Siemens Prisma 3T MRI Scanner User Guide: Revision Date: 9/2/2022
Siemens Prisma 3T MRI Scanner User Guide: Revision Date: 9/2/2022
•
Resolution ............................................................................................................. 25
•
Wrong Coil Protocol Fixed Warning Messages ................................................... 25
Prisma VE11C Software Bugs ................................................................................................... 26
• AutoAlign Re-Run Failure.................................................................................... 26
• AP/PA Copy Reference Issue ............................................................................... 27
• Reconstruction Error (aka Blob error) .................................................................. 27
Prisma VE11C Scanner Warnings/Messages/Errors .............................................................. 28
• Adjustment Measurement Was Aborted ............................................................... 28
• Gradient Power Amplifier Warning...................................................................... 28
• Participant Registration Errors .............................................................................. 30
Preparation Scans (aka dummy time)....................................................................................... 31
• Preparation Scans (dummy time) for CMRR/HCP Multiband Sequences ........... 31
• Preparation Scans (dummy time) for Regular BOLD Sequences ......................... 31
• Slice Timing for BOLD Sequences and other BOLD Questions ......................... 31
• How to Manually Trigger Stimuli......................................................................... 32
Current Designs Button Box and Trigger Setup (FORP 932) ................................................ 33
• Device Selection ................................................................................................... 33
• Response Settings ................................................................................................. 33
• Troubleshooting .................................................................................................... 34
Siemens Talk Box Setup ............................................................................................................. 37
Optoacoustics Headphone and Microphone Setup .................................................................. 38
• Positioning the Participant .................................................................................... 38
• Setting up the Opto Console ................................................................................. 38
• Using Active Noise Cancellation .......................................................................... 39
• Troubleshooting Tips ............................................................................................ 40
BOLDScreen LCD ...................................................................................................................... 42
• Specifications ........................................................................................................ 42
• Turning on the LCD .............................................................................................. 42
• Positioning the Participant .................................................................................... 42
• Troubleshooting Tips ............................................................................................ 43
How to use E-Prime with the Desktop Computer and LCD ................................................... 44
• Duplicate/Mirrored Display with E-Prime............................................................ 44
• Extended Display with E-Prime............................................................................ 44
• Switching from Extended Display to Duplicate/Mirrored Display ...................... 44
Siemens Physiological Device Setup .......................................................................................... 45
• ECG/Respiratory Setup ......................................................................................... 45
• Pulse Setup ............................................................................................................ 45
How to Use FIRMM to Monitor Motion during BOLD scans................................................ 46
• Quick Overview .................................................................................................... 46
• Setup the Scanner Console.................................................................................... 46
• Setup the Computer to View FIRMM .................................................................. 46
• Using FIRMM ....................................................................................................... 47
• HCP Guidelines (see full HCP SOP for more details) .......................................... 48
• After the Scan is Complete ................................................................................... 48
How to Use the MR Camera ...................................................................................................... 49
• Quick Overview .................................................................................................... 49
Revision Date: 9/2/2022
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Equipment ............................................................................................................. 49
•
Camera Setup ........................................................................................................ 49
•
Participant Setup ................................................................................................... 50
•
Camera Cleanup .................................................................................................... 50
•
Troubleshooting Tips ............................................................................................ 50
Equipment Manuals.................................................................................................................... 51
• Current Designs Button Box and Trigger Manual - Forp 932 .............................. 51
• ViewPoint Eyetracker User Guide* ...................................................................... 51
