Programmable Respiratory

Motion Phantom

User’s Guide
QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Legal & Copyright Notice

Information in this manual is subject to change without notice. No part of this manual may be
reproduced in any form without the written permission of Modus Medical Devices Inc. (Modus).

Copyright © 2012 Modus Medical Devices Inc.

All rights reserved.
QUASAR™ and the QUASAR™ logo are trademarks of
Modus Medical Devices Inc.

Modus reserves the right to make any changes without further notice to any products herein.
Modus makes no representation, warranty or guarantee regarding the suitability of its products
for any particular purpose, nor does Modus assume any liability arising out of the application or
use of any product, and specifically disclaims any and all liability, including without limitation
consequential or incidental damages. “Typical” parameters can and do vary in different
applications. All operating parameters, including “Typicals” must be validated for each
customer application by customer’s technical experts. Modus does not convey in this user’s
guide any license under its patent rights nor the rights of others.

Some of the QUASAR™ phantom products, or parts thereof, are manufactured under license
agreements from London Regional Cancer Centre, London, Ontario, Canada, Princess Margaret
Hospital, Toronto, Ontario, Canada, and Computerized Imaging Reference Systems, Inc.,
Norfolk, Virginia, USA.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Table of Contents
Introduction .........................................................................................................................5
QUASAR™ .............................................................................................................................................................. 5
This Guide .............................................................................................................................................................. 5
Important Note ...................................................................................................................................................... 5

Components .........................................................................................................................5
Safety, Care & Handling ......................................................................................................7
No Lubrication ....................................................................................................................................................... 7
Do not immerse ..................................................................................................................................................... 7
Handle with care.................................................................................................................................................... 7
Maintenance .......................................................................................................................................................... 8
Cleaning Instructions ............................................................................................................................................. 8
Operating Conditions ............................................................................................................................................ 9
Appearance ............................................................................................................................................................ 9
Symbols .................................................................................................................................................................. 9

Description .........................................................................................................................10
Programmable Drive Unit ................................................................................................................................... 10
Control Panel .....................................................................................................................................................................11
Translation Stage ...............................................................................................................................................................12
Chest Wall Platform ..........................................................................................................................................................12
Cams ..................................................................................................................................................................................12
Clamp ................................................................................................................................................................................12
Cables ................................................................................................................................................................... 13
Insert and Ion Chamber Holder........................................................................................................................... 13
Cedar Moving Insert and Ion Chamber Holder .................................................................................................................13
Optional Moving Inserts ....................................................................................................................................................13
Power Supply ....................................................................................................................................................... 13
Ratings ...............................................................................................................................................................................13
Power Cable ......................................................................................................................................................................13

Assembly and Setup...........................................................................................................13

Mechanical Assembly .......................................................................................................................................... 13
Start-up .............................................................................................................................................................................16
Translation Stage Amplitude Adjustment .........................................................................................................................16

Operation ...........................................................................................................................16

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Modes of Operation ............................................................................................................................................ 16

Local Control ........................................................................................................................................................ 17
Rotation Mode (Local Control) ..........................................................................................................................................17
Position Mode (Local Control) ...........................................................................................................................................18
Software Control ................................................................................................................................................. 18

QUASAR Programmable Respiratory Motion Software .................................................20

Phantom Control Module.................................................................................................................................... 20
Oscillation Mode (Software Control).................................................................................................................................22
Rotation Mode (Software Control)....................................................................................................................................23
Position Mode (Software Control) ....................................................................................................................................23
Drop-down Menus ............................................................................................................................................................24
Phantom Control Settings .................................................................................................................................................25
Device Discovery ...........................................................................................................................................................26
Device Configuration ....................................................................................................................................................26
Motor Properties ..........................................................................................................................................................27
Phantom Data Preferences ...........................................................................................................................................27
Wave Editor Module .......................................................................................................................................... 27
Editor Tab ..........................................................................................................................................................................27
Amplitude and Offset Control .......................................................................................................................................28
Zoom .............................................................................................................................................................................28
Edit Controls .................................................................................................................................................................28
Wave Tools ...................................................................................................................................................................29
Spectrum Tab ....................................................................................................................................................................30
Drop-down Menus ............................................................................................................................................................31

Warranty and Support.......................................................................................................32

Warranty Statement Limited Warranty - Hardware ......................................................................................... 32
Warranty Statement Limited Warranty - Software........................................................................................... 33
Customer Support ............................................................................................................................................... 34

Appendices .........................................................................................................................35
Appendix 1: .QRM file format ............................................................................................................................. 35
Appendix 2: Tab delimited text file format ........................................................................................................ 36
Appendix 3: Software Installation ...................................................................................................................... 37
Appendix 4: Computer Requirements ................................................................................................................ 38
Appendix 5: Network Connection ....................................................................................................................... 39
Appendix 6: Configuring the Phantom for a Network Connection .................................................................... 41
Appendix 7: Updating the Phantom Firmware................................................................................................... 42
Appendix 8:QUASAR Motion Phantom Waveform ............................................................................................ 43
Appendix 9:QUASAR Imaging Insert Dimensions- 500-3317 ............................................................................. 44

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Introduction
QUASAR™
The Quality Assurance System for Advanced Radiotherapy (QUASAR™) supports the testing of a
wide variety of dosimetric and nondosimetric functions of Radiation Therapy Planning Systems
and CT Simulators using a set of innovative quality assurance (QA) tools.
The QUASAR products should be used for regularly scheduled testing, as well as commissioning
new systems and upgrades, and for testing repairs.
The QUASAR system provides you with confidence that your radiation treatment planning
software and CT simulators are performing to their full potential.

This Guide
This document is a User’s Guide for the QUASAR Programmable Respiratory Motion Phantom
(model number 100-1011) and for the QUASAR Programmable Respiratory Motion Assembly
(model number 100-1012) in imaging and radiotherapy quality assurance applications. This
guide provides a description of the phantom and provides instructions for set up and operation.

