The Scanning Workbench User`s Manual
Contents
1. The Default button resets the processing to the one first seen in the processed window The algorithms are not progressive that is selecting Less Sharp will always produce the same image even 1f you select it multiple times Try different buttons to see which one produces the best image Once the image is acceptable select Accept Image If you cannot get an acceptable image select Reject Image The next image in the series will be displayed on the screen automatically and this process will continue until the last image from the ACR 2000 has been checked for Quality Control All functions can be undone until you select either Reject Image or Accept Image For the Kodak and VIDAR digitizers the only buttons that display with the scanned image are shown in the following figure You may reorient the image flip or rotate The Scanning Workbench User s Manual Chapter 3 Quality Control of the Images e 19 BRIT Systems but no other changes will be saved to the archive once you select Reject Image or Accept Image Image QL The Scanning Workbench User s Manual Chapter 3 Quality Control of the Images e 20 Systems Chapter 4 Using the Kodak LS Series of Digitizers Film Loading for Digitizer Models LS40 LS50 and LS75 If you have a film feeder be sure to depress the Reset lever on the front left of the Kodak previously Lumiscan digitizer The Ready button and the Scan button should be green Lum2. LS75 115 lines sec LS85 RESEARCH MACHINE o The Scanning Workbench User s Manual 1024 pixels x 1250 lines x 12 bits 4096 gray levels 1024 2048 or 4096 pixels x 5000 lines x 12 bits 4096 gray levels 2048 4096 or 5120 pixels x 6140 lines x 12 bits 4096 gray levels Linear function from 0 03 to 3 6 OD Linear function from 0 03 to 3 8 OD Linear function from 0 03 to 3 85 OD Self calibrating 14 by 17 film Self calibrating 14 by 17 film Self calibrating 10 by 12 film Chapter 4 Using the Kodak LS Series of Digitizers e 22 LS85 LF 75 lines sec 2048 pixels x Linear function Self calibrating 5000 lines x 12 from 0 03 to 14 by 17 film RESEARCH bits 4096 gray 3 85 OD MACHINE levels The Scanning Workbench User s Manual Chapter 4 Using the Kodak LS Series of Digitizers e 23 Systems Chapter 5 Using the VIDAR Digitizer Film Loading for the VIDAR Digitizer Film loading for the VIDAR digitizer is very similar to that for the Kodak LS Series of digitizers The film must be fed top down with the front of the film the side viewed for normal visual reading facing to the back of the machine Just drop the single piece of film into the slot at the top behind the blue plastic bar The film will slide down a short distance and then the machine will mechanically feed it into a starting position See note below for multi film feeding Diagno
3. Ma Jai z C Left C Right C N A series description ReasonForStudy OperatorName ContrastAllergies PatientComments AdditionalPatientHistary PregnancysStatus Cancel Scan Paper Scan Film Plates OK All Done The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 13 BRIT Systems If you need to change the series information press the New Series button In this case the fields immediately below the words SERIES Information are cleared and you can then type in correct information or select from the drop down lists for Body Part and Series Description Similarly if you need to change the study information press the New Study button In this case the fields immediately below the words STUDY Information are cleared and you can then type in correct information or select from the drop down lists Adding a New Patient Manually If the patient is not on the Patient List add the patient by selecting the New Patient button on the Patient List screen This displays the following blank screen Patient and Exam Information Entry Asterisk indicates REQUIRED field dash is needed into if possible FATIENT Information Note ID MUST be accurate last first middle Name natient ID Birth date fyyyymmaa Sex primary Care doc STUDY Information may have multiple studies per patient Accession number Fs Date 20040603 Referring physician
4. 1k screen would only show one quarter of a 2k x 2k image 2x Zoom Viewing function that doubles the resolution in each direction before displaying Thus a 512 x 512 image would use 1024 x 1024 pixels for display ACR 2000 Desktop computed radiography CR system from the Eastman Kodak Company previously Lumisys Clicking Quickly depressing and releasing a mouse button A general term used in Windows systems for working with a mouse Clicking normally is used to select an object Computed Radiography Computed radiography systems are systems that digitize using phosphor stimulated plates that have been exposed to images using normal radiographic techniques The plates are a replacement for film which is not reusable DICOM Digital Imaging and Communications in Medicine This is the standard that defines how medical images can be shared in a mixed vendor environment This client server standard defines both the object types that it supports and the services that can be provided to those objects such as the printing of a CT Dragging Moving an object around the screen in a Windows system by depressing and holding down a mouse button while moving the mouse Usually the left mouse button is used This is a general term used in Windows systems Eraser The eraser is a box that comes with the ACR 2000 for erasing its phosphor plates It contains an enclosed light source and a timer The erasing process allows the plates to be
5. A Ce S E Stat OlDOO0S T ost o a E S 4 Ifyou press the New Patient button the following Patient and Exam Information Entry screen displays Fill out the required fields on the screen Note that you can select a patient and add a study or series using this same screen The Scanning Workbench User s Manual Chapter 7 The Paper Scanning Option e 32 Patient and Exam Information Entry Asterisk indicates REQUIRED feld dash 1s needed into if possible PATIENT Information Mote ID MUST be accurate last first middle Name patient ID Birth date yyyymmdd Sex 7 OMA Care doc STUDS Information may have multiple studies per patient i Accession number oOo Date 20040629 New Study Referring physician OoOo O study description Pe current patient location f requesting service o study emme OO O a a aaaaaaa SERIES Information may have multiple series per study New Serres body part Examined Mogg ty JEE C Let C Right C MJA l NP series description ReasonForStudy 0 gperataName E AdditionalPatientHistory Pregnan yatei p aa Cancel Scan Film Plates OK All Done 5 After you have finished adding the new patient study or series press the bottom right hand button labeled OK All Done 6 On the Select Study to Scan box select the patient and series In our example we are choosing Julie Landow and scanning two images 7 Highlight the patient name in the
6. Put All In Patient List _PatientID Mame Access Description Mod SMITH ALLEN CMSS0342 Shoulder Right Cormol SMITH ANNETTE AAD S447 Foot Left Complete be426 SMITH ANNETTE RADST E440 Chest 2 View 65 51 52 SMITH BETHANY 00413508 76830 52 ULTRAS US 65 51 52 SMITH BETHANY OO413507 76856 ULTRASOU Us 11 15 75 SMITH CHARLES ARTS1104H Chest 2 View 11 19 75 SMITH CHARLES ARTSW040 Chest 2 View 302545 SMITH CORMELUS CMS907026 Coccyx Sacrum Inter 29983 SMITH CAYS TAL LSUSOBE4SS Chest 2 View 29983 SMITH CAYS TAL LSUS06647 Abdomen 2 View Inte 6117466 SMITH DASHON CMSS10516 Chest 1 View H2645 SMITH DAVID C5917464 Chest 1 View SMITH DONALD C5907815 Knee Lett SMITH Dwa ME CMS 903279 Chest View Patient SMITH ANNETTE Accession Number RAD ST 5440 Selected The Find a Patient dialog allows users of The Scanning Workbench to query an institution s database to retrieve a list of the scheduled exams The desired exam can be selected from the list for processing by the technologist This eliminates duplication of keyboard entry Because most institutions will have thousands of patients and exams the scope of the query must be restricted so that a large list of results is not returned The Find a Patient dialog controls the scope of the query Note that several parameters may be used to search for patient and exam information These parameters include e Accession Number e Patient
