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PACS-1M Manual - AMD Technologies

1. Figure 39 Edit Image Screen From the large box click on the next to the series that has the images to be changed or deleted Highlight the image to be changed or deleted or highlight first image and click Skip This Image until you have highlighted the image you want to change A thumbnail of each image will display to assist you in finding the desired image Click on Field to Change Patient name or Patient ID as appropriate Then enter the new name or ID information in the boxes under the red warning box To make the changes press the Change This One Image or Change Remaining Images button You may also delete all images under a specific ID by using the Delete buttons IMPORTANT NOTE The functions discussed here should only be used by a trained system administrator SIGNIFICANT LOSS OF DATA CAN OCCUR IF THESE FUNCTIONS ARE USED INCORRECTLY To close this screen press the Exit button CONTACT YOUR SYSTEM ADMINISTRATOR TRAINED DEALER OR AMS BEFORE USING THESE FUNCTIONS E Other Administrative Tasks On occasion one or more of the DICOM engines may become stuck and have to be reset The Reset DICOM 1 button is used for this purpose ONLY AMS OR YOUR SYSTEM ADMINISTRATOR SHOULD DO THIS Both the Generate Patient List and the Process Zipped Files Transferred In are used when reconstructing the archive ONLY AMS OR YOUR SYSTEM ADMINISTRATOR SHOULD DO EITHER OF THESE
2. cartello SINGLE MODALITY PACS MANUAL PACS 1M Version 4 0 CE Released May 2009 330 4 135 Rev 06 2009 AMS IcaceLL a DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS Table of Contents CHAPTER 1 INTRODUCTION 3 Indications for Use 3 DICOM Compliant 3 System Components 3 PACS 1M Display 4 Information Network 4 DICOM Push 4 Query Retrieve of Historical Images 4 DICOM Print 4 CHAPTER 2 STARTING THE CatcLlLa PACS 1M WORKSTATION 5 Powering Up the catel La PACS 1M 5 Starting the CatELLa program 5 On Call Status 6 CHAPTER 3 PRIMARY IMAGE CONTROL TOOLS 7 Primary Image Control Tools 7 Advanced Window Level Options 7 Rotate 8 Flip Image 8 Annotate 8 Measurement 9 Add Notes 10 Specialty Tools 11 Other Annotation Functions 11 Stitch Images 12 Image Details 12 Print Image 12 Logout 12 Quad Display 13 Overlay 13 Locator Select 13 CHAPTER 4 WORKLIST 14 Prefetch 14 Sortable Worklist 14 Select Mode 15 Cancel 15 Delete Mode 15 Query Retrieve 15 Overview of Query Levels 16 Conducting an Advanced Query 16 Moving Between Levels 17 Select Desired Images 17 OK 17 Logging Off 17 Shutting Down 18 Restarting Workstation Program 18 CHAPTER 5 MULTI FRAME IMAGES 19 Setting Display Configurations 19 Basic Image Controls Same as Others 19 Stack Viewing 19 Export This Image 19 CHAPTER 6 MPR MULTI PLANAR RECONSTRUCTION 20 Screen Layout 20 Using MPR 20 Form 330 4 135 Rev
3. 2 The destination window has also been opened to indicate this particular system s available options Archive Administrative Functions The Administrative Tasks button in the COUCLILLG PACS 1IM Archive is used to perform two primary tasks Assigning Physicians Rights to view all images on the Archive and Editing Image files C Setting Physicians Rights to View Images Permission for a radiologist to receive images is set in the Administrative Tasks mode of the archive Accessing these functions requires a special password check with your system administrator for the current password Once the password has been entered click on the Assign Referring Physician s Rights box Set Physicians that may access any Patient I E led Last First Save Set Default Add New Password f Password Compression Doctor Figure 37 Select Assign Referring Physicians Rights To enable a physician to see images for all patients on the archive select the appropriate physician from the List of all Physicians on the left and click on the Add box To remove a physician from the list of physicians able to see all patients select the physician from the list on the right and click on the Remove box 2 Haz 200 MC Archive BB74 Ctrl Fi2 menu Set Physicians that may access any Patient BERJE HANEY BURNER CD DAS PRANAB DATUJESUS DESAI DHIREN GABIER WENDELL PAMPATI MAHENDER PATEL ASHOK ZLAPPEN DAVI
4. SIGNIFICANT LOSS OF DATA CAN OCCUR IF THIS FUNCTION IS USED INCORRECTLY Form 330 4 135 Rev 06 Page 26 Al s CateLLa PACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS E CHAPTER 11 Archive Operating Instructions A Hard Drive Archive Images sent to the COCCLLA Archive are to be stored unchanged for many years Periodically it is a good idea to check the health of the hard drive in the system This can be done with the Windows Disk Manager The background of the archive screen will change depending on the amount of remaining available storage This is definable by site Typically this is how it is set at the factory Color of Background Remaining Available Storage Green More than 20 GB Available Yellow Less than 20 GB but more than 2 GB Red Less than 2 GB These are the standard settings but levels can be adjusted for individual site requirements When the background changes to yellow you should consider your need to expand the storage capacity of the system Contact your system administrator immediately B Image Push It is possible to select images to push to a given workstation or other destination from the CQUCLLO Archive The Archive program s control screen will normally remain blank as seen in the Figure below ro Query Admin Patient Tasks Up Query Level 4 Figure 35 Archive Control Screen First select the destination for the images Use the down arrow on the
5. 06 Page 1 A s s CateLLa Dacs PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 7 CREATING A PATIENT CD 21 Creating a CD 21 CHAPTER 8 DICOM IMPORTER 22 Importing DICOM Image Files from a CD 22 CHAPTER 9 OPTIONS 23 Administrative 23 Tools 23 Window Level Preferences 24 DICOM Transfer 24 About catel a 24 The Other Basic Buttons at the Bottom 24 CHAPTER 10 IMAGE GATEWAY OPERATING INSTRUCTIONS 25 CatcLLa Image Gateway 25 A Receive Images 25 B Distribute Images 25 C Backup Images 25 D Monitoring the Removable Media 25 E Removing Files Studies from Destination Routing 26 CHAPTER 11 ARCHIVE OPERATING INSTRUCTIONS 27 A Hard Drive Archive 27 B Image Push 27 C Setting Physicians Rights to View Images 28 D Image Editor 29 E Other Administrative Tasks 29 CHAPTER 12 USING THE USB BACK UP SYSTEM 30 Checking the USB Back Up 30 Removing and Replacing the USB Back Up 30 CHAPTER 13 ON CALL FUNCTION 31 What the On Call System Does 31 Physicians and On Call Images 31 Setting Physicians Rights to Receive On Call Images 32 CHAPTER 14 TROUBLESHOOTING GUIDE 33 CHAPTER 15 CONTACTING US 34 CHAPTER 16 IMPORTANT NOTES 39 CHAPTER 17 LICENSE AGREEMENTS 36 Form 330 4 135 Rev 06 Page 2 ZW CateLLa PACS Affordable Upgradeable Enterprise PACS PACS 1M User Manual CHAPTER 1 INTRODUCTION Indications for Use The CacUcLLG
6. FUNCTIONS The Initialize Referring Physician List will erase the current list of referring physicians that have access to and can be sent images ONLY AMS OR YOUR SYSTEM ADMINSTRATOR SHOULD INITIATE THIS FUNCTION Form 330 4 135 Rev 06 Page 29 IcaceLL a DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 12 Using the USB Back up System cateLLa PACS 1M has multiple image redundancy within its archive software using the hard drive in your PACS 1M computer However COUCLLG PACS 1M also provides a method for you to back up your image library on a removable USB that you can take offsite when it is full It is vital that you do this and COUCLLO PACS 1M is designed to automatically remind you to do so Checking the USB Back Up Access the Image Gateway screen by clicking on the Image Gateway shortcut button at the bottom of the monitor You must be logged out of the workstation to do this Enter password if your institution requires one When the removable USB drive is approximately 80 full the Image Gateway screen will change from green to yellow as a warning When it is approximately 90 full the screen changes to red for visibility It is important to remove and change the USB back up drive before it fills Waiting until the drive is full will cause back up images to migrate to other locations on your hard drive and will require billable maintenance work to recover and save to a backup d
7. PACS IM is a medical image and information management system that allows you to organize store view and recall DICOM images received on CD s or on a USB Drive It can also receive images from a single modality in your facility such as CR or DR PACS 1M can perform other post processing functions such as multi planar reformatting The catel a PACS 1IM is not intended for use for primary diagnostic interpretation of mammographic images PACS 1M_ software components are preinstalled on the system along with other necessary software Figure 1 catala PACS 1M cat ella PACS 1M operates on standard Windows XP Pro operating systems The appropriate COLELLO The installation package includes all appropriate software documents and licensing documents for each software component DICOM Compliant COUCLLG PACS 1M complies with the DICOM 3 0 standards DICOM stands for Digital Imaging and Communications in Medicine Contact American Medical Sales Inc for the latest version of the cateLLa DICOM Compliance Statement System Components COUCCLLGO PACS IM provides all of the following PACS system components for the facility using a single CR or DR diagnostic imaging system e Diagnostic Workstation Displays images for interpretation on a 2MP 20 4 high resolution medical grade monitor displaying in portrait mode keyboard and mouse e Image Archive 500GB hard drive e Image Back up removable USB hard drive e Manual
8. PRANAB DATU JESUS DESAI DHIREN GABIER WENDELL PAMPATI MAHENDER PATEL ASHOK ZLAPPEN DAVID RATCLIFF_BASE_5TH_METATARSAL RATLIFF REDDY_FELL_AT_WORK_PAIN_THORACO Lut REDDY_HURT_BACK_LIFTING_AT_WORK REISS RHEUMATOID_ARTHRITIS RIGHT_CHEST_PAIN_DONTHINENI RIGHT_FOOT_PAIN__1_YR_ Last First Add New Doctor start 4e Se im a inbox Jon Ca E Form Pi Remo Rif Haz Hb SHE Figure 41 Select doctor and then enable On Call To give a physician on call rights simply highlight the physician s name on the List of Physicians and then click the On Call button in the purple section of the screen See Figure above After an image is reviewed from a workstation by an on call doctor it will remain on the pending portion of the Diagnostic Workstation worklist See the section below called What the On Call System Does for further explanation For this reason care should be taken when reviewing on call images to avoid duplicate work Unlike other routed images the on call images are not purged from the list if another physician has already completed the diagnosis This is because the on call feature is intended primarily as a wet read option Take care to purge older images that you feel have already been interpreted by another physician IMPORTANT NOTE If another doctor logs in as the on call doctor the first doctor will be logged out A message will display to alert the first
9. XP is running you may be asked to provide a password to turn on the computer depending upon your institution s requirements Minimize the Catella Gateway Catella Archive and Catella Web Server programs Starting the CaCCLLA program cateLla PACS 1IM offers two levels of security Passwords are required to power up the CQUCLLO Workstation and again to verify a reading doctor s identity when that doctor logs into a session Once the correct password has been entered a blank screen will appear on each monitor If other Catella program screens appear minimize them The screen will also have the traditional Windows Start button and the COUCCLLO Workstation Icon The Windows Start button can be used to access other programs and to shut down the workstation Catella Workstation Figure 3 COCCLLO Workstation Icon To activate the diagnostic reading software CLICK on the COUCLLO Workstation icon The doctor s log in list will appear Highlight your name and CLICK on the LOG IN button Form 330 4 135 Rev 06 Page 5 AL cacera DACS PACS 1M User Manual Hawar CA kasa Affordable Upgradeable Enterprise PACS W cateLLa DACS Affordable Upgradeable Enterprise PACS Doctor Test Version 4492 Figure 4 Doctors Log in Box A second password screen will now appear Type your password and press OK Enter Password OK Log Out Figure 5 Password Box Your patient s first
