR–1 (510(k) K924434

FOR TRAINING PURPOSES ONLY!

CIDEX (A CLEANING SOLUTION) CONTAINS GLUTARALDEHYDE. DIRECT
DANGER
CONTACT IS CORROSIVE TO EXPOSED TISSUE, CAUSING EYE DAMAGE AND
SKIN IRRITATION/DAMAGE. DO NOT GET INTO EYES, ON SKIN OR ON
CLOTHING. USE IN WELL VENTILATED AREA IN CLOSED CONTAINERS.

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2. RECOMMENDED PLANNED MAINTENANCE
To ensure safe and effective operation of the equipment, planned maintenance procedures should be

CHAP. 13
carried out at the intervals specified.

2-1 Planned maintenance performed by the Radiologic Technologist

This consists of simple Quality Control (QC) tests which ensure that the system is operating to its
design standards.
Frequency: from daily to semi-annually, depending on the task.
Procedures: please refer to the Senographe 2000 D QC Manual.

2-2 Planned maintenance performed by the Medical Physicist

This consists of QC tests performed by the Medical Physicist to ensure that the system provides a
high level of mammographic quality.
Frequency: annually.
Procedures: please refer to the Senographe 2000 D QC Manual.

FOR TRAINING PURPOSES ONLY!

2-3 Planned maintenance performed by the Field Service Engineer
Planned maintenance (PM) should be performed twice a year by a GEMS Service Representative or
similarly qualified and trained personnel.
A complete day is necessary on each occasion. The procedures and their frequency are listed below.
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Task Interval (months)

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
On–site preliminary:

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Analyze system logs

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Acquisition Backup
ÓÓÓÓÓÓÓ
6
12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Inspection and functional checks:

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Check Emergency Stop Buttons 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Check Cable Grounding 24

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Inspect Radiation Shield 24

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Check power–Off/On Sequences 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Generator checks and calibration:

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Check Generator Calibration 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Check HV unit 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Check the Half–Value layer Measurement 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Check kVp settings
ÓÓÓÓÓÓÓ 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Check mA and mAs settings 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Change Generator CPU battery
ÓÓÓÓÓÓÓ
36

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓ
Clean Conditioner air filter 12

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ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ Task Interval (months)

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Check/top up Conditioner coolant

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
6

ÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
CHAP. 13

Gantry checks and calibration:

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check tube tilt and connections

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ÓÓÓÓÓÓ
12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check column mechanism 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Arm Rotation 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Light Centering Device 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Format Control 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Magnification Sensors 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Tube Housing Arm Detents 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check compression 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Breast Thickness Measurement 6

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Grid Presence Sensor 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Change Gantry CPU battery 36

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ

FOR TRAINING PURPOSES ONLY!

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Check light beam centering 24

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Control Station – UPS:

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check UPS function 6

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Recalibrate UPS battery capacity 12

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
Acquisition IQ:
ÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Perform IQ Tools Flat Field Test 6

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Perform Image Acquisition and ACR Score check 6

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Calibrate mAs non–linearity 6

ÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓÓ
ÓÓÓÓÓÓ
Check Acquisition in AOP Mode 6

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CHAPTER 14 – ERROR MESSAGES

1. ERROR MESSAGES
Any operational anomalies found by the system during Senographe 2000 D operation are signalled by
Error Messages. These may be displayed on the Column Readout and on the Control Console or in a
pop-up box on the AWS screen. They may be simple information messages requiring no action, or they
may indicate error or fault conditions requiring action from the operator and/or GEMS Service
engineers.
Note that messages displayed on the Gantry begin with three identification characters, which are

CHAP. 14
followed by the message itself. On the Control Console, the message is followed by seven further
identification characters. Thus, for example, the Column Readout might display I76 FAILURE while the
Control Console displays I76 SENSOR FAILURE 158/011. If it necessary to call GEMS Field Service
about an error, you should quote the entire message, complete with the identification characters.
The tables below list error messages which may occur, with explanations and recommended actions.
Table 1 lists error messages displayed on the Gantry: control console and/or column.
Source of the message is mentionned:
GAN = issued from Gantry, GEN = from generator, AWS = from Acquisition workstation.

FOR TRAINING PURPOSES ONLY!

Table 2 lists error messages displayed on the AWS screen.

Table 1 – Error Messages displayed on the Gantry

Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

E 01 GEN None Generator failure Problem reported in Switch OFF Gantry, then switch ON.
HV section of If the problem continues, note ALL
generator. messages and contact GEMS Field
Service.

E02 GEN None Focus bias failure Problem reported in Switch OFF Gantry, then switch ON.
tube focus bias If the problem continues, note ALL
circuits. messages and contact GEMS Field
Service.

E03 GEN None Rotor failure Problem reported in Switch OFF Gantry, then switch ON.
anode starter. If the problem continues, note ALL
messages and contact GEMS Field
Service.

E04 GEN None Arm fatal failure Generator detects Switch OFF Gantry, then switch ON.
error in dialog with If the problem continues, note ALL
arm. messages and contact GEMS Field
Service.

E05 GEN None Failure during Current exposure Switch OFF Gantry, then switch ON.
exposure aborted due to failure If the problem continues, note ALL
in equipment. messages and inform GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

E06 GEN None Software error An error occurred in Switch OFF Gantry, then switch ON.
(gen CPU) the Generator CPU If the problem continues, note ALL
software. messages and inform GEMS Field
Service.

E08 GEN None Power supply Supply of generator Switch OFF Gantry, then switch ON.
failure power circuits is not If the problem continues, note ALL
authorized. messages and contact GEMS Field
CHAP. 14

Service.

E10 GEN None Heating failure Molybdenum focal Switch OFF Gantry, then switch ON.
track 1 track is unserviceable. If the problem continues, note ALL
messages and contact GEMS Field
Service.
You can still work with rhodium focal
track.

E11 GEN None Heating failure Rhodium focal track is Switch OFF Gantry, then switch ON.

FOR TRAINING PURPOSES ONLY!

track 2 unserviceable. If the problem continues, note ALL
messages and contact GEMS Field
Service.
You can still work with molybdenum
focal track.

E12 GEN None Checksum error Calibration parameters Switch OFF Gantry, then switch ON.
(gen) have been modified. If the problem continues, note ALL
messages and contact GEMS Field
Service.

