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MIO LT™ v2 - c2c - the eHealth company

1. The queue management tool incorporates the following features Queue selector MIO LT has an independent sending queue for consignments to PACS and another repository such as MEDTING By this dropdown queue that is desired to manage can be selected Filter tabs Allow display studies only rated as Pending Sent or Erroneous Study selection area Allows a selection of studies and images stored in the queue The selection is made by marking the study or individual images Action button bar Allows to perform actions on the selected studies Forward Resends marked studies to the corresponding repository Remove Deleted marked studies from the queue not the repository To learn more about configuration options of sending queue please see sections 6 3 4 2 Sending to MEDTING 6 3 7 3 Sending to MIO Comm and 6 3 8 3 sending to PACS 5 7 Multistudy sending MIO LT allows from version 2 9 onwards make partial sending of the images displayed in the Gallery area This option denominated as Multistudy sending causes in the case of being activated notable differences in the way in which MIO LT processes the images for sending Specifically with activated Multistudy sending option Sending only the images selected by the user instead of all images After sending selected images they are deleted from the Gallery area After sending selected images the not selected images and therefore
2. C2C Consultoria TSIS SL Republica Dominicana 3 bajos local 1 07014 Palma de Mallorca Spain Tel 34 971 919 124 Fax 34 971 918 423 the eHealth company www c2ctsis com c2c c2ctsis com MIO LT v2 User Manual 2012 C2C the eHealth company MIO LT v2 User Manual EN rev 111213 www c2ctsis com c2c c2ctsis com WE medical images organizer Table of content Table of contents 1 INTFOU CI N sirsiran anasa aa aa aaia ai aana 5 1 1 MIO LT Desktop application for medical image integration c csccseseseesecneseeneeeseees 6 A A e PM PE PEN UE 7 L2 o o S 7 Laos CPUN ONDA anina a aaa 7 PA Poe Ay o e eid 8 A A A 8 a vetnaaieoatsxieuveiiaeinenta 8 ELO GCP Olan CORTOS pu A aaa letra ala 8 ANA ls e PP 10 A PP O e o A 10 22 A oo ooQ P o Eno ro 10 La OD a iS 11 ol MOOV IC dia ii 11 A A A y PR E nnaiaaliesnennnens 11 a CC E 15 24 Macondo sisas o iia 16 2 AUN O UNS odie 16 3 Patient identification With MIO LT sccsscsssccsccscsecscnsecssseceeceenseseueensneenseusenecssusugsausauaas 17 A A A o 17 Be DON rS E eeina orae e aa nn EE 17 Bie PRINESE O urraca a 17 le POO MS and SOUN ON aria ia oli 20 Be E E DASS aaa E EE EA E EA 21 Jl Panon o ECO sentir EE E RARE A 21 Ja Problems and SOLUN ONS anat 21 e AAA PP N 22 Feel Patent data EY coi 22 4 Capture images with MIO LT sssscsssssscesssescesensseensceensesensneeeeusnseeenseesaseesaseesesnsensaesasaes 23 A IA OR nai aa o
3. Images capture 4 7 Using gallery The Gallery area is the central section of the MIO LT main screen It shows the images captured by MIO LT using any of the methods described in the previous sections a hare Capture Explore CO rideg P i E a i a A dim bel m e wy on Y J al local PACS Figure 4 2 MIO LT Gallery area with images Besides allowing reviewing the captured images the Gallery also fulfills a preprocessing of them As a preform of sending the study to the PACS or selected repository the user can take the following actions over the images Rearrange Select Remove Include diagram with localization of pathologies Print 4 7 1 Rearrangement of images MIO LT allows rearrange the images one by one within the Gallery area To place a specific image in another position follow these steps 1 Click on the image that you want to move and drag it to a new position MIO LT v2 USER MANUAL EN Page 33 of 70 Images capture medical images organizer 2 Drop the image in the desired position The image will be relocated in all respects including its position in the series DICOM its storage order and visualization in the PACS display 4 7 2 Image selection MIO LT permits multiple forms selection of images within the Gallery area The selected images will be those which are identify as affected by subsequent actions deleting editing etc and are
4. The images selected by user and which have been automatically opened by one of the Capture toolbar options are displayed Section 4 7 of this document describes in detail the functionalities and options available for the Gallery area 1 2 4 Send toolbar The Send toolbar shows all available options for your MIO LT version to send and share opened or captured images M Send to Send to Send to Medting local PACS all PACS The available options for sending the studies vary according to the configuration and application license Please refer to chapter 5 for further information 1 2 5 Notifications area The Notifications area is a central section of MIO LT main screen where the information regarding to the application status is shown By default this information is displayed as a traffic light showing the status of the delivery queue Section 5 6 2 however temporal notifications can be also displayed depending on the application status 1 2 6 Additional controls MIO LT incorporates the following additional controls located at the top right hand corner of the main screen Details of Configuration Minimize Exit the license bS Y Y a Fii Control slider size of images of the gallery MIO LT v2 USER MANUAL EN Page 8 of 70 Introduction medical images organizer Patient bar Additional controllers EFE y bdi jae a PP f a i aie aa PSB i 7 thea Capture toolbar La Capt
5. depicted in the Gallery area framed in blue and illuminated surroundings Figure 4 3 Gallery with 3 images selected The set of selected images will be affected by a subsequent action of deleting or editing However there are two exceptions to this rule the rearrangement which can only be done frame by frame and sending affecting ALL images from the Gallery not just those selected Please ELIMINATE the images that are not desired to be transmitted prior to take send action The following describes the different procedures of selection of images 4 7 2 1 Individual selection To select a single image just click on it MIO LT v2 USER MANUAL EN Page 34 of 70 Images capture medical images organizer Figure 4 4 Gallery with 1 image selected To deselect a single image click on it again 4 7 2 2 Selection of multiple adjacent images 1 Click on the first images of a range to select 2 Press the Shift key and click the last images of a range to be selected The Gallery will look similar to the following Figure 4 5 Gallery with 6 adjacent images selected MIO LT v2 USER MANUAL EN Page 35 of 70 THO E E BI no a 2 nas Images capture medical images organizer 4 7 2 3 Selection of multiple non adjacent images To select multiple non adjacent images simply click on each of them The selection of an image is not lost when you click on another Figure 4 6 Gallery with 3 non
6. image capture and sending to PACS For an exhaustive description of all configuration parameters MIO LT please refer to section 6 3 6 2 1 Identification of the patient by DICOM Worklist The following parameters are accessible in the General tab of MIO Config configured a reception of Worklist by MIO LT General Option Parameter Graphic interface Startup mode Show button New Patient Graphic interface Show button Close Window Graphic interface W orklist server Node W orklist server Port W orklist server CallingAE W orklist server CalledAE W orklist server Modality W orklist server Only ask for today Possible value W orklist Activated Deactivated Activated Deactivated Address IP Natural number Alphanumeric string Alphanumeric string Alphanumeric string Activated Deactivated Description Method selected for patient identification Show hide the New Patient button in the Worklist window Shows hides the Close Window button in the New Patient window W orklist server IP Port on which the Worklist server listens for requests DICOM Identifier AETitle of the station in which MIO LT is installed DICOM Identifier AETitle of the W orklist server Modality for Worklist retrieve Activates deactivates the Worklist queries for the current day only Table 6 1 The configuration parameters for Worklist MIO LT v2
7. O Cee i a MIO LT permits manually open the following image file formats dcm jpg png bmp tif and gif In addition the application also allows to open video files in the formats mpg and avi MIO LT v2 USER MANUAL EN Page 24 of 70 Images capture medical images organizer 4 3 Capture of image video In order to capture in real time with MIO LT images and videos generated by an external device such as an endoscope etc it is essential to previously install and configure a video capture card and optionally a USB control pedal Please refer to section 6 2 2 and consult with the technical support service 4 3 1 Capturing images To capture images generated by an external device such as an endoscope perform the following steps 1 Click Capture video icon on the Capture toolbar L Capture Forli Eh Video L plore 4 O 2 It will appear Capture of image video window displaying in real time the image generated by the external device LifeCam VX 200m DW Video Encoder MIO LT v2 USER MANUAL EN Page 25 of 70 Images capture medical images organizer 3 Click Camera icon in the upper left corner of Capture of image video window Fixed Close Image capture the window 4 With each click on Camera icon a new image is captured and displayed automatically in the Gallery area behind the Capture of image video window 5 Once you have captured all the images you wanted
8. USER MANUAL EN Page 52 of 70 MIO LT mio medical images organizer 6 2 2 Capture of image video The following parameters are accessible in the Capture tab of MIO Config affect the way in which MIO LT captures the image or video generated by a medical imaging device with video output such as an endoscope or ultrasound Capture Option Parameter Possible value Description General Show configuration Activated Deactivated Show hide dropdown menus of options video device and formats selection in the video capture window General Maximum video Natural number gt 2 Predefined duration of video capturing seconds capture General Device Alphanumeric string Device selected for video capturing General Format Alphanumeric string Video capture format resolution and fps General Deinterlaced Nec beste Activates deactivates ctivated Deactivate enhancement filter to capture interlaced video signal General Video capture Activates deactivates an ability to Activated Deactivated i i n enabled capture video in addition to images Table 6 2 The configuration parameters for Video capture The easiest way to configure the Device and Format parameters is by marking Show configuration options as active and then restarting the application and starting a Video capture with MIO LT The available options will appear in two dropdown menus in the video capture window see section 4 3 Selector