10. based solely on the results of MPR analysis All notes and cautions regarding the COCCLLG PACS 1M s MPR function apply equally to information exported from this product for example a CD or printed report Users should ensure that recipients of this information are familiar with the notes and cautions supplied here Form 330 4 135 Rev 06 Page 20 A s SEE PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 7 CREATING A PATIENT CD Creating a CD cateLLa PACS 1IM allows you to manually burn copies of patient images onto a CD along with viewing software at the user s option so that the CD will self play when inserted into most Windows based PC s If your network includes an optional advanced version of the CAQUCLLG CD Burner it will create the CD without manual intervention and or will automatically print a CD label including information about your institution patient name and date of creation See the CQUCLLG CD Burner literature and manual for more details 1 To manually burn a CD with a patient s images from the cateLLlLa PACS 1M when viewing the patient select Print Image from the menu A box showing the CD Burner as the destination printer will appear You have the option of burning the CD with or without viewing software If you are sending the CD to a site that already has viewing software or that will be opening the images with a Windows viewer select C
11. doctor that the status has changed This is done because 1 most physicians follow rotating schedules that will not overlap and 2 as an image management safeguard in case the first doctor forgets to log out when his her rotation has ended In the event that this transition takes place while images are flowing some of the patient s images will be on the first doctor s system and some will be on the second doctor s system This normally will not be a problem since doctors who are not on call will probably not be logged in to the system and will not have checked their on call box IMPORTANT NOTE Logging out cancels that doctor s on call status WHEN A PHYSICIAN S ON CALL ROTATION ENDS THE DOCTOR SHOULD MAKE SURE THAT ALL NEW IMAGES HAVE ALL BEEN RECEIVED AND THEN LOG OUT OF THE SYSTEM SO THAT NO IMAGES WILL BE SENT TO HIM HER Once images are delivered to an on call doctor they will be erased from the Web Server As stated above these images will still be in their other destinations i e diagnostic workstations or archive for later use Form 330 4 135 Rev 06 Page 32 cateLL a DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 14 TROUBLESHOOTING GUIDE Commonly Asked Service Questions and Their Answers No image on monitor L Check monitor cable digital cables are touchy 2A Turn monitor on amp off to check for signal 3 Reboot system PACS not receiving images L Modality n
12. rendering and orthopedic templating if these optional modules are purchased With proper links the cateLLa PACS 1IM can also access RIS and HIS systems and can be used to review patient information The cartela PACS 1IM Version 4 0 is not intended for use for primary diagnostic interpretation of mammographic images Effective use of the COCCLLO PACS IM requires adherence to modality imaging protocol requirements and the imaging manufacturers instructions regarding maintenance and calibration of the modality imager Patients must be instructed to avoid movement during their imaging exams to minimize misregistration of images Achieving satisfactory registration will contribute to optimizing the performance of the COUCLLA PACS 1M CaCCLLG PACS 1M s measurement accuracy is limited to modality imaging system accuracy and site specific imaging techniques All digital images and associated data displayed by this device are presented for the interpretation of the health care professional as is any image or patient information All medical professionals and personnel using COLELLO PACS 1M must be trained in the use of the device by American Medical Sales or by an authorized CAUCLLO PACS 1M dealer These devices can be a software and hardware component in a complex and layered computer hardware and software system which provides storage display and network communications for medical practitioners at various levels of decision making This manua
13. right side of the Destination window 1 under the large window in the middle of the screen to view all possible selections Your system has one default destination Ask your system operator about this You may search for patients by either their unique number or name You may type in as little as one character of the patient ID 2 or two letters of the patient s last name 3 All records matching those numbers or letters will be returned in the large window in the middle of the screen If there are more matches than can appear in the window a scroll bar will appear to the right of the window Once you have selected a patient you can query down the hierarchy of images for that patient by clicking on the Query button 4 The next level of inquiry will be listed below the word Query The hierarchy is Patient Study Series Image Select the images that you want sent and press the Get Images button 5 You can also just select a patient at the first level and get all images for that patient The selected images will be sent to the preferred destination To Figure 36 Query for patients starting with move up a level press the Up Query Level button 6 ID numbers with a leading 2 Geologie greir HIV AS Form 330 4 135 Rev 06 Page 27 5 J cateLLa DACS PACS 1M User Manual fliwiharee CA Affordable Upgradeable Enterprise PACS The Figure above shows a search for patients within numbers beginning with
14. specified above AMERICAN MEDICAL SALES INC AND ITS SUPPLIERS DO NOT AND CANNOT WARRANT THE PERFORMANCE OR RESULTS YOU MAY OBTAIN BY USING THE PRODUCT OR DOCUMENTATION EXCEPT AS EXPRESSLY SET FORTH ABOVE AS A LIMITED WARRANTY AND EXCEPT FOR ANY WARRANTY CONDITION REPRESENTATION OR TERM TO THE EXTENT TO WHICH THE SAME CANNOT OR MAY NOT BE EXCLUDED OR LIMITED BY LAW APPLICABLE TO YOU IN YOUR JURISDICTION AMERICAN MEDICAL SALES INC AND ITS SUPPLIERS HEREBY EXPRESSLY DISCLAIM ANY AND ALL WARRANTIES CONDITIONS REPRESENTATIONS GUARANTEES OR TERMS EXPRESS OR IMPLIED WHETHER BY STATUTE COMMON LAW CUSTOM USAGE OR OTHERWISE AS TO ANY MATTER INCLUDING WITHOUT LIMITATION THE WARRANTIES OF MERCHANTABILITY INTEGRATION SATISFACTORY QUALITY OR FITNESS FOR ANY PARTICULAR PURPOSE Limitation of Damages IN NO EVENT WILL AMERICAN MEDICAL SALES INC OR ITS SUPPLIERS BE LIABLE TO YOU FOR ANY DAMAGES CLAIMS OR COSTS WHATSOEVER OR ANY CONSEQUENTIAL INDIRECT INCIDENTAL DAMAGES OR ANY LOST PROFITS OR LOST SAVINGS EVEN IF A REPRESENTATIVE OF AMERICAN MEDICAL SALES INC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSS DAMAGES CLAIMS OR COSTS OR FOR ANY CLAIM BY ANY THIRD PARTY THE FOREGOING LIMITATIONS AND EXCLUSIONS APPLY TO THE EXTENT PERMITTED BY APPLICABLE LAW IN YOUR JURISDICTION AMERICAN MEDICAL SALES AGGREGATE LIABILITY AND THAT OF ITS SUPPLIERS UNDER OR IN CONNECTION WITH THIS AGREEMENT SHALL BE LIMITED TO THE PRICE PAID TO AMERICAN MEDIC
15. the ANGLE button 2 Move cursor to end of first leg of angle 3 Click left mouse button 4 Move cursor to the vertex of angle and click 5 Move cursor to desired end of the second leg of the angle The second leg of the angle forms as you are doing this and the angle measurement appears on the monitor 6 To set the angle click on the left mouse button again Hounsfeld Units 1 Click on HOUNSFELD UNITS button Single Point 2 Move cursor to area of interest 3 Unit values will appear in the measure box Hounsfeld Units 1 Click on HOUNSFELD UNITS button ROI 2 Move cursor to area of interest 3 Holding the left button down draw a circle or ellipse to create the Region of Interest ROI 4 The average maximum and minimum values for the ROI will appear in the measure box The figure below shows an image on a monitor with the three types of measurements e When calculating a values all pixels on or inside the perimeter of the circle or ellipse are used Measure C Distance C Angle G Hounsfeld Units Average 269 84 Max 331 Mlin 196 Form 330 4 135 Rev 06 Page 9 p Ais cateLLa DACS Affordable Upgradeable Enterprise PACS PACS 1M User Manual Figure 11 Views of Measurement Windows Showing Distance Angle and Hounsfeld Units ROI Many measurements can be made on an image r When using a color monitor each type of measurement is displayed using a different color Distance bl
16. to burn the images for a patient to a CD along with viewing software at the user s option so that the CD will self play when inserted into most Windows based PC s See Chapter 7 for details Logout Logout allows you to end your reading session This will take you back to the doctor login screen and signals COCCLLG PACS IM that you are no longer actively reading images Where the COCCLLO PACS 1M can be accessed by more than one doctor this is an important safety step to prevent misreporting of the reading physician Further HIPAA requirements may make this necessary depending on physical access to the workstation Form 330 4 135 Rev 06 Page 12 a Ais cateLLa DACS Affordable Upgradeable Enterprise PACS Quad Display CacCcLLa PACS 1M allows you to easily reconfigure the layout to display multiple series on one screen Simply click on the Quad Display button The Main Image Area will automatically divide into four equal viewing areas The first image of the first four series will be loaded into each area The active quadrant will be outlined in red To designate a quadrant as active move the cursor into the quadrant and left click This new quadrant will now be outlined in red Also note that for studies that include scout images the scout image for each series appears in the lower right corner of each frame with locator lines nal When the Quad Display is activated the button label resets to SINGLE IMAGE P
17. under the DICOM standard In a PACS environment the most common way is for the PACS software to send images to the workstation This is called a push function COUCCLLA PACS 1M is a DICOM Push compliant product Once images are pushed to the workstation they will appear on the pending portion of your worklist See Chapter 4 for more details on the worklist Query Retrieve of Historical Images CaCCLLG PACS 1M allows you to query historical images on the system s archive and retrieve them to the workstation See Chapter 4 for more details on operating COUCLLO PACS 1M s Query Retrieve feature DICOM Print cateLLa PACS 1M supports DICOM Print This allows users to print the patient images to a DICOM printer either film or paper This function is not part of the standard package It may be installed and configured at an extra cost See your system administrator and or CQUCLLO PACS 1M distributor for details Form 330 4 135 Rev 06 Page 4 EMS CateLLa DACs PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 2 STARTING THE catcLLa PACS 1M WORKSTATION Powering Up the cateLa PACS 1M To power up the PACS 1M turn on the computer and the workstation monitor It is highly recommended that the CACCLLG PACS 1M be plugged into a Universal Power Supply UPS so that battery power is available to properly shut down the workstation in case of a general power failure in your facility The UPS will also help assure a cl
