Manual de Usuario Iluma Imtec CBCT

™
ILUMA
Cone Beam CT Scanner
Operator’s
Manual
ILUMA™ Cone Beam CT Scanner
Operator's Manual
Including Instructions for the Use of ILUMA Controller Software
A product of 3M ESPE
ORIGINALLY ISSUED IN ENGLISH
Cone Beam Computed Tomography System
3M ESPE Dental Products
The ILUMA™ Cone Beam CT Scanner complies with applicable radiation performance standards,
including 21 CFR, Chapter I, Subchapter J, Section 1020.33.
This manual or any parts thereof may not be copied or reproduced in any other form without the
expressed written permission of 3M ESPE.
This document is the property of 3M ESPE.
The information provided in this manual is subject to change without notice.
© 2004–2010 by 3M ESPE
All rights reserved
Document IIM-001 Rev13

70-2013-0254-7
Last revised 10/21/2010
United States and Canada: 1-800-292-6298 International: +1 651-575-5860 www.3MESPE.com

Copyright 2010 3M ESPE
Table of Contents
1 Important Information 1
1.1 General ________________________________________________________________ 1
1.2 Intended Use____________________________________________________________ 1
1.2.1 Indications ___________________________________________________________ 1
1.2.2 Contraindications _____________________________________________________ 1
1.3 Safety _________________________________________________________________ 1
1.3.1 Emergency Stop ______________________________________________________ 6
1.3.2 Safeguards __________________________________________________________ 6
1.4 General Scanner Labels ___________________________________________________ 6
1.5 Avoiding Damage to the Scanner ____________________________________________ 9
1.6 Patients ________________________________________________________________ 9
2 Maintenance and Cleaning 10

2.1 3M ESPE Maintenance___________________________________________________ 10
2.1.1 Schedule ___________________________________________________________ 10
2.2 Owner Maintenance _____________________________________________________ 10
2.2.1 Out of Use __________________________________________________________ 11
2.3 Cleaning and Disinfecting _________________________________________________ 11
2.3.1 Cleaning Agents to Avoid ______________________________________________ 11
2.3.2 Cleaning and Disinfecting Scanner Components ____________________________ 11
2.3.3 Cleaning the Computer and Peripherals ___________________________________ 12
2.4 Transportation and Storage _______________________________________________ 12
2.5 Disposal ______________________________________________________________ 12
3 The Scanner 13
3.1 Full Configuration _______________________________________________________ 13
3.2 Chair _________________________________________________________________ 14
3.2.1 Weight _____________________________________________________________ 14
3.2.2 Capacity ___________________________________________________________ 14
3.2.3 Duty Cycle of Up/Down Lift _____________________________________________ 14
3.3 Pedestal ______________________________________________________________ 14
3.4 C-Arm ________________________________________________________________ 14
3.5 Detector Plate __________________________________________________________ 14
3.6 Monoblock_____________________________________________________________ 14
3.7 Patient Stabilizer ________________________________________________________ 15
3.8 Patient Stabilizer Support Arm _____________________________________________ 15
3.9 Switch Panel ___________________________________________________________ 16
3.9.1 Master Controls______________________________________________________ 16
3.9.2 System Status Information _____________________________________________ 16
3.10 Main Power Toggle Switch _______________________________________________ 16

ii ILUMA Cone Beam CT Scanner Operator's Manual
3.11 Control Pendant _______________________________________________________ 17

3.11.1 Chair Controls ______________________________________________________ 17
3.11.2 C-Arm Controls _____________________________________________________ 17
3.12 Operator Console ______________________________________________________ 18
3.13 Workstation (not shown) _________________________________________________ 18
4 Using the Scanner 19

4.1 Turn on the Scanner _____________________________________________________ 20
4.2 Condition the X-ray Tube _________________________________________________ 20
4.3 Calibrate the Detector Plate _______________________________________________ 21
4.4 Scan the Patient ________________________________________________________ 21
4.4.1 Start the Controller Software____________________________________________ 21
4.4.2 Access or Create a Patient Profile _______________________________________ 22
4.4.3 Seat and Align the Patient _____________________________________________ 25
4.4.4 Start the Scan _______________________________________________________ 27
4.4.5 Reviewing and Approving a Scan ________________________________________ 29
4.4.6 Encountering Errors While Scanning _____________________________________ 30
4.5 Create a Reconstruction __________________________________________________ 30
4.5.1 Setup______________________________________________________________ 31
4.5.2 Reconstructing ______________________________________________________ 32
4.6 Working with Reconstructions _____________________________________________ 32
4.7 Using a Mouse with ILUMA Controller _______________________________________ 32
4.8 Understanding ILUMA Controller Data _______________________________________ 33
4.8.1 Computed Tomographs (CTs) __________________________________________ 33
4.8.2 Datasets/Reconstructions ______________________________________________ 33
4.8.3 Archiving Data_______________________________________________________ 33
4.8.4 Importing and Exporting Data ___________________________________________ 34
4.9 The Components of ILUMA Controller _______________________________________ 34
4.9.1 Main Program Window ________________________________________________ 35
4.9.2 Patient Dialog Box ___________________________________________________ 44
4.9.3 New Scan Options Dialog Box __________________________________________ 57
4.9.4 Scan Dialog Box _____________________________________________________ 59
4.9.5 New Reconstruction Options Dialog Box __________________________________ 64
4.9.6 Reconstruction Dialog Box _____________________________________________ 67
4.9.7 Reconstruction Dialog Box, Movies ______________________________________ 69
4.9.8 Reconstruction Dialog Box, Quality Checks ________________________________ 70
4.9.9 Other Components ___________________________________________________ 71
4.9.10 ILUMA Controller Context Menus _______________________________________ 74
5 Specifications 76
5.1 Scanner Diagram _______________________________________________________ 76
5.2 Technical Specifications __________________________________________________ 77
5.3 Computer Specifications__________________________________________________ 77

ILUMA Cone Beam CT Scanner Operator's Manual iii
5.4 Mechanical Safety Specifications ___________________________________________ 78

5.5 X-ray Source Information _________________________________________________ 78
5.5.1 Quality Equivalent Filtration in the X-ray Tube Assembly ______________________ 79
5.5.2 Total Filtration in the X-ray Tube Assembly ________________________________ 79
5.6 Sensor Specifications ____________________________________________________ 79
5.6.1 1313 Sensor ________________________________________________________ 79
5.6.2 2520 Sensor ________________________________________________________ 80
5.6.3 Tomographic Imaging Area_____________________________________________ 80
5.7 Electrical Specifications __________________________________________________ 81
5.8 Dose Information________________________________________________________ 82
5.9 EMC and Safety Standards and Tests _______________________________________ 83
5.9.1 Scatter Radiation Test_________________________________________________ 84
5.9.2 Electromagnetic Compatibility (EMC) Information____________________________ 87
6 Troubleshooting 92
7 Commonly Used Terms 93
8 Technical Support 95
Appendix 1 96
Quality Assurance Testing ___________________________________________________ 96
Appendix 2 118
Quality Check Scan _______________________________________________________ 118

ILUMA Cone Beam CT Scanner Operator's Manual 1
1 Important Information
Please read, understand and follow all safety information contained in these instructions prior to
and during the use of this scanner. Retain these instructions for future reference.
1.1 General
Users must be trained in the safe operation of this scanner and software, including instruction for
adherence to local radiation protection guidelines. Use in any other application has not been evaluated by
3M and may lead to an unsafe condition. If the scanner is used in a manner not specified, the protection
provided by the equipment may be impaired.
Notice to Users of Electronic Document: If you are viewing this document in electronic form, you may
click the page numbers in the cross references to quickly access the referenced text.
1.2 Intended Use

The ILUMA Cone Beam CT Scanner acquires scan data via a single rotation of its X-ray source and
detector. The scanner processes the data into images that are intended for use by healthcare
professionals in support of medical diagnosis and treatment planning.
CAUTION: U.S. federal law restricts this device to sale by or on the order of a licensed dentist or
physician; sale by or on the order of any other person is prohibited.
1.2.1 Indications
The ILUMA Cone Beam CT Scanner produces images of the head and neck for use in ENT and
dentomaxillofacial diagnosis and treatment.
1.2.2 Contraindications
This device is not intended for use with mammography.
1.3 Safety
The words "Warning", "Caution" and "Notice" are used throughout this document to alert you to potentially
hazardous situations.
WARNING Indicates a potentially hazardous situation, which, if not avoided, could result in
death or serious injury.
CAUTION Indicates a potentially hazardous situation, which, if not avoided, may result in
minor or moderate injury.
NOTICE Indicates a potentially hazardous situation, which, if not avoided, may result in
property damage.

