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SE Suite 1 - XEC International

1. 206 Image Quality Use this tool to define in Settings menu the compression quality 10 20 30 40 50 60 70 80 90 100 depending on modality type CR CT DR when receiving images from the web server Image quality Modality Quality a CT DR Settings DS DX Next quality MG MR NM WARNING The compression factor is displayed on image middle of image bottom User is warned about image quality thanks to color rules Red from 10 to 60 Yellow from 70 to 90 Green 100 WARNING An icon Q is displayed in the top left corner of an image if SE Client detects that the image is lossy compressed Lossy compressed images are much smaller and enable fast downloads but are not recommended for diagnosis due to the nature of the compression 207 Window Level Enables manual window leveling to adjust luminosity and contrast Contrast Inversion Inverts contrast for all images of series Note When an image is contrast inverted the inversion is not applied in the air DICOM pixel padding value range but only on the breast Default Windowing Goes back to default windowing for all images of series DICOM GSPS Reader SE Web Client can read and apply DICOM GSPS on images User can select the GSPS when existing to be applied via the drop down list Clear all Measurements Clicking this button removes all measurements on images of series distances angles ROI othopaedic
2. 193 3 You then get the Send dialog below where you select the recipient of the element you want to send you can send to only one destination at a time Send Patient NX 1 0 22 3 Annotations ID GSPS_TST_O Select your correspondent Correspondent Connection IP Address Line number Context AETitle BE ll abel eT aca lt gt Selected Images Only By default the drop list at the bottom left says Now so the elements are sent just after clicking the Send button If you want you can decide to delay sending and program it at a particular date and time programmed sending are listed in Send Waiting List accessible from the Communication menu 4 Click the Send button the elements will be sent to the addressee Note Before sending it can be good to open the window of active communications by selecting item Active Communications in Options menu This window can be opened or closed at any time and shows you any incoming or outgoing communication with SE Client so it is a convenient way to check everything is going fine when sending images Active Communications Station Function Folder File SIGMAPACS STORE SCU 072 Close 194 Sent and Received file lists To follow all incoming or outgoing communications in addition to the Active Communications window SE Client keeps a journal log file of communications Two
3. Add to Study r Copy Eo Delete Send to Send to Prink Layout Send to hald list Export to Protect against deletion Properties Open Use this option to open selected elements that is display on screen all images they contain The way images are displayed on screen depends on your display configuration see chapter Set the presentation of images 70 Study Study Series Series Report New This submenu is intended to create new studies in SE Client database For the same patient as the selected study you can create a new empty study or a new study with an empty series if your profile is configured to do so Add to Study This submenu is intended to add elements to an existing study for users with privileges to do so For selected study you can add a new empty series or a text report that will be attached to the study Protect Against Deletion Use this option to lock selected elements to prevent them to be deleted by automatic database cleanup When an element is locked its line in the list turns red and a lock appears in the Protected column you can also directly click the line of the element in this column to protect it When you protect a study all series it contains are protected as well This option is only necessary when Automatic Deletion is enabled Remove Protection Use this option to remove protection against automatic database cleanup on selected elements Wh
4. that you can move as you wish to give more or less space to a particular zone To move a splitter place your mouse over it the pointer changes to a vertical or horizontal divider click amp hold the left mouse button down move the splitter with the mouse to the desired position and release the mouse button Note The Image Browser size and position as well as splitters position are saved by the application when the window closes so the window will be restored exactly the same the next time you will open it Instruction The Database window behavior when opening images can be customized by your administrator Database window can Remain open when images are displayed useful when using a monitor dedicated to Database Window display Be closed when images are displayed useful when not using a monitor dedicated to Database Window display Switch to Series Tray display 30 The toolbar Buttons and controls The toolbar of the Image Browser is composed of icons and controls that give you a quick access to main functions in this window Present list by Patients Studies or Series exclusive Open selected Database selection study serie Eject CD Database SiG i a m a Filter All patients hi F a Ea Filter selection for the list Create a custom filter Send to Exit Hold list for the list Delete current custom Refresh list filter Database selection The drop list for datab
5. allows workstations to burn some CD in a particular format containing studies and images This CD standard is called DICOM Part 10 or DICOM Interchange or sometimes even DICOMDIR The CD DVD media is a very convenient way to exchange studies between stations that are not interconnected or with remote sites It can happen that you own or received such a CD DVD and want to review or copy its content with SE Client These CD DVD are just considered by SE Client as removable databases CD DVD insertion Insert the CD DVD in the CD DVD drive SE Client will automatically detect it add it to the databases drop list select it as current database then analyze the content and display the content During content analyze a progress bar is displayed in status bar then the CD DVD content is displayed in the Image Browser like any other database OIO 32 In the databases drop list the CD DVD is called Media Volume_number giving you the name of the media with the path to the drive where it is inserted CD EPATIENT G v A Review CD DVD content Once a DICOM CD DVD has been mounted as a database by SE Client you can browse the content like any other database by patients studies or series but the database is read only You can only read information from the CD DVD not modify or delete allowing to display or copy images from the CD DVD to another database Display images from CD DVD To
6. e Study properties 215 Properties X Patient Study Series Study ID SCSRUSS Study date Study time Referring physician X Description DICOM Accession Number DICOM Study Instance f 3 6 1 4 1 5962 1 2 0 1175775772 5729 0 Appliquer Annuler e Series properties Properties X Patient Study Series Series number 1 Series date 4 5 2007 Series time 08 22 52 Modality OT v Body part Performing physician v v Description Station IMPAX_SE_WS DICOM Series Instance UID 1 3 6 1 41 5962 1 3 0 1 1175775772 5729 0 Annuler Appliquer e DICOM peripheral properties 216 Correspondent modification Name Dicom printer Rebbe tle eae DICOM amp EMAIL C IP Address or host name f 0 234 85 128 I Context type Pas de contexte Dicom Port number f 04 Called AE title DRYSTAR Calling AE title WORKSTATION Supported services Store Print V Query Retrieve I Worklist F m m Options Cancel Note For existing data if character set of the DICOM patient data is not the same as the character set of the keyboard modification is not allowed The following error message will appear SE Standalone A Modification of patient data is not possible because data are encoded with a different language than the one of the keyboard For new patient data character set is based on the current keyb
7. t check this box the number of image divisions in a series is fixed Because of this if you open fewer images in series than the number of divisions the remaining divisions will stay black By checking this box the number of divisions is automatically adapted but with a maximum value defined by slider Images in Series Example If you set number of images in a series to 6 with slider Images in series and don t check box Adapt maximum layout to current image number whatever the number of images you open SE Client will always display 6 divisions in series If you set number of images in a series to 6 with slider Images in series and check box Adapt maximum layout to current image number the number of divisions will depend on the number of images you open If you open 1 image the number of divisions will be 1 if you open 2 images the number of divisions will be 2 if you open 3 or 4 images the 152 number of divisions will be 4 and if you open 5 images or more the number of divisions will be locked to 6 Group series from the same study When you check this box series of the same modality and from the same study are displayed together on screen as if they were all from the same series This option is convenient for series having only one image like CR series because it allows to setup the screen for only one series but to display several Show Hide image separator trims Image separator
8. Automatic mode Gets the latest information from a DICOM Modality Worklist and based on a common key usually the accession number tries to match the information from the HIS RIS with the study and reconciles patient data if errors are found Manual mode Database IMPAX SE E gt RR a Filter All patients Patient ID Standalone Patient name Y DANLOSS Ella _ HORNOTTOBI Tobbie 7 B Worklist server RIS Paul E By simple drag and drop from the Worklist Area to the Patient Browser window the identity of the patient is automatically updated according to the rules defined for the automatic mode 5 63 Default Rules When an item in the worklist is a new patient not existing in the current database you can easily create this new patient by clicking Create Study or Create Study with Series in the contextual menu of a worklist item right click on item Database JIMPAX SE l R iz RR a ar E Filter fal patients _DANLOSS Ella 1 9 2 2008 15 50 47 Ao AO OoOo 14 54 00 9 1 2008 Create Study Create Study with Series r lt B Worklist server RIS Paul a As soon as the reconciliation is performed the Worklist Match Status column of the list area is updated set to Done Manually if the reconciliation is a drag and drop or Done Automatically if the reconciliation has been performed by the application
9. Display Format Screen appearance according to your E configuration below Total number of series you want on screens Series on screen Images in series J 4x1 series 1 x 2 images Number of images in selected series C Apply to all series Active displayed series Parameters for currently displayed images Trim Display trim around each series Parameters for image and Display trim around each image series separators This control panel can be open at any time to adjust image display to a particular need or situation even when some images are already opened Screen appearance The top part of control panel presents your screen as it is going to appear according to the parameters you defined below Series on screen This slider defines how many series you want to display simultaneously from one to four per screen The screen is always split vertically that is the series are always placed side by side WARNING Administrator can enable the display of several series from different patient but it becomes his own responsibility disabled by default This option is risky because user could compare different patient s series and think it is the same one Images in series This slider defines the number of images you want to display for currently selected series After defining with previous slider how many series places you want on screen you then configure how many images each series place w
10. OLY YV f OrKS i PIR DLANEH i Q 2nd point on the 1st neutral vertebra 2 of 4 BO P amp 11 Aef Q 9 129 Coxometry This is a pelvis measurement function which provides angles and distances measurements These measurements are done on a frontal radiography of babies an OMBREDANNE construction WARNING If the image you are measuring comes from a secondary digitization or was imported from the TIFF or JPG format you have to calibrate your measurements before starting See Standard Features User Manual To do the measurements first click on icon Coxometry to Then you have to click on different anatomic landmarks in a specific order to draw lines and measure angles Follow the drawing protocol with the different steps below which are also described in the status bar 1 Click on the most internal point of the right acetabulum point 1 and on the most internal point of the left acetabulum point 2 to draw a line The application then draws a line passing through the two points 130 2 Click on the most external point of the right acetabulum point 3 The application draws a line passing through points 1 and 3 3 Repeat operation for the most external point of the left acetabulum point 4 The application draws a line passing through points 2 and 4 131 4 Press Enter key or click on the top of the segments to display the measured angles The results of the meas
11. Save GSPS Save changes in an image presentation to a GSPS object m Series Tray The series tray will allow you to view a small preview of a patient s studies in SE Client It will show a textual interpretation of the studies available as well as thumbnail representing the series available within 92 each study It may be used to refer to prior exams when viewing a current exam without leaving the image area and selecting the prior in the Image Browser Enabling the Series Tray You may require assistance from an administrator to ensure that the E series tray is enabled for your system To enable the series tray open the Database dialog via Options gt Databases then select Switch to series tray from the When opening images list Displaying images Displaying images from the series tray is similar to displaying images from the Image Browser Selecting objects from the small hierarchical view will display them in the image area You may also select or drag and drop the thumbnails to display an entire series of images in the image area m Imaging tools Panning Use this tool to move image around on screen This tool is particularly useful when image doesn t fit on screen Magnifier Use this tool to open a smart window named magnifier This magnifier allows user to localize the position in image during a zoom WARNING The magnifier window could partially hide part of the image and therefore the image
12. You can reposition many toolbars to either the top bottom left or right border of the application window or leave them as floating toolbars on screen To move a toolbar click and hold it by its left edge and drag it to the desired position You may also change the size of the buttons in the toolbars Select either the small medium or large size in Customize Toolbar item of Display menu To reset the toolbars to their default settings select Customize Toolbar item of Display menu and click Reset To determine the function of a toolbar button hover over it to display a tool tip with a short description of the tool A more detailed explanation about the function is given at the same time in the status bar 26 3 The User Interface This chapter about the user interface gives you extensive information on how to use the different parts of the application The current chapter contains the following topics L Image Browser L Image Display Area L Configuring the image area L Acquiring Images LJ Retrieving images from a server L Print Layout CI Communication Image Browser Presentation The toolbar The status bar The list The hierarchical tree Images thumbnails The Worklist and QA functionalities Contextual menus in Image Browser HL7 Integration SE Worklist Client 28 Presentation The Image Browser is a key window for SE Client application It is open and closed using this icon in the very left o
13. ensure the CD DVD is selected as current database then click the eject button just at the right of the drop list To force the CD DVD ejection click the Unlock CD DVD Tray item of Options menu CD Burning It is possible to burn DICOMdir on CD with SE Client Standalone applications BA Instruction Software Nero 8 1 or higher version and a CD recorder are required to burn DICOMdir on a CD Warning Burning system is not able to generate CD covers with Patient demographics and Study information e g Study date Institution Name etc A third system should be implemented e g CD DVD cover stickers editor and printer to ease CD identification Elements can be exported as they are presented on screen to CD media The CD you create will be fully compliant with the IHE PDI profile Insert a CD in your burner device and then select a patient a study or a series in the Browser window 34 Right click on item and select Export to DICOMdir Media in contextual menu New Add to Patient p Copy to Delete Send to Export to DicormDir Media Protect against deletion Remove protection Properties The burning process is silent no progression bar wait until the CD trail opens automatically after burning session Note allows burning several patients studies series on a DICOMDIR If the media is not big enough for the selection this information is displayed x Burner PHILIPS DYD AwW
14. the last first day of the week 7 Note The filter This week displays all records created as from e Sorting Items of the list can be sorted at any time according to the content of any column name date To sort the list ascending according to the content of a column simply click the column header To invert the sort descending click again on the same column header e Columns display User can customize the columns to be displayed in SE Worklist Client by right clicking on column header Then the following Column Parameters window will pop up 85 Columns Parameters Check the columns that you would like to make visible Use the Move up and Move down buttons to reorder the columns Patient name Move up Patient ID Te Accession number Scheduled date _ Shw Scheduled time Hide Birth date Sex Performing physician Referring physician Modality Scheduled station Station AE Title Birth time Pre medication F 4 l Cabada mreana iem aban IM m The selected column should be pixels wide Cancel Columns can be hidden unhidden and reordered by using the buttons Show Hide and Move up Move down Note Maximum possible displayed columns is 15 e Deleting To delete items in the worklist user must select them and click on the lt DEL gt key on the keyboard OR click on Delete item in the File menu Note It is possible to perform a mu
15. trims can be shown or hidden according to user preferences To hide or display trims click on the display format icon or press lt F3 gt key and select unselect the options of the Trim section Display Format c Series on screen Images in series 2x1 series 3x 4 images C Apply to all series Active displayed series Trim Display trim around each series Display trim around each image 153 Configuration with two monitors SE Client workstation can handle up to two monitors When two monitors are installed Display Format control panel automatically adapts to display two monitors instead of one as shown below Display Format E The two screens are automatically detected and shown Configuration of the control panel is the same as for one monitor see paragraph Display format control panel You select how many series you want to be displayed simultaneously and the number of images per series The only difference in configuration is that when you select to display only one series the minimum number of images in it is two instead of one to avoid an image to be displayed across both monitors Caution In order for SE Client display to work properly with two monitors both monitors must be setup with the same resolution and orientation in Microsoft Windows graphic adapter s settings WARNING Different screen calibration can be risky for diagnosis purpose Note Dual monitor s
16. 1 description San GAANG OADM 1225 wi f bavony2006 12 20 25 1 MG 1 4 image s a D oaroay2006 12 52 28 2 PAL 4 images a je 08 09 20Q6 12 36 06 10 us i images z AGH ZAIRA Study 2 description Note the thumbnail view Full mode option is relevant for clinical applications involving series containing few images Otherwise user must be aware that icons loading time will be long and thumbnail view cluttered with thumbnail images 61 The Worklist and QA functionalities Presentation SE Client is able to query retrieve information from a RIS system and get an up to date worklist in the Worlist Area of the Image Browser window This functionality allows user to perform Quality Assurance tasks as well such as patient demographic data update merge user interface if your administrator correctly set up a HIS RIS connection in the application settings only You administrator can enable the automatic reconciliation mode and default rules as well aA Instruction The Worklist and QA functionalities are available from the Database IMPAX SE E RR 2 Fitter all patients v Y Last name First name x Birth date Patient ID Studies Creation date _ Creatio 8 25 2008 16 53 07 8 27 2008 10 08 56 8 25 2008 16 53 05 H Demo Mipi F 9 16 1961 6581 Demo OT MG MR US M F 3 16 1948 REA1 43 Gono Metry 20030917024 E A Scheduled time Patient name Pat
17. 1 to 9 If you have more than nine custom windowing they will not have key shortcuts Your custom windowing will also be accessible from the Windowing menu r Customize Windowing Modality CR v Key Description E Key Num 1 My Windowing Automatic on selection Save as Customize Automatic 0 lt gt Invert Contrast Default Window ing 4 Add 1 My Windowing 1405 3900 Note Each custom windowing is saved for a particular modality so there is a list of custom windowing and shortcuts per modality Note For CT modality SE Client comes with a predefined list of custom windowing brain posterior fossa bone chest abdomen and ear Apply a custom window level To apply a custom windowing use its keyboard shortcut see above or select it in the Windowing menu 105 windowing on selected image based on minimum and maximum pixel A Note Press 0 to let SE Client calculate and apply an optimized values found in the image Window Leveling and VOI LUT SE Client applies any window leveling you specify to an image before it applies the effects of a Value of Interest Look up Table VOI LUT This results in a couple of important behaviors in the client you must be aware of When saving a window level the values that are saved are the ones recorded before the VOI LUT is applied to the image As a result the values saved may differ from the values that are displa
18. Client Application Window Once you have given your login and password you get Main Application Window as shown below At the very bottom left of the window in the Status Bar you have a message telling you the date and time of the last time you logged in the application Note It is important that you become familiar with the terminology of the different zones of the application window We are going to use all these terms a lot in the following chapters Application menu bar Application close box Application title bar Application main tool bar EEM ee et l i l a a a jm Esmi ik fbar heeg ee ae mE The Pee ee ee ee oe TAPI pe INCERTE TEKET EE TIEL METE OEE E ee LS ee A a 6 FB ime tee Lee an Boe Application status bar Image Browser Image Display Area 24 Application Title Bar This bar at the top of the application window displays information like the application name or information about displayed images data e g Patient Name Study Date etc It is as well used to move the application window bq Application Close Box This cross in the top right corner allows you to close the application window SE Client then goes back to login dialog box so a new user can log in or you can click the Quit SE Client button to exit the application permanently E Application Menu Bar EF Patient File Image Windowing Communication Options Display The application menu contains all the major f
19. DYD8801 F Yolume remaining to burn 1009 MB Volume of the media present 702 MB Infos Current media capacity is not sufficient Please insert media with better capacity Cancel Instruction By default the SE Media Viewer is automatically added on the burnt DICOMdir CD You can ask your administrator or service personnel to disable this viewer copy 35 DICOM and the list presentation DICOM the medical imaging standard is at the heart of SE Suite This standard describes files formats for medical images and also organization of medical data for studies images visits etc This organization is very hierarchical especially for patients studies series and images concepts A DICOM database can have several patients The patient is the highest level of the DICOM hierarchy Each patient can have one or several studies A study can be assimilated as a medical imaging exam at a given date For example a patient coming today for a CT scan exam will have a new study for this exam in his patient file If he comes back in one month for an ultrasounds exam a new study will be created and so on Each study can contain one or several series of images A series is a group of images that have been acquired together by the imaging modality For example a CT scan exam can be composed of three different acquisition steps Each acquisition composed of several images will create one series of images i