18. used Modality Abbreviation Full Name i AS Angioscopy i CR Computed Radiography Modality Bellinga for Conpubed Radiography CT Computed Tomography CRF DX a MR Magnetic Resonance a la e mi mm cio NM Nuclear Medicine SMO FR ergy RF Radio Fluoroscopy di a US Ultrasound ee at XA X Ray Angiography MG Mammography DX Digital Radiography OK Log Ou Figure 28 Window Level Preferences To enter preferences first select the modality then enter the name window value and level value for each preference These are user specific preferences and not applicable across the institution DICOM Transfer s si 5 ua n solet mig D AD Tools Window Level Preferences About Catella header information that will appear on the monitor C e There are eleven elements to select from In ii addition this tab can be used to reset the DICOM Piom Fads to Displiy Veterinary Dicom Fields ee Patient Sex M Study Date Time Institution Name receive engine and to test connectivity to the Scribe 7 Patient Birthdate Image DateTime Referring Physician Species e x r Sindy POTR Breed or other system Contact your system administrator 7 PAs ae Bee ii v Patient Location prior to using this tab Font Size Reset DICOM SEE Engine OK Log Out Figure 29 DICOM Transfer Tab About cateLLa Admin
19. will be there under the patient name and corrected ID together with all of their DICOM information if the Workstation was a selected destination If the images were sent to an Archive they can be also be reviewed by querying the Archive Form 330 4 135 Rev 06 Page 22 a PACS 1M User Manual Ais cateLLa DACS Affordable Upgradeable Enterprise PACS CHAPTER 9 OPTIONS This area should only be used by the system administrator to add users and to set preferences for these users Administrative Adding and removing a user is a system administration function A special tab is provided for this work and a special password is required When a new user name is added and confirmed all settings of the current user are copied to the new user s profile When a password is entered COCCLLO PACS 1M automatically and without notice to the user logs out the old user You can now reenter under the new user name nal Setup Hint Set up a Standard Doctor Profile While logged into the Standard Doctor add new doctors This will give each doctor the same institution wide settings The Administrator can also reset the Worklist and the Error Log Window Level Preferences About Catella Dicom Transfer Name Demo Daniel Administrative Password Old Password New p Password Confirm New Password jaa New Doctor settings copied from this Doctor Log in under new Doctor to change those setti
20. AL SALES INC FOR THE SOFTWARE PRODUCT AND OR EQUIPMENT PURCHASED FROM AMERICAN MEDICAL SALES INC In all cases American Medical Sales Inc shall not be liable for any failure to perform its obligations under this Agreement because of circumstances beyond the control of American Medical Sales Inc which circumstances shall include without limitation natural disaster or Acts of God including lightning strikes terrorism labor disputes war declarations of governments transportation delays failure of your Computer System or other hardware or systems electrical satellite or other telecommunications failure and or misuse of the Software Product or Documentation by you Any claims by you under this Agreement must be brought within one year of the date on which you became aware or should have become aware of the facts giving rise to such claim Failure to bring such claims within the specified period shall constitute an irrevocable waiver of your rights as regards such claims under this Agreement or otherwise American Medical Sales Inc s entire liability and your exclusive remedy shall be at American Medical Sales Inc s option either a return of the price paid to American Medical Sales Inc for the Software Product and associated equipment or b repair or replacement of the Software Product or hardware that does not meet this Limited Warranty and which is returned to American Medical Sales Inc with a copy of your receipt This Limited
21. D TCLIFF RATCLIFF_BASE_5TH_METATARSAL RATLIFF EDDY REDDY_FELL_AT_WORK_PAIN_THORACO Lut REDDY_HURT_BACK_LIFTING_AT_WORK REISS RHEUMATOID_ARTHRITIS RIGHT_CHEST_PAIN_DONTHINENI RIGHT_FOOT_PAIN__1_YR_ ROE za Delete Doctor Last First Show Save Set Default Add New Password Password Compression Doctor PAstart deag mib g A nbox Jon ca amp Formi R Remo TF Haz Heyg Figure 38 Select doctor and then change permissions Form 330 4 135 Rev 06 Page 28 p Ais cateLLa DACS Affordable Upgradeable Enterprise PACS PACS 1M User Manual ce IMPORTANT NOTE If an institution wants to enable a physician to see images for some but not all patients on the archive e g his patients only please call AMS for custom routing rules nal The other functions in the Gateway Administrative Mode are for AMS use only Use of these functions by systems administrators or untrained service personnel may disrupt the proper functioning of your PACS Image Editor Patient ID By highlighting a doctor s name and then clicking on Show Password the system will display the doctor s password This is useful where passwords have been forgotten D Image Editor From the Administrative Tasks screen of the Archive select Edit Images The following screen will appear Type the patient ID in the upper left hand box The patient s image files will display in the large box on the left
22. D Burner No Viewer This will enable the user s viewing software to open the JPG version of the images on the CD without interference from another viewing program If the site has a PACS with a DICOM Importing function it can import the DICOM version of the images on the CD into its PACS and use that viewing software to open the images Figure 24 Select Print to Burn CD 2 Open the CD tray in the PACS 1M server place a Writable CD in it and close the drawer 3 Click on Print The box will show CD Being Compiled Please Wait This will collect all of the images for the patient that are on the workstation and will deposit them in a folder on the C Drive of the PACS 1M server along with CD viewing software 4 Click on Start CD Burn The slider bar in the box will indicate the progress of the burn When the box disappears from the screen the process is complete 5 Remove the CD from the tray and close the tray If you have forgotten to load a CD into the tray an error message will appear indicating Burn FAILED insert a new blank CD and the CD tray will open Insert a blank Writable CD into the tray and close the drawer Click OK and then Click Start CD Burn The CD will now burn properly You can continue to use the workstation while a CD is burning Simply minimize the progress box on the screen or move it out of the way by right clicking on the bar at the top of the box and dragging the box to another locat
23. K function This will move the patient s image files from the Pending to the Completed portion of the Worklist Completed or diagnosed cases are then aged off of the Workstation according to time parameters set by your system administrator Using the OK function is the proper way to indicate a case has been diagnosed and needs no further review The second way to move to move to another patient s images on the CQUCLLGQ PACS IM is to do so without diagnosing the first patient perhaps in order to consult with another professional Simply call up the Worklist and select another patient The first patient s images will then remain on the Pending portion of the Worklist Helpful hint Always use OK when no further reading is required This eliminates the costly inefficiency of double reading It also keeps the size of the active Worklist more manageable improves the processing speed of the Workstation and eliminates the need for administrators to manually delete diagnosed patients from the active Worklist nal Under normal circumstances end your session with the Log Out command Logging Off The Logout command can be selected from a number of different locations These include the Activity Menu the Worklist window and the Options window The Logout Command ends the reading session returns the workstation to the CAUCLLO PACS 1M logon screens but keeps the workstation ready for another log in CaCCLLOPACS 1M should a
24. ORIZONTAL ANGLES LINE and MID LINE Measurement Method COBB 1 From the Annotation Menu click on COBB ANGLE ANGLE 2 Move cursor to desired start point on the image and left click Do not drag the cursor The words Left click for end of 1 line will appear 3 ove the cursor to the desired end point of the first line and left click A line will appear along with the words draw 2 line 4 Move cursor to the desired start point of the second line and left click The line will appear along with the measurement of the angle created at the point where the two lines intersect whether that point is on or off the screen in the same color as the first line 5 Click on the desired end point of the second line The angle measurement will freeze HORIZONTAL 1 From the Annotation Menu click on HORIZONTAL ANGLE ANGLE 2 Move cursor to desired start point on the image and left click Do not drag the cursor The words Left click line will appear 3 Move cursor to the desired end point of the line and left click The line will appear along with measurement of the imaginary angle created at the point where the line intersects a horizontal line in the same color as the first line Move cursor to desired start point on the image and left click 4 Click on the desired end point of the second line The angle measurement will freeze LINE 1 From the Annotation Menu click on LINE 2 Move cursor to d
25. Page 34 ZMS CateLLa DaACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 16 IMPORTANT NOTES CateLLa PACS 1M display pre recorded and previously stored digitized diagnostic images patient information and associated data using computer systems supplied with the workstation and databases available from the user s facility The intended purpose of this device is to allow health care professionals to view the electronically available images and other patient information for review evaluation and possible treatment planning The COUCLLO PACS 1IM Version 4 0 is a medical image and information management system that allows easy viewing selection processing and media interchange of multi modality medical images from a variety of diagnostic imaging systems The CQUCLLO PACS 1M interfaces to various storage and printing devices using DICOM or similar interface standards The CACCLLO PACS IM displays stores with certain upgrades and prints to CD s images received over the internet or on CD s or from a single medical modality which may be any of the following inter alia MR CT DR CR X ray Angiography Ultrasound or digitizers The CQUCLLA PACS 1M Version 4 0 can perform other user defined post processing functions such as multi planar reformatting of images The COUCLLQ PACS IM can display processed data from certain FDA cleared third party image processing systems that create DICOM output such as 3 D
26. Query Retrieve cateLLa PACS 1IM will query its Archive and retrieve images for patients selected at the workstation e Important definitions Query is the act of searching a database in this case the Catella PACS 1M Archive to see which images are available from that source Retrieve is the act of pulling the selected images to the Catella PACS 1M workstation ce If you have configured the Prefetch option images will be automatically sent to your workstation based on the user s protocols If your system is not pre loading the historical images you need speak to your system administrator Catella PACS 1M will allow you to open another case for review while the selected images are being received You can view the retrieved cases later The easiest method to retrieve past patient images is to bring them all up on the monitor To do this follow these simple steps Step 1 Click on QUERY on the Worklist Window Step 2 The Query Window will appear See the figure below The name and ID of the current patient will appear in the Query Info Name box If you wish to query for a different patient click on the CLEAR PATIENT INFORMATION button Then fill in a new name or ID number Step 3 Click on the QUERY PATIENT LEVEL button ce The current status of your query will appear in the STATUS line on the lower right corner of the Query Window Form 330 4 135 Rev 06 Page 15 T nal Helpful hints Ais cateLLa DACS Affordable Upgra