2 ILUMA Cone Beam CT Scanner Operator's Manual
These labels appear on the scanner. They contain safety information.
WARNING
Risk of Shock
WARNING
X-ray Hazard
CAUTION
Refer to Manual
WARNING
Label indicating X-ray hazard, located on vertical
part of pedestal
CAUTION
Avoid looking directly at the laser light
WARNING
Moving Parts, located on the side of the scanner
CAUTION
Label indicating scanner duty cycle, located on the
side of the scanner
CAUTION
Label indicating chair duty cycle, located on the
back of the chair

Type B (applied part)
PROTECTIVE GROUND
(Earth) Terminal
This product is subject to the WEEE European

Directive 2002/96/EC

WARNING
To reduce the risks associated with hazardous voltage:
! do not service this scanner – there are no user-serviceable parts. Use only 3M
authorized service personnel.
! do not access any internal part of this scanner.
! disconnect the power cord when the scanner is not in use and while cleaning. (For
cleaning instructions, see page 11.)
To reduce the risks associated with fire:
! do not use flammable disinfectants or flammable cleaning solutions to clean the
scanner.
! do not use the scanner, computer or peripherals in the presence of a flammable
anesthetic mixture with air, oxygen or nitrous oxide.
To reduce the risks associated with impact or crush injury:
! never tip or move the scanning pedestal. Use only 3M authorized service personnel.
To reduce the risks associated with strong electromagnetic fields:
! use only 3M authorized service personnel for installation.
! replace damaged cables using only 3M replacement parts.
To reduce the risks associated with radiation:
! read, understand and follow radiation protection guidelines as defined by local
regulations.
! always consider that X-rays are emitted during scanning, scout image acquisition,
X-ray tube conditioning, detector plate calibration, quality assurance testing and
quality check scanning.
! do not move the computer workstation from its original installation location. Some
localities require the workstation to be in a protected area.
! always consider As Low As Reasonably Achievable (ALARA) principles.
! always consider the radiation dose: optimize the scan settings (duration and X-ray
current) to deliver the smallest dose while meeting the treatment goal. (For more
information on scan settings, see page 27.) This is especially important in the
following populations:
- pregnant or breastfeeding women
- small adults
- children
- immuno-compromised individuals
- individuals undergoing radiation therapy
Using higher settings may result in better images; however, the use of such settings
also may expose the patient to unnecessary additional radiation, increasing the
patient's risk for adverse radiation-induced effects (e.g., cancer). Balance the risks of
the additional radiation against the therapeutic needs of each patient.
! whenever practicable, archive patient data (versus deleting it) to avoid unnecessary
patient rescanning.

CAUTION
To reduce the risks associated with cross contamination:
! read, understand and follow the cleaning, disinfecting and maintenance instructions
in this manual.
! never attempt to manipulate the bite stabilizer while it is in the patient's mouth. (For
patient positioning instructions, see page 25.)
To reduce the risks associated with impact:
! ensure that the C-arm mechanism is in the "Home" position before attempting to
adjust the location of the bite stabilizer.
! position the power cord, control pendant and operator control cables so that they
cannot be tripped over.
To reduce the risks associated with lasers:
! avoid looking directly at the laser light.
! instruct the patient to avoid looking directly at the laser light.
! do not view the laser light directly with optical instruments.
To reduce the risks associated with environmental contamination:
! follow applicable regulations when disposing of the X-ray source assembly, all
electronic circuits and related replacement parts.

1.3.1 Emergency Stop

The Emergency Stop (or E-Stop) switches disconnect operational power from the scanner, allowing
instant disruption of the scan and rapidly stopping the movement of the C-arm and the production of
X-rays. An E-Stop switch is located on both the operator console (see page 18) and the switch panel (see
152H
page 16).
153H
Press an E-Stop switch to activate it.
Note: To restart a scanner after performing an emergency stop, turn the rotary switch on the switch panel
to the Off position, then turn the rotary switch past the On position to the Reset position and then release
it.
1.3.2 Safeguards
1.3.2.1 C-Arm Collision Mitigation
By design, the C-arm rotates about the patient and therefore has the potential to contact the patient, the
operator or objects in the room. Reasonable care must be taken by the operator to prevent this from
happening. The scanner is designed to use minimum possible rotation force and will automatically shut
down if its motion is impeded.
1.3.2.2 C-Arm Drive System

Here are specifications on the motor:
! Motor Type: Stepper
! Amplifier Type: Switching
! Operating Temperature – 0°C (32°F) to 50°C (122°F)
! Power Amplifier Switching Frequency – 20 kHz
! Limiting Power – 69.6 watts
! Limiting Torque – 51.33 ft-lbs
1.4 General Scanner Labels

Label Name Location and Description Part Number
Serial Plate Located near the main IIL-0013
Label power toggle switch. This
label supplies important
information about the
ILUMA.

Component Located on the lower back IIL-0023

Identification side of the pedestal. This
Label label supplies required
detector plate, primary
transformer, secondary
transformer, inverter,
encoder and shutter.
Shutter Located on the inside of the IIL-0019

Identification shutter base plate and on
Label the lower back side of the
pedestal. The label
supplies required
shutter.
Grounding Located on the scanner's IIL-0021
Reliability power cord. The label
Label supplies information to
achieve grounding
reliability.
Bar Code Located near the main IIL-0025

Label power toggle switch. This
label is a bar code for units
installed in Turkey.

Focal Point Located on the X-ray IIL-0022

Label source cover.
Israel Located on the lower back IIL-0024

Exclusive side of the pedestal.
Distributor
Label
Shutter Label Located on the shutter IIL-0007

enclosure if the field limiter
is included. This label
supplies instructions for
using the shutter to limit the
scan field, if the feature is
included with the system.
ILUMA Logo Located prominently at the IIL-0011

Label top of the pedestal.
X-ray Source Located on top of the X-ray IIL-0009

CE Label source enclosure. This
label supplies required
information about the X-ray
tube.

1.5 Avoiding Damage to the Scanner

To reduce the risk of damaging your scanner, please read, understand and follow these notices.
NOTICE
! Do not plug anything other than the computer and monitors and optional external
storage device into the isolation transformer.
! Do not use extension cords or multiple portable power socket outlets. The use of
such devices could result in the scanner faulting during an X-ray procedure.
! Make sure no liquids come in contact with the detector plate and monoblock. These
are sensitive electrical instruments.
! The cables supplied with the computer workstation and scanner must be used only
for their respective functions. No other use is allowed.
! Never manually manipulate the C-arm. Manual manipulation of the C-arm can have
detrimental effects on the normal operation of the scanner.
! Do not hang objects from the detector plate or monoblock or use them as hand-holds
or for leverage. Catastrophic damage to the scanner could result from such misuse.
! Do not cover or otherwise block the monoblock vents.
! Test the clearance between the headrest and the detector plate by rotating the C-arm
with the control pendant before performing a scan. If the headrest collides with the
detector plate, damage may occur.
! Be sure the patient stabilizer support arm is fully open or closed. It the support arm is
partially open, it could collide with the monoblock during rotation, possibly damaging
one or both of these components.
! When you are not using the control pendant, it should be secured to the patient
stabilizer support arm. If you fail to do so – for instance, if you place the pendant or its
cable on the monoblock or detector plate – the pendant could fall and break.
! Turn off the scanner if you do not intend to use it for at least three hours. Always turn
off the scanner overnight.
! Contact technical support before moving the computer or peripherals.
Note: Never attempt to move the scanner.
1.6 Patients
This device is designed for persons who can sit in the chair and remain still during scanning.

