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CXDI Control Software NE Setup Guide

1. Add Laterality Marker L R L Embed in the image automatically after exposure f e Property Protocol Settings screen 62 Click to cancel the modification Next OK Protocol Settings Protocol Name Comment 3 System Tools Arbitrary name that identifies the protocol Arbitrary comment Exposure Protocol Code See To modify a protocol code meaning below for details Laterality Marker for L and R Specify the position of embedded laterality markers using L and R on the toolbar refer to 6 1 4 in the Operation Manual and the embedding option Click on the Position drop down arrow and select an option from the list Options combining the vertical position Top Middle or Bottom with the horizontal position Left Center or Right are available e g Middle Center To automatically embed laterality marker s after every exposure select the Embed in the image automatically after exposure check box DICOM Attributes Body Part The values for the following four options are transferred to the RIS HIS database PACS and so on as DICOM attributes Click on the drop down arrow and select an option from the list Patient Orientation View Position Laterality Click on the drop down arrow and select an option from the list A anterior P posterior R right L left H head F foot and a combination of these are available Click on t
2. C No Reference Image a Next Sample image selection screen Click to cancel the operation and return to the protocol selection screen To change the narrowing conditions for the sample image list Select one of the following options Selected protocol only Shows only images captured using the same protocols as the target protocol Similar anatomical parts Shows only images captured using protocols whose anatomical parts are similar to the target protocol and All Images all available images To sort the sample image Click a sort item in the column header To switch between ascending and descending sort order click the same item again 86 Elt text box Toolbar Click to cancel the operation and return to the sample image selection screen 3 System Tools Modify the image processing parameters Refer to 6 2 and 7 3 in the Operation Manual for details on operation To set the Elt value Enter a value in the Elt text box referring to the current El value If the text box is left blank DI cannot be calculated NOTE The values of El Elt and DI can be embedded on both the preview screen and film sheet images See 2 5 for details on operation El Exposure Index El is an approximative indicator of the dose that reaches the detector as calculated per IEC 62494 1 standards from the captured images Under the same exposure conditions the indicator and the dose are proportional Depending on the
3. P ri nt O utp ut O pt i on er Administration System Settings Customize Display Annotation Connection Disk Storage GenCom Printer Name Host Name Port Called AE Title Printer1 127 0 0 1 104 Printer1 14INX17IN Portrait i Printer List M re O ee Film Output Destination list Add Delete Property Common Omput seting saa Printer Calling AE Title CANON_CXDI Radiography Com m on O utp ut Show the image arrangement screen at output Film Size and Direction Selected exposure mode to be printed automatically Fit option Settin MEE g Radiography gt Fit Fixed Ratio 100 Layout _ Automatically select template depending on the Common eee Template selector Layout Template Use specified arrangement See 2 6 7 Cancel 40 2 System Setup Screen 7 Register a printer to the Printer List Click Add to show the Property dialog box for registration To modify an existing printer Click the target printer in the Printer List and then click Property Printer Name Printer1 Host Name 127 0 0 1 Port Jo ae 104 655385 1 65535 Called AE Title ee nter1 Ping Pinter Type v Output P Value C ECH O Illumination 2000 0 65535 cd m2 Reflected ambient light 10 0 10000 cd m2 2 Enter or modify the printer properties Printer Name Arbitrary name that identifies the printer Host Name The IP address or the host name of the printer Port
4. Positions Annotation gt Preview Annotation tab NOTE The user can choose to have annotations always displayed on the screen independent of the gt status For details consult your service engineer 7 Select the position of the annotations Select Top Left Bottom Left Top Right or Bottom Right at the corners of the preview pane 2 Specify the Font and the size option Perform this procedure while checking the preview pane Click the Font drop down arrow and then select an option from the list Click the size drop down arrow and then select an option from the list 30 2 System Setup Screen 3 Reserve the target annotations for the selected position Select from among the available annotation list and then click Add The selection appears in the selected item list Available annotations for each position Preview Annotation tab Top Left Bottom Left Top Right Bottom Right Shown by default Patient ID Patient Name Birth birthday Age Sex Acquisition Time Total Exposure Time Total DAP Dose Area Product Total Absorbed Dose Total Air Kerma Free HDD Space Acquisition Date Study Description Patient Orientation KVP kilo voltage peak Exposure Time X ray Tube Current mAs SID Source image receptor distance SOD Source object distance REX Reached Exposure value El Exposure Index DI Deviation Index Elt See step 3 in 3 6 for details on E
5. Set the value higher for brighter images Conversely set it lower for darker images Contrast 10 to 10 See 2 A LUT Auto mode 103 Appendix 104 3 Enhancement Adjusts image enhancement parameters A Enhancement m lt gt K lt Edge Frequency iH Wasi ca Al lt w Select the check box to activate enhancement The following three parameters are available Edge Enhancement 0 to 20 Set the value higher to emphasize image edges making images sharper Edge Frequency 1 to 7 Adjust the frequency range for edge enhancement Set the value lower for edge enhancement in low frequency regions This is suitable for large structures such as organs and bones Set the value higher for edge enhancement in high frequency regions This is suitable when imaging blood vessels trabecular bones or other small structures Contrast Boost 0 to 20 Set the value higher to enhance local contrast This increases sharpness in thicker areas of the body as in trunk imaging 4 Dynamic Range Adjustment Adjusts the dynamic range adjustment parameters A Dynamic Range Adjustment ml lt gt m lt gt Select the Dark Region check box to activate dynamic range adjustment of dark regions Conversely select Bright Region to activate dynamic range adjustment of bright regions Dark Region 1 to 20 Set the value higher to brighten dark image areas If dark image areas are too dark increase the va
6. Clear the Print Output check box 2 6 3 MWL tab Use MWL option MWL service properties Ping C ECHO Communication test result 1 44 The Modality Work List MWL service provides central data entry ordering and scheduling of examinations and management features The HIS RIS database server which provides the MWL service can be registered using this tab Communication test between the Software and the database server can be performed using the Ping or C ECHO command NOTE The MWL tab is displayed only when the MWL service is available For details consult your service engineer Log Viewer P rocess Viewer QC Tool DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout dministration System Settings Customize Display Annotation Connection Called AE Title Calling AE Title Search Condition Specify a database server for the MWL service Select the Use MWL check box and then enter the following properties Host Name The IP address or the host name of the server Port Port number for the server Called AE Title Application entity title assigned to the server necessary for DICOM communication Calling AE Title Application entity title assigned to the Software necessary for the DICOM MWL service 2 System Setup Screen To disable the server in use Clear the Use MWL check box To test communication between the Software and the server Click Ping to test the
7. This pane appears in EXAM gt Examination and Past gt View screens 99 Appendix 3 2 Description of Parameters 1 Anatomical Part Functions for automatic adjustment of image tone after exposure Complete the Anatomical Part and Direction settings according to study objectives and the anatomical part involved For example specify Chest in Anatomical Part for automatic tone adjustment after exposure suited to chest diagnosis A Anatomical Part Category Anatomical Part Foot Direction Lateral Category and Anatomical Part The anatomical parts are categorized as follows Category Anatomical Part Upper Gastrointestinal Child Chest Chest Abdomen Infant Chest Cervical Spine Spine Thoracic Spine Lumbar Spine Shoulder 100 Appendix Category Anatomical Part Pelvis Whole Spine Stitch Full Leg Only for stitching protocol Direction Imaging directions orientations are as follows Front Lateral Other 101 Appendix 102 2 A LUT Auto mode Adjusts tone curve parameters A LUT Curve Shape Brightness Adjustment Auto lt Baseierightness 22 gt Za EE gt a JB Curve Shape Specify the tone curve Select one of the following four tone curves SA S shaped tone curve equivalent to standard radiographic film SB S shaped tone curve with higher contrast in bright regions SC S shaped tone curve with higher contrast in dark regions
8. Wireless detector Detector Power box Up to 4 pairs of detectors and power boxes can be connected CXDI Control Software NE installed image capture computer Hospital network 1 1 Consists of DICOM standard compatible equipment HIS RIS PACS printer storage device etc 2 Recommended commercially available items 1 System Configurations and Requirements 1 2 Hardware requirements Image capture computer Intel Core 2 Duo 2 0 GHz or faster processor 4 GB or more of RAM 50 GB or more of available hard disk space 200 GB of free space is required at installation Display XGA 1024 X 768 SXGA 1280 X 1024 resolution or higher WXGA 910 X 804 WSXGA 1680 X 1050 WUXGA 1920 X 1200 DICOM GSDF or DICOM P value LUT compatible Touch operation compatible Video card Graphic board Screen resolution corresponding to that of the display Ethernet More than 3 ports For a detector control 1 X ray generator control 2 and Local Area Network 1 An Intel port 1000 Mbps for a detector 2 When using an X ray generator communication option Detector Static flat panel detectors Ethernet connection compatible CXDI 50G CXDI 50C CXDI 55G CXDI 55C CXDI 40EG CXDI 40EC CXDI 40G COMPACT CXDI 60G
9. apply protocol and Show Code Meaning Toolbar options Customization of the toolbar see 2 4 3 14 2 System Setup Screen Annotation tab The following sub tabs are available User Administration System Settings Customize Display Annotation Connection Preview Annotation Free Annotation Laterality Marker Film Annotation Film Box Annotation Image Box Annotation Preview Annotation tab See 2 5 1 Display item layout for single view mode Font and font size Free Annotation Laterality Marker tab See 2 5 2 Font font size and Free Annotation list for free annotations Font and font size for laterality markers Film Annotation tab See 2 5 3 Embedded item layout Font and font size for each film image This tab is separated into Film Box Annotation and Image Box Annotation sub tabs in accordance with the intended annotation object Connection tab The following sub tabs are available User Administration System Settings Customize Display Annotation Connection Storage Printer Disk Storage GenCom Storage tab See 2 6 1 Storage selection and communication tests Storage List management and Common Output Setting Printer tab See 2 6 2 Printer selection Printer List management and communication tests Film Output Destination Common Output Setting and Layout Template selection see 2 6 7 MWL tab See 2 6 3 MWL settings and communication tests and Search Condition settings
10. 1 BASIC ODSlALIONS osis aa a A a 54 3 1 2 System tool option findet sn AAEE 55 32 LOO VIEWPER 57 JO PrOCeESS VIG We Ir siros noinio iao ineo E E EL 58 3 4 PFOLOGCO EONO srraiisisoaiak a aa 60 3 4 1 Modifying the protocol sssesnsnnnnnnnnnunnnnnunnnnnnnnnnnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nennum nnmnnn 60 3 4 2 Creating NEW protocols asasan a aeaa ANNEO 68 3 4 3 Packaging a set of protocols in a single protocol ssssssnsnnunnnnnnnnnnnnnnnnunnnnnnnnnnnnnnnnnnnn mnnn 70 3 4 4 Organizing THE PrOlOGCOl LAYS sissies onaniaa aaa aaa 73 3 4 5 Automatically applying protocols to a StUCY c ccesceesssenseeeenensensensensensensenseeeesensensensensenes 76 3 9 QG VOOM cscs eee aes ect ctineshtceaneet hebaaeice a tia sa saueet came ataa ceneectebecieusebenenueunesietessebonen 78 3 0 1 Calibrating the detector iesiri nauna aaier aaa vacbunavenouanuesvasnvuteawensveendeandevenaestsse 78 3 5 2 Inspecting the detector Performance Test c ccsccescsnsecseenssenseensenssenseensenssensenneeensenenaes 81 3 5 3 Inspecting the detector power box Self CiAGNOSIS cescceseesseenscnseeeseensenseeessenseenseenseees 82 3 6 Image Proc Image Processing Adjustment ccsccescesseensenssenseensenssenseenseoaes 85 20 DB BAGKUD orin aN a a a aaan 90 3 7 1 D t ase Ba ack p OPUN aannaaien aaan aaa a aa aaa a aaa aN aa iaaa aaa 90 3 7 2 Q tp t Exam LOJ OPUONM mcciccevcececcaenta aaa a A Aa vecadearecevencautaeatiessaneieuoceias 91
11. AP X wi Workspace wS CXDI50G aaas WS CXDI55G INFANT Chest LAT _ WS CXDI40EC WS CXDI50G INFANT Chest AP WS CXDI40GCom WS CXDI50G ws cxDisoG W Wws CxDIsoG M D WS CXDI60G NEONATE Chest AP WS CXDI50G l NEONATE Chest LAT WS CXDI50G PEDS Chest AP PEDS Chest LAT Click to cancel new protocol arrangement JS WS CXDI50G Category tabs Destinations 55G Sp Spine rExtre 6 Arrange the protocol being created Click the target destination 69 3 System Tools 3 4 3 Packaging a set of protocols in a single protocol The PrePack feature which enables a single click selection of a set of protocols required for a specific examination streamlines study order creation in the radiology room 7 Show the PrePack dialog box to create a PrePack protocol Click Create PrePack Create PrePack PrePack Name text box Protocol Editor A Frequently used protocols Chest AP L wi Chest AP X wi Abdomen LAT WS CXDI50G Ankle LAT Ankle AP WS CXDI50G WS CXDI50G Calcaneus AXI a WS CXDI50G WS CXDI50G Elbow AP WS CXDI50G WS CXDI50G Facial Bones AP WS CXDI50G A Recently used protocols Chest AP L wise WS CXDIS0G Abdomen AP X wi WS CXDI50G Ankle LAT l WS CXDI50G Calcaneus AXI WS CXDIS50G Cervical LAT WS CXDI50G Facial Bones AP l WS CXDI50G Chest AP X wise WS CXDI50G omen LAT WS CXDI50G Packag
12. B LUT REX mode Adjusts tone curve parameters NOTE REX mode is used for manual studies when the X ray dose was intentionally controlled to achieve a specific image brightness or in follow up exams when imaging is based on film density for example 1 Or on brightness in display based diagnosis A LUT Curve Shape Brightness Adjustment REX 400 0 65535 _ J _ eas gt B B Curve Shape See 2 A LUT Auto mode Brightness Adjustment Select REX In REX mode the brightness of the overall examination region of an image varies depending on the X ray dose images are darker at higher X ray doses and brighter at lower doses REX 0 to 65535 Specify the standard brightness in REX mode Set the value higher for brighter images Conversely set it lower for darker images NOTE The REX Reached Exposure Index value is equivalent to that of the output from the image sensor pixels that are included in a region where the referential density of 0 75D is applied in a diagnostic image captured using the CXDI system If the applied imaging parameters are the same in Auto mode the REX value varies depending on the X ray dose that reaches the image sensor and provides an indication of the X ray dose radiated from the generator Base Contrast 1 to 29 See 2 A LUT Auto mode Brightness 10 to 5 Used to fine tune brightness Adjust the brightness in a range of 10 to 5 relative to the Base Brightness
13. Description Automatic analysis may fail if the ROI brightness differs significantly from the base brightness or if there are overexposed highlights or underexposed shadows Adjust the ROI image manually to make sure it is suitable To fine tune ROI brightness adjust the brightness parameter of tone curves Correct inconsistent automatic analysis of patients and fine tune ROI adjustment results as needed 1 3 To change local contrast in the ROI adjust the contrast parameter of tone curves lf dark areas are too dark relative to ROI brightness use a higher value for dark region control If areas are too bright on the other hand reduce the lf bright areas are too bright relative to ROI brightness use a higher value for 5 bright region control If areas are too dark on the other hand reduce the value Table 4 2 Adjustment Flowchart Description for Study Parameters 111 Appendix 5 Technical Overview of Image Processing This chapter presents a technical overview for users of image processing by the Software 5 1 Overview of Image Processing Image processing by the Software can be broadly classified into three stages of image processing pre processing automatic analysis and processing images for use in diagnosis as shown in Figure 5 1 In each case after conversion to digital signals image from the FPD at this point the images are referred to as raw image 1 is pre processed for uniformity Af
14. OK Tf 3 System Tools 3 5 QC Tool N caution 3 5 1 Calibration Performance Test Available detectors workspaces 78 Be sure to confirm that there is no person in the radiology room during Calibration and Performance Test to prevent the possibility of any persons exposing themselves to X ray exposure To assure the strict image quality required for medical imaging systems calibration measures for the connected detector are provided for the Software NOTE Use of this tool requires the Calibration Administrations privileges See step 2 in 2 2 NOTE Be sure to remove the grid from the detector before conducting the following steps Calibrating the detector The Calibration for the detector correction data generation and Performance Test for the detector inspection procedures are almost the same First conduct the Calibration and then the Performance Test for confirmation NOTE The frequency of implementation of calibrations and performance tests differs depending on the detector type For details refer to the Digital Radiography CXDI series User s Manual NOTE Screens in Calibration mode are used for the following steps Enter calibration performance test mode and select the target detector Click Calibration or Performance Test and then select a detector User Name Cxdiuser Select function User Name Cxdiuser Select function Select detector workspace 3