Important Note
This User’s Guide is not a guide to Radiation Therapy Planning Systems, CT Simulators, linear
accelerators, CT Imagers, or PET/CT scanners. Appropriate QA of these systems depends
primarily on the skills and knowledge of the operators of these systems. Consequently,
technical competence in the operation of this product must be supplemented by a thorough
understanding of the systems being tested.

Components
The QUASAR Programmable Respiratory Motion Phantom consists of the following components:
• Programmable Drive Unit
• Software CD containing Programmable Respiratory Motion Phantom Software Application
and sample patient waveforms
• Body Oval
• Lung equivalent (cedar) cylindrical insert
• Ion chamber holder– for NE 2571 Farmer type 0.60cc chamber or equivalent
• Chest Wall Platform
• “CAT5e” Ethernet Cable
• Crossover Cable Adapter
• Power supply

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

• Prop for Programmable Drive Unit

• Container for storage and handling
• User’s Guide.

NOTE: the Body Oval and Ion Chamber Holder are NOT included in the Programmable Respiratory
Motion Assembly since the assembly is an accessory to the Multi-Purpose Body Phantom and these
pieces are already provided with that phantom.

Chest Wall Body Oval

Platform

Insert
Programmable
Drive Unit

Ion Chamber
Holder
Power Supply

Ethernet
Cable
Prop

Crossover
Software CD Cable
Adapter

Figure 1 – QUASAR Programmable Respiratory Motion Phantom

The following optional components are available and can be purchased separately:
• Lung Tumor Inserts (split, drilled or plain)
• Acrylic Insert
• Film Cassette
• 4D CT Imaging Insert
• PET/CT Insert
• Hollow Insert with Screw Cap
• Rotation Stage
• Offset Cedar Lung Tumor Inserts for use with Rotation Stage
• Alternate dosimeter holders for various Farmer type chambers, MOSFETs, and
diodes.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Figure 2 – Programmable Respiratory Motion Assembly with Multi-Purpose Body Oval

Safety, Care & Handling

Read all warnings, precautions, and instructions carefully before use, and follow all
operating and maintenance procedures described in this guide.

No Lubrication
The QUASAR Programmable Respiratory Motion Phantom does not require lubrication of
any kind. The use of lubricants may interfere with normal operation of the phantom.

Do not immerse
The QUASAR Programmable Respiratory Motion Phantom is not protected against the
ingress of fluids. Fluids may interfere with its operation. The phantom should not be
immersed in liquids of any kind.

Handle with care

Proper care must be used when lifting, carrying or positioning the QUASAR
Programmable Respiratory Motion Phantom to prevent injury to the operator and to
prevent damage to the phantom.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

If the phantom is dropped or subjected to other mechanical shocks it may be damaged.

If you suspect the phantom has been damaged (e.g. phantom does not operate as
expected) contact Modus to arrange for service or repair.
The QUASAR Programmable Respiratory Motion Phantom contains removable parts.
These parts should be easy to remove from the phantom. The parts should not be
forced either on removal or insertion. If the parts become jammed in the phantom or
impossible to remove please contact Modus to arrange for service or repair.
The phantom is provided with a container for storage and handling. This is not a
shipping case. The phantom should be stored securely within the container in a safe
location when not in use. Improper storage can lead to damage.
An optional reusable case for shipping, storage and handling is available. Contact Modus
or your distributor for more information.

Maintenance
The QUASAR Programmable Respiratory Motion Phantom is manufactured to very close
tolerances in order to ensure accuracy and good performance for many years. The
materials used (predominantly acrylic) are susceptible to damage from impact,
scratches, temperature extremes and chemicals including solvents and cleaning
products. In addition, the acrylic and other parts are susceptible to dimensional changes
due to the absorption of moisture.

Cleaning Instructions
The phantom can be wiped clean with a damp cloth containing a mild soap or detergent
solution.
1. Use a clean, soft cloth and apply only light pressure.
2. Dry the phantom by blotting with a clean cloth or chamois.
If attempts to clean the phantom using this technique are unsuccessful, please contact
Modus for approved alternatives.
Do NOT use:
• Wax-based or chemical-based cleaners,
• Window cleaning sprays,
• Kitchen scouring compounds, or
• Solvents such as acetone, gasoline, benzene, alcohol, carbon tetrachloride, or
lacquer thinner.
These products can scratch the surface and/or weaken the acrylic and other plastic
parts. Damage caused by inappropriate cleaning activities is not covered by the
warranty.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Scratches that arise during the normal use and handling of the phantom should not
inhibit its performance. If you are concerned about any issue regarding the appearance,
care, or performance of the phantom please contact Modus.

Operating Conditions
The QUASAR Programmable Respiratory Motion Phantom is designed and manufactured
to operate at normal office or clinic temperature and humidity. Rapid changes in
temperature and humidity may cause temporary changes in the dimensions of some
parts. For this reason we recommend that the phantom be stored in the office or clinic
where it is used. If conditions change, time is required to allow the phantom to become
stable in the new conditions. We recommend that the phantom be stored and used in
the following environmental conditions:
• Temperature: 15 degrees to 30 degrees Celsius
• Humidity: 30% to 80% relative humidity (non-condensing)
• Altitude: up to 2000 metres.
• Indoor use ONLY
• Installation Environment: Installation Category II
• Pollution Environment: Pollution Degree 2

Appearance
The QUASAR Programmable Respiratory Motion Phantom may be damaged by extended
exposure to direct sunlight, such exposure should be avoided. With age, exposure to
sunlight and exposure to higher energy photons, the acrylic in the phantom may acquire
a yellow tint. This is a normal and unavoidable characteristic of acrylic that does not
affect the performance of the phantom.

