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1. Copyright iCRco Inc 2007 2009 41 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual The Image Index dialog box appears in the upper left and lower right hand corners of the image when in Print Mode and a series with multiple images is selected See Figure 4 4 Figure 4 4 The Image Index dialog boxs Example Usage The series to print is a CT series with 16 images The Physician has indicated that the series should be printed with four image per film To print this series using the Image Index feature 1 al Open the series 2 Use the Layout Manager to change the image layout to four 4 viewing panes 3 4 Ensure the Image Index START is set to one 1 and Image Index END is set to Click the Print button to enter Print Mode 16 Click the Preview button to preview the print job Move the Print Preview slider to the right to ensure all image have been laid out properly In the print preview there should be four films with four images per film Click the Print button to print the films Copyright iCRco Inc 2007 2009 42 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 4 6 Printing Multiple Patients per Film The User can print more than one patient per film by using the Add Patient button Figure 4 5 in the Print toolb
2. 3 5 Image Manipulation Functions 3 5 1 Window Level Pa The Window Level tool allows the User to adjust the brightness 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 3 5 2 Smart Window Level ASES The Smart Window Level tool allows the User to do an automatic Window Level 4 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 is a sufficient size The box will optimized the W L setting for the selected area Copyright iCRco Inc 2007 2009 22 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 3 5 3 Mag a 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 i
3. Torrance CA 90505 80339 Munich wegen Ves USA Germany 310 921 9559 49 89 2555 757 150 Conventions A DANGER indicates an imminently hazardous situation which if not avoided will result in death or serious injury This signal word is to be limited to the most extreme situations A WARNING indicates a potentially hazardous situation which if not avoided could result in death or serious injury A CAUTION A CAUTION indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury It may also be used to alert against unsafe practices A NOTE indicates important information that helps you make better use of your Clarity Viewer and Software A NOTICE indicates either potential damage to hardware or loss of data and tells you how to avoid the problem Malfunctioning Equipment If any iCRco software product shows signs of malfunction try restarting the computer if the problem persists or is reproducable discontinue the use of the product immediately and contact Technical Support at 310 921 9559 iCRco Warranty iCRco Inc iCRco values your business and always strives to provide high quality products and services All iCRco products are provided with an initial warranty so the Copyright iCRco Inc 2007 2009 iii of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual hardware and software are c
4. e Choose the position of the Annotations top or bottom left center or right e Choose the font size extra small small medium larger or extra large 4 3 Entering Print Mode Before entering Print Mode the User must select the correct image layout and add the desired annotations The User can then enter Print Mode by clicking the Print button 4 4 Image Layout and Annotations Annotations and image layout are performed in the Clarity Viewer s Image Manipulation window The image annotations and layouts are then automatically transferred over when the Print button is clicked For more information on printing multiple images per film see Section 3 4 4 Copyright iCRco Inc 2007 2009 39 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual For more information on adding annotations see Section 3 5 4 5 Print Options After entering Print Mode the User can access the Print toolbar which allows the User to choose the Print Options Figure 4 2 Clarity Elements DICOM Print Tool s Print toolbar In the Print toolbar the User can 1 co Select the printer to use 2 Select the film size 3 Select the film type 4 5 6 7 Select the film orientation landscape or portrait Select the number of copies to print Turn on off annotations Select which annotations to include on the film if the User needs to inc
5. Clarity Viewer User Manual Figure 3 1 Cross references lines in the Clarity Viewer 3 6 8 Linking iy The Linking tool allows the User to apply the cine operation to two different mae series that were acquired using the same view To use the Linking tool first select it from 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 3 7 Measurements 3 7 1 Measurement Oy 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 measurement then dragging it around the screen To remove the measurement select it and hit the Backspace key Hotkey M 3 7 2 HU oa 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 with the measurements directly above it Hotk
6. E D_1 Value data false lt 7 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 2 6 2 Copyright iCRco Inc 2007 2009 45 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc
7. PC and only if the customer agrees iCRco shall have no liability in connection with its support efforts Remote login software allows iCRco technical support to remotely Copyright iCRco Inc 2007 2009 iv of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual 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 iCRco Warranty Product Technical Requirements iCRco requires that all DR CR Scanner and or products requiring PCs be fitted and installed with a 1500VA 1500W uninterruptible power supply UPS iCRco recommends the APC 1000 specification UPS or equivalent For warranty evaluation and service iCRco requires 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 iCRco technicians to perform remote diagnostics on installed equipment In addition each iCRco 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 Requesting Warranty Service For information on obtaining warranty service call iCRco s
8. 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 2 6 3 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 every series from the selected patient on the screen If the Fit All Series box is not checked the user may choose the maximum number of rows and columns of series of images to display 2 6 4 Reporting Options 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 ES Configuration Version 1 3 0 sini Timeout Monitor Reporting Report Site Annotations Compression Language Tools License Information Report Configuration Options Reporting Doctors Name Prefix FirstName Middle Name Last Name Suffix udy jed when closing study Ara e Report Font Size Report Header Font Size Report Confidentiality Font Size Report Site Label Font Size Apply J Cancel Reporting Doctors Name In the Report Writer tab the User may set the name of the physician that will appear in the report This is a
