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Q-Station User Manual

1. 63 Custom Report Templates d d omisi a ede eniro tei o Pr nana 63 64 Export Toolbar Controls ere deae edes 64 Data ceo 65 Exporting Data in DICOM Formation Pre lirica tale 66 Saving omni etie mda 67 Saving Loop as 68 6 System Management 69 Specifying System InforniatiOr ausos teli ence m ande ai 69 Q Station Data LocationS sesesesesesessoesesesesesesesesescsesoresesesesestscsescsessesesersesesesesseseseseses 69 Configuring a Windows 7 Network Share eese 70 Configuring a Windows XP Network Share sse 71 Configuring a Local File Repository or NTFS USB 73 Specifying Storage Locations for Q Station 74 Backing Up Configuration 8 75 Restoring Configuration Settiligs u oc petet itte 76 7 Network and DICOM ee ee etn nnne nenne nest 77 Checking Network 5 78 Q Station User Manual 5 4535 616 40761
2. The Device Name is a name you choose for a specific device such as an ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device DICOM MPPS RIS Settings Setting Name Setting for Your Network IP Address AE Title Device Name Port Number The Device Name is a name you choose for a specific device such as an ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device Q Station User Manual 19 4535 616 40761 Q Station Installation StressVue ECG System Settings Setting Name Setting for Your Network Computer name ECG raw data locations ECG report locations If used computer name for report archive location Destination Directory Report formats to PDF transfer to archive Philips XML Alternate XML TIFF Write the path to the directory in this format Wcomputername Shared Folder Name 20 Q Station User Manual 4535 616 40761 Q Station Installation Audit Server Settings Setting Name Setting for Your Network IP Address Host Name Network Protocol TCP UDP Port Number Computer Security Policy Option The computer security policy option offered during the software installation is designed to increase the security of patient data by changing some of the Windows OS settings It is intended for use in office environments that do not have an information technology IT
3. If you have purchased the StressVue ECG Connect software option you can also do the following Import StressVue ECG waveform data the ECG SR and a PDF of the ECG report e Display stress ECG ST maps and stress echo ultrasound data side by side in the report and in the QLAB CMQ Stress plug in for analysis e Display in the QLAB CMQ Stress plug in ECG waveforms with stress echo ultrasound NOTES E e Q Station software is not intended for long term storage and should only be used to store patient data that you are currently investigating To ensure data security patient data should also be stored on a secure storage device a PACS e Your ability to analyze images in the Q Station software depends heavily on the quality of the image data you intend to analyze Image quality is highly dependent on a number of factors including the quality and grayscale standard display function GSDF calibration of the reviewing monitors the ambient lighting in the viewing environment and the compression applied to the image when it is exported in DICOM format For more Q Station User Manual 37 4535 616 40761 Q Station Basics information on compression options available on the ultrasound system and other export options that affect image quality see the documentation that accompanies your ultrasound system Make sure to maintain the accurate date and time on the computer on which the Q Station software is installed If you are
4. m Contents Adding DICOM Devices du 78 Editing DICOM DEVICES sucre o ee oco is bv Ua c ee Riu renta 80 Deleting DICOM Devices acp torte neiii n 80 Testing DICOM Devices ccce etre 80 ECG 81 Activating the ECGServiceUser Account eese 82 Configuring Access to 83 Configuring Access to Raw 84 Specifying the Date Format for StressVue XML serere 84 ECG Data Flow Troubleshootlhig s soo 84 iT I eb TM RU RR 87 6 Q Station User Manual 4535 616 40761 1 Read This First The Q Station Help and Q Station User Manual are intended to assist you with the safe and effective operation of your product Before attempting to use the product read the user information and strictly observe all warnings and cautions The user information for your Philips product describes the most extensive configuration of the product with the maximum number of options and accessories Some functions described may be unavailable on your product s configuration Intended Audience Before you use your Q Station you need to be familiar with diagnostic techniques Sonography training and clinical procedures are not includ
5. If the Q Station computer is connected to the Internet complete the following steps If the Q Station computer is not connected to the Internet see Manually Registering the Software on page 27 Ensure that you have the following items available Aregistration name your name Your valid e mail address The Q Station software serial number from the Q Station DVD case Q Station User Manual 25 4535 616 40761 E Q Station Installation 2 In the Q Station Registration Wizard select Am Connected to the Internet and Would Like to Register Now and then click Next 3 Type the required information and then click Next 4 Type the Q Station serial number from the CD case in the Serial Number text box and click Next The Registration Wizard automatically obtains the license file and displays the Registration Complete message NOTE The license file is specific to your Q Station computer and cannot be used with another computer 5 In the Registration Complete dialog box select Would Like to Back Up My License File and click Finish to make a backup copy of the license file 6 In the Select Backup Location dialog box select the location to which you want to save the license file and click Save 7 Do one of the following Ifthe Installation Succeeded dialog box appears click Restart to restart the computer and complete the software installation If the Installation Succeeded dialog box does not appear manuall
6. In the Properties dialog box click the Sharing tab 16 Click Share I7 In the File Sharing dialog box type Everyone in the text entry field and then click Add 18 In the Name list click Everyone and then select Read Write on the Permission Level menu I9 Click Share The folder is now shared and can be accessed directly from the User Selectable Repository option of the Q Station Data panel see Data Panel on page 49 Alternatively you can select the network share as a storage location on the Q Assistant System Management tab see Specifying Storage Locations for Q Station Data on page 74 Configuring a Windows XP Network Share On a Windows XP computer you can create a folder and then configure it as a network share for use as a Q Station data location NOTE _ The computer where the network share resides must be the same domain as the Q Station computer If the folder you want to share does not already exist using Windows Explorer create a folder in the location where you want the network share to reside 2 Right click the folder and then click Properties 3 In the Properties dialog box click the Security tab 4 Do one of the following f Everyone appears in the Group or user names list go to step 12 Q Station User Manual 71 4535 616 40761 6 System Management 72 f Everyone does not appear in the Group or user names list go to step 5 5 Click Add 6 In the Sel
7. NOTE The computer where the network share resides must be in the same domain as the Q Station computer ON WD Ui 9 If the folder you want to share does not already exist using Windows Explorer create a folder in the location where you want the network share to reside Right click the folder and then click Properties In the Properties dialog box click the Security tab Do one of the following f Everyone appears in the Group or user names list go to step 13 f Everyone does not appear in the Group or user names list go to step 5 Click Edit Click Add In the Select Users or Groups dialog box click Object Types In the Object Types dialog box select Built in security principals and then click OK In the Select Users or Groups dialog box click Locations 10 In the Locations dialog box select the name of the local computer and then click OK Il In the Select Users or Groups dialog box type Everyone in the text entry field and then click Check Names When the name is underlined the system has verified its availability I2 Click OK Everyone now appears in the Security tab Group or user names list 70 Q Station User Manual 4535 616 40761 System Management 8 13 Click Everyone and then select Modify in the Allow column of the Permissions list Selecting Modify automatically selects the Read amp Execute List Folder Contents Read and Write permissions I4 Click OK 15
8. Network shares configuring on Windows 7 70 73 configuring on Windows XP 71 Note notifications 42 Notifications 42 O Open contour measurements 56 Operating notes 8 Options 45 46 viewing 46 Overview Q Station 37 P PACS compatibility 46 Patient data DICOM archival 52 exporting 65 local 49 remote 49 securing 38 Philips contact information 10 Pictorial index about 40 data types 41 Pinging servers 78 Printing reports 63 Procedures 49 Purchasable options 45 Q Q Assistant 44 Q Station data locations 69 Q Station basics 37 QLAB analysis 59 saving images 59 Registration 25 Q Station User Manual 89 4535 616 40761 Lj Index Remote access configuring 33 enabling 33 Remote service configuring 33 enabling 34 Removable media 52 settings 52 Removing administrator accounts 32 Reports about 60 advanced analysis 61 approving 63 editing 61 electronic signatures 62 printing 63 storage location 60 viewing 61 Requirements computer 2 network 4 Restoring settings and license 76 S Saving images 67 images in QLAB 59 loops 68 Security 38 Security policy 2 Serial number 69 Service customer 10 Service requesting 35 90 Q Station User Manual 4535 616 40761 Settings network and DICOM 77 system 69 Smoothed polygon measurements 56 Software registration 25 27 automatic 25 manual 27 Storage locations 74 Studies data transf
9. QLAB plug ins click Hi while you are using a plug in Studies The Studies tab provides an overview of patient study data on your workstation and allows you to access additional data sources To open patient study data for processing the data must reside in the local Studies database This usually means your first task is to import patient study data from another source for example DICOM archive ultrasound system or removable media You use the Studies tab to do this After importing patient study data to your workstation you can open the data for processing After processing you should export the data to a DICOM archive NOTE n You can sort the studies list by clicking the heading of the selected column You can reorganize columns by dragging them to the preferred position Data Panel The Data panel displays data locations that are available to you The panel is divided into two sections Local Data and Remote Data Local Data provides access to the Studies data location the database where patient study information is stored on your workstation The Local Q Station User Manual 49 4535 616 40761 Working with the Q Station Software Data section also provides access to studies stored on CD DVD drives USB storage devices and one or more User Selectable Repository locations on local or network disk drives e Remote Data provides access to data locations stored on workstations or PACS connected to your network You ca
10. on page 12 2 Confirm or collect the network information see Network Requirements on page 14 CAUTION a If the Q Station PC is part of a wireless network use only secured wireless technologies For more information about network security see Shared Roles for System and Data Security which is included with your Q Station software 3 Decide whether to enable OS Hardening see Computer Security Policy Option on page 21 4 Install the software see Installing the Software on page 22 5 Register the software and obtain the license file see Software Registration on page 25 6 Restart the computer Q Station User Manual 11 4535 616 40761 Q Station Installation 7 Manage user accounts see User Accounts on page 29 8 Verify the software installation see Verifying the Software Installation on page 31 9 Remove the administrator account from the PMWClinicalUserGrp group see Administrator Account Removal on page 32 10 Establish the remote connection see the Remote Services section Computer Requirements 12 Before the software can be used on your computer your computer must meet or exceed the following minimum requirements For more information search the Windows Help for get information about your computer Windows XP Professional 32 bit with Service Pack 3 or Windows 7 32 bit and 64 bit Windows Vista is unsupported Intel Core 2 Duo or greater processor or AMD Athlon 64 X
11. 3 If the user account in use is a member of the PMWClinicalUserGrp group and the application still does not open reinstall the license file as follows and then trying opening the application again a On the Windows desktop double click the Q Assistant icon to open Q Assistant b Click Options c Click Registration Wizard In the Welcome to the Registration Wizard dialog box select 1 already have a license file and click Next Click and navigate to the location of the license file Select the license file and click Open Click Next Click Finish 2 00 Q Station User Manual 31 4535 616 40761 E Q Station Installation i In the New License File dialog box click Activate Now and then click OK 4 If reinstallation of the license file does not enable you to open the application do the following a Uninstall Q Station software Q Assistant and the Philips Service Agent b Reinstall Q Station software which also reinstalls Q Assistant and the Philips Service Agent c Perform the verification procedure again 5 Verify that the license options are correctly installed a Double click che Q Assistant icon b Click System Management c Ensure that the Q Station serial number shown matches the serial number on the software DVD case d Click Options and ensure that the plug ins and features listed match the plug ins and features that you purchased Administrator Account Removal Before usin