Symbols
This Exclamation Point with the triangle is a warning sign alerting you of important
instructions.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Description
The QUASAR Programmable Respiratory Motion Phantom is designed to enable
dosimetric and non-dosimetric measurements on a moving test object.
The Phantom features a cylindrical Insert moving within a Body Oval. Motion occurs in
the superior-inferior direction. Several different Inserts are available for different
applications. Insert motion is linked to a moving Chest Wall Platform designed to work
with third-party motion tracking systems.
The Programmable Respiratory Motion Phantom can run with or without a computer.
There are three Modes of Operation:
• Oscillation Mode – in which motion is under software control and motion profiles
are programmable
• Rotation Mode – in which motion is under software or local control and motion
profiles are sinusoidal
• Position Mode – in which the position of the Translation Stage is under software
or local control.
The Respiratory Motion Phantom Software application is used to send commands to the
phantom. In this application you can import, create, edit and save motion waveforms.
The QUASAR Programmable Respiratory Motion Phantom is suitable for QA of most
external beam installations including 3D conformal radiation therapy and intensity
modulated radiation therapy (IMRT) systems. It can also be used to test imaging
systems including x-ray CT, PET and SPECT.
Procedures for using the phantom, which are described in the sections that follow,
should be implemented as part of an appropriate QA program.
NOTE: The phantom and moving inserts are designed to test the function of
radiotherapy and imaging systems under typical operating conditions. They should not
be expected to expose every potential problem associated with the systems being
tested. Users should develop tests to address specific features and functions of the
equipment being tested.

Programmable Drive Unit

The Programmable Drive Unit for the QUASAR Programmable Respiratory Motion
Phantom contains a stepper motor which moves the Translation Stage. The stepper
motor also rotates two Cams that are used to move the Chest Wall Platform.
The housing for the Programmable Drive Unit includes a clamp to attach it to a Body
Oval.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Clamp

Translation
Stage

Thumbscrew
for amplitude
adjustment
Cams

Figure 3 – Programmable Drive Unit with Chest Wall Platform

Control Panel
The Control Panel on the Programmable Drive Unit has a Display, Control Knob, Power
Indicator, Power Connector and Ethernet Connector as shown in Figure 4.
Control Knob functions are implemented by pressing or turning the knob. The Display
and Control Knob functions vary with different Modes of Operation.

Display

Control Knob
Power
Indicator

Power Ethernet
connector Connector

Figure 4 – Control Panel on Programmable Drive Unit

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Translation Stage
The Translation Stage is driven in a horizontal direction. Amplitude of motion is adjusted
by repositioning the thumbscrew. There is a scale on the top edge of the translation
stage to assist with setting the amplitude. The Translation Stage has a magnetic clasp to
attach moving inserts.
The Translation Stage amplitude must be set to 20 mm for programmable motion in
Oscillation Mode and for accurate positioning in Position Mode.
When an ion chamber holder is in place in the moving insert the center of the chamber
will align with the center of the body oval when the Translation Stage is at the center of
the stroke.

Chest Wall Platform

A removable Chest Wall Platform is provided. Motion of the Chest Wall Platform is
designed to mimic vertical chest wall motion. The platform is suitable for optical
tracking devices such as the RPM device from Varian. Modified platforms are available
for other tracking devices.

Cams
There are two cams inside the Programmable Drive Unit housing. The cams are used to
drive the vertical motion of the Chest Wall Platform. One cam has a sinusoidal profile
(circular) the other has the profile of a typical respiratory cycle (see figure 5). Both
profiles have a 10 mm peak to peak amplitude.
The Cam with a sinusoidal profile must be used for programmable motion in Oscillation
Mode.

Figure 5 – Respiratory Cam profile

Clamp
The Clamp is used to attach the Programmable Drive Unit to the Body Oval. The Clamp
consists of a cylindrical acrylic extension, which passes through the Body Oval, plus a
cross bar and thumbscrew to secure the Programmable Drive Unit to the Oval. The
extension is the same material as the Body Oval.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Cables
The QUASAR Programmable Respiratory Motion Phantom is provided with a standard 2
m long Ethernet Cable and Crossover Cable Adapter. The Crossover Cable Adapter can
be at either end of the Ethernet Cable.
The Ethernet Cable and Crossover Cable Adapter connect the Programmable Drive Unit
to a computer or computer network for software control.

Insert and Ion Chamber Holder

Cedar Moving Insert and Ion Chamber Holder

A moving Insert made of cedar is provided. This Insert is 8 cm in diameter and has a 2
cm diameter cylindrical hole through the center for an ion chamber holder.

Optional Moving Inserts

There are several optional moving Inserts available for different applications. For an up-
to-date list including descriptions and specifications please contact Modus or your
distributor.

Power Supply

Ratings
Power is supplied by an Elpac Power Systems 50 W switching power adapter model
FWC5024F: 110 - 240 V~, 50 - 60 Hz, 1.0A; Unit input: 24Vdc, 2.1A.
Mains supply voltage fluctuations must not exceed 10% of the nominal supply voltage.

Power Cable
The phantom is supplied with a North American standard cord set. This cord can be
replaced with a territory specific cord set with a matching IEC 320 connector. The power
cord is the disconnect device.

Assembly and Setup

Mechanical Assembly
Place the Body Oval on a flat, sturdy work surface such as a table or couch. Paper shims
may be used for leveling. A small prop is provided to support the Programmable Drive
Unit when necessary.
Remove the thumb screw and cross bar (see figure 6) from the Programmable Drive Unit
and insert the Acrylic Extension into the Body Oval. Replace the cross bar and tighten
the thumb screw until the drive unit is held securely in place.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Ensure that the alignment marks on the drive unit line up with the marks on the Body
Oval (see figure 7).
The Programmable Drive Unit can be clamped in either the central or lateral opening in
the Body Oval (see figure 8).

Acrylic Extension

Cross bar

Thumb Screw

Figure 6 - Clamp

Alignment marks

Figure 7 – Alignment of Programmable Drive Unit

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Figure 8 – Programmable Drive Unit in lateral opening

Slide an Insert into the appropriate opening in the Body Oval. When the Insert is
properly aligned with the edge of the Translation Stage the magnetic clasp will hold the
Insert in place as shown in figure 9.
Edge alignment
Amplitude scale

Thumbscrew for
Amplitude
Adjustment

Translation stage

Figure 9 - Translation Stage and moving Insert

Insert the Chest Wall Platform into the Programmable Drive Unit. Turning the platform
180 degrees switches between sinusoidal and respiratory motion cam.
The sinusoidal motion cam must be used for programmable motion in Oscillation Mode
and for accurate positioning in Position Mode.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Start-up
Apply power to the Programmable Drive Unit. Once power is applied, the
Programmable Drive Unit will cycle to its home position and the power indicator is
illuminated. At start-up the Programmable Drive Unit is in Rotation Mode under local
control.

