Aquarius iNtuition Client 4.4 R.O.D. US |
Contents
1. and applications discussed herein Conventions This guide uses the following conventions The text that appears on buttons menu items dialog boxes and other elements of the AQi user interface are printed in a bold font For example Click the Save button Screen names are capitalized For example Patient List 3D Viewer The chapters are arranged based on the functions in the Aquarius iNtuition Client application A NOTE contains supplementary information about a topic AQ IN ROD USER EN 4 4A vi Contents Introduction 1 Feature Litt atlOBS ccocscsccasasoaeseatevensswnsenasceeaonetaneehooseanteneswateceseoasocs l Unsupported Data TYPES suce imtie imd erudi tonsetusunt en EE TEN l Starting the Aquarius iNtuition Client AQi 2 Lorain Ti e a E EE E 2 The Patient List 2 POAT AY dc E 3 The 3D Viewer 3 The ROD BUON os seeocceatnssseescaeneveanoncataseeaeeesatoncseGacsecetectosscewoss a 4 The R O D Panel 5 FOV Field of View ccccccccccsssssecccccceeccseseeeeececceeeseaeeeeeeeeceseeeeaaeas 6 Start and End Positions Number of Slices and Spacing 7 NOS MdL NER 8 Io d SER AE EA E A E AA 10 Modil en ONS eere E E E 11 Reconstructon PISO iecore ero o En sep Our snvagmeisbosenndensawetocenneonnaca 12 Series C ODIT DL ee oescuieteteese Unite ana tk nEn e Doikesus bue reuse SK qub Red esu DUE Ed 14 Pre2. EN 4 4A 14 For example if you check the Add phase information check box the series comment P uui ga v E e i Seg 7536 will appear as shown below This is a test Seg 75 This is a test Maximum length for the series comment is 52 characters using the English alphabet and numbers ASCII If the Add phase information checkbox is checked the maximum length allowed is 37 characters because 15 characters are reserved for the phase information Preset and Reset Buttons A preset is a set of predefined values that you can preset can define different R O D parameters To apply a preset click the preset button you would like to use If you would like to save the current R O D parameters as a preset right click on a preset button This will open a preset dialog as shown in Figure 17 Please select check boxis which you would like to save current x lm s ue Slab FreeRO Regio Orient val reset The following are current preset values Preset Name j FOV mm 140 FOV 200 X 0 Y 3 Start End Position mm ie uli 153 125 Num of Slices 124 Number of Slices 125 Spacing 1 25 Spacing mm 1 2500 Thickness 1 25 Thickness mm r Filter 71 Heart Standard OFF Filter 71 Heart Standard OFF m Correction Correction B H C Ext CT Value ReconPhase Segment Relative 75 75 1 eee eit ae Segment Relative 75 m Se Comment Add Phase Information UNCHECKED Se Comment Add phase infor
3. is essential to reaching the appropriate conclusion from the results presented by the Aquarius iNtuition Client Precautions Relating To Interpretation Please be aware that calculations relating to distances volumes centerline creations and other physical properties performed by Aquarius iNtuition Client are dependent in accuracy upon the correct information being supplied in the input DICOM images It is the responsibility of the operator to ensure that inputted DICOM images are correctly formatted and to heed any warnings that the software may display during operation relating to potential problems with the information supplied in those DICOM images Note further that in certain instances even though there may be problems or inconsistencies in the DICOM information the Aquarius iNtuition Client will be unable to detect this and erroneous image display will be unavoidable unless the user properly ensures the correctness of all input data in advance Potential problems relating to errors in the DICOM information include incorrect dimensional readouts incorrect orientation markings and incorrect pixel value calibration Three dimensional imaging inherently offers a wide variety of different imaging views of any given dataset it is an important responsibility of the operator to ensure that a proper visualization is achieved and that a complete review of the data has been performed before reaching any diagnostic or interpretive conclusion relati
4. support post processing displaying and manipulation of reports and medical images from acquisition devices and visualization in 2D 3D and 4D for single or multiple datasets or combinations thereof iNtuition TDA TVA Parametric Mapping are designed for use by healthcare professionals and are intended to assist the physician in diagnosis who is responsible for making all final patient management decisions Safety Concerns Aquarius iNtuition Client is part of iNtuition a Class II medical device regulated by the Food and Drug Administration CAUTION U S Federal Law restricts use of this device to trained physicians or other suitably qualified and trained personnel on the order of a physician This Aquarius iNtuition Client is part of a sophisticated medical device and as such MUST ONLY BE USED BY QUALIFIED AND TRAINED PERSONNEL If you require training please contact TeraRecon or a suitably qualified trainer Please keep this documentation readily available near Aquarius iNtuition Client at all times and please keep it updated with all corrections addenda that may be released by TeraRecon from time to time Please also be aware that patient information is restricted private and extremely confidential and subject to stringent legal regulations you should control access to the Aquarius iNtuition Client or patient data contained therein accordingly Devices attached to this product must comply with their own applicable safety standa