12. DICOM loops Still frames are saved as still DICOM images E d To export discreet results to the report click w click Export to PACS and then click Save Or if you want to save the results to a spreadsheet click w click Save to File and then click Save Reports Patient reports contain the measurements and quantification results that were completed in the patient study as well as images that you specifically add If you have purchased the option to do so the report also can contain associated ECG information A patient report generates automatically while you conduct a study that includes both labeled measurements and image acquisitions To access the report click the Report tab 60 Q Station User Manual 4535 616 40761 Working with the Q Station Software 8 Viewing an Approved Report Reports that have not been approved can be viewed in the Report tab NOTE ECC As an alternative to the following procedure you can view an approved report by double clicking the report thumbnail on the View tab s pictorial index In the Studies tab select an examination that has an approved report Approved Reports table in the control panel 4 Select one or several reports in the Approved Reports table Each selected report is displayed as a PDF in a dedicated tab in the main display area Editing a Report The department name and institution name that appear in the report are specified when you configure Q Station us
13. XML 84 DICOM archival patient data 52 exporting data 66 DICOM devices adding 78 deleting 80 editing 80 testing 80 DICOM settings 77 Drives assigning 74 Q Station User Manual 87 4535 616 40761 am Index E ECG configuration 81 ECG data accessing 84 compatibility 46 troubleshooting 84 ECG reports accessing 83 ECGServiceUser account activating 82 Editing reports 61 Electronic signatures 62 Export settings DICOM format 66 panel 64 Export tab 64 Export toolbar 64 Exporting patient data 65 Exporting DICOM 66 Feedback area 42 File compatibility 46 Full screen mode 43 Help 8 Hiding patient data during export 66 History support 36 88 Q Station User Manual 4535 616 40761 Image quality 37 Image toolbar 53 Images annotating 58 capturing 58 saving 67 viewing 53 Installation overview procedure 22 verifying 3 Institution name 69 Intended audience 7 Intended use 7 Job Viewer about 43 using 43 L Language settings 69 License file backing up 75 restoring 76 Line measurements 56 Locking Q Station 39 Logging off 40 Logging on 39 Index Loops saving as movie 68 M Managing user accounts changing account properties 31 deleting accounts 31 Measurements 56 Menus 40 Message bar 42 MSXML 6 SP2 13 N Network requirements 14 15 configuration settings 5 installation 14 Network settings 77 Network settings checking 78
14. a special character e Must be changed every 90 days e Cannot contain the associated user name e Cannot contain words that can be found in a dictionary e Cannot contain repeated or sequential letters or numbers for example abcd aaa 5432 1111 Changing the OS Policy Settings You must have administrator privileges and use the Windows OS interface and tools to change the policy settings For details search the Windows Help for local security settings Installing the Software 22 To install the software you must be logged on with local administrator privileges Philips recommends that you create a unique local administrator account named QAdmin to install the Q Station software Using the QAdmin account increases the security of the Q Station software installation and data You can use that account after the installation to verify Q Station operation Q Station User Manual 4535 616 40761 Q Station Installation CAUTION If you are upgrading the Q Station software from version 1 x do not uninstall the previous version Uninstalling the previous version before upgrading to the current version may result in an inability to reattach an existing patient database NOTES Installing Q Station software automatically upgrades any previous version During installation some anti virus applications or other software programs designed to protect the PC may display warning messages that alert you that unknown software is being
15. archive computer Assign the same password to this account as the ECGServiceUser account on the Q Station system Share the archive folder and give permission to the ECGServiceUser account to access the folder In the Q Assistant software click the Network DICOM tab 2 Click ECG Configuration 3 In the ECG Reports StressVue Export Directories area type the path to the StressVue ECG reports directory 4 Click Add Make sure that Enable Q Station access to reports is selected If this option is not selected ECG report data will not be available in the Q Station software To specify an archive computer for StressVue reports for example a TraceMasterVue ECG Management System type the destination path in the Destination Directory field and select the file formats Philips XML Alternate XML PDF or TIFF to be copied to the archive computer 7 Click Save Verify that studies with ECG data appear in the Q Station Studies list See ECG Data Flow Troubleshooting on page 84 If you have configured the Q Station software to send ECG reports to an archive computer such as a TraceMaster Vue ECG Management System verify that reports appear on the archive computer See Data Flow Troubleshooting on page 84 Q Station User Manual 83 4535 616 40761 Network and DICOM Settings Configuring Access to ECG Raw Data In the Q Assistant software click the Network DICOM tab 2 Click ECG Configura
16. contact your Philips representative 2 Do one of the following Atthe top of the Q Assistant desktop click the Request Support tab In Q Assistant s lower left corner click Request Support 3 Complete the fields in the Request Support form 4 Click Request Service to send your support request to Philips Q Station User Manual 35 4535 616 40761 E Remote Services Viewing Support Request History If Request Support is enabled you can view a history of your online support requests In Q Assistant click the Request Support tab 2 Click History to view the details of previous support requests 36 Q Station User Manual 4535 616 40761 4 Q Station Basics The Q Station software application package is designed to manage view and report image data acquired by ultrasound systems and ECG data from Philips StressVue ECG Systems It is a DICOM viewer that provides an environment for review and quantification of cardiovascular and general imaging ultrasound studies You can manage study data review images perform wall motion scoring and make basic unlabeled measurements in the Q Station software You can also create patient reports and export patient data to DICOM archives removable media or network storage locations When you purchase QLAB plug ins the Q Station software integrates QLAB software to provide advanced quantification and includes the most clinically relevant QLAB software analysis results in the report
17. installed Ignore or close those messages and allow the Q Station installation to proceed The Installation Wizard performs the software installation and prompts you at various times during the installation as it proceeds through the installation sections Before you begin the installation Ensure that the target computer meets the minimum requirements see Computer Requirements on page 12 If the target computer is on a network ensure that the network meets the minimum requirements see Network Requirements for Q Station Installation on page 14 Ensure that you have the original Q Station DVD case available It has the Q Station serial number which is required for the registration process Create the QA dmin account For details search the Windows Help for add a new user to the computer 3 Use the QAdmin account to log on to the computer B Place the installation DVD in the DVD drive and wait a few moments for the Installation Wizard to start If the Installation Wizard does not start automatically use Windows Explorer to navigate to Setup exe on the DVD and then double click Setup exe to start the installation On the Welcome display select the installation language and click Next Q Station User Manual 23 4535 616 40761 Q Station Installation 7 Read and accept the license agreement If you do not accept the license agreement the Installation Wizard prompts you to exit the installation 8 Cl
18. required to change their passwords the first time that they log on e Each password must meet the password policy in use e user account must be enabled e Each user must be a member of the PMWClinicalUserGrp group Adding a User to the PMW Clinical User Group Before being able to use the Q Station software each user account must be a member of the PMWClinicalUserGrp group For details search the Windows Help for add a user to a group 30 Q Station User Manual 4535 616 40761 Q Station Installation NOTE 0 0 0 000000 The administrator account that you used for installing the Q Station software is automatically added to the PMW ClinicalUserGrp group Managing User Accounts You can change a user name or other account properties or delete an account For details search the Windows Help for change a user s group or account type or delete a user account Verifying the Software Installation After you finish installing the software use this procedure to verify that it installed correctly and is ready for use and to perform some administrative duties 1 On the Windows desktop double click the Q Station icon If the application opens the software installed correctly 2 If the application does not open ensure that the user account in use is a member of the PMWClinicalUserGrp group and then try opening the application again For instructions search the Windows Help for change a user s group or account type
19. system is identified with a unique user name Each user name is assigned a password User names and passwords are created during installation of the Q Station software or by your Hospital IT Administrator The Q Station software displays the user name of the user currently logged on in the message bar CAUTIONS e faccess to the Q Station software is not restricted to authorized persons by your hospital s security policy you must not leave it unattended while you are logged on If you need to leave the Q Station software unattended you must lock it or log off e Access to the Q Station software by users with administrative privileges or by users with sophisticated and malicious methods cannot be restricted except by restricting physical access to the workstation In the Windows Security panel type your user name in the Name field 2 Type your password in the Password field 3 Click OK Locking the Q Station Software If you need to leave the Q Station software unattended for a period of time but will return and continue working you can lock it to prevent unauthorized access to patient data while you are away Press Ctrl Alt Delete to display the Windows Security panel 2 Click Lock Computer Q Station User Manual 39 4535 616 40761 Q Station Basics You are not logged off but the Q Station software is secured The Log On panel is displayed You can unlock it using your password and continue your work whe
20. system or an archive computer For a list of settings required for configuring Q Station network and DICOM settings see Network Requirements for Configuring the Q Station Computer on page 15 NOTE Q Station software supports the DICOM Storage Commit service which is used to confirm that a study has been committed to permanent storage on a PACS This confirmation ensures that it is safe to delete the local copy of the study When the Q Station software receives this confirmation it flags the local copy of the study for deletion by the Q Station Automatic Cleanup service The Q Station software supports any of the following connected workflows If you do not archive studies to a PACS you can connect directly to an ultrasound system obtain data from the ultrasound system for analysis in the Q Station software and then generate a report If your PACS does not support storage of native data from the ultrasound system you can connect directly to an ultrasound system obtain native data from the ultrasound system for analysis in the Q Station software and then archive the data to a PACS without including native data Native data is raw image data saved with an ultrasound image that enables post acquisition adjustments to the image You can configure this workflow in the Q Assistant software by clearing the Native check box for Archive in the Advanced Settings area of the PACS Device in DICOM Settings dialog box If the ultrasound system
21. user must have a unique user account and be a member of the PMWClinicalUserGrp group In addition to creating the ECGServiceUser user account the Q Station software also creates several local groups as described in the following table Groups Created during Q Station Installation Group Name Description Comments PMWClinicalUserGrp Clinical user Each active Q Station user must be a member of this group PMWHospitallTUserGrp Hospital IT Each Q Assistant group user must bea member of this group PMWlInternalAccountsGrp Group for Factory use do not internal modify factory use Q Station User Manual 29 4535 616 40761 E Q Station Installation Group Name Comments SQLServer2005MSSQLServer Factory use do not ADHelperUser PHILIPS D8327EC modify SQLServer2005MSSQLUser PHILIPS D8E27EC QSTATIONDB SQLServer2005SQLBrowserUser PHILIPS D8E27EC Factory use do not modify Factory use do not modify To create and manage the user and group accounts you must have administrator privileges and use the Windows operating system OS interface and tools For details search the Windows Help for using local users and groups Creating a New User Account Before being able to use the Q Station software each user must have a unique ID and password in an individual account For details search the Windows Help for create a new user account Each user account must meet the following criteria e Users must be