7. R study description Poi current patient location f H requesting sevice stuck comment SERIES Information may have multiple series per study body part Examined Modality C Let C Right M A l o series description Mew Study Mew Series ReasonForStudy OperatorName ContrastAllergies PatientComments AdditionalPatientHistory Fregnancy Status Cancel Scan Filrn Plates OR All Done Fill in at least the required fields last first middle Name patient ID and body part Examined You will not be allowed to proceed until these fields are complete It would be beneficial to fill in some of the other fields as well The OK All Done button saves the information or you can go directly to scanning images for the patient and specific study by pressing the Scan Film Plates button The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 14 BRIT Systems After you press the Scan Film Plates button different dialog boxes display depending on whether you are scanning with one of the digitizers or the ACR 2000 tabletop CR system The following Film Scanner Control box displays for the digitizers Film Scanner Control Ss TOP scm Abort Study Calibrate Unload Film Idle scan Filmis i Silay Samplete Scan Settings The Scan Images box displays for the ACR 2000 Scan Images Taylor Good Test 403403403 CR
8. appears as shown in the next figure The Scanning Workbench User s Manual Chapter 7 The Paper Scanning Option e 34 BRIT Systems Paper Scanner Control Ed Scan One Page Settings Scan Multi Page All Done Patient ID 1348720 Hame Jule Renee Lando Study post op chest 9 You may want to check the scanner settings before you scan by pressing the Settings button The following Settings for Paper Scanner dialog box will display Settings for Paper Scanner 8 500 Max Width finches 111 00 Mas Height inches hsa f esolution dots inch Tbit B amp W v Pixel type 10 Adjust the size and resolution as you prefer by typing in new numbers and select OK 11 If you have only a single image to scan as a new series select the Scan One Page button on the Paper Scanner Control box If you have multiple pages to scan as one series select the Scan Multi Page button The following Select Source dialog box displays Select Source Ounces WiLA Visioneer 6 23 59 USE Scann 1 0 Cancel 12 The Select Source dialog box should display each time you start a session Highlight the scanner to which you are attached and press the Select button The Scanning Workbench User s Manual Chapter 7 The Paper Scanning Option e 35 13 14 15 16 17 18 19 20 21 The scanner will start and you will see the message Attempting to acquire image 1 You will also see the message Tra
9. the use of the ACR 2000 with The Scanning Workbench These steps are presented before a discussion of the specific software and hardware operations to give you an idea of the overall process and data flow General Operating Instructions for the Digitizers 1 Load the film into the machine 2 Perform the exam to capture the image s 3 Make sure the Send Common application is running or start it from the icon on the Desktop Start The Scanning Workbench application by selecting the icon labeled BRIT Scanner or BRIT CR on your Windows Desktop 4 Select the name of the patient and then the series from the list on the screen If the patient is not on the list then select the New Patient button If the patient is there but not the exam then select the patient and select the Scan add study button If the series is listed then select it first and select the Scan add study button 5 Fill out the required fields on the Patient and Exam Information Entry screen if any are missing The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 6 Systems 6 Load the film s in the digitizer 7 Select the Scan Film s button from the computer screen see following figure Film Scanner Control ocan Filmis o TOF scanner Abort Stug Calibrate Unload Film Soin a ela 8 Listen for the machine to start and watch the film be fed into the digitizer You will see the image appear as it get
10. unprocessed image select the Exam button from the Toolbar Magnifying an Image To magnify a whole image click on the appropriate icon from the Toolbar The 1X Zoom provides you with all the information on the image showing as much as will fit in the screen The 2X Zoom doubles the size of the 1X image Zoom capabilities of 3X and 5X are available from the Zoom option on the main menu bar If at any time you wish to see the image covering the entire Image Viewing Area use the Fit button All of these functions work in both the single screen and split screen mode To see portions of an image outside of the Image Viewing Area you can use the Panning function see next subsection Panning If an image is sized so that not all of it fits on the screen you may drag the image around the screen to bring off screen portions of the image into the viewing area This is called panning or roaming To pan around an image press on the left mouse button and hold it down This displays a set of crossed arrows Now just drag the image around the screen Move the mouse in the direction in which you want the image to move Once the image has been panned if you choose another image in the exam it will be zoomed likewise This function does not work if the whole image is displayed on the monitor Reorienting and Reprocessing of Images Reorienting the Image You can perform several types of manipulations to reorient an image so that it app
11. upper box and select the Scan add study button We have highlighted the name Julie Landow Notice that a new button now appears on the bottom left side of the Patient and Exam Information Entry screen see following figure The button is labeled Scan Paper The Scanning Workbench User s Manual Chapter 7 The Paper Scanning Option e 33 BRIT Systems Patent and Exam Information Entry Asterisk indicates REQUIRED teld dash 1s needed into if possible PATIENT Information Mote ID MUST be accurate last tirst middle Name sacow Jul patient ID 34970 Birth date yyyymmede 750003 Sex primary care doc iaaa treet STUDY Information may have multiple studies per patienti Accession number 010000348170 Date 200406294 New study Referring physician Theriot Alfred study description postop chest 0 current patient location MIcu2 l requesting sevice o 7 Stug comment SERIES Information may have multiple series per studs Mew Series body part Examined Chest Moc ality Pa C Let Right NA cect i a series description Pastap chest ReasonForStudy check progress Operatarhlame ContrastAllergies PatientComments AdditionalPatientHistary Freqnancy status i Cancel scan Pager scan Film Plates OK All Done 8 Place the first paper page properly in the scanner and then press the Scan Paper button The Paper Scanner Control dialog box then
12. AN HERE Hew Patient setes Scanadd Study Images Status Ol 47 CAT SCAN ABDOMEN SC 1 Sorting The patient list is sorted by the field in the left most column To sort by Patient ID Birth Date or Latest Study select one of these columns by placing the cursor on the column title bar and clicking once with the left mouse button The column you click on will then move to the left most position The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 10 Selecting from the List Find the patient whose exam you wish to digitize in the Name column and highlight that row by selecting it After you have selected the patient a list of all series for that patient displays in the lower box under the tab labeled Series In this lower box highlight the series you wish to digitize and select the Scan add Study button Selecting by Typing You can locate the patient of interest by typing either their Name or Patient ID If you type the patient s Name the list must be sorted by name that is Name must be in the left most column If you type the Patient ID the list must be sorted by Patient ID that is ID must be in the left most column You do not have to move the cursor to a specific location to begin typing As soon as you type the first letter in a last name the cursor jumps automatically to the first person in the list whose last name begins with that letter Additional typing limits t