5. 7j Muition Aquarius iNtuition Client 4 4 R 0 D gt JS TERARECON 5 TERARECON INC leraRecon Inc 4000 E 3rd Avenue Suite 200 Foster City CA 94404 USA 2015 EC EMERGO EUROPE a Molenstraat 15 2513 BH The Hague The Netherlands ME20 Australian EMERGO AUSTRALIA Sponsor 201 Sussex Street Darling Park Tower II Level 20 sydney NSW 2000 Australia 0197 Symbols used in the label Consult Instructions for Use The CE 0197 mark applies to iNtuition and AquariusAPS Software The CE mark is affixed on the software and computer containing the aforemen tioned software Manufacturer The name and address of the manufacturer are listed next to this symbol Date of Manufacture The year of manufacture is listed next to this symbol Authorized Representative in the European Community The name and address of TeraRecon s authorized representative in the European Community are listed next to this symbol GOST R Mark Mark of conformity certifying that Russian Federation safety requirements have been met AQ IN ROD USER EN 4 4A Notice TeraRecon Inc reserves all rights in this document which is copyrighted Copyright 2011 2015 by TeraRecon Inc TeraRecon Reproduction of this document in any form is strictly prohibited unless specific written consent from TeraRecon has been obtained Contents are subject to change without notice This document may only be used if the
6. ARIA X Ray CT System Hitachi Medical Corporation Image series for which RawData is not available in SCENARIA Image series that have been scanned by Predict Scan Image series that have been scanned by Guide Shot Scan Image series from a Normal Scan that has been scanned by Skip Scan Image series from a Normal or Dynamic Scan with gantry tilt Image series that are combined in series when scanned or post reconstruction Image series that have already been analyzed in 3D or MPR rendering format Note If you use the Aquarius iNtuition Client continuously for long periods of time memory usage may build up This could eventually cause the application to crash Therefore it is recommended that you restart the Aquarius iNtuition Client once a day l AQ IN ROD USER EN 4 4A Starting the Aquarius iNtuition Client AQi To start AQi double click the AQi icon on your desktop The login dialog is displayed see Figure 1 tk Aquarius 3 i Muition Edition Ver 4 4 8 TERAREGON INC www terarecon com Password 000 Cm J Save password Server name localhosi v Figure 1 Login dialog Logging In 1 Enter your user name password and server name in the login dialog 2 Click the Login button to connect to the AquariusNET Server The Patient List When you are successfully logged in AQi displays the Patient List AQ IN ROD USER EN 4 4A 2 E E Shortcut to A EXE 3k Aquarius iMuition Edition ver 4 4 8522 I M
7. EC 2 S iY i PatientList E e Viewer Output DICOM Query amp Retrieve Target Export Drive Chest Sample Normal 04 01 2013 10 22 36 9 6 1 Select Local Target Drive Remote DICOM Node Chest Sample Volume 04 01 2013 10 29 03 E Local Dive sd Chest Sample Dynamic C 04 01 2013 10 34 15 Es Chest Sample Dynamic I 04 01 2013 10 38 09 ES 5 Chest Sample Retrospective 04 01 2013 10 41 54 2 Set Study List Filter v Chest Sample Prospective 04 01 2013 10 48 07 E Chest Sample Normal Skip 04 01 2013 10 52 34 SSE M XGA PR RUBER SEES paienName ve Date Today a a L wn M Other 3 Update Study List to Show Matching Studies Q Update Study List 4 Retrieve Selected Files For DICOM Query Only 1h Retrieve Study T lC jamas S ovoco I sena fii impon anon Chest Sample Normal Sub Series Sub Series Slicel Sort by info Image Position mm Y Slice To Load End 1 1 Sub Series selected Loading a Study To load studies in the Viewer simply double click on the studies in the Patient List or right click the study and select a Workflow from the menu You can also select a study click the Load button and then select a Workflow The R O D system supports the following scan types from SCENARIA Normal Scans are done intermittently by repeatedly scanning and moving the table This type of scan is mainly used to scan the head region Volume Scans are
8. Failed to load Reconstruction images Please contact Customer Service for assistance Failed to show Reconstruction images Please restart AQi Client Unable to recognize the connection with RRServer2 Please contact Customer Service for assistance Network connection to SCENARIA has been disconnected Please check network connection and configuration to SCENARIA Network has been disconnected during communication Please check network connection and configuration to SCENARIA 21 AQ IN ROD USER EN 4 4A Message A time out occurred during communication Please try again Data received from SCENARIA is invalid Please restart the AquariusNET Server and SCE NARIA Failed to read the file on R O D Please restart the AquariusNET Server and SCENARIA r TO O D Failed to write to the file on R O D Please restart the AquariusNET Server and SCENARIA Failed to delete the file on R O D Please restart the AquariusNET Server and SCENARIA Network authorization failed Please contact Customer Service for assistance Ui e 7 An unexpected error occurred during communication Please restart the AquariusNET Server and SCENARIA AQ IN ROD USER EN 4 4A 22
9. NT NN 1 25mm 2 5mm O 3 5mm 5 0mm 7 5mm 10 0mm o Selectable x Not Selectable 9 AQ IN ROD USER EN 4 4A The value in parentheses represents Image pem zx image Mode 321 Mode and is displayed next to the thickness riii ai combo box Filters SCENARIA provides three filters Reconstruction filter Image filter and Intelli IP The reconstruction filter belongs to SCENARIA and is used while the images are being reconstructed Filters are provided based on body parts Each body part has different levels of image sharpness and smoothness The image filter is used after reconstruction It is an image processing tool that provides the levels of sharpness and smoothness Intelli IP Iterative Processing is a technique for reducing noise by using iterative reconstruction Intelli IP has two methods Normal and Advanced By default current filter information is displayed in the Filter text box The text box contains the reconstruction filter number and name followed by the image filter Intelli IP level in parentheses If the selected reconstruction filter includes Hi Res the letter H will be added after the reconstruction filter number Filter Number H if Hi Res Filter Name Image Filter Intelli IP OFF If None is selected Figure 8 Filter information Hi Res and Not Hi Res To change the filter options click the button next to the Filter text box This will open the Filter Settin