• ViewPoint Eyetracker Data Analysis Guide* ....................................................... 51
• Optoacoustics Manual ........................................................................................... 51
• MRI Safety Manual............................................................................................... 51
Movie List .................................................................................................................................... 52
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BMC Contacts
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Scanner Operation
1. Make sure the scanner bed is at the home position (all the way up and all the way out)
2. If a coil is on the table, all elements should be plugged in
3. Click the “System” tab at the top of the screen
4. Click on “Control”
8. The system will take 1-2 minutes to turn off – you will hear a “clunk” when the
equipment shutdowns and the LCD above the bore in the scanner room will turn off
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9. Wait a few seconds and then press the “system on” button on the Siemens scanner control
box located on the wall next to the MR Scanner window
10. When the scanner starts booting up, the LCD screen in the scanner room will turn back
on
11. It will take approximately 6 minutes for the system to completely boot up
1. Make sure the scanner bed is at the home position (all the way up and all the way out)
2. If a coil is on the table, all elements should be plugged in
3. Click the “System” tab at the top of the screen
4. Click on “End Session”
6. It will take approximately 5 minutes before you see “it is now safe to turn off your
computer”
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7. Press the blue “system off” button on the Siemens scanner control box located on the
wall next to the MR Scanner window
8. Wait 5min before turning the system back on
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3. You will get a “System Manager” pop-up box - within the “System Manager” box you
can check that the “Host,” “Meas & Recon ” and “Periphery” components are working
properly
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1
2
6. Turn off the 3 breakers in the chiller cabinet (orange squares), wait 5 seconds and then
turn them back on
7. Then do a “Standby” scanner reboot (not a restart or full shutdown) – this takes 10
minutes
8. Please be sure to notify [email protected] and/or Dr. Woods if this occurs
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13. Data needs to be manually deleted from the temp folder and non-dicom folder
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1. Open the second disc drive on the scanner desktop computer and insert a blank DVD or
CD (must be –R)
2. Open the patient browser on the console once the blank CD has loaded (takes about
30sec)
3. Highlight the participant's parent level folder for the whole scan or any individual
sequences you want to burn (use CTRL to highlight multiple seq at once)
4. Click Transfer and then Export to… (if Export is grayed out the CD hasn't loaded yet)
5. Choose DVD-R then click Export
6. Name the CD and make sure the viewing tool check box is checked
7. Click OK
8. When it is done click Transfer at the top of the patient browser and Eject DVD-R
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4. DO NOT press the “Stop” button (#1) on the Siemens Talk Box
5. If you press this, you will need to reset the table
6. To reset the table follow the below instructions
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Register Phantom
1. Press the “little person” key on the keyboard to bring up the registration screen
2. Enter phantom information (all required fields are indicated in bold except required data
destination= Referring physician)
• Last Name = enter information in the following format – Stability-date-of-
scan_name-of-scanner.
• e.g. “Stability082609_Prisma”
• Patient ID = copy the information from the Last Name field to the Patient ID
field.
• Sex = “other”
• Age = “18”
• Height = “5ft”
• Weight = “125 lbs”
• Referring Physician = select “QC Group”
• Patient Position = select “Head First Supine”
3. Click “Exam”
4. Another box will pop up
• Choose Study = Daily_Stability_Test _Prisma
• Choose stability sequence based on the head coil you used (BMC_20ch,
BMC_32ch or BMC_64ch etc)
• Click “Confirm”
Running Scans
1. Press the green play button to start the first localizer
2. First stability sequence will open itself – center the box on the phantom and then click
“the green check”
3. The other stability sequences will automatically copy the slice locations from the first
stability sequence and will automatically start (you will not need to click continue)
4. When scanning is complete, remove the phantom/holder and place them securely in the
phantom cabinet bin
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Registration Pictures
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The ABCD phantom should be run at least once per week. This QA protocol may take
the place of the daily warmup. The full version takes 29min and the quick version takes
16min.
32 Ch Coil
64 CH Coil
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Running Scans
1. Press the green play button to start the first localizer
2. Set up sequence #3: SNR_Map by centering the yellow box on the phantom – it should
be placed right through the cap (the cap is circled in red below) then click the green
check (green circle)
3. Set up sequence #4 by centering the yellow box on the phantom – click the green check
4. Press ok to the “Stimulation Monitor Warning” that will pop up after #3 finishes running
– you can step away to let the sequences auto run after this step
5. The rest of the sequences will automatically copy the slice locations from #4 and run
automatically
6. When scanning is complete, remove the phantom/cushions and place them securely in the
phantom cabinet bin
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Registration Pictures
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Register Phantom
1. Press the “little person” key on the keyboard to bring up the registration screen
2. Enter phantom information (all required fields are indicated in bold except required data
destination= Referring physician)
• Last Name = TriggerTest
• Patient ID = copy the information from the Last Name field to the Patient ID
field.