9. 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 3 1 4 Write CD The Write CD button opens the dialog to export the selected studies and images to a CD DVD See Section 3 11 for instructions on how to burn a CD DVD or export the images to a local file system Copyright iCRco Inc 2007 2009 15 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 3 1 5 Print The Print button opens the current image s with the DICOM print applica tion 3 1 6 Quit The Quit button exits amp closes the Clarity Viewer 3 2 Search Filter Presets Configuration Search Filter Facility Name From Date By By ity Rest Patient name Everything in Archive Sun BL marzo 1027 000 Fiters Search For Study Status Modality Referring To Date Manage A G E a A 23 59 Fitters Search Keys Search Filters 3 2 1 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 St
10. continue to play them until it is halted 3 6 2 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 it is halted 3 6 3 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 3 6 4 Pause Play The Pause Play tool will pause the play back from the Loop Forward Backward and Forward amp Back tools 3 6 5 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 3 6 6 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 3 6 7 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 Copyright iCRco Inc 2007 2009 24 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc
11. inside the Clarity Viewer application but does not include annotation fonts which are set separately in the Annotations tab See Section 2 6 6 for more information on setting Annotation fonts 2 6 9 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 Copyright iCRco Inc 2007 2009 12 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual Preferences Configuration Version 1 3 0 TEST Timeout Monitor Reporting Repor Site Annotations Compression Language Tools License Information Numbe tly Used Tools ol S RE Count Center Line Options a ints no Line click and drag with Line click and drag Select Default T Modality Mouse Button 1 Pa Mouse Button 2 aia Mouse Button3 S 5a a emam Number of Frequently Used Tools The Number of Frequently Used Tools option allows the User to set the number of frequently used tools that appear in the bottom of the tool bar when manipulating and annotating images The use may select between one 1 and five 5 frequently used tools Reset Tool Count Clicking the Reset Tool Count button will clear the frequently used tools and re populate the frequently used tools section in the tool bar as the User begins using the image manipu lation and annotation tools again C
12. 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 iCRco of any non conformity iCRco does not warrant that the operation of any software will be uninterrupted 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 is modified without the written approval of iCRco or is used outside of the recommended parameters or equipment iCRco does not provide any warranty or support for any other software iCRco agrees to provide one 1 year of telephonic and or e mail based support for QPC XSCAN32 Captera and or ClarityPACS software originally provided with any new iCRco product from the date of original shipment from iCRco All software support shall be limited to making reasonable efforts to resolve iCRco 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 GoToMeeting only if the customer has access to the Internet from that
13. 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 Copyright iCRco Inc 2007 2009 1 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual 2 Setup and Configuration 2 1 Local System Configuration Minimum Viewing Workstation Configuration CPU 2 GHz Core2Duo System RAM 2 GB 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 XP Pro SP2c with NET 4 0 or Windows 7 with NET 4 0 Java Version 6 Update 14 Domain Configuration The User may access Clarity Viewer using a domain name but the network must be properly configured Please contact your system administrator to assign a domain name to the Clarity Viewer Any Workstations wishing to access the Clarity Viewer via a domain name must be config ured 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 A
14. tee sodon r ace ge eck Oe Seok e e a 29 OZ TEXtALTOW 26 Gee ii eas A ele he flee nd et a A A 29 00 Biher x amp dr ra Ab a aA ond eh dhe hh BH EA 29 BOA Circlen ae etn Dwi cee ecg ety Whee vel ces Ea E sh de ee i tinh ep Bh kB 29 Copyright iCRco Inc 2007 2009 ix of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual BO TLOXG edd dug kita Sve a fe oe We ees ed Zee a eve Be ea 30 3 8 6 Overlay ote isa he A Se Ge She ho he 84 30 397 MES eile fee SO ts ay ob E Sue Eee ge We ML RO 30 e Sharpen seg pci ent E E erecta 30 3 9 2 Histogram Equalization hi Bay goon e HEE Ee 30 EN e A 8G Pee ee ate a che Sato Sams ae ae She 30 BOA FREDO Pox sesh a a ts E E BA EO 31 3 10 Reporting Tools serred we Ee dhe GO Be Sco Gk OY aR eR ye ee A 31 311 Buring a CD DVD sche ows ede oe i eed eee CSE ds 34 3 12 Saving a Study o AA AAA Ed Sak A 35 3 12 1 Saving a Study from the Image Viewer window 35 3 12 2 DICOM Sending a Study from the Work List window 35 ado Clarity Viewer Hotkeys x ua asks ba ue ona a yee Se ti aha aol Bae 36 4 DICOM Printing 38 LE Print Workflow Ases A A Be ed tr A Ge ee 38 4 2 Configuring Default Print Options o oo oo o 38 49 Enterme Prnt Mode larga da in al 39 4 4 Image Layout and Annotations o o e e 39 e Gene i Giedi Miesa eek dh Bete shetty Dyo tks
15. the system in the export dialog then click Export button If the User wants an embedded image viewer on the CD Copyright iCRco Inc 2007 2009 34 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 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 Select Export Location Retrieved 54 MB of data from the archive Do you also want to export an embedded viewer CATAN My Computer Pa pec Local Disk C S drawings on icrcoserv X S archivedlibraries on icrcoserv Y S 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 3 12 Saving a Study 3 12 1 Saving a Study from the Image Viewer window 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
16. the tool bar will cause the tool bar to be always visible Deselecting the button will return the tool bar to its hidden state 3 4 3 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 Copyright iCRco Inc 2007 2009 19 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual upper right hand corner of the tool s icon illustrated in the graphic below The default mapped mouse buttons can be changed See Section 2 6 9 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 If the User has a scroll wheel mouse moving the scroll wheel up will zoom into the image while mov ing the scroll wheel down will zoom out Pan Left mouse button Zoom Middle mouse button Each mouse button is re mappable to any tool that has an interactive function To re map a mouse but ton 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
