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eFilm Scan User Guide - eFilm Solutions
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1. 13 Export the images to a DICOM server or burn them to a CD see Exporting studies on page 43 Adding images to an existing study If the images you have scanned are part of an existing DICOM study or patient record you can retrieve that study and append the images either as a series to the existing study or as anew study to the existing patient record To add images to an existing DICOM study or patient record 1 Click New Patient to clear any existing information eFilm Scan User Guide 35 2 Click Remote Study This displays the DICOM Query Client dialog box 1 DICOM Query Client Dy Filter Patient ID Last Name First Name Accession WEES all Today 5 Cc ES Cmm CRF Us o E Ey From Date To Date From Time To Time vo ooo SE HE E z px MR PT SC Study ID Study UID Study Desc Referring MD Clear Filter Study List Server Patient ID Patient Name Accession No Modality Da Remote Servers Description AE Title eFilm PACS DEVELOPER_ s gt J lt gt Cancel criteria you enter the more accurate the search results will be e Patient ID enter the identification number for the patient e Last Name enter the patient s last name e First Name enter the patient s first name e Accession enter the accession number for the study e From Date to search by study date select this check box and select a beginning date for
2. Select which search field is populated by the barcode reader by selecting an option from the Barcode Interpretation drop down list If the field includes both the first and last patient names in either order use the Name Separator drop down list to indicate which character separates the names 4 Barcode scanners append a delimiting character to the beginning and end of scanned information to distinguish it from keyboard input Click Set Delimiter to select a delimiting character 5 Click OK to save your changes eFilm Scan User Guide 19 Configuring eFilm Scan Setting display options The display options allow you to set the gamma correction brightness for your display Properties x Scanner Remote Devices Modality Worklist Devices Barcode Display advanced Gamma Correction 0 945 Cancel Help To set the level of gamma correction for your monitor 1 Move the slider until you can just distinguish the different bands of shading at the bottom of the shaded box 2 Click OK to save your changes Setting advanced options The Advanced tab allows you to adjust the following values Field Description Local AE Title Sets the AE title for the eFilm Scan workstation Default Modality Sets the default modality for scanned images CD Burning Max Capacity Sets the maximum amount of data that you can save toa CD CD Burning Recording Speed Sets the speed of your CD burner Fi
3. System requirements This section describes the hardware and software required to run eFilm Scan eFilm Scan User Guide 3 eFilm Scan Overview Required hardware eFilm Scan must run on a computer that meets the following hardware requirements e Pentium III 400 MHz processor e 256 MB RAM 512 MB recommended for high resolution scans e 4GB free hard drive space for image storage e Minimum display resolution 800 x 600 e Digitizer and associated hardware When choosing computer hardware users should note that the most substantial performance gains result when RAM is increased In order to prevent poor performance of the software Merge Healthcare does not recommend that eFilm Scan be run on a less powerful system than that listed above Hard drive space should be added as image storage requirements increase Required software and operating system eFilm Scan requires the following software programs and operating systems in order to operate properly e Windows 2000 Service Pack 4 or Windows XP Professional Service Pack 2 e Any necessary digitizer software Refer to the product help files and the Merge Healthcare Web site at www mergehealthcare com for the most up to date system requirements Supported scanners The following scanners are supported by eFilm Scan Note In addition to the listed scanners eFilm Scan is designed to work using the Twain interface with any Twain flatbed scanner compatible device Us
4. 11 Enter the information for the series Modality select a modality from the drop down list Series Description enter the description for the series Body Part Examined enter the name of the body part shown in the study 12 Add images to the series by clicking the Add or Add All buttons to move images from the Scanned Images window to the series Remove images by clicking the Remove or Remove All buttons 38 eFilm Scan User Guide Organizing images 13 Select an image in the patient tree to see the information fields for the image Image 1 Image 2 View Position Image Laterality Properties Resolution 150 DPI Bit Depth 12 BPP Size 10 15 MB Window Width 4095 Window Level 2047 14 Edit information for the selected image e View Position enter the angle from which the image was captured e Image Laterality enter the side of the body left right for the body part shown in the image 15 Create additional studies and series as required Note You can navigate between multiple studies and series by selecting tabs in the information pane or by selecting nodes in the patient tree 16 Export the images to a DICOM server or burn them to a CD see Exporting studies on page 43 Adding images to a scheduled procedure You can add scanned images to a scheduled procedure that you retrieve from a Modality Worklist server To add images to a scheduled procedure from the Modality Worklist
5. 4000 Toll Free 877 741 5369 FAX 414 977 4200 E mail support mergehealthcare com 6509 Airport Road Mississauga Ontario CANADA LV4 1S7 Tel 905 672 2100 Toll Free in North America 800 724 5970 FAX 905 672 2307 E mail support mergehealthcare com Spegelt 34 5674 CD Nuenen The Netherlands Tel 31 40 2990773 FAX 31 40 2906615 E mail service_europe mergehealthcare com World Wide Web www mergehealthcare com eFilm Scan User Guide 47 Contacting Merge Healthcare Before you call Before calling Merge Healthcare for assistance please prepare the following information e Site name and location e System Administrator s name and contact information e Detailed description of the problem e Detailed description of troubleshooting attempts 48 eFilm Scan User Guide Index A adding modality worklist devices 17 remote devices 15 AE Title setting for eFilm Scan 20 automatic segmentation 27 B barcode readers setting properties 18 boxes segment 28 brightness 25 burning CDs setting options for 20 Burning Images to CDs DVDs 45 C configuration options advanced properties 20 barcode readers 18 displays 20 modality worklist device properties 16 remote device properties 14 scanner properties 13 setting 13 configuring image orientation 25 image properties 24 window level properties 25 contrast 25 D default modality setting 20 deleting 16 modality worklist devices 18
6. box and enter the information e Referring Physician s Name enter the name of the physician who requested the study e Institution Name enter the name of your institution 9 Create anew series by clicking New Series This adds a new series to the patient tree The middle pane of the eFilm Scan window displays the fields for the series and any images that have been added to the series Series 1 Modality OT ied Series Description Body Part Examined 10 Enter the information for the series e Modality select a modality from the drop down list e Series Description enter the description for the series e Body Part Examined enter the name of the body part shown in the study 11 Add images to the series by clicking the Add or Add All buttons to move images from the Scanned Images window to the series Remove images by clicking the Remove or Remove All buttons eFilm Scan User Guide Exporting studies 12 Select an image in the patient tree to see the information fields for the image Image 1 Image 2 View Position Image Laterality Properties Resolution 150 DPI Bit Depth 12 BPP Size 10 15 MB Window Width 4095 Window Level 2047 13 Edit information for the selected image e View Position enter the angle from which the image was captured e Image Laterality enter the side of the body left right for the body part shown in the image 14 Create additional studies and series as