2 Maintenance and Cleaning
WARNING

! do not service this scanner – there are no user-serviceable parts. Use only 3M authorized
service personnel.
! do not access any internal part of this scanner.
To reduce the risks associated with impact or crush injury:
! never tip or move the scanning pedestal. Use only 3M authorized service personnel.
To reduce the risks associated with strong electromagnetic fields:
! use only 3M authorized service personnel for installation.
! replace damaged cables using only 3M replacement parts.
2.1 3M ESPE Maintenance

3M ESPE performs maintenance on an as-needed basis.
3M ESPE maintains these components:

! Detector plate
! X-ray tube
! Cooling fans
! Gear-train
! Inverter
! Laser alignment system
3M ESPE also is responsible for this maintenance:

! Operational maintenance
! Inspection of cables and wires
! Overall scanner functionality and performance
2.1.1 Schedule
3M ESPE coordinates maintenance with its customers.
2.2 Owner Maintenance

As the owner, you are responsible for the following:
! Backing up your data. (Full system back-ups are recommended.)
! Cleaning and disinfecting the scanner. (For instructions and guidance, see page 11.)
! Ensuring that external cables and wires do not become damaged.
! Performing diagnostics each day before using the scanner. Daily diagnostics include detector
calibration (see page 21) and the Daily Quality Control Test (see Appendix 1).
! Performing monthly diagnostics. 3M ESPE requires you to perform a quality check scan (see
Appendix 2) every 30 days. 3M ESPE recommends you perform the Monthly Quality Control Test
(see Appendix 1) every month that patients are scanned.

For assistance with maintenance issues, call 1-800-292-6298 (or +1 651-575-5860 from outside of the
United States and Canada).
2.2.1 Out of Use

If a scanner has not been used for approximately one year or more, contact 3M support before putting it
back into use.
2.3 Cleaning and Disinfecting
WARNING

! disconnect power cord when the scanner is not in use and while cleaning.
To reduce the risks associated with fire:
! do not use flammable disinfectants or flammable cleaning solutions to clean the
scanner.
2.3.1 Cleaning Agents to Avoid

Avoid these agents:
! Sprays – Do not use sprays! Spray solutions may seep into components and damage electrical
parts, cause structural changes in various thermoplastic components or form flammable mixtures
of air and solution vapor.
! Certain abrasive fluids and organic solvents – Do not use abrasive fluids or organic solvents such
as aldehyde, acetone, gasoline, spot remover or alcohol. These substances may damage the
components of the system and possibly result in the device not functioning properly. (Exceptions:
alcohol may be used to clean only the monitor screen; aldehyde-based disinfectants may be used
to clean the C-arm and hard surfaces.)
! Agents releasing ammonia by dissipation or decomposition – Do not use such agents! Ammonia
can cause corrosive effects.
! Agents containing silicone – Do not use such agents! Silicone can accumulate, causing problems
with electrical contacts.
Notes
! Some cleaning solutions and disinfectants pose health hazards when used in a manner
inconsistent with labeling. Concentrations of such products in the air should not exceed limits
published in local regulations. Adhere to all manufacturers' recommendations on the use of these
products, and ensure that the room is well ventilated.
! Puncture- and chemical-resistant cleaning gloves should be used for all cleaning and disinfecting
procedures.
2.3.2 Cleaning and Disinfecting Scanner Components

Use a surface disinfectant such as isopropyl alcohol on the chair arms, the headrest (which is standard
equipment on older models) and the patient stabilizer (including the bite stabilizer, nasal stabilizer and
chin cup) after each use. Dampen a clean, lint-free cloth with the disinfectant, wipe down the surfaces
and then allow them to dry.
Use a mild cleaning solution on the chair upholstery. Clean this surface as needed.

Use a mild cleaning solution on the detector plate, monoblock cover and C-arm. These and other hard
surfaces should be cleaned as needed.
2.3.3 Cleaning the Computer and Peripherals

To clean the computer and peripherals, follow the manufacturer's instructions. If no instructions are
provided, apply the same guidelines described for the scanner components.
Use pure alcohol as a cleaning solution. Alternatively, you may use a 2-parts alcohol to 1-part distilled
water mixture or a 1-part alcohol to 2-parts distilled water mixture. Dampen a clean, soft, lint-free cloth
with the cleaning solution, wipe down the screen and then allow it to dry.
2.4 Transportation and Storage
WARNING

! disconnect power cord when the scanner is not in use.
Conditions for transportation and storage:

! Temperature: 0°C (32°F) to 50°C (122°F)
! Relative Humidity: 20% to 85%, non-condensing
2.5 Disposal
Follow local regulations on disposal of waste parts. The X-ray source assembly and all electronic circuits
should be regarded as non–environmentally friendly waste product.

3 The Scanner
3.1 Full Configuration
This image identifies scanner components:

3.2 Chair
The chair consists of a base and seat. Chairs on older models include headrests.
3.2.1 Weight
The chair weighs 250 pounds.
3.2.2 Capacity
The chair can support a person weighing 400 pounds or less.
3.2.3 Duty Cycle of Up/Down Lift

The maximum duty cycle of the chair's up/down lift is 10% – 2 minutes on, 18 minutes off.
3.3 Pedestal
The pedestal is the structural backbone of the scanner. The pedestal supports and protects all of the
scanner's electronic components.
3.4 C-Arm
The C-arm (or "swing arm") holds the monoblock (X-ray source) and the detector plate. The relative
position of these two components is very important and must be maintained with precision. The C-arm
precisely rotates the monoblock and detector plate around the subject as the scan is taking place.
Note: Do not place any equipment within two meters (6'7'') of the scanner. Keeping non-system
equipment away from the scanner prevents such equipment from being damaged by the scanner's
moving parts.
3.5 Detector Plate

The detector plate is a precision electronic device that collects data during the scan.
3.6 Monoblock
The monoblock is a precision electronic device that emits the X-ray beam during the scan. The field of
X-rays can be limited with the cropper (or "field limiter"). You can raise and lower the field limiter with the
knob on the side of the monoblock cover. (The limiter is not available on older models.)

3.7 Patient Stabilizer

The patient stabilizer provides stability and support for the patient during alignment and scanning. The
stabilizer consists of a support arm and several optional components, including a chin cup, bite stabilizer
and nasal stabilizer.
Chin Cup Bite Stabilizer and Nasal Stabilizer
The bite stabilizer and nasal stabilizer can be used together. The chin cup should not be used with either
the bite stabilizer or the nasal stabilizer.
Notes
! Be sure to clean the patient stabilizer after each use.
! Be sure to place a clean sheath on the bite stabilizer before each use and to remove the sheath
from the bite stabilizer after each use.
3.8 Patient Stabilizer Support Arm

The support arm provides a sturdy base for the patient stabilizer. The support arm swivels to allow the
patient to access the chair.