17. write a report open an image for viewing then click the Write button in the tool bar The Report Writer dialog will appear Enter the necessary information for the report then click Create The report will automatically be generated and saved alongside the image for viewing Only Users with doctor privileges are able to write reports If your permissions are not set correctly please contact your System Administrator Copyright iCRco Inc 2007 2009 31 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual Create Report Reporting Doctors Name Cs First Name Middle Name Last Name Suffix Fax 1 310 542 7236 Procedure Description Patient History Findings Impressions Notified ros aci Mel Shoulder P Apply Template Viewing a Report Viewing a report is the same a viewing an image Locate the report in the Thumbnails pop up then drag the report onto the screen and it will load automatically E Ser 0 Img 1 1 Frm 1 4 Load 100 Copyright iCRco Inc 2007 2009 32 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual Exporting a Report a Export Report SNA C Documents and Settingsimsemrick Desi A E C My Documents C Documents C My Computer 3 HL7 My Network Places C hudson PhotonMainCl 258 c _LaTeX Documentatio
18. 6 5 Report Site Options Copyright iCRco Inc 2007 2009 8 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 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 Current Icon Displays a preview of the current icon that is 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 web site address in the text field For example http www icrcompany com Confidentiality Agreement Enter the Site or Practice confidentiality agreement text in the text field Copyright iCRco Inc 2007 2009 9 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual Report Body Elements The Report Body Elements al
19. 995 07 18 10 04 58 0 ST ANTHON Unread PIKR752975 SPINE KIM 1955 09 10 L SPINE C T L ARRAY 29309 1995 01 3 SA SMS530102 CORPUS JANE 00007 02007 726 ANLAGENZES PIKR750000 CORPUS JOHN 1665 c 9 87 KENN MICK S QQ _z gt ErErEEErR A Page 1 Studies 1 to 32 Grouped ANC Unread SMS5301 CORPUS JAN 1953 01 02 F CONTRAST ooo001 1995 06 02 00 00 00 0 26 ANLAGENZENTRUM SMS000018 THUMBNAILS ACRES Save Study 3 3 1 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 3 3 2 Grouped Studies 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 patient selected in the Sorted Studies Work List 3 3 3 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 Copyright iCRco Inc 2007 2009 18 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 3 3 4 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 bot
20. CLARITY VIEWER USER MANUAL Clarity Viewer User Manual Foreword Proprietary Notice and Disclaimer The information herein disclosed is the property of iCRco Inc Information in this docu ment is subject to change without notice and does not represent a commitment by iCRco 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 the express written permission of iCRco Copyright Copyright iCRco Inc 2003 2010 All rights reserved Trademarks CR 26000 CR 1000 CR 1000 Dual CR 2600 CR 2600 Dual CR 2600SF CR Vet CR CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR 36000 CR 3600SF CR VERTX iDR www icrcompany com and QPC XSCAN32 are the trademarks of iCRco All other trademarks are the property of their respective owners and are hereby acknowledged Terms Any one of the following iCR products will be referred to as the CR unit throughout this document CR 100060 CR 1000 Dual iCR 2600 iCR 2600 Dual CR 2600SF CR 3600 CR Vet CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR VERTX Any one of the following CR products will be referred to as iCR
21. Clarity Viewer a shortcut to the applica double mouse click on the desktop shortcut tion is placed on the User s desktop To launch the Clarity Viewer simply i If the desktop icon disappears the User should clear the Java cache ICR Co Clarity as described in Section A 1 then reinstall the Viewer as described in Section 2 3 1 2 4 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 User Authentication CLARITY PACS PAGS MADE GIL EAR user 0 rro Password MS o Cancel ance Copyright iCRco Inc 2007 2009 3 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual If you do not have a User name and password please contact your System Adminis trator 2 5 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 9 Image Tools Keyboard Shortcuts Here are some quick keboard shortcuts for imaging tools s for Scroll when scrolling thru a stack you can right mouse drag to window level d for Drag and Drop when you wantto drag a series already on display to another location by default the thumbnails are alwavs in draa mode ZBack gt ext gt Close Show tips on startu
22. EE sh Rhos EPR ee halk So y Heh ii Safety Information et SS e Se e a E iii 1ORCO Wartanty Secene is Raa p ees ane poe O ath eke Rona iii 1 Introduction 1 Tel COVErVIEW oia a eek ue oS ee al bo Ae ee aoe eG dk uu 1 2 Setup and Configuration 2 2 1 Local System Configuration a oa o Ree ee he ge A 2 AN o A a e Ge ie E oE GN a E Sea Oe Se RA 3B eR S 2 2 3 Launching the Clarity Viewer ae aaa Bs EG A 3 2 3 1 Initial Installation and Launch of Clarity Viewer 3 2 3 2 Quick Launch of Clarity Viewer oo o 3 24 MOO PIS Sas is o AAA AS De io Mic WIS A ii 3 207 PS A a DA ae ee O a ee 4 2 6 Preferences e a eed She Ste he Gs ek a 4 2 64 Hime Outs ed eee Ede ee As te ede PD 4 2 6 2 Monitor Configuration Options o o e 5 2 6 3 Default Display Layout Per Monitor o o 6 2 6 4 Reporting Options nes pira Das oF 45 Sree A AS ARA 6 2 6 5 Report Site Options a a Be ee Sy eae 2 8 2 6 6 Annotation Options 2 mica Ad Ene sae OEE ei ee Oe ue 10 2 6 7 Compression Options tc Sa ca SY dle eS ae heh Ba 11 2 6 8 Language Options UE Sh tee EEE Saws Lae eS 12 26 9 de 0 a OHO A E O Ye laa 12 2 6 10 License Information 0000 0c eee eee ee eee 14 ZO TL SADOUL fe clad BBs Geka Saal Dee are ee Oe ee Sek Gos Gok des 14 27 SOR CIN Dy Qut Ge CUI te se Pues wha thle Stn AA EE ee 14 3 Operation and Usage 15 321 Workflow Controls i ee dy a eR doe ee Be BA eS 15 Sohal Work ist L
23. EO ce icc 40 4 5 1 Annotation Menu 00 0000 eee eee ee 41 45 2 Using the limageIndex 5 4 5 Pte oe ee Eee Belk Sod 41 4 6 Printing Multiple Patients per Film 0 0 000000 43 A Appendix 44 A 1 Clearing the Java Cache yr e sic ake o 44 A 2 Setting the Display Back to the Default Using Regedit 44 Copyright iCRco Inc 2007 2009 x of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual 1 Introduction 1 1 Overview Clarity is an easy to maintain scalable digital image and information management solution Clarity provides secure HIPPA compliant image management and display for medical imag ing modalities including for example 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 also 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
24. MAGES 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 any 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 customer advises iCRco 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 iCRco and its suppliers and dealers limitations of remedies are not cumulative Such suppliers and dealers are Copyright iCRco Inc 2007 2009 vi of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual intended beneficiaries of this limitation iCRco is not liable for any claim by or against the customer arising from a third party claim Revision History Revision Author A MS B MS C MS D MS E MS Copyright iCRco Inc 2007 2009 Date 2009 04 06 2010 03 03 2010 07 08 2010 10 05 2011 03 09 Confidential and Proprietary Property of CRco Inc Notes Initial Release Updated with 1 3 features Added CE and FDA approval label Updated with 1 4 features Updated minimum computer requirements vii of 45 Document CLY 01A Rev E March 9 2011 Clarity Viewer User Manual Contents Foreword i Contact information a sss 2 se se a B