10. Please contact Customer Service for assistance Unable to get SCENARIA system information Please contact Customer Service for assistance 201 202 Unable to get SCENARIA image information from the loaded data Please try again 301 302 Loaded data is not supported by R O D R O D does not support data that is combined in series by SCENARIA Loaded data is not supported by R O D R O D supports only the following scan types Normal Volume Dynamic Retrospective and Prospective scan Loaded data is not supported by R O D R O D does not support the data after image process ing 304 Loaded data is not supported by R O D R O D does not support the data after post Recon struction and image processing 305 Loaded data is not supported by R O D R O D does not support any post reconstruction data R O D supports only the Normal Volume Dynamic Retrospective and Prospective scan types 306 Loaded data is not supported by R O D If the ECG scan option is not installed on SCENARIA R O D does not support the data which was scanned by ECG Please check whether the ECG scan option is installed on SCENARIA 400 Failed to check RawData for loaded data There is not enough memory in client PC Please restart AQi and the AquariusNET Server 401 Failed to check RawData for loaded data An unexpected error occurred during communication Please restart AQi and the AquariusNET Server 402 Failed to check RawData for loaded data A time
11. Please restart the AquariusNET Server and SCENARIA A time out occurred while receiving DICOM data from SCENARIA Would you like to continue to wait for DICOM data Yes Continue to wait No Cancel An unexpected error occurred in the AquariusNET Server Error 25 Please contact Customer oervice for assistance The AquariusNET Server failed to reserve memory for Reconstruction image however the image will be received without any problem 1001 Please wait The AquariusNET Server failed to reserve memory for Reconstruction image however the image will be received without any problem 1004 Please wait Failed to register Reconstruction queue Number of slices should be 3000 or less Please check the Reconstruction parameters Failed to receive the first Reconstruction image from SCENARIA Please restart the Aquarius NET Server Error XX Failed to load Reconstruction image Please contact Customer Service for assistance Reconstruction is successfully completed Reconstruction image is available in the Patient List Please go back to Patient List and reload the image 24 Failed to detect Sub Series Please contact Customer Service for assistance Error 5 AQi Client has successfully received the Reconstruction image Please go back to Patient List and load the image 1001 AQi Client has successfully received the Reconstruction image Please go back to Patient List and load the image 1004
12. THAT THE INSTALLATION AND USE OF ANY ADDITIONAL SOFTWARE OR HARDWARE COMPONENT WITHOUT THE SPECIFIC DIRECTION AND APPROVAL OF TERARECON MAY IMPAIR THE SAFETY AND EFFECTIVENESS OF THE PRODUCT HENCE NO ADDITIONAL SOFTWARE OR HARDWARE COMPONENT SHOULD BE ADDED TO Aquarius iNtuition Client NOR SHOULD THE CONFIGURATION BE CHANGED IN ANY WAY EXCEPT UNDER THE EXPRESS DIRECTION OF TERARECON PERSONNEL DO NOT USE THE SOFTWARE IF IT IS DAMAGED COMPROMISED OR IF YOU IN ANY WAY SUSPECT THAT ITS SAFETY MAY HAVE BEEN COMPROMISED IN THIS EVENT CONTACT YOUR CUSTOMER SERVICE REPRESENTATIVE IMMEDIATELY You can return the HASP key provided for software licensing back to TeraRecon Inc for electronic waste disposal per applicable local laws Patents The product described in this document is protected by the following patents http www terarecon com patents V AQ IN ROD USER EN 4 4A Welcome Welcome to the Aquarius iNtuition Client Manual This guide is intended for users performing and analyzing different studies using the Aquarius iNtuition Client application Please read the chapters sequentially to gain a complete understanding of the Aquarius iNtuition Client application You can use the table of contents to navigate to your topics of interest Please pay attention to all Notices whether onscreen or contained herein including all precautionary statements and advisories as these are essential to the effective and authorized use of the products
13. d Extended CT value LIE E Figure 12 Correction Setting dialog e If the scan type is Volume B G C is selected by default and can not be changed e If the scan type is Retrospective or Prospective B G C is disabled by default and can not be selected Reconstruction Phase Reconstruction phase is used for Retrospective and Prospective scans To set the Reconstruction phase option click the button next to the Recon Phase text box If the scan type is Retrospective the Recon Phase Setting dialog will open with the following settings Phase Range 36 75 i Interval 36 eos Segment Relative 75 Figure 13 Recon Phase Setting dialog Retrospective When the phase range is changed click OK The new phase information will be displayed in the Recon Phase text box AQ IN ROD USER EN 4 4A 12 Reconstruction Type Type Segment Z Monies Segment Relative 75 8596 5 Figure 14 Recon Phase Setting dialog Retrospective Phase Changed Reconstruction Type has two options Half and Segment Note Prospective scan supports Half only Heart Phase Mode has three modes Relative Absolute and Auto See the following table for a full description of each Relative Set phase range 96 and interval 96 Phase range 0 99 Interval Increment is every 196 to 5096 Example If the phase range is 75 85 and the interval is 5 then three phases 75 80 and 85 will be c
14. done Spirally by repeatedly scanning and moving the table This type of scan is mainly used to scan the chest and abdominal regions Dynamic The same region is scanned while the table position is fixed This type of scan is mainly used for perfusion scanning Retrospective An ECG recording is taken while acquiring images in a volume scan The associ ated ECG data is then used to create scans from a particular phase of the cardiac cycle Prospective ECG data is monitored When a specified time has passed after detecting an R wave a normal scan is performed The 3D Viewer When the image is loaded into the 3D Viewer the Viewer tab is displayed as shown in Figure 2 3 AQ IN ROD USER EN 4 4A E A a Figure 2 The AQi Viewer The R O D Button Click the R O D button under the Tool tab to open the R O D panel Tool A o amp a C XH gt ROD Slab FreeROl Regio Orient ah If an error occurs the error message will have an Error Code in the title bar Please see Error and Information Messages on page 19 for a list of error message descriptions te R O D Error E Unable to get SCENARIA system information Please contact Customer Service for assistance Figure 3 R O D error message AQ IN ROD USER EN 4 4A 4 The R O D Panel When AQi successfully connects to SCENARIA the SE R O D panel is displayed as shown below The m R O D panel displays different parameter entr