• Sex = “other”
• Age = “18”
• Height = “5ft”
• Weight = “125 lbs”
• Referring Physician = select “QC Group”
• Patient Position = select “Head First Supine”
3. Click “Exam”
4. Another box will pop up
• Choose Study = TriggerTest
• Click “Confirm”
Running Scans
1. Double check the sequence to open and then click the “the green check” to start the shim
2. When you are ready to trigger your task please the continue button
3. Don’t forget to plug the trigger cable into your computer
4. When scanning is complete, remove the phantom and place it securely in the phantom
cabin
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Registration Pictures
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EVERY sequence should be checked after completion for quality assurance. They can be opened
in the viewing tab or 3D tab for T1 and T2 sequences.
The techs will try to show everyone how to properly QA data as it is collected. Next time you are
scanning please feel free to ask for a lesson. Good scanning technique means reviewing every
sequence as you collect them!
2. If you think of the brain as a full circle, the cross hair should be roughly in the middle. A
little off top to bottom is ok, but it should not be outside of the brain
3. If it is outside the brain, then the participant was not “landmarked/lasered” properly
4. If this happens stop the scan as soon as you see the issue (should be within first min of
scanning), re-laser, close the participant, re-register at second folder level and start again
• It is important to re-register so you don’t get autoalign issues from running a
second localizer
5. The laser line should be roughly at the participant’s eyebrows
• This position should correlate, if possible, with the line on the side of the coil
• If the participant’s anatomy can’t be matched up with the line due to a short neck
etc, then laser to the participant’s eyebrows only (not to the coil line)
• BUT do your best to match them both up by having participant move up or down
accordingly if possible
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• If the participant moves to the point where you are cutting off the top or bottom
structures, stop scanning and fix the positioning
• If the position is only slightly off, you can just rerun your ‘localizer block’ to
update autoalign
• If they have moved a lot, then you will need to go in the scanner room and
reposition/re-laser them in the coil
• IMPORTANT: With either method you MUST
re-register your participant at the second folder
level to avoid the autoalign glitch
• After you re-register repeat all 5 localizer scans
if using HCP/CMRR sequences (loc, autoalign,
loc aligned and 2 spin echoes)
• Then delete any sequences you have
successfully completed and continue where you
left off
• In this picture, you will see the bottom slice
(red circle) still has a little bit of cerebellum in
it
▪ Ideally there would be only brain stem
showing, but this is usable
▪ The top slice (green circle) should be
basically empty
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If you see warning messages while scanning, please read the message and address the issue. DO
NOT just click “OK”. Ask a tech for help if you are uncomfortable with resolving the issue on
your own. Please be vigilant, as we do not refund scans for this type of error.
Resolution
1. Check the coil plugs Anterior (HC1,3,5,)
2. Reseat the plug if necessary portion of 64ch coil
3. Make sure the LCD screen displays the anterior and not active
posterior elements
4. Close your patient
5. Re-register the participant and try again
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This is a list of known software bugs/glitches. If you encounter any other suspected issues,
please report them to [email protected] and during study reporting.
• ***This is a siemens software glitch – all sequences that use autoalign are susceptible (it
is not limited to CMRR/HCP sequences)***
• Siemens has been informed of this AA glitch and reported they will not be fixing it,
so we will have to be vigilant in order to collect quality data.