20. Note when you log in to the system and if there is a newer version on the web server than the one installed on your machine the system will detect it and propose you to download the last one a Minimum Hardware Requirements The SE Web Client runs under Microsoft Windows XP SP2 and SP3 Microsoft Windows Vista Business Edition SP1 32bits The SE Web Client manages one display monitor only 203 SE Web Client Limitations Image Browser Patient View Refresh l 5 E Filter all studies p l Study View Filters list The SE Web Client browser window toolbar is limited to Patient view button to display patient list in list view Study view button to display study list in list view Refresh button to update the database window And Filter list to display a predefined selection of items Last 7 days patients Today s patients Patient s filters All studies Study s Filters The SE Web Client browser window status bar indicates the number of records existing in the list view 41 record 5 Note Multi selection is not possible on the list view of the browser in SE Web Client In the SE Web Client a user is able to apply filtering settings on several columns The filter criteria and their formats are explained in section List filtering It is not possible to filter on all columns Here is the list of columns that support filtering e In Patient view Name Birt
21. and can be applied to the three specific measurement tools Gonometry Coxometry Scoliosis measurement The smart frame When one of the three orthopedics tool is enabled a specific smart frame green dot line is displayed It indicates that user is now in an orthopedic mode which is a measurement mode By consequence to optimize and enhance productivity all the actions must be easily performed This is why the user will be able to easily pan an orthopedics image by positioning his mouse cursor outside the smart frame boundaries the smart frame will automatically move 127 Smart frame representation red arrows represent motion possibilities WARNING As soon as user clicks on another icon in the SE Client application the orthopedic mode will be disabled and the smart frame will disappear Note The left button of the mouse is dedicated to the landmarks positioning The right one is dedicated to image windowing The scroll button is dedicated to image zooming 128 The online guide As soon as one of the three orthopedic tools is selected an online guide is available in the main display window status bar This help indicates step by step thanks to short sentences what action user has to perform Steps will be described in details for each tool Coxometry Gonometry and Scoliosis Lipman Cobb H Patient File Acquisition Image Windowing Communication Options Display G Hosh am a Ge 3
22. are available in a slice imaging study user can display at the same time the common axial slice images and the scout views By clicking the Display slices toggle button on the one hand the axial slices are depicted on the scout view and on the other hand the scout view slice axis is displayed on axial images of the series When user selects an image in the series the corresponding slice is highlighted in blue on the scout view The slice number is also displayed in blue on the scout view 5 2 4 Display of axial slices on the scout view and scout view axis on the series images 110 To disable Display slices function user must click on Display slices toggle button once again RO frontal and enable Display slices functionality for each of them at D Note It is possible to display several scout views lateral and the same time rs All Sices When Display slices button is enabled a contextual menu is available by right clicking on a slice of the scout view v lof 10 Selected Slice Only By using this menu user can chose to display on the scout view either all slices 1 of 10 slices or selected slice only 111 m Series synchronization SE Client manages series synchronization Manual or Automatic It is an efficient and easy way to compare slice imaging series e g CT with or without contrast product series from prior and current studies When series are synchro
23. column Name then press lt Enter gt on the keyboard 38 Inthe list presented by series if you want to see only series of modality CR type CR in the input field at the top of column Modality then press lt Enter gt on the keyboard Note The input fields at the top of the columns are not case sensitive You can of course combine several criteria at the same time by typing them in several input zones For example in the list presented by series typing CR in the input field at the top of column Modality and as well DE in the input field at the top of column Name then lt Enter gt Note once you have typed some text in an input field this text is automatically sm saved and kept in the corresponding drop list so you can access it quickly if you BL need it again DE Note In some drop lists some standard text is even filled automatically by application like for example the standard DICOM modalities or body parts The following shortcuts are possible when searching by date mm dd yyyy Date specified by its month mm day dd and year yyyy m Month of today c 99 If placed before a date operator means before this date c 99 If placed after a date operator means after this date If placed between two dates operator means from this date to that date 39 Note The examples below filtering the list
24. could remain not entirely seen Instruction The magnifier window can be resized and moved everywhere on the screen The image can be panned or zoomed and the magnified region is clearly delimited by a rectangle in the magnifier window 93 The zoom factor is displayed as an overlay on the magnified image In case of hidden overlay by clicking on show hide display information button the zoom factor is also displayed in the title bar of the magnifier window The pixel size is also displayed in the title bar of the magnifier window Note With a two monitor configuration it is possible to configure SE Client to display two paired magnifiers Your local administrator will be able to assist in configuring this feature Dynamic Zoom This tool allows zooming image A little menu associated with this button gives you access to predefined zoom values Zoom 25 Orientation 50 windowing 75 Filtering mm Export ko 150 200 300 w Annotations and Measurements 400 Measurement Scale Fit to Window True Size Slices Position SE Client provides a Pixel zoom zoom depending on the number of pixels in which the image is encoded Pixel Size 100 means that one pixel on the screen is equivalent to one pixel of acquisition image H Ae es t 100 Pixel Size Note For export or in the magnifier displayed zoom always corresponds to a Pixel Size zoom 94 WARNING Images may only be considered diagnosti
25. current computer time It can be configured via User Preferences item of Options menu User preferences User preferences Mouse Warning Image Measurement Warning Windows V Enable warning for too old study For diagnosis Browser Warning validity duration for diagnosis in months 24 Default Cancel Apply WARNING This user option is enabled by default If the user removes it he must be aware that he can read studies too old for be current studies 91 Image area display tools A tool is a mode in which SE Client is at a given time There is always a current tool but only one tool can be active at a time Main tools are accessible with a button in toolbars but some others are accessible through menus and contextual menus on image To use a tool select it then use the left button of the mouse to click on image and apply the tool Application tools List Use this button to open the Image Browser to search for other studies Series Tray Use this button to display the Series Tray in the Image Area Print Layout Opens the print layout dialog to determine how images will appear when printed Print Opens the print dialog to send images to a paper with PP option only or DICOM printer Display Format Use this button to configure how SE Client presents images on screen Save Series Save presentation changes to the series or images within the series permanently within the original study
26. field filled in or not the value will NOT be modified 65 Contextual menus in Image Browser Presentation Contextual menus are very popular in Microsoft Windows applications because they are very convenient You can get a contextual menu by clicking the right button of the mouse on a particular item of the interface The advantage of contextual menus is that their content depends first on the item that was right clicked secondly on the context of the application at that time This way a contextual menu is always a nice shortcut to offer you quick specific and useful actions Note In application browser window a lot of functionalities are accessible and sometimes only through contextual menus so it is necessary that you get familiar with them In all SE Client graphic user interfaces on every window list view or image when looking for a particular tool or function to apply to an item you should always have the reflex to right click on it Playing with contextual menus is also a good way to discover some functions or possibilities of application that you may not yet know Contextual menu on columns headers Default Sort Select Columns to Display RPeset Columns Mask This Column In each presentation type of the list patients studies or series you have a contextual menu on list columns header All the options of this menu apply only to current list presentation type 66 Default Sort If you che
27. headers Presentation icons Separator between columns A a ia Series date Moda BodyPart Performing phys Referring physici Images Data path Selected List items Horizontal scrollbar Vertical scrollbar Presentation icons The icon at the far left of each item of the list reminds you what the current presentation for the list is patients studies or series Scrollbars Depending on the number of items in your list a vertical scrollbar can appear on the right of the list to let you scroll the entire list of items An horizontal scrollbar can also exist to let you scroll the list horizontally and see all columns 48 Sorting the list Items of the list can be sorted at any time according to the content of any column name date To sort the list ascending according to the content of a column simply click the column header To invert the sort descending click again on the same column header Note Current list sorting is saved for each list presentation patients studies or series and for each user Selecting elements of the list Single click Clicking a list item a line in the list will select it that is its color will change to the selection color When an item is selected in the list additional information is automatically shown in the hierarchy tree below see paragraph The hierarchical tree If a study from a separate patient is in display that study will be closed unl
28. image can be missed or create undetectable image corruption Glossary This function allows defining and memorizing text you frequently use in order to place it on images without needing to retype it every time Clear all Annotations Clicking this button removes all annotations on images of series text arrows free drawing Clear all Measurements Clicking this button removes all measurements on images of series distances angles ROI orthopaedic Mask on Selection After drawing a selection this function puts a mask on image zone defined by selection Crop Image on Selection After drawing a selection this function allows to crop image according to selection WARNING User has to keep in mind that cropping an image is risky and could lead to information deletion within the processed image In a Teleradiology environment the risk is higher Instruction User must be sure that any relevant information could be deleted before sending it to the remote specialist who has no access to the raw image 103 Windowing Leveling Images Live window leveling Windowing contrast and luminosity can be adjusted on all displayed images in SE Client using the right mouse button To adjust windowing right click an image keep button down move the mouse vertically window width or luminosity or horizontally window level or contrast then release the button when you get the windowing you want Window level L and
29. is not available by default on your system Therefore you need to ask your administrator to install a third application that will allow edition of Volume Name aA Instructions To assign a Volume name you usually have to do a right It is also recommended to stick on the media a label mentioning the volume name Archive your series Right click on series you want to archive and select Archive When a series is archived a CD icon is displayed in the Archived column of the list When an archived series is deleted a rubbish bin icon is displayed in the Deleted column of the list 79 WARNING User must check media before deleting data in database in order to lower the risk of data loss SE Client will only delete images of the series but not the series line in the list and will keep a reference to the CD on which images are If you try to open an archived and deleted series SE Client will prompt you to insert the CD giving you the label of CD it needs A Note Once archived a series can then be deleted from the database In fact e Howto display an archived series When an archived series is open either the media corresponding is present inserted in the reader and the images open normally or the media is not present and the software opens a window to require the insertion of the media in which the series of images was recorded In this window the name of volume and a serial number appears Insert t
30. lists are kept the Sent File List and the Received file List both accessible from Communication menu Sent File List Type Patient Name Ex Sender Receiver Date Time Duration Size Kb Result Urgent Transfert Type Context NX 1 0 22 3 Invert polarity i ALEX SIGMAPACS 02 10 2006 15 37 03 00 00 25 Oo 10060 DICOM No context NX 1 0 22 3 Annotations r ALEX SIGMAPACS 02 10 2006 Todos 00 00 26 0 10060 DICOM No context Error Messag 195 Q Starting SE Client Preferences set up Starting SE Client Preferences set up A user can define his own application preferences via the User Preferences item in Options menu This menu proposes several sections for application customization and the behavior is the same for all of them 1 Select the section you want to customize General Mouse 2 Make your changes check boxes radio buttons 3 Click Apply then Ok or Cancel if you do not want to save your changes 4 Modifications will be taken into account even if the application is not restarted User can reset the default values of the selected section by clicking Default Note the default values can be modified by an administrator in Default Preferences item of Options menu General General Startup tutorial I Display at next start MV Ask at next start SE Client proposes a Startup tutorial Depending on your preference select either the Display at next s
31. on each printed page 181 Orientation menu This menu allows choosing between orientation portrait vertical or landscape horizontal for the print layout pages Portrait v Landscape SE Client allows putting all images of a study in the print layout by the right click menu or lt CTRL L gt shortcut Open Mew Add to Study Copy to Delete Send to Send to Print Layout Send to hold list Export to Protect against deletion Properties Note The following behaviour is specific to mammography studies within SE Client All images are put in the print layout except For Processing or Anamnesis ones Print Layout is automatically in Portrait mode True Size 100 fixed zoom mode and layout 1 x 1 one image per film All images are automatically justified depending on their laterality in such a way that the distance to the border of the film is minimized Print Layout is automatically displayed if not ever displayed and SE Client is ready to print Note application will only print films which contain at least one image 182 SE Client allows to send Magnification type Maximum Density in OD Presentation LUT with Illumination in cd m2 Reflected Ambient light in cd m Note For additional information please refer to the DICOM Options dialog box Available foraccounts with Administrator privileges only DICOM Options Store Graphics integ
32. open images for display double click a study or series in the list or an image thumbnail The way images are displayed on screen depends on your display configuration See section Set the presentation of images Copy images from CD DVD to another database To copy one or several elements patients studies or series from a CD DVD or from a first database to your local database select the elements in the list right click and select Copy to then select the destination database in the dialog that pops The window of active copies will automatically open to show you the copy progression You can select a pending copy and click Stop button to stop copy process Patient file Status Source Destination Progression TEST Copy Media 040913_180 SE 0 33 Warning If a copy is stopped during process DICOM instances Images Reports etc copied before stopping action won t be automatically removed from the database by the application Therefore Patient Study Series data won t be complete Make sure you removed manually the created data from the database Right click on Patient or Study or Series in Database Window and Delete to prevent diagnosis of not complete studies If Deleting is not possible ask your administrator to do it for you CD DVD ejection After insertion the CD DVD is locked in the CD DVD tray by SE Client so you can t eject it using the drive ejection button ee To eject it
33. the side opposite the member 198 Measurement Measurement Angle measurement C Click Ext Drag Release Mid Click Ext C Click Ext Click Mid Click Ext Click Mid Click Ext Click Ext C 2Segments Segment measurement C Click Ext Drag Release Ext Click Ext Click Ext Millimeters mm Centimeters cm Inches in Default colors for measurement tools Angle Segment Ellipse Spline Orthopaedics measurements Coxometry m Lipman Cobb mm Gonometry pmm Help for getting center of the femoral head None C By spline By coxometer a Visualization In this section user can choose the way he wants to make measurements the measurements unit mm cm in and the measurements colors User can select the method to get the center landmark of the femoral head None by positioning approximatively the center with a left click By Spline by positioning the center of a circle and drawing a circle By coxometer with a geometric shape help User has then to position 4 landmarks See section Coxometry Visualization Magnifier options Zoomed part color in Magnifier window p In the visualization section user can select the color of the square forming the boundary of the zoomed part in magnifier window 199 Windows Windows Reset windows position Reset Click this button to reset al default position of the wi
34. the tree presentation order for studies inside the patient and series inside a study is always by date and time the oldest at the top the latest at the bottom 595 a Clicking elements of the tree Single click Clicking a line of the tree will select it that is its color will change to the selection color If selected element is a patient nothing happens If selected element is a study a thumbnail of the first image of each series of the study is shown in the images thumbnails area except if Full Mode option is enabled for database window See section Thumbnail View Full Mode for details If selected element is a series thumbnails of all images inside the series are shown in the images thumbnails area If selected element is a GSPS thumbnails of all images referenced by the presentation state object are shown in the images thumbnails area If selected element is a Report a preview of the DICOM Structured Report content of the report with basic presentation is shown in the image thumbnails area Double click Double clicking a patient does nothing Double clicking a study opens it opens all the series of the studies Double clicking a series opens it displays images in the series Double clicking a GSPS opens images with presentation state applied Double clicking a Report opens the report with cascading file sheet applied 56 Images thumbnails Presentation The images thumbnails area is one of the
35. ups Note SE Client administrator can define the nature of data displayed per modality WARNING When information overlay is hidden relevant measurements or recommendations annotations on images could be missed If Imager Pixel Spacing is not present AND the image is a mammography image the application will not provide any metric 96 information Measurements are possible but the measurement unit will be pixels only Instruction By clicking the show hide button user is aware that BA diagnostically relevant information could be missed It is therefore mandatory asking to SE Client administrator to customize for each user their preferences and therefore minimize the use of this feature VV Note If Estimated Radiographic Magnification Factor is present in an image SE Client automatically correct all metric information depending on it If Display DICOM information on the side opposite the member option is enabled in Image item of User Preferences submenu in Options menu SE Client will attempt to prevent image demographics from overlapping image data WARNING Disabling this option will increase the risk of obscuring views with DICOM information 97 For Presentation amp For Processing It is not relevant for users to see For Processing images for diagnosis However if the two kinds of images are available the type For Presentation or For Processing is displayed on
36. user to use the SE Client workstation under the same ambient light conditions defined for the calibration of the diagnostic monitor against DICOM grayscale standard display function WARNING It is the responsibility of the user to diagnose images with compression ratios that are compliant with diagnosis purpose WARNING Users performing mammography examinations must always use grayscale monitors approved for mammography with a minimum of 5 megapixel resolution WARNING Any error crash lock up leading to an image processing failure can cause loss of diagnostic information WARNING Follow the hospital quality assurance procedures to avoid errors in the image processing Caution To avoid images being lost due to a power failure the workstation and the digitizer have to be connected to un interruptible power supply UPS or an institutional standby generator Caution Position the Agfa product so that it is possible to disconnect the mains power connection if required 20 Caution Changes additions or maintenance to the Agfa products carried out by persons without appropriate qualification and training as well as using unapproved spare parts may lead to serious risk of injury and damage to the equipment as well as making the warranty void 21 2 Getting Started This chapter is intended to explain how to launch the application and describe the application main windows The current chapter contains the following top
37. window width W values are displayed in the bottom right corner of images Windowing is applied to all images of the series and saved in the database This way after applying a particular windowing if you close then reopen images your windowing is preserved Press R to reset the window leveling to its original state SE Client applies a greater level of window leveling known as Smart Windowing on an area of an image where the image depth is greatest Instruction The multiplication factor for smart window leveling is BA defined by your administrator If the results of window leveling do not meet expectations for example insufficient precision in window leveling adjustments please contact your administrator to adjust the settings WARNING If the multiplication factor is too high relative to the bit depth of the image the application will apply excessive window leveling and you may miss important information Saving a window level After adjusting the window level if you want to save it in order to reuse it at any time right click image and choose Windowing gt Save As in the context menu 104 i Custom Windowing Description My windowing Window center 1405 Window width 3900 Give a name to your custom windowing then click Ok Your windowing will be saved in the custom windowing list and a key shortcut will be attributed to quickly apply it on images Key shortcut can be a key from
38. zoom factor e g 100 200 The precision of this method is better than zooming with mouse where the zoom factor unit is truncated m Orientation submenu This submenu allows applying rotations or inversions on images or going back to original orientation m Windowing submenu This submenu allows to invert contrast change or go back to default images windowing save and apply custom windowing m Filtering submenu This submenu proposes four filters to apply on images Filters can be canceled afterwards if needed Export to submenu This submenu allows exporting selected images or sending to OrthoView software when installed m Clear all annotations This item removes all annotations on images of the series text arrows free drawing m Clear all measurements This item removes all measurements on images of the series distances angles ROI coxometry Annotations and measurements This item has an ON OFF status depending if you want to show or temporarily hide all annotations and measurements on images 145 Measurement scale This item has an ON OFF status depending if you want to show or temporarily hide measurement scale calibration on images Slices position This item has an ON OFF status depending on whether you want to see lines corresponding to spatial positions of slices between series x DICOM information This item has an ON OFF status depending if you want to show or temporaril