13. ID e Patient Name e Date e Modality The more information that is filled in for each parameter the more restrictive the search will be A more restrictive search will result in a shorter list of patients and exams A more restrictive search also will occur more quickly and use less computing resource Generally the more restrictive a search the better and faster will be the results you obtain In fact the Find a Patient dialog box has been configured so that no search will occur until multiple fields have been filled in that The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 12 BRIT Systems is the Find Patient button will be grayed out until enough information has been filled in to perform a valid search The wildcard characters and are supported when performing searches The character replaces single characters and the replaces blocks of characters So for example if you want to search for all patients having a Patient ID ending with the characters 123 then you would type 123 into the Patient ID field Or as shown in the previous Find a Patient dialog box the search was done for all patients with a last name starting with the characters Smith This query returned all of the Smiths in the database that matched all of the other search criteria If there were a patient with the last name Smithey then that patient also would have appeared in th
14. The Scanning Workbench Ms i AE owe SI By BRIT Systems Inc June 29 2004 Release 7 0 1 1 BRIT Systems Notices and Copyrights Disclaimer This document is subject to change without notice and does not represent a commitment by BRIT Systems Inc The information set forth in this document and all rights in and inventions disclosed herein and the patents that might be granted thereon disclosing or employing the materials methods techniques or apparatus described herein are the exclusive property of BRIT Systems Inc Copyright Copyright 2004 BRIT Systems Inc All rights reserved Printed in the United States of America Trademarks BRIT Beyond Roentgen Imaging Technology BRIT Systems Inc BRIT Viewer and the Pincher Man logo icon are trademarks of BRIT Systems Inc Microsoft and MS Windows are registered trademarks of Microsoft Corporation VIDAR and HD CCD are registered trademarks of VIDAR Systems Corporation DiagnosticPRO is a trademark of VIDAR Systems Corporation Lumisys and ACR 2000 are trademarks of The Eastman Kodak Company All other product names or trademarks mentioned herein are the property of their respective owners The Scanning Workbench v 7 0 1 1 User s Manual REVISION RECORD Copyright 2004 Technical Publications Department BRIT Systems Inc BRIT Systems Inc Printed in the U S A 1909 Hi Line Drive Suite A All rights reserved D
15. allas TX 75207 Systems Contents Noces and COP IIIS ssseresredsiei niaren er nna r ni iE ETTE EEEE ESEE ESETE i Chapter L THO OGIO soc roses es tace teaser giana ansitec eos ennsarcesaiooraeeunaroushauaieeconunncssaccorsueusseroushaseuaicesueinsenicorees I OOO NAG NO UN sooo gigas evn occ ctvasieee au ins cc aneseneuceseracuausousdsasesescuesvors Ges EREET ORENEAN IEE EAE enie Ero ESE 1 Equipment Covered in this Manta sccsscccsescsesicescasestsaszasecessseevessdasaboccsncesiescsnvessossscusssshaveecasnsanssscvaveseocseabessses 1 Familarity With WN OWS isis ssecesscesscavesseocsussssswivenseosausssssveeseeonssussceewsoeucsssusssasevesececevewsesesoewencassesecsesousenceseiwees 2 DVS CC TINS SIDOT seagate cseseauerssacocesdcvupssuusssotscsendsperscacocertsucnestcusssstususserseus E 3 Conventional Use of Tetris sossvccecossiscwsussvaveceet vases vovernesuecssusvnnvecestyesseesovseaunsnuoensuevvoussuchvessedeemavseenseeveseevessases 4 SPECIES TDO aA E 5 Chapter 2 General Steps and Selecting Patients sscccccccccccccccccccccsssssssssssssssssesccececcccccccceesssesees 6 DAVEE OCC EO 0 PAE E EE N A E TE A A AT E A N 6 General Operating Instructions for the Digitizers seecccssssseeecccssssscceccccsssssececocssssseceosossssececcoossssseeesosssoo 6 General Operating Instructions for the ACR 2000 sscsssssssscccccssssssscssccccccccsssssssccccsscsesssssssccssssosees 7 Patient and Series SClE COM sssecsssesesscadscevcicseseesT
16. am information is first entered using The Scanning Workbench application Then the plate is removed from the cassette and placed in the film feeder Next the film is fed through the machine the image is digitized and it 1s displayed on the monitor An optional QC function allows for each image to be enhanced or reoriented and then accepted or rejected Algorithms developed by BRIT optimize the image quality The image finally is sent via DICOM to other DICOM devices such as a printer an archive or a viewer Devices can be located on a local area network LAN or across a wide area network WAN Depending on the speed of the line image compression may be used The amount of compression is user selectable In an environment where there is a Radiology Information System RIS with an appropriate interface the modality work list function on the system can be used Modality work list provides a list of the scheduled exams at the modality so that it can be selected for processing by the technologist This eliminates duplication of keyboard entry for patient information As with all of BRIT s products we encourage your participation in improving them Please call us at 800 230 7227 and ask to talk with sales or send a note to sales brit com with suggestions We look forward to hearing from you Familiarity with Windows The Scanning Workbench User s Manual and all other BRIT Systems Inc user and training guides assume that the system o
17. are when connected to a paper scanner Glossary of Related Terms Index Equipment Covered in this Manual The LS40 LS50 and LS75 models belong to Kodak s family of laser driven self calibrating film digitizers that range from a low volume model LS40 with 2K The Scanning Workbench User s Manual Chapter 1 Introduction e 1 resolution to a high volume research grade model LS85 with up to 5K resolution The LS40 LS50 and LS75 models are designed especially for PACS and teleradiology applications and for film duplicating All of these machines accept films up to 14 x 17 35 cm x 43 cm The VIDAR DiagnosticPRO Advantage film digitizer is based on CCD charge coupled device technology This machine available for the first time in early 2004 uses built in automatic digitizer calibration and provides very consistent image quality The Kodak ACR 2000 is the world s first tabletop computed radiography CR system It can be used in a mini PACS or filmless environment or it may be used in conjunction with a printer to improve image quality This system supports the latest DICOM standards including DICOM store print and modality work list For a full DICOM Conformance Statement please visit our web site at www brit com The ACR 2000 for The Scanning Workbench works much the same way as a film digitizer except that rather than digitizing film it digitizes a reusable plate on which the image is formed Patient and ex
18. avssenstedescscesiecwsssedssnvedsaassnwsedsensceebeceuesiesvussdeessavesausesswesseseveetes 10 SALONS The App CAG ON sisone REN EN EO NAE ERE E 10 O E EE E 10 Selec ng fron the List seisisersrcnis a e aA aE EE E a Aoa 1 Selene Dy TypiN E oeenn ea vance saves Wannsterseceadientigendeanete E a EENEN EEEE Ea EEEa EE EEEH 1 CC CI he 0S wre seater nsec naea EEEE EEA Era RESE O SES E A EENS 1 Adding a New Patient via the Modality Work List 0 0 0 0 ccccccccccssssssssseseeeecceeeeeeceeeaaaeseessseeeeeeeeeeeeeeesesaasaeasseeeeeeeeeess 1 Adding a New Patient Manually cccccccsssssssssssseeeeeeeeeeeeeeeesaeseesssseeeeeeeeeeeeeeeessaaaeessssseeeeeeeeseeeesesseaaagaasseeeeeeeeess 14 PUTA IN Cy UN ager a rcticcnct pptac ame rerxie E T E E E T 15 PRT A ING 5 CIC iets erse nd aceasta scisains eataicentnanere EE E E E a 15 Chapter 3 Quality Control of the Tages 0sssssssssssscscsscccccccccccccccccsssssssssssesceeeeeeccccescesessssnss 16 The Qualiiy Oar SETEC eisscatcas coc sects senerencnacvvevacecstcntsaseubs carey sincessdececuasovou cues ENNAN SEREAS EaR 16 boate Manipulation POMS 2 4 sesiscccesssescassssencecaesicesesiascaasnesecssevenscsassetasssenteacwasvscecsuepesscessneesshcesiascssenesesesesuees 17 Window 40d LEVEI siasccheateatgeastiaatrortGorns heraseuwdedeoiaatealteossmbe E EEE EENE EEEE E balou a EENE EEE ENEON EEEE 17 Viewing a Single Image on the Screen eeessesesssssseeeeeerersssssssssssssertereeessssssssssseeetereerosossss
