MAN-00132 Explorer Quick Ref Intl

Artwork consists of seventy four (74) 8 inch x 11 inch pages.
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Osteoporosis Assessment
LORAD Breast Cancer Detection
DirectRay Digital Imaging
FLUOROSCAN C-arm Imaging
DOCUMENT NUMBER
DATE
10/28/03
REV DRAFTED BY
DATE
G CORRIDORI
10/28/03
PROPRIETARY: This document contains

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part thereof may be made except by
written permission from Hologic.
REV. RELEASE DATE:
11/13/03
TITLE
EXPLORER QUICK REF

USERS GUIDE, ENGLISH
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REV
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Form ENG-0034-T03, Rev. 001
Explorer
Quick Reference
User's Guide
Caution: Federal (U.S.A.) law restricts this device to sale by or

on the order of a physician (or properly licensed practitioner).
Document No. MAN-00132 Revision 002
October 2003
The information contained in this Manual is confidential and proprietary to Hologic, Inc.
This information is provided only to authorized representatives of Hologics customers
solely for the purpose of facilitating the use of Hologics products. No information
contained herein may be disclosed to any unauthorized person for any purpose
whatsoever without the prior written consent of Hologic, Inc.
The information in this document is subject to change without notice.
Copyright
2003 by Hologic, Inc. All rights reserved.
Explorer and QDR for Windows are trademarks of Hologic, Inc.

QDR and the Hologic logo are registered trademarks of Hologic, Inc.
Protected by at least some of the following U.S. Patents and foreign counterparts:
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6,002,959; 6,009,147; 6,230,036; 6,233,473; 6,385,283.
Printed in the U.S.A.
Windows and Windows XP are either registered trademarks or trademarks of
Microsoft Corporation in the United States and/or other countries.
All trademarks, registered trademarks, and product names used within this document are
the property of their respective owners.
Hologic, Inc.
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Tel: (781) 999-7300
Fax: (781) 280-0669
Service: (800) 321-HOLX (321-4659)
User Support: (800) 321-HOLX (321-4659
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Tel: 32.2.711.4680
Fax: 32.2.725.2087
Explorer Quick Reference Users Guide
Table of Contents
Introduction ................................................................................................................ 1
Features and Options ............................................................................................. 1
Support Materials ................................................................................................... 1
Discovery QDR Series User's Guide ............................................................... 1
QDR for Windows XP Online Help ................................................................ 1
Main Window ........................................................................................................ 2
Power On ............................................................................................................... 2
Power Off ............................................................................................................... 3
Emergency Procedures .............................................................................................. 4
Power Failure ......................................................................................................... 4
Shutting Down ................................................................................................. 4
After power is restored .................................................................................... 4
Failure During Operation ....................................................................................... 4
Power Turned Off .................................................................................................. 5
Quality Control Procedure ....................................................................................... 5
Start Daily QC ....................................................................................................... 5
Position the Spine Phantom ................................................................................... 5
System Test ............................................................................................................ 6
Auto QC Passed ..................................................................................................... 6
Auto QC Failed ...................................................................................................... 6
Patient Records .......................................................................................................... 7
Accessing Records ................................................................................................. 7
Retrieving a Patient Record ................................................................................... 8
Using the scroll bar .......................................................................................... 8
Using search criteria ........................................................................................ 8
Creating a Patient Record ...................................................................................... 9
Editing a Patient Record ........................................................................................ 9
Performing an Exam ............................................................................................... 10
Selecting a Patient ................................................................................................ 10
Choosing the Scan Type ...................................................................................... 10
Confirming Scan Parameters ............................................................................... 10
Performing a Scan ................................................................................................ 10
Analyzing a Scan ...................................................................................................... 11
Analysis Step Buttons .......................................................................................... 11
Global ROI (Region of Interest) .................................................................... 11
Bone Map ....................................................................................................... 11
Vertebral Lines (Spine) .................................................................................. 11
Neck (Hip) ..................................................................................................... 11
MID/UD (Forearm) ........................................................................................ 11
Regions (Whole Body) .................................................................................. 11
Vertebral Boundaries (Lateral Spine) ............................................................ 11
i
Vertebral Bodies (Lateral Spine) ................................................................... 11

Mid Regions (Lateral Spine) .......................................................................... 12
Results ............................................................................................................ 12
Toolboxes ............................................................................................................. 12
Global ROI Toolbox ...................................................................................... 12
Whole Mode ............................................................................................ 12
Line Mode ................................................................................................ 12
Point Mode ............................................................................................... 12
1/3 Distal (Forearm only) ........................................................................ 12
Bone Map Toolbox ........................................................................................ 12
Add Bone ................................................................................................. 12
Delete Bone .............................................................................................. 12
Lines Toolbox (Spine) ................................................................................... 13
Neck Toolbox (Hip) ....................................................................................... 13
Neck Box ................................................................................................. 13
Other Regions .......................................................................................... 13
Midline ..................................................................................................... 13
Wards Triangle ....................................................................................... 13
Trochanter ................................................................................................ 13
Auto Position ........................................................................................... 13
Brightness/Contrast Control ................................................................................ 13
AP Lumbar Spine Examination ............................................................................. 14
Positioning the Patient ......................................................................................... 14
Positioning the C-arm .......................................................................................... 15
Starting the AP Lumbar Spine Scan .................................................................... 15
Repositioning the Scan (if necessary) ............................................................ 17
Analyzing the Scan .............................................................................................. 18
One-Time Auto Analysis ........................................................................... 18
Exiting Analysis ................................................................................................... 18
Generating and Printing Reports .......................................................................... 18
Hip Examination ...................................................................................................... 19
Left Hip or Right Hip ..................................................................................... 21
Dual-Hip ........................................................................................................ 21
Starting the Hip Scan ........................................................................................... 22
Repositioning the scan (if necessary) ............................................................ 22
Repositioning the patient (if necessary) ......................................................... 23
Additional Steps for the Dual-Hip Scan ........................................................ 23
One-Time Auto Analysis ........................................................................... 24
Scans Other Than Dual-Hip ........................................................................... 24
Dual-Hip Scans .............................................................................................. 24
ii
Forearm Examination ............................................................................................. 25

Placing the Forearm Positioner ...................................................................... 26
Measuring the Patient's Forearm .................................................................... 27
Positioning the Forearm ....................................................................................... 28
Starting the Forearm Scan .................................................................................... 29
Repositioning the scan (if necessary) ............................................................ 29
Repositioning the patient (if necessary) ......................................................... 30
Entering the Forearm Length ......................................................................... 30
Defining the Global ROI ................................................................................ 31
Viewing the Bone Map .................................................................................. 31
Checking the MID/UD Region ...................................................................... 32
Viewing Results ................................................................................................... 33
Whole Body Examination ....................................................................................... 34
Starting the Whole Body Scan ............................................................................. 35
Defining Regions ........................................................................................... 35
Viewing Results ................................................................................................... 36
Decubitus Lateral Spine Examination ................................................................... 37
Performing and Analyzing the AP Scan .............................................................. 37
Positioning the Patient for the Decubitus Lateral Scan ...................................... 37
Positioning the C-arm for the Decubitus Lateral Scan ........................................ 39
Starting the Decubitus Lateral Scan ..................................................................... 40
Repositioning the Scan (if necessary) ............................................................ 41
Defining the Global ROI ................................................................................ 42
Adjusting the Vertebral Boundaries .............................................................. 43
Adjusting the Vertebral Bodies ...................................................................... 44
Viewing the Bone Map .................................................................................. 44
Viewing Results ................................................................................................... 45
Compare and Follow-up .......................................................................................... 46
Restoring a Baseline Scan .................................................................................... 46
Evaluating the Baseline Scan ............................................................................... 46
Re-analyzing the current scan ........................................................................ 47
Performing the Follow-Up Scan .......................................................................... 47
iii
Analyzing the Follow-up Scan ............................................................................ 47