7. default Window Level value for scanned images Get Scanner Default Width Level Managing remote devices Sets the default Window Level values to predetermined values based on the selected scanner The Remote Devices tab lists the PACS and workstation devices to which eFilm Scan can send images or retrieve existing studies 14 eFilm Scan User Guide Managing remote devices Properties x Scanner Remote Devices Modaity Worklist Devices Barcode Display Advanced Remote Devices Description AE Title Hostname Port Type Defaut Compress eFilm AF TITLE localhost 4006 Server Yes No o Description AE Title Port Type Hostname D mr Ad T Default L Compress Add New Update sa __ This section describes how to e add a new device see Adding remote devices on page 15 e edit settings for a device see Updating remote devices on page 16 e delete a device from the list see Deleting remote devices on page 16 e verify the connection to a device see Verifying remote device connections on page 16 Adding remote devices To add a new device 1 Launch eFilm Scan and click Properties 2 Select the Remote Devices tab 3 Complete the fields at the bottom of the tab e Description enter a description of the remote device e AE Title enter the AE title of the remote device e Hostname enter the host name or IP address of the remote device
8. devices To add a new device 1 2 3 Launch eFilm Scan and click Properties Select the Modality Worklist Devices tab Complete the fields at the bottom of the tab e Description enter a description of the remote device e AE Title enter the AE title of the remote device e Hostname enter the host name or IP address of the remote device e Port enter the port number on which the remote device listens for DICOM connections e Type select a type of device from the drop down list Select the Default check box automatically select the device when searching for modality worklist entries Click Add Now to add the device to the list of modality worklist devices Note Entries are not permanently added until you click OK to close the Properties dialog box and save your changes Click OK to save your changes eFilm Scan User Guide 17 Configuring eFilm Scan Updating modality worklist devices Once you have created a device you may find it necessary to change its settings To update settings for a device 1 Select an entry from the Modality Worklist Devices list The settings for that device appear in the fields at the bottom of the screen 2 Edit the fields as necessary 3 Click Update to update the Modality Worklist Devices list Note Entries are not permanently changed until you click OK to close the Properties dialog box and save your changes 4 Click OK to save your changes Delet
9. e Port enter the port number on which the remote device listens for DICOM connections e Type select a type of device from the drop down list 4 Select the Default check box automatically select the device when searching for or sending images to remote studies 5 Select the Compress check box if the device supports compressed image transfers in the JPEG 2000 lossless format This enables image compression by default 6 Click Add Now to add the device to the list of remote devices Note Entries are not permanently added until you click OK to close the Properties dialog box and save your changes 7 Click OK to save your changes eFilm Scan User Guide 15 Configuring eFilm Scan Updating remote devices Once you have created a device you may find it necessary to change its settings To update settings for a device 1 Select an entry from the Remote Devices list The settings for that device appear in the fields at the bottom of the screen 2 Edit the fields as necessary 3 Click Update to update the Remote Devices list Note Entries are not permanently changed until you click OK to close the Properties dialog box and save your changes 4 Click OK to save your changes Deleting remote devices To delete an entry from the remote devices list 1 Select the entry 2 Click Delete The entry is removed Note Entries are not permanently removed until you click OK to close the Properties dia
10. list and click OK The eFilm Scan Network Queue Note Displaying this screen is optional you can change this setting on the Advanced tab of the Properties dialog box see Setting advanced options on page 20 T eFilm Scan Network Queue la o Status Direction From To Patient ID Patient Name Study Date Started Last Active Series Ima Al Bi Pending 0 Active 0 Idle 0 Total 0 E E Settings Close eFilm Scan User Guide Exporting studies 5 This screen displays the progress of your sending operations From here you can refresh the list delete entries and change the time out setting To change the time out setting click Settings and change the time out value in minutes Settings General Removal Timeout 240 Minutes Cancel f Burning images to CDs DVDs You can burn images to CDs and DVDs from the main window Note Once you burn a study to a CD you will not be able to alter the properties or contents of that study though you can still append new studies and series To burn a study to CD DVD 1 Place a blank CD DVD in your CD DVD ROM drive eFilm Scan Media Burning Setup m Images Package Title Test Anonymize Images 5 BEN Packager Options C DICOMDIR DICOMDIR with eFilm Lite Actions Burn to media CD C DYD I Issue a beep on completion Eject media on completi
11. out 45 setting location 20 setting up See installing Settings dialog 45 sheets See film software requirements 4 starting eFilm Scan 5 system requirements 3 T temp folder 20 toolbar 9 U uninstalling eFilm Scan 8 updating modality worklist devices 18 remote devices 16 V verifying modality worklist device connections 18 remote device connections 16 W window level properties 25 50 eFilm Scan User Guide
12. remote devices 16 segment boxes 28 display setting properties 20 dividing See segmenting E eFilm Scan installing 5 overview 8 registering 6 starting 5 toolbar 9 uninstalling 8 evaluation 6 F film scanning 23 flipping images 25 G gamma correction setting 20 H hardware requirements 3 Howtek setting scanner lookup table 20 I images brightness 25 configuring orientation 25 configuring properties 24 contrast 25 flipping 25 rotating 25 segmenting 26 initializing See starting installing eFilm Scan 5 L launching See starting licenses 6 M manual segmentation 28 eFilm Scan User Guide 49 modality worklist devices adding 17 deleting 18 setting properties 16 updating 18 verifying connections 18 moving segment boxes 28 N Network Queue displaying 44 hiding 20 setting time out 45 O operating system 4 orientation image 25 overview eFilm Scan 8 toolbar 9 P properties Advanced tab 20 Barcode tab 18 Display tab 20 image 24 Modality Worklist Devices tab 16 Remote Devices tab 14 Scanner tab 13 window level 25 R registering eFilm Scan 6 remote devices 16 adding 15 setting properties 14 updating 16 verifying connections 16 removal time out setting 45 removing see deleting resizing segment boxes 28 rotating images 25 S scanners setting properties 13 scanning film 23 segmenting automatic 27 boxes 28 images 26 manual 28 setting removal time