39. 0 WARNING There is no guaranteed level of uncertainty for measurements made with the application and the precision of measurement results does not imply a particular uncertainty as uncertainty is influenced by a number of factors many beyond the control of the product The uncertainty of measurements is limited by at least three factors e The quality of the input data including the uncertainty of the scanner calibration e Users ability to select appropriate points on the screen e The transformations inherent in generating images on a finite pixel display It is the user s responsibility to understand these limitations and to use the measurement tools responsibly No treatment or diagnostic decisions should be based solely on measurements made with the application Instruction If no measurement calibration has been performed measurement unit is pixel Note When calibrated you can choose your own measurement unit by selecting one of Millimeters Centimeters or Inches from Options gt User preferences Administrators may make a default choice for all users in Options gt Default preferences 101 Image display functions In adition to tools that remain active functions are punctual actions that you apply on images at a given time Nevertheless a lot of functions are related to tools or must be used in conjunction with particular tools Main functions available from toolbar Create New Folder This
40. 2 p P L 3 W 32 83 83 P 46 oOooooocos 10 inus 281160 A unmetoo Epp a s i EHH Manual synchronization a 1 Enable Browse in images by left clicking the toggle button 2 Select an image in the first series Ta 3 Left click on the Manual synchronization toggle button 4 Select the corresponding image in the second series Now your two series are synchronized SS To disable the synchronization left click one more time on the M Manual synchronization toggle button 113 aI o gt a r 5 gt Z gt g ee a K zi e 10cm f 10cm gt OR aE a 1 o 2 a OT o A j ao 0o 093990 p gt E wins i 3449 H aRef 9 Pg WARNING Manual synchronization is commonly used for series of different studies because between the both synchronized studies patient position might have changed No patient position matching It is not a smart tool because user has to manually choose which slice of first series matches to second one Moreover when scrolling only one image in one of the series it will automatically scroll one image in the other one User has to keep in mind that performing a manual synchronization is risky Indeed wrong synchronization wrong matching exists and this kind of synchronization is the user s responsibility 114 Cine Mode SE Client can display a series of DICOM images CT scans MRI or DICOM sequences ultrasound cardia
41. Annotations and Measurements Measurement Scale Slices Position DICOM Informations DICOM Overlays Density Pointer qa lt 4 Copy Ctrl C Central Positioning Ctrl E Close Close Series Shift F4 Properties Note This functionality is enabled if at least one image is displayed 142 Instruction Please refer to Orthoview user manual for further information How to import data from Orthoview via SE Client application 1 Perform you templating in Orthoview application 2 Close Orthoview application and specify series description and series number values and save examination 3 Templates and reports are saved in SE Client as a new series with the series description and series number entered in Orthoview if examination has been saved in Orthoview Note Templates and reports are saved as secundary DICOM image type and OT modality These templates and reports can be displayed and printed by SE Client as well Note No temporary files are left around after the integration between SE Client and Orthoview is no longer in use to avoid having private patient data on local files 143 Contextual menus on images At any time you can right click an image on screen to display the contextual menu and access a particular item All items of the contextual menu can also be accessed in application window Image menu or some toolbar buttons but contextual menu somet
42. Browse in image Previous Next series Previous Next page Previous Next image Zoom factors list shortcut button 100 Zoom factor button Image Flip Rotation 208 Show Slices Position Scout View When displaying acquisition related series switching this function ON displays lines corresponding to spatial positions of slices Automatic Synchronization Use this button to automatically synchronize series Manual Synchronization Use this button to manually synchronize series Start Stop Cine Use this button to stat or stop playing cine of selected series sequence This can also be done pressing the lt Space gt bar on the keyboard Previous Frame When cine play is stopped displays previous frame in selected series sequence Next Frame When cine play is stopped displays next frame in selected series sequence Cine Speed Use this slider to adjust cine speed Browse Frames When cine play is stopped use this slider to quickly browse in series sequence frames WARNING In web client it is possible to display instances series images reports from different patients 209 Appendix A Keyboard shortcuts This chapter covers the following topics Q SE Client keyboard shortcuts SE Client keyboard shortcuts General to application Open Close Image Browser Open Close display format window Open Close print layout Pry td T BPW Nh Image Browser images thumbnails view Open
43. Close Image Browser F2 F5 Refresh window list Enter Mark image corresponding to selected thumbnail ae Ctrl D Ctrl I Ctrl K Arrow Up Arrow Down Page Up Page Down es a F3 F4 F6 F7 7 Enter Space Bar Shift Key synchronization Tab Activate the next opened series Arrow Left If element is a sequence display previous frame of sequence Arrow Right If element is a sequence display next frame of sequence F6 nn Select text having index nn in glossary to place it on an image Ctrl A Select all images of the displayed series Ctrl D Unselect all images of the displayed series Shift F4 Close active series Ctrl F4 Close all series Navigation in displayed images Display previous series of the patient Display next series of the patient Home Display the first image of the series End Display the last image of the series Page Up Display the previous image page of the series Page Down Display the next image page of the series Arrow Up Display the previous image of the series Arrow Down Display the next image of the series Print layout F4 Open Close print layout window F7 Send marked and displayed images to print layout With drag amp drop from display place selected image or image portion in print layout F F Al With drag amp drop from display place selected image or image portion in print layout If it is an image portion its dimensions are adjusted to adapt to print e layout dimensions D Delet
44. Display new series only is not checked and some series of the query result are already in your main database you will see a yellow database icon at the beginning of corresponding line 164 Retrieving series from a remote DICOM server Once you have sent a query and obtained a results list of series you can select items in the list and retrieve import them in your main database To retrieve series select them in the list then click the Import button Note Importing series can take from a few seconds to several minutes depending on the amount of data to transfer The import process is a background task that doesn t lock SE Client so you can minimize the Query Retrieve window and continue working in parallel you retrieve Instruction When installing the system user services must check the printing pipeline implementation and configuration then perform printing tests WARNING If you retrieve import a series you already have in your database it will replace the one in your database with the one 165 Print Layout Presentation Manual composition The footer The toolbar The status bar Print layout menus 166 Presentation The print layout is a powerful WYSIWYG What You See Is What You Get tool to compose pages you want to print on medical film printers or on desktop paper printers Any kind of image from any image modality monochrome or color can be placed in the print layout rr T
45. ET is generally high hundreds of images Therefore SE Client slice imaging navigation bar is a user friendly tool allowing an easy navigation in slice imaging series Browse in image Previous Next series Previous Next page Previous Next image T To browse in image 1 First of all left click the Browse in image toggle button 2 Then left click in selected slice keep button down 3 Move the mouse vertically or horizontally to navigate between slices 4 Then release the button when you get the image you want Browse in image feature can be used with the mouse scroll button user option thus you can browse images thanks to this button However the zoom function will not be allocated to the mouse scroll button function anymore Note The keyboard Up Down arrows shortcuts can be use as next and previous image display buttons The keyboard End Start shortcuts can be use as next and previous page display button Up Down End Start 109 Scout View Show Slices Position Scout View When displaying acquisition related series switching this function ON displays lines corresponding to spatial positions of slices A Scout view is a coronal frontal or sagittal lateral reconstructed slice This kind of image is interesting and commonly used to locate an axial slice image on a sagittal or coronal view When a coronal frontal or and sagittal lateral scout view is
46. GE MEDICAL SYSTEMS 0008 0080 Institution Name LO 30 CENTRE HOSPITALIER LUXEMBOURG 0008 0090 Referring Physician Name PN 0 0008 1010 Station Name SH 6 GEMSOW 0008 1030 Study Description LO 0 0008 103E Series Description LO 0 0008 1050 Performing Physician s Name PN 0 0008 1060 Name of Physician s Reading Study PN 2b 0008 1070 Operator s Name PN 10 03 05 2005 0008 1090 Manufacturer s Model Name LO 12 SIGNA EXCITE 0008 1110 Referenced Study Sequence 5Q FFFE E000 Item 0008 1150 Referenced SOP Class UID UI 24 1 2 840 10008 3 1 2 3 1 0008 1155 Referenced SOP Instance UID UI 52 1 2 124 113532 193 168 70 22 20050413 94407 3707314 FFFE EQ0D Item Delimitation 0 FFFE E0DD Sequence Delimitation 0 0008 1111 Referenced Study Component Sequence 5Q 102 WARNING If user selects another image when a DICOM tag dump is already performed for a first selected image the DICOM information contained in the DICOM tag is not consistent anymore Instruction User must close the DICOM Info dump before selecting another image 146 Densi 819 HU A DICOM overlays This item has an ON OFF status depending if you want to show or temporarily hide DICOM overlays special graphics added by modality on images If Display DICOM information on the side opposite the member is enabled in Options gt User preferences gt Image gt Display Options application will attempt to
47. IP view will be automatically displayed Rotated MIP left original MIP view after reset right 119 MIP image saving While performing a rotation on a MIP volume you can find an interesting view and want to save this image 1 Click the save button ot 2 The following window appears Note By default a series description is set up but you can replace it A check box allow you not to be prompt next time except if Shift is down when saving a MIP series here series is only one image Check this box if you whish Click ok button to confirm 4 Wait the end of saving or cancel The new MIP image is saved in the original study ve mo Mip1 15 11 2005 13 59 59 32 MR 301 170 image s 32 MR 302 1 image s Original series New MIP image MIP end i To close the MIP application user has to left click one more time on the MIP toggle button meme 120 MPR What is MPR MultiPlanar Reconstruction MPR is a post processing technique that reconstructs the axial images into coronal sagittal and oblique anatomical plans User should be able to navigate into the body parts thanks to user friendly tools moving and rotation of the three axis zooming This functionality is intended to help user for space location and speed up viewing diagnosis The oblique anatomical plan processed during handling can be saved as new series FA Patient File Acquisit
48. OG i if fi 1 I i CI Segment CC Segment IC Segment 137 Note User can perform the second leg Gonometry measurement faster than the first one by moving the landmarks of the first leg on the second one only 138 Scoliosis measurement The Scoliosis measurement implemented in SE follows the Lipman Cobb method WARNING The Scoliosis functionality is measurement functionality on a radiological image If the image you are measuring comes from a secondary digitization or was imported from the TIFF or JPG format you have to calibrate your measurements before starting See Standard Features User Manual To do the measurements first click the Lipman Cobb icon T Then you have to click on different anatomic landmarks in a specific order to draw lines and measure angles 139 Method The radiologist chooses two points on the upper most inclined vertebrae and two points on the lower most inclined vertebrae The application then draws the segment passing through the two points of the upper most inclined vertebrae and the segment passing through the two points of the upper most inclined vertebrae Then SE Client draws the angle between two segments by tracing perpendiculars segments passing through the middle of the segments drawn on vertebrae 1 Select two points A and A on the upper most inclined vertebrae The application draws the segment pass
49. SE Suite 1 2 Reference User Manual AGFA lt gt 2463 B EN 20090327 TABLE OF CONTENT 1 2 3 TSA a LEKE ET 1 oa ees A A A A A A A O A 5 iMiroducion tothe Miami l sisssaccses etka aserasssasssuiladedeatieeidesitasseesddesddaditadssacasiaas 6 ScOpe OL this mani alera an teeteneennee eeee ener 6 Warnings Cautions Instructions and Notes ccccesccseceecesceesceeceeseeeees 7 BINGE Ligne temtereert rast torent a creereer tener en chet reer ter rer ere nner nnn rr Tren rrr ren cnr 8 ItFOGUCHON 1G SE SUG L urera a ea a EREE AERE 9 Intended UsSChsnsssasana onanan aana SNN 10 Intended Use arnie n AEE E AEEA 10 CON UO aa ee en eer er eee ee ee nee ee een 11 System DOCUING MARION aenean Aa ANNEANNE ARANAN NAANA 12 ODO aE EE E A E E T OAE AAR EEE E EE EE 12 T eee Tee er ee he ee 12 ProduchGomplaints ercer einstein 13 Compa DIN ames aaa dasa Asaia assess 13 MESSIT CS ates E aici alti a ela ac ieeea la acto avian asa EEE aueuleuselaeauax suave deacaxcaveeaxavereredes 14 OPIN ING a E each wiah ongliaa mien aeanaiaemieadiundecndnnacnats 14 POTIOM MAN CO sea ote ted ees sees ae eaesen einen A 15 COMME GUIVILY enrenar nann EEE AEE EEE 15 AOT Ee O E eTe Teen err c rent em Tener T err mmr enrnnTT mre ner tenn en Tne 16 Patent Data Secar y sire cates te cere A seed eee tak 19 Evironment al Protec HON aeeoea Egert eeN NEENA REENE ENEKEN REA 19 Se DIrECHON S ena a a a eat entesie 20 Getting tare a E E EEEE L EELEE 22 Sarine SECC GCN eres tu
50. Server Diagnosis Workstation Including Web server Teleradiology server optional Screening server optional Internet LAN SE Client thick client Diagnosis Client Workstation SE Web Client web client Clinical review SE Media Viewer autorun DICOM Viewer Online storage DICOM printers Several configurations exist for SE Suite 1 SE Standalone configuration standalone workstation not connected to a server 2 SE Client SE Server configuration one or several clients connected to a server 3 SE Web Client SE Web Server configuration one or several web clients connected to a server 4 SE Full Suite configuration Client Web Client Server Web Server 5 SE Media Viewer is provided with SE Standalone and SE Client 11 System Documentation The documentation consists of this Reference User Manual Document number 2463 in English only the Safety User Manual Document number 2464 and Minimum Hardware and Software Requirements Document number 2465 The documentation shall be kept with the system for easy reference Options All functionalities are embedded by default in SE Standalone Client Server except the WKL Worklist option for DICOM Modality Worklist provider functionality The OrthoView software integration is available for US and Canada markets only Training The user must have received adequate training on the safe and effective use of SE Suite before attempting to w
51. a before making changes to the configuration or before adding other software to your system Changes or additions to the equipment must only be carried out by persons authorized to do so by Agfa Such changes must comply with best engineering practice and all applicable laws and regulations that have the force of law within the jurisdiction of the hospital 13 Messages Under certain conditions the SE Suite software will show a dialog box in the middle of the screen containing a message This message may tell that either a problem has occurred or that a requested action cannot be performed The user must read these messages carefully It will provide information on what to do from then on This will be either performing an action to resolve the problem or to contact the local authorized Agfa Healthcare dealer Compliance This paragraph sums up the directives standards and harmonization initiatives SE Suite 1 2 complies with DIRECTIVE SE Suite software has been designed in accordance with the MEDDEV Guidelines relating to the application of Medical Devices and has been tested as part of the conformity assessment procedures required by 93 42 EEC MDD European Council Directive 93 42 EEC on Medical Devices m ANNEXI ESSENTIAL REQUIREMENTS GENERAL REQUIREMENTS The devices are designed and manufactured in such a way that when used under the conditions and for the purposes intended and where applicable by virtue of the technical knowl
52. are not followed can cause fatal or serious injuries to a user engineer patient or any other person or can lead to a mistreatment Caution Cautions are directions which if they are not followed can cause damage to the equipment described in this manual or any other equipment or goods and can cause environmental pollution Instruction This sign typically is used in combination with the warning sign when providing a specific instruction which if followed exactly should avoid the subject of the warning Note Notes provide advice and highlight unusual points A note is not intended as an instruction Disclaimer Agfa assumes no liability for use of this document if any unauthorized changes to the content or format have been made Every care has been taken to ensure the accuracy of the information in this document However Agfa assumes no responsibility or liability for errors inaccuracies or omissions that may appear in this document Agfa reserves the right to change the product without further notice to improve reliability function or design This manual is provided without warranty of any kind implied or expressed including but not limited to the implied warranties of merchantability and fitness for a particular purpose Caution In the United States Federal law restricts this device to sale distribution and use by or on order of a licensed physician Introduction to SE Suite 1 2 This section covers the follo
53. ase selection allows you to choose the database you want to work with You can only select one current database at a time Default current database when you install SE Client is Main database You have only one main database The main database is the one where will be stored the medical studies you receive from other stations or image modalities It is also where SE Client stores the configuration of your station directory preferences logs etc WARNING Be aware that there is a difference between the main database and the current database The main database is open by default and stores all saved preferences The current database is the database currently selected in the drop list to display its content The current database can be the main database or not but selecting a database just makes it current it doesn t make it the main database 31 In SE Client you can connect to as many databases as you want For example for particular purposes you may need to have a separate database to store some interesting studies you want to keep You can easily copy studies from one database to another A database can be located on a hard disk of your workstation like the Local database or somewhere else on the network where SE Client is connected BA Instruction Database modification or creation must be done by an experienced SE Client administrator Reading Burning a DICOM CD DVD The medical images standard DICOM
54. ast Agent Scheduled Procedure Step Status Requested Procedure ID Requested Procedure Description Requested Procedure Code Value Requested Procedure Coding Scheme Version Requested Procedure Coding Scheme Designator Requested Procedure Code Meaning Study Instance UID Study Referenced SOP Class UID Study Referenced SOP Instance UID Requested Procedure Priority Patient Transport Arrangements Requested Procedure Location Requesting Physician Requesting Service Referring Physician Name Visit Status ID Admission ID Current Patient Location 221 End of Document 0413 Printed in Belgium Published by Agfa HealthCare N V B 2640 Mortsel Belgium AGFA amp 222
55. atients studies or series 2 Select one or several elements in the list right click and select item Send to Base NX tJ Be ale 2 al eel tran A Database NX Last name First name Sex Birth date Patient ID Studies Creation date Creation time Nx 1 0 22 3 Meas nx 1 0 22 3 Calib Wx 1 0 22 3 Label Wx 1 0 22 3 Anno Wx 1 0 22 3 Manu Wx 1 0 22 3 Shutt Nx 1 0 22 3 To n Nx 1 0 22 3 Inve 01 02 2006 Send selected elements Nx 1 0 22 3 Zoom amp Roam Wx 1 0 22 3 Flip amp Rotate NX 1 0 22 3 Invert nolaritw New Add to Patient Copy to Delete Send to Export to Protect against deletion Properties RR KNEE 1 1 image s RR PR 1 1 instances 4 GSPS 1 r f rence s 01 01 1950 01 01 1950 01 01 1950 01 01 1950 01 01 1950 01 01 1950 01 01 1950 01 01 1950 01 01 1950 01 01 1950 GSPS_TST_01 GSPS_TST_02 GSPS_TST_03 GSPS_TST_04 GSPS_TST_O5 GSPS_TST_06 GSPS_TST_O7 GSPS_TST_o8 GSPS_TST_09 GSPS_TST_10 T H BPPeP PP BP eB 31 03 2006 31 03 2006 31 03 2006 31 03 2006 31 03 2006 31 03 2006 31 03 2006 31 03 2006 31 03 2006 31 03 2006 11 34 58 11 35 04 11 35 14 11 35 20 11 39 26 11 35 32 11 35 38 11 35 44 a la Bees EHE 1135 57 Selection size 11 Mb Free disk space 5156 Mb 46 10 record s E Note You can send one or several elements in one time and you can send them from the list or from the hierarchical tree
56. ation AE Title Patient ID Accession number Scheduled date Scheduled time Birth date 13 63 2 28 2009 16 08 1 30 2009 TSI21 AGFA73 2 2 2009 16 39 2 2 2009 TSI20 AGFA71 2 5 2009 10 42 2 2 2009 TSI21 2 3 2009 10 43 2 2 2009 GAYDEN ADITA LEI PGDBB134 2 4 2009 10 03 1 5 2000 BROWN JAMES 583030 ADT1 2 4 2009 10 07 12 16 1950 ss 22 2 11 2009 12 00 2 11 2009 ABbIab 23 84 2 13 2009 16 02 2 13 2009 ta to ht 8 records Howto enter new data There are several ways to enter new data in SE Worklist Client User can either e Double click on an empty row in the worklist Or e Press the lt F2 gt key Or e Click on Add a record in the Window menu Window Refresh F5 Add a record F2 Options 81 The following window will pop up Data input esa Character Set Patient name Patient ID Accession number Scheduled date 9295 3009 Scheduled time 16 13 on Birth date 2 25 2009 Sex Performing physician Referring physician Modality Scheduled station Station AE Title 1 You can enter values in each field except when they are greyed out Note The charater string length of each editable field is limited by the DICOM standard e g Accession Number is limited to 16 characters See Appendix C DICOM Character String Maximum Length Table for details Note Both patient name and first name must be typed in the Patient name field with name in first position e g Dubo
57. bility to mark images to flag them as significant or key images The concept of marking is different from selecting e Selection is a temporary way to tell on which images you want to apply a treatment or a function but no selection information is kept in the database it is volatile e Marking is a permanent way to tattoo images as important for you This mark is kept in the database so you can still see if images are marked when you re open them later on When exported in DICOM this mark is sent as standard DICOM Key Object To mark an image you can do it on screen when it is displayed or you can mark its thumbnail To mark or unmark a thumbnail select it a green frame appears around it then press Enter key on the keyboard When an image is marked a red square is displayed in the top left corner of its thumbnail 58 lt Shift gt lt Ctrl gt a Clicking thumbnails Single click Clicking a thumbnail will select it that is will draw a green frame around it Double click Double clicking a thumbnail opens the corresponding image displays the image Note that if the thumbnail represents a whole series only the thumbnail of the first image of series is displayed because a study is selected in the tree see section hierarchical tree a double click on it will open the whole series Multiple selections You can select several thumbnails a group of thumbnails to apply a function to all of them in one tim