9. UVAE ARACEAE of the CD directly to main PACS showing no images in the MIO LT Gallery It is recommended for large CDs Auto send to all EE O Activates deactivates possibilty to send the contents PACS e PE GCi Nabe of the CD directly to PACS showing no images in the MIO LT Gallery It is recommended for large CDs Auto send to Mete Deseivsted Activates deactivates possibility to send the contents MEDT ING aa Peach Wate of the CD directly to MEDTING showing no images in the MIO LT Gallery It is recommended for large CDs Table 6 13 The general configuration parameters for plugin DICOMDIR 6 3 2 2 Data Acquisition Parameter Possible value Description Auto detect CD Activated Deactivated Activates deactivates automatic detection of CD s in the reader Table 6 14 Additional configuration parameters for plugin DICOMDIR MIO LT v2 USER MANUAL EN Page 60 of 70 MIO LT medical images organizer 6 3 2 3 File Seeker Parameter Possible value Description Specific folder Route Route over which the CD files search is performed in order to import send it Recursivity Activated Deactivated Activates deactivates recursive search through folders within SpecificFolder Valid extensions List of extensions Extensions file to be processed by the FileSeeker separated file by Excluded extensions List of extensions File extensions to be ignored by the FileSeek separated file by Table 6 15 The specific configurat
10. adjacent images selected Send to Send to send to local PACS all PACS Medting 4 7 2 4 Selection of all images To select all the images from the Gallery follow these steps 1 On any of the images click the right mouse button Displays the following context menu Select Delete Edit P Pathologies location 2 Click Select gt Select All Select P select all Delete b Unselect all Edit b Reverse selection Pathologies location MIO LT v2 USER MANUAL EN Page 36 of 70 Images capture medical images organizer 4 7 2 5 Reverse selection At any time you can reverse the selection that is select all unselected images and vice versa in a single step To do this follow these steps 1 On any of the images click the right mouse button Displays the following context menu Select Delete i Edit P Pathologies location 2 Click Select gt Revers selection Select Select all Delete a Unselect all Edit P Reverse selection Pathologies location MIO LT v2 USER MANUAL EN Page 37 of 70 A Images capture medical images organizer 4 7 2 6 Images unselecting At any time you can unselect an image already selected simply by clicking on it It is also possible unselect all selected images simultaneously following these steps 1 On any of the images click the right mouse button Displays the following context menu Select Delete J Edit b Pathologies location
11. deactivates the possibility of sending images in batches sending only selected images instead of the entire gallery Patient data fields Fields list of the following Define the fields to display in the window format lt NameField gt of patient manual data entry DICOM logs enabled Activated Deactivated Activates deactivates the generation of log files on DICOM functions DICOM logs path Route Route where are stored log files on the DICOM functions DICOM root UID DICOM UID C2C prefix for generating unique DICOM objects Table 6 6 The configuration parameters for General MIO LT 6 3 1 4 Worklist server The following parameters configure MIO LT for a search and retrieval of patient data through the Worklist DICOM Worklist obtained from an external server Parameter Possible value Description Node IP Address Worklist server IP Port Natural number Port on which the worklist server listens for requests CallingAE Alphanumeric string DICOM Identifier AETitle of the station in which MIO LT is installed CalledAE Alphanumeric string DICOM Identifier AETitle of Worklist server Modality Alphanumeric string Modality for which the worklist should be retrieved Only ask for today Activated Deactivated Activates deactivates consultations of the Worklist only for the current day Table 6 7 The configuration parameters for Worklist MIO LT v2 USER MANUAL EN Page 56 of 70 Atos ala TT a MIO LT me
12. error has been resolved Natural number Table 6 18 The configuration parameters for Sending queue to MEDTING MIO LT performs sending images to MEDTING through a software plugin which must be purchased separately from the basic program license Please consult your software provider if the Send to MEDTING option does not appear in the Sending toolbar of the MIO LT main screen see sections 1 2 4 and 5 4 6 3 5 Print The following parameter affects the configuration of MIO LT plugin for captured studies printing Parameter Possible value Description Print preview Activated Deactivated Activates deactivates the print preview Table 6 19 The configuration parameters for Printing plugin 6 3 6 Save The following parameters configure the MIO LT plugin that allows you to save in a folder on the workstation a copy of captured images and video MIO LT v2 USER MANUAL EN Page 63 of 70 30006050 BA mIo mo Lr medical images organizer Parameter Possible value Description Default path Route Default route in which are stored images from the gallery Select folder Activated Deactivated Activates deactivates user intervention for choosing the path where the images from gallery are saved If disabled are stored in the default path Clear Gallery Activated Deactivated Activates deactivates removal of the Gallery and the patient in a context after saving the gallery items Table 6 20 The config
13. for processing and sending to PACS or repository selected by MIO LT This chapter describes in detail the different options offered by MIO LT for capturing images All options available for the acquisition of images are displayed as large icons on the Capture toolbar at the top of the main screen of the application Capture Video Explore CD 1 Options available for image acquisition depend on the configuration and application license Please check with your software provider if any of the above options is of your interest and is not available in your application Figure 4 1 Example of Capture toolbar MIO LT v2 USER MANUAL EN Page 23 of 70 medical images organizer 4 2 Open files 4 2 1 To open image files manually follow the steps below 1 2 Select the desired files in the browser window a ORE DATOS 2c Im genes Medical imaging Digestivo Procedure Click Open files icon on the Capture Toolbar TE Images Explore CD capture cs DATOS D de Datos de Docs Im genes de BlackBerry de Diagramas de Dispositivos di Iconos amp Artwork de Medical Imaging E APA Jl Dermatolog a Le Digestive de Temp de Nokia de Perfil de Screenshots 49651 Jed bBh eC 49652 _Zd3pPhtGnK Alles 7 Goma 3 Click Open Selected image files will be displayed in the Gallery area 4 2 2 Supported formats A
14. information For more information on MEDTING please visit the website http medting com 5 4 2 Sending images In order to send all images from the Gallery to MEDTING please follow the steps below 1 Click Send to MEDTING button on the Send toolbar M Send to Send to Send to Med ting local PACS all PACS 2 Optionally you may be required to log in with your MEDTING user Please enter your username and password and click Accept Cancel 3 Optionally you may need to choose between adding the images to an existing case and creating a new case in MEDTING Choose the desired option and enter if it is required the descriptive information of the case to create and click OK MIO LT v2 USER MANUAL EN Page 45 of 70 MIO LT medical images organizer Send study to Medting Add images to existing case Create new case amp add images Clinic Case Diagnostic Group Gastroenterology E Study description Cancel 4 MIO LT displays for a few moments the following informational message 5 After a while the above message will disappear and all gallery images and patient data will be deleted MIO LT is now ready for conducting a new study After sending the output the study will be available in the private area of MEDTING corresponding to the user defined in the configuration of MIO LT For more information about the sending status and its management please refer
15. not sent are still displayed in the Gallery area then may be sent in one or more successive partial sending The patient context is not deleted until the Gallery area become empty of images from one or more successive consignments In order to minimize potential user errors MIO LT is configured by default with disable a Multistudy sending option If you require to activate it please contact the technical support service MIO LT v2 USER MANUAL EN Page 50 of 70 MIO LT medical images organizer 6 Configuration of MIO LT MIO LT is an extremely flexible tool for the integration of medical imaging and can be configured to fit multiple clinical and research workflows The majority of features and performances of MIO LT are adaptable to the needs of the user 6 1 Access to configuration module You can access MIO LT configuration options in the following ways From the main application interface by clicking on the configuration icon in the additional controls area upper right corner of the screen Configuration Running MIO Config exe file directly that is located in the installation folder of the application MIO LT v2 USER MANUAL EN Page 51 of 70 medical images organizer 6 2 Basic configuration MIO LT As a following there configuration parameters indicated that affect MIO LT to the most typical image integration identification of the patient by worklist
16. number Port on which the PACS listen sending studies by MIO LT CallingAE Aloh ae DICOM Identifier AETitle of the station in which O MIO LT is installed CalledAE DICOM Identifier AETitle of additional PACS Alphanumeric string Table 6 25 The configuration parameters for additional PACS 4 Depending on the version of your MIO LT installer it is possible that PACS_1 module does not appear in its configuration options Please consult your software provider if the Send to all does not appear in the Sending toolbar of MIO LT main screen see sections 1 2 4 and 5 3 6 3 8 3 Queue The following parameters configure the studies sending queue from MIO LT to main PACS Parameter Possible value Description Maximum Attempts Natural number Maximum number of send retries before marking a study as erroneous Hours Maintenance Interval in hours between two consecutive queue Natural number cleanings carried out by the automatic maintenance of all elements with a life time gt Days record alive Days record alive Maximum days number that an item will remain in the queue before being automatically deleted by the maintenance service Natural number Seconds paused timer For those controlled delivery errors e g communication failure number of seconds to wait before checking if the error has been solved NOTE The forwarding attempts not carried out until the error has been resolved Natural number Ta