25. O_JL LIN E_JT M LICIKIN E S S_JAIN N O_ T E K T_JA R RJONM 20 JAININ O_JS T AIR T_JT E K T_JA R RJOM_JO N_ICIL LICIK false CENTER ANNE FUNCION 3 3IPFEIG_IC OIM PIRJEIS S 1 0 IN 10 JLIAIST_JU S E D_IRASW O RIKLA S T_JF ALTER Everything f n Archive LO CIANE en us MIEM ORY_JALERIT_JUEN EM M OINA T OR_IC OR_ C OMIN T_O M OMNAJTIORR_IC OA_JCJO UNIT_1 y M OINA T OR_JEIN AIBILE D_O g e hee M O NA T OR_JEIN A BAE D_1 BO one EU icco de a u de dient E A prefs de MJONAJT O R_JFIR AMJE_ CJONJEJR S_MIINTIOJON B AJR MJOMNA T O R_JR OM_JCJO UIN T_O M O N 1 T OJR_JR JOM_JC OJUINIT_1 MONITOR ITN PEO M ONA T OR_ITN PEA NUM_FRIEQ_JTIO ONIS PAN TIOIORLBIAR false PRIO GR AM_JF O N T Arial Unicode M S SIH O W_JTAJP S_JON_JS TIAJRITIO P true SHION ITAP NUMBER 2 SITUDN_IS T AIT S_U PDIAITIE false ami e sysdefaults CPU PLE LEME EEE LEE NES My Computer HKEY CURRENT _USER Software JavaSoft Prefs com jorcoi prefs sys 5 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 O N AVT O R_ E N A B L E D_O Value data truel a 6 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 Edit String Value name M O N VT O R_ E N A B L
26. When this option is checked if all images in the initially 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 font from the drop down menu Click the Apply button to save the changes Copyright iCRco Inc 2007 2009 7 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 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 2
27. ar Figure 4 5 Click the Add Patient button to add another patient to the film 1 Enter Print Mode by clicking the Print button N In the Print toolbar click the Add Patient button Oo Locate the patient to add e If the patient s study is already open in a tab navigate to the tab then click the Add Patient to Print button e If the patient s study is not open navigate to the Work List open the desired patient then click the Add Patient to Print button 4 Click the Preview button in the Print toolbar to confirm the print layout 5 Click the Print button to print the images Copyright iCRco Inc 2007 2009 43 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual A Appendix A 1 Ae WO N e Clearing the Java Cache Go to Start gt Control Panel gt Java Locate the Temporary Internet Files section Click the Settings button Click the Delete Files button Make sure Applications and Applets and Trace and Log Files are both checked then click Ok Re deploy the Clarity Viewer by following the instructions in Section 2 3 1 A 2 Setting the Display Back to the Default Using Regedit If the monitors are not displaying properly the User should reset them to their default state A WARNING Improper editing of the Windows Registry may result in a non functioning system and or loss of data Making r
28. automatically loaded when the series is opened 3 12 2 DICOM Sending a Study from the Work List window While in the Work List window the Save 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 Copyright iCRco Inc 2007 2009 35 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual a AeA Q N Click the Save Study button The DICOM Send 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 comnection 6 If the 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 1 While in the Work List window highlight the desired patient s to send 2 Click the Save Study button The DICOM Send dialog will pop up 3 Select the desired profile to send to from the Profile Name drop down menu 4 Click Send to DICOM Send the selected study 3 13 Clarity Viewer Hotkeys When using hotkeys to navigate the tools the tool will always be mapped to the left mouse button Keyboard Shortcut Software Function Escape R
29. customer support at 310 921 9559 In order to evaluate a warranty service request iCRco requires the following infor mation the iCRco 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 liabil ity 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 iCRco Prior to providing an RMA iCRco may require remote access to the product If iCRco determines that the product may be defective is under warranty and necessitates a return to iCRco for service an RMA number and instructions for return of the product will be given iCRco is not responsible for any unauthorized returned product i e one for which an RMA number has not been issued by iCRco Warranty service requires all authorized returns be shipped to the iCRco factory prepaid and insured All such authorized returns are the customer s responsibility For products sold and located within the United States iCRco will pay for return shipping Products being returned are only to be shipped in iCRco approved shipping containers The original box and packaging materials are approved a
30. dual unit throughout this document CR 1000 Dual CR 2600 Dual CR Vet Dual CR Chiro Dual Any one of the following CR products will be referred to as CR desktop unit throughout this document CR VertX The iDR will be referred to as the DR unit throughout this document Copyright iCRco Inc 2007 2009 i of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual Contact Information CRco Inc Address Phone Fax Email Web CRco Inc Address Phone Email Web USA 2580 West 237 Street Torrance CA 90505 1 310 921 9559 1 310 542 7236 infoQicrcompany com http www icrcompany com Europe 31a Ridlerstrasse 80339 Munich Germany 49 89 2555 757 150 infoQicrcompany com http www icrcompany com Clarity Viewer Information Please Enter the details of the Clarity Viewer system here Serial Number Date Purchased Interface Type USB 2 0 Copyright iCRco Inc 2007 2009 ii of 45 Confidential and Proprietary Property of CRco Inc Document CLY 01A Rev E March 9 2011 Clarity Viewer User Manual Safety Information Read and understand the installation and operating instructions before starting the Clarity Viewer ol C E cose US Headquarters European Office iCRco Inc iCRco Europe GmbH 2580 West 237th Street Ridlerstrasse 31a FDA
31. ed image manipulations Window Level crop zoom etc Click the Print button to enter Print Mode Select the desired printer film size film type and orientation Set the desired number of copies N Dd 01 RA WO N e If the desired annoations are different from the defaults set the desired annotations by clicking the Annotation Menu button and choosing the desired options co Click the Preview button to ensure that the image layout is correct 9 Click the Print button to print the films When the images have been sent to the printer Print Mode will close 4 2 Configuring Default Print Options The User can configure the default print options by going to Configure Printing Click the Apply button to save the default print options Copyright iCRco Inc 2007 2009 38 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual Figure 4 1 Configuring Printing Options in the Clarity Viewer Preferences License Information Printing i Reporting Report Site Choose The Default Film Patient Annotations Chosen Annotations Position Text Alignment WENEN Size xs a G Choose The Default Image Annotations Possible Annotations Position Text Alignment _ size Ll From here the User can e Choose which Film Patient and Image Annotations to include e Choose the order in which Annotations are printed