13. required Note You can navigate between multiple studies and series by selecting tabs in the information pane or by selecting nodes in the patient tree 15 Export the images to a DICOM server or burn them to a CD see Exporting studies on page 43 Exporting studies When you have finished organizing and tagging images you can choose between two different methods of exporting the studies e send the studies to a remote server see Sending studies to remote servers on page 43 e burn the studies to a CD see Burning images to CDs DVDs on page 45 Sending studies to remote servers Before you can send studies to a remote server you must first configure that server in the Properties dialog box see Managing remote devices on page 14 Note Once you send a study to a remote device you will not be able to alter the properties or contents of that study though you can still append new studies and series eFilm Scan User Guide 43 To send studies to a remote server 1 Click Send The Select Destination dialog box appears Select Destination xi Type fa 7 Destinations AE Title vp Server AE TITLE You can filter the list of available remote devices using the Type drop down list The Compress check box displays the default compression mode for that device There is not normally a reason to change this setting screen will appear Select a destination device from the
14. the search e To Date to search by study date select this check box and select an end date for the search Enter search criteria for the patient and study The criteria are optional but the more Note You can use the Today and Yesterday buttons to set the date fields and execute the current search automatically e From Time to search by study time select this check box and select a beginning time for the search e To Time to search by study time select this check box and select an end time for the search e Study ID enter the ID number for the study e Study UID enter the unique identification number for the study e Study Desc enter the description for the study e Referring MD enter the name of the referring physician 4 Inthe Modality section select the radio button for the study modality 36 eFilm Scan User Guide Organizing images 5 If you wish to search the default server click Search to execute your query To select a different server click Servers to display a list of available servers You can filter the list of servers by selecting a category from the Remote Servers drop down list Remote Servers a Description AE Title eFilm AE_TITLE H 6 Locate the study you want in the Study List Double click the study to open it Note You will not be able to edit patient information or study information for existing studies You can only edit informat
15. 1 Click New Patient to clear any existing information eFilm Scan User Guide 39 2 Click Worklist Study This displays the MWL Query Client dialog box IF MWL Query Client z cle Filter Yesterday Clear Filter Study List Server Patient ID Patient Name Accession No Modality Sex Birth Date Referring MD Patient ID Last Name First Name Accession WEES all Requested Procedure ID ca Ces NM RFC US Scheduled Step Start Date Calm Cor Care xa CO DX C mr pT Sc FromDate To Date E a Scheduled Station AE Title sil gt j Cancel Enter search criteria for the patient and study The criteria are optional but the more criteria you enter the more accurate the search results will be Patient ID enter the identification number for the patient Last Name enter the patient s last name First Name enter the patient s first name Accession enter the accession number for the study From Date to search by schedule procedure date select this check box and select a beginning date for the search To Date to search by scheduled procedure date select this check box and select an end date for the search Note You can use the Today and Yesterday buttons to set the date fields and execute the current search automatically Requested Procedure ID enter the requested procedure ID number for the procedure Scheduled St
16. Guide 33 7 Create a new series by clicking New Series This adds a new series to the patient tree The middle pane of the eFilm Scan window displays the fields for the series and any images that have been added to the series Series 1 Modality OT ba Series Description Body Part Examined Le 8 Enter the information for the series e Modality select a modality from the drop down list e Series Description enter the description for the series e Body Part Examined enter the name of the body part shown in the study 9 Add images to the series by clicking the Add or Add All buttons to move images from the Scanned Images window to the series Remove images by clicking the Remove or Remove All buttons eFilm Scan User Guide Organizing images 10 Select an image in the patient tree to see the information fields for the image Image 1 Image 2 View Position Image Laterality Properties Resolution 150 DPI Bit Depth 12 BPP Size 10 15 MB Window Width 4095 Window Level 2047 11 Edit information for that image e View Position enter the angle from which the image was captured e Image Laterality enter the side of the body left right for the body part shown in the image 12 Create additional studies and series as required Note You can navigate between multiple studies and series by selecting tabs in the information pane or by selecting nodes in the patient tree
17. Key dialog box appears a x To register this product you will need a valid license code If you do not have a valid license code please contact Merge eFilm at tel 416 204 9664 fax 416 204 9442 email sales merge efilm com Please be prepared to provide the following reference code Reference Code 08 91 8300 If you have a vaild license code please enter it below and click the Register button to activate your license Licence Key pa ooo Cancel 4 Ifyou do not have a valid license code please submit your reference code to a Merge Healthcare sales representative by phone fax or e mail Upon confirmation of payment a Merge Healthcare sales representative will provide you with the license key that matches your unique reference code When entered this key will enable you to use the application beyond the evaluation period Please record this key for future reference eFilm Scan User Guide 7 eFilm Scan Overview No te Your license key will work for only one software installation To 1 2 3 view your license properties Click the product logo in the top left corner of the eFilm Scan window Select About eFScan Click View License The License Properties dialog box appears displaying your license properties x Product Name eFilm Scan Product ID 5359 8601 2629 7641 5708 License Purchase 2003 11 11 User Limit 1 Expiry Date N A Active Users 1 Da
18. L 2047 2 Change the properties as required 3 Click OK to save your changes and return to the eFilm Scan window Adjusting window level values You can adjust the window level values of the scanned image in the Quality Assurance window To adjust the brightness of an image 1 Position the cursor over the image 2 Right click and drag the cursor up or down over the image 3 Release the mouse to apply button the new value to the image To adjust the contrast of an image 1 Position the cursor over the image to be adjusted 2 Right click and drag the cursor left or right over the image 3 Release the mouse button to apply the new value to the image Note These values are displayed on the lower left corner of the image e g W 33 L 777 Adjusting image orientation You can flip and or rotate the scanned image in the Quality Assurance window eFilm Scan User Guide 25 Icon Tool Description g Flip Vertical Flips the image from top to bottom or bottom to top Flip Horizontal Flips the image from left to right or right to left Rotate Right Rotates the image 90 degrees clockwise Rotate Left Rotates the image 90 degrees counter clockwise uan Segmenting images Multiple image films such as those associated with CT MR and XA studies can now be segmented into single DICOM images using the segmentation feature You may determine the number order and size