3.9 Switch Panel

The switch panel on the scanning pedestal provides master controls and key system status information.
The panel looks like this:
3.9.1 Master Controls

The master controls are:
! On provides main power to the scanner.
! Off disconnects main power from the scanner.
! Reset disconnects main power to the scanner and then reconnects it.
! Emergency Stop quickly renders the scanner non-operational.
3.9.2 System Status Information

The LED (light-emitting diode) display on the switch panel indicates the device status, as follows:
! Power indicates that main power is connected.
! Ready indicates that the scanner is ready to use.
! X-ray On indicates that the monoblock is activated and emitting X-rays.
! Fault indicates that a problem has been detected.
3.10 Main Power Toggle Switch

The main power toggle switch is located at the base of the pedestal. In general, this switch may be left in
the On position. Use the rotary switch on the switch panel to turn the scanner on and off on a daily basis.

3.11 Control Pendant

The control pendant looks like this:
The pendant provides adjustment control functions for the chair and articulation for the C-arm.
3.11.1 Chair Controls

The chair controls are:
! Chair Up raises the height of the chair.
! Chair Down lowers the height of the chair.
! Move Front moves the chair forward.
! Move Back moves the chair backward.
3.11.2 C-Arm Controls

The C-arm controls are:
! Align turns the alignment lasers on.
! Home returns the C-arm to the starting position. (The starting position is shown in the image on
page 13.)
15H
! CW rotates the C-arm clockwise.

! CCW rotates the C-arm counterclockwise.

3.12 Operator Console

The operator console looks like this:
The console provides a remote Emergency Stop switch that disconnects operational power from the
scanner, allowing instant disruption of the scan and quickly stopping the movement of the C-arm and the
production of X-rays. The operator console also provides the following notification of the state of the
scanner:
! Power indicates that main power is connected.
! Ready indicates that the scanner is ready to use.
! X-ray On indicates that the monoblock is activated and emitting X-rays.
! Fault indicates that a problem has been detected.
3.13 Workstation (not shown)

The workstation — that is, the computer, monitors and isolation transformer – must be located outside the
patient area. Local regulations may require the workstation to be in an area protected from X-rays.

4 Using the Scanner

Note: This section provides information on performing scans and creating reconstructions. The software
used in scanning and reconstructing is ILUMA Controller, which is the subject of this section. The
software used for viewing reconstructed data is ILUMAVision, which is described in the ILUMAVision
User's Manual.
WARNING

! read, understand and follow radiation protection guidelines as defined by local regulation.
! always consider that X-rays are emitted during scanning, scout image acquisition, X-ray tube
conditioning, detector plate calibration and quality assurance testing.
! do not move the computer workstation from its original installation location. Some localities
require the workstation to be in a protected area.
! always consider As Low As Reasonably Achievable (ALARA) principles.
! always consider the radiation dose: optimize the scan settings (duration and X-ray current) to
deliver the smallest dose while meeting the treatment goal. (For more information on scan
settings, see page 27.) This is especially important in the following populations:
- pregnant or breastfeeding women
- small adults
- children
- immuno-compromised individuals
- individuals undergoing radiation therapy
Using higher settings may result in better images; however, the use of such settings also may
expose the patient to unnecessary additional radiation, increasing the patient's risk for
adverse radiation-induced effects (e.g., cancer). Balance the risks of the additional radiation
against the therapeutic needs of each patient.
! whenever practicable, archive patient data (versus deleting it) to avoid unnecessary patient
rescanning.

4.1 Turn on the Scanner

To turn on the scanner, turn the main power toggle switch to the On position if it is not already on. Turn
the rotary switch on the switch panel past the On position to the Reset position, and then release it. This
prepares the scanner for operation and establishes communication with the software. An audible tone
indicates success.
The desktop of the workstation looks like this:
4.2 Condition the X-ray Tube
WARNING

! always consider that X-rays are emitted during X-ray tube conditioning.
X-ray tube reliability and lifetime are enhanced by periodic conditioning, which generally involves ramping
from low power to high power over a period of time ranging from a few minutes (the short cycle) to about
20 minutes (the long cycle). The scanner automatically selects the period of time based on how long the
system has been idle. For example, a scanner that is idle only overnight will require only the short cycle.
The ILUMA Controller software will indicate whether or not the X-ray tube needs to be conditioned. If the
tube needs to be conditioned, click the X-ray Conditioning icon.
Note: If the scanner has not reset, X-ray conditioning will not launch and a red bar will appear advising
that communication is lost.

4.3 Calibrate the Detector Plate
WARNING

! always consider that X-rays are emitted during detector plate calibration.
Flat panel detectors are known to drift slightly – that is, the detector elements become slightly more or
less responsive over time. Such drifting can affect image quality. Calibration corrects for drifting. 3M
ESPE recommends that you calibrate after conditioning the X-ray tube.
To calibrate the detector plate, click the Detector Calibration icon on your desktop, and then follow the
prompts on the calibration screen.
Note: The scanner emits X-rays during calibration.
4.4 Scan the Patient
WARNING

! always consider that X-rays are emitted during scanning and scout image acquisition.
4.4.1 Start the Controller Software

Start the ILUMA Controller software on your computer by clicking the ILUMA Controller icon on your
desktop.
Depending on your system configuration, ILUMA Controller starts in either the main program window (see
page 35) or the patient dialog box (see page 44).
156H 157H
When your work begins in the main program window, you may open a patient file, create a patient file,
create a scan on an existing patient, etc.
When your work begins in the patient dialog box, you may create a scan, create a reconstruction, etc.
You may at any time get to the main program window simply by closing the patient dialog box.
For more information on specific components of ILUMA Controller, see The Components of ILUMA
Controller (page 34). 158H
Notes
! 3M ESPE recommends daily conditioning and calibrating of the scanner (see page 20). 159H
! Avoid using the scanner near strong radio frequency signals or portable and/or mobile radio
frequency devices, as these may affect the operation of the scanner.
! Avoid using the scanner or computer adjacent to or stacked with other equipment. If this cannot
be avoided, verify normal operation in that configuration.

4.4.2 Access or Create a Patient Profile

With the ILUMA Controller software active and the main program window displayed, you can see the
patient list and any jobs that are currently being processed.

4.4.2.1 Access an Existing Profile

If the patient's name is in the patient list, double-click it. The patient window (or "patient dialog box")
appears:

4.4.2.2 Create a Profile

If the patient's name is not in the patient list shown in the main program window, you must create a profile
for the patient. In the main program window, click New Patient. This dialog box appears:
Fill out as many of the fields as possible.

4.4.3 Seat and Align the Patient
CAUTION
To reduce the risks associated with impact:

! position the power cord, control pendant and operator control cables so that they cannot be
tripped over.
4.4.3.1 Position the Chair and C-Arm for Patient Access

These guidelines apply to patient access:
! The chair should be completely lowered and in its most forward position. The control pendant
(see page 17) allows you to reposition the chair.
160H
! All foot support devices should be retracted.

! The patient stabilizer support arm should be positioned to allow the patient to access the chair.
! The C-arm should be in the home (or "starting") position. (The starting position is shown in the
image on page 13.) This prevents the X-ray source and detector plate from blocking the patient's
16H
access to the chair. Use the control pendant to position the C-arm.
4.4.3.2 Position the Patient
Notes
! Be sure to clean the patient stabilizer before each use.
! Be sure to place a clean sheath on the bite stabilizer before each use.
! Have the patient remove jewelry from his or her head and neck area before scanning.
Follow these steps to position the patient.

1. Assist the patient into the chair, making sure that his or her clothing, hair and body are not in the
path of the C-arm.
2. Have the patient move to the back of the chair with arms resting on the armrests.
3. Stabilize the patient's head with the chin cup or with the bite and nasal stabilizers.