32. egular data back ups is the only way to ensure data integrity iCRco assumes no liability for lost or corrupted data while following these instructions 1 2 Go to Start gt Run In the Run dialog enter regedit then click Ok 2 Type the name of a program folder document or Internet resource and Windows will open it for you open reorit a 3 Regedit will open open Copyright iCRco Inc 2007 2009 44 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 4 In the file tree on the right side of Regedit go to HKEY_CURRENT_USER Software gt JavaSoft Prefs com icrco ui prefs sys Registry Editor Bile Edit View Favorites Help My Computer A Name ip LU HKEY_CLASSES_ROOT AININ O_JITIN E_JTIM TCIKIN E S S_JAIN N O_ H U_ R O L 2 0 a HKEY_CURRENT_USER lt Gl AppEvents Console E Control Panel Environment E Identities Keyboard Layout aE Network e El Printers E SessionInformation EE Software 4m e EY 7 2 a Adobe a E Affinix a 13 JavaSoft 4m w Java Runtime Environment JANNO ALAINI JTIHRICIKINIEISIS JANINIO LINE E 20 AININ O_ L LIN E_ TIMML CIKINIE S S_JAIN N O_JM E A S U RJE_AL UN E 20 AININ O_ L LIN E_ITIMMICIKINIE S S_JAININ O_JRIE CIT AINIGIL E 20 JAIN N O_ L LIN E_ T M L CIKIN E S S_JAJN N O_JS M AIRT_W 20 AININ O_ L LIN E_ TIMML CIKINIE S S_JAININ O_JT EDX T 20 JAININ
33. emove all image manipulations W L Zoom Pan Fl Show Online Help Documentation F2 Brings up CR Overlay Details Dialog F3 Pauses Un pauses Series Loading State F4 Query Retrieve Selected Study F5 View Selected Study Right Arrow Next Image in a Series Left Arrow Previous Image in a Series Up Arrow Next Series in Study Down Arrow Previous Series in Study Window Level Tool Zoom Pan Magnify Drag and Drop Cine Tools Scroll Cine Tools X Ref rx 9 O UN s Cine Tools Linking Copyright iCRco Inc 2007 2009 36 of 45 Document CLY 01A Rev E Confidential and Proprietary Property of CRco Inc March 9 2011 Clarity Viewer User Manual M Measure H Hounsfield Unit R Hounsfield Unit Region of Interest K Mark Key Image T Text Annotation U Text Arrow Annotation C Clear All Annotations Backspace Delete Delete Selected Annotation Ctrl A Select All Annotations Ctrl C Copy Selected Information to Clipboard Ctrl Alt Mouse Click Remove tool from Frequently Used Tools list Copyright iCRco Inc 2007 2009 37 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual 4 DICOM Printing 4 1 Print Workflow Open the desired patient from the Worklist Use the Layout Manager to layout the images as desired Perform the desir
34. enter 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 3 7 6 for the differences between each Center Line option Select Default Tools Per Modality Selecting the default tools per modality allows the User to over ride the default mouse button mapping described in Section 3 4 3 First select the desired modality then choose the desired mouse button mapping For example for the CT modality the user may want to Copyright iCRco Inc 2007 2009 13 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual map Cine Forward to the left mouse button Scroll to the middle mouse button and Zoom to the right mouse button 2 6 10 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 2 6 11 About 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 The About button will pop up the End User License Agreement for the Clarity Viewer application 2 7 Logging Out Quitting To log out of the Clarity Viewer click t
35. ential and Proprietary Property of iCRco Inc 10 of 45 Document CLY 01A Rev E March 9 2011 Clarity Viewer User Manual 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 Preview The Preview box will preview the selected colors so the User may see how it looks before saving the preferences 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 2 6 7 Compression Options The Compression options can be accessed by clicking on the Configuration button This will bring up the Preferences dialog From there click the Compression tab The JPEG image format is E used in the Clarity Viewer Configuration Version 1 3 0 for displaying thumbnails feme E and image pre loading The EE User can set the level of JPEG compression used in the transmission of the ini tial image over low band width networks such as a teleradiology co
36. ey H Copyright iCRco Inc 2007 2009 25 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 3 7 3 HU ROI Ci 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 cm To use the HU ROI tool first select it 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 3 7 4 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 it from the too 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 is 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 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 obt
37. h the i i ies Hotkey Right A Next I Left A i rough the images in a series Hotkey Rig rrow Next Image Left Arrow Previous Image Image o Copyright iCRco Inc 2007 2009 21 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 3 4 6 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 Hotkey Up Arrow Next Series Down Arrow Previous Series 3 4 7 Zoom Ys The Zoom tool is used to increase or decrease the magnification of the image By ime default it is mapped to the middle mouse button To use the Zoom tool first select it from the tool bar then mouse over the image Click hold and move the mouse vertically to change the zoom level Hotkey Z 3 4 8 Pan Y 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 it 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
38. he Log Out 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 Copyright iCRco Inc 2007 2009 14 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 3 Operation and Usage 3 1 Workflow Controls Workflow control buttons may appear grayed out a certain times A grayed out Workflow button means that the User may not use 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 3 1 1 Work List The Work List button returns the User to the Work List window 3 1 2 Viewer The Viewer button returns the User to the Image Viewing window 3 1 3 Save Study For more information on the Save Study function please see Section 3 12 From the Work List Clicking the Save Study button with patients selected in the Work List with bring up the DICOM Send dialog From the DICOM Send dialog the User may DICOM send the studies to a different target and configure new targets From the Image Viewing
39. hen 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 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 The User may switch the arrow drawing direction in the preferences 3 8 3 Line y 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 want the line to being then while still holding the mouse button drag out the line Release the mouse button when the User want to end the line 3 8 4 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 Copyright iCRco Inc 2007 2009 29 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual encompass the region of interest When finished release the mouse button to finalize the circle 3 8 5 Tex