19. cassette and place it top down bright white side in toward the machine up against the black holder 7 Select the Scan Image button from the computer screen 8 Listen for the machine to start and watch the plate be fed into the machine You will see the image appear as it gets scanned and displayed on the computer screen Scanning takes 20 25 seconds Scan Images Taylor Good Test 403403403 CR of Pelvis Ready to scan image 2 Re scan Image Cancel Seres Completed 9 When the image is complete carefully look over the image If it appears to be usable select the OK Next Image button Select Re scan Image if the image does not appear to be acceptable Note If necessary you can rescan a phosphor plate several times without severe degradation of the image 10 After you have an acceptable scan slide the plate into the eraser white side facing back Press the Timer button Remove the plate after the timer goes off about 1 minute 11 Repeat steps 6 10 until all plates for the exam have been digitized and erased 12 When all plates are done select the Series Completed button on The Scanning Workbench screen The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 8 BRIT Systems 13 The QC screen now appears for complete details refer to Chapter 3 Quality Control of the Images The original raw data image from the first plate is displayed on the left at th
20. cassettes designated for use with the ACR 2000 The sides of the phosphor plate are not the same One side is very white The other side has a gray tint The white side is the active side Load the cassette so the white side faces the x ray source Otherwise you will not get an image Caution Allow the ACR 2000 to warm up for 15 minutes to stabilize the electronics prior to using It is extremely important that the ACR 2000 be in a low light environment There should be NO overhead fluorescent lights shining on the digitizer This is because light can enter the scanner and create noise in the readings Remove the plate from the cassette and place it upside down with the active side the whiter side facing the machine and the gray side facing out The plate just gets placed up against the black feeder PLEASE BE VERY CAREFUL WHEN HANDLING THE PLATES HOLD THEM ONLY ON THE EDGE DO NOT DROP THE PLATES GRAY SIDE FACING OUT WHITE SIDE FACING BLACK FEEDER The Scanning Workbench User s Manual Chapter 6 Using the ACR 2000 System e 28 Scanning the Images Once the plate is in place select the OK Next Image button You will hear the digitizer s motor start to feed the plate through the ACR 2000 The image starts appearing on the screen If the image quality does not look good finish the plate and then select to Re scan Image You can re scan the plates several times without significant image degradation Sca
21. e resulting list If for example you typed the string 10 in the Patient ID field the query result would contain all patients whose ID had four characters and started with the numbers 10 So that query would return patient IDs like 1024 1066 and 1067 In general the less specific a query is the larger the returned list will be Therefore be as specific as possible when searching for patients and exams After the Find a Patient search has been performed and the returned list is displayed the desired patient exam should be selected from the list This is done by left clicking on the appropriate item with the mouse After an item is selected the OK button becomes activated Selecting the OK button displays the Patient and Exam Information Entry dialog box as shown in the following figure Asterisk indicates REQUIRED field dash is needed info if possible PATIENT Information Note ID MUST be accurate last first middle Name JSMITH ANNETTE 19640816 Sex F natient ID 755425 Birth date yvrvymmdd primary care doc STUDY Information may have multiple studies per patient New Study Accession number RAD915440 Referring physician L suture J ARNP study description Chest 2 View current patient location requesting service Study comment SERIES Information may have multiple series per study New Series body part Examined Chest
22. e chapters present generic information about the operation of the equipment and the software The following three chapters are devoted to the operation of specific equipment Chapter 7 covers the option of scanning paper documents instead of film Sections of the book are presented as follows Chapter 1 Introduction Gives overview of the equipment covered describes book organization usage conventions and special symbols presents information about BRIT s Customer Support Group Chapter 2 General Steps and Selecting Patients gives overview of all steps needed to scan films and save the images to the archive tells how to start the BRITCR application describes how to select a patient exam and series for scanning Chapter 3 Quality Control of the Images Discusses how to manipulate reprocess and save the images after a successful scanning operation Chapter 4 Using the Kodak LS Series of Film Digitizers Describes specific steps for using the LS40 LS50 and LS75 film digitizers with The Scanning Workbench Chapter 5 Using the VIDAR Film Digitizer Describes specific steps for using the VIDAR DiagnosticPRO Advantage film digitizer with The Scanning Workbench Chapter 6 Using the Kodak ACR 2000 Describes specific steps for using the Kodak ACR 2000 tabletop computed radiography CR system with The Scanning Workbench Chapter 7 The Paper Scanning Option Describes how to use The Scanning Workbench softw
23. e same time the processed image is displayed on the right 14 If the image looks good select Accept Image If not then select the appropriate reprocessing algorithms for example sharpening If necessary change the image orientation using the Flip or Rotate buttons and review the image again Once the image is acceptable select Accept Image Image Process Accept Image Reject Image Hose Select Reduc Region 15 If you cannot get acceptable image quality select Reject Image 16 After an image has been accepted or rejected the next image will be shown automatically Repeat steps 13 15 for each image 17 After the last image has been reviewed and accepted or rejected the application will return to the patient selection screen The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 9 Systems Patient and Series Selection Starting the Application Start The Scanning Workbench application by double clicking the BRITCR icon on your MS Windows desktop The following Select Study to Scan screen will appear Select Study to Scan or Enter New Study Info Local BRAIN PATIENT GEMA MORE 4 117 1171930 F NEW CAL al 0 09371172003 3 47 00 PM OLG CLT z 0 09 11 2003 4 12 00 PM Find Patient TE PID 235 0 testyon 45984 0 09 16 2003 1 40 00 F i SELECT THE PATIENT NAME FROM THIS LIST Delete Series SELECT THE SERIES YOU ee WISH TO SC
24. e situation can cause injury and or severe data loss Before you work on the equipment be familiar with the hazards involved with electrical circuitry and standard accident prevention procedures The Scanning Workbench User s Manual Chapter 1 Introduction e 5 Chapter 2 General Steps and Selecting Patients Introduction The Scanning Workbench is a high quality film digitization system for both PACS and teleradiology systems The Scanning Workbench is configurable with either a laser based digitizer or a CCD based digitizer Each scan creates a 2000 x 2500 pixel 12 bit grayscale image about 10MB of data for a 14 x17 radiograph Each digitization process requires about 20 25 seconds Digitizers can be configured for low volume scanning single sheet feeder or for higher volume multi sheet feeder with barcode scanner allowing you to match the digitizer equipment to your clinical and volume requirements The Scanning Workbench also can be used with the Kodak ACR 2000 tabletop computed radiography CR system Each scan of a phosphor plate image from the ACR 2000 also takes about 25 seconds The software for the ACR 2000 is slightly different from that used with the digitizers You can perform certain reprocessing functions with the ACR 2000 that cannot be done with the two types of digitizers The following two subsections outline the generalized steps for the digitizing process using the Kodak and VIDAR digitizers and for