E13 GEN None Gen./Arm Generator cannot Switch OFF Gantry, then switch ON.
communication communicate with If the problem continues, note ALL
fail arm. messages and contact
GEMS Field Service.

E14 GEN None Generator A problem has been Switch OFF Gantry, then switch ON.
CPU/INTG failure reported by the If the problem continues, note ALL
Generator CPU. messages and contact GEMS Field
Service.

E15 GEN None Console Generator cannot Switch OFF Gantry, then switch ON.
communication communicate with If the problem continues, note ALL
fail Control Console. messages and contact GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

E18 GEN None IDC/SENO A problem occurs in 1. Switch OFF the Gantry
Synchro. fail synchronization 2. Switch ON
between Image 3. If the probleme occurs again at the
Detection Control next acquisition power OFF the
system and generator whole system and wait for the end of
during acquisition. May the shutdown sequence.
be the image will be 4. Restart the system
fully acquired but in 5. If the problem persists, note ALL

CHAP. 14
that case, dose messages and inform GEMS Field
parameters will be Service.
missed (set to 0 in the
image).
Next exposure is
inhinited

E19 GEN None IDC/SENO down, Image Detection 1. Switch OFF the Gantry
DPS is OFF Control system cannot 2. Switch ON
communicate with 3. If the probleme occurs again at the

FOR TRAINING PURPOSES ONLY!

Generator next acquisition power OFF the
The Dectector Power whole system and wait for the end of
Supply is then the shutdown sequence.
powered OFF by the 4. Restart the system
system. 5. If the problem persists, note ALL
messages and inform GEMS Field
Service.

E20 GEN None Check Main Supply of AWS Cart 1. Switch OFF the Gantry
Distribution Rack and Detector 2. Switch ON
environement circuits 3. If the problem persists, note ALL
is not authorized. messages and inform GEMS Field
Service.

E21 GEN None Detector supply Supply of Detector 1. Switch OFF the Gantry
not supplied circuits is not 2. Switch ON
authorized. 3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

E22 GEN None Conditioner not Supply of detector 1. Switch OFF the Gantry
supplied Conditioner circuits is 2. Switch ON
not authorized. 3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

E23 GEN None AWS cart not Supply of WS Cart 1. Switch OFF the Gantry
supplied circuits is not 2. Switch ON
authorized. 3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

E24 GEN None Failure before Current image Switch OFF Gantry, then switch ON.
exposure acquisition aborted If the problem continues, note ALL
before exposure due messages and contact GEMS Field
to failure in the Service.
equipment

E25 GEN None AWS/SENO A problem occurs in 1. Switch OFF the whole system and
Synchro. fail synchronization wait for the end of the shutdown
CHAP. 14

between AWS system sequence

and generator during 2. Restart the system
acquisition. 4. If the problem persists, note ALL
Next exposure is messages and inform GEMS Field
inhinited Service.

E26 GEN None AWS/SENO AWS system cannot 1. Switch OFF the Gantry
comm. failure communicate with 2. Switch ON
Generator. 3. If the probleme occurs again at the
next acquisition power OFF the

FOR TRAINING PURPOSES ONLY!

whole system and wait for the end of
the shutdown sequence.
4. Restart the system
5. If the problem persists, note ALL
messages and inform GEMS Field
Service.

E35 GEN None SYSTEM A power OFF of the Stop system usage and wait the end
SHUTDOWN whole system has of the shutdown sequence.
STARTED been started.
The generator will
power off the supply of
Detector, Gantry and
Generator in fiew
minutes.

E36 GEN None CART PWR The system shutdown 1. Stop system usage and wait the
FAILURE – SYST has been processed end of the shutdown sequence.
SHUTDOWN because an UPS error 2. Check the main power supply.
has been detected or 3. Check (on UPS panel) that the
communication with batteries are charging. Do not
UPS haas been lost. attempt to restart the system until the
bateries have recharged.
4.If the problem persists, note ALL
messages and inform GEMS Field
Service.

E50 GAN Failure Software Failure Gantry software error. Switch OFF Gantry, then switch ON.
If the problem continues, note ALL
messages and error codes
(ESPECIALLY THE 6 DIGITS OF
E50 MESSAGES) and contact
GEMS Field Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

E51 GAN Collim. Fail Lateral Collimator A problem has been Switch OFF Gantry, then switch ON.
Failure reported in the lateral If the problem continues, note ALL
collimator, so correct messages and contact GEMS Field
format cannot be Service.
ensured.
Exposure is inhibited.

E53 GAN Collim. Fail Rear Collimator A problem has been Switch OFF Gantry, then switch ON.

CHAP. 14
Failure reported in the rear If the problem continues, note ALL
collimator, so correct messages and contact GEMS Field
format cannot be Service.
ensured.
Exposure is inhibited.

E54 GAN Failure Gantry Electronic A problem has been Switch OFF Gantry, then switch ON.
Failure reported by the Gantry. If the problem continues, note ALL
messages and contact GEMS Field
Service.

FOR TRAINING PURPOSES ONLY!

E55 GAN Housing Fail Housing A problem has been Switch OFF Gantry, then switch ON.
Angulation reported in tube If the problem continues, note ALL
Failure housing angular shift. messages and contact GEMS Field
Service.

E58 GAN Collim. Fail Front Collimator A problem has been Switch OFF Gantry, then switch ON.
Failure reported in the Front If the problem continues, note ALL
collimator blade, so messages and contact GEMS Field
correct format cannot Service.
be ensured.

E64 GAN Filter Fail Filter Positionning A filter rotation Switch OFF Gantry, then switch ON.
Failure problem has been If the problem continues, note ALL
reported, so good filter messages and contact GEMS Field
positioning is not Service.
ensured.
Exposure is inhibited.

E71 GAN Bucky Fail Bucky Failure Bucky cannot be 1. Remove Bucky.
moved under normal 2. Reinstall Bucky.
conditions. 3. Make a Rad Prep.
4. If failure continues, note ALL
messages, and contact GEMS Field
Service.
Exposures can be made without the
Bucky.