58. c coronarographies nuclear medicine as a video sequence To play a series of DICOM images select an image of the series then click the Start Stop Cine button below To play a sequence select it then click the Start Stop Cine button below The Cine Toolbar gives you all buttons to control cine mode Start Stop Cine Use this button to stat or stop playing cine of selected series sequence This can also be done pressing the lt Space gt bar on the keyboard Previous Frame When cine play is stopped displays previous frame in selected series sequence Next Frame When cine play is stopped displays next frame in selected series sequence Cine Speed Use this slider to adjust cine speed Browse Frames When cine play is stopped use this slider to quickly browse in series sequence frames 115 3D Functions WARNING MPR and MIP are additional tools to improve diagnosis thanks to slice imaging rendering in 3D Information is created in images during a MIP or MPR reconstruction By consequent these new images are not diagnosable anymore Instruction Radiologist should always make his final conclusions on the original slices to lower wrong diagnosis risk Cine mode and Send to Printer layout are not possible when using MIP and MPR reconstructions To print it save your reconstructions as new series previously Note During a MIP or MPR loading the selected series are verifi
59. c when one pixel of the acquired image is represented by one pixel on screen 1 1 or pixel size is 100 If the pixel size is lower than 100 the whole image is not properly displayed and clinical information is missing If the pixel size is greater than 100 information pixel data is created interpolation by the system Instruction You can determine the zoom factors by checking the indication displayed at the bottom right of the image on the top of the window level indication Image Browsing Use this tool to quickly browse images of a series This tool is particularly useful to browse slices of CT or MR series Selection This tool selects a portion of image This selected portion can then be used with several functions image crop send to print layout auto windowing Arrow Use this tool to draw arrows on images These arrows can be used with text annotations to show a particular interest on image Drawing This tool allows doing free hand drawing on image to annotate or point a particular region of interest Text Annotation Use this tool to add a text annotation on image Text font size and color can be adjusted Measurement Calibration Use it to do a calibration that will be used in measurements This operation is not needed with DICOM images just with imported JPEG or TIFF WARNING Manual calibration of JPEG or TIFF images is risky You must ensure the correctness of this calibration Incorrectly calib
60. ccseccsscceecceeceeeceeeceeeceeeeceeeceeees 150 Set ne Appe aranee Or LOOMS eect ccct ea ee e EEEO EEEE 157 aN GOUUED a be all go k2 2k hc EE Meee Eee enn tee ener men ener One eT E eer ener meer he 158 DICOM receptioner eee eee 159 Secondary Capture acquisition ssns aaa a a 160 Retrieving images from a SCLVEL s sseessessesseeserserseeseesseoserserseeseessesseeseo 161 Pres D O a EEE E E EEEE 162 Querying a remote DICOM servef sssssssesesesesesesesesosossssesesesesesesesesese 163 Retrieving series from a remote DICOM server sssesseesserssesseesserssersseo 165 PANE LIVOU Pesara aasin nasa TTT er en ett aCe ee 166 Presentation svi tA EEE EEEE 167 Manal Compos O eeren seese E EEEE EOE OERE 169 TE OE eee E E E E 172 The toolbar e e E EE ETETE 173 TMG SCALUS Dat ss ss5scas5g tananan on ANN N esse soassene eens 175 Print layout Menus avs vowasanecanacaeasavesaware EEEE EEEE 176 COMMUNIC Al OM eei EEE EEEE EE A R EEEE EA EES 184 The communication CILECCOLY cceecceeccscceecceeceecceuccecceccaeceseceeseeeceees 185 TEPIP CONNEC UTAO S ien EE 191 GOMPISUTING Ssendto eT ll eusbsnene kuiona nannaa 191 How to send studies nsenseessessessesseeseessessessesseeseessessesseoseoseeseessessesseo 193 a E E EE E E D E N N D DA DA OE IOE DO POE POOE IOE POE IOE IE E 196 Starting SE Client Preferences set Up ssessessesseeseeseessesserseeserseeseessessees 197 D SE Web Client macmawusnwnitaenimninn ret ener er
61. ck the columns you want to see in the list and Move up uncheck the ones you don t want oo Move down Sex Use the Move up and Move care down buttons to adjust the position Studies of each column nina Creation time O Name O Created O Comments T Data path Show The selected column should be 160 pixels wide Cancel 51 lil V WARNING Newly added columns will always be placed on the far right of the list By sorting and customize columns user could miss relevant information Instruction You may need to use the horizontal scrollbar to see them Instruction You still have the possibility to move them manually afterwards show or hide them Note Columns customization is saved for each list presentation patients studies or series and for each user Data path column cannot be filled in for DICOMDIR data Display study status SE Client may be configured to display a study status within a column of the list view This feature allows you to mark a study as one of the following statuses New Started Multi study new Dictation Started Trainee dictation started Dictated Trainee dictated Reported Approved By default all studies that enter the system will be given a status of New You are then able to modify the status based on your progress with the study Right click on a status you would like to change and application will present a con
62. ck this option SE Client will use this column as the default sort for the list so this column will be used as the second sort after current sort of the list clicking the column header Examples If you check Default Sort for column Patient name then click header of column Study date SE Client will first sort the list by study dates then if some studies have the same date they will be sorted by patient name If you check Default Sort for column Study date then click header of column Study description SE Client will first sort the list by study description then if some studies have the same description they will be sorted by date Checking this option for a column will automatically uncheck all other columns for this option only one column can be Default Sort at a time Select Columns to Display This item allows you to customize the columns of the list choosing which to show and which to hide Reset Columns This option resets the columns configuration to default canceling any customization that may have been done Mask this Column Choosing this item masks the column from the list This is a quicker way to remove a column than to use Select Columns to Display 67 Contextual menu for a patient item Note The contextual menu on a patient in the list is the same as the one on a patient in the hierarchical tree New gt Add to Patient b Date Send to Export
63. ct a portion of it uz using the Selection tool then drag amp drop from image with lt CTRL gt key pressed or double click if activated to a destination cell of the print layout To load a whole image instead of only a portion cancel the selection on image Note When a selection exists on a displayed image you can instruct the SE Client to automatically adapt the selection dimensions to exactly match the destination cell in the print layout This way the space in the print layout is used optimally To do this press the lt Alt gt key instead of lt Ctrl gt when doing the drag amp drop from display to print layout Drag and Drop CTRL Selection is kept exactly the same Drag and Drop ALT Selection is adapted to fit destination rectangle WARNING When printing Mammography images it is important to note that you may only print one image per film the print must be true size and all images within a study must be printed 171 The footer The footer is the low part of the print layout showing some logos and information about the print layout content sara DEMO FOOTER PARIS HOSPITAL P Instruction The right logo can be personalized to be your site logo Ask your administrator or service contact to modify logo SE Client automatically fills the information in the footer when you place images in the layout patient s name patient s birth date study date si
64. ctice Management System PMS Electronic Medical Record EMR provide updates to patient data for existing patients and or provide the ability to merge patient data for existing patients with these values e Patient Name e Patient date of birth e Patient ID key value e Patient Gender This ensures that updates to patient information on the PMS EMR are also made on SE Suite If there are several patients with the same Patient ID application informs by e mail that the message can not be performed because of key s conflict several patients with the same key In that case there are two solutions e The several patients are the same patient a manual merge can be done see paragraph Worklist and Quality Assurance modes e The several patients are not the same patient application won t do anything D Note The e mail address is configurable by application administrator The update merge is done at a minimum of 2 hours after last image reception of the patient If the patient does not exist yet the update merge HL7 message will be kept In all cases update and merge messages will be kept 30 days Each message is performed one unique time 79 DICOM modality worklist from HL7 messages SE Suite will provide benefit to a site through the ability to receive HL7 messages from Practice Management System PMS Electronic Medical Record EMR and provide a DICOM modality worklist MWL to an associated modalit
65. e SELECTED FILTER Filter name Today series Filter description Series date d DROP LISTS FILTERING CRITERIA Name DE Modality CR In this example we used filter Today series as a base and added criteria name DE and modality CR To summarize this filter will display CR series of today for all patients beginning with DE 5 Close the details dialog and click Ok in the previous dialog to validate filter creation The new created filter will appear in the filters drop list Deleting a custom filter from the filters drop list To delete a custom filter first select it in the filters drop list then click FH the Remove selected filter button in the toolbar If you select Yes in the confirmation dialog the filter will be permanently deleted Note You can only delete custom filters All default filters that you have by default when you start SE Client cannot be deleted Send to Exit from Hold list A specific hold work list is available in the study view of the browser It is e i intended to store studies that are not diagnosable and need retakes 42 Database screening siti A HS WD a 2 Fiter Hold list a a P es demo xl lastname S Firstname _ Study date Study ti __ Series _Institution Name Mammo Screening B Worklist server Diagnosis count 0 Selection size 66 Mb Free disk spac
66. e Series number Series date Referring physician v aa z eres time Modality Patient ID CT Computed Tomography v Description Body part Performing physician Comments HAND HA amp NDLEDD v LAB 4 x Description DICOM Accession Number Termine DICOM Study Instance UID Station 1 2 250 1 46 2019019018 20060930182222 171517828 ALEX DICOM Series Instance UID 1 2 250 1 46 2019019018 20060930182238 171533453 Terminer Annule Terminer Annuler 160 Retrieving images from a server E Presentation E Querying a remote DICOM server m Retrieving series from a remote DICOM server 161 Presentation As a DICOM workstation SE Client supports DICOM Query and Retrieve Q R User and Provider services Practically this simply means that Q R User SE Client is able to query any DICOM server supporting Q R Provider service with some search criteria display the list of studies complying criteria and retrieve or import some series from this server in its main database Q R Provider Any DICOM workstation supporting Q R User service is able to query SE Client main database with some search criteria and retrieve some series from this database Instruction To be able to use Q R User or Provider services in SE Client the remote station must be declared in SE Client communication directory see paragraph The communication directory for details on the communication di
67. e 117824 Mb 35 2 record s A Radiologist can send a study in the hold list by clicking the send to hold list button Then Radiologist has to specify the reason in the Comments field Send study to hold list f An administrator can remove a study from the hold list by clicking the exit from hold list button Then administrator can add information in the Comments field Name aeinstein Comments This study does not conatin relevant exam Name admin Comments The study is now complete These functionalities are also available by right click menu Open New Add to Study Copy to Delete Send to Send bo Print Layout Send to hold list Export to Protect against deletion Properties A report is created in the relevant Study to save information about Hold List tasks This report can be opened by double clicking the report icon in the database window tree view but is not editable anymore 44 45 The status bar The status bar of the Image Browser gives some useful information about the window and its elements Available free disk space in Information on selected button current database in Mega Bytes Refresh Worklist now Selection size 2 MB Free disk space 150193 MB 63 1 record s Data volume of selected items in the list Total number of records in the list m Information on selected button This zone gives you some infor
68. e like opening them To select a group of continuous thumbnails click the first thumbnail of the group hold down the lt Shift gt key click the last thumbnail of the group then release the mouse and the key To select separated thumbnails hold down the lt Ctrl gt key click each thumbnail you want to select and then release the mouse and the key 59 Display markups Sait BAANG OTIS 122125 ES peronas 12 20 25 i MG 1 4 image s a ES Has 2008 Le 32328 i 2 CR L 4 imesgets a te OS09 2006 12 36 05 10 LS 1 1 image s Top right markups on thumbnails indicates users the status of images viewed or reviewed with markup or not viewed without markup ig This icon indicates that an image has been seen at least once w This icon indicates that an image is currently displayed Note These marks are deleted as soon as images are closed and database window refreshed 60 Thumbnail view Full Mode Note By default SE Client displays in thumbnail view icons of the selected series only or first image of the series belonging to the selected study Application administrator can enable the thumbnail view Full mode option In Full mode application will display icons of all studies therefore all series embedded in studies of the patient which selected study belongs to The icons will be sorted by study in the thumbnail view Icons of images embedded in studies series Study
69. e options are similar to the ones in patient contextual menu except that they apply to series Contextual menu for an image thumbnail Select Images Orientation Delete Properties Open Send to Delete Properties These options are similar to the ones in patient contextual menu except that they apply to images Export This submenu is intended to export selected or marked images This option is similar to the one in series contextual menu except that they apply to images I7 Horizontal Flip Vertical Flip Rotation to the Right Rotation to the Left Initial Orientation Select Images This submenu allows to quickly select some thumbnails This is particularly useful for series having a lot of images like CT or MR You can select 1 thumbnail on N select all thumbnails or select marked thumbnails only Orientation This submenu allows rotating and flipping images You can flip images from left to right top to bottom or rotate them by 90 clockwise or anticlockwise After changing orientation you can go back to the original orientation WARNING Laterality is extremely important as are transformations in laterality If you display an image that has been flipped or rotated the following icon is displayed on the image 78 HL7 Integration Patient demographic data update merge from HL7 messages SE Suite provides benefit to a site through the ability to receive HL7 messages from the Pra
70. e selected image Its place stays empty next images in the layout are not Backspace Delete image previous to the one selected Its place doesn t stay empty next ee images in the layout are shifted to the left Insert a blank space before selected image Display first page t l Display end page Page Up Display previous page Page Down Display next page If the last page is displayed create a new empty page at the end and displays it Synchronize images in the layout one action on an image is generalized to all 4 7 e n 213 Appendix B Unicode typing in application This chapter covers the following topics Q Unicode typing rules in SE application QO Unicode and Display Fonts Unicode typing in application When using SE Suite applications some windows can pop up with fields filled in yellow This color code means that the corresponding field does not accept Unicode typing In other words yellow fields can only be used with Latin characters Here are some examples of fields prohibiting Unicode typing e Query Retrieve Dialog box DICOM Query Retrieve PATIENT Name ID Birth Date format AAAAMMJJ Display new series only STUDY Accession Number Study ID Study Date Si SERIES Modality Series Number SERVER TO QUERY QUERY RESULTS DYT DICOM SCP ID Birth D Acc Number Study Study date
71. e this option to send selected elements to another medical workstation over a local network or to a remote site All related data of elements studies series images will be sent Export to This submenu is to export selected elements as they are presented on screen to CD DVD media DicomDir Media is to burn a simple DICOM CD of selected elements The CD you create will be fully compliant with the IHE PDI profile You must have a CD recorder on your computer in order to use this function Properties This option displays the properties of the selected element which is the field stored in the database for this element It is possible to modify fields patient name comments and save them in the database by clicking Apply or OK Please contact your administrator to ensure your workstation is configured correctly to enable this functionality 69 Properties Patient Last name First name Birth date Sex Patient ID Comments DEMO CR 85 MAMMO 9 17 1949 Male Female Note When creating a new patient the birth date value is Today date However it is possible to modify an existing birth date by selecting the field to be modified day or month or year and using the arrow buttons in the Properties window Contextual menu for a study item Note The contextual menu on a study in the list is the same as the one ona study in the hierarchical tree Open New
72. e time Of course user can also display common series while a MIP reconstruction is displayed However when a MIP is performed on a series this last one will be closed In other words when MIP application is closed the series will not be displayed anymore MIP rotation User can rotate the MIP volume in order to improve the sensation of depth and render a 3D visualization according another view different from axial frontal and lateral To perform such navigation user can enable the panning button and get the rotation cursor see figure left click on the image keep button down move the mouse vertically and or horizontally to rotate the image and release the button when he gets the MIP view he wants During the rotation the image quality is rather low in order to minimize the computation process and perform a smooth rotation However when the rotation is stopped left click release the obtained image quality is optimal 118 Rotation cursor Note All standard tools are available zoom leveling measurement but the panning tool is replaced by the volume rotation one Enabling the panning rotation tool will cancel measurements Even if the whole functionalities are available some of them are not relevant in MIP context MIP reset le While processing a MIP rotation a user can become lost in the volume Ca and may want to return to the original MIP view By clicking the reset the MIP button the original M
73. e to the printer to see if all DICOM parameters are correct 10 If everything is fine assuming the printer supports the verification DICOM service you should get the message OK Answer received after x seconds at the right of the button otherwise the error will be written Hake an ECHO test OK Answer recerved after 1 s 190 TCP IP Configurations BA Instruction This functionality is not supported anymore in SE Suite Configuring send to e mail lil Instruction The communication directory is available for accounts with Administrator privileges only Please contact your administrator or service people to declare new correspondents to send emails to Presentation In addition to the DICOM protocol SE Client is able to send studies to an e mail address When sending a study to e mail SE Client creates an HTML page including patient and study information and images in Jpeg original dimensions lil WARNING No encryption is made by SE Client on the e mail itself and during e mail transfer Instructions You must provide security outside SE Client on the network you are using in order to protect patient data privacy example VPN You must have an SMTP server connected on the same LAN as SE Client All images of the study are always converted in JPEG format Email application receiving the mail must support HTML e mails The email sender must have an email address configu
74. each Image in layout Bits per pixel 8 Around each Division in layout Background color Black In the Printer section a drop list presents all the DICOM printers defined in your directory see section The communication directory and also the desktop printers installed on your computer Microsoft Windows compatible printers Note Printing on desktop printers is subject to license policy 176 Select the printer on which you want all future prints to be done current printer The current printer can be changed at any time The Format section gives a list of all available film formats for current printer This option is only available for DICOM printers Different formats appearing here are the ones defined for this printer in the directory see section The communication directory Note For each film format check Add to format menu box if you want selected film format to appear in Format menu making switch between formats easier and quicker The Zoom section allows you to specify a fixed zoom value for all images placed in the print layout This value will appear in item Fixed zoom of submenu Zoom in Image menu and in the status bar With Copies number you can give a default copies number to print for each page of the layout You can also adjust number of copies for each print when using the Print option see this section for details on the Print option In the Colors section you give t
75. eb Client Intended Use amp Users SE Web Client Intended Use The SE Web Client is a web based DICOM viewer client of SE Server intended to perform operations relating to the display review and teleradiology exchange of medical images and patient demographic information It is intended for use by the physician or medical professionals whenever they require access to medical images and patient demographic information It is not intended for primary diagnosis SE Web Client Intended Users SE Web Client is intended to be used by Radiologist Physician Technologist PACS Administrator General Practitioner or Agfa Service Personnel or Authorized Service Engineer 202 Installation amp Hardware Requirements Installation 1 Connect to the web server home page e g http webserver User Log in To SE WEB Client AGFA Download the fast version of SE Web Clien Username Password Login 2 Click Here link to download the last version of the SE Web Client 3 Download the SEWebClient exe file 4 Once download is finished execute it Then SE Web Client installer window will be displayed 5 Execute all the steps of the installer until end of installation 6 Login to the SE Web Client with your User name and Password Instruction the Web Client can be downloaded and executed BA with Windows administrator privileges only However it can be used with Windows Standard User account
76. ed inter slice thickness images number to insure that the images volumes will be correctly reconstructed This verification extends the loading time However if slice imaging acquisition modalities CT MRI PET scan series are reliable this verification option can be disabled by a technician to lower the loading time A 11 e f es VOT kE Gad m i J 116 MIP What is a MIP A Maximum Intensity Projection MIP is a volume visualization method for 3D data that projects in the visualization plane the voxels with maximum intensity that fall in the way of parallel rays traced from the viewpoint to the plane of projection That implies that a MIP rendering is exactly symmetrical to his opposite Due to its way of creation a MIP image does not provide good sensation of depth thus several MIP frames of the same volume are computed with a different viewpoint to create the sensation of rotation and 3D OS ORM FAL OO E RR ZOE es Clow OE ue 2 MIP Launching process Note Required conditions to launch MIP functionality only with slice imaging series only when there are more than 30 images in the selected series only with native images but not when the cine mode is running 117 Select a slice imaging series in the browser window Open this series mn Click on the MIP toggle button POA G p Wait the loading end Note SE Client allows several MIP displays at the sam