Generating the Rate of Change Report ................................................................ 48
Reports ...................................................................................................................... 49
Using the Report Button ...................................................................................... 49
Editing Physician's Comment .............................................................................. 49
DICOM Report .................................................................................................... 50
Archiving Scans ........................................................................................................ 51
Formatting a Read/Write CD ............................................................................... 51
Removing a Read/Write CD ................................................................................ 51
Archiving Scans ................................................................................................... 51
Locating Scans .......................................................................................................... 53
Restoring Scans ........................................................................................................ 54
Copying Scans .......................................................................................................... 55
Running System Backup ......................................................................................... 56
Cleaning the System ................................................................................................. 57
Cleaning the Explorer and Computer Components ............................................. 57
Cleaning the Table Pad ........................................................................................ 57
Disinfecting the Table Pad ................................................................................... 57
Cleaning Accidental Spills ................................................................................... 57
Visual Inspection ...................................................................................................... 58
Adequate Clearance ............................................................................................. 58
Cables and Outlets ............................................................................................... 58
Table Pad ............................................................................................................. 58
DICOM ..................................................................................................................... 59
To Create and Send a DICOM report .................................................................. 59
Viewing a Scan's Details ................................................................................ 59
Entering the Accession Number and User Defined Entries ................................. 60
Previewing a DICOM Report .............................................................................. 61
Printing a DICOM Report .................................................................................... 61
Saving a DICOM Report ..................................................................................... 61
Sending a DICOM Report ................................................................................... 61
Sorting the Scan List ............................................................................................ 61
Viewing the Queue .............................................................................................. 61
Viewing a History of Sent Reports ................................................................ 61
Refreshing DICOM Reports in the Queue ..................................................... 62
Deleting a DICOM Report from the Queue ................................................... 62
Closing DICOM ................................................................................................... 62
Dose Area Product Meter ........................................................................................ 63
Turning the DAP Meter On and Off .................................................................... 63
Getting a DAP Meter Report ............................................................................... 63
iv
Utilities ...................................................................................................................... 64
System Configuration .......................................................................................... 64
Usage ................................................................................................................... 64
Database Tools ..................................................................................................... 64
Patient Management ...................................................................................... 64
Export ............................................................................................................. 64
Import ............................................................................................................. 64
Reconcile ....................................................................................................... 64
Callback List .................................................................................................. 64
Scan File Look ..................................................................................................... 65
Scan File Plot ....................................................................................................... 65
Emergency Motion .............................................................................................. 65
AP Reposition ...................................................................................................... 65
Factory Utilities ................................................................................................... 65
Service Utilities .................................................................................................... 65
Reference Curve Editor ....................................................................................... 65
Rebuild Archive Index ......................................................................................... 65
vi
Introduction
This guide describes the Explorer bone densitometer:
Features and Options
Feature
See page
AP Lumbar Spine
14
Hip and Dual-Hip
19
Option
See page
Forearm
25
Whole Body
34
Decubitus Lateral Spine
37
DICOM
59
DAP Meter
63
Support Materials
Discovery QDR Series User's Guide
Reference for system configuration, operation, technology, and
specifications.
QDR for Windows XP Online Help

Access on the main window, on most dialogs, or press F1.
Main Window
main work area
daily functions
filing cabinet
system functions
system messages
Power On
Step Action
1
Verify that the circuit breaker indicator is on.
Figure 1
Circuit Breaker
and Indicator
00132-001
help
Step Action
Note: For controls on the
computer, monitor and printer,
refer to their user guides.
On the operator console, turn the computer on. The

monitor and printer(s) should already be on.
The computer starts Windows XP.
Log on to the QDR.
Power Off
Step
Important: Do not turn off the

circuit breaker.
Action
From the main window, click Exit.
In the Exit QDR System dialog, select Exit QDR with

shutdown? and click OK.
Do not turn off the monitor or printer(s).
Emergency Procedures
Power Failure
Turn off all equipment. When the power returns, it may be unstable. Wait a few minutes before turning on the equipment.
Shutting Down
Step Action
Note: Refer to documentation that

came with the Explorer System for
controls and indicators on the
computer, monitor and printer.
If the Explorer was operating when the power failure

occurred, assist the patient from the table.
Turn off the computer.
Turn off the circuit breaker. In a power failure condition,

the green Indicator will be off.
After power is restored

Step Action
1
Wait a few minutes for power to stabilize, then turn on the

circuit breaker. The green indicator light goes on.
Perform the Power On procedure.
Failure During Operation

If the equipment malfunctions (e.g., X-Ray is on and C-arm is not
moving, etc.) perform the following procedure.
Step Action
Note: The power should not be

restored without consulting your
Hologic service representative.
On the Control Panel, press the red Emergency Stop

Button. The table and C-arm immediately stop moving,
and the X-rays and laser turn off.
Assist the patient off the table.
Turn off the circuit breaker.
Disconnect the power cord from the AC outlet (if

possible).
Call your Hologic service representative.
Power Turned Off

If the circuit breaker has been turned off (not due to equipment
failure), or the system has been unplugged from the wall outlet,
restore power as follows:
Step Action
Note: If the Explorer System
does not turn on, make sure that
the power cord is plugged into
the wall outlet. If it is, call your
Hologic service representative.
If necessary, place the power cord into the AC outlet.
Place the circuit breaker, on the left pedestal, in the 1 (on)

position. The green indicator goes on.
Perform the Power On procedure.
Quality Control Procedure

Start Daily QC
Note: You can also select Daily
QC from the QC drop down
menu in the main window.
Click Daily QC in the main window.
Position the Spine Phantom

Step
1
2
Note: Use the laser's horizontal
line to confirm that the phantom
is straight on the table
3
4
5
6
Action
Remove the spine phantom from its storage case.
Place the phantom on the table with the white dot to the
left (foot end).
Position the phantom parallel to the back of the table.
Align the dot with the laser cross-hair.
Verify that the laser cross-hair is centered on the white
dot.
Click Continue. The system performs a system test.
Figure 2
Spine Phantom Position
00132-002
System Test
The QDR system test verifies proper operation of the X-ray
subsystem before scanning the spine phantom. If the test
succeeds, Passed system test displays. If the test fails, perform
the steps described in the window to correct the error, and repeat
QC.
Auto QC Passed
Upon successful completion of the system test, the system runs
Auto QC and a window displays giving either a passed or failed
message.
When Auto QC passes, the message is Daily QC has passed.
Click OK to start patient scans.
Auto QC Failed
If Auto QC fails, the message is Daily QC failed and instructions
are provided. Follow the instructions to resolve the problem.
Patient Records
Explorer stores patient and scan information in a database called
the filing cabinet. The three types of records are:
Patient
Each patient has a record of biographical and insurance
information. Retrieve this record from the Patient Drawer
each time a patient returns for a scan.
Scan
Scan data for analyzed or unanalyzed scans, along with
information about scan characteristics and the patient, is
stored in the Scan Drawer of the QDR filing cabinet.
Analysis Reports
When a scan is analyzed, a report can be generated, saved
and retrieved.
Accessing Records
From the main window, you can access records in the filing
cabinet. The method you use depends on task type or where you
are during an exam:
To
Perform a
new scan
You need..
A patient
record
Retrieve from...
Patient Drawer by:
Clicking Perform
Exam in the main
window; or,
Clicking Patients in the
main window, selecting
the desired patient, and
dragging to the Perform
Exam button; or,
Choosing Exam, then
Perform Exam from
the menu bar at the top
of the main window.
To
Analyze a
previously
performed
scan
Look for a
scan that is
not stored on
the computer
You need..
Scan
results
An
archived
scan
Retrieve from...
Scan Drawer by:
Clicking Analyze Scan
in the main window; or,
Clicking Scans in the
main window and
dragging the desired
scan to the Analyze
Scan button at the
bottom of the main
window; or,
Choosing Exam, then
Analyze Scan from the
menu bar at the top of
the main window.
Main window by:
Clicking Locate Scans
Retrieving a Patient Record

Using the scroll bar
Step
1
2
Action
To move through the list of patients, click the up (or
down) arrow, or click in the vertical scroll bar area.
Click the patient's name to select.
Using search criteria

