Technical Overview CT-Scan

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Ade Rizki Setiadi

Technical Support Specialist
Maret 2023
 Ade Rizki Setiadi
085781313664
aderizki.setiadi@philips.com
Technical Support Specialist – CT Scan
PT. Philips Indonesia Commercial – Health Systems
Riwayat Pekerjaan:
2020 – now Technical Support Specialist CT Scan PT Philips Indonesia Commercial
2017 – 2020 Senior Medical Physicist & Project Support PT Besindo Medi Prima
2013 - 2017 Asisten Dosen dan Penguji Berkualifikasi Dept. Fisika, FMIPA UI
 List of Content
Pengenalan CT Scan

Refresh Program Scope

Philips Remote Service

Perawatan CT Scan

Tools dan T/S Dasar

3
PENGENALAN ALAT

Beberapa Model CT Scan Philips

yang ada di Indonesia
Ingenuity

Brilliance 16/64
Access CT

MX Series CT

Incisive CT

Iqon Spectral
Brilliance iCT
Prinsip Scanning

Pada CT scan, X-ray tube dan detector berotasi

secara simultan mengelilingi objek pemeriksaan
(pasien).

Selama rotasi detectors secara kontinu

mengukur atenuasi sinar X-ray. Karena selama
rotasi sinyal tersebut melewati bagian
tubuh/objek dari beberapa arah.

Sehingga sinyal yang diterima detector selalu

bervariasi dan perlu untuk diambil sampelnya
bersamaan dengan informasi posisi.
 Ilustrasi Ruang CTSCAN

6
PENGENALAN ALAT
Bagian CT Scan
Operator
Computer

Ruang Kontrol

GANTRY

Ruang Pemeriksaan

Patient Table
 Gantry 1
(model Iqon Spectral CT)
2 1
3
Bagian Depan :
1. Gantry Control Panel : Control dan
2 2
Emergency switch (terdapat 2, sisi kiri
dan kanan)
2. Laser Positioning Outer*.
3. Gantry Cover Mylar (bagian
tengah/lubang pada gantry seperti
mika/plastic berwarna hitam bening).
4
4. Patient Table
*)Laser Inner akan terlihat pada bagian
tengah cover mylar saat di”aktifkan” melalui
control panel.
Bagian Belakang,
terdapat 2 Gantry control Panel kiri dan
kanan
Sisi Kiri Sisi Kanan
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 1

2
3

Patient Table :
Patient Table
1. Horizontal Tape switch (kiri and kanan).
2. Foot Switch.
(Couch)
3. Manual Vertical Movement (under service mode)

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 • CTBOX, Yaitu box control operator CT scan yang terdiri dari fungsi
CTBOX control pergerakan meja (patient table), start/stop scan, gantry tilting,
Voice dan speaker, dan emergency switch.

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 Console

Terdiri dari Host dan CIRS

1 buah komputer Host PC dan 2 monitor
3 buah komputer CIRS (Common Image Reconstruction System)

CIRS tidak memiliki LCD monitor, keyboard, dan mouse karena

computer ini hanya berfungsi sebagai computer rekonstruksi.
Koneksikan monitor, keyboard dan mouse hanya pada saat saat
diperlukan atau terjadi error/masalah pada CIRS.
Login HOST menggunakan Username : ct dan password yang telah
dibuat

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GANTRY
Refresh Program Scope:
Philips Computed Tomography
A portfolio of total solutions to drive certainty, simplicity and reliability
IQon Elite Spectral CT
Certainty lives in
layers
34% reduction in time to
diagnosis
Spectral results 100% of the
time
20-40% reduction in follow-
up Scans
NEW!
Philips CT 6000 iCT
At the heart
of advanced imaging
Diagnostic confidence
through comprehensive
cardiac capabilities
Advanced solutions for
workflow, visualization and
analysis
Continuously improve and
manage operational costs
NEW!
Philips CT 5000 Ingenuity
Own the day
Confident diagnoses across
diverse patient types
Advanced tools that
streamline processes to
ensure consistency and
reliability
Easy and cost-effective ways
to keep up-to-date
NEW!
Big Bore RT
Advancing critical
clinical decisions
Exceptional visualization of
anatomy details allows
contouring with high
confidence
Standardized patient
centered approach to
imaging and simulation
Designed for speed and
efficiency, and reduce time
to treatment
for palliative patients
Spectral Detector
Image quality / quantitative accuracy advantages:
• Perfect spatial & temporal registration
- Projection space processing
- Lower noise / higher CNR (esp. MonoE)
• Field of View
Top scintillator
• Spectral CT for large patients Thickness optimized for energy
separation and low-energy image noise.
Bottom scintillator
Absorbs high-energy spectrum
Workflow advantages:
• Spectral CT is always on – retrospective decision, not
prospective; only one scan
• Same fast acquisition & parameters as conventional
• CT Dose neutral (vs. conventional)
• Use of dose management & image optimization tools
(modulation, iDose4, IMR, OMAR, etc.)
18 4/4/2023
New Gen 5.3 Console

Applies to all Refresh Products (Big-Bore RT, Ingenuity (and BR-64), iCT, IQon)

Introducing in the Refresh:

New Gen 5.3 PCs for Host and CIRS that will replace the current Gen 5.1
❖ No change in Racks.
❖ Windows 10.
❖ New Gen 5.3 CIRS will provide high processing power
and replace the NGBP with GPU.
P2000

GEN 5.3 Types:

Gen 5.3, Host - HP Z4, for: Gen 5.3 CIRS Server- Z8 HP, for: Gen 5.3 CIRS Servers- HP Z8,
Big-Bore Big-Bore for:
Ingenuity CT Ingenuity CT IQon
iCT iCT
IQon BR-64 (Commercial option)
BR-64 (Commercial option)
New Harmonized System Phantoms
➢ The New Harmonized Phantom much more user friendly than the old phantom.
Important Note: FSE will be required to order the Biocide liquid.