• For those of you who have scheduled breaks built into to your study we highly
recommend that you turn on or make sure the working man is turned on for all post
break sequences
• The below linked SOP was made specifically for the HCP study, but it will give you an
idea of what to look for in a more detailed layout
o AutoAlign Glitch SOP
Workaround for adding additional sequences after you have already loaded the queue
1. Examples of adjustments you may need you make:
• Adding additional sequences from the program card after the initial load
• Appending sequences to make a copy
• Making a copying a sequence in the queue
• Using re-run from here in some cases
• If you need to do any of the above, the easiest way to avoid this specific glitch is only
make edits to your protocol queue after you finish running the autoalign scout sequence
• If you bring over/edit sequences before you start scanning or after the initial localizer, but
before the autoalign scout you may be vulnerable to encountering the autoalign glitch
Workaround:
1. You must manually input the angle for each sequence if you are manually prescribing
your FOV
2. If you use autoalign and DO NOT manually adjust your FOV in any way then your scans
will not be affected and there would be no need to use copy reference
***This glitch has been reported to Siemens, but there is no way to know when and if
there will be a fix.
Workaround:
1. The only way to confirm that the data has reconstructed is to review your data in the
browser
2. If it populates in the browser then it should be ok, however, as good general practice we
also recommend pulling it into the viewer to QA each sequence
3. This glitch has only happened 3 times so far at BMC, but it has happened at many other
prisma sites as well, so please be sure to check your data as you are acquiring
4. If this error does occur, you must stop scanning and do a standby shutdown on the
scanner to fix the glitch
5. Note, this will not recover the data so it is important to check each sequence as you go
***This glitch has been reported to Siemens, but there is no way to know when and if
there will be a fix. This issue has not occurred since Dec 2017.
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3. The preparation scans result in a longer scan time for the first measurement in a time-
series acquisition, which should be taken into account when performing BOLD imaging
4. The sequence does not send external trigger pulses when performing these preparation
scans, so that they do not have to be considered when triggering external devices for
stimulus presentation in BOLD imaging studies
5. This formula does not apply to multiband bold sequences
6. Turning iPAT on will add 1 additional prep scan
7. Turning introduction “on” will add 1 additional prep scan
2. When collected interleaved, are all the odd numbered slices collected first?
• It depends on the number of slices in the group
• If there are an even # of slices then even numbered slices are collected first
• If there are an odd # of slices then odd numbered slices are collected first
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3. Is slice #1 always at the “lowest” part of the brain and the last slice at the top?
• The default “image numbering” in the transversal/axial plane is F>H - so the
bottom slice is acquired first
4. Regarding the timing of slices, is the scanner set to collect slices in an equidistant fashion
within the TR time or as fast as possible?
• Within the TR time
https://uclahs.box.com/shared/static/zycfw0utds7eibdq2t4z9gpowqftoih9.mp4
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There is no on/off switch and this device does not need to be unplugged
Device Selection
1. DO NOT set the interface settings until you plug in the button box inside the scanner
room – the button responses will not work
2. Note - you do not need to plug in a box if you only need a trigger – just choose your
interface setting with appropriate trigger (5s or Ts)
3. Click dial in once and scroll to yes in “change modes” menu and click dial once
4. Scroll to “autoconfigure” and click dial once
5. Scroll to “usb” and click dial once
6. Below is a list of available devices – autoconfigure will automatically choose the box that
is connected in the scanner room
• HHSC - 1X4-L - buttons straight in a row
• HHSC - 2X2 - split boxes, you may use just one box if applicable
o Left box sends dnwe or 9876
o Right box sends bygr or 1234
• HHSC – 2x4 - curved row of buttons, you may use just one box if applicable
• HHSC Joy-1 joystick (older model than what is on the current designs website)
• HHSC TRK-1 trackball
7. You may see other devices listed that are not available, contact BMC Techs for more info
8. Once you have selected your device, you will see the “Response Settings” menu
Response Settings
1. Scroll to applicable setting and click dial once
2. "KEY" sends the button press signal as soon as the button is pressed but stops sending
the button press signal immediately after sending it once
1. HID KEY BYGRT - use this for letter responses and T is the trigger
o this is the same as 0 setting on previous interface box
2. HID KEY 12345 - use this for number responses and 5 is the trigger