40. k 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 Cancel par 3 9 3 Undo Copyright iCRco Inc 2007 2009 30 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual The Undo tool reverses the action of the previous Sharpen or Histogram Equal ization filter 3 9 4 Redo S The Redo tools reapplies the last filter that was reverted using the Undo tool 3 10 Reporting Tools 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 Key Images in Reports Users may include images in reports To include images in reports first load the 1 desired images Then press K key on the keyboard A key icon will appear in the upper left hand corner of the image which identifies that the image has been marked as a key image Next locate the Write Report button in the tool bar and continue to write the report When the report is generated after clicking the Create button the key images will be included There is no limit on how many images are included in the report Users may also add key images when making addenda corrections Writing a Report To
41. l number as originally affixed to the product Any modifica tion to the iCRco 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 iCRco SPECIF ICALLY 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 WAR RANTIES EXPRESS OR IMPLIED WILL APPLY AFTER THIS PERIOD ALL INFORMA TION 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 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 CONSEQUEN TIAL OR INCIDENTAL DA
42. lows 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 2 6 6 Annotation Options The Annotation Options allow the User to set the font font color and size annotation line thickness and annotation color The Preferences Configuration V Timeout Monitor Annotation Type User may apply these options to all anno tations 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 an notation type Annotation Type Using the Annotation Type drop down menu allows the User to select configura tion parameters for each individual annota tion tool or set the parameters for all tools m mem at once select All in the Annotation Type drop down menu I Start text arrow on click 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 Font Type Allows the User to select any font installed on the operating system to display annotations using text Copyright iCRco Inc 2007 2009 Confid
43. lude or exclude options different from the defaults Preview the print job Add a different patients image to the same film 10 11 Print the film s Exit Print Mode Copyright iCRco Inc 2007 2009 40 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 4 5 1 Annotation Menu The User can configure the which annotations to include on the film by clicking the Annotation Menu button in the Print toolbar Click the Apply button to save the default print options Figure 4 3 Print Tool s Annotation Menu Annotation Menu Include Film Patient Annotations Possible Annotations Chosen Annotations Study Descriptio a Patient Name Reading Radiologist Patient ID Scanner Model Name e Date of Birth Sex La Study Date Position oo Text Alignment WEEE Size f e Include Image Annotations Possible Annotations Chosen Annotations Position a Text Alignment a Apply From here the User can e Choose which Film Patient and Image Annotations to include e Choose the order in which Annotations are printed e Choose the position of the Annotations top or bottom left center or right e Choose the font size extra small small medium larger or extra large 4 5 2 Using the Image Index The Image Index feature is used to print multiple images from a series over multiple films in a user definable layout
44. n C LaTeX subsections sty test C3 Clarity Road Map and Omnilingua Documents C Photon Outline Screenshot J TeXworks_v011r322 File Name Report_Doe10004_2009 07 17_11 41 13 pdf Files of Type TL FRE Cancer 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 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 Addenda Corrections After the initial report is made on the Patient Study the Clarity Archive only permits one report per study the doctor may make addenda corrections to the report by opening the patient study to which the report is attached Click the Write Report button The Create Report Addendum dialog will pop up Select the radio dialog box for either Addendum or Correction then type the addendum or correction into the text box Click Create button and the addendum correction will be appended to the bottom of the report Report Templating The Report Writer tool includes a templating feature for writing a report 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
45. n Functions si Ae ee ee eS 22 3 5 1 Window Level 0 0 e 22 3 5 2 Smart Window Level 22 35 3 A eg ae ee ae EEG ell hk Re ee os 23 A NA iG Sas Nyc Wt Bae eee Pea feo nd aye ee Tha ee 23 JSD E 23 306 IMITO o so S208 BY Sok are Sd Geel eR Bee Bog ee eee SE E 23 3 5 7 Rotate Left amp Right A at ace ie Sh le ak ine Oe a 23 DED Ore AVES Se ese aoa Sie ovat aTa ta ey ARE wk i Bh ee OM Shy ae I E 23 3 6 Cine Tools 23 Gul Loop Forward ene ba Wie ceta patea d ek eS PR wee A 23 3 6 2 Loop Backward i work ous ede oe eee a CE OS 24 3 6 3 Cine Forward amp Back 24 3 6 4 Pase Play eead a al tdo ee Poe eS eee 24 3 6 5 Frames Per Second Selection 24 320 0 SCROM e Ge ah beads ceo eee Oe se ty ee ke era cath ate eet Bike 24 SiO e ARRE Gg tad dd Binet dk al bent afte oe ig the 3 lta DR Ne Aa 24 3 6 8 MAMI oy Se ac eens Geol Se ae acl Neh A het Limes REA 25 3 7 Measurements 3 5 A eee ee a ee 25 ISLA Measurement soi econ a Be amp Oe Ye ee 25 A y AAA Be ea ee eh OE oh Oe SLES Selig ee ae 25 B73 HU ROL 62g ay 58 phe 28 le A EE ee Be wg a T 26 37A Angle ie cio tp sea anced u e A at BW Nae BNE E SE ih Roe te aR 26 97 9 SOD DIANE e coe A he ere IT O ae gee 26 37O Center ines 3 A ee oe au Se iw OE ON SS 26 3 77 Heart to L ng RaNo E A cds 28 3 82 Annotations ici e a a Bide ne A T E A da he Re OEG aa 29 Sok Toggle Annotati Ns e so
46. 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 Default filters cannot be edited 3 Edit the desired Filter criteria 4 Click the Save Filter button Copyright iCRco Inc 2007 2009 17 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 3 3 Work List E Log Out Seat Fiter By Factty Name GOD CLARITY PACS ZEME ST es Search For Study Status Modality Referring ToDate SC Oe rr E Study Status Patient ID _Patient Name Date ofBirth Sex Study Description StudyID _ ReferringName modalities tudyDate Series images Unread brain SKULL TOM 7977 01 01 BRAN 282775290 71 PMs Sorted in a e iaa 0000002019 CORPUS JIM 1978 10 10 2019 3 996 10 CHU ST ROC Unread 0000002018 SKULL JiM 1924 01 01 2018 c 14 14 07 35 CHUSTROC Unread 0000002014 HEADE JANE 1913 12 20 2014 G 996 10 CHU STROC SEARCH RESULTS PIKR752091 ESPINE KIM 1960 0315 CSPINE VOLUME NECK 20311 1