Step
1
2
3
4
5
6
Action
To search by last name, click the Patient Name heading.
An asterisk appears at the heading, and Patient Name
appears next to the Search Field text box.
Click in the Search Field text box.
Type the search criterion. The patient list displays names
that match the search criterion.
Click the patient's record to select it.
To search by another criterion, return to step 1 and click
another heading (for example, Patient ID).
Complete steps 2 through 4 for each search criterion, as
needed.
Creating a Patient Record

Step
1
2
3
4
Action
Click Patients in the main window to display the Patient
Drawer window with a list of patient records.
Click New Patient to display a new Patient window with
Biography and Insurance tabs at the top.
Click the Biography tab, enter the patient information and
click OK.
Click the Insurance tab, enter the patient information and
click OK.
Editing a Patient Record

Step
1
2
3
4
5
6
Action
Click Patients in the main window to display a list of
patients sorted alphabetically by last name.
Search for and select the patient's name.
Click Edit Patient to display the Patient window with
Biography and Insurance tabs.
Click the Biography tab and change information as
needed.
Click the Insurance tab and change information as
needed.
Click OK to return to the Patient Drawer window.
Performing an Exam
To perform an examination, click the Perform Exam button. The
Select a Patient for this Exam window displays.
Selecting a Patient
Step
1
2
3
Action
From the Select a Patient for this Exam window, create,
or retrieve, a patient record. Refer to Patient Records on
page 7, for procedures to create, or retrieve, a patient
record.
Click OK to display the Patient Confirmation window.
Confirm the patient information and click OK to display
the Select Scan Type window.
Choosing the Scan Type

Step
1
2
Action
From the Select Scan Type window, select the type of
exam to be performed.
Click Next >> to display the Scan Parameters window.
Confirming Scan Parameters

Verify the patient name and scan type, in the upper left corner of
the Scan Parameters window, are correct before starting the
scan.
Performing a Scan
For instructions on how to perform a specific scan type refer to
the appropriate section of this manual.
10
Analyzing a Scan
To analyze a scan use the analysis step buttons, toolbox and
brightness/contrast control found at the left side of the analysis
window.
Analysis Step Buttons

Each of the analysis step buttons is used to perform one step of
the analysis. To analyze a scan, click each button in order,
starting at the top button, and perform the operation required until
all steps are completed.
Global ROI (Region of Interest)

The defined boundaries of the image that is being analyzed. The
ROI appears on the image as a box.
Bone Map
An illustration, created by the system, of the area of bone defined
by the ROI. The map is superimposed, in yellow, on the image.
Vertebral Lines (Spine)

Used to mark the intervertebral spaces within the spine region of
interest.
Neck (Hip)
Allows positioning of the hip femoral neck box.
MID/UD (Forearm)
Allows positioning of the middle (MID) and ultra-distal (UD)
regions of the forearm.
Regions (Whole Body)

Used to define regions of interest on a whole body scan.
Vertebral Boundaries (Lateral Spine)

Used to identify the anterior boundary of the vertebral bodies, as
a dashed yellow line, on a lateral spine image.
Vertebral Bodies (Lateral Spine)

Used to identify the boundaries of the vertebral bodies, as boxes,
on a lateral spine image.
11
Mid Regions (Lateral Spine)

Used to adjust the regions in the middle of the vertebral bodies on
a lateral spine image (rarely necessary).
Results
Displays results of the analysis on the analysis window.
Toolboxes
Toolboxes provide the tools used at each step of the analysis.
Tools available depend upon on scan type being analyzed and
step button in use.
Global ROI Toolbox

Whole Mode
Allows the entire ROI box to be moved over the image. The box
is shown as dashed yellow lines.
Line Mode
Allows one line on the ROI box to be moved. Click any line to
select it. The active line is shown as yellow dashes.
Point Mode
Allows one point on the ROI box to be moved. Points are shown
on the box as plus signs. The active point is yellow.
1/3 Distal (Forearm only)

Used to adjust the size of the 1/3 distal region of the forearm
(rarely necessary).
Bone Map Toolbox

Add Bone
Used to connect outside edges on an incomplete bone map and fill
in the missing area (rarely necessary).
Delete Bone
Used to erase an area on the bone map (rarely necessary).
12
Lines Toolbox (Spine)

Used to mark the intervertebral spaces within the spine region of
interest.
Neck Toolbox (Hip)

Neck Box
Allows the neck box to be moved and/or resized (rarely necessary). The box is shown as dashed yellow lines.
Other Regions
Expands the Neck Toolbox to include Midline, Wards Triangle
and Trochanter tools.
Midline
Allows the midline to be moved or pivoted (rarely necessary).
Wards Triangle
Allows Wards Triangle to be adjusted (rarely necessary).
Trochanter
Allows the Trochanter area to be adjusted (rarely necessary).
Auto Position
Allows the system to automatically locate a region.
Brightness/Contrast Control
Used to adjust brightness and contrast of the image to obtain best
definition of anatomical features. Does not effect calculations.
13
AP Lumbar Spine Examination

Start the exam as described in Performing an Exam on page 10. In
the Select Scan Type window, select AP Lumbar Spine.
Positioning the Patient

A pillow may be used under the patient's head.
Figure 3
AP Lumbar Spine Positioning
00034-004
Step
1
2
4
5
14
Action
Lay the patient on his or her back with the head at the
right end of the table (see Figure 3).
Position the patient's body so the spine is straight on the
table pad. The patient's shoulders should be at the upper
scan limit line.
Verify that the patient's pelvis and shoulders are aligned
on the table pad and centered with the marks on the table
pad.
Press and hold Center Table on the control panel to
move the table and C-arm to the center.
Place the knee positioner under the patient's lower legs
and adjust it.
Step
Action
90
KP0886-0805
6
7
Place patient's arms in the most comfortable position,

either by the sides or over the head.
Instruct the patient to remain still and breathe normally.
Positioning the C-arm

Step
1
2
3
Action
Determine the position of the patient's iliac crest.
Press Laser on the control panel.
Use the Arm and Table controls on the control panel to
place the laser's cross hair 2.5-5 cm (1 to 2 inches) below
the iliac crest and centered at the patient's mid-line.
Starting the AP Lumbar Spine Scan

Note: If the control panel X-ray
indicator fails to shut off within
10 seconds after the end of the
scan, press the red Emergency
Stop button immediately. Call
your Hologic service
representative before resuming
operation.
Step
1
Action
Click Start Scan in the Scan Parameters window. The
scan window displays and the X-rays On indicator
flashes until the scan stops.
15
Step
2
Action
Inspect the image.
KP0886-0806
When you see the ribs attached to T12 on the image, click
Stop Scan.
After you acquire an acceptable image, the Exit Exam window
displays.
16
Repositioning the Scan (if necessary)

Step Action
Note: You can also use the scroll
bars to reposition the image.
Click Reposition Scan before the scan is completed.
Position the cursor over the spine image. It changes to a

hand.
[A]
[B]
00034-005
Note: The scan can be

repositioned a maximum of 1 inch
(2.54 cm.) towards the foot end of
the table and any dstance towards
the head end.
To reposition the spine click and drag the image so that:
The center of the lumbar spine is aligned with the

blue vertical positioning line [A].
The iliac crest is at or below the blue horizontal

positioning line [B].
When the spine is positioned correctly, click Restart Scan

to display the Scan Parameters window.
Click Start Scan. The scan window displays with a

flashing X-rays On message.
When you see the ribs attached to T12 on the image, click
Stop Scan.
17
Analyzing the Scan

Step
1
2
Action
From the Exit Exam window, click Analyze Scan to
display the Analyze Setup window.
Click Next >> to display the Analysis window.
One-Time Auto Analysis

Note: If Auto-Analysis is
unsatisfactory, perform a
manual analysis (see Figure 4
for correct analysis).
After the analysis method is selected, the system performs a scan

analysis. During analysis, no operator interaction is allowed.
When auto-analysis is complete, results are displayed.
Figure 4
AP Lumbar Spine Analysis
00034-018
Exiting Analysis
Click Close. The Exit Analysis window displays. To select a
report type to print, click Report in the Exit Analysis window.
Generating and Printing Reports

See Reports on page 49.
18
Hip Examination
the Select Scan Type window, select Left Hip, Right Hip or
Dual-Hip.

