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Clarity Viewer User Manual

1. Contact Information iCRco Inc Americas Address 2580 West 237 Street Torrance CA 90505 Phone 1 310 921 9559 Fax 1 310 542 7236 Email info icrcompany com Web http www icrco com iCRco Inc Europe Address Paderborner Str 21 44143 Dortmund Germany Phone 49 231 92733669 iCRco Inc Middle East India Address Ist Floor Manohar Varsha Y 7 Green Park Main New Delhi 110016 Phone 011 40522979 Information Please enter the details of the system here Interface Type USB 2 0 2007 2014 Page 7 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Contact and Product Information 8 O 2007 2014 Page 8 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Safety Information Read and understand the installation and operating instructions before starting the software ri C cose US Headquarters European Office iCRco Inc CRco Europe GmbH FDA 2580 West 237th Street Paderborner Str 21 Torrance CA 90505 44143 Dortmund USA Germany 310 921 9559 49 231 92 33669 Accepted Conventions i Warning A WARNING indicates a potentially hazardous situation which if not avoided could result in death or serious injury q Caution A CAUTION indicates a potentially hazardous situation which 1f not avoided may result in minor or moderate injury It may also be used to ale
2. The followings steps assume that the desired workstation s and filter s have been entered into the Prefetch If they need to be added see the Create Prefetch Filter and Enter Workstation Information sections below Note Complete the steps in this section and the Setting Up Prefetch Deployer section in order to activate Prefetch settings with the Viewer 1 Select the workstation from the Machine Name dropdown menu in the Filter Machine Map box 2 Select the desired Filter from the Filter Name dropdown menu 3 Click the Add button at the bottom of the box Setting Up Prefetch Deployer To activate the new filter you need to run the Prefetch Deployer on the workstation s 1 Select Run Prefetch Deployer 2 The dialog box Opening launch jnlp will appear Make sure the Open with radio dialog is selected and the drop down box next to it says Java Web Start Launcher Click OK to continue Opening launch jnlp You hawe chosen to open which is JNLP File 1 0 KB from https 192 168 0 14 8443 What should Firefox do with this file E Do this a utomatically for files like this from now on 3 Depending on the version of Clarity a Java Security Warning might appear asking if the user wants to run the application Check the box and select Run y Security Warning Do you want to run this application Name com icrco prefetchdaemon deploy Main AN Publisher UNKNOWN Location https 192 168 0 14 8443
3. Tips The Clarity Viewer will display a Tip of the Day when the application is started The Tip of the Day gives the User helpful information to make using the Clarity Viewer easier Tip of the Day Y Image Tools Keyboard Shortcuts Here are some quick keboard shortcuts for imaging tools for Scroll when scrolling thru a stack you can rightmouse drag to windowlevel d for Drag and Drop when you wantto drag a series already on display to another locationi bv default the thumbnails are always in draa mode BA Show tips on startup Back Next gt Close The User can use the Previous Tip amp Next Tip to display more tips 2007 2014 Page 22 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 23 The Close button will close the Tip of the Day dialog box The User can disable the Tip of the Day by unchecking the Show Tips on Startup box To re enable the Tip of the Day see Section Show Help Tips on page 23 Preferences The preferences can be accessed by clicking on the Configuration button located in the upper right hand corner of the Work List window Clicking the Configuration button will cause the Preferences dialog to pop up Connection Preferences Configuration Version 4 10 Server IP 192 168 0 14 Connection Monitor Reporting Annotations Language Tools License Information Server Hanging Protocols Advanced Showee
4. Monitor Configuration Options The monitor preferences can be accessed by clicking on the Configuration button This will bring up the Preferences dialog From there click the Monitor tab a y Preferences Configuration Version 4 6 1 Server IP 192 168 0 109 Timeout Monitor Reporting Annotations Compression Language Tools License Information Hanging Protocols Advanced Monitor Configuration Options Worklist on Monitor Q 1 M Lock Worklist Click to Configure Each Monitors Options Numbered from Left to Right Hide Windows Toolbar Ba Monitor Enabled Color Monitor Monochrome Monitor Default Display Layout Per Monitor Modality a Fit All Series Or fit max rows and columns Max Rows Max Columns Apply A Cancel From the Preferences dialog the User can configure each monitor attached to the computer The monitors are numbered according to their Windows device configuration Note Changing monitor preferences will require a restart of the Clarity Viewer for the changes to take effect The application will not restart on 1ts own The User will need to restart the application manually Work List on Monitor The User may select which monitor the Clarity Viewer displays the Work List on This 1s achieved by selecting the radio dialog check box to the left of the desired monitor Click the Apply button to save the changes then restart the Clarity Viewer for the changes to take effect Monitor Configuration Th
5. 2007 2014 Page 73 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc DICOM Printing 74 Additionally the user has the option to control the internal margins which define the amount of space left between individual frames on a page with multiple images Internal margins are defined as multiples of the print page border size By default internal margins are the same size as the borders with image margins on the left and right hand side of each frame are equal to the left and right hand borders Margins on the top and bottom of each frame are equal to the top and bottom borders of the printed page If the user intends to cut individual frames out of the printed page it is recommended that internal margins are set to twice that of the page which will give a uniform border size on the individual image segments If it is necessary to maximize the amount of space on the printed page the internal margins can be turned off altogether Saving and Loading Print Layouts The Templates tab allows the user to save and load pre defined print layouts There are five user defined layouts Set up the layout on the preview window and then select one of the buttons labeled Click here to save current layout The user will be prompted for a title To save more layouts click on the Save Current Template button Here the user can set a file name for the Layout Image Page Layout Printers Overlay
6. 2014 Property of iCRco Inc Operation and Usage 68 Select Export Location Retrieved 54 MB of data from the archive Do you also want to export an embedded viewer A My Computer Local Disk C S DVD RW Drive D S drawings on icrcoserv X 3 archivedlibraries on icrcoserv Y 3 general_new on icrcoserv Z File Name Files of Type 6 Please be patient as the files export The Quit button will be grayed out while the CD DVD burns as the User may not exit the Viewer until the burning has finished Once the disk is done burning it will automatically eject from the drive Saving and Sending a Study Saving a Study from the Image Viewer window Note Only one GSPS per study is allowed GSPS information is always overwritten when saving new annotations While in the Image Viewer window the Save Study button is used to save the current study Clicking the Save Study button when in the Viewer window will save the following attributes current Window Level settings Annotations Image Rotation and Image Flip Saved states are automatically loaded when the series is opened Save Study DICOM Sending a Study from the Work List window While in the Work List window the Send Study button is used to DICOM Send to another system s target Setting Up a DICOM Target 1 While in the Work List window highlight the desired patient s to send Click the Send Study button The DICOM Sen
7. Select the new settings and click OK We image ages MT AET Title Type Target IP Add Target TCP P GUI_DICOM DICOM 127 0 0 1 104 7 In the Dicom Configuration window set the Serial Number to 1 and then click OK O 2007 2014 Page 77 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc General Advanced Dicom Application Entity Port 104 RTC File DICOM DICT TXT Serial Number 1 Image Export Import Target File TARGETS INF Dump Path C DUMP_DICOM Log Settings Log Level 0 AET GUI_DICOM B Default UID 1 2 826 0 1 3680043 2 8 Go to the Advanced DICOM Printer window and select the Printers tab Overay Templates Logo Image Page Layout Printers Printer Presets _ Settings PAPER y pa _ Settings Printer 2 y y Printer 3 v y DICOM Printing 78 9 In the Printer Presets section click the Settings button of one of the preset printers This will open the DICOM Print Settings window Note i For this example the settings button of Printer 1 was selected 10 In the DICOM Print Settings window select the Printer tab O 2007 2014 Confidential and Proprietary Property of iCRco Inc Page 78 of 86 Doc HC CLS 0019 09 Rev January 10 2014 DICOM Printing 79 Printer Fim Format Printer Standard Printer v l Support border properties TF Support back
8. Mouse Wheel mn ZOOM E Close tab button on left side of tab Favorite Tools SVT Cobb Angie m SCA A Distance from Horizontal Wg ICI RN Horizontal Line l SCA EN Spine Labeling a FavoriteTooi5 ext Arrow a a ren wee Cancel Apply Center Line Options The Center Line tool has four different drawing options The options are Two Points without Line Two Points with Line Four Points or Eight Points with Angle Please see Section Center Line Options on page 31 for the differences between each Center Line option Default Overlay Level The user may select the amount of information displayed in the corner of the image e None No text is displayed e Normal Minimal text is displayed e Full A large amount of text is displayed Close tab button on left side of tab If this box is checked the close button X will be relocated to the left side of the tab Select Default Tools Per Modality Selecting the default tools per modality allows the User to override the default mouse button mapping described in Section Default Mouse Actions on page 44 First select the desired modality then choose the desired mouse 2007 2014 Page 31 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 32 button mapping For example for the CT modality the user may want to map Pan to the left mouse button map Zoom to the middle mouse button map W L
9. Property of iCRco Inc Operation and Usage 54 Four Points re Figure 5 Center Line Tool Four Points With a Line To use the Center Line tool with four points mouse click at each of the desired points The four point version of the Center Line finds the center point between the first set of two clicked points and the center point between the second set of two points then draws a line through the two center points Eight Points with Angle MARY Pat ID 100 Figure 6 Center Line Tool Eight Points With an Angle To use the Center Line tool with eight points and an angle mouse click at the first four desired points The Center Line finds the center point between the first set of two points and the center point between the second set of two points then draws a line through the two center points Repeat the process for the second set of four points and the angle of the two intersecting lines will be shown Heart to Lung Ratio a yA res I The Heart to Lung Ratio tool allows the User to find the ratio of the heart to lung size To use the Heart to Lung Ratio tool first select the it from the tool bar then use the mouse to click hold and drag the first measurement then release the mouse Use the mouse again to mouse click hold and drag for the second measurement Release the mouse button when the length is satisfactory The ratio of the two measurements will be displayed automatically Annotations Toggle
10. Running applications by UNKNOWN publishers will be blocked in a future release because it is potentially unsafe and a security risk Risk This application will run with unrestricted access which may put your computer and personal information at risk The information provided is unreliable or unknown so it is recommended not to run this application unless you are familiar with its source This application will be blocked in a future Java security update because the JAR file manifest does not contain the Permissions attribute Please contact the Publisher for more information More Information Select the box below then click Run to start the application CE 2007 2014 Page 42 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 43 4 When asked 1f you trust the Clarity website click Continue gt Security Warning Do you want to Continue The connection to this website is untrusted AN Website https 192 168 0 14 8443 Note The certificate is not valid and cannot be used to verify the identity of this website This application will be blocked in a future Java security update because the JAR file manifest does not contain the Permissions attribute Please contact the Publisher for more information More Information 5 Allow the program to install the Clarity file 6 Upon completion the a dialogue box
11. S 6 Y Adobe ab MEMORY JAN JERRIT_AJENIEN e Y Affinix ab m O N 1 T O R_ C OA_JCJO UIN T_O A ab m O N 1 T O R_JC ON_JC OJUIN T_1 E 60 a Environment F M OMN T T O R_JE N A B LJE D_0 ae Java Upda ab m O N I T O R_JE N A B LJE D_1 20 Soy e ab m ONA T O R_JF R AJM E_JCJOVE R S_MIIUNITIOJO L BJAJR ds ab M ONA TJOR RION JCIOIUNIT a e ab m 0 N 1 T 0 R_JR OM_JCJOJU NT_1 SE ent E ie Se ab M ONA TIOR ITN P E_A fs i a ra ab N U M_JF R E Q_ T O O IS Ga keys ab P LIN_ T O O IB AR false 5 presets tab P R O G R A M_JF O N T Arial Unicode M S agi e ab 5 H 0 W_JT 1 P S_JON_JS T AJRITIUP true G sysdefaults ab S H O W_JT L P_JN U M B E R 2 E ab S TAu O Y_JS T A T U S_ U P D A TIE false aa vij i My Computer HKEY_CURRENT_USER Software JavaSoft prefs com jcrcolui prefs sys 4 Locate the string M O N 1 T O R_ E N A B L E D_0 double click the string and set the Value Data to true Edit String Value name M 0 NA T 0 R_ E N A B L E D_0 Value data truel lt Q 5 Any subsequent monitors attached to the system and detected by Clarity will have a string like M O N 1 T O R E N A B L E D 1 Locate the rest of the monitor strings and set their Value data to false Click Ok to save the changes O 2007 2014 Page 85 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setting the Display Back to Default Using Regedit 86 Ed
12. Width 16494 0028 1052 Rescale Intercept 0 0028 1053 Rescale Slope 1 0028 1054 Rescale Type US 00281056 YOI LUT Function LINEAR 0028 2110 Lossy Image Compression 01 0038 4000 Visit Comments 00400244 Performed Procedure Step Start Date 20131218 0040 0245 Performed Procedure Step Start Time 133643 00400253 Performed Procedure Step ID 0040 0254 Performed Procedure Step Description Shoulder 00400275 Request Attributes Sequence 0040 0007 Scheduled Procedure Step Description 0040 0009 Scheduled Procedure Step ID 0040 1001 Requested Procedure ID Prefetch Configuration Prefetch sets up Clarity so that it automatically downloads studies based on a specified criteria This criteria can be set and customized by the user The downloaded studies because they are cached will open quicker than studies that will have to be downloaded when opened Prefetch Installation Prefetch can only be installed by a qualified 1CRco service engineer Contact 1CRco for assistance Accessing Prefetch To access the Prefetch settings 1 Launch a web browser 2 In the address bar enter https IPADDRESS 8443 Prefetch where 2007 2014 Page 41 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 42 TPADDRES S is the IP address of the Clarity Archive Associate Filter to Workstation