25. ears on screen as it should look when hanging on a view box Note that these manipulations permanently change the way the image is stored Reorienting of images can be done on images digitized by the Kodak and VIDAR machines and on images from the ACR 2000 The following function icons buttons are available LN Rotate clockwise this rotates the image 90 degrees clockwise each time eE it is selected The Scanning Workbench User s Manual Chapter 3 Quality Control of the Images e 18 Rotate counterclockwise this rotates the image 90 degrees counterclockwise each time it is selected Flip right left this flips the image along a vertical axis right to left each time it is selected Flip up down this flips the image along a horizontal axis up and down each time it is selected Changing the Processing Algorithm For the ACR 2000 only several different sets of algorithms can be applied to the image on the right hand side of the screen in an attempt to improve the quality Select one of the buttons from the Image Processing window If you want a better look at the processed image you can select to view it in a single window use the Set button The most common algorithms None Default Less Sharp More Sharp Noise Reduction Reduc can be selected from the buttons on the Image Process window Additional algorithms are selectable as pull down items under the Re Process Image button Image Process Accept Image
26. f densities on viewed images 20 Raw data 44 The Scanning Workbench User s Manual Reading the Diagnostic LEDs 28 Ready button 24 Re digitizing a plate 33 Reject Image 9 22 Reject Image button for paper scanning 41 Reorienting and Reprocessing of Images 21 Reorienting the Image 21 Reprocessing algorithm 9 Required fields 16 ReScan 9 Re scan Image button 33 Reset lever 24 resolution 2 Reusable phosphor plate 2 Roaming 21 44 Scan Image button 7 8 Scan Images button 17 Scan Multi Page button 40 Scan Paper button 38 Scan rate 28 Scan add study button 7 8 36 38 Scan add Study button 17 Scanning the Images 33 Searches of patient list 13 Searching for patients and exams be as specific as possible 14 Select Study to Scan box 38 Select Study to Scan screen 11 12 41 Selecting by Typing 12 Selecting from the List 12 Selecting the Series 12 Series Complete button 9 Series Completed button 33 Series tab 12 Set 20 Set button 21 Settings button for paper scanning 40 Sorting the patient list 11 Special Symbols 5 Starting the Application 11 Status field 12 Systems Support 3 TCP IP 44 teleradiology 2 Teleradiology systems 6 36 The Quality Control Screen 18 Timer button 9 for erasing phosphor plates 33 Toolbar 19 44 Trademarks 1 Typeface changes Index e 41 as book conventions 4 User input is identified by 4 Verified 12 VIDAR DiagnosticPRO Advantage film digit
27. film None This is normal operation He LED will flash slowly while the digitizer is Staging the film Slow flashing green BUSY positioning film None This is normal operation The LED will flash slowly while the scanning application is positioning the film Slow flashing green BUSY digitizing film None This is normal operation The LED will flash slowly while a film is The Scanning Workbench User s Manual Chapter 5 Using the VIDAR Digitizer e 26 BRIT Systems Slow flashing green BUSY ejecting film None This is normal operation The LED will flash slowly while the scanning application is ejecting the film 1 Make certain power is applied to the digitizer and that the digitizer power switch is on If the problem persists get qualified technical help Power Status e A Fast oe green ERROR DSP not communicating Contact qualified technical help Fast Fast flashing green green ERROR unknown ballast Contact qualified technical help ERROR 1 Make certain power is supplied to the digitizer and that the digitizer power switch is ON If problem persists get qualified technical help The Scanning Workbench User s Manual Chapter 5 Using the VIDAR Digitizer e 27 Chapter 6 Using the ACR 2000 System Loading Cassettes into the ACR 2000 The ACR 2000 uses different cassettes than conventional radiographs Sometimes the conventional cassettes have just been refurbished So be sure to use only those
28. he name to the next consecutive letter s Note Using barcode data entry to save time and prevent errors is just a variation of typing So if you use a barcode make sure that the field you are barcoding is in the left most column on the Select Study to Scan window Selecting the Series The bottom box on the Select Study to Scan window contains a list of all series for the patient you select You must select only one series at a time to digitize This list can be sorted by any of the fields listed in the column title bars headings To sort on the list select that column by clicking on its title bar with the left mouse button The Status field under the Series tab has only two values indicates that it has not been digitized A value of Verified indicates that digitizing has been done The series in the previous figure shows that it has not been digitized Adding a New Patient via the Modality Work List On the Select Study to Scan screen select the Find Patient button The modality work list search Find a Patient window will be displayed as shown in the following figure The following figure has already had a search performed on the name Smith and therefore includes a long list of possible patients named Smith The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 11 BRIT Systems Accession H oOo O O PaientID o Patient Name Emh Cancel Date ypyymmdd P Mody
29. ient List Print Status format Views format Images zoom Close ll Help window 0 51 v1 4 8 99 CHEST beT oas 999 13 14 00 5 1 1 1 od OT 0408 7999 13 14 00 5 1 1 1 7125 kVp 3 mas 125 kVp 3 mas id A d E et Pty a Paty grt 4 dheng ae we ase B Tg r The raw data image unprocessed is on the left The image to which the default built in processing parameters have been applied is on the right The Toolbar along the right hand side of the Quality Control screen contains buttons tools you can use to view and reorient the image If a button is grayed out then that tool function is not available currently You also will see the following small Image Process window which you can move anywhere on the screen by dragging and dropping it Reject Accept Image Image a Ca Mone Default Less More Sharp Sharp Nose Select Reduc Region During the QC work each image in the series will be presented in the order in which it was scanned You must accept or reject each image Images should be rejected only after reprocessing of the image fails to produce an adequate image Immediately after either accepting or rejecting an image the next one is displayed All functions can be undone on an individual image until you select either Reject Image or Accept Image Image Manipulation Tools The following tools are available to enhance the image on the sc
30. ight source for reuse Raw data This is the same as a full data set actual size depends on the modality It has not been compressed or trimmed it is as 1t was received from the modality Roaming Also called Panning Moving around an image that is larger than the screen by dragging the image The Scanning Workbench User s Manual Glossary of Related Terms e 38 Toolbar The column of buttons and icons used to activate different functions found on the right margin of the viewing screen TCP IP Transmission Control Protocol Internet Protocol The de facto standard for data communications between different computer systems It is the communications standard used to communicate over the Internet Zoom Change the magnification of the image Zooming in refers to increasing the magnification Zooming out refers to decreasing the magnification The Scanning Workbench User s Manual Glossary of Related Terms e 39 Index 1x Zoom 42 1X Zoom 21 2x Zoom 42 2X Zoom 21 Accept Image 9 22 Accept Image button for paper scanning 41 Accession Number 13 ACR 2000 32 42 Adding a New Patient Manually 15 Adding a New Patient via the Modality Work List 12 Adding a New Series 17 Adding a New Study 17 All button 21 Automatic Digitizer Calibration ADC 29 Barcode 12 Barcode scanner 6 Basic Information and Warning Bottom LED State Power Status 30 BRITCR icon 11 to start the application 8 BUSY digitizing fi