Use the hip positioner supplied by Hologic. This positioner maintains the correct femur position to align the hip and holds the foot
firmly in place. A pillow can be used under the patient's head.
Figure 5
Left Hip Positioning
00034-006
19
Figure 6
Right Hip Positioning
00034-007
Step
1
2
3
4
Rotate the entire leg (on the side to be scanned) 25o

inward and place the medial edge of the foot against the
positioner. The foot should be flexed toward the ceiling
(see Figure 5 and Figure 6).
Adjust the Velcro strap to hold the foot in the correct

position.
Align the femur parallel to the table edge to provide
adequate space for the neck box. To ensure the femur is
parallel with the table edge, you can offset the hip
positioner while keeping it parallel with the front edge of
the table pad. Abduct the leg from the midline of the body
to straighten the femur.
20
Action
right end of the table (see Figure 5 and Figure 6).
move the table and C-arm to the center.
Place the hip positioner under the patient's legs, and align
its center with the patient's midline.

Left Hip or Right Hip
Tips: To identify the greater
trochanter:
Place your thumb on

the iliac crest and
spread your fingers.
Direct your little finger
toward the knee. The
greater trochanter is
located under your
little finger.
Palpate for the
symphysis pubis. The
greater trochanter is at
the same level.
Step
1
2
Action
Press Laser on the control panel. The laser cross hair
indicators appear on the table pad.
Use the Arm and Table controls on the control panel to
place the laser's cross hair 7.6 cm (3 inches) below the
greater trochanter and 2.5 cm (1 inch) medial to the shaft
of the femur.
Dual-Hip
Step
1
Note: For Dual-Hip, the left hip

is always scanned first.
2
3
4
5
6
Action
Turn on the laser and position the C-arm over the patient's
midline.
Click Continue.
Palpate the patient's left leg to identify the greater
trochanter (see Tips above).
Use the Arm and Table controls to place the laser's cross
hair 7.6 cm (3 inches) below the greater trochanter and
2.5 cm (1 inch) medial to the shaft of the femur.
Click Continue.
21
Starting the Hip Scan

operation.
Step
1
Action
Inspect the image as it is generated.
If the hip is positioned correctly, allow the scan to
complete. The Exit Exam window displays.
If the hip is not positioned correctly, click
Reposition Scan. The scan stops for
repositioning.
Repositioning the scan (if necessary)
Note: You can use the scroll bars

to reposition the image.
Step
1
2
Action
Position the cursor over the hip image. It changes to a
hand.
[A]
[B]
[C]
00034-008

repositioned a maximum of 1
inch (2.54 cm.) towards the foot
end of the table and any dstance
towards the head end.
4
5
22
To position the hip, click and drag the image to the

intersection of the two blue positioning lines so:
The vertical positioning line [A] touches the outer
edge of the Greater Trochanter [B]
The horizontal positioning line [C] is centered on
the Greater Trochanter [B]
When the hip is positioned correctly, click Restart Scan
Repositioning the patient (if necessary)

Step
1
2
3
operation.
4
5
Action
If the femoral shaft is not straight and parallel to the edge
of the scan image, move the patient's leg away from or
toward the midline.
When the hip is positioned correctly, click Restart Scan
Evaluate the image as it displays. If the image is
satisfactory, allow the scan to complete. When the scan
completes, the Exit Exam window displays.
Additional Steps for the Dual-Hip Scan

In a Dual-Hip scan, the scanner moves to the right hip after
finishing the scan of the left hip.
Step
1
2
3
4
5
6
Action
Move the Velcro strap from the left side to the right side
of the positioner.
Align the patient's hip, leg, and foot as you did for the left
hip scan.
Fasten the patient's foot to the foot positioner.
Turn the laser on. Check that the laser is positioned
properly over the patient's right hip.
Click Continue.
Verify that the right hip scan is acceptable. If it is not,
reposition the image or patient and rescan.
Analyzing the Scan

Step
1
2
Action
23
One-Time Auto Analysis

Note: If Auto-Analysis is
unsatisfactory, perform a
manual analysis (see Figure 7
for correct analysis).
After the analysis method is selected, the system performs a scan

analysis. During analysis, no operator interaction is allowed.
When auto-analysis is complete, results are displayed.
Figure 7
Left Hip Analysis
00034-019
Exiting Analysis
Scans Other Than Dual-Hip
Dual-Hip Scans
After analysis of the right hip, click Close. The Exit Analysis
window displays. To analyze the left hip, click Analyze Another
Scan.

24
Forearm Examination
Note: Forearm Examination is an
option on Explorer.

the Select Scan Type window, select Left Forearm or Right
Forearm.

A Left Forearm scan extends from the mid-forearm to the first
row of carpal bones.
Figure 8
Left Forearm Positioning
00034-009
Figure 9
Left Arm in Position for Scan
00034-010
25
A Right Forearm scan extends from the first row of carpal bones
to the mid-forearm.
Figure 10
Right Forearm Positioning
00034-011
Figure 11
Right Arm in Position for Scan
00034-012
Placing the Forearm Positioner

Step
1
26
Action
move the C-arm to the center of the table.
Step
2
3
4
Action
Press Laser on the control panel to display the laser
cross-hair indicators on the table pad.
Place the positioner on the table with the padded lip
hanging over the table's front edge.
Align the laser's horizontal line with the gray stripe on the
positioner label.
Measuring the Patient's Forearm

Measure and record the length of the patient's forearm in
centimeters. During analysis, the system uses this measurement to
determine the length of the global ROI
Figure 12
Measuring the Left Forearm
A
00034-013
.
Step
1
2
3
Action
Place a chair that has no wheels, arms or cushions, in
front of the table.
For Left Forearm Scan patient faces the table's right
(head end)
For Right Forearm Scan patient faces the table's left
(foot end)
Place elbow on the flat surface of the forearm positioner,
holding the forearm vertical (see Figure 12).
Place a ruler on the flat surface of the positioner and
measure up to the ulna styloid [A] in centimeters. Record
the measurement.
27
Positioning the Forearm

Step
1
2
3
Action
Place the base of the patient's thumb 1.3 cm (0.5 inch)
inside the positioner scan edge opening.
Instruct the patient to lean into the positioner so the rib
cage rests against the foam padding.
Check arm position:
The entire length of the patient's forearm and
hand must make contact with the positioner back
edge.
The patient must cup his or her palm over the
palm mouse to flatten the wrist.
The elbow must bend at a 105o angle.

Step
1
2
Action
Press Laser on the control panel.
Use the Arm controls on the control panel to place the
cross hair of the laser at the positioner gray stripe and
centered between the radius and ulna.
Verify the starting points:

Left Forearm Scan: Starts at mid-forearm. The
first row of carpal bones is within 15 cm (6
inches) of the starting point (see Figure 8).
Right Forearm Scan: Starts at the first row of
carpal bones (see Figure 10).
28
Starting the Forearm Scan

operation.
Step
1
3
4
Action
Inspect the image.
The radius and ulna must appear straight and
centered.
The image shows at least the first row of carpal
bones near the bottom for a right forearm scan, or
near the top for a left forearm scan.
The ulna side contains at least enough air to equal
the ulna's shaft width.
If the image is not acceptable, click Reposition Scan.
If the image is acceptable, allow the scanning to
complete. The Exit Exam window displays.
Repositioning the scan (if necessary)
Note: You can use the scroll bars

to reposition the image.
Step
1
2
Action
Position the cursor over the forearm image.
KP0886-1008
29

repositioned a maximum of 1
inch (2.54 cm.) towards the foot
end of the table and any dstance
Step
3
4
5
Action
To position the forearm:
Move the first row of carpal bones within the
horizontal blue positioning line and the outer limit
of the scan field.
The radius and the ulna should be parallel
between the two blue vertical positioning lines.
When the forearm is positioned correctly, click Restart
Scan to display the Scan Parameters window.
Repositioning the patient (if necessary)