15. Operations for this tool require the ProtocolEdit Administrations privileges see step 2 in 2 2 3 4 1 Modifying the protocol Protocol Editor Protocol edit mode Frequently used protocols r section Body part selector iii iaie iiie Abdomen LAT Abdomen LAT X wise CXDISOG ws WS ODES0G Workspace edit Ankle OBL mode section Ankle AP WS CXDI50G Calcaneus LAT WS CXDI50G aos eee a Frequently used Femur AP Femur LAT _ wowi wsos F protocols tray Abdomen LAT sees eee S Recently used 4 i protocols tray WS CXDI50G S CX alcaneus Calcaneus LAT S CXDI50G S CXDIS0G Elbow AP Elbow LAT WS CXDI50G j WS CXDI50G Protocol Editor screen body part search mode To exit to the Protocol Editor Click Exit 60 3 System Tools 7 Select the target protocol in the protocol tray Click the target protocol in the Frequently used protocols or Recently used protocols tray The name and workspace of the selected protocol appear in the protocol and workspace edit mode sections NOTE Users can operate Protocol Editor in category search mode as well For details on protocol search mode refer to 3 2 2 in the Operation Manual Workspace Cea Workspace of the selected protocol O Cerne WS CXDI40GCom WS CXDI60G 2 Modify the protocol Protocols in this software A protocol has a set of basic properties that are common to the workspaces associated with the protocol Meanwhile the wor
16. Port number for the printer Called AE Title Application entity title assigned to the printer necessary for DICOM communication To test communication between the Software and the printer in use Click Ping to test the TCP IP connectivity Click C ECHO to test the DICOM communication The results of the test will be shown to the right of each test button Printer Type Click on the drop down arrow and select an option from the list Background specifies the color of the area outside the cropped image from White and Black options are available after the Printer Type property is specified i ae 41 2 System Setup Screen To confirm the Output P Value on off setting When an option is selected in Printer Type the on off setting can be confirmed using the Output P Value check box NOTE The preset on off setting cannot be modified on the Software For details consult your service engineer NOTE Both the Illumination and Reflected ambient light options must be specified before a printer with the Output P Value check box deselected is newly registered Illumination A DICOM attribute that represents the luminance of lightbox illuminating a piece of transmissive film or for the case of reflective media the luminance obtainable from diffuse reflection of the illumination present When this field is left blank the value set on the receiving printer will be used Reflected ambient light A DICOM attribute that represents
17. Search Selector Protocol List Display options Frequently used protocols Recently used protocols Examination history L Automatically apply protocol L Show Code Meaning Click to return to Customize Display tab 1 Cancel ie 4 i Customize Display tab 2 Description List Items See 2 4 2 for details I a 25 2 System Setup Screen Protocol Settings Protocol Selector Default options Select the initial setting of protocol selection mode for operations in the Protocol Editor screen See 3 4 1 and Edit Exam screen refer to 3 2 in the Operation Manual Search by Category category tray mode and Search by Body Part body part search mode are available Body Part Search Selector Protocol List Display options Select the protocol trays enabled in body part search mode Frequently used protocols Recently used protocols and Examination history are available NOTE Frequently used protocols and Recently used protocols cannot be cleared at the same time Automatically apply protocol Select the check box to automatically apply predetermined protocols to the studies for which protocols have not been set Show Code Meaning Select the check box to use Code Meaning for the protocol title except for protocols selected on the Edit Exam screen Toolbar options See 2 4 3 for details 2 4 2 Description List Items option The descriptions of reject reasons as well as the names of the referring phy
18. Software and the storage server in use Click Ping to test the TCP IP connectivity Click C ECHO to test the DICOM communication The results of both Ping and C ECHO tests will be shown to the right of C ECHO NOTE Ifthe Called AE Title or the Port setting is modified during the commitment process the process may fail NOTE Even if some images are transmitted or an examination is in operation modification or deletion of the registered storage server does not affect the current operation 39 2 System Setup Screen 5 Modify the Common Output Setting options Storage Calling AE Title Application entity title assigned to the Software necessary for the DICOM storage service Commitment Calling AE Title Application entity title assigned to the Software necessary for the DICOM storage commitment service Commitment Port Port number for the DICOM storage commitment service NOTE Ifthe Storage Calling AE Title or the Commitment Calling AE Title setting is modified during image data transfer the process may fail 2 6 2 Printer tab Printers can be registered and managed using this tab Communication test between the Software and the printer can be performed using the Ping or C ECHO command Custom layout templates for printout image can be created See 2 6 7 for details on operation Log Viewer Process Viewer 010 Ke7 DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout Shutdown
19. Title Ping C ECHO Storage Name E orage Serverl Host Name 127 0 0 1 Click the target storage server in the Storage List and then click Property 105 1 65535 Radiography Image Modality selector Storage Commit option Storage Commit properties Communication test result Click to cancel the operation OK 2 Enter or modify the storage server properties Storage Name Arbitrary name that identifies the storage server Host Name The IP address or the host name of the storage server Port Port number for the storage server Called AE Title Application entity title assigned to the storage server necessary for DICOM communication Radiography Image Modality Select the modality of the images to be transmitted to the storage server Use GSPS GSPS Grayscale Softcopy Presentation State service provides consistency in the presentation of all screens and printed images Select this option to use the GSPS service To ensure image data storage using the storage commitment function The Software can request the storage PACS server to securely store the image data To do so select the Storage Commit option and then enter the properties as in step 2 above After the function is enabled when is displayed for the SC status on the Study List in the PAST gt Past List screen the image data has been secured Note that storage commitment setting needs to be enabled on both the Software and the d
20. and click Edit Radiography or Edit Stitch depending on the selected protocol Image Processing Adjustment Frequently used protocols nen AP Abdomen AP X wise WS CXDI50G WS CXDI50G Abdomen LAT X wise Ankle LAT WS CXDI50G WS CXDI50G Calcaneus AXI WS CXDI50G ervical AP Cervical LAT WS CXDI50G Protocol selection screen Name of the selected protocol workspace Edit Radiography Edit Stitch lt 1 4 gt Protocol Name Abdomen LAT WS CXDI50G Workspace Name Ankle AP WS CXDI50G Calcaneus LAT WS CXDI50G wise WS CXDI50G Ankle OBL WS CXDI50G men AP WS CXDI50G Abdomen LAT X wise ws cxpisoG Ankle OBL WS CXDI50G L Select Workspace e Exit Another protocol selection method is available Refer to 3 2 2 in the Operation Manual i oei 85 3 System Tools 2 Select a target sample image Select a sample image from the list while checking the preview thumbnail and then click Next NOTE Up to 100 of the most recent images can be available for simulations If a sample image is not required Select the No Reference Image option and then click Next Target exposure type Target protocol Narrowi ng Selected protocol only Similar anatomical parts All Images name and conditions l Patient Name Acquisition DateTime Sex Age EI workspace ee Preview thumbnail Sample image list No Reference Image option
21. black and white strips are clearly defined End monitor gamma confirmation Click OK to return to the System Settings tab NOTE Depending on the current software configuration users can adjust the monitor gamma and save the adjustment result see 7 in Appendix for details in addition to confirming the monitor gamma using the SMPTE test pattern 2 System Setup Screen 2 4 Customize Display tab Log Viewer Process Viewer 010 KoT DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout Shutdown User Administration System Settings Customize Display Annotation Connection Patient Information Display options Study Information Display Setting 777777777 gt Pe eee eae on Item Title Display Essential Input ACC E O Divide Half size group into five components Do not divide L Automatically calculate age Referring Physician D AI el Patient Info Input Mode Birth _ Age Essential Input Setting Study Instance UID Patient ID C Name SS _ Birth RP ID L Sex Examination Seen eo oo aoe oe See eee Automatic Next Protocol Selection Input Reject Reason Help Display Top Middle Bottom Measurement Object Line Width 9 0 v Unit fone Segoeut v lf20 Column Headers z 1 1 1 1 1 1 1 1 1 111 7 ALOLK Pa i Study Datelime iv Patient ID Study Status LI Study Date L Sex _ Birt
22. gt Examination or PAST gt View screen Refer to Chapter 5 in the Operation Manual Transfer the resulting image if required Click BE select the destination and then click Send Image Refer to 7 2 in the Operation Manual for details on operation Saving or printing the resulting images for strict image evaluation To evaluate the resulting image quality it is recommended to check the images on the DICOM viewer or on printed film sheet In such cases the Patient ID and Series Description options are provided in the Output Settings dialog box For example enter a title that indicates that the image is not for examination in the Patient ID text box and also enter a summary of the parameter modifications in the Series Description text box Es Output Settings Printer Print Output Film Destination Printe 14INX17IN Portrait Printer1 14INX17IN Landscape Printerl 11INX14IN Portrait Printer1 11INX14IN Landscape Printerl lt tt gt Storage Storage Server1 a Storage 2 Patient ID text box Series Description d Series Description text box Click to cancel the operation Send Image Cancel Send Image 3 System Tools When the image arrangement screen appears Refer to 7 1 1 Arranging images automatically in the Operation Manual 5 Set image processing parameter Click OK in the processing parameter edit screen 6 Exit image processing parameter edit mode Click Exit
23. in the protocol selection screen 89 3 System Tools 3 DB Backup On the Backup screen all of the Software databases or specific examination information can be manually backed up to a preset destination directory Be sure to back up the database before performing any major modification of the Software NOTE Users cannot change the destination directories for both options For details consult your service engineer Backup Database Backup 525 lt 555 sS s s sccecssessecesseqceecoseocenessso ss Output Exam Log 2222229055529 lt s2sc5 coc seccccescccenaccaccscccccccsnssie Output file destination Destination gt Cessna Destination directory for the Execution ae directory for the MM Ja OD Jill vvvy Hati Software oe examination databases co E vv information xecution Execution To exit backup mode Click Exit 3 7 1 Database Backup option 1 Check the status of current processes Make sure that no Idling Processing or Sending status process is listed in the Process Viewer see 3 1 1 and 3 3 Note Data being transferred cannot be backed up properly 2 Perform backup for all of the Software databases Click Execution for this option 90 3 System Tools 3 2 Output Exam Log option The following information can be backed up in a CSV format file Image capture date image capture time accession number exposure mode protocol name body part patient orientation operator name im
24. skin among the following four options Warm Dark or Cool Dark when using in a dimly lit room such as a radiology room or Warm Light or Cool Light when using in a well lit room such as a hospital ward in which X ray exposure is available using a mobile system NOTE If Sl Overlap Software is used and Warm Light or Cool Dark option is configured for GUI Color Taste Selection screen may not be displayed normally In such cases change GUI Color Taste Selection to Warm Dark or Cool Light Institution Institution Name Enter or modify the institution name to output as a film box annotation see 2 5 3 Monitor Gamma See 2 3 2 for details Study Input Type Selects the study acquisition method Only the MWL option is available for the Current version 19 2 System Setup Screen 20 Common Cropping Area options Select a workspace from the drop down list and click the target exposure mode tab Radiography or Stitch before setting the following options Cropping Area Click on the drop down arrow and select an option from among Detected Irradiated Field Custom Area and Effective Area Alignment Reference Area When Custom Area is selected for Cropping Area above click on the drop down arrow and select an option from Detected Irradiated Field and Entire Effective Area The following Alignment option functions based on the selected area Alignment Click on the drop down arrow and select an option from Top aligned Ce
25. the luminance contribution for the transmissive film image appearance due to reflected ambient light When this field is left blank the value set on the receiving printer will be used 3 Register the printer Click OK If required repeat steps 1 through 3 for another registration Up to five printers can be registered to the Printer List To change the order of header items in the Printer List Drag an item and drop it in the target position To delete an existing printer from the Printer List Click the target printer to select and then click Delete NOTE The addition and deletion of printers during image transfer does not affect the transfer process 4 Select a destination printer for each film setting film size and direction Click on the drop down arrow in the Film Output Destination list and select an option from the list NOTE The printers specified in the Film Output Destination list will output the film selected in the Film Size and Direction options in this tab See step 6 below or in the Protocol Workspace Settings screen see 3 4 1 42 2 System Setup Screen 5 Modify the Common Output Setting options Printer Calling AE Title Application entity title assigned to the Software necessary for the DICOM print service Show the image arrangement screen at output Select this option to show the image arrangement screen when clicking End Exam Refer to 7 1 1 in the Operation Manual Selected exposur
26. the region of examination A Peripheral Mask LEVEN When this check box is selected the masking effect is applied to a captured image Refer to 6 1 7 in the Operation Manual NOTE The masking is not applied to images shown in the preview image on the processing parameter edit screen during modification of a protocol see 3 6 in this Setup Guide Masking is translucent on EXAM and PAST screens At the time of output an opaque black mask conceals peripheral images 105 Appendix 3 3 Other Parameters 106 Dynamic range In the figure the subject s dynamic range is bounded by shadow highlight adjustment sliders However because the optimal dynamic range is normally set after automatic analysis avoid moving the sliders Note that these sliders cannot be used while the color is brown Shadow adjustment slider Histogram a l l Highlight adjustment slider Determining if the Dynamic Range is Suitable Examine both the image preview and the histogram to determine suitability Determine the exact histogram range that corresponds to the subject s dynamic range This range does not include peripheral areas metal objects or blank transparent areas Accurate judgment requires some experience For function details see 5 2 3 Dynamic Range Analysis and 5 3 2 Dynamic Range Adjustment in this appendix ROI For specifying the region of interest If there are overexposed highlights or underexposed shadows click this butto
27. 2 Cancel Toolbar options screen OK i ai 21 2 System Setup Screen 2 Modify the toolbar configuration To show hide buttons in groups Use the Toolbar 1 and Toolbar 2 lists in Toolbar Setting The results can be checked in the Preview pane Select the target item check box to show its button group in the toolbar Clear the target item check box to hide its button group in the toolbar The items in the Toolbar Setting list control a button or a set of buttons as described below Info Info Rotate Flip Right Rotation Left Rotation Horizontal Flip Vertical Flip Zoom in Zoom out EJ Panning HQ Zoom In Zoom Out EB Fit Laterality ROI Crop Mask L L Mark R R Mark ROI EJ Crop Mask Retake Reject Retake Reject Reset Reset Undo Undo To show hide buttons individually Use the list in Group Details Setting Changes are reflected in both Toolbar 1 and Toolbar 2 and the results can be checked in the Preview pane After selecting a button group from the drop down list modify the configuration Select the target item check box to show its button in the toolbar Clear the target item check box to hide its button in the toolbar NOTE When Retake is displayed be sure that Reject is also displayed or the rejected image cannot be restored refer to 4 3 in the Operation Manual NOTE Some buttons may remain hidden depending on the specifications and settings of th
28. Abdome LowerExtre Category tabs LowerExtre Destinations Check box 2 M5 Cance NOTE Protocols can be moved to other trays as well as the current tray In such cases select the target category tab and select the target destination To enable disable the protocol tray Select to enable or clear to disable the check box on the category tab for the target protocol tray NOTE Users cannot access the protocols on the disabled tray during protocol selection in the EXAM gt Examination and EXAM gt Manual screens 74 3 System Tools To enable tray arrangement mode Click Category List In this mode users can rename the category tabs and change their position To set the modifications and exit this mode click OK Protocol Editor Protocol Name 50G ChestAbdomen 40EC ChestAbdomen 60G ChestAbdomen Rad CHEST Workspace 50G LowerExtremity 40EC LowerExtremity 60G LowerExtremity Rad COCCYX 50G Pelvis 40EC Pelvis 60G Pelvis Rad TSPINE 50G RibCage 40EC RibCage 60G RibCage Rad KNEE 50G Skull 40EC Skull 60G Skull Rad SKULL 50G Spine 40EC Spine 60G Spine paz 50G UpperExtremity 40EC UpperExtremity 60G UpperExtremity DEMOTRAY49 55G ChestAbdomen 40GC ChestAbdomen Stitch Utility Protocol 55G LowerExtremity 40GC LowerExtremity 70C ChestAbdomen 55G Pelvis 40GC Pelvis 401Type ChestAbdomen 55G RibCage 40GC RibCage 80C ChestAbdomen 55G Skull 40GC Skull 501GType ChestAbdomen 40
