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Image display devices

CT

Quality Assurance
Image display devices

Acceptance test protocol for image display devices

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© Siemens AG 2006
The reproduction, transmission or use
of this document or its contents is not
permitted without express written
authority. Offenders will be liable for
damages. All rights, including rights
created by patent grant or registration
of a utility model or design, are
reserved.

Print No.: CT00-000.820.05.01.02 English

Replaces: CT00-000.820.02.02.02 Doc. Gen. Date: 04.06
2 Revision / Disclaimer
1Revision / Disclaimer

Document revision level

The document corresponds to the version/revision level effective at the time of system
delivery. Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.

Disclaimer
The installation and service of equipment described herein is to be performed by qualified
personnel who are employed by Siemens or one of its affiliates or who are otherwise
authorized by Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated
with or authorized by Siemens or one of its affiliates are directed to contact one of the
local offices of Siemens or one of its affiliates before attempting installation or service pro-
cedures.

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04.06 CSCT Medical Solutions
Table of Contents 3
0Table of Contents

1 _______ A General _____________________________________________________ 4

1. General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2. Overview of image display devices at the examination or diagnostic site . . . . . . . . . . 6
3. Measurement and test equipmentl used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

2 _______ B Tests ________________________________________________________ 8

4. Measuring the luminance, determining the maximum contrast . . . . . . . . . . . . . . . . . . 8

5. Grayscale display (visual evaluation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
6. Spatial and contrast resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
7. Homogeneity of image brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
8. Geometrical image properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
9. Visual evaluation of image interference (artifacts) . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
10. Additional visual image evaluation for color monitors . . . . . . . . . . . . . . . . . . . . . . . . 16
11. Visual evaluation of clinical reference images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
12. Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

3 _______ C Acceptance test protocol _____________________________________ 19

Reference values for constancy tests for image display devices . . . . . . . . . . . . . . . . . . 19

Measuring the luminance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Spatial and contrast resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Perform the following visual image evaluation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Constancy tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

4 _______ Changes compared to previous version ____________________________ 22

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Medical Solutions 04.06 CSCT
4 A General
1-
1. General
1A General

Report no. ____________________________________

Test report for acceptance testing according to § 16 RöV
Operator of X-ray equipment: __________________________________________
_______________________________________________________________________
_______________________________________________________________________
Installation site __________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

X-ray system number : __________________________________

Performance of the acceptance test : SIEMENS AG, Medical Solution Group

Branch office :

Phone: Fax:

Tester: Name:________________________________
Date:__________ Signa-
ture:______________

Information about application spec- : _________________________________

trum was provided by

Reason for acceptance test : _________________________________

_____________________________________________________________________
_____________________________________________________________________

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04.06 CSCT Medical Solutions
A General 5

The image display devices meet the requirements set forth in the respective norms and
regulations:
Yes❒ No❒

Remarks:_______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Remark: Use n.a. in response to non-applicable fields!

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Medical Solutions 04.06 CSCT
6 A General

2. Overview of image display devices at the examination or diag-

nostic site 1.1

Report no. _____________________________________

Monitor 1 Type black and white Cathode x-ray tube

:
Color Flat screen
Manufacturer: Type/Version Serial number:
Location: Application category

Monitor 2 Type black and white Cathode x-ray tube

:
Color Flat screen
Manufacturer: Type/Version Serial number:
Location: Application category

Monitor 3 Type black and white Cathode x-ray tube

:
Color Flat screen
Manufacturer: Type/Version Serial number:
Location: Application category

Monitor 4 Type black and white Cathode x-ray tube

:
Color Flat screen
Manufacturer: Type/Version Serial number:
Location: Application category

Remark: Cross out field for nonexistent monitors.

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04.06 CSCT Medical Solutions
A General 7

3. Measurement and test equipmentl used 1.2

Report no. _____________________________________

Measurement equip- Name Serial no. Valid calibration

ment
Yes No
Luminance meter
Test pattern generator
Phantom according to
n.a. n.a.
DIN 6868-4

Test image Imaging device ❒

source:
Phantom according to DIN 6868-4 ❒
Test pattern generator ❒
Others: ❒

Remarks:_______________________________________________________________
______________________________________________________________________
______________________________________________________________________

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Medical Solutions 04.06 CSCT
8 B Tests
2-
4. Measuring the luminance, determining the maximum contrast
2B Tests

Report no. _____________________________________

SMPTE - test image ❒ or test image 2 (grayscale and black/white test image) ❒

Monitor 1 Monitor 2 Monitor 3 Monitor 4

❒A ❒A ❒A ❒A
Application category
❒B ❒B ❒B ❒B
Veiling luminance LS [cd /
m2] *
Lmin [cd / m2]
Lmax [cd / m2]
Minimum contrast MC
❒ Yes ❒ Yes ❒ Yes ❒ Yes
Limit value satisfied
❒ No ❒ No ❒ No ❒ No