17. send the images generated by a medical imagine device l Images can be converted into DICOM and can be sent to a medical imaging repository such a PACS or a telemedicine or collaborative platform such MEDTING MIO LT can capture medical imaging in one of the following ays Opening importing a file from a path or folder Secondary capture by means of a frame grabber or Video Card Using additional software components plug ins developed by 4 You ought to read and accept the license agreement afterwards click Next gt Please resd the folowing important information before continuing Please read the following License Agreement You must accept the terms of this MIO LT Copyright 2000 2012 C2C CONSULTOR A TSIS S L All Rights Reserved MIO LT Medical Image Organizer 10 LT 15 a DICOM converter and PACSMEDTING integration tool for a single modality images to be converted can be opened from 9 E accept the agreement 5 1 do not accept the agreement MIO LT v2 USER MANUAL EN Page 12 of 70 MIO LT Installation medical images organizer 5 Select the installation folder afterwards click Mext gt Where shoud HIO LT be msta ed ni Setup wil instal MIO LT into the following folder To continue cick Next If you would ike to select a different folder click Browse At east 14 6 MB of free disk space is required se net gt The
18. series or image Selected series and images will be highlighted in blue and the total number of selected images will appear at the bottom of the window DICOMDIR PAINFUL HARD JOHN Total images 437 TAC TORACO ABDOMINAL Dose info E1 00010001015139011662819152412844421 LA Seres E 1000100010151390116628191529 2844783 EM00010001015139011662819152912844791 E1000100010151390116628191529 2844797 Selected images 38 437 6 Click Import button Selected images will be displaying in Gallery area 4 5 3 Images support without DICOM The plugin DICOMDIR MIO LT is configured by default to importation and sending actions are performed solely for DICOM files dcm and without content extension on the CD Nevertheless it is possible to configure the plugin that supports conventional image formats jpg bmp etc For more information please refer to section 6 3 2 4 6 Receiving DICOM MIO LT can act as SCP of DICOM store that is mean that can receive and display real time images generated by a DICOM device in order to subsequently allow its manipulation and sending to PACS or the corresponding repository To make possible the reception of DICOM studies it is necessary to properly configure both devices one that send the images and the MIO LT station that is receiving For more information please refer to section 6 3 3 MIO LT v2 USER MANUAL EN Page 32 of 70 mio medical images organizer
19. the terms of the license agreement and within the authorized period At any time you can check the details of your license by clicking the button with the 2 symbol in the main application window see section 1 2 6 2 4 Initial configuration MIO LT has numerous settings that alter significantly the performance of the application and is able to suit almost any healthcare workflow related to the capture and sharing of medical imaging You can access the configuration options MIO LT in one of the two ways 1 Clicking the configuration button at the right top of the screen see section 1 2 6 2 Running the application MIO Config exe located in the installation folder of MIO LT by default c C2C MIOLT In order to start using MIO LT it is necessary to define at least the configuration parameters relating to a patient identification for image capturing and sending the studies Throughout the following chapters are explained in detail all these concepts In addition chapter 6 presents a complete list of all configuration parameters for MIO LT indicating their possible values and their effects 2 5 Automatic updates MIO LT supports since version 2 6 automatic updates through MIO Server Updater For more information please consult C2C www c2ctsis com and revise section 6 3 1 7 MIO LT v2 USER MANUAL EN Page 16 of 70 Patient identification medical images organizer 3 Patient identif
20. to section 5 6 5 5 Saving images MIO LT allows from version 2 4 onwards save a copy of the images from the gallery in a folder or local hard disk or network The action of saving one or more images does not replace sending MIO LT v2 USER MANUAL EN Page 46 of 70 medical images organizer MIO LT the study to PACS or repository but it serves as a supplement in case you want to get a copy of the full study or part of it mio LT enables save images using a software plugin which must be purchased separately from the application Please consult your software provider if Save option does not appear on the Send toolbar of main screen of MIO LT see section 1 2 4 TO save a copy of the desired images in one folder please follow those steps 1 Select the images that you want to save MIO LT saves only selected images or entire study in case of selection absence Please refer to section 4 7 2 to see the various methods of images selection Click Save icon on the Send toolbar send to send to M Send to local PACS all PACS Medting Depending on the configuration of your MIO LT application you will be asked or not to select a folder in which ought to be saved the images The selected images will be saved in the chosen route or in the default path defined in the configuration for more information see section 6 3 6 Depending on the configuration of your MIO LT application will erase
21. tt is necessary to install Fu version of Framework NET 4 0 and not the C ent version MIO LT v2 USER MANUAL EN Page 10 of 70 a medical images organizer MIO LT Installation 2 3 Step by Step MIO LT installation process consists of 4 steps 1 Downloading the installer 2 The installation itself 3 Licensing 4 Configuration 2 3 1 Download Regardless of whether you have acquired MIO LT or you just want to test it please contact with C2C www c2ctsis com or your software provider and we will provide you with a required installer 2 3 2 Installation Once you have downloaded the installation file for MIO LT please follow these steps 1 Close any other application that may be running in your system 2 Run the installation file usually MIOLT Installer msi and click Next gt Welcome to the MIO LT Setup Wizard This wil instal MIO LT versi n 2 14 5 10103 on your computer tis recommended that you dose all other applications before Cid Mext to continue or Cancel to exit Setup MIO LT v2 USER MANUAL EN Page 11 of 70 MIO LT Installation medical images organizer 3 You may read the general information regarding to the program afterwards click Vext gt Information Please read the folowing important information before continuing When you are ready to continue with Setup cick Next ALO LT is a desktop tool capable to capture process convert gt and
22. 0 03 08 2011 11 30 00 03 05 2011 11 15 00 03 08 2011 11 00 00 Da 08 2011 10 45 00 03 09 2011 10 30 00 91 04 2011 10 15 00 031082011 10 00 00 03708 2011 9 45 00 03 08 2011 9 30 00 03 08 2011 q 15 00 03 08 2011 9 00 00 03 02 2011 8 45 00 Figure 3 1 Patient selection window based on DICOM Workilist Page 17 of 70 Patient identification min medical images organizer To select a patient from the list it is enough to click twice on the name or any other field of the record After selecting a patient his data will be displayed in the Patient bar at the top of the main screen see section 1 2 1 Any subsequent action by MIO LT capturing sending images etc will be linked to that patient The Worklist window incorporates a toolbar with the following features Refresh New patient Search button N button 4 button Refresh button Update Worklist with recent changes made on the server New patient button Permits manually enter a new patient even if the Worklist is default identification method This feature can be useful in the event that for any reason Worklist is temporarily not available Search button Permits to select a range of dates on the base of which it is possible to retrieve patients on the Worklist Start date End date Cancel Figure 3 2 Date selection window Without specifying a date range MIO LT retrieves all available appointments from the Workl
23. 1 1 Basic scheme of MIO LT installation image capture reception of patient data and sending to PACS MIO LT allows images to be acquired in the following ways Capture from a folder or path Capture by video card By existing or custom made plugins By the DICOM SEND or DICOM PRINT services available on the device MIO LT allows patient data and Accession Number to be acquired in order to create a study in PACS as fallow Retrieving a Worklist DICOM Worklist Retrieve Receiving it as parameters from the HIS call HTTP Obtaining it directly from MIO Broker another product of the MIO family that falls out of the scope of this document Furthermore C2C has developed many plugins for MIO LT that expands the functionalities offered by the base product such as DICOM Virtual Printer for Windows applications Automatic capture of images stored in USB devices Specific functionalities depending on the manufacturer and the device to integrate MIO LT has been used in many hospitals and health care centers to integrate all kinds of devices from multiple specialties A complete and updated list of the devices integrated to this date can be found at http www c2ctsis com archives 317 MIO LT v2 USER MANUAL EN Page 6 of 70 MC sa Introduction medical images organizer 1 2 User interface MIO LT user interface is both clear and intuitive and has been designed to minimize user in
24. 2 Click Select gt Unselect all Select b select all Delete Unselect all Edit Reverse selection Pathologies location 4 7 3 Study review While MIO LT is not a medical image viewer it does have some rendering capabilities in order to allow review of the study prior to submission to the PACS or selected repository On the one hand the Gallery displays all images captured You can change the display size of thumbnail images using the slider at the top right corner of the screen YD The functionality of slider is configurable For more information please refer to section 6 3 1 2 On the other hand MIO LT allows reviewing images in full screen mode By double clicking on any of the images the image is displayed in full screen along with 2 controls left and right to display Previous and Next images MIO LT v2 USER MANUAL EN Page 38 of 70 i E a E E TO Images capture medical images organizer tt is also possible to review previous and subsequent images consecutively moving the mouse wheel 4 7 4 Pathologies location MIO LT includes a series of diagrams to facilitate during the subsequent review of the study the correct location of the explored zone To do this MIO LT has a number of templates that can be added to the Gallery and on which you can mark points of interest or study areas By default MIO LT has the following diagrams template Entire masculine body Masculine f