Translation Stage Amplitude Adjustment

The Amplitude must be set to 20 mm for programmable motion in Oscillation Mode and
for accurate positioning in Position Mode.
The Amplitude may be set to any value from 0 – 20 mm (0 – 40 mm peak to peak) in
Rotation Mode
Amplitude adjustment is easiest if the phantom is in Position Mode under local control -
turn the Control Knob until the display reads 20.00 mm.
To adjust the Amplitude, loosen the Thumb Screw on the Translation Stage then move
the Translation Stage with respect to the Programmable Drive Unit and retighten the
Thumbscrew. There is an amplitude scale on the Programmable Drive Unit as shown in
Figure 9. Always check the amplitude of motion with the motor running after
adjustment.

Operation
Modes of Operation

Modes of Operation Software Control Local Control

Oscillation Mode
Display and run Programmable motion control Not Applicable
respiratory waveforms through Software Application
Rotation Mode
Sinusoidal motion Start/Stop and speed adjusted Start/Stop and Speed
profile through Software Application adjusted by Control Knob.
Phantom always starts in this
Mode
Position Mode
+/- 20.0 mm from Position adjusted through Position adjusted by Control
center of stroke Software Application Knob

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

The QUASAR Programmable Respiratory Motion Phantom may be operated:

• under Software Control while connected to a computer or computer network
or
• under Local Control without a computer.
There are three operating modes:
• Oscillation Mode, in which the motion of the phantom is “Programmable”. The
amplitude of the waveform is scaled automatically to 30 mm peak to peak or
less. This mode is only available under Software Control.
• Rotation Mode, in which the motor performs full rotations at a constant speed.
The speed of rotation is adjustable from 4 to 60 cycles per minute. The
Translation Stage moves with a sinusoidal motion profile. The Amplitude of
motion is adjustable from 0 to 40 mm peak to peak. Rotation Mode is available
under Local Control and Software Control.
• Position Mode, in which the position of the Translation Stage is set within the
range of +/- 20 mm from center. Position Mode is available under Local Control
and Software Control.

Local Control
To enable Local Control:
1. Assemble the phantom as described in the Mechanical Assembly Section above.
2. Apply power to the Programmable Drive Unit. The phantom will cycle to its
home position and the green power indicator will be illuminated.
The phantom is now in Rotation Mode under Local Control.
If the phantom is under Software Control you can return to Local Control by clicking the
“Disconnect” button in the Software Application. Also note that the phantom will time
out and return to Local Control after about 15 seconds if the Ethernet Cable is
disconnected or if the Software Application is closed.

Rotation Mode (Local Control)

The Programmable Drive Unit always starts in Rotation Mode under Local Control.
Press the Control Knob to start and stop motion.
Turn the Control Knob to change the speed. The Display shows the speed of motion in
breaths per minute (BPM) and seconds per breath (SPB).
In Rotation Mode the Translation Stage moves with a sinusoidal motion profile. The
amplitude of motion is variable from 0 to 40 mm peak to peak using the thumbscrew on
the translation stage. To adjust the amplitude, please refer to the section titled
“Translation Stage Amplitude Adjustment”.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Select the sinusoidal profile (circular) cam or the typical respiratory cycle cam for the
motion of the Chest Wall Platform.

Position Mode (Local Control)

To enter Position Mode under Local Control the phantom must first be in Rotation Mode
under Local Control. Press and hold the Control Knob for 1 - 2 seconds. The
Programmable Drive Unit will change to Position Mode and the Display will show
“Position”.
Turn the Control Knob to adjust the position of the Translation Stage. The position is
shown on the Display in mm relative to the central home position.
The Display is accurate only if the amplitude of the Translation Stage is set to 20 mm. To
adjust the amplitude, please refer to the section titled “Translation Stage Amplitude
Adjustment” above.
Select the sinusoidal profile (circular) cam for the Chest Wall Platform.

Software Control
The QUASAR Programmable Respiratory Motion application is used to control the phantom operation
from a computer. It is possible to connect a computer to the phantom directly (direct connection) or
through a local area network (network connection). Multiple phantoms can use a network connection.

To enable Software Control:

1. Assemble the phantom as described in the Mechanical Assembly Section.
2. Apply power to the Programmable Drive Unit. The phantom will cycle to its
home position and the green power indicator will be illuminated. The phantom is
now in Rotation Mode under Local Control.
3. Set the amplitude of the Translation stage to 20 mm use the Sinusoidal Cam for
the Chest Wall Platform.
4. Connect the phantom to your computer or computer network using the Ethernet
Cable and the Crossover Adapter Cable. The Ethernet Cable is standard “CAT5e”
internet cable. The Crossover Cable Adapter can be at either end of Ethernet
Cable.
(See Appendix 5 for Network Connection details.).
5. Start the software application QUASAR Programmable Respiratory Motion on
your computer. The software starts in the Phantom Control module. If the
application is not installed then follow the Software Installation Procedure in
Appendix 3.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Connect
software to
phantom

Figure 10 - Software Control

6. Click Connect to connect to the phantom indicated in the IP field. If no device IP

address has been selected, the Settings window will appear as shown in Figure
11. The Device Discovery table shows all the devices detectable by the software,
including the Simulation Phantom (the Simulation Phantom enables operation of
the software without connecting to a physical device for demonstration and
troubleshooting purposes). Select the device you wish to use and click Save to
return to Phantom Control. Once a Respiratory Motion device is successfully
connected, it can operate in Rotation, Position or Oscillation Mode under
Software Control.