13. certain users To access the Advance Toolset the user must be in the Study View Move the mouse to the top left corner of an image As the mouse hovers over this area a drop down menu displaying the Advanced toolset will appear From the menu select the tool you wish to use FASA FASD Pat ID 7312842 X 2007 2014 Page 59 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 60 The Pelvic Toolset feature contains a number of useful tools related directly to pelvic examinations The Toolset includes parallel matching lines perpendicular matching lines horizontal offset line cut line line point spine labeling and measure distance tools ADVANCED TOOLSET X Fi fil fil Ir z MANUAL A AUTOMATIC The Parallel Matching Line tool allows the user to select an existing line Once a line is selected a user can then create new lines that will be parallel to the selected line Perpendicular Matching Line The Perpendicular Matching Line tool allows the user to select an existing line Once a line is selected a user can then create new lines that will be perpendicular to the selected line 2007 2014 Page 60 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 61 Horizontal Offset Line o a a mmm A A 7 ae The Horizontal Offset Line tool allows the user to
14. every series from the selected patient on the screen If the Fit All Series box 1s not checked the user may choose the maximum number of rows and columns of series of images to display Reporting The Reporting preferences can be accessed by clicking on the Configuration button This will bring up the Preferences dialog From there click the Reporting tab Preferences Configuration Version 4 6 1 Server IP 192 168 0 109 Timeout Monitor Reporting Annotations Compression Language Tools License Information Hanging Protocols Advanced Select a button that associates with properties that you want to configure Report Configuration Options Reporting Doctor s Name Se Oe ee Prefix First Name Middle Name Last Name Suffix Ml Study Status Update When Closing Study WE Notify if all images have not been viewed when closing study Pea Ce AR PL UMina CN a ReportFont Size CA Report Header Font Size 116 a Report Confidentiality Font Size 6 ig Report Site Label Font Size xz E een ete e e meet Apply Cancel Reporting Doctors Name In the Report Writer tab the User may set the name of the physician that will appear in the report Note E This is a per User setting Each User can have his or her own name to appear in the report Only Users with the user privileges of doctor can write reports Please see the Clarity Configuration amp Troubleshooting Manual for more information on creating new users and settin
15. f 2 MANUAL AUTOMATIC C1 T2 Cervical Curve To use the cervical tool 1 Select the athlantodental interval ADI on the C1 This will place a point on the selected area 2 Place the second point at the bottom of the T2 vertebral body 3 Place the third point on the edge of the mid vertebral body between C1 and T2 this will create a curve parallel to the spine The completed curve will appear as a solid line and display the radius in mm and degrees The reference curve will appear as a dashed line C2 C7 Cervical Curve The C2 C7 curve should be used when the T1 vertebrae is not visible on the image To use the cervical tool for the C2 C7 curve 1 Selec the bottom of the C2 This will place a point on the selected area 2 Place the second point at the bottom of the C7 vetebral body 2007 2014 Page 62 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 63 3 Place the third point on the edge of the mid vertebral body between C2 and C7 this will create a curve parallel to the spine The completed curve will appear as a solid line and display the radius in mm and degrees The reference curve will appear as a dashed line Lumbar Curve The lumbar curve should be used on a lateral lumbar image To use the cervical tool for the lumbar curve 1 Select the bottom of the T12 cervical body This will place a point on the selected area 2 P
16. fit circle based on the position of the points displaying the diameter in inches It is possible to click and drag the points and distance annotation Note If only one or two points are placed the tool will be cancelled due to a lack of information George s Line George s Line 1s a line drawn down the posterior margins of vertebral bodies on the lateral view of the cervical spine With it Clarity can generate measurements of vertebral body displacement mm Select the upper point of the cervical vertebra and then the lower point to create a line segment along the posterior Follow the same steps for the vertebra below it and continue to do so for each vertebra until the desired number of O 2007 2014 Page 66 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 67 line segments have been created To stop creating segments click a location on the image that 1s at least 12 mm away from the previously placed point The segments will transform from dotted lines into solid lines Note Es If at any point during the segment selection process you switch to another tool or attempt to Window Level the image all current segments will be removed Please be sure to finish segment creation before continuing image manipulation Note i Upon completion of George s Line Clarity will switch to the Hand tool When the George s Line annotation is selected Clarity
17. in three different characters The user can select any representation out of Single Byte which is default Ideographic and Phonetic to get the desired display of the person name Clarity Directory The Clarity Directory setting allows the user to determine the location of the Clarity root directory Changing the directory will change where the cache files are saved After switching to a new directory restart Clarity Important Changing to a new directory will delete the cached files in the old directory 2007 2014 Page 33 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 34 Note Es The default directory is C If the permission settings on the computer do not allow data to be written to the C Drive then Clarity will use the APPDATA location Clarity directories written to APPDATA can be found under C Documents and Settings username MApplication Data ICRCO on Windows XP and C Users username AppData Roaming ICRCO on Windows 7 The APPDATA folder is hidden by default on Windows Note LS The pre fetch feature will only work with the C Drive Note E Clarity Light Viewer will always use APPDATA and the directory cannot be changed Viewer Logger Level The User can select the Viewer Logger Level as Debug Info Warn Error and Fatal By default Info is selected and it means that the log report for Clarity viewer will include a
18. of a product beyond its duty cycle use of the product outside of its specifications the use of supplies parts materials software or interfaces not furnished authorized or recommended by CRco If the product including any software has been opened tampered with modified or altered in any way without written authorization by CRco the warranty will no longer apply This warranty applies only to products manufactured by or for iCRco products can be identified by an 1CRco serial number as originally affixed to the product Any modification to the CRco serial number tag or its attachment to the product shall immediately void the warranty This warranty is non transferable and subsequent owners must contact iCRco to establish if the equipment is eligible for an extended warranty THERE ARE NO WARRANTIES EXPRESS OR IMPLIED WITH RESPECT TO ANY iCRco PRODUCT OTHER THAN AS SPECIFICALLY SET FORTH HEREIN AND 1CRco SPECIFICALLY DISCLAIMS ANY IMPLIED WARRANTIES OR CONDITIONS OF MERCHANT ABILITY FITNESS FOR A PARTICULAR PURPOSE AND SATISFACTORY QUALITY ANY WARRANTIES THAT MAY NOT BE DISCLAIMED UNDER APPLICABLE LAW ARE LIMITED IN DURATION TO THE INITIAL WARRANTY PERIOD AND NO WARRANTIES EXPRESS OR IMPLIED WILL APPLY AFTER THIS PERIOD ALL INFORMATION SPECIFICATIONS PRICES AND SERVICES ARE SUBJECT TO CHANGE AT ANY TIME WITHOUT NOTICE Limitation of Remedies and Liability Exclusion of Damages The exclusive remedy for any defective
19. supports the HL 7 protocol allowing integration with many EMR systems The Clarity Viewer is a multi modality image viewer designed to provide rapid and easy access to medical images Multiple monitors are automatically detected and easily configured An integrated Work List provides flexible search options such as filtering by patient ID accession number study ID modality study status and many more The Clarity Viewer provides robust and easy to use image manipulation and annotation tools including support for CR DR and cross sectional imaging e g US CT amp MR modalities 2007 2014 Page 17 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Introduction 18 O 2007 2014 Page 18 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Chapter 2 Setup and Configuration Local System Configuration Minimum Viewing Workstation Configuration CPU 2 GHz Core2Duo System RAM 4 GB 6 GB for non CR diagnostic review Hard Drive 200 GB Graphics Card 1280 x 1024 32 bit color capable graphics card Monitor High contrast diagnostic quality monitor two monitors recommended Operating System Windows 7 Service Pack 1 64 Bit Java Version 6 Update 14 Domain Configuration Note E The User may access Clarity Viewer using a domain name but the network must be properly configured Please contact your system admini
20. the tool bar Then click on the on one frame of the study that is to be linked Use the cine play back tools to play both series at the same time Hotkey L 2007 2014 Page 49 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 50 Loop Forward The Loop Forward tool will play back in a cinematic style a series with multiple images from the first image to the last image and continue to play them until 1t 1s halted Loop Backward The Loop Backward tool will play back in a cinematic style a series with multiple images from the last image to the first image and continue to play them until 1t is halted Cine Forward amp Back The Cine Forward amp Back tool will play back in a cinematic style a series with multiple images from the first through the last image then from the last image to the first and continue to play them until it is halted Pause Play pro The Pause Play tool will pause the play back from the Loop Forward Backward and Forward amp Back tools Frames Per Second Selection The Frames Per Second FPS slider allows the User to adjust the play back rate for the Loop Forward Loop Backward and Forward amp Back tools 2007 2014 Page 50 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 51 Rotate Tools Flip The Flip tool wil
21. to the right mouse button and map Zoom again to the mouse wheel Favorite Tools It is possible to choose which tools appear in the Favorite Tools section of the toolbar There are five available slots in the toolbar Use the dropdown menu to select the desired tool After the configuration has been applied the selected tools will appear in the toolbar Note This feature was formerly known as Frequently Used Tools Favorite Tools License Information This tab will display the software serial number sales order number number of modality inputs number of LAN and Web viewers and enabled Clarity modules This information is especially important when contacting Technical Support Server The server tab displays Clarity s server information The data here cannot be modified Hanging Protocols The Hanging Protocols tab allows the user to modify anatomy window level presets and manage saved protocols 2007 2014 Page 32 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 33 Configuration Version 4 7 3 2 Server IP 192 168 0 134 Timeout Monitor Reporting Annotations Compression Language Tools License Information Server Hanging Protocols Advanced Volume of Interest Lookup Table io Mido Lera Description Priors Screens Anatomic Region E ay Pet Modality scoli 1 ahi d SCOLI BREAST BREAST MG Lung 1752 Mediastinum Abdomen
22. warranty 1s about to expire Clarity will notify the user the number of days until expiration The warning message 1s displayed at the top left corner of the screen To renew the warranty call 310 921 9559 E Note The warning message color will vary depending on the time until expiration e Yellow Will expire within 45 Days e Orange Will expire within 30 Days e Red Will expire within 14 Days and after expiration License Expiration Your license will expire in 6 days The Clarity Viewer uses a dongle licensing verification system When the user s license 1s about to expire Clarity will notify the user the number of days until expiration The warning message is displayed at the top of the screen To update the dongle license the user should contact the dealer or iCRco by calling 310 921 9559 Note Es The warning message color will vary depending on the time until expiration e Yellow Will expire within 45 Days e Orange Will expire within 30 Days e Red Will expire within 14 Days and after expiration Disk Storage Space Server storage is OK When your Clarity Archive begins to approach maximum capacity Clarity will display a warning message at the top of the screen When the user receive this message iCRco recommends that the user s Clarity PACS be upgraded Call 1CRco at 310 921 9559 Note Es The warning message color will vary depending on how full the archive is e Yellow When the Archive
23. will display the lateral offsets for each superior vertebra The offset distance will be displayed to the side of the offset Red segments will connect the verebra segments together displaying the lateral offset Burning a CD DVD 1 In the Work List select the desired patient s The User may simultaneously hold down the Ctrl key and left mouse click to select multiple patients Click the Export button Click Yes to retrieve the studies Write CD CD burning requires retrieval of the selected studies from the archive do you want to continue Retrieving from the archive may take several minutes depending upon network speed Please be patient depending on the speed of the network and the number of patients selected retrieving the studies could take a few minutes The export dialog will pop up once the studies have been retrieved To burn the studies to a CD DVD select the burner attached to the system in the export dialog then click the Export button If the User wants an embedded image viewer on the CD check the appropriate box at the top of the export dialog If the User wants to export the studies to the local file system then select the desired folder for export It is possible to export multiple studies at the same time Note Clarity will burn a light viewer onto the CD so that users can view the images 2007 2014 Page 67 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10
24. 6 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 47 Image Manipulation Functions The Pan tool allows the User to move the image around the screen This is especially useful if the User is zoomed into an image and needs to view another section of the image By default the Pan tool is mapped to the left mouse button To use the Pan tool first select 1t from the tool bar Then move the mouse over the image Click and hold down the mouse button then move the mouse in the desired direction to pan Hotkey P The Zoom tool is used to increase or decrease the magnification of the image By default it is mapped to the middle mouse button To use the Zoom tool first select 1t from the tool bar then mouse over the image Click hold and move the mouse vertically to change the zoom level Hotkey Z Mag The Mag tool allows the User to temporarily magnify part of the image To magnify a part of the image first select the Mag tool from the tool bar Mouse over the image then click and hold the mouse button A box will appear with the magnified section of the image While holding down the mouse button the User can use the up and down arrow keys to increase or decrease the magnification inside the box and the left and right arrow keys to increase the size of the magnification box Hotkey G Window Level The Window Level tool allows the User to adjust the brightne