15. ffiliation with Citrix Online is either intended or implied by use of this trademark SCENARIA and Intelli IP are registered trademarks of Hitachi Medico in Japan and other countries regions This document contains important helpful use and precautionary information Please review carefully all precautionary statements and advisories whether onscreen or contained herein as these are essential to the effective and authorized use of the products and applications discussed Note Any beta features extended are not to be used clinically and can ONLY be authorized obtained or accessed through an appropriate beta agreement TeraRecon AquariusNet iNtuition Aquarius and Aquarius Workstation are either registered trademarks or trademarks of TeraRecon Inc in the United States and or other countries Copyright 2011 2015 TeraRecon Inc All rights reserved i AQ IN ROD USER EN 4 4A General Description iNtuition also referred to as Aquarius iNtuition is a medical device comprised of two stand alone software components a server software backend iNtuition Server which performs complex image post processing and client viewer software iNtuition Client Viewers that provides a user interface enabling the user to view medical image data and associated derived metadata The Aquarius iNtuition Client AQi is one of the iNtuition client viewers with 2D 3D AD 3D with dimension of time image processing and advanced visualization capabili
16. g dialog see Figure 9 c5 Bees EN em Reconstruction Filter Number Description 63 Lung Smooth 1 65 Lung Sharp 1 3 66 Lung Sharp 2 67 Lung Sharp 3 68 Lung Sharp 4 mage Filter Intelli IP None Intelli IP Normal Image Filter Intelli IP Advance 54 Lung Standard OFF JL Figure 9 Filter Setting dialog AQ IN ROD USER EN 4 4A 10 Select a reconstruction filter from the list Some reconstruction filters such as 20 Body Hi Res Standard and 21 Body Hi Res Sharp do not support Intelli IP Normal therefore when one of these filters is selected Intelli IP Normal is disabled as shown in Figure 10 deem ER Reconstruction Filter Number Description 10H Temporal bone Hi Res Standard 11H Temporal bone Hi Res Sharp 20H Body HiRes Standard NNNM 24H Body Hi Res Sharp 60H For service use Image Filter Intelli IP None Intelli IP Normal Image Filter Intelli IP Advance Figure 10 Filter Setting dialog Disable Intelli IP Normal Select Image Filter Intelli IP Normal or Intelli IP Advance from the radio buttons These are mutually exclusive If no additional filter is used simply select None If you select Image Filter Intelli IP Normal or Intelli IP Advance you need to select a filter level as well The selection of filter levels for Intelli IP Normal will be changed depending on the selected recon
17. ies amp ch depending on the scan type ROD Slab FreeROI Regin Orient If for example the scan type is Retrospective or FOV mm o0 ng Prospective the R O D panel in Figure 4 is See 250 s displayed You can set phase parameters such as SEEE cee spacing mm Thickness mm 1425 v Recon Phase using this panel Filter 71 Heart Standard OFF 2 T ene Segment Relative 75 rn Se Comment Add phase information Preset1 Preset Preset3 Preset4 Preset5 Figure 4 R O D Panel for Retrospective Prospective Scan The controls in the R O D panel are grouped into five sections Volume Info FOV Start End Position Number of Slice 2 Filter and Correction Filter Correction 4 Series Comment Add phase information 5 Preset and Reset buttons Preset agis Reset all parameters Click the OK button in the lower right corner to start reconstruction 5 AQ IN ROD USER EN 4 4A FOV Field of View The Field of View is the region of the image that will be reconstructed in 512x512 resolution There are two settings FOV size and FOV position You can set the FOV size by entering the numeric value in the FOV edit box The FOV range is from 20 mm to 500 mm To set the FOV position click the down arrow button next to the FOV edit box A small dialog pops up so that you can enter the FOV X and FOV Y positions To close the dialog click the down arrow button again The range of FOV X and FOV Y is bet
18. isplay if the original data is a Dynamic scan In order to load the image you need to go back to the Patient List and load the image into the AQi Viewer In this case the following message will pop up 1 Reconstruction is successfully completed Recon image for Dynamic scan is available in Patient List Please go back to Patient List to load the image Figure 21 Notification Message for Dynamic Scan AQ IN ROD USER EN 4 4A 18 Error and Information Messages Message 1 Loaded data is not supported by R O D R O D only supports the data from a local drive Please select the local drive in the Patient List Unable to recognize the connection with SCENARIA Please check if SCENARIA is already turned ON ZI Unable to recognize a connection with RRServer2 Please contact Customer Service for assis tance 2 Loaded data is not supported by R O D R O D does not support Tilt data T Loaded data is not supported by R O D R O D does not support the data that has non uni formly spaced Loaded data is not supported by R O D R O D only supports the data scanned by SCENARIA 4 R O D does not support loading series from Viewer and switch the window Please go back to Patient List and load the series There is no reconstruction filter information in the system information from SCENARIA Please contact Customer Service for assistance There is no Intelli IP information in the system information from SCENARIA