47. ncrease the size of the magnification box Hotkey G 3 5 4 Reset MER 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 3 5 5 Flip ES The Flip tool will vertically invert the image To use the Flip tool locate it in the de tool bar then left mouse click once to flip the image 3 5 6 Mirror Vee The Mirror tool will horizontally invert the image To use the Mirror tool first cl locate it in the tool bar then left mouse click once to mirror the image 3 5 7 Rotate Left 8 Right OS ER The Rotate Left and Right tools will rotate the image in 45 degree incre nl ad ments to the left or right depending on which button the User chooses 3 5 8 Invert TIPA The Invert tool will invert the colors of the image To use the Invert tool first gt locate it in the tool bar Then single mouse click to invert the image 3 6 Cine Tools 3 6 1 Loop Forward Copyright iCRco Inc 2007 2009 23 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual in 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
48. nd should be kept for moving and or shipping the product Approved packaging my also be purchased from iCRco for an additional charge iCRco shall have no liability nor responsibility for warranty service to any product that is not shipped in an iCRco approved shipping container or that is damaged from incorrect packaging or damaged during shipping Copyright iCRco Inc 2007 2009 v of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual 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 iCRco product unsuitable physical or operating environment maintenance or repair by anyone other than iCRco or the iCRco authorized dealer that sold the product operation 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 iCRco If the product including any software has been opened tampered with modified or altered in any way without written authorization by iCRco the warranty will no longer apply This warranty applies only to products manufactured by or for iCRco and that can be identified by an iCRco seria
49. next to the Apply Template button select Create New Copyright iCRco Inc 2007 2009 33 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 4 5 App 1 2 Click the Apply Template button Assign a name to the new template then click Ok to save the new template lying a Report Template In the tool bar click the Write Report button In the drop down menu next to the Apply Template button select the desired tem plate Click the Apply Template button The template will populate the Report text boxes Deleting a Report Template 1 In the tool bar click the Write Report button 2 In the drop down menu next to the Apply Template button select Delete 3 The Delete dialog will pop up 4 Select the template to delete from the drop down menu 5 Click Ok to delete the template 3 11 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 2 Click the Write CD button 3 Click Yes to retrieve the studies Write CD A Se ie LEE 4 Please be patient depending on the speed of the network and the number of patients selected retrieving the studies could take a few minutes 5 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
50. nnection The default compression level is set to Fastest The User has five 5 levels of compression to choose from Setting the JPEG compression lower faster will increase the level of JPEG compression making the file size smaller with less quality and allowing the initial image to load quicker over a low bandwidth network Setting the JPEG compression higher slower will decrease the level of JPEG compression making the file size larger with better image quality Choose the setting appropriate for your network settings EAEEREN G EE E ME EERE Fastest Lowest Quality A Apply a Caneel Copyright iCRco Inc 2007 2009 11 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 2 6 8 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 Preferences Configuration Version 1 3 0 Locale English United States e Font Arial Unicode MS di re emam 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 locales are US English Spanish Thai Chinese and Hindi 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
51. on The square indicates the center point between the two circles Two Points with Line click and drag CHESTE MARY Pat ID 10085 X Figure 3 3 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 Copyright iCRco Inc 2007 2009 27 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual Four Points CHESTE MARY Pat ID 10085 E Reick Figure 3 4 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 CHESTE MARY Pat ID 10085 P Figure 3 5 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
52. overed from the date of purchase This limited warranty solely applies to new products manufactured by or for iCRco and originally purchased from iCRco or an authorized dealer of iCRco products for your own use In addition an extended warranty is available for most new and recently purchased iCRco 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 iCRco subject to the limitations set forth herein If a product proves to be defective in material or workmanship during the warranty period iCRco will at its sole option repair or replace the product with a similar product Repaired and replacement products may be or include refurbished or remanufactured parts Any replacement item assumes the remaining warranty period of the original product iCRco 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 and or ClarityPACS software originally provided with any product will substantially conform to iCRco 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 iCRco s
53. p The User can use the Previous Tip amp Next Tip to display more tips 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 2 6 1 on page 4 2 6 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 2 6 1 Time Out The Inactive Timeout preference allows the User to fimi specify the length of time before the Clarity Viewer automatically logs out To set the Inactive Time right mouse click in the Work List then select Preferences gt Inactive Timeout then select the desired length of time The default duration is 20 minutes Configuration Ver Copyright iCRco Inc 2007 2009 4 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 2 6 2 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 From the Preferences dia log the User can configure each monitor attached to the computer The monitors are numbered according to their Windows device con figuration Changing monitor preferences will re
54. per User setting Each User can have their own name to appear in the report Only Users with the user privileges of doctor can write reports Please see the Clarity Copyright iCRco Inc 2007 2009 6 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual Configuration amp Troubleshooting Manual for more information on creating new users and setting 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 Figure 2 1 The Update Study Status dialog pops up after closing a study in the Viewer window Update Study Status Mark Study Status As UNREAD O READ DICTATED TYPED VALIDATED rOpdateanrciose Pese ony 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 closes the study 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