19. a the quality of the display device the quality and achievable resolution rates of the digitizer and the necessity to interpolate the data for display purposes While eFilm Scan has been tested extensively it is impossible to completely test any piece of software and errors may remain in the software It is possible that an error could manifest as an incorrect image Users must be aware of the potential for errors This page left blank intentionally Table of Contents Chapter 1 Chapter 2 Chapter 3 Table of Contents eFilm Scan Overview System redguirements ccccesseeeseseseteteteseeeeteteseseseseeseesteeteseseneeeens 3 Required hardware ees ee eke ee eke ee SR eek ek ek ek RR ee 3 Required software and operating system eiers sees 4 Supported SCANMETS secccceccccceesesssesteeseeceeesessecsnensseseseeenenees 4 Installing eFilm Scan c cceccccescssesescsssssteseseeseeeescecesesesesseneneneseeeeeseeeecens 5 Starting CFM SCAN EE OE EE EE EN 5 Registering eFilm Scan ee ees seek ee seek Rek R ee ER aa 6 Uninstalling eFilm Scan eee sees ee ee seek ekke EER ee Ge GER ER ER EER ER ER SR ge Re ek Ee be bee 8 e Filim Sean Wirid OW ie SE es es EI Ee EE Ee ER EE Gee SEE RD ee 8 Film SCAN COMPOS susse ss ees on sea e ge SEN He gek Oe ge ieia iani eg ere 9 Image controls ee ees see ee ee seek ER Re RR ee be ek SR Se Gee arare 9 Study COMETOIS prenei sieste iante RE Ee goe See oe ve onge e
20. ality Assurance window select the desired segmentation numbering order convention from the drop down menu in the bottom left hand corner Sensitivity 51 Delete ee DEER There are eight possible order conventions to use to number your images Note Every segment box is numbered to indicate the order in which each segment will be included in a series To change the segment box order drag and drop the segment boxes as desired in the Quality Assurance window You can also move resize delete or create new segment boxes 2 Click Segment The images are segmented and numbered according to the selected convention 3 Click OK to begin segmentation The status bar to the right indicates the progress of the segmentation process As it progresses thumbnails of each segmented image will be displayed in the Images to Import pane of the eFilm Scan window If images are present in this pane then new images will be appended to the existing ones Note eFilm Scan will automatically set an appropriate segmentation sensitivity You can adjust the Sensitivity slider to make the segmentation process more or less sensitive to lighter colors Manual segmentation You can segment multiple image film automatically or manually To segment a multiple image film manually 1 Inthe Quality Assurance window click E 2 Click and hold the cursor over a region of the image 3 Drag the mouse so that the yellow box that appears surrounds
21. ant to burn the images i e CD or DVD This option is selected by default You can also specify additional options such as deleting the package and any files selected in the Other Files tab when the application has finished burning the media Note If you do not want to suppress the AutoRun function of the media select the Allow AutoRun check box e Verify media no data burned Select this option to validate that the media creator being used is functioning correctly and media is ready for burning Important Refer to the Merge Healthcare Web Site at www mergehealthcare com for the latest list of media burning devices supported by eFilm Third party media burning applications may allow you to burn CDs and DVDs using devices that are not supported by eFilm Scan 9 Click Continue Note Depending on the amount of images in the study package the media burning process may take a few seconds or several minutes In order to avoid possible write errors eFilm Scan does not allow users to do anything else while burning a media 10 When notified that the process is complete click OK eFilm Scan User Guide Contacting Merge Healthcare USA Canada Europe If the procedures in this manual do not help you solve the problem or the symptoms you are experiencing do not appear in this manual contact Merge Healthcare for assistance 6737 W Washington Street Suite 2250 Milwaukee WI 53214 5650 USA Tel 414 977
22. ation AE Title enter the AE title for the modality that performed the study In the Modality section select the radio button for the study modality eFilm Scan User Guide Organizing images 5 8 If you wish to search the default server click Search to execute your query To select a different server click Servers to display a list of available servers Modality Worklist Servers Description AE Title Locate the scheduled procedure you want in the Study List Double click the scheduled procedure to open it Note You will not be able to edit patient information for the scheduled procedure Note It is important to verify that the correct patient has been selected before adding additional series Create a new study by clicking New Study This adds a new study to the patient tree The middle pane of the eFilm Scan window displays the fields for the study Study 1 Modalities In Study Study Description Accession Number Study Date Time v 3 25 2006 2 21 21 PMH Referring Physician s Name Institution Name Enter the information for the study e Modalities in Study lists the modalities for each series in the study e Study Description enter the description for the study e Accession Number enter the accession number for the study eFilm Scan User Guide 41 e Study Date Time if you know the date and time of the study select the Study Date Time check
23. d When installation is complete start eFilm Scan following the procedure outlined in Starting eFilm Scan on page 5 Starting eFilm Scan You can start eFilm Scan either from the desktop or through the Start menu eFilm Scan User Guide 5 eFilm Scan Overview To start eFilm Scan e Double click the eFilm Scan icon on your desktop or e Navigate to Start gt Programs gt Merge Healthcare gt eFilm Scan gt eFilm Scan The first time you start the application the Register dialog box will appear prompting you to register eFilm Scan x This Merge eFilm product is not registered Please choose one of the following options m Register Please click the Register button to proceed with registration r Evaluate You may evaluate this product once for a period of 30 days Evaluate Click the E valuate button to proceed with evaluation m Cancel If you do not wish to register or evaluate this product click the Exit Exit button be Note You can choose to evaluate the application for thirty days by clicking Evaluate Once the evaluation period has ended you must register eFilm Scan to continue using the application Registering eFilm Scan You must register eFilm Scan within thirty days of installing the application To register eFilm Scan 1 Ifyou have just started eFilm for the first time simply click Register Otherwise a Click the logo in the upper left c