19. mation 958g 7596 Preset1 Preset Preset3 Preset4 Preset5 Figure 17 Preset dialog The current preset parameters are displayed on the left side of the Preset dialog bounded in a red square and labeled A in Figure 17 The text box displays the preset name You can change this name by entering a new name and clicking Save The center of the dialog bounded in a green square and labeled B contains a list of checkboxes each of which corresponds to the parameter in section A on the same row Check these boxes to enable and set the corresponding parameter for that preset For example if you were to open the preset dialog for Preset 1 check the first check box FOV and then click the Save button the FOV parameter value that is currently shown on the R O D panel is saved in Preset 1 15 AQ IN ROD USER EN 4 4A Since necessary R O D parameters or units are different depending on the scan type AQi provides three types of presets as shown in the table below The appropriate presets are set based on the scan type when images are loaded Preset Type 2 Retrospective Prospective IOI f N rvan o 9 Se Comment O n O O Show X Hide When applicable units are shown in parentheses Reset Click the Reset button to reset all R O D parameters to the original settings for the Preset 1 current series Start Reconstruction To request reconstruction click the OK button in the R O D tool
20. nd end image positions The default reconstruction range is based on raw data from SCENARIA e Number of slices The total number of slices to be reconstructed This setting is read only and you can not change the value e Spacing The size of the space between images For Normal or Prospective scans the thickness value will be set to the spacing value when the thickness value is changed When the start or end position is changed the number of slices is recalculated based on the spacing size Also the end position is adjusted automatically When the spacing is changed the number of slices is recalculated based on the start and end positions The end position is adjusted automatically Note In order to calculate accurate start and end positions SCENARIA recalculates the positions based on raw data when reconstruction is requested Therefore there is a possibility that the start and end positions Will be slightly different after reconstruction Start End Position mm z Number of Slices 225 Spacing mm Figure 7 Start End positions 7 AQ IN ROD USER EN 4 4A Depending on the scan type the value unit and GUI are changed as shown in the following table Note When the scan type is Dynamic Continuous the Relative Starte End Position and Spacing boxes contain the scan time The time value is expressed in seconds When the scan type is Dynamic Intermittent the Starte End Slice Number box contains the Raw Data slice
21. ng to the dataset in question Limitations present in the original input data such as those relating to spatial and or temporal resolution pixel size and slice thickness remain valid even when Aquarius iNtuition Client processes the data and these provisos should be considered when using the equipment for image review The image processing and display techniques offered by Aquarius iNtuition Client are only intended as an adjunct to and not a substitute for conventional diagnostic review of medical imaging data All results should be validated by qualified physicians trained in the subject matter The Aquarius products provide tools and protocols to quantify metrics and distances relating to structures in the CT MR scans or images which are based upon the dimensions of the anatomy scanned or imaged at the time the images were originally acquired from the patient and based on the measurement calibrations provided by the acquiring device The suitability for any particular purpose especially monitoring the progression of disease or the sizing or planning of a device to be implanted in a patient is dependent upon many factors including but not limited to the accuracy of the original acquisition the extent to which the images acquired still represent the patient s anatomy and the way in which the actual device deployment may modify the anatomy into which it is introduced TeraRecon does not represent that the Aquarius products are suitable for
22. number No unit is necessary The spacing entry is disabled Normal Prospective Start End Position mm 2E 272750 Number of Slices 2s M Spacing mm Start End Position mm 0000 Number of Slices gt Spacing mm 4 2500 Relative Start End Pos s ne Number of Slices E Spacing s Start End Slice MO Eoo O Number of Slices spacing B Volume Retrospective Dynamic Continuous Dynamic Intermittent Thickness Thickness refers to the slice thickness Thickness can be set to one of the following values 0 625 mm 1 00 mm 1 25 mm 2 50 mm 3 75 mm 5 00 mm 7 50 mm and 10 0 mm Selection of thickness values depends on the scan type Please refer to the tables below AQ IN ROD USER EN 4 4A 8 Normal Dynamic scans thickness values Collimation 1 25mm 2 5 00mm 8 10mm 16 15mm 24 20mm 32 40mm 64 Row 0 625mm o 8 ELI M Taam s 0 58 prey asm 98 s 98 sU 3mm x om 8mm om sU o0 98 gt 9d o Selectable x Not Selectable Prospective scans thickness values Collimation Row 40mm 64 085mm oe imm 908 25mm 904 3mm o 0 0 5mm sm 0X m o Selectable x Not Selectable Volume scans thickness values 0 625mm 1 0mm 1 25mm 2 5mm 3 75mm 5 0mm 7 5mm 10 0mm Retrospective scans thickness values Collimation Row 40mm 64 LN
23. obile technology Visualization in 2D 3D and 4D are supported for single or multiple datasets or combinations thereof Tools are provided to define and edit paths through structures such as centerlines which may be used to analyze cross sections of structures or to provide flythrough visualizations rendered along such a centerline Segmentation of regions of interest and quantitative analysis tools are provided for images of vasculature pathology and morphology including distance angle volume histogram ratios thereof and tracking of quantities over time A database is provided to track and compare results using published comparison techniques such as RECIST and WHO Calcium scoring for quantification of atherosclerotic plaque is supported Support is provided for digital image processing to derive metadata or new images from input image sets for internal use or for forwarding to other devices using the DICOM protocol Image processing tools are provided to extract metadata to derive parametric images from combinations of multiple input images such as temporal phases or images co located in space but acquired with different imaging parameters such as different MR pulse sequences or different CT image parameters e g dual energy iNtuition is designed for use by healthcare professionals and is intended to assist the physician in diagnosis who is responsible for making all final patient management decisions Interpretation of mammog