55. quire a restart of the Clarity Viewer for the changes to take ef fect The application will not restart on its own The User will need to restart the application manually Work List on Monitor Preferences Configuration Version 1 3 0 Timeout Monitor Reporting ReportSite Annotations Compression Language Tools Licens Monitor Configuration Options Worklist on Monitor 1 Click to Configure Each Monitors Options Numbered from Left to Right Hide Windows Toolbar BA Mi m me Monitor Default Display Layout Per Monitor Modality BAS Or fi columns Max Rows Max Columns mM The User may select which monitor the Clarity Viewer displays the Work List on This is 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 The 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 5 Quit and relaunch the Clarity Viewer for the changes to take effect Copyright iCRco Inc 2007 2009 Confidential and Proprietary Property of iCRco Inc 5 of 45 Document CLY 01A Rev E March 9 2011 Clarity Viewer User Manual Hide Windows Tool bar The
56. rchive 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 2 2 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 Copyright iCRco Inc 2007 2009 2 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 2 3 2 3 1 Launching the Clarity Viewer Initial Installation and Launch of Clarity Viewer Go to the Start menu Programs gt Mozilla Firefox to launch the Firefox web browser In Firefox s address bar enter https IPADDRESS 8443 icrco viewer where IPADDRESS is the IP address of the Clarity Archive Click the Launch link to start the Clarity Viewer 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 You will have to click Yes to trust Windows XP unsigned content The Clarity Viewer will open and display a login dialog 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 2 3 2 Quick Launch of Clarity Viewer After the initial installation of the
57. side 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 first 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 3 45 Next amp Previous Image 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 ma ML nipulation window The left and right arrow keys will also advance the User Mi Series th
58. t yn 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 3 8 6 Overlay e 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 3 9 Filters 3 9 1 Sharpen The Sharpen tool allows the User to apply a standard image sharpening 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 3 9 2 Histogram Equalization The Histogram Equalization tool allows the User to apply a histogram equaliza tion 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 clic
59. 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 3 7 7 Heart to Lung Ratio Copyright iCRco Inc 2007 2009 28 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual aa 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 fir 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 3 8 Annotations 3 8 1 Toggle Annotations 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 3 8 2 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 t
60. the mouse button move the mouse over that tool then click the tool with the mouse button the User wishes to map For exam ple 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 re 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 W L Right mouse button 3 4 4 Image Layouts Ay The image layout tool allows the User to compare two or more images side by side Clicking on the Image Layout button will pop up the Layout Selections dialog box Copyright iCRco Inc 2007 2009 20 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual Default Image Layouts The User may specify on a per modality basis the default layout of images in a study Please see Section 2 6 3 to set this option If enabled this preference will override those specified below Study Layout The Study Layout is used to view multiple images on one screen To use the Study Layouts first se fpg n Select Monitor s fa i 122 lect which monitor to apply the layout selections to the monitor is select when there is a dashed white border just in
61. tom of the Work List From the Image Viewer window 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 3 4 Image Layout and Navigation Moving the mouse to the left hand 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 3 4 1 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 3 4 2 Locking the Tool bar u The User has the option to make the tool bar always visible Clicking the Lock button at the bottom of
62. ts ke ta Gh whe eS Sat Bogle Mew 6 SPUR RER 15 A NIC WOE Ce ok A te ide ates wee ence Be Baha wea on Ree tatty O 15 IL Save MY sere Rog Ges ae cg ote esha ee SRB Sew ci Bh oe sh go Gg oe SR He 15 CNE Write GD is coh a easel elk dl Boe ho ot A A tes 15 SES PCE 2A os os raak So Hh thet he 2b ig Ge eS od lt p Bo Rael te Ee A 16 ZEG Quitran ee Bey ie ER eee eh hen ed a i ie 8 AN 16 SD GOAL ek ay See A E soy Eten ae te ay E Datel thee th ae liebe a 16 321 Search Keys i och AA 16 3 2 2 Search Fiere Larra ots ged eel oe Cas sd 16 Copyright iCRco Inc 2007 2009 viii of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of CRco Inc Clarity Viewer User Manual 3232 Work Eist hock eat Panta ove ty Bee ts ie Bie ed AAA wre ie RO 18 3 31 Sorted StUAIES eek 4 he toe Oe a BA ee ee eon we 18 3 3 2 Gro ped Shales ae ie hes Ga Se EA 18 3 9 0 Ehuimbniails 28 2 ah 4 di Seg aR duce Solera elo ek ie dei 18 3 3 4 Viewing Selected Studies a a OES Bowed 19 3 4 Image Layout and Navigation gm soc sooo os eee Mos see Wk 19 3 4 1 Frequently Used Tools oda da ir A a ad 19 3 4 2 Locking the Toolbar es ooo ar a AA 19 3 4 3 Default Mouse Actions 19 344 Image Layouts ade a ATRAE Ce da 20 3 4 5 Next amp Previous Mage im paa and da 21 3 4 6 Next amp Previous Series 2 ee 22 EA E A E Sk se es 22 A IU Ge ee E tee ie teers cas Hh lene ee A es cela te nt Ag 22 3 5 Image Manipulatio
63. udy Search Results Work List located near the middle of the screen 3 2 2 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 Copyright iCRco Inc 2007 2009 16 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual 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 button Custom Filter Editor My Filters rer Oe Filter Name Everything In Archive Everything Today CE Report Validated Today Report Typed Today Faciyname MIS Report Dictated Today Unread Today Study Status A Unread Last 2 Days Referring Name Unread Last 3 Days E Unread Last 5 Days Modality ALL Unread Last 7 Days COUDE CE May 29 1927 00 00 MN sun ODECE u17 2009 MN 2359 Save Fitter J The default filters cannot be modified New Filter Preset 1 From the Work List Window click Manage Filters 2 Enter the desired filter
64. use side of the angle and mouse click 3 7 5 Cobb Angle ey 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 exterior measurement mouse over the acute or obtuse side of the Cobb Angle and mouse click again The measurement will appear a 3 7 6 Center Line Lyra 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 window Configuration gt Tools tab To use the Center Line tool first select it from the tool bar then Copyright iCRco Inc 2007 2009 26 of 45 Document CLY 01A Rev E Confidential and Proprietary March 9 2011 Property of iCRco Inc Clarity Viewer User Manual Two Points no Line click and drag Figure 3 2 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 butt

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