E76 GAN Ang. Failure Angle Sensor Fault in Gantry angle Switch OFF Gantry, then switch ON.
Failure sensor. If the problem continues, note ALL
messages and contact GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

E86 GAN Chksum Arm checksum Content of saved Switch OFF Gantry, then switch ON.
Error error memory has been If the problem continues, note ALL
modified. Calibration messages and contact GEMS Field
may be false. Service.
Compression is
inhibited.

I05 GEN None Exposure aborted Exposure aborted 1. Press RESET.

CHAP. 14

by mAs level because not enough 2. Reposition the patient.

mAs available to 3. Start exam again
continue exposure. 4. If the problem continues, note ALL
messages and contact GEMS Field
Service.
5. Nevertheless, you can continue to
use the system with manual
acquisition.

I06 GEN None Abort: Detect sig. Exposure aborted 1. Press RESET.

FOR TRAINING PURPOSES ONLY!

out range because brightness 2. Reposition the patient.
received by detector 3. Start acquisition again
are not in range to 4. If the problem continues, note ALL
continue exposure. messages and contact GEMS Field
Service.
5. Nevertheless, you can continue to
use the system with manual
acquisition.

I07 GEN None Selected filter not Filter selected by the 1. Press ”Filter selection” to have the
allowed : Al operator not allowed. correct filter selected.
The Senograph
automatically selects
the next correct filter.

I12 GEN None Maximum mAs = Maximum available Information message only.
mAs are equal to xxx. (If mAs exceeded, cell aborts
exposure at 2 or 3 mAs if entire
exposure cannot be made.)

I13 GEN None IDC was not Image Detection 1. Press the prep button again.
ready Control system was 2. Switch OFF the Gantry
not ready to perform 3. Switch ON
an image acquisition. 4. If the probleme occurs again at the
next acquisition power OFF the
whole system and wait for the end of
the shutdown sequence.
5. Restart the system
6. If the problem persists, note ALL
messages and inform GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

I14 GEN None AWS was not AWS system was not 1. Press the prep button again.
ready ready to perform an 2. If the probleme occurs again at the
image acquisition. next acquisition power OFF the
whole system and wait for the end of
the shutdown sequence.
5. Restart the system
6. If the problem persists, note ALL
messages and inform GEMS Field

CHAP. 14
Service.

I15 GEN None Console locked The control console is Wait end of service access.
locked due to service If no service in progress power
access (detector OFF/ON the DMR.
calibration or IQ tool is
in progress). Actions
on right–hand section
of control controle are
still available.

FOR TRAINING PURPOSES ONLY!

I16 GEN None Collimator locked The diaphragm control Wait end of calibration.
is locked because If no calibration in progress power
detector calibration is OFF/ON the DMR.
in progress.

I17 GEN None AWS/SENO AWS system cannot 1. Wait end of service operation if
comm. lost communicate with there is one else wait 1mn to allow
Generator. the system to recorver itself,
May be a service PC 2. If the problem persists, power OFF
laptop is connected in the whole system and wait for the
place of AWS or may end of the shutdown sequence.
be the AWS cart is 5. Restart the system
powered OFF for 6. If the problem persists again, note
service need. ALL messages and inform GEMS
Field Service.

I18 GEN None Collimator/Consol The control console Wait end of service access.
e locked and the diaphragm If no service in progress power
control are locked due OFF/ON the DMR.
to service access
(detector calibrationis
in progress). Actions
on right–hand section
of control controle are
still available.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

I19 GEN None IDC/SENO Image Detection 1. Wait that the Image Detector
comm. lost Control system cannot control system finished to recorver
communicate with itself.
Generator.
If the communication is
not recorver in few
minutes, the sysetm
will be in failure mode
CHAP. 14

(error E19)

I21 GEN None Heating failure Molybdenum focal Switch OFF Gantry, then switch ON.
track 1 track is out of use. If the problem continues, note ALL
messages and contact GEMS Field
Service.
You can continue using rhodium
focal track.

I22 GEN None Heating failure Rhodium focal track is Switch OFF Gantry, then switch ON.

FOR TRAINING PURPOSES ONLY!

track 2 out of use. If the problem continues, note ALL
messages and contact GEMS Field
Service.
You can continue using molybdenum
focal track.

I23 GEN None Console Generator-Control Switch OFF Gantry, then switch ON.
communication Console connection is If problem continues, note ALL
fail faulty. messages and contact GEMS Field
Service.

I24 GEN None Line power Micro power cut Switch OFF Gantry, then switch ON.
interruption occurred on line If the problem continues, note ALL
supply. messages and contact GEMS Field
Service.

I25 GEN None Recumbent Operator has selectec If you don’t want to run acquisition
patient view a view name for with this selected view name, enter
names recumbent patient. again to the set–up/Proj. menu
without valid to come back to normal
view name selection.
Else the view name selection will
come–back to normal selection after
the next exposure.

I27 GEN None Generator CPU CPU backup battery is Contact GEMS Field Service.
battery error discharged. DO NOT REMOVE POWER FROM
EQUIPMENT.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

I28 GEN None Max wait for It is necessary to wait Wait the required amount of time to
same exposure the displayed time to repeat exposure. If an exposure is
mn be able to repeat the attempted before this time, an abort
same exposure. may possibly occur (there is a safety
margin to ensure proper operation).
You can ignore the message if a
different, less dense, breast is to be
imaged next.

CHAP. 14
I29 GEN None Excessive mAs The amount of mAs Switch to a different mode or to a
for this mode necessary to repeat different filter.
mAs the same exposure is
too high in the mode
selected.

I31 GEN None Abort: Image

signal too low

FOR TRAINING PURPOSES ONLY!

I32 GEN None Abort: Image
signal too high

I33 GEN None Abort: No AOP

zone found

I34 GEN None Thickness out of

AOP range

I46 GEN None System Setting in AWS set-up in No action required.

progress progress (loading of This message is displayed for two
Flat Field map) after a seconds after selection of a new
new filter was filter.
selected.

I50 GAN Lock Lock Jammed LOCK PROBLEM: Try again to release lock.
Jammed In spite of command, If the problem continues, note ALL
lock release does not messages and contact GEMS Field
operate. Service.

I51 GAN Hot Lock Lock Overheated Lock temperature too Wait for lock to cool.
high (used for too long
period and/or too
frequently)

I52 GAN Arm Tube Housing Tube housing arm in Pivot arm to latch correctly.
Unlocked Arm Unlocked unstable position If the problem continues, note ALL
because lock is badly messages and contact GEMS Field
latched. Service.