24. orization failed Please contact Cus tomer Service for assistance 407 i i 50 E 501 Failed to register Reconstruction queue An unexpected error occurred during communication Please restart AQi and the AquariusNET Server 0 AU EE 03 l 0 0 2 Failed to register Reconstruction queue A time out occurred during communication Please try 4 Failed to register Reconstruction queue There is not enough memory in client PC Please restart AQi and the AquariusNET Server Failed to check RawData for loaded data An unexpected error occurred during communication Please restart the AquariusNET Server and SCENARIA 5 again 5 Failed to register Reconstruction queue An unexpected error occurred during communication Please restart SCENARIA 5 Failed to register Reconstruction queue Reconstruction parameter error occurred Please con tact Customer Service for assistance 505 Failed to register Reconstruction queue Reconstruction queue registration error occurred Please restart SCENARIA 506 Failed to register Reconstruction queue There is not enough space on SCENARIA HDD Please back up or delete some data to free disk space in SCENARIA Reconstruction queue has successfully registered however an unknown error occurred while sending DICOM data to the AquariusNET Server The DICOM send destination is not config ured correctly in SCENARIA Please contact Customer Service for assistance Failed to register Reconstruction
25. out occurred during communication Please try again There is no RawData in SCENARIA corresponding to the loaded data 404 There is insufficient RawData corresponding to the loaded data R O D does not support insuf ficient RawData 19 AQ IN ROD USER EN 4 4A 405 Loaded data is not supported by R O D R O D does not support data that is combined in series at SCENARIA 406 Loaded data is not supported by R O D R O D does not support data that was scanned by skip scan 407 Failed to check RawData for loaded data An unknown error occurred during communication Please restart the AquariusNET Server 407 Failed to check RawData for loaded data Network has been disconnected during communica tion Please check network connection and configuration to SCENARIA 407 Failed to check RawData for loaded data A time out occurred during communication Please retry again 407 Failed to check RawData for loaded data Data received from SCENARIA is invalid Please restart AquariusNET Server and SCENARIA 407 Failed to check RawData for loaded data Failed to read the file on R O D Please restart the AquariusNET Server and SCENARIA 407 Failed to check RawData for loaded data Failed to write to the file on R O D Please restart the AquariusNET Server and SCENARIA 407 Failed to check RawData for loaded data Failed to delete the file on R O D Please restart the AquariusNET Server and SCENARIA 407 Failed to check RawData for loaded data Network auth
26. panel see Figure 4 on page 5 Once the OK button is clicked AQi starts communication with SCENARIA The OK button is temporarily disabled while it waits for a response from SCENARIA Once the OK button is enabled again you can request the next reconstruction While reconstruction is in progress the status is shown in the tool bar as an icon Move the mouse cursor over the icon to show a tooltip for the current status Figure 18 Reconstruction status icon AQ IN ROD USER EN 4 4A 16 Icon Status DICIT X There is an error while communicating with SCENARIA When reconstruction is successfully completed and the reconstructed image is ready to be displayed in AQi the following message will pop up Reconstruction is successfully completed Do you want to show the Recon image No The image can be shown anytime by clicking the status button on the Top bar Figure 19 Notification Message Click the Yes button to close the message and display the R O D series list as shown in Figure 20 You can select a series to load from this list Click the No button to close the message When you would like to load the series simply click the status icon in the top bar This will show the R O D series list see image below 17 AQ IN ROD USER EN 4 4A Recon has been completed Please select the series to show Series No Comment 200 Figure 20 R O D Series List The R O D series list does not support image d
27. queue The number of Reconstruction queues that can be reg istered at a time has been exceeded Please wait and try again 5 Failed to register Reconstruction queue An unknown error occurred during communication Please restart the AquariusNET Server and SCENARIA 508 09 AQ IN ROD USER EN 4 4A 20 Code 509 5 5 5 5 5 5 5 09 09 09 09 09 09 09 510 511 512 513 514 601 602 603 604 605 6 07 700 701 701 Message Failed to register Reconstruction queue Network has been disconnected during communica tion Please check network connection and configuration to SCENARIA Failed to register Reconstruction queue A time out occurred during communication Please retry again Failed to register Reconstruction queue Data received from SCENARIA is invalid Please restart the AquariusNET Server and SCENARIA Failed to register Reconstruction queue Failed to read the file on R O D Please restart the AquariusNET Server and SCENARIA Failed to register Reconstruction queue Failed to write to the file on R O D Please restart the AquariusNET Server and SCENARIA Failed to register Reconstruction queue Failed to delete the file on R O D Please restart the AquariusNET Server and SCENARIA Failed to register Reconstruction queue Network authorization failed Please contact Customer Service for assistance Failed to register Reconstruction queue An unexpected error occurred during communication