Figure 11 - Device Discovery

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

If an error message is received after clicking Connect:

• Reset the Programmable Drive Unit by disconnecting power for 5
seconds, then reconnecting power and waiting one minute for the
Programmable Drive Unit to complete its initialization cycle.
• Confirm that no other network computer is connected to the phantom
• Confirm that the IP address indicated in the IP field exists, by viewing the
Device Discovery table (File  Settings)
• Confirm cable connections with Ethernet cable and crossover adapter.
• Try to Connect again.

QUASAR Programmable Respiratory Motion Software

The QUASAR Programmable Respiratory Motion software is comprised of two modules: Phantom
Control and Wave Editor. Phantom Control provides access to the three available operating modes:
oscillation, rotation, and position. Wave Editor provides tools to create, import, manipulate, and
analyze respiratory waveforms.

The software has a built-in Simulation Phantom that can be used to test and play waveforms without
connecting to an actual device. The simulation phantom can be selected from the Device Discovery
table. Simulation is useful for demonstration and troubleshooting.

Phantom Control Module

The Phantom Control module is shown in Figures 12, 13 and 14. The Waveform tab displays the
expected and actual motion of the phantom. You can also select the Motor tab to see an
animated view of the rotary motion of the motor and its projection onto the linear stage.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Drop-down Menus
Waveform and
Motor Tabs

Mode of Operation

Motion Controls

Figure 12 - Phantom Control side panel in Oscillation mode

Play-Point

Expected Waveform

Actual Waveform

Side Panel
Total Waveform
Duration

Figure 13 - Waveform tab in Oscillation Mode

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Motor Angle Dial

Stage Position Indicator

Figure 14 - Motor tab in Oscillation Mode

Oscillation Mode (Software Control)

QUASAR Programmable Respiratory Motion implements programmable motion by
repositioning the Translation Stage every 10 ms (100 times per second).
Imported waveforms are re-sampled and converted to the .QRM format. Waveforms
are saved in the .QRM format. Information about the .QRM file format is provided in
Appendix 1.
The software starts with an empty waveform display in Phantom Control mode. To open
or import an existing waveform select the File menu.

Play initiates motion of the phantom. Check the Follow Play-Point

checkbox to have the waveform scroll across the screen.
Pause stops motion and maintains location in the waveform.
Stop stops motion and goes back to the beginning of the waveform.
If Loop is enabled, waveform playback automatically restarts when the end
of the waveform is reached.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Rotation Mode (Software Control)

In Rotation mode the Translation Stage moves with a sinusoidal motion profile. The
amplitude of motion is adjustable from 0 to 40 mm peak to peak using the thumb screw
on the translation stage. To adjust the amplitude, please refer to the section titled
Translation Stage Amplitude Adjustment.
Select the sinusoidal profile (circular) cam or the typical respiratory cycle cam for the
motion of the Chest Wall Platform.
Set the speed of motion in Breaths Per Minute (BPM) or Seconds Per Breath (SPB) using
the slider bars.

Play initiates motion of the phantom.

Pause stops motion and maintains the play-point timer.
Stop stops motion and resets the play-point timer.

Motor Position

Speed Controls

Translation
Stage Position

Figure 15 - Phantom Control in Rotation mode

Position Mode (Software Control)

To adjust the position of the translation stage drag the Position slider on the side panel,
enter a value in the numeric Position box, or drag and drop the blue arrow on the Motor
Angle dial found on the Motor tab. To reset the motor to a centered position, press the

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Reset (0 mm) button. The position of the motor is shown by the red arrow on the Motor
Angle dial. The position of the translation stage is shown on the Stage Position slider bar
in mm relative to the central home position.
The Display is accurate only if the amplitude of the translation stage matches the Motor
Range value in the Phantom Control Settings dialog. To adjust the amplitude of the
translation stage, please refer to the section titled Translation Stage Amplitude
Adjustment above. To adjust the Motor Range value, please refer to the Phantom
Control Settings section.

Position Controls

Figure 16 - Phantom Control in Position mode

Drop-down Menus
File
• New opens the waveform creation wizard.
• Open allows loading of existing .QRM waveform files.
Note (Default Waveform Location): The initial directory for this dialog is
under …\Modus Medical Devices\QUASAR Programmable Respiratory
Motion in the Windows shared Documents folder (e.g. C:\Documents and
Settings\All Users\Documents on Windows XP, C:\Users\Public\Public
Documents on Windows Vista and 7). Therefore, if frequent access to
.QRM files stored elsewhere is required, it may be convenient to copy or
move them to this location.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

• Import allows loading of waveforms from various third party sources. Changing
the File Extension filter allows selection of different file formats.
Supported Formats (with extension):
 Varian RPM v 1.6 (*.VXP)
 Respisens Data (*.CSV)
 Text File (*.TXT)
o see Appendix 2 for description of format
 Philips Bellows File (*.DCM)
 CyberKnife Marker File (*.LOG)
 Anzai (*.DAF)
 Siemens (*.IMA)
• Save Waveform saves the current waveform under a new or existing filename -
always in .QRM format.
• Save Encoder Output saves the encoder values from the latest oscillation or
rotation run to a text file. The encoder values record the phantom’s actual
motion during then run and are stored as the stage position in mm.
• Settings opens the Phantom Control Settings window.

Phantom Control Settings

The Settings window, shown in Figure 17, contains three sections: Device Discovery,
Motor Properties, and Phantom Data Preferences.

Figure 17 – Phantom Control Settings window

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Device Discovery

The Device Discovery table shows all the devices available for the software to connect
to, including the Simulation phantom. To refresh the list, click Refresh. To configure a
device (the Simulation phantom cannot be configured), click Configure… This will open
the Device Configuration window.

Device Configuration

Figure 18 – Device Configuration window

The Device Configuration window can be used to modify a phantom`s network settings,
including the name of the device as it will appear in the Device Discovery table. To
change any setting, modify its value (to a valid new value) and click Update. Updating
the device will cause it to reboot and it will not appear in the Device Discovery table until
the reboot is complete (this may take up to 60 seconds). To load a new firmware file to
the phantom click Load Firmware and select a valid firmware file. For details on updating
the firmware, refer to Appendix 7.