Old Phantom New Phantom

Weight analysis – New Phantom parts
# Phantom part Estimated total
weight  10% (kg)
1 Body section 15.5 Kg
2
1
2 Adult head section 5.7 Kg Body Adult head

3 Physics Layer Section 1.5 Kg

4 Infant Head section 1.6 Kg

3 4
Physics layer Infant head
Philips CT 6000 iCT – New Features

Dual
Cybersecurity
Energy
Improvement

Faster
Reconstruction
New
System
Design

New
Injector New
Support Harmonized
Phantoms
Upgrade Paths

Upgrade iCT iQon

Paths V4.1.7 → V4.1.10 V4.7.5 → V4.7.7
Path 1: Upgrade Kit content: Upgrade Kit content:
Customers
with Console
Type Gen 5.1
SW Media Set GPC WIN 10 H-Phantom GPU SW Media Set GPC WIN 10 H-Phantom

NGBP will be removed from the existing Gen 5.1 CIRSs

Path 2: Upgrade Kit content: Upgrade Kit content:

Customers
with Console
Type Gen 5.0
and lower

Complete Gen 5.1→ 5.3 Console upgrade: Complete Gen 5.1→ 5.3 Console upgrade:
Installed V4.1.7 Gen 5.3 Console Installed V4.7.7 Gen 5.3 Console
Host HP Z4 + CRC Rack CIRS HP Z8 Host HP Z4 + Host Rack
(In Case of IMR - Also Host Rack) CIRS HP Z8 Complete Rack

GPC WIN 10 H-Phantom GPC WIN 10 H-Phantom

 Remote Service Distribution
• Refresh has the infrastructure for future remote software update:
• Software distribution will only work with the remote service activated.
• A Software Package must have the following information included: Requestor, BIU Name &
Contact, Enterprise Server, Pre Requisite check, Device Type, Software Distribution, Package
Name, Package Description, CMDB Configuration (if applicable), Shared Package Location,
File Name (to Upload), Package command Instructions, Target Device Member name.
• You can enable / disable the auto download feature from RSN to scanner.
Philips Remote Service

CT Radar – Site Overview

CT Radar – System Monitoring
CT Radar – System Monitoring
 Perawatan dan Pengecekan CT Scan
Preventive Maintenance adalah kegiatan pemeliharaan yang dilakukan secara terjadwal, umumnya secara
periodik, dimana dilakukan beberapa aktivitas pemeliharaan seperti inspeksi, perbaikan, penggantian,
pembersihan, pelumasan dan penyesuaian (dalam hal ini kalibrasi) yang perlu dilakukan

Manfaat dilakukannya Preventive Maintenance adalah:

➢ Mengurangi dan/atau mencegah terjadinya down time yang tidak terprediksi.
➢ Mengurangi kemungkinan reparasi berskala besar.
➢ Mengurangi biaya kerusakan / pergantian spare part.
➢ Memperkecil kemungkinan kerusakan pada alat.
➢ Meminimalkan ketersediaan kesiapan suku cadang.
➢ Memperkecil hilangnya kemungkinan penerimaan (lost opportunity) karena tidak dapat menerima
pemeriksaan
➢ Menjaga performa alat agar tetap prima/optimal
➢ dll
Perawatan dan Pengecekan CT Scan
Quick Reference
Guide
 Troubleshooting Dasar

• Pemadaman listrik dan listrik yang tidak stabil.

• Meja tidak bisa digerakkan.
• Tidak bisa warming up maupun scan
• Rekonstruksi data yang terhambat
• Koneksi antar computer maupun device lainnya terputus
• Software dan Operating System corrupt

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 TOOLS DASAR

1. Obeng (+) dan (-)

2. Tespen
3. 1 set kunci Hexagonal (L) skala mm
4. 1 set kunci Hexagonal (L) skala inch
5. Multimeter
6. Kunci Inggris kecil

Catatan: Pastikan ukuran tools/kunci yang digunakan sesuai, untuk menghindari kerusakan
pada baut.
TROUBLESHOOTING DASAR

Jika terjadi error di CT

Tindakan Diagnosa dan Penanggulangan:

• Collect info dari user. “Kapan, pada saat apa, apa yang sudah dilakukan?”
• Collect info seperti FOTO dan Situasi seperti suhu dan kelembaban.
• Collect Bugrep

Cara Create BUGREP :

24/7
Telepone CALL CENTER PHILIPS di 0800 1401 493 BEBAS
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