25. ACS 2 MIO LT displays for a few moments the following informational message 3 After a while the above message will disappear and all gallery images and patient data will be deleted MIO LT is now ready for conducting a new study For more information about the sending status and its management please refer to section 5 6 5 4 Sending images to MEDTING 5 4 1 Preliminary information MIO LT allows sending pictures to MEDTING collaborative web platform for exchange of clinical cases with images This feature allows a fast and simple implementation of telemedicine projects and circuits second opinions clinical committees and medical accreditation and formative groups based on MEDTING poser A MED LING A Homepage Sn Picture1 Pg j i A 1 inal En A MEDTING Media a ae acoustic Neuroma e ted Ea 217 ly 40 ort its ds r Rain E H Co mira g Gate Added gs Jul 2008 Hower ower a moda n Jo dian exdendea j hii Ri er Sia al ie Pah a ude A ae E CHGS and 25952 multimedia filos Figure 5 2 MEDTING images uploaded directly from medical devices with MIO LT MIO LT v2 USER MANUAL EN Page 44 of 70 MIO LT I l 1 Y O medical images organizer Before sending studies to MEDTING it is necessary to have a registered user on the platform and set certain parameters in MIO LT Please contact the technical support service and refer to section 6 3 4 for more
26. ER MANUAL EN Page 69 of 70 MIO LT medical images organizer 7 Additional information 7 1 Terminology DICOM Digital Imaging and Communication in Medicine DICOM Digital Imaging and Communication in Medicine is the globally recognized standard for the exchange of medical images designed for the handling storing printing and transmitting medical images It includes the definition of a file format as well as a network communication protocol The communication protocol is an application protocol that uses TCP IP to communicate between systems DICOM files can be exchanged between two entities that are able to receive images and patient data in DICOM format DICOM enables the integration of scanners servers workstations printers and network hardware from multiple providers within a storage system and image communication Different machines servers and workstations have a DICOM conformance statement conformance statements which clearly states DICOM classes they support DICOM has been widely adopted by hospitals Source Wikipedia HIS Health Hospital Information System The system formed by computer equipment software uses procedures and trained personnel for the registration maintenance and specific data review of the hospital environment such as patient identification data citation agendas doctors profiles rooms and beds occupancy data etc MEDTING Collaborative web platform developed exclusively for profession
27. Send ALL images are sent on CD The content of the CD is NOT displayed in the Gallery area The user cannot select images to send Manual Send The user can select images to send which are displays in the Gallery area Only are sending the images that appear in the Gallery area O tis strongly recommended to configure and use MIO LT for automatic delivery whenever possible Manual sending CDs with many images CT MRI etc can significantly penalize performance and operation of the workstation 4 5 1 Auto send Y To enable the function CD Auto send please refer to section 6 3 2 or contact your technical support service To import and automatically send ALL the images on a CD DICOMDIR 1 Insert a CD into the workstation 2 Click Load CDicon on the Capture toolbar Capture Video Explore CD 3 After a few moments a informative window will appear with the CD contents Press the button Send to PACS This DICOM CD contains 437 files from patient PAINFUL HARD JOH Please choose an option Send to PACS Explore 4 MIO LT automatically starts exploring the CD importing and sending all the images contained therein and simultaneously displaying a progress bar MIO LT v2 USER MANUAL EN Page 29 of 70 medical images organizer Images capture Sending files from DICOM CD to PACS 29 67 5 At the end of the process the CD tray will open automatically Y The termination of the process does no
28. TE the images that are not desired to be transmitted prior to take send action To learn more about how to select and delete images see section 4 7 5 2 2 Sending In order to send to PACS all images from the Gallery please follow the steps below 1 Click the Send to local PACS button on Send toolbar A _ _ M Send to Send to Send to Medting local PACS all PACS 2 MIO LT displays for a few moments the following informational message 3 After a while the above message will disappear and all gallery images and patient data will be deleted MIO LT is now ready for conducting a new study 5 3 Sanding images to multiple PACS MIO LT allows sending several PACS studies simultaneously This feature can be useful when for example you want to share a studio with an outside hospital but at the same time retain a copy of the study in the PACS of the hospital of study origin Before sending studies to multiple PACS it is necessary to configure certain aspects of both MIO LT as well as PACS destination Please contact the Informatics service and see section 6 2 3 for more information In order to send all images from the Gallery to multiple PACS simultaneously please follow the steps below MIO LT v2 USER MANUAL EN Page 43 of 70 MIO LT medical images organizer 1 Click Send to a button on the Send toolbar Send to Send to send to Medting local PACS all P
29. ace Female face Stomach Intestine mio LT supports also incorporation of fully defined diagrams by the user For more information please refer to section 6 3 1 5 To insert to the Gallery a diagram with location of pathologies and mark on it the points of interest Studied follow these steps 1 Select an image from the Gallery by clicking the right mouse button 2 On the context menu that displayed click on Pathologies location Select d Delete b Edit b MIO LT v2 USER MANUAL EN Page 39 of 70 a E to Images capture medical images organizer 3 In the dropdown menu of Pathologies location window select the desired diagram Pathologies Location 4 Click on the points of interest in the picture which will be conspicuously marked with red dots Pathologies Location MIO LT v2 USER MANUAL EN Page 40 of 70 eat Images capture medical images organizer 5 Click Accept The edited diagram is added to the Gallery T Depending on the configuration of your application MIO LT will display the pathologies location diagram as a separate image or as an image attached to the clinical picture of interest For more information please refer to section 6 3 1 5 4 7 5 Printing images MIO LT permits from version 2 3 onwards printing images from the Gallery Printing does not replace sending images to PACS or repository but it serves as a supplement in case you wa
30. al clinics that enable an exchange of clinical images MEDTING includes features for rapid implementation of telemedicine circuits second opinions clinical committees repositories of cases of interest and training material Includes case review tools web multimedia viewer keyword index through SNOMED CT multi language support automatic translation user and group management customizing workflows personal work areas My MEDTING and messaging and notification system To learn more please visit http medting com PACS Picture Archiving and Communication System PACS is a communication and storage of medical imaging system that traditionally has served as a centralized repository of radiographic images However thanks to MIO LT any PACS can be used for storage and image sharing pertaining to any medical specialty 7 2 To find out more The C2C website www c2ctsis com provides updated information about MIO LT in addition to supporting forms and contact details of the company MIO LT v2 USER MANUAL EN Page 70 of 70
31. all pictures from the Gallery and delete the context of the patient for more information see section 6 3 6 MIO LT v2 USER MANUAL EN Page 47 of 70 MIO LT HE medical images organizer 5 6 Sending queue 5 6 1 Introduction MIO LT internally manages studies and images to send via a queue Having a sending queue has the following advantages Allows to keep working with the application even if there are some studies in the process of sending Pending The user has all the time an accurate knowledge of the state of the application and processed studies Pending Sent or Erroneous Minimizes sending errors due to connection failures unavailability of the network etc Facilitates identification and forwarding erroneous studies Allows you to configure the way in which studies are processed 5 6 2 State of sending MIO LT informs the user about the state of sending by traffic light icon in the lower right corner of the application Notification area Notifications code used is as follows e Erroneous sending The application can continue to be using but some of the studies has not reached its destination Please contact the technical support department O Sending in progress MIO LT is processing the pending send but the application still can be used normally e Sent correctly All consignments are processed correctly You can obtain detailed information about the status of sending by placi
32. and administration of transmission errors This module allows working with MIO LT even if there are studies in progress Moreover apart from the proper sending MIO LT permits to save a copy of the images in a folder or hard drive En el presente capitulo se describen en detalle las diferentes opciones que ofrece MIO LT para el envio de imagenes Todas ellas se muestran en forma de grandes iconos en la Barra de herramientas de env o en la parte inferior de la pantalla principal de la aplicaci n This chapter describes in detail the various options for sending images offered by MIO LT All of them are displayed as large icons on the Send toolbar in bottom part of the main screen of the application Send to Send to M Send to local PACS all PACS ARA al Figure 5 1 Send toolbar Options available for sending images depend on configuration and application license Please consult your software provider if any of above options is of your interest and is not available in your application Before sending studies is necessary to configure certain aspects of both MIO LT and the PACS or the selected repository Please contact the Informatics service and see section 6 2 3 for more information MIO LT v2 USER MANUAL EN Page 42 of 70 MIO LT medical images organizer 5 2 Sending images to PACS 5 2 1 Selection mio LT sends ALL images from the Gallery not just the selected ones Please ELIMINA