4. Align the patient with the laser alignment system.
Turn on the alignment lasers using the hand-held control pendant. Press and hold the Align
button for three seconds to turn on the laser system. Position the patient by moving the chair. The
patient's nose and chin should fit in the grid as shown in this image:
! A – Imaging Plate
! B – Area of Interest/Field of View
Note: Exercise caution when using the laser positioning system. The patient should be positioned
such that the lasers do not shine into their eyes.
5. If the scanner has a headrest, use the two adjustment points to adjust the headrest to the
patient's head.
6. Check the stabilization of the patient's head. (Again, the patient's head is stabilized with the chin
cup or with the nasal and bite stabilizers. Older models also feature a headrest.) Emphasize to
the patient the need to remain absolutely still during the procedure.
7. If the scanner has a headrest, test the clearance between the headrest and the detector plate by
rotating the C-arm before performing a scan. If the headrest collides with the detector plate,
reposition the headrest; if you do not reposition the headrest, damage may occur.

4.4.4 Start the Scan
WARNING

! always consider that X-rays are emitted during scanning and scout image acquisition.
Click the Scan Patient button in the patient dialog box or the Create New Patient dialog box. The New
Scan Options window (see below) appears.
4.4.4.1 Set the Scan Parameters
Note: Using higher settings may result in better images; however, the use of such settings also may
expose the patient to unnecessary additional radiation.
The New Scan Options window looks like this:
Enter a comment and select a configuration, duration and dose rate.
Note: Do not use single quotes, double quotes, apostrophes or quotation marks in the Comment field.
Click Scan Now.

The scout/scan window starts loading.
Note: In this screen capture, the image that appears when the window is loading is not a current image. It
is an image from a previous scan. If the patient has had no previous scans, no image appears.
While this window is loading, you may visually inspect the patient to see that he or she is still properly
positioned and make any necessary adjustments. Remember to avoid adjusting the bite stabilizer while it
is in the patient's mouth.
You can use the Scout feature in the scout/scan window to confirm that the patient is properly positioned.
To create a scout image, click Scout. A single X-ray image is taken, and it is displayed in the program
window.
When you are satisfied with the patient's position, click Scan. The full sequence of X-rays is taken.
Notes
! To decrease the probability of patient movement during scanning, instruct the patient to hold her
tongue against the roof of her mouth and to close her eyes.
! Local laws may prohibit scanning patients for purposes other than medical reasons. Check local
laws before using the scout/scan option.
! Consider setting up an audio/video communication system between the operator area and patient
area if they are substantially distant from one another.

4.4.5 Reviewing and Approving a Scan

After the scan completes, a dialog box opens, showing a sagittal view of the patient, as shown here:
The dialog box opens with motion reduction preview in progress. Motion reduction is necessary because
patients tend to move during scanning.
Motion reduction preview involves the creation of a sample reconstruction. This reconstruction is the
basis for the four motion reduction options provided in the Motion Reduction tab (see page 62). 162H
During motion reduction preview, the program's progress is displayed (below the Comments area in the
Scan dialog box). Here is the sequence:
1. Initializing ILUMA Processing Build <XXXX>: This is the start-up of the ILUMA-specific
processing module for ILUMA's Data Processing System (DPS 2), which comes up before and
after each stage of processing (conversion, reconstruction, etc).
2. Converting <patient name>: The data from a scan is processed to prepare it for reconstruction.
Note: This processing happens once for each combination of reconstruction options. For
instance, two 0.4 mm reconstructions with the same checkboxes checked for the same scan will
incur the "converting" step only once – the second reconstruction will use the data already
converted from the first one. In other words, steps 2 and 3 will not be required in certain
instances. ILUMA administrators can purge converted data.
3. Initializing ILUMA Processing Build <XXXX>

4. Reconstructing <patient name>: This is the process of actually creating slice images from the
converted scan images. The results of reconstruction are used for data visualization, treatment
planning, etc.
When motion reduction preview is complete, the dialog box's Motion Reduction tab becomes active.
Select the best motion reduction option from among those provided. The option you choose will be
applied to subsequent reconstructions. To determine the best option, you may make fundamental
modifications to the views, including modifying the zoom level and changing the window width and level.
Now, using the Scan tab (see page 61), examine the scan. You will have your own system for reviewing
163H
and approving scans. Most users start by comparing the first image to the last image. The first image is
displayed by default. Move the slider to access the last image. The two images should be nearly identical.
Differences indicate patient movement.
You may now create reconstructions from the scan.
Notes
! You can close the Scan dialog box while motion reduction preview is under way. Some users do
this so they can perform several consecutive scans without waiting for motion reduction preview.
! When you are finished scanning for the day, turn off the scanner. To do so, turn the rotary switch
on the switch panel to the Off position.
4.4.6 Encountering Errors While Scanning

If the program encounters a problem during the scan, a scan record is not created. (This is in contrast to
reconstructions, which creates a record even if there is an error during reconstruction.)
A common error that occurs during scanning is the failure to prepare the scanner. To avoid this error you
must run the X-ray Conditioning program (see page 20) each day before scanning.
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For additional assistance, see Troubleshooting (page 92). 165H
4.5 Create a Reconstruction

"Reconstruction" refers to the post-processing of scan data. It translates a set of simple radiographs into a
set of horizontal "slices". Radiographs project all patient features onto a two dimensional surface,
whereas slice data shows only those features present in a single plane. The ability to convert radiographs
to slices takes considerable computer processing and is the essence of what a CT scanner does.
Multiple reconstructions can be done from a single set of scan data, using different options that will affect
the image quality. Because not all options are suitable for all cases, some operator experience and
judgment is needed to get the best results. ILUMA will save all the reconstructions for comparison.
Once the reconstructed data is created, a separate program called ILUMAVision (available on the
desktop) may be used to view the data from any angle, at any depth and with highly flexible control over a
variety of image qualities.
Before reconstructing, be sure that processing is connected (indicated in the actions panel of the Jobs
section [see page 40]). If processing is disconnected, try rebooting. If that does not work, contact
technical support (see page 95).167H

Be sure, too, that your computer has enough disk space to perform a reconstruction. If the disk space
indicator (located in the lower left corner of the main program window) is black, there is sufficient disk
space.
4.5.1 Setup
To create a reconstruction, follow these steps:
1. Select a patient record in the main program window (see page 35). 168H
2. Click the Open button , located in the Patients section (see page 36) of the main program 169H
window. The patient dialog box (see page 44) appears.170H
3. Select a scan.
4. Click the Reconstruct button in the upper right corner of the dialog box, or click
Reconstruct from the Scans section of the dialog box. The New Reconstruction Options
dialog box (see page 64) appears.
17H
5. Indicate the type of reconstruction – the "configuration" – and provide any other requested
information.
6. Click Reconstruct Now or Reconstruct Later. The New Reconstruction Options dialog box
closes. (For more information on the Reconstruct Later option, see page 66.)
Note: When control returns to the main program window, the job appears in the Jobs section and
the record of the patient you were working on appears first in the list (assuming the list is sorted
by the Modified field, which it is by default). You may order this list by any of the column
headings.

4.5.2 Reconstructing
ILUMA's Data Processing System (DPS) performs the actual reconstruction. DPS works in the
background, so you can continue with other work – with the exception of scanning – while DPS is active.
During reconstruction, the program's progress is displayed (below the Comments area in the
Reconstruction dialog box). Here is the sequence:
1. Initializing ILUMA Processing Build <XXXX>: This is the start-up of the ILUMA-specific
processing module for DPS 2, which comes up before and after each stage of processing
(conversion, reconstruction, etc).
2. Converting <patient name>: The data from a scan is processed to prepare it for reconstruction.
Note: This processing happens once for each combination of reconstruction options. For
instance, two 0.4 mm reconstructions with the same checkboxes checked for the same scan will
incur the "converting" step only once – the second reconstruction will use the data already
converted from the first one. In other words, steps 2 and 3 will not be required in certain
instances. Movies always require the full sequence.
4. Reconstructing <patient name>: This is the process of actually creating slice images from the
converted scan images. The results of reconstruction are used for data visualization, treatment
planning, etc.
4.6 Working with Reconstructions

The most common things you will do with your reconstructions are to view and analyze them in
ILUMAVision and to export them.
To open a reconstruction for viewing and analysis, open the patient dialog box (see page 44), select a 17H
reconstruction and click Open .
To export a reconstruction, open the patient dialog box, select a reconstruction and click Export .
4.7 Using a Mouse with ILUMA Controller

ILUMA Controller is designed to look and feel like programs you have used before. You can use any type
of mouse with ILUMA Controller.
The left mouse button is used mostly to select items on the screen. It also is used for dragging objects.