* Measuring the veiling luminance (LS) when the monitor is switched off
Calculation, maximum contrast: MC = Lmax / Lmin
Limit value for application category A: MC ≥100
Limit value for application category B: MC ≥40

Remarks: __________________________________________________________

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04.06 CSCT Medical Solutions
B Tests 9

5. Grayscale display (visual evaluation) 2.1

Report no. _____________________________________

SMPTE - test image ❒ or test image 2 (grayscale and black/white test image) ❒

Test criteria:
• For SMPTE test = 5 % - field and 95 % - field visible?
image
• For test image 2 = Upper and lower three grayscale steps visible at equidistant
spacing?
• For other test
images

Monitor 1 Monitor 2 Monitor 3 Monitor 4

Test criteria have ❒ Yes ❒ Yes ❒ Yes ❒ Yes
been met? ❒ No ❒ No ❒ No ❒ No

Test criteria have to be met!

Remarks:_______________________________________________________________
______________________________________________________________________

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Medical Solutions 04.06 CSCT
10 B Tests

6. Spatial and contrast resolution 2.2

Report no. _____________________________________

SMPTE - test image ❒ or test image 5 ( test image for spatial and contrast resolution ) ❒
or phantom according to DIN 6868-4
Test criterion: Lines of bar patterns are detectable? ______________________________

Monitor 1 Monitor 2
Bar pattern HC LC* (low HC NC*
modulation 100 % contrast) 100 % and/or
and/or 6,2 % 5 %
6,2 % 5 %
Bar pattern detectable Yes No Yes No Yes No Yes No
Horizontally
Center
Vertically
Upper left corner Horizontally
Vertically
Upper right corner Horizontally
Vertically
Lower left corner Horizontally
Vertically
Lower right corner Horizontally
Vertically

HC- high contrast (100% modulation)

NC= low contrast ( modulation 5 % for SMPTE test image and/or. 6.2 % for test image 5)
or other modulation = ______________ %
*Evaluation if bar pattern available with this modulation

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04.06 CSCT Medical Solutions
B Tests 11

Requirements: Bar patterns of 100% to 5% modulation have to be detectable. When

testing with phantoms according to DIN 6868-4, the criteria of the
acceptance test for the respective imaging device have to meet the
resolution required.

Remarks:_______________________________________________________________
_______________________________________________________________________

Report no. _____________________________________

SMPTE - test image ❒ or test image 5 ( test image for spatial and contrast resolution ) ❒
or phantom according to DIN 6868-4
Test criterion: Lines of bar patterns are detectable? ______________________________

Monitor 3 Monitor 4
Bar pattern HC NC* HC NC*
modulation 100 % and/or 100 % and/or
6,2 % 5 % 6,2 % 5 %
Bar pattern detectable Yes No Yes No Yes No Yes No
Horizontally
Center
Vertically
Upper left corner Horizontally
Vertically
Upper right corner Horizontally
Vertically
Lower left corner Horizontally
Vertically
Lower right corner Horizontally
Vertically

HC - high contrast (100% modulation)

NC = low contrast ( modulation 5 % for SMPTE test image and/or. 6.2 % for test image 5)
or other modulation = ______________ %
*Evaluation if bar pattern available with this modulation

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Medical Solutions 04.06 CSCT
12 B Tests

Requirements: Bar patterns of 100% to 5% modulation have to be detectable. When

testing with phantoms according to DIN 6868-4, the criteria of the
acceptance test for the respective imaging device have to meet the
resolution required.

Remarks:_______________________________________________________________
_______________________________________________________________________

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04.06 CSCT Medical Solutions
B Tests 13

7. Homogeneity of image brightness 2.3

Report no. _____________________________________

SMPTE - test image❒ or test image 3 (grid lines with circle) ❒
(Deviations of the luminance within the image)

Monitor 1 Monitor 2 Monitor 3 Monitor 4

❒A ❒A ❒A ❒A
Application category
❒B ❒B ❒B ❒B
Center Lcenter(cd/m2)
Lcornerupper left (cd/m2)
Deviation from center in
%
Lcornerupper right (cd/m2)
Deviation from center in
%
Lcornerlower left (cd/m2)
Deviation from center in
%
Lcornerlower right (cd/m2)
Deviation from center in
%

Limit values: Application category A Application category B

Cathode x-ray tube - 30 % Cathode x-ray tube ± 35 %
Flat screen ± 15 % Flat screen ± 20 %

Lcenter - Lcorner
Calculation: Difference in % = _______________ X 100
Lcenter

Remarks:_______________________________________________________________
______________________________________________________________________
_______________________________________________________________________

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Medical Solutions 04.06 CSCT
14 B Tests

8. Geometrical image properties 2.4

Report no. _____________________________________

SMPTE - test image❒ or test image 4 (grid)❒

Monitor 1 Monitor 2 Monitor 3 Monitor 4

Test criteria Yes No Yes No Yes No Yes No
Grid pattern limit lines
O,U,L,R are visible?
Limit lines are of the
same length?
Complete image is visi-
ble?
Shifts or turns?
Distortions, warps?