24. e Ge ee ee 26 Automatic segmentation eek ee see Se SR RR Ge Ee Se EE RR Ge Bee Ee 27 Manual segmentation cccscscscssesssssnsneeseseenetesseceseesssesnsnenenens 28 eFilm Scan User Guide Chapter 4 Organizing Images and Exporting Studies Organizing image Siueni oe oes ee EA nano ts ent toa ete 31 Creating anew record eie ee se sg gee gede de erg Ge Re eke en Fee De 31 Adding images to an existing study oe se see ek eek ee 35 Adding images to a scheduled procedure esse ee ee ee 39 Exporting studie mores Roe sere Ge AR Ee Ee EEN Pe ee Be se gee geag see Re SEN a 43 Sending studies to remote SELVES ie esse eek se ek SR SEER ER SR 43 Burning images to CDs DVDS ees se see ee ge gee ee ee ek eke 45 Appendix A Contacting Merge Healthcare 2 eFilm Scan User Guide eFilm Scan Overview As institutions progress to filmless environments they face the challenge of managing hardcopy x ray films eFilm Scan is a software module designed to facilitate film digitization and conversion to a DICOM compliant format When scanned as a single image multi slice modality films are of questionable practical and even diagnostic or clinical value The typical tiled format of film is not well suited to electronic review Furthermore the static nature of this format negates any advantage attained from the three dimensional CT and MR images eFilm Scan expands the utility of this data by automatically separating each image slice into a sin
25. e and use in Canada This product possesses a Class 2 Medical Device Licence issued May 30 2001 by the Therapeutic Products Programme of Health Canada United States of America A 510 k premarket notification for eFilm with Modules eFilm Scan was submitted to the United States Food and Drug Administration on March 19 2002 On April 12 2002 eFilm eFilm Scan received USFDA clearance as a Class II Medical Device The K number for this product is KO20995 Europe According to the guidelines stated in Directive 93 42 EEC of the European Community eFilm eFilm Scan is a Class I Medical Device eFilm eFilm Scan satisfies the requirements for bearing the CE mark on its labelling Our authorized representative in the European Community is Merge Healthcare Spegelt 34 5674 CD Nuenen The Netherlands Considerations prior to use The software is not intended to replace the skill and judgement of a qualified medical practitioner and should only be used by people who have been appropriately trained in the software s functions capabilities and limitations eFilm Scan saves images together with patient information It is important to protect this data from access by unauthorized persons The user should be aware of the limitations in the accuracy and correctness of the output data displayed on the screen and imported from eFilm Scan The quality of the data is dependent on the correctness of the input data the user s interaction with the dat
26. eFilm Scan 2 0 User Guide x amp M RGE Healthcare eFilm Scan 2 0 User Guide Version 1 Part number 0905 220 0001 000 March 27 2008 Copyright notice Copyright 2008 Merge Healthcare Inc 6737 W Washington Street Suite 2250 Milwaukee WI 53214 5650 USA Phone 414 977 4000 Fax 414 977 4200 All Rights Reserved This manual shall not wholly or in part in any form or by any means electronic mechanical including photocopying be reproduced or transmitted without the authorized written consent of Merge Healthcare This guide has been produced to assist in providing instruction for the Merge Healthcare product suite Every effort has been made to make the information in this guide as accurate as possible The authors of this guide shall have neither liability nor responsibility to any person or entity with respect to any loss or damages in connection with or arising from the information contained in this guide Trademarks Merge Healthcare FUSION Workflow eFilm Lite eFilm Scan eFilm Workstation and FUSION eFilm are all registered trademarks of Merge Healthcare Inc and its subsidiaries Any additional software products named in this document are claimed as trademarks or registered trademarks of their respective companies Regulatory notes Merge Healthcare provides you with the following information regarding the regulatory status of eFilm eFilm Scan Canada eFilm eFilm Scan is licensed for sal
27. ers are cautioned to confirm that a scanner performs as expected with eFilm Scan before committing payment for one of these solutions Supported scanners e DiagnosticPro e DiagnosticPro Plus e DiagnosticPro Advantage Scanners supported through Vidar e VXR 16 DosimetryPro e VXR 16 e MammographyPro e TeleRADPro e VXR 12 plus e VXR 12 e VXR 8 4 eFilm Scan User Guide Installing eFilm Scan e SIERRA e Howtek MultiRAD 460 e Howtek MultiRAD 860 e Lumisys Lumiscan 50 e Lumisys Lumiscan 75 e Lumisys Lumiscan 85 Note Compatibility for these scanners is advertised by Vidar and has not been verified by Merge Healthcare Users are cautioned to confirm that a scanner performs as expected with eFilm Scan before committing payment for one of these solutions Installing eFilm Scan Follow the installation instructions provided in the Installation Wizard Note Ensure that you have met the system requirements and installed the necessary drivers for your digitizer prior to installing eFilm Scan To install eFilm Scan from the CD 1 Insert the eFilm Scan CD in the CD ROM drive The welcome screen appears eFilm Scan 2 0 Film Digitizing Application MERGE Healthcare eFilm Scan is a trademark of Merge Healthcare All other trademarks are the property of their respective owners 2008 Merge Healthcare All rights reserved 2 Follow the installation instructions in the Installation Wizar
28. gle image eFilm Scan is an application designed to scan conventional medical films using third party digitizers It supports all major film digitizers and also provides TWAIN support for compliant flatbed scanners Films may be scanned at various resolutions as 8 12 or 16 bit grayscale images depending on the digitizer which can then be window levelled flipped rotated duplicated or segmented within eFilm Scan These images can then be ordered and either sent as DICOM 3 0 studies with relevant patient information directly to a PACS or burned to CD Note Please be advised that this software is not intended for diagonis purposes Proper medical diagnosis software should be used when reading studies Note For details on eFilm refer to the eFilm Scan 2 0 User Guide This section describes how to install register and start using eFilm Scan and uninstall earlier versions of the software It shows you how to e meet minimal system requirements see System requirements on page 3 e install eFilm Scan see Installing eFilm Scan on page 5 e start eFilm Scan see Starting eFilm Scan on page 5 e register eFilm Scan see Registering eFilm Scan on page 6 e uninstall eFilm Scan see Uninstalling eFilm Scan on page 8 This section also provides you with an overview of the e eFilm Scan window see eFilm Scan window on page 8 e eFilm Scan toolbar see eFilm Scan controls on page 9
29. ies This section describes the procedures for organizing scanned images into studies and series that can then be sent to a server or burned to CD It describes how to e organize images into series and studies see Organizing images on page 31 e send organized images to servers or burn them to CD see Exporting studies on page 43 Organizing images Once scanned and edited images must be organized into series and studies A given patient record can have multiple studies and each study can have multiple series eFilm allows you to create an entirely new patient record append images to an existing DICOM study or add images to a scheduled procedure from a Modality Worklist server This section describes how to e create a new patient record see Creating a new record on page 31 e append images to an existing DICOM study see Adding images to an existing study on page 35 e add images to a scheduled procedure see Adding images to a scheduled procedure on page 39 Creating a new record If the patient record does not already exist as a DICOM study or Modality Worklist scheduled study you can create a new patient record and enter the patient information yourself eFilm Scan User Guide 31 To create a new patient record 1 Click New Patient This clears the patient tree and creates a blank patient record The middle pane of the eFilm Scan window displays the fields for the patient rec