77. edge experience education or training of intended users they will not compromise the clinical condition or the safety of patients or the safety and health of users m ANNEX II EC DECLARATION OF CONFORMITY Full quality assurance system ISO 13485 m ANNEX X CLINICAL EVALUATION The clinical evaluation follows a defined and methodologically sound procedure STANDARDS ISO 14971 2000 Medical devices Application of risk management to medical devices 14 Performance SE Suite software is designed to store and manage data volumes of 25000 studies per year maximum estimated at a size of 40 80 Mb per study by average Recommended storage volume limits of 1 2 Tb per year should not be exceeded Connectivity SE Suite software communicates with other devices in the hospital network using the following protocols or standards DICOM See SE Suite 1 2 DICOM Conformance Statement m IHE See SE Suite 1 2 DICOM Conformance Statement HL7 SE Suite 1 2 HL7 Conformance Statement 15 Installation amp Support SE Suite software installation and configuration is to be performed by Agfa Healthcare or an authorized and trained Agfa Healthcare dealer The integration of this software on properly selected hardware is a critical element when using this software for the purposes described on page Error Bookmark not defined and should only performed by Agfa Healthcare or an authorized Agfa Healthcare dealer A limi
78. en protection is removed for an element the line turns back to black and the lock disappears from the Protected column Send to Print Layout lt Ctrl L gt This function is available at study level only and allows user to send the whole study content to the Print Layout Default layout is the layout defined during previous printing Note Mammography studies images must be printed in True size with one image per page and For Presentation images only Note Sending big studies to the Print Layout may require some time 71 Copy to Delete Send to Export to Properties These options are similar to the ones in patient contextual menu except that they apply to studies 72 Contextual menu for a series item Note The contextual menu on a series in the list is the same as the one on a series in the hierarchical tree Open New Series Add Report Copy to Delete Send to Import Export to Archive Protect against deletion Properties New Series This item creates a new empty series in the study of selected series Add Report This option allows creating a text report and attaching it to selected series Import Images This submenu is intended to import elements in selected series ee Images option adds image files to the series Supported file formats for image importation are TIFF JPEG and DICOM Imported images are converted to DICOM and stored in this for
79. ent must be registered in the remote station directory see section The communication directory to learn how to register a remote DICOM workstation in SE Client directory To register SE Client in the remote station directory see the remote station vendor documentation When receiving images through a DICOM connection everything is done automatically SE Client receives DICOM images in the background retrieves patient study and series information creates all necessary patient folder hierarchy in its main database and then puts received images inside All new items then appear automatically in the list of Image Browser WARNING application may be configured to manage storage space by removing older images that are least likely to be needed again It is important to ensure that storage is dedicated to images otherwise application may prematurely remove images due to limited storage space 159 Secondary capture acquisition Secondary capture image acquisition is done in currently selected series Instead of using an existing series to acquire into if you prefer to create a new empty patient folder to acquire use the New Folder button in the toolbar You will go through three dialogs first patient then study then series where you will enter folder information Patient s Last name First name Study Birth date Oo 2 Study ID Study date Series Sex O Male O Female iC k Study tim
80. ess SE Client is configured to show studies from separate patients at the same time Double click Double clicking a patient does nothing Double clicking a study opens it opens all the series of the studies Double clicking a series opens it displays images in the series Multiple selection You can select several items in a list a group of lines to apply a function or tool to all this items in one time 49 lt Shiff gt To select a group of continuous lines click the first line of the group hold down the lt Shift gt key click the last line of the group then release the mouse and the key DEMO TSI AB 83 EDEMO TSI B PATTERNS Test FAB 80 lt Ctrl gt To select separated lines hold down the lt Ctrl gt key click each line you want to select then release the mouse and the key DEMO TSI FAB 83 DEMO TSI DEMO TSI FAB 83 DEMO TSI FAB 83 Se PATTERNS Test Note Remember this selection technique it can be used in a lot of places in application like for example on images displayed Adjusting and customizing the list columns The columns of the list are fully adjustable width position and customizable Columns width The width of each column can be adjusted individually To adjust a column width put the mouse pointer on the columns separator the pointer will change to a vertical bar with left and right arrows click and hold the mouse button move the mouse le
81. f elements image thumbnails series or studies can be done in three different ways Double click Double click the element or group of elements will display them on screen according to current Display Format configuration Right click then Open Right click the element or group of elements will present a contextual menu Choosing item Open will display selected elements according to current Display Format configuration Drag amp Drop You can drag an element from the Image Browser and drop it on a particular place on screen This will open the element at the chosen destination on screen Note by default user cannot display series from different patients It includes images and or reports DICOM SR Microsoft Word WARNING An administrator can enable in Application Settings Database section the display of several series from different patient but it becomes his own responsibility disabled by default This introduces the risk of comparing two different patient series as a single patient Once some images are displayed SE Client offers several tools and functions to work on images 90 Old studies SE Client is able to warn you if the studies being displayed are too old to be current exams as determined by acquisition date This avoids doing diagnosis on prior old studies IMPAX SE Client A Warning None of the studies being displayed are within a period of 24 monthis From the
82. f the main toolbar or by pressing lt F2 gt key or by selecting List item in Patient File menu In this window you browse the database s connected to SE Client manage all patients and studies information and select images to display Database selection Tool bar Base Local DB Database Local DB Manual criteria gt fm input zone to filter Last name gt AUTOMATIC list First name FOOT List display mode Patients Studies or Series Current filter for the list Filter All studies zj iig Series Description 2 Jalkatera Study Worklist match s Study date Study ti 092501 Unmatched 23 05 2002 09 25 01 List pe ii Hierarchical tree of current item in list Status bar Worklist and QA mode Image thumbnail Selection size 3 Mb Free disk space 35326 Mb 43 1 record s Total number of items in the list Information about selected item in list Available free space in current database 29 This window is totally independent and can be placed moved or resized to what you prefer It has its own title bar close box toolbar and status bar working the same way as for application window Putting apart the toolbar and status bar the Image Browser is divided in three main zones e the list top e the hierarchical tree bottom left and e the images thumbnails bottom right These three zones are separated by narrow gray dividers or splitters
83. ft or right to the desired position then release the mouse button Note A double click on a separator automatically adjusts column width to the widest text in the column optimizing the width Note Columns width is saved for each list presentation patients studies or series and for each user 50 Columns position The position of each column can be changed to place the columns in the order you prefer To change the position of a column click its header hold the mouse button down drag the column left or right by moving the mouse in the corresponding direction then release the mouse button to drop the column at the desired position Note that while you drag the column you see a transparent image of its header and the actual possible drop target as a vertical blue line Note Columns position is saved for each list presentation patients studies or series and for each user Customizing which columns to display Default Sort You can fully customize which columns of the Select Columns to Display list you want to see or not Reset Columns Mask This Column To customize the columns to display in every list presentation patients studies or series simply right click any column header and choose item Select Columns to Display Columns Parameters S Check the columns that you would like to make visible Use the Move up and Move down buttons to reorder the columns In this dialog che
84. function creates a new empty folder patient study and series This is only needed when you want to manually import images Window Level Enables manual window leveling to adjust luminosity and contrast Contrast Inversion Inverts contrast for all images of series the air DICOM pixel padding value range but only on the anatomic A Note When an image is contrast inverted the inversion is not applied in area Selection This function allows selecting a part of the image area The user will be able to crop mask the selected image area or apply auto windowing depending on the values embedded in the selected area Automatic Windowing This function allows applying on selected image series a windowing depending on values of a selected region on image Default Windowing Goes back to default windowing for all images of series Modality LUT This function allows applying on image a LUT sent by the modality by default GSDF toolbar only accessible by administrator VOI LUT This function allows applying on image a LUT but only on a Value Of Interest by default GSDF toolbar only accessible by administrator 102 Presentation LUT This function allows applying a GSDF Presentation LUT on image by default GSDF toolbar only accessible by administrator WARNING By default the GSDF toolbar is only accessible by administrator profiles Disabling LUT Modality VOI Presentation application either information on
85. h Date Creation Date e In Study view Name Study Date 204 In the SE Web Client a user is able to apply sorting strategies on several columns in ascendant and descendent order both in Patient and Study views Here is the list of columns that support sorting e In Patient view Name First Name Birth Date Patient ID e In Study view Name First Name Study Date Study Time Image Display Area Contextual Menus SE Web Client is limited to the following menus Patent File Image Windowing 7 Patient File In Patient File menu user can Open the browser window List F2 Close active series selected series Close Active Series Shift F4 Close all series Eaa Clase all Ctrl F4 Quit the SE Web Client Application uit Image In Image menu user can Open Tools submenu to select the tool to be activated for the mouse Pan Zoom Tools b Zoom Browse Measurements Calibration Orientation b Panning Dynamic zoom Clear All Measurements Browse in images DICOM Informations Distance Measurements DICOM Overlays Angle Measurements Slices Position ROT with Spline pennis Calibrate Measurements Next page Open Zoom submenu to select a predefined zoom factor to be applied on image Open Zoom submenu to select a predefined orientation to be applied on image Clear all measurements performed during the session Display Hide DICOM information Display Hide DICOM overlays Display Hide slice positions when p
86. he media corresponding to the label requested then validate to display images V Note It is not possible to un archive a series WARNING Be careful not to confuse archiving function with export to CD described in section Reading Burning a DICOM CD Instruction BA Export to CD with or without viewer is something you do for on demand use like for example to give a patient a CD with his exams With this function no track of the CD burning is kept in application database Archiving to CD is something you do regularly to empty your database and migrate studies on an external media Burned CD contains series from various patients and must be kept on a shelf to be inserted when requested because a reference to each CD is kept in application database 76 Open Export Te ue il Protect Against Deletion Use this option to lock selected elements to prevent them to be deleted by automatic database cleanup When an element is locked its line in the list turns red and a lock appears in the Protected column you can also directly click the line of the element in this column to protect it When you protect a study all series it contains are protected as well This option is only necessary when Automatic Deletion is enabled Remove Protection These options are similar to the ones in study contextual menu except that they apply to series Open Copy to Delete Send to Properties Thes
87. he parameters of the current printer The Trim section gives you the possibility to have a white trim drawn around each printed image around each image cell of the layout or both Print Use this item to print the page or pages you prepared to current printer Print Pages Copies number All 1 4 Current page only o 5 fil show this window In the dialog that pops select if you want to print only current displayed page or all pages You can also adjust the number of copies to print to change default number of copies see the Print Setup section above 177 Clear Use this option to remove image in currently selected image cell in the layout the one surrounded by a green frame Clear all images Use this item to clear all images in all pages of the print layout to go back to a blank layout List of Printings This option displays a list of prints you have done with the result status of printing Ok or not Time Printer Type Patient Study ID Progression Status 19 02 21 Auto HP Color LaserJet 4550 P Desktop DEMO KOL 1 Page 1 1 OK 19 01 42 Auto HP Color LaserJet 4550 P Desktop DEMO SLI 1 Page 1 1 OK Close This option closes the print layout Even if you close it you will not lose the composition you did in the layout the images you already put and you will find everything untouched if you reopen it 178 Image menu This menu presents different
88. ics Q Starting SE Client Q SE Client Application Window Starting SE Client m SE Client Login When started application asks you for your login and password to use the application User admin Password Several users each with his own login and password can be created later on by administrator using the independent user administration tool WARNING Fach user profile is derived from a standard profile administrator classic user and guest When disabling options user and service personnel have to keep in mind that these configurations will lock files functionalities and tools access As a result users may not be able to diagnose a kind of series images or perform relevant and specific actions Instruction In this case please contact your administrator to modify your profile and enable the required options Note The advantage of having your own login and password is that SE Client will save several parameters as your personal preferences independently from other user s preferences columns displays columns position and size customized filters and so on SE Client Startup Tutorial SE Client can present you with a startup tutorial link to a web page or document to assist you in getting familiar with the application If you would like to turn this on or off open Options menu and point to User Preferences submenu then select General See section Starting SE Client Preferences set up 23 SE
89. ient ID Accession number Scheduled date Birth datg _Y DANLOSS Ella 4 4 9 1 2008 14 54 00 9 1 2008 Ki HORNOTTOBI Tobbie 5 5 9 1 2008 14 55 00 9 1 2008 CR WW OUCESOIR Ondine 6 6 9 1 2008 14 55 00 9 1 2008 CR lt gt orklist server RIS Paul Worklist Refresh Worklist Querying Show Hide Worklist Filters Click the Show Hide Worklist button to display the worklist a Worklist display Once the Worklist QA mode is correctly set up user can reach his worklist by clicking the Show Hide Worklist button im By entering a value in the Worklist Querying Filters and clicking the Worklist Refresh button user will refine the content of his worklist a 62 Note When sending a Worklist request without any criterion the following warning appears Caution fou are about to send a Worklist request without any criterion The request can take a lot of time or fail and the resulting list can be very big ox Danie Indeed in some cases the worklist database can be big and queries could take lot of time Instruction This warning can be disabled by your administrator in application settings However you have to keep in mind that such a not restricted query can significantly decrease application performances Note It is possible to set up an automatic refresh of the worklist every X minutes via DICOM Worklist item of the Options menu for an Administrator profile a Worklist and Quality Assurance modes
90. ientation menu 173 Use this button to select a landscape orientation horizontal for your pages Zoom factors These four buttons are equivalent to item Zoom in Image menu Use one of this buttons to select a zoom factor to your pages Note To be applied Zoom factors must be setup before sending images to the print layout Note When displayed image is not calibrated there is neither measurement scale nor zoom value displayed on print layout 174 The status bar zoom Fit to window Page 1 The status bar at the bottom of the print layout window gives you some information about the layout configuration At the far right it gives you the total number of pages in the layout and the current page In the middle you will see the current value of image placement zoom current value checked in item Zoom of menu Image 175 Print layout menus Print menu This menu presents different items to configure or setup the prints of the print layout Print Setup Print Ctrl F Clear D Clear All m List of Printings Close Print Setup This item allows selecting the destination printer DICOM or desktop printer where you want to print and adjust its printing parameters r Print Setup Printer Name DRYSTAR v Type DICOM Printer Format Zoom Copies Number Size 8 x 10 in v 100 1 C Add to Format menu Colors Trim Black and White Color C Around
91. ies during saving the images which have been saved before canceling will be created 5 The new MPR series is saved in the original study y MPR end To close the MPR application user has to left click one more time on the MPR toggle button or open new series studies from database window 125 Orthopaedic tools ALTEA BOs Pee V ork eel ZA OVVE KK BUG COCOCOEASNIS gt uneteol Seana a a WARNING There is no guaranteed level of uncertainty for measurements made with the application and the precision of measurement results does not imply a particular uncertainty as uncertainty is influenced by a number of factors many beyond the control of the product The uncertainty of measurements is limited by at least three factors The quality of the input data The user s ability to select appropriate points on the screen The transformations inherent in generating images on a finite pixel display Instruction It is the user s responsibility to understand these limitations and to use the measurement tools responsibly No treatment or diagnostic decisions should be based solely on measurements made with application In addition while application has been tested intensively it is impossible to completely verify any piece of software and a possibility of errors in the program remains 126 General orthopedics tools General functionalities smart frame display online guide are provided
92. iews plans will be automatically displayed MPR layout before left and after right reset MPR smart cursor When the panning toggle button is enabled a smart mouse cursor is available The cursor icon depends on its location in the image Image panning cursor anywhere on the image but the axis a Axis move cursor only on the selected axis near the axis intersection 123 Axis rotation cursor only on axis of course not near the axis intersection where the cursor will change into a axis move cursor Note User can perform axis move rotation panning zooming leveling measurement browse in image in the three views Whatever he does the axis remain perpendicular am While browsing through images of a selected view user can follow the S evolution of this browsing resulting from the axis movement on the other views MPR series saving While navigating in the MPR plans you can find an interesting view and want to save the series corresponding to this view 1 Select the new view of interest 5 4 2 Click the save button IF Note By default a series description is set up but you can replace it A check box allow you not to be prompt next time except if Shift is down when saving a MIP series here series is only one image Check this box if you whish 3 Click ok button to confirm 124 4 Wait the end of saving or cancel Note If you cancel the MPR selected ser
93. ill display Each series place will display a certain number of divisions for images and this number can be different for each series To adjust the number of images for a series 1 Select the series by clicking it in the screen appearance area selected series frame will turn light gray unselected series frames will turn dark gray 2 Adjust the Images in series slider to the desired amount and see how it looks in the screen appearance at the top 151 Example In the screen copy above we chose to display two series simultaneously on the screen one on the left and one on the right In the series displayed on the left we want two images in the one on the right we want six images pply to all series If you want all series on screen to display always the same number of images select the Apply to all series checkbox Note You must tick the Apply to all series checkbox before adjusting the Image in series slider Active displayed series This zone presents two checkboxes to tune display behavior depending on image type Before adjusting these parameters you first need to display some images of a particular modality If no images are displayed these checkboxes are grayed out Adapt maximum layout to current image number When you check this box the number of displayed images in a series automatically adapts to the number of opened images with a maximum to what is set with slider Images in Series If you don
94. imes provides a quicker and more convenient access Tools Zoom Orientation Windowing Filtering Export to Se TS TF TF TFS F Clear All Annotations Clear All Measurements Annotations and Measurements Measurement Scale Slices Position DICOM Informations DICOM Overlays Density Pointer Copy Ctrl C Central Positioning Ctrl E Close Panning ae ee Close Series Shift F4 Browse in images Properties Selection Draw Arrows Free Drawing m Tools submenu Text Annotation This submenu allows access to main tools Distance Measurements Angle Measurements Coxometry Construction Lipman Cobb Construction Gonometry Construction ROI with Spline ROI with Ellipse 3D gt Calibrate Measurements 25 Zoom submenu ne This submenu allows access to predefined zoom values 100 Default zoom for images is Fit to Window images smaller si than window are kept at original size bigger images are 300 shrank to fit in window keeping original proportions 400 Fit to Window 144 Horizontal Flip Vertical Flip Right Rotation Left Rotation Initial Orientation Automatic on selection Save as Customize Automatic 0 Invert Contrast ji Default windowing x 1 My Windowing 1405 3900 Edge enhancement Low Edge enhancement Medium Edge enhancement High Smoothing filter Cancel Last Filtering Original Image Images OrthoView Note You should use this tool when looking for a precise
95. in Communication menu r Directory Your station ALEX IP Address 10 234 85 129 Dicom Port 304 Correspondent DRYSTAR SIGMAPACS Connecti IP Address Line number Context AETitle Speciality DICOM DICOM 10 234 85 141 SigmaPacs Print list 185 Registering a DICOM workstation To create a new DICOM workstation in the directory click the Add button Correspondent modification Name SIGMAPACS Connection type TCP IP O DICOM E MAIL IP Address 10 234 85 141 DICOM Port number 104 Called AE title SigmaPacs Calling AE title SigmaCom Supported Store Print C Query Retrieve Worklist C eMail 1 Give a name for this workstation in the directory this name is free it will not be used in DICOM communications just locally for you Select the DICOM connection type 3 Give the IP address listening port number and the AE Titles to use for the remote workstation 4 Check the boxes corresponding to the DICOM services supported by the remote workstation 5 Click the Options button N 186 DICOM Options 4 DICOM Options Store Integrate local modifications and graphics into images to se Graphics integration method Modifications include patient As DICOM overlays informations image rotations Cs A inversions and windowing Hardcoded in image pixels Graphics are annotations rawings an d measurements Print Magnificati