31. in all lowercase for the initial login You will see the message Loading Patient Files Chapter 1 Introduction e 4 BRIT Systems Special Symbols This document contains notes cautions warnings timesavers tips reminders prerequisites and references related materials to highlight information for you as represented by the following symbols Note This symbol highlights special information that is pertinent to the primary discussion Information contained in the note is important enough that it is set off from the regular text and called to your special attention Caution This symbol means reader be careful It identifies information that is critical to the operation or procedure and is necessary to prevent loss of data or equipment damage to connected network components Reminder This symbol means a prerequisite exists You need to locate some required information or perform a prerequisite procedure prior to this action Reference This symbol means extensive related information exists It identifies another body of information you may want to examine that directly relates to the specific topic or procedure upon which you are working Timesaver Tip or Hint This symbol means the described action saves time The paragraph provides a specific procedure or describes where to obtain more information that helps get your job done easier WARNING This symbol means danger Th
32. iscan SCAN ABORT SCAN READY RESET y 2n Systems with Film Feeders Only READY Place the first film in the scanner s IN tray The film should be oriented so that the top of the film enters the scanner first with the front of the film the side of the film that would be viewed facing back toward the scanner If you are holding the film as you would hang it on a light box just flip it over and place in the hopper The diagram below shows the proper film orientation The top of the film will stop against a guide in the scanner The Scanning Workbench User s Manual Chapter 4 Using the Kodak LS Series of Digitizers e 21 BRIT Systems Note While the film is actually being scanned you must not use the computer to do anything else It is very important that the digitizer not be interrupted as it writes to the computer s disk 4 Lightbox Lumiscar Orientation Scanner Orientation Film Orientation for LS Scanners Notes and Data about the LS Digitizers The following table gives brief descriptions of some of the major characteristics of the Kodak LS digitizers typically used with The Scanning Workbench el rn Seta m POOP ee en lT ipil LATOTI ALO 1eSOlUUO Pi Madal IANO aX LS40 80 lines sec 2K 2048 pixels x Linear function Self calibrating 2500 lines x 12 from 0 03 to 3 2 14 by 17 film bits 4096 gray OD levels LS50 115 lines sec
33. izer 2 Viewing a Single Image on the Screen 21 W L Reset button 20 The Scanning Workbench User s Manual Wide area network WAN 2 Window and Level 20 Windows familiarity with 3 X ray source 32 X Windows 3 Zoom 44 Index e 42
34. lm LED status 30 Calibration 28 calibration of digitizers 2 Cassette 8 CCD charge coupled device 2 Changing the Processing Algorithm 22 Chapter 1 Introduction 1 Chapter 2 General Steps 6 36 Chapter 3 Quality Control of the Images 18 Chapter 4 Using the Kodak LS Series of Digitizers 24 Chapter 5 Using the VIDAR Digitizer 27 Chapter 6 Using the ACR 2000 CR System 32 Clicking 42 Clinical OD range 28 Column title bars 12 Comment field 16 Compression of images 2 Computed Radiography 42 Computed radiography CR system 2 Contents 111 Conventional Use of Terms 4 Copyright 1 Corrective Action 29 The Scanning Workbench User s Manual Date 13 Default button 22 Degradation of images upon rescanning 9 DICOM 42 DICOM standards 2 Digitizer Condition 29 Disclaimer 1 Document typeface changes 4 Dragging 42 Dragging and dropping 19 Emergencies for support in 3 Equipment Covered in this Manual 2 Eraser 43 Erasing the Plates 33 Exam button 21 Feeder for film 6 Feeder Status 29 Film Loading for Digitizer Models LS40 LS50 and LS75 24 Film Loading for the VIDAR Digitizer 27 film size accepted 2 Film sizes 28 filmless environment 2 Find a Patient window 12 Fit 43 Flip or Rotate buttons 9 Fluorescent lights and interference with digitizing 32 General Operating Instructions 6 8 Glossary of Related Terms 42 Graphical user interface GUD 4 Grayscale image 6 Hanging Protocol
35. n Images Taylor Good Test 403403403 CR of Pelvis Aieady to scan image 2 Re scan Image Cancel Seres Completed When the image looks acceptable select OK Next Image The Scan Images box shown above will show a message when the system is ready to digitize the next plate When you have digitized all plates select the Series Completed button Erasing the Plates When you are sure you will not need to re digitize a plate it is time to erase it Plates can be re digitized several times without severe image degradation Note All plates should be erased daily If not ambient light can create noise on the plates This can be fixed by erasing the plate just before the exam is taken Plates are erased by placing them in the eraser that comes with the ACR 2000 Pull out the slider bar from the bottom right hand corner of the eraser Place the plate on the bar with the whiter side facing the back grayer side facing out refer to the following drawing This orients the plate so that the active side is facing the lights Using the slider bar slide the plate into the eraser and press the timer button under the slider When the timer goes off the plate has been erased Pull the slider bar out and remove the plate The Scanning Workbench User s Manual Chapter 6 Using the ACR 2000 System e 29 Place film here r Whiter side facing in mg slider bar Light SOUrCe timer button Note
36. nsferring data Scanning takes about 20 25 seconds After scanning is complete for the first image you will see the message Saved image 1 Remove the first paper image from the scanner and insert the next page we are assuming that we are scanning multiple pages as a series so select the Scan Multi Page button again You will see messages about the second image and that it has Saved image 2 After you have finished scanning the series of images press the All Done button on the Paper Scanner Control box Soon the first image will display on the computer screen along with the controls for QC ing the image and the Image QC dialog with the two options Accept Image and Reject Image Carefully look over the first image Reorient the image as necessary If it appears to be usable select the Accept Image button If the image does not appear to be acceptable select Reject Image and rescan the paper Image QL After you select Accept Image the next image you scanned appears and you must again make the decision about accepting or rejecting the image After you have accepted all images that were scanned the screen returns to the Select Study to Scan screen You can then select another patient for whom to scan images The Scanning Workbench User s Manual Chapter 7 The Paper Scanning Option e 36 Glossary of Related Terms 1x Zoom Viewing function that displays the image in its full resolution on the screen Thus a Ik x