28. raphic images or digitized film screen images is supported only when the software is used without compression and with an FDA approved monitor that offers at least 5Mpixel resolution and meets other technical specifications reviewed and accepted by the FDA iNtuitionMOBILE provides wireless and portable access to medical images This device is not intended to replace full workstations and should be used only when there is no access to a workstation Not intended for diagnostic use when used via a web browser or mobile device AQ IN ROD USER EN 4 4A ii iNtuition TDA TVA and Parametric Map Indications For Use iNtuition TDA TVA and Parametric Mapping are software modules which supports assessment of time dependent behavior of image intensity density dimensions or volume of regions of interest over time for volumetric or planar dynamic image types such as CT or MR Parametric mapping tools encode in color various parameters derived from the temporal or spatial characteristics of the planar or volumetric data Support is provided for digital image processing to derive metadata or new images from input image sets for internal use or for forwarding to other devices using the DICOM protocol Image processing tools are provided to extract metadata to derive parametric images from combinations of multiple input images iNtuition TDA TVA and Parametric Mapping are iNtution based software features with dedicated workflows and basic tools and thus
29. rds Precautions Relating to General Use The Aquarius iNtuition Client software may allow images to be generated in which parts of the original scan data are obscured removed including but not limited to through use of lossy compression hidden or modified Similarly output images and reports can be produced saved and annotated with elements of the original acquisition omitted obscured modified or hidden Hence careful and responsible use of the equipment and its output images requires that the user be aware of and effectively communicate these important facts to untrained or uninformed observers or recipients of the processed information Please ensure that all processing has completed including completion of any final stage subsequent to an intermediate stage of processing before formulating a final interpretative decision In certain situations processing takes a brief time but please ensure that all processing of whatever type has completed including for example completion of any final stage subsequent to an intermediate stage of processing before seeking to validate or validating a final interpretative decision iii AQ IN ROD USER EN 4 4A Precautions Relating To Display Hardware Please be aware that Aquarius iNtuition Client display is limited in acuity and color or grayscale depth to that of the display device used Display hardware characteristics can vary widely The judgment of the medical imaging professional
30. reader releases TeraRecon from all claims relating to or arising from any errors it may contain Use by the reader herewith constitutes such an understanding This provision may only be modified on an individual basis in a separate written agreement executed between TeraRecon and the owner or licensee of a specific instance of the product to which this documentation relates Apart from any warranty that may be stated in a specific written agreement between a party and TeraRecon TeraRecon makes no warranty of any kind whether expressed or implied relating to the contents of this document or any software provided by TeraRecon including but not limited to iNtuition Aquarius Workstation Aquarius Workstation iNtuition Edition AquariusGATE AquariusNET AquariusBLUE AquariusAPS and AquariusNET Client software TeraRecon will not be liable in any event for incidental or consequential damages in connection with or arising out of the provision performance or use of this documentation or any software product to which it may relate or any software or hardware product supplied by TeraRecon for use with any such software product or this documentation itself Microsoft Windows Windows NT Windows 2000 Windows XP Windows 7 Windows Server 2003 and Windows Server 2008 are registered trademarks of Microsoft Corporation 3 is a trademark owned by Citrix Online LLC and is used with permission from Citrix Online LLC No endorsement sponsorship or a
31. reated If the mode is changed to Absolute the phase range and interval are automatically calculated using this formula Absolute 600 x Relative Heart Rate bpm Absolute Set phase range ms and interval ms Phase range 2000 2000 Interval Increment is every 10ms from 10ms to 1000ms Example If phase range is 100 100 and interval is 50 then 5 phase 100 50 0 50 100 will be created If the mode is changed to Relative the phase range and interval are automatically cal culated using this formula Relative Absolute x Heart Rate bpm 600 Auto Diastole Systole Auto mode is an ECG option It is enabled only when SCENARIA has the CardioHar mony option 13 AQ IN ROD USER EN 4 4A If the scan type is Prospective the Recon Phase Setting dialog will open with the following settings Reconstruction Type Type Half Heart Phase Mode Shift Time ms and interval ms Range 40 40ms Interval Increment is every 10ms from 10ms 40ms Example If shift time is 20 10 and interval is 10 then four phases 20ms 10ms Oms and 10ms will be created Series Comment A comment can be added for each series If the scan type is Retrospective or Prospective the Add phase information check box will be shown This option allows you to add phase information to the beginning of the series comment The phase information displays next to the Add phase information check box AQ IN ROD USER
32. set and Reset Buttons oo eee ceeccseccessccesccessceesceesccesesenes 15 Start CCOMSTE CUO gic roct wep nso nce sneavencdoleeescsoubeeceitess csoaesonsteteseecone 16 Error and Information Messages 19 Vil AQ IN ROD USER EN 4 4A AQ IN ROD USER EN 4 4A viii Introduction The Reconstruction On Demand R O D system allows you to set image reconstruction parameters on the Aquarius iNtuition Client AQi Viewer and send reconstruction requests to the SCENARIA X ray CT System manufactured by Hitachi Medical Corporation The reconstructed image from SCENARIA is then communicated back to the AquariusNET Server for the AQi Viewer to display Using the R O D system you can obtain reconstructed images without operating SCENARIA itself The R O D system consists of the SCENARIA X ray CT system the AquariusNET Server and the AQi Viewer All components must be connected via a secure network R O D supports a total of up to three AQi Viewers running at the same time Please refer to Aquarius iNtuition Client User Manual version 4 4 for complete information about the Aquarius iNtuition Client Feature Limitations The following features are not supported by Reconstruction on Demand e Fine Recon function e Display or editing for ECG information e Recon queue operations such as pause restart or reorder Unsupported Data Types The following data types are not supported in R O D e Image series that are NOT from the SCEN