33. ble 6 26 The configuration parameters for Sending queue to PACS MIO LT v2 USER MANUAL EN Page 67 of 70 Atos ala TT a MIO LT medical rdelrbeedeela 6 3 9 Capture The following parameters configure the MIO LT plugin for acquiring images and video through a capture card Parameter Possible value Description Show configuration Activated Deactivated Shows hides the dropdown menus for options selecting video devices and formats in the video capture window Maximum video capturing Naturalnumber gt 2 Duration predefined of video capture seconds Device Selected device for video capture Alphanumeric string Format Video capture format resolution and fps Alphanumeric string d ps Deinterlaced Activated Deactivated Activates deactivates improved filter to capture interlaced video signal Video capture enabled Activated Deactivated Activates deactivates the ability to capture video besides images Tabla 6 27 Configuration parameters of the video capture plugin 6 3 10 Watcher The following parameters configure the MIO LT plugin for automatic detection and processing of files in a determined route Parameter Possible value Description Path Route Route over which detection is performed arrival monitoring of new files Seconds to wait before Natural Number Timeout in seconds between the detection of a file processing file and further processing Renamed action available Activated Activates deacti
34. ca si ici 23 AP O E on 24 AZ PE OC CM trip 24 MIO LT v2 USER MANUAL EN Page 2 of 70 Table of contents HE medical images organizer tee es te NOMI el nn a no O o E o pian onapori cen eee 24 Ao Capture or image VideO meme reer tee sree eas ane nt cae ene intr Mere pida 25 AL ol UGC eich seen oo mere noe Ce rt tr li ony Ome net se ern rey 25 do Recording IO AA ae 26 4 4 Automatic capture of images stored in USB or CD devices coccoccccoconcoconncconccconcnnanonnanonons 27 CL POCO U a O o ERE E o O A 27 dz Probleme and SONO Sai caian 28 4 5 Capturing images from CD CD DICOM vicccscsscccceasecosstatsunetencscstssactastanenstesssatsasenasaansien 28 A A O E SE On 29 da2 Manual SNC soso las 3i ho Images support without Maa 32 To PEEN DE I naar o E AE AAEE R A 32 wr Un cee eter os ee ess E E eee aeaweeceentetoe 33 4 7 1 Rearrangement of AA _ A 33 A7 SCC C HON essetued utes at esancniecdacesiesa cues a 34 BT ea Uy A RO E AA 38 A Pathologies Oca LON aiii none eee eee ne a nee listados 39 A apiviesiac adding E N ua tia eeu ypinbahvionau asa amuntiesesiakiet 41 a SAI Melle Ss aman conic NS AN A 41 5 Sanding Images with MIO LPS arcano d ae Rn Ea aaa 42 SE gs eno AMA Pm e o R E 42 PAS ala OPAC AP AP ee ee errr 43 A A E E PO O E PU O EEA TE 43 AA ne een eee are ee nee een err erer 43 5 3 Sanding images to multiple PACS cc scncossnrsidecee nas icacuenessnckreasnapessetemakernonabeeateabavanssa
35. close Capture of image video window by clicking C ose icon in the upper right corner of the window 4 3 2 Recording videos To capture real time video signal generated by an external device such as an endoscope perform the following steps 1 Click Capture video icon on the Capture toolbar Capture Explore CD Video P 2 It will appear Capture of image video window displaying in real time the image generated by the external device 3 Click Video camera icon in the upper left corner of Capture of image video window Video capture 4 The video recording starts automatically After a few seconds recording will stop automatically MIO LT v2 USER MANUAL EN Page 26 of 70 A OEo Images capture medical images organizer MIO LT allows to configure the default duration of captured videos making it unnecessary to manually end recording For more information please refer to section 6 2 2 5 If desired you can stop recording at any time by clicking S7OP icon Stop recording Close STOP the window 6 Once you have captured all the images you wanted close Capture of image video window by clicking C ose icon in the upper right corner of the window MIO LT allows also use external USB pedals to perform actions of image capture start and end video recording For more information please contact with the technical support service 4 4 Automatic capture of images stored in USB or CD
36. de fuente Selector de formato de video Fg 1 Fl el F lm ILY We CRUE MIO LT v2 USER MANUAL EN Page 53 of 70 min woe medical images organizer 6 2 3 Sending to PACS The following parameters are accessible in the PACS tab of MIO Config configure Images sending to PACS from MIO LT PACS Option Parameter Possible value Description Primary PACS Node IP Address PACS IP Primary PACS Port Natural number Port on which the PACS listen sending studies by MIO LT Primary PACS CallingAE Alphanumeric string DICOM Identifier AETitle of the station in which MIO LT is installed Primary PACS CalledAE Alphanumeric string DICOM Identifier AETitle of PACS Table 6 3 The Configuration parameters for Sending to PACS 6 3 Configuration parameters As a following it is performed an exhaustive description of all MIO LT configuration options that are accessible from different tabs of MIO Config Y Many of the advanced features offered by MIO LT are implemented through software plugins which must be purchased in addition to the basic license so may not be available in your installation program For more information please contact your software provider MIO LT v2 USER MANUAL EN Page 54 of 70 Atos ala TT a MIO LT medical rdelrbeedeela 6 3 1 General The following options and parameters affect global configuration of MIO LT 6 3 1 1 Graphic interface The following parameters affect
37. deactivates a connection configuration through MEDTING proxy Maximum time in seconds for MEDTING server response Proxy IP Proxy port Proxy user Identifier Proxy access password Proxy domain Identifier User Identifier of MEDTING owner of upload case User password of MEDTING owner of upload case Activates deactivates conversion into DICOM images to upload to MEDTING Activates deactivates automatically creating a new case in MEDTING for Image upload Table 6 17 The general configuration parameters for Sending plugin to MEDTING MIO LT v2 USER MANUAL EN Page 62 of 70 AR ELLE mio mo medical images organizer 6 3 4 2 Queue The following parameters configure sending queue from MIO LT to MEDTING Parameter Possible value Description Maximum attempts Natural number Maximum number of send retries before marking a study as erroneous Hours maintenance Interval in hours between two consecutive queue Natural number cleanings carried out by the automatic maintenance of all elements with a life time gt Days record alive Maximum days number that an item will remain in the queue before being automatically deleted by the maintenance service Days record alive Natural number Seconds paused timer For those controlled delivery errors e g communication failure number of seconds to wait before checking if the error has been solved NOTE The forwarding attempts not carried out until the
38. devices MIO LT has the ability to automatically detect storage devices connected by USB USB keys external hard drives etc as well as automatically open and display in the Gallery area images containing these devices This feature is useful to prevent a user from having to perform the manual search for folders and subfolders images acquired with a memory device accessible by USB e g a camera MIO LT also has ability to automatically detect CDs and automatically display the images or videos that contain CD 4 4 1 Procedure To automatically open images stored on a USB or CD device please perform the following steps 1 Startup MIO LT 2 Connect your workstation USB device or insert a CD containing images 3 MIO LT will display a status message of automatically charging images process 1149812 _1INBKMAL73YGAILIL 1 pe MIO LT v2 USER MANUAL EN Page 27 of 70 Images capture medical images organizer 4 MIO LT displays in the Gallery area images as they are loaded MIO LT does not erase the images acquired via USB device However MIO LT does not automatically open or display images that have already been shown previously 4 4 2 Problems and solutions Problem While connecting USB device memory camera etc to the PC an error message appears No new items found in last WMI insertion Accept Possible causes and solutions 1 The device contains no images Please check t
39. dical rdelrbeedeela 6 3 1 5 Pathology location The following parameters activated graphic templates of MIO LT for the localization of the study area in addition to defining how they are displayed and saved in the gallery Parameter Add diagram as single image Add diagram as merged image Relative measurement Full body male Full body female Face male Face female Stomach Intestines Custom templates Possible value Activated Deactivated Activated Deactivated Natural number 1 100 Activated Deactivated Activated Deactivated Activated Deactivated Activated Deactivated Activated Deactivated Activated Deactivated Customized templates list in format lt TemplateName gt lt FileName gt archivoimage n extensi n lt FileName gt lt Description gt Etiqueta lt Description gt lt TemplateName gt Description Activates deactivates that generated pathologies location diagram is added to the Gallery as a single image Activates deactivates that generated pathologies location diagram is added to the Gallery as attached to the original image Size of pathologies location diagram expressed as percentage of the original image size Activates deactivates a template of the male human body for a location of pathologies Activates deactivates a template of the female human body for a location of pathologies Activates deactivates male face template for a localization of pa