I54 GAN Wait... Power Limitation Heat protection for 27 Leave equipment idle for a while.
V supply. Elevator, If the problem continues, note ALL
rotation, and light messages and contact GEMS Field
centering device lock Service.
are blocked.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

I56 GAN Slipping Compression Compression motor 1. Release footpedal or compression

Motor Slipping has slipped and lost its button, and move paddle up to park
position. position.
2. Repeat the compression.

I62 GAN Oscillations Arm oscillations Gantry oscillate then 1. Wait that the gantry stabilizes.
the sensor angle value
is not stable.
CHAP. 14

This angle variation

could affect view name
calculation.

I70 GAN Comp Compression Compression did not Switch OFF Gantry, then switch ON.
Failure Failure function correctly. If problem continues, note ALL
messages and contact GEMS Field
Service.

I71 GAN Light Fail Light Centering The light centering Switch OFF Gantry, then switch ON.

FOR TRAINING PURPOSES ONLY!

Device Fail device is not If problem continues, note ALL
functioning correctly. messages and contact GEMS Field
Service.

I72 GAN Column Fail Column Motion Elevator is not Switch OFF Gantry, then switch ON.
Failure functioning correctly. If problem continues, note ALL
messages and contact GEMS Field
Service.

I73 GAN Rotat. Fail Rotation Brake Rotation brake is not Switch OFF Gantry, then switch ON.
Failure functioning correctly. If problem continues, note ALL
messages and contact GEMS Field
Service.

I74 GAN Lock Failure Arm Lock Failure Arm lock is not Switch OFF Gantry, then switch ON.
functioning correctly. If problem continues, note ALL
messages and contact GEMS Field
Service.

I75 GAN Button Fail Button Security Problem reported in Switch OFF Gantry, then switch ON.
Failure operator presence If problem continues, note ALL
interlock in control messages and contact GEMS Field
buttons. Service.

I76 GAN Failure Arm Sensor An error has occurred Switch OFF Gantry, then switch ON.
Failure in the rotation angle If problem continues, note ALL
sensor. messages and contact GEMS Field
Service.

I77 GAN Pedal Fail Comp Pedal The operator presence Switch OFF Gantry, then switch ON.
Security Failure interlock for the If problem continues, note ALL
compression pedal did messages and contact GEMS Field
not function correctly. Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

I78 GAN Blown Fuse Blown Fuse A fuse has failed. Switch OFF Gantry, then switch ON.
If problem continues, note ALL
messages and contact GEMS Field
Service.

I79 GAN Failure Power Supply A power supply has Switch OFF Gantry, then switch ON.
Failure failed. If problem continues, note ALL
messages and contact GEMS Field

CHAP. 14
Service.

I85 GAN Force < –4 Force < – 4 kgf

I86 GAN Decompres. Decompression Compression paddle Use the decompression pedal to
hit an obstacle during raise the paddle to park position.
up–movement Compression should now be
at start–up. possible.
Compression not
possible.

FOR TRAINING PURPOSES ONLY!

I90 GAN None Auto–Decompres The automatic If auto–decompress mode is wanted,
sion is Off decompression mode switch modes by changing the
has been inhibited by parameter in the Setup/Medical
the user. menu. Otherwise no action is
required; this information is normally
displayed.

I98 GAN Column Column Up Elevator 1. Check if any movement switches

Fault Impossible up–movement is not (up/down, rotation) were pressed
possible. during power ON. If yes, release the
necessary switches and restart the
Gantry system.
2. Check if obstacle preventing
up–movement.
3. Command down–movement.
4. Command up–movement.
5. If the problem continues, note ALL
messages and contact GEMS Field
Service.

I99 GAN Column Column Down Elevator 1. Check if any movement switches
Fault Impossible down–movement is (up/down, rotation) were pressed
not possible. during power ON. If yes, release the
necessary switches and restart the
Gantry system.
2. Check if obstacle preventing
down–movement.
3. Command up–movement.
4. Command down–movement.
5. If the problem continues, note ALL
messages and contact GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

S01 GEN None Aborted exposure Exposure in progress Switch OFF Gantry, then switch ON.
has been aborted Start exam again.
because the Exposure
Button was released
by operator before the
end of exposure.

S02 GEN None Exposure aborted Exposure was aborted Switch OFF Gantry, then switch ON.
CHAP. 14

by HV arcing because more than Start exam again.

eight x-ray tube arcing
events occurred.

S05 GEN None Wrong selection Selected kV/focal track Change the configuration.
of kV/track couple is not enabled (kV
values are too low in
the Rh focal track).

S07 GEN None Exposure aborted in OM 1. Switch OFF the Gantry

FOR TRAINING PURPOSES ONLY!

by IDC 2. Switch ON
3. If the probleme occurs again at the
next acquisition power OFF the
whole system and wait for the end of
the shutdown sequence.
4. Restart the system
5. If the problem persists, note ALL
messages and inform GEMS Field
Service.

S08 GEN None Required power Power requested in Reduce kV or mAs values.
is too high Manual Mode is too
high.

S09 GEN None No compression Breast is not Breast compression is mandatory.

detected compressed.

S10 GEN None Generator cooling Generator requires Wait for cooling period (or lower mAs
mn xxxx minutes to cool. values in Manual Mode).

S11 GEN None Tube cooling mn Tube requires xxxxx Wait for cooling to terminate (or
minutes to cool. lower mAs values in Manual Mode).

S12 GEN None Configuration not Incompatible settings Select compatible settings (refer to
allowed of magnification, grid, the Image Acquisition chapter).
and focal spot have
been selected.

S13 GEN None Backup mAs < 50 Maximum mAs < 50. Wait for cooling to terminate (or
exposure Exposure inhibited. lower kV values in AEC Mode).
inhibited

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

S14 GEN None Maximum mAs Maximum mAs set at Lower mAs values.
exceeded installation are
exceeded. (This
message appears only
if a value below the
maximum possible
mAs value was set at
installation).