25. Agreement Enter the Site or Practice confidentiality agreement text in the text field Report Body Elements The Report Body Elements allows the User to customize the elements in a Report Each element can only appear once in a report an element is Impressions Findings Procedure Description Conclusions etc Select the number of elements to appear in a report in the Number of Report Body Elements box then select the heading for each element For example Impressions Findings Conclusions etc Text Expansion This feature facilitates the User to set a Key Text and its Expansion Text The advantage of this feature is that the User just has to type the Key Text while writing a patient report and the application automatically pulls up its Expansion Text E Preferences Configuration Version 4 6 1 Server IP 192 168 0 109 Timeout Monitor Reporting Annotations Compression Language Tools License Information Hanging Protocols Advanced Select a button that associates with properties that you want to configure Key Text Expansion Text When creating a report use shift space to perform an expansion Apply A Cancel To use this feature see the following steps 1 Type a Key Text against the Add Key button and click Add Key 2 The Key Text just added gets displayed under Key Text 3 Select this Key Text and click in the box provided under Expansion Text O 2007 2014 Page 27 of 86 Doc HC CLS 0019 09 Rev Co
26. Annotations F The Toggle Annotations tool allows the User to hide and show annotations amp measurements To hide annotations locate it in the tool bar then click the Toggle Annotations button Note that new annotations cannot be drawn while the annotations are hidden To show the annotations click the Toggle Annotations button again 2007 2014 Page 54 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 55 Text Arrow The Text Arrow tool allows the User to draw an arrow point at a region of interest and add text to the tail end of the arrow To use the Text Arrow tool first select the tool then mouse click and hold where the end of the arrow will be While still holding the down the mouse button drag the mouse to where the arrow head will be then release the mouse button After releasing the mouse button a dialog box will pop up asking for the text Enter the desired text click OK and the text will appear at the tail end of the arrow Hotkey U Note For an arrow without text do not enter any text into the text field dialog box Press OK or Cancel with the text field empty and no text will be drawn on the arrow Note E The User may switch the arrow drawing direction in the preferences The Line tool allows the user to draw lines on the image To use the Line tool first select the tool then mouse click and hold where the user wan
27. CLARITY VIEWER USER MANUAL Introduction 2 O 2007 2014 Page 2 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Contents 3 Contents Copyriebt and Proprietary NO GCG cian 5 Contact and Product Informal dcsrdentacaiaieds 7 Safety Into A lO cani ias 9 LIA APL ANGY A Ee EE O 11 Revision ISO nE E ae EE EE E EA 15 Chapter L Introduction nel A E E eee 17 Chapter 2 Setup and Configuration e cccccsssseccccsssssscecoocsssssecoooosssseesoossssseeeses 1 Local System onher Mei a a R a a a E ace a edeo eee 19 o O 19 Cauincamo the Clarity VIS WERE a 19 Eocene lt o aaeete cay 2a dasa ao sg aaa 21 A eee EES 22 PES Le BOM CC Sona altacetv a0 Gveiioh nnd aaaaow tn Same as eae meiieeh aid e a 23 Warnme Lio UMS eset ees a eae ad oan a a acces tae eda ee eee 35 TOG OU OE OUE A ae toa Rae ao Re 36 Chapter 3 Operation and Usage ccccccssssscccccssssscsccccssssscscccssssscssccsesssssccessses I 7 TY OE e e Ue E a eee te sett tenner teneene tess 37 SY PTE nr Bee ko NN 38 WOK Or kc cabernet eR ne to ica 40 PESTS UC COR UNA IIA crea wae cae a ae cae aw es Hac ne D ET ES 4 mate Lacuna o ali artes 44 mass Manila EUA a aa 47 CMS TOO di li ici 49 LE 6 A A EE 51 MEANS A A Caucuses eemdveatieast 52 A A suasiena parsers 54 A A II ean eA ace teres 56 Repone SO ONS ois aoe eases acca ec A A E ENO 56 A EN E eat eastern es te a ae tole elec tots ear sor
28. LDAP 1s used to allow user to have a single login account across multiple applications commonly known as SSO Single Sign On SSO integration with certain systems might require further configuration of Clarity Contact 1CRco for more information Clarity Server Selection The login screen allows you to select which Clarity Archive you wish to access This is useful if you have more than one Archive that you regularly use To add a new Archive to the list click the drop down arrow on the right side of the Server field Select Add Server 2007 2014 Page 21 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 22 User Authentication CLARITY PACS PACS MADE CLEAR 3311 18 192 168 0 134 E User ID 192 168 0 134 Add Server Password mmm mance OK This will bring up the Add Server dialogue box Add Server Ye o E 0 0 0 0 BE EVANcuCe ServerName E Set as default server Cancer oR You may enter in the Clarity Archive information including server address and the name you want displayed in the Login panel It it possible to set the new archive as the default server listed when the Login dialogue appears Simply check the default server box Click OK Note Upon logging in the server you re currently connected to will be shown underneath the Clarity logo CLARITY PACS PACS MADE ce Lor A RR 192 168 0 134
29. OK to close the Dicom Configuration window 19 Select the GUI DICOM printer preset in the Printers tab Overlay Templates Logo Label Image Page Layout Printers 20 Select the Test Printer button If the settings are correct the program will state Successfully associated a connection with GUI DICOM Click OK 21 Click Print to print the image using a paper printer Note E Be sure an image is selected for printing To select an image for printing click and drag the image from the Images field on the right to the black Preview field in the center of the Advanced DICOM Printer window Note E If the Printer Test was successful but the paper printing failed the network settings might need to be modified Contact your facility s IT personnel 2007 2014 Confidential and Proprietary Property of iCRco Inc Doc HC CLS 0019 09 Rev January 10 2014 DICOM Printing 81 DICOM Print Troubleshooting for Windows Multiple Instances Ensure that there is only one instance of QPC Print Tool running 1 Open Task Manager by clicking on Start Menu then Run 2 Type in taskmgr and click OK 3 Close QPC Print Tool 4 Under the Processes tab check if DCM exe DICOMMultiPrinter exe or AppPrintSCP exe is running If so close them by clicking End Process for each of them 5 Reopen QPC Print Tool Target Information Check the target information for both the Advanced DICOM Print and DICOM Appl
30. PINE C SPINE DX 2013 05 20 15 56 57 0 3 3 ICRCO a Unread CHANNEL TEST 32 BIT 2013 01 01 BREAST 2013 04 12 07 59 18 0 Sorted Studies EE 490033077 512 AnSaAnyMAsuA 1956 10 29 503521 2013 04 04 16 44 110 3 490011212 duns Unsun 1934 01 01 524503 2013 03 27 16 34 49 0 1934 01 01 CHEST R 2013 03 26 10 54 18 0 1952 06 05 CHEST KNEE 2013 03 11 11 46 28 0 Unread BENNJ402287 BENNETTJOSEPHSON 1934 1223 M CT CHEST WIO E 2012 12 19 09 54 06 0 THE MEDICAL MALL Unread 10001 TEST DCMSND 2012 01 01 F ABDOMEN 2012 11 30 09 07 38 0 ICRCO Unread 23423 VOGEL DOG 20120101 F TIBIFIBL 3 PRICRISR 2012 11 15 17 45 090 3 y Unread 10007 VISUAL MEDICA 2012 01 01 F BREAST 2012 10 03 09 46 14 0 5 m Page 1 Studies 1 to 300 Grou ped Status Stat Study Status PatientID PatientName Date of Birth Sex Study Description StudyID Modalities Study Date Series Images Facility PatientPK StudyPK Accession St di z No Unread 10184 NAME CHEST 1952 06 05 F CHEST KNEE PRICR 2013 03 11 11 46 28 0 3 18 DMCH 305 450 uales 2 rl Ar Viewer Send Study Sorted Studies Sorted Studies appear below the Search Keys amp Filters Sorted Studies show the studies that match the criteria specified in the Search Keys amp Filters Grouped Studies E Note The Grouped Studies work list will only appear with screen resolutions of 1280 x 1024 or above Grouped Studies appear below the Sorted Studies The Grouped Studies show all the studies from a pa
31. Pelvis Liver Soft Tissue Bone Brain Post Fossa gt O FF Eh gt Eh Bs a ene a Cancel On the left side of the window the user can set the presets for the window level settings for each anatomy The specific value can be modified in each of the anatomy s fields On the right side of the window Clarity displays all of the saved hanging protocols providing information such as description anatomic region and modality for each protocol From this screen the user may save protocols as a DICOM file allowing the user to transfer protocols to another Clarity server It is also possible to DICOM Send the Hanging Protocol settings or load existing hanging protocols from a DICOM file If the user desires a preset can be deleted Advanced The Advanced tab allows the users to select the desired representation for person names auto advanced worklist viewer logger level image cache drive and percent confidence in memory prediction EE Preferences Configuration Version 4 11 Server IP 192 168 0 14 Connection Monitor Reporting Annotations Language Tools License Information Server Hanging Protocols Advanced deographic Phonetic Clarity directory OR co mua Viewer Logger A INFO m Percent Confidence in Memory Prediction Iam co er deletion of old until disk is less than this full Delete Local Preferences J ee y Cancel Apply Desired Representation for Person Names The person names can be written
32. Templates Logo Label Click here to save current layout Click here to save current layout Click here to save current layout Click here to save current layout Click here to save current layout Load Template from File Save Current Template Adding Patient Demographics Select the Overlay tab to bring up the patient demographic layout options From here the User can select e Text position includes top left top center top right bottom left bottom center bottom right e Text size includes small medium large e Text color includes white on black black on white O 2007 2014 Page 74 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc DICOM Printing 75 Image Page Layout Printers Overlay Templates Logo Label fe Black on While FF Enable Overlay Edi Fields _ The user has the option to apply the current settings to every image in the print view or only in the currently selected image via the Apply to all images button or the Apply to image button By selecting the Enable Overlay check box the user can turn patient demographics overlay on and off for all images The user can also edit the fields that are available on patient demographics overlay by clicking on the Edit Fields button From here the User can e Select a field and determine what kind of a delimiter following the field includes none space tab comma n
33. ages select the image in the preview window the selection will be shown by the green box surrounding the image The user can flip rotate and invert by using the buttons on the left hand side of the DICOM Printer dialog The user can zoom by using the right mouse button on the selected image To pan the image use the left mouse button on the selected image Note E The User can only pan the image when it is zoomed in To window level the user can either use the middle scroll button on the mouse or type the required window level into the edit boxes on the left hand side of the Advanced DICOM Printer dialog Then press the Update button to change the window level for the image The user can also press the 1 1 button to print images at 1 1 resolution The user can use the Orientation button to change from landscape to portrait view Changing Margins The margin tab permits the user to specify in English or metric units the size of the borders on the printed image The top and bottom borders on the page can be adjusted independently of the borders for the left and the right hand side of the page Overlay Templates Logo Label Image Page Layout Printers Fage Froperties Orientation Image Divisions Portrait W Show Landscape Lock f Inches 0 mm Borders LeftRight 0 50 Top Bottom 0 50 Image Spacing No Space Between Images Same as Border Spacing f Double Border Spacing f Custom Spacing roo
34. at all selected and unselected options are correct e Ifthe printer does not support border properties deselect this option e Ifthe printer does not support background properties deselect this option e Ifthe printer does not support 12 bit images deselect this option 2007 2014 Page 81 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc DICOM Printing 82 Print Options Check the print options to ensure all settings are correct If printing to a paper printer the user cannot have BLUE FILM selected unless it uses BLUE FILM The PAPER option should be selected If the wrong paper size 1s selected the DICOM Application Printer Server will notify you that the operation has failed The message log will say incorrect paper size Note C The default paper size for a paper printer is 8INx12IN Configuring a Printer with the QPC Print Tool The following section demonstrates how to setup a DICOM film printer with the QPC Print Tool 1 Ze Open the QPC Print Tool On the Printers tab select the Settings button The DICOM Print Settings window will appear Select the printer make and model from the Printer drop down menu If the make and model of your printer is not available select Standard Printer Select the next to AET The Image Targets window will appear 5 In the Image Targets window select Add New 6 Enter the target system s AET IP addres
35. ata transmission Note a If accessing Clarity through a secure local area network or VPN the user can enter http IPADDRESS 8080 icrco viewer instead of the https address This allows to user to avoid the browser security warning dialog 3 Click the Launch link to start the Clarity Viewer 4 The dialog box Opening launch jnlp will appear Make sure the Open with radio dialog is selected and the drop down box next to it says Java Web Start Launcher Click OK to continue Note You will have to click Continue when asked if you trust the Clarity website Security Warning Do you want to Continue The connection to this website is untrusted AN Website https 192 168 0 127 8443 Note The certificate is not valid and cannot be used to verify the identity of this website Continue 5 Depending on the version of Clarity a Java Security Warning might appear asking 1f the user wants to run the application Check the box and select Run Security Warning Do you want to run this application Name com icrco ui client Application AN Publisher UNKNOWN Location https 192 168 0 127 8443 Running applications by UNKNOWN publishers will be blocked in a future release because it is potentially unsafe and a security risk Risk This application will run with unrestricted access which may put your computer and personal information at risk The information provided is unreliable or unknown so it is
36. below Ifthe reader of this communication is not the intended recipient you are he pying of this communication is strictly prohibited and you are asked to notify the sending party immediate Current Icon Report Body Elements W Use referring physician s facility information Number of Report Body Elements Site Name Site Address Phone Number Fax URL Report Icon Clicking the Choose Icon button will allow the User to select a JPEG GIF or PNG file of the practice or site logo to be placed in the report header Clicking the Choose Icon button will bring up a file upload dialog from which the User may select the site logo After selecting the desired graphic click the Save button to save the icon The Clear Icon button removes the current icon allowing for the upload of a new icon 2007 2014 Page 26 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 27 Current Icon Displays a preview of the current icon that 1s displayed in the Report header Site Name Enter the Site or Practice name in the text field Site Address Enter the Site or Practice address in the text field Phone Number Enter the Site or Practice phone number in the text field Fax Enter the Site or Practice fax number in the text field URL Enter the Site or Practice website address in the text field For example http www icrcompany com Confidentiality
37. c HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 29 Preview The Preview box will preview the selected colors so the User may see how 1t looks before saving the preferences Curve Tool The user can set the radius for the reference curves used in the Curve tool The radius can be selected for the Cl T1 Cervical Curve C1 the C2 C7 Cervical Curve C2 and the Lumbar Curve L To set the radius click the corresponding box and type in the desired radius in millimeters The Display dropdown box allows you to select whether you want the Curve Tool to display the curve s angle measurement the curve s radius measurement or both measurements Note KF The Curve Tool is part of the Advanced Tools This setting will be greyed out if the Advanced Tools feature is not activated on the dongle license Warn before clearing annotations When this box is checked Clarity will notify the user before annotations are removed Start text arrow on click When this box is unchecked drawing an arrow annotation begins with the end of the arrow When the box is checked drawing an arrow annotation begins with the arrow head Show cross section projetions by default When this box is checked the cross reference lines will automatically appear when viewing images Cobb angle indicator The user may select whether the Cobb angle uses lines an arc or neither Angl