22. 2 or greater processor 2 GB RAM 64 MB or greater video card with Open Graphics Library OpenGL and Pixel Shader 3 0 support 7 200 RPM hard drive with a minimum of 40 GB of available space CD ROM DVD RW drive USB port LAN port Microsoft Word 2007 or Microsoft Word 2010 Mouse with a scroll wheel Standard Microsoft or equivalent keyboard Monitor with 1600x1024 or greater resolution If you are installing on Windows XP you must remove MSXML 6 Service Pack SP 2 from the destination computer before installing the Q Station Q Station User Manual 4535 616 40761 Q Station Installation 8 software If MSXML 6 SP2 is present the system configuration check fails See Removing MSXML 6 SP2 on page 13 You cannot install the Q Station software on a computer if the DPI text size setting is set to Large Size The DPI setting must be Normal Size To determine your computer s hardware specifications see the computer s hardware documentation contact the manufacturer or search the Internet If you are unsure that your computer meets the minimum requirements continue the installation The System Configuration Check will alert you to any discrepancy If your computer meets only the minimum requirements the software installation could require more time to complete than it would on a computer that exceeds the requirements Removing MSXML 6 SP2 The Q Station SQL database does not install correctly if the Microsoft MSXML 6 SP2 is in
23. 8 Media Store page of the Q Assistant System Management tab see Specifying Storage Locations for Q Station Data on page 74 Configuring a Local File Repository or NTFS USB Drive On a Windows 7 or a Windows XP computer you can configure local file repositories and NTFS formatted USB drives for use as Q Station data storage locations NOTES e Windows system groups Everyone and Authenticated Users both have Network Service as a member e Q Station Export Import and Delete operations on local file repositories and NTFS formatted USB drives are possible only if Network Service has Read Write and Delete permissions on the local file repository or NTFS formatted USB drive If Network Service does not have Read access an error message is generated when you try to open the folder contents using the Q Station User Selectable Repository feature In Q Assistant an error message is generated if you try to add such a location If Network Service does not have Write and Delete access on a folder when you open the repository for the first time a warning message indicates that Export and Delete operations are not allowed To grant the necessary permissions to Network Service perform the following procedure In Windows Explorer right click the NTFS formatted USB drive or the folder you want to configure as a local file repository and then and click Properties 2 In the Properties dialog box click the Sec
24. COM Devices In Q Assistant click the Network DICOM tab Click DICOM Settings Enter the Q Station AE title and port number in the AE Title and Port Number fields and then click Save Click Add 78 Q Station User Manual 4535 616 40761 Network and DICOM Settings EA 5 Inthe Add DICOM Device dialog box select a device type from the Device NOTES Type menu Enter a device name AE title IP address and port number for the device to which you want to connect e If you are connecting to an ultrasound system that has a dynamic IP address the IP address you enter is used only when you test the connection to the ultrasound system The ultrasound system can still send studies to the Q Station software even if the IP address changes An Ultrasound system that uses DICOM Query Retrieve or DICOM Storage Commit must have a static IP address If the Q Station computer sends data to any DICOM destination the destination and the Q Station computer both require a static IP address If you are adding a PACS click Advanced Settings and do the following a Select the functions supported by the PACS Archive Query Retrieve or Send Some PACS use the same AE title and port number for all three functions If the PACS to which you are connecting uses a different AE title or port number for different functions use the Add DICOM Device dialog box to add a separate device connection for each function b If you selected
25. CQ Station User Manual 4535 616 40761 Rev June 2012 2012 Koninklijke Philips Electronics N V All rights reserved Published in USA PHILIPS Manufactured by Philips Ultrasound 22100 Bothell Everett Highway Bothell WA 98021 8431 USA Telephone 425 487 7000 or 800 426 2670 Fax 1 425 485 6080 www healthcare philips com ultrasound C cose This Medical Device meets the provisions of the transposition of the Medical Device Directive 93 42 EEC within the country of origin of the Notified Body concerned with the device European Union Representative Philips Medical Systems Nederland B V Quality amp Regulatory Affairs Veenpluis 4 6 5684PC Best The Netherlands WARNING United States federal law restricts this device to sale by or on the order of a physician This document and the information contained in it is proprietary and confidential information of Philips Healthcare Philips and may not be reproduced copied in whole or in part adapted modified disclosed to others or disseminated without the prior written permission of the Philips Legal Department This document is intended to be used by customers and is licensed to them as part of their Philips equipment purchase Use of this document by unauthorized persons is strictly prohibited Philips provides this document without warranty of any kind implied or expressed including but not limited to the implied warranties of merchantability a
26. DICOM nodes Click OK The movie is saved as it appears in the image viewer 68 Q Station User Manual 4535 616 40761 6 System Management The System Management tab in Q Assistant lets you specify system information such as audit server and language settings specify locations in which to store Q Station data and back up and restore the Q Station license file and configuration settings Specifying System Information The Q Assistant software displays your Q Station serial number which it reads from the license file in the System Information area of the System Management tab I In Q Assistant click the System Management tab 2 Click System Information 3 Do any of the following Type information in Institution Name and Department Select the language in which you want to run the Q Station software and the Q Assistant software from the Language menu e f your site uses an audit server enter its IP Address Host Name and Port Number and select the appropriate Network Protocol 4 Click Save Q Station Data Locations In the Media Store section of the Q Assistant System Management tab you can specify local folders network shares and local storage devices as Q Station data locations Q Station User Manual 69 4535 616 40761 6 System Management Configuring a Windows 7 Network Share On a Windows 7 computer you can create a folder and then configure it as a network share for use as a Q Station data location
27. ICOM Devices on page 78 and Editing DICOM Devices on page 80 e Update the license file by using the Registration Wizard see Manually Registering the Software on page 27 e Select a storage location for Q Station reports see Specifying Storage Locations for Q Station Data on page 74 To start Q Assistant double click the Q Assistant icon on the desktop Q Station User Manual 4535 616 40761 Q Station Basics n Q Station Options Besides the DICOM viewer features available in the Q Station software the QLAB Cardiovascular 3D viewer and the QLAB General Imaging 3D viewer are standard with all configurations Other features are available as purchasable options The types of options available include connectivity capabilities ECG capabilities and QLAB Advanced Quantification Software plug ins NOTE Purchasable options can be used only on a single Q Station installation NOTE Some QLAB plug ins may be unavailable in some countries The following licensed options are available for Q Station software Q Station Base required for all configurations e Export e Query Retrieve e StressVue ECG Connect e Cardiac 2D Quantification plug in e Cardiac Motion Quantification plug in e Cardiac Motion Quantification Stress plug in e Cardiac 3D Quantification plug in e Cardiac 3D Quantification Advanced plug in e Mitral Valve Quantification plug in e Strain Quantification plug in e Region of Interest
28. Quantification plug in e Intima Media Thickness plug in e Parametric Quantification plug in e MicroVascular Imaging plug in Q Station User Manual 45 4535 616 40761 Q Station Basics e General Imaging 3D Quantification plug in e General Imaging Parametric Quantification plug in This plug in is unavailable in the United States e Elastography Analysis This plug in is only available in the United States Elastography Quantification This plug in is unavailable in the United States e Vascular Plaque Quantification plug in This plug in requires FDA 510 k clearance and is not yet available in the United States e Fetal Heart Navigator plug in This plug in requires FDA 510 k clearance and is not yet available in the United States Viewing Installed Q Station Options 1 On the Windows desktop double click the Q Assistant icon to open Q Assistant 2 Click Options to see a list of the plug ins and optional features installed on your system Q Station Compatibility Philips Ultrasound systems produce clinical image data in a variety of file formats such as DICOM DSR and ResearchLink Some image file formats created on Philips Ultrasound systems are incompatible with Q Station software In addition to clinical image data Q Station software also recognizes some ECG data and communicates with PACS from various manufacturers File Compatibility Q Station software can open files from any of the following ultrasou
29. Stages is selected on the Display Mode menu Q Station displays the corresponding stage in the image viewer Q Station User Manual 55 4535 616 40761 Working with the Q Station Software 3 Click the view icons to see the wall segments from different perspectives If Display Views is selected on the Display Mode menu Q Station displays the corresponding view in the image viewer 4 Do one of the following e fall wall segments are normal click All Normal Click the wall segment in the left ventricle graphic or in the bull s eye and click the wall score for the segment scores are synchronized between the graphic and the bull s eye 5 Before scoring the next stage click Save to store your input for the current stage 6 Repeat step 2 through step 5 for each stage To apply the scores from the previous stage to the current stage click Carry Over Making Measurements Results of unlabeled measurements appear on the image but are not saved in the report You can however capture the image to save the measurement and result on the image WARNING Do not make measurements in the Q Station software across the scrolling bar boundary between new and old M mode or Doppler data Such measurements are inaccurate 56 Q Station User Manual 4535 616 40761 Working with the Q Station Software 8 Scrolling Bar Boundary e view a captured image in the viewer Display Mode must be set to Display Sequence e Mea
30. _ _ _ When retrieving patient data from connected PACS archive you must formulate a specific query to ensure that all relevant data is retrieved 50 Q Station User Manual 4535 616 40761 Working with the Q Station Software E In the Data panel click a Remote Data location 2 Type or select search terms in the available query fields Additional fields can be accessed by clicking the query panel expander NOTE Available query fields and the format in which you must enter data in the query fields depend on the configuration of the selected PACS archive For example many PACS require patient names to be entered in uppercase text For more information contact the administrator of the PACS archive 3 To reset the query form click Clear 4 To submit your query click OK NOTE You cannot perform processing tasks on study data displayed in a remote study list To perform further actions on the study data import the data to the studies data location Also pictorial representations of the images are marked archive do not contain any imaging data and may not accurately represent the number of images in the series Transferring Studies Data to Your Workstation I In the Data panel select the data location you want to transfer patient data from 2 Select the data you want to transfer You can select One or more images or reports from a single study One or more studies from the Studies list 3 Drag the selected dat
31. a to the Studies data location NOTES e Ifthe selected data belongs to a patient that already exists in the destination location the data is automatically merged with the existing patient You can also transfer data using the Copy and Paste tools Q Station User Manual 5 4535 616 40761 Working with the Q Station Software Archiving Data to a DICOM Archive Select the data you want to archive You can select e One or more images or reports from a single study Oneor more studies from a single patient Oneor more patients from a Patients list all data for each patient is archived 2 Drag the selected data to the destination DICOM archive in the Remote Data section of the Data panel If the selected data belongs to a patient that already exists in the destination DICOM archive the data is automatically merged with the existing patient You can also transfer data using the Copy and Paste tools Setting CD DVD Write Preferences Before writing a disc for the first time set the CD DVD write preferences You can then write patient data using the same settings each time On the Tools menu click Customize CD DVD Write Preferences 2 Configure the settings and then click Save Writing a Disc Using Preferred Settings Before writing a disc for the first time set the CD DVD write preferences See Setting CD DVD Write Preferences on page 52 Insert a blank disc in CD DVD writer 2 Select studies data to writ