27. Select the mode you wish to enter by pressing one of the three Annotation buttons Move the cursor to the area of the image you wish to highlight 1055x1284 Actual siz g i Ea an Bs Export This Image sove Figure 8 Annotation submenu When using the ARROW press the left mouse button where you wish to place the arrow s point and while holding the button down move the mouse to make the rest of the arrow Release the mouse button where you wish to place the end of the arrow When using the CIRCLE press the left mouse button and while holding the button down move the mouse in a circular motion towards the area of interest Release the mouse button when the circle has enlarged to cover the area of interest Form 330 4 135 Rev 06 Page 8 cateLL a DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS ais When using the TEXT press the left mouse button at the location you wish to begin the text comment to draw a text box Begin to type and press the lt Enter gt key if you wish to start a new line To delete any typing select it and press the delete key Measurement cateLLa PACS 1M also allows you to take and record DISTANCE and ANGLE measurements on any image Measurements in HOUNSFELD Units are also available for MR images If the DICOM file has measurement calibration information COCCLLGQ PACS IM will allow you to begin measurement processing directly If you wish to activate eithe
28. System for Creation of CD with Patient Images and Self Starting Image Viewer Creates a CD with selected patient s DICOM images and adds a self starting image viewer at the user s option e Image Gateway Software Manages the distribution of images from the Image Archive to Review Workstations if any Optional Review Workstation Software Software licenses for installation on user owned PC s connected to the PACS 1IM LAN network This software supports screen resolutions of 1280x1024 1680x1050 1440x900 and 1360x768 Optional Web Server Software Manages the distribution of images from the Image Archive to the CaUcLLa WebVue software via the Internet Optional WebVue Server Software Includes licenses for installation on user owned PC s connected to the PACS 1M network via the optional Web Server Software and the Internet This software is similar to the non diagnostic Review Workstation software Form 330 4 135 Rev 06 Page 3 PACS 1M User Manual IN CateLLa DACS Affordable Upgradeable Enterprise PACS PACS 1M Display CatecLLa PACS IM displays images in a Thumbnail simple direct format This is done intentionally to Column maximize productivity The figure below illustrates the display Move Up or Down Thumbnail Column Main Image Area All images are initially presented in the correct aspect ratio and are enlarged to take advantage of as much of the monitor as possible in this area Ac
29. Warranty is void if failure of the Software Product or equipment has resulted from accident abuse or misapplication which shall include the unauthorized loading of other vendors software on any equipment running the Software Product the use of the equipment for internet activity unconnected to the use of the Software Product and or the failure to maintain current anti virus software on the equipment Any replacement of the Software Product or equipment will be warranted for the remainder of the original warranty period or thirty 30 days whichever is longer Copyright 1998 2009 by American Medical Sales Inc All rights reserved American Medical Sales AMS CaUCLLa CatclLlLa PACS catelLlLa Scan catea Scribe CQUCLLO Image Gateway CaUCLLO Image Armor CaQUCLLA Image Relay COUCLLOA Floating Menu CaUCLLO Audio Attendant CAaCCLLA CD Burner COUCLLG PACS IM CaQUCLLA ImageVault cateLlLa MammoVue CatcLlLa MIDAS Server CaUCLLA Web Server CaUCLLa Teleradiology CacteLLa PACS in a BOX catella Micro PACS CatCcLLa PACSVUE CatcLlLa PACS 3M and CatCCLLG PACS 5M are trademarks of American Medical Sales Inc All other trademarks tradenames products or services are registered trademarks of their respective companies Form 330 4 135 Rev 06 Page 37
30. ans that the removable media is full Even when the removable hard drive is full images will continue to be saved and stored on the hard drive Archive and not lost unless the Archive also fills E Removing Files Studies from Destination Routing To clear errors in sending images to specific destinations press the Admin Mode button and enter the password requested See Figure at right The factory default password is cat03 When in the administrative mode in the Gateway all image processing is stopped This allows the operator to work with the files that appeared at the time the administrative mode was started without having to be concerned about transient files moving in and out of the Gateway hazard 700 ME Gateway HOWE Ctrl 12 menu Mastart DR Bilcatetatockserver fd Catella Gateway ver Figure 32 Password Protection Hp AR 11 23AM Maot ODD cta Lock server cts EOFCEEI ZTE Beaten cattery verse administrative E Figure 34 Picking Destinations Queues are arranged by destination in the Gateway Work can be performed on both the errors and the backed up files after picking the destination Once the files are displayed they can be sorted by ID or Name Highlight the files to be removed and then press the Remove Selected Files button When finished press EXIT all IMPORTANT NOTE THIS FUNCTION SHOULD ONLY BE USED BY A TRAINED SYSTEM ADMINISTRATOR OR BY AMS
31. ay not reverse engineer decompile or disassemble the Software Product except and only to the extent that such activity is expressly permitted by applicable law notwithstanding this limitation Except as noted above the Software Product is licensed as a single product Its component parts may not be separated for use on more than one computer You may permanently transfer all of your rights under this license only as part of a sale or transfer of the Digital Workstation provided you retain no copies you transfer all of the Software Product including all component parts the media and printed materials any upgrades and a copy of this agreement and the recipient agrees to the terms of this agreement If the Software Product is an upgrade any transfer must include all prior versions of the Software Product Precautions And Permitted Uses The Product may be used only for the intended uses specified in the user manual of the Product The Product may be used only by trained personnel who are qualified licensed and experienced in conducting the relevant medical procedures The Product may be used only after thorough review of and strictly in accordance with the user manual of the Product All results provided by the Product must be clinically verified and checked before patient treatment The Product is an evaluation tool intended to provide aid and support to trained personnel and should not be used as a decision making tool Life Support Proc
32. ccess to recent images and keeps the information on the worklists manageable ai cateLLa PACS 1M s straightforward worklist design has a purpose It increases your productivity Keep in mind that the more information displayed the more time you will spend reviewing it Limit your worklist information to the bare minimum necessary Remember that you can always bring up DICOM Image Details if you need more information You may also sort the worklist You can sort by any of the columns shown As with other Windows style programs click on a column heading to sort in ascending order Click a second time to change the sort to descending order The VIEW option allows you to select to see pending or completed studies The COLUMNS option allows you to select columns to be displayed for the two different types of studies The displayable columns are Patient ID Institution Name Modality Patient Name Time Stat Marked as emergency Referring Physician e Keep in mind that the DICOM standard does not tell how many images are in a series Therefore if a new study is being sent to the Catella PACS 1M give it time to arrive If you are reading a study and Form 330 4 135 Rev 06 Page 14 A s JcaceLLa PACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS receiving the warning that more images are arriving it is best to move on to another patient and allow time for your network to deliver all the images bef
33. ck on FIND IMAGES The system will scroll through the images found for that patient and let you know as it does so how many images remain The lead image is displayed to provide the operator with a visual cue that the correct image set has been selected Series and studies will be maintained as such If the CD contains files for more than one patient you will have to check the box Include Sub Folders If nothing happens when you click on Find Images this is a good indication that the CD has images for more than one patient A list of the patients will then appear on the screen next to the Find Images button The DICOM images for each patient will be consolidated by patient Select the desired patient and proceed as above When that send is complete you may select another patient and repeat the process After the patient s images have been presented on the screen you may change the patient ID so that the imported images will be stored in your COUCLLO Archive in conformance with your institution s numbering standards Next select the destination s to send the images and press the SEND button The destination choices will have been set up by your administrator or AMS during installation and normally include the COUCLLO Archive and the CQUCLLO Workstation If the send is interrupted or otherwise fails the system will automatically retry it When you log in to your CQUCLLG PACS 1IM and check the pending worklist the imported images
34. deable Enterprise PACS PACS 1M User Manual Entering Partial Names will bring back all patients with those beginning letters For example Smi will bring back Smilie Smite Smith etc Entering Partial ID will bring back all patients with those beginning characters The less specific an inquiry the longer it will take and the more results will be displayed Step 4 Select the patient name whose SM pemn images you wish to retrieve Click am Mines on the GET SELECTED IMAGES button This will close the QUERY Window and open the WORKLIST resm Pakat ID Window When the retrieve is complete the patient study appears as the last item on the WORKLIST if sorted by time images have been received It can then be studied Overview of Query Levels CERSA aai Under the DICOM standard image files are stored in a specific hierarchy EF Figure 19 Query Window DICOM Hierarchical Level Layers First Patient Second Study Third Series Fourth Image Conducting an Advanced Query Queries are conducted by layer therefore this process involves multiple steps Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Click on QUERY on the Worklist Window The Query Window will appear See Figure above The name and ID of the current patient will appear in the Query Info Name box If you wish to query for a different patient click on the CLEAR PATIENT INFORMATION b