37. of Pelvis Ready to scan image 2 Re scan Image Cancel Seres Completed Adding a New Study If the patient name is available from the list on the Select Study to Scan screen but the study is not select the Scan add Study button and fill in the study and series fields on the Patient and Exam Information Entry screen Be very careful when typing the Accession number Using the correct number is very important in the tracking of the exam through the PACS When you are done select the Scan Images button at the bottom to continue Adding a New Series If the study is correct and already has an Accession number defined but a new series is required just update the series information When you are done select the Scan Images button to continue The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 15 Systems Immediately after scanning an image series on the ACR 2000 you are given the opportunity to carry out Quality Control tasks to optimize the usability of each of the images QC tasks that you can perform after digitizing with the Kodak and VIDAR machines are much more limited than with the ACR 2000 After you have finished digitizing the series on the ACR 2000 and you select the Series Completed button on the Scan Images dialog box the following Quality Control screen displays BRIT View s1 v1 4 8 99 CHEST AEE File Browser Utilities Pat
38. om The Scanning Workbench User s Manual Chapter 1 Introduction e 3 Systems Conventional Use of Terms The Scanning Workbench User s Manual uses typeface changes to set apart information in a structured way that allows users to read and understand the documents easily The document typeface changes used throughout this book are shown and described in the following table Typeface Symbol Meaning in Paragraph Text Examples italics Bold and Capitalized Shift Bold fixed width Normal fixed width Used for e Document section or software titles e Special word emphasis Denotes graphical user interface GUI objects and titles such as button names dialog box titles menu item titles tool names and so on Keyboard keys are enclosed in square brackets and have a bold Times Roman font If the keys must be pressed simultaneously a plus sign appears in the text between the keys If multiple keys are listed depress them in the order shown Identifies user input that must be typed exactly as shown This format identifies computer command output including error messages shown in this book The Scanning Workbench User s Manual The Scanning Workbench User s Manual You must be an administrative user to perform this Select the Markup button it has the pencil on it while holding down the Shift key Press Ctrl Alt Backspace to shut down the system Type brit
39. perators know the basic functions of a mouse and can navigate in MS Windows or X Windows displays That is users know how to highlight and select drag and drop items select from drop down or pop up menus double click to activate options size windows and generally move around a typical windows environment This document provides little guidance to MS Windows or X Windows navigation If you are unfamiliar with using and navigating in The Scanning Workbench User s Manual Chapter 1 Introduction e 2 Windows we suggest you read a book on the subject or practice on a computer with a Windows display format Systems Support You can use BRIT s System Support group for any questions you may have with the application or any trouble you may be experiencing with the system For these items contact BRIT Systems at 800 230 7227 Your call will be answered within an hour from 8 00 AM to 5 00 PM Central Time For emergencies at any other time please use Our emergency phone support at 888 722 7487 Service personnel will answer the phone BRIT Systems is your first source of contact for any troubles you may be having with your system We will work with you to determine if it is a hardware or software failure and then call the appropriate resource to get it fixed BRIT System Support M F 8 00 AM to 5 00 PM Central Time 800 230 7227 BRIT After Hours Support or for Emergencies at any time 888 722 7487 BRIT Email Support support brit c
40. re prompts accordingly The following subsection outlines the generalized steps for the digitizing process using the Visioneer One Touch 8920 USB machine The prompts you would see when connected to any other paper scanner would be identical Operating Instructions for the Paper Scanner 1 Make sure the Send Common application is running or start it from the icon on the Desktop 2 Start The Scanning Workbench application by selecting the icon labeled BRIT Scanner or BRIT CR on your Windows Desktop 3 Select the name of the patient and then the series from the Select Study to Scan box see following figure If the patient is not on the list then select the New Patient button If the patient is there but not an exam then select the patient and select the Scan add study button Note Whether you use the scanner to scan only one page or to scan multiple image pages you are creating a new series in the study for that patient The Scanning Workbench User s Manual Chapter 7 The Paper Scanning Option e 31 BRIT Systems BRIT Film Scanner WorkBench File Utilities Patient List Select Study to Scan or Enter New Study Info A None lEn BirthDate _ Sex LetestStux______ Studs Frolich James Landon 985434 iz M Geaa 1 19 00 PM Landow Julie Renee 1348720 29 2004 1 26 00 PM 0 3 29 2004 12 08 00 PM Find Patient List OF All Orders Delete Series New Patient Series Scan add Study E
41. reen and thus the final image sent to archive These tools do not permanently change the image for saving in the archive as do the reprocessing steps refer to the subsection entitled Reorienting and Reprocessing of Image The following tools are provided to allow you to better view the image as it is currently processed Window and Level Place the cursor on the image in the tissue type area on which you wish to optimize and click the middle mouse button For finer adjustments depress the middle mouse button and move it in all directions Move the mouse away from you to narrow the range of densities being viewed on screen Move the mouse toward you to widen the range of densities In a similar fashion move the mouse to the right to view the darker shades of gray available Move the mouse to the left to view the lighter shades of gray available Once you have the levels set to where you want them release the mouse button If you want to reset the values to their original value select the W L Reset button The Scanning Workbench User s Manual Chapter 3 Quality Control of the Images e 17 Mit Lx foom oom 2X foom Viewing a Single Image on the Screen Select the Set or All button from the Toolbar The Set button acts as a toggle switch between a pre set number of images and a single image on the screen The All button acts as a toggle between a single image and all images in a series To move between the processed and the
42. reused many times The Scanning Workbench User s Manual Glossary of Related Terms e 37 Fit Fit is a viewing function that sizes an image so that the whole image fits onto the screen Hanging Protocols Tools that automatically display images in a predetermined format across the monitors Hanging protocols are defined by user and by exam type HL 7 Hospital Language 7 a standard interface for communicating information between dissimilar computer systems It does not support medical images DICOM 3 is the standard for medical image transmission JPEG Standard technique for compressing images This can be set at different levels such as lossless or at some degree of loss Ratios of 8 1 and 16 1 are popular settings Mini PACS Mini PACS systems are systems that allow for the acquisition transmission and viewing of medical images in support of one or several services in a hospital Montage A screen with tiles of individual images arranged in rows and columns CTs and MRs are often viewed in this mode PACS Picture Archival and Communication Systems systems that support the acquisition transmission archiving and viewing of medical images Phosphor plate This is a reusable plate used in CR system in place of film The plate contains a photo stimulated phosphor upon which an image gets created by exposure to x rays The image is read by the CR reader ACR 2000 in this solution then the plate is erased via a l