29. Appendix TAMAGING Paramete Siiri UE AEE 95 1 1 Overview of Imaging Parameters ccesccescenscessenseenscensenssenseonsecssenssonseonsenseens 95 1 2 Classification of Imaging Parameters cesscescenseenseessenseenseonscensenseensenseseees 95 MS PCCOSS PrVIEGES verais aa a iaa 95 1 4 How to Access Imaging Parameters 1 ccccsscessescessesseeseeseeseeseesaseesnseesenseneeneees 96 2 Saving Imaging Parameters ssnsnnnnnunnnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnne 97 2 1 Adjustment and Saving of Default Parameters s sssnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnn 98 2 Wa V AdIUStMEN iira Aa ANAA 98 21 2 SIN a a a A A A a 98 2 2 Adjustment and Saving of Study Parameters c scessessseessenseenseensenseenseesees 98 LLV AdJJUSMNENT cicania E NEE AAAA TAA 98 222 ONNO aa a eelabeaaneanaauenducnianituanuewadees 98 Contents 3 Details of Imaging Parameters c ccsccseescnsenscssensesecsensensensensesensenss 99 eb Mam Parameters ig ciiwcaaca seas ceuriceiiwansaice tun a AEA A aTa 99 3 2 Description of Parameters iciswctid cs caicaswisewanndcckecnsdesweccensdenevciananduwarwunswcavadentuvencews 100 3 3 Other ParameterS usunnnnunnnununnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn 106 4 Adj stment PFOCCOUN Eininn A 107 4 1 Default Parameters ceaiewcdasscivedcnsiedctecdivacaceanccucdincdancasvniecsemssunabenedaderecaseciewicesbecaea 107 4 2 StuGy Parameters ersan aaa 110 5 Technical Overview of Image
30. CXDI 60C CXDI 401G CXDI 401C CXDI 401G COMPACT CXDI 401C COMPACT CXDI 501G CXDI 501C Wireless flat panel detector CXDI 70C Wireless CXDI 80C Wireless Maximum number of detectors that can be configured 10 Maximum number of detectors that can be simultaneously connected 4 UPS Uninterruptible Power Supply optional Bar code reader optional USB interface USB bus power Magnetic card reader optional NOTE For details about hardware requirements consult your service engineer 1 System Configurations and Requirements 1 3 Software requirements Operating System Microsoft Windows 7 Professional Edition x64 Microsoft Windows 7 Ultimate Edition X64 Additional software Net Framework 3 5 SP1 or later Microsoft Windows 7 Security Patch SQL Server 2005 Express Edition DirectX Runtime VC 2005 redistributable package VC 2008 redistributable package NOTE For details about software requirements consult your service engineer 10 2 System Setup Screen 2 1 Using the system setup screen 2 2 User Administration tab 2 3 System Settings tab 2 4 Customize Display tab 2 5 Annotation tab 2 6 Connection tab 2 System Setup Screen 2 1 Using the system setup screen Fundamental system setup options user administration screen appearance and so on are organized through the setup option tabs on the system setup screen First learn basic operation in 2 1 1 and then access
31. Canon CXDI Control Software NE Version 1 40 setup Guide C Coie Before using this software be sure to read this manual and the separate Operation Manual thoroughly Also read the Digital Radiography CXDI series User s Manual Keep the manual where it is easily accessible To the Customers Thank you for purchasing the Canon CXDI Control Software NE hereinafter called this product Operating instructions are divided into two volumes the Operation Manual and the Setup Guide Before using this product be sure to read these manuals thoroughly in order to utilize this product more effectively Disclaimer 1 In no event shall Canon be liable for any damage or loss arising from fire earthquake any action or accident by a third party any intentional or negligent action by the users any trial usage or other usage under abnormal conditions 2 Inno event will Canon be liable for direct or indirect consequential damage arising out of the use or unavailability of this product Canon will not be liable for loss of image data due to any reason 3 In no event shall Canon be liable for personal physical harm or property damage that is sustained when the instructions are not followed or the product is misused 4 Itis the responsibility of the attending physicians to provide medical care services Canon will not be liable for the faulty diagnosis 5 Roentgenography image processing image reading and image data storage must b
32. Click to cancel the operation Divide Merge Basic template 1x1 Ex Modify to create template 2x1 3 Select the target image box es to be modified To divide the image box Click a single image box to highlight it in blue I aae 51 2 System Setup Screen 52 To merge the image boxes Click the target and the neighboring image box to highlight them in blue Note that a third click cancels the selection 4 Modify the image box es To divide the image box Specify the number of image boxes to be created in the target image box and then click Divide Click on the drop down arrow of the Divide Grid option and select an option from the list The number of horizontal divisions can be set using the left hand drop down arrow and the number of vertical divisions using the right hand drop down arrow To merge the image boxes Click Merge To modify the border width Click on the drop down arrow for the Border Width option and select an option from the list To restore the original template Click Reset Continue modifications If necessary repeat steps 2 through 4 Set the newly created or modified custom template Click OK The newly created template thumbnail is added to the list When an existing custom template is modified the changes are reflected in the original template To delete an existing custom template Click the target custom template to highlight it click
33. Connection Preview Annotation Free Annotation Laterality Marker Film Annotation Free Annotation list Add Delete AVIV Text box Cancel e 4 Annotation gt Free Annotation Laterality Marker tab 7 Enter a free annotation Enter a free annotation in the text box and then click Add The annotation appears in the free annotation list NOTE Make sure that the length of annotations is as short as possible so that they do not overlap each other and overflow the preview pane To delete annotations from the free annotation list Click the target annotation to highlight it and then click Delete A click of a highlighted annotation unselects it 32 2 System Setup Screen Specify the Font and size options for free annotations Use the options under the Free Annotation title Click the Font drop down arrow and then select an option from the list Click the size drop down arrow and then select an option from the list Change the order of annotations in the free annotation list Click the target annotation to highlight it and then click A or v The order arranged in this tab will be reflected in the list in the Annotation dialog box Specify the Font and size options for laterality markers Use the options under the Laterality Marker title Click the Font drop down arrow and then select an option from the list Click the size drop down arrow and then select an option from the list N
34. Connection 37 Contrast ratio 125 Cropping Area Options 65 Customize Display 23 D Data transfer Resending 59 Suspending 59 Database Backup 90 Database server 44 DB Backup 90 Default Parameters 107 Description List Items 26 Device Information 18 DI 31 87 Diagnosis images 112 DICOM Attributes 63 Disk Storage 47 Divide Grid 52 Dynamic Range Adjustment 117 Dynamic Range Analysis 115 E El 31 87 Elt 31 87 Essential Input Setting 23 Examination Screen 24 Exposure Protocol Code 63 Exposure type 67 F Film Annotation 34 Film Box Annotation 34 Film options 66 Film Output Destination 42 Fixed Ratio 43 Flipping 65 Free Annotation 32 G Gamma Adjustment 124 GenCom 49 Grid Name 65 Grid Suppression 105 GSPS Storage 38 GUI Color Taste Selection 19 H Help Display 24 Image box 50 Image Box Annotation 34 Image Enhancement 119 Image Feature Analysis 114 Image Proc 85 Image processing for diagnosis 112 116 Image Tone Transformation 116 Image type Print out 43 Imaging administrators 95 Imaging Parameters 95 Input Reject Reason 24 Institution Name 19 IP Parameter 35 121 Irradiated Fields 113 L Laterality 63 Laterality Marker 32 63 Layout Template Button 40 Edit 51 Screen 50 Local contrast 117 Log Viewer 5 Logout 56 Luminance 125 M Measurement Object 24 Monitor Gamma 21 MPPS 46 MWL 44 N Noise Reduction 120 Normal Mode 126 Number of partial images 67 O Output Exam Log 91 In
35. Delete and then click OK in the confirmation dialog box that appears Return to the Connection gt Printer screen Click Exit 3 System Tools 3 1 Using the system tools 3 2 Log Viewer 3 3 Process Viewer 3 4 Protocol Editor 3 5 QC Tool 3 6 Image Proc Image Processing Adjustment 3 DB Backup 3 System Tools 3 1 Using the system tools The technical system setup options for modification of protocols image quality assurance and so on can be accessed from the system tool buttons First learn basic operation in 3 1 1 and then access the necessary setup options guided by the system tool option finder in 3 1 2 3 1 1 Basic operations 7 Show the system setup screen Click E on the EXAM or PAST screen Te f la i AAA Hi System setup button i l i i i t Berrie HERH Hiii JAHH SUL ELLE i i FITIBIEVE EEF EEUU i j i f i inv imkani EXAM or PAST screen Log Viewer l P rocess Viewer l elem Ke1 DB Backup User Name Cxdiuser User Administration System Settings Customize Display Annotation Connection User Name Role Operator Name System tool buttons Cancel Cancel System setup screen 54 3 System Tools 2 Access the target system setup tool Click the target system tool button NOTE The available system tool buttons vary depending on the privileges granted to a user see step 2 in 2 2 QC Tool is disable
36. Frequently used protocols aaa 2 Ches i Chest AP X wise Abdomen AP WS CXDI50G WS CXDI50G AutoProto Application Abdomen LAT WS CXDI50G Ankle AP Ankle OBL Ankle LAT WS CXDI50G WS CXDI50G WS CXDI50G Cal AXI Calcaneus LAT WS CXDI50G WS CXDIS50G WS CXDISO0G Elbow AP Elbow LAT Cervical LAT WS CXDI50G WS CXDI50G WS CXDI50G Chest APX wise D st AP X wise Abdomen AP ____ CWS CXDIS0G M CXDI50G Abdo T cease WS CXDI50G ie CalcaneusLar U WS CXDI50G CXDI50G bwr i st i S w LAT WS CXDI50G S CXI ee Icom iiis LAT CT Anklet lt Gsti iSCS i s cxDI50G W Ws CXDI50G E mom ey w AP S CXDI50G WS CXDI50G a ee Femur LA SWWS CXDISOG M CSWWSS CXDIOG f ____sCWS CXDIS0G M L Select Workspac AutoProto Application dialog box 76 3 System Tools 2 Select the target protocols Click the target protocol in the protocol tray Selections are added to the list in the AutoProto Application dialog box AutoProto Application Abdomen AP WS CXDI50G Abdomen AP X wise l WS CXDI50G A M Delete Click to cancel the setting OK To delete selected protocols Click the target protocol in the AutoProto Application dialog box and click Delete To change the order of selected protocols Click the target protocol in the AutoProto Application dialog box and click A or v 3 Complete the setting Click
37. GC Spine 501CType ChestAbdomen AVIv 55G Spine Rename oo LL OK Search by o PA Create AutoProto Body Part iii i PrePack Application 40GC UpperExtremity Rad ABDOMEN Protocol Editor screen tray arrangement mode To modify the category tab names In tray arrangement mode select the target category tab click Rename to show the Rename Tab dialog box modify the category tab name in the text box and then click OK in the dialog box Ea EB Rename POAARARAA i ana i u TabName text box RenameTab a LEIN EILG OK Rename Tab dialog box l ee a a a Ea Ea Ea hese Click to cancel modification To change the order of the category tabs Select the target category tab and click A or v NOTE The category tabs are arranged from top to bottom and left to right 19 3 System Tools 3 4 5 Automatically applying protocols to a study The software can be configured to apply protocols up to 30 protocols automatically to a study that has no protocol when the study is acquired from the HIS RIS database magnetic card and so on The configuration described below can be enabled when the Automatically apply protocol option in the Customize Display tab 2 is selected See 2 4 1 7 Show the AutoProto Application dialog box Click AutoProto Application AutoProto Application Protocol Editor body part search mode Protocol Editor N A
38. ICOM monitors and film printers to ensure consistent image appearance Insufficient calibration will make adjustment of interrelated imaging parameters complex and prevent optimal image quality from being obtained easily NOTE If you find undesirable artifacts on adjusted images or realize any loss of details necessary for diagnosis attenuate the effect of adjustments or cancel them Be sure to check that the adjusted images are acceptable 94 Appendix 1 Imaging Parameters 1 1 Overview of Imaging Parameters The Software incorporates a variety of image processing to enable consistently optimal imaging Settings have already been configured to leverage this processing for optimal rendering in each study each anatomical part and each patient It is also possible to fine tune imaging by altering the intensity or level of processing through customization of imaging parameters 1 2 Classification of Imaging Parameters Imaging parameters are classified into three levels 1 3 Level 1 General imaging parameters that are occasionally applied to specific patients Level 2 Imaging parameters that are rarely applied to specific patients In general there is no need to adjust these parameters Level 3 Global parameters not restricted to specific patients 1 3 Access Privileges Whether or not users can access imaging parameters depends on two levels of authorization based on their image processing privileges In this appendix us
39. Imaging Parameters This chapter gives overview of saving imaging parameters Parameters are saved per protocol basis and per study basis The categories parameters functions and levels of image adjustment are as follows The table also indicates whether adjusted parameters can be saved as the default parameters See also 2 1 Adjustment and Saving of Default Parameters Default per protocol basis parameters are automatically applied to the captured images as default setting Can be Category Parameter Saved as Defaults Right Rotation Yes Left Rotation Generals Horizontal Flip Category ee Drein e e e Cese w Brighiness adusment 7 ves revi A LUT Base Brightness v vs Base coras V w Edge Enhancement v v vs Contasteoos vv vs a e EA EA Noise Reduction fere f e s pasmon ae a Sharpness adjustments feret f l A Peripheral Mask m E TCC 1 Only when REX is selected for Brightness Adjustment 2 Only when Auto is selected for Brightness Adjustment 3 Only when Radiography is selected for the exposure mode 97 Appendix 2 1 Adjustment and Saving of Default Parameters 2 1 1 Adjustment Among default imaging parameters level 3 parameters are global and not restricted to specific patients When configuring these parameters use values that represent the optimal average values across multiple subjects The adjustment procedure is described in the next chapter Interfaces
40. LN Uniform contrast throughout all brightnesses Brightness Adjustment Select Auto In Auto mode the tone curve will automatically be adjusted so that the brightness of the overall examination region of all images will be almost the same regardless of the X ray dose Base Brightness 1 to 29 Specify the standard brightness Set the value higher for brighter images Conversely set it lower for darker images Choose values that represent optimal average values across multiple subjects Base Contrast 1 to 29 Specify the standard contrast Set the value higher for more overall contrast Conversely set it lower for less contrast overall Choose values that represent optimal average values across multiple subjects Brightness 10 to 10 Used to fine tune brightness Adjust the brightness in a range of 10 to 10 relative to the Base Brightness value Set the value higher for brighter images Conversely set it lower for darker images The supported adjustment range depends on the Base Brightness value In some cases the range may be narrower than 10 to 10 Contrast 10 to 10 Used to fine tune contrast Adjust the contrast in a range of 10 to 10 relative to the Base Contrast value Set the value higher for more overall contrast Conversely set it lower for less contrast overall The supported adjustment range depends on the Base Contrast value In some cases the range may be narrower than 10 to 10 Appendix 2
41. MPPS tab See 2 6 4 MPPS settings and communication tests Disk Storage tab See 2 6 5 Disk Storage directory selection and Disk Storage Folder List management GenCom See 2 6 6 X ray generator communication selection 15 2 System Setup Screen 2 2 User Administration tab 16 NOTE To ensure the security of personal information and enable authenticated operation the CXDI Control Software NE hereinafter referred to as Software provides a login dialog box on the start screen The User Name for the user account created with this tab appears in the User Name selector on the start screen A user without System Administrations privileges can only modify his her own user account settings New user account registration requires the System Administrations privilege see step 2 Consult your service engineer Log Viewer Process Viewer 010 KoT DB Backup User Name Cxdiuser Protocol Editor Image Proc User Administration System Settings Customize Display Annotation Connection User Name Role Operator Name User Name l Operator Name for DICOM Change Password Information New Password Retype Password Confirmation _ System Administrations C ProtocolEdit Administrations C ImageProcessing Administrations L Calibration Administrations marks o Logout Shutdown User account list Add Delete Property The available privileges are indicat
42. OTE The marker position and embedding options are specified for each protocol See Laterality Marker in Protocol Settings in 3 4 1 for details 33 2 System Setup Screen 2 5 3 Film Annotation tab Annotations embedded on each printed image and margin on a film are selected and arranged on the two sub tabs under the Film Annotation tab The annotations to be set on the Film Box Annotation tab are applied on each film margin and those to be set on the Image Box Annotation tab are applied on each image Although the Image Box Annotation tab differs from the Film Box Annotation tab in the position and number of available annotations operations on these sub tabs are the same In this section the Film Box Annotation tab is used for explanation Image Box Annotation tab Selected position is shown og Viewer Process Viewer QC Tool DB Backup i User Name Cxdiuser Protocol Editor Image Proc Logout Film Box Annotation tab Connection Font and size option Positions os Selected item list Add Delete Blank line AI v u ate F u e Available Preview pane n u escription eferrin sician eadin sician Operator annotation list _ Comment L FreeTe reelextl Freelext2 FreeText Positions ee ee EE FreeText2 Annotation gt Film Annotation gt Film Box Annotation tab 7 Select the position of the annotations Select Top Left Bottom Left Top Right or Bottom Right at the corners
43. ProcCeSSING csscssessseseensensensensenes 112 5 1 Overview Of Image Processing ssssnssnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn 112 5 2 Automatic AnalySlS casina ninakaa aa aaa a aaa a aa 113 5 2 1 Detection of Irradiated FIel GS snnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn naa 113 5 2 2 Image Feature Analysis eniai aa aa a en a sectawweceawedeeaueaumuenes 114 5 2 3 DYNAMIC Range ANalySi Sissis a aAa aA 115 5 3 Image Processing for DiagnosSiS sssnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnman 116 5 3 1 Image Tone Transformation ssssnsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnmnnnnnnn nnmnnn nna 116 5 3 2 Dynamic Range Adjustment sssaaa AOA aA 117 5 3 3 Ima age Enhancements ean a aa REESE ENEAN ENa 119 9394 NOSE TFROCUIGTIONN aa a a a a A a aa a aAa 120 6 Printing IP Parameter Values on Printed mages c sesseseeseee 121 6 1 IP Parameter indication GetallS cscseseneeeseseeeseeneneneneeueueeseeeeneneneeeeeeueesnenenens 121 7 Monitor Gamma Adjustment uu eceecseseseeeeeeeeeneensenseneeeeneeneensensensnes 124 BENG OK a E E E EE E E EE E SEA E E 128 System Configurations and Requirements 1 1 Hardware configuration 1 2 Hardware requirements 1 3 Software requirements 1 System Configurations and Requirements 1 1 Hardware configuration X ray generator