Requirements: Limit lines have to be fully visible in the images, limit lines have to
have the same length (O= U,L=R). Shifts, turns, and distortions are
not acceptable.

Remarks:_______________________________________________________________
______________________________________________________________________

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04.06 CSCT Medical Solutions
B Tests 15

9. Visual evaluation of image interference (artifacts) 2.5

Report no. _____________________________________

SMPTE - test image❒ or test image 3 (grid lines with circle) ❒

Monitor 1 Monitor 2 Monitor 3 Monitor 4

Type of interference Yes No Yes No Yes No Yes No
Pairing
Line flyback
Incorrect locations,
pixel errors
Ghost images:
Overshoots
Flickering
horizon., vertic. Image
movement
at times geometrical
distortions

Requirements: In the diagnostically important area, the test image cannot show one
of the errors described above.

Other interferences: ______________________________________________________

______________________________________________________________________
Remarks:_______________________________________________________________
______________________________________________________________________

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Medical Solutions 04.06 CSCT
16 B Tests

10. Additional visual image evaluation for color monitors 2.6

Report no. _____________________________________

Monitor 1 Monitor 2 Monitor 3 Monitor 4

Type of interference Yes No Yes No Yes No Yes No
Convergence setting is
okay
Tinted zones

Requirements: Test image cannot show errors

Remarks:_______________________________________________________________
______________________________________________________________________

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04.06 CSCT Medical Solutions
B Tests 17

11. Visual evaluation of clinical reference images 2.7

Monitor 1 Monitor 2 Monitor 3 Monitor 4

Is the image quality ❒ Yes ❒ Yes ❒ Yes ❒ Yes
acceptable? ❒ No ❒ No ❒ No ❒ No

Physician responsible:

__________ __________________ ___________________________

Date: Name Signature

Remarks:_______________________________________________________________
______________________________________________________________________

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Medical Solutions 04.06 CSCT
18 B Tests

12. Abbreviations 2.8

List of abbreviations
• IDD: Image display device
• SMPTE Society of Motion Picture and Television Engineers
• HC: high contrast
• LC: low contrast

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04.06 CSCT Medical Solutions
C Acceptance test protocol 19
3-
Reference values for constancy tests for image display devices
3C Acceptance test protocol

Report no. _____________________________________

Test image Imaging device ❒

source:
Phantom according to DIN 6868-4 ❒
Test image: SMPTE❒
; other type: _______________________❒
or phantom display
Luminance Type: __________________________Ser. no.: ❒
meter: __________
Calibration effective until: _________________

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20 C Acceptance test protocol

Measuring the luminance 3.1

Monitor 1 Monitor 2 Monitor 3 Monitor 4

Application category ❒A ❒A ❒A ❒A
❒B ❒B ❒B ❒B
LVeiling
[cd/m2]
Lmin
[cd/m2]
Lmax
[cd/m2]
Maximum contrast

Lcenter
[cd/m2]
Lcorner UL
[cd/m2]
Lcorner UR
[cd/m2]
Lcorner LL (lower left)
[cd/m2]
Lcorner LR
[cd/m2]

NOTE Measuring the veiling luminance while monitor is switched off.

Calculation, maximum contrast:MC = Lmax / Lmin

Limit value for application category A: MC ≥100
Limit value for application category B: MC ≥40
Report no. _____________________________________

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C Acceptance test protocol 21

Spatial and contrast resolution 3.2

(Lines of bar patterns are detectable)?

Monitor 1 Monitor 2 Monitor 3 Monitor 4

Bar pattern detectable? HC + NC* HC + NC* HC + NC* HC + NC*
Yes No Yes No Yes No Yes No
Center
Upper left corner
Upper right corner
Lower left corner
Lower right corner

HC = High contrast (100 % modulation)

NC = low contrast ( modulation 5 % for SMPTE test image and/or. 6.2 % for test image
5) or other modulation = ______________ %

* Evaluation if NC bar pattern is available.

Perform the following visual image evaluation: 0

• Incorrect locations/ pixel errors

• Ghost images:
• Flickering
• Overshoots
• Bright, dark spots
• Diagonal white lines
• Horizontal/vertical movements of the image
• At times geometrical distortions

Constancy tests 0

The constancy tests are described in the Monitor chapter included in the Operator Man-
ual.

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Medical Solutions 04.06 CSCT
22 Changes compared to previous version
4Changes compared to previous version 4-

Chapter Revision Reason

All New addition in DMS CTTU-05-0020
all Conversion into English with a new Variant Charm: TD00003364

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04.06 CSCT Medical Solutions