Note: The patient's forearm can
be moved to include or exclude
more of the carpal bones.
Step
1
2
3
4
Action
If the forearm is not straight, adjust it so that it presses
against the back of the positioner.
When the forearm is positioned correctly, click Restart
Scan to display the Scan Parameters window.
Click Start Scan. The scan window displays and the Xrays On indicator flashes until the scan stops.
Evaluate the image as it displays. If the image is
satisfactory, allow the scan to complete. When the scan
completes, the Exit Exam window displays.
Analyzing the Scan

Note: For descriptions of
Analysis Step Buttons and
Toolboxes see Analyzing a Scan
on page 11.
Step
1
2
Action
Entering the Forearm Length

Note: The forearm length must
be between 12.0 and 42.0
centimeters. If you enter a value
outside this range, a message
prompts you to enter the correct
value.
30
Step
1
2
Action
Click Length. The Forearm length text box appears in the
Length Toolbox.
Enter the length in centimeters.
Defining the Global ROI

Step
1
2
Action
Click Global ROI.
Using the Whole Mode and Line Mode tools, adjust the
ROI as shown in Figure 13.
Figure 13
Forearm ROI
KP0886-1014
Viewing the Bone Map

Step
1
2
Action
Click Bone Map.
In most cases it will not be necessary to edit the bone
map. If it is required, use the toolbox tools to edit the
bone map as shown in Figure 14.
31
Figure 14
Forearm Bone Map
Checking the MID/UD Region

Step
1
2
32
Action
Click MID/UD.
In most cases it will not be necessary to adjust the MID/
UD region or reposition the ulna/radius divider. If it is
required, use the toolbox tools to adjust as shown in
Figure 15.
Figure 15
Forearm MID/UD
Viewing Results
Step
1
2
Action
Click Results.
Click Radius + Ulna Results to display combined radius
and ulna results.
Exiting Analysis

33
Whole Body Examination

Note: Whole Body Examination is
an option on Explorer.

the Select Scan Type window, select Whole Body.

Figure 16
Whole Body Positioning
Step
1
34
Action
right end of the table. Instruct the patient to look at the
ceiling to maintain head position.
Check the patient's position on the table pad ensuring
that:
Body is straight on the table pad using the head
and foot center lines of the pad as the gauge.
Body, including feet, is positioned entirely within
the scan limit border line.
Arms are at sides, palms down, separated from
thighs, and within the scan limit border.
For very large patients the hands should be placed
on edge.
Step
3
4
Action
Rotate the patient's legs inward 25o until the toes touch,
then tape around the feet to maintain position.
Starting the Whole Body Scan

operation.
Step
1
Action
Make sure the patient's arms are included in the scan on
the C-arm's first and last pass. The patient should remain
still until the scan is complete.
Allow the scan to complete. The Exit Exam window
displays.
Analyzing the Scan

Step
Action

on page 11.

Note: Pediatric Whole Body is

used to analyze scans acquired
on a child between the ages of 4
and 12.
From the drop down menu, select the method of analysis

appropriate for the age of the patient (either Whole Body
Fan Beam or Pediatric Whole Body).
Defining Regions
The regions are predefined as a template overlay that can be
adjusted to match the patient's anatomy. Using Whole Mode,
Line Mode and Point Mode tools, adjust the regions as shown in
Figure 17.
35
Figure 17
Whole Body Regions
Viewing Results
Click Results. Results appear in the Analysis window.
Exiting Analysis

36
Decubitus Lateral Spine Examination

Note: Decubitus Lateral Spine
Examination is an option on
Explorer.

the Select Scan Type window, select AP/Decubitus.
Performing and Analyzing the AP Scan

The AP part of the decubitus lateral spine scan is performed the
same as an AP lumbar spine scan. Refer to AP Lumbar Spine
Examination on page 14 and follow the procedure until the AP
analysis is complete.
Positioning the Patient for the Decubitus Lateral Scan

Step
1
Action
Place the head rest on the right end of the table. The left
edge of the head rest should just touch the right edge of
the scan area (marked on the table pad). The tall side of
the head rest should be toward the back of the scanner.
For smaller shoulders reverse the head rest.
Place the patient on their right side with their head on the
head rest.
Figure 18
Spine Position
KP911-002
37
Figure 19
Patient Position
00132-003
Figure 20
Head Position
KP911-004
Step
3
4
38
Action
Check to see that top of the shoulders are within the scan
area.
Check to see that the patient's back is parallel to the front
edge of the scanner and that the midcoronal plane is near
the center of the table.
Flex the patient's knees about 90 degrees. Flex the hips
enough so that the patient does not have a tendency to roll
over.
Figure 21
Arm Positions
KP911-005
Note: Proper arm placement

gives a clear projection of the
vertebral distal to the level of the
scapulo-humeral joints.
Drawing the arms forward or
extending them to more than a
right angle position carries the
scapulae forward where they
superimpose the upper thoracic
vertebrae.
10
11
Place the Lumbar Rest under the patient's waist. Most

patients (especially thin or with large hips) need the
lumbar rest tucked under the waist to keep the vertebral
column in the horizontal plane.
Place the Knee Rest between the patient's knees. Make
sure the patient's legs are perfectly superimposed to
prevent pelvis rotation.
Place another piece of foam (knee/ankle rest) between the
ankles. Use any combination of foam pieces between the
knees and ankles to make the patient comfortable.
Position the patient's left upper arm parallel to the long
axis of the body (Figure 21). Then place the patient's left
forearm on the forearm rest portion of the head rest.
Position the patient's right arm perpendicular to the long
axis of the body (Figure 21). Then position the right
forearm perpendicular to the table. The patient may use
their right hand to hold their left elbow. The patient may
also lay their right forearm along the head rest if this is
more comfortable.
Adjust the body to a true lateral position. Be certain that
the midcoronal plane passing through the hips and
shoulders is perpendicular to the table, and that the
vertebral column is horizontal.
Positioning the C-arm for the Decubitus Lateral Scan

Step
1
2
3
4
5
Action
Move the C-arm to the proximity of the patient's spine.
Turn on the laser.
Position the cross hairs of the laser 5 cm (2 inches) below
the iliac crest and centered over the spine.
Move the laser cross hairs 2.5 cm (1 inch) toward the
back of the patient.
Click Continue.
39
Starting the Decubitus Lateral Scan

Figure 22
Decubitus Lateral Positioning

operation.
40
Step
1
Action
Step
2
3
4
Action
Inspect the image.
When you see L2 to L4 fully displayed, click Stop Scan.

Upon completion of an acceptable lateral image, assist
the patient off the table.
Repositioning the Scan (if necessary)

If the scan is positioned correctly (see Figure 22) it will not be
necessary to reposition. If it needs to be repositioned, follow the
procedure below.
Repositioning the patient

If the spine is not straight, rotate the patient's upper torso
either left or right to straighten the spine.
Repositioning the image

If the image starts too far above or below L5, or is not
centered, move the image up, down, left, or right using the
scroll bars or cursor hand to reposition the scan for the
correct starting point.
Step
1
Action
41
Step
2
Action
Position the cursor over the spine image. It changes to a
hand.
[B]
[A]
KP911-095
Note: The scan can be repositioned a maximum of 1 inch

(2.54 cm.) towards the foot end
of the table and any dstance
To reposition:
Click and drag the image so that the iliac crest is

at or below the blue horizontal positioning line
[A] and within the lower portion of the scan field.
The center of the lumbar spine should be aligned
with the blue vertical positioning line [B].
When the spine is positioned correctly, click Restart
Scan and repeat the scan.
Analyzing the Scan

Step
on page 11.
1
2
Action
Defining the Global ROI

Step
1
2
42
Action
Click Global ROI.
Using the Whole Mode, Line Mode and Point Mode
tools, adjust the ROI as shown in Figure 23.
Figure 23
Lateral ROI
Adjusting the Vertebral Boundaries

Step
1
2
Action
Click Vertebral Boundaries and Ant. Boundary.
Using Line Mode and Point Mode tools, adjust the
Vertebral Boundaries as shown in Figure 24.
Figure 24
Vertebral Boundaries
43
Adjusting the Vertebral Bodies

Step
1
2
Action
Click Vertebral Bodies.
Using Whole Mode, Line Mode and Point Mode tools,
adjust the Vertebral Bodies as shown in Figure 25.
Step
1
2
Action
Click Bone Map.
In most cases it will not be necessary to edit the bone
map. If it is required, click Vertebral Bodies and readjust L2 or L3 so they are just inside the bone edges.
Figure 25
Vertebral Bodies
Viewing the Bone Map
44
Figure 26
Lateral Bone Map
Viewing Results
Click Results. Results appear in the Analysis window.
Exiting Analysis

45
Compare and Follow-up

Comparing the current scan to a baseline scan lets you determine
the BMD rate of change over time. The baseline scan is usually
the first scan acquired for the patient.
Restoring a Baseline Scan

Note: Hologic recommends that
you start the workday by
locating and restoring the
baseline scans for all follow-up
patients scheduled for that day.
Before acquiring a new scan, restore the patient's baseline scan.