35. describe the next lower level It starts with Patient Level changes to Study Level then to Series Level and finally to Image Level To move down to the next image level click on this first QUERY button To move up a level click on the UP QUERY LEVEL button Select Desired Images Now that you have determined the level you wish to retrieve from pulling the images to your worklist is simple Click to highlight the line that represents the image s you wish to retrieve You can retrieve more than one item by highlighting as many lines as desired See example in Step 6 above You must select at least one item before using the GET SELECTED IMAGES Command To exit the Query Window click on the EXIT button By selecting Key Images Only only images that have been designated as key images from a particular series will be returned to the workstation You can select from three compression levels at which your images will be returned Lossless Lossy Highest Quality and Lossy Fastest r Since Catella PACS 1M is operating within a network it is strongly recommended that only Lossless compression be used for image retrieval Lossy compression will not result in appreciably faster retrieval times within a facility and image quality may be compromised OK On the CAUCLLA PACS 1M there are two ways to move to a new patient s images One way is to indicate that the patient has been diagnosed using the O
36. e the number of most recent study ies to return for that patient Since the CQCCLLO PACS 1IM may generate prefetch requests without knowing which doctor will read the images the choices are for all doctors using the COUCLLG PACS 1IM CR MR nF RF MR cT RF cT MF R us R CT cT CT R CT MR OT MR OT Images generated within the last 24 hours will NOT be automatically retrieved from the archive in a prefetch They should already be on the COCCLLA PACS 1M that generated the prefetch request The information that controls the type of prefetch that will be conducted is located in the digams ini file To modify this please contact your system administrator Prefetch may be set as follows SO ALL Returns all previous images Cmd pesemode com iam MRS Returns the most recent studies where is a single Figure 18 Worklist digit that indicates how many studies to return You can also request the system to prefetch studies by modality type e g the last four ultrasound studies See your system administrator for details Sortable Worklist When a case is diagnosed by clicking on OK the patient s name will move from the Pending Patients Worklist to the Completed Patients Worklist You may view images from the Completed Patients Worklist as well After a few days patients names will be automatically moved from the Completed Patients Worklist to the cateLLa PACS 1M archive This allows fast a
37. e Advanced WINDOW LEVEL Option Box r es Bone Manual Control using Slider Bars Use the trackball cursor to move the slider bars up or down to increase or decrease the respective values The numerical interpretation is displayed at the center bottom of the window Figure 7 Advanced WINDOW LEVEL Box Select Preference Value cartella PACS 1M allows each doctor to set preset values for each imaging modality CR CT MR NM AS RF US DX MG or XA COUCCLLO PACS 1M comes with Form 330 4 135 Rev 06 Page 7 PACS 1M User Manual Ais cateLLa DACS Affordable Upgradeable Enterprise PACS a number of factory preset default values for CT and MR These will need to be tested and may need to be modified after installation See Chapter 9 on how to set these values If presets have been entered for this imaging modality they will appear in the preference table To change images to a set of specific preset values go to the preference table and click on the desired description If there are more options than can be displayed in the table a scroll bar will display By clicking Use File Values label you can instruct the system to use the DICOM file values as sent to CQUCLLA PACS 1M from the modality Contrast Equalize This adjusts the contrast of an image so that each intensity range has approximately the same number of pixels init This algorithm may assist the health professional in visualizing subtle differences in the ana
38. e is designated on call currently by including on call in the modality s accession field the Image Gateway creates an additional destination in addition to whatever other ones it would normally use for this image This additional rule is Send this image to the Web Server to hold in its on call box The Web Server will hold this image until a radiologist logs in as the on call doctor Once a doctor is logged in as the on call doctor the system will send all images being held as on call images to that doctor s viewing station IMPORTANT NOTE How images are routed to viewing stations is set up differently for each network See your system administration for details about your system HOWEVER in most systems all diagnostic workstations receive all images IF YOU ARE USING A DIAGNOSTIC WORKSTATION AND YOU ALREADY HAVE PERMISSION TO RECEIVE ALL IMAGES THEN THERE IS NO REASON TO EVER LOG IN AS THE ON CALL PHYSICIAN In fact if you do log in as on call and previously interpreted images are pulled from the on call system these images will be considered as new and will appear on your pending list As a safety feature Catella software assumes that electing to send images multiple times is done because there is new information important for the physician to see The only time that it makes sense to check the on call box on a diagnostic workstation is 1f not all images are routed to that workstation AND you are the on call physician In thi
39. eaner source of power for the workstation WARRANTIES AND SERVICE PLANS ON CaccLLa PACS IM EQUIPMENT AND SOFTWARE DO NOT COVER DATA LOSS OR CORRUPTION OR CLAIMS LIABILITIES DAMAGES COSTS AND EXPENSES RELATING THERETO INCLUDING CHARGES FOR RECOVERY OR ATTEMPTED RECOVERY OF DATA WHETHER SUCH LOSSES ARE CAUSED BY POWER SURGES VIRUSES IMPROPER HANDLING OR FAILURE OF EQUIPMENT AND HARD DRIVES OR ANY OTHER CAUSE NOR DO catella PACS 1M WARRANTIES AND SERVICE PLANS COVER DAMAGE TO EQUIPMENT AND SOFTWARE CAUSED BY POWER SURGES VIRUSES OR IMPROPER HANDLING OF EQUIPMENT AND HARD DRIVES A UPS WILL HELP PROTECT YOUR INVESTMENT cate_La PACS 1M IS A FDA LISTED MEDICAL DEVICE DO NOT ADD TO OR CHANGE ANY SOFTWARE OR CONFIGURATION SETTINGS WITHOUT THE PRIOR EXPRESS WRITTEN APPROVAL OF AMERICAN MEDICAL SALES INC ANY CHANGES MADE TO THE SYSTEM MAY VOID YOUR WARRANTY OR SERVICE MAINTENANCE AGREEMENT COVERAGE T cate_La PACS 1IM WARRANTIES AND SERVICE PLANS MAY BE VOIDED BY IMPROPER USE OF THE EQUIPMENT FOR NON AUTHORIZED PURPOSES INCLUDING BUT NOT LIMITED TO EMAIL OR OTHER COMMUNICATIONS MUSIC OR VIDEO DOWNLOADS OR PLAYING OR GENERAL USE OF THE INTERNET Make sure the Removable Backup Drive is plugged into one of the USB ports on the computer Once the computer is on the COUCLLO Workstation Image Gateway Image Archive and Web Server programs will power up into the Windows XP operating system This may take several minutes Once Windows
40. edures And High Risk Activities You acknowledge that the Product is not fault tolerant and should not be used in direct life support procedures or other activities requiring fail safe performance in which the failure of the Product could lead directly to death and you agree not to use or allow the use of the Product for or in connection with any such procedure or activity Reports You agree to prepare and submit to American Medical Sales Inc full and accurate reports immediately upon becoming aware of any adverse effect occurring during procedures in which results of the Product were used or during any other use of the Product Upgrades This End User License Agreement does not grant you any right to any enhancements updates or upgrades for the Product collectively Upgrades unless you make separate arrangements for such Upgrades with American Medical Sales Inc and pay any fees associated with such Upgrades Any such Upgrades for the Product that may be made available by American Medical Sales Incl shall become part of the Product and subject to this End User License Agreement Without prejudice to any other rights American Medical Sales Inc may terminate this license if you fail to comply with the terms and conditions of this agreement In such event you must destroy all copies of the Software Product and all of its component parts All title and copyrights in and to the Software Product including but not limited to any images ph
41. esired start point on the image and left click 3 Move cursor to desired end point on the image and left click again This will set the line MID LINE 1 From the Annotation Menu click on MID LINE 2 Oy Move cursor to desired end point on the image and left click again This will set the line and display the mid point of the line Other Annotation Functions Show Annotations To clear measurements and annotations from the screen without deleting them deselect Show Annotations If you check the Show Annotations box again the measurements and annotations will reappear Edit Selected To edit or delete a text annotation press the Edit Selected button and then make a box around it using a left click and drag Then you may edit or delete the text Delete One To delete a non text annotation simply select Edit Selected click on the annotation or make a box around it using a left click and drag and press the DELETE ONE button Delete All To delete all annotations on an image select DELETE ALL A warning box will appear asking you to confirm the instruction If you say Yes all annotations will be deleted for that image Compression and Write Resolution You can modify the resolution and the compression factors used in saving images to your reports The write resolution window indicates whether bits are to be skipped in the saving process Compression makes the image file size smaller but it is lossy compression meaning tha
42. g software there will be a Stitch Images button in the Activity Menu When viewing an image that you wish to combine with another image in the same series press the Stitch Images button The workstation will display the series of images at the top of the screen Figure 13 Images Available for Stitching You will be directed to Click on Image 1 Select an image with the cursor That image will disappear from the image lineup You will be directed to Pick 2 Image When you select the remaining image to be stitched you will be directed to Right and Left Click to Move Images The two selected images will appear on the screen as in the figure below and can be dragged into position vis a vis each other using the cursor When you select Stitch the two images will be stitched into one and the screen will return to the series you were viewing before After you go to the worklist and recall the patient the stitched image will appear in the thumbnail column as a new image in the series Image Details COUCCLLG PACS 1IM allows you display the DICOM header information For readers familiar with the individual entries in these records a vast amount of detailed information about how the image was captured and in some cases patient information can be found The figure below shows one page of the image detail file Figure 15 Example of Display of Image Details Print Image CaCCLLG PACS 1M allows you
43. images will immediately appear and you can begin your interpretative work On Call Status This is an option usable when the system is connected to multiple viewing stations See Chapter 13 for details Form 330 4 135 Rev 06 Page 6 i J cateLL a DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 3 PRIMARY IMAGE CONTROL TOOLS All CAUCLLA PACS 1IM image controls may be accessed through the Activity Menu The most commonly used controls ZOOM PAN WINDOW LEVEL may also be accessed using your trackball or mouse buttons Primary Image Control Tools When you login to COUCLLG PACS IM the primary tool will be set to window level To change the tool to zoom or pan click on the right mouse button or press the button to the left of the desired tool s name in the activity menu The screen cursor will indicate which control function is currently active See the figure below for icon definitions W 4 Figure 2 Window Level Pan and Zoom Icons Controlling Window Level Moving the icon up or down changes the window values of the image The image will change as you move the icon Moving the icon up increases the window number which lightens the image Moving the icon down decreases the window number which darkens the image Moving the icon to the right or left changes the level values of the image The image will change as you move the icon Moving the icon to the left decreases the level