38. cache In order to prevent the cache from filling to capacity the program will automatically trim older images The user can modify when Clarity will begin deleting older images and how much space it will try to free up It 1s possible to delete local preferences stored in the Windows registry such as monitor layout and user preferences Delete Local Preferences This will reset workstation specific settings including annotation sizes and fonts the monitor setup etc and will delete any custom worklist filters Clarity will have to be restarted for all changes to take effect erete Cancel O 2007 2014 Page 34 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 35 About Button The About This Software dialog can be accessed by clicking on the Configuration button This will bring up the Preferences dialog From there click the About button on the top right corner The About button will pop up the End User License Agreement for the Clarity Viewer application Warning Lights Clarity will display warning lights when the warranty 1s expiring when the dongle license 1s expiring and when the disk storage 1s approaching maximum capacity It is possible to hide the warning lights by clicking the X to the right of the warnings The lights will appear each time Clarity starts Expired Warranty Your warranty has expired When the user s
39. ch PDF tool allows the user to locate a PDF file on the computer and attach it to the study Write Report The Write Report tool opens the Report Writer window Enter the necessary information by typing in the text field To create a new line hit the Enter key on the keyboard Click Create to generate the report It will be saved alongside the image for viewing Note Only Users with doctor privileges are able to write reports If your permissions are not set correctly please contact your System Administrator E Create Report Reporting Doctor s Name a er Prefix First Name Middle Name Last Name Suffix History Procedure Description Conclusions Chest x ray Ig Create Template Clarity Archive only permits one report per a study To modify a report 1 Open the patient study 2 Click the Write Report button The Create Report Addendum dialog will pop up 3 Select the radio dialog box for either Addendum or Correction then type the addendum or correction into the text box 4 Click the Create button and the addendum correction will be appended to the bottom of the report Export Report 2007 2014 Page 57 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 58 To export a report to the local hard drive for printing archiving or other purposes click the Export Report button in the tool bar A dialog will pop
40. ctive is under warranty and necessitates a return to 1CRco for service an RMA number and instructions for return of the product will be given 1CRco is not responsible for any unauthorized returned product 1 e one for which an RMA number has not been issued by CRco Warranty service requires all authorized returns be shipped to the CRco factory prepaid and insured All such authorized returns are the customer s responsibility For products sold and located within the United States 1CRco will pay for return shipping Products being returned are only to be shipped in 1CRco approved shipping containers The original box and packaging materials are approved and should be kept for moving and or shipping the product Approved packaging may also be purchased from 1CRco for an additional charge 1CRco shall have no liability nor responsibility for warranty service to any product that is not shipped in an 1CRco approved shipping container that is damaged from incorrect packaging or that is damaged during shipping Additional Warranty Limitations and Extent of Warranty This warranty does not apply if the product has been damaged by accident misuse or abuse In addition warranty service does not include the repair of failures or defects caused by unauthorized attachments to any 1CRco product unsuitable physical or operating environment maintenance or repair by anyone other than 1CRco or the 1CRco authorized dealer that sold the product operation
41. d dialog will pop up Select the Configuration tab Enter the new AET Title IP Address and Port Number of the DICOM Target Click the Save button The Clarity Viewer will automatically test the new parameters to make sure there is a valid DICOM connection 6 Ifthe connection is valid the Save AET dialog will appear Give the new DICOM target a meaningful name then click OK to save the new target DICOM Send ee 1 While in the Work List window highlight the desired patient s to send 2 Click the Send Study button The DICOM Send dialog will pop up 2007 2014 Page 68 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 69 3 Select the desired profile to send to from the Profile Name drop down menu 4 Click Send to DICOM Send the selected study Clarity Viewer Hotkeys CS ON O 2007 2014 Page 69 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 70 Keyboard Shortcut Software Function Ctrl D Show All DICOM Tags Ctrl Alt Mouse Click Remove tool from Frequently Used Tools List O 2007 2014 Page 70 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Chapter 4 DICOM Printing Advanced DICOM Printer Selecting Studies for Printing 1 In order to launch Print Tool Select a patient fro
42. d for primary image interpretation Lossy compressed mammographic images received from outside sources and digitized film screen images must not be reviewed for primary image interpretation Mammographic images may only be interpreted using an FDA cleared monitor that offers at least 5 MP resolution and meets other technical specifications reviewed and accepted by FDA O 2007 2014 Page 10 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc CRco Warranty iCRco Inc 1CRco values your business and always strives to provide high quality products and services All iCRco products are provided with an initial warranty so that the hardware and software are covered from the date of purchase This limited warranty solely applies to new products manufactured by or for 1CRco and originally purchased from iCRco or an authorized dealer of 1CRco products for your own use In addition an extended warranty is available for most new and recently purchased 1CRco products for an additional charge Hardware Limited Warranty iCRco warrants its hardware products to be free of defects in materials and workmanship for a period of one 1 year from the date of original shipment from CRco subject to the limitations set forth herein If a product proves to be defective in material or workmanship during the warranty period 1CRco will at its sole option repair or replace the product with a similar product Re
43. draw a line Clarity will draw a Horizontal Line at the same height as the first point in the user s line It will then display the measured distance MD in millimeters from the second point in the user s line to the Horizontal line Cut Line Select a line The Cut Line tool allows the user to create a line that is collinear with the selected line Line The Line tool allows the user to draw a line on the image Point The Point tool allows the user to create a point on the image Spine Labeling The Spine Labeling tool allows the user to label the vertebrae from any starting point going in either direction Measure Distance Click on a line point or annotation The Measure Distance tool allows the user to determine the distance from that marking to another location on the image 2007 2014 Page 61 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 62 Curve The Curve tool allows the user to compare a patient s cervical curve to a healthy reference curve on a lateral cervical image To set up the reference curves go to Curve Tool on page 29 Note Es The curve radi1 should be set to researched values trusted by the physician Note E A physician may select different reference points than those indicated below as long as the points are consistent with the chosen reference curve radius ADVANCED TOOLSET X A A Y
44. e arc The user can choose which angle is measured when selecting three points If the first point setting is chosen then the angle will measure the angle where the first point is the vertex If the second point setting is chosen then the angle will measure the angle where the second point is the vertex Annotation unit The user may choose the unit of measurement Flash Mammo CAD Markers If the box is checked mammography images will flash the CAD markers on the image when it is loaded Show measurement backgrounds When this box is checked the measurements will be displayed in a small white bubble field Show Measure Distance dashed lines When checked the measured distance will be indicated with a dashed line When unchecked only the measurement will be displayed 2007 2014 Page 29 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 30 Angle precision The angle precision drop down menu allows you to select how many digits past the decimial point to display in an angle measurement For example if an angle measured 141 59 Clarity will display e 0 Digits 142 e 1 Digit 141 61 e 2 Digits 141 599 Predefined Labels This tool allows you to set up predefined labels which can be placed on an image using the Advanced Tools To add a label select a folder and click the Add Child button Type in the label text and click OK Note T
45. e arrow buttons Images Page 1 of 1 gt gt i Clear Current Page Clear All Pages Printing to a Paper Printer 1 After QPC Print Tool has launched go to the DICOM Application Print Server window 2 Click the Printer button 3 Select the Paper Printer you wish to use from the drop down menu and click OK Note i QPC Print Tool can only use a Paper Printer that is a part of the user s network 2007 2014 Page 76 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc DICOM Printing 77 4 Click the Settings button Dicom Application Entity AET GUI_DICOM ATC File DICOM DICT TXT Default UID 1 2 826 0 1 3680043 2 Serial Number 1 Image Export Import Target File TARGETS INF Dump Path C DUMP_DICOM Log Settings Log Level o El 5 Click the Select button located to the right of the AET field 6 Ifa Paper Printer is already set up the user can select one of the existing settings Else they should click Add New Target Parameters Target Name Paper Printer Target AET Title GUI_DICOM Target Type DICOM 0 Target IP Address 127 0 0 1 Target TCP Port 104 Compression lt None gt hd Enter the following information e Target Name User can set the name of the printer e Target AET Title GUL DICOM e Target IP Address 127 0 0 1 e Target TCP Port 104 Click OK
46. e mapped the mouse button To use the newly mapped Mag button move the mouse over the image at the point the User wishes to magnify then right click Default Image Layouts The User may specify on a per modality basis the default layout of images in a study Please see Section Default Image Layouts on page 45 to set this option If enabled this preference will override those specified below 2007 2014 Page 45 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 46 Study Layout Layout Selections Study Layout Select Monitor s mah 2 MO EN ana a eee MONA Custom Series Layout Select Series First The Study Layout is used to view multiple images on one screen To use the Study Layouts first select which monitor to apply the layout selections to the monitor 1s select when there is a dashed white border just inside the image viewing pane Then select the layout view to use and the image manipulation window will split into the desired number of panes Then drag the images from the thumbnail box into the viewing panes To return to viewing one image select the monitor to apply the layout to then click the single box in the upper left hand corner of the Layout Selections dialog box Series Layout The Series Layout is used to view multiple images in a series such as images from the CT or MR modality To use the Series Layouts fi
47. e steps to configure a monitor are as follows 1 Select the desired monitor from the monitor selection box 2 If the monitor is not enabled check the Monitor Enabled box 3 Select if the monitor is Color or Monochrome the default is color 4 Click Apply Quit and relaunch the Clarity Viewer for the changes to take effect Lock Worklist This feature allows the User to select a specific monitor on which he wants to see the worklist It makes the worklist always appear at the selected monitor For enabling this feature the circular box against Worklist on Monitor needs to be checked For example if the User wants to see the worklist on 1st monitor then he should check the circular box against monitor 1 Workliston Monitor O 1 2 Lock Worklist Hide Windows Tool bar The User can choose whether to show or hide the Windows tool bar by checking or unchecking the preference check box The check box is located directly below the monitor selection box Selecting the check box will hide the Windows tool bar If this check box is not selected then the Windows tool bar will be displayed O 2007 2014 Page 24 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 25 Default Display Layout Per Monitor The User can choose on a per modality basis how series of images are laid out on screen If the Fit All Series box is checked the Clarity Viewer will display
48. e the button s function at the present time e g when exporting images the Clarity Viewer can not be quit thus the quit button is grayed out Work List The Work List button returns the User to the Work List window Viewer Viewer The Viewer button returns the User to the Image Viewing window Send Save Study From the Work List Clicking the Send Study button with patient s selected in the Work List will bring up the DICOM Send dialog The user will need to click Yes when the program opens a dialog box asking if the user wants to continue From the DICOM Send dialog the User may DICOM send the studies to a different target and configure new targets From the Image Viewing Window Clicking the Save Study button while in the Viewer allows the User to save image manipulation settings sans Pan and Zoom settings and annotations The User may save multiple different sets of annotations on the same image Write CD The Write CD button opens the dialog to export the selected studies and images to a CD DVD The user will need to click Yes when the program opens a dialog box asking if the user wants to continue Print The Print button opens the current image s with the DICOM print application Quit The Quit button exits amp closes the Clarity Viewer 2007 2014 Page 37 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 38 M
49. ene Select one of the image division buttons and the preview window will be divided into regions To split one of these regions again select the specified region and again select one of the image division buttons The user can drag and drop images at any stage If the user has an image in the region that is desired the interface will automatically move the image into the split regions To remove a division click in the region that has been split and click on the no division amp button The user can show and hide the image divisions by clicking on the Page Layout tab then click Show and Lock under Image Divisions The user can view the current print settings by looking at the left hand side of the Advanced DICOM Printer dialog To change these settings or to view more settings click on the Printers tab Selected Printer Settings Test Printer Print to AET GUI_DICOM Rows Columns 121 Media Type PAPER Film Size 1111 41H Number of Copies 1 Onentation Portrait Save to Disk Cloze Print Preview Pririt 2007 2014 Page 72 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc DICOM Printing 73 Manipulating Image in the Preview Window Width BIE Window 16483 Height 2520 Level 46566 Zoom 57 78 Update The Advanced DICOM Printer allows the user to flip rotate zoom pan invert and window level images To manipulate the im