The patient's baseline scan is either on the computer's hard drive
or has been archived onto other media.
Use the method below if the baseline scan is on the hard drive.
If the baseline scan is not on the hard drive, locate and restore the
archived scan (see Locating Scans on page 53 and Restoring
Scans on page 54).
Step
1
2
3
Note: Unlike previous software
versions, the follow-up scan can
be done using a different scan
mode than the baseline scan
.
4
5
Note: Do not change the

analysis method in the Analyze
Setup window.
Action
Click Analyze Scan in the main window. The system
displays the Select a scan to analyze window with three
tabs: Unanalyzed Scans, Analyzed Scans and All Scans.
Click the Analyzed Scans tab to display a list of scans
sorted alphabetically by patient last name.
Locate the patient's name on the list by:
Entering the patient's name (last name, comma,
space, first name, space, middle initial) until the
patient's scans appear.
Using the scroll bars.
Click the scan with the oldest date (the baseline scan) to
highlight it.
Click Next >> on the Select a scan to analyze window.
The Analyze Setup window displays.
Click Next >> to display the Analysis window with the
baseline scan image.
Evaluating the Baseline Scan

The objectives when evaluating the patient's baseline scan are to:
46
Ensure that patient positioning in the baseline scan is

duplicated as closely as possible in the follow-up scan.
Even minor changes can affect precision of the BMD
measurements.
Ensure that the baseline scan is analyzed correctly. If it is

not, re-analyze and archive the baseline scan and all
subsequent scans.
Re-analyzing the current scan

Step
1
2
3
Action
Click the appropriate analysis step button and modify.
Repeat for each subsequent analysis step button, ending
with the Results button.
Click Close.
Performing the Follow-Up Scan

For the procedure to perform the follow-up scan refer to the following:
Scan
AP Lumbar
Hip
Forearm
Whole Body
Decubitus
Lateral
Page
14
19
25
34
37
Analyzing the Follow-up Scan

Step
1
2
5
6
Action
Click Analyze Scan. The Analyze Setup window
displays.
Click Compare to Previously Analyzed Scan. A list of
scans for the patient appears in the window with the
oldest scan highlighted. The oldest scan should be the
baseline scan; if it is not, click and highlight the baseline
scan.
Click Next >> to display the Analysis window with the
baseline scan on the right and the follow-up scan on the
left.
Use the Analysis Step Buttons and Toolbox tools to
analyze the follow-up scan. Match the analysis of the
follow-up scan to the baseline scan.
When the follow-up analysis is complete, click Results.
The follow-up scan results replace the baseline scan.
Click Close.
47
Generating the Rate of Change Report

After you perform the compare analysis, the Exit Analysis window displays.
Note: If the regions for prior
scans, to be included in the Rate
of Change report, do not exactly
match but partially match the
current scan, then a report is
generated for only those regions
that match.
48
Step
1
2
3
4
5
Action
Click Report in the Exit Analysis window. The Print
window displays.
Check the Rate of Change check box.
Select the number of copies to be printed in the box to the
right of the Rate of Change check box.
Edit the physician's comments, if desired.
Click Print to print the rate of change report with the
default filing report (Filing check box).
Reports
After you complete analysis of a scan, the Exit Analysis window
displays the Report button. Clicking it displays the Print window, from which you can print one or more reports.
Using the Report Button

From the main window, use Report to retrieve a specific scan and
print a report. Clicking Report and selecting the patient's name
displays a list of analyzed scans.
Step
1
2
Note: Select multiple scans by

holding down the Ctrl key while
clicking each scan.
4
5
6
7
8
9
Action
Click Report in the main window to display a list of
patient records, sorted alphabetically by last name.
Click the name of the patient, then click Next >> to
display a list of all scans located on the hard drive for the
selected patient. The most recent scan appears first.
Click the scans for which reports are to be printed, then
click Next >>. The system displays the Print window
with the patient's name and ID at the top.
Choose the types of reports by clicking the box next to
the report type. A check mark appears.
For each report type selected, choose the number of
copies to print.
For comments on the printed report, click Edit physician
comment...
Click Preview... to preview the report before printing.
Click Configure... to change report settings.
Click either:
Print... to print the report;
<< Back to return to the previous window; or
Cancel to cancel without printing.
Editing Physician's Comment

Step
1
Action
In the Print window, click Edit physician comment... to
display the Edit physician's comment window with
information and results for the selected scans.
49
Note: New comments are not

added to the list of predefined
comments.
Step
2
Action
To select from the list of predefined comments,
click the down arrow ( ) in the Physician's
Comment text box and click the comment to
include.
To enter a new comment, click in the Physician's
Comment text box.
Click:
Update to update the scan with the new
comment; or
Close to exit the window without changing the
comment.
DICOM Report
Refer to Printing a DICOM Report on page 61.
50
Archiving Scans
Archive transfers a copy of selected scans to removable media, or
to a directory on a computer network.
Formatting a Read/Write CD
Warning: To ensure the integrity
of the data on a read/write CD,
the CD must be formatted the
first time it is used.
For information on formatting a CD refer to the manual that

came with the CD R/W.
Removing a Read/Write CD
Step
Note: The CD will not eject by
pressing the button on the CD
R/W.
Action
Minimize QDR for Windows XP by pressing the

minimize button on the main screen.
Start Explorer.
Right click on the icon for the CD R/W. A menu displays.
Click Eject. The CD tray opens in 1 to 2 minutes.
Archiving Scans
Step
1
Note: If you use removable
media that has never been used
for archiving scans, the Label
field is blank.
Note: Format new media before

archive.
Note: After a scan has been

archived, it appears on the
Archived Once tab, even if
archived again to a secondary
location.
Action
Click Archive Scans in the main window to display the
Archive Selected Scan(s) window.
Determine whether the path shown in the Archive
Location field at the top of the window is correct. To
change the archive location:
Click the Path down arrow to display available
archive locations.
Click the desired location.
The selected location appears in the drop down box and
the associated label appears in the Label field.
Click:
Unarchived to display unarchived scans.
Archived Once to display scans that have been
archived at least once.
All Scans to display unarchived and archived
scans.
51
Step
4
Action
To select the scans to be archived:
Click Select All to select all scans on the list.
Locate the scans by:
Using the scroll bars to view them; or
correct scans appear.
Note: To deselect individual

scans, press and hold down the
Ctrl key, then click the scans to
be deselected. Use Deselect All
to deselect all selected scans.
Note: The system notifies you if
no archive media is installed in
the archive location, or a
network location is not
accessible.
7
8
52
Press and hold down the Ctrl key while clicking

each scan to select multiple scans not adjacent to
each other.
Click the first scan in the range, press and hold
down the Shift key, then click the last scan in the
range to select a range of adjacent scans.
The selected scans are highlighted (white text on blue
background).
Click Archive Scans.
If you use removable media that has never been used for
archiving scans, the system prompts you to manually
record on the media label the archive label name assigned
by the system.
The Scan Transfer in Progress window displays while
the selected scans are duplicated and transferred to the
specified archive location.
To stop the transfer, click Cancel Transfer. Archiving of
the scan being transferred is canceled, and all other
pending transfers are canceled. Scan transfers completed
prior to cancellation are not affected.
When the Transfer Results window displays, click OK.
Hologic recommends an immediate second archive of the
same scans to another cartridge or disk. This second
archive protects from loss of scans in the event of damage
to the first cartridge or disk.
Locating Scans
Step
1
Note: To view the patient's
biographical information, click
Details in the upper right corner
of the window.
Note: You should always select

scans to restore from the
Primary Archive tab, the
Secondary Archive tab can be
used if you cannot restore scans
from the Primary Archive tab.