40. eck if the configuration data of MIO LT for access to server are correct see section 6 2 1 or contact with the technical support service 2 The workstation on which it is installed MIO LT does not have network access Please check if you have network access from other applications In the negative case retry the query after a few minutes or contact the technical support service Problem On the Worklist window displays the message No records found Possible causes and solutions 1 There are no appointments for this modality and for the selected day Try to change the date range query or contact with a person responsible for citation MIO LT v2 USER MANUAL EN Page 20 of 70 HD E BI a A 2 oe Patient identification medical images organizer 3 3 Parameters passing For those environments in which a Worklist is no available MIO LT allows to perform patient identification and study by passing parameters from an external application typically the HIS or Electronic Medical Records Y The patient identification method is defining in MIO LT configuration and not during the use of the application Please contact the technical support service and refer to section 6 3 1 1 for more information 3 3 1 Patient Selection With MIO LT correctly configured to receive parameters passing patient selection is performed from the HIS or Medical Record by a provided button for that purpose by the technical supp
41. enents 43 St Sending Mages tO MEDT ING ups aa 44 5 41 Preliminary hil Ol iia Eme ssaninelseracinupydeseress 44 De ls PP 45 eo a IG Gee ur ess uE ASS Os 46 E AP 48 o a A o eo o 48 IOA AO eNNI peer ae nee er nee ee eee et Aer ee nissan 48 50 3 Ue management COO ctas see yecdanes ico cool Een aiian 49 Sar ame LB id ci aU oh ge o A cee era aoe een 50 MIO LT v2 USER MANUAL EN Page 3 of 70 Table of contents medical images organizer 6 Configuration GF MIO LT ica 51 oL Acess to COn auratloH Mod retail caliol pits cidcid 51 A o AA A 52 6 2 1 Identification of the patient by DICOM Works ains 52 6 2 2 Capture of image vVideO Ao A EP 53 SMe Mme 9 6 g 6 ig tom a So errr ret es rarer ae rte eect eee net T ee err eran te eee errr Teer 54 Ged Conngur ton parame TS sprissione 54 Ci A E E E O O 55 Ba DICO Dist eee 60 EI A a O PD BE E E 61 DO MEDI oi pias 62 Bio Poo iodo 63 A N E E E EE 63 a COI a ios 64 Do AO as 66 no CAP iaa 68 She OR T PAPA mo A A eE Co O ener cre non tT 68 EA AAA er A PEO o 69 7 Ad Rt ional INTOFMALIO Diisiin nia a a a a Ni 70 A oo E TEE EE E 70 Pe WO TAG OU 70 MIO LT v2 USER MANUAL EN Page 4 of 70 BRS a E E mM TH a Introduction medical images organizer 1 Introduction Thank you for purchasing MIO LT C2C s solution for medical imaging devices integration ee ot A a a E This document is MIO LT User Manual and it is out
42. eters not by Worklist or manually you should leave the application Applauncher exe configured to boot by default when Windows starts The format of the call HTTP is as follow http 1IP 8000 GetPatientData Tagl ValorTagl amp Tag2 ValorTag2 Where IP Node of the workstation can be Localhost in which MIO LT is installed that will receive the parameters TagX DICOM tag name to convey for example PatientID PatientName etc ValueTagX DICOM tag value to be transferred for example 938745 for PatientID or Surname Name for PatientName MIO LT v2 USER MANUAL EN Page 58 of 70 MIO LT medical images organizer 6 3 1 7 MIO Updater The following parameters configure the MIO LT connection to a server for automatic software updates Parameter Possible value Description Server URL IP Address port IP server port of automatic updates Enabled Activated Deactivated Activates deactivates automatic updates at MIO LT startup MainFileName Name of File extension Executable file name of the application to automatically update InstallT ype Worklist HTTP Selected method for patient identification at the time of MIO LT installation SecondsT imeout Natural number Timeout in seconds for a response from automatic updates server InfoUrl Web page address with additional information on the improvements included in the latest actualization by MIO Updater Table 6 10 The configuration paramete
43. hat effectively no images stored on the device 2 The device contains images that were downloaded previously In order to avoid duplication of studies MIO LT keeps track of images downloaded and not opens automatically images that had already been previously shown If in any case you want to upload the images locate and open the file manually see section 4 2 4 5 Capturing images from CD CD DICOM MIO LT has the ability to explore CDs compatible with DICOMDIR format as well as open convert and send the images stored in them This functionality is typically useful when you want to import a study of a patient from another facility A CDs DICOMDIR usually are created by radiological imaging devices with capacity to do so and contain in addition to DICOM images in themselves a tree structure that holds an organization of images in the form of studies and series The option to import DICOM CD Load CD button may not be available in your version of MIO LT as it depends on the application license If you need this functionality please contact your software provider MIO LT v2 USER MANUAL EN Page 28 of 70 Images capture medical images organizer Additionally MIO LT allows exploring of any standard CD ROM ISO 9660 providing for them the same functionality for DICOM CDs except for the tree navigation DICOMDIR MIO LT allows in two different ways imports and sends images stored on the CD Auto
44. ication with MIO LT 3 1 Introduction Prior to image capturing with MIO LT it is necessary to identify the patient to who will be the study conducted In this way MIO LT links images correctly with the corresponding patient facilitating search and subsequent review from other information systems MIO LT allows to identify the patient in one of the following ways By downloading a worklist or calendar from a hospital server By receipt of patient data through a parameters passing http from another information system HIS Electronic Medical Records Health History etc By direct manual entry MIO LT The method of patient identification defined in the configuration of MIO LT and not during use of the application For more information please refer to section 6 3 1 1 3 2 DICOM Worklist 3 2 1 Patient selection The patient selection window based on Worklist presented in the figure 3 1 In case of being configured for this option MIO LT displays this window when the application starts and after sending images to PACS Worklist 03 08 7011 12 15 00 Massed Judith APTOS Garbajosa Jos anuel 12 19 1877 Ripoll kabel Esteban Belen 73 Alonso Fernando 3026 Ronaldo Cristiano MIO LT v2 USER MANUAL EN anA 41 10 1973 Trie ais iyes efaa 1987 7A771985 raro ROTT 414 1985 1129 1085 716 1980 15 4 1987 9729 1985 03 08 1011 12 00 00 01 08 2011 11 45 0
45. ill remain in the queue before being automatically deleted by the maintenance service Days record alive Natural number Seconds paused timer For those controlled delivery errors e g communication failure number of seconds to wait before checking if the error has been solved NOTE The forwarding attempts not carried out until the error has been resolved Natural number Table 6 23 The configuration parameters for Sending queue to MIO Comm 6 3 8 PACS MIO LT can be configured through the appropriate plugin to perform studies sending to one or several PACS simultaneously 6 3 8 1 Primary PACS The following parameters configure connection between MIO LT and main PACS which usually is the only one Parameter Possible value Description Host IP IP Address PACS IP Port Natural number Port on which the PACS listen sending studies by MIO LT CallingAE DICOM Identifier AETitle of the station in which Alphanumeric string MIO LT is installed CalledAE DICOM Identifier AETitle of PACS Alphanumeric string Table 6 24 The configuration parameters for main PACS MIO LT v2 USER MANUAL EN Page 66 of 70 30006050 BA mIo mo Lr medical images organizer 6 3 8 2 PACS 1 The following parameters configure the MIO LT connection with additional PACS for sending Studies to multiple PACS simultaneously Parameter Possible value Description Host IP IP Address Additional PACS IP Port Natural
46. installation of MIO LT v 2 x x should be carried out in a new empty folder that has not been used by the previous version of the program 6 Select the start menu folder afterwards click Mext gt select Start Menu Folder Where should Setup place the program s shortcuts j Setup wil create the programs shortouts in the folowing Start Menu folder To continu dick Next If you would ike to select a different folder cick Browse Don t create a Start Menu folder MIO LT v2 USER MANUAL EN Page 13 of 70 MIO LT Installation medical images orqanizer 7 Confirm that you want to install MIO LT by clicking on Next gt Click Install to continue with the installation of cick Back if you want to review or Destnaton locaton C ECMT Start Meru folder MEO LT t tasks Select the mode of data acqueibon Viorkdist 8 Once installation is completed it will be displayed a confirmation message Click Finish to terminate the installation Completing the MIO LT Setup Wizard Setup has finished nstaling MIO LT on your computer The Chek Finish to exit Setup MIO LT v2 USER MANUAL EN Page 14 of 70 mio medical images organizer MIO LT Installation 2 3 3 Licensing MIO LT is the software developed and owned by C2C Consultoria TSIS S L and in order to use it the license emitted by company is required To apply for a license and once the installation of the application
47. ion parameters for File Seeker module MIO LT enables advanced functionality for processing DICOM CD through a software plugin which must be purchased separately from the basic program license For more information please contact your software provider 6 3 3 DICOM Listener The following parameter affects the configuration of MIO LT for receiving images from a DICOM device and using DICOM communications Parameter Possible value Description Port Natural number Port on which MIO LT listens DICOM devices that send studies through services DICOM Storage or DICOM Print Table 6 16 The configuration parameter for plugin DICOM Listener MIO LT v2 USER MANUAL EN Page 61 of 70 MIO LT medical images organizer 6 3 4 MEDTING The following parameters configure the plugin MIO LT for studies sending to MEDTING a collaborative web platform for sharing of clinical picture http medting com 6 3 4 1 General Parameter Url Proxy Timeout ProxyServer ProxyPort ProxyUser ProxyPassword ProxyDomain Username Password Dicomize Autocreate case Possible value URL Activated Deactivated Natural Number IP Address Natural Number Alphanumeric string Alphanumeric string Domain name Alphanumeric string Alphanumeric string Activated Deactivated Activated Deactivated Description Web Service URL published by MEDTING to upload images and cases Activates