44. ion To burn a second CD with the same images click on the image to restore the Print Image button on the Menu Then you can begin the CD burning process again Patient CD s should be put into labeled jackets or boxes Writing on the CD itself may degrade the quality of the images over time although this may not be a primary concern since the images can always be re copied from the archive Form 330 4 135 Rev 06 Page 21 Ais CateLLa DACS Affordable Upgradeable Enterprise PACS PACS 1M User Manual CHAPTER 8 DICOM IMPORTER cateLLa DICOM Importer allows you to quickly and easily add DICOM image files to a patient s record in the CateLLa Archive Although most commonly used to import images from CD s and USB drives the software also allows for the selection of DICOM files accessible on your computer network These could include images originally on DVD s or diskettes or elsewhere on your network or even on another institution s network provided you have access to that network through a VPN for example Importing DICOM Image Files from a CD To use DICOM Importer to add image files from a CD place the CD in the PACS 1M s CD drive and close the drive tray Open the DICOM Importer program by clicking on the DICOM Importer button on the Activity Menu Figure 25 DICOM Importer Screen Go to the screen next to the Find Images button and select the patient from the files in the CD drive and cli
45. istrative Dicom Transfer This tab contains important notes regarding the software and its use and sets forth the End User Tools Window Level Preferences About Catella Catella c American Medical Sales Inc 1998 2003 License Agreement and other related information 800 423 3535 version 4 2 8 All rights reserved The Other Basic Buttons at the Bottom i a Ce ae ae se ono Sp ih rin daar vain tn wate OK Closes the Options Window eee con y Log Out Ends the reading session returns htt mgr wwe ep Cala Wane u presented orhe inatn of the th ur ri the workstation to the COUCLLO PACS IM login screen but keeps the workstation ready for another user log in Figure 30 About COUCLLO Tab Form 330 4 135 Rev 06 Page 24 Ais cateLLa DACS Affordable Upgradeable Enterprise PACS PACS 1M User Manual CHAPTER 10 Image Gateway Operating Instructions In CACCLLO PACS 1M images are received from a single modality or over the internet or from a CD The CACCLLO Image Gateway program is the first recipient of the images Its function is to make a copy of the images for disaster recovery purposes as well as to route the images to the Workstation and to the CQUCLLO Archive The CQUCLLOG Archive s function is to preserve the images and to provide them to the Workstation upon request cateLLa Image Gateway A Receive Images Upon receipt the COUCLLO Image Gateway sends a message to the origina
46. l is not intended to be a definitive explanation of this product Figures used in this manual are representative only and may vary from what appears on the screen Attempts have been made to include all user functions but there may be variations with your installed version See your system administrator for updates Although COUCLLO products where applicable adhere to the DICOM 3 0 standard and are designed to be compatible with a wide range of other devices that also adhere to this standard device specific variations may occasionally occur which require intervention or adjustment Should incompatibility appear to an issue please contact your system s administrator so that they can contact the responsible vendors to discuss the related issues ce Power outages power surges storms temperature and humidity may affect computer equipment network equipment and communication devices and networks to which software is associated It is the responsibility of the user to protect the equipment and provide the environment to handle these possible issues If you are a third party installer not the end user you are required by the United States of America Food and Drug Administration FDA to maintain records relating to the installation and testing of this equipment These records must be maintained by you for FDA review It is recommended that these records be kept for the life of the product plus ten 10 years If the installer is unable to maintain the
47. lways be left on and not shut down This will allow the workstation to receive incoming images and to process them If the COUCLLOPACS IM is shut down images will be received only when it is turned back on The accumulated images that should have been sent to the workstation may take significant time to load and process Form 330 4 135 Rev 06 Page 17 ICaceLLa DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS Shutting Down The Quit command can be selected from the Doctor Log In window This will close the Workstation program but it will leave the Archive Gateway and other programs running Restarting Workstation Program To restart the Workstation program after closing it with the Quit command click on the CQUCLLO Workstation shortcut icon on the Desktop The Doctor s Login Screen will appear and you may begin another session Form 330 4 135 Rev 06 Page 18 mara Ais CateLLa Dacs Affordable Upgradeable Enterprise PACS PACS 1M User Manual CHAPTER 5 MULTI FRAME IMAGES Setting Display Configurations You may select how you wish to view image series mage series can be viewed in l up or Quad two over two All imaging tools function with either configuration cactceLLa PACS 1M automatically adjusts the zoom factor of the images to take advantage of the monitors full viewing area Basic Image Controls Same as Others When viewing multiple image files all the same basic image control
48. ngs OK Log Out Figure 26 Administrative Tab This tab also allows you to change the entry password for the current user To change a password enter the old password and then the new password Tools About Catella Administrative Dicony Transfer Tools Window Level Preferences Default Tool amp Window Level Measurement Units C Centimeters C Zoom Millimeters Muti Frame Images Display Text Overlay No Text Overlay Onientation Markers C On 6 Off Log Out Figure 27 Tools Tab Using these options each user can customize the way they use CQUCLLO PACS 1M Default Tool Each user can select the default tool that comes up when they begin each patient Pan is not an option because images never initially appear larger than can be seen on one monitor Multi Frame Images Choose the default setting to display or not display text overlay Orientation Markers Choose to display or not to display orientation markers Form 330 4 135 Rev 06 Page 23 K e mele DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS Measurement Units Choose to use centimeters or millimeters as the measurement unit for Annotations Window Level Preferences CatcLLa PACS 1M allows you to establish preset window and level preferences for each of ten modalities In addition you can give each preference a unique description These will appear when the Window Level Tool Window is
49. o resend images that have not been properly sent This allows the COUCLLO Image Gateway to continue to accumulate images for a malfunctioning device network and then automatically send them when the device network is restored It also allows the CAUCLLO Image Gateway to continue its image distribution as if the device network properly received the image on the first try thus not penalizing lower priority recipients and keeping the images flowing C Backup Images Finally but not least important the COCCLLO Image Gateway makes a copy of the image that was received from the modality This copy is made on the removable USB back up drive that allows for easy removal from the site This provides a copy of the images in event of catastrophic failure Writing a copy of the image to removable media is usually the last step in the priority scheme In this case by the time the image is written to removable media there are already copies on the modality on the CQUCLLO Image Gateway and on the recipient workstation s and or archive D Monitoring the Removable Media The cartela Image Gateway needs to be checked periodically to see if enough images have been accumulated to fill the removable USB drive The Gateway s screen is color coded to allow you to quickly Form 330 4 135 Rev 06 Page 25 5 CateLLa DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS determine the status of the removable media When the screen is red it me
50. on Screen Layout Here is an MPR screen layout Note that each view is appropriately labeled axial coronal or sagittal Using MPR To use MPR move the cursor to any one of the images Once over the image the cursor changes to a set of cross hairs When the left trackball button is pressed the center of the cross hairs becomes the point of the cursor As you move the cursor in any direction the other images shift to show you the reconstructed images for that point Moving the cursor to one of the other images changes the reconstruction control to that new image Keep in mind that CQCCLLG PACS 1M only displays actual data points It does not interpolate information Therefore the best reconstructed images will be attained using CT or MR series with a large number of image slices spaced evenly and closely together If a series does not have the number or type of slices necessary to allow for reconstruction a minimum of four parallel slices is required the MPR button will be grayed out In some instances the original images allow for reconstruction but with less than optimal MPR views In these cases CacecLLa PACS 1IM displays a warning but still allows for MPR Figure 23 MPR screen presentation The quality of reconstructed images depends on a number of factors many of which are beyond the control of the MPR function It is therefore important that neither treatment nor diagnostic decisions should be
51. ore returning to that patient afl Note If your archive is nearly full the following warning message will appear on the worklist screen Disk Drive Almost Full Please Delete Some Patients If you do not know how to do this see your systems administrator The bottom section of the worklist provides other user functions These are described below To select a patient case to view use these commands Select Mode When in the Select Mode the Worklist can be used to call up patient images The title on the top of the Worklist indicates the mode Select or Delete Cancel The cancel button is used to close the worklist window Delete Mode The COCCLLG PACS IM deletes cases from your worklist in two ways First COCCLLO PACS 1M will automatically remove all cases that have moved to the Completed Patients worklist after a given period of time See your system administrator for details Second cases can be deleted manually Manual deletion should not normally need to be done To manually delete a case click on the DELETE MODE button Note that the button will now say SELECT MODE Clicking on the SELECT MODE button will return the Worklist to the select mode Next click on the patient s name A confirmation window will appear To confirm your desire to delete this case click on DELETE To stop the deletion click on CANCEL Deleted images will remain on the Archive so they can be quickly retrieved in case of erroneous deletion