CHAP. 14
S20 GEN None Acq. Abort, image Exposure has been 1. Press RESET.
can be lost fully performed but 2. check image quality if image is
image may be lost displayed
because an error 2. Reposition the patient.
occurred in the image 3. Start exam again
chain detection or 2. If the problem persists, power OFF
processing. the whole system and wait for the
end of the shutdown sequence.
5. Restart the system

FOR TRAINING PURPOSES ONLY!

6. If the problem persists again, note
ALL messages and inform GEMS
Field Service.

S21 GEN None Waiting for AWS Communication with 1. Wait AWS boot and login is
boot AWS system is not yet finished.
established. 2. If message persists 10mn after the
AWS login power OFF the whole
system and wait for the end of the
shutdown sequence.
5. Restart the system
6. If the problem persists again, note
ALL messages and inform GEMS
Field Service.

S22 GEN None Waiting for IDC Communication with 1. Wait Image detection Control boot
boot Image Detection is finished.
Control sysetm is not 2. If message persists 10mn power
yet established. OFF the whole system and wait for
the end of the shutdown sequence.
5. Restart the system
6. If the problem persists again, note
ALL messages and inform GEMS
Field Service.

S23 GEN None Laterality is not You have not selected Select laterality on the Control
selected the laterality of the Console. If you are imaging a test
breast to perform object, the laterality chosen is not
acquisition. Exposure important.
is inhibited

S25 GEN None Tube housing The temperature of the Wait for the tube housing
over temperature tube housing is too temperature to fall.
high (> 65°C).

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

S26 GEN None Exposure too The exposure is too Increase the kV value or reduce the
long long (this message mAs value.
should appear only in
manual mode).

S32 GEN None Compression Breast thickness is Switch OFF Gantry, then switch ON.
sensor fault badly calculated in If the problem continues, note ALL
AOP mode. messages and contact GEMS Field
CHAP. 14

It is still possible to Service.

continue the exam in
manual mode.

S33 GEN None Wait Until End of Acquisition is inhibited No action is required. The display of
Digital Acquisit. until the previous this message is normal during image
image has been transfer to the workstation. It will be
completely recorded. cleared when system is ready for the
next acquisition.
If the problem persists, switch OFF

FOR TRAINING PURPOSES ONLY!

gantry, then switch it ON.

S37 GEN None Exp. Abort, Wait Exposure in progress 1. Look at the message displayed
Image Acquisition has been aborted by when the reset button is highlighted
the operator or the to know the real problem
equipement but the 2. Press reset and perform the action
system processed and required by the last displayed
display the image that message.
has been generate.

S38 GEN None Abort by HV

arcing. Wait
Image Acq.

S39 GEN None Abort by IDC.

Wait Image
Acquisition

S50 GAN Expos Incorrect X_Ray The position of the Correct the position of the tube
Impos Incidence tube carrying arm does carrying arm.
not allow exposure: –
Position not locked at
0 degrees.

S81 AWS None S81 Image One of the image 1. Wait for completion of system
detection not detection coponent is setting.
ready buzy or its condition to 2. If this X–ray inhibition stays
acquire images is not displayed more that 10 mn Switch
yet reached. OFF the whole system and wait for
the end of the shutdown sequence.
3. Restart the system.
4. If the problem persists, note ALL
messages and inform GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

S82 AWS None S82 Image One of the image 1. Switch OFF the whole system and
detection failure detection coponent is wait for the end of the shutdown
failed. sequence.
2. Restart the system.
3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

CHAP. 14
S83 AWS None S83 Detector The environment of 1. Wait for completion of system
environment not the detector is not setting.
OK correct to allow 2. If this X–ray inhibition stays
acquisition. displayed more that 10 mn
switch OFF the whole system and
wait for the end of the shutdown
sequence.
3. Restart the system.
4. If the problem persists, note ALL
messages and inform GEMS Field

FOR TRAINING PURPOSES ONLY!

Service.

S84 AWS None S84 Image The temperature drifts Check image quality on current
quality is slowly from the optimal exam.
degraded value specified for best If the problem persists, note ALL
Image Quality. messages and inform GEMS Field
Service.

S85 AWS None S85 Detector The environment of 1. Switch OFF the whole system and
environment the detector is failed. wait for the end of the shutdown
failure sequence.
2. Restart the system.
3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

S86 AWS None S86 AWS/IDC AWS system cannot 1. Wait that the Image Detector
Communication communicate with control system finished to recorver
lost Image Detection itself.
control system but the
communication should
be recorved itself.

S87 AWS None S87 AWS/IDC AWS to Image 1. Switch OFF the whole system and
Communication Detection control wait for the end of the shutdown
failure system communication sequence.
is failed. 2. Restart the system.
3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

S88 AWS None S88 AWS image AWS image delivery to 1. If this message stays displayed
delivery failure medical application more that 5mn switch OFF the whole
default. system and wait for the end of the
shutdown sequence.
2. Restart the system.
3. If the problem persists, note ALL
messages and inform GEMS Field
Service.
CHAP. 14

S89 AWS None S89 AWS not The AWS cannot allow 1. Check that all action are complete
available for acquisition because of 2. Increase free space on image disk
acquisition lack of disk space or by deleting exams that have been
an uncomplete action archived.
on AWS. 3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

S90 AWS None S90 AWS not No more AWS 1. Close exam.

FOR TRAINING PURPOSES ONLY!

available, close ressources to continue 2. Increase free space on image disk
exam examlem occurs in by deleting exams that have been
AWS. archived.
3. If the problem persists, note ALL
messages and inform GEMS Field
Service.

S91 AWS None S91 Need user Operator input is Answer to AWS pop–up.
action on AWS required on AWS.

S92 AWS None S92 AWS busy, The AWS is busy, and No action required, wait for
please wait... the current operation completion of the current operation.
may take some time.

S93 AWS None S93 AWS busy The AWS is busy (the No action required, wait for
wait should be short). completion of the current operation.

S94 AWS None S94 System An application is Wait few minutes.

performing test, running on the system
wait and performs tests that
should not allow
acquisition (example
auto–diagnostics).

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Message
Msg. Message on
Source on Column Explanation Corrective Action
No. Control Console
Readout

S95 AWS None S95 Medical AWS has not yet Start a new exam or QAP
Application not entered application acquisition.
active mode. This message
is always displayed
after system boot and
after each close exam
even during review.
In fact it is displayed

CHAP. 14
because no application
are ready to get the
image.