48. is completed please follow the steps below 1 For the first time start MIO LT by double click on MIO LT icon located on the Windows desktop or accessing the program from the button Start gt All Programs gt MIO LT E MIO LT The application will briefly display a start window similar to the following MOLI release v2 1 1 25441 After waiting a few moments the application will display the following window License info This copy of MO LT E stl not licensed Please contect the IT department to get a valid license Activation cod dumper key Accept 2 Contact with C2C web www c2ctsis com e mail c2c c2ctsis com and facilitate the Activation Code that appears in the previous window In a period of less than 24 hours you will receive a reply by email with a license file attached MIO LT v2 USER MANUAL EN Page 15 of 70 AA oe MIO LT Installation medical images organizer After receiving the license by email follow these steps to validate the application 3 Copy the license file received in a folder on your hard disc 4 In the details of the license window click Jmport key 5 Locate the received license file and click Accept If all previous steps are correct and the license is legitimate MIO LT will display the following confirmation message MIO LT license has been successfully updated Accept y 6 Then click Accept From this moment you can use MIO LT in accordance with
49. ist regardless of date or only the current day s appointments depending on the parameter Only Ask For Today For more information please refer to section 6 2 1 MIO LT v2 USER MANUAL EN Page 18 of 70 Patient identification s A f I d medical images organizer Patient data Painful Hard 11 22 1936 a Accept Figure 3 3 Manual patient data entry window 1D New patient button may be available or not for Worklist depending on the configuration of the application For more information please refer to section 6 2 1 A patient selection window based on Worklist has the following additional features Reordering Worklist by any field By clicking on any column heading Worklist is reordered alphabetically or numerically in that field Reordering columns The columns of Worklist can be changed by clicking and dragging a column heading to another position Change width of columns You can change the width of a particular column by clicking and dragging the cursor from the edge of the column heading MIO LT v2 USER MANUAL EN Page 19 of 70 Patient identification medical images organizer 3 2 2 Problems and solution Problem An error message appears when the application was launching or after completing a study Could not retrieve the worklist Accept Possible causes and solutions 1 The application is incorrectly configured to access the Worklist server Please ch
50. l data entry it not advisable to use this identification system It is recommended to configure MIO LT for downloading data from a DICOM Worklist or receiving data by a parameters passing call to URL 3 4 1 Patient data entry The figure 3 4 presents manual patient data entry window In case of being configured for this option MIO LT displays this window when the application starts and after sending images to PACS Patient data 31141592 Painful Hard 11 22 1936 Figure 3 4 Manual patient data entry window MIO LT v2 USER MANUAL EN Page 22 of 70 mio Images capture medical images organizer 4 Capture images with MIO LT 4 1 Introduction MIO LT can open or capture images in the following ways Manually opening images stored on a hard disk or CD ROM see section 4 2 Capturing real time video or image generated by a medical device with video output ultrasound scanner endoscope etc see section 4 3 Automatically opening the images stored on a CD ROM or memory or USB device e g a digital camera see section 4 4 Automatically or manually opening the images stored in DICOM CD DIR see section 4 5 Receiving automatically the images generated by DICOM device see section 4 6 Depending on the configuration of the application and the required workflow images captured or opened by MIO LT can be displayed or not in the Gallery area for further selection or editing by the user and
51. lined as follows This chapter introduces MIO LT listing the more common uses of the application and giving a first description regarding the user interface Chapter 2 describes the application requisites as well as the installation process itself Chapter 3 describes the different options allowed by MIO LT to identify properly patients and Images Chapter 4 describes the different procedures available to capture image video or files offered by MIO ETA Chapter 5 describes the method used to send captured images to the medical imaging repository PACS Chapter 6 describes all MIO LT configuration options Lastly chapter 7 describes the technical terminology used in this document as well as the different information sources regarding to MIO LT offered by C2C to complement this User Manual This manual corresponds to MIO LT version 2 11 Please check your MIO LT version as there may be some discrepancies between what is described in the manual and what is really available in your application if they are not the same version MIO LT v2 USER MANUAL EN Page 5 of 70 Introduction mio medical images organizer 1 1 MIO LT Desktop application for medical image integration MIO LT is a tool for capture DICOM conversion and sending to PACS images video or data generated by a modality or medical imaging device Folders gt Wideas gt DICOM Send gt DICOM Print gt Figure
52. ng the mouse without clicking on the traffic light icon After a while there will appear a window with detail information ACS Status Cent hs Pending 0 ml Eroneousi0 In the picture above you can see for example that MIO LT has sent a total of 68 images to PACS of which there remains no pending neither erroneous sending For more detailed information about the state of sending it is necessary to use Queue management tool described in the next section MIO LT v2 USER MANUAL EN Page 48 of 70 A AE i FS pz E En Bees Z MIO LT medical images organizer 5 6 3 Queue management tool To open the Queue management tool click twice on any of the status indicators of traffic light icon displayed in the Notification area at the bottom right corner of the main application window After a while you will see a window similar to the following Queue selector Type of study Study selection filter tab area MIO Queue PAC 5 Group records by study EA A M M L MU 404001 Esteban Bel n 01 08 2011 16 35 53 1 13 items 12451224 Mengual Gemma 01 08 7011 16 36 20 1 5 items A A 1 4 items 1971 8 1 2011 4 37 02 PM 97a B1201 4 37 02 Pm 973 8 4 2011 4 37 02 PM 11974 4 2011 4 37 03 PM 12410051 Vega Paz 01 08 2011 16 40 09 1 44 Items Forward Delete Action button bar MIO LT v2 USER MANUAL EN Page 49 of 70 MIO LT mD medical images organizer
53. nt to get a copy of the full study or part of it To perform the desired image printing please follow the steps below 1 Select the images that you want to print MIO LT will print only selected images or entire study in case of selection absence Please refer to 4 7 2 to see the various methods of image selection 2 Click on the Arinticon on the Capture toolbar Capture Video The appearance of the Capture toolbar may vary depending on configuration options and license version of MIO LT 3 In the printer selection window choose the printer you want to use and click the Print button 4 The selected images will be printed MIO LT includes in the printed document a header with the patient s name medical record number date of procedure performed and printing 4 7 6 Saving images For more information please refer to section 5 5 MIO LT v2 USER MANUAL EN Page 41 of 70 MIO LT medical images organizer 5 Sanding images with MIO LT 5 1 Introduction After completing the process of capturing and selection images MIO LT can be sent to one or more of the following destinations To the system of archiving and communication of the image PACS of the hospital Aone or more additional PACS located in other centers ToMEDTING platform for sharing medical images in a web environment MIO LT incorporates a powerful queue management module for conducting deliveries forwarding
54. ocess a study from MIO LT Parameter Dicomize files Preplugin name Postplugin name PACS list ExtraFields Possible value Activated Deactivated Alphanumeric string Alphanumeric string Format list lt PacsID gt ID of first one pacs lt PacsID gt lt PacsID gt ID of last one PACS lt PacsID gt lt ServiceName Description Service name gt Service Name lt ServiceName gt MIO LT Description Activates deactivates conversion into DICOM images in MIO Comm Name of plugin that run MIO Comm previously to study sending to repository Name of plugin that run MIO Comm subsequent to study sending to repository PACS list of which MIO Comm may perform sending Additional fields required by MIO Comm to run through pre and post plugins actions on studies Table 6 22 The general configuration parameters for MIO Comm MIO LT v2 USER MANUAL EN Page 65 of 70 Ao ala Tr a MIO LT medical rdelrbeledeela 6 3 7 3 Queue The following parameters configure the studies sending queue from MIO LT to MIO Comm Parameter Possible value Description Maximum Attempts Natural number Maximum number of send retries before marking a study as erroneous Hours Maintenance Interval in hours between two consecutive queue Natural number cleanings carried out by the automatic maintenance of all elements with a life time gt Days record alive Maximum days number that an item w
55. ort service Although the appearance and location of the button depends on its Medical Record below is presented a generic workflow In the HIS or Electronic Medical Records EMR perform search of patient to study 2 In the HIS or EMR click the button New images This will start MIO LT with patient data already preloaded avoids having to make additional selections NOTE The name of the button depends on the Medical Record in use and may vary in different cases 3 Perform the study see chapter 4 By means of MIO LT send images to PACS or selected repository see chapter 5 5 Then MIO LT will automatically close again showing the HIS or Medical Record 3 3 2 Problems and solutions Problem By clicking the button Mew images or equivalent of the HIS or Medical Record nothing happens Possible causes and solutions 1 A delay of up to 20 seconds is normal Wait a few moments The boot the process of MIO LT from HIS passing patient data may take a while especially if it is the first time you perform that day 2 The MIO Application Launcher Applauncher exe is not launched Check section 6 3 1 6 or contact the technical support service MIO LT v2 USER MANUAL EN Page 21 of 70 Patient identification A f I d medical images organizer 3 4 Identification manual MIO LT permits enter patient data manually In order to minimize potential patient identification errors caused by manua