o this is the same as 4 setting on previous interface box
3. "NAR" sends the button press signal as soon as the button is pressed but keeps sending
the button press signal until the button is physically released
1. HID KEY NAR BYGRT - use this for letter responses and T is the trigger
o this is the same as 2 setting on previous interface box
o this setting is often required for psycho tool box in matlab
2. HID KEY NAR 12345 - use this for number responses and 5 is the trigger
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4. HID KEY 1-9 No 5 - for MacStim users: no trigger will be sent, must manually start scan
5. On the small screen you will see the “setting description” which includes
the device selected as well as the response setting selected
6. Be sure to plug in the trigger cable before starting your stimuli
7. Set the interface back to the “autoconfigure” menu after scan
Troubleshooting
Button Response and Trigger Interface Box
Response Lights
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D. It looks like buttons are being held down because the button interface lights are on
1. Check the interface settings first – it is likely that the interface is set for the wrong box
(i.e. 2x2 instead of 1x4 etc)
2. Ask the participant if they are pressing/holding down the buttons
3. Check the actual button box to see if something is pressing against the buttons
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1. You must use the Siemens talk box to talk & listen to your participant if you are using the
Siemens headphones or no headphones
2. You must also make sure that the volume on the scanner’s control panel is turned up so
the participant can hear the stimuli computer
3. Press the “ear” button (#4) to hear the participant
4. This is the sound that comes from bore speaker - you can use this to listen even if you use
the res tech or opto headphones
5. Make sure the sound is turned up
6. Press the “talk” button (#2) to talk to the participant
7. Make sure the sound is turned up
8. For music plug in audio device to the port labelled (#6)
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10. The speaker knob (#8) controls the volume that you hear in the control room
11. Note: there is no volume control for the volume of your voice to the participant – please
manually adjust your voice volume if need be
3. When you are ready to calibrate for your BOLD runs, press the red “ANC” button in the
top right corner
4. Unplug the audio cable – this eliminates the possibility of accidentally transmitting
sounds during the calibration step
5. Press “Learn” then start your calibration scan – this takes 16 sec – it is very important to
not transmit any auditory stimuli/movie during the learn mode
6. NOTE: if you remove you participant from the bore for any reason you will need to
repeat steps 2-5
7. You are now ready to start your task
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Troubleshooting Tips
1. If you are using the active noise cancellation and get a “out of range” error this means
your volume was too high – press the “Stop” wait a couple seconds and then press
“ANC” again to reactivate the noise cancellation
2. To reboot the system, turn off the power switch on the back of the console – wait at least
20s – then turn it back on
3. If the participant can only hear out of one ear, check the balance nodes (#11 and # 13) on
the back behind the line 1/line 2 knobs – make sure it is balanced in the middle
4. If the participant can’t hear the movie or auditory stimuli check that all the correct cables
are connected, the sound on the computer is not muted and the line1 dial is turned up, if
everything is ok reset the system (step#2) to resolve the issue
5. If the participant can’t hear you, you will see a “Laser Fault” icon (see icon list
below) on the screen that says “Start” – this is the first screen after “touch screen to
continue” – try to reset the system (step#2) to resolve the issue
6. If the participant can hear “talking” during the scans (not from the movie) there was
probably sound playing or talking during the calibration setup – any noise during this step
will be dubbed into the headphones during scans – rerun calibration
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BOLDScreen LCD
Specifications
1. Resolution: 1920 x 1200 (60Hz)
2. 24” screen
3. 52cm wide
4. 151cm from the participant’s eyes to the screen
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6. Prescription lenses are available if needed – they range -6 to +6 and are kept in the
cabinet above the participant lockers
Troubleshooting Tips
A. The LCD is not displaying the laptop screen, but you can see the desktop computer screen
1. Select “L” on the black LCD switch box
2. If the switch box will not let you select “L” that means the laptop is not plugged in
properly
3. Check the HDMI connection cable
4. If you are using a mini displayport adapter ensure it is not plugged in upside down
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ECG/Respiratory Setup
1. The ECG/Respiratory device MUST be placed into the gray holder for safety reasons–
this module should never directly touch the participant’s skin as it can heat up
Pulse Setup