50. equires the customer to provide an Internet connection DSL or Dial up or the minimum of a phone line accessible by an extension cord to the product enabling CRco technicians to perform remote diagnostics on installed equipment In addition each 1CRco product must be installed maintained and operated in accordance with the respective product manual Failure to comply with these requirements will result in a voided warranty claim 2007 2014 Page 11 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc iCRco Warranty 12 Requesting Warranty Service For information on obtaining warranty service call iCRco s customer support at 310 921 9559 In order to evaluate a warranty service request 1CRco requires the following information the 1CRco serial number of the product a detailed description of the problem customer name and contact information product location and operating conditions a copy of the purchase documents and sufficient information and authorization including a liability release as to any loss of data that should always be backed up software or network injury or downtime allowing iCRco technicians remote access to the product Product may not be returned to iCRco without first obtaining a Return Material Authorization RMA number from CRco Prior to providing an RMA iCRco may require remote access to the product If 1CRco determines that the product may be defe
51. ewline custom e Change the position of the fields with the up and down arrows e Remove or display a field by selecting the Print Field check e Print the title for the field 1 e the title Date would be printed in front of the date field After editing the fields click the Done button Print Preview To see a print preview click the Print Preview button 2007 2014 Page 75 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc DICOM Printing 76 Printing Images to a DICOM Printer When the user has finished dragging and dropping the desired images onto the preview window and manipulating size position and window level if necessary then press the Print button in the bottom left hand corner of the DICOM Printer dialog Please ensure all the printer settings are correct first Patient Demographics for Icons When the cursor is over the icon bank Advanced DICOM Print will display the demographics for the image Images Chest Study 1001 1 01 01 1978 Smith 11 11 2004 12 34 59 Chest APPA 101 Chest AP AP Multiple Icon Pages Advanced DICOM Print has an unlimited number of icons that can be loaded However the PC s memory is a restriction To clear the current page of icons click on Clear Current Page button To clear all the pages of icons and preview window click on Clear All Pages button To move between pages and move to first and last pages click on th
52. f the tool s icon illustrated in the graphic below The default mapped mouse buttons can be changed See Section Select Default Tools Per Modality on page 31 for more information Holding down the right mouse button and moving it vertically on the screen will adjust the brightness of the image Holding down the right mouse button and moving it horizontally on the screen will adjust the contrast of the image Holding down the left mouse button and moving the mouse in any direction will allow the User to pan around the image 2007 2014 Page 44 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 45 If the User has a scroll wheel mouse moving the scroll wheel up will zoom into the image while moving the scroll wheel down will zoom out Each mouse button 1s re mappable to any tool that has an interactive function To re map a mouse button move the mouse over the left side of the screen to make the tool bar pop up Locate the tool the User wishes to map to the mouse button move the mouse over that tool then click the tool with the mouse button the User wishes to map For example if the User wishes to map the Mag tool to the right mouse button move the mouse over the Mag tool button then right mouse click on the Mag tool button You will see a small mouse icon appear in the upper right hand corner of the Mag tool button this means the User has successfully r
53. g user privileges Study Status Update When Closing Study When this option is checked upon closing an image from the Viewer a dialog box will appear asking the User to update the Study Status Update Study Status Mark Study Status As kal UNREAD READ DICTATED TYPED VALIDATED Opdateand close Coser ony Figure 1 The Update Study Status dialog pops up after closing a study in the Viewer window This option works in conjunction with the Filter Modifiers and Study Status workflow options present in the Work List window Options Update and Close Updates the study status to the selected value e g Read then close the study 2007 2014 Page 25 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 26 Close Only Closes the study without changing the study status If a report is written with the option enabled upon clicking the Create button the report will be generated the current patient will close the study status will be set to Validated and the next patient in the worklist will be selected Notify if all studies have not been viewed When this option is checked if all images in the study have not been viewed the Clarity Viewer will display a warning dialog notifying the User Report Font Type The User may configure the body text font face used when writing reports in the Clarity Viewer Select the desired fon
54. ground properties l Support 12 bit images 11 From the Printer drop down menu select the Standard Printer option 12 Click the button to the right of the AET field to set the AET Select the AET settings you entered earlier in the DICOM Application Print Server window Click OK 13 Select the Film tab Printer Film Format Film Media bd Film Size Ag v Magnification Type NONE v TF Trim box surrounding each image Number of Copies i 14 Change the Film Media setting to PAPER and the Film Size setting to A4 Note A4 size is equivalent to 8 5 x 11 inch paper E Note It is also possible to print on 11 x 17 inch paper by selecting the 11INX17IN size 15 Click OK to close the DICOM Print Settings window 16 Select the Configure DICOM button to open the Dicom Configuration windows O 2007 2014 Page 79 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc General Advanced Dicom Application Entity AET GUI DICOM Potjios H RTC File DICOM DICT TXT Default UID 1 2 826 0 1 3680043 2 Serial Number ph Image Export Import Target File TARGETS INF E Dump Path C DUMP_DICOM Log Settings Log Level fo DICOM Printing 80 17 In the General tab click the Select button to the right of the AET field Select the AET settings you entered earlier in the DICOM Application Print Server window Click OK 18 Click
55. ication Printer Server 1 Select Advanced DICOM Print and click on Configure DICOM button the DICOM Configuration dialog will appear 2 Click on Select to see full details of this target 3 If Advanced DICOM Print has not been entered as an item in the targets list then fill in the relevant settings Note The target details for this application are usually AET ADV PRINT DICOM PORT 4008 and IP 127 0 0 1 Select this new target and click OK Click OK on the DICOM Configuration to save settings Close QPC Print Tool and reopen Select DICOM Application Printer Server Click on the Settings button The DICOM Configuration dialog will appear Click Select to see full details of this target If DICOM Application Printer Server has not been entered as an item in the targets list then fill in the relevant settings E Note The target details for this application are usually AET PRINT_DICOM PORT 3008 and IP 127 0 0 1 10 Select this new target and click OK 11 Close QPC Print Tool and then reopen the program 12 Go to Advanced DICOM Print and test the printer Note This assumes that the user has the DICOM PRINT target selected as the default printer to print to To set the DICOM Print target as the default printer select the Printer tab in ADVANCED DICOM PRINT and select the DICOM PRINT button 13 If this fails recheck that multiple instances of QPC Print Tool are not open in Task Manager Properties Ensure th
56. inimize The Minimize button hides the Clarity window without exiting the viewer Search Filter Presets LTD Configuration a a og C Search By Filter By Facility Name From Date a Patient Name Ba everything in archive hor 2 1931 omo Fitters Search For Study Status Modality Referring To Date Manage a CS CCT CA May 21 2013 23 59 Filters Search Keys Search Filters Search Keys The Search Keys located in the upper left hand corner allow the User to search by patient last name patient ID accession number or study ID Select one of these from the Search By drop down menu and then enter the search criteria in the Search For box below As soon as the User begins typing the results of the search will appear in the Patient Study Search Results Work List located near the middle of the screen Search Filters Search Filters are used in conjunction with Search Keys to help narrow the results of a search The Search Filters can filter by study status modality facility name date and or referring physician Filter Presets Filter Presets are user defined allowing the User to define an optimal workflow The Filter Presets can be accessed in a drop down menu in the upper left part of the Search Filters box Clicking the drop down menu will reveal a list of the default Search Filters Creating and Editing Filter Presets The User can edit amp define new Filter Presets by clicking on the Manage Filters b
57. is 90 percent full or greater e Orange When the Archive is 93 percent full or greater e Red When the Archive is 95 percent full or greater O 2007 2014 Page 35 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 36 Logging Out amp Quitting To log out of the Clarity Viewer click the Log Out Crow button located in the upper right hand corner of the Work List window Logging out of the Viewer leaves the application open but will require the User to enter a name and password to be able to access data again To quit the Clarity Viewer click the Quit button located in the lower right hand corner of the Work List window Quitting the Viewer means the User will have to re open the application to access data again oma To minimize the Clarity Viewer click the Minimize button located in the lower right hand corner of the Work List window Minimizing the Viewer allows the user to hide the Viewer without exiting the program This can be useful if the user needs to utilize other programs and doesn t want to quit out of Clarity 2007 2014 Page 36 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Chapter 3 Operation and Usage Workflow Controls i Note Es Workflow control buttons may appear grayed out a certain times A grayed out Workflow button means that the User may not us
58. it String Value name M O N T O R_ E N A B L E D1 OOO Value data false a On the next launch of the Clarity Viewer the primary Windows monitor should be the only monitor Clarity uses From this point the User may log into Clarity and re configure the monitors as described in Section Monitor Configuration Options on page 24 2007 2014 Confidential and Proprietary Property of iCRco Inc Page 86 of 86 Doc HC CLS 0019 09 Rev January 10 2014
59. l vertically invert the image To use the Flip tool locate it in the tool bar then left mouse click once to flip the image Mirror The Mirror tool will horizontally invert the image To use the Mirror tool first locate it in the tool bar then left mouse click once to mirror the image Rotate Left amp Right The Rotate Left and Right tools will rotate the image in 45 degree increments to the left or right depending on which button the User chooses Zoom to Full The Zoom to Full tool magnifies the image to a level in which the entire image can be seen Zoom to Pixels The Zoom to Pixels tool magnifies the image to a level in which one pixel in the image is equivalent to one pixel on the screen 2007 2014 Page 51 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 52 Measurements Measurement The Measurement tool allows the User to make a linear measurement directly on the image To use the Measurement tool first select the tool from the tool bar then mouse click and hold at the point where the measurement starts then while holding the mouse button drag the mouse to the end point of the measurement and release the mouse button While dragging the User will see the measurement You can move the measurement around the image by selecting it the User will know the measurement is selected when four dots show up around the measu
60. lace the second point at the top of the sacrum S1 cervical body 3 Place the third point on the edge of the mid vertebral body between T12 and C7 this will create a curve parallel to the spine The completed curve will appear as a solid line and display the radius in mm and degrees The reference curve will appear as a dashed line Dot Place a dot on a region of interest by clicking on the desired spot It is possible to modify the diameter and color of a dot by changing those settings in the toolset Note En The dot will grow or shrink when zooming into or out of the image respectively Other Tools Horizontal Line The Horizontal Line tool allows the user to create a horizontal line on the image Vertical Line The Vertical Line tool allows the user to create a vertical line on the image O 2007 2014 Page 63 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 64 Parallel Lines The Parallel Lines tool allows the user to draw a line The user 1s then tasked to place a second line parallel to the first The tool will then display the distance between the two lines Disk Slippage The Disk Slippage tool allows the user to determine the percentage and distance measurements of one disk in relation to another Pelvic Incidence Tool The pelvic incidence tool assists the user to measure the three main pelvic parameters which a
61. ll the logger levels provided below the Info level in the combo box So the log report shows all the levels below the selected level in the combo box including the selected level itself in the log report So 1f the user selects Debug level then all the levels will be shown in the log report Percent Confidence in Memory Prediction This option is set to 100 by default To get more information on what it actually is click on the button having on it An Information Message box pops out giving the details about percent confidence in memory prediction Important It is highly recommended that this value remain at 100 percent If necessary the value should only be modified by qualified personnel Information Message E Percent Confidence in Memory Prediction Usage Do not change this value unless you are sure you know what you are doing 100 is highly recommended What this setting is referring to In order to prevent surpassing the memory availability we predict the amount of memory it would take to load a patient and manipulate the images 100 means you are fully confident that enough memory is available but it also means we may not be able to load some large studies By lowering the confidence you may gain the ability to load a study but you may also run out of memory and cause the program to crash FORA Percent of Disk Full before Deletion Clarity automatically caches opened studies eventually filling up the
62. m the worklist 2 On the Studies screen click the Print button The Print tool will be launched 3 The program may ask you to allow QPCPrintTool exe to run Click Yes Note If the Print Tool is already running you may receive a warning You can either add the studies to the program or restart the program Drag and Drop Images To drag images into the print region hold the left mouse button down on one of the image icons on the right hand side and drag it into the preview window A dragging cursor will appear A as the user drags the image from the image icon window to the preview window If the user is out of the accepted region for dropping a cursor S will appear letting the user know that this is not a correct region to drop the image into Split the Preview Window into Regions To split the preview window the user needs to first select the region to split For example if there are currently no divisions in the preview window then click anywhere in the preview window and a green line will appear around the window This will enable the image division buttons Alternatively the user can press Shift right mouse click inside the preview window region to split 1t A pop up menu will appear with these division buttons as the image to the right shows O 2007 2014 Page 71 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc DICOM Printing 72 1 19 B08 8 ere ae b