The right mouse button is used primarily to display context menus. For instance, when you right-click a
scan in the patient dialog box, this menu appears:
For more information on ILUMA Controller right-click (or "context") menus, see ILUMA Controller Context
Menus (page 74).
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4.8 Understanding ILUMA Controller Data

This is a brief introduction to the elements of ILUMA Controller. For more information, see Commonly
Used Terms (page 93). 173H
4.8.1 Computed Tomographs (CTs)

The ILUMA Cone Beam CT Scanner produces images of the head and neck for use in ENT and
dentomaxillofacial diagnosis and treatment.
The patient is positioned for scanning with the help of a laser positioning system. During scanning, the
patient sits comfortably on a padded chair and should remain motionless. The ILUMA Scanner has three
acquisition-time settings: 7.8, 20 and 40 seconds.
Through the reconstruction process, ILUMA converts the rotational sequence of radiographs into
computed tomographs. (The ILUMA system utilizes cone beam technology, a distinct computed
tomography technology.) The X-ray source itself is a low-energy rotating anode tube emitting a cone-
shaped X-ray beam.
4.8.2 Datasets/Reconstructions
The computed tomographs are stored as a stack of axial slices called a reconstruction or dataset.
Datasets are what ILUMAVision – a separate software package – uses for visualization.
4.8.3 Archiving Data

If you no longer have use for a patient's data, you may delete or archive it.
However, WARNING! To reduce the risks associated with radiation:

! whenever practicable, archive patient data (versus deleting it) to avoid unnecessary patient
rescanning.
Deleting a patient's record permanently removes it from the database, whereas archiving removes the
patient record from the active list but allows you to retrieve it whenever you want.
For more information on deleting and archiving, see Patients Section (page 36). 174H

4.8.4 Importing and Exporting Data

ILUMA is a self-contained imaging/analysis system. It offers everything you need to produce scans and
analyze scan data. Occasionally, you may need to share information with non-ILUMA users. You may
export scans, reconstructions or entire patient records.
For more information on importing and exporting patient data, see Patients Section (page 36). For more 175H
information on exporting scans and reconstructions, see Patient Dialog Box (page 44). 176H
4.9 The Components of ILUMA Controller

ILUMA Controller is composed of two primary components:
! The main program window (see page 35)
! The patient dialog box (see page 44) 178H
Other important components are:

! The New Scan Options dialog box, which appears when you initiate the scanning process. For
more information, see page 57. 179H
! The Scan dialog box, which appears when scanning is complete or when you open a scan. For
more information, see page 59. 180H
! The New Reconstruction Options dialog box, which appears when you initiate the
reconstruction process. For more information, see page 64. 18H
! The Reconstruction dialog box, which appears when reconstruction is complete or when you
open a reconstruction. For more information, see page 67. 182H

4.9.1 Main Program Window

The main program window looks like this:
The main program window contains the following components:

! Patients Section (see page 36)
! Jobs Section (see page 40)
! Filter (see page 42)
! X-ray Power Bar (see page 43)
! X-ray Status Indicator (not shown) (see page 43)
Note: The main program window has a split bar between the Patients section and Jobs section. You
may drag this bar to change the size of these sections.

4.9.1.1 Patients Section

The Patients section of the main program window is used for managing patients and initiating scans. The
Patients section looks like this:
The Patients section contains an actions panel and a patient list. All patients appear in the list unless a
filter (see page 42) is in use. Double-click a patient record to open it.
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4.9.1.1.1 Actions Panel

The actions panel contains the options listed below. These options also are available in the context menu
that appears when you right-click a patient's record. (For more information on context menus, see ILUMA
Controller Context Menus [page 74].) 184H
New Patient
Click this button to add a patient to the patient database. This opens the Create New Patient dialog box
(see page 71), which you use to enter the patient's identifying data.
185H
Scan
Click this button to create a new scan. For more information, see Scan the Patient (page 21). 186H
Open
Click this button to open the selected patient record. (Alternatively, you may double-click a patient record
to open it.)
Delete
Click this button to delete the selected patient – including scan and reconstruction data – from the patient
database. The program confirms your intent to delete before purging the patient.
Explore
Click this button to view the directories and files associated with a patient.
Flag for Archive

Click this button to flag a patient's record to be archived during the next scheduled archiving session. (By
default, archiving occurs daily, at 12 a.m.)

Un-Archive
Click this button to restore a patient's active status.
Export
Select this option to export patient data. When you click Export, this dialog box appears:
When you export from the main program window, all patient data, including all scans and reconstructions,
is exported. The export is contained in one file (with a default extension of "ilumact"). Such exports are
useful, for instance, when a patient changes doctors and both doctors use the ILUMA system.
Note: Export files can be converted to DICOM format with ILUMA Extractor.

Import
Select this option to import patient data. When you click Import, this dialog box appears:
When you import from the main program window, all patient data, including all scans and reconstructions,
is imported. You may import only files of type "ilumact".
If the patient ID in the identified file already exists in the database, you will see this dialog box:
You may attempt to merge the data, import the patient with a different ID or cancel the import.

4.9.1.1.2 Patient List

The patient list contains all patient records. If a filter (see page 42) is in use, only those patient records
187H
satisfying the filter criteria are shown.
When you double-click a patient, the patient dialog box appears. You can use this dialog box to view a
patient's scans and reconstructions and initiate scans and reconstructions. For more information, see
Patient Dialog Box (page 44).18H
4.9.1.1.2.1 Patient ID
This field contains a unique alphanumeric combination identifying a patient. It also contains the patient
status indicator. The indicator's various meanings are as follows:
Active
The patient is active in the database.
Flagged for Archive

The patient's information has been flagged to be archived during the next scheduled archiving. (By
default, archiving occurs daily, at 12 a.m.)
Archived
The patient's information has been archived. For more information on archiving, see the Patients section
of the main program window (page 35). 189H
Unknown
The patient's status is unknown.
4.9.1.1.2.2 Secondary ID
This field serves as an optional secondary identifier for your patients.
4.9.1.1.2.3 Last Name

This field contains the patient's last name.
4.9.1.1.2.4 First Name

This field contains the patient's first name.
4.9.1.1.2.5 Modified
This field indicates when a patient's data was last changed. Data changes include – but are not limited to
– modifying a patient's identifying data, importing scans, creating new scans and creating new
reconstructions.
4.9.1.1.2.6 Comment
This field is for your notes on a patient.

4.9.1.2 Jobs Section

The Jobs section of the main program window (see page 35) contains active and pending jobs. Jobs
include scans, reconstructions, archives, data exports, etc.
The Jobs section looks like this:
The Jobs section contains an actions panel and a job list. Double-click a job to view its details in the
FlashCT Cluster Viewer (see page 42).

The actions panel contains the options listed below. These options also are available in the context menu
that appears when you right-click a job. (For more information on context menus, see ILUMA Controller
Context Menus [page 74].)
19H
Abort
Click this button to terminate a job.
Job Info
Click this button to open FlashCT Cluster Viewer (see page 42).
Processing Connected / Processing Disconnected

This field indicates whether or not processing is connected. See Troubleshooting (page 92) for help with 192H
problems related to disconnected processing.
4.9.1.2.1.1 Disk Space
Disk Space displays the amount of storage available on the hard drive.
4.9.1.2.1.2 Archive Space
Archive Space displays the amount of storage available on the archive device(s).