44. System Tools 2 Start the calibration performance test Click Start User Name Cxdiuser Calibration performance test Select function Select detector workspace Mode to be executed CXDI50G Mode 1 radiographic images type and the Number of images 4 number of images CXDI55G _ Mode 2 radiographic images F Number of images 0 to be captured EE _ Mode 3 dynamic image a Number of frames 0 CXDI40GC _ Mode 4 dynamic images CXDI60G Number of frames 0 CXDI70C Start Calibration E Dea SESE R q CXDI401G b CXDI401GCOM Performance Test _ ____ P 1 X CXDI80C Exposure Memo revious ray pa Mode 1 SAF Anos CXDI501G kV 0 150 generator SS mA 0 800 H lt SRPA calibration a seam performance test settings Name CXDI50G H istory ext aC Calibration start screen NOTE Selection of the calibration performance test type and the number of the images to be captured cannot be modified For details consult your service engineer To confirm the calibration performance test history Before clicking Start click History To close the dialog box click OK QCT Performance Test history QCT Calibration history Date Time User Name Results Time User Name Test 1 1 7 15 2010 2 31 48 PM CxdiAdmin Success 7 15 2010 2 30 11 PM CxdiAdmin Cancel 7 15 2010 2 28 31 PM CxdiAdmin Cancel 9 7 2008 11 22 33 AM Ojisan S
45. TCP IP connectivity Click C ECHO to test the DICOM communication The results of both Ping and C ECHO tests will be shown to the right of C ECHO Specify preset narrowing conditions during study order acquisition The narrowing conditions below are applied every time the worklist is refreshed Enter or select any narrowing conditions under the Search Condition title AE Title Application entity title assigned to the study necessary for DICOM communication Station Name An institution defined name for the modality on which the ordered study is to be performed Location The location at which the ordered study is to be performed Perform Physician Name of the physician scheduled to administer the ordered study Time Range Relative 1 and Relative 2 refer to the period relative to the current day or time in which the study orders are to be conducted Select Relative 1 period of time by the day or Relative 2 period of time by the hour and then enter a value for each text box To clear the Time Range condition select All Modality DX refers to digital X ray radiography and CR to computed radiography To cancel the condition clear the check box NOTE The Time Range and Modality options can be temporarily changed Refer to 3 1 1 in the Operation Manual 45 2 System Setup Screen 2 6 4 MPPS tab Use MPPS option Ping C ECHO 1 46 The Modality Performed Procedure Step MPPS service provides a
46. age rejection date image rejection time reason for image rejection and name of operator who rejected the image 7 Specify target examinations by period of time Enter the year month and date for both the Start Date and End Date option NOTE When the Start Date and End Date are not specified log data of all examinations are output 2 Perform backup for the examination information Click Execution for this option 91 3 System Tools 92 Appendix vn OFF FP QON Imaging Parameters Saving Imaging Parameters Details of Imaging Parameters Adjustment Procedure Technical Overview of Image Processing Printing IP Parameter Values on Printed Images Monitor Gamma Adjustment Appendix Introduction This appendix gives instructions for user adjustment to imaging parameters for captured images from Canon digital radiography system CXDI series and CXDI Control Software NE hereafter the Software systems For details on operating procedure refer to the chapter 1 through 3 of this Setup Guide and the separate Operation Manual The Software includes image processing functions to produce optimal images Site specific adjustments are made during installation by service engineers For questions or technical issues when using imaging parameters to adjust captured images contact your service engineer NOTE Before adjusting imaging parameters calibrate the output devices such as local preview monitors PACS HD D
47. are too dark compared to the brightness of the ROI activate dark region control and adjust the value 7 Similarly if bright areas are too bright compared to the brightness of the ROI activate bright region control and adjust the value If the base contrast parameter is set too high relative to the image s dynamic range steps 6 and 7 may not be effective in achieving optimal brightness in dark and bright areas In this case set the base contrast parameter lower and repeat steps 6 and 7 If the base contrast parameter is set low local contrast of the ROI will be low but you can correct local contrast later in the enhancement parameter Check image areas of low X ray exposure If there is undesirable graininess activate noise reduction and adjust the value Note that it may be difficult to verify effect processing on local computers used for previewing images Refer to a printed film image or HD DICOM monitor to verify effect processing as you adjust the parameters Check image sharpness If images are blurry activate enhancement and edge frequency and adjust the value Note that it may be difficult to verify effect processing on local computers used for previewing images Refer to a printed film image or HD DICOM monitor to verify effect processing as you adjust the parameters Check the local contrast of images If contrast is too low activate 11 contrast boost and adjust the value Table 4 1 Flowchart Description for Defa
48. be set manually For details on cropping and peripheral masking refer to 6 1 6 and 6 1 7 in the separate Operation Manual 113 Appendix 5 2 2 Image Feature Analysis Generally consistent density brightness in the region of interest ROI is maintained for all subjects and X ray doses by the Software through tone conversion s This processing requires a representative pixel value the reference pixel value of the ROI to be determined from captured images The reference pixel value is calculated automatically through image feature analysis A schematic diagram of analysis is shown in Figure 5 3 and Figure 5 4 Because the reference pixel value sought varies depending on the anatomical part studied anatomically specific algorithms are used for image feature analysis Analysis accuracy is enhanced through various means For example after the ROI is determined directly from irradiated image areas the average ROI value is used as the reference pixel value as shown in Figure 5 3 Alternatively the ROI is determined from a histogram of irradiated image areas and its center of mass is used as the reference pixel value as shown in Figure 5 4 Both methods are also used together Tone conversion is described in greater detail in 5 3 1 Image Tone Transformation 3 If analysis fails the ROI must be set manually For instructions on manual configuration refer to 6 1 5 in the separate Operation Manual ROI Average Output Sour
49. cale Softcopy Presentation State service provides consistency in the presentation of all screens and printed images Select this option to use the GSPS service NOTE Directories created using the Map Network Drive command in Windows Explorer can also be registered as target directories 3 Set the properties Click OK If required repeat steps 1 through 3 for another registration Up to five directories can be registered to the Disk Storage Folder List To change the order of header items in the Disk Storage Folder List Drag an item and drop it in the target position To delete an existing directory from the Disk Storage Folder List Click the target directory to select and then click Delete 48 2 System Setup Screen 4 Select the directory to be used Select the Disk Storage selector check box click on the drop down arrow and select an option from the list the directories registered in the Disk Storage Folder List are listed NOTE When a destination directory is selected the directory options Local DB or Disk storage are displayed in the PAST gt Past List screen refer to 5 3 in the Operation Manual To disable the directory in use Clear the Disk Storage selector check box 2 6 6 GenCom tab Communication between the Software and the X ray generating device can be set using this tab Detector settings are indicated on the examination screens by the communication refer to 4 1 in the Operation Man
50. ce Image Image Feature Analysis Figure 5 3 Schematic diagram of image based image feature analysis i ROI Center of Histogram PEE Pixel Value Source Image Image Feature Analysis Figure 5 4 Schematic diagram of histogram based image feature analysis 114 Appendix 5 2 3 Dynamic Range Analysis To enable dynamic range adjustment the Software uses the subject s dynamic range as the density brightness range in settings regardless of subject physique This processing requires an understanding of how the available dynamic range corresponds to the specific dynamic range of the subject that is what part of the dynamic range should be used for the subject This part is calculated automatically through dynamic range analysis A schematic diagram of analysis is shown in Figure 5 5 Analysis involves extracting the region that remains after areas other than the subject Such as X ray shielding or areas of direct exposure on the FPD are subtracted from the irradiated field The range between minimum and maximum values in this area is then calculated 4 which represents the dynamic range of the subject Dynamic range adjustment is described in greater detail in 5 38 2 Dynamic Range Adjustment 4 If analysis fails the subject s dynamic range must be set manually by referring a histogram For details refer to Dynamic Range in 3 3 Other Parameters in this appendix and 6 2 1 in the separate Operation Manual Min
51. click Next in the Protocol Workspace Settings screen When the anatomical program APR is used for the communication with the X ray generator the exposure summary appears in the system status bar and the following properties can be confirmed Protocol Editor Prolonged Exposure Source object distance SOD 1 9999 mm Source imaging receptor distance SID 1 9999 mm APR ID Radiography Click to return to the Protocol Workspace Settings screen OK APR Editor screen Exposure type Exposure type of the currently modifying protocol Radiography or Stitch is indicated Radiography refers to digital X ray radiography Select Prolonged Exposure option to enable the prolonged exposure feature Source object distance SOD Enter the distance between the X ray tube and the patient Source imaging receptor distance SID Enter the distance between the X ray tube and the detector Number of partial images When Stitch is set for Exposure type the preset number of partial images is indicated APR ID The ID that is informed to the X ray generator is indicated for each exposure type 3 Set the properties Click OK in the Protocol Settings screen see page 62 or the APR Editor screen 4 Exit the Protocol Editor Click Exit in the Protocol Editor screen See page 60 67 3 System Tools 3 4 2 Creating new protocols A new protocol is created by editing an existing protocol Be sur
52. communication feature between the modality and the HIS RIS database server that exchanges the status of ordered studies such as in progress completed and so on to refresh the related information including the worklist The HIS RIS database server which provides the MPPS service can be registered using this tab Communication test between the Software and the database can be performed using the Ping or C ECHO command NOTE The MPPS tab is displayed only when the MPPS service is available For details consult your service engineer Log Viewer Process Viewer 010 Koe DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout User Administration System Settings Customize Display Annotation Connection Disk Storage GenCom i nn MPPS service Called AE Title PPSServer Calling AE Title CANON_CXDI pro perties Communication test result Specify a database server for the MPPS service Select the Use MPPS check box and then enter the following properties Host Name The IP address or the host name of the server Port Port number for the server Called AE Title Application entity title assigned to the server necessary for DICOM communication Calling AE Title Application entity title assigned to the Software necessary for the DICOM MPPS service To disable a server in use Clear the Use MPPS check box 2 System Setup Screen To test communication between the Software and the server Cl
53. creen Automatic Next Protocol Selection Select the check box to automatically prepare the next available protocol for exposure Clear the check box to manually select the next protocol to be conducted Input Reject Reason Select the check box to require entry of a Reject Reason Help Display Select the position of the help display in the image view pane during image processing operations from among Top Middle and Bottom Measurement Object Specify the details of objects embedded in measurement mode Line Width of the distance angle object Unit Select from among mm cm and inch Font font name and font size refer to 6 3 in the Operation Manual Study Information Display Setting Select a Title radio button so that the selected item is displayed in the study information pane title area Select Display check boxes so that the selected items are displayed in the study information pane Select Essential Input check boxes so that the selected items are required to be entered in the Edit Study Information dialog box before an examination is started The selected items are displayed with added at the left of them in that dialog box refer to 3 3 1 in the Operation Manual The available study information items are as follows ACC Referring Physician Requesting Physician Study Instance UID RP ID RP Description Study Description Reading Physician SPS ID and SPS Description NOTE The Display chec
54. cted a Bright Region value 1 to 20 will be printed BNgNE Begon When the Bright Region check box is not selected will be printed When the Noise Reduction check box is selected a Noise Reduction value 1 to 10 will be Parameter 5 N Noise Reduction printed When the Noise Reduction check box is not selected will be printed When the Grid Suppression check box is selected 1 will be printed When the Grid Suppression check box is not selected will be printed Parameter 6 G Grid Suppression When the Sharpness Adjustment check box is selected the value Parameter 7 S Sharpness Adjustment 1 to 3 will be printed When the check box is not selected S and value are not printed 123 Appendix 7 Monitor Gamma Adjustment If Gamma Adjustment appears on the System Settings tab users can adjust the monitor gamma and save the adjustment result Log Viewer Process Viewer Qc Tool DB Backup D User Name Cxdiuser Protocol Editor Image Proc Logout Shutdown User Administration System Settings Customize Display Annotation Connection CXDI Control Software NE Software Version 1 40 0 11 Character Set Ascii ISO_IR 6 Device Info MWL Access point setting 2 4GHz 5ch 2432MHz Glin Common Cropping Area options Radiography Wait Time 10 1 60 min Ser P oes L Auto Logout Alignment Reference Area Detected Irradiated Field Y s Alignme
55. cted here Click to return to the System Settings tab V ES Ej nex Value entry screen 125 Appendix 126 2 Monitor gamma control Adjust the monitor gamma using luminance patches NOTE Eight different luminance patches have a square at their center whose brightness can be adjusted by the use of the monitor gamma control Adjust the monitor gamma so that all the eight squares inside each of the luminance patches are clearly and equally defined Point the monitor gamma control and rotate the scroll wheel on the mouse or click the arrows of the control To brighten the center squares of the luminance patches move the slider to the right To darken the center squares of the luminance patches move the slider to the left NOTE Itis recommended to lower the monitor gamma value if adjustment is performed in a darker room On the other hand raise the monitor gamma value if adjustment is performed in a brighter room Gamma Adjustment e center square in each grayscale chart will almost be equally defined Adjustment mode options Luminance patches Click to return to the System Settings tab DE 10 Normal mode screen NOTE While the screens for Normal Mode and Tight Mode appear almost the same lower contrast around the border of the center square of the luminance patch in tight mode is suited to fine adjust the monitor gamma Appendix Confirm the adjustment result using the SMPTE tes
56. d during examination and Protocol Editor and Image Proc are disabled during examination and image review To use the tools See 3 2 through 3 7 To return to the previous EXAM or PAST screen Click Cancel The screen shown before clicking j returns 3 1 2 System tool option finder Protocol Editor l Image Proc l Logout Shutdown Log Viewer button See 3 2 Confirmation of errors classified in three levels Fatal Error and Warning that occurred during operation Process Viewer button See 3 3 Confirmation of the status of the data transfer process Protocol Editor button See 3 4 Addition modification bundled selection and deletion of protocols and configuration of the protocol list Protocol Settings Protocol Name Comment Exposure Protocol Code Laterality Marker Body Part Patient Orientation View Position Laterality Marker Placement DICOM Attribute Default Workspace Protocol Workspace Settings Grid Name Printable area of an oversized image Flip and Rotate Cropping Area Options Cropping Area Alignment Reference Area Alignment Custom Area Film options Film Size and Direction Fit option Layout APR Editor Exposure type Source object distance SOD Source imaging receptor distance SID Number of partial images APR ID 55 3 System Tools 56 QC Tool button See 3 5 Calibration Creation of detector correction data for securing image quality During Calibra
57. dex P Patient Info Input Mode 23 Patient Name Input Form 23 Patient Orientation 63 Performance Test 78 81 Peripheral Mask 105 Per protocol basis 97 98 Ping MPPS 47 MWL 45 Printer 41 Storage 39 PPS 58 PrePack protocol 70 Pre processed image 112 Pre processing 112 Preview Annotation 30 Print format End Exam 43 Printable area of an oversized image 65 Printer 40 Printer Calling AE Title 43 Process Viewer 58 Refresh 19 Prolonged Exposure 67 Protocol Creating 68 Modifying 60 Settings 26 63 Protocol Editor 60 Protocol tray Organizing 73 Protocol Workspace Settings 65 Q QC Tool 78 R Radiography Image Modality 38 Raw image 112 Reference pixel value 114 Reference tone curves 117 Refresh Interval 19 Regular users 95 Rotation 65 129 Index S Screen Saver 18 Selected protocol only 86 Self diagnosis 82 Show Code Meaning 26 Show Stitch Screen automatically after ending every EXAM 19 Shutdown 56 SID 67 Similar anatomical parts 86 SMPTE 21 127 SOD 67 Software Version 18 Stitch Setting 19 Storage 37 Storage Calling AE Title 40 Storage Commit 38 Study Information Display Setting 24 Study Parameters 98 110 System Settings 18 System setup option 14 System tool 54 T Tight Mode 126 Toolbar options 27 U User Administration 16 V View Position 63 W Workspace Settings 63 130 L IE 4162E Canon CANON INC Medical Equipment Group 30 2 Shimoma
