bk ultrasound E14CL4b, User Manual

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12 September 2015 E14CL4b User Guide (16-01277-EN-02)
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Figure 6. Illustration of the puncture lines for puncture attachment UA1232.
Prostate Volume Determination
Refer to the system user guide for instructions on how to carry out a prostate
volume determination, and the best procedure to use.
Radioactive Source Implantation
E14CL4b can be used with the CMS Accuseed
TM
Brachystepper System and
with CIVCO AccuCare stepper units for radioactive seed implantation.
Please consult the appropriate stepper documentation for instructions on Source
Implantation, including Preplanning, Needle Loading and Implantation.
E14CL4b should be prepared for transrectal imaging and biopsy as described
earlier in this guide, and mounted and ’’locked’’ in the stepping unit.
The volume study of the prostate is performed, the radiation dose planned and
the needles loaded
.
To superimpose the source matrix on to the monitor, refer to the system user
guide for further details.
Before starting source implantation, anchor the prostate to the matrix using
thread or needles to prevent it moving during needle placement.
Always place the needles individually, starting at the top of the matrix
according to the predetermined sequence.
Using a transverse view of the prostate, advance the needle. Change to the
sagittal plane to find the position of the needle on the screen and monitor it
during insertion.
WARNING B-w5
Always place the cradle in the ’’locked’’ position before seed implantation. When the cradle
is in this position, the matrix on the stepping unit corresponds with the matrix puncture
pattern in the transverse plane on the scanner’s monitor.