30. ing modality worklist devices To delete an entry from the modality worklist devices list 1 Select the entry 2 Click Delete The entry is removed Note Entries are not permanently removed until you click OK to close the Properties dialog box and save your changes If you deleted an entry by mistake you can click Cancel to restore it to the list 3 Click OK to save your changes Verifying modality worklist device connections You can verify whether a given device is online and capable of making a connection To verify a connection with a remote device e Select an entry from the modality worklist devices list and click Verify The device s connection status appears in the field to the right of the Verify button Setting barcode options If your facility is so equipped you can use a barcode reader to retrieve patient information or study information from your database Note You must configure your barcode reader separately from eFilm Scan using the utilities and drivers that came with the reader 18 eFilm Scan User Guide Setting barcode options Properties Patert X Seece To configure eFilm Scan for use with a barcode reader 1 Select the Automatically search when barcode is read check box This enables the other options on the Barcode tab 2 Select the appropriate radio button in the Search Type section depending on whether you will retrieve studies or worklist entries 3
31. ion for studies and series that you create in eFilm Scan Note It is important to verify that the correct patient has been selected before adding additional series 7 Ifyou want to add a series to the existing study skip to step 10 To add a new study to the patient record continue with step 8 8 Create a new study by clicking New Study This adds a new study to the patient tree The middle pane of the eFilm Scan window displays the fields for the study Study 1 Modalities In Study Study Description Accession Number Study Date Time Vv 9 25 2006 w 2 21 21 PM Referring Physician s Name Institution Name 9 Enter the information for the study e Modalities in Study lists the modalities for each series in the study eFilm Scan User Guide 37 Study Description enter the description for the study Accession Number enter the accession number for the study Study Date Time if you know the date and time of the study select the Study Date Time check box and enter the information Referring Physician s Name enter the name of the physician who requested the study Institution Name enter the name of your institution 10 Create a new series by clicking New Series This adds a new series to the patient tree The middle pane of the eFilm Scan window displays the fields for the series and any images that have been added to the series Series 1 Modality OT v Series Description Body Part Examined id
32. ksegese 10 Configuring eFilm Scan Setting scanner properties oo cecccceeeseecseseseseseecseseseececeeseseseeceesnaeses 13 Managing remote device iese see ekke eek Ge HERE SEER ER ER SR Re ee Ee be 14 Adding remote devices sernir ER ER RE ee Se Ge HER ER SR ER ER R ee 15 Updating remote devices iese se see se He Ge ee Ge He He Bee ee He Gee 16 Deleting remote deVices sssrds se seek ER ERA EE ee Se Be bek ER SR ER ER ER 16 Verifying remote device Connections ee sees se se se see ee ee ee 16 Managing Modality Worklist devices esse se sesse see ek RR Re ee Ee se 16 Adding modality worklist devices uu esse ese se se ek ER Re EER 17 Updating modality worklist devices wo cece ee 18 Deleting modality worklist devices cccsecseseeeeeteseseseetenenens 18 Verifying modality worklist device connections ees sees 18 Setting barcode Options sses eir ie stss 18 Setting display OPtiONs ccccccsesessesseseseeeeteeeeecesesssesnensnessseeeeneseseees 20 Setting advanced OPtions use ee seek ekke EER ee Ge HER ER SEER ER ER SR Re ee Ee be 20 Scanning Film and Manipulating Images Scanning del bi RE EE EE EE OE 23 Adjusting image Properties oo se see Ge Ge ee He He Gee ee He He ee 24 Adjusting window level values eise esse see ese se se bek ER SR ER ER RR 25 Adjusting image orientation esse see se see ee He He Ge ee He ee 25 Segmenting images ee esse ekke ee ek RR Re Ge GR RR ER ee Ge GR ARE Be Ge SERE G
33. le Paths Temporary File Folder Sets the folder where scanned images will be stored before being assigned to a study File Paths Howtek Lookup Table If you are using a Howtek scanner you should set the location of the lookup table here Overrides Hide network queue when sending images to servers When selected you will not see the eFilm Scan Network Queue dialog box while sending images Overrides Send images to default servers without prompting When selected clicking Send will send images to the default servers remote or MWL devices automatically Even with this option selected you can hold the Alt key to display the server selection dialog box 20 eFilm Scan User Guide Setting advanced options Note As with the other properties tabs the changes you make here will not take effect until you click OK to close the Properties dialog box roperties Scanner Remote Devices Modality Worklist Devices Barcode Display Advanced CD Burning Local AE Title Default Modality Max Capacity MB 600 0 LOCAL_AE_TITLE OT hd Recording Speed 4 X m File Paths Temporary File Folder C Program Files Merge eFilm eFilm Scan Temp Browse Howtek Lookup Table Howtek only PRED O o m Overrides Hide network queue when sending images to servers I Send images to default servers without prompting Note that you can always hold the Alt key down while c
34. licking the Send button to bring up the server selection dialog eFilm Scan User Guide 21 Configuring eFilm Scan This page left blank intentionally 22 eFilm Scan User Guide scanning Film and Manipulating Images This section describes the procedures for scanning film which can then be adjusted and segmented It shows you how to e scan films see Scanning film on page 23 e adjust image properties see Adjusting image properties on page 24 e segment images see Segmenting images on page 26 Scanning film Once you have selected a digitizer and set its options you are ready to begin scanning film eFilm Scan keeps track of available space on the local disk Used space on your local disk is indicated by green shading while the amount of free space available on the local disk is indicated in white The amount of space required by the scan is indicated in blue To scan films 1 Click Scan The Scan dialog box appears Scan E T San iin wes NEE Stop E Used space W Estimated space required by a scan Scanner Scanner Status Ready Resolution 71 Estimated Image Width 14 0 Bit Depth 16 Estimated Image Height 17 0 OK The digitizer s current status is displayed in the Status field of this dialog box Ready indicates that the digitizer has been configured properly The scan resolution bits per pixel image width and height statistics selected in