32. ages the Q Station Help contains comprehensive instructions for use It also provides descriptions of all controls and display elements To display the Help click Help e Q Station Operating Notes Contains information that clarifies certain product responses that might be misunderstood or cause user difficulty Shared Roles for System and Data Security Contains guidelines to help you understand how the security of your Philips product could be compromised and information on Philips efforts to help you prevent security breaches User Information Conventions The user information for your product uses the following typographical conventions to assist you in finding and understanding information e All procedures are numbered and all subprocedures are lettered You must complete steps in the sequence they are presented to ensure success e Bulleted lists indicate general information about a particular function or procedure They do not imply a sequential procedure e Control names and menu items or titles are spelled as they on the system and they appear in bold text 8 Q Station User Manual 4535 616 40761 Read This First e pointer is the cursor used to select elements on the display e Point means to position the tip of the pointer or cursor on an item on the display e Click or select means to move the pointer to an object and press the primary mouse button e Double click means to quickly click twice to s
33. art the Q Assistant software or click Activate Later if you want to perform additional Q Assistant tasks before activating the changes Deleting DICOM Devices In the Q Assistant software click the Network DICOM tab 2 Click DICOM Settings 3 4 5 Select the DICOM device that you want to delete and click Delete In the Delete DICOM Device dialog box click Yes Click Activate Now to complete the deletion and restart the Q Assistant software Testing DICOM Devices In the Q Assistant software click the Network DICOM tab 80 Q Station User Manual 4535 616 40761 Network and DICOM Settings EA 2 Click DICOM Settings 3 Select the DICOM device that you want to test and click Verify Verification may require up to one minute The Q Assistant software displays the results of a DICOM test DICOM Verify and TCP IP Ping in the Verify column and in the Verification Results area of the DICOM Services Configuration dialog box ECG Configuration If you have purchased the option to do so you can configure the Q Assistant software to access ECG raw data and ECG reports from shared directories on a StressVue ECG system Q Assistant software can connect to only one StressVue ECG system When you export an ECG report on the StressVue system the report is stored in designated export folders Before the Q Assistant software can access the ECG reports and raw data the StressVue administrator must e Create the ECGSe
34. ation esesesesesseseceesecesessesecesesseseceseeceseeseseeeseseneeeeeenees 3l Administrator Account Removal 32 Q Station User Manual 4535 616 40761 m Contents 3 Remote Services civit er neige v RR YVES EE VA PER ER FERRE CU ERAT ET Coo E een 33 Configuring Remote Services Connection Settings sss 33 Enabling Remote v 66eSS toos ee ea eee 34 Requesting Online Support eee eese esten tenete entente tento ntntontntettnss 35 Viewing Support Request History eee eee eese ten teens tn tentntens 36 4 56 37 EC na ERE Ud ntu 38 Logging ae 39 Locking the Q Station Software oett abe tede tdt d trie ves ess 39 tossing OI erc sac Lg 40 Common Blemebtsa costae ron aA 40 D ta Type ICONS odas eit dod gode 41 Messages and es ie eget teet aei teen 42 VIBWOb sacan efiam in onte rit heo Kad rn o pact vin Ga fpa d n fedeli e mG 43 Using th Job atr ee eot thee due detegit 43 F llsScreem Modesto nies etica tard Ove eiae tton v t doti er eto ea e 43 OZAssIStalitsun iC IM DM I IM CLIE TIE 44 station 45 Viewing Installed Q Station 46 Q Sta tion Compatibility uen chen angu 46 5 Working w
35. ation Software 54 Control ate 9 o G e Q Station User 4535 616 40761 Control Description Adjusts contrast and brightness Zooms the image Pans the image Displays subloops stress echo images only Displays the next subloop stress echo images only Displays the previous subloop stress echo images only Sets a subloop as the preferred loop stress echo images only Displays the measurement tools Enables you to draw a line Enables you to draw an angle Enables you to draw an open contour Enables you to draw a smoothed polygon Manual Working with the Q Station Software 8 Control Control Description Enables you to draw a closed contour Enables you to draw an arrow with an annotation gg Resets the image viewing settings Marks the image for inclusion in the report Captures the image and appends it to the study This control is available when a loop is playing however it only captures and appends the frame that was active at the time of the mouse click a G Displays image information Plays a loop Available only when Sync Mode is set to Free Run Pauses a loop Available only when Sync Mode is set to Free Run Performing Wall Motion Scoring NOTE Wall motion scoring is allowed only on protocols with eight or fewer stages On the toolbar click e 2 Drag the slider at the top of the window to indicate the stage you are scoring If Display
36. combining stress ECG data with stress echo ultrasound data ensure that the date and time on the StressVue system and on the ultrasound system are accurate The Q Station software guides you through your workflow using task oriented activities Each activity is described in detail in Help The following activities are available Use the Studies tab to manage patient data and select studies for processing in other available activities Use the View tab to view patient data Use the QLAB option on the View tab to analyze images using QLAB software plug ins Use the Report tab to create edit approve and print reports about patient data Use the Export tab to export patient data to DICOM archives and media DICOM format or to export in PC format to your local drive or media Security 38 The Q Station software uses the following security features to protect patient data from unauthorized access Unique user groups names and passwords Workstation locking Computer Security Policy optional in Setup Screen blanking Audit logging Secure remote access Q Station User Manual 4535 616 40761 Q Station Basics n For further details contact your Hospital IT Administrator and see the User Manual and Shared Roles for System and Data Security included with your software Logging On If security features have been set up through the Computer Security Policy option during installation of the Q Station software each user of the
37. department If your office has an IT department your office probably has a security policy Ask your IT department if you should select this option during installation After the Computer Security Policy option is enabled no undo function is available and the system administrator must manually restore the OS settings Computer Security Policy Settings and Default Values If you select the Computer Security Policy option during installation it changes the Administrator account name changes the policies for passwords and the locking and disabling of accounts and sets default values for those policies The policies and their default values are as follows The Computer Security Policy option changes the Administrator account name for these reasons e Administrator is an easy access point for hackers because it has a known name e Changing the name increases system security Q Station User Manual 21 4535 616 40761 E Q Station Installation An account is locked for 5 minutes if 10 invalid log on attempts occur within 5 minutes The password policy is enforced as follows Logging on requires a user name and password e Strong passwords are required e A password protected screen saver appears after 15 minutes of inactivity e 12 previous passwords are not allowed A strong password has the following properties e A minimum length of eight characters e Three of four character types uppercase lowercase number and
38. dies List If patients with ECG data do not appear in the Q Station Studies list review the folder that contains the ECG reports on the StressVue system As the Q Station software pulls the reports they should disappear from the folder on the StressVue system If that does not happen verify the following The ECGServiceUser account is activated on the Q Station system The ECGServiceUser account is activated on the StressVue system The ECGServiceUser account name and password are the same on the StressVue system and on the Q Station system On the StressVue system the folders that contain the ECG reports and raw data are shared and full control of those folders has been granted to the ECGServiceUser account on the StressVue system On the Q Station system the SVGService service has the same password as the ECGServiceUser account and the SVGService service has been started on the Q Station system If patients with ECG data do not appear in the Q Station Studies list but they have been pulled from the folder that contains the ECG reports on the StressVue system verify that the StressVue file name includes the last name and patient ID PID which are required fields Q Station User Manual 85 4535 616 40761 E Network and DICOM Settings ECG Data Does Not Appear on an Archive Computer If ECG reports do not appear on an archive computer after you have configured the Q Station software to send ECG reports to the archive computer verif
39. e USB flash drive Close Notepad and disconnect the USB flash drive 2 00 A 3 On the computer that is connected the Internet do the following a Open an Internet browser window b Connect the USB flash drive that contains the Notepad file with the registration URL and node ID c Open the Notepad file d Copy the registration URL from Notepad paste it into the browser s address field and go to that URL Q Station User Manual 27 4535 616 40761 E Q Station Installation 28 ON o e Copy the node ID from Notepad and paste it into the Node ID field of the registration Web site f Enter the remaining required information name e mail address and Q Station serial number and click OK The registration Web site sends the license file to your e mail address g Access your e mail account and retrieve the license file h Save the license file to the USB flash drive i Disconnect the USB flash drive and take it to the Q Station computer On the Q Station computer if the Registration Wizard displays the Welcome to the Registration Wizard select already have a license file and click Next If the Registration Wizard is not displayed do the following a On the Windows desktop double click the Q Assistant icon to open Q Assistant b Click Options c Click Registration Wizard d In the Welcome to the Registration Wizard dialog box select I already have a license file and click Next Conn
40. e to disc 3 On the toolbar click 52 Q Station User Manual 4535 616 40761 Working with the Q Station Software 8 Viewing Use the View tab to view and measure images play loops from stress echo and non stress echo studies select subloops and perform wall motion scoring on stress echo studies You can view both single frame images and loops a sequence of images in Q Station The View tab incorporates the pictorial index which you use to select images for viewing Images that are currently open for viewing are highlighted in blue in the pictorial index To delete one or more images from a study right click the selected pictorial or group of pictorials and then click Delete NOTE The image Delete operation does not have an undo feature You can make adjustments to the displayed images using tools provided in the View tab Menu commands and tools on the main toolbar affect all images Tools on the image toolbar affect only the image with which you are working Displaying the Image Toolbar The image toolbar contains tools that let you adjust the view of an image select subloops make basic unlabeled measurements and annotate the image You can see the image toolbar only if you choose to display it Click E on the upper right corner of the image Image Toolbar Controls Control Control Description Selects the image Scrolls the image Q Station User Manual 53 4535 616 40761 a Working with the Q St
41. ect Users Computers or Groups dialog box click Object Types 7 In the Object Types dialog box select Built in security principals and then click OK 8 In the Select Users Computers or Groups dialog box click Locations 9 In the Locations dialog box select the name of the local computer and then click OK 10 In the Select Users Computers or Groups dialog box type Everyone in the text entry field and then click Check Names When the name is underlined the system has verified its availability Il Click OK I2 In the Group or user names list click Everyone 13 In the Allow column of the Permissions list select Modify Selecting Modify automatically selects the Read amp Execute List Folder Contents Read and Write permissions I4 Click Apply 15 In the Properties dialog box click the Sharing tab l6 Select Share this Folder 17 Click Permissions 18 In the Group or user names list click Everyone 19 the Allow column of the Permissions list select Full Control When you select Full Control the Change and Read permissions are automatically selected 20 Click OK 2l In the Properties dialog box click OK The folder is now shared and can be accessed directly from the User Selectable Repository option on the Q Station Data panel see Data Panel on page 49 Alternatively you can select the network share as a storage location on the Q Station User Manual 4535 616 40761 System Management