43. s 43 Hardware or software failure determining 3 HL 7 43 Image Manipulation Tools 20 Image Process window 19 Image Processing window 22 Image quality optimizing 2 Italics 4 Index e 40 JPEG 43 Keyboard keys are denoted by 4 Kodak ACR 2000 2 Kodak LS digitizers 25 Less Sharp 22 Loading Cassettes into the ACR 2000 32 Local area network LAN 2 LS40 LS50 and LS75 digitizers 2 Lumiscan digitizer 24 Magnifying an Image 21 Middle LED State Digitizer Status 29 Mini PACS 43 Modality 13 Modality work list 2 Montage 43 MS Windows 3 Name column on patient list 12 New Patient button 6 8 15 36 37 Notes and Data about the ACR 2000 34 Notes and Data about the LS Digitizers 25 Notes and Data about the VIDAR Digitizer 28 Notes cautions and warnings 5 OK next image button 7 9 41 OK Next Image button 33 Operating Instructions for the Paper Scanner 36 PACS 2 43 Panning 21 Paper Scanner Control dialog box 39 Patient and Exam Information Entry dialog box 14 Patient and Exam Information Entry screen 7 8 17 37 Patient and Series Selection 11 Patient ID 13 sorting by 11 Patient list 11 Patient List screen 15 Patient Name 13 phosphor plate 8 Phosphor plate 8 32 43 Phosphor plates and re digitizing 33 Printer 2 Processing parameters 19 QC function optional 2 QC screen 9 Quality Control tasks 18 Query 14 Radiographs 32 Radiology Information System RIS 2 Range o
44. s and Data about the ACR 2000 The following table gives brief descriptions of some of the major characteristics of the Kodak ACR 2000 tabletop CR system as used with The Scanning Workbench Supported phosphor plates Up to 14 by 17 Scan rate 50 seconds per plate Erase time 30 seconds per plate with separate eraser Workstation Minitower computer Windows 2000 Operating System Monitor Keyboard Mouse Weight 85 lbs 38 6 kg Dimensions Width 21 Depth 27 Compression available Lossless JPEG Lossy JPEG Enhanced JPEG up to 100 1 ratio Note For complete information about using the Kodak Lumisys ACR 2000 please refer to the ACR 2000 Operator s Reference Guide Part Number 0070 711 Rev 01 February 12 1999 This document contains warnings about laser safety In general the covers on the ACR 2000 protect users from the exposure to laser light when properly installed If you notice any cover damage upon receipt of the machine please contact your service representative for replacement The Scanning Workbench User s Manual Chapter 6 Using the ACR 2000 System e 30 BRIT Systems Chapter 7 The Paper Scanning Option Introduction The Scanning Workbench is a high quality digitization system that also can be connected to a paper scanner such as a Hewlett Packard ScanJet or Visioneer One Touch The Scanning Workbench software recognizes the hardware to which it is attached and displays appropriate softwa
45. s scanned and displayed on the computer screen Scanning takes 20 25 seconds i 9 When the image is complete carefully look over the image Reorient the image as necessary If it appears to be usable select the Accept Image button If the image does not appear to be acceptable select Reject Image and rescan the film Image QL 10 Repeat steps 6 9 until all films for the exam have been digitized General Operating Instructions for the ACR 2000 1 For the ACR 2000 load the cassette these are special cassettes so that the white side of the phosphor plate faces the x ray tube 2 Perform the exam to capture the image s 3 Make sure the Send Common application is running or start it from the icon on the Desktop Start The Scanning Workbench application by selecting the BRIT CR icon labeled BRITCR on your Windows Desktop 4 Select the name of the patient and then the series from the list on the screen If the patient is not on the list then select the New Patient button If the patient is there but not the exam then select the patient and select the The Scanning Workbench User s Manual Chapter 2 General Steps and Selecting Patients e 7 Scan add study button If the series is listed then select it first and select the Scan add study button 5 Fill out the required fields on the Patient and Exam Information Entry screen if any are missing 6 Be sure the lights are dimmed Take the phosphor plate out of the
46. ssssseeeereeeesssssssssseseeeereeeo 18 TV Gh TAA ae TAN hdc E E nese actuated lust E E ses tutedet ete Dene ne E 18 I ALL pc cet ce Scene E E E E A 18 Reorienting and Reprocessing Of Images cccicsesssssaccccccscsescassecenacsscscenvecececssdvsscsssssevesausessesssseececsnass vencceccesses 18 Reon mne NN aha E sis ose tensa eae cw E anette sen E E iaade 18 Chane We tiie Proc css ne es On IC sais sires a turntrtcaceanasupae ana a iearpanaueelague adores sreecimaneasnnatapesmeununes 19 Chapter 4 Using the Kodak LS Series Of Digitizers cccccccccccccccccccssssssssssssssssssscsccececccccccccssessseses 21 The Scanning Workbench User s Manual Notices and Copyrights e iii Film Loading for Digitizer Models LS40 LS50 and LS75 Notes and Data about the LS Digitizers Chapter 5 Using the VIDAR Digitizer Film Loading for the VIDAR Digitizer Notes and Data about the VIDAR Digitizer Reading the Diagnostic LEDG ccccccccssssssssssscccseeeeees Chapter 6 Using the ACR 2000 System Loading Cassettes into the ACR 2000 Scanning the MABES ccccsssovscrcccccrsvccssssssssseessesssoesecscesooees Erasing the PACS sirrane Notes and Data about the ACR 2000 Chapter 7 The Paper Scanning Option Introduction ssssrssisisisisssvirisncuinrksiseeiuo nasisa sristi ia The Scanning Workbench User s Manual Notices and Copyrights e iv Chapter 1 Introduction Book Organization Welcome to The Scanning Workbench User s Guide The first thre
47. sticPRO Advantage This product replaces the Diagnostic PRO plus effective Immediately l DIAGNOSTIC LEDs Note If you are going to scan digitize multiple films place the first film as described above and place the remaining films directly JN FRONT OF the blue bar on the VIDAR digitizer Do not place more than about 20 films at one time in the feeder area Notes and Data about the VIDAR Digitizer The following table briefly describes some of the characteristics of the VIDAR DiagnosticPRO Advantage film digitizer The Scanning Workbench User s Manual Chapter 5 Using the VIDAR Digitizer o 24 BRIT Systems Outputs 32 bit mapped to 12 bit and 8 bit grayscale Film sizes Width 8 to 14 Length 8 to 51 Thickness 0 006 to 0 008 Auto film feeder Standard 25 film capacity mixed sizes no pre sorting necessary light box loading head up normal reading left justified Scan rate 200 lines second Illuminator Instant On Hot Light Technology life gt 100 000 scans Detector Solid state next generation high definition CCD HD CCD MTBF gt 50 000 hours Calibration Automatically recalibrates the digitizer every 5 seconds for consistent image quality Reading the Diagnostic LEDs The three LEDs on the front center area of the digitizer provide operating information In general the LEDs cover the following functions Top LED Feeder status Solid green Middle LED Digitizer s
48. tatus Solid green but slow flashing when digitizer is busy LIQ ee Solid green None The feeder is ready to operate ERROR no feeder attached 1 Turn off digitizer The Scanning Workbench User s Manual Chapter 5 Using the VIDAR Digitizer e 25 2 Remove feeder 3 Inspect electrical connector and screws on bottom of feeder Fast flashing green ERROR unknown feeder Check feeder serial number Only attached feeders having serial numbers beginning with 3 can be installed on DiagnosticPro Advantage Check feeder Turn off digitizer Remove feeder Inspect electrical connector and screws on bottom of feeder Slow flashing green BUSY film is staging None This is normal operation Fast flashing green ERROR film staging problem Eject film by clicking the eject button in the scanning operation Middle LED State Digitizer Condition Corrective Action Digitizer Status Solid green Ready None The digitizer is ready to accept commands from the scanning operation Slow flashing green BUSY normalizing None This is normal operation The LED will flash slowly during initial calibration after power is applied and when the scanning application initiates a calibration Slow flashing green BUSY tracking ADC None This is normal operation The LED will flash periodically when the digitizer is idle Automatic Digitizer Calibration ADC is independent of the scanning operation Slow flashing Green BUSY staging
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