35. log box and save your changes If you deleted an entry by mistake you can click Cancel to restore it to the list 3 Click OK to save your changes Verifying remote device connections You can verify whether a given device is online and capable of making a connection To verify a connection with a remote device e Select an entry from the remote devices list and click Verify The device s connection status appears in the field to the right of the Verify button Managing Modality Worklist devices Modality Worklist devices are managed much like remote devices though you are in this case retrieving patient information from the modality worklist rather than entire studies as with remote devices 16 eFilm Scan User Guide Managing Modality Worklist devices Properties x Scanner Remote Devices Modality Worklist Devices Barcode Display Advanced Modality Worklist Devices Description AE Title Default Description AE Title Hostname Port Add New Update l T Default sa Je This section describes how to add a new device see Adding modality worklist devices on page 17 edit settings for a device see Updating modality worklist devices on page 18 delete a device from the list see Deleting modality worklist devices on page 18 verify the connection to a device see Verifying modality worklist device connections on page 18 Adding modality worklist
36. ne Move Up Moves the selected node of the patient tree up in relation to other nodes at its level Move Down Moves the selected node of the patient tree down in relation to other nodes at its level Send Sends the patient tree to a workstation or PACS as a DICOM 3 0 study Burn Burns the patient tree to CD as a DICOM 3 0 study eFilm Scan User Guide 11 eFilm Scan Overview This page left blank intentionally 12 eFilm Scan User Guide Configuring eFilm Scan This section describes the configuration options available in eFilm Scan eFilm Scan is configured via the settings on the Properties dialog box accessed by clicking the Properties button To set configuration options for eFilm Scan high level procedure 1 Launch eFilm Scan 2 Click Properties The Properties dialog box appears 3 Make any necessary changes to the various tabs 4 Click OK to save your changes This section describes how to e select and set properties for a scanner see Setting scanner properties on page 13 e manage the list of remote devices to which eFilm Scan can connect see Managing remote devices on page 14 e manage the list of Modality Worklist devices to which eFilm Scan can connect see Managing Modality Worklist devices on page 16 e configure eFilm Scan for use with a barcode scanner see Setting barcode options on page 18 e set the gamma correcti
37. of the image segments that you create Images can be segmented automatically manually or through a combination of both methods Once separated images can be viewed in eFilm as a stackable series To segment an image 1 Scan a multiple image film by following the procedure outlined in Scanning film on page 23 2 Double click on the thumbnail image once it appears in the Scanned Images pane of the eFilm Scan window The Quality Assurance window appears displaying the image in maximized form 26 eFilm Scan User Guide Segmenting images Quality Assurance W 4095 L 2047 Sensitivity 51 Delete Eed SS SS Let to right top to bottom s7 Ed jelda DeleteAl 3 Segment the image automatically see Automatic segmentation on page 27 or manually see Manual segmentation on page 28 4 Click OK to create the segmented images The segmented images appear in the Scanned Images pane of the eFilm Scan window i eFilm Scan of xj rae Beer Duplicate Patient Bend Bur Parties B meS D New Patient 5 Ed dIE tient new study EA Ppa Remote Study EE Reeves nl Worklist Study Patient s Sex a New Series Delete Delete otal Del il fone Fs Mave Down Ma Automatic segmentation You can segment multiple image film automatically or manually eFilm Scan User Guide 27 To segment a multiple image film automatically 1 Inthe Qu
38. ols and study controls Image controls are found between the Scanned Images and middle panes and study controls are found between the middle pane and the patient tree This section describes e the image controls see Image controls on page 9 Image controls The image controls allow you to scan images add or remove images from the patient tree delete or duplicate images set digitizer and folder options access on line help and exit the application send bun Patient Tree E Patient E Study OT Series Image 1 New Patient New Study lt Remove Al con oan Properties Help Worklist St Delete TREE Move Up i g 3 EN Scan Opens the dialog box from which a scan may be started Duplicate Makes a copy of the selected image in the Scanned Images pane eFilm Scan User Guide 9 eFilm Scan Overview Button Description Add Adds selected scanned images to the selected series on the patient tree Add All Adds all scanned images to the selected series on the patient tree Remove Removes selected scanned images from the selected series on the patient tree Remove All Removes all scanned images from the selected series on the patient tree Delete Deletes selected images from either the Scanned Images pane or the patient tree depending on which Delete button is clicked Del All Deletes all images fr
39. om either the Scanned Images pane or the patient tree depending on which Del All button is clicked Properties Opens a dialog box from which scanner and application settings may be set Help Opens the online user manual Exit Closes eFilm Scan Study controls The study controls allow you to specify the study to which you will add an image series This can be a new study for a new patient a new study for an existing patient or an existing study for an existing patient Existing studies can be retrieved from a modality worklist or remote server Image 1 image 2 Patient Tree View Position p Properties ihe Resolution 150 DPI Bit Depth 12 BPP Size 10 15 MB Delete Delete Window Width 4095 DARI DER Window Level 2047 Properties Help Exit Button Description New Patient Erases the contents of the patient tree if any and creates a blank patient record New Study Creates a new study under the current patient Remote Study Allows you to retrieve an existing study from a remote server 10 eFilm Scan User Guide eFilm Scan window Button Worklist Study New Series Delete Description Allows you to retrieve an existing study from a worklist server Allows you to create a new series under the currently selected study Deletes the current node of the patient tree and any children of that node Any images are returned to the Scanned Images pa
40. on Space Required Max Capacity I verify media no data burned moot z F Allow autorun 2 To burn images to a media from the main window Click the Burn button eFilm Scan User Guide 45 3 The eFilm Scan Media Burning Setup dialog box appears The Space Required value indicates a conservative estimate for the space needed to contain the study package on your hard drive The Max Capacity value indicates the maximum space available on the media 4 Expand the packages listed under the Images tab to view the patients studies series and images that will be burned on the media Note You cannot add more studies or images to the media package at this point however you can remove studies and images by selecting them and clicking Remove You can also clear the entire media package by clicking Remove All 5 In the Package Title field enter a title for the media 6 Optionally if you want the patient names to remain anonymous on the media select the Anonymous Images check box and enter text in the field provided by default ANON 7 Inthe Packager Options section select one of the following options e DICOMDIR Saves the study in DICOM format e DICOMDIR with eFilm Lite Saves the study in DICOM format and includes the eFilm Lite image viewer 8 Inthe Actions section select one of the following options e Burn to media Select this option to burn the images onto a media then select the media on which you w