58. djust ROI brightness LUT gt Base Brightness 5 Adjust ROI contrast LUT gt Base Contrast If dark regions are too dark 6 Adjust dark regions Dynamic Range Adjustment gt Dark Region If bright regions are too bright 7 Adjust bright regions Dynamic Range Adjustment gt Bright Region If the brightness of dark or bright regions is still unacceptable If there is undesirable graininess 8 Adjust noise reduction Noise Reduction gt Effect If images are blurry 9 Set the edge frequency for enhancement Enhancement gt Edge Frequency 10 Adjust sharpness Enhancement gt Edge Enhancement If local contrast is insufficient 11 Adjust local contrast Enhancement gt Contrast Boost END Figure 4 1 Flowchart of the Adjustment Procedure for Default Parameters 108 Appendix Description Select images for parameter adjustment At this time avoid images for which automatic analysis failed 2 Deactivate image enhancement dynamic range adjustment and noise reduction Adjust tone curve parameters curve shape base brightness and base contrast At this time adjust the settings for optimal ROI brightness and local contrast Note that you can specify a high value in the base contrast parameter even if this causes underexposed shadows in dark areas and overexposed highlights in bright areas You can correct this later by adjusting the dynamic range 6 lf dark areas
59. e exposed to X rays because the area of exposure varies by study Another role of the Software in automatic analysis is to calculate the Reached Exposure index and analyze a variety of image characteristics in other ways This section describes the typical process of automatic analysis Detection of Irradiated Fields Although the CXDI detector has a large effective area the actual exposure area may be limited to an area smaller than this depending on the study The area is therefore detected automatically by isolating the irradiated field A schematic diagram of detection is shown in Figure 5 2 To detect this area original pre processed images are analyzed to extract the edges of the irradiated field from multiple edge components in the image based on position intensity and other criteria The area bounded by these edges is determined to be the area of exposure Although this technique enables accurate detection of irradiated fields even when X rays strike the detector at an angle it cannot be used to detect multiple exposure areas Edges of Source Image Edges Extracted Exposure Area Extracted Masked Figure 5 2 Schematic diagram of detection of irradiated fields Operators can save time in imaging setup and improve throughput by using the area detected as the initial value in cropping and peripheral masking which masks areas outside the field If detection fails the area for cropping and peripheral masking must
60. e display in use or the number of buttons configured to be shown Check that the bottom button is displayed on the EXAM gt Examination or PAST gt View screen 28 2 System Setup Screen To change the order of the button s Click the target item not the check box to highlight it in Toolbar Setting or Group Details Setting and click A or V Toolbar options Toolbar Setting Toolbar2 Toolbar1 Toolbar2 Rotate Flip Zoomibanning Zoom Panning Laterality ROI Crop Mask l Rotate Flip a r W Retake Reject Retake Reject Reset Undo lel Selected item Group Details Setting RotatezFip_ ly Horizontal Flip Vertical Flip Vv OK Cancel 3 Register the modifications and return to Customize Display tab 2 Click OK 29 2 System Setup Screen 2 5 Annotation tab 2 5 1 Preview Annotation tab Annotations superimposed on preview images are selected and arranged on the Preview Annotation tab wisn i a Selected position is shown User Name Cxdiuser User Administration System Settings Customize Display Annotation Preview Annotation Free Annotation Laterality Marker Film Annotation SO Tomen Font and size r option Pg jent Name Positions I l Selected item list Add Delete Blank line N M Preview pane Acquisition Time P Available Total Absorbed Dose mGy 5 annotation list Total AirKerma mGy BE Saace MB _ Bottom Left
61. e mode to be printed automatically Select the Radiography check box to use the automatic arrangement feature Refer to 7 1 1 in the Operation Manual 6 Set common film options These options will be enabled when Common to system is selected for the Film options in the Protocol Workspace Settings screen see 3 4 1 Before setting the following options click the target exposure mode tab Radiography or Stitch Settings are saved for each mode Film Size and Direction Click on the drop down arrow and select an option from the list Fit option Select a scaling option from among Fit fit to the selected film and Fixed Ratio When Fixed Ratio is selected it is necessary to specify the ratio in This setting can be confirmed and changed in the image arrangement screen refer to step 3 of 7 1 1 in the Operation Manual Layout Select Automatically select template depending on the Common Cropping Size or Use specified arrangement When Use specified arrangement is selected click the template selector click a preferred template in the pallet and then click OK in the dialog box that appears The selected template thumbnail appears on the selector Template dialog box a Select a film template Template pallet sa tl J Click to cancel selection Template selector lt n 43 2 System Setup Screen Enable the configured printer Select the Print Output check box To disable a printer in use
62. e performed in accordance with the laws of the country or region in which the product is being used The user is responsible for maintaining the privacy of image data 6 Information in this manual may change without prior notice 7 We ve taken all possible means to ensure the content accuracy of this manual If you have any questions or problems contact your sales representative or local Canon dealer Trademarks e The Canon name and Canon logo are registered trademarks of Canon Inc e Ethernet is a trademark of Xerox Corporation e Microsoft and Windows are either registered trademarks or trademarks of Microsoft Corporation in the United States and or other countries or regions e TrueType is a registered trademark of Apple Inc e Intel and Intel Core are trademarks of Intel Corporation in the U S and other countries e NVIDIA GeForce and NVIDIA Quadro are either registered trademarks or trademarks of NVIDIA Corporation in the United States and or other countries or regions e Other systems and product names in this manual are the trademarks of the manufacturers that have developed them Copyright e All rights reserved e Under copyright laws this manual may not be reproduced in whole or in part without the written permission of Canon Third Party Software Third party software will be installed on the image capture computer when the control software is being installed by the service engineer For details on the third par
63. e to select an existing protocol with appropriate parameter configurations to use in creating the new protocol 7 Select an original protocol See step 1 in 3 4 1 for details on operation 2 Duplicate the original protocol Click Copy in the protocol edit mode section and click OK in the COPY dialog box A new protocol with COPY serial number added at the end of the protocol name appear at the end of both the frequently used or recently used protocol trays Protocol edit mode section Protocol Name Abdomen AP C O py Workspace edit mode section Workspace label selector 3 Modify the copy protocol to create a new protocol See 3 4 1 for details on operation 4 Select a workspace label for the protocol being created Select an option in the workspace label selector NOTE The automatically selected option in the workspace label selector indicates the original workspace for the selected protocol 68 3 System Tools 5 Locate the destination for the protocol being created in the protocol tray Click Set Body part search mode changes to category tray mode and available destinations indicated by blank rectangles appear in the protocol tray If necessary change the tray using the category tab Protocol Editor Abdomen AP Abdomen AP X wise Abdomen LAT WS CXDI50G Protocol Name Abdomen AP x wise COPY3 COPY1 WS CXDI50G WS CXDI50G WS CXDI50G F E Copy Edit Chest AP L wise Chest
64. e user account Click OK in the Property dialog box To delete a user account Click the target user in the user account list click Delete and then click OK in the confirmation dialog box that appears 17 2 System Setup Screen 2 3 System Settings tab User Name Cxdiuser User Administration System Settings CXDI Control Software NE Software Version 1 40 0 11 Character Set Ascii ISO_IR 6 Device Info Access point setting 2 4GHz 5ch 2432MHz SGHz Screen Saver Wait Time 10 1 60 min _ Auto Logout Process Viewer Refresh Interval 10 1 60 sec Stitch Setting Customize Display Log Viewer Process Viewer ac Tool DB Backup D Protocol Editor Image Proc Logout Shutdown Annotation Connection Monitor Gamma SMPTE Study Input Type MWL a Common Cropping Area options Radiography Cropping Area Alignment Reference Area Detected Irradiated Field Y Alignment Custom Area 2208 x 2688 64 2208 64 2688 Show Stitch Screen automatically after ending every Exam Align images using markers GUI Color Taste Selection Cool Light lv Institution Institution Name 2 3 1 System options CXDI Control Software NE Software Version Shows the version of the Software Character Set Device Info Shows the value of the character set for DICOM information Click to show the information dialog box for a connected detector and
65. ed by check Click to cancel registration 2 System Setup Screen 1 Register an user account to the user account list Click Add to create a new user account To modify an existing user account Click the target user in the user account list and then click Property 2 Enter or modify the user account properties User Name Identifies users Operator Name for DICOM This entry is optional Change Password Information New Password Role Select this option before entering a new password Enter the same password in the Retype Password Confirmation field as well Click the Role drop down arrow and then select options from Administrator and Standard User According to the role advanced operations are permitted The following privileges can be granted to a role System Administrations this section ProtocolEdit Administrations see 3 4 ImageProcessing Administrations see 2 3 2 and 3 6 Calibration Administrations see 3 5 NOTE In addition to Administrator and Standard User the roles registered by the service engineer can be selected For details consult your service engineer NOTE For User Name and Operator Name options up to 64 alphanumeric characters can be used For the New Password option 4 to 64 alohanumeric characters can be used Avoid use of blank character at the beginning of the name and password NOTE The current login user cannot change his her own Role option 3 Set th
66. ed protocol list omen AP WS CXDI50G Ankle OBL WS CXDI50G WS CXDI50G Elbow LAT WS CXDI50G Femur LAT WS CXDI50G L Select Workspace 2 Label the PrePack protocol PrePack Name PrePack dialog box Enter the PrePack protocol name in the PrePack Name text box 3 System Tools 3 Select target protocols from the protocol tray Click the target protocol in a protocol tray Selections are added to the packaged protocol list PrePack Name Abdomen AP iii WS CXDI50G Abdomen AP X wise diii WS CXDI50G Abdomen LAT aii WS CXDI50G Protocol trays WS CXDI50G Packaged protocol list _ Click to cancel t Set OK C packaging To change the order of the protocol Select a target protocol in the list and click A or v To delete a protocol from the packaged protocol list Select a target protocol in the list and click Delete 4 Locate the destination for the PrePack protocol being created in the protocol tray Click Set Available destinations indicated by blank rectangles appear in the protocol tray If necessary change the tray using the category tab 5 Arrange the PrePack protocol being created Click the target destination i oei 71 3 System Tools To modify an existing PrePack protocol Select a target PrePack protocol in a protocol tray click Edit to show the PrePack dialog box follow the above steps 2 and 3 and then click OK
67. enabling editing of default parameters Interface Adjustment Scenario Notes Image Proc Adjustment after specifying a The protocol name must be button protocol Known in advance EXAM tab Adjustment during a study Adjustment after selecting a patient who has already been Default imaged Parameters are saved during level 3 adjustment by clicking Save As For details on the Image Proc button see Chapter 3 1 and 3 6 of this Setup Guide 2 1 2 Saving Default parameters can be saved on a per protocol basis These parameters can be edited in the above three interfaces but saving requires imaging administrator privileges Default parameters cannot be saved with regular user privileges 2 2 Adjustment and Saving of Study Parameters 2 2 1 Adjustment Essentially adjustment is only possible for level 1 imaging parameters However if additional fine tuning is desired adjust level 2 imaging parameters Adjustment of level 3 imaging parameters is not necessary The adjustment procedure is described in the next chapter Interfaces enabling editing of study parameters Interface Adjustment Scenario EXAM tab Adjustment immediately after Image capture PAST tab Adjustment after a study is finished 2 2 2 Saving Study parameters can be saved as needed These parameters can be edited in the above two interfaces and be saved with regular user privileges The same applies to users with imaging administrator privi
68. ers authorized for advanced adjustment of image processing parameters are called imaging administrators Users without this authorization are simply called regular users Regular users Users who can edit level 1 parameters Imaging administrators Administrators who can edit all parameters levels 1 3 However regular user privileges for level 1 image adjustment are sufficient in most workflows When regular users attempt to access level 2 or 3 image adjustment parameters the Authorization dialog box appears indicating insufficient privileges When the Authorization dialog box appears Entering the login name and password of a user with higher level authorization in this dialog box grants provisional access to level 2 and 3 parameters This provisional access is valid only until the current study is finished After the current study even if users attempt to access level 2 or 3 parameters for multiple studies of the same patient the login name and password of an imaging administrator is required 95 Appendix 96 1 4 How to Access Imaging Parameters To access level 2 parameters click indicator 2 in the access level selector indicator in the Image Processing pane To access level 3 parameters when level 2 parameters are displayed click indicator 3 in the access level selector indicator Image Processing eee Access level selector indicators Ea a DB l Go aB Measurement Annotation Appendix 2 Saving
69. estination storage server to use this function 2 System Setup Screen SC storage commitment status on the Study List in the PAST gt Past List screen The result for the storage commitment status can be confirmed by checking the SC status on the Study List in the PAST gt Past List screen To show the SC column header select SC for the Past List under the Column Headers option see 2 4 1 To test communication between the Software and the storage server being registered Click Ping to test the TCP IP connectivity Click C ECHO to test the DICOM communication The result of the test will be shown to the right of each test button Register the storage server Click OK If required repeat steps 1 through 3 for another registration Up to five storage servers can be registered in the Storage List To change the order of header items in the Storage List Drag an item and drop it in the target position To delete an existing storage server from the Storage List Click the target storage server to select and then click Delete Select the storage server to be used Select the storage server selector check box click on the drop down arrow and select an option from the list the storage servers registered in the Storage List are listed Up to two storage servers can be used simultaneously To disable the storage server in use Clear the target storage server selector check box To test communication between the
70. evesusstwenelue 12 2 1 2 System setup opti n finder ssaka iaae a aa a leit a aa a aN ANNEO 14 2 2 User Administration tab ciscetcdavesisccntavecuaaceuredinctaisanaveateavedapeaesardnniecseeteinccasneuamnavarexe 16 2 9 SYSTEM SENINGS CAD asiaa a aa NEAN ENAN 18 DDN OVSE ODUONS curi a T a al as eee ee 18 2 3 2 WMIONILON GamMa csch a a A ENE AAA 21 2 4 Customize Display tab ssnnsnsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnan 23 2 4 1 Information input selection form and item display options c ccssecseessecnseensenseenseeneees 23 2 4 2 Desoripton LIST ITEMS ODEON sisikian Aaaa 26 24 3 TOODA OPHONS siccsiincivccvnnveredswsnnnveskwsashswnnuawsvuevedswensewussunanacunnsnubaeawedbennunuadsevnswevssucaiexeteeanvanenens 27 LD PMNOLAUON taD aosan aR A 30 2 9 1 Proview ANNOTATION t Descosse a aaae aa a aai 30 2 5 2 Free Annotation Laterality Marker tab ccesscssccescenseensensecnsensenseeeseensenseceneensennsensssnsenaes 32 29 3 FIMTANHOIHON TaD saii EE EENE 34 2 6 CGONNECHON Ca sssiiasacea se scescccicacedceceic case eed sedivekeecassceeuitadwadeudecccoetucehetweceuveneasteleiiweci 37 26 1 Strage CAD iae a a 37 2 0 2 PINMEr taD aiia N a A a a 40 20 IVAW Le La ina a a a a aa a 44 20A MPPS TAD in i A a OT E 46 260 5 DISK Storage TaD rancon a a 47 2 6 6 GONG OM Ta Desse a e A A E aa 49 2 6 Cavout Template orisu a a 50 Contents 3 System Tools 2 FUSING ING SYSLOMNT 1LOOIS aro ain a E aS 54 3 bs
71. exposure conditions the indicator may vary on a 10 percent basis up to several 100 percent larger For details refer to IEC 62494 1 Elt Target Exposure Index Elt is the target El level Set the appropriate Elt using El obtained from previous captured radiographic images as feedback DI Deviation Index DI is a logarithmic index indicating the difference between the El and Elt When the El value is the same as Elt the DI is calculated as 0 The bigger the difference between El and Elt the larger the DI absolute value becomes A positive DI value is calculated when El is bigger than Elt and a negative value is calculated when El is smaller than Elt Abdomen AP WS CXDI50G Radiography Output settings El value Image Processing lt lt RED dialog box ei il Base ent 15 icas Y Enhancement Dynamic Range Adjustment Noise Reduction Grid Suppression KI K amp K Sharpness Adjustment Peripheral Mask Click to cancel the operation and return to the protocol selection Processing parameter edit screen screen I o 8 3 System Tools 88 NOTE The result of the Grid Suppression control is not reflected in the preview image However the result can be confirmed solely in the printed image If required proceed to step 4 NOTE The result of the Peripheral Mask control is not reflected in the preview image However the Peripheral Mask result can be confirmed in the EXAM