Note: It is not recommended to modify a device`s network settings unless the

consequences of the change are well-understood. Changing a device`s network settings
incorrectly can cause that device to be undetectable by the software.

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Motor Properties

The Max. Acceleration and Max. Velocity parameters are used in testing (in the
Waveform Editor) to determine if the motor can accurately reproduce a waveform’s
oscillations. The true value of these parameters depends on the load placed on the
motor and can be approximated via the Acceleration Test. The acceleration test uses
rapid oscillation to determine the limits of the motor’s acceleration and velocity.

The Motor Range parameter can assume values between 15 mm and 20 mm (default
value is 20 mm) and is used for the motor position displays in the software. This
parameter should match the amplitude of the translation stage.

Phantom Data Preferences

The Phantom Data Preferences determine if encoder data, retrieved from the motor
after executing oscillations or rotations, are saved. If Save To Encoder File is checked,
the data will be saved. If Prompt Before Saving is checked, the user will be prompted for
the save location after a run is completed, otherwise the data is saved to the Default
Waveform Location (see Drop-down Menus section). The file has a default name of
‘pRespOutput_<date>_<time>.csv’, where <date> and <time> denote when the motor
motion completed. The values in the file report the translation stage location in mm in
10 ms intervals.

Wave Editor Module

The main screen of the Wave Editor is shown in Figure 19. The Wave Editor enables creation,
manipulation, and analysis of respiratory waveforms and can be used without being connected
to a respiratory motion device.

Editor Tab
The Editor Tab displays the waveform on a position vs. time graph that can be zoomed
(CTRL + mouse wheel) and scrolled (mouse wheel) using mouse controls.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Amplitude and
Offset Control

Editor and
Spectrum Tabs

Zoom

Wave
Tools
Context
Menu

Figure 19 – Wave Editor Main Screen

Amplitude and Offset Control

On import, the amplitude of a displayed waveform is automatically scaled to the full 30

mm amplitude of the phantom. The Amplitude and Offset control allows modification
of the waveform amplitude and offset (displacement from 0 mm). The sinusoidal
graphic provides a visual indication of the amplitude and offset values that have been
applied to the waveform.

Zoom

Select zoom level between 50% and Point using dropdown menu. Use (CTRL + mouse
wheel) to zoom waveform in incremental steps.

Edit Controls

In the wave editor, individual points, which can be seen when the zoom level is
sufficiently high, can be modified using drag-and-drop actions. Individual and multiple
points can be selected for editing by clicking and dragging in the waveform display area.
Selected points will be highlighted as shown in Figure 19.

Right clicking in the waveform display area opens the edit context menu. Edit functions
include Cut, Copy, Paste and Delete. Insert Zeros At introduces points at 0 mm
displacement. Crop To Selection removes points on either side of the highlighted

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

region. Paste At allows specification of the paste location, in seconds. Manually Edit
loads the manual edit window, displayed in Figure 20, which allows spreadsheet-based
editing of individual points.

Figure 20 – Manual Edit window

When editing the waveform the Undo and Redo commands can be used to remove or
reapply the most recent edit commands.

Wave Tools

• Filter opens a popup window in which you select the type of filter you wish to
apply to a waveform in order to remove undesired frequency components.
There are 3 filters to choose from: Jitter, Drift and Cardiac.

Figure 21 - Filter selection

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

• Stretch is used to modify the time base of the entire waveform, effectively
slowing down or speeding up the waveform. The popup window allows selection
of a stretch factor (i.e. a stretch factor of 2 doubles the length of the wave) from
0.01 to 100.

Figure 22 - Stretch Factor selection

• Invert flips the entire waveform about 0 mm.

• Re-Center resets the median displacement of the waveform to 0 mm
• Test is used to verify that the displayed waveform is within the limits of
operation of the phantom as set in the Motor Properties section of the Phantom
Control Settings.
The test searches the waveform for speeds and accelerations that are too high
for the Drive Unit to reproduce. Sections of the waveform that fail this test are
highlighted to simplify editing. Errors are fixed by applying an interpolation
algorithm to reduce the acceleration and velocity into the acceptable range for
the waveform. Fix All attempts to fix all reported errors. Show Error highlights
individual errors on the waveform display and allows the user to Fix them on a
per-error basis.

Figure 23 - Waveform test steps (pre-test, post-test, and post-fix)

Spectrum Tab
The Wave Editor allows users to view the frequency domain representation (spectrum)
of a waveform. Specifically, it plots the Fast Fourier Transform (FFT) of the waveform as
well as a smoothed version of the FFT. This spectrum, plotted from 0 to 60 bpm,

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

provides an effective visualization of the dominant respiratory frequencies in the

waveform and the effects of applying the editor’s available filters.

Drop-down Menus
File
See Phantom Control Module section.
Tools
See Wave Tools section.
Navigation
Switch between Phantom Control and Wave Editor Plug-ins.
View
Toggle Side Panel On and Off.
Exit
Exit the program.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Warranty and Support

Warranty Statement
Limited Warranty - Hardware
This warranty applies only to hardware and mechanical devices including phantoms (the PRODUCT). For
software warranty please see the Limited Warranty - Software
A. LIMITED WARRANTY. Modus Medical Devices Inc. (Modus) warrants to the original purchaser that the
PRODUCT will be free from defects in material and workmanship for a period of one year from the date of
delivery. Modus does not warrant that operation of the PRODUCT will be error-free or uninterrupted. If the
PRODUCT is found to be defective during the warranty period, the part(s) and labour required to repair the
PRODUCT will be provided by Modus free of charge. To receive warranty repair the PRODUCT must be returned
to Modus. This warranty is subject to the following exceptions and limitations:
• The customer shall be responsible for proper maintenance and handling of the PRODUCT.
• No warranty is extended to any PRODUCT that has been altered or modified in any way.
• No warranty is extended to any PRODUCT that has been misused, or damaged.

B. TERM OF WARRANTY. This limited warranty covers the PRODUCT for one year from the date of delivery. If
you receive supplements, updates, or replacement PRODUCT during that year, they will be covered for the
remainder of the warranty or 30 days, whichever is longer.