63. nd side of the screen will make the tool bar appear so that the User can select the necessary image manipulation tool Moving the mouse to the bottom of the screen will make the thumbnails associated with the study appear To load a different image into the image manipulation window drag the thumbnail into the image manipulation window and it will automatically load Frequently Used Tools The Clarity Viewer keeps track of how often tools are used and the most frequently used tools populate the bottom area of the tool bar giving the User quick and easy access to their most used tools The User may set the number of frequently used tools by going to Configuration gt Tools tab In the Tools tab the User may also reset the frequently used tools count which will clear all the tools from the frequently used tools section of the tool bar The User may also remove one tool at a time from the frequently used tools section by Ctrl Alt mouse clicking on the tool in the tool bar Locking the Tool bar The User has the option to make the tool bar always visible Clicking the Lock button at the bottom of the tool bar will cause the tool bar to be always visible Deselecting the button will return the tool bar to its hidden state Default Mouse Actions When the Viewer window is first opened the mouse buttons are automatically mapped to image manipulation tools The mapped mouse button is indicated by a mouse icon on the upper right hand corner o
64. nfidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 28 Type in the details for the Key Text and click Save Key Select a Key Text and click Remove Key to delete the Key Text Click Apply and restart the Clarity Viewer to make the changes effective To use this feature ey 7 1 Select a patient from the worklist and open any image Click the Reports button on the left panel and the click Write Report Type the Key Text wherever you want the Expansion Text Press Shift Key Space Bar The Key Text will be converted into Expansion Text oS Sa Annotation Options Preferences Configuration Version 4 13 Server IP 192 168 0 127 Connection Monitor Reporting Annotations Language Tools License Information Server Hanging Protocols Advanced Annotation Type Annotation Color All m Swatches HSV HSL RGB CMYK Curve Tool ma Type Radius NN SN SansSerif A 20 1 Ci Gi mm Annotation Line Thickness 2 5 c2 i mm e LOU mm Warn before clearing annotations Sample Text Sample Text W Start text arrow on click Display Radius m Show cross section projections by default a k a X Ref lines Cobb angle indicator nes m Click below to test Angle arc on first point second point Annotation Unit rn Flash Mammo CAD Markers Show measurement backgrounds Show Measure Distance dashed lines E PLt sp Angle precision ar Rad chia a Eat m ty Remo
65. o create a new folder click the Add Child button Name the label Then add a child to the label you just created This will convert the label to a folder To remove a label or folder select the item and click Remove Note Removing a folder will delete the folder and all labels within it To edit the name of a label or folder select the item and click Edit It is possible to reorder the predefined label list by using the up and down buttons Select the item you wish to move then click either button to move it Note If you click within the grey testing area you can see what the predefined label menu will look like E Note Predefined Labels is part of the Advanced Tools This setting will be greyed out if the Advanced Tools feature is not activated on the dongle license Language Options The Language options can be accessed by clicking on the Configuration button This will bring up the Preferences dialog From there click the Language tab Server IP 192 168 0 134 Timeout Monitor Reporting Annotations Compression Language Meee encish eae Sansserit Print Tool Language Engish Changing the print tool language may require changing the locale of your computer ControlPanel gt Region and Language gt Administrative gt Change system locale Locale Setting the locale will set the language text orientation left to right or right to left and date amp time for the given region Currently supported locale
66. oss of data Making regular data back ups is the only way to ensure data integrity CRco assumes no liability for lost or corrupted data while following these instructions 1 Go to Start gt Run Type the name of a program folder document or Internet resource and Windows will open it for you n regedit am w 2 Regedit will open 3 In the file tree on the right side of Regedit go to HKEY CURRENTA_ USER gt Software gt JavaSoft gt Prefs gt com gt icrco gt ui gt prefs gt sys Registry Editor Dal File Edit View Favorites Help E My Computer Name Ji a O ab AIN N O_ LLIN E_ITIM L CIKIN E S S_JA NIN O_ H U_JR O I ip Ca Di ab A N N O_ L LINE_ T H L C KIN E S S_JAIN N O_ L LIN E cia ab a N N O_ L LIN E_ T H L C KINJE S S_JAJN N O_JM E A S U RJE_ L LIN E Me mui ME ab A N N O_ L LIN E_JT H L C KIN E S S_JA NIN O_ RIE C T AIN GAL E UN otaaciod ab A N N O_ L LIN E_ T H L C KIN E S S_JAJN N O_JS M AJR T_JW H Identities BB JA NN O_ L LIN E_JT H L C KINE S S_JAININ O_JT E X T amp Ga Keyboard Layout ab A NY N O_ L LIN E_ T H L C KIN E S S_JAJN N O_JT E X T_JAJR R ONV of lab a N N O_JS T A RT_JT E X T_JAJRJRJONW_JO N_JC L L C K 9 Network ne E Printers ab C EMN TJERR_A INE JFJONNICITAJON 3 SessionInformation ab 3 P E G_ C O M P RIE S S T O N S E Software 4m B a s T_ U S E D_JR L SW O RIKALAYS T_IF MASTER Everything In Archive w 7Zip lab L O C A LJE en U
67. ossless JPLL compression services Lossless compressed images can be used for primary image interpretation It is possible for Clarity to receive images from outside sources that were compressed using lossy compression services The software can accept JPEG Lossy JPLY images from other sources but does not apply this compression service Lossy images may not be used for primary image interpretation The user may determine if a lossy compression service was used on an image by checking the DICOM tags To check 1 Open the image in the Viewer 2 Press Ctrl D on the keyboard This will open a dialog box with the list of the image s associated DICOM tags 3 Locate the DICOM tag labeled 0028 2110 This is the Lossy Image Compression tag Note If this tag does not exist the image was not subjected to lossy compression 4 Ifthe tag exists examine the tag s value If the value is 00 then the image was not subjected to lossy compression If the value is 01 then the image was subjected to lossy compression and may not be used for primary image interpretation S DICOM Tags Co lla z Tag Description emamo 002o 0103 rrer mrepesS U 0028 0106 Smallest Image Pixel Value 17292 0028 0107 Largest Image Pixel Value 65535 0028 0301 Burned In Annotation NO 0028 1040 Pixel Intensity Relationship LOG 0028 1041 Pixel Intensity Relationship Sign 1 0028 1050 Window Center 45219 0028 1051 Window
68. out button will pop up the Layout Selections dialog box Predetermine Window Level The Predetermined Window Level tool applies a specified Window Level values to the image that had been previously been set by the user Mark Key Image The Mark Key Image tool classifies the current viewed image as important All marked images are attached to reports O 2007 2014 Page 48 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 49 Key Image Montage The Key Image Montage tool changes the display to only show the marked images Cine Tools Scroll The Scroll tool allows the User to scroll through a series of images To use the scroll tool first select it from the tool bar Then mouse over the image and move the mouse vertically Hotkey S X Ref The X Ref tool allows the User to show cross reference lines on two overlapping anatomic views from the same study To use the X Ref tool first select it in the tool bar Then click on the image that the User wants cross referenced and the cross reference lines will appear Hotkey X E 1 _ _ ke E Te Quit Work List Viewer Save study Figure 2 Cross references lines in the Clarity Viewer Linking The Linking tool allows the User to apply the cine operation to two different series that were acquired using the same view To use the Linking tool first select it from
69. p lips AT 20 minutes aa DICOM Send 20 minutes Kaa PERA MBE Default Server server 14 a vor weenie Cancel a Apply The Connection Tab in Preferences control the various settings related to digital communication between the Viewer and Archive The user can control timeout server selection and help tip settings in this tab Show Help Tips Clicking the Show Help Tips button will bring up the Tip of the Day window Here the user can view the various tips or enable disable the feature by checking or unchecking the Show tips on startup box Inactive Timeout The Inactive Timeout preference allows the User to specify the length of time before the Clarity Viewer automatically logs out To modify the Inactive Timeout preferences click the Connection tab in the Preferences dialog Select the desired length of time The default duration is 20 minutes DICOM Send Timeout The user can set how long Clarity PACS will attempt to DICOM Send a study to an Archive before stopping due to timeout Servers Field The Servers field lists the Clarity Archive servers currently registered on the view station From this screen a user can add edit or delete an archive from the list Default Server The user can select which archive is the default server from the dropdown menu 2007 2014 Page 23 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 24
70. paired and replacement products may be or include refurbished or remanufactured parts Any replacement item assumes the remaining warranty period of the original product 1CRco provides no warranty for any third party hardware or software included with any product or later acquired Software Limited Warranty Support iCRco warrants that its QPC XSCAN32 Captera XC and or Clarity PACS software originally provided with any product will substantially conform to CRco s specifications and that the media not including hard drives on which the software is furnished will be free from defects in materials and workmanship under normal use for a period of one 1 year from the date of original shipment from iCRco 1CRco s sole obligation under this warranty is limited to making reasonable efforts to ensure such conformity and to supply the consumer with a corrected version of the software as soon as it is practical after the consumer has notified 1CRco of any nonconformity 1CRco does not warrant that the operation of any software will be uninterruptible glitch or error free or that functions contained in the software will operate in the combinations which may be selected for use by the user or meet the user s requirements This limited software warranty will be void if the software 1s modified without the written approval of iCRco or is used outside of the recommended parameters or equipment CRco does not provide any warranty or support for any other softwa
71. pening filter to the image To use the Sharpen tool locate it in the tool bar and click it Depending on the size of the image it may take a few seconds before results are seen Histogram Equalization The Histogram Equalization tool allows the User to apply a histogram equalization filter to the image The Histogram equalization tool takes an image that has most of the usable data represented within a close contrast range and spreads out this data over the available grayscale values to improve contrast visibility To use the Histogram Equalization tool locate the Histogram Equalization button in the tool bar and click it Depending on the size and bit depth of the image it may take a few seconds before results are seen The User may need to re window level after applying a histogram equalization Undo F gt 7 The Undo tool reverses the action of the previous Sharpen or Histogram Equalization filter Redo The Redo tool reapplies the last filter that was reverted using the Undo tool Reporting Tools Note hs No annotations or manipulations W L Pan Zoom Arrows etc will be included on images in reports The Reporting Tools are a suite of functions designed to allow the Users to share view print and send reports from the Clarity Viewer 2007 2014 Page 56 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 57 Attach PDF The Atta
72. product is limited to the repair or replacement of the defective product iCRco shall have a reasonable time after determining that a defective product exists to repair or replace a defective product iCRco s entire liability for any product is limited to the actual purchase price for the product This limitation applies even if iCRco cannot or does not repair or replace any defective product IN NO EVENT WILL iCRco BE LIABLE FOR ANY GENERAL SPECIAL CONSEQUENTIAL OR INCIDENTAL DAMAGES including but not limited to damages related to the loss of use loss of recorded product the installation of replacement product or any inspection testing or redesign caused by defect or by the repair or replacement of any product arising from a defect in any product This exclusion of damages applies even if the 2007 2014 Page 12 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc iCRco Warranty 13 customer advises CRco or an iCRco dealer of the possibility of such damages This limitation of remedies also applies to claims against any suppliers or dealers of iCRco 1CRco and its suppliers and dealers limitations of remedies are not cumulative Such suppliers and dealers are intended beneficiaries of this limitation 1CRco is not liable for any claim by or against the customer arising from a third party claim 2007 2014 Page 13 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary Janua
73. re iCRco agrees to provide one 1 year of telephonic and or e mail based support for QPC XSCAN32 Captera XC and or Clarity PACS software originally provided with any new iCRco product from the date of original shipment from 1CRco All software support shall be limited to making reasonable efforts to resolve CRco software issues and shall be limited to iCRco s regular business hours In addition iCRco will provide revisions and upgrades to its software upon request when available during the first year after the software was originally shipped from the iCRco factory The initial support period will include support via remote login software only if the customer has access to the Internet from that PC and only if the customer agrees CRco shall have no liability in connection with its support efforts Remote login software allows iCRco technical support to remotely access the customer s PC via the Internet for the purposes of rendering technical support Please note that this warranty including software support does not include computer hardware third party software or operating system or network issues which are outside the control of CRco Warranty Product Technical Requirements iCRco requires that all DR CR Scanner and or products requiring PCs be fitted and installed with a 1300VA 780W uninterruptible power supply UPS CRco recommends the APC 1300 specification UPS or equivalent For warranty evaluation and service 1CRco r
74. re pelvic incidence sacral slope and pelvic tilt To use the pelvic incidence tool first select 1t from the Advance Toolset menu then draw a line across the sacral plate by mouse clicking at the start point of the sacral plate drag the sacral line and mouse clicking at the end point of the sacral plate Next drag down the cursor to the center of the femoral head and mouse click to the draw a line connecting the midpoint of the sacral plate and the center femoral head Upon completion of this process the angles for the sacral slope the pelvic incidence and the pelvic tilt will be shown at their respective positions Distance from Horizontal tool The distance from horizontal tool allows the user to measure the horizontal distance of a point perpendicular from its respective vertical line To use the sagittal vertical axis tool first select 1t from the Advance Toolset menu then mouse click to automatically draw a vertical line on the image Next mouse click at a desired point perpendicular to the vertical line and the horizontal length between the point and the vertical line will be displayed on the image By clicking and dragging on the horizontal point the User can adjust the measurement of the distance from the horizontal line 2007 2014 Page 64 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 65 Distance from Vertical Tool The distance from