72. ges for adaptive noise reduction according to the X ray dose vi ri Fa Source Image Resulting image 5 e Noise Image Figure 5 14 Schematic diagram of noise reduction 120 Appendix 6 Printing IP Parameter Values on Printed Images If the IP Parameter option is selected on the Film Annotation tab see 2 5 3 of this Setup Guide the values for image processing parameters that are applied to the image will be printed on the film output in the following format 6 1 IP Parameter indication details Parameters are segmented into six groups only for stitch images by colons and they consist of group or option identifying alphabets or numbers and parameter values Parameter 2 no alphabet Curve Shape SB Base Brightness 22 Brightness 1 Base Contrast 15 Parameter 4 Parameter 6 Contrast 2 D Dark Region 5 G Grid Bright Region 10 Suppression 1 Parameter 1 Parameter 3 Parameter 5 Parameter 7 A Lumbar Spine 12 E Edge Enhancement 10 N Noise S Sharpness Lateral 2 Edge Frequency 5 Reduction 5 Adjustment 2 Contrast Boost 10 For details on the meaning of the printed values see the table below 121 Appendix 122 Group Alphabet Corresponding Image Processing Parameter Indication Parameter 1 A Anatomical Part Direction Unknown Skull Ear Nose Sinus Nose Mandible Chest Child Chest Infant Chest Abdomen 10 Cervica
73. h L Weight Referring Physician I L Requesting Physician L Comment Available col u m n L Number of Protocols C RP ID L Pregnancy Status SPS Description C RP Description headers Click to proceed to ened ARa Customize Display Cancel 014 cs rags Customize Display tab 1 2 4 1 Information input selection form and item display options Patient Information Display options Patient Name Input Form Select patient input from Divide Half size group into five components patient name text box will be divided for family name given name middle name prefix and suffix or Do not divide Automatically calculate age Select the check box to calculate patient age based on the birth date included in the patient information Patient Info Input Mode Select either Birth uses a date of birth for the patient information or Age uses an age for the patient information NOTE When the Automatically calculate age check box is not selected both Birth and Age can be selected Essential Input Setting Select the items required for the patient information pane appears at the left of the selected items in the patient information pane which indicates items that need to be entered before an examination is started refer to 3 3 1 in the Operation Manual Patient ID Name Birth birthday Age Sex NOTE Patient ID cannot be cleared eine 23 2 System Setup Screen Examination S
74. he drop down arrow and select an option from the list Empty AP PA LL RL RLD LLD RLO and LLO are available This option is available when the modality type is DX and CR Select the laterality attribute from L left body part R right body part B left and right body parts U body part without laterality attribute To associate the Laterality Marker option defined marker with a DICOM attribute in the event of transfer select the Use Laterality Marker as the DICOM Attribute option Refer to 6 1 4 in the Operation Manual for details on embedding laterality markers Default Workspace Select a target workspace from those available 63 3 System Tools To modify a protocol code meaning Users can describe a subtitle or alternative title of the protocol using the code meaning When Show Code Meaning under the Protocol Settings option see 2 4 1 is selected the code meaning specified below serves as the protocol name instead of that acquired from the HIS RIS database To create a new code meaning clear any selections in the Exposure Protocol Code list click Add enter both the Code Value and Code Meaning not essential and then click OK Up to ten code meanings can be registered SS Exposure Protocol Code list gogg g S BPE Property Code Value text box Code Meaning text box Click to cancel the modification OK NOTE The Code Meaning text box is active only when the Code Va
75. he period of time in which the errors occurred by date Category Specify the levels of errors Error Code Specify part of or the entire error code Description Specify part of the description To clear the entered search conditions Click Clear 2 Confirm the entire description and additional information Click the target error log on the list The error log is highlighted and its entire description and additional information are displayed in the bottom of the screen 3 Exit the Log Viewer to return to the system setup screen Click Exit 5 3 System Tools 3 3 Process Viewer 58 Column header The current status and result of an image arranged images film sheet study PPS data transfer can be confirmed in the process viewer Users can manually resend data that was not transmitted and can also stop or cancel data being processed See also 2 3 for details on the refresh interval for the process list Performed Procedure Step PPS The data to be transmitted to the RIS database that indicates the completion of the ordered study This data is used for updating the worklist and so on User Name Cxdiuser Suspended ACC Protocol Name Destination l Status l I n Process Process list Detail Retry Delete B i Exit Process Viewer Process viewer Utilize the process list To sort the listed data Click a sort item in the column header To switch between ascending and descending s
76. ick Ping to test the TCP IP connectivity Click C ECHO to test the DICOM communication The results of both Ping and C ECHO tests will be shown to the right of C ECHO 2 6 5 Disk Storage tab A local disk directory of the image capture computer can be registered using this tab in order to back up past image data Log Viewer Process Viewer elem Ke7 DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout User Administration System Settings Customize Display Annotation Connection Disk Storage selector Disk Storage Folder List Add Delete Property 1 Register a local disk directory to the Disk Storage Folder List Click Add to show the Property dialog box for registration i oei 47 2 System Setup Screen To modify an existing storage directory Click the target directory in the Disk Storage Folder List and then click Property Name Disk Storage Browse Path CALocal Disk graph Use GSPS option Click to cancel the operation and to return to the q Disk Storage tab CEB o Property dialog box 2 Enter or modify the storage directory properties Name Arbitrary name that identifies the directory Path Specifies the target directory Click Browse to start Windows Explorer and specify the directory Radiography Image Modality Select the modality that generates the images to be transferred from among DX and CR Use GSPS The GSPS Grays
77. imum Value of Subject Output Maximum Value of Subject Histogram Histogram Pixel Value Dynamic Range of Pre processed Image a Dynamic Range of Subject Source Image Dynamic Range Analysis Figure 5 5 Schematic diagram of dynamic range analysis 115 Appendix 5 3 Image Processing for Diagnosis Pre processed images are not always sufficient for use in diagnosis For this reason they must be converted to suitable images Some parameters to prepare images for diagnosis can be adjusted in the Software This section describes typical image processing in preparation for diagnosis 5 3 1 Image Tone Transformation Images produced by the digital radiography system CXDI series and the Software have a wide dynamic range extending to about four digits For this reason to prepare images suitable for diagnosis the part of the dynamic range that will be useful in diagnosis must be determined and suitable shading assigned Additionally because conventionally produced images are standard in diagnosis image shading must also match that of conventional images This processing is referred to as tone transformation Figure 5 6 shows a relevant schematic diagram Darker Tone Curve Tone Curve Density Brightness Resulting Image X ray Dose Higher Source Pixel Value Reference Pixel Value Reference Pixel Value Source Image Source Image Low X ray Dose High X ray Dose Figure 5 6 Schematic diagra
78. ion from the list Printable area of an oversized image Click on the drop down arrow and select an option from the list Top aligned Center aligned and Bottom aligned to specify the image box position within the oversized image That is to say the image is cropped again to fit the image box and printed out Flip and Rotate Radiography mode Click on the drop down arrow and select an option from the list depending on the patient posture and the direction of the detector The image sensor dimensions in pixels are indicated on the right of this option Cropping Area Options Select the cropping area applied to data transferred to storage servers from Common to system and Specific to protocol The area specified in Common Cropping Area options in the System Settings tab see 2 3 1 will be applied when Common to system is selected I oi 65 3 System Tools 66 Cropping Area When the above Specific to protocol option is selected select the cropping area that will be applied to an image captured using the current protocol Detected Irradiated Field Custom Area and Effective Area are available Alignment Reference Area Alignment Custom Area Film options When Custom Area is selected for the Cropping Area option select from among Detected Irradiated Field cropping area position will vary depending on an irradiated field and Entire Effective Area cropping area position will be identical to all examinat
79. ions as long as the Alignment option is the same Select the alignment position from among Top aligned Center aligned and Bottom aligned When Custom Area is set for the Initial position specify the cropping area size and unit and then select the initial cropping area position Select the following three options that will be applied to an image captured using a protocol Common to system and Specific to protocol are available The settings specified in common film options in the Connection gt Printer tab See step 6 in 2 6 2 will be applied when Common to system is selected Film Size and Direction Fit option Layout Specify the size and direction of the film using the drop down list when Specific to protocol is set for the Film options Select one of the initial Zooming options Fit or Fixed Ratio When Fixed Ratio is selected specify the zooming ratio in These settings affect Fit Style and Zoom Ratio in the image arrangement screen refer to step 3 of 7 1 1 in the Operation Manual Select either Automatically select template depending on the Common Cropping Size or Use specified arrangement When Use specified arrangement is selected click the template selector click a preferred template in the pallet and then click OK in the dialog box that appears The selected template thumbnail appears on the selector see also step 6 in 2 6 2 3 System Tools APR Editor To display the APR Editor screen
80. is Click Start The Software starts self diagnosis and the results appear in the Results list User Name Cxdiuser Select function Select detector workspace Mode to be executed WS CXDI50G T CXDI50G Diagnosis tests CXDI55G ee omc El Test type WS CXDI40GCom Se cxpocc 7S WS CXDI60G e l CXDI60G x WE te ore gt lt CXDI70C WS CXDI401G CXDI401G WS CXDI401GCOM zel Results list CXDI401GCOM Performance Test gt x EES aie WS CXDI501G mesapi xl WS CXDI501C EONS 4 Start Hi Name CXDI50G i H istory Exit QC Self diagnosis start screen NOTE Selection of the test type cannot be modified For details consult your service engineer i o 83 3 System Tools To confirm the self diagnosis history Before clicking Start click History To close the dialog box click OK QCT Self diagnosis history 3 Exit the QC Tool Click Exit QC in the Self diagnosis start screen 84 3 System Tools 3 6 Image Proc Image Processing Adjustment Image processing parameters included in the protocol can be modified while simulating the processing parameter settings using the sample image that was previously captured NOTE step 2 in 2 2 Use of this tool requires the ImageProcessing Administrations privileges see Select the target protocol Click the target protocol in the Frequently used protocols or Recently used protocols tray
81. k box for ACC cannot be cleared 24 2 System Setup Screen Column Headers Select Worklist or Pending List when the MWL service is disabled or Past List and then select the column headers to be displayed for the selected list Available column headers for each list are as follows Worklist Accession No Study DateTime of the ordered examination Patient ID Name Study Status Study Date Study Time Sex Birth birthday Height Weight Referring Physician Requesting Physician Comment Number of Protocols RP ID requested procedure ID Pregnancy Status SPS Description scheduled procedure step description and RP Description requested procedure description Past List Accession No Study DateTime Patient ID Name Birth Print Result Store Result Media Store Result Study Date Study Time Number of Images Sex SC storage commitment Reject and Protect NOTE Check boxes for Accession No Study DateTime Patient ID and Name cannot be cleared Only for Past List the check box for Birth cannot be cleared as well Log Viewer Process Viewer QC Tool DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout User Administration System Settings Customize Display Annotation Connection Description list itame ae aaa a a ana Toolbaroptons a n aaan a ann Referring Physician Readin Text box Protocol Selector Default options D Search by Category Search by Body Part Body Part
82. kspace properties can differ from each other In this software the protocols there are as many as workspaces are organized in the protocol trays represented as protocol buttons to enable easy selection and the selected buttons are also displayed in the study information pane To modify the protocol properties Click Edit in the protocol edit mode section and modify the properties in the Protocol Settings screen To modify the workspace properties Click Edit in the workspace edit mode section click Next in the Protocol Settings screen and modify the properties in the Protocol Workspace Settings screen and the APR Editor screen For details on each screen see the respective sections below NOTE The Protocol Settings screens displayed by clicking Edit in both the protocol edit mode and workspace edit mode sections are the same Changes in this screen affect all workspaces that are associated with the protocol lt i 61 3 System Tools Protocol edit mode section Protocol Name Abdomen AP Edit pace WS CXDI50G WS CXDI55G WS CXDI40EC I I I E WS CXDI40GCom WS CXDI60G Workspace edit mode section Protocol Editor Protocol Settings Protocol Name Abdomen AP Sr Body PAE ABDOMEN S Comment Abdomen AP adie Expo e Protocol Code View Position LLO v C Use Laterality Marker as DICOM Attribute Default Workspace Exposure Protocol SS Code list pe _ WS CXDI60G Delete
83. l DI and Elt NOTE Because the same annotation cannot be used for two or more positions previously selected annotations are excluded from the available annotation list To delete annotations from the selected item list Click the target annotations to highlight them and then click Delete Clicking on a highlighted annotation unselects it To add blank annotations Click Blank line to add a blank annotation to the selected item list To show only the value without the annotation title Clear the check box for the target annotation on the selected item list 4 Change the order of annotations Click the target annotation to highlight it and then click A or v 31 2 System Setup Screen 2 5 2 Free Annotation Laterality Marker tab In addition to the annotations preset in the Preview Annotation tab and the Film Annotation tab custom annotations can be created ahead of time for the Annotation dialog box they are embedded on both the screen preview and film sheet images refer to 6 4 in the Operation Manual Furthermore the font type and font size of the free annotations and the laterality marker can be selected in this tab The position of the laterality marker can also be specified refer to 6 1 4 in the Operation Manual Log Viewer Process Viewer 010 Ke7 DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout User Administration System Settings Customize Display Annotation
84. l Spine 11 Thoracic Spine 12 Lumbar Spine 13 Clavicle 14 Shoulder 15 Scapula 16 Rib 17 Sternum 18 Pelvis 19 Sacrum 20 Ilium 21 Coccyx 22 Pubis 23 Humerus 24 Elbow 25 Forearm 26 Wrist 2 Hand 28 Hip Joint 29 Femur 30 Knee 31 Leg 32 Ankle 33 Foot 34 Upper Gastrointestinal 35 Lower Gastrointestinal 36 Hepato Billiary Pancreatic 37 Urinary 38 Myelo 100 Unknown Stitch 101 Whole Spine 102 Full Leg 0 Other 1 Front OMONOOARWM AO 2 Lateral Appendix Corresponding Image Group Alphabet Processing Indication Parameter Curve Shape SA SB SC LN When the Auto option is selected for Brightness Adjustment a value between 1 and 29 will be Base Brightness printed When the REX option is selected for Brightness Adjustment will be printed Brightness 10 to 10 Base Contrast 1 to 29 When the Edge Enhancement check box is selected values for Edge Enhancement Edge Enhancement Frequency and Contrast Boost will be printed Parameters z When the Edge Enhancement check box is not selected will be printed Parameter 2 None Edge Enhancement 0 to 20 Contrast Boost O to 20 When the Dark Region check box is selected a Dark Region value Dark Region 1 to 20 will be printed When the Dark Region check box is not selected will be printed Parameter 4 When the Bright Region check box is sele
85. leges 98 Appendix 3 Details of Imaging Parameters This chapter gives explanations of each parameter function and operating procedures for these parameters NOTE If you find undesirable artifacts on adjusted images or realize any loss of details necessary for diagnosis attenuate the effect of adjustments or cancel them Be sure to check that the adjusted images are acceptable NOTE To confirm the results of effects in the imaging parameters check images after transfer to storage or output to film 3 1 Main Parameters 1 2 A 3 4 5 6 7 8 The number of parameters varies depending on the Brightness Adjustment setting Two Brightness Adjustment settings are available Auto and REX NOTE Auto Mode for automatic tone curve adjustment for uniform brightness in the region of examination regardless of X ray dose REX Mode for tone curve adjustment to change brightness of the region of examination based on X ray dose Top screen of Image Processing pane Image Processing 1 2 encan Image Processing 1 2 Anatomical Part 1 Anatomical Part UT 2 B Enhancement 6 LUT Grid Suppression Dynamic Range Adjustment 7 Sharpness Adjustment y M 4 M y M y M y M Noise Reduction 8 Peripheral Mask Save as Default Y Sharpness Adjustment REX Mode Y Peripheral Mask Save as Default Click a category to access image adjustment parameters Auto Mode based on user privileges