42. ect the USB flash drive to the Q Station computer Click and navigate to the USB flash drive Right click the license file and select Open or double click the license file Click Next 0 In the Registration Complete dialog box select Would Like to Back Up My License File and click Finish to make a backup copy of the license file Il In the Select Backup Location dialog box select the location to which you want to save the license file and click Save I2 Do one of the following Ifthe Installation Succeeded dialog box appears click Restart to restart the computer and complete the software installation If the Installation Succeeded dialog box does not appear manually restart the computer to complete the software installation Q Station User Manual 4535 616 40761 Q Station Installation If the Installation Failed dialog box appears follow the instructions to restart the computer and restart the software installation 13 Verify that the following icons are on the desktop Q Station icon for opening the Q Station application Q Assistant icon for opening the Q Assistant tool which is for configuring the Q Station application User Accounts The Q Station software automatically creates a local user account named ECGServiceUser which is the service account that runs StressVue ECGServiceUser must be active for you to access StressVue from your Q Station system Additionally each Q Station
43. ed here This document is intended for sonographers physicians IT personnel and biomedical engineers who operate and maintain your Philips product Intended Use This product is intended to be installed used and operated only in accordance with the safety procedures and operating instructions given in the product user information and only for the purposes for which it was designed However nothing stated in the user information reduces your responsibility for sound clinical judgment and best clinical procedure Installation use and operation of this product is subject to the law in the jurisdictions in which the product is used Install use and operate the product only in such ways that do not conflict with applicable laws or regulations which have the force of law Use of the product for purposes other than those intended and expressly stated by Philips as well as incorrect use or operation may relieve Philips or Q Station User Manual 4535 616 40761 Read This First its agents from all or some responsibility for resultant noncompliance damage or injury WARNING System users are responsible for image quality and diagnosis User Information Components The user information provided with your product includes the following components e Q Station User Manual Introduces you to features and concepts and helps you set up and configure your software Q Station Help Available on the product in some langu
44. elect an object or text e Right click means to point at an item and then press the right mouse button without moving the mouse Shift click means to press and hold the Shift key while clicking an item on the display e Ctrl click means to press and hold the Ctrl key while clicking an item on the display Drag means to place the cursor over an object and then press and hold the mouse button while moving the mouse Information that is essential for the safe and effective use of your product appears throughout your user information as follows WARNING Warnings highlight information vital to the safety of you the operator and the patient CAUTION Cautions highlight ways that you could damage the product and consequently void your warranty or service contract or ways that you could lose patient or system data NOTE _ _ _ Notes bring your attention to important information that will help you operate the product more effectively Q Station User Manual 4535 616 40761 Read This First Upgrades and Updates We are committed to innovation and continued improvement Upgrades may be announced that consist of software improvements Updated user information will accompany those upgrades Customer Comments If you have questions about the user information or you discover an error in the user information in the USA please call Philips at 800 722 9377 outside the USA please call your local customer
45. ense file in Q Assistant I In Q Assistant click the System Management tab 2 Click Backup Restore 3 Select Backup To 4 Click Browse and select a location to which you want to back up the data 5 To start the backup click Backup When the backup is complete a notification message appears Q Station User Manual 75 4535 616 40761 6 System Management Restoring Configuration Settings In the Q Assistant software you can restore the Q Station configuration settings and license file from a backup location CAUTION The Q Station software does not support transferring configuration settings from one Q Station computer to another Restore configuration settings only on the Q Station computer from which they were backed up I In the Q Assistant software click the System Management tab Click Backup Restore Select Restore From KR UJ Click Browse and select the location from which you want to restore the data 5 Select the data that you want to restore You can select Configuration Repository License File or both 6 Click Restore When the restoration is complete a notification message appears and Q Assistant restarts 76 Q Station User Manual 4535 616 40761 7 Network DICOM Settings You can use the Q Assistant software to connect the Q Station software to ultrasound systems PACS and one StressVue ECG system You can enter up to five report and archive locations for a StressVue ECG
46. erring 5 writing to removable media 52 Studies database 49 Studies tab 49 Study data retrieving remote 50 Support history 36 Support requesting 35 System event area 42 System management 69 System upgrades 10 T Toolbars 40 53 64 export 64 image 53 U Upgrades system 10 User accounts 29 30 31 adding 30 changing 31 deleting 31 Index User accounts continued View tab 53 new 30 Viewing User groups 29 images 53 User information reports 61 about 7 components 8 conventions 8 Wall motion scoring 55 V Warning notifications 42 Website Philips 10 Verifying software installation 31 Q Station User Manual 9 4535 616 40761 m Index 92 Q Station User Manual 4535 616 40761
47. formation Conventions eese entente tete tnentnnentntentenent 8 Upgrades and Wp dates 10 C storisr 10 CUSLOMIEN Se VIee iain a eae nn eo 10 Q Station Installation eo eoii oe oe oe sooo ea Seo eere e aae o a seeedensasseeeseceessoseseoueces lI Comp ter Requirements eiii tides 12 Removing MSXMIE 6 13 Network R equirernerits crore torte carere retten 14 Network Requirements for Q Station 14 Network Requirements for Configuring the Q Station Computer 15 Computer Security Policy ptione eterne oreet isto de Reihe siad 21 Computer Security Policy Settings and Default Values 21 Changing the OS Policy Settings eese 22 Installing th Soft Wale tese rt 22 Software ReeistPAtioH sie ee a s eit s enu ot reta UE 25 Automatically Registering the Software sese 25 Manually Registering the Software eese 27 User coa rA ORG DM GA HIA UNA UND ote RATE 29 Creating a New User Account ccessssscssessssecsesesecessesececessesececsccececseseeeceeseeeeecneaes 30 Adding a User to the PMW Clinical User 30 Managing User ACCOUNTS 3l Verifying the Software Install
48. g lookup fields are available for adding to your custom report templates e Patient Name e Patient ID e Accession Number e Date of Birth e Patient s Age e Gender e Study Data e Referring Physician s Name e Institution Name e Institution Address e Department Name e Patient s Size Q Station User Manual 63 4535 616 40761 Working with the Q Station Software e Patient s Weight Study Description e Operator s Name NOTE For guidelines and detailed instructions on creating and editing custom report templates see the Q Station Help Export The Export tab displays images from the selected study in the image viewer Also displayed is the Export Settings panel which you use to configure and send the export job To collapse or expand the Export Settings panel click its title bar Export Toolbar Controls Control Control Description N Scrolls the image Adjusts contrast and brightness Selects the image Zooms the image Dy Pans the image 64 Q Station User Manual 4535 616 40761 Working with the Q Station Software 8 Control Control Description Selects the format in which images are displayed 4 Selects the previous frame E Selects the next frame Y Plays a loop Stops playback of a loop Not currently functional gt Not currently functional gt Defines an area of the display for an anonymization template Saves an anonymization template Appl
49. g the Q Station software in a clinical environment it is a good practice to remove the administrator account QAdmin that you used to install the software from the PMWClinicalUserGrp group Doing so prevents the administrator from accidentally accessing patient data To remove the account you must have administrator privileges and use the Windows operating system OS interface For details search the Windows Help for change a user s group or account type 32 Q Station User Manual 4535 616 40761 3 Remote Services After installing the Q Station software Philips recommends that you enable remote access in Q Assistant Remote access allows Philips representatives to provide any support you may need You have full control over remote access No one can access the Q Station software remotely if you do not enable remote access After remote access is enabled the Q Station software communicates only with the Philips server specified in the Settings area of the Remote Services tab Configuring Remote Services Connection Settings If your site uses a firewall ensure that port 443 outbound only is open before you configure remote services connection settings Q Assistant click the Remote Services tab 2 Click Settings 3 Under Connection Settings ensure that the Server Address is set to M2M Enterprise Server NOTES Selecting M2M Enterprise Server automatically selects Enterprise URL Tunnel URL and RA URL The M2M E
50. ges that you want to save You can select one or more images at a time 2 On the File menu click Save Image As 3 Select a quality setting 4 To change the file name type a new name in the File Name field By default the patient name is used as the file name and images are saved as JPEG files jpg However you can select other formats from the Image Format menu 5 To change the destination do one of the following Select a previously used destination on the Destination menu Q Station User Manual 67 4535 616 40761 Working with the Q Station Software NOTE 6 e Click land select an available destination Windows folder on the workstation or USB drive When saving data in PC format you can save only to Windows destinations and not to DICOM nodes Click OK Saving a Loop as a Movie Aa wW Open loop and select its tab on the image viewer On the File menu click Save Movie As Select a quality setting To change the default file name type a new file name in the File Name field By default the patient name is used as the file name Movies are saved as AVI files avi To change the destination do one of the following Select a previously used destination on the Destination menu e Click land select an available destination Windows folder on the workstation or USB drive When saving data in PC format you can save only to Windows destinations and not to
51. he priority of a job click gt gt gt Full Screen Mode You can operate the Q Station software in full screen mode hiding the main toolbar the activity bar and the message bar to maximize the display area The menu bar remains visible to provide access to commands In particular commands Q Station User Manual 43 4535 616 40761 n Q Station Basics for switching between the activities are available on the Navigation menu allowing you to continue with your workflow in full screen mode To switch to full screen mode select Full Screen on the View menu or press FII To exit full screen mode press FII Q Assistant Q Assistant is the configuration application for the Q Station software This separate application is installed when you install the Q Station software NOTE 44 To run Q Assistant you must be a member of the local administrators group and the PMWHospitall TUserGrp Use Q Assistant to do the following e and restore configuration settings and your license file see Backing Up Configuration Settings on page 75 and Restoring Configuration Settings on page 76 Establish a remote connection see Configuring Remote Services Connection Settings on page 33 and enable Remote Desktop and Request Support e Configure network settings see Checking Network Settings on page 78 e Configure DICOM settings for connections to ultrasound systems PACS servers and a StressVue ECG system see Adding D
52. hile you are using a QLAB plug in To start the QLAB software and display a list of the available plug ins do one of the following On the View tab right click any image in the viewing area one up or four up and then click QLAB On the View tab click Q on any image in the viewing area On the Studies tab right click any image thumbnail in the patient folder Series tab and then click QLAB If you want to use the CMQ plug in on the View tab click the check box for one or more images in the viewing area one up or four up and then click iQ on the toolbar If you want to use the CMQ Stress plug in in the View tab s pictorial index right click any stress echo thumbnail image and select QLAB Q Station User Manual 59 4535 616 40761 Working with the Q Station Software NOTE Only the CMQ and CMQ Stress plug in supports review of more than one image 2 On the left side of the display click the icon of the plug in that you want to use The available plug ins depend on the type of file that you open and which plug ins have been purchased 3 To save an image from QLAB software into the sequence of images for the study a Display the frame that you want to export or click gt export an file b Customize the image content by using the Show Hide options for the border and waveforms c Click E24 The image from QLAB software is saved as a secondary capture Moving images are saved as multi frame