75. recommended not to run this application unless you are Familiar with its source More Information Select the box below then click Run to start the application v Laccept the risk and want to run this application 6 The Clarity Viewer will open and display a login dialog Note This process will only need to occur once on each workstation After the initial installation of the Viewer a shortcut will be placed on the desktop O 2007 2014 Page 20 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 21 Quick Launch of Clarity Viewer CRCo Clarity After the initial installation of the Clarity Viewer a shortcut to the application is placed on the User s desktop To launch the Clarity Viewer simply double mouse click on the desktop shortcut Logging In After launching the Clarity Viewer will open and present a login dialog box Enter a User name and password then click OK to continue Note E The default username and password is user and user User Suthentication CLARITY PACS PACS MADE CLEAR 310718 192 168 0 134 pa User ID MI Password HEAR MLDAP Authentication Note If you do not have a User name and password please contact your System Administrator LDAP Authentication If the Clarity Archive 1s set up with LDAP Lightweight Directory Access Protocol then check the LDAP Auenthication box
76. rement then dragging it around the screen To remove the measurement select 1t and hit the Backspace key Hotkey M The HU tool or Hounsfield Unit will convert the gray scale value on the image to a pixel value Hounsfield Unit To use the HU tool first select the tool from the tool bar then move the mouse to the desired area and click A cross will appear displaying the Hounsfield Unit at that point Hotkey H The HU ROI tool or Hounsfield Unit Region of Interest will take a selected region average the gray scale unites for the region then convert the average gray scale unit into a Hounsfield Unit The tool will display the Hounsfield Unit measurement the standard deviation of the pixel value and the area of the circle in em To use the HU ROI tool first select 1t from the tool bar Then click hold and drag out the box Release the mouse button when the HU ROI box is the desired size Hotkey R Angle The Angle tool allows the User to measure angles on an object in the image The Angle tool is able to display the interior or exterior measurement of the angle To use the Angle tool first select 1t from the tool bar then move your mouse to where the vertex of the angle will be mouse click hold and drag out one leg of the angle When the length of the leg 1s satisfactory release the mouse button The second leg of the angle is drawn by moving the mouse to the desired end point of the second leg and mouse clicking This
77. rior measurement mouse over the acute or obtuse side of the Cobb Angle and mouse click again The measurement will appear Center Line The Center Line tool allows the User to annotate in four different methods a center line or point on the image The User may select the Center Line annotation type by navigating to the Work List gt Configuration gt Tools tab To use the Center Line tool first select it from the tool bar then Two Points no Line click and drag CHESTE MARY Pat ID 10085 5 AAA HEEE A EEE o a Figure 3 Center Line Tool Two Points Without a Line To use the Center Line tool with two points and no line mouse click at the desired start point hold and drag the Center Line annotation to the desired length When the Center Line is correctly positioned release the mouse button The square indicates the center point between the two circles Two Points with Line click and drag CHESTE MARY Pat ID 10085 xX 0 KU a SSS Figure 4 Center Line Tool Two Points With a Line To use the Center Line tool with a line mouse click at the desired start point hold and drag the Center Line annotation to the desired length When the Center Line is correctly positioned release the mouse button The square indicates the center point between the two circles with a straight line passing through all points 2007 2014 Page 53 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014
78. rst select the monitor to apply the layout to then select the layout view to use and the image manipulation window will split into the desired number of panes The images in the series will then populate the pane To return to viewing one image click the single box in the upper left hand corner of the layout selections dialog box Images of the CT modality will automatically open four viewing panes and the MR modality will open nine viewing panes The User may change the number of panes for the CT and MR modality by clicking a different layout view from the Image Layouts dialog Next amp Previous Image l Series These buttons move to the next and previous images in the patient study when inside an image manipulating window The buttons can be revealed by hovering the mouse over the upper right hand corner or the image manipulation window The left and right arrow keys will also advance the User through the images in a series Hotkey Right Arrow Next Image Left Arrow Previous Image Next amp Previous Series These buttons move the User to the next and previous series in a study The buttons can be revealed by hovering the mouse over the upper right hand corner or the image manipulation window The up and down arrow keys will also advance the User through the series in a study Note You can move to the Next Series by pressing the Up Arrow and move to the Previous Series by pressing the Down Arrow 2007 2014 Page 46 of 8
79. rt against unsafe practices Note ic A NOTE indicates important information that helps you better utilize your CR Unit and Software E Important An IMPORTANT indicates either potential damage to hardware or loss of data and tells you how to avoid the problem Malfunctioning Equipment If any 1CRco software product shows signs of malfunction try restarting the computer if the problem persists or is reproducible discontinue the use of the product immediately and contact Technical Support at 310 921 9559 Mammography Access to Clarity Viewer s mammography feature is controlled by the USB Dongle Key Clarity PACS Clarity Viewer is a component of the 510 k cleared Clarity PACS K002911 Indications for Use Clarity Viewer is software that retrieves digital images and data from various sources e g CT scanners MR scanners ultrasound systems RIF Units computed amp direct radiographic devices secondary capture devices scanners imaging gateways or other imaging sources Images including mammography and data can be retrieved and displayed within the system and or across computer networks at distributed locations 2007 2014 Page 9 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Safety Information 10 Clarity s archiving engine utilizes lossless algorithms for compression services JLSL J2KR and JPLL Lossless compressed mammographic images can be reviewe
80. ry 10 2014 Property of iCRco Inc iCRco Warranty 14 O 2007 2014 Page 14 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Revision History 2009 04 06 Initial release 2010 03 03 Updated with 1 3 features 2010 07 08 Added CE and FDA approval label 2010 10 05 Updated with 1 4 features 2011 03 09 Updated minimum computer requirements 2013 05 23 Updated for 4 8 Release 2013 07 30 Frontmatter Update 2013 07 31 Updated for 4 10 Release 2013 12 20 Feature Clarification 2014 01 10 Updated for 4 12 Release O 2007 2014 Page 15 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Revision History 16 O 2007 2014 Page 16 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Chapter 1 Introduction Overview Clarity is an easy to maintain scalable digital image and information management solution Clarity provides a secure HIPAA compliant image management and display for medical imaging modalities including Computed Radiography CR Magnetic Resonance MR Computed Tomography CT and Ultrasound US The Clarity Archive provides DICOM services including DICOM storage DICOM routing and DICOM Modality Work List for patient information systems The Clarity Archive also includes integration with most existing RIS and HIS systems The Clarity Archive
81. s and port number Ensure the compression is set to none and the Target Type is DICOM Click OK 7 In the Image Targets window select the target you just created then select the OK button In the DICOM Print Settings window select the OK button 8 In the Advanced DICOM Printer window select the Printer 1 button or the applicable printer then select the Test Printer button to test the association to the printer 2007 2014 Page 82 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Clearing the Java Cache Clearning the Java Cache will remove Java Web Start programs 1 Goto Start gt Control Panel gt Java 2 Locate the Temporary Internet Files section Click the Settings button 3 Click the Delete Files button 4 Make sure Applications and Applets and Trace and Log Files are both checked then click OK The Java Cache 1s cleared O 2007 2014 Page 83 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Clearing the Java Cache 84 O 2007 2014 Page 84 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setting the Display Back to Default Using Regedit If the monitors are not displaying properly the User should reset them to their default state Warning Improper editing of the Windows Registry may result in a non functioning system and or l
82. s are Chinese English German Hindi Japanese Portuguese Serbian Spanish and Thai 2007 2014 Page 30 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 31 Font The font option allows the User to select the font face for the application This includes the font face for the Work List and all dialog boxes inside the Clarity Viewer application but does not include annotation fonts which are set separately in the Annotations tab See Section Annotations on page 54 for more information on setting Annotation fonts Print Tool Language The user may choose which language the QPC Print Tool uses Note It may be necessary to change the computer s locale in order for QPC Print Tool to properly display the selected language Tools Options The Tools options can be accessed by clicking on the Configuration button This will bring up the Preferences dialog From there click the Tools tab Preferences ES Configuration Version 4 13 Server IP 192 168 0 127 Connection Monitor Reporting Annotations Language Tools License Information Server Hanging Protocols Advanced Center Line Options Select Default Tools Per Modality O Two Points no Line click and drag MN CR ma Two Points with Line click and drag Mouse Button 1 Pan Four Points Eight Points with Angle Mouse Button2 Zoom Mouse Button 3 Whe mP a Default Overlay Norma
83. screen and it will load automatically Ser 0 Img 141 Fro 1i Load 100 Report Templating The Report Writer tool includes a templating feature for writing a report To apply a template to a report O 2007 2014 Page 58 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 59 In the tool bar click the Write Report button In the drop down menu next to the Apply Template button select the desired template Click the Apply Template button The template will populate the Report text boxes i a i Creating a New Report Template 1 In the tool bar click the Write Report button 2 Fill in the desired fields for the template The User does not have to fill out all fields For example the User could fill in only the Fax and Notified fields 3 In the drop down menu next to the Apply Template button select Create New Click the Apply Template button 5 Assign a name to the new template then click Ok to save the new template Deleting a Report Template 1 In the tool bar click the Write Report button In the drop down menu select the Template to be deleted Click the Delete Template button The Delete dialog will pop up Click OK to delete the template SS Advanced Tools The Advanced Toolset allows the user to utlize various tools These tools are more specific in function than the general tools and thus may be of interest to
84. ss and contrast of the image By default this is mapped to the right mouse button To use the W L tool first select it from the tool bar Then hold down the mouse button and move the mouse horizontally to adjust the contrast of the image and move the mouse vertically to adjust the brightness of the image Hotkey W Smart Window Level 2007 2014 Page 47 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 48 The Smart Window Level tool allows the User to do an automatic Window Level optimization determined by a user selectable box To use the Smart W L select the tool from the tool bar then click hold and drag to draw the box Release the mouse button when the box 1s a sufficient size The box will optimize the W L setting for the selected area Invert The Invert tool will invert the colors of the image To use the Invert tool first locate 1t in the tool bar Then single mouse click to invert the image Reset The Reset button will return the image to the state it was in when it was opened It will remove any Window Level Zoom Invert and Rotation manipulations done to the image It will not however remove annotations on the image To use the Reset tool locate it in the tool bar then click it once to reset the image Image Layouts The image layout tool allows the User to compare two or more images side by side Clicking on the Image Lay
85. strator to assign a domain name to the Clarity Viewer Any Workstations wishing to access the Clarity Viewer via a domain name must be configured on the same Windows domain as the Archive Domain misconfiguration may result in a non functioning Clarity Viewer Firewall Configuration Workstations wishing to use the Clarity Viewer or DICOM Send and Query Retrieve to the Clarity Archive need to have TCP ports 104 DICOM 8443 Clarity launch page SSL port and 11112 Clarity Archive port and UDP port 137 data transfer open in the Windows firewall and any third party hard and or software firewalls running on the network Updates When a new version of the Clarity Viewer has been deployed to the Clarity server the Clarity Viewer software will automatically update itself from the Clarity server onto the Workstation on the next launch Launching the Clarity Viewer Initial Installation and Launch of Clarity Viewer 1 Launch the web browser 2 In the address bar enter https IPADDRESS 8443 icrco viewer where O 2007 2014 Page 19 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Setup and Configuration 20 TPADDRES S is the IP address of the Clarity Archive Note E It is recommended that the user register a domain name for the Clarity server and purchase an SSL certificate from a trusted Certificate Authority when using remote viewing These actions help ensure secure d
86. t from the drop down menu Click the Apply button to save the changes Report Fonts Size The User may configure the body text font size used when writing reports in the Clarity Viewer Select the desired font size from the drop down menu Click the Apply button to save the changes Report Header Font Size The User may configure the header text font size used when writing reports in the Clarity Viewer Select the desired font size from the drop down menu Click the Apply button to save the changes Report Confidentiality Font Size The User may configure the Report Confidentiality text font size used when writing reports in the Clarity Viewer Select the desired font size from the drop down menu Click the Apply button to save the changes Report Site Label Font Size The User may configure the Report Site Label text font size used when writing reports in the Clarity Viewer Select the desired font size from the drop down menu Click the Apply button to save the changes Report Site 7 EE Preferences Configuration Version 4 6 1 Server IP 192 168 0 109 Timeout Monitor Reporting Annotations Compression Language Tools License Information Hanging Protocols Advanced Select a button that associates with properties that you want to configure Report Icon Confidentialty Agreement e informatio t dinth nication is privileged and confidential information intended for the sole use of the medica a Es mi n contained in this commu