S96 AWS None S96 System A diagnostic or Check if several application is

activity conflict calibration application running if yes close one.
runs while the medical
application is active.

S97 AWS None S97 AWS reset in The AWS is No action required, wait for

FOR TRAINING PURPOSES ONLY!

progress, wait completing a reset completion of the reset.
operation.

S98 AWS None S98 Exp. The current application No action required.
inhibited CAL/IQ is CALtool or IQtool.
in progress No exposure is
requested by this
application.

S99 AWS None S99 OFFSET The current application No action required.
ACQUISITION IN is CALtool or IQtool.
PROGRESS Offset acquisition has
started.

S100 AWS None S100 PLEASE AWS is being No action required.

WAIT ... reconfigured. The
message is displayed
until reconfiguration is
complete.

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Table 2 – Error messages displayed on the AWS monitor

Message on AWS screen Explanation Corrective action

AA These messages relate to power on/off events:

AA Could not connect to the The specified remote host could 1. Try again after a short wait.
1 remote provider not be found. It may be 2. If the message is repeated, check that
temporarily off-line, its address the server address is correct and that the
may have changed or been remote application is running.
incorrectly entered, the 3. If the problem persists, contact GEMS
application on the remote Field Service.
provider may not be running, or
CHAP. 14

there may be a network error.

AA Do you really want to power This message is displayed as No corrective action required (click Yes or
2
off the system: yes or no? part of the normal shutdown No as required)
sequence.
AA ”End of remote connection in A GE Insite connection is being No action is required; you can now use the
3
progress” closed. system.
AA ”Image detection failure, An image detection subsystem is 1. Wait to see if the problem clears.

FOR TRAINING PURPOSES ONLY!

4
exam forbidden” not ready for acquisition after 2. If the problem persists, contact GEMS
start-up. Field Service.
AA ”Initialization not complete, A system initialization process is Wait until system initialization is complete.
5
please wait” in progress.
AA ”No Ups Power Backup” A UPS error has been detected 1. Stop system usage and shut down the
6
or communication with the UPS system.
has been lost. 2. Check the mains power supply.
3. Check (on UPS panel) that the batteries
are charging. Do not attempt to restart the
system unless the batteries have been
recharged.
3. Restart the system.
3. If the problem persists, contact GEMS
Field Service.
AA ”Senograph failure, exam A Senographe (DMR) subsystem 1. Wait to see if the problem clears.
7
forbidden” is not ready for acquisition after 2. If the problem persists, contact GEMS
start-up. Field Service.
AA ”Shutdown Process started The AWS shutdown process has 1. Wait for the end of the shutdown
8
...” been started because a UPS sequence.
primary power failure longer than 2. Check mains power supply.
10 seconds has been detected. 3. Restart the system when power OK.
4. If the problem persists, contact GEMS
Field Service.
AA ”Shutdown Process started The AWS shutdown process has 1. Stop system usage and wait for the end
9
...” been started because of the shutdown sequence.
communication with the UPS 2. Restart the system
was lost for more than 30 3. If the problem persists, contact GEMS
seconds. Field Service.

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Message on AWS screen Explanation Corrective action
AA ”Shutdown Process started The AWS shutdown process has 1. Stop system usage and wait for the end
10
...” been started because a UPS low of the shutdown sequence.
battery condition was detected 2. Check the mains power supply.
(battery power must be available 3. Check (on UPS panel) that the batteries
to guarantee safe operation and are charging. Do not attempt to restart the
shutdown in the event of power system until the batteries have recharged.
failure). 4. If the problem persists, contact GEMS
Field Service.
AA System is down. The message is displayed at the No action is normally required.

CHAP. 14
11
System will power off within 30 end of the normal shutdown If the system fails to shut down completely
seconds: do NOT reboot now! sequence, when the UPS is (the AWS screen continues to display the
(if system does not turn off, about to shut down, to prevent message after one or two minutes), switch
switch off UPS manually) users from trying to reboot. it off by pressing the UPS OFF button at
the front of the Generator Cabinet.
AA ”System not ready, exam A system component is not yet Wait until system initialization is complete
12
forbidden” ready (after system stsrt-up). before requesting an acquisition.
AA UPS battery needs replacing. The UPS selftest has detected Stop system usage and contact GEMS
13

FOR TRAINING PURPOSES ONLY!

Please call service that the battery requires Field Service.
replacement.
AA UPS output overload. An UPS overload condition has Stop system usage and contact GEMS
14
Please call service been detected. Field Service.

BB These messages relate to boot/reset events:

BB ”AWS – IDC communication Communication between the 1. Click OK on the pop-up window
1
failure, exam forbidden.” AWS and the acquisition system 2. Restart the Browser.
was not established at boot time, 3. If the message is repeated, perform
or has been lost during system shutdown and restart the system.
application. 4. If the problem persists, contact GEMS
Field Service.
BB AWS/SENO communication Communication between the 1. Click OK on the pop-up window
2
failure, exam forbidden AWS and the Gantry system was 2. Reset the gantry (power OFF/ON),
not established at boot time, or and/or restart the Browser.
has been lost during application. 3. If the message is repeated, perform
system shutdown and restart the system.
4. If the problem persists, contact GEMS
Field Service.
BB AWS not functional, exam One of the system components 1. Click OK on the pop-up window
3
forbidden did not boot (or did not reset) 2. Restart the Browser.
correctly. 3. If the message is repeated, perform
system shutdown and restart the system.
4. If the problem persists, contact GEMS
Field Service.

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Message on AWS screen Explanation Corrective action
BB ”AWS reset in progress: An AWS boot or reset sequence Wait until system initialization is complete.
4
please wait” is in progress.
The AWS may start an automatic If several automatic resets occur, contact
reset if it detects an internal GEMS Field Service.
acquisition device error.
BB ”AWS reset successful, The AWS boot or reset sequence No action required (click OK to close the
5
System is operational” has been successfully completed pop-up window).
BB Communication with UPS not This message is displayed at the 1. Wait for the end of the shutdown
CHAP. 14

6
established. Please call end of the power-up/boot sequence.
service. System will power off sequence, if communication 2. Try to restart the system .
within 30 seconds: do NOT cannot be established with the 3. If the problem is repeated, contact
log in now! UPS. GEMS Field Service.
BB IDC/SENO communication Communication between the IDC 1. Click OK on the pop-up window
7
failure, exam forbidden and the Gantry system was not 2. Reset the gantry (power OFF/ON)
established at boot time, or has 3. If the message is repeated, perform
been lost during application. system shutdown and restart the system.
4. If the problem persists, contact GEMS

FOR TRAINING PURPOSES ONLY!