86. local contrast of main structures in the subject as shown in Figure 5 9 117 Appendix Pixel Value Pixel Value gt Image Tone Transformation Visible Range Position Position Figure 5 8 Alteration of local contrast Pixel Value Pixel Value Local Contrast lt MA Image Tone Transformation Visible Range Position Position Figure 5 9 Compensation for local contrast Figure 5 10 shows a schematic diagram of dynamic range adjustment As mentioned this adjustment compensates for local contrast relative to images after tone transformation Local contrast compensation is performed by adding tone transformed images to images resulting from compensation for local contrast which are created by extracting main structural components in each frequency band from images produced by breaking down source images into multiple frequency bands Tone Transformed Image Source Image Resulting Image Image after Local Contrast Compensation Figure 5 10 Schematic diagram of dynamic range adjustment 118 Appendix 5 3 3 Image Enhancement A variety of factors including X ray and light scattering may cause blurriness in the raw image actually captured Blurry images are made clearer and easier to see through image enhancement A schematic diagram of enhancement is shown in Figure 5 11 After source images are broken down into multiple frequency bands enhanced images are produced by extrac
87. lue If they are too bright decrease the value Bright Region 1 to 20 Set the value higher to darken bright image areas If bright image areas are too bright use a large value If they are too dark use a low value Appendix 5 Noise Reduction 1 to 10 Reduces graininess in image areas of low X ray exposure A Noise Reduction Ea EED Select the check box to activate noise reduction Set the value higher to reduce graininess However images will be somewhat less sharp 6 Grid Suppression On Off Reduces the appearance of grid lines in captured images A Grid Suppression Grid Name 180cm_12 1_40 Al Grid Suppression When this check box is selected grid Suppression is applied to images at the time of transfer to storage or film output If a grid other than the one set at the parameter configuration is used select the check box to activate grid suppression and then the name of the grid that is attached NOTE In order to check the effect of this image processing examine images transferred to storage or output to film Results of grid suppression cannot be seen in images as displayed 7 Sharpness Adjustment 1 to 3 Increases the sharpness of the image by eliminating blurring A Sharpness Adjustment JESC EE Select the check box to activate sharpness adjustment Set the value higher to increase sharpness 8 Peripheral Mask On Off Peripheral masking is a function to conceal areas outside
88. lue is specified To modify an existing code meaning click a target item in the Exposure Protocol Code list and click Property Modify the description in the Code Meaning text box and then click OK To delete an existing code meaning select an item in the Exposure Protocol Code list and click Delete To enter changes and return to the Protocol Editor screen After protocol properties are modified click OK in the Protocol Settings screen see page 62 64 3 System Tools Protocol Workspace Settings NOTE Users cannot create a workspace Consult your service engineer To display the Protocol Workspace Settings screen click Next in the Protocol Settings screen Radiography and Stitch exposure mode tabs each have a different set of options Click the target exposure mode tab before configuring the options located under the tab Protocol Editor Protocol Workspace Settings id Name Printable area of an oversized image E Exposure mode tab Gropping Area OpHONS oo heen EEEE E Common to system Specific to protocol ae sted F Template selector Click to return to the Protocol Settings screen Click to proceed to the APR Editor screen Protocol Workspace Settings screen NOTE If Next is not displayed click Cancel or OK to return to the Protocol Settings screen and click Edit in the Workspace edit mode section see page 61 Grid Name Click on the drop down arrow and select an opt
89. m of image tone transformation In logarithmically transformed pre processed image representing higher or lower X ray doses can be done simply by shifting the tone curve laterally Thus as shown in Figure 5 6 tone curves are shifted laterally depending on the dose so that the reference pixel value is at the desired density brightness As mentioned in the context of image feature analysis the reference pixel value is calculated from the same region specific ROI regardless of the subject or dose In this way image tone transformation automatically adjusts the ROI to the desired density brightness regardless of the subject or dose Moreover because tone curves resembling the characteristic curves of conventional systems are used this system provides diagnosis images equivalent to conventional images 116 Appendix 5 3 2 Dynamic Range Adjustment As described image tone transformation yields diagnosis images equivalent to conventional images regardless of the subject or dose However with this processing alone it is difficult to represent the entire subject while maintaining sufficient contrast This is due to the subject s wide dynamic range particularly in regions where subject depth varies significantly For this reason the entire subject is represented while maintaining sufficient contrast through dynamic range adjustment Specifically as shown in Figure 5 7 tone curves established in image tone transformation reference t
90. n and specify the ROI ROI Appendix 4 Adjustment Procedure This chapter gives instructions for adjusting exposure images through various parameters Before adjusting imaging parameters calibrate the output devices such as local preview monitors PACS HD DICOM monitors and film printers to ensure consistent image appearance Insufficient calibration will make adjustment of interrelated imaging parameters complex and prevent optimal image quality from being obtained easily NOTE If you find undesirable artifacts on adjusted images or realize any loss of details necessary for diagnosis attenuate the effect of adjustments or cancel them Be sure to check that the adjusted images are acceptable 4 1 Default Parameters For image adjustment involving default parameters perform adjustment on multiple exposure images of various physiques and specify the average values as default parameters The process first involves refinement of the overall bright area dark area image appearance by adjusting the tone curve and dynamic range followed by refinement of image details by adjusting noise reduction and image enhancement Figure 4 1 presents a flowchart of the procedure for adjusting default parameters Table 4 1 describes each step in this process 107 Appendix START 1 Select an image for adjustment 2 Deactivate Enhancement Dynamic Range Adjustment and Noise Reduction 3 Set the LUT tone curve LUT gt Curve Shape 4 A
91. nito Gamma iiio aan Software Version 1 40 0 11 SMPTE Character Set Ascii ISO_IR 6 Study Input Type Device Info a nw Access point setting 2 4GHz 5ch 2432MHz Common Cropping Area options WS CXDI50G i Radiography 5GHz Screen Saver Wait Time L 10 1 60 min Cropping Area N Detected Irradiated Field v _ Auto Logout ignment Reference Area Detected Irradiated Field Y Alignment _ Center aligned Custom Area 2208 x 2688 Refresh Interval 10 1 60 sec 64 2208 64 2688 Process Viewer gt gt 02 gt gt gt gt gt gt cooco oon a o oo SSS ooo OSS Stitch Setting Show Stitch Screen automatically after ending eve a Align images using markers GUI Color laste Selection ane Cootigh Apply Institution Institution Name Cancel 7 7 E o To save the changes that have been made and continue with other settings Click Apply To save the changes and return to the previous EXAM or PAST screen Click OK The screen shown before clicking PSJ returns To cancel the changes and return to the previous EXAM or PAST screen Click Cancel The screen shown before clicking j returns NOTE After Apply is clicked the changes cannot be canceled 13 2 System Setup Screen 2 1 2 System setup option finder The following system setup option tabs are available User Administration System Settings Cus
92. nt Center aligned v rt ena Custom Area 2208 x 2688 64 2208 64 2688 Screen Saver Refresh Interval 10 1 60 sec Stitch Setting Show Stitch Screen automatically after ending every Exam Align images using markers GUI Color Taste Selection Cool Light ka Institution Institution Name D SSS Cancel OK System Settings tab 7 Start monitor gamma adjustment Click Gamma Adjustment 124 Appendix If a confirmation dialog box appears Users can confirm the adjustment results but cannot save the result Click OK and go to step 2 If there is a 0 4 or greater difference in the monitor gamma value before and after the adjustment the adjustment result should be saved Consult a service engineer to change and save the setting Gamma Adjustment screen shows the adjustment results To change the setting consult your service engineer If the value entry screen appears Users can adjust the monitor gamma and can save the adjustment result Enter values in the Luminance and Contrast ratio text box both values may be found in a catalog or user s manual for the monitor display click Next and go to step 2 Luminance text box Gamma Adjustment inance and contrast rati uminance 160 00 typ Contrast ratio text box nce of the teinter pattems in Tight mode fe smaller than those in Normal made Click Next to go to the adjustment screen corresponding to the option sele
93. nter aligned and Bottom aligned Custom Area Specify the size of the Cropping Area above The available range of each input value is displayed below the text box The unit can be selected from among inch mm and pixel NOTE When Common to system is selected for the Common Cropping Area in the Protocol Workspace Settings screen see Protocol Workspace Settings in 3 4 1 the setting in this screen will be applied 2 System Setup Screen 2 3 2 Monitor Gamma To maintain a uniform screen appearance regularly check whether the monitor gamma is properly adjusted using the SMPTE test pattern 7 Start monitor gamma confirmation Click SMPTE NOTE Operations for the Monitor Gamma option require the ImageProcessing Administrations privilege See step 2 in 2 2 SMPTE aieia ATT me kw System Settings tab Contrast bars Gamma Adjustmen Gradation patches 5 95 luminance patches Contrast bars SMPTE screen ontinued 2 System Setup Screen 22 Check the screen appearance for the current monitor gamma Check whether the monitor gamma is properly adjusted using the three kinds of patches below To confirm the 5 and 95 luminance patches Confirm that the squares inside each of the two luminance patches are clearly and equally defined To confirm the gradation patches Confirm that the gradation patches are clearly defined To confirm the contrast bars Confirm that the
94. of the preview pane Additionally Top Center and Bottom Center options are available for the Film Box Annotation 2 Specify the Font and the size option Perform this procedure while checking the preview pane Click the Font drop down arrow and then select an option from the list Click the size drop down arrow and then select an option from the list NOTE Be sure to specify a font that matches the current language setting Otherwise a font other than the selected one may be applied to preview annotations NOTE The actual size of the annotations cannot be previewed on the preview pane of the Film Annotation tab 34 2 System Setup Screen 3 Reserve the target annotations for the selected position Select from among the available annotation list and then click Add The selection appears in the selected item list To add free annotations Enter modify a text in the FreeText1 FreeText2 text box select FreeText1 Free Text2 in the available annotation list and then click Add To add blank annotations Click Blank line to add a blank annotation to the selected item list Available annotations for each position Film Box Annotation tab The following items can be embedded at all corners and Top Center and Bottom Center of a film Patient ID Patient Name Birth birthday Age Sex Height Weight Accession No Study Date Study Time Study Description Referring Physician Reading Physician Operator Instit
95. one curves are adjusted to keep the subject s dynamic range within the desired range of visibility This adjustment of reference tone curves maintains visibility even in regions of the subject that would normally be affected by overexposed highlights or underexposed shadows The adjustment also maintains the correlation between reference pixel values and desired density brightness and maintains tone curve gradients around reference pixel values Thus the subject s dynamic range can be kept within the desired range of visibility without changing the density brightness or local contrast difference between the local contrast of structures of the ROI Because the subject s dynamic range is calculated automatically through dynamic range analysis reference tone curves are also adjusted automatically to suit the subject s dynamic range Density Brightness Reference Tone Curve P E E E AE 2 Adjusted Tone Curve Visible Range ner a ae X ray Dose Histogram Source Pixel Value Reference Pixel Value Dynamic Range of Subject Figure 5 7 Tone curve adjustment However merely adjusting tone curves this way causes low local contrast where the tone curve gradient is slight as in the profile signals shown in Figure 5 8 which obscures these structures For this reason the dynamic range adjustment performed compensates for local contrast keeping the subject s dynamic range within the range of visibility without reducing
96. ort order click the same item again To rearrange the order of the column header Drag an item and drop it in the target position The column width can be modified by dragging the border Classification of processes The following appear in the Status column Idling The data is waiting to be transferred Processing The data is being processed Sending The data is being transferred Error The data transfer failed 3 System Tools To select the target data Click the target data to highlight it To unselect the data click it again Check the details of the target data Click the target data in the list and then click Detail To delete the target data Click the target data and then click Delete Resend the target data Click the data with an Error indication in its Status column and then click Retry Suspend target data by study Click the data with a Processing or Sending indication in its Status column and then click Suspended To restart suspended process Click the suspended data and then click In Process Exit the process viewer Click Exit Process Viewer 59 3 System Tools 3 4 Protocol Editor Preset protocols to be selected during an Exam preparation refer to 3 2 in the Operation Manual are organized on the protocol tray and users can create and modify study orders using the tray When new protocols are required to suit on site operations follow the steps below NOTE
97. power box If two or more detectors are connected a target detector selection is required on the Detector Name drop down list of the dialog box Click OK to close the dialog box Access Point Setting Screen Saver Wait Time Auto Logout 18 Shows the channel and frequency band assigned for a wireless detector used with the Software when the wireless detector is registered as a workspace Two frequency bands 2 4 GHz and 5 GHz are available indicates that no access point is set Specify the amount of time after the last operation until the screen saver becomes active within a range of 1 to 60 minutes Select this option to automatically log out of the Software and activate the screen saver This option may not be available depending on the Software setting Consult your service engineer for the setting 2 System Setup Screen Process Viewer See 3 3 Refresh Interval Specify the refresh interval for the process viewer within a range of 1 to 60 seconds Stitch Setting Show Stitch Screen automatically after ending every Exam Select the check box to automatically show the stitch screen when the number of images required for stitch protocol have been captured Align images using markers Select the check box to automatically align partial images based on the marker images For details on manual alignment method refer to 8 3 1 in the Operation Manual GUI Color Taste Selection Select a preferred
98. ruko 3 chome Ohta ku Tokyo Japan Telephone 81 3 3758 211 1 CANON U S A INC CANON MEDICAL SYSTEMS 15955 Alton Parkway Irvine CA 92618 3616 U S A Telephone 1 949 753 4160 CANON EUROPA N V Medical Products Division Bovenkerkerweg 59 61 1185 XB Amstelveen The Netherlands Telephone 31 20 545 8926 CANON SINGAPORE PTE LTD Medical Equipment Products Division 1 HarbourFront Avenue 04 01 Keppel Bay Tower Singapore 098632 Telephone 65 6799 8888 CANON AUSTRALIA PTY LTD Optical Products Division 1 Thomas Holt Drive North Ryde Sydney N S W 2113 Australia Telephone 61 2 9805 2000 PUB L IE 4162E 0911P0 001 CANON INC 2011 Printed in Japan
99. s for msec and mAs is entered the other value will automatically be calculated When an error occurred during calibration performance test Confirm the details of a calibration performance test result in the Check result list After confirming the results change the X ray generator settings based on the results of the failed calibration and then click Retry Set the detector and X ray generator to ready status Click Next Repeat calibration performance test Repeat steps 3 and 4 until all the calibrations performance tests are complete End the calibration performance test O na A Click End 7 Exit the QC Tool Click Exit QC in the calibration performance test start screen 3 5 2 Inspecting the detector Performance Test A Performance Test by itself can also be conducted to maintain the detector In accordance with the medical site guidelines the test should be performed on a regular basis If problems are detected perform calibration See 3 5 1 for details on operation NOTE Before conducting a performance test be sure to adjust the X ray generator based on the Exposure Memo data recorded during previous calibration NOTE Be sure to inform your service engineer of the error code that appears during a performance test 81 3 System Tools 3 5 3 Inspecting the detector power box Self diagnosis Available workspaces Self diagnosis 82 The Software inspects the connected detector power bo
100. sicians and reading physicians are preset in this option 7 Select the target option Select one of the Referring Physician Reading Physician and Reject Reason radio button 2 Add a new description to the list Enter a new name or description in the text box and then click Add To delete an description from the list Click a name or description in the list to select it and then click Delete 26 2 System Setup Screen 2 4 3 Toolbar options Configurations of the toolbar buttons displayed in the EXAM gt Examination and PAST gt View screens can be customized To customize the toolbar to adjust the display size two types of configurations can be registered and they can be switched with each other using Toolbar 1 or Toolbar 2 located at the bottom of the toolbar Refer to 6 1 in the Operation Manual for details NOTE The toolbar in the processing parameter edit screen see step 3 in 3 6 cannot be customized 7 Show the Toolbar options screen Click Toolbar options Customize Display tab 2 Toolbar options hoolbar Setting maaa a E E Toolbar1 Toolbar2 Toolbar1 Toolbar2 i EOE Info Laterality ROI Crop Mask Rotate Flip Retake Reject R Toolbar Setting a a lt Laterality ROI Crop Mask Retake Reject a Rotate Flip E Zoom Panning Preview pane Group Details Setting Click to cancel modifications and return to Customize Display tab