53. ick Next 9 In the System Configuration Check dialog box do one of the following e f the system passed the System Configuration Check click Next e If any item has a warning review it carefully You may choose to correct the item before proceeding with the software installation or you may choose to continue the software installation without correcting it If you choose to continue the software installation click Next If any item failed the software installation stops Exit the software installation and resolve the item before restarting the software installation 10 In the Configure Patient Database dialog box select a destination drive and set the amount of disk space for the patient database Click Next I2 The Installation Wizard prompts you to select whether to apply the Computer Security Policy option For details about this feature see Computer Security Policy Option on page 21 If you do not want to apply the Computer Security Policy option select Maintain existing computer security policies NOTE After the Computer Security Policy option is enabled no undo function is available and the system administrator must manually restore the OS settings 13 Click Install I4 The Installation Wizard checks for Microsoft Framework If the computer has Microsoft NET Framework installed the Q Station software in
54. ies an anonymization template Patient Data Export You can export images in either DICOM format or PC format Q Station User Manual 65 4535 616 40761 Working with the Q Station Software If you use anonymization when exporting patient data to a CD DVD or Windows folder certain patient attributes are replaced with anonymized values WARNING LLLLLL L When exporting data the presentation state of images at the time of export is preserved in the exported data You should be aware that important diagnostic information for example annotations may not be visible when viewing the exported images CAUTION 1222222222 _ _ ___ _ Exported data is not anonymized by default If data is exported to system storage device that is not protected by password or other method it is accessible by all clinical users It is your responsibility to ensure that patient privacy is not compromised at the export location Exporting Data in DICOM Format CAUTIONS e To prevent unauthorized persons taking the disc when an export task finishes you must not leave the system unattended while an export task is in progress Alternatively the system must be accessible by authorized persons only e Exporting to CD or DVD should be considered as temporary storage only and should not be considered a long term backup solution e Objects that are not supported by a DICOM PACS or archive may be skipped during export to tha
55. ing the System Management tools in Q Assistant For more information see Specifying System Information on page 69 WARNING Edits to measurements in the report do not update derived calculations In the Studies tab select an examination 2 Click the Report tab 3 If the report data includes both stress echo stages and ECG events select the ECG stages that correspond to the echo stages listed in the Associate Stress Echo Stages to ECG Events dialog box and click OK 4 Click 5 Enter a title for the report in the Title field the control panel Q Station User Manual 6l 4535 616 40761 Working with the Q Station Software 6 Under Advanced Analysis select one or more of the following image types to include in the report as appropriate e CMQ Stress Bulls Eye WMS Bulls Eye WMS Anatomic ECG ST Maps NOTE If you select CMQ Stress Bulls Eye and ECG ST Maps only the WMS Bulls Eye can be included in the report WMS Anatomic is unavailable 7 Under Advanced Analysis select one or more of the stages to include in the report The report supports stress studies with up to eight stages The stages are named as they were during the exam acquisition 8 Under Findings select any applicable codes to include findings statements in the report A Findings section is added to the report and the statements associated with the selected codes are entered 9 Enter text in the draft report using the standard
56. ith the Q Station Software eee eee ee ertet 49 49 Data 49 Retrieving Study Data from PACS Archive sese 50 Transferring Studies Data to Your Workstation sss 5 Archiving Data to a DICOM Archive ears rere treten terere tette pensons 52 Setting CD DVD Write 52 Writing a Disc Using Preferred Settings sesenta 52 VASO so dad bodie uda unosi d 53 Displaying the Image Toolbar 2 eerie tnnt roter 53 4 Q Station User Manual 4535 616 40761 Contents m Image Toolbar 53 Performing Wall Motion SCOFIDS ree Re eot 55 Making Measurements 56 Ahrnotatins dn ASG ctae tei trip i ea 58 Capturing an 58 Analyzing Images 59 60 Viewing an Approved 6l Editing a BepOL tu tert ed b EESE 6l Setting Electronic Signatures on Reports sse 62 Approying A Reports aede ihe niegan ded ba deos 63 Printing a
57. n copy data from remote data locations to your workstation for viewing printing or export You can copy data to remote data locations for archiving For convenience in working with more than one local data location you can right click the location you want to view and add it to the display as a new tab Once added you can right click the tab to close it or choose other options e Ifyou want additional display space you can close the Data panel by clicking the X in the upper right corner or by clicking Data on the View menu To reopen the Data panel click Data on the View menu again NOTES 0 0 0 000 e For information about configuring network shares for use as Q Station data storage locations see Configuring a Windows 7 Network Share on page 70 or Configuring a Windows XP Network Share on page 71 e For information about configuring local file repositories or NTFS formatted USB drives for use as Q Station data storage locations see Configuring a Local File Repository or NTFS USB Drive on page 73 e Free Space indicator at the bottom of the Data panel compares the amount of unallocated database space with the amount of free space on the hard drive and displays the lesser of those values as an indicator of the amount of space available for storing data in the Studies database Retrieving Study Data from PACS Archive Study lists stored on a PACS archive are retrieved by query ____ __ ____ ____
58. nd click to complete the annotation A WwW N To edit the annotation put the cursor on the text box and type changes Capturing an Image When you capture an image Q Station appends it to the study as a JPEG compressed DICOM image Q Station displays C on captured images in the pictorial index If necessary click El to display the image toolbar 2 Click 58 Q Station User Manual 4535 616 40761 Working with the Q Station Software 8 Analyzing Images in QLAB As an option Q Station can include OLAB Advanced Quantification Software a built in analysis tool that enables you to perform advanced quantification using one of several plug ins Some analysis results from the QLAB software are included in the report and some are not For example discreet numbers are exported from the CMQ and CMQ Stress plug ins as measurements in addition these plug ins produce bulls eye diagrams as pictures in the Advanced Analysis section of the report However no results of any kind from the ROI and PQ plug ins are included in the Q Station report WARNING 000 _ _ _ _ _ _ The heart rate HR in the Q Station report and the HR that is included with the QLAB CMQ and CMQ Stress exported bulls eye diagrams have different clinical meanings The HR in the exported bulls eye diagrams is an averaged HR from three views and the individual HR for each view is not from DICOM For instructions on using the OLAB software click w
59. nd fitness for a particular purpose Philips has taken care to ensure the accuracy of this document However Philips assumes no liability for errors or omissions and reserves the right to make changes without further notice to any products herein to improve reliability function or design Philips may make improvements or changes in the products or programs described in this document at any time Unauthorized copying of this document in addition to infringing copyright might reduce the ability of Philips to provide accurate and current information to users This product may contain remanufactured parts equivalent to new in performance or parts that have had incidental use Philips Ultrasound products may be manufactured under or operate in accordance with one or more of the following United States patents and corresponding patents in other countries U S Patent Numbers 5 533 510 5 800 356 6 447 453 6 447 454 6 582 367 6 676 606 6 692 438 Other patent applications are pending in various countries QLAB is a trademark of Koninklijke Philips Electronics N V Non Philips product names may be trademarks of their respective owners 2 Q Station User Manual 4535 616 40761 Contents Read TBis FIESC o oor onis US MOST IIR M TIR uia Nd 7 litended A dierieeu cielos Retina 7 Inte rided EJse iacuit sess a peek ae 7 User Information Combpoberis 8 User In
60. nd systems e 50 e HDII XE e 46 Q Station User Manual 4535 616 40761 Q Station Basics n e iE33 e 1022 Sparq ClearVue Additional analysis capabilities are available when the images from those systems contain Philips native data Native data is raw image data saved with an ultrasound image that enables post acquisition adjustments to the image Q Station software also can open files from any ultrasound system that can export patient studies in DICOM format ECG Data Compatibility This release of Q Station software can accept ECG data only from the Philips StressVue Diagnostic Stress Test system PACS Compatibility Q Station software can query and retrieve patient lists and studies from any PACS that supports standard DICOM Query Retrieve capability This is a purchasable Q Station option Q Station User Manual 47 4535 616 40761 E Q Station Basics 48 Q Station User Manual 4535 616 40761 5 Working with the Q Station Software This section guides you through procedures commonly used in working with patient study data on the Q Station software These procedures include importing and exporting patient study data reviewing images and performing advanced quantification For detailed information on the controls features and tasks mentioned here as well as information on additional tasks see the Q Station Help To display the Help click Help and then click Q Station Help For instructions on using
61. nterprise Server is the standard server address Do not select Custom or any other setting unless a Philips representative instructs you to do so 4 In the Connection Type menu ensure that Internet is selected NOTE Internet is the standard connection type Do not select VPN unless a Philips representative instructs you to do so Q Station User Manual 33 4535 616 40761 E Remote Services 5 n the Proxy Settings area if your site uses a proxy server to control Internet access type the proxy IP address user name and password if used and indicate whether the proxy server uses NTLM NOTE You can add only an IP address and port number in the Proxy Settings area for example 192 168 0 1 8080 URLs are not accepted 6 Click Save Q Assistant registers with the Philips M2M server 7 Click Test Connection and verify that OK appears OK indicates that a path to the server exists 8 If Failed to Connect appears instead of OK ensure that The computer is connected to the Internet Network settings are configured correctly Port 443 outbound is open in the firewall Enabling Remote Access In Q Assistant click the Remote Services tab 2 Click Access Status 3 Under Remote Desktop do one of the following To enable permanent remote desktop access select Enable Permanently Toenable remote desktop access only until a date and time that you specify select Enable Until select a date from the men
62. of a job System events are displayed with an icon of the event in progress The user name of the user currently logged on is also shown in the message bar To show hide the message bar select Message Bar on the View menu Notifications provide more detailed information about a system event and are displayed in a pop up window just above the message bar The severity of the notification is indicated by its color Q Station Notification Types Warning Caution Note 42 Q Station User Manual 4535 616 40761 Q Station Basics n Job Viewer The Job Viewer provides details of export print DICOM removable media and network jobs that you have submitted to the system You can open the Job Viewer at any time to check the status of your jobs or to modify a job Jobs are executed according to their priority Concurrent jobs that have the same priority are executed in the order that they were submitted You can make jobs execute sooner by increasing their priority in the Job Viewer Using the Job Viewer To open the Job Viewer panel select Job Viewer on the View menu double click a system event icon in the system event area 2 Select a command and do any of the following To disable a job click I To enable a disabled job click gt e To cancel a job click e To abort job click x To delete a job click X To resubmit a job click e To increase the priority of a job click gt gt To decrease t
63. ort Number Does the system support Native Data Does the system support ECG Data Does the system support Structured Report Device Name The Device Name is a name you choose for a specific device such as an ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device Query Retrieve PACS Settings Setting Name Setting for Your Network Does this system use the same settings as the archive PACS IP Address AE Title Q Station User Manual 17 4535 616 40761 E Q Station Installation 18 Setting Name Setting for Your Network Port Number Device Name The Device Name is a name you choose for a specific device such as an ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device Send PACS Settings Setting Name Setting for Your Network Does this system use the same settings as the archive PACS IP Address AE Title Port Number Device Name The Device Name is name you choose for a specific device such as ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device DICOM Storage Commit Settings Setting Name Setting for Your Network IP Address AE Title Device Name Q Station User Manual 4535 616 40761 Q Station Installation Setting Setting for Your Network Port Number