C. EXCLUSIONS FROM WARRANTY. This warranty does not cover problems caused by your acts (or failures to
act), the acts of others, or events beyond Modus’ reasonable control.

D. NO OTHER WARRANTIES. This limited warranty is the only warranty from Modus. Modus gives no other
express warranties, guarantees or conditions. Where allowed by your local laws, Modus excludes implied
warranties of merchantability, fitness for a particular purpose and non-infringement.

E. REMEDY FOR BREACH OF WARRANTY. If Modus cannot repair or replace a defective PRODUCT, Modus will
refund the amount shown on the invoice for the PRODUCT. To receive a refund you must return the PRODUCT
and other associated materials to Modus. This is your only remedy for breach of this limited warranty.

F. CONSUMER RIGHTS NOT AFFECTED. You may have additional consumer rights under your local laws which
this agreement cannot change.

G. NO LIABILITY. In no event shall Modus be liable for any damages (including, without limitation, lost profits,
business interruption, or lost information) arising out of your use of or inability to use the PRODUCT, even if
Modus has been advised of the possibility of such damages. No distributor, dealer or other party is authorized to
make any warranty on behalf of Modus, or to assume for Modus any other liability with respect to its PRODUCTs.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Warranty Statement
Limited Warranty - Software
This warranty applies only to software applications and firmware (the SOFTWARE). For hardware warranty
please see the Limited Warranty - Hardware
A. LIMITED WARRANTY. Modus Medical Devices Inc. (Modus) warrants that if you follow the instructions, the
SOFTWARE will perform substantially as described in the Modus materials that you receive in or with the
SOFTWARE. Modus does not warrant that the operation of the SOFTWARE will be error-free or uninterrupted. If
the SOFTWARE is defective Modus will repair or replace the SOFTWARE free of charge. This warranty is subject
to the following exceptions and limitations:
• No warranty is extended to any SOFTWARE that is being used on unsupported operating systems and/or
computer hardware.
• No warranty is extended to any SOFTWARE that has been altered or modified in any way.
• No warranty is extended to any SOFTWARE that is being used on a system that has been corrupted by
computer viruses, spy ware, or any third party software or device.

B. TERM OF WARRANTY. This limited warranty covers the SOFTWARE for one year from the date of delivery. If
you receive supplements, updates, or replacement SOFTWARE during that year, they will be covered for the
remainder of the warranty or 30 days, whichever is longer.

C. EXCLUSIONS FROM WARRANTY. This warranty does not cover problems caused by your acts (or failures to
act), the acts of others, or events beyond Modus’ reasonable control.

D. NO OTHER WARRANTIES. This limited warranty is the only warranty from Modus. Modus gives no other
express warranties, guarantees or conditions. Where allowed by your local laws, Modus excludes implied
warranties of merchantability, fitness for a particular purpose and non-infringement.

E. REMEDY FOR BREACH OF WARRANTY. If Modus cannot repair or replace defective SOFTWARE Modus will
refund the amount shown on the invoice for the SOFTWARE. To receive a refund you must uninstall the
SOFTWARE and return any media and other associated materials to Modus. This is your only remedy for breach
of this limited warranty.

F. CONSUMER RIGHTS NOT AFFECTED. You may have additional consumer rights under your local laws which
this agreement cannot change.

G. NO LIABILITY In no event shall Modus be liable for any damages (including, without limitation, lost profits,
business interruption, or lost information) arising out of your use of or inability to use the SOFTWARE, even if
Modus has been advised of the possibility of such damages. No distributor, dealer or other party is authorized to
make any warranty on behalf of Modus, or to assume for Modus any other liability with respect to its
SOFTWARE.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Customer Support
If you require service or support for this product please contact Modus Medical Devices
Inc. at:
Modus Medical Devices Inc.
1570 North Routledge Park
London, Ontario N6H 5L6
CANADA

Phone +1 519-438-2409
Toll-free (in North America) 866-862-9682
[Link]
info@[Link]

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendices
Appendix 1: .QRM file format

This is the format that is used when saving files from the QUASAR Programmable Respiratory Motion
Application. The file is made up of a header followed by a column of respiratory motion displacement
data. The QRM format has a fixed time interval of 10 ms (0.010 s), therefore the time column is not
displayed.
The displacement values are scaled between 1 and -1. The displacement values are signed floating
point numbers.
There is a multiplier value in the header that is used to scale the data into cm. The default is 1.5 (the
maximum linear displacement of the Programmable Drive Unit in Oscillation Mode)
Example:
%QUASAR Respiratory Motion File
%Multiplier = 1.5
%#of Data Points
0.6615
0.6645
0.6700
0.6823
0.6987
0.7054
…

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 2: Tab delimited text file format

Tab delimited files can be created in a spreadsheet program (e.g. Excel) or in an ASCII Text Editor. To
import a file into the QUASAR Programmable Respiratory Motion Application the file should have two
(2) columns of data separated by a tab. The first column of data should be the elapsed time in
milliseconds and the second column should be the displacement. The displacement values are unit-
less. No header information is required. The filename should have a .txt extension
Example:
600 0.500363134
660 0.500363134
720 0.000870751
780 0.001950523
840 0.003923861
900 0.007250297
960 0.012501157
1020 0.020347479
1080 0.031535844
1140 0.046852404
1200 0.067076505
1260 0.092926341
1320 0.125
1380 0.16371594
1440 0.209257313
1500 0.261524624
1560 0.320100921
…

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 3: Software Installation

1) Run QUASAR [Link] to install the QUASAR Framework. The framework requires the
Microsoft .NET Framework version 3.5 to be installed. If version 3.5 of the framework is not
installed, please visit
[Link]
508D977D32A6&displaylang=en to download and install it.

2) After the QUASAR Framework has successfully installed, run QUASAR Programmable
Respiratory [Link] to install the respiratory motion software.

3) When this installation completes successfully, there will be a shortcut on the desktop to start
the application.