scans that have been selected,
depress and hold down the Ctrl
key, then click on the scans to be
deselected. Use the Deselect All
button to deselect all selected
scans.
5
6
Note. If you cannot restore scans
from the Primary Archive media
screen, contact your Hologic
service representative before
using the Secondary Archive
media.
Action
Click Locate Scans in the main window. The Select
Patient for Scan Location window displays.
Find the name of the patient by:
Using the scroll bars to view patient names; or
Click the patient's name to select, then click Locate
Scans to display the Locate Selected Scan(s) window
with the patient's name and ID at the top.
The Primary Archive tab window will appear with a list
of scans for the selected patient.
The system displays a list of scans of the selected patient
that includes the Scan Date, Scan Type, Scan ID,
Analysis Date and Label (of the media) for each scan.
Select the scan(s) to be restored using one or more of the
following techniques:
Click Select All to select all the scans appearing
on the list.
Click on a single scan to select it.
To select multiple scans that are not adjacent to
each other, depress and hold down the Ctrl key
while clicking on each scan to be restored.
To select a range of adjacent scans, click on the
first scan in the range, depress and hold down the
Shift key, then click on the last scan in the range.
Selected scans display as white text on blue background.
Locate and place the cartridge or disk with the correct
Label into the disk drive.
Click Restore Scans.
If the list of selected scans includes scans on different
media, the system will prompt to insert that media.
The Scan Transfer in Progress window is displayed
while the selected scans are duplicated and transferred to
the system location.
To stop the transfer, click Cancel Transfer. Restoration
of the scan being transferred is canceled, and all other
53
Restoring Scans
Note: A new patient's scans
restored on the system should be
reviewed and archived onto the
system's media.
Step
1
Action
Click the Archive drop down menu on the main window,
then select Restore Scans to display the Restore
Selected Scan(s) window.
Determine whether the path shown in the Archive

Location field at the top of the window is correct. To
change the archive location:
archive locations. Click the desired location; or
Click Browse... and navigate to the directory that
contains the archived scans.
The selected location appears in the drop down box and
the associated label appears in the Label field.
To select the scans to be restored:

each other.
54

The selected scans are highlighted.
Click Restore Scans.
If the list of selected scans includes removable media
archive locations with different archive labels, the system
prompts you to insert specifically labeled archive media.
The Scan Transfer in Progress window displays while
the selected scans are duplicated and transferred to the
system location.
To stop the transfer, click Cancel Transfer. Restoration
of the scan being transferred is canceled, and all other
Copying Scans
Step
1
Note: The Unarchived tab is the

default.
Note: After a scan has been

archived, it appears on the
Archived Once tab, even if you
also archive it to a secondary
location.
Action
Click the Archive drop down menu on the main window,
then select Copy Scans to display the Copy Selected
Scan(s) window.
Determine whether the path shown in the Copy Location
field at the top of the window is correct. To change the
copy location:
copy locations. Click the desired location; or
Click Browse... and navigate to the directory to
which the scans will be copied.
Click:
Unarchived to display unarchived scans.
Archived Once to display scans that have been
archived at least once.
All Scans to display unarchived and archived
scans.
To select the scan(s) to be copied to the specified
location:

scans, press and hold down the
Ctrl key, then click the scans to
be deselected. Use Deselect All
to deselect all selected scans.
Note: The system will notify the

operator if there is no media
installed in the copy location, or
if a network location is not
accessible.

each other.
The selected scans are highlighted (white text on blue
background).
Click Copy Scans. The Scan Transfer in Progress
window displays while the selected scans are duplicated
and transferred to the system location.
55
Step
6
Action
To stop the transfer, click Cancel Transfer. Copying of
the scan being transferred is canceled, and all other
Running System Backup

System back up transfers a copy of the system database to removable media, or to a directory on a computer network.
Note: Refer to Formatting a

Read/Write CD on page 51 and
Removing a Read/Write CD on
page 51 for information about
CD R/W operation.
Note: Changing the backup

filename makes restoring the
correct file difficult.
56
Step
1
2
3
4
Action
Click System Backup on the main window to display the
QDR System Backup window.
Accept the default backup location, or change it by
deleting the current location and entering the new one, or
by clicking Browse and navigating to the desired
location.
Accept the default backup filename, or enter a different
one (not recommended).
Click OK.
Cleaning the System

Cleaning the Explorer and Computer Components
Step
1
2
3
Action
Turn off power at the main breaker.
Use a soft, damp cloth to wipe surfaces. If necessary, use
a mild detergent to remove dirt or debris.
Turn on power at the main breaker.
Cleaning the Table Pad

Note: Do not remove the cover
from the table pad to clean or
disinfect.
Note: If cleaning does not
produce satisfactory results,
contact your Hologic
representative to order a
replacement table pad.
Step
1
2
Action
Use a simple solution of neutral soap and lukewarm
water.
Let dry thoroughly before scanning.
Disinfecting the Table Pad

Note: Disinfectants applied at
full concentration, or in highly
concentrated solutions may
damage the fabric.
Step
1
Note: Do not use harsh

cleansers, solvents or detergents.
Action
Use a phenolic, or quaternary type disinfectant in the
concentration recommended by the manufacturer.
Idophor (i.e., iodine bearing) type disinfectants may
result in staining if these are not treated with a diluted (10
to 1) bleach solution within 20 minutes of application or
spillage.
Let dry thoroughly before scanning.
Cleaning Accidental Spills

Discourage the presence of liquids (coffee, water or soft drinks)
in the Explorer system's vicinity.
Note: Contact your Hologic
service representative if you
need assistance.
Note: Moisture on the table pad
can distort X-ray transmission
and produce erroneous analysis
results.
Step
1
2
3
Action
Wipe the spill immediately with a slightly dampened
sponge. If the spill penetrates the system's interior, turn
off power at the main breaker immediately.
Let the table pad dry thoroughly before scanning.
Turn on power at the main breaker when the unit is
thoroughly dry.
57
Visual Inspection
Periodically inspect the Explorer system for adequate clearance,
wear and tear and parts that need replacing.
Adequate Clearance
Warning: Obstructions can
constitute a hazard to the patient
and unit.
Check to make sure there is enough clearance around the unit so

all parts move freely.
Cables and Outlets

Warning: Overloading the
outlet strip can constitute a
hazard or damage equipment.
Make sure that only computer equipment and accessories

supplied by Hologic are connected to the outlet strip.
Check all cables for worn or damaged insulation. Cable position
should not constitute a hazard to the patient or operator. Contact
your Hologic service representative to replace worn or damaged
cables.
Table Pad
Note: A damaged or stained
table pad can distort X-ray
transmission and produce
erroneous analysis results.
58
Periodically inspect the table pad for damage, such as rips or

tears, and stains.
DICOM
The DICOM Report Option allows QDR for Windows XP users
to create, print and send DICOM reports.
Note: DICOM is an option on

Explorer.
To Create and Send a DICOM report

Step
1
2
3
4
5
6
Action
On the main window, click Report. The Select Patient
window displays.
Highlight the patient's name, then click Next>>. The
Select Scan(s) window displays.
Select the scans, then click Next>>. The Print window
displays.
Click DICOM/IVA report. The DICOM Report window displays.
Select the desired scans by clicking on each scan or use
the Select All button to select all of the scans.
Select the DICOM Report Type.
Single Analysis
Rate of Change Report
Click Send to transmit the report(s). The DICOM
Reports are placed in the Send Queue for transmission
over your network.
Viewing a Scan's Details