56. rs for Automatic update server 6 3 1 8 Common options The next parameter defines the primary language of the application At the moment of preparing this manual MIO LT is available in Spanish English and Catalan Parameter Possible value Description Language ES EN CA Main language of the application Available languages Spanish English Catalan Table 6 11 The configuration parameter for Application language 6 3 1 9 Plugin list The following parameter is used to activate the licensed plugins MIO LT v2 USER MANUAL EN Page 59 of 70 Atos ala TT a MIO LT medical rdelrbeedeela Parameter Possible value Description Plugins Lista de plugins a activar en formato It defines among all licensed plugins which ones must be loaded into memory at lt Plugin startup MIO LT and in what orderthey Filename PluginName Key should appear in the toolbar user interface KeyPlugin gt Table 6 12 The parameter for activation of available plugins 6 3 2 DICOMDIR The following parameters configure the performance of the plugin of MIO LT to explore capture and content delivery to PACS CD CD DICOMDIR 6 3 2 1 General Parameter Possible value Description Show file este IENA E N Activates deactivates displaying in the Gallery the explorer envetea Pescmale entire contents of CD prior to sending to the PACS Auto send to E PE E OENE E O Activates deactivates possibilty to send the contents primary PACS
57. t imply that the images have already reached the PACS but it has successfully joined the MIO LT sending queue For more information about the sending queues please refer to section 5 6 MIO LT v2 USER MANUAL EN Page 30 of 70 medical images organizer Images capture 4 5 2 Manual sending TO manually import the images on a CD DICOMDIR 1 Insert a CD into the workstation 2 Click Load CDicon on the Capture toolbar Capture as Load CD 3 In case of appearing informative window with the CD contents Press the button Explore Y ie O This DICOM CD contains 437 files from patient PAINFUL HARD JOHH Please choose an option Send to PACS Explore 4 After a few moments DICOMDIR selection window will appear showing a content of the CD as spanning tree DICOMDIR PAINFUL HARDJOHN Total images 437 TAC TORACO ABDOMINAL a Dose Info E1000100010151390116628191524128444 21 del COR Seres Senes Series EX 1000100010151390116628191529 2844783 EX 000100010151390116628191529 2844791 EXM0001000101513901165281915 9 2844797 Selected images 0 437 MIO LT v2 USER MANUAL EN Page 31 of 70 Images capture medical images organizer In case that exploring CD is not compatible with DICOMDIR format MIO LT will display a browse window for selecting files instead of DICOMDIR tree 5 Select individual images entire series or complete study by clicking on the name of each
58. tervention and to facilitate as much as possible the capture processing and delivery of studies and images A MIO LT screenshot mark the areas in which is divided main application screen that can be seen in figure 1 2 page 9 1 2 1 Patient bar The Patient bar shows the age clinical history number or unique Identifier and the name and surnames of the selected patient New Patient button Selected patient data The Patient bar includes as well Mew Patient button which enables an introduction or selection of a new patient Y The actual performance of the Mew Patient button varies according to the configuration and application license Please refer to chapter 3 for further information 1 2 2 Capture toolbar The Capture toolbar shows all the options available in your MIO LT version to an acquisition of new images Capture Video Explore CD Y The available options for the acquisition of images vary according to the configuration and application license Please refer to chapter 4 for further information MIO LT will automatically link the acquired images with the previously selected patient s data thus generating a DICOM study for future sharing and delivery MIO LT v2 USER MANUAL EN Page 7 of 70 Introduction medical images organizer 1 2 3 Gallery area The Gallery area is a central section of MIO LT main screen where the images are generated by medical devices connected to MIO LT
59. the method of patient identification and the performance of certain windows in MIO LT Parameter Possible value Description Startup mode Worklist HTTP Manual Method selected for patient identification Show buttom Show hide New Patient button at the eS Activated Deactivated i i New patient Worklist window Show button Acdivetedibeadiwated Show hide the Close Window button in Close window ctivated Deactivate the New Patient window Affects W orklist and Manual modes Table 6 4 The configuration parameters for User interface 6 3 1 2 Gallery The following parameters affect the way in which MIO LT displays images in the Gallery area Parameter Possible value Description Minimum elements per row Natural number Minimum number of images per row in the Gallery Corresponds to the Large position of the control sliding the image size in the gallery Maximum elements per row Natural number gt Maximum number of images per row in MinimumPerRow the gallery Corresponds to the Small position of control sliding the image size in the Gallery Allow move elements Activated Deactivated Allows prevents drag images in the gallery to reorder the study Table 6 5 The configuration parameters for Gallery area MIO LT v2 USER MANUAL EN Page 55 of 70 Ao ala Tr a MIO LT medical rdelrbeedeela 6 3 1 3 General Parameter Possible value Description Multistudy enabled Activated Deactivated Activates
60. thologies Activates deactivates female face template for a localization of pathologies Activates deactivates a template of the digestive system with highlighted stomach for localization of pathologies Activates deactivates a template of the digestive system with the intestines highlighted for location of pathologies Activates image files chosen by the user to be located in the same path as the default templates for use as templates for localization of pathologies The default installation path is MIOLT Images Templates Table 6 8 The Configuration parameters for Templates of pathologies location MIO LT v2 USER MANUAL EN Page 57 of 70 min woe medical images organizer 6 3 1 6 App Launcher The following parameter affect the configuration of MIO LT when is going to receive patient data through a parameter passing call HTTP from another information system HIS Electronic Medical Records Health History etc Parameter Possible value Description Port Natural number Port on which the MIO LT listen call HTTP by parameter passing Table 6 9 The configuration parameters of App Launcher module O In order to MIO LT receives patient data correctly by passing parameters call HTTP it is necessary to previously run the application Applauncher exe which is located in the installation folder of MIO LT If you want that MIO LT always receive patient information by passing param
61. uration parameters for Saving images MIO LT allows you to save images in a folder or disk path by using a software plugin which must be purchased separately from the basic program license Please consult your software provider if the Save option does not appear in the Sending toolbar of the MIO LT main screen see sections 1 2 4 and 5 3 MIO LT can be configured using the appropriate plugin to perform sending studios to MIO Comm server rather than directly to the final repository PACS MEDTING etc Installations based on MIO Comm offer specific functionality for centralized management of multiple stations MIO LT 6 3 7 1 General The following parameters configure the communication between the client MIO LT and MIO Comm service if itis available Parameter Possible value Description Endpoint name Alphanumeric string Name of the server hosting MIO Comm Server name Alphanumeric string or IP IP Server Port Comm MIO or your name Address registered in DNS Show report Activated Deactivated Activates deactivates a pop up window in MIO LT which draft a report on the study in order to MIO Comm process conveniently e g to be sent as a message to HIS Table 6 21 The configuration parameters for MIO Comm service MIO LT v2 USER MANUAL EN Page 64 of 70 medical images organizer 6 3 7 2 CommData The following parameters define the overall performance of MIO Comm when pr
62. ure 5 Explore CD Video Gallery area Send toolbar M send to Send to send to Medting local PACS all PACS Figure 1 2 MIO LT main screen Notification area MIO LT v2 0 USER MANUAL EN Page 9 of 70 E TO MIO LT Installation medical images organizer 2 MIOLT Installation MIO LT should be installed on a workstation or PC that can be physically connected to the medical imaging device to integrate 2 1 Hardware requirements The following table details the minimum and recommended hardware system requirements to run MIO LT MIO LT System Requirements meee ee RA a CPU Intel 3GHz or higher 2 GB RAM 4 GB RAM 1024x768 True Color Video Card 1280x1024 True Color Video Card Windows XP SP3 Windows 7 Microsoft NET Framework v 4 0 Microsoft NET Framework v 4 0 Full version Full version Direct Draw compatible Direct Draw compatible frame grabber frame grabber 2 2 Software requirements It is recommended to uninstall any previous version MIO LT before installing the new one MIO LT to work properly require prior and complete installation of the Microsoft Framework NET4 0 This framework is available as a free download package on http www microsoft com downloads es es details aspx FamilyID 9cfb2d51 5ff4 4491 b0e5 b386f32c0992 Please check Microsoft documentation for a correct installation and configuration of Framework NET 4 0 UD
63. vates that the action of renaming a Deactivated file is equal to the arrival of a new file to detect Triggering file name File name File name and extension to detect Allows wildcard characters Delete source file Activated Activates deactivates a removal once processed Deactivated detected files Table 6 28 The configuration parameters for File Watcher plugin MIO LT v2 USER MANUAL EN Page 68 of 70 MIO LT medical images organizer 6 3 11 USB amp CD detection The following parameters configure the MIO LT plugin for the detection and automatic load the Gallery files on external USB devices and CD ROM s 6 3 11 1 6 3 11 2 General Parameter Possible value Description Detect CDROM Activated Deactivated Activates deactivates automatic detection of CD s in the reader Table 6 29 The configuration parameters for USB amp CD detection plugin 6 3 11 3 File Seeker Parameter Possible value Description SpecificFolder Route Route over which the action is performed on the files Recursivity Activated Deactivated Activates deactivates recursive search through folders within SpecificFolder ValidExtensions List of extensions Extensions file to be processed by the FileSeeker separated file by ExcludedExtensions List of extensions File extensions to be ignored by the FileSeek separated file by Table 6 30 The specific configuration parameters for File Seeker module MIO LT v2 US

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