96. ing through those two points C 2 Select two points B and B on the lower most inclined vertebrae The application draws the segment passing through those two points D 3 Then the application draws perpendicular lines passing through the middle of each segment The crossing of the two perpendiculars lines gives the angle of the scoliosis ait SA Segment C ay Angle equal to AA Pe and BB angle SS VK E _ _ _ _ _ B on 140 Note Radiologist has the possibility to perform several scoliosis constructions on the same image commonly two R dorsal and R lumbar 141 m Orthoview Application integration Note Orthoview is available for US and Canada markets only SE Client allows automatically launches of Orthoview as a modal application and exports displayed images to it for orthopaedic use Templates and reports created in Orthoview are automatically imported in SE Client WARNING When launching Orthoview for templating make sure that images are correctly calibrated How to launch Orthoview via SE Client application 1 Open series or images at least one image 2 Select an image al 3 Click on Orthoview button OR right click on the selected image and point to Othroview on the Export To menu Tools Zoom Orientation Filtering gt gt gt Windowing gt gt Export to Images e Dicom Fi2 Orthoview
97. ing must be configured by an administrator account If left unconfigured application will default to English 17 Software Information amp Support ME To know the software version of application go in the information menu Technical support the question mark at the right of the menu bar and click About The About dialog box gives information about your SE software This information in addition with what you get in the Technical Support panel which gives information on your system environment must be communicated to a certified third party for any support request 18 Patient Data Security The hospital must ensure that the patients legal requirements are met and that the security of the patient data is guarded The hospital must define who can access patient data in which situations The hospital must have a strategy available on what to do with patient data in case of a disaster Environmental Protection WEEE Notice The Directive on Waste Electrical and Electronic Equipment WEEE which entered into force as European law on 13th February 2003 resulted in a major change in the treatment of electrical equipment at end of life The purpose of this Directive is as a first priority the prevention of WEEE and in addition to promote the reuse recycling and other forms of recovery of such wastes so as to reduce the disposal of waste The WEEE logo on the product or on its box indicates that this product must no
98. ion Image windowing Communication Options Display BES iu ae e j Orr te VOT kw LA OHAL HR ra W 2292 a 0606009 g N 10 im s 201 400 Fi 5 oR ry are MPR Launching process Note Required conditions to launch MPR functionality only with slice imaging series only when there are more than 30 images in the selected series only with native images but not when the cine mode is running 121 Select a slice imaging series in the browser window Open this series in the Main Application Window Click on the MPR toggle button gt bY a Wait the image loading progress bar to finish Slice Imaging user has to keep in mind that all the active series will be closed WARNING When launching a MPR visualization with SE Client MPR display and layout When an MPR reconstruction is applied on a slice imaging series the following layout is proposed by default Axial view Sagittal lateral view Coronal frontal view WARNING Once user has performed a single rotation on one of the three axes view this layout is not applied anymore Now the three planes represent new views different from axial coronal sagittal Note User cannot maximize images while using MPR mode MPR reset IE While navigating in MPR views a user can become lost in the new views plans and may want to return to the original MPR views By clicking the reset the MPR button the original MPR v
99. ions you purchased for the software The behavior of application will change depending on the status of the license file Application will operate normally with a valid license installed Ifno license file is installed application will automatically switch to demonstration mode In demonstration mode most of application s features are operational optional features and DICOM communications require a valid license but all images displayed printed or sent are marked with a DEMO mark displayed across the images Ifa license file is installed but inaccessible anymore application will enter a grace period to allow full continued use for 30 days controls based on the release status of the software Unreleased software will contain a banner that reads Pre release version not l WARNING In addition to license controls application contains intended for clinical use m Language Support SE Suite currently supports Latin 1 languages ISO 8859 1 such as English French German Dutch Danish Finnish Italian Norwegian Portuguese Spanish Swedish Latin 2 languages ISO 8859 2 such as Croatian Czech Hungarian Polish Romanian Slovak Slovenian Latin 4 languages ISO 8859 4 such as Estonian Latvian Lithuanian Latin 5 languages ISO 8859 9 such as Turkish TR Cyrillic languages ISO 8859 5 such as Bulgarian Russian Modern Greek ISO 8859 7 Note The language sett
100. is John It is also possible to enter complex names thanks to the character e g Van Der Sar John However Middle name is not supported 2 Scheduled Date Scheduled Time and Birth Date are set by default but can be modified 3 Once you finished to add information click Save to register the new item 4 If you don t have any new patient to create click Close to quit the Data input window If you need to add a list of new entries you can hit New button instead of Close until the ned of the list However you need to click Save for each entry otherwise the last patient will be saved only 82 5 Hit Close button when you finished to enter the complete list of new entries V Note If you click Close before Save data won t be saved in any case Note When editing adding a DICOM Modality Worklist record following fields always need to be filled in patient name study date study time and modality information Note In case the Accession number of an existing record is changed a new patient record will be created Note The content of the Data input window fields to be edited depends on the Columns parameters setting in the SE Client Worklist application In other words any field which is not checked in the Columns parameter settings or visible as a columnin the application may not be edited Therefore it is important
101. items to setup image presentation and image loading mode in the print layout Zoom gt Annotations and Measurements Measurement Scale DICOM Informations Overlay DICOM Load With Double click Zoom Original Fit To Window Defined By The First Image Fixed Zoom 39 Show zoom toolbar Original will load image with the same zoom as the one applied on screen for this image Fit to Window will load image and adjust the zoom to make it fit in destination layout cell keeping proportion Fixed zoom will load image with the fixed zoom defined in Print Setup see section Print Menu to adjust this fixed zoom value Defined by the First Image will load all images with the same zoom as the one applied when loading the first image in the layout Show zoom toolbar will allow user to display the zoom toolbar or not HE 2 179 Annotations and Measurements Check this option if you want SE Client to display annotations and measurements distances angles present on images on screen on images in the layout Measurements Scale Check this option if you want SE Client to display the measurement scale calibration on images in the layout DICOM Information Check this option if you want SE Client to display DICOM information patient name study date in the corners of images in the layout DICOM Overlays Check this option if you want SE Client to display DICOM overlays graphics on images in the la
102. itself in Automatic Mode Database IMPAX SE Q eit lal at we Filter a studies Fy a 9 a Unmatched Done manuall Worklist server RIS Paul Automatic mode default rules configurable by administrator profile only 0010 0010 Patient name 0010 0010 Patient name Patient ww 0010 0020 Patient ID 0010 0020 Patient ID Patient w 0008 0050 Accession number 0008 0050 Accession number Study wv Ww 0010 0030 Birth date 0010 0030 Birth date Patient Ww 0010 0040 Sex 0010 0040 Sex Patient wv 0040 0006 Performing physician 0008 1050 Performing physician Series Ww 0008 0090 Referring physician 0008 0090 Referring physician Study wv 0008 0060 Modality 0008 0060 Modality Series w 0020 000D Study instance UID 0020 000D Study instance UID Study va 0032 1060 Requested procedure description 0008 1030 Requested procedure description Study s 64 W The green check s defines for each database field DICOM tag the application s behavior when updating database The red check s defines the key s to use for automatic reconciliation Level Specifies the level of modification Patient Study Series Key for auto mode Indicates the key s to use for automatic reconciliation Replace Indicates that existing value will be replaced by the new one Fill if empty Indicates that field will be filled in if empty only Therefore existing value will NOT be replaced by the new one Leave as is Whatever the content of the existing
103. jk bjk List presented by series 37 List refresh This button forces SE Client to refresh the list This is sometimes needed to be sure the list presents all the last modifications recently made in the database or the last received exams List filtering In any mode patients studies or series the list can be filtered to display the database reccords that comply with some particular criteria and hide the others records Filtering is crucial when your database has a lot of records to quickly find and display a short list of the records that you need instead of browsing the hundreds of records of your database The Image Browser offers you two ways to filter the list either using the filters drop list or entering some filtering criteria manually The filters drop list This drop list is very convenient because it offers some predefined filters For example a filter for the studies of the day or one for the studies of the last 7 days To filter the list with a particular filter just select it in the filters drop list Filter All studies v The manual input fields At the top of almost each column of the list you find a white zone where you can type some text These input fields allow you to enter some filtering criteria manually v v v Name Patient ID Sex For example Ifyou want to filter the list to only see patients with a name starting with DE type DE in the input field at the top of
104. lti selection with lt CTRL gt or lt SHIFT gt keys pressed down while selecting items Confirmation window always pop up to confirm deletion SE Worklist Client A Do vou really want to delete selected record OK Cancel e Refreshing The SE Worklist Client is based on a Client Server mechanism and can support multiple SE Worklist Client inputs In this case records could be added modified without being noticed on a certain Worklist Client Therefore it is recommended to refresh the worklist view in order to view the latest status Refresh by pressing lt F5 gt e Options Worklist Client options Automatic masks for data Mask of Patient ID Cancel Mask of accession number Cancel Dicom connection IF address of the server Fort number Automatic masks for data It is possible to customize the Patient ID and the Accession Number thanks to masks Indeed you can add a text string before the UID e g PIN or AN in previous screen capture Note Do not remove d it indicates the position of UID compared to the mask text string If you want SE Worklist Client to apply the mask s you defined and automatically generate IDs you just need not to fill in these fields while creating new entry Note It is not needed to restart SE Worklist Client to apply new mask configuration DICOM connection This section is intended to identify the Worklist Server thanks to its IP address and Por
105. mat in database WARNING Incorrect manipulation can occur during import of elements or any modification within databases merge split of patients studies series more precisely at patient studies series image association step An image could belong to a wrong patient Instruction When a patient studies series image association is done during an import or any modification within databases merge split user has to pay attention and be sure that he associates images with the 73 corresponding patient This kind of feature is therefore available only for administrator by default Use standard file browser to select image files or attachments you want to import in series Image Import ax Regarder dans chantillons d images v u O 2em gt au Bureau Collines jpa Coucher de soleil jpg Hiver jpg Mes documents PE RET travail N nuphars jpg Nom dufichier x Evers raoa Fichiers de type All Files Import of DICOM images Import of images is possible only if the character set of the patient data is the same as the one of the image to import Otherwise this message will be displayed SE Standalone A At least one image has not been imported because its language differs from the one of the patient Export to Images This submenu is intended to export the content of selected element DicomDir Media Image option allows ext
106. mation about a particular button of the toolbar This information is more detailed than the tooltip displayed at the mouse pointer when placing it over the button To display information about a button move the mouse pointer over the button icon Note Information on selected button in status bar is not available for all the buttons of the browser window m Data volume for selection This field gives you the volume of data in megabytes corresponding to the selected items in the list This information can be useful for example to know the size of a study before copying it or burning a CD Free space in database This area gives you the available free space in megabytes of the current database with the equivalent in percentage This information is useful to know how much your database hard disk is occupied and avoid saturation 46 available depending on your installation to prevent the database from A Note SE Client has an optional Automatic Cleanup function that may be filling Number of records This field gives you the total number of lines records in the list This information can be useful to know how many records of current database comply with a particular filter 47 The list Presentation The list is one of the main three zones of the Image Browser see section Image Browser As we saw in previews pages the list is the central place to organize and manage information in your database Columns
107. meters are correct If everything is fine assuming the remote workstation supports the verification DICOM service you should get the message OK Answer received after x seconds at the right of the button otherwise the error will be written 188 Registering a DICOM printer 1 To create anew DICOM printer in the directory click the Add button Correspondent modification Name DRYSTAR Connection type TCPAP DICOM E MAIL IP Address 192 168 0 4 DICOM Port number 104 Called AE title DRYSTAR Calling AE title SIGMACOM Supported Store _ Print Query Retrieve _ Worklist _ eMail 2 Give a name for this printer in the directory this name is only a description it will not be used in DICOM communications just locally for you 3 Select the DICOM connection type 4 Give the IP address listening port number and the AE Titles to use for the printer 5 Check the Print box 6 Click the Options button Correspondent modification Name DRYSTAR Connection type TCPAP DICOM E MAIL IP Address 192 168 0 4 DICOM Port number 104 Called AE title DRYSTAR Calling AE title SIGMACOM Supported Store _ Print Query Retrieve _ Worklist _ eMail 189 7 Depending on the printer capabilities select a magnification type then enter the supported film formats values 8 Click button Make an ECHO test 9 This will send a verification DICOM servic
108. n the study Each series can contain several images For example a CT scan exam with a series of 300 images each of them represents body slices at different positions These three buttons are used to select which DICOM information to display in the list patients studies or series The buttons are exclusive that is the list can only show one kind of information at one time patients studies or series To your convenience you can switch between the three modes at any time 36 Name Patient ID Sex Birth date Studies Creation date Creation time DEMO KODAK DEMO M 6 4 1967 1 9 5 2003 09 34 00 Demo ts1 FAB 83 5 9 5 2003 09 33 56 PATTERNS Test FAB 80 1 9 5 2003 09 33 56 Name Patient ID Sex Birth date Study Description Study date tir gt DEMO KODAK DEMO M 6 4 1967 1 RS2095 6 4 2003 2 pemo TSI FAB 83 1 7 1 2002 15 0 2 DEMo TSI FAB 83 2 KNEE 7 1 2002 15 0 DEMO TSI FAB 83 3 Cardiac Catheteriz 7 1 2002 15 0 B DEMO TSI FAB 83 4 TEE Echocardiogram 7 1 2002 15 1 pemo TSI FAB 83 5 7 1 2002 15 1 PATTERNS Test FAB 80 1 7 1 2002 14 5 S k Name Series date Modality Description BodyPart Performing phy A DEMO KODAK 6 4 2003 CR PA ABDOMEN BR Demo TSI 2 14 1995 xA ABC AR DEMO TSI 12 22 2000 CR BR Demo TSI 7 1 2002 cT ABC RR DEMO TSI 7 1 2002 MR SAG 3D BR DEMO TSI 7 1 2002 us AO LA FIST 4CHAM RE PATTERNS Test 7 1 2002 oT ARM gt a List presented by patients List presented by studies b
109. ndows in the application It could happen that windows are hidden in the application because of display parameters modification or window resizing In this case user can reset their position by clicking Reset Browser Browser Views Background color ET Patient history Collapse patient history Expand patient history In Views User can select the color of the Browser window background a k a database window In Patient History user can choose the way patients studies series are dispalyed in tree view part of the browser window See section Image Browser a Warning Warning Warning I Enable warning for too old study for diagnosis Validity duration for diagnosis in months 24 SE Client can warn user via a message window when studies displayed are too old for diagnosis User can enable this option and specify the validity duration for diagnosis in months The warning will appear when studies series images are older than the validity duration 200 5 SE Web Client The SE Web Client is a subset of the SE Client application Therefore the key functionalities and main behavior are similar in the both systems However the SE Web Client is limited and some features are not proposed This chapter is mainly intended to explain what the SE Web Client limitations are The current chapter contains the following topics Q Intended Use amp Users Q Installation amp Hardware Requirements LI SE W
110. ne net eeu Ur Terre a Teva Teva vev a reverevereT rev 23 SE Client Application Window ssesseseesessesseseesessesseseesessessesersessesseseese 24 The User Inter AC Eeee E E a E ER E ERE ERRA 27 Daane BOWS C ernt an ane caer sae nae a aaa 28 PReSENLAHlONS nissan ke eee eee ee 29 EC POO MD AE washas tes detect ers Areca rac hoas fous Moan tone hina Nala ditt Meatana dite Meade 31 The status bar ests srtca mare hare rntiace ot eke quarters arhanees eanleea anne coohe ome ues 46 TA A TE E E D PN eat PAN DN PA I P IN IOE ION IOE IOS PO wat PA IO E 48 Thehierarchical Mee rer n E terete tren rrr crn rtrre mmr ctr marr rtEn 54 Images tThumbnalls eriin in a E 57 The Worklist and QA f netonalii eSessanannio nonada a 62 Contextual menus in Image BrOWSEL ccseccseccsececceeceeccesceseeeeceascnsees 66 ral e a Ve a aT E e AN rae ee T 79 SE Worklist Client sss ease lest alec ttre 81 Imace Display ATE dn cvs auras nnwnweormunnwvawens 88 kchicl echt 01a te eT ee ee 89 Opening images for display ccccsseccesccescceneceseccsceeeccesceseceeeceneceaees 90 Image area display 1001S nsss sansa 92 Image display fUNCtIONS ccccccsecceeccencceeecceeccenceencceeeceeeceeeceeseeeeeees 102 OD UNC OA AE E nue O A wee eeu weet eit E A 116 Orthopaedic tools susie ata ene aks aerial atalaiadtdtt tta teles 126 Contextual menus On MACES jcc EE 144 COMMS UTING 1 16 IMACS a E aa aaa 149 Set the presentation Of IMAGES ccccss
111. nized the following modifications are applied to both of the synchronized series at the same time panning zooming predefined zooms rotation flip zone selection next image next page Note Windowing filters manual windowing and cine mode tools are not applied to the both synchronized series Only two series can be manually synchronized Automatic synchronization The automatic synchronization can be performed by two ways 1 No series are displayed User clicks on the Synchronize study s series toggle button to enable the functionality Later the two opened series will be automatically synchronized zf 2 The Synchronize study s series toggle button is disabled Whether user opens two series of the study they will not be synchronized To synchronize the displayed series user has to click the toggle button 7 Note Automatic synchronization is a smart tool Indeed SE Client will automatically choose corresponding slices related to physical patient position within the two selected series of the same study In other words even if series have different slice number and or different slice spacing the selected image in first series is always synchronized to the corresponding image in second series on which patient position is the same one An automatic synchronization can only be performed on series of the same study in order to allow application to match the two images due to patient position monitoring 11
112. o open the print layout window click this button or press lt F4 gt L on the keyboard Menu bar SB 2 amp Toolbar i Bl pr min E pE Er E JH E it B ct H Printed page a content Your Status bar lt a Zoom Image complete Page T hospital logo Printed page footer Page currently displayed and total amount of pages 167 This Window is totally independent and can be placed moved or resized to what you prefer It has its own title bar close box toolbar and status bar working the same way as for application window The content of the print layout is split into one or several independent image cells depending on the chosen layout image disposition Each cell can welcome one image SE Client will then justify the images at the left or right depending on laterality You compose the content of the print layout by placing images or portions of images manually in image cells of the layout 168 Manual composition You compose the content of the print layout by placing images or portions of images manually in image cells of the layout Before loading an image in the layout you must first choose a destination printer and a page format and then select a particular layout m Image loading To load an image in an image cell of the layout you have several possibilities to your convenience Drag amp drop from display Open an image on display while
113. o tnns nus 201 Intended Use Se USETs c ane aee sre atau Os ares aes Mooa aie eree 202 Installation amp Hardware ReEquireMents ccccseccseceecceeceseceecesceeeeaeceees 203 iS smh Ce 5 isi a ad boa eo Wo 0 Sorneta arte te ae ee otter EE ir rao rene a neae 204 Appendix A Keyboard shortcuts ccscccescssccencceeccsecanceeecesecesceeecesecesceees 211 SE Ghent keyboard Shortcuts cccsancnradsvntniawsawientinvdenimavenioninnieun 212 Appendix B Unicode typing in application cccccccsecceeccseceecceeceeeeaeceees 214 Unicode ty pine 1 ap PlCatiOM ysis asc ceerxsawschs eek Sie aden staus Chacandea EN 215 Unicode and Display FON ueri eee ee eee eC EEEREN REE 218 Appendix C DICOM Character String Maximum Length cccecceeeeees 219 DICOM Character String Maximum Length Table ssessessensenseessessessesse 220 CE 0413 Fig 1 CE Label No parts of this document may be reproduced copied adapted or transmitted in any form or by any means without the written permission of Agfa Gevaert N V Agfa Gevaert N V makes no warranties or representation expressed or implied with respect to the accuracy completeness or usefulness of the information contained in this document and specifically disclaims warranties of suitability for any particular purpose Agfa Gevaert N V shall under no circumstances be liable for any damage arising from the use or inability to use any information apparatus me
114. oard 217 Unicode and Display Fonts Depending on the configuration of your system e g Operating System Available Fonts Regional and Language Options Non Unicode fonts may not be correctly displayed e g wrong representation of characters when adding text on images In this case you need to select a Unicode font in the proposed list such as Arial Unicode MS This may happen when using configuring m The Glossary in Font Colours options gt The Add text feature in Properties i m The User Preferences section Image User preferences User preferences General Mouse Image Measurement Visualization Windows Browser Warning Default Image Colors Text color Information color et Overlay color Annotations color Drawing colors EEE Arrows color QE Text color Mask color Black C White Fonts Dicom infos font Arial v 12 Measurements font Arial fo Cancel Apply 218 Appendix C DICOM Character String Maximum This chapter covers the following topics UDICOM Character String Maximum Length Table DICOM Character String Maximum Length Table Maximum length Character Set Accession Number Scheduled Station AE Title Modality Scheduled Performing Physician Name Scheduled Procedure Step Description Scheduled Station Name Scheduled Procedure Step Location PreMedication Scheduled Procedure Step ID Requested Contr