Scan Details allows you to view a scan's details and to enter or
edit certain patient biography fields.
Step
1
2
3
Action
Select the scan from the scan list on the DICOM Report
window.
Click Scan Details. The Scan Property dialog box displays.
Click the Details tab to view the patient biography information.
59
Step
4
Note: The HL7 fields are user

definable and provide additional information to identify a
patient and/or encounter.
5
6
7
Action
On the Details tab, edits are allowed on the following
fields:
Accession Number - 16 characters maximum
HL7 Field 1 - 64 characters maximum
Operator - 5 characters maximum
Height - 5 characters maximum
Weight - 5 characters maximum
Scan Comment - 100 characters maximum

Click the Identification tab to view the scan information.
Click OK to save edits made on the Details tab and close
the Scan Property dialog box.
To close the Scan Property dialog box without saving
changes, click Cancel.
Entering the Accession Number and User Defined Entries

The Accession number is uniquely associated with a patient visit,
and is typically generated by a Radiological Information System
(RIS) or a Hospital Information System (HIS).
Three user definable entries may be available for adding
information to the DICOM files Comments field. These entries
are not required and there is no restriction on their content.
Step
1
Note: The accession number for

a scan is listed in the scan list on
the DICOM Report window.
2
3
4
60
Action
Select a scan from the scan list on the DICOM Report
window.
Click Save As or Send.
If the selected scan does not have an accession number,
the Accession Number Entry dialog box displays.
Enter the accession number, then press Enter or click
OK. When the scan has the accession number, the
selected function will continue.
Click Cancel if the accession number is unknown or if it
is to be entered at a later time. However, the selected
function (Save As or Send) will not work unless the scan
has an accession number.
If prompted to add additional user defined entries, enter
and click OK for each dialog box.
Previewing a DICOM Report

The Preview button allows you to view the DICOM report before
you save or send it.
Printing a DICOM Report

The Print button on the DICOM Preview screen allows you to
print the DICOM report to the local default printer.
Saving a DICOM Report

The Save As button saves a DICOM report as a file to your
desired location.
Sending a DICOM Report

The Send Report button allows you to send the DICOM report to
your configured destination remote node(s).
Note: Multiple scan selections
are allowed for the Send
function.
Note: The same Accession
Number must be assigned to all
scans associated with this
patient's visit.
Step
1
Action
Select the scan(s) you want to send from the scan list on
the DICOM Report window.
2
3
Click Send.
For each selected scan, a DICOM report is generated,
placed in the queue and sent in the order it was placed in
the queue.
To view send status, see Viewing the Queue below.
Sorting the Scan List

The scan list consists of: Scan ID, Scan Date, Scan Type,
Analysis Date, and Accession Number. If the scan list contains
more than one scan, it may be sorted by any heading in either
ascending or descending order.
Viewing the Queue

The View Queue button allows you to view scans in the queue
waiting to be sent.
Viewing a History of Sent Reports

The View Log button on the View Queue dialog box allows you to
view a history of reports previously sent.
61
Refreshing DICOM Reports in the Queue

The Refresh button on the View Queue dialog box updates the
DICOM reports in the queue list box to reflect the current queue
status.
Deleting a DICOM Report from the Queue

The Delete button on the View Queue dialog box allows you to
delete a DICOM report from the queue.
Closing DICOM
The Cancel button and the <<Back button on the DICOM
Report window allow you to close the DICOM option.
62
Dose Area Product Meter

Note: Dose Area Product Meter is
an option on Explorer.
The Dose Area Product (DAP) Meter measures the amount of

radiation a patient receives during an examination. This is done in
software by multiplying the amount of radiation for the scan
mode (dose) by the time it takes to perform the examination. The
measurement is displayed when the examination is exited
Turning the DAP Meter On and Off

Step
1
2
3
Note: To deactivate DAP Meter,
remove the check mark.
Action
In the main window Menu bar, click Utilities.
In the drop-down list, click System Configuration. The
System Configuration window displays.
Select the System Tab and place a check mark in the
Report Dose Area Product box.
Click OK. Dose Area Product Meter is activated.
Getting a DAP Meter Report

The DAP Meter Report is automatically displayed when exiting
the examination or the analysis.
63
Utilities
Utilities are used to find, move, store and edit patient biographies,
patient scans and data, and system information. Click Utilities in
the main window Menu Bar to access Utilities.
System Configuration
Allows changing the configuration settings in functional areas of
the system. Click on the tab, for the function desired, and use
Help for information about settings.
Usage
Displays and prints billing information for leased systems. Click
Usage and use Help for information.
Database Tools
Allows movement of patient, reference and QC data to and from
other databases.
Patient Management
Allows patient and scan data to be erased. All scans listed for a
patient must be erased before the patient can be erased.
Export
Allows data to be moved into a new, or existing, database on
another system. Click Export and use Help for information.
Import
Allows data to be moved from another system into Explorer.
Click Import and use Help for information.
Reconcile
Compares the system database with the scan files in the system
directory and automatically corrects discrepancies.
Callback List
Provides a list of patients based upon selected Last Exam Date
and T-score values.Click Callback List and use Help for information.
64
Scan File Look

Lists records in the scan files. Click Scan File Look and use Help
for information.
Scan File Plot

Displays a plot of records in the scan files. Click Scan File Plot
and use Help for information.
Emergency Motion
Should only be used when directed to do so by an authorized
Hologic representative.
AP Reposition
Should only be used when directed to do so by an authorized
Hologic representative.
Factory Utilities
Hologic use only.
Service Utilities
Should only be used by an authorized Hologic representative.
Reference Curve Editor

Reference Curve Editor allows setup and management of custom
reference curves. Functions available under Reference Curve Editor include: View, New, Copy, Edit, Delete, Add Ethnicity and
Restore. Click the desired function and use Help for information.
Rebuild Archive Index

Rebuilds the archived scans index file. Use if unable to see scans
on archive media known to contain scans. Click Rebuild Archive
Index and use Help for information.
65
66

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EXPLORER QUICK REF

Caution: Federal (U.S.A.) law restricts this device to sale by or

Document No. MAN-00132 Revision 002

2003 by Hologic, Inc. All rights reserved.

Explorer and QDR for Windows are trademarks of Hologic, Inc.

Explorer Quick Reference Users Guide

Explorer Quick Reference Users Guide

Vertebral Bodies (Lateral Spine) ................................................................... 11

Explorer Quick Reference Users Guide

Forearm Examination ............................................................................................. 25

Explorer Quick Reference Users Guide

Analyzing the Follow-up Scan ............................................................................ 47

Explorer Quick Reference Users Guide

Explorer Quick Reference Users Guide

Explorer Quick Reference Users Guide

Features and Options

Hip and Dual-Hip

Decubitus Lateral Spine

QDR for Windows XP Online Help

Explorer Quick Reference Users Guide

Verify that the circuit breaker indicator is on.

Explorer Quick Reference Users Guide

On the operator console, turn the computer on. The

Log on to the QDR.

Important: Do not turn off the

From the main window, click Exit.

In the Exit QDR System dialog, select Exit QDR with

Explorer Quick Reference Users Guide

Note: Refer to documentation that

If the Explorer was operating when the power failure

Turn off the computer.

Turn off the circuit breaker. In a power failure condition,

After power is restored

Wait a few minutes for power to stabilize, then turn on the

Perform the Power On procedure.

Failure During Operation

Note: The power should not be

On the Control Panel, press the red Emergency Stop

Assist the patient off the table.

Turn off the circuit breaker.

Disconnect the power cord from the AC outlet (if

Call your Hologic service representative.

Explorer Quick Reference Users Guide

Power Turned Off

If necessary, place the power cord into the AC outlet.

Place the circuit breaker, on the left pedestal, in the 1 (on)

Perform the Power On procedure.

Quality Control Procedure

Click Daily QC in the main window.

Position the Spine Phantom

Explorer Quick Reference Users Guide

Explorer Quick Reference Users Guide

Explorer Quick Reference Users Guide

Retrieving a Patient Record

Using search criteria

Explorer Quick Reference Users Guide

Creating a Patient Record

Editing a Patient Record

Explorer Quick Reference Users Guide

Choosing the Scan Type

Confirming Scan Parameters

Explorer Quick Reference Users Guide