WWW.
.COM
REF 91240
STANDARD IMAGING, INC.
3120 Deming Way
Middleton, WI 53562-1461
TEL 800.261.4446
TEL 608.831.0025
FAX 608.831.2202
Aug / 2011 ©2011 Standard Imaging, Inc.
DOC #80109-02
#80XXX-00
General Precautions
WARNING:
Follow manufacturer’s
recommended safety
procedures for
radioactive sources.
CAUTION:
Do not drop or mishandle
the phantom.
CAUTION:
Refer all servicing to
qualified individuals.
CAUTION:
Proper use of this device
depends on careful reading
of all instructions and labels.
i
Warnings and Cautions alert users to
dangerous conditions that can occur
if instructions in the manual are not
obeyed. Warnings are conditions that
can cause injury to the operator, while
Cautions can cause damage to the
equipment.
Table of Contents
PAGE
i General Precautions
1Overview
2 General Operation
6Maintenance
6Parts
6 Features and Specifications
9 Service Policy
9 Customer Responsibility
10Warranty
3120 Deming Way
MIDDLETON, WI 53562-1461 USA
WWW.STANDARDIMAGING.COM
Overview
The MIMI (Multiple Imaging Modality Isocentricity) Phantom is
designed for daily or weekly quality assurance of the geometric
accuracy of the isocenter described by several systems included
on many modern linear accelerators: the positioning lasers, the
kV imaging system, the MV treatment beam and in the case of
the Varian FramelessArray, the optical guidance system.
The MIMI phantom can also be utilized to test the shifts prescribed by the treatment console automate registration tool.
The MIMI phantom is constructed of acetal copolymer with 5 bone equivalent black PVC
rods which traverse the entire phantom at differing angles and one solid aluminum oxide
6.4mm diameter ball embedded at the center of the phantom. There are also 6 - 1mm
diameter stainless steel ball bearings embedded into the surface of the phantom on 5 of
the six faces which aid in alignment. Laser alignment lines are included for easy positioning
along with L (left), R (right), A (anterior), P (posterior), F (foot), and H (head) indicator letters
machined into the faces of phantom in correctly oriented locations to ensure consistent
phantom orientation and interpretation both when placing on the couch and when viewing
digital radiographs.
For Varian FramelessArray systems appropriate mounting holes are located on the top of
the phantom for placement and securing of the FramelessArray localizer which features the
four infrared reflecting markers used for optical guidance.
1
General Operation
Pre-test preparation
1. The MIMI phantom is placed on the CT couch. Align the phantom utilizing the positioning lasers on the CT machine and the laser alignment markings on the phantom. An
axial CT scan of the phantom is acquired. High quality reference images are essential
and should be saved for repeated use. It is recommended that the reference images
be updated periodically to check for changes in the isocenter described by the CT
scanner and treatment planning system (TPS)
For Varian Systems with the FramelessArray system: Attach the FramelessArray localizer to the MIMI phantom before performing the reference image scan.
2. The reference images are imported into the TPS and a simple plan is generated where
the bone-equivalent rods and the aluminum oxide ball are contoured and the center of
the phantom is aligned to the isocenter described by the TPS.
Digitally reconstructed radiographs (DRR) are created for the anterior/posterior (A/P)
and right lateral (R. Lat) projections of the phantom.
kV imaging and CBCT setup fields are setup in the TPS or the record and verify system.
For Varian Systems with the FramelessArray system: The plan is transferred to the
optical guidance control computer and the fiducials are registered.
2
General Operation continued
Procedure for daily or weekly QA
1. Laser Alignment - The MIMI phantom is
placed on the couch and aligned to the
room lasers.
a. Varian Frameless Array - The
phantom is placed on the couch with
the localizer attached. Utilizing the
optical guidance control computer
the phantom is aligned to isocenter.
A check of the phantom position can
then be compared to the in-room
lasers to verify that the congruence of
the optical guidance system isocenter
with that of the laser positioning system.
2. MV Alignment - A/P and R. Lat images of the phantom are then obtained with the MV
electronic portal imaging device (EPID). Visual inspection of the images can reveal
angular misalignment of the phantom. The bone equivalent rods are positioned so that
the 2D projection image of a correctly aligned phantom will show the rods intersecting
at 45º angles. If this visualization is not correct an inspection of the phantom placement
should be performed and corrected if necessary before proceeding.
3
General Operation continued
Utilizing the treatment console registration software perform a 2D/2D match registration of the acquired images with the DRR images from the TPS. Verify that the shifts
required are within tolerances set by your facility.
This step verifies that the laser positioning system (and the FramelessArray system)
isocenter coincides with the treatment beam isocenter.