4.9.1.2.2 Job List

The job list displays jobs that will be processed (i.e., scheduled jobs) and jobs that are being processed.
The job list contains these components:
4.9.1.2.2.1 Patient ID
This field contains a unique alphanumeric combination identifying a patient.
4.9.1.2.2.2 Patient Name

This field contains the patient's name.
4.9.1.2.2.3 Description
This field describes the job.
4.9.1.2.2.4 Comment
If the job is a reconstruction, this field contains the comment you entered in the New Reconstruction
Options dialog box; otherwise, it contains system-supplied information pertaining to the job.
4.9.1.2.2.5 Status
This field indicates the overall status of the job.
4.9.1.2.2.6 Time Remaining

This field indicates the estimated amount of time the job will take to complete.

4.9.1.2.3 FlashCT Cluster Viewer

When you double-click a job, the FlashCT Cluster Viewer window appears, as shown here:
The FlashCT Cluster Viewer allows you to inspect queued and currently processing jobs in greater
detail.
4.9.1.3 Filter
The filter allows you to determine which patients are displayed in the Patients section (see page 36). The 193H
filter looks like this:
Select a filter type from among these options:

! Patient ID
! Last Name
! Secondary ID
! Scan Date
! Available Patients (all patients who are not archived or flagged for archive)
! 30 Day (all patients whose records have been modified in the past 30 days)
In the right box, enter the data identifying the patient records you want to see.
Note: Identifying data does not apply to the 30 Day and Available Patients filters.
The example above displays all patients whose last name is "Smith", as well as those whose last names
contain "Smith". So, for instance, the filter would display a patient named Barnsmith.

Note: Filters are not case sensitive. Also, you may not use more than one filter at a time.
To see all patients whose ID contains "2007", select Patient ID from the Filter list, enter "2007" (without
the quotation marks) in the text box and then click Apply.
To remove a filter, either:

! select None from the Filter list, and then click Apply or
! click the Clear Active Filter button, which appears when a filter is active.
Note: If a filter is active when you create a new patient record, the new record will appear in the patient
list even if it does not satisfy the filter requirements.
4.9.1.4 X-ray Power Bar

The existing state of X-ray power is displayed at the bottom of the program window, as shown here:
This bar indicates if X-rays are on and, if so, at what dosage. The X-ray status light appears as a circle in
the bar. The color of this light matches the color of the X-ray status indicator at the top of the program
window. (The colors are described in X-ray Status Indicator [below].) Whenever the X-ray status changes,
a message explaining the change appears in this indicator.
The bar also includes an Off button that you can click at any time to turn the X-rays off.
4.9.1.5 X-ray Status Indicator

The X-ray status indicator appears at the top of the program window. Here is an example:
The indicator appears any time the status of the X-ray source changes.
Indicator color and message information is as follows:
Yellow X-rays are ON
Gray X-rays are OFF
Red Fault (with error message)
Orange X-rays are OFF but conditioning is required -or- X-rays are ON and conditioning
Blue Attempting to contact the controller
Note: Dosage details and an emergency OFF button appear in the X-ray power bar at the bottom of the
program window.

4.9.2 Patient Dialog Box

The patient dialog box is a key component of ILUMA Controller. With this dialog box you can view and
manage your patient's identifying data and view and create scans and reconstructions. The dialog box
looks like this:
Notes
! There are two versions of this dialog box. One – the one shown above – contains an actions
panel. The other contains an ILUMA Worklist. Depending on your configuration, you will see one
or the other.
! This dialog box appears when you open a patient file. In some configurations, it appears every
time you start ILUMA Controller.
The patient dialog box consists of the following:

! Patient/Doctor Section
! Actions Panel or ILUMA Worklist
! Scans Section
! Reconstructions Section
! Image Area

Note: This dialog box has two split bars – one between the Scans section and Reconstructions section
and another between these sections and the image area. You may drag the split bars to change the size
of these elements.
4.9.2.1 Patient/Doctor Section
The Patient/Doctor section of the patient dialog box contains information on the patient, the doctors and
the scan operator. Click Edit Patient in the actions panel to modify this information.
4.9.2.2 Actions Panel

The actions panel of the patient dialog box contains the following options:
Scan Patient
Reconstruct
Click this button to create a new reconstruction. For more information, see Create a Reconstruction (see
page 30).
195H
Edit Patient
Click this button to open the edit patient dialog box (see page 71).

4.9.2.3 ILUMA Worklist

The ILUMA Worklist, which appears in certain configurations of the patient dialog box, looks like this:
This list contains information that pertains to your patient. After you perform a scan and create a
reconstruction, click the Send to PACS button to complete your work.
4.9.2.4 Scans Section
The Scans section of the patient dialog box is where you manage your scans. The Scans section looks
like this:
The Scans section contains an actions panel and a scan list. Double-click a scan to open it.
The Scans actions panel contains the options listed below. These options also are available in the
context menu that appears when you right-click a scan. (For more information on context menus, see
ILUMA Controller Context Menus [page 74].) 197H
Scan

Review
Click this button to open the Scan dialog box (see page 59), which you use to view scans and scout
19H
images and to compare and select from among motion reduction options.
Delete
Click this button to delete the selected scan from the patient database. The program confirms your intent
to delete before purging the scan.
Reconstruct
Click this button to create a new reconstruction. For more information, see Create a Reconstruction (see
page 30).
20H
Export
Select this option to export scan data. When you click Export, this dialog box appears:
When you export from the Scans section of the patient dialog box, the selected scan and all
reconstructions associated with it are exported. The export is contained in one file (with a default
extension of "ilumact").
Explore
Click this button to view the files associated with a scan.
4.9.2.4.2 Scan List

The scan list displays all scans.

When you double-click a scan, the Scan dialog box appears.
You can use this dialog box to view scans and scout images and to compare and select from among
motion reduction options. For more information, see Scan Dialog Box (page 59). 201H
4.9.2.4.2.1 Date
This field indicates the date and time the scan was performed. It also contains the scan status indicator.
The indicator has the following meanings:
Complete
The scan is complete.

Processing
The scan is under way.

Description
This read-only field describes the scan.
4.9.2.4.2.2 Comment
This field contains comments on the scan.
4.9.2.5 Reconstructions Section
The Reconstructions section of the patient dialog box is where you manage your reconstructions. The
Reconstructions section looks like this:
The Reconstructions section contains an actions panel and a list of reconstructions. Double-click a
reconstruction to open it.
The Reconstructions actions panel contains the options listed below. These options also are available in
the context menu that appears when you right-click a reconstruction. (For more information on context
menus, see ILUMA Controller Context Menus [page 74].) 20H
Review
Click this button to open the Reconstruction dialog box (see page 67), which you use to review and edit
203H
your patients' reconstruction data.

Open
Select this option to view a reconstruction in ILUMAVision.
Export
Select this option to export reconstruction data. When you click Export, this dialog box appears:
When you export from the Reconstructions section of the patient dialog box, only the selected
reconstruction is exported. The export is contained in one file (with a default extension of "ilumact").

To PACS Server
When you select this option, this dialog box appears:
Select the Power-of-2 option to create square images of the next highest power of two.

To DICOM Files
This export option creates a series of DICOM images from the reconstruction. These images can be used
in certain applications. Select the Power-of-2 option to create square images of the next highest power of
two; in the example above, the size of the images would be 128 × 128.

To Compressed File
This space-saving option creates a compressed file containing the selected reconstruction. This file can
be imported by other ILUMA Controller installations and can be given to doctors along with a utility
(ILUMA Extractor) that produces DICOM files.
Delete
Click this button to delete the selected reconstruction from the patient database. The program confirms
your intent to delete before purging the reconstruction.
Explore
Click this button to view the files associated with a reconstruction.