87. te sec doce re assis ete sean 59 Peric A A A en Ce gas Se eae 59 SEA PP lan tnd aa tates cata er oad tes E 63 Bin a COD Da eam REE E Oy ce REE 67 Savna 1016 Cada Sl o een er 68 Clary Ao HOKE YS aaie e AEE ch ns ce E is eas nae A alg rene wwe ea es 69 Chapter 4 DICOM Print Ge cccsesevvcssatevessssvecesasvatavatasssesccceweseyesvsntessstaaseaveuneaveseaees DA Advanced DICOM Pt ocio 71 Primi toa Paper PrN mister dl ia 76 DICOM Print Troubleshooting tor W iad Ow s 2 o 81 Configuring a Punter with the QPC Print o de ld 82 Clearing th Jaya Cathe seni ds 83 Setting the Display Back to Default Using Regedit sssssssssccccccssssssssscccccssseeesssssees 85 2007 2014 Page 3 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Contents 4 O 2007 2014 Page 4 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Copyright and Proprietary Notice Proprietary Notice and Disclaimer The information herein disclosed is the property of iCRco Inc Information in this document is subject to change without notice and does not represent a commitment by CRco to incorporate changes or improvements in units previously sold or shipped No part of this document may be reproduced or transmitted in any form electronic or mechanical including photocopying and recording for any purpose other than the purchaser s own use without
88. the express written permission of iCRco Copyright Copyright iCRco Inc 2003 2013 All rights reserved Trademarks CR 1000 CR 1000 Dual iCR 2600 CR 2600 Dual CR 2600SF CR Vet CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR 3600 CR 3600SF CR VERTX iDR Fusion DCR Chrome Chrome Duo Air DR Fusion DR Mobile QPC XSCAN32 Captera XC and www icrco com are the trademarks of 1CRco All other trademarks are the property of their respective owners and are hereby acknowledged Terms Any one of the following CR products will be referred to as the CR unit throughout this document CR Vet CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR 3600 CR 3600SF CR VERTX CR Fusion Chrome Chrome Duo Any one of the following CR products will be referred to as ICR desktop unit throughout this document CR VERTX The iDR and Fusion DR Mobile will be referred to as the DR unit throughout this document O 2007 2014 Page 5 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Copyright and Proprietary Notice 6 O 2007 2014 Page 6 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Contact and Product Information
89. tient selected in the Sorted Studies Work List Thumbnails The thumbnail previews are shown at the bottom of the screen when a study is selected in either the Sorted Studies or Grouped Studies Work List Status The Status column uses colors to indicate the current loading state of the study e Black The image is located on the server e Blue The image is queued to be downloaded from the server e Yellow The image is currently downloading from the server e Green The image has been retrieved from the server and is stored in the cache It can be viewed Note It is possible to query and retrieve multiple studies without opening them Viewing Selected Studies From the Work List To view a Selected study the User may double click the desired study in the Sorted or Grouped Studies or the User may double click the preview thumbnail at the bottom of the Work List From the Image Viewer window 2007 2014 Page 40 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 41 To view a selected study mouse over the bottom part of the window to reveal the thumbnails associated with the study then drag and drop the desired image into the image manipulation window and the image will load Lossless and Lossy Images Clarity uses lossless algorithms for image compression The software supports JPEG LS Lossless JLSL JPEG 2000 Lossless J2KR and JPEG L
90. tion the filter will automatically reorder the studies so that studies marked as stat are shown at the top of the list Note It is possible to mark a study as stat by right clicking on the study in the worklist and selecting Change Stat To unmark a study simply select Change Stat on the study once more Status Modalities Series Images Patient Name PRICR 2 30 8625 5555555 PRIDX 3 5 ww SIM PRICR 2 111 1 7 0 6 TEST PRICR 2 5 EE EEEE AA PRICR 2 48 VET VET View Study F5 2 PRICR T eN le QueryRetrieve Study F4 PR DX 2 325 an UUDA Set Study Read Status PRICRISR 8 31 ASF ASD Attach PDF PRICR 7 54 ASDFF ASF Viewable Columns b PRICR 10 108 ASDFG ZCXZC PRICR 10 18 ASFAF FASFF PRIDXISR 4 5 Di2 dnsznnmsva Set Referring Physician Group gt Sees al Enable Date Range Filtering This option directs the filter to only display studies within a specified date range O 2007 2014 Page 39 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 40 Work List LT Configuration Fitter By Facility Name From Date CLARITY PACS Eseosningin archive gg a BIA MIA CEA Study Status Modality Referring ToDate FF CET ace Ig Wet 23 59 Status Stat Study Status Patient ID Patient Name Date of Birth Sex Study Description StudyID Modalities StudyDate Series Images Facility Unread 10058 ORIENTATION TEST 2013 01 01 F CHEST LS
91. ts the line to begin then while still holding the mouse button drag out the line Release the mouse button when the user want to end the line Circle The Circle tool allows the User to draw circles or ellipses on the image To use the Circle tool first select the tool then mouse click and hold where the User want the circle to begin and while still holding the mouse button drag the circle out to encompass the region of interest When finished release the mouse button to finalize the circle The Text tool allows the User to add text notes to the image To use the Text tool first select the tool then mouse click where the text should appear A dialog box will appear Enter the desired text and click OK The desired text will appear where the mouse was clicked Hotkey T Overlay 2007 2014 Page 55 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 56 The Overlay tool toggles the amount of information displayed on screen With this tool the User can display different levels of information about the image To use the Overlay tool locate the it in the tool bar then click the Overlay button There are three different levels of information that can be displayed so the User can click the Overlay button several times to display different amounts of information Filters Sharpen A The Sharpen tool allows the User to apply a standard image shar
92. u Left click on the image a drop down menu with the predefined labels will appear Selecting one of the labels will place the label on the image Note To set up Predefined Labels go to Predefined Labels on page 30 2007 2014 Page 65 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 66 Angle from Horizontal Given two points the Angle from Horizontal tool allows the user to determine the angle between the line formed by those two points and the horizonal axis To use the tool select two points on the image This will create a line between the points and display the angle measurement By selecting the angle text and moving 1t around the image 1t 1s possible to display complementary angles Angle from Vertical Given two points the Angle from Vertical tool allows the user to determine the angle between the line formed by those two points and the vertical axis To use the tool select two points on the image This will create a line between the points and display the angle measurement By selecting the angle text and moving 1t around the image 1t 1s possible to display complementary angles Circle from Points The Circle from Points tool lets you create a circle from a series of points To use the tool select at least three points on the image When finished selecting points click one of the existing points Clarity will create a best
93. up asking for the save location Select a location then click Save The report will be saved to the location the User chooses The report can then be opened using any PDF viewer TE Export Report C Documents and Settingsimsemrck Deskt CI My Documents A Documents E My Computer 5 HL 5 My Network Places 3 hudson PhotonMainCI 258 A LaTeX Documentation A LaTeX subsections sty test Ci Clarity Road Map and Omnilingua Documents CI Photon Outline Screenshot ci cvs LI TeXworks_v01r322 Fr File Name Report Doel0004 2009 07 17 _1 1 41 1 3 pdt j Files of Type CO Save Cancel Save Image The Save Image tool allows the user to save an image to the local hard drive in the JPEG GIF or PNG format To export an image to the local hard drive select the image that wants to be exported and then click the Save Image button in the tool bar A dialog will pop up asking for the name of the image and the save location Select a location then click Save The image will be saved to the location the User chooses and it can be opened using any image viewer By default the file format for the export image is JPEG The user can export the image as a GIF or PNG format by adding gif or png at the end of the image name Note It 1s possible to save multiple images on the screen at the same time Viewing a Report Viewing a report is the same as viewing an image Locate the report in the Thumbnails pop up then drag the report onto the
94. utton Custom Filter Editor a an aCe Eee Everything Toda Everything In Archive Everything Today E Show stat studies first Report Validated Today Report Dictated Today Facility Name A ele me Unread Today A Move Down Unread Last 2 Days Referring Name GR Unread Last 3 Days gt _ Unread LastS Days Modality Yes ee eter Apr 26 2013 HA OPEN Apr26 2013 MM 23 59 M Fri Enable Date Range Filtering Save Fiter a Move Up a Delete a O 2007 2014 Page 38 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 39 Note ic The default filters cannot be modified New Filter Preset 1 From the Work List Window click Manage Filters 2 Enter the desired filter name in the Filter Name text box Make sure the new name is not already entered as a filter name 3 Enter the desired filter criteria The User does not have to fill in all filter criteria e g if the User desired a filter for all CR studies then select the modality from the Modality drop down menu and select the date ranges 4 Click the Save Filter button Editing a Filter Preset 1 From the Work List Window click Manage Filters 2 Highlight the filter to edit in the Filter Order box Note Default filters cannot be edited 3 Edit the desired Filter criteria 4 Click the Save Filter button Show Stat Studies First When the user checks this op
95. ve a orn ees Cancel Apply The Annotation Options allow the User to set the font font color and size annotation line thickness and annotation color The User may apply these options to all annotations at once by selecting All from the Annotation Type drop down menu or the User may select the type of annotation and set the parameters individually for each annotation type Annotation Type Using the Annotation Type drop down menu allows the User to select configuration parameters for each individual annotation tool or set the parameters for all tools at once select All in the Annotation Type drop down menu Annotation Font Type Allows the User to select any font installed on the operating system to display annotations using text Annotation Font Size Allows the User to select the font size for annotations using text The User may choose a font size between eight 8 and twenty 20 points Annotation Line Thickness Allows the User to select a value between one half 0 5 and four 4 0 for the thickness of the annotation lines Annotation Color Allows the User to select the color for the annotation lines and text The User may select from swatches commonly used pre defined colors by clicking on a swatch color HSB Hue Saturation and Brightness by selecting a point somewhere in the colored square or RGB Red Green and Blue by adjusting the sliders to the desired result 2007 2014 Page 28 of 86 Do
96. vertical tool allows the user to measure the vertical distance of a point perpendicular from its respective horizontal line To use the distance from vertical tool first select 1t from the Advance Toolset menu then mouse click to automatically draw a horizontal line on the image Next mouse click at a desired point perpendicular to the horizontal line and the vertical length between the point and the horizontal line will be displayed on the image By clicking and dragging on the vertical point the User can adjust the measurement of the distance from the vertical line Triangulation The Triangulation tool pinpoints a specific region of interest within all views in all series To use the tool click on the region of interest Clarity will create a point that will appear on each series corresponding to the location of the region of interest Angle from Lines Tool The angle from lines tool allows the user to measure the angle between two lines To use the angle from lines tool first select 1t from the Advanced Toolset menu then click or drag two lines intersecting each other and an angle will appear at the intersection The angle can be dragged around the intersection to display the angle of any quadrant If the lines do not intersect they will be extended so that they will Labels Predefined labels can quickly be placed on an image with the Labels tool To use the Labels tool select the label icon from the Advanced Toolset men
97. will appear saying that Clarity Prefetch was successfully installed Create Prefetch Filter To create a filter 1 Type the filter s name in the Name field in the Prefetch Filters box 2 Select the desired filter settings Note For example to set up a filter that will cache studies created in the last 24 hours Name Filter A Modality All Start Date One day ago End Date Now 3 Click the Add button at the bottom of the Prefetch Filters box Enter Workstation Information To activate prefetch filters the workstation s IP information is needed 1 Type the name of the workstation in the Name field in the Prefetch Machines box 2 Type the IP Address of the workstation in the IP Address field Note E The workstation must have a static IP address 3 Click the Add button at the bottom of the box Prefetch Update It 1s possible to update the Filter or Workstation information in the Prefetch lists 1 Find the Filter or Workstation on the list then modify the desired setting 2 Click the Update box to the right of the modified entry Prefetch Removal To remove a Filter Workstation or Filter Workstation Association from Prefetch simply click the X button to the right of the entry you wish to remove 2007 2014 Page 43 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 44 Image Layout and Navigation Moving the mouse to the left ha
98. will set the angle If the User wishes to display the interior angle measurement move the mouse to the acute side of the angle and mouse click or if the exterior measurement is necessary move the mouse to the obtuse side of the angle and mouse click 45 Angle Snap Feature O 2007 2014 Page 52 of 86 Doc HC CLS 0019 09 Rev Confidential and Proprietary January 10 2014 Property of iCRco Inc Operation and Usage 53 The 45 Angle Snap feature allows the user to precisely measure angle from the horizontal or vertical line by incrementing the angle every 45 between the first leg of the angle to the second leg of the angle To activate the angle snap feature depress the Ctrl key as the second leg of the angle is drawn by moving the mouse to the desired end point of the second leg Complementary Angle If the user wishes to display the complementary angle measurement click on the vertex that displays the angle and move it around to display the interior angle the exterior angle and the complementary angles Cobb Angle The Cobb Angle tool allows the User to draw a Cobb Angle on the image To use the Cobb Angle tool first select it from the tool bar then mouse click hold and drag to draw the first line Release the mouse button when the first line is sufficiently long Then mouse click hold and drag to draw the second line Release the mouse button when the second line is sufficient in length To set the interior or exte

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