33. struction filter For example 64 Lung Standard has a selection of A B C D and E whereas 95 Bone Sharp 1 has a selection of A B and C mauge Filter Intelli IP Image Filter Intelli IP None C Intelli IP Normal 2 Mone Intelli IP Normal 5 Image Filter C2 Intelli IP Advance C2 Image Filter Intelli IP Advance a ss a 8 E Image Filter Intelli IP mage Filter Intelli IP O None Intelli IP Normal O None Inteli IP Normal Image Filter CO Intelli IP Advance Image Filter Intelli IP Advance smooth sharp cspapspaTaTe Pe Tes n os Figure 11 Image Filter Intelli IP Modifications The Correction setting dialog allows you to select B G C B H C and Extended CT value as options e B G C stands for Bowel gas correction B H C stands for Beam hardening correction 11 AQ IN ROD USER EN 4 4A Extended CT value is an option to use 16 bit pixels when reconstructing new images Check the Extended CT value box if you would like to use 16 bit otherwise 13 bit will be used by default If the images are already 16 bit 13 bit can not be used and the feature is disabled The box will be shown as checked to indicate that the images will be reconstructed using 16 bit To set the correction options click the button next to the Correction text box The Correction Setting dialog will be displaye
34. such purposes all such activities should always be cross correlated with other techniques to ensure a complete understanding of the patient and contemplated procedure is obtained by the validating physician s in charge Precautions Relating To Magnetic Resonance Imaging Machines Components of Aquarius iNtuition Client including this document and its packaging or binding may contain metallic or Ferro magnetic components Please ensure that no such component is introduced into the influence of magnetic fields from devices such as Magnetic Resonance Imaging Scanners since injury or damage to equipment or property could occur Precautions Relating To Risk Of Loss Of Data Aquarius iNtuition Client is not intended to be used as a primary archive for medical imaging data This means that a secure copy of any data should be maintained in a location separate from the software for example in the scanner in a PACS archive or on archive media Please do not rely on Aquarius iNtuition Client as your primary archive AQ IN ROD USER EN 4 4A iv In addition do not rely on Aquarius iNtuition Client to convey data from its acquisition point to your primary archive because in this configuration a failure in Aquarius iNtuition Client could compromise your primary archive Your primary archive should be maintained in a manner independent of and not relying on Aquarius iNtuition Client Precautions Relating to Computer Software and Hardware NOTE
35. ties to assist physician review of medical images The base functionality of AQi includes but is not limited to various tools for visualization and analysis customizable workflow templates to deliver structured workflow and support for the physician to write and store the report A fully configured iNtuition system is capable of a comprehensive suite of image processing and visualization functions including full color Volume Rendering Calcium Scoring Time Dependent Analysis TDA Time Volume Analysis TVA Segmentation Analysis and Tracking SAT Vessel Analysis Flythrough Multi phase review CT CTA Subtraction Lobular Decomposition LD iGENTLE Maxillo Facial Volumetric Histogram Findings Workflow Fusion CT MR PET SPECT MultiKV Reconstruction On Demand R O D Results from the AquarisAPS Server module may be displayed in the viewer Each of these features may vary by client viewer and offered as an independent upgrade option to the basic configuration Indications For Use iNtuition Indications For Use To receive store transmit post process display and allow manipulation of reports and medical images from acquisition devices including optical or other non DICOM format images DICOM images with modality type XA US CR DR SPECT NM and MG and images from volumetric medical scanning devices such as EBT CT PET or MRI To provide access to images derived data and derived images via client server software web browser and m
36. ween 250 to 250 mm The table shift is added to FOV X if there is any 350 FOV mm 350 FOV X mm To rovy mm NNI Figure 5 Left FOV size Right FOV Position Another way to set the FOV size and position is to adjust the FOV crop rectangle on one of the three basic views For example on the Axial view there is a crop rectangle with blue vertical and green horizontal lines e To change the FOV Size Move the mouse cursor over the crop rectangle The cursor changes from an arrow to a horizontal double arrow see Figure 6 Click and drag the crop rectangle to change the FOV size e To change the FOV Position Move the mouse cursor to the center of the crop rectangle The cursor changes from an arrow to a cross double arrow see Figure 6 Click and drag the crop rectangle to change the FOV position AQ IN ROD USER EN 4 4A 6 43 2014 10 18AM Server AQWS Aquarius iMuition Edition ver 4 8 522 0 l E 7 A IN E uw Q 0 LLORAR M x J cer H ICE INDE T Jh Output Chest Sample Normal Chest Sample Normal i40 qu LL Seis VolBrowse M Chest Sample Normal 20130401 1 10004 04 01 2013 10 25 AM gt Kj LER pan PX Chest Sample Normal o LEER men P3 Loc 138 75 mm LAO 0O CAU 90 Figure 6 FOV Crop Rectangle Start and End Positions Number of Slices and Spacing e Start End Position mm The reconstruction range is determined by the start a
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