3. kV system Alignment
a. 2D - Acquire A/P and R. Lat images with the kV imaging system. Utilizing the
treatment console registration software perform a 2D/2D match registration of the
acquired images with the DRR images from the TPS. Verify that the shifts required
are within tolerances set by your facility.
b. 3D – Acquire a full CBCT image set of the phantom with the kV imaging system.
Utilizing the treatment console registration software perform a 3D/3D match of
the acquired images with the original CT set from the TPS. Verify that the shifts
required are within tolerances set by your facility.
This step verifies that the kV imaging systems isocenter coincides with the treatment
beam isocenter and through previous tests the isocenter described by the laser positioning system (and the FramelessArray system)
4
General Operation continued
Procedure for testing prescribed couch shifts
There are six 1mm diameter stainless steel ball bearings embedded into the surface of the
phantom on 5 of the six faces. One of the ball bearings is offset with corresponding alignment marks on each face.
1. Setup the phantom with either the A/P and/or Lateral face(s) of the phantom aligned
with the offset ball bearing.
2. Acquire either MV and kV A/P and R. Lateral images and utilizing the treatment console registration software perform a 2D/2D match of each set of images with the DRR
images created by the TPS.
Verify that the shifts prescribed by the registration software match the shifts that were
purposely made on the phantom.
3. Acquire a CBCT image set and utilizing the treatment console registration software
perform a 3D/3D match.
Verify that the shifts prescribed by the registration software match the shifts that were
purposely made on the phantom.
4. If your system features an auto-adjusting couch, have the system make the corrections to place the phantom in the correct isocentric position. Check to make sure the
phantom is now aligned to isocenter either by visual inspection or by obtaining new
alignment images and performing either a 2D/2D or 3D/3D match. This will test the
system's ability to correctly apply shifts.
5
Maintenance
Exterior cleaning of the device can be done with a soft brush and a cloth. Gently brush all surfaces
to remove dirt and dust. Remove any remaining dirt with a cloth slightly dampened with a solution
of mild detergent and water or a liquid disinfecting agent. Calibration is not required.
There are no serviceable parts on the MIMI Phantom.
If assistance is desired in the proper disposal of this product (including accessories
and components), after its useful life, please return to Standard Imaging.
Parts
REFDescription
91240
MIMI (Multiple Imaging Modality Isocentricity) Phantom
Features and Specifications
Phantom Dimensions
Height
14.00 cm (5.52 in.)
Width
14.00 cm (5.52 in.)
Length
14.00 cm (5.52 in.)
Weight 6.1 lbs, 2.8 kg
Materials
Acetal copolymer for main phantom, PVC rods (bone equivalent)
(6) Ø 1mm stainless steal balls embedded into the surface of the phantom
(1) Ø 6.4mm aluminum oxide ball embedded at the center of the phantom
Standards
93/42/EEC
6
Features and Specifications continued
7
Notes
8
Service Policy
Customer Responsibility
If service, including recalibration, is required,
please contact Standard Imaging’s Customer
Service department by phone or email prior
to shipping the product. Standard Imaging’s
Customer Service and Technical Service
staff will attempt to address the product issue via phone or email. If unable to address
the issue, a return material authorization
(RMA) number will be issued. With the
RMA number, the product can be returned
to Standard Imaging. It is the responsibility
of the customer to properly package, insure
and ship the product, with the RMA number
clearly identified on the outside of the package. The customer must immediately file
a claim with their carrier for any shipping
damage or lost shipments. Return shipping
and insurance is to be pre-paid or billed to
the customer, and the customer may request
a specific shipper. Items found to be out of
warranty are subject to a minimum service
fee of 1 hour labor (excluding recalibrations)
for diagnostic efforts and require a purchase
order (PO) before service is performed. With
concurrence from customer, the product may
be replaced if it is unserviceable or if the
required service is cost prohibitive. Products
incurring service charges may be held for
payment. Standard Imaging does not provide
loaner products. See the Standard Imaging
Warranty and Customer Responsibility for
additional information.
This product and its components will perform properly
and reliably only when operated and maintained
in accordance with the instructions contained in
this manual and accompanying labels. A defective
device should not be used. Parts which may be
broken or missing or are clearly worn, distorted or
contaminated should be replaced immediately with
genuine replacement parts manufactured by or made
available from Standard Imaging Inc.
Serialization Information
Standard Imaging products that are serialized contain coded logic in the serial number
which indicates the product, day and year of
manufacture, and a sequential unit number
for identification:
A YY DDD X
A
YY
Unique product ID
Last two digits of the year
(e.g. 1999 = 99, 2000 = 00)
DDD Day of the year (1< DDD < 365)
X
Unique unit ID Number (1 < X < 9)
CAUTION: Federal law in the U.S.A. and
Canadian law restrict the sale, distribution,
or use of this product to, by, or on the order
of a licensed medical practitioner. The use
of this product should be restricted to the
supervision of a qualified medical physicist.