52. ot configured properly 2 Network set up not correct check subnet gateway and DNS 3 PACS not plugged into network 4 Firewall turned on 5 Bad Cat 5 Cable Imaging hitting the Image 1 Check self ini file and restart Gateway program works every Gateway but going no further time almost Image Gateway is blue 1 Verify removable USB 1s installed and powered on Can t query images from the 1 Check privileges and rights of this user archive 2 Check network cables 3 Check network addresses CD will not print 1 Check that ink cartridge is installed 2 Is cartridge out of ink 3 Is the Duet turned off 4 Is Duet plugged into the proper USB port MAY REQUIRE DRIVER RELOAD CD will not record print or both L Verify that proper media is being used Use CDR blank discs not CDRW or DVD s Duet has a red light 1 No print cartridge in tray Faulty print cartridge Form 330 4 135 Rev 06 Page 33 A s JcaceLLa PACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 15 CONTACTING US First Support Contact Your system administrator has completed extensive training in the operation of the COUCCLLO PACS 1M and its software and hardware components This person is also most familiar with other aspects of your imaging network For these reasons the best place to start looking for assistance is your system administrator Second Support Contact In most areas of the world yo
53. otographs animations video audio music and text incorporated in the Software Product the accompanying printed materials and any copies of the Software Product are owned by American Medical Sales Inc or its suppliers You may not copy the printed materials accompanying the Software Product The software referred to in general as Catella may include enabling software from other sources such as Microsoft Mallinckrodt Institute of Radiology University of Oldenberg Orthocrat Ltd CompuMed Inc Calgary Scientific Inc and Accusoft Corporation whose licenses rights and restrictions are included by reference herein Limited Warranty American Medical Sales Inc warrants that a the Software Product will perform substantially in accordance with the accompanying written materials for a period of one year from the date of receipt and b any American Medical Sales Inc hardware accompanying the Software Package will be free from Form 330 4 135 Rev 06 Page 36 a Ais CateLLa pacs Affordable Upgradeable Enterprise PACS PACS 1M User Manual defects in materials and workmanship under normal use and service for a period of one year from the date of receipt or for the period of time indicated by the manufacturer of a specific piece of equipment if that period is longer than one year Any implied warranties on the Software Product or the equipment pieces are limited to these stated periods WARRANTY Except for the limited warranty
54. r the angle or Hounsfeld Units function click on the appropriate option in the Annotation Menu If measurement information is not sent with the DICOM file COCCLLG PACS 1IM will ask that you calibrate distance before conducting a measurement Use something of known size 1 e a label An information box similar to the figure below will appear To draw a measurement calibration line select a location on the image press and hold down the left trackball button and while holding it down move the trackball in either a horizontal or vertical direction When you release the left button COCCLLO PACS 1IM will indicate the line that you have just drawn and will request you supply its length Use the slide bar to adjust this as desired ARNING All measurements for this image will be based on this setting Try to keep the line either ARNING All measurements for this image will be based on this setting Try to keep the line either horizontal or vertical Horizontal and Vertical spacing assumed equal horizontal or vertical Horizontal and Vertical spacing assumed equal Line Length 10 cm J Draw Line Figure 9 Length Measurement Information Box Figure 10 Box with Calibrated Result Measurement Method Length 1 Click on the DISTANCE button 2 Move cursor to start point 3 Press and hold left mouse button 4 Drag cursor to desired end point and release button Measurement appears on monitor Angle 1 Click on
55. ress this button to deactivate Quad Display Overlay Text Overlay allows the doctor to see some of the modality s settings i e mag strength slice thickness etc Locator Select Allows the user to manually select a more relevant image to use as the scout image To select a new scout click on LOCATOR A selection of new possible scout images along with relevant DICOM data will appear along the top edge of the monitor To select a new scout simply click on one of the images Form 330 4 135 Rev 06 PACS 1M User Manual N d oa SS e i Fa Figure 16 Quad Display mo cet siuna Sam m Sembas n f enna nee eres i reat ont te en Figure 17 Locator Selection Page 13 _ Te Als cateLLa DACS Affordable Upgradeable Enterprise PACS PACS 1M User Manual CHAPTER 4 WORKLIST The worklist displays the names of patients whose images are pending to be read as well as those whose images have been read The figure below gives an illustration of a typical worklist CaOUCLLO PACS 1M lists patient name number of images for this case and the imaging modality If there are more cases than can be listed in the assigned space a scroll bar will appear to the right of each section Prefetch cetero wonse Prefetch is a request to the archive that is automatically generated when a patient is selected for viewing on the cateLlLa PACS 1M The request is user definable to includ
56. rive Removing and Replacing the USB Back Up Before you remove the USB Back Up drive the CQUCLLGQ PACS 1IM computer must be completely powered off After powering off the computer unplug the USB back up and replace the back up with a new one supplied or recommended by AMS DO NOT ATTEMPT TO UNPLUG OR CHANGE THE USB HARD DRIVE WHILE THE PACS IM COMPUTER IS RUNNING THIS WILL CAUSE THE UNIT TO CEASE FUNCTIONING PROPERLY AND BILLABLE RE CONFIGURATION BY AMS WILL BE REQUIRED BEFORE REMOVING AND REPLACING THE USB HARD DRIVE CALL AMS FOR INSTRUCTION DOING THIS INCORRECTLY MAY DAMAGE THE UNIT AND CAUSE BILLABLE REPAIR WORK Once removed backup USB hard drives should be individually stored and the dates of the images stored should be written on the case for easier retrieval Protect backup USB hard drives taking care not to drop or scratch them keep them away from magnetic fields and store them in a safe location preferable offsite Form 330 4 135 Rev 06 Page 30 a Ais CateLLa Dacs Affordable Upgradeable Enterprise PACS PACS 1M User Manual CHAPTER 13 ON CALL FUNCTION cacalas On Call feature is designed for use in networks that generally have one or more remote viewing stations either within the institution s network or connected via the internet PACS 1M may include this feature if it has been upgraded with the optional COLELLO WebServer software What the On Call System Does Once an imag
57. s are available These include Zoom Pan Window Level Invert Rotate Flip Image Measure and Reset In addition loop viewing and image scouts with line locators are available for MR and CT images Stack Viewing All images on COQCCLLO PACS 1M are presented in the stack mode A series of MR images is shown below in the Quad Display mode Note that the scout image is shown in the lower right corner of each frame together with reference lines for the individual image s you are viewing In addition the current frame number and the total number of frames are displayed The following tools are available for stack viewing Zoom Enlarges the image Note that the percentage factor is listed next to the Zoom command see figure below Run Begins automatic stack viewing The length of time an image is displayed is controlled by slider bar below Stop Halts the automated stack viewing The RUN button changes to the STOP button once the run command is Hansa given Figure 21 Stack Viewing Mode Loop Plays the images in a continuous loop from beginning to end VWindowlLevel aa pi Sync You can move multiple series shown on the same Fee Image monitor together at one time To do this engage the Zoom sree Sync function on the monitor Pan Window Level Source The workstation displays the stack Stack Run i using the window and level values found in the DICOM file These may differ for each image You may
58. s case you will get all your normally routed images AS WELL AS those marked for the on call physician Physicians and On Call Images Radiologists who have been set up with the permission to receive on call images will see an on call checkbox on their log in screen see Figure below To receive on call images a physician places a check mark in the on call checkbox and then logs in using his her password The on call selection box must be checked before the OK box is clicked during the doctor logon Once the physician has logged in as the on call physician all on call images that have not been delivered to the previously on call physician will be automatically sent Enter Password Shutdown Figure 40 Selecting On Call from Catella Workstations Physicians who have not been set up with permissions to be an on call physician will not see the On Call check box on their log in screen See the next section for the how permission is set up Form 330 4 135 Rev 06 Page 31 PACS 1M User Manual Setting Physicians Rights to Receive On Call Images Permission for a radiologist to receive on call images is set in the Administrative Tasks mode of the archive To get the Administrative Tasks follow the directions in this chapter until you have activated the Assign Physician Rights Screen i Haz 200 MC Archive BB74 Ctrl F12 menu Set Physicians that may access any Patient BERJE HANEY BURNER CD DAS
59. se records at its place of business the records should be forwarded to American Medical Sales Inc at the following address current as of 2005 confirm address before mailing American Medical Sales Inc Installation Records 13105 S Crenshaw Blvd Hawthorne CA 90250 5517 United States of America Our authorized representative is CEpartner4U Esdoornlaan 13 3951DB Maarn The Netherlands Tel 31 0 6 516 536 26 Form 330 4 135 Rev 06 Page 35 A S etejaa enol Ole ler PACS 1M User Manual Affordable Upgradeable Enterprise PACS CHAPTER 17 LICENSE AGREEMENTS The SOFTWARE PRODUCT is protected by copyright laws and international copyright treaties as well as other intellectual property laws and treaties The Software Product is licensed not sold The basic license grants you a non exclusive non transferable and personal license to use one copy of the Software Product on one computer If the computer is connected to a network this license does not allow you to use the Software Product on other computers on the network unless otherwise specified in your sales agreement Multiple Users The Software Product may be installed and used within a multi user or networked environment on up to the number of computers and stations specified in your sales agreement If so it may be accessed at any such computer s and station s only by authorized users and only up to the number of users specified in such sales agreement You m
60. t image information is lost You can try various settings to determine your preference for the output quality you need for your referring physician reports and output files Remember these resolution and compression selections do not affect the images saved on the archive only the images used in your reports and images saved to files for other non diagnostic work Save If this button is pressed the screen with annotations will be saved as an overlay to the original image in the Archive When the patient s images are retrieved from the Archived the overlay will be there It can be clicked on or off as desired using the Overlay button in the Activity Menu Export This Image This allows the image to be saved as a jpg file on your hard drive under the name you give it You can then import the image in other programs such as teaching files As a default the image will be named and saved in a Key Images folder This key also appears on the main screen in the black Tool section Close To exit the Annotation menu press Close Form 330 4 135 Rev 06 Page 11 AS cateLL a DACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS Stitch Images Stitch Images is a feature that allows you to combine two images together for situations where a larger field of view is needed This is especially useful in orthopedic environments where long leg or scoliosis views are required If your workstation contains our optional stitchin