41. on for your monitor see Setting display options on page 20 e set the folder for temporary storage of scanned images set the AE title for eFilm Scan and other advanced options see Setting advanced options on page 20 Setting scanner properties The Scanner tab allows you to select and choose default settings for any scanner installed on your system eFilm Scan User Guide 13 Configuring eFilm Scan Properties Scanner Remote Devices Modality Worklist Devices Barcode Display Advanced Image Height inches Max v Selected Scanner VIDAR Scannet Resolution DPI 71 z Window Width Bit Depth 8 v Window Level Image Width finches Max Zj Get Scanner Default Width Level xi Hd l Field Selected Scanner The following fields are available on the Scanner tab Description A drop down list of the scanners installed on your system Resolution DPI Sets the resolution of scanned images in dots per inch Higher resolutions result in more detailed images but take more space to store Bit Depth Sets the color depth of scanned images Higher bit depths result in more colors at the cost of larger file sizes Image Width inches Sets the width of the original image Image Height inches Sets the height of the original image Window Width Sets the default Window Width value for scanned images Window Level Sets the
42. ord Patient Patient Name Gordon Shumway Patient ID 12345 Patient s Birth Date M 825 2005 m Patient s Sex M Male C Female C Other Enter the information for the patient e Patient Name enter the patient s name e Patient ID enter the identification number for the patient If you know the patient s birthdate select the Patient s Birth Date check box and enter the appropriate date If you know the patient s gender select the Patient s Sex check box and select the appropriate radio button 32 eFilm Scan User Guide Organizing images 5 Create a new study by clicking New Study This adds a new study to the patient tree The middle pane of the eFilm Scan window displays the fields for the study Study 1 Modalities In Study Study Description Accession Number Study Date Time v 3 25 2006 yi 2 21 21 PM Referring Physician s Name Institution Name Enter the information for the study Modalities in Study lists the modalities for each series in the study Study Description enter the description for the study Accession Number enter the accession number for the study Study Date Time if you know the date and time of the study select the Study Date Time check box and enter the information Referring Physician s Name enter the name of the physician who requested the study Institution Name enter the name of your institution eFilm Scan User
43. orner of the window b Select About eFScan c Click Change License The License Type dialog box appears 6 eFilm Scan User Guide Registering eFilm Scan License Type d x Please select the type of license you wish to install IF you are unsure contact your system administrator m Single User License If this computer will be operating under a standalone or single user license click the Local button m Multi User License TF this computer will be operating under a site license click the Client Client button If this computer will be acting as the site license server click the 5 n erver Server button m Cancel To abort the registration process click Cancel Cancel 2 Choose one of the following license types e Local installs a standalone license which can only be run on the computer on which the license is installed and cannot be shared by network users on different machines e Client the computer will operate under a site license A site license allows sharing of the registered license over a network All of the client license keys will be stored in a database located on the site license server e Server the computer will operate as the site license server This server will host the site license database and must be accessible to all client workstations which will require read and write access to the license database 3 The License
44. the Options dialog box are displayed below the Status field see Setting scanner properties on page 13 for information on setting these values 2 Insert the film sheet s into the digitizer Note Select the Scan Multiple Films check box to scan several film sheets 3 Click Scan to begin scanning eFilm Scan User Guide 23 As each film is scanned a thumbnail of the image is displayed in the left pane of the eFilm Scan window i eFilm Scan ioj x Scanned Images Patient JE er Patient Tree Patient Name 7 ET oe New Patient id Series Patient ID HEES New Study Patient s Birth Date r Patient s Sex r Note You may start new scans stop scans in progress or unload film jams by using the respective command buttons in the Scan dialog box 4 Once you have finished scanning films click OK to close the Scan dialog box and return to the eFilm Scan window Adjusting image properties You can adjust the image properties including window level values see Adjusting window level values on page 25 and orientation see Adjusting image orientation on page 25 of your scanned images To adjust image properties 1 Double click the thumbnail image you want to adjust in the Scanned Images pane of the eFilm Scan window The Quality Assurance window appears displaying the image in maximized form 24 eFilm Scan User Guide Adjusting image properties W 4095
45. the region you want to segment 4 Release the mouse button The yellow box turns orange and a number is assigned to it Note Every segment box is numbered to indicate the order in which each segment will be included in a series To change the segment box order drag and drop the segment boxes as desired in the Quality Assurance window You can also move resize delete or create new segment boxes Repeat steps 2 through 4 to create additional segments Click OK to begin segmentation The status bar to the right indicates the progress of the segmentation process As it progresses thumbnails of each segmented image will be displayed in the Images to 28 eFilm Scan User Guide Segmenting images Import pane of the eFilm Scan window If images are present in this pane then new images will be appended to the existing ones To move a segment box e Click anywhere on the box and drag and drop it to a new location To resize a segment box e Click the edge or corner of the box you want to stretch and drag and drop it to anew location To delete segment boxes e Select the box and click Delete or press Delete To delete all segment boxes click Del All Note To select more than one segment box either click El or hold Ctrl as you select additional segment boxes eFilm Scan User Guide 29 This page left blank intentionally 30 eFilm Scan User Guide Organizing Images and Exporting Stud
46. ys Limit N A V Reusable Key Days Left N A Reusable Reference Feature Key 15 IV Standalone License Uninstalling eFilm Scan You can uninstall eFilm Scan from the Windows Control Panel To uninstall eFilm Scan 1 2 eFilm Scan The Open the Windows Control Panel and double click Add or Remove Programs Select eFilm Scan from the list of currently installed programs and click Remove The program will be uninstalled automatically window eFilm Scan window features three panes The Scanned Images pane far left displays scanned images that have not been assigned to a series The Patient Tree pane far right displays a tree like structure that organizes images into series series into studies and studies under a single patient The middle pane shows information for the selected node of the patient tree This node allows you to set the DICOM tags for the selected node If a series is selected any images that have been assigned to that series are displayed as well eFilm Scan User Guide eFilm Scan window il eFilm Scan n Scanned Images Zea Duplicate Patient RR Patient Name E _New tint Study OT Series Patient ID es New Study Patient s Birth Date Remote Study Worklist Study Patient s Sex im Reve Delete Delete on El Delete Properties Rove Dern Help Exit eFilm Scan controls eFilm Scan s controls are broken into two groups image contr
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