Measurement of high activity radioactive
sources is potentially hazardous and should
be performed by qualified personnel.
WARNING: Proper use of this device
depends on careful reading of all instructions
and labels.
WARNING: Where applicable, Standard
Imaging products are designed to be used
with the versions of common radiation
delivery devices, treatment planning
systems and other products or systems
used in the delivery of ionizing radiation,
available at the time the Standard Imaging
product is released. Standard Imaging does
not assume responsibility, liability and/or
warrant against, problems with the use,
reliability, safety or effectiveness that arise
due to the evolution, updates or changes to
these products or systems in the future. It is
the responsibility of the customer or user to
determine if the Standard Imaging product
can be properly used with these products
or systems.
Should repair or replacement of this product become
necessary after the warranty period, the customer
should seek advice from Standard Imaging Inc. prior
to such repair or replacement. If this product is in
need of repair, it should not be used until all repairs
have been made and the product is functioning
properly and ready for use. After repair, the product
may need to be calibrated. The owner of this product
has sole responsibility for any malfunction resulting
from abuse, improper use or maintenance, or repair
by anyone other than Standard Imaging Inc.
The information in this manual is subject to change
without notice. No part of this manual may be copied
or reproduced in any form or by any means without
prior written consent of Standard Imaging Inc.
9
Warranty
Standard Imaging, Inc. sells this product under the warranty herein set forth. The warranty
is extended only to the buyer purchasing the product directly from Standard Imaging, Inc.
or as a new product from an authorized dealer or distributor of Standard Imaging, Inc.
For a period provided in the table below from the date of original delivery to the purchaser
or a distributor, this Standard Imaging, Inc. product, provided in the table is warranted
against functional defects in design, materials and workmanship, provided it is properly
operated under conditions of normal use, and that repairs and replacements are made
in accordance herewith. The foregoing warranty shall not apply to normal wear and tear,
or if the product has been altered, disassembled or repaired other than by Standard
Imaging, Inc. or if the product has been subject to abuse, misuse, negligence or accident.
Product
Standard Imaging Ionization Chambers
Standard Imaging Well Chambers
Standard Imaging Electrometers
Standard Imaging BeamChecker Products
Standard Imaging Software Products
All Other Standard Imaging Products
Standard Imaging Custom Products
Standard Imaging Remanufactured Products
Standard Imaging Custom Select Products
Consumables
Serviced Product
Resale Products
ADCL Product Calibration
Warranty Period
2 years
2 years
5 years
2 years
1 year
1 year
1 year
180 days
90 days
90 days
90 days
As defined by the Original Equipment Manufacturer
0 - 90 days = 100% of ADCL Calibration Costs
91 - 182 days = 75% of ADCL Calibration Costs
183 – 365 days = 50% of ADCL Calibration Costs
366 – 639 days = 25% of ADCL Calibration Costs
(days from date of shipment to customer)
Standard Imaging’s sole and exclusive obligation and the purchaser’s sole and exclusive
remedy under the above warranties are, at Standard Imaging’s option, limited to repairing,
replacing free of charge or revising labeling and manual content on, a product: (1) which
contains a defect covered by the above warranties; (2) which are reported to Standard
Imaging, Inc. not later than seven (7) days after the expiration date of the warranty period
in the table; (3) which are returned to Standard Imaging, Inc. promptly after discovery of
the defect; and (4) which are found to be defective upon examination by Standard Imaging
Inc. Transportation related charges, (including, but not limited to shipping, customs, tariffs,
taxes, and brokerage fees) to Standard Imaging are the buyer’s responsibility. This warranty
extends to every part of the product except consumables (fuses, batteries, or glass breakage).
Standard Imaging, Inc. shall not be otherwise liable for any damages, including but not limited
to, incidental damages, consequential damages, or special damages. Repaired or replaced
products are warranted for the balance of the original warranty period, or at least 90 days.
This warranty is in lieu of all other warranties, express or implied, whether statutory or otherwise,
including any implied warranty of fitness for a particular purpose. In no event shall Standard
Imaging, Inc. be liable for any incidental or consequential damages resulting from the use,
misuse or abuse of the product or caused by any defect, failure or malfunction of the product,
whether a claim of such damages is based upon the warranty, contract, negligence, or otherwise.
This warranty represents the current standard warranty of Standard Imaging, Inc. Please
refer to the labeling or instruction manual of your Standard Imaging, Inc. product or the
Standard Imaging, Inc. web page for any warranty conditions unique to the product.
10