61. ting modality that the image was properly received The COUCLLO Image Gateway puts its highest priority on receiving and acknowledging images Other tasks are relegated to lower priorities This spares the operators at the modality from constantly having to resend images that were not properly received A file on the COUCLLQ Image Gateway C Program Files AMS Archive Backup Backup in1 contains the IP address of the modality that has authority to send images to the COCCLLO Image Gateway This file is not user modifiable but may be examined to see the image inflow B Distribute Images Images will be automatically routed to destinations Workstation Archive according to routing rules These rules are set up during or prior to installation but may be changed The Destination Control screen in the Gateway program displays the approved destinations e g Viewstation Archive Removable Media AMS Offsite Back up You may elect to temporarily remove a destination from receiving images by clicking on the Skip box next the destination s name You may change the priority of recipient destinations by selecting the Priority button and then dragging the destinations into the desired sequence and clicking Save and Exit T p eater fare Image Gateway s BTS a PACS Solutions Realized Figure 31 Destination Control Screen Another productivity and safety feature is that the COUCLLO Image Gateway automatically continues to try t
62. tivity Activity Menu All controls for the Ment workstation are located here this is the default location This horizontal area at the bottom of the screen is divided into four general areas From left to right Window Level Controls Stack controls Advanced Tools and Image Information Image Information includes such items as Figure 2 Main Viewing Screen patient name patient ID number image date and time Your system administrator can modify the data displayed in this box Thumbnail Column The first image in each of the current patient s series is displayed vertically in this column This allows you to quickly understand the number of image sets needing review By clicking on one of these images that image set will be displayed in the Main Image Area If more series are available than can be displayed in this vertical area controls are provided to move up and down the column Information Network cateLLa PACS 1M provides communications capability to receive display store and print patient images from a modality CaCCLLG PACS 1IM operates over an Ethernet network 10 100 1000Mbps The operation of CQUCLLO PACS 1M is independent of the underlying communications technology Connections between the COATCLLOG PACS 1M Workstation COTCLLAG Scribe CAQCCLLO Scan and other network equipment are regulated through the use of TCP IP addresses and ports DICOM Push There are a number of ways a workstation can receive image data
63. tomy Activate by pressing the CONTRAST EQUALIZE button Optimize This process helps to assure that there is no pixel saturation in any area of the image The minimum value and maximum value of the window is determined and the image is displayed with the level set to the middle of this range Activate by pressing the OPTIMIZE button The image is set to these new window and or level values as soon as the option is selected and the same settings will apply to all images in the same series Reset This returns the image to the window and level settings specified in the DICOM header file Invert The Invert function reverses the black white scale for the selected image Rotate The Rotate function turns the image 900 in a clockwise direction each time the function is selected Click on ROTATE on the Activity Menu Flip Image The Flip Image function flips the image 180 on the vertical axis Click on FLIP IMAGE on the Activity Menu Annotate Occasionally the radiologist will wish to highlight and annotate images in a study so that this information can be transferred to the referring physician Select ANNOTATE from the Activity Menu A special Annotation submenu will appear below the Activity Menu You cannot Annotate an image that has been rotated or flipped until it is back in its original position You may annotate an image with an ARROW a CIRCLE or with TEXT overlay The process is similar to that used in any common drawing program
64. ue Angle yellow Hounsfeld Units red e You can make many measurements on an image Each set of measurements will appear in a different color up to 10 colors before the colors begin to repeat Add Notes catea PACS 1M also allows the physician to add permanent notes to a patient file directly on an image Upon pressing ADD NOTES a two part Image Notes dialog box will appear Saved Notes on top and New Notes below The physician can add notes in the lower box and upon clicking SAVE NOTES the notes will be added permanently to the image file as an overlay together with the name of the login doctor making the entry and the date and time the notes were made The notes and identifying information and time will move to the saved notes portion of the dialog box By clicking HIDE the box will disappear from the screen allowing full image viewing Once notes have been added to an image file the button on the main menu will say READ NOTES instead of ADD NOTES To recall notes previously made simply press the READ NOTES button on the main menu Image Notes Saved Motes Mew Moies AVENO _ Hide Figure 12 Image Notes Dialog Box Form 330 4 135 Rev 06 Page 10 Bi Temer Ais CateLLa PACS PACS 1M User Manual Affordable Upgradeable Enterprise PACS Specialty Tools CaccLLa PACS 1IM also features tools specifically for the use of Chiropractors These tools allow measurement and annotations for COBB ANGLES H
65. ur CAUCLLO PACS 1M has been sold to your facility through an equipment retailer These medical imaging specialists have been thoroughly trained on the CQUCLLO PACS 1IM They will be particularly helpful in handling the hardware aspects of your system See your system administrator for their contact information Third Support Contact Please contact American Medical Sales for support that cannot be provided from either your system administrator or your local CAUCLLGO PACS 1M reseller How to Contact Us Mailing Address American Medical Sales Inc 13105 S Crenshaw Blvd Hawthorne CA 90250 U S A E Mail catella_support digitalams com Please note that e mail support is only available during normal business hours American Medical Sales Inc business hours are 7 00AM to 5 00PM Pacific Standard Time Monday through Friday E mail is checked several times each day by our support personnel This method of inquiry should be used for more in depth questions that are not time sensitive Fax Number 310 219 3201 Telephone Number 310 219 3200 American Medical Sales uses an advanced voice mail system to support your needs If a support operator is not available please listen to the message carefully Messages for non urgent inquiries should be left and will be answered as quickly as possible If your inquiry is urgent and an operator does not answer your call listen to the message to activate our emergency response system Form 330 4 135 Rev 06
66. use the Window Level functions to adjust this display as you would for any other type of image E Figure 22 Detail of Stack Controls Key Images An image in a stack or any image in a series can be designated as a Key Image by pressing on the Key icon in the Stack menu This will mark the image as a key image in the Archive When querying a patient s images from the Archive the physician has the option of querying just Key Images from a series in lieu of the entire series a potentially time saving device Export This Image This allows the image to be saved as a jpg file on your hard drive under the name you give it You can then import the image in other programs such as teaching files As a default the image will be named and saved in a Key Images folder This key also appears on the main menu screen in the black Tool section Form 330 4 135 Rev 06 Page 19 a Ais CateLLa pacs Affordable Upgradeable Enterprise PACS PACS 1M User Manual CHAPTER 6 MPR Multi Planar Reconstruction Multiplanar Reconstruction MPR is a post processing technique that reconstructs the axial images into coronal and sagittal anatomical planes MPR is an extra cost option on the CQUCLLA PACS 1M cateLLa PACS 1M s MPR program allows the user to e Scroll through the series in the axial coronal or sagittal image planes e Utilize 2D measurement tools like length angle Hounsfeld units e Complete annotati
67. utton If you have cleared the patient information type in a name or ID number Due to the limitations of most database systems not COUCLLA PACS 1IM queries will respond with close matches only Therefore it is preferable to use ID numbers Start your query by clicking on the QUERY PATIENT LEVEL button B Soon A filled in Query Window such as oe that found in the figure below will ao appear If no information is pes l available a warning message will appear in the Status area at the bottom right of this window While CaCECLLAG PACS 1M waits for a _ E m a response the status of your Query moa Ee rc une me will appear at the lower right side of Figure 20 Query Window returned with the window Patient Level Information If the Query returns items you can highlight one or more lines with a click of the left button lt PATIENT NAME gt Click on GET SELECTED IMAGES to begin the Form 330 4 135 Rev 06 Page 16 A S etejaa enol Ole lere PACS 1M User Manual Affordable Upgradeable Enterprise PACS retrieval process This patient s image files will appear at the end of your worklist when they have transferred to the CACCLLGQ PACS 1IM monitor To remove the highlighted status click on the name again Moving Between Levels cateLLa PACS 1M provides a productive method for moving up or down the DICOM storage hierarchy The QUERY button lower left changes its second line descriptor to
68. values Moving the icon to the right increases the level values Moving the icon in a diagonal direction will change both the window and level values Controlling Pan Once the image is enlarged beyond the monitor s ability to show it in its entirety you may wish to move the image to a new area of interest Moving the hand icon in the direction you wish to move the image will complete this function Wherever you touch or grab the image that point will be the central point of adjustment Note that the hand icon reduces slightly in size when you activate the pan movement Controlling Zoom Moving the zoom icon towards the top of the screen will zoom the image to a larger size Moving the icon toward the bottom of the screen will zoom the image to a smaller size Controlling Stack Holding the left button down and simultaneously moving the trackball so that the icon moves right will sequentially display images with higher numbers Moving the icon to the left will display the images in the stack with lower numbers Export This Image This allows the image to be saved as a jpg file on your hard drive under the name you give it You can then import the image in other programs such as teaching files As a default the image will be named and saved in a Key Images folder This key also appears in the Annotations submenu Advanced Window Level Options Use File Values Advanced WINDOW LEVEL features may be selected Soft Tissue from th

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