115. of selected item of the list in this hierarchy The hierarchical tree is automatically updated when you select another item in the list If no item is selected in the list the hierarchical tree area is empty 54 On the left of studies lines a little square button with a minus sign allows you to show or hide the content of a study the series When displayed for the first time the tree presents the content of all studies When the content of a study is hidden the little button turns to a plus sign A user preference will allow you to determine whether the hierarchical tree is expanded or collapsed when in patient or study view Depending on the number and size of elements in the tree horizontal and vertical scrollbars can appear on the sides of the tree How to use the tree 1 Select an item in the list above this tree you will then see the hierarchy of selected item in the tree 2 Select a study or series in the tree you will then see its images thumbnails in the thumbnails area see paragraph Images thumbnails Each line of the tree gives you quick information about the element it represents e Patient icon then patient s last and first name Study icon then study date and time e Series icon then series modality series number and quantity of images in series oo y 30 amp e GSPS icon then number of images referenced by the presentation state object e Reporticon then the report title Note In
116. on screen by familiarity with the colour Colors for annotations Annotations You may select customized colours for drawings arrows and text lt Select Options gt User Preferences Select Image and choose the colour Te that you would like to use an An administrator may also set default behaviour by performing the same configuration after selecting Options gt Default preferences Measurements You may select customized colors for angles segments ellipses splines and for the orthopaedics tools Select Options gt User Preferences Select Measurements and choose the colour that you would like to use An administrator may also set default behaviour by performing the same configuration after selecting Options gt Default preferences Magnifier You may select customized colours for the zoomed magnifier window Select Options gt User Preferences Select Visualization and choose the colour that you would like to use Note An administrator may also set default behaviour by performing the same configuration after selecting Options gt Default preferences 157 Acquiring Images E DICOM reception m Secondary capture acquisition 158 DICOM reception As soon as SE Client is started it can receive DICOM images pushed from a remote DICOM workstation In order for SE Client to accept incoming DICOM images from a remote workstation this workstation must be registered in SE Client directory and SE Cli
117. on series date will allow you to better understand the mechanism and logic of associating date formats and date operator to filter the list on dates To filter series list on What to type in input field of series date Series of the 7 1 2002 7 1 2002 Series until end of 2002 12 31 2002 Series since beginning of 3 3002 1 1 2002 Series of 2002 1 1 2002 12 31 2002 Series of today Series of yesterday Series of the last week Series of this year y Note This mechanism applies to all date fields patient s birth date study date series date If you entered several criteria in several fields you need to erase each field s content to get the full database that can be annoying One nice hint is to switch between two database views e g Patient view and Study view to reset criteria Date format in filter must be the same as the one displayed in columns DD MM YYYY or MM DD YYYY etc WARNING One of the typical traps of filtering the list is that it hides some of the records of your database to display only a selection of them If a particular filter is active on the list but you didn t pay attention to it the list may look like some records you are searching for are missing In fact they are just hidden because they don t comply with current filter 40 lil Instruction As a security before searching for a particular record in the list always check that cu
118. on type Available Title Colum Row Pixel size Make an ECHO test Select Integrate local modifications and graphics into images sent If you do local changes on images you have received changes in patient demographics windowing adding annotations SE Client will apply them into the DICOM files before sending them to another destination You have two ways to integrate graphic modifications As DICOM overlays Hard coded in image pixels Integrating as DICOM overlays is the best option available because the data in an overlay is stored separately from image pixels and can be displayed over the image Hard code graphics in pixels make it impossible to remove them from images afterwards Nevertheless hard code graphics in image pixels is more simple and universal because not all image viewers are able to display DICOM overlays WARNING Loss of information within the image can cause misdiagnosis Enabling option lt Hardcoded in image pixels gt is in the responsibility of the user When ROI and or any annotation are hard coded in the pixels some relevant information within the image might get lost because the original pixel information is replaced by the ROIJ annotation Choose the best way to integrate graphics based on your DICOM workstation environment over the network Click button Make an ECHO test 187 This will send a verification DICOM service to the remote workstation to see if all DICOM para
119. ork with it Training requirements may vary from country to country User must make sure that training is received in accordance with local laws or regulations that have the force of law Your local authorized Agfa Healthcare dealer can provide further information on training The user must note the following information in the preliminary section of this manual Intended Use m Intended User Safety Directions 12 Product Complaints Any health care professional for example a customer or a user who has any complaints or has experienced any dissatisfaction in the quality durability reliability safety effectiveness or performance of this product must notify his local authorized Agfa Healthcare dealer who installed this product or ultimately Agfa Healthcare If the device malfunctions and may have caused or contributed to a serious injury of a patient the local authorized Agfa Healthcare dealer who installed this product or ultimately Agfa Healthcare must be notified immediately by telephone fax or written correspondence to the following address Agfa Healthcare Service Support local support addresses and phone numbers are listed on www agfa com Agfa Healthcare Septestraat 27 2640 Mortsel Belgium Agfa Healthcare Fax 32 3 444 7094 Compatibility SE Suite 1 2 software must only be used in combination with other products or components if these are expressly recognized by Agfa as compatible You should consult Agf
120. osition 4 landmarks following the order depicted on next figure 2 Second landmark radiological centre of joint I This point is obtained by the crossing between a line tangential to the femoral condyles M passing through A and A witha perpendicular line passing through the centre of a segment delimited by the two upper extremities of the eminentia intercondylaris BB Method User has to position A and A landmarks on femoral condyles then SE Client will automatically draw the segment M which extremities are A and A points User then chooses two points B and B on the eminentia intercondylaris The application draws the segment BB and the perpendicular line to M crossing BB in its middle This point is the radiological centre of joint I Point I knee radiological centre of joint 3 Third landmark C C is in the middle of the segment defined by the internal point of the lateral malleolus on fibula in the example and the medial malleolus on the tibia in the example This segment should be tangential to the upper boundary of the talus 136 Method User chooses two points on the malleolus D and D the application then draws the segment tangential to the talus passing through D and D and the middle of this segment C n P Fi D p 4 Segments drawing When those points are defined SE Client draws the CC CI and C I segments and gives the angle CIC
121. ossible Previous Series Next series 205 Display the density pointer next to the mouse arrow Switch to previous next page Switch to previous next series Windowing Automatic on selection In Windowing menu user can select a utomeatic Invert Contrast i windowing to be applied on image Default windowing Automatic Inverted Default Predefined Brain 40 80 Predefined filters can be applied thanks to Postetionbessa SUIN accelerators e g key 1 for Brain Bone 400 2000 Chest 600 1600 Abdomen 30 300 Ear 500 4000 SE Web Client About box Toolbars SE Web Client is limited to the following toolbars therefore functionalities Panning Use this tool to move image around on screen This tool is particularly useful when image doesn t fit on screen Dynamic Zoom This tool allows zooming image A little menu associated with this button gives you access to predefined zoom values Selection This tool selects a portion of image This selected portion can then be used with several functions image crop send to print layout Distance Measurement Use this tool to measure distances on image Measured distances are shown on the left side of image Angle Measurement Use this tool to measure angles on image Measured angles are shown on the left side of image Density pointer Use this tool to show a tool tip on the side of the mouse pointer giving you image density under the pointer
122. pressing lt CTRL gt drag an image to a destination cell of the print layout The image will be loaded in the destination cell of the print layout Double click from display If you have selected option Load With Double click in Image menu of Print Layout window see paragraph Image Menu you can directly load an image from the screen to the print layout Drag amp drop from the Image Browser From the Image Browser you can select one or several image thumbnails or even a whole series click it and keep the mouse button down drag on top of a destination cell of the print layout then release the mouse button The image or group of image will be loaded in the layout starting at the destination cell SE Client will automatically create the number of needed pages depending of current layout to place all images in the layout 169 Send to Print Layout from the Image Browser SE Client allows you to send all images in a study to a print layout by right clicking the study in the Tree View and clicking Send to Print Layout Note There are additional constraints when loading Mammography images in a print layout It is only permitted to have one For Presentation image per film in True Size mode For Processing images are not permitted SE Client will also align the images in such a way as to minimize the border of the film 170 Loading a portion of image To load only a portion of an image open the image sele
123. prevent image demographics from overlapping image data Density pointer This item has an ON OFF status depending if you want to show or hide a tooltip on the side of the mouse pointer giving you image density under the pointer WARNING Pixel density value and unit are read from the original DICOM data and are not modified by any SE Client image processing when displayed Copy This item copies selected image in the clipboard so image can be pasted in third party software This function is useful when you want to copy and paste an image in a report or a presentation Central positioning If you have moved them with Panning tool this item re centers all images of the series in their window Close This item closes selected image It is equivalent to click the little cross at the top right corner of image Delete Administrators may use this option to permanently delete an object or group of objects from the database 147 Delete A Color Color Select TTE E I E EEn To avoid accidental deletions application will prompt you for confirmation By default this option is only available to administrative users Close Series This item closes selected series Properties This item displays select image properties that are stored in the database Save image presentation You are able to create a Greyscale Softcopy Presentation State GSPS preserving presentation changes to the image fo
124. r later use by clicking the Save Image Presentation to GSPS button in the main toolbar The ability to create a GSPS is linked to a preference that must be granted by an administrator Measurement contextual menu When a measurement is finished user can move the measurement draw delete it and results too or edit the color thanks to the following contextual menu which can be displayed with a right click on the measurement draw When a color is selected and applied the measurement draw color will change but the results color too This functionality is especially useful when a lot of measurements have been performed on the same image 148 Configuring the image area m Set the presentation of images m Set the appearance of tools 149 Set the presentation of images The way SE Client handles display of images number of simultaneous series on screen number of images per series images layout is set by the configuration defined in Display Format control panel When installing SE Client display format comes with a default configuration that should fit most of sites without needing any changes Nevertheless it can happen that you need to adjust display format for particular needs SE Client can handle up to two monitors for images display Display format control panel Ep To open Display Format control panel click the Display Format button of the main toolbar or press lt F3 gt on the keyboard
125. racting all image files from a series and converting them to a multimedia format like TIFF or JPEG and using them in other software Select destination path for exported images and adjust export parameters Image Export amma 1 Select export file format Original is DICOM 3 ea OJPEG DICOM N If JPEG select compression ratio 3 Ifyou check Zoom exported image will keep its current display zoom JPEG Compression CD export options are similar to the ones in patient contextual menu except that they apply to series Archive This option is to archive series on media e g CD and keep a reference in the database thanks to a volume name and a serial number Archive CD is compliant with the DICOM standard DICOM part 10 as well as the Universal Disk Format UDF file system for use on re writable CD media saturating your database Archive CD must be kept on a shelf close to the application to be inserted manually when the application asks for them VV Note This archiving function allows the storage of series on CD to avoid e How to archive a series Prepare your media The media where data will be stored must include a Volume name and a Serial number assigned by Micorsoft Windows during formatting click on the drive letter containing the media via the file explorer then type an unique name for the whole of the media used for archiving It may be possible that this functionality
126. rating an image may lead to an incorrect measurement scale implementation As a result all measurement values may be wrong 95 Distance Measurement Use this tool to measure distances on image Measured distances are shown on the left side of image Angle Measurement Use this tool to measure angles on image Measured angles are shown on the left side of image Note Acute 0 gt 179 9 angles are possible only no obtuse angles 180 gt 360 Density pointer Use this tool to show a tool tip on the side of the mouse pointer giving you image density under the pointer Undo Cancels the last modification to an image on screen Redo Re applies the last modification to an image on screen Note You have the choice of measuring an angle by defining 3 points where a common centre point is possible or 4 points where there is no common centre point You may configure this by selecting Options gt User Preferences then selecting Measurements Select the 2 Segment option to allow angle measurements with 4 points An administrator may also set the default behavior by performing the same action in Options gt Default Preferences Show hide information on images or CTRL R Information can be displayed as overlays on images The nature of the displayed information is chosen among data embedded in the displayed DICOM image Following kind of information are shown or hidden Patient demographics Scale Annotations Mark
127. ration method Print Magnification type CUBIC v Maximum Density in OD 320 between 100 and 400 OD Send of Presentation LUT Illumination in cdrr 2000 between 500 and 4000 cdrr Reflected Ambient Light in ed rr 10 between 0 and 200 cd m Unit Inches O Centimeters Available Title Columns Rows Pixel size 3852 4880 50 O 5376 6922 50 O 69221 8368 50 Make an ECHO test Note You can choose between 2 units for print formats inches or centimeters 183 Communication Communication is a key feature of SE Client The workstation is able to send and receive images in many different ways and do some cooperative work with a correspondent Any remote workstation which will communicate with SE Client must be registered in SE Client communication directory The communication directory TCP IP Configuration Configuring send to e mail How to send studies 184 The communication directory lil Instruction The communication directory is available for accounts with Administrator privileges only Please contact your administrator or service people to declare new correspondents in this application communication directory The communication directory is at the heart of communications in SE Client It registers and maintains parameters of all remote workstations that will communicate with SE Client whatever the communication type is To open the directory choose item Directory
128. rectory and SE Client must be as well declared on the remote station These declarations on both stations introduce an access control to your database It gives access permissions to your database only to stations declared in the directory This is crossover verification between stations 162 Querying a remote DICOM server To open the Query Retrieve window select Query Retrieve item in Patient File menu This window is divided in two main zones Patient File List F2 Close Active Series Shift F4 Close All Ctrrl F4 Query Retrieve Print Layout F4 Quit at the top the section where you enter the query criteria select the server to query and send the query command atthe bottom the result of the last query and the retrieve import command Selection of the server Criteria zone for gt p the query Query result list of series Status bar to query G mam DICOM Query Retrieve la PATIENT STUDY SERIES Name Accession Number Modality Study ID Series Number Birth Date Study Date format AAAAMMJJ i C Display new series only SERVER TO QUERY SIGMAPACS v QUERY RESULTS Name ID Birth Date Acc Number Study Study Date Series Modality Images 163 At the top of the window you find the three sections patient studies and series allowing you to give some search criteria on each level of the DICOM hierarchy patient s name
129. red within its user profile in the SE User Administration Tool Please contact your administrator for more information 191 Creating an email recipient 1 Inthe directory create a new recipient as follows Name Fabrice s email E z Connection type TCP IP O DICOM O E MAIL Context type No context v Speciality DICOM eMail SMTP server mail telemedecine net eMail address fabrice moulene telemedecine net Select E MAIL connection type give the correspondent e mail address and the address of your SMTP server and then click OK When sending a study to e mail here is how the e mail looks like at the recipient mailer io Fichier Edition Affichage Outils Message 2 4x ov a De Jean DUPONT Date dimanche 28 septembre 2003 11 39 A Fabrice s email Objet John DOE M 20 09 1959 John DOE M 20 09 1959 Series 798 28 09 2003 Modality OT Description ABDOMEN A sample series Physician DR TAN Radiologist DR JECKYL Image 1 Image 2 192 How to send studies Presentation Whatever is the type of destination to send to DICOM or e mail the way to send elements is always the same Elements to send can be patients studies or series you cannot send just an image You can send one element or a group of several elements you select Sending elements 1 Open the Image Browser and display the list in presentation mode you wish p
130. rrent filter and manual input fields match the records you are looking for Adding a custom filter to the filters drop list SE Client gives you the possibility to create some custom filters that will be added to the filters drop list Each custom filter created is only for one list presentation patients studies or series Custom filters are saved independently for each user To create a custom filter 1 4 If you want to start from an existing filter select this filter in the filters drop list then enter one or several criteria in the input fields at the top of the columns of the list Press the Add Filter button EJ In the dialog that pops up give a name for this new filter This name will appear in the filters drop list Add a filter for the list X Actual search criteria of the list can be saved as a personalized new filter with the name of your choice The new name will appear in the filters menu Save this filter as My Filte If you want click the details button to see the combination of criteria used for this filter This check is not mandatory but it is a good way to understand and verify what your filter actually does 41 Details of the filter x The new filter will be based on the currently selected filter AND on the other filtering criteria that have been entered in the drop lists atthe top of the columns ofthe list The filtering criteria for this new filter will b
131. study date series modality You can enter one or several criteria or you can also leave all this fields blank In this case no restriction will be send with the query and you will get all series available on remote server WARNING To minimize needed resources and network traffic it can happen that some servers do not accept queries without any criteria Diagnosis could be delayed Instruction In this case specify at least one criterion for example a study date or a patient name Once you have entered criteria select the remote server in the drop list and click the Query button After a few seconds you will get the result of the query in the list below If an error occurred you can read it in the status bar Note In Q R window all dates must be entered in the form yyyymmdd Also character is used as a separator between patient s first and last names Note Wild card matching is interpreted only for Patient Name and Patient ID in Query Retrieve Dialog For other fields Accession Number Study ID Modality Series Number Fields of type date time wild card is deleted from the specified value C Display new series ony Before sending a query check Display new series only if you want SE Client to display only series that you don t already have in your main database This reduces the size of the results list and avoids retrieving series you already have in your database If box
132. t be disposed of or dumped with household waste The owner of the equipment is liable to dispose of all electronic or electrical waste equipment by delivering it to the specified collection point for recycling of such hazardous waste Collection and proper recovery of electronic and electrical waste equipment at the time of disposal will allow the producer to help conserve natural resources Recycling of the electronic and electrical waste equipment will ensure safety of human health and the environment For more information about electronic and electrical waste equipment disposal recovery and collection points please contact your local waste disposal service or producer distributor of this equipment If your equipment contains removable batteries or accumulators please dispose of these separately according to local regulations x o The WEEE logo EN 50419 2005 19 Safety Directions WARNING Read the AGFA Healthcare System Safety User Manual WARNING Strictly observe all warnings cautions notes and safety markings within this document and on the product WARNING Safety is only guaranteed when trained Agfa personnel have installed SE Suite WARNING All Agfa medical products must be used by Agfa trained and qualified personnel WARNING The user is responsible for judging image quality and controlling environmental conditions for diagnostic softcopy or print viewing WARNING It is the responsibility of the