101. t pattern Select the SMPTE mode option from among the adjustment mode options See step 2 in 2 3 2 of this Setup Guide for details on confirmation method NOTE If required monitor gamma can also be adjusted in this mode using the monitor gamma control End monitor gamma adjustment Click OK The adjustment result is saved and the screen will return to the System Settings tab NOTE Ifa confirmation dialog box appears in step 1 OK will be disabled and the adjustment results cannot be saved In such cases click Cancel to return to the System Settings tab and consult your service engineer 127 Index A Access Point Setting 18 Access privileges 95 Age 23 Align images using markers 19 Anatomical Part 100 APRID 67 Automatic analysis 112 113 Automatic Next Protocol Selection 24 Automatically apply protocol 26 AutoProto Application 76 B Background color 41 Backup Database 90 Birth 23 Blank line 31 35 Body Part 63 C Calibration 78 Called AE Title MPPS 46 MWL 44 Printer 41 Storage 38 Calling AE Title MPPS 46 MWL 44 Category tabs 69 C ECHO MPPS 47 MWL 45 Printer 41 Storage 39 Character Set 18 Classification of Imaging Parameters 95 Code Meaning 64 Code Value 64 Column header Rearranging 58 Column Headers 25 Commitment Calling AE Title 40 Commitment Port 40 Common Cropping Area options 20 Common Output Setting 40 Communication test result 37 41 Connect GEN 12 128
102. tation on the selected item list 35 2 System Setup Screen 4 Change the order of annotations Click the target annotation to highlight it and then click A or v 36 2 System Setup Screen 2 6 Connection tab 2 6 1 Storage tab Storage server selector Storage List Common DICOM output settings 1 Storage PACS servers for archiving captured image data can be registered and managed using this tab Communication test between the Software and the storage server can be performed using the Ping or C ECHO command Ping Log Viewer P rocess Viewer 010 Kee DB Backup User Name Cxdiuser SS a Protocol Editor Image Proc Logout me Display Annotation Connection 22S O C Disk Storage GenCom_ Communication a a A N E A EN TEE AE A test result Storage Name Host Name Port Called AE Title Commitment Radiography Image Modality Storage Serverl 127 0 0 1 105 StorageServer OFF Delete Property Common Output Setting Storage Calling AE Title CANON_CXDI Commitment Calling AE Title CANON_CXDI Commitment Port 10008 1 65535 Cancel Register a storage server in the Storage List Click Add to show the Property dialog box for registration i aei 37 2 System Setup Screen 38 To modify an existing storage server oS So Ecco Oo ZE oS ee Port Called AE Title StorageServer Use GSPS tion Host Name Op Port Called AE
103. ter pre processing at which point images are referred to as pre processed image automatic analysis is conducted to determine image features or characteristics This is followed by processing to prepare images suitable for diagnosis At this stage of image processing multiple imaging parameters can be adjusted interactively to provide diagnosis images tailored to a variety of requirements Also at this stage the results of analysis are applied in optimal image processing for the X ray dose and patient physique involved 1 Raw images produced by the LANMIT system are irrelevant to end users 2 Details on configurable parameters are given in 3 Details of Imaging Parameters Raw Image Images from the FPD lt _______ _ P re processing Pre processed Image _________ _ Automatic Analysis lt ____ _ Image Processing for Diagnosis Diagnosis Image Image Display Device Storage Figure 5 1 Image Processing Sequence 112 Appendix 5 2 Automatic Analysis 5 2 1 Images produced by the digital radiography system CXDI series and the Software have a wide dynamic range extending to about four digits For this reason automatic analysis must be conducted to determine which part of the dynamic range will be useful in diagnosis and adjust the density brightness accordingly to prepare effective images for diagnosis Automatic analysis must also detect what image areas wer
104. the necessary setup options as explained by the setup option finder in 2 1 2 2 1 1 Basic operations 7 Show the system setup screen Click EE on the EXAM or PAST screen it System setup button HH i SUELO EEEH Gj urA EZT nnan naam To nara eho trom nanan Pad Ones ape at Urda Mier naan Sean wine UMAN Macnee unan anega PAN Bin naonn oad unam het PMAN MIAN uaan EXAM or PAST screen Connect GEN Login user name User Administration System Settings Customize Display Annotation Connection User Name Role Operator Name Setup option tabs System setup screen When Connect GEN appears The image capture computer and the X ray generator have been functionally disconnected Click Connect GEN to resume connection Note Connect GEN appears only when the communication with the X ray generating device is enabled See 2 6 6 for details on operation 2 System Setup Screen Select a setup option Click the target setup option tab For the Annotation and Connection tabs a further click of a sub tab is required NOTE The User Administration tab is not available during examination To change the settings See 2 2 through 2 6 Log Viewer Process Viewer QC Tool DB Backup User Name Cxdiuser Protocol Editor Image Proc Logout Shutdown User Administration System Settings Customize Display Annotation Connection CXDI Control Software NE Mo
105. ting structures for enhancement in each frequency band Image enhancement is then performed by adding enhanced images to source images Source Image Resulting Image Enhanced image Figure 5 11 Schematic diagram of image enhancement In enhancement edges and local contrast are emphasized by changing the structures subject to enhancement To enhance edges the edges of the structures are emphasized by generating overshoot and undershoot along edges as is shown in Figure 5 12 Local contrast is enhanced by amplifying local differences between structures as shown in Figure 5 13 Pixel Value Pixel Value Overshoot Enhancement Undershoot Edge Le Position 9 __ Position Figure 5 12 Schematic diagram of edge enhancement 119 Appendix Pixel Value Pixel Value Local Contrast Enhancement Local Contrast Position Position Figure 5 13 Schematic diagram of local contrast enhancement 5 3 4 Noise Reduction The raw image captured may also be affected by system noise X ray quantum noise and various other types of noise superimposed onto the images In this case noise and image graininess is reduced through noise reduction A schematic diagram of noise reduction is shown in Figure 5 14 Here a noise image is created by extracting the noise superimposed in each frequency band from images obtained by breaking down source images into multiple frequency bands The noise image is subtracted from source ima
106. tion X ray exposure is required Performance Test Check of the detector and image quality During Performance Test X ray exposure is required Self diagnosis Check of the detector and image quality using test patterns and other images During Self diagnosis X ray exposure is not required Image Proc button See 3 6 Modification of the image processing parameters included in the protocol DB Backup button See 3 7 Database Backup Output Exam Log Logout button Refer to 2 2 in the Operation Manual Logout from the Software button Refer to 2 2 in the Operation Manual Shutdown Shutdown the image capture computer 3 System Tools 3 2 Log Viewer Search conditions Column header 1 To maintain the radiography system and the software in good condition service engineers as well as users can refer to the errors that users encountered during operation using the Log Viewer button The errors are classified in three levels Fatal Error and Warning and are displayed in the error log list For details on errors refer to 9 1 in the Operation Manual Category Fatal Error 41 Warning Error Code Clear 7 19 2011 12 24 21 PM Error E040A00008 The user name or password is incorrect Retry the entry Error log list Exit Log Viewer Narrow down the error logs Enter any of the following narrowing conditions The list will be refreshed every time any condition is entered DateTime Specify t
107. to end modification NOTE Before starting modification it is necessary that the Protocol Editor is in category search mode not body part search mode If necessary click Search by Category to change the mode Protocol Editor Edit Rad ABDOMEN 12 3 System Tools 3 4 4 Organizing the protocol trays NOTE Before starting modification it is necessary that the Protocol Editor is in category search mode not body part search mode If necessary click Search by Category to change mode Protocol Editor j l Protocol Name Abdomen AP omen AP X wise omen TAG ChestAbd omen WS CXDIS50G i WS CXDI50G WS CXDI50G WS CXDI50G iiio iiis o wsos fi WS CXDI50G D WS CXDI55G INFANT Chest AP sii iim INFANT Chest LAT WS CXDI40EC WS CXDI40GCom nf _____WS CXDIS06 D WS CXDI60G WS ________ WS CXDI50G E 0G j NEONATE Chest AP NEONATE Chest LAT Set WS S CXDIS0G S CXDI50G PEDS Chest AP ______ CWS CXDISOG E PEDS Chest LAT O O WSD E Category List Protocol Editor screen category search mode To delete the protocols Select the target protocol in the tray click Delete and click OK in the Confirmation dialog box i oe 13 3 System Tools To move the protocols Select the target protocol in the tray click Move and select the destination among available destinations indicated by blank rectangles that appear in the protocol tray Protocol Editor Chest
108. tomize Display Annotation Connection User Administration tab See 2 2 Addition deletion and modification of the user account System Settings tab See 2 3 CXDI Control Software NE Software Version Character Set Device Info and Access Point Setting Screen Saver Wait Time and Auto Logout Process Viewer Refresh Interval Stitch Setting Show Stitch Screen automatically after ending every Exam and Align images using markers GUI Color Taste Selection Four colors are available Institution Institution Name Monitor Gamma Confirmation of the monitor gamma adjustment using test patterns Study Input Type MWL Common Cropping Area options Cropping Area Alignment Reference Area Alignment and Custom Area Customize Display tab See 2 4 Patient Information Display options Patient Name Input Form Automatically calculate age Patient Info Input Mode and Essential Input Setting Examination Screen Automatic Next Protocol Selection Input Reject Reason Help Display and Measurement Object Study Information Display Setting On off setting for the title and value display and essential input application Column Headers For both the Worklist Pending List and the Past List Description List Items Description list management for Referring Physician Reading Physician and Reject Reason Protocol Settings Protocol Selector Default options Body Part Search Selector Protocol List Display options Automatically
109. ty software and its license agreements consult your service engineer Safety Summary Before using this product read this safety summary thoroughly This information will prevent the users and persons involved from sustaining physical harm and or property damage Read the separate Operation Manual and the Digital Radiography CXDI series User s Manual as well Safety Notices The following safety notices are used to emphasize certain safety instructions This manual uses the caution symbol along with a caution message Safety Precautions Follow this safeguard and use the application software properly to prevent injury and equipment data damage While conducting Calibration and Performance Test Be sure to confirm that there is no person in the radiology room during Calibration and Performance Test to prevent the possibility of any persons exposing themselves to X ray exposure Contents Safety SUINMINIGNY era aa a aE E a Aa aa aaae Nai 3 1 System Configurations and Requirements 1 1 Hardware configuration ssssunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn nnna 8 1 2 Hardware requirements sssssnununnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnn 9 1 3 Software TEQUIFEIMENES csiis iaaa AAAA 10 2 System Setup Screen 2 1 Using the SySteM SetUP SOreE ierta ANNA 12 2 4 Basie ODCLALIONS niusa soncavasteievasscedcudenudstaudeaveacbaueaubies cuuwunateeussnwuuedassnems
110. ual Log Viewer User Name Cxdiuser User Administration System Settings Customize Display Annotation MPPS DiskStorage Communicate with the x ray generating device option Apply Click to cancel the operation OK Enable the communication with the X ray generating device Select the Communicate with the x ray generating device check box To disable the communication with the X ray generating device Clear the Communicate with the x ray generating device check box 49 2 System Setup Screen 2 6 Layout Template Custom templates can be created on this screen in order to arrange images on a film sheet Each segment in which an image is placed is called an image box 7 Show the Layout Template screen Click Layout Template See also step 5 and 6 in 2 6 2 Layout Template lt s Connection gt Printer tab Layout Template Thumbnails for eight basic templates New Edit NOTE The eight basic templates cannot be selected modified or deleted 50 Image bo 2 System Setup Screen Enable template edit mode To create a custom template Click New The basic template 1 X 1 horizontal X vertical appears in place of the template thumbnails To modify an existing custom template Click the target custom template to highlight it and then click Edit Layout Template Divide Grid option Border Width option OK
111. uccess Calibration history dialog box Performance Test history OK dialog box OK 3 System Tools 3 Start exposure Confirm that the Ready indicator appears in the system status bar and then press and hold the exposure switch of the X ray generator System is ready for radiographic examination Start exposure Exposure switch Current calibration or performance test number total number of calibrations or Exposure Memo performance tests Mode 1 kV 0 150 mA 0 800 msec 0 3000 mAs 0 300 Distance 0 500 Acauite Mode 1 images ines Click to return to the calibration performance test start screen User Name Cxdiuser Check result list Exposure Memo kV 0 150 mA 0 800 msec 0 3000 _ Auto Exposure Memo mAs 0 300 Auto Distance 0 500 Acquire Mode 1 images 4 4 Cancel N ext End Retry To record the exposure conditions used for the current calibration performance test For further reference enter the exposure conditions in the Exposure Memo These text boxes are available when all the calibrations performance tests are complete 80 3 System Tools To automatically calculate the msec mAs value in the Exposure Memo Select one of the Auto calculation check boxes for msec exposure time and mAs current time product to enable the auto calculation feature After entering the mA X ray tube current value if one of the value
112. ult Parameters 109 Appendix 4 2 Study Parameters 110 Image quality is automatically optimized to account for individual variation in X ray dose physique and other factors For this reason no fine tuning of parameters is generally necessary However the effect of tone curve and dynamic range adjustment will be inconsistent if automatic analysis fails and in this case the parameters must be fine tuned NOTE Enhancement and noise reduction parameters on the other hand need not be adjusted after default parameters are determined because the results of automatic analysis are not applicable to this image processing Figure 4 2 presents a flowchart of the procedure for fine tuning study parameters This procedure involves changing tone curves and dynamic range to adjust the brightness Table 4 2 describes each step in this process START If ROI brightness differs greatly from base brightness 1 Adjust ROI brightness ROI of the toolbar To fine tune ROI brightness 2 Adjust ROI brightness LUT gt Brightness To adjust ROI contrast 3 Adjust ROI contrast LUT gt Contrast To adjust brightness of dark regions Q O Q O 4 Adjust dark regions Dynamic Range Adjustment gt Dark Region i To adjust brightness of bright regions 5 Adjust bright regions Dynamic Range Adjustment gt Bright Region END Figure 4 2 Flowchart of Adjustment Procedure for Study Parameters Appendix No
113. ution Name Comment FreeText1 FreeText2 Available annotations for each position Image Box Annotation tab The following items can be embedded at all corners of an image Patient ID Patient Name Birth birthday Age Sex Height Weight Accession No Study Date Study Time Study Description Patient Orientation Referring Physician Reading Physician Operator Institution Name Comment IP Parameter FreeText1 FreeText2 Detector Name Protocol Name Body Part View Position Series Description KVP Exposure Time X ray Tube Current mAs Series Date Series Time Acquisition Date Acquisition Time Grid Focal Spot Size Code Meaning SID SOD Absorbed Dose DAP AirKerma REX EI DI Elt Shown by default The IP Parameter option available for Image Box Annotation If the IP Parameter option is selected the values and options for image processing parameters that are applied to the image will be printed on the film For details on the meaning of the printed values see 6 in Appendix NOTE Because the same annotation cannot be used for two or more positions previously selected annotations are excluded from the available annotation list To delete annotations from the selected item list Click the target annotations to highlight them and then click Delete Clicking on a highlighted annotation unselects it To show only the value without the annotation title Clear the check box for the target anno
114. x using test pattern images and so on NOTE NOTE The frequency of implementation of the self diagnosis differs depending on the detector type For details refer to the Digital Radiography CXDI series User s Manual Be sure to inform your service engineer of the error code that appears during a self diagnosis Enter Self diagnosis mode and select the target workspace Click Self diagnosis and then select a workspace User Name Cxdiuser Select function The connection with the detector is incomplete or the power box is turned off User Name Cxdiuser Select detector wo Bpace WS CXDI55G CXDI55G 2 WS CXDI40EC CXDI40EC WS CXDI40GCom CXDI40GC WS CXDI60G y WS CXDI70C gt CXDI70C gt WS CXDI401G Se CXDI401G gt WS CXDI401GCOM CXDI401GCOM y WS CXDI80C WS CXDI501G S CXDI501G WS CXDI501C lt CXDI501C Exit QC 3 System Tools NOTE A battery indicator and a signal strength indicator are shown on the workspace for wireless detectors For the wireless detector refer to the Digital Radiography CXDI series User s Manual Example of workspace indicator for wireless detectors WS CADI OC Battery indicator Signal strength indicator 60 100 charge Strong H 9 59 Yi Medium i 5 8 Poor fi 4 or less Yeck ROSIA When the indication changes to N or il a warning error dialog box appears to prompt a battery recharge 2 Start the self diagnos

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