4.9.2.5.2 Reconstruction List

The reconstruction list displays all reconstructions.
When you double-click a reconstruction, the Reconstruction dialog box appears. Use this dialog box to
view and comment on reconstructions. For more information, see Reconstruction Dialog Box (page 67). 204H
4.9.2.5.2.1 Date
This field indicates the date and time the reconstruction was performed. It also contains the
reconstruction status indicator. The indicator has the following meanings:
Complete
The reconstruction is complete.
Processing
The reconstruction is under way.
4.9.2.5.2.2 Description
This field describes the reconstruction.
4.9.2.5.2.3 Comment
This field contains comments on the reconstruction.

4.9.2.6 Image Area

The image area of the patient dialog box looks like this:
This area can be used to view scans, reconstruction slices and scout images (depending on which tab is
selected). Use the slider below the image to move through images; drag the slider to a specific image, or
click in the slider path to move forward or backward sequentially.
You can adjust the image as follows:

! Drag your mouse to manipulate the window width and level.
! Hold down the CTRL key while dragging to modify the zoom level.
! Hold down the SHIFT key while dragging to pan the images.
! Double-click your mouse to reset the images. CTRL double-click resets the zoom level while
maintaining any modifications you have made to the window width and level.

The image area contains these tabs:

! Scans
! Reconstructions
! Scout
If a scan is selected in the patient dialog box, the Scans tab appears by default in the image area.
Likewise, if a reconstruction is selected, the Reconstructions tab appears.
4.9.2.6.1 Scans Tab
Use the Scans tab of the patient dialog box image area to closely examine the images produced by a
scan. (The Scans tab is shown in the image on page 54.) Use the slider bar to access specific images
205H
from the scan. Click Play to animate the scan. Play displays all of the scanned images in sequence. Click
Last to view the last image produced by the scan. When the last image is displayed, click First to display
the first scan image. (When the last image is displayed, the First button appears where the Last button
had been.)
4.9.2.6.2 Reconstructions Tab

The Reconstructions tab of the patient dialog box image area looks like this:
Use this tab to closely examine the images produced by a reconstruction. Use the slider bar to access
specific images from the reconstruction. Click Play to animate the reconstruction. Play displays all of the
reconstructed images in sequence. Click Last to view the last image produced by the reconstruction.
When the last image is displayed, click First to display the first image produced by the reconstruction.
(The First button appears where the Last button had been.)

4.9.2.6.3 Scout Tab

The Scout tab of the patient dialog box looks like this:
Scout contains all the scout images taken during the scanning session. Use this tab to closely examine
the scout images. Use the slider bar to access specific images. Click Play to animate the sequence of
scout images. Click Last to view the last scout image. When the last image is displayed, click First to
display the first scout. (When the last image is displayed, the First button appears where the Last button
had been.)

4.9.3 New Scan Options Dialog Box

Use the New Scan Options dialog box to indicate the parameters of a scan. The dialog box looks like
this:
This dialog box appears when you click the Scan button in the Patients section of the main program
window or when you select a scan option from the patient dialog box.
The New Scan Options dialog box contains these components:
4.9.3.1 Comment
Use this field to enter a comment on a scan.

4.9.3.2 Configuration
Select from among these options:
! Patient Scan: Use this option to perform a standard patient scan.
! Quality Check Scan: Use this option to determine whether or not the scanner is calibrated.
4.9.3.3 Description
This is a read-only field that describes the scan.
4.9.3.4 Scan Duration

! 7.8 Seconds
! 20 Seconds
! 40 Seconds
Note: Scan Duration appears only with the Patient Scan configuration.
4.9.3.5 Dose Rate

! Normal (1.0 mA)
! Enhanced (3.8 mA)
Note: Dose Rate appears only with the Patient Scan configuration.
4.9.3.6 Scan Now
Click Scan Now to start the scan. This initiates ILUMA's Data Acquisition System (DAQ).

4.9.4 Scan Dialog Box

The Scan dialog box allows you to view scans and scout images and to compare and select from among
motion reduction options. The dialog box looks like this:
The Scan dialog box appears after you perform a scan or when you open an existing scan. This dialog
box contains these components:
4.9.4.1 Patient
This field contains the name of the patient.
4.9.4.2 Date
This field contains the scan date.
4.9.4.3 Description
This field describes the scan.
4.9.4.4 Comment
Use this field to comment on the scan.

4.9.4.5 Image Area

This area can be used to view scans and scout images and to compare and select from among motion
reduction options. Use the slider below the image to move through images; drag the slider to a specific
image, or click in the slider path to move forward or backward sequentially.
You can adjust the image as follows:

! Drag your mouse to manipulate the window width and level.
! Hold down the CTRL key while dragging to modify the zoom level.
! Hold down the SHIFT key while dragging to pan the images.
! Double-click your mouse to reset the images. CTRL double-click resets the zoom level while
maintaining any modifications you have made to the window width and level.
The image area contains these tabs:

! Scan
! Motion Reduction
! Scout

4.9.4.5.1 Scan Tab
The Scan tab of the Scan dialog box looks like this:
Use this tab to closely examine the images produced by a scan. Use the slider bar to access specific
images from the scan. Click Play to animate the scan. Play displays all of the scanned images in
sequence. Click Last to view the last image produced by the scan. When the last image is displayed,
click First to display the first image produced by the scan. (When the last image is displayed, the First
button appears where the Last button had been.)
Note: The first and last image in a scan should be nearly identical.

4.9.4.5.2 Motion Reduction Tab

The Motion Reduction tab of the Scan dialog box looks like this:
ILUMA Controller uses proprietary motion reduction algorithms to minimize the effects of patient
movement during scanning. The software offers three distinct motion reduction options.
Select the option that looks the best or, if there is no significant difference among the four views, proceed
without motion reduction.


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™

Cone Beam Computed Tomography System

3M ESPE Dental Products

This document is the property of 3M ESPE.

The information provided in this manual is subject to change without notice.

Document IIM-001 Rev13

Last revised 10/21/2010

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2 Maintenance and Cleaning 10

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3.11 Control Pendant _______________________________________________________ 17

4 Using the Scanner 19

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5.4 Mechanical Safety Specifications ___________________________________________ 78

7 Commonly Used Terms 93

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1.2 Intended Use

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These labels appear on the scanner. They contain safety information.

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Type B (applied part)

This product is subject to the WEEE European

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1.3.1 Emergency Stop

Press an E-Stop switch to activate it.

1.3.2.2 C-Arm Drive System

1.4 General Scanner Labels

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Component Located on the lower back IIL-0023

Shutter Located on the inside of the IIL-0019

Bar Code Located near the main IIL-0025

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Focal Point Located on the X-ray IIL-0022

Israel Located on the lower back IIL-0024

Shutter Label Located on the shutter IIL-0007

ILUMA Logo Located prominently at the IIL-0011

X-ray Source Located on top of the X-ray IIL-0009

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1.5 Avoiding Damage to the Scanner

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2 Maintenance and Cleaning

To reduce the risks associated with hazardous voltage:

2.1 3M ESPE Maintenance

3M ESPE maintains these components:

3M ESPE also is responsible for this maintenance:

2.2 Owner Maintenance

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2.2.1 Out of Use

2.3 Cleaning and Disinfecting

To reduce the risks associated with hazardous voltage:

2.3.1 Cleaning Agents to Avoid

2.3.2 Cleaning and Disinfecting Scanner Components

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2.3.3 Cleaning the Computer and Peripherals

2.4 Transportation and Storage

To reduce the risks associated with hazardous voltage:

Conditions for transportation and storage:

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3.2.3 Duty Cycle of Up/Down Lift

3.5 Detector Plate

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