1. The finger pulse device should be placed on the left ring finger – nail polish remover is
available in the scanner room drawer labelled HCP if needed (note the remover will not
work on gel nail polish)
2. The pulse device should be placed in one of the gray holders – this holder is not a safety
requirement, but rather a stability aid
3. If the pulse is not working properly (e.g. there is no pulse signal or it is erratic) check the
signal and receiver elements inside the finger cuff – these elements sometimes get twisted
so they are not showing properly through the cutouts
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Quick Overview
Register Participant → FIRMM_session_start → Localizer → Start FIRMM Software
PC Dell Desktop
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5. A Xshell terminal and session window will open automatically **No windows/terminals
will open for Xming at this time
6. Click Connect in the Xshell session pop up window
7. Then type FIRMM (all caps) in the pop-up terminal to start the software
8. The software will take a moment to load
9. Username and password should be saved in your account if they are not
• Username: firmmproc
• PW: !@firmmuser
When FIRMM starts, an Xming terminal should open and you should see a screen like this:
Using FIRMM
1. To decrease the size of the FIRMM window press CTRL on the keyboard and scroll
down with the mouse wheel (67% is usually a good size) then use the mouse cursor to
make the window thinner from the side – resizing is not required but will allow you to
view FIRMM and the camera simultaneously
2. Before clicking start make sure you have run at least one localizer
3. Click the Start button at the top right of the FIRMM GUI window to begin monitoring
for DICOMs
4. Choose your participant from the pop-up list then click Run
5. If the participant ID does not appear in the list close popup and try again after some
DICOMs have been sent for your current session – make sure you have started FIRMM
on the scanner console and acquired at least one sequence
6. Once FIRMM has been started, it will process each bold sequence
7. There is about a 40sec delay before data is generated for each bold – the data will start to
stream from FIRMM around the same time that the inline display shows images
8. To restart, close FIRMM and relaunch the program - make sure you have collected at
least one sequence before you press start again
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9. To reload graphs from previous participants, click the Load Previous Scan button and
choose the participant
10. Close out all open windows on the dell desktop computer when you are done using
FIRMM and turn off the “ext” button on the switch box
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Quick Overview
EXT On → Open VLC → Ctrl+C → Play
Equipment
1. Head coil
2. Head coil mirror frame
3. MReyes cameras (mounted in the back of the bore)
4. Desktop Computer
5. Desktop switch box
Camera Setup
1. Press the EXT button on the desktop switch box to turn on the extended monitor
2. Click the VLC icon on the bottom task bar of the desktop computer or click the
windows button in the bottom left corner then scroll to find VLC in the program list
3. Pres Ctrl+C OR click Media and then Open Capture Device
4. Make sure you are in the Capture Device tab
5. Click Play
6. Select either the HR camera (custom) or regular camera on the small switch box on top of
the dell PC tower – the regular camera has a more zoomed out FOV
7. If you use the desktop computer for movies or fixation – you must switch it to extended
display to use the camera – use the extend desktop shortcut or
• Right click on the desktop and click Display settings
• Under Multiple Displays choose Extend these displays
• Drag your fixation cross or movie to the LCD monitor so you can display the
camera on the extended monitor
8. Note – the camera cannot be used
• During your task stimuli if you use the desktop computer for the task
• If you use the goggles
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Participant Setup
1. Position your participant
2. Position the mirror so the participant can see the whole LCD screen
3. Landmark the participant and move them into the bore
4. Verify camera positioning
5. If needed, get a tech to adjust the camera (in the back of the bore) to see the participant’s
eyes through the mirror – this step should not need to be done unless someone has
accidentally moved the camera
6. Turn the room lights to the HCP LCD setting
Camera Cleanup
1. Close VLC
2. Change back to duplicate displays using the duplicate desktop shortcut or
• Right click on the desktop and click Display settings
• Under Multiple Displays choose Duplicate these displays
3. Turn off the extended monitor EXT on the desktop switch box
Troubleshooting Tips
1. If the camera will not stream through VLC and you get the below error then:
• Unplug and replug the USB cable in the back top right side of the PC desktop
tower – labelled MREyes
• Close VLC and try again
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Equipment Manuals
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Movie List
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