Note: If later desired, to uninstall the software, use the Add/Remove Programs functionality
provided by Windows.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 4: Computer Requirements

• OS: Windows XP, Vista, or 7

• Prerequisite Software: .NET Framework 3.5

• Ports: 1 Ethernet

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 5: Network Connection

It is possible to connect to the phantom directly to a computer (direct connection) or through a local
area network (network connection). Multiple phantoms can use a network connection.

Note: When a phantom is directly connected to the computer, the software will only be able to
display that phantom in the Device Discovery table. Phantoms using a network connection are
only visible when there is no direct connection in place.

Direct Connection Setup

1) Ensure your network adapter is configured to automatically obtain an IP address:

a. Windows XP:

i. Go to Start  Control Panel  Network Connections

ii. Right-click on the Network Adapter that the phantom will be connected to
and select Properties

iii. On the General tab, select Internet Protocol (TCP/IP) and select Properties

iv. On the General tab, ensure that Obtain an IP address automatically is

selected and click OK

b. Windows Vista:

i. Go to Start  Control Panel  Network and Sharing Center

ii. Click Manage Network Connections

iii. Right-click on the Network Adapter that the phantom will be connected to
and select Properties

iv. On the Networking tab, select Internet Protocol Version 4 (TCP/IP) and
select Properties

v. On the General tab, ensure that Obtain an IP address automatically is

selected and click OK

c. Windows 7:

i. Go to Start  Control Panel  Network and Internet  Network and

Sharing Center

ii. Click Change Adapter Settings

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iii. Right-click on the Network Adapter that the phantom will be connected to
and select Properties

iv. On the Networking tab, select Internet Protocol Version 4 (TCP/IP) and
select Properties

v. On the General tab, ensure that Obtain an IP address automatically is

selected and click OK

2) Connect the phantom to the computer using the Ethernet cable and crossover adapter

3) The phantom should now be detected in the Device Discovery table of the Phantom Control
Settings window

Network Connection Setup

1) For users who have previously connected to the phantom with QUASAR Respiratory Motion
Software v1.3.0 or earlier: follow the steps in Appendix 6: Configuring the Phantom for a
Network Connection

2) Ensure that there is no phantom directly connected to the computer

3) Connect the phantom to the same network as the computer using the Ethernet cable and
crossover adapter

4) The phantom should now be detected in the Device Discovery table of the Phantom Control
Settings window

5) To connect another phantom, repeat steps 1 – 4 for that device

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 6: Configuring the Phantom for a Network Connection

This process is only required for users who received QUASAR Respiratory Motion Software v1.3.0 or
earlier when they purchased their phantom. Phantoms purchased after the release of QUASAR
Programmable Respiratory Motion v3.0 are already configured for network connectivity.

Configuring the Phantom to Automatically Acquire an IP Address

1) Connect the phantom to the computer using a Direct Connection

2) Launch QUASAR Programmable Respiratory Motion

3) From the Phantom Control module, select File  Settings

4) In the Device Discovery table, select the phantom and click Configure…

5) In Network Settings, if Obtain Automatically is not selected, select it

6) If desired, change the Name that will identify this phantom in the Device Discovery table

7) Click Update

8) The phantom will reboot and dynamically acquire an IP address on start-up. It may take up
to a minute before the device, with a new IP address can be detected and displayed in the
Device Discovery table.

Phantoms that obtain an IP address automatically can use a direct connection or a network connection.
Phantoms that have a manually configured IP address may not be capable of a network connection,
depending on the network. Therefore, it is recommended to configure your phantom to automatically
acquire its IP address.

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 7: Updating the Phantom Firmware

Firmware versions previous to 1.00.05 have known issues that can cause problems with phantom and
software operation. It is strongly recommended to follow the steps below to ensure that your phantom
firmware is up-to-date. Furthermore, if a newer firmware version (> 1.00.05) becomes available, these
steps can also be used to load it onto the phantom.

The file for firmware version 1.00.05 is located in …\Modus Medical Devices\QUASAR Programmable
Respiratory Motion\Firmware in the Windows shared Documents folder (e.g. C:\Documents and
Settings\All Users\Documents on Windows XP, C:\Users\Public\Public Documents on Windows Vista
and 7). Any new firmware files to be loaded onto the Phantom should be saved in this directory as well.

Updating the Phantom Firmware

1) Launch QUASAR Programmable Respiratory Motion

2) From the Phantom Control module, select File  Settings

3) In the Device Discovery table, select the phantom and click Configure…

4) Under Firmware, if the Current Version is the latest firmware version, there is no need to
update. Otherwise, click Load Firmware.

5) In the Open File Dialog, navigate to the …\Firmware directory described above and select
the desired firmware file.

6) Wait for the firmware load to complete and the device to reset

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 8:QUASAR Motion Phantom Waveform

By: Michael S. Gossman, M.S., DABR
Ashland, KY
6/15/2008

Modus Medical Systems, Inc. - Quasar Phantom Waveform

1.10
1.00
0.90
Air Inhale Intensity or Height (cm)

0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
15 25 35 45 55 65 75 85 95 105 115
Scale Position (mm)

Modus Medical Systems, Inc. - Quasar Phantom Waveform

1.10
1.00
0.90
Air Inhale Intensity or Height (cm)

0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
0 10 20 30 40 50 60 70 80 90 100
Percentage of Breath Cycle

Inspiration: Tumor moves Rt by 0.5 cm quickly, with Sup by 1.4 cm

Expiration: Tumor moves Sup by 2.6 cm, with 0.5 cm Lt at end
Cont. Expiration: Tumor moves Inf by 4.0 cm, with Lt by 0.5 cm quickly at end

QA Thoughts: Gate 80% - 90%, such that the tumor is moving Sup with no Lat movement. This would
also occur during a nearly complete relaxed exhale. The tumor is expected to move only
about 1.0 cm, since:

(100 mm / 100% cycle) : (90 mm / 90% cycle) & (80 mm / 80% cycle)
δx = (90 mm) – (80 mm) = 1.0 cm

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QUASAR™ Programmable Respiratory Motion Phantom User’s Guide

Appendix 9:QUASAR Imaging Insert Dimensions- 500-3317

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