64. re you left off Logging Off Press Ctrl Alt Delete to display the Windows Security panel 2 Click Log Off Your work is saved and the Windows Security panel is displayed for the next user Common Elements 40 The following tools are available in all activities Menu Bar The menu bar provides access to frequently used commands for performing tasks Depending on your current activity some commands may be unavailable Commands are described with relevant procedures in the activity sections later in Help Shortcut Menu You can click items with the right mouse button called right click to see a shortcut menu containing commands and tools relevant to the item The shortcut menu is also available by holding down Shift and pressing F10 Main Toolbar The main toolbar provides quick access to the tools most relevant to your current activity Tools found on the main toolbar are described with relevant procedures in the Help Q Station User Manual 4535 616 40761 Q Station Basics n Activity Bar The activity bar provides access to each activity with the focus on the patient data selected in the Studies tab If an activity is not available in your current situation the tab is dimmed and you cannot switch to that activity You can close an activity and return to the Studies tab by clicking Close on the File menu Patient Info Panel The Patient Info panel is visible in activities beyond the Studies tab and p
65. rovides demographic details of the current patient The Series tab of the Patient Info panel provides a pictorial index display of a thumbnail of each image or report contained in the study You use the pictorial index to select images and reports for processing in available activities In the pictorial index images and reports are grouped by study Studies are separated by a divider Studies are grouped chronologically with the most recent first Each image or report in the pictorial index is identified by a pictorial which provides information about the image or report NOTE Information may not always be available A status mark indicates that an image has been opened in the View tab during the current viewing activity Status marks are only available in the View tab To open an image or report double click the pictorial Double clicking an image pictorial opens the image on the View tab Double clicking a report pictorial opens the report on the Report tab Data Type Icons Icons on thumbnails indicate the data type of the image Q Station User Manual 4l 4535 616 40761 n Q Station Basics Data Type Icons Data Type QLAB compatible image Multi frame loop Messages and Notifications The message bar provides feedback of the state of the system and notification of system events These messages are for your information only providing an acknowledgement of jobs you have submitted or a status update on the progress
66. rviceUser account on the StressVue ECG system if the account does not already exist e Assign the same password to this account as the ECGServiceUser account on the Q Station system e Share the folders that contain the ECG reports and raw data and give permission to the ECGServiceUser account to access the folders For more information see the StressVue Instructions for Use After you have configured the Q Assistant software to access the ECG reports and raw data it monitors the export folders on the StressVue system converts the ECG data to DICOM and provides it to the Q Station software The Q Station software can then combine the stress ECG data with the appropriate stress echocardiogram in a report NOTE reports can be reviewed the Q Station software only when they have been matched with a stress echo file Q Station User Manual 8l 4535 616 40761 E Network and DICOM Settings Activating the ECGServiceUser Account When you install the Q Station software the installer automatically creates an inactive local user account ECGServiceUser that corresponds to the ECGServiceUser account on the StressVue system You must activate the account to receive the ECG data from a StressVue system Optionally you can modify the password for the ECGServiceUser user account and the SVGService service If you want to change the password it must be the same for both the user account and the service The default pas
67. s at your institution are configured to send data to a PACS you can query the PACS to obtain a list of patients and studies request that the PACS send the Q Station computer a study for analysis and then archive the data back to the PACS Q Station User Manual 77 4535 616 40761 E Network and DICOM Settings Checking Network Settings You can view the Windows network settings for the computer on which the Q Station software is installed in the Network Settings area of the Network DICOM tab in the Q Assistant software CAUTION If the Q Station PC is part of a wireless network use only secured wireless technologies For more information about network security see Shared Roles for System and Data Security which is included with your Q Station software P 2 3 In Q Assistant click the Network DICOM tab Click Network Settings If your computer has more than one network card select the appropriate card from the Select Network Card menu Click Network Connections to open the Windows Network Connections control panel and view settings for your network connection Do either of the following To see detailed information about the network settings click IPConfig All To release and then renew the network connection click IP Config Release and then IPConfig Renew To check the connection status of a server on the network type the IP address of the computer in the IP Address field and click Ping Adding DI
68. s that apply to your network in the spaces provided Q Station Computer Settings Setting Name Setting for Your Network Automatic IP Address Fixed IP Address Subnet Mask Default Gateway DNS Server AE Title Port Number Ultrasound System Settings Setting Name Setting for Your Network IP Address AE Title Port Number Q Station User Manual 15 4535 616 40761 E Q Station Installation Setting Name Setting for Your Network Device Name The Device Name is name you choose for a specific device such as ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device Ultrasound System 2 Settings Setting Name Setting for Your Network IP Address AE Title Port Number Device Name The Device Name is name you choose for a specific device such as ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device Ultrasound System 3 Settings Setting Name Setting for Your Network IP Address AE Title Port Number Device Name The Device Name is name you choose for a specific device such as ultrasound system or server It is the name that appears in Q Station messages and dialog boxes regarding that device l6 Q Station User Manual 4535 616 40761 Q Station Installation S Archive PACS Settings Setting Name Setting for Your Network IP Address AE Title P
69. service representative Customer Service Customer service representatives are available worldwide to answer questions and to provide maintenance and service Please contact your local Philips representative for assistance You can also contact the following office for referral to a customer service representative or visit the Philips Healthcare Contact Us website www healthcare philips com main about officelocator index wpd Philips Ultrasound Headquarters 22100 Bothell Everett Highway Bothell WA 98021 8431 USA 800 722 9377 10 Q Station User Manual 4535 616 40761 2 Q Station Installation To ensure that the Q Station software installs successfully and operates correctly it is critical that you perform the installation procedure exactly and in the order written Also because Philips provides remote support for the Q Station software Philips requires that the Q Station computer have internet access Some procedures require using the computer s operating system OS software and not the Q Station software Detailed instructions for performing those OS procedures are not included here because the procedures could vary depending on the OS type and version See the OS Help for detailed instructions This user manual provides suggested phrases to search for in the OS Help The installation procedure comprises the following tasks Verify that the computer meets or exceeds the minimum requirements see Computer Requirements
70. specific network information The network information is required for these purposes To allow installation of the Q Station software e To enable the Q Station computer to operate in your network environment exchange data with DICOM devices PACS and ultrasound systems and accept remote support from Philips If your facility has an information technology IT department confer with the IT network administrator as necessary Network Requirements for Q Station Installation The following network requirements are for installing the Q Station software onto your computer e Access to the Internet e Port 443 outbound only open in the firewall e Port 80 to enable automatic registration open in the firewall e lfaproxy server is used you need the proxy server address the user name and the password 14 Q Station User Manual 4535 616 40761 Q Station Installation E NOTE 0 0 000 00000000 Port 443 is used for secure Web sites URLs that begin with https and port 80 is used for regular Web sites Most facilities that have Internet access have those ports open in the firewall Network Requirements for Configuring the Q Station Computer The items listed in the Setting Name column of the following tables are the network requirements for configuring the Q Station computer to operate in your network environment and accept remote support from Philips Some of these items may not apply to your network Write the setting
71. stallation continues If the computer does not have Microsoft NET Framework installed the Installation Wizard installs it and restarts the computer to complete the NET Framework installation this requires you to log on to continue the Q Station software installation 24 Q Station User Manual 4535 616 40761 Q Station Installation E 15 The main part of the software installation continues which requires approximately 30 minutes to complete Meanwhile the main progress indicator may seem to be inactive for several minutes but other dialog boxes in the background show activity This is normal Allow the dialog boxes to process do not click them or press any key l In the Installation Succeeded dialog box click Register to launch the Registration Wizard and obtain the license file NOTE If the Installation Failed dialog box appears follow its instructions to restart the computer and restart the software installation Software Registration Before you can use the Q Station software you must register it to obtain the license file There are two methods for registering the software and obtaining the license file Automatic registration which occurs when the Q Station computer is connected to the Internet e Manual registration which is required when the Q Station computer is not connected to the Internet This method requires using another computer that is connected to the Internet Automatically Registering the Software
72. stalled on the destination computer Before installing the Q Station software remove the MSXML 6 SP2 On the destination computer open Add Remove Programs Windows XP or Programs and Features Windows 7 If the Microsoft MSXML 6 SP2 is listed as an installed program select it and click Remove Do one of the following e f the removal is successful you can ignore the remaining steps of this procedure and install the Q Station software If the removal fails go to step 4 If the removal is successful but Q Station installation still fails go to step 4 In the Tools directory of the Q Station Installation DVD double click msicuu2 exe Install the Clean Up utility by following the prompts in the Windows Installer Clean Up Setup wizard Q Station User Manual 13 4535 616 40761 E Q Station Installation 6 Click Start and All Programs and then select Windows Install Clean Up 7 In the list of programs select MSXML 6 Service Pack 2 KB954459 6 20 1099 0 8 Click Remove Network Requirements CAUTION _ If the Q Station PC is part of a wireless network use only secured wireless technologies For more information about network security see Shared Roles for System and Data Security which is included with your Q Station software Before installing the Q Station software and to ensure a complete and successful installation Philips recommends that you confirm or collect
73. surements can be made only on single frame images or frames within a loop If necessary click E to display the image toolbar Click 5 to display the Measurements menu GJ N Do any of the following To make a line measurement click and click two points To constrain the line vertically or horizontally press and hold down Shift while placing and clicking the second point make an angle measurement click X position the cursor where you want the first point and then click to select the position position the cursor where you want the vertex of the angle and click position the cursor where you want the third point and click Q Station User Manual 57 4535 616 40761 Working with the Q Station Software To create an open contour click e and click two points To create a closed contour click click an initial point and drag it to trace the contour Click again to complete the contour To create a smoothed polygon click bi click an initial point and drag clicking additional points on the contour as you drag Double click to complete the measurement Annotating an Image You can add an arrow with a text box to an image Annotation can be added only to single frame images or frames with within a loop If necessary click E to display the image toolbar Click uH Click on the image to place the arrow and click again to display the text box Type the annotation in the text box a