Field Service.
BB ”Remote connection in A GE Insite connection is in No action is required; wait for completion
8
progress : do not acquire progress; no new images should of the connection.
images” be acquired.
BB Restart browser must be Medical Application Preferences Restart the Browser.
9
performed to take into setttings have been changed,
account the new configuration and Save has been requested.
The changes will not take effect
until the Browser has been
restarted.
BB System currently performing The system is busy with internal No action required; wait for completion of
10
self–testing – Please Wait. checks and tests. the test.

CC These messages relate to internal disk or memory problems:

CC ”ATTENTION Not enough Image disk is full. 1. Increase free space on image disk by
1
space to continue” deleting exams that have been archived.
2. If the problem persists, contact GEMS
Field Service.
CC ”AWS not available for The Medical Application cannot 1. Check that all actions are complete
2
acquisition, exam forbidden” allow acquisition because of lack (e.g., close all pop-up windows) and
of disk space or an uncomplete 2. Increase free space on image disk by
action on the AWS deleting exams that have been archived.
2. If the problem persists, contact GEMS
Field Service.
CC Disk space is full, you cannot Image disk is full. 1. Increase free space on image disk by
3
perform a new exam deleting exams that have been archived.
2. If the problem persists, contact GEMS
Field Service.

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Message on AWS screen Explanation Corrective action
CC Image update failed on disk. Image disk is full or server has 1. Close exam.
4
You cannot save your last failed. 2. Increase free space on image disk by
changes to the exam. deleting exams that have been archived.
3. If the problem persists, contact GEMS
Field Service.
CC Medical Preferences The file containing Medical
5
Application was unable to get Application Preferences setttings
last settings does not exist or has been
corrupted.

CHAP. 14
CC Medical Preferences The new Medical Application 1. Increase free space on image disk by
6
Application was unable to Preferences setttings could not deleting exams that have been archived.
save current settings be saved, probably because of 2. If the problem persists, contact GEMS
lack of space. Field Service.
CC Out of Memory, exam System requirements exceed 1. Perform system shutdown.
7
forbidden available AWS memory. 2. Start up system.
It is still possible to perform film 3. If the problem persists, contact GEMS
examinations. Field Service.

FOR TRAINING PURPOSES ONLY!

CC Reallocation of disk space Image disk is full or server has 1. Close exam.
8
failed. There is no space failed. 2. Increase free space on image disk by
available on disk for acquiring deleting exams that have been archived.
more images. 3. Perform system shutdown, then restart
system.
4. If the problem persists, contact GEMS
Field Service.
CC System disk is full System disk is full. 1. Close exam.
9
2. Increase free space on image disk by
deleting exams that have been archived.
3. Perform system shutdown, then restart
system.
4. If the problem persists, contact GEMS
Field Service.
CC The DICOM image The system is not able to format 1. Close exam.
10
construction failed. acquired image 2. Increase free space on image disk by
deleting exams that have been archived.
3. If the problem persists, contact GEMS
Field Service.

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GE Healthcare

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GE Healthcare Senographe 2000 D Acquisition System
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CHAPTER 15 – SPECIFICATIONS

1. TECHNICAL SPECIFICATIONS

1-1 Electrical Specification

Mode of operation: Continuous operation with intermittent loading.

1-1-1 Line voltage specifications

D Single-phase input voltage (phase-neutral or phase-phase):
– 200/208/220/240/380/415 V (+ 10 %)
D Can be powered by single-phase 440 V (+ 10%) using optional transformer.
D Line frequency specifications 50 or 60 Hz (+ 5%)
D Protection against electrical shocks: class 1, type B.
D The maximum line current corresponds to the use of the technique factors 30 kV, Mo track, large
focal spot, and 100 mAs.

CHAP. 15
FOR TRAINING PURPOSES ONLY!
1-1-2 kVA load characteristics
• Maximum power in standby: 1.5 kVA.
• Maximum instantaneous power (during exposures, up to 6 seconds) 9 kVA.
• Power factor: 0.6
• Line current crest factor: 1.7 at 200 V to 2 at 415 V.

1-1-3 Input impedance

The apparent resistance of the mains supply RL must be less than that which would cause a voltage
drop of 6% at the maximum power load of 9 kVA.
For a nominal supply voltage of 380 V, the line resistance RL(380) must be less than 1 Ω:
RL(380) < 1 Ω
For other supply voltages, calculate the equivalent permissable resistance value in ohms as follows:
RL(U) = RL(380) x (U/380)
Where: U = local input voltage
RL(U) = total apparent resistance (two–wire) of the supply at the local voltage (U).
RL(380) = total apparent resistance (two–wire) of the supply at 380 V.
Thus, as RL(380) must be less than 1 Ω, the value of RL(U) must be less than (U/380).

1-1-4 Generator Output (excluding tube)

D 22 thru 49 kV,
D 20 thru 130 mA.

1-1-5 Duty Cycle

The generator is always limited by the tube:

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D The generator can supply a maximum of 100 W to the tube.
This example represents one 30 kV/200mAs exposure each minute.

1-1-6 Line Conditioner Resonance Frequency

D 20 kHz approx.

1-1-7 Generator Power (excluding tube)

D 5 kW maximum.