133. t number Note Port number must be 3320 87 Image Display Area Presentation Opening images for display Image area display tools Image display functions 3D Functions Orthopaedic tools Contextual menus on images 88 Presentation ER ons ot upss Ioma en CEILCC OF etm 4 k n amp As a DICOM workstation SE Client is able to display DICOM images coming from many modalities Images can be static or dynamic sequences monochrome or color SE Client s ease of use and good performances in image loading and display makes it very intuitive and efficient to work with SE Client display behavior is defined in Display Format control panel Default display behavior should fit the majority of needs so it should not be necessary for you to change it Nevertheless if you need to change the display behavior see paragraph Set the presentation of images image if SE Client detects that the image is lossy compressed Lossy compressed images are much smaller and enable fast downloads but are not recommended for diagnosis due to the nature of the compression h WARNING An icon Q is displayed in the top left corner of an 89 Opening images for display All images opening in SE Client is done from the Image Browser or Series Tray when enabled In this window you can select to open in one time one or several images one or several series or even one or several studies Opening an element or group o
134. tart or Ask at next start option under the Start up tutorial section Ifyou select Display at next start the startup tutorial will be automatically launched at next login for this user account only If you select Ask at next start a pop up window will ask you if you want to display the startup tutorial or not for this user account only Note The Startup Tutorial can be displayed if your administrator defined the link in the system settings only 197 Mouse Mouse management Mouse Wheel Zoom Browse in images In this section user can define whether its mouse wheel when existing is dedicated to zoom OR browsing through images contained in series Image PENE This section is dedicated to information w annotations and drawing rendering aes User can modify the colors of text and Duri annotations but also the font of DICOM information and Measurements Annotations color results text strings Drawing colors S Arrows color mm In Drawing options the Drawings and C Arrows thickness can be cutomized jakar The Display Options check box allows ee the display of DICOM information on a image on the opposite side of the body Dicom infos font p art i Arial 12 v Measurements font Arial v 10 v Drawing options Drawing thickness C Fine Medium C Thick Arrow thickness C Fine Medium Thick Display options I Display DICOM information on
135. te name If you put images from different patients some fields in the footer stay blank patient information and you can edit them manually Editing the content of the footer To edit any field in the footer to change its text just double click the text or anywhere in the footer You will get a white edit zone where you can enter the text you want then validate by pressing lt Enter gt 172 The toolbar The toolbar of the print layout window is composed of icons and controls that give you a quick access to main functions in this window Portrait orientation Zoom defined by first image Print pages Previous next page o HOO Hl 298 we E Landscape orientation Fit to cell zoom Clear all images from Original zoom Fixed zoom factor print layout m Print pages This button is equivalent to item Print in the Print menu Once you have composed the page or pages of the print layout use this button to start printing You will have the choice to print only current page or all pages Clear all images This button is equivalent to item Clear All in the Print menu Use this button to clear all images in all pages of the print layout to go back to a blank layout Portrait orientation This button is equivalent to item Portrait in the Orientation menu Use this button to select a portrait orientation vertical for your pages Landscape orientation This button is equivalent to item Landscape in Or
136. ted number of configuration tasks can also be performed by the customer after a training course has been provided by the authorized Agfa Healthcare dealer or by Agfa Healthcare Contact your local authorized Agfa Healthcare dealer for more information Operating System The SE Client Standalone runs under Microsoft Windows XP SP2 and SP3 Microsoft Windows Vista Business Edition SP1 32bit The SE Server including Web Server runs under Microsoft Windows Server 2003 SP2 Software Installation A customized setup must be done for your site by authorized service engineer to register in the workstation the different image sources and printers that will be connected to SE Client and adjust application parameters to maximize performance and image quality WARNING To guarantee the complete image quality chain and to be allowed to diagnose with SE Client software it is mandatory to connect monitor s DICOM calibrated and to control regularly the quality of the display according the recommendation of your monitor vendor Instruction Refer to your monitor vendor quality control guidelines to define your quality control procedures and calibrate the monitor s Instruction In multi monitor configuration check that screen calibration is the same 16 Software Protection SE Suite components are licensed via a software license file stored on your computer This key contains your base license as well as the opt
137. text menu that will allow you to select a new status The status is study specific therefore all SE Client users will see the status you set 52 WARNING Study status should not be used to drive workflow It is not driven by a RIS and not automated in any way It is provided to allow you to share additional status information with other users of the system Note The system may be configured to add additional study statuses Contact your administrator for details 53 The hierarchical tree Presentation Located at the bottom left the hierarchical tree is one of the main three zones of the Image Browser see paragraph Image Browser DEMO TSI Current patient Current study Current series O 721 2002 15 04 37 kk MR 1 14 imagets nF Button to see or hide the content of a study xk s 1 2 images G fe 7 1 2002 15 12 52 xik US 1 3 imagefs Sf 7 1 2002 15 13 50 He CR 1 2 imagefs This tree represents the DICOM hierarchy of selected item in the list G Measurements 3 01 02 2006 11 48 55 kjk an KNEE 1 1 images a Bp PR 1 1 instances This tree represents the availability of a standard DICOM grayscale softcopy presentation state object As explained in paragraph Image Browser SE Client database is organized in four hierarchical levels patients studies series and images This tree shows you graphically with a different icon for each kind of element the position
138. the current image and is specific to this image WARNING When applying a predefined window level after save as the actual window level applied is the combination of predefined Window level and application of the VOI LUT Note When there is a non linear VOI LUT displayed windowing is not linear either 107 m The lt Shift gt key and Mouse Buttons The lt Shift gt key Except a few exceptions by default in SE Client functions and tools are applied to all images of the series If you want to restrict current function or tool only to one selected image press the lt Shift gt key when applying it Left button Clicking the left button applies current function or tool on image Right button Clicking the right button displays the contextual menu on image to choose a function or tool to apply Left Right buttons Clicking the left and right buttons together does a zoom of selected image regardless of the currently selected tool or function Wheel button If you have a mouse wheel enabled mouse attached to your computer select Options gt User Preferences gt Mouse to determine its behaviour By default the mouse wheel will zoom the image on screen You may also change the configuration to Browse in Images Note Zooming with the mouse wheel is not as precise as using predefined zoom factors 108 a Navigation toolbar The amount of images generated during a slice imaging modality acquisition CT MR P
139. the bottom right of each image DEO OT WG MR US Mihi FEAT B LMLO z HLG IP HA 98 a Other tools available through menus and toolbars V Note Spline or Ellipse ROI measurement data such as Standard Deviation or Average Density is calculated from image area that is covered by ROI only In other words these values are null outside the image area Spline or Ellipse ROI measurement value such as Standard Deviation or Average Density is always 0 on color images ROI with spline You can do measurements on Regions Of Interest ROI having a complex shape using a spline curve l 2 3 4 Select the ROI with spline tool Click image to place the different points of the contour Finish with a double click The ROI will be closed automatically and the measurements will be shown on the left of image as below If you need you can still adjust the ROI afterwards by moving each point independently the results are automatically recalculated ROI with ellipse You can do measurements on Regions Of Interest having a circular or elliptical shape l 2 3 4 5 Select the ROI with ellipse tool Click image and hold the mouse button Move the mouse to get the appropriate shape Release the mouse button The measurements will be shown on the left of image as below If you need you can still adjust the ROI afterwards by moving one of the four handles the results are automatically recalculated 10
140. thod or process disclosed in this document Agfa Gevaert N V reserves the right to make changes to this document without prior notice Agfa Gevaert N V Septestraat 27 B 2640 Mortsel Belgium Windows and Windows XP are trademarks of Microsoft Corporation SE Suite 1 2 is a trademark of Agfa Gevaert N V Belgium Agfa and Agfa Rhombus are trademarks of Agfa Gevaert N V Belgium or one of its affiliates For more information on Agfa products and Agfa HealthCare products please visit www agfa com Agfa Gevaert N V 2009 Q Introduction to the Manual Q Introduction to SE Suite 1 2 Introduction to the Manual This section consists of the following two parts m Scope of this manual E Warnings Cautions Instructions and Notes E Disclaimer Scope of this manual This manual contains information for the effective operation of SE Suite 1 2 It provides detailed information on how SE Suite 1 2 works and it gives you many practical notes and examples Find additional information in the following documents the SE Suite 1 2 Safety User Manual available via a short cut on your desktop Caution Read the complete Safety User Manual before starting to work with the application Warnings Cautions Instructions and Notes The following samples show how warnings cautions instructions and notes appear in this document The text explains their intended use O V WARNING Warnings are directions which if they
141. three main zones of the Image Browser see paragraph Image Browser Image thumbnail This zone presents images thumbnails small views of images of the selected element in the hierarchical tree on the left see paragraph hierarchical tree e If selected element in the tree is a patient the thumbnails area is empty e If selected element in the tree is a study a thumbnail of the first image of each series of the study is displayed e If selected element is a series thumbnails of all images of the series are displayed e Ifselected element is a GSPS thumbnails of all referenced images are displayed In this area thumbnails are always displayed from left to right and from top to bottom 57 Dimensions of thumbnails are variable depending on the number of thumbnails to display Nevertheless for clarity reasons there are a minimum and a maximum size for the thumbnails so if there is not enough space to display all thumbnails at one time a vertical scrollbar will appear at the right of the zone Tooltips Image 3 Acquisition 0 1408 x 1160 You can get more information about an image by putting the mouse pointer over the thumbnail of this image and wait one second An information tooltip will be displayed next to the pointer giving image number acquisition number for image and image dimensions m Marking images MELIN THZA lt Enter gt SE Client gives you the possi
142. to gt Protect against deletion Remove protection Properties New Patient This submenu is intended to create new patients in SE Client database Patient Study Patient Study Series You Can create a new empty patient a new patient with an empty study or a new patient with a study containing an empty series Note When a patient is created or updated if the last name field cannot be left blank otherwise a warning message appears until it is filled in x A Patient Last Name is mandatory Please Fill this Field Add to Patient Study This submenu is intended to add elements to an existing patient alld You can add a new empty study or a new study with an empty series Copy to This option is intended to copy selected elements to another SE Client database Copy X AGFA DEMO 68 DicomDir Media This option may be grayed out if you have only one database When you have several databases the application will ask you which database you want to copy to D Caution Use this option to copy elements from a DICOM CD DVD to SE Client database See section Reading Burning a DICOM CD to learn how to read a DICOM CD DVD Delete Administrators may use this option to permanently delete an object or group of objects from the database To avoid accidental deletions SE Client will prompt you for confirmation By default this option is only available to administrative users Send to Us
143. to correctly setup the columns to be displayed as early as possible and according to the information you need to provide to modalities or people involved in workflow Note For each new record the Character Set field is automatically filled in by the application and matches the local input locale keyboard language setting of the OS 83 Data input Accession number Po Scheduled date P2209 Scheduled time 11 45 zl Birth date 2 11 2009 Sex Os Peomingpysician Character Set ISO_IR 100 Referring physician Modality AU v Note User can not modify existing patient information if the Character Set of the patient data is not the same as the Character Set of the keyboard used If Character Sets are different the following pop up message is displayed to prevent patient data modification SE Worklist Client A You can not modify this patient because his language differs from the one you use Howto modify existing data User can modify existing records by double clicking on an item in the worklist itself and directly modify information in the Data input window SE Worklist Client additional tools e Filtering m Filters can be applied to all columns Filtering rules and criteria are the same as SE Client browser window See Section List filtering 84 SE Worklist Client provides predefined filters for Scheduled Date column Yesterday kd This month This year
144. unctionality of SE Client Menus and the menus items can change depending on the context of the application at a given time or user profile account Hi Application Status Bar Last connection of admin 12 9 2008 at 14 30 33 The Status bar displays useful contextual information Application Main Tool Bar s2 4 This toolbar contains the most frequently used functions of the application allowing quicker access than the menus This toolbar is split in two general tools on the left and functions to apply on images on the right m Image Browser The image browser is a key window for SE Client In this window you see all the patient studies that are stored on your SE Client station This is where you browse your database s content preview images open studies import or export images record CDs etc This window is independent and can be placed moved or resized as you wish It has its own title bar close box toolbar and status bar working the same way as for application window Image Area The biggest zone of the application window is the image display area where all opened images will be displayed The way images are displayed on screen depends on your display configuration m Series Tray vo SE Client includes an optional series tray that provides a small preview of a patient s other studies stored in SE Client without leaving the Image area 25 amp E MR 301 170 image s bk Note amp Tips for Toolbars
145. upport can be done with two distinct graphic adapters or with only one supporting two monitors Display orientation can be portrait or landscape 154 Display layout toolbar The display layout toolbar allows a quick access to predefined layout configurations By clicking on one of the monitor icon the number of displayable series is changed In a one monitor configuration up to 4 series can be displayed simultaneously D E le In a two monitors configuration up to 6 series can be simultaneously EEE E SS OP By clicking on one of the black screen icon the number of displayable images within the selected series panel is changed m Full screen mode Toolbars can be shown hidden depending on user preferences Users can hide toolbars by selecting the Full screen item of the Display menu or by pressing lt F11 gt key FT iuRpRepT es Standard mode left Full screen mode right 155 Stack mode indication When several images are stacked in one series panel a specific icon is displayed on the top left corner of the panel area WARNING By missing the stack mode icon images of a series could remain unseen 156 Set the appearance of tools SE Client allows you to determine the on screen appearance of many of the tools you may use on a daily basis Through the application this is completed by customizing the use of colour therefore allowing you to determine the nature of something
146. urements will be displayed as follow If you want to have the borderline of the head towards the acetabular roof click on the top of the right femoral head point 5 to draw the line passing through point 3 and this point 5 Repeat operation for the left side point 6 132 E ae 3 6 After clicking on the last anatomic point the results will be displayed as below Vaneofrere 133 Gonometry The gonometry method implemented in SE Client is the Duparc and Massare one WARNING The Gonometry function is a measurement function on a radiological image If the image you are measuring comes from a secondary digitization or was imported from the TIFF or JPG format you have to calibrate your measurements before starting See Standard Features User Manual To do the measurements first click item Gonometry icon Bi Then you have to click on different anatomic landmarks in a specific order to draw lines and measure angles 134 Follow the drawing protocol with the different steps below which are also described in the status bar The Duparc and Massare method calls for radiologist to point three landmarks 1 First landmark femoral head center C This landmark can be positioned either by positioning approximately in the center with a left click or by positioning the center of a circle and drawing a circle or with a geometric shape help user has then to p
147. wing topics m Intended Use m Intended User m Configuration m System Documentation m Options E Training E Product Complaints m Compatibility m Messages E Compliance m Performance m Connectivity m Installation amp Support m Patient Data Security E Environmental Protection m Safety Directions Intended Use Blows uau tna Peri Carrin Gee Mita ec amp e BE 2 oi r A A PAS w So S gt PE gg oocoocoocoo Anneto The SE Client SE Standalone Workstations are intended to perform operations relating to the display digital processing review transfer storage printing measurements teleradiology exchange of medical images and patient demographic information and to be integrated with separately cleared third party applications They are intended for use by the physician to aid diagnosis and by medical professionals whenever they require access to medical images and patient demographic information Intended User This manual is written for professional healthcare workers and for users of Agfa products who have received proper training Users are considered as the persons who actually handle the system as well as the persons having authority over the system SE Suite 1 2 is intended to be used by Radiologist Physician Technologist PACS Administrator General Practitioner Agfa Service Personnel or Authorized Service Engineer Secretary or Nurse 10 Configuration SE Server SE Standalone Entry Level PACS
148. y for all imaging exams each day depending on these values e Patient Name e Patient date of birth e Patient ID e Patient Gender e Visit Number DICOM MWL Information At a minimum a DICOM Modality Work List will have to provide the following information to a modality e Patient Name e Patient Date of Birth e Patient ID e Patient sex e Accession Number automatically generated e Study UID automatically generated e Study Date and Time automatically generated e Modality set to a default one configurable e Study Description empty e Admission ID Visit Number e Visit Status ID ADMITTED monthly or monthly By default cleaning is set to Monthly However it can VV Note The worklist can be cleaned daily twice weekly weekly twice be configured by an administrator 80 SE Worklist Client The SE Worklist Client is a software program which can be installed on any networked PC which can connect to a PC running SE Server or SE Standalone and serves as a user friendly tool which allows adding or editing patient admission information to provide a DICOM modality worklist to image modalities The SE Worklist Client can only function when connected to a PC running SE Server or SE Standalone with a valid optional Worklist license amp SE Worklist Client 2 8 File Window AGFA L Version 1 0 0 0 RC1 Copyright C AGFA 2009 yi vif This month 7 St
149. y hide DICOM information patient s name study date in the four corners of images This information is available as a list of DICOM tags editable by administrator profile only by clicking on DICOM Info item in Options menu 9 D Program files images Pa35 St4 7 Se203 1960 dcm DICOM Info File BEETS Tag Compact escription YR Size Value ood Full z Length UL 4 178 qood 7 ile Meta Information Version OB 2 0001 00c Edit boc Storage SOP Class UID UI 26 1 2 840 10008 5 1 4 1 1 4 0002 0003 Media Storage SOP Instance UID UI 48 1 2 250 1 46 1818658683 20060827172111 154908578 0002 0010 Transfer Syntax UID UI 22 1 2 840 10008 1 2 4 70 0002 0012 Implementation Class UID UI 14 1 2 250 1 46 1 0002 0013 Implementation Yersion Name SH 6 8 3 3 0002 0016 Source Application Entity Title AE 0 0008 0005 Specific Character Set cs 10 ISO_IR 100 0008 0008 Image Type cs 22 ORIGINAL PRIMARY OTHER 0008 0016 SOP Class UID UI 26 1 2 840 10008 5 1 4 1 1 4 0008 0018 SOP Instance UID UI 48 1 2 250 1 46 1818658683 20060827172111 154908578 0008 0020 Study Date DA 8 20060827 0008 0021 Series Date DA 8 20060827 0008 0022 Acquisition Date DA 8 20050503 0008 0023 Content Date DA 8 20050503 0008 0030 Study Time 6 172013 0008 0031 Series Time 6 172013 0008 0032 Acquisition Time 6 113605 0008 0033 Content Time 6 113605 0008 0050 Accession Number SH 0 0008 0060 Modality cs 2 MR 0008 0070 Manufacturer LO 18
150. yed on screen When applying a saved window level to an image the actual brightness and contrast that is applied is the combination of the saved window level and the application of the image VOI LUT Note A VOI LUT is specified by the modality to define the correct brightness and contrast for the image you are looking at When a VOI LUT is non linear and applied SE Client displays Window Center and Window Width that correspond to adjusted range and center of input of the VOI LUT possible to save save as the windowing but the application must notify the user that the actual window width and centre saved are the width and centre values before application of the non linear VOI LUT WARNING When a non linear VOI LUT is applied it must be still Window center and Window width values you are saving are not the same as the values displayed on image According to the DICOM standard application must save window levelling applied before non linear VOI LUT Value Of Interest LookUp Table which is applied on the current image and is specific to this image 106 Custom Windowing Description Custom windowing Window center 2394 window width 1183 arming Window Center and Window Width values you are saving are not the same as the values displayed on image According to DICOM norma SE must save window leveling applied before non linear YOI LUT Value Of Interest LookUp Table which is applied on
151. yout Apply Modality VOI or Presentation LUT Check this option if you want SE Client to apply the specific DICOM Look Up Tables if present in original images on images in the layout Load With Double click Check this option if you want to use double click on a displayed image to load it in the layout Image load is done in the last empty cell of the layout click for any other purposes in SE Client including seeing an image full screen which is the default action of double click 1 WARNING Checking this option will prevent you to use double 180 Format menu This menu allows to quickly access a particular film format on a given printer 1 8 10 in on My DICOM printer 2 11 x 14 in on My DICOM printer v 3 14x 17 in on My DICOM printer v Show Footer Film format on a printer The content of this menu is variable It depends on what you have selected to add to this menu in Print Setup dialog box see section Print Menu for details on Print Setup Film formats you have checked in Print Setup dialog box will appear in this giving you an easy and quick way to switch between film formats and printers The index displayed at the beginning of each item 1 2 3 is the number to use in automatic printing mode to choose a particular film format and printer Show Footer Check this option if you want SE Client to display the page footer containing patient name study date your hospital logo

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