74. sword for the ECGServiceUser account is PasswordPMW2007 NOTES e change the password for the ECGServiceUser account on the system on which the Q Station software is installed ensure that it is the same password used for the StressVue system s ECGServiceUser account e Besure to stop the SVGService service before changing its password Activate the ECGServiceUser account For instructions on activating user accounts search the Windows operating system Help for activate a user account 2 If you want to change the password for both the ECGServiceUser user account and the SVGService service see the Windows operating system Help e For instructions on changing the password for a user account search the Windows operating system Help for change user password For instructions on changing the password for a service search the Microsoft Management Console Help for configure how a service is started To access the Microsoft Management Console right click My Computer and select Manage 82 Q Station User Manual 4535 616 40761 Network and DICOM Settings RA Configuring Access to ECG Reports When you configure access to StressVue ECG reports you can also specify that the reports be sent to an archive destination such as TraceMasterVue ECG Management System or another StressVue directory If you specify an archive destination the administrator of the archive destination must Create an ECGServiceUser account on the
75. t PACS Objects that may be unsupported include DICOM Encapsulated DICOM General Waveforms and with older PACS DICOM Structured Report To alleviate this issue deselect the ECG and SR options in the advanced settings area for the PACS DICOM device in the DICOM settings tab of the Q Assistant configuration utility e Although exported DICOM information can be anonymized there is no mask applied to images to obscure the patient data that may be visible in the images 66 Q Station User Manual 4535 616 40761 Working with the Q Station Software NOTE You cannot remove native data from an image to reduce file size prior to export Select one or more loops or single frame images from a single study NOTE Clicking Select All exports the complete study 2 In the Export Settings panel click the DICOM tab 3 Do one of the following To export patient data in DICOM format to a DICOM archive a CD a DVD or a USB drive select a destination on the Destination menu To export patient data in DICOM format to a Windows folder click and select a folder on the workstation CD DVD or USB drive 4 To export the stand alone DICOM Viewer application with the patient data select Include DICOM Viewer 5 To make patient data anonymous select Anonymize If you want to change the default anonymization name after selecting Anonymize click N 6 Click Export Saving Images In the image viewer select the ima
76. the Archive function select the optional data types to be sent still images and loops are always archived Native ECG and SR You can ask your network or PACS administrator to determine if your PACS supports native or ECG data c Only if your network or PACS administrator requests it change the Association Artim Timeout and a Storage Commit Max Reply Waiting Time The default settings are suitable for most PACS d Click OK e For each Storage Commit Device you are connecting to select the following in the Storage Commit Association section of the DICOM Settings dialog box Click PACS Device and then select the PACS name Q Station User Manual 79 4535 616 40761 E Network and DICOM Settings 8 9 Click Storage Commit Device and then select the name of the device that performs the storage commit function Click Save Click Activate Now to restart the Q Assistant software and activate the devices that you added or click Activate Later if you want to perform additional Q Assistant tasks before activating the devices Editing DICOM Devices Q Assistant click the Network DICOM tab 2 Click DICOM Settings 3 4 5 Select the DICOM device that you want to edit and click Edit Make changes in the Edit DICOM Device dialog box and click Save If you are editing a PACS click Advanced Settings to make changes in the Advanced Settings dialog box Click Activate Now to apply the changes and rest
77. tion 3 In the ECG Raw Data StressVue Archive Locations area type the path to the StressVue ECG archive directory 4 Click Add 5 Click Save 6 Verify that patients with ECG data appear in the Q Station Studies list See ECG Data Flow Troubleshooting on page 84 7 If you have configured the Q Station software to send ECG reports to an archive computer such as a TraceMaster Vue ECG Management System verify that reports appear on the archive computer See ECG Data Flow Troubleshooting on page 84 Specifying the Date Format for StressVue XML The StressVue XML date format setting on the Q Station computer must match the corresponding date format setting on the StressVue system In the Q Assistant software click the Network DICOM tab 2 Click ECG Configuration 3 In the StressVue XML Date Format area select the date format that you want to use for StressVue XML data 4 Click Save ECG Data Flow Troubleshooting After you have configured the Q Station software to receive ECG reports and raw data from the StressVue ECG system verify that patients with ECG data appear in the Q Station Patients list 84 Q Station User Manual 4535 616 40761 Network and DICOM Settings If you have configured the Q Station software to send reports to an archive computer such as a TraceMasterVue ECG Management System verify that reports appear on the archive computer ECG Data Does Not Appear in the Q Station Stu
78. u and enter a time 4 In the Remote Desktop confirmation dialog box click OK to enable remote access Q Assistant displays a yellow triangle When the yellow triangle changes to a green circle Q Assistant has successfully established contact with the Philips remote server Establishing contact may require a few minutes 5 Under Software Download do one of the following 34 Q Station User Manual 4535 616 40761 Remote Services ES To allow a Philips representative to download software to the Q Station computer select Enable Download To allow automatic installation of downloaded software select Install Automatically Q Assistant displays a yellow triangle When the yellow triangle changes to a green circle Q Assistant has successfully established contact with the Philips remote server Establishing contact may require a few minutes Requesting Online Support The ability to request online support is an optional feature available in some countries that enables you to send a request to Philips for technical or clinical assistance NOTE The Request Support tab is visible only after you enable online support and submit a support request If you are creating an online support request for the first time enable online support as follows Otherwise go to step 2 a In Q Assistant click the Options tab b Click Service Options c Click Enable d Enter an access code to enable online support For an access code
79. urity tab 3 Do one of the following Ifthe Group or user names list includes Everyone Authenticated Users or Network Service go to step 10 Q Station User Manual 73 4535 616 40761 System Management Ifthe Group or user names list does not include Everyone Authenticated Users or Network Service go to step 4 4 On the Security tab of the Properties dialog box click Add 5 In the Select Users Computers or Groups dialog box click Object Types 6 In the Object Types dialog box select Built in security principals and then click OK 7 Click Locations select the name of the local computer and them click OK 8 In the Select Users Computers or Groups dialog box type Everyone in the text entry field and then click Check Names When the name is underlined the system has verified its availability 9 Click OK 0 In the Group or user names list click any one of the following names Everyone Authenticated Users or Network Service 1 In the Allow column of the Permissions list select Modify Selecting Modify automatically selects the Read amp Execute List Folder Contents Read and Write permissions I2 Click OK Specifying Storage Locations for Q Station Data The storage directories that you specify in Q Station Data Locations appear in the Local Data area of the Q Station Studies tab The directories you specify there are different from the local patient database the location of which you select
80. when you install the Q Station software In Q Assistant click the System Management tab 2 Click Media Store 3 In the Q Station Data Locations area click Add and browse to a local directory or network share that you want to use for exporting and importing DICOM data 4 Click Activate Now to activate the new directory immediately or click Activate Later to specify additional data locations and activate the new 74 Q Station User Manual 4535 616 40761 System Management 8 directories later when prompted by Q Assistant When you activate new directories Q Assistant restarts NOTE If the Q Station software is open when the Q Assistant software restarts the Q Station software closes and you must manually restart it 5 If you want to add a USB drive as a local storage device connect the USB drive NOTE Lu FAT formatted and NTFS formatted USB drives are supported for Q Station data locations FAT formatted USB drives do not have special configuration requirements For information about configuration requirements for NTFS formatted USB drives see Configuring a Local File Repository or NTFS USB Drive on page 73 6 In the Q Station Local Devices area select the drive letters that correspond to the CD DVD and USB drives on the Q Station computer 7 If the selected CD DVD drive is read write select R W 8 Click Save Backing Up Configuration Settings You can back up the Q Station configuration settings and lic
81. word processing tools Microsoft Word in the main display area 0 Click V to save the draft report as work in progress Setting Electronic Signatures on Reports The user name electronic signature that appears in the footer of the report is set or edited by changing the user name that defines the active user account Open the Windows User Accounts dialog box For more information search the Windows Help for user accounts overview 2 Select the user account that you want to edit 3 Edit the User Name that appears in the account 4 Restart the computer to reset the account information All new reports will display the new user name as the report s electronic signature Existing reports will continue to display the original electronic signature name 62 Q Station User Manual 4535 616 40761 Working with the Q Station Software 8 Approving a Report Open the draft report that you want to approve 2 Click The report is converted to DICOM Encapsulated PDF and is moved from the Edit workstep to the table of approved reports in the View workstep Printing a Report Select the report that you want to print in the Approved Reports table or if the report is already displayed ensure its tab is selected 2 Click amp The report is printed to the workstation s default paper printer Custom Report Templates You can create report templates to customize the sections of your Q Station reports The followin
82. y restart the computer to complete the software installation If the Installation Failed dialog box appears follow the instructions to restart the computer and restart the software installation 8 Verify that the following icons are on the desktop Q Station icon for opening the Q Station application e Q Assistant icon for opening the Q Assistant tool which is for configuring the Q Station application 26 Q Station User Manual 4535 616 40761 Q Station Installation Manually Registering the Software NOTE The license file is specific to your Q Station computer and cannot be used with another computer If the Q Station computer is not connected to the Internet complete the following steps If the Q Station computer is connected to the Internet see Automatically Registering the Software on page 25 Ensure that you have the following items available Aregistration name your name Your valid e mail address The Q Station software serial number from the Q Station CD case AUSB flash memory drive 2 On the Q Station computer do the following a Open the Windows Notepad accessory program b In the Q Station Registration Wizard select am not connected to the Internet Tell me how to register Click Next Copy the URL from the dialog box and paste it into Notepad Copy the node ID and paste it into Notepad Connect your USB flash drive Save the Notepad file with a name of your choice to th
83. y the following e The archive computer is available on the network In Q Assistant ping the archive computer by entering its IP address in the Network Settings area of the Network DICOM tab and then clicking Ping e ECGServiceUser account is activated on the archive computer e ECGServiceUser account name and password are the same on the Q Station system and on the archive computer The archive folder on the archive computer is shared and full control of that folder has been granted to the ECGServiceUser account on the archive computer 86 Q Station User Manual 4535 616 40761 Index A Administrator account removing 32 Analysis in QLAB 59 Annotations 58 Anonymization during export 66 Approving reports 63 Assistance 10 Audience intended 7 Audit server configuring 69 Backing up settings and license 75 Capturing images 58 Caution notifications 42 CD DVD write preferences 52 Closed contour measurements 56 Comments customer 10 Computer requirements 2 Computer security policy 21 22 changing settings 22 Computer security policy option settings default values 21 Configuration settings backing up 75 restoring 76 Configuring Q Station 44 Controls export toolbar 64 image toolbar 53 Conventions user information 8 Customer comments 0 Customer service 10 D Data locations 69 Data panel 49 Data storage locations 74 Data types 41 Date format for StressVue

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