1-2 Maximum Tolerance of Displayed Constants

kV and mAs:
D kV: "5%
D mAs: "7.6% "1.1 mAs

Measurement Conditions:
CHAP. 15

D kVp: Connect an HV voltage divider (Machlett Dynalizer IIIA; ratio 10 kV/1 V) in series with the

FOR TRAINING PURPOSES ONLY!

x-ray tube and measure the voltage with a multimeter (Fluke 47)
D mAs: Connect an HV voltage divider (Machlett Dynalizer IIIA; ratio 10 kV/1 V) in series with the
x-ray tube. Connect a waveform analyzer (Tektronix 7854) to the output of the divider; the analyzer
receives a signal proportional to the voltage applied to the tube. The mAs values are given by:

mAs = ŕ T2 i dt
T1
Where T1 is the time at which the high voltage reaches 75% of its maximum value, and
T is the time at which the high voltage returns to 75% of the maximum value.
Compression Force and Breast Thickness:
D Compression Force: "10 newton
D Breast Thickness "10 mm

1-3 Workstation Storage

Total internal disk capacity: two disks, each of 9 Gbytes.
Allocated for image storage: 14 Gbytes (corresponding to approximately 1650 images).

1-4 Digital Detector FOV

Field of View (FOV) of the Digital Detector: 19 cm x 23 cm.

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2. RADIATION AND FILTER INFORMATION

2-1 Radiation Reference Axis

Conforming to standard mammography practice, the radiation reference axis is directed at the chest
wall edge of the digital detector; radiation is shielded so that there is no radiation directed behind the
chest wall.

2-2 Technical Leakage Factor

With respect to radiation regulation, the tube housing and the collimator are in compliance with DHHS
21 CFR1020: Technical leakage factors applicable: 49 kV at 2 mA.

2-3 Filters and Anode Tracks

Maximum current for each track/focal spot configuration:

TRACK
Mo Rh

CHAP. 15
FOCAL SPOT

FOR TRAINING PURPOSES ONLY!

Large 100 mA max. 75 mA max.
Small 40 mA max. 40 mA max.

The filters are installed on a disk driven by a stepping motor which moves from one filter to the other.
Two different filters are supplied:
D Molybdenum: 0.03 mm,
D Rhodium: 0.025 mm,
Note: The Column electronics control the filters according to operator requirements in manual
mode, or to software requirements in AOP mode.

TARGET VOLTAGE FILTER HALF-VALUE LAYER

(kV)
Molybdenum 30 0.03 Mo 0.3 mm Al minimum
30 0.025 Rh 0.35 mm Al minimum
Rhodium 30 0.025 Rh 0.4 mm Al minimum

The minimum filtration permanently installed in the useful beam is 0.008 mm Al (8 μm Al) at 30 kV
(corresponding to 0.69 mm Beryllium).

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2-4 Attenuation Equivalence
Attenuation equivalence for components in the X-ray beam (in accordance with FDA HHS 21 CFR,
§ 1020.30; measurements made at a potential of 100 kVp, using an X-ray beam with an HVL of
2.7 mm of aluminum).

Component Al equivalence (mm)

Magnification device less than 0.2
Image receptor support less than 0.3
Bucky less than 0.3

3. AMBIENT CONDITIONS
CHAP. 15

3-1 Operational Ambient Conditions

FOR TRAINING PURPOSES ONLY!

D Humidity: 10% min., 80% max.
D Temperature 15_C (59_F) min., 35_C (95_F) max.
D Atmospheric pressure: 700 hPa min., 1060 hPa max.

3-2 Transport and Storage Ambient Conditions

D Humidity: 10% min., 50% max.
95% max. no longer than two weeks.
D Temperature +10_C (50_F) min., 25_C (77_F) max.
–10_C (14_F), 50_C (122_F) no longer than 1 day.
D Atmospheric pressure: 500 hPa min., 1060 hPa max.

3-3 Ambient Light Level

Senographe 2000 D monitors are adjusted for use in an optimum light level of 50 lux.

4. TUBE INFORMATION
Tube Cooling Curves and other tube-specific technical parameters can be found in the Tube Product
Data document, part no. 2106037–100, included with the system documentation.

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5. DIMENSIONS AND WEIGHTS

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COMPONENT
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Length
DIMENSIONS in mm (inches)

Width Height
WEIGHT
in kg (pounds)

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Gantry 1200 (47.5) 540 (21.5) min.1710 (min. 67.5 280 (616)

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max. 2410 max. 95)

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Console
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550 (22) 180 (7) 85 (3.5) 3 (7)

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Generator cabinet
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562 (22.5) 431 (17) 1320 (52) 180 (396)

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Rad Shield screen + 700 (27.5) 490 (19.5) 2200 (86.5) 90 (198)
console

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Senographe 2000 D 900 (35.5) 500 (20) 890 (35) 50 (110)

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accessories

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AWS – cart ÑÑÑÑ
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1060 (42) 650 (25.5) 1088 (43) 230 (506)

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CHAP. 15
AWS – monitor 460 (18) 350 (14) 450 (18) 30 (66)

FOR TRAINING PURPOSES ONLY!

6. MEANING OF SYMBOLS

Protective earth (ground)

Earth (ground)

Dangerous voltage

Type B equipment

This symbol indicates that waste electrical and electronic equipment must not be disposed
of as unsorted municipal waste and must be collected separately. Please contact an autho-
rized representative of the manufacturer for information concerning the decommissioning
of your equipment.

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GE Healthcare Senographe 2000 D Acquisition System
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This page is intentionally left in English.

REVISION HISTORY

REV DATE REASON FOR CHANGE

New release based on document 5128687–2–100 rev. 1, with the

following changes:
Medical Application preferences section (section 8–3 of Browser
chapter) modified to show Image Process tab and to describe se-
lection of Premium View option.
1 May 31, 2006 Processing section (section10 of Image Acquisition Procedure
chapter) modified to describe the Premium View option.
Maintenance chapter modified to include revised monitor cleaning
instructions and planned maintenance procedures.

Removed list of addresses of GE Medical Systems Service offices.

Updated cover pages.

FOR TRAINING PURPOSES ONLY!

This publication is contained in a multibook Master Folder. It is a slave publication.
To maintain this publication it is mandatory to use the “Master Folder” 5161686–n–800 as the
Interleaf source.
This “Master Folder” contains a “Read me” which explains how to proceed.

NUMBER SIZE REVISION

5179217–1–100TPH A4 1

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GE Healthcare

Manufactured by:

www.gehealthcare.com
GE Medical System SCS

F78533 BUC CEDEX France

Imagination at work

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FOR TRAINING PURPOSES ONLY!

NOTE: Once downloaded, this document is UNCONTROLLED, and therefore may not be the latest revision. Always confirm revision status against a validated source (ie CDL).